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Biomedical subjects

A Costantini

Publications and source records attributed to A Costantini.

At least 37 records · Page 2Linked to original sources
PubMed1999

[Endotracheal tube cuff pressure. Monitoring during general anesthesia].

BACKGROUND: To value changes of endotracheal tube cuff pressure during anaesthesia with N2O, using standard tubes or Brandt-system tubes. METHODS: Endotracheal cuff pressure during anaesthesia in three groups of patients has been monitored: Group 1 (n. 41): endotracheal tube with low-pressure cuff using N2O/O2 (2:1 or 1:1); Group 2 (n. 55): Brandt's double cuff-tubes using N2O/O2 (2:1 or 1:1); Group 3 (n. 20-control group): tubes with low-pressure cuff using O2/air. Values of pressure (M +/- DS: p < 0.05) have been compared with ANOVA, Bonferroni's method (p < 0.017). RESULTS AND CONCLUSIONS: Brandt's double cuff-tubes (G2) succeed in avoiding uncontrolled increase of cuff-pressure during anaesthesia with N2O. Standard low-pressure tubes (G1) shown increase of cuff pressure during anaesthesia with N2O which is absent using no N2O (G3).

Anesthesia, General↗
PubMed1997

Effect of the substitution of Y2O3 for CaO on the bioactivity of 2.5CaO.2SiO2 glass.

Glasses were prepared whose composition is defined by the following general formula: (2.5-x)CaO.x/3Y2O3.2SiO2 (0 < or = x < or = 1). Their behaviour when they were soaked in a simulated body fluid (SBF) and their thermal properties (glass transformation and softening temperatures, Tg and Ts respectively) were studied Tg and Ts increase with the Y2O3 content. The trend can be explained on the basis of the increased structural rigidity when Ca2+ ions are substituted by Y2+ ions, because of the formation of stronger bonds to the oxygen. The bioactivity was studied by means of electron microscopy equipped with an energy dispersive system for elemental analysis and IR spectroscopy. All the glasses studied except the one with the greatest amount of Y2O3. x = 1.0, reacted with SBF by forming a calcium phosphate layer. The experimental results suggest that the bioactivity is negatively influenced by the Y2O3 content: the tendency to form a calcium phosphate layer is reduced the greater the amount of CaO substituted. A comparison with literature data indicates that the amount of Y2O3 that can be substituted depends on the CaO content of the base CaO-SiO2 glass. The experimental results are in good agreement with the mechanism reported in the literature. After 7 days soaking, crystalline hydroxyapatite is formed in the Y2O3-free glass and in the glasses of low Y2O3 content (x-0.2).

Apatites↗
PubMed1997

Relationship between hardiness and risk of burnout in a sample of 92 nurses working in oncology and AIDS wards.

BACKGROUND: The present study tested the hypothesis that particular personality dispositions act as resistance resources in the encounter with stressful life events. METHODS: The sample consisted of 100 student nurses working in critical areas (oncology and AIDS). At the beginning of the 2nd year course subjects were administered the Kobasa Hardiness Scale and at the end of the year the Maslach Burnout Inventory. RESULTS: Higher hardiness levels at the beginning of the course were associated with lower emotional exhaustion and higher personal achievement scores at the end. As predicted, findings show hardiness scores to be predictive of the risk of burnout. CONCLUSIONS: A screening of personality traits could be useful in preventing the risk of burnout in nurses working in critical areas.

Acquired Immunodeficiency Syndrome↗
PubMed1996

Synthesis and biological evaluation of new imidazole, pyrimidine, and purine derivatives and analogs as inhibitors of xanthine oxidase.

Several derivatives of 4,5-disubstituted imidazole, 2,4,5-trisubstituted pyrimidine, 2-substituted purine, thiazolo[3,2-alpha]purine, [1,3]thiazino[3,2-alpha]purine, thiazolo[2,3-i]purine, [1,3]thiazino-[2,3-i]purine, and 6-substituted pyrazolo[3,4-d]pyrimidine were synthesized and tested as inhibitors of the xanthine oxidase enzyme. Of those, some 4-(acylamino)-5-carbamoylimidazoles and 2-thioalkyl-substituted purines exhibited very good inhibitory activity, being at least 500 times more effective than allopurinol. The ineffectiveness of 6-n-alkylpyrazolo[3,4-d]pyrimidines is imputable to the alkyl chain which could hinder the coordination with molybdenum according to the known mechanism for the binding of the inhibitor allopurinol; the effectiveness of imidazole derivatives, by contrast with the ineffectiveness of 4,5-diamino-2-(thioalkyl)-6-hydroxypyrimidines, indicates the relative importance of the five-membered ring in the interaction with the enzyme. Moreover, the marked effectiveness of the angularly-cyclized [1,3]thiazino[2,3-i]purinones, which constitute an interesting new class of inhibitors, together with the weak activity of linearly-cyclized derivatives, allowed us to characterize more precisely the lipophilic region of the enzyme facing the N(1)-C(2) positions of the substrate hypoxanthine.

Allopurinol↗
PubMed1996

Effect of the substitution of La2O3 for CaO on the bioactivity of 2.5CaO.2SiO2 glass.

Glasses of the following composition were prepared: (2.5-x)CaO.x/3La2O3.2SiO2 (0 < or = x < or = 1). Their behavior when soaked in a simulated body fluid (SBF) was studied by means of electron microscopy (EM) equipped with an energy-dispersive system (EDS) for elemental analysis, IR spectroscopy, and x-ray diffraction. All the studied glasses react with SBF by forming a calcium phosphate layer. This layer appears to be increasingly thinner with increasing amounts of La2O3 substituted. The experimental results are in good agreement with mechanisms reported in the literature. Moreover they suggest that lanthanum oxide is retained in the layer below the phosphate. After 6 days of soaking, crystalline hydroxyapatite is formed in the case of La2O3 free glass.

Blood↗
PubMed1996

Bioactivity of 1.25CaO.SiO2 glass: an FTIR and X-ray study on powdered samples.

Powdered samples (170-230 mesh) of a glass of composition 1.25CaO.SiO2 were soaked in a simulated body fluid (SBF). The powders were submitted to Fourier transform infrared transmission spectroscopy as coarse powders (such as drawn out from the SBF) and as fine powders (soaked and subsequently ground). Soaked samples were submitted to differential thermal analysis (DTA) and the crystalline phases formed during heating in the DTA apparatus were identified by means of X-ray diffraction analysis. The method appears to be useful in studying the mechanism of deposition of the hydroxyapatite layer. It is documented, by using the same method, that the mechanism involves the reactions of hydrolysis and successive condensation and repolymerization of the silicate substrate. These reactions are very fast. Extensive Ca2+ cation depletion occurs, but appears to be slower.

Biocompatible Materials↗
PubMed1996

[Method selected for the determination of creatinine in plasma or serum. Choice of optimal conditions of measurement].

The method selected by the SFBC (Société française de biologie clinique) is derived from the colorimetric reaction of creatinine with alkaline picrate, measured kinetically, without any pretreatment step. The key parameters of the reaction determining the quality of the results are studied, with special regard to samples including known interferents. The aims of the study were to gain an optimal analytical sensitivity and to reduce main interferences (acetoacetate, bilirubine, glucose, protein) which plague the Jaffé reaction, through a comprehensive study of the reagents, of their concentrations and of the analytical procedures. The selected concentrations (in the test) are: 150 mmol/L sodium hydroxide, 10 mmol/L picric acid and 2 g/L sodium dodecyl sulfate. Ten millilitres of a BRIJ solution (30% volvol) are added to the reagent. The operating procedures are as follow: sample ratio 0.07 to 0.08; wavelength 505 to 510 nm; temperature 37 degrees C; incubation of the specimen with the alkaline reagent 5 mn (at least), before starting the reaction with picric acid. A seric calibrator is recommended. The first measurement is taken 20 to 40 s after starting the reaction. Total measurement time is 120 to 150 seconds.

Blood Chemical Analysis↗
PubMed1996

[Validation and study of the transferability of the selected technique by SFBC for the determination of creatinine in plasma].

A selected method for the determination of creatinine in plasma, using the reaction with alkaline picrate without prior pretreatment has been proposed by the Commission 'Validation de techniques' in the SFBC (Société Française de biologie clinique). The transferability step was conducted in seven laboratories, equipped with different automatic analyzers, using analytical procedures derived from the recommended method. Its goal was to test whether the original analytical performances could be maintained and consistent results obtained. The validation step was designed to evaluate the linearity limits of the analytical range, the detection limit, to assess accuracy as compared to a high performance liquid chromatography and to investigate the effect of the main interferents. Linearity limits are 15 and 2000 mumol/L. The detection limit is 3 to 8 mumol/L according to the analytical systems. The selected method can fulfil the set imprecision goals: intralaboratory CV minus than 2% (within-run), minus than 4% (run-to-run), interlaboratory CV minus than 5% (for 100 mumol/L creatinine). Inaccuracy evaluated for the chosen control sera is 1 to 15% as compared to the chromatographic method, according to the sera and to the analytical systems. The results obtained with the selected method are more consistent with the HPLC than are those obtained with an alkaline picrate method without SDS or with an enzymatic method. No interference could be demonstrated for acetoacetate (up to 8 mmol/L), hemoglobin (up to 210 mumol/L), unconjugated bilirubin (up to 250 mumol/L), glucose (up to 30 mmol/L), IgG (up to 45 g/L), albumin (up to 60 g/L). The effect of cephalosporins depends on the molecule. The reagents are stable for at least 6 months when stored in closed vials at +20 degrees C. The alkaline reagent is stable 30 days at +4 degrees C. Reference limits (0.025 and 0.975 fractiles) have been established for healthy adults. They are respectively 73 to 126 mumol/L for men and 59 to 100 mumol/L for females.

Adult↗
PubMed1995

Apatite formation on (2-x)CaO.x/3 M2O3 x 2SiO2 glasses (M = La, Y; 0 < or = x < or = 0.6) in a simulated body fluid.

Glasses were prepared by substituting La2O3 or Y2O3 for CaO in glassy wollastonite composition (CaO.SiO2). Their behaviour when they are soaked in a simulated body fluid (SBF) was studied by means of an electron microscope equipped with an energy dispersive system for elemental analysis, and by means of IR spectroscopy. Electron microscopy and energy dispersive microanalysis were performed on samples soaked as polished bulk samples, and IR analysis was on samples soaked as fine powders. A carbonate-containing hydroxyapatite layer is formed when glasses of low La2O3 content are soaked in SBF. When Y2O3-containing glasses are considered, even in the case of small substitution for CaO, the same layer forms only on fracture surfaces. The experimental results agree with the mechanism reported in the literature.

Apatites↗
PubMed1994

Role of bypass, endarterectomy, extra-anatomic bypass and endovascular surgery in unilateral iliac occlusive disease: a review of 1257 cases.

Some 1257 patients who had undergone revascularization procedures for unilateral iliac occlusions were reviewed retrospectively. A total of 824 patients were operated upon using conventional operations, 165 patients had femorofemoral bypass and 268 were treated using endovascular surgery techniques. Revascularization was performed through an extraperitoneal approach by means of iliac thromboendarterectomy (560) or iliac femoral bypass (264) if there was a total occlusion of either the common or external iliac artery (group 1). A femorofemoral crossover bypass was inserted when the operative risk was considered to be high (group 2). Endovascular procedures (percutaneous transluminal angioplasty 234, laser percutaneous transluminal angioplasty 11, stenting 22, atherectomy one) were used in recent years to treat stenoses or occlusions of 3 cm or less (group 3). The indications for operation were severe claudication in 79.7% in group 1 and 92.6% in group 3, whereas in group 2 66.7% of patients presented with symptoms of more advanced ischaemia. The immediate patency rate was 97.0% after extraperitoneal reconstructive surgery, 96.9% in the femorofemoral group and 92.1% in patients having an endovascular procedure. The operative mortality rate was 0.7, 4.2, and 0.3% for groups 1-3, respectively. The 5-year patency rate, analysed by the life-table method, was 77.9% in group 1, 75.3% in group 2 and 73.7% in group 3 (P = n.s., log rank test). The different revascularization techniques were chosen on the basis of the type of disease present and the patient's general condition. All procedures appeared to be effective when correctly selected.

Adult↗
PubMed1991

Growth factors in the human prostate.

Recent studies have focused on the potential role of local polypeptide growth-regulating factors in the etiology of benign prostatic hyperplasia (BPH) and prostatic carcinoma. In our studies we confirmed the presence of specific receptors for epidermal growth factor (EGF) in prostatic tissues from patients affected by BPH. In addition, we demonstrated that specific receptors for insulin-like growth factor type I (IGF-I) are present in BPH tissues. In order to identify a possible interaction between androgens and these growth-regulating factors, we investigated the effect of testicular suppression-induced androgen withdrawal on both EGF and IGF-I receptor concentrations in prostatic tissue from patients affected by BPH treated with a long-acting luteinizing hormone-releasing hormone analog. Both EGF and IGF-I binding capacities were significantly increased after treatment. This finding suggests that in vivo IGF-I and EGF receptor levels may be under negative androgenic regulation, indicating a potential role for these growth-regulating factors in the mechanism of response to the castration-induced regression of androgen-dependent prostatic tissue. Moreover, preliminary studies indicate that in human BPH prostatic tissue multiple IGF-binding proteins (IGF-BP) are present. This finding suggests a possible role of IGF-BP in modulating IGFs biological activities at the prostate level.

Aged↗
PubMed1991

Insulin-like growth factor-I receptors in human hyperplastic prostate tissue: characterization, tissue localization, and their modulation by chronic treatment with a gonadotropin-releasing hormone analog.

Insulin-like growth factor I (IGF-I) receptors were characterized in membranes obtained from prostate tissue of patients affected by benign prostatic hyperplasia (BPH) before and after treatment with a GnRH agonist analog. Binding of [125I]IGF-I to membranes obtained from untreated patients was specific and time and temperature dependent. Analysis of the binding data yielded two classes of binding sites, one of high affinity (Kd, 10(-11) mol/L) and one of lower affinity (Kd, 10(-9) mol/L). BPH membrane preparations were affinity-cross linked to labeled IGF-I, and then subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Analysis by autoradiography revealed one labeled protein with an apparent Mr = 300K under nonreducing conditions and two labeled protein with Mr = 270K and Mr = 130K under reducing conditions. Excess unlabeled IGF-II reduce both of them, whereas the same excess of IGF-I completely abolished them. In membrane preparations of prostatic tissues from patients affected by BPH and treated for 2 months with a GnRH agonist analog, the binding capacities of both binding sites were significantly higher than those of BPH tissue from untreated patients, whereas binding affinities were unchanged. The IGF-I receptor in BPH prostate tissue of untreated patients was mainly localized in the basal layer of the epithelium, as demonstrated by immunohistochemical staining, whereas in the tissue from treated patients positive staining was found also in the glandular epithelium. These results demonstrate that: 1) specific binding sites for IGF-I are present in prostatic tissue from patients with BPH, 2) androgen deprivation increases their binding capacities and seems to modify their epithelial localization.

Aged↗