Search PubMedSearch

Biomedical subjects

F Fiorino

Publications and source records attributed to F Fiorino.

2 recordsLinked to original sources

[The "BTE"(basic knowledge--training--execution) method for teaching-learning surgical procedures].

For teaching-learning operative procedures the authors propose a new method ("KTE" method) in three progressive phases (step "K" or "basic knowledge"; step "T" or "training"; step "E" or "execution") that allow the student to achieve gradually the psychomotorial adaptation needed for the correct execution of surgical procedures. After preliminary study of the general features of the procedure (step B1) the student learns its operative features (step B2) on appositely constructed didactical tools ("Self-learning and learning maintenance boxes") that, together with the "observational" training (step A1), allow him to create in his mind an "operation image" and then, following an "operative" simulators training (step A2), to pass from that image to its carrying out (psychomotorial adaptation) that in the last phase (steps E1 and E2) concludes in the partial or complete execution of the surgical procedure in the patient. This didactic method can be apply to classic or endoscopic surgery and even to a lot of not surgical practical procedures.

General Surgery

Middle ear function in rheumatoid arthritis: a multiple frequency tympanometric study.

OBJECTIVE: To evaluate the modifications in the mechanical properties of the middle ear in rheumatoid arthritis by assessing its resonance frequency. METHODS: Thirty patients with rheumatoid arthritis (RA) aged 20 to 68 years (mean age 45.8 +/- 12.4 yrs) were investigated by multiple frequency tympanometry and their data were compared with those obtained in a control group of 48 subjects aged from 19 to 65 years. RESULTS: Normal values, calculated at the 95th percentile from the control group, ranged from 800 to 1250 Hz. Eleven RA patients (36.6%) displayed abnormal resonance values. These findings were monolateral in 9 patients and bilateral in 2 (in all a total of 13 ears). Nine out of 13 ears with abnormal multiple frequency tympanometry data were characterized by an increase in resonance and 4 by a decrease. CONCLUSION: These findings were attributed to abnormal acoustic impedence of the middle ear and indicate a possible involvement of the ossicular diarthroses in RA. Our study suggests that RA may involve the incudo-malleolar and incudo-stapedial joints, altering the ossicular mechanisms in response to static air pressure modifications.

Acoustic Impedance Tests