5 research outputs found
The âsymbolic homelandâ in the Jewish Italian Diaspora: the celebration of civil religion in Italy
In this article, the attitudes of the Italian Jewish diaspora towards Israel, seen as a symbolic homeland, are analyzed. This analysis is based on the theoretical discourse on diaspora.
Attitudes are explored through the participation of Italian Jews in the celebration of Yom ha atzmaâut. Given the significance of Israelâs Independence Day in the sequence of the three-day civil religious commemoration in Israel â which constitutes a sort of national narrative â the entire sequence is also considered in the analysis of the Italian diaspor
Neurocognitive function impairment after whole brain radiotherapy for brain metastases: actual assessment
<p>Abstract</p> <p>Whole brain radiation therapy (WBRT) is an effective treatment in brain metastases and, when combined with local treatments such as surgery and stereotactic radiosurgery, gives the best brain control. Nonetheless, WBRT is often omitted after local treatment due to its potential late neurocognitive effects. Publications on radiation-induced neurotoxicity have used different assessment methods, time to assessment, and definition of impairment, thus making it difficult to accurately assess the rate and magnitude of the neurocognitive decline that can be expected. In this context, and to help therapeutic decision making, we have conducted this literature review, with the aim of providing an average incidence, magnitude and time to occurrence of radio-induced neurocognitive decline. We reviewed all English language published articles on neurocognitive effects of WBRT for newly diagnosed brain metastases or with a preventive goal in adult patients, with any methodology (MMSE, battery of neurcognitive tests) with which baseline status was provided. We concluded that neurocognitive decline is predominant at 4 months, strongly dependant on brain metastases control, partially solved at later time, graded 1 on a SOMA-LENT scale (only 8% of grade 2 and more), insufficiently assessed in long-term survivors, thus justifying all efforts to reduce it through irradiation modulation.</p