ABSTRACT
In my "Covid story,"I would like to present some reflections on the effects of the pandemic on global structural inequalities. Based on my personal experiences in Italy and Guatemala, I chronologically present the differences between the two countries in tackling the pandemic. In particular, I focus on the right to health, including access to hospitals, testing, and vaccinations. I also discuss how the justice system reacted to the pandemic, including the management of prisons and the investigations on the actions of the two governments. Public demonstrations in the streets and violent protests in prisons are the background against which I present the legislative measures adopted to curb the pandemic. Farce and tragedy are intended to depict the distance between public institutions and the people they represent. Between the failures of temporary hospitals in Guatemala and Italy's draconian regulations to enter the country, the very concept of law and public institutions assumed different connotations. © 2022 The Author(s). Oxford University Press and New York University School of Law. All rights reserved.
ABSTRACT
INTRODUCTION Following the Sars-Cov2 pandemic of the last 2 years, telemedicine has become fundamental for the territorial assistance of patients and the consultation of professionals among them to carry out assistance services in a very complex territory such as that of the Azienda USL Toscana Sud Est (TSE). Currently, the middleware, on the network, allows for the integration of all data from the physical, chemical and morphological urine examination (ECMU), allowing the transmission of data and images between computer-connected laboratories. This work illustrates the organizational architecture of an analytical integration network managed in telemedicine and teleconsulting applied to the ECMU and consisting of all the laboratories of the Azienda TSE. MATERIALS AND METHODS The integrated network of the ECMU includes the territorial laboratories of the Azienda TSE, such as the hub centers of Arezzo, Grosseto, Nottola and Campostaggia with the spoke centers of Cortona, Bibbiena, Sansepolcro, Valdarno, Massa Marittima, Orbetello, Pitigliano, Abbadia San Salvatore , Castel del Piano. The instrumentation used by the laboratories is Aution Max 4030 (Menarini) and Pochet Chem UA for the chemical-physical examination, Sedimax Contrust (Menarini) and the Director Web (Menarini) management software. RESULTS The integrated network of the ECMU consists of all the Azienda TSE laboratories, which are connected to each other electronically through the middleware Director Web, which allows the sharing of rules, chemical-physical analysis data and images of the urinary sediment. Through the Director Web management software it is possible, in fact, for hub laboratories not only to consult and validate the ECMU carried out by the spoke centers in the area, but to receive and give "second opinion" advice between the network laboratories. CONCLUSIONS The use of the same analytical systems and the middleware system common throughout the Azienda TSE allows to obtain harmonized and standardized results throughout the territory with shared criteria in the integrated network of the ECMU, in fact, the collaboration of specialists is indirectly promoted with time much faster diagnosis and a less rigid and leaner organization of work, uniform throughout the territory.