[Report on a case of virtually asymptomatic serious renal malformations].
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Biomedical subjects
Publications and source records attributed to D Licata.
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Using a direct colorimetric method the concentration of magnesium in amniotic liquid was determined in 150 pregnant women at gestational ages ranging from 9 to 41 weeks. Results revealed a men value of 1.7 mg/dl (s = 0.39).
A clinical and statistical study on 44 newborns of assisted conception pregnancies indicated birthweight is not significantly lower. At risk pregnancies (twins, diseases) are more frequent, as are caesarean deliveries, preterms, diseases of the newborn as malformations, particularly heart defects.
A case-control study was performed to determine if newborns of epileptic mothers have a higher probability of having congenital malformations. Forty seven newborns of epileptic mothers and an equivalent number of controls with no history of epileptic disease and paired for mother's age, parity, type of education were examined. Thirty one mothers had been treated during the first term of pregnancy and 16 had not. A large number of anthropometric parameters were measured in each newborn to minimize the subjective component in diagnosing even minimal malformations and fetal growth abnormalities. To evaluate weight, length and head circumference the neonatal standards of Largo et al. were used. For all other measures the standards of Merlob et al. were used. Single absolute values of the parameters measured were converted into standard points to eliminate the effect of the sex and gestational age variables. The incidence of malformations was not seen to be significantly different in the newborns of epileptic mothers as a whole and divided into the two subgroups (treated and untreated) versus controls. The fetal syndromes described in literature were not observed. Of all the anthropometric measures examined only length was significantly reduced in newborns of epileptic mothers. Maternal epilepsy and its treatment do not appear to be a considerable risk factor for the newborn.
Ninety-seven newborns of drug addicted mothers observed in the period 1978-1986 were compared with the same number of controls. Pregnancies are at risk and newborns suffer a higher incidence of tainted amniotic liquid, low birth weight and preterm gestation. The withdrawal syndrome is the most commonly encountered pathology of such newborns.
Monitoring of blood barbiturate level was performed in 32 term newborns, who received 6 mg/Kg/die phenobarbital (PB), by assaying blood and urine samples. Cases were grouped according to duration of treatment which varied following multiples of 12 hours from 16 to 100 hours. Serum and urine PB assay was conducted through immunological percentage nephelometric inhibition. Plasma and urine PB levels within each group were significantly correlated (r = 0.8826; p less than 0.001), indicating that, if PB treatment is given without variations in dosage and if diuresis is not impaired, blood barbiturate level may be monitored through urine assays.
Serum prealbumin (TPBA) was assayed at birth in 32 healthy term newborns using immunoprecipitation evaluated with kinetic nephelometry.
A survey of the relevant literature, with particular attention to clinical and immunological studies propounding pathogenetic theories, is followed by the presentation of 32 cases of erythema nodosum observed in infants examined at the Turin Paediatrics Clinic and Regina Margherita Hospital. The clinical laboratory data showed that streptococcal infection was hardly less significant than T. B. as the cause of this condition.
The Chen method was adopted to monitor the principal congenital malformations in a large peripheric center. In 1982 two consecutive alarms showed an evident increase in the prevalence at birth of polydactylia. A retrospective analysis of the main risk factors failed to satisfactorily explain this increase.
The cultures performed over a period of three years in a neonatal pathology unit were studied to determine the epidemiological behaviour of the microorganisms present and variations in time of their sensitivity to antibiotics.
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A study was made of changes in body fluid parameters of rheumatism following treatment with sulphoadenosine-methionine and classic forms of management. Particular attention is drawn to improvement of the serum electrophoretic picture (especially in the case of alpha 2 and gamma-globulins) with respect to untreated control group. Note is also taken of the drug's positive influence on liver function, particularly with regard to lactate hydrogenase, compared with the variations in such parameters in the control group.