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Biomedical subjects

S Boschi

Publications and source records attributed to S Boschi.

At least 109 records · Page 6Linked to original sources

[A rapid method for assay of 25-hydroxyvitamin D in serum].

A simplified assay for 25-hydroxyvitamin D is reported. In this procedure ethanol extraction is used in order to obtain a better protein precipitation and a higher recovery of added tritiated 25-hydroxyvitamin D3. Extraction is followed by column chromatography on Sep-pak Silica cartridges. The eluate is dried and directly used for competitive protein binding assay. The method shows two main advantages: it is less time consuming and is easier to perform than existing procedures.

25-Hydroxyvitamin D 2↗

[Assay of 24,25-dihydroxyvitamin D by competitive protein binding].

A competitive protein binding radioassay for 24,25-dihydroxyvitamin D in human serum has been developed, which is relatively simple and rapid. Acetonitrile is used for sample extraction and protein precipitation. column chromatography is then performed in a Sep-pak cartridge. High pressure liquid chromatography follows. The dried eluate is assayed using rat serum as the source of binding protein. Since 25-hydroxyvitamin D3 and 24,25-dihydroxyvitamin D3 are equipotent in their competitive displacement of tritiated 25-hydroxyvitamin D3 from at serum, 25-hydroxyvitamin D3 can be used as the assay standard.

24,25-Dihydroxyvitamin D 3↗

Comparison of two methods for the evaluation of renal perfusion.

The validity of a single blood sample technique at the 44th min after the injection of OIH for the evaluation of effective renal plasma flow was assessed by comparison with a standard clearance method, based on two-compartment analysis of plasma disappearance of the tracer. The simplified method tended to overestimate the true values; the 95% confidence interval for the error in predicting the true value was found to be +/- 88 ml/min. Overall, the simplified method appears to be adequate to study renal perfusion or its changes in different conditions, but due to the predicting error it requires a larger number of patients, as compared with the reference method, in order to obtain statistically valid results.

Adult↗

[Acute Candida arthritis. Isolation of Candida krusei in a heroin addict].

Candida arthritis in men is very rare. In most cases Candida albicans is isolated from joints (commonly the knee) of immature infants or of immunodeficient subjects without underlying joint disease; Candida non albicans is isolated from joints of immunodeficient patients with underlying joint disease. A case of Candida arthritis in a heroin addict is described. This is the second report of Candida arthritis in a heroin addict, but it is the first in which Candida krusei has been isolated.

Adult↗

[Unilateral rheumatoid arthritis].

The authors describe a case of left monolateral rheumatoid arthritis of a patient who nine years previously presented ischemic cerebral lesion resulting in right emiparesis. It should be noted that rheumatoid arthritis appears clinically and radiologically monolateral, whereas from a histological viewpoint the lesions are always bilateral. This brings to mind previously advanced hypothesis to explain this rare expression of rheumatoid arthritis. In conclusion the main factor for articular protection is the rest period induced by the stroke.

Arthritis, Rheumatoid↗

[Conservative surgery of the mitral valve. Pre- and post-operative hemodynamic and angiographic study of 20 cases].

Twenty patients with pure or prevalent mitral regurgitation, undergone mitral valve conservative surgery according to the Carpenter-technique from 1975 to 1979, have been studied. There are 19 women and 1 man, mean age of 25 years (range 11 to 65); 18 had a rheumatic fever; 2 had a mitral valve prolapse due to a degeneration of collagen within the central core of the cordae tendineae, which was the primarily responsible for cordae rupture in 1 case. The clinical and hemodynamic features were severe in a 50 per cent of cases (8 patients in N.Y.H.A. functional class III; 3 in class IV); there was pure mitral regurgitation in 12, combined mitral stenosis and regurgitation in 8; tricuspidalic regurgitation which needed annuloplasty in 5 patients. All the patients have been studied by hemodynamic and angiocardiographic study before and an average of 14 months after surgical treatment. Surgical conservative technique of mitral valve is described; the results are analyzed. All the patients are in N.Y.H.A. functional class I, 14 months after surgical valve therapy. In three cases, a systolic 3/6 murmur which was present immediately after surgical treatment and that not increased in time, remains. EKG left overload is still present in 2 cases; Heart-Chest ratio decreases in all the patients (range 0,61 to 0,51). Atrial fibrillation is present in 6 patients. Hemodynamic findings show: Pulmonary Systolic Pressure (PSP) decreases (45 +/- 4 to 27 +/- 1); Mean Pulmonary Capillary Wedge (PCW) pressure decreases (19 +/- 1 to 11 +/- 1); Total Peripheral Resistance (TRP) (2023 +/- 112 to 1595 +/- 70 dynes sec cm--5), Total Pulmonary Resistances (TPR) (742 +/- 89 to 351 +/- 36), Pulmonary Arterial Resistances (PArtR) (344 +/- 51 to 133 +/- 18 dynes sec cm--5), and Left Ventricle Diastolic Pressure (LVEDP) (12 +/- 1 to 8 +/- 1 mmHg) normalize. The Ejection Fraction (EF) decreases at the most operative control after surgery in 11 patients (56 +/- 3 to 50 +/- 1). Angiographic study shows no regurgitation in 4 patients, a least regurgitation in 13 cases and there is a 2/4 regurgitation in 3 cases only. The AA. have got to an excellent result in 17 patients; a 2/4 degree angiographic regurgitation persist in 3 cases, although a clear clinical improvement. The AA. consider of great utility this surgical valvular management according to a critical review of the efficacy and stability of the results.

Adolescent↗