Salus tv n. 34 del 21 agosto 2024
(Adnkronos) - In questo numero:
Il dermatologo Paro Vidolin, 'social utili per informazione medica e scientifica a giovani e anziani'
Bradicinesia, rigidità e tremore hanno dinamiche neurali diverse, ricerca apre a nuove cure Parkinson
Altroconsumo, diete vegana e vegetariana più sostenibili di mediterranea
Piovella della Soi, ‘correggere la miopia da adolescenti per evitare problemi da adulti’
A seguire lo Speciale Salus Tv dal titolo: La salute è più lontana che mai. I Risultati del 2° Rapporto dell’Osservatorio salute benessere e resilienza
Il dermatologo Paro Vidolin, 'social utili per informazione medica e scientifica a giovani e anziani'
Bradicinesia, rigidità e tremore hanno dinamiche neurali diverse, ricerca apre a nuove cure Parkinson
Altroconsumo, diete vegana e vegetariana più sostenibili di mediterranea
Piovella della Soi, ‘correggere la miopia da adolescenti per evitare problemi da adulti’
A seguire lo Speciale Salus Tv dal titolo: La salute è più lontana che mai. I Risultati del 2° Rapporto dell’Osservatorio salute benessere e resilienza
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NewsTranscript
00:00In this number, the dermatologist Paro Vidolin, social useful for medical and scientific information to young and old.
00:19Bradychinesia, rigidity and tremor have different neural dynamics. Research opens to new Parkinson's cures.
00:27And more.
00:29Other consumption. Vegan and vegetarian diet more sustainable than Mediterranean.
00:34Soi rain. Correct myopia for teenagers to avoid adult problems.
00:40To follow the special Salus TV from the title. Health is further than ever.
00:45The results of the second report of the health and well-being observatory Resilienza.
00:56It is now evident how in recent years the medical-patient relationship has changed significantly.
01:01It does not develop more in fact only in the clinic, but also on the web, in social networks.
01:05And the use of these channels is certainly useful for young people, but also for old people, more and more digital,
01:12who thus have the possibility of not staying behind and alone.
01:15And to be able to get in touch easily even with those specialists who have seen in these new ways of communication
01:20the possibility of updating and informing anyone you want on the more or less common medical problems and their prevention.
01:26As in the case of the dermatologist Andrea Paro Vidolin, responsible for the photodermatology center of the Israeli hospital in Rome.
01:32The use of social channels for medical dissemination, scientific dissemination,
01:38is certainly useful for, let's say, the younger patients, who are the ones who benefit most from social channels,
01:46but also for, let's say, older people.
01:49It can be very useful for, let's say, also a prevention discourse,
01:54also to make immediately known, let's say, pathologies that may be unknown.
01:59So, let's say, in my opinion, even the elderly do not stay behind,
02:03they still remain very important channels for medical and scientific dissemination.
02:08And what is your direct experience?
02:10My experience is that you can certainly reach patients in a much faster way,
02:15to also eliminate that barrier that is sometimes in the ambulatory between the doctor and the patient.
02:22Of course, all these things must be done in a very professional way, in a scientific way,
02:26and based on scientific publications, on scientific articles.
02:32So, let's say, all this must be done in a very, very serious way.
02:36Among the very active white shirts on social media, there is also someone who can be considered an influencer.
02:41As a doctor, however, he is more linked to other influencers, less titled, to give advice.
02:46How should we intervene?
02:48The rules, let's say, on social media, in medical information, in my opinion, must absolutely be changed.
02:53We must respect, this is right, a deontological code in the ambulatory,
02:58but sometimes we find ourselves being a little limited on social channels.
03:03So, probably, a more modern deontological code, in keeping with the times,
03:08would certainly be necessary to renew this relationship with patients.
03:13What should change, for example, for the activity on social media of a dermatologist like you,
03:17an expert in the treatment of vitiligo?
03:18Certainly, sometimes, the, let's say, answer that we must give at the end of every consultation on social media
03:25is to turn to your pharmacist or your trusted doctor.
03:29Perhaps giving some indications on some therapy,
03:32maybe on some dermocosmetic or on some drug, a little simpler,
03:37could be useful to help our patients.
03:48The slowness of the Chinese Obradian movements and the muscular rigidity,
03:52characteristic symptoms of Parkinson's disease, have an independent evolution
03:56and respond in time, in a different way, to treatments.
03:59This is what the researchers of the IRCS Neuromedia di Pozzilli, in the province of Sernia,
04:03of the University of Sapienza in Rome and of the University of Grenoble have discovered,
04:06through a study conducted in collaboration with other colleagues of Italian and international scientific institutions.
04:11Before the results of this new research, published on the prestigious scientific journal
04:14Annals of Neurology, which examined for 15 years the clinical data of 301 patients affected by Parkinson's disease,
04:21treated with deep brain stimulation, it was thought, in fact, that, contrary to the tremor,
04:26the Chinese Obradian movements and rigidity were closely correlated with the progression of the pathology.
04:31This therapy represents a sort of pathmaker for the nervous system,
04:34able to regulate the functioning of some nervous circuits through electrical impulses,
04:38the results of which, on the symptoms of Parkinson's disease, were already known.
04:41Until now, however, the understanding of how different symptoms respond to the treatment in the long term was limited.
04:47The results of this research, under the auspices of Antonio Suppa,
04:50of the Department of Human Neurosciences of the University of Sapienza in Rome and of the IRCS Neuromedia,
04:54as well as the coordinator of the research, have therefore laid the foundations for a small evolution in this field.
04:59The main clinical manifestations of Parkinson's disease are bradychinesia,
05:03that is, the slowness of the voluntary movement, muscular rigidity and, in 70% of cases, the tremor at rest.
05:11Traditionally, bradychinesia and rigidity have always been considered by the scientific community
05:17as the result of the same dysfunction in specific cortical networks.
05:23Clinical observation has allowed us to clarify that the evolution in the time of bradychinesia and rigidity
05:30in these patients who had received a deep brain stimulation treatment is almost entirely independent.
05:36In fact, bradychinesia continues to evolve, to worsen as expected,
05:41considering the progressive evolution of the disease.
05:45Rigidity, on the other hand, continues even after 15 years to respond very well to deep brain stimulation
05:52and these patients continue to be even hypotonic during stimulation,
05:57so they do not have this typical and important clinical sign of the disease.
06:01Observations, therefore, allow us to conclude that there must be distinct bases,
06:08or partly distinct, at the base of these two phenomena, that is, bradychinesia and rigidity,
06:14thus laying the foundations for new therapeutic approaches to the latter.
06:19VEGETARIAN AND VEGAN DIETS
06:25The vegetarian diet and the vegan diet have a lower impact on the environment than the Mediterranean diet
06:32and are also more sustainable on the economic level, given the exclusion of meat and fish.
06:37These are the main results of an investigation conducted by Altro Consumo
06:41on the sustainability of these three diets, Mediterranean, vegetarian and vegan.
06:44The right one, explains a note, can prevent diseases instead of curing them,
06:49but also reduce their environmental impact, by consuming more sustainable foods,
06:54maximizing vegetable and seasonal products and reducing the consumption of meat and dairy,
07:00since their production generates a huge amount of greenhouse gas.
07:04According to the United Nations report of December 2023,
07:07the food chain is in fact responsible for 30% of greenhouse gas emissions
07:12and these are caused by about 60% of animal products.
07:17Altro Consumo has therefore asked a nutritionist to constitute three balanced diets
07:22from a nutritional point of view for an average individual with a daily caloric intake of 2000 kcal.
07:28Based on the food and quantities provided for each diet,
07:31the cost and environmental impact of the diets have therefore been calculated
07:35and according to the analyses conducted by Altro Consumo,
07:37the vegan diet is the one that overall has the least environmental impact,
07:42weighing 32% less than the Mediterranean one and 18% less than the vegetarian one.
07:48This is because it does not provide food of animal origin
07:51and is based on the consumption of cereals, legumes, vegetables and fruit,
07:55fresh and dry, oils and vegetable and seed drinks.
07:58An adult person who follows the vegan diet,
08:00every week in fact produces 8 kg of equivalent CO2,
08:05consumes 15 square meters of soil and 1810 liters of water.
08:10The cheapest food regime, on the other hand, is the vegetarian one,
08:14with a weekly cost of about 53 euros,
08:17compared to about 63 euros of those who follow the Mediterranean diet
08:20and 54 euros of the vegan one,
08:22in which more is spent on vegetable alternatives to proteins,
08:25products that affect 16% of the weekly cost,
08:29in addition to fruit and vegetables, which represent 45% of the cost.
08:42Unlike astigmatism and hypermetropia, which are congenital defects,
08:47myopia appears during adolescence,
08:50hence the need to correct this defect seen from afar
08:52with a pair of glasses or, in rare cases, contact lenses
08:56to avoid consequences for adults.
08:59Very important, however, is also to undergo an eye doctor's visit,
09:03respecting a precise calendar.
09:05To underline this is Matteo Piovella, president of SOI,
09:08the Italian Ophthalmological Society,
09:11on the occasion of the ECMFAD course on myopia,
09:14the myopic eye pathology from childhood to adulthood,
09:17carried out with the contribution of the scientific partner
09:19Italian Ophthalmological Society, in collaboration with Fielman.
09:26The Italian Ophthalmological Society recommends a visit at birth
09:31and a visit within three years of age,
09:33and a visit on the first day of school,
09:35an ophthalmic visit, of course,
09:37and in this way any type of problem is avoided.
09:41Is it possible to surgically correct myopia?
09:45We have the laser technique,
09:49which is the one with the eye chimera laser,
09:53with the femtosecond laser,
09:55a mix of the two,
09:57the LASIK, the PRK,
09:59and the SMILE technique.
10:01They are all evolutions that allow,
10:05once identified and fundamental,
10:08with great precision,
10:10the entity of the visual defect of myopia,
10:12which must be still,
10:14it cannot continue to move,
10:17is corrected at this point
10:20with the precision of one thousandth of a millimeter.
10:24By applying these techniques,
10:26a complete correction of the visual defect is obtained.
10:32For the expert, however,
10:34despite the evolution of surgical techniques,
10:37glasses are still fundamental.
10:42Until myopia stabilizes,
10:45they are practically the most necessary thing,
10:51because the first correction of myopia
10:54is always a pair of glasses.
10:56Then, I repeat,
10:58surgery can possibly come later,
11:03but I would also like to remember
11:05that absolutely not all myopia patients
11:08have the will or the request
11:12to undergo surgery to eliminate myopia.
11:28The need for a national health plan
11:31that integrates health elements
11:33with environmental and social ones
11:35is the conclusion of the second report
11:37on health and resilience
11:39of the Bruno Vicentini Foundation.
11:41The health plan, as underlined by Uglio Carusi,
11:43professor at the Lewis Business School
11:45and coordinator of the Observatory,
11:47will be approved by the end of next year.
11:49We have received confirmation
11:51from the Ministry of Health
11:53involved in our work
11:55that the Ministry is working
11:57on a new national health plan.
11:59The news certainly pleases us
12:02and we hope that these 16 years of absence
12:05will help us develop a product
12:08new and in line with the times.
12:10And what do you propose?
12:12A health plan, not a health plan.
12:15So the wish is that this health plan
12:17can incorporate within itself
12:20also the components related to the environment
12:23and the components related to the individual
12:26and his social relations.
12:28The Observatory follows
12:30the framework of the One Health,
12:32so it puts in common
12:33the themes of human health,
12:35animal health
12:37and environmental health.
12:39It also incorporates within this framework
12:41the theme of social determinants,
12:43so there is a deep attention
12:45to those that are the themes of the individual
12:48and his social and interpersonal relations.
12:51To translate all this into practice,
12:54a quantitative measurement tool has been built,
12:58which is the Health Proximity Index,
13:00which articulates all its 72 indicators
13:03that it manages,
13:05in turn articulated in 22 domains,
13:07that is, 22 themes of specific interest
13:09on which it is possible to conduct
13:11ad hoc analysis in three main areas.
13:14One related to the individual
13:16and his social relations.
13:18Another related to the organizational system,
13:20and therefore the ability to produce services.
13:23And the third and last,
13:25which is the one related to places of life
13:27and the environmental context.
13:28Starting from home,
13:30it will be the first place of care,
13:32so it is called, baptized by the PNRR.
13:34And so on, concentric circles
13:36that go on to expand
13:38up to the theme of the ecosystem.
13:40In short, therefore,
13:42the Proximity Index is a tool
13:44to tell the evolution of this condition
13:46over the years,
13:48starting with a conventional value
13:50equal to 100 relative to 2010.
13:52Starting from the survey of that year,
13:54it traces a timeline
13:56of the progress of health proximity,
13:58that is to say,
14:00if we are getting closer to health
14:02or if we are moving away,
14:04as well as immediately understanding
14:06what are the causes
14:08that have led to this approach
14:10and this distance.
14:12The value of a tool
14:14able to synthetically restore
14:16this information
14:18and also restore it graphically,
14:20means that it is immediately readable
14:22both for a technical audience
14:24and for a public that is not technical.
14:26And therefore become priorities
14:28and the report presented this year
14:30has shown how the Proximity Index
14:32suffers a first fall
14:34in the years of the economic crisis
14:362012-2013.
14:38It rises again from 2016
14:40to then pay the tribute
14:42of the COVID pandemic,
14:44but not only,
14:46adding its historical minimum in 2022.
14:48And this despite the regulatory efforts
14:50and the initiative provided by the PNRR.
14:52The regulatory hypertrophy
14:54in the health sector
14:56without a unitary framework
14:58makes the recovery difficult
15:00and too slow.
15:02What function does this index have
15:04or can have in public policies?
15:06It is an innovative tool
15:08provided by the health,
15:10well-being and resilience observatory
15:12of the Bruno Vicentini Foundation
15:14that looks at a new concept,
15:16that of health proximity.
15:18We have defined it
15:20as the relationship
15:22between the person
15:24and good health
15:26in terms of availability
15:28but also
15:30the ability of the individual
15:32to make use of it.
15:34What does this mean?
15:36That it is no longer enough
15:38to have a service available
15:40here and now
15:42near our home
15:44and in convenient times,
15:46but it must also be done
15:48so that the recipient,
15:50the user,
15:52is able to use it.
15:54In this sense,
15:56an example is that
15:58of services related
16:00to the digital skills
16:02of this target population
16:04and therefore make sure
16:06that this type of service
16:08is not really close
16:10because it meets a population
16:12that is not able to use it.
16:14Expanding the theme,
16:16we find this same problem
16:18in digital public administration
16:20when there are always growing
16:22parts of the population
16:24that have cultural or linguistic
16:26limits and therefore
16:28do not make it usable
16:30due to limits related
16:32to the target population.
16:34In particular,
16:36the relationship to telemedicine
16:38dedicates an appendix
16:40with the results
16:42of the first national survey
16:44on telemedicine
16:46in the private ambulatory field
16:48conducted in 2022,
16:50to which 300 private and
16:52conventional structures
16:54with the national health service
16:56participated,
16:58with the result
17:00that 18% of the structures
17:02declare to already offer
17:04telemedicine services,
17:06although 58%
17:08does not intend to do so.
17:10This is a demonstration
17:12of how telemedicine
17:14is an embryonic phenomenon
17:16for which there is still
17:18a long way to go.
17:21This was our latest news.
17:23To contact us,
17:25you can write to
17:26www.dncronos.com
17:28Thank you for following us
17:30and see you next time.