Exercise-induced ST-segment elevation.

Exercise-induced ST-segment elevation in patients without previous myocardial infarction is a relatively uncommon finding. When it does occur, it may be associated with significant coronary artery disease or coronary vasospasm. Here we describe a case of exercise-induced ST-segment elevation in both anterior and inferior leads in a patient with a critical stenosis on a wrapped left anterior descending artery, successfully treated with transluminal coronary artery angioplasty.

Transnasal transesophageal echocardiography: a new approach for the PFO occlusion in awake patients.

Objectives: To reduce risks, discomfort, cost, and operative time for percutaneous patent foramen ovale (PFO) closure, we propose to perform this procedure under transesophageal echo-guidance using a 10 Fr. catheter introduced through nasal way (TEENW).

Background: Transesophageal or intracardiac echocardiography is commonly used to guide percutaneous PFO closure.

The role of chaos in poverty and children's socioemotional adjustment.

There are growing levels of chaos in the lives of American children, youth, and families. Increasingly, children grow up in households lacking in structure and routine, inundated by background stimulation from noise and crowding, and forced to contend with the frenetic pace of modern life. Although widespread, chaos does not occur randomly in the population.

[Therapeutic strategies in neoplasms of the distal bile duct and the Vater's ampulla].

Malignant periampullary and ampullary tumors represent an anatomic and clinical entity of complex surgical approach due to the difficulty in setting out an early diagnosis, for the back of symptoms at early stages. The Authors at the Department of Surgery and Medical Technology Applications "F. Durante", University of Rome "La Sapienza", since 1990 to 2001 observed 19 cases.

[Atrial fibrillation and hyperthyroidism: results after thyroidectomy].

Hyperthyroidism patients can develop atrial fibrillation (AF) with a frequency range between 10 and 25%. The Authors consider 256 hyperthyroid patients operated in their Department, from 1985 to 2001. Before and after surgery, thyroid examination, routine blood tests and common diagnostic evaluations were performed.

[Significance of health education in schools. Strategy for the prevention of cardiovascular diseases].

Cardiovascular diseases are the first cause of death in our Country. They mainly manifests in adult age but it is the result of initiated lesions since the young age and imputable often to errors of behaviours and to non appropriate styles of life. The knowledges related to the prevention of some illnesses, allows a reduction of the incidence of these, a reduction of the mortality, with consequent reduction of the health and social costs related to the care and to the rehabilitation.

Reliability in evaluating passive intervertebral motion.

Reliable measurements are prerequisite to the successful conduct of outcome studies. In a study of the performance of physical therapists (n = 5) in evaluating passive mobility of the vertebral column with normal subjects (n = 5), several sources of measurement variability were assessed: the reliability within and between therapists, the criteria for grading, and the subjects themselves. Intratherapist reliability was found to be dependable; intertherapist reliability was not.

Self-instruction in a perceptual motor skill.

A self-instructional strategy using an audio-visual medium for learning the rehabilitation skill of a three-point crutch gait was developed and demonstrated to be effective with normal women of various activity levels naive to task demands. Briefly discussed are theoretical considerations based upon Fitt's three stages of acquiring a perceptual-motor skill and Fleishman and Hempel's experimental demonstrations that abilities required in learning change as learning progresses. In a modified posttest-only control group experiment with 20 women, ages 36 to 60, the hypothesis that subjects could learn the cognitive aspects of a motor skill in one viewing of a 6 1/2-minute film was supported.

Functional recovery from cancer surgery: estimation of expectations.

Level of expected functional recovery from colostomy, laryngectomy and mastectomy was established by the Delphi technique. One hundred fifteen cancer rehabilitation experts responded to 2 rounds of questionnaires and provided their judgments regarding degrees and timing of recovery in 14 functional, physical and psychological areas. Feedback of first round judgments was provided in the second round and 85% agreement was set as the standard for consensus.