197,269 research outputs found

    Physician social capital and the reported adoption of evidence-based medicine: Exploring the role of structural holes

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    The present study explores the role that professional networks play in the propensity of hospital physicians to adopt and implement evidence-based medicine (EBM) into clinical practice. Using attributional and relational data collected from a sample of 207 physicians in six Italian National Health Service hospitals, social network techniques were used to analyze the structure of the networks representing professional interactions among the surveyed hospital physicians. Ordinal logistic regression was applied to analyze the association between the structural features of physicians’ networks and their self-reported propensity to implement EBM into daily practice. Physicians who were highly constrained in their interpersonal networks were less likely to report adopting EBM, suggesting that the cohesion induced by social interactions may hamper, rather than foster, the diffusion of scientific information within professional groups. We discuss the implications of the observed interaction patterns for hospital administrators and policy makers

    CODICE DELLE SUCCESSIONI E DONAZIONI

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    Il contributo analizza il tema delle successioni nelle concessioni e nelle licenze nell'ambito di settori e servizi pubblici rilevanti quali: le farmacie, i trasporti e all'interno del codice della navigazione, mettendo in luce le relative problematiche. In particolare, viene esaminato il tema dell’intrasmissibilità dei rapporti di diritto pubblico e delle sue possibili eccezioni, costituite da norme che non disciplinano la fattispecie della successione mortis causa, ma trattano unicamente della successione del provvedimento autorizzatorio, che viene amministrato dalla comunione ereditaria

    Using randomized controlled trials to ask questions regarding developmental psychopathology: A tribute to Dante Cicchetti

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    This article was originally published in Development and Psychopathology. The version of record is available at: https://doi.org/10.1017/S0954579424000245. © The Author(s), 2024. Published by Cambridge University PressDante Cicchetti, the architect of developmental psychopathology, has influenced so many of us in profound ways. One of his many contributions was in demonstrating the power of randomized controlled trials (RCTs) to study the effects of Child–Parent Psychotherapy (CPP). These RCTs have shed light on causal mechanisms in development. Following Cicchetti and colleagues’ work, we designed a brief home visiting program, Attachment and Biobehavioral Catch-up (ABC), to help parents respond in sensitive, nurturing ways, so as to enhance children’s attachment and self-regulatory capabilities. In the current study, we assessed adolescents’ reports of the closeness of their relationships with their mothers 12 years after their mothers completed the intervention. A total of 142 adolescents participated (47 randomized to ABC, 45 randomized to a control intervention, and 50 from a low-risk comparison group). Adolescents whose mothers had been randomized to ABC reported closer relationships with their mothers than adolescents randomized to the control condition, with significant differences seen on approval, support, companionship, and emotional support subscales. Consistent with Cicchetti et al.’s work, these results provide powerful evidence of the long-term effects of an early parenting intervention.This research was supported by National Institute of Mental Health grant R01MH074374 to the last author. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors thank the children and families who participated in the research. The authors also gratefully acknowledge the support of child protection agencies in Philadelphia. The authors have declared that they have no competing or potential conflicts of interest

    Documenti (ricostruzione dei)

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    Il contribito analizza le disposizioni contenute nel r.d.l. 15 novembre 1925, n. 2071 e le sue successive modifiche con particolare riguardo alla tematica della disciplina in materia di ricostruzione di documenti distrutti o dispersi in occasione di pubbliche calamità o di tumulti popolari

    Navigazione

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    Il contributo affronta l'analisi della disciplina della trasmissibilità della concessione demaniale in caso di morte del concessionario e ne individua presupposti e problematicità

    Sepoltura, cremazione e polizia mortuaria

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    Il lavoro analizza il regolamento di polizia mortuaria, DPR 285 del 1990sotto diversi profili, quali in particolare, l'autorizzazione al trasporto della salma e i limiti territoriali di tale provvedimento, il diritto al sepolcro, le concessioni di aree cimiterialie la problematicità della natura del provvedimento concessorio. Inoltre, si sofferma sulla disciplina dei sepolcri costituiti all'esterno dei cimiteri e sull'applicazione delle norme di diritto amministrativo alle cappelle private. L'ultimo profilo analizzato è la durata della concessione cimiteriale e l'analisi dei connessi problemi applicativ

    LA COSTRUZIONE DELLE LINEE GUIDA: QUALE BILANCIAMENTO TRA EVIDENZE E OPINIONI

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    Sono state esplicitate le fasi relative alla definizione delle linee guida: • formulazione; • validazione; • implementazione. Tali fasi devono essere realizzate affinché le linee di indirizzo clinico possano effettivamente contribuire al buon funzionamento di un sistema sanitario
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