Publications by authors named "Iaco G"

Background: Eating disorders are frequently linked to protein-energy malnutrition, resulting from chronic energy intake reduction, and leading to reduced body weight and altered body composition. A nutritional approach based on the supplementation with a mixture of essential amino acids has proven effective in conditions characterized by reduced dietary intake and increased degradation of endogenous proteins and might also contribute to correct the amino acid deficiency possibly involved in the pathogenesis of eating disorders.

Objective: This study aimed to explore the effects of amino acid supplementation in conjunction with a standard psycho-nutritional rehabilitation program on body composition, symptoms and psychopathology status in 30 female patients with eating disorders hospitalized at the Residenza Palazzo Francisci in Todi, Italy.

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Background: Tuberculosis (TB) remains a Global Health challenge, with diagnostic delays contributing significantly to its spread. This study investigates the differences in diagnostic delays between native and migrant TB patients in Italy, examining patient-related diagnostic delay (PDD), health system-related diagnostic delay (HDD), and total diagnostic delay (TDD).

Methods: We conducted a retrospective, multicenter, cross-sectional study of TB cases in 10 Italian hospitals from 2018 to 2023.

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Objectives: Analysis of breath, specifically the patterns of volatile organic compounds (VOCs), has shown the potential to distinguish between patients with lung cancer (LC) and healthy individuals (HC). However, the current technology relies on complex, expensive and low throughput analytical platforms, which provide an offline response, making it unsuitable for mass screening. A new portable device has been developed to enable fast and on-site LC diagnosis, and its reliability is being tested.

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Remdesivir (RDV) was the first Food and Drug Administration (FDA)-approved medication for COVID-19, with discordant data on efficacy in reducing mortality risk and disease progression. In the context of a dynamic and rapidly changing pandemic landscape, the utilization of real-world evidence is of utmost importance. The objective of this study is to evaluate the impact of RDV on patients who have been admitted to two university referral hospitals in Italy due to COVID-19.

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Extrapulmonary tuberculosis (TB) is estimated to account for up to 20% of active cases of TB disease, but its prevalence is difficult to ascertain because of the difficulty of diagnosis. Involvement of the heart is uncommon, with constrictive pericarditis being the most common cardiac manifestation. Diagnostic research for cardiac disease is frequently lacking, resulting in a high mortality rate.

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Article Synopsis
  • - The study investigates the safety and effectiveness of the ultrathin Coroflex ISAR NEO polymer-free sirolimus-eluting stent (PF-SES) for patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI), addressing concerns about long-term issues with traditional drug-eluting stents.
  • - Conducted as a multicenter, prospective registry in Italy, the CAESAR study evaluated 425 patients, focusing on outcomes such as target-lesion revascularization (TLR) and major adverse cardiovascular events (MACE) over one year.
  • - Results showed excellent clinical outcomes, with only 0.5% needing additional procedures for ischemia-induced TLR and a low rate of
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Introduction: Worldwide, COVID-19 pandemic lead to a large fall in the number of newly reported TB cases. In sub-Saharan Africa, microbiological diagnosis of TB is generally based on smear microscopy and Xpert MTB/RIF on sputum samples, but good quality sputum samples are often difficult to obtain, leading clinicians to rely on more invasive procedures for diagnosis. Aim of this study was to investigate pooled sensitivity and specificity of Xpert MTB/RIF on stool samples compared to respiratory microbiological reference standards in African countries.

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Objectives: Total thymectomy in addition to medical treatment is an accepted standard therapy for myasthenia gravis (MG). Patients with severe generalized MG present life-threatening events, poor prognosis and higher risk of postoperative myasthenic crisis. The aim of our study is to investigate neurological and surgical results in patients with Myasthenia Gravis Foundation of America (MGFA) class IV and V MG following thymectomy.

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Background: Catamenial pneumothorax (CP) is a rare type of spontaneous, recurring pneumothorax occurring in women, from the day before menstruation until 72 hours after its beginning. Conservative treatment is generally associated with recurrence of CP. Video-assisted thoracic surgery (VATS) approach allows not only to obtain diagnosis but also to guide definitive treatment of causing lesions, such as ectopic endometrial implants or diaphragmatic defects and fenestrations.

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Hydrogels are fascinating biomaterials that can act as a support for cells, i.e., a scaffold, in which they can organize themselves spatially in a similar way to what occurs in vivo.

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Introduction: Tuberculosis (TB) remains an unresolved global health problem and vulnerable groups such as migrants remain the most affected with a higher risk of worse outcomes. The aim of this study was to evaluate clinical features, outcomes, and adverse events in migrant and native Italian patients admitted to three Italian hospitals in Southern Italy in order to assess differences and targeted strategies.

Methods: We performed a retrospective study on TB patients admitted between January 1, 2013, and December 31, 2021, in three Apulia hospitals.

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Dislocation or wrong placement of central venous catheters into the pleural cavity is rare, but if undiagnosed, may cause major, sometimes life-threatening, complications (pneumothorax, hemothorax, infection, and migration) and accidental pleural effusion due to intravenous injection of fluids containing drugs (i.e. chemotherapy, antibiotics, parenteral nutrition, other).

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Loa loa is a filarial nematode responsible for loiasis, endemic to West-Central Africa south of the Sahara and transmitted by flies. This study reports a case of L. loa in the vitreous cavity of the eye of a young patient, along with an in-depth literature review.

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Descending necrotizing mediastinitis (DNM) is an acute, rare, severe condition with high mortality, but the optimal management protocol is still controversial. We retrospectively analyzed the results of multidisciplinary management in patients treated for DNM at our center over the last twenty years. Fifteen male patients, mean age 49.

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Article Synopsis
  • The COVID-19 pandemic has negatively impacted TB services in Italy, necessitating a study to understand patient characteristics contributing to poor outcomes and complications from treatment.
  • A retrospective analysis was conducted on 206 TB patients at the Clinic of Infectious Diseases University of Bari between 2013 and 2021, categorizing them by age (under and over 65) to identify relevant differences.
  • Key findings show that younger age, non-Italian nationality, homelessness, respiratory symptoms, and diagnostic delays were significantly associated with unsuccessful TB treatment and adverse drug reactions.
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Background: Due to the COVID-19 pandemic, current epidemiological conditions may exacerbate the risk of new-onset, recurrence and relapse of eating disorders. This perspective aims to better analyse the phenomenon.

Results: Some data suggest that new-onset and recurrence/relapse of eating disorders are increasing due to the pandemic.

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Vitamin D plays a crucial role in many infectious diseases, such as tuberculosis (TB), that remains one of the world's top infectious killers with 1.5 million deaths from TB in 2021. Vitamin D suppresses the replication of in vitro and showed a promising role in TB management as a result of its connection with oxidative balance.

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(1) Background: Tuberculosis (TB) is one of the world's top infectious killers, in fact every year 10 million people fall ill with TB and 1.5 million people die from TB. Vitamins have an important role in vital functions, due to their anti-oxidant, pro-oxidant, anti-inflammatory effects and to metabolic functions.

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Patients with type 1 diabetes (T1D) are at risk of clinical eating disorders (EDs) and disordered eating behaviors (DEBs) than the general population. This burden is related mainly to diabetes-related physical and psychosocial issues especially beginning during childhood. DEBs must be investigated carefully and promptly managed in case of suspicion, as they can evolve into severe clinical EDs over time and are strictly related to poor outcomes.

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Thymic tumors are the most common primary neoplasms of the anterior mediastinum, although, when compared with the entire thoracic malignancies, they are still rare. Few studies addressed the questions about lymph node involvement pattern in thymic neoplasms, about which subgroup of patients would be appropriate candidates for lymph node dissection or about the extent of lymphadenectomy or which lymph nodes should be harvested. The aim of this review is to collect evidence from the literature to help physicians in designing the best surgical procedure when dealing with thymic malignancies.

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  • Veno-venous extracorporeal membrane oxygenation (V-V ECMO) has emerged as a vital support system for patients with poor lung function during complicated surgeries.
  • The case report details a successful instance of a patient being weaned off V-V ECMO after undergoing an inferior bilobectomy due to lung cancer.
  • This highlights the effectiveness of V-V ECMO in managing respiratory challenges during major lung resections.
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Pulmonary sclerosing pneumocytoma is a rare benign pulmonary tumor of primitive epithelial origin. Because of the unspecific radiological features mimicking malignancies and its histological heterogeneity, the differential diagnosis with adenocarcinoma and carcinoid tumors is still challenging. We report our experience of two cases of sclerosing pneumocytoma, as well as a review of the literature.

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Background: Primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) can be challenging for high thrombus burden and catecholamine-induced vasoconstriction. The Xposition-S stent was designed to prevent stent undersizing and minimize strut malapposition. We evaluated 1-year clinical outcomes of a nitinol, self-apposing®, sirolimus-eluting stent, pre-mounted on a novel balloon delivery system, in de novo lesions of patients presenting with STEMI undergoing pPCI.

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Masson's tumor or intravascular papillary endothelial hyperplasia is a rare nonmalignant pseudotumoral disease, arising in different anatomic sites, that can clinically and radiologically mimic various benign and malignant tumors. We report an exceptional case of mediastinal Masson's tumor, mimicking a thymoma, in a 48-year-old man, successfully treated with surgery. Though surgical removal may be technically difficult because of the intrinsic hypervascularized nature of these pseudotumoral benign lesions, resection is generally recommended, as they represent a locus minoris resistentiae of blood vessels, potentially causing fatal bleedings.

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  • The study aimed to evaluate the safety and feasibility of mini-invasive radial balloon aortic valvuloplasty (BAV), along with its effects on quality of life and frailty in patients undergoing transcatheter aortic valve implantation (TAVI).
  • A total of 330 patients were included, with BAV performed successfully in 314, showing no major bleeding and a minor bleeding rate of 1.8%; both quality of life and frailty improved noticeably after 30 days.
  • The findings indicated that patients who improved their frailty status had better long-term survival rates after TAVI, while those with persistent frailty had significantly worse outcomes.
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