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Appendiceal Colic in Children: Is It A True Surgical Entity?  [PDF]
Jason Marone, Domingo Alvear
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.38079
Abstract: Background/Purpose: For decades children have been crowding the offices of Pediatricians’ and Pediatric Surgeons with a common complaint of unexplained recurrent right lower quadrant pain. For years the topic of appendiceal colic as a cause for this recurrent abdominal pain has remain controversial. This paper highlights the experience of a single surgeon over a 5 years period using an algorithmic approach to diagnose and treat children with appendiceal colic. Methods: This is a retrospective review of 31 consecutive cases of patients experiencing recurrent unexplained right lower quadrant abdominal pain for greater than three weeks. All patients were evaluated by a single surgeon at the same institution. The patients meeting the criteria for appendiceal colic had an elective open appendectomy. The data included was compiled by a retrospective chart review from Jan 1, 2006 to December 31, 2010. Results: Twelve percent or 31 of the 238 elective appendectomies done between Jan. 2006 to Dec. 2010 where done for appendiceal colic. Sixteen were females and 15 where males ranging in age from 5-17 years of age. Average duration of symptoms was 3 weeks to 5 years. All patients had previous work up most of which where inconclusive for an organic cause. All patients presented with colic and McBurney’s point tenderness. On pathological examination the presence of a fecalith, inspissated stool or fibrosis were the most common findings. A normal appendix was observed in 14% of the cases. 100% of the patients were symptom free with three months of operation. Conclusion: Appendiceal colic proves to be true in a small subset of patients presenting with unexplained right lower quadrant abdominal pain. A high index of suspicion coupled with a thorough history and physical exam is needed to identify these patients. Classically they will present with recurrent right lower abdominal pain at McBurney’s. In our experience an elective appendectomy has been curative.
Alcune riflessioni sul Valore Agricolo e sul Valore Venale nel Testo Unico sugli espropri alla luce di alcune recenti innovative sentenze
Enrico Marone
Aestimum , 2008,
Abstract: The quantification of the compensation payment for expropriation, which is mainly an economic assessment issue, has been not sufficiently studied above all in relation with the complex relationships that it has with the judicial-normative aspects which regulates the expropriation for public purposes. The case of partial expropriation, the economic-estimative meaning of the expression “agricultural value” and the quantification criteria for the compensation payments in the case of building areas represent for sure some of the most relevant issues concerning the quantification of the compensation payment. The aim of this paper is to go in deeper detail on those issues which offer very interesting cues of thoughts. In these sentences the judges propose interpretations of the regulations which are important for the definition of the appraisal question and in the determination of the compensation payment.
Tomo I - Seconda sessione - La valutazione degli indennizzi per l'eproprio e per i vincoli delle aree agro-forestali
Enrico Marone
Aestimum , 2003,
Abstract:
Sviluppo sostenibile: il caso di Greve in Chianti e del Chianti Classico
E. Marone
Aestimum , 1991,
Abstract:
Appraisal of Aids as Provided by Rule 225 (Council Regulation (EC) No. 1698/2005) in Tuscany Region—Methodology, Procedures and Results  [PDF]
Roberto Fratini, Enrico Marone, Gabriele Scozzafava
Open Journal of Forestry (OJF) , 2012, DOI: 10.4236/ojf.2012.24036
Abstract: The purpose of this paper is to illustrate a methodology to determine the lost revenue and increased costs resulting from the assumption of forest-environment commitments, as provided by rule 225 (Council Regulation (EC) No. 1698/2005) of the measure defined by the Tuscany Region. The aim is therefore to determine the appropriateness of the payments provided by European Community measures. Regulation (EC) No. 1698/2005 regards mainly land management and contributes to sustainable development by encouraging farmers and forest holders to employ methods of land use compatible with the need to preserve the natural environment and landscape and protect and improve natural resources. This Rule covers support for non-productive investments linked to the achievement of agro or forest-environmental commitments or the achievement of other agri-environmental objectives, as well as measures aimed at improving forestry resources with an environmental objective (support for the first forestation of agricultural land, establishment of agroforestry systems or restoring forestry potential and preventing natural disasters). We have worked by analyzing each of the commitments required by individual actions and checking their impact on forest regional management; we have calculated the additional costs and the lost revenue resulting from the assumption of commitments.
El doble papel de las hipótesis en la investigación ecológica y su relación con el método hipotético-deductivo
Marone,Luis; Galetto,Leonardo;
Ecolog?-a austral , 2011,
Abstract: hypotheses and the hypothetico-deductive method are blamed for making science too formal, and some people claim that hypotheses may be unnecessary for wildlife research and that there should still be a place in basic and applied ecology journals for studies that are not driven by explicit hypotheses. all these assertions could not reflect appropriately the double role of hypotheses in ecological research: to propose explanations for natural patterns as well as to guide data gathering in the field or laboratory. ecologists skeptical with hypotheses suspect indeed of the capacity of their science to offer explanations that are able to produce useful predictions. these ecologists frequently adhere to epistemological instrumentalism, but they do employ implicit hypotheses to guide their own research. instrumentalist research may lack explanatory power but, as any other research, need to be driven by some, at least, low-level (empirical) hypotheses, which may take the form of predictions or may be masked within simple empirical questions. the "inquiry cycle" of peter feinsinger as well as fred guthery's "hypothesis-free science" offer some evidence supporting our claims. the use of explanatory hypotheses is a matter of epistemological taste and ecologists are free to use them or not, although they should also be conscious of the consequences, for the development of ecology, that every decision has. lastly, we assess the dilemma of whether ecologists should include hypotheses or not in descriptive (i.e., instrumentalist) research projects. although this may be an important issue, more important is realizing that it does not appear to be possible to conduct research without adhering to some assumptions or hypotheses, even when they do not imply a genuine attempt at offering an explanation to the starting research problem.
Le forme e le norme. Aspetti della nosografia, della deontologia e della clinica di fine Ottocento
Roberto Beneduce,Fulvio Marone
Scienza & Politica : per una Storia delle Dottrine , 1990, DOI: 10.6092/issn.1825-9618/3036
Abstract: Le forme e le norme. Aspetti della nosografia, della deontologia e della clinica di fine Ottocento
Triagem auditiva neonatal Newborn hearing screening
Silvio Antonio Monteiro Marone
Brazilian Journal of Otorhinolaryngology , 2010, DOI: 10.1590/s1808-86942010000100001
Abstract:
Recém-nascidos gerados por m?es com alto risco gestacional: estudo das emiss?es otoacústicas produtos de distor??o e do comportamento auditivo
Ruggieri-Marone, Marisa;Lichtig, Ida;Marone, Silvio A. M.;
Revista Brasileira de Otorrinolaringologia , 2002, DOI: 10.1590/S0034-72992002000200012
Abstract: introduction: the hearing loss in brazil has been diagnosed in the second or third year of age. until there, the child loses auditory information and disrupts the communication circuit. it is recommend more than one evaluation auditory method. the staff must be finding the best detection and intervention way for the early diagnostic in children born in small cities. the high-risk pregnancy may have some hearing loss risk indicator. study design: clinical prospective randomized. casuistic and method: this prospective work has been to study the results of distortion product otoacoustic emissions and the auditory behavior in 174 neonates. the neonates have been examined on the same day, as the neonates were to be discharged from the hospital and at the adjusted age of 37 weeks or older. results: there was 23% refer in the first step. this, 66,8% obtained pass result and 4,6% was find middle and/or external ear alteration, 30 days before discharged from the hospital. there was no difference of otoacoustic emission amplitude, signal/noise ration and auditory behavior. conclusion: the otoacoustic emissions should have been done after examining and cleaning the ear canal and that the behavioral assessment had not detected alterations of the middle ear. the concomitant use of otoacoustic emissions and assessment of auditory behavior during neonatal period has provided important information about peripheral auditory system and central auditory pathways. the high-risk pregnancy has not affected otoacoustic emission measurements or auditory behavior after instrumental sound stimulation.
Recém-nascidos gerados por m es com alto risco gestacional: estudo das emiss es otoacústicas produtos de distor o e do comportamento auditivo
Ruggieri-Marone Marisa,Lichtig Ida,Marone Silvio A. M.
Revista Brasileira de Otorrinolaringologia , 2002,
Abstract: Introdu o: As perdas auditivas no Brasil têm sido diagnosticadas ao redor de 2 a 3 anos de idade. Até ent o, a crian a perde informa es auditivas e interrompe o circuito da comunica o. Recomenda-se mais de uma técnica para a avalia o da audi o. Os profissionais responsáveis devem encontrar a melhor forma de detec o e interven o, para que crian as nascidas fora dos grandes centros sejam diagnosticadas precocemente. A gravidez de alto risco pode conter indicadores de risco para a deficiência auditiva. Forma de estudo: Clínico prospectivo randomizado. Casuística e Método: Este estudo prospectivo analisou 174 recém-nascidos gerados por m es com risco gestacional, por meio de emiss es otoacústicas produto de distor o e pela observa o do comportamento auditivo com instrumentos musicais. Os RN estavam em fase de alta hospitalar e com idade corrigida maior ou igual a 37 semanas. Resultado: Houve 23% de "Falha" na primeira avalia o; após 30 dias de alta hospitalar, numa segunda avalia o, 66,8% destes apresentaram resultado de "Passa", sendo que 4,6% tiveram altera es de orelha média e/ou externa. A amplitude das Emiss es Otoacústicas, a rela o Produto de Distor o/Ruído de Fundo e a rea o comportamental foram semelhantes em todas as crian as. Conclus es: As emiss es otoacústicas devem ser realizadas após a inspe o e limpeza do MAE. A avalia o comportamental n o foi sensível para altera es de orelha média. Mesmo sem inspe o e limpeza do MAE, a utiliza o concomitante de ambos os métodos forneceu informa es sobre o sistema auditivo periférico e central. Os fatores de risco gestacionais n o interferiram nas medidas de emiss es otoacústicas.
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