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In this paper the author analyses the presence of Islam in the European public space, and the debates it produces among the populations of Europe. The case of hijab constitutes a significant example of these discussions, and is analyzed extensively. Some conclusions will refer on the process of establishing of forms of reactive identities, and on the role of conflict on symbolic and religious issues in the process of change of European societies. [ABSTRACT FROM AUTHOR]

The article focuses on Populism in two main analytical perspectives. The theoretical one, in which an attempt is made to retrace the steps of historical development of its meanings and contents, by removing confusion and contradictions in many of its terms and definitions, expecially in relation to the very concept of people derived from the collectivist tradition. On the other hand and from an empirical perspective, by gathering and comparing political realities in Europe, above all parties and movements sharing the label of populism, in the light of their electoral performances in recent rounds of voting in European democracies. The study concludes Populism has never been as dominant and influential an ideology as in the present times and context. [ABSTRACT FROM AUTHOR]

The contribution presents the radicality of the daily experiences of LGBTQ people who live non-monogamous relationships in the mononormative context of Italian society; of lesbian and bisexual mothers who clash with the monomaternalism synthesised by the Italian saying “di mamma ce n’è una sola”; of LGBQ friends who choose to live together as a life choice, challenging the heteronormativity of the stages that mark adulthood and the precariousness that characterises Southern Europe. Such radical choices are made possible by the construction of networks of care and friendship that are not contemplated by the Mediterranean welfare and that are analysed here through the narratives collected in Rome during the ERC Starting Grant project Intimate – Micropolitics of Intimacy in Southern Europe: Citizenship, Care and Choice (2014-2019) [ABSTRACT FROM AUTHOR]

Due to the ongoing Covid-crisis, the number of workers benefiting from short-time work schemes was high, especially during lockdowns, another large group of workers started working from home, and others, unfortunately, lost their jobs. The current situation is unprecedented, because it is the only global recession driven solely by a pandemic and the decrease in life expectancy is the worst since World War II. This article first shows that the literature on the socioeconomic effects of the Covid-19 pandemic does not say much about working poverty. Applying a theoretical model presented in 2018 based on the four mechanisms that lead to working poverty (at the household level), this article considers the potential short- and mid-term implications of the pandemic for the working poor in Europe. It also proposes conceptual reflections about which working poverty indicators may improve our understanding of what has unfolded since the pandemic began. [ABSTRACT FROM AUTHOR]

Given the sharp increase in migration flows, the issue of immigrants' religious assimilation and its impact on integration and discrimination has become a hot topic. This article refers to the debate between assimilation and reaction theories in order to shed light on the effects of both the destination context and the passage of time on immigrants' religiosity. Using the nine waves of European Social Survey data, I show that non-Muslim migrants display tendencies towards assimilation, with second generations being more similar to the native population than to the first generations in terms of levels of religiosity. Conversely, Muslim migrants are seen to resist more to assimilation pressures, thus reinforcing a reading based more on ethnic reactions. In addition to this, the data clearly show that there is a specific sector of the migrant population - younger second-generation Muslims - who feel a greater sense of discrimination because of their religion compared to both people from different religions and to their first-generation parents. This makes them a very relevant group to study because of the effects of this discrimination on socioeconomic and educational integration. [ABSTRACT FROM AUTHOR]

The article presents a study which discusses the use of open General Transit Feed Specification (GTFS) to determine the accessibility of rail transport in Europe.

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on the transport system that is present in almost all European cities called Bus Rapid Transit (BRT). It mentions that BRT was launched in Curitiba, Brazil in 1974 and offers an effective and efficient bus travel withinm fast and expanding cities. It also presents a comparison of the different tramways in Europe in consideration with the economic point of view, operational costs, and the advantages that it brings.

Copyright of Rivista di Studi Politici Internazionali is the property of Edizioni Studium S.r.l and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Europe is a secularised society as it is seen and thought? In a recent book by Peter Berger, Grace Davie e Effie Fokas (2008) Religious America, Secular Europe? this question returns to another question, much more intriguing: is Europe an exception in respect of the rest of the world and, above all, in respect of United States of America, following the indicators of the religiosity? (Davie, 2002; Hervieu-Léger, 2003) Or is not this assumed exception an unconditioned reflection of a chronic ethnocentrism of the European sociologists? For Berger we are watching more and more the de-secularisation and also Europe seems to be "round the corner" and to return "to faiths". However, half of Europeans, following the more recent data of the European Values Study, affirms that they pray or meditate once a week and three fourth of them affirm to feel religious themselves. Maybe, they fail to attend mass, but they don't renounce to think religiously and they continue to feel the need a sense of their action. At last, the socio-religious geography is rapidly changing: we can linger to make referendum for the opening of a mosque or for the construction of minarets, but the religious diversity is just evident, A well-informed social theory has to confute paradigms, schemes and conceptual matrix of the past. A sociology of religion that studies only the historically prevailing religions lingering to debate if and what the society if secularised risks not to understand how the society changes, its religious diversities and what they express. [ABSTRACT FROM AUTHOR]

Copyright of Sociologia del Lavoro is the property of FrancoAngeli srl and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article analyzes contemporary migration processes, by focusing on the so-called 'second generation' in Europe and Italy. After a brief description of the different meanings attached to this definition, the article highlights some of the peculiar aspects of the Italian context and analyzes them. Italy has experienced immigration only recently in comparison to other European countries. In addition, in this country immigration is often discussed by politicians and the media as a process related only with the labour market. This makes it interesting to define some preliminary indicators and trends in relation to the presence of migrants' children in Italy. Through the analysis of statistical data and academic research, this article studies migration projects through the perspective of the 'second generation', to show this can provide an appropriate lens to understand migration trajectories in their full complexity. Additionally, this article encourages researchers to consider migration from this perspective, as it will be part of a long-term process which may be viewed, from an analytical perspective, as a trajectory, or rather as a multiplicity of potential trajectories. [ABSTRACT FROM AUTHOR]

The article offers information on the association between social cohesion and the levels of economic disparity in Europe. From an empirical point of view, social cohesion has been related taking into consideration both macro and micro levels. On the macro level, the levels of criminality, inoccupation, indices of economic disparity, levels of education, people with racist attitudes and electoral participation have been taken into consideration. On the other hand, on the micro level, social cohesion has been referred to the behaviors and attitudes of human beings towards the different spheres of social life.

The article offers information on the new social risks encountered by citizens in Europe. The first risk involves a situation of relative poverty encountered due to the instability of income. The second risk involves the diffusion of occupational position due to temporariness. The third risk is about the conciliation between working and mothering, which has emerged due to the increase in women employees. The last risk is about the increasing number of people who are not self-sufficient and need a long term care. These risks are stated to create a situation which is socially vulnerable.

The article focuses on the changes in the implementation of migration policies in Europe. The socio-economic structures and geographical placements have attracted immigrants towards Europe. The members of the European Union, in the 1980s, imposed many policies to prevent immigration. The restrictions affected the economic development and international relations of the European countries.

The article discusses the importance and historical variations of the Roman rope makers, whose strings received high recognition even in Europe. It includes a detailed information about the manufacturing processes of lamb guts, which is claimed to produce highly stressed strings for lutes, guitars, and violins. It also provides a chronological analysis of the historical developments of the strings in Italy and France. It was associated with events like the abolition of the string corporations due to the crisis under French emperor Napoleon Bonaparte.

When Europe-wide protest arose against agbiotech in the late 1990s, opponents linked its risks with "globalisation", which symbolised the neoliberal policy framework. "Sustainable agriculture" was invoked in divergent ways by proponents and critics of agbiotech. By the late 1990s a legitimacy crisis led to a regulatory impasse. Some analyses diagnosed deficits in regulatory procedures and stakeholder relations, thus needing a remedy in "risk governance". Eventually policymakers defined a common problem: how to restore public and market confidence. Regulatory changes began to accommodate criticisms from mainstream consumer groups and environmental conservation agencies. By contrast, environmentalist groups still sought to undermine public confidence in safety claims. In mediating the conflicts, various governance roles operate as sources of further tension. Risk regulation will continue to bear the burden of legitimacy problems unless R&D agendas are opened up for debate and change. [ABSTRACT FROM AUTHOR]

Background: The prospective, single-arm, observational, phase 4 ETNA-AF Europe study collected real-world data about safety, effectiveness and therapeutic adherence in European patients with non-valvular atrial fibrillation newly prescribed with edoxaban and followed up for 4 years., Methods: Overall, 13 164 patients were included in the full-analysis set, which means that they had at least one documentation after baseline at 4 years. The current paper reports about the 3329 Italian patients out of the whole European population., Results: In the Italian cohort, median age was 76.0 (69.0-82.0) years, with 57.4% of the patients being ≥75 years old. The CHA2DS2-VASc score was >4 in 586 (18.1%) patients. At baseline, 670 (20.8%) patients were classified as frail by the investigators. Edoxaban 30 mg/day was prescribed to 1013 (31.8%) patients: these were older, with more comorbidities and a lower estimated creatinine clearance compared with those receiving 60 mg/day. All-cause mortality was 4.1%/year and there were very low yearly rates of bleeding and thromboembolic events: major bleeding, 0.9%; intracranial hemorrhage, 0.2%; ischemic stroke, 0.3%; systemic embolism, <0.1%. These events were more frequent in patients ≥75 years or in patients with renal impairment or treated with edoxaban 30 mg/day. Advancing age was not associated with an increased incidence of intracranial bleeding., Conclusions: These findings confirm the favorable long-term safety and effectiveness profile of edoxaban in non-valvular atrial fibrillation patients treated in routine clinical care in Italy.

Cardiac arrest (CA) is the third cause of death in Europe. This paper highlights the various treatments for the prevention and early management of CA and provides an overview of available evidence on the CA center concept. The experience of Maggiore Hospital of Bologna, Italy over the last 11 years is also outlined along with the treatments applied to patients with CA and their impact on improving outcomes. The new concept of the "Systems Saving Lives" approach is presented as a potential way for implementing Italian healthcare systems involved in the management of CA patients. Finally, the future perspective of implementation of CA centers in Italy is also described encouraging the healthcare professionals involved in the treatment of CA patients to consider a multidisciplinary approach (including a cardiologist, emergency physician, neurologist, physiatrist, radiologist, and intensivist).

Severe mitral regurgitation represents the second most common indication for valve surgery in Europe. In the last decade, transcatheter mitral valve repair has become an established effective and safe treatment option for patients at high or prohibitive operative risk. A relevant proportion of these patients develop significant tricuspid regurgitation. Once considered a benign and reversible finding, nowadays increasing attention is being paid to the coexistence of this valvular disease, as a growing body of evidence points towards its negative prognostic role. Over the last few years, transcatheter repair has been performed successfully also for the treatment of significant tricuspid regurgitation in patients at high surgical risk. Therefore, combined transcatheter repair is emerging as a treatment strategy for high surgical risk patients with both severe mitral and tricuspid regurgitation. In this review, we provide a comprehensive summary of the epidemiology, pathophysiology, and prognostic role of the coexistence of severe mitral and tricuspid regurgitation. We then discuss the evidence in favor of combined surgical treatment and the emerging data supporting combined transcatheter treatment, with attention to available treatment technologies. The paper is further enriched with three practical case reports and with the suggestion of a decision-making algorithm for the management of this complex subset of patients.

Competing Interests: Conflict of interest statement Armando Stefanati, Erica d’Anchera, Francesco De Motoli and Marta Savio declare no conflict of interest. Giovanni Gabutti declares that he does not have a specific conflict of interest related to this paper; however, he reports grants from Sanofi Pasteur MSD, GSK Biologicals SA, Pfizer, Sanofi Pasteur Italy, MSD Italy, Emergent BioSolutions and Seqirus for taking part in advisory boards, expert meetings, acting as speaker and/or organizer of meetings/congresses and acting as principal investigator and chief of OU in RCTs.

The area of mental health is directly affected by the pandemic and its consequences, for various reasons: 1-the pandemic triggered a global lockdown, with dramatic socioeconomic and therefore psychosocial implications; 2-mental health services, which treat by definition a fragile population from the psychological, biological and social points of view, have a complex organizational frame, and it was expected that this would be affected (or overwhelmed) by the pandemic; 3-mental health services should, at least in theory, be able to help guide public health policies when these involve a significant modification of individual behaviour. It was conducted a narrative review of the publications produced by European researchers in the period February-June 2020 and indexed in PubMed. A total of 34 papers were analyzed, which document the profound clinical, organizational and procedural changes introduced in mental health services following this exceptional and largely unforeseen planetary event.Among the main innovations recorded everywhere, the strong push towards the use of telemedicine techniques should be mentioned: however, these require an adequate critical evaluation, which highlights their possibilities, limits, advantages and disadvantages instead of simple triumphalist judgments. Furthermore, should be emphasized the scarcity of quantitative studies conducted in this period and the absence of studies aimed, for example, at exploring the consequences of prolonged and forced face-to-face contact between patients and family members with a high index of "expressed emotions".

A revised version of the European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS) guidelines on myocardial revascularization has recently been published. These guidelines represent the third time that the ESC and EACTS have brought together cardiologists and cardiac surgeons in a joint Task Force to review the available evidence, with the mission of drafting balanced, patient-oriented, clinical practice guidelines on myocardial revascularization. During the last 4 years, a large body of evidence has become available and brought substantial changes to the guidelines. This paper aims to summarize what is new in the 2018 ESC/EACTS guidelines on myocardial revascularization.

Sleep disorders and related diseases are becoming increasingly relevant for the health and wellbeing of the general and working populations. Sleep disorders affect all aspects of health, showing a bi-directionality with health conditions and comorbidity with several diseases. Consequently, sleep disorders may have severe negative consequences both for the individual and the enterprise, as well as for society on the whole, in terms of health, productivity and social costs. When considering the disturbances of the sleep/wake cycle, it is important to distinguish between those connected with endogenous biological factors from those related to socio-environmental conditions, including work, and those associated with mental and physical diseases, that are often associated and interact with each other. Many sleep disorders are still underestimated and under-valued in clinical practice and, to a much greater extent, in workers' health surveillance. The present paper is aimed at drawing the attention of the occupational health physician to some key issues, particularly regarding excessive daytime sleepiness, obstructive sleep apnea syndrome and shift and night work, as well as their implications in terms of health and occupational consequences. Information on the main aspects of clinical diagnosis and health surveillance, as well as risk management and prevention at the workplace, are provided.

Introduction: This paper presents an innovative device for measuring artificial optic radiations (AOR). AOR are required to be measured in accordance with both Italian and European regulations. The traditional measurement methods do not provide a quantitative measurement of the energy affecting the retina and in particular the fovea. Hence, they are not suitable to assess the real risk to the eye. Furthermore traditional methods are not even able to measure the exposure time (in relation to the position of the head with respect to the source)., Materials and Methods: The device permits the acquisition of essential information about AOR source direction and position so as to obtain an evaluation of the relative impact on worker's everyday activity. The device acts as both a wearable personal dosimeter and an instantaneous radiance detector. The main components are: a colour light sensor mounted at the centre of a pair of safety goggles (placed on the same line of the worker's sight) used to determine AOR intensity; an inertial/position sensor used for measuring head position/movement, and lastly a video camera to localize emission sources and generate the background in augmented reality visualization. The device is connected by means of a thin, flexible cable to a datalogger and/or netbook? for recording data., Results: the experiments were carried out in order to evaluate AOR sources during work activity; the results obtained and duly processed are presented in the paper., Conclusion: the aims are to achieve work place safety zoning so as to distinguish unsafe from safe areas, and not only specific dangerous areas, via analysis and integration of the overlapping pieces of information obtained with the proposed device.

The aim of this paper was to provide a detailed description of the EuroQol- 5 Dimension (EQ-5D) useful for those member of staff in rehabilitation setting who wish to use it properly. EQ-5D is an instrument which evaluates the generic quality of life developed in Europe and widely used. The EQ-5D descriptive system is a preference-based HRQL measure with one question for each of the five dimensions that include mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The answers given to ED-5D permit to find 243 unique health states or can be converted into EQ-5D index an utility scores anchored at 0 for death and 1 for perfect health. The EQ-5D questionnaire also includes a Visual Analog Scale (VAS), by which respondents can report their perceived health status with a grade ranging from 0 (the worst possible health status) to 100 (the best possible health status). Finally the specific utility (in clinical and research setting) of each one of them is discussed.

Disclosure of potential conflicts of interest (COI) is used by biomedical journals to guarantee credibility and transparency of the scientific process. COI disclosure, however, is not systematically nor consistently dealt with by journals. Recent joint editorial efforts paved the way towards the implementation of uniform vehicles for COI disclosure. This paper provides a comprehensive editorial perspective on classical COI-related issues. New insights into current COI policies and practices among European Society of Cardiology national cardiovascular journals, as derived from a cross-sectional survey using a standardised questionnaire, are discussed.

Objective: Aim of the paper is to examine the characteristics and the trend of mortality in immigrants in Tuscany in the last decade, and to compare it with that observed in Italians resident in the same region., Design: it is a descriptive study using the data 1997- 2008 of the Regional Mortality Registry of Tuscany., Setting and Participants: Immigrants have been defined those who are resident in Tuscany with non Italian citizenship.They have been classified in immigrants from countries at high migration rates (PFPM) and immigrants from developed countries (PSA)., Main Outcome Measures: Proportional mortality for the period 1997-2008 and trends of standardized (standard: European population) mortality truncated rates (20-64 years) per 100 000 in the period 2002-2008 by citizenship (PFPM, PSA and Italians), gender, age-class and causes of death., Results: In the period 1997-2008, in Tuscany, 4 755 deaths have been registered in immigrants: 3 055 residents (1 782 from PFPM and 1 273 from PSA) and 1 700 not residents. Trends for all and the main causes of death show an increasing gap in mortality between immigrants from PFPM and Italians, with higher rates for Italians.On the contrary infant mortality is higher in children from PFPM and the gap is increasing in the last years. Also the mortality for accidents (1° and 3° cause of death respectively in male and female PFPM) and the mortality for infectious diseases are higher in PFPM immigrants., Conclusion: Mortality study on immigrants in Tuscany highlighted specific health problems of this population deriving from living conditions in the home country as well in the host country. It will be necessary to continue to monitor the mortality trend and characteristics of this population because it represents a good indirect tool to evaluate his socioeconomic integration (considering also his use of our health system), and because this population is still expected to raise in the next decades.

A standardized and evidence-based approach to the cardiological management of patients undergoing noncardiac surgery has been recently defined by Task Forces of the American Heart Association (AHA), American College of Cardiology (ACC) and the European Society of Cardiology (ESC) that published their guidelines in 2007 and 2009, respectively. Both the recommendations moved from risk indices to a practical, stepwise approach of the patient, which integrates clinical risk factors and test results with the estimated stress of the planned surgical procedure. In the present paper the main topics of the guidelines are discussed, and moreover, emphasis is placed on four controversial issues such as the use of prophylactic coronary revascularization in patients with myocardial ischemia, the perioperative management of patients with congestive heart failure, the routine use of betablockers and statins, and, finally, the management of antiplatelet therapies in patients with coronary stents. In addition to promoting an improvement of immediate perioperative care, the preoperative cardiological evaluation should be a challenge for identifying subjects with enhanced risk of cardiovascular events, who should be treated and monitored during a long-term follow-up.

The 1853 Vaccination Act, adopted in England during XIX century, was the first law about compulsory vaccination in Europe. The Act caused a violent movement of opposition with the birth of Victorian anti-vaccination. The modern anti-vaccination movement was born in 1998 following a paper of Andrew Wakefield published in the Lancet. In this paper Wakefield illustrated a study of twenty patients and concluded that the administration of the MMR vaccine caused autism and some forms of colitis. The publication was later disowned by almost all authors. However the study of Wakefield caused a reduction of compliance to the anti-MMR vaccination in the United Kingdom, resulting in lower coverage and new outbreaks. The theorethical principles of anti-vaccinationists of 19th and 20th century were: the hypothesis that vaccines cause illnesses; the presence of toxic substances in the vaccine; the violation of freedom Personal and People's; the ineffectiveness of vaccinations. Moreover, anti-vaccinationists always refused the scientific methods and the peer-review of their scientific studies.

Objective: the study describes the burden of the Italian epidemiological research compared to that of the other 26 countries belonging to the European Union and to that of the United States, in the period 2007-2009. This is accomplished for both scientific published papers and grants obtained., Design and Setting: the searching in Medline database (February 2010) was done through complex search strings based on keywords corresponding to the various epidemiological research fields; grants were identified through 7th Framework Program (FP7), among those funded within February 2010., Main Outcome Measures: proportions of epidemiological papers published by researchers of the different countries and total number and amount of granted research projects for each European country., Results: in the period 2007-2009 epidemiological papers by Italian researchers account for about one-eighth of the total European production. This makes of Italy the second country in production, after the United Kingdom. Moreover, Italy is involved in 51.3%of the 374 studies granted through FP7: at least one Italian research body participates in 154 projects and Italian researches co-ordinate 38 projects., Conclusion: in Italy biomedical and epidemiological research is in a developing phase despite the difficulties due to the decrease in the amount of funds available.Moreover, Italian research is carried out mainly by public bodies and by Universities, even if a deeper involvement of local health authorities and regional agencies is desirable.

Objectives: This paper examines the history of an occupational disease which has now disappeared: acroosteolysis of manual tank cleaners in the production of polyvinyl chloride (PVC), which is a rare disease characterized by destructive alterations of the distal phalanges of the hands., Methods: All the available literature on this disease was examined. The history of acroosteolysis was studied within the general framework of the history of the discovery of adverse health effects of exposure to vinyl chloride, and this history was studied up to the end of the 1960's., Results: The disease was observed for the first time in mid-1963 in Belgium (Jemeppe) in a chemical plant operated by Solvay, and affected two workers whose job was the manual cleaning of vessels used for the polymerization of vinyl chloride; similar cases occurred in almost all PVC production plants all over the world, but not in the plants where the main activity was the production of vinyl chloride monomer (VCM). Little more than one hundred cases are described in the scientific literature, and this number increases by a few dozen if we consider known but unpublished cases. These figures confirm the rarity of the disease, which peaked at the end of the 1960's and disappeared during the 1970's, probably due to the complete elimination of manual reactor cleaning. Observation of the disease lasted no more than fifteen years and the disease was not replicated in experimental conditions on animals., Discussion: The disease was clinically characterized, had a short latency (from several months to several years), was rare and unequivocally linked to the manual cleaning of PVC polymerization tanks. However many questions still remain open: the period when the disease first appeared (many years after the start of PVC production in the world), the etiology of the disease (the most accredited hypothesis considers three concomitant factors: a chemical factor--one of the many substances used during polymerization, and particularly vinyl chloride monomer, a physical factor--microtraumas of the fingers during manual cleaning, individual susceptibility), the pathogenetic mechanism (in particular: the role of skin, respiratory, or digestive system, as entrance door), a method (or test) to screen subjects potentially predisposed to the disease. In our view acroosteolysis of manual tank cleaners in PVC production is an occupational disease which is distinct from "vinyl chloride disease" as identified by Viola (1974).

Objective: the present introductory paper illustrates the general framework of the Project EpiAir <>, of the Italian Centre for Disease Control and Prevention, Italian Ministry of Health. The project was designed to provide methods and criteria for epidemiological surveillance of the health effects of air pollution in large Italian cities., Method: we considered the relevant information available on the health effects of air pollution in Europe and in Italy, and the aspects critical to running a surveillance program., Results: the project made available a system of data and information to evaluate the health effects of air pollution. Health outcomes of interest are daily mortality (non accidental causes, cardiovascular, and respiratory causes) and cardiorespiratory hospital admissions. The project collected standardized data for the years 2001-2005 in ten Italian cities (Turin, Milan, Mestre, Bologna, Florence, Pisa, Rome, Taranto, Palermo, Cagliari). A network of public institutions in the field of environmental control and public health participated in the project. The surveillance system was set up for the period 2001- 2005 in order to evaluate future trends in the environmental and health circumstances (2006-2010) using reliable and standardized methods., Conclusion: we set up a long-term surveillance program of the health effects of air pollution.

In Italy during the last three decades important changes in employment have occurred. During the '70s, thanks to a variety of factors, the hygiene conditions of work have undergone a process of slow, but gradual improvement, which has not been arrested during the following decades. New legislation, partly deriving from European directives, has been introduced, and processes of outsourcing have moved the most burdensome and pollutants industrial productions to developing countries. Nevertheless, the estimates of the number of exposed (or even potentially so) workers, to carcinogens remain quite high. Currently, in absence of the planned National Information System on Prevention, it is impossible to estimate in how many and which workplaces primary prevention plans and facilities have been already installed. This paper aims to describe the situation related to most occupationally diffused carcinogenic agents: asbestos, wood and crystalline silica dusts, each one for its specificity. It also describes the innovations introduced by the most recent legislation, in particular with regard to the asbestos risk control. Finally, it stresses the need for a reform of the insurance premiums in order to introduce a mechanism for rewarding those employers who implement primary prevention facilities and penalizing those who don't. The economic advantages should gradually cover the cost of risk control technology.

This article describes a proposal for a nursing curriculum in general, clinical and paediatric nursing sciences (this scientific area is named MED/45 in Italian legislation) at the first cycle of higher education for general nurses in Italy (level 6 according to the European Qualifications Framework). Future change in university syllabus, need to revise nursing curriculum starting from specific competences acquisition, lack of professional national nursing standards, and uncertain evolution of a scientific academic sector for nurses in Italy, led to this work. It consists in evaluation and revision of what has been implemented in a nursing pre-registration degree at University of Insubria. Key principles orienting nursing sciences educational activities revision of this degree course has been the following: centrality of the person in the curing process, choice of a conceptual nursing model to guide personalisation of care, development of therapeutic relationship skills, and adherence to professional principles and values. Aims, educational objectives, and educational activities planned to teach nursing discipline in the three year course, are presented in this paper. Nursing discipline has been articulated into four knowledge areas: general nursing, nursing methodology, clinical nursing (general and applied), advanced nursing practice. Evaluation of this curriculum, implemented since 2000 and modified in 2008, helped the students to acquire a clear professional identity. Further comments are added in the conclusion on matching educational objectives to didactic units, identification of four knowledge areas for nursing sciences, and choice to deal with advanced nursing practice during the third year of the degree course.

The management of patients with syncope is recognized as one of the main issues of contemporary clinical medicine. The present paper discusses the most innovative aspects of the recent, specific European Society of Cardiology Guidelines and addresses the scenarios following the dissemination process undertaken in Italy by Scientific Associations.