Anisakiasis in italy: analysis of hospital discharge records in the years 2005-2015

Background Anisakiasis is a fish-borne zoonosis caused by the ingestion of marine food infected with Anisakis third-stage larvae, widespread marine parasitic nematodes. Gastrointestinal and/ or allergic clinical signs and symptoms are not specific. While frequently reported in countries with large raw fish consumption as Japan, the global prevalence of anisakiasis may be severely underestimated due to limitations of available diagnostic tools and to diverse clinical manifestations. Recently, infective larvae were found in the same localization with gastrointestinal tumors. The occurrence of allergic exacerbation upon secondary exposure and the possible occupational exposure, highlight the need to increase scientific evidences on anisakiasis. Methods We performed a retrospective descriptive study using analysis of Hospital Discharge Records (HDRs) from 2005 to 2015 in Italy, with particular attention to allergic manifestations. Descriptive statistics and multivariate analyses were performed using backward step-wise logistic regression models to assess spatial distribution and temporal trend as well as the variables independently associated with the allergic clinical signs and symptoms in Italian cases of anisakiasis. Results HDRs reporting the ICD-9 code for anisakiasis were retrieved (370), with a higher number of cases reported from central and southern regions, with particular regard to populations inhabiting the coastal territories. Around 40% of patients presented allergic manifestations and half of them showed serious allergic reactions. The multivariate analyses showed an independent association between allergic manifestations and features as living in southern regions and female gender, while anaphylactic episodes was independently associated only with female gender. Conclusion The present study is the first attempt to a better understanding of the epidemiological picture of anisakiasis in Italy, mining official data. A common strategy on data collection, monitoring and reporting would favor a more accurate epidemiological scenario in Italy, since the report of the diseases is not mandatory

I soffitti di palazzo Farnese a Roma: tradizione e innovazione

Between 1545 and 1625, twenty-five wooden ceilings were executed in Palazzo Farnese, in Rome, not to mention the ones lost due to collapses or in the fires of 1612, 1615 and 1701. The inventory is much broader than in any other private palace of Rome, and helps to understand the change in taste that, reflected in the form of this constructive element, suggests the transformation of Roman residential architecture in the sixteenth century.Palazzo Farnese is a living laboratory where old-fashioned ceilings with 'unlimited' extension, still linked to a system based on wooden beams, and those of original creation become essential models for the architecture of Modern Rome and of Europe at large

Using Gaze for Behavioural Biometrics

A principled approach to the analysis of eye movements for behavioural biometrics is laid down. The approach grounds in foraging theory, which provides a sound basis to capture the unique- ness of individual eye movement behaviour. We propose a composite Ornstein-Uhlenbeck process for quantifying the exploration/exploitation signature characterising the foraging eye behaviour. The rel- evant parameters of the composite model, inferred from eye-tracking data via Bayesian analysis, are shown to yield a suitable feature set for biometric identification; the latter is eventually accomplished via a classical classification technique. A proof of concept of the method is provided by measuring its identification performance on a publicly available dataset. Data and code for reproducing the analyses are made available. Overall, we argue that the approach offers a fresh view on either the analyses of eye-tracking data and prospective applications in this field

La comunicación estratégica concebida desde el Estado como nexo con la comunidad para la construcción conjunta de políticas públicas

La comunicación estratégica abre nuevas posibilidades para generar nexos y espacios de encuentro donde el Estado, la sociedad civil y el mercado pueden interactuar en pos del bienestar general. Una investigación que analiza aspectos de la percepción de la comunicación en la gestión pública y asimismo toma una política pública departamental como ejemplo de la viabilidad de sus postulados.Fil: D’Amelio Isgró, Franco. Universidad Nacional de Cuyo. Facultad de Ciencias Políticas y Sociales

Transcranial Magnetic Resonance Imaging-Guided Focused Ultrasound Treatment at 1.5 T: A Retrospective Study on Treatment- and Patient-Related Parameters Obtained From 52 Procedures

Objective: To present a retrospective analysis of patient- and sonication-related parameters of a group of patients treated with a transcranial magnetic resonance imaging (MRI)-guided focused ultrasound (tcMRgFUS) system integrated with a 1.5-T MRI unit. Methods: The data obtained from 59 patients, who underwent the tcMRgFUS procedure from January 2015 to April 2019, were retrospectively reviewed for this study. The following data, among others, were mainly collected: skull density ratio (SDR), skull area (SA), number of available transducer elements (Tx), and estimated focal power at target (FP). For each of the four different treatment stages, we calculated the number of sonication processes (S-n), user-defined sonication power (S-p), effective measured power (S-mp), sonication duration (S-d), user-defined energy (E), effective measured energy (E-m), maximum temperature (T-max), and MR thermometry plane orientation. Furthermore, the time delay between each sonication (S-t) and the total treatment time (T-t) were recorded. Results: Fifty-two patients (40 males and 12 females; age 64.51 +/- SD 11.90 years; range 26-86 years), who underwent unilateral Vim thalamotomy (left = 50, 96.15%; right = 2, 3.85%) for medication-refractory essential tremor (n = 39; 78%) or Parkinson tremor (n = 13; 22%) were considered. A total of 1,068 (95.10%) sonication processes were included in our final analysis (average S-n per treatment: 20.65 +/- 6.18; range 13-41). The energy released onto the planned target was found to decrease with the SDR for all temperature ranges. A positive correlation was observed between the slope of T-max vs. E-m plot and the SDR (R-2 = 0.765; p < 0.001). In addition, the T-max was positively correlated with SDR (R-2 = 0.398; p < 0.005). On the contrary, no significant correlation was found between SDR and SA or Tx. An analysis of the MR thermometry scanning plane indicated that, at our site, the axial and the coronal planes were used (on average) 10.4 (SD +/- 3.8) and 7.7 (SD +/- 3.0) times, respectively, whereas the sagittal plane was used only 2.5 (SD +/- 3.0) times per treatment. Conclusion: Our results confirm the factors that significantly influence the course of a tcMRgFUS procedure even when a 1.5-T MRI scanner is used for procedure guidance. The experience we gained in this study indicates that the SDR remains one of the most significant technical parameters to be considered in a tcMRgFUS procedure. The possibility of prospectively setting the sonication energy according to the presented curves of energy delivery as a function of SDR for each treatment stage could provide a further understanding and a greater awareness of this emerging technology

COMPETÊNCIAS GERENCIAIS DESENVOLVIDAS POR PROFISSIONAIS DE DIFERENTES FORMAÇÕES

Este estudo orienta-se pela seguinte questão de pesquisa: quais competências são desenvolvidas e utilizadas por gestores de origens profi ssionais distintas? Para respondê-la, desenvolveu-se uma pesquisa qualitativa básica, visando a identifi car, descrever e analisar, comparativamente, as competências gerenciais desenvolvidas e utilizadas por gestores com formação em engenharia, psicologia e administração de empresas de uma empresa do setor de saneamento ambiental. Os dados foram coletados por meio de entrevistas semiestruturadas com quinze gerentes, e os resultados indicaram que o processo de mobilização e articulação das competências gerenciais ocorreu vinculado ao enriquecimento de experiências e vivências profissionais. Os dados evidenciaram que quando os sujeitos passaram da carreira profi ssional para a gerencial, houve mudança na forma de enxergar o trabalho, sobretudo pelo redimensionamento da responsabilidade. Atingir resultados, não mais como consequência exclusiva de seu esforço, mas pela ação de outras pessoas, passou a ser o grande desafi o. As competências gerenciais se formaram apoiadas na integração entre aprendizagem formal e informal. Foram detectadas, ainda, peculiaridades nas capacidades aprendidas pelos gestores em função da origem profi ssional e na ênfase concedida no dia a dia

Políticas educativas en Argentina durante el período 2003-2015

Este trabajo se enmarca en el proyecto de investigación “Políticas educativas comparadas de Brasil y Argentina. Primera etapa: los procesos de planeamiento a nivel nacional posteriores a los ‘90”. Este escrito, en particular, se constituye en un insumo de dicha investigación, ya que se centra en la indagación acerca de las políticas educativas y los actores sociales involucrados en sus discusiones en el período 2003-2015 en Argentina. Dada la escasa bibliografía específica acerca de los procesos de planificación y su vinculación con las políticas educativas del período mencionado, este texto pretende realizar una sistematización de las políticas educativas gestadas durante el gobierno kirchnerista, teniendo en cuenta algunos antecedentes de los años noventa; considerar el papel de algunos de los actores sociales con incidencia en la formulación, sanción y ejecución de la normativa sistematizada; y constituirse en uno de los capítulos iniciales del proyecto de investigación