Background: Multimodal protocols such as Acceleration of Total Postoperative Recovery and Enhanced Recovery After Surgery propose a set of pre- and post-operative care to accelerate the recovery of surgical patients. However, in clinical practice, simple care such as early refeeding and use of drains are often neglected by multidisciplinary teams.
Aims: Investigate whether early postoperative refeeding determines benefits in colorectal oncological surgery; whether the patients' clinical conditions preoperatively and the use of a nasogastric tube and abdominal drain delay their recovery.
Purpose: To evaluate the potential benefits associated with the short-term (6 months) treatment with transanal irrigation (TAI) in patients suffering from functional constipation (FC), functional fecal incontinence (FI), and low anterior resection syndrome (LARS).
Methods: A multicenter observational study (12 centers; 369 patients) was conducted to assess the following primary and secondary objectives: to evaluate the level of satisfaction regarding bowel control and quality of life (QoL); to evaluate bowel symptoms severity and dropout frequency and reason. To this aim, validated questionnaires were provided to the patients at baseline (T0) and after 6 months of TAI treatment (T6) performed with the medical device Peristeen Plus (Coloplast A/S, Denmark).
The knowledge of size-distribution and lability of metals and nutrients in freshwater systems is important for estimation of the ecological effects of mining. However, it is still limited in several mining areas such as the Quadrilátero Ferrífero (Brazil) which was severely polluted by the collapse of the Fundão tailings dam in November 2015. In this study, results of an investigation from 2014 using a neural network named self-organising map (SO-Map) into the conditions of selected trace metals that are of particular importance to mining areas (Cr, Cu, Co, Mn, Ni, Pb, Zn) are presented.
View Article and Find Full Text PDFDiffusive gradients in thin films technique (DGT) allows in situ determination of labile metal in water, soils, and sediments. This paper aims to evaluate the performance of a new proposal of DGT to measure Cu and Cd in aqueous solution using chitosan films as binding agent. These films were prepared and characterized (Fourier transform infrared spectroscopy, scanning electron microscopy, atomic force microscope, and elemental analysis).
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