Pub Date : 2024-06-01Epub Date: 2023-08-01DOI: 10.23736/S0031-0808.23.04957-1
Jingjing Liu, Yongming Zhang
{"title":"Application of continuation care based on ABC-X model in patients after hypertensive intracerebral hemorrhage.","authors":"Jingjing Liu, Yongming Zhang","doi":"10.23736/S0031-0808.23.04957-1","DOIUrl":"10.23736/S0031-0808.23.04957-1","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"205-206"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-11-30DOI: 10.23736/S0031-0808.23.05019-X
Yun Lu, Ling Guan, Weiyu Bao
{"title":"Application value of ultrasound-guided fine needle aspiration combined with positioning clip in the evaluation of axillary lymph node status after neoadjuvant treatment of breast cancer.","authors":"Yun Lu, Ling Guan, Weiyu Bao","doi":"10.23736/S0031-0808.23.05019-X","DOIUrl":"10.23736/S0031-0808.23.05019-X","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"232-233"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-01-11DOI: 10.23736/S0031-0808.23.05039-5
Jie Gao, Rongguo Wang, Huimin Niu
{"title":"Analysis of changes in cardiac function parameters before and after surgery in OSAS patients.","authors":"Jie Gao, Rongguo Wang, Huimin Niu","doi":"10.23736/S0031-0808.23.05039-5","DOIUrl":"10.23736/S0031-0808.23.05039-5","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"224-225"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-03-27DOI: 10.23736/S0031-0808.24.05089-4
Jean-Louis Vincent
Increasing numbers of older patients are being admitted to the Intensive Care Unit (ICU) as the world's population ages. The biological process of ageing, senescence, results in altered ability to maintain normal homeostasis and organ function, including of the cardiovascular, immune, and neuromuscular systems. This contributes towards increased frailty in older patients, associated with functional limitations and increased vulnerability. Although widely defined using chronological age, the concept of "old age" is thus multifactorial, including biological, but also psychological and sociocultural aspects, which should all be taken into account when considering what is appropriate in terms of ICU admission and management. As for all patients, but perhaps particularly in this subgroup, decisions regarding ICU admission and treatment and the withdrawing and withholding of life support must be individualized.
{"title":"Ethical issues surrounding appropriate care for older persons in the Intensive Care Unit.","authors":"Jean-Louis Vincent","doi":"10.23736/S0031-0808.24.05089-4","DOIUrl":"10.23736/S0031-0808.24.05089-4","url":null,"abstract":"<p><p>Increasing numbers of older patients are being admitted to the Intensive Care Unit (ICU) as the world's population ages. The biological process of ageing, senescence, results in altered ability to maintain normal homeostasis and organ function, including of the cardiovascular, immune, and neuromuscular systems. This contributes towards increased frailty in older patients, associated with functional limitations and increased vulnerability. Although widely defined using chronological age, the concept of \"old age\" is thus multifactorial, including biological, but also psychological and sociocultural aspects, which should all be taken into account when considering what is appropriate in terms of ICU admission and management. As for all patients, but perhaps particularly in this subgroup, decisions regarding ICU admission and treatment and the withdrawing and withholding of life support must be individualized.</p>","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"146-154"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-12-13DOI: 10.23736/S0031-0808.23.05020-6
Liyun Guo, Yuexiao Qi, Na Tao, Yumei Dong, Haixia Song, Lihua Shao, Yaqin Cai, Lijun Xu, Shihong Wei
{"title":"Risk prediction of radioactive lung injury in patients with small cell lung cancer based on peripheral blood lymphocyte subsets.","authors":"Liyun Guo, Yuexiao Qi, Na Tao, Yumei Dong, Haixia Song, Lihua Shao, Yaqin Cai, Lijun Xu, Shihong Wei","doi":"10.23736/S0031-0808.23.05020-6","DOIUrl":"10.23736/S0031-0808.23.05020-6","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"233-235"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138804332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-07-18DOI: 10.23736/S0031-0808.23.04918-2
Yanchun Zhang, Lingxiao Wu
{"title":"Effect of post-hospital care intervention on the prognosis of patients treated with direct percutaneous coronary intervention for acute myocardial infarction.","authors":"Yanchun Zhang, Lingxiao Wu","doi":"10.23736/S0031-0808.23.04918-2","DOIUrl":"10.23736/S0031-0808.23.04918-2","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"211-213"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9882627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2023-08-03DOI: 10.23736/S0031-0808.23.04931-5
Xin Wang, Guoping Chen, Pu Pu, Shengkai Yang, Lei Huang, Shuhao Ji, Yong Li
{"title":"Effect of bronchoalveolar lavage on the expression level of SaO2 and TNF-α in severe pneumonia.","authors":"Xin Wang, Guoping Chen, Pu Pu, Shengkai Yang, Lei Huang, Shuhao Ji, Yong Li","doi":"10.23736/S0031-0808.23.04931-5","DOIUrl":"10.23736/S0031-0808.23.04931-5","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"213-215"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-09DOI: 10.23736/S0031-0808.23.05002-4
Giovanni Petralli, Edoardo Biancalana, Mariarosaria Distaso, Giulia Piazza, Maria T Caputo, Alice Del Zoppo, Chiara Rovera, Francesco Raggi, Domenico Tricò, Anna Solini
Background: Menopausal transition is a crucial step in the women's cardiovascular health, and the risk stratification in apparently health post-menopausal females has been rarely assessed. Heart ultrasonography, unusually performed in such subjects, would be able to detect initial signs of organ damage. We described the cardiovascular risk profile of non-diabetic post-menopausal women, evaluating how easily computed, biochemistry-derived scores were related to ultrasonographic measures of target organ damage.
Methods: We analyzed the characteristics of a cohort of two-hundred and seventy-three women consecutively referring to a prevention program of Azienda Ospedaliero-Universitaria Pisana (years 2017-2022) who underwent clinical evaluation, complete routine biochemical analyses with proxies of insulin resistance, heart and carotid ultrasonography. The cohort was further divided into four groups according to presence of isolated hypercholesterolemia (HC, 37%), isolated hypertension (HT, 5%), both HC/HT (38%), or none of them.
Results: In HC and HC/HT, LDL cholesterol was sharply above the recommended values (149 [134-171] mg/dL and 141 [123-159] mg/dL, respectively). E/e' ratio and left atrium size were augmented in HT women and further worsened in HT/HC, with an independent effect of hypertension (E/e' ß=0.055, P=0.013, left atrium volume ß=0.059, P=0.003). Presence of carotid plaques was independently linked to hypertension (ß=0.474, P=0.003). In HC and HC/HT, the Triglycerides-Glucose Index, a surrogate of insulin resistance, was higher than in the other classes (P=0.0013), and it was associated with E/A in HC and HT/HC, with a significative interaction (P=0.0004) with hypertension. Past hormone replacement therapy did not influence clinical, biochemical or echocardiographic parameters.
Conclusions: Postmenopausal women display a high cardiovascular risk burden; a simple clinical and biochemistry screening would be advisable to identify and treat those more at risk. Cardiac ultrasonographic parameters were worse in hypertensive, hypercholesterolemic and insulin-resistant subjects, who may also deserve a deep and early instrumental characterization, especially when these conditions are associated.
背景：绝经过渡期是女性心血管健康的关键一步，而对绝经后明显健康的女性进行风险分层的评估却很少。对这类受试者进行心脏超声波检查是非常罕见的，它能检测出器官损伤的最初迹象。我们描述了非糖尿病绝经后女性的心血管风险概况，评估了易于计算的生化评分与靶器官损伤超声波测量的相关性：我们分析了一组连续转诊至皮萨纳大学医院预防项目（Azienda Ospedaliero-Universitaria Pisana，2017-2022 年）的二百七十三名妇女的特征，她们接受了临床评估、带有胰岛素抵抗代用指标的完整常规生化分析、心脏和颈动脉超声波检查。根据是否存在孤立的高胆固醇血症（HC，37%）、孤立的高血压（HT，5%）、HC/HT（38%）或都不存在，该队列被进一步分为四组：结果：在 HC 和 HC/HT 中，低密度脂蛋白胆固醇大大高于推荐值（分别为 149 [134-171] mg/dL 和 141 [123-159] mg/dL）。高血脂妇女的E/e'比值和左心房体积增大，高血脂/高血压妇女的E/e'比值和左心房体积进一步恶化，高血压具有独立影响（E/e' ß=0.055，P=0.013；左心房体积 ß=0.059，P=0.003）。颈动脉斑块的存在与高血压有独立联系（ß=0.474，P=0.003）。在 HC 和 HC/HT 中，甘油三酯-葡萄糖指数（胰岛素抵抗的替代物）高于其他等级（P=0.0013），在 HC 和 HT/HC 中与 E/A 相关，与高血压有显著的交互作用（P=0.0004）。以往的激素替代疗法并不影响临床、生化或超声心动图参数：结论：绝经后妇女的心血管风险负担很高；最好进行一次简单的临床和生化筛查，以识别和治疗高危人群。高血压、高胆固醇血症和胰岛素抵抗受试者的心脏超声参数较差，这些受试者也值得进行深入和早期的仪器特征描述，尤其是当这些情况相关联时。
{"title":"Neglected cardiometabolic risk factors and subclinical target organ damage in post-menopausal women with normal glucose tolerance.","authors":"Giovanni Petralli, Edoardo Biancalana, Mariarosaria Distaso, Giulia Piazza, Maria T Caputo, Alice Del Zoppo, Chiara Rovera, Francesco Raggi, Domenico Tricò, Anna Solini","doi":"10.23736/S0031-0808.23.05002-4","DOIUrl":"10.23736/S0031-0808.23.05002-4","url":null,"abstract":"<p><strong>Background: </strong>Menopausal transition is a crucial step in the women's cardiovascular health, and the risk stratification in apparently health post-menopausal females has been rarely assessed. Heart ultrasonography, unusually performed in such subjects, would be able to detect initial signs of organ damage. We described the cardiovascular risk profile of non-diabetic post-menopausal women, evaluating how easily computed, biochemistry-derived scores were related to ultrasonographic measures of target organ damage.</p><p><strong>Methods: </strong>We analyzed the characteristics of a cohort of two-hundred and seventy-three women consecutively referring to a prevention program of Azienda Ospedaliero-Universitaria Pisana (years 2017-2022) who underwent clinical evaluation, complete routine biochemical analyses with proxies of insulin resistance, heart and carotid ultrasonography. The cohort was further divided into four groups according to presence of isolated hypercholesterolemia (HC, 37%), isolated hypertension (HT, 5%), both HC/HT (38%), or none of them.</p><p><strong>Results: </strong>In HC and HC/HT, LDL cholesterol was sharply above the recommended values (149 [134-171] mg/dL and 141 [123-159] mg/dL, respectively). E/e' ratio and left atrium size were augmented in HT women and further worsened in HT/HC, with an independent effect of hypertension (E/e' ß=0.055, P=0.013, left atrium volume ß=0.059, P=0.003). Presence of carotid plaques was independently linked to hypertension (ß=0.474, P=0.003). In HC and HC/HT, the Triglycerides-Glucose Index, a surrogate of insulin resistance, was higher than in the other classes (P=0.0013), and it was associated with E/A in HC and HT/HC, with a significative interaction (P=0.0004) with hypertension. Past hormone replacement therapy did not influence clinical, biochemical or echocardiographic parameters.</p><p><strong>Conclusions: </strong>Postmenopausal women display a high cardiovascular risk burden; a simple clinical and biochemistry screening would be advisable to identify and treat those more at risk. Cardiac ultrasonographic parameters were worse in hypertensive, hypercholesterolemic and insulin-resistant subjects, who may also deserve a deep and early instrumental characterization, especially when these conditions are associated.</p>","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"117-123"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Difficulty encountered in the early radiological diagnosis of atypical pancreatic duct stones compared to the typical type in Chinese patients.","authors":"Changlong Hou, Renfeng Li, Qianli Chen, Liqing Jin, Bo Hu, Xue Meng, Jianhua Zhang","doi":"10.23736/S0031-0808.21.04373-1","DOIUrl":"10.23736/S0031-0808.21.04373-1","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"218-220"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38931286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-01-11DOI: 10.23736/S0031-0808.23.05036-X
Shuping Yang
{"title":"The integration of the LEARNS model with diversified health education has an impact on disease awareness and the Quality of Life of diabetes patients.","authors":"Shuping Yang","doi":"10.23736/S0031-0808.23.05036-X","DOIUrl":"10.23736/S0031-0808.23.05036-X","url":null,"abstract":"","PeriodicalId":19851,"journal":{"name":"Panminerva medica","volume":" ","pages":"222-224"},"PeriodicalIF":4.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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