Context and Objective: Over the past few decades, terminologies developed for clinical descriptions have been increasingly used as key resources for knowledge management, data integration, and decision support to the ...Context and Objective: Over the past few decades, terminologies developed for clinical descriptions have been increasingly used as key resources for knowledge management, data integration, and decision support to the extent that today they have become essential in the biomedical and health field. Among these clinical terminologies, some may possess the characteristics of one or several types of representation. This is the case for the Systematized Nomenclature of Human and Veterinary Medicine—Clinical Terms (SNOMED CT), which is both a clinical medical terminology and a formal ontology based on the principles of semantic web. Methods: We present and discuss, on one hand, the compliance of SNOMED CT with the requirements of a reference clinical terminology and, on the other hand, the specifications of the features and constructions of descriptive of SNOMED CT. Results: We demonstrate the consistency of the reference clinical terminology SNOMED CT with the principles stated in James J. Cimino’s desiderata and we also show that SNOMED CT contains an ontology based on the EL profile of OWL2 with some simplifications. Conclusions: The duality of SNOMED CT shown is crucial for understanding the versatility, depth, and scope in the health field.展开更多
In the banking system, a context characterized by growing instability and by the speed of evolution of business dynamics, the system of corporate governance plays a key role, both for large banks and for banks with a ...In the banking system, a context characterized by growing instability and by the speed of evolution of business dynamics, the system of corporate governance plays a key role, both for large banks and for banks with a smaller size. The paper aims to investigate the influence of corporate governance of the banks that operate in the cooperative credit system on performance and quality of loans, over the years 2010-2011-2012. In order to achieve this aim, the following research hypotheses have been formulated： There is a statistically significant relationship between the size and the structure of the board and banks Performance operating in the cooperative credit system; there is a statistically significant relationship between the size and structure of the board and the credit quality of banks operating in the cooperative credit system. The analysis is conducted on a sample composed of 48 Italian banks, divided into 24 cooperative banks and 24 popular banks. The sample is made up of banks from all over Italy and very different in terms of dimension. For the sample construction, data relative to governance of banks were collected from the balance sheets in the period from June to August 2014. Financial-economic data were collected from the Financial Statements and from Bankscope database. The methodology of analysis is based on multivariate OLS （ordinary least squares） regression models. The main results refer to the presence of significant relationships between board dimension and the quality of loans and among the number of committees and performance and the quality of loans. The presence of a significant and negative relationship between the board dimension and the ratio of impaired loans to gross loans indicates the possibility that enlargement of board dimension allows a better quality of loans. The presence of a positive relationship between the number of committees and the ratio of impaired loans to gross loans signals the possibility that a greater number of committees can produce a worse quality of loans. The presence of a negative relationship between the number of committees and bank performance suggests to limit and manage the complexity of governance in banks operating in the cooperative credit system.展开更多
The work investigates the use of trade credit in Italy for reasons of a financial nature. The analysis considers Italian small and medium-sized enterprises （SMEs） and investigates, over the years of 2009-2011： the ...The work investigates the use of trade credit in Italy for reasons of a financial nature. The analysis considers Italian small and medium-sized enterprises （SMEs） and investigates, over the years of 2009-2011： the existence of functional relationships between the incidence of trade receivables and payables and corporate profitability; the existence of interdependencies between trade credit policy and trade debt policy; and the coexistence of interchangeable and complementary conditions between trade debts and bank loans and other sources of funding. To verify the research hypotheses, linear regression models on a yearly basis are used and these models are put under observation over the years of 2009-2011. We can conclude that there are interdependencies between trade credit policy and trade debt policy and that trade credit is a source of flexible way of financing, also available in periods of crisis, which has a positive effect on the profitability of SMEs and can be utilized as a complementary and substitute source of financing to bank loans.展开更多
BACKGROUND Infections after anterior cruciate ligament reconstruction(ACLR)are rare.No cases of Salmonella infection have been described to our knowledge.CASE SUMMARY We describe a rare case of Salmonella infection in...BACKGROUND Infections after anterior cruciate ligament reconstruction(ACLR)are rare.No cases of Salmonella infection have been described to our knowledge.CASE SUMMARY We describe a rare case of Salmonella infection in a 23-year-old patient following an ACLR.The patient presented with subacute septic arthritis,26 d after a hamstring autograft ACLR.The pathogen,Salmonella enterica typhimurium was isolated by bacteriological sampling of the first arthroscopic lavage.Two arthroscopic lavages were required,with intravenous antibiotic therapy for two weeks with cefotaxime and ciprofloxacin,followed by oral antibiotics with amoxicillin and ciprofloxacin for a total duration of three months.This approach treated the infection but two years after the septic arthritis,faced with ongoing knee instability due to graft damage,a revision ACLR with a bone-tendon-bone graft was performed.At the last follow-up,full range of knee motion had been achieved and sports activities resumed.CONCLUSION Infection after ACLR is rare and requires an early diagnosis and management in order to treat the infection and prevent arthritis-related joint cartilage destruction and damage to the graft.展开更多
It is not accurate to judge the decline or increase in China＇s state capacity totally, because it is selectively effective from the view of policy implementation. Chinese Communist Party has been striving to improve ...It is not accurate to judge the decline or increase in China＇s state capacity totally, because it is selectively effective from the view of policy implementation. Chinese Communist Party has been striving to improve its government ability over the past decades. Mass mobilization and political movement were widely used to monitor local agents as well as implement policy in Maoist era. But mobilization and political movement were inappropriate under market circumstance which demands social order, regulation and law. In order to enhance the ability to enforce policy effectively, the Party sets up cadre responsibility system consisting of targets management, responsibility contract and competitions between cadres at the same administrative hierarchical level. Through cadre responsibility system, the Party-state enhances its government ability and it also leads to selective implementation.展开更多
A new method to determine the radial distribution of attenuation in single-mode optical fibers is proposed. As an example, radiation-induced losses in gamma-irradiated germanosilicate fibers are characterized at 633 nm.
文摘Context and Objective: Over the past few decades, terminologies developed for clinical descriptions have been increasingly used as key resources for knowledge management, data integration, and decision support to the extent that today they have become essential in the biomedical and health field. Among these clinical terminologies, some may possess the characteristics of one or several types of representation. This is the case for the Systematized Nomenclature of Human and Veterinary Medicine—Clinical Terms (SNOMED CT), which is both a clinical medical terminology and a formal ontology based on the principles of semantic web. Methods: We present and discuss, on one hand, the compliance of SNOMED CT with the requirements of a reference clinical terminology and, on the other hand, the specifications of the features and constructions of descriptive of SNOMED CT. Results: We demonstrate the consistency of the reference clinical terminology SNOMED CT with the principles stated in James J. Cimino’s desiderata and we also show that SNOMED CT contains an ontology based on the EL profile of OWL2 with some simplifications. Conclusions: The duality of SNOMED CT shown is crucial for understanding the versatility, depth, and scope in the health field.
文摘In the banking system, a context characterized by growing instability and by the speed of evolution of business dynamics, the system of corporate governance plays a key role, both for large banks and for banks with a smaller size. The paper aims to investigate the influence of corporate governance of the banks that operate in the cooperative credit system on performance and quality of loans, over the years 2010-2011-2012. In order to achieve this aim, the following research hypotheses have been formulated： There is a statistically significant relationship between the size and the structure of the board and banks Performance operating in the cooperative credit system; there is a statistically significant relationship between the size and structure of the board and the credit quality of banks operating in the cooperative credit system. The analysis is conducted on a sample composed of 48 Italian banks, divided into 24 cooperative banks and 24 popular banks. The sample is made up of banks from all over Italy and very different in terms of dimension. For the sample construction, data relative to governance of banks were collected from the balance sheets in the period from June to August 2014. Financial-economic data were collected from the Financial Statements and from Bankscope database. The methodology of analysis is based on multivariate OLS （ordinary least squares） regression models. The main results refer to the presence of significant relationships between board dimension and the quality of loans and among the number of committees and performance and the quality of loans. The presence of a significant and negative relationship between the board dimension and the ratio of impaired loans to gross loans indicates the possibility that enlargement of board dimension allows a better quality of loans. The presence of a positive relationship between the number of committees and the ratio of impaired loans to gross loans signals the possibility that a greater number of committees can produce a worse quality of loans. The presence of a negative relationship between the number of committees and bank performance suggests to limit and manage the complexity of governance in banks operating in the cooperative credit system.
文摘The work investigates the use of trade credit in Italy for reasons of a financial nature. The analysis considers Italian small and medium-sized enterprises （SMEs） and investigates, over the years of 2009-2011： the existence of functional relationships between the incidence of trade receivables and payables and corporate profitability; the existence of interdependencies between trade credit policy and trade debt policy; and the coexistence of interchangeable and complementary conditions between trade debts and bank loans and other sources of funding. To verify the research hypotheses, linear regression models on a yearly basis are used and these models are put under observation over the years of 2009-2011. We can conclude that there are interdependencies between trade credit policy and trade debt policy and that trade credit is a source of flexible way of financing, also available in periods of crisis, which has a positive effect on the profitability of SMEs and can be utilized as a complementary and substitute source of financing to bank loans.
文摘BACKGROUND Infections after anterior cruciate ligament reconstruction(ACLR)are rare.No cases of Salmonella infection have been described to our knowledge.CASE SUMMARY We describe a rare case of Salmonella infection in a 23-year-old patient following an ACLR.The patient presented with subacute septic arthritis,26 d after a hamstring autograft ACLR.The pathogen,Salmonella enterica typhimurium was isolated by bacteriological sampling of the first arthroscopic lavage.Two arthroscopic lavages were required,with intravenous antibiotic therapy for two weeks with cefotaxime and ciprofloxacin,followed by oral antibiotics with amoxicillin and ciprofloxacin for a total duration of three months.This approach treated the infection but two years after the septic arthritis,faced with ongoing knee instability due to graft damage,a revision ACLR with a bone-tendon-bone graft was performed.At the last follow-up,full range of knee motion had been achieved and sports activities resumed.CONCLUSION Infection after ACLR is rare and requires an early diagnosis and management in order to treat the infection and prevent arthritis-related joint cartilage destruction and damage to the graft.
文摘It is not accurate to judge the decline or increase in China＇s state capacity totally, because it is selectively effective from the view of policy implementation. Chinese Communist Party has been striving to improve its government ability over the past decades. Mass mobilization and political movement were widely used to monitor local agents as well as implement policy in Maoist era. But mobilization and political movement were inappropriate under market circumstance which demands social order, regulation and law. In order to enhance the ability to enforce policy effectively, the Party sets up cadre responsibility system consisting of targets management, responsibility contract and competitions between cadres at the same administrative hierarchical level. Through cadre responsibility system, the Party-state enhances its government ability and it also leads to selective implementation.
文摘A new method to determine the radial distribution of attenuation in single-mode optical fibers is proposed. As an example, radiation-induced losses in gamma-irradiated germanosilicate fibers are characterized at 633 nm.
