Publications by authors named "Marianna Leite"

Background: Atherosclerotic cardiovascular disease (ASCVD), affects approximately 18.6 million individuals worldwide and poses a significant healthcare related challenge. Despite the established efficacy of both high-intensity statin monotherapy (HIS) and moderate-intensity statin plus ezetimibe (MIS+EZT) in ASCVD management, the optimal treatment strategy remains unclear.

View Article and Find Full Text PDF

Introduction: Tirofiban is a fast-acting glycoprotein IIb-IIIa inhibitor that inhibits the final common pathway to platelet aggregation and has been studied as adjuvant therapy for acute ischemic stroke (AIS). Since the prior meta-analysis new randomized controlled trials (RCTs) have been published. This meta-analysis aimed to update the current knowledge on the efficacy of tirofiban for patients with AIS not submitted to reperfusion therapies.

View Article and Find Full Text PDF

Introduction: Interictal epileptiform discharges (IEDs) in electroencephalograms (EEGs) are an important biomarker for epilepsy. Currently, the gold standard for IED detection is the visual analysis performed by experts. However, this process is expert-biased, and time-consuming.

View Article and Find Full Text PDF
Article Synopsis
  • Stereotactic Brachytherapy Iodine-125 (SBT I-125) is a treatment studied for low-grade gliomas, but the results raise concerns about its safety and effectiveness.
  • A review of 20 studies showed that about 10% of patients had complications and 33% faced mortality, even though some patients were able to remain progression-free for 5 or 10 years.
  • The researchers suggest that more long-term studies and better research methods are needed to understand the true effects of this treatment.
View Article and Find Full Text PDF

The efficacy and safety of direct oral anticoagulants (DOAC) in patients with embolic stroke of undetermined source (ESUS) remains unclear. We systematically searched PubMed, Embase, and Cochrane Library for randomized controlled trials (RCT) comparing DOACs versus aspirin in patients with ESUS. Risk ratios (RR) and 95% confidence intervals (CI) were computed for binary endpoints.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness of high-dose versus low-dose oxytocin for enhancing labor in women experiencing delayed progress.
  • A meta-analysis of 21 studies, including 18 randomized controlled trials with over 14,000 patients, found no significant differences in key outcomes like cesarean rates or neonatal mortality between the doses.
  • High-dose oxytocin was linked to a significantly higher incidence of uterine tachysystole, indicating that a low-dose regimen may be safer and equally effective for labor augmentation.
View Article and Find Full Text PDF

The diagnosis of Moyamoya disease (MMD) relies heavily on imaging, which could benefit from standardized machine learning tools. This study aims to evaluate the diagnostic efficacy of deep learning (DL) algorithms for MMD by analyzing sensitivity, specificity, and the area under the curve (AUC) compared to expert consensus. We conducted a systematic search of PubMed, Embase, and Web of Science for articles published from inception to February 2024.

View Article and Find Full Text PDF

Introduction: Gantenerumab is a monoclonal antibody targeting amyloid β protein (Aβ) in early Alzheimer's disease (AD). The authors sought to evaluate gantenerumab safety and efficacy in early AD patients.

Methods: MEDLINE, Embase, and Cochrane databases were systematically searched until 2 December 2023.

View Article and Find Full Text PDF

Background: Dual antiplatelet therapy (DAPT) with clopidogrel plus aspirin is a well-established practice after a minor stroke or transient ischemic attack (TIA). However, ticagrelor plus aspirin may be an alternative.

Aims: We systematically searched PubMed, Embase, and Cochrane Central from inception to January 2024.

View Article and Find Full Text PDF

Introduction: Numerous studies have demonstrated Fractionated Stereotactic Radiotherapy's (FSRT) effectiveness in tumor control post-resection for craniopharyngiomas. Nevertheless, past literature has presented conflicting findings particularly regarding endocrine and visual function outcomes. This study aims to elucidate FSRT's efficacy and safety for this population.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_sessionqljo9ppdcevqbuqiq8pbfgkm6ttjq5kq): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once