Search results for "Operative"
showing 10 items of 2781 documents
Economía social y dinámica innovadora en los sistemas territoriales de producción y de innovación. Especial referencia a los sistemas agroalimentarios
2008
Las cooperativas desarrollan su actividad económica de acuerdo con unos principios que pueden alimentar el crecimiento de una trama de relaciones socio-económicas (capital relacional) y socio-políticas (capital social) propicias, a su vez, para generar la confianza que requiere la cooperación entre empresas y entre éstas y el sistema científico-tecnológico. Así se podría facilitar la creación de la proximidad organizada (relacional) necesaria para dotar de fluidez a las relaciones entre actores distintos dentro de los sistemas territoriales de producción y de innovación. Pero la presencia de una amplia red de cooperativas también podría definir ciertas inercias y factores de bloqueo. Este a…
Das Inventar „State-Trait-Operations-Angst” (STOA): Konstruktion und empirische Befunde
2005
This article reports on the construction and empirical evaluation of an instrument for the measurement of surgery-related state and trait anxiety. The inventory "State-Trait Operation Anxiety" (STOA) separately assesses surgery-related anxiety as a comparatively stable personality trait as well as the cognitive and affective components of state anxiety. Results of explorative and confirmatory factor analyses corroborated the unifactorial structure of trait anxiety and the two-factorial structure of state anxiety. Internal consistencies of all scales were highly satisfactory (Cronbach's alpha around 0.90). External relationships of the STOA with trait anxiety, dispositional and actual coping…
Coping variables as predictors of perioperative emotional states and adjustment
1996
Abstract Surgery, regardless of its kind and severity, can be regarded as a major stress situation for any patient. High preoperative emotional arousal may negatively influence adaptation during surgery and, consequently, rate of postoperative recovery. In a series of previous studies, our research group analyzed the influence of dispositional and actual coping on subjective and objective stress indicators before, during, and after surgery. The present study investigates the influence of the dispositional coping variables vigilance and cognitive avoidance on actual surgery-related coping, state anxiety, and indicators of intra- and postoperative adjustment. The sample consisted of 42 male a…
Threshold FFR, Impaired CFR, and IMR: Macrovascular or Microvascular Disease?
2016
An 80-year-old patient with recurrent stable angina underwent coronary angiography. An intermediate lesion was demonstrated at the ostium of the LAD, which was studied with FFR. The finding of an abnormal CFR was an incidental one.
256 Functional analysis of elective nephron-sparing surgery versus radical nephrectomy for renal tumors larger than 4 cm
2012
Objective To preserve renal function, nephron sparing surgery (NSS) for renal tumors should be performed. Little is known about perioperative morbidity and long-term functional outcome of patients after elective NSS compared with radical nephrectomy (RN) in renal tumors >4 cm. Materials and Methods Eight-hundred twenty-nine patients were treated with either RN (n = 641) or NSS (n = 188) for renal tumors >4 cm. After pairing the cohort for age, grading, TNM, size, gender, and preoperative renal function and excluding patients with imperative indication and metastases, 247 patients remained for functional analysis. Serum creatinine (SCr) values were used to estimate glomerular filtration rate…
Clinical pathways for urology patients during the COVID-19 pandemic
2020
The public health emergency caused by the Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a significant reallocation of health resources with a consequent reorganization of the clinical activities also in several urological centers. A panel of Italian urologists has agreed on a set of recommendations on pathways of pre-, intra- and post-operative care for urological patients undergoing urgent procedures or non-deferrable oncological interventions during the COVID-19 pandemic. Simplification of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. In absence of strict uniform regulations that impose th…
Adalimumab vs Azathioprine in the Prevention of Postoperative Crohn's Disease Recurrence. A GETECCU Randomised Trial.
2017
Background and aims Postoperative recurrence of Crohn's disease [POR-CD] is almost certain if no prophylaxis is administered. Evidence for optimal treatment is lacking. Our aim was to compare the efficacy of adalimumab [ADA] and azathioprine [AZA] in this setting. Methods We performed a phase 3, 52-week, multicentre, randomised, superiority study [APPRECIA], in which patients with ileocolonic resection were randomised either to ADA 160-80-40 mg subcutaneously [SC] or AZA 2.5 mg/kg/day, both associated with metronidazole. The primary endpoint was endoscopic recurrence at 1 year [Rutgeerts i2b, i3, i4], as evaluated by a blinded central reader. Results We recruited 91 patients [median age 35.…
Relative incidence and mortality of congenital heart defects diagnosed by angiohemodynamic methods: a 17-year study.
1992
Over a 17-year period (January 1971 to January 1988), 2322 children, aged 0-14 years, were diagnosed as having congenital heart disease (CHD) by cardiac catheterization and angiography. Excluding those with highly complex or undiagnosed defects, there were 2156 children with CHD, 72.4% of whom were treated surgically, with a total surgical mortality rate of 24.1%. After a mean follow-up of 9 years the overall mortality of the cohort was 29.9%, 29.1% occurring in the first month of life, 39.6% between 1 month and 1 year, and 31.2% between 1 and 14 years. The incidence, mortality, and age at death of each cardiac defect are presented and compared with the results of other studies. The overall…
Generating dialogical practices in mental health: experiences from southern norway, 1998-2008.
2013
Published version of an article in the journal: Administration and Policy in Mental Health and Mental Health Services Research. Also available from the publisher at: http://dx.doi.org/10.1007/s10488-013-0479-3 In Norway and many other countries, political guidelines prescribe the development of mental health strategies with both a service user's perspective and a treatment system established by the local authority. The development of new strategies frequently involves challenges regarding procedures and treatment as well as a view of knowledge and humanity. Dialogical practices might provide a solution for these challenges not only because of its procedures but also due to its attitudes tow…
Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2: the COVIDSurg mortality score
2021
The British journal of surgery 108(11), 1274-1292 (2021). doi:10.1093/bjs/znab183