Risultati per: La qualità dei nutraceutici e position paper per l’appropriato uso in medicina generale

Introduction
Falls are an important public health issue with consequences that include injuries, quality of life reduction and high healthcare costs. Studies show that falls prevention strategies are effective in reducing falls rate among community-dwelling older adults. However, the evaluation for effectiveness was usually done in a controlled setting with homogeneous population, and thus may not be generalisable to a wider population. This study aims to evaluate the impact of community falls prevention programmes with group-based strength and balance exercises, on falls risk and health outcomes for older adults with falls risk in Singapore.

Methods and analysis
This is a pragmatic closed cohort stepped-wedge cluster randomised trial design study, which involves sequential crossover of clusters from the waitlist control condition to the intervention condition, with the sequence of crossover randomly determined. The intervention will be sequentially rolled out to 12 clusters (a minimum of 5 participants/cluster), over 6 time periods with 8-week intervals in Central and North regions of Singapore. The primary analysis will be conducted under the intention-to-treat principle. A general linear mixed model or generalised estimating equation analysis appropriate for a multilevel longitudinal study incorporating an appropriate error distribution and link function will be used. Markov model will be developed to estimate the incremental cost per quality-adjusted life years and incremental cost per fall prevented from the implementation of falls prevention strategies from a societal perspective. Conditional on there being clinically relevant differences in short-term outcomes, we will implement simulation modelling to project the long-term divergence in trajectories for outcomes and costs using the Markov model.

Ethics and dissemination
Ethics approval has been obtained. Results will be disseminated in publications and other relevant platforms.

Trial registration number
NCT04788251.

“Per quanto riguarda i minori, è giusto che non debbano né svapare né fumare”

Maxi-studio, rischio di morte 55% maggiore per chi li assume

Il Presidente del Comitato di Settore Regioni-Sanità, Marco Alparone ha incontrato questa mattina, nella sede della Conferenza delle Regioni e delle Province autonome, il Segretario Generale Nazionale della Federazione Italiana Medici di Medicina Generale (FIMMG), Silvestro Scotti

Introduction
With technological advancement and the COVID-19 pandemic, paper-based media are giving way to screen-based media to promote healthy ageing. However, there is no review available covering paper and screen media use by older people, so the objective of this review is to map the current use of paper-based and/or screen-based media for health education aimed at older people.

Methods and analysis
The literature will be searched in Scopus, Web of Science, Medline, Embase, Cinahl, The ACM Guide to Computing Literature and Psyinfo databases. Studies in English, Portuguese, Italian or Spanish published from 2012 to the date of the search will be examined. In addition, an additional strategy will be carried out, which will be a Google Scholar search, in which the first 300 studies according to Google’s relevance algorithm will be verified. The terms used in the search strategy will be focused on older adults, health education, paper-based and screen-based media, preferences, intervention and other related terms. This review will include studies where the average age of the participants was 60 years or older and were users of health education strategies through paper-based or screen-based media. Two reviewers will carry out the selection of studies in five steps: identification of studies and removal of duplicates, pilot test, selection by reading titles and abstracts, full-text inclusion and search for additional sources. A third reviewer will resolve disagreements. To record information from the included studies, a data extraction form will be used. The quantitative data will be presented in a descriptive way and the qualitative data through Bardin’s content analysis.

Ethics and dissemination
Ethical approval is not applicable to the scoping review. The results will be disseminated through presentations at significant scientific events and published in journals in the area.

Protocol registration number
Open science framework (DOI: DOI 10.17605/OSF.IO/GKEAH).

Comunicato del 22/05/2023 n°29

Schembri (FIMMG Formazione): “Siamo a quasi 80 giorni di ritardo dai termini previsti per legge. Conseguenze? Meno Medici di Medicina Generale sul territorio, più cittadini senza Medico di Famiglia. Chiediamo pubblicazione bandi entro l’estate e concorso a novembre, con inizio effettivo entro la fine del 2023”

A 45 anni dalla legge Basaglia resta lo stigma verso i pazienti

In Italia nel 2021 si hanno in attività 40.250 MMG (in calo di 1.457 unità rispetto al 2020), di questi circa il 75% ha oltre 27 anni di anzianità

La profilazione genetica per stabilire l’efficacia delle terapie

Il secondo step sarà lavorare sull’accesso alle specializzazioni

Annals of Internal Medicine, Ahead of Print.