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41.
42.
Pajno GB Passalacqua G Salpietro C Vita D Caminiti L Barberio G 《European annals of allergy and clinical immunology》2005,37(7):271-272
We describe one case of baker's yeast true allergy in a boy with previously diagnosed mite-allergy and atopic dermatitis. At the age of 6, being atopic dermatitis and rhinitis well controlled by drugs, he began to experience generalized urticaria and asthma after eating pizza and bread, but only fresh from the oven. The diagnostic workup revealed single sensitization to baker's yeast (Saccharomyces cerevisiae), and a severe systemic reaction also occurred during the prick-by-prick procedure. After discussing with parents, no special dietary restriction was suggested but the use of autoinjectable adrenaline and on demand salbutamol. A diary of symptoms was recorded by means of a visual-analog scale. During the subsequent 2 years, the severity of symptoms was progressively reduced, and presently urticaria has disappeared. Only cough persists, invariantly after eating just-baked and yeast-containing foods. If bread, pizza and cakes are ate more than one hour after preparation, no symptom occur at all. Baker's yeast is a common component of everyday diet and it usually acts as an allergen only by the inhalatory route. We speculate that the continuous exposure to saccharomyces in foods may have lead to an immunotolerance with a progressive reduction of symptoms, whereas why the allergens is active only in ready-baked foods remains unexplained. 相似文献
43.
Salpietro CD Briuglia S Merlino MV Di Bella C Rigoli L 《European journal of pediatrics》2003,162(10):727-728
44.
Cadmium concentration in maternal and cord blood and infant birth weight: a study on healthy non-smoking women 总被引:8,自引:0,他引:8
Salpietro CD Gangemi S Minciullo PL Briuglia S Merlino MV Stelitano A Cristani M Trombetta D Saija A 《Journal of perinatal medicine》2002,30(5):395-399
The aim of our study was to measure, at delivery, maternal and cord blood cadmium levels (by means of atomic absorption spectrometry) in 45 healthy non-smoking pregnant women exposed to a low cadmium challenge, and to evaluate the relationship between these cadmium levels and the birth weight of the infants. Our results showed fairly low cadmium levels in maternal blood, in accordance with the fact that all women enrolled in this study lived in areas with low toxic metal contamination and that they did not smoke during their pregnancy. Furthermore, a highly significant direct correlation was found between maternal and cord blood cadmium concentrations. Since cadmium concentration appeared of the same order of magnitudine both in cord and maternal serum, one could speculate that cadmium is transferred easily from the mother to the fetus through the placenta. Finally, we found that birth weight is inversely correlated with maternal and cord blood cadmium concentrations; thus birth weight might be negatively influenced by cadmium levels as a result of the toxic effects of the metal on the placenta. Although preliminary, our data show that (also not-predictable) prenatal exposure to even low cadmium levels might be a risk factor for developmental impairment in infants. 相似文献
45.
46.
Large sphenocavernous meningiomas: Is there still a role for the intradural approach via the pterional-transsylvian route? 总被引:4,自引:0,他引:4
Tomasello F de Divitiis O Angileri FF Salpietro FM d'Avella D 《Acta neurochirurgica》2003,145(4):273-282
Summary.
Background: Large-sized sphenocavernous meningiomas represent a surgical challenge. Although the role of skull base techniques with combined
extra- and intradural steps has been recently emphasized, pure intradural resection tactics via the pterional route constitute
the traditional microsurgical approach for resection of such tumours.
Method: We report the application of the pterional-transsylvian approach in 13 patients with sphenocavernous meningiomas. This series
is unique because it includes only patients with tumours exceeding 5 cm in their greatest dimension.
Findings: A gross total resection was accomplished in 10 patients (77%). Eight patients had a good outcome, one had a persistent mild
hemiparesis, and one died. No recurrences occurred in this group. Three patients (23%) had subtotal resections owing to invasion
of the cavernous sinus in one instance and encasement of the middle cerebral artery in the others. Two had a good outcome
and one died. In these patients minimal asymptomatic tumour progression was seen 3 and 6 years after surgery. The overall
surgical outcome was good in 10 patients (77%), fair in one, and death in two.
Interpretation: In our experience, large sphenocavernous meningiomas may be operated on adopting pure intradural resection tactics via the
pterional-transsylvian route with rates of gross total removal and surgical complications related to brain retraction or vascular
manipulation comparable to those of extensive skull base approaches. The traditional intradural pterional transsylvian approach
continues to have a place in the treatment of these lesions.
Published online April 28, 2003
RID="*"
ID="*" This paper was supported in part by Grant “Piano B008 – P.R. 2” from M.U.R.S.T. and European Community.
Correspondence: Domenico d'Avella, M.D., Neurosurgical Clinic, Department of Neuroscience, Psychiatric and Anesthesiolgical
Sciences, Policlinico Universitario, via Consolare Valeria 1, 98122 Messina, Italy. 相似文献
47.
Alafaci C Salpietro FM Puglisi E Tripodo E Matalone D Di Pietro G Tomasello F 《Journal of neurosurgical sciences》2001,45(2):110-113
A 16-year-old girl complained of 2-year history of right facial pain, episodic vertigo and progressive hearing loss in the right ear. The facial pain was described as an episodic lancinating event confined to the second and third branch of the right trigeminal nerve. Computed tomography and magnetic resonance imaging revealed a 2 cm lesion in the right cerebellopontine-angle. At surgery, a soft, yellowish mass was found incorporating the 7th and 8th cranial nerves. The anterior-inferior cerebellar artery (AICA) was displaced medially and pushed into the sensory portion of the trigeminal nerve root, causing vascular compression. The hearing loss remained unchanged. The trigeminal pain disappeared over a period of several weeks. Patients can be harmed in an attempt to remove these neurovascular nonmalignant, generally non growing, fatty vascular lumps. Only a partial, meticulous removal should be performed with a maximum effort to decompress the affected nerve. 相似文献
48.
In vivo evidence that erythropoietin has a neuroprotective effect during subarachnoid hemorrhage 总被引:10,自引:0,他引:10
Buemi M Grasso G Corica F Calapai G Salpietro FM Casuscelli T Sfacteria A Aloisi C Alafaci C Sturiale A Frisina N Tomasello F 《European journal of pharmacology》2000,392(1-2):31-34
To ascertain in vivo whether recombinant human erythropoietin has a neuroprotective effect on the cortex during subarachnoid hemorrhage, 56 rabbits were divided into the following groups: Group 1 control sham operated plus placebo (n=14; saline solution - NaCl 0.9%); Group 2 control sham operated plus recombinant human erythropoietin (n=14); Group 3 subarachnoid hemorrhage plus placebo (n=14); Group 4 subarachnoid hemorrhage plus recombinant human erythropoietin (n=14; intraperitoneal administration of recombinant human erythropoietin immediately after inducing subarachnoid hemorrhage). In none of the Groups 1 and 2 animals was subarachnoid hemorrhage induced. In Group 3 rabbits, an increase in locomotor activity (open field apparatus) was observed 24, 48 and 72 h after surgery, and the mortality rate was 42.9% within 72 h after surgery, and, no increase in locomotor activity was observed in Group 4 rabbits, which survived for at least 72 h. Our findings suggest that recombinant human erythropoietin may be of benefit in the treatment of subarachnoid hemorrhage. 相似文献
49.
The use of the Bene-Anthony Family Relations Test is described and illustrated by three examples of child abuse. This test should be considered in the investigation of definite or suspected cases of abuse and as part of the preparation of court evidence. 相似文献
50.
0 引言 踝关节骨折是临床上较常见的关节内骨折,包含了腓骨骨折,内踝骨折,后踝骨折和下胫腓联合的损伤. 处理不当可导致踝穴的变形,下胫腓联合分离后期出现创伤性关节炎. 相似文献