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- Di Rosa, Mirko, et al.
(author)
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Migrant care workers in Italian households : recent trends and future perspectives
- 2017
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In: The Routledge Handbook of Social Care Work Around the World. - Abingdon, Oxon ; New York, NY : Routledge, 2018. : Routledge. - 9781315612805 - 9781472479457 ; , s. 142-155
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Book chapter (other academic/artistic)abstract
- This chapter focuses on role played by migrant care work within the Italian long-term care (LTC) system. Italy is a country where the informal sector, and in particular the family, has traditionally represented the bulk of care provision, with public policies and interventions tending to perpetuate and take for granted this constellation. The analysis examines the increasingly important pillar of the Italian LTC system represented by care workers who are directly employed by Italian households, usually called in Italian assistenti familiari or – in a partly pejorative informal term – badanti. The impact of demographic trends on the Italian LTC system is exacerbated by a traditional lack in the coverage of formal LTC services, and more recently by the deepest economic recession since the Second World War. Families can take the chance to open up to new care and living solutions and create human capital, or they can isolate and shut down any positive possibility in the caregiving triad.
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| 3. |
- Friberg, Anders
(author)
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A Quantitative Rule System for Musical Performance
- 1995
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Doctoral thesis (other academic/artistic)abstract
- A rule system is described that translates an input score file to a musical performance. The rules model different principles of interpretation used by real musicians, such as phrasing, punctuation, harmonic and melodic structure, micro timing, accents, intonation, and final ritard. These rules have been applied primarily to Western classical music but also to contemporary music, folk music and jazz. The rules consider mainly melodic aspects, i. e., they look primarily at pitch and duration relations, disregarding repetitive rhythmic patterns. A complete description and discussion of each rule is presented. The effect of each rule applied to a music example is demonstrated on the CD-ROM. A complete implementation is found in the program Director Musices, also included on the CD-ROM.The smallest deviations that can be perceived in a musical performance, i. e., the JND, was measured in three experiments. In one experiment the JND for displacement of a single tone in an isochronous sequence was found to be 6 ms for short tones and 2.5% for tones longer than 250 ms. In two other experiments the JND for rule-generated deviations was measured. Rather similar values were found despite different musical situations, provided that the deviations were expressed in terms of the maximum span, MS. This is a measure of a parameter's maximum deviation from a deadpan performance in a specific music excerpt. The JND values obtained were typically 3-4 times higher than the corresponding JNDs previously observed in psychophysical experiments.Evaluation, i. e. the testing of the generality of the rules and the principles they reflect, has been carried out using four different methods: (1) listening tests with fixed quantities, (2) preference tests where each subject adjusted the rule quantity, (3) tracing of the rules in measured performances, and (4) matching of rule quantities to measured performances. The results confirmed the validity of many rules and suggested later realized modifications of others.Music is often described by means of motion words. The origin of such analogies was pursued in three experiments. The force envelope of the foot while walking or dancing was transferred to sound level envelopes of tones. Sequences of such tones, repeated at different tempi were perceived by expert listeners as possessing motion character, particularly when presented at the original walking tempo. Also, some of the character of the original walking or dancing could be mediated to the listeners by means of these tone sequences. These results suggest that the musical expressivity might be increased in rule-generated performances if rules are implemented which reflect locomotion patterns.
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| 4. |
- Lamura, Giovanni, et al.
(author)
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Implications of the use of migrant care work and web-based services on family caregivers' health
- 2019
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In: International Journal of Care and Caring. - : POLICY PRESS. - 2397-8821 .- 2397-883X. ; 3:1, s. 97-116
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Journal article (peer-reviewed)abstract
- This article illustrates the implications of two recent trends on family carers' health: the employment of home-based migrant care workers; and the provision of web-based supports. The main factors traditionally associated with carers' health are used to analyse the results of a six-country study via a multilevel linear regression. Attention will be dedicated to the role of migrant care workers, who are often hired by private households to provide eldercare. Finally, web-based services for carers will be investigated by considering InformCare, a recently implemented European platform tested on a sample of carers from three countries (Germany, Italy and Sweden).
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| 5. |
- Sánchez Van Kammen, Mayte, et al.
(author)
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Characteristics and Outcomes of Patients with Cerebral Venous Sinus Thrombosis in SARS-CoV-2 Vaccine-Induced Immune Thrombotic Thrombocytopenia
- 2021
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In: JAMA Neurology. - : American Medical Association. - 2168-6149 .- 2168-6157. ; 78:11, s. 1314-1323
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Journal article (peer-reviewed)abstract
- Importance: Thrombosis with thrombocytopenia syndrome (TTS) has been reported after vaccination with the SARS-CoV-2 vaccines ChAdOx1 nCov-19 (Oxford-AstraZeneca) and Ad26.COV2.S (Janssen/Johnson & Johnson).Objective: To describe the clinical characteristics and outcome of patients with cerebral venous sinus thrombosis (CVST) after SARS-CoV-2 vaccination with and without TTS.Design, Setting, and Participants: This cohort study used data from an international registry of consecutive patients with CVST within 28 days of SARS-CoV-2 vaccination included between March 29 and June 18, 2021, from 81 hospitals in 19 countries. For reference, data from patients with CVST between 2015 and 2018 were derived from an existing international registry. Clinical characteristics and mortality rate were described for adults with (1) CVST in the setting of SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia, (2) CVST after SARS-CoV-2 vaccination not fulling criteria for TTS, and (3) CVST unrelated to SARS-CoV-2 vaccination.Exposures: Patients were classified as having TTS if they had new-onset thrombocytopenia without recent exposure to heparin, in accordance with the Brighton Collaboration interim criteria.Main Outcomes and Measures: Clinical characteristics and mortality rate.Results: Of 116 patients with postvaccination CVST, 78 (67.2%) had TTS, of whom 76 had been vaccinated with ChAdOx1 nCov-19; 38 (32.8%) had no indication of TTS. The control group included 207 patients with CVST before the COVID-19 pandemic. A total of 63 of 78 (81%), 30 of 38 (79%), and 145 of 207 (70.0%) patients, respectively, were female, and the mean (SD) age was 45 (14), 55 (20), and 42 (16) years, respectively. Concomitant thromboembolism occurred in 25 of 70 patients (36%) in the TTS group, 2 of 35 (6%) in the no TTS group, and 10 of 206 (4.9%) in the control group, and in-hospital mortality rates were 47% (36 of 76; 95% CI, 37-58), 5% (2 of 37; 95% CI, 1-18), and 3.9% (8 of 207; 95% CI, 2.0-7.4), respectively. The mortality rate was 61% (14 of 23) among patients in the TTS group diagnosed before the condition garnered attention in the scientific community and 42% (22 of 53) among patients diagnosed later.Conclusions and Relevance: In this cohort study of patients with CVST, a distinct clinical profile and high mortality rate was observed in patients meeting criteria for TTS after SARS-CoV-2 vaccination..
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| 6. |
- Scutelnic, Adrian, et al.
(author)
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Management of Cerebral Venous Thrombosis Due to Adenoviral COVID-19 Vaccination.
- 2022
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In: Annals of neurology. - : Wiley. - 1531-8249 .- 0364-5134. ; 92:4, s. 562-573
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Journal article (peer-reviewed)abstract
- Cerebral venous thrombosis (CVT) caused by vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare adverse effect of adenovirus-based severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) vaccines. In March 2021, after autoimmune pathogenesis of VITT was discovered, treatment recommendations were developed. These comprised immunomodulation, non-heparin anticoagulants, and avoidance of platelet transfusion. The aim of this study was to evaluate adherence to these recommendations and its association with mortality.We used data from an international prospective registry of patients with CVT after the adenovirus-based SARS-CoV-2 vaccination. We analyzed possible, probable, or definite VITT-CVT cases included until January 18, 2022. Immunomodulation entailed administration of intravenous immunoglobulins and/or plasmapheresis.Ninety-nine patients with VITT-CVT from 71 hospitals in 17 countries were analyzed. Five of 38 (13%), 11 of 24 (46%), and 28 of 37 (76%) of the patients diagnosed in March, April, and from May onward, respectively, were treated in-line with VITT recommendations (p<0.001). Overall, treatment according to recommendations had no statistically significant influence on mortality (14/44 [32%] vs 29/55 [52%], adjusted odds ratio [OR]=0.43, 95% confidence interval [CI]=0.16-1.19). However, patients who received immunomodulation had lower mortality (19/65 [29%] vs 24/34 [70%], adjusted OR=0.19, 95% CI=0.06-0.58). Treatment with non-heparin anticoagulants instead of heparins was not associated with lower mortality (17/51 [33%] vs 13/35 [37%], adjusted OR=0.70, 95% CI=0.24-2.04). Mortality was also not significantly influenced by platelet transfusion (17/27 [63%] vs 26/72 [36%], adjusted OR=2.19, 95% CI=0.74-6.54).In patients with VITT-CVT, adherence to VITT treatment recommendations improved over time. Immunomodulation seems crucial for reducing mortality of VITT-CVT. ANN NEUROL 2022;92:562-573.
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