106 research outputs found
I classici nella paideia di P. Papinio (Stat. silv. 5,3).
Riconsiderazione del testo di Stat. silv 5,3 e, in particolare, della lista di auctores legendi contenuta al suo interno, interpretata non tanto come un report autobiografico, il syllabus di un grammatikos o un canone, quanto piuttosto come una lezione di metodo circa un approccio ai 'classici' di tipo emulativo, sorretto dalla fiducia in un meccanismo autogenerativo dell'eccellenza letteraria
Aneurismi dell'aorta addominale: indicazione all'intervento e trattamento delle lesioni vascolari associate
Recensione al volume: P. Mantovanelli, F.R. Berno, Le parole della passione. Studi sul lessico poetico latino, Bologna 2011
EFFICACY OF TOPICALLY APPLIED HEDERA-HELIX L SAPONINS FOR TREATMENT OF LIPOSCLEROSIS (SO-CALLED CELLULITIS)
Recensione al volume: F. Schaffenrath (Hrsg.), Silius Italicus. Akten der Innsbrucker Tagung vom 19.-21. Juni 2008, Frankfurt am Main, P. Lang, 2010 [= Studien zur Klassischen Philologie 164].
Scattered remarks about the 'non-genre' of Statius' Silvae. The construction of a minor canon?
Far from any intent of more or less antifrastic understatement, the proposed title mirrors the fractured, discontinuous and asystematic articulation inevitably assumed by an eidographical reflection about Statius' Silvae. These are texts modeled by the kairos and, as such, constitutionally informed by the principles of varietas and Mischung, which, considered both singularly and as a sylloge, escape any attempt of eidographical classification. Rare, elusive and unsatisfactory in relation to the real structure and complexity either of the compositions or, even more so, of the collection, are also the generic labels explicitly provided by the author. Instead, what seems to appear with a certain evidence, even if among the scattered threads of Statius' metapoetic reflection, is a negative definition of the Silvae as 'non-genre' in relation to the genre par excellence: the epos. My observations precisely concentrate on this relation, on the categories of improvisation vs retractatio, orality vs writing, celeritas / festinatio vs callimachism, Greekness vs Romanity and on the problem of identifying a literary 'canon' of reference
Rilevanza della pluridistrettualità ai fini della indicazione terapeutica negli aneurismi dell' aorta addominale
Ibuprofen slow-release foam dressing reduces wound pain in painful exuding wounds: preliminary findings from an international real-life study
Background: Wound pain is a serious problem for people with chronic wounds. The aim of this real-life study was to
compare the effect of a foam dressing that releases ibuprofen (Biatain IbuH) with local best practice on the treatment of
painful exuding wounds. Methods: A total of 185 patients with painful exuding wounds were randomized to either ibuprofen
foam treatment (n598) or local best practice (n587). The primary endpoint was pain relief over 7 days of treatment,
assessed daily using a 5-point verbal rating scale (no relief, slight relief, moderate relief, lots of relief, and complete relief).
Secondary endpoints included a total reduction in pain intensity for the whole study period (using an 11-point Numeric Box
Scale: 05no pain to 105worst possible pain) and incidence of adverse events (AEs). Results: More patients in the ibuprofen
foam treatment group reported wound pain relief and lower wound pain intensity values after 7 days (pv0.0001 for both
variables). Within the four most common ulcer aetiolgies, patients reported significantly more effective pain relief with
ibuprofen foam treatment (venous: p50.009, mixed arterial venous: pv0.0001, arterial: p50.0009, and vasculitis:
p50.009). In all groups, patients from the ibuprofen foam group reported lower pain intensities. The results were significant
for patients with venous (pv0.002) and arterial (pv0.0001) leg ulcers. Two AEs were reported. Conclusions: The ibuprofen
foam represents an effective and safe alternative to local best practice in the management of painful exuding wounds.
Key words: Ibuprofen, leg ulcer, occlusive dressings, pain management, wound healing
Introduction
Pain represents a major problem for patients with
chronic wounds (1–5). Poor management of pain
has been shown to affect patients’ quality of life (6,7)
and potentially influences healing (8). Chronic pain
in leg ulcers is often poorly managed (9), with the
prevalence of pain reported as being as high as 64%
(2). A participant in one study of painful leg ulcers
described his/her situation as being ‘locked in a shell
of pain’ (7). Almost 50% of patients in one study
investigating the impact of dressings and cleansing
agents could not use compression dressings because
of the associated pain (8). People with ulcers of
venous, arterial, mixed arterial venous, and vasculitis
origin are reporting serious problems with
wound pain (1,2). However, there is limited
literature on the effect of active treatments in these
patients.
Foam dressings provide moisture balance to wounds
and have been shown to have excellent absorbency
properties with fewer dressing changes (10). Orally
administered non-steroidal anti-inflammatory drugs,
such as ibuprofen, are excellent for pain management,
but their use can be precluded in some patients owing
to weak blood circulation reducing the local effect, and
side effects such as gatrointestinal bleeding and
decreased renal function (11).
Biatain IbuH (Coloplast A/S, Denmark) is a nonadhesive
foam dressing that continually releases
ibuprofen to the applied wound (7) relative to the
exudate level of the wound. Previous studies in
patients with leg ulcers have shown that use of
ibuprofen foam (Ibu Foam) is associated with
significantly reduced pain associated with leg ulcers
(7,12,13). In addition, use of the Ibu Foam
improved quality of life (12), reduced peri-wound
erythema, and increased healthy granulation tissu
Le regole di profilassi e cura del piede diabetico. Consigli pratici per la corretta cura e riabilitazione dopo amputazioni minori e maggiori
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