Carme Riera: el subjecte de la seducció

Presentació del dossier de la revista "Lectora" dedicat a Carme Rier

Análisis del uso de servicios sanitarios por la población colombiana de acuerdo con niveles de atención que incluyen consulta externa y hospitalización/urgencia en relación con variables del entorno sociodemográfico a partir de los datos de la Encuesta Nacional de Salud 2007

La utilización de servicios sanitarios es la descripción del uso de servicios de salud por personas y permite identificar, planificar e intervenir en los Sistemas de Salud. El objetivo de este trabajo es analizar el uso de servicios sanitarios por la población colombiana de acuerdo con niveles de atención que incluyen consulta externa y hospitalización/urgencia en relación con variables del entorno sociodemográfico a partir de los datos de la Encuesta Nacional de Salud 2007. Se tomaron los datos de la ENS2007 se realizó un análisis descriptivo de las variables sociodemográficas y datos propios de la atención. Los datos de la ENS 2007 mostraron una mayor utilización por el sexo femenino y en los extremos de edad, la mayoría de usuarios en la región central/Bogotá DC, 15% de usuarios sin educación y un bajo porcentaje de empleo formal. Las causas más frecuentes de atención de urgencias y hospitalización fueron enfermedad aguda, crónica y lesiones por externalidades. Los datos reflejan inequidades regionales, poco empleo formal y bajo nivel educativo.MaestríaMagister en Salud Public

Crowdcrafting as a new manufacturing model: the experience of Berto Salotti

Purpose of the paper: The paper aims to present two experimental projects (\u201c#DivanoxManagua\u201d and \u201c#Sofa4Manhattan\u201d) conducted by an Italian small-medium enterprise of the furniture industry in order to outline crowdcrafting as a new manufacturing model. Methodology: An inductive research approach is followed. Our research strategy is a case study that works as an illustration and inspiration for new ideas. Findings: Berto Salotti projects fully embodied Knowledge Economy principles are meaningful examples of Experience Economy and act as a good application of crowdsourcing logic as well. They do represent an empirical illustration of the \u201cfuture craftmanship\u201d approach. Research limitations: The paper deals with one single case study, hardly generalizable, even if it is highly representative; the initiative is still in its starting phase and its results are hardly assessable. Practical implications: Companies aspiring to apply crowdcrafting could improve their customers\u2019 service by looking for new ways of interaction with them. Opening up themselves to social networks, finding competencies from the outside and providing customization and product quality together with unusual experiences are some suggestions. Originality of the paper: Our work makes both scholars and practitioners aware of an Italian SME innovative in introducing crowdcrafting in its processes; at the same time, it highlights the feature of such an approach both theoretically and practically

The contribution of manufacturing companies to the achievement of sustainable development goals: an empirical analysis of the operationalization of sustainable business models

This study aims to identify the sustainable business practices operationalized in the sustainable business models of manufacturing companies and highlights these companies' contributions to achieving Sustainable Development Goals (SDGs). The results outline that a clear sustainable value proposition is operationalized through a large and various range of sustainable practices that, although some of them are legally promoted, are mostly voluntarily adopted. Unlike previous studies, this research shows a widespread commitment not only to the economic and environmental dimensions of sustainability but also to the social one, above all to promote workers' well-being, improve the workplaces, and engage the employees. Furthermore, the study reveals an across-the-board dimension of sustainability operationalized by the adoption of local embeddedness strategies, networking development, and creation of a sustainable ecosystem and contributes to extending -and improving all dimensions of- the triple bottom line framework. Finally, the companies investigated contribute to the achievement of 11 of the 17 SDGs by highlighting dimensions in which companies already have a strong impact and those in which they could enhance their practice. Based on these results, this research advances theoretical knowledge and offers practical implications to improve sustainable business management further.The authors wish to express their gratitude to Prof. Claudio Baccarani, Emeritus Professor of Business Management in University of Verona, for valuable comments and for supporting the original research carried out. Open Access Funding provided by Universita degli Studi di Verona within the CRUI-CARE Agreement

Developing Territorial Identity: The Experience of Historical Italian Companies

This study aims to contribute to the development of the knowledge on intangibles management by analysing the territorial identity concept from a strategic competitiveness perspective. The purpose of this study is especially to clarify the territorial identity concept by exploring and highlighting its dimensions and determinants. This study considers the perspective of two historical Italian companies that have long been embedded in their territory. By integrating a literature analysis with well-documented case studies, this paper proposes a conceptual framework to capture and explain what companies can develop at the local level in order to improve territorial identity

SARS-CoV-2 Breakthrough Infections: Incidence and Risk Factors in a Large European Multicentric Cohort of Health Workers

The research aimed to investigate the incidence of SARS-CoV-2 breakthrough infections and their determinants in a large European cohort of more than 60,000 health workers

Prolonged higher dose methylprednisolone vs. conventional dexamethasone in COVID-19 pneumonia: a randomised controlled trial (MEDEAS)

Dysregulated systemic inflammation is the primary driver of mortality in severe COVID-19 pneumonia. Current guidelines favor a 7-10-day course of any glucocorticoid equivalent to dexamethasone 6 mg·day-1. A comparative RCT with a higher dose and a longer duration of intervention was lacking

Prescription appropriateness of anti-diabetes drugs in elderly patients hospitalized in a clinical setting: evidence from the REPOSI Register

Diabetes is an increasing global health burden with the highest prevalence (24.0%) observed in elderly people. Older diabetic adults have a greater risk of hospitalization and several geriatric syndromes than older nondiabetic adults. For these conditions, special care is required in prescribing therapies including anti- diabetes drugs. Aim of this study was to evaluate the appropriateness and the adherence to safety recommendations in the prescriptions of glucose-lowering drugs in hospitalized elderly patients with diabetes. Data for this cross-sectional study were obtained from the REgistro POliterapie-Società Italiana Medicina Interna (REPOSI) that collected clinical information on patients aged ≥ 65 years acutely admitted to Italian internal medicine and geriatric non-intensive care units (ICU) from 2010 up to 2019. Prescription appropriateness was assessed according to the 2019 AGS Beers Criteria and anti-diabetes drug data sheets.Among 5349 patients, 1624 (30.3%) had diagnosis of type 2 diabetes. At admission, 37.7% of diabetic patients received treatment with metformin, 37.3% insulin therapy, 16.4% sulfonylureas, and 11.4% glinides. Surprisingly, only 3.1% of diabetic patients were treated with new classes of anti- diabetes drugs. According to prescription criteria, at admission 15.4% of patients treated with metformin and 2.6% with sulfonylureas received inappropriately these treatments. At discharge, the inappropriateness of metformin therapy decreased (10.2%, P < 0.0001). According to Beers criteria, the inappropriate prescriptions of sulfonylureas raised to 29% both at admission and at discharge. This study shows a poor adherence to current guidelines on diabetes management in hospitalized elderly people with a high prevalence of inappropriate use of sulfonylureas according to the Beers criteria

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

The “Diabetes Comorbidome”: A Different Way for Health Professionals to Approach the Comorbidity Burden of Diabetes

(1) Background: The disease burden related to diabetes is increasing greatly, particularly in older subjects. A more comprehensive approach towards the assessment and management of diabetes’ comorbidities is necessary. The aim of this study was to implement our previous data identifying and representing the prevalence of the comorbidities, their association with mortality, and the strength of their relationship in hospitalized elderly patients with diabetes, developing, at the same time, a new graphic representation model of the comorbidome called “Diabetes Comorbidome”. (2) Methods: Data were collected from the RePoSi register. Comorbidities, socio-demographic data, severity and comorbidity indexes (Cumulative Illness rating Scale CIRS-SI and CIRS-CI), and functional status (Barthel Index), were recorded. Mortality rates were assessed in hospital and 3 and 12 months after discharge. (3) Results: Of the 4714 hospitalized elderly patients, 1378 had diabetes. The comorbidities distribution showed that arterial hypertension (57.1%), ischemic heart disease (31.4%), chronic renal failure (28.8%), atrial fibrillation (25.6%), and COPD (22.7%), were the more frequent in subjects with diabetes. The graphic comorbidome showed that the strongest predictors of death at in hospital and at the 3-month follow-up were dementia and cancer. At the 1-year follow-up, cancer was the first comorbidity independently associated with mortality. (4) Conclusions: The “Diabetes Comorbidome” represents the perfect instrument for determining the prevalence of comorbidities and the strength of their relationship with risk of death, as well as the need for an effective treatment for improving clinical outcomes