332 research outputs found
Use of repeated point prevalence surveys for the prevention and control of healthcare associated infections and antimicrobial use: an Italian region experience
Background. Friuli Venezia Giulia (FVG) has a regional patient safety programme that involves all the public and private healthcare facilities. In this context infection control is one of the most important topics in particular the prevention and control of Healthcare Associated Infections (HAI) together with the management of antimicrobials.
Aim. The aim of our study was to collect data to evaluate the effectiveness of FVG infection control programmes and to set up the future steps.
Methods. In October 2011 all acute hospital of FVG participated to the ECDC European point prevalence survey (PPS) of HAI and antimicrobial use (AU). In October 2013 the PPS was repeated according to the ECDC protocol.
Results. Included patients were 3267 (2011) and 3360 (2013). HAI prevalence was 6.9% (2011) and 6.2% (2013), while AU was 40.7% (2011) and 39.0% (2013). Most important results were the decrease in 2013 of surgical site infection in the third level hospitals (19/1878) versus 2011 (37/1902) (OR 0.52 IC95% 0.30-0.90), the increase of pneumonia in 2013 in the first and second level hospitals (24/1105) versus 2011 (10/1023) (OR 2.22 IC95% 1.07-4.62) and the increase of one shot and less than 24 hours procedures for the surgical prophylaxis in 2013 (182/284) versus 2011 (181/322) (OR 1.39 IC95% 1.00-1.93). Discussion.The repeated use of ECDC PPS can be a very useful tool to provide valuable data, both to single healthcare facility and regional government, to evaluate the quality of care provided to patients and the impact of the implemented programmes. Making public these data can fulfil the 24/2011/EU directive
Utilizzo delle prevalenze ripetute per la sorveglianza delle Infezioni nelle Organizzazioni Sanitarie (IOS): l’esperienza del Friuli Venezia Giulia.
Obiettivi. Tra i programmi del governo clinico per la sicurezza del paziente della regione Friuli Venezia Giulia quello riguardante il controllo e la prevenzione delle infezioni ricopre un ruolo molto importante; in questo contesto una sorveglianza puntuale sulle Infezioni nelle Organizzazioni Sanitarie (IOS) e sull’utilizzo degli antibiotici (UA) estesa a livello regionale riveste un ruolo fondamentale per stimarne dimensioni e caratteristiche in modo da identificare le priorità e attuare azioni di miglioramento condivise. Metodi. Sono state eseguite due Point Prevalence Survey (PPS), la prima nell’ottobre 2011 e la seconda nell’ottobre 2013. Le rilevazioni hanno coinvolto tutte le strutture per acuti della regione sia pubbliche che private accreditate. In entrambe le rilevazioni è stato utilizzato il protocollo sviluppato per la PPS promossa dall’ECDC nel 2011. Prima di ogni PPS sono state organizzate due giornate formative sull’utilizzo del protocollo ECDC che hanno contribuito a formare circa 140 professionisti sanitari. Risultati. Nel 2011 i pazienti inclusi sono stati 3267 con una prevalenza di IOS del 6,9% e di UA del 40,7%, nel 2013 i pazienti inclusi sono stati 3360 con una prevalenza di IOS del 6,2% e di UA del 39%. Nel 2011 su un totale di 248 IOS le più frequenti sono state le infezioni delle vie urinarie (IVU) 62, le polmoniti 49 e le infezioni del sito chirurgico 42, nel 2013 su 223 IOS le più frequenti sono state le polmoniti 56, le IVU 54 e le sepsi 32. Discussione. L’utilizzo ripetuto delle PPS consente di valutare, a livello regionale l’impatto dei programmi in essere e di individuare le possibili aree di miglioramento, a livello delle singole aziende fornisce un valido strumento per il benchmark
HIV-1 isolation and p24-antigen detection in cerebrospinal fluid of subjects with neurological abnormalities related to AIDS.
Infezioni da HTLV-II nel Friuli Venezia Giulia dimostrate mediante isolamento virale e amplificazione genica (PCR).
Alan Alda visits the ATLAS Experiment cavern at CERN
Alan Alda, is an American actor, director, screenwriter, and author. A six-time Emmy Award and Golden Globe Award winner, he is best known for his role as Hawkeye Pierce in the TV series M*A*S*H. He is currently a Visiting Professor at the State University of New York at Stony Brook School of Journalism and a member of the advisory board of The Center for Communicating Science.[1
Support to patients during the chemotherapy
Darba autore Alda Šaršūne studē LU Medicīnas fakultātes Veselības zinātņu bakalaura Māszinību programmā. Darba tēma: „Atbalsts pacientiem ķīmijterapijas laikā”. Darba mērķis: analizēt informāciju par atbalsta sniegšanas veidiem un nepieciešamību pacientiem ķīmijterapijas laikā. Hipotēze: Pacientiem ķīmijterapijas laikā visvairāk nepieciešams psiholoģiskais un emocionālais atbalsts, tai skaitā izglītošana viņus interesējošajos jautājumos.
Darbā analizēta informācija par onkoloģiskajām saslimšanām, ķīmijterapijas iespējamajām blaknēm, atbalsta veidiem pacientiem, kā arī veikts pētījums vienā no Rīgas slimnīcām par atbalsta veidiem pacientiem ķīmijterapijas laikā.
Darbs sastāv no teorētiskās un pētnieciskās daļas, kas ietver 11 diagrammas, un 5 pielikumiem, kas satur 2 tabulas.
Izmantots 41 literatūras avots, 14 angļu valodā, 1 krievu valodā un 26 latviešu valodā.
Atslēgas vārdi: starppersonu attiecības, ķīmijterapija, blaknes, māsa, pacients, atbalsts.
-Author of this bachelor's paper Alda Šaršūne studies at the sciences bachelor Nursing program of the LU Faculty of Health. The theme of the paper is: „Support for patients during the chemotherapy”. The aim of the paper is: to gather and analyze information about ways of support and its necessity for patients during chemotherapy. Hypothesis: Psychological and emotional support, including education about most significant questions, is the most necessary ways of support for patients during chemotherapy.
This paper analyzes information about oncological diseases; possible complications caused by chemotherapy, support for patients during chemotherapy, and also review research on necessity of different ways of support in viewpoints of patients and nurses in one of the biggest hospitals in Riga.
The bachelor’s paper consists of theoretical part, research part, which includes 11 diagrams, and 5 supplements, which contain 2 tables. In writing this paper the author used 41 different literary sources, 14 of which were in English, 1 in Russian and 26 in Latvian.
Key words: intrapersonal relationship, chemotherapy, complications, nurse, patient, support.
« Il Naviglio mi vuole anche di notte » : Milano nei versi di Alda Merini
Il contributo si concentra sulle rappresentazioni di Milano nell’opera di Alda Merini. Del tutto assente nelle prime raccolte poetiche, improntate a un lirismo astratto, la realtà
ambrosiana dilaga a partire dagli anni Ottanta, quando l’autrice torna alla letteratura dopo gli anni bui dei ricoveri in ospedali psichiatrici. Il Naviglio in particolare diviene una presenza ossessiva in versi e prose. Lungi dall’offrire le rassicurazioni di un ambiente familiare e occasioni per bozzetti nostalgici, il lento, inesorabile, rettilineo scorrere del canale emblematizza un’opprimente ragion produttiva. Nel contempo, la fauna pittoresca che abita i dintorni è sottoposta a un trattamento deformante, che tramuta le lavandaie – regine del folclore locale – in sinistre erinni avvinazzate. Solo fra i lumpen è dato cogliere qualche lampo residuo di umanità. L’estraneità dell’autrice ai valori fondanti della capitale morale non potrebbe essere più esplicita.« Il Naviglio mi vuole anche di notte ». Milan in the poetry by Alda Merini · This article focuses on the way Milan is portrayed in Alda Merini’s writings. Totally missing in her first
collections of poetry, which were imbued with abstract lyricism, real Milanese life starts to run wild in the Eighties when the author goes back to fiction after the dark years of psychiatric hospitalisation. It is especially the Naviglio that becomes an obsessive feature in her poems and novels. Far from providing the reassurance of a familiar place or opportunities for wistful sketches, the slow, steady, unswerving flow of the canal symbolises an oppressive productivepurpose. Meanwhile, the quirky crowd that lives in the surroundings is exposed to a distorting treatment that turns the laundresses – the queens of local folklore – into grim drunken Furies. Only amidst the lumpen can any remnant of human dignity be glimpsed. The author’s separation from the fundamental values of the ‘moral capital’ could not be more unequivocal
The role of France in the foreign policy of Latvia, 1921-1933
ANOTĀCIJA
Promocijas darbs “Francijas loma Latvijas ārpolitikā, 1921-1933” ir izstrādāts Latvijas Universitātes Vēstures un filozofijas fakultātes Latvijas un Austrumeiropas jauno un jaunāko laiku vēstures katedrā 2011.gadā. Autore: Alda Bražūne. Zinātniskais vadītājs: LU profesors, Dr.hist. Aivars Stranga.
Promocijas darbs sastāv no ievada, avotu un literatūras apskata, piecām nodaļām, nobeiguma, avotu un literatūras saraksta un personu rādītāja. 1.nodaļā sniegts īss ieskats Versaļas – Rīgas sistēmā un apskatītas Latvijas – Francijas attiecības 1919. un 1920.gadā. 2.nodaļā tiek analizēta Francijas - Latvijas diplomātisko attiecību izveidošanās (de iure atzinuma iegūšana) un apskatīts Latvijas sūtniecības Francijā darbības sākums (no 1920.gada beigām līdz aptuveni 1922.gada sākumam). 3.nodaļā tiek apskatīta Francijas loma Latvijas ārpolitikā divdesmito gadu pirmajā pusē (Baltijas valstu savienības izveides mēģinājumi, Francijas – Padomju Krievijas attiecību iespaids uz Latvijas ārpolitiku, kara parādu jautājums). 4.nodaļā tiek analizētas Francijas – Latvijas attiecības 20.gadu otrajā pusē (Latvijas – Francijas attiecības Ženēvas protokola un Lokarno līgumu izstrādes laikā, Francijas attieksme pret PSRS piedāvātajiem neuzbrukšanas līgumiem u.c.). 5.nodaļā tiek pētīta Francijas loma Latvijas ārpolitikā 30.gadu sākumā (Latvijas attieksme pret Francijas ārpolitiku un Francijas attiecību ar Austrumeiropas valstīm ietekme uz Latvijas ārpolitiku).
Atslēgas vārdi: Latvijas – Francijas politiskās attiecības, Latvijas ārpolitika, Francijas diplomātija, Latvijas sūtniecība Parīzē.ANNOTATION
Dissertation „The role of France in the foreign policy of Latvia, 1921-1933” has been written at the University of Latvia, Faculty of History and Philosophy, Department of Modern and Recent history of Latvia and Central Europe in 2011. Author: Alda Brazune. Mentor: Professor Aivars Stranga, PhD.
The dissertation is composed of an introduction, review of sources and bibliography, five chapters, conclusion, index of sources and literature and name index. Chapter 1 provides an insight Versailles-Riga system and Latvian-French relations in 1919-1920. Chapter 2 analyzes the establishment of Latvian-French diplomatic relations (obtaining de iure recognition) and characterizes the foundation of the embassy in Paris. Chapter 3 describes the role of France in the Foreign policy of Latvia in the first part of the 1920s (attempt to establish the Baltic Entente, the influence of French-Soviet Russia relations on the foreign policy of Latvia, war debts etc.). Chapter 4 is devoted to the analysis of the role of France in the foreign policy of Latvia in the late 1920s (relations between France and Latvia while working out the Geneva protocol and Locarno treaties, the attitude of France to the non-aggression pacts offered by the USSR etc.). Chapter 5 investigates the relations between France and Latvia in the early 1930s (Latvian attitude to French foreign policy and the influence of French relations with Eastern European countries to the foreign policy of Latvia).
Keywords: Latvian-French political relations, Latvian foreign policy, French diplomacy in Eastern Europe, Latvian embassy in Paris
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