Publications by authors named "Nardi F"

Brugada syndrome (BrS) is an inherited arrhythmogenic disorder characterized by distinct electrocardiographic patterns and an increased risk of sudden cardiac death due to ventricular arrhythmias. Effective management of BrS is essential, particularly for high-risk patients with recurrent arrhythmias. While implantable cardioverter-defibrillator (ICD) is effective in terminating life-threatening arrhythmias, it does not prevent arrhythmia onset and can lead to complications such as inappropriate shocks.

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Artificial intelligence (AI) is transforming cardiovascular imaging by offering advancements across multiple modalities, including echocardiography, cardiac computed tomography (CCT), cardiovascular magnetic resonance (CMR), interventional cardiology, nuclear medicine, and electrophysiology. This review explores the clinical applications of AI within each of these areas, highlighting its ability to improve patient selection, reduce image acquisition time, enhance image optimization, facilitate the integration of data from different imaging modality and clinical sources, improve diagnosis and risk stratification. Moreover, we illustrate both the advantages and the limitations of AI across these modalities, acknowledging that while AI can significantly aid in diagnosis, risk stratification, and workflow efficiency, it cannot replace the expertise of cardiologists.

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Plastic pollution is a significant environmental challenge of contemporary age. Polystyrene (PS), among the most commonly used plastic polymers worldwide, is highly durable and difficult to degrade. Despite various disposal strategies, PS continues to impact biodiversity, human health, and ecosystems.

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Chronic elevated blood pressure impinges on the functioning of multiple organs and therefore harms body homeostasis. Elucidating the protective mechanisms whereby the organism copes with sustained or repetitive blood pressure rises is therefore a topical challenge. Here we address this issue in the adrenal medulla, the master neuroendocrine tissue involved in the secretion of catecholamines, influential hormones in blood pressure regulation.

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Alpha-synuclein (α-Syn) is an important molecule in the pathogenesis of Parkinson's disease and Alzheimer's disease-related dementias such as Lewy body dementia, forming multiple pathological species. In vitro disease models, including human neurons and α-Syn-transfected cells, are instrumental to understand synucleinopathies or test new therapies. Here, we provide a detailed protocol to generate human neurons derived from induced pluripotent stem cells (iPSCs), and HEK cells, with α-Syn mutations.

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  • - Cardiac device infections (CDIs) pose serious health risks for patients with implanted devices, leading to higher rates of illness, longer hospital stays, and increased healthcare costs.
  • - Managing CDIs effectively requires a mix of suitable antibiotic treatments and preventive methods to decrease infection risk, with a special focus on antibiotic prophylaxis and new delivery systems.
  • - This review outlines various prophylactic treatments and antibiotic regimens for CDIs, highlighting the importance of early diagnosis and tailored antibiotic choices for better treatment outcomes.
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Long-lasting epidemiological studies showed that prevention of coronary artery disease (CAD) is highly feasible with the management of several conditions called "risk factors", such as hypertension, cholesterol, smoking, etc. Nevertheless, risk stratification for primary prevention using a statistical combination of risk factors is suboptimal, as conventional risk factors are age-dependent, so that their treatment would be too late to be effective. Genetic risk stratification, built on the genetic variants linked to CAD, has the advantage of being embedded in DNA and then it is independent of age.

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The complete mitochondrial genome of the shining leaf chafer was sequenced and is herein described. The mitogenome consists of a circular molecule of 16,805 bp, with an overall AT content of 75.7%.

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Unraveling vulnerabilities in chronic lymphocytic leukemia (CLL) represents a key approach to understand molecular basis for its indolence and a path toward developing tailored therapeutic approaches. In this study, we found that CLL cells are particularly sensitive to the inhibitory action of abundant serum protein, apolipoprotein E (ApoE). Physiological concentrations of ApoE affect CLL cell viability and inhibit CD40-driven proliferation.

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  • Wearable cardioverter-defibrillators (WCD) are non-invasive devices designed for patients at risk of life-threatening arrhythmias, providing continuous monitoring and the ability to deliver prompt defibrillation when necessary.
  • The study involved 41 patients monitored from November 2022 to May 2024, focusing on tailored therapy through regular check-ups and remote monitoring, with a significant portion of patients experiencing conditions like hypertension and heart failure.
  • Results showed that the majority of patients did not require further device interventions; only 29% ultimately needed an implantable cardioverter-defibrillator (ICD), suggesting that WCD use can help optimize treatment decisions and reduce unnecessary ICD implants.
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  • * Accurate assessment of LDL-C becomes challenging at low levels, so healthcare providers should consider other methods of measurement alongside different cholesterol parameters for better risk evaluation.
  • * Long-term studies suggest that low LDL-C levels generally don't lead to significant adverse effects, supporting the idea that intensive cholesterol-lowering treatments can be safely pursued to reduce cardiovascular risks.
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Background: SmithRNAs (Small MITochondrial Highly-transcribed RNAs) are a novel class of small RNA molecules that are encoded in the mitochondrial genome and regulate the expression of nuclear transcripts. Initial evidence for their existence came from the Manila clam Ruditapes philippinarum, where they have been described and whose activity has been biologically validated through RNA injection experiments. Current evidence on the existence of these RNAs in other species is based only on small RNA sequencing.

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The global population is experiencing an aging trend; however, this increased longevity is not necessarily accompanied by improved health in older age. A significant consequence of this demographic shift is the rising prevalence of multiple chronic illnesses, posing challenges to healthcare systems worldwide. Aging is a major risk factor for multimorbidity, which marks a progressive decline in resilience and a dysregulation of multisystem homeostasis.

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The application of biocatalysis has become essential in both academic and industrial domains for the asymmetric synthesis of chiral amines, and it serves as an alternative tool to transition-metal catalysis and complements traditional chemical methods. It relies on the swift expansion of available processes, primarily as a result of advanced tools for enzyme discovery, combined with high-throughput laboratory evolution techniques for optimizing biocatalysts. This concept paper explores the utilization of non-conventional media such as ether-type solvents, deep eutectic solvents, and micellar catalysis to enhance biocatalytic reactions for chiral amine synthesis.

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Wittig reaction between substituted phosphonium salts and (hetero)aromatic and alkyl carbonyl compounds in Deep Eutectic Solvents has been developed under a scalable and friendly protocol. Highly efficient reactions were successfully run with a wide range of bases including organic (DBU, LiTMP, t-BuOK) and inorganic (NaOH, KCO) ones in ChCl/Gly 1 : 2 (mol/mol) as solvent under mild conditions, at room temperature and under air. The proposed protocol was applied to a wide range of substrates, including (hetero)aromatic aldehydes with substituents as halogens (I, Br, Cl), EDG (alkoxy, methyl), EWG (NO, CF) or reactive groups as CN, esters, and ketones.

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  • * Differences in how drugs are metabolized by sex highlight the need for sex-specific medical approaches, yet awareness of this issue is still limited.
  • * The paper focuses on evaluating therapeutic strategies for managing common diseases affecting women, emphasizing the importance of individualized treatment guidelines based on gender.
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Purpose Of Review: This review outlines novel, emerging legal risks for in-vitro fertilization (IVF) providers and patients.

Recent Findings: This article reviews recent antiabortion legal developments that create novel legal risks to IVF. This article examines new potential liability for the handling or managing of embryos, and threats to safe, efficient, standard-of-care practice of IVF.

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  • * INOCA patients face recurrent symptoms, functional limitations, and a higher risk of cardiovascular events, yet the condition is often underdiagnosed due to a lack of awareness and reliable diagnostic tools.
  • * In 2022, a nationwide initiative was conducted across 30 cardiology units to improve understanding and management of INOCA, aiming to create consistent diagnostic and treatment pathways for affected patients.
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  • The Japanese beetle, an invasive pest native to Japan, poses a threat to various crops and has spread across North America and parts of Europe.
  • Researchers sequenced the complete mitochondrial genome of 86 beetles to understand their origins and invasions better, revealing significant genetic differences between populations in South and Central/North Japan.
  • The study indicates that there were multiple introductions of these beetles into the USA and Europe, with subsequent population expansions and contractions, allowing for the estimation of invasion timelines and changes in population dynamics.
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Background: Traditional scores as CHADS2 and CHA2DS2-Vasc are suitable for predicting stroke and systemic embolism in patients with atrial fibrillation (AF) and have shown to be also associated with mortality. Other more complex scores have been recommended for survival prediction. The purpose of our analysis was to test the performance of different clinical scores in predicting 1-year mortality in AF patients.

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Background: The spread of Popillia japonica in non-native areas (USA, Canada, the Azores islands, Italy and Switzerland) poses a significant threat to agriculture and horticulture, as well as to endemic floral biodiversity, entailing that appropriate control measures must be taken to reduce its density and limit its further spread. In this context, the availability of a high quality genomic sequence for the species is liable to foster basic research on the ecology and evolution of the species, as well as on possible biotechnologically-oriented and genetically-informed control measures.

Results: The genomic sequence presented and described here is an improvement with respect to the available draft sequence in terms of completeness and contiguity, and includes structural and functional annotations.

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  • Biodegradable polymers are being researched as alternatives to traditional plastics to reduce marine litter but their toxicity is not fully understood yet.
  • This study tested different biodegradable and conventional polymer microparticles on Mytilus galloprovincialis using transcriptomics, revealing significant gene expression changes, particularly with marine-incubated polycaprolactone.
  • The findings indicate that all microparticles disrupt key biological processes like innate immunity and fatty acid metabolism, underscoring the importance of considering environmental interactions in ecotoxicology studies.
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  • - Gender significantly influences cardiovascular risk factors and affects prevention, clinical pathways, diagnosis, and treatment, highlighting the need for a more inclusive approach in healthcare.
  • - Despite its importance, sex and gender differences in cardiovascular care are often overlooked, leading to disparities in patient outcomes and access to quality care.
  • - The paper emphasizes the necessity of increasing female representation in clinical trials and leadership roles, advocating for tailored treatment strategies that consider gender influences on cardiovascular diseases.
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Introduction: Chronic kidney disease is usually asymptomatic, and its diagnosis depends on laboratory tests, with emphasis on serum creatinine and proteinuria.

Objective: To assess knowledge on the role of serum creatinine as a biomarker of kidney function in a sample of the Brazilian population.

Method: Cross-sectional observational study conducted in São Paulo (SP, Brazil), in which a random adult population was interviewed.

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