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. Pandemic affected mental health of doctors and nurses. Depression, burnout, and insomnia after three pandemic waves, the health care personnel and in particular the female component, is grappling with a new emergency. In Piedmont, 44.5% have experienced symptoms of psychological malaise. This phenomenon was reported both in professional and in the lay press, to highligt the attenttion on a problem that, if not managed correctly, risks to impact on the health of health care personnel.. Does sleep flush wastes from the brain? Sleep is vital across all species, and sleep deprivation has detrimental consequences for the organism. Sleep, but not wakefulness, seems to allow removal of waste metabolites from the brain, clearing the brain from the potential neurotoxic waste products that accumulate during wakefulness. The wastes are removed by cerebrospinal fluid transport, the 'glymphatic system', named after its dependence on the glia, and the resemblance with the lymphatic system in peripheral tissues. A brief synthesis of the new discoveries and their implications for the understanding of sleep functions and mechanisms is presented.. Cultural meta-analysis 2 the after Covid-19. Against the background of the promises-expectations of an ethically and ecologically renewed and resilient world (declared needed to compensate and to avoid the repetition of the pandemic tragedy), the same methodology proposed in the heart of the Covid scenario has been applied a cultural metanalysis - transversal through and comprehensive of the various points of view which have had ( and seem to have) an important role for a period defined as 'some light at the end of the tunnel'. see more After the mandatory priority of a focus on the most qualified health literature, the survey provides essential elements of information and analysis on scenarios which more closely coincide with the challenges to be faced if and when the imaginary of a 'different-better' world should be translated into reality, specifically in the model area of health. With the obvious limitation of an exercise of methodology (which cannot pretend to a completeness of coverage), both world famous and 'significant' authors are included, as well as Italian voices. The take-home - not easy - message is clear. The pandemic has not been an 'health-disease' event. Its 'syndemic' nature (i.e. its interaction with structural, permanent, economic, social, cultural pandemics) imposes the acceptance and the long-term pursuit of new civilisation paradigms. Health care is definitely one of the areas where this cultural challenge must be met.. Nurses and the new reform is there space and resources for nursing care?

The National reform for recovery and resilience (PNRR) may represent a unique opportunity for the development of the nursing profession.

A group of colleagues was asked to comment on the positive and critical aspects of the PNRR.

Questions or points for reflection were proposed if and how the nurses'role is recognised and promoted in the redesigned National Healthcare System; the real attention to the continuum of care and to the actual fragmentation of social and health services in community care; if Mission 6 Health devotes sufficient attention and funding to the needed increase in the number of health professionals in the health care services and to the development of new skills. Everyone was free to choose which question to answer or could send free reflections.

In addition to the positive aspects, a number of critical points and areas to be better defined were highlighted, for example, the need for more nurses requires investment in training; greater clarity is needed regarding the chain of coordination of home care and district services (who, how, whether public or private).

It is important to continue paying attention, monitoring and speaking out to ensure that European funding enhances district, and public, care. And a key point to reach this aim is also the strengthening of the nursing care networks.

It is important to continue paying attention, monitoring and speaking out to ensure that European funding enhances district, and public, care. And a key point to reach this aim is also the strengthening of the nursing care networks.. Domestic violence in Val Camonica survey on the accesses to the emergency deparment in the period post Covid-19.

The lock-down due to COVID-19 has caused hard times to everybody, but especially for women victim of domestic violence, locked up in their own home with violent partners.

To describe how and to what extent the lockdown caused by the first wave of COVID-19 influenced the domestic violence in Val Camonica.

Using the informatic system of the Esine Emergency Department, accesses for domestic, psychological and/or physical violence in the years 2017-2020 were analyzed.

In 2020, following the first wave of the COVID-19 pandemic, an increase in the observed accesses for domestic violence and aggressions displayed during violent episodes was. As in previous years, women victims of domestic violence were between 30 and 40 years old and of Italian nationality; men were also victims of domestic violence.

Also in Val Camonica violence against women is a widespread phenomenon. For this reason the Valcamonica local Authorities are taking action to expand the available network service.

Also in Val Camonica violence against women is a widespread phenomenon. For this reason the Valcamonica local Authorities are taking action to expand the available network service.. The complications of enteral nutrition in medical wards.

The effects of Enteral Nutrition (EN) in patients unable to feed themselves have been widely explored although studies in low-/mean- intensity words are lacking.

To measure the prevalence of EN side effects in medical wards and to explore their risk factors. Metodi. Observational, retrospective study on matched patients. All patients in the medical departments of the Azienda Ospedaliero-Universitaria Senese were enrolled (81 cases and 162 controls) from 1 August 2018 to 1 September 2019, aged over 50 years and hospitalized for longer than 4 days. The NE side effects such as diarrhea, vomiting, gastric stagnation and abdominal pain were collected from clinical records The presence of EN, age of patients, mobilization and use of antibiotics during hospitalization were considered risk factors.

The prevalence of diarrhea, vomiting, gastric and abdominal pain ranged from 4.9% to 11.1%. The EN was not a significant risk factor for the onset of gastrointestinal disorders, and these complications were always lower than in the controls.