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Biomedical subjects

S Conti

Publications and source records attributed to S Conti.

156 records · Page 9Linked to original sources
PubMed1977

Mortality and morbidity after esophagogastrectomy for cancer of the esophagus and cardia.

Forty-eight esophagastric resections performed for cancer of the esophagus and cardia resulted in a five-year survival rate of four per cent. An operative mortality rate of 23%, comparable to that reported by others, diminishes the value of esophagogastrectomy even for palliation. Nutritional depletion, commonly found in these patients, contributes significantly to the unacceptably high mortality. A review of the recent literature indicates that the routine use of preoperative hyperalimentation and prophylactic antibiotics can significantly reduce morbidity in these high-risk patients and thereby result in better palliation.

Adenocarcinoma↗
PubMed1977

[Identification of subjects at high coronary risk in the Roman Project of Coronary Heart Disease Prevention (author's transl)].

In the Roman Project of Coronary Heart Disease Prevention two different techniques were employed for the identification of individuals at high coronary risk within the treatment groups of the Project. The "risk score" is a simple additive system developed by the working groups of WHO, while the "multiple logistic function" is a complex mathematical model of multivariate analysis. Both of them consider 5 risk factors (age, systolic blood pressure, serum cholesterol, smoking habits and physical activity at work) and are applied for the identification of individuals belonging to the upper 20% of a risk rank list. The two techniques apparently provide similar predictive performances when applied to epidemiological prospective material collected in other studies where the morbid events are already known. When employed in the study population groups they identify, as high risk individuals, different subgroups of population, which overlap only partially. On the basis of theoretical and practical considerations, it has been decided to employ both techniques and to extend, as a consequence, the proportion of high risk individual, eligible for individual treatment, from 20% to about 30% of the total.

Adult↗
PubMedDate not supplied

Hepatitis C virus infection in households of anti-HCV chronic carriers in Italy: a multicentre case-control study.

To test the hypothesis that households of anti-HCV positive subjects might be at increased risk of HCV infection, a case-control study was carried out comparing 518 family members of 205 anti-HCV positive subjects (index carriers) with 281 family members of 100 anti-HCV negative subjects (index controls), consecutively observed in ten gastroenterology units in different Italian regions. The index carriers were age and sex matched to the index controls and their households were similar with respect to the main sociodemographic characteristics. Anti-HCV antibodies were found in 6.9% (36/518) of household members of index carriers and in 3.2% (9/281) of household members of index controls (p < 0.05). The results of multiple logistic regression analysis showed that being over 50 years of age was the sole independent predictor for a household contact of the likelihood of being anti-HCV positive (O.R. 3.6; C.I. 95% = 1.5-8.2). Being in the household of an anti-HCV index carrier was marginally associated to anti-HCV positivity (O.R. 2.0; C.I. 95% = 0.9-4.6). No association was found for sex, area of residence, family size, lowest level of schooling, or any type of family relationship. These findings are not in compliance with the statement that household contacts of HCV carriers are at increased risk of HCV infection. The 3.2% anti-HCV prevalence rate observed among household contacts of anti-HCV negative index controls may suggest that the true anti-HCV prevalence in the general population in Italy is nearly 2.5 times as high as the 1.3% found in Italian blood donors.

Adolescent↗
PubMedDate not supplied

Unimage, a new RIS for the DIOGENE 2 environment at Geneva Cantonal University Hospital.

The effective management of a radiology department depends on adequate computing tools for imaging specialists--radiologists and technicians--and administrators. The rapid evolution of imaging techniques in radiology requires flexible systems for describing the daily operation of a service and accessing data generated by every possible source. In order to compensate for the insufficiencies of our current radiology information system (RIS), and within the framework of the migration towards the DIOGENE 2 hospital information system, a new RIS, named Unimage, has been implemented at the Cantonal University Hospital of Geneva. Unimage has been designed not only to fit the current and future needs of the radiology department, but also to operate in different services, i.e. diagnostic radiology, nuclear medicine and therapy radiology. Among its functionalities, Unimage offers a simple two-way data communication with the PACS world. The technical choices we have made in the design of the new RIS include a distributed environment, as well as a graphical (X/Motif) user interface. The main functionalities and the technical implementation of Unimage are described in this paper.

Appointments and Schedules↗
PubMedDate not supplied

[Gloves: some unknowns].

The diffusion of transmissible diseases such as the Acquired Immunodeficiency Syndrome, well known as AIDS, has induced in the population a great sensibility to the problem of disease transmission. Dentists and patients, because of peculiar features of oral environment and dental procedures, are very exposed to these risks. For this reason every technique which reduces the risk of cross-infections patient to patient and patient to dentist to patient are absolutely necessary. From this point of view the use of gloves is very important to protect dental operator and patients. The aim of this study is: a) to stress the importance of mechanical barriers, like gloves, in dentistry in order to sensitize dental practitioners to the use of gloves; b) to underline that the quality of dental gloves in Italy is lower than in other countries which have a quality standard.

Cross Infection↗
PubMedDate not supplied

[Allergic bronchopulmonary aspergillosis; an important cause of asthma sometimes ignored].

The Authors describe a clinical case of allergic bronchopulmonary aspergillosis that remained unrecognized for a long time. The pathogenetic role of the environment, home climatology, and familiarity is considered. A possible therapeutic approach involving the use of associations of steroids and ketoconazole is also discussed. The Authors would like to draw the attention of physicians to forms of bronchial asthma with eosinophilia.

Adult↗
PubMedDate not supplied

Abdominal aortic coarctation and pregnancy.

Coarctation of the abdominal aorta was diagnosed in a pregnant hypertensive patient who presented with acute abdominal pain and fever. Extensive workup failed to establish another cause for the acute illness. Successful vascular reconstruction to correct renovascular hypertension and to bypass the coarctation was accomplished. The relationship of prgnancy to the symptomatology is discussed and evidence is presented which suggests that this case represents a variant of Takayasu's arteritis.

Adult↗