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[PMID]:28452822
[Au] Autor:Covotta M; Claroni C; Torregiani G; Naccarato A; Tribuzi S; Zinilli A; Forastiere E
[Ad] Endereço:From the *Department of Anesthesiology, Regina Elena National Cancer Institute, Rome, Italy; and †Research Institute on Sustainable Economic Growth of the National Research Council of Italy, Italy.
[Ti] Título:A Prospective, Randomized, Clinical Trial on the Effects of a Valveless Trocar on Respiratory Mechanics During Robotic Radical Cystectomy: A Pilot Study.
[So] Source:Anesth Analg;124(6):1794-1801, 2017 06.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Prolonged pneumoperitoneum and Trendelenburg positioning for robot-assisted radical cystectomy (RARC) are essential for optimizing visualization of the operative field, although they worsen hemodynamic and respiratory function. Our hypothesis is that the use of a valveless trocar (VT) may improve respiratory mechanics. METHODS: In this prospective, 2-arm parallel trial, patients ASA II to III undergoing RARC were randomly assigned into 2 groups: in the VT group, the capnoperitoneum was maintained with a VT; in the control group, the capnoperitoneum was maintained with a standard trocar (ST group). Inspiratory plateau pressure (Pplat), static compliance (Cstat), minute volume (MV), tidal volume (Vt), and carbon dioxide (CO2) elimination rate were recorded at these times: 15 minutes after anesthesia induction (T0), 10 minutes (T1) and 60 minutes (T2) after first robot docking, 10 minutes before first undocking (T3), 10 minutes (T4) and 60 minutes (T5) after second docking, 10 minutes before second undocking (T6), and 10 minutes before extubation (T7). The primary end point of the study was the assessment of Pplat mean value from T1 to T6. RESULTS: A total of 56 patients were evaluated: 28 patients in the VT group and 28 in the ST group. VT group had lower Pplat (means and standard error, VT group 30 [0.66] versus ST group 34 [0.66] cm H2O, with estimated mean difference and 95% confidence interval, -4.1 [-5.9 to -2.2], P < .01), lower MV (means and standard error, VT group 8.2 [0.22] versus ST group 9.8 [0.21] L min, P < .01), lower CO2 elimination rate (means and standard error, VT group 4.2 [0.25] versus ST group 5.4 [0.24] mL kg min, P < .01), lower end-tidal CO2 (ETCO2) (means and standard error, VT group 28.8 [0.48] versus ST group 31.3 [0.46] mm Hg, P < .01), and higher Cstat (means and standard error, VT group 26 [0.9] versus ST group 22.1 [0.9] mL cm H2O, P < .01). Both groups had similar Vt (P = .24). CONCLUSIONS: During RARC, use of a VT was associated with a significantly lower Pplat and improvement in other respiratory parameters.
[Mh] Termos MeSH primário: Cistectomia/instrumentação
Pulmão/fisiopatologia
Monitorização Intraoperatória/métodos
Pneumoperitônio Artificial/instrumentação
Mecânica Respiratória
Procedimentos Cirúrgicos Robóticos/instrumentação
Instrumentos Cirúrgicos
[Mh] Termos MeSH secundário: Idoso
Cistectomia/efeitos adversos
Desenho de Equipamento
Feminino
Decúbito Inclinado com Rebaixamento da Cabeça
Hemodinâmica
Seres Humanos
Masculino
Meia-Idade
Posicionamento do Paciente/métodos
Projetos Piloto
Pneumoperitônio Artificial/efeitos adversos
Estudos Prospectivos
Procedimentos Cirúrgicos Robóticos/efeitos adversos
Cidade de Roma
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002027


  2 / 2599 MEDLINE  
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[PMID]:29049644
[Ti] Título:Cursus Honorum, Or How to Get Ahead in the Medical World.
[So] Source:JAMA;318(15):1506, 2017 10 17.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Mobilidade Ocupacional
Docentes de Medicina
Medicina
Mundo Romano
Especialização
[Mh] Termos MeSH secundário: História do Século XX
História Antiga
Seres Humanos
Masculino
Metáfora
Cidade de Roma
[Pt] Tipo de publicação:CLASSICAL ARTICLE; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.10491


  3 / 2599 MEDLINE  
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[PMID]:28982875
[Au] Autor:Virgilio E; Balducci G; Mercantini P; Ferri M; Bocchetti T; Caterino S; Salvi PF; Ziparo V; Cavallini M
[Ad] Endereço:Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome, Italy aresedo1992@yahoo.it edoardo.virgilio@uniroma1.it.
[Ti] Título:Reconstruction After Distal Gastrectomy for Gastric Cancer: Billroth 2 or Roux-En-Y Procedure?
[So] Source:Anticancer Res;37(10):5595-5602, 2017 10.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: Distal gastrectomy (DG) represents the only curative treatment for most mid-lower gastric cancers (GCs). As of 2017, however, no reconstructive modality to conduct after DG has gained unanimous consensus. Additionally, most authors have investigated Billroth 1 and Roux-en-Y (RY) rather than Billroth 2 (B2) reconstruction. We analyzed B2 and RY gastrojejunostomy to identify the preferable technique and augment the available information on B2 restoration. PATIENTS AND METHODS: We retrospectively selected 132 GC patients who were consecutively submitted to DG at our institution between April 2005 and February 2016. B2 and RY anastomosis were accomplished as methods of reconstruction (respectively 36 and 96 cases). We compared these techniques in terms of clinicopathological, surgical, postoperative and oncologic outcomes. RESULTS: Compared to RY gastrojejunostomy, B2 reconstruction was significantly associated with a greater mean number of harvested lymph nodes (26.03 vs. 21.65, p=0.045) but also with a longer hospital stay (22.8 vs. 15.7 days) (p=0.022) and higher readmission rate (28.57% vs. 3.1%, p<0.0001). On multivariate analysis, reconstruction method was the most significant independent prognostic factor for hospital readmission. CONCLUSION: In light of our results, we propose that B2 gastrojejunostomy deserves more study in order to better identify the best post-DG anastomosis.
[Mh] Termos MeSH primário: Gastrectomia
Derivação Gástrica
Gastroenterostomia
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Distribuição de Qui-Quadrado
Feminino
Gastrectomia/efeitos adversos
Derivação Gástrica/efeitos adversos
Gastroenterostomia/efeitos adversos
Seres Humanos
Tempo de Internação
Modelos Lineares
Excisão de Linfonodo
Masculino
Meia-Idade
Análise Multivariada
Readmissão do Paciente
Estudos Retrospectivos
Fatores de Risco
Cidade de Roma
Neoplasias Gástricas/patologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE


  4 / 2599 MEDLINE  
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[PMID]:28598344
[Au] Autor:De Filippis P; Mozzetti C; Amicosante M; D'Alò GL; Messina A; Varrenti D; Giammattei R; Di Giorgio F; Corradi S; D'Auria A; Fraietta R; Gabrieli R
[Ad] Endereço:Section of Hygiene, Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Via Montpellier 1, Rome 00133, Italy E-mail: patrizia.de.filippis@uniroma2.it.
[Ti] Título:Occurrence of Legionella in showers at recreational facilities.
[So] Source:J Water Health;15(3):402-409, 2017 Jun.
[Is] ISSN:1477-8920
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Critical environments, including water systems in recreational settings, represent an important source of Legionella pneumophila infection in humans. In order to assess the potential risk for legionellosis, we analyzed Legionella contamination of water distribution systems in 36 recreational facilities equipped with swimming pools. One hundred and sixty water samples were analyzed from shower heads or taps located in locker rooms or in bathrooms. By culture method and polymerase chain reaction, 41/160 samples were positive for Legionella from 12/36 recreational centers. Hotels (57.1%) and sports centers (41.2%) were the most contaminated. L. pneumophila serotypes 2-14 (25/41) were more frequently found than serotype 1 (10/41). Samples at temperature ≥30 °C were more frequently positive than samples at temperature <30 °C (n = 39 vs n = 2, p < 0.00001). The presence of L. pneumophila was investigated by comparison with heterotrophic plate count (HPC), an indicator of water quality. The presence of L. pneumophila was associated more frequently with high and intermediate HPC load at 37 °C, therefore should be considered a potential source when HPC at 37 °C is >10 CFU/mL. Maintenance, good hygiene practices, interventions on the hydraulic system and regular controls must be implemented to minimize exposure to L. pneumophila infection risk.
[Mh] Termos MeSH primário: Legionella pneumophila/isolamento & purificação
Piscinas
Sanitários Públicos
Microbiologia da Água
[Mh] Termos MeSH secundário: Itália
Legionella pneumophila/classificação
Legionella pneumophila/imunologia
Cidade de Roma
Abastecimento de Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.2166/wh.2017.296


  5 / 2599 MEDLINE  
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[PMID]:28581349
[Au] Autor:D'Ugo E; Sdanganelli M; Grasso C; Magurano F; Marcheggiani S; Boots B; Baggieri M; Mancini L
[Ad] Endereço:1 Quality and Fishfarm Unit, Department of Environmental and Primary Prevention, Istituto Superiore di Sanità , Rome, Italy .
[Ti] Título:Detection of Coxiella burnetii in Urban River Water.
[So] Source:Vector Borne Zoonotic Dis;17(7):514-516, 2017 Jul.
[Is] ISSN:1557-7759
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous molecular-based studies have identified microorganisms of zoonotic and human nature in surface waters. Contaminated water can lead to human health issues, and the detection of pathogenic microorganisms is a valuable tool for the prevention of their spread. Water samples were taken from the River Tiber in and out of the city of Rome. Genetic analysis of the sequences obtained showed the presence of Coxiella burnetii in both the analyzed sites. Blast analysis showed that two sequences were identical to each other. Sequences from the polluted site showed high homology with different strains of C. burnetii. In this article, we report for the first time the presence of C. burnetii in environmental waters.
[Mh] Termos MeSH primário: Coxiella burnetii/isolamento & purificação
Rios/microbiologia
Microbiologia da Água
[Mh] Termos MeSH secundário: Coxiella burnetii/genética
DNA Bacteriano/genética
Cidade de Roma
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Bacterial)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170921
[Lr] Data última revisão:
170921
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE
[do] DOI:10.1089/vbz.2017.2107


  6 / 2599 MEDLINE  
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[PMID]:28577539
[Au] Autor:Latini A; Zaccarelli M; Paglia MG; Donà MG; Giglio A; Moretto D; Vulcano A; Giuliani M; Colafigli M; Ambrifi M; Pimpinelli F; Cristaudo A
[Ad] Endereço:Clinic of Dermatology and Infectious Diseases (STI/HIV Unit), San Gallicano Dermatological Institute (IFO-IRCCS), Rome, Italy. alessandra.latini@ifo.gov.it.
[Ti] Título:Inguinal and anorectal Lymphogranuloma Venereum: a case series from a sexually transmitted disease center in Rome, Italy.
[So] Source:BMC Infect Dis;17(1):386, 2017 Jun 02.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lymphogranuloma venereum (LGV) is a sexually transmitted infection caused by L1, L2, L3 serovars of C. trachomatis (CT). Since 2003, LGV cases have been increasing in Europe. Aim of this report is to describe the LGV cases diagnosed in the largest STI center in Rome, Italy, from 2000 to 2016. This report shows that two clinically and epidemiologically different series of cases exist, and that, at present, the ano-rectal LGV represents the clinical variant occurring more frequently among men having sex with men (MSM), particularly those HIV-infected. CASE PRESENTATION: Ten cases of LGV were observed. Three were diagnosed in 2009 in HIV-negative heterosexuals patients that presented the classical genito-ulcerative form with lymphadenopathy. Seven cases were observed in 2015-2016 in HIV-infected MSM, that presented the rectal variant and L2b serovar infection; 4 of these had been misclassified as a chronic bowel disease. Chlamydia infection was confirmed by CT-specific PCR (ompA gene nested PCR), followed by sequence analysis to identify the serovar. All the patients were treated with doxycycline for 3 weeks, obtaining a complete response with healing of both clinical symptoms and dermatological lesions. CONCLUSIONS: Our findings suggest that, in case of persistent rectal symptoms in HIV-infected MSM, LGV should be taken into account and investigated through molecular analyses, in order to achieve a correct diagnosis and management of the patients.
[Mh] Termos MeSH primário: Linfogranuloma Venéreo/etiologia
[Mh] Termos MeSH secundário: Infecções Oportunistas Relacionadas com a AIDS
Adulto
Chlamydia trachomatis/genética
Chlamydia trachomatis/patogenicidade
Feminino
Infecções por HIV/tratamento farmacológico
Infecções por HIV/microbiologia
Homossexualidade Masculina
Seres Humanos
Linfogranuloma Venéreo/tratamento farmacológico
Linfogranuloma Venéreo/microbiologia
Masculino
Meia-Idade
Cidade de Roma
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170605
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2484-8


  7 / 2599 MEDLINE  
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[PMID]:28555207
[Au] Autor:Tallarico M; Xhanari E; Pisano M; Gatti F; Meloni SM
[Ti] Título:Molar replacement with 7 mm-wide diameter implants: to place the implant immediately or to wait 4 months after socket preservation? 1 year after loading results from a randomised controlled trial.
[So] Source:Eur J Oral Implantol;10(2):169-178, 2017.
[Is] ISSN:1756-2406
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To test the hypothesis that there is no difference in clinical, radiographic and aesthetic outcomes positioning single post-extractive 7 mm-diameter implants or waiting 4 months after molar extraction and socket preservation procedure. MATERIAL AND METHODS: Patients requiring one implant-supported single restoration to replace a failing tooth in the molar region of both maxilla and mandible were selected. Patients were randomised according to a parallel group design into two arms: implant installation in fresh extraction sockets grafted with cortico-cancellous heterologous bone and porcine derma (group A) or delayed implant installation 4 months after tooth extraction and socket preservation using the same materials (group B). Implants were submerged for 4 months. The primary outcome measures were the success rates of the implants and prostheses and the occurrence of any surgical and prosthetic complications during the entire follow-up. Secondary outcome measures were: peri-implant marginal bone level (MBL) changes, resonance frequency analysis (ISQ) and pink esthetic score (PES) values at implant placement (baseline) up to 1 year after loading. RESULTS: Twelve patients were randomised to group A and 12 to group B. No patient dropped out within 1 year after loading. No implant and prosthesis failed and no complications occurred during the entire follow-up. One year after loading, statistically significant higher mean MBL loss was experienced in group A (0.63 mm ±â€…0.31 mm) compared to group B (0.23 mm ±â€…0.06 mm); difference 0.41 mm (95% CI 0.17-0.53; P = 0.001). Six months after implant placement, mean ISQ value was 78.8 ±â€…2.8 for group A and 79.9 ±â€…3.6 for group B, showing no statistically significant difference between groups (difference 1.1; 95% CI: 0.04 to 2.96; P = 0.422). One year after loading, mean PES was 10.6 ±â€…1.8 [range: 8 to13] in group A and 12.2 ±â€…1.2 [range: 11 to 14] in group B. The difference was statistically significant (1.6 ±â€…2.7; 95% CI -0.55-2.55; P = 0.019) with better results for group B. CONCLUSIONS: Within the limitations of this study, both procedures achieved successful results over the 1-year follow-up period, but waiting 4 months after tooth extraction and socket preservation procedure was associated with less marginal bone loss and a better aesthetic outcome. Conflict-of-interest statement: Dr Marco Tallarico is Research Project Manager of Osstem AIC Italy. However no company supported this study and all authors declare no conflicts of interest.
[Mh] Termos MeSH primário: Implantes Dentários para Um Único Dente
Planejamento de Prótese Dentária
Carga Imediata em Implante Dentário
Mandíbula/cirurgia
Maxila/cirurgia
Dente Molar/cirurgia
Alvéolo Dental/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Avaliação de Processos e Resultados (Cuidados de Saúde)
Cidade de Roma
Extração Dentária
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE


  8 / 2599 MEDLINE  
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[PMID]:28383621
[Au] Autor:Cannavò M; Fusaro N; Colaiuda F; Rescigno G; Fioravanti M
[Ad] Endereço:Dottorato di Ricerca in Neuroscienze Clinico-sperimentali e Psichiatria, Dipartimento di Neurologia e Psichiatria, Università di Roma Sapienza, ASL RM 2.
[Ti] Título:[Violence on health care workers].
[So] Source:Clin Ter;168(2):e99-e112, 2017 Mar-Apr.
[Is] ISSN:1972-6007
[Cp] País de publicação:Italy
[La] Idioma:ita
[Ab] Resumo:OBJECTIVES: The Emergency Department (ED) is vulnerable for workplace violence, but little is known about this and its consequences. Objectives of this study were presence, characteristics and effects of violence from patients and visitors on health care workers in an Emergency Department (ED). MATERIALS AND METHODS: This study was about the Accident and Emergency Department, S. Pertini Hospital, (ASL RMB, Rome, Italy). Data were collected from November 2014 to January 2015 on frequency and type of violent behavior in the past five years experienced by staff members and their level of stress by an ad hoc questionnaire for the evaluation of violent events in health activities (QVS) and a questionnaire on perceived work-related stress (QES). RESULTS: Of the 58 eligible workers, 51 completed the interview. Health care workers were regularly exposed to violence with a consequent severe underreporting to work authorities and only a minor reporting to the police. A diffuse belief that workplace violence is a normal part of the work was also identified. Aggressors were usually patients or their relatives and were mainly males. Health care workers may suffer physical and emotional harm. CONCLUSIONS: Emergency Department health care workers are at risk of experiencing workplace violence and should have specific training and support in the management of violent situations focused on early identification, communication strategies, and de-escalation techniques.
[Mh] Termos MeSH primário: Agressão
Serviço Hospitalar de Emergência
Pessoal de Saúde/estatística & dados numéricos
Violência no Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Hospitais
Seres Humanos
Masculino
Meia-Idade
Polícia
Cidade de Roma
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.7417/CT.2017.1990


  9 / 2599 MEDLINE  
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[PMID]:28325568
[Au] Autor:Caselli S; Vaquer Sequì A; Lemme E; Quattrini F; Milan A; D'Ascenzi F; Spataro A; Pelliccia A
[Ad] Endereço:Department of Cardiology, Institute of Sports Medicine and Science, Rome, Italy. Electronic address: stefanocasellimd@gmail.com.
[Ti] Título:Prevalence and Management of Systemic Hypertension in Athletes.
[So] Source:Am J Cardiol;119(10):1616-1622, 2017 May 15.
[Is] ISSN:1879-1913
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of the present study was to evaluate the prevalence, determinants, and clinical management of systemic hypertension in a large cohort of competitive athletes: 2,040 consecutive athletes (aged 25 ± 6 years, 64% men) underwent clinical evaluation including blood test, electrocardiogram, exercise test, echocardiography, and ophthalmic evaluation. Sixty-five athletes (3%) were identified with hypertension (men = 57; 87%) including 5 with a secondary cause (thyroid dysfunction in 3, renal artery stenosis in 1, and drug induced in 1). The hypertensive athletes had greater left ventricular hypertrophy and showed more often a concentric pattern than normotensive ones. Moreover, they showed a mildly reduced physical performance and were characterized by a higher cardiovascular risk profile compared with normotensive athletes. Multivariate logistic regression analysis showed that family hypertension history (odds ratio 2.05; 95% confidence interval 1.21 to 3.49; p = 0.008) and body mass index (odds ratio 1.32; 95% confidence interval 1.23 to 1.40; p <0.001) were the strongest predictors of hypertension. Therapeutic intervention included successful lifestyle modification in 57 and required additional pharmacologic treatment in 3 with essential hypertension. Secondary hypertension was treated according to the underlying disorder. After a mean follow-up of 18 ± 6 months, all hypertensive athletes had achieved and maintained optimal control of the blood pressure, without restriction to sport participation. In conclusion, the prevalence of hypertension in athletes is low (3%) and largely related to family history and overweight. In the vast majority of hypertensives, lifestyle modifications were sufficient to achieve an optimal control of blood pressure values.
[Mh] Termos MeSH primário: Atletas
Pressão Sanguínea/fisiologia
Gerenciamento Clínico
Hipertensão/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Ecocardiografia
Eletrocardiografia
Teste de Esforço
Feminino
Seguimentos
Seres Humanos
Hipertensão/fisiopatologia
Hipertensão/terapia
Masculino
Prevalência
Cidade de Roma/epidemiologia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE


  10 / 2599 MEDLINE  
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[PMID]:28282961
[Au] Autor:Manigrasso M; Natale C; Vitali M; Protano C; Avino P
[Ad] Endereço:Department of Technological Innovations, National Institute for Insurance against Accidents at Work, Research Area, via Roberto Ferruzzi 38/40, I-00143 Rome, Italy. m.manigrasso@inail.it.
[Ti] Título:Pedestrians in Traffic Environments: Ultrafine Particle Respiratory Doses.
[So] Source:Int J Environ Res Public Health;14(3), 2017 Mar 09.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Particulate matter has recently received more attention than other pollutants. PM10 and PM2.5 have been primarily monitored, whereas scientists are focusing their studies on finer granulometric sizes due both to their high number concentration and their high penetration efficiency into the respiratory system. The purpose of this study is to investigate the population exposure to UltraFine Particles (UFP, submicrons in general) in outdoor environments. The particle number doses deposited into the respiratory system have been compared between healthy individuals and persons affected by Chronic Obstructive Pulmonary Disease (COPD). Measurements were performed by means of Dust Track and Nanoscan analyzers. Forty minute walking trails through areas with different traffic densities in downtown Rome have been considered. Furthermore, particle respiratory doses have been estimated for persons waiting at a bus stop, near a traffic light, or along a high-traffic road, as currently occurs in a big city. Large differences have been observed between workdays and weekdays: on workdays, UFP number concentrations are much higher due to the strong contribution of vehicular exhausts. COPD-affected individuals receive greater doses than healthy individuals due to their higher respiratory rate.
[Mh] Termos MeSH primário: Poluentes Atmosféricos/análise
Tamanho da Partícula
Material Particulado/análise
Pedestres
Emissões de Veículos/análise
[Mh] Termos MeSH secundário: Cidades/estatística & dados numéricos
Monitoramento Ambiental
Seres Humanos
Masculino
Cidade de Roma
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter); 0 (Vehicle Emissions)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170312
[St] Status:MEDLINE



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