66 research outputs found

    LA MISURAZIONE DEL RISCHIO DI LIQUIDITA': APPROCCI TEORICI E STRUMENTI OPERATIVI

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    Scopo del lavoro Ăš di descrivere le principali problematiche connesse alla misurazione del rischio di liquiditĂ  ed esporre le proposte piĂč significative a riguardo riscontrate nella letteratura. Entrando nello specifico della struttura dell’elaborato, il Capitolo 1 si dedica al necessario discorso preliminare sulla natura del fenomeno liquiditĂ  e del rischio ad esso connesso, sulle dimensioni che gli sono riconosciute in letteratura, e sui meccanismi che ne presiedono la formazione. Il successivo Capitolo 2 provvede all’esposizione dei problemi teorici connessi alla definizione delle misure di rischio di portafoglio a contesti caratterizzati da liquiditĂ  imperfetta e delle soluzioni prospettate da alcuni contributi presenti in letteratura. In particolare, Ăš stata riservata un’attenzione specifica all’approccio assiomatico della coerenza e alla sua capacitĂ , contestata da alcuni, di adattarsi al rilascio dell’assunzione di perfetta liquiditĂ . Alla suddetta sezione serve da contraltare il Capitolo 3, volto alla descrizione di alcuni dei metodi di liquidity risk assessment elaborati da quella parte della dottrina che si rivolge in maniera particolare al mondo della pratica professionale. Obiettivo di questo capitolo Ăš quello di dimostrare l’inesistenza al momento di un metodo chiaramente superiore agli altri e di evidenziare di ciascuno i meriti e i limiti. Conclude la trattazione il Capitolo 4, contenente un breve lavoro di applicazione empirica di uno degli strumenti descritti nella parte precedente alla quantificazione dell’impatto del rischio di liquiditĂ  sul rischio globale nel caso dei titoli obbligazionari sovrani europei

    Scalability of Optical Interconnects Based on Microring Resonators

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    This letter investigates the use of optical microring resonators as switching elements (SEs) in large optical interconnection fabrics. We introduce a simple physical-layer model to assess scalability in crossbar- and Benes-based architectures.We also propose a new dilated SE that improves scalability to build fabrics of several terabits per second of aggregate capacit

    Systematic exploitation of the persistent scatterer interferometry potential

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    This paper briefly addresses the problem of exploiting the potential of Persistent Scatterer Interferometry (PSI) data. This has always been an open issue with the previous SAR missions. With Sentinel-1 it is becoming even more important due to its high throughput. Current data processing capabilities allow us to process a fraction of the acquired data; and the data analysis and exploitation only cover a part of the PSI results. From one side the PSI processing tools require to be improved, while from the other side there is the need of increasing the capabilities to analyze and interpret the PSI results, thus exploiting their potential

    Data-driven clustering of combined Functional Motor Disorders based on the Italian registry

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    Functional Motor Disorders (FMDs) represent nosological entities with no clear phenotypic characterization, especially in patients with multiple (combined FMDs) motor manifestations. A data-driven approach using cluster analysis of clinical data has been proposed as an analytic method to obtain non-hierarchical unbiased classifications. The study aimed to identify clinical subtypes of combined FMDs using a data-driven approach to overcome possible limits related to "a priori" classifications and clinical overlapping

    Diversity and ethics in trauma and acute care surgery teams: results from an international survey

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    Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance

    Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

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    : The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

    Demographic and clinical determinants of neck pain in idiopathic cervical dystonia.

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    Cervical dystonia is associated with neck pain in a significant proportion of cases, but the mechanisms underlying pain are largely unknown. In this exploratory study, we compared demographic and clinical variables in cervical dystonia patients with and without neck pain from the Italian Dystonia Registry. Univariable and multivariable logistic regression analysis indicated a higher frequency of sensory trick and a lower educational level among patients with pain
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