Laparoscopic versus open surgical treatment of umbilical hernia

Umbilical hernia is one of the types of ventral hernias of the abdominal wall and it represents the externalization of a part of the abdominal contents through a defect of the anterior abdominal wall located in the umbilical region. It is estimated that more than 20 million abdominal wall hernia surgeries are performed worldwide each year. The paper presents a retrospective study on the patients diagnosed with umbilical hernia and admitted to the First and Second Surgery Departments of the Sibiu County Emergency Clinical Hospital. The study includes 82 cases diagnosed with umbilical hernias over a period of 4 years, between 01.01.2017 and 31.12.2020. Open and laparoscopic surgical techniques are compared in terms of outcomes and postoperative complications. Most cases of umbilical hernia were within the age group 51-70 years, with a slightly higher incidence in males. Arterial hypertension and obesity were the most frequent comorbidities. The alloplastic, classic or laparoscopic procedure became the most widely used due to benefits such as: rapid socio-professional reintegration, short-term hospitalization and low incidence of relapses and postoperative complications. The current trend is for the IPOM laparoscopic procedure to become the gold standard in the treatment of umbilical hernias

Doppler ultrasound in the measurement of pulse wave velocity: agreement with the Complior method

Aortic stiffness is an independent predictor factor for cardiovascular risk. Different methods for determining pulse wave velocity (PWV) are used, among which the most common are mechanical methods such as SphygmoCor or Complior, which require specific devices and are limited by technical difficulty in obtaining measurements. Doppler guided by 2D ultrasound is a good alternative to these methods. We studied 40 patients (29 male, aged 21 to 82 years) comparing the Complior method with Doppler. Agreement of both devices was high (R = 0.91, 0.84-0.95, 95% CI). The reproducibility analysis revealed no intra-nor interobserver differences. Based on these results, we conclude that Doppler ultrasound is a reliable and reproducible alternative to other established methods for the measurement of aortic PWV

El Derecho Argentino frente a la pandemia y post-pandemia COVID-19. TOMO II

La Facultad de Derecho de la Universidad Nacional de Córdoba no podía permanecer indolente frente a la conmoción que, durante este año 2020, ha provocado en el mundo la pandemia de COVID-19. Como comunidad educativa advertíamos que la prioridad máxima era lograr la continuidad de la labor de nuestra Casa de Estudios, para garantizar a nuestros alumnos del grado y del posgrado, el ejercicio de su derecho a estudiar, continuando y en algunos casos iniciando sus estudios, a pesar de las condiciones adversas que se vivían. Con esa finalidad convocamos a los profesores titulares de todas las cátedras y eméritos y consultos que quisieran hacerlo, a sumarse con sus aportes a esta construcción colectiva, que aborda los temas que nos ocupan desde las diversas perspectivas de las distintas áreas del mundo jurídico. Y la desinteresada respuesta positiva no se hizo esperar. Prueba de ello es este libro cuyas dimensiones, tanto en lo cuantitativo como en lo cualitativo, superaron las expectativas iniciales. La jerarquía de los autores que generosamente han participado con sus contribuciones, en algunos casos en forma individual y en otros acompañados por sus equipos de colaboradores, permiten prever que esta obra ha de brindar elementos de juicio de gran utilidad para continuar construyendo el mundo jurídico, dentro de la pandemia y después de ella.ÍNDICE GENERAL. TOMO II. DERECHO CONSTITUCIONAL. "Emergencias, orden constitucional y COVID-19 en Argentina" por Antonio María Hernández. "Una constitución para todas las épocas. Algunas notas sobre el Derecho Constitucional en tiempo de pandemia" por Guillermo E. Barrera Buteler, Magdalena I. Álvarez, José M. Pérez Corti y Victorino Solá. Pandemia y constitución en la Argentina actual. Reflexiones desde la Cátedra “B” de Derecho Constitucional Facultad de Derecho. Universidad Nacional de Córdoba. I. Introducción. Breves comentarios sobre este texto y “lo constitucional” en los tiempos actuales en Argentina por Andrés Rossetti. II. Nociones sobre el Cuidado y el Modo de Ser en el Mundo por Marta Faur. III. Impacto de la pandemia en la dicotomía público/privado en Argentina por Claudio E. Guiñazú. IV. Preocupaciones constitucionales en tiempos de pandemia: desigualdad y emergencia. La necesidad de repensar los mecanismos decisorios por Romina Verri. V. Derechos laborales y gremiales de los trabajadores estatales durante la emergencia sanitaria por Félix A. López Amaya. VI. La coordinación intergubernamental frente al COVID-19 en experiencias de países federales por Marcelo Bernal. "Cuando el centro está afuera de la figura. -República, desequilibrio de poderes y emergencia-" por Pablo Riberi. "Pandemia y estado de excepción" por Miguel Ángel Ortiz Pellegrini. DERECHO PENAL. "La emergencia sanitaria en contextos de encierro carcelario" por Carlos Julio Lascano. "COVID-19 y cárceles argentinas" por Gustavo A. Arocena. DERECHO INTERNACIONAL PUBLICO. "La confrontación entre Estados Unidos de América y China en tiempos de COVID-19 y el Derecho Internacional Público" por Zlata Drnas de Clément. "El rol del principio de cooperación internacional durante la pandemia y en el período post-COVID 19" por María Alejandra Sticca. "COVID-19, crímenes internacionales y amenazas a la paz: ¿integran las pandemias el ámbito material de la responsabilidad de proteger?" por Luciano Pezzano. "Incidencia de la pandemia covid 19 en derechos fundamentales. Las organizaciones internacionales y la seguridad de los estados" por Christian G. Sommer, María Pilar Llorens, Oscar Benítez y Guillermo Costilla. DERECHO INTERNACIONAL PRIVADO. "El COVID-19 y la cooperación jurídica internacional" por Adriana Dreyzin de Klor. "El COVID-19 y las nuevas formas de celebración del matrimonio" por Carlos E. Echegaray de Maussion. "Pandemia y solicitudes de retorno de menores por traslados ilícitos en sustracción de niños: ¿es la COVID-19 una excepción de riesgo grave?" por Myriam Diana Lucero. "Justicia, aislamiento y videoconferencia la experiencia del Derecho Internacional Privado en desandar barreras: guía de buenas prácticas de la conferencia de La Haya 2019" por Carolina Harrington. "Restitución internacional de niños. La excepción de grave riesgo y COVID-19" por Laura Martina Jeifetz. "El Derecho Internacional Privado y el desafío frente a los grupos más vulnerables en el marco del COVID-19" por Cristina Britos. "La responsabilidad social empresaria de las empresas multinacionales como herramienta para enfrentar la pandemia COVID-19" por Candela Noelia Villegas. DERECHO ADMINISTRATIVO. "Los deberes cívicos frente a la pandemia COVID 19" por José Luis Palazzo. "Importancia del rol y la gestión del Poder Judicial en tiempos de coronavirus – COVID-19" por Domingo J. Sesin y Daniela S. Sosa. DERECHO DEL TRABAJO Y DE LA SEGURIDAD SOCIAL. "Las relaciones laborales en la emergencia" por Carlos Alberto Toselli.Fil: Hernández, Antonio María. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Barrera Buteler, Guillermo Eduardo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Álvarez, Magdalena I. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Pérez Corti, José M. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Solá, Victorino. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Rossetti, Andrés. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Faur, Marta. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Guiñazú, Claudio E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Verri, Romina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: López Amaya, Félix A. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bernal, Marcelo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bernal, Marcelo. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales. Centro de Estudios Avanzados; Argentina.Fil: Riberi, Pablo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Ortiz Pellegrini, Miguel Ángel. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Lascano, Carlos Julio. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Arocena, Gustavo A. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Drnas de Clément, Zlata. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sticca, María Alejandra. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Pezzano, Luciano. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina.Fil: Sommer, Christian G. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sommer, Christian G. Universidad Católica de Córdoba. Facultad de Derecho. Instituto de Derechos Humanos; Argentina.Fil: Llorens, María Pilar. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Benítez, Oscar. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Costilla, Guillermo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Salas, Graciela R. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Mortarotti, Pablo César. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Mortarotti, Pablo César. Universidad Católica de Córdoba; Argentina.Fil: Mortarotti, Pablo César. Universidad Siglo 21; Argentina.Fil: Dreyzin de Klor, Adriana. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Dreyzin de Klor, Adriana. Universidad Blas Pascal; Argentina.Fil: Lucero, Myriam Diana. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Harrington, Carolina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Jeifetz, Laura Martina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Britos, Cristina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Villegas, Candela Noelia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Villegas, Candela Noelia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba; Argentina.Fil: Zavatti, Adriana M. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bottiglieri, María G. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Fernández, Flavia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Gordillo Reinalde, Laura Andrea. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Palazzo, José Luis. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sesin, Domingo J. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sosa, Daniela S. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Giménez, Laura E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Tello Roldan, María Cecilia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Toselli, Carlos Alberto. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Echegaray de Maussion, Carlos E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina

Competition-cooperation in the chemoautotrophic ecosystem of Movile Cave: first metagenomic approach on sediments

Movile Cave (SE Romania) is a chemoautotrophically-based ecosystem fed by hydrogen sulfide-rich groundwater serving as a primary energy source analogous to the deep-sea hydrothermal ecosystems. Our current understanding of Movile Cave microbiology has been confined to the sulfidic water and its proximity, as most studies focused on the water-floating microbial mat and planktonic accumulations likely acting as the primary production powerhouse of this unique subterranean ecosystem. By employing comprehensive genomic-resolved metagenomics, we questioned the spatial variation, chemoautotrophic abilities, ecological interactions and trophic roles of Movile Cave’s microbiome thriving beyond the sulfidic-rich water

IMPACT OF MOUTH BREATHING ON THE DEVELOPMENT OF THE DENTO-MAXILO-FACIAL COMPLEX IN CHILDREN AND ADOLESCENTS

Aim of the study This paper aims to identify the characteristics of mouth breathing as an oral vicious habit frequently encountered in paediatric dentistry clinical practice, evaluating the possible outcomes in regards to somatic and stomatognatic development, as well as interceptive treatment modalities. Materials and method A number of clinical case studies and review articles were evaluated, after searching databases for available papers using key words like “oral vicious habits”, “mouth breathing”, “interceptive treatment”, “children and adolescents”. Results Oral vicious habits are one of the most frequent disturbances seen by the paediatric dentist in the dental office, which often impair the child’s quality of life. Vicious habits include thumb sucking, prolonged use of a pacifier, lip biting and sucking, onycophagia (fingernail biting), bruxism, oral self-harm, mouth breathing and tongue interposition. These habits have a great impact on occlusion and muscle development, causing repetitive and complex muscular contractions, with effects varying from individual to individual depending on the frequency, period and intensity of the habit. Conclusions Mouth breathing is an oral vicious habit which can induce numerous negative effects on the development of the stomatognatic system, therefore the identification, interception and early intervention on oral breathing should be a desiderate of every paediatric dentist’s office

Doppler ultrasound in the measurement of pulse wave velocity: agreement with the Complior method

Aortic stiffness is an independent predictor factor for cardiovascular risk. Different methods for determining pulse wave velocity (PWV) are used, among which the most common are mechanical methods such as SphygmoCor or Complior, which require specific devices and are limited by technical difficulty in obtaining measurements. Doppler guided by 2D ultrasound is a good alternative to these methods. We studied 40 patients (29 male, aged 21 to 82 years) comparing the Complior method with Doppler. Agreement of both devices was high (R = 0.91, 0.84-0.95, 95% CI). The reproducibility analysis revealed no intra-nor interobserver differences. Based on these results, we conclude that Doppler ultrasound is a reliable and reproducible alternative to other established methods for themeasurement of aortic PW

Tuberous Sclerosis, Type II Diabetes Mellitus and the PI3K/AKT/mTOR Signaling Pathways—Case Report and Literature Review

Tuberous sclerosis complex (TSC) is a rare autosomal dominant neurocutaneous syndrome. It is manifested mainly in cutaneous lesions, epilepsy and the emergence of hamartomas in several tissues and organs. The disease sets in due to mutations in two tumor suppressor genes: TSC1 and TSC2. The authors present the case of a 33-year-old female patient registered with the Bihor County Regional Center of Medical Genetics (RCMG) since 2021 with a TSC diagnosis. She was diagnosed with epilepsy at eight months old. At 18 years old she was diagnosed with tuberous sclerosis and was referred to the neurology department. Since 2013 she has been registered with the department for diabetes and nutritional diseases with a type 2 diabetes mellitus (T2DM) diagnosis. The clinical examination revealed: growth delay, obesity, facial angiofibromas, sebaceous adenomas, depigmented macules, papillomatous tumorlets in the thorax (bilateral) and neck, periungual fibroma in both lower limbs, frequent convulsive seizures; on a biological level, high glycemia and glycated hemoglobin levels. Brain MRI displayed a distinctive TS aspect with five bilateral hamartomatous subependymal nodules associating cortical/subcortical tubers with the frontal, temporal and occipital distribution. Molecular diagnosis showed a pathogenic variant in the TSC1 gene, exon 13, c.1270A>T (p. Arg424*). Current treatment targets diabetes (Metformin, Gliclazide and the GLP-1 analog semaglutide) and epilepsy (Carbamazepine and Clonazepam). This case report presents a rare association between type 2 diabetes mellitus and Tuberous Sclerosis Complex. We suggest that the diabetes medication Metformin may have positive effects on both the progression of the tumor associated with TSC and the seizures specific to TSC and we assume that the association of TSC and T2DM in the presented cases is accidental, as there are no similar cases reported in the literature

Tuberous Sclerosis, Type II Diabetes Mellitus and the PI3K/AKT/mTOR Signaling Pathways—Case Report and Literature Review

Tuberous sclerosis complex (TSC) is a rare autosomal dominant neurocutaneous syndrome. It is manifested mainly in cutaneous lesions, epilepsy and the emergence of hamartomas in several tissues and organs. The disease sets in due to mutations in two tumor suppressor genes: TSC1 and TSC2. The authors present the case of a 33-year-old female patient registered with the Bihor County Regional Center of Medical Genetics (RCMG) since 2021 with a TSC diagnosis. She was diagnosed with epilepsy at eight months old. At 18 years old she was diagnosed with tuberous sclerosis and was referred to the neurology department. Since 2013 she has been registered with the department for diabetes and nutritional diseases with a type 2 diabetes mellitus (T2DM) diagnosis. The clinical examination revealed: growth delay, obesity, facial angiofibromas, sebaceous adenomas, depigmented macules, papillomatous tumorlets in the thorax (bilateral) and neck, periungual fibroma in both lower limbs, frequent convulsive seizures; on a biological level, high glycemia and glycated hemoglobin levels. Brain MRI displayed a distinctive TS aspect with five bilateral hamartomatous subependymal nodules associating cortical/subcortical tubers with the frontal, temporal and occipital distribution. Molecular diagnosis showed a pathogenic variant in the TSC1 gene, exon 13, c.1270A>T (p. Arg424*). Current treatment targets diabetes (Metformin, Gliclazide and the GLP-1 analog semaglutide) and epilepsy (Carbamazepine and Clonazepam). This case report presents a rare association between type 2 diabetes mellitus and Tuberous Sclerosis Complex. We suggest that the diabetes medication Metformin may have positive effects on both the progression of the tumor associated with TSC and the seizures specific to TSC and we assume that the association of TSC and T2DM in the presented cases is accidental, as there are no similar cases reported in the literature