In July/2018, 94% of the surgeries were performed under SA, and 64.7% of the patients were extubated in the OR (P=0.00). The OIT on arrival at the intensive care unit to extubation, comparing July/2017 to July/2018, was 5.3±5.3 hours in the GA group vs. 1.7±3.9 hours in the SA group (P=0.04). The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time.The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time.COVID-19 brought out the critical issues of public health messages and the relationship between health literacy, health promotion, and public health. Selleck EZM0414 The aim is to analyse these concepts to provide a framework in which mutual influences are ontologically analysed; more specifically this article will explore whether health promotion should improve health literacy or health literacy is actually a pre-requisite for understanding (and put into practice) health promotion/public health messages. Public health must protect the public from misinformation and on this nurses and other health care providers play a crucial role in supporting individuals and communities in the comprehension of public health messages. The paradox under analysis is the link between health literacy and health promotion; what the role of health literacy is when, as in the case of the recent outbreak of the COVID-19 pandemic, Public Health must address tens of hundreds of health promotion messages to the whole population. During the outbreak, there was an underlying uncertainty, every day new data and information emerged and every day something more was understood (or misunderstood) about the virus. There was a massive presence of COVID-19 misinformation, particularly on social media in terms of, among others, treatments, the utility of wearing mask, COVID-19 cases by age group, conspiracy theories, all added more confusion and uncertainty to the public. Public health must protect the public from misinfromation. While in practice actions have been put in place to improve patients' compliance with respect to health promotion it is unclear the ontological relationship between health promotion and health literacy within the Public Health context. Inflammatory Bowel Disease (IBD) is a chronic condition characterized by acute relapses which have an important impact on the quality of life of patients, both physically and psychologically. In the personalized care of IBD patients, a key role is covered by the IBD nurse, who provides psychological and educational support, as well as a source of contact for all patients. Aim of the present study was to assess the perception of IBD patients about roles, competences and abilities of the IBD nurses in a specialized center. This is the base for further programs aiming to improve quality of care. A questionnaire composed of 15 statements regarding the role of the IBD nurse in their treatment was offered to all patients attending this IBD center over a 3-month period. Results were showed comparing those of patients currently receiving treatment with a biologic therapy to those receiving non-biologic therapy. Patients in this center have a poor awareness of the IBD nurse role, particularly those not receiving biologic treatment. Although most patients are aware that they can use the IBD nurse as a point of contact, the majority are not aware of the qualifications of the IBD nurse to discuss their treatment options and provide psychological support. Our survey shows that the figure of the IBD nurse is still poorly recognised by patients, with a likely resultant underutilisation of the services of a highly skilled and educated professional. Several key issues for improvement for the IBD nurse service have been raised by this study and warrant similar investigation in other centres.Our survey shows that the figure of the IBD nurse is still poorly recognised by patients, with a likely resultant underutilisation of the services of a highly skilled and educated professional. Several key issues for improvement for the IBD nurse service have been raised by this study and warrant similar investigation in other centres. Although there are many methods to confirm vascular device tip, chest x-ray represents the recommended procedure to verify the correct positioning of a central device, but it exposes patients to x-rays, delays treatment, and permits device length to be checked post-procedure. To evaluate the efficacy of Peripherally Inserted Central Catheter positioning through an Integrated System (ultrasound-guided and electrocardiogram confirmation). A case-control study was conducted on a randomized sample of 165 patients, requiring Peripherally Inserted Central Catheter placement for chemotherapy treatment. The case group was composed of patients with vascular device placed through the Integrated System and the control group devices' length was anthropometrically estimated. Chest radiography was performed on both groups to verify tip location. No cases of primary malposition related to the Integrated System were registered. The vascular devices positioned with the Integrated System were all correctly placed and in 91.8% (n=101) the intra-procedural tip location was comparable to the one identified in the x-ray. The Integrated System represented a simple and efficient method to correctly place vascular device, allowing intra-procedural tip confirmation and avoiding primary malposition. It would eliminate the need for performing chest radiography, reduce costs and time for healthcare professionals and patients.The Integrated System represented a simple and efficient method to correctly place vascular device, allowing intra-procedural tip confirmation and avoiding primary malposition. It would eliminate the need for performing chest radiography, reduce costs and time for healthcare professionals and patients. Mental disorders can impact on several aspects of the person and therefore also on nutritional models; the literature shows that psychiatric persons are at risk of malnutrition, but the available studies are limited, particularly in Italy. To investigate the prevalence of malnutrition by defect and metabolic syndrome in inpatients in an acute Psychiatric unit. To evaluate the characteristics and food habits of the sample. Assessment of the risk of malnutrition (Mini Nutritional Assessment Scale) and Metabolic Syndrome (APTIII criteria) by administering a new scale to all persons aged 18+ at admission in two inpatient units of a major teaching hospital in Milan, Italy. One Hundred one people were enrolled; 29.70% were malnourished or at risk of malnutrition by defect; Major Depressive Disorder, serum levels of albumin below range and low levels of appetite were significantly associated with malnutrition. 11.88% was suffering from Metabolic Syndrome, which was significantly associated with Psychotic Disorder, high levels of appetite and junk food consumption.