Search results for "Stl"

showing 10 items of 182 documents

CARCINOMA SHOWING THYMUS-LIKE DIFFERENTIATION (CASTLE). A CASE REPORT

2013

INTRODUTION: Carcinoma showing thymus-like differentiation (CASTLE) is a rare malignant thyroid cancer. We report a case of CASTLE treated with surgery and adjuvant external neck radiation therapy.MATERIALS AND METHODS: We experienced a case of CASTLE in a 63-year-old man, who presented with a neck mass due to enlarged and hard thyroid gland, most notably in the right lobe, without palpable cervical nodes.RESULTS: Total thyroidectomy was performed for both diagnostic and therapeutic purposes. Histologic examination of the specimen showed a "thymus like" thyroid cancer; the tumor, partially circumscribed, lobulated, involved both lobes, and in more points reached the capsule of the organ and…

Settore MED/18 - Chirurgia GeneraleCastle surgery thyroid cancer
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LA DENUNCIA PUBBLICA DEGLI ABUSI COME STRUMENTO DI CONTROLLO DELLA CRIMINALITA' DEI COLLETTI BIANCHI

2009

Settore SECS-P/10 - Organizzazione AziendaleWHISTLE BLOWING COLLETTI BIANCHI ORGANIZZAZIONI
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Formare alla denuncia pubblica degli abusi nei luoghi di lavoro

2018

La denuncia pubblica degli abusi è una forma molto speciale di controllo organizzativo dalla straordinaria forza di contrasto della corruzione per la qualità delle informazioni che è in grado di fornire e per la capacità di contenere dall’interno gli abusi. In questo articolo vengono presentati i fattori personali, organizzativi, giuridici, sociali, politici e culturali che influenzano le decisioni di denuncia nelle organiz- zazioni e alcune proposte legate alla realizzazione di un programma di formazione alla denuncia pubblica degli abusi. L’autore sostiene che la formazione su materie come queste non dovrebbe proporsi di tradur- re in azione un atto assolutamente straordinario e indesider…

Settore SECS-P/10 - Organizzazione AziendaleWHISTLEBLOWING - ORGANIZATION CORRUPTION - WORKPLACE
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IL WHISTLE-BLOWING COME STRUMENTO DI CONTROLLO INTERNO DELLE ORGANIZZAZIONI

2009

Il Whistle-Blowing come strumento di controllo interno delle organizzazioni Nelle organizzazioni pubbliche e private si consumano abusi di vario ordine e grado. Si tratta di condotte che non sempre sono definibili come reati in senso tecnico ma che tuttavia sono censurabili, al pari dei reati, perché capaci di produrre danni gravi alla società e alle stesse organizzazioni. Gli abusi cui si fa riferimento vengono commessi nell’abituale esercizio di funzioni istituzionali, manageriali, specialistiche e, perfino, esecutive. La tradizione culturale sociologica e criminologica li ha ascritti tra i cosiddetti crimini dei colletti bianchi, sebbene la locuzione abbia assunto nel corso del tempo anc…

Settore SECS-P/10 - Organizzazione Aziendalewhite collarswhistleblowing internal organizational control
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Design and analysis of discrete choice experiments for models with response time

2013

Settore SECS-S/02 - Statistica Per La Ricerca Sperimentale E TecnologicaA sector of conjoint analysis (experimental design in marketing research) is made of the so called choice experiments. In choice experiments respondents undergo a questionnaire which is nowadays mostly submitted through the internet. The questionnaire proposes to the respondent a sequence of choice sets each one including two or more profiles being a profile a specific combination of attribute levels. The respondent selects the preferred profile for each choice set. Responses given by a sample of respondents are analysed through suitable methods aimed to eventually find the best combination of attribute levels. One method of analysis adopts the Multinomial Logit (MLN) model. In this article the authors show the results of the MLN analysis compared with another model of analysis which uses an additional response which can be easily recorded by electronically submitted questionnaires. In practice modern survey platforms like “Qualtrics” (the one used for this work) can record the so called “response latency” i.e. the time taken by the respondent to make the choice and select the most preferred profile in the choice set. Thanks to a response latency model further refined in this work it is possible to deduce the relative weight of importance of the profiles for each choice set and respondent. This type of response can be used in place of the dichotomous choice variable in the MLN model. The two models and methods of analysis are deeply compared and it is critically discussed when it is better to use one or the other method. As a result a more reliable estimate of the optimal profile comes up implying lower risks for new investments and marketing decisions.
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An Approach for the Validation of a Coastal Erosion Vulnerability Index: An Application in Sicily

2022

In recent decades, coastal erosion phenomena have increased due to climate change. The increased frequency and intensity of extreme events and the poor sediment supply by anthropized river basins (dams, river weirs, culverts, etc.) have a crucial role in coastal erosion. Therefore, an integrated analysis of coastal erosion is crucial to produce detailed and accurate coastal erosion vulnerability information to support mitigation strategies. This research aimed to assess the erosion vulnerability of the Sicilian coast, also including a validation procedure of the obtained scenario. The coastal vulnerability was computed by means of the CeVI (Coastal Erosion Vulnerability Index) approach, whi…

Sicilian coastsSettore GEO/04 - Geografia Fisica E GeomorfologiaSettore ICAR/02 - Costruzioni Idrauliche E Marittime E Idrologiavulnerability indexOcean Engineeringcoastlinecoast vulnerabilitySettore GEO/05 - Geologia ApplicataWater Science and TechnologyCivil and Structural Engineeringcoastal erosionSicilian coasts; coastline; coast vulnerability; coastal erosion; vulnerability indexJournal of Marine Science and Engineering; Volume 11; Issue 1; Pages: 23
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Italian Association of Sleep Medicine (AIMS) position statement and guideline on the treatment of menopausal sleep disorders

2019

Insomnia, vasomotor symptoms (VMS) and depression often co-occur after the menopause, with consequent health problems and reductions in quality of life. The aim of this position statement is to provide evidence-based advice on the management of postmenopausal sleep disorders derived from a systematic review of the literature. The latter yielded results on VMS, insomnia, circadian rhythm disorders, obstructive sleep apnea (OSA) and restless leg syndrome (RLS). Overall, the studies show that menopausal hormone therapy (MHT) improves VMS, insomnia, and mood. Several antidepressants can improve insomnia, either on their own or in association with MHT; these include selective serotonin reuptake …

Sleep Initiation and Maintenance Disordermedicine.medical_treatmentSerotonin and Noradrenaline Reuptake InhibitorPosition statementSleep medicine0302 clinical medicineSleep Initiation and Maintenance DisordersCognitive behavioraltherapy for insomnia (CBT-I)InsomniaSleep Wake Disorder030212 general & internal medicineContinuous positive airway pressureRestless legs syndromeSerotonin and Noradrenaline Reuptake InhibitorsCognitive behavioraltherapy for insomnia (CBT-I); Hormonereplacementtherapy (HRT); Menopause; Position statement; Sleepdisorders; Vasomotorsymptoms (VMS)Sleep Apnea Obstructive030219 obstetrics & reproductive medicineContinuous Positive Airway PressureDepressionObstetrics and GynecologySerotonin Uptake InhibitorAntidepressive AgentsMenopauseCognitive behavioral therapyCognitive behavioral therapy for insomnia (CBT-I)SleepdisordersAntidepressive AgentFemalemedicine.symptomMenopauseSelective Serotonin Reuptake Inhibitorsmedicine.drugHumanSleep Wake Disordersmedicine.medical_specialtyHormone Replacement TherapyVasomotor symptoms (VMS)MirtazapineCognitive behavioral therapy for insomnia (CBT-I); Hormone replacement therapy (HRT); Menopause; Position statement; Sleep disorders; Vasomotor symptoms (VMS); Antidepressive Agents; Cognitive Behavioral Therapy; Continuous Positive Airway Pressure; Depression; Exercise; Female; Humans; Mirtazapine; Quality of Life; Restless Legs Syndrome; Serotonin Uptake Inhibitors; Serotonin and Noradrenaline Reuptake Inhibitors; Sleep; Sleep Apnea Obstructive; Sleep Initiation and Maintenance Disorders; Sleep Wake Disorders; Hormone Replacement Therapy; MenopauseMirtazapineSettore MED/10 - Malattie Dell'Apparato RespiratorioHormone replacement therapy (HRT)Hormonereplacementtherapy (HRT)General Biochemistry Genetics and Molecular Biology03 medical and health sciencesRestless Legs Syndromemental disordersmedicineHumansExerciseSleep disorderCognitive Behavioral Therapybusiness.industryVasomotorsymptoms (VMS)medicine.diseasenervous system diseasesObstructive sleep apneaMenopause sleep disorders vasomotor symptoms (VMS) hormone replacement therapy (HRT) Cognitive Behavioral Therapy for Insomnia (CBT-I) Position StatementPhysical therapyQuality of LifebusinessSleep
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Sleep disorders in menopause: Results from an Italian multicentric study

2016

Menopause in the female life cycle is a special period due to important hormonal, physical and psychological changes. Sleep disruption represents a common complaint for midlife and menopausal women, related to primary sleep disorders, including insomnia, sleep disordered breathing, restless legs syndrome (RLS), mood and anxiety disorder, other medical illness, hormonal-related vasomotor symptoms, and aging per se. Aims of our study were to evaluate the prevalence of sleep disorders in a sample of pre and post menopausal women, and to investigate the relationship between sleep and other medical disorders, and life habits. Among workers in the six participant centers, we enrolled 334 women, a…

Sleep Wake DisordersAdultmedicine.medical_specialtyPhysiologyExcessive daytime sleepinessInsomnia sleepinessSleep Wake DisordersSettore MED/10 - Malattie Dell'Apparato RespiratorioAdult Female Humans Middle Aged Sleep Wake Disorders Menopausemental disordersmedicineInsomniaHumansSleep Wake DisorderSleep studyRestless legs syndromePsychiatrySleep disorderbusiness.industryEpworth Sleepiness ScaleCell BiologyGeneral MedicineMiddle Agedmedicine.diseaseMoodFemalemedicine.symptomMenopausebusinessHuman
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REM sleep behavior disorder and periodic leg movements in sleep in patients with amyotrophic lateral sclerosis

2013

Introduction In the last few years, it has been increasingly recognized that patients with amyotrophic lateral sclerosis (ALS) frequently suffer of sleep-related complaints, including insomnia, restless legs syndrome, and daytime sleepiness, although, in the past, many of the nocturnal symptoms have been mainly ascribed to chronic respiratory insufficiency and hypoventilation. In addition, excluding few single cases reported, polysomnographic studies did not look for abnormal motor activity during sleep that could be indicative of Rapid Eye Movements (REM) sleep behavior disorder (RBD) and REM sleep without atonia (RSWA), which are highly prevalent in other neurodegenerative disorders with …

Sleep disorderPediatricsmedicine.medical_specialtyGeneral Medicinemedicine.diseaseSleep in non-human animalsNon-rapid eye movement sleepREM sleep behavior disorderAnesthesiamedicineInsomniaRestless legs syndromemedicine.symptomSleep onsetPsychologySlow-wave sleepSleep Medicine
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Restless legs syndrome in patients with amyotrophic lateral sclerosis

2010

We aimed to evaluate the frequency and determinants of restless legs syndrome (RLS) in a group of 76 patients with amyotrophic lateral sclerosis (ALS) and 100 control subjects. A diagnosis of RLS was made according to the criteria of the International RLS Study Group, and severity was assessed by the RLS severity scale. RLS was significantly more frequent in patients with ALS (ALS/RLS(+)) than in control subjects (25% vs. 8%; P = 0.002). Compared with control subjects, patients with ALS/RLS(+) showed shorter history of RLS complaints and higher frequency of symptoms occurrence. Moreover, compared with those without RLS, patients with ALS/RLS(+) showed increased functional impairment and mor…

Sleep disordermedicine.medical_specialtyOdds ratioNeurological disordermedicine.diseaseComorbidityCentral nervous system diseaseNeurologyInternal medicinemental disordersSeverity of illnessmedicinePhysical therapyNeurology (clinical)Restless legs syndromeAmyotrophic lateral sclerosisPsychologyMovement Disorders
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