1,721,241 research outputs found
Alien Registration- Villacci, Fortunato F. (Portland, Cumberland County)
Full text linkhttps://digitalmaine.com/alien_docs/25642/thumbnail.jp
Organizzazione della Struttura Complessa di Medicina interna per intensità di cure: l’Area critica di Medicina interna
No full textIn hospitals with traditional organization, i.e. based on specialist departments not organized by intensity of care, patients who are too ill for a general ward, yet do not require intensive care, are sometimes hospitalized in intensive care units, where they receive over-assistance with waste of resources. Otherwise these patients are hospitalized in general wards, where they create distortive effects, attracting most of the health care resources and subtracting assistance to the other patients, while receiving less assistance than needs. To avoid these distortions it is appropriate to create areas of semi-intensive assistance, such as the Critical Area of Internal Medicine. The authors, after review of the literature on the organization of hospital based on intensity of care, underline the advantages of applying these principles not to the entire hospital, but within the Departments or wards of Internal Medicine. Starting from some experiences already carried out spontaneously in some departments with the activation of some monitored beds of semi-intensive therapy, they propose a structured application project for the creation of the critical area of Internal Medicine, by the use of some project management tools (WBS, OBS, Gantt diagram, responsibility matrix, and SWOT analysis)
Risk of long-term pelvic recurrences after fluid minihysteroscopy in women with endometrial carcinoma: a controlled randomized study
No full textMenopause. 2010 May-Jun;17(3):511-5.
Risk of long-term pelvic recurrences after fluid minihysteroscopy in women with endometrial carcinoma: a controlled randomized study.
Cicinelli E, Tinelli R, Colafiglio G, Fortunato F, Fusco A, Mastrolia S, Fucci AR, Lepera A.
Source
Department of Obstetrics and Gynecology, University Medical School of Bari, 70124 Bari, Italy. [email protected]
Abstract
OBJECTIVE:
Concerns exist about the risk of endometrial cancer cells spreading into the peritoneal cavity after fluid minihysteroscopy. The aim of our study was to evaluate the 5-year incidence of pelvic recurrences in women affected by early-stage endometrial carcinoma (stage IA or IB) who did or did not undergo preoperative hysteroscopy with low pressure (<70 mm Hg) saline uterine distention.
METHODS:
A total of 140 women were randomized into two groups of 70 women who underwent or did not undergo diagnostic fluid minihysteroscopy before surgical staging. Women were followed up every 6 months for at least 5 years. Diagnosis of pelvic recurrence was based on a positive result at clinical examination and/or at vaginal cytology and/or at magnetic resonance imaging/positron emission tomography scan. Univariate analysis of disease-free survival was performed with the Kaplan-Meier method and survival curves were compared using the long-rank test.
RESULTS:
No difference in peritoneal cytology was observed between the two groups (5.7% and 8.5% of cases in the hysteroscopy and control group, respectively). After a mean duration of follow-up of 62 months, 2 (2.85%) pelvic recurrences in the hysteroscopy group and 3 (4.28%) in the control group were found. No significant difference was found between the two groups when the recurrence rate was compared. Overall survival rates and disease-free survival projected by Kaplan-Meier curves were not significantly different for the two groups.
CONCLUSIONS:
Preoperative low-pressure fluid minihysteroscopy does not increase the risk of intraperitoneal transport of endometrial carcinoma cells during the examination or the risk of pelvic recurrence at the 5-year follow-up. It does not seem to modify the recurrence rate, disease-free survival, and overall survival, although multicenter randomized trials and long-term follow-up are required to evaluate the overall oncologic outcomes of this procedure.
PMID:2008 1548 [PubMed - indexed for MEDLINE
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Babylonian knowledge about temporal lobe epilepsy: distinguishing mesial from lateral forms
No full textAdvanced modeling of liquid movements in automotive fuel tanks
No full textA complex activity is taking place to enhance design and validation of automotive fuel tanks. It includes track tests, a new bench tests and fluid-dynamic simulations. The target is to prevent issues with vapor pressure build up and fuel spill to vapor canister, operating as early as possible in the design process. CFD simulations have been used to assess the accuracy of bench tests compared to road tests and the work goes on to perform predictive analysis.
A new test bench has been developed, based on FIAT specification and experience, which allows to simulate vehicle accelerations using a combination of tank motion and tilt on all axes. Numerical tests have been performed which confirms the validity of the test approach. Accelerometric measurements have confirmed the substantial equivalence.
Additional numerical analyses have been performed to explore fluid dynamic inside the tank, targeted to evolve the CFD approach into a design validation and optimization tool
High-Dimensional Clustering via Random Projections
Full text linkThis work addresses the unsupervised classification issue for high-dimensional data by exploiting the general idea of Random Projection Ensemble. Specifically, we propose to generate a set of low-dimensional independent random projections and to perform model-based clustering on each of them. The top B∗ projections, i.e., the projections which show the best grouping structure, are then retained. The final partition is obtained by aggregating the clusters found in the projections via consensus. The performances of the method are assessed on both real and simulated datasets. The obtained results suggest that the proposal represents a promising tool for high-dimensional clustering
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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