1,720,975 research outputs found
Stress lavoro-correlato: il modello di valutazione italiano
No full textIl D.lgs 81/2008 ha introdotto importanti innovazioni nel contesto normativo Italiano,
uniformandolo a direttive comunitarie specifiche. A partire dal 1 Gennaio 2011 è obbligo del
Datore di Lavoro valutare, tra gli altri, il rischio da stress lavoro correlato. La metodologia
HSE Management standards è stata scelta come guida dall'INAIL per la valutazione del
rischio da stress lavoro-correlato. Questo ha portato ad una metodologia valutativa, articolata
in tre fasi distinte: una prima fase propedeutica (individuazione soggetti), una valutazione
preliminare (compilazione checklist) ed una valutazione approfondita (valutazione della
percezione soggettiva). Lo scopo di questa ricerca è quello di adeguare il modello valutativo
previsto dalle Linee Guida Inail 2011 ad una complessa realtà aziendale italiana
Studio sulla gestione del paziente aggressivo da parte dell’infermiere
No full textSono riportati i risultati ottenuti dalla somministrazione a 93 infermieri di un questionario mirato a valutare il livello di conoscenza sulla gestione di soggetti aggressiv
Work-related stress, over-nutrition and cognitive disability
No full textWork-related stress may exert a negative impact on a variety of physical and psychological attributes relating to the health of employees and work organizations. Several studies conducted in Italy have shown that workers and employees who express less satisfaction show increased symptoms of obesity and cognitive disability. The latest evidence underlines the pathogenic relationship between stress and neurological disease through inflammatory neuro- immune activation. The aim of this review was to describe the relationship between workplace stress and adverse changes in lifestyle that develop into obesity, neuroinflammation and cognitive dysfunction. The molecular mechanisms involved and guidelines for the prevention of these trends are discussed briefly
Gambling and the need for new responses in public health with an addiction “sine substantia”
No full textBackground. The Gambling Disorder (GD) was recently defined as
a behavioral addiction by the “The Diagnostic and Statistical Manual
of Mental Disorders IV”( DSM-V) since the clinical, neurobiological
and psychopathological similarities led it to be defined it as an
addiction “sine substantia”. The aim of this study is to formulate an
“identikit” of the gambler, to evaluate a possible association between
GD / emotional specific factors and the correlation between GD /
substance abuse, GD / suicide.
Method. In the study, 41 subjects were included (31 males and 10
females) and all were diagnosed with GD. A questionnaire was distributed
containing 24 questions deriving from South Oaks Gambling
Screen and the DSM-IVTR.
Results. The study showed that 51% of the respondents makes use
of alcohol and / or drugs; that 73% of the patients started playing in
order to relieve feelings of dysphoria and suffering consequences on
work as well as family life (51%). A great deal of the respondents were
indebted (39%) to the extent of needing to ask for loans from usurer
(17%). Furthermore, 41% of the respondents in the sample showed that
GD could be transformed into an alarming risk of suicide.
Discussion. The correlation between GD and drug abuse may depend
on the brain function and the neural circuits that support impulsive
behavior and the gratification mechanisms. Emotional experiences
(stress, low level of education, divorce, poor social support) could
constitute a possible risk factor that increases the GD. The committed
offenses related to gambling could be explained by “loss of control”.
Conclusion. The results of the present study contributes to the body
of knowledge regarding the size of phenomenon from a statistical and
epidemiological point of view, suggesting the necessity for targeted
information on the risks connected to GD in order to capture early
warning signs which enables the intervention with suitable strategies
La responsabilità professionale nell’utilizzo dei mezzi di contenzione nella gestione dell’evento caduta in ambiente ospedaliero [Risk factors correlating event falling to eventual medico-legal responsability]
No full textIntroduzione. Le cadute in ambito ospedaliero rappresentano un
problema di notevole impatto sulla qualità della vita dei pazienti,
potendo determinare un incremento della morbilità e della mortalità e
allungamento dei tempi di ospedalizzazione .
Obiettivo. Analizzare, attraverso la descrizione di un campione i
fattori di rischio estrinseci dell’evento caduta correlandoli ad eventuali
responsabilità medico-legali.
Metodo. È stato condotto uno studio retrospettiva su un campione di
131 pazienti (60% maschi, 30% femmine) afferenti alla Unità Operativa
Complessa (U.O.C.) Pronto Soccorso e Osservazione Breve Intensiva
(O.B.I.) del Policlinico Di Tor Vergata. È stata creata una scheda che
consentisse di raccogliere i dati relativi alle caratteristiche dei pazienti e
le circostanze dell’evento caduta; inoltre è stata effettuata dal personale
infermieristico una stratificazione del rischio- caduta al momento del
ricovero, mediante la Scala di Conley.
Risultati. Le cadute sono avvenute perlopiù nella stanza del paziente
(60%), nel 21% dei casi in presenza del personale sanitario e
nel 64% dei casi il letto era in posizione di sicurezza.
Discussione. Nel nostro campione le sponde di sicurezza sono state
apposte nel 58% dei casi ed è significativo osservare che nel 36% i
pazienti sono caduti nel tentativo di alzarsi, di scendere dalla barella
e di scavalcare tali sponde. Le sponde di sicurezza rappresentano una
misura di prevenzione del rischio ma da adottare solo dopo un’attenta
valutazione preliminare del paziente. Esse infatti potrebbero esporre i
pazienti ad ulteriori rischi nel tentativo di scavalcarle.Introduction. Falls within the hospital environment constitute a
severe problem and induce a notable negative impact upon the patients.
They may lead to an increased morbidity and/or mortality with an
extended period at the hospital.
Aims. Analyze, through the description of a sample of extrinsic risk
factors correlating event falling to eventual medico-legal responsibility.
Methods and Materials. The retrospective study used data derived
from a total of 131 patients (60% males and 40%, females) who were
obtained from the Unit of Complex Operations (U.O.C.), and Emergency
Unit and Short-term Intensive Observation ( O.B.I.), from the
Polyclinic of the Tor Vergata . A questionnaire/record was designed
that registered the patients’ characteristics and falling-accident circumstances.
The questionnaire-register was completed by nursing staff who
performed a falls risk assessment using the Conley scale.
Results. Falling-accidents occurred in the patients room in 60% of
the cases, in 21% of the hospital staff were present, and the patient’s
bed was locked in the safety position in 64% .
Disscussion. The present study revealed that the use of the safety
rail occurred in 58% of the falling-accident cases and it important to
observe that in 36% of the cases the patients fell during his/her attempt
to leave the bed, or stepping down from the stretcher or climbing up
the bedsides. The safety rails are useful measures for risk prevention
but only acted upon after careful each patient’s preliminary assessment
. Indeed, they could expose patients to additional risks in an
attempt to step over
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
- …
