547 research outputs found

    Che fare se è assente la transilluminazione al posizionamento della PEG?

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    Percutaneous endoscopic gastrostomy (PEG) was described for the first time in 1980 by Gauderer and Ponsky. It became the procedure of choice in most patients that are unable to eat owing due to neoplastic or neurological diseases or cerebrovascular accidents. In some cases, however, the transillumination of the gastric wall is missing and therefore another therapeutic option is required

    Hermann Kant. Ein bio- bibliografisches Profil

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    The proximity to the power apparatus has cast dark shadows on the literary work of Hermann Kant, who is regarded as one of the most read authors of the GDR. Valerio Furneri embeds Kant's life and work in the all-German context of the 20th century and reinterprets his classics such as Die Aula or Der Aufenthalt. The author does not pursue the claim to rehabilitate the GDR, nor to trivialise Kant's role in it. Instead, the attempt is made to look at Kant's entire work from a temporal distance and to re-evaluate it. Through his works, Kant was able to accompany and depict not only the German-German history, but also European history.Die Nähe zum Machtapparat hat dunkle Schatten auf das literarische Werk von Hermann Kant, der als meistgelesener Schriftsteller der DDR gilt, geworfen. Valerio Furneri bettet Kants Leben und Werk in den gesamtdeutschen Kontext des 20. Jahrhunderts ein und interpretiert vor diesem Hintergrund Klassiker wie Die Aula oder Der Aufenthalt neu. Der Autor verfolgt dabei weder den Anspruch, die DDR zu rehabilitieren, noch Kants Rolle darin kleinzureden. Stattdessen wird der Versuch unternommen, Kants Gesamtwerk aus zeitlicher Distanz zu betrachten und neu zu bewerten. Durch seine Werke gelang es Kant nämlich nicht nur die deutsch-deutsche, sondern auch die europäische Geschichte zu begleiten und abzubilden

    Hermann Kant. Ein bio- bibliografisches Profil

    No full text
    The proximity to the power apparatus has cast dark shadows on the literary work of Hermann Kant, who is regarded as one of the most read authors of the GDR. Valerio Furneri embeds Kant's life and work in the all-German context of the 20th century and reinterprets his classics such as Die Aula or Der Aufenthalt. The author does not pursue the claim to rehabilitate the GDR, nor to trivialise Kant's role in it. Instead, the attempt is made to look at Kant's entire work from a temporal distance and to re-evaluate it. Through his works, Kant was able to accompany and depict not only the German-German history, but also European history.Die Nähe zum Machtapparat hat dunkle Schatten auf das literarische Werk von Hermann Kant, der als meistgelesener Schriftsteller der DDR gilt, geworfen. Valerio Furneri bettet Kants Leben und Werk in den gesamtdeutschen Kontext des 20. Jahrhunderts ein und interpretiert vor diesem Hintergrund Klassiker wie Die Aula oder Der Aufenthalt neu. Der Autor verfolgt dabei weder den Anspruch, die DDR zu rehabilitieren, noch Kants Rolle darin kleinzureden. Stattdessen wird der Versuch unternommen, Kants Gesamtwerk aus zeitlicher Distanz zu betrachten und neu zu bewerten. Durch seine Werke gelang es Kant nämlich nicht nur die deutsch-deutsche, sondern auch die europäische Geschichte zu begleiten und abzubilden

    Special issue: Process safety in times of a pandemic

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    Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Safety and Security Scienc

    Accuracy of visual on-site evaluation (Vose) In predicting the adequacy of Eus-guided fine needle biopsy: a single center prospective study

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    Objective: Endoscopic ultrasound is the standard procedure for the diagnosis of pancreatic lesions and new needles have been developed to improve tissue acquisition (FNB). Rapid onset evaluation (ROSE) decreases the number of needle passes but is not always available. We introduced an easy and rapid method of direct classification of EUS-FNB sample namely Visual on-site evaluation (VOSE). Aims: To assess the accuracy of VOSE in predicting the histological adequacy of specimens. To evaluate the diagnostic power of FNB and the rate of core tissue obtained. Methods: Prospective single center study on patients with pancreatic lesions that underwent EUS-FNB. VOSE parameters were presence of blood, macroscopic visible core (MVC), number, color and length of specimen. The association between VOSE tool and histological adequacy was assessed. Fisher's exact test and Student's t-test used to compare categorical and continuous variables. Logistic regression analysis was used to assess association between variables. Results: 99 patients (58.6% male; mean age 68.4 ± 10) enrolled, including 102 lesions. Total number of passes was 358 with median number of 4 (range, 2-4). The 92.7% of samples were adequate and it was higher with the 22-G needle than with 25G (96.5% vs 89.2% p 0.01). VOSE "red-mixed specimen" was associated with a higher probability of histological adequacy (OR 2.39 95% CI 1.03-5.42 p = 0.04). Conclusions: The VOSE tool "red-mixed specimen" can be used to predict the histological adequacy and guide the number of needle passes. Overall, FNB provides a high rate of adequate and diagnostic specimen and high rate of core tissue especially with the 22G needle

    The intentionality of matter: the personal character of nature in Edith Stein's "Potency and act"

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    In the closing chapter, Francesco Valerio Tommasi elaborates upon the analogy between person and nature in Stein. As he emphasizes, Stein attributes to nature an objectively spiritual dimension, a hidden form of intentionality. As the author suggests, for Stein nature turns out to be a living sign of the spirit—thus, a sign expressing spiritual values, such as emotions. This perspective is present in both the lectures on The Constitution of the Human Person and Potency and Act: the phenomenological reflection on personhood is combined, Tommasi argues, with a Thomist view that brings Stein to conceiving the life of the entire cosmos as a spirit (or act) informing it and shaping it into a living sign of the creation

    Erratum to: Bowel perforations in a patient affected by Churg–Strauss syndrome under high-dose steroid treatment: will alternative drugs reduce risk of surgery? (Rheumatol Int, (2011), 31, (1239-1241) DOI 10.1007/s00296-009-1289-5)

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    Erratum in Erratum to: Bowel perforations in a patient affected by Churg-Strauss syndrome under high-dose steroid treatment: will alternative drugs reduce risk of surgery? [Rheumatol Int. 2016] Abstract Churg-Strauss syndrome is a relapsing-remitting vasculitis that frequently involves digestive system. Ischemic perforation of the large bowel is relatively rare and potentially life threatening. We report a case treated with high dose of steroids for a relapsing of Churg-Strauss vasculopathy that underwent emergency surgery for multiple large-bowel perforations. Massive use of steroids is common for controlling relapse of this disease, but this increases the risk of intestinal perforation. A prompt switching to alternative drugs when intestinal tract is involved should be considered in order to prevent surger
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