Determination of fetal maturity from the measurement of the sedimentary fraction of the amniotic fluid (amniocrit)

Peer Reviewe

La coordinación entre esfingolípidos y fosfoinosítidos es esencial para la diferenciación de las células tubulares renales

La diferenciación de las células epiteliales se produce por maduración de la membrana apical y desarrollo de cilio primario. Resultados previos de nuestro laboratorio demostraron que la hipertonicidad extracelular induce la diferenciación de las células MDCK, una línea celular derivada de túbulos colectores renales caninos, y que en este proceso son esenciales los esfingolípidos. Por otro lado, los fosfoinosítidos, otros lípidos bioactivos, son considerados determinantes de la polaridad apico - basal, dada su ubicación en dominios específicos de membrana en células epiteliales polarizadas: con PI(4,5)P2 localizado en el dominio apical y PI(3,4,5)P3 en el basolateral. Esta ubicación específica es la que determina el reclutamiento de complejos importantes de polaridad, como el Par3/Par6/aPKC.Fil: Pescio Lucila G.. Universidad de Buenos AiresFil: Romero, Daniela J.. Universidad de Buenos AiresFil: Santacreu, Bruno J.. Universidad de Buenos AiresFil: Francisco, María N..Fil: Favale, Nicolás O.. Universidad de Buenos AiresFil: Sterin-Speziale, Norma B.. Universidad de Buenos Aire

Use of Telemedicine Healthcare Systems in Children and Adolescents with Chronic Disease or in Transition Stages of Life: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

Telemedicine is considered an excellent tool to support the daily and traditional practice of the health profession, especially when referring to the care and management of chronic patients. In a panorama in which chronic pathologies with childhood onset are constantly increasing and the improvement of treatments has allowed survival for them into adulthood, telemedicine and remote assistance are today considered effective and convenient solutions both for the chronic patient, who thus receives personalized and timely assistance, and for the doctors, who reduce the need for direct intervention, hospitalizations and consequent management costs. This Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, has the objectives to propose an organizational model based on the relationships between the actors who participate in the provision of a telemedicine service aimed at minors with chronic pathologies, identifying specific project links between the areas of telemedicine in the developmental age from the first 1000 days of life to the age adult. The future scenario will have to be able to integrate digital innovation in order to offer the best care to patients and citizens. It will have to be able to provide the involvement of patients from the very beginning of the design of any care pathway, increasing where possible the proximity of the health service to citizens

RiNeo MR: A mixed-reality tool for newborn life support training

The first minute of life, the Golden Minute, has been defined as a critical window in which fundamental physiological processes occur for establishing spontaneous ventilation in a newborn. Resuscitation is more likely to succeed if it is performed properly and at the right time. In this scenario, simulation is an appropriate tool for training and evaluating the abilities of all staff working in the delivery room, as well as students. As simulations require a high degree of immersivity in order to be effective, the use of technologies like Virtual (VR) and mixed reality (MR) have garnered more interest in training. Currently, some VR and MR applications have been developed for adult life support training, but neonatal tools are still missing. To overcome this limitation, we present RiNeo MR, a prototype of a MR simulator for neonatal resuscitation training. The simulator consists of (i) a sensorized physical model of the newborn that allows monitoring chest compressions; (ii) a VR head mounted display that allows visualizing a virtual 3D model of the manikin and scenarios of the delivery and operating rooms. This enables students, and healthcare providers to be immersed in realistic hospital settings while performing life support procedures on the newborn manikin.Clinical Relevance - The newborn life support training (NLS) in facilities reduces term intrapartum-related deaths by 30

Anastomotic leaks after anterior resection for mid and low rectal cancer: survey of the Italian Society of Colorectal Surgery

Abstract BACKGROUND: The aim of the survey was to assess the incidence of anastomotic leaks (AL) and to identify risk factors predicting incidence and gravity of AL after low anterior resection (LAR) for rectal cancer performed by colorectal surgeons of the Italian Society of Colorectal Surgery (SICCR). METHODS: Information about patients with rectal cancers less than 12 cm from the anal verge who underwent LAR during 2005 was collected retrospectively. AL was classified as grade I to IV according to gravity. Fifteen clinical variables were examined by univariate and multivariate analyses. Further analysis was conducted on patients with AL to identify factors correlated with gravity. RESULTS: There were 520 patients representing 64% of LAR for rectal cancer performed by SICCR members. The overall rate of AL was 15.2%. Mortality was 2.7% including 0.6% from AL. The incidence of AL was correlated with higher age (p<0.05), lower (<20 per year) centre case volume (p<0.05), obesity (p<0.05), malnutrition (p<0.01) and intraoperative contamination (p<0.05), and was lower in patients with a colonic J-pouch reservoir (p<0.05). In the multivariate analysis age, malnutrition and intraoperative contamination were independent predictors. The only predictor of severe (grade III/IV) AL was alcohol/smoking habits (p<0.05) while the absence of a diverting stoma was borderline significant (p<0.07). CONCLUSION: Our retrospective survey identified several risk factors for AL. This survey was a necessary step to construct prospective interventional studies and to establish benchmark standards for outcome studies

MEIS, architetture per un museo. Concorso internazionale per il Museo Nazionale dell’Ebraismo Italiano e della Shoah di Ferrara

Il progetto "Abitare il Museo" opera tre scelte: 1. Qualificazione del MEIS come struttura di ospitalità rendendo possibile l'esperienza attiva delle consuetudini della tradizione ebraica, del suo radicamento in Italia, con la realizzazione di un ostello per lo studio. 2. Conservazione integrale del complesso monumentale storico in cui ha sede,. 3. Innovazione/integrazione attraverso innesti a forte connotazione estetica ispirati all'alfabeto ebraico, ai suoi rapporti culturali e significati simbolici