Le judai͏̈sme au XXe siècle

par Vittorio Giavi

Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation.

BACKGROUND There is great variability for the type of anaesthesia used during TAVI, with no clear consensus coming from comparative studies or guidelines. We sought to detect regional differences in the anaesthetic management of patients undergoing transcatheter aortic valve implantation (TAVI) in Europe and to evaluate the relationship between type of anaesthesia and in-hospital and 1year outcome. METHODS Between January 2011 and May 2012 the Sentinel European TAVI Pilot Registry enrolled 2807 patients treated via a transfemoral approach using either local (LA-group, 1095 patients, 39%) or general anaesthesia (GA-group, 1712 patients, 61%). RESULTS A wide variation in LA use was evident amongst the 10 participating countries. The use of LA has increased over time (from a mean of 37.5% of procedures in the first year, to 57% in last 6months, p<0.01). MI, major stroke as well as in-hospital death rate (7.0% LA vs 5.3% GA, p=0.053) had a similar incidence between groups, confirmed in multivariate regression analysis after adjusting for confounders. Dividing our population in tertiles according to the Log-EuroSCORE we found similar mortality under LA, whilst mortality was higher in the highest risk tertile under GA. Survival at 1year, compared by Kaplan-Meier analysis, was similar between groups (log-rank: p=0.1505). CONCLUSIONS Selection of anaesthesia appears to be more influenced by national practice and operator preference than patient characteristics. In the absence of an observed difference in outcomes for either approach, there is no compelling argument to suggest that operators and centres should change their anaesthetic practice.

Protesta di Tranquillo Corcos ... al tribunale della santa inquisizione contro il neofio D. Paolo Sebastiano Medici, predicatore

pubbl. da un ms. orig. del 1697 con corr. e note da Vittorio Castiglioni

The future of transcatheter mitral valve interventions: competitive or complementary role of repair vs. replacement?

Transcatheter mitral interventions has been developed to address an unmet clinical need and may be an alternative therapeutic option to surgery with the intent to provide symptomatic and prognostic benefit. Beyond MitraClip therapy, alternative repair technologies are being developed to expand the transcatheter intervention armamentarium. Recently, the feasibility of transcatheter mitral valve implantation in native non-calcified valves has been reported in very high-risk patients. Acknowledging the lack of scientific evidence to date, it is difficult to predict what the ultimate future role of transcatheter mitral valve interventions will be. The purpose of the present report is to review the current state-of-the-art of mitral valve intervention, and to identify the potential future scenarios, which might benefit most from the transcatheter repair and replacement devices under development.

31. Armee-Bulletin: So eben erhalte ich vom Herrn Feldmarschall Grafen Radetzky nachstehende Mittheilung aus dem Hauptquartiere Vespolato ...

Welsch (Projektbearbeiter): Sieg der Österreicher unter Radetzky gegen die piemontesische Armee bei Novara (23. März 1849). Abdankung König Carlo Albertos von Piemont-Sardinien zugunsten seines Sohnes Vittorio Emanuele

Dish Detection and Segmentation for Dietary Assessment on Smartphones

Diet-related chronic diseases severely affect personal and global health. However, managing or treating these diseases currently requires long training and high personal involvement to succeed. Computer vision systems could assist with the assessment of diet by detecting and recognizing different foods and their portions in images. We propose novel methods for detecting a dish in an image and segmenting its contents with and without user interaction. All methods were evaluated on a database of over 1600 manually annotated images. The dish detection scored an average of 99% accuracy with a .2s/image run time, while the automatic and semi-automatic dish segmentation methods reached average accuracies of 88% and 91% respectively, with an average run time of .5s/image, outperforming competing solutions.

Food Recognition for Dietary Assessment Using Deep Convolutional Neural Networks

Diet management is a key factor for the prevention and treatment of diet-related chronic diseases. Computer vision systems aim to provide automated food intake assessment using meal images. We propose a method for the recognition of already segmented food items in meal images. The method uses a 6-layer deep convolutional neural network to classify food image patches. For each food item, overlapping patches are extracted and classified and the class with the majority of votes is assigned to it. Experiments on a manually annotated dataset with 573 food items justified the choice of the involved components and proved the effectiveness of the proposed system yielding an overall accuracy of 84.9%.

Héroe y gente en el resurgimiento italiano : el caso Garibaldi

Desde 1861 hasta hoy, aunque con interpretaciones muy diferentes, Garibaldi es un ícono de la historia italiana y ha sido y es la opción ideal del héroe que luchó por la unificación de Italia, por la libertad de los otros pueblos, al representar siempre un modelo de personaje funcional en perspectiva pedagógica para la dimensión unitaria del país. Se desencadenó así un proceso sociológico de identificación a través de las imágenes y un registro de la memoria que ha encontrado su desarrollo en la epopeya garibaldina de la Primera Guerra Mundial y más tarde en la epopeya de la Resistencia. La leyenda garibaldina se transmitió, además, a través de la literatura, gracias a escritores como Edmundo de Amicis, a través del cual se puede apreciar el elogio del patrimonio cultural que representan los grandes escritores del pasado, como humus de la alcanzada unidad del país. Después de su muerte, la iconografía monumental intentará enviar un mensaje de unidad política de los italianos, erigiendo estatuas en las que se representan a Garibaldi y a Vittorio Emanuele, ambos a caballo, con la idea simbólica de un encuentro entre la revolución democrática de uno y el centralismo monárquico del otro.