Search results for "APAR"

From bus to tramway: Is there an economic impact of substituting a rapid mass transit system? An empirical investigation accounting for anticipation …

2018

Abstract Hedonic pricing models and price equations have been extensively used to retrieve the implicit prices of urban externalities through real estate markets. Many applications have been devoted to investigating the impact of new mass transit systems, such as rail infrastructures. However, the implementation of such infrastructures usually takes some time and markets can react with an anticipation effect that can vary according to the different development phases. Moreover, the impact may be different if it acts as a substitute to existing rapid transit services. This paper focuses on the impact of substituting bus rapid transit (BRT) for light rail transit (LRT) services, taking into a…

Educational reforms in South Africa the role of the teachers in the implementation of educational reforms in post apartheid South Africa 1994-2008

2009

Santillán Santa Cruz, R. : Disposición de bienes en la sociedad de gananciales

2021

El consentimiento informado de los menores de edad en el ámbito sanitario

2021

: El consentimiento informado aparece como un derecho de todo paciente a decidir en el ámbito sanitario. En este marco, es necesario determinar si los menores de edad han de ejercitar este derecho o si, por el contrario, precisan de la intervención de un tercero para llevarlo a cabo. A este respecto, nuestra legislación actual reconoce, con carácter general, el derecho a decidir de este colectivo. No obstante, en ocasiones pueden producirse limitaciones a su ejercicio motivadas bien por la ausencia de capacidad real, bien por el principio de interés superior. En definitiva, se trata de alcanzar el mayor beneficio para los menores de edad en el campo de la salud, evitando que se produzcan pe…

ANTITHROMBOTIC PROPHYLAXIS IN LAPAROSCOPIC CHOLECYSTECTOMY

2013

Pulmonary thromboembolism is a common cause of in-hospital death. In moderate or high risk patients undergoing laparotomy, acute and long-term mortality can be effec-tively reduced with an appropriate prophylactic drug treatment, while in low-risk patients undergoing laparoscopy, the correlation between the thromboembolism risk and the pro-cedure itself, as well as potential benefits of thromboprophylaxis are, at present, unclear. Here we report the case of E., a 49-year-old woman with patent foramen ovale, consid-ered to be at low risk of thromboembolism, who experienced a sudden cardiopulmonary arrest following a laparoscopic cholecystectomy and died four days later. . The purpose of this…

Un paisaje que cambia. Monumentos que fueron en tierras valencianas

2001

En el presente artículo se estudian varios edificios de la Comunidad Valenciana, que se remontan a una época relativamente lejana. A la luz de los estudios recientes y de la investigación arqueológica se puede constatar la escasez de restos, a excepción de algún caso aislado. El contenido comprende fundamentalmente murallas, castillos, palacios señoriales, torres, algún convento o ermita, y el Jardín Botánico del palacio del Arzobispo en Puzol. Las comarcas donde se ubican los monumentos son: "el Camp de Morvedre", "el Camp del Turia", "l'Horta Nord", "la Plana de Utiel-Requena", "la Ribera Alta", "la Safor", "la Vall d'Albaida" y "la Costera". (A)

Laparoscopic approach in abdominal emergencies: a 5-year experience at a single center.

2012

Background. Laparoscopy is ever more common in both elective and emergency surgery. In fact, in abdominal emergencies it enables the resolution of preoperative diagnostic doubts as well as treatment of the underlying disease. We present a retrospective study of the results of a 5-year experience at a single center. Patients and methods. Between September 2006 and August 2011, 961 patients were treated via laparoscopy, including 486 emergency cases (15 gastroduodenal perforation; 165 acute cholecystitis; 255 acute appendicitis; 15 pelvic inflammatory disease and non-specific abdominal pain [NSAP]; 36 small bowel obstruction). All procedures were conducted by a team trained in laparoscopic su…

Intestinal tuberculosis in a child living in a country with a low incidence of tuberculosis : a case report

2014

Background: Relatively common in adults, intestinal tuberculosis is considered rare in children and adolescents. The protean manifestations of intestinal tuberculosis mean that the diagnosis is often delayed (sometimes even for years), thus leading to increased mortality and unnecessary surgery. The main diagnostic dilemma is to differentiate intestinal tuberculosis and Crohn’s disease because a misdiagnosis can have dramatic consequences. Case presentation: A 13-year-old Caucasian, Italian female adolescent attended the Emergency Department complaining of abdominal pain, a fever of up to 38°C, night sweats, diarrhea with blood in stool, and a weight loss of about three kilograms over the p…

Small bowel obstruction after laparoscopic gastrectomy: An atypical clinical presentation. Report of a case

2020

Abstract Introduction Postoperative adhesions represent the most common cause of acute small bowel obstruction (80%) and are usually a consequence of abdomino-pelvic surgery performed with open technique. Presentation of case A 45-year-old black man arrived at the emergency room with abdominal pain and distension three months after laparoscopic distal gastrectomy with Roux-en-Y anastomosis performed for benign pyloric stenosis. CT abdominal scan revealed some air-fluid levels in the center of the abdomen with distension of proximal jejunal loops caused by intestinal adhesions. Laparoscopic adhesiolysis was performed to restore the intestinal transit. Discussion The formation of adhesions is…

Staged acute mesenteric and peripheral ischemia treatment in COVID-19 patient: Case report

2021

Introduction COVID-19 is an infectious disease that has been associated not only with respiratory complications. The COVID-19 disease includes, also damage to other organ systems as well as coagulopathy. The present report describes a case of COVID-19 presenting with acute mesenteric ischemia (AMI) and subsequent acute limb ischemia (ALI). Presentation of case An 84-years old hospitalized female patient presenting diabetes and recent COVID-19 reported acute onset of abdominal pain and typical findings of AMI. The CT-angiography confirmed the AMI secondary to a superior mesenteric artery (SMA) occlusion. The patient was managed through an endovascular approach using a SMA mechanical thrombec…