THE TECHNICAL MANAGEMENT OF HEALTH INFORMATION SYSTEMS

The technical management of ICT/Telemedicine Services is one Hospital Manager's crucial problem. The Biomedical Technologies Market has clearly shown that technical support to the user is one of the most critical issues that contribute to guarantee the quality of service in High-Tech applications. Therefore the ICT/Telemedicine Services, which belong to the high innovation area as well, require adequate competencies and human resources in order to provide users with a proper technical support. All these technologies require on the one hand a specialist who normally works remotely (II level support) and on the other hand an ordinary management activity (I level technical support) in order to avoid that medical staff stop their work in the operative env

trends and dynamics in retail industry focus on relational proximity

This paper aims to analyze the dynamics of retail innovation and store format, in particular underlining the variables that have led retailers in a return to the concept of neighbourhood, understood as relational proximity to the consumer.In particular, it shows that the concept of neighbourhood is evolving towards new patterns that deviate from previous interpretations of literature that identified under a purely dimensional aspect; today the format of neighbourhood is synonymous with relational proximity with the consumer and this assumption leads to consider proximity also a large store. The economic crisis and the changing lifestyles of consumers have brought independent and associate retailers to reinterpret its format by thinking like a basket of attributes, which includes further services in order to satisfy better consumer needs. The work shows that retail innovation is oriented towards the concept of relational proximity, whose main strength is the ability of the entrepreneur to be in direct relationship with its customers and to be able to get and interpret changes in the market, thus creating a sustainable competitive advantage

marketing innovation and key performance indicator in banking

This paper aims to analyze the relationship between marketing innovation and performance of an enterprise, studying in particular the banking sector. So after a brief review of the literature on services marketing and on the issue of business innovation, through the methodology of the single case (Yin, 1994; Dubois &amp; Gadde, 2002), that is appropriate because of the complexity of the phenomenon, the research analyzes how innovation of bank management—interpreted as a tendency to integrate strategies and tools of "marketing" that have long been the preserve of industrial production and, in recent years, of retailers—influences the performance and competitive advantages.In detail, the work provides an analysis of the main KPIs of the bank on the one hand, and innovation indicators of marketing on the other; subsequently it detects any correlation between the two elements and it emphasizes through what strategies a bank has managed to overcome the crisis and to gain a defensible competitive advantage.</p

enterprise place relationship and value co creation advance in research

This paper is part of a bigger research path and, in its actual form, it presents the concept of value co-creation in the places as a result of a concerted action between enterprises and places themselves. This action doesn't have an "activating" element, although it is the outcome of the proper application of skills and knowledge of each actor in interpreting the changes occurred in the environment and in the activation of their value-creating initiatives. The methodology used involves the analysis of a single case study (Yin, 1994; Dubois e Gadde, 2002), suitable technique to develop theories about phenomena still little known in the context in which they take place. The use of cases also has the advantage of allowing the study of issues related to the "how" and "why" of recent and contemporary events over which the researcher has little control (Sturman, 1998; Cecconi, 2002; Yin, 2003). The analysis was conducted collecting data about the positive performance of the company (analysis of financial statements, reading specialized journals, website) and the proactive role of place and local government bodies (website of the town, visiting the places, analysis of urban renewal, key performance indicators of QSV). The entrepreneurial experience and the dynamics active on place allow to highlight how the process of value co-creation in those enterprise-territory relationships is the result of a contextual conditions system, stimulated by important and stable project-related osmosis processes, organizing the accrual of a strategic path shared by enterprise and place over time, increasing the territorial social capital, designing a rooted model of local skills able to compete globally. The originality of the paper lies in the development potential of value co-creation through the enhancement of knowledge and sensitivity towards the environmental and contextual dynamics. Innovation and knowledge are not unique prerogatives of the enterprises; they should also arise in and from places to generate a mutual exchange of traditional values, while co-producing knowledge and continuous innovation

Discrimination power of long-term heart rate variability measures for Chronic Heart Failure detection

The aim of this study was to investigate the discrimination power of standard long-term Heart Rate Variability (HRV) measures for the diagnosis of Chronic Heart Failure (CHF). We performed a retrospective analysis on 4 public Holter databases, analyzing the data of 72 normal subjects and 44 patients suffering from CHF. To assess the discrimination power of HRV measures, we adopted an exhaustive search of all possible combinations of HRV measures and we developed classifiers based on Classification and Regression Tree (CART) method, which is a non-parametric statistical technique. We found that the best combination of features is: Total spectral power of all NN intervals up to 0.4 Hz (TOTPWR), square Root of the Mean of the Sum of the Squares of Differences between adjacent NN intervals (RMSSD) and Standard Deviation of the Averages of NN intervals in all 5-minute segments of a 24-hour recording (SDANN). The classifiers based on this combination achieved a specificity rate and a sensitivity rate of 100.00% and 89.74% respectively. Our results are comparable with other similar studies, but the method we used is particularly valuable because it provides an easy to understand description of classification procedures, in terms of intelligible “if … then …” rules. Finally, the rules obtained by CART are consistent with previous clinical studies

Economic rationale behind differences in the composition of seemingly identical branded food products in the Single Market

This report presents the results of a review of the economic literature about the problem of Difference in Composition of Seemingly Identical Branded Product (DC-SIP). The problem is also referred to as dual quality. Academic literature about DC-SIP is almost non-existent. Consequently, this report focuses on contributions that are indirectly related to the topic and yet are able to foster an understanding of the economic principles of DC-SIP. The report provides a conceptual analysis in order to explain the rationale for brand owners to use DC-SIP practices and policy related issues; it does not bring empirical evidence as it is not available in the literature.JRC.D.4-Economics of Agricultur