18 research outputs found
1989-2009 La caduta del muro: venti anni dopo Atti del Convegno Internazionale di Studi Venezia 17-18 DICEMBRE 2009 a cura di Iliana Krapova, Francesca Fornari, Alessandro Scarsella
No full textContine il contributo di SCARSELLA A., Tra Vico e Palomar: annotazioni su un romanzo di Saul Bellow pre-caduta del Muro, pp. 111-11
Indications for the laparoscopic approach to acute small bowel obstruction: A retrospective review of 50 cases, a literature review, and a single hospital's preliminary experience
No full textSmall bowel obstruction (SBO) is mainly caused by postoperative adhesions, but a broad spectrum of diseases may cause this pathogenetic condition. Laparoscopic treatment represents an efficient approach to SBO. The aim of this paper was to review a single center's experience with a minimally invasive approach to multiple pathologic scenarios causing SBO. From January 2010 to December 2012, 50 consecutive patients underwent laparoscopic surgery for mechanical SBO. In 90% of patients, the surgical procedure was totally laparoscopic, while 10% required conversion to midline laparotomy. In-hospital morbidity was 15% among totally laparoscopic patients and 40% among those who underwent conversion to midline laparotomy. Thirty-day mortality was zero. One patient died 4 months postoperatively from neoplastic disease progression; the remaining patients were free from occlusive symptoms at follow-up. The minimally invasive technique applies to a broad spectrum of cases. A larger cohort of patients seems necessary to reproduce our results and confirm the effectiveness of a laparoscopic approach to SBO
A survey of certain aspects of the organizational structures of twelve Texas honor bands
No full textThe success of an instrumental music program depends in part upon the ability of the music teacher to organize his classes in such a way as to create the most favorable conditions for learning. Presented in this report are in-depth descriptions of the organizational structures of twelve Texas public school instrumental music programs and their bands, recognized for excellence in performance by the Texas Music Educators Association. Statement of the Problem. This study identified those organizational factors which contributed to the development of twelve Texas Honor Bands. The identified factors of organizational structure were classified and grouped into six areas to discover, through analysis, patterns of commonalities or inconsistencies. The six areas are: Area 1. The Schools of the District. Area 2. The Instrumental Music Faculty. Area 3. The Beginning Instrumental Music Program. Area 4. The Intermediate Instrumental Music Program. Area 5. The Advanced Instrumental Music Program Area 6. The Allocation of Physical Resources Procedures of the Study. To gather material for this study, the author arranged personal interviews with each of the teachers of the selected ensembles. The data were collected from newspaper articles, journal reviews, school records and files, but primarily from the interviews with the directors. The interviews were tape recorded and the responses of the subjects were later transcribed from the tapes, organized, typed and sent to each of the respective directors for verification and comment. The interview served as a means of gathering information that could not have been obtained otherwise, and the interview procedure followed a fairly rigid pattern in regard to the sequence and structure of the questions. In analyzing and reporting the data, the questions were condensed and regrouped under the six areas. The Practical Significance of the Study. Commonalities of organizational practice which were apparent factors in the success of the programs are noted in order to identify emerging patterns of organization which could well serve as models worthy of emulation. This study can serve as a frame of reference for instrumental music teachers and for school administrators who are interested in improving and upgrading their own programs. In making use of the data, the teacher or the administrator can judge his program quantitatively in relation to programs of accepted excellence. Such comparisons can provide the basis for recognizing needs of a given program and for formulating recommendations for improvement. Conclusions. Of the conclusions of the study, the two most important are: 1. Of the twelve honor band directors, four were the sole teachers of instrumental music in their districts. These men had total control of almost all pertinent aspects of the students' musical development. On the other hand, the remaining eight directors were from larger districts and the sizes of their programs necessitated the use of teaching assistants. In each instance, however, these eight men very carefully laid down the objectives, planned, coordinated, and supervised the work of these assistants so as to retain virtual control, in effect and in fact, of the musical development of the students. 2. Above all, it is apparent that the high schools of the honor bands were the focal points of the cultural lives of their communities, and as a result, the instrumental music program received prime school and community encouragement. Moreover, the directors of the honor bands no doubt engendered this support by virtue of their enthusiasm for and dedication to the education and well being of the students. These men were able to reach out and to strongly influence their students, motivating them to willingly sacrifice much in time, in energy, and even in money in developing with great pride bands of such excellence.Education, College o
India's hidden inputs to Tibetan orogeny revealed by Hf isotopes of Transhimalayan zircons and host rocks
No full textTo better understand Tibetan orogenesis, which involves complex tectonic processes, here we report the first integrated analysis of Hf isotopes of zircon separates and their host rocks from the Transhimalayan batholiths. The rocks studied include 19 granitoids from different parts of the Gangdese batholith, the largest Transhimalayan intrusive complex, and five postcollisional adakites that occurred as plugs or dikes cutting the Gangdese batholith, in the southern Lhasa terrane, southern Tibet. Published zircon Hf isotope data from other Transhimalayan granitoids and the Linzizong volcanic rocks are also synthesized. The magmatic zircons, crystallizing between ca. 200 and 15 Ma, show depleted mantle-type Hf isotopic characteristics throughout the Mesozoic but shift markedly in the Paleogene. The Elf isotopic shift is interpreted as tracking the evolving progress of Himalayan sediment subduction driven by the approaching Indian continent, and thus signals the initiation of the India-Asia collision that we infer to have occurred by 55 Ma. Our data furthermore indicate that southern Tibet underwent significant crustal thickening during ca. 45 and 30 Ma, before emplacement of the postcollisional adakites that exhibit Hf-Nd isotopic systematics suggesting binary mixing of melts from the juvenile Gangdese mafic crust and incorporated Himalayan sediments in the petrogenesis. (C) 2011 Elsevier B.V. All rights reserved.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000293258300025&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=8e1609b174ce4e31116a60747a720701Geochemistry & GeophysicsSCI(E)EI69ARTICLE3-4479-48630
Emergency general surgery in Italy during the COVID-19 outbreak: First survey from the real life
No full textBackground: COVID-19 pandemic has rapidly spread in Italy in late February 2020. Almost all surgical services have been reorganized, with the aim of maintaining an adequate therapeutic path, especially for surgical emergencies. The knowledge of how surgeons dealing with emergency surgery have reacted to the epidemic in the real life can be useful while drafting clinical recommendations. Methods: Surgeons from multiple Italian regions were invited answering to an online survey in order to make a snapshot of their current behaviors towards COVID-19-positive patients bearing urgent surgical diseases. Questions about institutional rules and personal approach for patient treatment and to limit epidemic spread were included in a 37-item questionnaire. Results: Seventy-one questionnaires from institutions dealing with emergency surgery were accepted. Participating surgeons were equally subdivided from a geographical point of view, with a large proportion of public (97.2%) and non-academical (91.5%) centers. In 80.3% of cases, the hospitals treated COVID-19 patients; in 69.1% of centers, a change in work plan was necessary, and 33.8% of teams had almost a surgeon infected or in preventive quarantine. The vast majority of surgeons operated only on urgent cases (73.9%), but the number of interventions significantly dropped. Up to 40% of non-traumatic abdominal emergency cases had an unusual delayed treatment. The laparoscopic approach was used in 69.6% of interventions on COVID-19 patients. Strategies to protect health care workers against COVID-19 infection and to identify asymptomatic infected surgeons were suboptimal with respect to the WHO recommendations in 70.4% and 90.2% of centers, respectively. Advanced personal protective equipment for operating room workers was adopted for all surgeries in only 12.7% of centers. Discussion: This survey confirms that the COVID-19 outbreak is dramatically changing the practice of emergency surgery centers in Italy. Despite the reduction in number, urgent cases were on average more challenging owing to diagnostic delay. Recommendations from the International Scientific Societies are frequently not complied concerning the use of laparoscopic approach, the availability of personal protective equipment in the operating rooms, and the testing of both asymptomatic physicians and patients scheduled for surgery. A further evaluation of the short-term results of these attitudes is warranted to modulate international recommendations
A national survey on the current status of minimally invasive gastric practice on behalf of GIRCG
No full text: Italian Research Group for Gastric Cancer (GIRCG), during the 2013 annual Consensus Conference to gastric cancer, stated that laparoscopic or robotic approach should be limited only to early gastric cancer (EGC) and no further guidelines were currently available. However, accumulated evidences, mainly from eastern experiences, have supported the application of minimally invasive surgery also for locally advanced gastric cancer (AGC). The aim of our study is to give a snapshot of current surgical propensity of expert Italian upper gastrointestinal surgeons in performing minimally invasive techniques for the treatment of gastric cancer in order to answer to the question if clinical practice overcome the recommendation. Experts in the field among the Italian Research Group for Gastric Cancer (GIRCG) were invited to join a web 30-item survey through a formal e-mail from January 1st, 2020, to June 31st, 2020. Responses were collected from 46 participants out of 100 upper gastrointestinal surgeons. Percentage of surgeons choosing a minimally invasive approach to treat early and advanced gastric cancer was similar. Additionally analyzing data from the centers involved, we obtained that the percentage of minimally invasive total and partial gastrectomies in advanced cases augmented with the increase of surgical procedures performed per year (p = 0.02 and p = 0.04 respectively). It is reasonable to assume that there is a widening of indications given by the current national guideline into clinical practice. Propensity of expert Italian upper gastrointestinal surgeons was to perform minimally invasive surgery not only for early but also for advanced gastric cancer. Of interest volume activity correlated with the propensity of surgeons to select a minimally invasive approach
SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach
No full textPurpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees
Correction to: Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study (Updates in Surgery, (2021), 73, 2, (731-744), 10.1007/s13304-021-01010-w)
No full textThe Collaborative Group there are two authors names are incorrect. The correct names are provided below: Paolo Pietro Bianchi and Giampaolo Formisano Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence
SICOB-endorsed national Delphi consensus on obesity treatment optimization: focus on diagnosis, pre-operative management, and weight regain/insufficient weight loss approach
No full textPurpose: Overweight and obesity affects 60% of adults causing more than 1.2 million deaths across world every year. Fight against involved different specialist figures and multiple are the approved weapons. Aim of the present survey endorsed by the Italian Society of Bariatric Surgery (SICOB) is to reach a national consensus on obesity treatment optimization through a Delphi process. Methods: Eleven key opinion leaders (KOLs) identified 22 statements with a major need of clarification and debate. The explored pathways were: (1) Management of patient candidate to bariatric/metabolic surgery (BMS); (2) Management of patient not eligible for BMS; (3) Management of patient with short-term (2 years) weight regain (WR) or insufficient weight loss (IWL); (4) Management of the patient with medium-term (5 years) WR; and (5) Association between drugs and BMS as WR prevention. The questionnaire was distributed to 65 national experts via an online platform with anonymized results. Results: 54 out of 65 invited panelists (83%) respond. Positive consensus was reached for 18/22 statements (82%); while, negative consensus (s20.4; s21.5) and no consensus (s11.5, s17) were reached for 2 statements, respectively (9%). Conclusion: The Delphi results underline the importance of first-line interdisciplinary management, with large pre-treatment examination, and establish a common opinion on how to properly manage post-operative IWL/WR. Level of evidence V: Report of expert committees
Correction to: Changes in surgical behaviors during the {CoviD-19} pandemic. The {SICE} {CLOUD19} Study
No full textCorrection to: Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Stud
