- Rheumatoid Arthritis Research and Therapies
- SARS-CoV-2 and COVID-19 Research
- Vaccine Coverage and Hesitancy
- Biosimilars and Bioanalytical Methods
- Influenza Virus Research Studies
- Hepatitis C virus research
- Health Literacy and Information Accessibility
- Hepatitis B Virus Studies
- Mycobacterium research and diagnosis
- Climate Change and Health Impacts
- Focus Groups and Qualitative Methods
- Bone and Joint Diseases
- Patient-Provider Communication in Healthcare
- Pulmonary Hypertension Research and Treatments
- COVID-19 epidemiological studies
- Zoonotic diseases and public health
- Spondyloarthritis Studies and Treatments
- Indoor Air Quality and Microbial Exposure
- Systemic Sclerosis and Related Diseases
- Hepatitis Viruses Studies and Epidemiology
- COVID-19 and healthcare impacts
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Systemic Lupus Erythematosus Research
- Healthcare Facilities Design and Sustainability
- Bone health and osteoporosis research
University of Milan
2019-2022
Metropolitana Milanese (Italy)
2021-2022
Agenzia Regionale Parchi
2020
Regione Lazio
2020
Istituti di Ricovero e Cura a Carattere Scientifico
2013-2016
University of Pavia
2014-2015
Foundation Center
2014
Policlinico San Matteo Fondazione
2013
<h3>Background</h3> HBV infection represents a major issue in RA patients undergoing biological disease-modifying anti-rheumatic drugs (bDMARDs) treatment (1). While several studies deal with the risk of hepatitis reactivation under anti-TNF agents, there is limited experience newer as tocilizumab (TCZ) and abatacept (ABA) (2). <h3>Objectives</h3> To assess B real-life ABA TCZ. <h3>Methods</h3> history ("HBV chronic inactive carriers" HBsAg+ undetectable or <2,000 IU/mL viral load +...
<h3>Background</h3> Many patients with rheumatoid arthritis (RA) experience anxiety and depression, higher presence of these disorders in those poorer outcome [1]. Previous experiences found relationships psychological status disease activity active [2,3]. Further evidences are needed to asses the impact on residual RA during treatment. <h3>Objectives</h3> To register prevalence anxious (ANX) depressive (DEP) treated bDMARDs stable therapy evaluate their connection activity. <h3>Methods</h3>...
In the last 10 years, growing approval and marketing of biological agents has significantly ameliorated outcomes rheumatoid arthritis spondyloarthritis patients suffering from active refractory disease despite conventional treatments. As patent protection many biopharmaceuticals will expire in next biosimilars could be proximally introduced. Such marked only when they proven, through vitro vivo studies, to similar enough original comparator term quality, efficacy safety. are less expensive...
<h3>Background</h3> Osteoporosis (OP) is a frequent complication of number chronic inflammatory diseases. Only Rheumatoid Arthritis (RA) included in the FRAX algorythm to calculate fracture risk but also Systemic Sclerosis (SSc) displays many disease-specific OP factors (chronic inflammation, malnutrition, steroid use, etc.) <h3>Objectives</h3> To determine frequency and by outpatients with SSc <h3>Methods</h3> After consent, (le Roy criteria) University Hospital, bone mineral density (BMD)...
<h3>Background</h3> Treating disease to target is emerging as the recommended strategy also in management of axial-SpA (axSpA) (1). Reaching remission, defined inactive (ID), constitutes ideal clinical practice. <h3>Objectives</h3> Using new composite activity index "<i>Ankylosing Spondylitis Disease Activity Score</i>" (ASDAS) (2) we assessed prevalence ID a cohort patients with axSpA treated anti-TNFα agents. Potential patient- and disease-related factors influencing status were analyzed....
<h3>Background</h3> Actually, as suggested from current therapeutic guidelines, tapering of biologic agents (bDMARDs) seems a feasible option in subsets rheumatoid arthritis (RA) patients persistent clinical disease control [1]. However definite step-down schedules are far to be fully elucidated due the heterogeneity available data controlled trials. Data on real life contests even fewer. <h3>Objectives</h3> To analyze feasibility bDMARD spacing maintaining RA low activity (LDA) or...
<h3>Background</h3> Current guidelines about rheumatoid arthritis (RA) management might admit tapering schedules of biologic disease modifiying drugs (bDMARDs) when activity control has been achieved and maintained, in line with growing scientific evidences [1]. Great heterogeneity target populations, end-points, study designs, therapeutic protocols, criteria for bDMARD discontinuation resumption globally prevents from univocal interpretation results [2]. Real life data provide additional...
<h3>Background</h3> A new algorithm for early detection of PAH in Systemic Sclerosis (SSc) patients has been recently developed (1). However, the cost-effectiveness this strategy not yet defined a real-life setting. <h3>Objectives</h3> The aim study was to compare two methods screening among SSc referral invasive tests (right heart catheterization (RHC)) single PH center. <h3>Methods</h3> Patients with according ACR/EULAR 2013 classification criteria were enrolled and prospectively followed...
<h3>Background</h3> The performance of the 2010 ACR/EULAR classification criteria for rheumatoid arthritis (RA) using ultrasonography (US) as an alternative instrument to detect synovitis has recently been tested (1). <h3>Objectives</h3> To evaluate impact addition US on in early patients, considering use disease modifying antirheumatic drugs (DMARDs) 12 months after first evaluation reference standard diagnosis. <h3>Methods</h3> Patients attending time clinic before were published,...
Abstract Background Theoretical knowledge about health communication (HC) and expertise in planning, implementation evaluation of HC interventions are essential tools for Public Health (PH) specialists. In the social media (SM) era, specific abilities digital skills gaining importance. Objective Our aim is to describe European PH residents’ perceptions regarding their training field, with a focus on SM. We piloted survey using Google Forms during Network Medical Residents (EuroNet MRPH)...
Abstract Background Developing core competencies is crucial for the quality of educational curricula in Public Health Medicine (PHM). The postgraduate medical School University Pisa developed a curriculum PHM specialists (CCV0), adapted from list promoted by Association Schools European Region (ASPHER). Objectives We will apply Garavalia method, three-round step-wise Delphi consensus, adapting CCV0 to Italian context. Participants be enrolled through purposive sampling among members Society...
Abstract Background Adequate vaccination coverage among healthcare workers, including students in professions (SHPs), is crucial order to prevent spreading of infections within facilities. However, SHPs often inadequate. We aimed describe the vaccination/immunization status University Milan. Methods spread an e-survey academic e-mail addresses postgraduate medical residents and first- last-year undergraduate SHPs. The questionnaire covered sociodemographic data (age, sex, education,...
Abstract Background Students in Healthcare Professions (SHPs) present an increased risk of contracting and transmitting Vaccine-Preventable Diseases (VPDs). Our study aimed to investigate the organizational strategies (screening immunization for VPDs vaccination promotion among SHPs) implemented by healthcare facilities accredited with University Milan. Methods we sent e-survey e-mail medical residents first- last-year students nursing, midwifery assistance. Results 3397 invited SHPs, 645...
Abstract Background Understanding the predictors of vaccination intention among healthcare workers, including students in professions (SHPs), is crucial for policy making and development evidence-driven training programs. The reasoned action approach (RAA) model includes three components to predict intention: attitude (experiential/instrumental), perceived norm (injunctive/descriptive), behavioral control (capacity/autonomy). We aimed investigate seasonal Flu SHPs University Milan. Methods...
Organized breast cancer screening (BCS) programs rely on written communication materials for achieving participation and informing women about screening-related benefits limits. In order to achieve informed decisions maximize reader acceptance, the Agency Health Protection of metropolitan area Milan aimed at improving local BCS program through a multiphase, mixed-method process. Multidisciplinary working groups drafted three sets materials: postal letters, an informative leaflet,...
BACKGROUND communicating breast cancer screening (BCS) limits and overdiagnosis implies providing complete balanced information to allow informed decision-making. OBJECTIVES describe women's perceptions, preconceptions, preferences regarding the programme paper web materials of Agency for Health Protection Metropolitan Area Milan (Lombardy Region, Northern Italy). DESIGN qualitative, descriptive study. SETTING AND PARTICIPANTS participants' voluntary recruitment took place in registration...