Rivoluzioni perferiche e declino della Monarchia di Spagna.

Sin resume

The use of yoga to manage stress and burnout in healthcare workers: a systematic review

The purpose of this systematic review is to analyze and summarize the current knowledge regarding the use of yoga to manage and prevent stress and burnout in healthcare workers. In February 2017, a literature search was conducted using the databases Medline (PubMed) and Scopus. Studies that addressed this topic were included. Eleven articles met the inclusion criteria. Seven studies were clinical trials that analyzed yoga interventions and evaluated effectiveness by gauging stress levels, sleep quality and quality of life. A study on Chinese nurses showed statistical improvement in stress levels following a six-month yoga program (χ2 = 16.449; p < 0.001). A population of medical students showed improvement in self-regulation values after an 11-week yoga program (from 3.49 to 3.58; p = 0.04) and in self-compassion values (from 2.88 to 3.25; p = 0.04). Four of the included articles were observational studies: They described the factors that cause stress in the work environment and highlighted that healthcare workers believe it is possible to benefit from improved physical, emotional and mental health related to yoga activity. According to the literature, yoga appears to be effective in the management of stress in healthcare workers, but it is necessary to implement methodologically relevant studies to attribute significance to such evidence

Impact of hospital mergers. A systematic review focusing on healthcare quality measures

Background Despite mergers have increasingly affected hospitals in the recent decades, literature on the impact of hospitals mergers on healthcare quality measures (HQM) is still lacking. Our research aimed to systematically review evidence regarding the impact of hospital mergers on HQM focusing especially on process indicators and clinical outcomes. Methods The search was carried out until January 2020 using the Population, Intervention, Comparison and Outcome model, querying electronic databases (MEDLINE, Scopus, Web Of Science) and refining the search with hand search. Studies that assessed HQM of hospitals that have undergone a merger were included. HQMs were analyzed through a narrative synthesis and a strength of the evidence analysis based on the quality of the studies and the consistency of the findings. Results The 16 articles, included in the narrative synthesis, reported inconsistent findings and few statistically significant results. All indicators analyzed showed an insufficient strength of evidence to achieve conclusive results. However, a tendency in the decrease of the number of beds, hospital staff and inpatient admissions and an increase in both mortality and readmission rate for acute myocardial infarction and stroke emerged in our analysis. Conclusions In our study, there is no strong evidence of improvement or worsening of HQM in hospital mergers. Since a limited amount of studies currently exists, additional studies are needed. In the meanwhile, hospital managers involved in mergers should adopt a clear evaluation framework with indicators that help to periodically and systematically assess HQM ascertaining that mergers ensure and primarily do not reduce the quality of care

Libertà politica e virtù civile. Significati e percorsi del repubblicanesimo classico

Tra storia e filosofia della politica, il volume analizza il ruolo delle idee politiche repubblicane nella formazione delle repubbliche moderne e propone spunti di riflessione sul significato del repubblicanesimo per il futuro delle democrazie.- Indice #5- Introduzione, Maurizio Viroli #9- Il repubblicanesimo di Machiavelli, Maurizio Viroli #19- Declino e durata delle repubbliche e delle idee repubblicane nell’Italia del Cinquecento, Elena Fasano Guarini #49- Patriottismo e riforma politica, Rosario Villari #113- Le idee repubblicane e la Rivoluzione inglese, Blair Worden #127- Cittadini, clienti e creditori: la repubblica come critica del mutamento storico, John G. A. Pocock #151- Le trasformazioni del repubblicanesimo classico nella Francia del Settecento, Keith Michael Baker #167- Virtù e Vittorianesimo. I valori repubblicani del liberalismo inglese, 1860/1890, Eugenio F. Biagini #195- Tra virtù e libertà: percorsi dell’idea repubblicana nella Francia ottocentesca (1830/1875), Mirella Larizza #217- La tradizione repubblicana nell’Italia dell’Ottocento e del Novecento, Massimo L. Salvadori #245- Considerazioni sulla libertà repubblicana, Quentin Skinner #267- “Moderno repubblicanesimo”? La promessa della società civile, Benjamin R. Barber #279- La moderna repubblica: mito o realtà?, Jean Fabien Spitz #30

A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy

The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 +/- 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32-0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions

Éloge de la dissimulation

La politique baroqueLes formes propres du Baroque, la tortuosité, l’ambiguïté, la complexité du sentiment et de l’expression, ne se sont pas seulement diffusées dans l’art et dans la littérature, mais aussi dans la vie pratique et les relations entre les hommes. La correspondance entre culture et attitudes pratiques à cette époque a bien été étudiée pour quelques cas particuliers, mais en général, les orientations de la recherche et les critères de jugement demeurent différents pour l’un et l..

Breve riflessione sulla Dissimulazione onesta di Torquato Accetto

Colgo questa occasione per fare qualche riflessione sulla validità e sui limiti del mio commento di alcuni anni fa alla Dissimulazione onesta di Torquato Accetto. Nel modo più sintetico posso dire di avere tentato allora di richiamare l’attenzione, oltre che sul contenuto individuale-universale (intendo dire etico) di quella opera, anche sul suo significato pubblico e politico. Il suo punto di riferimento è, a mio avviso, la ricerca di un modo efficace di opposizione e di resistenza alla tira..

Libéralisme et déséquilibre économique italien

Villari Rosario. Libéralisme et déséquilibre économique italien. In: Annales. Economies, sociétés, civilisations. 19ᵉ année, N. 3, 1964. pp. 449-466

Baroque personae

Chicago357 p.: index; 23 c