1,721,006 research outputs found
Le comunità di pratica come approccio all'integrazione: una proposta metodologica per le organizzazioni
Questo contributo è focalizzato su come definire e sviluppare le competenze
per la pratica dell’integrazione della diversità attraverso l’approccio della comunità
di pratica. Si ipotizza quindi lo sviluppo di un repertorio di competenze per la diversità. È evidenziato, inoltre, un percorso per l’audit delle
problematiche sollevate dalla diversità e una “road map” per lo sviluppo di comunità di pratica
Intorno alle promesse di creatività collettiva nell'ambito delle comunità di pratica di professionisti nel web: pensare, riflettere, trasformare
COMUNITA' DIDATTICHE E DI LETTURA
A partire dalla teoria di Wenger sulle comunità di pratica, cosa cambia per effetto dell'esperienza di apprendimento e di lettura online
Psychological stress as precipitating factor of the acute manifestations of ischemic cardiopathy
Role of different determinants of psychological distress in acute coronary syndromes
Objectives. The aim of this study was to examine the prevalence of psychological distress and of its major determinants in acute coronary patients and in a central group. Background. The prevalence and major determinants of psychological distress in acute coronary patients are not clear. Methods. One hundred and thirty cardiac patients (110 men, age 56 +/- 9; 85 with acute myocardial infarction and 45 with unstable angina) and 102 controls hospitalized for acute trauma (70 men, age 55 +/- 9 years) were studied and the level of psychological distress estimated by a Modified Maastricht Questionnaire, self-ratings and ratings by a close relative. Major determinants of psychological distress were assessed by the Life Events Assessment, the Social Support Questionnaire and the Ways of Coping Checklist. Results. The average level of psychological distress was significantly higher (p < 0.001) in coronary patients than in controls in all tests (self-evaluation = 7.1 +/- 2.3 vs 4.3 +/- 2.4; relative-evaluation = 7.4 +/- 2.4 vs 4.2 +/- 2.5; Modified Maastricht Questionnaire = 91 +/- 32 vs 59 +/- 30). Cardiac patients reported significantly higher (p < 0.05) levels of social isolation (28.9 +/- 11.1 vs 23.4 +/- 8.8), self-blame (7.2 +/- 1.9 vs 5.8 +/- 1.6) and avoidance (21.1 +/- 3.5 vs 18.9 +/- 3) and more painful life events (3.9 +/- 3.8 vs 2.6 +/- 2.2), than controls. However, not all patients had evidence of distress; indeed, cluster analysis identified a subgroup that comprised 75% of controls and 25% of cardiac patients with no determinants eliciting distress, while the other four subgroups,,vith one or more determinants of distress, comprised about 75% of patients and only 25% of controls, Conclusions. These results show that a high level of psychological distress is detectable in about 75% of patients with acute myocardial infarction or unstable angina and is related to one or more major determinants. (J Am Coil Cardiol 1998;32:613-9) (C) 1998 by the American College of Cardiology
Psychological stress as precipitating factor of the acute manifestations of ischemic cardiopathy
Psychological stress may play an important role as a risk factor for coronary heart disease (CHD). Psychological stress consists of different components whose diverse role in the onset of the acute manifestations of CHD is still not clear. We studied 80 patients with acute CHD (56 with unheralded myocardial infarction, 24 with unstable angina, mean age 55 +/- 9 years, 55 men) vs 80 controls (mean age 50 +/- 9 years, 52 men) admitted for an acute traumatic event. We proposed to both groups these questionnaires: a retrospective self and etero-evaluation of the degree of psychological stress; the modified Maastricht questionnaire (MMQ) that evaluates psychic and physical manifestations of psychological stress in the period preceding admission; the social support questionnaire (SSQ); the life event assessment that evaluates frequency and importance of life events in the year preceding admission. Psychological stress index was greater in patients (self-evaluation = 7.1 +/- 2.4; etero-evaluation = 7.4 +/- 2.3; MMQ = 91 +/- 30.8) than controls (self-evaluation = 4.3 +/- 2.3; etero-evaluation = 4.3 +/- 2.4; MMQ = 58.6 +/- 32.5; p < 0.001 for all questionnaires). The perception of strong social isolation was greater in patients (SSQ = 29.8 +/- 11.8) than controls (SSQ = 23.8 +/- 9.6; p < 0.001). Painful life events were more numerous in patients (10.7 +/- 2.3) than controls (8.2 +/- 3.4; p < 0.05) and perceived in a more negative way (patients = 12.7 +/- 4.1 vs controls = 10.2 +/- 3.8; p < 0.01
La formazione continua “va” all’Università: il Progetto Roma Tre-Fon.Coop
Il contributo nasce dalla riflessione sul ruolo che sempre più in maniera incisiva stanno assumendo i Fondi Interprofessionali nel quadro
della formazione continua ed intende presentare i risultati di un percorso di formazione
innovativo che ha visto la collaborazione tra l’Università degli Studi Roma Tre ed il Fondo delle imprese cooperative (Fon.Coop)
Relazione coniugale e salute: effetti della tecnica della scrittura nelle mogli di soggetti infartuati.
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