“Ri-Generiamoci”: un progetto per promuovere la Solidarietà Intergenerazionale nel settore della cura all’anziano

Ri-Generiamoci is one research-action project promoted and coordinated by INRCA (National Institute for the Retirement and Care of Aged People, based in Ancona as part of a Retirement and Care Institute with Scientific Purposes). Its aim is that of making teenagers and aged people relate to the topic of the care of the elders. Since this objective is vital to intergenerationalknowledge and understanding, some educational activities have been identified, so that their cognitive or emotional character could reveal effective.In fact, the project is based on the assumption that personal relationships and cooperation are the only way to foster solidarity, thus preventing intolerance and abuse. This project includes: 8th grade students, aged people living in a multipurpose facility (residential and quasi-residential), and associations of volunteers. It was born out of the necessity to provide a clear answer to the needs of a category of people that is overexposed to abuse,as stated in “Abuel: abuse of elder in Europe.” Moreover, it complies with the requests of those who made contact with the Abused Elder People Line (TAM TAM). Both Abuel and TAM TAM are initiatives undertaken by INRCA in the Marche region.Il progetto Ri-Generiamoci è una ricerca-azione promossa e coordinata dall’INRCA (Istituto Nazionale di Ricovero e Cura per Anziani, Istituto di Ricovero e Cura a Carattere Scientifico – IRCCS – con sede ad Ancona), con l’obiettivo di mettere in relazione adolescenti ed anziani rispetto ad una tematica, quella della cura degli anziani, con cui le nuove generazioni vengono sempre più raramente a contatto. Al fine di perseguire questo obiettivo, cruciale per stimolare la conoscenza e comprensione intergenerazionale, sono state individuate una serie di attività pedagogiche di tipo sia cognitivo sia emotivo-esperienziale, certi che il rapporto umano e la collaborazione siano le uniche strade percorribili per l’educazione alla solidarietà e la prevenzionedi atti di intolleranza e di maltrattamento. Questo progetto pilota,che coinvolge studenti di terza media, gli anziani ospiti di una struttura re-sidenziale e semi-residenziale nonché due associazioni di volontariato, nasce dalla volontà di proporre una risposta concreta e lungimirante alle esigenze della popolazione anziana fragile, spesso maltrattata e a rischio di abuso, così come emerso dallo studio “Abuel: abuse of elder in Europe” e dalle richieste avanzate da coloro che hanno fatto ricorso al Telefono AnzianiMaltrattati (TAM TAM), due recenti iniziative condotte dall’INRCA nella regione Marche

Contribution to Research with Regard to the Activities of Ruđer Josip Bošković as a Surveyor and Cartographer

U radu je dan pregled života i rada Ruđera Boškovica, a posebno je istaknut njegov rad kao geodeta i kartografa. Boškovic je dao velik doprinos ondašnjoj geodeziji i izmjeri svojim inovacijama koje je potom prvi upotrijebio za postizanje veće točnosti mjerenja. Zaključio je da ondašnje postojeće karte ne zadovoljavaju potrebe zaključivanja u stručnim ekspertizama. Kao rezultat mjerenja i računanja na putovanjima koja je proveo, izradio je kartu Crkvene države i često davao mišljenje uz kritički osvrt prema drugim ekspertizama i stručnjacima.This paper presents an overview of the work of Ruler Josip Boškovic, emphasising his activities as a cartographer and surveyor. Boškovic made a great contribution to the geodesy and surveying of his time through innovations which he initially used to achieve better accuracy of measurement. He concluded that existing maps did not meet the needs of professional and expert use. As a result of his surveying and travels, he made a Map of the Ecclesiastical State, often appending his opinions and criticisms of other experts

The causal relationship between gastro-oesophageal reflux disease and idiopathic pulmonary fibrosis: a bidirectional two-sample Mendelian randomisation study

Background: Gastro-oesophageal reflux disease (GORD) is associated with idiopathic pulmonary fibrosis (IPF) in observational studies. It is not known if this association arises because GORD causes IPF or because IPF causes GORD, or because of confounding by factors, such as smoking, associated with both GORD and IPF. We used bidirectional Mendelian randomisation (MR), where genetic variants are used as instrumental variables to address issues of confounding and reverse causation, to examine how, if at all, GORD and IPF are causally related. Methods: A bidirectional two-sample MR was performed to estimate the causal effect of GORD on IPF risk and of IPF on GORD risk, using genetic data from the largest GORD (78 707 cases and 288 734 controls) and IPF (4125 cases and 20 464 controls) genome-wide association meta-analyses currently available. Results: GORD increased the risk of IPF, with an OR of 1.6 (95% CI 1.04–2.49; p=0.032). There was no evidence of a causal effect of IPF on the risk of GORD, with an OR of 0.999 (95% CI 0.997–1.000; p=0.245). Conclusions: We found that GORD increases the risk of IPF, but found no evidence that IPF increases the risk of GORD. GORD should be considered in future studies of IPF risk and interest in it as a potential therapeutic target should be renewed. The mechanisms underlying the effect of GORD on IPF should also be investigated

Home care in Europe: a systematic literature review

<p>Abstract</p> <p>Background</p> <p>Health and social services provided at home are becoming increasingly important. Hence, there is a need for information on home care in Europe. The objective of this literature review was to respond to this need by systematically describing what has been reported on home care in Europe in the scientific literature over the past decade.</p> <p>Methods</p> <p>A systematic literature search was performed for papers on home care published in English, using the following data bases: Cinahl, the Cochrane Library, Embase, Medline, PsycINFO, Sociological Abstracts, Social Services Abstracts, and Social Care Online. Studies were only included if they complied with the definition of home care, were published between January 1998 and October 2009, and dealt with at least one of the 31 specified countries. Clinical interventions, instrument developments, local projects and reviews were excluded. The data extracted included: the characteristics of the study and aspects of home care 'policy & regulation', 'financing', 'organisation & service delivery', and 'clients & informal carers'.</p> <p>Results</p> <p>Seventy-four out of 5,133 potentially relevant studies met the inclusion criteria, providing information on 18 countries. Many focused on the characteristics of home care recipients and on the organisation of home care. Geographical inequalities, market forces, quality and integration of services were also among the issues frequently discussed.</p> <p>Conclusions</p> <p>Home care systems appeared to differ both between and within countries. The papers included, however, provided only a limited picture of home care. Many studies only focused on one aspect of the home care system and international comparative studies were rare. Furthermore, little information emerged on home care financing and on home care in general in Eastern Europe. This review clearly shows the need for more scientific publications on home care, especially studies comparing countries. A comprehensive and more complete insight into the state of home care in Europe requires the gathering of information using a uniform framework and methodology.</p

Large-scale genome-wide analysis identifies genetic variants associated with cardiac structure and function

BACKGROUND: Understanding the genetic architecture of cardiac structure and function may help to prevent and treat heart disease. This investigation sought to identify common genetic variations associated with inter-individual variability in cardiac structure and function. METHODS: A GWAS meta-analysis of echocardiographic traits was performed, including 46,533 individuals from 30 studies (EchoGen consortium). The analysis included 16 traits of left ventricular (LV) structure, and systolic and diastolic function. RESULTS: The discovery analysis included 21 cohorts for structural and systolic function traits (n = 32,212) and 17 cohorts for diastolic function traits (n = 21,852). Replication was performed in 5 cohorts (n = 14,321) and 6 cohorts (n = 16,308), respectively. Besides 5 previously reported loci, the combined meta-analysis identified 10 additional genome-wide significant SNPs: rs12541595 near MTSS1 and rs10774625 in ATXN2 for LV end-diastolic internal dimension; rs806322 near KCNRG, rs4765663 in CACNA1C, rs6702619 near PALMD, rs7127129 in TMEM16A, rs11207426 near FGGY, rs17608766 in GOSR2, and rs17696696 in CFDP1 for aortic root diameter; and rs12440869 in IQCH for Doppler transmitral A-wave peak velocity. Findings were in part validated in other cohorts and in GWAS of related disease traits. The genetic loci showed associations with putative signaling pathways, and with gene expression in whole blood, monocytes, and myocardial tissue. CONCLUSION: The additional genetic loci identified in this large meta-analysis of cardiac structure and function provide insights into the underlying genetic architecture of cardiac structure and warrant follow-up in future functional studies. FUNDING: For detailed information per study, see Acknowledgments.This work was supported by a grant from the US National Heart, Lung, and Blood Institute (N01-HL-25195; R01HL 093328 to RSV), a MAIFOR grant from the University Medical Center Mainz, Germany (to PSW), the Center for Translational Vascular Biology (CTVB) of the Johannes Gutenberg-University of Mainz, and the Federal Ministry of Research and Education, Germany (BMBF 01EO1003 to PSW). This work was also supported by the research project Greifswald Approach to Individualized Medicine (GANI_MED). GANI_MED was funded by the Federal Ministry of Education and Research and the Ministry of Cultural Affairs of the Federal State of Mecklenburg, West Pomerania (contract 03IS2061A). We thank all study participants, and the colleagues and coworkers from all cohorts and sites who were involved in the generation of data or in the analysis. We especially thank Andrew Johnson (FHS) for generation of the gene annotation database used for analysis. We thank the German Center for Cardiovascular Research (DZHK e.V.) for supporting the analysis and publication of this project. RSV is a member of the Scientific Advisory Board of the DZHK. Data on CAD and MI were contributed by CARDIoGRAMplusC4D investigators. See Supplemental Acknowledgments for consortium details. PSW, JFF, AS, AT, TZ, RSV, and MD had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis

Mendelian Randomization using Public Data from Genetic Consortia

Mendelian randomization (MR) is a technique that seeks to establish causation between an exposure and an outcome using observational data. It is an instrumental variable analysis in which genetic variants are used as the instruments. Many consortia have meta-analysed genome-wide associations between variants and specific traits and made their results publicly available. Using such data, it is possible to derive genetic risk scores for one trait and to deduce the association of that same risk score with a second trait. The properties of this approach are investigated by simulation and by evaluating the potentially causal effect of birth weight on adult glucose level. In such analyses, it is important to decide whether one is interested in the risk score based on a set of estimated regression coefficients or the score based on the true underlying coefficients. MR is primarily concerned with the latter. Methods designed for the former question will under-estimate the variance if used for MR. This variance can be corrected but it needs to be done with care to avoid introducing bias. MR based on public data sources is useful and easy to perform, but care must be taken to avoid false precision or bias