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Contralateral delayed endolymphatic hydrops: Clinical features and long term outcome

Journal of Otology 2021年第4期16卷 205-209页

作者： Andrea Albera Andrea Canale Marco Boldreghini Sergio Lucisano giuseppe riva Roberto Albera Department of Neuroscience“Rita Levi Montalcini” University of TurinVia Cherasco 1510126TurinItaly Department of Surgical Sciences University of TurinCorso Dogliotti 1410100TurinItaly Mauriziano Umberto I Hospital Largo Filippo Turati 92TurinItaly AOU Citta della salute e della Scienza of Torino Hospital corso Bramante 8810100TurinItaly

Background:Contralateral delayed endolymphatic hydrops(CDEH)is a clinical entity characterized by fluctuating low frequency hearing loss and/or vertigo,mimicking Meniere’s disease(MD),that manifests after the appearance of severe non-hydropic hearing loss(NHHL)at the other ***:to describe the clinical features and the course of 57 patients affected by ***:this is a retrospective study;57 patients affected by CDEH,out of 1065 patients seen in the same period and affected by MD,were subjected to otoscopy,PTA threshold evaluation,impedance testing,ABR,research of positioning nystagmus,vestibular function evaluated by means of bithermal caloric test under video-oculographic,and MRI with ***:the CDEH was definite in 24 cases(42%),probable in 2(4%)and possible in 31(54%).The mean PTA threshold at the hydropic ear was 41 *** the last follow-up,40 patients(70%)did not report vertigo or fluctuating hearing *** the 17 patients who still reported symptomatology,11(64%)were affected by fluctuating hearing loss alone,4(23%)reported a subjective worsening of hearing loss and 2(12%)an acute vertigo ***:contralateral delayed endolymphatic hydrops is a relatively rare form of Meniere disease that manifests more frequently as a definite form or with fluctuating low-frequency hearing *** prognosis at a long term follow-up is relatively good in terms of vertigo *** delayed endolymphatic hydrops rarely determines a severe hearing loss in the better ear.

关键词： Endolymphatic hydrops Meniere’s disease Hearing loss

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Pediatric liver transplantation

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World Journal of Gastroenterology 2009年第6期15卷 648-674页

作者： Marco Spada Silvia riva giuseppe Maggiore Davide Cintorino Bruno Gridelli Istituto Mediterraneo peri Trapiantie Terapie ad alta specializzazione-IsMeTT University of Pittsburgh Medical Center90127 PalermoItaly Department of Reproductive Medicine and Child Development University of Pisa56100 PisaItaly

In previous decades,pediatric liver transplantation has become a state-of-the-art operation with excellent success and limited *** and patient survival have continued to improve as a result of improvements in medical,surgical and anesthetic management,organ availability,immunosuppression,and identification and treatment of postoperative *** utilization of split-liver grafts and living-related donors has provided more organs for pediatric *** immunosuppression regimens,including induction therapy,have had a significant impact on graft and patient *** developments of pediatric liver transplantation will deal with long-term followup,with prevention of immunosuppression-related complications and promotion of as normal growth as *** review describes the state-of-the-art in pediatric liver transplantation.

关键词： Pediatric liver transplantation Indications Surgical techniques Complications

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Müller-Weiss disease:Four case reports

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World Journal of Orthopedics 2020年第11期11卷 507-515页

作者： Antonio Volpe Luca Monestier Teresa Malara Giacomo riva giuseppe La Barbera Michele FrancescoSurace Foot and Ankle Clinic Policlinico Abano TermeAbano Terme 35031Italy Orthopedic and Trauma Unit ASST Sette LaghiVarese 21100Italy Department of Biomedical Science and Functional Images Universitàdi MessinaMessina 98122Italy Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System Department of Biotechnology and Life Sciences(DBSV)University of InsubriaVarese 21020Italy

BACKGROUND Müller-Weiss disease(MWD)is an idiopathic foot condition characterized by spontaneous tarsal“scaphoiditis”in *** bilateral and affecting females during the 4th-6th decades of life,the pathogenesis of MWD remains unclear:It has been traditionally considered a spontaneous osteonecrosis of the *** typical presentation of MWD is a long period of subtle discomfort followed by prolonged standing,atraumatic,disabling ***,there is no gold standard for the treatment of patients with *** support initial conservative *** treatment should be considered for failure of conservative therapies longer than 6 *** indication for surgery is severity of symptoms rather than severity of *** treatment options include core decompression,internal fixation of the tarsal navicular,open or arthroscopic triple fusion,talo-navicular or talo-navicular-cuneiform arthrodesis,and navicular excision with reconstruction of the medial *** SUMMARY In this study,we report four patients affected by *** and radiographic assessment,follow-up and treatment are *** As it is frequently misdiagnosed,MWD is challenging for orthopedic *** diagnosis and effective treatment are mandatory to avoid sequelae.

关键词： Müller-Weiss Etiopathogenesis Review Treatment Case report

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Total hip arthroplastyvs. osteosynthesis in acute complex acetabular fractures in the elderly:Evaluation of surgical management and outcomes

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Journal of Acute Disease 2017年第1期6卷 12-17页

作者： Serafino Carta Gabriele Falzarano giuseppe Rollo Predrag Grubor Mattia Fortina Luigi Meccariello Antonio Medici Alberto riva Luca Sampieri Paolo Ferrata Department of Medical and Surgical Sciences and Neuroscience Section of Orthopedics and TraumatologyUniversity of SienaUniversity Hospital Santa Maria alle ScotteSienaItaly Department of Orthopedics and Traumatology Hospital Gaetano RummoBeneventoItaly Department of Orthopedics and Traumatology Vito Fazzi HospitalLecceItaly Clinic of Traumatology University Hospital Clinical Center Banja LukaBanja LukaBosnia and Herzegovina

Objective: To retrospectively evaluate the open reduction internal fixation and total hip arthroplasty directions, results and complications associated with internal fixation in managing these fractures. Methods: In 8 years at 4 centers, 61 patients with associated acetabular fractures (Letournel classification) were treated. The patients were divided into two groups. The total hip arthoplasty (THA) group consisted of 30 patients, while the open reduction internal fixation group had 31 patients. The average age of the patients was 74.7 years. The following parameters were compared: the duration of surgery and hospitalization, the international unit of red blood cell concentrate transfusion, the time for the verticalization of the patient, perioperative complications, Harris hip score, and the short form (12) health survey. The clinical and radiographic follow-up was performed at 1 month, 3 months, 6 months and 12 months and annually thereafter. Patients with post-traumatic osteoarthritis formed the third comparison group.P≤ 0.05 was considered statistically significant according to the analytical Student’s t-test. Results: TheP Conclusions: Our experience shows that theTHA treatment for acetabular fractures in the elderly is to be preferred.

关键词： Acetabulum Fracture Elderly Osteoporosis Total hip arthroplasty Osteosynthesis

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Changes of liver fat content and transaminases in obese children after 12-mo nutritional intervention

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World Journal of Hepatology 2013年第9期5卷 505-512页

作者： Elvira Verduci Carlo Pozzato giuseppe Banderali Giovanni Radaelli Chiara Arrizza Antonio Rovere Enrica riva Marcello Giovannini Department of Pediatrics San Paolo HospitalUniversity of Milan20142MilanItaly Unit of Medical Statistics San Paolo HospitalUniversity of Milan20142 MilanItaly Department of Radiology San Paolo Hospital20142 MilanItaly

AIM:To assess a relationship between longitudinal changes in liver fat content and biochemical parameters in obese children after 1-year nutritional ***:Forty-six obese children, 21 males and 25females, aged 6-14 years, underwent metabolic measurements, liver ultrasonography(US) and chemicalshift magnetic resonance imaging(MRI) examinations at baseline and after 1-year nutritional intervention. A child was defined obese if her/his body mass index(BMI)was above the age- and sex-adjusted BMI Cole's curve passing through the cut-off of 30 kg/m2 at 18 *** Z scores were calculated and adjusted for age and gender by using the Cole's LMS-method and Italian reference data. Biochemistry included serum alanine aminotransferase(ALT) and aspartate aminotransferase(AST). Abdominal US and chemical-shift MRI were performed according to a randomized *** same radiologist performed US by a GE Logiq 9(General Electric Healthcare Medical Systems, Milwaukee, WI, United States) using a 3.5-MHz convex array transducer. Liver echogenicity was evaluated independently on videotape by 3 radiologists unaware of the child and MRI outcomes, and a consensus was established. Another experienced radiologist, unaware of the child and US data, performed the abdominal chemicalshift MRI with a 1-t system NT-Intera(Philips Medical Systems, Best, The Netherlands) and a phased-array coil. Liver fat fraction(FF) on MRI was judged elevated when greater than 9%. A FF>18% was considered expressing more severe cases of fatty liver according to Fishbein. A nutritional-behavioral intervention was recommended to promote a normocaloric balanced diet and active lifestyle based on the Italian guidelines for treatment of childhood ***:Compared to baseline, at the end of intervention children showed lower intakes of energy(mean± SD:2549±1238 Kcal vs 1770±622 Kcal, P<0.0001), total fat(90±47 g vs 52± 23g, P<0.0001),carbohydrates(356±174g vs 241±111 g, P=0.001),and protein(99±

关键词： Nonalcoholic fatty liver disease Childhood obesity Serum transaminases Magnetic resonance imaging Nutritional intervention

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