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Biomedical subjects

V Salvi

Publications and source records attributed to V Salvi.

At least 19 recordsLinked to original sources

Redox reactions and fluorescence spectroscopic behaviour of trifluoperazine at the surface of colloidal silica.

Fluorescence spectroscopic behaviour and redox reactions of trifluoperazine (TFP) were studied in aqueous solutions in the presence of silica (SiO2) particles. The effect of surface heterogeneity on the secondary reactions of the transients was determined using optical absorption and fluorescence techniques. It appears that electrostatic interaction is the driving force for adsorption of TFP over SiO2 particle. Contrary to the change in fluorescence intensity with time observed in an aqueous solution, fluorescence intensity of TFP did not change significantly with time over the surface of SiO2. Fluorescence microscopic observations of spleen cells treated with TFP over SiO2 showed that the drug got distributed in cells similar to that observed in homogeneous aqueous solution.

Animals↗

Long-term treatment of chronic schizophrenia with risperidone: a study with plasma levels.

Twenty-four chronic schizophrenic outpatients with a mean age of 37.21 years +/- 9.96 SD were treated with risperidone (RSP) at the dosage of 2-9 mg/die (mean 4.46 mg/die +/- 1.30 SD, mean 0.06 mg/kg +/- 0.01 SD) for a year. Clinical evaluation was assessed with the Brief Psychiatric Rating Scale (BPRS), Positive and Negative Symptoms Scale (PANSS), Extrapyramidal Side Effects Rating Scale (EPSE) and a checklist for Anticholinergic Side Effects (ACS) at T0, then after 1 (T1), 2 (T2), 3 (T3), 6 (T6), 9 (T9) and 12 (T12) months. RSP and 9-hydroxy-risperidone (9OH-RSP) plasma levels were determined at T12 by the HPLC method. BPRS and PANSS mean values showed a significant improvement during the study. No correlation between RSP dosage (mg/kg) and RSP, 9OH-RSP plasma levels or active moiety resulted. A positive correlation between age and active moiety was observed. A positive correlation between RSP and 9OH-RSP plasma levels was observed. A curvilinear relationship between active moiety and PANSS improvement (%) was observed. Patients with the higher PANSS amelioration showed RSP + 9OH-RSP plasma levels ranging from 15 to 30 ng/mL. RSP seems to be quite an effective drug. It seems, however, difficult to devise appropriate dose schedules and plasma level determination seems to be necessary in some cases.

Adult↗

[Densitometry analysis with quantitative computerized tomography in 530 subjects from Southern Italy].

Quantitative measure of bone mineral content (BMC) loss is an important diagnostic indicator for determining the risk of fracture and in following the course of patients undergoing therapy for osteoporosis. Several techniques have been used to evaluate this parameter. Quantitative Computed Tomography (QCT) is the most precise and accurate method allowing selective measurement of trabecular compartment of the vertebrae. Age, sex, ethnic heritage and geographic factors influence BMC variability. The aim of this study is to describe the normal cross-section pattern of age-related spinal bone loss in a Southern Italy population (530 healthy subjects: 450 women, 80 men) and to provide a local data-base for better interpretation of the BMC values. The BMC of lumbar spine was measured by single energy QCT, using a reference phantom with five tubes containing known amounts of CaCO3, placed approximately at the vertebral bodies L2-L4. Results indicate an age-related bone loss with the lowest values at 55-70 years, particularly in women, while no major further decrease was observed in subjects over 65 years. Normal linear BMC decrease rate can be derived from this data.

Adult↗

Computerized axial tomography in the diagnosis of lumbar disc hernia.

Computerized axial tomography (C.A.T.) is a very useful method of investigation in the diagnosis of lumbar disc hernia. There is a high correlation with the operative findings and a very low incidence of false positives and negatives. The fact that it is a non invasive method extends its applicability to the evaluation and control of treatment, whether conservative, chemonucleolysis, or surgical, particularly in the present day medico-legal aspects of this syndrome.

Chymopapain↗

Microdiscectomy in the treatment of lumbar disc herniation.

The authors report their experience with short- and medium-term microdiskectomy for the treatment of lumbar disc herniation. It is based on 760 operations performed between 1985 and July 1999: expulsed hernias and those of large size with intense pain symptoms and/or neurologic deficit were treated. During the same period of time, the authors used enzymatic and percutaneous nucleolysis according to Onik for smaller hernias. The incidence of satisfactory results was high (90.1%), in agreement with the results published in the literature. There was a low incidence of complications (4.6%), and of these 2.8% had a benign spontaneous evolution; 1% was prevented during surgery, 0.5% was prevented with subsequent surgery, while only 0.2% was the cause of definitive failure. Unsatisfactory results were constituted by the sequelae of complications (1 discitis, 4 liquoral cysts, 1 error in level not diagnosed intraoperatively), stenosis of the lateral recess not diagnosed pre- or intraoperatively, and thus not treated; in 6.1% of cases there was no plausible justification. The microsurgical technique above all reduces the duration of hospitalization (5 days on the average, but with 91% of cases dismissed on day 3), and allows for a rapid return to work activity (after 63 days for patients who are not employees, but with a return after 20 days in 95% of cases).

Adult↗

Identifit: a silicone mould used to intraoperatively construct a cementless femoral stem.

A new system named Identifit to construct a femoral stem for use in hip arthroplasty is presented: a silicone mould of the femoral canal is made, and while the surgeon proceeds to insert the acetabulum, in a laboratory located annexed to the surgical theater the mould is used to make a titanium stem in the same shape. The stem is anatomical with a mean value for bone to prosthesis contact equal to 94%. The first results obtained seem to confirm the theoretical effectiveness of this system.

Bone Cements↗