Search results for "Approach"
showing 10 items of 1654 documents
Technique and results of the retroperitoneoscopic adrenalectomy via a lumbar approach
1998
Introduction: Since 1992, endoscopic techniques have been used increasingly in adrenal-gland surgery. In the present paper, the technique of the retroperitoneoscopic adrenalectomy via a lumbar approach is described. Methods: The patient is placed in a lateral decubitus position. In the first step, a dilatation trocar is introduced in the retroperitoneal space to create an artificial cavity. The dilatation trocar is replaced by a blocking trocar to close off the operating field. After insufflation of CO2, two additional trocars are introduced in the area of the conventional flank incision. Adrenalectomy is performed via these ports. Once the adrenal gland is completely mobilized, it is inser…
Uncertainty Assessment of a Water-Quality Model for Ephemeral Rivers Using GLUE Analysis
2011
Every model is, by definition, a simplification of the system under investigation. Although it would be desirable to reduce the gap between the simulated and the observed behaviors of the system to zero, this reduction is generally impossible owing to the unavoidable uncertainties inherent in any modeling procedure. Uncertainty analyses can provide useful insights into the best model approach to be used for obtaining results with a high level of significance and reliability. The evaluation of parameter uncertainties is necessary for calibration and for estimating the impact of these uncertainties on model performance. In this context, the uncertainty of a river water-quality model developed…
What are the ethical dimensions in the profession of intensive care specialist?
2017
International audience; Two essential components of the profession of a medical doctor are the constant review of the patient's therapeutic project, and collaboration between healthcare professionals. The profession of intensive care unit (ICU) physician goes further in terms of responsibility, vis-à-vis the intensive treatments dispensed to the patients, and the physician's responsibilities towards the patient's family and the caregiving team, also bearing in mind that ICU care is costly in terms of human and financial resources. In this review, we address the profession of ICU physician from the perspective of the ethical questions that arise constantly, focusing on the timeframe of the r…
Patērētāju attieksme pret ietekmētāju mārketingu sociālo mediju platformās Latvijā un Uzbekistānā
2020
Ziyoda Mashatova. Bakalaura darbs “Patērētāju attieksme pret ietekmētāju mārketingu sociālo mediju platformās Latvijā un Uzbekistānā”. Šajā dokumentā tiek analizēta patērētāju attieksme pret ietekmētāju mārketingu sociālo mediju platformās Latvijā un Uzbekistānā. Mērķis ir novērtēt patērētāju viedokli par ietekmētāju mārketingu, ņemot vērā viņu vajadzības un kultūras izcelsmi. Galvenais uzdevums ir sasniegt šī dokumenta mērķi, saistot teoriju un praktiskus piemērus par patērētāju uzvedību sociālo mediju platformās. Iegūtie rezultāti parāda starpkultūru faktorus, kas ietekmē patērētāju uzvedību interneta vidē un viņu uztveri par ietekmētāju mārketingu. Bakalaura darbs satur 36 figūras, 15 ta…
Pratiche di didattica interculturale: sinergia e integrazione di approcci qualitativi e quantitativi
2021
Durante il percorso di ricerca, che presentiamo come esempio di integrazione tra metodi quantitativi e qualitativi, abbiamo supportato 79 insegnanti (docenti tutor) nella progettazione di azioni di miglioramento rivolte a studenti stranieri ma, soprattutto, ai loro insegnanti (114 docenti di 33 scuole siciliane), mediante azioni di coaching mirate ad una diffusione di pratiche di didattica interculturale efficaci e innovative. Siamo partiti dal presupposto che non è possibile ipotizzare solo procedure di ricerca che semplifichino tale complessità (procedure presenti nelle ricerche di tipo quantitativo), e rendano difficile l’individuazione di diversi piani di lettura delle situazioni educat…
Beyond Social and Family Generations
2019
Here the theoretical foundations on which the arguments in the book are built are developed. The chapter begins by introducing the concept of generation as both a cohort-based and a family-based construction. A discussion then follows of how various forms of intergenerational solidarity and conflict shape the relationships between family generations. Particular attention is paid to the need for an approach that goes beyond any strict generational division and is more sensitive to the ways in which individual lives are interconnected through the use of digital technologies. To assist in this task, a post-Mannheimian approach to generational identity is outlined.
A case report of pulmonary vein isolation performed in a patient with polysplenia and interrupted inferior vena cava
2021
Abstract Background Pulmonary vein isolation (PVI) has entrenched itself as one of the main approaches for the treatment of paroxysmal symptomatic atrial fibrillation (AF). Pulmonary vein isolation prevents focal triggers from pulmonary veins from initiating AF paroxysms. As standard—PVI is performed through the inferior vena cava (IVC) approach, through the femoral vein. However, there are conditions when this approach is not appropriate or is not available. Case summary We report a case of a 53-year-old male who was referred to Pauls Stradins Clinical University Hospital for PVI due to worsening AF. Due to the rare anatomical variant of the venous system, the standard approach to PVI coul…
Development of a modular room-temperature hydride storage system for vehicular applications
2016
The subject of this paper concerns the development of a vehicular hydrogen tank system, using a commercial interstitial metal hydride as storage material. The design of the tank was intended to feed a fuel cell in a light prototype vehicle, and the chosen hydride material, Hydralloy C5 by GfE, was expected to be able to absorb and desorb hydrogen in a range of pressure suitable for this purpose. A systematic analysis of the material in laboratory scale allows an extrapolation of the thermodynamic and reaction kinetics data. The following development of the modular tank was done according to the requirements of the prototype vehicle propulsion system and led to promising intermediate results…
Measure the Embodied Energy in Building Materials: An Eco-Sustainable Approach for Construction
2019
This paper highlights how the use of materials and building components often implicates the growth of embodied energy necessary to their construction, which is not always adequately compensated by a decrease of operational energy because incorporated energy can be almost half of the total energy used in a building’s life cycle and, sometimes, it even exceeds operational energy. The paper highlights how searching only for “operational” energy efficiency does not sufficiently guarantee environmental sustainability of the intervention. The intervention is heavily influenced by embodied energy whose knowledge must drive, since the beginning, the decision-making process towards more sustainable …
Argentum-quarz solution in the treatment of anorectal fistulas: Is it possible a conservative approach?
2012
Patients suffering from chronic intestinal diseases (Crohn's disease, Ulcerative Colitis, Indeterminate Colitis) are prone to the development of pyogenic complications. These complications are most commonly in the form of perianal or intraabdominal abscesses and/or fistulas. The treatment of these complications are managed differently but, after an initial treatment based on medical or minimally invasive management, the solution of the pathological condition is always achieved by a surgical procedure. In the last few years prospective studies have proposed an alternative conservative therapeutic approach based on application of fibrin glue in the healing of patients with fistulas-in-ano. In…