Publications by authors named "Arturo P Jaramillo"

The introduction of steroid therapy in 1955 markedly decreased the mortality rate of severe ulcerative colitis (UC) from 24% in the placebo group to 7%, and it is currently less than 1% in specialist centers. Despite this advancement, the response of severe UC to steroids has stagnated over the past 50 years, with a high rate of colectomy persisting for severe to moderately severe cases. Infliximab (IFX) (Remicade, Centocor Inc.

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Alzheimer's disease (AD) remains a widespread cause of dementia globally, and its prevalence is increasing due to the aging population. Two key pathologies typically identify this neurodegenerative disease process: the accumulation of amyloid plaques and the formation of neurofibrillary tangles containing hyperphosphorylated tau. Diagnosis relies on the patient's clinical presentation meeting specific criteria, along with the use of fluid and imaging biomarkers.

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  • - Genetics play a role in obesity in families, increasing the risk of cardiometabolic diseases, and family-based treatment (FBT) has been shown to effectively promote weight loss in both children and parents.
  • - Primary care settings often lack the resources to implement FBT, but positive behavior changes in treated children and parents may extend to untreated siblings, highlighting the importance of family dynamics in addressing childhood obesity.
  • - A meta-analysis of 10 articles revealed that while FBT shows statistical significance overall, it may not significantly impact BMI-specific weight loss for overweight children, indicating a need for more comprehensive research to better understand its effectiveness.
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  • * This review examines the effectiveness of glucagon-like peptide-1 (GLP-1) receptor agonists in aiding weight loss, following PRISMA guidelines and analyzing relevant studies from the past 5-10 years.
  • * Out of 698 studies, 10 were included, demonstrating that GLP-1 agents can help reduce body weight and may also provide heart protection, suggesting potential for use in clinical obesity treatments.
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Tranexamic acid (TXA), a potent antifibrinolytic agent, is widely used in cardiac surgical procedures worldwide to minimize surgical bleeding and reduce the need for perioperative blood transfusions. However, the use of TXA may increase the risk of coronary artery graft thrombosis, potentially leading to a higher occurrence of late thrombotic events. Some studies have suggested that drugs like TXA, aimed at decreasing bleeding during cardiac surgeries, may be associated with elevated risks of thrombotic complications or mortality.

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In approximately one-third of individuals with schizophrenia, the illness demonstrates a poor response to standard antipsychotic treatments. Although a relatively small proportion fails to achieve remission after the initial exposure to either first- or second-generation antipsychotic drugs, the condition often becomes progressively more resistant to medication following subsequent relapses. We conducted comprehensive searches in databases such as PubMed and PubMed Central, extracting and assessing data quality using the Cochrane risk-of-bias tool for randomized clinical trials (RCTs).

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A recent meta-analysis suggests that probiotic supplementation is moderately efficacious in decreasing intestinal transit times compared with control, demonstrating probiotics' potential for treating chronic idiopathic constipation. This decrease in intestinal transit times has been proposed to be attributed to the capacity of probiotics to alter the gastrointestinal microflora, improve intestinal motility, and alter biochemical factors. Therefore, a systematic review and meta-analysis were conducted to estimate the effectiveness of probiotics in patients with constipation.

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Child and adolescent obesity represents a significant and escalating health concern in the United States. Notably, Hispanic adolescents face a higher prevalence of obesity and an increased risk of cardiovascular disease compared to their peers from different racial and ethnic backgrounds. This was obtained through systematic investigations in which different approaches were used.

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A review of the literature was made to find and choose research papers, on drugs (amiodarone and adenosine) used for managing supraventricular tachycardia (SVT) in children and infants (one hour to 17 years of age) with no structural heart disease by PRISMA guideline. Our team conducted an exhaustive systematic literature review (SLR), utilizing an extensive search methodology across recognized databases like PubMed, PubMed Central, Google Scholar, Web of Science, and The Cochrane Library. We included 10 scholarly articles that satisfied our rigorous selection criteria including systematic reviews/meta-analysis, and randomized control trials, shedding light on treatment with amiodarone and adenosine for SVT in pediatric patients.

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Croup, also known as laryngotracheobronchitis, frequently leads to blockages in the upper respiratory tract in young children, presenting symptoms, such as a raspy voice, a distinctive cough, and noisy breathing during inhalation. Despite being a condition that often resolves on its own, it puts considerable strain on healthcare resources due to regular doctor visits, emergency room usage, and occasional hospital stays. Research focused on larger populations suggests that only a small percentage of children with croup end up requiring hospital admission for their condition.

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Due to the increased burden of chronic medical conditions in recent years, artificial intelligence (AI) is suggested in the medical field to optimize health care. Physicians could implement these automated problem-solving tools for their benefit, reducing their workload, assisting in diagnostics, and supporting clinical decision-making. These tools are being considered for future medical assistance in real life.

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  • - Congenital torticollis is when a newborn's neck tilts abnormally, often due to issues with the sternocleidomastoid muscle, leading the chin to point away from the affected side.
  • - Other causes of congenital torticollis can include cervical vertebrae anomalies, syndromes, and ocular defects, which require thorough diagnostic imaging to identify.
  • - Misdiagnosis is common, as illustrated by a case where a child treated for congenital muscular torticollis for a year actually had cervical vertebrae malformations, highlighting potential financial and psychosocial impacts.
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In strict accordance with PRISMA 2020 guidelines, our research team conducted a comprehensive systematic literature review (SLR) to explore the treatment and preventive strategies for Sjögren's Syndrome (SS). Leveraging a meticulous search strategy, we scoured reputable databases such as PubMed, PubMed Central, Google Scholar, Web of Science, and The Cochrane Library. Our analysis zeroed in on 10 seminal articles that met our stringent inclusion criteria, providing a holistic view of the existing treatment landscape for SS, along with emerging diagnostic tools and associated biomarkers indicative of lymphoma risk.

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  • - Neuropeptide CGRP plays a crucial role in migraines, and CGRP monoclonal antibodies (erenumab, galcanezumab, fremanezumab, and eptinezumab) are FDA-approved medications that have shown promising results in migraine prevention.
  • - A systematic review was conducted to evaluate the effectiveness and safety of these CGRP antibodies, revealing them to be effective and safe, possibly serving as a first-line treatment for migraines.
  • - The study suggests that combining CGRP antibodies with onabotulinumtoxinA may further enhance migraine prevention and highlights the need for more research to explore individual patient characteristics that affect treatment outcomes.
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  • Sotagliflozin, after FDA approval following significant trials, has become a pioneering drug for treating heart failure in Type 2 diabetes patients.
  • A systematic review was conducted comparing cardioprotective effects and mortality rates of sotagliflozin and dapagliflozin, revealing that sotagliflozin notably decreases cardiovascular mortality and hospitalizations when initiated timely.
  • The underlying mechanisms for the benefits of SGLT-2 inhibitors, like diuretic effects and reductions in glycemic toxicity, are complex, contributing to their cardioprotection in patients with heart failure.
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  • A significant number of kids are impacted by allergy diseases, prompting concerns about public health globally.
  • The study aims to explore whether a mother's diet during pregnancy and breastfeeding affects the likelihood of children developing allergies, particularly food allergies and eczema.
  • By reviewing literature from 2019 to 2022, the researchers seek to identify dietary factors that may help prevent allergies, aiming to improve health outcomes for allergic children and their families.
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Several studies have shown that an association exists between hyperuricemia and heart failure. Despite several innovative management strategies, heart failure is a significant cause of mortality worldwide. Hyperuricemia in heart failure patients leads to poorer outcomes.

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Parkinson's disease (PD) is one of the most common neurological ailments. With diverse motor affectations (postural instability, resting tremor, bradykinesia, and rigidity), people with Parkinson's disease (PwP) have a broad spectrum of non-motor symptoms. These include autonomic function changes, cognitive deterioration, neuropsychiatric difficulties, and sleep interruptions.

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Prostate neoplasia is one of the most commonly occurring neoplasias in males and has a high mortality rate. Prostate cancer (PCA) risk factors include tall stature, male sex, known family history, obesity, high blood pressure, lack of fitness, higher levels of testosterone for a long time, increasing age, and ethnicity are well known. The association and role of the gut microbiota in different diseases in our body have been highlighted recently.

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Urinary incontinence (UI) is a prevalent health concern in females over 60, but it is prevalent in a smaller percentage of males. The medical and social elements of UI are crucial. This disorder may cause embarrassment and low self-esteem, reducing social and physical activities.

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Using the guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), this meta-analysis (MA) tried to figure out how well creatine (Cr) improves metabolic performance. We searched Google Scholar, PubMed, and the Cochrane Library to identify relevant randomized clinical trials (RCTs) exploring the various effects of Cr across different age groups compared to a placebo (PLA). We also investigated the synergistic effects of combining other supplements with Cr.

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  • * A systematic review was conducted on studies from 2003 to 2023 to investigate the link between NAFLD and left ventricular diastolic dysfunction (LVDD), involving 13 studies with over 13,000 patients.
  • * The review found a significant association between NAFLD and LVDD, suggesting that early treatment of NAFLD is crucial to prevent future cardiac complications.
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  • Immune checkpoint inhibitors, especially PD-1 and PD-L1 inhibitors, have transformed cancer treatment by using the immune system to fight tumors.
  • PD-L1 is a protein that suppresses the immune response when it interacts with PD-1 receptors on T-cells, leading to increased cancer cell survival.
  • Clinical trials show that PD-1/PD-L1 inhibitors are effective against various advanced cancers, but challenges like resistance and side effects require ongoing research and combination therapies for better outcomes.
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Sudden cardiac death (SCD) is a condition that accounts for a high percentage of cardiovascular fatalities, with ventricular tachyarrhythmias being the most common cause. There are signs and symptoms of SCD that occur spontaneously without any warning and are deadly. Despite preventative efforts focusing on the use of subcutaneous implanted cardioverter defibrillators (S-ICD) in the highest-risk population categories, a high number of SCDs occur in the normal population and in people who do not have a documented cardiac condition.

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