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- Alexander, Jeffrey C.
(författare)
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Religio
- 1994
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Ingår i: Religio. - : Bulzoni Editore.
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Bokkapitel (refereegranskat)
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| 3. |
- Carelli, Maria Grazia
(författare)
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Twins
- 1994
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Ingår i: <em>Dictionary of Developmental Psychology</em>.. - Turin : Einaudi. ; , s. 300-305-
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Ålund, Aleksandra, 1945-
(författare)
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Processi della modernita, immigrazione e creazione di nuove identita
- 1994
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Ingår i: Inchiesta. - : Edizioni Dedalo. - 0046-8819. ; :103, s. 6-9
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Tidskriftsartikel (refereegranskat)abstract
- In questo articolo si prendono in esame relazioni sociali trans-etniche, forme culturali «nuove» e «sincretiche», sistemi di significati che funzionano per creare ponti tra mondi culturali diversi, facendo riferimento a diverse situazioni europee, ma in particolare alla Svezia e ad esperienze di giovani immigrati in quartieri periferici di Stoccolma. Ciò che si analizza in particolare sono alcuni esempi di «creatività culturale» da parte di immigrati, che sono modi di resistere alle definizioni (e alle pratiche) discriminatorie e segreganti proprie delle nostre società. A partire da esempi e dai dati, inoltre, si considerano alcune cruciali questioni teoriche relative ai processi di costruzione di identità («bricolage culturale») nella modernità, con particolare riferimento a contesti multiculturali.
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| 8. |
- Delaini, G G, et al.
(författare)
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[Abdominal rectopexy in the treatment of rectal prolapse: how to foresee the functional result]. : Rettopessia addominale per il trattamento del prolasso del retto: come prevedere il risultato funzionale.
- 1994
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Ingår i: Annali italiani di chirurgia. - 0003-469X. ; 65:2, s. 183-7
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Tidskriftsartikel (refereegranskat)abstract
- 21 patients (19 women) who underwent rectal prolapse repair were prospectively studied. At the one year follow-up, 6 of the eleven incontinent patients (54 per cent) regained full continence and while three of the remaining 5 patients improved they still referred occasional imperfection of continence. Resting anal pressure and maximal squeeze pressure were both significantly lower in the five patients who remained incontinent, 23 (17-31) mm Hg vs 50 (31-52) mm Hg (p < = 0.02) and 52 (17-75) mm Hg vs 108 (89-110) mm Hg (p < = 0.02), respectively. Moreover the manometric results showed evidence that in patients who remained incontinent, the anal pressure in response to rectal distention, was significantly lower than patients who regained continence (p < = 0.05) both before and after operation. We conclude that incontinent patients with rectal prolapse who exhibit a markedly low minimal residual anal pressure on recto-anal reflex inhibition are less likely to improve after rectopexy and that this preoperative test may be a useful predictor.
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- Scaglia, M, et al.
(författare)
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[The functional and manometric results of 2 surgical methods of posterior abdominal rectopexy]. : Risultati funzionali e manometrici di due metodi chirurgici di rettopessi addominale posteriore.
- 1994
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Ingår i: Minerva chirurgica. - 0026-4733. ; 49:5, s. 383-92
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Tidskriftsartikel (refereegranskat)abstract
- Functional changes after posterior abdominal rectopexy for the treatment of rectal prolapse are not fully understood. We studied the effects of Wells' or Ripstein's rectopexy on functional characteristics as related to anal sphincter function, rectal volume and sensory function in 31 patients with complete or internal rectal prolapse. We have observed an improvement of continence over 70% in both groups. However, an absent or a decreased call to stool, constipation and evacuation difficulties are the aftermath of Wells' rectopexy, while these complaints appear basically unaffected by Ripstein's technique. Maximal squeeze pressure was slightly increased after Ripstein's rectopexy, whereas no significant effects were found on anal pressures. Postoperatively the rectal capacity was reduced by Well's procedure (p < 0.05), while no significant changes were observed with Ripstein's operation. After the Wells procedure patients developed at the threshold for the relaxation of the internal sphincter progressively lower rectal volumes, reaching one year after rectopexy the statistical significance. Sensory thresholds for sense of filling and urge were significantly raised after Wells' rectopexy even one year after operation, whereas after Ripstein's operation sense of filling was not significantly affected and while sense of urge was increased early postoperatively, it was not significantly changed at one hear postoperative control. In conclusion, when fecal incontinence appears associated to a rectal prolapse has good chances to improve postoperatively. Preoperative evacuation difficulties seem to be unaffected by a posterior abdominal rectopexy, Wells or Ripstein, but an extensive dissection of the rectum with the division of the lateral stalks, as it is performed in Wells' operation, seems to be a procedure that can create a further burden of problems the the patient and it seems coupled to a manovolumetric elevation of rectal sensory thresholds.
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