Publications by authors named "Evelise Frazzetto"

Article Synopsis
  • The study investigates the safety and effectiveness of obeticholic acid (OCA) in patients with primary biliary cholangitis (PBC) who have advanced cirrhosis.
  • Factors such as male sex, INR levels, Child-Pugh score, MELD score, and bilirubin levels were linked to non-response and serious adverse events (SAEs) in patients taking OCA.
  • The findings suggest that careful baseline evaluations, especially bilirubin levels above 1.4 mg/dl, are essential in determining which patients can safely benefit from OCA treatment.
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Article Synopsis
  • Obeticholic acid (OCA) is an effective second-line treatment for primary biliary cholangitis (PBC) patients who do not respond well to ursodeoxycholic acid.
  • A study involving 191 patients showed significant reductions in liver enzyme levels after 12 months of OCA treatment, though patients with cirrhosis had lower response rates and a higher discontinuation rate due to adverse effects.
  • Overall, the real-world effectiveness and safety of OCA align with earlier clinical trials, indicating potential benefits for certain patient subgroups, including those with overlap PBC-AIH.
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HCV (Hepatitis C Virus) decreases Health-Related Quality of Life with detriments to physical, mental and social health domains. Interferon and Ribavirin treatment is associated with depression and anxiety that further impairs HRQoL (Health- Related Quality of Life). IFN-free (interferon-free) regimes (Direct Acting Antivirals, DAAs) are safe and highly effective drugs, with improvement also of HRQoL and related Psychological Well-Being.

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Article Synopsis
  • Venous thromboembolism (VTE) is a complex disease influenced by multiple factors, particularly inflammation, which can lead to a pro-thrombotic state.
  • Anticoagulant medications, like low-molecular-weight heparins (LMWH) and direct oral anticoagulants (DOACs), are key treatments for VTE, with LMWH also lowering inflammatory markers like interleukin (IL)-6.
  • A study found that DOACs reduced IL-6 levels in patients with deep vein thrombosis (DVT) compared to controls, suggesting that their anti-inflammatory effects may contribute to their treatment efficacy in VTE.
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 The aim of the paper is to review the current information relating to the diagnosis and treatment of hepatitis C virus (HCV) infection in pregnant women and children, particularly those infected by mother-to-child transmission.  A review of published literature was performed to identify relevant articles published between January 2015 and March 2019 on: HCV infection in pregnant woman, mother-to child-transmission of HCV and HCV infection in pediatrics. The results of the evaluation of the different studies were summarized in two sections describing separately the screening and effective treatments in pregnant women and children.

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There are several causes of hepatocellular carcinoma (HCC), but certainly the hepatitis C virus (HCV) is one of the most common. The HCV is able to contribute, both directly and indirectly, to the development of HCC. Determining early HCV clearance before an advanced liver disease develops, is absolutely necessary as this prevents the initiation of the cascade of events induced by HCV that may result in the development of HCC.

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Minimization of post-cessation weight gain in quitters is important, but existing approaches (e.g., antismoking medications) shows only limited success.

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Hepatocellular carcinoma (HCC) is the most common type of liver cancer. The main risk factors for HCC are alcoholism, hepatitis B virus, hepatitis C virus, nonalcoholic steatohepatitis, obesity, type 2 diabetes, cirrhosis, aflatoxin, hemochromatosis, Wilson's disease and hemophilia. Occupational exposure to chemicals is another risk factor for HCC.

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Over the last years it has started a real revolution in the treatment of chronic hepatitis C. This occurred for the availability of direct-acting antiviral agents that allow to reach sustained virologic response in approximately 90% of cases. In the near future further progress will be achieved with the use of pan-genotypic drugs with high efficacy but without side effects.

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Stop smoking it is often associated to weight gain that is one of the most important causes for relapse. This is the first study to describe long-term changes in body weight in smokers invited to quit or reduce smoking by switching to ECs. Conventional cigarettes consumption and body weight were measured prospectively in a randomized controlled trial of smokers invited to switch to ECs.

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Background: Benign liver tumors are common. They do not spread to other areas of the body, and they usually do not pose a serious health risk. In fact, in most cases, benign liver tumors are not diagnosed because patients are asymptomatic.

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