168 research outputs found
A short history of the European Association of Preventive Cardiology (EAPC)
No full textDe Backer G, Perk J, Wood D, et al. A short history of the European Association of Preventive Cardiology (EAPC). European Journal of Preventive Cardiology . 2022: zwac027.The history of the EAPC is closely related to the history of the European Society of Cardiology (ESC). The ESC decided at the turn of the century to overcome the splitting into 27 topic related Working Groups with great differences in size and activities and to create a new organizational concept based on Associations, each having an official ESC scientific journal and an annual ESC connected congress. The European Association for Cardiovascular Prevention and Rehabilitation was built on the fundaments of epidemiology and prevention, exercise physiology, cardiac rehabilitation and sports cardiology. The official journal of the Association was launched in 2003 and the first EuroPRevent Congress was held in Athens in 2006. During the following years, the different interests of the founding working groups came closer together, which resulted in a name change of the Association into "European Association of Preventive Cardiology" and of the journal into "European Journal of Preventive Cardiology". The name change marked the migration of Preventive Cardiology to centre stage in the ESC. This document summarizes how and from where the EAPC started and where it stands now. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2022. For permissions, please email: [email protected]
Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center
No full textIntroduction and Hypothesis: Robotic sacropexy (RSC) emerged in the last years as a valid alternative to the laparoscopic technique. However, the robotic approach is still limited by platform availability and concerns about cost-effectiveness. Recently, new robotic platforms joined the market, lowering the costs and offering the possibility to expand the robotic approach. The aim of our study was to demonstrate the technical feasibility and safety of the procedure with this new platform along with the description of our surgical setting.Materials and Methods: We reported data on the first five consecutive patients who underwent RSC at Onze Lieve Vrouw Hospital (Aalst, Belgium), performed with the novel HUGO (TM) Robot-Assisted Surgery (RAS) System. The platform consists of four fully independent carts, an open console, and a system tower equipped for both laparoscopic and robotic surgery. We collected patients' characteristics, intraoperative data, intraoperative complications, and clashes of instruments.Results: All procedures were completed according to the same surgical setting and technique. No need for conversion to open/laparoscopic surgery and/or for additional port placement was required. No intraoperative complications, instrument clashes, or system failure that compromised the surgery's completion were recorded. Median interquartile range docking, operative, and console time were 8 (6-9), 130 (115-165), and 80 (80-115) minutes, respectively.Conclusion: This series represents the first worldwide report of a robot-assisted sacropexy executed with the novel HUGO RAS System. Awaiting future investigation, this preliminary experience provides relevant data in terms of operative room settings and perioperative outcomes that might be helpful for future adopters of this platform
Outcomes of robot-assisted radical prostatectomy with the Hugo RAS surgical system : initial experience at a high-volume robotic center
No full textClinical data on robot-assisted radical prostatectomy (RARP) performed with the new Hugo robot-assisted surgery (RAS) system are scarce. We described surgical outcomes of 112 consecutive patients who underwent RARP +/- extended pelvic lymph-node dissection (ePLND) at OLV Hospital (Aalst, Belgium) between February and November 2022. The median age was 65 yr (interquartile range [IQR] 60-70) and median preoperative prostate-specific antigen (PSA) was 7.9 ng/ml (5.8-10.7). Thirty-eight patients (34%) had International Society of Urological Pathology grade group >= 3 tumor on prostate biopsy. On preoperative magnetic resonance imaging, 26 (23%) patients had a suspicion of extraprostatic disease. The median operative time was 180 min (IQR 145-200) and 27 men (24%) underwent ePLND. On final pathology, 34 patients (31%) had extraprostatic disease and ten (9%) had positive surgical margins. The median number of nodes removed was 15 (IQR 9-19). Among men with data available on the first PSA after surgery, 88% (60/68) had undetectable PSA (<0.1 ng/ml). The probability of urinary continence (UC) recovery was 36% (95% confidence interval [CI] 28-47%) at 1 mo and 81% (95% CI 72-89%) at 3 mo. The median time to UC recovery was 36 d (95% CI 34-44). This is the first report of data on UC recovery and surgical pathology for patients undergoing RARP for prostate cancer performed with the Hugo RAS robotic system. Future investigations with longer follow-up are awaited. Patient summary: We describe surgical outcomes of patients undergoing robot-assisted surgical removal of the prostate for cancer performed with the Hugo RAS robotic system at our institution. In our experience this platform provided adequate results in terms of surgical results and early recovery of urinary continence. Studies with longer follow-up are awaited. (c) 2023 European Association of Urology. Published by Elsevier B.V. All rights reserved
Aenmerkinge op de Missive va Parnas, van den 22. January 1685 ([Reprod.]) / getekent Hugo de Groot
No full textRobot-assisted Radical Prostatectomy Performed with Different Robotic Platforms: First Comparative Evidence Between Da Vinci and HUGO Robot-assisted Surgery Robots
No full textBackground: In the field of robotic surgery, there is a lack of comparative evidence on surgical and functional outcomes of different robotic platforms. Objective: To assess the outcomes of patients receiving robot-assisted radical prostatectomy (RARP) at a high-volume robotic center with daVinci and HUGO robot-assisted surgery (RAS) surgical systems. Design, setting, and participants: We analyzed the data of 542 patients undergoing RARP ± extended pelvic lymph node dissection at OLV hospital (Aalst, Belgium) between 2021 and 2023. All procedures were performed by six surgeons using daVinci or HUGO RAS robots; the use of one platform rather than the other did not follow any specific preference and/or indication. Outcome measurements and statistical analysis: Multivariable analyses investigated the association between robotic system (daVinci vs HUGO RAS) and surgical outcomes after adjustment for patient- and tumor-related factors. Urinary continence recovery was defined as the use of no/one safety pad. Results and limitations: A total of 378 (70%) and 164 (30%) patients underwent RARP with daVinci and HUGO RAS surgical systems, respectively. Despite a higher rate of palpable disease in the HUGO RAS group (34% vs 25%), baseline characteristics did not differ between the groups (all p > 0.05). After adjusting for confounders, we did not find evidence of a difference between the groups with respect to operative time (estimate: 16.71; 95% confidence interval [CI]: -6.35, 39.78; p = 0.12), estimated blood loss (estimate: 3.12; 95% CI: -67.03, 73.27; p = 0.9), and postoperative Clavien-Dindo ≥2 complications (odds ratio [OR]: 1.66; 95% CI: 0.34, 8.15; p = 0.5). On final pathology, 55 (15%) and 20 (12%) men in, respectively, the daVinci and the HUGO RAS group had positive surgical margins (PSMs; p = 0.5). On multivariable analyses, we did not find evidence of an association between a robotic system and PSMs (OR: 1.08; 95% CI: 0.56, 2.07; p = 0.8). Similarly, the odds of recovering continence did not differ between daVinci and HUGO RAS cases after both 1 mo (OR: 0.78; 95% CI: 0.45, 1.38; p = 0.4) and 3 mo (OR: 1.17; 95% CI: 0.49, 2.79; p = 0.7). Conclusions: Among patients receiving RARP with daVinci or HUGO RAS surgical platforms, we did not find differences in surgical and functional outcomes between the robots. This may be a result of a standardized surgical technique that allowed surgeons to transfer their skills between robotic systems. Awaiting future investigations with longer follow-up, these results have important implications for patients, surgeons, and health care policymakers. Patient summary: We compared surgical and functional outcomes of patients receiving robot-assisted radical prostatectomy with daVinci versus HUGO robot-assisted surgery (RAS) robots. The two platforms were able to achieve similar outcomes, suggesting that the introduction of HUGO RAS is safe and allows for optimal outcomes after radical prostatectomy
Robot-assisted radical prostatectomy with the novel Hugo robotic system : initial experience and optimal surgical set-up at a tertiary referral robotic center
No full textWe describe the first five robot-assisted radical
prostatectomies (RARPs) performed with the new Hugo RAS system
(Medtronic, Minneapolis, MN, USA) in Europe. The five patients
underwent RARP lymph node dissection at OLV Hospital
(Aalst, Belgium). All procedures were completed, with no need
for conversion or for placement of additional ports. No
intraoperative complication or technical failure of the system
was recorded. The median operative time was 170 min
(interquartile range [IQR]: 140-180) and the median console time
was 120 min (IQR: 110-150). Median length of stay was 3 d (IQR:
2-4). System start-up and docking of the robotic arms were
straightforward and rapid processes for a properly trained
surgical team. Awaiting future investigations in larger series,
this study proves the safety and feasibility of RARP with the
Hugo RAS system and provides relevant data that may be of help
to early adopters of this surgical platform
Proposta de uma sistemática de custeio para avaliação de performance ambienteal
No full textDissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção.custos para avaliar a performance da gestão ambiental, utilizando o Método de Custeio Baseado em Atividades (ABC). No estudo, são relacionados os impactos de natureza econômica, financeira e social que poderão ocorrer com a realização de investimentos no meio ambiente. Para tanto, é necessário que se identifique a degradação ambiental com base nas atividades de prevenção, recuperação e reciclagem ambiental. Os tipos de pesquisas adotados para este estudo foram as pesquisas descritiva, aplicada e de laboratório. Seguindo o método do estudo de caso, numa abordagem qualitativa, investiga-se o Método ABC em uma indústria de autopeças localizada no Estado de Minas Gerais. Inicia-se com a fundamentação teórica voltada para gestão e programas ambientais. O estudo consubstancia, ainda, a análise do sistema de custos com ênfase em custos industriais, sistema de contabilidade de custos, custos e despesas. Também faz incursão nos princípios e métodos de custeio. Depois, apresenta a proposta de um modelo para mensuração dos custos ambientais para uma indústria de autopeças. O desenvolvimento do modelo se deu em seis etapas: identificação dos processos e atividades ambientais; identificação dos itens mais relevantes para aplicar o Método ABC; método de estruturação do custeio baseado em atividades; seleção e validação dos direcionadores de custos; e apropriação dos custos. A demonstração de custos ocorreu com base nas etapas de implementação e operacionalização do Método ABC, gerando, ao final, o custo ambiental dos produtos da empresa. Na avaliação do modelo sugerido, constatou-se que o percentual dos gastos com Mão-de-Obra Indireta (MOI) aplicado à gestão ambiental, usando-se o Método ABC, é de 21,58%. Os resultados do estudo sugerem que o modelo proposto passa a ser considerado mais eficaz na medida em que apresenta um baixo custo para sua implementação e operacionalização, o que o torna acessível. Permitiu, também, confrontar o Método ABC adotado pelas empresas e o modelo proposto. Conclui-se, portanto, que pelos resultados alcançados, o modelo desenvolvido pode ser aplicável e estendido ao setor da indústria de autopeças, o que pode garantir a conquista da vantagem competitiva sustentável, através da aplicação dos conceitos modernos de gestão ambiental e sistema de custos. Finalmente, o modelo torna totalmente integradas as ações da empresa junto às necessidades do mercado, ou seja, identificando e atualizando os processos, atividades e direcionadores de custos, de forma contínua
A aplicação de um metodo de gerenciamento para identificar aspectos e impactos ambientais em um laboratório de análises clínicas
No full textDissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção.Este estudo apresenta a aplicação de um método de gerenciamento para identificação de aspectos e impactos ambientais gerados nos processos de análise de um laboratório de análises clínicas. A organização, objeto deste trabalho, foi o Laboratório Álvaro, na cidade de Cascavel - PR, sendo um setor com atividades potencialmente perigosas que empactam negativamente no meio ambiente. Para viabilizar a minimização de impactos ambientas é necessário que haja uma sensibilização dos dirigentes e colaboradores da organização, pois a percepção dos mesmos influencia no seu desempenho ambiental. Através de uma pesquisa qualitativa do tipo estudo de caso, aplicou-se o Método Gerenciamento de Aspectos e Impactos Ambientais - GAIA, desenvolvido por Lerípio (2001), o qual veio de encontro ao objetivo proposto, por incluir em seu escopo três importantes fases: 'sensibilização', e conscientização' e 'capacitação'. Pelos resultados obtidos, o Laboratório demonstrou um 'bom' desempenho ambiental no tocante à sustentabilidade do negócio, enquadrando-se na situação 'azul', a somente um degrau da excelência. Embora a organização tenha demonstrado percepção acima da média referente à sustentabilidade, ela é permeável à aplicação de uma metodologia gerencial, no sentido de melhorar ainda mais seus procedimentos, minimizando os impactos ambientais. Procurou-se demonstrar ao longo do estudo que o sucesso de uma organização produtiva no que se refere ao desempenho ambiental depende fundamentalmente da política ambiental adotada e esta, por sua vez, deriva diretamente da percepção dos dirigentes e colaboradores da mesma. O Método GAIA mostrou-se adequado como instrumento de sensibilização do pessoal do laboratório, pois promoveu a compreensão dos problemas ambientais e seus efeitos para a organização e para a sociedade, além de fornecer uma ferramenta gerencial exeqüível para a identificação e controle adequado dos resíduos gerados por seus processos. O estudo também demonstrou que a elaboração dos planos de ação é possível e representam uma possibilidade efetiva de melhoria do desempenho ambiental das organizações
Analysis and interpretation of Aerosol Optical Depth values retrieved from a Brewer spectrophotometer at Uccle, Belgium
No full textAerosols are particles in the solid or liquid phase that are suspended in the atmosphere. They have an important influence on the atmospheric chemistry and physics, affect the tropospheric chemical composition, can reduce visibility and have important impacts on human health. Aerosols also influence the Earth’s radiation budget. Although a lot of research has been done to investigate the influence of aerosols on the climate, they remain key contributors to the uncertainties in current climate studies due to the lack of information concerning their temporal and spatial distribution. One of the parameters that is of importance to understand the influence of aerosols is the aerosol optical depth (AOD), an integral measurement of the combined aerosol scattering and absorption in the atmospheric column. The first part of this PhD describes an adapted and improved method for the retrieval of AOD values using sun scan measurements from a Brewer spectrophotometer at 340 nm at Uccle. The retrieved AOD values are subjected to a cloud screening technique and are compared to quasi simultaneous, collocated CIMEL AOD values. The good agreement between both instruments highlights that the Brewer is largely sensitive to AOD at 340 nm and it justifies its use in sun scan mode to expand the AOD retrieval network of instruments. The monthly and seasonal behavior of the retrieved AOD values is also studied in this work and our results agree with results found in literature.Another point of concern in scientific communities is the known adverse effect of UV radiation on human health, the biosphere and atmospheric chemistry. Apart from its obvious relation with global solar radiation and ozone, the amount of UV radiation that reaches the surface of the Earth also depends on the characteristics and quantity of aerosols in the atmosphere and accuracy in UV prediction can be improved if the influence of aerosols on surface UV radiation is clarified. For this reason, the second part of this work focuses on the relation between the erythemal UV dose, global solar radiation, total ozone column and AOD (at 320 nm) at Uccle. Simultaneous measurements of these variables are available for a time period of 25 years (1991–2015) and this time series is long enough to allow for reliable determination of significant changes. Different analysis techniques (linear trend analysis, change point analysis and multiple linear regression) are combined to allow for an extensive study of the relations between the variables.Doctorat en Sciencesinfo:eu-repo/semantics/nonPublishe
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