95 research outputs found
Medicina Difensiva tra Codice Penale e fenomeno mediatico: imposizione, alibi...o necessità
No full textAspetti medico-legali
No full textÈ in continuo incremento la conflittualità medico-paziente in rapporto a veri o supposti episodi di malpractice, anche in settori finora rimasti pressoché indenni, quali l’oncologia.
La ragione del crescente numero di errori è dovuta anche alla crescente complessità delle strutture sanitarie.
L’informazione e l’ottenimento di un valido consenso a un trattamento sanitario sono requisiti imprescindibili affinché il trattamento stesso sia eticamente, deontologicamente e giuridicamente lecito.
I progressi della scienza e della tecnologia hanno generato un’illusione positivistica dove, al potere terapeutico della relazione di cura, si sostituisce la potenza materiale della tecnologia. Tale aspettativa, inevitabilmente delusa, genera insoddisfazione, sfiducia e demotivazione, delegittimando socialmente la professione del medico.
La spinta conflittuale tra medico-paziente ha portato alla diffusione di pratiche di medicina difensiva, ossia la messa a punto e lo sviluppo di strategie “terapeutiche” mirate, prima ancora che a fornire la cura migliore, a proteggere il professionista o la struttura sanitaria dalle potenziali implicazioni di responsabilità.
La legge n. 24/2017 ha l’obiettivo di far fronte a due problematiche principali: la necessità di regolamentare la mole del contenzioso giudiziario per ricercare un nuovo equilibrio nei rapporti tra strutture sanitarie, esercenti la professione sanitaria e pazienti, e la necessità di contrastare il fenomeno della medicina difensiva, in quanto produttiva di un uso inappropriato delle risorse destinate alla sanità. La legge cerca di affrontare “a tutto
campo” il complesso fenomeno della responsabilità professionale sanitaria
Hemodynamic changes across the human ductus venosus: a comparison between clinical findings and mathematical calculations.
No full textSTORIA DELLA COSTRUZIONI AERONAUTICHE GIOVANNI AGUSTA. IMPRESA, TECNOLOGIE E ORGANIZZAZIONE 1908-1975
No full textA company history of the italian helicopter's manufacturer site in Cascina Costa of Samarate - Varese. The study covers a period that runs from the first prototype built by Giovanni Agusta until the middle of 70's when many different changes involved the technology, owner's asset and the structure of the company. All the aspects connected with the acquired licences from North American manufacturers are in details analyzed and the governance of the company too. In the background has been also analyzed the evolution of rotorcraft machines in Italy with a brief history of their technology. The study takes care also of the local factors that involved the conducts of the company
Le lesività d'entrata da colpo d'arma da fuoco a canna corta munita di dispositivo silenziatore. Risultati di una ricerca effettuata in balipedio.
No full textGrowth and characterization of high quality LuVO3 single crystals
No full textThe floating zone method using an image furnace under reducing atmosphere has proven successful in growing high-quality LuVO 3 single crystals with the largest dimensions to date. Crystals of several mm 3 in dimension, and thus large enough for Resonant X-ray Scattering measurements have been obtained, and the growth strategy, described in detail, could be in principle easily extendable to other members of the REVO 3 perovskite class. Crystal quality was checked by Laue photographs and structural analysis of LuVO 3 was performed by single-crystal X-ray diffraction. © 2012 ElsevierB.V. All rights reserved
ALPHA(2)-ADRENERGIC RECEPTOR SENSITIVITY IN PANIC DISORDER .1. GH RESPONSE TO GHRH AND CLONIDINE STIMULATION IN PANIC DISORDER
No full textBaseline levels of GH and somatomedin C (SmC) and GH responses to GHRH (1 mu g/kg b.w.) and to clonidine (150 mu g) were measured in 10 outpatients with panic disorder before and after 30 days of 2-2.5 mg of alprazolam therapy, and in 10 psychophysically healthy controls. Basal levels of GH were normal in the patients and those of SmC significantly elevated, both before and after therapy. Basal GH responses to GHRH stimulation were normal and did not change after alprazolam treatment. Basal GH responses to clonidine stimulation were blunted in the patients and improved after therapy, in parallel with an amelioration of the psychopathology. Our data suggest that adrenoceptor sensitivity, investigated by the clonidine test, is reduced in panic disorder
«Civico per volontà, vocazione e significato». Il CIMAC di Mercedes Precerutti Garberi (1969-1992)
No full textLa ricerca ricostruisce e analizza le azioni intraprese da Mercedes Precerutti Garberi (Lomello 1927 – Milano 2007) al fine di istituire il primo Museo Civico d’Arte Contemporanea di Milano, noto anche come CIMAC e aperto provvisoriamente al secondo piano di Palazzo Reale nel maggio 1984 dopo anni di gestazione.
Direttrice delle Civiche Raccolte d’Arte del capoluogo lombardo dal 1971 al 1992, Garberi si dedicò all’aggiornamento e alla revisione generale di tutti gli istituti di cui era a capo, comprendenti il Castello Sforzesco, la Galleria d’Arte Moderna e il Padiglione d’Arte Contemporanea.
Il ruolo determinante da lei assunto nelle fasi di costituzione, ideazione e realizzazione di un progetto museale stabile specifico per l’arte contemporanea fa del CIMAC un caso particolarmente rilevante. Esso, infatti, è interrelato con le esigenze e le aspirazioni culturali della Milano socialista tra i cosiddetti anni di piombo e l’avvio dell’inchiesta giudiziaria Mani Pulite, quando la città tentava di ricucire le ferite del terrorismo affermando il proprio statuto di “capitale morale” del Paese a livello sia nazionale sia europeo.
Attraverso un’ampia ricognizione di materiali d’archivio, la tesi prende le mosse dal processo che ha visto prima l’individuazione e poi la trasformazione di Palazzo Reale in sede espositiva per poi soffermarsi sull’ingente campagna di acquisizioni portata avanti da Garberi tra anni settanta e ottanta mappando dal primo Novecento fino alla più stringente attualità. La disamina della fisionomia del CIMAC al momento della sua apertura, affrontata nel terzo capitolo, riflette questioni storico-artistiche e architettoniche, contestuali e strategiche che concorrono a delineare un ritratto sia dell’orientamento museologico di Garberi, sia del difficile percorso di istituzionalizzazione dell’arte contemporanea in Italia, calato in un contesto di transizione i cui effetti si mostrano quanto mai vivi nel presente.The research reconstructs and analyses the actions undertaken by Mercedes Precerutti Garberi (Lomello 1927 – Milan 2007) aimed at establishing the first Civic Museum of Contemporary Art in Milan, also known as CIMAC, which was provisionally opened on the second floor of Palazzo Reale in May 1984 after years of planning.
As Director of the Civic Art Collections of Milan from 1971 to 1992, Garberi focused on updating and comprehensively revising all the institutions under her management, including the Castello Sforzesco, the Galleria d’Arte Moderna, and the Padiglione d’Arte Contemporanea.
Her decisive role in the establishment, conceptualization, and realization of a permanent museum project dedicated to contemporary art makes CIMAC a particularly fitting case, as it was closely intertwined with the cultural needs and aspirations of Milan, firmly governed by the Socialist Party. During the period between the so-called “years of lead” and the onset of the Mani Pulite judicial investigation, the city was striving to heal the wounds of terrorism and reaffirm its role as the “moral capital” of Italy at both national and European levels.
Drawing on extensive archival research, the thesis begins by examining the process that led to the initial identification and subsequent transformation of Palazzo Reale into an exhibition venue, before focusing on the extensive acquisition campaign spanning from the early 20th century to contemporary works, spearheaded by Garberi during the 1970s and 1980s. The analysis of CIMAC’s configuration at the time of its opening, discussed in the third chapter, reflects art-historical and architectural, contextual and strategic issues, that contribute to portraying both Garberi’s museological orientation and the challenging process of institutionalizing contemporary art in Italy, set within a transitional context whose effects remain relevant to this day
Human-induced landscape modification in the in the last two centuries in the Po delta plain (northern Italy)
No full textHistorical maps with high degree of accuracy permit quantitative reconstructions of past land use and land cover (LULC), crucial to assess the impact of human activities on landscape evolution. After georeferencing in a modern reference system, the Carta del Ferrarese commissioned by Napoleon Bonaparte and completed in 1814, has been used to quantify the changes in LULC, occurred in the last two centuries in the Po delta plain. The map depicts a palaeo-landscape dominated by wetlands (49 % of the study area) and agricultural areas (41 %), whereas forests appear already largely depleted (5 %). The Piantata Padana, a traditional agroforestry system with live trees used to support grapevines, is dominant (62 % of the agricultural areas). The comparison with the 2014 LULC map highlights a dramatic reduction (85 %) of wetland areas and the replacement of the Piantata Padana with bare arable lands, with the consequent removal of 4–40 million trees. Soils of areas formerly occupied by wetlands show high organic-carbon content, highlighting the potential of humid areas in carbon sequestration. Land reclaiming, prompted by the introduction of steam pumps, favoured the economic development of the area, but concurred to CO2 emissions through the oxidation of soil organic substances, energy consumption from pumping stations, and the extensive use of hydrocarbon fuels in agriculture. Although urbanisation is limited in the Po delta plain, this area appears nowadays largely shaped by human activities, with the dominance of lands devoted to agriculture, dissected by a dense network of draining channels. The landscape changes recorded in the last two centuries in the Po coastal plain have been uniquely driven by human activities, like in several coastal plains worldwide
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