3 resultados para Exploratory laparotomy
em AMS Tesi di Dottorato - Alm@DL - Università di Bologna
Resumo:
Obiettivo: capire la relazione che intercorre tra le coliche del cavallo e le parassitosi intestinali, quindi capire l’effettiva rilevanza clinica delle infezioni parassitarie. Tipo di studio: studio clinico-chirurgico e parassitologico. Metodi: in questo studio sono stati presi in esame 92 cavalli afferiti presso il servizio SARGA del Dipartimento di Scienze Mediche Veterinarie durante gli anni 2009-2011. 27 di questi soggetti sono stati sottoposti a laparotomia esplorativa per colica, 22 avevano una colica che si è risolta con terapia medica, sono stati 43 i cavalli afferiti presso il servizio per patologie diverse dall’addome acuto. I cavalli da cui è stato possibile prelevare un’adeguato quantitativo di feci (# 86) sono stati sottoposti ad esami coprologici, qualitativi e quantitativi. I dati ottenuti sono stati sottoposti ad analisi statistica descrittiva, al test del Chi quadrato e al test di Kuskall-Wallis rispettivamente per le prevalenze e i dati quantitativi, oltre ad una regressione logistica per evidenziare i fattori di rischio. Dai cavalli sottoposti a celiotomia è stato prelevato il contenuto intestinale per la raccolta dei parassiti adulti. Risultati: la prevalenza e l’abbondanza degli strongili è risultata significativamente minore nei cavalli sottoposti a chirurgia addominale rispetto al totale della popolazione presa in esame. Differenze significative di prevalenza sono state evidenziate anche tra i cavalli in colica medica e chirurgica. L’unico fattore di rischio evidenziato dall’analisi di regressione logistica è rappresentato dall’età per le sole coliche trattate chirurgicamente. Né strongili né ascaridi sembrano aumentare il rischio di colica. La probabilità di decesso aumenta significativamente in caso di colica chirurgica ma non è influenzata in alcun modo dalle infezioni parassitarie.
Resumo:
The current research project focuses on the analysis of the critical issues of industrial heritage management in Italy and the preservation of organizational history within the reuse projects of former industrial sites. The organizational and managerial perspective is crucial on two levels. Firstly, it is important in the analysis of the original significance of the site, and in particular its organizational history, and its conservation within the new regeneration strategy. Secondly, it is crucial at the phase of management of reuse projects and its feasibility and sustainability analysis. Based on the analysis of the literature, a unique classification of the reuse strategies that can be implemented in order to regenerate former industrial sites has been formulated. The exploratory research thus adapts a multiple case study design. Eight Italian case studies have been chosen, one for each type of regeneration strategy. Each case study is explored as a stand-alone entity through the analysis of the local differences and idiosyncrasies of the specific context, the factors that stood behind the choice of the reuse strategy and the way the reuse project evolved through the years. Then, the current management of each reuse project is analysed. The narration and musealization of the organizational history is investigated through the spatial dimension, the level of content and the level of expression. Secondly, the case studies are compared through a cross-case analysis from three different perspectives: issues on the phase of preparation and implementation of the reuse projects, critical issues behind the current management of new projects and issues on the ways of preservation and narration of organizational history within the new project. The research shows that all regeneration strategies are affected by the conflict between preservation and change, by the issue of materiality and selectivity.
Resumo:
MicroRNAs act as oncogene or tumor suppressor gene regulators and are actively released from tumor cells in the circulation. Specific microRNAs can be isolated and quantified in the blood, usually in serum or plasma fractions, where they are uncommonly stable. Cell-free microRNAs serve many, and possibly yet unexplored, functional roles and microRNA levels reflect underlying conditions and have been associated with skin cancer presence, stage and evolution. However, the clinical potential of circulating miRNAs in metastatic melanoma remains largely undefined. From May 2020 to September 2022, we conducted a spontaneous, monocentric, exploratory study on human tissues in vitro, which aimed to evaluate the prognostic and predictive role of circulating miRNAs in metastatic melanoma patients. At the Medical Oncology Unit of Policlinico Sant’Orsola-Malpighi of Bologna, peripheral venous blood samples from patients with metastatic melanoma treated with checkpoint inhibitors (CPI) were collected before the start of CPI (baseline, T0) and longitudinally, approximately every 3 months (T1, T2, etc). Circulating miRNA quantification was performed by droplet digital PCR (Biorad) using an EvaGreen and LNA primer-based assays. QuantaSoft Program (Biorad) calculated the absolute quantifications of each miRNA, indicated as copies/µL. After analysis of the literature, we chose to analyze miR-155-5p, miR-320a and miR-424-5p level. All miRNAs except miR-424-5p show a significantly higher level in plasma of patients who are alive after 1 year of follow-up. High/low levels of baseline miR-155-5p, miR-320a and miR-424-5p are significantly associated with overall survival and progression-free survival. Furthermore, a preliminary analysis on the group of patients who received first-line with anti-PD-1 (N=7), baseline miR-155-5p shows higher levels in responder vs. non responder patients (p 0.06). These data, though promising, are preliminary and need to be further investigated in a larger cohort of patients.