8 research outputs found
Caratterizzazione fitopastorale e produttività di pascoli naturali ricadenti nella riserva naturale orientata di Ficuzza.
No full textSVILUPPI TRAUMATICI E PERSONALITÀ PSICOPATICA: ESEMPLIFICAZIONE ATTRAVERSO UN CASO SINGOLO
No full textIn questo contributo gli autori intendono offrire una prospettiva di lettura che chiarisca le dimensioni alla base dello sviluppo di una personalità disturbata di tipo psicopatico. Una rappresentazione distanziante/evitante della relazione di attaccamento, in concomitanza con esperienze di abuso fisico/emotivo e di trascuratezza, predispongono ad una risposta disfunzionale a traumi ed esperienze di vita negative, riducendo la resilience dell’individuo e favorendo lo sviluppo di incapacità empatica ed impulsività. Tali aspetti rappresentano l’espressione di una difficoltà a modulare i propri stati emotivi interni in maniera congrua ai contesti di vita ed alle situazioni sociali. I costrutti teorici di riferimento assunti in questa trattazione vengono ulteriormente illustrati, riportando un caso di psicopatia, osservato attraverso l’uso di test psicologici. 
Intraoperative antiaggregant strategy for off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia
No full textImmune heparin-induced thrombocytopenia is a rare complication of heparin administration. We describe a patient with a previous diagnosis of heparin-induced thrombocytopenia and related contraindications to anticoagulation who underwent urgent off-pump myocardial revascularization with the administration of only antiaggregant therapy
Technical Possibilities of PV Panels Oversizing Compared to Inverter Rating Power
No full textBakalaureusetöö
Tehnika ja tehnoloogia õppekavalLõputöö teema valiti seoses päikeseenergia populaarsemaks muutumisega. Töö käsitleb
paneelide koguvõimsuse suurendamise tehnilisi võimalusi stringi kohta inverteri suhtes.
Lõputöös simuleeritakse selleks erinevaid lahendusi.
Töö on koostatud teoreetilisel baasil, kasutades selleks erinevate tootjate programme ning
simuleerides läbi lahendusi. Üritatakse leida, kui palju on teoreetiliselt võimalik suurendada
paneelide koguvõimsust inverteri suhtes ning püütakse välja tuua ka asjaolud, mis hakkavad
edasist üledimensioneerimist piirama.
Lõputöös jõuti tulemuseni, et üledimensioneerimine on teatud piirini mõistlik ning arvestades
tootjate ettekirjutusi saaks suurendada kogu süsteemi tootlikkust. Samuti leiti mõned
dimensioneerimist piirama hakkavad asjaolud- näiteks stringide nimipinge ning tootjapoolne
garantii.The subject of this thesis was chosen because of the solar energy is getting more popular.
The thesis will address technical possibilites of PV panels oversizing compared to inverter
rating power. The thesis will contain simulation data of oversizing possibilities.
The thesis is based on a theoretical basis using different manufacturers programmes and
simulations based on them. The author will try to find how much is possible to oversize the
panels compared to inverter and find out restrictions for doing it.
In conclusion, there was found that oversizing is reasonable until some point, if to take into
account the manufacturer’s recommendations and guidelines the system’s capacity can be
increased. There were some things also found that will start to restrict the overdimensioning,
such as the voltage of strings and the manufacturer’s warranty for the inverter
Iatrogenic hypoglycemia secondary to tight glucose control is an independent determinant for mortality and cardiac morbidity☆
No full textPathoanatomic Findings and Treatment During Hypertrophic Obstructive Cardiomyopathy Surgery: The Role of Mitral Valve
No full text
Table_1_Septal Thickness Does Not Impact Outcome After Hypertrophic Obstructive Cardiomyopathy Surgery (Septal Myectomy and Subvalvular Mitral Apparatus Remodeling): A 15-Years of Experience.DOCX
No full textBackgroundThe aim of this study was to assess the impact of septal thickness on long-term outcomes of surgical treatment for hypertrophic obstructive cardiomyopathy (HOCM) and correction of mitral subvalvular anomalies.MethodsSixty-six consecutive patients (58 ± 12 years, 56% female) undergoing extended septal myectomy and subvalvular mitral apparatus remodeling from 2007 to 2021 were retrospectively reviewed. Patients were divided into 2 groups according to septal thickness: moderate [ResultsThe mean interventricular septal thickness was 19 ± 3 mm, 15.8 ± 0.8 mm in patients with moderate and 21.4 ± 3.2 mm in those with severe hypertrophy. Preoperative data, intraoperative variables, postoperative complication rates, pre-discharge echocardiographic and clinical parameters did not differ between the two study groups [except for procedures involving the posterior mitral leaflet (p = 0.033) and septal thickness after myectomy (p = 0.0001)]. Subvalvular apparatus remodeling (secondary chordae of mitral valve resection and papillary muscle and muscularis trabecula procedures including resection, splitting, and elongation) was invariably added to septal myectomy (100%). Four (6%) procedures involved the posterior mitral leaflets. Mitral valve replacement was carried out in two patients (3%, p = 0.4). Reoperation for persistent MR was necessary in one patient (1%, p = 0.4). Neither iatrogenic ventricular septal defect nor in-hospital mortality occurred. During follow-up (mean 4.8 ± 3.8 years), two deaths occurred. NYHA class was reduced from 2.9 ± 0.7 to 1.6 ± 0.6 (p ConclusionsRegardless of septal thickness, subvalvular apparatus remodeling with concomitant septal myectomy can provide satisfactory long-term outcomes in terms of symptom improvement, LVOT obstruction relief, and MR resolution (without mitral valve replacement in most cases) in patients with HOCM.</p
