Increased Risk of Vascular Events in Emergency Room Patients Discharged Home with Diagnosis of Dizziness or Vertigo: A 3-Year Follow-Up Study

BACKGROUND: Dizziness and vertigo symptoms are commonly seen in emergency room (ER). However, these patients are often discharged without a definite diagnosis. Conflicting data regarding the vascular event risk among the dizziness or vertigo patients have been reported. This study aims to determine the risk of developing stroke or cardiovascular events in ER patients discharged home with a diagnosis of dizziness or vertigo. METHODOLOGY: A total of 25,757 subjects with at least one ER visit in 2004 were identified. Of those, 1,118 patients were discharged home with a diagnosis of vertigo or dizziness. A Cox proportional hazard model was performed to compare the three-year vascular event-free survival rates between the dizziness/vertigo patients and those without dizziness/vertigo after adjusting for confounding and risk factors. RESULTS: We identified 52 (4.7%) vascular events in patients with dizziness/vertigo and 454 (1.8%) vascular events in patients without dizziness/vertigo. ER patients discharged home with a diagnosis of vertigo or dizziness had 2-fold (95% confidence interval [CI], 1.35-2.96; p<0.001) higher risk of stroke or cardiovascular events after adjusting for patient characteristics, co-morbidities, urbanization level of residence, individual socio-economic status, and initially taking medications after the onset of dizziness or vertigo during the first year. CONCLUSIONS: ER patients discharged home with a diagnosis of dizziness or vertigo were at a increased risk of developing subsequent vascular events than those without dizziness/vertigo after the onset of dizziness or vertigo. Further studies are warranted for developing better diagnostic and follow-up strategies in increased risk patients

I trapianti giuridici tramite l\u2019allargamento della UE: il caso della Romania

Trapianti giuridici; Romania; Diritto comparat

The Definition of \u2018Best Judicial Practices\u2019 by European Judicial Networks and Commissions

Bringing together a variety of outlooks from comparative law, legal theory, organizational sociology, socio-legal studies or political science, this Joint Working Papers explores the cognitive equipement through which international judges perform their role. The notion of \u2018fabric\u2019, borrowed from the Science and technology studies, and Bruno Latour in particular, is used here as a common entrypoint enabling to consider altogether the (legal and non-legal, formal and unformal) tools and templates that contribute to shape international judicial decision-making: \u2018best practices\u2019, judicial compendia, routinized legal repertoires, legal methodologies, standard operational modes, etc\u202

Le Unioni di Comuni: oltre la politica?

N.A

Challenges to the democratic judicial reform in Serbia: Legacy of the past, political actors interests and the EU vagueness

Judicial reforms; Central and Eastern Europe; Enlargemen

Powerful resistance against a long-lasting personalized battle: The impact of Berlusconi on the Italian judicial system.

The article proposes a reflection on the impact of Berlsuconi\u2019 twenty years of politics on the Italian judicial system. To this aim the first section presents an excursus on the cross-national processes associated with the \u2018judicialisation of politics\u2019, that is a broad process taking place in many countries, whereby judicial personnel have taken on an increasingly political role. Then the article focuses on the Ad personam and Ad aziendam laws that characterized the twenty years of Berlusconi political activities. The third section analyses two of the above-mentioned laws and reforms having a major impact on the judges\u2019 and courts\u2019 work: the Ex-Cirielli law and the Castelli reform of the judicial system. The fourth section approaches the topic of anti-judges rhetoric and its impact/link with political culture and the judicial system functioning. This section firstly describes when the Berlusconi\u2019s anti-judges rhetoric emerged and how it evolved along with the governments headed by Berlusconi. Then, the article focuses on some selected aspects throughout which it is possible to depict the impact of the anti-judges rhetoric both on the public opinion perception of the judicial system and, more in generally, on the work and behavior of Italian judges

Uniunea europeana si promovarea statului de drept in Romania, Serbia si Ucraina. Reformele sistemelor judiciare i politici anticorup\ufeie

Se fino a meno di dieci anni fa il quinto allargamento dell'UE sembrava un fenomeno temporalmente e spazialmente limitato, dai primi anni del Duemila \ue8 stato sempre pi\uf9 chiaro che l'attivit\ue0 dell'UE a esso collegata stava mutando in una sorta di nuova forma di politica esterna basata sull'influenza normativa e sul trasferimento di standard e politiche. Il libro, dopo aver ricostruito il significato e lo sviluppo storico del concetto di rule of law, ne analizza le strategie di promozione attuate dall'UE in tre paesi coinvolti a diverso titolo nella sua politica esterna: Romania, Serbia e Ucraina. L'obiettivo principale del libro \ue8 di valutare l'impatto di tali strategie. Pi\uf9 specificatamente, vengono analizzati fenomeni di trasferimento di norme (rule transfer) e di internalizzazione di norme (rule internalization) nel settore delle politiche giudiziarie e anti-corruzione dal 2000 al 2006

Up-scaling social innovation in asylum adjudication: the case of the Migrantes project in Sicily

taly, as other European countries, saw a dramatic increase in international protection claims, heavily impacting the workload of Italian lower courts entitled to re-examine refusal decisions on asylum. The Court of Catania, in Sicily, was the most affected by this situation due to its geographical position, so that in 2016 it registered an increase of 514% in its new proceedings related to international protection. This surge in asylum claims affected the proper functioning of the judiciary and the whole asylum policy, as claims remained unsolved for a long time. In order to face these challenges, from 2015 to 2017 the project Migrantes, funded by the European Social Fund, was developed in the Court of Catania with the aim to better organise and speed up judicial procedures concerning asylum claims, the first and crucial stage of the refugee’s integration process. The present article offers an analysis of the project through the lens of the Social Innovation framework, adopting a multi-scalar perspective. In particular, it shows the innovative solutions adopted by the local court, the opportunity structures existing at local, regional, national and EU levels. Moreover, it focuses on the consolidation process that followed up-scaling dynamics and on the factors facilitating it