Publications by authors named "N Napoli"

Objective: To validate the ISGPS complexity grading system for minimally invasive pancreaticoduodenectomy (MIPD).

Background: Although concerns about patient safety persist, MIPD is gaining popularity. The ISGPS recently introduced a difficulty grading system to improve patient selection by aligning procedural complexity with surgeon and center expertise.

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In this study, we explore the work of breathing (WoB) experienced by aviators during the Anti-G Straining Maneuver (AGSM) to improve pilot safety and performance. Traditional airflow models of WoB fail to adequately distinguish between breathing rate and inspiratory frequency, leading to potentially inaccurate assessments. This mismatch can have serious implications, particularly in critical flight situations where understanding the true respiratory workload is essential for maintaining performance.

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Article Synopsis
  • The study investigates the effects of a high-fiber diet on bone health and glucose control in type 2 diabetes mellitus (T2DM) patients, highlighting the need for effective interventions to address bone fragility associated with T2DM.* -
  • After 12 weeks, the high-fiber diet group showed significant improvements in body mass index (BMI) and blood sugar control (HbA1c), but also a decrease in a marker for bone formation, suggesting potential negative effects on bone health.* -
  • Despite these changes in metabolic health and reduced bone formation markers, there were no significant differences found in bone structure or gene expression related to bone health between the high-fiber diet group and the control group.*
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By establishing semaphorin 6D expression in the amygdala as a central coordinator of brain, metabolic, and immunologic function, the Neuron publication by Nakanishi et al. provides new insight to how primary brain deficiency impacts physiological systems beyond the brain.

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Background: Peripheral artery disease (PAD) is recognized as a significant contributor to the public health burden in the cardiovascular field and has a significant rate of morbidity and mortality. In the intermediate stages, exercise therapy is recommended by the guidelines, although supervised programs are scarcely available. This single-center observational study aimed to evaluate the long-term outcomes of patients with PAD and claudication receiving optimal medical care and follow-up or revascularization procedures or structured home-based exercise.

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