Invecchiamento della popolazione infermieristica: analisi in tre ospedali piemontesi

Obiettivi. L’invecchiamento degli infermieri è già una realtà in molti paesi ed è perciò oggetto di studio per le dimensioni preoccupanti che assumerà nei prossimi anni. In Italia, sebbene i primi segnali siano già evidenti, non esistono ancora dati che ne documentino l’entità e l’evoluzione. Metodi. Questo lavoro descrive l’andamento dell’invecchiamento della popolazione infermieristica in tre aziende torinesi cercando di prevederne, in base ai dati disponibili, l’evoluzione nei prossimi 25 anni, ed esplora strategie per tenere il personale “anziano” in servizio. Risultati. Già attualmente la percentuale di infermieri con >45 anni oscilla dal 19 al 21% ed è destinata ad arrivare nel 2022 a percentuali che potrebbero oscillare dal 59 al 71%. Conclusioni. Cercare di ottenere un ambiente di lavoro che tenga conto della presenza di personale non più giovane e attivare strategie con incentivi per tenere in servizio il personale meno giovane sarà una delle sfide da affrontare nel breve termine, per gestire al meglio una prevedibile emergenza

Priorità e problemi per l'assistenza: il punto di vista degli infermieri

Obiettivo del lavoro è descrivere un’esperienza di coinvolgimento e contributo degli infermieri alla pianificazione delle politiche sanitarie. Metodo. Sono stati organizzati 51 focus group con infermiere/i provenienti da differenti contesti (ospedale, territorio, libera professione; responsabili dell’assistenza a pazienti geriatrici e pediatrici, medici e chirurgici). Agli infermieri è stato chiesto di identificare i problemi incontrati nell’assistenza, selezionarne uno, discutere i fattori contribuenti e assegnare a ciascuno un peso (da 1 a 100), e definire il potenziale contributo degli infermieri alla soluzione-miglioramento di ciascuna causa del problema. I problemi sono stati poi discussi in gruppo ed identificate le possibili soluzioni, con una particolare attenzione alle potenziali implicazioni per le politiche sanitarie regionali. Risultati. I principali problemi identificati sono risultati la mancanza di continuità nell’assistenza (sia per i pazienti geriatrici che pediatrici) 12 gruppi; e la gestione del paziente cronico, 7 gruppi; la mancanza di informazione ai pazienti, 6 gruppi; l’appropriatezza dell’assistenza, dalle ammissioni improprie alle liste di attesa, 5 gruppi; la gestione del paziente chirurgico, 5 gruppi; la carenza di personale infermieristico, 5 gruppi; la sicurezza di pazienti e personale sanitario, 4 gruppi; ed altri problemi, riportati da meno di 3 gruppi. Conclusioni. Questa esperienza ha consentito agli infermieri di riflettere sui problemi assistenziali e sulle implicazioni più generali, in particolare per le politiche sanitarie. Le soluzioni identificate infatti, hanno una valenza per la pianificazione sanitaria. È anche un’esperienza di metodologia (e fattibilità) di coinvolgimento della base (e non solo della dirigenza infermieristica), nella riflessione sulla pratica e nella proposta di un contributo originale allo sviluppo delle politiche regionali e locali

Usefulness of intracardiac echocardiography for the diagnosis of cardiovascular implantable electronic device-related endocarditis

The goal of this study was to compare transesophageal echocardiography (TEE) and intracardiac echocardiography (ICE) for the diagnosis of cardiac device-related endocarditis (CDI)

Pseudorapidity densities of charged particles with transverse momentum thresholds in pp collisions at √ s = 5.02 and 13 TeV

The pseudorapidity density of charged particles with minimum transverse momentum (pT) thresholds of 0.15, 0.5, 1, and 2 GeV/c is measured in pp collisions at the center of mass energies of √s=5.02 and 13 TeV with the ALICE detector. The study is carried out for inelastic collisions with at least one primary charged particle having a pseudorapidity (η) within 0.8pT larger than the corresponding threshold. In addition, measurements without pT-thresholds are performed for inelastic and nonsingle-diffractive events as well as for inelastic events with at least one charged particle having |η|2GeV/c), highlighting the importance of such measurements for tuning event generators. The new measurements agree within uncertainties with results from the ATLAS and CMS experiments obtained at √s=13TeV.

Measurement of inclusive J/ψ\psi pair production cross section in pp collisions at s=13\sqrt{s} = 13 TeV

International audienceThe production cross section of inclusive J/$\psi$ pairs in pp collisions at a centre-of-mass energy $\sqrt{s} = 13$ TeV is measured with ALICE. The measurement is performed for J/$\psi$ in the rapidity interval $2.5 0$. The production cross section of inclusive J/$\psi$ pairs is reported to be $10.3 \pm 2.3 {\rm (stat.)} \pm 1.3 {\rm (syst.)}$ nb in this kinematic interval. The contribution from non-prompt J/$\psi$ (i.e. originated from beauty-hadron decays) to the inclusive sample is evaluated. The results are discussed and compared with data

Inclusive and multiplicity dependent production of electrons from heavy-flavour hadron decays in pp and p−-Pb collisions

International audienceMeasurements of the production of electrons from heavy-flavour hadron decays in pp collisions at $\sqrt{s} = 13$ TeV at midrapidity with the ALICE detector are presented down to a transverse momentum ($p_{\rm T}$) of 0.2 GeV$/c$ and up to $p_{\rm T} = 35$ GeV$/c$, which is the largest momentum range probed for inclusive electron measurements in ALICE. In p$-$Pb collisions, the production cross section and the nuclear modification factor of electrons from heavy-flavour hadron decays are measured in the $p_{\rm T}$ range $0.5 < p_{\rm T} < 26$ GeV$/c$ at $\sqrt{s_{\rm NN}} = 8.16$ TeV. The nuclear modification factor is found to be consistent with unity within the statistical and systematic uncertainties. In both collision systems, first measurements of the yields of electrons from heavy-flavour hadron decays in different multiplicity intervals normalised to the multiplicity-integrated yield (self-normalised yield) at midrapidity are reported as a function of the self-normalised charged-particle multiplicity estimated at midrapidity. The self-normalised yields in pp and p$-$Pb collisions grow faster than linear with the self-normalised multiplicity. A strong $p_{\rm T}$ dependence is observed in pp collisions, where the yield of high-$p_{\rm T}$ electrons increases faster as a function of multiplicity than the one of low-$p_{\rm T}$ electrons. The measurement in p$-$Pb collisions shows no $p_{\rm T}$ dependence within uncertainties. The self-normalised yields in pp and p$-$Pb collisions are compared with measurements of other heavy-flavour, light-flavour, and strange particles, and with Monte Carlo simulations

Observation of medium-induced yield enhancement and acoplanarity broadening of low-pTp_\mathrm{T} jets from measurements in pp and central Pb−-Pb collisions at sNN=5.02\sqrt{s_{\rm NN}}=5.02 TeV

International audienceThe ALICE Collaboration reports the measurement of semi-inclusive distributions of charged-particle jets recoiling from a high transverse momentum (high $p_{\rm T}$) hadron trigger in proton$-$proton and central Pb$-$Pb collisions at $\sqrt{s_{\rm NN}} = 5.02$ TeV. A data-driven statistical method is used to mitigate the large uncorrelated background in central Pb$-$Pb collisions. Recoil jet distributions are reported for jet resolution parameter $R=0.2$, 0.4, and 0.5 in the range $7 < p_{\rm T,jet} < 140$ GeV$/c$ and trigger$-$recoil jet azimuthal separation $\pi/2 < \Delta\varphi < \pi$. The measurements exhibit a marked medium-induced jet yield enhancement at low $p_{\rm T}$ and at large azimuthal deviation from $\Delta\varphi\sim\pi$. The enhancement is characterized by its dependence on $\Delta\varphi$, which has a slope that differs from zero by 4.7$\sigma$. Comparisons to model calculations incorporating different formulations of jet quenching are reported. These comparisons indicate that the observed yield enhancement arises from the response of the QGP medium to jet propagation

Probing the Chiral Magnetic Wave with charge-dependent flow measurements in Pb-Pb collisions at the LHC

International audienceThe Chiral Magnetic Wave (CMW) phenomenon is essential to provide insights into the strong interaction in QCD, the properties of the quark-gluon plasma, and the topological characteristics of the early universe, offering a deeper understanding of fundamental physics in high-energy collisions. Measurements of the charge-dependent anisotropic flow coefficients are studied in Pb-Pb collisions at center-of-mass energy per nucleon-nucleon collision $\sqrt{s_{\mathrm{NN}}}=$ 5.02 TeV to probe the CMW. In particular, the slope of the normalized difference in elliptic ($v_{2}$) and triangular ($v_{3}$) flow coefficients of positively and negatively charged particles as a function of their event-wise normalized number difference, is reported for inclusive and identified particles. The slope $r_{3}^{\rm Norm}$ is found to be larger than zero and to have a magnitude similar to $r_{2}^{\rm Norm}$, thus pointing to a large background contribution for these measurements. Furthermore, $r_{2}^{\rm Norm}$ can be described by a blast wave model calculation that incorporates local charge conservation. In addition, using the event shape engineering technique yields a fraction of CMW ($f_{\rm CMW}$) contribution to this measurement which is compatible with zero. This measurement provides the very first upper limit for $f_{\rm CMW}$, and in the 10-60% centrality interval it is found to be 26% (38%) at 95% (99.7%) confidence level