La Clinica terapeutica
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La Clinica terapeutica · Jul 2004
Review[Community acquired pneumonia of hospitalised patient in the ordinary ward].
Despite the evolution of the respiratory diagnostic methods and of the microbiological techniques and despite the introduction of new and effective antimicrobial drugs, community-acquired pneumonia (CAP) still remains a common and potentially lethal disease, as it represents the sixth general cause of death and the first cause of death concerning the infective diseases. The prolonged survival of patients affected by chronic respiratory and non-respiratory disorders and the worrying problem of antibacterial resistance showed by several pathogen agents constitute the possible causes of the epidemiological importance of CAP which still carries on significantly affecting health costs. In this review the author describes the epidemiological, etiological, microbiological, diagnostic and therapeutic aspects of CAP which requires hospitalisation in a non-intensive care setting.
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La Clinica terapeutica · Feb 2004
Review Case Reports[Peripheral facial palsy in middle ear surgery: case report and review of literature].
We present a case of a patient who experienced right facial palsy after being operated for otosclerosis. Seventeen years before our patient had yet undergone the same operation on the contralateral ear and had presented a facial palsy. We also report another case of facial palsy and middle ear damage after an operation for otosclerosis. ⋯ It is probably caused by a viral relapse and it recedes after few weeks if a proper therapy is administrated to the patient. Thus we deem it is useless to perform immediately advanced, invasive and expensive tests. On the contrary we believe that it is useful, in those cases in which an otosclerotic patient has a history of herpes simplex virus infection, to administer a preventive antiviral therapy before the operation.
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La Clinica terapeutica · Nov 2002
Review Comparative Study[The nurse's role in the identification and management of alcohol abuser in the Emergency Department].
The emergency department (ED) nurse plays a major role both in recognizing and in the management of the patients affected by alcohol related problems, such-as acute alcohol intoxication (AAI), alcohol withdrawal (AW), traumatic or spontaneous illness due to acute or chronic effects of alcohol abuse. Here are described both the clinical problems and the diagnostic instruments that nurse can use in ED to increase diagnostic sensibility. Furthermore both clinical features of AAI in relation with blood alcohol concentration (BAC), diagnostic criteria and test to evaluate AW severity are reported in this review. ⋯ I. T.) questionnaire is reported to recognize the alcohol abuser. In conclusion acquiring a specific training, nurse can play a major role in the complex intervention net of alcoholics rehabilitation.