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The COVID-19 epidemic has recently led in Italy to the implementation of different external strategies in order to limit the spread of the disease in response to its transmission rate: strict national lockdown rules, followed first by a weakening of the social distancing and contact reduction feedback interventions and finally the implementation of coordinated intermittent regional actions, up to the application, in this last context, of an age-stratified vaccine prioritization strategy. This paper originally aims at identifying, starting from the available age-structured real data at the national level during the specific aforementioned scenarios, external-scenario-dependent sets of virulence parameters for a two-age-structured COVID-19 epidemic compartmental model, in order to provide an interpretation of how each external scenario modifies the age-dependent patterns of social contacts and the spread of COVID-19. [ABSTRACT FROM AUTHOR]

This paper addresses the problem of describing the spread of COVID-19 by a mathematical model introducing all the possible control actions as prevention (informative campaign, use of masks, social distancing, vaccination) and medication. The model adopted is similar to SEIQR, with the infected patients split into groups of asymptomatic subjects and isolated ones. This distinction is particularly important in the current pandemic, due to the fundamental the role of asymptomatic subjects in the virus diffusion. The influence of the control actions is considered in analysing the model, from the calculus of the equilibrium points to the determination of the reproduction number. This choice is motivated by the fact that the available organised data have been collected since from the end of February 2020, and almost simultaneously containment measures, increasing in typology and effectiveness, have been applied. The characteristics of COVID-19, not fully understood yet, suggest an asymmetric diffusion among countries and among categories of subjects. Referring to the Italian situation, the containment measures, as applied by the population, have been identified, showing their relation with the government's decisions; this allows the study of possible scenarios, comparing the impact of different possible choices. [ABSTRACT FROM AUTHOR]

COVID-19 (Corona-Virus Disease 2019) in Italy and the measures that were adopted to contain its diffusion had a strong impact on people's quality of life and mental health. The objective of the study was to quantify the psychological impact of the lockdown period on the general Italian population during the two weeks when the COVID-19 emergency in Italy was at its peak. The study (1556 adults) was conducted from April 6th to April 12th, 2020. A survey was developed through Google Forms in order to assess different psychological measures (Self Efficacy, Locus of Control, Social Connectedness, Sense of Virtual Community, Flourishing, Positive and Negative Affect, Life Satisfaction, and Risk Propensity). The results were then compared to reference data. Thelockdown period increased arousal mainly for negative emotions, but also for positive emotions, and quality of life seemed to be reduced. From a psychosocial point of view, while social connectedness has decreased during lockdown, probably because of isolation and social distancing, the virtual social community seemed to increase in the same period. Interestingly, we revealed how self efficacy increased during the lockdown period, and, at the same time, the Locus of control appeared as externalized, and the risk propensity as reduced. The results are discussed considering previous literature, and a coherent theoretical framework is proposed in order to refine the forecasting model for the psychological impact of the lockdown. [ABSTRACT FROM AUTHOR]

Since the World Health Organization declared the novel coronavirus outbreak a global health emergency, Italy's lockdown was declared on 9 March 2020. Elective orthopedic surgery was forced to stop to allow the healthcare system to face the emergency. However, many orthopedic oncology cases could not be postponed. The aim of this study was to report the experience in managing sarcoma patients and the reorganization of a cancer center in an attempt to maintain it free from COVID-19. A Coronavirus Crisis Unit was established by the health directorate coordination in order to adopt specific procedures. General rules of screening and social distancing were applied in different health settings (entrance check point, hospital inward, outpatient clinic, operative room). Regarding oncologic orthopedics, priority was given to bone and soft tissue sarcomas, metastases and aggressive benign tumors at risk of impending or pathologic fracture. Precise indications were followed to manage first outpatient visits, patients undergoing surgery and follow-up. Meticulous adherence to rules among patients and personnel and collaboration between leadership and medical staff in order to continue to perform multidisciplinary treatment protocols, maintain the availability of infrastructural spaces and source protective equipment, swabs and screening samples have been successful in the aim towards a safe cure for cancer patients. [ABSTRACT FROM AUTHOR]