Papers by Antonia Pirrera
Not Ist Super Sanità, 2018
The widespread of “body art” practices
has given rise to increasing concerns. The data of the nat... more The widespread of “body art” practices
has given rise to increasing concerns. The data of the national survey on tattoos conducted by the Italian National
Institute of Health confirm this trend. Not always people have full awareness of the possible risks associated. The National
Center for Innovative Technologies in Public Health performs studies and analysis on tattoos and piercings designed to
improve the lives of those who suffer from particular diseases. Medical tattoos applied to restore bodily integrity of cancer
patients is an example. There is a great interest related to the application of piercing in assistive devices, based on
tongue control systems that can help to improve the autonomy of people with severe motor disabilities.
Key words: tattooing; body piercing; medical devices; self-help devices

PubMed, 2022
Medical tattooing aims to restore the normality of skin structures in patients who have skin dise... more Medical tattooing aims to restore the normality of skin structures in patients who have skin diseases or suffer sequelae after surgical interventions or hazards. There are numerous applications, with tattooing of vitiligo and the nipple areola complex after breast cancer surgery as leading fields. The use of 3D or realistic tattoo techniques has increased the potential of medical tattooing and improved the aesthetic results. The tattooist must have good technical training combined with artistic and creative talents. In this chapter, two innovative applications of medical tattooing will be presented as examples, i.e. tattooing of the nailbed and the gingiva. Nailbed tattooing reconstructs the normal perception of the nailbed and the nail plate when the nails have previously been removed though a surgical procedure. Tattoo of the gingiva performed after a connective tissue implant of the gum is a new application. These treatments, approved by a physician and performed by a tattooist with proven experience in medical tattooing, also involve the use of specific color nuances that produce an extremely realistic outcome.
Diagnostics
Advancements in artificial intelligence (AI), thanks to IT developments during the COVID-19 pande... more Advancements in artificial intelligence (AI), thanks to IT developments during the COVID-19 pandemic, have revolutionized the field of diagnostics, particularly in clinical imaging [...]

Healthcare
Assistive technologies are increasingly taking a leading role in supporting people with spinal co... more Assistive technologies are increasingly taking a leading role in supporting people with spinal cord injury (SCI). This narrative review of reviews intends to contribute by making a map point investigating the integration of ATs in SCI. The methodology of the review was based on: (I) a search of PubMed and Scopus and (II) an eligibility assessment using specific parameters. The outcome highlighted the following: -The evolution of ATs considered in the context of SCI, considering ATs as both products and/or services in standalone and/or networked devices, and as processes of delivery. -Innovative technologies could play an important role in improving the quality of life and in minimizing costs in healthcare. -The international scientific community has identified ATs as one of the six strategic development areas in SCI. The overview also allowed the detection of some problems: (I) The ethical and regulatory aspects have been addressed in a weak way and only in specific and limited case...

Healthcare
The barbell piercing can be used as an assistive device that allows people with severe disabiliti... more The barbell piercing can be used as an assistive device that allows people with severe disabilities, such as tetraplegia, to control their environments using the movement of the tongue. The human tongue can move rapidly and accurately, such that the tip can touch every tooth. Lingual control systems allow people with disabilities to take advantage of their residual skills for easier communication and to improve the control of mobility and the surrounding environment. The aim of this study was to conduct a narrative review of the development and dissemination of the assistive technologies based on tongue control by means of the barbell piercing. The design of the study was based on: (I) an overview of Pubmed complemented with other databases and Web searches (also institutional); (II) an organization according to a standardized checklist for narrative reviews; (III) an arrangement with four different perspectives: the trends in the scientific literature, technological evolution and c...
Annali dell'Istituto Superiore di Sanità, Jun 21, 2022
Healthcare
We are writing to you as the corresponding author of the interesting study “The Impact of Using m... more We are writing to you as the corresponding author of the interesting study “The Impact of Using mHealth Apps on Improving Public Health Satisfaction during the COVID-19 Pandemic: A Digital Content Value Chain Perspective” [...]
Blackwell Scientific Publications, 2009
Ann Ist Super Sanità, 2017
The primary objective of medical tattooing is to restore part of a patient’s physical integrity. ... more The primary objective of medical tattooing is to restore part of a patient’s physical integrity. Moreover, the procedure seeks to assist in psychological recovery from the physical and/or psychological consequences of disease, surgery or trauma. The method
described in this brief note marks a step forward in the field of such tattooing. The treatment simulates reconstruction of the nail bed, as the nails of the big toes had previously been removed through a surgical avulsion procedure. This treatment, agreed with the physician and performed by a tattooist with proven experience in medical tattooing,
also involved the use of specific colour nuances that resulted in an extremely realistic outcome.
BACKGROUND In recent years, the number of tattooed individuals has increased significantly worldw... more BACKGROUND In recent years, the number of tattooed individuals has increased significantly worldwide. It has been estimated that approximately 24% of the US population has at least one tattoo [1], while, in Europe, there are about 60 million people (around 12%) who have been tattooed [2].

Healthcare
Background: The problem of the relationship between ethics and robotics is very broad, has import... more Background: The problem of the relationship between ethics and robotics is very broad, has important implications, and has two large areas of impact: the first is conduct in research, development, and use in general. The second is the implication of the programming of machine ethics. Purpose: Develop and administer a survey of professionals in the health domain collection of their positions on ethics in rehabilitation and assistance robotics. Methods: An electronic survey was designed using Microsoft Forms and submitted to 155 professionals in the health domain (age between 23 and 64 years; 78 males, mean age 43.7, minimum age 24, maximum age 64; 77 females, mean age 44.3, minimum age 23, maximum age 64) using social media. Results and discussion: The outcome returned: (a) the position on ethics training during university studies and in the world of work, (b) the organizational aspects hindered by ethics and those to be perfected in relation to ethics, (c) issues of ethical concern,...

Healthcare, 2022
This report illustrates the design and results of an activity of surveillance proposed by the Nat... more This report illustrates the design and results of an activity of surveillance proposed by the National Centre for Innovative Technologies in Public Health and the National Centre for Rare Diseases of the Istituto Superiore di Sanità with the aim of monitoring the state-of-use of technologies by people with frailty, disabilities, and rare diseases. The results of the surveillance activity reported in this report are as follows: (a) An international Webinar; (b) A Full report published by the Istituto Superiore di Sanità (ISS); (c) an electronic survey tool, for periodic monitoring; (d) an initial summary of the survey (15 September–30 November 2020), giving an overall picture relating to the state-of-use of technologies by the interviewed; (e) an understanding of the needs that emerged, causing reflection on the current state-of-the-art and offering important stimuli for all the stakeholders involved.

Annali dell'Istituto superiore di sanita, 2020
BACKGROUND Dermopigmentation, also known as medical tattooing, is a complementary technique in th... more BACKGROUND Dermopigmentation, also known as medical tattooing, is a complementary technique in the reconstruction of the nipple-areola and an adjuvant procedure to improve colour mismatch. In 2009, tattooing of the nipple-areola complex (NAC) was introduced by Treviso Hospital through a project conducted in cooperation with the local section of the Italian Anti-Cancer League (LILT). METHODS From 2010 to 2016, 169 patients treated for breast cancer underwent dermopigmentation treatments. Patients were selected by the hospital plastic and breast surgeons. Dermopigmentation was performed at the LILT (Lega Italiana per la Lotta contro i Tumori, Italian Cancer League) facility following a specific procedure to ensure safety. A sterile disposable surgical set was used. RESULTS Of 169 patients treated in 309 treatment sessions, no serious complications were reported after tattooing, with only three cases seen of minor complications. Patients expressed a high level of satisfaction (90%) wit...
The primary objective of medical tattooing is to restore part of a patient's physical integri... more The primary objective of medical tattooing is to restore part of a patient's physical integrity. Moreover, the procedure seeks to assist in psychological recovery from the physical and/or psychological consequences of disease, surgery or trauma. The method described in this brief note marks a step forward in the field of such tattooing. The treatment simulates reconstruction of the nail bed, as the nails of the big toes had previously been removed through a surgical avulsion procedure. This treatment, agreed with the physician and performed by a tattooist with proven experience in medical tattooing, also involved the use of specific colour nuances that resulted in an extremely realistic outcome.

BACKGROUND In recent years, Italy has seen a constant upward trend in the practice of tattooing. ... more BACKGROUND In recent years, Italy has seen a constant upward trend in the practice of tattooing. The Italian National Health Institute has conducted a national survey to determine the prevalence of tattooed people in Italy and to study related features of the phenomenon. AIM Establish the prevalence and characteristics of the tattooed population and evaluate awareness of the risks associated with tattoos, which can contribute to consumer health protection. METHODS Computer-assisted telephone interviews and computer-assisted web interviews were completed by a sample of the general population; 7608 people aged between 12 and 75+. RESULTS The prevalence of tattooed people was 12.8% of the general population in Italy (95% CI: 12.05%-13.55%), equivalent to an estimated 6 900 000 tattooed individuals. Tattoos were more prevalent among women, at 13.8%, while tattooed men accounted for 11.8%. The vast majority of tattooed subjects had decorative tattoos of small dimensions, with a higher pr...
Annali dell'Istituto superiore di sanita
The present paper shows the results of an experimental study aimed at arranging a microbiological... more The present paper shows the results of an experimental study aimed at arranging a microbiological characterization of bioaerosol and leachate resulting from a sanitary landfill for solid urban waste situated near Rome. Bioaerosol sampling was performed by using the active sampling method referred to as surface air system, that is extensively used during indoor environmental monitoring. The microorganisms (bacteria and fungi) believed to be of relevance on bioaerosol and leachate with a view to hygienic risks, were investigated in order to estimate the potential risks to which the population and the workers can be exposed and consequently to allow corrective measures by monitoring campaigns of the examined matrices and by models of low environmental impact landfill.
Metodi e preparati utilizzati per la rimozione dei tatuaggi Caratteristiche fenotipiche e genotip... more Metodi e preparati utilizzati per la rimozione dei tatuaggi Caratteristiche fenotipiche e genotipiche di ceppi di N. meningitidis isolati nel periodo 2008-2011 Progetto RIAP e privacy: sviluppo di un modello di consenso informato per il paziente Laboratorio Europeo di Riferimento per gli elementi chimici in alimenti di origine animale: le prove valutative interlaboratorio Poste italiane S.p.A.-Spedizione in abbonamento postale-70%-DCB Roma
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Papers by Antonia Pirrera
has given rise to increasing concerns. The data of the national survey on tattoos conducted by the Italian National
Institute of Health confirm this trend. Not always people have full awareness of the possible risks associated. The National
Center for Innovative Technologies in Public Health performs studies and analysis on tattoos and piercings designed to
improve the lives of those who suffer from particular diseases. Medical tattoos applied to restore bodily integrity of cancer
patients is an example. There is a great interest related to the application of piercing in assistive devices, based on
tongue control systems that can help to improve the autonomy of people with severe motor disabilities.
Key words: tattooing; body piercing; medical devices; self-help devices
described in this brief note marks a step forward in the field of such tattooing. The treatment simulates reconstruction of the nail bed, as the nails of the big toes had previously been removed through a surgical avulsion procedure. This treatment, agreed with the physician and performed by a tattooist with proven experience in medical tattooing,
also involved the use of specific colour nuances that resulted in an extremely realistic outcome.
has given rise to increasing concerns. The data of the national survey on tattoos conducted by the Italian National
Institute of Health confirm this trend. Not always people have full awareness of the possible risks associated. The National
Center for Innovative Technologies in Public Health performs studies and analysis on tattoos and piercings designed to
improve the lives of those who suffer from particular diseases. Medical tattoos applied to restore bodily integrity of cancer
patients is an example. There is a great interest related to the application of piercing in assistive devices, based on
tongue control systems that can help to improve the autonomy of people with severe motor disabilities.
Key words: tattooing; body piercing; medical devices; self-help devices
described in this brief note marks a step forward in the field of such tattooing. The treatment simulates reconstruction of the nail bed, as the nails of the big toes had previously been removed through a surgical avulsion procedure. This treatment, agreed with the physician and performed by a tattooist with proven experience in medical tattooing,
also involved the use of specific colour nuances that resulted in an extremely realistic outcome.