Recenti progressi in medicina
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The management of patients with syncope is recognized as one of the main issues of contemporary clinical medicine. The present paper discusses the most innovative aspects of the recent, specific European Society of Cardiology Guidelines and addresses the scenarios following the dissemination process undertaken in Italy by Scientific Associations.
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Biography Historical Article
[In search of unknown aetiopathogenesis: from Henry Louis ("Lou") Gehrig to Gianluca Signorini: history of the link between amyotrophic lateral sclerosis and sport].
From "Lou" Gehirg to Gianluca Signorini: the history of almost 70 years of link between amyotrophic lateral sclerosis and sport. From first intuitions and assumptions to late epidemiological evidences supporting the possible relation between Italian soccer and amyotrophic lateral sclerosis; comparison among old and new aetiopathogenetic hypothesis.
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In head and neck district, major salivary gland diseases seem to have a considerable epidemiological and clinical impact, especially in obstructive disease. Major salivary glands, in fact, having a ductal system can develop several diseases: sialoadenitis, sialodochitis and sialoceles. Particularly, the obstructive sialoadenitis, with or without sialolithiasis, are the most frequent inflammatory disorder, especially for submandibular gland. ⋯ R. Since '90 years, lithotripsy and, later, sialendoscopy have been introduced as gold standard diagnostic procedures in case of obstructive sialoadenitis and also as therapeutic tool when possible. In this way, it has been possible to offer a valid alternative in place of traditional surgical techniques, with a less invasive and more efficacious approach.
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The malnourished cancer patients are at a higher risk of morbidity and mortality, when undergoing major surgical treatments. In comparison with patients affected with other cancers, the highest occurrence of malnutrition (78.9%) was found in those with esophageal cancer and is related with post-operative complications. ⋯ The enteral option is to be preferred, due to preservation of intestinal integrity, reduced risk of complications, and lesser expenses. The prevention or correction of nutrient depletion in several malnourished esophageal cancer patients remarkably reduce or eliminate malnutrition-related morbidity and mortality, therefore the level of malnutrition must be identified and treated.
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At present, in our country, health care for patients in a critical condition is deficient, especially for those in a traumatised state, as well as for those with conditions which worsen suddenly and rapidly (be they conditions which become acute or which are chronic but then become serious). In all the western industrialised countries, traumas represent the most frequent cause of death among the population under 40 years. ⋯ From the Governmental/Regional Conference which took place in 2003, a directive was issued whose scope covered "Guidelines regarding the formation and ongoing, up-to-date training for personnel working in the emergency departments". In order to bring this training of the medical personnel up to speed so that the present clinical and organisational requirements at the various levels within the emergency/urgent intervention system can be met, the principal scientific companies working in the emergency/urgent need sector urgently ask for the intervention of the governmental bodies responsible for the School for Specialisation in Emergency Medicine.