Search results for "approach"
showing 10 items of 1654 documents
Public Administration and the Study of Political Order: Towards a Framework for Analysis
2020
The contribution of this study is two-fold: First, it outlines a conceptual framework on political order; and secondly, it offers empirical illustrations on the case of Nordic cooperation. Taken together, the article makes a plea for public administration scholarship in the study of political order. Political order consists of a relatively stable arrangement of institutions that are fairly formalized and institutionalized. A common political order, moreover, entails that relevant institutions: (i) are fairly independent of pre-existing institutions; (ii) are relatively integrated and internally cohesive; and (iii) are reasonably able to influence governance processes within other institutio…
Applicazione del metodo Failure Mode, Effects and Criticality Analysis (FMECA) in Tomoterapia: confronto tra approccio classico e metodologia fuzzy
2021
Le analisi di incidenti nel settore radioterapico hanno evidenziato ed evidenziano la necessità di incrementare le misure di garanzia della qualità (QA) a partire dall’identificazione di guasti/errori considerati rari, ma con conseguenze molto severe. In questo ambito, l’applicazione della tecnica Failure Mode, Effects And Criticality Analysis (FMECA) per la classificazione di eventi critici ha riscontrato un grande interesse. Lo scopo del presente lavoro è la comparazione dei risultati ottenuti nell’applicazione di due diverse metodologie FMECA (classica e fuzzy) per la valutazione dei rischi su pazienti sottoposti a trattamenti eseguiti con tomoterapia elicoidale. Il confronto è stato eff…
The referral centers for the diagnosis and treatment of hypertension in adolescents
2015
Primary hypertension in adolescence was felt to be quite rare. However, the worldwide childhood obesity epidemic has had a profound impact on the frequency of high blood pressure (BP) with the result that primary hypertension should now be viewed as one of the most common health conditions in the young (estimated prevalence 1–5%). Therefore, current guidelines recommend that all children and adolescents seen in a medical setting should have their BP measured. The availability of BP tables with normal BP percentiles for age, sex and height has improved BP values classification. Studies conducted at referral clinics for evaluation of hypertension have indicated that as many as 30 to 40% of ad…
Molecular bases of anorexia nervosa, bulimia nervosa and binge eating disorder: shedding light on the darkness
2017
International audience; Eating-disorders (EDs) consequences to human health are devastating, involving social, mental, emotional, physical and life-threatening aspects, concluding on impairment and death in cases of extreme anorexia nervosa. It also implies that people suffering an ED need to find psychiatric and psychological help as soon as possible to achieve a fully physical and emotional recovery. Unfortunately, to date, there is a crucial lack of efficient clinical treatment to these disorders. In this review, we present an overview concerning the actual pharmacological and psychological treatments, the knowledge of cells, circuits, neuropeptides, neuromodulators and hormones in the h…
An environment based approach for the ant colony convergence
2020
Abstract Ant colony optimization (ACO) algorithms are a bio inspired solutions which have been very successful in combinatorial problem solving, also known as NP-hard problems, including transportation system optimization. As opposed to exact methods, which could give the best results of a tested problem, this meta-heuristics is based on the stochastic logic but not on theoretical mathematics demonstration (or only on certain well defined applications). According to this, the weak point of this meta-heuristics is his convergence, its termination condition. We can finds many different termination criteria in the scientific literature, yet most of them are costly in resources and unsuitable f…
Una experiencia efímera: Enrique de Benito y el Instituto de Estudios Penales de la Universidad de Valencia (1928-1930)
2020
El auge de la Criminología en la segunda mitad del siglo XIX y en los primeros treinta años del XX dio lugar a una pequeña pero importante escuela de criminólogos españoles. El éxito del correccionalismo, junto con la extensión de las teorías de la Escuela Positiva italiana, dio lugar a la creación del Laboratorio de Criminología en Madrid, y la Escuela de Criminología para funcionarios o enseñanzas complementarias al Derecho Penal. En Valencia, la creación del Instituto de Estudios Penales, impulsado por el profesor Enrique De Benito fue una de esas experiencias. De corta trayectoria, el Instituto, con un plantel de profesores multidisciplinar y con un programa que abarcaba los conocimient…
The Smith-Robinson Approach to the Subaxial Cervical Spine: A Stepwise Microsurgical Technique Using Volumetric Models From Anatomic Dissections.
2020
BACKGROUND: The Smith-Robinson1 approach (SRA) is the most widely used route to access the anterior cervical spine. Although several authors have described this approach, there is a lack of the stepwise anatomic description of this operative technique. With the advent of new technologies in neuroanatomy education, such as volumetric models (VMs), the understanding of the spatial relation of the different neurovascular structures can be simplified. OBJECTIVE: To describe the anatomy of the SRA through the creation of VMs of anatomic dissections. METHODS: A total of 4 postmortem heads and a cervical replica were used to perform and record the SRA approach to the C4-C5 level. The most relevant…
GRANULOMATOUS MASTITIS DURING CHRONIC ANTIDEPRESSANT THERAPY: IS IT POSSIBLE A CONSERVATIVE THERAPEUTIC APPROACH?
2012
Granulomatous mastitis is a rare benign inflammatory disease of the breast with multiple etiologies such as tuberculosis, sarcoidosis, foreign body reaction, and mycotic and parasitic infections. In contrast, idiopathic granulomatous mastitis (IGM) is characterized by the presence of chronic granulomatous lobulitis in the absence of an obvious etiology. Clinically and radiologically it may mimic breast carcinoma and so awareness of surgeons, pathologists, and radiologists is essential to avoid unnecessary mastectomies. Cases of IGM are reported during antidepressant therapy in patients also showing high levels of prolactinemia. In these cases, we believe that surgical excision must be avoid…
Poor Esophageal Motility: A Tailored Approach?
2014
New onset dysphagia following antireflux surgery is among the most undesirable side effects of an otherwise excellent therapy. While its cause is multifactorial, insufficient circular muscle strength of the esophageal body, not powerful enough to force the bolus through the distal neo-high pressure zone, can be a component of the pathophysiology. The relative merits of “tailoring” the degree of fundoplication based upon esophageal body motility and/or other clinical features have been debated for decades. Herein we discuss the rationale for a tailored approach, its pros and cons and review data published to date available to guide the clinician in individual patient decision-making.
Transcervical approach for carotid artery stenting with transitory reversal flow: Case report
2021
Introduction Carotid artery stenting (CAS) has been indicated as an alternative to carotid endarterectomy in high risk patients. Sometimes, an aortic arch can be anatomically unfavourable for CAS. Herein we report our experience in a case of CAS with transcervical approach. Presentation of case A 77-year-old male was referred to our hospital for severe subtotal occlusion of the left internal carotid artery. He had a past medical history of radiation to the head and neck for laryngeal cancer. Previous CT-angiography had shown a type III aortic with bovine arch. CAS via transcervical approach was performed with transitory reversal flow during the placement of RX Spider Filter 6 Fr (Medtronic,…