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Which Model of Biological Plausibility for Language?: The Case of “What Darwin Got Wrong”
( Francesco Alessio Ursini ) 서강대학교 언어정보연구소 2013 언어와 정보 사회 Vol.19 No.-
Ursini, Francesco-Alessio(2013), “Which Model of Biological Plausibility for Language?: The Case of ``What Darwin Got Wrong`` ”, Language & Information Society 19. The goal of this paper is to discuss some of the conceptual consequences of the arguments put forward in What Darwin Got Wrong, for a broader theory of the biolinguistic approach. The book offers arguments against “New Synthesis” approaches to Evolutionary Theory, that are particularly germane to biolinguistic matters. One main contention is that only approaches to evolutionary facts that capture the “laws of form” observed across living organisms can be theoretically and empirically adequate. However, the book does not investigate whether this contention applies to linguistic matters as well. This issue is addressed in the paper, and it is argued that organism-internal properties, which can be captured via the formal notion of “conservativity”, must be found in language as well. Therefore, it is argued that only those lin-guistic theories that capture these properties, be they about syntactic, semantic or acquisition matters alike can be considered as biolinguistically plausible.
The suprafascial course of lower leg perforators: An anatomical study
Vaienti, Luca,Cottone, Giuseppe,De Francesco, Francesco,Borelli, Francesco,Zaccaria, Giovanna,Amendola, Francesco Korean Society of Plastic and Reconstructive Surge 2020 Archives of Plastic Surgery Vol.47 No.2
Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective in vivo anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design. Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported. Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them. Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.
Opioid-induced Constipation: Old and New Concepts in Diagnosis and Treatment
( Francesco Squeo ),( Francesca Celiberto ),( Enzo Ierardi ),( Francesco Russo ),( Giuseppe Riezzo ),( Benedetta D’attoma ),( Alfredo Di Leo ),( Giuseppe Losurdo ) 대한소화기기능성질환·운동학회 2024 Journal of Neurogastroenterology and Motility (JNM Vol.30 No.2
Daily use of opioid analgesics has significantly increased in recent years due to an increasing prevalence of conditions associated with chronic pain. Opioid-induced constipation (OIC) is one of the most common, under-recognized, and under-treated side effects of opioid analgesics. OIC significantly reduces the quality of life by causing psychological distress, lowering work productivity, and increasing access to healthcare facilities. The economic and social burden of OIC led to the development of precise strategies for daily clinical practice. Key aspects are the prevention of constipation through adequate water intake and fiber support, avoidance of sedentariness, and early recognition and treatment of cofactors that could worsen constipation. Recommended first-line therapy includes osmotic (preferably polyethylene glycol) and stimulant laxatives. Peripherally acting μ-opioid receptor antagonists, such as methylnaltrexone, naloxegol, or naldemedine, should be used in patients that have not responded to the first-line treatments. The bowel functional index is the main tool for assessing the severity of OIC and for monitoring the response. The paper discusses the recent literature on the pathophysiology, clinical evaluation, and management of OIC and provides a pragmatic approach for its assessment and treatment. (J Neurogastroenterol Motil 2024;30:131-142)
Francesco Esposito,Adele Noviello,Nicola Moles,Enrico Coppola Bottazzi,Mario Baiamonte,Ina Macaione,Umberto Ferbo,Maria Lepore,Antonio Miro,Francesco Crafa 대한대장항문학회 2019 Annals of Coloproctolgy Vol.35 No.4
Purpose: Analysis of the sentinel lymph node (SLN) in colorectal cancer (CRC) patients was proposed for more accurate staging and tailored lymphadenectomy. The aim of this study was to assess the ability to predict lymph node (LN) involvement through analysis of the SLN with a one-step nucleic acid (OSNA) technique in combination with peritumoral injection of indocyanine green (ICG) and near-infrared (NIR) lymphangiography in CRC patients. Methods: A total of 34 patients were enrolled. Overall, 51 LNs were analyzed with OSNA. LNs of 17 patients (50%) were examined simultaneously with hematoxylin and eosin (H&E) and OSNA. Results: SLN analysis of 17 patients examined with H&E and OSNA revealed that OSNA had a higher sensitivity (1 vs. 0.55), higher negative predictive value (1 vs. 0.66) and higher accuracy (100% vs. 76.4%) in predicting LN involvement. Overall, OSNA showed a sensitivity of 0.69, specificity of 1, accuracy of 88.2%, and stage migration of 8.8%. Compared to those who were OSNA (−), OSNA (+) patients had a greater number of LN metastases (4.8 vs. 0.16, P = 0.04), higher G3 rate (44.4% vs. 4%, P = 0.01), more advanced stage of disease (stage III: 77.8% vs. 16%; P = 0.00) and were more rapidly subjected to adjuvant chemotherapy (39.1 days vs. 50.2 days, P = 0.01). Conclusion: SLN analysis with OSNA in combination with ICG-NIR lymphangiography is feasible and can detect LN involvement in CRC patients. Furthermore, it allows for more accurate staging reducing the delay between surgery and adjuvant chemotherapy.
A parametric CAD-based method for modelling and simulation of positive displacement machines
Francesco Gherardini,Barbara Zardin,Francesco Leali 대한기계학회 2016 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.30 No.7
We present an efficient and user-friendly parametric CAD-based design method for the graphical description of positive displacement machines, exploiting commercial parametric CAD software and a tailored interface. An executable module simulates the motion of the machine components, analyzes the machine geometry, and automatically extrapolates the geometrical data from the 3D CAD model, generating data files that can be directly used for following fluid dynamic analyses. The graphical approach supports investigation of the machine performance and exploring optimized design variants. The method has been applied to three industrial test cases: An external gear pump, an axial piston pump, and a gerotor pump. A complete case study focused on the external gear pump is proposed, as well as the results from the other two types are summarized. We validate the CAD-based method by comparing the obtained data with the data coming from the application of state-of-the-art analytical methods.
Francesco Grigioni,Antonio Russo,Ferdinando Pasquale,Elena Biagini,Francesco Barberini,Marinella Ferlito,Ornella Leone,Claudio Rapezzi 한국심초음파학회 2015 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.23 No.3
Knowledge of mitral regurgitation (MR) is essential for any care provider, and not only for those directly involved in the managementof cardiovascular diseases. This happens because MR is the most frequent valvular lesion in North America and the secondmost common form of valve disease requiring surgery in Europe. Furthermore, due to the ageing of the general population and thereduced mortality from acute cardiovascular events, the prevalence of MR is expected to increase further. Doppler echocardiographyis essential both for the diagnosis and the clinical management of MR. In the present article, we sought to provide a practicalstep-by-step approach to help either performing a Doppler echocardiography or interpreting its findings in light of contemporaryknowledge on organic (but not only) MR.
The “reverse air leak test”: a new technique for the assessment of low colorectal anastomosis
Francesco Crafa,Augusto Striano,Francesco Esposito,Amalia Rosaria Rita Rossetti,Mario Baiamonte,Valeria Gianfreda,Antonio Longo 대한대장항문학회 2022 Annals of Coloproctolgy Vol.38 No.1
Purpose: Anastomotic leakage is a fearsome complication in rectal surgery. Surgeons perform the classic air leak test, although its real effectiveness is still debated. The aim of this study was to describe a personal technique of reverse air leak test in which low colorectal anastomosis was assessed transanally through the intrarectal irrigation of a few mL of saline solution. Methods: From October 2014 to November 2019, 11 patients with low rectal cancer (type 1 in Roullier classification) were included in this study. At the beginning of the procedure, a circular anal dilator was inserted into the anus. A side-to-end colorectal anastomosis was performed. A few mL of saline solution were injected into the rectum and the entire anastomotic line was directly explored. The appearance of bubbles was considered as an anastomotic defect and repaired with an interrupted suture. A fluorescence angiography after intravenous injection of indocyanine green was performed in order to evaluate the perfusion of the anastomosis. Results: The reverse air leak test was positive in 4 cases (36.4%). The defect was repaired and a confirmation test was performed. In all patients, near-infrared evaluation showed no perfusion defect (grade 0) in low colorectal anastomosis. No postoperative fistula was detected in cohort study. A protective stoma was performed in 10 patients. On day 90, there were no complications and stoma closure was performed as planned. Conclusion: The reverse air leak test is a simple, feasible, and effective procedure to identify anastomotic leaks in low colorectal anastomoses.
Francesco Crafa,Francesco Esposito,Adele Noviello,Nicola Moles,Enrico Coppola Bottazzi,Carmelo Lombardi,Antonio Miro,Giulio Lombardi 한국간담췌외과학회 2018 Annals of hepato-biliary-pancreatic surgery Vol.22 No.3
Backgrounds/Aims: Despite the advances in identifying risk factors, improving operative technique, and postoperative patient care, pancreatic leakage after pancreatic resection remains a highly debated topic. The aim of this study is to describe our technique and our initial experience with the intraoperative embolization of the main pancreatic duct with an Ethylene Vinyl Alcohol Copolymer (Onyx<SUP>Ⓡ</SUP>). Methods: Two patients of 63 and 64 years underwent pancreaticoduodenectomy for a cholangiocarcinoma of the extrahepatic bile duct and a pancreatic adenocarcinoma, respectively. At the time of pancreatic parenchyma resection, a Wirsung duct was identified and catheterized. A wirsungography was done and then, embolization with Onyx<SUP>Ⓡ</SUP> was carried out under fluoroscopic control. Results: Neither of the patients developed a postoperative pancreatic fistula. They were discharged to home on the 17<SUP>th</SUP> and 18<SUP>th</SUP> postoperative day, respectively. At the last follow-up, no recurrence was found. The two patients became diabetics; both needed the support of supplementary pancreatic enzymes. Conclusions: To our knowledge, we are the first to describe this technique, which seems safe and reliable. Studies on this subject with more patients are needed to confirm the validity of this procedure.