bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of staff in Healthcare Companies
Authors: Troncone Raffaella , Coda Marco
Published: October 2023

Evaluation is at the basis of any social context where all individuals are simultaneously “evaluated” and “evaluators” in all areas of daily life. The goal of a good evaluation system is to encourage staff to do “Good Health”through the provision of quality prevention, diagnosis, treatment and rehabilitation services. The main reasons thatlead to the evaluation of the personnel lie in the inevitable and primary importance of the human resource in achieving the corporate objectives, and by the pressing need for the quality of the service provided to the citizen, as well asthe legitimate need of the employee to differentiate, clarifying its specificities and its own individual contribution tothe general objectives of the company. In the working context, the “personnel evaluation” assumes a fundamentalimportance, if managed with the right criteria, in order to make the employee not a simple pawn to move and managefor use and consumption of the organization, but an integral part of the organization itself.
Hydrotherapy aquatic physiotherapy and the application of bad ragaz ring method
Authors: Timothy Ainslie
Published: October 2023

This paper reviews the use of water-based therapy to rehabilitate patients with deficits of functional movement ormuscle control. The properties of water are described and their relevance to the application of treatment techniquesto patients in a therapy pool. The physiological effects of being immersed in water are described with reference totreatment application. It is important to ensure that the contraindications and precautions are considered before apatient can enter a therapy pool. A specific approach to rehabilitation of patients in a therapy pool utilising the BadRagaz Ring Method is outlined, with examples being given of how this approach may be used in the rehabilitation ofpatients.
Role of vibration and sound in Physiotherapy
Authors: Mariani Daniele Maria , Supplizi Marco , Irace Giuseppe , Barassi Giovanni
Published: October 2023

In literature the therapeutic efficacy of the vibration applied to the human body is known and the rehabilitativetherapeutic applications are multiple: ultrasounds, shock waves and focused mechanical-sound waves. Even musichas recently been the subject of scientific evidence researches that gives investigate its ability to positively influencethe psyche and the physical body. The benefits generated by music therapy are numerous and completely involve theindividual in his bio-psycho-social aspect.This single-blind randomized controlled clinical trial was carried out within the university rehabilitation and reeducation centre venue of “Gabriele d’ Annunzio” university, Chieti - Pescara.The objective was to verify whether the immediate effects on the body of acoustic musical stimulation and acousticvibrations are more effective than simple musical listening.To achieve this goal, a Vibro-acoustic platform was used, a tool that allows the patient to listen to the sounds and themusic and, at the same time, to perceive the vibration caused by the music itself thanks to the speaker on the wholebody.One hundred healthy subjects were randomly divided into two groups: the experimental group (SG) underwent bothvibrational and acoustic stimulation (in a single therapeutic session), while the control group (CG) was subjected toa single session with non-functioning vibration platform and acoustic stimulation.Vital parameters, mean body temperature variations using thermography, distribution of body fluids by bio impedanceanalysis, rheological parameters of occipital muscles, trapezius, erector of lumbar spine, gastrocnemius muscles, withthe MyotonPRO System at T0 and T1 (previously and at the end of the protocol). Furthermore, a final questionnairewas administered aimed at evaluating the appreciation of the therapy and the perceived subjective perceptions.As regards the statistically significant results, a general improvement in the parameters examined in the entire samplecan be highlighted. Blood pressure in SG had a tendency to normalization. The CG has undergone an increase in theaverage body temperature (1.24%) and a decrease in body fluids (3.17%) greater than the SG.In both groups, muscle tone decreased in all regions analysed, except in the lumbar region ones.The same data found for muscle rigidity except for the lumbar region (CG increased by 0.75%). Better results in theanalysis of the questionnaires were highlighted for the SG in which a greater satisfaction of the therapeutic sessionswas perceived by the patient.
L’inaffidabilità delle bollette di energia elettrica in Italia
Authors: Recca Maurizio
Published: October 2023

Le bollette di energia elettrica devono essere pagate mensilmente dai cittadini quali il corrispettivo di energia consumata per i propri bisogni. La tematica, dunque, affronta la responsabilità del fornitore di un servizio di pubblicautilità che, direttamente o indirettamente, incide sulla vita quotidiana dei cittadini: in concreto grava nella strutturadei costi fissi delle famiglie ed utenti. A tale scopo il legislatore europeo con la Direttiva MID (Direttiva 2004/22/CEdel Parlamento Europeo e del Consiglio del 31 marzo 2004 e s.m.i.) ha legiferato in merito ai requisiti e controllimetrologici degli strumenti per la misura legale dell’energia elettrica attiva, consumata per il soddisfacimento deipropri bisogni. Lo strumento di misura utilizzato per la misura dell’energia consumata è il “contatore” presente inogni abitazione deve essere di tipo legale. Dunque il corrispettivo di energia da pagare dipende dalla quantità dienergia consumata che è visualizzata dal contatore a mezzo del display e contabilizzata nella bolletta/fattura con ladicitura “Consumi in kWh”. L’importo dell’energia da corrispondere nella “bolletta energetica” deve essere assolutamente preciso, privo di errori e tutto il sistema di fatturazione deve essere affidabile, in caso contrario si lede ilconcetto di fede pubblica. Lo sviluppo della tecnologia della comunicazione, però, crea non pochi problemi legali,concernenti la quantificazione dell’energia da corrispondere attestato nelle bollette. Il presente studio, affronta laproblematica delle bollette energetiche scaturenti dal sistema di misurazione dell’energia elettrica in ITALIA sia dalpunto di vista tecnico che legale.
Appropriateness of a physiotherapic treatment protocol for the axillary web syndrome, applied in a territorial rehabilitation service
Authors: Collebrusco Luca , Tufi Antonietta , Brunori Elisabetta
Published: October 2023

The “Axillary web syndrome” (AWS) is an early complication following breast cancer surgery with axillary lymphnodes dissection.To apply an appropriated physiotherapic protocol to deal with patients having AWS who show up in territorial rehabilitation service.The enrolled patient underwent quadrantectomy and right axillary lymphadenectomy surgery resulting in painfulshoulder, functional limitation and a clinical picture that gave evidence for AWS, and for this she was addressed tothe territorial rehabilitation service.The rehabilitation treatment carried out was composed of active and passive mobilization of the upper-right limb ofthe cervico-dorsal segment together with self-mobilization exercises (MAPEA), that lasted two months with a threemonth follow-up.The outcomes of reference were the numerical rating scale (N.R.S), the Constant-Murley Scale (C.M.S.) and the EuroQoL questionnaire (EQ-5D).After two months of treatment, the results show an improvement in both functionality and pain in the upper limb andin the patient’s quality of life, in particular: 43% on the N.R.S scale, 59% on the C.M.S. scale and 81% on the EQ-5Dquestionnaire.After three-month follow-up, the improvement was 75% in the N.R.S, 27% in the C.M.S. and 23% in the EQ-5D.The description of the clinical case afflicted with AWS and the treatment protocol applied, highlighted the goodperformance of the results, notably as concerns patient’s quality of life. This result could represent a starting pointfor creating clinical trials aimed at building appropriate rehabilitation courses in territorial rehabilitation services
Role of diagnostic imaging in diagnosis by Covid-19
Authors: Coda Marco , Sica Federica , Finelli Mirko , Sica Alfonso Marco
Published: October 2023

The diagnosis from Covid-19 provides the set of several examinations such as: clinical examinations, laboratoryexaminations, radiographic examinations. Using radiological imaging, RX and chest CT, it is possible to evaluatethe impairment of lung function and thanks to this aspect it is possible to define the severity and clinical conditionsof the patient. In this way, it allows timely therapeutic intervention especially if the patient shows a mild condition insuch a way as to avoid the onset of further complications. Chest X-rays allow both an initial assessment of patientsand the possibility to perform a differential diagnosis towards other possible causes of lung parenchyma involvement.The CT scan, which highlights the peculiar characteristics of COVID pneumonia, is performed both as diagnosticconfirmation and in the patient’s follow-up.
rehabilitation treatment of patients with psychosis of the residential structure of the mental health operative unit of Torre Annunziata
Authors: Perfetto Viviana , Alfano Vincenza
Published: October 2023

Recognizing emotions in oneself and in others is a delicate subject to confront with psychiatric tools, as it refers toa ability that is already compromised and that causes many daily struggles. The proposed year long work consistsof a weekly group project with Intermediate Rehabilitation Structure of ASL Napoli 3 Sud-District 56 participantsand evaluated through the TAS-20 (Toronto Alexitimia Scale) and the ESCQ-45 (Emotional Skills & CompetenceQuestionnaire). The arguments of the study range from the emotional recognition based on mimicking described facialemotions and the sharing of fears and desires, to the recognition of the body parts involved in emotions and meetingsdedicated to managing anger and awareness of one’s reactions. The involved group consists of 10 participants with achronic schizophrenia diagnosis and variable comorbidity with anxiety disorders; the sample is homogeneous by agerange and pharmaceutical dosage.
Covid-19 disease: CT chest volume assessment using nonspecific software “Lung Density” present on “Extended Brilliance Workspace”
Authors: Spanò Ferdinando , Arminio Matteo , Carucci Alessandro , Di Luzio Dario , Grimaldi Iolanda , Pittalis Angelo , Caprasecca Stefano , Tortora Alessandra , Lanciotti Silvia , Filannino Floriana , Ricci Paolo
Published: October 2023

The current global COVID-19 pandemic is related to an acute respiratory disease caused by a new coronavirus(SARS-CoV-2), highly contagious and whose evolution is still poorly understood (Kamel Boulos, 2020).The high-resolution Computed Tomography (HRCT) is the most accurate technique for identifying pathogeneticfinding of interstitial pneumonia. Standardized HRCT examination in COVID patients binds quantitative evaluationof healthy lung tissue performed in post-processing. In this study we present a valid tool for the Radiologist thediagnosis of Covid-19 diagnosis, an essential support in the evaluation of emergency symptomatic patients withnegative NAAT, or asymptomatic patients with negative NAAT who have come into contact with positive one, in factasymptomatic patients can also have lung lesions on CT imaging (Chung M, 2020).
Analysis of the specific common competences of the Degree Courses in Speech Therapy and on the ability to apply in the didactic systems
Authors: Paterniti Maria Rosa , Bua Alberto , La Tona Federico , Vitale Chiara
Published: October 2023

This article, taken from the ending research thesis of the studies in Business Administration in Pegaso University,derives from the lack of detailed data on colon-rectal cancer in Apulia, in 2019. The clinical, economic and statisticalstudy introduced has given the possibility to examine the neoplasia incidence in Apulia reality, to estimate forthe first time the Lars major phenomenon (Low Anterior Resection Syndrome) after a rectum surgical treatment. These goals have been achieved starting from the national data analysis provided by Airtum and Aiom; andoperating through benchmarking, among the most virtuous Italian realities, it has been possible to estimate theforecast of refundability of health services generated by the treatment of colon cancers, rectal cancers and of theLars phenomenon management. We can see the incidence of 2,802 total cases of colon-rectal cancer so divided:1,920 colon cancer cases and 882 rectal cancer cases. The Lars phenomenon, according to the most recent medicalliterature, presents 444 cases, considering that 90 % of the 882 rectum tumors will have a surgery; 56% of thesedevelops Lars major. Assuming to treat all cases of Lars major, it would potentially be possible a refundability of63,492 Euros. While, as regards the refundability obtained from the treatment of the 2,802 colon-rectal cancer totalcases, it could be hypothesized a total refundability of 18,897,408 Euros.
Functional Electrical Stimulation for Upper Limbs Flexion-Extension and Prehension Movements in Rehabilitation
Authors: Lullo Francesco , Coccia Armando , Saltalamacchia Anna Maria , Cesarelli Mario , Lanzillo Bernardo , D’Addio Giovanni
Published: October 2023

Functional Electrical Stimulation (FES), is a tecnique that uses low-energy electrical pulses to artificially generatemuscle contractions, in individuals with damages regarding the central nervous system. The application of FES inclinical environment involves both patients care and rehabilitation. Aim of this work is to introduce a clinical FESprotocol for upper limbs rehabilitation, in order to assist and train the execution of complex movement, such asflexion- extension of wrist and fingers and palmar prehension. The new FES protocol has been tested on a cohort offive subjects with different upper limb neuromotor deficits, during their rehabilitation. The benefits deriving from theapplication of the new FES protocol have been evaluated by comparing specific quantitative electromyographic parameters assessed before and after the treatment. Results show effective improvements in performances of 4 patientsout of 5.
Theoretical and genetic correlations between language and movement
Authors: Grassia Gianluca , Addeo Stefania
Published: October 2023

The work presented aims to highlight the correlation existing between movement and language, integrating it withall the connections and brain functions involved in the two competences. Numerous studies highlight the relationshipbetween language and movement and how they affect linguistic and sensorimotor cognitive maturation. Motor actionis a complex coordination of planning, organization and monitoring; there appears to be an intuitive connection withexecutive functions (FE), although the exact definition is widely disputed.The idea that there is a relationship between movement and higher cognitive functions, such as FE and language,also derives in part from theoretical perspectives such as the theory of embedded cognition. From the neurobiologicalpoint of view, this notion implies that the understanding of language is based, at least in part, on the neural systemsof perception and action. FOXP2 is presumed to have played a role in evolution, due to its peculiarities of shapingthe craniofacial bones, bone cartilages and participation in brain structure, having importance on the evolutionarychanges of the cartilages and bones involved in the production of language and movement, promoting their evolutionand reinforcing them.It is hoped that, based on the various considerations and question marks that have arisen, a study can be carriedout that investigates the role of the Foxp2 gene in subjects with speech disorders and premature at birth, aiming toidentify the predictive factors and the language disorder. that of movement, trying to clarify the dark points of theircorrelation.
La riabilitazione con tecniche cognitivo-comportamentali nel paziente con sindrome di asperger per una transizione nell’etá adulta
Authors: Perfetto Viviana , D’Ambrosio Antonio
Published: October 2023

È stata ormai ampiamente dimostrata l’efficacia delle tecniche cognitivo – comportamentali in moltissimi disturbi dinatura psichiatrica, ma ancora oggi le evidenze lasciano una zona d’ombra sull’applicazione di questi interventi aidisturbi generalizzati dello sviluppo. Questo studio si propone quindi di individuare e trattare alcune delle problematiche tipicamente presenti in questi soggetti, riconducibili alle aree del contatto visivo, della risposta al nome, e dellinguaggio espressivo e recettivo.Il campione è rappresentato da dieci pazienti adolescenti con diagnosi di Sindrome di Asperger, afferenti al PAIDèS(polo aziendale di intervento sui disturbi generalizzati dello sviluppo) dell’ASL Napoli 2. Per ogni paziente, valutatoutilizzando ADI-R e ADOS, sono stati individuati tre obiettivi mediante la compilazione di un’apposita check list;lo scopo dello studio è quello di stimare l’apprendimento di tali abilità su breve termine, verificando se l’utilizzo ditecniche cognitivo – comportamentali rappresenti un metodo più rapido per migliorare alcuni aspetti del comportamento e dell’interazione in questi soggetti. Gli obiettivi sono stati concordati con i genitori dei pazienti, in modotale da evidenziare gli aspetti maggiormente problematici ed individuare target terapeutici raggiungibili in un breveperiodo di tempo.L’ADI-R e l’ADOS si sono rivelati ottimi strumenti di valutazione, completi e complementari, che consentono unavisione ampia del passato e del presente dei pazienti coinvolti; la check list è stata invece utilizzata durante i primi incontri per individuare gli obiettivi su cui impostare il lavoro successivo, ed alla fine dello studio per poternevalutare l’effettivo raggiungimento. E’ previsto, infine, un follow up a 6 mesi con ADOS e check list per valutare ilmantenimento nel tempo dei risultati ottenuti.
Dual Energy on Dual Source CT in Abdominal Imaging
Authors: Varchetta Francesco , Orlando Giuseppe , Laurenza Francesco , Rengo Alessandro , Danzi Roberta , Laccetti Ettore , Rusconi Giovanni , Scaglione Mariano , Avitabile Giuseppe , Altiero Michele , Martina Natale , Mainenti Pierpaolo
Published: October 2023

Establish whether virtual non-contrast images can replace real non-contrast images, avoiding the preliminary scan,thus saving the patient dose.Forty-one patients were studied on a second-generation dual-source scanner, triphasic were applied on all patients,arterial and venous phase was acquired in dual-energy. HU values of TNC and VNC scans were compared throughROI on liver, spleen, kidneys, aorta, muscle, and fat. Qualitative analysis of the data sets was performed by four readers and the values from 1 to 4 (1. poor, 2. fair, 3. good, 4. excellent.) were assigned to define the diagnostic quality ofthe images. Then the absorbed dose ratios between the virtual images and the pre-contrast and portal phase imageswere compared.HU values were analyzed with the t-test and the difference was statistically significant P<0.0001. Image quality wasevaluated as excellent or good in 91,3% of TNC and 81,6% of VNC. At last, VNC showed a sensitive dose reduction-46% compared to conventional triphasic protocol.Overall VNC has shown a good image quality comparable to TNC. The dose reduction obtained from the extractionof images without iodine, avoiding further scans, suggests the use of the dual-energy protocol in many exams.
New technologies in vascular rehabilitation
Authors: Prosperi Loris , Barassi Giovanni , Supplizi Marco , Giancola Alessandra , Di Matteo Celeste , Manca Mara , Gallo Laura , Di Iorio Angelo
Published: October 2023

Lymphedema of lower limbs represents an important health problem, characterized by the necessity to identify new methods of  treatment. The aim of this study was to evaluate the efficacy of the treatment with Lymphatic Kinesiology Taping (LKT) or Intermittent  Pneumatic Compression therapy (IPC) on a homogeneous group of 40 women affected by primary lymphedema within stage 2 of  lower limbs, comparing the two methods. Patients were equally and randomly divided into a group A subjected to application of LKT  and group B subjected to IPC. All patients were evaluated through electric bioimpedentiometry (analysis of Total Body Water and  Extracellular Water) and circumferential measurement of lower limbs through a measurement tape, both before and after the protocol  (T0 and T1). Both treatment groups highlighted an improvement of the lymphedema, with a marked reduction of volume of  lower limbs and a better hydric balance of the body. LKT and IPC can be considered as viable options for the treatment of primary  lymphedema within stage 2 of lower limbs.
Immigrant workers in the construction sector in italy: impact on safety and health
Authors: Misale Fiorenza
Published: October 2023

The profound changes that have taken place in Italian society have led to very strong changes in the labor market which is segmented,  heterogeneous, outsourced and characterized by the growth of medium and medium-small businesses where the implementation of current legislation on safety in the workplace is often neglected and occupational risks are underestimated. The disadvantage in which immigrant workers find themselves is greater than Italian workers for various reasons, as well as for social  issues also due to problems of linguistic understanding. Understanding security measures is also a purely linguistic fact and this is  certainly a crucial aspect especially in the early stages of job placement and in job changes, the perceived difficulties at the level of  linguistic communication are particularly felt by immigrant workers, not by chance. the request for information in the original  language appears widespread. It would be advisable to build training courses tailored to the needs of immigrants, compulsory  language preparation courses, specific courses connected in particular to the risk sectors in which they find themselves and aimed at making their culture of safety at work dialogue with the Italian one.
Nuclear medicine in the pediatric field
Authors: Barone Sebastiano , Pagliuso Serena , Pagliuso Luana
Published: October 2023

The work presented describes the main ways of preparing radiopharmaceuticals and carrying out nuclear-medical examinations in  pediatric patients. Through the differences in the execution of the tests, the importance of dosimetry is revealed, i.e. the diagnostic  reference levels, in which the percentage of activity that must be administered to the child on the basis of that introduced in the adult  is indicated. Through a study performed on pediatric patients, subjected to nuclear-medical investigations, the validity of the LDRs is  reported according to the scheme in tab. 6 (EANM-EUROPEAN ASSOCIATION OF NUCLEAR MEDICINE). Through a study conducted in  pediatric patients, subjected to medical - nuclear investigations, the importance of the dose is noted in order to obtain greater benefits  in the patient and high quality images for diagnostic purposes. By carrying out pediatric-radiopharmaceutical calculations, it  is possible to reproduce the aforementioned, ie an optimization of the dose.
Using body surface area:
Child’s body surface area (m2)                                                                                                                                                           _______________________________________  = 0.53g: 1.8 g = 29% - 2.9 mCi                                                                                                                                   Adult’s body surface area (m2)
Using organ weight:
Target organ weight  of child (g)                                                                                                                                            _______________________________________ = 93 g: 310g = 30% - 3.0 mCi                                                                                                                                      Target organ weight of adult (g) .
 
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Remote mental health rehabilitation: Social Health Educators between experience and innovation
Authors: Cimino Maurizio , Semisa Domenico
Published: October 2023

Following the Covid-19 pandemic, in our country strict containment measures have been put in place to safeguard, first and foremost,  vulnerable swathes of the population, including people affected by psychiatric disorders. Nevertheless, a large part of Mental Health  Centers activities, territorial rehabilitation, counselling sessions, aid and psychoeducational activities, social skills training, workshops,  as well as family support, monitoring and network activities with rehabilitation centers workers and users have been rearranged in  another modality, namely the socalled “remote modality”. Despite the undisputed and essential value of human contact and face-to- face relationships, the work reported here shows the importance, for Mental Health Services, of employing communicative modalities, like the current alternative virtual ones which, after the initial difficulties were overcome, have been appreciated, further implemented and widely used by now because of their efficacy, so much so that it is thought that they could eventually be combined with traditional  modalities.
The ‘wellbeing’ in spite of everything: small sharing spaces with families or peer educators during the COVID-19 pandemic
Authors: Diamare Sara , D’Anna Emilia , Furia Rita , Goretti Malvina , Maglio Rosaria , Salerno Marina , Di Trapani Giovanni
Published: October 2023

During the difficult period caused by the Covid-19 pandemic, a workshop was implemented online, leading a studyabout the effectiveness of the ‘Salotti del BenEssere©’ model among students and future educators. This course isthe result of the collaboration between the Suor Orsola Benincasa University in Naples and ASL Napoli 1 Centro.It’s a model of salutogenesis that specifically proposes a multicentre space for the evaluation and spread of healthylifestyles. Due to the pandemic and the consequent social isolation, the ‘keys’ to access the main topics for the healthylifestyle promotion were explored online in order to overcome social isolation; at the beginning of each lesson onthe Salotti del BenEssere©, audio files were provided to guide the students through the experience of each “key”:Breathing, Nutrition and Emotions.The lessons were carried out through distance teaching on the online platformcalled “Google Meet”. For evaluation purposes, questionnaires that were originally created in paper format weretransferred to the online opensharing platform “Google Forms”. The general aim of the evaluation is to establishwhether the educational process formulated by the “Salotti del BenEssere©” has an impact on self-perception inrelationships. The specific aim of this study is to verify whether there were differences between the results achievedby the students who were able to experience the face-to-face lessons and those who were forced to attend the lessonsonline and, if so, to record which ones are significant.We believe that these innovative and digital techniques canbecome a tool for future educators, especially in emergency situations, to overcome social isolation.
MR Angiography acceleration techniques with iterative reconstructions: the IT-TWIST sequence
Authors: Curatolo Calogero
Published: October 2023

In recent years MR Angiography allowed to assess blood vessels and flow in a non-invasive way. The aim of our workwas to illunstrate a modern MR Angiography technique, the 4D Iterative reconstruction Time resolved angiographyWith Interleaved Stochastic Trajectories (IT-TWIST), capable to generate angiograms with high spatial and temporalresolution, providing multiple and continuous post-contrastographic sets of images. Technological and physicalcharacteristics are reported in detail and consequent advantages are summarized.
Analysis of the didactic regulations of the degree courses in speech therapy in Italy
Authors: La Tona Federico , Paterniti Maria Rosa
Published: October 2023

The didactic regulations of the study courses govern teaching activities for the specific aspects of each single coursein compliance with the University didactic regulations.This work is the result of an analytical research, through which every single didactic regulation of the 27 ItalianUniversities that include the Degree Course in Speech Therapy in their training offer was researched and analyzed.To carry out this analysis we first traced the teaching regulations of the CdS using the Universitaly portal and theindividual websites of the various universities; afterwards, the study of the documents found was carried out.The purpose of the story elaborated is to evaluate whether in Italy there is a certain homogeneity in the trainingoffer and in the teaching methods for the degree courses in speech therapy. Furthermore, through this research it ispossible to see the quality of the Degree Course and of the training provided with a constructive intent and not withthe aim of making a critique as an end in itself
Effects of regular testing as a sort of Covid-19 filter, by identifying, isolating and thus filtering out currently infected persons, using antigenic tests among healthcare workers in three hospitals in the South of Italy
Authors: Sivo Donato , Russo Angela , Maselli Chiara , Balzano Assunta , Carelli Donata , Durante Pasquale , Basile Vincenzo , Rizzo Adolfo , Stilla Antonio , Petrignani Emilia , Lerario Antonio Mario , Delle Donne Alessandro
Published: October 2023

The use of antigen tests is proposed as a substitute for the molecular test in some conditions and the Italian Regionsare preparing for massive provision. This method has been introduced and tested in the local health authority ASLBT - Puglia (Italy) and then integrated with the regional health surveillance protocol for health workers thanks to thepreliminary results. In the Puglia Region there has been an Integrated Health and Safety Management System SGSL(SiRGISL) since pre-COVID times, which has standardized procedures and protocols as regards to Integrated Healthand Safety for the prevention of hospital worker risks.Where the method was first tested, a screening test was introduced on 2,500 health workers operating in the threehospitals of the BT district, weekly. The nasopharyngeal swabs were carried out by the coordinators (workers safetyrepresentatives in Puglia Region SGSL), the swabs were sent to the PoCT (Point of Care Testing) analysis laboratorywith immediate reading of the antigen test following by molecular test method confirmation. The study was performedin a Puglia district with high virus circulation.About 12 thousand swabs were performed, mainly in the period, which identified 192 cases of positivity to SARS CoV2among asymptomatic operators not detected symptomatic by the usually temperature control method at the hospitalentrance.During the third week a peak of cases (79) with a subsequent decline was revealed, otherwise the infection trend ofthe population district maintained a constant growth.Early identification and removal of asymptomatic hospital workers, by means of frequent use of rapid tests, acts as afilter and reduces the chances of contagion by cutting the chains at the origin.During a time featured by high viral circulation, the amount and the speed of the tests should be privileged over moreaccurate methods, difficult to manage with a very high demand.In Puglia Region, the presence of Integrated Health and Safety Management System (SiRGISL) makes theorganizational structures efficiently adaptable to the rapid change of the pandemic framework by choosing suitabletechnologies and methods in order to anticipate the change of the pandemic curve instead of following it.Asymptomatic subjects detecting is a major problem in the management of epidemics even in controlled environmentssuch as hospitals.
Correlation between the stomatognathic system and body posture in childhood: a review of the literature
Authors: Collebrusco Luca , Mazzoni Anna
Published: October 2023

Background In recent years, the relationship between the stomatognathic system and body posture has an increasing importance in the field of dental problems and it’s a topic much debated in the science. Understanding this correlation implies a multidisciplinary approach with orthodontic and orthopedic figures, working in team to improve the treatment’s effectiveness. Objectives Evaluate the literature regarding correlation between postural alteration and stomatognathic disorders in patients of developmental age. Methods Literature researches given in Medline, Pedro, and Central database. Non-english articles and repeated articles were excluded. The selection of articles was carried out on the basis of the reading of the title, abstract and full-text. Results The search produced 165 items. The reading of the title, abstract and full text led to the selection of 18 articles. Associations were found between alterations of the stomatognathic system as well as malocclusions, temporomandibular disorders (TMD), bruxism and oral postures in relation to cervical alterations, scoliosis and posture of the feet. No studies have been able to report a cause-and-effect relationship between the stomatognathic system and body posture. All authors agree in supporting the importance of the multidisciplinary approach in the treatment of these pathologies. Conclusions The high prevalence of postural alterations in patients with orthodontic problems suggests an interaction between the disciplines of orthopedics and orthodontics. The limit of this review is the methodological variability, therefore is hoped in the future a consolidated methodology used in the study of these issues.
Effectiveness of the fast-track pathway for the management of patients with diabetic foot through the network between second and third level centers
Authors: Di Venanzio Michela , Meloni Marco , Aleandri Anna Rita , Giurato Laura , Uccioli Luigi
Published: October 2023

Diabetic foot is one of the most serious and expensive complications of diabetes. It requires prompt treatment in order to avoid the amputation of the foot, lower limb or even death of the patient.The aim of this study is to evaluate the effectiveness of the Fast Track Pathway (FTP) between level I, II and III diabetes centers in the Lazio Region for the treatment of diabetic patients with injuries in order to reduce the rate of amputation and mortality.A retrospective observational study was performed from January 2020 to December 2020. We enrolled 23 diabetic patients presenting injuries and Diabetic Foot Ulcers (DFUs) belonging to a level I and II di-abetic foot care center and were divided according to the type of DFUs into uncomplicated, complicated and severe; and when necessary, sent to a specialized center for the care of level III diabetic foot. The following outcomes were evaluated: healing, healing time, minor amputation, major amputation, and survival.Healing occurred in 15/23 patients (65.2%). Healing time averaged approximately 7 ± 5 weeks. The minor amputation rate was 17.4%. The major amputation rate was 0. The survival rate was 95.6%.The preliminary data collected allow us to state that the FTP path guarantees excellent management of the diabetic patient with DFUs between the territory and a second and third level diabetes center.
Application of the ultrafast sequence in the dynamic contrastographic study in the magnetic resonance imaging of the breast: our experience
Authors: Curatolo Calogero , D’Amato Elisa , Daricello Marco , Caruso Virginia , Orlando Alessia Angela Maria , Lo Re Giuseppe , Galia Massimo
Published: October 2023

In the last decade, breast MRI has played a role of primary importance, as a “gold standard” method in the earlydiagnosis of breast cancer in high-risk women, in assessing the extent of the disease and the response to neoadjuvantchemotherapy. Currently, the 3D GRE Rapid-Acquisition sequence in dynamic acquisition without and with endovenous administration of contrast medium, is fundamental for the breast MRI protocol, as the current diagnosticapproaches in Magnetic Resonance are based precisely on this sequence, able to guarantee accurate diagnosticperformances detecting pathological mass and non-mass-enhancement. Ultrafast sequences are modern sequencesbased on the 4D Time-Resolved technique with k-space sampling modalities which allow the evaluation of post-contrast images with very high temporal resolution. The purpose of our work is to illustrate in particular the use of the4D-THRIVE sequence implemented in our breast MRI study protocol.
Application of the compressed sense in the study of female pelvi in magnetic resonance 3 Tesla for the diagnosis of infertility in women
Authors: Curatolo Calogero , Amato Maria Chiara , Daricello Marco , Caruso Virginia , Lo Re Giuseppe , Galia Massimo , Lo Casto Antonio
Published: October 2023

Compressed Sense (CS) is a technological innovation in the field of Parallel Imaging (PI) that allows to reduce upto 50% the acquisition time per single sequence, reducing the whole duration of the MRI examination, and is basedon the application of 3 principles: Incoherent k-space subsampling, sparsification transform and nonlinear iterativereconstruction. The purpose of our work was to evaluate the application of CS to the MRI protocol of the femalepelvis performed for infertility, evaluating its Temporal Resolution and Signal/Noise Ratio (SNR) compared to theclassic PI technique SENSE. MRI exams were performed with RM 3T scanners (Philips Ingenia, Philips Healthcare,Netherlands Eindhoven). The female pelvis MRI protocol included the following sequences: 3D PelvisView T2, 3DPelvisView T1, DWI (b0 and b1000), mDixon 3D THRIVE with ev. contrast media. The parameters of each sequence,with the exception of DWI in which the CS is not applicable, are shown in comparison between the application ofSense and Compressed Sense. The CS allows to obtain at the same spatial resolution, a protocol with faster acquisition times, correcting the effect of aliasing from data subsampling compared to conventional SENSE. In conclusion,the application of CS could bring multiple advantages in the field of MR imaging in the diagnosis of infertility inwomen, optimizing the image quality and the duration of each individual examination.
Evaluating the quality of the relationship between health workers and patients/caregivers during the Covid-19 pandemic: a review
Authors: Diamare Sara , Cinquegrana Giuseppe , D’Anna Emilia , Glorioso Arianna , Galluccio Francesca Maria , Matarazzo Giuseppe , Minutella Maria Pia , Verde Sossio , Corvino Maria
Published: October 2023

The SARS-Covid 19 pandemic has produced a change in the relationship between health professional and patient and between doctors and family members. Restrictions to avoid the spread of the virus encouraged the use of electronic communication in interactions and the use of face masks in hand-to-hand contact, reducing the possibility of communication.Communication has changed, losing important non-verbal components and partly body language. This change riskedimpoverishing the relationship between doctor/nurse and patient/family, as the role of non-verbal communication isvital in healthcare (Diamare et al., 2021). Indeed, facial expressions, gestures, eye contact, posture and tone of voice‘speak’ with great intensity, becoming an important tool for healthcare professionals in understanding symptoms.To this end, it was decided to implement a health and business psychology survey to analyze any emerging needs andto improve the quality of the relationship in the healthcare facilities participating in the survey. Therefore, questionnaires were administered to healthcare professionals and patients/caregivers in order to investigate how they interactand their different points of view on similar issues.
РОЗПОДІЛ ВИТРАТ МАЙБУТНІХ ПЕРІОДІВ ЗА ОБЕРНЕНИМ МЕТОДОМ НА ОСНОВІ ПОДАТКУ НА ДОДАНУ ВАРТІСТЬ
Authors: Сук Петро
Published: October 2023

Податок на додану вартість – це непрямий податок, що включається в ціну реалізації продукції (товарів, робіт, послуг), та сплачується продавцю при її купівлі покупцем, а до бюджету перераховується продавцем.Податок на додану вартість становить частину доходу від реалізації продукції (товарів, робіт, послуг), а тому може бути базою для розподілу витрат майбутніх періодів.Доведено доцільність використання методу розподілу витрат майбутніх періодів на основі податку на додану вартість.На прикладі здійснено розрахунок розподілу витрат майбутніх періодів за допомогою методу на основі податку на додану вартість. Запропоновано два способи визначення методу розподілу витрат майбутніх періодів на основі податку на додану вартість: 1) від початкової суми; 2) від залишкової суми.
VOCATIONAL EDUCATION REFORM IN GEORGIA: CHALLENGES AND OPPORTUNITIES
Authors: Giguashvili Giuli
Published: October 2023

Perfection of the education and science system is one of the necessary conditions for the labor force formation corresponding to the labor market requirements in Georgia, their employment and the country's sustainable economic development. Along with basic and higher education, vocational education occupies a significant place in the education system of Georgia. Vocational education represents the most favorable opportunity for professional training and retraining of the workforce in a short period with fewer costs, which in turn ensures the reduction of unemployment and social inequality in the country and decent employment.Vocational education is a significant priority of the Government of Georgia. The system is actively being reformed, the main goal of which is to modernize the vocational education system and bring it closer to the vocational education and training structures of the European Union.Based on the quantitative-statistical and qualitative research methods, the main challenges of the vocational education system are identified in the paper, the main priorities of vocational education reform and new regulatory legislation are analyzed, the development possibilities of the vocational education system have been evaluated, and recommendations have been developed to increase the effectiveness of vocational education.
МОДЕРНІЗАЦІЯ ТОРГОВЕЛЬНОЇ ПОЛІТИКИ УКРАЇНИ В КОНТЕКСТІ ЕФЕКТИВНОЇ РЕАЛІЗАЦІЇ ІНТЕГРАЦІЙНОГО ПОТЕНЦІАЛУ ДЕРЖАВИ
Authors: Радзієвська Світлана
Published: October 2023

У статті проаналізовано покраїнову динаміку експорту товарів України в контексті важливості модернізації торговельної політики з метою ефективної реалізації інтеграційного потенціалу національної економіки як в умовах євроінтеграції держави, так і з огляду на формування багатополярної глобальної економіки.
МОДЕЛЬ СТРАТЕГІЧНОГО РОЗВИТКУ ВИЩОЇ ОСВІТИ УКРАЇНИ
Authors: Скидан Максим
Published: October 2023

Повномасштабне вторгнення Росії на територію вільної і незалежної України не могло не відобразитися на всіх сферах суспільної діяльності, включаючи систему вищої освіти.
PECULIARITIES OF TACTICAL ACTIONS OF ASSAULT UNITS OF THE ARMED FORCES OF UKRAINE IN THE WAR AGAINST THE RUSSIAN FEDERATION
Authors: Tokar Vladislav , Sievidov Oleh , Mardarenko Olena
Published: October 2023

The armed confrontation with the Russian Federation started back in 2014, and gained its full force during the full-scale invasion in 2022. And since then, the approach to warfare has changed significantly, because war is just one of the forms of evolution.  So, if there is no eternal learning from our mistakes or using the experience of our predecessors, all conflicts would last forever. as an example, let’s take one period of history, the period of the beginning of the Gulf wars, the period when the United States was involved in the conflict between Iraq and Kuwait. Exactly at that time the system of satellites was first used and it allowed to target and correct, and brought many other innovative decisions in the wars US Army against Iraq.  This period showed the world that military progress does not stand still. As to our current topic, we will consider how the tactical actions of Ukrainian units have changed since the beginning of the full-scale invasion.
HORMETIC EFFECT ON THE TOXIC ACTION OF COPPER IONS DEPENDS ON THE TISSUE DISTRIBUTION OF COPPER IONS
Authors: Haiovyi Stanislav , Bozhkov Anatoly
Published: October 2023

The role of inter-tissue localization of copper ions in the processes of hormesis to copper sulfate was investigated. The ability of the liver, spleen, heart, brain, and kidneys to bind copper ions was determined in cases of lethal outcomes after a single administration of copper sulfate to animals (Wistar rats) and in cases of hormesis to this compound. Copper ions in the tissues were determined by atomic absorption spectrometry. It was shown that the hormetic effect depends on the inter-tissue distribution of copper ions, and a relatively large amount of copper can be deposited by serum proteins.
СИНТЕЗ НОМІНАЛЬНОЇ СТАТИЧНОЇ ХАРАКТЕРИСТИКИ ПЕРЕТВОРЕННЯ ДАТЧИКА КАЛАМУТНОСТІ TS-300B
Authors: Заболотний Олександр , Ходєєв Андрій
Published: October 2023

В роботі були розглянуті основні види вимірювання каламутності і описані технічні особливості використання датчика каламутності TS 300 B, проведені експерименти на суспензіях каоліну для оцінки працездатності та чутливості датчика, побудована номінальна статична характеристика перетворення.
COMPREHENSIVE ASSESSMENT OF THE EFFECTS OF INVESTMENTS IN ENVIRONMENTAL PROJECTS
Authors: Barun Maryna , Valter Halyna , Koversun Svitlana
Published: October 2023

The article analyzes the effects of implementing environmental projects, outlines the most critical features of environmentally oriented investment projects, and reflects the impact of different periods in the calculations due to applying the discount factor for the economic component and the growth factor for the environmental part.
РОЗРОБКА АВТОМАТИЗОВАНОІ СИСТЕМИ КОНТРОЛЮ І УПРАВЛІННЯ ДОСТУПОМ У СЕРВЕРНІ ПРИМІЩЕННЯ
Authors: Дубук Василь , Васік Святослав
Published: October 2023

У статті представлено результати розробки автоматизованої системи контролю і управління доступом у серверні приміщення, що реалізує різні методи контролю і управління доступом та забезпечує можливості регулювання рівня безпеки. Розроблено, представлено та описано роботу структурної схеми автоматизованої системи контролю та управління доступом до серверного приміщення. Визначено апаратні та програмні засоби для реалізації проекту автоматизованої системи контролю і управління доступом до серверних приміщень. Удосконалено метод  контролю і управління доступом до серверних приміщень на основі сучасних інформаційних технологій. Наведено висновки.
СОЦІОЛОГІЧНЕ ДОСЛІДЖЕННЯ ВІТЧИЗНЯНОЇ МЕДИЦИНИ: ТЕОРЕТИКО-МЕТОДОЛОГІЧНИЙ АСПЕКТ
Authors: Пилипенко Валерій , Сапелкін Юрій
Published: October 2023

У статті соціологія медицини виступає в якості дослідницького процесу, який висвітлює медико-соціологічну логіку побудови моделі вітчизняної системи охорони здоров’я. Представлений інституціональний аналіз досліджує систему охорони здоров’я на основі ідей традиційного для соціології уявлення про медицину і охорону здоров’я як соціальні інституції. Разом з цим мова йде і про новітній погляд на головні інструменти конкретної соціальної взаємодії, котрі дозволяють отримувати фундаментальні результати в сучасній інституціональній економіці. Застосування в соціології медицини методології аналізу інституціональних змін є зміною її наукової парадигми. Розвиток методології інституціонального аналізу в перспективі може сприяти більш тісній інтеграції медико-соціологічного і соціально-економічного аналізу процесів історичної еволюції взаємовідносин антропологічних, психоаналітичних, економічних, соціологічних та політичних поглядів на формування моделей медицини і системи охорони здоров’я.
ДОСЛІДЖЕННЯ ПЕРЕКЛАДАЦЬКИХ ТРАНСФОРМАЦІЙ В УКРАЇНСЬКОМУ ПЕРЕКЛАДОЗНАВСТВІ
Authors: Матвійчук Олена , Сітко Алла
Published: October 2023

У статті подано аналіз ключових підходів до виокремлення та класифікації перекладацьких трансформацій. У розвідці визначено перекладацькі трансформації як прийоми, які стають в нагоді перекладачеві. Перекладацькі трансформації використовують через частково спільні чи відмінні риси англійської та української мов.