Evaluation, management, intervention and treatment of urgencies / emergencies and self and heteroaggressive acting out. An integrated teaching experience in criminology with the contribution of different institutions

Starting from an experience of training in the field, declined differently from the usual didactic canons, implemented with the collaboration and integration of different subjects, (University and Arma dei Carabinieri), and addressed to students of a degree course in clinical psychology, the The authors report the need for profound and radical changes in the educational profiles and in the educational organization for psychologists as well as for all socio-health and educational professions. In this case, the focus of reflection and intervention concerned the evaluation, analysis and interventions related to the management of aggressive actions towards health workers. The centrality of Criminology as a science and discipline that can offer the methodological and technical basis and also in terms of con- tent, for the forensic part of the aforementioned socio / health and educational disciplines is reiter- ated

Valutazione, gestione, intervento e trattamento di urgenze/emergenze e degli agiti auto ed eteroaggressivi. Una esperienza di didattica integrata in criminologia con l’apporto di istituzioni diverse

Starting from an experience of training in the field, declined differently from the usual didactic canons, implemented with the collaboration and integration of different subjects, (University and Arma dei Carabinieri), and addressed to students of a degree course in clinical psychology, the The authors report the need for profound and radical changes in the educational profiles and in the educational organization for psychologists as well as for all socio-health and educational professions. In this case, the focus of reflection and intervention concerned the evaluation, analysis and interventions related to the management of aggressive actions towards health workers. The centrality of Criminology as a science and discipline that can offer the methodological and technical basis and also in terms of content, for the forensic part of the aforementioned socio / health and educational disciplines is reiterated.A partire da una esperienza di formazione sul campo, declinata diversamente dagli usali canoni didattici, attuata con la collaborazione e la integrazione di soggetti diversi (Università e Arma dei Cara-binieri), e rivolta a studenti di un corso di laurea in psicologia clinica, gli autori segnalano la necessità di profondi e radicali cambiamenti nei profili formativi e nella organizzazione didattica per gli Psicologi, come per le tutte le professioni socio/sanitarie ed educative. In questo caso, il centro della riflessione e dell’intervento ha riguardato la valutazione, l’analisi e gli interventi relativi alla gestione degli agiti aggressivi nei confronti di operatori sanitari. Viene ribadita la centralità della Criminologia come scienza e disciplina che può offrire il basamento metodologico e tecnico ed anche a livello di contenuti, per la parte forense delle discipline socio/sanitarie ed educative succitate

The Sous Vide Cooking of Mediterranean Mussel (Mytilus galloprovincialis): Safety and Quality Assessment

: This study involves an investigation of the effects of various cooking temperatures, freeze-thaw processes, and food preservatives on the quality and shelf-life of sous vide Mediterranean mussels. Cooking temperatures of 80 °C or above significantly improved the microbiological quality, with bacterial counts remaining within the acceptability range for human consumption even after 21 days of refrigerated storage. Fast freezing followed by slow thawing preserved the highest moisture content, potentially improving texture. Sensory analysis revealed that refrigerated sous vide mussels maintained a comparable taste to freshly cooked samples. Frozen samples reheated via microwaving exhibited more intense flavour than pan-reheated or fresh mussels. Food additives, including citric acid, potassium benzoate, and potassium sorbate, alone or in combination with grape seed oil, significantly reduced total volatile basic nitrogen and thiobarbituric acid-reactive substances during 28 days of storage, indicating decreased spoilage and lipid oxidation. Mussels with a combination of these additives registered a nitrogen content as low as 22 mg of N/100g after 28 days, well below the limit of acceptability (<35 mg of N/100g). Food additives also inhibited bacterial growth, with mesophilic bacteria count below 3.35 Log CFU/g after 28 days, compared with 5.37 Log CFU/g in control samples. This study provides valuable insights for developing optimal cooking and preservation methods for sous vide cooked seafood, underscoring the need for further research on optimal cooking and freeze-thaw protocols for various seafood types

How Do Football Playing Positions Differ in Body Composition? A First Insight into White Italian Serie A and Serie B Players

The present study aimed to investigate how playing positions differ in specific body composition variables in professional soccer players with respect to specific field zones and tactical lines. Five hundred and six Serie A and B professional soccer players were included in the study and analyzed according to their playing positions: goalkeepers (GKs), central backs (CBs), fullbacks (FBs), central midfielders (MIDs), wide midfielders (WMs), attacking midfielders (AMs), second strikers (SSs), external strikers (ESs), and central forwards (CFs), as well as their field zones (central and external) and tactical lines (defensive, middle, and offensive). Anthropometrics (stature and body mass) of each player were recorded. Then, body composition was obtained by means of bioelectric impedance analysis (BIA). GKs and CFs were the tallest and heaviest players, with no differences from each other. Likewise, GKs and CFs, along with CBs, were apparently more muscular (for both upper and lower limbs) and fatter at the same time compared with the other roles. Overall, players of the defensive line (CBs and FBs), along with those playing in central field zones (CBs, MIDs, AMs, SSs, and CFs), were significantly (p < 0.05) superior in almost all anthropometric and body composition variables than those of middle and offensive line and external zones, respectively

Improvement in perioperative and long-term outcome after surgical treatment of hilar cholangiocarcinoma: results of an Italian multicenter analysis of 440 patients

OBJECTIVE: To evaluate improvements in operative and long-term results following surgery for hilar cholangiocarcinoma. DESIGN: Retrospective multicenter study including 17 Italian hepatobiliary surgery units. PATIENTS: A total of 440 patients who underwent resection for hilar cholangiocarcinoma from January 1, 1992, through December 31, 2007. MAIN OUTCOME MEASURES: Postoperative mortality, morbidity, overall survival, and disease-free survival. RESULTS: Postoperative mortality and morbidity after liver resection were 10.1% and 47.6%, respectively. At multivariate logistic regression, extent of resection (right or right extended hepatectomy) and intraoperative blood transfusion were independent predictors of postoperative mortality (P = .03 and P = .006, respectively); in patients with jaundice, mortality was also higher without preoperative biliary drainage than with biliary drainage (14.3% vs 10.7%). During the study period, there was an increasingly aggressive approach, with more frequent caudate lobectomies, vascular resections, and resections for advanced tumors (T stage of 3 or greater and tumors with poor differentiation). Despite the aggressive approach, the blood transfusion rate decreased from 81.0% to 53.2%, and mortality slightly decreased from 13.6% to 10.8%. Median overall survival significantly increased from 16 to 30 months (P = .05). At multivariate analysis, R1 resection, lymph node metastases, and T stage of 3 or greater independently predicted overall and disease-free survival. CONCLUSIONS: Surgery for hilar cholangiocarcinoma has improved with decreased operative risk despite a more aggressive surgical policy. Long-term survival after liver resection has also increased, despite the inclusion of cases with more advanced hilar cholangiocarcinoma. Preoperative biliary drainage was a safe strategy before right or right extended hepatectomy in patients with jaundice. Pathologic factors independently predicted overall and disease-free survival at multivariate analysis

Picta fragmenta. La pittura vesuviana: una rilettura

Il pi\uf9 grande archivio della pittura antica: Pompei e la regione vesuviana lo sono ancora, a quasi tre secoli dall\u2019inizio della loro riscoperta. Anche se in questa seconda vita non tutto quello che era stato riportato alla luce ha superato la prova del tempo: molte decorazioni, ancora ben leggibili e ricche di colore al momento del rinvenimento, oggi sono scomparse. Per assicurare anche a chi verr\ue0 dopo di noi la conoscenza di questo eccezionale patrimonio, tanto prezioso quanto fragile, due sono le vie principali da percorrere: la conservazione della materia e il restauro della memoria. Solo attraverso azioni sistematiche di manutenzione i picta fragmenta di Pompei e gli altri vesuviani, cos\uec come quelli di tutti gli altri siti archeologici che hanno restituito tracce delle pareti dipinte del mondo antico, possono resistere all\u2019usura del tempo. Altrettanto importante \ue8 il lavoro di chi cerca di ricondurre i frammenti alla loro situazione originaria, ricomponendo disegni e restituendo colori, con un restauro che pu\uf2 essere reale e materico, ma anche virtuale. Alla base di entrambi sta l\u2019indispensabile miniera di informazioni che generazioni di ricercatori (archeologi, storici dell\u2019arte, archeometri) e di artisti (fotografi, disegnatori, pittori) hanno contribuito a formare. Da questa sinergia di competenze e di indirizzi nasce quell\u2019approccio globale e olistico allo studio della pittura antica che la comunit\ue0 scientifica indica come necessario: per meglio conoscere le pareti antiche in s\ue9, quale espressione di un\u2019arte applicata, e nei loro contesti, e per meglio farle conoscere. Pompei e i siti vesuviani sono, anche in questo, uno straordinario osservatorio-laboratorio: rileggere, con occhi nuovi e nuove domande, quello che delle loro pareti dipinte \ue8 arrivato sino a noi \ue8 l\u2019intento di questo libro. Alla ricerca, a partire dai picta fragmenta, delle picturae antiche: una realt\ue0 al plurale, da indagare con un approccio al plurale

Safety of hospital discharge before return of bowel function after elective colorectal surgery

© 2020 BJS Society Ltd Published by John Wiley & Sons LtdBackground: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien–Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4–7) and 7 (6–8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien\u2013Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9\ub72 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4\u20137) and 7 (6\u20138) days respectively (P &lt; 0\ub7001). There were no significant differences in rates of readmission between these groups (6\ub76 versus 8\ub70 per cent; P = 0\ub7499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0\ub790, 95 per cent c.i. 0\ub755 to 1\ub746; P = 0\ub7659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34\ub77 versus 39\ub75 per cent; major 3\ub73 versus 3\ub74 per cent; P = 0\ub7110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system. Results A total of 3288 patients were included in the analysis, of whom 301 (9 center dot 2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P &lt; 0 center dot 001). There were no significant differences in rates of readmission between these groups (6 center dot 6 versus 8 center dot 0 per cent; P = 0 center dot 499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0 center dot 90, 95 per cent c.i. 0 center dot 55 to 1 center dot 46; P = 0 center dot 659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34 center dot 7 versus 39 center dot 5 per cent; major 3 center dot 3 versus 3 center dot 4 per cent; P = 0 center dot 110). Conclusion Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients