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Introduction: The aim of the study was to assess job satisfaction and risk of depression/anxiety in researchers of a Research Institute in Rome., Methods: The personnel was invited to participate in a survey filling in the General Health Questionnaire (GHQ.12) for the screening of depression/anxiety disorders and the evaluation of psychological stress, and a validated satisfaction questionnaire., Results: A descriptive analysis was conducted and logistic regressions were performed examining the following outcomes in separate models: being positive at the GHQ and being satisfied. The response rate was 52%. Among participants 15.1% were at risk of depression/anxiety, 77.4% were stressed and 66% were dissatisfied. Major determinants for dissatisfaction were "job opportunities" "communication between units", "judgment about spaces" "economic rewards", "participation in the organization of the unit"., Conclusions: Dissatisfaction with "economic rewards" was predictive of depression, independently of sex, age and job duration. Areas of possible intervention were identified.

Job satisfaction and psychological well being of health care workers significantly influence the quality of care. The aim of this study was to evaluate job satisfaction and psychological well-being in the administrative personnel of a large hospital in Rome-Italy. The personnel self-completed two anonymous questionnaires: the General Health Questionnaire (GHQ-12) for minor psychiatric non psychotic diseases and a validated job satisfaction questionnaire. Descriptive analysis and multiple logistic regression analysis were performed. Response rate was 65%. 74 were the questionnaires analyzed. 37.8% of respondents showed a high likelihood to develop symptoms of depression/anxiety (OR = 3.57; 95% CI 1.17-10.85). Major determinants of job dissatisfaction were the lower autonomy and poor communication in the working Unit. Factors associated with overall dissatisfaction were: insufficient training opportunities (p = 0.033), low autonomy (p = 0.023), poor communication between hospital Units (p = 0.009), unclear aims of their working Unit (p = 0.029), low agreement between personal expectations and required competence (p < 0.001). Among administrative staff job dissatisfaction was associated with high likelihood of depression/anxiety, low autonomy and poor communication, independently of sex, age, years of employment. Possible targets to improve satisfaction of administrative personnel were identified.

The job satisfaction and psychological well-being of health care workers may significantly influence the quality of care they provide. The aim of this study was to assess burnout and psychiatric disorders, such as anxiety and depression, as well as evaluate job satisfaction among nurses working at the IDI-Sanità in Rome. Nurses (n = 545) were invited to answer an anonymous, self-administered questionnaire, which consisted of the Maslach Burnout Inventory (MBI), the General Health Questionnaire (GHQ-12), and a validated questionnaire to examine job satisfaction. Descriptive analyses and multiple logistic regression analysis were performed. The section designed to evaluate job satisfaction was specifically examined by means of principal component factor analysis. Two hundred and forty-two nurses answered the questionnaire (response rate: 44%). Emotional exhaustion was observed in 38% of respondents. No significant difference was detected between mean values ( standard deviation) at each of the three MBI subscales and Italian normative data. About 33% of respondents showed a GHQ-12 score typical for disorders such as anxiety or depression. High levels of job satisfaction were found to be associated to a lower likelihood both of emotional exhaustion at MBI and psychiatric morbidity at GHQ-12. Factor analysis on items investigating job satisfaction identified 4 factors that globally accounted for 61% of the total variance. The factors obtained could represent possible targets for action aimed at improving nurse satisfaction.

Job satisfaction and psychological well-being of healthcare personnel and staff represent relevant issues for continuous quality improvement in health care organisations. The aim of this study was to evaluate job satisfaction, as well as the frequency of psychiatric minor disorders, among the personnel working at IDI Sanità, Rome (IDI-IRCCS and S. Carlo Hospital). An anonymous questionnaire was distributed, with the following sections:1) a validated set of items regarding various aspects of job satisfaction; 2) a 0 to 10 analogue scale to express a total satisfaction score; 3) the GHQ-12 to evaluate psychiatric symptoms. Relationships with hierarchical authorities, development possibilities, and role recognition were identified as the main determinants of being satisfied. It was observed a 6.2 mean satisfaction score. About 1/3 of respondents showed a high likelihood to develop symptoms of depression and anxiety. A high level of job satisfaction appeared as a protective factor for that kind of symptoms. Analysing job satisfaction levels and psychological symptoms among hospital personnel allows to identify the most important problems to solve. These will be the main targets of intervention.

Objectives: To evaluate satisfaction with care for psoriatic inpatients. Identify areas in need of interventions and actions to improve the satisfaction with care., Methods: We analyzed 133 patients with psoriasis and 335 patients affected by other dermatological diseases in their first access at the hospital. Six determinants of satisfaction with care were investigated with a self administered questionnaire. Moreover the overall satisfaction was documented. Descriptive analysis and a multiple logistic regression analysis correcting for confounding factors were performed. Focus groups were conducted with patients to further investigate about specific aspects of relationships between patients and personnel., Results: Psoriatic inpatients were less satisfied than other dermatological inpatients regarding Coordination of care, Information and education, Emotional support. Emotional support was the determinant with the smallest percentage of satisfied patients. Focus groups confirmed what was identified with the questionnaire and suggested necessary interventions., Conclusions: It is necessary to improve the communication skills of health personnel. Information for patients need to be enhanced and the management of psoriatic patients has to be improved.

A seven years old boy presented with gross hematuria associated with clots and transitory renal insufficiency. The urinary sediment showed only monomorphic red blood cells. Subsequently urinary sediment completely modified: namely only dysmorphic red blood cells and hyaline granular casts were found and within a week renal function become normal. The clinical diagnosis of Berger's disease was possible only with renal biopsy.

The authors report a case of tibial-tarsal septic arthritis caused by a Group A Beta Haemolytic Streptococcus. The primitive pathologic process was an erysipelas with an unusual localization originally of difficult interpretation.

The authors report the case of a fourteen months old girl who presented with emisomal, uropoietic and vertebral anomalies associated with neurologic handicap. These features can be considered characteristic of facio-auriculo-vertebral spectrum. This syndrome was not frequently described in Italian pediatric literature.

Originally described in 1955, papular acrodermatitis is considered a rare disease whose manifestations are mainly cutaneous. The disease is characteristically associated to a non icteric hepatitis with B serologic tests positive. We recently observed a case whose etiology is unusual and, therefore, in our opinion worth of a brief description.