178 research outputs found
Sodium fraction excretion rate in nocturnal enuresis correlates with nocturnal polyuria and osmolality
No full textAbstract: Purpose: We verify the sodium fraction excretion rate (FE Na) and potassium fraction excretion WE K) rates in monosymptomatic nocturnal enuresis. We also correlate FE Na and FE K to urinary osmolality, nocturnal polyuria and vasopressin in the same population.
Materials and Methods: A total of 438 children 6 to 15 years old (mean age 9.7) presenting with monosymptomatic nocturnal enuresis were recruited from different centers. Inclusion criteria were 3 or greater wet nights a week, no daytime incontinence and no treatment in the previous 2 months. Exclusion criteria were cardiopathy, endocrinopathy, psychiatric problems and urinary tract abnormalities. Micturition chart, diurnal (8 am to 8 pm) and nocturnal (8 pm to 8 am) urine collection, including separate diuresis volumes, (Na, K and Ca) electrolytes and osmolality were evaluated, as well as serum electrolytes, creatinine and nocturnal (4 am) vasopressin. Diurnal and nocturnal FE K and FE Na were calculated. ANOVA test, chi-square test, Student's t test and Pearson correlation test were used for statistical analysis.
Results: Nocturnal polyuria (diurnal to nocturnal diuresis ratio less than 1) was found in 273 children (62.3%, group I and nocturnal urine volumes were normal in 165 with enuresis (37.7%, group 2). Nocturnal FE Na was abnormal in 179 children (40.8%), including 118 in group 1 (43.2%) and 61 in group 2 (36.9%) (chi-square not significant). FE Na was also increased in nocturnal versus daytime diuresis (Student's t test p < 0.001). In group 1 nocturnal FE Na correlated with nocturnal diuresis (Pearson correlation p = 0.003, r = +0.175), while daytime FE Na and nocturnal FE Na correlated with diurnal diuresis (Pearson correlation p = 0.001, r = +0.225 and Pearson correlation p = 0.001, r = +0.209, respectively). In group 2 nocturnal FE Na did not correlate with diuresis (Pearson correlation p = 0.103, r = +0.128) but correlated with vasopressin values (Pearson correlation p = 0.042, r = -0.205). Urine osmolality was reduced in 140 children (31.9%) and correlated with nocturnal diuresis (Pearson correlation p = 0.003, r = -0.321). Vasopressin was decreased in 332 children (75.8%, 62.6% in group 1 and 13.2% in group 2). No significant difference was found between sexes and age of enuretic subgroups.
Conclusions: Nocturnal FE Na correlates with nocturnal diuresis, whereas daytime FE Na does not. FE K in daytime and nighttime diuresis does not statistically differ in nocturnal polyuric and nonpolyuric enuretic groups. Osmolality correlates with nocturnal diuresis, and vasopressin at 4 am was lower in the nocturnal polyuric group. The hypothesis of a subset of enuretic patients presenting with nocturnal polyuria associated with high nocturnal natriuria and low vasopressin values has been confirmed
Enuresis subtypes based on nocturnal hypercalciuria: A multicenter study
No full textPurpose: Desmopressin may not be effective for nocturnal enuresis associated with polyuria and hypercalciuria. Nighttime hypercalciuria in an enuretic population from 5 centers and its correlation with nighttime polyuria were verified. Materials and Methods: A total of 450 enuretic patients (278 males, 172 females, mean age 9.7 years) were evaluated with 72-hour micturition charts, urinalysis, serum creatinine and osmolarity, diurnal and nocturnal electrolytes with fractional Na+ and K+ urinary excretion, and nocturnal (4 a.m.) plasma vasopressin. Creatinine electrolytes and osmolarity were measured in daytime (8 a.m. to 8 p.m.) and nighttime (8 p.m. to 8 a.m.) urine volumes. Patients were divided into group 1 with nocturnal polyuria and group 2 without nocturnal polyuria. Hypercalciuria was defined as urinary calcium-to-urinary creatinine ratio greater than 0.21. Statistic evaluation was performed using chi-square, Pearson correlation and ANOVA tests. Results: Nighttime polyuria was demonstrated in 292 bedwetters (65% group 1). Nocturnal hypercalciuria was present in 179 of the 450 children (39.7%), including 125 in group 1 (42.8%) and 54 in group 2 (34.2%), which was statistically significant (chi-square p = 0.008, Pearson correlation test r = 0.157). Daytime calciuria was not statistically modified in either group (group 1 p = 0.054, group 2 p = 0.56). Adrenocorticotropic hormone (ADH) was normal in 18.5% and low in 81.5% of enuretics with nocturnal hypercalciuria. ADH levels and nocturnal hypercalciuria significantly correlated (p = 0.003, r = 0.148). Conversely, the group 2 patients had normal ADH levels. Conclusions: Nocturnal hypercalciuria has a pivotal role in nocturnal enuresis, as it is significantly associated with low ADH levels and nocturnal polyuria. A new classification of nocturnal enuresis subtypes based on nighttime calciuria levels is mandatory to address treatment properly
CBC Football Team, 1930
No full textTop Row (L-R): unknown, Corbit, McNamara , R. Ching, W. Ching, J. Caserretta, Chiozza, J. Brennan, Marshall, L. Lovett, Sullivan, Coach Illia. Middle Row (L-R): R. Gilmore, C. McDowell, Farrell, W. Uhlhorn; A. Grisanti, J. Sheridan , J. Marshall, D. McCormick, L. Mensi , Barsotti, English. Front Row (L-R): J. Canale, P. Duffy, G. Koleas, illegible, unknown, D. Chiozza, H. Cummings, W. Bailey, unknown, Mulroone
Memoria ed emozione: conservazione, valorizzazione e rigenerazione del patrimonio industriale. Studi e progetti per l'Amideria Chiozza a Ruda (UD)
No full textIl volume raccoglie una serie di contributi dedicati alla rigenerazione dei patrimoni storici dell'industria, e alla tutela di questi patrimoni. Si concentra poi su uno di essi, l'Amideria Chiozza fondata nel 1865 a Perteole di Ruda, uno dei pochi esempi in Italia di archeologia industriale pervenuto non solo sostanzialmente integro nella struttura edilizia, ma anche in possesso del complesso di macchine e attrezzature produttive che hanno reso questo complesso industriale, all'epoca, innovativo e all'avanguardia. Raccoglie infine una serie di proposte progettuali, prodotte all'interno di Laboratori di progettazione e tesi di laurea condotti in differenti Atenei
Memphis and District Basketball Champions
No full textBack row (L-R): Eugene Robilio, M. Scheehle, C. Casaretta, Willism Ries, Charles Howe, Coach Schneider.
Front row (L-R): N.J. Sullivan, Baker McGinnis, Edwin Scott (captain), Louis Chiozza , H. Ezzell, James Durham
Plasma antidiuretic hormone levels in children with spina bifida
No full textPurpose: Urological management of spina bifida patients is controversial. The goals of therapy of neurogenic bladder are continence, prevention of infections and preservation of urinary tract. Desmopressin has been recently used in a spina bifida population that is dry during the day (daytime continence was achieved with clean intermittent catheterization and anticholinergics) but wet at night. The aim of this study was to assess plasma antidiuretic hormone (ADH) levels in these children. Materials and Methods: The study included 24 patients, 11 males and 13 females (mean age 6.4 years) referred to the Spina Bifida Centre of the Catholic University of Rome, and 57 normal age-matched controls. Morning (07.30-08.00 h) plasma ADH levels were measured using a specific radioimmunoassay. Results: Plasma ADH levels (normal range 5-11 mug/l) did not differ between spina bifida population and healthy controls. Serum ADH had a mean of 6.8 mug/l in affected children and a mean of 7.4 mug/l in the controls. Conclusion:We conclude that the use of desmopressin in children with spina bifida should be reserved only in patients with decreased secretion of ADH, or may be useful in patients with persistent nocturnal incontinence to reduce night wetting. Therefore, research with a larger population is needed. Copyright (C) 2002 S. Karger AG, Basel
A SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) observational prospective multicenter study on anatomical variants of the superior mesenteric artery: intraoperative analysis during laparoscopic right hemicolectomy—CoDIG 2 database (ColonDx Italian Group)
No full textColorectal cancer, the third most common cancer worldwide, affects 40-45% of patients on the right side. Surgery, especially minimally invasive methods such as laparoscopic and robotic procedures, is the preferred treatment. However, these techniques present technical complications. The anatomical complexity and variations in vessel branching patterns pose challenges, particularly for less experienced surgeons. The CoDIG 2 is a nationwide observational study involving 76 specialized Italian general surgery departments focused on colorectal surgery. The centres were directed to maintain their standard surgical and clinical practices. The aim of this study was to analyse the intraoperative vascular anatomy of Italian patients who underwent laparoscopic right colectomy and explore the ligature techniques used by Italian surgeons. Surgeons reported information about vascularization of the right colon for 616 patients and about surgical anatomy of RCA for 368 patients. Fifty-three patients (10.8%) showed no RCA intraoperatively. The right colic artery (RCA) was categorized according to the Yada classification (types 1-4) during evaluation, and intraoperative assessments revealed that Yada type 1 was the most common type (55.2%), while radiologic evaluations revealed a higher prevalence of type 2. Furthermore, compared with the superior mesenteric vein (SMV), the RCA is more often located anteriorly according to intraoperative and contrast-enhanced CT examination; 59.9% were found in the anterior position during intraoperative examination, while 40.1% were found in the same position on preoperative contrast-enhanced CT. Vascularization of the right colon, including missing branches, additional branches, shared trunks, and retro-superior courses of the mesenteric vein, exhibited notable variations. To understand vascular variations, a preoperative radiological study is necessary; although there was no concordance between the intraoperative and radiological evaluations, this is a limitation of preinterventional radiological evaluation (PII) because it is always needed for oncological staging. This approach is especially critical for inexperienced surgeons to avoid potential complications, such as problematic bleeding
Sophomore "B" Class, 1931
No full textBack Row (L-R): D. Chiozza, J. Laurenzi, C. Hughey, P. Sampietro, E. Wade, C. Foppiano, E. Dwyer. Middle Row (L-R): R. De Francesi, L. Barsotti, J. Pace, E. Muller, L. Higgins, D. Zanone, R. O'Brien, S. Preston, Brother Bernard. Front Row (L-R): J. Fitzmorris, P. Sanson, J. Walch, J Catteneo, J. Kraft, P. Williams, J. Giannia, B. Luster
Memphis Interscholastic Champions
No full textChristian Brothers College basketball team that won the Memphis Interscholastic championship were:
Standing (L-R); R. Miller, H. Cummings, M. Brown, J. Hudson, C. Ludeke, H. Ezzell, L. Lee.
Kneeling (L-R): H. Scott, unknown, V. Gentru, J. Ries, L. Chiozza
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