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IRIS UniCatt
Different neurological manifestations of coronavirus disease 2019 (COVID-19) in adults and children and their impact have not been well characterized. We aimed to determine the prevalence of neurological manifestations and in-hospital complications among hospitalized COVID-19 patients and ascertain differences between adults and children. We conducted a prospective multicentre observational study using the International Severe Acute Respiratory and emerging Infection Consortium (ISARIC) cohort across 1507 sites worldwide from 30 January 2020 to 25 May 2021. Analyses of neurological manifestations and neurological complications considered unadjusted prevalence estimates for predefined patient subgroups, and adjusted estimates as a function of patient age and time of hospitalization using generalized linear models.Overall, 161 239 patients (158 267 adults; 2972 children) hospitalized with COVID-19 and assessed for neurological manifestations and complications were included. In adults and children, the most frequent neurological manifestations at admission were fatigue (adults: 37.4%; children: 20.4%), altered consciousness (20.9%; 6.8%), myalgia (16.9%; 7.6%), dysgeusia (7.4%; 1.9%), anosmia (6.0%; 2.2%) and seizure (1.1%; 5.2%). In adults, the most frequent in-hospital neurological complications were stroke (1.5%), seizure (1%) and CNS infection (0.2%). Each occurred more frequently in intensive care unit (ICU) than in non-ICU patients. In children, seizure was the only neurological complication to occur more frequently in ICU versus non-ICU (7.1% versus 2.3%, P< 0.001).Stroke prevalence increased with increasing age, while CNS infection and seizure steadily decreased with age. There was a dramatic decrease in stroke over time during the pandemic. Hypertension, chronic neurological disease and the use of extracorporeal membrane oxygenation were associated with increased risk of stroke. Altered consciousness was associated with CNS infection, seizure and stroke. All in-hospital neurological complications were associated with increased odds of death. The likelihood of death rose with increasing age, especially after 25 years of age. In conclusion, adults and children have different neurological manifestations and in-hospital complications associated with COVID-19. Stroke risk increased with increasing age, while CNS infection and seizure risk decreased with age.
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[doi:10.1093/brain/awac332] [https://hdl.handle.net/10807/304651]
Neurological manifestations of COVID-19 in adults and children
Cho, SM;White, N;Premraj, L;Battaglini, D;Fanning, J;Suen, J;Bassi, GL;Fraser, J;Robba, C;Griffee, M;Singh, B;Citarella, BW;Merson, L;Solomon, T;Thomson, D;Ali Abbas;Nurul Najmee Abdulkadir;Ryuzo Abe;Laurent Abel;Lara Absil;Subhash Acharya;Andrew Acker;Diana Adrião;Saleh Al Ageel;Shakeel Ahmed;Kate Ainscough;Tharwat Aisa;Ali Ait Hssain;Younes Ait Tamlihat;Takako Akimoto;Ernita Akmal;Razi Alalqam;Tala Al-dabbous;Senthilkumar Alegesan;Cynthia Alegre;Beatrice Alex;Kévin Alexandre;Abdulrahman Al-Fares;Huda Alfoudri;Imran Ali;Naseem Ali Shah;Kazali Enagnon Alidjnou;Jeffrey Aliudin;Qabas Alkhafajee;Clotilde Allavena;Nathalie Allou;Aneela Altaf;João Alves;Rita Alves;João Melo Alves;Maria Amaral;Nur Amira;Phoebe Ampaw;Roberto Andini;Claire Andrejak;Andrea Angheben;François Angoulvant;Séverine Ansart;Sivanesen Anthonidass;Massimo Antonelli;Carlos Alexandre Antunes de Brito;Ardiyan Apriyana;Irene Aragao;Francisco Arancibia;Carolline Araujo;Antonio Arcadipane;Patrick Archambault;Lukas Arenz;Jean-Benoît Arlet;Christel Arnold-Day;Lovkesh Arora;Rakesh Arora;Elise Artaud-Macari;Diptesh Aryal;Angel Asensio;Muhammad Ashraf;Namra Asif;Mohammad Asim;Jean Baptiste Assie;Amirul Asyraf;Anika Atique;AM Udara Lakshan Attanyake;Johann Auchabie;Hugues Aumaitre;Adrien Auvet;Laurène Azemar;Cecile Azoulay;Benjamin Bach;Delphine Bachelet;Claudine Badr;Nadia Baig;J. 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Bustos;André Cabie;Susana Cabral;Eder Caceres;Cyril Cadoz;Jose Andres Calvache;João Camões;Valentine Campana;Paul Campbell;Cecilia Canepa;Mireia Cantero;Pauline Caraux-Paz;Sheila Cárcel;Chiara Simona Cardellino;Sofia Cardoso;Filipe Cardoso;Filipa Cardoso;Nelson Cardoso;Simone Carelli;Nicolas Carlier;Thierry Carmoi;Gayle Carney;Inês Carqueja;Downloaded from https://academic. oup. com/brain/article/146/4/1648/6695387 by guest on 19 January 2025 1658 | BRAIN 2023: 146;1648–1661 S. -M. Cho et al. Marie-Christine Carret;François Martin Carrier;Ida Carroll;Gail Carson;Maire-Laure Casanova;Mariana Cascão;Siobhan Casey;José Casimiro;Bailey Cassandra;Silvia Castañeda;Nidyanara Castanheira;Guylaine Castor-Alexandre;Henry Castrillón;Ivo Castro;Ana Catarino;François-Xavier Catherine;Paolo Cattaneo;Roberta Cavalin;Giulio Giovanni Cavalli;Alexandros Cavayas;Minerva Cervantes-Gonzalez;Anissa Chair;Catherine Chakveatze;Adrienne Chan;Meera Chand;Christelle Chantalat Auger;Jean-Marc Chapplain;Julie Chas;Mobin Chaudry;Jonathan Samuel Chávez Iñiguez;Anjellica Chen;Yih-Sharng Chen;Matthew Pellan Cheng;Antoine Cheret;Thibault Chiarabini;Julian Chica;Suresh Kumar Chidambaram;Leong Chin Tho;Catherine Chirouze;Davide Chiumello;Bernard Cholley;Marie-Charlotte Chopin;Ting Soo Chow;Hiu Jian Chua;Jonathan Chua;Jose Pedro Cidade;José Miguel Cisneros Herreros;Barbara Wanjiru Citarella;Anna Ciullo;Jennifer Clarke;Emma Clarke;Sara Clohisey;Perren J. Cobb;Cassidy Codan;Caitriona Cody;Alexandra Coelho;Megan Coles;Gwenhaël Colin;Michael Collins;Sebastiano Maria Colombo;Pamela Combs;Marie Connor;Anne Conrad;Sofía Contreras;Elaine Conway;Graham S. Cooke;Mary Copland;Hugues Cordel;Amanda Corley;Sabine Cornelis;Alexander Daniel Cornet;Arianne Joy Corpuz;Grégory Corvaisier;Emma Costigan;Camille Couffignal;Sandrine Couffin-Cadiergues;Roxane Courtois;Stéphanie Cousse;Rachel Cregan;Sabine Croonen;Gloria Crowl;Jonathan Crump;Claudina Cruz;Juan Luis Cruz Berm;Jaime Cruz Rojo;Marc Csete;Ailbhe Cullen;Matthew Cummings;Gerard Curley;Elodie Curlier;Colleen Curran;Paula Custodio;Ana da Silva Filipe;Charlene Da Silveira;Al-Awwab Dabaliz;Andrew Dagens;Darren Dahly;Heidi Dalton;Jo Dalton;Seamus Daly;Nick Daneman;Corinne Daniel;Emmanuelle A Dankwa;Jorge Dantas;Frédérick D’Aragon;Gillian de Loughry;Etienne De Montmollin;Rafael Freitas de Oliveira França;Ana Isabel de Pinho Oliveira;Rosanna De Rosa;Thushan de Silva;Peter de Vries;Jillian Deacon;David Dean;Alexa Debard;Bianca DeBenedictis;Marie-Pierre Debray;Nathalie DeCastro;William Dechert;Lauren Deconninck;Romain Decours;Eve Defous;Isabelle Delacroix;Eric Delaveuve;Karen Delavigne;Nathalie M. Delfos;Andrea Dell’Amore;Christelle Delmas;Pierre Delobel;Corine Delsing;Elisa Demonchy;Emmanuelle Denis;Dominique Deplanque;Pieter Depuydt;Mehul Desai;Diane Descamps;Mathilde Desvallées;Santi Dewayanti;Alpha Diallo;Sylvain Diamantis;André Dias;Juan Jose Diaz;Priscila Diaz;Rodrigo Diaz;Kévin Didier;Jean-Luc Diehl;Wim Dieperink;Jérôme Dimet;Vincent Dinot;Fara Diop;Alphonsine Diouf;Yael Dishon;Félix Djossou;Annemarie B. Docherty;Helen Doherty;Arjen M Dondorp;Maria Donnelly;Christl A. Donnelly;Sean Donohue;Yoann Donohue;Chloe Donohue;Peter Doran;Céline Dorival;Eric D’Ortenzio;James Joshua Douglas;Nathalie Dournon;Triona Downer;Joanne Downey;Mark Downing;Tom Drake;Aoife Driscoll;Claudio Duarte Fonseca;Vincent Dubee;François Dubos;Alexandre Ducancelle;Toni Duculan;Susanne Dudman;Paul Dunand;Jake Dunning;Mathilde Duplaix;Emanuele Durante-Mangoni;Lucian Durham III;Bertrand Dussol;Juliette Duthoit;Xavier Duval;Anne Margarita Dyrhol-Riise;Sim Choon Ean;Marco Echeverria-Villalobos;Siobhan Egan;Carla Eira;Mohammed El Sanharawi;Subbarao Elapavaluru;Brigitte Elharrar;Jacobien Ellerbroek;Philippine Eloy;Tarek Elshazly;Isabelle Enderle;Chan Chee Eng;Ilka Engelmann;Vincent Enouf;Olivier Epaulard;Martina Escher;Mariano Esperatti;Hélène Esperou;Marina Esposito-Farese;João Estevão;Manuel Etienne;Nadia Ettalhaoui;Anna Greti Everding;Mirjam Evers;Marc Fabre;Isabelle Fabre;Amna Faheem;Arabella Fahy;Cameron J. Fairfield;Komal Fareed;Pedro Faria;Ahmed Farooq;Hanan Fateena;Arie Zainul Fatoni;Karine Faure;Raphaël Favory;Mohamed Fayed;Niamh Feely;Laura Feeney;Jorge Fernandes;Marília Andreia Fernandes;Susana Fernandes;François-Xavier Ferrand;Eglantine Ferrand Devouge;Joana Ferrão;Mário Ferraz;Sílvia Ferreira;Benigno Ferreira;Ricard Ferrer-Roca;Nicolas Ferriere;Céline Ficko;Claudia Figueiredo-Mello;Juan Fiorda;Thomas Flament;Clara Flateau;Tom Fletcher;Letizia Lucia Florio;Deirdre Flynn;Claire Foley;Jean Foley;Tatiana Fonseca;Patricia Fontela;Simon Forsyth;Denise Foster;Giuseppe Foti;Erwan Fourn;Robert A. Fowler;Marianne Fraher;Diego Franch-Llasat;John F Fraser;Christophe Fraser;Marcela Vieira Freire;Ana Freitas Ribeiro;Ricardo Fritz;Stéphanie Fry;Nora Fuentes;Masahiro Fukuda;Valérie Gaborieau;Rostane Gaci;Massimo Gagliardi;Jean-Charles Gagnard;Amandine Gagneux-Brunon;Sérgio Gaião;Linda Gail Skeie;Phil Gallagher;Carrol Gamble;Yasmin Gani;Arthur Garan;Rebekha Garcia;Noelia García Barrio;Esteban Garcia-Gallo;Denis Garot;Valérie Garrait;Basanta Gauli;Nathalie Gault;Aisling Gavin;Anatoliy Gavrylov;Alexandre Gaymard;Johannes Gebauer;Eva Geraud;Louis Gerbaud Morlaes;Nuno Germano;Jade Ghosn;Marco Giani;Jess Gibson;Tristan Gigante;Morgane Gilg;Elaine Gilroy;Guillermo Giordano;Michelle Girvan;Valérie Gissot;Daniel Glikman;Eric Gnall;Geraldine Goco;François Goehringer;Siri Goepel;Jean-Christophe Goffard;Jin Yi Goh;Jonathan Golob;Joan Gómez-Junyent;Marie Gominet;Bronner P. Gonçalves;Alicia Gonzalez;Patricia Gordon;Isabelle Gorenne;Laure Goubert;Cécile Goujard;Tiphaine Goulenok;Margarite Grable;Jeronimo Graf;Edward Wilson Grandin;Pascal Granier;Giacomo Grasselli;Christopher A. Green;Courtney Greene;William Greenhalf;Segolène Greffe;Grieco, Domenico Luca;Matthew Griffee;Fiona Griffiths;Ioana Grigoras;Albert Groenendijk;Anja Grosse Lordemann;Heidi Gruner;Yusing Gu;Jérémie Guedj;Martin Guego;Dewi Guellec;Anne-Marie Guerguerian;Daniela Guerreiro;Romain Guery;Anne Guillaumot;Laurent Guilleminault;Maisa Guimarães de Castro;Thomas Guimard;Marieke Haalboom;Daniel Haber;Hannah Habraken;Ali Hachemi;Nadir Hadri;Olena Haidash;Fakhir Haidri;Sheeba Hakak;Adam Hall;Matthew Hall;Sophie Halpin;Jawad Hameed;Ansley Hamer;Rebecca Hamidfar;Terese Hammond;Lim Yuen Han;Rashan Haniffa;Kok Wei Hao;Hayley Hardwick;Samuel Bernard Ekow Harrison;Ewen M. Harrison;Janet Harrison;Junaid Hashmi;Madiha Hashmi;Muhammad Hayat;Ailbhe Hayes;Leanne Hays;Jan Heerman;Lars Heggelund;Ross Hendry;Martina Hennessy;Aquiles Henriquez-Trujillo;Maxime Hentzien;Jaime Hernandez-Montfort;Andrew Hershey;Liv Hesstvedt;Astarini Hidayah;Eibhilin Higgins;Dawn Higgins;Rita Hinchion;Samuel Hinton;Hiroaki Hiraiwa;Hikombo Hitoto;Yi Bin Ho;Antonia Ho;Alexandre Hoctin;Isabelle Hoffmann;Wei Han Hoh;Oscar Hoiting;Rebecca Holt;Jan Cato Holter;Peter Horby;Juan Pablo Horcajada;Koji Hoshino;Ikram Houas;Catherine L. Hough;Jimmy Ming-Yang Hsu;Jean-Sébastien Hulot;Iqbal Hussain;Samreen Ijaz;Hajnal-Gabriela Illes;Patrick Imbert;Mohammad Imran;Rana Imran Sikander;Aftab Imtiaz;Hugo Inácio;Carmen Infante Dominguez;Yun Sii Ing;Elias Iosifidis;Sarah Isgett;Tiago Isidoro;Nadiah Ismail;Margaux Isnard;Junji Itai;Daniel Ivulich;Danielle Jaafar;Salma Jaafoura;Julien Jabot;Clare Jackson;Nina Jamieson;Pierre Jaquet;Coline Jaud-Fischer;Stéphane Jaureguiberry;Florence Jego;Anilawati Mat Jelani;Synne Jenum;Ruth Jimbo-Sotomayor;Ong Yiaw Joe;Ruth N. Jorge García;Cédric Joseph;Mark Joseph;Swosti Joshi;Mercé Jourdain;Philippe Jouvet;Anna Jung;Dafsah Juzar;Ouifiya Kafif;Florentia Kaguelidou;Neerusha Kaisbain;Thavamany Kaleesvran;Sabina Downloaded from https://academic. oup. com/brain/article/146/4/1648/6695387 by guest on 19 January 2025 A prospective multicentre ISARIC study BRAIN 2023: 146;1648–1661 | 1659 Kali;Smaragdi Kalomoiri;Muhammad Aisar Ayadi Kamaluddin;Zul Amali Che Kamaruddin;Nadiah Kamarudin;Darshana Hewa Kandamby;Chris Kandel;Kong Yeow Kang;Ravi Kant;Darakhshan Kanwal;Pratap Karpayah;Christiana Kartsonaki;Daisuke Kasugai;Anant Kataria;Kevin Katz;Simreen Kaur Johal;Christy Kay;Hannah Keane;Seán Keating;Claire Kelly;Yvelynne Kelly;Andrea Kelly;Niamh Kelly;Aoife Kelly;Sadie Kelly;Maeve Kelsey;Ryan Kennedy;Kalynn Kennon;Maeve Kernan;Younes Kerroumi;Sharma Keshav;Imrana Khalid;Osama Khalid;Antoine Khalil;Coralie Khan;Irfan Khan;Quratul Ain Khan;Sushil Khanal;Abid Khatak;Amin Khawaja;Michelle E Kho;Ryan Khoo;Denisa Khoo;Saye Khoo;Nasir Khoso;Khor How Kiat;Yuri Kida;Peter Kiiza;Anders Benjamin Kildal;Antoine Kimmoun;Detlef Kindgen-Milles;Nobuya Kitamura;Paul Klenerman;Rob Klont;Gry Kloumann Bekken;Stephen R Knight;Robin Kobbe;Chamira Kodippily;Malte Kohns Vasconcelos;Sabin Koirala;ISARIC Collaborator Korten;Caroline Kosgei;Arsène Kpangon;Karolina Krawczyk;Vinothini Krishnan;Oksana Kruglova;Deepali Kumar;Ganesh Kumar;Mukesh Kumar;Pavan Kumar Vecham;Dinesh Kuriakose;Ethan Kurtzman;Demetrios Kutsogiannis;Galyna Kutsyna;Konstantinos Kyriakoulis;Marie Lachatre;Marie Lacoste;John G. Laffey;Marie Lagrange;Fabrice Laine;Olivier Lairez;Antonio Lalueza;Marc Lambert;François Lamontagne;Marie Langelot-Richard;Vincent Langlois;Eka Yudha Lantang;Marina Lanza;Cédric Laouénan;Samira Laribi;Delphine Lariviere;Stéphane Lasry;Naveed Latif;Odile Launay;Didier Laureillard;Yoan Lavie-Badie;Andy Law;Teresa Lawrence;Cassie Lawrence;Minh Le;Clément Le Bihan;Cyril Le Bris;Georges Le Falher;Lucie Le Fevre;Quentin Le Hingrat;Marion Le Maréchal;Soizic Le Mestre;Gwenaël Le Moal;Vincent Le Moing;Hervé Le Nagard;Paul Le Turnier;Ema Leal;Marta Leal Santos;Todd C. 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Luna;Olguta Lungu;Liem Luong;Nestor Luque;Dominique Luton;Nilar Lwin;Ruth Lyons;Olavi Maasikas;Oryane Mabiala;Moïse Machado;Gabriel Macheda;Guillermo Maestro de la Calle;Rafael Mahieu;Sophie Mahy;Ana Raquel Maia;Lars S. 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Uyeki;Cristinava Vajdovics;Luís Val-Flores;Amélie Valran;Stijn Van de Velde;Marcel van den Berge;Machteld Van der Feltz;Job van der Palen;Paul van der Valk;Nicky Van Der Vekens;Peter Van der Voort;Sylvie Van Der Werf;Laura van Gulik;Jarne Van Hattem;Carolien van Netten;Ilonka van Veen;Noémie Vanel;Henk Vanoverschelde;Pooja Varghese;Shoban Raj Vasudayan;Charline Vauchy;Shaminee Veeran;Aurélie Veislinger;Sebastian Vencken;Sara Ventura;Annelies Verbon;James Vickers;José Ernesto Vidal;César Vieira;Deepak Vijayan;Joy Ann Villanueva;Judit Villar;Pierre-Marc Villeneuve;Andrea Villoldo;Benoit Visseaux;Hannah Visser;Chiara Vitiello;Harald Vonkeman;Fanny Vuotto;Suhaila Abdul Wahab;Nadirah Abdul Wahid;Wan Fadzlina Wan Muhd Shukeri;Chih-Hsien Wang;Steve Webb;Jia Wei;Katharina Weil;Tan Pei Wen;Sanne Wesselius;Murray Wham;Bryan Whelan;Nicole White;Paul Henri Wicky;Aurélie Wiedemann;Surya Otto Wijaya;Keith Wille;Suzette Willems;Virginie Williams;Evert-Jan Wils;Calvin Wong;Xin Ci Wong;Yew Sing Wong;Teck Fung Wong;Gan Ee Xian;Lim Saio Xian;Kuan Pei Xuan;Ioannis Xynogalas;Siti Rohani Binti Mohd Yakop;Masaki Yamazaki;Yazdan Yazdanpanah;Nicholas Yee Liang Hing;Cécile Yelnik;Chian Hui Yeoh;Stephanie Yerkovich;Toshiki Yokoyama;Hodane Yonis;Obada Yousif;Saptadi Yuliarto;Akram Zaaqoq;Marion Zabbe;Masliza Zahid;Maram Zahran;Nor Zaila Binti Zaidan;Maria Zambon;Miguel Zambrano;Alberto Zanella;Konrad Zawadka;Nurul Zaynah;Hiba Zayyad;Alexander Zoufaly;David Zucman
2023
Abstract
Different neurological manifestations of coronavirus disease 2019 (COVID-19) in adults and children and their impact have not been well characterized. We aimed to determine the prevalence of neurological manifestations and in-hospital complications among hospitalized COVID-19 patients and ascertain differences between adults and children. We conducted a prospective multicentre observational study using the International Severe Acute Respiratory and emerging Infection Consortium (ISARIC) cohort across 1507 sites worldwide from 30 January 2020 to 25 May 2021. Analyses of neurological manifestations and neurological complications considered unadjusted prevalence estimates for predefined patient subgroups, and adjusted estimates as a function of patient age and time of hospitalization using generalized linear models.Overall, 161 239 patients (158 267 adults; 2972 children) hospitalized with COVID-19 and assessed for neurological manifestations and complications were included. In adults and children, the most frequent neurological manifestations at admission were fatigue (adults: 37.4%; children: 20.4%), altered consciousness (20.9%; 6.8%), myalgia (16.9%; 7.6%), dysgeusia (7.4%; 1.9%), anosmia (6.0%; 2.2%) and seizure (1.1%; 5.2%). In adults, the most frequent in-hospital neurological complications were stroke (1.5%), seizure (1%) and CNS infection (0.2%). Each occurred more frequently in intensive care unit (ICU) than in non-ICU patients. In children, seizure was the only neurological complication to occur more frequently in ICU versus non-ICU (7.1% versus 2.3%, P< 0.001).Stroke prevalence increased with increasing age, while CNS infection and seizure steadily decreased with age. There was a dramatic decrease in stroke over time during the pandemic. Hypertension, chronic neurological disease and the use of extracorporeal membrane oxygenation were associated with increased risk of stroke. Altered consciousness was associated with CNS infection, seizure and stroke. All in-hospital neurological complications were associated with increased odds of death. The likelihood of death rose with increasing age, especially after 25 years of age. In conclusion, adults and children have different neurological manifestations and in-hospital complications associated with COVID-19. Stroke risk increased with increasing age, while CNS infection and seizure risk decreased with age.
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[doi:10.1093/brain/awac332] [https://hdl.handle.net/10807/304651]
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
