102,084 research outputs found
Dispositivi cardiaci e possibili interferenze elettromagnetiche in ambito odontoiatrico
No full textObjectives: Many electromagnetic fields emitting equipments can potentially interfere with the activity of implantable heart-assist devices. The purpose of this work is to summarize data available in the literature about the possible interferences of common dental equipments with these devices. Materials and methods: PubMed database was searched using the following keywords: "cardiac devices", "electromagnetic interferences". Results and conclusions: Possible risks in hospitals, daily life and dental offices are reported. The most part of equipments analyzed are safe
Carico immediato di impianti inseriti mediante chirurgia guidata in un’edentulia parziale anteriore mandibolare: caso clinico = Immediate loading of implants inserted through guided surgery in mandibular anterior partial edentulism: clinical case
No full textInfrared thermography and color Doppler: Two combined tools for assessing inflammation in hidradenitis suppurativa
No full textSuccessful treatment of co-existent SAPHO syndrome and hidradenitis suppurativa with adalimumab and methotrexate
No full textSAPHO syndrome, namely Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis, is a rare autoinflammatory chronic disease presenting with non-infectious inflammatory osteitis, sterile joint inflammation and skin manifestations, including palmoplantar pustulosis and severe acne. The case of a 15-year-old boy affected by SAPHO syndrome and hidradenitis suppurativa (HS) is presented and discussed. Coexistence of these two diseases may represent a therapeutic challenge and this case confirms literature data reporting the efficacy of the combination of methotrexate and adalimumab in SAPHO complicated by HS
Effects of pharmacological treatments on emotional tasks in borderline personality disorder: A review of functional magnetic resonance imaging studies
No full textBackground: Borderline personality disorder (BPD) is a common mental disorder characterized by instability in interpersonal relationships, impaired self-image, impulsivity and aggressive behaviors that often requires pharmacological treatments. Neuroimaging alterations have been extensively reported in BPD, especially in regions within the fronto-limbic system. Although medications can be an important confounding factor in functional Magnetic Resonance Imaging (fMRI) studies, their role on brain function in BPD patients still remains uncertain. Therefore, this review aims to improve our understanding on the potential effect of the most commonly prescribed drugs for BPD on brain function during processing of emotional tasks. Methods: A search on PubMed, Scopus and Web of Science of fMRI studies exploring the effect of antipsychotics, antidepressants and mood stabilizers on brain activity during processing of emotional tasks on BPD was conducted. Results: Overall the studies showed small or no effect of pharmacological treatments on brain activity and connectivity in BPD patients during processing of emotional tasks. Limitations: The small sample size, the observational design, the elevated percentage of women, the concomitant use of psychostimulants, anticholinergics and opioids substitute treatments and the high rate of comorbidities limit the conclusion of this review. Conclusions: Pharmacological treatments seem to have minor role on brain activity/connectivity in BPD patients during emotional tasks, ultimately suggesting that in BPD patients brain deficits seem not be influenced by medications. This might be due to functional brain specificities of BPD and to the differences in pharmacological regimens and compliance to therapy between BPD and other common psychiatric disorders
Clinical evolution of proliferative verrucous leukoplakia [Evoluzione clinica della leucoplachia proliferativa verrucosa]
No full textOBJECTIVES. Proliferative verrucous leukoplakia (PVL) is a particular type of leukoplakia thought to be at high risk of malignant transformation. The aim of this review is to update the reader about PVL. MATERIALS AND METHODS. A search of PubMed database was undertaken with the following keywords: proliferative verrucous leukoplakia, oral leukoplakia. RESULTS AND CONCLUSIONS. PVL seems to be a multifactorial disease, usually associated with HPV infection. The early clinical manifestation of PVL is a flat white or speckled keratotic lesion, with a grainy or verrucous surface. Successive stages are characterized by multifocal lesions, increasingly exophytic and verruciform, affecting mainly the buccal mucosa and the tongue dorsum. Diagnosis is retrospective. The frequency of malignant transformation is higher in PVL than in leukoplakia and cannot be reduced by treatments proposed. Accurate follow-up and frequent biopsies are probably the best ways of approaching the subjects affected by PVL
Malattie croniche e piano di trattamento odontoiatrico
No full textOBJECTIVES. TO show how to plan dental treatment in patients suffering from the most common chronic systemic diseases in Italy, such as cardiovascular diseases, diabetes, and osteoporosis. MATERIALS AND METHODS. The authors review some therapeutical issues associated with the more common systemic diseases in the Italian population. These diseases as well as their medical therapies must be considered by the dentist before treatment planning and they may also impose to modify dental treatment. RESULTS AND CONCLUSIONS. Population aging is associated with an increasing prevalence of chronic diseases that may be a contraindication for some dental treatment, as in case of poorly controlled diabetes, or that canaffect treatment itself because of the drugs employed. To provide good oral health care, dental professionals must understand the special needs of their patients and their ability to undergo and respond to dental care; they should work closely with the rest of the health care team and should be prepared to manage emergencies associated with systemic chronic diseases
Structural and functional brain imaging after treatment with selective-serotonin reuptake-inhibitors in obsessive-compulsive disorder: A mini review
No full textBackground: Obsessive-compulsive disorder (OCD) is a psychiatric disorder whose etiopathogenesis, according to various neuroimaging studies, seems to be linked to selective dysfunctions in regions within the cortico-striatal-thalamo-cortical circuit. Selective Serotonin Reuptake Inhibitors (SSRIs) are the first-line therapy for OCD but their neurobiological effects on the brain is only partially understood. Therefore, the aim of this review is to highlight structural and functional brain imaging modifications induced by SSRIs treatment. Methods: A literature search on PubMed, Psych-Info and Embase database was performed. Studies including patients with OCD that analyzed the effect of SSRIs through structural and functional Magnetic Resonance Imaging were selected. Seven relevant studies were considered eligible for the present review. Results: Overall, the results of the reviewed studies showed that SSRIs treatment seems to normalize structural, in terms of the white matter and gray matter volumes, and functional activity alterations observed in OCD patients, especially in regions within the prefrontal cortex and striatum. Limitations: The poor design of the studies, the small and heterogeneous samples, differences in age, gender, illness course, comorbidities, treatment protocols and the different magnetic fields used make it difficult to generalize the results. Conclusions: From the available evidence it emerged that SSRIs treatment has proven to be effective in normalizing brain structural and functional alterations observed in OCD patients. However, future neuroimaging investigations should focus on long-term effects of drugs on brain structure and function in OCD patients through longitudinal approaches in order to identify more effective treatments for these patients
I loop recorder impiantabili di nuova generazione possono essere gestiti in maniera sicura ed efficace da personale infermieristico formato
No full textIntroduction. Im-plantable plantable loop recorders (ILR) are recommended for several cardiac disorders: the recent miniaturization processes eased their implant and management. Aim. To describe the advantages of the ILR implant, patients' education and remote control performed by expert certified nurses. Methods. Retrospective analysis of consecutive ILR implants of our centre, preformed between May and December 2016: the complications occurred in patients implanted by doctors and nurses were described. Nurses were certified after a two days course and 3 implants assisted by a medical doctor. Results. 157 patients were implanted with a ICM Reveal LINQ (Med-tronic): 74 (47%) by physicians electrophysiologists and 83 (53%) out of the electrophysiology room, by certified nurses. The two groups of patients were not fully comparable because more complex patients were implanted by the physician. All the loop recorders were easily implanted adverse without events during the procedure and after 30 days. Two minor bleedings occurred 24 hours after the implant: 1 in a patient implanted by a physician and the other by a nurse. Both were rapidly solved by finger pressure. Conclusions. The ILR implants can be safely performed by trained nurses, out of the elettrophysiology room, with benefits for the patients and the hospital
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