M. Illario, V. D. Luca, L. Leonardini, M. Kucharczyk, A. S. Parent, Carina Dantas, A. Jegundo, W. V. Staalduinen, J. Ganzarain, L. Comisso, C. Bramezza, A. Carriazo, A. Maritati, G. Tramontano, P. Capozzi, E. Goossens, C. Cotrone, A. Costantini, M. Ciliberti, M. Femiano, A. D'Amore, M. Forlenza, R. Ruggiero, A. Bianchi, L. Augustin, V. Marrazzo, T. D. Ioio, S. Capaldo, A. Crudeli, G. D. Cesare, F. Cuccaro, Giancarlo Bracale, Donatella Tramontano, Alfredo Postiglione, C. Matera, Enrico Coscioni, Jean Bousquet
In February 2017, the “Programma Mattone Internazionale Salute” (ProMis), that is the Italian Program for Internationalization of Regional Health Systems of the Ministry of Health (MoH), presented the first version of its Position Paper on Health Tourism, which embeds a first shared approach to the recommendations expressed by the European Committee of Regions (CoR) on “Age-Friendly” tourism. The CoR stresses the importance of local and regional authorities in the coordination of multi-sectoral policies such as healthcare, social assistance, transport, urban planning and rural development in relation to the promotion of mobility, security, accessibility of services, including health care and social services. “Age-friendly” tourism is an example of an innovative tourist offer that strives to meet the health needs of the entire “traveling” population, with an integrated and cross-sector approach that involves various organizations operating in sectors such as healthcare, accessibility and transport. The aim of the workshop was to explore the interest of the stakeholders to participate in a systemic action in the field of “health” tourism, and to identify priority implementation areas that offer opportunities to take advantage of validated, innovative experiences that strengthen the accessibility to health and social services in regional, national and international contexts. This effort provides the opportunity to take advantage of aligning the European Structural and Investment Funds (ESIF) to the development of tourism, coherently with the needs and resources of local and regional health authorities.
{"title":"Health tourism: an opportunity for sustainable development","authors":"M. Illario, V. D. Luca, L. Leonardini, M. Kucharczyk, A. S. Parent, Carina Dantas, A. Jegundo, W. V. Staalduinen, J. Ganzarain, L. Comisso, C. Bramezza, A. Carriazo, A. Maritati, G. Tramontano, P. Capozzi, E. Goossens, C. Cotrone, A. Costantini, M. Ciliberti, M. Femiano, A. D'Amore, M. Forlenza, R. Ruggiero, A. Bianchi, L. Augustin, V. Marrazzo, T. D. Ioio, S. Capaldo, A. Crudeli, G. D. Cesare, F. Cuccaro, Giancarlo Bracale, Donatella Tramontano, Alfredo Postiglione, C. Matera, Enrico Coscioni, Jean Bousquet","doi":"10.14273/UNISA-2716","DOIUrl":"https://doi.org/10.14273/UNISA-2716","url":null,"abstract":"In February 2017, the “Programma Mattone Internazionale Salute” (ProMis), that is the Italian Program for Internationalization of Regional Health Systems of the Ministry of Health (MoH), presented the first version of its Position Paper on Health Tourism, which embeds a first shared approach to the recommendations expressed by the European Committee of Regions (CoR) on “Age-Friendly” tourism. The CoR stresses the importance of local and regional authorities in the coordination of multi-sectoral policies such as healthcare, social assistance, transport, urban planning and rural development in relation to the promotion of mobility, security, accessibility of services, including health care and social services. “Age-friendly” tourism is an example of an innovative tourist offer that strives to meet the health needs of the entire “traveling” population, with an integrated and cross-sector approach that involves various organizations operating in sectors such as healthcare, accessibility and transport. The aim of the workshop was to explore the interest of the stakeholders to participate in a systemic action in the field of “health” tourism, and to identify priority implementation areas that offer opportunities to take advantage of validated, innovative experiences that strengthen the accessibility to health and social services in regional, national and international contexts. This effort provides the opportunity to take advantage of aligning the European Structural and Investment Funds (ESIF) to the development of tourism, coherently with the needs and resources of local and regional health authorities.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"109 - 115"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48796035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. De Luca, G. Tramontano, C. Del Giudice, I. Grimaldi, R. Romano, I. Liguori, M. Carpinelli Mazzi, N. Di Carluccio, PA Riccio, P. Speranza, A. Iavarone, P. Abete, A. Postiglione, M. Cataldi, C. Vallone, F. Giallauria, A. Cittadini, M. Triggiani, S. Savastano, E. Menditto, L. Leonardini, A. Colao, M. Triassi, G. Iaccarino, A. Postiglione, E. Coscioni, M. Illario
The demographic projections on the European population predict that people aged over 60 will increase by about two million/year in the next decades. Since 2012, the Campania Reference Site of the European Innovation Partnership on Active and Healthy Ageing supports the innovation of the Regional Health System, to face up demographic changes and sustainability. Campania Reference Site provides the opportunity to connect loco-regional stakeholders in social and health care services (universities, healthcare providers, social services, local communities and municipalities), with international organizations, in order to adopt and scale up innovative solutions and approaches. This paper describes the building process of Campania Reference Site and the main results achieved, that have been allowing it to become a hub for open innovation in the field of active and healthy aging at regional, national and international level.
{"title":"Innovative Approaches to Active and Healthy Ageing: Campania Experience to Improve the Adoption of Innovative Good Practices","authors":"V. De Luca, G. Tramontano, C. Del Giudice, I. Grimaldi, R. Romano, I. Liguori, M. Carpinelli Mazzi, N. Di Carluccio, PA Riccio, P. Speranza, A. Iavarone, P. Abete, A. Postiglione, M. Cataldi, C. Vallone, F. Giallauria, A. Cittadini, M. Triggiani, S. Savastano, E. Menditto, L. Leonardini, A. Colao, M. Triassi, G. Iaccarino, A. Postiglione, E. Coscioni, M. Illario","doi":"10.14273/UNISA-2715","DOIUrl":"https://doi.org/10.14273/UNISA-2715","url":null,"abstract":"The demographic projections on the European population predict that people aged over 60 will increase by about two million/year in the next decades. Since 2012, the Campania Reference Site of the European Innovation Partnership on Active and Healthy Ageing supports the innovation of the Regional Health System, to face up demographic changes and sustainability. Campania Reference Site provides the opportunity to connect loco-regional stakeholders in social and health care services (universities, healthcare providers, social services, local communities and municipalities), with international organizations, in order to adopt and scale up innovative solutions and approaches. This paper describes the building process of Campania Reference Site and the main results achieved, that have been allowing it to become a hub for open innovation in the field of active and healthy aging at regional, national and international level.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"116 - 123"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45875018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V Zavagli, M Raccichini, G Ercolani, L Franchini, S Varani, R Pannuti
Family caregivers have an essential active role in cancer patients assistance at home. They play a key role in the management of patients and provide some caregiving activities once provided only by professional caregivers. Often they are not adequately trained or prepared, however a systematic assessment of their needs is rarely practiced. For these reasons, this preliminary investigation was designed to better identify the needs and changes in the lifestyles of family caregivers of home cancer palliative care. Participants have completed a battery of self-report questionnaires, including the Caregiving Tasks Consequences and Needs Questionnaire (CaTCoN), that measures caregivers' experiences (the extent of cancer caregiving tasks and consequences) and the caregivers' needs, mainly concerning the interaction with the health care professionals. The results confirmed that cancer caregiving is burdensome. Large proportions of caregivers experienced substantial caregiving workload as well as a range of negative consequences, e.g. lack of time for social relations. Furthermore, considerable proportions of caregivers experienced problems or had unmet needs regarding the interaction with health care professionals. Prominent problematic aspects included the provision of enough information to the caregivers and attention to the caregivers' well-being and feelings. The assessment of caregivers' needs is a critical step for determining appropriate support services, providing high-quality care, achieving caregiver satisfaction, and decreasing caregiver burden. Findings of this investigation will certainly contribute to develop and publish Guidelines and to provide programmes and on-going education where caregivers feel supported in their role.
{"title":"Care for Carers: an Investigation on Family Caregivers' Needs, Tasks, and Experiences.","authors":"V Zavagli, M Raccichini, G Ercolani, L Franchini, S Varani, R Pannuti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Family caregivers have an essential active role in cancer patients assistance at home. They play a key role in the management of patients and provide some caregiving activities once provided only by professional caregivers. Often they are not adequately trained or prepared, however a systematic assessment of their needs is rarely practiced. For these reasons, this preliminary investigation was designed to better identify the needs and changes in the lifestyles of family caregivers of home cancer palliative care. Participants have completed a battery of self-report questionnaires, including the Caregiving Tasks Consequences and Needs Questionnaire (CaTCoN), that measures caregivers' experiences (the extent of cancer caregiving tasks and consequences) and the caregivers' needs, mainly concerning the interaction with the health care professionals. The results confirmed that cancer caregiving is burdensome. Large proportions of caregivers experienced substantial caregiving workload as well as a range of negative consequences, e.g. lack of time for social relations. Furthermore, considerable proportions of caregivers experienced problems or had unmet needs regarding the interaction with health care professionals. Prominent problematic aspects included the provision of enough information to the caregivers and attention to the caregivers' well-being and feelings. The assessment of caregivers' needs is a critical step for determining appropriate support services, providing high-quality care, achieving caregiver satisfaction, and decreasing caregiver burden. Findings of this investigation will certainly contribute to develop and publish Guidelines and to provide programmes and on-going education where caregivers feel supported in their role.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 ","pages":"54-59"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Illario, V De Luca, L Leonardini, M Kucharczyk, A S Parent, C Dantas, A L Jegundo, W van Staalduinen, J Ganzarain, L Comisso, C Bramezza, A M Carriazo, A Maritati, G Tramontano, P Capozzi, E Goossens, C Cotrone, A Costantini, M Ciliberti, M Femiano, A d'Amore, M Forlenza, R Ruggiero, A Bianchi, L Augustin, V Marrazzo, T Dello Ioio, S Capaldo, A Crudeli, G De Cesare, F Cuccaro, G Bracale, D Tramontano, A Postiglione, C Matera, E Coscioni, J Bousquet
In February 2017, the "Programma Mattone Internazionale Salute" (ProMis), that is the Italian Program for Internationalization of Regional Health Systems of the Ministry of Health (MoH), presented the first version of its Position Paper on Health Tourism, which embeds a first shared approach to the recommendations expressed by the European Committee of Regions (CoR) on "Age-Friendly" tourism. The CoR stresses the importance of local and regional authorities in the coordination of multi-sectoral policies such as healthcare, social assistance, transport, urban planning and rural development in relation to the promotion of mobility, security, accessibility of services, including health care and social services. "Age-friendly" tourism is an example of an innovative tourist offer that strives to meet the health needs of the entire "traveling" population, with an integrated and cross-sector approach that involves various organizations operating in sectors such as healthcare, accessibility and transport. The aim of the workshop was to explore the interest of the stakeholders to participate in a systemic action in the field of "health" tourism, and to identify priority implementation areas that offer opportunities to take advantage of validated, innovative experiences that strengthen the accessibility to health and social services in regional, national and international contexts. This effort provides the opportunity to take advantage of aligning the European Structural and Investment Funds (ESIF) to the development of tourism, coherently with the needs and resources of local and regional health authorities.
{"title":"Health tourism: an opportunity for sustainable development.","authors":"M Illario, V De Luca, L Leonardini, M Kucharczyk, A S Parent, C Dantas, A L Jegundo, W van Staalduinen, J Ganzarain, L Comisso, C Bramezza, A M Carriazo, A Maritati, G Tramontano, P Capozzi, E Goossens, C Cotrone, A Costantini, M Ciliberti, M Femiano, A d'Amore, M Forlenza, R Ruggiero, A Bianchi, L Augustin, V Marrazzo, T Dello Ioio, S Capaldo, A Crudeli, G De Cesare, F Cuccaro, G Bracale, D Tramontano, A Postiglione, C Matera, E Coscioni, J Bousquet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In February 2017, the \"Programma Mattone Internazionale Salute\" (ProMis), that is the Italian Program for Internationalization of Regional Health Systems of the Ministry of Health (MoH), presented the first version of its Position Paper on Health Tourism, which embeds a first shared approach to the recommendations expressed by the European Committee of Regions (CoR) on \"Age-Friendly\" tourism. The CoR stresses the importance of local and regional authorities in the coordination of multi-sectoral policies such as healthcare, social assistance, transport, urban planning and rural development in relation to the promotion of mobility, security, accessibility of services, including health care and social services. \"Age-friendly\" tourism is an example of an innovative tourist offer that strives to meet the health needs of the entire \"traveling\" population, with an integrated and cross-sector approach that involves various organizations operating in sectors such as healthcare, accessibility and transport. The aim of the workshop was to explore the interest of the stakeholders to participate in a systemic action in the field of \"health\" tourism, and to identify priority implementation areas that offer opportunities to take advantage of validated, innovative experiences that strengthen the accessibility to health and social services in regional, national and international contexts. This effort provides the opportunity to take advantage of aligning the European Structural and Investment Funds (ESIF) to the development of tourism, coherently with the needs and resources of local and regional health authorities.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 ","pages":"109-115"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christos F. Kleisiaris, Eleni Maria Kaffatou, Ionna Papathanasiou, E. Androulakis, Simeon Panagiotakis, Serena Alvino, Chariklia Tziraki
It is commonly accepted that frailty and dementia-related cognitive decline are strongly associated. However, degree of this association is often debated, especially in homebound elders with disabilities. Therefore, this study aimed to investigate the association of frailty on cognitive function in older adults receiving homecare. A screening for frailty and cognitive function was conducted at 12 primary healthcare settings of the nationally funded program “Help at Home” in Heraklion Crete, Greece. Cognitive function and frailty were assessed using the Montreal Cognitive Assessment questionnaire and the SHARE-f index, respectively. Barthel-Activities of Daily Living and the Charlson Comorbidity Index were also used for the identification of disability and comorbidity, respectively. The mean age of the 192 participants (66% female) was 78.04 ± 8.01 years old. In depth-analysis using multiple linear regression, revealed that frailty was not significantly associated with cognitive decline (frail vs. non-frail (B′=−2.39, p=0.246) even after adjusting for depression and multi-comorbidity. Importantly, as protective factors for cognitive decline progression and thus dementia development, was scientifically correlated with annual individual income >4500 (B′=2.31, p=0.005) -poverty threshold-compared to those with <4500 and, higher education level as compared to Uneducated (B′=2.94, p=0.019). However, depression was associated with cognitive decline regardless of socioeconomic variables. In conclusion, our results suggest that health professionals caring for frail people with cognitive impairment, must focus on early recognition and management of depression.
人们普遍认为，虚弱和痴呆症相关的认知能力下降密切相关。然而，这种关联的程度经常存在争议，特别是在残疾的居家老年人中。因此，本研究旨在探讨脆弱与接受家庭护理的老年人认知功能的关系。在希腊克里特岛伊拉克利翁国家资助的"在家帮助"方案的12个初级保健机构进行了虚弱和认知功能筛查。分别使用蒙特利尔认知评估问卷和SHARE-f指数评估认知功能和脆弱性。Barthel-Activities of Daily Living和Charlson共病指数也分别用于残疾和共病的鉴定。192名参与者的平均年龄(66%为女性)为78.04±8.01岁。在使用多元线性回归的深度分析中，我们发现即使在调整了抑郁和多重合并症之后，虚弱与认知能力下降(虚弱与非虚弱(B′= - 2.39,p=0.246)也没有显著相关。重要的是，作为认知能力下降进展和痴呆症发展的保护因素，与个人年收入(B′=2.31,p=0.005)、贫困门槛(B′=2.31,p=0.005)、高等教育程度(B′=2.94,p=0.019)相关。然而，无论社会经济变量如何，抑郁症都与认知能力下降有关。总之，我们的研究结果表明，卫生专业人员照顾体弱多病的认知障碍患者，必须关注抑郁症的早期识别和管理。
{"title":"Assessing the Impact of Frailty on Cognitive Function in Older Adults Receiving Home Care","authors":"Christos F. Kleisiaris, Eleni Maria Kaffatou, Ionna Papathanasiou, E. Androulakis, Simeon Panagiotakis, Serena Alvino, Chariklia Tziraki","doi":"10.14273/UNISA-2727","DOIUrl":"https://doi.org/10.14273/UNISA-2727","url":null,"abstract":"It is commonly accepted that frailty and dementia-related cognitive decline are strongly associated. However, degree of this association is often debated, especially in homebound elders with disabilities. Therefore, this study aimed to investigate the association of frailty on cognitive function in older adults receiving homecare. A screening for frailty and cognitive function was conducted at 12 primary healthcare settings of the nationally funded program “Help at Home” in Heraklion Crete, Greece. Cognitive function and frailty were assessed using the Montreal Cognitive Assessment questionnaire and the SHARE-f index, respectively. Barthel-Activities of Daily Living and the Charlson Comorbidity Index were also used for the identification of disability and comorbidity, respectively. The mean age of the 192 participants (66% female) was 78.04 ± 8.01 years old. In depth-analysis using multiple linear regression, revealed that frailty was not significantly associated with cognitive decline (frail vs. non-frail (B′=−2.39, p=0.246) even after adjusting for depression and multi-comorbidity. Importantly, as protective factors for cognitive decline progression and thus dementia development, was scientifically correlated with annual individual income >4500 (B′=2.31, p=0.005) -poverty threshold-compared to those with <4500 and, higher education level as compared to Uneducated (B′=2.94, p=0.019). However, depression was associated with cognitive decline regardless of socioeconomic variables. In conclusion, our results suggest that health professionals caring for frail people with cognitive impairment, must focus on early recognition and management of depression.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"27 - 35"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43431301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Román-Villarán, Francisco De Paula Pérez-Leon, G. Escobar-Rodríguez, C. Parra-Calderón
Nowadays diseases tend to chronicle, mainly due to the increase in life expectancy and this leads to a state of polypharmacy. More than 1.5% of Spain’s GDP is spent on pharmaceuticals and healthcare products. Complex chronic patients (pluripathological and polymedicated) account for most of the expenditure. The “Action Group A1” of the European Innovation Partnership develops in the “Active and Healthy Ageing” programme actions to improve the quality of life and health outcomes of these patients. On the other hand, the PITeS TIiSS project develops decision support tools to improve this scenario. An ontology has been developed as a tool on adherence. The domain of this ontology is mainly focused on medication adherence and measurement methods. This ontology gathers the necessary knowledge about the domain allowing the use of the ontology as part for is possible.
{"title":"EIP on AHA Ontology for adherence: Knowledge representation advanced tools","authors":"E. Román-Villarán, Francisco De Paula Pérez-Leon, G. Escobar-Rodríguez, C. Parra-Calderón","doi":"10.14273/UNISA-2724","DOIUrl":"https://doi.org/10.14273/UNISA-2724","url":null,"abstract":"Nowadays diseases tend to chronicle, mainly due to the increase in life expectancy and this leads to a state of polypharmacy. More than 1.5% of Spain’s GDP is spent on pharmaceuticals and healthcare products. Complex chronic patients (pluripathological and polymedicated) account for most of the expenditure. The “Action Group A1” of the European Innovation Partnership develops in the “Active and Healthy Ageing” programme actions to improve the quality of life and health outcomes of these patients. On the other hand, the PITeS TIiSS project develops decision support tools to improve this scenario. An ontology has been developed as a tool on adherence. The domain of this ontology is mainly focused on medication adherence and measurement methods. This ontology gathers the necessary knowledge about the domain allowing the use of the ontology as part for is possible.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"49 - 53"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48558068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G E Furtado, R Letieri, A Caldo, M Patricio, M Loureiro, E Hogervorst, J P Ferreira, A M Teixeira
The purpose of this study was to identify the independent components of physical frailty that most influence disability indicators in institutionalized older women. A cross-sectional study with 319 participants (81.96±7.89 years old) was performed. Disability was assessed through dynamic and static balance tests, activities of daily life and falls risk screen. Fried physical frailty protocol was used to access physical frailty. The frail subgroup displayed the weakest results for all disability indicators (p < 0.05). Regression analysis showed that in the two models tested, low physical activity levels and slowness were the physical frailty independent components that better associated with the disability indicators. More studies with larger samples will help to better understand the independent relationship of each physical frailty component with disability outcomes and assist to design a co-adjuvant treatment to reverse physical frailty.
{"title":"The Role of Physical Frailty Independent Components on Increased Disabilities in Institutionalized Older Women.","authors":"G E Furtado, R Letieri, A Caldo, M Patricio, M Loureiro, E Hogervorst, J P Ferreira, A M Teixeira","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to identify the independent components of physical frailty that most influence disability indicators in institutionalized older women. A cross-sectional study with 319 participants (81.96±7.89 years old) was performed. Disability was assessed through dynamic and static balance tests, activities of daily life and falls risk screen. Fried physical frailty protocol was used to access physical frailty. The frail subgroup displayed the weakest results for all disability indicators (p < 0.05). Regression analysis showed that in the two models tested, low physical activity levels and slowness were the physical frailty independent components that better associated with the disability indicators. More studies with larger samples will help to better understand the independent relationship of each physical frailty component with disability outcomes and assist to design a co-adjuvant treatment to reverse physical frailty.</p>","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 ","pages":"17-26"},"PeriodicalIF":1.1,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Patella, G. Florio, D. Magliacane, A. Giuliano, L. F. Russo, V. D'Amato, V. Luca, G. Iaccarino, M. Illario, J. Bousquet
In recent years, climate change has been influenced by air pollution, and this destructive combination has justifiably sounded an alarm for nations and many institutional bodies worldwide. Official reports state that the emission of greenhouse gases produced by human activity are growing, and consequently also the average temperature. The World Health Organization (WHO) believes that health effects expected in the future due to climate change will be dramatic, and has invited international groups to investigate potential remedies. A task force has been established by the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), with the aim to actively work on correlation between pollution and climate change. The Task Force provided prevention tools to suggest city leaders how to improve the health conditions of allergic people in public urban parks. The “Allergy Safe Tree Decalogue” suggests the preparation and maintenance of public low allergy-impact greenery. Through the Twinning ARIA project, the Division for the Promotion and Enhancement of Health Innovation Programs of Campania Region (Italy), sought to promote the implementation of the project in the regional Health System. The main objective will be to investigate the current use and usefulness of mobile phone Apps in the management of allergic respiratory disease, through Mobile Airways Sentinel networK (MASK), the Phase 3 of the ARIA initiative, based on the freely available MASK App (the Allergy Diary, Android and iOS platforms). The effects of these prevention activities will be registered and compared with monitoring efforts thanks to the Aerobiology Units, located throughout the Campania area. A joint effort between researchers and public administrations for the implementation of prevention plans coherently with the two models proposed in a specific area, i.e. the Decalogue for public administrations and the MASK Allergy Diary app for individual patients suffering from allergy, will be implemented as a pilot.
{"title":"Public Prevention Plans to Manage Climate Change and Respiratory Allergic Diseases. Innovative Models Used in Campania Region (Italy): The Twinning Aria Implementation and the Allergy Safe Tree Decalogue","authors":"V. Patella, G. Florio, D. Magliacane, A. Giuliano, L. F. Russo, V. D'Amato, V. Luca, G. Iaccarino, M. Illario, J. Bousquet","doi":"10.14273/UNISA-2718","DOIUrl":"https://doi.org/10.14273/UNISA-2718","url":null,"abstract":"In recent years, climate change has been influenced by air pollution, and this destructive combination has justifiably sounded an alarm for nations and many institutional bodies worldwide. Official reports state that the emission of greenhouse gases produced by human activity are growing, and consequently also the average temperature. The World Health Organization (WHO) believes that health effects expected in the future due to climate change will be dramatic, and has invited international groups to investigate potential remedies. A task force has been established by the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC), with the aim to actively work on correlation between pollution and climate change. The Task Force provided prevention tools to suggest city leaders how to improve the health conditions of allergic people in public urban parks. The “Allergy Safe Tree Decalogue” suggests the preparation and maintenance of public low allergy-impact greenery. Through the Twinning ARIA project, the Division for the Promotion and Enhancement of Health Innovation Programs of Campania Region (Italy), sought to promote the implementation of the project in the regional Health System. The main objective will be to investigate the current use and usefulness of mobile phone Apps in the management of allergic respiratory disease, through Mobile Airways Sentinel networK (MASK), the Phase 3 of the ARIA initiative, based on the freely available MASK App (the Allergy Diary, Android and iOS platforms). The effects of these prevention activities will be registered and compared with monitoring efforts thanks to the Aerobiology Units, located throughout the Campania area. A joint effort between researchers and public administrations for the implementation of prevention plans coherently with the two models proposed in a specific area, i.e. the Decalogue for public administrations and the MASK Allergy Diary app for individual patients suffering from allergy, will be implemented as a pilot.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"95 - 102"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46111544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Illario, Enrico Coscioni, V. D. Luca, Mauro Cataldi, Alfredo Postiglione, G. Iaccarino
This special issue is nested in the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), focusing on lifecourse health promotion and prevention of age-related frailty and disease. The ambition is to share knowledge underpinning the transfer of innovations among stakeholders, and facilitate adoption by Regional Health Systems, in different EU contexts. Health and societal challenges require the ever faster availability of new approaches to prevention, diagnostics and care, which pose important sustainability and equity issues to regions. The growing economic burden mandates the adoption of new forms of service provision, that improve sustainability and allow to face the current demographic challenges. The ageing trend in European populations is indeed paralleled by a rise in multimorbidity and comorbidity, and a clustering of chronic diseases often correlated with each other . Coping with multimorbid patients raises issues of clinical management, as it is necessary to follow multiple indications and guidelines (for each individual disease), while embedding lifestyles measures that can significantly influence outcomes. The consequence are therapeutic inconsistencies, redundant diagnostic pathways, while struggling with adherence, and increasing in healthcare costs. Hence the urge to define new care pathways, which are able to take care of the patient, ensuring both the continuity of hospital-territory care, and the integration of social and health interventions. The wide-scale implementation of validated innovative approaches is essential to ensure the quality of services to future generations of citizens in an acceptable range of sustainability, avoiding horizontal cuts that would increase inequalities and worsen health outcomes in the long term. It is therefore essential to set up models that are sustainable in an overall health innovation process, where ongoing structural reforms increase the effectiveness and resilience of our health systems. In this framework, disruptive innovations can address sustainably and appropriately the health needs of citizens. Often, the absence of a coordinated approach to social and health reforms is associated with the inadequate participation of citizens, patients, formal and informal caregivers in their planning, set-up and evaluation. Isolated approaches undermine the evolution towards an integrated and high quality health system, that it is also sustainable, efficient and fair. These difficulties are greater in the older adults population, which has multiple health needs, and minor access to services, for reasons often unrelated to the diseases (e.g. IT gaps, mobility problems, residence in rural areas, etc.). One way to achieve these objectives are ICT enabled integrated health and social care services (ICTIC). The development of digital health tools allows to find new answers to traditional problems in patient management, as well as to improve the services by stre
本特刊嵌套在欧洲积极健康老龄化创新伙伴关系A3行动小组（EIP on AHA）中，重点关注终身健康促进和预防与年龄相关的虚弱和疾病。其目标是在利益相关者之间分享支持创新转移的知识，并促进区域卫生系统在不同欧盟背景下的采用。健康和社会挑战要求更快地提供新的预防、诊断和护理方法，这对各地区构成了重要的可持续性和公平问题。日益增长的经济负担要求采用新的服务提供形式，以提高可持续性，并应对当前的人口挑战。欧洲人口的老龄化趋势确实与多发病率和共病率的上升相平行，而且一系列慢性病往往相互关联。应对多发病患者引发了临床管理问题，因为有必要遵循多种适应症和指南（针对每种疾病），同时嵌入可以显著影响结果的生活方式措施。其后果是治疗不一致，诊断途径冗余，同时难以坚持，医疗成本增加。因此，迫切需要定义新的护理途径，能够照顾患者，确保医院区域护理的连续性，以及社会和健康干预的整合。大规模实施经验证的创新方法对于确保为子孙后代公民提供的服务质量在可接受的可持续范围内至关重要，避免横向削减，这将增加不平等，并从长远来看恶化健康结果。因此，在整体卫生创新过程中建立可持续的模式至关重要，在这一过程中，正在进行的结构性改革提高了我们卫生系统的有效性和韧性。在这个框架下，颠覆性创新可以可持续地、适当地满足公民的健康需求。社会和卫生改革缺乏协调一致的方法往往与公民、患者、正式和非正式护理人员在规划、设置和评估中的参与不足有关。孤立的做法破坏了向一体化和高质量的卫生系统的发展，因为它也是可持续、高效和公平的。老年人的这些困难更大，他们有多种健康需求，获得服务的机会很少，原因往往与疾病无关（例如信息技术差距、行动不便、居住在农村地区等）。实现这些目标的一种方法是利用信息和通信技术提供综合健康和社会护理服务。数字健康工具的开发可以为患者管理中的传统问题找到新的答案，并通过加强卫生系统内外不同专业人员和护理人员之间的合作来改善服务。此外，数字服务提高了可及性，从而确保了公平，例如在偏远、服务不足的地区提供合格的服务。以信息和通信技术支持的综合护理为基础的新组织模式的优势在于，有可能使社会和卫生程序合理化，从而影响卫生支出的控制，并降低疾病的社会成本。如果使用得当，基于信息和通信技术的综合服务可以有助于卫生部门的转型和支撑卫生部门的商业模式的重大变革。技术和数字创新，如果以有针对性的方式设计并在社论中实施：医疗保健领域的多方合作，以满足老龄化人口的新健康需求
{"title":"Editorial: Multi-Actor Collaboration in Healthcare to Address the Emerging Health Needs of an Aging Population","authors":"M. Illario, Enrico Coscioni, V. D. Luca, Mauro Cataldi, Alfredo Postiglione, G. Iaccarino","doi":"10.14273/UNISA-2731","DOIUrl":"https://doi.org/10.14273/UNISA-2731","url":null,"abstract":"This special issue is nested in the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), focusing on lifecourse health promotion and prevention of age-related frailty and disease. The ambition is to share knowledge underpinning the transfer of innovations among stakeholders, and facilitate adoption by Regional Health Systems, in different EU contexts. Health and societal challenges require the ever faster availability of new approaches to prevention, diagnostics and care, which pose important sustainability and equity issues to regions. The growing economic burden mandates the adoption of new forms of service provision, that improve sustainability and allow to face the current demographic challenges. The ageing trend in European populations is indeed paralleled by a rise in multimorbidity and comorbidity, and a clustering of chronic diseases often correlated with each other . Coping with multimorbid patients raises issues of clinical management, as it is necessary to follow multiple indications and guidelines (for each individual disease), while embedding lifestyles measures that can significantly influence outcomes. The consequence are therapeutic inconsistencies, redundant diagnostic pathways, while struggling with adherence, and increasing in healthcare costs. Hence the urge to define new care pathways, which are able to take care of the patient, ensuring both the continuity of hospital-territory care, and the integration of social and health interventions. The wide-scale implementation of validated innovative approaches is essential to ensure the quality of services to future generations of citizens in an acceptable range of sustainability, avoiding horizontal cuts that would increase inequalities and worsen health outcomes in the long term. It is therefore essential to set up models that are sustainable in an overall health innovation process, where ongoing structural reforms increase the effectiveness and resilience of our health systems. In this framework, disruptive innovations can address sustainably and appropriately the health needs of citizens. Often, the absence of a coordinated approach to social and health reforms is associated with the inadequate participation of citizens, patients, formal and informal caregivers in their planning, set-up and evaluation. Isolated approaches undermine the evolution towards an integrated and high quality health system, that it is also sustainable, efficient and fair. These difficulties are greater in the older adults population, which has multiple health needs, and minor access to services, for reasons often unrelated to the diseases (e.g. IT gaps, mobility problems, residence in rural areas, etc.). One way to achieve these objectives are ICT enabled integrated health and social care services (ICTIC). The development of digital health tools allows to find new answers to traditional problems in patient management, as well as to improve the services by stre","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"1 - 4"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47527749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Apóstolo, F. Couto, E. Bobrowicz-Campos, M. Dixe, Jaime Ribeiro, M. Braúna, Timóteo Camacho, Rita Santos-Rocha, Pedro Parreira, Arménio Cruz, C. Malça, Carina Dantas, A. Jegundo, Luis Marcelino, Mara Simões, Maria Almeida
Social facilities such residential structures and day-centres increasingly seek integrated, structured, adapted, creative, dynamic and economic strategies to prevent frailty. The arising need of an aged and frail population requires innovative interventions and products to prevent cognitive and physical decline. The interregional MIND&GAIT project aims to promote independent living in frail older adults by improving cognition and gait ability by using assistive products. This transdisciplinary strategy within a 24-months period expects as project’ deliverables: i) a structured and good practice-based combined intervention (CI) consisting of a cognitive stimulation programme and a physical exercise programme; ii) an auto-blocking mechanism for rolling walkers with biofeedback acquisition (ABMRW); iii) a randomized clinical trial to assess CI′ effectiveness; and iv) a web-platform to be used as a repository that will support and disseminate the intervention materials, covering the action-line of translational research. Positive benefits are expected in prevention and maintenance of frail older adults’ capacities. Preliminary results showed positive effects on the improvement of cognitive and physical functions, functionality and depressive symptomatology. The interregional geographical coverage induced by MIND&GAIT underlines the potential replicability of the project extension to the community in the Centro and Alentejo regions of Portugal. MIND&GAIT network supports actions and provides learning opportunities and emergence of locally-embedded support systems towards social innovation for older adults.
{"title":"An Interregional, Transdisciplinary and Good Practice-Based Approach for Frailty: the Mind&Gait Project","authors":"J. Apóstolo, F. Couto, E. Bobrowicz-Campos, M. Dixe, Jaime Ribeiro, M. Braúna, Timóteo Camacho, Rita Santos-Rocha, Pedro Parreira, Arménio Cruz, C. Malça, Carina Dantas, A. Jegundo, Luis Marcelino, Mara Simões, Maria Almeida","doi":"10.14273/UNISA-2729","DOIUrl":"https://doi.org/10.14273/UNISA-2729","url":null,"abstract":"Social facilities such residential structures and day-centres increasingly seek integrated, structured, adapted, creative, dynamic and economic strategies to prevent frailty. The arising need of an aged and frail population requires innovative interventions and products to prevent cognitive and physical decline. The interregional MIND&GAIT project aims to promote independent living in frail older adults by improving cognition and gait ability by using assistive products. This transdisciplinary strategy within a 24-months period expects as project’ deliverables: i) a structured and good practice-based combined intervention (CI) consisting of a cognitive stimulation programme and a physical exercise programme; ii) an auto-blocking mechanism for rolling walkers with biofeedback acquisition (ABMRW); iii) a randomized clinical trial to assess CI′ effectiveness; and iv) a web-platform to be used as a repository that will support and disseminate the intervention materials, covering the action-line of translational research. Positive benefits are expected in prevention and maintenance of frail older adults’ capacities. Preliminary results showed positive effects on the improvement of cognitive and physical functions, functionality and depressive symptomatology. The interregional geographical coverage induced by MIND&GAIT underlines the potential replicability of the project extension to the community in the Centro and Alentejo regions of Portugal. MIND&GAIT network supports actions and provides learning opportunities and emergence of locally-embedded support systems towards social innovation for older adults.","PeriodicalId":54170,"journal":{"name":"Translational Medicine at UniSa","volume":"19 1","pages":"11 - 16"},"PeriodicalIF":1.5,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45904111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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