On the Interdisciplinary Treatment and Management of Patients with Immune-Mediated Inflammatory Diseases. A Study on Patients' Personal Experiences and Perspectives.

Purpose: Immune-mediated inflammatory diseases (eg, axial spondylitis, psoriasis, psoriatic arthritis, Crohn's disease, ulcerative colitis, and hidradenitis suppurativa) are common diseases that exert an extensive effect on the health-related quality of life, particularly when multiple concomitant conditions are present. Previous reports indicate that the traditional siloed approach to care can lead to a lack of patient centricity and inefficient disease management. In this article, we aimed to evaluate an interdisciplinary program for the treatment of immune-mediated inflammatory diseases compared to routine clinical practice.

The ability of drinking water treatment sludge to degrade methylene blue in water through combined adsorption/photo Fenton-like process.

In the present study, drinking water treatment sludge (DWTS) was reused as a catalyst in advanced oxidation processes for the removal of methylene blue (MB) from aqueous solutions. After determining their chemical and mineralogical compositions by X-ray Powder Diffraction (XRD), BET surface area, scanning electron microscopy with energy dispersive spectroscopy (SEM/EDS), Inductively Coupled Plasma (ICP), and FT-IR spectra. DWTS has been used as a heterogeneous photo Fenton-Like catalyst for the oxidation of MB under different parameters, including pH (3-6), HO concentration (9.

Topical administration of S. salivarius 24SMB-S. oralis 89a in children with adenoidal disease: a double-blind controlled trial.

Unlabelled: Chronic adenoiditis (CA) is generally sustained by some infectious foci mainly located within the nasopharynx or in the deep adenoidal pads and it is characterized by a complex interplay between bacterial species. The aim of this study was to assess the efficacy and safety of the topical nasal administration of a probiotic compound based on S. salivarius 24SMB and S.

Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders.

Objective: To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments.

Methods: A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients' details were collected from databases of 11 Italian tertiary referral centres.

3D-4K Exoscope-Assisted CO Laser Supraglottoplasty for Severe Laryngomalacia in a Pediatric Patient.

Laryngomalacia is the most frequent congenital laryngeal anomaly. Surgery is possible by means of cold knife, carbon dioxide (CO ) laser, microdebrider and coblation, traditionally under microscopic view. We here describe the use of the 3D-4K exoscope assisted CO laser supraglottoplasty in tubeless general anesthesia in spontaneous breathing in a 5 month-old patient with severe laryngomalacia.

Bilateral Sensorineural Hearing Loss Related to a Skull Base Spontaneous Cerebrospinal Fluid Leak: A Case Report and Literature Review.

Spontaneous intracranial hypotension (SIH) is a rare condition characterized by orthostatic headache, pulsatile tinnitus, vertigo, nausea, and fluctuating hearing loss; this latter seems to be due to the development of cochlear endolymphatic hydrops following negative cerebrospinal fluid (CSF) pressure transmitted to the perilymphatic space through a patent cochlear aqueduct. We here describe a case of bilateral progressive sensorineural hearing loss (SNHL) due to intracranial hypotension caused by an undiagnosed spontaneous CSF leak from a skull base defect in a middle-aged woman. To the best of our knowledge, this is the first report describing a SNHL in a patient affected by SIH secondary to sphenoidal CSF leak.

Management of upper retropharyngeal abscesses in children: Two case reports of a troublesome situation.

Management of upper retropharyngeal abscesses in children is challenging. In surgical cases, ultrasound-assisted intra-operative procedures may be helpful to reach peculiar locations, thus reducing surgical morbidity and complications rate.

ENT management of children with adenotonsillar disease during COVID-19 pandemic. Ready to start again?

Clinical manifestations of COVID-19 in children are milder, but the real burden of disease is unknown. After the lockdown, in our Region Lombardia we have been requested to progressively resume medical services including outpatient assessment and priority surgery. Therefore, we screened surgical waiting lists with identification of 47 children candidates to priority surgery (among 358).

Early Magnetic Resonance Imaging for Patients With Idiopathic Sudden Sensorineural Hearing Loss in an Emergency Setting.

Objective: The role of magnetic resonance (MR) imaging in idiopathic sudden sensorineural hearing loss (ISSHL) is controversial due to the inhomogeneity of clinical and MR protocols. The aim of this work is to relate early MR findings obtained immediately after the admission, with the clinical presentation, the audiological findings, and the outcomes of treatment.

Study Design: Prospective observational study.

Review of Systemic Antibiotic Treatments in Children with Rhinosinusitis.

Antibiotic treatment in paediatric rhinosinusitis is still a matter of debate, as the current guidelines have been drafted mainly based on clinical studies published before 2013. Recent modifications in the epidemiological basis of the disease might mean that current treatments are not completely adequate considering the evolving microbiological profile of the disease. The present paper reviews the role of systemic antibiotics in children with acute (ARS), chronic (CRS), recurrent (RARS), and complicated acute (CoARS) rhinosinusitis.

Flat Panel Angiography in the Cross-Sectional Imaging of the Temporal Bone: Assessment of Image Quality and Radiation Dose Compared with a 64-Section Multisection CT Scanner.

Background And Purpose: Cross-sectional imaging of the temporal bone is challenging because of the complexity and small dimensions of the anatomic structures. We evaluated the role of flat panel angiography in the cross-sectional imaging of the temporal bone by comparing its image quality and radiation dose with a 64-section multisection CT scanner.

Materials And Methods: We retrospectively collected 29 multisection CT and 29 flat panel angiography images of normal whole-head temporal bones.

MR Imaging in Sudden Sensorineural Hearing Loss. Time to Talk.

Sudden sensorineural hearing loss is defined as acute hearing loss of the sensorineural type of at least 30 dB over 3 contiguous frequencies that occurs within a 72-hour period. Although many different causative factors have been proposed, sudden sensorineural hearing loss is still considered "idiopathic" in 71%-85% of cases, and treatments are empiric, not based on etiology. MR imaging implemented with a 3D FLAIR sequence has provided new insights into the etiology of sudden sensorineural hearing loss.

Electrochemical determination of paraquat in citric fruit based on electrodeposition of silver particles onto carbon paste electrode.

Carbon paste electrodes (CPEs) modified with silver particles present an interesting tool in the determination of paraquat (PQ) using square wave voltammetry. Metallic silver particle deposits have been obtained via electrochemical deposition in acidic media using cyclic voltammetry. Scanning electron microscopy and X-ray diffraction measurements show that the silver particles are deposited onto carbon surfaces in aggregate form.

Sensitive determination of paraquat by square wave anodic stripping voltammetry with chitin modified carbon paste electrode.

A novel analytical approach has been developed and evaluated for the quantitative analysis of paraquat herbicides which can be found at trace levels in olive oil and olives. The aim of this work is to optimize all factors that can influence this determination by a carbon paste electrode modified with chitin (Chit-CPE). The best responses were obtained with square wave potential in diluted Na2SO4 as supporting electrolyte.

Calcified spur of the thyroid cartilage.

We describe an unusual laryngeal anomaly incidentally detected in an adult male patient who had suffered from chronic dysphonia since infancy with no change of voice quality over time. Laryngostroboscopy revealed a formation originating below the anterior commissure and protruding through the vocal folds, which computed tomography scan showed to be a calcified spur on the internal surface of the thyroid cartilage. The patient's clinical history of long-term dysphonia with a stable voice quality suggests that the anomaly may be congenital.

Unbalanced oxidative status in idiopathic sudden sensorineural hearing loss.

An impaired cochlear perfusion seems to be an important etiopathogenetic event in idiopathic sudden sensorineural hearing loss (ISSNHL). Recently, oxidative stress has been proposed as risk factors of microvascular damage. This observational study aimed to evaluate the possible role of oxidative stress in ISSNHL.

Tonsillectomy in children with periodic fever with aphthous stomatitis, pharyngitis, and adenitis syndrome.

Objective: To seek evidence supporting a role for tonsillectomy or adenotonsillectomy in the management of affected children with periodic fever with aphthous stomatitis, pharnygitis, and adenitis (PFAPA) syndrome.

Study Design: A comprehensive literature search was conducted to identify all published English-language observational and randomized studies evaluating the efficacy of tonsillectomy or adenotonsillectomy on PFAPA syndrome. A combination of keywords was used to identify relevant articles.

Nasal lavage in pregnant women with seasonal allergic rhinitis: a randomized study.

Background: Nasal rinsing appears particularly suitable in the management of pregnant women with seasonal allergic rhinitis since no deleterious effects on the fetus are to be expected. However, to date, no studies have specifically investigated this option.

Methods: Pregnant women with seasonal allergic rhinitis were randomized to intranasal lavage with hypertonic saline solution 3 times daily (n = 22) versus no local therapy (n = 23) during a 6-week period corresponding to the pollen season.

Removal of indigo carmine dye from water to Mg-Al-CO(3)-calcined layered double hydroxides.

Layered double hydroxides (LDHs) calcined, denoted as CLDHs, have been shown to recover their original layered structure in the presence of appropriate anions. In the light of this so-called "memory effect", the removal of indigo carmine (IC), an anionic dye, from aqueous solution by calcined Mg-Al-CO(3) LDHs was investigated in batch mode. We looked at the influence of pH values, dye-adsorbent contact time, initial dye concentration and various temperatures of heating of LDHs on the decolorization rate of IC.

Prognostic influence of gender in patients with oral tongue cancer.

Objectives: The purpose of this study was to evaluate the independent role of gender in affecting prognosis in patients with anterior tongue cancer.

Design: Patients recorded in the head and neck cancer registry of Milano-Bicocca School of Medicine between January 1981 and December 1998 were reviewed. Female patients with squamous cell carcinoma of the tongue were identified and matched to men for year of diagnosis, age, TNM classification, histologic grading, and treatment modalities.

Videosialoendoscopic assessment of bilateral atresia of the Wharton's duct orifice in an infant.

Atresia of the submandibular ducts (particularly the duct orifice) is a rare occurrence that is mainly observed in newborns or infants; moreover, its differential diagnosis with other anomalies of the oral floor is sometimes difficult. Given the lack of data concerning the differences between atresia of the orifice of Wharton's duct and other anomalies of the submandibular duct system, we describe here the findings of videosialoendoscopic assessment of the salivary duct system in an infant who underwent traditional surgery for bilateral atresia of the orifice of Wharton's duct. During sialoendoscopy, a trifurcation of the main duct, a normal variant of the more common bifurcation of the secondary branches of the salivary duct system, was observed bilaterally.