Publications by authors named "Francisco J Castro"

Article Synopsis
  • The study aimed to systematically review and assess the effectiveness of sentinel lymph-node biopsy (SLNB) in women with node-positive breast cancer diagnosed and node-negative tumors after neoadjuvant therapy, comparing it to axillary lymph-node dissection.
  • Key metrics analyzed included false-negative rate (FNR), sentinel lymph-node identification rate (SLNIR), negative predictive value (NPV), and overall accuracy through data from twenty relevant studies.
  • Results showed that SLNB had a low FNR of 0.14 and high SLNIR of 0.89, indicating better outcomes especially when multiple nodes were removed and double mapping techniques were used.
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Article Synopsis
  • Up to 50% of childhood cases of hypertrophic cardiomyopathy (HCM) occur before age 12, but this demographic hasn't been thoroughly studied.
  • The research aimed to analyze the clinical characteristics and progression of children diagnosed with nonsyndromic HCM under 12 years old, utilizing data from the International Paediatric Hypertrophic Cardiomyopathy Consortium involving 639 children.
  • Results showed that younger patients had similar symptoms and cardiac issues compared to older children; however, they experienced serious events like mortality at younger ages, with a notable difference in surgical and device interventions between the two age groups.
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Background: Maximal left ventricular wall thickness (MLVWT) is a risk factor for sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HCM). In adults, the severity of left ventricular hypertrophy has a nonlinear relationship with SCD, but it is not known whether the same complex relationship is seen in childhood. The aim of this study was to describe the relationship between left ventricular hypertrophy and SCD risk in a large international pediatric HCM cohort.

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Purpose: We conducted a systematic review to analyse the performance of the sentinel lymph-node biopsy (SLNB) after the neoadjuvant chemotherapy, compared to axillary lymph-node dissection, in terms of false-negative rate (FNR) and sentinel lymph-node identification rate (SLNIR), sensitivity, negative predictive value (NPV), need for axillary lymph-node dissection (ALND), morbidity, preferences, and costs.

Methods: MEDLINE, Embase, Scopus, and The Cochrane Library were searched. We assessed the quality of the included systematic reviews using AMSTAR2 tool, and estimated the degree of overlapping of the individual studies on the included reviews.

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Background: Thyroid metastases are extremely rare, with an incidence of 1-3% according to different data. Colon cancer is the second most common tumor that metastasizes to this organ.

Case Report: We report a case of a long-standing colon cancer with an atypical metastatic pattern and the appearance of a thyroid metastases.

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We present a clinical case of a solitary fibrous pleural tumor (TFSP) with abnormal behavior due to its high aggressiveness and poor short-term prognosis, where an ALK translocation was identified. TFSP is an infrequent tumor, with an estimated incidence of around 8 per 100,000 inhabitants and with few cases reported in the literature. The most common is that it is a neoplasm of benign behavior, with debut as a localized mass and whose The treatment of choice is surgical resection.

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Importance: Sudden cardiac death (SCD) is the most common mode of death in childhood hypertrophic cardiomyopathy (HCM), but there is no validated algorithm to identify those at highest risk.

Objective: To develop and validate an SCD risk prediction model that provides individualized risk estimates.

Design, Setting, And Participants: A prognostic model was developed from a retrospective, multicenter, longitudinal cohort study of 1024 consecutively evaluated patients aged 16 years or younger with HCM.

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Background: Legionella testing conducted at environmental laboratories plays an essential role in assessing the risk of disease transmission associated with water systems. However, drawbacks of culture-based methodology used for Legionella enumeration can have great impact on the results and interpretation which together can lead to underestimation of the actual risk. Up to 20% of the samples analysed by these laboratories produced inconclusive results, making effective risk management impossible.

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During sugar cane harvesting season, which occurs from May to November of each year, the crops are burnt, cut, and transported to the mills. There are reports showing that mutagenic activity and PAH content increase during harvesting season in some areas of São Paulo State in comparison with nonharvesting periods. The objective of this work was to preliminarily characterize the mutagenic activity of the total organic extracts as well as corresponding organic fractions of airborne particulate matter (PM) collected twice from two cities, Araraquara (ARQ) and Piracicaba (PRB), during sugar cane harvesting season using the Salmonella/microsome microssuspension assay.

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Background: Because nonsteroidal anti-inflammatory drug (NSAID) intolerance depends on COX-1 inhibition, preferential or selective COX-2 inhibitors have been thought to be well tolerated by these patients.

Objective: The aim of this study is to evaluate tolerability to nabumetone and meloxicam in patients with NSAID intolerance.

Methods: Seventy patients intolerant to NSAIDs were selected.

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The ability of photoelectrocatalytic oxidation to degrade the commercially important copper-phtalocyanine dye, remazol turquoise blue 15 (RTB) was investigated. The best experimental condition was optimized, evaluating the performance of Ti/TiO2 thin-film electrodes prepared by sol-gel method in the decolourization of 32 mg L(-1) RTB dye in 0.5 mol L(-1) Na2SO4 pH 8 and applied potential of +1.

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