The Italian National Conference of Italian Public Health Medical Residents reachs its 3th edition by renewing its format and getting bigger!
For the first time, the conference is not exclusively open to Medical Residents in Hygiene and Preventive Medicine, but also to Community Medicine and Health Statistics and Biometric Medical Resi-dents, as well as to all members of the European Network of Medical Residents in Public Health (EuroNet MRPH).
This Abstract Book collects all the contri-butions of the Oral Sessions.
These are the TOPICS:
MANAGEMENT AND QUALITY OF HEALTH SER-VICES
PRIMARY HEALTH CARE AND NON COMMUNICA-BLE DISEASES
LIFESTYLE, FOOD AND NUTRITION
GLOBAL HEALTH AND HEALTH INEQUALITY
ENVIRONMENTAL AND OCCUPATIONAL HEALTH
The contributions were collected and arranged by Francesco Soncini, Francesca Campanella, Rocco Guerra and the members of the Scientific Commettee Benedetto Arru, Michela Capelli, Elvira D’Andrea, Francesco Soncini
The “Consulta dei Medici in Formazione Specialistica SItI” (commonly “Consulta”) is part of the Italian Society of Hygiene, Preventive Medicine and Public Health (S.It.I.)
Consulta promotes and to stimulates professional, cultural and personal devel-opment of the Italian Medical Residents in Public Health, to endorse cooperation between the Italian Public Health Schools and to inspire discussions about issues related to Public Health.
Consulta is composed of two delegates for each of the 32 Italian Public Health Schools, accounting for more than 750 residents across Italy, and it’s fully aware of the importance of having tight rela-tions and productive forms of cooperation between Public Health Residents across Europe (Consulta is proud founder of
EuroNet MRPH, the Network of Medical Residents in Public Health:
Moreover, Consulta shares with its European counterparts the need for a better integration of Public Health expertises in Europe (It’s also a support-er of EUPHAnxt Project: eupha.org).
For more information and to view all the documents edited by Consulta, please check the website: www.societaitalianaigiene.org
ASBESTOS-RELATED DISEASES: PENAL, CIVIL AND NATIONAL HEALTH INSURANCE RESPONSIBILITY ACCORDING TO ITALIAN LAWWritten by Tommaso Savì et al.
In this paper, we discuss our experience and a review of the literature on the use of the free Vastus lateralis flap in the head and neck region, analyzing its indications, advan-tages and limitations. We also provide technical tips to minimize donor site morbidity.
Material and Methods: 830 patients requiring central vein catheterization (CVC) were in-cluded in the analysis. The position of the IJV in relation to the other structures of the neck was demonstrated by portable ultrasonography.
Results: The mean diameter of IJV was 10.3 mm in right and 10.5 mm in left side of neck, in male (p > 0.05) and 9.1 mm in right and 10.5 mm in left side of neck, in female (p > 0.05). The mean distance between IJV and CCA was 1.9 mm in right and 1.7 mm in left side of neck in male, and 2.0 mm in right and 2.2 mm in left side of neck in female. The mean distance of IJV from the skin surface was 9.8 mm in right and 10.0 mm in left side of neck in male, and 12.1 mm in right and 12.5 mm in left side of neck in female. On 25.54 % we observed variations of internal jugular vein site. On 3.97 % we observed a small caliber of internal jugular vein that could complicate the catheterization of the vein. On 1.8 % was diagnosed a thrombus of internal jugular vein, that is considered as an ab-solute contraindication for a CVC.
Conclusion: Different patients had anatomical variations that are important and should be knowed, in order to reduce the possibility of severe complications.
PROFILE OF INTRANASAL CORTICOSTEROIDS IN ITALY: SAFETY, COST/EFFECTIVENESS, LOCAL AND SYSTEMIC ADVERSE EFFECTSWritten by Donatella Marchese et al.
Objective: The aim of this review is to inquire intranasal corticosteroids.
Results: We have obtained several randomized, double-blind, placebo-controlled clinical trials, by a MEDLINE search. We analyzed the safety profile, the adverse effects described by the authors, the relation between cost/effectiveness. We have made a search for trade profile, dosage and chemical characteristics by on-line handbook.
Discussion: Several studies demonstrate that intranasal corticosteroids are more effective-ness in nasal symptoms control than other medications for Allergic Rhinitis. Intranasal corticosteroids are relatively safe, only few studies demonstrated systemic adverse ef-fects. In conclusion, newest corticosteroids (Fluticasone Propionate, Mometasone Furoate, Fluticasone Furoate, Ciclesonide aqueous) are safer than older, probably because of their less bioavailability.
Metal-on-metal coupling in total hip replacements has traditionally been a valid alterna-tive to other total hip bearings for young adults and very active elderly patients. Unfortu-nately, clinical experience has revealed that the difference in strength between the tita-nium alloy stem and the cobalt alloy-bearing surface leads to a conflict between the acetabular component and the head, which inturn leads to abnormal wear and osteolysis. The major problems are osteolysis, metal ion intoxication, potential genome toxicity, neoplasms, allergies and implant failure. The authors present an incidental finding of a pseudotumour of the external rotators of the hip in a total hip replacement (THR) revision in a 68 year old female patient.
The use of perforator flaps in face reconstruction is becoming increasingly common. They are particularly useful in nose reconstruction, where they can be tailored to match the complex three-dimensional structure of the nasal concave and convex subunits.
Literature on this topic is still limited, with only 12 studies reporting data on 129 recon-structions. Reconstruction of nasal defects with pedicled perforator flaps is a novel and expanding field. It allows for the achievement of good aesthetic results, with a single op-eration and low donor site morbidity. Temporary venous congestion frequently occurs, but resolves spontaneously without leaving sequelae. Also, perforator flaps have precipi-tated a novel approach to nose reconstruction, allowing for the modification of both ran-dom and axial flaps according to a "perforator-like technique".
SUPERIOR MESENTERIC VEIN THROMBOSIS AND CYTOMEGALOVIRUS: A DIAGNOSTIC DILEMMA. A CASE REPORT AND REVIEW OF THE LITERATUREWritten by Vincenzo Davide Palumbo et al.
Superior mesenteric vein thrombosis (SMVT) is a rare condition, usually caused by infec-tions, intra-abdominal inflammatory diseases, portal hypertension, hypercoagulable states, or contraceptive therapy. Due to its vague symptomatology, SMVT is often diag-nosed only after an abdominal contrast-enhanced computed tomography (CT) scan. In this article, we present a case of SMVT in a patient with a history of contraceptive drug use and a recent cytomegalovirus infection. A 36-year-old female was admitted to our department with the clinical symptoms of an acute appendicitis. The patient was a smoker and had been using hormonal contracep-tives for over a year. Surgery was deemed the best course of action. Before the operation, blood tests showed a mild lymphocytosis and altered liver enzyme levels, while coagula-tion values were normal. A contrast-enhanced CT scan revealed a complete superior mes-enteric vein thrombosis without signs of bowel ischemia. Anticoagulants were immedi-ately administered. A thrombophilia panel did not highlight any noteworthy elements. Cytomegalovirus (CMV) tests resulted positive.
Since CMV is a rare, but potentially significant cause or precipitating factor for thrombo-sis in immunocompetent hosts, all patients with an unexplained fever and seemingly spontaneous thrombosis should be screened for CMV infection.
This review offers an overview of the synthesis of phosphonated isoxazolidinyl nucleo-sides, a new class of interesting and potentially antiviral/antitumor agents. The synthetic methodology relies on a 1,3-dipolar cycloaddition reaction as a key step. The cycloaddi-tion process involves substituted nitrones, phosphonated nitrones, or nitrones containing functional groups easily convertible into a phosphonated group. Biological assays are pre-sented, which show that phosphonated isoxazolidinyl nucleosides represent a new prom-ising template of nucleoside analogues.
Case presentation: we report a case of spontaneous aortic arch thrombosis in a term new-born, who presented with suggestive signs of aortic coarctation immediately after birth. Despite the initiation of anticoagulant therapy, a massive increase in size of thrombus with evidence of coronary involvement was noted. Thrombolytic treatment was performed with thrombus resolution. Death occurred after a few days due to widespread brain haem-orrhage.
Conclusion: To date, no definitive guidelines have been published for the treatment of neonatal aortic arch thrombosis, and only anecdotal reports are available. A multidiscipli-nary approach is fundamental in order to evaluate the risk:benefit ratio of proposed medical and surgical interventions. Further studies are needed to improve consensus evi-dence based guidelines and ensure appropriate approaches to this condition.