86,815 research outputs found
Sonographic diagnosis of lateral asynclitism: a new subtype of fetal head malposition as a main determinant of early labor arrest
No full textWe report on the sonographic appearance of a new type of fetal head malposition in labor that has not been previously described systematically. In some circumstances, the fetal lie is characterized by a lateral orientation of the head with respect to the trunk and, on suprapubic ultrasound, a transverse section of the fetal chest together with the facial profile can be seen on the same image. These sonographic findings were documented in five cases of first-stage labor arrest. This report illustrates how, in these circumstances, ultrasound might be helpful in clarifying the precise cause of obstructed labor. [[ArtCopyrightmsg]]
Bellussi, L
No full textObstructive sleep apnoea syndrome (OSAS) is a disorder that leads to metabolic abnormalities and increased cardiovascular risk. The aim of this
study was to identify early laboratory markers of cardiovascular disease through analysis of oxidative stress in normal subjects and patients with
OSAS. A prospective study was designed to compare outcomes of oxidative stress laboratory tests in 20 adult patients with OSAS and a control
group of 20 normal subjects. Laboratory techniques for detecting and quantifying free radical damage must be targeted to assess the pro-oxidant
component and the antioxidant in order to obtain an overall picture of oxidative balance. No statistical differences in age, sex distribution, or BMI
were found between the two groups (p>0.05). There were significant differences in the apnoea/hypopnoea index (AHI) between OSAS patients
and the control group (p<0.05). Statistically significant differences in isoprostane, advanced oxidation protein products (AOPP) and non-protein
bound iron (NPBI) levels were found between the study and control groups. No significant difference in the levels of thiol biomarkers was found
between the two groups. The main finding of the present study was increased production of oxidative stress biomarkers in OSAS patients. The
major difference between thiols and other oxidative stress biomarkers is that thiols are antioxidants, while the others are expressions of oxidative
damage. The findings of the present study indicate that biomarkers of oxidative stress in OSAS may be used as a marker of upper airway obstructive
episodes due to mechanical trauma, as well as a marker of hypoxaemia causing local oropharyngeal inflammation
"The nose as immunocompetent organ"
No full textMany words have been written about the nose as organ able to modify the physical and chemical characteristics of the air breathed in. Here we would like to focus on the immunological reactivity of the nasal mucosa, giving a particular prominence to the secretory specific defence system. The constant presence of IgA in the secretion, which moisten all the mucosal surfaces exposed to environmental noxae, joins structures whith specific functions such as intestinal, genitor-urinary and respiratory mucosa and allows them to constitute the system of mucosal defence. The histological integrity of the nasal mucosa is indispensable for an adequate production of secretory IgA so any case of chronic inflammatory processes accompanied by edema and increase in trasudation (specific vasomotory rhinopathy) or atrophic rhinopathy, charachterised by involutive alterations of the chorion and the glandular structures, is responsible for a reduction of this production
Role of azelastine nasal spray in the symptomatic treatment of seasonal allergic rhinitis
No full text
Foreign bodies in the ears in children: the experience of the Buenos Aires pediatric ORL clinic
No full textEven if foreign body (FB) insertion in the external auditory canal (EAC) is not an uncommon event, the literature based on large series is scarce. In the present study, ear FB cases observed at the Children's Hospital Gutierrez in Buenos Aires over five years of otorhinolaryngology (ORL) activity are presented, and the main findings are compared with data coming from other well-known published case series. Three hundred ninety-two injury cases were observed. Eighty percent of them occurred while the child was playing; in 328 cases (83.7%), adults were present. The retrieved FB included food items and objects usually available at home, such as pins, while fragments of toys were found in only 2 cases. These findings testify to the efficacy of regulations imposing manufacturing quality standards on toys; on the other hand, parents seem to be unaware of the risk imposed by FB insertion, since injuries usually happen under adult supervision while children are manipulating objects not adapted for their age
Medical education and attitudes about acute otitis media guidelines: a survey of Italian pediatricians and otolaryngologists.
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Medical Education and Attitudes About Acute Otitis Media Guidelines A Survey of Italian Pediatricians and Otolaryngologists
Author(s): Marchisio, P (Marchisio, Paola); Mira, E (Mira, Eugenio)2; Klersy, C (Klersy, Catherine)3; Pagella, F (Pagella, Fabio)2; Esposito, S (Esposito, Susanna); Bianchini, S (Bianchini, Sonia); Di Mauro, G (Di Mauro, Giuseppe)4; Fusi, M (Fusi, Michela); Nazzari, E (Nazzari, Erica); Tagliabue, M (Tagliabue, Marta)2; Bellussi, L (Bellussi, Luisa)5; Principi, N (Principi, Nicola)1
Source: PEDIATRIC INFECTIOUS DISEASE JOURNAL Volume: 28 Issue: 1 Pages: 1-4 DOI: 10.1097/INF.0b013e318184ef02 Published: JAN 2009
Times Cited: 7 (from Web of Science)
Cited References: 36 [ view related records ] Citation Map
Abstract: Background: Medical education and guidelines have been advocated as major means of improving the managernent of otitis media. Limited data are available concerning medical education in acute otitis media (AOM), and the association between medical education and attitudes about AOM guidelines has never been explored.
Objectives: To assess the prevalence of medical education concerning AOM, of a Positive attitude toward AOM guidelines and of appropriate diagnostic methods in a large sample of Italian pediatricians (PEDs) and otolaryngologist (ENTs) and to look for possible associations between them.
Subjects and Methods: This cross-sectional survey was based on the responses of 2012 physicians (1160 PEDs and 852 ENTs) to a mailed anonymous questionnaire.
Results: Very few (9%) of the responders had received any AOM medical education during Medical school, but the number increased (hiring residency (38%) and peaked in the postresidency period (53%) with slight differences between PEDs and ENTs. Forty percent reported a positive attitude toward AOM guidelines, with PEDs having a better attitude than ENTs (46% vs. 32%, P < 0.001), An appropriate diagnostic method for AOM was reported by only 21% of the physicians (PEDs 11% vs. ENTs 35%, P < 0.001). AOM Medical education during postresidency and reporting the use of appropriate diagnostic methods were significantly associated With a positive attitude about AOM guidelines.
Conclusions: Specific educational programs concerning AOM should be implemented and rigorously evaluated, before physicians become fully trained PEDs and ENTs, and maintained during postresidency. Evidence-based guidelines should be further incorporated into everyday practice of both PEDs and ENTs
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