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1.
de Palma L Santucci A Marinelli M Borgogno E Catalani A 《Archives of orthopaedic and trauma surgery》2008,128(6):593-598
Introduction Subtalar dislocation (SD) is an uncommon injury accounting for 1–2% of all dislocations. It involves simultaneous disruption
of the talocalcaneal and talonavicular joints, without involvement of the calcaneocuboid or tibiotalar joints or talar neck
fracture. We present a retrospective study of pure medial and lateral SDs treated conservatively and discuss the pathogenesis,
classification, prognostics and therapeutic aspects of SD.
Materials and methods Thirty patients, 24 men and 6 women (mean age 33 years; range 18–55) with closed isolated SD were treated conservatively and
re-evaluated at 5–12 years. There were 20 medial and 10 lateral dislocations. All patients were managed with immediate closed
reduction under general anaesthesia. Open dislocations and SDs associated with fractures were excluded.
Results The mean AOFAS Ankle–Hindfoot score was 78.8. Seven patients (all with medial SDs) had an AOFAS score of 100; 14 patients
(11 with medial and 3 with lateral SD) had a mean AOFAS score of 85; 6 patients (three with medial and three with lateral
SD) had a mean AOFAS score of 65; and 3 patients (all with lateral SDs) had a mean AOFAS score of 28. The latter patients
subsequently underwent subtalar fusion, with a fair outcome. The mean AOFAS scores of patients with lateral and medial SD
were not significantly different (P = 0.05).
Conclusion Various factors adversely affect outcome, including type of dislocation (lateral/medial, open/closed), severity of the injury,
associated fractures, length of immobilization. Management of closed isolated SD is by immediate conservative treatment in
order to avoid or reduce the incidence of early soft-tissue and vascular complications and poor long-term outcomes due to
post-traumatic arthritis, talus necrosis and subtalar joint stiffness. However, complications may still arise despite correct
treatment. 相似文献
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Allais G Rolando S Castagnoli Gabellari I Burzio C Airola G Borgogno P Schiapparelli P Allais R Benedetto C 《Neurological sciences》2012,33(Z1):S207-S210
Migraine is a disabling neurological disorder, aggravated by accompanying symptomatology, such as nausea. One of the most interesting approaches to nausea adopted by traditional Chinese medicine is the stimulation of the acupoint PC6 Neiguan. Actually there are no studies in medical literature as to the efficacy of treating PC6 acupoint for gastrointestinal symptoms in migraine attacks. Our study aimed at verifying if pressure applied to the acupoint PC6 was effective on nausea during migraine. Forty female patients suffering from migraine without aura were enrolled, if nausea was always present as accompanying symptomatology of their migraine. The patients were treated randomly for a total of six migraine attacks: three with the application of a device, the Sea-Band(?) wristband, which applies continual pressure to the PC6 acupoint (phase SB), and three without it (phase C). The intensities of nausea at the onset, at 30, 60, 120 and 240 min were evaluated on a scale from 0 to 10. The values were always significantly lower in phase SB than in phase C. Also the number of patients who reported at least a 50 % reduction in the nausea score was significantly higher in phase SB than in phase C at 30, 60 and 120 min. Moreover, the consistency of the treatment (response in at least two out of three treated attacks) was reached in 28 % patients at 60 min; in 40 % at 120 min and 59 % at 240 min. Our results encourage the application of PC6 acupressure for the treatment of migraine-associated nausea. 相似文献
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Allais Gianni Castagnoli Gabellari Ilaria Borgogno Paola De Lorenzo Cristina Benedetto Chiara 《Neurological sciences》2010,31(1):59-61
Most epidemiological studies demonstrate that women suffering from migraine note a significant improvement in their headaches during pregnancy. Both headache specialists and gynecologists commonly hold that migraine does not involve any risks to either the mother, or the fetus. Despite this, recent studies into the medical complications of pregnancy in migrainous women have cast doubts on this assumption. Indeed, most of these studies have revealed a significant association between migraine and hypertension in pregnancy (i.e. preeclampsia and gestational hypertension). Migraine has also been recently postulated as one of the major risk factors for stroke during pregnancy and the puerperium. Therefore, there is an urgent need for prospective studies on large numbers of pregnant women to determine the real existence and extent of the risks posed by migraine during pregnancy. In the meantime, while awaiting verification of this hypothesis, a pregnant woman with migraine must be subject to a particularly attentive screening by both the obstetrician and the headache specialist. 相似文献
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Alice Trentalange Enrica Borgogno Ilaria Motta Miriam Antonucci Veronica Pirriatore Cecilia Costa Giovanni Rossi Ambra Barco Amedeo De Nicolò Pavilio Piccioni Antonio D'Avolio Stefano Bonora Giovanni Di Perri Andrea Calcagno 《International journal of antimicrobial agents》2021,57(3):106297
BackgroundThe treatment of drug-sensitive tuberculosis (TB) is highly effective; however, many patients have suboptimal drug exposure, which possibly explains treatment failures and selection of resistance. This study aimed to describe the prevalence and determinants of suboptimal maximal concentrations (Cmax) for anti-TB drugs.MethodsAn observational study was conducted in patients receiving first-line anti-TB treatment. At two early time points (T1 and T2), blood samples were withdrawn 2 hours post-dose (Cmax) and drug concentrations were measured. Data were expressed as medians (interquartile ranges).ResultsThe study included 199 participants: 72.9% were male and the median age was 39.8 years (27.5–51.4). The median Cmax at T1 and T2 were 7950 ng/mL and 7122 ng/mL (rifampicin), 3260 ng/mL and 3185 ng/mL (isoniazid), 4210 ng/mL and 5742 ng/mL (ethambutol), and 31 008 ng/mL and 30 352 ng/mL (pyrazinamide), respectively. Higher doses/kg and other variables (being born in Italy and female gender for rifampicin, older age and proton pump inhibitor use for isoniazid, female gender and older age for pyrazinamide) were identified by multivariate linear regression analysis. Participants with a higher body mass index received lower doses/kg of all anti-TB drugs. Suboptimal Cmax at T1 and T2 were observed in 60% and 66% (rifampicin), 54% and 55% (isoniazid), 33% and 39% (ethambutol), 20% and 11% (pyrazinamide) of patients. Despite 21% of patients at T1 and 24% at T2 showing two or more drugs with suboptimal exposure, no effect on treatment outcome was observed.DiscussionThe majority of patients receiving first-line anti-TB drugs had low isoniazid and rifampin Cmax. Increased doses or the use of therapeutic drug monitoring in selected patients may be advised. 相似文献
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Schiapparelli Paola Allais Gianni Rolando Sara Airola Gisella Borgogno Paola Terzi Maria Grazia Benedetto Chiara 《Neurological sciences》2011,32(1):15-18
Acupuncture has a long tradition of use for the treatment of many pain conditions, including headache. Its effectiveness has been studied mainly for primary headaches, particularly for migraine and tension-type headache (TTH). Traditional Chinese Medicine (TCM) has two diagnostic frameworks for headaches: meridian diagnoses, based on the location of the pain and on the meridians (or channels) that pass through it; syndrome diagnoses, dependent on external or internal factors and on the characteristics of the pain. The four meridians involved in headache are Shaoyang (TE-GB channels, on the temporal sides of the head); Taiyang (SI-BL channels, occiput); Yangming (LI-ST channels, forehead) and Jueyin (PC-LR channels, vertex). The syndromes may be due to excess or deficit. Very generally, the excess syndromes correspond in the majority of cases to migraine and the deficit syndromes to TTH. Acupuncture is a complex intervention, which is also characterized by a close interaction between patient and therapist. The complicated system of TCM classification of headaches has frequently generated great diversity among the various therapeutic approaches used in the different studies on acupuncture in headache treatment. Despite these differences, the recent Cochrane systematic reviews on acupuncture in migraine and in TTH suggest that acupuncture is an effective and valuable option for patients suffering from migraine or frequent TTH. Moreover, acupuncture seems to be a cost-effective treatment. 相似文献
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Allais G. Bussone G. De Lorenzo C. Castagnoli Gabellari I. Zonca M. Mana O. Borgogno P. Acuto G. Benedetto C. 《Neurological sciences》2007,28(2):S225-S228
Neurological Sciences - We investigated the biological and clinical effects of naproxen sodium (NxS) in the short-term prophylaxis of pure menstrual migraine (PMM) in 25 women suffering from... 相似文献
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Allais Gianni Castagnoli Gabellari Ilaria Airola Gisella Borgogno Paola Schiapparelli Paola Benedetto Chiara 《Neurological sciences》2009,30(1):15-20
The aim of this study was to assess the impact of psychological features in the choice of coping strategies in multiple sclerosis
(MS) patients, and their influence on quality of life (QoL). One hundred four patients (72 women, age 45.3 ± 10.9 years, disease
duration 17.9 ± 13.2 years, Expanded Disability Status Scale 2.8 ± 2.0) were assessed through the Beck Depression Inventory,
the State-Trait Anxiety Inventory, the Eysenck Personality Questionnaire, the Coping Orientation for Problem Experiences-New
Italian version and the MSQoL-54. MS patients were less likely to use problem-focused strategies, whereas avoiding strategies
were adopted more frequently. The use of positive strategies positively influenced both mental and overall QoL. Depression
had a negative impact on all QoL domains and anxiety on mental domains. These data point out the importance of a comprehensive
assessment of MS patients. Orienting therapeutic interventions, to oppose depression and anxiety and to favour more appropriate
coping strategies can improve the patients’ QoL. 相似文献
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Massive Trauma in A Community Exposed to Asbestos: Thinking and Dissociation among the Inhabitants of Casale Monferrato
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Francesca Viola Borgogno Isabella Giulia Franzoi Chiara Paola Barbasio Fanny Guglielmucci Antonella Granieri 《British Journal of Psychotherapy》2015,31(4):419-432
In Casale Monferrato, asbestos exposure has been a traumatic occurrence that has caused cancer and death among the town's inhabitants, resulting in the loss of trust and hope with regard to the future and the loss of healthy aspects of the self. This traumatic history has been denied for many years – part of an ‘out of sight, out of mind’ attitude that is often justified by financial interests. When traumatization is due to the careless behaviour of the owners of the major economic resources in a community, group identity is deeply affected. In such a situation, psychoanalytic group therapy seems to be the best means to historicize the event and create multiple narratives of somatopsychic suffering. In this paper, we present the experience of the first multifamily group in Casale Monferrato, focusing on the possibility of ‘diluting’ transference‐ and countertransference‐related feelings of helplessness, thereby making them more bearable and thinkable. Sharing the meaning of the trauma also highlighted vital aspects in the functioning of the mind of the group, leading to a new and more mature way of facing illness and death. 相似文献