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6. Microplastics and recreational water

Author

Lofrano, G., Albarano, L., Valeriani, F., Bellino, A., Ubaldi, F., Libralato, G., Carotenuto, M., Baldantoni, D., Guida, M., and Romano Spica, V.

Published
2023

13. RISCHI PER LA SALUTE ASSOCIATI CON LE PRATICHE DI ORNAMENTO CORPOREO: CONOSCENZE ED ESPERIENZE DI UN CAMPIONE DI STUDENTI UNIVERSITARI

Author

Protano C., Valeriani F., Marotta D., Bargellini A., Bianco A., Colucci M. E., Coniglio M. A., Dallolio L., Diella G., Di Giuseppe G., Laganà P., Licata F., Liguori G., Marchesi I, Marini S, Montagna M. T., Napoli C., Napoli C. 13, Orsi G. B., Pasquarella C., Pelullo C. P., Romano Spica V., Sacchetti R., Tardivo S., Triggiano F., Veronesi L., Vitali M., Gallè F., Società Italiana di Igiene, Medicina preventiva e Sanità Pubblica, and Protano C., Valeriani F., Marotta D., Bargellini A., Bianco A., Colucci M.E., Coniglio M.A., Dallolio L., Diella G., Di Giuseppe G., Laganà P., Licata F., Liguori G., Marchesi I, Marini S, Montagna M.T., Napoli C., Napoli C.13, Orsi G.B., Pasquarella C., Pelullo C.P., Romano Spica V., Sacchetti R., Tardivo S., Triggiano F., Veronesi L., Vitali M., Gallè F.

Subjects
Tatuaggio, piercing, informazione sui rischi, complicanze
Published
2021

16. Erice 2018 Charter on the role of the National Health Service in the prevention of doping

Author

Romano Spica, V., Di Rosa, E., Savino, G., Pasquarella, C., Liguori, G., Fallace, P., Tripi, F., Fara, G. M., Giammanco, G., Abbafati, E., Alonzo, E., Agostini, D., Aini, M. A., Ajese, P., Amore, G., Antonuccio, G., Assisi, E., Attisani, G., Belfiore, P., Belotti, D., Bernieri, F., Bernini, D., Bolognini, I., Bono, R., Brandimarte, M. A., Buzancic, S., Cala, P., Cagnin, R., Capua, G., Caruso, L., Cattaruzza, M. S., Cella, P., Ciotti, L., Cipolla, A. M., Colucci, M. E., Coppola, L., Covacci, V., Creola, G., Culcasi, S., D'Alterio, A., De Santi, M., Di Benedetto, F., Di Onofrio, V., Donati, A., Dozzini, G., Esposito, R., Fabbro, A., Falcone, M., Fara, T., Fardella, M., Favuzzi, N., Fioretti, E., Frangella, C., Galle, F., Ghizzoni, D., Giampietro, M., Giorgino, A., Grillone, L., Gradilone, A., Greco, S., Grosso, G., Guberti, E., Guida, F., La Carruba, R., La Sala, L., Cadua, E., Landi, A., Lemma, P., Leonardi, F., Lusi, A., Manfredi Selvaggi, T. M., Mandina, G., Marini, S., Mazzeo, F., Menegon, T., Mete, R., Milicia, M. G., Morgado, M., Morgantini, F., Napoli, M., Nucera, S., Occhipinti, V., Orsini, M., Pacella, G., Pacifici, R., Palmi, I., Pandolfi, R., Parisi, A., Parodi, G., Parodi, S., Pasquarella, M. L., Persi, Y., Petrai, G., Petrella, E., Pinelli, M., Pompei, D., Pompili, M., Postiglione, N., Ripani, M., Romano, F., Rondinelli, L., Ricchiuti, R., Ruggeri, J., Santini, A., Scatigna, M., Scuderi, M., Signorelli, C., Sticchi, C., Tamarri, F., Tancredi, S., Tumbarello, A., Ursino, S., Valeriani, F., Vino, F., Zanetti, C., Zotta, I., Zucca, E., Calimeri, S., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., La Torre, A., Romano Spica, V., Di Rosa, E., Savino, G., Pasquarella, C., Liguori, G., Fallace, P., Tripi, F., Fara, G. M., Giammanco, G., Abbafati, E., Alonzo, E., Agostini, D., Aini, M. A., Ajese, P., Amore, G., Antonuccio, G., Assisi, E., Attisani, G., Belfiore, P., Belotti, D., Bernieri, F., Bernini, D., Bolognini, I., Bono, R., Brandimarte, M. A., Buzancic, S., Calà, P., Cagnin, R., Capua, G., Caruso, L., Cattaruzza, M. S., Cella, P., Ciotti, L., Cipolla, A. M., Colucci, M. E., Coppola, L., Covacci, V., Creola, G., Culcasi, S., D'Alterio, A., De Santi, M., Di Benedetto, F., Di Onofrio, V., Donati, A., Dozzini, G., Esposito, R., Fabbro, A., Falcone, M., Fara, T., Fardella, M., Favuzzi, N., Fioretti, E., Frangella, C., Gallè, F., Ghizzoni, D., Giampietro, M., Giorgino, A., Grillone, L., Gradilone, A., Greco, S., Grosso, G., Guberti, E., Guida, F., La Carruba, R., La Sala, L., Cadua, E., Landi, A., Lemma, P., Leonardi, F., Lusi, A., Manfredi Selvaggi, T. M., Mandina, G., Marini, S., Mazzeo, F., Menegon, T., Mete, R., Milicia, M. G., Morgado, M., Morgantini, F., Napoli, M., Nucera, S., Occhipinti, V., Orsini, M., Pacella, G., Pacifici, R., Palmi, I., Pandolfi, R., Parisi, A., Parodi, G., Parodi, S., Pasquarella, M. L., Persi, Y., Petrai, G., Petrella, E., Pinelli, M., Pompei, D., Pompili, M., Postiglione, N., Ripani, M., Romano, F., Rondinelli, L., Ricchiuti, R., Ruggeri, J., Santini, A., Scatigna, M., Scuderi, M., Signorelli, C., Sticchi, C., Tamarri, F., Tancredi, S., Tumbarello, A., Ursino, S., Valeriani, F., Vino, F., Zanetti, C., Zotta, I., Zucca, E., Calimeri, S., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., and La Torre, A.

Subjects
Doping in Sports, Health Promotion, Humans, Italy, State Medicine, Public Health, Department of Prevention, Doping, Physical Activity, Sport, Doping, Health Promotion, Physical Activity, Sport, Department of Prevention
Abstract

The Erice 2018 Charter was unanimously approved at the conclusion of the 53rd Residential Course of the International School of Epidemiology and Preventive Medicine “Adapted Physical Activity in Sport, Wellness and Fitness; the role of the Departments of Prevention and of the National Health Service in doping prevention and health promotion”, held on 15-19 May 2018 in Erice, Italy, at the “Ettore Majorana” Foundation and Centre for Scientific Culture, and promoted by the Study Group on “Movement Sciences for Health” of the Italian Society of Hygiene, Preventive Medicine and Public Health. The event was part of a larger project supported by the Ministry of Health aimed at preventing doping in the general population involved in sport and physical activities. After an intense discussion the participants focused on ten statements involving the following critical issues: responsibility, priority, message, alphabetization, networks and alliances, school promoting health, player and opportunities, competences, know-how, programming and acting. These statements provide hints to approach doping within a public health frame and summarize the role of the Departments of Prevention and NHS in promoting and coordinating preventive actions with other institutions and stakeholders. Doping represents a complex phenomenon related to cultural, social, economic and legal issues. In addition to regulatory or repressive actions, education to health and legality is proposed as the fundamental strategy to contrast doping by promoting healthy lifestyles, based on scientific knowledge and respect for legality.

Published
2019

17. The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: a survey on the activity of the prevention departments of Italian local health authorities

Author

Pasquarella, C., Pompili, M., Valeriani, F., Morgado, M., Milicia, G. M., Veronesi, L., Odone, A., Zoni, R., Saccani, E., Savino, G., Persi, Y., Pinelli, M., Liguori, G., Galle, F., Di Onofrio, V., Fallace, P., Romano Spica, V., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., Gradilone, A., Frangella, C., La Torre, A., Trenti, T., Agostini, D., Aini, M. A., Alonzo, E., Assisi, E., Belotti, D., Cagnin, R., Coppola, L., Giorgino, A., Libardi, L., Manfredi Selvaggi, T. M., Morgantini, F., Parodi, G., Pompei, D., Santini, I., Sticchi, C., Ursino, S., Pasquarella C., Pompili M., Valeriani F., Morgado M., Milicia G.M., Veronesi L., Odone A., Zoni R., Saccani E., Savino G., Persi Y., Pinelli M., Liguori G., Galle F., Di Onofrio V., Fallace P., Romano Spica V., Calimeri S., Bono R., Privitera G., Fabiani L., D'Aloisio F., Baccari G., Leoni E., Tafuri S., Brandi G., Dell'Eva A., Gradilone A., Frangella C., and La Torre A.

Subjects
Doping in Sports, Prevention departments, doping, food supplements, drugs, prevention, health promotion, Prevention, Doping, Drugs, Food supplements, Health promotion, Prevention departments, Food supplement, Health Promotion, drugs, State Medicine, food supplements, Italy, Athletes, Surveys and Questionnaires, Dietary Supplements, Humans, Public Health, Drug, human activities
Abstract

Introduction. Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level.Methods. A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA.Results. A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping.Conclusions. The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools.

Published
2019

19. Rischi per la salute associati con le pratiche di ornamento corporeo: conoscenze ed esperienze di un campione di studenti universitari

Author

Protano, C, Valeriani, F, Marotta, D, Bargellini, A, Bianco, A, Colucci, Me, Coniglio, Ma, Dallolio, L, Diella, G, Di Giuseppe, G, Laganà, P, Licata, F, Liguori, G, Marchesi, I, Marini, S, Montagna, Mt, Napoli, C, Orsi, Gb, Pasquarella, C, Pelullo, Cp, Romano Spica, V, Sacchetti, R, Tardivo, S, Triggiano, F, Veronesi, L, Vitali, M, and Gallè, F

Published
2021

20. End-to-end SARS-CoV-2 transmission risks in sport: Current evidence and practical recommendations

Author

Jones, B, Phillips, G, Valeriani, F, Edwards, T, Adams, E, Bonadonna, L, Copeland, R, Cross, M, Dalton, C, Hodgson, L, Jimenez, A, Kemp, S, Patricios, J, Romano Spica, V, Stokes, K, Weed, M, Beggs, C, Jones, B, Phillips, G, Valeriani, F, Edwards, T, Adams, E, Bonadonna, L, Copeland, R, Cross, M, Dalton, C, Hodgson, L, Jimenez, A, Kemp, S, Patricios, J, Romano Spica, V, Stokes, K, Weed, M, and Beggs, C

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has caused disruption to professional and recreational sports across the world. The SARS-CoV-2 virus can be transmitted by relatively large respiratory droplets that behave ballistically, and exhaled aerosol droplets, which potentially pose a greater risk. This review provides a summary of end-to-end SARS-CoV-2 transmission risk factors for sport and an overview of transmission mechanisms to be considered by all stakeholders. The risk of SARS-CoV-2 transmission is greatest indoors, and primarily influenced by the ventilation of the environment and the close proximity of individuals. The SARS-CoV-2 transmission risks outdoors, e.g. via water, and from fomites, appear less than initially thought. Mitigation strategies include good end-to-end scenario planning of activities to optimise physical distancing, face mask wearing and hygiene practice of individuals, the environment and equipment. The identification and removal of infectious individuals should be undertaken by means of the taking of temperature and COVID-19 symptom screening, and the use of diagnostic monitoring tests to identify asymptomatic individuals. Using adequate video footage, data from proximity technology and subject interviews, the identification and isolation of ‘close contacts’ should also be undertaken to limit SARS-CoV-2 transmission within sporting environments and into the wider community. Sports should aim to undertake activities outdoors where possible, given the lower SARS-CoV-2 transmission risk, in comparison to indoor environments.

Published
2021

25. Potential antimicrobial effects of photocatalytic nanothecnologies in hospital settings

Author

Margarucci, L M, Romano Spica, V, Protano, C, Gianfranceschi, G, Giuliano, M, Di Onofrio, V, Mucci, N, Valeriani, F, Vitali, M, Romano, F, Margarucci, Lm, Romano Spica, V, Protano, C, Gianfranceschi, G, Giuliano, M, Di Onofrio, V, Mucci, N, Valeriani, F, Vitali, M, and Romano, F

Subjects
Titanium, Cross Infection, Photosensitizing Agents, titanium dioxide, enviromental disinfection, healthcare associated infections, nanotechnologies, photocatalysis, Hospitals, Disinfection, Equipment Contamination, Humans, Nanotechnology, Disinfectants
Abstract

Recently, several advanced technologies have been considered to reduce the microbial load in hospital environments and control Healthcare Associated Infections (HAIs) incidence. New strategies for preventing HAIs have continuously evolved, including enforcement of hygiene procedures by novel liquid biocides or no-touch technologies, self-disinfecting surfaces coated by heavy metals or light-activated photosensitizers such as Titanium Dioxide (TiO2) nanoparticles.Review publications concerning the use of photocatalytic systems in hospital setting, focusing on products based on TiOSpecific keywords combinations were analitically searched in PubMed and Scopus databases.Starting 80s-90s, over 2000 papers report "in vitro" studies on antimicrobial activity of TiO2 photocatalysis on several microorganisms including bacteria, viruses, fungi, yeasts, and antibiotic resistant strains. Besides, at least 4 selected papers addressed the potentials of this approach by "in field" studies, showing a widespread pool of applications in hospital and healthcare settings. However, the low number of available experiences and their heterogeneity represent major limitations to achieve a comprehensive final overview on effectiveness and feasibility of these technologies.Photocatalytic systems based on TiO2 represent a promising strategy for hospital hygiene and HAI prevention. Additional "in field" studies are desirable in a next future to further evaluate and exploit this novel and interesting health technology.

Published
2019

26. Exploring the association between physical activity and gut microbiota composition: a review of current evidence

Author

Gallè, F., Valeriani, F., Cattaruzza, M. S., Ubaldi, F., Romano Spica, V., Liguori, G., GSMS-SItI, Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D’Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell’Eva, A., Gradilone, A., Frangella, C., La Torre, A., Galle F., Valeriani F., Cattaruzza M.S., Ubaldi F., Romano Spica V., Liguori G., Baccari G., Bono R., Calimeri S., D'Aloisio F, Dell'Eva A., Fabiani L., Frangella C., Gerais G., Gradilone A., La Torre A., Leoni E., Privitera G., and Tafuri S.

Subjects
Bacteroidetes, Health, Animals, Firmicutes, Humans, Gut Microbiota, Health, Physical Activity, Exercise, Physical Activity, Gut Microbiota, digestive system, Exercise, Diet, Gastrointestinal Microbiome
Abstract

The gut microbiota is implicated in digestive, metabolic and immune processes of the host. The physiological and pathophysiological functions of the intestinal microbiota depend of its composition, and several individual or external factors may be associated with the presence of some categories, phyla or species of microorganisms in the gut. In particular, two bacterial phyla - Firmicutes and Bacteroidetes - are predominant in the human gut and their relative concentrations seem to be related with age, gender, diet habits and weight status. In the last decade, several studies have tried to characterize the possible role of physical activity in determining qualitative and quantitative composition of the intestinal microbiota. This review is aimed at exploring the current evidences regarding the association between physical activity and gut microbiota composition in animal models and in the humans. Further studies are needed to clarify the mutual relationships among exercise, diet, nutritional supplements/doping agents and gut microbiota.

Published
2019

27. Higher education on physical activity and sport: The Movement Sciences graduate as a resource to promote healthy lifestyles in the National Health System

Author

Liguori, G., Gallé, F., Di Onofrio, V., Valeriani, F., Romano Spica, V., Wdpp, GSMS-SItI, Trenti, T., Pasquarella, C., Fallace, P., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D’Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell’Eva, A., Gradilone, A., Frangella, C., A. La Torre., Liguori G., Galle F., Di Onofrio V., Valeriani F., Romano Spica V., Baccari G., Bono R., Calimeri S., D'Aloisio F, Dell'Eva A., Fabiani L., Frangella C., Gerais G., Gradilone A., La Torre A., Leoni E., Privitera G., and Tafuri S.

Subjects
Movement Sciences, Health Promotion, Physical Activity, State Medicine, Professional Competence, Italy, Education, Professional, Quality of Life, Humans, Physical Activity, Movement Sciences, Health Promotion, Curriculum, Healthy Lifestyle, Movement Science, Cooperative Behavior, Exercise, Health Education, Sports
Abstract

Currently, physical activity is an important tool that may be useful to improve people health and quality of life through sustainable and effective interventions. In order to obtain durable improvements of individuals' behaviors, however, consistent changes in services organization and the creation of new opportunities in life settings are needed. This requires necessarily the involvement of complementary figures with specific competences. Considering their peculiar training curriculum, Movement Sciences graduates represent key figures in this context and they can operate fully in interventions of health education and promotion, within multidisciplinary teams collaborating with the National Health System (NHS), in order to obtain the global undertaking of citizens.

Published
2019

28. The prevention of doping and the improper use of drugs and food supplements in sports and physical activities: A survey on the activity of the prevention departments of Italian local health authorities

Author

Pasquarella C., Pompili M., Valeriani F., Morgado M., Milicia G. M., Veronesi L., Odone A., Zoni R., Saccani E., Savino G., Persi Y., Pinelli M., Liguori G., Galle F., Di Onofrio V., Fallace P., Romano Spica V., Calimeri S., Bono R., Privitera G., Fabiani L., D'Aloisio F., Baccari G., Leoni E., Tafuri S., Brandi G., Gervasi G., Dell'Eva A., Gradilone A., Frangella C., La Torre A., Trenti T., Agostini D., Aini M. A., Alonzo E., Assisi E., Belotti D., Cagnin R., Coppola L., Giorgino A., Libardi L., Manfredi Selvaggi T. M., Morgantini F., Parodi G., Pompei D., Santini I., Sticchi C., Ursino S., Pasquarella, C., Pompili, M., Valeriani, F., Morgado, M., Milicia, G. M., Veronesi, L., Odone, A., Zoni, R., Saccani, E., Savino, G., Persi, Y., Pinelli, M., Liguori, G., Galle, F., Di Onofrio, V., Fallace, P., Romano Spica, V., Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Brandi, G., Gervasi, G., Dell'Eva, A., Gradilone, A., Frangella, C., La Torre, A., Trenti, T., Agostini, D., Aini, M. A., Alonzo, E., Assisi, E., Belotti, D., Cagnin, R., Coppola, L., Giorgino, A., Libardi, L., Manfredi Selvaggi, T. M., Morgantini, F., Parodi, G., Pompei, D., Santini, I., Sticchi, C., and Ursino, S.

Subjects
Doping in Sports, Prevention, Drugs, Health Promotion, State Medicine, Prevention departments, Italy, Athletes, Food supplements, Surveys and Questionnaires, Dietary Supplements, Doping, Humans, Public Health
Abstract

Introduction. Doping is an important public health problem widespread not only among elite athletes, but also among amateur and recreational athletes and the general population. In Italy the introduction of doping prevention within the Essential Levels of Care (LEA) with the DPCM 12/1/2017 represents a crucial step towards the implementation of education and health promotion interventions. In this context, the Departments of Prevention (DP) of the Local Health Authorities (LHA) have to play a fundamental role, becoming the cultural and operational reference on this issue. As part of the "Doping prevention: development of a permanent educational tool coordinated by the National Health Service Prevention Departments" project, funded by the Italian Ministry of Health, a survey was conducted on the activities carried out by the DP regarding doping prevention and improper use and abuse of drugs and food supplements in sports and physical activities, as a basis for the harmonization of organizational structures and prevention programs and the creation of a collaboration network at a regional and national level. Methods. A semi-structured questionnaire consisting of 11 questions, prepared on an electronic platform, was sent to the DP of all the Italian LHA. Results. A total of 38 DP out of 131 (29%) completed the questionnaire, with representation from all regions. 42.1% of DP carried out or are still running programs for the prevention of doping, a percentage that decreases to 27% considering the programs for the prevention of misuse and abuse of drugs and food supplements in sports and in physical activities; in less than half of the DP, 37.5% and 41.7%, respectively, dedicated funds have been allocated. The professionals most involved in prevention of doping are the Specialists in Sport Medicine (81.3%) followed by Specialists in Hygiene (43.8%) and Psychologists (37.5%), while Health Care Assistants (50%) are the professionals most involved in the prevention of the improper use of drugs and food supplements, followed by Specialists in Hygiene and Specialists in Sport Medicine (40%). Most of the DP (71.9%) believe that the introduction of programs to prevent and counteract doping in the LEA will have repercussions on their approach against doping. Conclusions. The survey, although conducted on a limited sample, has provided an important framework relating to programs for the prevention of doping and the misuse and abuse of drugs and food supplements in sports and in the physical activities carried out by DP. A remarkable heterogeneity has been highlighted, both at national and regional level. It is urgent to provide DP with homogeneous and effective organizational models and adequate operational tools, paying particular attention to the training of all the professionals involved. It is also essential to implement permanent monitoring tools.

Published
2019

31. Use of hormones in doping and cancer risk

Author

De Santi, M, Baldelli, G, Brandi, G, Calimeri, S., Bono, R., Privitera, G., Fabiani, L., D'Aloisio, F., Baccari, G., Leoni, E., Tafuri, S., Liguori, G., Brandi, G., Gervasi, G., Dell'Eva, A., Gradilone, A., Frangella, C., La Torre, A., Romano Spica, V., Trenti, T., Pasquarella, C., Fallace, P., De Santi M., Baldelli G., Brandi G., Baccari G., Bono R., Calimeri S., D'Aloisio F, Dell'Eva A., Fabiani L., Frangella C., Gervasi G., Gradilone A., La Torre A., Leoni E., Liguori G., Privitera G., and Tafuri S.

Subjects
Doping in Sports, Risk, Human Growth Hormone, Substance-Related Disorders, Cancer Parole chiave: Ormone della crescita, Cancro, Doping, Growth hormone, IGF-1, doping, Athletes, Disease Progression, Humans, Insulin-Like Growth Factor I, Neoplasms, Growth hormone, IGF-1, doping, cancer, cancer
Abstract

Hormones with anabolic properties such as growth hormone (GH) and insulin-like growth factor-1 (IGF-1) are commonly abused among professional and recreational athletes to enhance physical ability. Despite their adverse effects are well-documented, the use of GH and IGF-1 has recently grown. This article highlights the anabolic activity related to mechanisms of cancer development and progression. GH/IGF-1 axis is able to activate cellular mechanisms that modulate every key stage of cancer formation and progression, such as inhibition of apoptosis, resistance to treatments, and induction of angiogenesis, metastatic process and cell proliferation. Results from pre-clinical studies and epidemiological observations in patients with an excess of GH and IGF-1 production or treated with these hormones showed a positive association with the risk to develop several types of cancer. In conclusion, athletes should be made aware that long-term treatment with doping agents might increase the risk of developing cancer, especially if associated with other licit or illicit drugs and/or high-protein diet.

Published
2019

33. Hospital environment as a reservoir for cross transmission: cleaning and disinfection procedures

Author

Protano, C., Cammalleri, V., Romano Spica, V., Valeriani, F., and Vitali, M.

Subjects
Disinfection, Cross Infection, hand hygiene, healthcare associated infections, Equipment Contamination, Humans, disinfection, hospital environment, Public Health, Hospitals, Disinfectants, Hand Disinfection
Abstract

Healthcare associated infections (HAIs) represent a serious problem for public health, as they increase the morbidity and mortality rates, present a relevant financial burden, and significantly contribute to the antimicrobial resistance.The aim of this review was to investigate the literature about HAIs, with particular reference to hospital environments and the role of cleaning and disinfection procedures. Hospital environments are an essential reservoir for HAIs cross transmission, and the application of appropriate procedures related to hand hygiene and disinfection/sterilization of surfaces and instruments remain key strategies for controlling HAIs.Different procedures, based on the risk associated with the healthcare procedure, are recommended for hand hygiene: washing with soap and water, antiseptic rubbing with alcohol-based disinfectants, antiseptic and surgical hand washing. Environmental surfaces can be treated with different products, and the mostly used are chlorine-based and polyphenolic disinfectant. The reprocessing of instruments is related to their use according to the Spaulding's classification. In addition, scientific evidence demonstrated the great relevance of the "bundles" (small set of practices performed together) in controlling HAIs.Research agenda should include the improvement of well-known effective preventive procedures and the development of new bundles devoted to high-risk procedures and specific microorganisms.

Published
2019

35. Hospital Hygiene and Infection Prevention and Control in Italy: state of the art and perspectives

Author

Brusaferro, S, Arnoldo, L, Finzi, G, Mura, I, Auxilia, F, Pasquarella, C, Agodi, A and the GISIO Group (Agodi A, Arrigoni, C, Barchitta, M, Calella, G, Casini, B, Cristina, Ml, D'Errico, M, Laurenti, P, Masia, Md, Montagna, Mt, Olivieri, G, Orsi, A, Orsi, Gb, Pesapane, L, Ripabelli, G, Sodano, L, Squeri, R, Teti, V, Torregrossa, Mv, Torri, E, Zarrilli, R, Are, Bm, Brighenti, A, Mascipinto, S, Iannazzo, S, D'Ancona, Fp, Sessa, G, Motta, A, Appignanesi, R, Argiolas, F, Baldovin, T, Bargellini, A, Berdini, S, Boccia, G, Calagreti, G, Caldarulo, T, Campanella, F, Chiesa, R, Ciorba, V, Contrisciani, R, D'Alessandro, D, De Giglio, O, Fabiani, L, Fara, Gm, Giuliani, G, Laganà, P, Marani, A, Mattaliano, Ar, Molino, A, Montesano, M, Moretti, F, Moro, M, Moscato, U, Napoli, C, Nicolotti, N, Nobile, M, Novati, R, Palumbo, F, Piana, A, Privitera, G, Prospero, E, Quattrocchi, A, Righi, E, Romano Spica, V, Rossi, F, Rossini, A, Schieppati, S, Sotgiu, G, Tardivo, S, Torre, I, Valeriani, F, Veronesi, L, Zotti, C), Brusaferro, S., Arnoldo, L., Finzi, G., Mura, I., Auxilia, F., Pasquarella, C., Agodi, A., Pitzurra, M., Arrigoni, C., Barchitta, M., Calella, G., Casini, B., Cristina, M. L., D'Errico, M., Laurenti, P., Masia, M. D., Montagna, M. T., Olivieri, G., Orsi, A., Orsi, G. B., Pesapane, L., Ripabelli, G., Sodano, L., Squeri, R., Teti, V., Torregrossa, M. V., Torri, E., Zarrilli, R., Are, B. M., Brighenti, A., Mascipinto, S., Iannazzo, S., D'Ancona, F. P., Sessa, G., Motta, A., Appignanesi, R., Argiolas, F., Baldovin, T., Bargellini, A., Berdini, S., Boccia, G., Calagreti, G., Caldarulo, T., Campanella, F., Chiesa, R., Ciorba, V., Contrisciani, R., D'Alessandro, D., De Giglio, O., Fabiani, L., Fara, G. M., Giuliani, G., Lagana, P., Marani, A., Mattaliano, A. R., Molino, A., Montesano, M., Moretti, F., Moro, M., Moscato, U., Napoli, C., Nicolotti, N., Nobile, M., Novati, R., Palumbo, F., Piana, A., Privitera, G., Prospero, E., Quattrocchi, A., Righi, E., Romano Spica, V., Rossi, F., Rossini, A., Schieppati, S., Sotgiu, G., Tardivo, S., Torre, I., Valeriani, F., Veronesi, L., and Zotti, C.

Subjects
Adult, Male, Healthcare organisation Igiene ospedaliera, National Health Programs, Infection Prevention and Control, hospital hygiene, infection prevention and control, public health, environmental and occupational health, infectious diseases, igiene ospedaliera, organizzazione sanitaria, prevenzione e controllo delle infezioni, Attitude of Health Personnel, Health Promotion, Healthcare organisation, Iran, Nursing Staff, Hospital, Hospital Hygiene, Igiene ospedaliera, Hospital Hygiene, Infection Prevention and Control, Healthcare organisation Igiene ospedaliera, prevenzione e controllo delle infezioni, organizzazione sanitaria, Hospital Administration, Patient Education as Topic, Terminology as Topic, Medical Staff, Hospital, Humans, Igiene ospedaliera, prevenzione e controllo delle infezioni, organizzazione sanitaria, European Union, Hospitals, Teaching, Workplace, Occupational Health, Cross-Sectional Studie, Cross Infection, Infection Control, Healthcare organisation Parole chiave: Igiene ospedaliera, Analysis of Variance, Organizzazione sanitaria, Prevenzione e controllo delle infezioni, Europe, Italy, Health Facilities, Hygiene, Healthcare organisation, Igiene ospedaliera, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, Infectious Diseases, Healthcare organisation, Hospital Hygiene, Infection Prevention and Control, Public Health, Environmental and Occupational Health, Infectious Diseases, Hospital Administrator, Female, Public Health, Patient Participation, Hospital Hygiene, Infection Prevention and Control, Healthcare organisation, Human
Abstract

Although hospital hygiene has a long history in Italy it is necessary to reflect about it because of the innovation in healthcare systems and because of the evolution due to European Union related activities. Different traditions exist in European countries about hospital hygiene and European Centre for Disease Prevention and Control (ECDC) adopted the term of "infection control and hospital hygiene" which includes all the engaged European healthcare professionals. We propose to modify hospital hygiene as "healthcare organisation hygiene" in order to focalise the attention to all care settings not only hospitals and to adopt the following definition: "all activities aimed to guarantee, in an appropriate, scientifically sound and efficient way, that structures and processes support healthcare practices in a safe comfortable and healthy environment both for patients, caregivers and healthcare workers". Hospital hygiene and its professionals, besides the long tradition, still remain a relevant pillar in guaranteeing quality and safety of healthcare in Italy.

Published
2018

41. Dietary supplements, drugs and doping in the sport society

Author

Savino, G., Valenti, L., D'Alisera, R., Pinelli, M., Persi, Y., Trenti, T., Romano Spica, V., Pasquarella, C., Liguori, G., and Fallace, P.

Subjects
Doping in Sports, Athletes, Substance-Related Disorders, Illicit Drugs, Dietary Supplements, Dietary supplements, Doping, Drugs, Off-label drugs, Sport, Humans, Sports
Published
2019

43. La consultazione nazionale per la revisione della normativa igienico-sanitaria sulle piscine: un processo in corso

Author

Valeriani, F, Sarzari, S, Bonadonna, L, Ferretti E, E., Brandi, G, Beltrami, P, Di Rosa, E, Fabiani, L, Fantuzzi, G, Fumo, F, Gradilone, A, Grillo, Oc, Izzotti, A, Liguori, G, Marensi, L, Privitera, G, Tortorella, F, Romano Spica, V., LEONI, ERICA, Valeriani, F, Sarzari, S, Bonadonna, L, Ferretti E, E., Brandi, G, Beltrami, P, Di Rosa, E, Fabiani, L, Fantuzzi, G, Fumo, F, Gradilone, A, Grillo, Oc, Izzotti, A, Leoni, E, Liguori, G, Marensi, L, Privitera, G, Tortorella, F, and Romano Spica, V

Subjects
piscine natatorie, rischio microbiologico, rischio chimico
Published
2016

44. Prevalence of doping and dietary supplements use in Europe

Author

Sao Miguel Morgado, M, primary, Odone, A, additional, Milicia, GM, additional, Valeriani, F, additional, Veronesi, L, additional, Liguori, G, additional, Fallace, P, additional, Savino, G, additional, Romano Spica, V, additional, and Pasquarella, C, additional

Published
2018
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45. L’insegnamento dell’educazione fisica come strumento di promozione dell’attività motoria: risultati di un’indagine multicentrica

Author

Liguori, G., Brandi, G., Bruno, S., Carraro, E., Di Onofrio, V., Fantuzzi, G., Gallè, F., Grillo, O., Guida, M., Minelli, L., Napoli, C., Parpinel, M., Pasquarella, C., Prato, R., Signorelli, C., Romano Spica, V., LEONI, ERICA, Società Italiana di igiene e Medicina preventiva, Liguori, G., Brandi, G., Bruno, S., Carraro, E., Di Onofrio, V., Fantuzzi, G., Gallè, F., Grillo, O., Guida, M., Leoni, E., Minelli, L., Napoli, C., Parpinel, M., Pasquarella, C., Prato, R., Signorelli, C., and Romano Spica, V.

Published
2015

46. Adapted Physical Activity for the Promotion of Health and the Prevention of Multifactorial Chronic Diseases: the Erice Charter

Author

Spica V. R., Macini P., Galeone D., Liguori G., Signorelli C., Marensi L., Vagali P., Guberti E., Goletti M., Mammina C., Tabacchi G., Izzotti A., Cinquetti S., Pellizzari B., Beltrami P., Alonzo E., Gradilone A., Leoni E., Buono P., Brandi G., Di Rosa E., Parisi A., Capolongo S., Fantuzzi G., Aggazzotti G., Grillo C., Borella P., Manzoli L., Fabiani L., Faggiano F., Mete R., Privitera G., Coniglio M. A., Frangella C., Rossi D., Lagorio S., Pasquarella M. L., Isabella A., Tripi F., Franceschetti R., Commare A. L., Galle F., Brandimarte M. A., Savino G., Di Onofrio V., Tortorella F., Gabriele M., Monreale V., Abrignani M., Ferreri G., Cacciapuoti A., Valeriani F., Raffo M., Matarese M., Ripani M., Altana V., Antonioni S., Anzalone C., Astorino G., Azzollini A., Belfiore P., Valentini F. B., Bragazzi N. L., Calaciura A., Casano D., Ciulla A., Cono O. E., Contrisciani R., Cosenza B., D'Aloisio F., Antonino D. F., Marchis A. D., Francesco D. N., Fabri S., Famiglietti E., Gandolfi A., Genovese C., Genovesi A., Gianfredi V., Gigante S., Gigliotti A., Iacona C., Innocenzi L., Laurita V., Maratea F., Meletti L., Memmini S., Messana M. A., Morelli C., Nappi M. R., Nucci D., Orlandi P., Palamara M. A. R., Patti A., Persi Y., Polisano B., Roccaro D., Ricchiuti R., Sanclemente L., Scanavini S., Sirtori M. D., Soncini F., Stelitano G. I., Valenzano A. A., Veicsteinas A., Fara G. M., Giammanco G., Romano-Spica V., Spica V.R., Macini P., Galeone D., Liguori G., Signorelli C., Marensi L., Vagali P., Guberti E., Goletti M., Mammina C., Tabacchi G., Izzotti A., Cinquetti S., Pellizzari B., Beltrami P., Alonzo E., Gradilone A., Leoni E., Buono P., Brandi G., Di Rosa E., Parisi A., Capolongo S., Fantuzzi G., Aggazzotti G., Grillo C., Borella P., Manzoli L., Fabiani L., Faggiano F., Mete R., Privitera G., Coniglio M.A., Frangella C., Rossi D., Lagorio S., Pasquarella M.L., Isabella A., Tripi F., Franceschetti R., Commare A.L., Galle F., Brandimarte M.A., Savino G., Di Onofrio V., Tortorella F., Gabriele M., Monreale V., Abrignani M., Ferreri G., Cacciapuoti A., Valeriani F., Raffo M., Matarese M., Ripani M., Altana V., Antonioni S., Anzalone C., Astorino G., Azzollini A., Belfiore P., Valentini F.B., Bragazzi N.L., Calaciura A., Casano D., Ciulla A., Cono O.E., Contrisciani R., Cosenza B., D'Aloisio F., Antonino D.F., Marchis A.D., Francesco D.N., Fabri S., Famiglietti E., Gandolfi A., Genovese C., Genovesi A., Gianfredi V., Gigante S., Gigliotti A., Iacona C., Innocenzi L., Laurita V., Maratea F., Meletti L., Memmini S., Messana M.A., Morelli C., Nappi M.R., Nucci D., Orlandi P., Palamara M.A.R., Patti A., Persi Y., Polisano B., Roccaro D., Ricchiuti R., Sanclemente L., Scanavini S., Sirtori M.D., Soncini F., Stelitano G.I., Valenzano A.A., Veicsteinas A., Fara G.M., Giammanco G., and Romano-Spica V.

Subjects
Biomedical Research, Prevention parole chiave, Adapted physical activity, Health Promotion, Motor Activity, Health promotion, Prevention, Primary Prevention, Attività fisica adattata, Prevenzione, Italy, Physician, Promozione della salute, Chronic Disease, Public Health, Human, Specialization
Abstract

The Erice Charter was unanimously approved at the conclusion of the 47th Residential Course "Adapted Physical Activity in Sport, Wellness and Fitness: New Challenges for Prevention and Health Promotion", held on 20-24 April 2015 in Erice, Italy, at the "Ettore Majorana" Foundation and Centre for Scientific Culture, and promoted by the International School of Epidemiology and Preventive Medicine "G. D'Alessandro" and the Study Group on Movement Sciences for Health of the Italian Society of Hygiene, Preventive Medicine and Public Health. After an intense discussion the participants identified the main points associated with the relevance of physical activity for Public Health, claiming the pivotal role of the Department of Prevention in coordinating and managing preventive actions. The participants underlined the importance of the physicians specialized in Hygiene, Preventive Medicine and Public Health. The contribution of other operators such as physicians specialized in Sport Medicine was stressed. Further, the holders of the new degree in Human Movement and Sport Sciences were considered fundamental contributors for the performance of physical activity and their presence was seen as a promising opportunity for the Departments of Prevention. Primary prevention based on recreational physical activities should become easily accessible for the population, avoiding obstacles such as certification steps or complex bureaucracy. The Sport Doctor is recognized as the principal referent for preliminary physical evaluation and clinical monitoring in secondary and tertiary prevention actions based on adapted physical activities. Developing research in the field is essential as well as implementing higher education on physical activity management in Schools of Public Health.

Published
2015

47. Il ruolo dell’educazione fisica nella promozione della salute: uno studio multicentrico. Sistema Salute, 59, 3, 2015: pp. 372-381

Author

Di Onofrio, V, Gallé, F, Brandi, G, Bruno, S, Carraro, E, Fantuzzi, G, Grillo, Oc, Marco Guida, M, Minelli, L, Napoli, C, Parpinel, M, Pasquarella, C, Prato, R, Romano Spica, V, Liguori, G., LEONI, ERICA, Di Onofrio, V, Gallé, F, Brandi, G, Bruno, S, Carraro, E, Fantuzzi, G, Grillo, Oc, Marco Guida, M, Leoni, E, Minelli, L, Napoli, C, Parpinel, M, Pasquarella, C, Prato, R, Romano Spica, V, and Liguori, G

Subjects
educazione fisica, scuola secondaria di secondo grado, attività fisica, promozione della salute
Abstract

Obiettivi: evidenziare limiti e punti di forza dell’insegnamento di Educazione Fisica (EF) nell’attuale sistema scolastico italiano sulla base delle opinioni degli studenti. Metodi: ad un campione di matricole provenienti da 14 università italiane è stato somministrato un questionario anonimo da autocompilare riguardante esperienze e giudizi relativi all’insegnamento di EF ricevuto nell’ultimo biennio di scuola. Sono state anche analizzate eventuali differenze tra Nord, Centro e Sud. Risultati: su 7.033 partecipanti, il 42,2% riportava come obiettivo principale perseguito durante le lezioni di EF quello “ricreativo”. Più della metà degli studenti (62,2%) ha riferito nessuna o modesta influenza delle lezioni di EF sulla pratica corrente di Attività Fisica (AF). Il 67,2% del campione si ritiene soddisfatto degli insegnamenti di educazione fisica ricevuti, soprattutto nelle regioni del Nord. Discussione e conclusioni: l’analisi condotta ha evidenziato la necessità di migliorare l’offerta di tale insegnamento nella scuola italiana, sia incrementando il tempo dedicato alle lezioni, sia impiegando insegnanti adeguatamente preparati.

Published
2015

49. Sorveglianza delle procedure di ricondizionamento di colonscopi: risultati dello studio multicentrico GISIO e prospettive per l’igiene ospedaliera

Author

Valeriani, F, Agodi, A, Casini, B, Cristina, Ml, D’Errico, Mm, Gianfranceschi, G, Liguori, G, Mucci, N, Mura, I, Pasquarella, C, Piana, A, Sotgiu, G, Privitera, G, Protano, C, Quattrocchi, A, Ripabelli, G, Rossini, A, Spagnolo, Am, Tamburro, M, Tardivo, S, Liguori, R, Veronesi, L, Vitali, M, and Romano Spica, V

Subjects
Infezioni correlate all’assistenza, mfDNA, sanificazione, sorveglianza, sanificazione, mfDNA, Infezioni correlate all’assistenza, sorveglianza
Published
2017

50. Legionella indoor air contamination in healthcare environments

Author

Montagna, M. T., De Giglio, O., Cristina, M. L., Albertini, R., Pasquarella, C., Agodi, A., Coniglio, M. A., Baldovin, T., Spagnolo, A. M., D'Errico, M. M., Delia, S. A., Lagana, P., Giuliano, A., Liguori, G., Guida, M., Torre, I., Pennino, F., Diella, G., Divenuto, F., Rutigliano, S., Caggiano, G., Moro, M., Mura, I., Deriu, M. G., Napoli, C., Romano Spica, V., Valeriani, F., Rossini, A., Privitera, G., Casini, B., Tardivo, S., Sembeni, S., Torregrossa, M. V., Cannova, L., and Villafrate, M. R.

Subjects
Indoor air, Legionella, Water, Bioaerosol
Published
2017

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