bluuebunny/crossref_metadata_2025 huggingface dataset:
Weight Bearing CT and Relative Orientation of Foot Bones: Effect of Loading and Heeled Shoes
Authors: Sandu Elena Cerasela , Caravaggi Paolo , Durante Stefano
Published: October 2023

The purpose of this article is to determine the orientation and relative position of the foot bones in Weight BearingCT, highlighting the effect of the load and the shoe with the heel. Thanks to a Cone Beam CT (OnSight 3D ExtremitySystem, Carestream) equipment, three scans of the foot of a healthy young subject were carried out in three conditions:“unloading”, “loading”, and wearing a shoe with “heel”. In order to assess the accuracy of the articular angles ofthe foot through non-invasive measurements, a measurement was performed by Gait-Analysis with passive markers inthe same conditions. The effect of the “load” resulted in a significant alteration of the foot posture especially in thesagittal plane, with crushing of the longitudinal medial arch. The heeled shoe involves enormous deformations at thelevel of the metatarsophalangeal joints and the ankle.
The TSRM on the front line to face the Covid-19 emergency
Authors: De Fronzo Alessandro
Published: October 2023

Covid-19 infection is strongly increasing, becoming an emergency at a global level: the incredible number of infections as well as the large number percentage of deaths forced the WHO (World Organization of Health) to declare thepandemic emergency, pushing a large part of world governments to adopt important security measures.The whole medical-health community has the duty to deal with the emergency by considering that the infection has ahigh viral load which causes an easy diffusion, especially among health workers, currently the subjects more exposed.To avoid infection it is important to ritualize your own professional practice with specific protocols and maximummeans of prevention and protection.The clinical background of the most serious infected patients is actually characterized by a chest imaging due to interstitial pneumonia, this circumstance gives radiology a key role in the battle against this enemy that is still completelyunknown.The Radiographers are among the most exposed categories in the healthcare landscape as they are they operate withdirect contact to the patient during radiological examinations, that is although they are not always properly trainedfor this kind of events.This work has an ambitious claim to clarify which are the indispensable PPE(personal protective equipment), but above to point out all behaviors and procedures to be implemented to avoidcontagion and contamination of the workplace.
Come eseguire lo studio cardiaco T2 star pesata di risonanza magnetica per gli accumuli di ferro nella talassemia
Authors: Martini Alberto , Morelli Giovanni , Nappa Elena , Notorio Maurizio
Published: October 2023

The aim of the study is to show how to execute a cardiac T2* MRI assessment correctly in patients who suffer fromiron overload in vital organs, particularly in the heart.The main cause of iron overload is Thalassemia, the disease which is widely spread in the Southern and Middle partof Italy, as well as the Mediterranean coast.Researchers have demonstrated that patients who suffer from thalassemia might have an excessive and toxic ironoverload which could lead to heart failure and death.Thanks to the T2*single breath-hold multi-echoes sequence, using a dedicated software, the patients’ myocardial irondeposition can be classified into three groups:T2* MRI < 10 ms ( high risk group)T2* MRI =10-20 ms ( medium-risk group)T2* MRI > 20 ms (low-risk group)This measure called “saturation time”(expressed in 1/1000 sec.), also allows physicians to customize medical treatment for every patient, same as a good tailor does to make a new dress fits well on every single client.However, to obtain precise and reliable results, radiographers first and radiologists afterwards, must respect everysingle technical parameter in MR techniques
Current role of imaging in the management of children with Wilms tumor according to the new umbrella protocol
Authors: Varchetta Giovanni , Mei Sara , Tanzillo Paolina
Published: October 2023

Wilms tumor is the most common primary renal tumor in childhood. Children with Wilms tumor typically presentwith an asymptomatic abdominal mass, usually detected on a routine medical checkup or discovered coincidentallyby parents. The initial differential diagnosis is with extrarenal abdominal masses; once a tumor of renal origin isestablished, distinguishing between Wilms tumor and other primary renal neoplasms such as congenital mesoblasticnephroma, clear cell sarcoma, malignant rhabdoid tumor and renal cell carcinoma may not be easy.However, in many cases imaging findings in conjunction with the patient’s clinical and epidemiological data, allowthe diagnosis of Wilms tumor. Wilms tumor care offers one of the most striking examples of success of pediatric oncology. Over the last decades the European SIOP studies have been the key to developing standardized diagnosticprocedures, improved risk stratification, and adjusted treatment recommendations for children with Wilms tumor andthis has resulted rate of overall survival is currently greater than 90%. As in previous SIOP trials and studies, the newprotocol for the diagnosis and treatment of childhood renal tumors, the UMBRELLA SIOP–RTSG 2016, mandatespreoperative chemotherapy without preceding mandatory histological assessment.Therefore, imaging studies are essential to obtain a presumptive diagnosis of WT, to provide disease staging information and to measure the tumor volume after neoadjuvant chemotherapy for the purposes of postoperative treatmentstratification. This review describes role of imaging in the management of children with Wilms tumor, according tothe current recommendations of the UMBRELLA protocol.
Between perception and reality: BMI in adolescence
Authors: Margarito Alessia , Guaitoli Eleonora , Di Trapani Giovanni , Petrucci Lorenzo
Published: October 2023

Adolescence is the transition period from childhood to adulthood, which involves a transformation of the body. It isin this exact period of time that one’s body image starts to develop. Body image is influenced by social, psychologicaland emotional factors through interaction with peers, parents and the mass media. In the adolescent this causes aconstant comparison between their own body and the ideal one, resulting in developing an idea of self which maylead to a sense of dissatisfaction with their own physical form. Such behaviour, in serious cases, may interfere withthe everyday life of the individual.The following observational, descriptive, retrospective and multicenter study was created with the aim to describe thereality of adolescents regarding BMI, this by examining a sample consisting of 422 students in total, whom 266 weremales and 156 were females, aged between 17 and 19 years.The students were given a paper questionnaire from which we later obtained the following data: gender Q1, age Q2,height Q3, body weight Q4 and perception of their BMI Q5.The significance of the observed and calculated data was evaluated by the Pearson chi-square test, and a p-value<0.05 was considered to be statistically significant.The statistical processing of the data allowed us to respond to the first objective of the study, namely to observethe BMI perceived by each individual student and the actual BMI. The second objective was to examine the alteredperception of BMI, if overestimated or underestimated. Finally, the third objective was to analyse the distribution ofactual and perceived BMI among the male and female population in relation to their age.The females, in general, have a more altered perception than the male population. This phenomenon takes on oppositeconnotations: in fact, the female sex is characterized by an overestimation, while males tend to underestimate theirBMI.
New perspectives for educational care in the hospital
Authors: Ferro Laura , Marchini Grazia , Inclimona Cristian , Doria Serena , Santoro Caterin
Published: October 2023

In places of treatment there are echoes of needs that are unexpressed or that have not been reached, as Lido Valdrè1claims, contemporary medicine has reached extraordinary levels of knowledge and operational capacity, yet the relationship between the patient and medicine is yet to be fully comprehended.In the specific regulations of the medical-health professions, among the most distinctive aspects emerges the relational-educational one: health education, therapeutic and prevention education, development of empowerment in thepatient. The hospital, being a complex organization in continuous change towards modernity, hyper-specializationand research, often declines the requests of the staff to be a more mobile and flexible structure, to keep up with theneeds of the territory, time and users.This a frequent request of high demand that does not always correspond to the availability of resources that are athand. The professional world is considering the possibility of the insertion of a new kind of knowledge, rather of aprofessional figure of human relationships within the health field. This thought is what has prompted the ResearchCentre for Pedagogical and Educational Care and the Degree Course in Professional Education of the University ofInsubria to take action with the creation of a project of investigation and experimentation in this specific field.Different hospitals and different departments are required as internship settings for students.From the many experiments gathered in the projects produced by the students and from the evaluations and referencesobtained by health care workers, it is possible to hypothesize that the Professional Educator can work with sense andbenefit of the subjects involved in the process of care in a hospital environment: a reference figure for the processes ofreception, stay and resignation, someone capable of picking up needs and noticing fragility, a proposer of strategiesand procedures for intervention and mediation, a curator of the environment and facilitator of relational dynamics.
Le competenze avanzate del Tecnico Sanitario di radiologia medica
Authors: Di Lascio Antonio
Published: October 2023

Il profilo del TSRM, è mutato è mutato, nel corso degli anni, fino ad esercente la “professione sanitaria”, individuata sulla base di un preciso profilo legislativo (L. 31 gennaio 983 n. 25, DM 26 settembre 1994 n. 746 del 1994,L. 10 agosto 2000 n. 251), con l’ affermazione, dello status di “Professione intellettuale” (art. 2229 cc, l. 42/19991e l. 251/2000), come per tutte le altre professioni sanitarie, adesso ordinate e sottoposte alla vigilanza del Ministerodella Salute, a seguito dell’entrata in vigore della L. 3/2018.L’evoluzione organizzativa, professionale, la collaborazione multiprofessionale richiesta, lo sviluppo tecnologicoe i progressi della ricerca scientifica in ambito clinico-sanitario, ha comportato per le professioni sanitarie, ed inparticolare per il TSRM, l’espletamento di alcune competenze avanzate. Lo scopo del presente lavoro è illustrarel’attuale posizione giuridica del TSRM e presentare alcune esperienze, in cui, il TSRM è chiamato a svolgere cosid1Art. 1 della L. 42/1999 “il campo proprio di attività e di responsabilità delle professioni sanitarie … è determinato dai contenuti dei decreti ministeriali istitutivi dei relativi profili professionali e degli ordinamenti didattici dei rispettivi corsi di diplomauniversitario e di formazione post-base nonché degli specifici codici deontologici”.
Quality of Life assessment among children and adolescents with Cerebral Palsy. An observational descriptive study in the city of Naples and its surroundings
Authors: Marino Simone , Scuotto Luciana
Published: October 2023

This study aims to assess the Quality of Life in children and adolescents with Cerebral Palsy in the city of Naples andits surroundings.We have tried to photograph the QoL of subjects with cronic pathology in a specific social context and historic moment, and, if possible, delegate the priority areas of intervention and the actions for QoL improvement to other studies.PedsQL 4.0- Generic Core ScaleTM was the main tool for the assessment of QoL in young subject with CP, which hasbeen added to a personal data sheet.The sample has been stratified according to the severity of disease as reported by the Gross Motor Function Classification System (from level I to V, in order of increasing severity), to age group as reported by PedsQL questionnaire(8-12 years and 13-18 years) and finally by gender.The statistical analysis assesses the differences in the median values related to age, Physical Score, PsychosocialScore and Total Score, of all groups whose p value to the U Mann Whitney or Kruskal- Wallis test is less than 0.05.27 patients, 13 males and 14 females, and their caregiver who are all mothers, were enrolled; of these 27 patients, 18are between 8 and 12 years old and 9 are between 13 and 18 years old.4 of these patients due to the presence of cognitive impairment were not able to answer the questionnaire, so only theinformation given by the caregivers were taken into account.Referring to GMFCS, 11 patients are evalueted as level I, 5 patients as level II, 1 as III, 3 patients as IV and 7 patientsas V.Patients come from 5 Physical Rehabilitation centers in Naples and its surrounding.Significant differences were found between patients from 8- 12 years and 13-18 years, where the adoloscents reporteda drastic drop of Quality of Life (p= 0.22 on Total Score).Furthermore, the initial hypothesis about the inverse proportionality between decrease in QoL and the severity ofpatology (evalueted with GMFCS) is confirmed, both from what reported by patients and their caregivers (p= 0.014in Total Score for both groups).Finally it was found that the caregivers of patients with low severity of patologhy (level I and II) understimate theQuality of Life of their children, both in Physical funcitioning (p= 0.02) and in the Total Score (p= 0.04)The international literature agrees with result shown by this work and this allows us to ask question that can be sharedeven beyond the national borders.Moreover, this small sample study can be a starting point for a future multicentric survey on regional territories, inorder to allow an assessment of the Quality of Health assistance and to found any discrepancies.
The importance of perception of occupational risk to reduce the accident phenomenon: an analysis of the variables
Authors: Misale Fiorenza
Published: October 2023

The perception of risk is to be understood as the ability to identify a source of danger as soon as possible. It is a personal process, so it is we who decide to face or avoid the risk situation in a subjective way.This process conditions actions, behaviors, assessments, choices about an entity or a potentially dangerous situation.The subjective perception of risk is not linear and is not directly proportional to the increase in the dangers; it issubject to influences and distortions and is linked to psychological, cultural and social aspects.Not always all aspects of a risky situation are perceived and this can lead to an overestimation or underestimationof the risk.I reported the main studies that analyzed the correlation between risk perception and some variables: Being employedor not, gender, socio-political factors, age, level of education, income level, training and perception of risk, healthstatus, knowledge of risk, previous injuries, possibility of job control and perception of risk, work experience / seniority, attitude in the workplace, exposure to risk factors, tasks in the same workplace, adoption of adequate protectivebehaviors, job satisfaction.Thinking about safety from a technical and technological point of view is certainly very important but it is not a sufficient condition, behind every accident we have an individual who makes decisions for which it is fundamental, inorder to address the issue of health and safety in a integrated, also consider the man variable in its entirety.
Home respiratory rehabilitation: a purposes literature review focusing on the clinical pathway management
Authors: Civitillo Claudio , Romano Angelo , Di Lorenzo Lugi
Published: October 2023

Clinical Care pathways, also known as critical pathways, integrated care pathways, case management plans, clinicalcare pathways or care maps, are used to systematically plan and follow up a patient focused care program. Clinicalpathways are used all over the world and so for respiratory rehabilitation pathways (RR) and the importance ofknowledge and learning Evidence Based Practice (EBP) is well known and mandatory. However, the EBP acquisitionsof the home RR model and the knowledge of Clinical Care Pathways (PCA) are poorly defined.This study aims to conduct a narrative review of the literature to identify the content of several studies eitherRandomized Controlled Trial (RCT) and Systematic Reviews (RS)Data was extracted from the PubMed source. The RCT-RS articles selected according to the inclusion-exclusioncriteria, period 2009-2019, had as their primary focus the RR and PCA in the home setting16 articles, out of the 1354 citations detected, met the inclusion-exclusion criteriaA total of 13 RCTs and 3 RS describe current knowledge. Elements of the home respiratory RR model are commoncompared to clinical conditions such as stable, severe, very severe chronic obstructive pulmonary disease (COPD),with hypercapnic respiratory failure and other respiratory diseases. The home RR intervention is clinically significantfor quality of life, dyspnea, exercise performance, self-sufficiency, anxiety and associated depression. PCAs in homerespiratory RR are absent. Limits were the use of a single database for research starting from 2009In order to define the types of international and regional home respiratory treatments, given the absence of PCA inthe field, it was concluded that the variability in clinical practice of approaches and pathways limit their effectiveness.
Evidence-based Practice (EBP): beliefs, knowledge and behavior of physiotherapists. A survey research.
Authors: Collebrusco Luca , Gambacorta Andrea , Visciano Gennaro
Published: October 2023

An analytical observational study was conduct using a web-based questionnaire. Evidence-based practice is one of the most relevant  concern of all health professions. This research has been done taking account of demographic information, attitudes and skills in  reference to Evidence Based Practice (EBP) for application in the daily clinical practice. To describe beliefs and behaviors of  physiotherapists from two Italian regions about EBP and its implementation in clinical practice, their knowledge in this field and the  perception of its benefits and barrier in application in clinical practice. The participants completed a designed questionnaire, whose  purpose was to determine beliefs, attitudes, knowledge, and behaviors regarding EBP, as well as demographic information about  themselves and their practice settings. This survey was activated through the TSRM-PSTRP registers of Marche and Umbria regions that sent the questionnaire to all the registered physiotherapists. There was a response rate of 7.64% for Marche region, equal to a  sample of 132 physiotherapists, and a response rate of 12.99% for Umbria region, equal to a sample of 110 physiotherapists, for a total  sample of 242 physiotherapists. The questionnaire was filled out through an online Google platform called “Forms”. The responses  were summarized for each item and the logistic regression analyses and the chi-square test were used to examine relationships  among variables. The respondents agreed that the use of evidence in practice was necessary, that the literature was helpful in their  practices and that the quality of patient care was better when evidence were used. For physiotherapists from Umbria, with more than  15 years of qualification, the following answers are statistically significant (p<0.05): “the application of EBP is necessary in the practice  of physical therapy, EBP helps me making decisions about patient care and I actively seek practice guidelines pertaining to areas of my  practice and EBP improves the quality of patient care”. For physiotherapists from Marche, with more than 15 years of qualification, the  following answers are statistically significant (p<0.05): “EBP helps me making decisions about patient care, I actively seek practice  guidelines pertaining to areas of my practice and I am confident in my ability to find relevant research to answer my clinical  questions”. Training, familiarity with and confidence in search strategies, use of databases, and critical appraisal tended to be  associated to younger therapists with fewer years of qualification. Physical therapists stated they have a positive attitude about EBP  and they are interested in learning or improving the necessary skills to implement EBP. They noticed that they needed to increase the  use of evidence in their daily practice.
The importance of the management system of the diagnostic health professions and action strategies
Authors: Rossetti Filippo
Published: October 2023

The Italian national health system, in addition to being a world-class excellence, over the years has become increasingly competitive and dynamic, pushing those who coordinate and manage to have to work alongside staff figures and the most suitable tools to face the most pressing needs and contingencies strategic and operational. For this reason, the National Health Plan (PSN), the Regional Health Plan (PSR) and the National Prevention Plan (PNP) have been identified as the main planning tools, which are the basis of health planning at all levels, from that National to regional and local. The figure of the Head of the Health Professions and, specifically, that of the technical-diagnostic area, in the context of complex health systems such as Healthcare Companies and Hospitals, is indispensable within the strategic staff and as a necessary figure for the implementation of the programming and coordination of activities. Moreover, it is essential to deal with the fundamental issues regarding processes and work cycles by building, on these bases, the concept and importance of the choice of the management system according to advanced skills and thanks to the possession of a strong managerial culture.
Comparative study of different Gd-EOB-DTPA flows as a solution of the Gibbs Arterial Phase artifact in liver MRI
Authors: Curatolo Calogero , Santoro Vincenzo
Published: October 2023

The purpose of this study was to compare three different injection rates to improve the quality of the arterial phaseimages in the MRI imaging of the liver with Gadoxetico Acid (Gd-EOB-DTPA) and, in particular, how these affectand/or mitigate Gibbs artifact.
Motor intervention and autism: one way, several domains of effectiveness
Authors: Flori Valeria , Angeli Bruno
Published: October 2023

In the literature, a delay in the development and acquisition of motor skills is generally described in children withautism spectrum disorder, affecting between 50% and 80% of this population. In spite of this high frequency of occurrence, motor difficulties are not yet considered in the same way as the core deficits of this disorder (difficulties insocial interaction, communication and behavior); addictionaly, there is not yet enough research about the efficacy ofa specific intervention that can support the development of motor functions compromised in autism.Recent findings, which support the correlation between motor domain and other areas of development (social andcognitive), together with other evidence that underline the benefits of practicing motor activities on the individual’swell-being, lead us to re-evaluate the effects of motor intervention for autism.To define the salient points of this kind of intervention, with particular attention to rehabilitation practice, a literaturesearch was carried out on four different databases, which sifted through 602 bibliographic citations and found 10studies that were able to meet the set research purposes.This review showed that physical activity in autistic children not only improves motor performance, but also plays animportant role in the social, cognitive and behavioural development, as well as helping to reduce some secondary orassociated symptoms, such as stereotypies or sleep disorders.
Social issue of disability at the time of the coronavirus: a new tool the ‘Italian SIPPS Guide on disability protection’
Authors: D’Antonio Carmine , Lelli Romeo
Published: October 2023

This work give the example of synergic long-term approach to play a stabilizing role of the eco-system involved in the context of family  with problems of disability. The Guide is the first initiatives aimed at making the eco-system grow by encouraging circulation of knowledge resulting from multidisciplinary skills. Between the highlights, there is a current insurance gap and the necessity to ensure  the availability and affordability of new products and services. The Guide improve the concept of social sustainability within dialogue  and concertation.
The main characteristics of the insurance market for longevity risk: a literature review
Authors: Starita Maria Grazia
Published: October 2023

Longevity risk is the probability of surviving more than own financial resources. This paper aims to define the characteristics of the  insurance market for longevity risk. First, it identifies the aging of the population between the OECD countries and the need for long- term care services (i.e., their quality of life). Second, it tries to summarize the main characteristics of the insurance market for longevity  risk from the literature point of view. According to the financial literature, the market to ensure the aging population’s long- term needs can be considered a puzzle as there are some constraints from the two sides of the market. From the demand point of  view, two issues limit the request for insurance products: the role of the State and misunderstanding about the exposure at risk by the  population. At the same time, there are other constraints from the supply point of view: the adverse selection and moral hazard issues  that impact the pricing of longevity risk. All these constraints limit the growth of this market. Third, it identifies some suggestions for  further investigation in the growing field of financial literature. This paper contributes to the existing literature by identifying the  constraints that avoid the insurance market’s growth for longevity risk and by remembering some solutions to reassess the role of the  welfare state.
Organizational model in first AID
Authors: Cimmino Olimpia , Giamundo Vittoria , Carbonaro Davide , FalconioLucio Marcello
Published: October 2023

The reason why we have undertaken this type of work comes from having become aware of the profound state ofdiscomfort experienced, and therefore it is possible to find the strength to take the real path, overcoming the currentpatterns, which unfortunately, still see the profession . for homework.The multicentre study, carried out on the topic of Nursing Records, significantly accelerates the timing of this historicstep, so that the culture of innovation, creativity and change is enhanced and embraced.Analyzing the nursing work situation, I noted the need together with a group of colleagues and a coordinator, belonging to the same Hospital, to propose the inclusion of an innovative Nursing Record, so that a professional contribution was formed by the staff nursing and, from this, the activation of multidisciplinarity and, at the same time, therecognition of the usefulness of the role of the nursing figure and of the valid collaboration within the health teamtook off. The working group was formed on a specific project, focused on the design and drafting of the Nursing Record, anoperational tool designed and managed by the nurse (in collaboration with the coordinator), used to collect usefulinformation regarding each patient individually.This tool was indispensable for the elaboration of an assistance plan that takes into account the social, cultural andwelfare context in which it is developed, guaranteeing the continuity of services.Since it appears necessary for a Nursing Record to be built by the team , the need arises to have common indicationsregarding its design and drafting.
The assessment of emotional competence in neurodevelopmental disorders through TEC I
Authors: Martino Federica , Cerroni Francesco , Della Corte Giuseppina , Carotenuto Marco , Nocerino Ludovica Cira , Piperno Catiuscia
Published: October 2023

In the field of neurodevelopmental disorders, the use of a standardized assessment test - TEC I - has proven the complexemotional variability of each individual validating and expanding the theoretical psycho-affective assumptions (drawnfrom direct observation of subjects with typical development) in children belonging to different nosographic categories.The data obtained through singular and comparative analysis of the subjects not only promote new insights into the influence ofthe emotional sphere in the construction of personality and learning of typical and atypical growing children, but suggest theemergence of new rehabilitation procedures and therapeutic objectives to be achieved and undertaken
Fonoaudiologia Estética: interface entre Motricidade Orofacial e Estética da Face
Authors: Ribeiro Lepri Juliana
Published: October 2023

A Fonoaudiologia tem colaborado para a estética facial na medida em que modifica posturas , recondiciona osmúsculos , redefine contornos e reprograma as funções orofaciais, favorecendo o equilíbrio necessário aliandosaúde e bem estar em um mesmo contexto. De resultados obtém-se, uma face mais harmoniosa sem perder assuas características individuais . É uma alternativa natural e não invasiva para atenuar os problemas estéticos,buscando o equilíbrio da musculatura da face das funções vitais do organismo (respiração, sucção, mastigação,deglutição) e sociais (fonação e articulação), que são de extrema importância para a manutenção de todoo equilíbrio físico-biológico do ser humano. À luz da Fonoaudiologia, serão discutidos os fundamentos debase da Motricidade Orofacial que justificam e permeiam a Fonoaudiologia Estética como uma possibilidade deintervenção voltada aos aspectos estéticos da face .
Attività professionalizzanti nei corsi di Laurea in Educazione Professionale – SNT-2. Studio trasversale delle 14 esperienze universitarie italiane di Medicina e Chirurgia per la formazione dell’Educatore Professionale
Authors: Crisafulli Francesco
Published: October 2023

Lo studio svolge un’analisi trasversale dell’offerta formativa, delle attività professionalizzanti e di alcuniindicatori di andamento, dei 17 Corsi di Laurea per Educatore Professionale Snt-2, attivi in 14 atenei in Italia. Leproposte didattiche del settore scientifico disciplinare di riferimento MED/48 e le esperienze del tirocinio curriculare,sono esaminate in forma comparata tra i corsi con l’obiettivo di verificarne la coerenza con i problemi prioritarisocio sanitari, le funzioni e attività delle “Core competence” della professione. Peculiarità, punti di forza e alcunecriticità sono evidenziati nello studio relativamente alla situazione complessiva della figura professionale.I Corsi di Laurea fanno registrare un buon andamento di alcuni indicatori strategici come l’occupabilità deilaureati e la coerenza con le “Core Competence” dell’EP, nel ventesimo anno accademico di istituzione del corsosanitario in ambito accademico.
Evaluation of different contrast medium injection techniques in the Angio-CT study of the lower limbs in patients with obliterating arteriopathy
Authors: Di Basilio Francesco , Canitano Stefano , Micheli Cinzia , Bifarini Roberta , Aguzzi Gilberto , Camerini Erika , Caprioli Gianluca , Iacoboni Francesco , Castrogiovanni Marco , Raimondi Cecilia , Bracci Matteo
Published: October 2023

The need to write this article was born with the aim of optimizing the Angio-CT study protocol of the lower limbs, comparing two Mdc  injection techniques: standard and split bolus, performing a parameter check vital collected before and during injection of the Mdc in  order to establish the plateau between reaching the peak of enhancement during the smartprep and the start of the scan. Then well  defined parameters are assigned for the evaluation of the images obtained with the different techniques. In the study the inclusion or  exclusion parameters of the patient are defined, recruiting 133 cases. The Split Bolus injection technique is optimal together with an  accurate evaluation of the patient’s vital parameters. Although appreciating the excellent results, the limits of this study are also  described.
APPLICATION OF RADIAL ACQUISITION MULTISHOT SEQUENCE IN MULTIPARAMETRIC MRI OF PROSTATE
Authors: Curatolo Calogero , Pizzolato Mariangela , Daricello Marco , Caruso Virginia , Lo Re Giuseppe , Salvaggio Giuseppe , Galia Massimo
Published: October 2023

The purpose of our study is to evaluate the T2 weighted sequence with multishot radial sampling (Radial AcquisitionMulti-shot) also known as Multivane sequence in Philips Healthcare, introduced by J.Pipe with the aim to minimizemotion artifacts in Magnetic Resonance Imaging (MRI).In the field of prostate MRI the Multivane sequence is useful in non-cooperating patients and/or patients who, dueto their clinical conditions (such as glaucoma, arrhythmia, and severe benign prostatic hypertrophy), have not beenreceiving intravenous antispasmodic agents, administered for limiting the motility of intestinal loops, particularlyrectum.The Multivane sequence is based on the collection of data throughout parallel multiple lines in periodic rotationaround the center of k-space and advanced mathematical reconstruction. As the data at the center of k-space (lowfrequency) containing signals with maximum amplitude will be continuously sampled, this trajectory will provide anexcellent contrast-noise ratio (CNR) and spatial resolution, without motion artifacts responsible of “blurring” in thefinal image. Specifically, each given point of the periphery of the k-space will be sampled by a certain line and thenext one and so on, and for the final image reconstruction, once multiple data will be estimated, different algorithmswill be used to compensate for motion artifacts.In this study we compared the Radial Acquisition Multishot TSE Multivane (Philips Healthcare) with the classic T2WTSE sequences with linear Cartesian sampling. Multivane sequences have proven to be superior and therefore ofgreater utility compared to sequences with linear Cartesian data sampling, in patients who can not receiving spasmolytic agents.
The role of active training programme and passive physiotherapy treatment in athletes with groin pain: literature review
Authors: Collebrusco Luca , Marcelli Giacomo
Published: October 2023

Background: Groin pain is a very common issue in professional and non-professional athletes. The complexity of the rehabilitation approach is due to the number of anatomical structures that can be involved, and the multifactorial cause of GrP. Objective: To verify, through a narrative review of the literature, the role of the Active Training programme (AT) and Multi Modal Treatment program (MMT) in the conservative treatment of GrP. Materials and Methods: The research was carried out by a single operator through a review of the literature of the last 25 years in databases such as Medline, Pubmed and PEDro. Only RCTs with a minimum score of 5/10 in the PEDro Scale were included. The research started in March 2021 and ended in May 2021. Results: 75 scientific articles were obtained from an initial research,. After removing duplicates and reading title and abstracts, 4 studies were selected and reviewed. The first study aims to test the effectiveness of TA compared to passive treatment. In the second and third AT is compared with MTM. The fourth study looked at the long-term effectiveness of TA. Conclusion: According to
Refocus flip angle modulation on the pd tse sequences in the magnetic resonance imaging of the knee, for the evaluation of meniscal injuries
Authors: Curatolo Calogero , Lisanti Sara , Daricello Marco , Caruso Virginia , Candela Fabrizio , Cimino Pietro , Spoto Italia , Cutaia Giuseppe , Lo Re Giuseppe , Galia Massimo
Published: October 2023

The Radiofrequency Refocused Echo Spin-Echo Echo-Train Rapid-Acquisition sequences, known as Turbo Spin Echo(TSE) or Fast Spin Echo (FSE) are the most commonly used sequences in Magnetic Resonance as they provide anotable contribution in morphological and anatomical terms, thanks to their high spatial and contrast resolution.Furthermore, they allow a higher signal noise ratio than the other families of sequences thanks to the numerous refocusing pulses and thanks to a TR so long as to allow sampling as many K-space phase encodings as possible and witha complete recovery of the Longitudinal Magnetization. Finally, the multiple 180 ° pulses of these sequences reducethe inhomogeneities of the Magnetic Field by minimizing the phenomena of magnetic susceptibility. However, theirapplication, especially in scanners with a high intensity of static magnetic field B0 (1.5T and/or 3T) is prevented bythe deposition of RF due to the long echo trains, which sometimes involve exceeding the limits of the specific absorption rate (SAR) for patient safety. Over time, a common solution to the SAR problem has been the use of refocusingangles smaller than 180 ° (160 °-140 °-120 °), which lead to its reduction at the cost, however, of an obvious penaltyin terms of signal-to-noise ratio (SNR). In this study we present a modulation method of the Refocus Flip Angle applied to the DP-TSE sequences in the evaluation of meniscal lesions in the study protocol of the Magnetic Resonanceof the Knee, which exploits the phenomenon of the Pseudo-Steady-State (PSS), leading to a noticeable SAR reductionwithout loss of SNR and also providing excellent contrast resolution.
Implementation In The Campania Region Of The Screening For Cancer Of The Uterine Cervix Using HR-HPV
Authors: Cimmino Olimpia , Cacace Simona , Falconio Lucio Marcello , Marzocco Adele Maria , Capasso Giusy , Cecere Nunzia , De Benedictis Andrea
Published: October 2023

Oncological screenings: The screening program consists of the free and active offer (personal invitation) to the population, at risk by age, of practices that have proved to be able to significantly affect the natural history of the disease(reduction of morbidity and mortality) maintaining A convenient relationship between costs (economic, psychological, social) and the benefits (Omswilson, 1968). Oncological screenings organized currently active in our country are:The objective of oncological screening programs is the reduction of mortality.According to the national guidelines (PNLG) “the assumptions that are the basis of the offer of an oncologicalscreening test to a hypothetically healthy population are:1. that it is possible to identify the neoplasm, if present, when still asymptomatic;2. that this anticipation of the diagnosis translates into a concrete benefit, first of all in terms of survival extension.Always the PNLG in the document at the evaluation of services stresses that:“Screening by nature is a tool that requires caution, because it proposes to asymptomatic people, who have a perception of their positive health, a diagnostic test that can reveal the presence of a cancer in its latency period”. For thisreason, another professional figure represented by the “psycho-oncologist” has also become part of the last decade.As we see below the screening of the uterus’s neck cancer falls more than others in the two requirements (A and (Bfirst mentioned. Tumors that affect the uterus must be distinguished in cervix cancers and body tumors based on thesegment that comes Struck by neoplasm. This work will pay attention to the first group, which by natural history, riskfactors, incidence, clinical trend, therapy and finally survival. For many years, it has been the subject of public healthinterventions aimed at its Primary and secondary prevention.
СКЛАД ОРГАНІЗАЦІЙНО-РЕСУРСНОЇ БАЗИ ПРОВАДЖЕННЯ ІННОВАЦІЙНОЇ ДІЯЛЬНОСТІ ПІДПРИЄМСТВ
Authors: Данилович Олена , Ємельянов Олександр
Published: October 2023

Визначено основні складові організаційно-ресурсної бази провадження інноваційної діяльності підприємств. До цих складових віднесено сукупність ресурсів, необхідних для здійснення інноваційної діяльності, наявні взаємозв’язки між ними, способи використання цих ресурсів, а також компетенції щодо управління такими ресурсами. Запропоновано групування видів компетенцій з управління ресурсами інноваційної діяльності підприємств.
INNOVATIVE DEVELOPMENT OF ENTREPRENEURSHIP IN THE CONDITIONS OF EUROPEAN INTEGRATION
Authors: Zabashta Eugeniy
Published: October 2023

Today, the concept of “innovative development of entrepreneurship” is gaining popularity in EU countries and the world. The innovative development strategy attracts the attention of scientists, entrepreneurs, investors, and business representatives. The innovative process of entrepreneurship development plays an important role in the modern economy. Creating appropriate incentives for the spread of innovative entrepreneurship in Ukrainian business is becoming one of the key tasks of the country’s economic development.
THEORETICAL AND APPLIED APPROACH TO REFORMING THE SYSTEM OF ADMINISTRATIVE SERVICES AS A KEY FACTOR IN THE TRANSITION OF UKRAINE TO THE CONCEPT OF A «SERVICE STATE» IMPLEMENTATION
Authors: Sydorenko Nataliia , Pakulova Tetiana , Naumyk Anton
Published: October 2023

the given work examines  theoretical and practical aspects of reforming the administrative system services in the context of Ukraine’s transition to the implementation of the concept of a «service state», innovative forms and methods of public administration, etc.
ПІДВИЩЕННЯ ЕФЕКТИВНОСТІ ГРУПИ ШЛЯХОМ СОЦІАЛЬНО-УПРАВЛІНСЬКИХ ІНСТРУМЕНТІВ
Authors: Гречишкіна Тетяна , Якименко-Терещенко Н.
Published: October 2023

Актуальність використання соціально-управлінських інструментів в менеджменті може змінюватися відповідно до певних факторів, включаючи конкретну організацію, галузь, технологічні зміни та суспільні тренди.
УПРАВЛІННЯ РОЗВИТКОМ ТЕРИТОРІАЛЬНИХ ГРОМАД В УМОВАХ ДЕЦЕНТРАЛІЗАЦІЇ ВЛАДИ
Authors: Галкіна Дмитра , Новікова Наталія
Published: October 2023

Запорукою сталого розвитку нашої молодої та незалежної країни можуть бути лише своєчасні та ефективні реформи, що забезпечать перехід від застарілих, радянських  методів управління державою до більш ефективних, економічно обґрунтованих, направлених на європейські цінності методів. Однією із важливіших таких реформ, започаткованих в Україні, стала децентралізації влади, яка, поряд з іншим, має на меті забезпечити стимулювання розвитку інституту територіальних громад. Однак, на даний момент, Україна ще значною мірою залишається в рамках радянських стереотипів і рудиментів, що призводить до відсторонення сільських територій від економічного розвитку, особливо в віддалених регіонах.
ELECTRICAL CONDUCTIVITY OF LIVER TISSUE AS AN INDICATOR OF STRUCTURAL AND FUNCTIONAL ORGANIZATION OF LIVER TISSUE
Authors: Bilovetska Svitlana , Kozheshkurt Valentyn
Published: October 2023

We investigated the possible interrelation between the morphological features of the liver tissue and its electrical conductivity in order to develop a rapid method for analyzing the state of the liver. To do this, we used intact rat liver tissue, the liver at the initial stages of Cu-induced liver fibrosis, and the influence of two hepatoprotective substances – the mix factor and chlorogenic acid. Morphological changes and electrical conductivity of the studied samples were determined. It was found that a change or violation of the structural organization of the liver tissue affects electrical conductivity. We came to the conclusion that electrical conductivity can be used in studies of the structural organization of tissue.
ОСОБЛИВОСТІ МОДЕЛЮВАННЯ ПОРУШЕНЯ ЧОЛОВІЧОЇ РЕПРОДУКТИВНОЇ ФУНКЦІЇ
Authors: Бречка Наталія , Смолєнко Наталія
Published: October 2023

Безпліддя у чоловіків є серьйозною проблемою охорони здоров'я не лише в Україні. Є багато питань, які потребують дослідження патогенезу для підтвердження знань про гіпофетильність та пошуку методів і засобів лікування патології чоловічого організму [1]. Тому важливим є вивчення вмісту різних структур та речовин при моделюванні різних варіантів порушень репродуктивної функції в експерименті, які можливо екстраполювати на клінічні прояви різних форм патоспермій у чоловіків. До них можна віднести радіаційні і хімічні травмування сім'яників, простатопатії та ішемії, викликані, наприклад, серотоніном. А також можливість корекції патологічного стану з урахуванням різних змін у тканинах та дії етіологічних факторів чоловічої гіпофертильності. Ці експериментальні досліди необхідні для висвітлення патогенезу репродуктивної функції в особин чоловічої статті та для розуміння фундаментальних його механізмів, що й обгрунтовує актуальність наукової роботи. Останнім часом при виконанні наукових робіт було досить актуальним   моделювання андрогенодефіцитних станів у щурів самців з урахуванням веріфікованої етіопатогенетичної ролі несприятливої дії пошкоджуючих чинників зовнішнього середовища, що негативно впливають на репродуктивну систему сучасної людини, у патогенезі яких був розвиток оксидативного стресу та андрогенодефіцит. Адекватною, в даному випадку, була модель серотонінового ураження сім'яників, яку можна використовувати для відтворення патології гонад. При відтворенні цієї моделі щури самці отримували серотоніну гідрохлорид (Alfa Aesar®) у дозі 5  мг/кг. У механізмі розвитку моделі гонадопатії провідну роль відіграє судинозвужувальна дія серотоніну гідрохлориду, унаслідок чого порушується трофіка та виникають патологічні зміни, які спостерігаються у чоловіків, що мають гіпофертильність, та можуть мати місце при варикоцеле, травмах, станах, які викликані гіподинамією тощо [1-2].
МАТЕМАТИЧНА МОДЕЛЬ ВПЛИВУ ПРОЦЕСУ ПОШИРЕННЯ ІНФОРМАЦІЇ У СОЦІАЛЬНИХ МЕРЕЖАХ НА ДОСЯГНЕННЯ ВИЗНАЧЕНОГО СТРАТЕГІЧНОГО НАРАТИВУ ГРОМАДСЬКОЇ ДУМКИ НАСЕЛЕННЯ
Authors: Азаренко Олена , Гончаренко Юлія , Дівізінюк Михайло , Камишенцев Геннадій , Фаррахов Олександр
Published: October 2023

Описано математичну модель впливу процесу поширення інформації у соціальних мережах для досягнення певного стратегічного наративу громадської думки населення. Показано, що дана математична модель є системою, яка поєднує три групи залежностей для різних сегментів цільової аудиторії: молоді, людей середнього віку та пенсіонерів. У кожну групу входять по дві залежності, перша з яких визначає оцінку впливу, що управляє, в розподіленій системі, друга – визначає білінійну форму в кожному варіанті розв’язку задачі. Якщо реальний стан розподіленої системи виходить за межі виконаної оцінки керуючого впливу, необхідно коригувати керуючі впливи для просування та отримання запланованого стратегічного наративу в соціумі.
СУЧАСНІ ЧИННИКИ СОЦІАЛІЗАЦІЇ СТУДЕНТСЬКОЇ МОЛОДІ У ВИЩИХ НАВЧАЛЬНИХ ЗАКЛАДАХ
Authors: Артеменко Світлана , Фляшнікова Алла , Оніщук Ілля , Артеменко Вероніка
Published: October 2023

В статті досліджуються основні фактори соціалізації студентів в умовах змішаного навчання у вітчизняній системі вищої освіти. Автори акцентують увагу на значущості впливу таких факторів на ефективне засвоєння соціокультурного досвіду, як взаємовідносини між здобувачами освіти та викладачами, ролі науково-дослідної роботи та позанавчальної діяльності в цілому.
EPISTEMIC RHETORIC OF INTERROGATIVES IN POETIC DISCOURSE
Authors: Pavlivna Natalia
Published: October 2023

The present article is the attempt to analyse interrogatives in poetic discourse through the prism of epistemic rhetoric. The research focus refers to the features that make interrogative an epistemologically identifiable object. In order to provide the ground for conducting this study a conceptual framework has been built which includes the following parameters: 1) epistemic markers of concrete experience; 2) the direction of schematization; 3) epistemic justification of the immediate experience of tropes and figures of speech, and the perceptual world; 4) the direction of conceptual schematization of iconicity. The analysis unfolds  into two  sections. The first section provides the ontological view of interrogatives while the second one moves into the socio-cultural analysis.