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Biomedical subjects

G Piazza

Publications and source records attributed to G Piazza.

At least 91 records · Page 5Linked to original sources
PubMedDate not supplied

Extradural haematomas: an analysis of the changing characteristics of patients admitted from 1980 to 1986. Diagnostic and therapeutic implications in 158 cases.

From January to June 1986, 158 patients with extradural haematoma were admitted to our neurosurgical unit. They were divided into four groups, reflecting their clinical features: A. 46 cases (GCS less than or equal to 12) in whom a condition of coma/stupor had occurred at the time of injury and persisted to the time of surgical decompression; B. 41 cases showing deterioration of consciousness (GCS less than or equal to 12) after a lucid interval; C. 46 cases of 'asymptomatic' patients (GCS consistently greater than or equal to 13, no neurological deficits, no signs of increased intracranial pressure); D. 25 cases arriving at our unit in a conscious state, but restless and/or with neurological deficits. The location of the haematoma (temporal in only 35%), the incidence of associated lesions such as cerebral lacerations and/or subdural effusion (30.3%), and the age of the patients (28.4 +/- 18.4 years were similar in the four groups. The size of the haematoma and the displacement of the midline structures were significantly greater in comatose/stuporose patients (groups A and B). The overall mortality was 12% (19 patients), with a morbidity of 14% (22 patients). Factors statistically significant in determining mortality and morbidity were: degree of coma as assessed by GCS; displacement of midline structures: age of the patient; size of the haematoma. There was no mortality or morbidity in those patients who remained conscious (groups C and D). A pronounced increase in the number of CT examinations performed in patients with head injury in our area of referral has caused profound changes in the population of patients admitted to our centre, resulting in a greater proportion of extradural haematomas detected in patients who are still conscious, and in whom operative mortality and morbidity are negligible. One further therapeutic implication of the increase in the number of patients with EDH admitted while asymptomatic may be the option of conservative management in those patients who remain in a good clinical condition, with haematomas of less than 1 cm in thickness and no displacement of midline structures.

Adolescent↗
PubMedDate not supplied

[Social unsuitability in the developmental age. Hypothesis for new structures helping social adjustment].

In this report the Authors analise, according to their different competences, from a psychiatric, psycho-sociological, and of judicial politics point of view, a case of neurosis of conflict during adolescence, with an anti-social development, regarding which it has been ascertained that the measures of restoration, which have been adopted, have failed their purpose. They have, as a matter of fact, paradoxically fixed the subject even more in his anti-social condition, not giving him the possibility of escaping the psycho-pathological destiny of negative sociopatic deviation. The Authors, in this report, reflect upon the meaning of the Institutes of restoration and punishment in the light of the new re-educational conceptions, pointing out their limits. They long for the institution of supplementary structures of little dimensions in the bosom of the family, well integrated with the school, the working milieu, and the local community and wish the structures of restoration for anti-social disadaptations to stop from being static Institutions far from the real social problems of a democratic life, in order to become centers of social democratic life and places of comparison, according to a dialectic method of knowledge, between subculture as deviation (which is not always negative) and the dominating culture with its needs and rules.

Adaptation, Psychological↗
PubMedDate not supplied

[Crohn's disease: comments on a case].

Crohn's disease, regarded, up to a short while ago, a rare illness, with a higher rate of incidence, after the second ten years of life, in the last years underwent an increase in its frequency, mostly in the earliest years. In accordance with these observations, the Authors considered an interesting solution to quote a case of Crohn's disease, which had been watched by them, over a patient of tender age.

Biopsy↗
PubMedDate not supplied

[Pulmonary throboembolism: radiological examination without contrast media. (Findings in 70 cases)].

The results are reported of radiologic investigations carried out without contrast medium in 70 selected patients with pulmonary thromboembolisms. The frequency of different signs is reported. Attention is stressed of the following data: 1) value of some semeiologic findings both hilar (hilar amputation, arterial dilation) and parenchimal (increased translucency, hypoperfusion), mainly compared with previous radiographic examinations; 2) frequency of atelectasis with its various findings; 3) significance of the evolution referred both to the infarction and the thromboembolic pattern.

Adult↗