https://www.pagepress.org/journals/wpph/issue/feed Working Paper of Public Health 2024-03-26T13:16:54+00:00 Laura Bergamaschi laura.bergamaschi@pagepress.org Open Journal Systems <p>The <strong>Working Paper of Public Health</strong> (WP) is an online and Open Access journal of the <em>Azienda Ospedaliero - Universitaria di Alessandria</em>, Italy, dedicated to progressive and multidisciplinary publication in Public Health (ISSN: 2279-9761). It includes contributions from medicine and epidemiology, as well as contributions from health economics and management, ethics and law. It covers everything that can protect and improve the health of the community through the promotion of healthy lifestyles, as well as the prevention of disease and infection, and the improvement of care (both medical and nursing) and patient care. Therefore, the scientific objective is to improve the health status of individuals and/or patients, both through the prevention of what could affect it and through medical and/or nursing care aimed at restoring it. The published articles engage only the authors, the opinions expressed do not imply any responsibility by the Hospital "SS. Antonio e Biagio e Cesare Arrigo" of Alessandria.</p> https://www.pagepress.org/journals/wpph/article/view/9790 A survey on prostate symptoms and quality of life in men with comorbidities at the Public Hospital SS. Antonio e Biagio e Cesare Arrigo of Alessandria 2024-03-26T13:16:54+00:00 Alessia Francese alessia.francese@ospedale.al.it Andrea Di Stasio andrea.distasio@ospedale.al.it Armando Serao aserao@ospedale.al.it Roberta Di Matteo rdimatteo@ospedale.al.it Mariasilvia Como maria.como@ospedale.al.it Mariateresa Dacquino mdacquino@ospedale.al.it Tatiana Bolgeo tbolgeo@ospedale.al.it Antonio Maconi amaconi@ospedale.al.it <p>Background: Benign Prostatic Hyperplasia (BPH) is a pathological condition characterized by an increase in the size of the prostate gland which can lead to Lower Urinary Tract Symptoms (LUTS) that affect the quality of life. Methods: the International Prostatic Symptoms Score (IPSS) questionnaire was used to assess the symptoms of benign prostatic hyperplasia in male individuals with comorbidities, patients over 30 years of age who had not been diagnosed with urological or prostatic disease. Results: a total of 102 IPSS questionnaires were analyzed. According to age, 62.1% of patients reported mild symptoms, 34% had moderate symptoms, and 3.9% had severe symptoms, consistent with increasing age. Among patients who completed the questionnaire, a higher percentage (67%) had voiding dysfunction during the filling phase. Conclusions: in agreement with the literature, the IPSS questionnaire can be used as a screening model for the early detection and management of LUTS. As demonstrated by our results, symptoms worsen with age, therefore early detection may reduce the risk of complications and anticipate a visit to a specialist.</p> 2024-03-26T00:00:00+00:00 Copyright (c) 2024 Alessia Francese, Andrea Di Stasio, Armando Serao, Roberta Di Matteo, Mariasilvia Como, Mariateresa Dacquino, Tatiana Bolgeo, Antonio Maconi https://www.pagepress.org/journals/wpph/article/view/9877 Implementazione e impatto del Fast-track in un Pronto Soccorso: studio pre-post 2023-11-16T08:59:47+00:00 Carlo Alboreo carloalboreo1981@gmail.com Roberta Di Matteo rdimatteo@ospedale.al.it Gianluigi Piazzolla gianluigi.piazzolla@aslbat.it Lucia Di Nardo dinardolucia@virgilio.it Giuseppe Dipaola giuseppe.dipaola@aslbat.it Enkeleda Gjini gjinienkeleda@hotmail.it Emanuele Tatò RDiMatteo@ospedale.al.it Alessandro Scelzi RDiMatteo@ospedale.al.it Antonio Maconi RDiMatteo@ospedale.al.it Tatiana Bolgeo tbolgeo@ospedale.al.it Federico Ruta federicorutabat@gmail.com <p>Background: il sovraffollamento e i lunghi tempi di attesa sono problemi rilevanti nei dipartimenti di emergenza. Il Fast-Track (FT) è un processo sviluppato per gestire in modo più efficace i pazienti ricoverati nei dipartimenti di emergenza con condizioni non urgenti. Scopo dello studio è quello di valutare l’impatto del metodo FT relativamente agli accessi in un Pronto Soccorso (PS). Materiali e Metodi: studio pre-post implementazione del metodo FT. Sono stati inclusi tutti i pazienti afferenti al PS dell’ASL di Barletta che presentavano urgenze minori, con problematiche riguardanti l’area ostetrico/ginecologica, oculistica, pediatrica, otorinolaringoiatrica e ortopedica. Risultati: delle 38.024 prestazioni eseguite in PS, 1606 (4.22 %) sono stati gli accessi in regime di FT. Analizzando i dati del periodo di maggio 2017 (pre) e calcolando in minuti il tempo di attesa dal triage fino alla dimissione è di 55 minuti; invece nel periodo maggio 2022 (post) è di 20 minuti. Conclusioni: il metodo FT sembra essere una strategia utile e sicura per migliorare la gestione dei pazienti ricoverati in pronto soccorso con disturbi minori.</p> 2024-04-24T00:00:00+00:00 Copyright (c) 2024 Carlo Alboreo, Roberta Di Matteo, Gianluigi Piazzolla, Lucia Di Nardo, Giuseppe Dipaola, Enkeleda Gjini, Emanuele Tatò, Alessandro Scelzi, Antonio Maconi, Tatiana Bolgeo, Federico Ruta