ABSTRACT
Bacterial endocarditis (BE) is a disease difficult to diagnose and with poor prognosis in older people. A total of 76 episodes of this disease occurring in 73 patients were studied with particular attention to clinical manifestation, underlying heart disease, etiological germs, hospitalary mortality and prognosis within 6 months from diagnosis. All patients were 60 years old or older. Mean age was 72 +/- 7 years and male/female relation 1.7/1 Fever and heart murmur were present in 93% and 89% of patients, respectively; 33% of patients complained of vertebral or paravertebral pain which can be an early symptom of this disease. BE was suspected in 47% of patients at admission. Hospitalary mortality was 33% and increased to 47% within 6 months. The mean age of survivors was 71.7 +/- 7 years, versus 73.9 +/- 6 in the deceased (p = 0.08). Lack of suspicion of BE at admission was related with increased mortality (p = 0.04). The germ more frequently isolated was Streptococcus (73%). 53% of patients had some underlying heart disease. Aortic valve was involved in 50% and mitral valve in 21% of the cases. Of all the patients that in retrospect would have had indication of surgery (n = 25) 9 patients were operated, 6 during the first admission with a mortality of 17%. In those patients who were not operated, the mortality was 100% (16/16), making this difference statistically significant, p less than 0.001.
Subject(s)
Aortic Valve , Endocarditis, Bacterial/complications , Mitral Valve , Age Factors , Aged , Aged, 80 and over , Endocarditis, Bacterial/diagnosis , Endocarditis, Bacterial/microbiology , Female , Humans , Male , Middle Aged , Prognosis , Sex FactorsABSTRACT
La endocarditis bacteriana es una enfermedad de dificil diagnóstico y mal prognóstico en el paciente anciano. Con el objeto de establecer las características clínicas más salientes, valvulopatía subyacente y gérmenes causales, se estudiaron 76 episodios de endocarditis bacteriana en 73 pacientes mayores de 60 años. La edad promedio fue 72 ñ 7 años y la relación hombre-mujer de 1,7/1. La fiebre y el soplo cardiaco estuvieron presentes en el 93% y respectivamente. Un 33% de los pacientes presentaron dolor vertebral o paravertebral, que puede ser un síntoma precoz de la enfermedad. La sospecha diagnóstica al ingreso fue de 47%. La mortalidad hospitalaria fue de 33% y llegó, dentro de los seismeses, al 47%. La edad promedio de los vivos fue 71,1 ñ 7 años versus 73,9 ñ 6 en los muertos (p=0,08). La falta de sospecha diagnóstica la ingreso estuvo asociada estadísticamente a una mayor mortalidad (p = 0,04). El gérmen más frecuente fue el estreptococo (73%). El 53% de los pacientes presentaban valvulopatía previa. El compromiso valvular aórtico se manifestó en el 50% y mitral en 21%. De los pacientes que retrospectivamente hubieron tenido indicación quirúrgica (n = 25), 9 fueron operados (6 durante hospitalización con una mortalidad 1/6 (17%)) y en aquellos que no se sometieron a la cirugía la mortalidad fue del 100% (16/16). Esta diferencia resultó ser significativa (p < 0,001)
Subject(s)
Humans , Middle Aged , Male , Female , Aortic Valve , Endocarditis, Bacterial/complications , Mitral Valve , Age Factors , Aged, 80 and over , Endocarditis, Bacterial/diagnosis , Endocarditis, Bacterial/microbiology , Prognosis , Sex FactorsABSTRACT
La endocarditis bacteriana es una enfermedad de dificil diagnóstico y mal prognóstico en el paciente anciano. Con el objeto de establecer las características clínicas más salientes, valvulopatía subyacente y gérmenes causales, se estudiaron 76 episodios de endocarditis bacteriana en 73 pacientes mayores de 60 años. La edad promedio fue 72 ñ 7 años y la relación hombre-mujer de 1,7/1. La fiebre y el soplo cardiaco estuvieron presentes en el 93% y respectivamente. Un 33% de los pacientes presentaron dolor vertebral o paravertebral, que puede ser un síntoma precoz de la enfermedad. La sospecha diagnóstica al ingreso fue de 47%. La mortalidad hospitalaria fue de 33% y llegó, dentro de los seismeses, al 47%. La edad promedio de los vivos fue 71,1 ñ 7 años versus 73,9 ñ 6 en los muertos (p=0,08). La falta de sospecha diagnóstica la ingreso estuvo asociada estadísticamente a una mayor mortalidad (p = 0,04). El gérmen más frecuente fue el estreptococo (73%). El 53% de los pacientes presentaban valvulopatía previa. El compromiso valvular aórtico se manifestó en el 50% y mitral en 21%. De los pacientes que retrospectivamente hubieron tenido indicación quirúrgica (n = 25), 9 fueron operados (6 durante hospitalización con una mortalidad 1/6 (17%)) y en aquellos que no se sometieron a la cirugía la mortalidad fue del 100% (16/16). Esta diferencia resultó ser significativa (p < 0,001) (AU)
Subject(s)
Humans , Middle Aged , Aged , Male , Female , Endocarditis, Bacterial/complications , Aortic Valve , Mitral Valve , Aged, 80 and over , Age Factors , Sex Factors , Prognosis , Endocarditis, Bacterial/microbiology , Endocarditis, Bacterial/diagnosisABSTRACT
Bacterial endocarditis (BE) is a disease difficult to diagnose and with poor prognosis in older people. A total of 76 episodes of this disease occurring in 73 patients were studied with particular attention to clinical manifestation, underlying heart disease, etiological germs, hospitalary mortality and prognosis within 6 months from diagnosis. All patients were 60 years old or older. Mean age was 72 +/- 7 years and male/female relation 1.7/1 Fever and heart murmur were present in 93
and 89
of patients, respectively; 33
of patients complained of vertebral or paravertebral pain which can be an early symptom of this disease. BE was suspected in 47
of patients at admission. Hospitalary mortality was 33
and increased to 47
within 6 months. The mean age of survivors was 71.7 +/- 7 years, versus 73.9 +/- 6 in the deceased (p = 0.08). Lack of suspicion of BE at admission was related with increased mortality (p = 0.04). The germ more frequently isolated was Streptococcus (73
). 53
of patients had some underlying heart disease. Aortic valve was involved in 50
and mitral valve in 21
of the cases. Of all the patients that in retrospect would have had indication of surgery (n = 25) 9 patients were operated, 6 during the first admission with a mortality of 17
. In those patients who were not operated, the mortality was 100
(16/16), making this difference statistically significant, p less than 0.001.
ABSTRACT
Aim of this work was to study psychological aspects of orthodontic patients cooperation. The Authors used "lie-scale" of Busnelli, Dall'Aglio and Faina's questionnaire that measures social desirability. In fact more social desirability results in "cooperative" than in "no cooperative" patients.
Subject(s)
Adolescent Behavior , Orthodontics, Corrective/psychology , Patient Compliance/psychology , Adolescent , Child , Dentist-Patient Relations , Female , Humans , Male , Social AdjustmentABSTRACT
The Authors have studied the psychological characteristics of 48 subjects of whom 17 with signs and symptoms of dysfunction, 12 only with signs of dysfunction and 19 without any dysfunction. From the data collected in our investigation it's possible to assume that there isn't difference (F test) about the psychological profile between this 3 groups of subjects.
Subject(s)
Temporomandibular Joint Dysfunction Syndrome/psychology , Adolescent , Child , Female , Humans , Male , Personality Disorders/complications , Personality Tests , Temporomandibular Joint Dysfunction Syndrome/etiologyABSTRACT
Comparative and randomized evaluation of 30 mg muzolimine and 40 mg furosemide was assessed in 18 patients with CHF. Muzolimine is slightly more effective than furosemide with regard to total 24-hour urine excretion, and a significant difference was found in the time-response curve. In fact the maximum rate of diuresis occurred at the second hour with muzolimine and at fourth hour with furosemide. Both drugs were well tolerated and no side-effects were observed.
