Publications by authors named "R Vella"

Hypoalbuminemia is a risk factor for mortality in patients with end-stage liver disease (ESLD) and in those undergoing orthotopic liver transplantation (OLT), since it represents a biomarker of post-operative delayed functional recovery of the graft. Despite albumin infusion during and after OLT is frequently adopted in recipients with hypoalbuminemia, it remains unclear whether this procedure could improve post OLT clinical outcomes. Observational studies indicated that treatment with albumin after OLT might be beneficial in reducing ascites and acute kidney injury (AKI) development.

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Pancreatic cancer has an increasing incidence and prevalence trend. Its prognosis is negatively affected by poor/altered nutritional status. Therefore, nutritional interventions play a critical/pivotal role at any stage.

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Introduction: There is an evidence-practice gap in the optimal timing and volume of intravenous fluid as well as vasopressor administration in managing patients with sepsis. This study aimed to explore current hemodynamic resuscitation practice in emergency department (ED) for patients with sepsis and hypotension.

Methods: This is a sub-analysis of the prospective multicentre ARISE FLUIDS observational study, which was conducted in 70 EDs across Australia and New Zealand.

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Article Synopsis
  • This study compares injury patterns in fatal falls from heights versus those of pedestrians struck by cars, aiming to improve diagnosis in ambiguous cases of such incidents.
  • Analyzing 232 forensic reports from 2012 to 2023, the study found that falls from heights were linked to significantly higher rates of bilateral lung and liver injuries, as well as skull fractures.
  • Meanwhile, pedestrians showed greater instances of leg fractures and external injuries, with a notable threshold for "Total Injured Skin Area" suggesting that larger injuries may indicate a road traffic fatality.
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This study aims to review existing literature on the effect of oral nutritional supplements (ONSs) during chemotherapy in older cancer patients. Electronic databases were searched for relevant studies up to March 2024. The risk of bias in the included studies was evaluated using the Cochrane tool.

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