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Copyright of Agathon: International Journal of Architecture, Art & Design is the property of DEMETRA CE.RI.MED and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The School in Hospital represents a structured intervention aimed at ensuring the right to education for all students who, due to specific health conditions, are unable to attend the school. This contribution seeks to foster a critical reflection on the School in Hospital service in Italy and the effectiveness of the care action in a biopsychosocial context. It is realized as an outcome of collaborative work among various professionals engaged in the helping relationship within hospital educational settings. The specific synergistic and trans-disciplinary approach, aimed to contributing to the overcoming of the fragility experienced by young patients due to their vulnerable condition, allows considering School in Hospital as a significant educational opportunity. Starting from theoretical reflections emerging from a research experience in Sicilian hospital schools, this contribution aims to underscore the value of the multidisciplinary intervention in promoting the learning process and enhancing the well-being of hospitalized students. [ABSTRACT FROM AUTHOR]

Le modificazioni epidemiologiche delle ultime decadi con la presenza di un numero sempre maggiore di pazienti fragili e polipatologici e le crescenti problematiche sociali di abbandono, solitudine, disgregazione della comunità richiedono un ripensamento dei percorsi e delle strutture di cura e un rafforzamento delle politiche socio-sanitarie. La Case della Comunità, previste dal DM 77/2022, rappresentano al contempo un’opportunità e una sfida. Il territorio di Parma ha elaborato un progetto interistituzionale per guidare questo processo. In questo articolo si analizzano il contesto socio-sanitario e le esigenze architettonico-funzionali delle nuove Case della Comunità dal punto di vista dei clinici.

Point of care testing (POCT) identifies laboratory diagnostic tests conducted near the site of patient care, outside the laboratory, usually performed by healthcare personnel not professionally trained in laboratory medicine. When used appropriately, POCT could improve the patient's outcomes providing faster results and earlier therapeutic strategies. In the Province of Modena, a decentralized and multi-professional POCT diagnostic system consisting of 383 instruments was developed to integrate the clinical and diagnostic pathways supporting fast clinical decisions, to improve outcomes and to optimize the clinical patient pathways. POCT instruments were installed not only in emergency rooms of three hospitals but also in specific settings as the Community hospital (OSCO), oncological and emergency settings and neonatal intensive care. Furthermore, 264 glucometers were located in various departments of three hospitals. This system provides multiple advantages for: patients reducing waiting time and long-distance travelling from home, healthcare professionals improving skills, autonomy and responsibility, reducing workload and promoting collaboration, and the healthcare system giving continuity in the therapeutic and assistance pathways ensuring a high analytical quality and costs reduction. To implement a successful POCT network main factors are to be developed : a multidisciplinary team composed by physicians, nurses and laboratory technicians working together, the continuous training and education of operators and a close connectivity between POCTs and central laboratory. [ABSTRACT FROM AUTHOR]

In recent years, following the introduction of new therapies, the life expectancy of patients with cystic fibrosis has increased significantly, exceeding the 50-year age threshold. This has also resulted in a change in demographics so that today, nearly 60 percent of patients with cystic fibrosis are adults. Thus, the adult population is burdened not only with the clinical features characteristic of the disease but also with the pathological conditions typical of aging (from hypertension to heart disease). This change in cystic fibrosis highlights the importance of a transition process from pediatric to adult medicine, in the same way as with other chronic diseases. Therefore, the objective of this review article will be to focus on the peculiarities of the transitional population and the creation of a transitional care model. [ABSTRACT FROM AUTHOR]

Indago il rapporto complesso tra categorie diagnostiche psichiatriche e cultura, in una prospettiva multidisciplinare: psicologia, psicopatologia descrittiva, psichiatria culturale, antropologia, riflessioni basagliane. La complessità indagata ha riguardato: quanto la storia del Manuale Diagnostico e Statistico dei Disturbi Mentali (DSM) abbia tenuto conto della cultura, come lo stesso DSM debba essere considerato uno strumento culturale, la doppia valenza di necessità e stigma delle etichette diagnostiche, e l'importanza in psicopatologia di mantenere l'aderenza al senso della condizione di sofferenza soggettiva.

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Agathon: International Journal of Architecture, Art & Design is the property of DEMETRA CE.RI.MED and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La prima versione di questo saggio è stata presentata in forma di position paper al meeting della Rete Routes towards Sustainability del 27-29 Aprile 2017 organizzato dalla Universidad Pontitificia Bolivariana di Medellín, in vista del V Simposio Internazionale di Routes, svoltosi a Santiago e a Villarrica, presso la Pontificia Universidad Catolica de Chile, nel dicembre 2018. Obiettivo del saggio è dimostrare il sostanziale fallimento delle teorie e delle pratiche della sostenibilità, ricostruendo lo sviluppo della nozione stessa, rileggendo i pionieri del pensiero ecologico, sottolineando la necessità di sviluppare un approccio umanistico per costruire nuove culture della sostenibilità.

L’articolo illustra, in una prima parte, il numero monografico che presenta al pubblico la tavola ro-tonda internazionale tenutasi al Convegno sul quarantennale della Legge Basaglia svolto il 16 e 17 novembre 2018 all’Università degli Studi di Milano-Bicocca e promosso dal CIPRA – Coordina-mento Italiano Professionisti della Relazione d’Aiuto in collaborazione con ben tre dipartimenti: il Dipartimento di Medicina e Chirurgia – Scuola di Specializzazione in Psichiatria, il Dipartimento di Psicologia e il Dipartimento di Scienze Umane per la Formazione. In una seconda parte l’autrice, curatrice del volume, attraverso brani di storia precedenti alla Legge Basaglia solleva riflessioni sul tema dell’istituzionalizzazione e della deistituzionalizzazione, argomenti attorno ai quali la tavola rotonda si era concentrata. Essendosi gli interventi focalizzati sulla storia degli ultimi decenni e sulla situazione attuale, Edelstein offre una cornice e dà senso al dibattito, aggiungendo qualche riflessione conclusiva su uno degli eventi più importanti attorno all’anniversario della Legge 180.

Copyright of Agathon: International Journal of Architecture, Art & Design is the property of DEMETRA CE.RI.MED and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archivio Giuridico is the property of Mucchi Editore and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Lo scopo di questo articolo è quello di definire la figura dell'infermiere dell'Ambulatorio di Nefrologia in relazione a tutte le attività infermieristiche svolte dalla prima visita del paziente al follow-up. Una figura infermieristica complessa che, oltre alla formazione di base deve aver acquisito una cultura nefrologica specifica sia attraverso l'esperienza che attraverso la formazione continua. Vengono definite le aree di competenza nefrologica: educazione alla salute, prevenzione delle complicanze nei diversi stadi della MRC, assistenza alla ricerca clinica, idoneità al trapianto e follow-up. Particolare importanza viene data alla multidisciplinarietà, al lavoro in team per garantire al paziente e alla famiglia la presa in carico globale per tutto il percorso di cura e di uscita dalla malattia. Viene inoltre sottolineato che maggiore attenzione e sorveglianza nella prevenzione e nel processo di donazione da vivente portano nel tempo risparmio per il sistema sanitario nazionale e qualità di vita migliore per l'intero nucleo familiare dal paziente. (sian) (nursing)

La partecipazione a un congresso internazionale per uno specializzando è sempre emozionante e interessante. In particolare per me, la partecipazione al congresso di Vicenza ha rappresentato l'opportunità per progettare una frequenza al di fuori del normale percorso formativo, e accedere a un'esperienza di ricerca presso la Nefrologia/IRRIV dell' Ospedale San Bortolo di Vicenza. Ho potuto immergermi in una realtà multiculturale e interdisciplinare che mi ha affascinato ed entusiasmato per le sue applicazioni pratiche di ricerca e progettazione di macchine per dialisi.

In recent years, the demographic transition and epidemiological has made the health system hospitalcentric obsolete and has highlighted the need for a new organization focused on territorial health community, taking charge of the patient, on team work and can ensure, through dedicated facilities, continuity of care and integration of social welfare. The main changes in the regulatory field have thus oriented investments both structural and economic towards poles to network with hospitals that represent new points of reference for the health of citizens, where primary care services are integrated with the territory and the specialized services of the Public Health departments. These facilities provide the organizational paradigm to which the regional realities must strive. The article reports recent experiments conducted within the regions of Piedmont and Lombardy in this sector and the ongoing research in the field of CNETO on behalf of the Lombardy Region. [ABSTRACT FROM AUTHOR]

Dossier develops a reflection on the relationship between research, design and knowledge transfer, starting by the contributions that emerged in the conference in Rome on 19th of June on the theme "Experimenting design. Teaching and Scientific Research in Architecture Schools". The design phase is seen as specialized, experimental and innovative activity. In this context design has a high study value, and represents a consistent commitment of civil as well as ethical, because of the important socio-economic consequences. Dossier contains interviews with Presidents of several Scientific Societies who animated the conference. Today Universities and Scientific Societies may constitute relevant subjects for the promotion of design research, starting from the specific competencies expressed in several fields, ranging from the experimentation to the product, design, and process innovation, and to the technology and knowledge transfer. [ABSTRACT FROM AUTHOR]

The sources examined and the adopted approaches to their study in historical ecology varies and oscillates depending on the particular subject of research. Oral sources or archival documentation can be explored for their material evidence (from the document to the terrain), whilst structures and artefacts collected in the field can be traced back to archival and oral sources (from the terrain to the document). Research on the history of the agricultural landscape has been conducted at the University of Genoa since the 1970s, investigations that have been enhanced by developing interests in micro-history, historical ecology, geobotany and finally environmental archaeology. Since the mid-1990s, the Laboratory of Environmental Archaeology and History (LASA) at the University of Genoa has undertaken a series of systematic research programmes concerning the history and archaeology of environmental resources in the Ligurian mountains, and the application of subsequent findings to the management and planning of environmental and cultural heritage. These historical-archaeological-environmental investigations contributed to the formulation of proposals that seek to promote the local management of historical-environmental resources; the 're-authoration' of local actors. Investigations were conducted throughout Liguria in northwest Italy, particularly in the east of the region. The study sites are located in areas that were, until at least the end of the nineteenth century, used in the transhumance routes that linked coastal winter pastures to the summer mountain pastures in the hinterland. Animal breeding and husbandry was a fundamental component of the local economy of coastal area, as well as those of inland areas. A number of different and complimentary sources are drawn upon in the research of Ligurian environmental archaeology and history. The investigations conducted by geographers, historical ecologists, archaeologists, geologists, botanists and archaeobotanists are characterized by i) regressive analysis, starting from the analytical assessment of effects of practices (and their abandonment) on the present vegetation and therefore on the formation of the landscape; ii) the recognition of the 'status' of sites of historical-archaeological-environmental interest so as to trace of the role of human action and the recording of pertinent, related evidence; iii) a close dialogue between the various research components and respective disciplinary procedures related to the establishment and maintenance of equivalence between sources. Twenty years of research and teaching has made it possible to develop and elaborate approaches to different general analysis contexts (e.g. mountain wetlands as biostratigraphic archives, woodland archaeology, herding) and to identify and reconstruct specific practices of resources management (e.g. production of charcoal, grazing in the terraces, use of controlled fire, temporary crops, wooded pastures etc.) and the related ecological, archaeological and archaeobotanical indicators. The case-studies were selected from those in which the archaeological sources have been most thoroughly tested and are considered the most significant in terms of the intersection of sources. Permanent grassland, permanent crops and usurpations: the study area is located in Alta Val Trebbia (Genoa) and is part of a SCI (Site of Community Importance). The area is characterized by the presence of vast tracts of common land. Surveys were conducted on the historical pasture sites and/or those in which the watering of cattle took place. Archival research focused on the study of a centuries-old dispute between families in Fontanigorda and Casanova concerning rights to use portions of the territory. Interviews with current stakeholders recorded memories of particular practices in the management of wet meadows located above 1000 m asl. Archaeological investigations conducted in the wetlands documented the presence of water regulation methods and practices, such as dams and filtration walls, the analysis of the current cadaster indicating the presence/absence of enclosure walls corresponding to differences in the state of properties of these areas. The comparison of palynological and notary sources revealed the complexity of nineteenth and twentieth century agricultural phases, that whilst often underestimated, the deciphering of which is central to the reconstruction of the current landscape. Woodland archaeology. Wooded grassland and grazed woodland: the disappearance of the wooded grassland landscape resulted from a type of plant resource management that, whilst very common in the past mountain economy, is now abandoned, together with wild breeding. Until the end of the nineteenth century, this multiple use of resources ensured the provision of pasture, forage grass and leaves, wood and fruit (chestnuts, acorns, beechnuts, hazelnuts, apples and plums and, in coastal areas, even olives). In addition, sometimes, temporary sowing cycles were sometimes performed. In the Regional Forest of Gerbonte (1000-2000 m asl -- Prov. Imperia), the study began from dendrochronology, flanked by the palynological and anthracological analysis of soil and archival research concerning the history of the entire slope, forest management, and the vicissitudes of the companies responsible for the cutting of trees. A further case-study concerned a newly formed beechwood at about 1300 m asl in Val Trebbia, populated with centuries-old pollarded beeches. Historical ecology observations on the floristic composition and the consequences of the cultural practices of these 'plant monuments' were followed by cartographic analysis, archival research, soil pollen analysis and dendrochronology. Temporary agriculture and use of fire: within the wider context of use of woodland as pasture, controlled fire practices in wooded areas so as to rejuvenate the herbaceous layer (fornaci, ronchi) were widespread throughout the Apennines until the late-nineteenth century, and became more sporadic during to the mid-twentieth century. This practice was evidenced by oral and documentary sources, place names, historical maps and now also biostratigraphic evidence. The archaeological excavation of piles of stone clearance, soil profiles, anthracological, pollen, micromorphological and soil analyses permitted the identification of traces of temporary agriculture similar to the ronco practice dated to the seventeenth-eighteenth centuries. The so-called 'alnocultura' is a particular historical-environmental system which consisted of cycles where copses of alder (in the mountain belt, Alnus incana) were first grazed and then subjected to ronco and planted with frugal cereals (rye, oats ) for a few years. Investigations have made it possible to recognize possible pollen indicators of this practice. The management of agro-forestry-pastoral resources from the sixteenth to the twentieth century: based on architectural archaeology investigations, studies in the Aveto valley, in the area surrounding the hamlet of Ventarola (845 masl, Rezzoaglio, Genoa), have made it possible to outline the organization and function of breeding spaces (built or not) both inside and outside of the village from the sixteenth to the twentieth century. The changes appear to be attributable to demographic modifications and those of the road network, as well as to local environmental resource management practices, such as changes from transhumant goat and sheep breeding to a sedentary cattle husbandry system, and from a multi-resource to mono-cultural management system that emerged clearly from the analysis of statistical sources and historical cartography. Historical ecology of terraced areas of coastal mountains. The case of the Cinque Terre: the analysis of documentary sources (current and historical maps, land registers and land estimi, iconography) and observational sources (current flora and vegetation, dendroecology) associated with soil pollen analysis revealed a disappeared landscape comprised of a mosaic of grasslands that were grazed until the nineteenth century. These areas were the 'grassy corridors' of transhumance along the Apennines ridges, and provided access routes to winter grazing in the terraces occupied by specialized crops (olive groves, vineyards, orchards, vegetable gardens). Pollen diagrams clearly identified a phase of agricultural and pastoral activities that were characterized by a scarcity of trees and an abundance of either spontaneous or cultivated herbaceous species. The most recent levels of the pollen diagrams detail a post-cultural phase in which herbaceous, light-demanding species decreased significantly in tandem with the spread of spontaneous shrubs and trees. Finally, these investigations show that the naturalistic value of these sites, a value that has often resulted in the protection of these areas, is linked to specific historical environmental resource management practices. The evidence of these practices is still recognizable (ecofacts and artifacts) through a local analytical approach, within which further discussions and dialogues concerning the production of new sources for historical ecology and historical geography, archaeology and archaeobotany are possible and pertinent. [ABSTRACT FROM AUTHOR]