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{{person
''Lezione 1 – 22 aprile 2024''
|name=Cesare Iani
|bio=Head of Stroke Unit, S. Eugenio Hospital, Rome
}}


{{Person details
'''Gestione dei contenuti: modifica avanzata delle pagine da browser (2 h)'''
|date of birth=1954-11-17
|nationality=Italian
|city=Rome
|university=University "La Sapienza" Of Rome
|profession=Neurologist
|professional association=Rome, Italy
}}


== General information ==
Argomenti:
Dr. Cesare Iani, born on 17.11.1954, resident in Rome, obtained his scientific high school diploma in 1973.


In the same year he undertook his studies of Medicine and Surgery at the University of Rome, graduating with in 1979 with the highest grades, presenting a thesis concerning the problem of lateralization of electroencephalographic alterations. Speaker Prof. Mario Manfredi.
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## Formattazione del testo
## Link
## Immagini
## Note
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## Elementi di HTML
# Modifica delle pagine via codice sorgente: esercizi
# Modifica sorgente e modifica visuale: scegliere l’opzione migliore in base al contesto e alle esigenze


* In 1979 he was admitted to the 1st School of Specialization in Neurology of the same University where he obtained the Specialization degree with the highest grades in 1984, discussing a thesis concerning the prognosis of feverish seizures.
* In the period April-September 1979 he carried out the postgraduate enabling internship in Internal Medicine at the S.Camillo hospital in Rome reporting the judgment: excellent.
* In November 84 he obtained the Specialization in Neurology
* In the Academic Year 1986-87 he won the Public Competition for PhD in "Organization and Pathology of movement", at the University of Rome "La Sapienza", earning the Title of Doctor of Research on 1.6.91.
* In 1994 he won a CNR scholarship for a three-month master's course at Uppsala University (Sweden) where he learned the new recording and management techniques in the electromyographic field and in particular the reording technique electromyographic of Single Fiber for the diagnosis of mystenia. He also deepened his knowledge of internet management of EMG and EEG laboratories in different cities, with the possibility of interpreting online data and also of therapeutic prescriptions in emergency situations "state of emergency epileptic" by remotely monitoring patients even in non-specialist wards.
* In October 99 he was awarded the CNR Scholarship for Research at Foreign University: The November-December 99 research period was carried out at Uppsala University (Sweden) with the following theme: Update in new techniques clinical neurophysiology.


== Qualifications and appointments ==
----
From 1979 to March 1991, he worked in the department of the V Neurological Clinic and in the Centre for the Treatment of Epilepsy of the University of Rome "La Sapienza", directed by Prof. Mario Manfredi. From 27.12.1989 to 15.3.1990 he won the public competition as a Full-Time Hospital Neurologist Assistant at the Neurological Clinic of the University of Rome "La Sapienza", "The NEUROLOGICAL Intensive Care Service STROKE UNIT". DPR 31.3.1971.n.276


In March 1990 he was the winner of the Public Competition and hired as Assistant of Neurology in the Neurological Department of the Hospital S.Eugenio of Rome (ASL RMC), directed by Prof. G.Bernardi. (Tor Vergata Neurological Clinic)
==A coherent language==
These quotations and questions have led us to a more appropriate and profound description of the topics covered in the previous chapters, because we cannot talk about standardized nomenclature, diagnostic process and differential diagnosis without talking about:


Since 94 he has been wrking with IRCCS S. Lucia for the Rehabilitation of Patients suffering from Spasticity and dystonia, through treatment with Botulinica Toxin. The Lazio Region has recognized the Department directed by me as a Regional Reference Centre for Dystonia and for the treatment with botulinum toxin Since 17.01.1995 he has been in charge of the Special Service for the Diagnosis and Care of Miastenia (nothing of the authority of the Company Health Director Dr. Maura Moreschini) related to the neurological clinic that provides outpatient visits and assistance to patients in progress of myasthesiscrisis with the possibility of urgently carrying out plasmaferesis and resuscitation assistance. On June 1, 03 he was the winner of the Public Competition of Director of The Complex Operating Unit of Neurology of the Hospital S. Eugenio, Rome. June 04 finished Course of Managment Health Hyppocrates Bocconi
* '''Epistemology of knowledge'''
Epistemology (from the Greek ἐπιστήμη, epistème, "certain knowledge" or "science", and λόγος, logos, "discourse") is that branch of philosophy that deals with the conditions under which scientific knowledge can be obtained and the methods to achieve such knowledge. The term specifically indicates that part of gnoseology that studies the foundations, validity and limits of scientific knowledge.


The two-year MASTER for CEREBROVASCULAR Diseases of "La Sapienza University" was received in January 06. Directed by Prof Argentino, Director of the Stroke Unit. The Lazio Region has made the Master preparatory for the opening of new Stroke Units in the Region From May 09 to 2010 he is a member of the Neuromuscular Diseases Consultation of the Ministry of Health as a representative of the Lazio Region From June 09 to December 12 he was appointed as a member of the Ethics Committee of the ASL RMC Since July 2012 has accepted the request for convention of the University of Ferrara, Neurological Clinic, which makes the UOC Neurology as the venue of practical theoretical internship for the Master Biennial of Level II in epileptology.
In fact, an almost unlimited value has been given to a statistical test such as <math>P-value</math> <ref>Text of footnote 1.</ref><ref>Text of footnote 2.</ref><ref>Text of footnote 3.</ref> and to the statistical data of a 'Classical Probability' based on Bayes' Theorem (which we will discuss in the next chapters)<ref>Text of footnote 4.</ref> and then witness a relative brake on the subject <math>P-value</math> and all that is <nowiki>'</nowiki>'''Epistomology'''<nowiki>'</nowiki>, that almost spontaneously highlighted another fundamental passage that of 'Interdisciplinarity', a phenomenon that only with great effort is recognized as important as the specialized disciplines.
* '''Interdisciplinarity'''
The proposed alternative philosophical paradigm, called the "Engineering Paradigm of Science" implies alternative philosophical assumptions regarding aspects such as the purpose of science, the character of knowledge, the epistemic and pragmatic criteria for the acceptance of knowledge and the role of technological tools. Consequently, scientific researchers need so-called metacognitive scaffolds to aid in the analysis and reconstruction of how "knowledge" is constructed in different disciplines. Precisely these 'Metacognitive Scaffolds' have allowed us to consider an important requirement in diagnostics that of 'basic knowledge' which tends to reduce the vagueness and ambiguity of the logic of medical language.
* '''Logic of medical language'''
These premises led us to the description of 'Fuzzy logic' models in which the 'Basic knowledge' is stratified at multiple levels of the context in multiple disciplines, increasing its capacity in differential diagnosis. All this is '''Logic of medical language'''<nowiki/>' with which we followed the diagnostic process of our poor patient 'Mary Poppins' who for 10 years hoped to be made a certain diagnosis despite the various attempts of clinical scientific propositions in the dental and neurological context:


From December 12 convention with Tor Vergata University to make UOC Neurology, location of practical theoretical internship for graduate students in neurophysiology, with assignment of teaching assignments at the same University. From January 2017 began collaboration with the chair of neurology of the Biomedical Campus (Prof. Vincenzo di Lazzaro) with a clinical and scientific collaboration report.
'''Propositions in the Dental Context'''


== Teaching activities ==
<math>\delta_1=</math> Positive radiological report of the TMJ in Figure 2
Teaching at the Hospital Medical School of Rome in the academic years from 92 to 1995 In the academic years from 1991 to 2001 he teaches Electromyography and Pathology of the peripheral nervous system to the course of neurology lessons for medical students: Tor Vergata University director of the chair Prof. George Bernardi.


In the academic years from 1994 to 1996 he taught Clinical Electroencephalography for students of the School of Specialization in Neurology (Tor Vergata University, Neurological Clinic). From 1992 to 1995 he was the holder of the electrotherapy course for students of the Direct School for Special Purposes of Rehabilitation Therapists (Tor Vergata University) University Teaching Period 2003-2007
<math>\delta_2=</math> Positive CT report of the TMJ in Figure 3


From 1997 to 2015 he taught Electromyography and Special Neurological Pathology at the School of Specialization in Neurology Univ. Tor Vergata In the academic years 2002-2009 he was the holder of the teaching of Clinical Neurology for the Graduate Course for Technicians of Orthopedia. Univ. Tor Vergata In the context of the teachings he was the supervisor of 6 thesis of specialization. From the academic year 92 to 2005 of 2 integrated teachings of the Official Course of Anesthesiology and Resuscitation and Pharmacology address intensive care: "Intracranial pressure and measurement of brain activity"; "Neurological resuscitation drugs"
== References ==
 
<references/>
In the academic years 2003-2015 he holds the teaching of Neuromuscular Diseases at the School of Specialization in Neurology of the University of Tor Vergata. From 1998 to 2017 teaching Graduate Course in Neurophysiological Diagnostic Techniques. Tor Vergata University In the 2007-09 academic year he was the holder of emergency neurology teaching at the two-year Master of Critical Patient Management of the University Campus Biomedical In the Academic year 2017-2018 Holder of teaching Neurological Clinic at the School of Specialization Biomedical Campus in Rome Bachelor of Medicine and Surgery 1979.University Wisdom Specialization in Neurology 1944 PhD in "Organization and pathology of movement", at the University of Rome "La Sapienza", earning the title of PhD on 1.6.91. In January 2006 he received the two-year MASTER for CEREBROVASCULAR Diseases from La Sapienza University. Directed by Prof Argentino, Director of the Stroke Unit.
 
Spoken and written English.
 
Electromyography, Evoked Potentials, Electroencephalography
 
Since 2009 the Lazio Region has been an experimental assignment for an ALS Patient management model. Numerous training courses were carried out to prepare medical and nursing staff for the management of the patient and care givers. Our UOC is followed by about 50 patients suffering from ALS with a hospital territory path that provides emergency management with dedicated bed in H24 at our UOC. About 15 admissions were made per year from 2013 to 14 for acute respiratory and nutritional events. Since February 2015, therapeutic management with acute stroke thrombolysis has been activated. A multidisciplinary protocol has been drawn up for the PDTA of the acute stroke patient accessing our hospital's emergency room.
 
Since February 2018 activation of the Stroke Unit equipped with 6 beds equipped with multi-parameter monitoring, located on the 9th floor of the New Wing of the Hospital. As of March 2019, 160 patients were subjected to systemic thrombolysis. In UOC Neurology are active specialist surgeries for Headache, Epilepsy, Multiple Sclerosis, Parkinson's M., Miastenia Gravis, Amyotrophic Lateral Sclerosis.
 
Clinical Electrophysiology Labs
 
== International Scientific Publications ==
[https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=iani+cesare+&btnG= Google Scholar]

Revision as of 15:54, 22 April 2024

Lezione 1 – 22 aprile 2024

Gestione dei contenuti: modifica avanzata delle pagine da browser (2 h)

Argomenti:

  1. La sintassi MediaWiki
    1. Formattazione del testo
    2. Link
    3. Immagini
    4. Note
    5. Introduzione alle formule matematiche
    6. Elementi di HTML
  2. Modifica delle pagine via codice sorgente: esercizi
  3. Modifica sorgente e modifica visuale: scegliere l’opzione migliore in base al contesto e alle esigenze



A coherent language

These quotations and questions have led us to a more appropriate and profound description of the topics covered in the previous chapters, because we cannot talk about standardized nomenclature, diagnostic process and differential diagnosis without talking about:

  • Epistemology of knowledge

Epistemology (from the Greek ἐπιστήμη, epistème, "certain knowledge" or "science", and λόγος, logos, "discourse") is that branch of philosophy that deals with the conditions under which scientific knowledge can be obtained and the methods to achieve such knowledge. The term specifically indicates that part of gnoseology that studies the foundations, validity and limits of scientific knowledge.

In fact, an almost unlimited value has been given to a statistical test such as [1][2][3] and to the statistical data of a 'Classical Probability' based on Bayes' Theorem (which we will discuss in the next chapters)[4] and then witness a relative brake on the subject and all that is 'Epistomology', that almost spontaneously highlighted another fundamental passage that of 'Interdisciplinarity', a phenomenon that only with great effort is recognized as important as the specialized disciplines.

  • Interdisciplinarity

The proposed alternative philosophical paradigm, called the "Engineering Paradigm of Science" implies alternative philosophical assumptions regarding aspects such as the purpose of science, the character of knowledge, the epistemic and pragmatic criteria for the acceptance of knowledge and the role of technological tools. Consequently, scientific researchers need so-called metacognitive scaffolds to aid in the analysis and reconstruction of how "knowledge" is constructed in different disciplines. Precisely these 'Metacognitive Scaffolds' have allowed us to consider an important requirement in diagnostics that of 'basic knowledge' which tends to reduce the vagueness and ambiguity of the logic of medical language.

  • Logic of medical language

These premises led us to the description of 'Fuzzy logic' models in which the 'Basic knowledge' is stratified at multiple levels of the context in multiple disciplines, increasing its capacity in differential diagnosis. All this is Logic of medical language' with which we followed the diagnostic process of our poor patient 'Mary Poppins' who for 10 years hoped to be made a certain diagnosis despite the various attempts of clinical scientific propositions in the dental and neurological context:

Propositions in the Dental Context

Positive radiological report of the TMJ in Figure 2

Positive CT report of the TMJ in Figure 3

References

  1. Text of footnote 1.
  2. Text of footnote 2.
  3. Text of footnote 3.
  4. Text of footnote 4.