Papers by Alessandro Roscetti
From the Rule of Saint Benedict to Total Quality Management: on the search to the cultural beginn... more From the Rule of Saint Benedict to Total Quality Management: on the search to the cultural beginning of the most modern and effectiveness model of the organization management Fifteen centuries ago, Benedict of Nursia-a young Italian monk-founded the monastic system, that has built and lead the western civilization. This discreet and, at the same time, extraordinary work is based on the Benedictine Rule: a little and interesting book, called Regula Benedicti. Ausculta, humilitas, humanitas, discretio, stabilitas, ora, studia et labora are some of the most important keywords, on which the paradigm of leadership and the Benedictine model rest. Cenobitic organized communities, based on the Benedictine Rule, are significant and topical examples of the effective, efficient and sustainable management of organizations. The Regula Benedicti represents the "mother" of the Quality Management System, until the Total Quality Management and the modern sustainable Excellence. The Regula Benedicti is a precious guide to the human wisdom. It is always useful for: a better understanding of both, the person (as an entity and a human being) and the group (as a community and an organization); the creation and implementation of a "virtuous circle" in the group. This element is essential for a «continuous improvement» of every person, the community, the organization and all the activities in general. We can find some of the most salient aspects of Regula Benedicti in the most advanced models of Quality Management. In effect, in the technical literature as well as in the experience of the best organizations, it is possible to find examples of: "humble leadership", based on the Christian concepts of humility and attention to the people, considered as an asset to be enhanced [the "stone which the builders rejected has become the corner stone …" or as the "lost little sheep"]; organization-primarily intended as a community-that listens and considers people [internal and external customers] as the center of everyone's attention; «continuous improvement» towards eternity, based on Plan-Do-Check-Act cycle, self-assessment and problem solving; creation of the community from the choice, the education and the individual growth [because "it's the organization that creates community"]; change of the value and the role of "work" by the Regula Benedicti; cultural model oriented to discover a new future, developing the ability to manage time-kairòs, without being crushed by the time-chrònos. (*) Sergio BINI [nato a Vasto (prov. di Chieti-Italia) il 18 luglio 1953], ingegnere; Professore a contratto di "Psicologia del lavoro e delle risorse umane" presso l'Università LUMSA di Roma; Presidente di AICQ-ci, Associazione Italiana Cultura per la Qualità centro-insulare di Roma; presidente «Progetto Qualità 2000 srl» di Roma [www.aicqci.it ];
Sergio BINI-L'attualità della «Regula Benedicti» per valorizzare le persone nelle comunità organi... more Sergio BINI-L'attualità della «Regula Benedicti» per valorizzare le persone nelle comunità organizzate articolo in corso di pubblicazione sulla Rivista «LE NUOVE FRONTIERE DELLA SCUOLA» [
C'è una ragione logica biochimica per le interazioni tra il sistema immunitario e quello neuro-en... more C'è una ragione logica biochimica per le interazioni tra il sistema immunitario e quello neuro-endocrino? 2) il sistema immunitario può funzionare come un organo di senso? 3) nel futuro, potrà essere difficile distinguere i recettori ed i segnali che questi sistemi usano per la comunicazione all'interno e tra l'uno e l'altro, e le implicazioni dei vari elettroliti ed i loro corrispettivi canali, questi ultimi siamo prossimi a considerare i veri sistemi recettoriali [in sostituzione del sistema recettoriale peptidico]. A causa del poco spazio, questa non è una rassegna esauriente, ma solo un'opinione.
Supportive Care in Cancer, Sep 16, 2015
Background Pain in cancer patients is often related to oncologic therapies and diagnostic procedu... more Background Pain in cancer patients is often related to oncologic therapies and diagnostic procedures. The placement of fully implantable venous access systems is a very common procedure in oncology patients. Local anaesthesia is the method most commonly used to overcome pain related to this surgical procedure, but the local anaesthetic may be unable to completely eradicate all pain. This study investigates the effectiveness and safety of fentanyl buccal tablet (FBT), administered by OraVescent® technology, in reducing procedural pain related to the placement of indwelling central venous access systems (Ports) in opioid-naïve cancer patients. Methods Inpatients who required an indwelling vascular access (Port) were preoperatively assessed with a selfassessment questionnaire on anxiety and pain. A 100 μg FBT was administered 10 min before preparation of the operating field. A self-assessment scale for pain experienced during the procedure was administered at the end of the procedure. Vital signs and the presence of any side effects or bothersome symptoms were monitored during the procedure, at the end, and 4 h later. Results From October 2012 to June 2014, 65 patients were enrolled in the study. A total of 61 (93.9 %) patients perceived no or a little pain during the procedure. Four patients (6.2 %) reported a lot of pain. No patient reported very severe pain. This data is significant in terms of the lower than expected presence of pain (Fisher test p = 0.0018) as assessed in our previous experience without procedural analgesia. The most common side effects of FBT was drowsiness, experienced by 28 patients at the end of the procedure (43.1 %), significantly reduced (p < 0.01) to 8 patients after 4 h (12.5 %). Nausea was present in 6 cases at the end of the procedure (9.2 %) and in 7 cases 4 h later (10.9 %). Vomiting was present in 3 cases at the end (4.7 %) and in 2 other patients after 4 h (7.8 %). No significant change of vital parameters was observed between the baseline and the subsequent measurements in all patients studied. Conclusions The significant improvement in the number of patients experiencing little or no pain, accompanied by a lower number of non-severe side effects, suggests that FBT is a valid, practical and safe method of procedural analgesia. It will be necessary to perform further studies, taking into account the need for standard antiemetic pre-medication to minimise the incidence of nausea and vomiting.
Minerva anestesiologica, 1991
in attes
Clinical Drug Investigation, 2010
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Papers by Alessandro Roscetti