The client-oriented model of cultural competence in healthcare organizations

The paper aims to propose a new model of cultural competence in health organizations based on the paradigm of client orientation. Starting from a literature review, this study takes inspiration from dimensions that characterize the cultural competence of health organizations, and re-articulates them in more detail by applying a client orientation view. The resulting framework is articulated into six dimensions (formal references; procedures and practices; cultural competences of human resources; cultural orientation toward client; partnership with community; and self-assessment) that define the ability of a health organization to achieve its mission, acknowledging, understanding, and valorizing cultural differences of internal clients (staff) and external clients (consumers). This study makes an effort to address the paucity of studies linking approaches to managing cultural diversity in health organizations with cultural competence within the framework of client orientation

L\u2019aura degli oggetti/ The Aura of Objects

L\u2019aura, nozione che Walter Benjamin collegava all\u2019irripetibilit\ue0 e autenticit\ue0 dell\u2019opera d\u2019arte, diviene ora connotativa di quei prodotti commerciali che la popolarit\ue0 del brand trasforma in \u201cmerci di culto\u201d. Nascono cos\uec nuovi orizzonti della creativit\ue0, come la Designart. Di conseguenza l\u2019Estetica, in quanto disciplina filosofica, oggi deve riconfigurare il suo orizzonte epistemologico ed estendere il suo campo di indagine oltre la sfera tradizionale dell\u2019arte, non pi\uf9 (o non solo) bella, verso i nuovi e variegati territori della vita quotidiana

Shedding Light on Diatom Photonics by means of Digital Holography

Diatoms are among the dominant phytoplankters in the worl's ocean, and their external silica investments, resembling artificial photonics crystal, are expected to play an active role in light manipulation. Digital holography allowed studying the interaction with light of Coscinodiscus wailesii cell wall reconstructing the light confinement inside the cell cytoplasm, condition that is hardly accessible via standard microscopy. The full characterization of the propagated beam, in terms of quantitative phase and intensity, removed a long-standing ambiguity about the origin of the light. The data were discussed in the light of living cell behavior in response to their environment

Recognition of intrinsic quality properties for automatic geometric inspection

none3In the last few years the need for methodologies capable of performing an automated geometric inspection has increased. These methodologies often use 3D high-resolution optical digitisers to acquire points from the surface of the object to be inspected. It is expected that, in the near future, geometric inspection will be requiring more and more the use of these instruments. At present geometric inspection is not profiting from all the opportunities attainable by 3D high-resolution optical scanners or from the numerous tools which can be used for processing the point cloud acquired from the inspected product. For some years now, these authors have been working on a new methodology for automatic tolerance inspection working from a 3D model acquired by optical digitisers. In this paper all the information recognisable in a scanned object is organised into a new data structure, called Recognised Geometric Model (RGM). The final aim is to define a representation of the inspected object for the automatic evaluation of the non-idealities pertaining to the form, orientation and location of the non-ideal features of the acquired object. The key concept of the proposed approach is the capability to recognise some intrinsic nominal properties of the acquired model. These properties are assumed as references to evaluate the non-idealities of the inspected object. With this approach the references of geometric inspection are searched for in the inspected object independently of a tolerance specification and of the availability of a 3D nominal representation. The high-level geometric information within RGM depends on the rules used for its identification. The capability to recognise specific categories of nominal references offers the possibility of introducing new tolerances to be specified. The proposed approach has been implemented in original software by means of which a specific test case has been analysed.openP. Di Stefano; L. Di Angelo; A.E. MorabitoP., Di Stefano; L., Di Angelo; Morabito, Ann

Uniqueness of Planktonic Ecosystems in the Mediterranean Sea: The Response to Orbital- and Suborbital-Climatic Forcing over the Last 130,000 Years

The Mediterranean Sea is an ideal location to test the response of organisms to hydrological transformations driven by climate change. Here we review studies carried out on planktonic foraminifera and coccolithophores during the late Quaternary and attempt the comparison of data scattered in time and space. We highlight the prompt response of surface water ecosystems to both orbital- and suborbital-climatic variations. A markedly different spatial response was observed in calcareous plankton assemblages, possibly due to the influence of the North Atlantic climatic system in the western, central and northern areas and of the monsoon system in the easternmost and southern sites. Orbital-induced climatic dynamics led to productive surface waters in the northern, western and central Mediterranean Sea during the last glacial and to distinct deep chlorophyll maximum layers in the eastern Mediterranean Sea coinciding with bottom anoxia episodes. High-frequency planktonic modifications are well documented in the Sicily Channel and Alboran Sea and highlight the occurrence of different steps within a single stadial (cold phase)/interstadial (warm phase) oscillation. The review of planktonic organisms in the marine sedimentary archive casts light on the uniqueness of the Mediterranean Sea, especially in terms of climatic/oceanographic/biological interaction and influence of different climatic systems on distinct areas. Further research is needed in the eastern Mediterranean Sea where results are obscured by low-resolution sedimentary records and by a strong focus on sapropel deposition dynamics

scheduled synchronisation based on a mesoscopic flow model with speed dispersion

Abstract This paper proposes a method for netwok signal setting design, based on enhacements of an existing coordination method aiming: 1) to extend the existing approach in order to address the Traffic Control through Scheduled Synchronisation (i.e 'one step' optimisation of stage matrix, green timings, and node offsets ); 2) to extend the considered Mesoscopic Traffic Flow model (TRAFFMED) to the vehicle platoon speed dispersion; 3) to build up a solution method suitable for both off-line and on-line applications. The proposed optimisation method is an application of the Simulated Annealing meta-heuristic. Some numerical applications are proposed, specifically analysing 'two step' optimisation (synchronisation), and'one step' optimisation (scheduled synchronisation), for off-line (pre-timed strategy) and on-line applications (on-line computation strategy). A grid network was considered as case study and the effectiveness of the proposed strategies were evaluated by comparing the obtained results with those computed through commercial (benchmark) and in-house codes

N-acetyl-cysteine, a drug that enhances the endogenous activation of group-II metabotropic glutamate receptors, inhibits nociceptive transmission in humans.

Emerging research seeking novel analgesic drugs focuses on agents targeting group-II metabotropic glutamate receptors (mGlu2 and mGlu3 receptors). N-Acetylcysteine (NAC) enhances the endogenous activation of mGlu2/3 receptors by activating the glial glutamate:cystine membrane exchanger. Here, we examined whether NAC inhibits nociceptive responses in humans and animals. We tested the effect of oral NAC (1.2 g) on thermal-pain thresholds and laser-evoked potentials in 10 healthy volunteers, according to a crossover, double-blind, placebo-controlled design, and the effect of NAC (100 mg/kg, i.p.) on the tail-flick response evoked by radiant heat stimulation in mice.In healthy subjects, NAC treatment left thermal-pain thresholds unchanged, but significantly reduced pain ratings to laser stimuli and amplitudes of laser-evoked potentials. NAC induced significantly greater changes in these measures than placebo. In the tail-flick test, NAC strongly reduced the nocifensive reflex response to radiant heat. The action of NAC was abolished by the preferential mGlu2/3 receptor antagonist, LY341495 (1 mg/kg, i.p.).Our findings show for the first time that NAC inhibits nociceptive transmission in humans, and does the same in mice by activating mGlu2/3 receptors. These data lay the groundwork for investigating the therapeutic potential of NAC in patients with chronic pain