Search

Your search keyword '"Scilla C"' showing total 18 results
Start Over Author "Scilla C"
18 results on '"Scilla C"'

1. Acidentes de trânsito com vítimas: sub-registro, caracterização e letalidade Motor vehicle accidents resulting in injuries: underreporting, characteristics, and case fatality rate

Author

Aluísio J. D. Barros, Rodrigo L. Amaral, Maria Simone B. Oliveira, Scilla C. Lima, and Evandro V. Gonçalves

Subjects
Acidentes de Trânsito, Mortalidade, Ferimentos e Lesões, Violência, Sub-Registro, Traffic Accidents, Mortality, Wounds and Injuries, Violence, Underregistration, Medicine, Public aspects of medicine, RA1-1270
Abstract

Com o objetivo de descrever os acidentes de trânsito de uma cidade de porte médio e comparar os riscos de lesão e morte de diferentes tipos de veículos e pedestres, foram registrados dados de todos os acidentes de trânsito identificados por meio de boletins de ocorrência e de fichas de atendimento de pronto-socorro durante um período de dois anos. Os óbitos por acidentes de trânsito foram rastreados e verificados junto ao Instituto Médico Legal e o número de veículos registrados no município obtido através do Departamento Estadual de Trânsito do Rio Grande do Sul. Foram calculadas taxas de acidente e morte por habitante e por veículo, e realizados testes de associação entre variáveis. Observou-se um sub-registro importante de acidentes a partir do boletim de ocorrência (até 53%), que variou em função do tipo do acidente e da hora de ocorrência. A maior letalidade ocorreu entre ciclistas e pedestres (cerca de 5%), seguidos pelos motociclistas (3%), sendo pedestres o maior contingente de vítimas fatais. Encontrou-se um risco oito vezes maior de morte, quatro vezes maior de lesão e duas vezes maior de atropelar um pedestre para os motociclistas, comparados com os automobilistas. Concluímos que os pedestres e motociclistas são os grupos prioritários para intervenções preventivas.In order to describe traffic accidents in a medium-sized Brazilian city and compare the risks of injury and death among different types of vehicles and pedestrians, all traffic accidents identified through police and hospital emergency records were registered for two years Deaths by such accidents were identified and confirmed through the coroner's office. The number of registered vehicles in the municipality was obtained through the State traffic authority. Morbidity and mortality rates were calculated and tests of association between selected variables performed. There was a relevant underreporting of accidents by the police (up to 53%), which varied according to the type of accident and time of occurrence. The highest case fatality rate was observed among bicyclists and pedestrians (around 5%), followed by motorcyclists (3%). Pedestrians formed the highest contingent of deaths. Motorcyclists had an eightfold risk of dying, a fourfold risk of injury, and a twofold risk of running over pedestrians as compared to automobile drivers. We conclude that pedestrians and motorcyclists are priority groups for interventions aimed at reducing injury and death from traffic accidents.

Published
2003
Full Text
View/download PDF

2. Acidentes de trânsito com vítimas: sub-registro, caracterização e letalidade

Author

Aluísio J. D. Barros, Rodrigo L. Amaral, Maria Simone B. Oliveira, Scilla C. Lima, and Evandro V. Gonçalves

Subjects
Acidentes de Trânsito, Mortalidade, Ferimentos e Lesões, Violência, Sub-Registro, Medicine, Public aspects of medicine, RA1-1270
Abstract

Com o objetivo de descrever os acidentes de trânsito de uma cidade de porte médio e comparar os riscos de lesão e morte de diferentes tipos de veículos e pedestres, foram registrados dados de todos os acidentes de trânsito identificados por meio de boletins de ocorrência e de fichas de atendimento de pronto-socorro durante um período de dois anos. Os óbitos por acidentes de trânsito foram rastreados e verificados junto ao Instituto Médico Legal e o número de veículos registrados no município obtido através do Departamento Estadual de Trânsito do Rio Grande do Sul. Foram calculadas taxas de acidente e morte por habitante e por veículo, e realizados testes de associação entre variáveis. Observou-se um sub-registro importante de acidentes a partir do boletim de ocorrência (até 53%), que variou em função do tipo do acidente e da hora de ocorrência. A maior letalidade ocorreu entre ciclistas e pedestres (cerca de 5%), seguidos pelos motociclistas (3%), sendo pedestres o maior contingente de vítimas fatais. Encontrou-se um risco oito vezes maior de morte, quatro vezes maior de lesão e duas vezes maior de atropelar um pedestre para os motociclistas, comparados com os automobilistas. Concluímos que os pedestres e motociclistas são os grupos prioritários para intervenções preventivas.

3. Acidentes de trânsito com vítimas: sub-registro, caracterização e letalidade

Author

Aluísio J. D. Barros, Rodrigo L. Amaral, Maria Simone B. Oliveira, Scilla C. Lima, and Evandro V. Gonçalves

Subjects
traffic accidents, mortality, wounds and injuries, violence, underregistration, Medicine, Public aspects of medicine, RA1-1270
Abstract

Com o objetivo de descrever os acidentes de trânsito de uma cidade de porte médio e comparar os riscos de lesão e morte de diferentes tipos de veículos e pedestres, foram registrados dados de todos os acidentes de trânsito identificados por meio de boletins de ocorrência e de fichas de atendimento de pronto-socorro durante um período de dois anos. Os óbitos por acidentes de trânsito foram rastreados e verificados junto ao Instituto Médico Legal e o número de veículos registrados no município obtido através do Departamento Estadual de Trânsito do Rio Grande do Sul. Foram calculadas taxas de acidente e morte por habitante e por veículo, e realizados testes de associação entre variáveis. Observou-se um sub-registro importante de acidentes a partir do boletim de ocorrência (até 53%), que variou em função do tipo do acidente e da hora de ocorrência. A maior letalidade ocorreu entre ciclistas e pedestres (cerca de 5%), seguidos pelos motociclistas (3%), sendo pedestres o maior contingente de vítimas fatais. Encontrou-se um risco oito vezes maior de morte, quatro vezes maior de lesão e duas vezes maior de atropelar um pedestre para os motociclistas, comparados com os automobilistas. Concluímos que os pedestres e motociclistas são os grupos prioritários para intervenções preventivas.

7. Prehypertension in outpatient obese children

Author

Di Bonito P, Forziato C, Sanguigno E, Di Fraia T, Saitta F, Iardino MR, Scilla C, Cavuto L, Sibilio G, Moio N, CAPALDO, BRUNELLA, Di Bonito, P, Forziato, C, Sanguigno, E, Di Fraia, T, Saitta, F, Iardino, Mr, Scilla, C, Cavuto, L, Sibilio, G, Moio, N, and Capaldo, Brunella

Subjects
obesity, children, prehypertension
Abstract

Background The aim of the study was to analyze the prevalence of prehypertension (PH) in obese (OB) children and its relation with estimated glomerular filtration rate (eGFR) and left ventricular (LV) function. Methods The study included 447 OB and 131 normal-weight children. PH was defined according to the criteria proposed by the National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. Insulin sensitivity was evaluated by HOMAIR, and eGFR was calculated by Schwartz’s formula. LV function was analyzed by echocardiography in 165 OB children. Results PH was observed in 79 OB children (17.7%) and in 2 (1.5%) controls. Among OB children, those with PH had greater percentage of males (P < 0.05), higher level of body mass index (BMI) (P < .001), waist circumference (WC) (P < 0.005), and HOMAIR (P < 0.001), compared to PH− children. The two groups did not differ for eGFR and LV function. At logistic regression analysis, PH was independently associated with male gender (P < 0.025) and HOMAIR (P < 0.002). Gender analysis showed that boys with PH presented higher levels of BMI (P < 0.005), WC (P < 0.01), HOMAIR (P < 0.001), and triglycerides (P < 0.005) compared to PH− boys. Females with PH were older and in more advanced postpubertal stage, had higher BMI, WC (P < 0.05, for all), and HOMAIR (P < 0.025), compared to PH− girls. Conclusions In a population of outpatient OB children, the prevalence of PH was 17.7% and boys were more likely than girls to have PH. This condition is characterized by insulin resistance in both sexes but no impairment in glomerular and LV function.

Published
2009

8. PREAMI: Perindopril and remodelling in elderly with acute myocardial infarction: Study rationale and design

Author

Battaglia, A., Ferraro, L., Lo Monaco, M., Palumbo, A., Mariani, M., Biadi, O., Boccalatte, A., Polimeno, S., Rosa, V., Liguori, L., Cuomo, S., Boccanelli, A., Morosetti, P., D Angelo, G., Bottiglieri, P., Brunelli, C., Spallarossa, P., Rolandi, A., Rossettini, Pf, Campa, P., Francesco BARILLA', Biase, L., Biscosi, C., Zampino, D., Capponi, E., Buccolieri, M., Gattobigio, R., Capucci, A., Passerini, F., Piepoli, M., Castello, A., Chiariello, M., Betocchi, S., Ciampi, Q., Losi, M., Corsini, G., Melorio, S., Dalle Mule, J., Mazzella, M., Cristinziani, Gr, Mario, L., Luca, I., Fusco, F., Del Salvatore, B., Sorino, M., Delise, P., Mozzato, Mg, Bilardo, G., Coro, L., Fantinel, M., Zasso, A., Fedele, F., Di Donato, D., Romano, S., Pascale, F., Giasi, M., Ciarcia, L., Lizzardo, A., Mastursi, M., Giordano, A., Benigno, M., Zanelli, E., Campana, M., Giovannini, E., Lacche, A., Pulignano, G., Giuffrida, G., Montana, G., Licciardello, G., L Abbate, A., Carpeggiani, C., Morales, A., Leghissa, R., Mandorla, S., Del Pinto, M., Borgioni, C., Mininni, N., Petrillo, Me, Moretti, G., Bonaglia, M., Zoni, A., Piscicelli, C., Orlandi, M., Panciroli, C., Oddone, A., Caizzi, V., Tartarini, G., Lattanzi, F., Reisenhofer, B., Pascotto, P., Zanocco, A., Dabizzi, Rp, Bini, L., Mondanelli, D., Frascarelli, F., Pitscheider, W., Erlicher, A., Rauhe, W., Bonsante, E., Polimeni, M., Catananti, F., Guerrisi, G., Magnani, B., Rapezzi, C., Ferlito, M., Amati, S., Di Leo, L., Manzo, M., Baldi, C., Cristofaro, M., Citro, R., Raviele, A., Turiano, G., Zuin, G., Rengo, F., Furgi, G., Papa, A., Rotiroti, D., Rosato, G., Siano, F., Pagliuca, MR, Rovelli, G., Heyman, J., Locati, I., Sanguinetti, M., Tomassini, F., Mantovani, R., Sanna, A., Marras, L., Crabu, E., Locci, G., Moio, N., Scilla, C., Tavazzi, L., Magrini, G., Bersano, C., Laudisa, Ml, Trimarco, B., Argenziano, L., Silvestri, S., Valagussa, F., Ciro, E., Cantu, E., Trocino, G., Rossillo, A., Valagussa, L., Finocchi, G., Benvenuto, Gm, Bonanno, C., Ometto, R., Risica, G., Gualandi, G., Facchin, L., Tenderini, P., Nicolosi, Gl, Burelli, C., Macor, F., Bellone, E., Laiso, D., Carvalho, P., Peila, C., Fagiano, A., Gardiol, S., Ganci, B., Presutto, P., Fontanelli, A., Morgera, T., Scarpino, L., Barbuzzi, S., Capogrosso, V., Terrosu, Pf, Contini, Gm, Sabino, G., Pes, R., Uneddu, F., Mecca, D., Tommaso, I., Rusconi, C., Brunazzi, Mc, Codeluppi, P., Pasqualini, M., Gorni, R., Negrelli, M., Paparoni, S., Core, A., Pecce, P., Petrella, L., Zennaro, Rg, Garuti, W., Alfano, G., Bacca, F., Petrucci, G., Paci, Am, Bigalli, G., Mangiameli, S., Gulizia, M., Cardillo, R., Ferrari, G., Tettamanti, F., Butti, E., Picchione, N., Sulla, A., Stroder, P., Perna, Gp, Ricci, S., Generali, Ca, Adornato, E., Ghisio, A., Tidu, M., Ferrari, R., Mele, D., Cicchitelli, G., Merli, E., Russa, O., Azcarate, Jma, Gonzales, Pz, Vilchez, F., Alonso, Lfi, Montero, Jmm, Zarzosa, Cd, Martin, Es, Ros, Jo, Martinez, Mh, Palau, Vm, Carranza, Mst, Mayor, Djlb, Cocina, Eg, Valderrama, Jc, Jimenez, Rp, Pardo, Jam, Cortada, Jb, Lorente, Lj, Guerrero, Jjg, Martinez, A., Coronado, Jlb, Casado, Rs, Cendon, Aa, Cokkinos, D., Maounis, T., Karatasakis, G., Kremastinos, D., Iliodromitis, S., Karatzas, D., Georgiadis, M., Paraskevaidis, I., Toutouzas, P., Antoniadis, P., Angeli, C., Vadas, P., Kaleboubas, M., Stamatelopoulos, S., Nanas, I., Kanakakis, A., Dalianis, A., Zacharoulis, A., Fotiadis, I., Pyrgakis, V., Liata, O., Mazen, B., Kardaras, F., Kardara, D., Krokos, V., Sioras, H., Fousas, S., Stefanidis, A., Papadopoulos, G., Papadopoulos, C., Papagiannis, I., Karidas, I., Zobolos, S., Preami, Investigators, A., Battaglia, L., Ferraro, M. L., Monaco, A., Palumbo, M., Mariani, O., Biadi, A., Boccalatte, S., Polimeno, V. D., Rosa, L., Liguori, S., Cuomo, A., Boccanelli, P., Morosetti, G., D'Angelo, P., Bottiglieri, C., Brunelli, P., Spallarossa, A., Rolandi, P. F., Rossettini, P., Campa, F., Barilla, L. D., Biase, C., Biscosi, D., Zampino, E., Capponi, M., Buccolieri, R., Gattobigio, A., Capucci, F., Passerini, M., Piepoli, A., Castello, M., Chiariello, Betocchi, Sandro, Q., Ciampi, Losi, MARIA ANGELA, G., Corsini, S., Melorio, J. D., Mule, M., Mazzella, G. R., Cristinziani, L., Mario, I. D., Luca, F., Fusco, B. D., Salvatore, M., Sorino, P., Delise, M. G., Mozzato, G., Bilardo, L., Coro', M., Fantinel, A., Zasso, F., Fedele, D. D., Donato, S., Romano, F. D., Pascale, M., Giasi, L., Ciarcia, A., Lizzardo, M., Mastursi, A., Giordano, M., Benigno, E., Zanelli, M., Campana, E., Giovannini, A., Lacche, G., Pulignano, G., Giuffrida, G., Montana, G., Licciardello, A., L'Abbate, C., Carpeggiani, A., Morale, R., Leghissa, S., Mandorla, M. D., Pinto, C., Borgioni, N., Mininni, M. E., Petrillo, G., Moretti, M., Bonaglia, A., Zoni, C., Piscicelli, M., Orlandi, C., Panciroli, A., Oddone, V., Caizzi, G., Tartarini, F., Lattanzi, B., Reisenhofer, P., Pascotto, A., Zanocco, R. P., Dabizzi, L., Bini, D., Mondanelli, F., Frascarelli, W., Pitscheider, A., Erlicher, W., Rauhe, E., Bonsante, M., Polimeni, F., Catananti, G., Guerrisi, B., Magnani, C., Rapezzi, M., Ferlito, S., Amati, L. D., Leo, M., Manzo, C., Baldi, M. D., Cristofaro, R., Citro, A., Raviele, G., Turiano, G., Zuin, F., Rengo, G., Furgi, A., Papa, D., Rotiroti, G., Rosato, F., Siano, M. R., Pagliuca, G., Rovelli, J., Heyman, I., Locati, M., Sanguinetti, F., Tomassini, R., Mantovani, A., Sanna, L., Marra, E., Crabu, G., Locci, N., Moio, C., Scilla, L., Tavazzi, G., Magrini, C., Bersano, M. L., Laudisa, Trimarco, Bruno, L., Argenziano, S., Silvestri, F., Valagussa, E., Ciro, E., Cantu, G., Trocino, A., Rossillo, L., Valagussa, G., Finocchi, G. M., Benvenuto, C., Bonanno, R., Ometto, G., Risica, G., Gualandi, L., Facchin, P., Tenderini, G. L., Nicolosi, C., Burelli, F., Macor, E., Bellone, D., Laiso, P., Carvalho, C., Peila, A., Fagiano, S., Gardiol, B., Ganci, P., Presutto, A., Fontanelli, T., Morgera, L., Scarpino, S., Barbuzzi, V., Capogrosso, P. F., Terrosu, G. M., Contini, G., Sabino, R., Pe, F., Uneddu, D., Mecca, I. D., Tommaso, C., Rusconi, M. C., Brunazzi, P., Codeluppi, M., Pasqualini, R., Gorni, M., Negrelli, S., Paparoni, A., Core, P., Pecce, L., Petrella, R. G., Zennaro, W., Garuti, G., Alfano, F., Bacca, G., Petrucci, A. M., Paci, G., Bigalli, S., Mangiameli, M., Gulizia, R., Cardillo, G., Ferrari, F., Tettamanti, E., Butti, N., Picchione, A., Sulla, P., Stroder, G. P., Perna, S., Ricci, C. A., Generali, E., Adornato, A., Ghisio, M., Tidu, R., Ferrari, D., Mele, G., Cicchitelli, E., Merli, O., Russa, J. M., A., P. Z., Gonzale, F., Vilchez, L. F. I., J. M. M., C. D., Zarzosa, E. S., Martin, J. O., De, M. H., Martinez, V. M., Palau, M. S. T., D. J. L., E. G., Cocina, J. C., Valderrama, R. P., Jimenez, J. A., M., J. B., Cortada, L. J., Lorente, J. J., G., A., Martinez, J. L., B., R. S., Casado, A. A., Cendon, D., Cokkino, T., Maouni, G., Karatasaki, D., Kremastino, S., Iliodromiti, D., Karatza, M., Georgiadi, I., Paraskevaidi, P., Toutouza, P., Antoniadi, C., Angeli, P., Vada, M., Kalebouba, S., Stamatelopoulo, I., Nana, A., Kanakaki, A., Daliani, A., Zacharouli, I., Fotiadi, V., Pyrgaki, O., Liata, B., Mazen, F., Kardara, D., Kardara, V., Kroko, H., Siora, S., Fousa, A., Stefanidi, G., Papadopoulo, C., Papadopoulo, I., Papagianni, I., Karida, and S., Zobolos

Subjects
Male, Ventricular Remodeling, Myocardial Infarction, Angiotensin-Converting Enzyme Inhibitors, Electrocardiography, ace inhibitors, elderly, heart rate variability, left ventricular remodeling, myocardial infarction, perindopril, Double-Blind Method, Echocardiography, Research Design, Perindopril, Electrocardiography, Ambulatory, Humans, Female, Aged
Abstract

Angiotensin-converting enzyme (ACE) inhibitors reduce mortality, the development of remodeling, left ventricular (LV) dysfunction, and ischemic events, both when administered alone as long-term treatment in patients with impaired LV function and/or heart failure (HF) and as short-term treatment, early after acute myocardial infarction (AMI) and/or HF. The few data available on the use of ACE inhibitors in the elderly after AMI are conflicting. Nothing is known about the effects of ACE inhibitors in elderly postinfarction patients with preserved LV function: these patients have a remarkable medium- to long-term mortality and HF incidence after infarction. The aim of this study is to evaluate, in patients with AMI agedor =65 years, the effects of Perindopril on the combined outcome of death, hospitalization for HF, and heart remodeling, considered to be aor =8% increase in LV end-diastolic volume (LVEDV). Secondary objectives include the same factors listed in the primary end points but considered separately. In addition, safety of the drug, ventricular remodeling, and adaptation are being evaluated. A total of 1100 patients with AMI (first episode or reinfarction), agedor =65 years, and preserved or only moderately depressed LV (LV ejection fractionor =40%), are to be enrolled and randomly assigned to treatment (8 mg for 12 months of Perindopril or placebo, in double-blind conditions). Clinical assessment is performed at fixed times, and periodic evaluations of (1) ventricular shape, dimensions, and function by quantitative 2-D echocardiography, and (2) heart rate variability and arrhythmias by ambulatory electrocardiographic monitoring are anticipated. The results and conclusions will be available by 2002 year.

Published
2000

9. Prehypertension in Outpatient Obese Children

Author

Di Bonito, P., primary, Forziato, C., additional, Sanguigno, E., additional, Di Fraia, T., additional, Saitta, F., additional, Iardino, M. R., additional, Scilla, C., additional, Cavuto, L., additional, Sibilio, G., additional, Moio, N., additional, and Capaldo, B., additional

Published
2009
Full Text
View/download PDF

14. Acidentes de trânsito com vítimas: sub-registro, caracterização e letalidade

Author

Scilla C. Lima, Aluísio J D Barros, Evandro V. Gonçalves, Maria Simone B. Oliveira, and Rodrigo L. Amaral

Subjects
Poison control, lcsh:Medicine, wounds and injuries, Violence, Suicide prevention, Occupational safety and health, traffic accidents, Coroner, violence, Environmental health, Case fatality rate, Injury prevention, Traffic Accidents, medicine, Mortality, Acidentes de Trânsito, Underregistration, Violência, Ferimentos e Lesões, business.industry, Mortality rate, Sub-Registro, lcsh:Public aspects of medicine, lcsh:R, Public Health, Environmental and Occupational Health, Human factors and ergonomics, lcsh:RA1-1270, medicine.disease, mortality, Mortalidade, Wounds and Injuries, underregistration, Medical emergency, business
Abstract

Com o objetivo de descrever os acidentes de trânsito de uma cidade de porte médio e comparar os riscos de lesão e morte de diferentes tipos de veículos e pedestres, foram registrados dados de todos os acidentes de trânsito identificados por meio de boletins de ocorrência e de fichas de atendimento de pronto-socorro durante um período de dois anos. Os óbitos por acidentes de trânsito foram rastreados e verificados junto ao Instituto Médico Legal e o número de veículos registrados no município obtido através do Departamento Estadual de Trânsito do Rio Grande do Sul. Foram calculadas taxas de acidente e morte por habitante e por veículo, e realizados testes de associação entre variáveis. Observou-se um sub-registro importante de acidentes a partir do boletim de ocorrência (até 53%), que variou em função do tipo do acidente e da hora de ocorrência. A maior letalidade ocorreu entre ciclistas e pedestres (cerca de 5%), seguidos pelos motociclistas (3%), sendo pedestres o maior contingente de vítimas fatais. Encontrou-se um risco oito vezes maior de morte, quatro vezes maior de lesão e duas vezes maior de atropelar um pedestre para os motociclistas, comparados com os automobilistas. Concluímos que os pedestres e motociclistas são os grupos prioritários para intervenções preventivas. In order to describe traffic accidents in a medium-sized Brazilian city and compare the risks of injury and death among different types of vehicles and pedestrians, all traffic accidents identified through police and hospital emergency records were registered for two years Deaths by such accidents were identified and confirmed through the coroner's office. The number of registered vehicles in the municipality was obtained through the State traffic authority. Morbidity and mortality rates were calculated and tests of association between selected variables performed. There was a relevant underreporting of accidents by the police (up to 53%), which varied according to the type of accident and time of occurrence. The highest case fatality rate was observed among bicyclists and pedestrians (around 5%), followed by motorcyclists (3%). Pedestrians formed the highest contingent of deaths. Motorcyclists had an eightfold risk of dying, a fourfold risk of injury, and a twofold risk of running over pedestrians as compared to automobile drivers. We conclude that pedestrians and motorcyclists are priority groups for interventions aimed at reducing injury and death from traffic accidents.

15. Bone mineral content in Cooley's anaemia

Author

RONCA, Dante, IOLASCON, Giovanni, CRUSCO R, SCILLA C, ROCCA C, NOBILE B, IOLASCON A., Ronca, Dante, Iolascon, Giovanni, Crusco, R, Scilla, C, Rocca, C, Nobile, B, and Iolascon, A.

Published
1987

16. Central adiposity and left ventricular mass in obese children

Author

G. Sibilio, P. Di Bonito, Nicola Moio, Claudia Forziato, Carolina Scilla, Eduardo Sanguigno, T. Di Fraia, Luigi Cavuto, Francesco Saitta, Brunella Capaldo, Di Bonito, P, Capaldo, Brunella, Forziato C, Sanguigno, E, Di Fraia, T, Scilla, C, Cavuto, L, Saitta, F, Sibilio, G, and Moio, N.

Subjects
Male, medicine.medical_specialty, Adolescent, Systole, Endocrinology, Diabetes and Metabolism, Diastole, Medicine (miscellaneous), Ventricular Function, Left, Childhood obesity, Body Mass Index, Tissue Doppler echocardiography, Internal medicine, medicine, Humans, Child, Adiposity, Waist-to-height ratio, Nutrition and Dietetics, business.industry, Stepwise regression, medicine.disease, Endocrinology, Blood pressure, Cardiology, Female, Hypertrophy, Left Ventricular, Cardiology and Cardiovascular Medicine, business, Body mass index
Abstract

The impact of central adiposity on left ventricular (LV) mass in childhood obesity has been little explored. This study evaluates whether central obesity influences LV mass and function in obese children.Biochemical, anthropometric and echocardiographic measurements were taken in obese (n=111, mean age 10.6+/-2.5 years) and non-obese children (n=30, mean age 10.8+/-3.0 years). Left ventricular function was analyzed by conventional and tissue Doppler echocardiography. LV mass was calculated according to the Penn convention and indexed for height(2.7) (LVM(i)). The obese group showed increased levels of LVM(i) as compared to the non-obese group (35.7+/-8.5 vs 23.5+/-2.8 g/h(2.7), p0.0001). Among obese children, we observed a significant increase of LVM(i) across tertile of waist-height ratio (WHtR). The subjects identified by the highest tertile of WHtR, as compared to subjects identified by the lowest tertile, showed higher levels of BMI (29.5+/-5.4 vs 31.0+/-5.0 kg/m(2), p0.0001) and LVM(i) (32.1+/-6.5 vs 37.1+/-8.5 g/h(2.7), p0.01). Among obese children a positive correlation (standardized for age and gender) was found between LVM(i) and BMI (r=0.282, p0.01) and WHtR (r=0.334, p0.0001). To analyze the independent predictors of LVM(i), a stepwise linear regression analysis was performed using age, gender, BMI, blood pressure, heart rate, HOMA-IR and WHtR as independent variables. LVM(i) was independently associated only with WHtR (beta=0.309, t=3.238, p=0.002).Obese children show an increased LVM(i) and a preserved LV function. Central adiposity is the major determinant of left ventricular mass.

Published
2008

17. [Traffic accidents resulting in injuries: underreporting, characteristics, and case fatality rate].

Author

Barros AJ, Amaral RL, Oliveira MS, Lima SC, and Gonçalves EV

Subjects
Accidents, Traffic mortality, Adolescent, Adult, Aged, Aged, 80 and over, Bicycling, Brazil epidemiology, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Motor Vehicles, Motorcycles, Risk Factors, Wounds and Injuries mortality, Accidents, Traffic statistics & numerical data, Wounds and Injuries epidemiology
Abstract

In order to describe traffic accidents in a medium-sized Brazilian city and compare the risks of injury and death among different types of vehicles and pedestrians, all traffic accidents identified through police and hospital emergency records were registered for two years Deaths by such accidents were identified and confirmed through the coroner's office. The number of registered vehicles in the municipality was obtained through the State traffic authority. Morbidity and mortality rates were calculated and tests of association between selected variables performed. There was a relevant underreporting of accidents by the police (up to 53%), which varied according to the type of accident and time of occurrence. The highest case fatality rate was observed among bicyclists and pedestrians (around 5%), followed by motorcyclists (3%). Pedestrians formed the highest contingent of deaths. Motorcyclists had an eightfold risk of dying, a fourfold risk of injury, and a twofold risk of running over pedestrians as compared to automobile drivers. We conclude that pedestrians and motorcyclists are priority groups for interventions aimed at reducing injury and death from traffic accidents.

Published
2003
Full Text
View/download PDF

18. [Identification of patients with acute myocardial infarction that may be discharged early: prospective evaluation with simple clinical and instrumental indicators].

Author

Murena E, Molero U, Moio N, Pisani A, Stingone MA, Guardascione A, Grassia V, Scilla C, Marino A, and Sibilio G

Subjects
Aged, Female, Follow-Up Studies, Humans, Incidence, Length of Stay, Male, Middle Aged, Myocardial Infarction complications, Myocardial Infarction mortality, Prospective Studies, Time Factors, Myocardial Infarction therapy, Patient Discharge
Abstract

Background: The hospital stay for "uncomplicated" acute myocardial infarction (AMI) is often too long. A reduction in the length of hospitalization, if proven to be safe, is advantageous in terms of costs and health organization. Accordingly the aims of the present, prospective study, were to evaluate: 1) the patients with AMI eligible for early discharge; 2) the incidence of adverse cardiovascular events within 2 weeks of myocardial infarction; 3) the incidence of cardiovascular mortality at 6-month follow-up., Methods: On the fifth day after AMI, 331 of 526 patients, consecutively admitted to our coronary care unit between March 1997 and August 1999, were assigned to "complicated" and "uncomplicated" AMI groups, according to clinical and non-invasive criteria. Uncomplicated myocardial infarction eligible for early discharge was defined in patients < 75 years, as the absence of a high risk personality, stroke, left bundle branch block, transient myocardial ischemia after the first 24 hours from AMI, clinical signs or echocardiographic evidence of left ventricular dysfunction (ejection fraction < 40%), ventricular fibrillation, sustained ventricular tachycardia, symptomatic bradyarrhythmias after the first 48 hours from AMI, cardioversion or defibrillation (after the first 48 hours) or the need for coronary angioplasty or coronary artery bypass grafting. Uncomplicated patients were discharged on the sixth day after AMI (hospital stay 6.5+/-0.72 days). A symptom-limited ergometric stress test was planned in the uncomplicated group 14 days after AMI. "Hard" (death, reinfarction) and "non-hard" (unstable angina, myocardial revascularization) adverse cardiovascular events were monitored at 2 weeks of follow-up, and cardiovascular mortality at 6-month follow-up., Results: Four (1.2%) hard (0.3% exitus and 0.9% reinfarction) and 7 (2.1%) non-hard adverse events occurred among patients with uncomplicated AMI at 2 weeks of follow-up. Patients with uncomplicated AMI who developed adverse events, presented during the primary coronary event creatine kinase (CK) and CK-MB serum levels which were significantly lower than those observed in patients who did not present adverse events. In the complicated group (hospital stay 9.9+/-1.79 days), from day 6 to 14 after AMI, 65 (33%) hard and non-hard events occurred. A significant reduction in mortality between the uncomplicated and complicated group (2.11 vs 27.17%, p < 0.0001) was observed at 6-month follow-up. Multivariate analysis showed a statistically significant difference for age and thrombolytic treatment., Conclusions: This first Italian prospective study demonstrated the possibility of identifying, 5 days after AMI and on the basis of simple criteria and without a stress test, a low risk population of patients eligible for early discharge.

Published
2001

Catalog

Books, media, physical & digital resources
See catalog results