A combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts is able to improve sexual quality of life in patient with premature ejaculation

Objective: The management of patient affected by premature ejaculation (PE) is nowadays not highly satisfactory. Here, we aimed to evaluate the tolerability and efficacy of a combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts in order to improve sexual quality of life in patients with premature ejaculation. Materials and methods: All patients attending to 5 urological centers from January 2015 to March 2015, due to premature ejaculation were enrolled in this study. At the enrolment visit, all subjects underwent self-administered IIEF-5, Male Sexual Health Questionnaire-Ejaculation Disorder (MSHQ-EjD), PEDT and IELTS (calculated as mean from that perceived by partner and that perceived by patient) and underwent urological visit and laboratory examinations. All patients received one tablet per day of a combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts for 3 months (Group A). After 3 months all patients underwent follow-up visit with the same investigations that have been carried out in the enrolment visit. The results were compared with a cohort of patients enrolled in the same period in another urological center and considered as a control group (Group B). All patients in the control group underwent counseling and sexual behavioral treatment without any pharmacological compound. Results: At the follow-up analysis, significant changes in terms of IELT in the Group A (mean difference: 31.90; p < 0.05) at 3 months and versus Group B at the intergroup analysis (mean difference: 30.30; p < 0.05) were reported. In the group A, significant differences from baseline to last follow-up were observed relative to IIEF-5 (mean difference: 1.04; p < 0.05), PEDT (mean difference: -2.57; p < 0.05) and FSH (mean difference: -16.46; p < 0.05). Conclusion: In conclusion, patients affected by PE may significantly benefit from oral therapy with a combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts in terms of IELT and PEDT scores improvement

HUMAN RESOURCES AND THEIR POSSIBLE FORENSIC MEANINGS

Forensics (forensis – before the Forum) means the application of knowledge from different scientific fields in order to define facts in judicial and/or administrative procedures. Nowadays forensics, besides this, finds its application even in different economic processes. For example, forensics enters the commercial areas of business intelligence and of different security areas. The European Commission recognized the importance of forensics, and underscored the importance of development of its scientific infrastructure in member States. We are witnessing the rise of various tragedies in economic and other kinds of processes. Undoubtedly, the world is increasingly exposed to various forms of threats whose occurrences regularly involve people. In this paper we are proposing the development of a new approach in the forensic assessment of the state of human resources. We are suggesting that in the focus should be the forensic approach in the psychological assessment of awareness of the individual and of the critical infrastructure sector operator (CISO) in determining the level of actual practical, rather than formal knowledge of an individual in a particular field of expertise, or in a specific scientific field, and possible forensic meanings

Marketing a new generation of bio-plastics products for a circular economy: The role of green self-identity, self-congruity, and perceived value

Bioplastics represent an innovation for replacing materials obtained from fossil fuels and could provide significant benefits to the environment. A new generation of bioplastic from urban waste is now technically feasible. This paper is among the first to assume the perspective of the consumers rather than the manufacturers in addressing what could lead to the market acceptance of this particular type of bioplastic. A conceptual model is developed addressing psychological drivers that could encourage consumers’ transition from a linear to a circular economy, with the purpose of better understanding what drives consumers’ intentions to switch to and purchase products obtained from organic waste. Specifically, we find that green self-identity positively impacts perceived value, leading to higher behavioral intention. In addition, the relationship is moderated by self-congruity but not by differences in product involvemen

Examining the impact of service recovery resilience in the context of product replacement: the roles of perceived procedural and interactional justice

Purpose Given increasing customer expectations and disturbances to product returns management, capabilities such as supply chain resilience (SCR) can complement service recovery strategies in retail supply chains. This study utilizes procedural justice theory (PJT) to conceptualize service recovery resilience as a capability that allows firms to meet customer requirements when dealing with disruptions, and empirically investigates its impact on procedural and interactional justice and customer outcomes (i.e. satisfaction and loyalty) in the context of product replacement. Design/methodology/approach This research employs two scenario-based experiments using a sample of 368 customers to explore the outcomes associated with service recovery resilience. Findings The investigation shows more satisfied and loyal customers when a retail supply chain can overcome service recovery challenges through SCR. The study shows that customers evaluate not only the process itself, but also their interactions with the retailer. Specifically, procedural justice and interactional justice have a significant influence on these relationships. Originality/value This study proposes service recovery resilience as a concept that bridges service recovery theory with supply chain strategy in the unique context of product replacement. Further, this study also notes how information enhances customer satisfaction with the retailer's effort to address disturbances in the recovery process. Finally, this study informs managers on the capabilities needed to face new customers' needs

circular economy recent technology management considerations supply chain innovation key to business to consumer closed loop systems

As citizens, organisations and governments across the globe increase their interest in environmentally and socially sustainable means of production and consumption, the idea of a circular economy (CE) has been at the forefront of recent discussions held at organisational, national and international levels. This article briefly presents the CE concept from a supply chain management perspective. Then, two contemporary, representative CE technology management problems are introduced. The article concludes with some takeaways that policy makers and managers can use to inform further CE development

Il Ruolo Della Logistica Ospedaliera Per Il Miglioramento Delle Performance Operative E Del Livello Di Servizio Al Paziente

La necessit\ue0 di migliorare le performance operative dei sistemi sanitari sono oggetto di numerosi studi nella letteratura scientifica che si focalizzano sul paziente, sulla gestione dei materiali, sull\u2019organizzazione delle attivit\ue0 operative e aziendali. L\u2019ambito logistico risulta di notevole interesse alla luce del peso che tali attivit\ue0 possono avere sulla struttura dei costi di una unit\ue0 ospedaliera che pu\uf2 arrivare fino al 50% del totale dei suoi costi. Nonostante ci\uf2 la gestione della logistica risulta essere ancora tra le funzioni aziendali pi\uf9 trascurate: ad esempio, talvolta accade che un farmaco sia ordinato in un certo punto della supply chain nonostante esso sia di fatto gi\ue0 presente in altro punto della stessa Da qui nasce l\u2019esigenza di tenere sotto controllo i consumi, di organizzare, formalizzare e digitalizzare le informazioni di consumo dei reparti e di evitare acquisti sovradimensionati, con conseguente eccessivo immobilizzo di scorte e rischio di obsolescenza dei beni.La mission di una azienda sanitaria pubblica non pu\uf2 che essere quella di soddisfare il bisogno di salute e sicurezza del cittadino offrendogli un servizio tempestivo, efficace e qualitativamente adeguato alle aspettative, utilizzando per tale preciso fine le risorse economiche pubbliche messe a disposizione dagli organi territoriali, adibiti ad una loro efficiente e parsimoniosa emissione. Ne consegue che la gestione ospedaliera presuppone l\u2019interazione tra ambiti disciplinari molto differenti quali l\u2019ambito medico, economico, manageriale, organizzativo e sociale

Novel highly conductive and transparent graphene based conductors

Future wearable electronics, displays and photovoltaic devices rely on highly conductive, transparent and yet mechanically flexible materials. Nowadays indium tin oxide (ITO) is the most wide spread transparent conductor in optoelectronic applications, however the mechanical rigidity of this material limits its use for future flexible devices. Here we report novel transparent conductors based on few layer graphene (FLG) intercalated with ferric chloride (FeCl3) with an outstandingly high electrical conductivity and optical transparency. We show that upon intercalation a record low sheet resistance of 8.8 Ohm/square is attained together with an optical transmittance higher than 84% in the visible range. These parameters outperform the best values of ITO and of other carbon-based materials, making these novel transparent conductors the best candidates for future flexible optoelectronics

Investigating Circular Behavior Adoption across Gen Z: The Role of Perceived Value and Environmental Consciousness

This research explores Gen Z consumers in the context of the circular economy (Ce). Building on generational cohort theory (Gct), the study investigates to what extent Gen Z perceptions of circular products (Cps) and the level of their environmental consciousness influence their propensity to adopt circular behaviors. Primary data from 130 respondents through a structured web survey were collected across the main social media platforms. A factor analysis identifying the main Ce-related loops (i.e. slowing, dematerializing, intensifying) along with an Ols model was performed. The results exhibit a positive relationship between Gen Z perceptions of Cps and the slowing and intensifying loops, while environmental consciousness is positively related to dematerializing and slowing loops. The study suggests valuable insights for both managers and scholars operating in the Ce domai

AGGRERESSION IN THE WORKING ENVIRNOMENT: A CROSS-SECTORAL SURVEY IN CROATIA

Background: Workplace aggression constitutes a serious problem in individual, organizational and social cause-effect relations. The aim is to determine the prevalence of such aggression on the pilot sample to test the appropriateness of the research design for the further conduct of a national survey on the specified topic. Subjects and methods: The sample included 113 employees in the city of Split, deployed within the public, profit and non-profit sectors. The research was conducted through an online survey. The questionnaire consisted of pre-coded questions on the sociodemographic characteristics of the respondents and their perception of interrelations with colleagues and clients/customers of products and services, exposure to various forms of physical and verbal aggression and the frequency of somatic and psychical problems caused by the workplace conditions and interrelations in this context. Results: Although participants did not suffer direct physical assault from associates, and only two of them have experienced it from clients/customers, they emphasize the frequency of psychical workplace abuse through more subtle forms of physical and verbal aggression.The training of employees at all hierarchical levels is required for the better understanding of the roles of their associates and clients/customers. Its effects strengthen their mutual respect, tolerance and solidarity. In this way, the interrelations that many respondents do not see as good or excellent can be improved, hence improving the prevention of aggression. Conclusions: The study of aggression should include a broader social context. Aggression tends towards a quantitative and qualitative expansion in different environments. When individuals seek some benefit for themselves in a dubious way, while neglecting others, aggressive acts are foreseeable. Therefore, Croatian society has the foundation for aggressive behavior, as it is unable to make the consensual practice of a moral, political and economic recovery