Noticias memorables de los exercicios espirituales de S. Ignacio de Loyola, fundador de la Compañía de Jesús

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La saggia elettione ouero auuertimenti per ben eleggere lo stato della vita / raccolti dal P. Carlo Gregorio Rosignoli della Compagnia di Giesù. Sesta edittione accresciuta

Port. con sello xil. con monograma del nombre de Jesú

budget impact analysis of a biosynthetic mesh for incisional hernia repair

Abstract Purpose With the development of newer prostheses for hernia repair, it is nowadays difficult to understand the total cost of managing patients treated with these advanced medical devices, especially in the complex abdomen, in which various complications may occur. The aim of this study was to determine the economic implications of these prostheses in order to inform decision making in the management of incisional hernia repair. Methods A budget impact analysis model was developed to evaluate the economic consequences related to the management of patients undergoing complex (Centers for Disease Control and Prevention wound class II–III or Ventral Hernia Working Group grade 2/3) incisional hernia repair through biosynthetic, synthetic, or biological meshes, from the hospital perspective in Italy. The model was populated with complication rates mainly retrieved from the literature to compare the current scenario with 60%, 10%, and 30% rates of synthetic, biosynthetic, and biological mesh utilization, respectively, with future hypothetical scenarios that consider increasing rates of biosynthetic mesh utilization with respect to the other types of mesh in the next 5 years. Hospital costs of the different events were estimated based on health care resource consumption derived from an electronic survey addressed to key opinion leaders in the field. Findings The analysis compared the current scenario with future hypothetical scenarios that consider increasing utilization rates of biosynthetic meshes of 25%, 38%, and 44% in the next 1, 3, and 5 years, as estimated by clinicians. Considering 40,000 incisional hernia repairs per year, an increasing use of the biosynthetic meshes may result in a decrease in the total hospital budget of about €153 million in the next 5 years, with a savings per patient of about €770. Implications The findings of this study support the use of biosynthetic meshes for complex abdominal wall repairs in Italy, showing a potential decrease in the hospital budget in Italy after the diffusion of the new biosynthetic prostheses. Further studies and data from clinical practice would provide additional information to increase the understanding of the economic sustainability of these advanced devices

Noticias memorables de los exercicios espirituales de S. Ignacio de Loyola, fundador de la Compañía de Jesús / recogidas por el P. Carlos Gregorio Rosignioli... ; traducidas de italiano en español por el Abad Don Francisco María Vellon..

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Ueber die Wahl eines Lebensstandes

Von C. Greg. Rossignoli. Nach der neuesten franz. Uebers. dt. bearb. von einem LaienT. 2 in Wien : Mayer ersch

Verdades eternas : explicadas en lecciones ordenadas principalmente para los días de los ejercicios espirituales

"Con licencia eclesiástica