La successione «anomala» nel maso chiuso

Il maso chiuso è istituto di origine antichissima, oggi disciplinato dalla legge provinciale 28 novembre 2001, n. 17, che lo ricostruisce in termini azienda agricola familiare autosufficiente. Una tale natura, unita al carattere della indivisibilità che lo connota, ne giustifica la particolare disciplina, la quale diverge, in più di un punto, da quella contenuta nel secondo libro del codice civile. Le “anomalie”, che contraddistinguono la successione nel maso, attengono, soprattutto, alla scelta dei successibili, alla comunione ereditaria e alla conseguente divisione e si riflettono sui principi e sulle regole che tradizionalmente governano la materia. Su ciascuno di tali profili e, più in generale, sulle problematiche concernenti la figura si prefigge di indagare il saggio, nel tentativo di fornire risposta agli interrogativi che il tema ancora oggi solleva

Regional lung function and heterogeneity of specific gas volume in healthy and emphysematous subjects.

The aim of our study was to study regional lung function by standard computed tomography (CT) and characterise regional variations of density and specific gas volume (SVg) between different lung volumes. We studied 10 healthy and 10 severely emphysematous subjects. Corresponding CT images taken at high and low lung volumes were registered by optical flow to obtain two-dimensional maps of pixel-by-pixel differences of density (ΔHU) and SVg (ΔSVg) at slice levels near the aortic arch, carina and top diaphragm. In healthy subjects, ΔHU was higher at all levels (p<0.001) with higher variability expressed as interquartile range (p<0.001), largely due to its differences between dorsal and ventral regions. In patients, median ΔSVg values were 3.2 times lower than healthy volunteers (p<0.001), while heterogeneity of ΔSVg maps, expressed as quartile coefficient of variation, was 5.4 times higher (p<0.001). In all patients, there were areas with negative values of ΔSVg. In conclusion, ΔSVg is uniform in healthy lungs and minimally influenced by gravity. The significant ΔSVg heterogeneity observed in emphysema allows identification of areas of alveolar destruction and gas trapping and suggests that ΔSVg maps provide useful information for evaluation and planning of emerging treatments that target trapped gas for removal

From morphological heterogeneity at alveolar level to the overall mechanical lung behavior: an in vivo microscopic imaging study.

In six male anesthetized, tracheotomized, and mechanically ventilated rabbits, we imaged subpleural alveoli under microscopic view (60×) through a "pleural window" obtained by stripping the endothoracic fascia and leaving the parietal pleura intact. Three different imaging scale levels were identified for the analysis on increasing stepwise local distending pressure (P ld) up to 16.5 cmH2O: alveoli, alveolar cluster, and whole image field. Alveolar profiles were manually traced, clusters of alveoli of similar size were identified through a contiguity-constrained hierarchical agglomerative clustering analysis and alveolar surface density (ASD) was estimated as the percentage of air on the whole image field. Alveolar area distributions were remarkably right-skewed and showed an increase in median value with a large topology-independent heterogeneity on increasing P ld. Modeling of alveolar area distributions on increasing P ld led to hypothesize that absolute alveolar compliance (change in surface area over change in P ld) increases fairly linearly with increasing initial alveolar size, the corollary of this assumption being a constant specific compliance. Clusters were reciprocally interweaved due to their highly variable complex shapes. ASD was found to increase with a small coefficient of variation (CV <25\%) with increasing P ld. The CV of lung volume at each transpulmonary pressure was further decreased (about 6\%). The results of the study suggest that the considerable heterogeneity of alveolar size and of the corresponding alveolar mechanical behavior are homogenously distributed, resulting in a substantially homogenous mechanical behavior of lung units and whole organ

The Impact of Free Healthcare on Hospital Deliveries in Sierra Leone

Improving maternal health has been a challenge for developing nations with very high rates of maternal mortality. Sub-Saharan Africa, particularly Sierra Leone, has some of the highest maternal mortality rates in the world. In an attempt to improve on this, the Sierra Leonean government enacted free maternal healthcare services in 2010. The Sierra Leone Free Healthcare Initiative (SLFHCI) provides free healthcare for pregnant women, lactating mothers, and children under 5 years old. This research explored the impact of the free healthcare on hospital deliveries. The determinant of health model was used to evaluate the effectiveness of the SLFHCI program, and a quantitative study design was used to analyze 1,200 samples of secondary data. Five research questions aimed to determine how the pre and postimplementation periods of the SLFHCI program impacted the rate of antenatal services usage, hospital deliveries, low birth weight deliveries, very low birth weight deliveries, and preterm deliveries. Descriptive statistics, chi-square tests, and logistic regression were used to analyze data. The results indicated improvements in antenatal visits, hospital deliveries, low birth weight deliveries, and preterm deliveries after adjusting for covariates. The results suggest that the SLFCHI program is an effective strategy for preventing low birth weight and preterm deliveries and for improving antenatal visits and hospital deliveries. The knowledge gained from this research could provide a roadmap for improving overall maternal care in Sierra Leone and other affected countries. Strategies to improve the quality of the SLFHCI intervention are worthy of further investigatio

Adeguamento del contratto tra principio del pacta sunt servanda e clausola rebus sic stantibus

The recent pandemic crisis brought to the attention of the jurist the complex theme of the contingencies and the events occurencing after the contract. The civil code, in this regard, regulates essentially demolishing remedies, which are not always suitable for solving the problems related to the alteration of the original relationship agreed between the parties. The essay focuses on the possibility of reaching solutions other than those normally indicated

L'impact du pilates sur la lombalgie chronique non-spécifique: travail de Bachelor

Introduction : La lombalgie est devenue l'un des plus grands problèmes de santé publique dans le monde. Quatre personnes sur cinq souffrent au moins une fois dans leur vie de douleurs lombaires. Les physiothérapeutes disposent d'une panoplie de traitements - préconisés par une multitude d'articles - pour agir sur les lombalgies. C’est pourquoi le but de cette revue est de confronter deux traitements actifs, à savoir le Pilates et les entrainements généraux. Nous comparerons ces deux méthodes sur la base des outcomes suivants : incapacité fonctionnelle, douleur et qualité de vie Méthodologie : Afin de répondre à notre question de recherche, nous avons utilisé plusieurs bases de données : Embase, Medline via Pubmed, PEDro et Cochrane, de septembre 2017 à fin janvier 2018. Nous avons retenu trois articles randomisés contrôlés. Leur qualité a été évaluée avec un score PEDro allant de 5/10 pour un article à 7/10 pour les deux autres. Résultats : Les résultats diffèrent selon les articles. Les mêmes résultats sont obtenus sur l’incapacité fonctionnelle, la douleur et la qualité de vie dans les articles de Wajswelner (2012) et Mostagi (2015). Seul Kofotolis (2016) obtient des résultats en faveur du Pilates. Conclusion : Les résultats des exercices généraux proposés en physiothérapie ne sont pas supérieurs à ceux du Pilates. Cependant, l’absence de différence significative ne permet pas de conclure que l’une des méthodes est supérieure à l’autre. Pour affiner cette conclusion, il serait préférable de disposer de plus de recherches sur ce sujet

Chest Wearable Apparatus for Cuffless Continuous Blood Pressure Measurements Based on PPG and PCG Signals

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