RISULTATI RICERCA

Passando in rassegna una vasta gamma di pratiche artistiche contemporanee, l’autore mostra come queste non si limitino a rispecchiare le contraddizioni della globalizzazione, ma siano forza motrice nella produzione di un immaginario cosmopolita. Ponendo le basi per un dialogo tra discipline che valorizza la diversità e il confronto diretto, Cosmopolitismo e Cultura ci sfida a immaginare e praticare una politica dell’ospitalità che, attraverso ogni piccolo gesto di reciprocità, sia capace di mantenere vivo il mistero dell’identità dello straniero.

Il saggio ricostruisce l’avventurosa vita politica del nobile veneziano Alvise Zenobio, un repubblicano anglofilo che tra il 1789 e il 1815 si divise tra Londra e Parigi e intervenne a piu riprese sul significato degli anni rivoluzionari e napoleonici. Dapprima favorevole ai rivolgimenti francesi - tanto da tradurre in inglese un testo di Sieyes - guardo poi con preoccupazione alla nascita di una repubblica democratica per tornare in seguito a entusiasmarsi ai successi di Bonaparte in Italia. Nel 1797 plaudi al crollo della Serenissima e nel 1802 pubblico a Milano uno scritto di Hume, che gli sembrava dovesse ispirare la costituzione della Repubblica italiana. Presto deluso da Napoleone, tento, al momento del crollo dell’Impero francese, di perorare il ritorno all’indipendenza della Serenissima. Il saggio analizza i suoi molti scritti politici - spesso attribuendogliene alcuni pubblicati anonimi - e illustra un curioso percorso politico che esaurisce il cosmopolitismo dei Lumi nell’accettazione di una piccola patria ritrovata.

Lo studio propone una valutazione dei costi diretti connessi all’erogazione della prestazione di controllo annuale ICD, distinguendo tra quei costi sopportati dall’Azienda Ospedaliera o dal singolo paziente e comparando quelli rilevati utilizzando un follow-up di controllo remoto (RM), rispetto a quelli necessari al convenzionale controllo ambulatoriale trimestrale. 233 pazienti impiantati con ICD sono stati raggruppati in due popolazioni omogenee d’indagine e seguiti complessivamente per 12 ± 3 mesi. Nell’ambito concettuale del direct costing, i costi rilevati attraverso un’analisi basata sull’ABC sono stati individuati utilizzando interviste e raccolte dati empiriche. L’analisi rivela che i costi direttamente imputabili al sostenimento della prestazione sono nettamente inferiori nel gruppo in RM rispetto all’alternativa; ogni paziente risparmia circa 156 € per anno, mentre la struttura ospedaliera può risparmiare circa 20 € per paziente/anno.

The integration of digitalization practices in accounting encompasses efforts to optimize resource allocation, promote effective cost management and support rational decision making through the use of innovative digital tools. In the healthcare sector, where a trade-off between available resources and patients’ necessities has been consolidating, performing economic evaluations is crucial. Telemedicine can allow to implement a valuable healthcare offer, while limiting its costs; most evaluations have adopted a cost-effectiveness approach, with oftentimes inconclusive findings and limited focus on other methods. Therefore, this study aims to analyze the scientific literature on telemedicine cost assessment to explore the cost-benefit approach within it. The scoping review methodology allows to map available evidence and assess the literature extension on the cost-benefit method. This literature analysis contributes to knowledge building on the approach and identify challenges that might prevent healthcare organizations from adopting it, while suggesting possible solutions. It allows to organize theoretical knowledge on how cost-benefit analysis can be applied to digital healthcare and from a managerial perspective it provides healthcare organizations with insights on how to structure their strategic resource allocation decisions, considering the necessary investments in technologies and healthcare personnel training, the direct and indirect costs of activities and convenience in converting healthcare services in telemedicine rather than maintaining the traditional modalities.

Background: There still is reluctance among surgeons when it comes to using bedside US in their daily clinical practice, except for very specific fields.Generally, the decision-making process relies on imaging techniques (e.g. CT, MRI). This may lead to a latency of execution, and consequently to a delay in decision making.Objectives: The purpose of this study is to assess the economic impact of systematic and routine use of surgeon-performed point-of-care US (SP-POCUS) in the everyday activities of a surgical department, both for urgent and elective cases.Methods: We conducted a cost-benefit analysis comparing the incremental costs and savings of diagnostic strategies based on alternative procedures to bedside US. The dataset refers to 478 SP-POCUS performed at the General Surgery Department of Policlinico San Pietro (Bergamo, Italy) between January 2018 and February 2020. The alternatives to SP-POCUS were computed tomography (CT), X-ray (RX), magnetic resonance imaging (MRI), and US performed by the Radiologist.Per-exam costs, including personnel time expenditure, were calculated.Results: The economic evaluation revealed that the use of SP-POCUS allowed the hospital to generate €355 net savings per patient, mainly from avoided hospitalizations, fewer hospital days and hours of operating room.Extrapolating these results to a wider scenario, in a similar setting they could have represented a potential annual savings of more than €1.1 million for the Regional healthcare system in Lombardy, and more than €5.7 millions for the whole NHS in Italy.Conclusions: We provided evidence that SP-POCUS may generate important costs savings for health care providers, as it represents the most cost-effective initial diagnostic procedure compared to standard alternatives.The wide applicability of SP-POCUS could be obtained at rather negligible costs for investment in staff training.

Since independence, Algeria has continued to spend massive sums on importing milk powder to satisfy local demand. In recent years, the state has improved several development programs to overcome this situation. Thus, this work aims at studying the cost price/quality relationship of a strategic product for wide consumption (Milk and dairy products) and describing the state subsidy policy regarding the safety of milk. To achieve these objectives, we proceeded on the one hand, to carry out a hygienic quality analysis of 50 samples of packaged pasteurized milk, calculating their cost price at the private dairy factory of Adrar (Algeria) and, on the other hand, to analyze recently published official statistics and the various programs adopted by the Algerian state when defining this policy. According to the results obtained it appears that the state subsidy contributes toward covering the demand of the national market but with a high dependence on the importation of raw material (about 30%). The results of the bacteriological analysis were in the range of thresholds set by the national standard. The analysis of spending data given by the tcr showed that for this factory, the cost price of one liter of pasteurized milk is estimated at 27.79 dzd/l compared a quay-factory fixed selling price at 23.20 dzd/l, revealing a deficit of -3.79 dzd/l (-13.64%), while, produced fermented milk (sour milk) showed a profit of +10.65 dzd/l representing a margin of distribution equivalent to (+37.56%) of the cost price that estimated at 28.35 dzd/l. Nevertheless, it is essential that the state contributes to the training and support of farmers, collectors and the dairy factory, which appear disconnected from the local production sector that supplies it with fresh raw milk; besides, it must focus on typical farms, which seem to be more productive than family small-sized farms. These must come together and form cooperative, not only so as to be in the official circuit but also to be under a hygienic control system in order to avoid any kind of peril to consumer’s health.

L’importanza dell’analisi della dimensione archetipica sta nel riportare l’esperienza psichica a ciò che è oggettivo e universale, cioè naturale, nella soggettività. Ma, a confronto con il metodo comparativo usato dall’etologia umana, la dimensione archetipica delle immagini deve essere articolata in modo più preciso che in Jung. In lui la psiche ha una storia, ma non è il mondo ad avere una storia (geografica, tecnica e sociale) che trasforma la psiche.

Il Salone ducale del Comune di Aosta, risalente alla seconda metà dell’Ottocento, è decorato con affreschi che raffigurano i più impor-tanti personaggi della storia valdostana e una scena di ambientazione medievale, l’entrata in città del Conte verde. L’analisi delle immagini e il loro confronto con quelle del salone del palazzo vescovile di Aosta rivelano importanti aspetti dell’ideologia della classe dirigente valdo-stana del periodo, tanto laica quanto religiosa.

Rajasthan, the largest state in India, occupies 10.5 per cent of the total geographical area of the country, although about two-thirds of its area is arid. The state has a predominantly agrarian economy, and agriculture is the mainstay of about two-thirds of the workforce. Interestingly, only 28 per cent of the net cultivable area in the state is irrigated, compared to the national average of 49.8 per cent. With the aim to improve irrigation facilities and increase agricultural productivity, the state government implemented the solar photovoltaic water pumping system (SPVWPS) in 2008-09 as an appropriate alternative to grid-connected water pumping. The aim of this paper is to assess the costs and benefits of adopting the SPVWPS using data from a field survey of 126 households. The findings show that use of the SPVWPS offers substantial benefits to adopters in the long run. In addition, government subsidy plays a major role in determining the payback period of adopters’ investment in the scheme. The paper suggests that, alongside timely implementation of the scheme, the government should facilitate domestic manufacturing of solar cells and panels to fully harness social benefits of the SPVWPS.

This study examines a typical decision-making process aimed at assessing the merits of constructing a new coal-fired power plant with three possible investment options: two with different Carbon Dioxide Capture and Storage (CCS) plants and one without. A Costs-Benefits Analysis (CBA) is carried out considering that the industrial investment may be affected by two alternative climate change mitigation regimes. The results show the impact of specific climate change mitigation regimes on the balance between the financial value and the socio-economic implications of investment in a CCS oxy-combustion or post-combustion plant. Therefore, this study aims to define which CCS plant option is the optimal investment choice that could be considered a financial and socio-economically sustainable climate change strategy.

La metropoli lagunare veneziana è qui assunta come territorio di sperimentazione del tema Costellazione Venetiae nel rapporto combinato tra stelle e costellazioni. Il volume si presenta come unione di parti autonome – stelle – che collaborano l’una con l’altra determinando una lettura che si muove in una costellazione di testi e immagini. I vari contributi sono pensati come riflessioni indipendenti che compongono un dialogo tra autori mediante progetti e letture posti in raffronto per differenze e affinità, per complementarità e divergenza di approccio teorico-pratico alla disciplina dell’architettura.