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    Ileocaecal valve atresia: Our surgical approach

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    Background: Atresia of ileocaecal valve is the rarest type of intestinal atresia; there are very few reports on it in the literature and all cases described to date were treated with ileocolic resection. Methods: We present a rare case of ileocaecal valve atresia, the third in the literature, in which a different technical approach was employed as an alternative to the usual surgical technique (ileocolic resection). The described case came to our attention in a patient presenting with complicated intestinal perforation in whom we performed an ileal stoma after an unsuccessful conservative approach. Approximately four months later we operated her to close the stoma: during this procedure we discovered the colic valve atresia and treated it by creating a new ileocaecal valve and carrying out an appendectomy. After a 7-year follow-up no complications have occurred and the girl enjoys very good health. Conclusions: We conclude that performing a plasty of Bauhin's valve is a valid alternative to intestinal resection in such cases of atresia even if, according to some authors, the resection of the ileocaecal valve was not associated with increased morbidity and mortality (3)

    La nostra esperienza nella correzione endoscopica del RVU secondario ad apertura di ureterocele in doppio distretto renale.

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    Dopo l'apertura di ureterocele è possibile la comparsa di RVU. Abbiamo esperienza nella correzione endoscopica del RVU

    La chirurgia neonatale in terapia intensiva. Esperienza di Modena

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    Viene ribadita l'importanza di attuare la chirurgia del neonato in terapia intensiva neonatale senza quindi dover spostare il piccolo paziente alle sale operatorie

    Vanishing gastroschisis

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    Nella gastroschisi in genere le anse sono vitali se pur edematose e quindi recuperabili. In questo caso la breccia era piccola e la cute aderiva tenacemente alle anse con strangolamento delle stesse fino alla necrosi per l'estrema sofferenza vascolare

    Male or Female? What about disorders of sex development

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    After the first trimester of pregnancy future parents are commonly asked if their child will be male or female. Such a question creates many expectations and implies the true determination of the baby's identity. Indeed, since the earliest stages of pregnancy knowing the gender of unborn babies creates expectations in their families, which grow with the approach of childbirth. Babies born with atypical genitalia, which consequently makes impossible to address whether they are really the same as they had been imagined, create considerable difficulties in their parents, who see their believes undermined. The evaluation of infants' genitalia, taken for granted when referring to genitalia phenotypically in the standard and often not reported for brevity in the first clinical examination after birth, becomes fundamental in case of atypia. In order to be able to take best care of such children, it is necessary to know how the hypothalamus-pituitary-gonad axis and the consequent genital development work and to understand, whenever possible, what the problem was to be able to build the best plan to support families and patients

    Il trattamento endoscopico della calcolosi reno-ureterale nel paziente pediatrico.

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    Esperienza preliminare nel trattamento della calcolosi reno-ureterale nel paziente pediatrico mediante la chirurgia endoscopica e l'ESW

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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