Stenosi rettale dopo proctopessi con stapler per patologia emorroidaria

We report a case of a 52-year-old woman with hemorrhoids submitted to Procedure for Prolapse and Hemorrhoids (PPH), i.e. stapled hemorrhoidopexy, using a modified Longo's technique (double purse string) to treat an associated rectocele and rectal prolapse; the STARR technique (Stapled Trans Anal Rectal Resection) was not yet codified. The post-operative course was uneventful and the patient is discharged in II p.o. day. In fifth post-operative day the patient came back with an unusual rectal stenosis due to the superior purse string. The stricture was easily resolved by 'opening' the purse string with a transanal approach in outpatient settin

Turmeric-flavoured olive oil: A promising path to natural antioxidant benefits

The influence of the addition of Curcuma longa (turmeric) powder to Ottobratica variety extra virgin olive oil (EVOO) by using malaxation or infusion processes to obtain flavoured virgin olive oil (FVOO) was determined. FVOO was monitored during one year of storage at room temperature in the dark. FVOO obtained malaxation process (CM) showed the lowest free acidity value, irrespective of the time of storage considered. C* values of 7.23 vs 6.38 and 6.79 were recorded for the FVOO obtained infusion process (CI) and CM FVOO, respectively. Moreover, CM exhibited the highest radical scavenging activity with IC values of 9.48 and 3.49 μg mL at T0 in DPPH and ABTS tests, respectively. However, the addition of turmeric did not improve the bioactivity of the FVOO against key enzymes involved in metabolic syndrome. Collectively our data have demonstrated, once again, how the enrichment of EVOO with an aromatic and functional matrix such as turmeric does not always lead to an improvement in its intrinsic functional characteristics despite the fact that it may be appreciated by the consumer for its sensorial characteristics.This study was supported and conducted within a PhD research program in “Scienze e tecnologie alimentari” (XXXVI cycle) by Irene M. G. Custureri, who received the grant “Ricerca e Innovazione con car- atterizzazione industriale, PON RI 2014–2020”. The authors are grateful to “Prim’olio” for supporting in the sensory evaluatio

Cervico-mediastinal goiters: report of 332 cases operated.

[No abstract available

Effects of oral amino acid supplementation on multidimensional prognostic index in hospitalized older patients: A multicenter randomized, double-blind, placebo-controlled pilot study

Background: It is not known whether amino acid supplementations may influence health status in hospitalized older acutely ill patients. Aim: The aim of this study was to determine whether nutritional supplementation with amino acids (Aminoglutam®) is associated with multidimensional improvement assessed with the Multidimensional Prognostic Index (MPI). Methods: In this randomized, double-blind, placebo-controlled pilot clinical trial, 126 patients aged ≥65 years were enrolled from 6 Italian geriatric wards. A multidimensional assessment to calculate the MPI was performed at baseline and after 4 weeks of treatment with nutritional supplementation (96 kcal, 12 g amino acids, 0.18 g fat, 11.6 g carbohydrate, and vitamins B1, B6, and C) or placebo administered twice a day. Logistic regression modeling was applied to determine the effect of treatment on the improvement of MPI (vs no-change/worsening), adjusting for gender, age, and MPI at baseline. Treatment’s interactions with age, gender, and MPI at baseline were tested adding the appropriate interaction parameter in the regression models. Results: Of the 126 patients included, 117 patients (93%) completed the study. A significant improvement in the MPI score was detected in the overall population (mean difference post-pretreatment: −0.03, p=0.001), with no differences between active and placebo arms. Men in the amino acid supplementation group had a significantly higher rate of improvement in MPI (81%) compared to the placebo group (46%) (Fisher’s exact test p=0.03). Adjusting for age, diagnosis, and MPI at baseline, amino acid treatment was shown to be associated with an improvement in MPI in men (OR=4.82, 95% confidence interval [CI]: 0.87–26.7) and not in women (OR=0.70, 95% CI: 0.27–1.81). The interaction effect between active treatment and gender was significant (p=0.04). Conclusion: A 4-week amino acid supplementation improved the MPI significantly in hospitalized older male patients but not in female patients. Further studies are needed to confirm the gender effect of amino acid supplementation on MPI in older patients