88 research outputs found
Flexible Measures in Magnetic Active Shielding
No full textBrowse Conference Publications > Electromagnetic Field Computa ...
Flexible measures in magnetic Active Shielding .This paper appears in:
Electromagnetic Field Computation (CEFC), 2010 14th Biennial IEEE Conference on
Date of Conference: 9-12 May 2010
Author(s): Formisano, A.
Dip. Ing. dell'Inf., Seconda Univ. di Napoli, Aversa, Italy
Lupoli, M.C. ; Martone, R.
Page(s): 1
Product Type: Conference Publications
5481633 searchabstract .Abstract
The reduction in protected regions of low frequency magnetic fields is a complex problem when the sources are not known. The paper proposes a procedure able to choose the best currents able to mitigate the disturbance field. The magnetic field is represented by suitable series of eigenfunctions in the domain of interest. The procedure includes a field identification step starting from a set of measurements and a current design step, possibly based on a preliminary design of specialized shimming coils sets
Vaccinazioni in gravidanza: analisi delle caratteristiche sociodemografiche e assistenziali delle donne che hanno aderito all’offerta vaccinale contro la pertosse in Emilia-Romagna dal 2017 al 2022
No full textIntroduzione
La pertosse ha elevata morbosità principalmente nei neonati,
a rischio di complicanze gravi e potenzialmente letali come
polmonite, encefalopatia e ipertensione polmonare. Dal 2017
la vaccinazione trivalente (difterite-tetano-pertosse acellulare)
è obbligatoria per i nuovi nati (L.119/2017) e raccomandata
per le gravide nel terzo trimestre, preferibilmente tra 27+0 e
32+6 settimane, per proteggere il neonato (PNPV 2023-2025).
Scopo dello studio è descrivere l’adesione alla vaccinazione
antipertussica delle donne che hanno partorito in Emilia-
Romagna, analizzandone caratteristiche sociodemografiche e
assistenziali.
Metodi
A livello regionale è stato effettuato un record linkage tra flussi
sanitari correnti relativi ai dati provenienti dall’anagrafe vaccinale
regionale (AVR-rt) e certificati di assistenza al parto (CedAP)
nel periodo 2017-2022. Per valutare l’epoca gestazionale
al momento della vaccinazione è stato calcolato il periodo
tra la data di esecuzione del vaccino e la data di concepimento
intesa come differenza tra data di parto e giorni di gestazione.
È stata condotta una regressione logistica multivariata per
identificare fattori associati alla adesione vaccinale (Odds ratio,
OR; intervallo di confidenza IC 95%).
Risultati
La popolazione in studio, pari al numero di donne che hanno
partorito in Emilia-Romagna nel periodo 2017-2022 è stata di
185.650. La quota di gestanti vaccinate è aumentata progressivamente
da 7,2% nel 2017 a 60,8% nel 2022, senza subire
flessioni durante il periodo pandemico. Anche la quota di
vaccinazioni effettuate nel periodo gestazionale indicato come
più appropriato è cresciuta nel corso degli anni in esame fino a
raggiungere l’84,2% nel 2022.
L’analisi multivariata rileva che, al netto degli altri confondenti,
la probabilità di vaccinarsi è maggiore fra le nullipare, le
donne di età ≥ 35 anni, italiane, con scolarità elevata. Le donneseguite dal servizio privato aderiscono in misura minore alla
proposta vaccinale rispetto alle donne seguite dal servizio pubblico (OR: 0.83; IC 95% 0.81-0.85).
Conclusioni
L’adesione alla vaccinazione antipertosse in gravidanza in
Emilia-Romagna dal 2017 ha avuto un aumento significativo
ma si può fare ancora molto per ridurre l’esitazione vaccinale.
È auspicabile il potenziamento della formazione e l’aggiornamento degli operatori sanitari su un tema così importante di Sanità Pubblica, l’attuazione di strategie per raggiungere i gruppi con una minor adesione ai programmi di prevenzione a causa di barriere socioculturali e linguistiche; la chiamata attiva è un presidio particolarmente efficace per il raggiungimento di queste popolazioni. Un dato incoraggiante è rappresentato dalla maggiore compliance alla vaccinazione per le donne seguite dal servizio pubblico, presso ambulatori dedicati con personale adeguatamente formato per il counselling vaccinale
Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial
No full textINTRODUCTION:
To determine effect size and feasibility of experimental occupational therapy (OT) intervention in addition to standard care in a population of complex patients undergoing rehabilitation in a hospital-home-based setting.
METHOD:
40 complex patients admitted to the rehabilitation ward of the Local Health Authority-Research Institute of Reggio Emilia (Italy) were randomized in a parallel-group, open-label controlled trial. Experimental OT targeting occupational needs in the areas of self-care, productivity, and leisure was delivered by occupational therapists. Standard care consisted of task-oriented rehabilitation delivered by a multiprofessional team.
RESULTS:
The experimental OT intervention was completed by 75% of patients assigned to this group. The average changes in the Canadian Occupational Performance Measure (COPM) performance score significantly and clinically favored experimental OT [-3,06 (-4.50; -1.61); delta > 2 points, resp.]. Similar trends were detected for COPM satisfaction and independence in instrumental activities of daily living (ADL). At follow-up, level of social participation was higher for patients treated with experimental OT (p = 0.043) than for controls.
CONCLUSIONS:
Experimental OT was feasible in complex patients in a hospital-home-based setting. It ameliorated both patients' performance and satisfaction in carrying out relevant activities and improved independence in instrumental ADL. The trial is registered with ClinicalTrials.gov NCT02677766
Bromfenac ophthalmic solution 0.09% as an adjunctive therapy to topical steroids after cataract surgery in pseudoexfoliation syndrome
No full textPurpose: To study with laser flare photometry the antiinflammatory effect of bromfenac added to a topical steroid versus a topical steroid alone in patients with pseudoexfoliation (PXF) syndrome after cataract surgery.
Setting: Ophthalmology Unit, Santa Maria Nuova Hospital, Reggio Emilia, Italy.
Design: Randomized clinical trial.
Methods: Patients with cataract and clinical signs of PXF were randomized to dexamethasone 0.1% and tobramycin 0.3% ophthalmic solution (Group 1) or with the adjunct of bromfenac ophthalmic solution 0.09% (Group 2). All patients were examined on the day of surgery (baseline) and postoperatively at 1, 3, 7, and 30 days. Laser flare photometry was used to quantify anterior chamber inflammation and optical coherence tomography to measure macular thickness.
Results: Sixty-two patients were included. Postoperatively, the mean flare was 31% lower in Group 2 than in Group 1 at 3 days (11.92 ph/msec ± 8.14 [SD] versus 17.13 ± 9.03 ph/msec; P = .025) and 43% lower at 7 days (10.77 ± 6.17 ph/msec versus 18.72 ± 12.37 ph/msec; P = .003). There were no significant differences in postoperative visual acuity, symptoms, or ocular pain between groups. The mean macular thickness 1 month after surgery was increased in Group 1 but not Group 2; the difference between groups was significant at 4 weeks (P = .03). The incidence of intraretinal cysts was higher in Group 1 (n = 4) than in Group 2 (n = 0).
Conclusion: The addition of bromfenac to topical steroids after cataract surgery in eyes with PXF was associated with greater reductions in inflammation than steroids alone
Local- and global-scale seismic analyses of historical masonry compounds in San Pio delle Camere (L`Aquila, Italy)
No full textMasonry building aggregates are large parts of the Italian building heritage often designed without respecting seismic criteria. The current seismic Italian code does not foresee a clear calculation method to predict their static nonlinear behaviour. For this reason, in this paper firstly, a simple methodology to forecast the seismic response of masonry aggregates in San Pio delle Camere (L’Aquila, Italy) has been set up starting from the provisions of the Italian Guidelines on Cultural Heritage. The implemented procedure has been calibrated on the results of two FEM structural analysis programs used to investigate three masonry building compounds. As a result, a design chart used to correctly predict the base shear of aggregate masonry units starting from code provisions has been set up. Later on, the large-scale seismic vulnerability and damage appraisal of the inspected historical centre has been done on the basis of a quick methodology, already implemented and experienced by the author in some historical centres of the Campania region. The analysis result was a numerical correlation between vulnerability index and mean damage grade of examined building compounds. In particular, a damage forecast under numerical way has been firstly estimated and then compared with the real one. The post-earthquake scenario has represented an ideal term of comparison for effectively testing the reliability of the employed technique, which should be further extended to other Italian historical centres
Occupational therapy for complex inpatients with stroke: identification of occupational needs in post-acute rehabilitation setting
No full textPurpose: Inpatients admitted to rehabilitation express needs not linked to disease causing hospitalization. This observational cross-sectional study identifies features and occupational needs of complex inpatients during rehabilitation, focusing on function and ability, regardless of diagnosis. Method: This study included sixteen adult inpatients with stroke, deemed complex according to Rehabilitation Complexity Scale-Extended, at admission to Rehabilitation ward (from July 2014 to February 2015). Patients with primary psychiatric disorders, language barriers, cognitive or severe communication deficits were excluded. Upon admission, a multidisciplinary team collected data on general health, independence in daily activities (Modified Barthel Index), fatigue (Fatigue Severity Scale), resistance to sitting and ability to perform instrumental activities (Instrumental Activities of Daily Living). The occupational therapist identified occupational needs according to Canadian Occupational Performance Measure. Results: Inpatients enrolled in this study were dependent in basic ADL, limited in instrumental ADL and easily fatigable. Their occupational needs related to self-care (75%) and, to a lesser extent, productivity (15%) and leisure (10%). According to inpatients, rehabilitation process should firstly address self-care needs, followed by productivity and leisure problems. Conclusions: Despite small sample size, this study described patterns of occupational needs in complex inpatients with stroke. These results will be implemented in client-centered rehabilitation programs to be tested in a phase-two trial. [NCT02173197]Implications for RehabilitationPriority occupational needs of complex inpatients with stroke during rehabilitation are focused on self-care area.Productivity and leisure problems also arise in early post-acute phase.Client-centered rehabilitation programs should firstly address self-care needs and, later on, they should also focus on the recovery of family and social roles
PlA1/A2 polymorphism of the platelet glycoprotein receptor IIIA and risk of cranial ischemic complications in giant cell arteritis
No full textTo investigate potential associations of the PlA1/A2 polymorphism of the platelet glycoprotein IIIa (GPIIIa) gene with susceptibility to, and clinical expression of, giant cell arteritis (GCA)
DISPOSITIVO PORTATILE E METODO PER LA RILEVAZIONE DI UNA PLURALITÀ DI BIOMARCATORI MOLECOLARI DELLA PARODONTITE IN FLUIDI BIOLOGICI DELLA CAVITÀ ORALE DI UN MAMMIFERO, NONCHÉ METODO IN VITRO PER DIAGNOSTICARE O VALUTARE LA PRESENZA DI PARODONTITE IN UN MAMMIFERO
No full textPORTABLE DEVICE AND METHOD FOR THE DETECTION OF A PLURALITY OF MOLECULAR BIOMARKERS OF PERIODONTITIS IN BIOLOGICAL FLUIDS OF THE ORAL CAVITY OF A MAMMAL, AS WELL AS AN IN VITRO METHOD FOR DIAGNOSING OR ASSESSING THE PRESENCE OF PERIODONTITIS IN A MAMMAL.
No full textThe present invention relates to a portable device and method for detecting a plurality of molecular biomarkers of periodontitis in a biological fluid of the oral cavity of a mammal.
The present invention also relates to an in vitro method for diagnosing or evaluating the presence of periodontitis in a mammal
- …
