BackgroundChronic airway diseases are prevalent and costly conditions. Interdisciplinary rehabilitation programs that include Acceptance and Commitment-based components could be important to tackle the vicious circle linking progression of the disease, inactivity, and psychopathological symptoms.MethodsA retrospective evaluation of routinely collected data of an interdisciplinary rehabilitation program was performed. The program included group sessions including patient education, breathing exercise, occupational therapy and an ACT-based psychological treatment, and individual sessions of physical therapy. Demographic data, clinical characteristics of the patients and the values of (...) outcome variables before treatment, at discharge, at 3 months, and at 6 months were extracted from medical records. Multiple imputation was employed to address missing data. Linear mixed models were employed to assess changes over time. Multivariable logistic regression was performed to assess predictors of a minimum clinically important change of health status from baseline to the 6-months follow-up.ResultsData from 31 patients with chronic obstructive pulmonary disease and 12 patients with bronchiectasis were extracted. Health status improved from baseline to discharge to the 3 months follow-up, but not to the 6 months follow-up. Anxiety and depression improved across all the time points. Quality of life did not improve over time. Having a worse health status at baseline and fewer depressive symptoms were significantly associated with achieving a minimum clinically important change of health status at 6 months. The effects of the interdisciplinary program were not different for patients with COPD or with bronchiectasis.DiscussionInterdisciplinary programs including ACT-based components are promising treatments for the rehabilitation of patients with chronic airway diseases. (shrink)

Le arti liberali -- La luce -- Le linee, gli angoli e le figure -- L'arcobaleno -- Lettera a Adamo di Exeter su Dio -- Forma di tutte le cose e sugli angeli -- La potenza e l'atto -- Le cause -- L'emmanzione della cose da Dio -- La verità -- La verità della proposizione -- La conoscenza divina -- Il libero arbitrio.

Introduzione di Pietro Rossi - Bobbio e il diritto di Gustavo Zagrebelsky - Bobbio e la politica di Massimo L. Salvadori - La teoria generale del diritto di Riccardo Guastini - La teoria generale della politica. Per la ricostruzione del "modello bobbiano" di Michelangelo Bovero - Realismo politico e dottrina dello Stato di Pier Paolo Portinaro - Le relazioni tra gli Stati di Luigi Bonanate - Gli autori - Indice dei nomi.

This study shows how Grosseteste’s Commentary on the Posterior Analytics adopts a peculiar criterion to structure arguments developed by Aristotle about the science of demonstration. Grosseteste places his commentary in the framework of the ratio disserendi by Cicero and Boethius; yet, the arguments he develops are summarised in conclusiones. After reviewing past and recent scholarship on the meaning of these ‘conclusions’ and their relationship to Aristotle’s arguments, the study proposes to consider them as an application of Euclid’s geometrical method.

The paper focuses on the kind of expertise required by doctors in health communication and argues that such an expertise is twofold: both epistemological and communicative competences are necessary to achieve compliance with the patient. Firstly, we introduce the specific epistemic competences that deal with diagnosis and its problems. Secondly, we focus on the communicative competences and argue that an inappropriate strategy in communicating the reasons of diagnosis and therapy can make patient compliance unworkable. Finally, we focus on the case (...) of diabetes metaphor and propose the deliberate use of metaphors in health communication as an educational tool. On the one hand, metaphors might help doctors in explaining the disease in simpler terms and framing the experience of illness according to patient’s specific needs. On the other hand, metaphors might encourage a change in patient’s beliefs on their own experience of illness, and enable them to reach a shared decision making with doctors. (shrink)