Dott. Luigi Vicari on dicembre 15th, 2008

December 12, 2008 — Patients with anterior cruciate ligament (ACL) injuries may not need surgery, according to the results of a study reported in the December 15 issue of Arthritis Care & Research. At 2 to 5 years after injury, muscle strength and function were similar in patients treated with training and surgical reconstruction or [...]

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Dott. Luigi Vicari on dicembre 15th, 2008

January 25, 2008 — A review of the literature on drug relief for low back pain (LBP) suggests that the popular nonsteroidal anti-inflammatory drugs (NSAIDs) are no more effective than other drugs such as acetaminophen, narcotic analgesics, and muscle relaxants.

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Dott. Luigi Vicari on dicembre 14th, 2008

Dr Luigi Pasquale U.O.C. Gastroscopia ed endoscopia digestiva – ASL  AV1 Nella pratica clinica l’impiego degli inibitori di pompa protonica è elettivo nel trattamento delle malattie acido-correlate: MRGE, malattia ulcerosa, dispepsia e nella gastro-protezione in pazienti che assumono farmaci con elevata lesività gastrointestinale. L’evidenza scientifica indica negli IPP il trattamento di prima scelta per la [...]

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Dott. Luigi Vicari on dicembre 9th, 2008

December 4, 2008 — Treating headaches with narcotics and barbituates increases the risk for the development of chronic migraine. A new study shows that transformed migraine develops at a rate of 2.5% per year and that any use of barbiturates and opiates increases this risk.

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Dott. Luigi Vicari on dicembre 9th, 2008

Assessment and management of Acute Pain Assessment and management of Chronic Pain

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December 5, 2008 — The American College of Physicians (ACP) has issued safety recommendations regarding arrhythmia risk and QTc interval monitoring for clinicians prescribing methadone and has published the new clinical practice guidelines in the December 1 Early Release issue of the Annals of Internal Medicine.

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Dott. Luigi Vicari on dicembre 7th, 2008

NCCN Clinical Practice Guidelines in Oncology: Antiemesis NCCN Clinical Practice Guidelines in Oncology: Palliative Care

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Dott. Luigi Vicari on dicembre 3rd, 2008

Functional problems in the foot are common, and the examination of the feet of an older person is an especially important part of a geriatric evaluation. Because the feet are the most distant body parts from the heart and central nervous system, early clues of cardiovascular and neurologic illness may initially appear there. Neglected feet [...]

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Dott. Luigi Vicari on dicembre 3rd, 2008

Continue reading about Diagnostic and Therapeutic Challenges of Acute Migraine

Dott. Luigi Vicari on dicembre 3rd, 2008

Painful medical procedures for children begin with heel sticks and injections at birth and continue throughout childhood. By the time a child a reaches the age of 6, he or she should have received 36 immunizations via intramuscular injection,[1] with the number of vaccination injections increasing exponentially by the year 2020.[2] In addition to routine [...]

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Dott. Luigi Vicari on novembre 20th, 2008

National Institute for Health and Clinical Excellence (10/2008): Spinal Cord stimulation for chronic pain of neuropathic or ischaemic origin Nat Clin Pract Urol 2008: Sacral Neuromodulation for Urinary Retention (Neuromodulazione sacrale per la ritenzione urinaria)

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Dott. Luigi Vicari on novembre 20th, 2008

Thomas M. Kessler, MD   Clare J. Fowler, FRCP Nat Clin Pract Urol 5(12):, 2008. © 2008 Nature Publishing Group Urinary retention without an identifiable urological cause presents a diagnostic and therapeutic challenge. Patients with nonobstructive chronic urinary retention usually have to rely on intermittent self-catheterization or indwelling suprapubic or transurethral catheters, which significantly affect quality [...]

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Dott. Luigi Vicari on novembre 5th, 2008

Paola Salacone S.C. Gastroenterologia A.S.U. San Luigi Gonzaga Regione Gonzole 10 10043 Orbassano – Torino E-mail: paolasalacone@gmail.com Introduzione. Il sintomo più importante nei soggetti affetti da pancreatite cronica è il dolore (presente in più dell’80% dei casi), in genere ricorrente e di lunga durata, che esita in un notevole peggioramento della qualità di vita, in quadri [...]

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Dott. Luigi Vicari on novembre 5th, 2008

Associazione Italiana per lo Studio del Pancreas (12/2008): Meccanismi del Dolore nella Pancreatite Cronica

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Dott. Luigi Vicari on ottobre 28th, 2008

October 27, 2008 (San Francisco, California) — In the first randomized controlled trial of its kind, the drug tadalafil reduced the duration and frequency of secondary Raynaud’s phenomenon episodes in patients with scleroderma and mixed connective-tissue disease. It also decreased the incidence of ischemic ulcers when used with other treatments, according to research presented here [...]

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