Publications by authors named "Antonini M"

Right ventricular injury (RVI) in respiratory failure receiving veno-venous extracorporeal membrane oxygenation (VV ECMO) is associated with significant mortality. A scoping review is necessary to map the current literature and guide future research regarding the definition and management of RVI in patients receiving VV ECMO. We searched for relevant publications on RVI in patients receiving VV ECMO in Medline, EMBASE, and Web of Science.

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Ideological religious nationalism (IRN) is a worldview that advocates the integration of religious beliefs with national policy and laws and the religious moralization of politics. However, the psychological mechanisms, individual differences, and socio-political consequences related to IRN are unclear. Across five studies ( = 1,349), we established construct validity for a novel scale assessing IRN that is adaptable across different contexts.

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Background: Critical care of patients on extracorporeal membrane oxygenation (ECMO) with acute brain injury (ABI) is notable for a lack of high-quality clinical evidence. Here, we offer guidelines for neurological care (neurological monitoring and management) of adults during and after ECMO support.

Methods: These guidelines are based on clinical practice consensus recommendations and scientific statements.

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Objectives: The objective of this study was to assess the impact of the COVID-19 pandemic, after 2 years, on mammographic screening in Brazil evaluating BIRADS® results, breast cancer diagnosis rates, and breast cancer stage.

Study Design: This was an ecological observational study based on retrospective data from Brazil's mammographic screening program from 2015 to 2023.

Methods: Data were obtained from the national screening database DATASUS - SISCAN (Cancer System Information) and retrieved in March 2024.

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  • This text discusses how recording and modulation of neuronal activity can help in studying brain function in various health conditions and diseases.
  • It highlights the use of advanced techniques, like optogenetics and chemical sensing, that enhance our understanding of brain chemistry and signaling in rodent models.
  • The study showcases innovative fiber technology that integrates multiple recording methods, which allows researchers to simultaneously monitor and stimulate brain activity while also delivering drugs or genes, particularly in investigating the mesolimbic reward pathway in mice.
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Background: Aquaculture, traditionally a form of biotechnology, has evolved to integrate innovative biotechnological applications, such as advanced feed formulations, aimed at improving the growth performance and health of farmed fish species. In the present study, the effects of feeding rainbow trout with novel feed formulations were investigated. Fish growth, gut and liver morphology, the concentration of fatty acids in the fillet, and volatile fatty acids in the gut were assessed.

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Background: Antonini et al. evaluated gynecologists', obstetricians', and family and community physicians knowledge of breast cancer screening and their adherence to recommendations defined by the BI-RADS™ system. The study demonstrated that inadequate training resulted in insufficient screening and failure to follow the protocols recommended by the BIRADS™ system.

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Background: Neoadjuvant chemotherapy (NAC), traditionally used for locally advanced disease, is now applied for operable disease, particularly to treat aggressive breast cancer (BC). This study aimed to characterize the pathological complete response (pCR) and its relationship with overall survival (OS) and disease-free survival (DFS) among BC patients receiving NAC in a Brazilian public reference center, as well as the association between pCR and BC subtypes.

Methods: A retrospective cohort study used a comprehensive BC database from a Brazilian women's health reference center, including patients diagnosed between 2011 and 2020 who underwent NAC.

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Male breast cancer (MBC) is a rare condition, accounting for approximately 1 % of all breast cancer cases. Nevertheless, the paucity of MBC-specific research has impeded a thorough understanding of MBC. In this study, we aimed to delineate the epidemiological implications of MBC in Brazil and benchmarked it against female breast cancer (FBC).

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  • * The study assessed 645 individuals for vaccination adequacy against nine different vaccines, finding only 7.3% had received all recommended vaccinations on schedule.
  • * Key factors influencing complete vaccination included age, location of clinical follow-up, and the site of their last vaccination, highlighting a need for better educational interventions for both PLHIV and healthcare professionals.
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  • ECMO is a complex and risky life support system that lacks standardized definitions for adverse outcomes, which hinders effective research and practices.
  • The ECMO-CENTRAL ARC was formed to create clear definitions for pediatric ECMO adverse events, using input from literature and a diverse expert panel.
  • After three rounds of surveys, 13 key adverse event definitions were established and unanimously agreed upon by the voting experts.
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  • Trauma, particularly traumatic brain injury (TBI), is a significant cause of maternal mortality during pregnancy, yet there is a lack of guidelines for managing these cases.
  • An international survey with 122 physicians from 110 centers revealed that many do not have specific protocols for TBI in pregnant patients and highlighted a preference for using MRI and varying practices regarding transfusions and treatment methods.
  • The findings indicate substantial inconsistency in how severe TBI is managed in pregnant individuals, suggesting a need for more research and education to standardize care.
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  • - The text discusses the lack of strong clinical evidence in the critical care of ECMO patients with acute brain injury (ABI) and presents guidelines for their neurological care.
  • - Guidelines were developed using input from an international panel of 30 ECMO experts through a structured voting process, focusing on five key clinical areas.
  • - The consensus emphasizes the importance of early detection and intervention for ABI in ECMO patients to improve health outcomes and outlines multiple recommendations to guide clinical practice and highlight research needs.
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Thoracoabdominal normothermic regional perfusion (TA-NRP) is increasingly implemented in donation after circulatory determination of death (DCD). Thoracoabdominal normothermic regional perfusion allows thoracic and abdominal organs to be perfused with warm, oxygenated blood after declaration of death, interrupting ischemia. Evidence is accumulating supporting the use of TA-NRP to improve the outcome of grafts from DCD donors.

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  • - The study focuses on veno-venous extracorporeal membrane oxygenation (VV-ECMO) for patients with severe respiratory failure, highlighting the significant impact of right ventricular injury (RVI) on patient outcomes amid the lack of a standard RVI definition and management strategies.
  • - An international panel of experts, using a Delphi process, identified key areas of uncertainty about RVI and formulated expert position statements, achieving consensus on 31 out of 35 statements regarding nomenclature, diagnostic approaches, and management strategies related to RVI in the context of VV-ECMO.
  • - While recommendations for RVI management were made, there was no consensus on specific strategies, such as RV-protective driving pressure thresholds
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As a result of evolution, many biological materials have developed irregular structures that lead to outstanding mechanical performances, like high stiffness-to-weight ratios and good energy absorption. However, reproducing these irregular biological structures in synthetic materials remains a complex design and fabrication challenge. Here, a bioinspired material design method is presented that characterizes the irregular structure as a network of building blocks, also known as tiles, and rules to connect them.

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Background: The purpose of this study was to review and summarize the association between preoperative magnetic resonance imaging (MRI) and surgical outcomes in women with newly diagnosed invasive breast cancer from published randomized controlled trials (RCT).

Materials And Methods: Two independent researchers conducted a systematic review through a comprehensive search of electronic databases, including PubMed, Medline, Embase, Ovid, Cochrane Library, and Web of Science. If there was disagreement between the two reviewers, a third reviewer assessed the manuscript to determine whether it should be included for data extraction.

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Recording and modulation of neuronal activity enables the study of brain function in health and disease. While translational neuroscience relies on electrical recording and modulation techniques, mechanistic studies in rodent models leverage genetic precision of optical methods, such as optogenetics and imaging of fluorescent indicators. In addition to electrical signal transduction, neurons produce and receive diverse chemical signals which motivate tools to probe and modulate neurochemistry.

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The COVID-19 pandemic is one of the most significant public health crises in modern history, with considerable impacts on the policy frameworks of national governments. In response to the pandemic, non-pharmaceutical interventions (NPIs) and mass vaccination campaigns have been employed to protect vulnerable groups. Through the lens of Political Budget Cycle (PBC) theory, this study explores the interplay between incumbent electoral concerns and political dynamics in influencing the implementation of NPIs and vaccination rollout within the administrative regions of Italy and Spain during the period spanning June 2020 to July 2021.

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Purpose: Neoadjuvant chemotherapy (NAC) can be used as upfront therapy in aggressive breast cancer (BC). human epidermal growth factor receptor 2 (HER2)-low BC, defined as tumors scoring +1 or +2 on immunohistochemistry without HER2 gene amplification by in situ hybridization, lacks information on real-world data (RWD) outcomes, especially in the NAC setting. This subgroup, which does not reach the HER2 positive criteria due to its lower receptor expression, represents a distinct clinical category potentially requiring tailored therapeutic approaches.

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  • Veno-arterial ECMO helps improve organ perfusion in cases of cardiogenic shock, but can also increase afterload, potentially hindering heart recovery and necessitating LV unloading strategies.
  • A global survey of 192 healthcare professionals revealed that over half routinely use mechanical LV unloading, while concerns about complications deter some from doing so.
  • The most common reasons for unplanned unloading included low arterial pulsatility and pulmonary issues, with intra-aortic balloon pumps being the preferred unloading device, highlighting the need for more research on unloading strategies.
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