Boncinelli 1, B. Vannucci 1, S.
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Dolenti 1, T. Gurrera 1, A. Valoriani 1, R. Tarquini 1. Background and purpose Patients hospitalised in departments of Internal Medicine are often affected by chronic comorbidities, sometimes with difficult family situations, so "fragile". These patients are those most exposed to the risks associated with the "transition", ie those moments in the diagnostic-therapeutic course, during which different professional care settings are involved in the care process. Therefore we developed a tool, "Identikit" of the patient, for medical and nursing staff, which collects data about clinical and cognitive-psycho-social aspects of patient, even by the assessment of encoded scales, which is quick to build, immediate to see, useful for identification of main critical issues, when a new patient arrives in setting and at the moment of a subsequent hospitalization.
Materials and Methods 68 patients hospitalized in the Medicine Continuity of Castelfiorentino were included, divided randomly into the "Identikit" Group and the Control Group, assessed with the usual methods. The "Identikit" could quickly identify patient's critical issues, streamline costs, improve quality of life and long-term prognosis. Background Rhabdomyolisis RML is an acute necrosis of skeletal muscle, with release of intracellular contents into the bloodstream.
Crush injuries, exertions and drugs as statins or opiates are the main causes. Spinning, or indoor cycling, is an expanding fitness activity which uses a stationary bike. Complications of RML are rare, but life threatening. Twelve hours after her first spinning class she presented severe pain and swelling in both thighs accompanied by reddish urine.
First day: serum creatine kinase CK Absolute rest and hydrating treatment was prescribed. Discussion Expanding gym attendance and increasing use of statins and dope make RML a very actual problem. This is to our knowledge the first Italian and the fourth European described case of spinning-induced RML, a probably underestimated illness that may also result from light exertions. Through MRI we detected in our RML a clear-cut temporal dissociation between clinical healing and anatomical recovery: this observation could be very useful in athletes for timing exercise resumption at no.
Taking account of future social impact of spinning we advise right training, correct hydration and air-conditioned gyms.
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Unlike the more frequent A and B haemophilias, spontaneous bleeding is exceptional, but it may follow injuries or surgery; it is not related to the FXI blood level and therefore unpredictable. In some studies FXI deficiency seems able to protect from stroke and venous thrombosis. Treatment, reserved to emergencies, consists essentially of frozen fresh plasma or FXI concentrates. Case report Caucasian female 56 years old, nothing noteworthy in the family, no previous bleeding, treated with aspirin for myocardial infarction and occasionally with heparin for recurrent thrombophlebites of the legs, admitted for erysipelas promptly responder to antibiotics.
Discussion Reports of FXI deficiency in Italy are very few, nevertheless it must be recognized to avoid potentially bleeder drugs, as in our patient, and to carry out prevention in surgery. Lack of bleeding in a severe deficiency likely a "null allele" , even during treatment with aspirin and heparin, confirms the unpredictability of the bleeding tendency in this disease. On the other hand thrombotic diathesis of our patient seemingly clashes with recent searches about FXI as antithrombotic target using antisense oligonucleotides. Borretta 1, A. Giraudo 2, C. Bracco 1, C.
Brignone 1, C. Serraino 1, S. Severini 1, R. Melchio 2, F. Capucci 2, G. Cavallero 2, M.
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Grosso 3, A. Comino 4, L. Fenoglio 2. Medicina Interna A. Croce e Carle, Cuneo; 3S. Radiologia A. Croce e Carle, Cuneo; 4S. Anatomia Patologica A. Croce e Carle, Cuneo. A year-old man was admitted to our hospital for 4-months standing pain in the right hypochondrium and recurrent fever. The medical history included brucellosis 35 years before. Previous US and Ct abdominal scanning detected a hypodense hepatic lesion containing a cystic area and a single calcification in its central portion.
Laboratory findings included increased alkaline phosphatase, GT, ESR and C-reactive protein; serological tests were negative except for Brucella IgG antibody titres; blood cultures were sterile. Hepatic biopsy and FNA were performed: histological evaluation revelead fibro-sclerosis and inflammatory infiltration. Cesar e e assai piil stimato di Pompeo.
Cesar e e molto piil stimato di Pompeo. Pompey was much less happy than Csesar. Pompeo e stato via meno, assai meno, molto meno felice di Cesare. When both the objects are in the nominative case, the comparative than cannot be expressed by che before the 56 NOUNS. Of Superlatives. The Italian superlative is formed from the noun. The most, is expressed by il piii, la piil ; as, the fairest, or most fair, il piil hello, la piit bella, i piil belli, Je piil belle ; the largest, il piil grande.
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You are also to take notice, that the positive is sometimes used in the Italian language, instead of the superlative ; as, e la bella delle belle ; as if one were to say, she is the fairest of the fair. There is also another sort of superlative ; for we say, un uomo dotto dotto, to signify a very learned man. Observations on some Nouns. NOUNS 57 before masculine nouns beginning with a consonant, and we only write, Un, bel, gran, san, quel, buon ; as, un libro, bel cane, granfuoco, san Michele, quel bastone, buon fgliuolo.
Before the feminine nouns we write, Una, bella, gran, sdnta, quella, buona. None but gran is shortened before feminines. Frdte signifies a friar, or brother of a religious order. In this sense we abridge the word frdte before the proper names of men, and only use fra; as, fra Pie- tro, brother Peter ; fra Paolo, brother Paul ;fra Ago- stino, brother Augustine; fra Giovdnni, brother John.
We must remember also, that fra, before numeral nouns, signifies in : example, fra un dnno, in a year ; fra due mesi, in two months ; fra quindici giorni t in fifteen da vs. Thirty, trenta Forty, quardnta Fifty, cinqudnta Sixty, sessdnta Seventy, settdnta Eighty, ottdnta Ninety, novdnta Hundred, cento Two hundred, dug into Three hundred, trecento Thousand, mille Two thousand, due mila Million, milione A score, una ventina Half a score, una decina A dozen, una dozzma A score and a half, una trentina Ordinal Nouns.
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The distributive nouns are, ad uno ad uno, one by one ; a due a due, two by two. In French and English all ordinal numbers may be formed into adverbs, but in Italian they have only pri- mieramente and secondariamente. A Method by which those who understand French may learn a great many Italian words in a short time. French Terminations which in Italian end in a. Catalogne, Catalogna charogne, carogna Ie makes ia. See what has been said in the exceptions of nouns terminating in a. Ure makes ura. Al makes ale.
Age makes aggio.
Mille... e una dieta per rimanere sempre in forma
The participles in i make ito ; dormi, dormito ; senti, sentito ; pati, pat'ito ; menti, mentito. There are a great many Italian words which have no kind of analogy or resemblance with the French ; as, le ciglia, the eyebrows ;fazzoletto,di handkerchief; gobbo, crook-backed ; chiamdre, to call ; scherzdre t to joke ; and many others, which prevent these rules from being general.
Other Terminations of the Italian Nouns, derived from the Latin. The Latin ablative generally makes the Italian no- minative ; as, colore, onbre, pettine, vergine. But if the last syllable of the nominative begins with a consonant, the consonant continues, and the vowel o is added to it: examples, tempus, say tempo; cornu, c6rno; re- taining the p and n, which are the first letters of the last syllable of the nominative tempus, tempo, and the nominative cornu, corno. The neutral nominatives in en drop the letter n ; as, nomen, nome ; flumen, fume; changing also the letter I into i, as has been already observed, when we treated of nouns ending in u.
The greatest part of the Latin infinitives, of the se- cond and third conjugation, make the Italian infini- tives ; as dolere, tenere, solere, temere, vedere, credere? THE pronouns are either personal, conjunctive, pos- sessive, demonstrative, interrogative, relative, or im- proper. Of Pronouns Personal. Tu and voi, for the second, and these serve also for the masculine and feminine. Egli for the third person of the masculine gender, and makes eg lino, in the plural.
Ella or essa because lui for the masculine, and lei for the feminine, are never used in the nominative , for the third person in the feminine gender, form in the plural elleno ; but esse is preferable.