1,721,071 research outputs found

    Jugement contre M. Libri, professeur à la Faculté des sciences

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    Guigniaut Joseph Daniel, Thénard . Jugement contre M. Libri, professeur à la Faculté des sciences. In: Bulletin administratif de l'instruction publique. Tome 1 n°7, juillet 1850. p. 201

    "Double N":Evolution of the Surgical Technique for Laparoscopic Herniorrhaphy After 10-Year Experience in a Single Center

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    INTRODUCTION: We describe our experience with the use of a modified technique for laparoscopic internal inguinal ring closure (peritoneal incision and double "N" stitch placement). We evaluate the technique in terms of feasibility, efficacy, and safety. MATERIALS AND METHODS: From November 2003 to March 2014 we performed 1700 herniorraphies by laparoscopy. We selected 123 patients treated with the "double N" technique by the same surgical team, and we reviewed their notes analyzing demographic data, operative times, intra- and postoperative complications, and recurrence rate. The technique used is a modification of the Schier technique. Our technique consists of a partial lateral peritoneal 180° incision around the internal inguinal ring and in the placement of a double stitch. The first stitch is used to approximate the muscles with the inguinal ligament, and the second one is used to close the peritoneum above them. RESULTS: The female to male ratio was 22:101. Mean age at surgery was 4.3 years (range, 1 month-12 years). Mean operative time was 30 minutes (range, 20-50 minutes). There were 60 bilateral cases. There were no intraoperative complications. Two patients had reactive hydrocele treated conservatively, and 1 patient developed umbilical infection. We did not identify any recurrence. CONCLUSIONS: Our early results suggest that the "double N" laparoscopic technique to close the internal inguinal ring in children is safe and efficient. We therefore suggest using this approach in children with a patent internal inguinal ring of >1 cm. The recurrence rate is low, but it should be better assessed by studies with longer follow-up

    Nozioni tecniche di base in laparoscopia pediatrica

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    Descrizione dello strumetario laparoscopico di base e presentazione delle tecniche di annodamento intra ed extra corporeo mediante immagini e DVD

    Laparoscopic Nissen fundoplication with fibrin glue: experimental study on pigs.

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    Nowadays laparoscopy shows a great development in the pediatric age group. Pediatric surgeons are now able to study the possible applications in pediatric surgery of this new and fascinating procedure. A mandatory laparoscopic training to perform any important operation is clearly essential. Only a few cases of Nissen fundoplication have been reported in children. We suggest this experimental study in which we add a technical modification by using fibrin glue to tighten the gastric wrap on the esophagus positioning only two stitches at the extremes of the suture. The results were interesting and we think it an excellent starting point for a future clinical application of this new technique

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

    Variations on the Author

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    “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

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Chirurgia mini-invasiva

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    Nel capitolo vengono brevemente descritti alcuni aspetti tecnici di laparoscopia, toracoscopia e retroperitoneoscopia assieme alle applicazioni cliniche relative a queste procedure mininvasive: testicolo non palpabile, sindrome da persistenza di residui mulleriani, stati intersessuali, cisti ovariche, dolori addominali ricorrenti, appendicite acuta, diverticolo di Meckel, duplicazioni intestinali, reflusso gastro esofageo, colecistopatie colelitiasiche, invaginazione intestinale, chirurgia splenica, patologia diaframmatica, ernie inguinali, stenosi ipertrofica del piloro, patologie oncologiche, malformazioni anorettali, megacolon agangliare, patologia renale, varicocele e patologia toracica infiammatoria
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