(Adnkronos) - In questo numero:
Vaccini: contro infezioni da virus respiratorio sinciziale promuovere tecnologia a mRna
Bartoletti (Sime), Medicina rigenerativa utile per correggere e prevenire l’invecchiamento cutaneo. Ma “manegiare con cura”
E ancora
Grassi (ginecologo), in “quei giorni” sì al bagno, ma con alcune semplici precauzioni
Nasce ‘Patient Association Academy’, modello di collaborazione tra pazienti e istituzioni
Salutequità, ‘maggior organizzazione e assistenza per pazienti con patologie della pelle’
Vaccini: contro infezioni da virus respiratorio sinciziale promuovere tecnologia a mRna
Bartoletti (Sime), Medicina rigenerativa utile per correggere e prevenire l’invecchiamento cutaneo. Ma “manegiare con cura”
E ancora
Grassi (ginecologo), in “quei giorni” sì al bagno, ma con alcune semplici precauzioni
Nasce ‘Patient Association Academy’, modello di collaborazione tra pazienti e istituzioni
Salutequità, ‘maggior organizzazione e assistenza per pazienti con patologie della pelle’
Category
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NewsTranscript
00:00In this number, vaccines against respiratory virus infections promote mRNA technology.
00:19Bartoletti, Sime, regenerative medicine useful for correcting and preventing skin aging, but managed with care.
00:27And again, Grassi, gynecologist, in those days, yes, in the bathroom, but with some simple precautions.
00:34Passion Association Academy was born, a model of collaboration between patients and institutions.
00:40Health Equity, more organization and assistance for patients with skin diseases.
00:47What is respiratory virus?
00:51Dangerous, especially in infants under one year of age and in the elderly, it is the first cause of hospitalization.
00:58It is the syncytial respiratory virus, pathogen of the respiratory system, very contagious,
01:04which causes symptoms such as cold, cough, shortness of breath, bronchitis and pneumonia,
01:11not only responsible as the influence of annual epidemics.
01:15Thanks to mRNA technology, already used for the prevention of COVID-19,
01:20a vaccine has been developed to prevent these respiratory infections, intensive care and deaths.
01:27It has been discussed in the course of the Expert Advisory Panel,
01:30Syncytial Respiratory Virus from Prevention to New Sustainable Models for Vaccines.
01:36Organized by Summit SRL, the leading company in medical-scientific training,
01:41which has brought together institutions, associations and health professionals
01:45to identify guidelines that promote the use of mRNA technology.
01:50Today's convening opens up even more a technical-scientific debate
01:54on the need to have technologies capable of making more effective prevention and vaccination campaigns on regional territory.
02:04The region of Lombardy, with its 10 million inhabitants, is a European country,
02:07so to be able to simplify and use technologies that give ownership, but on the other hand care,
02:15are necessary elements in a vaccine prevention plan that we have also discussed and presented here today at the Pirellone.
02:23The Secretary-General of the Italian Federation of General Medicine Doctors,
02:27Doriana Bertazzo, has illustrated the benefits of the formulation of the vaccine in regional implementation programs.
02:33The formulation of this vaccine, as of all vaccines in general, is extremely important
02:38because it is a practical formulation of easy conservation, easy supply, fundamental in all vaccinology.
02:48This is particularly suitable for general medicine,
02:52which is the only site where the vaccine can be supplied to more people.
03:00It is difficult for a vaccine site to be able to vaccinate so many people for another vaccine,
03:07another virus that is still not well known by the vast majority of the population.
03:12The general medicine doctor has the opportunity to inform the patient
03:17and to indicate which vaccines are most useful for his pathology and his age.
03:22For Dario Castelli, Secretary of the Rural Committee of Federfarma Lombardia,
03:26it is positive to see the various health workers on a new technology such as mRNA.
03:33The fact of being able to make a vaccine available to a population on a large scale,
03:40the fact of being able to produce it with greater speed and with lower costs,
03:44can only be a winning element for the good success of a vaccination campaign.
03:50The new techniques of regenerative medicine also represent the future of aesthetic medicine.
03:59However, it is a continuous work in progress to be managed with care and to be learned to use with the right indications for each age.
04:05It can be used, for example, to prevent and correct skin aging.
04:08But how and what does regenerative medicine specifically allow to do in this area?
04:13We asked Emanuele Bartoletti, President of SIME, Italian Society of Aesthetic Medicine.
04:17Regenerative medicine certainly represents the future of all medicine, including aesthetic medicine,
04:24because aesthetic medicine, let's remember, is medicine in all respects.
04:28Regenerative medicine has many advantages.
04:31The first is that it is about using autologous substances,
04:35that is, substances that come from the same patient,
04:38such as platelets, fat, stem cells, tissue,
04:42and above all it allows us to do very important prevention activities,
04:47as well as correction activities, which, however, have at least one problem,
04:53that is, there is no possibility of the human body reacting to the substance that is injected,
05:00because it is obviously autologous, so they are part of the patient himself.
05:03Procedures that, if carried out well, give great results at the cost of negligible side effects.
05:07Biostimulation, that is, the stimulation of fibroblasts to produce collagen,
05:12the acid, which is the basis of maintenance and prevention of skin aging,
05:18works very well, for example, with infiltrations of plasma enriched in platelets.
05:24Blood is taken from the patient, it is centrifuged and separates the red part from the white part,
05:31that is, from the plasma that contains the platelets,
05:33and this plasma with the platelets is re-injected into the dermis,
05:37and therefore they come into contact with collagen.
05:40Platelets are the cells that normally block bleeding,
05:45but in addition to blocking bleeding, they release a whole series of substances
05:49called growth factors, which stimulate the healing of the wound.
05:54The healing of the wound occurs through the stimulation of fibroblasts that produce collagen,
05:58because the wound is just a cord of collagen that closes the wound.
06:03The same thing, if these platelets are placed in the healthy dermis,
06:06where these fibroblasts meet,
06:08this stimulation, through these growth factors,
06:11determines a stimulation of these cells to produce collagen,
06:15the acid, which translates into a tonic, elastic, healthy dermis,
06:20and the stimulation obviously makes sense when these fibroblasts,
06:24due to time, begin to reduce their activity.
06:27So keeping them active is the first act of prevention and maintenance.
06:32Another important point of regenerative medicine applied to aesthetics,
06:35to correct the aging of the skin, are the adipose tissue stamina cells.
06:39An organ that every time discovers something more about this wonderful tissue,
06:44also contains stamina cells,
06:47and these stamina cells, taken from the adipose tissue,
06:50if re-injected on the face or even in other areas of the body,
06:54they are able to re-increase, let's say,
06:57to implement the number of fibroblasts and active cells at the dermal level,
07:03so they bring a rejuvenation, if we want to say so,
07:07of these cells, which are fundamental for the maintenance of the good state of the dermis.
07:19With the arrival of summer and excessive heat,
07:21the problems related to menstruation unfortunately tend to increase,
07:24also due to the continuous thermal fluctuations caused, for example,
07:27by the use of air conditioning in closed environments.
07:30And all this determines, as the gynecologist Marco Grassi
07:32of the hospital Mazzoni in Ascoli Piceno explains,
07:34the changes at the organic level,
07:36which can also have a strongly negative impact on female well-being.
07:40Physiological changes that in particular concern the vascular and hormonal system.
07:45In addition, of course, the heat determines what is called vasodilatation.
07:50So there is only menstrual flow,
07:52leading to what we call amenorrhea.
07:55There are very abundant menstruations and often also dry.
08:07When, of course, menstruation becomes very excessive and painful,
08:11because there is a risk of what is anemization due to excessive blood flow.
08:19In addition, then, women suffer from menopause or menopause.
08:22High temperatures, heat blisters, night sweats and insomnia
08:26can in fact aggravate the symptoms of menopause,
08:29making this season more difficult to manage.
08:31However, there are simple precautions that can alleviate the disorders.
08:35First, hydration.
08:37It is advisable to drink a lot of water, at least two liters a day.
08:40These two liters must be added to a high amount of water
08:43if you naturally carry out light physical activities.
08:47Then, avoid exposure to the sun during hot hours.
08:50Maybe cover yourself with blankets.
08:53And nutrition.
08:54Nutrition, in the sense that you have to prefer food rich in water,
08:59especially fruit and vegetables, I tell you, coconut or raisins.
09:03It can also help to do light physical exercise, such as walking or yoga.
09:07In fact, they improve circulation and reduce cramps.
09:10Using natural remedies such as chamomile tea or fennel
09:13can help to reduce swelling and cramps.
09:16Therefore, wearing light and breathable clothes, preferably cotton,
09:19can keep the skin fresh and dry, reducing discomfort.
09:23And by the way, a recurring doubt among women, instead,
09:26is that of the opportunity or not to take a bath at sea or lake during those days.
09:30At the moment there are still many prejudices.
09:33Several of my patients have attempted not to be able to take a bath during menstruation.
09:37Nothing more wrong.
09:39So, the answer is yes, you can take a bath even during the menstrual period.
09:43Of course, we have taken some precautions,
09:45such as the use of internal absorbents or cups,
09:48which are removed immediately after taking a bath.
09:51There are also menstrual bath suits,
09:55which are equipped with a thin layer of absorbent
09:59and a waterproof fabric that do not allow the flow of menstrual blood.
10:03And does the sand make the situation worse?
10:05There are no particular prohibitions.
10:08The woman, during the menstrual cycle,
10:11can also carry out sports activities
10:14that take place on the sand,
10:16such as beach volley or playing racquetball.
10:25Accompanying patient associations and civic organizations
10:29in a path of strengthening competences and awareness,
10:33which makes them increasingly strategic and determining
10:36in the definition of health policies.
10:38Based on this intention,
10:40the Patient Association Academy,
10:42the new model of collaboration presented in Milan
10:45by Johnson & Johnson Innovative Medicine.
10:48The involvement of patient associations
10:50must take place at all levels
10:52and start with the regions that, in this sense,
10:55must guarantee good regional governance.
10:58The Lombardy region has long been committed to supporting the third sector.
11:02Starting, first of all, with the listening of associations,
11:05through the participation,
11:08the collaboration with the whole world of the third sector.
11:11So through work tables, work groups,
11:14where associations are involved,
11:16both in the phase of programming,
11:19so in the first drafts,
11:21to understand what the needs are,
11:23therefore give answers to families
11:25through interventions, measures,
11:28especially as regards innovative measures,
11:31which are put into place in X9,
11:34so there is absolutely the fundamental part
11:37of the sharing, of the participation.
11:40Having the tools available is the first step
11:43to start long-term interlocutions.
11:46The role of the patient, of the patient associations,
11:49therefore of the third sector, is central.
11:51It must sit in a balanced way
11:53with health institutions, clinics,
11:55scientific societies,
11:57to better design the path of care,
11:59innovative therapies and access to care
12:02in our region, in our country.
12:04According to the data collected in the
12:06Patient Voice study by IQVIA,
12:0848% of patient associations
12:11at the national level want to enhance
12:13communication and relationship skills
12:15to improve dialogue with institutions.
12:1847% want to improve
12:20skills in project management.
12:23Patient Association Academy,
12:25to which 40 patient associations have joined,
12:28responds to these needs in a concrete way.
12:31It is an innovative approach.
12:34We wanted it not to be an academy
12:37only with frontal lessons,
12:40but that there were also simulations
12:43with the institutions, precisely to put into practice
12:46what they have learned with the teachers.
12:49Expert teachers who will offer them
12:52practical techniques to perform this task
12:55that we see from an institutional point of view
12:58is gradually being strengthened
13:00in the context of the new regulation
13:02defined by the AIFA,
13:04in the context of law projects
13:06that see them more and more protagonists,
13:08and that therefore, when everything will be defined
13:10and uniformed at the Italian level,
13:13we hope that the contribution of Johnson & Johnson
13:15has also been useful to make their voice heard
13:18in an equitable way,
13:20together with that of all other decision-makers
13:22in the health processes.
13:26There are about 6 million Italians
13:29who have a chronic inflammatory skin disease.
13:33Dermatological conditions, both acute and chronic,
13:37can lead to social stigmatization,
13:39poor quality of life
13:41and a decrease in work productivity,
13:44but also difficulties in care,
13:46from access to waiting lists
13:48to regional inequalities.
13:50Health and equity, with the collaboration of APIAF,
13:52the Italian Psoriatic Association,
13:54and friends of the Corazza Foundation,
13:56compared in the Equity Group
13:58on Chronic Skin Diseases
14:00expert and political institutions,
14:03identifying some fundamental steps
14:06for the care and assistance of these pathologies.
14:09It would be necessary to work fundamentally
14:11on a national level of chronicity
14:13that recognizes dermatological skin diseases
14:15as pathologies, as an object of intervention,
14:19on PDTA and on dermatological networks,
14:23because this would guarantee a better access,
14:25a tempestuous approach
14:27and effective efficiency of care.
14:29Chronic inflammatory skin diseases
14:31are such because they correlate
14:33in a statistically significant way
14:35also to systemic comorbidities.
14:38So, treating a chronic inflammatory skin disease
14:42means taking charge
14:44of the entire health situation of the patient.
14:47And now it is even more possible,
14:50because there are also innovative drugs
14:53that act on various targets.
14:56The path for the diagnosis of a pathology,
14:59even chronic inflammatory skin disease,
15:01is quite long.
15:03First of all, you go to the pharmacist,
15:05then they go to the general medicine doctor.
15:09It clearly depends on the behavior
15:11of this general medicine doctor,
15:13if he knows the pathology well,
15:15if he realizes the severity,
15:17to immediately pass it on to a specialist.
15:20There are waiting lists,
15:22so sometimes, to have seriously diagnosed
15:26one of our pathologies,
15:28I speak of psoriasis, of psoriasic arthritis,
15:31of vitiligo and atopic dermatitis,
15:36sometimes it takes a long time.
15:38The clinical-assistive dermatological network
15:42can be useful as a model
15:44to organize services
15:46and give more equal and homogeneous answers.
15:49It will be very important
15:51that these regional networks
15:53for dermatological diseases
15:56are harmonized also
15:59to promote therapeutic adherence,
16:02in order to reduce waste
16:04and increase the effectiveness
16:06and safety of the cures.
16:11This was our latest news.
16:13To contact us, you can write to
16:15salute-adianecronos.com
16:17Thank you for following us
16:19and see you in the next episode.