Search results for "Stratification"
showing 10 items of 210 documents
Hemithyroidectomy versus total thyroidectomy in the intermediate-risk differentiated thyroid cancer: the Italian Societies of Endocrine Surgeons and …
2021
The surgical treatment of the intermediate-risk DTC (1–4 cm) remains still controversial. We analyzed the current practice in Italy regarding the surgical management of intermediate-risk unilateral DTC to evaluate risk factors for recurrence and to identify a group of patients to whom propose a total thyroidectomy (TT) vs. hemithyroidectomy (HT). Among 1896 patients operated for thyroid cancer between January 2017 and December 2019, we evaluated 564 (29.7%) patients with unilateral intermediate-risk DTC (1–4 cm) without contralateral nodular lesions on the preoperative exams, chronic autoimmune thyroiditis, familiarity or radiance exposure. Data were collected retrospectively from the clini…
Pulmonary Embolism: Contemporary Medical Management and Future Perspectives
2018
Pulmonary embolism (PE) contributes substantially to the global disease burden. A key determinant of early adverse outcomes is the presence (and severity) of right ventricular dysfunction. Consequently, risk-adapted management strategies continue to evolve, tailoring acute treatment to the patients' clinical presentation, hemodynamic status, imaging and biochemical markers, and comorbidity. For subjects with hemodynamic instability or 'high-risk' PE, immediate systemic reperfusion treatment with intravenous thrombolysis is indicated; emerging approaches such as catheter-directed pharmacomechanical reperfusion might help to minimize the bleeding risk. Currently, direct, non-vitamin K-depende…
Una nota sobre crisis y estratificación social
2012
La crisis actual ha creado un colectivo específico de personas en riesgo de caer en la exclusión social. Básicamente se trata de jóvenes e inmigrantes. En ambos casos se agrava cuando coincide con escasa formación y cargas familiares. Su futuro es más que incierto y cabe predecir que la sociedad tardará en encontrarles acomodo pues ni el actual modelo productivo, ni el que pueda sustituirlo, van a generar empleo para esos perfiles. Pero es que tampoco el actual modelo de protección social, lento en sus reacciones y sesgado en favor de currícula laborales estables y continuados, les dará cobertura suficiente. La E.P.A. nos permite una aproximación al problema desde el ejemplo de la Comunidad…
Microbial controls of greenhouse gas emissions from boreal lakes
2015
A stable isotope study of the hydrological and carbon cycle in meromictic lake, Lovojärvi
2012
Lake Lovojärvi, at its deepest point of 17.5 m, is permanently stratified forming two water layers. The mixolimnion (the upper layer, from 0 to 10 m depth) is affected by seasonal changes while the monimolimnion (bottom layer, from 10 to 17.5 m depth) does not mix and is not affected by seasonal changes. As a result, the lake stores large quantities of dissolved inorganic carbon and methane. I used a multiple stable isotope approach to gain insight into the carbon cycle and water balance of Lovojärvi. The δ18O and δ2H profiles reveal that at the 7 m depth in the mixolimnion, there is a sub-surface stream whose isotopic characteristics are similar to surface streams from a nearby mire, sugge…
Możliwości i potrzeby edukacyjne skazanych poszkodowanych w więziennej rzeczywistości
2018
Skazani poszkodowani - pod względem funkcjonowania w zakładzie karnym - reprezentują specyficzną grupę osadzonych. Tekst w całości poświęcony jest kategorii osób, którzy w środowisku więziennym są napiętnowani przez współosadzonych. Izolacja od potencjalnych oprawców skłania kadrę do prowadzenia oddziaływań penitencjarnych - w tym także i edukacyjnych - odrębnie od pozostałej społeczności inkarcerowanej. Istotne wydaje się więc, w jaki sposób ich sytuacja społeczna (izolacja od pozostałych więźniów) oraz psychologiczna (degradacja poprzez wykluczenie) determinuje aktywność edukacyjną w instytucji totalnej, jaką jest więzienie. W tekście uwagę zwrócono zarówno na edukacji formalnej (szkoła),…
Risk stratification at primary care centres in Valencia (Spain) to activate integrated care pathways for elderly patients with chronic conditions
2017
Introduction: The activation of integrated care pathways is not always easy and is time-consuming, so the standardized use of stratification tools (ST) can support health care professionals in decision-making processes. Several ST –developed and validated in the United States– have been implemented in the Valencia Region (Spain) at primary care (PC) centres to identify elders with multimorbidity at risk of suffering future hospital admissions (FHA). In spite of the usefulness of these instruments, it would be recommended to apply STs which have been specifically designed on the basis of the Spanish healthcare system and the characteristics of its population. Thus, the objective of this stud…
(Homosexual) Male Sex Work: Sociological Representations, Social Realities and New Normalizations
2016
Homosexual male sex work is undoubtedly a complex phenomenon, underestimated and overlooked not just in scientific research,2 but also in social policy. The social realities of sex work, as well as the sex workers themselves, are often pigeonholed and confused with various other phenomena (including child abuse; paedophilia; human trafficking and exploitation; drug use and addiction, etc.), which, though they may sometimes be involved, have swayed the focus of research. The present chapter will discuss main sociological perspectives on male sex work.
REDUCING SOCIAL STRATIFICATION VIA DIGITAL SKILLS IMPROVEMENT: THE CASE OF SOCIAL ENTERPRISES IN LATVIA
2021
Latvian social enterprises and social entrepreneurship are becoming important since the adoption of the Social Enterprise Law in 2017 (effective as of 01.04.2018). The number of social enterprises with the legal status and the number of financial grants awarded to social enterprises has been steadily increasing, reaching 161 and 110 of them have received support over 7 million EUR as of 28.02.2021, data of the Register of Social Enterprises. Covid-19 crisis is continuing to have a negative effect on the sector since Latvian social enterprises were not provided any complementary support despite the double-bottom lines they are achieving. Inability to provide structured support mechanisms in …
THE EXPLORED ARCHITECTURE. THE VIRTUAL MODEL OF A HISTORICAL STRATIFICATION
2010
The present study deepens -through documents of historical iconography and critical studies on morphological, geometrical and structural aspects- spatial and volumetric relationships between the medieval Torre Pisana of Palazzo Reale to Palermo (also known as Palazzo dei Normanni) and the Astronomical Observatory, site on the summit of the tower. A brief historical and architectural description of the evolution of the tightly correlated structure to the historical-cultural vicissitudes, to the advancement of the scientific theories and to the innovation of the tools of observation and of survey, is a deepening of knowledge for the conservation and safeguard of the architectural testimony. T…