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A giant scrotal pendulous fibroma mimicking a supernumerary testis

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Asian Journal of Andrology 2024年第2期26卷 227-228页

作者： Luigi Quaresima Rocco Francesco Delle Fave giordano Polisini Daniela Fasanella Willy Giannubilo Urology Division Civitanova Marche HospitalCivitanova Marche 62012Italy Department of Clinical and Specialist Sciences Division of UrologyPolytechnic University of the Marche Region Medical SchoolAncona 60126Italy Department of Life Health and Environmental SciencesUniversity of L'AquilaL'Aquila 67100Italy

DearEditor,Pendulous fibroma,also called acrochordon,is a benign skin neoplasm,originating from the ***,small in size,it can arise from any point of the dermis(frequently from the axillary area,inguinal region,eyelid,or neck),and in some cases,it can be *** fibromas are more frequent in obese subjects,and most of the time,they are sporadic,although sometimes,they can be observed in Birt-Hogg-Dube *** some rare cases,they can reach considerable ***,they are associated with diabetes mellitus,obesity,and intestinal ***,the pedicle undergoes torsion,causing pain and ischemic necrosis of the fibroma,which requires rapid removal of the *** present a case of giant pendulous fibroma of the *** patient has given his consent to the publication of his clinical information and photographic images in an anonymous form.

关键词： frequent obesity clinical

Knowledge,management,and complications of sepsis and septic shock:A significant therapeutic challenge in the intensive care unit

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Journal of Acute Disease 2024年第2期13卷 53-59页

作者： Jakub Mizera Adrian Bystroń Karolina Matuszewska Justyna Pilch Ugo giordano Wroclaw Medical University wyb.Ludwika Pasteura 150-367 WrocławPoland

Sepsis and septic shock are life-threatening conditions that are globally responsible for almost 20%of mortality,especially in low and middle-income *** review was conducted on PubMed and Google Scholar databases with keywords sepsis,septic shock,sepsis management,and sepsis *** published up to July 2023 in English were *** and management should be carried out without unnecessary *** between various medical specialties including intensive care doctors,neurologists,hepatologists,cardiologists,and pediatric doctors is needed if a child is *** strategies have to be implemented in low and middle-income countries to decrease the sepsis incidence and reduce mortality in the population.

关键词： Sepsis Septic shock Management Complications Diagnosis Review

First report of splenic rupture following deep enteroscopy

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World Journal of Gastrointestinal Endoscopy 2016年第9期8卷 391-394页

作者： Carlo Maria Girelli Roberta Pometta Corinna Facciotto Roberto Mella giordano bernasconi Gastroenterologyand Digestive Endoscopy Unit Hospital of Busto Arsizio Division of Internal Medicine Hospital of Angera

Splenic rupture is a rare complication of diagnostic and therapeutic gastrointestinal endoscopy ***,we report for the first time a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy,which occurred in an 85-year-old man who was treated for recurrent mid-intestinal bleeding that resulted from ileal *** patient promptly underwent an operation and eventually recovered.

关键词： Angioectasia Artero-venous malformation Capsule endoscopy Complication Deep enteroscopy Device assisted enteroscopy Double balloon enteroscopy Mid gastrointestinal bleeding Obscure gastrointestinal bleeding Small bowel Splenic injury Splenic rupture

Patient Safety in the Use of Mechanical Restraints: Regulatory Compliance among Hospitals in the City of Buenos Aires and Proposal for Its Improvement

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Open Journal of Emergency Medicine 2024年第2期12卷 33-39页

作者： Martín Javier Mazzoglio y Nabar Sergio giordano Edgardo Knopoff Lorena Onofrio Oscar Agustín Porta Romina Rodríguez Emergency Service Torcuato de Alvear Psychiatric Emergency Hospital Buenos Aires Argentina Department of Psychiatry and Mental Health Faculty of Medicine University of Buenos Aires Buenos Aires Argentina

Introduction: Mechanical or physical restraint is an exceptional therapeutic resource to immobilize a subject and thus guarantee the safety of the patient and/or third parties in the face of high-risk behaviors, but it entails multiple crossings (bioethical, philosophical, medical, psychological, legal). Framed in the so-called “safety culture” developed by the WHO, based on the Protocol for its implementation of the CABA and attentive to its frequent use in CABA by different hospital services (medical clinic, geriatrics, intensive care and medical guards) we consider it necessary its study in terms of compliance with the risks it entails and its management. Objectives: Identify regulatory compliance with the GCABA Mechanical restraint (MR) Protocol from a patient safety perspective, as well as describe the clinical and medicolegal aspects, and propose the usefulness of a tool for its management and control. Methodology: Observational, descriptive, transversal and prospective work through the analysis of Clinical Records with indication of MR using a rubric-type form. 177 cases were analyzed between September-November 2023 from three hospitals of the Government of the City of Buenos Aires, statistical parameters were applied and graphs were made. Results: Only 12.99% complied with the Protocol. In the mental health specialized hospital compliance was almost 5 times greater than in the general one, and in the emergency services compliance was 12 times greater than in Inpatient services. We found that the start or end time of MR was not recorded and only 43% described the causes/justifications for the indication (mostly in Emergency and Specialized hospitals), with the MR average time being shorter in Emergency. Conclusions: Only 1.3 out of 10 patients reliably completed the Protocol and it was mostly in the mental health specialized hospital and the emergency services. The results show non-compliance behavior in the application and management of the risk that the use

关键词： Mechanical Containment Patient Safety Injuries in Custody Buenos Aires City Check List

Tuning mesenchymal stem cell secretome therapeutic potential through mechanotransduction

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BIOCELL 2022年第6期46卷 1375-1381页

作者： giordano WOSGRAU CALLONI MARCO AUGUSTO STIMAMIGLIO Laboratório de Plasticidade e Diferenciação de Células da Crista Neural Departamento de Biologia CelularEmbriologia e GenéticaCentro de Ciências BiológicasUniversidade Federal de Santa CatarinaCampus Universitário–TrindadeCEPFlorianópolis88040-900Brazil Laboratório de Biologia Básica de Células-Tronco Instituto Carlos ChagasFiocruz/PRCEPCuritiba81350-010Brazil

Mesenchymal stem cells(MSCs)and their byproducts have been widely validated as potential therapeutic products for regenerative *** therapeutic effects result mainly from the paracrine activity of MSCs,which consists of the secretion of bioactive molecules,whether dispersed in medium conditioned by cell culture or encapsulated in extracellular *** composition of the MSC secretome,which represents the set of these secreted cellular products,is crucial for the performance of the desired therapeutic *** cell culture strategies have been employed to adjust the secretome composition of MSCs to obtain the best therapeutic responses for different clinical ***,the manipulation of culture conditions has focused mainly on the use of different biochemical elements for the preconditioning of MSCs and less on the physical conditions of the cell culture ***,we offer our point of view regarding the importance of the physical properties of cell culture substrates and their mechanotransduction responses in preconditioning the MSCs *** highlight the relevance of studying mechanotransduction events associating cell morphology and the modulation of gene expression to customize and expand the use of MSCs secretomes.

关键词： Mesenchymal stem cells Mechanotransduction Scaffolds Secretome Bioengineering

Understanding human-leopard conflict in the ‘Mid-hill’ region of western Nepal

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Journal of Mountain Science 2023年第12期20卷 3464-3475页

作者： LAMICHHANE Saroj THAPA Arjun THAPA Mahendra Singh PANTHI Saroj giordano Anthony J School of Forestry and Natural Resources Management Institute of ForestryKirtipur 44613Nepal Institute of Fundamental Research and Studies(InFeRS) Baniyatar 44608Nepal Institute of Zoology Chinese Academy of SciencesBeijing 100101China Institute of Forestry Office of DeanKirtipur 44613Nepal Ministry of Industry TourismForest and EnvironmentKaski 33700Nepal SPECIES-The Society for the Preservation of Endangered Carnivores and their International Ecology Study VenturaCA 93006USA

Livestock rearing and agriculture are the main sources of community-based livelihoods in western *** the rural mid-hills region of Gandaki Province,leopards are the top predator and frequently depredate livestock and attack *** patterns of human-leopard conflicts(HLC) in Nepal are poorly known at the provincial and national scales,which are essential to formulating effective conflict mitigation strategies and implementing them in the *** study aims to analyze the spatiotemporal pattern of HLC by applying Maxent modeling to covariates relating to known and registered conflict cases(n=842) collected from Nepalese government *** found that cases of HLC have been increasing significantly over the past five *** also concluded that mid-elevation,south-facing slopes were more susceptible to HLC,but that mean annual temperature was by far the most important predictor of HLC;overall livestock density and proximity to roads were also important,but secondarily *** we found the increase in human fatalities to 2.16/year was significant(p0.05).However,we also found an increasing trend in livestock depredation rates for this same five-year period(p<0.05),which averaged 159.6 head/year among incidents *** also found that winter was the main season when depredations occurred,and that goats were the most depredated of all livestock.A total US $86,892.25($17,378.45/year) of economic losses were incurred by communities during this time,with 78.57% of the total value reimbursed as compensatory relief through the government’s relief *** recommend that the use of predator-proof livestock corrals,greater awareness in local communities about wildlife behavior,better animal husbandry and security practices,and a more efficient compensation program,can improve coexistence between leopard populations and human communities in western Nepal.

关键词： Coexistence Compensation Economic loss Human-wildlife conflict Livestock depredation Maximum entropy Problem animals Sustainable livelihood

Music therapy and pediatric palliative care:songwriting with children in the end-of-life

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World Journal of Pediatrics 2022年第10期18卷 695-699页

作者： Filippo giordano Chiara Rutigliano Mariagrazia Baroni Massimo Grassi Paola Muggeo Nicola Santoro Department of Emergency and Organ Transplants University of Bari Aldo MoroPiazza G.Cesare 1170124BariItaly Section of Pediatric Hematology-Oncology University Hospital of BariBariItaly Hospice Madonna Dell’Uliveto AlbineaREItaly

Children's needs in pediatric palliative care(PPC)are complex and are determined by age,the course of the disease,family structure,and cultural background[1].The child's family system also has multiple needs which mus... 详细信息

关键词： pediatric assessed palliative

Black-box Modeling of Converters in Renewable Energy Systems for EMC Assessment:Overview and Discussion of Available Models

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Chinese Journal of Electrical Engineering 2022年第2期8卷 13-28页

作者： Lu Wan Abduselam H.Beshir Xinglong Wu Xiaokang Liu Flavia Grassi giordano Spadacini Sergio A.Pignari Department of Electronics Information and BioengineeringPolitecnico di MilanoMilan 20133Italy

The development of renewable energy systems interfaced with the grid by power electronic converters leads to increasing issues of electromagnetic coexistence between power and communication lines,as well as severe power quality issues,such as total harmonic distortion at the consumer ***,high-frequency modeling of renewable energy systems is of great importance to guide the design and development of distribution networks involving renewable *** to system complexity,black-box modeling approaches offer more advantages than traditional circuit modeling,as far as electromagnetic compatibility(EMC)analysis and filter design are the *** this study,different black-box modeling techniques for power converters are introduced and systematically ***,the general theory of black-box modeling is ***,three different modeling approaches are compared in terms of accuracy and the required experimental ***,the possible limitations of black-box modeling of power converters are investigated and discussed.

关键词： Renewable energy system black-box modeling electromagnetic compatibility(EMC) conducted emission(CE)

Stability of Nonlinear Differential-Algebraic Systems Via Additive Identity

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IEEE/CAA Journal of Automatica Sinica 2020年第4期7卷 929-941页

作者： Pierluigi Di Franco giordano Scarciotti Alessandro Astolfi the Electrical and Electronic Engineering Department Imperial College LondonLondon SW72AZUK

The stability analysis for nonlinear differentialalgebraic systems is addressed using tools from classical control theory. Sufficient stability conditions relying on matrix inequalities are established via Lyapunov Direct Method. In addition, a novel interpretation of differential-algebraic systems as feedback interconnection of a purely differential system and an algebraic system allows reducing the stability analysis to a smallgain-like condition. The study of stability properties for constrained mechanical systems, for a class of Lipschitz differential-algebraic systems and for an academic example is used to illustrate the theory.

关键词： Differential-algebraic systems Lyapunov method small-gain theorem stability analysis