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Calcific left atrium:A rare consequence of endocarditis

World Journal of Cardiology 2014年第9期6卷 1038-1040页

作者： giuseppe Dattilo Carmelo Anfuso Matteo Casale Vincenza Giugno Lorenzo Camarda Natascia Laganà Gianluca Di Bella Department of Clinical and Experimental Medicine Section of CardiologyUniversity of Messina Division of Radiology ‘Ospedali Riuniti Papardo-Piemonte’ Hospital

Usually, cardiac calcifications are observed in aortic and mitral valves, atrio-ventricular plane, mitral annulus, coronary arteries, pericaridium(usually causing constrictive pericarditis) and cardiac masses. Calcifications of atrial walls are unusual findings that can be identified only using imaging with high spatial resolution, such as cardiac magnetic resonance and computed tomography. We report a case of a 43-year-old patient with no history of heart disease that underwent cardiac evaluation for mild dyspnoea. The echocardiogram showed a calcific aortic valve and a hyper-echogenic lesion located in atrio-ventricular plane. The patient was submitted to cardiac magnetic resonance and to computed tomography imaging to better characterize the localization of mass. The clinical features and location of calcified lesion suggest an infective aetiology causing an endocarditis involving the aortic valve, atrioventricular plane and left atrium. Although we haven't data to support a definite and clear diagnosis, the clinical features and location of the calcified lesion suggest an infective aetiology causing an endocarditis involving the aortic valve, atrio-ventricular plane and left atrium. The patient was followed for 12 mo both clinically and by electrocardiogram and echocardiography without worsening of clinical, electrocardiographic and echocardiographic data. Cardiac magnetic resonance imaging and computed tomography are ideal methods for identifying and following over time patients with calcific degeneration in the heart.

关键词： Calcific left atrium:A rare consequence of endocarditis

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Oldest biliary endoprosthesis in situ

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World Journal of Gastrointestinal Endoscopy 2013年第7期5卷 356-358页

作者： Pierluigi Consolo giuseppe Scalisi Stefano F Crinò Andrea Tortora Giuseppa Giacobbe Marcello Cintolo Luigi Familiari Socrate Pallio Digestive Endoscopy Unit University Hospital98100 Messina Italy

The advantages of endoscopic retrograde cholangio-pancreatography over open surgery have made it the predominant method of treating patients with choledo-cholithiasis. After sphincterotomy, however, 10%-15% of common bile duct stones cannot be removed with a basket or balloon. The methods for managing "irretrievable stones" include surgery, mechanical lithotripsy, intraductal or extracorporeal shock wave lithotripsy and biliary stenting. The case presented was a referred 82-year-old Caucasian woman with a 7-year-old plastic biliary endoprosthesis in situ . To the best of our knowledge the examined endoprosthesis is the oldest endo-prosthesis in situ reported in the literature. Endoscopic biliary endoprosthesis placement remains a simple and safe procedure for patients with stones that are difficult to manage by conventional endoscopic methods and for patients who are unfit for surgery or who are high surgical risks. To date no consensus has been reached regarding how long a biliary prosthesis should remain in situ . Long-term biliary stenting may have a role in selected elderly patients if stones extraction has failed because the procedure may prevent stones impaction and cholangitis.

关键词： Common bile duct stones Cholangitis Biliary endoprosthesis Endoscopic retrograde cholangio-pancreatography Endoscopic sphincterotomy

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Biliary and pancreatic stenting:Devices and insertiontechniques in therapeutic endoscopic retrogradecholangiopancreatography and endoscopic ultrasonography

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World Journal of Gastrointestinal Endoscopy 2016年第3期8卷 143-156页

作者： Benedetto Mangiavillano Nico Pagano Todd H Baron Monica Arena giuseppe Iabichino Pierluigi Consolo Enrico Opocher Carmelo Luigiano Unit of Gastroenterology and Digestive Endoscopy General Hospital of Sanremo18038 SanremoItaly Unit of Gastroenterology Department of Medical and Surgical SciencesS.Orsola-Malpighi HospitalUniversity of Bologna40138 BolognaItaly Division of Gastroenterology and Hepatology University of North CarolinaChapel HillNC 27599United States Unit of Digestive Endoscopy San Paolo Hospital20142 MilanoItaly Endoscopy Unit University Hospital“G.Martino”98125 MessinaItaly Department of Surgery Unit of Hepatobiliopancreatic and Digestive SurgerySan Paolo HospitalUniversity of Milan20142 MilanoItaly

Stents are tubular devices made of plastic or metal. Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to drain the gallbladder and pancreatic fluid collections. Recent progresses in techniques of stent insertion and metal stent design are represented by new, fullycovered lumen apposing metal stents. These stents are specifically designed for transmural drainage, with a saddle-shape design and bilateral flanges, to provide lumen-to-lumen anchoring, reducing the risk of migration and leakage. This review is an update of the technique of stent insertion and metal stent deployment, of the most recent data available on stent types and characteristics and the new applications for biliopancreatic stents.

关键词： Biliary stent Pancreatic stent Endoscopicretrograde cholangiopancreatography Self-expandable metal stent Endoscopic ultrasonography

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Self-worth and psychological adjustment of obese children:An analysis through the Draw-A-Person

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World Journal of Psychiatry 2016年第3期6卷 329-338页

作者： giuseppe Scimeca Amelia Alborghetti Antonio Bruno Giulia Maria Troili Gianluca Pandolfo Maria Rosaria Anna Muscatello Rocco Antonio Zoccali Psychiatric Unit Department of BiomedicalDental Sciences and Morpho-functional ImagingUniversity of Messina "Don Carlo Gnocchi" Foundation

AIM To investigate psychopathological correlates of child obesity via the Draw-A-Person test(DAP).METHODS The participants were 50 children with a mean age of 9.74 *** mass index(BMI) was used as a measure of body *** were divided into normal(n = 17),overweight(n = 14) and obese(n = 19).Two qualitative methods of scoring the DAP based on an integrative approach were used to assess self-concept(ESW) and overall level of children's adjustment(EAC).A procedure for judging interpretative skills of clinicians was implemented before they evaluated children's *** As predicted by our hypothesis,BMI was negatively correlated with ESW,r(50) =-0.29,P < 0.05,but not with EAC,r(50) =-0.08,P = *** evaluate the effect of gender,Pearson correlations were re-computedregrouping the sample accordingly:BMI and EAC reached a significant negative correlation in female subjects,r(24) =-0.36,P < 0.05,and a positive correlation in male subjects,r(26) = 0.37,P = < 0.05;negative correlation between BMI and ESW became stronger in females,r(24) =-0.51,P < 0.01 but not in males,whose correlation disappeared resulting not-significant,r(26) =-0.06,P = *** effect of age was *** indicate that obesity has a negative correlation exclusively on overall adjustment and self-concept in female *** It was concluded that there is a negative bias toward females that reveals how the stigma of obesity is widespread in Western society.

关键词： Obesity Draw a person Draw-A-Person test Projective techniques Psychopathology

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