Search PubMed⌕ Search

Biomedical subjects

P Marano

Publications and source records attributed to P Marano.

At least 73 records · Page 4Linked to original sources
PubMed1992

[Pelvic fractures].

Pelvic fractures, although accounting for only 2-3% of all traumatic skeletal lesions, are extremely important due to the frequent sequelae and complications that can cause the death of the patient. Moreover, their incidence is increasing due to road accidents, sport and work injuries. X-ray examinations, if correctly performed, allow the degree of residual stability of the pelvic ring to be assessed; they allow both the recognition of the mechanisms of injury and the evaluation of bone lesions. The X-ray examination can provide the orthopedist all the necessary information for the correct treatment planning, employing an external setting or, when the lesion is unstable, an open-field setting. The authors, after considering the major types of pelvic ring fractures, classified on the basis of the mechanisms of injury, suggest the best radiologic protocol, in their opinion, for the pelvic fractures whose diagnosis is based on X-ray examinations. In these cases, CT is less useful than in the study of acetabular fractures; it rarely provides additional information and thus remains a supplemental exam to X-rays.

Fractures, Bone↗
PubMed1991

[Integrated imaging of hepatocarcinoma. Personal experience].

Hepatocellular carcinoma (HCC) is the commonest primary tumor of the liver; of late, its incidence has increased in the Western world. The authors report their experience with 42 patients affected with HCC; 36 cases were confirmed by fine-needle biopsy (FNAB), and 2 by surgery. All patients were studied with US and CT; 25 of them underwent color-Doppler US, and 30 angiography. In 9 patients, Lipiodol-CT was performed after hepatic arterial chemo-embolization. Thirty-six expansive and expansive-infiltrative lesions were observed, 4 infiltrative ones, and 1 neoplastic thrombosis of the portal vein with no evidence of parenchymal mass; 28 cases were multinodular in nature. US showed the primary lesion in all cases, while CT missed 2 lesions of 15 mm in diameter. In 19 of 25 cases studied with color-Doppler US, arterial pathologic signals were observed. Angiography confirmed all the primary lesions diagnosed by US in 30 patients and was found to be the most sensitive method to reveal multinodular lesions 8-15 mm phi, whereas Lipiodol-CT had higher resolution in detecting nodules up to 3 mm phi. The retrospective review of our results pointed out the capabilities of diagnostic imaging techniques in characterizing and staging HCCs--which is the reason why the role of biopsy has not been emphasized. The whole of the morphofunctional data obtained with the different techniques allowed lesion tissue characterization.

Adolescent↗
PubMed1991

[Primary lymphoma of the small intestine: clinico-radiological correlations].

From 1987 to 1989, 7 patients were diagnosed as having a primary lymphoma of the small bowel. The patients, 5 men and 2 women aged 14-66 years (average: 45), were studied by means of small bowel enema and CT. Using small bowel enema, our findings were: masses related to a loop, stenosis, mucosal patterns with thick, irregular, and nodular folds, and bowel walls thickening. In nearly all cases CT showed not only small bowel lesions but also mesenteric lymphadenopathy. Five of seven patients had lymphomas, 1 had IP-SID lymphoma (immunoproliferative small intestinal disease related lymphoma), and 1 had IPSID associated with a late prelymphomatous stage. The diagnosis of IPSID is very important in patients with malabsorption syndrome, which may or may not be related to alpha heavy chain disease, because IPSID may evolve into lymphoma but its prelymphomatous stage can be treated and cured. We have therefore reported the different features seen with enteroclysis and CT, comparing the results obtained in the various forms of lymphoma of the small bowel. The importance is stressed of an accurate diagnosis of IPSID forms, however uncommon in our Country.

Adolescent↗
PubMed1988

Controlled study on the anxiolytic activity of a newly-developed benzodiazepine, metaclazepam.

A double-blind, parallel group study was carried out in 50 patients with an anxiety disorder to compare the anxiolytic efficacy and tolerability of a recently developed benzodiazepine, metaclazepam, with that of bromazepam. Patients were allocated at random to receive treatment for 2 weeks with either 15 mg metaclazepam or 4 mg bromazepam per day in two divided doses. Assessments were made using the Hamilton anxiety rating scale (physician) on entry and after 7 and 13-days' treatment, and a visual analogue scale (patients) on entry and at the end of the study. The results showed that there was a significant, marked reduction in anxiety rating scores after 1 and 2 weeks in both groups and a significant improvement in the patients' subjective assessment of their condition after treatment. Few side-effects were reported in either group.

Adolescent↗
PubMed1986

Effect of sulpiride on chronic abstinence syndrome in addicted patients.

A total of 410 patients (342 men and 68 women) addicted to heroin for at least 38 months, with or without previous methadone treatment experience, were treated with sulpiride before the appearance of withdrawal syndrome. The drug was injected intramuscularly in a single administration at a dosage of 600 mg. Successively, sulpiride was injected intramuscularly at a dosage of 200 mg 3 times per day from days 2-21 of hospitalization, and then at a dosage of 100 and 50 mg 3 times per day (days 22-25 and 26-29, respectively). All patients showed a suppression of withdrawal signs and symptoms within 6 days of treatment, as assessed by subjective and objective scores. The effect of sulpiride was compared with that of placebo administered to a control group of 10 heroin addicts. Because prolactin has been shown to reduce the dependence of rats to heroin and the naloxone-precipitated withdrawal syndrome in morphine-addicted animals, the effects of sulpiride on heroin addiction may be related to the hyperprolactinemic action of this drug.

Adolescent↗
PubMed1986

[Profitability of the radiological examination of the thorax. Development of thoracic radiology, administered dose, quality control and role of the clinic].

The considerable spreading of chest X-ray (about 50% of all radiological examinations--WHO official report No. 698), and its biological and economic high cost, make interesting the cost/benefit evaluation of this simple and world-wide X-ray examination. The evaluation, highly important although very complex, is concerned with many different problems. The different problems, such as the development of radiological diagnosis in pulmonary diseases, dose of exposure, quality assurance and clinical role are analyzed.

Cost-Benefit Analysis↗
PubMed1985

Generalized and focal dystonic syndromes: possible therapy with salmon calcitonin.

We report that repeated administration of salmon calcitonin (20-40 micrograms daily for 30 days) improves dystonic symptoms in patients affected by idiopathic torsion dystonia, blepharospasm-oromandibular dystonia syndrome or writer's cramp syndrome. These results support the suggestion that calcitonin may act at central level influencing the extrapyramidal motor system.

Adolescent↗
PubMed1985

[Renal echography as a preliminary to the urographic study. Considerations on 839 cases and proposals].

The same radiologist, on 839 patients who were to be subjected to urography, did also preliminary ultrasonography in order to have at his disposal a greater amount of informations than those furnished by a simple abdominal X-ray. The clinical-radiological integration with such a procedure gains significance; consequently the succeeding urographic phases can be better arranged so as to improve their aim and purpose.

Adult↗
PubMed1984

[Effects of systemic administration of kainic acid on GABAergic and glutaminergic transmission in various areas of the brain].

In the present study that Authors have investigated the effects of systemic injection of kainic acid on aminoacidergic transmission of different rat brain regions. Kainic acid has been used to produce an experimental model of limbic epilepsy characterized by two different phases (KA1 and KA2). Results obtained show a significant decrease of glutamic and aspartic acids (excitatory aminoacids) and glicine and taurine (inhibitory aminoacids) in both phases at hippocampal level. On the contrary GABA concentration seems to be increased.

Animals↗
PubMed1984

Calciotropic hormones as possible modulators of rat extrapyramidal motor system.

In the present study the Authors have investigated the effects of chronic treatment with calcitonin and parathyroid hormone on rat extrapyramidal motor system. Although it seems that calcitonin and parathyroid hormone may act as a neuromodulators at extrapyramidal level by influencing, directly or indirectly, nigro-striatal dopaminergic transmission, the role played by calcium metabolism at peripheral level, is not clear. In order to put light on this matter, different groups of animals were treated with calciotropic hormones plus EDTA, which is a drug that blocks Ca2+ ions, or EDTA alone. The results obtained don't show any change either in nigral GAD activity or apomorphine induced hyperactivity in EDTA injected animals. Furthermore, EDTA doesn't seem to modify the effects of both PTH and ct, as shown by results obtained in animals treated with ct or PTH plus EDTA.

Animals↗