Digital transition and public administration in Italy: the experience of the Italian National Social Security Institution − INPS

The innovation and modernization processes of national public administrations feature prominently in the process of digital transition that the whole Europe is going through. In Italy, the National Institute of Social Security (Istituto Nazionale della Previdenza Sociale, INPS) has historically always been at the forefront in terms of digital skills and the use of Information Technology for the provision of social security services, constituting a model of excellence in the landscape of public administrations both in Italy and Europe. INPS is currently facing a strategic challenge: that of constituting the driving force for the digital transition of the Italian public sector. To meet this challenge, the Italian Social Security Institute has equipped itself with an ICT Plan that represents a marked discontinuity with respect to past plans and which deserves, as a result of its innovative character, to be analyzed in detail. In particular, the ICT Strategic Plan of INPS for the three-year period of 2020−2022 aims to introduce a paradigm shift towards the digitization of the public services that the Social Security Institute offers to the whole country, planning a radical technological, organizational and cultural innovation, an enabling prerequisite for creating a new model service for citizens, businesses and other public administrations.

Epidemiology of COVID-19 in patients of a Social Security Institution in Tabasco, México

Objetivo: determinar las características epidemiológicas de casos de COVID-19 presentados en el ISSET en el periodo comprendido del 01 de marzo de 2020 al 18 de enero de 2021. Material y método: estudio de tipo descriptivo, trasversal y retrospectivo en el Instituto de Seguridad Social del Estado de Tabasco (ISSET), México. En el periodo de 01 marzo de 2020 al 18 de enero de 2021. Resultados: se registraron 4,283 casos positivos para SARS-CoV-2, por rt-PCR, siendo la mayor incidencia de casos en mujeres con el 51.04% de casos en edad de 50 a 54 años, y el 21% correspondiendo a personal de salud derechohabiente. La tasa de mortalidad fue mayor en hombres en edad de 60 a 64 años, asociadas a comorbilidades, como hipertensión, diabetes y obesidad. Conclusión: La incidencia de casos por SARS-CoV-2 ha ido en incremento. en el periodo comprendido del 1 de marzo de 2020 al 18 de enero de 2021, fueron reportados 4,283 casos positivos de SARS-CoV-2, con afectación al personal de salud. Se observó una mayor tasa de mortalidad en adultos mayores de 60 años, la cual se incrementa al asociarse con diversas comorbilidades. Palabras claves: SARS-CoV-2; COVID-19; comorbilidad; incidencia; mortalidad.

The Shanghai Cooperation Organization in Promoting Regional Peace and Stability: Analyzing the Case of Indo-Pak Conflict

By looking at the institutional settings of SCO, it is believed that this organization has a huge potential to maximize cooperation and minimize conflicts among the member states. Founded under the leadership of Russia and China, SCO extended not only the opportunities and roadmaps for promoting bilateral trade and security collaborations of the mentioned countries but also helped promoted regional integration across Central and South Asian states. To further analyze the viability of this platform, this article seeks to evaluate the emergence of the Shanghai Cooperation Organization from a 'security institution to a multilateral organization' perspective. It will further examine SCO's role in promoting regional peace and stability and finally elucidate how far the inclusion of new members like Pakistan and India can utilize the magnitude of SCO to mitigate their tensions.

Determination of Impact of Mining Operations on Accidentsand Diseasesat Work in Turkey

Today, dueto the rapidly developing technology, new production techniques are used to utilize natural resources more efficiently. The rapid change and competition conditions brought about by technology cause occupational accidents as a result of some deficiencies and negative situationsin working life. In this study, the situation of mining activities in 5 different classes within occupational accidents was evaluated by using the statistics of Social Security Institution of Turkey (SSI)between the years 2010-2019. In addition, the current situation of mining activities in terms of occupational accidents and occupational diseases in other sectors was analyzed by examining the data of 5 other sectors together.The results ofpresent studyreveal that occupational accidents, related deathsand workday losses are high in the mining sectoramong other sectors.

Stroke and cardiovascular risk factors among working-aged Finnish migraineurs

Background The aim of our study was to evaluate the risk for comorbid cardio- and cerebrovascular diseases in the working-aged migraine population of Finland. Methods A total of 1505 cases who reported diagnosed migraine and 3010 controls from a cohort of 11,596 cases in the Finnish Health and Social Support Study were included. The study material was linked with two registers. ICD diagnoses I63 for ischemic stroke (IS), I21 − I22 for acute myocardial infarction (AMI), and G43 for transient ischemic attack (TIA) among study participants were drawn from the national Finnish Care Register for Health Care at the follow-up in 2012. Reimbursed triptan prescriptions were drawn from the national Social Security Institution (SII) data. The self-reported vascular risk factors were hypertension, high cholesterol values, any diabetes, myocardial infarction, stroke, and TIA. Odds Ratios (OR) with 95% confidence (95% CI) intervals were assessed for diagnosed stroke, myocardial infarction, and TIA. Results Migraineurs were mostly female (82%) and ≥ 54 years old (62%). Triptans were reimbursed among 34.7% of migraineurs. A self-reported hypertension (21%), high serum cholesterol (38%), and any diabetes (7%) were more common among migraineurs vs controls (p < 0.05). There was no risk for AMI. The risk for TIA (OR 3.20, 95% CI 1.45–7.05) and IS (2.57, 95% CI 1.28–5.17) among migraineurs vs controls remained high after adjustment for self-reported hypertension, obesity, and smoking. The risk was higher among women in two groups ≥54 years (3.25, 95% CI 1.35–7.84 and 5.0, 95% CI 1.94–12.89, respectively). The average age for IS in migraine was 57.5 years and for TIA 58.2 years among women, and 52.8 years and 50.3 years among men, respectively. Conclusion Cardiovascular risk should be screened in the aging migraine population, and hormonal and other migraine-related risk factors should be considered, especially among women. Efficacious attack treatment with triptans should be offered to migraine patients who do not show contraindications.