102,211 research outputs found
Cycles brefs enregistrés en Italie pendant les vingt dernières années
No full textDi Fenizio F., Miconi G. Cycles brefs enregistrés en Italie pendant les vingt dernières années. In: Revue économique, volume 16, n°3, 1965. pp. 445-474
La Sindrome di Frey
No full textGli AA costituiscono il Gruppo di Studio della Società Italiana di Chirurgia Maxillo-Facciale coordinato dal Prof. Enrico Panzoni di Firenze. E’ uno studio frutto della esperienza di numerose Scuole italiane di Chirurgia maxillo-Facciale. Della Sindrome di Frey, dopo una ampia introduzione che comprende cenni storici e richiami di anatomia (L. Califano, A. Zupi - Napoli), vengono dettagliatamente descritti gli aspetti clinici e diagnostici (T. Cutilli – L’Aquila), gli aspetti fisiopatologici (C. Gallesio, M. Miconi – Torino), la profilassi (R. Vinci, U. Zanetti – Brescia), le metodiche di approccio terapeutico (A.B. Giannì, G. Moscato – Parma), la casistica e le considerazioni conclusive (P. Salvatori, F. Zucca – Cagliari)
The Big G and the Never‐Ending Story of Knowledge Monopolies
No full textIl saggio analizza le teorie critiche sul ruolo di Google, e sul suo potere nell'organizzazione della cultura
Recurrent renal colic in a patient with munchausen syndrome
No full textBACKGROUND:
In most of the cases regarding children, factitious disorders (FDs) are intentionally produced by parents. Less attention is paid to FDs in which a child or adolescent intentionally induces or falsifies the disease to attain a patient's role.
CASE PRESENTATION:
A 13-year-old immigrated and adopted boy previously underwent an operation for renal joint syndrome and was affected by recurrent episodes of renal colic. The boy was admitted reporting acute left flank pain with scars on the mucous face of his prepuce and had a recent previous hospitalization for the same reason. Laboratory tests and radiological findings did not reveal any morphological or functional alterations. Self-induced FD was suspected, and a psychiatric consultation was performed. After psychiatric consultation and remission of the symptoms with a placebo, a diagnosis of Munchausen syndrome was suspected. The patient's uncle was not initially convinced of the diagnosis. Some videos clearly showed that the boy was handling his prepuce to excrete stones, explaining the scars. A therapeutic plan with psychiatrist support was later accepted with a positive outcome. No further signs and symptoms of renal colic were reported.
CONCLUSIONS:
It is recommended that paediatricians include FD in the differential diagnosis of a persistent and unexplained medical condition. If suspicion arises, confirmation and long-term therapy by a group of qualified specialists, including psychiatrists, should be planned
Physiolgic hypercortisolism at onset of celiac disease in a girl: A case report
No full textRATIONALE:
Celiac disease (CD) is an autoimmune disorder induced by dietary gluten in genetically predisposed subjects. Activation of the hypothalamic-pituitary-axis (HPA) can occur in patients with CD; however, this condition has never been described in overweight/obese CD children.
PATIENT CONCERNS:
A 12-year-old girl with CD was admitted with mild acanthosis nigricans of the armpits, groin and neck. Recently, extra fat appeared around the neck, and moon face was observed. The abdomen was globular and meteoric, treatable and not aching. She weighed 64 kilos (75°-97° percentile) and was 146 centimeters tall (3°-25° percentile) with a body mass index of 30 kg/mq. Laboratory tests revealed hypertriglyceridemia and positive anti-transglutaminase IgA. Cortisoluria was determined. Serum ACTH was normal.
DIAGNOSES:
This paper reports a case of a girl with CD in which both obesity and activation of HPA activity were noted.
INTERVENTIONS:
During follow-up, anti-transglutaminase IgA increased to 201.5 UI/mL. The patient was positive for anti-endomysium antibodies, and the HLA DQ2 haplotype was identified, confirming a diagnosis of CD.
OUTCOMES:
Despite a gluten-free diet, obesity and hyperadrenalism persisted, and anti-transglutaminase antibodies remained elevated. In addition, high cortisoluria persisted. A high-dose suppression dexamethasone test (8 mg) produced negative results with a morning cortisol value of 1 ng/mL, suggesting the diagnosis of pseudo-Cushing's syndrome.
LESSONS:
This case highlights that the first manifestation of CD could be being overweight, and this finding seems to support the need to prescribe laboratory tests for CD not only to children with failure to thrive, as commonly recommended, but also to those with increased body weight
Crediti Tributari
No full textL'amministrazione finanziaria è legittimata ad agire direttamente, in alternativa al concessionario della riscossione, per far valere il proprio credito in sede di ammissione al passivo fallimentare. La domanda di ammissione al passivo avente ad oggetto un credito tributario, presentata dall'Amministrazione finanziaria, presuppone necessariamente la precedente iscrizione a ruolo del credito azionato, la notifica della cartella di pagamento e l'allegazione all'istanza della relativa documentazione
Perceived Parenting, Self-Esteem, and Depressive Symptoms in Immigrant and Non-Immigrant Adolescents in Italy: A Multigroup Path Analysis
No full textPrevious research has shown that a warm and caring parental style is associated with better psychological adjustment in adolescents from diverse cultural contexts. Yet, the differential role of mothers and fathers in adolescents’ depressive symptoms is still understudied, especially among immigrant populations. This study examined the relationship between perceived care from both mother and father and depressive symptoms among adolescents with and without a migration background, postulating mediation by self-esteem. Participants were 686 first-generation immigrant (44 % girls) and 1295 non-immigrant (46 % girls) Italian adolescents aged 14–20 years, who completed a questionnaire survey. Multigroup path analyses controlling for age, gender, and SES showed that (a) perceived maternal and paternal care and self-esteem were negatively related to depressive symptoms in both groups; (b) self-esteem mediated the link between perceived parenting and youth depressive symptoms in both groups; (c) the direct and indirect effects were invariant across the two groups. Results suggest that involved fathers, just as much as mothers, contribute to adolescents’ positive adjustment irrespective of immigrant status. Interventions may focus on the enhancement of self-esteem as well as the perceived quality of attachment to both mother and father, shifting away from risk models towards more positive youth development models
A case report of ectopic pancreas in the ileum incidentally diagnosed during laparotomy for acute colonic diverticulitis
No full textClinical efficacy of gamma-hydroxybutyric acid in treatment of opiate withdrawal
No full textThis paper describes the role of gamma-hydroxybutyric acid (GHB) in the treatment of opiate withdrawal syndrome. In the two patients described, after having abruptly withdrawn from long-term methadone treatment, GHB was orally administered (each dose given every 46 h) for 8-9 days. The GHB showed both a high efficacy (some mild and transient symptoms attributable to opiate withdrawal were observed, but only in the first days of therapy) and a good tolerability (no clinical phenomena interpreted as GHB side effects were found). These results could be of interest in improving the pharmacological treatment of drug addiction
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