1,998 research outputs found
“Il lavoro pubblico per la modernizzazione della Pubblica Amministrazione”,
No full textSi tratta di un volume sul lavoro pubblico a cura di S. Fadda e P. Tridico
A case report of Sheehan's syndrome with acute onset,hyponatremia and severe anemia
No full textActa Biomed. 2009 Apr;80(1):73-6.
A case report of Sheehan's syndrome with acute onset, hyponatremia and severe anemia.
Anfuso S, Patrelli TS, Soncini E, Chiodera P, Fadda GM, Nardelli GB.
SourceDepartment of Gynecology, Obstretrics and Neonatology, University of Parma, University Hospital of Parma, Italy. [email protected]
Abstract
Sheehan's syndrome is a well-known cause of panhypopituitarism secondary to pituitary apoplexy, that generally occurs after an intra- or postpartum bleeding episode characterized by severe hypertension or hemorrhagic shock. The diagnosis can be difficult and is often formulated after some years from the syndrome occurrence. We report the case of a woman with an early diagnosis of early-onset Sheehan's syndrome associated with severe hyponatremia following dystocic childbirth complicated by postpartum hemorrhage
Valutazione del merito e premialità
No full textDopo una introduzione dedicata alla struttura amministrativa deputata alla valutazione del merito e alla premialità nel quadro della recente riforma della Pubblica Amministrazione, il saggio richiama l'attenzione su tre ordini di problemi ancora non risolti. Il primo concerne la diversità degli schemi retributivi applicabili in un contesto di asimmetrie informative tra lavoratore e datore di lavoro. Il secondo riguarda il controllo dell'efficacia e dell'efficienza nella pubblica amministrazione. Il terzo riguarda le modalità di determinazione degli obiettivi in termini di quantità e qualità, inadeguatamente definite nello schema della riforma
Treatment of multiple sclerosis fatigue with the synthetic psychoactive drug modafinil
No full textMultiple sclerosis (MS) is a complex disorder characterized by a broad spectrum of symptoms that evolve throughout the disease. Symptoms can be categorized as visible and invisible based on external sight recognition. However, although others poorly recognize it, invisible symptoms such as mood dysfunction, neuropathic pain, or fatigue can significantly affect activities of daily living and the quality of life of people with MS (PwMS). PwMS frequently complain of fatigue, which has physical or cognitive manifestations. Fatigue in MS does not improve or resolve with rest, and it is disproportionate with respect to the exerted effort. Fatigue management in MS is challenging, and a few pharmacological approaches have been successfully proposed. Among them, the drug modafinil has attracted attention because of its properties as a synthetic psychoactive drug. In this review, we focus on the evidence available to date, supporting the use of modafinil in MS fatigue. However, despite the availability of some trials evaluating the effects of modafinil on fatigue, their contrasting results failed to support its usefulness in fatigue management in MS
Due disegni di Michelangelo Anselmi
No full textThe author presents two drawings on the art market coming from Parma: the flexi ble, fluid style, which expresses the density and fullness of the forms while imbuing
them with a subtle game of light and shade, is that of the most Correggesco of the
Parma School painters: Michelangelo Anselmi (Lucca, 1491-Parma, news until 8
August 1554
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