Search results for " procurement"

Obesity and assisted reproductive technology outcomes.

2006

Obesity is a rising health problem in Western societies. It has been related to increased morbidity and mortality rates due to several pathologies. In the field of gynaecology and reproduction, obesity is associated with menstrual disorders, hirsutism, infertility, miscarriage and obstetric complications. It is known to impair human reproduction through different mechanisms such as insulin resistance, hyperandrogenism and elevated leptin levels. Weight management and dietary intervention can reverse this situation and improve reproductive function. Obesity can also impair the outcome of assisted reproductive technologies. The lower probability of a healthy live birth described in obese wome…

International Liver Transplantation Consensus Statement on End-stage Liver Disease Due to Nonalcoholic Steatohepatitis and Liver Transplantation.

2018

Nonalcoholic steatohepatitis (NASH)-related cirrhosis has become one of the most common indications for liver transplantation (LT), particularly in candidates older than 65 years. Typically, NASH candidates have concurrent obesity, metabolic, and cardiovascular risks, which directly impact patient evaluation and selection, waitlist morbidity and mortality, and eventually posttransplant outcomes. The purpose of these guidelines is to highlight specific features commonly observed in NASH candidates and strategies to optimize pretransplant evaluation and waitlist survival. More specifically, the working group addressed the following clinically relevant questions providing recommendations based…

Adult to Adult Living Donor Liver Transplantation in Recipients with Low MELD: A Strategy Intended to Overcome Donor Shortage

2020

Recent series have demonstrated advantages of living donor over deceased donor liver transplantation, with particular benefit for those with low model for end-stage liver disease score. The logic underlying the transplantation of patients before they become too sick is intuitive. It reduces mortality and drop outs from the waiting list and makes transplant surgery less demanding. Those principles have to be balanced with donor safety and transplant benefit for the recipient avoiding early, futile transplantation. The authors report a case of adult to adult right lobe living donor liver transplantation performed for a recipient affected by primary biliary cirrhosis with MELD score of 15, in …

Continuous Normothermic Ex Vivo Kidney Perfusion Is Superior to Brief Normothermic Perfusion Following Static Cold Storage in Donation After Circulat…

2016

Hypothermic preservation is known to cause renal graft injury, especially in donation after circulatory death (DCD) kidney transplantation. We investigated the impact of cold storage (SCS) versus short periods of normothermic ex vivo kidney perfusion (NEVKP) after SCS versus prolonged, continuous NEVKP with near avoidance of SCS on kidney function after transplantation. Following 30 min of warm ischemia, kidneys were removed from 30-kg Yorkshire pigs and preserved for 16 h with (A) 16 h SCS, (B) 15 h SCS + 1 h NEVKP, (C) 8 h SCS + 8 h NEVKP, and (D) 16 h NEVKP. After contralateral kidney resection, grafts were autotransplanted and pigs followed up for 8 days. Perfusate injury markers such a…

The Italian regulation of public procurement contracts and the prevention of money laundering in pandemic times

2023

This paper aims to explain the peculiarities of Italian public procurement contracts and the remedies provided to prevent money laundering and other criminal activities related to the unlawful interference in these relationships between private economic operators and public entities. The analysis starts from the examination of public subjects, their role and mode of action according to the Italian legal system, with particular attention to the discipline of public procurement contracts and the connected money laundering risks. Due to the peculiarity of the economical relationships involved, of the parties and of the subject, these contracts, are mostly regulated by a Decree, called Code of …

When is Green Really Green? A Latvian Case Study on Updating of Food Supply Green Public Procurement

2020

Abstract Green public procurement (GPP) is an important tool and is used to reduce adverse environmental impacts caused by food production. To have a more detailed look at the application of GPP in Latvia, the authors screened 97 public tenders for supply of food products, documenting the choice of the green criteria. Only 15 % of the screened tender documents corresponded to the national GPP requirements. Only 4 % of the tender documents gave higher priority exclusively for organic products compared to products within national quality schemes or integrated pest management agriculture. The authors compared these findings with the opinions of environmental experts, GPP guidelines by the Euro…

Research on Public Procurement of Information Systems: The Need for a Process Approach

2014

The Public Procurement of IS - A Process View

2014

This paper addresses a lack of research into public procurement of information systems, especially from a process focus. Three case studies from IS procurement in Norwegian municipalities are presented. By following one of the procurements in detail, the paper shows a process with a very strict phased division, an approach quite different from today's agile system development methods. The cases show the importance of the requirement specification which is completed before talking to vendors. They also show the need for clarifying the content of the offer, through a dialogue with the vendor. A number of critical incidents are identified, involving the interests of different stakeholders. Con…

The Market’s Maturity for Public Procurement of Circular Furniture: A Study from Latvia

2021

Public procurement plays an important role in the market by making up 14% of the Gross Domestic Product in the European Union, therefore it is seen as an important instrument to promote such products and services that better meet society’s demands, for example, sustainability. Starting from 2015, circularity is an important aspect of sustainability. Furniture is among the product groups with a significant impact on the material footprint, therefore approaches to increase material efficiency and circularity are of high value. With this research, the authors investigate the market’s maturity, i.e. the readiness of suppliers to offer circular furniture and services, as well as the readiness o…

A framework for public purchasing under a decentralized organization: an empirical study in the healthcare sector in Italy

2009

More and more public companies are showing interest in how no conventional purchasing strategies, such as purchasing group solutions, may improve efficiency in purchasing activities by providing consistent saving on public organization budgets. This issue is essential for the healthcare sector, whose public spending is still increasing and represents a significant part of the GNP of many European countries. In this paper, different purchasing strategies have been addressed; more specifically, the main objective is to formalize a framework supporting purchasing strategy formulation, and operazionalize it through an empirical application to the Sicilian Region healthcare industry.