Search results for "TCO"
showing 10 items of 5331 documents
Cirurgia coronària amb i sense circulació extracorpòria. Morbimortalitat postoperatòria i seguretat a curt i llarg terme
2016
OBJETIUS: Les malalties cardiovasculars representen el 25-40% de totes les morts a Europa i Amèrica del Nord amb una majoria causada per coronariopaties. La cirurgia de revascularització coronària amb circulació extracorpòria (CEC) segueix sent el “gold stàndard” del tractament quirúrugic d’aquesta patologia. Malgrat la millora de les tècniques i l'experiència quirúrgica, part de la morbiditat relacionada amb la cirurgia coronària és causada per la CEC i és per aquest motiu l’augment de procediments de revascularització coronària sense CEC les darreres dècades. L’ objectiu d’aquesta tesi és descriure l’experiència del nostre centre durant 20 anys (1993-2013) en la cirurgia cardiaca de revas…
Role of laparoscopic hysterectomy in cervical and endometrial cancer: a narrative review
2022
Endometrial cancer is the most common carcinoma of the female genital organs and cervical cancer is the leading cause of cancer death in women worldwide. The aim of this review is to evaluate the role of laparoscopic hysterectomy in patients with endometrial and cervical cancer in this period, and analyze the outcome of hysterectomy in terms of survival. Moreover, we present the historical background, new techniques, the anatomical features, and surgical steps of radical hysterectomy. According to new evidence, minimally invasive surgery in patients with cervical cancer is associated with higher rates of recurrence and mortality compared to the open approach. Despite the numerous explanatio…
Appropriateness of surgery performed for abdominal aortic aneurysm at tertiary hospitals in Spain
2021
Background: The aim of this study was to analyze the appropriateness of the type of repair (open or endovascular) performed for abdominal aortic aneurysm (AAA) in five university hospitals in Spain, according to evidence-based recommendations. Methods: A multicenter, retrospective cross-sectional study of patients with AAA who underwent elective open surgical repair (OSR) or endovascular aneurysm repair (EVAR). Data were collected on demographic and clinical variables and type of surgical repair. A pair of vascular surgeons from each participating hospital performed a blinded assessment based on GRADE recommendations. The concordance between the two evaluators and the agreement between thei…
Family related variables effect on later educational outcome: a further geospatial analysis on TIMSS 2015 Finland
2020
AbstractFamily-related factors, like parent’s educational level, their values and expectations have a significant impact on child’s early skills and later educational outcomes. Further, parents provide their child, alongside with other learning environments, a broad mathematical and early literacy input. This study investigates the relationship between family-related socio-economic and other factors like, parental education, amount of books at home, parental attitudes towards mathematics and science, parental perception of child’s early skills and student’s later academic achievement. This is studied in the light of the Finnish data collected for Trends in International Mathematics and Scie…
Surrogate-assisted multicriteria optimization: Complexities, prospective solutions, and business case
2017
Complexity in solving real-world multicriteria optimization problems often stems from the fact that complex, expensive, and/or time-consuming simulation tools or physical experiments are used to evaluate solutions to a problem. In such settings, it is common to use efficient computational models, often known as surrogates or metamodels, to approximate the outcome (objective or constraint function value) of a simulation or physical experiment. The presence of multiple objective functions poses an additional layer of complexity for surrogate-assisted optimization. For example, complexities may relate to the appropriate selection of metamodels for the individual objective functions, extensive …
Botulinum Toxin A for Oral Cavity Cancer Patients: In Microsurgical Patients BTX Injections in Major Salivary Glands Temporarily Reduce Salivary Prod…
2012
Abstract: In patients suffering from oral cavity cancer surgical treatment is complex because it is necessary to remove carcinoma and lymph node metastasis (through a radical unilateral or bilateral neck dissection) and to reconstruct the affected area by means of free flaps. The saliva stagnation in the post-operative period is a risk factor with regard to local complications. Minor complications related to saliva stagnation (such as tissue maceration and wound dehiscence) could become major complications compromising the surgery or the reconstructive outcome. In fact the formation of oro-cutaneous fistula may cause infection, failure of the free flap, or the patient’s death with carotid b…
Microsurgery and external fixation in orthoplastic reconstruction of tibial injuries.
2019
"Orthoplastics" is a relatively new approach to lower limb reconstruction, where an integration of both plastic and orthopedic expertise is required, together with the availability of well-equipped facilities. Acute shortening and long-term frames for lengthening are generally considered alternatives to length preservation and soft tissue microsurgical reconstruction, but an integration of external fixation and reconstructive microsurgery is gaining an increasing role with refinements of joint approaches.Data on sixteen patients who underwent microsurgical lower limb reconstruction and external fixation with an orthoplastic approach, following acute or chronic tibial injury, were retrospect…
Isolated lip dermatitis (atopic cheilitis), successfully treated with topical tacrolimus 0.03%
2020
Background Exfoliative and erosive cheilitis, may be a source of speech and chewing discomfort, but may also be an aesthetic issue for the patients affected. Such a clinical presentation may implicate a variety of inflammatory conditions, including atopic (eczematous) cheilitis. Topical and systemic agents, e.g. corticosteroids, have been used to treat inflammatory lip conditions. Topical tacrolimus has also been used in some inflammatory lip conditions. Material and Methods We performed a retrospective clinical analysis of atopic cheilitis patients. Results Between 2015 and 2020, we addressed 7 (seven) patients with atopic dermatitis affecting only lips and were diagnosed as atopic-eczemat…
Kryptologia a prawo – wybrane zagadnienia: idea kryptowaluty i jej wpływu na ewolucję oszustw w internecie
2016
Rozwój cyberprzestrzeni i jej narzędzi kreuje nowe zagadnienia zarówno w świecie wirtualnym, jak i realnym. Pojawienie się nowego elementu, tzn. waluty cyfrowej w postaci monet kryptograficznych spowodowało szereg zmian w funkcjonowaniu użytkowników w Sieci. Wraz ze zmianami ewoluowały również metody stosowane przez cyberprzestępców. Celem artykułu jest ukazanie, jaki wpływ wywarły monety typu bitcoin na powstanie nowych form oszustw występujących w Internecie
L’Outcome-Questionnaire 45.2. Adattamento italiano di uno strumento per la valutazione dei trattamenti psicologici.The Outcome Questionnaire 45.2. It…
2008
Scopo – L’Outcome Questionnaire (OQ-45.2; Lambert et al., 2004) è uno strumento che misura importanti aree di funzionamento psicologico (sintomatologia, problemi interpersonali, funzionamento nel ruolo sociale) di interesse centrale per la valutazione degli esiti psicoterapeutici. In questo studio è stata esaminata la validità cross-culturale dell’OQ-45.2 nella popolazione italiana, confrontando le proprietà psicometriche, l’equivalenza della struttura fattoriale ed i punteggi normativi della versione italiana con quella originale degli USA. Metodo – I dati sono stati raccolti a Bologna e Palermo presso l’Università (N=461), tre strutture pubbliche di salute mentale (N=301) ed un’organizzaz…