RISULTATI RICERCA

Healthcare professionals of the S. Camillo-Forlanini Hospital (Rome) daily provide citizens with highly specialized treatments. The Hospital is also an academic base where professionals are trained; in particular, nursing training dates back to the '50s. Training activities have greatly evolved and improved with the years, thus increasing the level of competence of these professional figures. Furthermore, they may transfer their skills in European and extra European countries within the clinical environment. Advanced competence and research are the foundations on which a novel awareness of health-related issues may take shape. In order to optimize the overall costs of a Hospital such as the S. Camillo-Forlanini, appropriately trained and experienced professionals can become the new generation of highly skilled experts, who manage healthcare issues with an innovative approach aimed at providing citizens with concrete responses and solutions.

Diagnostic imaging is very important in the diagnosis and management of the emergency patient. Logistics, technological equipment and staff of the Emergency Radiology Unit must be designed and worked out in the best way to guarantee the fastest and effective assistance to the emergency patient. The fundamental role that radiology emergency has gained in the management of the patient, from the entrance to the ED to the definition of its healing path, requires a continuous updating both technical and managerial, to make a faster and appropriate urgency management.

The considerations expressed by the authors in this document are based on their own personal working experience as members of the interdisciplinary team of SAIFIP (Servizio di Adeguamento tra Identità Fisica e Identità Psichica) operating since 1992 at the "San Camillo-Forlanini" Public Hospital Corporation in Rome (Italy) within the framework of the Reconstruction and Plastic Surgery Unit. The SAIFIP team has set up a protocol that offers, within the Italian National Healthcare, integrated and interdisciplinary clinical services for persons affected by Gender Identity Disorders that lays emphasis on the psychological, medicalsurgical and social-legal aspects implied in the process of sex-reassignment therapy. Such protocol originates from the indispensable integration and coordination of the various reference theories and their models which form the training basis of the different healthcare service providers and from the pressing need to organize the many therapeutic procedures involved (endocrinology therapy, surgery, counselling, psychotherapy, socio-therapy) together with the patient, with his/her family and with his/her extended ecosystem.

The paper presents a review of the transformation of social, legal and health care of the sick which will result from the recent Directive 2011/24/EU of the European Parliament on the application of patients’ rights in cross-border healthcare. The authors highlight the role played by the hospital through an analysis of hospital assistance to foreign persons. This leads to a project proposal that aims to enable direct routes for cross-border treatment, both within and external to the EU, and to enhance the excellence of the Lazio Region hospitals in attracting foreign patients and resources to the Regional Health Service.

The author presents a brief overview of historicale and legislation that comes to the present day and that shows how it has evolved emergency medicine and emergency department with particular reference to what happened at the San Camillo Hospital. Are presented some purview concerning the role of Emergency medicine within the hospital system and are considered the effects of an emergency department overcrowding leads on patients and operators from the point of view of clinical, economic, ethical and moral.

A descriptive analysis of deliveries and induced abortions between 2000 and 2012 at San Camillo Forlanini Hospital in Rome has been performed. About 20% of deliveries and 50% of abortions concerned foreigners from countries at high migration levels. Comparing the characteristics between Italian and foreign women Authors point out a median age at first delivery higher for Italian women, even if recently both Italian and foreign women tend to have babies later. Caesarean sections are more frequent among Italian women. Deliveries among very young women are more common for foreigners and for less educated people. Different patterns seem to characterize induced abortions among Italian and foreign women. The former tend to be young and single the latter older and married. The results suggest the opportunity of carrying out educational intervention addressed especially to young foreign women.

Aim of this article is to present the history of San Camillo-Forlanini Hospital in Rome. It includes two of the most important and well-known hospitals in the capital: the San Camillo, where the almost of diseases are cared and the Carlo Forlanini hospital, primarily engaged in pulmonology. The article is divided in two part that treat separately the history and evolution of the two hospitals. They still today constitute one of the centers of the largest and most reputable care of the Lazio region and, generally, of the Italian context.

The presence of hospitals in urban spaces is a reality at the basis of modern society. This has helped to raise the quality of life of the people. The hospital has taken on, in the contemporary era, a fundamental role in the 'life-worlds' of the community and in the process of urbanization. The object of reflection of the present study will attempt to analyze on the relationships, past, present and future vision of the role between the services offered to citizens with respect to the health needs, and to changes in the socio-historical, one of the largest hospitals what is the Italian Hospital San Camillo-Forlanini (AOSCF) in Rome.

A great deal of the popularity of Afro-Caribbean music is because the millions of people dancing it associate that music to the joys of aroma, flavor, and body contact. This exploration of the texts of about 1115 songs shows that: (1) there are songs putting food and drinks as the main topic for both celebration and every-day life histories. (2) Other songs talk about snacks and soft drinks while others (3) metaphorically mention food for talking about sex. (4) Some songs about non-food subjects collaterally mention food as part of the wider story. (5) Many singers sing about subjects completely unrelated to food, still using phrases like Azúcar! (sugar), Sabor! (flavor) and Qué rico! (it’s tasty!) as personal trademarks or in order to keep the attention of dancers. (6) Gluttony is usually a joke. (7) Even though drunkenness is portrayed as funny and as a mitigation of love pains there are also singers encouraging people to get out of such alcohol abuse. (8) A subject captivating the attention of most influential artists is how difficult are food production for farmers, navigation for fishermen, and paying the expensive costs of food for city inhabitants. Sponsoring places adequately combining restaurants with dancing halls where cooks and disc-jockeys are born, grown, and educated in the Caribbean seems more effective than the Traditional Specialty Guaranteed tag for ensuring the fair trade of Caribbean food, drinks, and music in Europe.

This paper develops five theses to analyze the distribution of economic, social and environmental effects connected with the system of geographical indications (gis). The authors claim that the distribution of benefits for the agricultural sector largely differentiate among European countries (Thesis 1); non-organized outsiders in the region who do not financially support the common pool resource can profit particularly greatly from a gis system (Thesis 2); among gis consortia, those with a clear marketing leadership of a focal supplier profit whereas those with many small suppliers are easier to get pressed by dominant buyers (Thesis 3); the role of public authorities may represent a significant bias in the application phase (Thesis 4) and environmental benefits attached to the gis such as biodiversity preservation are largely overestimated (Thesis 5).

This work illustrates the acceptability of innovations in the Italian dairy supply chain. The research is part of a larger study financed by the EU Commission (EU-FP7 SOLID - "Sustainable Organic and Low-Input Dairying") aimed at optimising the financial, agronomic and nutritional aspects of the organic and low input dairy sector. Several studies demonstrate how the development and the adoption of innovations are critical in improving and increasing the competitiveness of the supply chains (es. Stewart-Knox & Mitchell, 2003). In this work, the Q methodology was applied to investigate the innovation acceptability to organic and low input dairy supply chain members (Consumers, Farmers and Retailers & Processors). The aim was to identify and analyse different and common opinions of the Q participants. The results showed two different perspectives. The first one is a ‘sustainable’ view, shared by the majority of participants to the Q study; the second one is more practical, and mostly adopted by farmers. Some methodological and strategic implications are also presented in detail.

In the last decade, the durum wheat-pasta production chain was been, with the other food chains, vulnerable to prices volatility, that became stronger in the last five years due to the unfavourable economic condition. The supply chains internal competition and the unwillingness to cooperation, directly linked to lack of trust between actors on different levels, represent barriers for the efficiency this economic structure (the chain), that have to deal with the actual economic condition and the global market competition. The Italian durum wheat-pasta production chain is characterized by a high level of vertical integration for the downstream stages (mills and pasta industries) and by a farms-pasta industries contracts increase; whereas very high is the upstream stage firms’ fragmentation. The study aims to examine the Apulian durum wheat-pasta production chain, by means of the netchain analysis methodology, to point out its organisational set-up and its degree of integration and evaluate the horizontal and vertical existent relationships. The geographical location of the study is due to the importance that durum wheat has for the Region; that is in the first place of the national production ranking (almost the 20,65% in 2011), and have a great territory specialisation (almost the 87,68% of cereals regional uaa). The study started from the analysis of a quality product chain that can be considered as a best practice into the area because both the final product (dry pasta) is made from local durum wheat flour only, and the whole chain are certified ("Prodotti di qualità di Puglia" and dnv Business Assurance). The results obtained, show an high horizontal integration for farms. However, they are able to create ties only with selling cooperatives. The latter on the other hand, show the capability to promote cohesion between farms and mills for the supply of high quality raw materials. This chain, observed for its peculiarity of being a best practice, show the relevance of pasta industries in promoting strong horizontal and vertical relationships, and theirs importance in improving chain market competitiveness. Further studies are still necessary, since a more comprehensive analysis of the entire Apulian chain, considering also those one located into areas with an higher number of pasta industries (eg. Emilia-Romagna), can provide essential information that can be used to drive innovation in chain governance at the regional or national level.

This study proposes an analysis to evaluate the effects on the future choices of the zootechnical entrepreneur in light of the new indications in the Ministerial Decree of the July 6, 2012 "Execution of Art. 24 of the legislative decree 3 March 2011, no. 28 establishing incentives for the production of electricity from plants of renewable sources other than photovoltaic". Specifically, we will investigate the productive chain of biogas from anaerobic digestion and, in particular, the synergies that can be realized with the swine sector. The main objective is to assess what are the critical and the strength moments for the zootechnical entrepreneur in each stage of the chain, analyzing the opportunities of integration in order to gain an economic advantage in introducing innovative activities of process and transformation of livestock effluents; an economic profit can afford to enable virtuous practices on the part of the entrepreneur, also environmentally correct and able to make more sustainable the activities in the medium-long term.

Fresh-cut and ready to eat products are gaining market shares over fruits and vegetables. Dining habits and cooking time are changing over time and life styles are modifying the food preparation and the time used for eating. In the meanwhile, prices could be playing an important role in the substitution between fresh products and ready-to-eat alternatives. Therefore, the present paper tests the following hypotheses: - measuring the direct price effect on ready-to-eat and fresh cut product in order to verify market stability and price war probability; - measuring the substitution effect between fresh and ready-to-eat categories; The hypotheses have been verified throughout the estimation of a la/aids model that considers a system of 10 equations. The data used for the analysis have been collected by iri-Infoscan and represent the total Italian grocery sales for the years 2008-2010. Results provide evidence that the market is price sensitive and that substitution effect is negligible. Therefore, past, present and future evolutions of fresh-cut and ready-to-eat products should be attributed to price wars. Promotional activities, private label strategies and other price reduction strategies could be winning strategies in order to gain market shares within fruits and vegetable market.