Recenti progressi in medicina
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Interstitial lung diseases (ILD) are an heterogeneous group of inflammatory diseases characterized by an anatomical distortion of peripheral airways and interstitium, determined by a first stage of alveolitis and a following stage of fibrosis. Natural history of several ILD is characterized by slow and progressive destruction of alveolar-capillary functional units, often with respiratory failure and death. For their smoldering evolution and not specificity of symptoms (exertional dyspnea and cough) ILD may remain not diagnosed and not treated for a long time.
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Comparative Study
[A multidisciplinary organizational Emergency Department model for trauma patients in hypovolemic shock].
Hypovolemic shock in trauma patients causes high mortality because of exanguination, secondary brain damage, multiple organ disfunction. Good organization and operative protocols are vital to patients in need of a prompt and multidisciplinary treatment. ⋯ A valid internal organization can improve mortality of trauma patients without expenditure of extra resources.