7 research outputs found
RUOLO DELLA LINFOADENECTOMIA IN CORSO DI RESEZIONI EPATICHE PER METASTASI DA NEOPLASIE COLO-RETTALI
No full textNel capitolo in oggetto viene descritto il razionale dell'esecuzione della linfoadenectomia in corso di resezione epatica per metastasi colo-rettali, commentando l'esperienza riportata nella letteratura internazionale ed i risultati in termini di complicanze perioperatorie, incidenza di metastasi linfonodali e differenza di sopravvivenza nei pazienti sottoposti a tale procedura rispetto a quelli non trattati con linfoadenectomia presso l'U.O. Chirurgia Generale e Trapianti del Policlinico S.Orsola-Malpighi di Bologna
Themes of scarcity
No full textGoodbun is the lead guest editor of this issue of the international journal Architectural Design, and the primary author of the substantial introduction to this edition. In addition, he is the sole author of an article in it entitled 'Flexibility and Ecological Planning: Gregory Bateson on Urbanism', and is co-author of an article (with Karin Jaschke) on 'Architecture and Relational Resources: Towards a New Materialist Practice'. The publication is related to a £1 million EU HERA funded research project 'Scarcity and Creativity in the Built Environment' (SCIBE) (see www.scibe.eu), led by the University of Westminster (Goodbun a co-investigator), and including the Technical University Vienna and Oslo School of Architecture. Scarcity, whether conceived of as an actual limit on resources, or as a socially constructed condition of uneven social or global distribution of resources, has been largely absent as a critical concept in mainstream architectural discourse. This issue of Architectural Design examines ways in which architects and designers may respond to scarcity by means of a change in their design practices and their design thinking. The publication includes work by leading thinkers and designers, including the design theorist Ezio Manzini; architectural theorists and practitioners Winy Maas, Alejandro Zaera-Polo, Michael Sorkin, and MUF; ecological philosophers Tim Morton and Kate Soper, and geographers Erik Swyngedouw and Maria Kaika
Complicated intra-abdominal infections in Europe: preliminary data from the first three months of the CIAO Study
No full textContains fulltext :
110654.pdf (Publisher’s version ) (Open Access)ABSTRACT: The CIAO Study is a multicenter observational study currently underway in 66 European medical institutions over the course of a six-month study period (January-June 2012).This preliminary report overviews the findings of the first half of the study, which includes all data from the first three months of the six-month study period.Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.912 patients with a mean age of 54.4 years (range 4-98) were enrolled in the study during the first three-month period. 47.7% of the patients were women and 52.3% were men. Among these patients, 83.3% were affected by community-acquired IAIs while the remaining 16.7% presented with healthcare-associated infections. Intraperitoneal specimens were collected from 64.2% of the enrolled patients, and from these samples, 825 microorganisms were collectively identified.The overall mortality rate was 6.4% (58/912). According to univariate statistical analysis of the data, critical clinical condition of the patient upon hospital admission (defined by severe sepsis and septic shock) as well as healthcare-associated infections, non-appendicular origin, generalized peritonitis, and serious comorbidities such as malignancy and severe cardiovascular disease were all significant risk factors for patient mortality.White Blood Cell counts (WBCs) greater than 12,000 or less than 4,000 and core body temperatures exceeding 38 degrees C or less than 36 degrees C by the third post-operative day were statistically significant indicators of patient mortality
2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias
No full textEmergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature.Peer reviewe
Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
No full textThe CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.The overall mortality rate was 7.5% (163/2.152).According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe
WSES guidelines for emergency repair of complicated abdominal wall hernias
No full textEmergency repair of complicated abdominal hernias is associated with poor prognosis and a high rate of post-operative complications. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013, during the 2nd Congress of the World Society of Emergency Surgery with the goal of defining recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel.Version of Recor
A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway
No full textThis declaration, signed by an interdisciplinary task force of 234 experts from 83 different countries with different backgrounds, highlights the threat posed by antimicrobial resistance and the need for appropriate use of antibiotic agents and antifungal agents in hospitals worldwide especially focusing on surgical infections. As such, it is our intent to raise awareness among healthcare workers and improve antimicrobial prescribing. To facilitate its dissemination, the declaration was translated in different languages
