Publications by authors named "Eustachio Cuscianna"

Article Synopsis
  • Post COVID-19 syndrome often results in ongoing symptoms like dyspnoea (shortness of breath) and fatigue, hindering social and work reintegration.
  • A study analyzed the effects of Spa rehabilitation on these symptoms in 187 post COVID-19 patients, measuring symptom changes and examining potential influencing clinical characteristics.
  • Results showed that 88.2% of patients experienced dyspnoea improvement while 80.6% found relief from both dyspnoea and fatigue, with significant positive changes on specific assessment scales indicating improvement in physical limitations.
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Background: Exertional dyspnoea in post-COVID syndrome is a debilitating manifestation, requiring appropriate comprehensive management. However, limited-resources healthcare systems might be unable to expand their healthcare-providing capacity and are expected to be overwhelmed by increasing healthcare demand. Furthermore, since post-COVID exertional dyspnoea is regarded to represent an umbrella term, encompassing several clinical conditions, stratification of patients with post-COVID exertional dyspnoea, depending on risk factors and underlying aetiologies might provide useful for healthcare optimization and potentially help relieve healthcare service from overload.

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Article Synopsis
  • The systematic review and meta-analysis examined how the COVID-19 pandemic influenced influenza vaccine uptake among healthcare workers (HCWs) from the 2020/21 season onwards.
  • Studies indicated a strong link between increased influenza vaccination rates and factors related to COVID-19, like willingness to get vaccinated against COVID-19 and fear of the virus, leading to an increase in vaccination rates of 17% to 38% compared to the previous season.
  • Despite the positive trend, vaccine hesitancy remains an issue among HCWs in Europe, suggesting the need for coordinated vaccine strategies across countries, with mandatory vaccination policies showing the most promise for improving coverage.
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Introduction: The introduction of anti-poliomyelitis vaccines has driven progress toward the global eradication of wild polioviruses, a millennium goal of the World Health Organization. With the vaccination campaigns carried out since 1964, in 2002 Italy was certified polio-free, considering that no cases had been recorded since 1983. Nevertheless, it is crucial to guarantee high level of immunization coverage also in low-endemicity countries, considering that sporadic polio cases can be recorded.

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Objective: Splenectomised/asplenic patients have a 10-50 fold higher risk than the general population of developing overwhelming postsplenectomy infection. To control this risk, these patients have to receive a specific immunisation schedule, before or in the 2 weeks after the surgical intervention. The study aims to estimate vaccine coverage (VC) for recommended vaccines among splenectomised patients in Apulia (South Italy), and to define the determinants of vaccination uptake in this population.

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Article Synopsis
  • Splenectomy or asplenia increases the risk of immune compromise, making specific vaccinations, including the COVID-19 vaccine, essential for these patients.
  • In Italy, a study assessed the COVID-19 infection rates and vaccination status among 1,219 splenectomized individuals, revealing a 15% infection rate and concerningly low booster vaccination coverage (15.4% for the first booster and only 0.6% for the second).
  • To improve health outcomes, a multifactorial strategy is necessary to enhance vaccine uptake and educate both patients and healthcare workers about the risks associated with asplenia.
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At the beginning of each flu season, the Italian Ministry of Health defines the categories at higher risk of influenza complications, for which vaccination is actively and freely offered. The vaccine coverage (VC) of the influenza vaccine in subjects from 6 months to 64 years of age suffering from diseases that increase the risk of complications from influenza during the 2020-2021 season was evaluated. Our study wants to evaluate the VCs of the influenza vaccine in these subjects during the 2020/2021 season in Apulia.

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In May 2021, the Italian government extended the COVID-19 vaccination campaign to 12- to 18-year-old subjects and, starting December 2021, vaccines were also offered to children between 5 and 11 years-old. Despite these efforts, suboptimal vaccination coverages are reported. The purpose of this review is to estimate the proportion of parents/caregivers of children and adolescents expressing COVID-19 vaccine hesitancy in Italy.

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The concept of a "green hospital" is used in reference to a hospital that includes the environment as part of its quality services and one that pays attention to the sustainable design of buildings. Waste disposal represents a potential risk for the environment; therefore, waste collection from healthcare centers is a key environmental issue. Our study aims to systematically review the experiences acquired in worldwide nosocomial settings related to the management of healthcare waste.

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Introduction: One of the main determinants of non-adherence to influenza vaccination among healthcare workers (HCWs) is lack of time to attend vaccination services. Therefore, international Public Health Organizations have recommended on-site influenza vaccination in order to improve vaccination coverage among HCWs.

Areas Covered: We conducted a systematic narrative review of the relevant literature to evaluate the effectiveness of this strategy among HCWs in Italy.

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We describe a girl with clinical signs of cardiofaciocutaneous syndrome who simultaneously presents a mutation in the BRAF gene and a 9p24.3 microduplication. This genetic condition has never been described in the literature and could explain the phenotypic variability observed in the girl.

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