1,296 research outputs found
Codified-Tacit and General-Specific Knowledge in the division of labour among firms. A study of the Software Industry
This paper addresses the organisation and codification of knowledge in the software industry. It analyses various economic incentives to codification, including the need to improve the productivity and quality of software production processes and to access inter-firm collaborations. The paper examines the experience of four Italian software firms specialised in software packages and services. It compares their capabilities, the main sources of tacit knowledge, their specific incentives to invest in knowledge codification, their usage of formal software development methodologies and quality control systems. Finally, the paper analyses two distinct technological collaborations that two of these firms have recently established.
Highly skilled migrant women: achievements and contributions in knowledge-based economies
Editorial of the Special Issue "Highly-Skilled Migrant Women Achievement and Contributions in Knowledge-Based Economies
Zero Fluoroscopy Arrhythmias Catheter Ablation: A Trend Toward More Frequent Practice in a High-Volume Center
BACKGROUND: Awareness of radiation exposure risks associated to interventional cardiology procedures is growing. The availability of new technologies in electrophysiology laboratories has reduced fluoroscopy usage during arrhythmias ablations. The aim of this study was to describe procedures with and without X-Rays and to assess feasibility, safety, and short-term efficacy of zero fluoroscopy intervention in a high-volume center oriented to keep exposure to ionizing radiation as low as reasonably achievable. METHODS: Cardiac catheter ablations performed in our hospital since January 2017 to June 2021. RESULTS: A total of 1,853 procedures were performed with 1,957 arrhythmias treated. Rate of fluoroless procedures was 15.4% (285 interventions) with an increasing trend from 8.5% in 2017 to 22.9% of first semester 2021. The most frequent arrhythmia treated was atrial fibrillation (646; 3.6% fluoroless) followed by atrioventricular nodal reentrant tachycardia (644; 16.9% fluoroless), atrial flutter (215; 8.8% fluoroless), ventricular tachycardia (178; 17.4% fluoroless), premature ventricular contraction (162; 48.1% fluoroless), and accessory pathways (112; 31.3% fluoroless). Although characteristics of patients and operative details were heterogeneous among treated arrhythmias, use of fluoroscopy did not influence procedure duration. Moreover, feasibility and efficacy were 100% in fluoroless ablations while the rate of major complications was very low and no different with or without fluoroscopy (0.45 vs. 0.35%). CONCLUSION: Limiting the use of X-Rays is necessary, especially when the available technologies allow a zero-use approach. A lower radiation exposure may be reached, reducing fluoroscopy usage whenever possible during cardiac ablation procedures with high safety, full feasibility, and efficacy
The relationship between academic consulting and research performance: evidence from five Spanish universities
This paper investigates the relationship between engagement in consulting activities and the research performance of academic scientists. The study relies on a sample of 2678 individual faculty, from five Spanish universities, who have been recipients of publicly funded grants or have been principal investigators in activities contracted by external agents over the period 1999-2004. By implementing a propensity score matching estimator method, we show that engaging in consulting activities has an overall negative relationship with the average number of ISI-publications. However, the effect of consulting on the scientific productivity of academic scientists depends on the scientific fields and the intensity of engagement in consulting activities. Academic consulting is found to be negatively correlated with the number of publications in the fields of �Natural and Exact Sciences� and �Engineering�, but not in the case of �Social Sciences and Humanities�. When the intensity of consulting activity is taken into account at the discipline level, we find that engaging in consulting activities is negatively correlated with scientific productivity only for high levels of involvement in consulting activities, but not for moderate one
Thyroid V30 Predicts Radiation-Induced Hypothyroidism in Patients Treated With Sequential Chemo-Radiotherapy for Hodgkin’s Lymphoma
High prevalence of hepatitis C virus infection in patients with B-cell lymphoproliferative disorders in Italy.
Starting from the observation that a number of consecutive patients with non-Hodgkin's lymphoma (NHL) resulted positive for hepatitis C virus (HCV) antibodies on routine testing, we set up a survey for HCV contact prevalence in all patients with lymphoproliferative disorders (LPD) followed in our institution. We searched for HCV antibodies by a thirdgeneration ELISA technique, followed by a confirmation test (RIBA III); serum viral RNA and HCV genotype were investigated by a RT-PCR technique. We screened a total of 315 patients suffering from B-NHL (91), multiple myeloma (56), MGUS (48), chronic lymphocytic leukemia (57), Waldentrom's macroglobulinemia (13), Hodgkin's disease (HD)(43), and T-NHL (9). While only I of 52 patients with a non-B-LPD (HD or T-NHL) had signs of HCV contact (i.e., 1.9%, which is in the range of the normal population in the South of Italy), 59 of 263 patients with a B-LPD (22.4%) had HCV antibodies or RNA, or both, with no major differences among the various types of disorders, except for WM, in which the rate was higher (61.5%). The same prevalence was found for patients tested at diagnosis or during the follow-up, and in transfused or never-transfused patients. Only a few patients were aware of having a liver disease; one-half of HCV-positive patients never had transaminase increase. A review of data from Central and Northern Italy is included, showing similar findings; a report from Japan has confirmed such an association, while limited surveys in England have not revealed any correlation. These findings may have important biological and clinical implications
Fermi Surface and gap parameter in high-Tc superconductors: the Stripe Quantum Critical Point scenario
We study the single-particle spectral properties of electrons coupled to
quasicritical charge and spin fluctuations close to a stripe-phase, which is
governed by a Quantum Critical Point near optimum doping. We find that spectral
weight is transferred from the quasiparticle peak to incoherent dispersive
features. As a consequence the distribution of low-laying spectral weight is
modified with respect to the quasiparticle Fermi surface. The interplay of
charge and spin fluctuations reproduces features of the observed Fermi surface,
such as the asymmetric suppression of spectral weight near the M points of the
Brillouin zone.
Within the model, we also analyze the interplay between repulsive spin and
attractive charge fluctuations in determining the symmetry and the peculiar
momentum dependence of the superconducting gap parameter. When both spin and
charge fluctuations are coupled to the electrons, we find -wave
gap symmetry in a wide range of parameter. A crossover - vs -wave
symmetry of the gap may occur when the strength of charge fluctuations
increases with respect to spin fluctuations.Comment: 18 pages, 3 included figures, to be published on Physica
The new paradigm of Network Medicine to analyse breast cancer phenotypes
Breast cancer (BC) is a heterogeneous and complex disease as witnessed by the existence of
different subtypes and clinical characteristics that poses significant challenges in disease management.
The complexity of this tumor may rely on the highly interconnected nature of the various biological
processes as stated by the new paradigm of Network Medicine. We explored The Cancer Genome
Atlas (TCGA)-BRCA data set, by applying the network-based algorithm named SWItch Miner,
and mapping the findings on the human interactome to capture the molecular interconnections
associated with the disease modules. To characterize BC phenotypes, we constructed protein–protein
interaction modules based on “hub genes”, called switch genes, both common and specific to the
four tumor subtypes. Transcriptomic profiles of patients were stratified according to both clinical
(immunohistochemistry) and genetic (PAM50) classifications. 266 and 372 switch genes were identified
from immunohistochemistry and PAM50 classifications, respectively. Moreover, the identified
switch genes were functionally characterized to select an interconnected pathway of disease genes.
By intersecting the common switch genes of the two classifications, we selected a unique signature
of 28 disease genes that were BC subtype-independent and classification subtype-independent.
Data were validated both in vitro (10 BC cell lines) and ex vivo (66 BC tissues) experiments. Results
showed that four of these hub proteins (AURKA, CDC45, ESPL1, and RAD54L) were over-expressed
in all tumor subtypes. Moreover, the inhibition of one of the identified switch genes (AURKA)
similarly affected all BC subtypes. In conclusion, using a network-based approach, we identified a
common BC disease module which might reflect its pathological signature, suggesting a new vision
to face with the disease heterogeneity
CHRONIC RHINOSINUSITIS IN CYSTIC FIBROSIS PATIENTS: SMELL EVALUATION
Cystic Fibrosis (CF) involves the upper airways with chronic rhinosinusitis (CRS) causing nasal congestion, rhinorrhea, mouth breathing, facial pain, and olfactory dysfunction. Twelve to 71% of CF patients report smelling alterations impacting nutrition and quality of life. The aim was to study olfaction performance in CF patients with CRS that worsens quality of life. One hundred and twenty-one subjects were enrolled in this study. Seventy-one had CF and underwent ear, nose, and throat evaluation with nasal endoscopy, SNOT-22, VAS and “Sniffin’ Sticks”. Fifty subjects were age-matched with healthy controls. All 71 CF patients were affected by CRS; 59/71 (83.1%) had CRS without nasal polyps and 12/71 (16.9%) had CRS with early nasal polyps. None of the 50 controls had CRS. Total SNOTT-22 mean values in the 71 CF patients was 38.10 ± 21.08 pts. If considering only the 59 CF patients without nasal polyps the SNOTT-22 mean value was 36.76 ± 21.52 pts. Moreover, based on the VAS scores, the degree of nasal symptoms was classified as mild for facial pain, smell alteration, nasal discharge, and sneezing and resulted in moderate symptoms for nasal blockage and headache. Among the CF patients, 55/71 (76.5%) declared normosmia while the smelling ability assessed by “Sniffin’ Sticks” showed that only 4/71 (5.63%) were normosmic, 58 (81.69%) were hyposmic, and 9 (12.68%) were anosmic. In the controls 41(82%) were normosmic, 9 (18%) were hyposmic, and none were reported anosmia (p < 0.001). The study confirms that most CF patients have a relevant olfactory impairment, although only a low percentage declare it. A careful evaluation with simple and rapid tests helps to select the patients that may benefit from specific therapies
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