Value based Healthcare as a solution for the future of publicly funded healthcare systems

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Habitar en red: un estudio sobre prácticas musicales colectivas

This article presents an approach, from socio-anthropological perspective, to musical collective practices, learning experiences that are usually developed informally, holistically and among peers.  In this paper some advances of an ongoing research that started in 2018 are presented with the purpose of getting to know its main characteristics and the theoretical framework of reference. We are interested in describing the way in which social actors get involved and developed in these spaces, the special features that arise in the meetings and the possibilities of implementation in formal educational contexts. It is inevitable to point out that since 2020, as a consequence of the COVID-19 pandemic, there have been decisive changes in people’s habits and routines. We can maintain that collective musical practices suffered discontinuities and were seriously affected by isolation and social distancing policies. The “new ways” of musical practice only partially recover what we know as collective practices. Is it possible to build musical learning communities in isolation?Este artículo propone un acercamiento, desde una perspectiva socioantropológica, a las prácticas musicales colectivas, experiencias de aprendizajes que en general se desarrollan de manera informal, holística y entre pares. Se presentan avances de una investigación en curso iniciada en 2018, con el propósito de conocer sus características principales y el marco teórico de referencia. Nos interesa describir el modo en que los actores sociales se involucran y desenvuelven en estos espacios, las particularidades que asumen los encuentros y las posibilidades de implementación en contextos educativos formales. Resulta ineludible señalar que desde 2020, como consecuencia de la pandemia desatada por el Covid-19, han sucedido cambios rotundos en los hábitos y en la vida cotidiana de las personas. Podemos sostener que las prácticas musicales colectivas sufrieron discontinuidades y se vieron seriamente afectadas por las políticas de aislamiento y distanciamiento social. Los “nuevos modos” de práctica musical solo recuperan parcialmente lo que conocemos por prácticas colectivas. ¿Es posible construir comunidades de aprendizaje musical en el aislamiento

Escenas y escenarios en educación musical: debates desde una perspectiva plural

La música juega un rol fundamental en el proceso de construcción identitaria. Adolescentes y jóvenes construyen a través de este lenguaje diversas maneras de ver y estar en el mundo; lugares que van siendo plagados de sentidos y códigos que favorecen la identificación y diferenciación con otros. Sin embargo, la asignatura Música en las escuelas parecería estar escindida de las prácticas, sentidos y consumos culturales que se dan fuera de sus muros, sin dejar huellas que perduren en el tiempo.En este artículo compartimos reflexiones de estudios de investigación realizados desde una perspectiva etnográfica, intentando desentramar y construir sentidos sobre las músicas que habitan en las escuelas, los modos en que se la categoriza, los significados que los sujetos le atribuyen,  con la intención de develar y profundizar sobre algunas problemáticas observadas. Recuperamos y ponemos en diálogo algunos aportes sobre lo que entendemos por música/músicas en la educación musical; las huellas o marcas de diferencia que las entraman; las tensiones aún vigentes entre los mandatos fundacionales  de la modernidad con la que ingresa como asignatura dentro del sistema educativo; las interacciones y negociaciones que se realizan en las aulas; los repertorios que allí transitan; los aprendizajes colectivos y la formación docente. 

From mass vaccination to personalized vaccinology? The COVID-19 case

In recent times, especially as a result of the experience gained worldwide with the COVID19 pandemic vaccination campaigns, the personalization of vaccination strategies is becoming increasingly important. This does not yet mean bringing precision medicine and genomics approaches into immunization campaigns, but where there is more than one vaccine against the same disease, there is a need to identify criteria for personalizing vaccination. Vaccination strategies based on prescription appropriateness – whenever is possible – can lead to more effective immune response, reduced rates of adverse events, increased public confidence in vaccination and higher vaccination coverage, contributing to a decrease of morbidity and mortality related to preventable diseases

The value based approach to treat diabetes. The case of Puglia Region

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The Magnitude of Cardiovascular Disease Risk Factors in Seafarers from 1994 to 2021: A Systematic Review and Meta-Analysis

Objectives: The incidence of acute cardiac events is one of the main reasons for medical consultation, disembarkation, repatriation, and death among seafarers at sea. Managing cardiovascular risk factors, particularly those that can be modified, is the key to preventing cardiovascular disease. Therefore, this review estimates the pooled prevalence of major CVD risk factors among seafarers. Methods: We conducted a comprehensive search of studies published between 1994 and December 2021 in four international databases, namely PubMed/Medline, Scopus, Google Scholar, and Web of Science (WOS). Each study was evaluated for methodological quality using the Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies. The DerSimonian-Laird random-effects model with logit transformations was used to estimate the pooled prevalence of major CVD risk factors. The results were reported in accordance with the Preferred Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Results: Out of all 1484 studies reviewed, 21 studies with 145,913 study participants met the eligibility criteria and were included in the meta-analysis. In the pooled analysis, the prevalence of smoking was found to be 40.14% (95% CI: 34.29 to 46.29%) with heterogeneity between studies (I2 = 98%, p < 0.01). The prevalence of hypertension, overweight, obesity, diabetes mellitus, and alcohol consumption was 45.32%, 41.67%, 18.60%, 12.70%, and 38.58%, respectively. However, the sensitivity analysis after excluding studies showed a pooled prevalence of hypertension, overweight, obesity, and diabetes mellitus of 44.86%, 41.87%, 15.99%, and 16.84%, respectively. The subgroup analysis demonstrated that smoking prevalence among seafarers had decreased significantly after 2013. Conclusion: This study demonstrated that CVD risk factors, particularly hypertension, overweight, smoking, alcohol consumption, and obesity, are prevalent among seafarers. These findings may serve as a guide for shipping companies and other responsible bodies in order to prevent CVD risk factors among seafarers. PROSPERO Registration: CRD42022300993

Enhancing routine immunization efforts for older adults and frail individuals: Good practices during the SARS-CoV-2 pandemic in Italy

Infectious diseases pose a significant burden on the general population, particularly older adults who are more susceptible to severe complications. Immunization plays a crucial role in preventing infections and securing a healthier aging, but actual vaccination rates among older adults and frail individuals (OAFs) remains far from recommended targets. This study aims to collect and share good practices implemented in several Italian local health districts during the SARS-CoV-2 pandemic to ease routine immunization for OAFs. A 28-items questionnaire has been developed to collect information on organization aspect of immunization services and local good practices implemented before and during the SARS-CoV-2 pandemic. Twelve Public Health managers representative of 9 Italian Regions were further interviewed between January and March 2021. Despite literature suggests several effective interventions to increase vaccine demand, improve vaccine access, and enhance healthcare providers' performance, our survey highlighted substantial heterogeneity in their implementation at local level. Seven good local practices have been identified and described: mass vaccination centers; vaccination mobile units; drive-through vaccination; co-administration; tailored pathways; cooperation among providers involved in vaccination; digitization. Our survey pointed out valuable strategies for enhancing routine immunization for OAFs. Providers should combine effective interventions adequate to their specific context and share good practices

Avoidable blindness and value based healthcare: more value with a population approach

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Key performance indicators for monitoring the integrated care pathway in breast cancer: the E.Pic.A. project

Introduction: Due to its high incidence, evaluating performance of care delivered to breast cancer patients is a crucial issue. The multidisciplinary panel E.Pic.A. (Economic Appropriateness of an Integrated Care Pathway) defined a set of key performance indexes (KPIs) to evaluate economic waste in breast cancer healthcare interventions. Methods: The E.Pic.A. panel identified the principal KPIs that are crucial within the breast cancer care pathway to evaluate the performance of care. KPIs were defined taking into account their reliability, validity, usability and feasibility of measurement through the linkage between multiple routine healthcare data sources. Results: 7 KPIs were identified: 3 on instrumental diagnostics, 2 on surgery and 2 on treatment. The 3 KPIs regarding instrumental diagnostics are aimed at assessing the inappropriateness of diagnostic tests performed before and after the index surgery. The 2 KPIs regarding surgery measure the inappropriateness of possible repeated interventions considering the time elapsed from the index surgery. The 2 KPIs regarding oncologic therapy measure the inappropriateness about the administration time of adjuvant therapy and radiotherapy considering the time elapsed from the index surgery. Conclusion: E.Pic.A methodology could help to evaluate economic waste in healthcare interventions with the objective of redirecting resources to interventions with greater value

Construyendo grupalidad : prácticas colectivas y aprendizajes musicales

Sarmiento, Andrea. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Bonino, Agustina. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Yaya, Gabriela. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.de Llamas Faner, Marcos Mikhail. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Joyas, Luis Diego. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Ledesma, Lorena. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.López, José. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Silenzi, María Belén. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Manfredi, María Virginia. Universidad Nacional de Rosario. Facultad de Humanidades y Artes; Argentina.En este libro se exponen los avances de un proceso de investigación realizado durante el período 2018-2022. “Prácticas colectivas y aprendizajes musicales” es un proyecto de investigación radicado en el Centro de Producción e Investigación en Artes de la Facultad de Artes (CePIA–FA) y subsidiado por la Secretaría de Ciencia y Técnica de la Universidad Nacional de Córdoba (SeCyT–UNC). Propone un estudio focalizado en prácticas y experiencias de aprendizajes musicales colectivos en diversos espacios formativos escolares y no escolares de la ciudad de Córdoba. Como parte del proceso investigativo se estudian las características particulares que asumen las prácticas musicales colectivas en el entramado social y se analizan las lógicas alternas de apropiación de conocimientos que acontecen en los espacios conocidos como “informales”. Por otra parte, se plantean algunas reflexiones sobre los modos de pensar y hacer música entre las tensiones y lógicas de ambos campos (formal e informal) con el propósito de aportar algunas claves de lectura que posibiliten la innovación sobre los modos de enseñanza en la educación musical.Sarmiento, Andrea. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Bonino, Agustina. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Yaya, Gabriela. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.de Llamas Faner, Marcos Mikhail. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Joyas, Luis Diego. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Ledesma, Lorena. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.López, José. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Silenzi, María Belén. Universidad Nacional de Córdoba. Facultad de Artes. Departamento Académico de Música; Argentina.Manfredi, María Virginia. Universidad Nacional de Rosario. Facultad de Humanidades y Artes; Argentina