Professioni infermieristiche
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Several not conventional medicine treatments aspirate to legislative acknowledgments of full integration in the health system. On the other hand, registered drugs not always produce the promised effects and, often, constitute an additional cause of dead. ⋯ More particularly, as in the last years, the planning of the clinical trials underwent substantial changes, mostly for economic reasons, it examines the differences among superiority, equivalence and not inferiority studies highlighting the different logic. As general consideration, the former kind of study is to be preferred while the other two can be accepted only when the equivalence margin is very close.
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In 2001 the General Health Direction of Region Lombardia approved (decree n. 22303) a guideline for the prevention of latex allergic reactions in patients and health care workers. This document provides general recommendations in order to standardize behaviors in regional health care facilities. The reason is due to a rise in the incident of reactions to latex products in the last 20 years. Nowadays the prevalence is higher in certain risk groups (subjected to frequent and repeated exposures) rather than the general population. ⋯ Thanks to the literature review and the creation of a multidisciplinar team, we produced a protocol. Therefore, we requested manufacturers the certification of the latex content of their products. Results and conclusion. When latex allergic patients need to undergone surgery in our hospital, a latex safe operating theatre is organized by personnel following a multidisciplinar protocol. No allergic reactions were experienced during surgical procedures after the creation of an environment as free as possible from latex contamination. The project will involve an emergency room, one room or more of a ward and of the outpatients department.