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1.
Rev Sci Instrum ; 91(2): 023510, 2020 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-32113382

RESUMEN

The requirements of ITER neutral beam injectors (1 MeV, 40 A negative deuterium ion current for 1 h) have never been simultaneously attained; therefore, a dedicated Neutral Beam Test Facility (NBTF) was set up at Consorzio RFX (Padova, Italy). The NBTF includes two experiments: SPIDER (Source for the Production of Ions of Deuterium Extracted from Rf plasma), the full-scale prototype of the source of ITER injectors, with a 100 keV accelerator, to investigate and optimize the properties of the ion source; and MITICA, the full-scale prototype of the entire injector, devoted to the issues related to the accelerator, including voltage holding at low gas pressure. The present paper gives an account of the status of the procurements, of the timeline, and of the voltage holding tests and experiments for MITICA. As for SPIDER, the first year of operation is described, regarding the solution of some issues connected with the radiofrequency power, the source operation, and the characterization of the first negative ion beam.

2.
Rev Sci Instrum ; 89(10): 10J119, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30399664

RESUMEN

The measurements of the magnetic field in tokamaks such as ITER and DEMO will be challenging due to the long pulse duration, high neutron flux, and elevated temperatures. The long duration of the plasma pulse makes standard techniques, such as inductive coils, prone to errors. At the same time, the hostile environment, with repairs possible only on blanket exchange, if at all, requires a robust magnetic sensor. This contribution presents the final design of novel, steady-state, magnetic sensors for ITER. A poloidal array of 60 sensors mounted on the vacuum vessel outer shell contributes to the measurement of the plasma current, plasma-wall clearance, low-frequency MHD modes and will allow for crosscheck with the outer-vessel inductive coils. Each sensor hosts a pair of bismuth Hall probes, themselves an outcome of extensive R&D, including neutron irradiations (to 1023 n/m2), temperature cycling tests (73-473 K) and tests at high magnetic field (to 12 T). A significant effort has been devoted to optimize the sensor housing by design and prototyping. The production version features an indium-filled cell for in situ recalibration of the onboard thermocouple, vital for the interpretation of the Hall sensor measurement.

3.
BMC Genomics ; 17: 416, 2016 05 31.
Artículo en Inglés | MEDLINE | ID: mdl-27245662

RESUMEN

BACKGROUND: In wine grape production, management practices have been adopted to optimize grape and wine quality attributes by producing, or screening for, berries of smaller size. Fruit size and composition are influenced by numerous factors that include both internal (e.g. berry hormone metabolism) and external (e.g. environment and cultural practices) factors. Combined physiological, biochemical, and transcriptome analyses were performed to improve our current understanding of metabolic and transcriptional pathways related to berry ripening and composition in berries of different sizes. RESULTS: The comparison of berry physiology between small and large berries throughout development (from 31 to 121 days after anthesis, DAA) revealed significant differences in firmness, the rate of softening, and sugar accumulation at specific developmental stages. Small berries had significantly higher skin to berry weight ratio, lower number of seeds per berry, and higher anthocyanin concentration compared to large berries. RNA-sequencing analyses of berry skins at 47, 74, 103, and 121 DAA revealed a total of 3482 differentially expressed genes between small and large berries. Abscisic acid, auxin, and ethylene hormone pathway genes were differentially modulated between berry sizes. Fatty acid degradation and stilbenoid pathway genes were upregulated at 47 DAA while cell wall degrading and modification genes were downregulated at 74 DAA in small compared to large berries. In the late ripening stage, concerted upregulation of the general phenylpropanoid and stilbenoid pathway genes and downregulation of flavonoid pathway genes were observed in skins of small compared to large berries. Cis-regulatory element analysis of differentially expressed hormone, fruit texture, flavor, and aroma genes revealed an enrichment of specific regulatory motifs related to bZIP, bHLH, AP2/ERF, NAC, MYB, and MADS-box transcription factors. CONCLUSIONS: The study demonstrates that physiological and compositional differences between berries of different sizes parallel transcriptome changes that involve fruit texture, flavor, and aroma pathways. These results suggest that, in addition to direct effects brought about by differences in size, key aspects involved in the regulation of ripening likely contribute to different quality profiles between small and large berries.


Asunto(s)
Metabolismo Energético/genética , Frutas/genética , Frutas/metabolismo , Regulación de la Expresión Génica de las Plantas , Carácter Cuantitativo Heredable , Secuencias Reguladoras de Ácidos Nucleicos , Transcriptoma , Vitis/fisiología , Perfilación de la Expresión Génica , Estudios de Asociación Genética , Redes y Vías Metabólicas , Metabolómica/métodos , Motivos de Nucleótidos , Reguladores del Crecimiento de las Plantas/metabolismo , Transducción de Señal
4.
Rev Sci Instrum ; 87(2): 02B309, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26932037

RESUMEN

The megavolt ITER injector and concept advancement experiment is the prototype and the test bed of the ITER heating and current drive neutral beam injectors, currently in the final design phase, in view of the installation in Padova Research on Injector Megavolt Accelerated facility in Padova, Italy. The beam source is the key component of the system, as its goal is the generation of the 1 MeV accelerated beam of deuterium or hydrogen negative ions. This paper presents the highlights of the latest developments for the finalization of the MITICA beam source design, together with a description of the most recent analyses and R&D activities carried out in support of the design.

5.
J Theor Biol ; 359: 80-91, 2014 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-24907672

RESUMEN

The cell-pressure-probe is a unique tool to study plant water relations in-situ. Inaccuracy in the estimation of cell volume (νo) is the major source of error in the calculation of both cell volumetric elastic modulus (ε) and cell hydraulic conductivity (Lp). Estimates of νo and Lp can be obtained with the pressure-clamp (PC) and pressure-relaxation (PR) methods. In theory, both methods should result in comparable νo and Lp estimates, but this has not been the case. In this study, the existing νo-theories for PC and PR methods were reviewed and clarified. A revised νo-theory was developed that is equally valid for the PC and PR methods. The revised theory was used to determine νo for two extreme scenarios of solute mixing between the experimental cell and sap in the pressure probe microcapillary. Using a fully automated cell-pressure-probe (ACPP) on leaf epidermal cells of Tradescantia virginiana, the validity of the revised theory was tested with experimental data. Calculated νo values from both methods were in the range of optically determined νo (=1.1-5.0nL) for T. virginiana. However, the PC method produced a systematically lower (21%) calculated νo compared to the PR method. Effects of solute mixing could only explain a potential error in calculated νo of <3%. For both methods, this discrepancy in νo was almost identical to the discrepancy in the measured ratio of ΔV/ΔP (total change in microcapillary sap volume versus corresponding change in cell turgor) of 19%, which is a fundamental parameter in calculating νo. It followed from the revised theory that the ratio of ΔV/ΔP was inversely related to the solute reflection coefficient. This highlighted that treating the experimental cell as an ideal osmometer in both methods is potentially not correct. Effects of non-ideal osmotic behavior by transmembrane solute movement may be minimized in the PR as compared to the PC method.


Asunto(s)
Tamaño de la Célula , Módulo de Elasticidad/fisiología , Modelos Teóricos , Presión Osmótica/fisiología , Células Vegetales/metabolismo , Agua/metabolismo , Transporte Biológico/fisiología , Movimiento/fisiología , Células Vegetales/fisiología
6.
J Exp Bot ; 63(18): 6445-55, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23136166

RESUMEN

Vitis vinifera scions are commonly grafted onto rootstocks of other grape species to influence scion vigour and provide resistance to soil-borne pests and abiotic stress; however, the mechanisms by which rootstocks affect scion physiology remain unknown. This study characterized the hydraulic physiology of Vitis rootstocks that vary in vigour classification by investigating aquaporin (VvPIP) gene expression, fine-root hydraulic conductivity (Lp(r)), % aquaporin contribution to Lp(r), scion transpiration, and the size of root systems. Expression of several VvPIP genes was consistently greater in higher-vigour rootstocks under favourable growing conditions in a variety of media and in root tips compared to mature fine roots. Similar to VvPIP expression patterns, fine-root Lp(r) and % aquaporin contribution to Lp(r) determined under both osmotic (Lp(r)(Osm)) and hydrostatic (Lp(r)(Hyd)) pressure gradients were consistently greater in high-vigour rootstocks. Interestingly, the % aquaporin contribution was nearly identical for Lp(r)(Osm) and Lp(r)(Hyd) even though a hydrostatic gradient would induce a predominant flow across the apoplastic pathway. In common scion greenhouse experiments, leaf area-specific transpiration (E) and total leaf area increased with rootstock vigour and were positively correlated with fine-root Lp(r). These results suggest that increased canopy water demands for scion grafted onto high-vigour rootstocks are matched by adjustments in root-system hydraulic conductivity through the combination of fine-root Lp(r) and increased root surface area.


Asunto(s)
Acuaporinas/metabolismo , Regulación de la Expresión Génica de las Plantas , Proteínas de Plantas/metabolismo , Raíces de Plantas/genética , Raíces de Plantas/metabolismo , Vitis/metabolismo , Acuaporinas/genética , Transporte Biológico , Ósmosis , Hojas de la Planta/crecimiento & desarrollo , Hojas de la Planta/metabolismo , Proteínas de Plantas/genética , Raíces de Plantas/crecimiento & desarrollo , Reacción en Cadena de la Polimerasa , Presión , Vitis/genética , Vitis/crecimiento & desarrollo
7.
G Chir ; 29(1-2): 33-7, 2008.
Artículo en Italiano | MEDLINE | ID: mdl-18252146

RESUMEN

The Authors describe four cases of gastrointestinal stromal tumours (GIST) two of them were localized in the stomach, the others in the ileum. GIST are neoplasms of mesenchymal origin which develop inside the wall of the digestive tract. The most frequent site is the stomach, followed by the small bowel; less commonly these tumors can affect the oesophagus, the colon and the rectum. GIST originate from precursors of the interstitial cells of Cajal, which are localized in the gastro-intestinal wall and are involved in the regulation of the peristalsis. The treatment is surgical resection. For advanced disease there is a new interesting treatment based on the imatinib, a tyrosine kinase inhibitor.


Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo , Tumores del Estroma Gastrointestinal/cirugía , Neoplasias del Íleon/cirugía , Neoplasias Gástricas/cirugía , Anciano , Anciano de 80 o más Años , Antineoplásicos/uso terapéutico , Benzamidas , Quimioterapia Adyuvante , Cuerpos Enrollados , Femenino , Tumores del Estroma Gastrointestinal/tratamiento farmacológico , Humanos , Neoplasias del Íleon/tratamiento farmacológico , Mesilato de Imatinib , Masculino , Persona de Mediana Edad , Piperazinas/uso terapéutico , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Pirimidinas/uso terapéutico , Neoplasias Gástricas/tratamiento farmacológico
8.
J Exp Bot ; 58(15-16): 4037-46, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-18037677

RESUMEN

Xylella fastidiosa (Xf) is a xylem-limited bacterium that lives as a harmless endophyte in most plant species but is pathogenic in several agriculturally important crops such as coffee, citrus, and grapevine (Vitis vinifera L.). In susceptible cultivars of grapevine, Xf infection results in leaf scorch, premature leaf senescence, and eventually vine death; a suite of symptoms collectively referred to as Pierce's disease. A qPCR assay was developed to determine bacterial concentrations in planta and these concentrations were related to the development of leaf-scorch symptoms. The concentration of Xf in leaves of experimental grapevines grown in the greenhouse was similar to the concentration of Xf in leaves of naturally infected plants in the field. The distribution of Xf was patchy within and among leaves. Some whole leaves exhibited severe leaf-scorch symptoms in the absence of high concentrations of Xf. Despite a highly sensitive assay and a range of Xf concentrations from 10(2) to 10(9) cells g(-1) fresh weight, no clear relationship between bacterial population and symptom development during Pierce's disease was revealed. Thus, high and localized concentrations of Xf are not necessary for the formation of leaf-scorch symptoms. The results are interpreted as being consistent with an atiology that involves a systemic plant response.


Asunto(s)
Interacciones Huésped-Patógeno/fisiología , Hojas de la Planta/microbiología , Vitis/microbiología , Xylella/fisiología , Enfermedades de las Plantas , Reacción en Cadena de la Polimerasa
9.
Ann Bot ; 97(5): 903-15, 2006 May.
Artículo en Inglés | MEDLINE | ID: mdl-16390845

RESUMEN

BACKGROUND AND AIMS: The basic regulatory mechanisms that control lateral root (LR) initiation are still poorly understood. An attempt is made to characterize the pattern and timing of LR initiation, to define a developmental window in which LR initiation takes place and to address the question of whether LR initiation is predictable. METHODS: The spatial patterning of LRs and LR primordia (LRPs) on cleared root preparations were characterized. New measures of LR and LRP densities (number of LRs and/or LRPs divided by the length of the root portions where they are present) were introduced and illustrate the shortcomings of the more customarily used measure through a comparative analysis of the mutant aux1-7. The enhancer trap line J0121 was used to monitor LR initiation in time-lapse experiments and a plasmolysis-based method was developed to determine the number of pericycle cells between successive LRPs. KEY RESULTS: LRP initiation occurred strictly acropetally and no de novo initiation events were found between already developed LRs or LRPs. However, LRPs did not become LRs in a similar pattern. The longitudinal spacing of lateral organs was variable and the distance between lateral organs was proportional to the number of cells and the time between initiations of successive LRPs. There was a strong tendency towards alternation in LR initiation between the two pericycle cell files adjacent to the protoxylem poles. LR density increased with time due to the emergence of slowly developing LRPs and appears to be unique for individual Arabidopsis accessions. CONCLUSIONS: In Arabidopsis there is a narrow developmental window for LR initiation, and no specific cell-count or distance-measuring mechanisms have been found that determine the site of successive initiation events. Nevertheless, the branching density and lateral organ density (density of LRs and LRPs) are accession-specific, and based on the latter density the average distance between successive LRs can be predicted.


Asunto(s)
Arabidopsis/crecimiento & desarrollo , Raíces de Plantas/crecimiento & desarrollo , Arabidopsis/anatomía & histología , Arabidopsis/genética , Raíces de Plantas/anatomía & histología , Plantas Modificadas Genéticamente/crecimiento & desarrollo , Factores de Tiempo
10.
Alerg. inmunol. clin ; 23(3/4): 72-75, 2005.
Artículo en Español | BINACIS | ID: bin-172

RESUMEN

La criptococosis es la infeccion micotica grave mas comun en pacientes infectados por el virus de inmunodeficiencia humana (HIV) (1), siendo el SIDA el factor predisponente en el 80-90 por ciento de los casos y suele ocurrir con recuentos de CD4 menores a 200/mm3 (2). Presentamos un caso de criptococosis en un paciente con serologia negativa para HIV, en el cual encotramos una hipogammaglubulinemia, que podria corresponder a una Inmunodeficiencia Comun Variable


Asunto(s)
VIH
11.
Alerg. inmunol. clin ; 23(3/4): 72-75, 2005.
Artículo en Español | LILACS | ID: lil-429483

RESUMEN

La criptococosis es la infeccion micotica grave mas comun en pacientes infectados por el virus de inmunodeficiencia humana (HIV) (1), siendo el SIDA el factor predisponente en el 80-90 por ciento de los casos y suele ocurrir con recuentos de CD4 menores a 200/mm3 (2). Presentamos un caso de criptococosis en un paciente con serologia negativa para HIV, en el cual encotramos una hipogammaglubulinemia, que podria corresponder a una Inmunodeficiencia Comun Variable


Asunto(s)
VIH
12.
Minerva Chir ; 58(2): 149-55, 2003 Apr.
Artículo en Italiano | MEDLINE | ID: mdl-12738924

RESUMEN

BACKGROUND: The aim of this paper is to evaluate the management of an integrated unit of Day Surgery in a General Surgery Department. METHODS: An outline of the first 5 years of activity is presented. Setting of investigation: little provincial hospital. Patients have been selected on a basis of Day Surgery specific features: a total of 1,294 patients. Pathologies treated: inguinal hernias, phlebectasias, phimosis, borsitis, arthritic cysts, tendon cysts, carpal tunnel, Dupuytren's disease ("crispatura tendinum"), lymphadenitis, mammary nodules, hemorrhoids, hydroceles, varicoceles, adipomas. Patients' selection parameters, surgical operation type and modalities, postoperative course, protected discharges from hospital, follow-up and complications have all been carefully recorded. RESULTS: The most numerous operations were related to hernial pathology (54.32%) and to adipomas (10.81%). The form of anesthesia was mainly loco-regional. Only 4 cases (0.3%) had to be hospitalized for the night after operation. COMPLICATIONS: 1 serious wound infection, needing removal of the hernial prosthesis; 1 painful "tumefaction" on the inguinal wound for hernioplastic operation; 3 "seromas" in inguinal hernioplastics. CONCLUSIONS: Advantages of Day-Surgery: cut in health costs due to the reduction of admissions to hospital; reduction in hospital infections and in surgical wounds; reduction in drug use; thinning of waiting lists; increase of available beds for other pathologies; reduction of disability days; high appreciation index.


Asunto(s)
Procedimientos Quirúrgicos Ambulatorios/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Grupos Diagnósticos Relacionados , Femenino , Humanos , Italia/epidemiología , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Estudios Prospectivos
13.
Minerva Chir ; 58(1): 109-11, 2003 Feb.
Artículo en Italiano | MEDLINE | ID: mdl-12692506

RESUMEN

The diverticular disease is rarely located in the small intestine (0.1-1.4%). The most important feature is due to the lack of a typical symptomatology which may appear only on the occasion of the complications it may incur (perforation, haemorrhage and so on). It isn't also infrequent that the surgeon may observe intestinal diverticula accidentally, on the occasion of laparotomies carried out in emergency or for other pathologies. The literature on intestinal diverticula is reviewed and personal experience in a clinical case presenting as acute abdomen is described.


Asunto(s)
Divertículo/complicaciones , Enfermedades del Íleon/complicaciones , Perforación Intestinal/etiología , Enfermedades del Yeyuno/complicaciones , Abdomen Agudo/etiología , Anciano , Anastomosis Quirúrgica , Divertículo/cirugía , Humanos , Enfermedades del Íleon/cirugía , Perforación Intestinal/cirugía , Enfermedades del Yeyuno/cirugía , Masculino
14.
Proc Natl Acad Sci U S A ; 98(19): 10566-71, 2001 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-11553807

RESUMEN

The bilin prosthetic groups of the phytochrome photoreceptors and the light-harvesting phycobiliprotein antennae arise from the oxygen-dependent ring opening of heme. Two ferredoxin-dependent enzymes contribute to this conversion: a heme oxygenase and a bilin reductase with discrete double-bond specificity. Using a dual plasmid system, one expressing a truncated cyanobacterial apophytochrome 1, Cph1(N514), and the other expressing a two-gene operon consisting of a heme oxygenase and a bilin reductase, these studies establish the feasibility of producing photoactive phytochromes in any heme-containing cell. Heterologous expression systems for phytochromes not only will facilitate genetic analysis of their assembly, spectrophotometric activity, and biological function, but also might afford the means to regulate gene expression by light in nonplant cells.


Asunto(s)
Apoproteínas/biosíntesis , Proteínas Bacterianas , Biliverdina/análogos & derivados , Cianobacterias , Fitocromo/biosíntesis , Proteínas Quinasas/biosíntesis , Apoproteínas/genética , Biliverdina/biosíntesis , Ingeniería Genética , Fotorreceptores Microbianos , Ficobilinas , Ficocianina/biosíntesis , Fitocromo/genética , Proteínas Quinasas/genética , Pirroles , Tetrapirroles
15.
Fungal Genet Biol ; 28(1): 68-78, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10512673

RESUMEN

The trichodiene synthase (tri5) gene of Fusarium venenatum was cloned from a genomic library. Vectors were created in which the tri5 coding sequence was replaced with the Neurospora crassa nitrate reductase (nit3) gene and with the Aspergillus nidulans acetamidase (amdS) gene flanked by direct repeats. The first vector was utilized to transform a nitrate reductase (niaD) mutant of F. venenatum to prototrophy, and the second vector was utilized to confer acetamide utilization to the wild-type strain. Several of the transformants lost the capacity to produce the trichothecene diacetoxyscirpenol and were shown by hybridization analysis to have gene replacements at the tri5 locus. The nit3 gene was removed by retransformation with a tri5 deletion fragment and selection on chlorate. The amdS gene was shown to excise spontaneously via the flanking direct repeats when spores were plated onto fluoroacetamide.


Asunto(s)
Liasas de Carbono-Carbono/genética , Proteínas Fúngicas/genética , Fusarium/genética , Genes Fúngicos , Transformación Genética , Amidohidrolasas/genética , Aspergillus nidulans/enzimología , Aspergillus nidulans/genética , Southern Blotting , Fusarium/enzimología , Eliminación de Gen , Técnicas de Transferencia de Gen , Vectores Genéticos , Nitrato-Reductasa , Nitrato Reductasas/genética , Tricotecenos/metabolismo
16.
J Biol Chem ; 274(18): 12372-5, 1999 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-10212209

RESUMEN

Trametes villosa laccase was mutated on a tetrapeptide segment near the type 1 site. The mutations F463M and F463L were at the position corresponding to the type 1 copper axial methionine (M517) ligand in Zucchini ascorbate oxidase. The mutations E460S and A461E were near the T1 copper site. The mutated Trametes laccases were expressed in an Aspergillus oryzae host and characterized. The E460S mutation failed to produce a transformant with meaningful expression. The F463L and A461E mutations did not significantly alter the molecular and enzymological properties of the laccase. In contrast, the F463M mutation resulted in a type 1 copper site with an EPR signal intermediate between that of the wild type laccase and plastocyanin, an altered UV-visible spectrum, and a decreased redox potential (by 0.1 V). In oxidizing phenolic substrate, the mutation led to a more basic optimal pH as well as an increase in kcat and Km. These effects are attributed to a significant perturbation of the T1 copper center caused by the coordination of the axial methionine (M463) ligand.


Asunto(s)
Basidiomycota/enzimología , Cobre/metabolismo , Oxidorreductasas/genética , Secuencia de Bases , Cartilla de ADN , Espectroscopía de Resonancia por Spin del Electrón , Concentración de Iones de Hidrógeno , Lacasa , Mutagénesis Sitio-Dirigida , Oxidorreductasas/metabolismo , Espectrofotometría Ultravioleta , Especificidad por Sustrato
18.
Gastrointest Endosc ; 42(5): 387-9, 1995 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8566624

RESUMEN

AIMS: This multicenter and prospective study was aimed at examining the appropriate use of upper gastrointestinal endoscopy in an open access system (primary endoscopy) using the American Society for Gastrointestinal Endoscopy (ASGE) guidelines. We also wished to see whether these guidelines can be easily used in clinical practice. MATERIALS AND METHODS: Three thousand four hundred fourteen upper gastrointestinal endoscopies performed in seven endoscopy units of different size were studied prospectively. The real indication, to be with the guidelines, was determined by the endoscopist before performing the examination, based on a patient's history. RESULTS: Seven hundred eighty-one (23%) endoscopies were "generally not indicated," according to ASGE guidelines, and were distributed as follows: follow-up of duodenal ulcer healing (33%), follow-up of other healed benign diseases (24%), surveillance of gastric atrophy, pernicious anemia, metaplasia, treated achalasia, and prior gastric intervention (14%), diagnosis of dyspepsia considered functional in origin (13%), and uncomplicated heartburn responding to medical therapy (7%). Endoscopies "generally not indicated" accounted for 23% in the bigger endoscopy units, 24% in the average sized units, and 22% in the smaller ones. They accounted for 32% when the examination was prescribed by family doctors, 17% when prescribed by internists, 19% by surgeons, and 14% by gastroenterologists (p < 0.001). Eighty-six (2.5%) endoscopies were done for indications not provided in the guidelines. CONCLUSIONS: This study shows that ASGE guidelines are complete and easy to use and that the rate of inappropriate indications in an open access system can be considerable. They occurred mainly in the follow-up of healed benign disease and were more frequent when the examination was prescribed by the family doctor.


Asunto(s)
Endoscopía Gastrointestinal/normas , Guías de Práctica Clínica como Asunto , Endoscopía Gastrointestinal/estadística & datos numéricos , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Garantía de la Calidad de Atención de Salud , Sociedades Médicas
19.
Minerva Chir ; 48(6): 259-64, 1993 Mar 31.
Artículo en Italiano | MEDLINE | ID: mdl-7685072

RESUMEN

The authors, in some rare cases of surgical neoplastic icterus operation, had to adopt a technique of biliary-digestive bypass with prosthesis on account of the technical-anatomical and general conditions of the patients. That prosthesis has been made out of the typical Keher's duct which can be generally found in every general surgery. The above mentioned authors describe the operations they have carried out, their directions and the results of six cases which have been treated with a technique similar to Kron's.


Asunto(s)
Procedimientos Quirúrgicos del Sistema Biliar/métodos , Colestasis/cirugía , Neoplasias del Sistema Digestivo/cirugía , Procedimientos Quirúrgicos del Sistema Digestivo , Drenaje/métodos , Cuidados Paliativos/métodos , Anciano , Anastomosis Quirúrgica , Colestasis/etiología , Neoplasias del Sistema Digestivo/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad
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