Online information about mammography screening in Italy from 2014 to 2021.

Background: Many studies have reported that the information women receive about the risk-to-benefit ratio of breast cancer screening is still scarce and biased toward benefit. In a study we conducted in 2014, we analysed online documents about breast cancer screening that were addressed to the general female public. In the present study, we used the same methodology to verify if the information provided to women was improved.

Evaluation of Patients' Perception of Safety in an Italian Hospital Using the PMOS-30 Questionnaire.

Background: In our study, an Italian version of the PMOS-30 questionnaire was used to evaluate its feasibility and to improve health care quality in an Italian hospital.

Methods: A cross-sectional study was conducted with 435 inpatients at a hospital in the Campania Region of Southern Italy using the PMOS-30 questionnaire and two other questions to assess patient feedback about the overall perception of safety.

Results: The item "I was always treated with dignity and respect" showed the greatest percentage of agreement (agree/strongly agree = 89.

Patient Satisfaction and Food Waste in Obstetrics And Gynaecology Wards.

Introduction: Patient satisfaction is an indicator of healthcare quality, and expectation is an important determinant. A component of patient satisfaction is the quality of foodservice. An indicator of this quality is the food wasted by hospitalised patients.

Measuring Health Literacy in Southern Italy: A cross-sectional study.

Introduction: Health Literacy (HL) is an important determinant of individual health. Limited HL is an increasing problem affecting the general population. This study aims to assess the level of HL in patients attending outpatient medical facilities in general medicine located in Naples and Caserta and investigate the association of HL with health behaviours and health status.

Patient Evaluation of Food Waste in Three Hospitals in Southern Italy.

In recent years, food waste has received great attention and is now considered the cause of many negative effects, including health, economic, social and environmental issues. A cross-sectional study was conducted among a sample of 762 inpatients at three hospitals of Campania region in Italy. The purpose of this study was to evaluate the amount of food waste occurring in these hospitals using a structured questionnaire and asking inpatients about the average percentage of food they had disposed of in the previous three days.

Breastfeeding with and without the WHO/UNICEF baby-friendly hospital initiative: A cross-sectional survey.

The World Health Organization and United Nations Children's Fund's Baby-Friendly Hospital Initiative is aimed at the global promotion, protection and support of breastfeeding. In this study, we compared breastfeeding-related information received, knowledge and behaviours among postpartum women in Baby-Friendly Hospital Initiative accredited and non-accredited hospitals. We selected 10 hospitals: 9 non-accredited hospitals in the Campania region in southern Italy and one accredited hospital in the Piedmont region in northern Italy.

The Discrimination Against, Health Status and Wellness of People Who Use Drugs in Italian Services: A Survey.

The aims of this study are to: describe the sociodemographic characteristics and typology of drug addiction among people who use drugs that attend the Servizio per le Dipendenze (SerD), and evaluate the competence and ability of these rehabilitation services to improve their health status and wellness. A cross-sectional study was conducted from January to July 2017. Patients attending two selected SerD facilities in the city of Naples, Italy were interviewed with a questionnaire gathering information on sociodemographic data, characteristics of drug addiction, characteristics of enrolment at the SerD, self-reported health status and wellness, and reports of the discrimination suffered.

Too much medicine? Scientific and ethical issues from a comparison between two conflicting paradigms.

Background: The role of medicine in society appears to be focused on two views, which may be summarized as follows: "Doing more means doing better" (paradigm A) and "Doing more does not mean doing better" (paradigm B).

Main Body: I compared paradigms A and B both in terms of a single clinical condition and in the general context of a medical system. For a single clinical condition, I analyzed breast cancer screening.

Does written informed consent adequately inform surgical patients? A cross sectional study.

Background: Informed consent (IC) is an essential step in helping patients be aware of consequences of their treatment decisions. With surgery, it is vitally important for patients to understand the risks and benefits of the procedure and decide accordingly. We explored whether a written IC form was provided to patients; whether they read and signed it; whether they communicated orally with the physician; whether these communications influenced patient decisions.

Online information about risks and benefits of screening mammography in 10 European countries: An observational Web sites analysis.

Most publications about breast cancer do not provide accurate and comprehensive information, giving few or no data about risk/benefit ratios. We conducted a comparative study among 10 European countries about health information on breast cancer screening, assessing the first 10 Web sites addressing the general public that appeared following an Internet search.With the help of medical residents involved in the EuroNet MRPH Association, we analyzed the first 30 results of an Internet search in 10 European countries to determine the first 10 sites that offered screening mammography.

A standardized antenatal class reduces the rate of cesarean section in southern Italy: A retrospective cohort study.

Italy, along with Poland and Hungary, has the highest cesarean section rate (35.7%) in Europe. Among Italian regions, Campania has the highest rate of cesarean section (58.

Lying to patients with dementia: Attitudes versus behaviours in nurses.

Background: Using lies, in dementia care, reveals a common practice far beyond the diagnosis and prognosis, extending to the entire care process.

Objectives: In this article, we report results about the attitude and the behaviour of nurses towards the use of lies to patients with dementia.

Research Design: An epidemiological cross-sectional study was conducted between September 2016 and February 2017 in 12 elderly residential facilities and in the geriatric, psychiatric and neurological wards of six specialised hospitals of Italy's Campania Region.

Pollen concentrations and prevalence of asthma and allergic rhinitis in Italy: Evidence from the GEIRD study.

Background: Pollen exposure has acute adverse effects on sensitized individuals. Information on the prevalence of respiratory diseases in areas with different pollen concentrations is scanty.

Aim: We performed an ecologic analysis to assess whether the prevalence of allergic rhinitis and asthma in young adults varied across areas with different pollen concentrations in Italy.

Scarce information about breast cancer screening: An Italian websites analysis.

Although the public should have complete and correct information about risk/benefit ratio of breast cancer screening, public knowledge appears generally scarce and oriented to overestimate benefits, with little awareness of possible disadvantages of the screening.We evaluated any document specifically addressed to the general female public and posted on internet by Italian public health services. The presence of false positive, false positive after biopsy, false negative, interval cancer, overdiagnosis, lead-time bias, exposure to irradiation, and mortality reduction was analyzed.

Can antenatal classes reduce the rate of cesarean section in southern Italy?

Background: Among European Countries, Italy has the highest rate of cesarean section (36.8%), and in the Campania region this rate reaches 60.0%.

Limitations of Western Medicine and Models of Integration Between Medical Systems.

This article analyzes two major limitations of Western medicine: maturity and incompleteness. From this viewpoint, Western medicine is considered an incomplete system for the explanation of living matter. Therefore, through appropriate integration with other medical systems, in particular nonconventional approaches, its knowledge base and interpretations may be widened.

Socioeconomic inequalities in smoking habits are still increasing in Italy.

Background: Socioeconomic inequalities in smoking habits have stabilized in many Western countries. This study aimed at evaluating whether socioeconomic disparities in smoking habits are still enlarging in Italy and at comparing the impact of education and occupation.

Methods: In the frame of the GEIRD study (Gene Environment Interactions in Respiratory Diseases) 10,494 subjects, randomly selected from the general population aged 20-44 years in seven Italian centres, answered a screening questionnaire between 2007 and 2010 (response percentage = 57.

Complexity and indeterminism of evidence-based public health: an analytical framework.

Improving the evidence in public health is an important goal for the health promotion community. With better evidence, health professionals can make better decisions to achieve effectiveness in their interventions. The relative failure of such evidence in public health is well-known, and it is due to several factors.

The informed consent in Southern Italy does not adequately inform parents about infant vaccination.

Background: Vaccination centres in the Campania Region, southern Italy, vaccinate children with a hexavalent vaccine that contains the mandatory vaccines diphtheria, tetanus, poliomyelitis, and viral Hepatitis B. This vaccine also includes two non-mandatory vaccines, pertussis and Haemophilus influenzae type B. Information about these optional vaccines should be communicated to the parents, and informed consent should be obtained from parents before vaccination.

[A survey on publicly funded antenatal courses for pregnant women in the Campania region (Italy)].

An annual report is published in Campania (Italy) presenting useful data on the characteristics of births in the region, but this does not include information on all aspects of prenatal care. For example, data on availability and utilization of prenatal care services such as antenatal classes is lacking. A questionnaire survey was therefore undertaken by interviewing managers of health districts and local obstetric hospitals that offered antenatal courses.

Diverging trends of chronic bronchitis and smoking habits between 1998 and 2010.

Background: No study has been carried out on the time trend in the prevalence of chronic bronchitis (CB) in recent years, despite its clinical and epidemiological relevance. We evaluated the trend in CB prevalence during the past decade among young Italian adults.

Methods: A screening questionnaire was mailed to general population samples of 20-44 year-old subjects in two cross-sectional surveys: the Italian Study on Asthma in Young Adults (ISAYA) (1998/2000; n = 18,873, 9 centres) and the screening stage of the Gene Environment Interactions in Respiratory Diseases (GEIRD) study (2007/2010; n = 10,494, 7 centres).

[Analysis of services and standards commitment charters in hospitals in the Campania Region (Italy)].

The healthcare services and standards commitment charter is a document produced by local health authorities/hospitals in Italy and aimed at citizens/healthcare users. With this document hospitals aim to openly express their philosophy and state which services they will commit to offer to users. In this study, services commitment charters of eight hospitals in the Campania Region were evaluated to assess contents and the ease of obtaining a copy of the document.

[Data quality of a breast cancer database in Naples, Italy. Do the necessary conditions exist for implementing a disease registry?].

Data quality is one of the fundamental aspects of health information systems and is influenced both by the type and accuracy of the data sources used. The aim of this study was to assess the quality of data in a breast cancer database held by a local health authority in Naples (Italy) and to evaluate the possibility of implementing a disease registry. The database collects information from different sources and was evaluated in terms of completeness, accuracy and comparability.