64 research outputs found

    Chapter The Appeasement Puzzle and Competition Neglect

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    Recent studies indicate that British appeasement towards Hitler followed a buying-time logic, i.e., it tried to postpone confrontation until Great Britain improved its military position through rearmament. However, this chapter shows that Germany actually extended its military edge over the appeasement years. Drawing on the literature on judgment and decision-making, the chapter theorizes that competition neglect – the tendency to focus myopically on one’s own capabilities and pay insufficient attention to those of the competition – may explain the puzzling gap between British policymakers’ plans and actual trends in the balance of power. The competition neglect thesis and an alternative explanation, positing the occurrence of miscalculation, are tested with a case study of British foreign policy towards Germany in 1937-38

    le polmoniti nei pazienti provenienti da residenze sanitarie assistenziali e necessaria una strategia terapeutica dedicata

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    Summary Background: Nursing home-acquired pneumonia (NHAP) was described in 1978, but only in 2005 it has been proposed as part of a new category (health care-associated pneumonia) distinct from community- or hospital-acquired infections. However, limited clinical data exist to validate this proposal. Aim of the study: To compare characteristics and outcome of patients hospitalised for pneumonia and coming from private residence or nursing home. Methods: Post-hoc analysis of the prospective phase of the FASTCAP study, performed to evaluate the impact of the Recommendations issued by the Italian Federation of Internal Medicine (FADOI) in 2002 on the management of hospitalised community-acquired pneumonia (CAP)

    Methodological issues in a cross-sectional survey on cervical cancer screening using telephone interviews in Sicily (Italy): a SWOT analysis

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    Objective: A cross-sectional study on knowledge, perceptions, and adherence to cervical cancer screening was conducted using telephone interviews of Sicilian women that were performed in 2016. This study aimed to identify areas that need to be addressed to improve the validity of data collection and to minimize possible biases. Methods: We performed a qualitative study through SWOT analysis, which is a multidimensional method based on evaluation of Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) of the research project. The contents of the SWOT forms underwent categorical, inductive, and deductive data analysis using the long table analysis method. Results: The full availability of an updated address and phone number list was the main organizational aspect to be addressed. Socio-cultural context played a major role for understanding the questions and for acceptability of the topics. In some cases, a family member was a facilitating element, while in others, the family member hindered the interviews. Active involvement of general practitioners was considered essential for success of the interviews. Conclusions: When performing a cross-sectional survey, organizational aspects and active involvement of general practitioners are crucial in the enrolment phase, regardless of the socio-cultural context

    Chapter The Appeasement Puzzle and Competition Neglect

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    Recent studies indicate that British appeasement towards Hitler followed a buying-time logic, i.e., it tried to postpone confrontation until Great Britain improved its military position through rearmament. However, this chapter shows that Germany actually extended its military edge over the appeasement years. Drawing on the literature on judgment and decision-making, the chapter theorizes that competition neglect – the tendency to focus myopically on one’s own capabilities and pay insufficient attention to those of the competition – may explain the puzzling gap between British policymakers’ plans and actual trends in the balance of power. The competition neglect thesis and an alternative explanation, positing the occurrence of miscalculation, are tested with a case study of British foreign policy towards Germany in 1937-38

    NORMAL ULTRASONIC MYOCARDIAL REFLECTIVITY IN ATHLETES WITH INCREASED LEFT-VENTRICULAR MASS - A TISSUE CHARACTERIZATION STUDY

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    Background. Ultrasonic integrated backscatter of myocardial walls is directly related to the morphometrically evaluated collagen content. The integrated backscatter is also increased in hypertrophic cardiomyopathy, probably because of fiber disarray. The purpose of this study was to investigate myocardial tissue reflectivity in subjects with physiological hypertrophy caused by intense physical training and to assess the relation between the acoustic properties of myocardial tissue and left ventricular wall thickness assessed by conventional two-dimensional echocardiography. Methods and Results. Twenty-four young male athletes (14 professional cyclists and 10 weight lifters, all in full agonistic activity) were studied together with 10 normal age-matched controls with sedentary life. By means of a commercially available two-dimensional echocardiograph, standard measurements were obtained according to the recommendations of the American Society of Echocardiography. With a prototype implemented in our Institute, an on-line radiofrequency analysis of ultrasound signals was also performed to obtain quantitative operator-independent measurements of the integrated backscatter of the myocardial walls. The integrated values of the radiofrequency signal were normalized for the pericardial interface and expressed in percent integrated backscatter (%IB). Compared with control subjects, athletes showed greater thickness values of septum (controls, 9 +/- 1; cyclists, 14 +/- 2; weight lifters, 15 +/- 1 mm, mean +/- SD; p < 0.01) and posterior wall (9 +/- 1, 12 +/- 2, and 12 +/- 1 mm, respectively; p < 0.01) but similar values of %IB for both septum (23 +/- 4%, 21 +/- 7%, and 23 +/- 8%, p = NS) and posterior wall (10 +/- 2%, 9 +/- 2%, and 11 +/- 2%, p = NS). In athletes, no correlation was found between septal and posterior wall thickness and the corresponding regional myocardial reflectivity (r = 0.23, p = NS and r = 0.01, p = NS, respectively). Furthermore, we compared the quantitative ultrasonic data between two subsets of 10 athletes and 10 patients with hypertrophic cardiomyopathy and similar degrees of septal thickness (16 +/- 1 versus 17 +/- 1 mm, respectively, p = NS). Septal and posterior wall %IB results were significantly higher in patients with hypertrophic cardiomyopathy (53 +/- 13% and 36 +/- 9%, respectively) than in athletes (21 +/- 7% and 10 +/- 3%, respectively; p < 0.01 for both). Conclusions. We conclude that 1) endurance athletes show a normal pattern of quantitatively assessed ultrasonic backscatter despite of a marked left ventricular hypertrophy and 2) athletes and patients with hypertrophic cardiomyopathy and similar degrees of myocardial wall thickness can be differentiated on the basis of quantitative analysis of backscattered signal

    Crystal and molecular structure of bis(2-amino-5-methyl-1,3,4-thiadiazole-N3)dibromomercury(II). A spectroscopic study and INDO calculations

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    The crystal structure of the compound Hg(amtz)2Br2(amtz= 2-amino-5-methyl-1,3,4-thiadiazole) was determined by X-ray crystallography. The compound crystallizes in the triclinic space group P1̄ with cell dimensions a = 9.133(2), b = 11.002(2), c = 8.404(2) Å, α = 102.65(2), β = 116.80(2), γ = 93.87(2)°, and Z = 2. The structure was solved by the heavy-atom method and refined by least-squares calculations. The structure consists of monomeric discrete molecules, in which the Hg atom is co-ordinated in a distorted tetrahedral geometry by two bromine ions and by two nitrogens of the 2-amino-5-methyl-1,3,4-thiadiazole ligands. Infrared bands are assigned, the 1H, 13C, and 199Hg n.m.r. spectra of the complex have been recorded, and INDO calculations are discussed
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