Human tularemia in Italy. Is it a re-emerging disease?

In order to evaluate whether tularemia is re-emerging in Italy, data on mortality and morbidity (obtained by the National Institute of Statistics; ISTAT), Italian cases described in the scientific literature and data concerning hospitalizations for tularemia (obtained by the National Hospital Discharge Database) were analysed. From 1979 to 2010, ISTAT reported 474 cases and no deaths. The overall number of cases obtained from the literature review was at least 31% higher than that reported by ISTAT. Moreover, the number of cases reported by ISTAT was 3·5 times smaller than hospitalized cases. The real frequency of the disease should be carefully investigated and taken into account in order to implement specific prevention measures.Tularemia is a contagious infectious disease due to Francisiella tularensis that can cause serious clinical manifestations and significant mortality if untreated. Although the frequency and significance of the disease has diminished over the last decades in Central Europe, over the past few years, there is new evidence suggesting that tularemia has re-emerged worldwide. To know the real epidemiology of the disease is at the root of correct control measures. In order to evaluate whether tularemia is re-emerging in Italy, data on mortality and morbidity (obtained by the National Institute of Statistics; ISTAT), Italian cases described in the scientific literature and data concerning hospitalizations for tularemia (obtained by the National Hospital Discharge Database) were analysed. From 1979 to 2010, ISTAT reported 474 cases and no deaths. The overall number of cases obtained from the literature review was at least 31% higher than that reported by ISTAT. Moreover, the number of cases reported by ISTAT was 3·5 times smaller than hospitalized cases. In Italy tularemia is sporadic, rarely endemic and self-limiting; but, although the trend of reported tularemia does not support the hypothesis of a re-emerging disease, the study demonstrates a wide underreporting of the disease. The real frequency of the disease should be carefully investigated and taken into account in order to implement specific prevention measures

Purchasing Strategies to Improve Care Management for Complex Populations: A National Scan of State Purchasers

Explores cost-effective alternatives to fee-for-service plans and full-risk managed care for Medicaid's aged, blind, and disabled or Supplementary Security Income beneficiaries. Includes summaries of systems being implemented in twelve states

Characteristic classes and Hochschild homology of group graded algebra

We define characteristic classes in the Hochschild homology of a Ggraded algebra G a discrete group These classes determine the dierential of the spectral sequence of Lorenz We give an explicit description for G the fundamental group of a Riemann surfac

Implementasi Kebijakan Rentan Administrasi Kependudukan di Dinas Kependudukan dan Catatan Sipil Kabupaten Halmahera Utara

Administration vulnerable population population population is experiencing barriers in obtaining documents population caused by natural disasters and social disaster victims. In accordance with the results in dapati masi prasurvei many residents in North Halmahera are still experiencing vulnerable population administration. Therefore it is necessary to conduct further research on the "Implementation of Policies Vulnerable Population Administration in the Department of Population and Civil Registry of North Halmahera.Based on the conclusions of this study, it can be recommended for general advice for North Halmahera district government in this case the Department of Population and Civil Registry of North Halmahera regency that is hoped to North Halmahera district government to be able to follow up on the Minister of Home Affairs Regulation No. 11 of 2010, concerning the implementation of Data Collection and Publishing Guidelines policy document Population Population Share Vulnerable Population Administration to implement, and can also optimize the existing resources in the Department of Population and Civil Registry and add facilities to support the services of the agency itself

Cohomologie de Bredon et homologie cyclique

For a Gmanifold X G nite group Bredon cohomology Z graded of X and periodic cyclic homology of crossed product are isomorphi

Caractéristique d'Euler equivariante en homologie cyclique périodique

We explain in cyclic homology setting some results of Atiyah and Segal on orbifold Euler characteristic For this we give a new and direct proof for the Chern isomorphism between equivariant ktheory and periodic cyclic homology of crossed product by a nite grou

Homologie cyclique du produit croise algebrique et groupes de surfaces

Let a group G act on an associative algebra A One can form the algebraic crossed product A G cf which plays the role of a noncommutative quotient in Conness theory The cyclic homology of this algebra was studied extensively in a series of papers It is well known that this homology admits a decomposition into a direct sum cf where the summands are indexed by conjugacy classes of elements of the group Every direct summand is a limit of a spectral sequence whose E term is the homology of the group with coecients in certain homology groups cf These latter homology groups are the cyclic homology groups of the algebra if the conjugacy class is the identity element In this paper we studie this spectral sequence and the generalized version to negative and periodique cyclic homology The main result cf is the description of the dierential in the E term More generally we dene characteristic classes for the action of an algebra on a mixed complex When the mixed complex is the naturel one associated to a G algebra A and the operation is that of an automorphism group G of A these classes determine the dierential d of this spectral sequence We apply this result to obtain a description of the periodic cyclic homology of a crossed product by the fundamental group of a Riemann surfac

GESTURES USED BY MARGARET THATCHER IN THE IRON LADY MOVIE

Abstrak Komunikasi merupakan hal yang penting dalam kehidupan manusia. Gestur adalah kepentingan utama bagi seseorang untuk mengekspresikan kebutuhan, rasa, opini dan maksud didalam komunikasi. Penelitian ini memfokuskan pada bagaimana seseorang menggunakan gestur dalam film yang bertujuan menunjukkan status seseorang dalam percakapan. Penelitian ini bertujuan untuk menganalisa gestur seseorang yang memiliki status tinggi. Yang meliputi: (1) apa saja macam-macam gestur yang digunakan oleh Margaret Thatcher dalam film The Iron Lady (2) di konteks apa tipe gestur digunakan oleh Margaret Thatcher dalam film The Iron Lady (3) bagaimana efek dari penggunaan gestur oleh Margaret Thatcher dalam film The Iron Lady pada lawan bicara. Penelitian ini menggunakan metode kualitatif deskripsi yang digunakan untuk menggambarkan dan menganalisa gestur oleh Margaret Thatcher. Teori utama yang digunakan adalah macam-macam gestur oleh Nierenberg dan Calero (2001). Data analisis melalui proses mengurangi data, menyajikan dan menyimpulkan. Hasil penelitian menunjukkan bahwa penelitian ini menemukan beberapa macam gestur yang digunakan oleh seseorang yang memiliki status tinggi dalam film. Yaitu senyum sederhana, senyum lebar, senyum bujur, menyilangkan kaki, gestur dengan kaca mata, berjabat tangan, menunjuk, mengunci pergelangan kaki, dan menggenggam tangan dengan rapat. Setiap gestur memiliki arti dan efek masing-masing tergantung pada konteks dalam percakapan, contohnya Margaret Thatcher menggunakan senyum lebar untuk menujukkan kegembiraannya dalam situasi semiformal, gestur tersebut membuat lawan bicara memberikan senyum dan menikmati pembicaraan. Kata kunci: Gestur, gaya berbicara, konteks. Abstract Communication is the important thing of human life. Gesture is the central importance to people expression of needs, feelings, opinions, and intentions in communication. This study focuses on how the gestures used by someone in the movie correlating to the purpose of showing the status in conversation. The purpose of this study is to analyze the gestures of someone who has high status and describe the effect to the interlocutors. The description consists of (1) what kinds of gestures that are used by Margaret Thatcher in The Iron Lady movie; (2) under what context does the type of gestures are used by Margaret Thatcher in The Iron Lady movie; (3) how are the effects of using gestures by Margaret Thatcher in The Iron Lady movie to the interlocutors. This study used descriptive qualitative method which is conducted to describe and analyze the gestures used by Margaret Thatcher. The main theory is the kinds of gestures by Nierenberg and Calero (2001). The data analysis requires the process of reducing the data, displaying and concluding. The result shows that this study has found several kinds of gestures which are used by someone who has high status in the movie. They are simple smile, broad smile, oblong smile, cross the leg, gesture with glasses, hand shaking, pointing index finger, lock the ankle, and tightly clenched hands. Each of the gestures has their own meaning and effect to the interlocutors depending on the context in conversations, for example Margaret Thatcher uses broad smile to show her gladness in semiformal situation, the gesture makes the interlocutor give smile and enjoy the conversation. Keywords: Gesture, Speech Style, Context

Rainbow beach

Rainbow Beach is the story of a family that escapes to a faraway place to forget the past and the past that follows them there. It is the story of a landscape, at times serene, at times explosive, that mirrors them and that they come to adore and yet resist. And it is the story of a father struggling under the weight of his memories and the daughter who loves him fiercely and senses the coming collapse and whose own memories take root in a part of the soul too deep to be erased