Annali dell'Ospedale Maria Vittoria di Torino最新文献

A survey based on 122 personal observations of traumatic rupture of diaphragm, involving stomach and spleen herniation into the chest, is presented. The importance of clinical symptoms for proper diagnosis and treatment is discussed, in relation to the different trends in the literature.

The various biochemical and biophysical methods to assess fetal lung maturity are reviewed. So far the most widely used biochemical method is the L/S ratio, but in complicated pregnancies mainly in diabetes mellitus, the determination of the lung profile (including PG) must be carried out to reduce false immature ratios. Biophysical methods, like foam stability tests and optical density, are easy and quick, but less precise.

In feeding the newborn with respiratory distress it must be considered the increased metabolic and water requirements. To feed this newborn we can choose among total parenteral nutrition, total enteral nutrition and a combination of the two methods. Data concerning 98 newborns with respiratory distress, admitted into Neonatal Intensive Care Unit of the Provincial Maternity Hospital of Milan, are described.

The authors assume that an appropriate sensory input care can improve the conditions of the very-low-birth-weight (VLBW) infant with RDS. The VLBW preterm infant, in the intensive care unit, takes advantage both medically and developmentally of an individualized behavioral care. The authors present their positive experience with the auditory, visual and tactile stimulations of the preterm infant, after the period of intensive care, with the method of Brazelton.

The authors present their approach to the care of the preterm very-low-birth-weight infant. They consider the importance of the handling of the preterm infant in the Neonatal Intensive Care Unit (NICU) and the co-operation among the neonatologist, the physiotherapist and the parents in the individualized care, both in the NICU and in the follow-up.

For a correct assessment of the fossil specimens are analysed ten characters or structural complexes of neuro - and splancno - cranium. Not individual characters but a total pattern, according to Le Gros Clark's original concept, provide a positive identification of hominid single taxon. Following items are examined: 1) facial prognathism; 2) mid-facial architecture; 3) nasal bone, fronto-nasal and fronto-maxillary suture; 4) frontal region morphology; 5) temporal lines and cranial cresting; 6) occipital and nuchal plane; 7) steepness of nuchal plane, foramen magnum position; 8) skull base diagrams; 9) mastoid process and neighbouring regions; 10) size and form of mandibular fossa. To conclude: it is possible a taxonomic classification of plio-pleistocenic hominid specimens on the basis of an analysis of the "total morphological pattern".

Cutaneous leiomyosarcoma is a rare tumour arising in dermis or subcutaneous tissue. Diagnosis is usually made by microscopic examination on the basis of marked cellular atypia and mitoses. We report one case of leiomyosarcoma of the gluteus with precocious lung metastases in a 65-year-old female.

The polibrene manual test was evaluated by using three different incubation time periods and its efficacy was compared to other techniques currently in use in our center. We found that when this technique is carried out with a 15 minute incubation period and the addition of antiglobulin, it is decidedly sensitive and can be employed in urgent compatibility testing preceded by "type and screen".