38 research outputs found
Dale una Mano a los Bosques: Guia de Accion Juvenil
No full textRevised! Circular 1269-S, a 109-page illustrated guide by Janice Easton, Martha C. Monroe, and Alison W. Bowers, is the Spanish language version of Circular 1269, Give Forests a Hand Youth Action Guide, translated by Gabriella Scollo. Published by the UF School of Forest Resources and Conservation, September 2006.
CIR 1269S/FR140: Dale una Mano a los Bosques: Guía de Acción Juvenil (ufl.edu
Dale una Mano a los Bosques: Guia de Accion Juvenil
No full textRevised! Circular 1269-S, a 109-page illustrated guide by Janice Easton, Martha C. Monroe, and Alison W. Bowers, is the Spanish language version of Circular 1269, Give Forests a Hand Youth Action Guide, translated by Gabriella Scollo. Published by the UF School of Forest Resources and Conservation, September 2006.
CIR 1269S/FR140: Dale una Mano a los Bosques: Guía de Acción Juvenil (ufl.edu
Dale una Mano a los Bosques: Guia para Jefe de Proyecto
No full textRevised! Circular 1270-S, a 74-page illustrated leader guide, is the Spanish language version of Circular 1270, "Give Forests a Hand Leader Guide" by Alison Bowers, Janice Easton, Martha C. Monroe, and Lizzie Peme, translated into Spanish by Gabriella Scollo. Published by the UF School of Forest Resources and Conservation, September 2006.
CIR 1270S/FR141: Dale una Mano a los Bosques: Guía para Jefe de Proyecto (ufl.edu
Dale una Mano a los Bosques: Guia para Jefe de Proyecto
No full textRevised! Circular 1270-S, a 74-page illustrated leader guide, is the Spanish language version of Circular 1270, "Give Forests a Hand Leader Guide" by Alison Bowers, Janice Easton, Martha C. Monroe, and Lizzie Peme, translated into Spanish by Gabriella Scollo. Published by the UF School of Forest Resources and Conservation, September 2006.
CIR 1270S/FR141: Dale una Mano a los Bosques: Guía para Jefe de Proyecto (ufl.edu
Cumulative Sum Analysis of Learning Curve Process for Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy
No full textStudy objective: This study aimed to evaluate the learning curve of vaginal natural orifice transuminal endoscopic surgery (vNOTES) hysterectomy in expert minimal invasive and vaginal surgery team. Design: This is a cohort study on a retrospective analysis. Setting: Department of Obstetrics and Gynecology of Cannizzaro Hospital in Catania Italy. Patients: First 50 women underwent vNOTES hysterectomy between February 2021 and February 2022. Intervention: vNOTES hysterectomy performed by a team with optimal skills in laparoscopic and vaginal surgery. Measurement and main results: Primary outcome was surgical time. Secondary outcomes were intraoperative and postoperative complications, length of hospitalization, and first 24-hour postoperative pain. All patients underwent hysterectomy for benign indications: 27 fibromatosis, 13 metrorrhagia, and 10 precancerous. Concomitant procedures have been bilateral adnexectomy in 35 cases and bilateral salpingectomy in 15 cases. The median age was 51 years (range, 42-64). Median body mass index was 26 kg/m2 (range, 21-42). The median operative time was 75 minutes (range, 40-110). The median hospital stay was 2 days (range, 1-4). There was 1 intraoperative adverse event (bladder lesion) and 1 postoperative grade 3 complication (hemoperitoneum). The median visual analog scale score for pain assessment during the first 24 hours after surgery was 3 (range, 1-6). The experience in our surgical center with the first 25 vNOTES hysterectomies showed an accumulation of initial experience in the first 5 cases with stable operating time and a gradual reduction of mean operating time in the subsequent 17 surgeries. The learning curve plotted by cumulative sum analysis shows 3 phases: phase 1 of competence (cases 1-5), phase 2 of proficiency (cases 6-26), and phase 3 of mastering the procedure (after the 31st case) with the management of more complex cases. Conclusion: vNOTES hysterectomy is a feasible and reproducible approach for benign indications with a short learning curve and low rate of perioperative complications. For a team skilled in minimally invasive surgery, 5 cases are required to rich competence and 25 to rich proficiency in vNOTES hysterectomy. Mastering phase, with the introduction of more complex cases, should be addressed after 30 surgeries
Is the endometrial evaluation routinely required in patients with adult granulosa cell tumors of the ovary?
No full textGranulosa cell tumors (GCTs) are the most common estrogen-secreting ovarian tumors; perhaps due to the persistent hyperestrogenism, a wide spectrum of associated endometrial pathologies ranging from endometrial hyperplasia to carcinoma has been documented in patients with GCTs. The aim of this study is to evaluate the incidence of endometrial pathologies in a large series of GCT patients treated in MITO centers
Uterine Tumours Resembling Ovarian Sex-Cord Tumors: A Case Report and Review of the Literature
No full text: Uterine tumors resembling ovarian sex-cord tumors (UTROSCT) are thought to develop from pluripotent uterine mesenchymal cells or endometrial stromal cells with secondary sex-cord differentiation. The patient was a 73-year-old postmenopausal woman who had abnormal vaginal bleeding, and she underwent a laparoscopic hysterectomy with bilateral salpingo-oophorectomy. The diagnosis was a case of UTROSCT. A scoping review of the UTROSCT case report present in the literature has been conducted, and 63 articles were found, of which 45 were considered for the 66 clinical cases examined. At the time of diagnosis, six metastatic localizations were found in 59 patients undergoing demolitive surgery (10.2%). Recurrences were diagnosed in 13/59 (22%) patients with multiple locations. A molecular study was performed in 18/66 cases (27.3%) and genetic alterations were found in 10/18 (55.6%) patients. UTROSCTs are considered rare uterine tumors, typically with a favorable prognosis, and are generally considered to have a good prognosis. But, from the review done, they may already manifest themselves at advanced stages, with the possibility of recurrences even at a distance. It would, therefore, be important to be able to define the most aggressive forms and, perhaps, molecular investigation with sequencing could help identify patients most at risk
Evaluation of Surgical Outcomes of Abdominal Radical Hysterectomy and Total Laparoscopic Radical Hysterectomy for Cervical Cancer: A Retrospective Analysis of Data Collected before the LACC Trial
No full textAlthough a surgical approach is one of the key treatments for stages IA1-IIA2, results of the Laparoscopic Approach to Cervical Cancer (LACC) published in 2018 radically changed the field, since minimally invasive surgery was associated with a four-fold higher rate of recurrence and a six-fold higher rate of all-cause death compared to an open approach. We aimed to evaluate surgical outcomes of abdominal radical hysterectomy (ARH) and total laparoscopic radical hysterectomy (TLRH) for cervical cancer, including data collected before the LACC trial. In our retrospective analysis, operative time was significantly longer in TLRH compared to ARH (p < 0.0001), although this disadvantage could be considered balanced by lower intra-operative estimated blood loss in TLRH compared with ARH (p < 0.0001). In addition, we did not find significant differences for intra-operative (p = 0.0874) and post-operative complication rates (p = 0.0727) between ARH and TLRH. This was not likely to be influenced by age and Body Mass Index, since they were comparable in the two groups (p = 0.0798 and p = 0.4825, respectively). Finally, mean number of pelvic lymph nodes retrieved (p = 0.153) and nodal metastases (p = 0.774), as well as death rate (p = 0.5514) and recurrence rate (p = 0.1582) were comparable between the two groups. Future studies should be aimed at assessing whether different histology/grades of cervical cancer, as well as particular subpopulations, may have significantly different outcomes using minimally invasive surgery or laparotomy, with or without neoadjuvant chemotherapy
Discourse analysis, culture, and critique : a brief comment
No full textAbstract: In this article the author discusses the relationship between culture, discourse analysis, and critique. He says that the plea of writer Michelle Scollo for cultural responses to discourse analysis is puzzling as he could not agree or imagine a discourse analysis that is not cultural. He comments on another claim by Scollo, which states that critiques are unfavorable for ethnographers. He notes that the research principle must be taken to every level of communicative structure.
Evaluation of Ovarian Reserve and Recurrence Rate After DWLS Diode Laser Ovarian Endometrioma Vaporization (OMAlaser): A Prospective, Single-arm, Multicenter, Clinical Trial
No full textStudy objective: To evaluate the effectiveness of the Dual Wavelength Laser System (DWLS) diode laser on the treatment of ovarian endometrioma (OMA), with ablation and vaporization of the cystic capsule without performing the stripping technique, in terms of ovarian reserve and recurrence rate.
Design: Prospective, Single-arm, Multicenter, Clinical Trial SETTING: Multicenter University Hospital.
Patients: Seventy patients with symptomatic OMA.
Interventions: Patients underwent surgery for primary unilateral or bilateral symptomatic OMA treated with DWLS diode laser vaporization. Following surgical intervention, patients were enrolled in a 12 months surveillance protocol featuring regular clinical assessments aimed at detecting ovarian reserve, pregnancy rate and any recurrence of the cyst and/or symptomatic relapse.
Measurements and main results: Antimullerian hormone (AMH) levels at the 3-month follow-up exhibited a significant difference from the baseline (p=0.034), demonstrating a return to nearly presurgical values in the subsequent months. Antral follicle count (AFC) of the operated ovary showed a significant increase after treatment at the 6-month and 12-month follow-up (p=0.005 and p=0.002, respectively). Pregnancies were documented in 48.3% (14/29) of infertile patients who underwent treatment. OMA recurrence was observed in 4 patients (5.7%) at 12 months. No patient exhibited a significant relapse of the analyzed symptoms compared to baseline values.
Conclusion: The findings of this study propose that DWLS diode laser presents a good option for treating OMA, demonstrating minimal impact on the surrounding healthy ovarian tissue, favorable pregnancy rate, coupled with low recurrence rates
