Elena Garavelli - Academia.edu (original) (raw)
Papers by Elena Garavelli
Airway pharmacology and treatment
PubMed, Nov 19, 2014
Background: The postgraduate medical Schools in Public Health (locally known as School of Hygiene... more Background: The postgraduate medical Schools in Public Health (locally known as School of Hygiene and Preventive Medicine) should ensure adequate scientific and technical knowledge and professional skills in preventive medicine, health promotion and healthcare planning as provided by Ministerial Decree 285/2005. The Italian Committee of Medical Residents in Hygiene, Preventive Medicine and Public Health of the Italian Society of Hygiene, Public Health and Preventive Medicine - S.It.I. (Consulta Nazionale dei medici in formazione specialistica S.It.I.) has always been engaged in monitoring activities on public health teaching, guaranteeing the homogeneity of educational proposals among all national Schools in Public Health. The purpose of this study is to provide a 'snapshot' of public health education and training in Italy and to identify the improvement actions needed for implementing an innovative and homogeneous public health training. Methods: A cross-sectional study was carried out over a period of three months (March to May 2013). A self-administered questionnaire was e-mailed to local Committee's delegates of all 32 postgraduate medical Schools in Public Health in Italy. The questionnaire was structured in four sections: general information, University education and training, extra-University training, interdisciplinary activities. The majority of local Committee's delegates have agreed to be enrolled in the survey. Results: A total of 28 questionnaires were returned (88% response rate). The number of residents in each Italian School in Public Health ranged from 7 to 31. The distribution of professors in relation to residents is not similar for each University Schools. The ratio professors/residents spanning from 0.2 to 2. About teaching, only 4 University Schools offered all courses requested by Ministerial Decree 285/2005. Most of them offered at least 75% of the requested courses, but there were Schools in which the courses were less than 50%. The vast majority of schools held more than 60% of the qualifying activities considered essential according to the Decree, while 2 Schools were below 50%. All Schools required an internship of 6-12 months in local health authority offices (ASL), mainly concerning the Department of Prevention activities. In all Schools a period of stay in a Hospital Medical Direction was scheduled, while professional activities at Residential care homes were very rarely included in training programmes. Many Schools allowed residents to attend companies with biological hazard or to follow similar activities in dedicated services of ASL. Finally, in the majority of Schools, a training period in various local (Service for Water Control), regional (Departments) or national (Ministry, National Institute of Health) health facilities was contemplated and, in some cases, also in other Universities or Research Institutes. Conclusions: Although the Ministerial Decree indicates the essential milestones of the public health education, flexibility is seen as an important element in order to optimize resources and contextualize the adequate education of residents. In any case, at least regarding public health courses, the majority of University education and extra-University training activities should be carried out by all Schools. In order to obtain shared knowledge and skills, the Ministerial Decree should be revised taking into account flexibility and changing as intrinsic characteristics of public health profession and learners should be involved in the reform to strengthening the role of public health teaching.
Annali di igiene : medicina preventiva e di comunita, 2015
BACKGROUND In 2005 the European Union (EU) recognized the equivalence within its member states of... more BACKGROUND In 2005 the European Union (EU) recognized the equivalence within its member states of qualifications conferred by post-graduate schools (PGS) in public health. In Italy, ministerial decree no. 176 of 1st August 2005 defined the training goals and the related training programmes (Training Activities) leading to conferral of the qualification of specialist in Public Health and Preventive Medicine (PHPM). This study aimed to develop and validate an assessment tool for professional training programmes. The purpose has been to identify and evaluate their typical features and, at the same time, to enable comparison between Italian PGSs in PHPMs. METHODS In the first phase, a multiple-choice questionnaire was created, using a Likert scale with scores from 1 to 6. This was prepared by post-graduates attending the Milan PGS. This tool was validated by applying it to a pilot sample of post-graduates attending the Milan PGS in PHPM. Following this, a second round of discussion and ...
European Journal of Public Health, 2013
ABSTRACT Francesco SonciniF Soncini, G Silvestrini, A Poscia, V Ciorba, A Conti, C Murru, A Rinal... more ABSTRACT Francesco SonciniF Soncini, G Silvestrini, A Poscia, V Ciorba, A Conti, C Murru, A Rinaldi, A Zoccali, E Azzolini, C Baldini, L Bandini, I Bernardini, D Boemo, V Burrai, P Camia, F Campanella, A Caruana, C Costantino, E D'Andrea, V Di Gregori, E D'Ippolito, S Ferioli, R Furnari, E Garavelli, F Gilardi, Gb Giraldi, G Goi, G Gregoraci, A Guaccero, R Guerra, G La Maestra, E La Rosa, G Licitra, F Lucaroni, C Marcantoni, F Marra, M Martinese, T Marzulli, A Montante, F Napolitano, C Nioteni, R Palladino, S Parisi, M Passaro, M Pastori, P Pelullo, F Puggelli, C Ravaioli, S Reggiani, R Santoru, S Sironi, A Soumelis, T Tanini, D Tedesco, P Tricarico, S Vallorani, V Vighi, F Zazzara, A Ziglio and R ZuccoItalian Public Health Residents Committee of the Italian Society of Hygiene, Preventive Medicine and Public HealthContact: francescosoncini{at}hotmail.comLarge gaps in care quality resulting from ineffective communication between health providers, patients, and other health care organizations have been documented. Research suggests that effective, empathic communication positively influences health outcomes. Many studies focused on the assessment of clinicians empathy, while there is still a lack of evidence on the role and level of empathy for public health medical doctors, especially during their postgraduate education. The aim of this study was to assess empathy level of …
Annali di igiene : medicina preventiva e di comunità
Oral and poster presentations at congresses are essential to spread scientific knowledge among th... more Oral and poster presentations at congresses are essential to spread scientific knowledge among the medical community. Many scientific societies have analyzed the quality of papers presented at their meetings but no information on abstracts' evaluation has been presented in Public Health field. This study aims to examine the quality of abstracts presented at annual meetings of Italian Public Health Society (SItI) in the period 2005-2010 through a validated checklist grid, evaluating eight dimensions: Inherency, Structure, Originality, Objectives, Study design, Sources, Results, Conclusions. Each item was scored from 0 to 3 points (max score: 24) and we used the average score in our study (15) as threshold of good quality. A multivariate analysis was performed in order to investigate predictors of score of abstracts presented. A total of 4,399 abstracts (1,172 oral communications, 3,227 posters) was examined. Around 60% were submitted by Universities and around 40% were from Centr...
Airway pharmacology and treatment
Epidemiologia e prevenzione
The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a... more The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a member of the Italian Society of Hygiene, Preventive Medicine and Public Health with the aim of developing a network among Italian resident in public health and promoting the educational path improvement through comparisons and debates between postgraduate medical schools. In this perspective, during last years account has been taken of some essential topics concerning education of public health medical residents, which represent future health-care and public health experts. Cross-sectional researches were conducted among Italian public health medical residents (PHMRs) through self-administered and web-based questionnaires. Each questionnaire was previously validated by pilot studies conducted during the 46th National Conference of the Italian Society of Hygiene, Preventive Medicine and Public Health. Seventy percent of Italian PHMRs considered the actual length of Public Health postgra...
MALTRATTAMENTO E ABUSO ALL'INFANZIA, 2010
Internet e i new media rappresentano un nuovo strumento potenzialmente alleato di chi vuole adesc... more Internet e i new media rappresentano un nuovo strumento potenzialmente alleato di chi vuole adescare minori per compiere reati sessuali. Gli studi epidemiologici disponibili confermano che il fenomeno č in crescita, cosě come il numero di arresti ad esso correlati, e che le vittime spesso agiscono consenzienti, consapevoli di comunicare con adulti estranei, mentre raramente parlano di ciň con gli adulti di riferimento (genitori/insegnanti). Il rischio di vittimizzazione cresce con l'etŕ della vittima e per le femmine. Strategie preventive efficaci devono comprendere non solo interventi normativi, ma anche programmi educativi volti ad aiutare gli adolescenti a costruire competenze che li rendano capaci di affrontare le esigenze ed i cambiamenti propri dell'etŕ evolutiva, in linea con il modello delle life skills proposto dall'OMS.
Journal of Public Health Research, 2013
Background. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern It... more Background. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern Italy, is the headquarter of the POLI-MI biobank. It co-ordinates the biobank activities of the Fondazione Ca' Granda Ospedale Maggiore Policlinico of Milan. Such activities require specific safeguarding of donors' rights and protection of sensitive and genetic data. The Fondazione Ca' Granda Ospedale Maggiore Policlinico has set up a project on informed consent with the aim of developing awareness and understanding of this issue. Within this project, it has been decided to evaluate how consent for biobanking material is expressed.
Epidemiologia e prevenzione
The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a... more The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a member of the Italian Society of Hygiene, Preventive Medicine and Public Health with the aim of developing a network among Italian resident in public health and promoting the educational path improvement through comparisons and debates between postgraduate medical schools. In this perspective, during last years account has been taken of some essential topics concerning education of public health medical residents, which represent future health-care and public health experts. Cross-sectional researches were conducted among Italian public health medical residents (PHMRs) through self-administered and web-based questionnaires. Each questionnaire was previously validated by pilot studies conducted during the 46th National Conference of the Italian Society of Hygiene, Preventive Medicine and Public Health. Seventy percent of Italian PHMRs considered the actual length of Public Health postgra...
Airway pharmacology and treatment
PubMed, Nov 19, 2014
Background: The postgraduate medical Schools in Public Health (locally known as School of Hygiene... more Background: The postgraduate medical Schools in Public Health (locally known as School of Hygiene and Preventive Medicine) should ensure adequate scientific and technical knowledge and professional skills in preventive medicine, health promotion and healthcare planning as provided by Ministerial Decree 285/2005. The Italian Committee of Medical Residents in Hygiene, Preventive Medicine and Public Health of the Italian Society of Hygiene, Public Health and Preventive Medicine - S.It.I. (Consulta Nazionale dei medici in formazione specialistica S.It.I.) has always been engaged in monitoring activities on public health teaching, guaranteeing the homogeneity of educational proposals among all national Schools in Public Health. The purpose of this study is to provide a 'snapshot' of public health education and training in Italy and to identify the improvement actions needed for implementing an innovative and homogeneous public health training. Methods: A cross-sectional study was carried out over a period of three months (March to May 2013). A self-administered questionnaire was e-mailed to local Committee's delegates of all 32 postgraduate medical Schools in Public Health in Italy. The questionnaire was structured in four sections: general information, University education and training, extra-University training, interdisciplinary activities. The majority of local Committee's delegates have agreed to be enrolled in the survey. Results: A total of 28 questionnaires were returned (88% response rate). The number of residents in each Italian School in Public Health ranged from 7 to 31. The distribution of professors in relation to residents is not similar for each University Schools. The ratio professors/residents spanning from 0.2 to 2. About teaching, only 4 University Schools offered all courses requested by Ministerial Decree 285/2005. Most of them offered at least 75% of the requested courses, but there were Schools in which the courses were less than 50%. The vast majority of schools held more than 60% of the qualifying activities considered essential according to the Decree, while 2 Schools were below 50%. All Schools required an internship of 6-12 months in local health authority offices (ASL), mainly concerning the Department of Prevention activities. In all Schools a period of stay in a Hospital Medical Direction was scheduled, while professional activities at Residential care homes were very rarely included in training programmes. Many Schools allowed residents to attend companies with biological hazard or to follow similar activities in dedicated services of ASL. Finally, in the majority of Schools, a training period in various local (Service for Water Control), regional (Departments) or national (Ministry, National Institute of Health) health facilities was contemplated and, in some cases, also in other Universities or Research Institutes. Conclusions: Although the Ministerial Decree indicates the essential milestones of the public health education, flexibility is seen as an important element in order to optimize resources and contextualize the adequate education of residents. In any case, at least regarding public health courses, the majority of University education and extra-University training activities should be carried out by all Schools. In order to obtain shared knowledge and skills, the Ministerial Decree should be revised taking into account flexibility and changing as intrinsic characteristics of public health profession and learners should be involved in the reform to strengthening the role of public health teaching.
Annali di igiene : medicina preventiva e di comunita, 2015
BACKGROUND In 2005 the European Union (EU) recognized the equivalence within its member states of... more BACKGROUND In 2005 the European Union (EU) recognized the equivalence within its member states of qualifications conferred by post-graduate schools (PGS) in public health. In Italy, ministerial decree no. 176 of 1st August 2005 defined the training goals and the related training programmes (Training Activities) leading to conferral of the qualification of specialist in Public Health and Preventive Medicine (PHPM). This study aimed to develop and validate an assessment tool for professional training programmes. The purpose has been to identify and evaluate their typical features and, at the same time, to enable comparison between Italian PGSs in PHPMs. METHODS In the first phase, a multiple-choice questionnaire was created, using a Likert scale with scores from 1 to 6. This was prepared by post-graduates attending the Milan PGS. This tool was validated by applying it to a pilot sample of post-graduates attending the Milan PGS in PHPM. Following this, a second round of discussion and ...
European Journal of Public Health, 2013
ABSTRACT Francesco SonciniF Soncini, G Silvestrini, A Poscia, V Ciorba, A Conti, C Murru, A Rinal... more ABSTRACT Francesco SonciniF Soncini, G Silvestrini, A Poscia, V Ciorba, A Conti, C Murru, A Rinaldi, A Zoccali, E Azzolini, C Baldini, L Bandini, I Bernardini, D Boemo, V Burrai, P Camia, F Campanella, A Caruana, C Costantino, E D'Andrea, V Di Gregori, E D'Ippolito, S Ferioli, R Furnari, E Garavelli, F Gilardi, Gb Giraldi, G Goi, G Gregoraci, A Guaccero, R Guerra, G La Maestra, E La Rosa, G Licitra, F Lucaroni, C Marcantoni, F Marra, M Martinese, T Marzulli, A Montante, F Napolitano, C Nioteni, R Palladino, S Parisi, M Passaro, M Pastori, P Pelullo, F Puggelli, C Ravaioli, S Reggiani, R Santoru, S Sironi, A Soumelis, T Tanini, D Tedesco, P Tricarico, S Vallorani, V Vighi, F Zazzara, A Ziglio and R ZuccoItalian Public Health Residents Committee of the Italian Society of Hygiene, Preventive Medicine and Public HealthContact: francescosoncini{at}hotmail.comLarge gaps in care quality resulting from ineffective communication between health providers, patients, and other health care organizations have been documented. Research suggests that effective, empathic communication positively influences health outcomes. Many studies focused on the assessment of clinicians empathy, while there is still a lack of evidence on the role and level of empathy for public health medical doctors, especially during their postgraduate education. The aim of this study was to assess empathy level of …
Annali di igiene : medicina preventiva e di comunità
Oral and poster presentations at congresses are essential to spread scientific knowledge among th... more Oral and poster presentations at congresses are essential to spread scientific knowledge among the medical community. Many scientific societies have analyzed the quality of papers presented at their meetings but no information on abstracts' evaluation has been presented in Public Health field. This study aims to examine the quality of abstracts presented at annual meetings of Italian Public Health Society (SItI) in the period 2005-2010 through a validated checklist grid, evaluating eight dimensions: Inherency, Structure, Originality, Objectives, Study design, Sources, Results, Conclusions. Each item was scored from 0 to 3 points (max score: 24) and we used the average score in our study (15) as threshold of good quality. A multivariate analysis was performed in order to investigate predictors of score of abstracts presented. A total of 4,399 abstracts (1,172 oral communications, 3,227 posters) was examined. Around 60% were submitted by Universities and around 40% were from Centr...
Airway pharmacology and treatment
Epidemiologia e prevenzione
The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a... more The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a member of the Italian Society of Hygiene, Preventive Medicine and Public Health with the aim of developing a network among Italian resident in public health and promoting the educational path improvement through comparisons and debates between postgraduate medical schools. In this perspective, during last years account has been taken of some essential topics concerning education of public health medical residents, which represent future health-care and public health experts. Cross-sectional researches were conducted among Italian public health medical residents (PHMRs) through self-administered and web-based questionnaires. Each questionnaire was previously validated by pilot studies conducted during the 46th National Conference of the Italian Society of Hygiene, Preventive Medicine and Public Health. Seventy percent of Italian PHMRs considered the actual length of Public Health postgra...
MALTRATTAMENTO E ABUSO ALL'INFANZIA, 2010
Internet e i new media rappresentano un nuovo strumento potenzialmente alleato di chi vuole adesc... more Internet e i new media rappresentano un nuovo strumento potenzialmente alleato di chi vuole adescare minori per compiere reati sessuali. Gli studi epidemiologici disponibili confermano che il fenomeno č in crescita, cosě come il numero di arresti ad esso correlati, e che le vittime spesso agiscono consenzienti, consapevoli di comunicare con adulti estranei, mentre raramente parlano di ciň con gli adulti di riferimento (genitori/insegnanti). Il rischio di vittimizzazione cresce con l'etŕ della vittima e per le femmine. Strategie preventive efficaci devono comprendere non solo interventi normativi, ma anche programmi educativi volti ad aiutare gli adolescenti a costruire competenze che li rendano capaci di affrontare le esigenze ed i cambiamenti propri dell'etŕ evolutiva, in linea con il modello delle life skills proposto dall'OMS.
Journal of Public Health Research, 2013
Background. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern It... more Background. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern Italy, is the headquarter of the POLI-MI biobank. It co-ordinates the biobank activities of the Fondazione Ca' Granda Ospedale Maggiore Policlinico of Milan. Such activities require specific safeguarding of donors' rights and protection of sensitive and genetic data. The Fondazione Ca' Granda Ospedale Maggiore Policlinico has set up a project on informed consent with the aim of developing awareness and understanding of this issue. Within this project, it has been decided to evaluate how consent for biobanking material is expressed.
Epidemiologia e prevenzione
The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a... more The Italian Committee of medical residents in Hygiene, Preventive Medicine and Public Health is a member of the Italian Society of Hygiene, Preventive Medicine and Public Health with the aim of developing a network among Italian resident in public health and promoting the educational path improvement through comparisons and debates between postgraduate medical schools. In this perspective, during last years account has been taken of some essential topics concerning education of public health medical residents, which represent future health-care and public health experts. Cross-sectional researches were conducted among Italian public health medical residents (PHMRs) through self-administered and web-based questionnaires. Each questionnaire was previously validated by pilot studies conducted during the 46th National Conference of the Italian Society of Hygiene, Preventive Medicine and Public Health. Seventy percent of Italian PHMRs considered the actual length of Public Health postgra...