expertise and capacity are available. Overall it lacks sufficient capacity. The accessibility, nature of the diagnostics, target groups, composition of the diagnostic teams and working processes differ between organisations and are not coordi-nated. There is no shared interorganisational opinion on the concept and content of diagnostics. An important hampering factor for interorganisational collaboration is the lack of trust in the quality of diagnostics by other organisations. Many ruptures in the overall trajectory hamper continuity of care for NDD.
Conclusions:
Besides creating more diagnostic capacity according to a geographical planning, interorganisational collaboration will tackle the accessibility problem. A coordinated common framework grounded in the logics of cooperation and collaboration of a heterogeneous mix of organisations provid-ing diagnostics, is needed.
Key messages:
Development of collaborative networks of different types of services offering diagnostics will improve the accessibility of early and timely multidisciplinary diagnostics for children with NDD.
A shared interorganisational opinion on the concept and content of diagnostics aiming to improve interorganisa-tional trust in the quality of diagnostics, must be developed. Screening for retinoblastoma: an evidence review of the validity and use of the red reflex test
Ciara Kelly C Kelly1
1Department of Public Health, HSE West, Galway, Ireland
Contact: kellyc42@tcd.ie Background:
Retinoblastoma is the most common intraocular malignancy of childhood, the most common presenting signs of which are leucocoria and strabismus. In Ireland, there are on average less than 5-7 cases annually. Early detection of this sight and life-threatening malignancy is important to enable urgent specialist ophthalmology referral for assessment. An evidence review was sought by the Health Service Executive Steering Group for the Revised Child Health Programme to examine the validity and use of the red reflex test in Ireland and internationally as a screening test for retinoblastoma.
Methods:
An electronic literature search was conducted to identify relevant peer-reviewed publications using the database Pubmed. A hand search of reference lists of suitable articles was conducted to check for additional material. Publications pertaining to national and international retinoblastoma screening practices were sourced via internet searches using Google. The relevant grey literature was explored.
Results:
There is very limited data on the validity of the red reflex test as a screening test for retinoblastoma. Despite potentially raising a high proportion of false positive results, it is a low-cost, non-invasive, quick and acceptable test. In Ireland and the UK, retinoblastoma is universally screened for using the red reflex test within 72 hours of birth and at 6-8 weeks of age. Detection of a white, absent or asymmetrical red reflex prompts urgent referral to a specialist ophthalmology service. Many cases of retinoblastoma in developed countries are brought to clinical attention after an eye abnormality is noticed by a parent.
Conclusions:
The red reflex test is a valuable screening tool which is used internationally as part of newborn screening for eye pathology including retinoblastoma. The evidence synthesised in this review will inform educational initiatives in Ireland to improve awareness and detection of this malignancy among healthcare providers and parents.
Key messages:
Early detection of retinoblastoma is important to enable urgent specialist ophthalmology referral for assessment. The red reflex test is a valuable screening tool which is used
internationally as part of newborn screening for eye pathology including retinoblastoma.
Cyberbullying and Electronic Media Communication problematic use in Piedmont. Data from HBSC study Noemi Marengo
N Marengo1, A Borraccino1, M Caputo2, P Dalmasso1, P Lemma1
1Department of Public Health and Paediatrics, University of Turin, Turin,
Italy
2HBSC coordinator of the Piedmont regional school office, Local Health
Authority Cuneo 1, Cuneo, Italy Contact: noemi.marengo@unito.it Background:
Cyberbullying seems to be an emerging public health issue worldwide. Several mental health problems have been reported in adolescents exposed to it. Spreading of smartphones and social networks in youths, requires to explore the eventually Electronic Media Communication (EMC) problematic use, in order to identify potentially negative health consequences in adolescents. This study aims to illustrate cyberbullying and to investigate whether an EMC inappropriate use could implicate an increased cybervictimization risk.
Methods:
Data were collected as part of the Italian 2018 Health Behaviour in School-aged Children (HBSC) study for the Piedmont region, which involved 3022 children of 11, 13 and 15 years old. Prevalence of cybervictimization, cyberbullying and EMC problematic use were estimated in subgroups defined by age and gender. The link between EMC problematic use and cyber-victimization/bullying was examined through a multivariate logistic regression.
Results:
The average frequency of cybervictimization in Piedmont was low (7,4%), in line with the average distribution in Italy. 13 years old girls reported the highest proportions of both cybervictimization and EMC problematic use (10,30% and 12,08% respectively). Adolescents who reported EMC proble-matic use showed an increased risk of cybervictimization (OR = 2,45; p < 0,05).
Conclusions:
Despite the low prevalence of cyberbullying in Italy, our data showed a greater risk of cybervictimization when the EMC use is inappropriate. Further investigations, starting from the HBSC study, are required to explore the cyberbullying phenomenon in depth.
Key messages:
Cybervictimization risk is higher in EMC problematic use. Public health intervention and educational programs are
deemed necessary for a more responsible EMC use, in order to prevent cyberbullying and mental health problems in adolescents.
The venom bites in pregnant women: systematic review
Carlotta Lorenzini
C Lorenzini1, C Cuccaro1, N Nante1,2
1Post Graduate School of Public Health, Department of Molecular and
Developmental Medicine, University of Siena, Siena, Italy
2Department of Molecular and Developmental Medicine, University of
Siena, Siena, Italy
Contact: carlotta_lorenzini@hotmail.it Background:
The snakebite in pregnancy are rarely reported in literature; they cause mortality and morbidity, the symptoms may be many, such as circulatory collapse, respiratory failure, bleed-ing, renal failure. The antivenom is the standard treatment, but it can be a potential cause of anaphylaxis and serum diseases;
16thWorld Congress on Public Health 2020 2020–01 v869
