[3 years' experience in the prevention of recurrent calcic nephrolithiasis].
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Benzothiadiazines↗
Biomedical subjects
F Pagano
Publications and source records attributed to F Pagano.
[Percutaneous transhepatic cholangiography and percutaneous transhepatic drainage in diagnosis and palliative treatment of obstructive jaundice (author's transl)].
The authors report their experience about transhepatic cholangiography with skinny needle and external-internal drainage. Results seem to be satisfactory, regarding low frequency of complications, diagnostic reliability of cholangiography and therapeutic palliative efficacy drainage. It is possible to conclude that drainage, as palliative technique in neoplastic patients, is superior or almost equivalent to surgical palliative derivation.
Bile Duct Neoplasms↗
Use of prostaglandin E1 in the treatment of sexual impotence after heart transplantation: initial clinical experience.
Many patients report problems of impotence after heart transplantation, which definitely impairs their quality of life. Ten men, with a mean age of 41 years, were evaluated for persistent erection problems after heart transplantation by measurement of nocturnal penile tumescence using a Rigiscan. Three men had a positive response, and their disturbances were therefore considered to have a psychological basis; seven men had a negative or only weakly positive response, and their impotence was attributed to organic causes. To all patients, intracavernous injections of an initial dose of 10 to 20 micrograms of prostaglandin E1 were administered as first-choice treatment. Nine patients obtained a firm, lasting erection 2 to 5 minutes after injection, with no relevant side effects. The patients were then instructed to self-administer the drug before intercourse, and some were able to return to spontaneous sexual activity at various intervals. Intracavernous injection of prostaglandin E1 seems to be an effective treatment of erectile impotence in heart transplant recipients; it is well tolerated with no side effects and considerably improves the patient's quality of life.
Adult↗
[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↗