The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Luca Ansaloni - One of the best experts on this subject based on the ideXlab platform.
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2019 update of the WSES guidelines for management of Clostridioides (Clostridium) difficile infection in surgical patients
World Journal of Emergency Surgery, 2019Co-Authors: Massimo Sartelli, Stefano Di Bella, Luis Furuya-kanamori, Nadir Abuzeid, Goran Augustin, Fikri M. Abu-zidan, Lynne V Mcfarland, Sahil Khanna, Luca Ansaloni, Miklosh BalaAbstract:In the last three decades, Clostridium difficile infection (CDI) has increased in incidence and severity in many countries Worldwide. The increase in CDI incidence has been particularly apparent among surgical patients. Therefore, prevention of CDI and optimization of management in the surgical patient are paramount. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of CDI in surgical patients according to the most recent available literature. The update includes recent changes introduced in the management of this infection.
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bologna guidelines for diagnosis and management of adhesive small bowel obstruction asbo 2017 update of the evidence based guidelines from the World Society of emergency surgery asbo working group
World Journal of Emergency Surgery, 2018Co-Authors: Richard Ten P G Broek, Luca Ansaloni, Federico Coccolini, Massimo Sartelli, Walter L Biffl, Gustavo Pereira Fraga, Salomone Di Saverio, Pepijn Krielen, George C Velmahos, Michael D KellyAbstract:Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidence-based diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. Adhesion formation might be reduced by minimally invasive surgical techniques and the use of adhesion barriers. Non-operative treatment is effective in most patients with ASBO. Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia. When the adhesive etiology of obstruction is unsure, or when contraindications for non-operative management might be present, CT is the diagnostic technique of choice. The principles of non-operative treatment are nil per os, naso-gastric, or long-tube decompression, and intravenous supplementation with fluids and electrolytes. When operative treatment is required, a laparoscopic approach may be beneficial for selected cases of simple ASBO. Younger patients have a higher lifetime risk for recurrent ASBO and might therefore benefit from application of adhesion barriers as both primary and secondary prevention. This guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence for some aspects of ASBO management is scarce, in particular aspects relating to special patient groups. Results of a randomized trial of laparoscopic versus open surgery for ASBO are awaited.
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wses guidelines for the management of acute left sided colonic diverticulitis in the emergency setting
World Journal of Emergency Surgery, 2016Co-Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Federico Coccolini, Yoram Kluger, Salomone Di Saverio, Fikri M Abuzidan, Ewen A Griffiths, Jan Ulrych, Ofir BenishayAbstract:Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.
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2016 wses guidelines on acute calculous cholecystitis
World Journal of Emergency Surgery, 2016Co-Authors: Luca Ansaloni, Fausto Catena, Federico Coccolini, Ferdinando Agresta, M Pisano, A B Peitzmann, Abe Fingerhut, Andrea Allegri, I Bailey, Zsolt J BaloghAbstract:Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of “high risk” patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.
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Management of traumatic wounds in the Emergency Department: a secondary publication
PAGEPress Publications, 2016Co-Authors: Carolina Prevaldi, Fausto Catena, Luca Ansaloni, Ciro Paolillo, Carlo Locatelli, Giorgio Ricci, Gianfranco CervellinAbstract:Traumatic wounds are among the most common problems leading people to the Emergency Department (ED), accounting for approximately 5.4% of all the visits, and up to 24% of all the medical lawsuits. In order to provide a standardized method for wound management in the ED, we have organized a workshop, involving several Italian and European experts. Later, all the discussed statements have been submitted for external validation to a multidisciplinary expert team, based on the so-called Delphi method. Eight main statements have been established, each of them comprising different issues, covering the fields of wound classification, infectious risk stratification, tetanus and rabies prophylaxis, wound cleansing, pain management, and suture. Here we present the results of this work, shared by the Academy of Emergency Medicine and Care and the World Society of Emergency Surgery
Massimo Sartelli - One of the best experts on this subject based on the ideXlab platform.
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Kidney and uro-trauma: WSES-AAST guidelines
World Journal of Emergency Surgery, 2019Co-Authors: Federico Coccolini, Walter Biffl, Ernest E Moore, Ari Leppäniemi, Yoram Kluger, Andrew B Peitzman, Yosuke Matsumura, Fernando Kim, Gustavo P. Fraga, Massimo SartelliAbstract:Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines.
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2019 update of the WSES guidelines for management of Clostridioides (Clostridium) difficile infection in surgical patients
World Journal of Emergency Surgery, 2019Co-Authors: Massimo Sartelli, Stefano Di Bella, Luis Furuya-kanamori, Nadir Abuzeid, Goran Augustin, Fikri M. Abu-zidan, Lynne V Mcfarland, Sahil Khanna, Luca Ansaloni, Miklosh BalaAbstract:In the last three decades, Clostridium difficile infection (CDI) has increased in incidence and severity in many countries Worldwide. The increase in CDI incidence has been particularly apparent among surgical patients. Therefore, prevention of CDI and optimization of management in the surgical patient are paramount. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of CDI in surgical patients according to the most recent available literature. The update includes recent changes introduced in the management of this infection.
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bologna guidelines for diagnosis and management of adhesive small bowel obstruction asbo 2017 update of the evidence based guidelines from the World Society of emergency surgery asbo working group
World Journal of Emergency Surgery, 2018Co-Authors: Richard Ten P G Broek, Luca Ansaloni, Federico Coccolini, Massimo Sartelli, Walter L Biffl, Gustavo Pereira Fraga, Salomone Di Saverio, Pepijn Krielen, George C Velmahos, Michael D KellyAbstract:Adhesive small bowel obstruction (ASBO) is a common surgical emergency, causing high morbidity and even some mortality. The adhesions causing such bowel obstructions are typically the footprints of previous abdominal surgical procedures. The present paper presents a revised version of the Bologna guidelines to evidence-based diagnosis and treatment of ASBO. The working group has added paragraphs on prevention of ASBO and special patient groups. The guideline was written under the auspices of the World Society of Emergency Surgery by the ASBO working group. A systematic literature search was performed prior to the update of the guidelines to identify relevant new papers on epidemiology, diagnosis, and treatment of ASBO. Literature was critically appraised according to an evidence-based guideline development method. Final recommendations were approved by the workgroup, taking into account the level of evidence of the conclusion. Adhesion formation might be reduced by minimally invasive surgical techniques and the use of adhesion barriers. Non-operative treatment is effective in most patients with ASBO. Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia. When the adhesive etiology of obstruction is unsure, or when contraindications for non-operative management might be present, CT is the diagnostic technique of choice. The principles of non-operative treatment are nil per os, naso-gastric, or long-tube decompression, and intravenous supplementation with fluids and electrolytes. When operative treatment is required, a laparoscopic approach may be beneficial for selected cases of simple ASBO. Younger patients have a higher lifetime risk for recurrent ASBO and might therefore benefit from application of adhesion barriers as both primary and secondary prevention. This guideline presents recommendations that can be used by surgeons who treat patients with ASBO. Scientific evidence for some aspects of ASBO management is scarce, in particular aspects relating to special patient groups. Results of a randomized trial of laparoscopic versus open surgery for ASBO are awaited.
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wses guidelines for the management of acute left sided colonic diverticulitis in the emergency setting
World Journal of Emergency Surgery, 2016Co-Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Federico Coccolini, Yoram Kluger, Salomone Di Saverio, Fikri M Abuzidan, Ewen A Griffiths, Jan Ulrych, Ofir BenishayAbstract:Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.
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acute appendicitis proposal of a new comprehensive grading system based on clinical imaging and laparoscopic findings
World Journal of Emergency Surgery, 2015Co-Authors: Carlos Augusto Gomes, Fausto Catena, Luca Ansaloni, Federico Coccolini, Massimo Sartelli, Salomone Di Saverio, Kenji Inaba, Demetrios Demetriades, Felipe Couto GomesAbstract:Advances in the technology and improved access to imaging modalities such as Computed Tomography and laparoscopy have changed the contemporary diagnostic and management of acute appendicitis. Complicated appendicitis (phlegmon, abscess and/ or diffuse peritonitis), is now reliably distinguished from uncomplicated cases. Therefore, a new comprehensive grading system for acute appendicitis is necessary. The goal is review and update the laparoscopic grading system of acute appendicitis and to provide a new standardized classification system to allow more uniform patient stratification. During the last World Society of Emergency Surgery Congress in Israel (July, 2015), a panel involving Acute Appendicitis Experts and the author’s discussed many current aspects about the acute appendicitis between then, it will be submitted a new comprehensive disease grading system. It was idealized based on three aspect of the disease (clinical and imaging presentation and laparoscopic findings). The new grading system may provide a standardized system to allow more uniform patient stratification for appendicitis research. In addition, may aid in determining optimal management according to grade. Lastly, what we want is to draw a multicenter observational study within the World Society of Emergency Surgery (WSES) based on this design.
Francisco O Ramirez - One of the best experts on this subject based on the ideXlab platform.
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World Society and the university as formal organization
Sisyphus - Journal of Education, 2013Co-Authors: Francisco O RamirezAbstract:This paper describes and interprets the Worldwide transformation of universities with respect to how they account for excellence. It first reflects on the rationalized university as an organizational ideal and the implications of rationalization on standardizing university practices. The paper then focuses on two interrelated phenomena: the assessment of faculty and the assessment of universities, as illustrations of accounting-for-excellence. Examining the annual faculty report and tenure protocol as examples of common organizational practices within American universities, it argues that these practices facilitate American university participation in national and international university rankings. Finally, it is argued that American universities underwent earlier organizational rationalization and differentiation than universities in other countries in part because they were less differentiated from other social institutions. In the absence of the buffering authority of the state and the professoriate, American universities early on became organizational actors dealing with multiple stakeholders in search of resources and legitimacy.
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the World Society perspective concepts assumptions and strategies
Comparative Education, 2012Co-Authors: Francisco O RamirezAbstract:For decades the World Society perspective has influenced comparative research on a broad range of issues across the social sciences. The perspective emerged to make sense of an empirical puzzle: why did nation-state after nation-state expand mass schooling after World War II? The perspective evolved to address broader issues such as the authority of science and its influence on the environmental movement, the expansion of the scope of citizenship and its impact on women's rights and, more recently, the rise of an international human rights regime on the one hand and the celebration of universities of excellence on the other hand. The World Society perspective has motivated research that examines Worldwide and regional trends and generates hypotheses to explain these cross-national developments and variations. This paper first clarifies some of the World Society perspective's key assumptions and core arguments as applied to comparative education. Next, the paper situates the World Society perspective withi...
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World Society and the nation state
American Journal of Sociology, 1997Co-Authors: John W Meyer, John Boli, George M Thomas, Francisco O RamirezAbstract:The authors analyze the nation‐state as a Worldwide institution constructed by Worldwide cultural and associational processes, developing four main topics: (1) properties of nation‐states that result from their exogenously driven construction, including isomorphism, decoupling, and expansive structuration; (2) processes by which rationalistic World culture affects national states; (3) characteristics of World Society that enhance the impact of World culture on national states and societies, including conditions favoring the diffusion of World models, expansion of World‐level associations, and rationalized scientific and professional authority; (4) dynamic features of World culture and Society that generate expansion, conflict, and change, especially the statelessness of World Society, legitimation of multiple levels of rationalized actors, and internal inconsistencies and contradictions.
Fausto Catena - One of the best experts on this subject based on the ideXlab platform.
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The role of open abdomen in non-trauma patient: WSES Consensus Paper
World Journal of Emergency Surgery, 2017Co-Authors: Federico Coccolini, Walter Biffl, Rao Ivatury, Andrew Peitzman, Marco Ceresoli, Giulia Montori, Ernest E Moore, Raul Coimbra, Fausto Catena, Sandro RizoliAbstract:The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a Worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.
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wses guidelines for the management of acute left sided colonic diverticulitis in the emergency setting
World Journal of Emergency Surgery, 2016Co-Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Federico Coccolini, Yoram Kluger, Salomone Di Saverio, Fikri M Abuzidan, Ewen A Griffiths, Jan Ulrych, Ofir BenishayAbstract:Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.
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2016 wses guidelines on acute calculous cholecystitis
World Journal of Emergency Surgery, 2016Co-Authors: Luca Ansaloni, Fausto Catena, Federico Coccolini, Ferdinando Agresta, M Pisano, A B Peitzmann, Abe Fingerhut, Andrea Allegri, I Bailey, Zsolt J BaloghAbstract:Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of “high risk” patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.
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Management of traumatic wounds in the Emergency Department: a secondary publication
PAGEPress Publications, 2016Co-Authors: Carolina Prevaldi, Fausto Catena, Luca Ansaloni, Ciro Paolillo, Carlo Locatelli, Giorgio Ricci, Gianfranco CervellinAbstract:Traumatic wounds are among the most common problems leading people to the Emergency Department (ED), accounting for approximately 5.4% of all the visits, and up to 24% of all the medical lawsuits. In order to provide a standardized method for wound management in the ED, we have organized a workshop, involving several Italian and European experts. Later, all the discussed statements have been submitted for external validation to a multidisciplinary expert team, based on the so-called Delphi method. Eight main statements have been established, each of them comprising different issues, covering the fields of wound classification, infectious risk stratification, tetanus and rabies prophylaxis, wound cleansing, pain management, and suture. Here we present the results of this work, shared by the Academy of Emergency Medicine and Care and the World Society of Emergency Surgery
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acute appendicitis proposal of a new comprehensive grading system based on clinical imaging and laparoscopic findings
World Journal of Emergency Surgery, 2015Co-Authors: Carlos Augusto Gomes, Fausto Catena, Luca Ansaloni, Federico Coccolini, Massimo Sartelli, Salomone Di Saverio, Kenji Inaba, Demetrios Demetriades, Felipe Couto GomesAbstract:Advances in the technology and improved access to imaging modalities such as Computed Tomography and laparoscopy have changed the contemporary diagnostic and management of acute appendicitis. Complicated appendicitis (phlegmon, abscess and/ or diffuse peritonitis), is now reliably distinguished from uncomplicated cases. Therefore, a new comprehensive grading system for acute appendicitis is necessary. The goal is review and update the laparoscopic grading system of acute appendicitis and to provide a new standardized classification system to allow more uniform patient stratification. During the last World Society of Emergency Surgery Congress in Israel (July, 2015), a panel involving Acute Appendicitis Experts and the author’s discussed many current aspects about the acute appendicitis between then, it will be submitted a new comprehensive disease grading system. It was idealized based on three aspect of the disease (clinical and imaging presentation and laparoscopic findings). The new grading system may provide a standardized system to allow more uniform patient stratification for appendicitis research. In addition, may aid in determining optimal management according to grade. Lastly, what we want is to draw a multicenter observational study within the World Society of Emergency Surgery (WSES) based on this design.
Patricia Bromley - One of the best experts on this subject based on the ideXlab platform.
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a tale of two Worlds the interstate system and World Society in social science textbooks 1950 2011
Globalisation Societies and Education, 2017Co-Authors: Patricia Bromley, Wade M ColeAbstract:ABSTRACTThere is a great and longstanding divide in visions of the international arena. Some assert that states are the most relevant actors in international politics, and others emphasise the importance of non-state actors as vehicles through which shared ideas and identities are enacted. Typically, cross-national scholarship adopts one of these positions and seeks to support the attendant theoretical claims; our approach is entirely different. We treat these varied conceptions of the international arena not as antecedent explanatory frameworks, but rather as outcomes to be explained in their own right. To this end, we draw on data consisting of 539 high-school social science textbooks (history, civics, social studies, and geography) from 73 countries published between 1950 and 2011, coded to shed light on how the international arena is discussed in national education systems. We use multilevel modelling to determine how characteristics of textbooks and countries are linked to different visions of the in...
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the holocaust as history and human rights a cross national analysis of holocaust education in social science textbooks 1970 2008
Prospects, 2010Co-Authors: Patricia Bromley, Susan Garnett RussellAbstract:This article examines Holocaust education in secondary school social science textbooks around the World since 1970, using data coded from 465 textbooks from 69 countries. It finds that books and countries more connected to World Society and with an accompanying emphasis on human rights, diversity in Society and a depiction of international, rather than national, Society are more likely to discuss the Holocaust. Additionally, textbooks from Western countries contain more discussion of the Holocaust, although the rate is increasing in Eastern European and other non-Western countries, suggesting eventual convergence. We also find a shift in the nature of discussion, from a historical event to a violation of human rights or crime against humanity. These findings broadly support the arguments of neo-institutional theories that the social and cultural realms of the contemporary World are increasingly globalized and that notions of human rights are a central feature of World Society.
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the holocaust as history and human rights a cross national analysis of holocaust education in social science textbooks 1970 2008
Prospects, 2010Co-Authors: Patricia Bromley, Susan Garnett RussellAbstract:This chapter examines Holocaust education in secondary school social science textbooks around the World since 1970, using data coded from 465 textbooks from 69 countries. It finds that books and countries that are more connected to World Society and have an accompanying emphasis on human rights, diversity in Society, and a depiction of international, rather than national, Society are more likely to discuss the Holocaust. Additionally, textbooks from Western countries contain more discussion of the Holocaust, although the rate is increasing in Eastern European and other non-Western countries, suggesting eventual convergence. The study also found a shift in the nature of discussion, from a historical event to a violation of human rights or crime against humanity. These findings broadly support the arguments of neo-institutional theories that the social and cultural realms of the contemporary World are increasingly globalized and that notions of human rights are a central feature of World Society.