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Biomedical subjects

P Natale

Publications and source records attributed to P Natale.

At least 19 recordsLinked to original sources
PubMed2003

Ten year incidence of HCV infection in northern Italy and frequency of spontaneous viral clearance.

BACKGROUND: Little is known of the incidence of hepatitis C virus (HCV) infection, and the frequency of spontaneous viral clearance in the general population is unknown. We conducted an epidemiological study in two Apennine towns in northern Italy. METHODS: Anti-HCV (ELISA and RIBA third generation) and HCV-RNA by polymerase chain reaction were tested in thawed sera from an adult general population of Loiano-Monghidoro in 1986 and 1996, obtained in the context of the MICOL (Multicenter Italian Study on Cholelithiasis). In 1999, anti-HCV positive subjects and sex and age matched controls were recalled in order to identify risk factors for acquiring HCV infection and to assess the family composition of anti-HCV+ subjects. RESULTS: For 1646 subjects, sera were available from both 1986 and 1996 (mean age in 1986 43 (0.39) years). In 1986, 57 (3.46%) subjects were HCV antibody positive (HCV-Ab+). Eight new cases were recorded in 1996: adult incidence was 50.3 cases/100 000 inhabitants/year. Fifty three of 63 (84.1%) HCV-Ab+ sera were also HCV-RNA+. Genotype 2a/2c accounted for 44% and 1b for 47.0% of cases. HCV-Ab+ subjects had higher serum levels of alanine aminotransferase with respect to controls (p<0.005), as did subjects infected with genotype 1 with respect to those with genotype 2 (p<0.05). Eleven of 65 (16.9%) HCV-Ab+ subjects spontaneously cleared HCV-Ab; 7/11 also lost HCV-RNA- in both serum and leucocytes. Sixteen anti-HCV+ subjects belonged to families containing more than one infected member. Married couples accounted for 10 of these 16 subjects. In four of these five married couples, HCV genotype was identical in the two spouses. CONCLUSIONS: In rural northern Italy, the adult incidence of HCV is approximately 50 cases/100 000 inhabitants/year. Our findings suggest that as many as 17% of infected subjects may spontaneously clear HCV-Ab. Interfamilial transmission seems to have a role in the spread of infection.

Adolescent↗
PubMed2000

Indirect wrist MR arthrography: the effects of passive motion versus active exercise.

PURPOSE: In the wrist, to determine whether passive motion or active exercise yields a better indirect MR arthrographic effect following intravenous gadolinium administration. DESIGN AND PATIENTS: Twenty-six consecutive patients were studied by indirect wrist MR arthrography. In half active exercise and in half passive motion was performed. Four regions of interest were studied including the distal radioulnar joint, the radiocarpal joint, the midcarpal joint, and the triangular fibrocartilage. Ranges and means of signal intensity were calculated. Surgical follow-up was performed in 22 patients. RESULTS: The joint fluid intensity was greatest in the distal radioulnar joint. Fluid signal intensity was greater and more consistent in the passive motion group although the results did not achieve statistical significance. Imaging accuracy appeared similar in the two groups and was excellent for the triangular fibrocartilage (100%) and scapholunate ligaments (96%). CONCLUSION: Active exercise and passive motion yield similar degrees of wrist arthrographic effect, but the effect of passive motion is somewhat more consistent. Preliminary data show good accuracy for internal derangements.

Adolescent↗
PubMed1995

Updating about reductions of air and blood lead concentrations in Turin, Italy, following reductions in the lead content of gasoline.

Considering its well-know toxicity and the chronic human exposure to lead, international law-makers enforced some directives or laws calling for the reduction of lead content of gasoline. All of these legislative acts aimed to reduce health risks for the general population. The aim of this study was to consider the effectiveness of these laws on air lead levels and consequently on blood lead levels in a randomly selected urban Italian population. In particular, these markers were analyzed over the course of several years, corresponding to the periods just before and after enforcements of the reductions of lead in petrol. Data presented point out some considerations: (1) enforcement of legislative measures concerning the reduction of lead in petrol has reduced atmospheric levels of lead. This result demonstrates a major environmental success in primary prevention efforts. (2) This success is clear especially considering that the actual Pb-B levels can be extended to the urbanized populations. Pb-B levels were consistently higher for drinkers, for older adults, and for males. The mean of Pb-B level for the present urbanized population is higher than the U.S. overall population (6.4 vs 3 microgram/dl). This difference can be also explained considering the different historical period of enforcement of the restriction laws.

Adult↗
PubMed1992

[Compression of the sigmoid of gynecological origin].

The authors report a case of extrinsic stenosis of the sigmoid colon due to inflammation of the uterus and adjoining parts. Attention is drawn to the possibility that the radiological images of this condition may be similar to neoplastic diseases.

Aged↗
PubMed1990

An overview of atmospheric pollution in Italy before the use of new gasoline.

In 1991 an Italian law will impose a lead reduction in gasoline from 0.4 to 0 g/l. In the present paper we show the actual level (1988) of contamination in Turin city air, in relationship to: lead, some Volatile Halogenated Hydrocarbon and carbonyls that are also bound (directly or indirectly) to emissions from automobiles filled with leaded gasoline. The results confirm the presence in atmosphere of some important "risk factors" for public health that could be substituted with some other ones.

Air Pollution↗
PubMed1982

After-hours call in a primary care nursing practice.

This paper describes the recorded concerns of clients and the management activity of Master's prepared nurse providers in an urban, ambulatory, university affiliated primary care nursing practice during after-hours call. Retrospective record review was used to collect data. Pain was the most common client concern, and the abdomen the most frequently identified pain site. The majority of concerns expressed by clients were minor health problems appropriate for telephone management. The most frequent interventions used were nursing measures such as comfort, supported and reassurance. Finally, the nurse providers in this group practice managed the majority of calls with nursing interventions.

Adolescent↗
PubMedDate not supplied

The effects of air pollution on the respiratory health of children: a cross-sectional study.

To investigate the effects of air pollution on the respiratory health of children, a subject of some controversy, a comparative study was undertaken of 2,385 school children who lived in central urban, peripheral urban, and suburban areas. Daily monitoring of sulphur dioxide and total suspended particle concentrations in all areas showed that pollutant concentrations in central and peripheral urban areas were above commonly accepted safety levels for respiratory health, while concentrations in the suburban area were within acceptable limits. A questionnaire administered to each mother assessed environmental exposure to pollutants in the household, the occurrence of respiratory symptoms as well as lung diseases as diagnosed by a physician, and general information. Children were interviewed about smoking habits and any acute respiratory symptoms. Children also performed standard lung function tests. Results showed that children from both urban areas had lessened pulmonary function and a higher prevalence of bronchial secretion with common colds than did those from the suburban area. These differences persisted after corrections for exposure to indoor pollutants, active or passive smoking, socioeconomic status, and sex. Parental cigarette smoking was related to a fall in forced expiratory volume in 1 second and an increased incidence of acute respiratory illnesses and chronic cough in children. Although boys had higher lung volumes and lower air flow, regression analysis showed no significant influence of the interactions "sex-geographic area" and "sex-smoking" on lung function. It was concluded that air pollution has a significant effect on the respiratory health of children.

Air Pollutants↗