706 research outputs found
Oncological and Functional Outcomes of Radical Cystectomy and Orthotopic Bladder Replacement in Women. Editorial comment
No full textDuring the last decades, orthotopic bladder substitution (OBS) after radical cystectomy for bladder cancer in women has been increasingly proposed. Meanwhile, strict patient selection criteria, improved surgical techniques, long-term follow-up in large patient cohorts, and validated evaluation have defined the role of OBS in men. Several issues must be clarified in women: oncological outcome, complication rates, functional results, quality of life, and sexual function. As a matter of fact, the results of OBS in women are substantially unchanged in the last decade as stated in this paper.
From the oncological standpoint, the patient outcome seems objectively satisfactory but selection criteria are different in the published series. Fortunately, the problem of urethra recurrence seems less relevant in properly selected patients.
However several issues are still a matter of debate. Functional results in terms of continence and hypercontinence are still unsatisfactory because the optimal way to reconstruct the pelvic anatomy is still undefined. Early and late complication rates are poorly evaluated. Little data are also available about the quality of life and sexual function.
Validated evaluation criteria in a large patient cohort are needed to objectively evaluate the results and to improve the substantially unchanged results reported in last decade. It's time to move forward!!
Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint
No full textObjective: This review summarizes the peri-operative anesthesiological approaches to esophagectomy considering the best up-to-date, evidence-based medicine, discussed from the anesthesiologist's standpoint. Background: Esophagectomy is the only curative therapy for esophageal cancer. Despite the many advancements made in the surgical treatment of this tumour, esophagectomy still carries a morbidity rate reaching 60%. Patients undergoing esophagectomy should be referred to high volume centres where they can receive a multidisciplinary approach to treatment, associated with better outcomes. The anesthesiologist is the key figure who should guide the peri-operative phase, from diagnosis through to post-surgery rehabilitation. We performed an updated narrative review devoted to the study of anesthesia management for esophagectomy in cancer patients. Methods: We searched MEDLINE, Scopus and Google Scholar databases from inception to May 2021. We used the following terms: "esophagectomy", "esophagectomy AND pre-operative evaluation", "esophagectomy AND protective lung ventilation", "esophagectomy AND hemodynamic monitoring" and "esophagectomy AND analgesia". We considered only articles with abstract written in English and available to the reader. We excluded single case-reports. Conclusions: Pre-operative anesthesiological evaluation is mandatory in order to stratify and optimize any medical condition. During surgery, protective ventilation and judicious fluid management are the cornerstones of intraoperative "protective anesthesia". Post-operative care should be provided by an intensive care unit or high-dependency unit depending on the patient's condition, the type of surgery endured and the availability of local resources. The provision of adequate post-operative analgesia favours early mobilization and rapid recovery. Anesthesiologist has an important role during the peri-operative care for esophagectomy. However, there are still some topics that need to be further studied to improve the outcome of these patients
Due eterotopie settecentesche
No full textShort study of two early eighteenth-century satiric works, William King's "Journey to London", and Ned Ward's "The Amorous Bugbears". Both works are seen as exemplary heterotopias that expose the ways of the world in their topsy-torvy masquerades
Crambus varii Bassi & I- & To 2012, n.sp.
No full textCrambus varii n.sp. Figs 10, 24, 26 HOLOTYPE: TMSA, without registration number; ♀; [RSA, Western Cape, 33°57’S, 22°32’E] Saasveld George, C [ape] P[rovince], South Africa, H. Geertsema; 26.8.1964; Holotype Crambus varii n. sp. G. Bassi det. 1995, TMSA, (not dissected). PARATYPES (all from RSA): TMSA, without registration number; 1♀; same data as holotype. - TMSA, without registration number; 1♀; idem, 2.2.[19]65 - TMSA, without registration number; 1♀; idem, 1-10.II.1965. - TMSA, without registration number; 1♀; idem, 5.I.1965. - TMSA, without registration number; 13; idem, 26.XII.1964. - TMSA, without registration number; 13; idem, 1.1.1965. - TMSA, without registration number; 1♀; idem, 16.9.1964, De Fin. - TMSA, without registration number; 13; Kogelberg C [ape] P[rovince], Nature Reserve; 6-13.III.1983; Kroon & Molekane, GS 3330 GB. - TMSA, without registration number; 13; Cape Prov[ince], Kogelberg (34 18 BD), 23 Mar[ch] 1981, D.M. Kroon, GS 4193 GB. - TMSA, without registration number; 13; Stellenbosch; 3.3.’[19]21; Ch. K. Brain. - TMSA, without registration number; 13; 1♀, Vyeboom, Caledon Distr[ict]; 10.II.1954; L. Vári, GS 3300 GB. - TMSA, without registration number; 1♀; Saasveld; 5.I.[19]65. - MFNB, without registration number; 2♀♀; RSA, Bontebok NP, Swellendam; 14. 16.XI.1993; leg. Mey & Ebert. - CB, without registration number; 13; Saasveld, C.P.; 23.XII.1964; H. Geertsema, GS 5235 GB. - CB, without registration number; 1♀; Algeria Forestry, Clanwilliam Distr.; 4-10.III.1969; Potgieter & Strydom, GS 5240 GB. - MHNG, without registration number; 1♀, Worcester, Amandel spruit; 18.X.1966; Vári & Potgieter. – TMSA and CB (13), without registration number; 233; 2♀♀, Tsitsikam[m]a Goesabos Forestry; 13-22.III.1979; Potgieter & Scoble. - TMSA, without registration number; 1♀; Cape Prov[ince], Tsitsikam[m]a forest, Goesabos, 33 23 DD; 13-22 Mar 1979; J. Potgieter & M. Scoble, GS 3850 GB. - TMSA, without registration number; 1♀; Tsitsikam [m]a, Ou-brug; 17.III.1979; Potgieter & Scoble. ETYMOLOGY: The species is dedicated to Lajos Vári of the TMSA, author of very valuable entomological collections in Southern Africa. DIAGNOSIS: The combination of forewings without separated submarginal area, male genitalia with fully developed uncus, phallus with dorsoapical tooth and strong cornuti, and female genitalia with very large and strongly sclerotized ostium characterize this species among African Crambus. DESCRIPTION (Fig. 10): Wingspan: male 20-21 mm, female 25-27 mm. Labial palpi 4 X longer than widest diameter of eye, with inner side white and outer side brown with upper margin and tip white. Maxillary palpi white with brown basis. Frons clearly produced, rounded, white. Antennae brown, with silvery costa, serrate in male, simple in female. Ocelli and chaetosemata moderately developed. Head white, with few chestnut brown scales in middle. Patagium laterally brown, white medially. Tegulae dark brown. Thorax white. Abdomen bronze brown to whitish, suffused brown. Forewings ground color bronze brown, lighter in dorsal area; costal area white, wide, and white suffused with chestnut brown toward apex; female with more pointed apex; medial stripe wide, white, reaching outer margin; veins marked by white scales toward outer margin; outer margin with seven subterminal dots, more developed in female; fringes with both short and long scales white with silvery bronzed tip, thus appearing white with medial and terminal lines silvery bronzed. Hindwings white with brown suffusion; fringes white. Fore and midlegs bronze brown; hindlegs whitish, suffused bronze brown. MALE GENITALIA (Fig. 26): Uncus long, sinuous, pointed, moderately bent downward and sclerotized. Two large and spatulate socii cover up to two thirds of length of uncus. Gnathos one third longer than uncus, with apex rounded and bent downward. Tegumen with large base, partially fused with vinculum. Vinculum stout, with large subtriangular dorsal extension. Pseudosaccus small. Valva wide, with membranous cucullus, with well developed and pointed costal and saccular processes and small medial process lamellar. Phallus slightly shorter than whole apparatus, with large subapical tooth; vesica with 5 subtriangular cornuti. FEMALE GENITALIA (Fig. 24): Papillae anales divided into two lobes and apophyses posteriores of medium size. Apophyses anteriores absent. Abdominal segment VIII with narrow tergite and strong and complex sternite. Ostium bursae very large and sclerotized. Ductus bursae longer than corpus bursae, sinuous, sclerotized in proximal two thirds, then fibrous. Ostium and ductus bursae spiculate. Ductus seminalis opening in distal third of ductus bursae. Corpus bursae with two well developed signa. DISTRIBUTION: RSA, Western Cape and Eastern Cape at Tsitsikamma. REMARKS: The presence of socii and both costal and saccular processes relates this species to C. pascuella; female genitalia are also reminiscent of some other Crambus, such as heringiellus Herrich-Schäffer.Published as part of Bassi, Graziano, 2012, New Afrotropical species of the genus Crambus Fabricius, 1798 (Lepidoptera: Pyralidae, Crambinae), pp. 269-286 in Revue suisse de Zoologie 119 (3) on pages 284-286, DOI: 10.5962/bhl.part.150195, http://zenodo.org/record/611826
Verso una politica del limite? Note sul potere e l’azione nel lessico politico di Hannah Arendt
No full textThe starting point of this essay is the Arendtian critique of violence taken as the main interpretative key of the “immense polemic" entertained by the author with the Western philosophical-political tradition. Following this theoretical path, the paper intends to discuss some recurring terms in Arendt’s lexicon. Identifying in Montesquieu and then in Rosa Luxemburg two essential references for the author of The Human Condition, the essay analyzes the questions of the limit and the divisibility of power. The thesis is that, if inserted
in this interpretative frame, Arendt does not belong to the liberal tradition. The theory of action, the praise of the councils and the historical experiences of self-government along with a relational and non-violent conception of power and law are elements that allow us to identify clear radical and libertarian tendencies in Hannah Arendt's thought
sj-pdf-1-scv-10.1177_10892532211064041 – Supplemental Material for Platelet Dysfunction in Cardiac Surgery: When is the Best Time to Assess It? An Observational Single Center Study
No full textSupplemental Material, sj-pdf-1-scv-10.1177_10892532211064041 for Platelet Dysfunction in Cardiac Surgery: When is the Best Time to Assess It? An Observational Single Center Study by Elisabetta Auci, Igor Vendramin, Federico Barbariol, Ilaria Riccardi, Andrea Gigante, Antonio Baroselli, Tiziana Bove, Flavio Bassi, Luigi Vetrugno and Ugolino Livi in Seminars in Cardiothoracic and Vascular Anesthesia</p
Postcoloniali noi? L'America Latina tra paradigmi eurocentrici ed esperienza coloniale
No full textNel primo manuale di studi postcoloniali pubblicato in Italia, il saggio analizza la specificità dell'America latina e presenta le riflessioni di scrittori, saggisti e filosofi latinoamericani del 900 che hanno offerto un contributo originale al dibattito postcoloniale e al profilo e al ruolo soocio-culturale delle letterature ispanoamericane
Verso una politica del limite? Note sul potere e l’azione nel lessico politico di Hannah Arendt
No full textThe starting point of this essay is the Arendtian critique of violence taken as the main interpretative key of the “immense polemic" entertained by the author with the Western philosophical-political tradition. Following this theoretical path, the paper intends to discuss some recurring terms in Arendt’s lexicon. Identifying in Montesquieu and then in Rosa Luxemburg two essential references for the author of The Human Condition, the essay analyzes the questions of the limit and the divisibility of power. The thesis is that, if inserted in this interpretative frame, Arendt does not belong to the liberal tradition. The theory of action, the praise of the councils and the historical experiences of self-government along with a relational and non-violent conception of power and law are elements that allow us to identify clear radical and libertarian tendencies in Hannah Arendt's thought
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