233 research outputs found

    Off-label Prescribing: Pediatrician Beliefs and Experience

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    Thermal inertia of heavyweight traditional buildings: Experimental measurements and simulated scenarios

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    Abstract This paper discusses the results of an experimental campaign aimed to describe the thermal performance of a traditional building located in Catania, Southern Italy. The building was built in the early 1900s with traditional techniques and local materials, namely basalt stones, and is currently used for residential purposes. The results of the experimental campaign are exploited to calibrate a model for the dynamic simulation of the building with DesignBuilder. The calibrated model is then used to simulate how the same building would behave with a modern envelope made of a double leaf of bricks; other simulations take into account possible retrofit solutions, such as the installation of an insulating material either on the inner or the outer side of the walls, as well as the role of nighttime natural ventilation

    The Role of Early Revascularization and Biomarkers in the Management of Diabetic Foot Ulcers: A Single Center Experience

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    Diabetic neuropathy and Peripheral Arterial Disease (PAD) are the main etiological factors in foot ulceration. Herein, we report our experience of diabetic foot ulceration (DFU) management, with an analysis of the relationship between the rate of lower extremity amputation, in persons with infected DFU, after revascularization procedures performed to prevent major amputation. This study highlights the role of different biomarkers, showing their usefulness and potentiality in diabetic foot ulcer management, especially for the early diagnosis and therapy effectiveness monitoring. A retrospective analysis, from September 2016 to January 2021, of diabetic patients presenting diabetic foot with DFU, was performed. All patients were treated with at least one vascular procedure (endovascular, open, hybrid procedures) targeting PAD lesions. Outcomes measured were perioperative mortality and morbidity. Freedom from occlusion, primary and secondary patency, and amputation rate were registered. A total of 267 patients, with a mean age of 72.5 years, were included in the study. The major amputation rate was 6.2%, minor amputation rate was 17%. In our experience, extreme revascularization to obtain direct flow reduced the rate of amputations, with an increase in ulcer healing
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