6 research outputs found
Post-operative ileus in hemicolectomy for cancer: open versus laparoscopic approach
No full textProcacciante F, De Luca M, Abilaliaj V, Chiaretti M, Diamantini G. (2013). Post-operative ileus in hemicolectomy for cancer: open versus laparoscopic approach. ANNALI ITALIANI DI CHIRURGIA, vol. 84, p. 557-562, ISSN: 0003-469XPost-operative ileus in hemicolectomy for cancer: open versus laparoscopic approach
Fabio Procacciante, Martina De Luca, Valmira Abilaliaj, Massimo Chiaretti, Giulia Diamantini
PMID: 24140940
Abstract
Aim: This study aims to verify if the duration of postoperative ileus (POI), in patients undergoing abdominal surgery, is related to the surgical approach used (open or laparoscopic) or rather to the manipulation of bowel loops.
Materials and methods: Ninety patients, undergoing elective colon resection for cancer, were randomized in three groups with different surgical approaches: open technique with extensive manipulation of intestinal loops (GROUP A), open technique with minimal manipulation (GROUP B) and laparoscopic technique (GROUP C). Return of bowel functions was investigated by: detection of bowel sounds, passage of flatus and passage of stool.
Results: Detection of bowel sounds occurred after 2.18 days in GROUP A, after 1.35 days in GROUP B and after 1.19 days in GROUP C. Return of flatus occurred after 3.51 days in Group A, after 2.53 days in GROUP B and after 2.30 days in GROUP C. Passage of stool occurred after 4.48 days in GROUP A, after 3.75 days in GROUP B and after 3.61 days in GROUP C. In all end-points analyzed, differences between GROUP A and GROUP B and between GROUP A and GROUP C are significant (P< 0.01) whereas the differences between GROUP B and GROUP C are not significant (P > 0.01).
Conclusions: In colon surgery open technique with minimal manipulation of loops obtains similar results in those of the laparoscopic technique, in terms of resolution of postoperative ileus
Integrated multidisciplinary treatment of colorectal neoplasms
No full textn this retrospective study, the modality and advantages of the multidisciplinary diagnostic work-up and therapy regarding colorectal neoplasm were analysed. Over the period 2004-2008, 63 patients underwent multidisciplinary treatment for colorectal cancer. All patients underwent surgery (laparoscopic/open). Exeresis was supplemented by adjuvant chemotherapy in those cases beyond IIA stage; all cases of extraperitoneal rectal and anal canal neoplasms plus one case of carcinoma of the transverse colon, initially inoperable, underwent neoadjuvant radiotherapy plus chemotherapy. The treatment was initiated approximately 3 weeks after the diagnosis. Fifty-four percent of patients with colonic and upper rectal neoplasms were given adjuvant chemotherapy, starting around 4 weeks after surgery. Exeresis was performed in those patients with extraperitoneal rectal and anal canal neoplasms (12.7%) about 6-8 weeks after they had completed neoadjuvant therapy. At the end of the treatment, 76% of the overall total numbers of patients were in good condition (follow-up 4-50 months). The remaining 24% suffered recurrences about 13 months after the treatment for colonic and upper rectal neoplasm, and 8 1/2 months after treatment for extraperitoneal rectal/anal canal neoplasms. Seventy-five percent of the recurring cases underwent treatment again, with 50% success; the others are still undergoing treatment. The best therapeutic results were obtained by programmed integration of the various diagnostic-therapeutic steps according to an algorithm which we elaborated to evaluate all types of neoplasm at any stage of illness
Nonoperative management for major blunt hepatic trauma in a 3-year-old child
No full textIntroduction: Based on hemodynamic stability, non-operative management of low- and high-grade liver injury is the first treatment choice over surgical treatment. Small clinics are still preferring primary operative approach instead of nonoperative one.
Presentation of the case: We are presenting a case (3-year-old male child) of nonoperative treatment of a grade IV blunt liver trauma (lacero-contusive injury of V, VI and VII segments) with massive hemoperitoneum. The patient was put into a conservative treatment with antibiotics, fluids and ½ unit of blood. The results of Computed Tomography showed significant amounts of perihepatic and periileal fluid between the bowels and in the Douglas pouch, which persisted for five days. Laboratory alterations of Serum Glutamic Pyruvic Transaminase, Serum Glutamic-Oxaloacetic Transaminase, and Total Bilirubin reached their maximum values on third day, persisting in decline until fifth day and returned to normal after tenth day. The hospital stay was 11 days, the length of time necessary for the complete conservatory treatment and full recovery of the trauma.
Discussion: More than 80%-90% of liver injuries are managed with nonoperative intervention. Early and late complication can be managed by interventional radiology procedures when it is possible. Success rate of conservative treatment is over 80%.
Conclusion: If no other abdominal injuries are evident and patient is hemodynamically stable nonoperative management for major blunt hepatic trauma in children is the best choice of treatmen
Correction
No full textArticle title: The impact of technological innovation on marketing: individuals,
organizations and environment: a systematic review
Authors: Omar Ali, Valmira Osmanaj, Piotr Kwiatek, Mohammad Alryalat, Ranga
Chimhundu, & Yogesh K. Dwivedi
Journal: Economic Research-Ekonomska Istrazivanja
Bibliometrics: Volume 36, Issue 3
DOI: https://doi.org/10.1080/1331677X.2023.2210661
This correction adds Dr Piotr Kwiatek as a confirmed co-author of this research
article:
Dr Piotr Kwiatek, University of Applied Sciences Upper Austria, Austri
Three childhood: Manoel de Barros’ poetic learning applied to 9th grade in Middle School
No full textO presente trabalho fundamenta-se na poética de Manoel de Barros em suas Memórias inventadas – As infâncias de Manoel de Barros que abordam um diálogo inventivo e regular com o uso das palavras. O objetivo geral foi analisar a poesia de Manoel de Barros e propor sugestões de atividades para o 9º ano do Ensino Fundamental II, como forma de incentivo à leitura e para a promoção do contato do adolescente com a Literatura. Para realizar a pesquisa, o arcabouço teórico foi elaborado a partir do método bibliográfico, por meio da leitura dos poemas selecionados (na primeira infância, O apanhador de desperdícios; na segunda infância analisamos o poema Abandono e finalizamos na terceira infância com o poema Jubilação) e de referenciais teóricos da literatura brasileira e do escritor, bem como a importância do professor enquanto estimulador da leitura para o aluno. Para a análise dos poemas foi utilizada a análise estilística que, por seu escopo enquanto método, permite avaliar a obra pelo viés expressivo e de criação de plurisignificados, presentes nas obras do autor. Após a realização da análise, foi elaborada uma proposta de atividade para o 9º ano do Ensino Fundamental explorando a metapoesia, a reflexão da linguagem e a interpretação dos alunos, propondo e estimulando a leitura, em especial, de poesias. Dessa forma, por meio da realização dessa pesquisa, conclui-se que o gênero poesia é mais uma alternativa de ensino da Literatura no Ensino Fundamental II, de forma inovadora e dinâmica, procurando desenvolver nos alunos o gosto pela Literatura.The present work is based on the poetics of Manoel de Barros in his Memórias Inventadas – As infâncias de Manoel de Barros that approach an inventive and regular dialogue with the use of the words. The aim of this work was to analyze the poetry of Manoel de Barros and to propose suggestions for activities for the 9th grade of Middle School as a way of encouraging reading and promoting the contact of adolescents with Literature. In order to carrying out the research, the theoretical framework was elaborated from the bibliographic method, through the reading of the selected poems (on first childhood we analyzed O Apanhador de desperdícios, in the second childhood we analyzed the poem Abandono and we finished in the third childhood with the poem Jubilação) and of theoretical references about Brazilian literature and the writer, as well as the importance of the teacher as a stimulator of reading for the student. For the analysis of the poems was used the stylistic analysis that, by its scope as a method, allows to evaluate the work by the expressive bias and creation of multi-meaning, present in the works of the author. After the analysis, a proposal of activity for the 9th grade of elementary school was explored exploring metapoetry, the reflection of language and the students' interpretation, proposing and stimulating the reading, especially of poetry. Thus, through the accomplishment of this research, it we can conclude that the genre poetry is another alternative of teaching Literature in Elementary Education II, in an innovative and dynamic way, trying to develop in students a pleasure for Literature.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES
Periódicos científicos da Ciência da Informação : caracterização e acesso dos títulos indexados na base Web of Science
No full textTCC (graduação) - Universidade Federal de Santa Catarina. Centro de Ciências da Educação. Curso de Biblioteconomia.Caracteriza os periódicos da área da Ciência da Informação indexados na base de dados Web of Science. Os objetivos específicos são: a) descrever as características editoriais dos periódicos da Ciência da Informação indexados na base Web of Science; b) apontar o tipo de acesso; c) identificar quais títulos estão indexados no DOAJ e Portal CAPES. O método caracteriza-se pela pesquisa descritiva e exploratória e com relação à abordagem do problema como qualitativa, ou seja, de métodos mistos. Os resultados indicam 84 periódicos indexados na base Web of Science, no ano de 2012, 9 títulos de acesso aberto, estando apenas 6 indexados no DOAJ, e 75 títulos de acesso restrito, destes 17,9% possuem custo de subscrição acima de 501 reais e 57,3% oferecem a opção autor paga. O tipo de entidade editorial predominante são as editoras comerciais, com 65, 9% do total e a periodicidade trimestral é a que fica em evidência, a maioria (62,1%) dos periódicos possui fator de impacto entre 0 a 0,999, apenas 2 títulos apresentam fator de impacto acima de 4,999 e os editores são dos Estados Unidos e Holanda. No contexto brasileiro somente 8 títulos da amostra não estão no Portal da CAPES. Reflete ainda sobre a condição da Ciência da Informação ser a área do conhecimento com mais percepção da questão do acesso e dos custos de periódicos científicos e ainda assim apresentar uma distribuição equivalente ao cenário geral, onde o destaque dos títulos em acesso aberto se deve a uma condição geográfica, especialmente no Brasil e não às especificidades da área do conhecimento. / This study features the journals in the Information Science area indexed in the Web of Science database. The specific aims are: a) describe the editorial characteristics of Information Science journals; b) point out the kind of access; c) identify which titles are indexed in DOAJ and CAPES Portal. The method is characterized by the descriptive and exploratory research and regards the qualitative issue approach, it means, mixed methods. The results indicate 84 journals indexed in the Web of Science base, in 2012, 9 open access titles, only 6 of which indexed in DOAJ, , and 75 restricted access titles, 17,9% of which with a subscription cost over 501 reais and 57,3% offer the option author pays. The prevailing kind of editorial entity are the commercial publishers, with 65, 9% of the total and the quarterly periodicity is the one in evidence, most (62,1%) journals have an impact factor between 0 and 0,999, only 2 titles have an impact factor over 4,999 and the editors are the United States and Netherlands. In the Brazilian context only 8 titles from the sample are not in the CAPES Portal. The study also considers the condition of Information Science as the knowledge area with the highest perception on the access issue and the costs of scientific journals and in spite of that presents an equivalent distribution to the general scenery, where the open access titles standing out is due to a geographic condition, especially in Brazil and not due to the specificities of the knowledge area
