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Semeiotica è un termine di derivazione greca e significa “segno”, che resta il cardine di qualsiasi processo diagnostico. Alla Semeiotica Ostetrica, a differenza di quella Medica e Chirurgica, non è stato riservato uno spazio specifico nella editoria, neanche in tempi moderni dove l'introduzione di nuove e diverse tecnologie ha ampliato il corredo sintomatologico e le possibilità diagnostiche in Ostetricia. Anzi l’editoria degli ultimi decenni ha prodotto diversi testi su tecniche e metodologie specifiche, che pur meritando l’attenzione dovuta, restano una parte dell’intero processo diagnostico. Nel processo diagnostico, oggi ancor più, appare importante coniugare i sintomi ed i segni classici della semeiotica ostetrica con i segni che più recentemente sono venuti affermandosi con l'utilizzo delle tecniche strumentali, come ad esempio l'ecografia e la cardiotocografia, per far riferimento a due metodologie comunemente impiegate nella pratica clinica quotidiana. La ricerca dei segni va praticata sulla gestante ed il feto, come processo unitario, evitando, quando possibile, di assegnare eccessiva importanza ad una tecnica in particolare nell'intero processo diagnostico. Le metodologie diagnostiche restano comunque un mezzo, da impiegare opportunamente nei casi richiesti, e partecipano con la semeiotica clinica al fine comune che è rappresentato dal processo diagnostico.

Objectives: To evaluate the effect of bladder flap formation (BFF) during caesarean section (CS) on the uterine scar, assessed during repeat CS. Studydesign: OnehundredandfifteenwomenundergoingtheirfirstCSweredividedintotwogroups:58 women had a CS with BFF (Group 1) and 57 women had a CS without BFF (Group 2). During the repeat CS, four specimens from the uterine scar from the first CS were collected from each woman, and evaluated by light microscopy and transmission electron microscopy (TEM). Results: Adhesionswerefoundin28(48.3)womeninGroup1and14(24.1%)womeninGroup2(p

Experimental calcification of the aorta, induced in rabbits by a single dose of 8 mg of dihydro-tachysterol (AT 10), represents an optimal model for studying vascular diseases caused by lipid and calcium deposition on the artery wall. This lesion may be treated with chelating agents and/or with glucagon. The effect of chelating agents and/or of glucagon on lipid and calcium deposition involving the aortic wall was studied in 12 adult white Flemish rabbits. The animals were divided into four groups and in each of them experimental calcification of the aorta was induced by AT 10. The first group did not receive any treatment and served as control. The second group received only ethylenediamine tetraacetic acid (EDTA) (120 mg daily). The third group received only glucagon (0.1 mg subcutaneously). In the fourth group, the glucagon (0.1 mg subcutaneously) was injected with EDTA (120 mg daily). The animals were killed 30 days after suspension of therapy. The aorta was rapidly harvested in its thoracic tract. The calcium content of the sclerosed aorta was determined by flame photometer, while the cytochemical detection of calcium was performed using N,N-Naphthaloyl-hydroxyl-amine. Lipid deposition was studied by Sudan black B staining. Usual laboratory staining (hematoxyline - eosine and Toluidin blue ) were used for detection of structural details. All morphological results were submitted to the quantitative analysis of images and statistical analysis. The results of the present study suggest that glucagon may play a role in the biochemical and morphological modifications usually found in atherosclerosis. In fact, macroscopic and ultrastructural evaluation of our morphological results suggest that the pathological changes observed may be restored by administration of glucagons and/or by chelating therapy., Scandinavian Journal of Laboratory Animal Sciences, Vol 31, No 4 (2004)