(Adnkronos) - In questo numero:
Neuromielite ottica, ricadute bloccate grazie a ravulizumab
Airalzh, presentati i primi 10 anni di studi sull’Alzheimer
L’università Milano-Bicocca presenta l’outpost Bridge-Uganda
Fism, salute digitale al centro della seconda tappa verso Stati Generali
Cardiologia, disponibile in Italia pacemaker bicamerale senza fili. È il primo al mondo
Aggressioni ai sanitari, d'Alba di Federsanità: "Risposta forte sul tema delle pene sarebbe per operatori sanitari un’attenzione importante"
Declino cognitivo e demenza, 9 italiani su 10 temono per se stessi o per i familiari
Sport antidoto del mal d’autunno, i consigli della personal trainer Chiara Fazzini
Per concludere la seconda punta della Serie “Tumore al seno e rientro al lavoro”, dal titolo: Diritti delle donne con diagnosi di tumore al seno che desiderano/possono rientrare al lavoro e modalità di rientro
Neuromielite ottica, ricadute bloccate grazie a ravulizumab
Airalzh, presentati i primi 10 anni di studi sull’Alzheimer
L’università Milano-Bicocca presenta l’outpost Bridge-Uganda
Fism, salute digitale al centro della seconda tappa verso Stati Generali
Cardiologia, disponibile in Italia pacemaker bicamerale senza fili. È il primo al mondo
Aggressioni ai sanitari, d'Alba di Federsanità: "Risposta forte sul tema delle pene sarebbe per operatori sanitari un’attenzione importante"
Declino cognitivo e demenza, 9 italiani su 10 temono per se stessi o per i familiari
Sport antidoto del mal d’autunno, i consigli della personal trainer Chiara Fazzini
Per concludere la seconda punta della Serie “Tumore al seno e rientro al lavoro”, dal titolo: Diritti delle donne con diagnosi di tumore al seno che desiderano/possono rientrare al lavoro e modalità di rientro
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NewsTranscript
00:00In this issue, optical neuromyelitis, blocked relapses thanks to Ravulizumab.
00:16AIRANS, presented the first 10 years of studies on Alzheimer's.
00:20The University of Milan Bicocca presents the Outpost Bridge Uganda.
00:25FISM, digital health at the center of the second stage towards the United States
00:30CARDIOLOGY, available in Italy
00:32PACEMAKER BICAMERALE SENZA FILI, is the first in the world.
00:37AGGRESSION TO HEALTHCARE
00:38D'ALBA, of FEDERSANITÀ, a strong response on the topic of penises,
00:41would be an important attention for health workers.
00:45DECLINE COGNITIVO E DEMENSA, 9 Italians out of 10,
00:48they fear for themselves or for their families.
00:50SPORT, ANTIDOTO DEL MAL D'AUTUNNO, the advice of the personal trainer Chiara Fazzini.
00:56And to conclude, the second episode of the series TUMORI AL SENO E RIENTRO AL LAVORO.
01:00From the title, rights of women with breast cancer diagnosis who want,
01:04but can return to work in reentry mode.
01:12There are about 1,500-2,000 people, mostly women,
01:16who in Italy suffer from Spectrum Neuromyelitis Optica,
01:19a rare autoimmune disease in which the immune system
01:22attacks tissues and healthy cells of the central nervous system.
01:25The relapses of the disease, unpredictable and characterized by neurological symptoms,
01:30can cause cumulative disability and thus compromise the quality of life of patients.
01:35For adults affected by Spectrum Neuromyelitis Optica disorder,
01:38positive to the antibody Antiaquaporina IV,
01:41is now available and refundable the monoclonal antibody Ravulizumab.
01:45Developed by Alexion AstraZeneca Rare Disease,
01:48it is the first inhibitor of the long-term action complement C5 for the treatment of this rare disease.
01:54This is a drug that has proven to be effective, I must say,
01:58never seen in previous studies.
02:01I was lucky enough to experiment on my patients with this drug
02:04and to be able to see that none of the patients studied in the trial
02:09in the period of almost two years.
02:13Now we also have a greater follow-up,
02:16about two and a half years.
02:18The data were recently presented at a conference in Canada
02:22and I must say that this effectiveness has been maintained over time.
02:27A drug that is supplied for endovenous via every two months,
02:33thus also facilitating a little the convenience as regards the patient
02:39compared to similar drugs that were injected every 15 days.
02:44The Free Way of Haifa, the refundability of Ravulizumab is important,
02:48but it is equally essential to guarantee to all patients equal access to the cures.
02:53It is important that there are reference centers,
02:56because people must be able to find in their territorial reality
03:02who is able to make an accurate tempestuous diagnosis,
03:06diagnosis that does not stop as a first step,
03:11because in reality it takes a monitoring, a cure that must continue
03:17up to the evaluations through the center, through the territorial network
03:23of all those needs that must find answers to give the person
03:27the possibility to live their life beyond the disease.
03:30The commitment of Alexio in the research and development of transformative drugs
03:34for people affected by rare diseases has lasted for over 30 years.
03:38With this line of research we have managed to make available
03:42to patients affected by neuromyelitis, which is a very serious disease
03:48and highly disabling, a very effective solution
03:53that allows them to live an equally excellent quality of life.
03:59There are 55 million people worldwide, of which 2 million only in Italy,
04:09to be affected by dementia, data that make such pathologies
04:13a real social emergency and a priority of public health.
04:17To launch the alarm, AIRALS, the Italian Association for Alzheimer's Disease Research,
04:22or LUS, which on the occasion of its decade of foundation,
04:25has launched a campaign of awareness, which invites the population
04:29to be more aware of the benefits of a correct lifestyle,
04:34among which there is also the prevention of the risk of dementia.
04:37The activity of AIRALS, constituted in 2014,
04:41started with funding for research in 2016.
04:44Since then, the association has funded 81 research assignments
04:48for young researchers throughout the national territory.
04:52Since 2020, instead, we have decided to move the funding to projects,
05:00so the Principal Investigator, or PI, always young,
05:07so we are always focused on financing the research of young people under 40,
05:14has allowed, from 2020 to today, to finance 26 research projects.
05:22The projects are, above all, on early diagnosis,
05:27the identification of targets on which research can be focused
05:35for new pharmacological interventions and non-pharmacological interventions,
05:40and, above all, in recent years, also on prevention.
05:46To prevent the emergence of Alzheimer's disease,
05:48it is necessary to adopt a healthy lifestyle characterized by two main factors.
05:53First of all, food, and the WHO uses the term Mediterranean diet,
05:59that is, it recommends to the whole world to follow the Mediterranean diet,
06:03if a balanced diet is not possible, and this is very simple,
06:08we know how to do it and we should all do it.
06:11Another very important aspect is physical activity,
06:16and it is incredible, but doing a daily physical activity improves
06:21memory responses and tests and reduces the risk of cognitive decline or even dementia.
06:29Although today, thanks to the control of risk factors,
06:32Alzheimer's disease is less scary,
06:35it is important to keep your attention high compared to some alarm bells.
06:40Bad cholesterol, for example, an uncontrolled sight impairment,
06:46deafness, especially if not treated, but then there are cardiovascular risk factors,
06:52hygiene, in particular oral hygiene,
06:54the microbiota, when in some way affected by the wrong diet,
06:59alcohol, smoking, atmospheric pollution, heavy metals,
07:07there are many factors that in a concept of global health
07:12also affect Alzheimer's disease.
07:14In fact, the fragility of the brain or the vulnerability of the brain
07:19is expressed by increasing the risk of getting sick,
07:22so everything we can do to safeguard the health of the brain
07:27also serves to counteract Alzheimer's disease.
07:34A five-year collaboration agreement between the University of Milan-Bicocca
07:38and the Accor Hospital in northern Uganda
07:41for the development of joint research and training activities
07:44in the field of multidisciplinarity.
07:46It is as provided by Bridge Uganda,
07:48where Bridge stands for Bicocca Research and Innovation for Development and Global Health,
07:53the second outpost of the Milanese Athenaeum,
07:56presented today in Milan with the event Global Health,
07:59the role of the Academy and which is part of the Bicocca Global Health Center project.
08:05Today, in my opinion, is a very special day
08:07because there is a lot of talk about internationalization
08:09and there is also a lot of talk about the national health system and medicine.
08:13And so, in a context where in our country we reflect on the number of doctors,
08:19nurses and also on the quality of the national health system,
08:22it is very important for us to really spread this quality,
08:26not only in our country, but also in one of the most fragile areas internationally,
08:32which is this northern part of Uganda,
08:34which really represents one of the world's largest economic and social fragilities.
08:40The reduced resources of the health authorities of low-income countries
08:44represent a challenge and an opportunity for the future Italian doctors involved in the project.
08:50The name Bridge was given to a headquarters that will have Bicocca
08:55in the heart of a hospital in northern Uganda, the Choro Hospital.
08:59And it is part of a path of projects that brings Bicocca, medicine
09:06and many departments of Bicocca, the whole Athenaeum,
09:09to want to invest and work in low-income countries.
09:14We strongly believe that exposure in certain low-resource contexts
09:20allows us to do our job better, which is to train and do research.
09:27For students and specialists of the University of Milan-Bicocca,
09:30the experience in Uganda will be an opportunity for enrichment,
09:33not only professional, but above all human.
09:36For a doctor to learn what are the real problems of 90% of humanity
09:43in certainly less privileged territories,
09:47it still represents an absolutely inimitable gym.
09:53It is not only a very important experience from a professional point of view,
09:57but I would like to say that it is absolutely fundamental for what is the personal experience,
10:02the human growth of any person.
10:06The importance of collaboration between countries has become even more evident
10:09with the 2020 pandemic, as underlines the Vice-Mayor of Milan, Anna Scavuzzo.
10:14Not only has the pandemic taught us that health is a theme for everyone,
10:19but we know what the strategic role of cities can be,
10:22also in terms of promotion and prevention.
10:25And so, just like universities, cities are also willing
10:29to serve an ecosystem for health and for citizens.
10:37The Federation of Italian Medical Scientific Societies, FISM,
10:41has organized the Convention on the Evolution of Health
10:45in the Context of Digital Transformation and Artificial Intelligence
10:50in the framework of the Cosimo Piccinno Auditorium of the Ministry of Health.
10:54At the event, experts from institutions,
10:57scientific societies, technological partners and patient associations
11:01are present to explore how new technologies are changing
11:05the way patients are treated,
11:08with a focus on digital health,
11:10connected and supported by artificial intelligence, and to talk about skills.
11:16We need to alphabetize both health professionals and patients,
11:22because we are living in a revolutionary era in medicine.
11:29The electronic health facility is starting up,
11:32it will need to be filled with content,
11:34and to be able to fill it with content,
11:36it is necessary to develop skills.
11:38The so-called digital skills, the soft skills,
11:42are now projected towards artificial intelligence algorithms.
11:48Officially, we must be good at managing and setting them.
11:53The second stage of the process,
11:55which will lead at the end of the year to the General States FISM,
11:58to celebrate the 40th anniversary of the Constitution of the Federation,
12:01has planned three discussion sessions.
12:04The first session is the one that concerns all aspects,
12:09let's say, organizational and management, of telemedicine
12:15and its branches, such as, for example,
12:17radiology and telecommunications.
12:21The second session is about the relationship between health and the patient,
12:27how this digital medicine can change the approach,
12:34also with the patient, and can improve care,
12:38and can improve health organization.
12:41And the last session is the one dedicated to artificial intelligence.
12:45It is important to provide new medical and social health professionals
12:49capable of using digital tools correctly,
12:53as well as understanding what skills the doctor must acquire
12:57to be more and more adapted to the world of artificial intelligence.
13:00The medical profession is still a profession for the most part
13:04that is based on individual experience,
13:06so it has a very strong component of individual professionalism.
13:10Artificial intelligence will help us to make all this articulated path
13:17much more uniform, so that if we are on the Alps or at sea,
13:26we can receive the same level of diagnosis and therapy quality.
13:31We are moving in this direction.
13:33According to the institutions,
13:35digitization can improve the national health service.
13:39It can make health a more fluid good for everyone,
13:44regardless of where the Italian citizens live.
13:48So it is a tool, in my opinion, to have greater equity in care.
13:52We believe in it, we are investing a lot in this
13:55and I am sure that we will have positive health results for everyone.
14:03Cardiac arrhythmias are on the rise
14:06and it is estimated that about a third of the world's population
14:09could develop a pathological arrhythmia,
14:12one of the most common causes of mortality,
14:14access to emergency aid and recovery.
14:17To meet the needs of people with an abnormal heart rate
14:21or slower than normal,
14:23Abbott has announced the availability in Italy of AVEIR-DR,
14:27the world's first non-chambered pacemaker system.
14:31The technology of the pacemaker has not had great revolutions in recent years.
14:37Let's say that finally this technology, this product,
14:41brings a great innovation,
14:43allowing the installation of the device without the use of catheters
14:48and using leadless technology,
14:51in order to expand the possibility of installation
14:54to patients who can benefit from this technology.
14:57The device allows two non-chambered pacemakers
15:01to communicate and synchronize with each other
15:04thanks to the implant-to-implant communication technology,
15:07patented by Abbott.
15:09The safety margin of wireless pacemakers is high.
15:13The so-called wireless pacemakers
15:16are pacemakers that are inserted directly into the cardiac cavity
15:21without the need to have a surgical wound,
15:24as is conventionally created
15:27when a conventional pacemaker is implanted.
15:32The advantages are, apart from the aesthetic advantage,
15:36the fact that wireless pacemakers significantly reduce,
15:40if not zero, the risk of infection.
15:44In fact, the risk of infection is still one of the complications
15:48of the conventional pacemaker implant,
15:51which is between 1 and 5% of all implants.
15:55This is an important step in technology
15:59because it offers the patient a much higher safety margin
16:05and wider than the conventional pacemaker.
16:09Above all, wireless pacemakers
16:12reproduce exactly the function of the conventional pacemaker.
16:18So, in fact, there is no difference in terms of stimulation,
16:23but a whole series of advantages.
16:26AVEIR D-AR, 10 times smaller than the devices available today,
16:30has been certified in Europe
16:32and the first implants in Italy have already been carried out.
16:35The pacemaker is revolutionary
16:38because, compared to conventional pacemakers,
16:41it does not need wires, it does not need a keyboard box.
16:46So, once positioned in the heart,
16:49they communicate with each other
16:51and allow as much physiological stimulation as possible to the patient
16:55without having the risk of having catheters
16:58or clearly reduced the risk of breaking the catheters,
17:01of infections and so on.
17:09Those who access an emergency must have respect for the place and those who work there,
17:13but we can't close the case.
17:16The DDL on DASPO, however,
17:18I believe it is a constitutional right of the citizens.
17:21The aim is to raise the level of punishment
17:23for those who stain themselves with crimes,
17:25even with the tool of wound arrest.
17:27We must give a signal to our professionals.
17:29The country system considers them as something precious
17:32and provides a system of rules that protects them.
17:34This is explained by the ADN Kronos Salute Fabrizio Dalba,
17:37President of FederSanitario,
17:39on the subject of aggression against health personnel,
17:42which for the Director General of the Umberto I Polyclinic in Rome
17:45has never left the agenda.
17:47On the other hand, it is also demonstrated by the event
17:49that took place at the Foggia Polyclinic
17:51and the damages of the health workers,
17:53which for Dalba, however, goes beyond this phenomenon,
17:55because it would have delinquency.
17:58The commitment of our world
18:00is to agree with our solutions,
18:03to try, for what we can,
18:06to create the conditions
18:08so that these phenomena are reduced.
18:10This means working on the spaces,
18:12working on a certain type of training for the users,
18:15working on a certain type of communication
18:18that at least reaches that part of the citizenship
18:21that is simply exasperated, which is delinquent.
18:24So this is our piece of commitment,
18:26and also as a federation,
18:28we are committed to this.
18:30This is our piece of commitment,
18:32and also as a federation,
18:34we are committed to this.
18:36We will work to make concrete proposals.
18:38But the problem is a broad problem,
18:40and I say that a strong response
18:42on the subject of goods,
18:44however, let's say,
18:46would also be an important thing,
18:48because it would also be elected
18:50by health workers,
18:52by health professionals,
18:54with an important attention.
19:0010 out of 10 Italians are concerned
19:02for themselves or that their loved ones
19:04may suffer in the future
19:06from cognitive or dementia disorders.
19:08This is evidenced by an investigation
19:10conducted by the IMG Institute
19:12on a champion of 1,000 Italians
19:14between 24 and 75 years old.
19:16An investigation that surveyed
19:18the level of knowledge on cognitive
19:20and dementia decline,
19:22highlighting the perceptions
19:24and informative needs of citizens.
19:26A research presented in Milan
19:28on cognitive and dementia decline,
19:30how much we know,
19:32what we are doing
19:34and what impact it has on society
19:36and on the national health service,
19:38promoted by Neopharmed Gentili
19:40in the month dedicated to Alzheimer,
19:42the most widespread form of dementia.
19:44The first risk factor
19:46is low education.
19:48So not having a good cultural level,
19:50not having a good reserve
19:52is the main risk factor.
19:54But then, of course,
19:56lack of education, hypovision,
19:58lack of physical and social activity,
20:00the low level of some elements
20:02of the diet,
20:04for example,
20:06the increase in the consumption
20:08of carbohydrates and fats,
20:10are all factors
20:12that affect the development
20:14or acceleration
20:16of the neuropathological process
20:18and on which we must intervene.
20:20From the IMG Different survey,
20:22it emerges that more than 90%
20:24of the states take care of a person
20:26affected by cognitive disorder
20:28and a source of stress.
20:30Today, the management of cognitive
20:32and dementia decline
20:34relies on an important tool
20:36represented by the guidelines.
20:38In this guideline there are
20:40167 recommendations,
20:42many of which are based
20:44on the GRADE method
20:46and therefore on the literature.
20:48In addition,
20:50all the evolution of the disease
20:52from the preclinical phase
20:54to the diagnostic phase
20:56in the major neurocognitive disorder
20:58of a mild degree,
21:00of a moderate degree,
21:02of an advanced degree,
21:04also with regard
21:06to palliative care.
21:08So these guidelines
21:10are addressed not only
21:12to the employees of CIVAM,
21:14but also to the family members.
21:16There is also a very well-developed
21:18opusculum that is addressed
21:20by the National Guidelines Institute.
21:22In Italy, there are over a million
21:24people suffering from dementia
21:26and over 900,000 are affected
21:28by mild cognitive impairment,
21:30that is, by mild cognitive decline,
21:32numbers that tell of a growing
21:34social health emergency.
21:36The economic impact of these
21:38pathologies is significant.
21:40In the field of guidelines for diagnosis
21:42and management of dementia
21:44and cognitive declines,
21:46we have done a study of cost of illness,
21:48the economic impact of pathologies
21:50in terms of direct health costs,
21:52that is, in charge of the national
21:54health service,
21:56indirect costs related to the loss
21:58of patient productivity
22:00and caregivers,
22:02and out-of-pocket spending,
22:04that is, completely in charge
22:06of the patient and the families.
22:08The overall impact has been estimated
22:10at 23 billion, of which 4 billion
22:12in charge of the national health service,
22:145 billion in charge of indirect costs
22:16and 15 billion in total in charge
22:18of the families,
22:20that is, out-of-pocket spending
22:22related to informal assistance
22:24and the participation of private health services.
22:32Autumn is a season of transition.
22:34Instead of thinking about
22:36how to have fun and relax,
22:38or rest in a summer village,
22:40at the sea, in the mountains or at the lake,
22:42we go back to the usual trantrant,
22:44our mood.
22:46The sun, in fact, is no longer
22:48the master of the sky,
22:50it starts to shine among the clouds,
22:52the days shorten,
22:54the temperatures drop,
22:56it rains often,
22:58and we return to the frenzy
23:00of everyday life.
23:02Babies take over,
23:04they prefer to stay warm at home
23:06or stay on the sofa or bed,
23:08as well as TV and TV series,
23:10while the idea of training
23:12is to reduce stress,
23:14to prepare for the winter.
23:16First of all, however,
23:18as Chiara Fazzini explains,
23:20kinesiologist, personal trainer
23:22and founder of the holistic training method
23:24CF Trainings,
23:26it is important to set
23:28feasible limits to reach.
23:30Losing 3 kg in 2 months
23:32is a goal that is definitely
23:34correct and achievable,
23:36rather than wanting to lose
23:3860 kg in 3 months,
23:40which is too much beyond
23:42what is really expected
23:44and what is the reality of facts.
23:46So, to set goals
23:48and then do concrete and correct actions
23:50relying on professionals
23:52to then reach them.
23:54So maybe start finding
23:56nutritionists,
23:58at the level of training in our country,
24:00start going to fitness centers
24:02or any place that puts us
24:04at ease and can give us
24:06that extra support
24:08to achieve our goals.
24:10But not only.
24:12Consider that man was born in nature.
24:14So already,
24:16when a human being is in contact with nature
24:18and with the sun's light,
24:20he goes to reestablish all those
24:22that are the circadian rhythms of the body
24:24and the body's thermoregulation.
24:26The sun's light is very important
24:28for the production of vitamin D,
24:30it is very important to reinforce
24:32the immune defenses,
24:34so there are a number of benefits
24:36that the human body,
24:38through screens, blue lights,
24:40social networks, has completely lost,
24:42which is precisely the contact with nature.
24:44Doing physical activity in nature
24:46is really important.
24:48And this also in the winter and in the cold,
24:50because as Chiara Fazzini explains,
24:52although the body is a stressful factor,
24:54if used well, there are multiple benefits
24:56that can be drawn from this activity.
24:58In the cold, the human body
25:00introduces all those survival mechanisms,
25:02so it warms up,
25:04it warms up all the internal organs,
25:06the viscera, and this thing here
25:08has an excellent benefit
25:10in terms of circulation,
25:12so for all women who may have problems
25:14of anesthetics in the legs,
25:16cellulite, water retention,
25:18exposure to the cold,
25:20the colder temperatures,
25:22it has an excellent benefit
25:24in terms of the microcircle of the legs,
25:26so the correct oxygenation of all tissues.
25:28The heart rate increases,
25:30so the blood is sent faster,
25:32and above all, it is very important
25:34because we are going to restore
25:36the body's thermoregulation.
25:38So maybe if a person moves away
25:40too much from the environment of nature,
25:42from the cold, and locks himself
25:44inside the four walls of the house
25:46with hot water,
25:48this thermoregulation is completely lost,
25:50so it happens that you always have
25:52a cold all the time,
25:54you have to spend a lot of money
25:56just for thermosiphons every year,
25:58instead, going back in contact with nature,
26:00especially with cold temperatures,
26:02in addition to exploiting
26:04these important benefits that the cold gives us,
26:06you also find that balance
26:08that may be lost over the years,
26:10so that balance of thermoregulation
26:12and support in terms of
26:14immune defenses.
26:31Thanks to the new oncological therapies
26:33available today,
26:35a disease such as metastatic breast cancer
26:37can arrive if not
26:39to complete healing,
26:41to chronicization.
26:43This expands the life expectancy
26:45and for patients,
26:47the possibility of returning to work opens up.
26:49A patient with metastatic tumor
26:51can go back to work
26:53and enjoy a package of rights
26:55that are inspired by the competitive need
26:57to protect the conditions of the body
26:59and to allow participation
27:01in working life
27:03and exercising one's professionalism.
27:05The patient with metastatic tumor
27:07who returns to work
27:09enjoys different rights.
27:11The rights are different,
27:13but in particular the most important
27:15is the right to transform
27:17the working relationship
27:19from full-time to part-time
27:21in case the chronic pathology
27:23is a degenerative pathology,
27:25that is, characterized by
27:27a reduced working capacity,
27:29also due to therapies
27:31such as chemotherapy,
27:33and above all,
27:35this pathology and this disability
27:37has been confirmed by the medical commission
27:39at the health company
27:41territorially competent.
27:43Upon verification of these two requirements,
27:45the worker has the right
27:47to ask for the transformation
27:49of the working contract
27:51from full-time to part-time.
27:53A second right,
27:55in 1992,
27:57is represented by the concession
27:59of working permits.
28:01In particular,
28:03three days of monthly permission
28:05that can be divided into hours
28:07and two hours a day,
28:09one if the schedule is less than six hours.
28:11In the case of recognition
28:13of civil invalidity
28:15with a reduction in working capacity
28:17greater than 50%,
28:19it is then possible to benefit
28:21even in a non-continuous way
28:2330 days in the course of the year.
28:25Also important are the rights
28:27always provided by Law 104
28:29to the admission
28:31to the workplace
28:33closer to the residence,
28:35as well as the right to transfer
28:37and the right to admission
28:39to night shift.
28:41Details on the subject
28:43are available on the website
28:45eTempoDiVita.
28:47This was our latest news.
28:49To contact us,
28:51you can write to
28:53salute-admchronos.com
28:55Thank you for following us
28:57and see you in the next episode.