122 research outputs found
Oocytes retrieval in metabolic syndrome
No full textPregnancy-related cardiovascular complications are rare clinical conditions that can lead to significant maternal morbidity and mortality. With the implementation of infertility treatment, a new selected population of woman can experience pregnancy. Women with multiple medical problems and women near or beyond menopause are now able to conceive. Despite many unanswered questions, clinicians should be prepared for the challenges and potential cardiovascular complications related to patients who are epidemiologically different than those seen in the past
El diario de Augusto Monterroso: La letra E
No full textIn El diario de Augusto Monterroso: La letra E (in Assunta Polizzi, Parole discorsi testi nelle culture ispaniche, a cura di, Palermo, Flaccovio, 2007, pp.21-36) the author reflects on the genre of the journal within the framework of the ‘modern’, halfway between the existential testimony and an exercise in writing; fiction and confession.
The paper examines the journal of Augusto Monterroso, La letra E, a text focusing on the image of a writer continually searching for adequate forms of expression and his doubts on the very act of writing. La letra E thus ends up being a further testimony to the commitment of the writer to the written word and –at the same time- to his clear intention to pinpoint the modalities of the literary journal as genre, and consequently one of the forms, whether sophisticated or not, of lie, fiction and masking
COVID-19 and the Endocrine System: A Comprehensive Review on the Theme
Get PDFBackground and aim. The review aimed to summarize advances in the topic of endocrine diseases and coronavirus disease 2019 (COVID-19). Methods. Scientific and institutional websites and databases were searched and data were collected and organized, when plausible, to angle the discussion toward the following clinical issues. (1) Are patients with COVID-19 at higher risk of developing acute or late-onset endocrine diseases or dysfunction? (2) May the underlying endocrine diseases or dysfunctions be considered risk factors for poor prognosis once the infection has occurred? (3) Are there defined strategies to manage endocrine diseases despite pandemic-related constraints? Herein, the authors considered only relevant and more frequently observed endocrine diseases and disorders related to the hypothalamic-pituitary region, thyroid and parathyroid glands, calcium-phosphorus homeostasis and osteoporosis, adrenal glands, and gonads. Main. Data highlight the basis of some pathophysiological mechanisms and anatomical alterations of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)-induced endocrine dysfunctions. Some conditions, such as adrenal insufficiency and cortisol excess, may be risk factors of worse clinical progression once the infection has occurred. These at-risk populations may require adequate education to avoid the SARS-CoV-2 infection and adequately manage medical therapy during the pandemic, even in emergencies. Endocrine disease management underwent a palpable restraint, especially procedures requiring obligate access to healthcare facilities for diagnostic and therapeutic purposes. Strategies of clinical triage to prioritize medical consultations, laboratory, instrumental evaluations, and digital telehealth solutions should be implemented to better deal with this probably long-term situation
IL DIRITTO DEL LAVORO NELLE IMPRESE SOCIALMENTE RESPONSABILI
No full textThe author starts from CSR definition as it is set by the Green Paper of the European Commission, where great importance is given to labour issures, in order to examine how it affects labour law and if, how and how much labour relationships may change in companiers voluntarily involvede in it. The expert in labour law is conscious of the importance of the change takin place, especially when the tespect of rules is connected to social and environmental sustainability targets, but he/she is also conscious of the risk of bargaining a lowe workers' protection
Predicting Factors of Worse Prognosis in COVID-19: Results from a Cross-sectional Study on 52 Inpatients Admitted to the Internal Medicine Department
Get PDFBackground: The initial phases of the COVID-19 pandemic posed a real need for clinicians to identify patients at risk of poor prognosis as soon as possible after hospital admission. Aim: The study aimed to assess the role of baseline anamnestic information, clinical parameters, instrumental examination, and serum biomarkers in predicting adverse outcomes of COVID-19 in a hospital setting of Internal Medicine. Methods: Fifty-two inpatients consecutively admitted to the Unit of Internal Medicine "Baccelli," Azienda Ospedaliero - Universitaria Policlinico of Bari (February 1 - May 31, 2021) due to confirmed COVID-19 were grouped into two categories based on the specific outcome: good prognosis (n=44), patients discharged at home after the acute phase of the infection; poor prognosis, a composite outcome of deaths and intensive care requirements (n=8). Data were extracted from medical records of patients who provided written informed consent to participate. Results: The two study groups had similar demographic, anthropometric, clinical, and radiological characteristics. Higher interleukin 6 (IL-6) levels and leucocyte count, and lower free triiodothyronine (fT3) levels were found in patients with poor than those with good prognosis. Higher IL-6 levels and leucocyte count, lower fT3 concentration, and pre-existing hypercholesterolemia were independent risk factors of poor outcomes in our study population. A predicting risk score, built by assigning one point if fT3 < 2 pg/mL, IL-6 >25 pg/mL, and leucocyte count >7,000 n/mm3, revealed that patients totalizing at least 2 points by applying the predicting score had a considerably higher risk of poor prognosis than those with scoring <2 points [OR 24.35 (1.32; 448), p = 0.03]. The weight of pre-existing hypercholesterolemia did not change the risk estimation. Conclusion: Four specific baseline variables, one anamnestic (pre-existing hypercholesterolemia) and three laboratory parameters (leucocyte count, IL-6, and fT3), were significantly associated with poor prognosis as independent risk factors. To prevent adverse outcomes, the updated 4-point score could be useful in identifying at-risk patients, highlighting the need for specific trials to estimate the safety and efficacy of targeted treatments
Imaging Evaluation of Pulmonary and Non-Ischaemic Cardiovascular Manifestations of COVID-19
Get PDFCoronavirus Disease 2019 (COVID-19) has been a pandemic challenge for the last year. Cardiovascular disease is the most described comorbidity in COVID-19 patients, and it is related to the disease severity and progression. COVID-19 induces direct damage on cardiovascular system, leading to arrhythmias and myocarditis, and indirect damage due to endothelial dysfunction and systemic inflammation with a high inflammatory burden. Indirect damage leads to myocarditis, coagulation abnormalities and venous thromboembolism, Takotsubo cardiomyopathy, Kawasaki-like disease and multisystem inflammatory syndrome in children. Imaging can support the management, assessment and prognostic evaluation of these patients. Ultrasound is the most reliable and easy to use in emergency setting and in the ICU as a first approach. The focused approach is useful in management of these patients due its ability to obtain quick and focused results. This tool is useful to evaluate cardiovascular disease and its interplay with lungs. However, a detailed echocardiography evaluation is necessary in a complete assessment of cardiovascular involvement. Computerized tomography is highly sensitive, but it might not always be available. Cardiovascular magnetic resonance and nuclear imaging may be helpful to evaluate COVID-19-related myocardial injury, but further studies are needed. This review deals with different modalities of imaging evaluation in the management of cardiovascular non-ischaemic manifestations of COVID-19, comparing their use in emergency and in intensive care
"Vuoti" e "pieni": la retribuzione e la parità di trattamento nell'ordinamento dell'Unione europea
No full textThe Author envisages the topic of pay from an Eu perspective by verifying how the exclusion of competence, which is still stated by the Treaties, combines with the principle of equal pay for women and men, which was already enshrined in the Treaty of Rome. The analyseis leads to interesting considerations. Firsto of all, the issue seems to run the blind track of competence exclusion not only beacause of a choice of non interfering with its determination, except for the equality principle, but also because the issue reaches an European dimension when referring to trans-national phenomena (such as, posting of workers and right to minimum wage). Most of all, this highlights the key role of equal tratment and of the prohibitions of discriminations, which have been progressively extended to a plurality of factors protected by the legal system and to the so called atypical jobs. The analysis of the proposal for a directive on GPG raises the critical aspects that collective bargaining implies. In fact, if pay is the typical subject of collective bargaining and if the systems of classification and professional placement are ones of its closest corollaries, the GPG is its direct outcome. This perspective necessarily implies the topic of the limits to contractual autonomy stemming from fundamental principles. The general rehearsals on this matter can be found in the "contracto on inserimento", as the law itself permits an exemption from the equal treatment principle. The point of arrival, at the moment, is represented by the omnivorous exception of art. 8 of the financial act of September 2011
Galdós, el periodismo y la escritura. Reflexiones a partir del cuento "El artículo de fondo"
Get PDFGaldós was experiencing in his formation and in his first stage of production the narrative space of the press. The short story “El artículo de fondo” was published in 1871 in Revista de España, in 1879, in three installments in El Océano and reappears in 1889 in a collection of brief narrative texts that accompany his Torquemada en la hoguera. This study tries to focus, on the one hand, the variants introduced by the author, especially in the last edition, in order to evaluate the process of maturation of galdosian writing. On the other hand, taking into account the essentially heterotextual consistency of this short story, it try to put it in relation to the pluritextual narrative texture, which the newspaper macrotexts emblematically reflects.Galdós da a conocer por primera vez el cuento “El artículo de fondo” en 1871 en la publicación periódica Revista de España (XIX, 3, 427-440). Bastante años después, volverá a editarlo en una colección de textos de narrativa breve que acompañan su Torquemada en la hoguera (Madrid, La Guirnalda y Episodios y Episodios Nacionales, 1889), advirtiendo a su amigo Clarín en una carta que las «antiguallas» que presentaba el volumen, sacadas del olvido por voluntad ajena al autor, no merecían la pena de una lectura. Sin embargo, Galdós tuvo que empeñarse en la revisión, por lo menos del texto que aquí nos interesa, si consideramos las variantes introducidas, las elisiones y las ampliaciones que la segunda edición del cuento presenta ya sólo a través de una rápida collatio y a partir del incipit. Siguiendo esta pista, no mencionada en los escasos estudios que la crítica galdosiana ha dedicado a “El artículo de fondo” y que hemos podidos consultar, y enfocando la consistencia esencialmente heterotextual del cuento, se ha ido hilvanando una serie de reflexiones acerca del interés de Galdós por los procesos de construcción del texto, del tejido narrativo pluritextual, conjunto de piezas da variada naturaleza verbal y genérica, que el macrotexto del periódico emblemáticamente refleja. Galdós iba experimentando en su formación y en su primera etapa de producción precisamente el espacio narrativo de la prensa, instalado en lo sustancial de la narración diversificada por registros y dispositivos informativos, entre los cuales los visuales, de la actualidad. De ahí, la hipótesis de este estudio que intenta enfocar, más allá de la incontrovertible parodia del periodista costumbrista o serial que el cuento elige come sujeto, las estrategias de trasvase de la realidad en el texto, una realidad siempre multifacética que necesita la yuxtaposición de piezas verbales y de perspectivas singulares, según los rasgos del discurso periodístico y del periódico como sistema textual complejo
Hades as the ruler of the Damned in the mosaic complex on the west wall of Basilica Santa Maria Assunta in Torcello, Italy
Get PDFThe aim of this article is to show the figure of the ancient god Hades as an important part of Byzantine symbolic representations of the Last Judgement, using the example of the mosaic from the west wall of Basilica Santa Maria Assunta in Torcello, Italy. The article is divided into three main parts. The first part briefly introduces the mosaic complex from Torcello, providing a description of the place, the Basilica, and the mosaic. In the second part, the author focuses on the fragment of the mosaic presenting the figure of Hades in hell. In an effort to show the iconographical and cultural continuity between ancient and early medieval representations, the author compares this figure to its ancient prototype. The last part of the article portrays the development of the motif of the Last Judgment by looking at other chosen representations. In conclusion, the author proposes a possible meaning of the presence of Hades in the mosaic of Torcello
Growth performance and meat quality of buffalo young bulls: 2: effect of dietary level of maize silage
No full textGrowth performance and meat quality of buffalo
young bulls: 2. Effect of dietary level of maize silage
Felicia Masucci1, Carmela Maria Assunta Barone1, Fabio
Napolitano2, Maria Luisa Varricchio1, Antonio Zullo1, Antonio Di
Francia1
1Dipartimento di Scienze del Suolo, della Pianta, dell’Ambiente e
delle Produzioni Animali Università di Napoli Federico II, Italy
2Dipartimento di Scienze delle Produzioni Animali, Università
della Basilicata, Potenza, Italy
Corresponding author: [email protected]
Aim of this study was to evaluate growth performance and meat
quality of buffalo bulls fed two diets with different maize silage
contents. Compositions (kg/head/d) of low (LS) and high silage
diets (HS) were the following: maize silage 3.0 vs 10.5; alfalfa hay 0 vs 2.0; barley 0.25 vs 0.75; wheat flour middlings 1.0 vs 1.0; wheat straw 3.0 vs 0; commercial concentrate for lactating buffalo cows 0 vs 2.5; commercial concentrate for young buffalo bulls 4.5 vs 0. The diets were approximately isoenergetic [0.92 vs 0.91 Milk FU/kg dry matter (DM)] and isonitrogenous (14.7 vs 14.7 CP% DM).
Fourteen young buffalo bulls (316±70 days of age and 436±67 kglive weight) were assigned into the two dietary groups. Average
daily gain (ADG) was calculated every 2 weeks, along with DM
intake (DMI), calculated on pen basis. On a subgroup of 4 individuals per groups, carcass traits were recorded at slaughter. Meat quality (hardness, cohesion, chewiness, WB shear force) and
meat colour (L*, a*, b*) were evaluated on 7-day aged muscles
(Longissimus dorsi, Semitendinosus, Semimembranosus). DMI
and carcass traits were analyzed by one-way ANOVA. ADG and
meat quality parameters were analyzed by a linear mixed model
for repeated measures. No differences were observed for diet DMI (8.41 vs 8.64 kg DM/day for LS and HS diets, respectively; SE 0.44), as a consequence ADG did not differ between the groups (0.92 vs 0.89 kg/day; SE 0.04). All carcasses had the same carcass conformation (O) and fatness (4) scores. No differences were observed for carcass traits (carcass weight 250 vs 249 kg; SE 8.13; dressing percentages 52.1 vs 50.6%; SE 1.1) and any meat quality parameters.
Therefore, maize silage can be either used as the primary
source of roughage or in combination with other forages without
affecting growth performance and meat quality
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