1,721,580 research outputs found
Diagnostic and Therapeutic Workup of Erectile Dysfunction: Results From a Delphi Consensus of Andrology Experts
No full textIntroduction: Erectile dysfunction is a highly prevalent condition. Existing guidelines provide recommendations for diagnosis and treatment, but they are often disregarded in clinical practice in favor of a “patient-tailored” approach. Objectives: We planned a Delphi consensus method to bridge the gap between evidence-based medicine and the real-life approach in daily practice. Materials and Methods: The Advisory Board prepared 15 statements on debated topics in andrology, each including 4–6 items designed as a 5-point Likert scale. After a validation phase, the questionnaire was sent by e-mail to a panel of experts for a first round of voting; members of the panel were later invited to a second round of voting, preceded by discussion of the “hot topics” identified in the first round. Results: The first round of the Delphi consensus involved 101 experts; 71 (70%) also took part in the second round of voting. The Advisory Board deemed 22 items to be worthy of debate, and these underwent the second round of voting. “Real-life” results from the survey proved quite different from evidence-based recommendations. Conclusion: Although guidelines suggest the best approach for a “standard” patient, real-life settings require flexibility. Diagnostic and therapeutic approaches should be tailored to the patients’ needs. Phosphodiesterase type 5 inhibitors are recognized as the first-line therapy in both settings, including the newly introduced sildenafil orodispersible film. Indications from the panel might help close the gap between recommendations from guidelines and real-life practice in relation to the diagnosis and treatment of erectile dysfunction. Isidori AM, Giammusso B, Corona G, et al. Diagnostic and Therapeutic Workup of Erectile Dysfunction: Results From a Delphi Consensus of Andrology Experts. Sex Med 2019;7:292–302
Renewable energy from the production residues of vineyards and wine: evaluation of a business case
Full text linkThe recovery of agricultural biomass, such as vine trimming wastes, for energy purposes represents one of the most significant innovations in the agricultural sector: apart from relieving producers of disposal costs, the process also has an economic return resulting from the conversion of biomass into energy and the related commercialization on the national market. In Sicily, the significant economic potential related to the conversion and energy exploitation of residual biomass from the wine sector could play a strategic role for the immediate future of the island and for the numerous wineries and wine bottling companies operating within the territory. This research project has the objective of analyzing the case of the largest Sicilian winery, Settesoli, which has recently launched a project to implement a 1-MW electric generator that uses the vine canes – from pruning – in conjunction with pomaces, and wastes from winemaking processLa valorisation énergétique de la biomasse végétale comme, par exemple, les résidus de la taille de la vigne, est à n’en pas douter l’une des innovations les plus importantes en agriculture: ce processus permet non seulement d’alléger les coûts pesant sur les producteurs pour l’enlèvement des déchets agricoles, mais aussi d’assurer un bénéfice économique grâce à la conversion de la biomasse en
énergie et sa commercialisation sur le marché national. En Sicile, le potentiel économique significatif de la conversion et de l’utilisation
énergétique des résidus de la biomasse provenant du secteur de la vinification pourrait jouer un rôle de toute première importance pour le futur de l’île et pour les nombreuses caves et usines d’embouteillage des vins de la région. Le but de ce travail est de présenter un cas d’étude, à savoir la plus grande cave sicilienne, Settesoli, qui a récemment lancé un projet pour la réalisation d’un générateur électrique de 1 MW utilisant les sarments de vigne avec des marcs de raisin et des déchets de fermentation vinicole
An integrated telematic platform to manage private and public transport: an application in Italy
No full textQuaderni AIPCR - Comitato tecnico B3 - Inquadramento della ricerca in corso nell'ambito internazionale
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L’allevamento bovino nella valle del Torto: un caso di zootecnia sostenibile in Sicilia
No full textIn spite of not being the main activities of Sicilian agriculture, zootechny plays a very important social role, even more than economic, for a large part of Sicily. The crisis that has hit the industry since early 2000s, and particularly cattle livestock, caused the closure of many holdings and a strong decrease in the number of animals bred, both meat and dairy cattle.
The beef cattle population in the Valle del Torto, in the province of Palermo (area covered by this study), for many decades has significantly contributed to the development of a rural community that trough this activity created his own wealth, income and economic stability.
The crisis that over the last decade has affected the livestock sector involved also this area of Sicily, and today may lose its identity as a rural community if we do not seek to recover that market space that the local product lost and keeps losing.
The road that leads to a revival of the livestock sector in the area moves from the local enhancement of product through the closure of the producing chain by the sector operators themselves and a quality improvement of productions.
Through the SWOT analysis it has been possible to identify those strengths to act on for a speedy revival of the sector and to prevent the downsizing, if not the disappearance, of an entire rural community
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