186 research outputs found
In primum librum Regum expositionum libri VI
The paper traces the misunderstandings of the commentary on the first book of Regum attributed to Gregory the Great. The history of the editions is analyzed till the discovery of the only manuscript known of the work, Cava dei Tirreni, Biblioteca dell'Abbazia 9. The criteria of the last edition by Patrick Verbraken are discussed as he uncritically favored the manuscript on the constitutio textus. The problem of the authorship of the work is investigated: although recent studies date the commentary to the twelfth century and ascribe it to Peter of Venosa on the basis of the Chronicon Venusinum, it is possible that the author used texts authentically gregorian
Liste d'attesa: strumenti di controllo della domanda sanitaria o artefici di disuguaglianza nell'accesso alle cure?
Il fenomeno ‘liste d’attesa’, presente in molte attività del nostro quotidiano, assume una valenza molto particolare nel settore sanitario. La lista d’attesa si origina da una differenza tra domanda ed offerta che, ben conosciuta in tutti i settori, ancora una volta, in quello sanitario è complicata da variabili che sono difficilmente governabili. L’articolo esamina i determinanti della costruzione
delle liste d’attesa sia nell’ambito delle prestazioni ambulatoriali sia in quello degli interventi
chirurgici in elezione, proponendo soluzioni che sono già state implementate e di cui è possibile discutere
la validità
An “App” a day keeps the doctor away? Mobile phone applications in primary prevention: A systematic review.
Does evidence support the use of mobile phone apps as a driver for promoting healthy lifestyles from a public health perspective? A systematic review of Randomized Control Trials
Objective: The aim of this systematic review was to find a scientific evidence on the efficacy of apps in promoting healthy lifestyles.
Methods: The research was carried out according to PRISMA Statement. Pubmed, Embase and Google Scholar searches were carried out up to September 2016 focusing on randomized control trials (RCTs).
Results: Forty RCTs were selected. Most of the studies targeted weight management, PA and healthy eating (N = 35). A few RCTs focused on apps designed to sun protection, smoking cessation and alcohol
consumption (N = 5). Only 10 RCTs (25%) found statistical difference between intervention and control groups for all the outcomes measured. Most of the studies had a short follow-up (65%, less than 6 months)
and half of them a very small sample size (fewer than 100 subjects).
Conclusion: Overall, the evidence so far showed a modest efficacy of apps in health promotion. Practice implications: There is a need to improve the overall quality of intervention studies focused on
mobile apps in order to understand if they could became a valuable tool in support of health professionals and their efforts to promote education and health
Le dediche di Giovanni Immonide
The flight from Rome of Formoso, bishop of Porto, on Easter night 876 and his subsequent conviction in the Roman synods are echoed in the dedication of the last two John the Deacon’s works, Vita Gregorii I papae and the rhythmic rewriting of the Cena Cypriani. The contribution reconstructs John Immonide’s figure, his role and his friendships within the cubiculum Lateranense, and analyzes the critical loci of the manuscript tradition of the dedication poem to Pope John VIII, prefacing the hagiographical text, and of the so called Epilogus and Suppositio closing the Cena. The sections analyzed show a tradition variously attested and not univocal, that is evidence of reworking and leads to suspect that the author has reviewed the dedications of his works when he was expelled from the Lateran, falled into disgrace with the pope, and he never reached a final version of them
COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies
The risk of unfavourable outcomes for SARS-CoV-2 infection is significant during pregnancy and breastfeeding. Vaccination is a safe and effective measure to lower this risk. This study aims at reviewing the literature concerning the anti-SARS-CoV-2 vaccine’s acceptance/hesitancy among pregnant and breastfeeding women attending hospital facilities. A systematic review of literature was carried out. Hospital-based observational studies related to vaccination acceptance, hesitancy, knowledge and attitude among pregnant and breastfeeding women were included. Determinants of acceptance and hesitancy were investigated in detail. Quality assessment was done via the Johann Briggs Institute quality assessment tools. After literature search, 43 studies were included, 30 of which only focused on pregnant women (total sample 25,862 subjects). Sample size ranged from 109 to 7017 people. Acceptance of the SARS-CoV-2 vaccine ranged from 16% to 78.52%; vaccine hesitancy ranged between 91.4% and 24.5%. Fear of adverse events for either the woman, the child, or both, was the main driver for hesitancy. Other determinants of hesitancy included religious concerns, socioeconomic factors, inadequate information regarding the vaccine and lack of trust towards institutions. SARS-CoV-2 vaccine hesitancy in hospitalized pregnant women appears to be significant, and efforts for a more effective communication to these subjects are required
Tra Pirandello e Judith Butler:Forma e performatività nella narrativa di Marosia Castaldi
This article sets itself a number of challenges: 1. to make a daring comparison between the notions of identity and subjectivity held by Italian modernist author Luigi Pirandello and contemporary American feminist theorist Judith Butler. 2. to use the insights generated by this unusual yet entirely tenable comparison to interpret the engagement of contemporary author Marosia Castaldi with the postmodern loss of identity. 3. to bring to light some thematic lines across the oeuvre of a writer noted for her highly fragmented and repetitive anti-realist style and impenetrable plots. The article succeeds in bringing together Pirandello’s idea of identity as subjected to such dichotomies as life vs art-forma, flux vs fixity, uniqueness vs multiplicity with Butler’s account of identity and specifically gender identity as performativity. Both underscore identity/subjectivity as repetition and (re)citation, as mimetic acts subject to societal norms, and thus both ask whether and how change can be effected. Applying these problematics to Castaldi turns out to be highly productive. I first identify a question running through her novels: what happens to identity when the individual is subjected to continual change? I then attempt to answer this question by examining her characters’ struggle against the dissolution of identity they experience as consequence of a life marked by cyclical successions of wars, migrations, cyclones, genocides, telluric movements and volcanic explosions. I conclude with looking at how they find ways of filling the identitarian void in the parodic performance of gender and identity
Tra Pirandello e Judith Butler:Forma e performatività nella narrativa di Marosia Castaldi
This article sets itself a number of challenges: 1. to make a daring comparison between the notions of identity and subjectivity held by Italian modernist author Luigi Pirandello and contemporary American feminist theorist Judith Butler. 2. to use the insights generated by this unusual yet entirely tenable comparison to interpret the engagement of contemporary author Marosia Castaldi with the postmodern loss of identity. 3. to bring to light some thematic lines across the oeuvre of a writer noted for her highly fragmented and repetitive anti-realist style and impenetrable plots. The article succeeds in bringing together Pirandello’s idea of identity as subjected to such dichotomies as life vs art-forma, flux vs fixity, uniqueness vs multiplicity with Butler’s account of identity and specifically gender identity as performativity. Both underscore identity/subjectivity as repetition and (re)citation, as mimetic acts subject to societal norms, and thus both ask whether and how change can be effected. Applying these problematics to Castaldi turns out to be highly productive. I first identify a question running through her novels: what happens to identity when the individual is subjected to continual change? I then attempt to answer this question by examining her characters’ struggle against the dissolution of identity they experience as consequence of a life marked by cyclical successions of wars, migrations, cyclones, genocides, telluric movements and volcanic explosions. I conclude with looking at how they find ways of filling the identitarian void in the parodic performance of gender and identity
Resource allocation criteria in a hospital
Introduction. Allocate fixed resources among competing users is a challenge in terms of hospital management in order to obtain the best performance considering strategic objectives. In order to address this need, a system of evaluation in an important research and teaching hospital was designed. This study describes resource allocation criteria in a hospital focusing on the evaluation system and its developed application methodology. Methods. The indicator system allows the strategic management to rapidly detect the priorities in the evaluations of the Strategic, Organizational, Managerial, Economic, Research and Qualitative conditions of each unit. The chosen indicators are expressed with three numerical values, (1 indicating critical status, 2 acceptable conditions and 3 a good operational situation). Results and discussion. The adopted evaluation system considered different thematic areas: Strategic, Organizational, Managerial, Economic, Research and Qualitative. In order to define each area, 3 fields of evaluation have been chosen. The indicators have been structured according to a pyramid system allowing creating a single indicator for each area for each unit. Furthermore, a single indicator has been fixed in order to facilitate a first consideration on whether to carry out or not closer examinations of the most critical units. This manuscript describes an attempt to define objective criteria for the allocation of scarce resources in order to achieve the hospital’s strategic objectives. The indicators identified allow to obtain an overall score for each unit, which allows the management to prioritize the needs
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