Mobile App in Health: Improving User Awareness Regarding Own Health

Knowledge is more and more a strategic resource for health organizations while information & communication technology earns an important role for sharing knowledge and information among people in and out organizations. these conditions satisfy specific demands related to the new emerging information needs, asking for a change in relationships and effective communication. so, the medicine apps represent an emerging and rapidly developing framework for health system, able to contribute to its quality and efficiency. The same u.s. supervisory authority activated in the last years an appropriate study in order to control the medical applications downloaded directly through mobile devices and able to influence health performance. this work - with a mixed approach - presents the results of the exploratory and descriptive studies in order to make clear the general dynamics and functionality of the medicine category apps

La validazione del contenuto informativo è la chiave del successo di un processo BIM-based

The construction industry, particularly the public sector, started drawing attention towards containing costs and increasing performance. This is why several public entities worldwide are promoting new strategies and adopted innovating approaches such as the Building Information Modelling (BIM). Countries like the UK, Germany, France and Spain are working on it through investments in the industry digitalization. In Italy, despite the fact that the growing implementation of information-based technologies is not supported by a governmental strategy, public calls for tender requiring BIM have been set up. In addition, in order to benefit from a BIM-based approach, cooperating processes are being arranged to involve several parties from the very first stages of the project itself. This way flaws will be sorted out in advance and out of the construction site, and at the same time ideal solutions will be identified for the entire building lifecycle. Within the BIM methodology, a key role is played by Model Checking, which enables verification and validation of all projects, not only in the design phase, but also throughout the process phases. In order to guarantee reliable results, an initial pre-check should be carried out, the so called BIM Validation. This validates the data content of the Information Model and subsequently carries out analyses such as Clash Detection and Code Checking. The Information Model must come out of a meticulous modelling phase, in order to validate its geometric and alphanumeric content and ensure reliable results first, and then proceed with subsequent BIM-based analyses

THE ROLE OF IT IN THE WLB APPROACH: AN EMPIRICAL CASE CORPORATE SOCIAL RESPONSIBILITY: WORK-LIFE BALANCE AND ICT

The research developed by the academic research group wants to focus on the internal dimension of CSR, and specifically on Human Resource Management. It is important emphasize that CSR means going beyond the requirements of law. Following this point of view, the relations between professional life and personal life influence particularly how the employees feel and live their company daily. This is the area of Work Life Balance; so, the objective of the research paper is to analyze - through the lens of CSR - the relationship between Work Life Balance and ICT; infact the WLB practices could contribute positively to performance, making the organization more attractive for internal business stakeholders (employee). The followed approach uses a case study methodology, in which the first part of the paper is dedicated to theoretical framework, regarding the main literature on CSR and its interconnections with the reconciliation of work and family life. Successively the analysis on Family Audit Process, like a best practice used by a Large Company of Italian far east and then considerations and reflections

Digitalize Work in Health Organization during pandemic Covid-19

Covid-19 has impacted many aspects of daily life. The behaviors of organizations had to adopt this evolution. The Covid-19 emergency has put Smart Working at the center of attention. Working remotely made it possible to cope with the limitations due to the current health emergency while guaranteeing business continuity. This new intelligent mode is increasingly leading to the spread of autonomous, subjective and decentralized forms of work. Technological progress offers rapid access to information and reduces space-time constraints. Modern technologies put at the service of a new way of working, as experienced during the pandemic, allow the worker to manage the organization of space and the execution time of his employment in complete autonomy. On this basis, the work in progress study seeks to provide useful information to improve practices in the field of smart work, to better investigate the phenomenon in the healthcare sector, a field that has not been explored and debated in the literature

Knowledge management in virtual community: some implications in COVID-19 pandemic

To reduce the COVID-19 contagion, the organizations have had to implement new organizational models based on the technology intensive, social distance and the reduction of face-to-face contacts. These conditions have led to the creation of virtual communities. A Virtual Community (VC) can be defined as a social entity which, using ICT, allows the sharing and transfer of knowledge between members of the community, bridging the geographical distance. VC are based on a Human-Device-Human interaction. For this reason, VC are based on the continuous and active participation of members, a rapid access to shared knowledge and reciprocity of information. Also in the healthcare sector, there has been the creation of VC. A VC in the healthcare sector aims to share knowledge related to the delivery of health services, provide support and discuss problems related to health and treatment, share documents and consult doctors. Few studies have focused on the VC in the healthcare sector, from the perspective of knowledge management. This study aims to identify and understand the elements of the VC in the healthcare sector. An explorative-qualitative methodology was used. Mobile applications (M-apps) created by public authorities in Italy were analyzed. The results highlighted that the VC, through the M-apps, is a complex system characterized by a reciprocal relationship between the members. Some aspects, such as trust and functionality of the M-app and speed of response, can allow the success of the virtual community. M-apps are a useful tool for KM and enable to support healthcare sector

Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19

Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe

Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies

There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity

Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

Purpose: The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS. Methods: Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations. Results: Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS. Conclusion: Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services

Cohort profile : demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe

Purpose: The presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports. Participants: Seven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at. Findings to date: This cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year. Future plans: Analysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared. Trial registration number: NCT03013595

Use of placebo in a trial of thalidomide for pediatric Crohn disease--reply.

N/