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21.
Francesco Venturelli Giuliano Carrozzi Letizia Sampaolo Lara Bolognesi Sandro Baldissera Nicoletta Bertozzi Stefano Campostrini Benedetta Contoli Gianluigi Ferrante Maria Masocco Valentina Minardi Angelo D'Argenzio Pirous F Moghadam Luana Penna Alberto Perra Elisa Quarchioni Mauro Ramigni Massimo O Trinito Stefania Salmaso 《Lancet》2014
BackgroundInfluenza is an important public health problem, with potential severe consequences among people with chronic diseases. The aim of this study was to obtain reliable measures of seasonal influenza vaccine uptake in this population, otherwise not available in Italy.MethodsProgressi delle Aziende Sanitarie per la Salute in Italia (PASSI) is a nationwide surveillance system of health-related behaviours and acceptance of preventive interventions (including influenza immunisation) offered by the Italian National Health Service. Data are collected with telephone interviews at local health unit level for supporting local activities. The survey sample is randomly selected from local health unit lists of adult residents. The trend of annual vaccine coverage since 2008 was estimated for people aged 18–64 years who reported having at least one chronic disease. To obtain a sufficient sample size in subgroups, we analysed the characteristics of vaccinated people in the 2010–13 cumulative dataset. Univariate, multivariate, and logistic regression analyses were undertaken.FindingsIn 2008–13, 13 659 individuals with at least one chronic disease were interviewed. Vaccination coverage fell significantly from 29·7% (95% CI 27·2–32·4) in 2007–08 to 19·9% (18·0–22·1) in 2012–13. During 2010–13, the overall proportion of vaccinated people with a chronic disease was 25·6% (24·5–26·7). Vaccine coverage of people with diabetes (34·3%, 31·7–36·9) or cardiovascular diseases (31·8%, 29·6–34·2) was greater than that of people affected by renal failure, respiratory diseases, tumours, or chronic liver diseases (26·5% [22·5–30·7], 24·9% [23·2–26·7], 22·2% [20·0–24·6], and 20·6% [17·5–24·6], respectively). Vaccination coverage increased with age (from 13·1% [11·0–15·5] in the 18–34 year age group to 33·4% [31·9–35·1] in people aged 50–64 years); it was higher among people with a low educational level than among those with a high educational level, higher in those having economic difficulties than in those with no economic difficulties, and higher among Italian citizens than among non-citizens.InterpretationIn the past few years, prevalence of influenza vaccination in Italian adults with at least one chronic disease was well below the Ministry of Health's goal (75% minimum) and showed a downward trend. A major reason of this evolution is probably the changing public perception of the benefits and risks of vaccines. PASSI is a source of useful data not otherwise available for public health intervention.FundingItalian Ministry of Health. 相似文献
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Erythrocytapheresis is a valid and safe therapeutic option in dysmetabolic iron overload syndrome
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Calogero Vetro Rosamaria Rosso Stefano Palmucci Maurizio Russello Grazia Colletta Maria Anna Romeo Benedetta Ximenes Alessandra Romano Giuseppe Alberto Palumbo Francesco Di Raimondo 《Journal of clinical apheresis》2016,31(5):443-447
Dysmetabolic iron overload syndrome is a rare event causing hepatic impairment with serious long‐term side effects. Here, we describe a case of metabolic syndrome‐related hepatic iron overload that showed a rapid, effective, and safe response to erythrocytapheresis. J. Clin. Apheresis 31:443–447, 2016. © 2015 Wiley Periodicals, Inc. 相似文献
24.
Zanella Isabella Zacchi Eliana Fornari Chiara Fumarola Benedetta Antoni Melania Degli Zizioli Daniela Quiros-Roldan Eugenia 《Metabolic brain disease》2022,37(5):1569-1583
Metabolic Brain Disease - Cognitive decline of aging is modulated by chronic inflammation and comorbidities. In people with HIV-infection (PWH) it may also be affected by HIV-induced inflammation,... 相似文献
25.
Antonio VALENTI Giuliana BURESTI Bruna Maria RONDINONE Benedetta PERSECHINO Fabio BOCCUNI Grazia FORTUNA Sergio IAVICOLI 《Industrial health》2015,53(4):332-339
Despite all the emphasis laid today on the green economy, occupational health and safety
(OHS) issues have still been talked only limitedly, as already noted in previous studies
and literature reviews. The Department of Occupational and Environmental Medicine,
Epidemiology and Hygiene of the Italian Workers’ Compensation Authority (INAIL) has
conducted a survey among some Italian stakeholders, social partners, institutions and
“green” businesses to gather their perceptions of the potential effects of
green jobs on OHS, particularly in the renewable energy
sector. The survey involved a sample of 61 stakeholders in the following categories:
institutions (11), trade unions (11), employers’ organizations (13), businesses (11),
research (15). Participation in this survey of national stakeholders who have a central
role in the development and management of policies on renewable energy and OHS, allowed to
analyze in depth the fundamental aspects for a fair transition towards green economy.
Also, the good agreement among respondents brought to light quite clearly the main
critical points as regards the OHS implications of green work in Italy, and pointed to the
principal policies to be adopted to safeguard workers’ health and safety. 相似文献
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29.
Daxing Gao Michael J. Ciancanelli Peng Zhang Oliver Harschnitz Vincent Bondet Mary Hasek Jie Chen Xin Mu Yuval Itan Aurlie Cobat Vanessa Sancho-Shimizu Benedetta Bigio Lazaro Lorenzo Gabriele Ciceri Jessica McAlpine Esperanza Anguiano Emmanuelle Jouanguy Damien Chaussabel Isabelle Meyts Michael S. Diamond Laurent Abel Sun Hur Gregory A. Smith Luigi Notarangelo Darragh Duffy Lorenz Studer Jean-Laurent Casanova Shen-Ying Zhang 《The Journal of clinical investigation》2021,131(1)
Human herpes simplex virus 1 (HSV-1) encephalitis can be caused by inborn errors of the TLR3 pathway, resulting in impairment of CNS cell-intrinsic antiviral immunity. Deficiencies of the TLR3 pathway impair cell-intrinsic immunity to vesicular stomatitis virus (VSV) and HSV-1 in fibroblasts, and to HSV-1 in cortical but not trigeminal neurons. The underlying molecular mechanism is thought to involve impaired IFN-α/β induction by the TLR3 recognition of dsRNA viral intermediates or by-products. However, we show here that human TLR3 controls constitutive levels of IFNB mRNA and secreted bioactive IFN-β protein, and thereby also controls constitutive mRNA levels for IFN-stimulated genes (ISGs) in fibroblasts. Tlr3–/– mouse embryonic fibroblasts also have lower basal ISG levels. Moreover, human TLR3 controls basal levels of IFN-β secretion and ISG mRNA in induced pluripotent stem cell–derived cortical neurons. Consistently, TLR3-deficient human fibroblasts and cortical neurons are vulnerable not only to both VSV and HSV-1, but also to several other families of viruses. The mechanism by which TLR3 restricts viral growth in human fibroblasts and cortical neurons in vitro and, by inference, by which the human CNS prevents infection by HSV-1 in vivo, is therefore based on the control of early viral infection by basal IFN-β immunity. 相似文献
30.
Francesca Tatini Anna Maria Pugliese Chiara Traini Sandra Niccoli Giovanna Maraula Teresa Ed Dami Benedetta Mannini Tania Scartabelli Felicita Pedata Fiorella Casamenti Fabrizio Chiti 《Neurobiology of aging》2013
Protein misfolded oligomers are thought to be the primary pathogenic species in many protein deposition diseases. Oligomers by the amyloid-β peptide play a central role in Alzheimer's disease pathogenesis, being implicated in synaptic dysfunction. Here we show that the oligomers formed by a protein that has no link with human disease, namely the N-terminal domain of HypF from Escherichia coli (HypF-N), are also synaptotoxic. HypF-N oligomers were found to (i) colocalize with post-synaptic densities in primary rat hippocampal neurons; (ii) induce impairment of long-term potentiation in rat hippocampal slices; and (iii) impair spatial learning of rats in the Morris Water Maze test. By contrast, the native protein and control nontoxic oligomers had none of such effects. These results raise the importance of using HypF-N oligomers as a valid tool to investigate the pathogenesis of Alzheimer's disease, with advantages over other systems for their stability, reproducibility, and costs. The results also suggest that, in the context of a compromised protein homeostasis resulting from aggregation of the amyloid β peptide, a number of oligomeric species sharing common synaptotoxic activity can arise and cooperate in the pathogenesis of the disease. 相似文献