Una revisione degli interventi chirurgici podiatrici suggerisce che il rischio complessivo di tromboembolia venosa è abbastanza basso da poter evitare la profilassi di routine. Questa pratica preventiva comunque rimane raccomandata nei pazienti con un’anamnesi di tromboembolia o che ne riportano fattori di rischio. Le misure preventive raccomandate sono funzione della stratificazione del rischio: i pazienti [...]
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La regolazione della temperatura del piede nei pazienti diabetici con o senza polineuropatia diabetica risulta significativamente danneggiata durante il sonno. I pazienti con polineuropatia diabetica hanno spesso problemi di sonno, ed è stato dimostrato ora che presentano anche anomalie della temperatura del piede. Dato che è stato dimostrato anche che la qualità del sonno dipende [...]
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L’accesso al secondo livello dirigenziale, per quanto riguarda le categorie dei medici, veterinari, farmacisti, odontoiatri, biologi, chimici, fisici e psicologi, è riservato a coloro che sono in possesso dei determinati requisiti, il cui accertamento è demandato alla Commissione. Occorrono l’iscrizione all’albo professionale; un’anzianità di servizio di sette anni, di cui cinque nella disciplina o disciplina [...]
The advent of total parenteral nutrition in the late 1960s meant that no situation remained in which a patient could not be fed. Unfortunately, total parenteral nutrition was complicated by serious infective and metabolic side effects that undermined the beneficial effects of nutrient repletion. Consequently, creative ways of restoring upper gut function were designed, based [...]
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Carcinoid tumors are part of a heterogeneous group of gastrointestinal and pancreatic endocrine tumors that are characterized by their capacity to produce and secrete hormones, 5-hydroxytryptamine, tachykinins and other mediators. These substances are thought to be responsible for the collection of symptoms, which include diarrhea, flushing and wheezing, that is known as carcinoid syndrome. Fibrosis [...]
Continue reading about Fibrosis and Carcinoid Syndrome — From Causation to Future Therapy
The majority of fatal cases of pulmonary embolism in hospitalized patients occur in acutely ill, medically treated patients. Current guidelines, based on a large number of prospective, randomized, controlled trials evaluating the safety and efficacy of pharmacologic venous thromboembolism (VTE) prophylaxis in medical patients, now recommend using VTE prophylaxis in this population. Unfortunately, prophylaxis rates [...]
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Delirium is a common and serious acute neuropsychiatric syndrome with core features of inattention and global cognitive dysfunction. The etiologies of delirium are diverse and multifactorial and often reflect the pathophysiological consequences of an acute medical illness, medical complication or drug intoxication. Delirium can have a widely variable presentation, and is often missed and underdiagnosed [...]
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Infants and preschoolers with recurrent wheezing or asthma had fewer episodes of wheezing or asthma exacerbations, reduced symptoms, and improved lung function during treatment with inhaled corticosteroids, according to the results of a systematic review with meta-analysis reported in the March issue of Pediatrics.
The American Diabetes Association (ADA) has issued consensus panel recommendations for the medical care of pregnant women with preexisting diabetes, including type 1 and type 2 diabetes. The new recommendations appear in the May issue of Diabetes Care. Subsequent guidelines will address obstetric and postpartum management.
Researchers are a step closer to developing a simple urine test to identify smokers at high risk of developing lung cancer.
