The fast response of academic spinoffs to unexpected societal and economic challenges. Lessons from the COVID‐19 pandemic crisis

The rapid emergence of the COVID‐19 crisis has challenged both private and public firms, requiring them to reshape their internal processes and external linkages in the fight against the virus, but also to survive the disrupting economic impact of the pandemic on their activities. Academic spinoffs have not been exempted from these dynamics. In this paper, we present and discuss a case study of an academic spinoff, Omnidermal, which has developed a new, efficient and easy‐to‐realize emergency life support machine for use in intensive and sub‐intensive care units. This case, apart from offering information on the best practices of how spinoffs may contribute socially to the fight against COVID‐19 and – more in general – against other exogenous shocks, also provides insights on their stages of development, evolution patterns and ability to define new solutions. The case shows that when the market needs are clear to a firm (as in the case of medical devices during the COVID‐19 crisis), the ‘legacy competences and practices’ of spinoffs (i.e., technical competences and work practices) can be fully exploited to compress the development time and to realize products demanded by the market. We also identify access to a network as being an essential boundary condition for this process. These results introduce an alternative scope for academic spinoffs. Given the ‘legacy competences and practices’ they are able to develop, they are ideal candidates to respond to the societal and economic challenges posed by a crisis over short periods of time. On the basis of these insights, we draw a series of implications for practitioners, policy makers and academics

The antica Fonte of Boario (Italy): An hydrochemical and isotopic investigation in support of mineral water development

The "Antica Fonte" mineral water is a valuable resource with well-known therapeutic effects due to its high magnesium and sulphate contents. Hydrochemical and isotopic data indicate that the water is recharged at an elevation exceeding 1000 m asl, derives its mineral content by dissolution of Triassic gypsum and dolomite, and partially mixes with present day recharge from the alluvial aquifer. The results of this investigation provide valuable information for a sustainable development of the resource

Genetic traceability of cinta senese pig (Sus scrofa domesticus L.): a study of the meat and processed products by microsatellite markers

Traceability based on DNA analysis is attracting increasing interest due to the crisis of confidence that consumers show towards the products of animal origin. The present work discusses a genetic traceability system of meat and processed products from an historical Tuscan native pig breed, the Cinta Senese. The study is based on a panel of 8 ISAG (International Society for Animal Genetics) DNA microsatellite markers usage done both on pigs and derived products. The SSRs panel allowed us to obtain a unique fingerprint of the individuals to be used as a tracer “downstream” in the processed products. The molecular method used proved that the hams, analyzed just before commercialization, were obtained from Cinta Senese pigs and that the analyzed meat products derived from the Cinta Senese were produced at least with 95% of Cinta Senese meat. In perspective, the molecular testing could be introduced as a voluntarily adopted method for proving intrinsic quality of many regional food products

Vineyards genetic monitoring and Vernaccia di San Gimignano wine molecular fingerprinting

The definition of the genetic profile of Vernaccia di San Gimignano (VSG) in the areas of production is an essential step for both the implementation of a plan of analytical traceability and the evaluation of the biological future potential of the same grape variety in relation to any environmental change. The genetic variability of the VSG was monitored by use of SSRs genotyping of a representative portion of individuals belonging to both the productive vineyards and the germplasm collections that represent the “mother plants” reservoir for future vineyards. 74% of the individuals have been shown to be identical to the grapevine genotype reported in databases as VSG truetype. In order to determine the wine varietal composition by DNA analysis, four wine types commercialized as VSG were DNA-tested at 14 loci SSRs. The molecular data obtained demonstrate the presence as prevalent component of the VSG in the four wine types. All the wines revealed the presence of minor varieties, whose presence/absence was estimated by extrapolating the allele configuration that best matched to a standard genotype. Molecular data allow us to exclude the presence of three aromatic white grapevines that are not allowed by the actual production rules (Disciplinare di Produzione

Dal team accoglienza al bed management ospedaliero.

RIASSUNTOLa riduzione dei posti letto negli ospedali laziali, ha ri-disegnato il concetto di servizio sanitario ospedaliero regionale, riconoscendo l'ospedale il solo luogo dove recarsi per curare le malattie acute ed urgenti. L'Azienda Ospedaliera San Camillo-Forlanini di Roma, nel rispetto del piano sanitario regionale, del piano di rientro e della riqualificazione della rete ospedaliera, ha avuto una significativa riduzione di posti letto e ciò, ha comportato una riorganizzazione interna. La Direzione Aziendale per dare una risposta soddisfacente all'utenza, ha dato inizio nel febbraio del 2008 ad un progetto, oggi servizio, con l'istituzione di un gruppo di coordinatori infermieristici, con lo specifico mandato di razionalizzare ed ottimizzare i posti letto dedicati all'emergenza-urgenza. Questo gruppo denominato "Team Accoglienza" è formato da caposala esperti, che conoscono il funzionamento dell'intero ospedale. Il team collabora, quotidianamente, con il personale medico ed infermieristico del Pronto Soccorso, per la definizione del percorso diagnostico, terapeutico ed assistenziale più idoneo al malato. Il progetto è stato sviluppato applicando la metodologia: del Percorso di Massima di Riferimento e l'Analisi Sistemica. Negli anni questo servizio ha contribuito: al miglioramento di alcuni indicatori sistemici di attivití , di alcune Unití  Operative ed alla formazione di personale sanitario di direzione. Nel 2009 la Giunta Regionale del Lazio ha riconosciuto tale progetto come strategico all'interno delle organizzazioni ospedaliere pubbliche e private.Parole Chiave: Bed Manager, ricovero, ottimizzatore.ABSTRACTReduction on number of hospital beds i.e. on patients' admission among hospitals in Lazio has lead to a reformulation of health service framework within Lazio indentifying hospital as the only place to go to treat acute and urgent diseases. San Camillo-Forlanini, the largest hospital in Rome, according to the regional health plan, the recovery plan and the redevelopment of network hospital has had a significant reduction of hospital beds leading, as consequence, to the need of an internal reorganization. In order to correctly address this issue, the management of the Hospital started in February 2008 a project, setting up a group made up by nursing coordinators which had as a main aim to manage the number of hospital beds needed for emergencies. This group has been called "Admission Team" and nurses within the group are familiar with hospital policies and organization. The team collaborates daily with physicians and nurses in emergency room, in order to decide the most appropriate health care protocol for each patient. The project follows a specific methodology i.e. Systemic Analysis. Over the years this project has contributed to the improvement to a number of indicators and more generally to the health care within the hospital together with the enhancement of education of new managerial roles among health professional. In 2009, the Regional Council of Lazio has recognized this project as strategic within private and public hospitals. Keywords: Bed Management, admission, hospital polic

Genetic differentiation between Cinta Senese and commercial pig breeds using microsatellite

Background: Cinta Senese (CS) is an autochthonous Tuscan breed, which risked extinction since the \u201860s. Results: Monitoring the genetic variability of the actual population by use of DNA molecular markers is essential to address a correct breeding policy, finalized to obtain the race preservation and its fitness in the future. 17 SSRs autosomal markers and 1 associated to the X chromosome were used to genotype 86 individuals belonging to the CS and 12 belonging to two main white races Landrace (L), Large White (LW) and crosses between LW and L and L and CS widespread in Tuscany and used in the recent past to obtain hybrids with the CS. Conclusions: A dendrogram of similarity measures the relative genetic distance between individuals in the population. Data show that CS pigs have a distinct genotype from L, LW, LW x L and L x CS

An unusual cause of eosinophilic pleural effusion and migrating biliary stenosis: Strongyloides stercoralis infection in a young immunocompetent man

We present the case of a 33 year-old Italian man who came to our attention for epigastralgia associated with polyserositis (pleural and pericardial and peritoneal effusion with the involvement of the Douglas excavation), in the absence of a significant medical history. Laboratory analysis revealed exudative eosinophilic pleural effusion; serial imaging techniques showed a transient stenosis of the right hepatic duct and a subsequent stenosis of the left hepatic duct. After several negative sierological investigations, a positive antistrongyloides IgG antibodies titre rose suspicions of Strongyloides infection, which was confirmed by positive stool sample for parasite. Ivermectin-therapy was started and the patient’s fully recovered

Psychological treatments and psychotherapies in the neurorehabilitation of pain. Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation

BACKGROUND: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. OBJECTIVES: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. METHODS: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. RESULTS: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. CONCLUSIONS: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the pape

What is the role of the placebo effect for pain relief in neurorehabilitation? Clinical implications from the Italian consensus conference on pain in neurorehabilitation

Background: It is increasingly acknowledged that the outcomes of medical treatments are influenced by the context of the clinical encounter through the mechanisms of the placebo effect. The phenomenon of placebo analgesia might be exploited to maximize the efficacy of neurorehabilitation treatments. Since its intensity varies across neurological disorders, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCP) summarized the studies on this field to provide guidance on its use. Methods: A review of the existing reviews and meta-analyses was performed to assess the magnitude of the placebo effect in disorders that may undergo neurorehabilitation treatment. The search was performed on Pubmed using placebo, pain, and the names of neurological disorders as keywords. Methodological quality was assessed using a pre-existing checklist. Data about the magnitude of the placebo effect were extracted from the included reviews and were commented in a narrative form. Results: 11 articles were included in this review. Placebo treatments showed weak effects in central neuropathic pain (pain reduction from 0.44 to 0.66 on a 0-10 scale) and moderate effects in postherpetic neuralgia (1.16), in diabetic peripheral neuropathy (1.45), and in pain associated to HIV (1.82). Moderate effects were also found on pain due to fibromyalgia and migraine; only weak short-term effects were found in complex regional pain syndrome. Confounding variables might have influenced these results. Clinical implications: These estimates should be interpreted with caution, but underscore that the placebo effect can be exploited in neurorehabilitation programs. It is not necessary to conceal its use from the patient. Knowledge of placebo mechanisms can be used to shape the doctor-patient relationship, to reduce the use of analgesic drugs and to train the patient to become an active agent of the therapy