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Magrè sulla strada del vino - Margreid an der Weinstrasse, Italy

The principal aim of this article is to consider the different roles and competencies of both clinical pharmacists and POD's (Patients' Own Drugs) Technicians, and to discuss their potential relevance in the ongoing discussion on the pilot experience focused on the development of a clinical pharmacist figure in Italy. Should hospital pharmacists be involved in the clinical management of patients, liaising with medical and nursing staff on the ward? Will professional education be required for different roles in the future? Will it be necessary to develop specialist pharmacists, each with knowledge of a different clinical field (for example neurology, cardiolgy, orthopaedics, nutrition ...)? Is there a real need for the Hospital Pharmacist to develop his role and career towards new objectives? Source

Neri G.,Azienda USL di Modena | Guzzetta F.,Azienda USL di Bologna | Pazzi L.,Service for Mental Health Services and Health Care in Prisons | Bignami R.,Service for Mental Health Services and Health Care in Prisons | And 2 more authors.
Community Mental Health Journal | Year: 2011

To describe 5-year changes in the provision of Residential Facilities (RFs) in a large Italian Region and in the characteristics of their staffing and patients. 2000 census data of all RFs with >4 residential beds in the Emilia-Romagna Region were compared with 2005 census data. The number of residential beds increased from 3.1 per 10,000 inhabitants in 2000 to 4.1 per 10,000 inhabitants in 2005. The RFs operated by private non-profit associations increased at a greater rate than the number of NHS-operated facilities, and the percentage of non-qualified staff has also risen at a greater rate than that observed for qualified staff. The number of individuals with comorbid substance abuse increased from 2.1% in 2000 to 5.7% in 2005. Patient turnover rates were low in both 5-year periods. A process of new institutionalization might be taking place. Mental health care policy-makers should take these findings into account to enhance the planning of effective services, including RFs granting a satisfactory quality of life to patients with severe disorders requiring long-term, eventually unlimited care. © 2010 Springer Science+Business Media, LLC. Source

Di Lorenzo R.,Azienda USL di Modena | Galliani A.,University of Modena and Reggio Emilia | Guicciardi A.,University of Modena and Reggio Emilia | Landi G.,University of Modena and Reggio Emilia | Ferri P.,University of Modena and Reggio Emilia
Neuropsychiatric Disease and Treatment | Year: 2014

Objective: To highlight which demographic, familial, premorbid, clinical, therapeutic, rehabilitative, and assistance factors were related to dual diagnosis, which, in psychiatry, means the co-occurrence of both mental disorder and substance use in the same patient. Methods: Our sample (N=145) was chosen from all outpatients with a dual diagnosis treated from January 1, 2012 to July 31, 2012 by both the Mental Health Service and the Substance Use Service of Modena and Castelfranco Emilia, Italy. Patients who dropped out during the study period were excluded. Demographic data and variables related to familial and premorbid history, clinical course, rehabilitative programs, social support and nursing care, and outcome complications were collected. The patients' clinical and functioning conditions during the study period were evaluated. Results: Our patients were mostly men suffering from a cluster B personality disorder. Substance use was significantly more likely to precede psychiatric disease (P<0.001), and 60% of the sample presented a positive familial history for psychiatric or addiction disease or premorbid traumatic factors. The onset age of substance use was related to the period of psychiatric treatment follow-up (P<0.001) and the time spent in rehabilitative facilities (P<0.05), which, in turn, was correlated with personality disorder diagnosis (P<0.05). Complications, which presented in 67% of patients, were related to the high number of psychiatric hospitalizations (P<0.05) and professionals involved in each patient's treatment (P<0.05). Males more frequently presented familial, health, and social complications, whereas females more frequently presented self-threatening behavior (P<0.005). Conclusion: It was concluded that the course of dual diagnosis may be chronic, severe, and disabling, requiring many long-term therapeutic and rehabilitative programs to manage various disabilities. © 2014 Di Lorenzo et al. Source

Guidi E.,Azienda USL di Modena | Cuoghi G.,Azienda USL di Modena
Industrie Alimentari | Year: 2014

The survival of Listeria monocytogenes in ready-to-eat frozen broth was evaluated utilizing the Microbiological Challenge Test in order to confirm the date of minimum durability of 12 months and demonstrate that the limit 100 cfu/g will not be exceeded during the product shelf-life. The results show that the microorganism is not detected after 24h in samples artificially contaminated with 2 cfu/mL. In addition, its concentration decreases progressively even in food products with a higher level of contamination (102 and 104 cfu/mL) stored at both -18°C and -10°C. Consequently, if the bacterium concentration is ≤100 cfu/mL, this value is not exceeded during and after the date of minimum durability, which is confirmed. Therefore, regarding Listeria monocytogenes, the food safety criterion of 100 cfu/g can be used instead of absence in 25 g, when the product is placed on the market during its shelf-life. Source

Background: Legislation in Italy concerning health, safety and prevention at the workplace recently established a new data communication standard. Objectives: The findings are reported of a spe-cific survey on 18 Local Health Units (ASL) over the entire Italian territory, aimed at identifying the critical points in data management and analyze the available information. Methods: The occupational health physician for each company must collect and transmit information on the number of workers submitted to health surveillance protocols to the Local Health Unit. Information must be divided by risk factor and gender. Local health Units then transmit the data to the Regions and finally to the Italian National Institute for Occupational Safety and Prevention (ISPESL). Results: A sample of'22.977 companies was studied, providing information on about 410,009 workers undergoing health surveillance protocols. Carrying or moving heavy loads, exposure to noise, VDU and chemical substances were the most frequent risk factors. The difference between genders was significant in risk allocation, with exposures to VDU and biological agents prevalently among females. Conclusions: The information thus collected suffered from a lack of data organization and completeness in the sample under study, but nevertheless provides preliminary evidence of a map of occupational risks on a national basis, confirming the potential for the new law (D.Lgs 81/2008) to investigate health safety and prevention at the workplace. Source

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