Ritrovamenti monetali di età romana nel Friuli Venezia Giulia Provincia I: Udine Volume I/2/2: Aquileia II Comune di Aquileia

Il volume propone una revisione completa dei dati numismatici ricavati dalla sterminata attività di Giovanni Brusin, sia come scavatore sia come Direttore responsabile delle collezioni del Museo Aquileiese: attraverso un minuzioso confronto di tutte le fonti disponibili, edite e inedite, viene messa sotto esame l’attendibilità dei dati numismatici provenienti dai contesti archeologici indagati da Brusin nella prima metà del XX secolo. Inoltre, in seguito ad una loro estensiva riorganizzazione, vengono qui presentate per la prima volta le monete che Brusin ha acquistato per il Museo con l’indicazione delle località di provenienza

ATP measurements in the last rinse water of automated washer-disinfectors: the added value of every load monitoring

Objective: To assess whether monitoring every loads of automated washer-disinfectors (AWDs) by testing the last rinse water with Adenosine Triphosphate (ATP) would have an added value to document effective and reproducible AWD processes. Methods: Every load monitoring (ELM) of the last rinse water with ATP was performed on three AWDs at the sterilization department of a 329 acute-bed hospital in Italy. No change were made in the routine procedures, except the last rinse water of a process was collected with a water sampler and tested on ATP. Data from negative controls and empty cycles were also obtained for comparison. ATP values were analysed according to AWD, load, and process characteristics. Results: A total of 435 ATP tests were performed, including 74 negative, 74 empty runs and 287 regular load tests. ATP values from regular loads ranged between 2 and 452 RLUs and 1.3%, 0.7%, 0.3% out of the 287 measurements was above 200, 300, and 400 RLUs, respectively. ATP values from negative tests and empty runs differed significantly (p<0.001) from the regular loads with a median value [I quartile; III quartile] of 4[2;5], 5[3;7], and 12[7;22] RLU, respectively. Analysis of ATP values from regular loads grouped by load pre-treatment, AWD washing program, load material or load amount showed significant differences between groups. No significant differences in ATP data were found among AWDs. Conclusion: The measurement of ATP in the last rinse water of AWDs showed that characteristics and quantities of the load relate to the ATP readings. The test is advised as an informative additional test to visual inspection for monitoring every load of an AWD

Influenza vaccination coverage among medical residents: An Italian multicenter survey

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P < 0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future. © 2014 Landes Bioscience

Low dose rate brachytherapy (LDR-BT) as monotherapy for early stage prostate cancer in Italy: practice and outcome analysis in a series of 2237 patients from 11 institutions

OBJECTIVE: Low-dose-rate brachytherapy (LDR-BT) in localized prostate cancer is available since 15 years in Italy. We realized the first national multicentre and multidisciplinary data collection to evaluate LDR-BT practice, given as monotherapy, and outcome in terms of biochemical failure. METHODS: Between May 1998 and December 2011, 2237 patients with early-stage prostate cancer from 11 Italian community and academic hospitals were treated with iodine-125 ((125)I) or palladium-103 LDR-BT as monotherapy and followed up for at least 2 years. (125)I seeds were implanted in 97.7% of the patients: the mean dose received by 90% of target volume was 145 Gy; the mean target volume receiving 100% of prescribed dose (V100) was 91.1%. Biochemical failure-free survival (BFFS), disease-specific survival (DSS) and overall survival (OS) were estimated using Kaplan-Meier method. Log-rank test and multivariable Cox regression were used to evaluate the relationship of covariates with outcomes. RESULTS: Median follow-up time was 65 months. 5- and 7-year DSS, OS and BFFS were 99 and 98%, 94 and 89%, and 92 and 88%, respectively. At multivariate analysis, the National Comprehensive Cancer Network score (p < 0.0001) and V100 (p = 0.09) were correlated with BFFS, with V100 effect significantly different between patients at low risk and those at intermediate/high risk (p = 0.04). Short follow-up and lack of toxicity data represent the main limitations for a global evaluation of LDR-BT. CONCLUSION: This first multicentre Italian report confirms LDR-BT as an excellent curative modality for low-/intermediate-risk prostate cancer. ADVANCES IN KNOWLEDGE: Multidisciplinary teams may help to select adequately patients to be treated with brachytherapy, with a direct impact on the implant quality and, possibly, on outcome

Nuovi dati da vecchi scavi: censimento, catalogazione e analisi delle monete provenienti da campagne archeologiche della prima metà del Novecento, in particolare dirette da Giovanni Brusin

Da anni è in corso un progetto di riordino e catalogazione del vasto patrimonio numismatico del Museo Archeologico Nazionale di Aquileia. Una delle ultime fasi della ricerca si è concentrata sulle monete riferibili al periodo in cui Giovanni Battista Brusin fu Direttore del Museo, permettendo l’identificazione e la schedatura di diversi gruppi principali di materiali, alcuni dei quali inediti. Un primo gruppo consiste in 1360 monete provenienti dal territorio aquileiese e direttamente acquistate da Brusin per il medagliere del Museo, a cui vanno aggiunti i 560 esemplari del cosiddetto ripostiglio delle Marignane; un secondo nucleo comprende 710 monete rinvenute da Brusin nel corso dei suoi scavi nel territorio della città antica, finora mai studiate, che vanno ad arricchire i dati disponibili sulle sue attività precedenti al 1940. Infine, 828 monete riferibili a due probabili ripostigli, finora mai pubblicati, forniscono ulteriori informazioni sulla provenienza del circolante e sul ruolo principale svolto dalla zecca di Aquileia nella seconda metà del IV secolo

Localizzazione di cose e persone nell’ospedale di Rovereto

La localizzazione è il processo di determinazione della posizione di un oggetto nello spazio, le cui informazioni vengono rese disponibili nell’ambito delle reti di comunicazione mobili grazie ai cosiddetti Location Based Service (LBS). Gli LBS sono applicazioni software (SW) che utilizzano dati di localizzazione per controllare determinate funzioni (ad esempio ricerca di oggetti e indirizzi, social network). Inizialmente essi sono stati indirizzati alla localizzazione outdoor e basati su tecnologie satellitari, come l’ormai a tutti noto GPS (Global Positioning System) di proprietà degli Stati Uniti in servizio per usi civili dal 1994. La diffusione di soluzioni tecnologiche come WiFi, RFID, Bluetooth e Ultra-Wideband stanno ultimamente ampliando il campo di applicazione degli LBS dall’outdoor all’indoor

Health inequities in the European Region and the new health policy frame work of the World Health Organization

In this chapter the authors describe the rationale of a new health strategy for the promotion, and protection of population health and for the reduction of health inequities. At the time of writing, this strategy - known as Health 2020 - is being developed by the World Health Organization Regional Office for Europe in collaboration with its 53 member states. A dramatic reduction of health inequities is one of its central objectives. The authors describe the reasons that brought about the development of a new health strategy, and summarize the various patterns of health inequities in Europe. Policy approaches are revisited in search of credible interventions for tackling health inequities in the WHO European Region.</jats:p

Le inequitÀ di salute nella Regione Europea e la nuova strategia per la salute dell'Organizzazione Mondiale della SanitÀ

In this article the authors describe the principle of the new health promotion strategy for the reduction of health inequities over the 53 member countries of the European Region of the World Health Organization. A dramatic reduction of health inequities is one of the central objectives of this new strategy known as Health2020. In this chapter the authors, besides describing the reasons that brought the European Office of the WHO (European Region) to develop a new health strategy summarize the various elements of inequity in Europe. Intervention approaches are revisited by the authors in an innovative in a new stream of credible intervention for challenging health inequities in the European continent.</jats:p