bluuebunny/crossref_metadata_2025 huggingface dataset:
Monitoring use of pesticides in the pistoia area
Authors: Veraldi Angela , Balduini Michela , Kovacic Ljiljana , Lenzi Benedetta , Barbani Massimo , Pellegrini Massimo , Panzone Tina , Fedi Aldo , Innocenti Andrea , Bonaccorsi Guglielmo
Published: February 2025

Background. The surveys of pesticides in the areas of Pistoia and Valdinievole characterized by nursery and floriculture industry. Objectives. To determine types and quantities of pesticides used by a sample of floriculture and nursery companies. Methods. Assembly of data from registries of phytosanitary treatments. Quantities of pesticides used from 2011 to 2014, classified by their function, detailed composition, quantities by active ingredients (AI) and enumeration by hazard classification (Regulation-EC-1272/2008). To analyzed of data collected on the use of plant protection products (PPPs) in a sample of companies from 2011 to 2014, along with quantities used by the same companies in previous years (2005-2010). The quantities estimated on the Pistoia area, from 2005 to 2014, have been compared to the Regional and National data. Results. In the Pistoia area there has been an increase of AI use (+13,6%). Most prevalent PPPs are herbicides (76%). The comparison with the previous period (2005-2010) shows a quantitative increase. The 72% of all AI. used are represented by: Glyphosate (43%), Pendimetalin (17%) and Mineral Oil (12%). The quantities of AI used per hectare in Pistoia are higher than the regional (Tuscany) and national average consumption, with a positive trend from 2005 to 2014. In Valdinievole (floriculture area), there is also an increase of use, either of PPPs or AI. Most prevalent are insecticides/acaricides (53%). Overall an increased “hazardous substances” in both areas was observed. Conclusion. Public Health institutions need to improve their knowledge of pesticide use in this industry to provide an improved definition of both occ
[Biological injuries in a hospital in Puglia: an observational study between nurses and nursing students]
Authors: Vitale Elsa , Guglielmi Vittorio , Iosca Mirko , Celani Fabrizio
Published: February 2025

Introduction. An injury caused by a biological agent is an event that causes damage to the health of the operator. Nursing is one of the most affected professions. Objectives. This study aims to analyze and quantify the injuries caused by exposure to biological agents among working nurses and students of the degree course in Nursing at the “F. Miulli” Regional General Ecclesiastical Body, located in Acquaviva delle Fonti, province of Bari, Italy. Methods. The retrospective study was carried out by collecting data from May 2019 to July 2019. The data were collected from the archive of biological accidents for the five-year period 2014-2018. The data collected was divided according to the professional category of the subject: whether it is a nurse-worker, or a nurse-student, enrolled in the Nursing course of the University of Bari “Aldo Moro“. Results. 249 injuries caused by biological agents were recorded, of which 69.1% were female and 30.9% were male. The operating units most involved are the medical branch departments (55.4%). The anatomical sites most affected are the upper limbs with 205 cases. Discussion. It is necessary to invest in training and refresher campaigns for nursing staff and nursing students in order to ensure the standards of effectiveness of the services provided and safety in providing them.
Lumbar discopathies: correlation between pathology, work eligibility and recognition of technopathy
Authors: Di Giampaolo Luca , Cano Etleva , Misticoni Giovanni Francesco , Coppeta Luca , Mangifesta Rocco
Published: February 2025

Background. Spondylodiscopathies are usually counted among the “work-related diseases” that are those chronic-degenerative diseases with multifactorial etiology where the work environment can sometimes assume the role of direct and efficient contributing cause. Low back pain is the main cause of functional limitation and absence from work in the western world, resulting in a huge individually and socially economic burden. Objective. This work was designed to provide an overview of the impact that lumbar rachipathies have on health surveillance, highlighting the correlations between the pathology severity, characterization of professional risk and issue of elegibility for the specific task. Methods. Was analyzed a case studies of lumbar rachipathies reports received by INAIL in the entire Abruzzo region in 2017, the last year available in the INAIL database at the time of data extrapolation dating back to May 2019. For each dossier were collected data extrapolated from: DVR, medical record and risk, instrumental examinations and specialist visits. The software “Epi Info” version 7 was used for the statistical analysis of the sample, provided by the CDC (Centers for Disease Control and Prevention) in Atlanta. Results. The expression of work elegibility with limitations and/or prescriptions by the phisicians is related only to clinical symptoms and not to the presence of a herniated disc on CT or MRI tests. The exposure to risk from MMH and WBV, documented in the DVR, was not found to be related to the presence of a herniated disc on instrumental examinations. There was no significant difference in the average age between workers recognized as technopathic from non-technopathic. Conclusions. Although biomechanical overload has always been considered as an important wear element of the intervertebral disc, genetic influences and constitutional factors seem to be elements more implicated in the development of hernial disc disease.
AN EVALUATION OF WORK-RELATED MUSCULOSKELETAL DISORDERS IN PHYSIOTHERAPISTS: A SYSTEMATIC REVIEW
Authors: Galeoto Giovanni , Aloisi Anna , Mollica Roberta , Servadio Annamaria , Santilli Valter , Vanacore Nicola
Published: February 2025

Background. Musculoskeletal disorders (MSD) have been described as one of the major causes of physical pain and disability. Health professions, in general, are among those at higher risk of injury.Objective. The aim of the study was to carry out a systematic review of cross-sectional studies on physical-physiotherapeutic musculoskeletal disorders in physiotherapists.Materials and Methods. Bibliographic research was carried out through the PUBMED, PEDRO, and CINAHL databases. The selected articles had to comply with the following inclusion criteria: original peer review articles, English and Italian articles, cross-sectional studies with sample sizes of at least 25 physiotherapists, and no time limit.Results. In general, the results of studies on the WMDs of physiotherapists have been comparable, with the exception of some differences between the various countries linked to both ¡ Ital Med Lav Erg 2020; 42:1 the level of development and the psychosocial and epidemiological status of the physiotherapy profession.Healthcare workers are among the professional categories most exposed to work-related musculoskeletal disorders because they are in direct contact with the patient, which often requires an important physical commitment to lifting and relocating patients for long-held incongruous postures, for repetitive movements, for joint effort, and for overload in manual techniques.
A COMPARISON OF THE ENERGY COSTS WITH USE OF DIFFERENT TYPES OF MANUAL WHEELCHAIR IN DISABLED PERSONS
Authors: Prestifilippo Elena , Panigazzi Monica , Scanarotti Sara , Seitanidis Jonathan , Maestri Roberto , Abelli Paola , Bazzini Giacomo
Published: February 2025

The energy cost of physical activity is a well-documented field of research both in non-disabled subjects and in subjects with physical disabilities, in particular spinal cord lesions. The aim of this study was, therefore, to investigate the energy cost and subjective fatigue in disabled persons who make daily use of a manual wheelchair by comparing three different types of wheelchair (standard, lightweight and ultra-light) in order to obtain indices useful for prescribing the most effective and appropriate wheelchairaid for the individual patient. The study was carried out on 18 patients affected by paraplegia or paraparesis due to spinal cord injury at different levels. Result revealed a significant difference across the three types of wheelchair, with the energy expenditure to cover 100 m increasing from the ultra-light (lowest expenditure) to the lightweight to the standard type (highest expenditure). The differences observed in the average energy consumed to cover a distance of 100 meters with the three types of wheelchair confirm the hypothesis that it is the weight of the wheelchair chosen by the rehabilitation team together with the patient that constitutes the fundamental criterion in making such a prescription. Obviously, in making the final choice, other factors as well need to be taken into account, such as the person's age and anthropometric characteristics, the nature of the disability and prognosis, the achievable degree of autonomy, functional capacities, personal preferences, the type of use (domestic or external), accessibility, reliability and durability, esthetic features, eventual accessories available, etc.
MEDICO-LEGAL CONSIDERATIONS AND OCCUPATIONAL MEDICINE ISSUES REGARDING THE TARGETED EMPLOYMENT OF DISABLED PERSONS: REGULATORY REVIEW, CURRENT SOCIAL AND MEDICAL OPERATIONAL GUIDELINES AND CURRENT APPLICATION PHENOMENA
Authors: Sammicheli Michele , Scaglione Marcella
Published: February 2025

The Authors examine developments in Italian legislation concerning compulsory work placements for disabled people, comparing them to those of other countries, and focusing in particular on the operational aspects of the assessment committees set up under Italian legislative decree 68/1999; these commissions are tasked with a global assessment of the disabled individual, using multiple socio-health and occupational medicine perspectives, as well as through a conclusive medico-legal assessment. The work focuses on the delicate role played by these committees in adequately weighing up the residual working capacity of the disabled individual in order to place him/her in the most appropriate and least aggravating workplace in terms of the disorders they are affected by; this is possible by transferring the socio-work profile drawn up by the evaluation committee into the context of the labour market. Finally, the Authors try to highlight how this task has become even more difficult due to the economic and labour crises that have affected several of the employment sectors in Italy in recent years.
VALIDATION OF SURGICAL MASKS DURING COVID19 EMERGENCY: ACTIVITIES AT THE UNIVERSITY OF NAPOLI FEDERICO II
Authors: D'Anna Andrea , Di Natale Francesco , De Falco Gianluigi , Di Maio Ernesto , Tammaro Daniele , Quaglia Fabiana , Ungaro Francesca , Cassiano Chiara , Salvatore Paola , Colicchio Roberta , Scaglione Elena , Pagliuca Chiara , Fontana Luca , Iavicoli Ivo
Published: February 2025

During COVID-19 pandemic crisis, Italian Government has approved Law Decree no. 18 of 17 march 2020, in which art. 15 allows enterprises to produce, import and commercialize surgical masks notwithstanding the current rules of product certification. It is just required that the interested enterprises send to the Italian National Institute of Health a selfcertification in which they declare the technical characteristics of the masks and that masks are produced according to the safety requirements.In this context, a technical-scientific unit was established at the University of Napoli Federico Il to provide interested enterprises with state-of-the-art consultancy, testing and measurement services, adhering to rigorous scientific protocols.Characterization tests were carried out on 163 surgical masks and or materials for their construction and they have enabled the identification of pre-screening criteria to simplify the procedure for evaluating surgical masks using methods for assessing the filtration efficiency of particles and aerosols.Based on experimental results, it has been observed that a filtration efficiency for particles with sizes larger that 650 nm (PFE,650) exceeding 35% might guarantees a bacterial filtration efficiency (BFE) higher than 95% while BFE values higher than 98% are obtained when the PFE >650 is larger than 40%. PFE measurement is extremely simpler with respect to BFE, the latter being time-consuming and requiring specific equipment and methods for its realization.Many tested materials have shown the capability to assure high filtration efficiencies but Spundonded-Meltblown-Spunbonded (SMS), that are layers of non-woven fabric with different weights of Meltblown, can simultaneously guarantee high particle filtration efficiencies with pressure drop values (breathability) in the limits to classify the surgical masks as Type I/IIR. In fact, the fabric products analyzed so far have not been able to simultaneously guarantee adequate BFE and breathability values. On the contrary, Spunbonds of adequate weights can virtually verify both requirements and accredit themselves as possible materials for the production of surgical masks, at least of Type I. Further studies are needed to verify the possibility of producing low-cost, reusable surgical masks that could meet the criteria of circular economy.
MUSCULOSKELETAL DISORDERS AND WORK-RELATED MUSCULOSKELETAL DISEASES AMONG NURSERY SCHOOL TEACHERS: ANALYSIS IN A SAMPLE IN THE CITY OF VENICE
Authors: Scopa Pasquale , Di Bisceglie Anita Pasqua , De Lotto Federica , Alfano Angelica , Faiferri Stefano , Regazzo Antonio
Published: February 2025

Objectives. Musculoskeletal disorders (MSD) represent one of the most relevant occupational problems.School teachers and particularly nursery school teachers (NST) are reported to have a high prevalence of MSD.We aimed to estimate frequency of MSD in a sample of NST and to bring out cases of work-related musculoskeletal disorders (WRMSD) among these workers.Design. Cross-sectional prevalence study.Setting and participants. NST applying to the trade union patronage between December 2015 and December 2017 for problems of absence from work for health reasons have been proposed the compilation of the Italian version of the Nordic Questionnaire for musculoskeletal disorders. NST who reported MSD underwent medical examination performed by an occupational physician. In accordance with current legislation, certification of occupational disease was completed when a plausible occupational origin of the pathology could be identified.Main outcome measures. MSD and WRMSD prevalence.Results. Questionnaires were completed by 82 NST: 75 (91.5% of the sample) reported at least one MSD. 71 NST underwent medical examination. In 32 subjects (39% of the sample) a diagnosis of musculoskeletal pathology was formulated. Based on work history, 20 cases of probable occupational pathology were reported. Occupational etiology was ascertained for 12 subjects (14.6%): I1 cases of lumbar discopathy / lumbar disc herniation and l case of both lumbar disc herniation and tendinopathy of shoulder rotator cuff.Conclusion. Prevalence of musculoskeletal disorders was high and the most frequently affected body sites were similar to those reported in the literature, confirming NST as a group at risk for developing both MSD and WRMSD. Results indicate the importance of taking primary and secondary prevention actions to protect the health of NST.
WORK-RELATED STRESS OF PROVIDERS IN HOMELESSNESS SERVICES: A COMPARISON AMONG WORKERS IN TRADITIONAL SERVICES AND HOUSING FIRST
Authors: Cosentino Roberta , Demita Silvia , Lenzi Michela , Gaboardi Marta , Vieno Alessio , Santinello Massimo
Published: February 2025

Burnout has recently been identified as a disorder by the World Health Organization. Although helping professions are the most exposed to burnout, there is a lack of research on work-related stress in social service workers, such as frontline workers in homeless services. The aim of this study is to evaluate burnout in a sample of Italian providers working in homelessness services, exploring the differences between traditional services and Housing First. Burnout was measured through the Link Burnout Questionnaire, consisting of four dimensions investigating Psychophysical exhaustion, Depersonalization, Professional inefficacy and Disillusion. A total of 69 participants (40 social providers and 29 educators of both types of service) responded to the survey. The results show similar levels of burnout in providers and educators working in the two types of services.
EFFECTS ON SCHOOLBAG GAIT KINEMATICS: A MECHANICAL OVERLOAD POTENTIALLY CAUSING DEVELOPMENTAL MUSCULOSKELETAL DISORDERS?
Authors: D'Addio Gianni , Dionisi Leandro , Pagano Gaetano , Mercogliano Luca , Cesarelli Mario , Cesarelli Giuseppe
Published: February 2025

Studies and reviews show that the vast majority of students around the world use heavy and uncomfortable backpacks, which could negatively affect their musculoskeletal development or at least generate a non-physiological functional overload. In this regard, non-invasive analyses were carried out on a sample of 150 healthy students aged between 14 and 15 years using a wearable inertial device for gait analysis: G-Walk System by BTS Bioengineering. Each student performed a gait analysis session consisting in a walk of 15 meters along a straight path in two different conditions: free walk and walk with backpack. A backpack with a sturdy backrest, wide and padded straps and abdominal belt with buckle was chosen. The weight inside the backpack was fixed at 9.3 kg in accordance with scientific studies conducted by Stefano Negrini of IS/CO (Istituto Scientifico202Italiano Colonna Vertebrale). Aim of this work is to understand, through an accurate analysis both instrumental and statistical, if we can talk about differential influence of musculoskeletal type generated by a school backpack full load compared to no backpack, trying to find out if and how much this affects walking both in terms of space-time parameters and detachment from normality values, and in terms of kinematic parameters such as pelvic rotations angles. Results showed a statistically significant difference between the space-time parameters computed in the two different study conditions, moreover a qualitative and quantitative difference was found for kinematic parameters too, which could imply potential musculoskeletal disorders associated with prolonged and long-lasting use of heavy and uncomfortable backpacks. This study has the ambition to raise awareness of this issue in order to extend legislative limits to the "working" environment of children, that is the school, as it is done for working environments adults (D. Igs 81/08 related to manual maintenance of loads).
NANOMATERIALS AND OCCUPATIONAL HEALTH: THE INAIL RESEARCH CONTRIBUTION FOR RESPONSIBLE INNOVATION AND RISK PREVENTION FOR WORKERS IN ITALY
Authors: Natale Claudio , Ferrante Riccardo , Boccuni Fabio , Ferri Piergiorgio , Tombolini Francesca
Published: February 2025

In the last years nanotechnologies and nanoproducts are constantly growing up thanks to their promising benefits for social and economic development. Nanomaterials are increasingly used in our daily life, finding application in many sectors such as textile, automotive, electronic, food, etc. In 2012, the European Commission included nanotechnologies among the Key Enabling Technologies (KETs), which provide the basis for innovation in the present century. In parallel to the growing interest at industrial and production level (estimated at about Il million of tons per year) the number of workers potentially exposed in all nanomaterials life cycle has increased. Concurrently, concerns about the potential effects on human health arose, attracting the attention by the scientific community, in particular on health and safety issues in workplaces.In Italy the industrial market has evolved in the same direction with important economic investments both public and private. Consequently, numerous research groups belonging to the University, Institutions and Research Centers were involved in the study of the main issues to promote a responsible development of nanomaterials. In this framework, the main aim of this study is to highlight the commitment of Italian research in the field of health and safety of engineered nanomaterials, through the initiatives of Italian Workers Compensation Authority (INAIL) for sustainable development of nanotechnologies.
EXPERIMENTAL MEASUREMENT OF THE ‘PAR’ OF SEVEN EAR PLUGS
Authors: Cassano Filippo , Ferri Giovanni Maria , Aloise Ingrid , Manghisi Nicola Mariano , Cardascia Francesco , Gaccione Vincenzo , Garavaglia Michela , Labianca Graziano , Mazzotta Cosimo , Minenna Maria Teresa , Di Lorenzo Luigi
Published: February 2025

The study aimed to evaluate, through the use of the EA-RfitT M Validation System, the real reduction (PAR) for the right ear (AuD), for the left ear (AuS) and biaural reduction related to each of the seven earplugs currently produced by 3M. In addition, we wanted to verify any difference between the aforementioned PARs in consideration of the tendency to predominantly use the right hand (right-handed) or the left hand (left-handed) and in relation to gender. Finally, for each insert and for each subject, an audiometric examination was conducted with the insert worn, to compare the average PAR value obtained by the BA-RfilM system for each of the seven inserts and for all selected subjects, with the determined abatement curve through the audiometric measurement of the hearing threshold with the insert worn. The use of the E-ARfitiM system for the choice of the ear insert leads to important advantages in the protection of all workers. Moldable acoustic PPE generally proved to be more efficient than non-moldable, so much so that the higher SNRs (provided by the manufacturer), especially when referring to non-moldable inserts, were found to be misleading as to the real personal abatement capacity of the inserts. The average audiometric curves, obtained with the different inserts worn, confirmed that all of them guarantee a higher reduction for high frequencies than for "social" ones.
[The management of benign thyroid diseases in medical radioprotection]
Authors: Virgili Massimo
Published: February 2025

ABSTRACT. The thyroid gland is one of the most radiosensitive human organs. There are two major unwanted consequences from radiation to the thyroid in humans: hypothyroidism and neoplasia. In the system of dose limitation medical surveillance undoubtedly acquires obligations with regard to early tumor diagnosis (secondary prevention). On the basis of the risk coefficient of radioinduction of tumors established by international organizations, thyroidology should not be neglected. Following a wide range of doses of ionizing radiation, an increased risk of thyroid adenomas and nodules has been also observed in a variety of populations and settings, continuing for decades following exposure. Considerably less findings are available regarding functional thyroid disease including autoimmune diseases. In general, associations for these outcomes were fairly weak and significant radiation effect were most observed following high dose, particularly for hypothyroidism. Considerably less consistent findings are available regarding functional thyroid diseased including autoimmune diseases. The medical surveillance of exposed workers with thyroid pathology frequently involves delicate problems in particular concerning the differential diagnosis between benign and malignant nodules. In contrast to rare thyroid cancer, thyroid nodules are extremely common particularly among women. Thus, most thyroid nodules are benign, and it is important for a better outcome to identify those are likely to be malignant especially at an early stage. Therefore screening of all exposed workers is proposed since the beginning of their thyroid radiation exposure and an up to date diagnostic protocol is discussed. As a consequence of this justified strategy of secondary prevention a huge amount of thyroid nodules, mostly benign, is found involving problems of management especially from the point of view of medical surveillance of radiation protection. In this paper the author: - 1) Discusses the issues and suggests an up to date approach to diagnosis and management of nodular and functional thyroid diseases - 2) Identifies conditions which representing particular problems require a more restrictive judgement of fitness - 3) Intends to demonstrate that the proposed diagnostic protocol conciliates with due economy providing the right balance between effectiveness and costs, the real requirement of medical surveillance, reducing as far as possible undesirable effects such as damage from excessive protection and patient/ physician delay, which is extremely dangerous in the early diagnosis of tumors.
[RISK OF SKIN CANCER FROM EXPOSURE TO NATURAL OPTICAL RADIATION]
Authors: Modenese Alberto , Gobba Fabriziomaria
Published: February 2025

Skin tumors are the most frequent neoplasms worldwide in Caucasian subjects, and UV exposure is one of the most relevant risk factors in their etiology. Cumulative UV exposure is strongly associated with an increased occurrence of both basal and squamous cell carcinomas (i.e. Non melanoma skin cancers - NMSC), while for malignant melanoma the role of UV radiation as risk factors seems more related to intermittent and intense exposures, able to induce repeated sunburns, at young ages. Considering the occupational risk, currently UV radiation, part of the solar radiation (SR) spectrum, is one of the major risks in all jobs including outdoor activities (outdoor work - OW): many studies show high levels of solar UV exposure during OW, nevertheless to date the European, and Italian, legislation on occupational risks prevention does not include specific requirements for SR exposure at work, as occupational exposure limits values or workers' health surveillance. This is not coherent with the strong associations showed in scientific literature in particular between the occurrence of NMSC and a history of OW.Accordingly, considering the high exposure levels, the large number of outdoor workers and the strong associations with NMSC, we'd expect a relevant number of occupational skin cancers (OSC) to be reported every year to the national workers' compensation authorities in European countries. Nevertheless, in Italy, as in other European countries, the number of reported UV-induced OSC is much lower than the expected number of OSC, with less than 40 cases reported on average in Italy in last years compared to about a thousand of expected cases incident in outdoor workers per year. An increasing in the reporting of OSC would certainly be important, for the purpose of a better recognition of the real dimension of the phenomenon, and to stimulate the implementation of adequate preventive strategies, in order to guarantee an improved protection of outdoor workers and a more appropriate prevention of the adverse health effects related to solar UV exposure.
[Linking ICF codes to clinical real-life assessments: the challenge of the transition from theory to practice]
Authors: Giardini Anna , Vitacca Michele , Pedretti Roberto , Nardone Antonio , Chiovato Luca , Spanevello Antonio , Maugeri Gruppo ICF
Published: February 2025

According to the latest WHO guidelines, the ICD-ICF joint use currently represents the most agreed method to portray a patient's Care Pathway during a hospitalization. On this note, ICS Maugeri carried out an internal project aiming to identify the ICF codes that better describe the rehabilitation pathways in its Italian Institutes. 2 main goals so far have been achieved: 1. To re-conceptualize the Care Pathways thought the lenses of the ICD-ICF frameworks; 2. To link, whenever possible and by means of the WHO-ICF linking rules, each pertinent ICF code to the most appropriate assessment method, harmonizing its outputs to the 0-4 ICF Likert scale. The current project represents a first attempt towards the creation of a standard functioning assessment methodology to be implemented in rehabilitation settings.Despite being referred to the Maugeri group only, the ICD-ICF procedure described could hopefully be extended to other settings, representing a support for health information technologies.
[Towards a baseline ontology for information technology in rehabilitation medicine: the nomenclator of the rehabilitation procedures]
Authors: De Nardi Paolo , Giorgi Gianni , La Manna Alessandro , Traversoni Silvia , Giardini Anna
Published: February 2025

One of the main aims of Healthcare Information Technology is the safe and efficient management of significant amounts of clinical data. Now more than ever, such goal requires the creation of common semantics to ontologically organize knowledge enclosed in databases. By means of the application of the WHO ICD-ICF frameworks, the ensemble of rehabilitative activities lead in all the Maugeri institutes in Italy, has been formally standardized to create a Nomenclator, with the aim to: a) support clinicians in the definition of the individualized Care Pathway; b) program, optimize and maximize patient's rehabilitation activities, according to clinical and organizational requirements; c) qualitatively and quantitatively report the daily health-care professionals' workflows; d) provide a structured and detailed medical record meeting appropriateness requirements.In this regard, the application of the ICD-ICF framework as a baseline ontology, paves the path to an ongoing tracking of the rehabilitation processes, leading to a more accurate description Ital Med Lav Erg 2019; 41:2 of the patient's functioning profile. The upcoming challenge for rehabilitation is the ultimate overcoming of a solely epidemiological perspective, in order to embrace a holistic approach, fostered by ontologically-based information technologies.
[Implementation of the ICD-ICF model in rehabilitation medicine: presentation of a clinical case in neuromotor rehabilitation]
Authors: Castronovo Gioacchino , Di Palo Angela , De Cicco Domenico
Published: February 2025

We present the clinical case of a 17-year-old boy who, after an auto-motorbike collision, suffered of bilateral condylar atlo-occipital dislocation with blood in the medullary canal and contusion of the CI-C3 spinal cord, hemothorax and pneumothorax, multiple costal fractures, fractures processes transverse Ll and right iliac wing and displaced fracture of the middle third of the right femur. In the emergency phase the patient, who was in a coma GCS: 3/15, was immediately intubated and taken to the Emergency Department and subsequently to Intensive Care Unit. He was also immediately subjected to chest drainage, reduction of femoral fracture and placement of external fixator and tracheostomy. Upon stabilization of the clinical picture, the patient was subjected to occipital-cervical stabilization with plates and screws and reduction of the fracture of the right femur with an intramedullary rod. Then the patient in hemodynamically stable and in alert condition, in spontaneous breath, was discharged and transferred to our Operative Unit of Intensive Neurorehabilitation.At the entrance, the doctor's evaluation, with the whole multidisciplinary team, enabled to identify the ICD-9 and ICF codes that best described the severity of the clinical picture: the patient showed tetraplegia, dysphonia and dysphagia, bearing a tracheal cannula in breath spontaneous with 02 supplementation, sequelae of multiple costal fractures and right femur, totally dependent on ADL. The rehabilitation intervention was aimed at promoting motor recovery in the 4 limbs, recovery of standing and walking, acquisition of ability to control daily life activities (ADL), recovery of physiological swallowing and removal of the tracheostomy tube. After long and slow physiotherapeutic training, the patient recovered the active motility at the crural and brachial level mainly at the proximal level, which however is not effective for ADL recovery. On the other hand, speech therapy allowed the passage to oral feeding and removal of the tracheostomy tube. Upon discharge, the re-evaluation of the ICF codes identified at the entrance indicated an improvement in the strength of the trunk muscles (b7305) with the possibility of performing transfers with assistance (d420), of dysphonia (b320) and of swallowing (b510) which led to the removal of the PEG and the tracheostomy tube; unfortunately severe deficiency of the muscular force at the distal brachial and crural level (6730, b7304) persists with severe disability in the activities of daily life (d455, d4551, d465, d429, d230).
[New international criteria for vascular risk assessment and staging of hand-arm vibration syndrome]
Authors: Bovenzi Massimo
Published: February 2025

Recently, a supplementary methodology to improve the assessment of occupational exposures to hand-transmitted vibration (HTV) and a revision of the clinical staging of the hand-arm vibration syndrome (HAVS) have been proposed. The Technical Report ISO/TR 18570:2017 provides guidance on a supplementary method to that defined in ISO 5349-1:2001 for measuring and reporting HTV exposures; the method provides an improved assessment methodology for evaluating vascular hand-arm vibration risks (vibration induced white finger). On using a Delphi procedure, an international panel of experts has achieved consensus to develop an updated staging system for the vascular and neurological disorders of the HAVS, previously defined in the Stockholm Workshop Scale (1986); a new classification has been proposed with three stages for vibration related vascular and neurological effects. This paper provides details on the new international criteria for the assessment of vibration induced vascular risk and for the clinical staging of the vascular and neurological components of the HAVS.
Surficial geology, Horn River, Northwest Territories, NTS 85-F/11, 12, 13, and 14
Authors: Smith I. R. , Paulen R. C. , Hagedorn G. W.
Published: February 2025

Cette carte comprend un terrain plat à légèrement vallonné au nord du fleuve Mackenzie et à l’ouest du Grand lac des Esclaves. La géologie des formations superficielles se compose en grande partie de till (36,9 %) et de dépôts organiques de tourbières et oligotrophes et minérotrophes (29,9 %), et présente beaucoup moins de signes d’érosion thermokarstique que les régions cartographiées au sud. La région est remarquable par le champ de moraines côtelées qui couvre la majeure partie de la région cartographique. Celles-ci ont été formées pendant la dernière glaciation par l’Inlandsis laurentidien sous la forme d’une série de moraines de poussée glaciaire dirigée vers le sud, qui ont été en partie remaniées par les écoulements ultérieurs en direction de l’ouest et du sud-ouest. Les crêtes individuelles sont alignées grossièrement nord-sud, espacées de 1,2 à 2,0 km, d’une largeur de 0,6 à 1,0 km et d’une hauteur de 5 à 10 m. Pendant la déglaciation, l’Inlandsis laurentidien s’est retiré en contact avec le Lac glaciaire McConnell, qui a fini par inonder toute la région cartographique. Le retrait glaciaire vers le nord-est est marqué par un réseau dense de moraines de De Geer discontinues et de faible amplitude, espacées de 50 à 200 m.
Reattachment of Fractured Fragment of Maxillary Central Incisor
Authors: Sivapriya K. S. , Jitha J. , Sreelekshmi V. , Nair Siddharth V.
Published: February 2025

One of the most commonly faced situations in clinical practice is dental trauma. Children and adolescents frequently report with uncomplicated/complicated crown fracture that requires immediate consideration. Clinicians should be efficient in treating such injuries and must be aware of the various treatment options available. Reattachment of tooth fragments should be the first choice and is a viable alternative to conventional approaches because of simpleness, natural aesthetics and less chairside time. Patient cooperation and understanding of the limitations of the treatment are of utmost importance for good prognosis. With recent developments in restorative materials, placement techniques, preparation designs and an adhesive protocol, the process of fragment reattachment has become conservative and more reliable. This article presents a case report describing the management of a complicated fracture of maxillary anterior teeth treated endodontically, followed by reattachment of the same fragment.
A Comparative Evaluation of Shear Bond Strength of Moisture Tolerant Pit and Fissure Sealant and Flowable Composite: An In vitro Study
Authors: Adapa Durga Satya Sai Kamakshi Amruthavarshini , Ayilliath Ambili , Ephraim Rena , Mridhul MU , Azhikoden Fazila
Published: February 2025

Background

The retention rate of a pit and fissure sealant is directly related to the micromechanical bond between the sealant and enamel. This research article aimed to assess the shear bond strength of moisture tolerant pit and fissure sealant and compare it with a flowable composite which is famed for its retention and strength.

Aim

To compare the shear bond strength of moisture tolerant pit and fissure sealant with flowable composite.

Materials and Methodology

Forty premolar teeth extracted for orthodontic purpose were randomly categorized into two equal groups with 20 samples each. Buccal/lingual enamel surface of the tooth was etched with 38% phosphoric acid for 20 s and Embrace wetbond sealant (EWS) and Estelite Flow Quick High Flow Flowable composite (EFC) as sealant was applied and cured. Shear load was applied using a universal testing machine and bond strength calculated in mega pascals (MPa) and tabulated. Statistical analysis was carried out using IBM SPSS and Mann–Whitney to compare the shear bond strength between the study groups. P ≤ 0.05 was considered as the level of significance.

Results

The Mann–Whitney test compared the shear bond strength values and it was found that EWS in vitro had a shear bond strength of 2.918 ± 0.7396 MPa. Comparative evaluation of the two showed a statistically significant value of P = 0.004*.

Conclusion

Moisture tolerant pit and fissure sealants have good shear bond strength which will ensure its retention on to the teeth especially in very young and specially abled children.
Real-world treatment of chronic rhinosinusitis with dupilumab and omalizumab: results from the Korean National Health Insurance Service database
Authors: Han S A , Yoon J , Kim B H , Park J H , Lim Y-S , Kim Y B , Cho C G , Park S-W , Kim J Y
Published: February 2025

Background: Biological treatment has proven effective for the treatment of chronic rhinosinusitis with nasal polyps (CRSwNP) and is increasingly prescribed. However, in the real-world, strict adherence to the recommended dose may not be feasible and studies on the actual administration patterns of biologics are limited. This study aimed to evaluate the patterns of real-world use of biologics for CRS in Korea, through the National Health Insurance Service (NHIS).
Methods: We analysed data from the NHIS database from January 2010 to March 2024. Patients with CRS or nasal polyp defined by the ICD-10 codes, who had undergone computed tomography, and had a history of being prescribed dupilumab or omalizumab were identified. A total of 808 patients were analysed for their administration patterns and systemic corticosteroid use.
Results: Twelve weeks after initiation of therapy, 46.2% of patients received dupilumab at 2-weekly intervals and 53.9% of patients on omalizumab patients were receiving treatment at 2- or 4-week intervals. The annual expense of CRS patients treated with biologics was greater than for those receiving other treatments. The average annual usage of systemic steroids was decreased from 33.0 days to 12.7 days after using biologics.
Conclusions: The results of this study which analysed real-world data in a large population, suggest a discrepancy between the recommended dose and real-world administration of biologics. Further studies are warranted on feasible administration schedules that reflect various patient factors and healthcare costs.
Digitisation Means Marginalisation of Public Service Media? Changes in the Functioning of the BBC
Authors: Konarska Katarzyna
Published: February 2025

The aim of this article is to analyse the formal, legal and structural-organisational changes concerning the British public service media, introduced in the light of technological developments, primarily related to the process of digitisation, resulting in the spread of online media, which translates into the gradual marginalisation of the so-called traditional media, including the socially important public service media. The main thesis is based on the assertion that public service media, using the example of the BBC in question, are subjected to increasing pressure from those in power, who see in the process of digitisation the rationale for limiting the activity of publicly funded public media. The choice of the British broadcaster as the subject of the study is dictated by the fact that for years the BBC and the British regulations concerning PSM were considered exemplary and often constituted a point of reference for actions taken by broadcasters and governments in other countries. In order to test the validity of the thesis, an analysis was carried out on the regulatory, structural, organisational and managerial solutions introduced in recent decades in the UK’s PSM, which entail changes in the services offered, taking into account their circumstances. The article provides an understanding, based on the example analysed, of what pressures the public media are currently under, what actions they have to take to convince the public and, above all, politicians and those in power of the legitimacy of their functioning. Above all, the article provides knowledge of the interplay between the activities and offer of PSM and the position of political elites, who often influence the shape and offer of media for their own interests, using technological or financial arguments.
Kids on the Net. "Manipulative Patterns" of Digital Media Design
Authors: Kreft Jan , Boguszewicz-Kreft Monika
Published: February 2025

When owners and designers of mobile applications and websites compete for the attention of users, persuasive design becomes a common practice. In its preparation, the user’s perspective is adopted in order to better understand and optimise their experience when in contact with the offered media service. However, projects created in this way may be unethical and use so-called “manipulative patterns” depriving the user of (or limiting) the possibility of choice. Manipulative patterns are a relatively new phenomenon in the media and are rarely noticed by media users. By definition, they lead to addictions, for example, to games. The aim of the undertaken research is to identify a common set of design practices within these so-called manipulative patterns in media products addressed to users, in particular children. The article points out a consensus in the design of manipulative patterns, as well as their common foundation: “dependence asymmetry”. Common features of attitudes towards manipulative patterns were also identified: users’ helplessness towards these practices and users getting used to them.
A COMPARISON OF K-NEARESTNEIGHBORS AND NAÏVE BAYESMACHINE LEARNING ALGORITHMSFOR HEART ATTACK CLASSIFICATION
Authors: BOMMAIAH BOYA  , DR P DEVARAJU
Published: February 2025

Heart attacks and other cardiovascular conditions continue to be major global health concerns. Effective prevention and intervention depend on the early identification and precise categorization of those who are at risk. In this study, we compare the effectiveness of two well-known machine learning algorithms for classifying heart attack cases: K-Nearest Neighbors (K-NN) and Naïve Bayes. We compare these algorithms' accuracy, precision, and recall using a dataset with 9 features and 1319 instances.
Gestión municipal. Rol del Estado en la promoción turística
Authors: Cotrina Coral Greysi Samantha , Flores Ramírez Rony , Alamo Larrañaga Katty , Rodríguez Sánchez Jesús
Published: February 2025

Las municipalidades carecen de instrumentos de gestión para atender al sector turismo en promoción y desarrollo del mismo, el área de turismo solo es representativa para eventos en días festivos, esto conlleva al escaso desarrollo del sector, a pesar de que éste genera un gran aporte a la economía. El propósito de la investigación se orienta a describir que tan importante es para una ciudad contar con una buena gestión municipal para la promoción turística de Tarapoto, 2020. El trabajo se realizó en base a 25 representantes turísticos de la provincia, los datos se procesaron de manera cuantitativa usando la encuesta y el cuestionario para recolectar los datos. Los resultados mostraron un nivel regular de gestión en 48%, un nivel bajo de 40% y alto en 12%. Referente a la promoción municipal fue baja en 52%, media en 28%, y alta en 20%. Además, indica un coeficiente de Pearson de 0.870, afirmando la hipótesis investigativa. Llegando a concluir que las debilidades se encuentran en el deficiente desempeño de los funcionarios con relación al turismo, la escasa capacidad de gestión para desarrollar el sector, debido a un inexistente presupuesto conferido para el desarrollo de la actividad por parte de la gestión edil, así como también la poca participación de la gestión local con las acciones de los gremios locales, sintiendo una falta de compromiso con el sector turismo.
EXTENSÃO RURAL INSPIRADA EM CARLOS RODRIGUES BRANDÃO
Authors: Leme Luciana Maria de Lima , De Lucas Ademir , Trivellato Gabriela Maria Leme
Published: February 2025

Este artigo se propõe a apresentar uma visão da Extensão Rural e do papel dos extensionistas segundo a qual estes devem, em primeiro lugar, comprometer-se com o bem-estar das famílias de agricultores familiares e com o equilíbrio ambiental. Isto é feito por meio de uma análise crítica da disciplina de Extensão Rural ministrada nos cursos de Ciências Agrárias da Escola Superior de Agricultura Luiz de Queiroz (ESALQ/USP). O Prof. Carlos Rodrigues Brandão, em seus trabalhos, defendia o respeito e o cuidado para com as populações locais em detrimento da destruição ambiental pautada pelo lucro. Espera-se que as reflexões propostas neste texto inspirem a formação de extensionistas que tenham o Prof. Brandão como modelo de atuação profissional, sobretudo no que concerne ao seu olhar atento sobre as populações tradicionais e sua atuação junto ao Movimento de Educação de Base (MEB) e à Comissão Pastoral da Terra (CPT).
CAMINHOS, ENCONTROS E PAUSAS
Authors: Alves Hayda
Published: February 2025

Carta Pedagógica
CARLOS RODRIGUES BRANDÃO
Authors: Gonçalves Gisele de Souza , Martins Fernando José
Published: February 2025

Este texto compreende um relato de experiência a fim de registrar a relevância de Carlos Brandão na pesquisa, na universidade e para além dela, pois sua produção e ação ofereceu possibilidades de fazer da academia um espaço de valorização do sujeito não apenas dentro dos espaços acadêmicos, mas também daqueles que estão em comunidades externas à universidade, a qual ganha sentido pela existência daquelas. O relato apresenta as contribuições de Brandão em duas ações ligadas à Universidade Estadual do Oeste do Paraná - campus Foz do Iguaçu, que atenderam vários sujeitos ligados à educação.