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Augusto D'Onofrio Stefano Salizzoni Marco Agrifoglio Linda Cota Giampaolo Luzi Paolo M. Tartara Giovanni D. Cresce Marco Aiello Carlo Savini Mauro Cassese Alfredo Cerillo Giuseppe Punta Micaela Cioni Davide Gabbieri Chiara Zanchettin Andrea Agostinelli Enzo Mazzaro Omar Di Gregorio Giuseppe Gatti Giuseppe Faggian Claudia Filippini Mauro Rinaldi Gino Gerosa 《The Annals of thoracic surgery》2013
64.
Gender role conflict may influence condom use among black MSM. We examined relationships between the Gender Role Conflict Scale (GRCS), social/demographic variables and condom use among 456 black MSM. Higher total GRCS scores did not predict unprotected insertive anal intercourse (UIAI) or unprotected receptive anal intercourse (URAI) with men, but were associated with unprotected vaginal or anal intercourse (UVI/UAI) with women among bisexually active participants (n?=?69). Higher perceived HIV risk reduced the likelihood of both UIAI and URAI with men. Internet recruitment venues, sexual discrimination experiences, higher numbers of sex partners and UVI/UAI with women all increased the likelihood of UIAI with men, while education (college/technical school or college degree) was associated with URAI with men. Future sexual health interventions for black MSM should emphasize broader social/demographic and alternative gender role variables with male sexual partners, while traditional GRCS variables may prove useful among those with female sexual partners. 相似文献
65.
De Maria E Bonetti L Patrizi G Scrivener J Andraghetti A Di Gregorio F Montin A Zuccon G Cappelli S 《Journal of interventional cardiac electrophysiology》2012,34(1):105-113
Aims
Complications of implantable cardioverter-defibrillator (ICD) therapy are often linked to transvenous lead insertion, lead failure, or infections. An entirely subcutaneous ICD system (S-ICD) avoids the need for the placement of electrodes within the heart and can provide clinical advantages. 相似文献66.
Gregorio Zubieta-O’Farrill Juan de Dios del Castillo-Calcáneo Carlos Gonzalez-Sanchez Eduardo Villanueva-Saenz Jacob A. Donoghue 《International journal of surgery case reports》2013,4(4):359-361
INTRODUCTIONOne-third of the world's population is infected with tuberculosis (TB), with intestinal TB representing the sixth most common presentation of extrapulmonary TB. The diagnosis of intestinal TB is a challenge for physicians due to its diverse clinical manifestations that mimic other infectious, autoimmune, and neoplastic disorders, and is thus rarely considered as the causative agent of disease.PRESENTATION OF CASEWe present a 55-year-old male with no relevant familial history, who presented due to a loss of 10 kg of weight in 2 months accompanied by nocturnal diaphoresis and continuous abdominal distension.DISCUSSIONThe incidence and the severity of intestinal TB are increased in immunosuppressed patients and more rapidly progress due to deficient immune response. However, our immunocompetent had severe progression resulting in surgery less than a month after the diagnosis was made.CONCLUSIONWhile the diagnosis of intestinal TB, and specifically colonic TB, is difficult and is almost never the first diagnosis entertained outside the immunocompromised population, we present a rare case in which the disease presents in an immunocompetent patient. 相似文献
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Di Gregorio R Parenti-Castelli V O'Connor JJ Leardini A 《Medical & biological engineering & computing》2007,45(3):305-313
The paper presents a theoretical model of the ankle joint, i.e. tibio-talar articulation, which shows how the articular surfaces
and the ligaments, acting together as a mechanism, can control the passive kinematics of the joint. The authors had previously
shown that, in virtually unloaded conditions, the ankle behaves as a single degree-of-freedom system, and that two ligament
fibres remain nearly isometric throughout the flexion arc. Two different equivalent spatial parallel mechanisms together with
corresponding kinematic models were formulated. These assumed isometricity of fibres within the calcaneal-fibular and tibio-calcaneal
ligaments and rigidity of the articulating surfaces, taken as three sphere-plane contacts in one model, and as a single spherical
pair in the other. Geometry parameters for the models were obtained from three specimens. Motion predictions compare quite
well with the measured motion of the specimens. The differences are accounted for by the simplifications adopted to represent
the complex anatomical structures, and might be reduced by future more realistic representations of the natural articular
surfaces. 相似文献
69.
Alvaro Baik Cho M.D. Ph.D. Renata Gregorio Paulos M.D. Marcelo Rosa de Resende M.D. Ph.D. Leandro Yoshinobu Kiyohara M.D. Luiz Sorrenti M.D. Teng Hsiang Wei M.D. Ph.D. Raul Bolliger Neto M.D. Rames Mattar Júnior M.D. Ph.D. 《Microsurgery》2014,34(7):511-515
The purpose of this study was to observe whether the results of the median nerve fascicle transfer to the biceps are equivalent to the classical ulnar nerve fascicle transfer, in terms of elbow flexion strength and donor nerve morbidity. Twenty‐five consecutive patients were operated between March 2007 and July 2013. The patients were divided into two groups. In Group 1 (n = 8), the patients received an ulnar nerve fascicle transfer to the biceps motor branch. In Group 2 (n = 15), the patients received a median nerve fascicle transfer to the biceps motor branch. Two patients with follow‐up less than six months were excluded. Both groups were similar regarding age (P = 0.070), interval of injury (P = 0.185), and follow‐up period (P = 0.477). Elbow flexion against gravity was achieved in 7 of 8 (87.5%) patients in Group 1, versus 14 of 15 (93.3%) patients in Group 2 (P = 1.000). The level of injury (C5‐C6 or C5‐C7) did not affect anti‐gravity elbow flexion recovery in both the groups (P = 1.000). It was concluded that the median nerve fascicle transfer to the biceps is as good as the ulnar nerve fascicle transfer, even in C5‐C7 injuries. © 2014 Wiley Periodicals, Inc. Microsurgery 34:511–515, 2014. 相似文献
70.
Anghela Z. Paredes J. Madison Hyer Diamantis I. Tsilimigras Elizabeth Palmer Maryam B. Lustberg Mary E. Dillhoff Jordan M. Cloyd Allan Tsung Aslam Ejaz Sharla Wells-Di Gregorio Timothy M. Pawlik 《HPB : the official journal of the International Hepato Pancreato Biliary Association》2021,23(3):451-458
BackgroundAmong patients with pancreatic cancer, the association of pre-existing mental illness with long-term outcomes remains unknown.MethodsIndividuals diagnosed with pancreatic adenocarcinoma were identified in the SEER-Medicare database. Patients were classified as having mental illness if an ICD9/10CM code for anxiety, depression, bipolar disorder, schizophrenia or other psychotic disorder was recorded.ResultsAmong the 54,234 Medicare beneficiaries with pancreatic cancer, roughly 1 in 12 (n = 4793, 8.83%) individuals had a diagnosis of a mental illness. The majority (n = 4029, 84.1%) had anxiety or depression, while 16% (n = 764) had bipolar/schizophrenic disorders. On multivariable analysis, among patients with early stage cancer, individuals with pre-existing anxiety/depression and bipolar/schizophrenic disorders had 22% (OR 0.78, 95% CI 0.69–0.86) and 46% (OR 0.54, 95% CI 0.42–0.70) reduced odds, respectively, to undergo cancer-directed surgery. Furthermore, patients with a pre-existing history of bipolar/schizophrenic disorders had a 20% (HR 1.20, 95% CI 1.21–1.40) higher risk of all-cause mortality and 27% (HR 1.27, 95% CI 1.17–1.37) higher risk of pancreatic cancer-specific mortality compared to individuals without a history of mental illness.ConclusionOne in twelve patients with pancreatic cancer had a pre-existing mental illness. Individuals with mental illness were more likely to have worse overall and cancer-specific long-term outcomes. 相似文献