Housing and Health: Here We Go Again.

Housing is one of the major determinants of human health and the current COVID-19 pandemic has highlighted its relevance. The authors summarize the main issues, including dimensional standards, indoor air quality, safety, accessibility, neighborhoods, and area characteristics. The authors propose an operating scheme in order to implement actions to improve residential wellbeing on a local, national, and international level.

Primary Subcutaneous Umbilical Endometriosis: Case Report and Review of the Literature.

We report the case of a patient diagnosed with primary umbilical endometriosis intending to discuss the diagnostic and therapeutic management of this rare disease. A 45-year-old woman suffering from a painful swelling located in the umbilical region, with intact and normal cutaneous aspect, came to our attention. Ultrasonography of the umbilical region showed a nodule with a nonhomogeneous echotexture pattern.

Design and hygiene issues in sports facilities. A pilot study which investigates fitness centres by using a multidisciplinary tool.

Introduction: Awareness of the benefits of the physical activity on health by the general public has increased the number of people who is practicing it in the recent years. The gyms are the primary place - as the main indoor environment - for practicing physical activity.

Methods: A multidisciplinary tool was used primarily to investigate and analyse the general aspects of fitness centres then an assessment tool was created to evaluate a specific aspect such as the location, dimension, maintenance, etc.

Healthy Design and Urban Planning Strategies, Actions, and Policy to Achieve Salutogenic Cities.

Starting from a previous experience carried out by the working group "Building and Environmental Hygiene" of the Italian Society of Hygiene and Preventive Medicine (SItI), the aim of the present work is to define new strategic goals for achieving a "Healthy and Salutogenic City", which will be useful to designers, local governments and public bodies, policy makers, and all professionals working at local health agencies. Ten key points have been formulated: 1. climate change and management of adverse weather events; 2.

Why do people renounce dental health care? An analysis of data from the Italian population.

Objectives: Oral diseases affect a large number of people in the world and have a great influence on their quality of life. Nevertheless, oral health promotion and prevention initiatives are lacking. The aim of this study was to identify characteristics of individuals in Italy who renounce dental care in order to better support institutional prevention campaigns.

Primary acquired Grynfeltt Hernia: two new cases and literature review.

Aim: We report two cases of the very rare Primary Acquired Grynfeltt Hernia. The related abdominal wall defects were repaired, by open surgery, placing a partially absorbable plug and mesh. The observation and management of these two new cases prompted us to review the literature with the purpose of suggesting the most appropriate surgical approach and technique.

[Hygienic and sanitary aspects in urban planning: contradiction in national and local urban legislation regarding public health].

Nowadays, the majority of world population lives in urban areas and this portion is going to increase in the coming decades. The health impact of urban areas is well established and described in scientific literature. Italian health and hygiene legislation dealing with urban health is fragmented and not coordinated with the regulation about environment and city planning.

Is epicardial fat depot associated with atrial fibrillation? A systematic review and meta-analysis.

Aims: Atrial fibrillation (AF) is the leading rhythm disorder in western countries. A direct relationship between left atrium (LA) enlargement and electromechanical remodelling has been established. A causative link between epicardial fat (EF), visceral adipose tissue deposited around the heart, and AF has been hypothesized.

[Italian Society of Hygiene (SItI) recommendations for a healthy, safe and sustainable housing].

As part of the strategies to promote health in urban areas, the Italian Society of Hygiene (SItI) has updated its recommendations for healthy, safe and sustainable housing. They were issued by an ad hoc SitI working group on the basis of the best available evidence retrieved from a review of the scientific and legal literature on the topic and in line with World Health Organisation, European Union, and other international bodies statements. SItI document includes recommendations for environmental comfort, mental and social wellbeing, environmental protection as well as the safety of people who dwell houses.

How walkable is the city? Application of the Walking Suitability Index of the Territory (T-WSI) to the city of Rieti (Lazio Region, Central Italy).

A method to evaluate the walkability of an urban neighbourhood based on direct observation has been applied. This tool, called the Walking Suitability Index of the Territory (T-WSI), measures the walkability of every street of an environmental area. It includes 12 weighted indicators, each divided into 4 categories: practicability, safety, urbanity, and pleasantness.

Self-reported medication adherence and beliefs among elderly in multi-treatment: a cross-sectional study.

Aim: To evaluate the association between adherence to treatment and beliefs about medications in multi-treated elderly patients.

Background: A large body of evidence documented the importance of adherence to therapy in predicting clinical outcomes, and the association between adherence and medication beliefs in patients of various ages and with different health conditions. However, so far only a few studies have specifically investigated the associations between medication beliefs and adherence among elderly in polypharmacy.

[[General Practitioners and Public Health in Italy: Medical Office of Doctor Sgandurra from Farindola (Abruzzi, Central Italy)].].

Until the so-called sanitary reform (1978), which introduced a Beveridge' system, in Italy existed a peculiar kind of general practitioner, paid by municipalities, who ensured healthcare to those not covered by social insurance. In small towns those physicians also carried out the finction of Health Officers, performing Public Health duties. We had the possibility to study the very large archive of one of them, doctor Sgandurrafrom Farindola, a village in the Abruzzi Region (central Italy): in the paper we briefly analyse six public health acts that he issued in the first half of the 1950s.

Green areas and public health: improving wellbeing and physical activity in the urban context.

Introduction: The green areas play an important role in improving the environmental quality and climate of the city. However, despite the undoubted importance of these areas, the benefits to public health are still under investigation.

Results: The Authors perform a review of studies on the relationship between health and green areas and describe the main areas for which evidence on this relationship is currently available.

Electronic Cigarettes Efficacy and Safety at 12 Months: Cohort Study.

Objective: To evaluate the safety and efficacy as a tool of smoking cessation of electronic cigarettes (e-cigarettes), directly comparing users of e-cigarettes only, smokers of tobacco cigarettes only, and smokers of both.

Design: Prospective cohort study. Final results are expected in 2019, but given the urgency of data to support policies on electronic smoking, we report the results of the 12-month follow-up.

Stepwise ablation approach versus pulmonary vein isolation in patients with paroxysmal atrial fibrillation: Randomized controlled trial.

Background: Pulmonary vein isolation (PVI) is a central procedure for the treatment of paroxysmal atrial fibrillation (PAF). However, in patients with PAF and structural atrial disease, PVI may fail and cause progressive atrial remodeling, often leading to persistent/permanent atrial fibrillation.

Objective: We performed a prospective, single-blind, 2-center randomized controlled trial to compare the efficacy of PVI alone with that of PVI plus stepwise ablation in achieving sinus rhythm and nonatrial arrhythmia inducibility in patients with PAF refractory to antiarrhythmic therapy.

Uneven Accuracy of Home Blood Pressure Measurement: A Multicentric Survey.

Home blood pressure monitoring (HBPM) is increasingly commonly performed, but the concordance between patient HBPM measurement technique and prevailing recommendations has not been well-assessed according to the literature. The authors performed a multicentric survey to evaluate the degree of patients' adherence to current recommendations on HBPM, and investigate potential predictors of a higher-quality self-measurement. A structured questionnaire was administered to 725 Italian outpatient hypertensive patients (mean age, 52.

Head-to-head randomized trials are mostly industry sponsored and almost always favor the industry sponsor.

Objectives: To map the current status of head-to-head comparative randomized evidence and to assess whether funding may impact on trial design and results.

Study Design And Setting: From a 50% random sample of the randomized controlled trials (RCTs) published in journals indexed in PubMed during 2011, we selected the trials with ≥ 100 participants, evaluating the efficacy and safety of drugs, biologics, and medical devices through a head-to-head comparison.

Results: We analyzed 319 trials.

Prevalence and predictors of low bone mineral density and fragility fractures among HIV-infected patients at one Italian center after universal DXA screening: sensitivity and specificity of current guidelines on bone mineral density management.

Low bone mineral density (BMD) is frequent in HIV infection regardless of the use of antiretroviral therapy (ART). Uncertainties remain, however, as to when in HIV infection BMD screening should be performed. We designed a prospective study to estimate the efficacy of universal BMD screening by dual-energy X-ray absorptiometry (DXA).

[Housing quality and its health impact in Italy: current knowledge, methodological issues, new evaluation models].

A literature search was performed to evaluate the current state of knowledge regarding housing quality in Italy and the adequacy of methods used to assess it. The simple adoption of current criteria required by national and local legislation for the evaluation of dwellings seems to be inadequate, because some crucial parameters, including radon testing and evaluation of accessibility are not considered. Also, current assessment methods have been used exclusively at the local level, and the health impact of housing quality in Italy has never been estimated.

Safety of transvenous lead extraction according to centre volume: a systematic review and meta-analysis.

Background: Transvenous lead extraction (TLE) is a complex invasive procedure and the experience of the operator and the team is a major determinant of procedural outcomes.

Aim: Because of very limited data available on minimum procedural volumes to enable training and ongoing competency for TLEs, we performed a meta-analysis aimed at assessing the outcomes of TLE in the centres with low, medium, and high volume of procedures.

Methods: Of the 280 papers initially retrieved until February 2013, 66 observational studies met inclusion criteria and were included in at least one stratified meta-analysis: 17 were prospective studies; 47 had a retrospective design; and 2 were defined 'experience studies'.