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Biomedical subjects

A Ghisolfi

Publications and source records attributed to A Ghisolfi.

25 records · Page 2Linked to original sources

Millimetric cover test--a linear strabismometric technique.

In ten normal subjects we measured the angular rotations of the globe, both in adduction and in abduction, corresponding to limbus shifts from 1 to 7 mm. Our study demonstrated that to each millimeter of temporal limbus shift corresponds an average adduction of about 4.6 degrees and to each millimeter of nasal limbus shift an average abduction of about 4.8 degrees. These experimental results give a sound foundation to the clinical evaluation of the strabismic angle by measuring, with a millimeter ruler, the limbus shift of the nonfixating eye by assuming fixation. This technique appears particularly useful as a substitute for the simultaneous prism and cover test, in the evaluation of a squint with a variable angle, and in measurements in other positions of gaze.

Adolescent↗

[Effects of loperamide on fecal electrolyte excretion in acute diarrhea in infants].

The effect of loperamide (Imodium) on fecal excretion of electrolytes was studied using a double-blind protocol in 63 infants aged 1 to 32 months, presenting with acute diarrhea. The etiology of these infections was due to virus (n = 9), E. coli (n = 4), Salmonella (n = 4), Shigella (n = 2) or was of undetermined origin (n = 34). The therapeutic protocol was the same for all the infants: ad libitum oral rehydration, with no drug being administered except for Imodium at an average dose of 20 to 25 drops/kg/24 h (0.16 to 0.20 mg/kg/24 h), given every 8 hours for at least 48 hours. Stool Na+ and K+ concentrations were determined in samples taken before and after the double-blind trial. In patients receiving loperamide, we observed a non-significant decrease in fecal Na+ concentration as compared with values before treatment. Comparison of the two groups of infants, one receiving Imodium, the other a placebo, showed a significant difference (p less than 1%) in fecal sodium concentration, due rather to an increase in stool Na+ in the placebo group than to a decrease in the group treated with Imodium. Moreover, the use of loperamide, compared with the placebo, did not result in a significant decrease in the number of stools, modified fecal K+ values, or more rapid recovery from the diarrheal syndrome.

Acute Disease↗