Dott. Giovanni Salamano Studio Medico

Dott. Giovanni Salamano Studio Medico Da tre generazioni ci occupiamo della salute dei Vercellesi, come Medici di Famiglia dal 1921 ad ogg

 𝗡𝗲𝘄 𝗥𝗲𝘃𝗶𝗲𝘄 𝗔𝗿𝘁𝗶𝗰𝗹𝗲: 𝗧𝗲𝘀𝘁𝗼𝘀𝘁𝗲𝗿𝗼𝗻𝗲 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗳𝗼𝗿 𝗛𝘆𝗽𝗼𝗴𝗼𝗻𝗮𝗱𝗶𝘀𝗺 ⁣⁣In men, marked hypogonadism due to pituitary or testicula...
10/08/2025

𝗡𝗲𝘄 𝗥𝗲𝘃𝗶𝗲𝘄 𝗔𝗿𝘁𝗶𝗰𝗹𝗲: 𝗧𝗲𝘀𝘁𝗼𝘀𝘁𝗲𝗿𝗼𝗻𝗲 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗳𝗼𝗿 𝗛𝘆𝗽𝗼𝗴𝗼𝗻𝗮𝗱𝗶𝘀𝗺 ⁣

In men, marked hypogonadism due to pituitary or testicular disease generally has readily recognizable clinical manifestations, such as decreases in libido and s*xual activity, loss of secondary s*x characteristics and muscle mass, hot flushes, and anemia. Testosterone preparations have been approved by regulatory agencies to treat hypogonadism and are effective in correcting the clinical abnormalities associated with this condition in many men. Most men currently treated with testosterone preparations, however, are middle-aged or older and have only moderately decreased testosterone levels, a high burden of chronic diseases, and nonspecific symptoms that overlap with age-related symptoms. The benefits and risks of testosterone treatment in this population are less clear and are associated with controversy. In a new review, Shalender Bhasin, MB, BS, and Peter J. Snyder, MD, consider available information about the benefits and risks of testosterone treatment in middle-aged and older men with moderate degrees of hypogonadism. ⁣

Read the Review Article “Testosterone Treatment in Middle-Aged and Older Men with Hypogonadism” by Shalender Bhasin, MB, BS, and Peter J. Snyder, MD, from , , and , at NEJM.org (link in bio). ⁣

 𝗠𝗲𝗰𝗵𝗮𝗻𝗶𝘀𝗺𝘀 𝗼𝗳 𝗔𝗰𝘁𝗶𝗼𝗻 𝗼𝗳 𝗧𝗲𝘀𝘁𝗼𝘀𝘁𝗲𝗿𝗼𝗻𝗲 ⁣⁣Many of the benefits and some of the risks of testosterone treatment are mediate...
10/08/2025

𝗠𝗲𝗰𝗵𝗮𝗻𝗶𝘀𝗺𝘀 𝗼𝗳 𝗔𝗰𝘁𝗶𝗼𝗻 𝗼𝗳 𝗧𝗲𝘀𝘁𝗼𝘀𝘁𝗲𝗿𝗼𝗻𝗲 ⁣

Many of the benefits and some of the risks of testosterone treatment are mediated by the mechanisms through which testosterone acts. Testosterone has anabolic effects on muscle (panel A) and bone (panel B) and stimulates erythropoiesis (panel C) through androgen receptor–mediated mechanisms. Nongenomic mechanisms of action increase pe**le blood flow and improve erectile function (panel D). The effects of testosterone on s*xual desire and bone are mediated largely through its conversion to 17β-estradiol. Testosterone is also converted to dihydrotestosterone (DHT), which stimulates prostate growth and has additional anabolic effects on muscle and bone. Testosterone and DHT increase pe**le blood flow and erections through a rapid increase in the production of nitric oxide, which is endothelium-dependent, as well as through inhibition of voltage-operated l-type calcium channels, activation of potassium channels on smooth muscle, or both mechanisms, which are endothelium-independent (panel D). A metabolite of DHT, 5α-androstane-3α,17β-diol, which is a ligand for the γ-aminobutyric acid receptor, has been linked to mood and affect. ⁣

Read the Review Article “Testosterone Treatment in Middle-Aged and Older Men with Hypogonadism” by Shalender Bhasin, MB, BS, and Peter J. Snyder, MD, from , , and , at NEJM.org (link in bio). ⁣

 New in the August 7, 2025, issue of NEJM: ⁣⁣Finerenone with Empagliflozin in CKD and Diabetes (CONFIDENCE trial) ⁣⁣Cipr...
10/08/2025

New in the August 7, 2025, issue of NEJM: ⁣

Finerenone with Empagliflozin in CKD and Diabetes (CONFIDENCE trial) ⁣

Ciprofloxacin Monotherapy for Bubonic Plague (IMASOY trial) ⁣

Vepdegestrant in Advanced Breast Cancer (VERITAC-2 phase 3 trial) ⁣

Camizestrant in ESR1-Mutated Advanced Breast Cancer (SERENA-6 phase 3 trial) ⁣

Visit NEJM.org for the latest medical research. ⁣

 New in the July 31, 2025, issue of NEJM: ⁣⁣MRD-Guided Therapy in Newly Diagnosed Myeloma (MIDAS phase 3 trial) ⁣⁣Mitoch...
10/08/2025

New in the July 31, 2025, issue of NEJM: ⁣

MRD-Guided Therapy in Newly Diagnosed Myeloma (MIDAS phase 3 trial) ⁣

Mitochondrial Donation and PGT in mtDNA Disease⁣

Acute Normovolemic Hemodilution in Cardiac Surgery (ANH phase 3 trial) ⁣

Brief Report: Mitochondrial Donation in a Reproductive Care Pathway ⁣

Brief Report: TCR Signaling in Squamous-Cell Carcinoma ⁣

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 New in the July 24, 2025, issue of NEJM: ⁣⁣Fixed-Dose Insulin Efsitora in Type 2 Diabetes (QWINT-1 phase 3 trial) ⁣⁣Tra...
10/08/2025

New in the July 24, 2025, issue of NEJM: ⁣

Fixed-Dose Insulin Efsitora in Type 2 Diabetes (QWINT-1 phase 3 trial) ⁣

Trastuzumab Deruxtecan in Gastric Cancer (DESTINY-Gastric04 phase 3 trial) ⁣

Tarlatamab in Small-Cell Lung Cancer after Chemotherapy (DeLLphi-304 phase 3 trial) ⁣

Ivermectin to Control Malaria ⁣

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 New in the July 17, 2025, issue of NEJM: ⁣⁣Perioperative Durvalumab in Gastric Cancer (MATTERHORN phase 3 trial) ⁣⁣Pred...
10/08/2025

New in the July 17, 2025, issue of NEJM: ⁣

Perioperative Durvalumab in Gastric Cancer (MATTERHORN phase 3 trial) ⁣

Prednisone or Methotrexate in Pulmonary Sarcoidosis (PREDMETH trial) ⁣

Cyclophosphamide and Cyclosporin for GVHD Prophylaxis (BMT CTN 1703 phase 3 trial) ⁣

Multidose Ondansetron in Pediatric Gastroenteritis ⁣

Brief Report: Rapid Recovery of Donor Hearts after Circulatory Death ⁣

Brief Report: On-Table Reanimation of a Pediatric DCD Heart ⁣

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 New in the July 10, 2025, issue of NEJM: ⁣⁣As-Needed Albuterol–Budesonide in Mild Asthma (BATURA phase 3b trial) ⁣⁣Card...
10/08/2025

New in the July 10, 2025, issue of NEJM: ⁣

As-Needed Albuterol–Budesonide in Mild Asthma (BATURA phase 3b trial) ⁣

Cardiovascular Risk Factors and Lifetime Estimates⁣

Intravenous Tenecteplase before Thrombectomy (BRIDGE-TNK trial) ⁣

Survival with Inavolisib in PIK3CA-Mutated Breast Cancer (INAVO120 phase 3 trial) ⁣

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 New in the July 3, 2025, issue of NEJM: ⁣⁣Exercise after Chemotherapy for Colon Cancer (CHALLENGE phase 3 trial) ⁣⁣Tirz...
10/08/2025

New in the July 3, 2025, issue of NEJM: ⁣

Exercise after Chemotherapy for Colon Cancer (CHALLENGE phase 3 trial) ⁣

Tirzepatide vs. Semaglutide for Obesity (SURMOUNT-5 phase 3b trial) ⁣

Pembrolizumab in Head and Neck Cancer (KEYNOTE-689 phase 3 trial) ⁣

Obicetrapib in Patients at High Cardiovascular Risk (BROADWAY trial) ⁣

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 New in the June 26, 2025, issue of NEJM: ⁣⁣Routine Cerebral Embolic Protection during TAVI (BHF PROTECT-TAVI trial) ⁣⁣E...
10/08/2025

New in the June 26, 2025, issue of NEJM: ⁣

Routine Cerebral Embolic Protection during TAVI (BHF PROTECT-TAVI trial) ⁣

Efruxifermin in Liver Cirrhosis Caused by MASH (SYMMETRY trial) ⁣

EC+mFOLFOX6 in Colorectal Cancer (BREAKWATER phase 3 trial) ⁣

Brief Report: Gene Therapy for Pompe’s Disease ⁣

Visit NEJM.org for the latest medical research. ⁣

 New in the June 19, 2025, issue of NEJM: ⁣⁣Nonoperative Management of dMMR Tumors ⁣⁣Inebilizumab for Generalized Myasth...
10/08/2025

New in the June 19, 2025, issue of NEJM: ⁣

Nonoperative Management of dMMR Tumors ⁣

Inebilizumab for Generalized Myasthenia Gravis (MINT phase 3 trial) ⁣

Zongertinib in Previously Treated HER2-Mutant NSCLC (Beamion LUNG-1 trial) ⁣

𝘊. 𝘥𝘪𝘱𝘩𝘵𝘩𝘦𝘳𝘪𝘢𝘦 in Migrant Populations in Europe⁣

Bevacizumab and Erlotinib in Papillary Kidney Cancer ⁣

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 New in the June 12, 2025, issue of NEJM: ⁣⁣Nerandomilast in Idiopathic Pulmonary Fibrosis (FIBRONEER-IPF phase 3 trial)...
10/08/2025

New in the June 12, 2025, issue of NEJM: ⁣

Nerandomilast in Idiopathic Pulmonary Fibrosis (FIBRONEER-IPF phase 3 trial) ⁣

Nerandomilast in Progressive Pulmonary Fibrosis (FIBRONEER-ILD phase 3 trial)⁣

Mazdutide in Chinese Adults with Obesity or Overweight (GLORY-1 trial) ⁣

AAV Gene Therapy in Severe Hemophilia B ⁣

Brief Report: Bespoke Base Editing for Genetic Disease ⁣

Visit NEJM.org for the latest medical research. ⁣

 New in the June 5, 2025, issue of NEJM: ⁣⁣Semaglutide in Metabolic-Related Steatohepatitis (ESSENCE phase 3 trial) ⁣⁣Br...
10/08/2025

New in the June 5, 2025, issue of NEJM: ⁣

Semaglutide in Metabolic-Related Steatohepatitis (ESSENCE phase 3 trial) ⁣

Bronchoscopy or Transthoracic Biopsy for Lung Nodules (VERITAS trial) ⁣

Omitting Regional Nodal Irradiation (phase 3 trial) ⁣

Trimethoprim–Sulfamethoxazole to Improve Birth Outcomes (COMBI trial) ⁣

Visit NEJM.org for the latest medical research. ⁣

Indirizzo

Piazza Solferino N. 3
Vercelli
13100

Orario di apertura

Lunedì 17:00 - 19:00
Martedì 17:00 - 19:00
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Telefono

+393345713761

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https://www.miodottore.it/

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A little help to Health in rural town.

Da tre generazioni lo Studio Medico Salamano si occupa della salute de

i pazienti Vercellesi. Zona posta tra le metropoli di Torino e Milano esattamente a metà strada tra le due città più importanti del Nord Italia è famosa nel mondo agricolo per la presenza della risicoltura resa possibile da Camillo Benso Conte di Cavour, primo ministro del Regno Sabaudo che qui regnava. La presenza del fiume Po e dei suoi maggiori affluenti dalle Alpi che circondano il Piemonte ha reso possibile nei primi dell’800 la costruzione di canali che permettono una abbondante irrigazione di queste terre, prima paludose e bonificate dai Monaci Cistercensi nell’epoca Medioevale intorno al 1200 - 1300 fondando importanti Abazie che facevano capo all’Arcidiocesi di Vercelli. Proprio a causa della posizione immersa nella pianura padana e nel suo clima afoso d’estate e nebbioso d’inverno, questa regione ha una insolitamente elevata percentuale di pazienti sofferenti di osteopatie ( i cosiddetti Reumatismi ) e malattie infettive dell’apparato respiratorio. Recentemente con l’aumento della vita media grazie ai progressi principalmente in capo cardiovascolare si sta assistendo ad un aumento quasi esponenziale dei casi di neoplasie dell’albero respiratorio, dell’apparato gastroenterico e urinario. Il problema dell’inquinamento atmosferico è in questa zona particolarmente evidente per le scarse correnti di aria che possano pulire e rinnovare l’aria ed il puvuscolo atmosferico stagnante in questa regione nonostante sia a carattere rurale e non industriale come le vicine Torino e Milano. Un particolare evidente nel recente passato è la particolare incidenza di Leptospirosi dovuta alla presenza di acqua stagnante nelle risaie dove le contadine lavoravano a piedi scalzi. Tuttavia anche l’artrite reumatoide e le malattie reumatiche in genere hanno una elevata incidenza tanto che fino a pochi anni fa nell’’Ospedale Sant’Andrea di Vercelli era presente un reparto di Reumatologia ( uno dei pochi in Italia e purtroppo recentemente eliminato ). Per tali motivi prima mio nonno Giovanni Dott Salamano ( Nino ) poi mio padre Andre Dott Salamano ed infine il sottoscritto Giovanni Dott Salamano abbiamo dedicato la nostra ”vita“ alla cura ed allo studio delle malattie infettive ( Nonno Nino ), Reumatiche ( papà Andrea ) ed osteometaboliche ( il sottoscritto ), pur mantenendo l’attenzione sulla Medicina Generale che il Medico di Famiglia deve saper affrontare.