Search results for "necessary"
showing 10 items of 37 documents
La portada de la iglesia de las Escuelas Pías de Gandía. Su proceso constructivo y modulación arquitectónico-musical
2020
The facade of the church of the Pious Schools of Gandia has not attracted the attention of researchers. However, its conception has a great architectural culture and constitutes an essential work to understand its context, fundamentally, that of the theoretical treatises of the Renaissance. From this study it is wanted to value its architecture and that it is considered as an outstanding ingredient to know its period of construction in general and jesuit architecture in particular. For its understanding, its interpretation in the culture of contemporary architecture treaties and, especially, in the architectural-musical theory of Leon Battista Alberti will be necessary.. La portada de la ig…
Tratamiento jurídico de una enfermedad social. Los trastornos de la conducta alimentaria (TCA)
2018
The boundless increase of people suffering from an Eating Disorder (ED), makes necessary to develop measures related to other factors, in order to overcome the ones characterized of being strictly sanitary. The disease has become a social and cultural phenomenon. The exaltation of the cult to the body, with the stereotype of the extreme thinness linked with beauty and success is causing that, particularly young people, try to achieve an image which, in many cases, can jeopardize their health, that is the reason why the rearrangement of values has become an objective of paramount importance. Therefore, the fight against this social illness requires legal actions in order to prevent it from g…
Isotonic regression for metallic microstructure data: estimation and testing under order restrictions
2021
Investigating the main determinants of the mechanical performance of metals is not a simple task. Already known physical inspired qualitative relations between 2D microstructure characteristics and 3D mechanical properties can act as the starting point of the investigation. Isotonic regression allows to take into account ordering relations and leads to more efficient and accurate results when the underlying assumptions actually hold. The main goal in this paper is to test order relations in a model inspired by a materials science application. The statistical estimation procedure is described considering three different scenarios according to the knowledge of the variances: known variance ra…
Crescere in IPM. Il trattamento dei giovani adulti autori di reato
2017
Il trattamento dei giovani adulti all’interno delle strutture penitenziarie minorili, in seguito all’emanazione del D.L. 92/14 convertito in legge nel mese di agosto dello stesso anno, impone una riflessione e un’analisi sulle opportune modalita trattamentali non solo per i soggetti minorenni ma anche per giovani adulti tra i 18 e i 25 anni. Confrontarsi, infatti, con l’esigenza di rispondere in modo adeguato ai bisogni di una nuova tipologia di utenza e il principale compito dell’educatore penitenziario che necessita di programmi di formazione per acquisire competenze specifiche e costruire idonei percorsi trattamentali. Questi, se dotati di senso e rispondenti alle necessita di crescita d…
Comfort, the acceptable face of luxury - an eighteenth-century cultural etymology
2014
The introduction of modern amenities into European homes has been extensively studied by sociologists and historians, who have stressed the rise in consumption during the Georgian period.1 Some objects, such as mirrors, stoves, or umbrellas, were made available by technical innovations; others, such as tea, sugar, or mahogany furniture, became accessible thanks to the expansion of global trade. Other amenities, such as carpets, curtains, or marble chimney-pieces, were no longer restricted to the aristocracy, as living standards rose.2 As the British nation became richer, the number of affluent households grew as did their capacity to spend more on material objects. This signaled a change in…
Clinical outcomes of fractional flow reserve by computed tomographic angiography-guided diagnostic strategies vs. usual care in patients with suspect…
2015
International audience; AIMS: In symptomatic patients with suspected coronary artery disease (CAD), computed tomographic angiography (CTA) improves patient selection for invasive coronary angiography (ICA) compared with functional testing. The impact of measuring fractional flow reserve by CTA (FFRCT) is unknown. METHODS AND RESULTS: At 11 sites, 584 patients with new onset chest pain were prospectively assigned to receive either usual testing (n = 287) or CTA/FFR(CT) (n = 297). Test interpretation and care decisions were made by the clinical care team. The primary endpoint was the percentage of those with planned ICA in whom no significant obstructive CAD (no stenosis \textgreater/=50% by …
PSA reduction (after antibiotics) permits to avoid or postpone prostate biopsy in selected patients
2007
Microscopic foci of prostatitis may induce prostate-specific antigen (PSA) increase. PSA reduction after antibiotics might identify those patients in whom biopsy can be avoided. Ninety-nine patients received ciprofloxacin for 3 weeks, of whom 59 showed PSA reduction. Histology detected small foci of prostatitis in 65% of cases. Carcinoma was found in 40 and 20.3% of patients with unchanged or decreased PSA, respectively (P=0.03). No cancer was detected if PSA decreased below 4 ng/ml or more than 70%. Biopsy can be postponed, with a low risk of missing a cancer, if PSA decreases more than 70% or below 4 ng/ml.
Acute appendicitis in children: not only surgical treatment
2017
Abstract Purpose An accurate diagnosis of acute appendicitis is important to avoid severe outcome or unnecessary surgery but management is controversial. The aim of study was to evaluate, in younger and older children, the efficacy of conservative management for uncomplicated appendicitis and the outcome of complicated forms underwent early surgery. Methods Children with acute appendicitis were investigated by clinical, laboratory variables and abdominal ultrasound and divided in two groups: complicated and uncomplicated. Complicated appendicitis underwent early surgery; uncomplicated appendicitis started conservative treatment with antibiotic. If in the next 24–48 h it was worsening, the c…
Selective approach for upper rectal cancer treatment: total mesorectal excision and preoperative chemoradiation are seldom necessary.
2015
The implementation of preoperative chemoradiation combined with total mesorectal excision has reduced local recurrence rates in rectal cancer. However, the use of both types of treatment in upper rectal cancer is controversial.The purpose of this work was to assess oncological results after radical resection of upper rectal cancers compared with sigmoid, middle, and lower rectal cancers and to determine risk factors for local recurrence in upper rectal cancer.This was a retrospective analysis of prospectively collected data.This study was conducted in a tertiary care referral hospital in Valencia, Spain.Analysis included 1145 patients who underwent colorectal resection with primary curative…