Consensus protocol for EEG and amplitude-integrated EEG assessment and monitoring in neonates

The aim of this work is to establish inclusive guidelines on electroencephalography (EEG) applicable to all neonatal intensive care units (NICUs). Guidelines on ideal EEG monitoring for neonates are available, but there are significant barriers to their implementation in many centres around the world. These include barriers due to limited resources regarding the availability of equipment and technical and interpretive round-the-clock personnel. On the other hand, despite its limitations, amplitude-integrated EEG (aEEG) (previously called Cerebral Function Monitor [CFM]) is a common alternative used in NICUs. The Italian Neonatal Seizure Collaborative Network (INNESCO), working with all national scientific societies interested in the field of neonatal clinical neurophysiology, performed a systematic literature review and promoted interdisciplinary discussions among experts (neonatologists, paediatric neurologists, neurophysiologists, technicians) between 2017 and 2020 with the aim of elaborating shared recommendations. A consensus statement on videoEEG (vEEG) and aEEG for the principal neonatal indications was established. The authors propose a flexible frame of recommendations based on the complementary use of vEEG and aEEG applicable to the various neonatal units with different levels of complexity according to local resources and specific patient features. Suggestions for promoting cooperation between neonatologists, paediatric neurologists, and neurophysiologists, organisational restructuring, and teleneurophysiology implementation are provided

Oh! che bel castello...

Il Castello Baronale svolge un ruolo di catalizzatore rispetto alla città da un punto di vista spaziale, ma anche culturale, in quanto sede di musei, una biblioteca ed attività musicali. Il progetto esprime e potenzia questa caratteristica: a livello funzionale, infatti, esso propone per il sottotetto una destinazione culturale (studio di registrazione con emeroteca, area multimediale,bar). A livello spaziale, invece, organizza i diversi elementi compositivi in modo da amplificare la sensazione di un movimento a spirale che, impresso dalla mole tondeggiante del castello, risucchia la città nella piazza e poi fin dentro il palazzo stesso. L’attuale separazione tra le piazze Castello e Renella viene così superata da un’organizzazione spaziale che, pur garantendo varietà di usi, elimina la frammentarietà esistente, creando uno spazio continuo e recuperando all’uso urbano anche il fossato