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Search Results: 1 - 10 of 7063 matches for " Paolo Marinelli "
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Epidemiology of hepatitis C virus infection in the world, Europe, Italy and Campania: an overview
Giorgio Liguori,Francesca Gallé,Paolo Marinelli
Italian Journal of Public Health , 2004, DOI: 10.2427/6141
Abstract: HCV infection is today the viral epidemic disease second only to AIDS. It is estimated that 3% of the world population is infected by hepatitis C and chronic related diseases, with markedly different prevalences between different geographical areas and different categories in the same area. The Authors analyse the epidemiological data available to trace the situation worldwide, in Europe, in Italy and in Campania, currently and in the last few years. Also researched was the role that the risk factors related to the different transmission routes play in the spread of the infection. Despite the decrease in the incidence reported in recent years, the numerous cases linked to drug abuse, to infections occurring while in health care and after unsafe sexual intercourse reveal the need for further information to be spread on HCV infection and on its modes of transmission.
Paediatricians knowledge, attitudes, and practices regarding immunizations for infants in Italy
Daniela Anastasi, Gabriella Di Giuseppe, Paolo Marinelli, Italo F Angelillo
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-463
Abstract: A random sample of 500 paediatricians received a self-administered anonymous questionnaire covering demographic and professional characteristics; knowledge about the mandatory, recommended, and not indicated vaccinations for infants; attitudes about vaccinations for infants; behaviour regarding current administration or willingness to administer mandatory or recommended vaccinations for infants and immunization education programs of the parents.Only 42.3% paediatricians knew all recommended vaccinations for infants and this knowledge was significantly higher in females, in those who worked a higher number of hours for week, and in those who use guidelines for immunization practice. Only 10.3% had a very favourable attitude towards the utility of the recommended vaccinations for infants and this was significantly higher in those who administered recommended vaccinations for infants. A large proportion (82.7%) of paediatricians routinely informed the parents about the recommended vaccinations for infants and this appropriate behaviour was significantly higher among younger, in those with a higher number of years in practice, and in those who administered the recommended vaccinations for infants.Training and educational interventions are needed in order to improve knowledge, attitudes, and behaviours regarding vaccinations for infants among paediatricians.It is very well established that the vaccinations of infants and adolescents have an extraordinary beneficial public health impact [1] by reducing morbidity, mortality, and the social and economic burden that are associated with a number of common childhood diseases [2].In Italy, vaccinations for infants are mandatory (diphtheria, hepatitis B, polio, tetanus) and recommended (Haemophilus influenzae type b, measles, meningococcal, mumps, pertussis, pneumococcal meningitis, rubella, varicella) and they are administered by public health physicians and paediatricians working in a public network. All mandatory, Haemophilus
Prevalence of thyroid nodules in an occupationally radiation exposed group: a cross sectional study in an area with mild iodine deficiency
Paolo Trerotoli, Anna Ciampolillo, Giuseppe Marinelli, Riccardo Giorgino, Gabriella Serio
BMC Public Health , 2005, DOI: 10.1186/1471-2458-5-73
Abstract: A cross-sectional study was designed to evaluate the prevalence of thyroid nodules in radiation exposed workers, compared with a stratified sample of non exposed workers. After giving written consent to participate in the study, all the recruited subjects (304 exposed and 419 non exposed volunteers) were interviewed to fill in an anamnestic questionnaire, and underwent a physical examination, ultrasound thyroid scan, serum determinations of fT3, fT4 and TSH, fine needle aspiration biopsy. The sample was subdivided into one group exposed to a determined quantity of radiation (detected by counter), one group exposed to an undetectable quantity of radiation, and the non exposed control group.The prevalence of thyroid nodules <1 cm in diameter, defined as incidentalomas, in the exposed group with detected doses, was 11.28% in males and 9.68% in females, while in the exposed group with undetectable dose the prevalence was 10.39% in males and 16.67% in females. In the non exposed group the prevalence of incidentalomas was 9.34% in males and 13.20% in females. These prevalences were not statistically different when analysed by a multiple test comparison with the bootstrap method and stratification for sex.Instead, the prevalence of thyroid nodules > 1 cm in diameter resulted statistically different in exposed and non exposed health staff: 18.68% in non exposed males vs exposed: 3.76% (determined dose) and 9.09% (undetectable dose) in males, and 20.30% in non exposed females versus 3.23% (detected dose) and 9.52% (undetectable dose) in exposed females.There was a higher proportion of healthy staff in the exposed group than in the non exposed: (80.45% vs 68.68% in males; 80.65% vs 57.87% in females).In our study, occupational exposure to radiation combined with mild iodine deficiency did not increase the risk of developing thyroid nodules. The statistically significant higher prevalence of thyroid nodules in the non exposed group could be explained by the high percentage (22
Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy
Cristiana Parmeggiani, Rossella Abbate, Paolo Marinelli, Italo F Angelillo
BMC Infectious Diseases , 2010, DOI: 10.1186/1471-2334-10-35
Abstract: An anonymous questionnaire, self-administered by all HCWs in eight randomly selected non-academic acute general public hospitals, comprised questions on demographic and occupational characteristics; knowledge about the risks of acquiring and/or transmitting HAIs from/to a patient and standard precautions; attitudes toward guidelines and risk perceived of acquiring a HAI; practice of standard precautions; and sources of information.HCWs who know the risk of acquiring Hepatitis C (HCV) and Human Immunodeficiency Virus (HIV) from a patient were in practice from less years, worked fewer hours per week, knew that a HCW can transmit HCV and HIV to a patient, knew that HCV and HIV infections can be serious, and have received information from educational courses and scientific journals. Those who know that gloves, mask, protective eyewear, and hands hygiene after removing gloves are control measures were nurses, provided care to fewer patients, knew that HCWs' hands are vehicle for transmission of nosocomial pathogens, did not know that a HCW can transmit HCV and HIV to a patient, and have received information from educational courses and scientific journals. Being a nurse, knowing that HCWs' hands are vehicle for transmission of nosocomial pathogens, obtaining information from educational courses and scientific journals, and needing information were associated with a higher perceived risk of acquiring a HAI. HCWs who often or always used gloves and performed hands hygiene measures after removing gloves were nurses, provided care to fewer patients, and knew that hands hygiene after removing gloves was a control measure.HCWs have high knowledge, positive attitudes, but low compliance concerning standard precautions. Nurses had higher knowledge, perceived risk, and appropriate HAIs' control measures than physicians and HCWs answered correctly and used appropriately control measures if have received information from educational courses and scientific journals.Health care-assoc
Use of television, videogames, and computer among children and adolescents in Italy
Alessandro Patriarca, Gabriella Di Giuseppe, Luciana Albano, Paolo Marinelli, Italo F Angelillo
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-139
Abstract: A self-administered anonymous questionnaire covered socio-demographics; behaviour about television, videogames, computer, and sports; parental control over television, videogames, and computer.Overall, 54.1% and 61% always ate lunch or dinner in front of the television, 89.5% had a television in the bedroom while 52.5% of them always watched television there, and 49% indicated that parents controlled the content of what was watched on television. The overall mean length of time daily spent on television viewing (2.8 hours) and the frequency of watching for at least two hours per day (74.9%) were significantly associated with older age, always ate lunch or dinner while watching television, spent more time playing videogames and using computer. Those with parents from a lower socio-economic level were also more likely to spend more minutes viewing television. Two-thirds played videogames for 1.6 daily hours and more time was spent by those younger, males, with parents that do not control them, who watched more television, and who spent more time at the computer. The computer was used by 85% of the sample for 1.6 daily hours and those older, with a computer in the bedroom, with a higher number of computers in home, who view more television and play videogames were more likely to use the computer.Immediate and comprehensive actions are needed in order to diminish time spent at the television, videogames, and computer.Public health and preventive campaigns targeted to early adolescence have mainly focused on reducing unhealthy behaviours such as physical and sport inactivity, eating patterns, television (TV) viewing, and videogame playing [1-3]. Indeed, a negative relationship exists between the amount of time spent watching TV and children and adolescents health status, including overweight [4,5], school and verbal performance [6,7], perceived cognitive and attention abilities [8,9], and violence or bullying [10,11]. The family structure is also likely to have an import
Knowledge, attitudes, and preventive practices about colorectal cancer among adults in an area of Southern Italy
Alessandra Sessa, Rossella Abbate, Gabriella Di Giuseppe, Paolo Marinelli, Italo F Angelillo
BMC Cancer , 2008, DOI: 10.1186/1471-2407-8-171
Abstract: A random sample of 1165 adults received a self-administered questionnaire on socio-demographic characteristics; knowledge regarding definition, risk factors, and screening; attitudes regarding perceived risk of contracting CRC and utility of screening tests; health-related behaviors and health care use; source of information.Only 18.5% knew the two main modifiable risk factors (low physical activity, high caloric intake from fat) and this knowledge was significantly associated with higher educational level, performing physical activity, modification of dietary habits and physical activity for fear of contracting CRC, and lower risk perception of contracting CRC. Half of respondents identified fecal occult blood testing (FOBT) as main test for CRC prevention and were more knowledgeable those unmarried, more educated, who knew the main risk factors of CRC, and have received advice by physician of performing FOBT. Personal opinion that screening is useful for CRC prevention was high with a mean score of 8.3 and it was predicted by respondents' lower education, beliefs that CRC can be prevented, higher personal perceived risk of contracting CRC, and information received by physician about CRC. An appropriate behavior of performing FOBT if eligible or not performing if not eligible was significantly higher in female, younger, more educated, in those who have been recommended by physician for undergo or not undergo FOBT, and who have not personal history of precancerous lesions and familial history of precancerous lesions or CRC.Linkages between health care and educational systems are needed to improve the levels of knowledge and to raise CRC screening adherence.Malignant neoplasms from all cancers are the second leading cause of death after heart disease and colorectal cancer (CRC) is the third most commonly diagnosed form of cancer in each sex and the second for both sexes combined in essentially all economically developed countries [1]. At current rates, approximately
A survey of knowledge, attitudes and practices towards avian influenza in an adult population of Italy
Gabriella Di Giuseppe, Rossella Abbate, Luciana Albano, Paolo Marinelli, Italo F Angelillo
BMC Infectious Diseases , 2008, DOI: 10.1186/1471-2334-8-36
Abstract: From December 2005 to February 2006 a random sample of 1020 adults received a questionnaire about socio-demographic characteristics, knowledge of transmission and prevention about AI, attitudes towards AI, behaviors regarding use of preventive measures and food-handling practices, and sources of information about AI.A response rate of 67% was achieved. Those in higher socioeconomic classes were more likely to identify the modes of transmission and the animals' vehicles for AI. Those older, who knew the modes of transmission and the animals' vehicles for AI, and who still need information, were more likely to know that washing hands soap before and after touching raw poultry meat and using gloves is recommended to avoid spreading of AI through food. The risk of being infected was significantly higher in those from lower socioeconomic classes, if they did not know the definition of AI, if they knew that AI could be transmitted by eating and touching raw eggs and poultry foods, and if they did not need information. Compliance with the hygienic practices during handling of raw poultry meat was more likely in those who perceived to be at higher risk, who knew the hygienic practices, who knew the modes of transmission and the animals' vehicles for AI, and who received information from health professionals and scientific journals.Respondents demonstrate no detailed understanding of AI, a greater perceived risk, and a lower compliance with precautions behaviors and health educational strategies are strongly needed.The first known direct avian to human transmission of influenza A (subtype H5N1) viruses was reported during an outbreak in Hong Kong in 1997 and exposure to infected poultry was identified as the probable route of transmission [1-3].Since then, outbreaks of the H5N1 highly pathogenic avian influenza strain have been identified in birds, wild and domestic poultry, in several countries, particularly in Vietnam, Indonesia, Thailand, China, Cambodia and, more recentl
Characteristics of patients returning to emergency departments in Naples, Italy
Gabriella Di Giuseppe, Rossella Abbate, Luciana Albano, Paolo Marinelli, Italo F Angelillo, The Collaborative Research Group
BMC Health Services Research , 2008, DOI: 10.1186/1472-6963-8-97
Abstract: All patients (≥ 16 years) who presented to the EDs of three randomly selected non-academic acute care public hospitals, within randomly selected week periods, were studied. The two outcomes of interest were the re-utilization, within 72 hours, of the ED and the number of visits in the previous year.Of the 1430 sampled patients, 51.9% self-reported multiple visits in the previous year and 10.9% and 1.6% used the ED for 3 and ≥4 times, respectively. The number of visits in the previous year was significantly higher in those who live closer to hospital, with a more severe burden of overall comorbidity, and who were on pharmacological treatment. Overall, 72-hours return visits were found in 215 patients (15.8%). Patients were more likely to re-use within 72 hours the ED if younger, were not on pharmacological treatment, attended the ED more times in the previous year, were referred by a physician, arrived at the ED by car driven by other person, had problems of longer duration prior to arrival at the ED, had a surgical ED discharge diagnosis, and were admitted to the hospital.The data may assist policymakers in the development and implementation of protocols to track changes in the re-utilization of the ED for the high financial impact and for the benefit of the patients.Crowding in hospital Emergency Departments (EDs) is a commonly observed problem in several industrialized countries [1-3]. Although the reasons and mechanisms are complex, the major factors are increasing volume of patients seeking medical care in ED services, lack of inpatient beds, and care for non-urgent conditions for patients who identify the ED as their usual site of care, notwithstanding the typical treatment of patients with serious illnesses or injuries. These patients typically do not receive any active ED intervention and could have managed adequately in other health care services, mainly the primary care facilities [4,5]. The decision to seek care through an ED is complex, and its explanatio
Ebrei ibridi. A proposito del libro “Un ebreo resta un ebreo”. Vicende dell’ebraismo e del messianesimo nella cultura polacca, a cura di L. Quercioli Mincer, Arezzo 2008
Luigi Marinelli
Studi Slavistici , 2009,
Abstract: Hybrid Jews The Author reviews some of the issues discussed in “Un ebreo resta sempre un ebreo”. Vicende dell’ebraismo e del messianesimo nella cultura polacca, edited by Laura Quercioli Mincer, with particular reference to Jakub Frank’s movement and his followers. For its “heretical” and syncretic nature within the Ostjudentum, Frank’s movement can be typologically compared to very different cultural phenomena: from the problematic category of “national identity” (Polish identity in particular, one of the most open and inclusive in the European context) to those referring to sexual orientation (especially bi- and transsexuality); from historical expressions of religious hybridity – such as Nicodemism –, to the most varied forms of cultural liminality. In this perspective, Frank’s movement becomes for the Author a pretext to speak about other topics, within general, open and very (post)modern concepts such as “hybridization” and uid identity.
Aleksander Wat. Mój wiek (1977) - Il mio secolo (2013). Premessa
Luigi Marinelli
LEA : Lingue e Letterature d'Oriente e d'Occidente , 2013,
Abstract: At the beginning of the 1960s Czes aw Mi osz recorded Aleksander Wat’s memories on tape. The recordings were then published with the title Moj Wiek (1977) and translated into many languages. A real “Odyssey of a Polish intellectual”, as the subtitle of the American version (1988) suggested, Wat’s memoir is regarded as one of the most important testimonies of the atrocities of the last century. Finally, after many years, it has been translated into Italian, and will be published in the Spring of 2013. An excerpt from Il mio secolo is published in this article with permission from the Sellerio publishing house. It is taken from the eighteenth chapter, where Wat describes the first Soviet jail in which he was detained.
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