Search results for "procedures"
showing 10 items of 1678 documents
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…
Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850)
2020
ObjectiveTo investigate whether neoadjuvant chemotherapy followed by interval debulking surgery is superior to primary debulking surgery in terms of perioperative complications and progression-free survival, in advanced epithelial ovarian, fallopian tube or primary peritoneal cancer patients with high tumor load.MethodsPatients with advanced epithelial ovarian, fallopian tube or primary peritoneal cancer (stage IIIC-IV) underwent laparoscopy. Patients with high tumor load assessed by a standardized laparoscopic predictive index were randomly assigned (1:1 ratio) to undergo either primary debulking surgery followed by adjuvant chemotherapy (arm A), or neoadjuvant chemotherapy followed by int…
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…
Spunti critici sull’aggiornamento della normativa europea in tema di qualità dell’aria
2022
This paper aims at presenting an argument in favour of the need for a prompt update of the European legislation on air quality, by taking its cue from the current situation in Italy. The paper starts by providing a definition of outdoor air pollution and by referring to the most influential Italian scientific studies on the main health risks connected. The perspective then shifts to the analysis of the relevant legislation at both European and national level in an attempt to systematically recompose the complex framework of plans and regulations adopted for the containment and prevention of outdoor pollution. In this framework, the analysis of the three infringement procedures opened agains…
Expression of p63, p53 and ki-67 in patients with cervical intraepithelial neoplasia
2017
Objective: Cervical intraepithelial neoplasia (CIN) is a dysplastic process in cervical squamous epithelium and carries a risk of progression to cervical cancer. The aim of this study was to compare expression of three biomarkers named p53, p63 and Ki-67 in patients with various grades of cervical intraepithelial neoplasia and in a control group. Material and Method: 58 patients were enrolled in the study. Each patient underwent a colposcopy-guided biopsy of the cervix. Immunostaining for markers (p53, p63 and Ki-67) was performed on tissue samples of normal cases (n=10), CIN I (n=20), CIN II (n=14), and CIN III (n=14). Results: Our study showed a significant increase of the expression of t…
Modele ustrojowe opozycji parlamentarnej w strukturze systemu politycznego Zjednoczonego Królestwa, Republiki Federalnej Niemiec i V Republiki Francu…
2017
The right to oppose the current government is an indispensable element of the pluralist system of liberal democracy. A parliamentary opposition may function in various organisational forms. It comprises political groups and factions which do not participate in the formation of the government, adopt a critical attitude towards the programme of the executive branch, and offer alternative solutions with respect to programmes and the staffi ng of ministerial positions. This study of the three cases of the United Kingdom, Germany and France confi rms that, besides the common attribute of representing a political orientation different from that of the current government, an opposition is distingu…
Appropriateness of requests for human serum albumin at the University Hospital of Palermo, Italy: a prospective study
2015
Abstract OBJECTIVE: First, to assess the appropriateness of requests for albumin using current guidelines; second, to evaluate physicians' compliance with this protocol. DESIGN: Descriptive, prospective study. SETTING: 'Paolo Giaccone' University Hospital in Palermo (Italy). PARTICIPANTS: The six departments with the highest orders for albumin. INTERVENTION: An experimental, pharmacist-driven process for daily orders of albumin was activated over a period of 1 month. Pharmacy personnel handed out order forms on six different wards. Physicians were required to select one of a number of intended uses listed on the form. MAIN OUTCOME MEASURES: Data on albumin and serum protein levels; number o…
La aplicación de los tributos en los casos de delito contra la hacienda pública
2021
The paper analyses the multiple tax procedures to be developed by the different bodies of the Spanish Tax Authorities (tax management procedures, tax inspection procedures, tax collection and tax penalty procedures) in the case of appreciation of an alleged crime against the Public Treasury. To attain this goal, a study of the new Tax crime configuration after 2012´ criminal reform is carried out, as well as a study of Act 34/2015.
Racjonalizacja planowania rozwoju miast w aspekcie teoretycznym i praktycznym
2021
Punktem wyjścia w dyskusji o ewolucji systemu zarządzania rozwojem miast jest zazwyczaj analiza jego braków i słabości. Rzadziej są nim stosowane przez gminy praktyki planistyczne, które zwiększają skuteczność i racjonalność podejmowanych działań. Artykuł stanowi esencjonalny przegląd aktualnych dobrych praktyk z obszarów planowania przestrzennego i strategicznego, obrazujących oddolne i nieskodyfikowane działania samorządów lokalnych.Przykłady zostały osadzone w teoretycznych ramach holistycznego ujęcia problemu rozwoju miast. Celem artykułu, poza ilustracją zagadnień wraz z ich teoretyczną podbudową, jest inspiracja do zmian w kształcie opisanej przepisami prawa ustawowej części systemu p…