Publications by authors named "Monti L"

Objective: Intra-articular injections of hyaluronic acid (HA) have been reported to alleviate pain, reduce disability, and improve joint function in glenohumeral osteoarthritis (GH-OA). This retrospective study aimed to evaluate the effectiveness of a HA-based formulation (Hyalubrix®) in reducing the pain of patients with GH-OA and improving both patient's shoulder functions and quality of life (QoL).

Methods: Data collected during the standard clinical practice of the center was retrospectively analyzed.

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Hempseed oil (HSO) is extremely rich in unsaturated fatty acids, especially linoleic (18:2 n-6) and α-linolenic (18:3 n-3) acids, which determine its high sensitivity to oxidative and photo-oxidative degradations that can lead to rancidity despite the presence of antioxidant compounds. The aim of this work was to evaluate which material/temperature/light solutions better preserve HSO quality during its shelf life and to test NIR as a rapid, non-destructive technique for monitoring oxidation phenomena. Futura 75 hemp seeds were cold-pressed; the oil was packed into 20 mL vials of four different materials (polypropylene, clear glass, amber glass, and amber glass coated with aluminum foil) and stored for 270 days at 25 °C under diffused light and at 10 °C in dark conditions.

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Diffusion tensor imaging (DTI) and its parameters such as fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), radial diffusivity (RD) are increasingly being used to assess peripheral nerve integrity alongside nerve conduction studies. This pilot study aims to compare DTI values of lumbar spinal nerve roots before (T0) and after (T1) treatment with an interspinous process device (IPD). Seven patients (5 females, 2 males; mean age: 68) suffering from neurogenic claudication and lumbar spinal canal and foraminal stenosis were evaluated.

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Objective: Childhood trauma is a significant environmental stressor linked to mood disorder. It can affect not only the individuals directly involved but also the next generation through the intergenerational transmission of trauma. This study aimed to investigate, for the first time, the co-occurrence of childhood trauma in youths with mood disorders and their parents.

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Background/objectives: Although rare in the Western world, dog bites may be lethal or lead to physically severe outcomes. However, little attention is given to their psychological consequences. We aimed to review their psychological consequences in children 1-14 years of age, focusing on the prevalence and nature of psychological disorders, evaluating the impact on future mental health of children and their families, and assessing the effectiveness of preventive interventions and measures.

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Purpose: To report an exceptional case of male-to-male transmission of genetically based non-obstructive azoospermia (NOA) and varicocele through a naturally obtained pregnancy.

Subjects And Methods: A father and his son were both diagnosed with NOA after centrifugation and varicocele. The father has no other clinical concerns apart from infertility, detected after many attempts of having another child, but given his urological situation (bilateral varicocele and NOA) assisted reproductive techniques were discouraged.

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Article Synopsis
  • This study focused on how myocardial perfusion imaging (MPI) stress tests—specifically using stress cardiac magnetic resonance (sCMR) and single-photon emission computed tomography (SPECT-MPI)—affect the safety of high-risk patients undergoing non-cardiac surgery.
  • It involved 1,590 patients with heart disease or significant cardiovascular risk factors, finding that those who underwent stress tests had fewer cardiac complications within 30 days post-surgery (1.2% vs. 3.4%).
  • While both sCMR and SPECT-MPI reduced cardiac event rates equally, sCMR was shown to be more accurate for predicting the need for coronary artery revascularization.
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Astronomy is entering an unprecedented era of big-data science, driven by missions like the ESA's Gaia telescope, which aims to map the Milky Way in three dimensions. Gaia's vast dataset presents a monumental challenge for traditional analysis methods. The sheer scale of this data exceeds the capabilities of manual exploration, necessitating the utilization of advanced computational techniques.

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  • Lithium during pregnancy has been linked to potential foetal malformations, but treatment for maternal psychiatric conditions is often deemed more critical by clinicians.
  • A systematic review analyzed 28 studies, with meta-analysis including data from 1402 newborns and 2595 women, revealing increased risks of cardiac malformations, preterm birth, and being large for gestational age among those taking lithium.
  • Women with bipolar disorder should consider stopping lithium before pregnancy if stable, but if they continue during pregnancy, they should have close monitoring to manage potential risks.
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Bleeding complications after pacemaker implantation pose risks, including infection and prolonged hospital stay. A case involving aortic intramural hematoma (IMH) arising from subclavian vein access during implantation and concomitant acute pulmonary embolism (PE) is presented. In the present case, IMH probably resulted from subclavian artery vasa vasorum trauma during vein puncture and guidewire advancement, leading to IMH and hemothorax.

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  • Malignant tumors in the mediastinum often pose challenges in diagnosis and treatment, especially when near cardiovascular structures.
  • This study testing cine-magnetic resonance imaging (cine-MRI) showed it has improved accuracy over contrast-enhanced CT scans for detecting whether tumors invade cardiovascular structures.
  • Cine-MRI demonstrated significantly higher sensitivity (91% vs. 16%) and negative predictive value (93% vs. 54%) compared to CT, making it a valuable tool for preoperative assessment.
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Background: Right ventricular (RV) involvement has been reported in one out of three patients with hypertrophic cardiomyopathy (HCM), however its prognostic significance remains unknown. We aimed to assess the prognostic value of RV involvement in patients with HCM through a systematic review and meta-analysis.

Methods: A literature search was performed on PubMed, ClinicalTrials.

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Background: Interstitial cystitis/bladder pain syndrome (IC/BPS) is an at least 6-mo noninfectious bladder inflammation of unknown origin characterized by chronic suprapubic, abdominal, and/or pelvic pain. Although the term cystitis suggests an inflammatory or infectious origin, no definite cause has been identified. It occurs in both sexes, but women are twice as much affected.

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Background: The presence of mitral annulus disjunction (MAD) has been considered a high-risk feature for sudden cardiac death based on selected study populations. We aimed to assess the prevalence of MAD in consecutive patients undergoing clinically indicated cardiovascular magnetic resonance (CMR), its association with ventricular arrhythmias, mitral valve prolapse (MVP), and other CMR features.

Methods: This single-center retrospective study included consecutive patients referred to CMR at our institution between June 2021 and November 2021.

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Transfemoral aortic valve implantation (TAVI) has been long considered the standard of therapy for high-risk patients with severe aortic-stenosis and is now effectively employed in place of surgical aortic valve replacement also in intermediate-risk patients. The potential lasting consequences of minor complications, which might have limited impact on elderly patients, could be more noteworthy in the longer term when occurring in younger individuals. That's why a greater focus on early diagnosis, correct management, and prevention of post-procedural complications is key to achieve satisfactory results.

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Purpose To use unsupervised machine learning to identify phenotypic clusters with increased risk of arrhythmic mitral valve prolapse (MVP). Materials and Methods This retrospective study included patients with MVP without hemodynamically significant mitral regurgitation or left ventricular (LV) dysfunction undergoing late gadolinium enhancement (LGE) cardiac MRI between October 2007 and June 2020 in 15 European tertiary centers. The study end point was a composite of sustained ventricular tachycardia, (aborted) sudden cardiac death, or unexplained syncope.

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  • Hepatic artery complications (HACs) after pediatric liver transplantation can lead to significant health issues, and this study aims to understand how common they are, how they are managed, and what outcomes arise from these complications.
  • The research utilizes the international HEPATIC Registry, collecting data on pediatric patients under 18 who experienced HAC within the last 20 years, focusing on survival rates and treatment success.
  • Ethical approval will be obtained from all participating sites, and findings will be shared at conferences and in academic journals, with the study registered on ClinicalTrials.gov (NCT05818644).
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Article Synopsis
  • - Risk stratification for dangerous heart arrhythmias and sudden cardiac death is challenging for doctors, but multiparametric mapping via MRI can help identify issues leading to these irregularities.
  • - Current use of this advanced mapping method in clinical settings is limited, despite evidence linking mapping abnormalities to increased arrhythmia risk in various heart diseases.
  • - The review emphasizes the need for more clinical studies to evaluate how these mapping techniques can enhance patient selection for implantable cardioverter defibrillator treatments beyond traditional MRI methods.
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There is much debate about continuing antipsychotic medication in patients who need it when they become pregnant because benefits must be weighed against potential teratogenic and malformation effects related to antipsychotics themselves. To address this, we conducted a systematic review on the PubMed, PsycINFO and CINHAL databases and the ClinicalTrials.gov register using the following strategy: (toxicity OR teratogenicity OR malformation* OR "birth defect*" OR "congenital abnormality" OR "congenital abnormalities" OR "brain changes" OR "behavioral abnormalities" OR "behavioral abnormalities") AND antipsychotic* AND (pregnancy OR pregnant OR lactation OR delivery OR prenatal OR perinatal OR post-natal OR puerperium) on September 27, 2023.

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Fabry Disease (FD) is a genetic disease caused by a deficiency in the activity of lysosomal galactosidase A (α-GalA), an enzyme responsible for the catabolism of globotriaosylceramide (Gb3). Since lysosomes are present throughout the body and play a crucial role in catabolism and recycling of cytosolic compounds, FD can affect multiple organs and result in various symptoms, including renal, cardiovascular, neurological, cutaneous, and ophthalmic manifestations. Due to the nonspecific symptoms and the rarity of FD, it is often diagnosed late in life.

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Introduction: The diagnosis of biliary atresia (BA) remains challenging, and there is still uncertainty regarding the optimal time to perform a Kasai portoenterostomy (KPE). Little is known about the difficulties in the diagnosis and outcomes of BA in preterm infants (PBA). This study, which represents the first Italian report of preterm infants with BA, aims to describe a single-center experience of BA in preterm newborns.

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Article Synopsis
  • Cardiac magnetic resonance (CMR) imaging has advanced significantly with parametric mapping techniques like T1 and T2 mapping, which give deeper insights into various heart conditions.
  • These mapping techniques can detect myocardial injury earlier than traditional methods, often before symptoms appear or changes in heart function occur.
  • Despite their potential, challenges in standardization and setting reference values limit their widespread use, highlighting the need for improvements to enhance diagnostic processes and patient care.
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A cardiac lesion detected at ultrasonography might turn out to be a normal structure, a benign tumor or rarely a malignancy, and lesion characterization is very important to appropriately manage the lesion itself. The exact relationship of the mass with coronary arteries and the knowledge of possible concomitant coronary artery disease are necessary preoperative information. Moreover, the increasingly performed coronary CT angiography to evaluate non-invasively coronary artery disease leads to a rising number of incidental findings.

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