7 results on '"Lopriore C"'
Search Results
2. Excluding infants under 6 months of age from surveys: impact on prevalence of pre-school undernutrition
- Author
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Lagnado G, Lopriore C, Solal-Céligny A, and Dop Mc
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Population ,Nutritional Status ,Medicine (miscellaneous) ,Child Nutrition Disorders ,Infant nutrition disorder ,Risk Factors ,Environmental health ,Prevalence ,medicine ,Cluster Analysis ,Humans ,Mass index ,education ,Developing Countries ,Wasting ,Growth Disorders ,education.field_of_study ,Nutrition and Dietetics ,Multiple Indicator Cluster Surveys ,Geography ,business.industry ,Body Weight ,Age Factors ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,Nutrition Disorders ,Infant ,medicine.disease ,Health Surveys ,Body Height ,Infant Nutrition Disorders ,Malnutrition ,Child, Preschool ,Population Surveillance ,Female ,Underweight ,medicine.symptom ,business - Abstract
ObjectiveInfants aged 0–5 months are not systematically included in assessments of child nutritional status and are generally excluded from surveys conducted in emergencies. We estimated the impact of excluding 0–5-month-old infants on the prevalence of stunting, wasting and underweight among children under 5 years (U5) and under 3 years (U3) of age.DesignComparison of the prevalence of stunting, wasting and underweight in U5 and U3 with or without inclusion of the age group 0–5 months.SettingDemographic and Health Surveys and Multiple Indicator Cluster Surveys from 76 developing countries and countries in transition.SubjectsChildren under 3 or under 5 years of age included in the surveys.ResultsExcluding 0–5-month-old infants resulted in an overestimation of the prevalence of stunting, wasting and underweight in U5 of 3.0, 0.3 and 2.6 percentage points, respectively, and of 4.8, 1.0 and 5.2 percentage points, respectively, in U3. The overestimation for wasting was negligible. The regions showing the highest overestimations for stunting and underweight were Asia and sub-Saharan Africa. Overall, countries with high prevalences of stunting and underweight showed especially large overestimations. The prevalence of underweight in infants aged 0–5 months was correlated with the prevalence of low maternal body mass index.ConclusionAll surveys, even in situations of nutrition emergency, should include 0–5-month-old infants. Strictly comparable age ranges are essential in nutrition surveys for monitoring trends and evaluating programme impact. Greater awareness of prenatal and early child undernutrition is needed among policy-makers.
- Published
- 2007
3. YOUng Football Italian amateur players Remote electrocardiogram Screening with Telemedicine (YOU FIRST) study: preliminary results.
- Author
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Brunetti ND, Dellegrottaglie G, Di Giuseppe G, Lopriore C, Loiacono T, Gardini G, Patruno S, De gennaro L, and Di Biase M
- Subjects
- Adolescent, Death, Sudden, Cardiac epidemiology, Female, Humans, Incidence, Italy epidemiology, Male, Athletes, Death, Sudden, Cardiac prevention & control, Electrocardiography methods, Football, Telemedicine methods
- Published
- 2014
- Full Text
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4. Pre-hospital electrocardiogram triage with tele-cardiology support is associated with shorter time-to-balloon and higher rates of timely reperfusion even in rural areas: data from the Bari- Barletta/Andria/Trani public emergency medical service 118 registry on primary angioplasty in ST-elevation myocardial infarction.
- Author
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Brunetti ND, Di Pietro G, Aquilino A, Bruno AI, Dellegrottaglie G, Di Giuseppe G, Lopriore C, De Gennaro L, Lanzone S, Caldarola P, Antonelli G, and Di Biase M
- Subjects
- Aged, Angioplasty, Balloon, Coronary statistics & numerical data, Electrocardiography methods, Female, Humans, Italy, Male, Multivariate Analysis, Percutaneous Coronary Intervention statistics & numerical data, Registries, Residence Characteristics statistics & numerical data, Retrospective Studies, Rural Health, Time-to-Treatment statistics & numerical data, Myocardial Infarction therapy, Telemedicine methods, Triage methods
- Abstract
Background: We report the preliminary data from a regional registry on ST-elevation myocardial infarction (STEMI) patients treated with primary angioplasty in Apulia, Italy; the region is covered by a single public health-care service, a single public emergency medical service (EMS), and a single tele-medicine service provider., Methods: Two hundred and ninety-seven consecutive patients with STEMI transferred by regional free public EMS 1-1-8 for primary-PCI were enrolled in the study; 123 underwent pre-hospital electrocardiograms (ECGs) triage by tele-cardiology support and directly referred for primary-PCI, those remaining were just transferred by 1-1-8 ambulances for primary percutaneous coronary intervention (PCI) (diagnosis not based on tele-medicine ECG; already hospitalised patients, emergency-room without tele-medicine support). Time from first ECG diagnostic for STEMI to balloon was recorded; a time-to-balloon <1 h was considered as optimal and patients as timely treated., Results: Mean time-to-balloon with pre-hospital triage and tele-cardiology ECG was significantly shorter (0:41 ± 0:17 vs 1:34 ± 1:11 h, p<0.001, -0:53 h, -56%) and rates of patients timely treated higher (85% vs 35%, p<0.001, +141%), both in patients from the 'inner' zone closer to PCI catheterisation laboratories (0:34 ± 0:13 vs 0:54 ± 0:30 h, p<0.001; 96% vs 77%, p<0.01, +30%) and in the 'outer' zone (0:52 ± 0:17 vs 1:41 ± 1:14 h, p<0.001; 69% vs 29%, p<0.001, +138%). Results remained significant even after multivariable analysis (odds ratio for time-to-balloon 0.71, 95% confidence interval (CI) 0.63-0.80, p<0.001; 1.39, 95% CI 1.25-1.55, p<0.001, for timely primary-PCI)., Conclusions: Pre-hospital triage with tele-cardiology ECG in an EMS registry from an area with more than one and a half million inhabitants was associated with shorter time-to-balloon and higher rates of timely treated patients, even in 'rural' areas., (© The European Society of Cardiology 2014.)
- Published
- 2014
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5. Prehospital telemedicine electrocardiogram triage for a regional public emergency medical service: is it worth it? A preliminary cost analysis.
- Author
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Brunetti ND, Dellegrottaglie G, Lopriore C, Di Giuseppe G, De Gennaro L, Lanzone S, and Di Biase M
- Subjects
- Cost-Benefit Analysis, Costs and Cost Analysis, Emergency Service, Hospital economics, Heart Diseases diagnosis, Humans, Italy epidemiology, Myocardial Infarction diagnosis, Quality-Adjusted Life Years, Regional Medical Programs economics, Triage economics, Electrocardiography economics, Emergency Medical Services economics, Telemetry economics, Triage methods
- Abstract
Background: Telemedicine has been shown to improve quality of health-care delivery in several fields of medicine; its cost-effectiveness, however, is still a matter of debate., Hypothesis: Pre-hospital telemedicine electrocardiogram triage for regional public emergency medical service may reduce costs., Methods: An economic evaluation (cost analysis) was performed from the perspective of regional health-care system. Patients enrolled in the study and considered for cost analysis were those who called the local emergency medical service (EMS; dialing 1-1-8) during 2012 and underwent prehospital field triage with a telemedicine electrocardiogram (ECG) in the case of suspected acute cardiac disease (acute coronary syndrome, arrhythmia). The prehospital ECGs were read by a remote cardiologist, available 24/7. Cost savings associated with this method were calculated by subtracting the cost of prehospital triage with telemedicine support from the cost of conventional emergency department triage (ECG and consultation by a cardiologist)., Results: During 2012, the regional EMS performed 109 750 ECGs by telemedicine support. The associated total cost for the regional health-care system was €1 833 333, with a €16.70 cost per single ECG/consultation. Given the cost of similar conventional emergency department treatment from a regional rate list of €24.80 to €55.20, the savings was €8.10 to €38.40 per ECG/consultation (total savings, €891 759.50 to €4 219 379.50). The cost for ruling out an acute cardiac disease was €25.30; for a prehospital diagnosis of cardiovascular disease, €49.20. With 629 prehospital diagnoses of ST-elevation myocardial infarction and reported reductions in mortality thanks to prehospital diagnosis deduced from prior studies, 69 lives per year presumably could be saved, with a cost per quality-adjusted life year gained of €1927, €990/€ - 2508 after correction for potential savings., Conclusions: Prehospital EMS triage with telemedicine ECG in patients with suspected acute cardiac disease may reduce health-care costs., (© 2014 Wiley Periodicals, Inc.)
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- 2014
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6. Spread fortified with vitamins and minerals induces catch-up growth and eradicates severe anemia in stunted refugee children aged 3-6 y.
- Author
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Lopriore C, Guidoum Y, Briend A, and Branca F
- Subjects
- Algeria epidemiology, Analysis of Variance, Anemia, Iron-Deficiency complications, Anemia, Iron-Deficiency epidemiology, Body Height drug effects, Child, Child, Preschool, Double-Blind Method, Female, Growth Disorders complications, Growth Disorders epidemiology, Hemoglobins analysis, Humans, Male, Metronidazole administration & dosage, Metronidazole therapeutic use, Micronutrients administration & dosage, Micronutrients deficiency, Minerals administration & dosage, Minerals therapeutic use, Nutritional Status drug effects, Parasitic Diseases complications, Parasitic Diseases drug therapy, Treatment Outcome, Vitamins administration & dosage, Vitamins therapeutic use, Anemia, Iron-Deficiency drug therapy, Food, Fortified, Growth drug effects, Growth Disorders drug therapy, Micronutrients therapeutic use, Refugees
- Abstract
Background: Multiple micronutrient deficiencies are often the basic causative factor in stunting and anemia, 2 conditions that affect entire generations of children in deprived populations. No generally accepted recommendations for micronutrient intakes for recovery from stunting are available., Objective: The objective was to assess the effect of a highly nutrient-dense spread fortified with vitamins and minerals, with or without antiparasitic metronidazole treatment, in correcting retarded linear growth and reducing anemia in stunted children., Design: Saharawi refugee children (n = 374) aged 3-6 y with initial height-for-age z scores <-2 were assigned to 1 of 5 groups: fortified spread (FS), fortified spread plus metronidazole (FS+M), unfortified spread (US), unfortified spread plus metronidazole (US+M), or control. Supervised supplementation was given daily for 6 mo. Weight, height, knee-heel length, hematologic indexes, parasitic infections, and morbidity were assessed at 0, 3, and 6 mo., Results: Linear growth of children fed FS was 30% faster at 3 mo than in US and control groups, after which height-for-age z scores increased only slightly in the FS group and remained unchanged in the other groups. No additional benefits from metronidazole were observed. Increase in hemoglobin concentrations in the FS group at 6 mo was twofold that in the US and control groups (37 +/- 40, 19 +/- 15, and 16 +/- 17 g/L, respectively; P < 0.0001), and anemia was reduced by nearly 90%., Conclusions: FS, and not US, induces catch-up growth in stunted children whose diets are poor in micronutrients. Our trial provides support for delivering multiple micronutrients to reverse stunting and reduce anemia in children up to age 6 y.
- Published
- 2004
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7. Reversal in microfilarial density and T cell responses in human lymphatic filariasis.
- Author
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Sartono E, Lopriore C, Kruize YC, Kurniawan-Atmadja A, Maizels RM, and Yazdanbakhsh M
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- Adolescent, Adult, Animals, Cytokines metabolism, Female, Humans, Immunity, Cellular, Interferon-gamma metabolism, Interleukin-4 metabolism, Lymphocyte Activation, Male, Microfilariae isolation & purification, Brugia malayi growth & development, Elephantiasis, Filarial immunology, Elephantiasis, Filarial parasitology, Microfilariae growth & development, T-Lymphocyte Subsets immunology
- Abstract
This study reports reversals in microfilarial density and the accompanying changes in cellular immune responses to filarial antigens of 39 individuals (11 microfilaria-positives, 22 microfilaria-negatives and six converters) living in an area endemic for brugian filariasis. Microfilarial counts decreased from April, the end of the rainy season to July, middle of the dry season (g.m. 88 mf/ml and 38 mf/ml, respectively; P = 0.001) and subsequently increased in November, the beginning of the rainy season (P = 0.088). Whereas the proliferative responses remained low throughout the study period in microfilaraemic individuals, in amicrofilaraemics these responses changed in the opposite direction to that of microfilarial densities. In three converters, proliferation changed in the opposite direction to the presence or absence of microfilariae. Cytokine analysis in the converters revealed that interferon-gamma was most affected by the shifts in microfilarial densities. In contrast, interleukin-4 responses showed little correlation with changes in parasite densities.
- Published
- 1999
- Full Text
- View/download PDF
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