bluuebunny/crossref_metadata_2025 huggingface dataset:
The Jacobi-orthogonality in indefinite scalar product spaces
Authors: Lukic Katarina
Published: June 2024

We generalize the property of Jacobi-orthogonality to indefinite scalar
product spaces. We compare various principles and investigate relations
between Osserman, Jacobi-dual, and Jacobi-orthogonal algebraic curvature
tensors. We show that every quasi-Clifford tensor is Jacobi-orthogonal. We
prove that a Jacobi-diagonalizable Jacobi-orthogonal tensor is Jacobi-dual
whenever JX has no null eigenvectors for all nonnull X. We show that any
algebraic curvature tensor of dimension 3 is Jacobi-orthogonal if and only
if it is of constant sectional curvature. We prove that every 4-dimensional
Jacobidiagonalizable algebraic curvature tensor is Jacobi-orthogonal if and
only if it is Osserman.
A Mini Review on Reproductive Toxicity of Cyclosporine in Male Animals
Authors: Mega O Oyovwi
Published: June 2024

Cyclosporine is an immunosuppressive drug that is widely used in organ transplantation and autoimmune diseases. However, its potential reproductive toxicity in male animals is not fully understood. This mini-review aims to provide an overview of the current knowledge on the reproductive toxicity of cyclosporine in male animals, focusing on its effects on spermatogenesis, sperm quality, and fertility. A literature search was conducted using PubMed, Google Scholar, and other databases to identify relevant studies. Studies have shown that cyclosporine can have various adverse effects on spermatogenesis in male animals, including decreased sperm production, impaired sperm motility, and increased sperm abnormalities. Cyclosporine can also affect sperm quality by reducing sperm concentration, viability, and DNA integrity. These effects may result in decreased fertility in male animals. The available evidence suggests that cyclosporine has reproductive toxic effects in male animals. Further research is needed to fully elucidate the mechanisms of action and to develop strategies to mitigate these effects.
Wrist Represent a Complex Anatomical System
Authors: S Franjic
Published: June 2024

The hand and wrist represent a complex anatomical system at the end of the upper limb of the human body, consisting of bones, joints, ligaments, tendons and muscles, nerves and blood vessels. This system allows a person to make very complex and precise movements and gives him the ability to use objects and move objects in space. The hand consists of 27 bones (8 bones of the carpus or metacarpus, 5 bones of the metacarpus or wrist and 14 phalanges or joints of the fingers), and in a broader sense we also include 2 bones of the forearm (radius or thumb bone and ulna). The upper arm bone, the humerus, and the forearm bones, the ulna and the radius, are the starting point for numerous muscles that very precisely move the joints and bones of the hand and wrist. Part of the muscle, the so-called short muscles of the hand, start and catch on the bones of the wrist and hand area. The range of motion in the joints, as well as the direction and position of the tendons next to the bones, is determined by the system of numerous ligaments. All these structures are subject to injuries and diseases caused by excessive use and pressure, as well as degenerative diseases. Numerous systemic diseases of an inflammatory nature and metabolic diseases also show their symptoms in the area of the hand and wrist.
Traditional Siddha Approach in Treating Frozen Shoulder (Kumbavatham) by Use of Varmam and Thokkanam Therapy- a Case Study
Authors: T Shweta
Published: June 2024

Adhesive Capsulitis or Frozen shoulder also termed as Kumbavatham in Siddha system of medicine, causes swelling and stiffness in particular shoulder capsule restricting its mobility and ROM. The pain intensity is seen to increase in night times with gradual onset of shoulder stiffness and restriction in movement of the shoulder. Conservatively, it can be treated by analgesics, oral steroids, and intra-articular corticosteroid injections. Sometimes, the symptoms persists despite taking conservative measures, initiating patients to opt for alternative therapies for reducing pain and provide flexibility to the joint. A 34-year male from Bangalore presented with severe pain and restricted movements like abduction, adduction, external rotation and flexion of right shoulder both in active and passive movements for last 6 months. The patient was in distressed condition and even small daily tasks were difficult for him. MRI report confirmed of adhesive capsulitis (kumbavatham), one of the vatha diseases mentioned in Siddha system of medicine. A one-month Siddha vaidyam theraupatic approach incorporating Varmam therapy and thokkanam was administered to him. After 25 days, vast improvement in swelling and stiffness with all movements free in Right shoulder with no pain on moving the right arm. The holistic approach of Siddha medicine has provided the reduction in pain measured on VAS and improved restricted movements which was measured using goniometer and SPADI index. The Siddha system of Medicine is a simple and traditional approach for the treatment of such painful conditions. Conservative management of Adhesive capsulitis through Siddha practices provided significant relief by reducing pain and providing better flexibility in shoulder joints without aid of any analgesics. The paper also gives the details of the method employed and lifestyle modification techniques used to treat the individual.
Interactions of Microbial Inoculations with Fertilization Options and Crop Establishment Methods on Modulation of Soil Microbial Properties and Productivity of Rice
Authors: Shahne Amit Anil , Shivay Yashbir Singh
Published: June 2024

A field investigation was undertaken to assess the interactive effects of different crop establishment methods (CEMs) and microbial formulations in field conditions. The two year experiment was carried out in kharif season (June to October) of both 2013–14 and 2014–15 at Research Farm of ICAR-Indian Agricultural Research Institute, New Delhi India. The CEMs studied consist of puddled transplanted rice (PTR), system of rice intensification (SRI) and aerobic rice system (ARS); while microbial formulations consist of Anabaena sp. (CR1)+Providencia sp. (PR3) consortium (MC1) and Anabaena–Pseudomonas biofilm formulation (MC2). The microbial inoculation was applied with 75% recommended dose of nutrients (RDN) (90 kg nitrogen ha-1 and 19.35 kg phosphorus ha-1) and compared with 100% RDN. Soil microbiological properties showed significantly higher values in SRI in the first year; while in the second year, SRI and PTR remained on par and superior to ARS. Among the combinations of nutrient supplements, application of Anabaena–Pseudomonas biofilm formulation (MC2) with 75% RDN was superior in terms of all microbiological attributes studied [acetylene reduction activity (ARA), soil chlorophyll, soil dehydrogenase activity, microbial biomass carbon and alkaline phosphatase activity]. Application of microbial inoculation led to an increase in milled rice yield from 230 to 240 kg ha-1. Among the different combinations of CEMs and inputs investigated the application of 75% RDN+MC2+zinc (Zn) (soil applied 5 kg Zn ha-1 through zinc sulphate heptahydrate) in SRI can be a judicious option to maximize rice yield and soil health.
THE GROWTH OF ILLEGAL CONSTRUCTION IN THE COASTAL PROTECTIVE STRIPS OF THE STRYI RIVER BASIN
Authors:   Lviv Polytechnic National University, Department of Hydraulic and Water Engineering, Hnativ Roman , Rehush Andriy ,   Lviv National University of Nature Management, Hnativ Ihor ,   Ukrainian National Forestry University, Honcharuk Nazariy ,   Lviv Polytechnic National University, Department of Hydraulic and Water Engineering
Published: June 2024

Currently, there is of today, there is practically no information about the current state and land use of coastal protection strips (CPS) and water protection zones in the Stryi river basin. This creates many misunderstandings and abuses during their use and leads to intensive degradation of the ecosystem of both this and other rivers of the Dniester basin into which it flows. Using the Google Earth Pro program, an assessment of the CPS structure in the Stryi River basin was carried out by comparing space images for the past 14 years. The analysis showed that illegal construction within the CPS of the river began after 2009, which creates the danger of possible inundation during floods and the development of erosion processes. This is also a threat to the hydroecosystem of the Stryi River, due to the settlement load on the floodplain, as well as non-compliance with sanitary standards and clogging with household waste.
Authors: Assyahri Wahib , Bila Aziza
Published: June 2024

The Department of Population and Civil Registration of Pariaman City has provided a type of online population document service called Dukcapil Digi Mobile Pariaman. However, this service is underutilized by the community because of the lack of socialization from the Department Population and Civil Registration of Pariaman City the people’s does not understand the process of using it, so they prefer manual services. There are also obstacles from the Department Population and Civil Registration of Pariaman City itself in improving service quality, namely the lack of facilities and infrastructure such as service places or spaces and a lack of competent human resources in their fields. This study used a quantitative method with associative research which aims to determine the effect of the independent variables (service quality, facilities, and work culture based on digital governance) on the dependent variable (people’s happiness). The population in this study was the total number of people who carried out population administration documents at the Department Population and Civil Registration of Pariaman City in March 2020, totaling 2287 people. The samples used in this study were 340 based on the Slovin formula with a tolerance level of 5%. Sampling using an accidental sampling technique. The results showed that there was a partially significant influence between the quality of service on people's happiness by 55.5%; facilities for people's happiness by 55.4%; a work culture based on digital governance towards people’s happiness by 33.1%. There is a simultaneous influence of the three independent variables on people’s happiness by 64.4%.
«Un goloso vi sarebbe stato male»
Authors: Colbertaldo Roberta
Published: June 2024

L’articolo elabora il concetto di ‘utopie comiche’ attraverso lo studio delle tecniche compositive di Ortensio Lando e Anton Francesco Doni, poligrafi attivi nell’ambiente delle stamperie veneziane a metà del sedicesimo secolo. In primo luogo, viene delineato il concetto di ‘utopie comiche’ sullo sfondo delle caratteristiche della cuccagna e del mondo alla rovescia e viene descritta la tecnica ‘combinatoria’ dei due autori. In seguito, vengono analizzati due testi che per motivi diversi si possono accostare al genere dell’utopia. Si tratta, in particolare, del Commentario delle più notabili & mostruose cose d’Italia & altri luoghi, di lingua Aramea in Italiana tradotto, con un breve Catalogo dell’inventori delle cose che si mangiano & delle bevande ch’oggidi s’usano di Ortensio Lando e il ‘Mondo savio e pazzo’, capitolo memorabile dei Mondi di Anton Francesco Doni. Entrambi i testi rielaborano il modello di Tommaso Moro facendo emergere contraddizioni e paradossi che il modello sembra celare. Particolare attenzione viene rivolta al potenziale comico del motivo alimentare nella caratterizzazione di una società ideale, sia in relazione alla produzione e approvvigionamento del cibo che al suo consumo.
KI-basierte Anomalie-Erkennung für datengetriebene Entscheidungen in der sicheren Smart City
Authors: Borgert Stephan , Brunzel Lisa , Lämmel Philipp , Darius Paul
Published: June 2024

Es gibt immer mehr Möglichkeiten, städtische Daten Urbaner Digitaler Zwillinge in Entscheidungsprozesse für unsere Gesellschaft einzubeziehen. Diese dynamische Entscheidungsgrundlage beeinflusst die Reaktion von Sicherheits- und Verwaltungsbehörden und erhöht die Anfälligkeit für externe Angriffe. Das KIVEP-Projekt zeigt, wie KI-gestützte Anomalieerkennung in IoT-Netzwerken eingesetzt werden kann, um potenzielle Bedrohungen zu identifizieren.
Ergebnisse aus dem Projekt „Smart-City-Herausforderungen um Safety und Security erweitern“ (SCHUSS)
Authors: Röhl André , Hollung Karl-Heinz , Nissen Heiko , Graumann Ulrich , Schulz André , Wortmann Achim
Published: June 2024

Im laufenden Projekt SCHUSS werden die Möglichkeiten der Smart City mit den Anforderungen an eine sichere Stadt verknüpft. Dabei sind technologische Hürden zu überwinden, rechtliche Vorgabe zu beachten und ein vielschichtiges Verständnis von Sicherheit in einer örtlichen Gemeinschaft zu entwickeln. Im Rahmen des Zentralen Innovationsprogramms Mittelstand kommen dazu Start-ups und etablierte Sicherheitstechnikunternehmen mit Stakeholdern aus Kommunen und Vertretern unterschiedlicher wissenschaftlicher Fachdisziplinen zusammen.
Kraft der Gemeinschaft
Authors: Posselt Lena , Kaltenegger Sarah
Published: June 2024

Schutz vor Krisen und Katastrophen – in Zeiten des Klimawandels unabdingbar, wenn wir über Sicherheit in Städten sprechen. Spontanhilfe kann bei der Bewältigung von Krisen eine Rolle spielen, damit die Situation effektiver bearbeitet werden kann. Allerdings gibt es für die Einbindung von ungebundenen Helfenden in den Bevölkerungsschutz noch keine einheitlichen Strukturen. Insbesondere für die Kommunikation zwischen Spontanhelfenden und Behörden und Organisationen mit Sicherheitsaufgaben (BOS) benötigt es in Krisen und Katastrophen noch Hilfestellungen.
Unsichtbare Sicherheit
Authors: Schulze Tillmann
Published: June 2024

Anlässlich des Sicherheitsbedürfnisses bei der Fußball-Europameisterschaft in Deutschland befasst sich der Artikel mit dem Konzept „Crime Prevention Through Environmental Design“ (CPTED) beziehungsweise mit der „Städtebaulichen Kriminalprävention“, wie es im deutschen Fachjargon heißt. Im Fokus steht die Frage, wie Sicherheit unter Vermeidung von sogenannter „feindlicher Architektur“ hergestellt werden kann.
Wie klebrig sind Schmierfette?
Authors: Rieling Thomas
Published: June 2024

In vielen aktuellen Veröffentlichungen, und besonders durch die Entwicklung eines Messgerätes allein zu diesem Zweck, ist die Suche nach einer zuverlässigen Messmethode für die Klebrigkeit von Schmierfetten dokumentiert worden. Zunächst erfolgt ein Überblick über interessante Veröffentlichungen zum Thema und die Beschreibung des praktischen Bezugs, aber auch eine Diskussion über die Bedeutung des Begriffs Klebrigkeit im Zusammenhang mit Schmierfetten. Es werden aktuelle Messverfahren erläutert und Ergebnisse für unterschiedliche Schmierfette verglichen, um den Zusammenhang zu deren Struktureigenschaften sowie zu bekannten rheometrischen Methoden der DIN51810 herzustellen. Die Messmethodik erscheint für die Bestimmung einer maximalen Zugkraft gut geeignet, die im Messmoment ein Gleichgewicht zwischen Adhäsion und Kohäsion darstellt, wirft aber auch Fragen auf hinsichtlich Aussagen über die Trennarbeit und den Fadenzug und hinsichtlich der allgemeinen Fragestellung, ob eine Normung sinnvoll sein könnte.
Untersuchungen zum wassergeschmierten Gleitlager
Authors: Peters Franz
Published: June 2024

Fett- und ölgeschmierte Gleitlager haben eine sehr lange Tradition. Wasser und ähnlich fluide Substanzen sind kein gutes Schmiermittel, ihre Schmiereigenschaften sind dennoch von Interesse, wo sie als Prozessmedium auch die Schmierung von rotierenden Wellen garantieren sollen. In dieser Arbeit bereiten wir die analytische Gleitlagertheorie sorgfältig auf, um anschließende Experimente mit Wasser einordnen und verifizieren zu können.
DIAGNOSTIC PECULIARITIES OF A LUNG INJURY ASSOCIATED WITH VAPING AND E-CIGARETTES IN AN ADOLESCENT WITH MYCOPLASMA PNEUMONIA
Authors:   Moscow Multidisciplinary Clinical Center “Kommunarka” of the Moscow Department of Healthcare, Moscow, Russia, Gosteva O.M. , Karpenko M.A. ,   Patrice Émery Lumumba People’s Friendship University of Russia, Moscow, Russia, Ovsyannikov D.Yu. ,   Patrice Émery Lumumba People’s Friendship University of Russia, Moscow, Russia, Strelkova S.A. ,   Patrice Émery Lumumba People’s Friendship University of Russia, Moscow, Russia, Dolanova B.B. ,   Moscow Multidisciplinary Clinical Center “Kommunarka” of the Moscow Department of Healthcare, Moscow, Russia, Protcenko D.N. ,   Moscow Multidisciplinary Clinical Center “Kommunarka” of the Moscow Department of Healthcare, Moscow, Russia
Published: June 2024

Electronic nicotine delivery systems’ popularity has increased rapidly over the past decade among both adults and children and especially adolescents. With the growing number of consumers, the number of research studies describing the negative effects of e-cigarettes on the respiratory system and the so-called “E-cigarette or Vaping Use-Associated Lung Injury” (EVALI) is growing Worldwide as well. EVALI that occurs simultaneously with a lower respiratory tract infection can be considered as ‘probable EVALI.’ Addition of an infectious agent can be clinically manifested with the development of acute respiratory failure thus complicating the EVALI diagnosis. This Article represents a clinical case observation of an adolescent patient with mycoplasma pneumonia coupled with EVALI.
RESOLUTION BY THE EXPERT COUNCIL: "MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF CHILDREN WITH X-LINKED HYPOPHOSPHATEMIC RICKETS," DATED DEC. 22, 2023. MOSCOW, RUSSIA
Authors:   Research and Clinical Institute of Pediatrics and Pediatric Surgery named after Academician Yuri Veltischev with the Pirogov Russian National Research Medical University, Moscow, Russia, Papizh S.V. , Kenis V.M. ,   G.I. Turner Research Institute of Pediatric Orthopaedics, Pushkin, Pushkinsky District, Saint Petersburg, Russia,   North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia, Tsygin A.N. ,   National Medical Research Center for Children’s Health, Moscow, Russia, Petrosyan E.K. ,   Russian Children's Clinical Hospital with the Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow, Russia, Bochenkov S.V. ,   Research and Clinical Institute of Pediatrics and Pediatric Surgery named after Academician Yuri Veltischev with the Pirogov Russian National Research Medical University, Moscow, Russia, Lavrova A.E. ,   School of Pediatrics with the University Clinic of the Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia, Pervunina T.M. ,   Institute of Perinatology and Pediatrics with the V.A. Almazov National Medical Research Centre of the Ministry of Healthcare of Russia, Saint Petersburg, Russia,   School of Medicine with the Saint Petersburg State University, Saint Petersburg, Russia, Rakitskaya E.V. ,   Far-Eastern State Medical University, Khabarovsk, Khabarovsk Krai, Russia, Kulikova K.S. ,   Russian Children's Clinical Hospital with the Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow, Russia,   Endocrinology Research Center of the Ministry of Healthcare of Russia, Moscow, Russia,   Academician N.P. Bochkov Research Center of Medical Genetics (RCMG) of the Ministry of Science and Higher Education of the Russian Federation, Moscow, Russia
Published: June 2024

For citation: S.V. Papizh, V.M. Kenis, A.N. Tsygin, E.K. Petrosyan, S.V. Bochenkov, A.E. Lavrova, T.M. Pervunina, E.V. Rakitskaya, K.S. Kulikova. Resolution by the Expert Council: “Modern approaches to the diagnosis and treatment of children with X-linked hypophosphatemic rickets,” dated Dec. 22, 2023. Moscow, Russia. Pediatria n.a. G.N. Speransky. 2024; 103 (2): 129-136. DOI: 10.24110/0031-403X-2024-103-2-129-136.
SEVERE ANAPHYLAXIS IN CHILDREN: CLINICAL FEATURES AND TRIGGERS
Authors:   Research and Clinical Institute of Pediatrics and Pediatric Surgery named after Academician Yuri Veltischev with the Pirogov Russian National Research Medical University, Moscow, Russia, Esakova N.V. , Zimin S.B. ,   Morozov Children’s City Clinical Hospital, Moscow, Russia, Кovtun E.I. ,   Morozov Children’s City Clinical Hospital, Moscow, Russia, Vitkovskaya I.P. ,   Morozov Children’s City Clinical Hospital, Moscow, Russia, Gorev V.V. ,   Morozov Children’s City Clinical Hospital, Moscow, Russia, Pampura A.N. ,   Research and Clinical Institute of Pediatrics and Pediatric Surgery named after Academician Yuri Veltischev with the Pirogov Russian National Research Medical University, Moscow, Russia,   Morozov Children’s City Clinical Hospital, Moscow, Russia,   Russian Medical Academy for Continuous Professional Education, Moscow, Russia
Published: June 2024

Over a long period of time in Russia we had the lack of the anaphylaxis (AF) register problem as it sounds to be the most important tool for recording, analysis and monitoring of this group of patients. Then, starting 2022, the first “Moscow Pediatric Anaphylaxis Register” has been maintaining at the Morozov Children’s City Clinical Hospital (Moscow, Russia), which systematizes and analyzes all the patient data on the etiology, clinical picture, severity factors and risk of developing AF, which in its turn is undoubtedly extremely valuable for further management of this group of patients. The purpose of this research was to evaluate the severity of AF taking into account the age and gender factors, comorbidity, triggers and clinical symptoms among children among the Moscow agglomeration. Materials and methods used: within the framework of a single-center cohort prospective study, the questionnaire data of 69 pediatric patients aged 0 to 18 y/o, 28 girl/41 boys, who were included in the study in May 2022-Sept. 2023, were subjected to statistical analysis register for emergency hospitalization due to AF. Results: the proportion of patients with severe AF was 30%; two age-related peaks in its frequency were recorded in the groups of children 0 to 3 y/o and 13 to 18 y/o (44% and 35%, respectively). Food triggers were the most significant regardless of the severity of AF; severe food AF was induced by tree nuts in 31%, and cow's milk in 19%. The central nervous and cardiovascular systems in severe AF were involved statistically significantly more often in comparison with the mild/moderate AF groups (86% v 25% and 81% v 30%, respectively, p<0.001), in 63% of cases symptoms developed within 0 to 15 minutes. Statistically significant differences were revealed in the frequency of diagnosis of AF in severe and moderate AF (57% v 12%, p=0.001). Conclusion: severe anaphylactic reactions in children are most often induced by food triggers and are characterized by a high frequency of involvement of the cardiovascular and central nervous systems, rapid development of symptoms, which is extremely important to consider during emergency verification of the diagnosis and immediate administration of epinephrine.
The Geometric System of the Nave Vault of the Church on the Hill of Sighişoara
Authors: JOBBIK Eszter , KRÄHLING János
Published: June 2024

The geometric system of the nave vault of the Church on the Hill of Sighişoara. The literature on the methods of late Gothic net vault constructions mainly accentuates ideas, which presume that the initial conditions of the design are orderly. However, in the case of buildings of multiple building periods, this is rarely the case. In the present article, we present the point cloud-based geometric analysis of the net vault system of the Church on the Hill of Sighişoara. Our results highlight that contrary to the generally accepted theories, the construction of a net vault is not necessarily initiated with the plan of the rib system, and that the underlying principle organising the whole system’s geometry is not always the plan pattern. Our case study also exemplifies how the Gothic principles of unity and division still blend with the ideas of separation and addition, even in a late Gothic hall church with direct connections to the guild of Landshut.
Strengthening Muamalah Maliyah's Literacy Understanding of Online Transactions in Indonesia
Authors: Ahmad Supriyadi  , Arqhan Ravaşdeh
Published: June 2024

This research aims to test and analyze the understanding of students majoring in Commerce Management at the ALKS study program in implementing online buying and selling schemes from an Islamic perspective, namely by using the Muamalah Maaliyaah contract. The population in this study was 278 people from each generation of the ALKS study program, a sample of at least 10 people was taken and then the sample size became 100 people. This research uses a quantitative approach. The data collection technique used was by distributing questionnaires and interviews. The model used is a simple linear regression model with statistical analysis tests used are the classical assumption test, T-test, validity, and reliability tests. The research results show that from a simple regression test, the results of the t-test variable for the variable Understanding the Muamalah Maaliyaah Agreement show t_count of 15.024 > t_tabel of 1.98472 and a Sig value of 0.000 < 0.05. These results show that "There is a significant relationship between the influence of Understanding the Muamalah Maaliyah Agreement (X) on the decision to carry out online transactions (Y)". It can be concluded that there is a very large influence of ALKS study program students' muamalah literacy on the decision to carry out online transactions.
Implementation of Accountability and Reporting Based on Islamic Sharia in Efforts to Prevent Regional Government Financial Fraud
Authors: Abdul Muftih  , Ssonku Muhammedi
Published: June 2024

The main objective of this study is to prevent fraud in the local government sector on the island of Java by increasing government accountability using the cultivation of the values of the teachings of the kindness of Javanese ancestors, including; Indra Brata (Sky), Yama Brata (Star), Surya Brata (Sun), Candra Brata (Moon), Bayu Brata (Wind), Kuwera Brata (Earth), Baruna Brata (Ocean), Agni Brata (Fire) in each regional apparatus. The concept of this research used attribution theory, which provides an explanation of the reasons why someone does something or chooses to act in a certain way, so that good accountability based asthabrata greatly supports fraud prevention in the local government sector.This research collects data using the literature study method from sources with the theme of fraud and corruption, such as journals and a financial audit agency report on the island of Java between 2020 and 2024. The results of this study indicate that as a whole the implementation of asthabrata values is not optimal in increasing accountability in order to prevent financial fraud on the island of Java. As an implication, Javanese philosophy of "Asthabrata" can be used as a tool in improving financial reporting accountability in order to kill the growth of fraud in the local government financial sector. This research is one of the first to examine in depth related to asthabrata-based accountability in preventing fraud in local government on the island of Java.
PENGARUH GAYA MENGAJAR STUDENT ACHIEVEMENT DIVISION DAN SELF DIRECTED LEARNING TERHADAP CAPAIAN BELAJAR MATERI ROLL DEPAN
Authors: Yudho Firdaus Hendry Prabowo , Fauziah Sifa , Yuliandra Rizki , Nasution Nana Suryana , Aryanti Nita Eka
Published: June 2024

Penelitian ini bertujuan untuk menyelidiki pengaruh metode belajar Students Team Achievement Division (STAD) dan Self Directed Learning (SDL) terhadap peningkatan kemampuan keterampilan roll depan yang dilaksanakan dalam situasi pembelajaran normal dengan jumlah 12 kali pertemuan. Metode penelitian menggunakan quasi eksperimen dengan jumlah sampel 37 orang yang terdiri atas 19 orang sampel siswa dengan perlakuan gaya mengajar STAD dan 18 orang siswa mendapatkan perlakuan SDL. Data penelitian didapatkan dengan cara uji roll depan di awal dan akhir penelitian. Analisa deskriptif dan inferensial kemudian dilakukan untuk mendapatkan hasil uji rerata beda dari para sampel. Kesimpulan dari penelitian ini adalah terdapat perbedaan yang signifikan pada hasil akhir dan awal test keterampilan handstand melalui metode STAD dan SDL pada materi pembelajaran senam roll depan, dengan keunggulan pada gaya mengajar STAD yang lebih signifikan dibandingkan gaya mengajar SDL.
Public Health History Corner - The far-sighted: Alessandro Seppilli
Authors: Bucci Roberto
Published: June 2024

Alessandro Seppilli is one of the main protagonists for the planning and establishment of the Italian National Health Service [1]. As Chairman of the Commission for the study of health reform in the Italian Consiglio Superiore di Sanità (Higher Council of Health). As a lecturer and researcher he promoted and led several important lines of research, always ahead of its time and with great foresight. His curiosity led him to be involved in a variety of Public Health disciplines: water and sanitation, safe milk distribution, as well as demonstrating, through research, the influence of atmospheric electrical changes on biological phenomena in respect to the vital effects of electric fields changes. He also conducted pioneering research into the study of anticaries fluoride and the carcinogenic effects of active and passive cigarette smoke. Last but not least he studied the use of low temperatures for food storage, investigated the distribution of drinking water by alternative systems and undertook studies on environmental carcinogenesis.
Epidemiology of malignant melanoma in the province of Palermo (2003-2005)
Authors: Cascio Maria Antonietta , Costa Alessandro , Cusimano Rosanna , Romano Nino , Amodio Rosalba
Published: June 2024

Background: The incidence of melanoma has steadily increased worldwide and shows geographical variability according to latitude. The aim of this study was to describe the incidence of cutaneous malignant melanoma (CMM) cases in the Province of Palermo during the period 2003-2005.
Methods: 231 incident cases of CMM, registered by the Cancer Registry of Palermo, were analysed. Anatomic localization, histological type, thickness, ulceration, margins, any lymph node involvement and metastases were evaluated. A statistical analysis of survival rates was performed.
Results: Distribution by sex and stage of diagnosis showed a slight, but not significant, difference between females and males diagnosed both in early and late stage CMM. Age incidence rates were higher in women before the age of 40 and in men over the age of 50. No statistically significant difference in stage was observed between residents in Palermo and of its Province.148 cases (64%) were found in people living in Palermo, with an incidence rate (EU) of 7.2 over 100,000 in males and 6.1 in females, while in the province the incidence rate was lower (4.7 vs 3.9 ). Univariate analysis by gender showed better survival in females than in males and a better survival for age <49 and for stage I-II at diagnosis (p<0.05). Multivariate analysis including gender, age and cancer stage showed that survival is significantly positively related to earlier stage (p<0.05) and younger age (p=0.01) but not to sex (p=0.19).
Conclusions: Diagnosis of CMM is mainly performed in the early stages, in both sexes and regardless of residence, suggesting no difference in early diagnosis and access to care between city and province. The incidence of CMM appears to be higher in the city compared to the province. Survival following diagnosis was strongly, and independently, related to age and stage of CMM, while gender did not significantly predict survival.
Pros & cons of micro health insurance to eradicate health problems in the Below Poverty Line (BPL) population: empirical evidence from India
Authors: Taneja Pawan Kumar , Sihare Harish
Published: June 2024

Health insurance for poor people in the form of micro health insurance has emerged as a pathway to break the vicious circle of poverty in developing countries. Economists and policy analysts oppose micro health insurance on the grounds of the inherited feature of moral hazards in the insurance sector. In this paper we have tried to evaluate Rashtriya Swasthaya Bima Yojana (RSBY), an innovative mass level micro heath insurance initiative of the Indian Government that attempts to eradicate the healthcare problems of poor people. The results of the study shows that RSBY has helped to improve health outcomes of the poor population but, at the same time, the behavior of poor families towards the utilization of health care has also changed (a symptom caused by the presence of moral hazards). However, this changing behavior in the poor is morally and socially good and represents a step towards their attempt to improve their own living standard.
The Osservasalute Health Report 2010: the contribution of a wide and independent Italian research network to decision making in healthcare
Authors: De Belvis Antonio G. , Falvo Roberto , Sabetta Tiziana , Longhi Silvia , Ricciardi Walter
Published: June 2024

Background: The Italian Observatory Healthcare Report (IOHR - 8th edition) [1] aims to help policy makers in the process of decision making through a set of validated indicators resulting from the multidisciplinary activity of several public health experts. Its main task is to gather comparable data on the health status and the quality of health care services throughout the Italian regions. Methods: The report adopts a European approach in order to build a benchmarking activity and the selection criteria of indicators include: meaning, feasibility and quality, comparability and reliability. Each indicator is analyzed by experts in terms of meaning, pattern, validity and limits, graphic representation; recommendations are included for decision makers. A peer reviewing is performed for quality assessment. Results: The IOHR 2010 included 96 indicators, analysed by 203 authors. Through comparable regional data coming from different sources, an overview of the Italian Health System, and a gauging of the impact that different regional organizational and institutional arrangements have on the quality of health services, have been provided. Though data analysis showed a North-South gradient in the quality and the organization of health care services, nevertheless, the overall health status of Italian population is good. Risk factors, lifestyles and prevention together with geographical and social differences in health status and service access are the main priorities. Conclusions: The IOHR helps monitoring the health status in the Italian regions through specific indicators characterized by scientific strictness. It contributes to identifying the situations of excellence and disseminating public health care control tools in order to facilitate the decision making process.
The Italian Society of Health Horizon Scanning (SIHHS)
Authors: Liguori Giorgio , Zamparelli Bruno
Published: June 2024

The Italian Society of Health Horizon Scanning (SIHHS) was created on May 4th, 2009, in Naples. The SIHHS’ main objective is to poll together and try to forecast the demand for technology products through the networking of professionals from regional healthcare units, universities and local Departments in Campania and Italy. Furthermore, the SIHHS intends to establish a set of clinical recommendations to be operatively used as strategic guidelines to enhance and promote their adoption within clinical and organizational settings. The general aim is to modernize the healthcare system through the design and/or the experimentation of innovative clinical, organizational and managerial models, efficaciously responding to healthcare needs, and contemporarily ensuring that the appropriate levels of benefits have been achieved, while minimizing risks and maximizing efficiency.
The emergency visit-based syndromic surveillance of the Lazio region. Results of the pilot phase
Authors: Guasticchi Gabriella , Giorgi Rossi Paolo , Lori Giuliano , Genio Stefano , Gabriele Stefania , Borgia Piero
Published: June 2024

Introduction: Syndromic surveillance arose from the need for rapid identification of unexpected clusters of a disease. The emergecy department is considered one of the most sensitive and timely sources of information for syndromic surveillance.
Methods: This paper reports the results of the pilot phase (4 months) of an Emergency-based syndromic surveillance system in the Lazio region (5.5 million inhabitants), which aimed to monitor in real time the occurrence of clusters of 13 different syndromes. It collected information online from 34 of the 61 emergency departments in the region. Diagnoses and chief complaints of individual emergency visits were automatically screened daily, the occurrence of clusters were measured comparing the number of visits for the same syndrome with those from the same calendar week from the previous five years; an epidemiology team checks the clusters manually before determining if an alarm should be called.
Results: 500.000 ER visits occurred in the study period, and 15.343 fulfilled one of the case criteria. The most frequent syndrome was gastroenterisis (5051 cases), the least frequent was hemorrhagic diarrhoea (2 cases). There were 253 automatically generated alarms and 17 were confirmed manually as suspected outbreaks. In the same period, the infectious disease surveillance identified 55 outbreaks of infectious diseases; only two clusters were reported by both surveillance systems.
Conclusions: the predicted increase in workload is one more outbreak to be investigated every four months per local health unit. The next step will be to test protocols for the activation of the public health services following an alarm.
Editorial Clinical epidemiology
Authors: La Torre Giuseppe
Published: June 2024

Epidemiology can be considered a cornerstone of the Health Sciences, since it aims at studying factors affecting the health and illness of particular populations. The work done by the Epidemiologists can be useful as the foundation of health interventions realised in the fields of public health and preventive medicine.
Parent involvement when developing health education programmes
Authors: Hassel Holger , Keimer Katharina M
Published: June 2024

Background: The problem of obesity in children and adults has been widely recognised and described in the literature [1]. There are several challenges leading to an augmentation of the problem. Firstly, the aetiology of overweight and obesity is not clear. Secondly, the long term effectiveness of prevention programmes is low. Only in some groups and for a short period of time an effect may be visible [2]. Thirdly, little is known about what children should learn when [3]. A proper concept of educating children in regard to healthy eating or physical activity does not exist. As far as we know an essential pre-requisite for health education programmes is that they are lifestyleoriented and easily transferable into daily family life [4]. For this, working together with the parents would be essential. The main goal of this article will be 1) to get a better understanding of what parents and nurses/ teachers want 2) to strengthen the point that this method is one way to involve the target groups and thus it is likely to increase the acceptance of health education programmes 3) to describe that focus group discussions are a useful tool to identify the opinions of the target group.
Methods: In the frame of three projects, focus groups with nurses/ teachers and parents have been carried out.
Results and Conclusions: Results from different focus group discussions with pedagogues and parents will be discussed and conclusions for health education programmes relevant to all key players involved will be identified.
Mr. Starbene e il Club dei Vincenti: assessing an anti-smoking campaign for school children
Authors: Roncarolo Federico , Ramella Francesca , Sacco Sara , Pretti Giorgio , Bonfanti Marina , Tenconi Maria Teresa
Published: June 2024

Background: People start smoking during childhood and adolescence and the age at which children start smoking is gradually falling: in 2005, it rose to 3.3% in the 11-to-14 year age group whereas in 2002 it was only 1.4% in the same age group.
Methods: “Mr Starbene e il Club dei Vincenti”, part of a regional program, Liberi dal Fumo, was assessed through an experimental non-randomized study, by involving parents and teachers, using short questionnaires. The project’s objective was orienting fourth and fifth grade children towards a no-smoking lifestyle. The enrolled population was composed of 5,552 students in the treatment group and 4,758 controls.
Results:: after two years, the number of children who had tried smoking but no longer smoked at the moment decreased by 16.3% in the treatment group, while it increased by 12.5% in the controls (p=0.000). The number of children who considered smoking a few cigarettes/day dangerous was higher in the treatment group (+8%) than in the controls (+4.4%) which suggests significant results vis-à-vis perceived smoking hazards. Children who claimed they would not smoke in the future decreased by 57.1% in the treated group as compared with a 21.4% reduction in the control group (p<0.001); children who said they would accept an offer of a cigarette decreased in the treated group (-12.5%), but not in the controls (p<0.001). The study pointed out also the influence of role-models in children attitudes toward smoking.
Conclusions: The positive results of this project give rise to hope for the future, even if long term evaluation is necessary. The good scores obtained from the teachers are very positive because they make the project work.
Health Technology Assessment and patient safety
Authors: Mulcahy Andrew , Walley Tom
Published: June 2024

Health Technology Assessment (HTA) is a process used to evaluate the clinical effectiveness and costeffectiveness of health technologies by a systematic review of clinical, economic, and utilization research.
Despite widespread investment in patient safety technologies in the U.K., U.S., and elsewhere, little HTA has been done to establish the clinical or cost-effectiveness of these technologies. The HTA and patient safety literature suggests there are four categories of patient safety HTA, including HTA for existing safety technologies, underutilized safety technologies, emerging safety technologies, as well as safety aspects of technologies with a non-safety primary purpose.
Recent HTA and other research, including a 2002 evidencebased evaluation of patient safety technologies from the U.S. Agency for Health Research and Quality, provide an important foundation for a more comprehensive approach to patient safety HTA. However, HTA programs must address prioritization, methodology, and dissemination challenges introduced by patient safety technologies before significant progress can Te made.
Prevenzione delle infezioni ospedaliere in una terapia intensiva
Authors: Orsi G.B. , Raponi M. , Franchi C. , Rocco M. , Vullo V. , Venditti M. , Fara G.M.
Published: June 2024

Obiettivi: sorveglianza delle infezioni ospedaliere (IO) nell’unità di terapia intensiva (UTI) di un grande ospedale romano.
Metodi. tutti i pazienti ricoverati nell’UTI tra il 1.1.2000 ed il 31.12.2001 per ›48 ore. Lo studio, applicando le definizioni di caso dei CDC, ha considerato le seguenti infezioni: infezioni polmonari (POL), setticemie (SET), infezioni delle vie urinarie (IVU), infezioni della ferita chirurgica (IFC). Inoltre sono stati valutati eventuali fattori di rischio preesistenti, procedure invasive, isolamento dei microrganismi e loro suscettibilità agli antibiotici.
Sulla base dei risultati epidemiologici preliminari, dall’ottobre 2000 al marzo 2001 sono stati effettuati una serie di interventi che hanno modificato alcune importanti variabili associate alle IO.
Health status of internationally adopted children. The experience of an Italian “GLNBI” paediatric centre
Authors: Valentini Piero , Gargiullo Livia , Ceccarelli Manuela , Ranno Orazio
Published: June 2024

Background: according to ISTAT (National Institute of Statistics-Italy), in 2011 20.7% of the foreign population in Italy is composed by children, either coming along with their families or alone, like in international adoptions. Immigrant children have some peculiarities related to their previous living conditions, although there are no significant differences between immigrant and native children’ diseases.
Methods: in 3.5 years we evaluated every adoptee that reached our university centre, by using GLNBI (Gruppo di Lavoro Nazionale del Bambino Immigrato) diagnostic – aiding protocol, in order to assess infectious diseases, nutritional deficiencies, immunization status, intestinal parasitosis or other pathologies; this protocol is actually applied only in research centres.
Results: we evaluated 358 international adoptees from 4 different Zones of the world; average age at first visit was approximately 5 years. Health certifications concerning vaccination history records were considered “valid” in 59.2% (212/358), 49.5% (105/212) of which had a complete panel of immunization. QuantiFERON®_TB Gold In-Tube (QTF) test resulted negative in 94.0% cases (313/333) and positive in 6.0% (20/333). HIV, HCV and Syphilis tests resulted in 0.3% positive test for each serology (1/358). Cysticercosis’ serology was positive in 8.9% (32/358) using immunoenzymatic assay (not confirmed by immunoblotting) and Toxocariasis in 13.1% (47/358). Parasitological investigation of faeces were found positive on 42.7% (153/358) children, throat swabs in 11.5% (41/358) children. There were 82.4% (295/358) abnormal blood count, 41.9% (150/358) low ferritin, 89.9% (322/358) endocrine abnormalities and 20.4% (73/358) various pathologies evaluated by specialists.
Conclusions: pathologies affecting our study group are the same affecting other categories of immigrant children, because they often share similar living conditions as orphanage or crowded residencies, low and poor intake of appropriate nutrients for growing ages, leading to malnutrition, vitamin D deficiency, iron deficiency anaemia and intestinal parasitosis. Vaccination records are often not available or reliable. A similar protocol could therefore be helpfully used as an initial management of children coming from a different setting.
Work-related health problems among resident immigrant workers in Italy and Spain
Authors: Rosano Aldo , Ronda Elena , Benavides Fernando G , Cacciani Laura , Baglio Giovanni , Spagnolo Amedeo
Published: June 2024

Background: in both Spain and Italy the number of immigrants has strongly increased in the last 20 years, currently representing more than the 10% of workforce in each country. The segregation of immigrants into unskilled or risky jobs brings negative consequences for their health. The objective of this study is to compare prevalence of work-related health problems between immigrants and native workers in Italy and Spain.
Methods: data come from the Italian Labour Force Survey (n=65 779) and Spanish Working Conditions Survey (n=11 019), both conducted in 2007. We analyzed merged datasets to evaluate whether interviewees, both natives and migrants, judge their health being affected by their work conditions and, if so, which specific diseases. For migrants, we considered those coming from countries with a value of the Human Development Index lower than 0.85. Logistic regression models were used, including gender, age, and education as adjusting factors.
Results: migrants reported skin diseases (Mantel-Haenszel pooled OR=1.49; 95%CI: 0.59-3.74) and musculoskeletal problems among those employed in agricultural sector (Mantel-Haenszel pooled OR=1.16; 95%CI: 0.69-1.96) more frequently than natives; country-specific analysis showed higher risks of musculoskeletal problems among migrants compared to the non-migrant population in Italy (OR=1.17; 95% CI: 0.48-1.59) and of respiratory problems in Spain (OR=2.02; 95%CI: 1.02-4.0). In both countries the risk of psychological stress was predominant among national workers.
Conclusions: this collaborative study allows to strength the evidence concerning the health of migrant workers in Southern European countries.