Healthcare workers and manual patient handling: A pilot study for interdisciplinary training

Manual patient handling (MPH) is a major occupational risk in healthcare settings. The aim of this study was to propose an MPH training model involving interdisciplinary aspects. A scheduled training program was performed with 60 healthcare workers (HCWs) from a hospital in Naples, Italy, providing training divided into three sections (occupational health—section one; physical therapy—section two; psychosocial section—section three) and lasting six hours. Fifty-two HCWs performed the training session. In section one, a questionnaire about risk perception related to specific working tasks was administered. Section two provided specific exercises for the postural discharge of the anatomical areas most involved in MPH. The last section provided teamwork consolidation through a role-playing exercise. The training program could also be useful for risk assessment itself, as they can examine the perceptions of the specific risk of the various workers and incorrect attitudes and therefore correct any incorrect procedures, reducing exposure to specific risks in the field. This pilot study proposes a training model that explores all aspects related to MPH risk exposure and also underlines the need for standardization of this formative model, which could represent a useful tool for studying the real effectiveness of training in workplaces

Three cases of bone metastases in patients with gastrointestinal stromal tumors

Gastrointestinal stromal tumors (GISTs) are rare, but represent the most common mesenchymal neoplasms of the gastrointestinal tract. Tumor resection is the treatment of choice for localized disease. Tyrosine kinase inhibitors (imatinib, sunitinib) are the standard therapy for metastatic or unresectable GISTs. GISTs usually metastasize to the liver and peritoneum. Bone metastases are uncommon. We describe three cases of bone metastases in patients with advanced GISTs: two women (82 and 54 years of age), and one man (62 years of age). Bones metastases involved the spine, pelvis and ribs in one patient, multiple vertebral bodies and pelvis in one, and the spine and iliac wings in the third case. The lesions presented a lytic pattern in all cases. Two patients presented with multiple bone metastases at the time of initial diagnosis and one patient after seven years during the follow-up period. This report describes the diagnosis and treatment of the lesions and may help clinicians to manage bones metastases in GIST patients

Model Risk Management. Le prassi e il modello a tendere.

I modelli hanno assunto un ruolo pervasivo nell’operatività bancaria configurandosi come driver essenziali nel decision making sia in ambito regolamentare che gestionale, e questa considerazione, seppur con caratterizzazioni diverse, risulta valida sia per banche “significant” che “less significant”. Si evidenzia che il numero e la complessità dei modelli hanno raggiunto un livello di ampiezza tale da richiederne una gestione dedicata e strumenti specifici per evitare che la base decisionale si poggi su algoritmi, dati o elaborazioni non adeguati. Oltre alla complessità intrinseca dei modelli, si aggiunge una crescente interconnessione tra gli stessi per cui le criticità di un modello possono riverberarsi sui modelli collegati con effetti poco prevedibili. Le mutevoli condizioni di contesto (accentuate dall’emergenza Covid), hanno ulteriormente amplificato l’esigenza di ridurre la distanza tra l’identificazione delle criticità sui modelli, la presa in carico delle azioni correttive, il relativo monitoraggio e il rilascio degli interventi. Una catena di trasmissione non adeguata comporta inevitabilmente tempi di risposta più lunghi, con modelli che non sono in grado di rappresentare adeguatamente il contesto operativo

Vaccination against hepatitis b virus: are Italian medical students sufficiently protected after the public vaccination programme?

The development of a vaccine against hepatitis B virus (HBV) has been a major achievement in terms of prevention of HBV infection. For the present study, we analysed the long-term immunogenicity and effectiveness of HBV vaccination among healthcare students with different working seniorities.Background: The development of a vaccine against hepatitis B virus (HBV) has been a major achievement in terms of prevention of HBV infection. For the present study, we analysed the long-term immunogenicity and effectiveness of HBV vaccination among healthcare students with different working seniorities. Methods: A cross-sectional study of undergraduate and postgraduate students attending the Medical School of the Second University of Naples was conducted between September 2012 and December 2014. HBV serum markers were determined and multivariate logistic regression analysis was used to identify factors associated with the level of long-term immunogenicity. Results: Of the 2,932 subjects evaluated, only 33 (1.1 %) declared no history of vaccination. All vaccinated subjects were HBsAg/anti-HBc negative, 459 of which had an anti-HBs titre <10 IU/L. The latter were younger, more likely to be attending a healthcare profession school (i.e., dental hygienists, nursing, paediatric nursing, radiography and midwifery) than a medical school (at either undergraduate or postgraduate level) and more likely to have been vaccinated in infancy. Conclusion: The results of this study suggest that assessment of HBV serum markers in workers potentially exposed to hospital infections is useful to identify small numbers of unvaccinated subjects or vaccinated subjects with low antibody titre, all of whom should be referred to a booster series of vaccinations

On the electronic states of macrocycles of the extended porphyrin family and their coordination compounds

The electronic absorption spectra of Ni, Zn and Mg hemiporphyrazine derivatives are presented and discussed together with theoretical results obtained by INDO/S computations. The absorption spectra of all the metal derivatives show marked red shifts of the lowest energy absorption bands with respect to those of the metal free hemiporphyrazine. The possible explanation that in metal derivatives low lying excited states with a fully conjugated pi electron system are present is supported by theoretical computations

Methodologies and tools for analysis of museum web application features

Methodologies and tools for the analysis of museum web application feature

Domus clari Geminiani. Il Duomo di Modena

Il volume vede la luce dopo che l'Unesco ha finalmente riconosciuto il più importante monumento di Modena, insieme con la Piazza Grande su cui si affaccia e la Ghirlandina che lo fiancheggia, "patrimonio dell'umanità". Prima di tutto, esso documenta la splendida conclusione di complessi interventi di restauro sul lato meridionale, che si affaccia sulla piazza: gli esiti di questi interventi, oltre ad essere visibili agli occhi di tutti, vengono qui evidenziati con particolare attenzione, grazie a sistematiche riprese fotogragiche appositamente effettuate, che consentono di osservare da vicino un ricco repertorio di immagini straordinarie, quali sono in particolare, i capitelli delle semicolonne dei matronei, che la pulitura ha valorizzato ma che non sono facilmente osservabili da terra perchè a grande altezza.Il volume offre alla città un'ulteriore contributo alle celebrazioni del IX centenario dell'inizio dei lavori di costruzione della cattedrale, che ricorrono nell'anno 1999