Female Agri-Food Start-Ups: Mapping the Italian Context During the Coronavirus Era

In recent years COVID-19 has led the world into a deep crisis, claiming numerous victims and causing uncertainty in the economic scene. During the coronavirus' lockdown, the only economic activities allowed to operate were the ones from primary sector, such as the agri-food. Recent literature asserts that during emergency period the main factors that allow the organizations to be resilient are the structural and relational capital, two of intellectual capital components. To support innovation, since 2012, Italian law has provided the possibility for companies to obtain the status of an innovative start-up, promoting technological transition through several fiscal and tax benefits. However, delving into gender issue, the role of female entrepreneurs within agri-food sector is not very clear. In this stream, focusing on the field of innovation to overcome the crisis, the present chapter aims to map the innovative female farms during the coronavirus period. To reach the declared goal a EDQ analysis on the innovative Italian start-ups was developed. Findings show that the role of female entrepreneurship in agri-food sector is still very poor from the point of view of innovation and technology, and only 10 innovative farms are led by women (11% of the sector;0.08% of Italian start-ups). The present chapter contributes to the literature on gender studies in the business innovation field, during periods of crisis. The main limitation concerns the availability of data related to this particular kind of Italian SMEs (start-ups). The main future research perspectives will address case studies on the female agri-food start-ups identified in this first exploratory study and will aim to investigate the proactive role of structural capital and the reactive role of relational capital. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Severity level and ventilation procedures in COVID-19 patients in a semi-intensive care unit

Introduction and Purpose of the study: SARS-CoV2 infection is characterized by massive involvement of the respiratory system. During the various waves, the patients admitted to the Covid wards presented different degrees of pulmonary involvement and numerous comorbidities. Administration of oxygen therapy was the prevalent measure in almost all subjects. The aim of our study was to verify the level of severity and ventilation procedures in a group of subjects hospitalized for SARS-CoV2 infection. Materials and Methods: 388 subjects admitted to the semi-intensive Covid Unit of the F. Miulli Hospital in 2020 were retrospectively analyzed, by examining the SDOs. The main diagnoses and procedures performed were identified. A severity cluster was identified characterized by death, ventilation and hospitalization in the semi-intensive area (cut off at 14 days). Results: 82 were the deceased (21.1%). The main diagnoses most represented were: 84.2% respiratory failure, 3.3% heart failure, 2.5% pulmonary embolism and 1.5% septicemia. Regarding the procedures, 31.9% underwent C-PAP ventilation, while 0.7% underwent non-invasive mechanical ventilation. 64% of the subjects had a severe degree of disease evidenced by the composite cluster of deaths, ventilation and at least 14 nights in semi-intensive care. Conclusions: Our data shows that in the face of almost all patients with respiratory failure, about one third underwent ventilation procedures (C-PAP and NIV). More than half of the subjects had a severe degree of disease.

The antisynthetase syndrome as a diagnostic challenge: A case report

Background: Idiopathic inflammatory myopathies are a heterogeneous group of pathological conditions characterized by muscle inflammation, and sometimes by inflammatory involvement of other organs, such as skin (in dermatomyositis) and lungs (pulmonary interstitial disease). Description of the case: 54-year-old woman, turns to the Emergency Room of Miulli Hospital in March 2021 for worsening dyspnea. In medical history: previous recent SARS-CoV-2 infection. She is admitted to Medicine Unit, where the characteristic signs and symptoms of myositis were objected: myasthenia affecting the proximal muscles, myalgias, plantar desquamation of the feet (climber's foot) and fingers (mechanic's hands), Gottron's papules. There are also: pericardial effusion, signs of pulmonary hypertension on echocardiogram, consolidating pulmonary parenchymal changes with fibrotic evolution on HR chest CT. She is transferred to the Rheumatology Unit of the Policlinico Di Bari to perform specific autoantibody panel (positivity of ANA, anti Jo- 1, anti Ro52), electromyography (signs of myogenic suffering), MRI of the thighs (hypotrophy and adipose replacement of the muscles of the posterior lodge) and muscle biopsy, indicative of muscle inflammation. Therapy with steroid boluses and cyclosporine 5mg/kg/day, shows quick effectiveness, and she is discharged with the diagnosis of antisynthetase syndrome. Conclusions: The diagnosis of antisynthetase syndrome is not always easy, due to the clinical heterogeneity of the disease and the need for specific instrumental and laboratory tests.