Il ruolo delle Sottoprefetture nella tutela dell’igiene e della sanità pubblica in Italia, corsi e ricorsi storici

This work is based on 18-months eld research I carried out among Eritrean and Ethiopian Pentecostals in Rome (Italy). One of the topics of my work focused on the meaning they give to the evil: I collected different illness narratives and various cases. In this paper, I would like to shed light upon some dimensions of the sickness that go beyond the disease itself. By proposing a case of a woman who became sick during her high school period, because of a witchcraft attack, I will try to analyze the various stakes we can nd in the interpretation of the evil, in the etiology of the sickness and in her illness narratives. The various issues will be also analyzed by putting them in the wider picture of the con ict between Pentecostalism and local “tradition”, represented, in this case, by the local Orthodox (tewahdo) Church and its therapeutic practices, considered by Pentecostals to be devilish

Benchmarking of health technologies distribution models: an investigation of Lombardy’s local health authorities

Purpose – The purpose of this paper is to develop a benchmarking framework for assessing the performance of the distribution models adopted by the local branches of National Health Services (NHSs) for delivering health technologies to patients at a local level, and to derive prescriptions for enhancing design and optimal management of the distribution models. Design/methodology/approach – The authors focussed the study on the distribution of absorbent devices for incontinence, adopting the analytic hierarchy process as a tool for developing the benchmarking framework. The authors applied the framework to the context of the Italian NHS with respect to the Lombard Local Health Authorities, assessing their performance in terms of operational efficiency and service quality. Findings – The developed framework constitutes a novel contribution, and it allows for generating prescriptions. Through its application to the context studied the authors found that a “one-size-fits-all” distribution model cannot be proposed, as regards both efficiency and effectiveness, since process standardization does not provide benefits or savings in all contexts. Rather, a total landed cost approach in the evaluation of the distribution practices must be adopted. Practical implications – This paper offers to managers and decision makers an innovative approach to the design of distribution models for health technologies. It provides policy makers with prescriptions to develop regulations fostering a comprehensive view of the factors for an optimal health technologies distribution at a local level. Originality/value – Given the dearth of scientific publications focussed on the distribution at the local level of health technologies, this paper significantly contributes to the existing body of knowledge and it offers an innovative framework which can be proficiently replicated in manifold contexts

Medicina e ginnastica: rapporti cangianti nella storia

Gli autori hanno tracciato gli snodi fondamentali dai quali, nell'arco di qualche secolo, si è delineato con chiarezza il ruolo dell'attività fisica nella vita dell'uomo, seguendo l'evoluzione delle idee medico scientifiche e i percorsi delle concezioni sociali

Hygienic and sanitary requirements of gyms in force in Italy. National issues and analysis of regional regulations

Negli ultimi anni la consapevolezza dei benefici dell'attività fisica per la salute è cresciuta e con essa il numero di persone che la praticano; parallelamente, anche il numero di palestre è sostanzialmente aumentato. A livello nazionale non esistono organiche normative che regolamentino i requisiti igienico-sanitari delle palestre, ma diversi legislatori a livello regionale hanno provveduto a colmare questo vuoto. Nel presente studio gli autori analizzano le normative tecniche del CONI ed i citati provvedimenti regionali, sottolineando le criticità, fra le quali anche la possibile ubicazione delle palestre in locali seminterrati o interrati. Infine concludono sottolineando la necessità di maggiori univocità e chiarezza nella determinazione dei requisiti igienico-sanitari su scala nazionale.In recent years, the awareness of the importance of physical activity for human health is growing, as people practicing it; the number of gyms has also substantially increased. Currently, in Italy there is not a consistent regulation regarding hygienic and sanitary requirements of gyms. Several Italian regions issued laws about this topic. The authors analyse the standards required by the Italian Olympic Committee (CONI) and the regional laws, highlighting the numerous issues, among which the possible location of gyms in semi-basements and basements. They eventually call for a national regulation that should clearly transpose the hygienic and sanitary requirements of gyms into a satisfactory rule of la