1,721,057 research outputs found
Laparoscopic treatment of symptomatic urachal remnants in children
No full textPurpose: To evaluate laparoscopic treatment of symptomatic urachal remnants in children, the authors review their experience analyzing different approaches and results obtained in a 8-year period. Patients and Methods: From July 2005 to September 2013, 12 children underwent 13 interventions for treatment of symptomatic urachal remnants. In four patients, the technique was a laparoscopic-assisted removal of the remnant, in two patients, a laparoscopic-assisted drainage of an urachal abscess, and in seven patients, a laparoscopic excision of the remnant. One patient underwent a double intervention-laparoscopic drainage of an infected urachal remnant and its delayed laparoscopic excision. Results: The laparoscopic-assisted removal of the urachal remnant was performed in two cases of infected urachal sinus, in one case of symptomatic sinus, and in one cases of infected urachal cyst. The laparoscopic-assisted drainage of urachal abscesses was performed in two patients: In one patient, the abscess was because of an infected sinus while in the other patient, the abscess was caused by an infected cyst. Of the seven patients treated with pure laparoscopic technique, one had a symptomatic sinus, another had an association between a symptomatic urachal sinus and an urachal cyst, and five patients had a symptomatic urachal cyst. In all cases, intraoperative or postoperative complications and recurrences did not occur, and the cosmetic results were good. Follow-up ranged from 6 months to 8 years and 8 months. Conclusion: Laparoscopic surgery for symptomatic urachal remnants is safe and reliable in cases of drainage of urachal abscess and in cases of excision of the remnant. Laparoscopy allows a radical excision of the remnants with all the advantages of this procedure. In case of conversion, laparoscopic-assisted technique with minimal incision could be a good alternative to open surgery. © 2014 Mary Ann Liebert, Inc
The Figure of the Workers’ Representative for Safety and Health (WHSR) in Agriculture: A Survey in Some Italian Regions
No full textThe Workers’ Representative for Safety and Health (WHSR) plays a very important role: his impact on safety in the agricultural sector has not been assessed. The aim of this work is therefore to learn more about the figure of the agricultural WHSR. The research was developed on different techniques aimed at establishing contact with the WHSR and the creation and distribution of a questionnaire to understand the preparation and type of WHSR consisting of 47 questions. According to the data obtained from the questionnaires, 92% of the respondents were male and 85% were of Italian nationality, with 41% having a high school diploma, 37% a middle school diploma, and 15% a university degree. As regards the finding of the information necessary for the activity of WHSR, a very varied distribution was observed, with a significant proportion of subjects (16%) turning mainly to patronages and trade associations, but also WHSR obtaining the specific information directly from information sheets or legislation (11%). Analysing the single groups of items in the first group, “training in occupational safety and health”, we note that as many as 83% of the WHSR have attended safety courses of various titles and often many more than just one, but also others such as “first aid course”, “fire-fighting course”, etc. In fact, most of them know the “safety procedures” (93%) and the operational figures at work (responsible for the prevention and protection service; competent physician; employer) with a percentage of 95%
Recurrent Ipsilateral Ovarian Torsion: Case Report and Literature Review
No full textBackground: Recurrent ipsilateral ovarian torsion at pediatric age is a rare event. Different surgical techniques for its prevention are available. We present a case of recurrent ipsilateral ovarian torsion in a prepubertal girl and we reviewed the literature about the management of this condition. Case: A 6-year-old girl presented with right ovarian torsion and underwent a laparoscopic untwisting. Nine months later an ipsilateral recurrence occurred. Laparoscopic untwisting and right-sided oophoropexy with plication to the round ligament was performed. Summary and Conclusion: In addition to our presented case, four cases of recurrent ipsilateral ovarian torsion in pediatric patients were identified in the literature. The few available reports in the pediatric literature show different management techniques. A long-term study is necessary to define the most effective treatment
La distinzione market-non market. La delimitazione della produzione per i settori istituzionali delle Amministrazioni pubbliche e delle Istituzioni sociali senza scopo di lucro al servizio delle famiglie.
No full textIsolated fallopian tube torsion with hydrosalpinx: Review of a debated management in a pediatric population
No full textPurpose To quantify our experience with and assess the literature on diagnosis and management of isolated fallopian tube torsion (IFTT) with hydrosalpinx (HSX) in children. Methods A PubMed search was performed on pediatric cases of IFTT with HSX to provide a comprehensive review analyzing details and management of this association, focusing on the problem of fertility preservation. Results In addition to our 3 cases, 17 patients of pediatric IFTT associated with HSX were identified, for a total of 21 cases (median age 12.2 years). Menarchal status was present in 10/13 (76.9%); blood tests were reported in 9/20 (42%) showing leucocytosis in 7/9 (75%). Ultrasonography was performed in all cases except one. Laparoscopy was the surgical approach in 84.6% of the reported cases. The torsion was to the right in 36.8%, and to the left in 63.2% of the cases. In one case the torsion was bilateral and asynchronous. Performed procedures were salpingectomy (52.4%) and partial salpingectomy (14.3%); conservative management was reported in 33.3% of the cases. Conclusions The literature describes different management techniques. Salpingectomy is the most frequently performed procedure but recently conservative management seems to be increasingly applied. A long-term study is necessary to define the most effective treatment for the preservation of future fertility in pediatric patients. Type of study Treatment study (Retrospective Study): LEVEL IV
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
- …
