22 research outputs found
Il Don Giovanni di Mozart in Germania: Rochlitz traduce Da Ponte
Studio sulle traduzioni in lingua tedesca del "Don Giovanni" di Da Ponte / Mozart, segnatamente quella, fortunatisssima, del critico musicale Friedrich Rochlitz. Il testo tedesco, con traduzione italiana, viene pubblicato nel supporto USB allegato al volume, in un'edizione sinottica che offre anche il testo del "Don Giovanni" originale
Puccini e la Giovane Scuola: drammaturgia musicale dell'opera italiana di fine Ottocento
La collana, promossa da De Sono - Associazione per la musica (Torino), pubblica, dopo attenta revisione, tesi dottorali importanti nel campo della musicologia. La nuova serie, avviata nel 2012 presso l'editore Albisani, è stata inaugurata col lavoro di M. Targa, "Puccini e la Giovane Scuola. Drammaturgia musicale dell'opera italiana di fine Ottocento" (320 pp.)
Clinical Implications of Multi-Drug Resistant Organisms’ Gastrointestinal Colonization in an Internal Medicine Ward: The Pandora’s Box
Background: Multi-drug resistant organisms (MDRO) are an emerging health problem with an important impact on clinical outcome in Intensive Care Units (ICUs) and immunocompromised patients. Conversely, the role of MDRO colonization in Internal Medicine is less clear. The objective of our study is to evaluate the clinical impact (namely sepsis development, in-hospital and 30-days mortality, and re-hospitalization) of MDRO colonization in Internal Medicine. Methods: Patients admitted to our Internal Medicine Unit between January 2019 and March 2020 were potentially includible. Outcomes in patients with a positive rectal swab for MDRO (RS+) and in patients without a RS+ were compared. Results of the multivariate analyses were expressed as Odds Ratios (ORs) and the corresponding 95% Confidence Interval (CI). Results: In a cohort of 2147 patients, 77 patients with RS+ were consecutively identified; 377 patients with a rectal swab negative for MDRO were randomly selected from the same cohort (five for each patient with RS+). At the multivariate analysis, RS+ was associated with an increased risk of sepsis development during hospitalization (OR 4.18; 95% CI, 1.99–8.78) and with death or re-hospitalization at 30 days (OR 4.79; 95% CI, 2.79–8.23), whereas RS+ did not appear to be associated with death during hospitalization or need for ICU transfer. Conclusions: Our results suggest for the first time a prognostic role for RS+ in Internal Medicine. Thus, assessment of rectal swab at hospital admission appears useful even in this setting. However, larger prospective studies and a cost–benefit analysis are needed to confirm our preliminary findings
A Glimpse Beyond Typical Dyspnea
A 69-year-old man with persistent breathlessness underwent a diagnostic workup that ruled out common possible causes, such as respiratory disease and heart failure with preserved ejection fraction. Clinical suspicion and specific imaging tests allowed the diagnosis of the rare platypnea-orthodeoxia syndrome (POS), secondary to a patent foramen ovale (PFO). In this context, the PFO tunnel and the intracardiac shunt are often large due to cardiac conditions favoring blood shunting and a distorted geometry, a consequence of concomitant thoracic anatomical alterations. Effective percutaneous PFO sealing was obtained using a device dedicated to atrial septal defect closure because of the large size and the aim of obtaining immediate relief from symptoms. Intraprocedural sizing was performed with techniques based on PFO tunnel stretching, to determine its actual size
Treatment of secondary ischemic mitral regurgitation: Controversial issues
The presence of secondary mitral regurgitation is an unfavorable prognostic factor in patients with chronic ischemic heart disease. This type of regurgitation can be treated with medical therapy, cardiac resynchronization therapy, surgically or percutaneously but each strategy has controversial aspects. The purpose of this review is to discuss the most debated issues relative to the various modalities available to treat ischemic secondary mitral regurgitation, highlighting also future perspectives
On the experimental characterization of resilient mounting elements
The results of an experimental campaign aimed to the dynamic characterization of a typical resilient mounting element are presented, showing the force of the applied approach and the aptitude of the testing devices available at the Ship Noise and Vibration Laboratory (NVL) of the University of Trieste. The paper presents the fundamentals of the method for the dynamic characterization of Resilient Mounting Elements (RME) through the experimental measurement of their Dynamic Transfer Stiffness (DTS). In the paper, the problem definition is given making reference to the one-dimensional approach and the theoretical background is introduced, which is based on the hypothesis of the independent single-point-connected system. Then the experimental method is introduced by recalling the ISO 10846 standard, and a description is given of the facilities available at the NVL. Finally, the results of the test campaign are discussed