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2008-09-06

The Natriuretic Peptides in cardio-vascular diseases Heart failure is a common pathologic condition with a high mortality. Early diagnosis is often difficult, and therefore many patients are not identified and treated promptly. Important works have recently shown that Natriuretic Peptide can be very useful in the diagnosis and monitoring of this disease condition. Plasma concentrations of different natriuretic peptides are related to left... read

2008-09-06

Excursus on obligations Summer brings the desire of well-being and relaxation, a jump in the pool, or a visit to the nearest fitness center, represents for many a pleasant break during their working day; what are the health risks associated with these installations? The purpose of this article is to provide the reader of Doctor Mag some brief technical information.The Ministry of Health in agreement with the Regions and... read

2008-09-06

Visual training, gymnastics for the eyes Stay in shape with hours at the gym is a requirement for most people. Through gymnastics one achieve a slender body, bu gymnastics can accomplish more than just that. There is also gymnastics specific to the eyes, which can enhance the visual ability and eye health.What is this about? The specific training for the eyes is Visual Training or eye gymnastics, which is indicated at all ages for both... read

2008-09-06

The hypnosis in the treatment of phobias and panic /3 A similar utility has recourse to the imagination. In hypnosis the capacity of human beings to become involved with imagination reaches levels otherwise unattainable, and this potential produces surprising results. Think of anesthesia for surgery or dental work obtained with hypnosis precisely with the help of imagination. The principle is that through the imagination you can create subjective... read

2008-09-06

The seeming appearance of Organizations Part 1 If someone wanted to measure customer satisfaction of Health Organizations, one could also understand the failure of some twenty years of unnecessary structuring efforts. Historically organizations have struggled with the Weber's" bureaucratic straitjacket” and the Michels' "iron fist of oligarchic control". Perhaps more than any others, these two famous sociologists were able to photograph... read

2008-09-06

Aloe vera There are over 200 varieties of Aloe, but among them all the Aloe Barbadensis, commonly called Aloe Vera, contains the greatest medicinal properties. This plant prefers the hot and dry climates so that the many mistake it for a cactus, but it belongs to the family of Liliaceae. According to some totally contrary views, the Aloes belong to a family of their own, known as Aloaceae. Blenderized... read

2008-09-06

Gynecomastia The term gynecomastia indicates an increase in volume of the mammary gland in males. It can be caused by a variety of factors and can be occur in any period of life. There are different types of gynecomastia: glandular, mixed and "pseudo-gynecomastia". The latter consists of an increase in the fat component of the breast. The true gynecomastia, with stable increase of the glandular component, is... read

2008-09-06

Ultrasound Cavitation for localized adiposity Ultrasound lipocavitation is proving as a valuable ally in aesthetic medicine by giving excellent results, with the use of truly effective and safe equipment, in conjunction with specifically studied protocols. The waves that today allow to "dissolve" fat, are not a novelty, because for years ultrasounds have been used to "see" our internal organs beyond the skin, and to treat osteo-articular... read

2008-09-06

Biophilosophy of training: supercompensation Each stimulus whose intensity and / or duration is greater than the one to which we are accustomed represents a stress. This leads to a response of the entire body in general and of the parts involved in particular. The overall resulting effects are defined as supercompensation. The body, placed in a crisis by certain requests, adjusts developing tissues and systems, to take precautions in... read

2008-09-06

Cdk9-55 can induce regeneration in muscle tissue A new discovery on the role of the protein cdk9-55 in the regeneration of muscle tissue and in cell differentiation could lead to find new therapies for the reconstruction of muscle tissue damaged by disease, accidents or aging, as reported by the researchers of the Sbarro Institute for Cancer Research and Molecular Medicine of Temple University in Philadelphia, and of the University of Siena. In... read

2008-10-20

Emergency ultrasound imaging fast Emergency-Urgency Ultrasound Imaging is considered a modern discipline in itself, and its importance has been clearly recognized by the most prestigious scientific societies worldwide. This method of Imaging provides an immediate contribution for injured patient assessment, as a primary adjuvant modality. It has earned an important place in the so-called “Golden Hour”, immediately after the... read

2008-10-20

Water safety in campania Water of sufficient quality to serve as drinking water is termed potable water, whether it is used for drinking or not. Although many sources of water are utilized by humans, some contain contaminants or pathogens and can cause long-term health problems if they do not meet certain water quality safety standards. Water is safe if: - does not contain pathogens (germs) - does not contain large... read

2008-10-20

Osteoporosis and GISMO Scientific presentations on Osteoporosis among women in our region presented at the Barcelona ECTS Congress (European Symposium on Calcified Tissues). Osteoporosis is a metabolic disease of the bone that results in the reduction of bone mass (BMD) and of its mineral content (Calcium). Bone tissue is made up of cells (Osteocites) that constitute the stable structure of the bone, while other cells... read

2008-10-20

Sweet remedies for colitis Colitis is an inflammation of the mucosa of the colon due to many causes. Commonly, we use the term colitis to define sporadic episodes of diarrhea accompanied by abdominal pain. We shall focus our attention on spastic colitis, which is characterized by recurring episodes not related to biochemical and organic abnormalities of the colon: more appropriately we will talk about the irritable colon... read

2008-10-20

Lifestyle, Mediterranean diet and insulin therapy DISCUSSION Compliance with the diet is critical to achieving and maintaining a good result, and is based on several factors; the choice of a diet very close to the habits of patients and the whole family, can lead to greater diet adherence over time. It is also important not to underestimate the interval of time between meals which is about 7 hours in the lifestyles of our population. herefore,... read

2008-10-20

New strategies for the surgical treatment of major burn The surgical treatment of burns is indicated for deep burns or third degree, with few exceptions. A third-degree burn is objectively recognizable “at first glance". In doubtful cases, and as a general rule, there is agreement to classify the degree of a burn using a time criterion: a burn that does not heal with medical treatment after 3-4 weeks is classified as third-degree burn that needs... read

2008-10-20

Beauty treatments with botulinum toxin The botulinum toxin is a neurotoxic protein used for some time in ophthalmology for the treatment of strabismus and blepharospasm, and in neurology for the treatment of hiperhydrosis. The type A botulinum toxin, whose use is permitted in Italy for cosmetic applications is called Vistabex ®. The action of botulinum toxin takes place by blocking the release of a neurotransmitter that nerve fibers... read

2008-10-20

The psychological causes of illnesses  An illness may be the mean that our conscience uses to inform us that something is wrong, to express our discomfort, or to bring to our attention things that the mind does not want to see. Illness forces us to slow our pace and, through it, we should become aware of its cause, and digest and resolve the underlying mechanism that feeds it. For this reason, the excessive use of medicines can be... read

2008-10-20

Eluana Englaro : Artificial life, freedom of choice Modern medical science is now able to artificially support life and has created a new boundary between life and death, no longer anchored to the cessation of control of body functions by the individual, thus raising debatable ethical issues. The case of Eluana Englaro, who has been in a deep coma for 16 years, has recently received great public attention. Her father initially obtained a court... read

2008-11-20

Study of the general premorbid profile Many biological functions are exercised according to daily rhythms (1). Modifications of these rhythms are present in all the affective disorders (2, 3, 4), as also indicated in the Diagnostic Statistical Manual of Mental Disorders (DSM IV Items) (5). Therapies of proven effectiveness act directly changing circadian rhythms and mainly include the Light Therapy and Sleep Deprivation; drug... read

2008-11-20

Health and landfills: the state of knowledge The concern of citizens for the potential health risk associated with waste disposal is increasingly heard. This is a dynamic that could lead to a general dissent from citizens concerned about a possible correlation with the risk of contracting serious diseases. In this case, epidemiological studies assume great importance. These studies conducted in North American countries as well as in Europe,... read

2008-11-20

Operational Unit for advanced gynecological oncology Women with gynecological cancers must be treated in hospital centers of excellence, otherwise the risk of being subjected to sub-optimal treatments can significantly result in a negative effect on the outcome. This is confirmed by a recent search of the National Institute of Tumors in Milan which took into account a significant sample of 500 patients treated at the center of Milan after having... read

2008-11-20

Garcinia Cambogia in the treatment of overweightness The Garcinia Cambodia is a moderate sized tree belonging to the family of Guttiferae, which grows naturally in India, southern Indochina, Cambodia and the Philippines. Its leaves are dark and shiny, and its fruit is oval shaped, large, and covered with yellow or orange fleshy pericarp. The peoples of South India, because of its sour flavor, use it to flavor Curry, or use it in food preparation... read

2008-11-20

Training "In some contexts, as in the public ones, there are Education titles with “legal value” that allow access to certain places or guarantee a certain score for the career, while elsewhere the same titles are not recognized and their value is limited to the skills that made it possible to acquire them. These competences, however, do not have an "absolute value" but only a value relative to the... read

2008-11-20

Quality of life and start Insulin Therapy What's the hardest thing in taking care of people suffering from diabetes? Many doctors would answer that the greatest problem is that patients with diabetes not always do what they say they do: they often do not follow the diet and physical activity programs, they do not control their blood sugar, and, maybe, they do not take the prescribed medicines. Results? Complications of diabetes,... read

2008-11-20

Liposuction Liposuction has more than three decades long history, during which techniques and tools have been greatly improved. The technique of liposuction has a remarkable amount of synonyms, often used in different contexts for pure "dramatic" effect, but essentially the liposuction (or Lipoaspiration, liposculpture, lipocontouring ...) is a surgical treatment aimed to remove part of the deposits of... read

2008-11-20

Carboxitherapy Carboxitherapy consists in the therapeutic use of carbon dioxide gas administered subcutaneously. The Carboxitherapy finds applications in various fields: vascular, medical aesthetics, dermatology and plastic-surgery. Recent this therapy has been used to treat skin aging and to improve the elasticity of tissues. What is carbon dioxide? CO2 is an odorless and colorless gas, and together with... read

2008-11-20

Water of Life Modern studies on wine date back to 1854, year in which Prof. Mulder, of the University of Utrecht, Netherlands, published a book titled “ The chemistry of wine”, where he identified primary salts, acids and minerals that are dissolved in wine. Later, the introduction of chromatography, shifted the focus to Anthocyanins, which opened a new dimension in the study of the relationship between... read

2008-11-20

First Prognosticator of Survival in Aggressive Cancer The tumor suppressor gene pRb2/p130 may provide the first independent prognostic biomarker in cases of soft tissue sarcoma (STS), according to an international collaboration of researchers, including scientists at the Sbarro Institute for Cancer Research and Molecular Medicine at the College of Science and Technology at Temple University in Philadelphia, PA, the Department of Human Pathology and... read

2009-01-09

News on Breast augmentation Today, breast augmentations are precisely standardized and personalized; an experienced plastic surgeon must find for each patient a suitable prostheses for shape and volume, and choose the preferable route (sub-glandular in 70-80% of the cases, sub-muscular in 20-30% of the cases, when tissues are of poor quality and do not cover the prosthesis well) HOW THE PROCEDURE TAKES PLACE The... read

2009-01-09

“HIGH TECH” Phlebology Traditionally, technological medical innovations, and particularly new high-tech methods, have initially aroused suspicion and skepticism; fortunately, high tech venous surgery, which was introduced in the last 8-9 years, is now receiving its final acceptance by both, the "operators", and the end-users (the patients). Besides an instinctive aversion to the "novelties", and questions about their... read

2009-01-09

A new method for treatment of obesity according to Traditional Chinese Medicine At present, excess weight and obesity are issues for which a unique causative factor and a mechanism that supports them have not been clearly understood. For this reason the treatment of obesity is not based on a rational, but instead relies almost exclusively on a strictly empirical basis. In this case, help can be found in the Traditional Chinese Medicine (TCM) and in Homeopathic Medicine,... read

2009-01-09

Water, weight, and beauty Weight control starts with good hydration. In fact, water decreases appetite and helps to reduce fat deposits. Many people on a diet drink little water, fearing that drinking it leads to water retention, whereas quite the opposite is true: what appears to be overweight fat in a person is often only retained water. When the body takes in little water, its scarcity is interpreted as a warning;... read

2009-01-09

Emesis Control Nausea and vomiting caused by chemotherapy are among the most frequent and worst tolerated side effects of anti-cancer treatments. The evidence of the prognostic significance of the dose intensity and dose dense led researchers to develop increasingly aggressive chemotherapy schemes with ever higher doses of drugs. Vomiting is disabling and, along with alopecia, is among the most poorly tolerated... read

2009-01-09

Nursing care of patients undergoing venous thrombolysis Thrombolysis therapy is based on the use of intravenous drugs that can dissolve the blood clot (formed by platelets and fibrin and called thrombus) that is created within the cerebral arteries causing ischemic stroke. Thrombolysis is performed, after a neurologist has made the diagnosis of ischemic stroke. Treatment with r-tPA (Recombinant Tissue Plasminogen Activator) is initiated after all... read

2009-01-09

Italy at the leading edge in robotic surgery Italy is second in the world in the field of robotic surgery, with as many as 1585 cases treated in 29 hospitals in Italy in 2007. The United States hold the world record with 545 of the 719 installed systems worldwide, against 119 installed in Europe. Italy also exceeds France (18 hospitals with a robot in the operating room), Germany (13) and United Kingdom (9). The news comes from the... read

2009-01-09

Quality of life with Insulin analogues (Part 1) Modern genetic engineering techniques have helped revolutionize insulin therapy, that since the early 80s' was based on the use of animal insulins, first with the introduction of human insulin (regular and protamin) perfectly identical to the native insulin, and subsequently in the 90s', with rapid-acting analogues, namely insulin modified with amino acid residues (lysine and aspartic acid) that... read

2009-01-09

Laboratory Safety Regulations "Attention" is a word that begins with "A" and ends up ... saving your life. So recites the radio spot sponsored by INAIL / Ministry of Labor, Health and Social Policies, broadcasted as part of the campaign "Pay attention to safe behavior" aimed to spread and increase the culture of safety in the workplace. We have worked for many years in the field of prevention and protection in the workplace,... read

2009-01-09

Biophilosophy of training: There is a vague sense of frustration that you punctually feel when you resume practicing physical activity after a prolonged interruption. This feeling is proportioned to the efforts before the holidays and the duration thereof. As we all know, the body seems to relatively quickly forget what it learned with training. At the time of resumption the same commitments require more effort, not only... read

2009-01-21

Eliminate “Spider Veins” from the legs with T.E.L.C. Actresses, singers, journalists, politicians and top models: the problems of poor venous circulation in the legs can strike anyone without exceptions. At the end of the day, especially when you spend long hours standing, it is normal to experience swelling and heaviness in the legs, and to note the presence of unsightly capillaries, which in many cases show up around the ankles and the back of... read

2009-01-21

Reflections of a cosmetic surgeon on the “aesthetic intelligence Unfortunately, even today a vast majority of the average Italians still fails to realize the importance of searching with all means available today how to have and maintain an orderly, pleasant and youthful appearance in the world of work, and in the social and emotional environment. Vanity is not a factor; it's all a question of awareness, intelligence and “esthetic maturity”. Today, no... read

2009-01-21

Dry eye syndrome Dry eye is one of the most widespread and troublesome eye problems. In technical terms is known as decreased tear production or tear film disorder, but is more commonly known as "dry eye syndrome, a disease characterized by changes of the ocular surface. If the lachrymal glands no longer produce enough aqueous tears, due to partial or total atrophy, or due to hormonal abnormalities, the eyes... read

2009-01-21

Why reduce the weight and how to do it Does treating obesity also reduce the risk factors associated with the diseases resulting from it, such as myocardial infarction, stroke and atherosclerosis? Studies directed to answer this question confirmed the cause and effect relationship between severe obesity and cardiovascular risk, and thus the potential benefit that comes from the treatment of this condition. However, the relationship... read

2009-01-21

Trans-Vaginal Cholecistectomy ,was established about 20 years ago and immediately became the optimal surgical approach for Cholecystectomy. The gallbladder is the organ of choice around which many pioneers have taken an evolutionary path leading to more innovation in several routes of access for minimally invasive surgery. Finally, thanks to the contribution of the masterly French surgeon Marescaux, these methods have reached... read

2009-01-21

Green light to the abortion pill with significant skepticism The abortion pill RU 486 (invented by the French biochemist Beaulieu) will be introduced in Italy fairly soon. The Board of Directors of Aifa, the national Italian drug regulatory agency, could give the final go-ahead to the pill, which has allowed millions of women around the world to interrupt pregnancy without entering the operating room. The Welfare Undersecretary Eugenia Roccella affirms... read

2009-01-21

Quality of life with Insulin analogues (Part 2) INSULIN DETEMIR: a modern concept of basal insulinization The main objective of insulin therapy in diabetic patients is the maintenance of a nearly normal blood glucose level. The introduction of fast-acting insulin analogs (Aspart, Lispro and Glulisine) in the treatment of diabetes mellitus, has resulted in improved control of postprandial blood glucose with lower risk of hypoglycemia after... read

2009-01-21

Food Safety The safety of food is controlled by precise rules based on the principle that the control “from farm to fork” means that foods that are healthy and safe can be obtained only in healthy and safe environments. Indeed, the most significant food contaminations occur at the level of the primary production, i.e. during breeding, farming, hunting, fishing and gathering wild products. Dioxins can... read

2009-01-21

The disease pain Pain is an "epidemic" that hinders the full expression of life to millions of people, both in European countries and, even more, in the Mediterranean countries with lesser health-power. The World Health Organization indicates that pain is one of the main causes for which medical attention is requested, and represents a serious public health problem (1-3). Defeating pain therefore allows people... read

2009-01-21

Biophilosophy of training THE HUMAN BEING IS A CULTURAL ANIMAL Suffice it to say that our genetic heritage is equal to that of chimpanzees for more than 98%. Culture, defined as the ability to accumulate information, has certainly been a huge evolutionary advantage. Our brain is designed to learn, more so than that of other animals. In particular, it seems that the expansion of the cerebral cortex has been the cause... read

2009-02-20

Plastic Surgery on SKY We live in an age in which every human activity is belittled, trivialized, criticized, and simplified to a point where everyone, without respect and without any sense of responsibility, feels obliged to issue unproved opinions on subjects only superficially known. This applies to all professionals fields (e.g. for judges, lawyers, engineers, journalists, politicians, administrators, but also, and... read

2009-02-20

CAMPANIA: THE CAESAREAN SECTION RECORD HOLDER The day will come, when giving birth the natural ways will be a real exception. That day is just around the corner. Despite all the attempts to embank it, the river of caesarean sections is overflowing. The surgical delivery has absolute dominance in many Italian public and private hospitals. Camapania holds the percentage record of the total shares of caesarian sections with 61, 80% and... read

2009-02-20

STRONTIUM RANELATE FOR THE TREATMENT OF OSTEOPOROSIS The new oral drug for the treatment of postmenopausal osteoporosis called STRONTIUM RANELATE (OSSEOR), finds its rationale in the reduction of bone reabsorption and stimulation of bone formation. Given the current increasing incidence of osteoporosis, because of longer life expectancy, and the place of occurrence of the disease (vertebral fractures), it is important to find the right treatment,... read

2009-02-20

The side effects from Chromium Chromium (Cr) is a transition element that exhibits three possible states: metallic stable, trivalent and hexavalent. While the trivalent form is characterized by a relatively low toxicity and is considered an essential nutrient, hexavalent chromium, present in several compounds of industrial origin (including chrome and thiols), is considered highly toxic, and on the basis of experimental and... read

2009-02-20

Long Disease-free Period in Patient With a Solitary Brain Metastases Introduction The management of SCLC has been recently improved and survival rates are 15-25% at 2 years among patients with limited stage and 0-3% among those with extensive disease. The median overall survival with the combination chemotherapy is 14 to 16 months for patients with limited disease and 8 to 11 months for those with extensive disease. Most controlled clinical trials of SCLC define... read

2009-02-20

ALS (Amyotrophic Lateral Sclerosis) and risk factors The name is complicated; the disease even more so. This condition is also called: Charcot's disease, Lou-Gehrig disease, and Motor Neuron disease. This disease, which is very rare, devastating and fatal, is one of a group of neuromuscular disorders and, in turn, could be divided into various subclasses, because it presents in many different ways. The literal meaning of ALS is: A for... read

2009-03-17

AESTHETIC SURGERY: PRESENT STATE OF THE ART Cosmetic surgery has evolved over the years, and today has become a very "soft" surgery in which good performance is based on the fact that it should not show the hand of the surgeon. That is: - Rhinoplasties without excavated and pinched noses - Natural looking breasts - Face lifting where you see the rejuvenation of the face, but not the hand of the surgeon. These results can be... read

2009-03-17

HOMEOPATHY: IS IT REALLY EFFECTIVE? This provocative title, once again, reiterates the aggressive attack by the media to Complementary Medicine and, above all, against Homeopathy. A few months ago, the magazine Famiglia Cristiana (Christian Family), has hosted the views of pharmacologists Silvio Garattini and professor Leonello Milani, scientific director of "La Medicina Biologica"( Biological Medicine), on the topic "Homeopathy,... read

2009-03-17

SUPERFICIAL VEIN THROMBOSIS: HOW TO TREAT IT? This condition, which is very common in general medical practice, presents itself with symptoms characterized by local discomfort along the course of the vessel involved: redness is the other feature. Many studies have been conducted in regard to the modalities of treatment of superficial venous thrombosis, to understand their real effectiveness: it is not clear whether localization and... read

2009-03-17

Hemodynamic evaluation of Intensive Care Unit patient with Impedance Cardiography (NICCOM ™) Until a few years ago, the hemodynamic monitoring of the patient hospitalized in Intensive Care was performed only in specialized centers utilizing the traditional method which is fairly complicated, not always safe, expensive and not continuously applicable. At present, the intensive care unit physician who needs to know hemodynamic parameters such as cardiac output, or systemic vascular... read

2009-03-17

HALITOSIS The term "halitosis" is a condition in which malodorous air is emanated during respiration. It can affect persons of all ages and have different causes. In reality, what is commonly considered a problem of purely social nature, is instead a complex phenomenon that must be distinguished according to the cause that produces it. The causes of this disorder may be of oral origin (dental, lingual,... read

2009-03-17

Mothers, keep an eye on your child’s dietary habits Dietary habits effect our lives, for both, deficiency or for excess of nutrients, and, together with a host of other factors, play a role in the development of the chronic diseases that are more frequently seen in this era of increased longevity. The diet related risk factors can be dealt with and modified throughout life, also in advanced age, but appropriate strategies are needed to induce... read

2009-04-08

Plastic Surgery  We spoke with a well known specialist, Dr. Carmine Martino, Member of SICPRE (Italian Society of Aesthetic Plastic and Reconstructive Surgery), who received a large portion of his training in the field of Cosmetic Surgery in Brazil, in the school of prof Ivo Pintaguy. Dr. Martino, whose offices are in Salerno and Naples, performs all major aesthetic procedures involving the face, the breast and... read

2009-04-08

Nature and well-being: association Nature and well-being: association "to cultivate and preserve" The Argan (Argania spinosa - SAPOTACEAE - family to which the Karitè belongs to) is an indigenous plant of South Morocco. Argania forest covers about 800,000 hectares with more than 2 million trees, and is the last barrier against the advance of desertification. The Argan is known primarily for its oil that has long been used... read

2009-04-08

Oxidative stress Oxidative stress is a condition of imbalance between the energetic, metabolic, and reactive oxidation processes, and the anti-oxidative ability of the body. Its mechanism is not only due to free radicals, but also to other reactive species, which may have a radical or non radical nature: all oxidant species, radical and non radical, that are biologically important, are defined as reactive... read



2009-04-08

AIDS Drug May Restrict Proliferation of Cancer Cells (March 22, 2009 – Philadelphia, PA) -- The clinically approved AIDS drug ABC (Abacavir) can reduce proliferation and induce differentiation of human medulloblastoma cells through the downregulation of telomerase activity, which may make it an effective therapeutic strategy for the treatment of the highly malignant primary brain tumors, according to research published in the International... read

2009-04-08

THE DIRECTOR OF THE DENTAL HEALTH CLINIC The fact that the legislative reorganization delegated to the regions the authority of md, has rekindled the interest of the medical and dental professions on certain issues. Simultaneously, the increasing complexity of medical science, the demand for higher quality / quantity of health services, and the increased pressure on professionals, especially if qualified, has created more difficulties... read

2009-04-08

Health in the Constitutional Charter and in the Law The term "health" has long been understood in a restrictive meaning: "The healthy man is the one whose biological parameters are normal compared to an ideal static prototype. In essence, it would be possible to configure a model of an average biologically healthy individual, statistically derived from the population. In particular, the parameters of normality are those in which the structures... read

2009-04-08

THE PROTEIN OF FERTILITY: KISSPEPTIN A team of researchers from The Imperial College of London has discovered a hormone that can restore ovulation and increase fertility, allowing women to receive a more effective, and less risky, therapy than the ovarian hyperstimulation that many women, whishing to become pregnant, are presently undergoing. This protein, called Kisspeptin, plays a key role in the early stages of puberty.... read

2009-04-08

AIDS: THE TWO FACES OF THE DISEASE AMONG WEALTH AND POVERTY A little less than 28 years since the onset of the AIDS epidemic, we can sum up some basic thoughts on the spread of HIV infection worldwide, and how it influences the living conditions, the quality of life, and the development of various countries. Using a medical jargon, we can say without a doubt that there are 2 forms of AIDS. The first form could be described as "the AIDS of the rich" which... read

2009-04-08

ACTIVATE THE COUNTERMEASURES... SUMMER IS COMING! Beautiful days are starting, and dramatically you realize that summer is near, and it is time to take countermeasures: crazy diets, endless sessions in the gym, massages, and purchase of tons of miracle creams. The truth is that, in reality, the right time to start the “bikini test” program for the following year is the very same day you return from summer vacation. This is the theory, hard... read

2009-05-19

SKIN MELANOMA: THE ROLE OF THE GENERAL PRACTITIONER “Nobody should die of melanoma”: this is the provocative, but at the same time exciting and meaningful statement, made by the famous American dermatopathologist Bernard Ackerman, whose work has emphasized the important role of an early diagnosis that should be pursued by the General Practitioner. In fact, there are two types of melanoma: an invasive kind, that has a poor prognosis in most... read

2009-05-19

HEMATURIA Hematuria is a symptom that, when present, triggers a series of diagnostic assumptions requiring a number of important investigations to clarify its origin. The first task is to get a description of the urine color: there is a significant difference between orange-red, brown-red, or bright red. The medical history and the physical examination are very important, while the “the three... read

2009-05-19

HIV ASSOCIATED LIPODYSTROPHY: A MULTIDISCIPLINARY THERAPEUTIC APPROACH The diagnosis of HIV-related lipodystrophy makes use of subjective and objective tools and instruments. The subjective methods may include self-administered questionnaires which reflect the change in the distribution of body fat or trivial increases the size of the collar of the shirt, bra or pants. Another simple procedure considers, however, the objective detection (by the doctor or patient) of... read

2009-05-20

Plastic Surgery on SKY We live in an age in which every human activity is belittled, trivialized, criticized, and simplified to a point where everyone, without respect and without any sense of responsibility, feels obliged to issue unproved opinions on subjects only superficially known. This applies to all professionals fields (e.g. for judges, lawyers, engineers, journalists, politicians, administrators, but also, and... read

2009-05-20

SOLIDARITY AND YOUNG PEOPLE The indifference that is often manifested towards physical and mental handicaps should make us ponder, in order to adequately address neurological and psychiatric diseases. The welcome, the care and socialization towards the elderly suffering from dementia, are certainly an issue that is increasingly affecting today's society, and that should be broadened. It is important, therefore, to... read

2009-05-20

Immediate and early loading of implant prosthesis In the context of a rather chaotic evolution of operative technique and technology of implant dentistry, the immediate and early loading of the implants is finding increasing support from edentulous patients. Technical knowledge is necessary to more clearly understand this subject, and the difficulties associated with it. "Immediate prosthesization” means that the implant is prosthesized, in... read

2009-05-20

EATING DISORDERS AND GENDER: WHY THE WOMEN In humans the eating behavior, provides a dual function: on one hand it helps to control energy balance and nutrition; on the other, regulates the exchange of the individual with its environment. These functions are interdependent, and integrity of each is necessary for the harmonious functioning of the person. The eating disorders depend on alteration of one, or more, of these functions.... read

2009-05-20

Gene therapy in severe fetal growth retardation In recent decades, many researchers throughout the scientific world have focused their studies on gene therapy. Gene therapy involves the insertion of healthy genes in the body of a patient to compensate for the loss of functionality of altered genes that are responsible for a disease, with the purpose of restoring the proper function of genes, and thus halting the disease. This approach is... read

2009-06-12

Botox - instructions for a thousand uses There isn’t a day that a newspaper or a magazine does not speak of botulinum toxin, this wonderful substance that can give us a sweet “stretch of freshness " that, when used with skill, can be also very natural. With a single injection we can smooth the forehead, soften the darn "chicken legs", and remove the wrinkles between the eyebrows that give a vexed look to the face. But let’s try... read

2009-06-19

THERAPY AGAINST PSORIASIS: FORWARD STEPS Psoriasis is a skin disorder that not only has a negative effect on quality of life, as it alters the body image, but it is also burdened by greater co-morbidity that leads to metabolic syndrome, heart disease, and rheumatic pathologies. There are many hypotheses concerning its cause, but the increase in allergic and autoimmune diseases in developed countries has been accompanied by a decrease... read

2009-06-23

SEXUALITY AND SEXUAL SCRIPTS 'MALE Society has always defined what is understood as a masculine or feminine. Several studies have, however, identified that the influence of social pressure on the construction of identities is greater on male than on female, resulting in a more marked and direct stereotyping of gender roles. Very often masculinity includes items such as social dominance, aggression and control, so that the... read

2009-06-29

The treatment of Hypertension Hypertension is a major public health problem: in Italy there are 15 million people suffering from hypertension, and the need to treat is of increasingly greater importance. Treatment of hypertension is based on two approaches: pharmacological and non pharmacological. The latter, which is of great importance for avoiding lifelong use of drugs, is based on smoke avoidance, weight loss and... read

2009-07-06

Forgeries Speaking of centers of excellence, without talking of centers of cost, does not have any particular value, particularly in the current economic situation; mentioning some of the "pseudo interim leadership", without making a clear distinction between good and bad leadership. does not have any particular value as well. A perfect organization does not exist; it keeps a shaky balance between... read

2009-07-09

Life, coma and euthanasia Death was in every age a subject that has caused anxiety; it was always difficult to face this reality that, strictly speaking, is ineffable. In fact, one cannot have direct access to death: we cannot speak of it personally, because it is necessarily the death of the other person. Modern medical knowledge has changed the concept of death: the concept of death that was understood as the... read

2009-07-14

Nothing new under the sun The history of influenza viruses has shown that the flu comes from volatile animals, waterfowl in general, before moving to man through the "jump" in pigs. The promiscuity of the farms, as is in use in Asia, leads this step and then its spread. This is what caused the Spanish influenza (1918, H1N1), the Asiatic (1957, H2N2), the Hong Kong (1968, H3N2), and so forth. Older people have antibodies... read

2009-07-16

The killer virus that kills cancer The herpes virus, which is the same virus that causes the little blisters that appear on your lips when you are stressed, was genetically modified and used by a team of Italian researchers in” in vivo experiments” that demonstrated its effectiveness in defeating the more advanced ovary and breast tumors. The researchers followed a particular approach. The virulence of the virus has been left... read

2009-07-22

Communication: The strategic role of communication in health care management is still not fully recognized, despite overwhelming evidence provided by the vast legislation created in the last fifteen years covering the Italian Health and Public Communications. The PO of San Felice a Cancello, promoted a project of organizational communication with the intent to finalize the actions of individual professionals... read

2009-07-22

CREATIVITY AND ORGANIZATIONAL COMPLEXITY: AN IMPOSSIBLE COMBINATION? In the days when the roles were rigidly codified, and "patiently” accepted, it was unusual to raise questions, and any inner conflicts were resolved in line with codes, not always written, but long handed down. Abandoning those tracks, laid down by tradition, seemed unthinkable, but ... something gave: today there are no more roles built in "granite", but there are organizational and social... read

2009-07-27

Breast Augmentation In recent years the demand for aesthetic interventions has greatly increased, and among these Breast Augmentation is the most frequent. I think it absolutely correct to withhold interventions of Breast Augmentation from girls who are less than 18 year old. This is a deontological and ethical principle that, like all professionally correct specialists, I have always personally followed. The... read

2009-07-30

Actinic Keratosis: NEW THERAPEUTIC APPROACH Actinic Keratosis, or Solar Keratosis, is a lesion that generally affects adults, over 40 years of age, who often work outdoors. The lesions are located anywhere in the body, but particularly in the areas exposed to the sun, like the face and the back of the hands. The typical lesion is flat or raised, usually characterized by multiple squamous formations with an erythematous background, and an... read

2009-08-03

WHAT IS THE ROLE OF PRAYERS IN MEDICAL TREATMENT? On the occasion of the Jubilee of 2000, Pope John Paul II, addressing the doctors participating in the International Congress organized by AMCI, emphasized their activity as "noble service to Life". A mission that "puts you in daily contact with the mysterious and wonderful realities of life, encouraging you to bear the sufferings and hopes of so many brothers and sisters." The Holy Father... read

2009-08-05

About fibromyalgia Fibromyalgia is a condition globally recognized only in the past two decades that encompasses previous definitions such as Non- Specific Articular Rheumatism, Spasmophilia, and many others. This syndrome is clinically characterized by diffuse pain along the body in atypical areas, combined with an altered awake-sleep rhythm. In addition, there is a cohort of symptoms that can vary from burning... read

2009-08-31

BORN 22 YEARS AFTER CRYOPRESERVATION Loss of fertility is one of the most frequent consequences for patients undergoing treatments with chemotherapy and/or radiation for cancer. When the disease occurs at young age, that is when the patient has not yet achieved his or her desire for maternity or paternity, the inability to have biological children may cause great sense of deprivation and frustration. Just recently the news... read

2009-09-03

HOW TO TREAT COPD EXACERBATIONS Exacerbations are the basis for the mortality and morbidity of Chronic Obstructive Pulmonary Disease (COPD). A study was carried out to compare the quality and effectiveness to prevent exacerbations and assessment of outcomes in patients with severe and with very severe COPD, between a long-acting inhaled bronchodilator combined with an anti-inflammatory agent (Salmeterol/Fluticasone... read

2009-09-08

AIDS: HOW TO REDUCE THE SEXUAL SPREAD The issue of AIDS and strategies used to reduce the sexual transmission came back in the limelight during the recent visit of Pope Ratzinger in Africa. In fact, a recent work of Professor Cohen, presented to the International AIDS Society in 2008, suggests a variety of prevention opportunities that apply to: 1) the general population, 2) the exposed persons, and 3) the infected subjects. 1)... read

2009-09-21

Phosphatidylcholine: MEDICAL ALTERNATIVE TO LIPOSUCTION Phosphatidylcholine is a phospholipid able to dissolve the fat with which it comes into contact. The substance has been used for years in the treatment of hypercholesterolemia, and only recently found an important role in the cosmetic field. To date the most effective solution for localized fat and cellulite was offered by liposculpture, a surgical technique that provides for the aspiration of... read

2009-09-24

New pharmacological approaches in menopause and cardiovascular protection The loss of ovarian activity and of production of estrogen during menopause is responsible for different clinical manifestations, some immediate, others long term, causing not only the appearance of the typical climacteric symptoms, such as hot flushes, night sweats, changes in mood, vaginal atrophy and dyspareunia, but also a modification of glyco-insulin, lipid and bone metabolism, and an... read

2009-09-29

Impact of assisted reproductive technology on twins Recent years have witnessed a substantial increase in the use of assisted reproductive technologies, governed Italy by Law 40 of 2004, to correct male and / or females infertility. Parallel to this phenomenon, there is a higher rate of twin pregnancies with increased risk of maternal-fetal complications (hypertension and gestational diabetes, premature birth, low birth weight), extensively... read

2009-10-07

INSULIN DETEMIR AND ITS IMPACT ON WEIGHT: EXPERIENCE AT THE CLINIC Insulin Detemir (LEVEMIR*) is a long acting insulin analogue of new generation; its mechanism of action is based on a fatty acid attached to the molecule of insulin that allows the insulin to bind to circulating albumin, allowing its release at a constant speed. This constant and predictable absorption results in a lower risk of hyperglycemia, hypoglycemia, and complications. The 9 official... read

2009-10-13

Pediatrics use of psychotropic drugs The use of psychotropic drugs in children has long been a subject of debate in the medical field, particularly regarding the use of SSRI(Selective Serotonin Reuptake Inhibitors) antidepressants, considering that they could increase the risk and suicidal behavior. The FDA in USA has compiled a study covering all the risks due to the utilization of this class of drugs: despite the wariness,the... read

2009-10-22

Percutaneous dilatational tracheostomy: a revolutionary technique Percutaneous dilatational tracheostomy (PDT) is the gold standard for patients hospitalized in intensive care who require long periods of mechanical ventilation. Several PDT techniques proposed over the years are based on the original Ciaglia description (1-3). An innovative technique of PDT, the Ciaglia Blue Dolphin ™, has been available for several months. It combines the expansive action... read

2009-10-29

Incretin: new therapeutic approaches The major unmet need in the management of type 2 diabetes are a drug not only effective to control the disease, but also to control its evolution and associated complications. These therapies should be more satisfactory for patients including their side effects. A new approach to change the course of type 2 diabetes and to achieve effective long-term focuses on the effects of GPL-1, which is able... read

2009-11-06

THROMBOEMBOLISM Thromboembolism is a serious and potentially fatal condition that can significantly complicate the course of hospitalized patients with an incidence ranging from 18 to 23 per cent. This value underlines how this pathology should not be underestimated, and has prompted studies directed to evaluate the best drugs for an effective prophylaxis. The MEDENOX study has in fact enrolled 1102 patients... read

2009-11-11

Diabetes and Pregnancy Pregnancy for women with diabetes, as for any other woman, is a moment in the life of great importance, perhaps the most important of all. But it is equally important for her partner to deal with it responsibly and with the necessary knowledge. Both must know its meaning, implications and possible complications, and methods to prevent adverse events. Indeed, although today the outlook is better... read

2009-11-17

A RARE DISEASE: INTERSTITIAL MYOSITIS The term myositis is often misused as a synonym of myalgia, but this should never occur because myositis is a different pathological process. Myalgia is, in fact, a term for generic muscle pain and, although it is true that it is also present in myositis, is not its only peculiarity. Myositis predominantly affects striated muscle, and only minimally involves the cardiac muscle. There are... read

2009-11-20

The communication plan as a strategic tool for a changing healthcare Optimizing the management of information flows to facilitate the sharing of information and knowledge is now more vital than ever for healthcare organizations. The AOU Federico II of Naples has made all the operators of the Company aware of a series of projects, through activities planned and organized in a shared communication plan. The communication plan, validated in March 2009, has the... read

2009-11-26

Endometriosis Endometriosis is a common and complex gynecological condition, yet little known, despite involving 150 million women worldwide (14 million in Europe and 3 million in Italy). In addition to interfering with the physical well being, it can also have important repercussions on the psyche, on the couple's relationship, and on the social and working life of those affected. It is estimated that... read

2009-11-30

Pelvic inflammatory disease and fertility Pelvic inflammatory disease (PID) is defined as a syndrome characterized by the migration of micro-organisms from the vagina and cervix to the endometrium, the fallopian tubes and adjacent structures. This results in the development of a broad spectrum of upper genital tract infections including endometritis, salpingitis, pio-salpingitis, tubo-ovarian abscess and pelvic-peritonitis. PID is common... read

2009-12-09

OCCASIONAL INSOMNIA: A DISORDER THAT SHOULD NOT BE UNDERESTIMATED Nearly 12 million Italians are likely to spend a “sleepless” night with consequent impact on quality of life and physical and psycho-physiological functions. Insomnia is nothing but an experience of inadequate or poor quality sleep, which can manifest as difficulty of falling asleep or staying asleep, and can be occasional or chronic, if it lasts more than a month. It is important that... read

2009-12-11

Diabetes Mellitus and Physical Activity Physical activity in patients with diabetes mellitus type 1 and type 2 is an important item in the treatment of both diseases. Diabetic patients should engage in regular physical activity, mostly aerobic. Physical activity should be practiced for at least 3-4 times a week, and for at least 30 to 40 minutes at a time, because it has been shown that the benefit of a single training session lasts... read

2009-12-21

KIDNEY INVOLVEMENT IN THE COURSE OF HIV INFECTION In the past 14 years we have seen a gradual and steady decrease in the mortality rate from AIDS in industrialized countries. This new reality is obviously in close correlation with the improvement of therapeutic strategies that, since then, have included the use of highly active triple therapy (HAART), which today provide a number of new drug classes (integrase inhibitors, CCR5 inhibitors etc.)... read

2010-01-07

TINEA PEDIS Tinea Pedis, also known as athlete's foot, is a widespread a fungal infection, but despite this, it is little known and poorly treated. The patient comes to the doctor because of itching and desquamation of the foot accompanied by bad odor. The infection may take three major forms: -“Interdigital”, where the skin including the space between the toes, it is macerated and humid; -... read

2010-01-08

Otitis We all have suffered otitis at least once in our lifetime. It seems a trivial pain, but is often caused by poor ear hygiene (not just scarce, but bad). This article will discuss external otitis, which is confined to the external ear canal, and thus not affecting the eardrum (middle ear) or the inner ear: in practice, this is the vast majority of cases of otitis that occur during the summer.... read

2010-01-15

Obesity Emergency Obesity is nowadays one of the major health emergencies in the world: in fact, abdominal obesity has reached epidemic proportions and its prevalence is steadily increasing. The phenomenon involves 1 billion and 200 thousand people worldwide, including over 115 million suffering from other diseases, such as hypertension, cardiovascular disease, dyslipidemia, sleep apnea, and arthritis. It is... read

2010-01-20

Is epidural analgesia in labor associated with an increased risk of caesarean delivery? The degree of pain is a very subjective feeling, which depends on factors significantly different from one woman to another, such as previous experience, cultural level, and pain threshold. The problem of pain control during childbirth has always been of great interest for women and doctors. Recently (January 2007), in Italy, the National Commission on the Essential Levels of Attention... read

2010-01-27

Influenza A: an Expert opinion Giulio Tarro, Chief Emeritus, A. O. "D. Cotugno", Naples, and Adjunct Professor at Temple University in Philadelphia, where he often collaborated with the noted Neapolitan researcher Antonio Giordano of the Sbarro Institute in projects like the Human Health Foundation Onlus - the promising foundation founded in 2006 in Spoleto - gives his point of view on A/H1N1 virus alarm in Italy. The data... read

2010-01-29

ANTICOAGULANT THERAPY The management oral anticoagulant therapy (OAT) is of great importance for family doctors, because there are many people with venous thromboembolism, or various cardiovascular diseases, such as myocardial infarction and stroke, who are at great risk for embolism. Oral anticoagulant therapy (OAT), is designed to depress in a controlled and reversible manner blood coagulability, which is measured... read

2010-02-04

COSMETIC CAMOUFLAGE, MAINLY A PSYCHOLOGICAL “MAKEUP” In the era of communication through images, the importance and "weight" of our physical appearance, which is the image of ourselves that speaks to the world around us, cannot be underestimated. An image that does not meet certain culturally required conditions can create, in some people, a sense of inadequacy. Makeup, always a precious ally of beauty, can be of valuable support for all people... read

2010-02-09

Diabetes and Pregnancy: findings of a multicenter Italian Study Pregnancy is always a fascinating event in the life of the woman, of the couple, and of the environment around them, becoming an experience that is not only physical and biological, but that also extends to the mental, emotional and intellectual spheres. Its physiological course can be compromised by preexisting diseases, diagnosed before the pregnancy or occurring during its course. This is... read

2010-02-11

BISPHOSPHONATES AND OSTEONECROSIS OF THE JAW: STATE OF THE ART Osteonecrosis of jaw is a highly disabling disease which has recently been associated with the use of Biophosphonates, which are useful in the treatment of Osteoporosis, but must be used with extreme caution to prevent this condition. This disease, that in the past has been described in association with the use of white phosphorus, radiotherapy and chemotherapy, in the initial phase presents... read

2010-02-17

UNUSUAL CASE OF ACUTE ABDOMEN: GALLSTONE ILEUS Cholelithiasis is the cause of many acute pathological conditions that generally range from biliary colic to pancreatitis. In rare cases, following an iatrogenic cause, but more often spontaneously, repeated inflammatory processes result in formation of a biliary-digestive fistula between the gallbladder or bile duct and a segment of bowel, with migration of gallstones through the fistula. The... read

2010-02-22

Inappropriate  Emergency Department “Code White” visits.  Experience within the ASL Latina, Center-South regional hospitals The main causes of overcrowding in the Italian emergency departments (ED) are attributable to several factors including: the increasing lack of confidence in the General Practitioners, excessively long waiting times for specialist outpatient services and diagnostic tests, the increase size of the population not included in the National Health Service, the organizational evolution of ED as a... read

2010-02-24

Role of melatonin in obstetrics Melatonin is a neuroendochrine hormone regulating biological rhythms, secreted from the pituitary at night, in proportion to the duration of darkness. The actions of melatonin are mediated by specific membrane receptors, MT1 and MT2, expressed in the CNS (hippocampus, cerebellum, pars tuberalis of the pituitary gland) and in some peripheral organs (mammary epithelium, uterine myometrium, ovarian... read

2010-03-03

VACCINE FOR UTERINE CERVIX CANCER: results after two years of work The human papillomavirus vaccine (Gardasil) has been available in Italy for two years, and is finding increasing use in adolescents given the high risk of contracting HPV 16,18,6 and 11: four very dangerous histotypes, the first two associated with cervical cancer, and the others implicated in the development of genital warts. The vaccine produces neutralizing antibodies that inhibit the... read

2010-03-22

Applied Epidemiology: The A/H1N1 pandemic influenza has set in motion several strategies for healthcare related planning. Epidemiology, with its load of scientific knowledge related to Infection, vaccination and organization, has permitted to draw out possible scenarios, as well as strategies of attack and containment of an infection that had appeared to potentially be the most serious pandemic of the new century.... read

2010-03-30

SAGGING SKIN AND NON-ABLATIVE CUTANEOUS RADIOFREQUENCY In an era particularly polarized on beauty and skin care, non-ablative radio frequency (NARF) represents one of the most modern techniques for the treatment of aging and sagging skin of face and body, which can be rejuvenated in a non-ablative manner without the use of needles or drug injections. The NARF was the first non-surgical method to be authorized by the Food and Drug Administration... read

2010-04-13

SWINE FLU The swine flu is now the most frequently talked about topic and it has been more successful than the reality shows, with a frightening marketing induction. Although it is too large to be covered with one article, this one will partly clarify this issue. Contrary to popular belief, swine influenza is not new: it frequently affects pigs, and its first appearance in the virology world dates back... read

2010-04-15

VINCENZO TIBERIO, MEDICAL DOCTOR FROM MOLISE: THE TRUE INVENTOR OF PENICILLIN The discovery of penicillin is associated to the name of Alexander Fleming, who in 1928 noticed the inhibition of growth of a bacterium from a mold. But it was not until 1940 that the studies by Fleming, Florey and Chain allowed the isolation of Penicillin, which was later successfully used to help the many wounded soldiers during the Second World War. In 1945 Fleming, Florey and Chain were... read



2010-04-26

STATIN SWITCH: IS IT SIMPLE? In a study of 2511 patients that switched from atorvastatin to simvastatin, after they had used atorvastatin for at least 6 months, were compared to a control group of 9009 patients who had made no switch. There was a statistically significant increase in the risk of death, as well as of stroke and major cardiovascular events associated with the switch to a different statin. This finding may... read

2010-04-26

HUMANITY NOT SELF- INTEREST The Salerno court Judge’s decision that for the first time granted a fertile couple to have access to pre-implantation diagnosis and assisted fertilization techniques, set a historical landmark. The couple is a carrier of a serious hereditary disease, Spinal Muscular Atrophy Type I, which is the most frequent genetic cause of death for children during the first year of life. Until now, the... read

2010-04-27

New Discovery in The Treatment Of Childhood Brain Cancer Gene Src (short for sarcoma) is part of a family of proto-oncogenic tyrosine kinases active in many tumors, including medulloblastoma, the most common malignant cancer in children. Src represents one of the most promising targets for cancer therapy. A recent study shows that pyrazolo-[3,4-d]–pyrimidine-derivatives, designed to target Src, may be effective in interfering with the cell cycle and... read

2010-05-03

Ethics and communication in times of crisis If we ask what is meant by the term all communication, we find that overall there is a common understanding of its meaning, at the most confused with information, but if we ask what ethic means, particularly when applied to the field of healthcare, there is greater difficulty in finding a common definition. Most people would relate it with the testing of drugs, others to various ethics, penal, or... read

2010-05-14

SLEEP DISORDERS AND DIAGNOSTIC WORKUP Sleep is a very complex, a diverse amalgam of behavioral and physiological phenomena which are repeated cyclically with a homeostatic and a circadian regulation. During sleep, disorders can occur in the brain electrical activity and in the somatic and autonomic nervous system. For a long time sleep was considered a passive phenomenon, necessary for the proper functioning of the central nervous... read

2010-05-20

ADVANCED TRAINING COURSE IN MANAGEMENT OF COMMUNICATION AND INFORMATION IN HEALTHCARE The Advanced Training Course In Management Of Communication and Information in Healthcare, jointly organized by the Faculty of Education of the University Suor Orsola Benincasa in Naples, headed by Lucio d'Alessandro, and by the Training School in Health Management, Department of Preventive Medical Sciences, directed by Maria Triassi, of the Faculty of Medicine of the University Federico II, is... read

2010-06-24

ADVANTAGES AND LIMITATIONS OF CARDIAC MAGNETIC RESONANCE TECHNIQUES FOR DETECTION OF INDUCIBLE ISCHEMIA Summary In recent years, studies with stress cardiac magnetic resonance imaging (cardiac stress MRI) reported good feasibility and accuracy in the characterization of patients with known, or suspected, coronary artery disease. This article presents an overview of the important data for the application of the techniques of stress-MRI in the diagnostic and prognostic evaluation of ischemic heart... read

2010-05-25

Rationale for venous stasis ulcer surgery Before beginning a discussion on the technical aspects of the various interventions for the treatment of the ulcers secondary to venous stasis, it is necessary to clarify their role, their objectives, and their indications. The diagnosis of venous ulcer is certainly not by itself sufficient to guide the therapeutic choice. Moreover, the patient usually requires our intervention after a long... read

2010-05-26

Rupture of multifocal hepatic carcinoma of the right lobe: life-saving procedures Liver tumors, benign and malignant, primary and secondary, can cause hemoperitoneum, due to a minor thoraco-abdominal trauma only in very rare cases (1, 2). CT angiography with contrast is the method most widely used as emergency diagnostic test. Its accuracy allows a better therapeutic management with increased survival rates. It provides essential information concerning the extent and... read

2010-05-28

GYNECOMASTIA  2 What happens if the male mammary gland does not undergo the natural atrophy with growth completion? There is an enlargement of the breast that becomes like a female breast; this condition is called gynecomastia. Also an accumulation of fat concentrated in the male mammary gland can result in excessive breast volume; this condition is called pseudo-gynecomastia. The two conditions have the... read

2010-06-17

Retroperitoneal hematoma: problems of approach 2 The management of post-traumatic retroperitoneal hematomas is still controversial and difficult because of the multiplicity of possible causes and the extreme variety of injuries occurring either singly, or in combination (1). But some principles can be helpful for a correct strategy of approach and treatment. Multiscan CT with contrast is considered the diagnostic gold standard, particularly... read

2010-05-31

WHAT IT MEANS TO BE AN EMERGENCY MEMBER This is an excerpt from my log book of my mission at the Tiziano Terzani hospital, Emergency, Lashkar Gah, Afghanistan (December 2007 - June 2008). Sunday, January 27, 2008 "..... But what does it mean to be a member of Emergency? And who in hell knows ... only one month to reply... But that's why you write, to write down in the memory emotions, events, objectives, and take a snapshot... read

2010-06-03

ALLERGIC CONTACT DERMATITIS OR IRRITANT DERMATITIS? It is not uncommon to see patients with cutaneous manifestations that can be classified morphologically as eczema, but based, on their etiology they must be differentiated between allergic contact dermatitis and irritant dermatitis. It is possible to differentiate an allergic contact dermatitis from irritant dermatitis with a diagnostic test called patch-test, which uses incomplete allergens,... read

2010-06-07

New Pyrimidine Compounds May Lead to Improved Treatments for Childhood Brain Cancer Src (short for sarcoma) is a family of proto-oncogenic tyrosine kinases active in many cancer tumors, including medulloblastoma, the most common malignant cancer in children. Src represents one of the most promising targets for cancer therapy. A recent study shows that pyrazolo-[3,4-d]–pyrimidine-derivatives, designed to target Src, may be effective in interfering with the cell cycle and... read

2010-06-09

Considerations for proper nutrition of surgical patients Nutrition of surgical patients is one of the key points, if not the most important, in the evolution of their clinical picture. Nutritional disorders, in fact, can further increase the risk linked to the underlying disease and to the surgery. The malnourished patient can be defined as "critically ill". The body response to the additional insult of the surgery involves quantitative and... read

2010-06-11

VARICOSE VEINS SCLEROTHERAPY: A NEW METHOD Aim: The aim of my study has been to evaluate the efficacy of a new method of compression sclerotherapy of GSV and SSF. Materials and Methods: 180 lower extremities with primary varicous veins, with a long reflux of the GSV (C2-6, Ep, As2  p, Pr), have been submitted to sclerotherapy applying the following method: injection of the trunk of the GSV, according to Sigg's technique; echoguided... read

2010-06-16

THE EFFICACY OF TELMISARTAN IN THE METABOLIC SYNDROME The Metabolic Syndrome is a clinical condition characterized by the presence of multiple cardiovascular risk factors in the same subject, and particularly, hypertension and insulin resistance. Telmisartan is an antihypertensive agent with partial activity on peroxisome proliferator-activated gamma receptor (PPAR-y) and is able to improve insulin sensitivity and lipid profile in patients with... read

2010-06-23

COLORECTAL CANCER PREVENTION Colorectal tumors are the second leading cause of cancer death in the United States and represent a major threat in Italy, but, fortunately, good screening can yield a survival of 90 percent for cancer of the colon, and 80 percent for cancer of the rectum. All this is possible, and starts with a good conversation between the patient and the general practitioner, who more than anyone else... read

2010-06-28

New initiatives ANLAIDS - NAPLES Thanks to the success of antiretroviral therapies, the HIV / AIDS has been transformed into a chronic condition, and has assured HIV patients undergoing treatment with diligence, a quality of life and a survival that was unthinkable a few years ago. However, these advances obtained in the therapeutic field generated in the public the false belief that the "problem HIV / AIDS" was entirely, or... read

2010-06-30

GLACOMA: an insidious enemy Most people think that Glaucoma is almost exclusively a single disease. To the contrary, glaucoma is not considered a single disease, but a diverse group of pathologies that share a chronic and progressive damage to the optic nerve and to the retinal nerve fiber layer. These diseases are important because the damage they cause is irreversible and set in silently, until they manifest their... read

2010-07-01

Reach & CLP Regulation Impact on Small and Medium Enterprise 2010 is a key year for the registration and declaration of chemicals for both, the Regulation 1907/2006 (REACH), and the Regulation 1278/2008 (CLP). Companies that must register by November 30, 2010, should begin the process as soon as possible; first of all should contact the SIEF for sharing data on substances. The SIEF is a forum for exchanging information on substances; its main objective... read

2010-07-05

Identification of the roles and obligations of downstream users The strategic objectives of the regulation aim to increase awareness of the risks of using chemicals (particularly hazardous ones), to ensure a high level of protection of health and environment, to promote the free movement of chemical substances as such, or in preparations and articles, to promote competitiveness and innovation, and, finally, to encourage the substitution of dangerous... read

2010-07-07

Preliminary Experience on the Effects of General Anesthesia on Heart Rate Variability during abdominal surgery The spectral analysis of RR interval variability enables the identification of oscillatory components hidden in it, the sum of which is the total Heart Rate Variability (HRV). This type of analysis allows the bundling of oscillations in heart rate in two main frequency bands: a low frequency band, known as LF (Low Frequency), about 0.10 Hz correlated with the sympathetic nerve activity, and a... read

2010-07-09

The dream of the Human Health Foundation Onlus comes true The Institute of Biosciences for Human Health of the Human Health Foundation Onlus of Spoleto (HHF), Foundation for Human Health, based in Spoleto and Terni, opened in Terni, in the Maratta location (via Bartocci 9 / B) on June 7. Some years ago, two professionals coming from completely different areas of work, met and discussed at length, and afterwards created, a completely innovative project... read

2010-07-16

The new legislation on chemical safety: The REACH Regulation and CLP and their implications in the Small and Medium Enterprise The acronym REACH stands for: • Registration • Evaluation • Authorization • Chemicals While the acronym CLP stands for: • Classification • Labeling • Packaging The REACH regulation stems from the famous White Paper issued in 2001 concerning the future of chemicals’ policy by the EU; since the time of the White Paper until the entry into the regulation there has been... read

2010-07-20

Is it possible to prevent postpartum depression? In recent decades, the profound anthropological and socio-demographic changes of the childbearing population have resulted in a new approach to childbirth. As documented by ISTAT, the increase in the number of female population (greater than 20%) and of their cultural level (8-fold increased rate of women holding a university degree), together with medical advances, a demographic decline in the... read

2010-07-22

Stem Cell Research A year ago a group of researchers from various Italian universities and research centers decided to establish the Stem Cell Research Italy Association (www.stemcellitaly.org). The SCR Italy has the main purpose of promoting scientific research in the field of stem cells through the study and dissemination of disciplines that have as their object the study of stem cells. Members of SCR Italy are... read

2010-07-26

The Heart Rate Variability: new tool for diagnosis and management of cardiovascular diseases? Until a few years ago the only information that doctors utilized from the sequences of heartbeats (R-R) was only their average for shorter or longer intervals. The heart rate was related to macroscopic states such as fatigue, fever, emotion etc… Much of the information, represented by the R-R interval, was therefore unused, and two key aspects were overlooked: the RR intervals are not all... read

2010-09-01

In memory of Professor Giovan Giacomo Giordano A month ago Professor Giovan Giacomo Giordano, the distinguished medical pathologist who has devoted over sixty years of his life in the field of cancer research and teaching Anatomic and Pathological Histology at the University of Naples, passed away. Author and coauthor of over three hundred publications, has spent most of his scientific research to study: the interaction between chemical... read

2010-09-21

The latest challenge to cellulite Cellulite, commonly called EFSP (Edematous-Fibro-Sclerotic Panniculopathy), is the most common, and less tolerated, esthetic pathology in women worldwide; in Italy over 20 million women are affected. It is not just a fad, but a genuine female esthetic pathology, but which is a tool that the body uses to say "help me” , help me to slow down the various processes of alteration of cells and... read

2010-09-23

The treatment of pain: a new healthcare project of the  Calabria Region If there is a clear need to think and work in innovative ways to deliver health services that achieve high quality, it is equally true and that we should develop a better and more appropriate investment model, in order to avoid losing resources in processes that will not give any certainty that the arrangements already in place will change. We believe that now there is an opportunity for... read

2010-09-27

Classification of Pain Temporal Acute Pain and Chronic Pain Acute pain Acute pain is usually a pain of short duration. It is produced by potentially harmful, or actually harmful, stimuli to the tissue on which they are applied. In the first instance we have what Woolf et al. (1998) have called Transient pain, and in the second we have Tissue injury pain (pain from tissue damage). The difference is that in... read

2010-09-29

Also the chinese invest in italian brains The European Brain Research Institute (EBRI), founded by Nobel Prize winner Rita Levi Montalcini, that almost closed for lack of funds, will be funded for the next five years by the China Xiamen Biotech LDT for a total about two million Euros. In essence, an agreement that was signed few days ago will place China and Italy to work together on potential applications of the Nerve Growth Factor... read

2010-10-04

Gastro-esophageal reflux disease Gastroesophageal reflux is a physiological phenomenon: normally we all have small reflux of gastric material into the esophagus. This condition becomes pathological, and known as gastro-esophageal reflux disease (GERD), when the reflux occurs for a period of time causing a series of esophageal symptoms (e.g. heartburn, spontaneous regurgitation of gastric material in the esophagus, and atypical... read

2010-10-08

Castelfrancoveneto conference On Saturday, October 2, at the Conference Center of Hotel Fior di Castelfrancoveneto, the second day of the seminar entitled: "Integrated diagnostic and therapeutic approach: hepatocellular carcinoma, GIST, renal cancer, neuroendocrine tumors”. Session I on Hepatocarcinoma was introduced by the President of the Congress, Prof. Paul Manente who, at the start, wished to remember the famous... read

2010-10-11

Honoring Professor Antonio Giordano The President of the Republic Giorgio Napolitano, by decree, awarded to Professor Antonio Giordano the honorary distinction of “Commendatore of the Order of Merit of the Italian Republic". The award ceremony was held October 1 at 11:00 am at the Prefecture of Naples in the presence of the Prefect, Andrea De Martino, who delivered medals to 50 citizens of Naples and its Province that stood out... read

2010-10-13

Three-Dimensional  Echocardiography: Technical Aspects And Methodology The heart is an organ composed of complex anatomical structures and is in constant motion. Two-dimensional echocardiography can obtain partial information about the spatial and temporal relations between cardiac structures during the cardiac cycle, derived from the view of a theoretically infinite number of topographical sections. The analysis requires a difficult mental process of stereoscopic... read

2010-10-15

Cancer stem cells and their possible involvement in alternative vascularization mechanisms Until recently, vascularization of malignant tumors was considered the exclusive result of directed capillary in-growth. However, recent advances have been made in identifying the processes involved in vascular remodelling like as vasculogecin mimicry (for a review read reference 1). Vasculogenic mimicry was first described by the unique ability of aggressive melanoma cells to express an... read

2010-10-20

Rinofiller What is RINOFILLER? The RINOFILLER consists of implantation of a reabsorbable filler in the nose that allows the smoothing of the anti-esthetic “hump” of the nose and / or modification of the nasal tip: the RINOFILLER, then, harmonizes the irregular curves of a nose WITHOUT SURGERY Does RINOFILLER replace RHINOPLASTY surgery? Absolutely not; the RINOFILLER only corrects an esthetic... read

2010-10-21

Papilloma virus and cancer In 1976 Harold zur Hausen published in the prestigious Cancer Research Journal a scientific paper that indicated the possible relationship between the Human Papilloma Virus and the development of uterine cervical cancer. It inaugurated a new branch of research over the years has led to important results which link HPV to several types of cancers, such as squamous cell skin cancer, anal cancer,... read

2010-10-25

Laparoscopic pyeloplasty is the gold standard for the treatment of pyeloureteral junction obstruction Nowadays open pyeloplasty is considered the procedure of choice for the treatment of stenosis of the pyeloureteral junction, given that the success rate of this technique is up to 99%. However, the morbidity related to the lumbar incision has led to the exploration of new techniques: the antegrade or retrograde endopyelotomy have made the method less invasive and, in some cases, almost performed... read

2010-10-28

Cancer Mortality is linked to unhealthy environment Alarm in Naples. The City is re-submerged by trash. Heaps of garbage prevents access to stores and night bonfires are a dramatic spectacle. Naples is burning, and the pictures of this sad and shameful spectacle go again around the world after a little more than a year since the last emergency. The issue involves the health of citizens and cannot be hushed up. For several decades there has been a... read

2010-11-02

Wine And Health Conference And Commitment Of Human Health Foundation Onlus On October 15 and 16, 2010, the VII "Wine and Health" Conference was held in Montalcino at the Theatre of the Astrusi The event, sponsored by the Wine and Health Association in collaboration with the Municipality of Montalcino and the Consorzio del Vino Brunello, addressed this important and timely issue: the wine and its health effects. The Mayor of Montalcino Maurizio Buffi, the President of... read

2010-11-04

Professor Antonio Giordano comments on President Obama visit to Temple University in Philadelphia Last Saturday, October 30, 2010, a few days after the visit of former President Bill Clinton, the current President of the United States, Barack Obama, visited Temple University in Philadelphia to support the candidates of his party, ahead of midterm elections. In his speech he pep rallied the United States to return to be leaders, not only in the world of enterprise, but also in technology... read

2010-11-08

The importance of the family doctor in the assessment and treatment of COPD COPD is no longer a standalone condition, rather is a disease that is too often linked with other diseases, including various non-respiratory disorders, such as cardiovascular disease, cancers and even osteoporosis, which, in turn, are all diseases associated to other chronic conditions, such as hypertension and arterial disease. The statistics, moreover, are clear: over half of the people... read

2010-11-10

Itching and the need for a modern Patient - Doctor – Healthcare Agency feed-back We call "Patient" a person who is suffering. We often encounter some difficulty to select a physician who can provide help for a specific health problem. At times, at the onset of a symptom, such as itching in an adult, methodological errors are the prevalent reason why the possibility of identifying a correct diagnostic and therapeutic route is reduced. Even at present time, instead... read

2010-11-12

Healthcare protocols for workers To begin with, it must be made clear that upon Bill 81/08 coming into force, the physician in charge of drafting the healthcare protocol can no longer hide behind the Document of Risk Assessment provided to him by the employer, if the protocol is insufficient to monitor the health of workers exposed to various occupational hazards. In fact, paragraph 1, subparagraph a, of Article 25 of the same... read

2010-11-15

Aesthetic Surgery, stepping toward the person The constant demand for novelty, which is often identified in revolutionary or futuristic laser, or surgical techniques, not always finds satisfaction in reality. Aesthetic plastic surgery has, in fact, reached a level that allows for technical innovations that even in international meetings of the highest minds in the field, often are just details, or minor changes in techniques. Even in... read

2010-11-18

The plateau phenomenon in the diet The plateau phenomenon is the period that occurs during a low-calorie diet in which the patient is not losing fat despite complying with the dietary restrictions. It is always the fat that must be taken into consideration, because the weight increases or decreases depend mostly on water retention. It is very important that the doctor, or the dietitian, know when the plateau phenomenon is... read

2010-11-22

Beauty hanging by a thread Minimally Invasive Surgery is an increasingly used term, sometimes, unfortunately, only for advertising purposes, but is part of a clear treatment strategy derived from the great gift given by modern technology that offers video assisted surgical methods that allow to operate in the abdomen, joints and other places, only with the use of small cannulae, thus limiting dissections, incisions, and... read

2010-11-24

A sixteen years long emergency The garbage has plagued Naples and its province for years: sixteen long years.The inspectors recently sent in by the European Union have denounced this situation, that has remained almost unchanged over the past two years, since there is, to date, no plan for the treatment and management of waste. Landfills are overflowing, and about 2,900 tons of garbage are left on the streets. The requests... read

2010-12-01

Smoking and Health One hundred and sixty five thousand children under age 5 die every year worldwide due to passive smoking. This is the sad statistical data reported by a recent study published in the journal Lancet, which should lead us to think about the dangers to which, sometimes quite unconsciously, adults expose children. Cigarette smoke is inhaled directly by smokers and partly exhaled. Between a "drag"... read

2010-12-03

Evaluation of the effectiveness of medications with Ag in the prevention of re-infection in skin ulcer after debridement The removal of tissue debris and killing of bacteria, are essential aspects in the management of skin ulcers, and probably this is the way to effectively re-activate the mechanisms of tissue repair. In this phase, a new increase of bacteria might impair healing; it is therefore necessary to use sound management of ulcers to protect them from possible infection. In these cases local antiseptics... read

2010-12-09

From In-formation to trans-formation:  Health management tools along changing process Information can contribute to changing all around organization by favoring new cognitive and adaptative routines and behaviors that conduct to a new culture and managerial vision. Changing center is human being , which is the essential core in every organization, in different social level and communication context. Information to trans formation is a circular dynamic. Engagement is consistent... read

2010-12-10

Professor Giordano appointed Professor Emeritus at the Universidad de Santo Domingo Dr. Franklin Garcia, Chancellor 0f the Universidad Autonoma de Santo Domingo, which is one of the biggest Universities of the Americas for its size, history and curriculum, presented to Professor Antonio Giordano, director of the Sbarro Institute in Philadelphia, the title of Professor Emeritus. The following is the translation of the Chancellor’s speech: "The delivery of the title of... read

2010-12-13

Compression sclerotherapy of the Great Saphenous Vein: experience in 1500 cases The purpose of our study was to evaluate the results of sclerotherapy of the saphenous-femoral junction (SFJ), in relation to its diameter, and the possibility to apply a com¬pression bandage, utilizing clinical examination and Doppler ultrasound.1500 SFJsunderwent sclerotherapy in a single session with the method of Sigg and divided into three groups (A, B, C) depending on the circumference of... read

2010-12-15

Asbestos: the export to developing countries must stop Journalist Tony Kirby, in an article published in the famous journal “The Lancet”,wrote: "Even though Canada does not expose its citizens to asbestos, it plans to continue exporting this deadly substance to the developing countries, drawing widespread condemnation “. Professor Antonio Giordano, director of the Sbarro Institute for Cancer Research, Philadelphia, USA, is one of the... read

2010-12-20

How to deal with the economic crisis in aesthetic medicine with the help of a marketing plan based on communication, allowed advertising, and public relations. Our Center of Aesthetic Medicine always stood out from the competition, because we have placed great importance on: - The scientific quality offered to the customer through the customization of therapeutic programs - Dedicating plenty of time to the customer - The quality of our organizational structure - Customer loyalty THE QUALITY CARACTERISTICS OF OUR OFFER ARE: - Informative... read

2010-12-22

Sartans At present there are seven ARBs available in Italy: Losartan, Valsartan, Irbesartan, Candesartan, Eprosartan, Telmisartan and Olmesartan. They were involved in several trials, including the ONTARGET that compares Telmisartan with Ramipril (ACE inhibitor), and their association, to evaluate their effectiveness in reducing mortality from cardiovascular causes, and the incidence of stroke and... read

2010-12-27

The 5x1000 Introduced in 2006, the 5x1000 tax rule has provided the opportunity for the taxpayer to allocate 5x1000 of their personal income tax (PIT) in support of a number of targeted beneficiaries. Currently, the Finance Act of 2010 has placed in the targeted beneficiary categories voluntary organizations, the ONLUSs (not-for-profit associations for social avail), foundations for social promotion,... read

2010-12-31

Therapeutic application of mesenchymal stem cells in an animal model of arterial stenosis Cardiovascular diseases are the most common cause of severe forms of disability and mortality in industrialized countries. Changes in the normal hemodynamics of the carotid arteries and / or the coronary arteries are closely associated with the development of brain disorders and myocardial infarction. Currently, carotid and / or severe coronary stenosis require the use of revascularization... read

2011-01-12

Treatment Of Dehydration In The Elderly Often, the elderly can easily become dehydrated, because of reduced fluid intake, or increased loss of them, frequently due to coexisting multiple chronic conditions present in the elderly, such as dementia, diabetes mellitus, hypercalcemia, trauma and surgery. The symptoms of dehydration consist of rapid weight loss, dry mucous membranes (dry tongue, dry eyeballs), oliguria, and mental... read

2011-01-03

Fighting wrinkles The techniques available to improve the wrinkles are varied and well defined; the problem is often the preparation and limitations of each operator. In fact, this skin blemish is attacked by aestheticians, dermatologists, cosmetic doctors, plastic surgeons, and beauty and massage therapists. First of all it should be noted that, over the years, changes of the structure of the face like losing... read

2011-01-14

Rhinoplasty Rhinoplasty:procedure information Preoperative examinations (blood tests, chest X-rays, and ECG) and photography are obtained during the preliminary visit The patient comes to the clinic the morning of the scheduled surgery, on an empty stomach The procedure is performed under light general anesthesia, and takes about two hours. The awakening from anesthesia is the same as after... read

2011-02-11

Beauty on tip-toe To be beautiful at all costs has become increasingly imperative. Beauty has become an obsession. But, what does to be beautiful mean? We spoke to Prof. Pier Antonio Bacci, Professor of Aesthetic Surgery and President of the Italian Academy of Beauty. “Foscolo stated, beauty is" that happy harmony that pervades our hearts “Beauty is indeed harmony, balance, and respect of certain essential... read

2011-02-09

The Senate also approved tax incentives to encourage the return of young graduates European Community college graduates citizens born after January 1, 1969 returning to work in Italy will benefit from a tax reduction of 20% for female workers, and 30% for male workers, until December 31, 2013. The benefits will lapse if the worker decides not to stay in Italy for at least 5 years. In this case, the state will proceed with the recovery of the benefits received, with penalties... read

2011-01-25

Abdominoplasty Preoperative tests (blood work, chest x-ray and ECG) are obtained before the procedure The patient comes to the clinic in the morning for surgery, on an empty stomach The operation is performed with epidural anesthesia under sedation, and takes about three hours. The patient leaves the clinic after few hours with a slightly compression dressing, and is allowed to eat a light meal in the... read

2011-02-16

Abdominal Acupuncture, A New Way To Treat Diseases Abdominal Acupuncture represents a further development of traditional Chinese medicine, because, unlike somatic acupuncture, it has immediate effect, and allows patients to be able to "trust" with greater confidence this alternative form of medicine. Farfetched as it may seem, this idea, which is actually the result of some scientific research, is based on the fact that, contrary to what we... read

2011-02-01

Reduction Mammoplasty Abnormally large breasts are not only an obvious esthetic imperfection, but are also responsible for physical discomfort, such as, heaviness, pain, kyphosis (back hump), reduced agility, etc. The surgical procedure, called reduction mammoplasty, results in breasts of the same shape, but with a volume reduced down to one third of the initial one. The residual scars are thin, and eventually... read

2011-02-18

Presentation of the New Tumor Registry of Salerno Saturday, January 15 at 11:00 am at the Bottiglieri Hall of the Province of Salerno, the "New Tumor Registry of Salerno" was presented in the presence of: the oncologist Dr. Frank Romeo; the managing directors of the hospitals of the province; the directors of the healthcare district; the directors of ASL Salerno Unica; prof. Giulio Tarro; the Municipal Councillors for healthcare policies;... read

2011-02-21

Process manager task and add-value A new nursing role all round hospitals in either in Europe a s in US are nurse case managers and nurse process manager. Within a nursing profile, to handle clinical path or managerial process can be identified as a single and group managerial task in the business system classic alignment. Traditionally, this model had some application in marginality context ( poor resources settings as wars)... read

2011-02-23

Elastosonography: a new  echographic method There are appreciable differences in human tissue elasticity or texture between healthy and pathological tissues. In fact, some tissue pathologies, such as tumors, can cause changes in the soft tissues that translate into an increase of their consistency and in a reduction of their mobility and elasticity. Based on this, the idea of assessing the elasticity of tissues in vivo by exploiting... read

2011-02-25

The battle for freedom of Beppino Englaro On February 21 at 9 pm at the Umberto Theater went on stage "Living wills. Confrontation between feelings and rights”, an initiative of the Democratic Party and senator and surgeon, Professor Ignazio Marino, for the purpose to bring attention to the bill on "Measures of the therapeutic alliance, informed consent and advanced treatment provisions" better known as living will, that will be... read

2011-02-28

New Study Finds Molecular Mechanisms that Control Rb2/p130 Gene Expression in Lung Cancer (February 24) – PHILADELPHIA -- Despite innumerable studies on lung cancer, many aspects of the disease have yet to be understood, including the role played by the retinoblastoma-related protein Rb2/p130 in the evolution of the disease. In a new study, researchers from the Sbarro Health Research Organization Center for Biotechnology Research (SHRO), a cancer, cardiovascular and diabetes... read

2011-03-04

DoctorReader As of February 2011, there is a new online project: DOCTORREADER, from the MAG Group, publisher and editor of the well known web magazine Doctormag. In light of new capabilities, it is now possible to send more contributions, in English language as well, for maximum visibility of the authors and of the magazine in general. DOCTORREADER is already accessible at http://www.doctorreader.com; ... read

2011-03-09

Advances of Immunotherapy Against Malignant Melanoma Malignant melanoma (MM) is the most aggressive and deadly type of skin cancer. MM is also among the most immunogenic of all solid cancers, as supported by the presence of melanoma antigen-specific antibodies and tumour-specific cytotoxic T cells in melanoma patients (1). The ability of CD8+ T lymphocytes to prevent the melanoma formation has been shown in preclinical and clinical studies and... read

2011-03-14

Pharmacologic post-exposure prophylaxis (PEP): what next? Pharmacologic Post-Exposure Prophylaxis means the use of therapeutic agents (drugs, specific immunoglobulins, etc.) to prevent infection after exposure or alleged exposure. This practice was originally established to protect health care support staff (nurses, doctors, biologists, etc...) especially after exposure to viral agents (HIV, HBV, etc...) that are commonly considered dangerous. In these... read

2011-03-21

Non-pharmacological antithrombotic prophylaxis in surgical patients In a comprehensive program of antithrombotic prophylaxis, physical therapy may have a supporting role to heparin, but sometimes can become the sole therapeutic modality, when, for various reasons, heparin cannot be used, or is not effective. For these reasons now many guidelines consider physical therapy a valuable, if not indispensable, aid in antithrombotic prophylaxis. Therefore we will not... read

2011-03-23

Cosmetics and esthetics: self-seeking or self-denial? A request for intervention, be it cosmetic, esthetic, or medical, not always corresponds to a real body dysmorphic disorder that leads to its request. Variable esthetic rules have followed and chased themselves in art and fashion, some becoming no longer acceptable, other unsustainable, others just a little out of fashion. The Junoesque forms celebrated in classical culture were filtered through... read

2011-03-25

The role of m-mode ultrasound after great saphenous vein sclerotherapy Reflux into the crosse (arch of the Greater Saphenous Vein - GSVC) can be caused by incompetence of the terminal or preterminal valve generating reflux in the saphenous trunk and / or in the accessory saphenous veins. Incontinence of the preterminal valve can lead, by Venturi effect, to a functional, non organic, reflux through the terminal valve [1]. In this case, eliminating the preterminal... read

2011-03-30

Prof. Antonio Giordano on the Board of Directors of the NIAF Seven prestigious Italian-Americans, who have excelled in the fields of communication, business and medicine, were elected to the Board of Directors of the National Italian American Foundation's (NIAF) last March 11, 2011, during a meeting at the Wigwam Golf Resort & Spa in Litchfield Park, Arizona. The new NIAF "Board of Directors" elected members are: Maria Bartiromo, the CNBC network... read

2011-05-04

Not just a pretty smile, but the pleasure of living in the best way Tooth loss is, before all, loss of smile. The main objective of dentists is to prevent their patients from using dentures that, whether full or partial, metal or resin, always cause psychological and social discomfort. Today, thanks to implantology, even when you lose all your teeth because of periodontal disease, or decay that destroys the teeth, or the support of bridges, we can build fixed... read

2011-04-06

The importance of proper foot support In modern society is becoming more prominent and increasingly a debilitating disease known as lumbago or sciatica, commonly called "Back Pain", often associated with phenomena of early Osteoarthritis. This pain, which limits the individual's usual work and leisure activities and negatively affects one’s quality of life, frequently comes from bad support of one or both feet. Several... read

2011-04-11

Breast Tumors Increase In Campania breast cancers were up twenty percent in women under age 40, according to the data presented by Professor Antonio Giordano, president of the Scientific Board of Crom Mercogliano, who has been conducting this study in collaboration with the Human Health Foundation of Spoleto, but especially with the United States. In Campania the monitoring was made possible through collaboration with... read

2011-04-15

Your 5x1000 to Human Health Foundation Onlus Help cancer and cardiovascular diseases research, and work with us to brin our brains back from foreign countries. Please, give your 5x1000 to Human Health Foundation Onlus. Tax Identification Code 02896450547 Sign up for the support of non-profit Social Organizations and support our Institute of Biosciences for Human Health of Terni.Together we can do a lot. To better know us go to:... read

2011-04-18

Communi-care at the time of the web It is customary to say: "we are in the era of the internet". It is undeniable that the desire to communicate is a feature of human beings, and that it is even truer that today communication has become “social networking”, or “communi-care”. The proliferation of social networks and blogs are the more visible result. The public administration has long agreed to use the web to communicate... read

2011-04-21

Hippotherapy Hippotherapy is better known as the therapeutic strategy that utilizes the movements of the horse to improve the health of a human subject. From this point of view, hippotherapy is to be distinguished from simple practices that anyone can enjoy for fun or sport, such as horseback riding in the country, that involve the horse without the supervision of specially trained medical personnel.... read

2011-04-27

Use of growth factors in sports traumatology In the course of my profession as an Orthopedic Consultant for Teatro alla Scala in Milan, and for numerous professional and non professional athletes, I increasingly encounter different types of muscle injuries. They range from the most trivial insertional tendinopathies (lateral epicondylitis, medial epicondylitis, groin pain, plantar fasciitis, Achilles’ tendonitis), to more serious grade... read

2011-05-06

Importance of proper nutrition: Human Health Research Foundation research It has long been known that many vegetables in the Mediterranean diet may have a beneficial effect on our health. Recognition of the importance of food for our welfare has led to the birth of a new scientific discipline for the purpose of studying the combined nutritional and pharmaceutical properties of food: the nutraceutical. The Human Health Foundation Onlus (HHF www.hhfonlus.org), promotes... read

2011-05-10

Shared Managed Care: methodological possibilities and organizational opportunities Shared care has been defined as the integration of primary care and specialist care. It includes a number of activities, such as health education, formulation of guidelines, appropriateness ratings, trading systems and information portals. Managed care and the so-called Disease Management, are applied in the European hospital systems especially with regard to diseases with various components,... read

2011-05-17

Home health care, support and psychosocial rehabilitation The analysis of the needs of family members and patients with mental disabilities has indicated that paths for home care and specific integration are necessary. HOME Medicine Society, a company specializing in healthcare and home care, sets up packages of care for the mentally disabled. These packages require the integration of psychosocial rehabilitation and psychological support with material... read

2011-05-24

CROM FOCUS ON MEETING TRANSLATIONAL CANCER RESEARCH 2011 The meeting aims to provide an overview of recent developments in translational cancer research. In particular the mechanisms of cell cycle control as a platform for the identification of molecules designed to inhibit cell proliferation in cancer cells will be discussed; more specifically, will discuss the potential anticancer effects of some agents that act as inhibitors of histone... read

2011-05-27

Anisakis, surgical emergencies from sushi... The Anisakis is a common intestinal parasite of fish; parasites, as such, live at the expense of other organisms of a species different from theirs. The Anisakis Simplex is nematode of the Anisakidae family, present in the intestines of many marine mammals, such as dolphins, seals, etc... and, in its larval stage, in many fish, including sardines and anchovies, cod, hake, tuna and mackerel;... read

2011-06-06

Human Health Foundation The "Human Health Foundation Onlus" which is based in Spoleto, is a non-profit Foundation for Basic and Translational Scientific Research; scientific personalities from different countries, both European and International, are members of the Foundation. The Foundation is purely a not-for-profit research organization, regardless of its legal status or funding source, whose principal statutory... read

2011-06-08

Snoring We can safely say that snoring is a completely spontaneous and democratic behavior that affects a large part of the world population regardless of sex. This disorder, which can be considered trivial, is present in childhood, youth and in senescence. In Italy, a recent EURISKO survey showed that 44% of 19 million and 600,000 snorers (equal to 40% of the national population) are female. Snoring -... read

2011-06-13

Important study on melanoma in Italy A few days ago, the FDA (Food and Drug Administration, the American institution that controls food and drug safety) approved the use of Ipilimumab, a drug based on a monoclonal antibody, which has yielded encouraging results in the fight against melanoma. During the testing phase of this antibody, the survival of patients has increased significantly: it has almost doubled at one year, rising... read

2011-06-16

Sick from garbage The North, polluted by its industries and its incinerators, pays a high price in tumors, malformations and deaths. The South that does not have such an industrial load, except in some areas, has now lost the advantage of survival. In fact, today, in the lands of the ecomafias, people in the South are dying of cancer as much as in the industrial North, sometimes even up to 22% more, as revealed... read

2011-06-20

Craters of death Dr. Giordano explains that “The study of the Higher Institute of Health shows that there is an increase in mortality from cancer in areas where practices of illegal waste disposal and storage of toxic substances are most common." A link that gives signs as big as craters in the maps of the regions controlled by the Mafia, and, recently, even in satellites areas (Molise, Abruzzo), where the... read

2011-06-24

The embryo of the sea urchin. The case of Campania is probably not only the most serious, ingrained, and institutionalized among the territories controlled by the eco-mafia in Italy. It is unique in the world, also, or especially, because of the extent, depth and long lasting damage to health. If all ended tomorrow, clusters would continue to flourish on the maps for years on the Land of the Fires in Campania (one of the... read



2011-07-01

Dangers of Non-Filtered Cigarettes While many young people mistakenly believe that hand-rolled cigarettes are less dangerous to smoke than filtered cigarettes, a new study shows that smoking hand-rolled cigarettes has stronger genotoxic and oxidative effects on the metabolism than smoking manufactured filtered-cigarettes. The research was published in the journal Mutation Research. Cigarette smoking is a major cause of human... read

2011-07-05

Daily caloric requirements This article will explain how we calculate our daily requirement of calories. A very frequent question that arises in the gym is: "What should I eat? .. How much should I eat? How many calories a day should I take? " These are frequently asked questions from regulars in gyms and sports centers. Throughout the years, there has been a big debate about the link-Esthetics- Sports... read

2011-07-08

Transillumination in the treatment of varicose veins of the lower limbs with laser surgery The treatment of varicose veins of the legs with EVLT (Endo Venous Laser Treatment) is a very popular technique, not only among professionals, but also, and perhaps especially, among the patients. For nearly three years we have "converted" to this method, although we believe that the indications and technical modalities should be improved and shared, after a careful and rational use. However, in... read

2011-07-19

Italy and scientific achievements Italy may be proud of the success of a scientific study in the United States, which, once again, reaffirms the professionalism of our researchers in the world. Italian scholars of the Fox Chase Cancer Center in Philadelphia, USA, have discovered a new mechanism used by cells to activate silenced genes. This process is critical in preventing the development of cancer, suggesting the possibility... read

2011-07-26

Summer School: Statistics And Epidemiology For Clinical Trials The Summer School: Statistics and Epidemiology for Clinical Trials, a project aimed at creating intensive courses on "public health", useful for both, clinicians and researchers, will be held in Brindisi between July 25 and August 5, 2011. This practice is very popular in the United States (Harvard, Yale, UCLA, etc...), and is especially necessary for the acquisition of epidemiological and... read

2011-07-28

Muscles and their movements A brief general introduction to the functioning of our muscles is necessary before talking about training and nutrition. How can we train to change and improve our bodies, if we do not know the names of major muscles and their function? How do we get the best results not knowing the types of movements that allow us to build our muscles? So, how do we choose the right exercises? We believe... read

2011-08-02

Tarro Observations on waste epidemic How long can Naples resist with the trash in the street, before the health care alarm becomes a real epidemic? Giulio Tarro, a leading expert in virology at the international level, a student of the "Monument" of medicine at Albert Sabin, director emeritus at Cotugno Hospital from 1973 to 2006, and Adjunct Professor at the Department of Biology, Center for Biotechnology, Sbarro Institute for... read

2011-08-10

New avenues open up for mesothelioma targeted therapy TK (Philadelphia, PA) --Researchers from the lab of Antonio Giordano, M.D., Ph.D., the Founder and Director of the Sbarro Institute for Cancer Research and Molecular Medicine, have identified new potential anti-tumor agents that might be effective in treating mesothelioma, one of the deadliest cancer tumors. Scientists tested new pyrazolo [3,4-d ]pyrimidine derivative inhibitors of the SRC... read

2011-08-22

Professor Giovan Giacomo Giordano Professor Giovan Giacomo Giordano passed on July 29 last year. A year after his death we remember the distinguished medical pathologist who has devoted over sixty years of his life to the field of cancer research and to the teaching of Anatomy and Histologic Pathology at the University of Naples. Giovan Giacomo Giordano author and coauthor of over three hundred scientific publications, from... read

2011-09-26

Study Shows Major Difference in Care Between Oncologists and Primary Care Physicians for 12 Million Cancer Survivors A new study shows that there are major differences between oncologists and primary care physicians regarding knowledge, attitudes, and practices required to care for American's 12 million cancer survivors. That is the key finding of the first nationally representative survey of doctors that reveals how these differences pose significant barriers to effective communication and coordination of care... read

2011-09-28

CXCR6, a newly defined biomarker of tissue-specific stem cell asymmetric selfrenewal, identifies more aggressive human melanoma cancer stem cells A fundamental problem in cancer research is identifying the cell type that is capable of sustaining neoplastic growth. There is evidence that the majority of cancer cells are clones and that cancer cells represent the progeny of a single cell (reviewed in [1] La Porta 2009). However it is unclear which cells possess the tumor-initiating cell function, maintaining the tumor growth. The idea of... read

2011-09-01

Metabolic syndrome and insulin - resistance: one, none, hundred, or thousand risk factors? The metabolic syndrome, i.e. the presence of several risk factors (hyperglycemia, hypertension, dyslipidemia and excess weight) in the same individual, and insulin resistance, which is at the base of it, are two conditions extremely common in the general population. They are closely associated with improper lifestyle and possibly carry an increased risk of vascular events in subjects in which... read

2011-09-06

Secondary rhinoplasty operations In recent years the number of plastic surgery has grown exponentially and cosmetic rhinoplasty is, among many, the most requested. Consequently, both the failures and the number of legal disputes between doctors and patients have increased. It is my opinion that the shape of the nose after the operation and the elimination of defects, should go unnoticed and be well integrated in the context of... read

2011-09-08

Chromoendoscopy and colon cancer in chronic inflammatory bowel disease (IBD) Chromoendoscopy associated with high-definition video endoscopy offers the possibility to analyze the spectra of colors in the captured image, using dyes (indigo carmine, methylene blue), and high-definition zooming, to study the mucosa (magnification). This technique becomes essential for the recognition of early stages of dysplasia and intestinal cancers, but becomes crucial in patients at high... read

2011-11-02

An approach of memory by the optics of medical philosophy The memory system began to be studied in ancient philosophy and nowadays its research,basically,belongs to the cognitive neuroscience.At medical science is still,till today,unproven the mechanism of its funtion.The medical philosophy can achieve the difficult attempt of formulating and expressing of the assumptions about the mechanism of memory,which could afterwards be proved,as actual... read

2011-09-15

Remembering Professor Giovan Giacomo Giordano My first meeting with Professor Giordano occurred on December 14, 1962 when he was a board member at my graduation, and again in 1970 to meet his son Antonio who had seen me at the RAI in a television interview with Albert Sabin and a swarm of children vaccinated against polio. Afterwards, , when he was professor of pathology at the University of Naples and Scientific Director of the Pascale... read

2011-09-20

Systems Biology Systems biology is the study of biology through systematic perturbation, the global read-out of the multifaceted response and integration of these data to formulate predictive models1. Classical biology is based on a reductionist model in which the systems are first broken down into their single components, and subsequently, the various “pieces” are reintegrated into the system. This... read

2011-09-23

Dry-eye syndrome Dry-eye syndrome is one of the most commonly diagnosed ophthalmic conditions in the general U.S. population as its stimated frequency ranges from 11% to 17%. Certain autoimmune diseases, medications, environmental factors, smoking, increased age and the popularity of refractive procedures, such as laser vision correction and the implantation of premium IOLs, has increased ophthalmologists' need... read

2011-09-29

SHRO In 1993, Antonio Giordano, M.D., Ph.D., founded the Sbarro Institute with a $1 million donation from Mario Sbarro, the Founder of the Sbarro restaurant chain, following Dr. Giordano’s discovery of the tumor suppressor gene pRb2. Initially named the Sbarro Institute, the research center was located at Thomas Jefferson University, where Dr. Giordano was a professor. When Dr. Giordano moved to... read

2011-10-04

First Aid After various considerations we decided to give our readers a brief introduction to a very important and serious topic that is not talked about enough: "FIRST AID" To do this we decided to write a series of 22 mini case studies regarding the most common items that may be encountered in a situation of First Aid. The "First Aid" is the help that is given to a person who has had an accident or... read

2011-10-07

The small molecules: the incubators of new drugs In recent decades the development of "small molecules", term that indicates biologically active small molecules, has had a big impact in pharmaceutical chemistry for the treatment of diseases, in the development of additives for the agriculture, and in cosmetics. Regarding the development of new drugs, only in the last decade, the U.S. Food and Drug Administration (FDA) has approved 183 small... read

2011-10-12

First Aid: Unconscious person breathing Position the person in the “lateral recovery position" You can also apply this to a conscious person if there is a delay in the arrival of the emergency aid, or if there are several injured persons. The position helps avoiding worsening caused by unconsciousness suffocation, due to vomiting or blood aspiration. Description: • Place the person lying on his left side • The two... read

2011-10-17

First Aid: Unconscious not breathing person In this article we wanted to address the 8 most frequent cases of First Aid of an unconscious person that is not breathing In a situation of first aid to an unconscious person that is not breathing you should carry out: ARTIFICIAL RESPRATION!!! RESPIRATORY APPARATUS: • ANATOMY: mouth, nose, throat, bronchi, bronchioles, alveoli. The lungs are enveloped in the pleura and rest on the... read

2011-10-18

VirusSphere Viruses are entities on the boundary between the living and inanimate matter. Rather than living organisms, they resemble crystals or mere machines. Since 1940, when they have been photographed for the first time, their form has not ceased to raise intriguing questions. In bacteriophage T4 virus, (whose shape has inspired one of the Apollo lunar module), for example, the "head" is an icosahedron... read

2011-10-21

The In our society, flooded with a multitude of news destined to evaporate in a few days, the "TB case", which for weeks has been the scoop in newspapers and TV, is causing unnecessary anxiety and alarm. The story is well known. A complaint filed by an association of consumers (Codacon) about the presence of a nurse "suffering from tuberculosis" in service at the Policlinico Gemelli in Rome, led to... read

2011-10-25

Women and weight training When talking with women about fitness, I usually hear the following statements:” I do not want muscles like a man..! Or, " .... I do not do weights because then I look like a man!!!...and then they stay away from the weight room and join musical lessons of step, G.A.G (legs, abdomen, gluteus); Pilates, Aerobic Spinning, Movida, etc... Of course, all lessons yield good toning results and... read

2011-10-28

The Medea syndrome hypothesis of the transfer from baby to fetus "Medea syndrome" refers to the complex picture of signs and symptoms that characterize the female parent that, in response to stress and / or conflict with her partner, discharges her aggression and frustration into her child turning her child into an instrument of power and revenge against the spouse, going as far as to the extreme action of depriving him/her of life. The term originates from... read



2011-12-06

Novel Evidence Links Pretreatment Fasting Glucose to Slowed Cancer Progression PHILADELPHIA, Pa. (December 6, 2011) An increasing understanding of molecular pathways that regulate breast and colorectal cancer development and progression has produced new therapeutic agents, including the biologic agents trastuzumab, bevacizumab, and cetuximab. Identifying the indicators that are likely to predict which patients will achieve the best response to these agents represents a... read

2012-01-11

Grant helps build NeuroAIDS research capacity at Temple University School of Medicine The National Institute of Mental Health (NIMH) has awarded Temple University a five-year, $8.34 million grant to create a Comprehensive NeuroAIDS Core Center (CNAC) at the School of Medicine. The new center, one of only nine funded by NIMH, will enable researchers to study basic science and clinical aspects of HIV-induced neurological diseases and neurocognitive disorders. Kamel Khalili,... read





2012-01-25

Gary Stein Gary Stein, graduate of the University of Vermont is returning home as co-Director of the Vermont Cancer Center and Chair of the Department of Biochemistry. Following graduate training at UVM in physiology and biology and post-graduate training in pathology, Gary joined the faculty at the University Of Florida College Of Medicine where he became Vice-Chair of the Department of Biochemistry. In... read

2012-01-27

Physicians' Opinions Vary Widely on Health Care Reform When President Obama invited 150 doctors to discuss proposed health care reforms in 2009, two of the physicians in attendance offered radically different views of the proposed legislation. They were Dr. Hershey Garner, an oncologist from NW Arkansas and Dr. Donald Palmisano. Garner is a member of Doctors for America, which backs the legislation. Palmisano represents the Coalition to Protect... read

2012-01-30

New Hope for Amyloidosis Patients Facing Organ Transplants or Dealing with Side Effects Amyloidosis patients are expected to see some significant breakthroughs in treatment over the next three years, reducing side effects and possibly the need for organ transplants, research by healthcare market analysis specialist GlobalData has found. Amyloidosis occurs when a build-up of proteins forms an abnormally folded structure within the body's cells and tissues, which then forms an... read







2012-02-24

Opinion: Good, But Not Good Enough The system for funding scientific research is broken. This declaration came to my mind after I experienced three separate occurrences. The first was my application for a European research grant. At the end of the evaluation procedure, the reviewers wrote that my proposal was interesting, I had a good track record of publications, and the project had been well described. Nevertheless, they had... read







2012-03-06

The V Astana Economic Forum In May 22-24, 2012, in Astana (Kazakhstan) will be held the Fifth Astana Economic Forum (AEF), dedicated to the challenges and prospects of world economic development in terms of global transformation. One of the exclusive events of the Forum will be “The Dialogue of Leaders: New financial and economic policy”, where in interactive debates the most prominent figures from economy, business,... read



2012-03-23

8 rules for living better A healthy diet, which is rich in fruits and vegetables, whole grains and legumes and contains limited red meat, preserved meats and sugared beverages, protects against tumor development and recurrences. The right diet can be one “protective” factor against cancer, but lifestyle must always be considered as well. Indeed, it is important to engage in physical activity and avoid alcohol and... read













2012-04-26

Hope: a therapeutic tool? Patients with advanced-stage cancer are generally submitted to so-called palliative treatments that primarily aim to control symptoms such as pain and malnourishment, but also psychological and social problems. The goal of such treatments is to guarantee patients the best possible quality of life. The term palliative care, which is derived from the Latin word for cloak (pallium), is generally... read

2012-04-27

Novel Mechanism May Lead to New Targeted Pharmacological Cancer Treatment Inactivation of the retinoblastoma tumor suppressor protein (pRb) by phosphorylation triggers uncontrolled cell proliferation. Accordingly, activation of cyclin-dependent kinase (CDK)/cyclin complexes or downregulation of CDK inhibitors appears as a common event in human cancer. Now, a new study from the Sbarro Health Research Organization shows that Pin1 (protein interacting with NIMA (never... read









2012-05-14

The Price of a False Idea about Economic Growth Two Crises In ancient Ionia, the physician-philosopher Galen of Pergamos and Rome wrote, children would take pig bladders, “fill them with air, and then rub them with ashes near the fire …and sing songs [in] an exhortation to the bladder to increase in size … until the bladder seems to them to have become large enough.” This describes with near perfection the beliefs and behavior of... read
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Malattia di Menière, un confronto interdisciplinare
2012-05-19 - 2012-05-19
Ordine dei Medici Chirurghi e degli Odontoiatri di Bologna

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2012-10-11 - 2012-10-14
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