RESUMEN
INTRODUCTION: In 2010 the Italian Ministry of Health set out recommendations for the use of social technology and Web 2.0, inviting organisations within the Italian national health service (Servizio Sanitario Nazionale, SSN) to equip themselves with instruments. OBJECTIVES: 1. to ascertain how many local health authorities (Aziende Sanitarie Locali, ASL) and public hospitals have a presence on the most widely used social media websites in Italy: Facebook, Twitter and YouTube; 2. to find out how well the Facebook, Twitter and YouTube pages of ASLs and public hospitals are known among the general population; 3. to find out how ASLs and public hospitals engage with the general public on social media sites. MATERIALS AND METHODS: The websites of all ASLs and public hospitals across the country were visited to look for the icons of the social media sites under examination. The data considered were publicly available upon access. RESULTS: A total of 245 websites were analysed. 7.34% ASLs and hospitals had social media accounts. 8 organisations had an account on all three of the social media sites considered in the study. CONCLUSIONS: The results show a low presence of ASLs and hospitals on social media. Other studies are needed in this field.
Asunto(s)
Comunicación , Atención a la Salud/organización & administración , Hospitales Públicos/organización & administración , Medios de Comunicación Sociales/estadística & datos numéricos , Humanos , Internet , ItaliaRESUMEN
UNLABELLED: Headache after cervical or lumbar puncture has long been attributed to early mobilization; however, several trials and meta-analysis did not show any benefit from bed rest. AIM: The aim of the survey was to describe the patients' care after lumbar puncture. METHODS: A phone interview was administered to the head nurses of 50 neurological wards of Lumbardy and Veneto Region. RESULTS: All patients are kept at bed rest after the procedure from 3 to 24 hours. They are hydrated in 45 centres (i.v. or per os) with amounts of fluids ranging from 500 to 2500 ml. In 14 wards the patients fast until the afternoon, and are allowed only fluids. CONCLUSIONS: Although there is no evidence for the use of increased fluids or bed rest to prevent post dural puncture headache, these and other non evidence based practices continue to be used. Further research is warranted on strategies to implement an evidence based patients care.