From virtual to real healing: a critical overview of the therapeutic use of virtual reality to cope with mourning

In recent years, virtual reality (VR) has been effectively employed in several settings, ranging from health care needs to leisure and gaming activities. A new application of virtual stimuli appeared in social media: in the documentary ‘I met you’ from the South-Korean Munhwa Broadcasting, a mother made the experience of interacting with the avatar of the seven-year-old daughter, who died four years before. We think that this new application of virtual stimuli should open a debate on its possible implications: it represents contents related to grief, a dramatic and yet natural experience, that can have deep psychological impacts on fragile subjects put in virtual environments. In the present work, possible side-effects, as well as hypothetical therapeutical application of VR for the treatment of mourning, are discussed

Pyothorax and pulmonary lymphomatoid granulomatosis in a cat

A 7-year-old female neutered British Short Hair cat was presented for further investigation and treatment of pleural effusion due to a possible pyothorax. Cytology and culture of the fluid identified pyothorax and a large mass/consolidated right caudal lung lobe was found on x-ray, ultrasound and CT scan. Lung lobectomy was performed and a diagnosis of pulmonary lymphomatoid granulomatosis (PLG) was confirmed by histopathology and immunohistochemistry. Despite medical treatment the patient was euthanized due to progression of the disease and deterioration of her clinical signs. This is the second case of PLG reported in a cat and the first case of PLG with concurrent pyothorax. PLG, despite being very rare, should be added to the list of differential diagnoses for pyothorax and solitary lung masses in cats.Non

Prassi di riferimento UNI/PdR 13.1:2015. Sostenibilità ambientale nelle costruzioni - Strumenti operativi per la valutazione della sostenibilità. Edifici residenziali

Il documento specifica i criteri sui quali si fonda il sistema di analisi multicriteria per la valutazione della sostenibilità ambientale degli edifici residenziali, ai fini della loro classificazione attraversol’attribuzione di un punteggio di prestazione. Oggetto della valutazione è un singolo edificio e la sua area esterna di pertinenza. Il documento si applica ai fini del calcolo del punteggio di prestazione di edifici residenziali, di nuova costruzione o oggetto di ristrutturazione

Prassi di Riferimento UNI/PdR 13.1:2015 Sostenibilità ambientale nelle costruzioni - Strumenti operativi per la valutazione della sostenibilità. Inquadramento generale e principi metodologici.

Il documento illustra l’inquadramento generale e i principi metodologici e procedurali che sottendono al sistema di analisi multicriteria per la valutazione della sostenibilità ambientale degli edifici, ai fini della loro classificazione attraverso l’attribuzione di un punteggio di prestazione. Oggetto della valutazione è un singolo edificio e la sua area esterna di pertinenza. Il documento si applica sia a edifici di nuova costruzione sia a edifici oggetto di ristrutturazione

Guida alla redazione degli atti amministrativi

La "Guida alla redazione degli atti amministrativi" intende fornire indicazioni per la redazione degli atti per tutti i funzionari della pubblica amministrazione. Si articola in tre parti: (a) la lingua degli atti, (b) la struttura del provvedimento amministrativo, (c) il rinvio ad altri atti. Ne è autore un gruppo di linguisti e giuristi facenti capo all'ITTIG-CNR (Istituto per le Tecniche e Tecnologie dell'Informazione Giuridica) e dell'Accademia della Crusca

Livestock-associated methicillin-resistant Staphylococcus aureus responsible for human colonization and infection in an area of Italy with high density of pig farming

BACKGROUND: Livestock-Associated MRSA (LA-MRSA) belonging to ST398 lineage, common among pigs and other animals, emerged in Central and Northern Europe, becoming a new risk factor for MRSA among farm workers. Strains belonging to ST398 can be responsible for human colonization and infection, mainly in areas with high livestock-farming. The aim of this study was to investigate the occurrence of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) human colonization and infections in an area of the Lombardy Region (Italy), the Italian region with the highest density of pig farming. METHODS: In the period March-April 2010, 879 nasal swabs were taken from subjects at admission to a local hospital serving an area of the Lombardy Region devoted to agriculture and farming. In the period March 2010-February 2011, all MRSA strains from community-acquired infection (CAI) observed in the same hospital, were collected. Molecular characterization of the isolates included SCCmec typing, spa typing and multilocus sequence typing (MLST). RESULTS: Out of 879 nasal swabs examined, 9 (1%) yielded MRSA. Five strains were assigned to sequence type (ST)398 (spa t899, 3 isolates; t108 and t2922, 1 isolate each) and were therefore categorized as LA-MRSA. The other 4 isolates were likely of hospital origin. No strains were positive for Panton-Valentine Leukocidin genes. Twenty MRSA isolates were detected from CAI, 17 were from skin and soft-tissue infections and 3 from other infections. An MRSA isolate from otitis externa was t899/ST398 and PVL-negative, hence categorized as LA-MRSA. Four isolates were assigned to t127/ST1. Eight strains were PVL-positive community acquired (CA)-MRSA and belonged to different clones, the most frequent being ST8. CONCLUSIONS: In an area of Italy with high density of pig farming, LA-MRSA is able to colonize the population and rarely to produce infections. Typical CA-MRSA is more common than LA-MRSA among CAI

Expression and biological-clinical significance of hTR, hTERT and CKS2 in washing fluids of patients with bladder cancer

<p>Abstract</p> <p>Background</p> <p>at present, pathogenesis of bladder cancer (BC) has not been fully elucidated. Aim of this study is to investigate the role of human telomerase RNA (<it>hTR</it>), human telomerase reverse transcriptase (<it>hTERT</it>) and CDC28 protein kinase regulatory subunit 2 (<it>CKS2</it>) in bladder carcinogenesis and their possible clinical significance;</p> <p>Methods</p> <p>the transcript levels of <it>hTR</it>, <it>hTERT </it>and <it>CKS2 </it>were quantified by Real time reverse transcriptase chain reaction in exfoliated cells from bladder washings of 36 patients with BC and 58 controls. The statistical significance of differences between BC bearing patients and control groups, in the general as well as in the stratified analysis (superficial or invasive BC), was assessed by Student's t test. Non parametric Receiver Operating Characteristics analysis (ROC) was performed to ascertain the accuracy of study variables to discriminate between BC and controls. The clinical value of concomitant examination of <it>hTR</it>, <it>hTERT </it>and <it>CKS2 </it>was evaluated by logistic regression analysis;</p> <p>Results</p> <p>a significant decrease in <it>hTR </it>and a significant increase in <it>hTERT </it>or <it>CKS2 </it>gene expression were found between BC bearing patients and controls, as well as in the subgroups analysis. The area under the curve (AUC) indicated an average discrimination power for the three genes, both in the general and subgroups analysis, when singularly considered. The ability to significantly discriminate between superficial and invasive BC was observed only for <it>hTR </it>transcript levels. A combined model including <it>hTR </it>and <it>CKS2 </it>was the best one in BC diagnosis;</p> <p>Conclusions</p> <p>our results, obtained from a sample set particularly rich of exfoliated cells, provide further molecular evidence on the involvement of <it>hTR, hTERT </it>and <it>CKS2 </it>gene expression in BC carcinogenesis. In particular, while <it>hTERT </it>and <it>CKS2 </it>gene expression seems to have a major involvement in the early stages of the disease, <it>hTR </it>gene expression, seems to be more involved in progression. In addition, our findings suggest that the studied genes have a clinical role in discriminating between BC and controls in the general as well as in the stratified analysis, when singularly considered. A combined model improved over the single marker BC diagnosis.</p

Questioni etiche dei test genetici : tra privacy e diritto di non sapere

I risultati della ricerca biomedica stanno cambiando radicalmente il volto diagnostico e terapeutico della medicina, ma stanno anche aprendo nuove questioni etiche sulle quali il cittadino deve essere informato per poter partecipare in modo consapevole alle decisioni che lo riguardano. L'utilizzo di staminali embrionali umane, la sperimentazione su animali, le prospettive della biologia sintetica, l'istituzione di biobanche, gli studi clinici su soggetti umani, le nuove frontiere della ricerca e i rischi di una nuova eugenetica, la sperimentazione di terapie cellulari, ma anche gli aspetti pi\uf9 critici delle campagne di prevenzione e del prolungamento della durata della vita umana sono tutti temi che aprono la porta a interrogativi etici nuovi o che gettano una luce diversa su problemi che da sempre si pongono alla riflessione morale