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G A Feruglio

Publications and source records attributed to G A Feruglio.

At least 55 records · Page 3Linked to original sources
PubMed1985

Prophylaxis of infective endocarditis for dental procedures. Report of a working party of the European Society of Cardiology.

Bacterial endocarditis still remains a serious disease with significant morbidity and mortality. In patients with known valve disease, most cases are caused by oral viridans streptococci. These organisms are present in vast numbers on the gum margins and in gum pockets. They cause transient bacteraemia during eating and tooth brushing. More substantial, but short-lived bacteraemia can occur during dental treatment such as extraction and scaling. Bacteria may then become attached to abnormal endocardium leading to the development of infective endocarditis. Prophylaxis of endocarditis during dental procedures in patients with known valve disease should thus be aimed at reducing the number of bacteria entering the blood stream and eliminating those that get there. This can be sought first by good oro-dental hygiene and secondly by the use of prophylactic antibiotics. In this paper, we set out simple guidelines for practitioners in those countries that do not already have recommendations of their own. They are based on guidelines already in use in the United Kingdom, France, Switzerland and the United States.

Anti-Bacterial Agents↗
PubMed1983

[Health education as the principal element of prevention in cardiology: methods of intervention. Conclusions and operative suggestions].

In this symposium an extensive review of the basic role of health education for the prevention of cardiovascular diseases, has been made. Principles and methods have been analysed in the light of recent advances in primary and secondary prevention of rheumatic heart disease, ischemic heart disease and hypertension. The cardiologist's role in health education of individual subjects and of high-risk target groups or of the whole community, has been stressed. Recent trials have shown that it is possible to achieve behavioural changes and a reduction in the levels of risk factors in a good proportion of participants. It should be possible to bring up children virtually free from risk factors. Cardiologists on their own are unlikely to succeed in a program of prevention. They need the help of many others including public health workers, sociologists, nurses and above all, general practitioners. Cardiologists however have responsibility for leadership and for providing background knowledge. Cardiologists need to be educated and motivated. Health education should be founded on a scientific basis and should be organized in an efficient and planned fashion. Medical and post-graduated schools, hospital institutions and cardiological associations must be specifically involved in preparing the cardiologists for this specific task. On the other hand, dedicated teams or sections in the cardiological departments must be activated to promote, coordinate and carry out specific programs of health education for preventing cardiovascular diseases. The attention of governmental authorities should be drawn to the theoretical and practical importance of health education in preventive cardiology, especially in connection with the planning, organization and direction of health education at the regional and national level.

Cardiology↗
PubMed1981

[An experience with a mobile coronary care unit: from a study project to a permanent community service (author's transl)].

Mobile coronary care units and stratified systems for coronary care have received rather poor attention in Italy up until now. To evaluate advantages and disadvantages, organizational problems, costs, etc. of a mobile unit in an Italian community provided with a reference centre for acute coronary artery disease, a study project was started in 1977. The organization of such unit was based on that of the hospital in Belfast. The covered area (200,000 inhatitants) was carefully limited to keep delays at a minimum. A program of public education, stressing the necessity for early calls for medical intervention was developed. All calls were evaluated by a physician on duty in the CCU before intervention. The results of this experience, extended to four years, are reported showing that a Mobile Coronary Care Unit is valuable from a medical point of view, is economically sound and practical in a medium size Italian city such as Udine. According to this, the Mobile Coronary Care Unit was changed from a study project to a permanent community service.

Ambulances↗
PubMed1980

[Usefulness of multicenter evaluation of the reliability of a program for automatic analysis in clinical electrocardiography].

The HP-5 program for computer analysis of the ECG has been evaluated as far as sensibility and specificity in a multicenter study. A consistent number of tracings were sampled according to a statistical formula and all measurements and statements given by the computer were checked in a standardized manner. The collected data were classified and computerized. The HP-5 program has shown a very high specificity for tracings classified as normal (0.7% of false negatives) and for those classified abnormal (no false positive), while the level of agreement between manual and computer readings of the tracings classified atypical or borderline, was fair (75%). It is concluded that the new program represents a significant step forward in the practical use of computerized ECG.

Diagnosis, Computer-Assisted↗
PubMed1980

[Multicenter study and clinical use of HP-5 program (author's transl)].

The HP-5 program for computer analysis of the ECG has been evaluated as far as sensibility and specificity in a multicenter study. A consistent number of tracings (850) were sampled according to a statistical formula and all measurements and statements given by the computer were checked in a standardized manner. The collected data were classified and computerized. The HP-5 program has shown a very high specificity for tracings classified as normal (0.7% of false negatives) and for those classified abnormal (no false positive), while the level of agreement between manual and computer readings of the tracings classified atypical or borderline, was practical of computerized ECG.

Computers↗