I bambini e l'aerosol. Studio per valutare la compliance della terapia aerosolica associata all'uso di un computer didattico in bambini in etŕ scolastica

2009 ◽  
pp. 91-106
Author(s):  
Roberto Cerabolini ◽  
Gabrielle Boissard ◽  
Tiziana Buonfiglio ◽  
Maria Pia Savorelli

- A study has been carried out in order to evaluate the possibility of overcoming children aversion to aerosol therapy as well as facilitating their parents' task. Starting point of this study was the investigation, which was performed through focus groups, clinical interviews and a playful approach, on how children and parents perceive the aerosol therapy. After having identified critical issues and spontaneous proposals to ameliorate aerosol administration, the Authors evaluated the results obtained by the association of the traditional aerosol therapy with a device equipped with educational games. An experimental environment was set up in a school together with a procedure aiming at evaluating the children behavior towards aerosol therapy administered with and without the device equipped with educational games. The results of this monocentric, randomized, cross-over study demonstrated a statistically significant increase of the compliance index when aerosol therapy was administered with the device equipped with educational games, increasing interest, satisfaction and pleasure during the aerosol administration, which was accepted for a longer time.

2020 ◽  
Vol 33 (20) ◽  
pp. 42-46
Author(s):  
A.M. Kulish ◽  
V.V. Turpitko

Sport has always served to establish peace, to help different peoples of the world to study each other’s culture, to create conditions for the humane resolution of conflicts, to be an opportunity to express their talents. Therefore, he never fell out of sight of society. In this work, the authors present the formation and development of sports in Ukraine and abroad. The main features of the primitive community were identified. It is determined that the invention of the chariot for the physical culture of the states: Babylon, Ancient Egypt, Mesopotamia, Ancient India, China, Persia became the starting point for the further development of sports in this region. It has been found that ancient Greece made a significant contribution to the development of sports. After all, it was the basis of the main principles of modern professional sport. Attention is drawn to the Olympic Games that took place in Ancient Greece: their appearance, conditions, prohibition, and revival Pierre de Coubertin. Further new competitions (Paralympic Games, Olympic Games, etc.) were added to them. It is revealed that international organizations and institutions have been set up to control such competitions. The authors found that religion had a great influence on the formation of physical culture during the Middle Ages and during the Renaissance. Trends in the development of modern sport and the factors that influence it was found out. As a result, it was concluded that sports are currently in the process of transformation. Therefore, the authors indicate what has the greatest influence on the formation and continued existence of sports. The main stages of the formation of physical culture in Ukraine were analyzed. It is also established that Ukraine has built a domestic sport in accordance with world experience in this field. Keywords: sports, physical culture, Olympics, doping, consolidating function.


2016 ◽  
Vol 12 (2) ◽  
pp. 284
Author(s):  
Nuriyanto Nuriyanto

Dynamic development of society, they want the public bureaucracy to be able  to provide the public services more professional, effective, simple, transparent, open, timely, responsive and adaptive. With excellent public service, to build a human quality in the sense  of  increasing  the  capacity  of  individuals  and  communities  to determine actively its own future. Actualization of democratic precepts in the public services delivery in Indonesia starting point on the importance of community participation ranging from formulating criteria for the services, how the delivery   of the services, arranging each engagement, public complaints mechanism set up   by the monitoring and evaluation of the implementation of the public services in order to co-together build a commitment to create quality of the public services. It’s all been contained in the Law 25 of 2009 on Public Services, certainly it has been based on the precepts of the democracy of Pancasila. Rembug of the public services as an actualization of the public services based on the democracy of Pancasila.


2017 ◽  
Vol 15 (15) ◽  
pp. 44
Author(s):  
Valentina Calcaterra ◽  
Maria Luisa Raineri

This article presents the research of the project Giving Young People a Voice: Advocacy in Children’s Homes, set up as a result of the interest of a nonprofit organization working with looked-after children, with an aim to improve advocacy as a listening process and to promote the participation of children that reside in children’s homes. The research focused on the implementation of a visiting advocacy project and the activities carried out by an independent advocate working in children’s homes. The children’s evaluation of the project was collected by two focus groups; interviews were conducted with social care workers and the manager of the organization. This research deals with the implementation of the first visiting advocacy project in the context of the Italian child protection system.


2018 ◽  
Vol 46 (5) ◽  
pp. 528-540 ◽  
Author(s):  
Louise McCusker ◽  
Marie-Louise Turner ◽  
Georgina Pike ◽  
Helen Startup

Background:The effective treatment of Borderline Personality Disorder (BPD) presents healthcare providers with a significant challenge. The evidence base remains limited partially due to a lack of professional consensus and service user involvement regarding ways of measuring change. As a result, the limited evidence that is available draws on such a wide range of outcome measures, that comparison across treatment types is hindered, maintaining a lack of clarity regarding the clinical needs of this group.Aims:This investigation aimed to follow the National Institute of Clinical Excellence (NICE, 2009) research recommendations by asking service users about meaningful change within their recovery. This forms a starting point for the future development of a tailored outcome measure.Method:Fifteen service users with a diagnosis of BPD participated in three focus groups across two specialist Personality Disorder services. The focus groups were analysed using Thematic Analysis.Results:Two superordinate themes were synthesized from the data: (1) recovery to what?: ‘How do you rewrite who you are?’; and (2) conditions for change. Each superordinate theme further consisted of three subordinate themes which elucidated the over-arching themes.Conclusion:This investigation highlights the complex nature of measuring change in people who have received a BPD diagnosis. Further research is needed to develop meaningful ways of measuring change according to the needs and priorities of people with BPD.


Author(s):  
Rossella Cinelli ◽  
Gianluca Maggiani ◽  
Serena Gabriele ◽  
Alessio Castorrini ◽  
Giuliano Agati ◽  
...  

Abstract The Gas Turbine (GT) Axial Compressor (AXCO) can absorb up to the 30% of the power produced by the GT, being the component with the largest impact over the performances. The axial compressor blades might undergo the fouling phenomena as a consequence of the unwanted material locally accumulating during the machine operations. The presence of such polluting substances reduces the aerodynamic efficiency as well as the air intake causing the drop of performances and the increase of the fuel consumption. To address the above-mentioned critical issues, several washing strategies have been implemented so far, among the most promising ones, High Flow On-Line Water Washing (HFOLWW) is worth to mention. Exploiting this technique, the performance levels are preserved, whereas the stops for maintenance should be reduced. Nevertheless, this comes at the cost of a long-term erosion exposure caused by the impact of water washing droplets. Hence, it was deemed necessary to carry out a finite element method (FEM) structural analysis of the first rotor stage of the compressor of an aeroderivative GT, integrated into the HFOLWW scheme, in order to evaluate the fatigue strength of the component subjected to the erosion; possibly along with its acceptability limits. The first step requires the determination of the blade areas affected by erosion, using computational fluid dynamics (CFD) simulations, followed by the creation and the 3D modelling of the damaged geometry. The final step consists in the evaluation of the static stress and the dynamic agents, to perform a fatigue analysis through the Goodman relation and carrying out a simulation of damage propagation exploiting the theory of fracture mechanics. This procedure has been extended to the damage-free baseline component to set-up a model suitable for comparison. The structural analysis confirms the design of the blade, moreover dynamic and static evaluation of the eroded profiles haven’t outlined any working, nor mechanical, issue. This entitles the structural choice of HFOLWW as a system which guarantees full performance levels of the compressor.


Author(s):  
Monika Nová

The article describes a range of features typical of the manner in which Mongolians integrate themselves into an alien culture, particularly their way of life in the Czech Republic. Since the migration history of Mongolian minority living in our country is relatively short, the inquiry into their special circumstances required that we set up several focus groups at those places of Czechia where their populations are largest, namely in the regions of Highland, Pardubice, Zlín and Karlovy Vary. Special attention was paid to their involvement in regional policy in dependence on their numbers. As also follows from what was said above, the number of available interpreters and translators offering a command of both Czech and Mongolian languages is insufficient and does not meet the needs of integration.


2015 ◽  
pp. 1873-1885
Author(s):  
Jim Codling

The use of electronics has made old standards obsolete or at least “Passé.” Therefore, the question of ethics in the use of electronics has not been addressed very well. Common practices are forgotten as well as privacy and separation of work and down time. What this chapter entertains is to set up standards by which the entrepreneur can make best use of e-marketing, use of Internet, e-mails, and other electronic processes that can be used for commerce, while being sensitive to the standards that exist in differing societies and cultures. A starting point must be in distinguishing the needs and cultural standards between developed and developing countries. Another consideration must be the cultural norms of people who live in different places to include religions and moral/ethical standards.


Author(s):  
Desislava Paneva-Marinova ◽  
Radoslav Pavlov

This chapter presents solutions for personalized observation and enhanced learning experience in digital libraries (DLs) by special smart educational nooks. Main factors related to the DLs user experience and content usability issues are considered. During the user experience design, the users' needs, goals, preferences, and interests have been carefully studied and have become the starting point for the new DLs functionality development. This chapter demonstrates several educational nooks or their components, such as learning tools in a digital library for fashion objects, a smart learning corner in an iconographical art digital library, an ontology of learning analysis method, and some educational games for art and culture in which authors are co-developers.


2019 ◽  
Vol 3 (4) ◽  
pp. 371-386
Author(s):  
Doan Winkel ◽  
Justin Wilcox ◽  
Atul Teckchandani

The 60-minute minimum viable product (MVP) exercise teaches critical aspects of the entrepreneurial mind-set and lean start-up methodology, namely, the iterative process of hypothesis testing through the creation of MVPs. In 60 minutes, with no prior technical expertise, students will work in teams to design a landing page, create a teaser video, and set up a way to gather information from prospective customers. The resulting low-fidelity MVP can subsequently be shared with prospective customers to gauge interest and be used as a starting point for the hypothesis testing process used in the lean start-up methodology. This is an immersive exercise that activates students, builds confidence, and teaches important entrepreneurial principles.


2020 ◽  
pp. 107815522096639
Author(s):  
Mario Cirino ◽  
Riccardo Provasi ◽  
Irina Cebulec ◽  
Clara Palmieri ◽  
Paolo Schincariol ◽  
...  

Introduction Blinatumomab is an anticancer drug used in the treatment of Acute Lymphoblastic Leukaemia (ALL) in both adults and children. ALL is the most common form of cancer in children and patients who are refractory to standard treatments have poor prognosis. The preparation of blinatumomab is unique and extremely complex. It’s important to carry out any information to identify all the critical issues related to the preparation of blinatumomab: sharing procedure between prescribers, staff of the Centralized Chemotherapy Preparation Unit [Unità Farmaci Antiblastici (UFA)] and administering nurses aimed at reducing the clinical risk related to the management of the drug blinatumomab and to obtain correct prescriptions on the real dose to be prepared, safe worksheets with computer processing of all variables (volumes to be added and corresponding dose of drug) and complete labels containing all the information necessary for the control of the preparation and its correct infusion. Methods A computerized process involves the use of specific software to which precise instructions must be given. This study is divided into two phases, the first one focused on the analysis of Summary of Product Characteristics (SmPC) and the extrapolation of any unclear part of SmPC. The second phase involved the manufacturer to answer a questionnaire. Results This comparison with the company allowed to perfect the blinatumomab preparation process leading to: 1. allow the patient to be discharged and return a few times for infusions and consequently reduce the number of medical prescriptions; 2. set up the drug for each patient every 4 days; 3. reduce costs related to devices, staff employed. Conclusion Computerizing the preparation of anti-blastic drugs is a necessary path for the safety of the patient and all the operators involved, however it may be necessary to make changes in the preparation process to allow the software to work correctly. The comparison between pharmacist, clinician and, where necessary, the manufacturer of the drug, was effective in the preparation of this drug.


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