37 research outputs found
Cross-cultural adaptation, validity and reliability study of the italian version of the back pain functional scale
SUMMARY
Introduction. The Back Pain Functional Scale is a scale to assess disability in Low Back
Pain patients. The purpose of this study was to translate, culturally adapt and validate
the BPFS from the original English language into Italian.
Materials and methods. Translation and cultural adaptation have been performed
following international guidelines. 170 italian-speaking subjects with low back pain
were recruited; 58 of them also performed the re-test. Internal consistency was assessed
by calculating Cronbachâs Alpha and test-retest reliability was assessed by calculat ing the Intraclass Correlation Coefficient (ICC). Exploratory factor analysis and was
performed to assess the construct validity and the correlation with other clinical scales
was observed through Pearsonâs correlation coefficients.
Results. High internal consistency (Cronbachâs Alpha = 0.912) and very good test-re test reliability (ICC = 0.956) were found. Pearsonâs correlation coefficient showed
statistically significant correlations (p < 0.01) with the BPFS, FRI and ODI.
Conclusions. The Italian version of the BPFS showed with good reliability and
construct validity. This scale can be considered for the assessment of functional disabil ity in subjects with LBP: short, intuitive and easy to understand. It can certainly be
used for both clinical practice and research
The Upper Extremity Functional Index (UEFI). Cross-cultural adaptation, reliability, and validity of the italian version
SUMMARY
Introduction. The Italian version of the Upper Extremity Functional Index (UEFI) may
help assess shoulder function in patients with shoulder problems, especially athletes.
Objective. Translate and cross-culturally adapt UEFI into Italian; verify
UEFI validity and reliability in professional and amateur athletes
with upper limb musculoskeletal disorders, shoulder, in particular.
Methods. This study was conducted with 150 participants with musculoskeletal
disorders of the upper limb. UEFI, the short version of the Disability of the
Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability
Index, and the Short Form-36 Health Survey (SF-36) were administered.
Acceptability was assessed in terms of refusal rate, rates of missing responses,
and administration time; test-retest reliability was assessed with intraclass
correlation coefficient (ICC); internal consistency was assessed with Cronbachâs
alpha coefficient, and validity was assessed by Pearsonâs correlation coefficients.
Results. Cronbachâs alpha coefficients for the UEFI on test and retest were
α = 0.979 and α = 0.985, respectively. The average measure ICC was 0.917.
The UEFI score demonstrated strong negative correlations with SPADI
total score (-0.636), Quick DASH score (-0.685), and SF-36 score (-0.327).
Conclusions. The Italian version of UEFI is acceptable, valid, and reliable
Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes
Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening
Lingua e linguaggio della comunicazione pubblica
Lingua, linguaggio, comunicazione sono termini profondamente legati tra loro e caratterizzanti la quasi totalitĂ delle attivitĂ relazionali dei componenti di una comunitĂ , nello spazio privato come nello spazio del dialogo pubblico, âcivileâ. Il saggio si propone di analizzare come le scelte linguistiche influenzino la comunicazione pubblica e le finalitĂ che essa Ăš chiamata a perseguire, perchĂ© sia effettiva la circolazione delle informazioni tra lâapparato istituzionale, gli individui e le parti sociali. Le attivitĂ di comunicazione concorrono a realizzare il modello democratico previsto dalla Costituzione e richiedono che lâagire delle istituzioni sia improntato responsabilmente al rispetto dei criteri di trasparenza, obiettivitĂ , inclusivitĂ , affidabilitĂ . Anche per questo Ăš necessario distinguere tra comunicazione istituzionale e comunicazione politica, i cui linguaggi, considerata oggi l'influenza della Rete, sono sensibilmente diversi
Democrazia e controllo pubblico. Dalla prima modernitĂ al web
La modernitĂ politica europea si Ăš costruita sulla relazione fra partecipazione politica in senso democratico e lâassoluta unitĂ incarnata dalla forma della sovranitĂ ; piĂč in dettaglio, sul rapporto fra il termine-concetto âpopoloâ e la forma della sovranitĂ . A fondamento del costituzionalismo moderno sta infatti la necessitĂ del rapporto di legittimazione democratica tra gli elettori e il potere pubblico. Ă attraverso il diritto al voto che piĂč direttamente tale rapporto si attiva, ma molte altre sono le forme giuridicamente rilevanti con cui si concorrono permanentemente a determinare la legittimazione popolare dei poteri pubblici ed a condizionare il modo in cui sono esercitati