1,720,989 research outputs found
Firedamp explosion prevention in civil tunnels excavation: analysis and discussion of an Italian case
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Early and late effects of the sequential transfixed stich technique for the treatment of the symptomatic rectocele without rectal mucosa prolapse
No full textDifferent surgical techniques have been proposed for rectocele repair. however, controversial aspects exist on the best approach to use. The study aims to report the early and late outcomes of the sequential transfixed stich technique (STST) for the treatment of rectocele in the absence of mucosal prolapse. MeThODS: One hundred patients presenting a symptomatic rectocele were treated with STST from January 2010 through august 2015. Patients with mucosal prolapse were not considered eligible for STST. after a period of 24 months from surgery, all the patients were clinically evaluated with the intent to investigate the risk of recurrence of the preoperative symptoms. reSuLTS: all the patients were women (median age=54.7 years; ranges=37-75). Median discharge time was 1.5 days. One-month severe complications were: hemorrhoid thrombosis (6.0%), self-solved bleeding (6.0%), urinary retention (4.0%), anal secretion (4.0%) and urinary incontinence (1.0%). No post-operative cases of fecal incontinence were observed. Two years after surgery, 76.0% of patients reported a global improvement of the preoperative symptoms, with 73 and 35% of cases showing a reduced difficulty in the evacuation and need for digitation. Only 8.0% of patients showed a recurrence of the initial symptoms. CONCLuSiONS: The STST is a feasible, safe, and cost-effective technique for the treatment of the rectocele without rectal mucosal prolapse. The method does not increase the risk of postoperative anal incontinence and presents a short hospital stay. STST presents long-term results in line with other transvaginal and transanal approaches
An analysis of the tunnel driving rounds success probability in the light of characterising dimensionless ratios
No full textPsychological intervention with elderly people during the COVID-19 pandemic: the experience of a nursing home in Italy
No full textItaly has been the first European country to face the Covid-19 pandemic in all its dramatic presence. According to official national reports, based on the analysis of 32 448 patients died positive for Covid-19 in Italy; the mean age of people who died from this pandemic was 80 years.2 Furthermore, overall the 21.5% and the 59.7% of the sample presented respectively two or three comorbidities with the most frequent being cardiovascular diseases (ischaemic heart disease, atrial fibrillation, heart failure, stroke, hypertension), type-2 diabetes, dementia and chronic obstructive pulmonary disease
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