Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma最新文献_第9页

Association of relative nocturnal hypertension and autonomic neuropathy in insulin-dependent diabetic children. 胰岛素依赖型糖尿病儿童相对夜间高血压与自主神经病变的关系。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

L Madácsy, A Yasar, T Tulassay, A Körner, J Kelemen, M Hóbor, M Miltényi

{"title":"Association of relative nocturnal hypertension and autonomic neuropathy in insulin-dependent diabetic children.","authors":"L Madácsy, A Yasar, T Tulassay, A Körner, J Kelemen, M Hóbor, M Miltényi","doi":"","DOIUrl":"","url":null,"abstract":"Twenty-four hour BP and heart rate measurements were carried out in fourteen newly diagnosed-, and in twenty-eight diabetics with 5-13 years of duration; and in eight healthy control children. Mean arterial BP rose at night in five-, fell slightly (less than 10%) in five- and fall markedly (more than 10%) in eighteen diabetics with longer duration of the disease. The diurnal-nocturnal difference of mean arterial pressure was significantly lower in the groups with nocturnal BP rise and slight nocturnal BP fall, compared to the control group (< 0.001; p < 0.01, respectively). The diurnal-nocturnal differences of heart rates were significantly lower in diabetics with relative \"nocturnal hypertension\" compared to the control group (p < 0.05). The presence of subclinical signs of diabetic autonomic neuropathy was significantly higher in patients with nocturnal BP rise and slight nocturnal BP fall compared to patients with marked nocturnal BP fall and newly diagnosed diabetics (chi squared p = 0.02 and p = 0.01, respectively). In conclusion, the prevalence of autonomic symptoms in diabetic children could be related to change in diurnal/nocturnal arterial BP, however longitudinal studies of ABPM are needed to define, whether patients with abnormal BP profiles are candidates for the development of diabetic vascular disease.","PeriodicalId":6943,"journal":{"name":"Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma","volume":"66 3-4","pages":"111-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Laparoscopic splenectomy: comments on the surgical technic]. [腹腔镜脾切除术:手术技术评论]。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

S Contini, R Dalla Valle, L G Villani, C Caramatti, V Rizzoli

引用次数: 0

[The prognostic evaluation of acute pancreatitis]. [急性胰腺炎预后评价]。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

V Violi, M De Bernardinis, A S Boselli, S M Maggiore, L Roncoroni

{"title":"[The prognostic evaluation of acute pancreatitis].","authors":"V Violi, M De Bernardinis, A S Boselli, S M Maggiore, L Roncoroni","doi":"","DOIUrl":"","url":null,"abstract":"Early identification of severity is one of the most important problems in acute pancreatitis, both for decision-making and classification. Predictive criteria show a wide range of accuracy: clinical examination (on admission: 76-85%); single laboratory data (PCR: 68-98%, C3-C4: 63-72%); multifactorial scoring systems (Ranson: 65-82%, Imrie: 78-95%); diagnostic peritoneal lavage (72-90%); CT features (52-81%). In 1982 we started a prospective evaluation of the prognostic performances of a bayesian statistical model for the prediction of severe vs mild pancreatis and death vs survival, which uses the outcome-related patterns of several variables, assuming their independence, analysed on a data of 44 patients. The performances have been calculated prospectively by comparing the expected vs actual results on 88 further patients (accuracy, sensitivity and specificity, respectively, in the prediction of severe pancreatitis: 92%, 92%, 93%; in the prediction of death: 95%, 97%, 87%). Moreover, the model can represent classes of risk by combining prediction of death + severe pancreatitis (DSP), survival + severe pancreatitis (SSP) and survival + mild pancreatitis (SMP) (accuracy, sensitivity and specificity, respectively, in the prediction of DSP: 97%, 83%, 100%; in the prediction of SSP: 95%, 87%, 97%; in the prediction of SMP: 95%, 97%, 90%). Our model enables clinicians dealing with other population to re-determine different variables or integrate them with new information, whenever available. It seems to be transferable and adaptable, even with a probable further increase of the performances, without compromising the objectivity of the predictive judgement and the homogeneity of the classes of risk.","PeriodicalId":6943,"journal":{"name":"Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma","volume":"66 1-2","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18510818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Microangiopathy in primary hyperlipoproteinemia. 原发性高脂蛋白血症的微血管病变。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

L Romics, T Neumark

引用次数: 0

Failure of dopamine metabolism: borderlines of parkinsonism and dementia. 多巴胺代谢失败:帕金森症和痴呆的边缘。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

M Tárczy, I Szirmai

{"title":"Failure of dopamine metabolism: borderlines of parkinsonism and dementia.","authors":"M Tárczy, I Szirmai","doi":"","DOIUrl":"","url":null,"abstract":"Dementia in parkinsonian patients is estimated to 10-40%. Several factors may take part in the development of cognitive impairment: i/ defective function of subcortico-cortical pathways including the mesocorticolimbic dopamine deficiency with cell loss in medial substantia nigra, the degeneration of noradrenergic, serotonergic and cholinergic systems ii/ cortical and limbic Alzheimer pathology iii/ cortical Lewy bodies iv/ vascular alterations. Using HMPAO SPECT we distinguished three main types of hypoperfusion in Parkinson patients with dementia: i/ predominantly frontal lobe type ii/ posterior (\"Alzheimer-like\") type iii/ multiple small vascular defects. Neuropsychological investigation was based on the use of MMSE, word pair, digit span, verbal fluency, Lurija's tapping tests. In addition CURS and Hachinski's score were also applied. Selegiline (JumexR) therapy was introduced and the patients were followed for at least 60 days. Selegiline improved significantly the MMSE values and verbal fluency in the \"frontal lobe\" type further the memory functions in \"Alzheimer-like\" patients. The mechanism is still not clarified, the increased dopaminergic tone should be taken into account.","PeriodicalId":6943,"journal":{"name":"Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma","volume":"66 3-4","pages":"93-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19558891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Venous leakage impotence: anatomical and physiological considerations upon gravity cavernosometry and radio-fluorographic cavernosography]. [静脉漏性阳痿:重力海绵体检查和x线海绵体检查的解剖学和生理学考虑]。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

F Arena, G Peracchia, A Passari, F Ferrozzi, P Cortellini

{"title":"[Venous leakage impotence: anatomical and physiological considerations upon gravity cavernosometry and radio-fluorographic cavernosography].","authors":"F Arena, G Peracchia, A Passari, F Ferrozzi, P Cortellini","doi":"","DOIUrl":"","url":null,"abstract":"We performed gravity cavernosometry and radio-fluoro-graphic cavernosography with pharmacological intracavernous injection in 15 patients with erectile dysfunction. On the basis of cavernosographyc findings, in the 15 patients leak sites visualized included deep dorsal vein in all 15 patients leak sites visualized included deep dorsal vein in all 15 patients (100%), cavernous veins in 7 (46,6%), glans in 4 (26,6%) and corpus spongiosum in 3 (20%). Aberrant veins documented in 4 patients (26,6%): communicating with the saphenous vein in 2 (13,3%), with scrotal veins and femoral vein in 1 (6,6%). Deep dorsal vein leakage as the only venous site was find in 2 patients (13.3%), 9 (60%) had leakage through 2 venous sites, 3 (20%) had leakage through 3 venous sites and 1 (6,6%) had leakage through 4 venous sites. Correlations among hemodynamic and radiographic observations allowed the identification of 2 types of cavernosometric findings. While type I developed an high intracavernous pressure during gravity infusion, an high intracavernous pressure was not observed in type 2. The FCG by the digital radio-fluoro-graphic digital system permit the possibility of sottraction and rielaboration of images and reduces examination and radiation time. The gravity FCM is simple, not expensive and respect the physiological intracavernous pressure.","PeriodicalId":6943,"journal":{"name":"Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma","volume":"66 6","pages":"223-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19892199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The current role of surgery in renal calculi]. [目前手术在肾结石中的作用]。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

P Cortellini, A Frattini, S Ferretti, A Barbieri, G Macaluso

引用次数: 0

[Our experience in the surgery of thoracic aorta]. 【我们的胸主动脉手术经验】。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

F Fesani, G Barboso, S Saccani, I Spaggiari

引用次数: 0

[Surgical treatment of saccular aneurysm of the left anterior descending coronary artery]. [左冠状动脉前降支囊状动脉瘤的外科治疗]。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

C Cavozza, G Barboso, C Fragnito, I Spaggiari, C Beghi, E Aurier

引用次数: 0

Joint scientific meeting of disorders of metabolism: experimental and clinical studies. Sote--Budapest and medical faculty of the University. Parma, 3-4 June 1994. Proceedings. 代谢紊乱联合科学会议:实验与临床研究。Sote-布达佩斯和大学医学院。帕尔马，1994年6月3日至4日。程序。

Acta bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Pub Date : 1995-01-01

引用次数: 0