Laparoscopic Cholecystectomy Under Spinal Anesthesia with Low-Pressure Pneumoperitoneum - Prospective Study of 150 Cases

Objective of study: Laparoscopic cholecystectomy under general anesthesia has attained the status of a gold standard for uncomplicated symptomatic gall stone disease; we therefore performed this study to assess its feasibility under spinal anesthesia with low-pressure pneumoperitoneum.Lower pressures are claimed to be safe and effective in decreasi

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In vivo measurements of the seasonal photosynthetic fluorescence of the Mediterranean coral Cladocora caespitosa (L.)

In situ photosynthetic fluorescence of the zooxanthellate Mediterranean coral Cladocora caespitosa (L.) was measured seasonally on colonies from 5 to 27 m depth using an INF-300 Horse Wear Integrating Natural Fluorometer (Biospherical Instrument Inc.).This oceanographic instrument, used to measure the in vivo phytoplankton chlorophyll a (Chl a) flu

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Some behavioral aspects of energy descent: How a biophysical psychology might help people transition through the lean times ahead

We may soon face Skin Treatment biophysical limits to perpetual growth.Energy supplies may tighten and then begin a long slow descent while defensive expenditures rise to address problems caused by past resource consumption.The outcome may be significant changes in daily routines at the individual and community level.It is difficult to know when th

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Open Dialogue as a Human Rights-Aligned Approach

Throughout the last 20 years, the human rights perspective has increasingly developed into a paradigm against which to appraise and evaluate mental health care.This article investigates to what extent the Finnish open dialogue (OD) approach both aligns with human rights and may be qualified to strengthen compliance with human rights perspectives in

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