ABSTRACT
OBJECTIVE: Since its introduction in the 1950s, the use of mesotherapy has generated much interest among clinicians and patients. The Italian Society of Mesotherapy (SIM) brought together a panel of experts to review available evidence and to draw up a series of recommendations on the use of intradermal therapy (LIT) in clinical practice. CONSENSUS REPORT: There was overwhelming agreement among Consensus Group members that, when used correctly, LIT is a valuable therapeutic option in the treatment of painful, loco-regional conditions. They also emphasised that the clinical efficacy of LIT has been demonstrated in the management of chronic venous lymphatic insufficiency, oedematous fibrosclerotic panniculopathy and facial skin aging. The experts were unanimous on the use of LIT in vaccination. Mesotherapy is not a substitute for other therapeutic options and should only be used when the patient has been fully informed of its advantages and limitations. Likewise the procedure should only be carried out by an experienced qualified physician. CONCLUSIONS: Although there was widespread agreement among the Consensus Group on the place of LIT in several indications, the Authors reiterated the need for more large-scale clinical trials to determine the specific benefits and limitations in some areas of the application of intradermal therapy.
Subject(s)
Injections, Intradermal/methods , Mesotherapy/methods , Consensus , Humans , Italy , Societies , Vaccines/administration & dosageABSTRACT
Se decidió efectuar una auditoría interna de la eficiencia de nuestros informes comparando con los resultados anatomopatológicos, analizando 180 pacientes portadoras de lesiones subclínicas a las que se realizó localización prebiopsia en nuestro Centro. Desde 1996 utilizamos la clasificación diagnóstica Birads (utilizada por American College de Radiología) y encontramos buena correlación diagnóstica en los casos sospechosos Birads 5 y en los casos probablemente benignos Birads 3. Las dificultades diagnósticas aparecen con los casos clasificados como Birads 4 (dudosos). Si bien las cifras se encuentran dentro de los márgenes de la literatura mundial, creemos necesario en este grupo, aumentar la exactitud con los distintos métodos diagnósticos intervencionistas (AU)
Subject(s)
Humans , Female , Breast Neoplasms/diagnosis , Precancerous Conditions/diagnosis , Breast Neoplasms/diagnostic imaging , Precancerous Conditions/diagnostic imaging , Precancerous Conditions/diagnostic imaging , Medical Audit , Ultrasonography, Mammary/methods , Outcome and Process Assessment, Health Care/methodsABSTRACT
Se decidió efectuar una auditoría interna de la eficiencia de nuestros informes comparando con los resultados anatomopatológicos, analizando 180 pacientes portadoras de lesiones subclínicas a las que se realizó localización prebiopsia en nuestro Centro. Desde 1996 utilizamos la clasificación diagnóstica Birads (utilizada por American College de Radiología) y encontramos buena correlación diagnóstica en los casos sospechosos Birads 5 y en los casos probablemente benignos Birads 3. Las dificultades diagnósticas aparecen con los casos clasificados como Birads 4 (dudosos). Si bien las cifras se encuentran dentro de los márgenes de la literatura mundial, creemos necesario en este grupo, aumentar la exactitud con los distintos métodos diagnósticos intervencionistas
Subject(s)
Humans , Female , Breast Neoplasms/diagnosis , Precancerous Conditions/diagnosis , Breast Neoplasms , Outcome and Process Assessment, Health Care/methods , Medical Audit , Precancerous Conditions , Precancerous Conditions , Ultrasonography, MammaryABSTRACT
Clozapine was administered to 28 resistant schizophrenics at psychiatric services in Bologna. At 26 weeks 62% responded. Positive and negative symptoms improved, but decrease of negative symptoms partially depended upon improvement of positive and EPS. No cases of agranulocytosis were seen. Some drop-outs were related to difficulties with psychopathological improvement.
ABSTRACT
The presence of pesticide residues in rain, throughfall, stemflow and in ambient air in two Italian forests affected by the forest damage phenomenon were investigated. Pesticides measured were: alachlor, atrazine, carbaryl, 2,4-D, diazinon, dichlobenil, fluazifop-butyl, MCPA, parathion, phorate and trifluralin. Rainwater samples were collected from May to October 1988 at Vallombrosa and Renon, air and atmospheric particulates were sampled during April-June 1989, only at Vallombrosa. A total of 146 samples of rainfall and 20 samples of ambient air were analysed and 49 out of 166 samples contained at least one active ingredient. Herbicides were more frequent than insecticides, and their concentrations were also higher (max 3.44 microg litre(-1)).
