2,067 research outputs found
Il giureconsulto chierese Matteo Gribaldi Mofa e Calvino / Francesco Ruffini
No full textIl giureconsulto chierese Matteo Gribaldi Mofa e Calvino / Francesco Ruffini
Roma : Città di Castello : Tip. Leonardo da Vinci, 1928
84 p. ; 25 cm
Estr. da: Rivista di storia del diritto italiano, anno 1., vol. 1., fasc. 2
TUTELA DEL LAVORO E LIBERTA' D'IMPRESA NEI PROCESSI DI ESTERNALIZZAZIONE
No full textL’elaborato analizza le conseguenze lavoristiche della successione fra imprenditori, muovendo da una ricognizione delle varie tipologie di esternalizzazione con le relative esigenze e principali criticità.
L’indagine si concentra in primo luogo sul trasferimento d’azienda, esaminando la normativa e la giurisprudenza europee per passare poi alla disciplina di diritto interno, alle procedure sindacali e a uno specifico focus sul trasferimento delle aziende in crisi.
Successivamente l’autore si sofferma sull’appalto, prendendone in particolare considerazione gli indici di genuinità, i criteri di distinzione dalla somministrazione illecita di manodopera e la tutela delle maestranze in caso di avvicendamento fra imprese.
Da ultimo, la ricerca approfondisce le c.d. “clausole sociali”, sia di prima che di seconda generazione, valutandone la compatibilità con il diritto eurounitario e con la costituzione nonché riflettendo sui possibili rimedi in caso di loro violazione.The author analyzes the labour consequences of the succession between entrepreneurs, starting from a recognition of the various types of outsourcing with the related needs and main critical issues.
The survey focuses primarily on the transfer of businesses, examining European legislation and case-law and then moving on to internal legislation, trade union procedures and a specific focus on the transfer of companies in crisis.
The author then dwells on the contract, taking into account in particular the indications of authenticity, the criteria of distinction from the illicit administration of labour and the protection of workers in the event of turnover between companies.
Finally, the research deepens the "social clauses", both first and second generation, assessing their compatibility with European law and with the constitution and reflecting on possible remedies in case of their violation
ROBOTIC INTERSFINTERIC RESECTION WITH THE DA VINCI Xi AND THE BLUETOOTH LINKED TABLE MOTION
No full textBackground:Rectal cancer surgery could be a valid benchmark for testing the new robotic Da Vinci Xi because of its multi-quadrant approach for splenic and left colon mobilization and the need to deal with the risks of external collision and problems related to rectal transection down the pelvis. Moreover, the availability of the specific, movable with docked robot, operating table, and the robotic endo-stapler could further improve and simplify colorectal surgery. We present our first case of intersphincteric resection using Da Vinci Xi and the specific operating table.
Materials and methods: A 71-years old woman with a very low lying rectal cancer was referred to our center.She was operated on with Da Vinci Xi® platform with left lower quadrant trocar’ disposition. The patient position changed three times during the intervention with instruments left inside the abdomen and without undocking the robot. Firstly the patient was arranged in 10° Trendelenburg and tilted to the right for inferior mesenteric vein, then in 8 °reverse Trendelenburg position for the splenic flexure mobilization. Finally for Total Mesorectal Excision we use a 20° Trendelenburg. The perineal phase was easy to performed because of the previous trans-abdominal intersphincteric dissection and consist in hand sewn colo-anal-anastomosis.
Results: The procedure was successfully completed in 300 min. No external collision or other problems related to the operating bed was noted. There were no surgical complications or a need for conversion to laparoscopy or laparotomy. The patient have an uneventful recovery and she was discharged from hospital after 6 days.
Conclusions: The Da Vinci Xi® with the specific table motion seems to give some advantages in multi-quadrant surgery in term ofoperating time because the patient can be moved without undocking the robotic platform. The procedure is safe and the splenic flexure as well as the intersphincteric space is easily accessible
Total abdominal proctocolectomy: what is new with the da Vinci Xi?
No full textTo the Editor:
We read with great interest the recently published article by Rodriguez et al. entitled “Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery” [1].
Although possible benefits regard the use of robotic assistance in performing a total colectomy have been already reported with the da Vinci Si, until now the main limits to the widespread of this technique in this field, were the low versatility, the long operative times and the high costs.
In order to overcome some of these limitations, we previously reported a possible application of robotic technology in total procto-colectomy for Familiar Adenomatous Polyposis or severe Ulcerative Colitis, describing a hybrid laparoscopic/robotic technique with da Vinci Si, capable to save time respect to the multiple docking techniques and simultaneously to maintain the advantages of the robot in the pelvic phase [2]. In line with other published results with the da Vinci Si on rectal surgery [3-5], we reported very good functional outcomes with this technique also in proctocolectomies with ileal pouch anal-anastomosis. However, we acknowledge that the simultaneous use of both laparoscopic and robotic devices is still costly (paradoxically more than robotic alone), and has the disadvantage of loosing benefits coming from the full use of the robotic technology.
As the advent of da Vinci Xi® into clinical practice has overpassed several limits of the previous version, thanks to the functionality of a boom-mounted system combined with the greater flexibility of the robotic arms, we completely agree with the authors that its use in total abdominal proctocolectomy could represent a good application, and could find more spread. The very good results reported by the authors are in line with those of our previously published articles on rectal surgery, and on multiquadrant robotic surgery [6,7]. Indeed, although not specifically applied to total proctocolectomy, we reported significantly shorter docking and operative time during rectal resection for cancer if performed with the Xi versus the Si, as well as a significantly higher rates of fully-robotic approach, also avoiding the need of hybrid phases and higher percentage of complete mobilization of splenic flexure [6-8]. Furthermore, we used the da Vinci Xi in several multiple-organs resections, with very satisfactory results.
Thus, we completely agree with the authors about the capability of the da Vinci Xi to enhance the surgical workflow, and the possibility to obtain similar operative times and even better clinical results respect standard laparoscopy. We think that a further improvement of these promising results can be obtained by adding to the described technique the use of the da Vinci Table Motion (dVTM). Indeed, in our experience the dVTM allows to further increase the flexibility of the robotic system, providing access to different parts of the anatomy even faster and more efficiently respect to the da Vinci Xi alone [9]. The da Vinci Xi plus the new operating table enables the surgeon to optimize gravity exposure and provides the quick access to different surgical targets, bringing advantages in term of operative time and indirectly of personnel costs.
In conclusion, because we also observed a significant reduction of costs with increasing robotic experience and changing from the Si to the Xi version [10], we think that the da Vinci Xi plus dVTM in perfoming total proctcolectomies could represent a combination capable of increase versatility, further reduce operative time and costs, and promote the dissemination of this application. Comparative studies are strongly suggested to draw definitive conclusions
Ultra Low Carbon Vehicles: New Parameters for Automotive Design
No full textAs the influence of vehicle emissions on our environment has become better understood, the UK government has recently placed urgent emphasis on the implementation of low carbon
technologies in the automotive industry through: the UK Low Carbon Industrial Strategy. The overall objective is to offer big incentives to consumers and support for the development of infrastructure and engineering solutions. This scheme however does not consider how the development of functional and experiential user value might drive consumer demand, contributing to the adoption of low carbon vehicles (LCVs) in the mass market.
With the emergence of the North East of England as the UK’s first specialised region for the development of ultra-low carbon vehicles (ULCVs), ONE North East, as a development agency for the region's economic and business development, and Northumbria University Ideas-lab have supported a project to facilitate innovation through the collaboration of technology, research and development (R&D) and business. The High Value Low Carbon (HVLC) project aims to envisage
new user value made possible by the integration of low carbon vehicle platforms with new process and network technologies. The HVLC consortium represents vehicle manufacturers and their suppliers as well as technology based companies and through an ongoing process of design concept generation the project offers a hub for innovation led enterprise.
Whilst new technological developments in areas such as power generation, nano materials, hydrogen fuel cells, printed electronics and networked communications will all impact on future automotive design, the mass adoption of low carbon technologies represents a paradigm shift for the motorist. This paper aims to describe how the mapping of new parameters will lead to new transport scenarios that will create the space for new collaborative research on user experiences supported by innovative technologies and related services
A Unity-based Da Vinci Robot Simulator for Surgical Training
No full textThe development of the Robot-Assisted Minimally Invasive Surgery (RAMIS) imposes an increasing demand for surgical training platforms, especially low-cost simulation-based surgical training through the creation of new open-source modules. For this goal, a da Vinci Surgical robot simulator based on Unity Physics Engine is developed. The simulator is integrated with da Vinci Research Kit (dVRK), robot kinematic models and multiple sensors. The Robot Operating System (ROS) interface is embedded for better integration with ROS based software components. The simulator can provide interactive information such as haptic feedback with master input devices. An application of a virtual fixture is implemented to test and verify the performance of the simulator. The results show that the simulator has high expansibility and support interactive training tasks well
MAJOR HEPATIC SURGERY WITH THE DA VINCI XI: A ROBOT-ASSISTED LEFT HEPATECTOMY
No full textBackground: Hepatobiliary procedures using a minimally invasive approachare demanding, especially in major hepatectomies. The use of da Vinci surgical System allows to overcome some of the kinematics limitations of the direct manual laparoscopy maintaining the potential advan- tages of a minimally invasive approach . We herein present a case of left hepatectomy and local lymphadenectomy for hepatocellular carcinoma, carried out with the use of the da Vinci Xi. Methodology: A 72-years old man with a long-lasting HBV chronic infection and CT scan and MRI finding of a 4-cm solid neoplasia of the left hepatic lobe and gallbladder stones, was operated with the da Vinci Xi platform. The patient was placed in a supine position, with 15° anti- Trendelenburg inclination. The trocars were positioned according with the Intuitive indication for the upper quadrants surgery.
Results: The procedure was successfully completed in 360 min.At first, an intraoperative US scan with the use of Tile-Pro technology was done to determinate the tumor extension. The hepatic parenchyma transaction and the local lymphadenectomy were performed with monopolar scissors and bipolar grasps. The left hepatic vein section was performed with an endoscopic vascular stapler. There were no surgical complications or need for conversion to laparoscopy or laparotomy. The post-operative course was uneventful and the patient was discharged 5 days after surgery.
Conclusion: The da Vinci Xi can facilitate some technically demanding procedures and ulti- mately widen the range of application of minimally invasive surgery such as hepatic surgery. Besides the well- known advantages provided by robotic surgery on 3D imaging, increased range of motion and augmented surgical dexterity, one of the most interesting and innovative features of robotic technology is the digitalization of the operative view; furthermore the Tile-Pro multi- input display allows the surgeon a 3D view of the operative field along with the ultrasound exam for a precise understanding of anatomy and vascularity and of tumor location
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Matteo Maria Boiardo (1441-1494)
No full textMatteo Maria Boiardo – contemporary of Sir Thomas Malory and forerunner of Shakespeare, Spenser, Milton, Cervantes, Tolkien, and C.S. Lewis – is best known as the author of the Orlando Innamorato [Orlando in Love], a poem in ottava rima organically merging Carolingian epic and Arthurian romance. He was also a lyric and pastoral poet, playwright, and translator of classical texts into the Italian vernacular. Matteo was active in Italy during the years of 1463 throughout 1494, the year of his death
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