74 research outputs found
Hypercalcaemia in systemic lupus erythematosus.
Hypercalcaemia is found in more than 90% of the cases of primitive hyperparathyroidism and malignancies. Rarely, D hypervitaminosis, sarcoidosis, other granulomatous diseases, some drugs, and endocrine diseases may be responsible. Nine patients with systemic lupus erythematosus (SLE) and hypercalcaemia, without evidence of primary hyperparathyroidism, have been previously described. Here we report the 10th patient with SLE and hypercalcaemia, along with a brief review of the literature. © 2011 The Author(s)
Il contributo degli immigrati alla natalità nel Lazio: analisi provinciale dal 2002 al 2018
All’interno del dibattito demografico e politico sulle migrazioni in Italia, il tema della fecondità degli immigrati ha sempre suscitato notevole interesse, specialmente in relazione al calo delle nascite che il nostro Paese sta sperimentando da più di dieci anni. In questo articolo, si analizzano i dati dell'Istat sulle nascite da cittadini italiani e stranieri nel Lazio e nelle sue singole province, per capire come stiano evolvendo le dinamiche di fecondità all’interno della regione. I risultati mostrano che i cittadini stranieri residenti nel Lazio fanno sempre meno figli ormai da almeno dieci anni. La ricerca demografica ci dice che le ragioni sono da ricercare in una molteplicità di fattori, dalla crisi economica al cambiamento della composizione dei flussi migratori verso il nostro Paese. Allo stesso tempo, però, fanno meno figli anche i cittadini italiani, e il calo delle nascite caratterizza anche il Lazio e le sue province da ormai più di un decennio. In un simile contesto di bassissima fecondità dei cittadini italiani, la diminuzione del tasso di fecondità degli stranieri – misura in parte viziata dagli errori di registrazione della popolazione straniera descritti precedentemente – non basta a ridimensionare il contributo significativo che questi danno al numero totale delle nascite. Malgrado sia in continua diminuzione, il tasso di fecondità degli stranieri si mantiene visibilmente al di sopra di quello dei cittadini italiani, e questo fattore, unitamente all’aumento costante della presenza straniera nel nostro Paese e soprattutto nel Lazio, fa sì che il contributo degli stranieri alla fecondità totale assuma dimensioni sempre crescenti
Hypertensive Disorders in Normal/Over-weight and Obese Type 2 Diabetic Pregnant Women
Background: Hypertension is one of the major complications of pregnancy. Its impact in type 2 diabetic pregnant women could be understimated because it is generally evaluated by retrospective studies and as one of the Outcome measures. Objective: Our aims were: 1) to evaluate the prevalence of hypertensive disease between type 2 diabetic and normal pregnancies; 2) to relate hypertensive disease to body weight in type 2 diabetic pregnancies; 3) to assess the impact of different types of hypertension on pregnancy Outcome in type 2 diabetic women. Study Design: Seventy-six type 2 diabetic (23 normal-weight, 26 overweight and 27 obese) and sixty normal (43, 15 and 2 respectively; x(2) 0.0001) pregnancies, matched for age and smoking habit. Hypertension was defined as >= 140/90 mmHg and classified in chronic, gestational and pre-eclampsia. Statistical Analysis: Student's t-test, x(2), simple, and/or multiple and logistic regression analysis were used when appropriate. Odds ratio was calculated for hypertension. p significant <0.05. Results: The overall prevalence of hypertension was 40.8% (18.4% chronic, 17.1% gestational and 5.3% pre-eclampsia) in type 2 diabetic pregnancies and 10% (8.3% gestational and 1.7% preeclampsia) in normal pregnancies (p<0.0001), with an odds ratio of 6.2. All the types of hypertension, significantly chronic, contributed to the higher prevalence. Only in diabetic pregnancies, hypertension was associated with a higher pregestational BMI; whenever BMI increased, chronic and gestational hypertension increased by contrast of pre-eclampsia (X(2), 0.02). Hypertensive disorders did not affect maternal-fetal outcome. Conclusions: The prevalence of hypertension was 40.8% in type 2 diabetic pregnant women whilst it was 10.0% in non diabetic controls. All hypertensive disorders, significantly chronic, were more frequent. Increasing BMI was a crucial factor for chronic and gestational but not for pre-eclampsia. Hypertensive diseases did not seem to affect pregnancy outcome
Informal childcare arrangements: a comparison between Italians and migrants
As migrants settle in their destination country, for those who reunited the family or after childbirth childcare becomes a priority. Most studies on migrants’ childcare arrangements have focused on parental use of formal childcare rather than on different informal childcare solutions by analysing only families with preschool-age children. Italy poses an interesting case study because its welfare system is characterised by a familistic model of care, based on solidarity between generations. In familistic countries, migrants’ childcare solutions are more constrained. In this study, we analysed differences in informal childcare needs and arrangements for children younger than 14 between Italians and migrants from different countries of origin. We merged two surveys conducted by the Italian National Statistics Institute in 2011–2012: ‘Social Condition and Integration of Foreign Citizens’, a sample of households with at least one migrant with foreign citizenship, and ‘Multiscopo—Aspects of Daily Life’, a sample of households in Italy. We found that household composition and parents’ employment status play an important role in shaping informal childcare arrangements. Overall, migrants are less likely to use informal childcare, especially grandparents, than Italians but when they do, they rely more on other relatives and non-relatives than Italians. Moreover, differences emerge across migrant subgroups. This study is the first in Italy to contribute to an understanding of the role of migrant status in determining parents’ childcare arrangements for children up to 13 years
Lyposomal doxorubicin (Caelyx), cyclophosphamide - Rituximab (DC-R) plus GM-CSF as a salvage therapy in B-diffuse large cell lymphoma (B-DLCL) after autologous stem cell transplantation (ASCT) failure.
Safety And Efficacy Of An Outpatient Dhap Schedule: An Experience On 101 Relapsed Lymphoma Patients
Migrants' choices pertaining to informal childcare in Italy and France: A complex relationship between the origin and destination countries
Childcare is a need that inevitably emerges once migrants establish themselves
and their families in their destination country. However, migrants' use of informal
childcare still constitutes an under‐researched phenomenon. Using data from the
‘Social Condition and Integration of Foreign Citizens’ survey (2011–2012) for
Italy and the ‘Trajectoires et Origines’ survey (2008–2009) for France, this paper
examines differences between migrants living in the two countries in terms of
their use of informal childcare and, more specifically, their informal childcare
arrangements. We employ a comparative analysis because we hypothesised that
parental choices would depend on the migrants' region of origin, the institutional
context of their destination country and the interplay between these two
elements. The results suggest that migrants' choices stem from a complex
relationship between the norms and beliefs of the country of origin and those in
the destination country, which are generally characterised by different family
policies and levels of childcare availability. We show that the use of informal
childcare is higher among migrants in Italy than it is among those in France, even
among migrants from the same region of origin. The results also suggest that the
use of particular informal childcare arrangements varies by region of origin
regardless of destination country, supporting the hypothesis that migrants' cultural
values and beliefs play a critical role in determining childcare arrangements.
Finally, we demonstrate that household composition and parents' occupational
status strongly influence migrants' childcare choices
Co-Resident Grandparent: A Burden or a Relief? A Comparison of Gender Roles between Italians and Migrants
In the international literature, the principal task of grandparents is generally recognized as helping their children in providing childcare. Most of those studies analyzed grandparental childcare on the whole population, and few have focused on co-resident grandparent(s), which turns out to be an understudied topic in the European context. Further, most of them investigated the effect of childcare on grandparents' health status. However, the elderly population can both provide and receive care. Using two Italian surveys released by the Italian National Institute of Statistics, the "Social Condition and Integration of Foreign Citizen (2011-2012)" and the "Multiscopo-Aspetti della vita quotidiana (2011)", the study aims to analyze differences in grandparental childcare provided by co-resident grandparents between Italian and migrant households, considering both the role played by grandparents' self-rated health (SRH) and gender. We identify four grandparents' profiles by combining grandparents' SRH and their attitude towards looking after their grandchild(ren). Subsequently, we apply multinomial logistic regressions, and we compute average marginal effects to facilitate results interpretations. Results display that migrant co-resident grandparents are less likely to declare bad SRH and no-childcare and are more likely to declare good SRH and to provide childcare than Italian grandparents. Moreover, when considering gender differences, the real role is revealed: we find that women have a higher probability to report poor health and care for their grandchild(ren) than men. Such findings illustrate that grandparents' cohabitation decision is based upon the difference between their need for care and offer to care, and second, in addition to migrant status and SRH, gender is a determinant of grandparents' childcare: women look after their grandchild(ren) more than men, whatever their health status
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