Trasmissione intergenerazionale dell’attaccamento in casi di donne con partner violenti: Uno studio pilota.

Early negative experiences could facilitate the formation of insecure internal working models and could deteriorate symbolic competence; in adulthood, attachment style could affect partner’s choice and parenting function. Current research on attachment intergenerational transmission shows that exposure to domestic violence is associated to maladaptive outcome in children. In order to give evidence to intergenerational con- tinuity of attachment we analyzed early traumatic experiences and attachment styles in a group of five family units, who were living in a Safe House for women and chil- dren escaped from domestic violence. The Adult Attachment Interview was adminis- tered to five mothers,…

How radical prostatectomy procedures have changed over the last 10 years in Italy: a comparative analysis based on more than 1500 patients participating in the MIRROR-SIU/LUNA and the Pros-IT CNR study

Purpose Therapeutic strategies for prostate cancer (PCa) have been evolving dramatically worldwide. The current article reports on the evolution of surgical management strategies for PCa in Italy. Methods The data from two independent Italian multicenter projects, the MIRROR-SIU/LUNA (started in 2007, holding data of 890 patients) and the Pros-IT-CNR project (started in 2014, with data of 692 patients), were compared. Differences in patients' characteristics were evaluated. Multivariable logistic regression models were used to identify characteristics associated with robot-assisted (RA) procedure, nerve sparing (NS) approach, and lymph node dissection (LND). Results The two cohorts did not …

IMPACT OF THE SITE OF RECURRENCE AFTER RADICAL CYSTECTOMY ON SURVIVAL: DIFFERENT SITES FOR DIFFERENT OUTCOMES

Impact of stage migration on bladder cancer: A slow but steady improvement in the long term survival rates after radical cystectomy in the last 25 years

INTRODUCTION & OBJECTIVES: Bladder cancer (BCa) is a heterogeneous disease with up to 25% of incidental diagnoses reported to be found muscle invasive at first episode. Numerous markers and an increased awareness have been recorded in the recent years. We sought to evaluate if those considerat ions may determine a change in BCa clinical presentation at radical cystectomy (RC) over years in a single high volume tert iary referral center. MATERIAL & METHODS: The study relied on 2,003 consecutive BCa pat ients treated with RC and extended pelvic lymphadenectomy (PLND) at a single inst itution between January 1990 and December 2014. Pat ients were st ratified into tertiles according to …

Multiple attachments in women with domestic violence experiences.

According to attachment theory internal working models contain representations of self, others and interpersonal relationships. The attachment system tends to remain stable throughout a lifetime, the correlation concerning the typology of attachment during infancy and adulthood having been extensively demonstrated (Attili, 2004). An interesting field of research concerns attachment bonds that present discontinuity between the state of mind with regard to attachment to principal caregivers and the attachment model to the partner (Feeney, 2008). The aim of this research was to investigate the relationship between attachment typology and experiences as a couple in women who have suffered domes…

PATIENT SELECTION FOR LESS UROLOGICAL SURGERY

Laparoendoscopic single-site surgery (LESS) should theoretically improve perioperative results and cosmesis minimizing skin incision. LESS surgery is technically demanding and the result of any procedure depends on the surgeon skill and experience, on the condition to be treated and finally on careful patient selection. As cosmesis is the main advantage over standard laparoscopy, LESS is particularly indicated in young patients with low BMI. While at the beginning LESS surgery was limited to demolitive procedures, increasing experience lead to widen indications to reconstructive and more challenging conditions. New technologies and robotics may increase LESS indications in the next future.