Dall'Europa alle città. Cittadinanza globalizzata a confini variabili

The meanings and the practices of citizenship are changing owing to globalization processes and the birth of supranational political and economic organizations, such as the European Union. The political supranational, national and sub-national institutions define – through distinctions, separations and segmentations of rights – the recognition of citizenship rights. This article proposes some results concerning a broad research carried out on the cultural and social processes inherent in the construction of European citizenship. In particular, the paper focuses on the freedom of movement definition in order to grasp the processes of European citizenship construction, because it structures both the inclusion patterns and the borders of citizenship. The paper is based on the analysis of discourses of three different kinds of text: an European directive, two oral communication at the Italian Parliament and a municipal bylaw. The analysis will show the variations of the dominant discourse on free movement and the cultural construction of two ideal types of internal migrants through citizenship segmentation based on work and income

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

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

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

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

Ukrainian migrant workers in Italy: coping with and reacting to downward mobility

none1nononeVianello, F. AVianello, Francesc

Database parziale progetto MigOccH

In questo database sono registrati i risultati di alcune domande del questionario somministrato dal progetto MigOcch sulla salute delle migranti moldave a Padova. In particolare riportiamo il database relativo all'Hopkins Symptoms Checklist (HSCL-10) e al Self-Rated Health Scale (SRHS)

International migrations and the reorganization of care. The cases of THE Republic of Moldova, Romania and Ukraine

Since the relevance of migrations from Eastern Europe to Southern Europe, this paper presents a qualitative study carried out in Moldova, Romania and Ukraine concerning the reorganization of care to address the impact of care drain. In particular the reorganization of care for children and elderly left behind is analised, taking into account the four poles of the «care diamond»: transnational families, the State, the third sector and the market. The perspective from the countries of origin, the comparison between two systems of care, for childern and for elderly people, and the inclusion of State and civil society into the analysis of care provisions provide a more complete picture of the social transformations generated by mass emigration