tag:blogger.com,1999:blog-24863144405766370362024-03-13T11:51:36.668-07:00Il sussidiario medicoPaucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-2486314440576637036.post-84243056413405914632011-06-14T08:40:00.000-07:002011-06-14T08:43:17.341-07:00Fistole anali e rettali<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/-BXhTz-BcGws/TfeBOEt4ogI/AAAAAAAABC0/468_xth0xdU/s1600/fistole%2Bperianali.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 279px; height: 370px;" src="http://2.bp.blogspot.com/-BXhTz-BcGws/TfeBOEt4ogI/AAAAAAAABC0/468_xth0xdU/s400/fistole%2Bperianali.bmp" alt="" id="BLOGGER_PHOTO_ID_5618101138952331778" border="0" /></a><span style="font-size: 12pt; line-height: 115%; font-family: "Calibri","sans-serif";">Classificazione delle fistole secondo Parks</span>, basata sulla sede e 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mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--><b style=""><span style="font-size: 12pt; line-height: 115%; font-family: "Calibri","sans-serif";">Fistole Intersfinteriche</span></b><span style="font-size: 11pt; line-height: 115%; font-family: "Calibri","sans-serif";"> </span> (45%) il tramite ha sede tra sfintere interno ed esterno; possono presentare orifizio esterno in sede perianale bassa oppure non presentare alcun orifizio esterno in questo caso si tratta di un ascesso anale chiuso.</p> <p class="MsoNormal" style="margin-bottom: 6pt;">2) <!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> 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mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--><b style=""><span style="font-size: 12pt; line-height: 115%; font-family: "Calibri","sans-serif";">Fistole Extrasfinteriche</span></b><span style="font-size: 11pt; line-height: 115%; font-family: "Calibri","sans-serif";"> </span> (5%) il tramite subisce un percorso anomalo attraversando il muscolo elevatore dell’ano e sempre al di fuori dello sfintere esterno giungono nello spazio pelvico. Sono spesso esiti di ascessi di origine addominale, pelvica o di altra natura. In pratica sono fistole retto-perineali.</p>Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-80622107382932875732011-06-13T06:33:00.000-07:002011-06-13T06:41:47.820-07:00Diverticolite e anatomia del colon<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/--dJRV3fR6TQ/TfYR-gmbjlI/AAAAAAAABCs/SUwMyTyPc3A/s1600/tenie%2Bmesenteriche%2Be%2Bantimesenteriche.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 400px; height: 351px;" src="http://2.bp.blogspot.com/--dJRV3fR6TQ/TfYR-gmbjlI/AAAAAAAABCs/SUwMyTyPc3A/s400/tenie%2Bmesenteriche%2Be%2Bantimesenteriche.bmp" alt="" id="BLOGGER_PHOTO_ID_5617697350791958098" border="0" /></a>Con il termine Colon intendiamo: colon ascendente, colon trasverso, colon discendente, sigma.<br /><br />Le TENIE sono tre nastri isolati di muscolatura liscia disposti longitudinalmente sulla superficie esterna del colon, subito al di sotto della sierosa.<br />I diverticoli sono generalmente compresi tra la tenia mesenterica e le due tenie antimesenteriche poichè a questi livelli la parete risulta indebolita dall'ingresso dei vasi retti (o vasa recta) che creano un punto di discontinuità nella tonaca muscolare.<br /><br />Eziopatogenesi della malattia diverticolare:<br />- aree a minor resistenza nella parete del colon (e del sigma in particolare dove sono localizzati il 70% dei diverticoli)<br />- dieta povera di fibre vegetali o malattia del colon irritabile: due aspetti correlati ad un'aumentata pressione intraluminalePaucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com1tag:blogger.com,1999:blog-2486314440576637036.post-20897073167266575522010-12-13T08:45:00.000-08:002010-12-14T07:09:48.535-08:00Embriogenesi della faccia (e labio-palato-schisi)<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_ySnIOHfE-Js/TQZN4l4RrBI/AAAAAAAABBc/tLh89fDYSPo/s1600/LABIOPALATOSCHISI.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 400px; height: 370px;" src="http://4.bp.blogspot.com/_ySnIOHfE-Js/TQZN4l4RrBI/AAAAAAAABBc/tLh89fDYSPo/s400/LABIOPALATOSCHISI.bmp" alt="" id="BLOGGER_PHOTO_ID_5550209225416879122" border="0" /></a><span style="font-size:85%;">Lo splancnocranio deriva quasi completamente dal mesenchima dei primi tre archi branchiali (sono 6 in totale). Gli archi branchiali, costituiti da blocchi di mesoderma accoppiati e verticali, si sviluppano lateroventralmente nella ragione della testa e del collo, adiacenti allo stomodeo (orifizio che diverrà poi la bocca) e all’orofaringe primitivo. Da esso originano le componenti ossee, muscolari, cartilaginee e il derma di gran parte di queste regioni.</span> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">Gli archi branchiali sono costituiti da un nucleo centrale mesodermico (cartilagine e poi osso per ossificazione diretta; vasi; muscolo; tessuto nervoso) ricoperto esternamente da ectoderma e internamente da endoderma.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">Pe</span><span style="font-size:85%;">r quanto riguarda la componente ossea, <b style="">il primo arco branchiale o arco mandibolare</b>, ha una importanza principale: da esso originano il processo mascellare, da cui derivano il mascellare, l’osso zigomatico, il palatino, parte della squama del temporale e il processo mandibolare, da cui origina la mandibola, l’incudine e il martello.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">-<span style=""> </span>Il mascellare superiore risulta costituito da due porzioni distinte per la diversa origine embrionale: la porzione mascellare, che deriva dal processo mascellare del primo arco branchiale e la premaxilla che origina dal processo nasale mediale; la premaxilla costituirà la porzione dell’arcata alveolare comprendente il gruppo incisivo superiore e il palato primitivo.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">-<span style=""> </span>L’osso palatino origina dal processo mascell</span><span style="font-size:85%;">are; con la formazione del palato, la cavità della bocca primitiva viene suddivisa in due regioni: le cavità nasali, in alto, e la cavità della bocca definitiva, in basso, entrambe in comunicazione con la faringe.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">-<span style=""> </span>L’osso zigomatico deriva dal processo mascellare</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;"><b style=""><span style="">Il secondo arco branchiale</span></b></span><span style="font-size:85%;"> forma la staffa dell’orecchio medio, il processo stiloideo dell’osso temporale e la parte superiore dell’osso ioide.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">Dal <b style="">terzo arco branchiale</b> originano il grande corno e la porzione inferiore del corpo dell’osso ioide.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">Si ritiene che il tetto della bocca primitiva sia in gran parte di origine ectodermica, e che il pavimento sia di origine endotermica.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">Il solco labiale, che separa l’abbozzo del labbro dall’abbozzo delle gengive e forma in questo modo il vestibolo della bocca.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">La muscolatura di entrambe le labbra deriva dal mesoderma dell’arco ioideo e verrà innervata dal nervo faciale.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">I muscoli mimici hanno origine dal secondo arco branchiale mentre i muscoli masticatori dal primo arco branchiale.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;font-family:georgia;"><span style="font-size:85%;">I processi palatini si fondono alla decima settimana di sviluppo, sia tra di loro che con il palato primitivo e con il setto nasale. La linea di fusione dei processi palatini resta visibile e costituisce il rafe mediano, mentre il punto d’incontro fra questa linea e il palato primitivo delimita una piccola cavità che è chiamata forame incisivo.</span></p> <a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_ySnIOHfE-Js/TQeIRDNqvFI/AAAAAAAABBk/gKjzmi4o2SQ/s1600/PALATO%2BPRIMARIO.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 325px; height: 400px;" src="http://4.bp.blogspot.com/_ySnIOHfE-Js/TQeIRDNqvFI/AAAAAAAABBk/gKjzmi4o2SQ/s400/PALATO%2BPRIMARIO.bmp" alt="" id="BLOGGER_PHOTO_ID_5550554892259212370" border="0" /></a><span style=";font-family:";font-size:85%;" ><span style="font-size:100%;">Il palato primitivo e la porzione anteriore del palato secondario vanno incontro a processi di ossificazione e danno origine al palato duro. La porzione posteriore del palato secondario forma il palato molle e l’ugola.</span><br /></span>Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-53598739494591814432010-06-26T11:52:00.001-07:002010-06-26T11:53:51.334-07:00Il retroperitoneo<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_ySnIOHfE-Js/TCZMm9bxwvI/AAAAAAAABAg/v_oaBBdPBS4/s1600/retroperitoneo.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 400px; height: 298px;" src="http://1.bp.blogspot.com/_ySnIOHfE-Js/TCZMm9bxwvI/AAAAAAAABAg/v_oaBBdPBS4/s400/retroperitoneo.bmp" alt="" id="BLOGGER_PHOTO_ID_5487157428207338226" border="0" /></a>Insieme delle strutture comprese tra:<br />- limite anteriore: peritoneo parietale posteriore<br />- limite posteriore: parete posteriore della cavità addominale (fascia trasversale dell’addome)<br />- limite superiore: diaframma<br />- limite inferiore: pavimento pelvico<br />- limiti laterali: inserzioni posteriori dei muscoli della parete addominale<br /><br />Tale spazio anatomico retrosieroso è occupato da abbondante tessuto connettivo lasso e tessuto adiposo, entro il quale sono disposti:<br /><br />- surreni<br />- reni e le loro vie escretrici<br />- aorta<br />- le arterie iliache comuni e le arterie iliache esterne<br />- le vene iliache e la vena cava inferiore<br />- i linfonodi iliaci e lomboaortici<br />- i vasi linfatici tributari della cisterna del Pecquet<br />- la porzione lombare del tronco del simpatico<br />- il plesso nervoso solare o plesso celiaco.Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-69981659736735292062010-04-19T09:56:00.000-07:002010-04-19T09:59:10.873-07:00I filamenti intermediAll’interno del citoplasma di ogni cellula sono contenuti i FILAMENTI INTERMEDI che sono filamenti rigidi molto resistenti alla trazione, dotati di attività statico-strutturale (costituenti il citoscheletro), connessi al plasmalemma, costituiti da caratteristiche proteine fibrose a seconda del tipo cellulare considerato:<br />- CITOCHERATINE (a basso e alto Peso Molecolare): caratterizzano le cellule dei tessuti epiteliali<br />- Filamenti di VIMENTINA: caratterizzano le cellule dei tessuti connettivi fibrillari (fibroblasti)<br />- Filamenti di DESMINA: uniscono le miofibrille al plasmalemma<br />- Filamenti di GFAP (proteina fibrillare acida delle cellule gliali): caratterizzano astrociti e cellule ependimali<br />- NEUROFILAMENTI che si raccolgono in strutture di ordine superiore: NEUROFIBRILLE<br />- Filamenti di LAMININA, che disponendosi a rete, costituiscono la LAMINA NUCLEAREPaucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-14720874624277640772009-12-01T07:46:00.000-08:002009-12-01T08:19:29.366-08:00Sindrome di Morgagni-Adams-Stokes<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><link rel="File-List" href="file:///C:%5CDOCUME%7E1%5Cmarco%5CIMPOST%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><link rel="themeData" href="file:///C:%5CDOCUME%7E1%5Cmarco%5CIMPOST%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx"><link rel="colorSchemeMapping" href="file:///C:%5CDOCUME%7E1%5Cmarco%5CIMPOST%7E1%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>14</w:HyphenationZone> 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mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">Quadro clinico transitorio di improvvisa debolezza o perdita di coscienza (sincope), con o senza convulsioni, correlato ad una condizione di temporanea ischemia cerebrale (cessazione provvisoria di apporto di sangue al cervello) che trova la sua causa più frequente in una asistolia cardiaca (condizione che si può sviluppare nel corso di alcune aritmie, come per esempio nel blocco atrioventricolare severo o completo e nella malattia del nodo del seno), ma anche nella fibrillazione ventricolare, nella tachicardia ventricolare protratta a frequenza molto alta.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";"><o:p> </o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">Dal punto di vista clinico, tutto dipende dalla durata dell'asistolia e dell'ischemia cerebrale conseguente.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">-<span style=""> </span>Quando un blocco AV completo provoca una bradicardia con frequenza superiore ai 30 batt/min, il paziente può non accusare alcun sintomo soggettivo a riposo, soprattutto se, a parte la lesione del tessuto di conduzione, non vi siano altri danni miocardici. In caso di compromissione miocardica associata al disturbo di conduzione oppure durante sforzi intensi, possono manifestarsi segni di bassa portata circolatoria, quali: astenia, dispnea e/o angor.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">-<span style=""> </span>Per frequenze inferiori ai 30 battiti al minuto o per arresti ventricolari di durata inferiore ai 10 secondi, possono manifestarsi vertigini o lipotimie, intendendo una perdita di conoscenza non necessariamente completa e comunque non improvvisa in quanto preceduta da un complesso prodromico caratterizzato da instabilità, pallore, sudorazione fredda, senso di nausea.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">-<span style=""> </span>Qualora, invece, l’arresto ventricolare abbia durata superiore a 10 secondi, si manifesta la vera Sindrome di Morgagni-Adams-Stokes caratterizzata da una sincope, cioè una perdita improvvisa e completa di conoscenza, e caduta a terra.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">-<span style=""> </span>Qualora, nell’ambito di questa sindrome, l’arresto ventricolare si protragga oltre i 25 secondi, alla perdita di conoscenza si associano convulsioni tonico-cloniche seguite, per arresti ventricolari superiori a 45 secondi, da incontinenza sfinteriale. Se non si interviene con manovre di rianimazione cardio-respiratoria (massaggio cardiaco esterno, respirazione assistita) dopo 3-4 minuti di black-out, si verificano lesioni ischemiche irreversibili delle cellule del sistema nervoso centrale.<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";"><o:p> </o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">Altri sintomi possono essere pupille fisse (non reattive a stimoli luminosi), incontinenza, segno di Babinski bilaterale con il ripristino dei battiti cardiaci. Colpisce generalmente dopo i 40 anni, ed è correlata a malattie cerebrali ed cardiache (es. gravi aritmie).<o:p></o:p></span></p> <p class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif";">Di solito la durata della crisi è breve, anche se può arrivare a 60 secondi ed oltre. Ma la sua comparsa consiglia l'impianto di un pacemaker, che salvaguarderà la vita del paziente. Da quando questo provvedimento è entrato nel protocollo abituale, la prognosi è totalmente cambiata, e i casi di morte sono diventati rari.<o:p></o:p></span></p> <span style="font-size:100%;"><o:p></o:p></span> <span style=";font-family:";" ><o:p></o:p></span> Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-65774514082097455602009-11-23T14:14:00.000-08:002009-11-23T14:28:21.502-08:00Distribuzione della portata cardiaca ai vari organi<span style="font-weight: bold;">Tutti i seguenti valori sono valutati</span><span style="color: rgb(255, 0, 0); font-weight: bold;"> a riposo</span><span style="color: rgb(255, 0, 0);">:</span><br />Rene: 1.1 L/min (20% della Gittata Cardiaca)<br />Encefalo: 0.8 L/min (15% della GC)<br />Fegato: 1.25 L/min (25% della GC)<br />Coronarie: 0.25 L/min (5% della GC)<br /><span style="font-weight: bold;">Rene, cervello, fegato e cuore costituiscono il 5% del peso corporeo ma ricevono il 65% della gittata cardiaca</span><br />Muscolo: 1.1 L/min (20% della GC)<br />Cute: 0.5 L/min (10% della GC)<br />Altro: 0.2 L/min (5% della GC)<br /><br /><span style="font-weight: bold;">Tutti i seguenti valori sono valutati</span><span style="color: rgb(255, 0, 0); font-weight: bold;"> in fase di esercizio fisico</span><span style="color: rgb(255, 0, 0);">:</span><br />Muscolo scheletrico: 86% della Gittata Cardiaca<br />Rene: 4% della GC<br />Encefalo: 3% della GC<br />Coronarie: 4% della GC<br />Cute: 2% della GCPaucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-923934693807767042009-11-13T06:07:00.000-08:002009-11-13T09:43:15.559-08:00Indicatori di sviluppo - sottosviluppo<span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>1.</strong></span> <span onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>CRESCITA ECONOMICA E TRASFORMAZIONE<br /></strong></span>PIL; investimenti esteri diretti; investimenti fissi lordi; tasso di interesse medio; tasso di inflazione; bilancio dello stato e debito pubblico<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>2.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>OCCUPAZIONE</strong></span><br />Tasso di disoccupazione; progetti di lavoro pubblico<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>3.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>POVERTA' E INGIUSTIZIE</strong></span><br />Reddito pro-capite e fasce sociali di reddito; disuguaglianze sociali; distribuzione delle sovvenzioni sociali<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>4.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>FAMIGLIA E WELFARE<br /></strong></span>Edilizia residenziale sociale; accesso a infrastrutture idriche; accesso a servizi igienico-sanitari<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>5.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>SALUTE</strong></span><br />Rapporto medici/abitanti; aspettativa di vita; tasso di natalità; malnutrizione; mortalità infantile; prevalenza di HIV, TBC e malaria; incidenza di malattie trasmissibili per via fecale-orale<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>6.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>ISTRUZIONE</strong></span><br />Rapporto studenti/educatori; numero di laureati; tasso di analfabetismo; media degli anni di scolarità<br /><span onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>7.</strong></span> <span onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>COESIONE SOCIALE</strong></span><br />Partecipazione al voto; fiducia nelle istituzioni<br /><span onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>8.</strong></span> <span onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>SICUREZZA</strong></span><br />Tasso di criminalità; tasso dei reati a sfondo sessuale; incidenti stradali e sul lavoro<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>9.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>RELAZIONI INTERNAZIONALI</strong></span><br />Operazioni di peacekeeping; rapporti diplomatici internazionali; turismo<br /><span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><strong>10.</strong></span> <span style="" onmouseover="_tipon(this)" onmouseout="_tipoff()"><span class="google-src-text" style="direction: ltr; text-align: left;"><strong></strong></span><strong>BUON GOVERNO</strong></span><br />Evasione fiscale; tasso di crescita economico; corruzione; emissioni inquinanti<br /><br />Nel 1990 il Programma per lo sviluppo dell’ONU (UNDP,<i> United Nations Development Program</i>)<i> </i>per avere un quadro completo delle condizioni non solo economiche, ma anche sociali di uno Stato, ha elaborato un indicatore di sviluppo <b>(ISU</b><span style="font-weight: bold;">)</span><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_ySnIOHfE-Js/Sv14LKl-qbI/AAAAAAAAA4U/4p81neZwL44/s1600-h/isu_map.gif"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 400px; height: 244px;" src="http://2.bp.blogspot.com/_ySnIOHfE-Js/Sv14LKl-qbI/AAAAAAAAA4U/4p81neZwL44/s400/isu_map.gif" alt="" id="BLOGGER_PHOTO_ID_5403607261132007858" border="0" /></a>Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-91199992381204310172009-11-05T07:48:00.000-08:002009-11-05T08:07:35.785-08:00Ecografia endocoronarica<span style=";font-family:";font-size:100%;" >Ultrasonografia intracoronarica (ICUS) = ecografia intravascolare (IVUS) = </span><span style="font-size:100%;">Transvenous coronary ultrasound imaging</span><h2 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mso-pagination:widow-orphan; mso-layout-grid-align:none; text-autospace:none; font-size:12.0pt; font-family:"LBHCGP+TimesNewRoman,Italic","serif"; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-bidi-font-family:"LBHCGP+TimesNewRoman\,Italic"; color:black; mso-fareast-language:EN-US;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;} .MsoPapDefault {mso-style-type:export-only; margin-bottom:10.0pt; line-height:115%;} @page Section1 {size:612.0pt 792.0pt; margin:70.85pt 2.0cm 2.0cm 2.0cm; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--> <p class="Default"><span style=";font-family:";font-size:11pt;" ><span style="font-size:100%;">Esame usato complementarmente all’angiografia coronarica per ottenere maggiori informazioni sull’anatomia della parete vasale coronarica.</span><o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt;"><span style=";font-family:";font-size:100%;" >L'ecografia intracoronarica è una modalità di formazione d'immagini nuova per esaminare le caratteristiche endovascolari della circolazione coronaria. Questa tecnica richiede il posizionamento diretto del catetere nel segmento arterioso di interesse. </span></p> <p class="Default"><span style=";font-family:";font-size:11pt;" ><span style="font-size:100%;">Le immagini vengono presentate come sezioni tomografiche video in tempo reale del lume interno del vaso e delle strutture perivascolari come vene e pericardio. Fondamentale è lo studio della composizione della placca che a seconda della sua ecodensità inferiore o simile all’avventizia è classificata in placca morbida, fibrosa , calcifica o mista. Questa distinzione è importante per la scelta della strategia di intervento.<br />Le misurazioni delle dimensioni è uno dei più grandi vantaggi dell’IVUS. Tali misurazioni sono accurate e precise e le più frequentemente utilizzate sono:</span></span><br /><span style=";font-family:";font-size:11pt;" ><span style="font-size:100%;">• Diametro del lume e del vaso<br />• Diametro percentuale di stenosi<br />• Area del lume<br />• Area percentuale di stenosi.<br />L’IVUS è indicata soprattutto dove esiste una discrepanza tra la presentazione angiografica e quella clinica. L’immagine IVUS è più precisa dell’angiografia nell’identificazione dell’area del lume e del grado di rimodellamento del vaso.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt;"><span style=";font-family:";" ><span style="font-size:100%;">Eventualmente, un approccio meno invasivo si può avere usando un catetere di formazione d'immagini posto nel sistema venoso cardiaco. Dopo aver cannulizzato il seno coronario, fu visualizzata l'arteria coronaria circonflessa (Cx) dalla grande vena cardiaca (GCV), e facendo avanzare il catetere nella vena interventricolare anteriore (AIV) è stata identificata l’arteria coronaria sinistra e i suoi rami: l'arteria discendente (LAD) ed anteriore. Si ottengono così le immagini della sezione circolare dell'arteria coronaria là dove arterie e vene sono parallele le une all'altre.</span><o:p></o:p></span></p> <p class="Default"><span style=";font-family:";font-size:100%;" >Lo studio ICUS della parete coronarica non può indagare vasi molto piccoli o segmenti molto distali.</span></p><p class="Default"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_ySnIOHfE-Js/SvL3w-oT8xI/AAAAAAAAA3U/uG0lUqG82-M/s1600-h/IVUS.bmp"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 407px; height: 431px;" src="http://3.bp.blogspot.com/_ySnIOHfE-Js/SvL3w-oT8xI/AAAAAAAAA3U/uG0lUqG82-M/s400/IVUS.bmp" alt="" id="BLOGGER_PHOTO_ID_5400651323988505362" border="0" /></a></p>Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-14199177165735851582009-07-04T08:55:00.000-07:002009-07-04T09:24:18.311-07:00Cardioaspirina (= aspirinetta) vs AspirinaLa cardioaspirina contiene 100 mg di acido acetilsalicilico.<br />L'aspirina "normale" ne contiene 500 mg (esiste anche da 300 mg).<br /><br />La Cardioaspirina è un farmaco formulato in compresse film-rivestite, in modo tale che l' assorbimento sia ritardato (cosicchè è sufficiente assumerne una sola al giorno per avere comunque una copertura per tutto il giorno) e il principio attivo venga rilasciato nel piccolo intestino e non nello stomaco. Tale formulazione gastroprotettiva evita il contatto del principio attivo con la mucosa dello stomaco, riducendo il danno gastrico fatto questo che risulta utile soprattutto nelle somministrazioni protratte a lungo nel tempo.<br />L' aspirina invece non è film-rivestita per cui può danneggiare la mucosa gastrica (specialmente se assunta ad alte dosi o per periodi prolungati) e non è ad assorbimento ritardato (l' assunzione deve essere frazionata in tre assunzioni giornaliere per fornire una copertura delle 24 ore).<br /><br />L'azione antiaggregante dell'aspirina si deve al blocco irreversibile di un enzima piastrinico (COX-1); pertanto, anche se l'emivita è breve (20 minuti), l'effetto antiaggregante dell'aspirina (diversamente dall'effetto analgesico e antinfiammatorio che svaniscono con l'eliminazione del farmaco) non è transitorio perchè le piastrine con l'enzima bloccato restano incapaci di aggregazione fino alla loro naturale distruzione (mediamente 3-4 giorni).<br />La cardioaspirina mantiene il suo effetto antiaggregante e analgesico per tutta la durata delle 24 ore.<br /><br />Il dosaggio efficace antiggregante dell’Acido Acetilsalicilico è 75-300 mg/die.Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com5tag:blogger.com,1999:blog-2486314440576637036.post-58415549462668061022009-07-02T10:29:00.000-07:002009-07-04T08:54:28.331-07:00Effetto batmotropoEffetto batmotropo positivo:<br />- è dato da catecolamine del sistema ortosimpatico sulle cellule miocardiche<br />- rende il potenziale di riposo della miocardiocellula meno negativo<br />(le cellule del miocardio sono maggiormente eccitabili)<br />ciò porta ad un riduzione del periodo refrattario<br />e ad una riduzione della durata del potenziale d'azione<br />con conseguente aumento del ritmo del cuore<br />- è conseguentemente aritmogeno<br /><br />Effetto batmotropo negativo:<br />- è dato dal sistema parasimpatico e dalla digitalePaucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-13363485386016990392008-10-28T11:23:00.000-07:002008-10-28T11:27:31.609-07:00Fasi evolutive della tubercolosi polmonare<p class="MsoNormal">1_ infiammazione granulomatosa attorno ai macrofagi contenenti i bacilli acido-resistenti</p> <p class="MsoNormal">2_ formazione di <b style="">tubercoli</b>, ossia di granulomi (nodulo che si sviluppa attorno al patogeno, costituito da: cell. giganti, cell. epitelioidi, infiltrato linfo-plasmacellulare e all’esterno fibroblasti) con al centro necrosi caseosa e fibrosi.<br />Il <b style="">complesso primario</b> è l'espressione peculiare della prima penetrazione nell'organismo e dell'attecchimento di cariche micobatteriche infettanti. Risulta costituito da tre componenti:<br />- il focolaio granulomatoso<br />- la linfoadenite (in uno o più dei linfonodi tributari del territorio polmonare colpito)<br />- la linfoangite intermedia (sul decorso delle vie linfatiche afferenti alle stazioni linfoghiandolari tributarie).</p> <p class="MsoNormal">3_ un focolaio primario, accrescendosi, distrugge il tessuto circostante formando lesioni cavitarie anche molto grandi (<b style="">caverne</b>). Estendendosi può perforare un bronco, così che il materiale caseoso / colliquato all’interno delle caverne viene espettorato. </p> <p class="MsoNormal">4_ eventualmente il materiale caseoso / colliquato può essere drenato dai linfatici o nei vasi, portando quindi a <b style="">disseminazione</b> del patogeno (ad entrambi i polmoni diffusamente, al midollo osseo, al rene o raramente alle meningi).</p>Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com0tag:blogger.com,1999:blog-2486314440576637036.post-2381414918170886302008-10-14T11:21:00.000-07:002009-11-05T17:15:53.549-08:00Hiatus LeucemicoLo <span style="font-weight: bold;">hiatus leucemicus</span> è un quadro patologico, caratteristico della leucemia acuta, caratterizzato dalla presenza nel sangue periferico di forme immature e forme completamente differenziate (mature) con la caratteristica assenza di forme cellulari intermedie (promielociti, mielociti, metamielociti).Paucherrimus - L'uomo che vive di pocohttp://www.blogger.com/profile/17244303830315243420noreply@blogger.com1