2,335 research outputs found
Preliminary anthropological and historical investigation of the Saint Cristopher Church in Pian di Marte, Italy (18th-19th century)
The parish church of San Cristoforo in Pian di Marte - on the hills north of Lake Trasimeno - represents a monument that, in the last decade, has aroused the curiosity and interest of historians and scholars. The restoration work on the building revealed the existence of five underground rooms below the nave, used as burial chambers. The renovation of the church made it possible to investigate anthropologically the human skeletal remains so as to derive valuable information regarding the population of the ancient parish. Furthermore, the discovery of these remains sparked a new interest in the history of this church and its community, which led to the systematic analysis of published and unpublished sources available to reconstitute its historical memory. In this contribution, we present the first historical-anthropological evidence related to the Pieve di San Cristoforo in Pian di Marte, with particular attention to some tapohonomic and anthropological aspects of the skeletal sample
Competenze infermieristiche e formazione di base: studio descrittivo sui neolaureati infermieri
La pressante necessità, delle organizzazione
sanitarie, di avere neolaureati fin da subito in
grado di assumersi responsabilità, insieme ai radicali cambiamenti
del percorso formativo, hanno indotto la comunità
professionale nazionale ed internazionale a discutere della
preparazione degli infermieri neolaureati. Obiettivo. Descrivere
se gli infermieri neolaureati al Corso di Laurea (CdL) in
Infermieristica di Reggio Emilia, assunti entro un anno dalla
laurea, hanno competenze adeguate alle richieste delle organizzazioni
sanitarie. Metodo. Cinquanta coordinatori infermieristici
delle Unità Operative, pubbliche o convenzionate,
dove lavorano da almeno un mese gli infermieri neolaureati
nell’anno accademico 2009-2010, sono stati intervistati
telefonicamente. Sono state individuate 34 competenze
raggruppate in 6 aree: presa in carico, tecnica, gestionale,
comunicazione e relazionale, deontologia professionale
e formazione-aggiornamento professionale. Ogni
competenze è stata valutata con una scala Likert da 1 incapace
a 5 capace. Risultati. L’infermiere neolaureato è in
grado di identificare i problemi assistenziali del paziente (media
4.1±0.8), di eseguire le tecniche infermieristiche (media
4.4±0.7) e di rispettare i tempi organizzativi (media 4.2±0.8).
Secondo tutti i coordinatori possiede le competenze necessarie
per lavorare nelle unità operative. Conclusioni. I livelli
di competenza dei neolaureati nelle aree indagate sembrano
adeguati per ricoprire il ruolo di infermiere, dopo un
breve periodo di affiancamento a infermieri esperti
La percezione del rischio nelle prestazioni infermieristiche degli studenti del Corso di Laurea in Infermieristica di Reggio Emilia: uno studio osservazionale
Professional risk and security in the health sector is becoming ever more important : the number of accidents in hospital environments during 2005 was 19,000 and nurses were the most frequently involved category. This study deals with clinical risk perception . A questionnaire was issued to 259 student and 100 professional nurses at the Modena and Reggio Emilia University Hospital., comprising 70 questions regarding 5 dimensions: general risk perception, personal risk perception, nursing skills, observed experience and direct experience. Results were evaluated using the ANOVA and t-tests and showed significant differences among the various groups (first, second and third-year students and professional nurses) in relation to each dimension. On the whole , the perception of risk was relatively low in comparison to its real level in the working environment. Therefore, specific training for a correct perception of health risks is required, not only for students but also for trained nurses, so that the culture of risk management becomes a routine issu
Risk factors and epidemiology of Acinetobacter baumannii infections in a university hospital in Northern Italy : A case-control study
Background: Acinetobacter baumannii has emerged as a major cause of outbreaks of hospital-associated infections with increased morbidity and mortality among those affected.
Methods: We performed a 1:1 matched case-control study involving 68 cases in a teaching hospital in
Northern Italy. Risk factors included general health conditions, comorbidities, diagnostic and therapeutic
procedures, and antibiotic therapies. A multiple correspondence analysis (MCA) was performed to
highlight possible association patterns among risk factors. After this, a conditional logistic regression model was applied.
Results: The combined results of the MCA and univariate regression models suggest that invasive procedures performed before intensive care unit admission, in particular bronchoscopy (odds ratio, 48.06) and oxygen therapy (odds ratio, 2.11), are associated with development of an infection. Malnutrition or obesity, lack of self-sufficiency, and severe liver diseases also proved to be significantly associated with infection. When analyzing antibiotic therapies, both the number of molecules administered and duration of therapy were significantly associated.
Conclusions: Early recognition of patients at high risk, environmental hygiene control measures, appropriate antibiotic prescriptions, especially regarding carbapenems, and high-quality training of health care workers in all hospital departments are all key aspects for prevention and control of Acinetobacter infection. Further studies are needed to investigate the role of antibiotics on microbial competition dynamics in relation to multidrug-resistant outbreaks
PROGETTO REXIC (RETROSPECTIONAL CROSSSECTIONAL STUDY ON DOCUMENTATION OF INFORMED CONSENT FOR RESEARCH BIOBANKING IN A PUBLIC RESEARCH AND TEACHING HOSPITAL) PER LA VALUTAZIONE DEL CONSENSO INFORMATO AL BIOBANCAGGIO
Il progetto REXIC ha lo
scopo di valutare qualità e completezza dei consensi
per il biobancaggio dei materiali biologici utilizzati
presso il Policlinico di Milano
Conflict of interest between professional medical societies and industry: A cross-sectional study of Italian medical societies' websites
Objective To describe how Italian medical societies interact with pharmaceutical and medical device industries through an analysis of the information available on their websites. Design Cross sectional study. Setting Italy. Participants 154 medical societies registered with the Italian Federation of Medical-Scientific Societies. Main outcome measures Indicators of industry sponsorship (presence of industry sponsorship in the programme of the last medical societies' annual conference; presence of manufacturers' logos on the homepage; presence of industry sponsorship of satellite symposia during the last annual conference). Results 131 Italian medical societies were considered. Of these, 4.6% had an ethical code covering relationships with industry on their websites, while 45.6% had a statute that mentioned the issue of conflict of interest and 6.1% published the annual financial report. With regard to industry sponsorship, 64.9% received private sponsorship for their last conference, 29.0% had manufacturers' logos on their webpage, while 35.9% had industry-sponsored satellite symposia at their last conference. The presence of an ethical code on the societies' websites was associated with both an increased risk of industry sponsorship of the last conference (relative risk (RR) 1.22, 95% CIs 1.01 to 1.48 after adjustment) and of conferences and/or satellite symposia (RR 1.22, 95% CIs 1.02 to 1.48 after adjustment) but not with the presence of manufacturers' logos on the websites (RR 1.79, 95% CIs 0.66 to 4.82 after adjustment). No association was observed with the other indicators of governance and transparency. Conclusions This survey shows that industry sponsorship of Italian medical societies' conferences is common, while the presence of a structured regulatory system is not. Disclosure of the amount of industry funding to medical societies is scarce. The level of transparency therefore needs to be improved and the whole relationship between medical societies and industry should be further disciplined in order to avoid any potential for conflict of interest
Capitolo 1 - I NUOVI BACINI D’IMPIEGO NEL SETTORE DELLO SVILUPPO SOSTENIBILE: UN'ANALISI COMPARATA DELLE FONTI
Il lavoro esamina i possibili bacini di occupazione legati alle valenze delle tematiche ambientali emergent
Nanoplastics impair in vitro swine granulosa cell functions
Soil, water and air pollution by plastic represents an issue of great concern since the particles produced by degradation of plastic materials can be ingested by animals and humans, with still uncertain health consequences. As a contribution on this crucial subject, the present work reports an investigation on the in vitro effects of different concentrations of polystyrene nanoplastics (5, 25 and 75 μg/mL) on swine granulosa cells, a model of endocrine reproductive cells. In particular, cell growth (BrDU incorporation and ATP production), steroidogenesis (17-β estradiol and progesterone secretion) and redox status (superoxide and nitric oxide production, enzymatic and non-enzymatic scavenging activity) were studied. Nanoplastics, at the highest concentration, stimulated cell proliferation (P < 0.05), while cell viability resulted unaffected. Steroidogenesis were disrupted (P < 0.05). Both enzymatic and non-enzymatic scavenging activity were increased after exposure at the highest nanoplastic dose (P < 0.05, P < 0.001). Nitric oxide secretion was increased by 25 and 75 μg/mL (P < 0.05) while superoxide generation was stimulated (P < 0.001) only by the highest concentration tested. Taken together, main features of cultured swine granulosa cells resulted affected by exposure to nanoplastics. These results raise concerns since environment nanoplastic contamination can represents a serious threat to animal and human health
Ethical dimensions of paediatric nursing: A rapid evidence assessment
© 2016, © The Author(s) 2016. Background: Paediatric nurses often face complex situations requiring decisions that sometimes clash with their own values and beliefs, or with the needs of the children they care for and their families. Paediatric nurses often use new technology that changes the way they provide care, but also reduces their direct interaction with the child. This may generate ethical issues, which nurses should be able to address in the full respect of the child. Research question and objectives: The purpose of this review is to describe the main ethical dimensions of paediatric nursing. Our research question was, ‘What are the most common ethical dimensions and competences related to paediatric nursing?’ Research design: A rapid evidence assessment. Method: According to the principles of the rapid evidence assessment, we searched the PubMed, SCOPUS and CINAHL databases for papers published between January 2001 and March 2015. These papers were then independently read by two researchers and analysed according to the inclusion criteria. Ethical considerations: Since this was a rapid evidence assessment, no approval from the ethics committee was required. Findings: Ten papers met our inclusion criteria. Ethical issues in paediatric nursing were grouped into three areas: (a) ethical issues in paediatric care, (b) social responsibility and (c) decision-making process. Conclusion: Few studies investigate the ethical dimensions and aspects of paediatric nursing, and they are mainly qualitative studies conducted in critical care settings based on nurses’ perceptions and experiences. Paediatric nurses require specific educational interventions to help them resolve ethical issues, contribute to the decision-making process and fulfil their role as advocates of a vulnerable population (i.e. sick children and their families). Further research is needed to investigate how paediatric nurses can improve the involvement of children and their families in decision-making processes related to their care plan
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