[Risk assessment in the domestic environment by critical point analysis. A report of a pilot project].
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Biomedical subjects
Publications and source records attributed to D D'Alessandro.
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The results of six economic evaluations on heptavalent conjugate pneumococcal vaccination in children are discussed. Although the data of most studies come from estimates, the last study from US, in which data are based on a large randomized trial, shows encouraging results. Similar results are obtained in an economic evaluation performed in Germany, although the study is based on estimated data. The paper concludes stressing the need to improve epidemiological, clinical and economical knowledge on the pneumococcal diseases, in order to identify the best cost-effectiveness strategy to prevent a diseases so important for children and the elderly.
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Providing enough water of good quality to all human communities is a difficult task, which has been satisfied only recently and only for the developed world. A large part of the developing world still suffers from scarcity and/or bad quality of water supply. Examples from the past are described, including the cholera epidemics of London 1848-1853 and the chromium pollution of the Milan area, 1958. A synthetic description of the different kinds of biological and chemical pollution are also described, then the complex mechanisms of biological and chemical pollution of the waters are illustrated, which require complicated interventions for reclamation after pollution or, better, even more complicated surveillance to avoid pollution. Finally the problem of safeguard of waters during the distribution is illustrated, when a bad maintenance of the aqueducts can inactivate all the precautions taken during the supply an the treatment of waters.
What role will hospitals play in the future of the healthcare system, and how this role will be changing? Hospitals of the future will confront difficult challanges: new kinds of disease, rapidly evolving medical technologies, aging of the population and evolving budget restrictions. All features that make it difficult to foresee the hospital of the future. The aim of this paper is to analyze the different challanges that hospital have to face in a modern scenario of evolution of public health services.
The Authors describe the personal and environmental preventive measures suggested to protect health workers from the risks due to a potential exposure to SARS agents. The Authors stress the need that workers are allowed to wear individual protective disposable complying with technical regulations in order to be assured the best protection.
The Authors describe the results of an investigation, carried out in the Nomentano quarter of Rome, to evaluate noise pollution level by road traffic and the annoyance in a resident sample. The measurement places have been subdivided according to three categories of streets ("flowing ", "quarter" and "local" streets); the LAeq (equivalent continuous level of noise) was taken during the day (from 7 am to 19 pm), the evening (from 19 pm to 23 pm) and the night (from 23 pm to 7 am). The results have been compared with previous study's data taken in 1988 and with the prescribed noise's limit values of the current national regulations. Lden values, the Community recommended acoustic parameter were also calculated. At the same time an interview was carried out to investigate resident's annoyance level; the results are discussed in relationship with registered noise levels.
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