13 research outputs found
Διερεύνηση του ρόλου της α-Κατενίνης στην εξέλιξη του καρκίνου του παχέος εντέρου και στη δημιουργία μεταστάσεων: Ερευνητική μελέτη
A302 Low incidence of GERD after laparoscopic sleeve gastrectomy. Comparison of three techniques and with laparoscopic Roux-en-Y gastric bypass.
ICT-based Innovation and Employability for Women
The utilization of ICTs in creating new jobs and eliminating gender based inequalities in employability and entrepreneurship, employs increasingly more researchers, governments and organizations around the world. In this article we analyze the current situation regarding the impact of ICTs, social networks and media on creating new opportunities for the employability of women. We also present the new market requirements, the new e-skills that will be acquired by women in order to take advantage of new labor market opportunities. Finally special reference is made to new trends in women's entrepreneurship as well as the supportive role of ICTs
Circumferential resection margin involvement after laparoscopic abdominoperineal excision for rectal cancer.
AIM: This study aimed to evaluate circumferential resection margin (CRM) involvement in patients with rectal adenocarcinoma after laparoscopic abdominoperineal excision (APR).
METHOD: Prospectively collected data were analyzed on consecutive patients who underwent laparoscopic APR for histologically proven rectal cancer following neoadjuvant chemotherapy, from 1998 to 2006. Patients with no sphincter involvement were not included and underwent intersphincteric resection with coloanal anastomosis. CRM involvement was defined as ≤ 2 mm using a standardized pathology protocol. Data were presented as mean ± SD or as median (range).
RESULTS: Seventy-four patients (60 ± 14 years of age; body mass index = 29.7 ± 7.9 kg/m(2) ) underwent laparoscopic APR. The distance of the tumour from the anal verge was 3.1 ± 0.93 cm. All patients had sphincter involvement. The operative time was 180 ± 73 min, and estimated blood loss was 269 ± 149 ml. There were no conversions and no postoperative mortality. The adverse event rate was 11%. There were two reoperations and three readmissions. Seventy-one patients had a T3 tumour and three patients had a T4 tumour. The median tumour size was 3.1 (range, 0-10) × 3 (range, 0-8.5) × 2 (range, 0-3.6) cm, and 26 (range, 3-41) lymph nodes were harvested. The median CRM was 7 (range, 1-11) mm. This was localized at the waist of the specimen in 12 (16.2%) of patients. Adjuvant therapy was given to 92% and 97% of patients with an involved and an uninvolved CRM, respectively. At 50 ± 27 months of follow up of 73 patients, 12 had CRM involvement and had a significantly decreased cancer-specific survival (log rank test, P = 0.002).
CONCLUSION: Laparoscopic APR resulted in CRM involvement in 16.2% of patients with rectal cancer
A150 An Intensive 52-week Nutritional, Exercise and Behavior Modification Program: Comparison With or Without the Elipse Intragastric Balloon
A529 Remote Follow-up with a Wirelessly Connected Scale improves weight loss. Comparison with standard office follow-up. A possible solution for insufficient weight loss, weight re-gain and attrition rates.
Robotic camera holder as good as expert camera holder: a randomized crossover trial.
INTRODUCTION: This study aimed to compare the impact of robotic camera holder (RCH) and human camera holder (HCH) on product quality and procedure effectiveness of a simulated laparoscopic procedure.
METHODS: This was a prospective randomized crossover trial including voluntary surgical residents. Block randomization generated RCH-HCH or HCH-RCH sequence allocation. The task was suturing a duodenal perforation on foam stomach with intracorporeally knot tying in a simulator. The camera was operated by the same robot and same expert. Product quality was measured by accuracy error, tissue damage, sliding knot, and leak. Procedure effectiveness was measured by operating time, nongoal directed actions, and dangerous actions. Kendall\u27s coefficient tau_b was used for interrater reliability between 2 blinded assessors.
RESULTS: Forty-four subjects performed their tasks as allocated. Product quality and procedure effectiveness were similar when first attempt of task was compared with the repeat task by same subject ignoring the type of camera holder. There was no evidence of significant unequal carryover effect when comparison was stratified by RCH-HCH or HCH-RCH sequences. There were no differences in product quality and procedure effectiveness when RCH was compared with HCH. Coefficient tau_b was \u3e or = 0.80 for all but dangerous actions (0.72, P=0.08).
CONCLUSIONS: RCH and HCH had similar impact on product quality and procedure effectiveness of simulated laparoscopic procedure
Cardiac Masses: The Role of Cardiovascular Imaging in the Differential Diagnosis
Cardiac masses are space occupying lesions within the cardiac cavities
or adjacent to the pericardium. They include frequently diagnosed
clinical entities such as clots and vegetations, common benign tumors
such as myxomas and papillary fibroelastomas and uncommon benign or
malignant primary or metastatic tumors. Given their diversity, there are
no guidelines or consensus statements regarding the best diagnostic or
therapeutic approach. In the past, diagnosis used to be made by the
histological specimens after surgery or during the post-mortem
examination. Nevertheless, evolution and increased availability of
cardiovascular imaging modalities has enabled better characterization of
the masses and the surrounding tissue. Transthoracic echocardiography
using contrast agents can evaluate the location, the morphology and the
perfusion of the mass as well as its hemodynamic effect. Transesophageal
echocardiography has increased spatial and temporal resolution; hence it
is superior in depicting small highly mobile masses. Cardiac magnetic
resonance and cardiac computed tomography are complementary providing
tissue characterization. The scope of this review is to present the role
of cardiovascular imaging in the differential diagnosis of cardiac
masses and to propose a step-wise diagnostic algorithm, taking into
account the epidemiology and clinical presentation of the cardiac
masses, as well as the availability and the incremental value of each
imaging modality