89,771 research outputs found
New view in the mammary asymmetry treatments [Nuove prospettive nel trattamento delle asimmetrie mammarie]
No full textAim. Breast asymmetry is a huge chapter of breast abnormalities. Surgical therapy is the exclusive one. The breast of women can vary in shape, volume and position, thus creating esthetic, social and psychological problems. Methods. We classified breast asymmetry into 6 categories and then we treated them with different surgical techniques: reduction mammaplasty according to Planas; augmentation mammaplasty with prosthesis; grafts or both; ultimately mammaprosthesis (association of mastopessy and prosthesis). We obtained satisfactory esthetic results often with one surgery procedure. Rarely we performed 2 or more procedures of symmetry. We treated 77 patients suffering from breast asymmetry. We excluded in this study the gigantomastic asymmetry (anomaly determined by severe and asymmetric mammary hypertrophy). Results. We found a low number of complications at short and long term. These results are likely due to the ability of the surgeon in the appropriated preoperative evaluation of the patients and of their expectancy and correct surgical techniques. Conclusion. We tried to obtain 3 results: shape and position of the sick breast as same as possible to the contralateral breast and less evident scars located in hidden regions
Fra Roma e Dubai. La città glocale
No full textGli autori offrono una definizione teorica e una ricostruzione storica del concetto di "città glocale" confrontandosi con i più aggiornati studi sociologici e urbanistici dedicati alle città e alle metropoli contemporanee. Inoltre analizzano comparativamente due metropoli "glocali" come Roma e Dubai facendo emergere in particolare il problema della costruzione della centralità e della perifericità, delle maggioranze e delle minoranze e più in generale il tema della gestione della diversità
Where Do the Brainy Italians Go?
No full textThis paper studies the major determinants that affect the country choice of the talented Italian scientists and researchers who have at least a bachelor’s from Italy and live abroad. There are three alternative country choices: the US/Canada, the UK, and other EU countries. On average, the brainy Italians exhibit a higher predicted probability to go to the US. Ceteris paribus, both push and pull factors are important. While having a Ph.D. from outside Italy predicts the UK choice, having extra working experience from outside Italy predicts migration to other EU countries. Those who stay abroad temporarily for two to four years are definitely more likely to go to the UK. Specialization in the fields of humanities, social sciences, and health are strong determinants of migration to the UK. For the move to the US, while the humanities area is a significant deterrent, health is a positive deciding factor. Lack of funds in Italy constitutes a significant push to the US.brain drain, skilled migration, Italy, push-pull factors
The use of osteointegrated implants in plastic surgery. Ear reconstruction [L'impiego degli impianti osteointegrati in chirurgia plastica: Ricostruzione del padiglione auricolare]
No full textThe authors present the case of a 14-year-old patient suffering from first branchial arch syndrome with agenesia of the auricle in which the auricle was reconstructed using osteointegrated implants. The patient had previously undergone numerous attempts at reconstruction using traditional methods, all of which had failed. In order to ensure an accurate preoperative evaluation, the patient was studied using CT with a standard technique and three-dimensional image reconstruction for a qualitative and quantitative evaluation of bone thickness so as to allow the optimal positioning of fixtures. This test also revealed the existence and good degree of development of the middle and internal ear. The Authors then proceeded to implant 4 titanium fixtures into the mastoid process of the temporal bone, three of which were used for fixing the auricle prosthesis and one for the insertion of a bone anchored hearing aid. The epithesis, in soft silicon, was modelled to match the contralateral ear with excellent aesthetic results
Forme di vita e forme architettoniche
No full textL'articolo riflette sulla teoria semiotica e la sua applicabilità a campi di ricerca non verbali e in particolare spaziali, superando le aporie concettuali della semiotica dei linguaggi specialistici, ma con riferimento alla riflessione di Michel de Certea
La politica dell’intervento pubblico nell’ordinamento italiano. La programmazione fra Costituzione economica italiana e Costituzione europea
No full textImmaginari dello sci: verso l’analisi di uno sport di montagna
No full textLa montagna in quanto realtà turistica si contrappone al mare ma si oppone anche fortemente alla città in quanto realtà urbana e industriale. Nell’immaginario occidentale novecentesco la montagna è divenuta la sede per eccellenza della natura, e dunque della non-contaminazione con lo stile di vita urbano. Dell’idea di purezza e incontaminazione rimane attualmente un residuo immaginario: dall’Himalaya alle Alpi gli ultimi decenni hanno visto in montagna una presenza antropica sempre crescente, il che ha minato profondamente quella realtà di purezza appena evocata, determinando di fatto quella che è una contrapposizione tra salvaguardia dell’ambiente e sfruttamento del territorio. Gli sport invernali in questo senso non sono solo uno specchio di questa situazione contraddittoria bensì ne sono gli artefici, in quanto tra i motori di una rapida colonizzazione. Lo scontro tra tradizione (più o meno autentica) e innovazione, tra conservazione e sfruttamento, tra fatica e comodità, tra montagna e città diventa un’opposizione tra sistemi di valori che andrà a permeare il turismo invernale, e dunque lo sci. Questo vale in termini diversi anche negli anni duemila, nei quali la sostenibilità ambientale si sono fatte imprescindibili la rivalutazione e la ricostruzione di dimensioni alternative nello sviluppo della montagna
Technical Details and Result of a Minimally Invasive Management of Gastric Band Erosions: a Series of 47 Patients
No full textIntroduction: Laparoscopic adjustable gastric banding (LAGB) is proven to be a safe and effective treatment option for obesity in the long term. However, in recent decades, LAGB prevalence progressively decreased worldwide principally due to the incidence and the management of the complications. Understanding the optimal management of the complications becomes therefore of primary importance. The aim of this study is to describe a personal technical, laparoscopic solution of band erosion and to analyze outcomes in 47 patients. Methods: From October 1995 to January 2019, 3697 LAGB were performed at our institution. Since November 2011, an original laparoscopic gastric banding removal technique was introduced. All the bands placed in these patients were Lap-Band AP System (Allergan, Irvin, CA). The data of the patients who underwent gastric band removal because of band erosion were retrieved from a prospectively collected institutional database, and used for the present retrospective evaluation. Result: Ninety-four patients (2.5% of the entire casuistic) with eroded band were diagnosed and treated at our institution. Forty-seven patients were treated with the laparoscopic gastric banding removal technique introduced in November 2011. All the operations have been performed laparoscopically with no conversion or intraoperative complications. There were neither major complications nor peri-operative (30 days) mortality. Conclusion: Proper preoperative management and a standardized minimally invasive technique could help to cope with erosion, the most frightening complication of LAGB. Understanding the optimal management of complications and safe reoperation techniques can contribute to a rational use of the LAGB, reversing the current declining tendency
Dallo sport al mondo, passando per la semiotica
No full textIl saggio introduce il tema dello studio dello sport dal punto di vista semiotico cercando di coglierne la definizione in rapporto a ciò che sport non è, ai valori che lo sport veicola, al suo legarsi alle dimensioni globali e locali dell'esistenza quotidiana
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