Search results for "procedure"

The place of frailty and vulnerability in the surgical risk assessment: should we move from complexity to simplicity?

2018

Due to aging of the world population, older patients accessing health services are becoming continuously more frequent. This has increased the interest in assessing frailty and vulnerability in all specialties and general medicine. Although the term frailty has been recognized for over 30 years, there is not yet a universally recognized definition, and different care providers assess frailty and vulnerability with dissimilar tools, from very complex to very simple validated scales. Being treated with respect and dignity at the right time and place is the key message, as well as after undergoing a global evaluation both in urgency/emergency and in programmed surgery for all older surgical pa…

Experimental characterization of variable-speed packaged rooftop units in presence of evaporator fouling

2022

Variable-speed packaged rooftop units have been increasingly adopted in the commercial sector. If not properly maintained, the fouling of heat exchangers and the improper refrigerant charge could increase energy consumption. In this work, the response of variable-speed rooftop units to evaporator fouling is investigated based on experiments on a variable-speed 17.5 kW rooftop unit. A novel testing procedure is proposed, aimed at covering a broad range of operating conditions by a reduced number of tests. Two opposite cases were investigated: (i) even in presence of fouling, the controller can restore the required cooling capacity, and (ii) the intensity of the fouling does not allow the con…

GRASP with exterior path-relinking and restricted local search for the multidimensional two-way number partitioning problem

2017

In this work, we tackle multidimensional two-way number partitioning (MDTWNP) problem by combining GRASP with Exterior Path Relinking. In the last few years, the combination of GRASP with path relinking (PR) has emerged as a highly effective tool for finding high-quality solutions for several difficult problems in reasonable computational time. However, in most of the cases, this hybridisation is limited to the variant known as interior PR. Here, we couple GRASP with the "exterior form" of path relinking and perform extensive experimentation to evaluate this variant. In addition, we enhance our GRASP with PR method with a novel local search method specially designed for the MDTWNP problem. …

Fissurectomy and anoplasty in posterior normotensive chronic anal fissure.

2021

Purpose: Anal Fissure (AF) is the second most frequent proctological disease in Italy. Chronic AF (CAF) most common located at the posterior anal commissure (CAPF). CAPF are thought to be associated with hypertonic internal anal sphincter (IAS) but manometric findings showed that a normotonic IAS is present in the 20-40%. Sphincterotomy is often recommended as treatment of choice for CAF independently from IAS tone; nevertheless, this approach appears less logical for CAF with normotonic IAS, as in those cases there’s a higher risk of post-operative anal incontinence. The aim of this study is to evaluate the results of fissurectomy and anoplasty with V-Y cutaneous advancement flap, as treat…

TECNICHE OTTICHE PER IL MONITORAGGIO DEI CORSI D’ACQUA: UNA PROCEDURA AUTOMATICA PER L’INDIVIDUAZIONE DELLA MIGLORE SEQUENZA VIDEO DA PROCESSARE CON …

Misurare con accuratezza le portate di un corso d’acqua è uno dei principali obiettivi dell’idrometria tecnica (Eltner et al., 2020) e rappresenta da decenni una vera e propria sfida per la comunità scientifica. Le osservazioni di deflusso nei corsi d’acqua sono di fondamentale importanza per qualsiasi applicazione idrologica e idraulica (Pizarro et al., 2020) e consentono di comprendere al meglio le dinamiche di processi complessi, come ad esempio le piene lampo (Perks et al., 2016). La portata è una grandezza fisica la cui stima è caratterizzata da considerevole incertezza. Gli approcci tradizionali prevedono una stima indiretta della grandezza, attraverso un metodo velocità-area, che con…

Development and application of an alternative modelling approach for the thermo-mechanical analysis of a DEMO water-cooled lithium lead breeding blan…

2022

In the frame of the EUROfusion research activities devoted to the design of the DEMO breeding blanket (BB), the Water-Cooled Lithium-Lead BB (WCLL) concept is one of the candidates currently assessed in EU. To this end, an intense research campaign is ongoing to develop a robust geometric configuration for the WCLL BB Central Outboard Segment (COB). Since the current reference design of the WCLL COB segment is not mature enough to allow a full thermal-hydraulic assessment, an alternative procedure aimed at obtaining a thermal field for the whole segment without performing its complete thermal-hydraulic analysis is presented and applied in this work. The scope of the work is to obtain a ther…

Preconcentration of aluminium by micellar-enhanced ultrafiltration

1993

Abstract Traces of aluminium were preconcentrated in water samples by forming a complex with lumogallion, and successfully accumulated in the micellar phase obtained from cationic or non-ionic surfactants and filtered through 10 000 molecular weight cut-off ultrafiltration membranes. Studies indicated that, at pH 5.9, with 1 X 10 −3 M lumogallion and 2 X 10 −2 M cetyltrimethylamonium bromide, quantitative retention of aluminium present at μg ml −1 concentration levels was achieved. A micellar-enhanced fluorimetric procedure was employed to analyse the permeate solutions, whereas nitrous oxide-acetylene flame atomic emission spectrometry was used to determine aluminium in the retentate. The …

Prognostisch relevante Faktoren beim Carcinom der Papilla Vateri

1989

In order to evaluate the relevant factors for prognosis for patients with cancer of Vater's papilla our own patient material between 1. 1. 1978 and 31. 12. 1987 was studied retrospectively. The influence of age, sex, duration of anamnesis, tumor size, tumor morphology and tumor stage on the prognosis were analyzed in 32 patients with cancer of Vater's papilla. The 5 year survival rate after Whipple procedure was 56.1%. Statistically significant factors for prognosis were tumor size, lymph node metastases and tumor stage.

The treatment of inguinal hernia in 'one day surgery'. Personal experience

2000

Background. Personal experience in the treatment of inguinal hernia in 'One day Surgery' is reported. Methods. Design: Retrospective evaluation of cases treated in a twelve months period. The follow-up has been programmed at 1, 3, 6 and 12 months after the treatment. Setting: General, thoracic and oncological surgery, Department of Surgical and Anatomical Disciplines. Polyclinic, University of Palermo. Subjects: 54 patients aged between 17 and 86 years (middle age 51.9), 48 male have been treated; in 3 cases recurrent hernias were found. Interventions: In every case Trabucco's procedure with local anaesthesia has been performed. Premedication with Midazolam 10 mg i.v. has been associated. M…

Regional anesthesia and chronification of acute postoperative pain

2014

Chronification of acute postoperative pain is the consequence of a number of factors; the article mentions different preemptive strategies that may put a limit to its development. Certain anesthetic and analgesic techniques have been assessed over the last years, and most articles highlight the usefulness of carrying out regional anesthesia techniques from the intraoperative period through several days into the postoperative period. Preventing the patients from suffering acute postoperative pain is one of the most appropriate tools for stopping the activation of the mechanisms involved in pain chronification. None of the regional techniques are equally valid and applicable to all surgical p…