Search results for "sanitari"
showing 10 items of 639 documents
EFFETTI DELL’INTRODUZIONE DI ALCUNI INDICATORI DI ESITO PER LA VALUTAZIONE DELLA QUALITA’ DELLE CURE IN SICILIA
2013
Introduzione: La Sicilia è stata tra le prime regioni nel Paese ad avere applicato metodi di valutazione comparativa degli esiti delle prestazioni. La Regione, sulla base di tali requisiti, è stata in grado di partecipare, tra le prime in campo nazionale, ai progetti coordinati da AGENAS, che rientrano nel Piano Nazionale Esiti (PNE). A partire dall’anno 2010 sono sistematicamente utilizzati alcuni indicatori del PNE nell’ambito del sistema di valutazione annuale delle Direzioni Generali (D.G.) delle Aziende Sanitarie. Obiettivi: Scopo del presente contributo è quello di descrivere gli effetti della introduzione di alcuni indicatori di esito per la valutazione degli obiettivi dei D.G. delle…
Global sensitivity analysis for urban water quality modelling: comparison of different methods
2012
Sensitivity analysis represents an important step in improving the understanding and use of environmental models. Indeed, by means of global sensitivity analysis (GSA), modellers may identify both important (factor prioritization) and non-influential (factor fixing) model input factors. However, despite the potentialities of GSA methods, only few applications have been published in the field of urban drainage modelling. In order to fill this gap this paper presents a comparison among three GSA methods (SRC, Extended-FAST and Morris screening) on an urban drainage storm-water model. In particular, an exhaustive discussion on their peculiarities, applicability, and reliability is presented. S…
Inscripciones perdidas del antiguo Hospital General de Valencia
2000
El fondo documental del Archivo del Hospital General de Valencia nos da a conocer la existencia en sus antiguas dependencias de dos inscripciones actualmente perdidas. Una de ellas ordenada realizar en 1512 con motivo de la fusión hospitalaria que transformó a la Casa de los Inocentes en Hospital General; la otra se data en 1687 y narraba la colocación de la primera piedra en la reedificación de la iglesia de este centro asistencial. A lo largo del artículo se examina el contexto histórico, las características físicas que debieron tener estos epígrafes, a la vez que se hace especial hincapié en la funcionalidad de los mismos y en su conexión con el pensamiento de la época, pues todo documen…
Uncertainty Assessment of a Water-Quality Model for Ephemeral Rivers Using GLUE Analysis
2011
Every model is, by definition, a simplification of the system under investigation. Although it would be desirable to reduce the gap between the simulated and the observed behaviors of the system to zero, this reduction is generally impossible owing to the unavoidable uncertainties inherent in any modeling procedure. Uncertainty analyses can provide useful insights into the best model approach to be used for obtaining results with a high level of significance and reliability. The evaluation of parameter uncertainties is necessary for calibration and for estimating the impact of these uncertainties on model performance. In this context, the uncertainty of a river water-quality model developed…
Assessment of data availability influence on integrated urban drainage modelling uncertainty
2009
In urban water quality management, several models are connected and integrated for analysing the fate of pollutants from the sources in the urban catchment to the final recipient; classical problems connected with the selection and calibration of parameters are amplified by the complexity of the modelling approach increasing their uncertainty. The present paper aims at studying the influence of reductions in available data on the modelling response uncertainty with respect to the different integrated modelling outputs (both considering quantity and quality variables). At this scope, a parsimonious integrated home-made model has been used allowing for analysing the combinative effect of data…
Biological nutrient removal using intermittent aeration in a hybrid moving bed biofilm reactor
2012
The paper presents an experimental study on a lab scale pilot plant in a Hybrid Moving Bed Biofilm Reactor. The pilot plant was fed with synthetic wastewater and was in operation considering two different operating conditions: continuous aeration and intermittent aeration. Both continuous and intermittent aeration were monitored and compared in order to seek the best conditions for carbon and nitrogen removal. At the beginning of the experimentation, an initial period of about 90 days was considered during which the pilot plant worked in bench scale configuration for allowing the formation of biofilm on the carriers. Once the biofilm growth was accomplished, the pilot plant worked for a fir…
Membrane Bioreactors for wastewater reuse: Respirometric assessment of biomass activity during a two year survey
2018
Abstract Stricter effluent limits, water shortage conditions, land availability requires today even more the needs of advanced wastewater treatments. Attractive solutions come from membrane bioreactors (MBR), Integrated Fixed Film Activated Sludge (IFAS) or combinations (i.e., IFAS-MBRs). One crucial aspect for the applicability of this overall new technology, compared to the conventional activated sludge systems, is the lack of knowledge for design and manage (e.g., kinetic constants, optimal operative conditions etc.). In view of the above frame, the aim of the present study was to assess the kinetic and stoichiometric parameters of bacterial species in MBRs by means of respirometric tech…
Implementare le politiche sanitarie a livello regionale per l'eliminazione dell'epatite C ai tempi del COVID-19
2022
Viral hepatitis C is an important public health problem and its elimination by 2030, defined by the World Health Organization, is an ambitious goal. The chance of free screening for HCV infection represents an important achievement that requires a successful State-Regions coordination and an effective regional organisation, that guarantees an interdisciplinary course between local and specialized healthcare. A structured communication program to increase the sensitivity of target populations as well as health professionals is the key for success. The implementation of the proactive screening, defined by the Milleproroghe Law, is crucial because it will define the tracks for the whole HCV co…
LEA, Sistemi di tariffazione e Sistemi Informativi Sanitari
2008
EPIDEMIOLOGIA DELLA LEISHMANIOSI IN SICILIA: STIMA DEL BURDEN DI MALATTIA ATTRAVERSO L’ANALISI DEI FLUSSI SANITARI CORRENTI.
2014
INTRODUZIONE: La Sicilia è notoriamente terra endemica per la leishmaniosi, ma mancano, allo stato attuale, dei sistemi di sorveglianza attiva che permettano di quantificare precisamente il carico di malattia attribuibile a questa patologia protozoaria. Obiettivo del presente lavoro è stato quello di analizzare i flussi sanitari correnti disponibili al fine di stimare l’impatto della leishmaniosi sulla popolazione siciliana residente. MATERIALI E METODI: Lo studio ha analizzato due fonti: a) tutte le notifiche in classe II di leishmaniosi effettuate tra gennaio 2010 e dicembre 2013; b) le schede di dimissione ospedaliera (SDO) riportanti i codici ICD9-CM 085.1, 085.2, 085.3, 085.4, 085.5 ed…