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E Bruno

Publications and source records attributed to E Bruno.

149 records · Page 9Linked to original sources
PubMedDate not supplied

Posture in systemic lupus erythematosus.

Systemic lupus erythematosus (SLE) is a connective autoimmune disease that may involve many organ systems and neural function impairment. Postural apparatus dysfunction in SLE may develop in the case of central and peripheral neural involvement. We studied the presence of postural abnormalities in SLE patients with different degrees of disease activity. Twenty-eight subjects (18 SLE patients and 10 normal controls) underwent postural evaluation by means of Static Computerised Posturography. Disease severity or specific clinical problems did not form selection criteria. Lupus activity was assessed using the Systemic Lupus Activity Measure (SLAM). A statistically significant (p < 0.05) increase in the parameters of trace length, trace surface, trace velocity, standard deviation in velocity, and Fast Fourier trX and Y (FET), were found in both the closed and opened eyes tests, when lupus patients were compared to controls subjects. No significant pattern variation in posture was observed between more active and less active SLE patients. Postural control alterations in SLE may be considered a complication of the chronic autoimmune inflammatory process, independent of disease activity as evaluated by the SLAM index. The site of the neuropathy remains uncertain, although we believe it to be peripheral rather than central in origin due to the absence of symptoms or clinical signs of CNS involvement or vascular degeneration.

Adult↗
PubMedDate not supplied

[The US-CT contribution to the diagnosis of salivary gland neoplasms].

In this work, we describe a diagnostic iter in case of salivary gland neoplasia suspicion: 1) direct radiography, 2) ultrasound (US), 3) sialography, 4) computed tomography (CT), 5) cytodiagnosis, 6) scintigraphy. But we particularly speak about US and CT, because of their daily use in diagnostic radiology. Ultrasound is considered a first examination for its high resolution, low invasiveness, low costs and it is easy and smart. While CT is considered a second examination because it permits staging of the salivary neoplasia and a complete patient inquiry. We presented two clinical cases: a submandibular sarcoma and a parotid carcinoma, describing their US-CT diagnosis: we can confirm that these techniques are often sufficient for a correct localisation of neoplasia and for a therapy program.

Adult↗
PubMedDate not supplied

[Malnutrition in the acute care hospital: a very common problem].

The adequacy of caloric intake of geriatric patients in medical and surgical wards in the acute care hospital was assessed in a prospective, observational study. Fifty-one surgical and 80 medical nonterminal patients aged over 70 years underwent a multidimensional assessment on admission and a nutritional reassessment on discharge. The average daily caloric intake was also measured. Patients were divided into two groups according to whether the ratio of the actual to the needed caloric intake was inferior to 40% or not, and their differences, with regard to baseline values, were assessed. Patients whose caloric intake was inferior to 40% of the needed were older than the remaining ones (79.4 +/- 6.6 vs 76.6 +/- 4.9 years, p < 0.05), had higher prevalence of preadmission functional dependency (21.6% vs 15%, p < 0.001), lower body mass index (22.9 +/- 5.4 vs 24.8 +/- 3.9, p < 0.004) and higher comorbidity (coexisting diseases: 3.6 +/- 1.9 vs 2.8 +/- 1.6, p < 0.02) on admission. In conclusion, a simple assessment on admission allows targeting geriatric patients at risk for in-hospital starvation. No difference exists between surgical and medical wards in the quality of nutritional support.

Acute Disease↗