Search results for "Cod"
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Enteral Nutrition in Pancreaticoduodenectomy: A Literature Review
2015
Pancreaticoduodenectomy (PD) is considered the gold standard treatment for periampullory carcinomas. This procedure presents 30%–40% of morbidity. Patients who have undergone pancreaticoduodenectomy often present perioperative malnutrition that is worse in the early postoperative days, affects the process of healing, the intestinal barrier function and the number of postoperative complications. Few studies focus on the relation between enteral nutrition (EN) and postoperative complications. Our aim was to perform a review, including only randomized controlled trial meta-analyses or well-designed studies, of evidence regarding the correlation between EN and main complications and outcomes af…
The erector spinae plane block: a narrative review
2019
Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques to be described. In the past two years, publications referring to ESP block have increased significantly. The objective of this review is to analyze the articles about ESP block that have been published to date. We performed a search in the main databases and identified 368 articles. After a selection of the relevant articles, 125 studies were found eligible and were included in the review. The ESP block is performed by depositing the local anesthetic in the fascial plane, deeper than the erector…
Neonatal Respiratory Insufficiency Caused by an (Homozygous) ABCA3-Stop Mutation: a Systematic Evaluation of Therapeutic Options
2014
Background Autosomal recessive ABCA3 (ATP-binding cassette protein A3) gene mutations have been associated with neonatal respiratory distress and pediatric interstitial lung disease. The clinical course of the disease depends on the underlying mutations. Therefore, knowledge of course, symptoms and treatment of the disease is important. Patient and methods A term newborn suffered from progressive respiratory insufficiency, which led to death at the age of 4.8 months. The girl developed interstitial lung disease. Infections as well as structural and functional disorders of the lung were systematically excluded. A homozygous c.4681C > T (Arg 1561 Stop) mutation of the ABCA3 gene was identifie…
Pancreatoduodenectomy with artery-first approach.
2019
"Artery-first approach" encompasses different aspects for the surgical treatment of pancreatic cancer. It is a surgical technique or set of techniques which share in common the dissection of the main arterial vasculature involved in pancreatic cancer, before any irreversible surgical step is performed. On the other hand it represents the need for a meticulous dissection of the arterial planes and clearing of the retropancreatic tissue between the superior mesenteric artery, the common hepatic artery and portal vein in an attempt to achieve R0 resections. The recent expansion of this approach is based mainly on three factors: venous involvement should not be considered a contraindication for…
A method of reconstruction after pancreaticoduodenectomy for pancreatic malignancies in very young children: Two cases reports
2016
Abstract Pancreatic tumors are very rare diseases in very young children. Most information about those diseases in children was published in cases reports. Due to the rare nature of pancreatic tumors in children, there remains the absence of diagnostic algorithms, clear radiographic and morphological assessments as well as evidence based best treatment options. Because of the young age of patients and the rare occurrence of pancreatic neoplasms, tumor detection remains poor. For malignancies affecting the head of the pancreas the only possibility for achieving clear surgical margins is performing a pancreaticoduodenectomy (PD). We describe two cases of diagnostic and treatment of pancreatic…
Impact of a physician-targeted letter on opioid prescribing.
2020
We study the effect of a physician-targeted nudge letter on opioid prescribing. In May 2017, the Social Insurance Institution of Finland sent a personal information letter to all physicians who had issued a prescription containing at least 100 tablets of paracetamol-codeine combination to a new patient. The aim of the letter was to draw the physicians’ attention to their prescribing practices and to decrease the size of the first codeine prescription. Using individual level register data and a difference-in-differences strategy, we estimate that the letter decreased the average number of tablets purchased by new patients by 12.5 percent and the probability of a first purchase being at least…
Misunderstandings about developmental dyslexia: a historical overview
2020
Developmental dyslexia is a reading disorder unrelated to intellectual disability, inadequate teaching systems or poor motivation for schooling. The first attempts to understand such difficulty of learning to read, connected the problem to a primary ‘visual defect’. Since then, several models have been developed. In the last decades, autopsy and histopathological studies on the brain of developmental dyslexics provided neuroanatomical evidence of structural and morphological differences between the normal and dyslexic brains. Furthermore, neuroimaging studies allowed to understand the neural systems of reading and dyslexia. According to more recent studies, developmental dyslexia appears as…
Psicologia de la Memòria. Quadern de Pràctiques
2014
El document forma part dels materials docents programats mitjançant l'ajut del Servei de Política Lingüística de la Universitat de València. El cuaderno de prácticas de Psicología de la Memoria tiene como objetivos ilustrar a partir de ocho actividades, dirigidas y prácticas, algunos de los principales fundamentos teóricos de la Psicología de la Memoria, y ayudar a los estudiantes a familiarizarse con los procedimientos utilizados en la investigación básica de esta disciplina. En la 1ª actividad, se invita al alumno a reflexionar en torno al concepto de memoria y su complejidad y se complementa con una propuesta de trabajo con una de las pruebas conductuales utilizadas actualmente para la e…
Mecanismes estructuradors de les metacomunitats d'ostracodes d'aigües continentals
2016
Un dels objectius principals de l'estudi de les metacomunitats és entendre els patrons de distribució de grups d'espècies i els mecanismes ecològics que condicionen aquestos patrons. Recentment, els estudis sobre metacomunitats han estat centrats en determinar la importància relativa de l'ordenació d'espècies (i.e. l'efecte filtrador de l'ambient) i la dispersió (i.e. els efectes espacials) com a mecanismes estructuradors de les metacomunitats. En aquesta tesi hem analitzat el paper d'aquestos mecanismes estructuradors sobre diferents metacomunitats d'ostracodes i altres invertebrats en tres sistemes aquàtics diferents situats a l'est de la Península Ibèrica: llacunes temporals, basses de r…
Evolución comparativa del discurso dominante del desarrollo en materia migratoria desde 2008 en el contexto de la crisis global en España y Costa Ric…
2015
La crisis financiera internacional, que desde 2008 está arrastrando a muchos países supuestamente desarrollados hacia la pobreza y está hundiendo aún más profundamente a los países tradicionalmente considerados como subdesarrollados, está dando lugar a una nueva situación de indefensión de millones de personas ante la constante especulación de los mercados. Al mismo tiempo la misma crisis está impulsando los beneficios de las élites financieras, las cuales continúan haciendo negocio con la deuda de los nuevos países en quiebra y con la de los países del Sur que profundizan dramáticamente sus índices de pobreza, dando lugar a nuevas y diferentes fluctuaciones migratorias en todo el mundo. En…