26 research outputs found
Maria Montessori e il “futuro” della medicina: alcuni elementi di una ricerca sul campo
No full textIn 1951, Maria Montessori said that there would be a great future for medicine if it started to cure the patients’ souls, rather than just their bodies. What does this statement mean? Medicine has to turn into something different than what it currently is?
The aim of this article is to contribute to a possible interpretation of Montessori’s convincement, trying to overcome the separation between the medical and the pedagogical meanings of care.
Starting from the data gathered through an ethnographical investigation carried out with a Special-Pedagogy perspective in many hospital divisions dedicated to the diagnosis and treatment of Rare Illnesses, the author here discusses some critical aspects that affect medical actions of diagnosis and treatment dynamics.
In order to set an interdisciplinary dialogue between medicine and pedagogy, this study provides some possible educational horizons for overcoming clinical mechanisms and elements that influence the identity development of the disabled person
Incidence of stent fractures and patency after femoropopliteal stenting with the nitinol self-expandable SMART stent: a single-center study.
No full textOBJECTIVE: The aim of the study was to investigate long-term incidence of stent fractures and patency after femoropopliteal stenting. METHODS: Sixty consecutive patients (mean age 70 ± 7 years) were treated with implantation of single (31 patients) or multiple (29 patients) self-expandable nitinol SMART stents (Cordis, Miami, Florida, USA; mean stent length 108.8 ± 73 mm) between year 2000 and 2005. At a mean follow-up of 66 ± 20 months, 37 patients (85% men, mean age 71 ± 7 years) were alive and underwent plain radiograph and color-coded duplex sonography. A peak systolic velocity was measured proximally, intrastent and distally. RESULTS: Stent fractures were detected by radiograph in three of the 39 (7.7%) legs (mean stented segment 207 ± 64 mm). In one case, a moderate strut fracture was associated with in-stent occlusive restenosis confirmed by angiography. Color-coded duplex sonography revealed a mean in-lesion peak systolic velocity of 73 ± 35 cm/s, six (15%) in-stent restenoses and four (11%) total occlusions. Primary patency rate 5 years after nitinol SMART stent implantation was 74.6%. Patients symptomatic for claudication or presenting with diagnosis of in-stent restenosis underwent angiography. CONCLUSION: Long-term femoral SMART stenting showed minimal incidence of fractures compared with previously published data with different stent types. In-stent restenosis and occlusive restenosis seem to be correlated with stented segment length
Innovation in thinking and educational practice. A dialogue with Alain Goussot on Special Educational Needs = Innovazione del pensiero e della pratica educativa. Un dialogo con Alain Goussot sui Bisogni Educativi Speciali
No full textWithin the prolific scientific production of Alain Goussot, an intellectual with a fine erudition and a passionate scientific vocation, the subject of special educational needs has assumed prominence. Through the critical examination of the construct that the author proposes, at times even radical, the contribution focuses its reflection on some of the key nodes of the special educational discourse.
The concept of BES, articulated in its analytical meanings, shows the contradictions of the pathologising dynamics inherent in some approaches to difficulties and resistance in learning processes. In this respect, teachers' professionalism and didactic action represent the 'antidotes' for the development of authentic processes of emancipation, respectful of human diversity. The multiple elements that emerge from the survey contribute to the continuous qualification of the Italian model of school inclusion
Penetrating atherosclerotic ulcer of the ascending aorta: the role of computed tomography scan
No full textAsymptomatic penetrating atherosclerotic ulcer is a rare pathology of the ascending aorta, more frequent in the descending thoracic aorta, even in multiple localizations. We present a case report of a patient with penetrating atherosclerotic ulcer and the preoperative role of the computed tomography scan
Endovascular treatment of abdominal aortic aneurysm after previous left pneumonectomy : a sound choice
No full textSurgical treatment of abdominal aortic aneurysm after previous pneumonectomy is a challenge because of the impaired respiratory function and increased surgical risks. Endovascular aneurysm repair in anatomically suited high-surgical-risk patients offers excellent short-term results and provides good protection from aneurysm-related death. In this article, we report a successful endovascular aneurysm repair of an infrarenal aortic aneurysm in a patient with past left pneumonectomy
An occasional diagnosis of myasthenia gravis - a focus on thymus during cardiac surgery: a case report
No full textAbstract Background Myasthenia gravis, an uncommon autoimmune syndrome, is commonly associated with thymus abnormalities. Thymomatous myasthenia gravis is considered to have worst prognosis and thymectomy can reverse symptoms if precociously performed. Case report We describe a case of a patient who underwent mitral valve repair and was found to have an occasional thymomatous mass during the surgery. A total thymectomy was performed concomitantly to the mitral valve repair. Conclusion The diagnosis of thymomatous myasthenia gravis was confirmed postoperatively. Following the surgery this patient was strictly monitored and at 1-year follow-up a complete stable remission had been successfully achieved.</p
Recurrent pericardial effusion after cardiac surgery: the use of colchicine after recalcitrant conventional therapy
No full textAbstract Pericardial effusion represents a common postoperative complication in cardiac surgery. Nonetheless, it can be resistant to conventional therapy leading to prolonged in-hospital stay and worsening of clinical conditions. Recent literature shows that colchicine therapy should be useful in the treatment of recurrent post surgical pericardial effusion. Hereby we report the case of a patient with postsurgical recurrent effusion treated with colchicine, and a review of literature concerning the use of this old drug.</p
L’oriente seleucidico da Antioco I ai primi anni di Antioco III in Pompeo Trogo/Giustino
No full textThe aim of the paper is to investigate the place of the Seleucids in the work of Pompeius Trogus/Justinus (from Antiochus I to the first part of the reign of Antiochus III). Despite the importance attached to the birth and growth of dynasty with Seleucus I, his successors seem to be underestimated. Pompeius Trogus in his world history adopts the concept of translatio imperii and applies the notion of imperium Macedonicum mainly to the Macedonian kingdom. After its fall, these words occur for the Seleucids in a Eastern perspective, especially when it is underlined their struggle against the Parthians in the II Century BC. With this schema in mind, the author inserts the first Seleucid dynasts in the wider context of Hellenistic history. In Pompeius Trogus’ view Seleucids and other kingdoms have to face with the Celts, who become the protagonists of the period (maybe one could suggest as source Timagenes of Alexandreia, particularly interested in these tribes in his Peri basildon). Be as it be, one may agree with the scholarship and recognize that Pompeius Trogus borrowed his narrative mainly from Philarchus in books XXIV-XXIX (as one could discern from some moralistic hints against the Seleucids), whereas books XXX-XXXV depend on Polybius. Furthermore, the comparison between the Prologi and Justinus’ Epitoma let us discover some differences from the original text and some relevant omissions. It is amazing, e.g., the absence in the Epitoma of any description of Antiochos III’ anabasis in the East, which had some importance in the Historiae Philippicae. In this case the cut could be explained with the methodological hints of Justinus (who focuses his narrative only on the struggle between Antiochus and Rome, a topic more interesting to his audience)
