bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of foliar applied nano-urea on growth, productivity and profitability of hybrid rice (Oryza sativa L.)
Authors: Namasharma Sreeja , Pahari Aditi , Banik Abhisek , Pal Subhajit , Sana Megha , Pal Sukanta , Banerjee Hirak
Published: October 2023

In lowland rice cultivation, the application of conventional urea fertilizer provides low N to rice plants and exhibits low N use efficiency (~ 30%) due to greater loss of N. Hence the present study hypothesized that nano-urea spray could fulfil N requirement of rice plants and thereby produce high yields. So, a field experiment was conducted on hybrid rice (cv. Arize-6444 Gold) at Regional Research Sub-Station, BCKV, Chakdaha, Nadia under new alluvial zone (NAZ) of West Bengal during winter (rabi) season of 2021-22 to assess the effect of nano-urea on growth attributes, yield components, yield, nutrient uptake and economics of hybrid rice.The experiment was laid out in randomized complete block design with six treatments [T1:100% RDN i.e. 150 kg ha-1 through urea, T2:100% N(Urea) + 2 foliar spray of nano-urea, T3:75% N (Urea) + 2 foliar spray of nano-urea, T4:50% N(Urea) + 2 foliar spray of nano-urea, T5:125% N (Urea) + 2 foliar spray of nano-urea, T6:Control], each replicated four times. All the treatments were consisted of a uniform recommended dose of 100% P and K (each of 80 kg ha-1) supplied through SSP and MOP, respectively, except for T6 (control). In each treatment, foliar spray was done with IFFCO nano-urea @ 4ml litre-1 of water twice at active tillering stage and panicle initiation stage. Results of the present experiment revealed that growth parameters of tested hybrid rice namely plant height, LAI, dry matter accumulation and crop growth rate registered better result under treatment T2 than other treatments. As expected, the above-mentioned growth attributes were lowest on receiving T6 treatment at almost all dates of observation. Among yield attributes of hybrid rice, number of panicles m-2(392), panicle length (32.46 cm) and panicle weight (5.58 g) were highest with treatment T5, while filled grains panicle-1(194) and 1000-grain weight (24.18 g) were maximum for T2 treatment. Highest grain yield (7.15 t ha-1) and HI (50.71%) of hybrid rice were obtained with T2 treatment, while the highest straw yield (7.20 t ha-1) was obtained with T5 treatment. The treatment T2 resulted in highest grain N (1.48%) and K (0.21%) content. Total cost of cultivation was highest in T5 (Rs. 77712 ha-1), but net return (Rs. 43720 ha-1) as well as B:C ratio (1.57) was highest for T2 treatment. Hence, the application of 100% RDN in conjunction with nano-urea spray twice at 25 and 50 DAT has been effective for higher productivity and profitability of hybrid rice cultivation.
Performance evaluation of pre-sowing seed treatments using bio-agents in transplanted aromatic rice under organic conditions
Authors: Nasrin S , Deka SD , Sharma P , Medhi T , Das K , Dutta P
Published: October 2023

In order to minimize the effect of lower productivity issues in terms of organic rice cultivation particularly for the small and marginal farmers of the state of Assam, the present research was undertaken with an objective of improving early seedling growth characteristics in organic rice cultivation using user friendly bio-formulations in the form of seed treatment. Locally prepared five organic bio-formulations particularly Organic-Metajal, Organic-Trichojal, Organic-Beauverijal, Azospirillum spp. and BIO Phos liquid PSB formulation were used as seed treatment on a high yielding aromatic rice variety "Keteki Joha" in order to evaluate the early seedling growth characters in addition to estimating the enzymatic activity by alpha amylase and lipid peroxidation under laboratory conditions. Among all the bio-agents, Org-Trichojal(T3) was found to be most effective in terms of achieving highest percentage of early vigour and seedling growth. Seed treatment with Org-Metajal (T2) and Org-Trichojal (T3)showed higher activity of alpha-amylase and lowest activity for peroxidise which had also reflected the better performance in germination and vigour indicators. While on the other hand, bio-formulations including Org-Metajal (T2).Organic-Beauverijal, Azospirillum spp. and BIO Phos were also found to be effective in improving growth as compared to the control.
Acidity and nutrient management practices for enhancing soil nutrient availability, nutrient uptake and grain yield of rice in Vaikom kari soils in Kuttanad, Kerala
Authors: VS Devi , Swadija O Kumari , NS Radhika
Published: October 2023

A field investigation was conducted during August to December 2015 and 2016 in farmers` fields in Thalayazham panchayat in Kottayam district. The experiment was laid out in randomized block design having 16 treatments in three replications with rice (Oryza sativa L.) var. Uma. The treatments were dolomite, lime + MgSO4 or RHA (rice husk ash) + MgSO4 along with 100% package of practice (POP) alone or with 100% POP + foliar spray of 13-0-45 N-P-K (KNO3) (1%) or borax (0.5%) or 13-0-45 + borax at PI (panicle initiation) stage. Lime + MgSO4 + 75% POP + 13-0-45 + borax as well as lime without MgSO4 + 100% POP combined with 13-0-45 or borax or both were also included as treatments. Higher grain yield of 5.42 and 5.57 t ha-1 during 2015 and 2016 respectively were produced by dolomite + POP + 13-0-45 followed by dolomite + POP + 13-0-45 + borax and lime + POP + MgSO4 + 13-0-45. The treatments involving dolomite and lime with or without MgSO4 produced taller plants, higher tiller number m-2 and higher Leaf Area Index during both the years. Dolomite + POP + 13-0-45 produced the highest number of panicles m-2. Higher test weight and lower percentage of unfilled grains were observed with dolomite + POP + 13-0-45 and dolomite + POP + 13-0-45 + borax. Lime and dolomite treatments were more effective in reducing soil acidity and improving dehydrogenase activity and nutrient availability in the soil than RHA treatments during both the years. However, the effect of liming materials applied as basal and at 30 DAS diminishes after the crop and this necessitates application of liming materials in every crop season. Availability of soil N improved by treatments involving lime + POP without MgSO4 at PI and harvest stages. The treatments involving dolomite + POP and lime + POP with or without MgSO4 recorded higher available P during PI stage. In general, higher status of available K was registered by the treatments involving dolomite or lime application and lower K status registered by the treatment with 75% POP fertilizer. All treatments involving lime or dolomite registered higher soil available Ca and those involving dolomite or lime + MgSO4 showed higher availability of Mg in the soil. The treatments involving dolomite registered lower status of soil available Fe and higher status of available B. Higher status of available Zn was registered by the treatments involving dolomite or lime + MgSO4. Soil pH was significantly and positively correlated with available P, Ca and Mg and significantly and negatively correlated with available Fe in the soil. In general, higher uptake of macronutrients was observed with dolomite or lime + MgSO4 treatments along with 100% POP during both the years. Foliar spray of 13-0-45 recorded higher N and K uptake. Significant and positive correlation of grain yield with uptake of macro nutrients was also observed.
Impact of SPAD chlorophyll meter based nitrogen management strategy on N uptake and soil properties in direct seeded rice
Authors: Karthik Rayapati , Ghosh Mainak , Chowdhury Arnab Roy , Dhaker Devi Lal
Published: October 2023

The present investigation was emphasized to evaluate the precision nitrogen management using SPAD meter in improving N uptake as well as soil fertility status in rice crop under direct seeded condition.The experiment was conducted at Agriculture Research Farm, Bihar Agricultural University, Sabour, Bhagalpur, Bihar, India during the monsoon season, 2018 including twelve treatment combinations of three rice cultivars (Sabour Ardhjal, Shushk Samrat, Shabhagi Dhan) and four N management levels (Control, Fixed time nitrogen management (FTNM), Real time nitrogen management (RTNM), Adjustable dose of nitrogen management (ADNM)). Results revealed that Shushk Samrat among the cultivars and FTNM among N management practices have recorded highest leaf N content as well as N uptake. There is no major difference observed in soil properties and it might take few years to observe the impact of nitrogen management strategies on soil properties.
PERANAN PEMERINTAH DAERAH DALAM MENINGKATKAN LITERASI MASYARAKAT DI PROVINSI BANTEN
Authors: Suhadhan Iham , Widyawati Tito Inneka , Chumeidi Achmad , Santi Fitria
Published: October 2023

This study highlights the strategies used by the local government in Provincia Banten to increase the level of literacy among the populace. The present study employs a qualitative method of inquiry and relies on a single source of information. The focus of the study is the Pemerintah Theory of the Four Regions as outlined by Arif (2012): (1) Regulator, (2) Facilitator, (3) Dinamisator, and (4) Katalitator. In this study, observation, in-depth interviews, and documentation were used to collect data. This study uses the method of collecting data, reducing data, displaying data, and drawing conclusions. This study shows that the role of local governments in using various programs, both directly and indirectly, such as social media platforms, is not ideal. This is due to the lack or limitations of the facilities and infrastructure that are already owned by the local government, the lack of infrastructure to reach the area, the lack of public understanding of the use of information technology, the lack of internet network access, and the lack of resources at the Regional Library and Archives Service of Banten Province
Infertilidad primaria a propósito de un caso clínico
Authors: Hernández-González Odalys , Molina-Piedra Dana , Ferrán-Zuñiga Iridia
Published: October 2023

El aumento de la prevalencia de la infertilidad ha constituido un problema sensible en Latinoamérica y a nivel mundial, en Cuba representa un 15-20 %, es generador de insatisfacción para la pareja. Dar seguimiento a este problema desde la atención primaria de salud y a su vez reorganizarlo y perfeccionarlo constituye un reto para la ciencia. Presentamos un caso de infertilidad primaria en una pareja joven del área de salud Santo Domingo. Se describen los hallazgos clínicos del caso y la evolución hasta la concepción de la gestación.
Pelaksanaan Focus Group Discussion untuk Penyiapan Materi Relationship and Sex Education pada Pelaksanaan Sekolah Perempuan
Authors: Violyn Cheris Maureta Mahar , Desyana Afifah Fitri , Mahendra Jonanda Wahyu , Argono Zahrandy Bintang Bhaskara , Aprilia Vera Arista , Nurlitasari Amy , Maharani Deaningma , Nusaibah Klarisa Afif , Meytasharoh Vera Putri , Anisa Clera Agretyas Nur , Mahardhani Ardhana Januar
Published: October 2023

The implementation of a group discussion forum (FGD) carried out in the context of preparing materials on relationships and sex education (RSE) is very important due to the limitations of the implementation group in evaluating the content. content of module documentation. The participation of several experts such as psychologists, doctors, midwives, speakers and community members are helpful in providing input for material adjustment. This FGD activity was carried out on August 30, 2023 with the implementation team BEM-FKIP Muhammadiyah University Ponorogo. The steps of the FGD activity in this activity are; (1) Prepare modules to be used in FGD, (2) Coordinate implementation of FGD activities, (3) Invite experts with CSR skills, (4) Conduct FGD and (5) Evaluate evaluate the implementation of FGD and improve learning materials. The conclusion of this activity is that multi-stakeholder participation and collaboration are important things that the team must do during the document preparation process to have appropriate and quality module document content.
SLAUGYTOJŲ PROFESINIS PERDEGIMAS COVID-19 PANDEMIJOS LAIKOTARPIU
Authors: Bliūdžiūtė Rasa , Norvaišaitė Ugnė , Meščeriakova Olga
Published: October 2023

COVID-19 pandemijos laikotarpiu bene 60,0 proc. visų sveikatos priežiūros specialistų sudarė slaugytojai. Dirb­dami COVID-19 infekcijos aplinkybėmis, slaugytojai patyrė psichologinę įtampą, kuri mažino jų veiklos pro­duktyvumą ir didino klinikinės praktikos klaidų riziką.

Tyrimo tikslas. Nustatyti chirurgijos skyrių slaugytojų profesinio perdegimo paplitimą COVID-19 pandemijos laikotarpiu.

Metodika. 2021 m. gruodžio – 2022 m. sausio mėnesiais Lietuvos sveikatos mokslų universiteto Kauno klinikose (LSMU KK) anoniminės anketinės apklausos būdu ap­klausta 113 slaugytojų (atsako dažnis – 86,9 proc.). Hi­potezėms apie požymių priklausomybę tikrinti taikyti chi kvadrato (χ²) ir z kriterijai. Skirtumai tarp požymių statistiškai reikšmingi, kai p < 0,05.

Išvados. Pandemijos metu 54,3 proc. respondentų jautė padidėjusį nerimą, 50,0 proc. slaugytojų jautėsi psicho­logiškai išsekę, tiek pat respondentų tapo mažiau fiziškai aktyvūs. Pagrindiniai stresoriai pandemijos protrūkio metu darbo aplinkoje buvo baimė užkrėsti artimuosius (30,1 proc.) ir baimė užsikrėsti COVID-19 (21,2 proc.). Nors 31,9 proc. tyrime dalyvavusių slaugytojų patyrė aukštą emocinį išsekimą, tačiau tik 5,3 proc. patyrė aukštą depersonalizaciją. Aukštus asmeninius pande­minio laikotarpio pasiekimus nurodė 74,3 proc. tyrime dalyvavusių slaugytojų.
MOKSLO ĮRODYMŲ TAIKYMAS KLINIKINĖJE PRAKTIKOJE: SLAUGYTOJŲ POŽIŪRIS, ŽINIOS IR ĮGŪDŽIAI
Authors: Morkūnienė Rimantė , Mažionienė Asta , Zavackienė Anželika
Published: October 2023

Mokslo įrodymais pagrįsta praktika yra viena iš pagrindi­nių visų sveikatos priežiūros paslaugų teikėjų kompetencijų [7], tačiau Nacionalinės slaugos politikos 2016–2025 metų gairėse pripažįstama, kad slaugos mokslo įrodymais grįstų sprendimų įgyvendinimas praktikoje iki šiol yra nepakanka­mas [21]. Diegiant mokslo įrodymais grįstą slaugos praktiką, svarbus darbuotojų pasirengimas ir požiūris, todėl tyrimai, analizuojantys slaugytojų žinias, nuostatas, įgūdžius yra svarbi ir neatsiejama sveikatos priežiūros paslaugų teikimo gerinimo grandis [16]. Tyrimo tikslas – įvertinti slaugytojų žinias, požiūrį ir įgūdžius taikyti mokslo įrodymus klinikinėje praktikoje. Tyrimas atliktas stacionarinio gydymo įstaigose. Tiriamieji – stacionarinio gydymo įstaigų visų profilių skyrių slaugytojai. Taikytas metodas – anoniminė anketinė apklausa. Tyrimui naudotas standartizuotas, adaptuotas Mokslo įrody­mais pagrįstos praktikos klausimynas (angl. Evidence-based practice questionnaire, EBPQ). Rezultatai: jaunesnio am­žiaus slaugytojai, turintys aukštesnio lygmens išsilavinimą ir trumpesnį darbo stažą, nurodė labiau teigiamą požiūrį į įrodymais pagrįstą slaugą, savo žinias ir įgūdžius įsivertino geriau ir, jų nuomone, dažniau taikė mokslo įrodymus savo klinikinėje praktikoje nei vyresni, žemesnio išsilavinimo lygmens ir didesnį darbo stažą turintys slaugytojai.
STEROIDŲ INDUKUOTA VAIKŲ IR PAAUGLIŲ PSICHOZĖ
Authors: Ragauskas Lukas
Published: October 2023

Steroidų indukuota vaikų ir paauglių psichozė yra retas, pavojingas ir mažai literatūroje aprašytas gliukokorti­koidų (GKK) terapijos šalutinis reiškinys. Jo dažnis po­puliacijoje šiuo metu nežinomas. Aiškus patofiziologinis mechanizmas nėra žinomas, tačiau manoma, kad sinte­tiniai steroidai, aktyvuodami GKK receptorius bei veik­dami neurotransmiterių sintezę, gali sukelti psichiatrinius simptomus. Steroidų indukuota psichozė gali pasireikšti įvairias simptomais (nuotaikos, elgesio sutrikimais, haliu­cinacijomis, kliedesiais). Specialistai, skirdami gydymą steroidais, turėtų kuo anksčiau atpažinti psichozės simp­tomus ir koreguoti gydymą. Nutraukus gydymą steroi­dais ar sumažinus dozę, psichozės simptomai dažniausiai praeina savaime, tačiau sudėtingesniais atvejais gali būti reikalingas gydymas antipsichotikais ar kitais vaistais.
TRANSKRANIJINĖ NUOLATINĖS SROVĖS STIMULIACIJA KLAUSOS HALIUCINACIJŲ GYDYMUI SERGANT ŠIZOFRENIJA
Authors: Ražukaitė Gabrielė
Published: October 2023

Klausos haliucinacijos yra dažnas pozityvus šizofrenijos simptomas, pasižymintis dideliu atsparumu gydymui. Atsižvelgiant į tai, kad antipsichoziniai vaistai ne visada padeda gydyti psichozės simptomus, vis labiau domi­masi kitomis priemonėmis, pavyzdžiui, transkranijine nuolatinės srovės stimuliacija. Tai neinvazinis neuro­moduliacijos metodas, kuris yra saugus, ekonomiškas ir plačiai prieinamas. Transkranijinė nuolatinės srovės stimuliacija gali tiesiogiai paveikti žievės jaudrumą labai mažomis elektros srovėmis. Įrodyta, kad ji veiksmingai veikia tam tikrus depresijos, bipolinio sutrikimo, Parkin­sono ligos, epilepsijos, šizofrenijos, Alzheimerio ligos, ir insulto simptomus, tačiau kaip klausos haliucinacijų gydymo būdas taikomas palyginti neseniai ir duomenys šiuo klausimu yra prieštaringi.
DiGEORGE SINDROMO KLINIKINIS PASIREIŠKIMAS
Authors: Stulgytė Gabija
Published: October 2023

DiGeorge sindromas, dar žinomas kaip 22q11.2 delecijos sindromas, yra reta genetinė liga, kurią sukelia q11.2 re­giono delecija 22 chromosomoje. Šio sindromo klinikinis pasireiškimas yra labai platus ir gali varijuoti kiekvie­nam pacientui. Pagrindiniai šiai ligai būdingi klinikiniai bruožai yra įgimtos širdies anomalijos, kraniofacialiniai defektai, užkrūčio liaukos hipoplazijos arba aplazijos su­keltas imunodeficitas, hipoparatiroidizmas ir psichiatri­niai sutrikimai. Vienas pagrindinių DiGeorge sindromo atpažinimo ir diagnostikos aspektų yra klinikinių simp­tomų vertinimas, todėl šio sindromo metu pasireiškiančių klinikinių simptomų žinojimas yra itin svarbus.
DEPRESIJOS GYDYMAS KETAMINU: VEIKIMO MECHANIZMAS, NEPAGEIDAUJAMAS POVEIKIS
Authors: Ragauskas Lukas
Published: October 2023

Depresijos simptomai gali būti sumažinti per kelias sa­vaites ar mėnesius, skiriant tradicinius antidepresantus, tačiau trečdalis pacientų pagerėjimo gali nepajausti. Pas­taruoju metu pradėtas tyrinėti ketamino, kaip antidepre­santo, veikimas. Nors tikslus jo veikimo mechanizmas gydyti depresiją nežinomas, įrodyta, kad intraveninis ketaminas greitai veikia, sumažindamas depresijos simp­tomus, tačiau jo poveikis nėra ilgalaikis (maksimalus efektas trunka iki 7 dienų). Trūksta duomenų apie pakar­totinę intraveninio ketamino terapiją ir apie kitų, pato­gesnių vartoti ketamino formų saugumą ir efektyvumą. Skiriant gydymą ketaminu, svarbu atsižvelgti į jo nepa­geidaujamą poveikį, galimą priklausomybės ir piktnau­džiavimo riziką.
MOTINOS VIRUSINĖS INFEKCIJOS ĮTAKA VAISIAUS NERVINĖS SISTEMOS VYSTYMUISI
Authors: Ražukaitė Gabrielė
Published: October 2023

Nėštumo metu į gimdą patekusios virusinės infekcijos gali sukelti prenatalinius ir postnatalinius neurologinius raidos sutrikimus. Virusai veikia sveikatą tiesiogiai in­fekuodami šeimininko ląsteles arba sukeldami imuninį atsaką, intrauterinį uždegimą. Tokie virusai, kaip gripo, citomegalo, o dabar ir SARS-CoV-2 kelia naują susirū­pinimą dėl motinos ir vaisiaus bei naujagimio sveikatos. Dar svarbiau yra tai, kad nustatyta, jog virusinės infek­cijos nėštumo metu dažnai lemia vaisiaus smegenų vys­tymosi defektus. Manoma, kad infekcijos sukelta stipri motinos imuninė aktyvacija yra pagrindinis veiksnys, lemiantis patologinį vaisiaus smegenų vystymąsi, dėl kurio atsiranda ilgalaikių sutrikimų, tokių kaip šizofre­nija, autizmo spektro sutrikimai, depresija, cerebrinis paralyžius ir epilepsija, rizika.
VITAMINO D SVARBA, JO TRŪKUMAS, APSIRŪPINIMAS IR DOZAVIMAS
Authors: Andriekutė Simona , Savickas Mažvydas , Bumblauskytė Vytautė
Published: October 2023

Vitamino D trūkumas yra dažna daugelio žmonių pro­blema, tampanti pasauline pandemija. Norint įvertinti jo koncentraciją, daromas vitamino D tyrimas, jo metu tiriamas kalcifediolis, kurio norma, priklausomai nuo laboratorijos, yra tarp 30 – 50 ng/ml, < 30 ng/ml lai­koma nepakankamumu, o < 20 ng/ml – stoka. Yra daug rekomendacijų, kaip palaikyti vitamino D koncentraciją tinkamai maitinantis, būnant saulės šviesoje ar vartojant farmakologinius preparatus (papildus) nuo tablečių iki leidžiamų į raumenis papildų. Straipsnyje apžvelgiame, kaip mityba ir buvimas lauke veikia vitamino D kon­centraciją ir kodėl svarbu papildomai vartoti vitamino D preparatus.
AKIŲ PAŽEIDIMAI, BŪDINGI PSORIAZE SERGANTIEMS PACIENTAMS
Authors: Radavičiūtė Ieva , Ramaškevičiūtė Auksė , Strupaitė-Šileikienė Rasa
Published: October 2023

Psoriazė yra gerai žinoma lėtinė uždegiminė odos liga, tačiau vis daugiau kalbama apie jos daugiasistemį nei­giamą poveikį kitų organų sistemų – kepenų, sąnarių, širdies ir kraujagyslių būklei. Pastebėta, jog nemaža dalis psoriaze sergančių pacientų, ypač vyrai, kenčia nuo įvai­rių akių pažeidimų, kurie dažniausiai atsiranda psoriazės paūmėjimų metu. Sergant psoriaze, akys gali būti pažei­džiamos tiesiogiai, dėl sisteminio uždegimo ar psoria­zės gydymo. Psoriazė gali pažeisti bet kurią akies struk­tūrą ir sukelti įvairias akių ligas: blefaritą, sausų akių sindromą, konjunktyvitą, keratitą, iridociklitą bei kitas retesnes patologijas. Negydomos tokios akių ligos gali komplikuotis ir baigtis regos praradimu, todėl tarpdalykė gydytojų komanda, kurios sudėtyje turėtų būti tiek gydy­tojas dermatovenerologas, tiek gydytojas oftalmologas, turi išmanyti psoriazės sukeliamus akių pažeidimus, kad laiku juos pastebėtų ir nusiųstų pacientą gydyti.
ŠIRDIES SINDROMAS X: ETIOPATOGENEZĖ, DIAGNOSTIKA IR GYDYMO REKOMENDACIJOS
Authors: Bakšytė Giedrė , Daukšaitė Elena
Published: October 2023

Širdies sindromas X apibūdina vieną iš išeminės širdies ligos variantų, kai pacientai patiria krūtinės anginai bū­dingus skausmus bei miokardo išemijos požymius, nesant kliniškai reikšmingos vainikinių arterijų (VA) stenozės. Sindromo pavadinimas atspindėjo tuo metu nesuprastą miokardo išemijos mechanizmą. Vėliau buvo sukurti mikrovaskulinės anginos, VA mikrocirkuliacijos disfunk­cijos, anginos, nesant obstrukcinės VA ligos, terminai. VA mikrocirkuliacijos disfunkcija – tai širdies mikro­kraujagyslių negebėjimas pakankamai dilatuoti ir ati­tikti miokardo deguonies poreikių ir (ar) staigus kraujo tėkmės sumažėjimas dėl smulkiųjų VA šakų vazospazmo. Šiuos vazomotorinius sutrikimus lemiantis mechanizmas gali būti nuo endotelio funkcijos priklausomas arba ne. Esant endotelio disfunkcijai dėl sumažėjusio endogeninio azoto monoksido (NO) biologinio prieinamumo ir išau­gusios vazokonstriktoriaus endotelino-1 koncentracijos plazmoje, VA arteriolės bei jų šakos negeba pakankamai dilatuoti. Šį vazoaktyvių medžiagų poveikio disbalansą sukelia nedidelio laipsnio uždegiminis atsakas. Nuo en­dotelio nepriklausomą mikrovaskulinę disfunkciją sukelia kraujagyslių lygiųjų raumenų tonuso pokyčiai, kuriuos lemia padidėjęs simpatinės nervų sistemos aktyvumas. Vis dėlto širdies sindromo X patogenezė yra daugialypė ir neapsiriboja vien VA mikrocirkuliacijos disfunkcija. Nesant reikšmingų stenozių vainikinėse arterijose, krū­tinės anginos klinikai pasireikšti svarbus ir sumažėjęs visceralinio bei somatinio skausmo jautrumo slenkstis bei estrogenų trūkumas menopauzės laikotarpiu moterims. MVA diagnozės patvirtinimui būtini miokardo išemijos simptomai bei objektyviai nustatomi požymiai (EKG, krūvio tyrimuose), nesant ženklios VA stenozės nustoma koronarografijos metu). Turi būti nustatyta ir smul­kiųjų VA šakų vazomotorinė disfunkcija, t.y. padidėjęs mikrovaskulinio rezistentiškumo indeksas (angl. index of microvascular resistence, IMR), sumažėjęs VA tėkmės rezervas (angl. coronary flow reserve, CFR), atspindin­tys nuo endotelio funkcijos nepriklausomą mikrocirku­liacijos sutrikimą, arba teigiamas acetilcholino mėginys, atspindintis nuo endotelio funkcijos priklausomą MVA mechanizmą. MVA gydymas priklauso nuo pagrindinio patogenetino mechanizmo, sukėlusio mikrovaskulinę disfunkciją: jei ji yra sukelta endotelio disfunkcijos, ski­riamas antiišeminis gydymas, o jei ji nuo endotelio nepri­klausoma – pirmenybė teikiama antrinei aterosklerozės prevencijai. Dėl skausmo suvokimo pakitimo gali būti skiriamos mažos triciklių antidepresantų dozės.
ŪMINĖ PLAUČIŲ ARTERIJOS TROMBINĖ EMBOLIJA: DIAGNOSTIKA IR GYDYMO GAIRĖS
Authors: Žaliukaitė Gabrielė , Majauskienė Eglė , Šerpytis Pranas
Published: October 2023

Plaučių arterijos trombinė embolija (PATE) − kardiopul­moninė būklė, kurios klinikinis pasireiškimas gali būti nenuspėjamas, diagnostika sudėtinga, todėl reikalauja iš gydytojų specialistų kruopštaus dėmesio. PATE – svarbi ir potencialiai mirtina būklė, kurią sukelia plaučių arteri­jos užsikimšimas kraujo krešuliu. Paprastai tai atsitinka, kai kraujo krešulys giliosiose kojų venose atitrūksta ir nukeliauja į plaučius. Šiame straipsnyje apžvelgiama PATE patogenezė, jos etiologija, rizikos veiksniai, ligos simptomai, pateikiamos aktualios PATE diagnostikos ir gydymo gairės, remiantis atnaujintomis Europos kar­diologų draugijos gairėmis ir pastarųjų metųmokslinės literatūros šaltiniais.
NEUROCHIRURGINIŲ PACIENTŲ RŪKYMO IR PERIOPERACINIŲ KOMPLIKACIJŲ, SUSIJUSIŲ SU ANESTEZIJA, SĄSAJOS
Authors: Grasevič Maksimilian , Sugintaitė Emilija , Bilskienė Diana
Published: October 2023

Neurochirurginės intervencijos yra įvairios. Jų tikslas – pašalinti ligos priežastį, gerinti pacientų gyvenimo ko­kybę ar gelbėti jų gyvybes. Operacijų metu gali vystytis komplikacijos, ypač jei pacientas rūko.

Tyrimo tikslas – analizuojant naujausią mokslinę lite­ratūrą, išsiaiškinti neurochirurginių pacientų rūkymo ir perioperacinių anestezijos komplikacų sąsajas.

Mokslinių publikacijų ieškota PubMed duomenų bazėje ir Google Scholar specializuotoje informacijos paieškos platformoje. Naudoti raktažodžiai anglų kalba: smoking, complications, neurosurgery, anaesthesiology (rūkymas, komplikacijos, neurochirurgija, anesteziologija). Analizei atrinkti 3 straipsniai.

Išvados ir rekomendacijos. Rūkantys neurochirurginiai pacientai patiria tas pačias perioperacines imuninės bei metabolinės sistemų komplikacijas, kaip sergantieji šir­dies ir kraujagyslių, kvėpavimo sistemų ir kitomis ligo­mis. Neurochirurginių procedūrų perioperaciniu laikotar­piu mokslinėje literatūroje akcentuojama didesnė gausaus nukraujavimo, reintubacijos bei stresinių opų operacijos metu rizika. Visos nagrinėtos publikacijos rekomenduoja atsikratyti rūkymo, nes dėl to komplikacijų dažnis žen­kliai sumažėja ir tampa panašus į nerūkančiųjų.
Risk Management Sanitario: governo dei rischi e coperture assicurative nel welfare italiano
Authors: Coviello Antonio , D'Antonio Carmine
Published: October 2023

Il settore sanitario italiano appare attualmente sottoposto a notevoli rischi provenienti dalla continua ricerca diuna “sostenibilità” complessiva del sistema. Si assiste, infatti, ad una domanda in continua evoluzione che imponel’adozione di modelli di servizio innovativi capaci di far fronte all’invecchiamento della popolazione, alla carenza diadeguata prevenzione, alla diffusione delle malattie croniche e alla maturazione di aspettative di cure personalizzatee sempre più evolute. Pertanto, anche per questi motivi, le aziende sanitarie sono sollecitate ad un salto culturale chemette in discussione abitudini e prassi consolidate.In questo quadro si assiste ad un altro fenomeno che sta investendo il settore, ovvero il moltiplicarsi delle denunceper malpractice medica, che colpiscono i singoli professionisti e le strutture sanitarie, con un conseguente incrementodei costi assicurativi e il rischio di una progressiva diffusione della cosiddetta “medicina difensiva”, a sua voltacolpevole di ulteriori aggravi economici.Per arginare il problema, le aziende del settore sanitario stanno investendo su percorsi sistematici di risk management, finalizzati a minimizzare il rischio clinico/sanitario.Il lavoro qui presentato, inserito in un filone di ricerca specifico dell’IRISS-CNR (denominato “L’innovazionecome opportunità per la gestione dinamica del rischio clinico/sanitario”, ndr), si propone di intercettare questedue tendenze convergenti, evidenziando come i due fenomeni (innovazione e gestione del rischio clinico/sanitario)possano essere gestiti con maggiore efficacia in modo coordinato. Infatti, l’innovazione implica un’evoluzione delletecnologie, delle competenze, delle preferenze di tutti gli attori del sistema, che portano a nuove modalità di erogazione delle prestazioni e performance sempre più elevate e complesse. Tali modifiche si riflettono sui profili di rischio,inevitabilmente condizionati dai nuovi strumenti tecnologici, dalle nuove procedure e dai nuovi modelli di servizio.
Studio multifattoriale sulle strategie riabilitative per i disturbi dello spettro autistico a funzionamento limitato
Authors: Tafuri Ranieri Maria
Published: October 2023

Il presente studio intende fornire una brachilogica cornice comparativa riguardo alle più impiegate tecniche riabilitative per le sindromi autistiche, con particolare riferimento ai soggetti con funzionamento limitato. Si propone unavisione multifattoriale in chiave prognostica, all’interno dell’orizzonte interpretativo tracciato dallo psicopatologoinglese Baron-Cohen della mente autistica intesa come extreme male brain. Il paradigma del continuum neurobiologico-psicopatologico consente, infatti, da una parte di abbracciare in guisa convergente molteplici macrostatisticheepidemiologiche concernenti i disturbi autistici, dall’altra di sviscerare pregi e criticità di ciascuno degli approcciterapeutici, i cui risultati vengono documentati nel corpo del presente articolo tramite riferimenti a pubblicazionimediche e ricerche scaturite dall’analisi della letteratura clinica sull’argomento. Si giungerà, quindi, all’acquisizionedi un paradigma riabilitativo polifunzionale e multi-prospettico, nel quale i punti di forza di ciascuna tecnica presuppongono un’integrazione che sia al contempo reciproca e flessibile, e che si ponga l’obiettivo di scorgere nellamente autistica una particolare configurazione neurologica degna di varcare l’inveterata e dicotomica demarcazioneconvenzionalmente professata in ambito psichiatrico tra le categorie del fisiologico e del patologico, nonché in gradodi riconoscere alle terapie uno statuto dinamico-personalizzante ancorché semplicisticamente medicalizzante.
Cefalea cervicogenica e manipolazioni vertebrali
Authors: Scalella Roberto
Published: October 2023

Una revisione scrupolosa della letteratura scientifica più attuale, ed un confronto attento tra i più accreditati studiclinici, con lo scopo di individuare criteri diagnostici e terapeutici basati sulle migliori evidenze disponibili (EBD)“Evidence Based approach” necessari al riconoscimento, trattamento e gestione della cefalea cervicogenica (CH).La correlazione tra disfunzione cervicale e cefalea cervicogenica è un noto dato clinico già da qualche anno,e diversi studi anche meno recenti come quelli di Nilson (2004), Haas. (2010), pur essendo tra loro eterogenei neimetodi, lo hanno dimostrato.Considerando l’assunto di base che la terapia manuale, anche se in maniera empirica, sia sempre stata parte integrante del trattamento di alcune cefalee e in generale delle cervicalgie, l’articolo intende focalizzare l’attenzionesugli studi del Dottor James Dunning (presidente e fondatore di AAMT American Academy of Manipulative Therapy)e del suo gruppo di lavoro tra cui il collega italiano Dr. Firas Mourad (tra i massimi esperti in tecniche manipolativeHVLA), i quali si distinguono dagli altri studi per specificità degli obiettivi e qualità metodologica.Dr. Dunning e colleghi in uno Studio del 2016 hanno evidenziato come in particolare alcune tecniche di manipolazione spinale “High Velocity Low Amplitude Thrust Manipulation (HVLA)” eseguite da Fisioterapisti specializzatisu determinati distretti cervicali e toracici, risultino di maggior efficacia nel trattamento della CH rispetto all’utilizzodi altre tecniche terapeutiche “classiche” come quelle di mobilizzazione e/o esecuzione di esercizi.Efficacia dimostrata non solo dalla significativa riduzione dell’intensità della cefalea (obiettivo primario dellostudio) ma anche dalla riduzione della disabilità, della frequenza degli episodi e riduzione della durata degli stessi(obiettivi secondari).Lo studio di Dunning (2016) può essere considerato oggi tra le migliori evidenze disponibili su cui basarsi perriconoscere e trattare in modo incisivo questo tipo di cefalea in quanto risulta attualmente l’unico studio ad aver messo a confronto diretto l’efficacia di tecniche di manipolazione (HVLA) rispetto ad altre tecniche terapeutiche nellagestione delle CH. Tutto ciò ha un impatto importante sia sulle scelte formative post-laurea che sulla pratica professionale del Fisioterapista il quale, perseguendo un modello di cura virtuoso, deve poter formulare strategie terapeutichepersonalizzate basate sul miglior rapporto costo-efficacia del trattamento, ed evitare che il paziente si sottoponga acicli terapeutici lunghi nei tempi, confusi nei metodi e spesso inefficaci.
Cultura ed innovazione: una proposta per l’uniformità dei prodotti della ricerca dei tecnici di radiologia medica e delle professioni sanitarie tecniche, della riabilitazione e della prevenzione
Authors: Di Trapani Giovanni
Published: October 2023

Introduzione

È in voga un nuovo paradigma operativo che individua opportunità di innovazione in tutti i procedimenti aziendali e professionali; un efficace enforcement che comincia proprio con una gestione corretta dei diritti della proprietà intellettuale. Si stanno delineando forme nuove dello sfruttamento di queste proprietà intellettuali, che superano la vision tradizionale della commercializzazione dei prodotti o servizi e che si concretizzano attraverso le licenze d’uso o per mezzo della mera alienazione dei singoli diritti.

Sono, però, ancora tante le criticità individuabili non solo per le Università e gli Enti di Ricerca ma soprattutto per le piccole e medie imprese italiane. Difficoltà che possono essere ricondotte principalmente ad una scarsa consapevolezza dell’importanza che assume la Conoscenza. La scarsità della conoscenza delle opportunità offerte è di certo alla base del perché le PMI utilizzano davvero in minima misura la proprietà intellettuale. A questo si uniscono costi che sono troppo elevati e che si riflettono sugli esiti incerti delle procedure che rimangono ancora eccessivamente complesse. Alla tradizionale impostazione che vedeva i diritti di proprietà intellettuale concepiti per lo più come entità separate deve necessariamente svilupparsi una nuova impostazione che concepisca i diritti delle proprietà intellettuale come entità collegate ed completamente interdipendenti.

Le trasformazioni in corso nel mondo produttivo richiedono, quindi, un cambio radicale di strategia: occorrono strumenti nuovi più flessibili ed in grado di adattarsi al contesto aperto e dinamico venutosi a creare attraverso la quarta rivoluzione industriale. Una visione nuova che può concretizzarsi solo nel passaggio verso professionisti in grado di rilanciare proprio l’attività di protezione intellettuale. Il problema principale, quindi, delle start-up innovative è, però, rintracciabile nei costi da sostenere nelle fasi iniziali di accelerazione e di sviluppo del prodotto. Entrare nel mercato senza un minimo di tutela non è per niente consigliabile. Per convertire gli asset intangibili in proprietà intellettuale, creando valore, è oggi più che mai indispensabile avviare un sistema di Innovation Plan al fine di evitare di disperdere risorse magari massimizzando proprio il valore del capitale intellettuale.
Il diritto alla salute degli stranieri: strumenti di tutela alla luce della normativa nazionale ed internazionale
Authors: Allocca Roberta
Published: October 2023

Il presente lavoro vuole affrontare ed analizzare il tema del diritto alla salute degli stranieri, trattato alla luce delle convenzioni internazionali che  ne regolamentano gli aspetti salienti, e dell’evoluzione normativa nazionale che definisce l’insieme degli obblighi e delle procedure previsti  in Italia per poter esercitare tale diritto, in un percorso analitico trasversale che delinea un assetto normativo multidimensionale. Si  vuole tentare di fornire uno sguardo ragionato sulla condizione del diritto alla salute della popolazione immigrata presente nel nostro Paese,  sugli strumenti che tutelano il diritto alla salute di queste persone e le modalità con cui vengono applicati nella prassi operativa.
 This work aims to address and analyze the issue of foreigners' right to health, treated in the light of the international conventions that regulate the salient  aspects, and of the evolution of national legislation that defines the set of obligations and procedures envisaged in Italy in order to exercise this  right, in a transversal analytical path that outlines a multidimensional regulatory framework. We want to provide a reasoned look at the  condition of the right to health of the immigrant population in our country, on the tools that protect these people's right to health and the  ways in which they are applied in operational practice.
PEER EDUCATION and salutogenesis with the method of “Salotti del BenEssere®”
Authors: Diamare Sara , Goretti Malvina , Furia Rita , Mantice Marinella , Salerno Marina , D’Ambrosio Maria
Published: October 2023

The curricular lab “La Relazione con l’altro. I Salotti del Benessere”, proper memorandum of understanding byUOC Quality and Humanization of the ASL Napoli 1 Centro at the University Suor Orsola Benincasa, in promotingSelf-Care and the Culture of Well-being, intended to propose a search path - an action that used the Peer Educationmethodology for co-building motivational settings and trans-educational learning in which we started from theobservation of kinetics to analyze the cognitive process generated. Peer Education’s methodology in the studyand training courses that aim to experimenting with embodied education, has enabled processes to be activatedtransformative training of the I-man and the I-Professional/Educator. The fallout educational path on the group ofstudents participants in the lab, was carried out by a team of educators and psychologists, internal and externalpartners of the institution and has predicted over administration of tests, including the participant observation ofthe team and the Peer Educator trained previously. The qualitative assessment and quantitative integrated into themethod “Salotti del BenEssere”, allowed to highlight the health demand of the peer group and the effectiveness healthpromotion actions proposed through a health-promoting process psychocorporeal empowerment that has enabledstudents, future educators, to learning a trans-training mode to facilitate the dissemination of a culture of wellness.
CESM – Contrast Enhanced Spectral Mammography: un nuovo paradigma per la diagnostica senologica
Authors: Stile Stefania , Scarfato Emma , Maiello Vincenzo , Aversano Valentina , Colombo Giovanni
Published: October 2023

Newly, analogic mammography has been completely replaced by digital mammography, which has allowed, with itshigh quality images and high contrast resolution, to improve diagnostic accuracy in screening populations and todevelop applications such as CESM (Contrast Enhanced Spectral Mammography).The topic in this paper concerns the dual energy subtractive digital mammography, with iodinated contrast in adigital mammographic setting, which allows, as in magnetic resonance imaging (MRI), a contrast evaluation of thebreast, highlighting the areas that capture the radiological contrast, typical expression of neoplastic neoangiogenesis.
Il rischio biologico. Punture accidentali da taglio e da punta nel settore ospedaliero
Authors: Abbate Alessandra
Published: October 2023

Biohazard is one of the main risks to which Healthcare professionals are exposed and the most frequent causeis represented by biohazard accidents due to wounds by needles or blades contaminated with infected biologicalmaterial . The consequence can be the diagnosis of severe chronic disease ( Hepatitis B , Hepatitis C or AIDS/HIV) which is classified as a professional disease with legal outcomes . The evolution of technology has made availablea more updated standard safety toolkit , but its general introduction is slow due to its high price . Recently , thisproblem has been legally solved with specific standard Laws applied in Europe ( “ Direttiva 2010/32/EU ”) and inItaly by the introduction of the “ D.Lgs. 81/2008 e smii Titolo X-bis “ protection of wounds from blades and needlesin Hospitals and in Healthcare professional sector “ which includes specific rules to be respected by the ProfessionalJob Director/Manager , with serious legal outcomes . In particular , the Professional Job Director/Manager mustmake a careful evaluation of the risk/biohazard and define the preventive measures to be implemented in professionalpractice and the related First Aid priority procedures to be , consequently , integrated in a Prevention Scheme aimedat improving Safety condition on workplace for the Healthcare Professionals . Obviuosly , this must imply to forgetor either underestimate other types of risks(biohazard exposures , but it must simply make the “ Quality Procedure“ much easier , so that – starting from the main standard priority events – the main goal is to eliminate , or at leastsomehow , reduce all professional exposure to biohazard and /or biological risk .
Early rehabilitation in patients following colorectal resection: effectiveness of yogic breathing and manual therapy vs conventional care
Authors: Di Iulio Antonella , Giovanni Barassi , Monferrante Enzo
Published: October 2023

Introduction Early rehabilitation programs have become an important focus of perioperative management after colorectal surgery with aims of improving patient care, reducing complication rates, and shortening hospital stay followingcolorectal surgery. The aim of this study is to evaluate the efficacy and safety of Yogic Breathing and Manual DiaphragmRelease Technique in early rehabilitation of patients following surgery to remove colorectal cancer.Methods A total of 40 patients with colorectal cancer who underwent colorectal resection were randomly assigned to receive either the experimental protocol (experimental group, EG: n 20 average age 66,5 years) or the stansard postoperative care (standard group, SG: n 20 average age 66 years). In all subjects, postoperative outcomes after seven sessionswere: peripheral oxygen saturation of capillary blood hemoglobin (SpO2), heart rate (HR), Activities of Daily Living(ADL), Short-Form 12 (SF-12) questionnaire, Visual Analogue Scale (VAS) and pulmonary functionality (spirometer).Results The length of postoperative hospital stay and ventilation hours were shorter in patients receiving the experimental protocol compared with those receiving the conventional postoperative care. A better pulmonary functionality, whichis fundamental for reducing lung complications, was recorded in patients receiving the experimental program than inthose receiving conventional care mainly in the percentage of Forced Expiratory Volume in 1st second. A significantlyimprovement of SPO2 and a greater decrement of HR was observed in the EG. To compare with SG, SF12 score afterexperimental protocol showed an improvement of quality of live. There was no significant difference in ADL score whenthe two groups were compared. Patients who received the experimental protocol compared with those receiving thestandard postoperative care showed a significantly reduction of discomfort after surgery.Conclusion Our experience demonstrated that there is the place for cooperation between Yogic Breathing and ManualDiaphragm Release Technique after colorectal surgery. The comparison between the groups showed that the SG hasbeen in a favorable clinical condition to prevent PPCs than the CG group. Thus, this new approach could be used as acomponent of the management of patients who have undergone colorectal surgery for cancer.
App “bioritmo”: sviluppo di un applicativo per la valutazione del rischio biologico
Authors: Maione Tiziana Lucia , Costa Carlo , Russo Martina
Published: October 2023

The Prevention and Protection Service of the University Federico II of Naples, in order to determine the level ofbiological risk for all the exposure scenarios associated with the various university activities, has chosen the risk assessment method developed by ISPRA and published with the ISPRA Manual and Guidelines n. 93/2013: “Criteri edindirizzi per la tutela della salute e sicurezza in tema di valutazione del Rischio Biologico nelle attività istituzionalidelle Agenzie per la Prevenzione dell’Ambiente”. The application called “App.Bioritmo” was developed in order toeasily retrieve the information necessary for the management of biological risk and automate the calculation providedby the algorithm developed by ISPRA. This application incorporates the criteria of the chosen method and implements the flows and the evaluation contents, taking into account the needs connected to the peculiarities of universityactivities with deliberate and potential biological risk, including those that involve the manipulation of GeneticallyModified Microorganisms (GMOs).
Valutazione dell’attività di sollevamento utilizzando le caratteristiche estratte da sensori indossabili
Authors: Varrecchia Tiwana , Ranavolo Alberto , Rotriquenz Giovanna , Draicchio Francesco
Published: October 2023

The manual lifting tasks, which occur in the vast majority of workplaces can cause work-related low-back disorders (WLBDs), that are the most common musculoskeletal problems. Recently, to identify the relationship betweenWLBDs and risk factors, wearable monitoring devices-based biomechanical risk assessments have been proposed.The purpose of this study is to characterize from a biomechanical point of view, using wearable devices other liftingconditions to define, in the future, a risk classification tool that can be applied in each lifting condition. To do this,we recorded electromyographic data of workers during lifting tasks designed to have a growing lifting index (LI=1,2 and 3) by means of revised NIOSH lifting equation. Each lifting condition (LI=1 or LI=2 or LI=3) was obtainedin three different ways modifying the asymmetry angle. We acquired data by using Wi-Fi transmission surface electromyograph (sEMG). From the sEMG signals, analyses of time and frequency domains were performed within thelifitng cycle to extract maximum value, the average rectified value, the mean frequency defined as the gravity centerfrequency of the power spectrum of the signal. The results show that these sEMG data grew significantly with the LIand that all the lifting condition pairs are discriminated. We will test whether machine-learning techniques used formapping features extracted from wearable sensors on LI levels can improve the biomechanical risk estimation duringthese tasks. These findings suggest the use of kinematic and sEMG features to assess biomechanical risk associatedwith work activities can be integrated with methods already used for biomechanical risk assessment.
Integrated rehabilitation in chronic pain
Authors: Younes Alì , Barassi Giovanni
Published: October 2023

A rehabilitation protocol has been developed at the Rehabilitation and Rehabilitation Physiotherapy Center, University of Chieti-Pescara, which provides for the combined use of Frems, Manual Therapy and Cyclotronic Bioresonanceon patients with chronic pain.Chronic pain management represents one of the most important health challenges of the 21st century. According tosurveys, it is estimated that one in five Europeans suffers from it and that 26% of the Italian population is affected bythis pathological status, to the point of believing its treatment has become a priority for our national health system.Pain - which is nothing but one of the symptomatic manifestations of the disease, therefore a consequence of a preexisting / previous pathological state - represents one of the main discomforts as regards the life of patients, being, inthis perspective, the due to a significant deterioration in the quality of the same. Improper or absent pain managementcreates significant physical, psychological and social effects; moreover, considering the lost working days, it can alsohave an important economic impact.The identification of a therapeutic model capable of guaranteeing effective analgesic treatment for the population iscertainly a crucial objective, which can only be achieved through a better preparation of the medical profession, aswell as promoting the creation of appropriate service networks, aimed at involve all health professionals.