3,095 research outputs found
MALATTIE PROFESSIONALI DELL’APPARATO MUSCOLOSCHELETRICO NEI LAVORATORI DELLA SANITÀ IN FRIULI VENEZIA GIULIA
No full textMalattie professionali dell’apparato muscoloscheletrico nei lavoratori della sanità in Friuli Venezia Giulia.
Introduzione: Negli ultimi anni si è registrato un aumento delle denunce di patologie muscolo-scheletriche degli arti superiori e del rachide negli operatori della sanità (I). Il riconoscimento del nesso causale con l’attività lavorativa è reso complesso dalla multifattorialità dell’eziopatogenesi (II).
Metodi: nell’ambito del progetto regionale proposto dall’INAIL-FVG e dalla Direzione Centrale Salute il gruppo di lavoro dei Medici Competenti delle Aziende Sanitarie della Regione ha creato una griglia per la raccolta dei dati clinici e lavorativi ed extra-lavorativi per individuare delle modalità condivise di accertamento del nesso di causa nelle malattie professionali. Sono stati individuati i lavoratori (276 casi) delle Aziende Sanitarie con segnalazione di patologie osteoarticolari legate alla movimentazione di carichi ed al sovraccarico biomeccanico degli arti superiori, di sospetta origine professionale, denunciate dal 2009 al 2013. I medici competenti durante la visita medica periodica hanno raccolto gli items previsti che sono stati digitalizzati ed elaborati con il programma SPSS versione 20.
Risultati: La maggior parte delle malattie professionali deriva dalle aziende ospedaliere provinciali con una netta preponderanza di soggetti di sesso femminile (86%) , tra i 40 e 55 anni di età, che si occupano di assistenza e movimentazione del paziente, ovvero Operatori-Sociosanitari (OSS) e infermieri. Il distretto ‘rachide’ ha un ruolo dominante: la percentuale maggiore delle denunce riguarda l’ernia discale lombare (65%), seguita dalle spondilodiscopatie lombari (10%). Il 50% dei lavoratori aveva un BMI < 24 al momento dell’intervista ma nel 22% dei casi vi era un incremento ponderale rispetto ai 20 anni di età e nel 40 % dei casi rispetto ai 10 anni prima della denuncia. Il 55% dei soggetti riferiva un pregresso traumatismo con maggior coinvolgimento dell’arto superiore o inferiore. Suddividendo i lavoratori con patologie a carico del rachide e degli arti superiori sulla base del rischio relativo alla movimentazione pazienti, si nota come siano stati denunciati in prevalenza soggetti con rischio medio-basso (70%) e anzianità lavorativa inferiore a 10 anni.
Discussione: I risultati ottenuti indicano il questionario elaborato come uno strumento adeguato a guidare il medico nella valutazione del nesso causale. Si prevede una semplificazione nel numero di variabili in modo da diffondere la scheda per l’utilizzo da parte dei medici competenti e di Patronato, ma anche agli specialisti di riferimento e ai medici curanti. Tale strumento potrebbe essere adattato ad altri settori lavorativi, al fine di individuare nel migliore dei modi il nesso causale in questa tipologia di probabile origine professionale
Direct replacement of antibodies with molecularly imprinted polymer (MIP) nanoparticles in ELISA - development of a novel assay for vancomycin
No full textA simple and straightforward technique for coating microplate wells with molecularly imprinted polymer nanoparticles (nanoMIPs) to develop ELISA type assays is presented here for the first time. NanoMIPs were synthesized by a solid phase approach with immobilized vancomycin (template) and characterized using Biacore 3000, dynamic light scattering and electron microscopy. Immobilization, blocking and washing conditions were optimized in microplate format. The detection of vancomycin was achieved in competitive binding experiments with a HRP-vancomycin conjugate. The assay was capable of measuring vancomycin in buffer and in blood plasma within the range 0.001-70 nM with a detection limit of 0.0025 nM (2.5 pM). The sensitivity of the assay was three orders of magnitude better than a previously described ELISA based on antibodies. In these experiments nanoMIPs have shown high affinity and minimal interference from blood plasma components. Immobilized nanoMIPs were stored for 1 month at room temperature without any detrimental effects to their binding properties. The high affinity of nanoMIPs and the lack of a requirement for cold chain logistics make them an attractive alternative to traditional antibodies used in ELIS
Coaching early career teachers in urban elementary schools: A mixed method study
No full textCoaching for urban early career teachers (ECTs) offers promise and aligns with features of effective professional development to support the implementation of evidence-based practices. However, the functional components and key elements of coaching and coach supervision are not well specified in the literature. The goal of the current study was to examine adherence and feasibility of a coaching intervention designed to provide urban ECTs with concentrated support in classroom management and engaging learners—two instructional domains that are robust predictors of attrition (Ingersoll and Strong in Rev Educ Res 81:201–233, 2011). Coaches (n = 6) worked with ECTs (n = 15) in three urban, high-poverty elementary schools during the 2-year intervention. A mixed-method design was employed, such that qualitative data (i.e., semi-structured interviews) and quantitative data (i.e., adherence measures) were collected concurrently, remained independent during analyses, and were integrated during interpretation (Creswell and Clark in Designing and conducting mixed methods research. Sage, Thousand Oaks, 2007). Findings revealed that ECTs generally received the intended frequency and duration of coaching but with fewer opportunities for post-conferences. Coach supervision, on average, was delivered with intended frequency, with variability across coaches. Thematic analyses highlighted coach provision of emotional and instrumental support, emphasized consistent coaching as critical, and that time was a significant barrier to ECT participation in coaching. Supervision promoted social support among coaches and provided opportunities to adapt the model to ECT needs.Peer reviewe
Communautés et écriture en ligne. Histoire, devenir, un dialogue
No full textIn this interview, Elisa Bricco talks to writer Benoît Vincent about
the transformations that have taken place over the last twenty years
as a result of the technological turn in literary production. We look
at the repercussions of technology’s hold over literary production, and
in particular at the development of the notion of author in the context
of collective writing. The example of the General Instin project will
be used to highlight some of the issues raised by digital technology in
relation to the production of literary texts.Dans cet entretien, Elisa Bricco discute avec l’écrivain Benoît Vincent
sur les transformations qui sont survenues dans les vingt dernières
années à cause du tournant technologique de la production littéraire. On
s’interroge sur les répercussions de l’emprise de la technologie sur le
faire littéraire et notamment sur le développement de la notion d’auteur
dans le contexte de l’écriture collective. L’exemple du projet Général
Instin servira pour mettre en lumières quelques enjeux du numérique
par rapport à la production de textes littéraires
Communautés et écriture en ligne. Histoire, devenir, un dialogue
No full textIn this interview, Elisa Bricco talks to writer Benoît Vincent about the transformations that have taken place over the last twenty years as a result of the technological turn in literary production. We look at the repercussions of technology’s hold over literary production, and in particular at the development of the notion of author in the context of collective writing. The example of the Général Instin project will be used to highlight some of the issues raised by digital technology in relation to the production of literary texts.Dans cet entretien, Elisa Bricco discute avec l’écrivain Benoît Vincent sur les transformations qui sont survenues dans les vingt dernières années à cause du tournant technologique de la production littéraire. On s’interroge sur les répercussions de l’emprise de la technologie sur le faire littéraire et notamment sur le développement de la notion d’auteur dans le contexte de l’écriture collective. L’exemple du projet Général Instin servira pour mettre en lumières quelques enjeux du numérique par rapport à la production de textes littéraires
Comment on Bandelli and Porcelli/1 - Against Moral Panic, in Defence of Data
No full textElisa Giomi’s commentary is an answer to Bandelli and Porcelli’s essay “Femicide in Italy. ‘Femminicidio,’ Moral Panic and Progressivist Discourse” [2016]. Although Giomi assumes that Bandelli and Porcelli effectively illustrate the instrumentalization of lethal violence against women in Italian political discourse, yet she criticizes their reading of the “femminicidio narrative” as a phenomenon of moral panic that locates the threat in the typical Italian heterosexual family/couple: all the available empirical findings confirm that these are precisely the contexts where lethal aggressions against women most frequently occur. The author also disagrees with the authors’ conclusion that the femminicidio narrative authorized “the application of a gender paradigm to the official reading of domestic/partner violence” in 2012/13 Italian public discourse. Finally, she contends that in their essay the “feminist discourse” is represented in a stereotypical way, one that is instrumental in depicting it as a hegemonic discourse
Applying a kinetic method to an indirect ELISA measuring Ostertagia ostertagi antibodies in milk
No full textIndirect enzyme-linked immunosorbent assays (ELISAs) are frequently run as endpoint ELISAs (e-ELISAs). However, kinetic ELISAs (k-ELISAs) have certain advantages over e-ELISAs. The objective of this study was to understand the relationship between e-ELISA and k-ELISA results. Specifically, to determine whether it was possible to run both k-ELISA and e-ELISA on the same plate and establish an appropriate time interval for k-ELISA measurements. A normalization method for k-ELISA slopes (slope ratio) is proposed. Using an indirect e-ELISA test measuring antibodies against Ostertagia ostertagi in milk from dairy cattle, we found that running a k-ELISA had no effect on optical density ratio results of an e-ELISA on the same plate, and that agreement was very strong at 10, 15, and 28 min, allowing for a reduction in the total processing time for ELISA tests
Re-Designing Community Mental Health Services for Urban Children: Supporting Schooling to Promote Mental Health
No full textObjective: This study examined a school- and home-based mental health service model, Links to Learning, focused on empirical predictors of learning as primary goals for services in high-poverty urban communities. Method: Teacher key opinion leaders were identified through sociometric surveys and trained, with mental health providers and parent advocates, on evidence-based practices to enhance children’s learning. Teacher key opinion leaders and mental health providers cofacilitated professional development sessions for classroom teachers to disseminate 2 universal (Good Behavior Game, peer-assisted learning) and 2 targeted (Good News Notes, Daily Report Card) interventions. Group-based and home-based family education and support were delivered by mental health providers and parent advocates for children in kindergarten through 4th grade diagnosed with 1 or more disruptive behavior disorders. Services were Medicaid-funded through 4 social service agencies (N = 17 providers) in 7 schools (N = 136 teachers, 171 children) in a 2 (Links to Learning vs. services as usual) × 6 (pre- and posttests for 3 years) longitudinal design with random assignment of schools to conditions. Services as usual consisted of supported referral to a nearby social service agency. Results: Mixed effects regression models indicated significant positive effects of Links to Learning on mental health service use, classroom observations of academic engagement, teacher report of academic competence and social skills, and parent report of social skills. Nonsignificant between-groups effects were found on teacher and parent report of problem behaviors, daily hassles, and curriculum-based measures. Effects were strongest for young children, girls, and children with fewer symptoms. Conclusion: Community mental health services targeting empirical predictors of learning can improve school and home behavior for children living in high-poverty urban communitiesPeer reviewe
2024-2025: Distinguished Visiting Author, Elisa Gonzalez
No full textStudent Fellows: Benjamin Harvey, Abigail Lebowitz, Aelan Lee, May Mastrantonio, Ryan Robertsonhttps://docs.rwu.edu/bermont-fellowship/1011/thumbnail.jp
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