9 research outputs found
Anomalous development of the inferior vena cava: Case reports of agenesis and hypoplasia
we reported the cases of two adult male patients who were admitted to our emergency room with abdominal pain and dyspnea caused by gallstones and pulmonary embolism respectively. during the radiological investigations, as collateral findings, we found two anomalous development of the inferior vena cava. these conditions affect about 4% of population and, although asymptomatic or mildly symptomatic, are associated with thrombotic manifestations as deep vein thrombosis and pulmonary embolism. the prompt recognition of these anomalies is necessary in order to prevent the complications associated with these conditions and to set the best therapy for patients
Giustizia penale e politica in Italia tra Otto e Novecento. Modelli ed esperienze tra integrazione e conflitto
Il volume si focalizza sul problema della giustizia penale quale terreno privilegiato per analizzare e interpretare, nelle sue diverse categorie, forme ed esperienze, il problema del rapporto tra gli interessi e le esigenze della politica e i valori e le ragioni della giustizia. Muovendo da una prospettiva storico-giuridica sono stati posti al centro dell'indagine le ricostruzioni della scienza giuridica, i modelli processuali, le forme della giustizia. alcune esperienze preunitarie, per giungere sino all'et\ue0 repubblicana
Enhancing Social Life with Path Solvers: Rendezvous without Constraints on Meeting Place and Time
This paper presents a novel approach to help
rendezvous between a group of people by means of their
own mobile device.
The group is dynamically created and consists of pedestrians
who take part to a common activity, share a common context and
have some kind of social relationship. When the rendezvous is
called by a group member, he/she becomes the group leader and
a light-weight path-solving algorithm guides all the other group
members right away to their leader, who is not constrained to
wait in a predefined meeting place, as he becomes the dynamic
target of the path solver
Twenty-four hour and early morning blood pressure control of olmesartan vs. ramipril in elderly hypertensive patients: pooled individual data analysis of two randomized, double-blind, parallel-group studies.
OBJECTIVE: To assess the antihypertensive efficacy of olmesartan medoxomil and ramipril on 24-h ambulatory blood pressure (ABP) in elderly hypertensive patients by pooled data analysis of two studies with identical designs (one Italian, one European).
METHODS: After a 2-week placebo wash-out 1453 elderly hypertensive patients (65-89 years; sitting office DBP 90-109 mmHg and/or sitting office SBP 140-179 mmHg) were randomized to a 12-week double-blind treatment with olmesartan medoxomil 10 mg or ramipril 2.5 mg once-daily, up-titrated (20 and 40 mg olmesartan medoxomil; 5 and 10 mg ramipril) after 2 and 6 weeks in patients
without normalized office BP. 24-h ABP was recorded at randomization and after 12 weeks.
RESULTS: In 715 patients with valid baseline and end-of-treatment recordings baseline-adjusted 24-h SBP and DBP reductions were greater with olmesartan medoxomil (n = 356) than with ramipril (n = 359) [between-treatment differences and 95% confidence interval (CI), SBP: 2.2 (3.8, 0.6), P = 0.006; DBP: 1.3 (2.2,
0.3), P = 0.009]. Olmesartan medoxomil showed larger BP reductions in the last 6 h from the dosing interval and higher smoothness indices than ramipril.
Olmesartan medoxomil reduced the SBP morning rise [-2.8 (-4.9, -0.8) mmHg], whereas ramipril did not [+1.5 (-0.6, +3.6) mmHg; P = 0.004 between-treatments].
Five hundred and eighty-two patients with sustained hypertension (office and 24-h ambulatory hypertension) showed the largest antihypertensive effect, with between-treatment differences still in favor of olmesartan medoxomil [SBP: 2.1 (3.9, 0.4), P = 0.019; DBP: 1.2 (2.3, 0.1), P = 0.032].
CONCLUSIONS: Olmesartan medoxomil provides a more effective and sustained 24-h BP control than ramipril in elderly hypertensive patients, particularly in the hours farthest from last intake
Cardiac rehabilitation in very old patients: data from the Italian Survey onCardiac Rehabilitation-2008 (ISYDE-2008)--official report of the ItalianAssociation for Cardiovascular Prevention, Rehabilitation, and Epidemiology
BACKGROUND: Using data from the Italian SurveY on carDiac rEhabilitation-2008
(ISYDE-2008), this study provides insight into the level of implementation of
cardiac rehabilitation (CR) in very old cardiac patients.
METHODS: Data from 165 CR units were collected online from January 28 to February
10, 2008.
RESULTS: The study cohort consisted of 2,281 patients (66.9 ± 11.8 years): 1,714
(62.4 ± 9.6 years, 78% male) aged<75 years and 567 aged ≥ 75 years (80.8 ± 4.5
years, 59% male). Compared with adults, a higher percentage of older patients
were referred to CR programs after cardiac surgery or acute heart failure and
showed more acute phase complications and comorbidity. Older patients were less
likely discharged to home, more likely transferred to nursing homes, or
discharged with social networks activation. Older patients had higher death rate
during CR programs (odds ratio = 4.6; 95% confidence interval = 1.6-12.9; p =
.004).
CONCLUSION: The ISYDE-2008 survey provided a detailed snapshot of CR in very old
cardiac patients