检索结果-南通市图书馆

The indeterminable resilience of the fascial system

Journal of Integrative Medicine 2017年第5期15卷 337-343页

作者： bruno Bordoni Fabiola Marelli bruno morabito Beatrice Sacconi Department of Cardiology Institute of Hospitalization and Care with Scientific AddressFoundation Don Carlo Gnocchi IRCCSMilan 20100Italy Department of Fascial Osteopathic Research:FORe School of Osteopathic Centre for Research and StudiesCRESOGorla Minore(VA)21055Italy Department of Fascial Osteopathic Research:FORe School of Osteopathic Centre for Research and StudiesCRESOFano(Pesaro Urbino)61032Italy Departmente of Neurology Foundation Polyclinic University A.Gemelli University Cattolica del Sacro CuoreRome 00168Italy Department of Radiological Oncological and Anatomopathological SciencesSapienza University of RomeRome 00185Italy

The most recent information on fascial tissue indicates that there are not fascial layers, but polyhedral microvacuoles of connective tissue, which connect the body systems and, by hosting specialized cells, permit several functions, such as motor, nervous, vascular and visceral. These microvacuoles（a repetition of polyhedral units of connective fibrils） under internal or external tension change shape and can manage the movement variations, regulating different body functions and ensuring the maintenance of efficiency of the body systems. Their plasticity is based on perfect functional chaos： it is not possible to determine the motion vectors of the different fibrils, which differ in behavior and orientation; this strategy confers to the fascial continuum the maximum level of adaptability in response to the changing internal and external conditions of the cell. The present commentary deals with this concept, providing clinical examples of different disease patterns, providing contrary examples in which this adaptability does not occur, and lastly suggesting considerations for the approach to manipulative therapy of the fascial tissue. The fascial continuum is like a flock of birds flying together without a predetermined logic and maintaining their individuality at the same time.

关键词： fascia osteopathic manual therapy fibroblast fascial continuum

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

New Proposal of Evaluation of the Thoracic Outlet

引用

Open Journal of Therapy and Rehabilitation 2018年第2期6卷 17-42页

作者： Bordoni bruno Marelli Fabiola morabito bruno Sacconi Beatrice Foundation Don Carlo Gnocchi IRCCS Department of Cardiology Institute of Hospitalization and Care with Scientific Address Milan Italy CRESO School of Osteopathic Centre for Research and Studies Aprile Italy CRESO School of Osteopathic Centre for Research and Studies Fano (Pesaro Urbino) Italy Foundation Polyclinic University A. Gemelli University Cattolica del Sacro Cuore Rome Italy Sapienza University of Rome Radiological Oncological and Anatomopathological Sciences Rome Italy

The present article comprehensively reviews the thoracic outlet syndrome (TOS), its etiology and assessment, with reference to the usual conservative treatment and surgical therapy, highlighting new definitions and reporting obsolete tests. The syndrome affects about 8% of the population, with higher prevalence in females, and rarely affects the children. Conservative, non-surgical treatment produces good results, and it becomes important to know which specific areas need to be treated. Currently, there is no rehabilitation scheme, either osteopathic or chiropractic, considered as a valid tool for a precise localization of the pathologic condition, probably due to the lack of a manual assessment process to evaluate bones and muscular components of the thoracic outlet. In this situation, the manual treatment performed is usually generic. The present article proposes a manual evaluation that can be used to identify the anatomical area which needs to be treated. This hypothesis of assessment should be carried out after the clinician has ruled out the necessity of surgery with instrumental examinations.

关键词： Thoracic Outlet Syndrome Physiotherapy Osteopathic Chiropractic Pain Manual Evaluation Fascia

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Is human hepatocellular carcinoma a hormone-responsive tumor?

引用

World Journal of Gastroenterology 2008年第11期14卷 1682-1689页

作者： Massimo Di Maio bruno Daniele Sandro Pignata Ciro Gallo Ermelinda De Maio Alessandro morabito Maria Carmela Piccirillo Francesco Perrone Medical Oncology "N.Giannettasio"Hospital Rossano 87068Italy Medical Oncology "G.Rummo"Hospital Benevento 82100Italy Medical Oncology B National Cancer Institute Napoli 80131Italy Department of Medicine and Public Health Second University of NapoliNapoli 80138Italy Clinical Trials Unit National Cancer InstituteNapoli 80131Italy Clinical Trials Unit National Cancer InstituteVia M.SemmolaNapoli 80131 Italy

Before the positive results recently obtained with multitarget tyrosine kinase inhibitor sorafenib,there was no standard systemic treatment for patients with advanced hepatocellular carcinoma(HCC).Sex hormones receptors are expressed in a significant proportion of HCC *** preclinical and epidemiological studies supporting a relationship between sex hormones and HCC tumorigenesis,several randomized controlled trials (RCTs)tested the efficacy of the anti-estrogen tamoxifen as systemic *** among these trials showed no survival advantage from the administration of tamoxifen,and the recent Cochrane systematic review produced a completely negative *** questions the relevance of estrogen receptor-mediated pathways in ***,a possible explanation for these disappointing results is the lack of proper patients selection according to sex hormones receptors expression,but unfortunately the interaction between this expression and efficacy of tamoxifen has not been studied *** has been also proposed that negative results might be explained if tamoxifen acts in HCC via an estrogen receptor-independent pathway,that requires higher doses than those usually administered, but an Asian RCT conducted to assess dose-response effect was completely ***,preliminaryresults have been obtained when hormonal treatment (tamoxifen or megestrol)has been selected according to the presence of wild-type or variant estrogen receptors respectively,but no large RCTs are available to support this *** results have been obtained also with anti-androgen *** conclusion,there is no robust evidence to consider HCC a hormone-responsive *** treatments should not be part of the current management of HCC.

关键词： Hepatocellular carcinoma Sex hormones Hormonal treatment Tamoxifen

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：