305,207 research outputs found
Una utopia concreta. La Città della Conoscenza, dell'Innovazione e della Cultura
No full textL'allestimento della mostra U.Mano è stato immaginato come una architettura parlante in cui viene valorizzato il potere evocativo della forma. La definizione dello spazio è stata progettata attraverso il posizionamento delle opere esposte che sostituiscono la struttura architettonica: esse diventano sia muri, sia i pilastri della nostra architettura ma anche il supporto sul quale sovrascrivere il contenuto; allestimento immaginato come un'immateriale architettura del sapere che come un libro intende registrare storia e futuro.
Tale idea si (s)materializza in ogni direzione, sia nell'organizzazione della pianta posizionando le opere in modo da disegnare i confini, sia in senso ortogonale divenendone i pilastri della conoscenza. Il disegno simmetrico delle piante e la razionalità delle sezioni diventano bastanti nella comprensione del progetto, piante e sezioni generano l'organizzazione dello spazio, piante e sezioni sono il progetto dell'allestimento
Off-cells: a place of work for Casentinesi Forests
No full text“Off-cells. Un luogo del lavoro per le Foreste Casentinesi” è il progetto presentato alla Biennale di Venezia 2018 da Diverserighestudio, uno dei cinque gruppi di progettazione selezionati per il Padiglione Italia dal Curatore Mario Cucinella. “Arcipelago Italia” guarda ai territori distanti, fuori dalle città e dalle aree urbane maggiori: l’area di boschi secolari al confine tra Toscana ed Emilia Romagna ha, ancor più di altre, stimolato a riflettere sulle potenzialità che le risorse materiali del luogo offrono all’architettura e sulla rete di relazioni che esse possono alimentare, diventando occasioni di rilancio di sistemi insediativi indeboliti da decenni di marginalizzazione, ma ancora straordinariamente ricchi di potenzialità."Off-cells. A place of work for Casentinesi Forests“ is the project presented at Biennale di Architettura 2018 in Venice by Diverserighestudio, one of the five design groups selected for Italian Pavilion by the Curator Mario Cucinella. “Arcipelago Italia” looks to distant territories, outside the cities and major urban areas: this area of secular woods on the border between Tuscany and Emilia Romagna has, even more than others, stimulated to reflect on both the potential that the material resources of the place offer to architecture and the network of relationships that they can form, becoming opportunities for relaunching settlement systems weakened by decades of marginalization, but still extraordinarily rich in potential
Studio del meccanismo di trasmissione del carico attraverso lo strato di cemento osseo (PMMA) di una artoprotesi totale d'anca
No full textCoproduction in mental health organizations: how to make it work
No full textContext
Against the increasing incidence of mental health diseases worldwide, recovery is emerging as an effective method, focused on the strict collaboration of professionals with patients, their relatives, and the society at large, in order to design, manage and evaluate the patients’ personal care pathways. However, despite recovery and co-produced approaches proved to facilitate the patients’ rehabilitation and wellbeing, evidence on how they can be successfully implemented in mental health organizations still lacks. This paper aims to assess potential enablers and barriers for the application of coproduction approaches in health care organizations, through a literature review and an empirical analysis.
Methods
A systematic literature review has been carried out to identify enablers and barriers that encourage or limit the adoption of coproduction in healthcare organizations. 647 papers were identified through the keyword search and 84 were selected as coherent within the research’s aim. 28 different models and methodological approaches emerged from the search. However, they tended to be very general and no model explained how to implement coproduction in mental health organizations; thus, an empirical analysis was completed to gather evidence in support of this unexplored domain.
Specifically, we selected four mental health organizations in Northern Italy, which are trying to adopt coproduction approaches in different organizational settings. Overall, 11 patients, 5 caregivers and 10 professionals were interviewed about their personal experience on coproduction and the perceived enablers and barriers. The interviews lasted 14 hours and 12 minutes, they were recorded, transcribed and validated by the interviewees.
Results
The literature research showed that the presence of a widespread network in support of coproduction (professionals, caregivers, policy makers, etc) that is trained accordingly facilitates the implementation of coproduction, as well as the use of shared medical plans, co-designed among professionals, patients and relatives. These enablers were confirmed in the cases, despite relatives are not always keen to be involved.
About the barriers, both the literature and the practice point at the absence of solid methods to assess the return of investment for coproduction: policy makers hardly know what coproduction is and the current organizational and financial systems are not aligned with it (i.e. fee for service vs. personal budget of care). Yet, the literature stresses that professionals are seldom willing to collaborate equally with the patients, while the cases show the opposite. However, practitioners perform coproduction practices on top of their required activities, without being rewarded for it.
Discussion
Informed by the literature, the cases provide indications about priorities for future research in the field of patients’ involvement in mental health care.
First, there is a need to generate methodologies to assess the outcomes of these approaches. All the interviewees agreed that coproduction is time-consuming and hard, but worth it: this evidence should be translated into measurable items and assessed. The assessment and widespread communication of positive results may determine a twofold advantage in our view: first, it shows policymakers and health organizations’ managers that coproduction is effective; second, it increases the social acceptance of people affected by mental diseases patients.
Second, new ways to improve knowledge and commitment of professionals, relatives and patients towards coproduction are needed. For example, psychiatrist and psychologists’ training paths could include specific courses on it, while patients and families could be reached by targeted communication campaigns in schools, job places, or public locations
Implementing co-production in mental health organizations
No full textPurpose The purpose of this paper is to study four cases of the adoption of co-production and compare them according to the type of user involvement, contextual factors and the organizational structure. Design/methodology/approach In total, 30 interviews were conducted in four mental health organizations which are implementing co-production in the North of Italy. Interviews were conducted with clinicians, nurses, patients and family members. The data collected was triangulated with further sources and official documents of organizations. The results have been compared by means of a validated international framework (IAP2) regarding the contextual factors and the level of co-production adopted. Findings The adoption of co-production in the four cases differs by the activities implemented and how organizations involve informal actors. It seems to be influenced by the contextual factors specific to each organization: power, professionals' opinions and leadership. Organizations whose practitioners and leaders are willing to distribute their power and value informal actors' opinions seem to facilitate the systematic involvement of users. Overall, the results highlight the importance of considering contextual factors when evaluating and describing co-production activities. Originality/value This paper contributes to describing how mental health organizations are implementing co-production. It examines the influence of contextual factors on the type of co-production adopted
Anomalous structure of urinary glycosaminoglycans in patients with pseudoxanthoma elasticum
No full textBackground: Pseudoxanthoma elasticum (PXE) is a hereditary connective tissue disease in which proteoglycans have altered properties. We investigated whether altered proteoglycan metabolism occurs in vivo and may be reflected in the urine of PXE individuals by analyzing the excreted polysaccharides. Methods: We measured sulfated glycosaminoglycans in the urine of 10 PXE-affected patients, 12 healthy carriers, and 20 healthy controls by agarose gel electrophoresis. Chondroitin sulfate and heparan sulfate disaccharides were also quantified by treatment with specific lyases and separation of products by chromatography. Results: Total polysaccharides were 34% lower in the urine of PXE-affected patients and 17% lower in healthy carriers than in the control group. Chondroitin sulfate was significantly (P <0.01) decreased, and heparan sulfate was significantly increased. The ratio of chondroitin sulfate to heparan sulfate was 2.7 for PXE-affected patients, 2.3 for healthy carriers, and 10.7 for controls. In PXE-affected individuals and carriers, chondroitin sulfate contained more 4-sulfated disaccharide, less 6-sulfated disaccharide, and decreased nonsulfated disaccharide. Heparan sulfate from PXE-affected individuals and healthy carriers produced significantly less N-sulfated disaccharide and more disaccharide sulfated at the C-6 position with no significant abnormality of the nonsulfated disaccharide percentage and sulfates: disaccharide ratio. Conclusions: The urinary data support the concept that the inherited defect of the ABCC6/MRP6 transporter in PXE alters. metabolism of key polysaccharides. Structural analysis of urinary sulfated polyanions may be useful in the diagnosis of PXE. (C) 2003 American Association for Clinical Chemistry
VIP - Very Important Persons
No full textInstallazione fotografica organizzata nell'ambito delle attività di sensibilizzazione realizzate coinvolgendo enti gestori e beneficiari del progetto SPRAR-SIPROIMI del Comune di Bologna. Persone, qui definite VIP, molto importanti, hanno posato davanti alla macchina fotografica di Francesco Guidicini, fotografo ritrattista del SUnday Times, raccontando con un gesto, un oggetto o uno sguardo, la loro storia, a volte non facile, di protagonisti di uno dei fatti più rappresentativi della contemporaneità: la migrazione.
L'allestimento assume la forma di una casa volta ad accogliere i ritratti delle persone che divengono la materia stessa con cui edificare l'allestimento
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe 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
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