RESUMO
Inflammation is believed to play a pivotal role in dementia, but its role is still unclear. The aim of our study was to analyze the interplay among markers of inflammation, such as fibrinogen and high CRP levels, and dementia. First, we performed a cross-sectional study comparing markers of inflammation between 99 patients affected by dementia (mean age: 83.0+/-0.6 years) and 99 controls (mean age: 83.9+/-0.7 years). Then, we analyzed the relationship between inflammation and dementia in the same population composed by 34 Alzheimer's disease (AD) patients (mean age: 83.4+/-0.8 years), 64 vascular dementia (VaD) patients (mean age: 82.7+0.8 years) and 99 controls. Patients affected by dementia had higher CRP levels than controls (2.6+/-+/-0.2 vs. 0.7 + 0.1 p < 0.001, respectively). AD patients had higher CRP levels than VaD patients (4.2 + 0.6 vs. 1.7+/-0.2, p < 0.001, respectively). Stepwise multiple logistic regression analysis showed that dementia (odds ratio=OR=4.965, 95% confidence interval=Cl=1.402-13.23, p=0.004), fibrinogen (OR=1.011, Cl=1.007-1.015, p<0.001), and age (OR=1.158, Cl=1.063-1.261, p<0.001) are independently correlated with high levels of CRP. The study suggests that inflammation may have a pathogenetic role in AD.
Assuntos
Proteína C-Reativa/metabolismo , Demência/sangue , Inflamação/sangue , Idoso de 80 Anos ou mais , Doença de Alzheimer/sangue , Doença de Alzheimer/complicações , Biomarcadores/sangue , Intervalos de Confiança , Demência/complicações , Feminino , Seguimentos , Humanos , Inflamação/complicações , Masculino , Razão de Chances , Prognóstico , Estudos Retrospectivos , Índice de Gravidade de DoençaRESUMO
Having briefly analyzed the metabolism of ethanol in elderly subjects and the evidence of great resistance of the senile liver to alcohol-induced damage, the Author describes histological, clinical, biohumoral features of fibrosis and the necessary therapeutic measures. Eighty clinical cases of hepatic fibrosis are also illustrated, studied and observed during five years.
Assuntos
Colchicina/uso terapêutico , Cirrose Hepática Alcoólica/tratamento farmacológico , Fatores Etários , Idoso , Etanol/metabolismo , Etanol/farmacologia , Feminino , Humanos , Cirrose Hepática Alcoólica/metabolismo , MasculinoRESUMO
Having briefly analyzed the role of molybdenum in the metabolism of living organisms, the author describes conditions induced by molybdenum deficit and poisoning due to this metal. The most recent acquisitions concerning the importance of this element for normal development of the human organism are also illustrated.
Assuntos
Molibdênio/metabolismo , Animais , Relação Dose-Resposta a Droga , Crescimento , Humanos , Molibdênio/deficiência , Molibdênio/farmacocinética , Molibdênio/toxicidade , Oligoelementos/metabolismoRESUMO
Having briefly analyzed the role of vanadium in living organisms, the author describes conditions induced by vanadium poisoning and deficit. The most recent acquisitions concerning the use of vanadium in the treatment of diabetes mellitus and its consequent role in the prevention of atherosclerosis are also illustrated.
Assuntos
Vanádio/metabolismo , Poluentes Ocupacionais do Ar , Arteriosclerose/prevenção & controle , Diabetes Mellitus/tratamento farmacológico , Relação Dose-Resposta a Droga , Humanos , Metalurgia , Doenças Profissionais/etiologia , Vanádio/deficiência , Vanádio/intoxicação , Vanádio/uso terapêuticoRESUMO
Having briefly analyzed the metabolism of ethanol in man, the author describes hepatocellular damage induced by alcohol abuse and histological, clinical and biohumoral features of acute alcoholic hepatitis, chronic hepatitis and cirrhosis. Seventy-five clinical cases of acute alcoholic hepatitis, chronic hepatitis and cirrhosis are also illustrated, studied and observed during five years.
Assuntos
Alcoolismo/complicações , Hepatite Alcoólica/etiologia , Cirrose Hepática Alcoólica/etiologia , Doença Aguda , Alcoolismo/metabolismo , Doença Crônica , Etanol/farmacocinética , Feminino , Hepatite Alcoólica/diagnóstico , Hepatite Alcoólica/fisiopatologia , Humanos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Cirrose Hepática Alcoólica/diagnóstico , Cirrose Hepática Alcoólica/fisiopatologia , MasculinoRESUMO
Having briefly analyzed the role of nickel in the living organism the author describes conditions induced by nickel poisoning and deficit. The most recent acquisitions concerning the importance of nickel in the stabilization of nucleic acids are also illustrated.
Assuntos
Níquel , Adulto , Animais , Feminino , Cobaias , Humanos , Recém-Nascido , Masculino , Neoplasias/induzido quimicamente , Níquel/deficiência , Níquel/toxicidade , Doenças Profissionais/induzido quimicamente , Compostos Organometálicos/toxicidade , Gravidez , RatosRESUMO
Having briefly analyzed the etiopathogenesis of silent myocardial ischemia, the author describes the most recent acquisitions concerning incidence, clinical significance and characteristics of three types of silent ischemia. Diagnosis, prognosis and treatment strategies are also illustrated. Further, three cases observed and studied are reported.
Assuntos
Doença das Coronárias , Adulto , Doença das Coronárias/diagnóstico , Doença das Coronárias/terapia , Eletrocardiografia , Eletrocardiografia Ambulatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PrognósticoRESUMO
Having briefly analyzed the role of silicon specially in the metabolism of connective and bone tissue, the author describes conditions induced by silicon deficit and poisoning due to this metal. The most recent findings concerning the role of silicon in delaying the onset and reducing the extension of atherosclerotic processes are also illustrated.
Assuntos
Silício , Envelhecimento , Animais , Arteriosclerose/prevenção & controle , Humanos , Neoplasias/prevenção & controle , Silício/fisiologia , Silício/uso terapêuticoRESUMO
Having briefly analyzed the metabolism of ethanol in man, the author describes hepatocellular damage induced by alcohol abuse and histological, clinical and biohumoral features of steatosis and fibrosis. One hundred clinical cases of hepatic steatosis and fibrosis are also illustrated, studied and observed during five years.
Assuntos
Fígado Gorduroso Alcoólico/patologia , Cirrose Hepática Alcoólica/patologia , Fígado/patologia , Colchicina/uso terapêutico , Combinação de Medicamentos , Fígado Gorduroso Alcoólico/metabolismo , Fígado Gorduroso Alcoólico/terapia , Feminino , Humanos , Cirrose Hepática Alcoólica/metabolismo , Cirrose Hepática Alcoólica/terapia , Masculino , Prognóstico , Piridoxina/uso terapêutico , Ácido Pirrolidonocarboxílico/uso terapêutico , Tiopronina/uso terapêutico , Vitamina K/uso terapêuticoRESUMO
Having briefly analyzed the metabolism of ethanol in the human organism, the author describes hepatocellular damage induced by chronic alcohol abuse in old men. The evidence of great resistance of the senile liver to alcohol-induced damage is stressed as well as histological, biohumoral and clinical features of steatosis, chronic hepatitis, acute hepatitis and cirrhosis. Further, the author discusses the most suitable dietary and pharmacologic measures to be utilized in the above-mentioned phase of the liver disease due to chronic alcohol abuse.