22 research outputs found

    Bismut-Elworthy-Li formulae for Bessel processes

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    In this article we are interested in the differentiability property of the Markovian semi-group corresponding to the Bessel processes of nonnegative dimension. More precisely, for all δ ≥ 0 and T > 0, we compute the derivative of the function x↦PδTF(x), where (Pδt)t≥0 is the transition semi-group associated to the δ-dimensional Bessel process, and F is any bounded Borel function on R+. The obtained expression shows a nice interplay between the transition semi-groups of the δ—and the (δ + 2)-dimensional Bessel processes. As a consequence, we deduce that the Bessel processes satisfy the strong Feller property, with a continuity modulus which is independent of the dimension. Moreover, we provide a probabilistic interpretation of this expression as a Bismut-Elworthy-Li formula

    "Am I really ready to go home?" : a qualitative study of patients' experience of early discharge following an Enhanced Recovery Programme for Liver Resection Surgery

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    This qualitative data demonstrates some of the complexities of patients' expectations and experiences of the ERP. Whilst patients generally experience the ERP positively, they also have concerns about the process. The study highlights areas where additional support may be needed for patients enrolled in ERPs and discharged early

    WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

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    Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.Peer reviewe

    2013 WSES guidelines for management of intra-abdominal infections

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