43 research outputs found

    Studiare, documentarsi, incontrarsi. Indagine sull'utenza delle biblioteche dell'UniversitĂ  di Bologna

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    Nel 2004 il Sistema bibliotecario, in collaborazione con l'Osservatorio statistico, ha effettuato una rilevazione sulla soddisfazione degli utenti tramite questionario-intervista. L'indagine Ăš stata condotta nelle otto biblioteche centralizzate della sede di Bologna e in quattro delle maggiori biblioteche di dipartimento, una per ognuna delle aree disciplinari dello SBA (biosfera, scientifico-tecnica, sociale e umanistica). Allo scopo di raccogliere le valutazioni di un campione rappresentativo dell'utenza delle dodici biblioteche nel medesimo periodo di calendario, la rilevazione Ăš stata interamente condotta nella settimana compresa fra il 22 ed il 26 novembre 2004. Il questionario di indagine, predisposto dallo SBA, Ăš stato somministrato e compilato direttamente dai rilevatori (intervista face to face). Complessivamente, sono state effettuate nei 5 giorni della rilevazione oltre 3.600 interviste, a fronte di un'utenza giornaliera che nelle biblioteche interessate Ăš stimata prossima alle 2.400 unitĂ . I primi mesi del 2005 sono stati dedicati alla scannerizzazione delle schede raccolte, al successivo controllo e correzione dei risultati della lettura ottica, all'elaborazione ed alla produzione della documentazione statistica. I risultati complessivi sono stati illustrati nel corso di una conferenza stampa il 20 maggio e sono raccolti in questo rapporto, mentre quelli relativi ad ogni singola biblioteca sono stati inviati ai responsabili della struttura

    Ordinationi fatte, et stabilite dall'illustr.mo et reuer.mo monsignor il card. Caietano legato & molto ill. sig. Quaranta. Le quali si doueranno osseruare nel Studio di Bologna per conseruare la dignitĂ , & riputatione di esso, et per vtile, & beneficio de scolari

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    4! c. ; 4o Data di emanazione: Bologna, 25 settembre 1586 (in latino) Cors. ; rom Segn.: A4 Iniziale e fregio xil Stemmi del card. Caetani e di Bologna sul front Cfr. Z. Zanardi, Bononia manifesta. Firenze, 1996, n. 1722 (b) Altra edizione copiata linea per linea (n. 1722a) reca sul front. solo lo stemma del cardinal

    La valorizzazione del patrimonio bibliotecario tra public engagement e public history

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    Le biblioteche, attraverso i servizi, le attivitĂ , i professionisti e i cittadini, si possono fare luoghi attivi della dialettica tra politica e storia, memoria e storia, realtĂ  locale e globale, esperienza istituzionale e personale, passato e presente, educando cosĂŹ il pubblico alla storia e alla cittadinanza. Una strada fruttuosa Ăš quella di studiare e valorizzare il patrimonio che possiedono e a cui hanno accesso, decostruendolo, ridefinendolo e ridistribuendolo in nuove forme; a questo proposito puĂČ essere utile appoggiarsi alle pratiche e alle opportunitĂ  di public engagement che derivano dal contesto disciplinare e civile della public history

    Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

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    Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic
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