An army of teachers: a pedagogical approach to fight against the mafia’s culture

This book presents insights into social justice issues through the work of educators in Israel, the US, the UK, Italy, Canada, Turkey and Kazakhstan. Each chapter provides local or global theoretical insights, and these combine to provide a rich international perspective. The book offers practical strategies for the classroom, methods of teaching social justice to future teachers in various curriculum areas, and knowledge for researchers and those working in higher education. The book is unusual in its combination of local and international perspectives, practical and theoretical wisdom, and its inclusion of a variety of voices. Readers will gain new insight into concepts like radical pedagogy, interculturalism, multiculturalism, failed citizenship and cultural identity

Una comunità di pratiche: esperienze di pratica riflessiva nella formazione continua di P.I.P.P.I. Programma di Intervento Per la Prevenzione dell’Istituzionalizzazione.

P.I.P.P.I. (Programma di Intervento per la Prevenzione dell’Istituzionalizzazione), avviato nel 2011 e riconosciuto come Livello Essenziale di Prestazione Sociale (LEPS) dal 2021, accompagna strategie innovative in risposta ai problemi connessi alla negligenza familiare, coinvolgendo ad oggi 465 Ambiti Territoriali e migliaia tra operatori sociali, educativi e socio- sanitari. In ciascun Ambito sono individuati due operatori con il ruolo di coach, figura chiave che accompagna le innovazioni di P.I.P.P.I. nei territori. L’articolo si sofferma sulla formazione continua di tali figure, svolta con incontri periodici (tutoraggi) in presenza attraverso esperienze di pratica riflessiva e di confronto tra pari e con i ricercatori. L’analisi dei momenti riflessivi del primo tutoraggio della undicesima implementazione evidenzia come il processo riflessivo sia centrale per la trasformazione delle prospettive cognitive e dunque il cambiamento dell’agire

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The clinical effectiveness of an integrated multidisciplinary evidence-based program to prevent intraoperative pressure injuries in high-risk children undergoing long-duration surgical procedures: a quality improvement study

The prevention of hospital-acquired pressure injuries (HAPIs) in children undergoing long-duration surgical procedures is of critical importance due to the potential for catastrophic sequelae of these generally preventable injuries for the child and their family. Long-duration surgical procedures in children have the potential to result in high rates of HAPI due to physiological factors and the difficulty or impossibility of repositioning these patients intraoperatively. We developed and implemented a multi-modal, multi-disciplinary translational HAPI prevention quality improvement program at a large European Paediatric University Teaching Hospital. The intervention comprised the establishment of wound prevention teams, modified HAPI risk assessment tools, specific education, and the use of prophylactic dressings and fluidized positioners during long-duration surgical procedures. As part of the evaluation of the effectiveness of the program in reducing intraoperative HAPI, we conducted a prospective cohort study of 200 children undergoing long-duration surgical procedures and compared their outcomes with a matched historical cohort of 200 children who had undergone similar surgery the previous year. The findings demonstrated a reduction in HAPI in the intervention cohort of 80% (p < 0.01) compared to the comparator group when controlling for age, pathology, comorbidity, and surgical duration. We believe that the findings demonstrate that it is possible to significantly decrease HAPI incidence in these highly vulnerable children by using an evidence-based, multi-modal, multidisciplinary HAPI prevention strategy

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks