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1.
Vet Pathol ; : 3009858241257903, 2024 Jun 12.
Artículo en Inglés | MEDLINE | ID: mdl-38864284

RESUMEN

AA-amyloidosis is frequent in shelter cats, and chronic kidney disease is the foremost cause of death. The aims were to describe kidney laboratory and microscopic findings in shelter cats with AA-amyloidosis. Cats were included if kidney specimens were collected post-mortem and laboratory data were available within 6 months before death. Renal lesions were evaluated with optical and electron microscopy. Mass spectrometry was used to characterize amyloid. Nine domestic short-hair cats were included; 4 females and 5 males with a median age of 8 years (range = 2-13). All cats had blood analyses and urinalyses available. Serum creatinine concentrations were increased in 6 cats and symmetric dimethylarginine was increased in all of the cats. All of the cats had proteinuria. Eight of 9 cats had amyloid in the medulla, and 9 had amyloid in the cortex (glomeruli). All cats had amyloid in the interstitium. Six cats had concurrent interstitial nephritis and 1 had membranoproliferative glomerulonephritis. All cats had extrarenal amyloid deposits. Amyloid was AA in each case. In conclusion, renal deposition of amyloid occurs in both cortex and medulla in shelter cats and is associated with azotemia and proteinuria. Renal involvement of systemic AA-amyloidosis should be considered in shelter cats with chronic kidney disease. The cat represents a natural model of renal AA-amyloidosis.

2.
PLoS One ; 18(3): e0281822, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36989207

RESUMEN

Systemic AA-amyloidosis is a protein-misfolding disease characterized by fibril deposition of serum amyloid-A protein (SAA) in several organs in humans and many animal species. Fibril deposits originate from abnormally high serum levels of SAA during chronic inflammation. A high prevalence of AA-amyloidosis has been reported in captive cheetahs and a horizontal transmission has been proposed. In domestic cats, AA-amyloidosis has been mainly described in predisposed breeds but only rarely reported in domestic short-hair cats. Aims of the study were to determine AA-amyloidosis prevalence in dead shelter cats. Liver, kidney, spleen and bile were collected at death in cats from 3 shelters. AA-amyloidosis was scored. Shedding of amyloid fibrils was investigated with western blot in bile and scored. Descriptive statistics were calculated. In the three shelters investigated, prevalence of AA-amyloidosis was 57.1% (16/28 cats), 73.0% (19/26) and 52.0% (13/25), respectively. In 72.9% of cats (35 in total) three organs were affected concurrently. Histopathology and immunofluorescence of post-mortem extracted deposits identified SAA as the major protein source. The duration of stay in the shelters was positively associated with a histological score of AA-amyloidosis (B = 0.026, CI95% = 0.007-0.046; p = 0.010). AA-amyloidosis was very frequent in shelter cats. Presence of SAA fragments in bile secretions raises the possibility of fecal-oral transmission of the disease. In conclusion, AA-amyloidosis was very frequent in shelter cats and those staying longer had more deposits. The cat may represent a natural model of AA-amyloidosis.


Asunto(s)
Acinonyx , Amiloidosis , Amiloidosis de Cadenas Ligeras de las Inmunoglobulinas , Humanos , Gatos , Animales , Amiloidosis/epidemiología , Amiloidosis/veterinaria , Amiloide , Proteína Amiloide A Sérica/metabolismo
3.
Foods ; 11(12)2022 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-35741870

RESUMEN

European sea bass (Dicentrarchus labrax L.) is one of the most economically important fish species in the Mediterranean Sea area. Despite strict requirements regarding indications of production method (wild/farmed), incorrect labelling of sea bass is a practice still frequently detected. The aim of this study was to evaluate the capabilities of two techniques, Near-InfraRed (NIR) spectroscopy and mass spectrometry, to discriminate sea bass according to the production method. Two categories were discriminated based on the docosahexaenoic and arachidonic fatty acid ratio by using a Direct Sample Analysis (DSA) system integrated with a time-of-flight (TOF) mass spectrometer. The cut-off value of 3.42, of fatty acid ratio, was able to discriminate between the two types of fish with sensitivity and specificity of 100%. It was possible to classify fish production by using multivariate analysis with portable NIR. The results achieved by the developed validation models suggest that this approach is able to distinguish the two product categories with high sensitivity (100%) and specificity (90%). The results obtained from this study highlight the potential application of two easy, fast, and accurate screening methods to detect fraud in commercial sea bass production.

4.
Artículo en Inglés | MEDLINE | ID: mdl-35412417

RESUMEN

The illicit use of dexamethasone and other glucocorticoids for cattle fattening in livestock production has been widely described; evidence for illegal treatments can be obtained by direct or indirect detection. In our previous study, we applied two-dimensional electrophoresis (2DE) to identify plasma protein markers of dexamethasone administration in veal calves. Comparison of 2DE maps obtained from blood samples before and after treatment showed the disappearance of two protein spots identified as serum paraoxonase/arylesterase 1 precursor (PON1). In the present study, we validated PON1 as a marker by analysing a larger number of samples treated with dexamethasone for illicit use. Analysis of samples from experimental treatment with other glucocorticoids, androgens and oestrogens confirmed that their influence on PON1 could be excluded. The specificity of the PON1 protein marker was verified on expected negative field samples to exclude interfering factors. However, there is poor statistical evidence to support a significant association between the outcome of PON1 and the considered variables. The results on field samples were compared with histological examination of the thymus as a biomarker of corticosteroid treatment monitored in the Italian histological plan for the control of growth promoters in animals. Two suspect cases were identified from two Piedmont farms where other animals had tested positive at histological examination. In conclusion, the absence of PON1 in the plasma of veal calves can indirectly reveal illicit dexamethasone treatment in individual animals and so identify suspect farms for further investigation. It is effective in a period ranging from 3 to about 10 days from illicit treatment, covering a time span that goes beyond the limits of official chemical controls and preceding histological controls on the thymus of slaughtered animals. PON1 detection in plasma can be coupled with other tests to identify illegal dexamethasone use on veal calf farms.


Asunto(s)
Glucocorticoides , Carne Roja , Animales , Arildialquilfosfatasa , Biomarcadores , Hidrolasas de Éster Carboxílico , Bovinos , Dexametasona
5.
Med Lav ; 112(3): 209-218, 2021 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-34142677

RESUMEN

BACKGROUND: Colleague incivility is one of the subtlest forms of workplace aggression, referring to any low-intensity deviant behavior in violation of the norms of mutual respect with ambiguous intent to harm the target. Although a large corpus of literature has identified the negative consequences of colleague incivility for workers and their organizations, there is a paucity of studies aimed at examining the role played by job characteristics in triggering this form of aggression. The present study, referring to the work environment assumption of Einarsen (2000), proposes that workplace aggression is primarily affected by factors related to deficiencies in the psychosocial work environment. In this view, the present study aimed to test whether the relationships between stressors in the psychosocial work environment (i.e., workload, role conflict, and unfair reward) and burnout (i.e., exhaustion and cynicism) are mediated by colleague incivility. METHODS: The study design was cross-sectional and non-randomized. In total, 659 administrative officers employed in a large-sized Italian university completed a self-report questionnaire. Regression and mediation analyses (using the SPSS PROCESS macro) were performed to test the study hypotheses. -Findings: After adjusting for control variables (i.e., superior incivility, age, gender, interactions with teaching staff, and interactions with students), the analyses indicated that colleague incivility mediated the associations of role conflict and unfair reward with the two dimensions of burnout. In contrast, the mediating role of colleague incivility in the associations of workload with exhaustion and cynicism was not supported. DISCUSSION: The present study shed light on the key role of colleague incivility in the linkage of variables describing job characteristics and job burnout. From a practical point of view, the present study suggests that in order to prevent colleague incivility, interventions such as job (re)design should be implemented.


Asunto(s)
Agotamiento Profesional , Incivilidad , Agotamiento Profesional/epidemiología , Agotamiento Profesional/etiología , Estudios Transversales , Docentes , Humanos , Italia/epidemiología , Satisfacción en el Trabajo , Encuestas y Cuestionarios , Lugar de Trabajo
6.
Int J Integr Care ; 21(2): 15, 2021 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-33981192

RESUMEN

INTRODUCTION: Co-production is more and more considered as a promising tool for dealing with the main challenges in the health sector (e.g., growing rates of chronic diseases, budget constraints, higher patients' expectations of the quality and the value of services, equity to access of care, etc.). However, there is still little evidence on co-production determinants and impacts. DESCRIPTION: This research protocol aims to present a framework to assess the determinants and impacts of the co-productive approach in healthcare delivery on patients, professionals, and providers from economic, organisational, and clinical perspectives. To this end, the paper examines the co-produced outpatient parenteral antimicrobial therapy (OPAT), applied to cystic fibrosis patients in an Italian hospital. A mixed methods approach will be adopted and data will be collected through semi-structured interviews and surveys of patients, caregivers, and professionals; biological samples of patients; archival sources. Then, the analyses to be performed are the following: (i) cost evaluation, (ii) content, (iii) descriptive and inferential statistical, (iv) microbiome analysis, and (v) desk analysis. CONCLUSION: The research protocol contributes to both theoretical and practical knowledge. It represents the first attempt to develop a systematic analytical framework for the evaluation of co-production in healthcare. Moreover, the findings gathered within the study will provide evidence to support policy makers and managers in decision-making and managerial processes within the health service.

7.
Artículo en Inglés | MEDLINE | ID: mdl-33804862

RESUMEN

Co-produced practices and publications in the healthcare sector are gaining momentum, since they can be a useful tool in addressing the sustainability and resilience challenges of health systems. However, the investigation of positive and, mainly, negative outcomes is still confused and fragmented, and above all, a comprehensive knowledge of the metrics used to assess these outcomes is lacking. To fill this gap, this study aims to systematically review the extant literature to map the methods, tools and metrics used to empirically evaluate co-production in health services. The search took place in six databases: Scopus, Web of Science, Psych INFO, PubMed, Cochrane and CINAHL. A total of 2311 articles were screened and 203 articles were included in the analysis, according to PRISMA guidelines. Findings show that outcomes are mainly investigated through qualitative methods and from the lay actor or provider perspective. Moreover, the detailed categorisation of the quantitative measures found offers a multidimensional performance measurement system and highlights the impact areas where research is needed to develop and test new measures. Findings should also promote improvements in empirical data collection on the multiple faceted co-produced activities and spur the consciousness of the adoption of sustainable co-productive initiatives.


Asunto(s)
Benchmarking , Atención a la Salud , Instituciones de Salud
8.
J Food Prot ; 84(4): 592-596, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33211848

RESUMEN

ABSTRACT: Because the world's wild fish stocks are limited and the market demand is increasing, fish farming has become an alternative food source and a way to reduce costs for consumers. The sale of farmed as wild fish is a fraudulent practice; it is, therefore, important to find new and alternative tools that can help in the fight against fraud to protect consumers and to ensure food traceability. The proteomic profiles of farmed and wild fish differ. With this study we wanted to identify liver protein markers via two-dimensional electrophoresis that would allow us to distinguish wild from farmed gilthead seabream. The liver samples from 32 gilthead seabream, wild and farmed, were stored at -80°C before protein extraction. The samples were subjected to two-dimensional electrophoresis to detect qualitative and quantitative differences. Proteomic analysis showed a protein spot (molecular weight of ∼34 kDa and isoelectric point of ∼6.9) only in the samples from the wild gilthead seabream; liquid chromatography-tandem mass spectrometry identified the spot as ubiquitin. Ubiquitin could be a valid marker to differentiate wild from farmed gilthead seabream; it could be used to ensure continuous monitoring throughout the entire commercial chain and to fight commercial fraud.


Asunto(s)
Dorada , Animales , Electroforesis en Gel Bidimensional , Explotaciones Pesqueras , Proteómica
9.
BMC Health Serv Res ; 20(1): 504, 2020 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-32503522

RESUMEN

BACKGROUND: Due to an increasingly elderly population, a higher incidence of chronic diseases and higher expectations regarding public service provision, healthcare services are under increasing strain to cut costs while maintaining quality. The importance of promoting systems of co-produced health between stakeholders has gained considerable traction both in the literature and in public sector policy debates. This study provides a comprehensive map of the extant literature and identifies the main themes and future research needs. METHODS: A quantitative bibliometric analysis was carried out consisting of a performance analysis, science mapping, and a scientific collaboration analysis. Web of Science (WoS) was chosen to extract the dataset; the search was refined by language, i.e. English, and type of publication, i.e. journal academic articles and reviews. No time limitation was selected. RESULTS: The dataset is made up of 295 papers ranging from 1994 to May 2019. The analysis highlighted an annual percentage growth rate in the topic of co-production of about 25%. The articles retrieved are split between 1225 authors and 148 sources. This fragmentation was confirmed by the collaboration analysis, which revealed very few long-lasting collaborations. The scientific production is geographically polarised within the EU and Anglo-Saxon countries, with the United Kingdom playing a central role. The intellectual structure consists of three main areas: public administration and management, service management and knowledge translation literature. The co-word analysis confirms the relatively low scientific maturity of co-production applied to health services. It shows few well-developed and central terms, which refer to traditional areas of co-production (e.g. public health, social care), and some emerging themes related to social and health phenomena (e.g. the elderly and chronic diseases), the use of technologies, and the recent patient-centred approach to care (patient involvement/engagement). CONCLUSIONS: The field is still far from being mature. Empirical practices, especially regarding co-delivery and co-management as well as the evaluation of their real impacts on providers and on patients are lacking and should be more widely investigated.


Asunto(s)
Atención a la Salud/organización & administración , Política de Salud , Participación de los Interesados , Bibliometría , Humanos , Reino Unido
10.
J Food Prot ; 82(11): 1870-1873, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31617756

RESUMEN

A simple method based on direct sampling analysis, coupled with a time of flight mass spectrometer, was developed to discriminate between wild and farmed sea bream on the basis of the docosahexaenoic and arachidonic fatty acid ratio. Good precision in repeatability and reproducibility (relative standard deviation < 15%) was obtained. The fatty acid ratios of the two types of fish were statistically significant (Student's t < 0.001). The use of a simple, rapid, and cost-effective tool could aid in the detection of commercial fish fraud, increase the number of controlled samples, and strengthen control along the entire commercial chain.


Asunto(s)
Animales Domésticos , Animales Salvajes , Análisis de los Alimentos , Dorada , Animales , Animales Domésticos/clasificación , Animales Salvajes/clasificación , Ácidos Grasos/química , Análisis de los Alimentos/métodos , Espectrometría de Masas , Reproducibilidad de los Resultados , Dorada/clasificación
11.
J Proteomics ; 186: 1-7, 2018 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-30055322

RESUMEN

The substitution and sale of frozen-thawed fish labeled as fresh is a widespread, difficult to unmask commercial fraud and a potential risk for consumer health. Proteomics could help to identify markers for the rapid screening of food samples and the identification of frozen-thawed seafood. Using two-dimensional electrophoresis (2-DE) and high-resolution liquid chromatography tandem mass spectrometry (LC-MS/MS), we identified biomarkers that are able to discriminate between fresh and frozen-thawed tissue samples of curled octopus (Eledone cirrhosa). The 2-DE analysis showed a significant reduction in two protein spots (molecular weight of 45-50 kDa, isoelectric point of 6.5-7) identified as transgelin. At shotgun analysis, nine proteins resulted modulated and transgelin was confirmed as down-regulated, making it a potentially useful marker for differentiating between fresh and frozen-thawed fish product samples. BIOLOGICAL SIGNIFICANCE: This work, based on two different proteomics approaches, investigated differentially expressed proteins in the tentacles of the curled octopus (E. cirrhosa) after freezing-thawing processes. We were able to characterize the proteome of the tentacles, increasing our knowledge on this species, and a common down-regulated protein was identified by 2-DE and shotgun analysis, a calponin-like protein called transgelin, suggesting a potential use as a marker to distinguish different states of conservation in this species.


Asunto(s)
Manipulación de Alimentos/normas , Alimentos Congelados/análisis , Octopodiformes/química , Proteómica/métodos , Animales , Biomarcadores , Electroforesis en Gel Bidimensional , Manipulación de Alimentos/métodos , Congelación , Proteínas de Microfilamentos/análisis , Proteínas de Microfilamentos/metabolismo , Proteínas Musculares/análisis , Proteínas Musculares/metabolismo , Proteoma/análisis , Alimentos Marinos/análisis
12.
Front Psychol ; 9: 671, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29867649

RESUMEN

Workplace aggression is a critical phenomenon particularly in the healthcare sector, where nurses are especially at risk of bullying and third-party aggression. While workplace aggression has been frequently examined in relation to health problems, less is known about the possible negative impact such aggression may have on the (un)ethical behavior of victims. Our research aims to fill this gap. Drawing on literature on counterproductive work behavior (CWB) and the social-cognitive literature on aggression we investigated in two independent studies (NStudy1 = 439; NStudy2 = 416), the role of negative emotions - in particular anger, fear, and sadness, - and of moral disengagement (MD) in the paths between workplace aggression, CWB and health symptoms. The focus on these relationships is rooted in two reasons. First, misbehavior at work is a pervasive phenomenon worldwide and second, little research has been conducted in the healthcare sector on this type of behavior despite the potential importance of the issue in this context. We empirically tested our hypotheses considering a specific form of workplace aggression in each study: workplace bullying or third-party aggression. Results from the two empirical studies confirm the hypotheses that being target of workplace aggression (bullying or third-party aggression) is not only associated with health symptoms but also with misbehavior. In addition, the results of structural equation modeling attest the importance of examining specific discrete negative emotions and MD for better understanding misbehavior at work. In particular, this research shows for the first time that anger, fear, and sadness, generally aggregated into a single dimension, are indeed differently associated with MD, misbehavior and health symptoms. Specifically, in line with the literature on discrete emotions, while sadness is only associated with health symptoms, anger and fear are related to both health and misbehavior.

13.
J Gen Virol ; 98(7): 1963-1967, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28691895

RESUMEN

The presence of lysine (K) at codon 222 has been associated with resistance to classical scrapie in goats, but few scrapie cases have been identified in 222Q/K animals. To investigate the contribution of the 222K variant to PrPres formation in natural and experimental Q/K scrapie cases, we applied an immunoblotting method based on the use of two different monoclonal antibodies, F99/97.6.1 and SAF84, chosen for their different affinities to 222K and 222Q PrP variants. Our finding that PrPres seems to be formed nearly totally by the 222Q variant provides evidence that the 222K PrP variant confers resistance to conversion to PrPres formation and reinforces the view that this mutation has a protective role against classical scrapie in goats.


Asunto(s)
Enfermedades de las Cabras/metabolismo , Lisina/metabolismo , Proteínas PrPSc/metabolismo , Scrapie/metabolismo , Secuencias de Aminoácidos , Animales , Codón/genética , Codón/metabolismo , Genotipo , Cabras , Lisina/genética , Péptido Hidrolasas/metabolismo , Proteínas PrPSc/química , Proteínas PrPSc/genética , Scrapie/genética
14.
Front Psychol ; 8: 812, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28634455

RESUMEN

Currently we observe a gap between theory and practices of patient engagement. If both scholars and health practitioners do agree on the urgency to realize patient engagement, no shared guidelines exist so far to orient clinical practice. Despite a supportive policy context, progress to achieve greater patient engagement is patchy and slow and often concentrated at the level of policy regulation without dialoguing with practitioners from the clinical field as well as patients and families. Though individual clinicians, care teams and health organizations may be interested and deeply committed to engage patients and family members in the medical course, they may lack clarity about how to achieve this goal. This contributes to a wide "system" inertia-really difficult to be overcome-and put at risk any form of innovation in this filed. As a result, patient engagement risk today to be a buzz words, rather than a real guidance for practice. To make the field clearer, we promoted an Italian Consensus Conference on Patient Engagement (ICCPE) in order to set the ground for drafting recommendations for the provision of effective patient engagement interventions. The ICCPE will conclude in June 2017. This document reports on the preliminary phases of this process. In the paper, we advise the importance of "fertilizing a patient engagement ecosystem": an oversimplifying approach to patient engagement promotion appears the result of a common illusion. Patient "disengagement" is a symptom that needs a more holistic and complex approach to solve its underlined causes. Preliminary principles to promote a patient engagement ecosystem are provided in the paper.

15.
J Food Prot ; 80(4): 640-644, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28294682

RESUMEN

Sudan dyes are synthetic azo dyes used by industry in a variety of applications. Classified as carcinogenic, they are not allowed in foodstuffs; however, their presence as adulterants in food products has been regularly reported. Here, we describe an innovative screening method to detect Sudan I, II, III, and IV in tomato sauce, palm oil, and chilli powder. The method entails minimal sample preparation, completely avoiding the liquid chromatography phase, followed by detection and identification through atmospheric pressure chemical ionization time-of-flight mass spectrometry, in positive ionization mode. Analytes were efficiently identified and detected in samples, fortified both with individual analytes and with their mixture, with an error in mass identification less than 5 ppm. Limits of identification of the analytes in the fortified samples were 0.5 to 1 mg/kg, depending on the dye and matrix. The method had a linear range of 0.05 to 5 mg/kg and good linear relationships (R2 > 0.98). Repeatability was satisfactory, with a coefficient of variation lower than 20%. The method was applied to detect the dyes in real adulterated chilli samples, previously found positive by confirmatory high-performance liquid chromatography-mass spectrometry and ELISA, and in commercial products purchased from supermarkets. In all positive samples, analytes were correctly identified with an error in mass identification lower than 5 ppm, while none of the 45 commercial samples analyzed were found to be contaminated. The proposed new assay is sensitive, with a limit of identification, for all the three matrices, complying with the limits defined by the European Union (0.5 to 1 mg/kg) for analytical methods. Compared with conventional methods, the new assay is rapid and inexpensive and characterized by a high throughput; thus, it could be suitable as screening technique to identify Sudan dyes in adulterated food products.


Asunto(s)
Colorantes , Solanum lycopersicum , Compuestos Azo , Cromatografía Líquida de Alta Presión , Aceite de Palma , Aceites de Plantas , Sudán
16.
Med Lav ; 107(3): 223-34, 2016 05 26.
Artículo en Italiano | MEDLINE | ID: mdl-27240226

RESUMEN

BACKGROUND: Aggressive behaviour of patients and their relatives represent a risk factor for healthcare professionals. OBJECTIVES: The study aimed to explore the context of high risk departments (emergency department, psychiatric department) and of low risk departments (midwifery/paediatrics and outpatients clinic): a) the risk of exposure to various forms of aggression (physical, verbal, threats) by patients and their visitors towards healthcare professionals; b) how the healthcare professionals react to such aggressive events; c) the relationship between verbal aggression and healthcare professional burnout, compared to other work-related stressors. METHODS: The cross-sectional study involved 620 healthcare workers in a hospital in northern Italy (47.7% redemption rate, equivalent to 296 subjects). The data were gathered through a self-report on-line questionnaire. RESULTS: The risk of aggression, regardless of its form, was not dependent on the role of the healthcare professional, while risk was lower for older professionals and for women. The risk index for emergency department health professionals was higher than the index for professionals in the other three areas. Perceived levels of verbal aggression in the midwifery/paediatrics department were similar to those in the psychiatric department. Verbal aggression was found to be linked to the three dimensions of burnout and to a higher contribution to depersonalisation. CONCLUSIONS: the study showed that specific prevention initiatives and health profession support are also needed in clinical departments traditionally considered at low risk.


Asunto(s)
Agresión , Personal de Salud , Visitas a Pacientes , Violencia Laboral , Adulto , Estudios Transversales , Femenino , Departamentos de Hospitales , Humanos , Masculino , Persona de Mediana Edad , Violencia Laboral/prevención & control , Violencia Laboral/estadística & datos numéricos , Adulto Joven
17.
Biomed Res Int ; 2015: 215267, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26568956

RESUMEN

Among nursing staff, the risk of experiencing violence, especially verbal aggression, is particularly relevant. The present study, developed in the theoretical framework of the Job Demands-Resources model (JD-R), has two main aims: (a) to examine the association between verbal aggression and job burnout in both nurses and nurse's aides and (b) to assess whether job content, social resources, and organizational resources lessen the negative impact of verbal aggression on burnout in the two professional groups. The cross-sectional study uses a dataset that consists of 630 workers (522 nurses and 108 nurse's aides) employed in emergency and medical units. High associations were found between verbal aggression and job burnout in both professional groups. Moderated hierarchical regressions showed that, among nurses, only the job content level resources moderated the effects of the verbal aggression on job burnout. Among nurse's aides, the opposite was found. Some resources on the social and organizational levels but none of the job content level resources buffered the effects of verbal aggression on workers burnout. The study highlights the crucial role of different types of resources in protecting nursing staff from the detrimental effects of verbal aggression on job burnout.


Asunto(s)
Agotamiento Profesional/epidemiología , Enfermeras y Enfermeros/estadística & datos numéricos , Asistentes de Enfermería/estadística & datos numéricos , Pacientes/estadística & datos numéricos , Violencia Laboral/psicología , Violencia Laboral/estadística & datos numéricos , Adulto , Agresión/psicología , Agotamiento Profesional/psicología , Empleo/psicología , Empleo/estadística & datos numéricos , Femenino , Humanos , Incidencia , Italia/epidemiología , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/psicología , Asistentes de Enfermería/psicología , Personal de Enfermería/psicología , Personal de Enfermería/estadística & datos numéricos , Pacientes/psicología , Factores de Riesgo , Adulto Joven
18.
J Gen Virol ; 96(12): 3698-3702, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26399471

RESUMEN

Prion protein (PrP) is present at extremely low levels in the blood of animals and its detection is complicated by the poor sensitivity of current standard methodologies. Interesting results have been obtained with recent advanced technologies that are able to detect minute amounts of the pathological PrP (PrPSc), but their efficiency is reduced by various factors present in blood. In this study, we were able to extract cellular PrP (PrPC) from plasma-derived exosomes by a simple, fast method without the use of differential ultracentrifugation and to visualize it by Western blotting, reducing the presence of most plasma proteins. This result confirms that blood is capable of releasing PrP in association with exosomes and could be useful to better study its role in the pathogenesis of transmissible spongiform encephalopathies.


Asunto(s)
Exosomas/química , Priones/sangre , Scrapie/diagnóstico , Animales , Precipitación Química , Regulación de la Expresión Génica , Scrapie/sangre , Ovinos
19.
J Adv Nurs ; 70(6): 1299-309, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24138152

RESUMEN

AIM: In Emergency Departments, fragmentation and breakdown in information exchange can be important factors leading to adverse events. This article aims to consider the critical aspects of collaborative teamwork in Emergency Departments that may have an impact on the information flow. BACKGROUND: On the basis of Distributed Cognition Theory, we have assumed that cognitive outcomes in critical-care settings are not confined to the thoughts of isolated individuals; rather, they are better understood as properties of a distributed cognitive system across the minds of the clinical team members and across the technological artefacts. DESIGN: We report on an exploratory ethnographic study of two Emergency Departments. METHODS: Data were collected over a period of four months in 2008 via observation and interviews. RESULTS: The results highlight a specific distribution of cognitive work between physicians and nurses. The nurse's roles as information highlighter, memory keeper and process organizer helped to ensure the information flow and to overcome some of the problems identified with the computer-assisted communication process. Such distribution of cognitive work improved care quality, but it crossed established professional boundaries. CONCLUSION: As cross-boundary distribution of cognitive work in Emergency Departments can be perceived as role substitution, building an interprofessional working system is needed to avoid information breakdown in fast-moving contexts. To realize an interprofessional working system, practice-based training is required, aimed at developing a deep understanding of team cognition.


Asunto(s)
Actitud del Personal de Salud , Servicio de Urgencia en Hospital/organización & administración , Difusión de la Información/métodos , Comunicación Interdisciplinaria , Grupo de Atención al Paciente/organización & administración , Adolescente , Adulto , Niño , Preescolar , Cognición , Toma de Decisiones Asistida por Computador , Femenino , Hospitales Generales/estadística & datos numéricos , Hospitales Pediátricos/estadística & datos numéricos , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Enfermeras Practicantes/psicología , Rol de la Enfermera , Calidad de la Atención de Salud , Adulto Joven
20.
J Vet Diagn Invest ; 24(5): 971-5, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22914824

RESUMEN

Prion protein (PrP) is encoded by the PRNP gene, which is highly polymorphic in goats, with polymorphisms encoding amino acid substitutions at the protein level. In the current study, the reactivity of monoclonal antibody (mAb) F99/97.6.1 in binding PrP from goats polymorphic at PRNP codon 222 was investigated. Nervous tissue from 30 scrapie-negative goats with 3 different genotypes (222Q/Q, 222Q/K, and 222K/K) was analyzed by Western blot using mAbs P4 and F99/97.6.1. Although PrP was detected in all 30 samples by mAb P4, detection of PrP by mAb F99/97.6.1 was limited to 222Q/Q (12/12). No PrP was detected by mAb F99/97.6.1 in the 222K/K samples (n = 6), and the signal intensity of mAb F99/97.6.1 for PrP was lower for the 222Q/K samples (12/12 samples). To further investigate these results, additional Western blot analyses were performed, and the PrP signals detected by mAbs F99/97.6.1 and SAF84 were then quantified. The mean F99/SAF84 ratio (± standard deviation) calculated for the 222Q/Q group was 0.73 ± 1.26, and the mean for the 222Q/K group was 0.27 ± 1.31. Statistical analysis of these values evidenced statistically significant differences between the 222Q/Q and 222Q/K samples. The results of the study thus revealed an inhibition by lysine at position 222 on the binding of mAb F99/97.6.1 to goat PrP. This has implications for the use of mAb F99/97.6.1 for diagnostic purposes. Because the 222K allele could be a target for genetic selection in goats, the differential reactivity of mAb F99/97.6.1 could be exploited with a genotyping test setup.


Asunto(s)
Anticuerpos Monoclonales/metabolismo , Cabras , Lisina , Priones/química , Animales , Anticuerpos Monoclonales/química , Sitios de Unión de Anticuerpos , Genotipo , Enfermedades de las Cabras/diagnóstico , Mutación , Unión Proteica , Scrapie/diagnóstico
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