Search results for " consensus"

Congenital hypothyroidism: A 2020-2021 consensus guidelines update-An ENDO-European Reference Network initiative endorsed by the European Society for…

2021

Background: An ENDO-European Reference Network (ERN) initiative was launched that was endorsed by the European Society for Pediatric Endocrinology and the European Society for Endocrinology with 22 participants from the ENDO-ERN and the two societies. The aim was to update the practice guidelines for the diagnosis and management of congenital hypothyroidism (CH). A systematic literature search was conducted to identify key articles on neonatal screening, diagnosis, and management of primary and central CH. The evidence-based guidelines were graded with the Grading of Recommendations, Assessment, Development and Evaluation system, describing both the strength of recommendations and the quali…

The political, legal and moral scope of the universal declaration of human rights: pending issues

2018

With the adoption of the Universal Declaration of Human Rights, a new era began in the recognition and guarantee of human rights in the international area. However, since the moment of its approval, this text has received negative evaluations designed to relegate it to the background. The responses to these criticisms allow us to review their political and legal scope, and put it in value as a reference model in the field of human rights, delving into the pending issues to strengthen it. This is intended, on the seventieth anniversary of the Declaration, to insist that this remains an essential bridge to clarify standards that can serve as a basis for discussion between different cultures a…

Link scheduling in sensor networks for asymmetric average consensus

2012

Wireless Sensor Networks constitute a recent technology where the nodes cooperate to obtain, in a totally distributed way, certain function of the sensed data. One example is the average consensus algorithm, which allows every node to converge to the global average. However, this algorithm presents two major drawbacks in practice. The first one is that instantaneous symmetric links are required, which are hard to ensure in practice because of the presence of wireless interferences. The second one is that all the nodes are required to communicate with all of their local neighbors in every iteration, which can lead to an unbounded delay. In order to solve these issues, we propose a novel link…

[Takotsubo cardiomyopathy: a consensus document].

2008

Takotsubo cardiomyopathy is a syndrome characterized by acute regional systolic dysfunction of the left ventricle, frequently related to psycho-physical acute stress, and usually reversible. This rare syndrome involves more often the female sex with the highest frequency of occurrence between the seventh and eighth decade of life. Etiology has not been clarified yet and several hypotheses have been postulated: multiple epicardial coronary artery damage, abnormal coronary microcirculation, catecholamine-mediated cardiac toxicity, and neurogenic stunning. Clinical presentation is not easy to distinguish from an acute coronary syndrome: chest pain at rest or dyspnea, new-onset electrocardiogra…

Convergence Analysis of Distributed Set-Valued Information Systems

2016

This paper focuses on the convergence of information in distributed systems of agents communicating over a network. The information on which the convergence is sought is not rep- resented by real numbers, as often in the literature, rather by sets. The dynamics of the evolution of information across the net- work is accordingly described by set-valued iterative maps. While the study of convergence of set-valued iterative maps is highly complex in general, this paper focuses on Boolean maps, which are comprised of arbitrary combinations of unions, intersections, and complements of sets. For these important class of systems, we provide tools to study both global and local convergence. A distr…

INNOVATION AS A KEY FACTOR IN THE INTERNATIONAL COMPETITIVENESS OF THE EUROPEAN UNION

2013

There is international scientific consensus that economic progress will be driven by innovation, namely the invention and application of new technologies. Research and Development (R&D) is one category of spending that develops and drives these new technologies. From the perspective of competiveness, private sector firms are prone to focus their R&D on “applied” projects and many government-sponsored technological advances have been instrumental in driving economic growth and rising living standards. According to the published literature, it is expected that countries engaging in R&D activities have a comparative advantage in export of products, and countries with the “largest” R&D expendit…

Is the ADA/EASD algorithm for the management of type 2 diabetes (January 2009) based on evidence or opinion? A critical analysis

2010

The ADA and the EASD recently published a consensus statement for the medical management of hyperglycaemia in patients with type 2 diabetes. The authors advocate initial treatment with metformin monotherapy and lifestyle modification, followed by addition of basal insulin or a sulfonylurea if glycaemic goals are not met (tier 1 recommendations). All other glucose-lowering therapies are relegated to a secondary (tier 2) status and only recommended for selected clinical settings. In our view, this algorithm does not offer physicians and patients the appropriate selection of options to individualise and optimise care with a view to sustained control of blood glucose and reduction both of diabe…

Development of a European consensus from dentists, dental hygienists and physicians on a standard for oral health care in care-dependent older people…

2020

ObjectivesThis study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.BackgroundPoor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.MethodsThe e-Delphi approach was applied to a selected panel of interdisciplinary experts. Data analysis was based on three measurements: (a) ≥70% of experts’ opinion fall into category “agree or strongly agree,” (b) median score on the 5-point Likert scale ≥4, (c) interquartile range ≤1.ResultsA total of 31 experts from 17 European countries participated in this survey. Agreement was achieved for a compulsory dent…

Italian consensus guidelines for chronic pancreatitis

2010

Mihi cane et populo: Cicerone e l’autorappresentazione del successo oratorio. La questione del consenso popolare (Cic. Brut. 183–200)

2022

Come si rappresenta il proprio successo? La tradizione poetica greca e latina conosce straordinarie immagini di consacrazioni delle virtù di poeta, elaborate con ricche e ornate costruzioni, la cui persistenza nella memoria letteraria ne assicura la vitalità. A fronte di tali esibizioni virtuosistiche, che dichiarano l’orgoglio del successo, ve ne sono altre, costruite altrettanto finemente ma dall’architettura più complessa, perché fondata su una più mediata strategia. Su una di queste, proveniente da un testo in prosa, ma da un autore quale Cicerone che ambiva non a caso anche al riconoscimento come poeta, vorrei provare a riflettere. Il passo in questione è un’ampia sequenza del Brutus (…