Le conseguenze del pensionamento sulle competenze plurilingui di immigrati italiani in Svizzera

La nostra proposta presenta alcuni aspetti e risultati di un progetto dell'Università di Berna che si occupa delle conseguenze del pensionamento sulle competenze plurilingui di immigrati italiani nella Svizzera tedesca. Rifacendoci a De Bot (2007), che ha definito come “language related major life events” i momenti nella vita rilevanti per mutamenti delle competenze linguistiche, ipotizziamo che il pensionamento possa costituire un punto di svolta nella biografia linguistica di migranti (ma non solo) anche se finora mancano gli studi sull’argomento. Nel caso delle persone prese in considerazione il pensionamento rappresenta un momento fondamentale, quasi paragonabile, per le conseguenze che implica, al momento della migrazione. Se quest'ultima è stata, nella maggior parte dei casi, caratterizzata dalla ricerca di lavoro, la nuova fase della vita dopo il pensionamento comporta mutamenti nelle reti sociali e ha conseguenze anche per l'uso delle lingue. Un punto centrale della ricerca è la domanda di come i migranti affrontino questo momento all’interno della situazione diglossica della Svizzera tedesca, in cui lo svizzero tedesco è stato imparato attraverso il contatto strumentale e accanto ad esso si è mantenuta la lingua d'origine (cfr.Berruto 1991). La metodologia applicata consiste in due fasi: nella prima si utilizzano questionari per ottenere informazioni generali sui dati demografici e sulla situazione sociale, e per elicitare autovalutazioni delle competenze linguistiche. Nella seconda si effettuano interviste semiguidate per ottenere informazioni più approfondite sulla vita e sulle biografie linguistiche. Per ottenere dati relativi alle competenze linguistiche, viene inoltre utilizzato un test di competenza dello svizzero tedesco, sviluppato all’interno del progetto sulla base del SOPI (cfr.Kenyon 2000).

Multivariable adjustments counteract spectrum and test review bias in accuracy studies

OBJECTIVES: The STAndards for Reporting studies of Diagnostic accuracy (STARD) for investigators and editors and the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) for reviewers and readers offer guidelines for the quality and reporting of test accuracy studies. These guidelines address and propose some solutions to two major threats to validity: spectrum bias and test review bias. STUDY DESIGN AND SETTING: Using a clinical example, we demonstrate that these solutions fail and propose an alternative solution that concomitantly addresses both sources of bias. We also derive formulas that prove the generality of our arguments. RESULTS: A logical extension of our ideas is to extend STARD item 23 by adding a requirement for multivariable statistical adjustment using information collected in QUADAS items 1, 2, and 12 and STARD items 3-5, 11, 15, and 18. CONCLUSION: We recommend reporting not only variation of diagnostic accuracy across subgroups (STARD item 23) but also the effects of the multivariable adjustments on test performance. We also suggest that the QUADAS be supplemented by an item addressing the appropriateness of statistical methods, in particular whether multivariable adjustments have been included in the analysis.

The basophil activation test in immediate-type drug allergy

Diagnosis of drug allergy involves first the recognition of sometimes unusual symptoms as drug allergy and, second, the identification of the eliciting drug. This is an often difficult task, as the clinical picture and underlying pathomechanisms are heterogeneous. In clinical routine, physicians frequently have to rely upon a suggestive history and eventual provocation tests, both having their specific limitations. For this reason both in vivo (skin tests) and in vitro tests are investigated intensively as tools to identify the disease-eliciting drug. One of the tests evaluated in drug allergy is the basophil activation test (BAT). Basophils with their high-affinity IgE receptors are easily accessible and therefore can be used as indicator cells for IgE-mediated reactions. Upon allergen challenge and cross-linking of membrane-bound IgE antibodies (via Fc-epsilon-RI) basophils up-regulate certain activation markers on their surface such as CD63 and CD203c, as well as intracellular markers (eg, phosphorylated p38MAPK). In BAT, these alterations can be detected rapidly on a single-cell basis by multicolor flow cytometry using specific monoclonal antibodies. Combining this technique with in vitro passive sensitization of donor basophils with patients' serum, one can prove the IgE dependence of a drug reaction. This article summarizes the authors' current experience with the BAT in the diagnostic management of immediate-type drug allergy mediated by drug-specific IgE antibodies.

Can RapidTEG accelerate the search for coagulopathies in the patient with multiple injuries?

Hypothesis: Early recognition of coagulopathy may improve the care of patients with multiple injuries. Rapid thrombelastography (RapidTEG) is a new variant of thrombelastography (TEG), in which coagulation is initiated by the addition of protein tissue factor. The kinetics of coagulation and the times of measurement were compared for two variants of TEG--RapidTEG and conventional TEG, in which coagulation was initiated with kaolin. The measurements were performed on blood samples from 20 patients with multiple injuries. The RapidTEG results were also compared with conventional measurements of blood coagulation. The mean time for the RapidTEG test was 19.2 +/- 3.1 minutes (mean +/- SD), in comparison with 29.9 +/- 4.3 minutes for kaolin TEG and 34.1 +/- 14.5 minutes for conventional coagulation tests. The mean time for the RapidTEG test was 30.8 +/- 5.72 minutes, in comparison with 41.5 +/- 5.66 minutes for kaolin TEG and 64.9 +/- 18.8 for conventional coagulation tests---measured from admission of the patients to the resuscitation bay until the results were available. There were significant correlations between the RapidTEG results and those from kaolin TEG and conventional coagulation tests. RapidTEG is the most rapid available test for providing reliable information on coagulopathy in patients with multiple injuries. This has implications for improving patient care.

A test of the Bolton-Scheinkman-Xiong hypothesis of how speculation affects the vesting time of options granted to directors

This paper investigates empirically the Bolton, Scheinkman, and Xiong (2006) hypothesis, according to which initial shareholders may provide incentives to managers to take actions that stimulate speculative bubbles. We test this hypothesis with data on up to 8,544 directors and up to 1,677 companies between 2004-2008. Using vesting time as a measure of the short-term performance weighting in CEO compensation and various alternative measures of the extent of speculation, the findings support the hypothesis: vesting time decreases with more intensive speculation. The results prove robust in various empirical model specifications.