1,720,994 research outputs found
ANALISI DI ALCUNI INDICI INFORTUNISTICI PER PIANIFICARE INTERVENTI DI PREVENZIONE MEDIANTE LA BEHAVIOR BASED SAFETY (B-BS)
No full textProspective randomized comparison of wavefront-guided and conventional photorefractive keratectomy for myopia with the meditec MEL 70 laser.
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Proximal and Distal Gastric Distension in Normal Subjects and H. pylori-Positive and -Negative Dyspeptic Patients and Correlation with Symptoms
No full textTen years of laparoscopic cholecystectomy: a comparison between a developed and a less developed country,
No full text-OBJECTIVE: To compare the specific features and outcomes of laparoscopic
cholecystectomy in two university hospitals, one in a developing country,
Bosnia-Herzegovina, and the other in a well developed country, Italy.
METHODS: Between January 1996 and December 2005, a total of 2018 patients
underwent laparoscopic cholecystectomy in Mostar Clinical Hospital,
Bosnia-Herzegovina (1066) and in Chieti University Hospital, Chieti, Italy (952).
Differences in patients' presentations, diagnostic protocols, medication,
surgical treatment, complications and outcomes were analyzed.
RESULTS: The number of patients with life-threatening conditions was lower in
Italy (15 or 1.5% vs. 53 or 4.9%; P<0.001), as was the use of analgesia and
antibiotics (131 or 13.96% vs. 873 or 81.97%; P<0.001). Open-access biliary
surgery was rare in Italy, where the vast majority of patients were operated
laparoscopically; only 44 (4.41%) patients had open-access surgery, including 35
(3.61%) conversion patients. In comparison, 1669 (61%) patients in
Bosnia-Herzegovina underwent open-access operations. There was a significant
difference, in favor of the Italian hospital, in the number of surgical
complications (8 or 0.84% vs. 40 or 3.75%; P<0.002) and also in the number of
postoperative infections following surgical incision (0 or 0.0% vs. 6 or 0.56%;
P<0.033).
CONCLUSIONS: It is encouraging for surgeons in Bosnia-Herzegovina to find that
satisfactory results can be achieved in a developing country. However, the number
of complications encountered in the Mostar hospital emphasizes the need for
further improvement of surgical technique through better structured training
combined with strict supervision of junior staff. The finding of postoperative
infections in the Bosnia-Herzegovina hospital, despite that their occurrence was
relatively rare, highlights the necessity for further improvement of hospital
infection control
Effetti dell'adenotonsillectomia sulle qualita acustiche e percettive della voce
No full textThe adenotonsillectomy is the most common surgical treatment in children. Removal of the hypertrophic tissue produces perceptive changes in the voice, which are immediately noticed by parents and regarded as a complication of the operation. Thirteen patients ranging in age from 4 to 16 years were therefore subjected to qualitative and quantitative analysis of vocal function, performed 90 days before and 3 months after adenotonsillectomy. Quantitative analysis included laryngeal characteristics (fundamental vocal frequency) and evaluation of supralaryngeal characteristics (F1-F2-F3). The values for F0 and F1-F2-F3 were obtained by a computerized analysis system (Speech Audio Lab). Perceptive rating was based on the analysis of continuous speech samples using a voice profile test as well as a questionnaire given to parents to evaluate perception of their child's voice. The results showed that soft tissue removal in adenotonsillectomy has an impact on qualitative and quantitative features of vocal function measured 3 months after surgery. Both the qualitative evaluation, performed by a qualified speech pathologist and via the questionnaire, and the quantitative analysis, obtained through the Speech Audio Lab, emphasized that adenotonsillectomy leads to important changes in voice production, especially for formant F3. As this formant represents orbicularis muscle activity, the changes in this parameter should be due to the restoration of muscle tone after adenotonsillectomy in patients who were oral breathers because of adenoid and tonsils hypertroph
Local recurrence and distant metastases after radiation therapy. Analysis of 300 women over 70 years old with breast cancer.
No full textProximal and Distal Gastric Distension in Normal Subjects and H.pylori-Positive and -Negative Dyspeptic Patients and Correlation with Symptoms
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