Midwives autonomy in discharge women after physiological childbirth

BACKGROUND: International literature identifies the midwife as the professional figure deals with women and newborns in the context of childbirth; it is however found to be still difficult to ensure this continuity of care. In Italy both the national laws and the indications of Emilia Romagna region promote this practice, ensuring the midwives management of the low risk women immediately after childbirth. The aim of the study is to investigate and describe the midwives autonomy as regards the post-partum discharge. METHODS: The computerised medical records were consulted to identify the mothers after childbirth who can be discharged independently by the obstetrician following the guidelines of the Emilia-Romagna region. RESULT S: A retrospective analysis of 1371 medical records related to the period January-June 2017 showed that 41% of discharges were managed handled by the midwives, while the remaining 59% by obstetricians. Fifty-seven percent of the women followed by the family counselling service were discharged by the obstetricians and 43% independently by the midwives. Considering the women followed by a private physician 62% were discharged by the obstetricians and 38% by the midwives. CONCLUSIONS: The study shows that, in a short time from the beginning of the project, the results as regards midwives autonomy were excellent. Indeed the midwives discharges does not differed significantly from the medical ones, and care continuity between the hospital and territory is strengthened. Further studies must include questionnaires concerning satisfaction of the mother not administered in this sample of women

4D-π-1A Type β-Substituted ZnII-Porphyrins : Ideal Green Sensitizers for Building-Integrated Photovoltaics [4D-pi-1A type beta-substituted Zn-II-porphyrins: ideal green sensitizers for building-integrated photovoltaics]

Two novel green \u3b2-substituted ZnII-porphyrins, G1 and G2, based on a 4D-\u3c0-1A type substitution pattern have been synthesized. Their enhanced push-pull character, by reduction of H-L energy gaps, promotes broadening and red-shifting of absorption bands. The effective synthetic pathway and the remarkable spectroscopic properties make G2 ideal for BIPV application

Body Image perception in HIV-infected women with lipodystrophy syndrome

To identify clinical and personal factors associated with increased depression and decreased quality of life with a focus on the contribution of adverse drug effects and, in particular, the morphologic and metabolic complications associated with lipodystrophy syndrome

Self-estimate questionnaires are reliable for lipodystrophy diagnosis.

No objective variable obtained by anthropometriy or imaging seem to be reliable for lipodystrophy diagnosis and questionnaires are currently used for case definition. Physician's examination of physical features of lipodystrophy is used for diagnosis, but patient self-estimate seems accurate

Body image perception tests for lipodistrophy.

Body image is a multidimensional concept, including both perceptive and attitudinal aspects. The psychological impact of lipodystrophy is influenced by the individual body image perception. Instruments for assessment of body image are very useful in identifying people strongly suffering for lipodystrophy

Body Image perception in HIV infected women with body fat redistribution.

The aim of this study was to examine, in HIV positive women with body fat redistribution syndrome, body image perception

Validity of body image perception in women with HIV.

Tests are needed to study fat redistribution in HIV/AIDS. The aim of this study was to assess the validity of tests of perceived body image and related attitudes, originally designed for eating disorders, for use in HIV+ women

Body fat redistribution syndrome in HIV infected people is associated with good adherence to HAART

No studies have investigated body fat redistribution (BFR) as a factor affecting medication adherence. GRAAL is a prospective observational study to examine the impact of BFR on adherence to antiretroviral therapy

La clinica metabolica per il trattamento della lipodistrofia

La presa in carico del paziente con lipodistrofia trascende le competenze infettivologiche e necessita di una rete di specialisti competenti per la diagnosi, il monitoraggio, e il trattamento delle alterazioni metaboliche e morfologiche ad essa associate. L'obiettivo della ricerca è di illustrare la metodologia di lavoro e i risultati di questo approccio multidisciplinare integrato denominato "Clinica Metabolica

Mechanical and ultrasound-assisted liposuction for treating subcutaneous fat accumulations in HIV-related lipodystrophy: experience of 33 treated patients

The aim of our study was to assess subjective and objective efficacy and durability of mechenical and ultrasound-assisted liposuction in HIV-positive people with subcutaneous fat accumulations in HIV-related lipodystroph