5 research outputs found
Cavitary Pulmonary Sporotrichosis: Case Report and Literature Review
No full textA case of cavitary pulmonary sporotrichosis without mucocutaneous involvement caused by Sporothrix schenckii is reported in a sexagenarian woman with a long smoking history. The patient was hospitalized for septic shock with multiorgan failure from a respiratory focus. The diagnosis was delayed due to the fungal etiological agent was not initially considered in the differential diagnosis. A good clinical and radiological evolution was obtained with the antifungal therapy. Occasional cases of primary pulmonary sporotrichosis have been reported in the literature. Due to its low incidence, this is a less-known and underestimated clinical form. Both clinical suspicion and microbiological studies are needed to reach pulmonary sporotrichosis diagnosis.Fil: Rojas, Florencia Dinorah. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional del Nordeste. Instituto de Medicina Regional; ArgentinaFil: Fernández, Mariana Soledad. Universidad Nacional del Nordeste. Instituto de Medicina Regional; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste; ArgentinaFil: Lucchelli, Juan Manuel. Hospital de Rehabilitación Respiratoria "María Ferrer"; ArgentinaFil: Lombardi, Dora. Hospital de Rehabilitación Respiratoria "María Ferrer"; ArgentinaFil: Malet, José. Hospital de Rehabilitación Respiratoria "María Ferrer"; ArgentinaFil: Vetrisano, María Eugenia. Hospital de Rehabilitación Respiratoria "María Ferrer"; ArgentinaFil: Cattana, Maria Emilia. Hospital de Rehabilitación Respiratoria "María Ferrer"; ArgentinaFil: Sosa, Maria de Los Angeles. Universidad Nacional del Nordeste. Instituto de Medicina Regional; ArgentinaFil: Giusiano, Gustavo Emilio. Universidad Nacional del Nordeste. Instituto de Medicina Regional; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin
Rileggendo Pierre Carlier: Odisseo tiranno?
No full textThe paper arises from a careful lecture of many works of Pierre Carlier, especially the Homer (Fayard, 1999), where the scholar states that the ideology of the Odyssey announces in some ways the tyrannical ideology. In a close dialogue with the author, I have passed in review the elements of the extraordinary basileia of Odysseus, especially the sphere of justice, and I went through the ending of the Odyssey, which I define a kind of prophecy about the future of Greek history for the presence of new concepts: amnesty, peace and wealth. The role of Odysseus at the end of the poem prefigures that of historical tyrants because it represents the case of a sovereignty reached by personal merit: an emblematic case that had been identified by the political thought of Aristotle
ChemInform Abstract: Reactive Cyclophosphazenes Containing Oxazoline Groups: The Case of Hexakis(4‐oxazolinophenoxy)cyclophosphazene
No full textCYCLO E POLY(ORGANOPHOSPHAZENES) FUNCTIONALIZED WITH OXAZOLINE GROUPS. SYNTHESIS AND EXPLOITATION
No full textThe Use of Pulmonary Artery Catheters and Echocardiography in the Cardiac Surgery Setting: A Nationwide Italian Survey
No full textObjective: Wide variations exist in the use of pulmonary artery catheters (PACs) and echocardiography in the field of cardiac surgery. Design: A national survey promoted by the Italian Association of Cardio-Thoracic Anesthesiologists and Intensive Care was conducted. Setting: The study occurred in Italian cardiac surgery centers (n = 71). Participants: Anesthesiologists-intensivists were enrolled. Interventions: Anonymous questionnaires were used to investigate the use of PACs and echocardiography in the operating room (OR) and intensive care unit (ICU). Measurements and Main Results: A total of 257 respondents (32.2% response rate) from 59 centers (83.1% response rate) participated. Use of PACs seems less common in ORs (median insertion in 20% [5-70] of patients), with slightly higher use in ICUs; in about half of cases, it was the continuous cardiac output monitoring system of choice. Almost two-thirds of respondents recently inserted at least one PAC within a few hours of ICU admission, despite its need being largely preoperatively predictable. Protocols regulating PAC insertion were reported by 25.3% and 28% of respondents (OR and ICU, respectively). Transesophageal echocardiography (TEE) was performed intraoperatively in >75% of patients by 86.4% of respondents; only 23.7% stated that intraoperative TEE relied on anesthesiologists. Tissue Doppler and/or 3D imaging were widely available (87.4% and 82%, respectively), but only 37.8% and 24.3% of respondents self-declared skills in these modalities, respectively; 77.1% of respondents had no echocardiography certification, nor were pursuing certification (various reasons); 40.9% had not attended recent echocardiography courses. Lower PAC use was associated with university hospitals (OR: p = 0.014, ICU: p = 0.032) and with lower interventions/year (OR: p = 0.023). Higher independence in performing TEE was reported in university hospitals (OR: p < 0.001; ICU: p = 0.006), centers with higher interventions/year (OR: p = 0.019), and by respondents with less experience in cardiology (ICU: p = 0.046). Conclusion: Variability in the use of PACs and echocardiography was found. Protocols regulating the use of PACs seem infrequent. University centers use PACs less and have greater skills in TEE. Training and certifications in echocardiography should be encouraged. (c) 2024 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/
