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1.
Nature ; 520(7546): 212-5, 2015 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-25855458

RESUMEN

Most of the properties of the Earth-Moon system can be explained by a collision between a planetary embryo (giant impactor) and the growing Earth late in the accretion process. Simulations show that most of the material that eventually aggregates to form the Moon originates from the impactor. However, analysis of the terrestrial and lunar isotopic compositions show them to be highly similar. In contrast, the compositions of other Solar System bodies are significantly different from those of the Earth and Moon, suggesting that different Solar System bodies have distinct compositions. This challenges the giant impact scenario, because the Moon-forming impactor must then also be thought to have a composition different from that of the proto-Earth. Here we track the feeding zones of growing planets in a suite of simulations of planetary accretion, to measure the composition of Moon-forming impactors. We find that different planets formed in the same simulation have distinct compositions, but the compositions of giant impactors are statistically more similar to the planets they impact. A large fraction of planet-impactor pairs have almost identical compositions. Thus, the similarity in composition between the Earth and Moon could be a natural consequence of a late giant impact.

2.
Artículo en Inglés | MEDLINE | ID: mdl-38944547

RESUMEN

The issue of obstetric violence is internationally acknowledged as a serious violation of human rights. First identified by the Committee of Experts of the Inter-American Belém do Pará Convention in 2012, it is recognized as a form of gender-based violence that infringes upon women's rights during childbirth. Nations such as Argentina, Mexico, Venezuela, and certain regions in Spain have implemented laws against it, highlighting its severity and the need for protective legislation. Major international organizations, including WHO and the Council of Europe, advocate for the elimination of disrespectful and abusive treatment in maternity care. In 2019, the UN Special Rapporteur on violence against women called on states to protect women's human rights in reproductive services by enforcing laws, prosecuting perpetrators, and providing compensation to victims. However, despite advances, there remains institutional and systemic resistance to recognizing obstetric violence, which undermines trust in healthcare and impacts women's quality of life. Addressing this violence is imperative, requiring education and training in women's human rights for all healthcare professionals. As part of the coalition of experts from various organizations (InterOVO), we respond to the publication by EAPM, EBCOG, and EMA: "Joint Position Statement: Substandard and Disrespectful Care in Labor - Because Words Matter." We are committed to preventing and mitigating obstetric violence and improving care for women and newborns.

3.
Artículo en Inglés | MEDLINE | ID: mdl-34444550

RESUMEN

The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bastogi compared to the population living in the area of the same local health unit (ASL). The Progresses of Health Authorities for Health in Italy questionnaire (PASSI) was administered to a sample of 210 inhabitants of Bastogi. Data were analysed and compared to those of the ASL collected in 2017-2018. The socio-economic indicators showed an overall worse condition for the inhabitants of Bastogi, with a significantly higher proportion of foreign and unemployed residents and a lower educational level compared to the ASL. Significant differences in the prevalence of non-communicable diseases, mental health complaints, and participation in prevention strategies, including cancer screening, were found. The questionnaire showed a lower help-seeking behaviour and a lack of reliance on health professionals in Bastogi inhabitants. Our findings highlight how social determinants produce health inequities and barriers to accessing healthcare. The difficulties of conducting quantitative research in complex and hard-to-reach contexts, characterized by high social vulnerability, are outlined.


Asunto(s)
Estado de Salud , Salud Urbana , Atención a la Salud , Humanos , Italia , Ciudad de Roma
4.
BMC Health Serv Res ; 9: 174, 2009 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-19778449

RESUMEN

BACKGROUND: The ageing population in Europe is putting an ever increasing demand on the long-term care (LTC) services provided by these countries. This study analyses the relationship between the LTC institutional supply of beds and potential care needs, taking into account the social and health context, the supply of complementary and alternative services, along with informal care. METHODS: An observational, cross-sectional, ecological study was carried out. Statistical data were obtained from the Italian National Institute of Statistics and Ministry of Health. Indicators, regarding 5 areas (Supply of beds in long term care institutions, Potential care needs, Social and health context, Complementary and alternative services for the elderly, Informal care), were calculated at Local Health Unit (LHU) level and referred to 2004.Two indicators were specifically used to measure supply of beds in long term care institutions and potential care needs for the elderly. Their values were grouped in tertiles. LHU were classified according to the combination of tertiles in three groups: A. High level of supply of beds in long term care institutions associated with low level of potential care needs; B. Low level of supply of beds in long term care institutions associated with high level of potential care needs; C. Balanced level of supply of beds in long term care institutions with potential care needs. For each group the indicators of 5 areas were analysed.The Index Number (IN) was calculated for each of these indicators. RESULTS: Specific factors that need to be carefully considered were highlighted in each of the three defined groups. The highest level of alternative services such as long-stay hospital discharges in residence region (IN = 125), home care recipients (HCR) (IN = 123.8) were reported for Group A. This group included North regions. The highest level of inappropriate hospital discharges in (IN = 124.1) and out (IN = 155.8) the residence region, the highest value of families who received help (IN = 106.4) and the lowest level of HCR (IN = 68.7) were found in Group B. South regions belong to this group. The highest level of families paying a caregiver (IN = 115.8) was shown in Group C. Central regions are included in third group. CONCLUSION: Supply of beds in long term care institutions substantially differs across Italian regions, showing in every scenario some imbalances between potential care needs and other studied factors. Our study suggests the need of a comprehensive rethinking of care delivery "system".


Asunto(s)
Gastos en Salud/estadística & datos numéricos , Servicios de Salud para Ancianos/provisión & distribución , Capacidad de Camas en Hospitales/estadística & datos numéricos , Cuidados a Largo Plazo/estadística & datos numéricos , Evaluación de Necesidades , Anciano , Cuidadores/economía , Cuidadores/estadística & datos numéricos , Estudios Transversales , Femenino , Gastos en Salud/tendencias , Investigación sobre Servicios de Salud , Servicios de Salud para Ancianos/economía , Capacidad de Camas en Hospitales/economía , Humanos , Italia , Cuidados a Largo Plazo/tendencias , Masculino , Jubilación
5.
Disabil Rehabil ; 31 Suppl 1: S22-39, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19968531

RESUMEN

The new approach suggested by the International Classification of Functioning, Disability and Health (ICF) provides an opportunity to address the policies and actions in favour of people with a disability. From a statistics point of view, the ICF represents also a new tool to improve the harmonisation and the comparison between international data across populations and sectors. The Disability Information System (SID) Project started in 2000 following a convention between the current Ministry of Social Solidarity and Istat in implementation of article 41-bis of Law 162/98. The system provides statistical information on disability by integrating and coordinating data sources available on this matter in Italy and establishing new sources that are suitable for making up for the current information gaps. This System has made some steps forward to promote greater integration of the sources, but further efforts must be made in terms of the quality of the data gathered and on the reorganisation and integration of currently available informative flows. The purpose of this article is to analyse the work done in the last decade by the Italian National Institute of Statistics, at national and international level, to adapt the information produced to the developing information needs.


Asunto(s)
Evaluación de la Discapacidad , Ausencia por Enfermedad/estadística & datos numéricos , Vocabulario Controlado , Indemnización para Trabajadores/estadística & datos numéricos , Bases de Datos Factuales , Humanos , Italia/epidemiología
6.
Data Brief ; 19: 226-229, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29892637

RESUMEN

Data here reported are sample characteristics of the first nation-wide community based survey on 'obstetric violence' (OV) conducted in a high-income country (Italy). The initiative is the extension of the social media campaign "#Bastatacere: mothers have voice" that in 2016 put under national spotlight the hidden phenomenon of abuse and disrespect in childbirth in hospital facilities, advocating for a respectful maternity care. The questionnaire LOVE-THEM was firstly developed in an open format and then revised according to WHO definition of disrespect and abuse in childbirth, within human rights based approach. The survey was conducted through on line interviews (CAWI method, quota sampling) with 424 respondents representing a significant national sample of mothers with children aged 0-14 years. Here we report summary tables describing the sample distribution according to the socio-demographic characteristics (instruction, employment status, social and economic class), including the number and the age of children. The responding sample is proportionally appropriate and correctly representative of about 5 millions of childbearing women in Italy.

7.
Minerva Ginecol ; 70(6): 663-675, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30264953

RESUMEN

BACKGROUND: The most recent WHO recommendations "Intrapartum care for a positive childbirth experience" highlight the need to identify women-centered interventions and outcomes for intrapartum care, and to include service users' experiences and qualitative research into the assessment of maternity care. Babies Born Better (B3) is a trans-European survey designed to capture service user views and experiences of maternity care provision. Italian service users contributed to the survey. METHODS: The B3 Survey is an anonymous, mixed-method online survey, translated into 22 languages. We separated out the Italian responses and analyzed them using computer-assisted qualitative software (MAXQDA) and SPSS and STATA for quantitative data analysis. Simple descriptives were used for the numeric data, and content analysis for the qualitative responses. Geomapping was based on the coded qualitative data and postcodes (using Tableau Public). RESULTS: There were 1000 respondents from every region of Italy, using a range of places of birth (hospital, birth center, home) and experiencing care with both midwives and obstetricians. Most identified positive experiences of care, as well as some practices they would like to change. Both positive and critical comments included provision of care based on the type of providers, clinical procedures, the birth environment, and breastfeeding support. There were clear differences in the geomapped data across Italian regions. CONCLUSIONS: Mothers highly value respectful, skilled and loving care that gives them a strong sense of personal achievement and confidence, and birth environments that support this. There was distinct variation in the percentage of positive comments made across Italian regions.


Asunto(s)
Parto Obstétrico/psicología , Parto/psicología , Resultado del Embarazo , Atención Prenatal/normas , Adulto , Lactancia Materna/psicología , Femenino , Humanos , Recién Nacido , Italia , Partería , Satisfacción del Paciente , Embarazo , Encuestas y Cuestionarios , Adulto Joven
9.
Eur J Ageing ; 7(4): 239-247, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28798632

RESUMEN

This paper studies gender differences in disability free life expectancy (DFLE), taking into account mortality and disability contributions. After analysing the types of disability that account for such differences, it goes on to examine temporal variability and age contributions to mortality and disability variation. The method used is an extension of Arriaga's model proposed by Nusselder. In 2005, disability free life expectancy at age 30 was 46.23 years for men and 48.74 years for women, with a gender difference of 2.51 years. Decomposing this difference we find that the mortality effect is 3.70 years, while the disability effect is negative and equal to -1.19 years. Ten years earlier, in 1994, DFLE at age 30 was 43.24 years for men and 46.55 years for women, with a difference between genders of 3.32 years. This broke down to a mortality effect of 4.33 years and a disability effect of -1.02 years. In conclusion, the gap in DFLE between men and women is narrowing, thanks to the more rapid drop in mortality rates in men. With respect to disabilities women are disadvantaged, although the difference (in both total disability and different types of disability) has been almost stable in recent years.

10.
Texto & contexto enferm ; 8(2): 278-281, maio-ago. 1999.
Artículo en Portugués | LILACS, BDENF - enfermagem (Brasil) | ID: lil-478841

RESUMEN

Violence is a phenomenon that surpasses class, gender, ethnic group and age. In symbolic violence it is not used physical force but coercion through communication. The relationships among children include some episodes of symbolic violence. The educatorÆs role is important to mediate conflicts and those situations where prejudice is present discriminating and marginalizing children. Vygotsky's theory could help us comprehend the process of subjects constitution and the role of the qualified mediator to produce new concepts and meaning for social situations...


Asunto(s)
Humanos , Crianza del Niño , Rol , Violencia
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