Searching for dialogue in public sector budgeting research : the case study of the JPBAFM

Author's accepted version (postprint).This is an Accepted Manuscript of an article published by Emerald in Journal of Public Budgeting, Accounting and Financial Management on 15/2/2023.Available online: doi.org/10.1108/JPBAFM-12-2021-0175acceptedVersio

The gender budget as a tool for gender equality? : Analysing its effectiveness through the lens of pragmatic constructivism

This paper investigates which values are communicated by public universities through the elaboration of gender budgets and whether and how coherence is built with the respective performance measurement systems. In a society where increasing pressures are put by national and international institutions to guarantee gender equality and fight against any kind of discrimination, universities are expected to play a key role in pursuing such goals and support the development of a culture of integration, respect, and equal opportunities. Among the different initiatives, universities are adopting a gender budget to allocate resources and plan specific activities to achieve gender equality. To account for the results achieved and monitor whether the results are aligned with the expectations and the stated objectives, sound performance measures are required. In this regard, the current research analyses the content of three different gender budgets elaborated by Italian universities in order to investigate whether the performance measures and narratives adopted are aligned with the stated goals and values communicated, thus being able to guide universities toward gender equality

Sleep actigraphic patterns and cognitive status

none9noWe performed an actigraphic assessment of sleep characteristics in healthy subjects and patients with cognitive impairment. Thirty subjects were included and classified into controls (10 subjects), mild cognitive impairment (10 patients) and mild-to-moderate Alzheimer's disease (10 patients). Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Participants had a 7-day actigraphic record. Sleep parameters collected were time in bed, total sleep time, sleep efficiency, sleep latency, wakefulness after sleep onset, number of awakenings, and mean motor activity. Significant differences between mild cognitive impairment and controls patients were found for sleep latency (p = 0.05); Alzheimer's disease patients had significantly worse scores for Pittsburgh Sleep Quality Index (p = 0.01), time in bed (p = 0.001), total sleep time (p = 0.04), sleep latency, sleep efficiency, motor activity (p = 0.0001) and wakefulness after sleep onset (p = 0.001) compared to controls. When comparing Alzheimer's disease and mild cognitive impairment, differences were significant for sleep latency (p = 0.01), wakefulness after sleep onset (p = 0.004), sleep efficiency, number of awakenings and motor activity (p = 0.0001). In addition to showing a high prevalence of sleep alterations in subjects with cognitive impairment, our data suggest that they are evident from the earliest stages of cognitive decline. Further studies are needed to assess whether early correction of sleep alterations can positively influence the evolution of cognitive impairment. The opportunity to provide clinically meaningful information with a simple assessment of sleep characteristics based on actigraphy suggests that wider use of the approach in patients with cognitive decline should be considered.openBuratti, Laura; Camilletti, Roberta; Pulcini, Alessandra; Rocchi, Chiara; Viticchi, Giovanna; Falsetti, Lorenzo; Baldinelli, Sara; Fiori, Chiara; Silvestrini, MauroBuratti, Laura; Camilletti, Roberta; Pulcini, Alessandra; Rocchi, Chiara; Viticchi, Giovanna; Falsetti, Lorenzo; Baldinelli, Sara; Fiori, Chiara; Silvestrini, Maur

Sleep and Tibialis Anterior Muscle Activity in Mice With Mild Hypoxia and Iron Deficiency: Implications for the Restless Legs Syndrome

Restless legs syndrome (RLS) is a neurological disorder that entails an urge to move with a circadian pattern during the evening/night. RLS may be accompanied by decreased sleep time and increased occurrence of periodic leg movements during sleep (PLMS), which involve bursts of tibialis anterior (TA) muscle electromyogram (EMG). Mild hypoxia and non-anemic iron deficiency, a highly prevalent nutritional deficiency, are relatively unexplored factors in RLS pathophysiology. We tested whether mice exposed to mild hypoxia, alone or in combination with non-anemic iron deficiency, show decreased sleep time particularly in the light (rest) period and increased occurrence of TA EMG phasic events similar to human PLMS. Female C57BL/6J mice were fed diets with low or normal iron for 6 months from weaning and instrumented with electrodes to record the electroencephalogram and the EMG of both TA muscles. Mice were recorded in a whole-body plethysmograph while breathing a normoxic or mildly hypoxic (15% O2) gas mixture for 48 h. Hypoxia increased minute ventilation during sleep. The low-iron diet decreased liver and serum iron, leaving blood hemoglobin and brainstem iron levels unaffected. Hypoxia, either alone or in combination with non-anemic iron deficiency, decreased non-rapid-eye-movement (non-REM) sleep time, but this occurred irrespective of the light/dark period and was not associated with increased occurrence of TA EMG events during non-REM sleep. These results do not support the hypothesis that mild hypoxia is sufficient to cause signs of RLS, either alone or in combination with non-anemic iron deficiency, pointing to the necessity of further susceptibility factors

Evaluation of liquefaction potential in an intermountain Quaternary lacustrine basin (Fucino basin, central Italy)

In this study, we analyse the susceptibility to liquefaction of the Pozzone site, which is located on the northern side of the Fucino lacustrine basin in central Italy. In 1915, this region was struck by a M 7.0 earthquake, which produced widespread coseismic surface effects that were interpreted to be liquefaction-related. However, the interpretation of these phenomena at the Pozzone site is not straightforward. Furthermore, the site is characterized by an abundance of fine-grained sediments, which are not typically found in liquefiable soils. Therefore, in this study, we perform a number of detailed stratigraphic and geotechnical investigations (including continuous-coring borehole, CPTu, SDMT, SPT, and geotechnical laboratory tests) to better interpret these 1915 phenomena and to evaluate the liquefaction potential of a lacustrine environment dominated by fine-grained sedimentation. The upper 18.5 m of the stratigraphic succession comprises fine-grained sediments, including four strata of coarser sediments formed by interbedded layers of sand, silty sand and sandy silt. These strata, which are interpreted to represent the frontal lobes of an alluvial fan system within a lacustrine succession, are highly susceptible to liquefaction. We also find evidence of paleo-liquefaction, dated between 12.1–10.8 and 9.43–9.13 kyrs ago, occurring at depths of 2.1–2.3 m. These data, along with the aforementioned geotechnical analyses, indicate that this site would indeed be liquefiable in a 1915-like earthquake. Although we found a broad agreement among CPTu, DMT and shear wave velocity ‘‘simplified procedures’’ in detecting the liquefaction potential of the Pozzone soil, our results suggest that the use and comparison of different in situ techniques are highly recommended for reliable estimates of the cyclic liquefaction resistance in lacustrine sites characterized by high content of fine-grained soils. In geologic environments similar to the one analysed in this work, where it is difficult to detect liquefiable layers, one can identify sites that are susceptible to liquefaction only by using detailed stratigraphic reconstructions, in situ characterization, and laboratory analyses. This has implications for basic (Level 1) seismic microzonation mapping, which typically relies on the use of empirical evaluations based on geologic maps and pre-existing sub-surface data (i.e., age and type of deposits, prevailing grain size, with particular attention paid to clean sands, and depth of the water table).Published91-1115T. Sismologia, geofisica e geologia per l'ingegneria sismicaJCR Journa

Interaction of Skeletal and Left Ventricular Mass in Older Adults with Low Muscle Performance

BACKGROUND: It was recently hypothesized the existence of “cardiac-skeletal muscle axis.” However, the relationship between skeletal muscle mass (SMM) and left ventricular mass (LVM) has never been investigated in the specific group of older individuals with low skeletal mass and physical performance. We tested this hypothesis in the SPRINT-T (Sarcopenia and Physical Frailty IN older people: multicomponenT Treatment strategies Trial) population using LVM as independent variable and SMM as dependent variable. METHODS: SMM was assessed by dual-energy X-ray absorptiometry scan and expressed as appendicular lean mass (ALM), and LVM was estimated through echocardiography. Low ALM was defined according to Foundation for the National Institutes of Health Sarcopenia Project criteria, and Short Physical Performance Battery (SPPB) was used to assess physical performance.RESULTS: The population consisted of 100 persons (33 men and 67 women), aged 70 years or older (mean age = 79 5 years) with low ALM and SPPB ranged between 3 and 9, suggestive of physical frailty. Charlson Comorbidity Index median score was 0. Mean value of LVM was 193 67 g, indexed LVM/body surface area (LVM/BSA) was 112 33 g/m2, and cardiac output (CO) was 65 19 L/min. ALM was strongly and positively correlated with LVM (r = 0.54602; P < .0001), LVM/BSA (r = 0.30761; P < .002), CO (r = 0.49621; P < .0001), body mass index (BMI) (r = 0.52461; P < .0001), sex (r = 0.77; P < .001), fat mass (r = 0.38977; P < .0001), and hemoglobin (Hb) (r = 0.26001; P < .01). In the multivariate analysis, LVM (β = .019 .005; P < .0001), CO (β = .038 .016; P = .019), BMI (β = .286 .051; P < .0001), and Hb (β = .544 .175; P = .0025) remained associated to ALM. CONCLUSIONS: In a sample of older persons with low muscle mass and physical performance, LVM was positively and significantly correlated with ALM, independently from blood pressure, physical activity, and other potential confounders. Future studies are needed to address the effect of interventions targeting LVM and SMM

Atopic dermatitis

Atopic dermatitis (AD) is a common in ammatory skin disease, clinically characterized by recur- rent eczematous lesions and intense itching, leading to excoriations and susceptibility to cutaneous infections. Although it is considered a pediatric disorder, mainly starting in infancy, it is also very common in adults. Etiology of AD is complex and multifactorial: interaction between genetic susceptibility and environment, but also cutaneous barrier impairment, change in microbiome composition and innate and adaptive immune dysregulation are the main factors involved in the pathogenesis of the disease. Originally, the disorder was considered mediated by an imbalance towards a T-helper 2 response and excessive IgE production to aller- gens, but now it is recognized as a lifelong disposition with variable clinical expressivity, where dysfunctions of the epidermal barrier, immune system and microbiome play a central role. AD leads to a substantial psycho- social burden on patients and their relatives and increases the risk of other allergic and non allergic disorders. e real economic impact of AD is di cult to measure due to the broad spectrum of disease severity and the multiple direct and indirect costs, but the overall medical expenses seem to be very high and similar to those of other diseases such as diabetes. Currently, a multiple therapeutic approach is aimed only at improving the skin state, reducing itching and keeping a stable condition. New safety and curative treatments may be devel- oped only after enhancing our understanding on the pathogenesis of AD and the heterogeneity of its clinical manifestations. (www.actabiomedica.it