Cross-cultural adaptation, validity and reliability study of the italian version of the back pain functional scale

SUMMARY Introduction. The Back Pain Functional Scale is a scale to assess disability in Low Back Pain patients. The purpose of this study was to translate, culturally adapt and validate the BPFS from the original English language into Italian. Materials and methods. Translation and cultural adaptation have been performed following international guidelines. 170 italian-speaking subjects with low back pain were recruited; 58 of them also performed the re-test. Internal consistency was assessed by calculating Cronbach’s Alpha and test-retest reliability was assessed by calculat ing the Intraclass Correlation Coefficient (ICC). Exploratory factor analysis and was performed to assess the construct validity and the correlation with other clinical scales was observed through Pearson’s correlation coefficients. Results. High internal consistency (Cronbach’s Alpha = 0.912) and very good test-re test reliability (ICC = 0.956) were found. Pearson’s correlation coefficient showed statistically significant correlations (p < 0.01) with the BPFS, FRI and ODI. Conclusions. The Italian version of the BPFS showed with good reliability and construct validity. This scale can be considered for the assessment of functional disabil ity in subjects with LBP: short, intuitive and easy to understand. It can certainly be used for both clinical practice and research

The Upper Extremity Functional Index (UEFI). Cross-cultural adaptation, reliability, and validity of the italian version

SUMMARY Introduction. The Italian version of the Upper Extremity Functional Index (UEFI) may help assess shoulder function in patients with shoulder problems, especially athletes. Objective. Translate and cross-culturally adapt UEFI into Italian; verify UEFI validity and reliability in professional and amateur athletes with upper limb musculoskeletal disorders, shoulder, in particular. Methods. This study was conducted with 150 participants with musculoskeletal disorders of the upper limb. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time; test-retest reliability was assessed with intraclass correlation coefficient (ICC); internal consistency was assessed with Cronbach’s alpha coefficient, and validity was assessed by Pearson’s correlation coefficients. Results. Cronbach’s alpha coefficients for the UEFI on test and retest were α = 0.979 and α = 0.985, respectively. The average measure ICC was 0.917. The UEFI score demonstrated strong negative correlations with SPADI total score (-0.636), Quick DASH score (-0.685), and SF-36 score (-0.327). Conclusions. The Italian version of UEFI is acceptable, valid, and reliable

Psychometric properties of the italian version of the Total Disability Index in patients with spine pain and disability. An italian cross-cultural adaptation, validation and translation

SUMMARY Background. Low back pain and neck pain are musculoskeletal disorders with the highest prevalence in the adult population. Spinal practices usually use formal questionnaires to asses and quantify pain and disability in people that suffer from back and neck pain, the aim of this study was to describe the translation and cross-cultural adaptation process of the English Total Disability Index (TDI) ‒ which is a more universal disability assessment ‒ into Italian version. Methods. The English version of the TDI has been translated according to international guidelines. The measurement properties (construct validity and reliability) have been tested according to COSMIN checklists. Exploratory Factor Analysis (EFA) was used to analyze structural validity. Cronbach’s α was calculated to assess the internal consistency and the Intraclass Correlation Coefficient (ICC) was calculated to estimate the reliability. The Functional Rating Index (FRI), the EuroQol Health Questionnaire 5 Dimensions (EQ-5D) and a Visual Analogue Scale (VAS) were used to assess the validity of the construct. Results. All the items were similar in meaning to the originals. EFA showed a mono-factorial structure. Cronbach’s α was 0.857 and the ICC was 0.821. The Pearson’s Correlation Coefficient showed significant correlations (p < 0.01) between SFI and FRI, EQ-5D and VAS items. Conclusions. Based on the results obtained, we suggest the use of TDI in daily clinical practice, also promoting its continuation in the field of scientific research

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

Lingua e linguaggio della comunicazione pubblica

Lingua, linguaggio, comunicazione sono termini profondamente legati tra loro e caratterizzanti la quasi totalità delle attività relazionali dei componenti di una comunità, nello spazio privato come nello spazio del dialogo pubblico, “civile”. Il saggio si propone di analizzare come le scelte linguistiche influenzino la comunicazione pubblica e le finalità che essa è chiamata a perseguire, perché sia effettiva la circolazione delle informazioni tra l’apparato istituzionale, gli individui e le parti sociali. Le attività di comunicazione concorrono a realizzare il modello democratico previsto dalla Costituzione e richiedono che l’agire delle istituzioni sia improntato responsabilmente al rispetto dei criteri di trasparenza, obiettività, inclusività, affidabilità. Anche per questo è necessario distinguere tra comunicazione istituzionale e comunicazione politica, i cui linguaggi, considerata oggi l'influenza della Rete, sono sensibilmente diversi