129 research outputs found

    Concetta Zuccarello cooking in the family kitchen on Bloomfield Avenue.

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    Concetta Zuccarello, an immigrant from Sicily, in the familiy kitchen 218 Bloomfield Ave., Cold Water Flat. Concetta is grandmother of Josephine Zuccarello, wife of photographer. Both 1910 and 1911 listed as a date for photograph

    Total laparoscopic hysterectomy: Overtreatment for misdiagnosed organic cause or undertreatment for idiopathic chronic pelvic pain?

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    Background: Chronic pelvic pain (CPP) is considered a symptom but also a syndrome with misunderstood pathophysiology and treatment options ranging from conservative management to opioid analgesia and surgical intervention. The aim of this study was to evaluate the role of gynecological surgery in modifying presurgical pain status and reducing the postoperative analgesic use of patients suffering CPP. The second aim of the study was to analyze intraoperative and histological differences in patients who benefited from surgery versus those without benefit. Methods: An observational study was conducted in 16 fertile women affected by CPP, treated by total laparoscopic hysterectomy (TLH) to solve their pelvic pain. In 7 cases, undetected pelvic endometriosis was found. Results: A complete resolution of preoperative pain symptoms (score 0) occurred in 9 patients (56.2%), an occasional pelvic discomfort (score 1) in 2 cases (12.5%), 2 patients reported minimal benefit of pelvic pain (score 2), while in 3 cases, severe pain persisted (score 3). The correlation between intraoperative/histological features and reported symptoms after surgery showed that 7 of 9 patients (77.7%) who benefited from surgery were affected by an organic cause; while 5 women with minimal or no benefits from the surgery did not have any organic disease (idiopathic CPP). Conclusions: If conservative treatment fails to treat CPP, investigative laparoscopy represents a necessary step to discriminate patients with misdiagnosed organic from idiopathic CPP, selecting those who will potentially benefit from hysterectomy. The role of concomitant appendectomy needs to be defined in surgical treatment of idiopathic CPP

    High prolactin levels in dihydropteridine reductase deficiency: A sign of therapy failure or additional pathology?

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    We report the case of a 22-year-old man with a diagnosis of dihydropteridine reductase (DHPR) deficiency who progressively developed movement disorders and epilepsy. Despite L-Dopa supplementation the patient continued to show high prolactin levels, with a discrepancy between the neurological clinical picture and the hormonal biochemical levels. For this reason, other potential causes were ruled out by performing a cerebral magnetic resonance imaging, which demonstrated a solid lesion in the pituitary gland strongly suggestive of a prolactinoma. As the association between metabolic disorders affecting biogenic amine synthesis and prolactinoma has not been previously reported in humans, this report suggests that a critical evaluation of the use of prolactin as a guide for therapy dosage should be made in patients with DHPR deficiency disorders

    “L’Animo ciascuna sua passion sotto el contrario manto ricopre”. Guichardin et les passions “italiennes” dans le livre I des Essais

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    The article analyzes the relationship between history and the passions thorough the borrowings from the Storia d’Italia. Guicciardini by Francesco Guicciardini. Guicciardini's influence on the author of the Essais seems to extend to both the content and the form of the borrowed texts (their style, description techniques, and so on), and indeed to the treatment of the passions described. The analysis of the examples borrowed from Guicciardini in Book I fo the Essais leads to some initial conclusions ; although, there is further research yet to be done.L’étude analyse le rapport entre l’Histoire et les passions à travers les emprunts à la Storia d’Italia de Guichardin. L’influence de Guichardin sur l’auteur des Essais semble toucher tant le contenu des textes empruntés que la forme (style, modalités de la description, etc.), ainsi que le traitement des passions décrites. L’analyse des exemples empruntés à Guichardin dans le livre I des Essais permet de tirer les premières conclusions ; cependant, la recherche aurait besoin d’être poursuivie

    "J'ay un dictionnaire tout à part moy": la pratique du 'dictionnaire' chez Montaigne écrivain italien

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    The article focuses on the writing of the italian part of Montaigne's "Journal the voyage". The author has maybe read or used grammar books, dictionaries or linguistic works to learn how to write correctly. The article gives a general overview of such linguistic production in the period of Montaigne's travel to Italy (1580-81)

    La formazione filosofica di Orazio nella lettura degli esegeti antichi

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    In una delle Vite di Orazio riportate dai manoscritti che conservano gli scolii antichi alla sua opera si legge che il poeta, in seguito alla formazione culturale romana, si sarebbe recato ad Atene per il tradizionale ‘viaggio d’istruzione’ al fine di apprendere la filosofia; tale insegnamento sarebbe stato innanzitutto epicureo. L’elemento costituisce una novità rispetto a quanto riportato da Svetonio, con cui le vite dei manoscritti presentano in generale evidenti affinità. L’autore della Vita riferisce inoltre che Orazio avrebbe ammesso di essere epicureo 'in principio carminis' ritenendo d’altronde felice chi agisce secondo il proprio istinto, chi considera la 'voluptas' il sommo bene. Nella lettura di un commentatore tardoantico ne derivava pertanto che Orazio fosse epicureo in questa prospettiva vengono così lette le Satire e anche - ma in maniera differente, come l’analisi mette in luce - le Epistole.One of the Lives of Horace in the manuscripts preserving the ancient scholia to his work records that the poet, following the Roman cultural education, would have gone to Athens for the traditional ‘educational journey’ in order to learn philosophy; this teaching would have been mostly epicurean. This constitutes a novelty with respect to what is reported by Suetonius, with which the lives of manuscripts generally have evident affinities. The author of the Life also says that Horace would have admitted to being an epicurean in principio carminis, considering happy who acts according to his own instinct and looks at voluptas as the highest good. Thus, in the reading of the late commentator, Horace was epicurean and the Satires and also - but in a different way, as clarified in the analysis - the Epistles are evaluated in this perspective

    Executive Functions and Attention in Childhood Epilepsies: A Neuropsychological Hallmark of Dysfunction?

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    Objective: Patients with epilepsy are at risk for several lifetime problems, in which neuropsychological impairments may represent an impacting factor. We evaluated the neuropsychological functions in children suffering from three main epilepsy categories. Further, we analyzed the longitudinal evolution of the neuropsychological profile over time. Methods: Patients undergoing neuropsychological evaluation at our Department from 2012 to 2018 were identified retrospectively. We selected patients aged 6-16 years and with at least two evaluations. Three epilepsy categories were considered: focal/structural, focal self-limited, and idiopathic generalized. Each evaluation included the same structured assessment of main neuropsychological domains. The effect of the epilepsy category, illness duration, seizure status, and medication was computed in multilevel models. Results: We identified 103 patients (focal self-limited = 27; focal/structural = 51; and idiopathic generalized = 25), for 233 evaluations. The majority of deficits were reported in attention and executive functions (>30% of patients); the results were dichotomized to obtain global indexes. Multilevel models showed a trend toward statistical significance of category of epilepsy on the global executive index and of illness duration on global attention index. Illness duration predicted the scores of executive and attention tasks, while category and medication predicted executive task performance. Focal/structural epilepsies mostly affected the executive domain, with deficits persisting over time. By contrast, an ameliorative effect of illness duration for attention was documented in all epilepsies. Conclusions: This study offers lacking information about the evolution of deficits in time, the role of epilepsy category, and possible psychological implications for high-order cognitive skills, central in several social and academic problems

    The Figure of the Limit: Metalepsis

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    In 1972, Gérard Genette introduced in narratology the figure of metalepsis, that is «any intrusion by the extradiegetic narrator or narratee into the diegetic universe (or by diegetic characters into a metadiegetic universe, etc.), or the inverse». In other words, metalepsis is a transgression of narrative levels, a perturbation of hierarchy that raises the question of the porosity of boundaries between diegetic and metadiegetic, author and reader, fact and fiction. In my presentation, I will show how this phenomenon is ubiquitous nowadays, and how it is settled both in highbrow and lowbrow cultural representations across various media. Furthermore, I wish I can discuss the role of metalepsis in poetics: in my opinion, it is possible to relate this device with the history of the novel. In XVIII and XIX centuries authorial narrators made extensive use of rhetoric metalepsis for humoristic purposes (such as playing with the story-time and the discourse-time) or to exhibit their authority (through the manipulation of different threads of the narration). With Naturalism and Modernism metalepsis disappeared, according to the poetic of impersonality: authors stopped being intrusive and eclipsed behind their characters. The golden era of the figure came in the temper of Postmodernism, where ontological metalepsis flourished and the public got used to author and reader literary entering the fiction or characters exiting from it and chitchatting with their creators

    Open Badge a scopo formativo: resoconto di una esperienza didattica in ambito universitario

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    This paper questions the possibility to use Open Badge for educational goals. A pilot experience was carried out in the Department of Education, Roma Tre University. The OBs were designed by the author and assigned to the students who successfully performed the laboratory activities within her course, titled «Comunicazione di Rete». The online Cooperative Learning laboratory engaged 31 students in the construction of a digital product and in the activation of the communication and relational modalities required in the online learning communities, as recommended by the related scientific literature. All the planned activities have been indicated in specific operating protocols, and rigorously monitored using a checklist and a rubric. The assignment of the OB allows to declare that the subject has acquired a methodology fostering the development mediation, collaboration and cooperation skills. Not all students earned the OB, but all those who have earned it have passed the exam with excellent results. Despite the inevitable critical features of a pilot project, the observation data seem to confirm the line of research that guided the activity: the use of the OB for educational purposes lies in its capability to make other-directed evaluation processes transparent and to promote forms of self-evaluation and self-direction
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