Search results for "temi"

showing 10 items of 3194 documents

Cardiac surgery outcomes in patients with coronavirus disease 2019 (COVID-19): A case-series report

2020

Abstract Objective The impact of coronavirus disease 2019 (COVID-19) on the postoperative course of patients after cardiac surgery is unknown. We experienced a major severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in our cardiac surgery unit, with several patients who tested positive early after surgery. Here we describe the characteristics, postoperative course, and laboratory findings of these patients, along with the fate of the health care workers. We also discuss how we reorganize and reallocate hospital resources to resume the surgical activity without further positive patients. Methods After diagnosis of the first symptomatic patient, surgery was suspended. Naso…

AdultMalePulmonary and Respiratory MedicineSIRS systemic inflammatory response syndromemedicine.medical_specialtyInfectious Disease Transmission Patient-to-ProfessionalCoronavirus disease 2019 (COVID-19)Sars-CoV-2medicine.medical_treatmentSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)cardiac surgery COVID-19 new coronavirus SARS-CoV-2CRP C-reaction protein030204 cardiovascular system & hematologyHealth Services AccessibilityArticleDisease OutbreaksTertiary Care Centers03 medical and health sciences0302 clinical medicinePostoperative ComplicationsValve replacementInterquartile rangeInternal medicineHealth caremedicineHumansIn patientCardiac Surgical ProceduresAgedAged 80 and overInfection ControlHealth Care RationingTAVR transcatheter aortic valve replacementbusiness.industrynew coronavirusExtracorporeal circulationCOVID-19Middle AgedCardiac surgery030228 respiratory systemItalyRT-PCR t real-time reverse transcription polymerase chain reactionFemaleSurgeryCOVID-19 / Sars-CoV-2 novel coronavirus 2businessCardiology and Cardiovascular Medicinecardiac surgeryFollow-Up Studies
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Physical capacity in performing daily activities is reduced in scleroderma patients with early lung involvement

2014

BACKGROUND: Patients with systemic sclerosis (SSc) often complain reduced capacity at submaximal exercise; conversely physical capacity in performing daily duties has never been measured in SSc. OBJECTIVES: To evaluate this performance and its correlates, in patients with SSc compared to healthy controls, in a free-living setting. METHODS: Twenty-seven outpatients with stable SSc and 11 controls were recruited. Physical activity was assessed by portable multiple sensor device (SenseWear Armband) worn for at least six days. Physical activity duration (PAD; in minutes) for non-sedentary activities and physical activity level (PAL= total daily energy/resting energy expenditure) per day were ca…

AdultMaleScleroderma SystemicPhysical activityHypertension PulmonaryMiddle AgedSettore MED/10 - Malattie Dell'Apparato RespiratorioLung functionSclerodermaNutrition AssessmentSpirometryActivities of Daily LivingHumansMotion sensorFemaleExerciseAged
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Cryptic Leishmania infantum infection in Italian HIV infected patients.

2008

Abstract Background Visceral leishmaniasis (VL) is a protozoan diseases caused in Europe by Leishmania (L.) infantum. Asymptomatic Leishmania infection is more frequent than clinically apparent disease. Among HIV infected patients the risk of clinical VL is increased due to immunosuppression, which can reactivate a latent infection. The aims of our study were to assess the prevalence of asymptomatic L. infantum infection in HIV infected patients and to study a possible correlation between Leishmania parasitemia and HIV infection markers. Methods One hundred and forty-five HIV infected patients were screened for the presence of anti-Leishmania antibodies and L. infantum DNA in peripheral blo…

AdultMaleSettore MED/17 - Malattie InfettiveAntibodies ProtozoanHIV InfectionsParasitemiaBiologyParasitemiaAsymptomaticlcsh:Infectious and parasitic diseasesYoung Adultparasitic diseasesmedicinePrevalenceHumanslcsh:RC109-216Leishmania infantumAgedHIVLeishmaniasisDNA ProtozoanMiddle Agedmedicine.diseasebiology.organism_classificationVirologyCryptic infectionCryptic infectionVisceral leishmaniasisInfectious DiseasesPCRItalyImmunoglobulin GImmunologyCarrier StateLeishmaniasis VisceralRegression AnalysisFemalemedicine.symptomLeishmania infantumViral loadAsymptomatic carrierResearch Article
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Computer assisted evaluation of retinal vessels tortuosity in Fabry disease.

2012

. Purpose:  Fabry Disease (FD) is a rare X-linked metabolic disorder characterized by diffuse deposition of sphingolipids in many tissues. Retinal vessel tortuosity is a common ocular manifestation in FD and may represent a useful marker for the disease. Unfortunately its clinical evaluation is poorly reproducibile and alternative means of evaluation may be of interest. We tested a new semi-automatic software measuring retinal vessel tortuosity from eye fundus digital images in a group of FD patients. Methods:  Observational case-control study evaluating four mathematical parameters describing tortuosity (relative length, sum of angle metric [SOAM], product of angle distance [PAD], triangul…

AdultMaleSystemic diseasePathologymedicine.medical_specialtyAdolescentFundus (eye)TortuosityConjunctival Diseaseschemistry.chemical_compoundYoung AdultDisease severityRetinal DiseasesOphthalmologyImage Processing Computer-AssistedPhotographyMedicineHumansDiagnosis Computer-AssistedAgedbusiness.industryMetabolic disorderRetinal VesselsRetinalGeneral MedicineMiddle Agedmedicine.diseaseFabry diseaseOphthalmologychemistryCase-Control StudiesFabry DiseaseFemalebusinessClinical evaluationConjunctivaActa ophthalmologica
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Periodontal disease and sjogren syndrome: a possible correlation?

2009

Sjögren syndrome (SS) is a chronic autoimmune rheumatic disease characterized by a progressive lymphocytic infiltration of exocrine glands, especially salivary and lachrymal ones, leading to xerostomia, parotid gland enlargement, and xerophthalmia. The aim of this study is to describe the capillaroscopic pattern of the interdental papilla in patients with SS and to evaluate a possible correlation with periodontal disease. Methods: A total of 25 patients affected by SS and 25 healthy controls were examined. The patients with conditions that compromise microcirculation, such as diabetes, hypertension, hyperlipidemia, or some pharmacological treatments, were not included in the study. All the…

AdultMaleSystemic diseasePathologymedicine.medical_specialtyEye diseaseGingivaMicrocirculationperiodontal disease sjogren syndromMicroscopic AngioscopySettore MED/28 - Malattie OdontostomatologicheDiabetes mellitusImmunopathologymedicineHumansXerophthalmiaInterdental papillaPeriodontal DiseasesAgedAutoimmune diseasebusiness.industryMicrocirculationMiddle Agedmedicine.diseaseCapillariesmedicine.anatomical_structureSjogren's SyndromeFemaleCardiology and Cardiovascular MedicinebusinessAngiology
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Are laboratory tests useful for monitoring the activity of lupus nephritis? A 6-year prospective study in a cohort of 228 patients with lupus nephrit…

2008

Objectives:To evaluate the role of immunological tests for monitoring lupus nephritis (LN) activity.Methods:C3, C4, anti-dsDNA and anti-C1q antibodies were prospectively performed over 6 years in 228 patients with LN.Results:In membranous LN only anti-C1q antibodies differentiated proteinuric flares from quiescent disease (p = 0.02). However, in this group 46% of flares occurred with a normal value of anti-C1q antibodies versus 20% in proliferative LN (p = 0.02). In patients with antiphospholipid antibodies (APL), 33% of flares occurred with normal levels of anti-C1q antibodies versus 14.5% in patients that were APL-negative (p = 0.02). In proliferative LN, anti-C1q antibodies showed a slig…

AdultMaleSystemic diseasemedicine.medical_specialtyImmunologyLupus nephritisGastroenterologySeverity of Illness IndexGeneral Biochemistry Genetics and Molecular BiologyYoung AdultRheumatologyimmune system diseasesInternal medicineImmunopathologyMedicineHumansImmunology and Allergyskin and connective tissue diseasesProspective cohort studyAutoantibodiesUnivariate analysisBiochemistry Genetics and Molecular Biology (all)business.industryComplement C1qComplement C4BiomarkerComplement C3DNALupus NephritiMiddle Agedmedicine.diseaseConnective tissue diseaseLupus NephritisAutoantibodieRheumatologyAntibodies AntinuclearImmunologyEpidemiologic MethodFemalebusinessEpidemiologic MethodsBiomarkersKidney diseaseHuman
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Diabetic Microagiopathy of Oral Mucosa Depends on Disease Duration and Therapy

2017

Background: Diabetes mellitus is a chronic degenerative systemic disease whose prevalence is increasing. This paper aims to evaluate the effects of diabetic microangiopathy, depending on its duration and the type of treatment administered, by using polarized light videocapillaroscopy of the oral mucosa. Material/Methods: We enrolled 120 subjects: 60 healthy subjects and 60 patients with diabetes mellitus. In turn, patients were divided into 3 subgroups according to the type of diabetes, the duration of the disease, and the type of treatment administered. A videocapillaroscopic examination of the oral mucosa was carried out on the diabetic and healthy subjects. Results: Changes in microcircu…

AdultMaleSystemic diseasemedicine.medical_specialtymedicine.medical_treatment030209 endocrinology & metabolismGastroenterologyMicroscopic AngioscopyMicrocirculationDiabetes Complications03 medical and health sciences0302 clinical medicineTongueClinical ResearchTongueDiabetes mellitusInternal medicinemedicineHumansOral mucosaType 1 diabetesbusiness.industryMicrocirculationInsulinMouth Mucosa030206 dentistryGeneral MedicineBuccal administrationMiddle Agedmedicine.diseaseCapillariesDiabetes Mellitus Type 1medicine.anatomical_structureDiabetes Mellitus Type 2Dentistry Diabetes Complications Microcirculation Microscopic AngioscopyDentistryFemalebusinessDiabetic AngiopathiesMedical Science Monitor
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Significance of hyperlactatemia in acute hypnotic drug poisoning

1981

Lactate concentration, fibrinogen and fibrin(ogen) -- degradation-products in central venous blood were analysed in 35 unconscious patient with acute hypnotic drug poisoning (HDP) and compared with the results in 13 healthy control persons undergoing the same degree of forced diuresis via central venous catheters. Blood samples were taken on admission and at 12 h intervals up to 36 h after admission. Patients with HDP were attributed to the categories of moderate intoxications (n = 17) and severe intoxications (n = 18) according to their clinical condition. On admission, blood lactate was significantly higher in severe intoxication (3.90 +/- 2.94 mmol/l) as compared to the control group (1.…

AdultMaleUnconsciousnessFibrinogenFibrinFibrin Fibrinogen Degradation ProductsDrug DiscoverymedicineBlood lactateHumansHypnotics and SedativesIn patientGenetics (clinical)biologybusiness.industryUnconsciousnessHemodynamicsFibrinogenGeneral MedicineVenous bloodHypnotic drugAnesthesiaLactatesbiology.proteinMolecular MedicineFemaleHyperlactatemiamedicine.symptombusinessmedicine.drugKlinische Wochenschrift
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Diseases of the vertebral arteries.

1990

Case reports and postmortem neuropathological findings of a wide spectrum of diseases affecting the vertebral arteries, in particular vasculitis, traumatic lesions, degenerative changes and congenital abnormalities, are discussed.

AdultMaleVasculitisPathologymedicine.medical_specialtySystemic diseaseVertebral arteryAneurysmmedicine.arteryMedicineHumansChiropractic manipulationVertebral ArteryAgedAged 80 and overbusiness.industryGeneral MedicineMiddle Agedmedicine.diseaseGiant cell arteritisSurgeryFemalesense organsNeurology (clinical)NeurosurgerybusinessVasculitisNeurosurgical review
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Serum thrombomodulin—a reliable marker of disease activity in systemic lupus erythematosus (SLE): advantage over established serological parameters t…

1999

SUMMARYTo date no specific serological parameter is available to assess disease activity in SLE. Soluble serum thrombomodulin is a new marker of endothelial cell injury and vasculitis. The objective of this study was to compare in vivo soluble thrombomodulin as marker of disease activity in SLE with established and recent serological parameters. One hundred and twenty-four sera of 30 patients with proven SLE with different disease activities were tested for serum levels of thrombomodulin, intercellular adhesion molecule-1 (ICAM-1), E-selectin, vascular cell adhesion molecule-1 (VCAM-1), IL-2R, IL-6, IL-10, dsDNA by ELISA and dsDNA additionally by radioimmunoassay (RIA). C-reactive protein (…

AdultMaleVasculitisSystemic diseaseAdolescentThrombomodulinImmunologyVascular Cell Adhesion Molecule-1ThrombomodulinSerologyRheumatic DiseaseImmunopathologymedicineHumansLupus Erythematosus SystemicImmunology and Allergyskin and connective tissue diseasesAgedAutoimmune diseaseLupus erythematosusmedicine.diagnostic_testbusiness.industryMiddle AgedIntercellular Adhesion Molecule-1medicine.diseaseConnective tissue diseaseSolubilityCase-Control StudiesErythrocyte sedimentation rateImmunologycardiovascular systemFemaleE-SelectinbusinessBiomarkersClinical and Experimental Immunology
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