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Biomedical subjects

C Melloni

Publications and source records attributed to C Melloni.

51 records · Page 3Linked to original sources

[Is d-tubocurarine dangerous for the fetus and the newborn infant?].

A survey of a series of caesarean section done under general anesthesia with the aid of muscle relaxation obtained by repeated doses of d-tubocurarine evidenced a tendency to worsen the Apgar index. In the light of the cases and from the literature some hypotheses are here discussed; the most reliable are based upon the fact that injections of the curare before the plasma half life of the drug end by increasing the materno foetal gradients permitting the transplacentar passage of the d-tubocurarine.

Adult↗

[Education of the hypertensive patient: are educational booklets useful?].

A good level of knowledge about hypertension can improve patients' compliance to treatment so achieve better therapeutic results. The aim of our study was to evaluate the degree of knowledge about their disease in hypertensives followed in a hospital out-patient unit; and whether an informative booklet could increase this awareness. The patients were presented a questionnaire on the following items: 1. their interest in health news as presented by the mass-media and their judgement on physicians' willingness to provide information about hypertension; 2. the health hazards of being hypertensive; 3. the importance of a family history of hypertension; 4. life style and blood pressure; 5. the reasons for treating hypertension and the length of treatment. Upon completion of the questionnaire, the patients were handed out a booklet in which these same topics were analyzed. At the next follow-up visit, they were invited to answer a set of questions quite similar to the first ones, but presented in a different verbal form. 200 patients completed the first questionnaire; 159, both of them. Basically, they show a high degree of correct knowledge about their disease, giving between 77% and 94% of correct answers to the different questions. After the booklet, for most of the questions the percentage of correct answers remains the same; when it does change, this is usually for the worse. Simply handing out a booklet doesn't help patients to better understand their disease. On the contrary it may have an opposite effect, inducing some degree of confusion.

Adult↗

[Problems with anesthesia and intensive therapy in pheochromocytoma. A review of 25 cases].

A retrospective assessment is made of 25 cases of pheochromocytoma operated between 1970 and 1979. Three of the more complicated cases are discussed in detail. Actual and potential complications are described and a form of monitoring is proposed. The conclusion is expressed that correction of the pathological haemodynamic situation by expansion of the blood volume and the administration of alpha and beta blocking agents is of greater consequence in successful management than the anaesthesiological technique employed.

Adolescent↗