43 research outputs found
Valutazione del rischio di difficoltà scolastiche e potenziamento di abilità di base. Risultati di un progetto pilota nella scuola dell’infanzia.
No full texta più recente letteratura internazionale sui disturbi dell’apprendimento
evidenzia la necessità di individuare precocemente, già nella scuola dell’infanzia,
bambini a rischio di successive difficoltà scolastiche e di programmare progetti
preventivi di potenziamento delle abilità di base più importanti per l’apprendimento
scolastico. In questo lavoro presentiamo un progetto pilota condotto in
una scuola dell’infanzia, in cui 6 bambini dell’ultimo anno, individuati come «a
rischio alto» in base alle prove PAC-SI di screening (su un campione iniziale di
55 bambini) hanno partecipato ad attività di potenziamento nelle seguenti aree:
consapevolezza fonologica, denominazione rapida, memoria a breve termine e
abilità visuospaziali. Il confronto delle prestazioni dei bambini al follow-up con
due diversi campioni di riferimento evidenzia l’efficaciaThe most recent international literature on learning disabilities highlights
the need for early detection, as early as kindergarten, of children at risk for later
academic difficulties and for planning preventive projects to strengthen the basic
skills important for school. In this paper we present a pilot project in which 6
children in the last year of kindergarten were identified as «high risk» based on
PAC-SI screening tests (on a sample of 55 children). They participated in training
activities in the following areas: phonological awareness, rapid naming, shortterm
memory and visual-spatial skills. The comparison of children performances
at follow-up, with two different reference samples, shows the effectiveness of the
intervention in improving the basic skills considered
[Video-assisted thyroidectomy with minimally invasive central cervicotomy: initial experience in an endocrine surgery division]
No full textAbstract
Minimally invasive video-assisted thyroidectomy, a recently developed technique, has been shown to be feasible and safe. Nevertheless, to obtain the best results, the surgeon should be well trained in endoscopic surgery. We attempted to answer the question whether an endocrine surgery division with no previous experience in endoscopic neck surgery could easily import the new technique. The inclusion criteria were nodules < or = 3.5 cm diameter or thyroid lobe volume less than 15 ml, and no thyroiditis or previous neck surgery. Suspect malignant nodules were excluded. The procedure was carried out through a 20 to 30 mm central neck incision, with external retraction and no neck insufflation. The vessels were ligated or closed by means of clips. From March 2004 to March 2005, 127 thyroidectomies were performed, of which 36 were thyroid lobectomies. Of these, 12 lobectomies by minimally invasive video-assisted thyroidectomy were performed for monolateral goiter (4 left, 8 right). There were no intraoperative complications. No recurrent laryngeal nerve palsy or permanent hypoparathyroidism occurred. The mean operative time was 74.4 min (median: 70; range: 45-115). The results, in terms of patient comfort, reduced postoperative pain and cosmetic quality were excellent. The technique allowed careful assessment of the inferior and superior laryngeal nerve. Thorough haemostasis was aided by the magnification of the image and optimal illumination. The learning curve appeared short, owing probably to previous experience in conventional endocrine surgery and the closer similarities of minimally invasive video-assisted thyroidectomy to enhanced-view conventional surgery than to laparoscopic surgery. In our experience the clinical impact was limited as a result of the small percentage of patients fulfilling the strict inclusion criteria
GESKIEDENIS EN SOSIOLOGIE
No full textGeskiedenis met sy indiwidualiserende verstaansmetode rig ham in die 19de eeu op die staat, en sosiologie met sy analitiese verklaarmetode op die samele- wing: vyandskap en opposisie
