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M Mellino

Publications and source records attributed to M Mellino.

At least 19 recordsLinked to original sources
PubMed1982

Echographic-quantified severity of mitral anulus calcification: prognostic correlation to related hemodynamic, valvular, rhythm, and conduction abnormalities.

Clinical and echocardiographic findings in 123 patients with mitral anulus calcification (MAC) were analyzed. In all patients M-mode echocardiography demonstrated a dense band of echoes posterior to the mitral valve, moving parallel and anterior to the left ventricular endocardium. Thirty-three per cent of patients were classified as having minimal to mild MAC (< 5 mm) and 67% had moderate to severe MAC (greater than or equal to 5 mm). There was a significant correlation between the degree of MAC to left atrial enlargement, congestive heart failure, aortic valve sclerosis, mitral regurgitation, atrial fibrillation, and AV-fascicular conduction defects. ECG evidence of conduction disturbances was significantly associated with MAC greater than or equal to t mm in width. The echocardiographic demonstration of MAC greater than or equal to 5 mm was significantly associated with the clinical implications known to occur with MAC; this echographic finding has important prognostic value in the evaluation of patients with mitral anulus calcification.

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Risk of stroke in patients with mitral annulus calcification.

63 patients with mitral annulus calcification (MAC) were followed for an average of 3.4 years. Two patients experienced TIA, both ipsilateral to a previous endarterectomy site, and IV-DSA demonstrated normal extracranial vessels. There were 3 strokes (5%), all fatal, but none could be attributed to embolism. Embolic stroke due to MAC is rare and difficult to prove due to coexistent atherosclerosis. Associated cardiac conditions such as atrial fibrillation, which might increase the risk of embolism, usually occur with MAC greater than or equal to 5 mm. In many patients, MAC may be better viewed as a marker of generalized calcific atherosclerosis rather than as an immediate embolic source.

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PubMedDate not supplied

[Recent experience with mites in stored products].

The A.A. refer a recent experience about the isolation and identification of same species of storaged timber mites. They believe that these mites are responsible of dermatitis at the trunk and the arms of timber workers. Mites are the most elderly living species on the earth, they can live and grow in different environments, such as plants, flowers, animals, men, earth, lake and sea waters, organical rubles, houses, mattresses, old books etc. There are free-living, saprophitic, parasitic and predator mites. Generally, primary mites live either freely or as commensals feeding on conserved foodstuff and on what they find available. Secondary mites, i.e. parasites and predators, live off primary mites and insects infesting foodstuff. Direct damage to foodstuff are not to be considered important, whereas indirect damages are more serious, due to the contamination of bodies and stools of mites that are rich in nitrogen. Some secondary mites may attack foodstuff workers causing characteristic dermatitis: they can act either directly, by sting and bites, or indirectly, provoking on allergic hypersensitivity. In this study the A.A. used the floating method to isolate timber mites, and then, these have been photographed at the microscope to obtain an easier and more complete identification. The A.A. describe a heterogeneous fauna consisting of both adult and larval-status insects, some species of free-living mites (Oribatula Tibialis) and, in particular, of two species secondary mites, predator, belonging to the Prostigmata sub-order. The Cheyletus Eruditus (Cheylatidae family) is a whitish mite feeding mostly on insect larva and primary mites living in foodstuff. When no prey is available, the Cheyletus Eruditus eats individuals of its own species. The Pyemotes Herfsi (Pyemotidae family) is a little white mite feeding on insect larva. It lives in conserved foodstuff and may attack man causing characteristic dermatitis such as those described by the A.A. The A.A. conclude dealing with the possible preventive and therapeutic measures tend to keep phisic-chemicals parameters of foodstuff and others conserved products afar from the values suitable for the growth of parasites (water content min. 13%, environmental humidity min. 60-65%, appropriate temperature etc.). Therapeutic procedure are based either on physical media: infra-red rays, gamma-rays, electric fields for the transformation of temperature or using chemical mixtures containing methyl bromide, carbon tetrachloride and hydrogen sulphide. Among the therapeutic procedures, however, the biological pest control using chemical media associated with antagonist mites of the infesting species is to be preferred.

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