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Biomedical subjects

Marco Giustini

Publications and source records attributed to Marco Giustini.

5 recordsLinked to original sources

[Accidents in recreational waters].

Several countries fail to systematically collect statistical data on accidents in bathing waters of recreational areas. Yet, drowning, near-drowning, head trauma and spinal chord injuries are important causes of mortality and morbidity throughout the world. In Italy, the available statistical data are circumscribed to drowning, and show that between 1969 and 1997 the mortality dropped from some 1,200 to some 500 cases/year, and its rate from 21 to 7.5 deaths per million resident/year. The mortality for drowning is much higher in males than in females, but in the period examined it halved in both the sexes. From 1969 to 1997, the mortality rates considerably decreased in all the age subgroups, but particularly in that of young people. The analysis of these data indicates that some general factors have played an important role, like a better education and information, a greater surveillance by adults and a better organisation of summer resorts. A national strategy aimed at preventing recreational accidents would provide much better results than those obtained without any planning.

Accidents↗

Renal osteodystrophy in predialysis and hemodialysis patients: comparison of histologic patterns and diagnostic predictivity of intact PTH.

BACKGROUND: Comparison of renal osteodystrophy in predialysis and hemodialysis has been rarely reported. Distinct patterns of renal osteodystrophy could be found in these conditions. In addition the use of parathyroid hormone (PTH) and other markers for noninvasive diagnosis may result in different predictive values in predialysis and hemodialysis patients. METHODS: 79 consecutive patients with conservative chronic renal failure and 107 patients on hemodialysis were studied. All patients were subjected to bone biopsy for histological and histomorphometric evaluation. The patients had no exposure to aluminium before dialysis and relatively low exposure while on hemodialysis. RESULTS: In the predialysis patients, bone biopsies showed 9 cases of adynamic bone disease (ABD) and 8 cases of osteomalacia (OM), 50 patients with mixed osteodystrophy and 2 cases of hyperparathyroidism. Among the hemodialysis patients 12 cases had ABD, 3 cases OM, 30 mixed osteodystrophy, and 61 patients hyperparathyroidism. In the predialysis patients with chronic renal failure, bone aluminium was on average 4.5 mg/kg dry weight, while in dialysis patients the average value was 35.4 mg/kg dry weight. Discriminant analysis of low turnover osteodystrophy (ABD and OM) by intact PTH showed higher accuracy in dialysis than in predialysis patients. Correlation studies of intact PTH versus bone formation rate, osteoblast surface/bone surface and osteoclast surface/bone surface showed significantly steeper slopes in dialysis than in predialysis patients, which indicates that bone resistance to PTH is more marked in predialysis patients. CONCLUSIONS: The prevalence of ABD and OM in the geographic area investigated is lower than in other reports. Aluminium exposure does not seem to be the cause of low turnover osteodystrophy in the present population. The predictive value of intact PTH in the noninvasive diagnosis of renal bone disease is higher in hemodialysis patients than in predialysis patients. Predialysis chronic renal failure, when compared to the dialysis stage, seems to be characterized by resistance of bone tissue to PTH.

Adult↗

[Anxiety and information on heart surgery. A study].

The heart surgery represents a moment of high critical state for the patient. The association of the heart to the idea of the life, intensifies the emotional and psychological tensions, the worries for the family, for anaesthesia procedures and for the activities developed in the department of intensive therapy. The demand of the present study is born on the relationship among information related to the principal anxiety elements that the patient meets in intensive therapy and the reduction of anxiety in pre and post surgery. Purpose of this study is to measure the pre and post surgery anxiety among a group of patients that have received a structured information through a brochure on purpose studied and among a group of patients that have received not structured information. Results show a relationship between information and reduction of patient's heart surgery anxiety.

Adult↗

[Master and Master].

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Education, Nursing, Baccalaureate↗

[Nursing visibility: could the I.C.N.P. help?].

The present article discusses the visibility of Nursing care through the use of a Nursing classification "International Classification of Nursing Practice, proposed by the International Council of Nurses (ICN). The usefulness of a specific classification is discussed and comparison with the medical classifications are reasoned. Examples of experimentation are brought for sustaining the utility of the ICNP in the clinical practice, in education, in the Nursing management and in politics. To have a common language world-wide sustains the development of the discipline and the empowerment of Nursing profession.

Education, Nursing↗