1,570 research outputs found
"La materia quando inizia a soffrire": Denial Figures in Guido Morselli's Work
No full textopenIl presente lavoro si propone di indagare la questione della crisi del soggetto così come discussa dall'autore italiano Guido Morselli, nelle diverse sedi dei romanzi, della produzione saggistica e del diario personale. Da qui si analizzeranno temi quali il solipsismo e gli interrogativi esistenziali, fin dai loro primi riverberi nella filosofia centro-europea di fine Ottocento, inizio Novecento.The present work aims yo investigate the issue of the crisis of the subject, as it is discussed by the Italian author Guido Morselli, on his novels, essays and personal diary. We will also analyze topics such as solipsism and existential questions from their first reverberations on the late eighteen century and early nineteen century middle European philosophy
Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up
No full textIntroduction: The prevalence of obesity is rising progressively, even among elderly patients. Many studies investigated about safety and efficacy of bariatric surgery among aged obese patients. The objective of this review is to assess the benefits relative to risks of weight loss that may be obtained by performing two common bariatric procedures in obese elderly patient. Materials and methods: We retrospectively evaluated 10 morbid obese patients older than 60 years reaching 5 years of follow up who respectively underwent Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Adjustable Gastric Banding (LAGB). Eventual changes in comorbidities, weight loss, EWL% were investigated. Results: Although LSG patients required a longer postoperative hospital stay than LAGB patients (p < 0.001), both procedures have shown to be safe and equally effective for weight loss achievement in elderly patients. Whereas all patients showed comorbidities resolution, no significant difference in weight loss between LAGB group and LSG group was found at 1 year (EWL% p = 0.87; BMI p = 0.32), 3 years (EWL% p = 0.62; BMI p = 0.79) and 5 years (EWL% p = 0.52; BMI p = 0.46) of follow up. Conclusions: Bariatric surgery is safe and effective to reach obesity related comorbidities resolution among elderly obese patients. Both LAGB and LSG determine a weight loss lesser than observed in a standard bariatric population. In this study LSG is significantly less cost effective than LAGB. Larger studies with longer follow up are however needed to evaluate the real impact of bariatric surgery on weight loss, resolution of comorbidities and improvement of quality of life in elderly obese patients
Retrieval of the gastric specimen following laparoscopic sleeve gastrectomy. Experience on 275 cases
No full textSevere obesity leads to a high incidence of complications and a decrease in life expectancy, especially among younger adults. Laparoscopic sleeve gastrectomy (LSG) first intended as the first step of biliopancreatic diversion with duodenal switch is gaining a per-se procedure role because of its effectiveness on weight loss and comorbidity resolution. Different techniques have been described for specimen extraction in LSG. In this article we report the technique adopted in 275 LSGs performed in our department. In the first 120 LSGs performed from 2007, the specimen was extracted through a mini laparotomy. In the following 155 cases the technique has been simplified: the grasped specimen has been withdrawn through the 15 mm trocar site. We registered in the fist group six cases of wound infection (5%), ten cases of hematoma (8.3%) and four cases of port site hernia (3.3%). In the second group only one case of hematoma (0.6%, p = 0.01) but no cases of wound infection (p = 0.01) or port site hernia, (p = 0.03) although we registered a specimen perforation during retrieval in 16 patients, were reported. The technique described in the 155 cases of the control group has shown to be more effective than the technique we used in the case group, allowing significantly lower operative time (112.9 ± 1.0 vs 74.9 ± 9.1 p < 0.001) and complications, and providing unchanged costs
Pilonidal sinus surgery: Could we predict postoperative complications?
No full textPilonidal sinus surgery could, as of now, be considered a surgery tailored more to the surgeon than to the patient. In an attempt to give to surgeons an objective instrument of decision, we have evaluated which variables could be considered predictive of postoperative complications after pilonidal sinus surgery. A prospective electronic database of all patients treated for sacrococcygeal pilonidal disease was analysed. Sex, age, obesity, smoking, recurrent disease, the presence of multiple orifices and the distance between the most lateral orifice and midline were recorded and correlated with the occurrence of postoperative complications (infection and recurrence); 1006 patients were evaluated. Excision with primary mid-line closure was performed on all the patients. Mean follow-up was 7·3±3·6years. A total of 158 patients with postoperative complications (infection and/or recurrence) were recorded during this period. A multivariate analysis showed that, after adjusting for major clinical and demographic characteristics, only a recurrent disease [odds ratio (OR): 3·41, 95% confidence interval (CI): 1·89-6·15, P<0·001] and the distance of lateral orifice from midline (OR: 26·3, 95% CI: 12·2-56·7, P<0·001) were independent predictors of overall postoperative complications. Focussing on the distance from midline, the receiver operative characteristic (ROC) analysis showed that the distance of lateral orifice from midline predicted 79·2% of complications and the Youden's test identified the best cut-off as 2·0cm for this variable. An evidence-based tool for deciding on the type of surgical intervention could be developed and validated by further ad hoc prospective studies evaluating our results in comparison to other different types of surgical techniques. Our results support the use of these variables as an effective way to tailor pilonidal sinus surgery to the patient, so as to obtain the best results in patient care
"Sailing around the World (1857-1859). Colonial Patterns, Native Societies, Global Resources in the Circumnavigation of the Austrian Frigate Novara"
No full textThis essay by Guido Abbattista analyzes the Austrian frigate Novara’s circumnavigation (1857–1859) as a paradigmatic case of nineteenth-century global exploration, set within the broader context of European imperial expansion and scientific ambition. Abbattista demonstrates how the Novara expedition, Austria’s first global voyage, was not only a naval and scientific enterprise but also a vehicle for projecting imperial prestige, asserting national identity, and gathering knowledge about colonial patterns, native societies, and global resources. Drawing on official reports, scientific publications, and ethnographic collections, the essay situates the Novara alongside other Austrian and European voyages, highlighting its role in consolidating Austria’s place on the world stage. The author explores the ideological underpinnings of the mission, especially as articulated by Karl von Scherzer, who framed the journey in terms of Eurocentric progress, racial hierarchies, and the civilizing mission of Europe—particularly the “Anglo-Saxon” model. The essay critically examines how the Novara’s documentation and collections contributed to museums and scientific institutions, while also reflecting the contradictions and exclusions of imperialist worldviews. Ultimately, Abbattista argues that the Novara expedition exemplifies the entanglement of science, empire, and global modernity, offering insight into the construction of “global Europeanness” and the enduring legacies of colonial encounters
Erratum to: Association Study between Coronary Artery Disease and rs1333049 Polymorphism at 9p21.3 Locus in Italian Population (Journal of Cardiovascular Translational Research, (2017), 10, 5-6, (455-458), 10.1007/s12265-017-9758-9)
No full textThe author affiliation for both Guido Iaccarino and Michele Ciccarelli is Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno. The currently mentioned affiliations (Department of Advanced Biomedical SciencesFederico II University NaplesItaly and IRCCS SDN Istituto di Ricerca Diagnostica e Nucleare Naples Italy respectively) are not correct
Missa luba : new edition and conductor's analysis
No full text"Since 1964 and the first printed edition of Missa Luba by Guido Haazen, this work has been performed countless numbers of times all over the world. Missa Luba continues to have a large number of performances each year, despite the fact that there is very little research available, and the only published edition is wholly insufficient in producing an authentic performance. To date, the following has not been published in any known academic publications: 1) a biography of Guido Haazen, 2) research into the first choir to sing Missa Luba, 3) a detailed explanation of the collective improvisational nature of the work, and 4) a comparison of the folk melodies used as models to the corresponding sections of each Mass movement. The purpose of this document is to provide a new edition of Missa Luba and an analysis of the work useful to a conductor. The reasons why a new edition is needed and what changes are made to the existing edition will be discussed, along with an analysis, which will cover the work's historical background, structure, and performance practice concerns. The document will incorporate recent research into this subject, especially that of interviews with Guido Haazen prior to his death in 2004, and a more accurate transcription of the original 1958 recording. Also, significant to this project is a description of the ethnic instruments used in the original performances of Missa Luba and suitable modern substitutions. Research conducted at the Central Africa Museum in Tervuren, Belgium will be primary in this discussion. The result of this document will be a new edition of Missa Luba, more accurately reflective of the 1958 recording and early performances, and will provide much needed research into its creation, structure, and performance. "--Abstract from author supplied metadata
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