Search PubMed⌕ Search

Biomedical subjects

M Soldini

Publications and source records attributed to M Soldini.

24 records · Page 2Linked to original sources
PubMedDate not supplied

[Bioethics and internal medicine].

Medicine should concern also with theoretical and practical aspects of Bioethics. In fact, in medical research and in clinical practice Bioethics knowledges are essential. A cultural project is underlined. We will neglect the method of reductionism, whereas we will consider the holistic one. We will consider also the real significance of specialisations, so that their role become ancillary to Internal Medicine. Particularly, we should try to find and define some fundamental principles which consider the man on a realistic anthropology, a point of view, where the whole has its importance. Medicine should be seen sub specie totius. In fact the best ethical theory seems to be the ontologically founded personalism, which, through its principles, represents the classic and realistic conception of the man. The person is unity, the whole and not a part of the whole. Furthermore, we propose to discover the virtues ethic. The physicians should not ask themselves: "What have I to do?", but "What kind of physicians do I want to become?" The relations between medicine and Bioethics will produce important results, which through the integral Humanism of medicine, will be reflect on the integral physic and psychic health of each patient and on the integrity of our profession. For these reasons Internal Medicine, which is structured on an holistic epistemology, with its cultural and experimental traditions, should not disappoint to concern with Bioethics and its problems.

Bioethics↗
PubMedDate not supplied

[Bioethical aspects of Viagra].

Viagra (sidenafil) has specific activity, and well demonstrated efficacy and tolerability, when used in patients with organic erectile dysfunction. Its mechanism of action besides in restoring a compromised function of erection by improving the vasodilation nitrogen oxide-mediated, through the inhibition of cGMP, in the corpus cavernosum. The drug should be used after giving a correct and complete information to physicians by several experts in the field, including the bioethicist, considering the complexity of the problem of sexuality. The bioethical perspectives of the drug should be considered in relation to the principles of totality (therapeutic principle), autonomy, freedom, responsibility, and integrity of medical profession. Viagra is of value both at the clinical level and moral level, provided the therapeutic principle and the principles of responsibility and freedom are respected in an ethic-anthropological dimension that accepts the personalistic principle of corporeity.

Bioethics↗
PubMedDate not supplied

[Iatrogenic sequelae of pulmonary tuberculosis].

OBJECTIVES: The purpose of this study is to underline how topical is the chapter of the sequelae of pulmonary tuberculosis and to try to make a classification. Pulmonary tuberculosis can be cured definitely or hesitate in disease (BK negative) that is totally independent from tuberculosis about their pathogenesis and clinical features. They are called sequelae. MATERIALS AND METHODS: We made a statistical analysis that investigate a group of 110 patients without active infection (BK negative) admitted in the hospital because of a sequela of pulmonary tuberculosis. Patients were treated in the past by collapse-therapy or by antibiotic-therapy until their spittle became negative for BK. RESULTS: A significant (p < 0.05) relationship between each kind of sequela, among the most important ones (fibrothorax, interstitial fibrosis, bronchiectasis, empyema with or without pleural fistula, parafibrotic emphysema), and type of treatment, results. CONCLUSIONS: The sequelae of tuberculosis of the lung are highly disadvantageous for people who are affected; are observed frequently; are closely dependent on what kind of treatment the patient has received; are classified in iatrogenic, not iatrogenic or mixed.

Adolescent↗
PubMedDate not supplied

Intermittent left anterior hemiblock. A rare case report.

The Authors report a rare case of intermittent left anterior hemiblock in a 86-year-old man admitted to Department of Emergency Medicine for progressive impoverishment of intellectual functions and episodes of chest pain. They present this rare case of intermittent left anterior hemiblock where the intermittence was not linked to heart rate variations preceding the beginning of the hemiblock being present on the same ECG two different QRS complexes with no modification in frequency or A-V conduction: this finding suggesting a vascular origin of the disturbance. They also stress the importance of a prompt diagnosis in a Department of Emergency Medicine.

Aged↗
PubMedDate not supplied

[Guidelines for the management of hypertensive crises and simple blood pressure rise. Literature review and clinical experience].

Hypertension is a common clinical problem in the Emergency Department. Beside homologated therapeutical approaches it is necessary in primis to consider the problem in a clinical context and in an appropriate nosographic scheme in order to provide a rational approach to the treatment. In this paper the authors review the nosographic and therapeutical approaches previously reported in literature and then state their proposals derived by their daily experience at the Emergency Department. In authors' opinion it is of primary importance to distinguish between hypertensive crises and simple blood pressure rise. For this end it seems useful to define four syndromic classes: A. Real Hypertensive Crises: 1-Hypertensive Emergencies, 2-Hypertensive Urgencies. B. Simple Blood Pressure Rise: 1-Stable Uncomplicated Hypertension, 2-Transient Hypertension. According to this classification the majority of patients referring to Emergencies Departments for elevated blood pressure can be included in the last two classes. The authors suggest a step-by-step approach to the treatment beginning with benzodiazepines, loop diuretics, beta-blockers or clonidine or ACE inhibitors or calcium channel blockers; In an elevated percentage of cases benzodiazepines alone are effective in appropriately lowering blood pressure.

Antihypertensive Agents↗