Exercise stress testing as a predictor of progression of early chronic Chagas heart disease.
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Adult↗
Biomedical subjects
G Bertocchi
Publications and source records attributed to G Bertocchi.
Value of echocardiography for diagnosis and prognosis of chronic Chagas disease cardiomyopathy without heart failure.
OBJECTIVES: To establish the usefulness of echocardiography for the clinical classification of patients with Chagas disease and to determine the predictors of mortality and clinical events. METHODS: 849 patients with chronic Chagas disease with a mean follow up of 9.9 years were studied. On admission, ECG, chest radiograph, and two dimensional echocardiogram were obtained from all patients. Clinical events were defined as new ECG abnormalities, change in clinical status resulting in transfer to another group, and death. Morphologically characterised segmental lesions were also seen in 12 patients on a second harmonic echocardiogram with intravenous contrast agent. Univariate and multivariate analysis for clinical events and mortality were performed. SETTING: Community of San Martín, Buenos Aires, Argentina. RESULTS: Change in clinical group (68 of 833 survivors v 15 of 16 who died, p < 0.001), left ventricular systolic dimension (mean (SD) 3.06 (0.72) cm v 4.71 (0.90) cm, p < 0.0001), and ejection fraction (mean (SD) 0.67 (0.11)% v 0.42 (0.17)%, p < 0.0001) were found to be the only predictors of mortality. ECG abnormalities related to the disease (in 220 of 699 patients with no clinical event v 98 of 150 patients with a clinical event, p < 0.0001), left ventricular diastolic dimension (mean (SD) 4.88 (0.54) cm v 5.44 (0.83) cm, p < 0.0001), left ventricular systolic dimension (mean (SD) 2.98 (0.62) cm v 3.64 (1.03) cm, p < 0.0001), and ejection fraction (mean (SD) 0.68 (0.10)% v 0.60 (0.16)%, p < 0.0001) were predictors of clinical events. Segmental lesions were observed in 211 of 849 patients (25%). Segmental lesions were seen in 66 (13%) and systolic dysfunction was seen in four of 505 (0.8%) patients with normal ECG. Significant differences were found between the groups of patients (group 0: reactive serology and normal ECG and chest radiography without cardiac enlargement and no signs of heart failure; group 1: reactive serology and abnormal ECG and chest radiography without cardiac enlargement; group 2: reactive serology and abnormal ECG and chest radiography with cardiac enlargement and no signs of heart failure). CONCLUSION: Echocardiography was useful both to characterise and to determine the prognosis of patients with chronic Chagas disease without heart failure.
Adolescent↗
A new material with theoretical osteoinductive properties: experimental evaluation.
An intensive research for bone substitutes has been in progress for several decades in order to find a new ideal material for bone replacement. In the present study the Authors report some data on a new developed material in comparison with synthetic hydroxyapatite. The new material was characterised by means of a crystallographic spectroscopic and chemical study. An in vitro test was also performed using murine fibroblasts. The results of this preliminary study showed that the sintered material has an and beta-tricalcium-phosphate (TCP) lattice depending on thermal treatment in accordance with literature data. Moreover, it showed a high level of biocompatibility. Though it is still in an investigation stage, perhaps this biomaterial is a highly reactive and unstable compound that could interact with CO2 and H2O.
Animals↗
Morphological and structural characteristics of the myopathic bone.
The aim of the present paper was to study the myopathic bone both from the morphological and structural viewpoints. To this end, samples from 8 patients affected by different neuromuscular diseases (DMD, SMA and CMD) have been examined. Thus, by SEM analysis a quantitative reduction of the trabeculae and an increase in porosity of the myopathic bone were found and also, by diffractometric analysis, the presence of pathologic crystalline phases (beta-TCP and beta-TCP-Mg).
Adolescent↗
Thermodynamical aspects of the polymerization reaction of PMMA cement mixed with phosphatic mineral phases.
The main problem related to the use of polymeric cement in orthopaedics is the high temperature reached during the polymerization, causing necrosis. This paper reports a thermodynamical study of the polymerization reaction of an acrylic cement mixed with powdered phosphatic phases. In particular, mixing of alpha-tricalciumphosphate, beta-tricalciumphosphate and hydroxyapatite was proposed. Important preliminary results indicated that amounts of about 66% by weight of alpha-tricalciumphosphate reduced the polymerization temperature to about 58 degrees C in respect to 100 degrees C of pure acrylic cement. In addition, a special chamber was designed and realized to monitor the temperature variations involved during the polymerization reaction of the different mixtures.
Bone Cements↗
Chemistry and structure of a new canal sealer showing a dynamical behaviour.
The complete apical seal without percolation and transit of bacteria and their products along the wall of the endodontic canal is the fundamental condition to obtain a lasting result of a correct endodontic therapy. The aim of this study was to characterize a new formulation cement (PROENDO, VEBAS, Italy) with characteristics totally different from the conventional ones. Finally, we can assert that an alloplastic material like PROENDO, which is the subject of this study, bio-compatible, osteo-inductive, non-toxic, with adhesive capacities, is able to quicken the phenomena of restoration and recovery after an endodontic operation.
Calcium Phosphates↗
Osteoporosis by ovariectomy: calcitonin effect in an experimental model on the rat.
The authors evaluate the efficacy of the aminosuberic derivative of eel calcitonin (eCT) in preventing post-ovariectomy osteoporosis in adult rats. The drug is administered in a dose of 0.5 U.I./day for four months starting from the moment of the ovariectomy. The results show that the treatment is efficacious in preventing bone mass loss due to ovariectomy and that the action of the drug does not bring about alterations in the normal crystalline structure of the bone.
Alkaline Phosphatase↗
Scanning electron microscopy, chemical and histologic analysis in human periarthritic shoulder biopsy.
In the present study biopsies were analyzed, taken from the left shoulder of a patient who, according to the radiological diagnosis, was suffering from calcific periarthritis. In both optical and electronic microscopy the mineralogical observations showed crystalline aggregations, while the chemical analysis, carried out with an Edax EDS spectrophotometer, confirmed the presence of Ca and P in them, in the ratio typical of biological apatites. The histological observations clearly indicate a change in the metabolism of the tissues present. In the samples observed the damage to the muscular tissues is easily seen while the connective tissue, though apparently less compromised, shows the presence of numerous calcifications whose damage cannot be revealed solely through histologic observations. The authors, linking the structural histologic alterations observed to the presence of hydroxyapatite granules as well as to the patient's painful symptoms, believe all these observations are the result of a chronic process.
Adult↗
Influence of calcitonin treatment on the bone structure and mineral content in osteoarthritis.
8 femoral heads removed in 4 patients operated on by bilateral total hip replacement for osteoarthritis were evaluated. 3 patients were treated with Calcitonin between the first and the second operation. X-ray powder diffractometry analysis showed an improvement of bone crystallinity in the Calcitonin treated patients.
Calcitonin↗
SEM and chemical micro-analysis in a failed total knee prosthesis.
Authors performed SEM and EDS analyses in a cemented removed knee prosthesis demonstrating the average values of mineral elements in the bone surrounding the prosthesis. The composition of the metallic prosthesis surface in different microareas was also studied.
Alloys↗
Calcium oxalate smear layer: mineralogical and crystallographic study.
Different methods to reduce dentine hypersensitivity have been tested by means of oxalate treatments. Natural material (20 teeth) and commercial oxalates have been employed. As a result the dentinal tubules are filled by small crystals preventing dental disease. Permeability measurements have been performed in order to quantify results. The composition of the synthetic smear layer produced after oxalate treatment have been investigated by powder diffraction method suggesting calcium oxalate formation.
Calcium Oxalate↗
Correct placement of endotracheal tube by single strand fiberoptic light in prematures. Initial clinical experience.
In order to reduce non radiographically improper placement of the endotracheal tube, we manufactured a single fiberoptic strand, connected to a high-intensity illuminator, to be introduced by reference marks up to the tip of conventional endotracheal tube. This system showed, in our initial clinical experience, confirmed by radiograms, to be non invasive and safe. Use of this method could be useful when the intubated premature is moved for necessary procedures, and a chest-X-ray film is not allowed. Infact, it permits the visualization of the tip of the endotracheal tube by a circle of light on the neck at the suprasternal notch. Furthermore, it results useful for all conventional tubes, without constant reduction in cross-sectional area or modification of mechanic characteristics of the tube wall.
Fiber Optic Technology↗
Microleakage in composite resin restorations.
The aim of the present study was to evaluate the marginal microleakage of the newest generation of composite resin restorative materials. Class V restorations were prepared in human extracted teeth. Different combinations of restorative materials were used. All the materials tested showed marginal microleakage along the dentinal walls, suggesting that the adhesion value is not sufficient to counteract the composite shrinkage and to reduce the marginal space.
Adult↗
Dental composite resin porosity and effect on water absorption.
The aims of this study were: 1) to characterize the solubility and water absorption of different composite resins used as dental restorative materials; 2) to analyse their surface morphology using S.E.M. The resins tested were a mixture of glycidyl methacrylate (Bis-GMA) and TEGMA filled with silane-coated particles of inorganic fillers, and Bis-GMA and urethane resin. Cylindrical samples of composite resin were polymerized and stored in distilled water and weighed after different times. SEM analysis demonstrated voids and porous in several samples. The present study shows that dental restorative composite loose a small percentage of their components during storage time and that the type of resin, the nature of fillers and the methods of polymerization greatly influence water uptake and solubility of dental composite resin materials. These findings could explain the loss of anatomic form and the occlusal degradation of dental composites in "in vivo" conditions.
Absorption↗
Influence of the fluoride ion in the stability of bone hydroxyapatite achieved in patients after the fluo-calcic therapy.
It has been proposed that fluoride ion might actively enter into the basic structural framework of the bone, within its main constituent, the hydroxyapatite (HA), by substituting systematically the OH- ion in the crystal chemical formula Ca5[(PO4)3OH]. Accurate compositional studies have become necessary in order to explain an eventual stabilizing effect. Loss in weight (TG) and chemical reaction (DTG) while varying the temperature have been carried out for the first time on specimens under normal conditions and after fluo-calcic treatment, in parallel with accurate chemical compositional determinations by atomic absorption analysis. Our investigation shows that the new structure present after treatment is mechanically stable and proves more resistant to osteolytic processes.
Bone Neoplasms↗
Bone mineral alterations and Mg content in aging.
The authors propose to determine whether the quantity of bone mass reduction linked to aging is accompanied by qualitative modifications of the mineral structure. To this end, 18 samples of cancellous bone from the femoral heads of two groups of patients (Groups A & B), were examined. Group A was made up of 8 old osteopenic patients suffering from fracture of the femur neck (age 62-84). Group B consisted of 10 young non-osteopenic subjects (age 34-53). Through chemical analysis a statistically significant percentage increase in Mg++ was noted in Group A and, by X-Ray diffraction, significant presence of beta-TCP. Mineral structure alterations occur in the process of aging of the skeletal tissue.
Adult↗
Determination of the mineral elements in the pollen of some Gymnospermae.
In this work the principal elements (K, Ca, Fe, Mg, Cu, Zn, Mn, Na) constituting the mineral component of the pollen in some Gymnospermae, have been determined. This type of investigation has few matches in literature despite the importance some mineral elements have in germinating the pollen granule. The pollen samples, appropriately treated, were analysed in atomic absorption spectrophotometry and biometrically characterized under the optical microscope. Examination of the analytical data allows verification of the great influence deriving from soil characteristics and, within the families, a specific role of the type. The morphobiometric parameters show that a link exists between small and medium granules and with thin walls and minimum concentration values of Na, Fe, Cu, Zn and Mn.
Minerals↗
Evaluation of the relative rates of bone mineral content loss in postmenopause due to both estrogen deficiency and ageing.
To evaluate the relative rates of bone mineral content loss in postmenopause due to both estrogen deficiency and ageing, three groups of women were studied by computerized bone densitometry at the radius mid-point and at the distal point, modified according to the Abwrey technique. All women were in apparent good health and never had estrogen therapy. In the first group there were 64 women aged between 30 and 50 who were ovariectomized between 25 and 35 years of age. The second group was made up of 309 women between 50 and 55 years. In the third group there were 136 women aged 30-50 with normal ovaric function. The ordinary functions of linear polynomial regression were used to describe the variations in density with age. The percentage of postmenopausal bone loss was determined by calculating the BMC value at the start of the menopause and again twenty years later, according to the linear regression equation of postmenopausal period of each group of women in the study. The women who had natural menopause showed an average bone loss per year of 1.63% at the mid radius and 1.0% at the distal point. The ovariectomized women had an average loss of 0.85% at the mid point and 0.66% at the distal point. No significant decrease of bone mass was found before menopause. From a comparison between the two groups of women with analogous periods of menopause, it comes out that, during the first 20 years of natural menopause, estrogen deficiency is responsible for 52.5%-66.4% of the bone mineral loss, the remaining amount being attributable to other causes, connected with ageing. Estrogen deficiency is therefore, the principal factor causing bone mineral loss in natural menopause.
Adult↗