2,451 research outputs found

    Actual implementation of sick children's rights in Italian pediatric units: a descriptive study based on nurses' perceptions

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    BACKGROUND: Several charters of rights have been issued in Europe to solemnly proclaim the rights of children during their hospital stay. However, notwithstanding such general declarations, the actual implementation of hospitalized children’s rights is unclear. The purpose of this study was to understand to which extent such rights, as established by the two main existing charters of rights, are actually implemented and respected in Italian pediatric hospitals and the pediatric units of Italian general hospitals, as perceived by the nurses working in them. METHODS: Cross-sectional study. A 12-item online questionnaire was set up and an invitation was sent by email to Italian pediatric nurses using professional mailing lists and social networks. Responders were asked to score to what extent each right is respected in their hospital using a numeric scale from 1 (never) to 5 (always). RESULTS: 536 questionnaires were returned. The best implemented right is the right of children to have their mothers with them (mean score 4.47). The least respected one is the right of children to express their opinion about care (mean 3.01). Other rights considered were the right to play (4.29), the right to be informed (3.95), the right to the respect of privacy (3.75), the right to be hospitalized with peers (3.39), the right not to experience pain ever (3.41), and the right to school (3.07). According to the majority of nurses, the most important is the right to pain relief. Significant differences in the implementation of rights were found between areas of Italy and between pediatric hospitals and pediatric units of general hospitals. CONCLUSION: According to the perception of pediatric nurses, the implementation of the rights of hospitalized children in Italian pediatrics units is still limited

    Hard X-ray emission from the galaxy cluster A3667

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    We report the results of a long BeppoSAX observation of Abell 3667, one of the most spectacular galaxy cluster in the southern sky. A clear detection of hard X-ray radiation up to ~ 35 keV is reported, while a hard excess above the thermal gas emission is present at a marginal level that should be considered as an upper limit to the presence of nonthermal radiation. The strong hard excesses reported by BeppoSAX in Coma and A2256 and the only marginal detection of nonthermal emission in A3667 can be explained in the framework of the inverse Compton model. We argue that the nonthermal X-ray detections in the PDS energy range are related to the radio index structure of halos and relics present in the observed clusters of galaxie.Comment: 15 pages, 1 figure, ApJL in pres

    Foraminifera, Thecamoebians and Palynomorphs as Hydrodynamic Indicators in Araguari Estuary, Amazonian Coast, Amapá State – Brazil

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    The Araguari estuarine dynamics is singular among traditional models of estuaries under tidal regime due to influence of macrotidal and tidal bore. In order to establish estuarine zones in Araguari according foraminifera, thecamoebians, paliynomorphs and physical-chemistry parameters, sixteen sample stations were established along the estuary. Turbidity and temperature were the environmental parameters which allowed determination of the estuarine gradient. Eighteen species of foraminifera, ten of thecamoebians and fourteen of particulate organic matter types were identified. Cluster analysis in R-mode showed three microorganism assemblages and four palynomorph ones. The CCA analyze shows turbidity and total organic matter with the most influence over foraminiferal and thecamoebians distribution at Araguari. Clustering analysis in Q-mode using all data formed four groups suggesting three estuarine zones in Araguari: Zone I composed of thecamoebian species and continental palynomorphs; Zone II - composed by mangrove foraminifera, thecamoebians and all palynomorph assemblages; and Zone III – composed by mangrove and estuarine foraminifera and all palynomorph assemblages

    Instability of black hole formation under small pressure perturbations

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    We investigate here the spectrum of gravitational collapse endstates when arbitrarily small perfect fluid pressures are introduced in the classic black hole formation scenario as described by Oppenheimer, Snyder and Datt (OSD) [1]. This extends a previous result on tangential pressures [2] to the more physically realistic scenario of perfect fluid collapse. The existence of classes of pressure perturbations is shown explicitly, which has the property that injecting any smallest pressure changes the final fate of the dynamical collapse from a black hole to a naked singularity. It is therefore seen that any smallest neighborhood of the OSD model, in the space of initial data, contains collapse evolutions that go to a naked singularity outcome. This gives an intriguing insight on the nature of naked singularity formation in gravitational collapse.Comment: 7 pages, 1 figure, several modifications to match published version on GR

    Nanoscale spin rectifiers controlled by the Stark effect

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    The control of orbital and spin state of single electrons is a key ingredient for quantum information processing, novel detection schemes, and, more generally, is of much relevance for spintronics. Coulomb and spin blockade (SB) in double quantum dots (DQDs) enable advanced single-spin operations that would be available even for room-temperature applications for sufficiently small devices. To date, however, spin operations in DQDs were observed at sub-Kelvin temperatures, a key reason being that scaling a DQD system while retaining an independent field-effect control on the individual dots is very challenging. Here we show that quantum-confined Stark effect allows an independent addressing of two dots only 5 nm apart with no need for aligned nanometer-size local gating. We thus demonstrate a scalable method to fully control a DQD device, regardless of its physical size. In the present implementation we show InAs/InP nanowire (NW) DQDs that display an experimentally detectable SB up to 10 K. We also report and discuss an unexpected re-entrant SB lifting as a function magnetic-field intensity

    The role of dedicated instrumentation in total hip arthroplasty

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    Tissue-sparing surgery is a surgical strategy aimed to reduce tissue damage in joint replacement. This can be achieved by reducing soft tissue trauma, performing minimally invasive access routes and limiting bone removal with implantation of conservative prostheses. In order to facilitate mini-approaches, special instrumentation was developed to avoid impingement of the soft tissues and provide an easier and more correct placement of the components. We performed an analysis of the literature and a research of the instrumentation available today, to evaluate the actual utility of dedicated tools

    The First Provenance Challenge

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    The first Provenance Challenge was set up in order to provide a forum for the community to help understand the capabilities of different provenance systems and the expressiveness of their provenance representations. To this end, a Functional Magnetic Resonance Imaging workflow was defined, which participants had to either simulate or run in order to produce some provenance representation, from which a set of identified queries had to be implemented and executed. Sixteen teams responded to the challenge, and submitted their inputs. In this paper, we present the challenge workflow and queries, and summarise the participants contributions

    Genome-wide association study identifies an early onset pancreatic cancer risk locus

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    Early onset pancreatic cancer (EOPC) is a rare disease with a very high mortality rate. Almost nothing is known on the genetic susceptibility of EOPC, therefore we performed a genome-wide association study (GWAS) to identify novel genetic variants specific for patients diagnosed with pancreatic ductal adenocarcinoma (PDAC) at younger ages. In the first phase, conducted on 821 cases with age of onset ≤60 years, of whom 198 with age of onset ≤50, and 3227 controls from PanScan I-II, we observed four SNPs (rs7155613, rs2328991, rs4891017 and rs12610094) showing an association with EOPC risk (P < 1x10-4 ). We replicated these SNPs in the PANcreatic Disease ReseArch (PANDoRA) consortium and used additional in silico data from PanScan III and PanC4. Among these four variants rs2328991 was significant in an independent set of 855 cases with age of onset ≤60 years, of whom 265 with age of onset≤50, and 4142 controls from the PANDoRA consortium while in the in silico data we observed no statistically significant association. However, the resulting meta-analysis supported the association (P = 1.15x10-4 ). In conclusion we propose a novel variant rs2328991 to be involved in EOPC risk. Even though it was not possible to find a mechanistic link between the variant and the function, the association is supported by a solid statistical significance obtained in the largest study on EOPC genetics present so far in the literature. This article is protected by copyright. All rights reserved
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