L'italiano in Svezia nel Seicento attraverso le testimonianze di viaggiatori italiani

Nell'articolo è illustrata la conoscenza della lingua italiana in Svezia nella prima età moderna, con particolare riguardo al Seicento. Gli studi pregressi su questo argomento mostrano che l'Italiano era in questo periodo una delle lingue di cultura più importanti in Svezia. Per verificare questi studi si sono utilizzate le notizie di prima mano contenute in alcuni testi odeporici (lettere, diari, relazioni ecc.) redatti da viaggiatori italiani recatisi in Svezia in questo secolo. Nei primi paragrafi del lavoro il lettore è introdotto alla comprensione dell'argomento grazie ad una esposizione contestualizzata sia della storia della Svezia sia di quella della lingua italiana tra Cinquecento e Seicento. Inoltre si offre anche una veloce introduzione ai contatti culturali tra l'Italia e la Svezia fino al Seicento. L'analisi dei testi odeporici seicenteschi conferma gli studi precedenti, basati su ricerche bibliografiche e d'archivio, dimostrando come l'Italiano, sebbene materia di studio accademico e di apprendimento privato, fosse in realtà conosciuto in Svezia solo da una piccola parte dei nobili, preferendosi ad esso il Francese, mentre il latino era conosciuto bene da tutti i rappresentanti del clero.

Comparison of treatment of incomplete abortion with misoprostol by physicians and midwives at district level in Uganda : a randomised controlled equivalence trial

BACKGROUND: Misoprostol is established for the treatment of incomplete abortion but has not been systematically assessed when provided by midwives at district level in a low-resource setting. We investigated the effectiveness and safety of midwives diagnosing and treating incomplete abortion with misoprostol, compared with physicians. METHODS: We did a multicentre randomised controlled equivalence trial at district level at six facilities in Uganda. Eligibility criteria were women with signs of incomplete abortion. We randomly allocated women with first-trimester incomplete abortion to clinical assessment and treatment with misoprostol either by a physician or a midwife. The randomisation (1:1) was done in blocks of 12 and was stratified for study site. Primary outcome was complete abortion not needing surgical intervention within 14-28 days after initial treatment. The study was not masked. Analysis of the primary outcome was done on the per-protocol population with a generalised linear-mixed effects model. The predefined equivalence range was -4% to 4%. The trial was registered at ClinicalTrials.gov, number NCT01844024. FINDINGS: From April 30, 2013, to July 21, 2014, 1108 women were assessed for eligibility. 1010 women were randomly assigned to each group (506 to midwife group and 504 to physician group). 955 women (472 in the midwife group and 483 in the physician group) were included in the per-protocol analysis. 452 (95·8%) of women in the midwife group had complete abortion and 467 (96·7%) in the physician group. The model-based risk difference for midwife versus physician group was -0·8% (95% CI -2·9 to 1·4), falling within the predefined equivalence range (-4% to 4%). The overall proportion of women with incomplete abortion was 3·8% (36/955), similarly distributed between the two groups (4·2% [20/472] in the midwife group, 3·3% [16/483] in the physician group). No serious adverse events were recorded. INTERPRETATION: Diagnosis and treatment of incomplete abortion with misoprostol by midwives is equally safe and effective as when provided by physicians, in a low-resource setting. Scaling up midwives' involvement in treatment of incomplete abortion with misoprostol at district level would increase access to safe post-abortion care. FUNDING: The Swedish Research Council, Karolinska Institutet, and Dalarna University.