62 research outputs found
Women's working conditions in hospital cleaning: a case study
No full textHospital cleaning work, as health care work, is mainly performed by women all over Europe. Hospital cleaning activities represent a poorly studied sector although very important also for patient's health. We applied the Method of Organizational Congruencies to study cleaning work in three typical hospital units (Emergency Room, Haematology, General Medicine) of a roman University hospital where 198 women cleaners work. We analyzed the 731 technical actions performed in the three shifts and the related Organizational Constraints (OC). Working outsourcing, no occupational risks training, washing personal equipment at home, standing, long walking, early morning and night shift in emergency room, high monotony (>10 actions per hour) contact with biological and chemicals materials, risk conditions of accidents, artificial lights, hot microclimate and working in a cure setting represent the main Organizational Constraints. Differences among the three Units are discussed together with the importance of considering cleaning hospital as a preventive action towards hospital clinical risk
Indagine preliminare analitico-diagnostica: San Francesco Stimmatizzato - Tiziano Vecellio
No full textNella prima nota pubblicata nel numero 3/2013 di “Il giornale delle Prove non Distruttive Monitoraggio Diagnostico” è stato ampiamente trattato l’aspetto storico-artistico e documentale relativo al dipinto ad olio su tela ‘San Francesco Stimmatizzato’, proveniente dalla chiesa di San Francesco d’Assisi a Trapani, puntualizzando alcuni aspetti relativi alla tecnica pittorica dell’opera d’arte, nel confronto con gli studi evolutivi della produzione artistica di Tiziano Vecellio. Nella presente nota si è ritenuto opportuno fornire un primo contributo sperimentale mediante l’impiego di tecniche diagnostico-analitiche ed anche di prove non distruttive. Vengono, quindi, riportati i primi risultati relativi ad una ricerca che avrà l’obiettivo di identificare i materiali costituenti, caratterizzare la tecnica pittorica e collocare artisticamente l’esecuzione dell’opera. Le indagini sono state eseguite nel Laboratorio Diagnostico per i Beni Culturali del Dipartimento di Beni Culturali dell’Alma Mater Studiorum dell’Università di Bologna (sede di Ravenna) in collaborazione con il Museo Interdisciplinare regionale “Agostino Pepoli”
Considerazioni storico-artistiche sull'attribuzione del dipinto San Francesco Stimmatizzato a Tiziano Vecellio
No full textNell’articolo si riporta l’anamnesi storico-artistica del dipinto ad olio su tela (280x190 cm) San Francesco Stimatizzato, proveniente dalla chiesa di San Francesco
d’Assisi a Trapani (annessa al Convento dei Padri Conventuali Francescani), e
conservato nel Museo Interdisciplinare regionale “Agostino Pepoli” di Trapani.
L’anamnesi storico-artistica del San Francesco Stimmatizzato, effettuata sulla documentazione bibliografica e archivistica, insieme all’indagine diagnostico-analitica dell’opera, contribuisce a confutare o confermare l’attribuzione a Tiziano,
conducendo in tal maniera ad un giudizio più corretto ed affidabile
Epidemiology and outcome of sepsis syndromes in Italian ICUs: A multicentre, observational cohort study in the region of Piedmont
No full textBackground. Sepsis is an important cause of mortality and morbidity in the intensive care unit (ICU). We performed a study to describe the epidemiology of sepsis syndromes in patients admitted toICUs of the Piedmont region. Methods. In this prospective, multicentre, observational study, all 3902 patients admitted to a network of 24 ICUs from 17 hospitals during a 180 day period (April 3-September 29, 2006) were included. Patients were followed from the first day of admission until death or ICU discharge. Results. The incidence of sepsis during the ICU stay was 11.4% (N.=446), corresponding to an incidence of 25 cases/100,000 inhabitants/year; 141 (31.6%) patients had only sepsis, 160 patients had severe sepsis (35.9%) and 145 patients (32.5%) had septic shock In 227 patients (50.9%), sepsis was observed within 48 hours after admission to the ICU, and 219 patients (49.1%) developed ICU-acquired sepsis. The main sources of infection were the lungs, abdomen, and urinary tract. ICU mortality was higher (41.3 vs. 17.3%, P<0.0001) and the median ICU length of stay longer (15 vs. 2 days, P<0.0001) in patients with sepsis than in those without sepsis. The mortality rate increased with the severity of sepsis. ICU-acquired sepsis was associated with higher ICU mortality rates than sepsis occurring within 48 hours of ICU admission (49.8 vs. 33.0%, P<0.0001). Conclusion. Sepsis is a common occurrence in critically ill patients. Our data underscore the regional variability in the epidemiology and outcome of sepsis syndromes and may be useful to guide appropriate resource allocation
Epidemiology and outcome of sepsis syndromes in Italian ICUs: a muticentre, observational cohort study in the region of Piedmont
No full textSepsis is an important cause of mortality and morbidity in the intensive care unit (ICU). We performed a study to describe the epidemiology of sepsis syndromes in patients admitted to ICUs of the Piedmont region
The influence of gender on the epidemiology of and outcome from severe sepsis.
No full textINTRODUCTION:
The impact of gender on outcome in critically ill patients is unclear. We investigated the influence of gender on the epidemiology of severe sepsis and associated morbidity and mortality in a large cohort of ICU patients in the region of Piedmont in Italy.
METHODS:
This was a post-hoc analysis of data from a prospective, multicenter, observational study in which all patients admitted to one of 24 participating medical and/or surgical ICUs between the 3rd of April 2006 and the 29th of September 2006 were included.
RESULTS:
Of the 3902 patients included in the study, 63.5% were male. Female patients were significantly older than male patients (66 +/-16 vs. 63 +/-16 years, P<0.001). Female patients were less likely to have severe sepsis and septic shock on admission to the ICU and to develop these syndromes during the ICU stay. ICU mortality was similar in men and women in the whole cohort (20.1 vs. 19.8%, P=0.834) but, in patients with severe sepsis, was significantly greater in women than in men (63.5% vs. 46.4%, P=0.007). In multivariate logistic regression analysis with ICU outcome as the dependent variable, female gender was independently associated with a higher risk of ICU death in patients with severe sepsis (odds ratio (OR) = 2.33; 95% confidence interval (CI): 1.23-4.39, P=0.009) but not in the whole cohort (OR: 1.07, 95% CI: 0.87-1.34).
CONCLUSIONS:
In this large regional Italian cohort of ICU patients, there were more male than female admissions. The prevalence of severe sepsis was lower in women than in men, but female gender was independently associated with a higher risk of death in the ICU in patients with severe sepsi
Effect of a lung protective strategy for organ donors on eligibility and availability of lungs for transplantation: A randomized controlled trial
No full textLinee Guida Disabilità e Lavoro SIMLII
No full textdisabilità e lavoro, un binomio non semplice. Dare indicazioni pratiche su come comportarsi è di fondamentale importanza per il lavoro quotidiano di RSPP e MC, per il bene del lavoratore disabile e dell'organizzazione in cui è inserito
Effect of a lung protective strategy for organ donors on eligibility and availability of lungs for transplantation: a randomized controlled trial
No full textMany potential donor lungs deteriorate between the time of brain death and evaluation for transplantation suitability, possibly because of the ventilatory strategy used after brain death.
OBJECTIVE:
To test whether a lung protective strategy increases the number of lungs available for transplantation.
DESIGN, SETTING, AND PATIENTS:
Multicenter randomized controlled trial of patients with beating hearts who were potential organ donors conducted at 12 European intensive care units from September 2004 to May 2009 in the Protective Ventilatory Strategy in Potential Lung Donors Study. Interventions Potential donors were randomized to the conventional ventilatory strategy (with tidal volumes of 10-12 mL/kg of predicted body weight, positive end-expiratory pressure [PEEP] of 3-5 cm H(2)O, apnea tests performed by disconnecting the ventilator, and open circuit for airway suction) or the protective ventilatory strategy (with tidal volumes of 6-8 mL/kg of predicted body weight, PEEP of 8-10 cm H(2)O, apnea tests performed by using continuous positive airway pressure, and closed circuit for airway suction).
MAIN OUTCOME MEASURES:
The number of organ donors meeting eligibility criteria for harvesting, number of lungs harvested, and 6-month survival of lung transplant recipients.
RESULTS:
The trial was stopped after enrolling 118 patients (59 in the conventional ventilatory strategy and 59 in the protective ventilatory strategy) because of termination of funding. The number of patients who met lung donor eligibility criteria after the 6-hour observation period was 32 (54%) in the conventional strategy vs 56 (95%) in the protective strategy (difference of 41% [95% confidence interval {CI}, 26.5% to 54.8%]; P <.001). The number of patients in whom lungs were harvested was 16 (27%) in the conventional strategy vs 32 (54%) in the protective strategy (difference of 27% [95% CI, 10.0% to 44.5%]; P = .004). Six-month survival rates did not differ between recipients who received lungs from donors ventilated with the conventional strategy compared with the protective strategy (11/16 [69%] vs 24/32 [75%], respectively; difference of 6% [95% CI, -22% to 32%]).
CONCLUSION:
Use of a lung protective strategy in potential organ donors with brain death increased the number of eligible and harvested lungs compared with a conventional strategy
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