0000000000952968

AUTHOR

D. Sinagra

showing 14 related works from this author

Visceral adiposity index is associated with significant fibrosis in patients with non-alcoholic fatty liver disease

2011

Aliment Pharmacol Ther 2012; 35: 238–247 Summary Background  Metabolic factors have been associated with liver damage in patients with non-alcoholic fatty liver disease (NAFLD). Aims  To test a new marker of adipose dysfunction, the visceral adiposity index (VAI), in NAFLD patients to assess whether or not it is associated with host factors, and to investigate a potential correlation with histological findings. Methods  One hundred and forty-two consecutive NAFLD patients were evaluated by liver biopsy, and clinical and metabolic measurements, including insulin resistance with the homeostasis model assessment (HOMA), and VAI by using waist circumference, body mass index, triglycerides and H…

medicine.medical_specialtyHepatologyAdiponectinmedicine.diagnostic_testbusiness.industryLeptinFatty liverGastroenterologynutritional and metabolic diseasesAdipose tissuemedicine.diseaseEndocrinologyInsulin resistanceFibrosisInternal medicineLiver biopsymedicinePharmacology (medical)businessBody mass indexAlimentary Pharmacology & Therapeutics
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PREVALENCE OF THYROID DISEASES IN MENOPAUSAL SICILIAN WOMEN

2009

medicine.medical_specialtybusiness.industryObstetricsThyroidObstetrics and Gynecologythyroid diseases menopauseGeneral Biochemistry Genetics and Molecular Biologylanguage.human_languageSettore MED/13 - Endocrinologiamedicine.anatomical_structurelanguageMedicinebusinessSicilianMaturitas
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Polymorphonuclear leukocyte membrane fluidity before and after activation in subjects with insulin resistance.

2000

The aim of this research was the evaluation of polymorphonuclear leukocyte (PMN) membrane fluidity in subjects with insulin resistance. Insulin sensitivity, in fact, may be influenced by plasma membrane fluidity. We enrolled 19 subjects with insulin resistance previously demonstrated during an euglycemic hyperinsulinemic clamp. PMN membrane fluidity was studied by labeling intact cells with the fluorescent probe 1-[4-(trimethylamino)phenyl]-6-phenyl-1,3,5-hexatriene and calculating the fluorescence polarization degree. The measurement was made before and after incubation of PMNs with two activating agents: 4-phorbol 12-myristate 13-acetate (PMA) and N-formyl-methionyl-leucyl-phenylalanine (…

AdultMalemedicine.medical_specialtyAdolescentMembrane FluidityNeutrophilsEndocrinology Diabetes and Metabolismmedicine.medical_treatmentIn Vitro TechniquesNeutrophil Activationchemistry.chemical_compoundEndocrinologyInsulin resistanceReference ValuesDiabetes mellitusInternal medicineHyperinsulinismGlucose IntoleranceInternal MedicinemedicineMembrane fluidityHumansObesityChildPancreatic hormoneChemistryInsulinhemic and immune systemsGeneral MedicineN-Formylmethionine leucyl-phenylalanineGlucose clamp techniqueMiddle Agedmedicine.diseaseN-Formylmethionine Leucyl-PhenylalanineEndocrinologyDiabetes Mellitus Type 2Glucose Clamp TechniqueTetradecanoylphorbol AcetateFemaleInsulin ResistanceHyperinsulinismActa diabetologica
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Evaluation of B-cell secretion and peripheral insulin resistance during pregnancy and after delivery in gestational diabetes mellitus with obesity

1988

Nine pregnant women with gestational diabetes mellitus (GDM) were studied. Six normal pregnant women and six normal nonpregnant women were evaluated as control groups. All the women underwent oral glucose tolerance test and glucose clamp during the third trimester of pregnancy and two months after delivery. During OGTT, glucose, C-peptide and insulin plasma levels were determined. C-peptide and insulin values in the late phase of OGTT were higher during pregnancy than after delivery in both groups. In gestational diabetic women, the M-value in the second steady-state during glucose clamp was lower than in controls, both during pregnancy and after delivery. Nevertheless, in both groups the M…

Blood GlucoseAdultmedicine.medical_specialtyEndocrinology Diabetes and Metabolismmedicine.medical_treatmentPregnancy in DiabeticsObesity; Glucose Tolerance Test; Reference Values; Humans; Diabetes Mellitus; Islets of Langerhans; Insulin; Blood Glucose; Pregnancy; Puerperal Disorders; Adult; Insulin Resistance; Female; Pregnancy in DiabeticsIslets of LangerhansEndocrinologyInsulin resistanceReference ValuesPregnancyDiabetes mellitusInternal medicineInternal MedicinemedicineDiabetes MellitusHumansInsulinObesityPregnancyGlucose tolerance testSettore MED/12 - Gastroenterologiamedicine.diagnostic_testbusiness.industryInsulinGeneral MedicinePuerperal DisordersGlucose clamp techniqueGlucose Tolerance Testmedicine.diseaseGestational diabetesEndocrinologyGestationFemaleInsulin Resistancebusiness
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Colorectal Cancer in Patients with Type 2 Diebetes Mellitus: Retrospective Analysis of 741 Cases

2012

ABSTRACT Background Understanding the risk factors of colorectal cancer (CRC) is crucial to the development of effective strategies for its prevention. Type 2 diabetes mellitus (DM) is associated with increased CRC risk and epidemiological studies identified a correlation between these diseases. Aim: To evaluate prevalence of CRC in a cohort of Caucasian patients with type 2 DM and the association with other variables previously known to be related with increased CRC. Methods We retrospectively evaluated 741 DM 2 patients followed in our institution of southern Italy between 2000-2008 for the incidence of CRC. Patients were stratified based on gender, age, body mass index (BMI), alcohol and…

medicine.medical_specialtyUnivariate analysisbusiness.industryIncidence (epidemiology)Type 2 Diabetes MellitusHematologymedicine.diseasechemistry.chemical_compoundOncologychemistryMedian follow-upInternal medicineDiabetes mellitusCohortMedicineGlycated hemoglobinbusinessBody mass indexAnnals of Oncology
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Study of pituitary secretion in relation to retinopathy in patients with juvenile diabetes mellitus.

1981

Fifteen juvenile diabetic patients with normal eye fundus, 6 with non proliferative retinopathy, 5 with proliferative retinopathy and 5 healthy control subjects were studied in order to investigate pituitary function in relation to diabetic retinopathy. ACTH values at 08(00) and 18(00), hPRL and TSh secretion in response to 200 microgram TRH i.v., and GH secretion in response to 500 mg oral L-dopa were evaluated. In all diabetic subjects, 08(00) ACTH levels were lower than in controls. Basal hPRL, TSH and GH values of the diabetics did not differ from those of the controls. No significant differences were found in hPRL levels in response to TRH, whereas significantly lower TSH responses wer…

AdultMaleendocrine systemPituitary glandmedicine.medical_specialtyAdolescentEndocrinology Diabetes and MetabolismThyrotropin-releasing hormoneThyrotropinAdrenocorticotropic hormoneLevodopaEndocrinologyAdrenocorticotropic HormoneInternal medicineDiabetes mellitusInternal MedicineMedicineHumansThyrotropin-Releasing HormoneDiabetic Retinopathybusiness.industryGeneral MedicineDiabetic retinopathymedicine.diseaseGrowth hormone secretionProlactinProlactinKineticsmedicine.anatomical_structureEndocrinologyDiabetes Mellitus Type 1Growth HormonePituitary GlandFemalebusinesshormones hormone substitutes and hormone antagonistsRetinopathyActa diabetologica latina
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The diabetic cataract: an unusual presentation in a young subject: case report.

1997

This case report concerns a 14-year-old female patient, whose insulin-dependent diabetes mellitus was displayed by one infrequent complication, the cataract. This is an unusual manifestation in a 14-year-old patient; indeed, there are many findings in experimental animals demonstrating the development of this complication by maintaining blood glucose levels above 12 mM. After surgical therapy, complete vision was recovered, but we think that an earlier diagnosis and therapy of metabolic derangement of diabetes may have avoided this complication.

GlycosuriaBlood Glucosemedicine.medical_specialtyAdolescentEndocrinology Diabetes and MetabolismEye diseaseHypercholesterolemiaCataract ExtractionKetone BodiesCataractEndocrinologyGlycosuriaDiabetes mellitusFemale patientInternal MedicinemedicineHumansHypertriglyceridemiaMetabolic derangementbusiness.industrymedicine.diseaseDiabetic cataractSurgeryDiabetes Mellitus Type 1FemalePresentation (obstetrics)medicine.symptomComplicationbusinessJournal of diabetes and its complications
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Polymorphonuclear leukocyte membrane fluidity, at baseline and after in vitro activation, in obesity with or without diabetes mellitus

2002

We studied a group of 28 obese subjects (mean age 38.2+/-13.5 years, body mass index 35.0+/-5.6 kg/m2) with insulin resistance demonstrated employing an euglycemic hyperinsulinemic clamp, subdivided into a subgroup with normal glucose tolerance (NGT) and a subgroup with type 2 diabetes mellitus (DM). We examined the polymorphonuclear leukocyte (PMN) membrane fluidity at baseline and after activation with 4-phorbol 12-myristate 13-acetate (PMA) or N-formyl-methionyl-leucylphenylalanine (fMLP). At baseline, PMN membrane fluidity was significantly decreased in both subgroups compared to normals. In obese subjects with NGT no correlation was found between this PMN determinant and the parameters…

AdultMalemedicine.medical_specialtyMembrane FluidityNeutrophilsEndocrinology Diabetes and Metabolismmedicine.medical_treatmentGranulocyteNeutrophil ActivationBody Mass IndexEndocrinologyInsulin resistanceReference ValuesInternal medicineDiabetes mellitusDiabetes MellitusInternal MedicinemedicineMembrane fluidityHumansObesityPancreatic hormonebusiness.industryInsulinType 2 Diabetes Mellitushemic and immune systemsGeneral Medicinemedicine.diseasePathophysiologyEndocrinologymedicine.anatomical_structureDiabetes Mellitus Type 2Regression AnalysisFemalebusinessActa Diabetologica
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Polymorphonuclear leukocyte membrane fluidity and insulin resistance in obese subjects.

2002

AdultMalemedicine.medical_specialtyMembrane FluidityNeutrophilsEndocrinology Diabetes and MetabolismMedicine (miscellaneous)EndocrinologyInsulin resistanceInternal medicinemedicineMembrane fluidityHumansObesityPolymorphonuclear leukocytebusiness.industryCell MembranePublic Health Environmental and Occupational HealthMiddle Agedmedicine.diseaseEndocrinologyFemaleObese subjectsInsulin ResistancebusinessFood Science
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Haematocrit in metabolic syndrome

2003

medicine.medical_specialtyEndocrinologyEndocrinologybusiness.industryEndocrinology Diabetes and MetabolismInternal medicineEmergency medicineInternal MedicinemedicineMetabolic syndromemedicine.diseasebusinessDiabetic Medicine
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METABOLIC SYNDROME FOLLOW-UP IN MENOPAUSE: A MULTIDISCIPLINARY APPROACH TO REDUCE THE CARDIOVASCULAR RISK

2009

medicine.medical_specialtybusiness.industryObstetrics and Gynecologymedicine.diseaseGeneral Biochemistry Genetics and Molecular Biologymenopause metabolic syndromeSettore MED/13 - EndocrinologiaMenopauseEndocrinologyMultidisciplinary approachInternal medicinemedicineMetabolic syndromeIntensive care medicinebusinessMaturitas
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Plasma viscosity and insulin resistance in metabolic syndrome

2001

MaleMetabolic Syndromemedicine.medical_specialtyNutrition and Dieteticsbusiness.industryEndocrinology Diabetes and MetabolismMedicine (miscellaneous)Middle AgedBlood Viscositymedicine.diseaseEndocrinologyInsulin resistanceInternal medicineBody ConstitutionHumansMedicineFemaleInsulin ResistanceMetabolic syndromebusinessPlasma viscosityInternational Journal of Obesity
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Visceral adiposity index is associated with significant fibrosis in patients with non-alcoholic fatty liver disease

2012

Background: Metabolic factors have been associated with liver damage in patients with non-alcoholic fatty liver disease (NAFLD). Aims To test a new marker of adipose dysfunction, the visceral adiposity index (VAI), in NAFLD patients to assess whether or not it is associated with host factors, and to investigate a potential correlation with histological findings. Methods One hundred and forty-two consecutive NAFLD patients were evaluated by liver biopsy, and clinical and metabolic measurements, including insulin resistance with the homeostasis model assessment (HOMA), and VAI by using waist circumference, body mass index, triglycerides and HDL. Serum levels of TNFα, IL-6, adiponectin and lep…

Settore MED/12 - Gastroenterologiavisceral adiposity index nafld liver fibrosis liver biopsySettore MED/08 - Anatomia PatologicaSettore MED/13 - Endocrinologia
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Colorectal cancer in patients with type 2 diabetes mellitus: a single-center experience

2017

Type 2 diabetes mellitus (T2DM) is associated with an increased risk of colorectal cancer (CRC). The aim of the study is to evaluate the prevalence of CRC in a cohort of Caucasian patients with T2DM and the association with other variables previously known to be related with increased risk of CRC. We retrospectively evaluated the data of 741 consecutive Caucasian patients with T2DM who underwent colonoscopic screening in our tertiary referral center. A control cohort of 333 patients with thyroid disease was selected to evaluate the difference in the incidence of CRC. At a median follow-up of 132.5 months (range 33.3-175.7), 67 cases of cancer (prevalence 9%) occurred; among these, 14 cases …

MaleSettore MED/12 - GastroenterologiaMiddle AgedRisk Assessmentcolorectal cancer diabetes mellitu 2 typeMetforminWhite PeopleSettore MED/18 - Chirurgia GeneraleSulfonylurea CompoundsDiabetes Mellitus Type 2Risk FactorsCase-Control StudiesInsulin SecretionHumansHypoglycemic AgentsInsulinFemaleColorectal NeoplasmsAgedRetrospective Studies
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