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Corrective osteotomies of the radius:Grafting or not?

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World Journal of Orthopedics 2016年第2期7卷 128-135页

作者： Raffaele Mugnai Luigi Tarallo Enrico Lancellotti Francesco Zambianchi Ettore Di Giovine Fabio Catani roberto adani Orthopedics and Traumatology Department Modena PoliclinicUniversity of Modena and Reggio Emilia Department of Hand Surgery and Microsurgery University Hospital Policlinico di Modena

AIM:To review the current literature regarding corrective osteotomies to provide the best evidence of the rule of bone ***:Our MEDLINE literature search included 280 studies using the following key words "Malunited distal radius fracture" and 150 studies using key words "Corrective osteotomy of the distal radius".Inclusion criteria were:Malunited distal radial,extra articular fracture,volar locking plate,use of iliac bone graft(cancellous or corticocancellous),non-use of bone *** studies met the inclusion ***:Seven of the 12 studies considered,described the use of a graft;the remaining five studies didn't use any *** of malunion was dorsal in most of the *** healing time was comparable using the graft or not(mean 12.5 wk),ranging from 7.5 to 16 *** mean disabilities of the arm,shoulder and hand score improvement was 23 points both in the studies that used the graft and in those not using the ***:This review demonstrated that corrective osteotomy of extra-articular malunited fractures of the distal radius treated by volar locking plate does not necessarily require bone graft.

关键词： Radial fracture Osteotomy Graft Volar plate Malunion

Painful scar neuropathy:principles of diagnosis and treatment

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Plastic and Aesthetic Research 2015年第1期2卷 156-164页

作者： Pierluigi Tos Alessandro Crosio Pierfrancesco Pugliese roberto adani Francesca Toia Stefano Artiaco Department of Orthopedics Reconstructive Microsurgery UnitCity of Health and Sciences of TurinTrauma Hospital10100 TorinoItaly Department of Hand Surgery and Microsurgery University Hospital of Verona37126 VeronaItaly Plastic and Reconstructive Surgery Department of SurgicalOncological and Oral SciencesUniversity of Palermo90127 PalermoItaly

Nerve-tissue interactions are *** nerve injuries may involve intraneural and extraneural scar formation and affect nerve gliding planes,sometimes leading to complex clinical *** of these pathological entities involve pain as the main clinical symptom and can be subsumed under the term“painful scar neuropathy”.The authors review the literature on treatment approaches to peripheral nerve scar neuropathy and the outcomes of neurolysis-associated procedures and propose a simple classification and a therapeutic approach to scar *** search retrieved twenty-one papers,twenty of which reported pain reduction or resolution with various *** is no consensus on the best therapeutic approach to neuropathic pain due to scar *** authors report good or excellent results with different techniques,from nerve wrapping with anti-adhesion devices to nerve coverage or wrapping with vascularized *** authors’classification of and therapeutic approach to peripheral nerve scar lesions aims at promoting a logical approach based on the analysis of lesion type(perineural,or endoneural and perineural),pain type(due to traction or external trauma,pain at rest),and number of previous *** need to be informed that multiple procedures may be required,that outcomes may be partial,and that surgery can potentially worsen preoperative *** review found no evidence for the best therapeutic approach to scar neuropathy,but there is consensus on a multidisciplinary approach.

关键词： Complex regional pain syndrome type II painful neuropathy painful scar neuropathy scar neuritis traction neuropathy

Biodegradability of soil water soluble organic carbon extracted from seven different soils

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Journal of Environmental Sciences 2009年第5期21卷 641-646页

作者： SCAGLIA Barbara adani Fabrizio Department of Crop Science Section of Soil Chemistry University of Milano

Water soluble organic carbon （WSOC） is considered the most mobile and reactive soil carbon source and its characterization is an important issue for soil ecology study. A biodegradability test was set up to study WSOC extracted from 7 soils differently managed. WSOC was extracted from soil with water （soil/water ratio of 1：2, W/V） for 30 min, and then tested for biodegradability by a liquid state respirometric test. Result obtained confirmed the finding that WSOC biodegradability depended on the both land use and management practice. These results suggested the biodegradability test as suitable method to characterize WSOC, and provided useful information to soil fertility.

关键词： biodegradability test cumulated oxygen uptake water extractable organic carbon water soluble organic carbon

Cr(Ⅵ) reduction capability of humic acid extracted from the organic component of municipal solid waste

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Journal of Environmental Sciences 2013年第3期25卷 487-494页

作者： Barbara Scaglia Fulvia Tambone Fabrizio adani Gruppo Ricicla Dipartimento di Science Agrarie e Ambientali:ProduzioneTerritorioAgroenergiaUniversità degli Studi di Milano

The capacity of humic acid extracted from organic waste （HAw） to reduce Cr（Ⅵ） was tested at pH 2.5,4 and 6 and compared with coal-derived humic acid （HAc）.HAw was more effective than HAc in reducing Cr（Ⅵ）.The kinetics of Cr（Ⅵ） reductions depended strongly on *** calculation of the apparent rate coefficients indicated that HAw was more efficient at reducing Cr（Ⅵ） than HAc,but was also more efficient than HAs from soil and *** reduction capability of HAs depends on the type of functional groups （i.e.,thiols and phenols） present,rather than the free *** was more efficient at reducing Cr（Ⅵ） than HAc because more reactive phenols were present,i.e.,methoxy-and methyl-phenols.

关键词： hexavalent chromium humic acid reduction kinetic organic fraction municipal solid waste phenol molecules

Pros and cons of liver transplantation in human immunodeficiency virus infected recipients

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World Journal of Gastroenterology 2014年第18期20卷 5353-5362页

作者： Umberto Baccarani Elda Righi Gian Luigi adani Dario Lorenzin Alberto Pasqualucci Matteo Bassetti Andrea Risaliti Liver Transplant Unit Department of Medical and Biological SciencesUniversity Hospital of Udine33100 UdineItaly Division of Infectious Disease University Hospital of Udine33100 UdineItaly Department of Anaesthesiology University of Perugia33100 UdineItaly

Before the introduction of combined highly active antiretroviral therapy, a positive human immunodeficiency virus (HIV) serological status represented an absolute contraindication for solid organ transplant (SOT). The advent of highly effective combined antiretroviral therapy in 1996 largely contributed to the increased demand for SOT in HIV-positive individuals due to increased patients’ life expectancy associated with the increasing prevalence of end-stage liver disease (ESLD). Nowadays, liver failure represents a frequent cause of mortality in the HIV-infected population mainly due to coinfection with hepatitis viruses sharing the same way of transmission. Thus, liver transplantation (LT) represents a reasonable approach in HIV patients with stable infection and ESLD. Available data presently supports with good evidence the practice of LT in the HIV-positive population. Thus, the issue is no longer “whether it is correct to transplant HIV-infected patients”, but “who are the patients who can be safely transplanted” and “when is the best time to perform LT”. Indeed, the benefits of LT in HIV-infected patients, especially in terms of mid- and long-term patient and graft survivals, are strictly related to the patients’ selection and to the correct timing for transplantation, especially when hepatitis C virus coinfection is present. Aim of this article is to review the pros and cons of LT in the cohort of HIV infected recipients.

关键词： Liver transplantation Human immunodeficiency virus/hepatitis C virus coinfection Hepatocellular carcinoma Immunosuppression

Combined approach for spontaneous rupture of hepatocellular carcinoma

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World Journal of Hepatology 2010年第1期2卷 49-51页

作者： Anna Rossetto Gian Luigi adani Andrea Risaliti Umberto Baccarani Vittorio Bresadola Dario Lorenzin Giovanni Terrosu Department of Surgery & Transplantation University HospitalP.Le S.M.della Misericordia

Ruptured hepatocellular carcinoma is a rare,emergency occurrence in western countries with high mortality risk.A number of hypotheses have been formulated in order to explain the precise mechanism that leads to hepatocellular carcinoma(HCC) rupture:sub-capsular location,dimensions,portal hypertension,tumour necrosis,local increase of venous pressure due to the outflow reduction caused by neoplastic invasion,and the presence of a previous vascular injury which might predispose to HCC *** is still a debate in the literature concerning the best approach in cases of HCC *** is the first option for treatment of acute abdominal *** the advent of endovascular treatments widens the range of possible therapies for acute bleeding control and subsequent ablation *** report a case of hemoperitoneum from spontaneous rupture of undiagnosed HCC,that was treated successfully by emergency surgical resection followed by transarterial chemo-embolizationfor local recurrence.

关键词： Hemoperitoneum Acute abdominal bleeding Bleeding hepatocellular carcinoma

Resective surgery for liver tumor: a multivariate analysis of causes and risk factors linked to postoperative complications

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Hepatobiliary & Pancreatic Diseases International 2006年第4期5卷 526-533页

作者： Enrico Benzoni Dario Lorenzin Umberto Baccarani Gian Luigi adani Alessandro Favero Alessandro Cojutti Fabrizio Bresadola Alessandro Uzzau Department of Surgery University of Udine School of Medicine Udine Italy

BACKGROUND: In spite of accurate selection of patients eligible for resection, and although advances in surgical techniques and perioperative management have greatly contributed to reducing the rate of perioperative deaths, stress must be placed on reducing the postoperative complication rates reported to be still as high as 50%. This study was designed to analyze the causes and foreseeable risk factors linked to postoperative morbidity on the grounds of data derived from a single-center surgical population. METHODS: From September 1989 to March 2005, 287 consecutive patients, affected either with HCC or liver metastasis, had liver resection at our department. Among the HCC series we recorded 98 patients (73.2%) in Child- Pugh class A, 32 (23.8%) in class B and 4 in class C (3%). In 104 colorectal metastases, 71% were due to colon cancer, 25% rectal, 3% sigmoid, and 1% anorectal. In 49 non-colorectal metastases, 22.4% were derived from breast cancer, 63.2% gastrointestinal tumors (excluding colon) and 14.4% other cancers. We performed 80 wedge resections, 77 bisegmentectomies and/or left lobectomies, 74 segmentectomies, 22 major hepatectomies, 20 left hepatectomies, and 14 trisegmentectomies. RESULTS: The in-hospital mortality rate in this series was 4.5%, and the morbidity rate was 47.7%, because of pleural effusion (30%), hepatic abscess (25%), hepatic insufficiency (19%), ascites (10%), hemoperitoneum (10%), or biliary fistula (6%). The variables associated with the technical aspects of the surgical procedure thatwere responsible for the complications were: a Pringle maneuver length more than 20 minutes (P=0.001); the type of liver resection procedure, including major hepatectomy (P=0.02), left hepatectomy (P=0.04), trisegmentectomy (P=0.04), bisegmentectomy and/or left lobectomy (P=0,04); and a blood transfusion of more than 600 ml (P=0.04). CONCLUSION: The evaluation of causes and foreseeable risk factors linked to postoperative morbidity during the planning of

关键词： carcinoma, hepatocellular liver metastases liver resection postoperative complications biliary leakage pleural effusion impaired liver function

Latest Improvements In Slab Caster Technology

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Latest Improvements In Slab Caster Technology

Role for contrast-enhanced ultrasound in assessing complications after kidney transplant

第十七届（2013年）全国炼钢学术会议

作者： adani Pierluigi WAKELEY Keith ELLIS Ian Danieli Davy Distington

＜正＞This paper highlights the latest advances / improvements in equipment design, process technology and control software for thin,medium and "conventional" thickness slab *** Davy Distington（DDD） has supplied many such machines to high quality steel manufacturers such as *** have also supplied new high speed casting machines with speeds at 8.0m/min which have required new levels of automation control for systems such as mould level,oscillation,secondary cooling and soft reduction *** high speeds have also resulted in accelerated component *** experience gained during these installations has resulted in the development of the "3Q" technological packages and Human Computer Interface（HO） that can be supplied independently and retrospectively to meet the ever increasing demand for production and slab *** addition,the reliability and stability of many critical components have been modified and improved to meet the demanding conditions of high speed *** applying these changes to more conventional casting speeds,the improvements have been quite *** "3Q" suite of technological packages addresses three key principles of Quality,Quantity and Quickness, delivering the highest product quality in the required quantity with the quickness of response required for online control systems.

关键词： Slab Casters process technology high speed casting automation

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World Journal of Radiology 2020年第8期12卷 156-171页

作者： Giuseppe Como Jacopo Da Re Gian Luigi adani Chiara Zuiani Rossano Girometti Institute of Radiology University Hospital S.Maria della MisericordiaUdine 33100Italy Department of Medicine University of UdineUniversity Hospital S.Maria della MisericordiaUdine 33100Italy Department of Medicine General Surgery and TransplantationUniversity Hospital S.Maria della MisericordiaUdine 33100Italy

Kidney transplantation(KT)is an effective treatment for end-stage renal *** their rate has reduced over time,post-transplant complications still represent a major clinical problem because of the associated risk of graft failure and ***,post-KT complications should be diagnosed and treated *** plays a pivotal role in this *** ultrasound(US)with color Doppler analysis is the first-line imaging modality for assessing complications,although many findings lack *** performed by experienced operators,contrast-enhanced US(CEUS)has been advocated as a safe and fast tool to improve the accuracy of ***,when performing CEUS there is potentially no need for further imaging,such as contrast-enhanced computed tomography or magnetic resonance imaging,which are often contraindicated in recipients with impaired renal *** technique is also portable to patients’bedside,thus having the potential of maximizing the cost-effectiveness of the whole diagnostic ***,the use of blood-pool contrast agents allows translating information on graft microvasculature into time-intensity curves,and in turn quantitative perfusion *** analysis is under evaluation as a tool to diagnose rejection or other causes of graft *** this paper,we review and illustrate the indications to CEUS in the post-KT setting,as well as the main CEUS findings that can help establishing the diagnosis and planning the most adequate treatment.

关键词： Contrast-enhanced ultrasound Kidney transplant Post-renal transplant complications Graft function Ultrasound contrast agents