O muralismo como campo de intercâmbio entre Itália e México, 1950-1980

In 1950, Mexico arrived in Italy. During the XXV Venice Biennale, works of post-revolutionary Mexican art were exhibited for the first time in Europe, and since then they have circulated on the European continent through exhibitions and publications. In Italy in particular, the experiences of Mexican muralism were considered an indispensable model for many artists and intellectuals. Moreover, they are an inspiration for the emergence of a public art movement that expressed itself through the production of murals with a clear political content during the period between 1950 and 1980. This essay shows how muralism constitutes a field of fruitful exchange between the two contexts addressed, breaking the stereotype that has always seen the artistic relationship between Mexico and Italy in a unidirectional way with a Eurocentric gaze.En el año 1950 México desembarca en Italia. Durante la XXV Bienal de Venecia se exponen por primera vez en Europa obras del arte mexicano posrevolucionario que, desde entonces, circularán en el continente europeo a través de exposiciones y publicaciones. Concretamente en Italia, las experiencias del muralismo mexicano están consideradas un modelo indispensable para muchos artistas e intelectuales. Además, constituyen una inspiración para el nacimiento de un movimiento de arte público que se expresa a través de la producción de murales de claro contenido político durante el período comprendido entre 1950 y 1980. Este ensayo muestra cómo el muralismo constituye un espacio de intercambio fructífero entre los dos contextos abordados, rompiendo el estereotipo que siempre ha visto con una mirada eurocéntrica la relación artística entre México e Italia de forma unidireccional.Em 1950, o México desembarca na Itália. Durante a XXV Bienal de Veneza, obras de arte mexicana pós-revolucionária foram exibidas pela primeira vez na Europa e, desde então, circularam no continente europeu através de exposições e publicações. Concretamente na Itália, as experiências do muralismo mexicano são consideradas um modelo indispensável para muitos artistas e intelectuais. Além disso, são uma inspiração para o nascimento de um movimento de arte pública que se expressou através da produção de murais com um claro conteúdo político durante o período entre 1950 e 1980. Este ensaio mostra como o muralismo constitui um terreno de intercâmbio fecundo entre os dois contextos abordados, quebrando o estereótipo que sempre viu a relação artística entre o México e a Itália de forma unidirecional e com um olhar eurocêntrico

México en Italia. Difusión, recepción, reelaboración del arte mexicano posrevolucionario, 1950-1980

Tesis Univ. Granada

Evaluation of an interprofessional education intervention in partnership with patient educators

Background and aim of the work: Patient involvement in interprofessional education is a novel approach to building collaborative and empathic skills in students. However, this area of teaching is lacking in rigorous studies. The project aimed to evaluate whether an interprofessional education intervention in partnership with patient educators (IPE-PE) would increase readiness for interprofessional learning and empathy in health sciences students. Methods: This is the report of a didactic innovation project. Participants included 310 undergraduate health sciences students who took part in an IPE-PE intervention. Data were collected before and after the training, using the Readiness for Interprofessional Learning Scale (RIPLS) and the Jefferson Scale of Empathy-Health Professions Student version ( JSE-HPS). Only at the end of the intervention, a data collection form was administered to explore the value of the patient educator in the training and to investigate the socio-demographic variables. Results: The mean age of participants was 21±3.2 SD years and 76% were female. The Wilcoxon signed-rank test showed significant changes from before to after the IPE-PE in the RIPLS total score (m=42.7±5.8 SD vs 44.62±5.9 SD, z=-4.168, P<0.001) and in the JSE-HPS total score (m=112.7±12.5 SD vs 116.03±12.8 SD, z=-4.052, P<0.001). Conclusions: Our students reported that IPE-PE had helped them to become more effective healthcare team members, to think positively about other professionals, and to gain an empathic understanding of the perspective of the person being cared for. The results of the project confirm that the intervention promoted the development of empathy, fostering a better understanding of the patient-centred perspective

El muralismo como espacio de intercambio entre Italia y México, 1950-1980

In 1950, Mexico arrived in Italy. During the XXV Venice Biennale, works of post-revolutionary Mexican art were exhibited for the first time in Europe, and since then they have circulated on the European continent through exhibitions and publications. In Italy in particular, the experiences of Mexican muralism were considered an indispensable model for many artists and intellectuals. Moreover, they are an inspiration for the emergence of a public art movement that expressed itself through the production of murals with a clear political content during the period between 1950 and 1980. This essay shows how muralism constitutes a field of fruitful exchange between the two contexts addressed, breaking the stereotype that has always seen the artistic relationship between Mexico and Italy in a unidirectional way with a Eurocentric gaze.Em 1950, o México desembarca na Itália. Durante a XXV Bienal de Veneza, obras de arte mexicana pós-revolucionária foram exibidas pela primeira vez na Europa e, desde então, circularam no continente europeu através de exposições e publicações. Concretamente na Itália, as experiências do muralismo mexicano são consideradas um modelo indispensável para muitos artistas e intelectuais. Além disso, são uma inspiração para o nascimento de um movimento de arte pública que se expressou através da produção de murais com um claro conteúdo político durante o período entre 1950 e 1980. Este ensaio mostra como o muralismo constitui um terreno de intercâmbio fecundo entre os dois contextos abordados, quebrando o estereótipo que sempre viu a relação artística entre o México e a Itália de forma unidirecional e com um olhar eurocêntrico.En el año 1950 México desembarca en Italia. Durante la XXV Bienal de Venecia se exponen por primera vez en Europa obras del arte mexicano posrevolucionario que, desde entonces, circularán en el continente europeo a través de exposiciones y publicaciones. Concretamente en Italia, las experiencias del muralismo mexicano están consideradas un modelo indispensable para muchos artistas e intelectuales. Además, constituyen una inspiración para el nacimiento de un movimiento de arte público que se expresa a través de la producción de murales de claro contenido político durante el período comprendido entre 1950 y 1980. Este ensayo muestra cómo el muralismo constituye un espacio de intercambio fructífero entre los dos contextos abordados, rompiendo el estereotipo que siempre ha visto con una mirada eurocéntrica la relación artística entre México e Italia de forma unidireccional

Insight from an Italian Delphi Consensus on EVAR feasibility outside the instruction for use: the SAFE EVAR Study

Background: The SAfety and FEasibility of standard EVAR outside the instruction for use (SAFE-EVAR) Study was designed to define the attitude of Italian vascular surgeons towards the use of standard endovascular repair (EVAR) for infrarenal abdominal aortic aneurysm (AAA) outside the instruction for use (IFU) through a Delphi consensus endorsed by the Italian Society of Vascular and Endovascular Surgery (Società Italiana di Chirurgia Vascolare ed Endovascolare - SICVE). Methods: A questionnaire consisting of 26 statements was developed, validated by an 18-member Advisory Board, and then sent to 600 Italian vascular surgeons. The Delphi process was structured in three subsequent rounds which took place between April and June 2023. In the first two rounds, respondents could indicate one of the following five degrees of agreement: 1) strongly agree; 2) partially agree; 3) neither agree nor disagree; 4) partially disagree; 5) strongly disagree; while in the third round only three different choices were proposed: 1) agree; 2) neither agree nor disagree; 3) disagree. We considered the consensus reached when ≥70% of respondents agreed on one of the options. After the conclusion of each round, a report describing the percentage distribution of the answers was sent to all the participants. Results: Two-hundred-forty-four (40.6%) Italian Vascular Surgeons agreed to participate the first round of the Delphi Consensus; the second and the third rounds of the Delphi collected 230 responders (94.3% of the first-round responders). Four statements (15.4%) reached a consensus in the first rounds. Among the 22 remaining statements, one more consensus (3.8%) was achieved in the second round. Finally, seven more statements (26.9%) reached a consensus in the simplified last round. Globally, a consensus was reached for almost half of the proposed statements (46.1%). Conclusions: The relatively low consensus rate obtained in this Delphi seems to confirm the discrepancy between Guideline recommendations and daily clinical practice. The data collected could represent the source for a possible guidelines' revision and the proposal of specific Good Practice Points in all those aspects with only little evidence available

Association of Country Income Level With the Characteristics and Outcomes of Critically Ill Patients Hospitalized With Acute Kidney Injury and COVID-19

Introduction: Acute kidney injury (AKI) has been identified as one of the most common and significant problems in hospitalized patients with COVID-19. However, studies examining the relationship between COVID-19 and AKI in low- and low-middle income countries (LLMIC) are lacking. Given that AKI is known to carry a higher mortality rate in these countries, it is important to understand differences in this population. Methods: This prospective, observational study examines the AKI incidence and characteristics of 32,210 patients with COVID-19 from 49 countries across all income levels who were admitted to an intensive care unit during their hospital stay. Results: Among patients with COVID-19 admitted to the intensive care unit, AKI incidence was highest in patients in LLMIC, followed by patients in upper-middle income countries (UMIC) and high-income countries (HIC) (53%, 38%, and 30%, respectively), whereas dialysis rates were lowest among patients with AKI from LLMIC and highest among those from HIC (27% vs. 45%). Patients with AKI in LLMIC had the largest proportion of community-acquired AKI (CA-AKI) and highest rate of in-hospital death (79% vs. 54% in HIC and 66% in UMIC). The association between AKI, being from LLMIC and in-hospital death persisted even after adjusting for disease severity. Conclusions: AKI is a particularly devastating complication of COVID-19 among patients from poorer nations where the gaps in accessibility and quality of healthcare delivery have a major impact on patient outcomes

Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

Background: COVID-19 has been associated with a broad range of thromboembolic, ischemic, and hemorrhagic complications (coagulopathy complications). Most studies have focused on patients with severe disease from high-income countries (HICs). Objectives: The main aims were to compare the frequency of coagulopathy complications in developing countries (low- and middle-income countries [LMICs]) with those in HICs, delineate the frequency across a range of treatment levels, and determine associations with in-hospital mortality. Methods: Adult patients enrolled in an observational, multinational registry, the International Severe Acute Respiratory and Emerging Infections COVID-19 study, between January 1, 2020, and September 15, 2021, met inclusion criteria, including admission to a hospital for laboratory-confirmed, acute COVID-19 and data on complications and survival. The advanced-treatment cohort received care, such as admission to the intensive care unit, mechanical ventilation, or inotropes or vasopressors; the basic-treatment cohort did not receive any of these interventions. Results: The study population included 495,682 patients from 52 countries, with 63% from LMICs and 85% in the basic treatment cohort. The frequency of coagulopathy complications was higher in HICs (0.76%-3.4%) than in LMICs (0.09%-1.22%). Complications were more frequent in the advanced-treatment cohort than in the basic-treatment cohort. Coagulopathy complications were associated with increased in-hospital mortality (odds ratio, 1.58; 95% CI, 1.52-1.64). The increased mortality associated with these complications was higher in LMICs (58.5%) than in HICs (35.4%). After controlling for coagulopathy complications, treatment intensity, and multiple other factors, the mortality was higher among patients in LMICs than among patients in HICs (odds ratio, 1.45; 95% CI, 1.39-1.51). Conclusion: In a large, international registry of patients hospitalized for COVID-19, coagulopathy complications were more frequent in HICs than in LMICs (developing countries). Increased mortality associated with coagulopathy complications was of a greater magnitude among patients in LMICs. Additional research is needed regarding timely diagnosis of and intervention for coagulation derangements associated with COVID-19, particularly for limited-resource settings