La Bibbia e la scrittura in prosa di Marin. Incursione nei testi

Biagio Marin in apertura e in chiusura dei quaderni dei Diari cita e riscrive con abbondanza la Bibbia. Si forniscono alcuni esempi che illustrano da una parte l'ammirazione di Biagio Marin per san Paolo e dall'altra la sua violenta avversione per l'apostolo fondatore dell'istituzione chiesastica, che si inquadra nella costante polemica anticlericale del gradese

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Per le stràe solesàe (Through the sunny streets). Promenades in Grado with Biagio Marin

Biagio Marin (1891-1985) is one of the twentieth century greatest dialect poets in Italy. The dialect employed by the poet to celebrate life, death, the surrounding nature and his own innermost feelings is an ancient Venetian dialect, the “gravisano”. Marin’s theme lyrics are love and feminine charm, but also the profound loneliness of the twentieth century man. The poet publicly announced that he had left the Catholic Church, but in spite of this his “Canzoniere” contains also lyrics celebrating God and his immensity. Marin’s poems portraying the most impressive and charming places of his beloved homeland, Grado island, are here presented.Biagio Marin (1891-1985) è uno dei poeti dialettali maggiori del Novecento italiano. Il dialetto usato dal poeta per cantare la vita, la morte, la natura che lo circonda e le sue sensazioni intime è il gravisano, un dialetto veneto antico. Il poeta si contraddistingue come cantore della donna, dell’amore, ma anche della profonda solitudine patita dall’uomo del xx secolo. Nonostante Marin abbia dichiarato apertamente di essere uscito dalla Chiesa cattolica, nel suo Canzoniere troviamo anche un poeta che canta Dio e la sua immensità. Vengono qui offerte le poesie di Marin legate ai luoghi più suggestivi della sua amata terra, l’isola di Grado

The Contribution of QF-PCR and pathology studies in the diagnosis of diandric triploidy/partial mole

Objective: the aim of our study was to assess the contribution of quantitative fluorescent polymerase chain reaction (QF-PCR) and pathology studies in the diagnosis of diandric triploidies/partial hydatidiform moles. Methods: this study included all fet al triploidies diagnosed by QF-PCR in chorionic villi or amniotic fluid in the 2 centers of BCNatal in which a maternal saliva sample was used to establish its parental origin. Pathology studies were performed in products of conception and concordance between a partial hydatidiform mole diagnosis and the finding of a diandric triploidy was assessed. Results: among 46 fetal triploidies, found in 13 ongoing pregnancies and in 33 miscarriages, there were 26 (56%) diandric triploidies. Concordant molecular (diandric triploidy) and pathology results (partial mole) were achieved in 14 cases (54%), while in 6 cases (23%) pathology studies were normal, and in the remaining 6 cases (23%) pathology studies could not be performed because miscarriage was managed medically. Conclusions: diandric triploidy is associated with partial hydatidiform mole and its diagnosis is crucial to prevent the development of persistent trophoblastic disease. QF-PCR analysis in chorionic villi or amniotic fluid provides a more accurate diagnosis of the parental origin of triploidy than the classical pathology studie

Use of Leukocyte Platelet (L-PRF) Rich Fibrin in Diabetic Foot Ulcer with Osteomyelitis (Three Clinical Cases Report)

In this study, the use of fibrin rich in leukocytes and platelets (L-PRF) was explored to heal osteomyelitis ulcers in a diabetic foot. The goal was to standardize the utilization of L-PRF in patients with osteomyelitis to direct it for healing. L-PRF was obtained autologously from the peripheral blood of the diabetic patients (n = 3) having osteomyelitis and skin lesions for at least six months. The L-PRF and supernatant serum were inserted into the skin lesion to the bone after a surgical debridement. The evolution of lesions over time was analyzed. All three patients showed positivity to the Probe-to-Bone test and Nuclear Magnetic Resonance detected cortico-periosteal thickening and/or outbreaks of spongy cortical osteolysis in adjacency of the ulcer. The infections were caused by Cocci Gram-positive bacteria, such as S. Aureus, S. β-hemolytic, S. Viridans and Bacilli; and Gram-negative such as Pseudomonas, Proteus, Enterobacter; and yeast, Candida. The blood count did not show any significant alterations. To date, all three patients have healed skin lesions (in a patient for about two years) with no evidence of infection. These preliminary results showed that L-PRF membranes could be a new method of therapy in such problematic diseases. Overall, the L-PRF treatment in osteomyelitis of a diabetic foot seems to be easy and cost-effective by regenerative therapy of chronic skin lesions. In addition, it will improve our understanding of wound healing

Physics Briefing Book: Input for the European Strategy for Particle Physics Update 2020

The European Particle Physics Strategy Update (EPPSU) process takes a bottom-up approach, whereby the community is first invited to submit proposals (also called inputs) for projects that it would like to see realised in the near-term, mid-term and longer-term future. National inputs as well as inputs from National Laboratories are also an important element of the process. All these inputs are then reviewed by the Physics Preparatory Group (PPG), whose role is to organize a Symposium around the submitted ideas and to prepare a community discussion on the importance and merits of the various proposals. The results of these discussions are then concisely summarised in this Briefing Book, prepared by the Conveners, assisted by Scientific Secretaries, and with further contributions provided by the Contributors listed on the title page. This constitutes the basis for the considerations of the European Strategy Group (ESG), consisting of scientific delegates from CERN Member States, Associate Member States, directors of major European laboratories, representatives of various European organizations as well as invitees from outside the European Community. The ESG has the mission to formulate the European Strategy Update for the consideration and approval of the CERN Council

Physics Briefing Book: Input for the European Strategy for Particle Physics Update 2020

The European Particle Physics Strategy Update (EPPSU) process takes a bottom-up approach, whereby the community is first invited to submit proposals (also called inputs) for projects that it would like to see realised in the near-term, mid-term and longer-term future. National inputs as well as inputs from National Laboratories are also an important element of the process. All these inputs are then reviewed by the Physics Preparatory Group (PPG), whose role is to organize a Symposium around the submitted ideas and to prepare a community discussion on the importance and merits of the various proposals. The results of these discussions are then concisely summarised in this Briefing Book, prepared by the Conveners, assisted by Scientific Secretaries, and with further contributions provided by the Contributors listed on the title page. This constitutes the basis for the considerations of the European Strategy Group (ESG), consisting of scientific delegates from CERN Member States, Associate Member States, directors of major European laboratories, representatives of various European organizations as well as invitees from outside the European Community. The ESG has the mission to formulate the European Strategy Update for the consideration and approval of the CERN Council