551 research outputs found

    I contratti a distanza in AA VV, La tutela del consumatore, in Trattato di diritto privato diretto da M. Bessone, a cura di A. Musio, P. Stanzione

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    I contratti a distanza in AA VV, La tutela del consumatore, in Trattato di diritto privato diretto da M. Bessone, a cura di A. Musio, P. Stanzion

    Ictal blinking, an under-recognized phenomenon: our experience and literature review

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    Marco Andrea Nicola Saporito,1 Giovanna Vitaliti,2 Piero Pavone,2 Giuseppa Di Stefano,1 Pasquale Striano,3 Roberto Horacio Caraballo,4 Raffaele Falsaperla2 1Neonatal Intensive Care Unit, Santo Bambino Hospital, Policlinico-Vittorio Emanuele University Hospital, University of Catania, Catania, Italy; 2Paediatric Operative Unit and Acute and Emergency, Policlinico-Vittorio Emanuele University Hospital, University of Catania, Catania, Italy; 3Pediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health, Institute “G. Gaslini” University of Genova, Genoa, Italy; 4Department of Neurology, Hospital de Pediatría “Prof Dr Juan P Garrahan”, Buenos Aires, Argentina Abstract: Ictal blinking (IB) is a very rare disease manifesting as an epileptic motor event in children and adults. Until now it has not been included in any classification of focal seizures of the International League Against Epilepsy Commission. It could be unilateral or bilateral, isolated or in association with other motor manifestations such as limbs’ clonus and spasms. Its pathogenesis has not been clearly established: paroxysmal discharges from different areas of the brain could cause IB by activation of trigeminal fibers. Herein authors report three infants and a child with IB, observed in three pediatric centers in two different countries. We also performed a review of literature data, suggesting IB as a seizure type to be included in international classifications, and describing the specific electroencephalographic pattern of this condition. Keywords: ictal blinking, focal motor phenomenon, ictal electroencephalographic pattern, occipital area, infanc

    A public service-dominant logic for the executive education of public managers

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    Building on the concept of Public Service-Dominant Logic (PSDL), this article aims to apply the public service dominant logic to executive education. We argue that that fit-for-purpose and effective executive master programs for public managers (EMPA) need to be designed from a public service perspective. Framing executive education as a service enables the enhancement of the effectiveness of public action as a result of inter-organizational capacity and the co-production of learning outcomes. This article is an invitation to teach what we write, to practice what we teach and to teach trough practice, which is what a public manager attending an executive program would expect in terms of public service experience. PSDL was applied to the flagship program at SDA Bocconi School of Management for public sector managers in order to produce the first concrete contribution and to illustrate how switching from a product-logic to a service-logic can have a positive effect on executive education, its structure and curricula. By retrospectively applying PSDL in order to investigate any concrete outcome on revising executive education programs, we show that it is possible to generate a concrete impact in terms of participant satisfaction and the perceived long-term added value of the learning experience by focusing on the education outcome, meeting and anticipating the participants’ needs and expectations, and considering the participants as active stakeholders at the heart of the delivery process

    A Tool to Support Automation of Risk Assessment

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    In the context of risk analysis and assessment, the constant evolution and growth of organizations has led to an increase in the amount of information to be analyzed: a case is provided by the data processing registry, mandatory according to the GDPR. Quality and cost of risk analysis and assessment may be improved by using tools to automate certain steps. In this paper we propose an approach and a support tool for software-aided risk assessment integrated with the state-of-the-art privacy impact assessment (PIA) tool, to define how certain steps in the compilation of a DPIA (Data Protection Impact Assessment) can be automated. The resulting tool chain has been successfully applied to a case dealing with job placement data in a university

    Automatic verification of ventricular stimulation: fusion management algorithm

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    Ventricular stimulation with automatic control and back-up pulse warrants maximum safety for the patient and increases device longevity. Fusion phenomenon may hinder evoked response (ER) detection and cause unnecessary back-up stimulation. We evaluated an automatic fusion beat management algorithm and its relationship with atrioventricular (AV) interval programming in a DDD/R pacemaker

    Actual pacemaker longevity: The benefit of stimulation by automatic capture verification

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    We evaluated the impact of an algorithm for automatic right ventricular (RV) stimulation compared to fixed-output pacing (FOP) stimulation on actual pacemaker longevity over a 9-year follow-up

    Contact between the components of a knee prosthesis: numerical and experimental study

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    The aim of this work is the analysis of the contact area in a knee prosthesis using two different approaches. In particular, the interface between the femoral component and the polyethylene insert has been studied both numerically and experimentally. The interest in studying the contact area is related to the fact that the wear of the polyethylene insert, due to the high contact pressures, represents one of the major causes of failure of the total knee prosthesis. The possibility to evaluate the contact area at different loads and mutual position between femur and tibia is, therefore, of fundamental importance to study the service life of a prosthesis and to improve its performance. The finite element numerical approach has required the acquisition, through reverse engineering, and CAD modelling of the prosthetic components. Then the FEM simulations have been developed considering two different load conditions. In order to compare the calculated data, the same load configurations have been used for experimental tests based on ultrasonic method. In this case, some preliminary tests were required to calibrate the system depending on the particular characteristics of materials, geometries and surface finish of the prosthesis. The results show a good correlation between the data obtained with the two different approaches and, consequently, a good level of reliability of the procedures developed for the numerical and experimental evaluation of the contact area. The numerical procedure can be used to determine the area for different angles and loads, but especially in the design phase. The ultrasonic technique can be used to validate the numerical data
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