Nippon Sheet Glass (Italy)

The many years of epistemological discussion involving scientific culture, in the search for the primary role to be assigned to technology or science, has not yet reached a definitive synthesis. In the present technological era, marked by the continuous flourishing and converging of knowledge from one discipline into the other, this distinction has little meaning, if anything, it is a matter of assigning to both the fundamental role that together can and must fulfill for the man who is, or should be, both the creator and the sole beneficiary. In this article we briefly are going to review the prerogatives assigned by scientists and philosophers to the two activities over the centuries, finally arriving at the proposal to transfer the achievements of science and technology from utilitarian use to the exclusive benefit of industry, social use for the fundamental benefit of man.

BACKGROUND: Aggressions in psychiatric units is a problem that affects all countries around the world. However, no studied assessing the psycho-physical consequences of violence in the workplace perceived by their health care workers. This study aimed to assess the prevalence of violence and aggression suffered by psychiatric health professionals according to security levels perceived, anxiety and depression conditions.METHODS: An observational study was conducted from March 2017 to December 2019 on a sample of professionals working in the psychiatric unit belonging to Northern, Central and Southern Italy, divided into two groups: the nursing group and the other healthcare workers group, respectively. Then, administering an ad-hoc questionnaire, security levels and psychological conditions, as anxiety and depression levels, were assessed among participants.RESULTS: Overall, 360 health care workers in the various psychiatric settings were enrolled. A moderate level of security on their workplaces was perceived. Moderate levels of state anxiety and extreme depression levels were detected in 9.72% of participants.CONCLUSIONS: It emerged the need to increase workers’ awareness in aggressions in psychiatric wards in order to provide adequate training about the risk of aggressions and consequent psychological stress.

Background: There is no consensus on the benefit of red blood cell (RBC) transfusion after transcatheter aortic valve replacement. Methods: The multicenter Transfusion Requirements in Transcatheter Aortic Valve Implantation (TRITAVI) registry retrospectively included patients after transfemoral transcatheter aortic valve replacement; propensity score-matching identified pairs of patients with and without RBC transfusion. The primary end point was 30-day mortality; nonfatal myocardial infarction, cerebrovascular accident, and stage 2 to 3 acute kidney injury at 30 days were secondary end points. We repeated propensity score-matching according to the hemoglobin nadir, hemoglobin drop, and in the subgroup of uncomplicated patients, without major vascular complications or major bleeding. Results: Among 2587 patients, RBC transfusion was administered in 421 cases (16%). The primary end point occurred in 104 (4.0%) patients, myocardial infarction in 9 (0.4%), cerebrovascular accident in 38 (1.5%), and acute kidney injury in 125 (4.8%) cases. In the 842 propensity-matched patients, RBC transfusion was associated with increased mortality (hazard ratio, 2.07 [95% CI, 1.06–4.05]; P =0.034) and acute kidney injury (hazard ratio, 4.35 [95% CI, 2.21–8.55]; P <0.001). Interaction testing between RBC transfusion and mortality was not statistically significant in the above-mentioned subgroups, and such association was not documented in the corresponding propensity score-matched cohorts. In the multivariable Cox proportional hazards regression model, major vascular complications ( P =0.044), major bleeding ( P =0.041), and RBC transfusion ( P =0.048) were independent correlates of 30-day mortality. Conclusions: RBC transfusion correlates with increased mortality and acute kidney injury early after transcatheter aortic valve replacement and is an independent predictor of 30-day mortality, irrespective of periprocedural major bleeding and vascular complications. Registration: URL: https://www.clinicaltrials.gov . Unique identifier: NCT03740425.

Với những thành tựu về miễn dịch học, gây mê hồi sức và ứng dụng công nghệ hiện đại trong điều trị và theo dõi bệnh nhân, ghép tạng nói chung và ghép thận nói riêng đạt được nhiều thành tựu trong những năm gần đây. Tại Việt Nam, ghép thận người cho sống đã trở thành phẫu thuật thường quy tại nhiều trung tâm. Bên cạnh các thăm khám đầy đủ trước ghép, việc nắm vững các biến đổi giải phẫu mạch máu và làm chủ kỹ thuật xử lý mạch máu thận ghép đóng vai trò hết sức quan trọng trong tiên lượng gần và xa của thận ghép[1],[2]. Nghiên cứu này nhằm mục đích mô tả những biến đổi giải phẫu mạch máu thận ứng dụng trong ghép thận người cho sống tại Bệnh viện hữu nghị Việt Đức giai đoạn 2012-2015.

Obwohl die elektronische Urteilspublikation ein zentrales Element von E-Justice ist, fehlt im Entwurf für ein Bundesgesetz über die Plattform für die elektronische Kommunikation in der Justiz eine Regelung dazu. Nachdem eine im ZPO-Vorentwurf enthaltene Bestimmung mit dem Argument verworfen wurde, dass die Frage nicht nur das Zivilverfahren betreffe, erscheint es naheliegend, die Thematik im E-Justice-Gesetz aufzunehmen. Die AutorInnen des vorliegenden Beitrags formulieren einen konkreten Vorschlag.

Raynaud syndrome (RS) is associated with vasospasm of the hand and fingers as a response to cold or stress. RS may cause discomfort and color changes (pallor, cyanosis, erythema, as single symptoms, but usually in combination, localized to one or more fingers). The aim of this 4-week registry study was the evaluation of subjects with mild, primary RS and their treatment with a standard management (SM) plan in comparison with SM associated with supplementation with Pycnogenol®. A group of 67 females with mild, primary RS was included. All subjects were working in shops with refrigerators. No skin lesions were present. The age range was between 30 and 40; the vasospastic changes were symmetrical; no other physical findings were present. The two groups, receiving standard management (N.=33) or SM+Pycnogenol®, 100 mg/day, (N.=34) were comparable at inclusion. Considering the main symptoms, the decrease in coldness, burning pain, paresthesias and irregular color changes was more significant with Pycnogenol® (P<0.05) at 4 weeks. At thermography, low temperature areas and discrepancies in temperature and color were decreased with Pycnogenol® more than in controls (P<0.05). In the Pycnogenol® group, one subject (2.94%) decided to use drug treatment (PGE1) in 4 weeks in comparison with 5 controls (15.15%). The lowest finger temperature improved from 20.3° C at inclusion to 26.4° C at 4 weeks (+30.04%) with Pycnogenol® in comparison with lower values (from 20.5 to 23.1 [+12.7%] in controls [P<0.05]). The fingertip skin flux increased significantly (+ 1.55 flux units) with Pycnogenol® (P<0.05), in controls just by +0.14 (ns). Supplementation with Pycnogenol® decreased oxidative stress and increased transcutaneous oxygen pressure (TcPO2) more than in controls. Compliance and tolerability were optimal. This pilot registry study suggests that Pycnogenol® may be used with significant advantages in primary, mild RS. Subjects using Pycnogenol® may control their symptoms and may avoid the need for more complex and, potentially dangerous or expensive treatments.

To ascertain the validity and reliability of the Italian version of the Stanford Presenteeism Scale (SPS-6). Presenteeism has been associated with a work productivity reduction, a lower quality of work and an increased risk of developing health disorders. It is particularly high among nurses and needs valid tools to be assessed. A validation study was carried out from July to September 2014. Athree-section tool, made of a demographic form, the Stanford Presenteeism Scale (SPS-6) and the Perceived Stress Scale (PSS-10) was administered to a sample of nurses, enrolled in three Italian hospitals. Cronbach's α for the entire sample (229 nurses) was found to be 0.72. Asignificant negative correlation between SPS and perceived stress scores evidenced the external validity. The factor analysis showed a two-component solution, accounting for 71.2% of the variance. The confirmatory factor analysis showed an adequate fit. The Italian SPS-6 is a valid and reliable tool for workplace surveys. Since the validity and reliability of SPS-6 has been confirmed for the Italian version, we have now a valid tool that can measure the levels of presenteeism among Italian nurses.

Rechtswissenschaft und Rechtsliteratur im 20. Jahrhundert , Seite 551 - 562