Maurizio Marceca

What did the doctor say?. Ideas and reflections for an effective communication in doctor-migrant patient interaction

The article reflects about the dynamics of communication between doctor and patient, in particular migrants patient. The analysis starts from considering the possible benefits that the use of pictograms would bring to the goal of enhancing the therapeutic alliance between doctors and patients, positively affecting the processes of attention, comprehension, recall, and adherence. The images used for this purpose, however, have to be culturally sensitive, this can be achieved with a participative process that involves migrant in each step, from the initial drawing to the evaluation of the chosen tools of communication. It is important to emphasize the value of involving migrant in the therapeutic relationship in order to start an empowerment process that will be a significant step towards counterbalancing the evident disparity of migrants’ health.

Cosa ha detto il dottore? Idee e riflessioni per una comunicazione efficace tra medico e paziente migrante

The article reflects about the dynamics of communication between doctor and patient, in particular migrants patient. The analysis starts from considering the possible benefits that the use of pictograms would bring to the goal of enhancing the therapeutic alliance between doctors and patients, positively affecting the processes of attention, comprehension, recall, and adherence. The images used for this purpose, however, have to be culturally sensitive, this can be achieved with a participative process that involves migrant in each step, from the initial drawing to the evaluation of the chosen tools of communication. It is important to emphasize the value of involving migrant in the therapeutic relationship in order to start an empowerment process that will be a significant step towards counterbalancing the evident disparity of migrants’ health.

Le politiche per la tutela della salute dei migranti: il contesto europeo e il caso Italia

Understanding health as a fundamental human right, not limited only to the biological dimension, but including the social, economic, and political ones, the authors, after briefly describing the politics enacted at the European level to protect migrant health, analyzethe Italian experience in the light of international guidelines. Italy is, in fact, a specific and advanced case of migrant health protection; its very inclusive health policy recognizesthe equality in rights and responsibilities of legal citizens and offers protection and assistance to immigrants without legal authorization to reside in the country. However, even in an advanced context such as the Italian, it is important to transition from an assistance-based approach to a broader one of health promotion through intersectoral policies in light of the theory of the social determinants of health. Addressing the issue of migrant health represents an opportunity for the health services and, in general, for migration policies to become more focused on each person, his/her history, and the context in which he/she lives in.

The role of the Student’s involvement in GlobalHealth Medical Education: the results of a surveyconducted in four Medical Schools in Rome

2010 as reached universal salt iodization (USI). After this time, researches on iodine deficiency at the national level were not held in Kazakhstan. Objectives: The evaluation of the situation on iodine intake at the national level by urine iodine excretion, revelation of salt iodization quality and the awareness level of the population on iodine deficiency, comparison of indicators overtime in RK. Methods A cross-sectional survey of 2011 included 64 clusters on 22 women in each cluster. The women of reproductive age (15-49 years) were interviewed and 1145 salt samples were collected from their households for quantitative determination of iodine, and 1296 their urine samples were analyzed on content of iodine by ammonium persulfate digestion method, based on the Sandell-Kolthoff reaction. It was conducted a comparative analysis of the results with data from national studies before adopting USI strategy (1999) and MICS (2006). Results The urinary iodine median at women in 2011 was 181.1 mg/l, in 2006 235.9 mg/l, in 1999 93.9 mg/l. The prevalence of iodine deficiency of women was 22.8% in 2011, it was 15.9% in 2006, and 54.2% in 1999. In 2011 the percentages of salt samples with adequately iodized salt (?15 ppm) were 95.9%, in 2006 91.4 %, in 1999 29%. In 2011 among interviewed women 92.7%, n = 1303 knew that salt is iodized, in 2004 these were 93,3%, n = 1 500, and only 58.6% were aware of the need to use iodized salt, n = 4800 in 1999. Conclusions Since the adoption of the Law on mandatory salt iodization consumption percentage of adequately iodized salt has increased, which in turn affected the rising of urinary iodine levels at the population. After 8 years of USI median of urinary iodine excretion decreased slightly comparing with 2006, but remained in the normal range on the Background of adequately iodized salt coverage more than 90%. It indicates the necessity of periodic biological monitoring and continuing communication activity among population on long-term and constantly basis. Key message After 8 years of USI median of urinary iodine excretion decreased slightly comparing with 2006, but remained in the normal range.