Thursday, March 17, 2011

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FAZIO A Gramazio (PDL), inadequate medical ON AMBULANCES IN LAZIO

(AGENPARL) - Rome, 16 March - "The data received underline the severe shortage of doctors to meet the needs of the service provided, which is the basis of the difficulty for the regional agency for emergency care to keep doctors in 118 the ambulance service for all emergency requests that relate to the code red. " And 'the response of the health minister Ferruccio Fazio Domenico Gramazio question tabled by the PDL has requested clarification on the shortage of doctors in ambulances in Lazio. The numbers shown exponent of Government have been acquired by the Lazio Region. "The Agency has pointed out - still Fazio - who continue to ensure the continued of doctors in the ambulance service, for all requests in emergencies involving the red codes, you must recruit an adequate number of doctors, to avoid further limitation of service. " In addition, the Agency has shown that a "rationalization of the use of doctors, which avoids the number priority while ensuring their presence on a larger number of code red, is their use in cars alongside medical ambulances" .

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Grave situation in the casualty departments of hospitals in Rome and Lazio.

DA radicalilazio


WHEREAS:

- According to investigations conducted by the media in the region, as documented testimonies, photos and interviews, the emergency department of hospitals in the region are in a real state of emergency;
- Ospedale Policlinico Umberto I in Rome, according to As documented Friday, March 11, 2011, from the newspapers La Repubblica and Corriere della Sera, Story of Rome, the overcrowding of patients in the ER leads to a very serious situation to the point that doctors and nurses are mobilizing to find solutions before that the emergency from turning into tragedy .. This serious situation was determined to serious organizational problems, a situation of emergency First aid was sued by a group of 150 employees who declared that "people in those wards with very different pathologies stationed for hours stretched out side by side. And heart disease can happen close to a patient suffering from a viral respiratory illness, with all the necessary consequences. " The working committee has also promoted promoted an appeal - signed by more than 120 doctors, nurses and support staff - to find a solution as soon as possible. As documented in the press report, the average waiting time in the ER have doubled since 2005 from 3 / 4 of an hour to an hour and a half, peaking at two hours during the hours between 12 and 16. In the Department of Emergency and acceptance, the Goddess, then the stay stagnant for a very long time, sometimes more than three days spent on a stretcher, or, if they are all occupied, on a sofa or chair. An average of 14 hours. Patients in Code Red, the so-called Piazzetta, still waiting for admission to the ICU an average of 14 hours with peaks up to 3-5 days, the article in the Corriere della Sera said: "the personal, often precarious, is forced with no respect for the dignity and privacy of patients, amassing men, women, old and young, on stretchers and armchairs, as in a large cauldron, including drip and oxygen masks. Everyone hopes that the wards or other hospitals dell'Umberto The Capitoline arrival accommodation. The record of waiting, in this sad list, it is a Filipino stroke: is dying and waiting for a bed for 20 days in intensive care. "
- as documented by the newspaper Il Messaggero, a chronicle of Rome, on 25 February, in a large hospital in the east quadrant of Rome has been beating the record of patients on stretchers parked in the emergency room, even for five days, because the wards are full: Patients were 73;
- as reported by the newspaper 'Law' on 31 January, "the lack of beds Hospital San Camillo-Forlanini affects in particular the emergency room, transformed into a field hospital," "wherever you are patient, long waits in waiting rooms: so also the 118 is forced to intervene, paying their litters. This chronicle of a day like any other, with men, women, sick and in some cases forced to stand in the same room. Another sore point, then, are the biblical expectations that translate into an odyssey for those who expect to be visited. Dismay, anger, complaints and problems are now on the agenda: "I'm in line for two hours and who knows how much longer will before my turn came - says Michael D. - Do not take it anymore, the situation is untenable for all "."
- in the regional health plan, it was decided to close the emergency department and the Department of brief observation of the CTO of Rome, with further pressure on the distribution of patients to be transported to other Emergency Department;

WHEREAS:

- as predicted by the year 2011 will close fourteen other emergency;

QUESTIONED
the President the regional government of Lazio Renata Polverini

to know:
- whether it is aware of the serious situation they are in the emergency room of the hospital in the city of Rome and, more generally, those in the region;
- such as emergency measures were put in place to monitor the situation and intervene with targeted action to avert further suffering and to patients and are provided for in the short and medium term consultations with the heads of the regional hospitals;
- if not satisfied the regional health plan should be urgently reviewed in light of the serious shortcomings documented by the media in recent weeks the operation of the emergency room;
- if there is a comparative study on the performance and streamlining the emergency room of the Lazio Region with other regions of Italy;

Wednesday, March 16, 2011

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1861: born Italy, 2011: the 150th anniversary

1861: born Italy

The Senate and the Chamber of Deputies approved, we have sanctioned and issued as follows: Article one: The King Vittorio Emanuele II assumes for himself and his successors the title of King of Italy. We order that the present, bearing the seal State, to be included in the collection of the acts of the government, sending anyone up to observe and enforce it as law of the State. From Turin day of March 17, 1861.
are the words that you can read the document of the 4671 Law of the Kingdom of Sardinia and shall serve as official proclamation of the Kingdom of Italy, following the sitting of the House March 14, 1861 of Deputies, which was voted on a bill passed by the Senate February 26, 1861. Law No. 4671 was promulgated 17 March 1861 and published in the Official Gazette No. 68, March 18, 1861.
In about two years since the spring of 1859 to the spring of 1861, was born from a 'Italy is divided into seven states, the new kingdom a route from the military victory of the Franco-Piedmont in 1859 and the concomitant gradual crumbling of the various Italian states who had tied their fate to the presence of Austria in the peninsula and ends with the proclamation of King Vittorio Emanuele II of Italy .
camera
Between 1859 and 1860 there was a real clash between the liberal element, and the old ruling class but a resigned acceptance of the new reality by the latter. Only in the southern kingdom manifested any resistance after the loss of Sicily and the arrival of Garibaldi in Naples (September 7), without a shot being fired, with the battle of the Volturno and the defense of several strongholds. The new state did not unique political traditions (along with a municipal center and noble traditions of the north, the south and there was a highly centralized monarchical tradition in Naples) but was based on a nation with ancient cultural origins which formed a strong unit in the country, a was - as he wrote after the close of the Second World War a famous Swiss historian, Werner Kaegi - that five centuries before the unit had "a genuine national consciousness," even if no political form. The fast recognition of the kingdom by Great Britain and Switzerland, 30 March 1861, just two weeks after its proclamation, followed by the United States of America April 13, 1861, beyond of sympathy for the liberal government of Turin, there was also a drawing, even if still uncertain, the benefit that would have taken the continent by the presence of the new kingdom.
it began to spread the belief that a united Italy might be an element of stability for the whole continent. Instead of being a land of conflict between powers decided to buy a hegemonic position in Central and Southern Europe and the Mediterranean, Italy unified, that is, a kingdom of more than 22 million people, could be an effective obstacle to the expansionist tendencies of France on one side and the Habsburg Empire and the other due to its favorable geographical position, fit into contrast between France and Britain for domination of the Mediterranean.

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Health, Rhone, "Polverini, simply cut the ribbons to say that the Health in Lazio is in place"

"In our region are closing 24 hospitals and 11 emergency room and the first January this year have been cut 2,865 beds. The hospital emergency Romans now live in a state of permanent emergency and public hospitals are increasingly forced to suspend all operations and performance than first-aid so dramatically lengthening waiting lists for important interventions. " This was declared in a statement Giulia Rhone, regional advisor of Italy of Values, vice president of the Health Commission of the Lazio Region.

"Dozens of ambulances every day are forced to stop because the hospitals in the structural shortage of beds they are forced to keep patients on ambulance stretchers "says Rhone. "Entire populations are still unaware and uninformed about the changes generated by the hospital reorganization and the alternatives that the Region should propose that 500,000 citizens of the region which are cut essential services. On national TV, the Health of Lazio is portrayed as a paradigm of operational inefficiency and undue interference of strong interests. Problems undoubtedly long course, nothing new. The newspapers talk about it every day, but it certainly surprised and indignant to Renata Polverini today is simply to cut a ribbon to tell us that the health of Lazio is fine and healthy. Now the season is too long of indiscriminate cuts is likely to cripple the public health and private life of excellence. It's about time to start up new policies. "

"The residential intensive care unit of the San Camillo-Forlanini still does not have its own staff," says Rhone. "To be able to open other departments have been dismantled essential, such as geriatrics, or even first aid. We can and must create new services, but pretending that there are problems of resources and personnel. Today Forlanini, whose Polverini did not want to complete the closing costs again, despite being half-empty, nearly 9 million of lives a year, while work at the San Camillo to transfer departments seem to go more slowly. The region can not simply apply the dikat Tremonti, who for years do not address the real problems of the reorganization of the health system. "

"It requires a change of attitude of the Region in the table with the ministry of the economy," said Rhone conclusion. "If in that case no one defends the interests of citizens of our region, our facilities public is not never turned around by the emergency. If you really believes that the health of Lazio is healthy, Renata Polverini have the courage to review the plan and allow the hospital network of Lazio to survive. "

Iris Press

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arduous work: Anaa NOT APPROVED SPECIAL '

(AGI) - Rome, March 15 - The Decree on the strenuous work, tomorrow in the Senate Labour Committee, "while acknowledging the night work of all civil servants, including doctors (albeit within the limits of 78 nights per year), with no specific recognition for physicians as a category. " This underlines the Anaa ASSOMED, \u200b\u200bthat "are excluded from the benefits the doctors and emergency surgeons, anesthesiologists and intensivists, at the time included between the groups exposed to arduous work by Legislative Decree No. 273/93 and not subsequently translated into implementing measures". The Anaa ASSOMED "protest against this exclusion does not take account of 'the arduous nature of the emergency physicians and surgeons, emergency and intensive care, as well as' risk derived from exposure to chemical, physical, biological and radiant many medical disciplines. It thus prevents the accelerated turnover in subjects that require early retirement also to ensure the safety of care given to users. " The association calls on the Parliament "not to underestimate the problem and to amend the legislative provisions, and in any case will not fail 'to revive the issue in the future and in the interests of the class of citizens." (AGI) Red / PGI

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MEDICAL NURSES: THE MORE 'INJURED

Women, Inail announces details of injuries in pink

ROME - Interesting reading data on the safety of workers by ' Inail . The framework outlined by the Institute of insurance, although shows a slight increase in the absolute numbers of accidents, should not worry: that more than 0.4 percent would be attributable to an increase, this slight, employment of women.
A good thing since it would not be that Italy, compared to other European countries is still far behind in this area. But the good news that concerns fatalities since there was a decrease, albeit slightly, despite the increase in employment.
For women who have had a fatal accident at work were, in fact, 70 in 2010 against 72 the previous year. The most dangerous jobs for women would seem to be in the service sector, primarily healthcare, which is almost 13 percent injuries. These are often nurses but also, in many cases, people employed as carers. One thing that it could justify the suspicion that it is a good way to share less serious injuries that go unreported to cover irregular forms of employment.
the danger of the service sector follows the trade at just over 10 per cent of accidents and, in almost equal with that, the service sector businesses. Finally there is the sector of hotels and restaurants, which stops at 8, 5 percent of the total.

http://www.quotidianosicurezza.it/

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speaks for itself, luckily the 118 has nothing to do

HEALTH 'FORGOTTEN

Forlanini, the department
150 desperate ghost living in the trash

The discovery of the structure two days before the visit of Napolitano. Among the Roman occupying less than 15 years, ran away from home. Immigrants have lived for two months in hospital wards abandoned in a state of absolute degradation. Were discovered on 28 February, two days before the visit of Giorgio Napolitano, who was to inaugurate the department for patients in vegetative state

MAURO Favale litters from submerged waste, mattresses thrown on the ground, whole rooms used as a dumping ground, and a waiting room with a carpet of pizza boxes, plastic bottles, paper, handkerchiefs, bags destroyed. Two entire sections of the San Camillo-Forlanini, excellent health Lazio, abandoned for three years and turned into a shelter for homeless people. A residence of despair, permanently occupied by about 150 immigrants. All this until about three weeks ago when, during the visit of President Giorgio Napolitano at the inauguration of the new department to patients in a vegetative state, during an inspection tour by the Secretary General of the Region of Lazio, was discovered a situation that went on months. For much less, only a fortnight, among the guests of the Afghan National, Iraq, from the Maghreb but also from European Union countries, there was a young Roman of 15 years, fled in mid-February from a family home . They found that the police have carried out the first operation, identifying about 120 people. Then, later, counting the pallets of luck in the structure, it was increased to 150 the number of occupants.


The girl, who was in the company of a young Egyptian, has been traced back to the family house from which he escaped. Other immigrants, however, moved in empty wards (But cleaner) to allow collecting an enormous amount of garbage in which they lived. No eviction for now, it appears to the Lazio region which received the signal from the neo worried Special Commissioner of the San Camillo-Forlanini, Aldo Morrone. The first information on the two departments are busy start to bounce between the leadership of the hospital and the region on February 28, just two days before the arrival of Napolitano. The choice, therefore, to proceed in silence and feeling quaestor prefect. Then, three days after the visit, the two departments have been cleaned up by pounds and pounds, pounds of waste.

A true ecological bomb in a deserted hospital (In a room, a calendar is torn sheet, "October 2007") but still has running water, electricity and heating. Two departments within the first building you see on the left, coming to the via Forlanini Portuense. A framework for half cordoned off and whose door is locked with a chain. The occupants were able to enter climbing over a side window. Outside the peeling walls and shutters tightly closed. Inside, huge patches of damp. A place used for months and months for sleeping and eating. A lot of the waste found in rooms where the signs still stood out for patients who have been resident when the facility was operating: "Notice to users. The answers of the exams retire at the central building levies. "This on the walls. On the ground, instead of food, boxes of eggs, milk, bottles, fruit juice, spices. In the kitchen, an emblem of the Red Cross and then pans stacked two chairs to hold a bed tray for a doctor, used as a table to eat. These are the desperate scenes of daily life that have found themselves before the police intervened on March 1 at the Forlanini.
Some rooms had been customized and adorned with ethnic decorations on the walls. Someone had also bought a mirror. Old Televisions were found near some mattresses stacked side by side in what had become Bedrooms private letters. Not only couches, though. One room was used as a "survey" on an old desk was placed a computer, a dictionary of Italian, some magazines, a book of Italian cuisine. And then, another surprise for the administration of Forlanini: in the 80 beds were new and unused. A hidden treasure for those departments that need a higher number of beds. The occupants preferred to use only the mattress thrown on the ground. When found by police, many had documents with them. It was easy to identify them. About a third (some managed to escape during the first visit), are of Afghan nationality. A dozen from Iraq. Others were community. Now waiting to be evacuated from the hospital in which they remained hidden for months. While we wonder why anyone (including managers, doctors, nurses and varied) have ever seen or heard anything of the ghost department. Perhaps the courts will give an answer to this question.

PHOTOS degradation
http://roma.repubblica.it

Tuesday, March 15, 2011

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Health, Di Carlo: "Nothing helicopter, the region is with trucks"

continued pounding the controversy over the health of regional opposition left. Councillor Mario Di Carlo disputing Mr Giancarlo Miele, recalled that in the program of Socket Direct Iacona was taken a very current picture of the situation of Roman ER, what happens to ambulances forced to stop for hours on stretchers and those living without the provinces more hospitals after the cuts to the Commissioner Acta, Renata Polverini. Which is often wasted at the various 'I have a heart' and 'I do not think of anything but you', while helicopters that provide a service 24 hours there is only one available to more than 5 million inhabitants.
Councillor PD known among other things, that the five new tracks of helicopter 24 hours that, according to Polverini had to be ready in September there is no trace. "Where is the track of Ostia? - Asks Charles. " Not exist. "Terracina That is just a green lawn in an area subject to constraints. To form the track there, but 16 minutes from the hospital and had the go-ahead by ENAC. Acquapendente as well, but again without the authorization of ENAC. For there must be amateur, but in its place is a field planted an orchard behind. The track is the CTO, but it is unclear as to what is after 'Polverini opening of the decree is also followed by closure of the emergency cord and the transfer unit.
also returns the controversy over the advertising campaign of the region entitled "I was at heart "that stands on huge billboards and employs whole pages of newspapers. think about to reignite the regional secretary of Italy of Values \u200b\u200band Vincenzo Councillor Giulia Marrucci and Rhone. Pending Agcom discuss their complaint for false advertising presented in recent days, while the two are asking the president Polverini what has cost this campaign.
"Under the guise of an information campaign - continuing the exponents IdV - lies a campaign to reinforce the image of Polverini. Imagine that it is paid for with public money, then we feel legitimate to ask, as we have in a query, how cost to taxpayers. In addition, we ask - and conclude Maruccio Rhone - if you do not risk to speculate on the health of citizens by offering free visits as if they were a kind gift of the President Polverini and not a right. "

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GECAV The service is the deputy to the Emergency Management in Yards and the High Speed \u200b\u200bOption Pass, two major public works which will lead to the excavation of approximately 180 km of tunnels in the Tuscan Emilian Apennines.


More specifically there are:

  • 73 km of track for high speed large gallery in the excavation of 102 km, is considered the addition of modifications during construction due to design changes, both of interconnections, single-track tunnels linking the railway network existing with the new high-speed network
  • 9 km of track to the Gallery of Bologna node in the route between San Ruffillo and Bologna Centrale;
  • 30 km of track to build the gallery version of Highway crossing, which become over 60 km of excavation, whereas the galleries will be bifornice (a double hole, one dedicated to one lane south and the north).


This enterprise is complicated and aggravated by the geological characteristics of the territory, as the Appennino Tosco Emiliano is a highly unstable soil mainly consists of scaly clays with high probability of collapse and subsidence and the presence of fire damp, with risks for the workers ( construction, and in particular the works of underground excavation, will statistically high incidence of accidents and occupational diseases) and for the service of emergency management.
Not only that, visit: http://www.gecav.it/

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OBSERVATORY: CITIZENS PROMOTE hospital care

Emergency nurses and the deficit in health system national, but the citizens are satisfied and remain beyond the critical care hospital. Osservasalute Data Report 2010, presented yesterday


ROME - The public is satisfied with the hospital, while the remaining emergency nurses and the deficit in the National Health System. These are only some of the results of the eighth edition of the Report Osservasalute (2010) presented today. These results, especially in health in Italy.

EMERGENCY NURSES - Although nationally there has been a sharp increase between 2005 and 2007 the number of units both in absolute terms (+4.6%) and in relation to the population to 1,000 residents (+3.2% ) for some time now we talk emergency nursing from the lack of nurses, hospitals and community services are in crisis. In this regard, it is stressed that, if between 2005 and 2006 there was an increase in nursing staff employee of the NHS between 2006 and 2007 the number of units in both absolute and per 1,000 inhabitants decreased.

Hospitalisation rate - In Italian hospitals admissions continue to decline and in parallel reduces the days in hospital. From 2001 to 2008 the crude rate of hospitalization of the national total was reduced by about 22 percentage points (from 214.6 to 192.8 per 1,000 inhabitants). The reduction in this period is attributable to one component of inpatient admissions increased from 161.4 per thousand to 133.3 per thousand, being, however, increased slightly during the period, albeit discontinuous, the proportion of admissions under the daytime (from 53.2% to 59%). In this regard it is noted that in 2008, all regions still have a discharge rate (Td) for the day shelters above the standard reference of 36 admissions per 1,000 inhabitants (20% of Dh with respect to a general set of 180 Td per thousand). In 2008 the standardized rate of hospitalization overall national is 187.3 per thousand, of which 129.1 per thousand in ordinary mode and 58.2 per thousand in day care arrangements. The overall hospitalization rate varied regionally, the maximum value present in Ontario (231.8 per thousand) to the minimum value of the Friuli Venezia Giulia (148.5 per thousand). Even last year we analyzed the ratio shows a steady reduction in rates of hospitalization. To reduce the overall rate is 3.0% in 2008 compared to 2007, 8, 0% compared to 2006. For the mode of treatment in the ordinary scheme is the reduction of 2.9% compared to 2007 and by 6.9% compared to 2006 for day care is a reduction of 3.3% over 2007 and 10.3% compared to 2006. The rate of the RO system ranges from 100.3% to 160.1 per thousand in Tuscany Puglia. All regions have a rate of hospitalization for DH than the reference legislation by 36 per thousand. The shelters are the DH in 31.1% of the total. With regard to the hospitalization rate regime daytime regions with extreme values \u200b\u200bare the Liguria (88.8 per thousand) and Friuli Venezia Giulia (37.3 per thousand).

public health spending - the trends already recorded in previous editions of the Report: the current public health expenditure in relation to the GDP growth at national complaint, from 2001 to 2007, from 5.95% to 6.59%. At the regional level of the indicator, in 2007, shows significant differences, ranging from a minimum of 4.90% in Lombardy to a maximum of 10.76% of Calabria, recording, thus, a gap that is nearly the 6 percentage points. We observed a north-south gradient, with the north recording a percentage of public health expenditure to GDP than the average current equal to 5.45%, 6.25%, the Centre and the South (South and Islands) equal to 9 57%.

per capita health expenditure - The Report shows a national increase in spending per capita between 2008 and 2009, from 1782 € to 1816 € (+1.91%), spending has grown by 27.8% since 2003. In 2009 and observe that, generally, the southern regions, with the exception of Molise, provide an amount of monetary resources below that of the North (subject to Lombardy and Veneto) and the national average. In 2009, spending citizen has a national average of € 1,816 and ranges from a minimum, recorded in Sicily, of € 1,671 to a maximum of 2,170 € in the Autonomous Province of Bolzano. Compared to 2008, all regions, with the exception of the Autonomous Province of Bolzano (-2.78%) and Lazio (-0.35%), increased the level of expenditure, with values \u200b\u200bthat mark a growing line that starts from a low of 0.28% of the Abruzzi, to a maximum of 5.3% of the Autonomous Province of Trento.

DEFICIT - In 2009 the National Health Service confirmed a total of a deficit of € 3.260000000000, amounting to € 54 per capita. It should be noted, however, that this is the deficit more than 'lowest since 2004, highlighting a trend of steady, albeit slow, decrease. Remain, the strong regional differences, with a gradient more and more 'wide between the North and Center-South, home to most of the deficit. In particular, there are eight regions that are confirmed in equilibrium since 2007: Piedmont and Emilia-Romagna (which, however, 'worked' coverage of interventions against their regional budgets) Autonomous Province of Bolzano and Friuli Venezia Giulia ( which provides special status, however, 'a particular system of funding); Lombardy, Tuscany, Umbria and Marche. Register a deficit of € 21 per capita, the Veneto, although even in this case has been used to load additional resources the regional budget. As for the regions subject to repayment plans, placing will continue in 2010 because the three years originally planned, has proven inadequate to balance the management. In 2009, only Sicily (46 €) and Abruzzo (37 euro) are positioned below the national average per capita deficit, while Lazio and Molise regions confirmed the 'deficit is for 2009 (respectively 244 € and 225 € per capita) is given in the cumulative 2001 - 2009 (€ 1803 and € 2,285 respectively). Finally, a clear deterioration of economic and financial situation is recorded in Calabria, in 2009 subject to the repayment plan: its deficit increased from € 33 per capita in 2008 to € 111 in 2009, also due to the absence of relevant coverage Budget Regional.

PROMOTED BY CITIZENS hospital care - Italians are quite satisfied with care received during hospitalization: results of a survey conducted by the Centre, in collaboration with ISTAT, show the overall positive opinion on ' assistance received during the hospital admission. The survey, which covers the period 2007-2009, was performed on a sample of about 24 000 families (a total of about 54 000 individuals), distributed over about 850 Italian municipalities of different population size. At the national level as much as 36.1% of people emerging from a shelter is very satisfied receipt of medical care and 52.8% fairly satisfied, the citizens which indicated "very dissatisfied" do not reach the 4% and indicated their "dissatisfaction" is 7.8%. It follows a north-south gradient that penalizes the southern regions whose satisfaction levels are always lower than the national average.

"In summary, the picture that appears from the report this year shows various signs of improvement on the side of some risk factors," said the Director of Osservasalute Walter Ricciardi, "but not enough to reverse the trend of a general country firmly on the road a difficult future, especially in some regions, the combination of an aging population, increased risk factors, particularly behavior in young people, and regional administrative structures in trouble in providing services, especially prevention and early diagnosis can reduce the disease burden. Of particular concern are some areas still without organs, structures and activities of programming, on the one hand allow to properly analyze the needs and demand for services by the target population and, second, to provide for human resources, financial, logistical and technological capabilities to meet these needs. "

(March 9, 2011)

Monday, March 14, 2011

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Moscow , used ambulances as a taxi: discovery scam private medical centers

ambulance sirens wailing juggles in traffic of cars in Moscow that the arrival of the vehicle are made from the side to let her go . But there is no edge a patient but a passenger in a hurry to get across town. The scam was organized by some private medical centers in Moscow who have permission to use the ambulances with flashing lights, is actually using them as taxis. The car has no medical instruments, but a price: the cost for a ride of one hour varied from 120 to 220 € per hour depending on the destination.

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HEALTH: TOO MANY PATIENTS XXL, AMBULANCE DEBUTS IN BOSTON plus-size

Too many injuries among nurses and emergency forced to raise more and more 'and so many obese patients' U.S. hospitals run for cover. On the streets of Boston, Massachusetts (USA) this week has made its appearance plus-size ambulance, equipped with a special stretcher which can 'stand up to 385 pounds and a hydraulic lift that raises up to 450 pounds. The ambulance that came to the Boston Emergency Medical Services, will be 'on duty from 2 to 4 times a week, ensuring Jose Archil, chief of emergency services, to meet the increasing emergency calls received by patients''oversize.'' ''We have observed a significant increase in cases over the past six months,''said Archil, worried by the complaints of its employees for injuries suffered by lifting patients' in the flesh.

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Sunday, March 13, 2011

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CARUCCI: OLD NEWS BUT

Solidarity to 17 drivers-helpers of the Province of Latina CRI (2011)


Carucci: 'Ares and 118 are not met its commitments under the workers'


was held, Tuesday, March 9 (2010) as planned a meeting with election of Dr Ross Carucci employees of the Red Cross ARES-118 ambulance drivers and nurses of the emergency service at a club in Latin America. Following the meeting, the Regional Council Nomination in the "List Renata Polverini President," says: It 's yet another demonstration of the inability of top management dell'ARES118 Marrazzo direct expression of the Board shall be held suspended the salaries of personnel trained and experienced in public health emergency which has been operating for many years, despite the proclamations of the various general managers, the Regional Council on their stabilization, it is clear the disaster and the unreliability of the heirs of Marrazzo on the management of a service primary importance as the 118 now in terms of decay and "organizational chaos" unprecedented. Renata Polverini, even in his recent visit to Latin America with me to a hospital, it took commitment to proceed with the stabilization of the permanent staff of ASL and signed personally took charge of soliciting, the candidate for President to start with this project in the first " by temporary workers dell'ARES 118-Red Cross Latin America. In the meantime I would like to inform people that while are not paid salaries for months of the worker, the Director General dell'ARES has resigned to become a candidate in the list of Bonino and lead to other positions. The current President of the Region (Acting) Esterino Montino, has seen fit to appoint as Commissioner dell'ARES, an old friend like Dr. Ernesto breast that was recently conducted at our ASL and the results are unfortunately still visible. I think, assume all the liability policy, which is a shame this practice time expired, with the savage occupation of all places of power by the followers of the former junta Marrazzo and are not respected its commitments with the workers and especially their families. The Provincial Coordination List "Renata Polverini President"

http://www.latinanotizie.it/articolo.php?id=10470

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CURRENT GUIDELINES FOR THE RECONCILIATION BETWEEN WORK AND FAMILY TIMES

signed between the parties scociali a roundtable on the guidelines for the reconciliation between work and family schedules. For the Secretary General USAE, Adamo Bonazzi (who signed the document) the notice is common "an important first step in trying to encourage greater female employment, symbolically, was signed in conjunction with the International Women's Day. Precisely for this reason it is very important that the document describes the reconciliation rather than a 'women's issues' but attention to the involvement of fathers in child care. "
The agreement calls for synergy to be achieved at all levels and aims to facilitate better reconciliation of time to devote to work and those to be given to the family.
this purpose will be triggered by a technical committee entrusted to the Centre Councillor for Equality to investigate the possibility of adopting the best practices of family flexibility Friendly.
Press

The text of the Municipality.
ACTIONS IN SUPPORT OF THE POLICIES OF RECONCILIATION BETWEEN WORK AND FAMILY
CIRCUMSTANCES:
- which requires a synergistic action, at all levels, including legislative initiatives, social policies and those seeking contracts in support of reconciliation and implementing innovative solutions, especially of a legislative and organizational, that can facilitate the care of children and the elderly, in order to contribute to creation of working environments such as to facilitate a better reconciliation of work and family members of those for women and men;
- that the best possible balance of work time and family time or treatment is an important contribution to sustainable well-being, for sustainable economic growth and social cohesion;
- that the fact of the revitalization of reconciliation policies can find a central hub is under a system of rules, incentives and social services to promote good practice, both in the evolution of collective bargaining and, in particular, the collective bargaining second level
- that Legislative Decree No. 276/2003 provides for workers suffering from cancer and their family members assisting them, the right to change the ratio of full-time part-time work in vertical or horizontal
- that Italy 2020 - the program of actions for the inclusion of women in the labor market - has launched a strategic plan of action conciliation and equal opportunities;
- that this plan is finalized, according to an integrated view, to make more effective the existing initiatives designed to support growth, quantitative and qualitative, of employment of women;
- that the government intends to stimulate employability, with particular attention to the female, by activating specific measures to be agreed with the social partners, such as the apprenticeship contract or the integration contract for the recruitment of women, and starting to implement the mandates contained in Law No 183/2010 to promote the employment of women, starting dall'incentivazione of "part-time long."
NOTED:
- that the adjustment of working hours and working times and, in general, corporate policies of conciliation are eligible for tax exemption of income tax measures of productivity with respect to amounts paid by employers under agreements regional or corporate productivity and organizational efficiency, and the de-contribution scheme, as will be explained by specific administrative acts;
- that Article 9 of Law No 53, 2000, of which it is desirable to achieve the full implementation, provides incentives to support measures to the timing of the living and working under the Fund for the family policies of Article 19 of Decree Law 223 of 2006 converted with amendments by Law No 248, 2006;
- that the success of initiatives taken by the social partners is influenced by the existence of a territorial context in which the reconciliation of working life and is the subject of government action, the regions and local authorities, facing particularly for infrastructure and public services, such as the refinancing of nests Plan for 2011, according to their skills and resources to regulate new times of the city, and the definition of appropriate economic incentives and regulatory frameworks in response to the modulation of working hours and / or support services company with conciliatory functions.
said this and noted, the parties to this roundtable:
- share the value of a family-friendly flexibility as a positive organization and, consequently, the importance of modulation of the times and flexible working hours, both in 'interest of workers in the enterprise, as well as the need to encourage more and better use of teleworking and the types of contract, part-time, modular and flexible;
- agree which is also through the practice of second-level bargaining can be assured that the best distribution of working hours during the week, month, year, in response to market needs, adapting - in compliance bill - the average and maximum working hours for different production needs, balancing the rights and needs of people
- undertake, without prejudice to the arrangements of collective bargaining as defined by each stakeholder negotiation, to enhance consistent with organizational needs and the size and production company, best practices of family-friendly flexibility and conciliation exist.
- To this end a technical trigger to check the possibility of adopting the best practices identified by the Centre given to the Councillor of equality (as indicated in Annex), which will conclude its work within ninety days.
- Within one year after completion of the work of the Technical signatory parties agree to a joint verification of the index of disseminating good practice and the related monitoring actions carried out by the "cockpit" established within the Action Plan Italy 2020 - Program of actions for the inclusion of women in the labor market.
Rome, March 7, 2011


Annex


Times - bargaining arrangements on working time modulated half-yearly or yearly and related to the reconciliation;
- eligibility for particular forms of flexible working hours in and out within the first three years of a child's life , subject to the upstream total time required by collective bargaining reference
- possibility of recourse to the bank of hours and, where possible, mechanisms for bank hours specifically dedicated to workers and workers with the need for reconciliation within the first twenty-four months of the child;
- possibility, consistent with the requirements of the service, to use, for conciliation, time of concentrated work, intended as a lunch break of their shifts;
- commitment, consistent with the requirements of the service, to find possible solutions to negotiating on the requirements related to the phase of integration of children in educational and social services in the school 's childhood and early years of primary school.


Part-time work - the possibility of transformation of temporary employment in full time employment to part-time for a period of at least the first three years of a child's life or to objective and relevant care needs of parents and or other relatives within the second degree, with the right to return to full-time

Telecommuting
- possibility of the use of telework, also mixed in with periods of higher need for reconciliation;


Permits - permits use of individual or set aside in flexible hours bank to grant to give priority to workers with the objective requirements of conciliation
- possibility of agreeing with the employer, in the case of documented serious illness of a spouse or relative within the second degree, different methods of completing Delia temporary employment, (eg. a result, telecommuting, or using "hourly" the days of leave or leave for serious family reasons) - possibility to grant unpaid leave to employees in case of illness the child within the first eight years of life;


Return from maternity leave - a commitment to return from maternity leave, to give the worker the same job or in equivalent tasks;
- verification of the possibility of providing the worker or the worker during maternity leave and parental leave and return, targeted refresher courses / training to ensure the full return to work;

Welfare
company - forms of corporate welfare, even encouraged, made also through bilateral institutions;


Policy
productivity assessment - joint identification of innovative criteria can take steps productivity of workers benefiting from reconciliation measures.

Parental
- Verification of the possibility for employees, to take advantage of parental leave arrangements for equal time, lengthen the duration consistent with the needs of service.

Elliptical Dished End Volume Formula

REGIONS: DL 78/2010

The Conference of Regions and Autonomous Provinces during the meeting on Feb. 10 dismissed a document "interpretation of the provisions of Decree 31 May 2010, No 78, on the containment of personnel costs for government employees of Regions and Autonomous Provinces and the National Health Service, converted into Law July 30, 2010, No 122. This text was prepared jointly with the Conference of Presidents of Regional Legislative Assemblies. "



CONFERENCE OF THE REGIONS AND AUTONOMOUS PROVINCES-11/17/CR06/C1 (link)

Saturday, March 12, 2011

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New line of interpretation 112 , Brescia will be "capital"

AID AND EMERGENCY. In a city of the three regional poles of
collection of calls that will link 113, 115 and 118 in a single number

Nine years after the entry into force of the EU directive is moving Check
Italy expected by year end: uncertainty on the location and funding


Issues of rescue, is the same: nine years after the European directive which provides for the activation of
a single emergency number 112 in all EU countries, something
is moving in Italy, and especially in Lombardy, where he is developing a project which will Brescia
between the protagonists. This was announced a few days ago was the general manager of Areu 118 Lombardy,
Alberto Zoli, who in the course of the celebrations for the 120th anniversary of the White Cross
spoke of "an imminent departure in Lombardy of a single emergency number, the 112, which will absorb the current
112, 113, 115 and 118. " Brescia will host a regional reference plant operating.
a first trial of the new structure has been ongoing since last June in Varese. The number one
112 belongs to a secular operations center, which is run by staff who do not belong to any of
reality of aid involved, and that is trained to collect all the emergency calls
and play a powerful filtering action on calls inappropriate (
which can reach up to 40 per cent). The middle tier has the task of screening and sorting requests
relief to the central tier, including 118, Police, State Police and Fire Brigade
, forwarding them on leased lines and in the territories.
addition to the prior selection of skills and speed of steps (the
everything happens in a few seconds), another innovation of the single key is the ability to locate
real-time emergency calls from both fixed mobile, thanks to the support system
Police Forces of the Ministry of Interior (think of any incidents on the motorway or unknown places
that the same caller can not identify). There is also the answer multilingual (Italian,
English, French, German and Russian) and access to requests for assistance from people with disabilities and deaf
in particular, through Service sms messaging. After the first positive results of the trial in Varese
you are working on two technical meetings in Rome and management, shared by
region and the forces involved, to develop a specification of the single
that can adapt to different local realities. It remains to clarify the issue of funding needed for the start of
project which - once completed the technical details and budget - will start later this year.
IN LOMBARDY were identified three main regional areas, which are made from Brescia, Milan and Varese
, the city where the headquarters will have three large plants at the first level of 112 deputies
to gather, interpret and route all requests for help coming. Brescia include
Cremona and Mantova. To define the physical location of the new station: Varese
you chose to keep it inside the seat 118, but could also arise in a neutral place with respect to various skills
rescue.

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associations AGREEMENT AND HAVE BECOME THE GATEWAY TO THE WORLD OF PUBLIC SERVICE? WHO MAKES THESE PROMISES?

The news:

Cienzo: solidarity with the rescue of the CRI-17 drivers Latina Province
express my solidarity with the 17-drivers of the Italian Red Cross aid workers in the province of Latina, which, from 28 February , was denied an extension of service for the month of March, despite promises on interest received by the National Committee of its review.
These temporary workers (all of Gaeta and the Pontine Region South), have been deceived and disillusioned over that now "replaced with surplus staff of the Military Corps of the Red Cross from outside the Province." A "final insult" that follows the "love surprises already suffered from the December 30, 2010 to present. Thanks to the union, in fact, the 17 were able to obtain up to 31 May 2011, the extension of a contract that had already expired in January 2011. Extension that they themselves feel "vital importance since, appearing in the body, there would be a real prospect of being considered for a classification in the organization when renewing the agreement" between CRI and ARES (service 118) for the Province of Latina.
Since 2006, in essence, these volunteers were employed in shifts gradually framed, together with the employees themselves. After the sacrifices and promises, and then finally had been made "(August 2009) through an agency of administration, with the initial contract of 156 hours per month full time for a period of three months. In December 2009, the CRI and the unions had suddenly converted into part-time contract to 96 hours, with renewals plurimensili. To get a decent salary, then, the drivers proposed to "cover some shifts as volunteers in exchange for a slight increase in working hours, so as to reduce staffing costs as a rescue ambulance nursing is not as Latin America and other drivers on the province as it was then proposed and accepted instead. "Seventeen drivers always available, 24 hours a day, without holidays recognized, ready to cover shifts left uncovered by sick leave or leave of employees absorbed. The coordination CRI asked them to move (perhaps without notice) throughout the pontine, from April to Castelforte, even within about an hour ...
But if they had accepted all this, was the only hope - backed by promises! - to be classified in the organic plant staff of 118, surpassing the job insecurity. The scheme of administration should only be a springboard for the recruitment Direct. But that was not seventeen, and now find themselves without work and urge the reinstatement to the service. Other temporary workers who lose their jobs and that, beyond their sad and troubling personal story, see magnify the problem of lack of employment prospects in an area already sorely tried.
A situation that should make us all think ... and commitment together, beyond political colors and memberships to plug yet another emergency job! I feel I must add my voice to their strong complaint, appealing to the sensibilities of all other political forces in local, provincial and regional authorities, to show concretely the proximity of the institutions to these problems. Each to their skills, their commitment so that, together, we can reach an agreement that takes into account the demands of the 17-drivers and helpers not only the needs of the Red Cross.
strongly hope the opening of a technical committee to arrange for restoration of the 17 drivers in the 118.

Cienzo Rosario - Municipal Council of Gaeta

http://www.provincialatina.tv

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Codes, "Indignamoci, we snatch the dignity and health

(only) has just ended the press conference held by '
Association Codes "Indignamoci, we snatch the dignity and health "
the name of the campaign launched by the health. The speakers were Louis

Gabriel, Provincial Secretary CODES
Frosinone and Alessandra De Giorgi, Department of Communication.

The campaign was created originally by a feeling of indignation towards
politicians and administrators of the government who think
solve the problem of medical malpractice under several
and parliamentary bills that take away the responsibility of
doctors. Today "Indignamoci" is an observatory on medical malpractice
caused by the negligence of health care professionals
national who has brought to light widespread medical errors in Italy and in particular in
Lazio. The Lazio region is in fact a region from the heavy
and inefficiencies.

The case made by documenting
institutional sources has revealed several issues.

The first point to address is certainly inherent errors
doctors.

In Lazio, according to data from "Report of the Committee of Inquiry health
" between the end of April 2009 and January 25, 2011,
alleged errors occurred nineteen and other thirteen
medical malpractice. Of the 19 alleged errors - which are being investigated by the judiciary
- 11
led to the death of the patient and the critical range from incorrect diagnosis, errors in
ward to the hospital infections caused by the failure to adopt the
information required by ministerial circulars.

According to the Court of Auditors, the cost of medical malpractice in Italy,
concentrated mainly in the Lazio region, amounted to € 254 million
, this is in fact the total amount of loss of revenue
challenged. This well over 130 million euro in the Lazio region
. The critical part

certainly also a crisis that crosses the 'Ares
118. According to the CGIL, Rome and Lazio, the region's fleet
would be lower than that set by the legislation of 39
ambulances. In fact, the number of ambulances should
be equal to 186, 225 against Lazio.

From 2009 data of the Healthcare Commission's thirteenth President of Lazio Region
also miss 159 doctors, 478 nurses, 531
drivers, 679 ambulance.

In this context hardly reassuring, Frost is one of the provinces of Lazio
, probably second in Rome, which has suffered more
the recent changes brought about by application of the decree
Polverini.

After the President's plan and the conversion of hospitals
Ceprano, Ceccano, Anagni, Pontecorvo, Arpino, Isola del Liri, and
Ferentino Atina, Frosinone health emergency has become a
real sense of urgency.

A serious blow was dealt to the various emergency room.

protests of citizens concerning, for example, the closure of
ER Ceprano. Recently it has been closed then the first
rescue Ferentino. The citizens of Ferentino, Supino, and Morolo
Fumone so will go to the ER Alatri, Anagni Frosinone
or to be visited.

I want to highlight not only critical to the emergency room but
shortages in hospitals in Cassino and Sora.

Sora knows how much longer will the eternal unfinished, so much so that despite the short observation
be completed for months it still is not active
absence of medical personnel.

Cassino was and is hampered by lack of staff, this was closed
months ago the Department of Orthopaedics and the Department of Medical Oncology
has been moved to the Hospital of Sora,
causing serious inconvenience to over 1500 people.

Another problem encountered is that relating to long lists of '
hold. They certainly reflect the 372 days of Cassino
used to perform an echo (color) dopplergrafia
lower or upper limb or distr., Arterial or venous, and even the 202 for a visit
physiatric rehabilitation at the hospital Sora
and 261 days of waiting for a complete abdominal ultrasound at the Hospital of
Alatri.

But if health is in red, the new King Midas is enriched with green leaves
patients, in portfolios and anger. We speak of the leaders of the ASL Frosinone
of their salaries and golden. The total gross annual salary
observed by the code refers to the year 2008. The re-washed
maximum salary is equal to € 235,945.96 for a senior doctor
Level II, about the average local health executives arriving at
earn 100.000/110.000 thousand euro gross per year.

Figures significant when we consider the poor health
that is offered to patients of Frosinone.

"The framework - comments Luigi Gabriele, Secretary Provincial
CODES - is the result of the continued disengagement of local and
excessive presence of politicians in both roles administrative roles in
electives. Much of the political fabric of the province is
fact composed of physicians who have focused their interest on
purely economic issue, downplaying, if not
even ignoring the moral issue, and strong civil
responsibility that the medical profession imposes on them. In reality - continues
Gabriele - the problem lies in the inability management
of those who are called to such projects
organizational and operational solutions. Policies and choices that were wicked
done in previous years and current are certainly among the causes
that led to the deterioration of health situation in Frosinone. I unfortunately
citizens pay the price and cost of health
malaffari years and years and if we neglect by
Institutions ".

" Considering the general scenario, codes, within the campaign
"Indignamoci" has presented in February 2011 a proposal for a regional law
with the aim of bringing the focus of attention of the structures and
and health professionals
the main subject of the system, the citizen-continuous Alessandra De Giorgi -
The text aims to introduce substantial changes in the sphere of
rights, but aims at rationalizing and especially
to "steer" the system. The preamble recalls the centrality of the person
and health as a fundamental right of the individual. "

emerge from the picture painted so many critical issues in health system
region that strongly affect the health of people
. The difficulties can be summarized as :

· - serious disruption of services, it is clear in particular cases by
who see patients in the emergency room hostage held
hours and hours on a stretcher before being assisted. In this context, the
the ambulance service is suspended in order to contain the
disservice. The lack of litters would have to address those of
ambulances, blocking the public rescue service. Codes Announces
exposed to the public prosecutor for interruption of public service
;

· - wasted no indication of performance and application in
unconventional way of defensive medicine, which is to practice
therapeutic measures which do not conform to the principle of appropriateness
but as a guarantee of responsibility following forensic
to medical treatment. Failure to check the appropriateness of
performance will lead to saturation of the same
and mismanagement of the health system;

· - errors in diagnosis, in this context, there is a manifest failure
application of care protocols that are applied incorrectly
not applied or applied in a slavish and
do not fit the patient

· Total absence of the necessary checks with the result, poor health and bad
transparency in the organization. This
mismanagement is evident because of the familiar and frequent cases of
pressure ulcers and nosocomial infections;

· - 118: Delays and inefficiencies "chronic" because of bad
organization.

regard to the scourge of waiting lists whose killing was
called "priority care" back in Health Plan 1998-2000 and
access to health services is proposed:

· - the integration of the circuit CUP
all the structures that deliver health services in addition to the Hospitals and Surgeries,
directly managed by the Regional Health Service, including all
private structures that join
integral through accreditation;

· - intramoenia: the present management of the professional
intramural contributes significantly to the longer waiting times
. The correlation between professional practice and intramural private
waiting lists is already highlighted in the Act of
guidance and coordination for the professional activities of doctors
intramural (Decree of 27/03/2000) where it is determined that
"the occupation must be intramural
aimed at reducing waiting lists." Unfortunately there was
the contrary! It is therefore necessary to review the management of intramural
professional, by making concessions to his
actual achievement of the reduction of waiting lists.
How is the law! We also ask that there are more controls in regard to their professional
intramural.

And yet it is proposed:

°-control by the citizens is necessary to activate all
participatory tools provided by law, including the cards
services, which need to be rescheduled, according to the demands placed on
be.



analysis of golden salaries of health managers in
also refers to the cost of medical staff, the CODES
make the following proposals:



°-automatic block of the variable part of salary
of directors and the entire leadership of the Entities
Health Region (Local Health and Hospitals), in the case of
overrun the budget and in relation to the size of the deficit
;

· - introduction of targets affecting the quality and quantity
performance, the assignment of positions to management, even
in anticipation of a balanced budget and increased productivity;

· - cost of medical staff: This item deals with the highest weight percentage in the composition
health expenditure, amounting to 34.6%.
It accounts for 50% of total hospital expenditure, cost certainly
too much to bear. Finally

:

· - CODES are outraged at the irresponsibility of doctors would like
a bill currently in the Healthcare Commission
Senate.

In conclusion, we are faced with a disorganized health care system that borders on
degradation. A form of disorganization
assumed to be due to the health food alternative to
public. (Only)

Friday, March 11, 2011

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INPDAP: CONTRIBUTION ON THE TREATMENT OF TERMINATION OF SERVICE AND TERMINATION

INPDAP with Note No 5 of 17 February 2011, provides clarification of the obligations of contribution from innovations introduced in the matter of severance and termination benefits to service employees public art. 12 of Decree No 78/2010, converted with amendments into Law 122/2010.
In fact, starting from 1 January 2011, civil servants are almost equal footing with private sector workers, by extending the method of calculation of severance pay for each type of severance pay. The Institute states that there is no provision to pay the premium pay (severance service indemnities) and that "in case of periods of service less than a month (on a month of recruitment and / or termination) the contribution is still due on the salary benefit actually paid. "

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the Department of Public Administration Circular No 13 of 6 December 2010, provides general guidelines for consistent public and private sectors as regards the changes to the rules governing permits for assistance to persons with disabilities, due to the introduction of Article 24 of Law on November 4 2010, No 183.

The purpose of the circular is to make the guidelines for the interpretation and application of new legislation, subject to the independent determinations of each administration in the exercise of its powers and organizational management.


Circular

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In the future, Health "walking"?

Dr. Alfonso Treasurer, provincial director of 118, is very worried: "With the announced closure of the hospital Magliano Sabina, that, from April 1, should follow the closing of emergency rooms, I do not think we could supply the demand that the 118 comes from a 'Tiber area where there are some 47 thousand inhabitants. " Now the request is taken all'Ares Regional un'automedica three new ambulances and to balance the closing of the "Marine" and therefore be able to continue to meet the vast demand that comes from that band Tiber. A 118, which, with its 11 regional stations and two ambulances, produces 10 thousand good performance the year with an average of about 850 per month. The announced closure of the hospital Maglianesi, subject to sudden changes of mind by the region, certainly creates a void of habits, of which the hospital is not that the house looks.
Il Corriere di Rieti "


" For health care offers a Rieti Polverini African trucks instead of hospitals. And 'no doubt that in the desert are most useful. 80 After the decree, in fact, health in this province is just a wasteland. "
The state through a joint statement the directors and regional Esterino Montino Mario Perilli.
"And so comes the walking - are still the two members - the right to health as if it were a roast pig at Poggio Bustone. This mobile homes, rather than an innovative initiative, is an insult organized. The citizens of the Province of Rieti and like those of Magliano Sabina want, because it is their right, true health, they want to open up and running hospitals, clinics, technical facilities equal to those enjoyed by all citizens of Lazio. They want their dignity is respected and no camper disguised as clinics where they offer everything and more, just as the weekly market. I believe that even in Africa there are citizens with the most profound nose ring available to be enchanted by the carnival and they found offensive. "
" Irispress "

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Montino (Pd) hits hard on ambulances for hire in the capital. Forget that he wanted him

The head of the opposition in the region, Esterino Montino, never misses a chance to attack the Government's health policy. One of the favorite targets is the chaos of the emergency, the stretchers in the corridors, the collapse of the ER, the ambulance and now rent. Forgetting that on this specific field, when ruled alongside Marrazzo, had made bold promises after the fiasco at the "stretcher day." Now hitting hard recklessly, without proposing viable solutions. It collects piqued replicas such as the controversy over the cost of rented ambulances. "Ambulances 'for hire' are enabled by the Operations Centre of Rome, according to the needs determined by the blocking of ambulances in front of the 118 ARES emergency hospital - the replication direction dell'Ares 118 -. Or, to avoid a dangerous decrease in the number of emergency vehicles in the area, additional resources are enabled to guarantee prompt operation. Moreover, the call of non-profit organization and / or private support for the territorial system of emergency health 118 - continues the statement - is in pursuance of the order of the President of Lazio Region n.20011 of November 4, 2009, as implemented by the Regional Council Resolution n . 3690 November 6, 2009 (ie when the president of the region was just Esterino Montino).
Legal recourse to additional resources, however, has since been reaffirmed by this company with a resolution of 27 n.72 May 2010, signed by the Special Commissioner, Dr. Ernest Petti, chosen by President Montino to replace the outgoing Director General. So ... 's incorrigible Esterino has lost yet another opportunity to make a good impression.

www.online-news.it

Thursday, March 10, 2011

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arduous work. Early retirement for those who work night shifts

favorable opinion of the Committee of the House Labor Decree on the schedule of strenuous work for the first time extends doctors and nurses who take turns at night the possibility of retiring early (from 1 year to 3 years based on night shifts and held overnight on years of service)
Decree

Daily Health

Wednesday, March 9, 2011

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ARES 118: release mode allocation bands

Press Release of 03.09.2011 terms of allocation of economic bands (link) Stampa E-mail




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Shift work damages the genetic activity

ROME - A study by two universities, Christian-Albrechts-Universitaet zu Kiel in Germany and Odense University in Denmark, states that the night work may cause more serious damage than we expected so far.
In particular, the alterations of the circadian rhythm, leading to night workers to reverse night and day, cause metabolic disorders and may have consequences on genetic activity. The internal clock
of night workers is unregulated and this may cause unrest posono become hereditary.

gene activity is regulated by small switches in the DNA that adapt to environmental changes favoring adaptive changes that can be transmitted to future generations. Disorders experienced by people working at night may enroll in a variety of DNA metabolic disorders that can cause long-term illnesses, including mental, and that can lead to incapacity for work.
Until a few generations ago people al'alba rose and went to bed at sunset. In keeping with that our bodies have evolved over millennia to develop a sophisticated system of monitoring sleep-wake that allows the body to regenerate properly.

In recent decades, our lifestyle has changed drastically and working hours longer correspond with the duration of the day ruled by the sun. The new organization of work requires that many people adapt to shift work and who are exposed to a higher incidence of the evils of this age including burn out syndrome and premature disability.
To understand the changes that this type of work and lifestyle involved, the research examined pairs of twins, one of which was subjected to shift work and the other not.
In this way we could see what changes have occurred in the genetic heritage of one and instead did not intervene in the other. To perform these studies in Denmark have a national registry for many years and member of the collection of data on the medical and professional regarding the twins.

The quality of sleep of night workers and Food has an important impact in causing metabolic disorders. The twins taken into account have also been studied in this respect, measuring time and quality of sleep and by measuring hormone levels in the blood of different subjects. In particular, there was significant difference in levels of cortisol, a stress hormone, for those who work in shifts.
E 'should, on the basis of these new studies, further precautions are taken to protect the health of workers required to work at night. The ERDF, the European Fund for Regional Development, has allocated € 730,000 to fund research.