214 research outputs found

    Aortic arch branching pattern variation: its incidence on a 20.030 cases review.

    No full text
    Aim of the study: the main objective of this work was to study the frequency of variation of the aortic arch branching pattern in a wide and varied population. Introduction: Variations in the branching pattern of the aortic arch are clinically relevant because of the direct influence that their presence can have on the success of cardio-vascular procedures, neck or thorax surgery, in trauma management or in intensive care unit patient’s. In most cases these anatomical variations are asymptomatic and considered clinically benign, but some particular aortic branching patterns had been associated with surgical complications or with vascular diseases in medical non surgical patients. Methods: this paper analyzes the aortic arch branching patterns of 20.030 cases reported by 40 anatomical or radiological studies. Results: 84,52% of the studied population has a three branches pattern and 14,65% has a two branches pattern. The four primary arteries arising directly from the aortic arch were seen in 0,81% of the cases and only 0,02% had them all arising from a common trunk

    Cardiovascular risk and access to primary care: Comparisons among Chinese documented and undocumented immigrants

    No full text
    Aims: The aim of this study was to examine main risk factors of undocumented Chinese migrants living in Italy when compared with Chinese migrants registered with National Health Service (NHS). Methods: A cohort of 3435 Chinese first-generation immigrants living in Prato underwent blood pressure (BP) measurement and blood tests. Hypertension was diagnosed for BP ≥ 140/90 mmHg at 2 visits, and/or antihypertensive drug use; type 2 diabetes (T2DM) for fasting glucose ≥ 126 mg/dL at 2 visits, and/or use of hypoglycemic drugs; hypercholesterolemia (HC) for cholesterol ≥ 240 mg/dL and/or statins use. Subjects diagnosed with hypertension, T2DM, or HC unaware of their condition were considered newly diagnosed. Comparisons were performed using multivariable adjusted logistic regression analysis. Results: A large proportion of Chinese migrants were undocumented (1766, 51 %); newly diagnoses of risk factors were performed especially among undocumented migrants; registration with NHS was associated with higher level of awareness for hypertension and T2DM and with 6 times higher rate of treatment for T2DM. Only a small minority of subjects with high cholesterol were treated with statins. Conclusions: Undocumented immigrants had high prevalence of risk factors with lower levels of awareness than migrants registered with the NHS. Health policies targeting this hard-to-reach population needs to be improved
    corecore