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In Italy (in + italy)

Distribution by Scientific Domains
Medical Sciences60%
Humanities and Social Sciences40%

Selected Abstracts

Classification of a traumatic brain injury: the Glasgow Coma scale is not enough

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2010
A. CHIEREGATO
Background: Classifying the severity of a traumatic brain injury (TBI) solely by means of the Glasgow Coma scale (GCS) is under scrutiny, because it overlooks other important clinical signs. Clinicians treating patients with acute TBI are well placed to suggest which variables, in addition to the GCS, should concur in a new classification of TBI. Methods: In Italy, acute TBI patients are treated by anaesthetists, and so we asked them, in a questionnaire survey, to rate the weight they give to the GCS and to other clinical variables in their approach to TBI. Because sedation may underestimate GCS scores, we also inquired whether anaesthetists select sedatives that allow drug-free GCS scores. The questionnaire was distributed to 1334 anaesthetists attending courses on neurotrauma; the response rate was 63%. Results: Two thirds of the respondents believe that the definition of severe TBI should include, in addition to GCS scores, pupil reactivity to light and computer tomogram (CT) findings, the variables that guide Italian anaesthetists in TBI management. Most respondents (68.2%) administer sedation which allows prompt neurological evaluation and reliable GCS scoring. A minority of respondents (9.3%) withhold or antagonize sedation, delay tracheal intubation or allow patient,ventilator asynchrony. Conclusions: Italian anaesthetists would welcome a definition of TBI severity that includes CT findings and pupil reactivity in addition to the GCS. [source]

Precarious Subjects: Anticipating Neoliberalism in Northern Italy's Workplace

AMERICAN ANTHROPOLOGIST, Issue 1 2010
Noelle J. Molé
ABSTRACT, In Italy, the term precarizzazione (precarious-ization) refers to the process of implementing neoliberal policies to transition toward a semipermanent and privatized labor regime but also to the normalization of psychic uncertainty and hypervigilance of worker-citizens. In this article, I examine "precarious workers" and a psychological harassment called "mobbing," specifically, and suggest that these practices of labor exclusion of a transitional work regime produce emergent subjectivities through an analytics of anticipation. I illustrate the social, political, and psychic effects of imagining neoliberalism, as Italians do in this context, not as complete but, rather, as a metadiscursive object of emotionally charged apprehension and anticipation. [source]

Do Italian Mothers Prefer Cesarean Delivery?

BIRTH, Issue 2 2003
Serena Donati MD
ABSTRACT: Background: In Italy the proportion of births by cesarean section rose from 11.2 percent in 1980 to 27.9 percent in 1996 and 33.2 percent in 2000. The aim of this study was to identify factors, other than medical and obstetrical risk, that may influence the method of delivery and to analyze mother's preference for vaginal versus cesarean delivery among women after the birth of their first baby in university hospitals in Italy. Methods: Primiparous women were selected from 100 consecutive deliveries in 23 university hospitals in 1999. To determine antenatal, delivery, and postnatal history, and women's preference for method of delivery, trained health personnel interviewed 1986 women. Results: Of the 1986 women who were interviewed (response rate 95%), 1023 primiparas comprised the study sample. The cesarean section rate was 36 percent. Ninety-one percent of the women who delivered spontaneously and 73 percent of those who underwent a cesarean section would have preferred a vaginal delivery. Conclusions: Most of the interviewed women in this study preferred, or were satisfied with, vaginal birth. (BIRTH 30:2 June 2003) [source]

In-label and off-label use of respiratory drugs in the Italian paediatric population

ACTA PAEDIATRICA, Issue 4 2010
P Baiardi
Abstract Aim:, To evaluate the prescription rate of respiratory drugs (ATC code R03) in an Italian community setting and to estimate the extent of off-label use by both age and indication. Methods:, A cohort study aimed at evaluating prescriptions of drugs with ATC code R03 was conducted for the period 2002,2006. Data source was the PEDIANET Database. Results:, Ninety percent of R03 prescriptions are covered by 11 active substances or combinations, corresponding to 67 medicinal products. Inhaled corticosteroids are the most prescribed anti-asthmatic agents, followed by short-acting ,2 mimetics. The mean off-label rate is 19 and 56%, by age and indication respectively. The majority of off-label uses is among children under the age of 2. Five active substances are used at dosages not supported by adequate dose-finding studies. Conclusion:, In Italy, many respiratory drugs are approved for the treatment of paediatric respiratory diseases, but a remarkable percentage of their prescriptions is off-label. This pharmaco-utilization study demonstrates that there is a need to perform clinical studies aimed at increasing the current knowledge on marketed paediatric drugs, and to revise and re-label the existing regulatory documents to reduce their off-label uses. [source]

"For The Cause of Christ Here in Italy": America's Protestant Challenge in Italy and the Cultural Ambiguity of the Cold War

DIPLOMATIC HISTORY, Issue 4 2005
Roy Palmer Domenico
First page of article [source]