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Eisenbach-Stangl I.,European Center for Social Welfare Policy and Research | Allamani A.,Regional Health Agency of Tuscany
Substance Use and Misuse | Year: 2014

The study identifies changes in selected ("unplanned") socio-demographic and economic factors as well as in (planned) political measures that are most strongly correlated with changes in alcohol consumption and alcohol consumption-related harm between 1961 and 2006 in Austria. During the period of investigation consumption increased until the early 1970s, dropped during the next decade and have leveled off since. Increasing urbanization, female employment and average age of mothers at their child births are associated with the best time series model for the interpretation of consumption changes. The results regarding alcohol control policies and their impact on consumption were paradoxical. Study limitations were noted pointing up the necessity to improve indicators and concepts. © 2014 Informa Healthcare USA, Inc. Source

Rossi E.,A+ Network | Bartoli P.,A+ Network | Panozzo M.,A+ Network | Bianchi A.,A+ Network | Da Fre M.,Regional Health Agency of Tuscany
European Journal of Integrative Medicine | Year: 2010

Aim: To study the socio-demographic features of the paediatric population treated at the Homeopathic Clinic - Hospital of Lucca (Italy), the observed diseases, the most commonly used remedies, outcome and follow-up of children, in particular with respiratory disease. Materials and methods: An observational longitudinal study was carried out on a total of 2141 patients consecutively examined from 1998 to 2008. We describe the characteristics of paediatric patients (<14 years): sex, age, whether or not they have already used conventional and/or homeopathic therapies, existing disease and follow-up. The outcome was assessed using the Glasgow Homeopathic Hospital Outcome Score (GHHOS). Results: Paediatric patients were 551 (mean age 5.9 years), representing 25.7% of all patients. Respiratory diseases were present in 337 children, of whom 168 came to at least one follow-up visit. Respiratory infections (337 cases; 61%), followed by dermatological (88 cases; 16%), psychological (45; 8%) and digestive (40; 7%) disorders were the most frequently observed diseases; 68% of children with respiratory disease showed a strong improvement or attained a resolution of their problems. Discussion: The likelihood of considerable improvement or resolution of symptoms is significantly higher in patients with problems in the upper respiratory tract (OR: 4.2, 95% CI: 1.6-11.4) and in patients with follow-up of at least 12 months. Therefore, type of disease and follow-up duration were the variables that most strongly affected the probability of success of homeopathic treatment. Conclusion: The results seem to confirm that homeopathic medicine produces a positive therapeutic response particularly in children presenting respiratory diseases. © 2010 Elsevier GmbH. Source

Rossi E.,Local Health Unit N 2 | Bartoli P.,Local Health Unit N 2 | Bianchi A.,Local Health Unit N 2 | Da Fre M.,Regional Health Agency of Tuscany
Homeopathy | Year: 2012

Aim: To study the socio-demographic features, the prescribed remedies and the outcome of atopic diseases in children treated with homeopathy at the Homeopathic Clinic of Lucca (Italy), and the long-term outcome of children suffering from atopic dermatitis (AD) after an approximate 8-year period (range 5-10. years). Methods: Our data derive from an observational longitudinal study carried out on 213 children (38.6%) with atopic diseases out of 551 children consecutively examined from September 1998 to December 2008. We used the Glasgow Homeopathic Hospital Outcome Score to evaluate the results that were classified on the basis of a Likert scale. Results: Eighty-three (39%) children were affected by asthma, 51 (24%) by allergic rhinoconjunctivitis, 76 (36%) by AD and 3 (1%) by food intolerance. Follow-up patients were 104 (48.8%), and 65 (62.5%) of them reported a major improvement or resolution. The parents of paediatric patients suffering from AD, who had started homeopathic treatment at <4.9. years of age were invited to follow-up assessment 8. years later and 40 children (mean age 12.9) were examined; 28/40 (70%) had a complete disappearance of AD, 12/40 children (30.0%) were still affected by AD; 8/40 (20%) had asthma and 8/40 patients had, or developed, allergic rhinitis. Conclusion: These preliminary results seem to confirm a positive therapeutic effect of homeopathy in atopic children. Furthermore, according to the data from the literature paediatric patients treated with homeopathy seem to show a reduced tendency to maintain AD and develop asthma (and allergic rhinitis) in adult age. © 2011 The Faculty of Homeopathy. Source

Bellini M.,University of Pisa | Gambaccini D.,University of Pisa | Usai-Satta P.,Gastrointestinal Unit | De Bortoli N.,University of Pisa | And 4 more authors.
World Journal of Gastroenterology | Year: 2015

Irritable bowel syndRome (IBS) and functional constipation (FC) are the most common functional gastrointestinal disorders. According to the Rome ? Criteria these two disorders should be theoretically separated mainly by the presence of abdominal pain or discomfort relieved by defecation (typical of IBS) and they should be mutually exclusive. However, many gastroenterologists have serious doubts as regards a clear separation. Both IBS-C and FC, often associated with many other functional digestive and non digestive disorders, are responsible for a low quality of life. The impact of the media on patients' perception of these topics is sometimes disruptive, often suggesting a distorted view of pathophysiology, diagnosis and therapy. These messages frequently overlap with previous subjective opinions and are further processed on the basis of the different culture and the previous experience of the constipated patients, often producing odd, useless or even dangerous behaviors. The aim of this review was to analyze the most common patients' beliefs about IBS-C and CC, helping physicians to understand where they should focus their attention when communicating with patients, detecting false opinions and misconceptions and correcting them on the basis of scientific evidence. © 2015 Baishideng Publishing Group Inc. All rights reserved. Source

Rasero L.,University of Florence | Falciani F.,Wound Care Nurse Specialist | Fabbri C.,Wound Care Nurse Specialist | Collini F.,Regional Health Agency of Tuscany | Dal Molin A.,University of Piemonte Orientale
Advances in Skin and Wound Care | Year: 2015

OBJECTIVE: The purpose of this study was to measure the prevalence of pressure ulcers (PrUs) in an older adult population. DESIGN: A cross-sectional study. SETTING: The study included all the individuals being cared for in the units of medicine, surgery, intensive care, and medical-surgical specialties of 47 hospitals, 57 public nursing homes, and 37 home care services. PARTICIPANTS: The authors' observational study included 11,957 patients older than 70 years. MAIN OUTCOME MEASURES: Of the population, 50.75% (6067) were assessed to be at risk of developing PrUs according to the Braden Scale, and 24.66% (2949) had already developed PrUs. In addition, a significant association was found between increased risk (Braden <16) and the presence of PrUs with an odds ratio (OR) of 8.71 (confidence interval [CI], 7.52-10.10) in high-risk subjects (Braden ≤12) and an OR of 3.86 (CI, 3.36-4.44) in very high-risk patients (Braden 13-16). In the survey, 84.6% of the subjects with PrUs were incontinent, and incontinence increased the risk of developing PrUs in the authors' sample (OR, 1.54; CI, 1.34-1.77). CONCLUSIONS: The authors' data reported in the literature show that the prevalence of PrUs increases as an individual ages. The authors gathered data that showed a large area of intervention in managing the prevention of PrUs, such as an adequate use of protective aids, correcting malnutrition, and controlling incontinence. These results suggest that clinicians should focus more on the prevention of PrUs in older adults. © 2015 Wolters Kluwer Health, Inc. All rights reserved. Source

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