Models of collaboration between psychologist and family doctor: a systematic review of primary care psychology

open2noThe prevalence of psychological suffering is greater than the actual request for clinical consultation in Europe (Alonso et al., 2004). In Italy, no more than 5.5% of the population requested psychological assistance during lifetime (Miglioretti et al., 2008). There are different obstacles that prevent the access to mental health services, such as economic restrictions (Mulder et al., 2011), cultural prejudice (Kim et al., 2010), and lack of knowledge about the service providers that can answer to the patient’s psychological needs (Molinari et al., 2012). Therefore, the psychologist is often consulted as a last resort, only after everything else has failed, when problems have become severe, and thus requiring longer, more intensive, and expensive treatments. The introduction of the Primary Care Psychologist, a professional who works together with the family doctor, allows to overcome the above-mentioned problems and intercept unexpressed needs for psychological assistance. This professional role is operating in many countries since several years. In this study, current literature concerning different models of collaboration between physician and psychologist, in Europe and in Italy, was reviewed. A systematic search of Web of Science (ISI), Pubmed, Scopus, and PsychINFO was conducted using the initial search terms Primary Care Psychologist, Family Doctor, Primary Care, Collaborative Practice, and several relevant papers were identified. The review has shown the improved quality of care when mental health care is integrated into primary. Analyzing how different programs are implemented, results indicated that the more efficacious models of Primary Care Psychology are those tailored on the environment’s needs.The results of our systematic review stress the importance of the Primary Care Psychologist implementation also in Italy, to intercept unexpressed psychological needs and enhance clients’ quality of life.openFrancesca, Bianco; Enrico, BenelliBianco, Francesca; Benelli, Enric

New developments in measurements of CP violation

We present several alternative techniques used by the BaBar Collaboration in order to measure the Unitarity Triangle angle gamma. We also present the results of two searches designed to improve the measurements of sin(2beta) using penguin B decay modes by reducing the hadronic corrections uncertainties.Comment: 6 pages, 4 figures, Contribution to Moriond ElectroWeak 2006 Proceeding

Dissociation and interpersonal autonomic physiology in psychotherapy research: an integrative view encompassing psychodynamic and neuroscience theoretical frameworks

Interpersonal autonomic physiology is an interdisciplinary research field, assessing the relational interdependence of two (or more) interacting individual both at the behavioral and psychophysiological levels. Despite its quite long tradition, only eight studies since 1955 have focused on the interaction of psychotherapy dyads, and none of them have focused on the shared processual level, assessing dynamic phenomena such as dissociation. We longitudinally observed two brief psychodynamic psychotherapies, entirely audio and video-recorded (16 sessions, weekly frequency, 45 min.). Autonomic nervous system measures were continuously collected during each session. Personality, empathy, dissociative features and clinical progress measures were collected prior and post therapy, and after each clinical session. Two-independent judges, trained psychotherapist, codified the interactions\u2019 micro-processes. Time-series based analyses were performed to assess interpersonal synchronization and de-synchronization in patient\u2019s and therapist\u2019s physiological activity. Psychophysiological synchrony revealed a clear association with empathic attunement, while desynchronization phases (range of length 30-150 sec.) showed a linkage with dissociative processes, usually associated to the patient\u2019s narrative core relational trauma. Our findings are discussed under the perspective of psychodynamic models of Stern (\u201cpresent moment\u201d), Sander, Beebe and Lachmann (dyad system model of interaction), Lanius (Trauma model), and the neuroscientific frameworks proposed by Thayer (neurovisceral integration model), and Porges (polyvagal theory). The collected data allows to attempt an integration of these theoretical approaches under the light of Complex Dynamic Systems. The rich theoretical work and the encouraging clinical results might represents a new fascinating frontier of research in psychotherapy

Optimization of an in vitro transcription/translation system based on Sulfolobus solfataricus cell lysate.

A system is described which permits the efficient synthesis of proteins in vitro at high temperature. It is based on the use of an unfractionated cell lysate (S30) from Sulfolobus solfataricus previously well characterized in our laboratory for translation of pre-transcribed mRNAs, and now adapted to perform coupled transcription and translation. The essential element in this expression system is a strong promoter derived from the S. solfataricus 16S/23S rRNA-encoding gene, from which specific mRNAs may be transcribed with high efficiency. The synthesis of two different proteins is reported, including the S. solfataricus DNA-alkylguanine-DNA-alkyl-transferase protein (SsOGT), which is shown to be successfully labeled with appropriate fluorescent substrates and visualized in cell extracts. The simplicity of the experimental procedure and specific activity of the proteins offer a number of possibilities for the study of structure-function relationships of proteins

Hermeneutic single case efficacy design: A systematic review of published research and current standards

open4siThis article systematically reviews the methodological characteristics of Hermeneutic Single Case Efficacy Design (HSCED) studies published in peer-reviewed journals. HSCED provides researchers with a flexible and viable alternative to both between-groups and within-subject experimental designs. This article includes a description of the evolution of the methodology distinctive to HSCED; a discussion of results of HSCED studies considered within a framework of contemporary standards and guidelines for systematic case study research; a presentation of recommendations for key characteristics (e.g., diagnosis, hermeneutic analysis, adjudication procedure). Overall, the aim is provide researchers and reviewers with a resource for conducting and evaluating HSCED research. The results of a systematic review of 13 studies suggests that published HSCED research meets contemporary criteria for systematic case study research. Hermeneutic analysis and adjudication emerged as areas of HSCED practice characterized by a diversity of procedures. Although consensus exists along key dimensions of HSCED, there remains a need for further evaluation of adjudication procedures and reporting standards.openBenelli, Enrico; De Carlo, Alessandro; Biffi, Diana; Mcleod, JohnBenelli, Enrico; De Carlo, Alessandro; Biffi, Diana; Mcleod, Joh

Within the City: Ongoing Experiences in Local Urban Development Plans

The article presents a series of urban regeneration programmes carried out in the Lazio Region from 2011 to 2016, and financed by the resources of the cohesion policy 2007–2013. It covers: programme background, experience of the Municipality of Aprilia analysed in its most relevant details, some reflections concerning opportunities and limits of the programme, and some key elements to be developed in future research

Project and Realization of a Wide-Range High-Frequency RFID Gate Allowing Omnidirectional Detection of Transponders

The paper describes the study and development of a 2-meter-wide HF RFID gate providing omnidirectional detection of transponders.Common commercial HF RFID gate structures provide a maximum reading range around 150 cm.Moreover, this value is in most cases guaranteed only for the maximum coupling direction, with lower values for the other 2 orientations. The proposed structure raises the value of the reading range up to 200 cm for every orientation of the transponder, with even better results (220 cm) when the transponder is in the position of maximum coupling. This result has been achieved through numerical simulations, focused on the study of the geometry of the antenna system and on the realization of the matching circuit and then confirmed with the physical implementation of the system

La guida interattiva INandOUT. Un modo nuovo di esplorare musei ed aree archeologiche

The Interactive Guide INandOUT, created as part of the project “Signs of pre-Roman cultures in land and landscape” and sponsored by the European Program “Culture 2000”, aims at experimenting new forms of comprehension by creating a direct link between site-visiting, excavations finds and archival research using the newest available technologies (notebooks, Tablet PCs, etc.). The Interactive Guide INandOUT answers the visitor’s need to contemplate the single work he is observing inside the site or museum and to observe it together with the entire site, at the same time. In short, it can place the visitor outside the site while still taking him through each single step of the excavations. Two goals have been achieved: first of all an informative net was created, covering vast open spaces (such as those found in archeological sites) and smaller indoor spaces (such as those found in museums), and using wireless technology (Wi-Fi, Bluetooth, GPRS, UMTS). Second, this net was filled with multi-medial contents, such as animations, movies, images, sounds and voices, in order to enhance the correspondence between inside and outside, between the single object and its original environment. The visitor’s position is identified by means of tags RFid (Radio Frequency Identification). These simple and quite “invisible” radio transmitters, spread all over the site, interact with the client-driver (the Tablet PC) given to the visitor. By receiving different specific codes the Guide recognizes where the visitor stands and sends him the most specific and contextual information. Last, but not least, the RFid system considerably reduces both operation and maintenance costs. The Tags used to activate the multi-medial information on the visitor’s Tablet PC are small, easily attached (even only using glue) and easily removed if necessary, long lasting, ideal for open and external spaces, and, most important, they need no power supply

Carlo Bo lettore di Aimé Césaire

1nonenoneBENELLI G.Benelli, Grazian