scholarly journals “Se tutti gli uomini sono responsabili per l’ambiente, i medici lo sono due volte”. Il pensiero dell’International Society of Doctors for Environment – ISDE

2021 ◽  
Vol 33 ◽  
pp. 53-56
Author(s):  
Roberto Romizi

The Italian Society of Doctors for the Environment – ISDE Italy is an environmental organization of medical doctors. It is an independent, non-profit organization affiliated to the International Society of Doctors for the Environment – ISDE (which has a Consultative Status with WHO and a Consultative General Status with ECOSOC and fosters co-operative efforts with different other international organizations and many NGOs). The main purpose of ISDE Italy is to help defend environment both locally and globally to prevent numerous illnesses, ensure the necessary conditions for health, and improve the quality of life. It aims to educate and update physicians and the general public and stimulate awareness and initiatives by public and private bodies. ISDE Italy collaborates with different national, regional and local organizations, networks and NGOs as well. All ISDE Italy projects follow an integrated model finalized to actions which are generally preceded by training moments.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
L. Quénéhervé ◽  
D. Drui ◽  
J. Blin ◽  
M. Péré ◽  
E. Coron ◽  
...  

AbstractGastrointestinal symptoms are frequent in acute adrenal insufficiency. Although digestive symptoms can significantly reduce quality of life, they are rarely described in patients with treated chronic adrenal insufficiency (CAI). We aimed to characterize digestive symptoms in CAI patients. We used the section pertaining functional bowel disorders of the Rome IV questionnaire. A questionnaire was published on the website of the non-profit patient association “Adrenals” (NPPA of CAI patients) for five months. Information on demographics, characteristics of adrenal insufficiency, digestive symptoms and quality of life was collected. The relatives of CAI patients served as a control group. We analyzed responses of 33 control subjects and 119 patients (68 primary adrenal insufficiency (PAI), 30 secondary adrenal insufficiency (SAI) and 21 congenital adrenal hyperplasia (CAH)). Abdominal pain at least once a week over the past 3 months was reported by 40%, 47% and 33% of patients with PAI, SAI and CAH respectively versus 15% for the controls (p = 0.01). Symptoms were consistent with the Rome IV criteria for irritable bowel syndrome in 27%, 33% and 33% of patients respectively versus 6% for the controls (p < 0.0001). Quality of life was described as poor or very poor in 35%, 57% and 24% of patients respectively versus 5% for the controls (p < 0.0001). In conclusion, digestive symptoms are frequent and incapacitating in CAI patients and similar to symptoms of irritable bowel syndrome in 30% of CAI patients. Assessment and management of digestive symptoms should be considered a priority for physicians treating patients with CAI.


Author(s):  
Camilla Aparecida Silva de Oliveira ◽  
Andréa Maria Duarte Vargas ◽  
Fernanda de Morais Ferreira ◽  
Efigênia Ferreira e Ferreira

(1) Objective: To understand the perception of Brazilian children about the Quality of Life (QoL) considering their living environment. (2) Methods: This is a qualitative study conducted with children aged 6–10 years, from a medium-sized Brazilian municipality, recruited from public and private schools. An adaptation of the “draw, write, and say” method was used to collect data. At first, all children (n = 252) drew a “neighborhood with QoL”. On the same day, the researcher analyzed the graphic elements of the representations and intentionally selected the two best-detailed drawings from each class (n = 49) and the children were invited to narrate them. The narratives were analyzed through content analysis. (3) Results: Two major themes emerged from the content analysis, namely, the physical environment and social environment. The first included the needs to live in a community, such as housing, places of leisure, essential services, and natural elements. The second was relationships with family and friends. (4) Conclusion: The children presented the meaning of an environment with QoL, pointing out essential items to have this ideal environment. The social environment and the physical environment were perceived interdependently; that is, any change in one of these aspects may affect children’s QoL.


2015 ◽  
Vol 38 (4) ◽  
pp. 154-159 ◽  
Author(s):  
Matthias Hipp ◽  
Lothar Pilz ◽  
Salah E. Al-Batran ◽  
Matthias G. Hautmann ◽  
Ralf-Dieter Hofheinz

Author(s):  
Francisco Coronado

Purpose The purpose of this paper is to analyze the population growth, migration, poverty, economic, political, environmental aspects and the management of the budget at national and municipal levels, including information of other cities in Peru, to define the effect on the quality of life of the population and formulate a management recommendation to help improve the quality of life in Lima and on intermediate cities. Design/methodology/approach The methodology of the study consisted on collect, review and select important factors that influence the quality of life in a big city, in this case in Lima, the concentration of people of Peru in Lima, migration and poverty, the coverage and quality of services, the concentration of the economy, public and private investments and services in Lima, some political aspects and a view of the available budget and the needed investment. Findings The deficiencies in the habitability conditions of the residents of Lima were verified considering the limited infrastructure and public services, the low level of investments and the limited effectiveness of the technical and administrative work of the municipal authorities and the central government. Although studies on other important cities in Peru are more limited, it could be said that similar limitations are being presented for example in transportation. Research limitations/implications The main obstacle to the study is the limited availability of information of such broad aspects that characterize a city that could not be covered in one paper. Practical implications The result of the study supports the need to implement appropriate management decisions about urban planning and investment policies for Metropolitan Lima, as well as to raise municipal and central government technical and legal conditions that are attractive for residents and investors for other cities in the country seeking their development, as well as to help counteract the concentration of people in Lima to control the demands of their habitability. Social implications The study could impact not only in the habitability conditions of about 10m inhabitants of Lima, but to all the 30m inhabitants of Perú. Originality/value Presents an unified vision of the social, economic and political deficiencies to the provision of services to a city concentrating the population of a country.


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