Search results for " Local"
showing 10 items of 2101 documents
Prognostic implications of surgical specimen quality on the oncological outcomes of open and laparoscopic surgery in mid and low rectal cancer
2021
Abstract Purpose Determine differences in pathologic outcomes between laparoscopic (LAP) and open surgery (OPEN) for mid and low rectal cancer and its influence in long-term oncological outcomes. Methods Retrospective case matched study at a tertiary institution. Adults with rectal cancer below 12 cm from the anal verge operated between January 2005 and September 2018 were included. Primary outcomes were quality of specimen, overall survival (OS), disease-free survival (DFS), and local recurrence (LR). Results The study included 311 patients, LAP = 108 (34.7%), OPEN = 203 (65,3%). A successful resection was accomplished in 81% of the LAP group and in 84.5% of the OPEN (p = 0.505). No differ…
Children and partners of patients with recurrent respiratory papillomatosis have no evidence of the disease during long-term observation.
2006
Summary Objective Recurrent respiratory papillomatosis (RRP) is the most common benign neoplasm affecting the larynx and upper respiratory tract. The aim of our study was to investigate whether children and partners of patients with RRP develop the same disease and to determine whether there is an impact of pregnancy on the course of RRP. Patients and methods Thirty-eight of 42 patients with RRP were accepted for a multicenter prospective study in Germany in 21.06.83–12.03.90. Mean follow-up duration was 15.3 ± 1.8 years. The data of partners of patients with RRP was collected during the period of observation and then updated via interviews in January 2006. Twenty-nine children and four gra…
Management of laryngeal precancerous lesions.
2012
Abstract Objective The identification of precancerous lesions is the basis of an early diagnosis, and of a treatment that allows, in the great part of cases, the preservation of organ functions. The aims of this study were: the evaluation of the less invasive treatment for precancerous lesion of the larynx to minimize the recurrences, the estimation of number of further operation required. Methods A prospective study was done on patients with clinical diagnosis of laryngeal precancerosis. The patients were treated by a transoral endoscopic approach with direct microlaryngoscopy (DML) doing an excision-biopsy with cold blade, consisting in excision of the whole visible lesion with vocal liga…
Recurrence of a laryngeal spindle cell sarcoma with a transformation into a higher grade of malignancy.
2009
Primary malignant mesenchymal neoplasms of the larynx are rare. Sarcomas of the larynx account for <1% of all malignant laryngeal mesenchymal neoplasms. This report examines a case of a recurring laryngeal, initial benign-appearing mesenchymal tumour, which first changed its clinical phenotype without any histological signs of malignancy and later also its histological appearance with signs of malignancy. Finally, it even underwent a transformation into a higher grade of malignancy. In addition to this, the difficulties of allocating this tumour to the correct sarcoma subentity are shown.
1983. Las elecciones locales en la Comunidad Valenciana. 8 de mayo de 1983. Mayoría socialista
2014
1983. Las elecciones locales en la Comunidad Valenciana. 8 de mayo de 1983. Mayoría socialista. El PSOE habia conseguido mayoría absoluta en el Congreso -202 diputados-, en las elecciones de octubre de 1982, lo que le permite formar el primer gobierno monocolor socialista de la historia. El 1 de julio de 1982 se ha aprobado el Estatuto de Autonomía de la Comunidad Valenciana, y en mayo de 1983 se celebran las primeras elecciones a Cortes Valencianas, consiguiendo el PSPV-PSOE 51 de los 89 Diputados, pudiendo formar Consell monocolor socialista, dirigido por un presidente, ocho consellers y casi un centenar de directores generales, secretarios generales y altos cargos. Al mismo tiempo se cel…
Il lavoro irregolare nella percezione degli attori
2008
Il capitolo riferisce i risultati di una ricerca condotta nella provincia di Enna sul tema del lavoro sommerso attraverso la somministrazione di interviste a persone che per la loro posizione lavorativa sono coinvolte nel fenomeno. La ricerca intendeva ricostruire attraverso una metodologia etnografica la struttura dei vincoli e delle opportunità che influenzano le scelte degli attori che operano, vivono e si mobilitano nel territorio ennese. L’affondo qualitativo su motivazioni, percezioni e scelte ricorrenti, mirava a precisare ulteriormente la natura del sommerso e definirne i caratteri. L’esito della ricerca ha in effetti consentito di identificare nel territorio studiato i tratti di un…
Sentido y orientación de la Ley 27/2013 de Racionalización y Sostenibilidad de la Administración Local: autonomía local, recentralización y provisión…
2014
El presente trabajo trata de identificar algunas de las líneas esenciales de la reforma local operada por la ley 27/2013 y analizar cómo, en concreto, es previsible que afecten a nuestro régimen local tradicional y a los fundamentos de su marco jurídico constitucional. En concreto, el estudio se centra en indagar en la efectiva posibilidad de que la noción de autonomía local permita predicar cierta capacidad de resistencia jurídica frente a las pretensiones de reforma del legislador, en primer lugar. También analiza la reforma local a partir de la identificación de una línea, rastreable ya desde hace unos años, tendente a limitar las posibilidades de desarrollo autonómico, esto es, de recen…
Safety and efficacy of intensity-modulated radiotherapy in the management of spermatic cord sarcoma.
2017
International audience; Purpose. - Spermatic cord sarcoma is a rare disease, which management remains controversial due to the lack of guidelines. The standard therapeutic approach is surgical: wide soft-tissue resection with radical inguinal orchidectomy, The diagnosis is made during the analysis of the specimen. The high rate of local recurrence indicates adjuvant radiotherapy of the tumor bed. The aim of this series is to determine the efficacy and safety of postoperative intensity-modulated radiotherapy for spermatic cord sarcomas. Patients and methods. - Our series included five consecutive cases of spermatic cord sarcoma treated between 2011 and 2014. The indications for radiotherapy …
Piano per la produzione di Proteine Vegetali in Sicilia: recupero e valorizzazione della lenticchia di Ustica
2008
L'istituzione dei Liberi consorzi di Comuni e delle Città metropolitane in Sicilia, ovvero della specialità vagheggiata
2018
L'istituzione dei liberi Consorzi di Comuni e delle città metropolitane ha impegnato l'Assemblea regionale nella precedente legislatura, senza che sia stata prodotta una disciplina organica, in grado di dare attuazione all'art. 15 dello Statuto tenendo conto anche dei vincoli alla potestà legislativa esclusiva della Regione. Di qui le pronunce della Corte costituzionale. Il saggio esamina la relativa problematica.