From intensive care to rehabilitation: survey on the satisfaction with care received during prolonged hospitalization for COVID-19 at a northern Italian university hospital.

OBJECTIVE: Investigating the experiences perceived by COVID-19 inpatients is a fundamental research area that is starting to be explored. For this reason, our objective was to provide the first Italian survey on COVID-19 inpatients' satisfaction, obtained through a self-completed questionnaire previously used in a reference study in a UK cohort of COVID-19 patients. SUBJECTS AND METHODS: Hospitalized COVID-19 patients (>20 days) admitted to Ferrara University Hospital who underwent rehabilitation during their hospital stay were invited to complete an anonymous questionnaire. The survey's questions explored the patients' satisfaction with the health services received, and their completion took place approximately one year after hospitalization. Information on sex, number of wards, ICU stays, and hospital discharge dates was collected. RESULTS: Sixty-two completed questionnaires were analyzed. The average overall satisfaction score obtained from the answers indicated by the participants in the tenth question was 4.7 out of 5.0. Very positive responses were observed for information about discharge plans, privacy, management of pain, sleep quality, and feeling of safety. The possibility of being consulted about medications and side effects received a very low satisfaction score. Considering overall satisfaction, no significant differences were noted for sex or ICU stay. The obtained results were almost superimposable to those reported in the cohort of COVID-19 patients of the reference study. CONCLUSIONS: This survey suggested that COVID-19 patients' healthcare satisfaction was high. Nevertheless, some areas must be improved, such as the communication and involvement of the patients in the decision-making of care and the discussion about medications or possible side effects.

Environmental performances of Sardinian dairy sheep production systems at different input levels.

Although sheep milk production is a significant sector for the European Mediterranean countries, it shows serious competitiveness gaps. Minimizing the ecological impacts of dairy sheep farming systems could represent a key factor for farmers to bridging the gaps in competitiveness of such systems and also obtaining public incentives. However, scarce is the knowledge about the environmental performance of Mediterranean dairy sheep farms. The main objectives of this paper were (i) to compare the environmental impacts of sheep milk production from three dairy farms in Sardinia (Italy), characterized by different input levels, and (ii) to identify the hotspots for improving the environmental performances of each farm, by using a Life Cycle Assessment (LCA) approach. The LCA was conducted using two different assessment methods: Carbon Footprint-IPCC and ReCiPe end-point. The analysis, conducted "from cradle to gate", was based on the functional unit 1 kg of Fat and Protein Corrected Milk (FPCM). The observed trends of the environmental performances of the studied farming systems were similar for both evaluation methods. The GHG emissions revealed a little range of variation (from 2.0 to 2.3 kg CO2-eq per kg of FPCM) with differences between farming systems being not significant. The ReCiPe end-point analysis showed a larger range of values and environmental performances of the low-input farm were significantly different compared to the medium- and high-input farms. In general, enteric methane emissions, field operations, electricity and production of agricultural machineries were the most relevant processes in determining the overall environmental performances of farms. Future research will be dedicated to (i) explore and better define the environmental implications of the land use impact category in the Mediterranean sheep farming systems, and (ii) contribute to revising and improving the existing LCA dataset for Mediterranean farming systems.