184 research outputs found
Il consenso informato per l'effettuazione del test per la diagnosi di infezione da HIV: Come comportarsi in caso di minori
No full textAIDS is a clinical picture related to Human Immunodeficiency Virus (HIV) infection. In the last 20 years this infection has spread progressively, with approximately 2.4 million children under 15 years old now infected. The HIV antibody test is generally used to reveal the infection. In most European countries the test is voluntary; in Italy, implementation of the test is now regulated by Law 135/90. Art. 5 of the law states that the test is voluntary while informed consent is obligatory. However, nothing is stated concerning the child's consent. By contrast, other Italian laws (e.g., Law 194/78, Law 194/96 and DPR 309/90) establish that the physician should only accept the wishes of minors after first appraising the maturity of the child and his/her age. Physicians must inform the minor about testing risks, about the meaning of its result, and about the most important aspects of sexual education.. They may then decide to inform the parents if they feel that the child would be unable to take future decisions in the event of a positive HIV antibody test
From Undetectable Equals Untransmittable (U=U) to Breastfeeding: Is the Jump Short?
No full textBackground: Vertical transmission of HIV infection may occur during pregnancy, at
childbirth or through breastfeeding. Recommendations on the safety of breastfeeding of HIV infected women on effective antiretroviral treatment are not univocal among international guidelines (WHO 2010, EACS 2017, DHHS 2017), leaving space for variability at the patient’s level. Methods: We collected clinical, laboratory and outcome data from 13 HIV-infected pregnant women who, between March 2017 and June 2021, elected to breastfeed their children against specific medical advice. All mothers were on antiretroviral therapy with darunavir or raltegravir plus emtricitabine/tenofovir disoproxil and remained HIV-RNA undetectable and >400 cells/mmc CD4+ lymphocytes during pregnancy and breastfeeding. Prophylactic antiretroviral therapy (zidovudine for 4 weeks) was started immediately after birth in all newborns. The mean duration of breastfeeding was 5.4 months.
Newborns were tested for HIV-RNA multiple times: at birth, 1, 3, and 6 months after birth, and 1, 3 and 6 months after the end of breastfeeding. Results: None of the infants were infected by HIV. Conclusions: Our experience, gathered in the setting of freedom of choice on the patient’s side, while insufficient to address the eventual safety of breastfeeding in HIV-infected mothers since the represented cohort is numerically irrelevant, supports the extension of the U=U (Undetectable Equals Untransmittable) paradigm to this setting. Since breastfeeding is often requested by women with HIV planning pregnancy, more extensive comparative studies should be performed
"Equità sanitaria e giustizia sociale: il modello dello Sportello Sociale per un Ospedale senza barriere"
No full textThe article examines the model of the Social Desk for Human Rights at the Di Cristina Benfratelli Civic Hospital in Palermo, an innovative initiative aimed at promoting health equity and social justice for vulnerable populations, particularly migrants. Through a holistic approach combining healthcare, linguistic-cultural mediation, and social support, the Desk facilitates access to health services and fundamental rights, overcoming linguistic, cultural, and bureaucratic barriers. The model draws on theories such as Amartya Sen's capability approach and John Rawls' principles of social justice, demonstrating how integrated interventions can reduce inequalities and foster inclusion. The article highlights the importance of beneficiary empowerment and proposes extending this approach to the entire healthcare system to create a "barrier-free hospital"
THE ROLE OF THE CLINICAL PHARMACIST IN THE MANAGEMENT OF ANTIRETROVIRAL THERAPY
No full textOver the last few years, the Hospital Pharmacy has developed in an excellent way in Europe, proposing in many countries the clinical pharmacist as a new professional figure, and adapting its responsibilities to national health systems.
The purpose of this study is to evaluate and promote the prescriptive appropriateness through the close collaboration between the pharmacist and the medical team. The aspect of the dispensation of antiretroviral therapy was deepened by providing useful information to the patient on the possible undesired effects and interactions due to the polypharmacy, on the correct way of storing the drugs, and on the importance of the regularity of the polypharmacy intake, in order to improve the compliance, which is closely related to the efficacy of long-term antiretroviral treatment and the reduction of the risk of drug resistance. The analysis of pharmaceutical prescriptions was conducted on 123 patients through the distribution of an anonymous questionnaire. Thanks to the anonymous questionnaire, it was possible to compile a special data collection form composed of two sections. The software InterCheck classified the interactions in progressive order of severity. The presence of clinical pharmacists requires a significant financial commitment on the part of the national health system but the economic investment can be evaluated favorably if we consider the benefit in terms of minor errors in therapy, lower occurrence of ADR, and improvement of the prescriptive appropriateness
In conversation with Tullio Pericoli
No full textIs narrating with words an experience comparable to that of narrating with images? Can one exist without the other? Can there be a visual imagination without the words that mold us or a verbal experience that is free from the images that we carry inside? In his long and successful career Tullio Pericoli has never ceased to contemplate these questions, and has answered them with his art, his curiosity, his extraordinary ability to watch and listen to faces, behaviors, but also trees, clouds, soil. As a political and cultural cartoonist, as illustrator of literary works, as a world-famous author of writers’ portraits, as landscape painter, set designer, and finally as a theorist of his own artwork, Pericoli teaches us that behind every stroke of the pen or the brush, there are a thousand stories. With lucidity and generosity, Pericoli opens the gates of his art and invites the curious viewer to stroll between the lines of his paintings – lines which, as he likes to say, have a history, a physiognomy, a grammar and even an interiority
La conciencia y la vida: Un homenaje a Tullio Seppilli
No full textIn this short text, the author makes a portrait of Tullio Seppilli. The portrait highlights Tullio Seppilli’s choice for critical rationalism, the role of his political convictions and the academic ethics of an outstanding master of medical anthropology.In questo breve testo, l'autore traccia un ritratto di Tullio Seppilli nel quale si sottolinea la sua scelta per un razionalismo critico, il ruolo delle sue convinzioni politiche e l'etica accademica di un eccezionale maestro dell'antropologia medica.En este breve texto, el autor realiza una semblanza de Tullio Seppilli. En esa semblanza se destaca la opción de Tullio Seppilli por un racionalismo crítico, el papel de sus convicciones políticas y la ética académica de un maestro excepcional de la antropología médica.In questo breve testo, l'autore traccia un ritratto di Tullio Seppilli nel quale si sottolinea la sua scelta per un razionalismo critico, il ruolo delle sue convinzioni politiche e l'etica accademica di un eccezionale maestro dell'antropologia medica
Tullio Ilomets - igiliikur: Tullio Ilomets - perpetuum mobile
No full textIn jubilee interviews, Tullio Ilomets, the perpetuum mobile in the title of this article, has also been dubbed the Spirit of Tartu. Thereby hejoins the long line of his fellow Tartu residents who have borne thesame title: Jaan Tõnisson, Villem Ernits, and Arnold Matteus.The article shall provide a short overview of how the author metTullio Ilomets in 1968 and their future contacts over the course ofdecades. One focus will be Tullio Ilomets’ activities since the beginning of the 1960s in the keeping and maintenance of the graves ofUniversity of Tartu faculty members at Vana-Jaani and other Tartucemeteries, an activity that particularly intensified after the establishment of the Academic Heritage Society (AMS) at the end of the1980s. The need for the maintenance of the graves of other facultymembers and cultural figures associated with the alma mater, bothat home and abroad, is also highlighted. Although the requisite listsof names were already in place by 2001, practical work has not yetcome up to speed.In addition, the article offers an overview of public speeches initiated by Tullio Ilomets of the AMS and its Graduates’ Club concerning many problems of Estonian history and culture. Active intervention by the AMS enabled the resolution of the fate of the residence ofJaan Poska, architect of the Tartu Peace Treaty; the building is located in Tallinn, Kadriorg on the banks of the Liivaoja (J. Poska Street 8in 1927); in the wave of privatisations in the 1990s, it had been planned to give the building to a religious sect for a worship space. Thewish to preserve the memory of Poska also arose. As the chairman ofthe AMS, Tullio Ilomets intervened in an already lengthy discussionon this topic in 2000, and his persistence showed its results when on28 February 2008, the 142nd anniversary of Jaan Poska’s birth, thereception hall of the Tallinn City Government was opened in the Poska house, where there is also a Jaan Poska memorial room.However, the most numerous marks have been left in our educational and cultural history by Tullio Ilomets’ activities in the establishment of the University of Tartu Museum, which was driven bythe desire to save and preserve even a part of the cultural heritageconnected with the University of Tartu. Ilomets also played an important role in the restoration of the monument to Swedish king GustavII Adolf, the founder of the University of Tartu; for this reason, at theunveiling of the monument on 23 April 1992, Ilomets was entrustedwith the opening speech of the ceremony in the presence of the Swedish royal couple.The article also provides a partial overview of the honorary titlesand awards bestowed on Tullio Ilomets. He was an honorary member of the Estonian Heritage Society and recipient of its award forservice. On his 95th jubilee, he was officially awarded the shoulderribbon of the Estonian Heritage Society’s Service Award. In fall ofthe same year, the Estonian Heritage Society established the TullioIlomets Heritage Award, the first recipient of which was his student,Jüri Peets. Tullio Ilomets, who was 96 at the time, participated inthe awards ceremony in the White Hall of the University of TartuMuseum
"Tullio Pericoli's Beckettian 'Facescapes'"
No full textIn occasione della mostra dei numerosi ritratti di Beckett di Tullio Pericoli alla casa di Oscar Wilde in Dublino l'autrice, che ha anche allestito la mostra, fa un'analisi comparata del gioco di illusione e realtà che caratterizza l'interpretazione di Beckett da parte di T. Pericoli con il bufalo istoriato sulla moneta di incerto valore creata dal drammaturgo David Mamet, uno dei più seri ammiratori di Beckett.On the occasion of the exhibition of Tullio Pericoli's "Becketts" at Oscar Wilde house in Dublin, the author (who has also put up the exhibition) compares the ambiguous game of appearance and reality going on in Pericoli's interpretation of Beckett to the uncertain value of the buffalo-headed coin of playwright David Mamet, one of Beckett's most serious admirers
Meenutades Tullio Ilometsa: Remembering Tullio Ilomets
No full textTullio Ilomets (13 July 1921 in Paide – 22 August 2018 in Tartu), anassociate professor of organic chemistry at the University of Tartu,was one of the authors of the idea of establishing the University ofTartu Museum and its lifelong supporter. As an active member of theheritage protection movement, he frequently spoke about questionsregarding the preservation of the University’s cultural heritage andthe protection of the old university.The author of this article, the chief curator of the University ofTartu museum in the years 1979–2015, developed a very good collaboration with Tullio Ilomets on the collection and preservation of theheritage objects of the university over the decades.Tullio Ilomets worked at the university for over 65 years. His final(and very fruitful) years were spent working as a consultant to themuseum in its Toome Hill building. Despite his advanced age, he wrote his most interesting overviews on the history of science in theseyears, based on the museum’s collections, on topics such as laboratoryglass, historic scales, the photographic collection of the University’sphotographer Kald, etc.Tullio Ilomets’ extensive activities in the area of heritage protection received attention and awards: the Order of the White Star,Third Class was bestowed on him in 2001. He was an honorary citizen of Tartu and recipient of the Tartu Suurtäht decoration (2001).The writer of this article has also attempted to reflect on TullioIlomets as a person, his friendly, humorous, but very purposeful andresilient personality
Tullio De Mauro e Emilio Garroni
No full textA study of the relationship between the work of Tullio De Mauro and that of Emilio Garroni would require lengthy research on their respective texts, in-depth theoretical reflection, and constant comparison with the Italian and international philosophical-cultural debate contemporary to them, with which they maintained a constant dialogue. Such investigation would also constitute an important chapter in the history of Italian culture from the second half of the 20th century to the present. Of this rich and articulated mosaic, a few individual tiles are considered here. To begin probing the “distance in proximity” that I believe characterizes the relationship between the two scholars, the essay in fact takes its cue from the different way of reading a passage from an author dear to both, paragraph 90 of Wittgenstein’s Philosophical Investigations. A theoretical knot from which a dialogue unravels, sometimes explicit, sometimes subterranean, centered on the nature of “sense” in human experience and that of linguistic and philosophical (mis)understanding. Two often divergent perspectives emerge, but rooted in a deep ethical consonance
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