- 2 years ago
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Ministero della Salute ripensa sanità con innovativo approccio One Health
Congresso Simit, ‘vaccini fondamentali per fragili e over 65’
Salutequità, proposte 10 leve di accesso per rilancio Ssn
E ancora
Giornata nazionale chirurgia bariatrica, da Sicob Manifesto e Infopoint per lotta a obesità
Jak inibitori, farmaci ad azione rapida e sicura per dermatite atopica e sue comorbidità
Le festività natalizie possono causare ansia e depressione, i rimedi della psichiatra Adelia Lucattini
Ministero della Salute ripensa sanità con innovativo approccio One Health
Congresso Simit, ‘vaccini fondamentali per fragili e over 65’
Salutequità, proposte 10 leve di accesso per rilancio Ssn
E ancora
Giornata nazionale chirurgia bariatrica, da Sicob Manifesto e Infopoint per lotta a obesità
Jak inibitori, farmaci ad azione rapida e sicura per dermatite atopica e sue comorbidità
Le festività natalizie possono causare ansia e depressione, i rimedi della psichiatra Adelia Lucattini
Category
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NewsTranscript
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07:36 of nurse doctors at the launch of the "Cures", passing through Telemedicina, still a leopard's trail throughout the territory,
07:42 Salute Equitate has had the first summit where the ten levies for equity of access have been presented to relaunch and modernize the national health service.
07:50 According to the President of Salute Equitate, among the ten levies presented in the course of the summit, the most important is summed up in the relaunch of the role of the central level on three major actions.
07:59 The action of financing of the national health service, the action of health planning and the action of measurement and assessment of the performance of the regions.
08:08 However, it is also important to re-read the principle of collaboration between States and Regions.
08:12 Today we need the principle of collaboration to be functional and helpful to the needs of citizens,
08:19 so the measures that must be taken quickly, in a shared way and then above all put on the ground.
08:27 Today we have a long process with stop and go incompatible with the needs of people and with a ground that makes fatigue,
08:35 if we think about the chronicity, the last region that received it, received as Sardinia five years after the approval.
08:41 The lever of relaunch, according to the National Association, friends of the Natalino Corazzo Ollus Foundation,
08:45 implies that institutions understand exactly what is necessary to do to bring Italian health back to previous levels.
08:51 There can be things and above all things in which you report a certain dignity of the pathologies, for example like ours.
09:00 We are forced to make a sensitization to bring psoriasis to the level of other pathologies.
09:06 And so also make social campaigns, for example, to bring psoriasis into the national level of chronicity with other diseases,
09:15 that we are not the only ones, but that we have the right to enter the national level of chronicity is a fact.
09:22 We are in two million psoriasis patients in Italy, forgetting them is a social injustice.
09:29 The analysis of the criticisms made during the meeting was useful for the Ministry of Health's plan
09:34 to better address the issue of equity between the issues discussed, as well as that of the allocation of resources between regions.
09:39 Before starting the allocation formula, it is important to understand what are the principles of distributive justice
09:47 on which we want to build our system.
09:50 Distributive justice principles that must be valid between regions, but also within regions,
09:55 to ensure that the differences, the inequalities that we experience not only between regions, but also within regions,
10:02 can be resolved in a timely, systematic and with the right tools.
10:08 Also interesting for oncological patients is the proposal made by Salute Equità
10:11 to suggest to the doctor who prescribes an analysis, a diagnosis, a recovery, to do it directly in a prescription series.
10:17 So avoiding the citizen, the patient, to have to face a whole series of steps,
10:23 which generally lead to a prescription far away from time,
10:30 to access to therapy far away from time.
10:34 What is the role of obesity in the fight against obesity?
10:41 In the fight against obesity, a top priority is the bariatric surgery,
10:46 which with its 30,000 interventions per year,
10:49 confirms the most powerful weapon in the fight against obesity.
10:53 However, alone it is not enough, as the experts of SICOB have underlined,
10:57 that for the second national day dedicated to bariatric surgery,
11:01 the most important is the scientific society.
11:04 An opportunity is the ceremony in the Chamber,
11:07 to offer to the representatives of the institutions, to the citizens and to EMAS Media,
11:11 the most qualified information in this matter.
11:14 The Italian Society of Surgery of Obesity has therefore presented a manifesto,
11:18 with which, as explained by Diego Foschi, President of the Foundation of the Italian Society of Surgery of Obesity,
11:23 interviewed in the studies of the ADN Kronos,
11:26 together with Giuseppe Navarra, President of SICOB,
11:29 who, in his speech, has signed a commitment with how many have serious weight problems.
11:33 The manifesto aims to overcome this extreme difference in the treatment methods from seat to seat.
11:43 There must be a minimum common denominator that guarantees people.
11:49 Everyone must have the right to that minimum of security,
11:54 which for us is a maximum, which makes the result.
11:58 Both in terms of containing complications,
12:03 and in terms of recovery of a health condition.
12:10 And there must be an encouragement to go to surgery,
12:16 which will also make you afraid, and there is a reason for that,
12:19 to be afraid of what is somehow invasive.
12:24 But it is the only real definitive solution to this problem.
12:31 The initiative was also the opportunity to launch the InfoPoint SICOB,
12:35 thanks to which patients will be able to receive directly from specialists,
12:39 writing to infochiocciola.fondazione.sicob.it all the information to combat obesity.
12:46 Basically, they are surgeons, technicians, dieticians, psychologists, psychiatrists,
12:54 who make themselves available through a telematic consultation.
12:59 So, those who will use the InfoPoint will have the answers they ask for,
13:05 given by professionals of greater capacity, of greater commitment,
13:11 of which at this time the surgery of obesity can make.
13:16 In 2022, the interventions of bariatric surgery,
13:19 approved by the Italian Society of Obesity Surgery,
13:23 were about 22,500, to which 7,000 or 8,000 more have been added,
13:28 carried out in Italy with the national health system.
13:31 But what techniques are used today for a bariatric surgery intervention,
13:36 and to what extent is it safe?
13:38 About 80% of the interventions carried out in Italy, but also around the world,
13:42 are gastrectomy sleeves.
13:44 It is a vertical gastrectomy, in other words, to make it clear,
13:48 the stomach is a bag of about a liter and a half,
13:53 we transform it into a tube of about 120-130 ml.
13:58 In addition to the sleeve, as a restrictive intervention, there is also the bandage,
14:01 the famous ring, which, however, has seen popularity and the number of interventions
14:05 has decreased over the years, now we are at about 10-11% of the volume
14:10 of bariatric surgery performed in Italy.
14:12 And then there are more or less malabsorbing interventions,
14:15 the gastric bypass, we have a small pouch of stomach of 40 ml,
14:20 plus a modest jump of the intestine, and then we have purely malabsorbing interventions,
14:27 such as biopancreatic diversion, LASADI, LASAGI,
14:30 in which the volume of the stomach is not greatly reduced, but we jump a lot of the intestine,
14:35 and so it is true that we have a lot of weight loss,
14:38 but we must be very careful with nutritional deficiencies.
14:41 First of all, the interventions are, in almost all cases,
14:45 minimally invasive interventions, carried out through the paroscopic, with the holes or with the robot.
14:49 It is a safe intervention, but it is not a magical or infallible intervention.
14:54 There is always the possibility of an adverse event,
14:57 mortality is by far less than 1%, but speaking of large numbers,
15:02 obviously there are people who do not do it.
15:05 To guarantee the quality of such interventions, the Italian Society of Surgery of Obesity
15:10 has published on the website of the Institute Superior of Health,
15:13 guidelines and guidelines, and has provided a whole series of control measures for structures and surgeons.
15:19 Very important, in fact, is the choice of the patient who can be subjected to a bariatric surgery intervention,
15:25 and to let you know that there are also other possibilities to cure obesity.
15:29 Diet, exercise, a right psychological approach to food, but also drugs.
15:36 There are now drugs that are able to make even 10% of the weight lose.
15:41 So, surgery must be done when there is the right indication, in the right places, with the right surgeons,
15:48 but it is not the only approach, it is not a lifeboat, it is the last beach.
15:54 How many people suffer from atopic dermatitis or atopic eczema?
16:00 For how many suffer from atopic dermatitis or atopic eczema,
16:05 about 3 million people only in Italy, of which 20% are adults,
16:10 an easy and safe therapy is available today,
16:13 able to eliminate in a very short time both the typical skin manifestations of this pathology,
16:19 and the constant pruritus.
16:21 These are inhibitors, a class of drugs of the latest generation,
16:25 able to control this inflammatory disease of the skin,
16:29 chronic or recurrent, which, if not treated with these innovative therapies,
16:34 can present itself, worsening or regressing, throughout life,
16:38 with consequences also serious on its quality.
16:41 But how do these drugs work?
16:45 We asked Antonio Costanzo, professor of dermatology at Humanitas University.
16:51 Inhibitors are small molecules that block an enzyme
16:56 that signals inflammation within the cells.
17:01 Blocking this inflammation signal,
17:05 blocks the ability of factors released by many types of inflammatory cells
17:11 to induce two things in patients with atopic dermatitis.
17:15 The cutaneous inflammation, the so-called eczema,
17:18 which is the manifestation of atopic dermatitis, and the pruritus in these patients.
17:23 Assumed by oral and once a day,
17:26 they are able to inhibit the inflammatory action of the enzyme called GECCO 1, 2, 3,
17:32 and also act on the comorbidities related to this dermatological pathology.
17:37 Atopic dermatitis almost never comes alone.
17:41 Atopic dermatitis is a hyperactivity of a part of the immune system
17:46 that is the same that gives asthma, rhinitis, nasal polyposis, and food allergies.
17:53 So we often see patients who have atopic dermatitis as their main problem,
18:00 but then we find out they also have a little rhinitis,
18:04 asthma in the past, food allergies, and more than one food.
18:09 These drugs also work for atopic comorbidities.
18:14 We recently demonstrated it in a publication
18:18 in which we provided some patients with these scales of comorbidities,
18:24 not of atopic dermatitis, and we saw that these scales improved.
18:29 Of course, we see patients in which these comorbidities are not very serious,
18:35 because otherwise they would be followed by other professionals.
18:39 But do they have to be taken all their lives?
18:41 It is a chronic therapy, because the disease is chronic.
18:44 It is a therapy that, to start working,
18:47 a few hours or a few days are enough, and you immediately see an effect.
18:52 And this effect is maintained over time.
18:56 Now we have experiences of 3-4 years of therapy with this class of drugs.
19:03 And are they safe?
19:05 The inhibitors are safe.
19:07 There are news about problems that one, in particular,
19:13 the inhibitors, the glutathione, should be given to patients with rheumatoid arthritis.
19:19 So, based on this, there are recommendations
19:23 on the type of patients on which not to use them.
19:27 They are essentially strong smokers,
19:30 who have had non-provocated deep venous thrombosis,
19:34 that is, not consequent to a road accident, but spontaneous,
19:40 and who have tumors in the abdomen.
19:42 These are precautions that we use with many drugs,
19:46 not only with inhibitors.
19:49 And if we exclude these few patients,
19:53 the vast majority of patients have not had any side effects with these drugs.
20:02 Can there be a little nausea in the first few weeks with some of these inhibitors?
20:07 Yes, there can be, but then it passes,
20:10 and the vast majority of patients benefit
20:15 with a very, very high level of safety.
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20:30 Christmas is coming, as every year.
20:32 A party as much awaited and beautiful as anxious for some.
20:36 You have to think about the gifts to make, the dinner to prepare and organize,
20:39 who to invite, where to stay,
20:41 losing, perhaps, the religious sense that should be the basis of this party.
20:45 Not to mention the thousand thoughts that come up at the end of another year of life.
20:50 Holidays and Christmas are a moment of existential balance
20:55 that our own inner clock recalls us every year.
21:00 The other aspect is that there is an exaltation of the Holy Family,
21:04 from which it takes its origin, and one is always afraid not to face it.
21:09 Preparations, even the choice of gifts,
21:12 can be an additional effort compared to stress,
21:16 fatigue and all the activities of everyday life
21:21 that we carry with us all year round,
21:23 but which continue very often even during the Christmas period.
21:27 So it's a sum of many factors.
21:29 And what should we do to get through this period better?
21:32 First of all, it is important to cut back on time for yourself
21:36 and to reflect on your priorities,
21:38 trying to understand what are the things that give us joy,
21:41 that reassure us and that make us happy.
21:43 A second aspect is a careful planning of all the commitments
21:48 that will be made during the holidays and also during Christmas,
21:52 getting help, delegating and also talking about these difficulties
21:58 in order to create a collaborative environment
22:01 and also a sharing of these moments,
22:04 which are not only of fatigue but also of pleasure in doing things together.
22:09 It is necessary to define realistic limits,
22:12 to reduce commitments and try not to overload ourselves
22:17 beyond our own possibilities.
22:20 Often during these holidays, tensions arise at the family level.
22:24 But what is this due to?
22:25 Christmas holidays often catalyze a negative mood,
22:29 they can cause a depressive slip that we don't even notice,
22:33 and this is because there is a melancholy of how the holidays were during childhood
22:39 or because there is a concern about all the commitments that must be made
22:44 or that the holidays may not be relaxing or fun
22:48 and there is also sometimes the memory of people who are no longer there.
22:51 How can mental well-being be promoted during these holidays?
22:55 A firm organization and a planning of everything that must be done
23:01 is certainly an indispensable element.
23:04 During the holidays, you can also dedicate yourself to winter sports,
23:07 both to recover a lost form and to learn new ones.
23:12 In addition, winter sports are practiced in an environment of absolute silence,
23:18 of calm, in the middle of nature, and this always favors mental well-being.
23:23 And taking a nice trip, maybe taking advantage of any working points
23:27 between the various holidays, can it be useful?
23:30 Travelling is one of the keys to well-being at any age,
23:34 because you have new experiences, you get to know different places,
23:38 you meet stimulating people, because there is a real gap
23:44 compared to the commitments of everyday life, both at school and at work.
23:49 Seeing the city of art, taking a tour, even close,
23:53 but in places that you have never had the opportunity to visit before,
23:57 is a great opportunity to have new experiences,
24:01 to feel good and to be able to share a good time with friends
24:06 and with people who are dear to us.
24:08 For those who remain, I wish him a great party!
24:11 This was our latest news.
24:22 To contact us, you can write to salute@adnchronos.com.
24:27 Thank you for following us and from the whole editorial staff,
24:30 many Merry Christmas!
24:32 www.adnchronos.com
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