La Clinica terapeutica
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La Clinica terapeutica · Jan 2011
A world wide public health problem: the principal re-emerging infectious diseases.
The extraordinary progress in the knowledge of infectious disease, the discovery of antibiotics and effective vaccines are among the great achievement of the nineteenth and twentieth centuries. These achievement have led to a dramatic reduction in the levels of mortality from these diseases. According to the World Health Organization, the term "re-emerging infectious diseases" refers to infectious diseases, which although well known, have not been of recent public health importance. ⋯ A well organized monitoring system would enable the epidemiological characteristics of the infectious diseases to be analyzed and the success or otherwise of preventive interventions to be precisely evaluated. For this reason, the World Health Organization and the European Union have discussed the formation of a collaborative network for the monitoring and control of re-emerging diseases and has initiated special programmes. The battle between humanity and infectious disease has a history lasting thousands of years and is destined to continue in the future emphasizing the need to adopt combined policies for the prevention and control of re-emerging diseases.
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La Clinica terapeutica · Jan 2011
Comparative Study Clinical Trial[Chronic pelvic pain treatment with posterior tibial nerve stimulation].
Chronic pelvic pain is a common problem that has a high impact on quality of life of patients who are affected. The technique of percutaneous neuromodulation by electrical stimulation of the tibial nerve (Percutaneous Tibial Nerve Stimulation PTNS) is described by Stoller for the treatment of overactive bladder syndrome in the 90s is currently being tested in the treatment of chronic pelvic pain. ⋯ In conclusion, the use of PTNS in the treatment of chronic pelvic pain shows encouraging results in patients not responding to standard analgesic therapy.
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La Clinica terapeutica · Jan 2011
Review[The ketogenic diet: an underappreciated therapeutic option?].
Obesity is reaching epidemic proportions in Western countries and is a strong risk factor for cardiovascular disease. Despite the constant recommendations of health care organizations regarding the importance of weight control, this goal often fails. Although there is a common agreement about the concept that exercise and diet are two key factors for the control of body weight, the ideal amount and type of exercise and also the ideal diet for weight control are still under debate. ⋯ One of these strategies is the ketogenic diet or VLCKD (very low carbohydrate ketogenic diet) that has been widely studied in recent years. Most studies show that this diet has a solid physiological and biochemical basis which is able to induce effective weight loss and improvement of several parameters of cardiovascular risk. This review discusses the physiological basis of VLCKD and the main applications together with its strengths and weaknesses compared to common dietary recommendations.
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La Clinica terapeutica · Jan 2011
Case ReportsPapillary thyroid cancer in a young woman affected by giant congenital melanocytic nevus, ultrasound diagnosis.
Data literatures report numerous association between giant congenital nevus and development alteration; only two cases describe its coexistence with thyroid disorders. However, we report the association of papillary thyroid cancer and giant congenital nevus. Papillary thyroid cancer is the most common differentiated thyroid cancer and has high prevalence in young women. ⋯ At last, fine-needle percoutaneus aspiration on thyroid lesion confirmed the presence of papillary carcinoma. In our case, thank to the optimal visualization of the parenchyma structure, US was diriment allowing a diagnosis of primitive thyroid lesion with an involvement of all lymph nodes in the neck. This findings legitimate the role of US as an accurate, noninvasive, radiation free and low-cost imaging technique in detecting differential diagnosis in the cervical lymphadenopathy, as well in preoperative staging thyroid carcinoma.
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La Clinica terapeutica · Jan 2011
Accessory osseous passages in the vicinity of foramen rotundum in a dry adult human skull: morphological evaluation, embryological correlation and clinical reappraisal.
An unusual bony depression with accessory osseous passages in the right side of middle cranial fossa was observed in a dry adult human skull. It was located below the superior orbital fissure and optic canal. The bony depression was divided into two parts ,medial and lateral fossa, by an incomplete oblique bony septum. ⋯ The foramen rotundum led as usual into the pterygopalatine fossa. The presence of such an abnormal bony depression in the right middle cranial fossa with accessory osseous passages in the vicinity of the foramen rotundum is highlighted in the present case, with embryological correlation and clinical relevance. Anatomical awareness of such variations in the middle cranial fossa are important for the present day radiologist who interprets imaging for this area, neurosurgeons , who operate in this area in the vicinity of cavernous sinus and anaesthetists, during regional block anaesthesia.