Before the implementation Water Framework directive, it was usual to forget that a good environment protection of the receiving waters needs a correct and coordinated operation of the subsystems of the water cycle, specially sewerage system, WWTP and receiving waters. This explains that most of the countries have focused their efforts in the treatment of dry weather flows forgetting the management of wet weather flows. Actually the idea that a sewerage system or a WWTP can not be planned or managed independently without considering the effects on the receiving waters is commonly accepted because not only each one of these systems must work correctly but also it is required a minimum impact in the receiving waters of the sewerage and WWTP overflows in dry and wet weather. All these links will affect the management strategy of the sewerage system (storm water detection tanks, gates, pumping stations, etc)., the interceptor, the WWTP and the receiving waters. Only an integral planning of ...
SommarioScopo Valutare limpatto clinico negli anni dellecografia intraoperatoria (IOUS) nella identificazione delle metastasi epatiche rispetto alle altre metodiche di imaging. Materiali e metodi risultati delle ecografie intraoperatorie effettuate per lidentificazione delle metastasi epatiche in un periodo compreso tra gli anni 2000 e 2006 sono stati retrospettivamente revisionati e comparati con le metodiche di imaging preoperatorio: Ecografia (US), Tomografia Computerizzata (TC) e/o Risonanza Magnetica (RM). Tutti i casi sono stati patologicamente provati. Sono stati calcolati per anno i casi discordanti in termini di presenza/assenza di lesione focale epatica. Il confronto statistico e stato effettuato con il test di McNemar. Un valore del p<0,05 e stato considerato statisticamente sig...
With the aim of demonstrating the usefulness of computerised tomography (CT) findings in the planning of brain neurosurgery in gunshot victims, for prompt and successful treatment, 30 patients with brain gunshot wounds were examined with CT over 5 years. The mortality rate of firearm wounds of the skull base was 34% higher than that of the hemisphere; this is due to carotid hemorrhage and midbrain damage. Such traumas require emergency radiological diagnosis and neurosurgical treatment because of their severity and early irreversible complications. Complex operations and skilled surgeons may prevent disabling postoperative sequels. CT findings are indispensable and must be correctly interpreted. The radiologist and the neurosurgeon must collaborate closely and both must consider several diagnostic factors affecting surgical planning. [Italian] Scopo dello studio e' stato quello di dimostrare l'utilita' della semeiologia della tomografia computerizzata in ...