Search results for "criteri"

Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di …

2018

Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on three-dimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative d…

2016

Abstract Background: The association of attention-deficit/hyperactivity disorder (ADHD) and tic disorder (TD) is frequent and clinically important. Very few and inconclusive attempts have been made to clarify if and how the combination of ADHD+TD runs in families. Aim: To determine the first time in a large-scale ADHD sample whether ADHD+TD increases the risk of ADHD+TD in siblings and, also the first time, if this is independent of their psychopathological vulnerability in general. Methods: The study is based on the International Multicenter ADHD Genetics (IMAGE) study. The present sub-sample of 2815 individuals included ADHD-index patients with co-existing TD (ADHD+TD, n=262) and without …

Exponential stability analysis of Markovian jump nonlinear systems with mixed time delays and partially known transition probabilities

2013

In this paper, the problem of exponential stability is studied for a class of Markovian jump neutral nonlinear systems with mixed neutral and discrete time delays. By Lyapunov-Krasovskii function approach, a novel mean-square exponential stability criterion is derived for the situation that the system's transition rates are partially or completely accessible. Finally, some numerical examples are provided to illustrate the effectiveness of the proposed methods.

Influence of the evolutionary optimization parameters on the optimal topology

2016

Topological optimization can be considered as one of the most general types of structural optimization. Between all known topological optimization techniques, the Evolutionary Structural Optimization represents one of the most efficient and easy to implement approaches. Evolutionary topological optimization is based on a heuristic general principle which states that, by gradually removing portions of inefficient material from an assigned domain, the resulting structure will evolve towards an optimal configuration. Usually, the initial continuum domain is divided into finite elements that may or may not be removed according to the chosen efficiency criteria and other parameters like the spee…

Fuzzy Multi-Criteria Decision Making: An entropy-based approach to assess tourism sustainability

2019

In this article, we propose a method for ranking tourist destinations and evaluating their performances under a sustainability perspective: a fuzzy multiple criteria decision-making method is applied for determining sustainability performance values and ranking destinations accordingly. We select a set of sustainability evaluation criteria and use a fuzzy analytic hierarchy process to weight the selected criteria. We also optimize each evaluator’s membership function support by means of a fuzzy entropy maximization criteria. A case study is illustrated and results are compared with two data envelopment analysis–based models. The simplicity of the proposed approach along with the easy reada…

La toma inteligente de decisiones en los procesos de planificación de destinos turísticos de litoral: el plan de infraestructuras turísticas de canar…

2017

El Plan de Infraestructuras Turísticas de Canarias [PITCAN2017-2013] es un encargo de la Dirección General de Infraestructuras Turísticas de la Consejería de Turismo, Cultura y Deportes del Gobierno de Canarias a un grupo de investigadores de la Cátedra de Turismo CajaCanarias‐Ashotel‐Universidad de La Laguna y del grupo de investigación de la ULL ReinvenTUR: renovación e innovación turística, a través de la Fundación General de la Universidad de La Laguna. El objetivo del plan es enumerar y priorizar las infraestructuras turísticas públicas a implementar en el período 2017-2023. Para el desarrollo de este objetivo se ha aplicado un proceso metodológico basado en la participación de agentes…

Robust existence of nonhyperbolic ergodic measures with positive entropy and full support

2021

We prove that for some manifolds $M$ the set of robustly transitive partially hyperbolic diffeomorphisms of $M$ with one-dimensional nonhyperbolic centre direction contains a $C^1$-open and dense subset of diffeomorphisms with nonhyperbolic measures which are ergodic, fully supported and have positive entropy. To do so, we formulate abstract conditions sufficient for the construction of an ergodic, fully supported measure $\mu$ which has positive entropy and is such that for a continuous function $\phi\colon X\to\mathbb{R}$ the integral $\int\phi\,d\mu$ vanishes. The criterion is an extended version of the control at any scale with a long and sparse tail technique coming from the previous w…

Milan-out Criteria and Worse Intention-to-Treat Outcome Postliver Transplantation

2019

Background. Milan criteria are widely used for liver transplantation selection in hepatocellular carcinoma but have been recognized to be too restrictive. Milan-out criteria are increasingly being adopted. Our aim was to analyze if liver transplantation waitlisted Milan-out hepatocellular carcinoma patients have different outcome than Milan patients. Methods. Retrospective study including all consecutive patients with hepatocellular carcinoma admitted in the waiting list for liver transplantation between January 2012 and January 2015. We included 177 patients, 146 of which eventually transplanted. Downstaging was achieved in the Milan-out cases (n = 29) before waitlisting. Results. From dia…

Expanded criteria for liver transplantation in patients with cirrhosis and hepatocellular carcinoma

2008

Orthotopic liver transplantation (OLT) selection for patients with hepatocellular carcinoma (HCC) is a matter of debate. The Milan criteria (MC) have been largely adopted by the international community. The main aim of this study was to evaluate the survival rates and recurrence probabilities of a new proposal for criteria (up to 3 tumors, each no larger than 5 cm, and a cumulative tumor burden </= 10 cm). Patients with cirrhosis and HCC included on the waiting list (WL) from 1991 to 2006 were retrospectively analyzed. Outcomes in patients who had tumors within and beyond the MC were compared. The survival analysis was done (1) with the intention-to-treat principle and (2) among transplante…

Clinical symptomatic de novo systemic transthyretin amyloidosis 9 years after domino liver transplantation

2009

Four years ago, Stangou et al. reported a patient who developed clinical symptoms of amyloidosis 8 years after domino liver transplantation (DLT). In order to alleviate the graft shortage, livers from patients with familial amyloidotic polyneuropathy (FAP) are used as domino grafts for other patients under the assumption that several decades will pass before clinical symptoms due to amyloid accumulation emerge. We now report on another case, the third reported case in the literature, of de novo systemic amyloidosis in a 75-year-old woman 9 years after DLT. The patient underwent DLT at 65 years of age for hepatocellular carcinoma exceeding the Milan criteria in hepatitis C cirrhosis. Transar…