Publications by authors named "Romanelli F"

Article Synopsis
  • The study investigates the surge of HIV cases in Scott County, Indiana, linked to the misuse of Opana ER, an opioid medication that replaced OxyContin due to its reformulation.
  • It analyzes pharmacy transaction data from 2007 to 2019, showing that Opana ER usage in Scott County skyrocketed after OxyContin's formula changed and peaked just before the HIV outbreak in 2014.
  • The findings suggest that the reformulation led to a significant drop in Opana ER transactions during the HIV outbreak, highlighting the importance of monitoring pharmaceutical sales to prevent drug misuse and related health crises.
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Background: The vitreous humor serves as a window into the physiological and pathological processes of the eye, particularly the retina. Diabetic retinopathy (DR), a leading cause of blindness, involves hyperglycemia-induced damage to retinal cells, leading to ischemia and elevated nitric oxide levels, culminating in vascular proliferation. Rhegmatogenous retinal detachment (RD) results from a break in the neuroretina, triggering ischemia, photoreceptor death, and cellular proliferation.

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Objective: Identify perceptions from pharmacy faculty across the Academy concerning factors that may be influencing North American Pharmacist Licensure Examination (NAPLEX) first-time pass rates to highlight potential focused areas of further research based on common experiences.

Methods: An anonymous 43-item Qualtrics questionnaire was distributed to faculty members from the American Association of Colleges of Pharmacy. Questions were predominantly 5-point Likert scale items (5 = very large impact) and encompassed 6 domains: pharmacy school factors, COVID-19 educational modifications, testing factors, standardized testing, applicant preparedness, and student factors.

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Article Synopsis
  • - The paper investigates how thyroid hormones (TH) are metabolized in urine using a technique called liquid chromatography-tandem mass spectrometry (LC-MS/MS), focusing on samples from a euthyroid volunteer and athletes with varying thyroid supplement declarations.
  • - Results showed that specific ratios of thyroid hormones in urine might indicate the use of synthetic T3 or T4, but these indicators are less reliable in hypothyroid athletes who maintained lower hormone levels despite supplementation.
  • - The research concludes that while urine testing for thyroid hormone administration can be effective in euthyroid individuals, it may not work well for hypothyroid athletes due to their body's tendency to stabilize hormone levels, complicating detection.
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Transgender individuals exhibit a higher prevalence of cancer-related risk factors, such as substance abuse and sexually transmitted infections. These factors, coupled with suboptimal adherence to cancer screening recommendations, may lead to a higher incidence of cancers, such as breast and cervical cancer, and contribute to delayed diagnoses in transgender patients. Herein, we report a unique case of a transgender man with a history of alcohol and drug abuse, undergoing gender-affirming exogenous testosterone therapy, who developed synchronous locally advanced breast cancer and human papilloma virus (HPV)-related cervical cancer.

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Article Synopsis
  • Intraoperative measurements for positioning the acetabular cup were taken using both fluoroscopy and a navigation system during surgery.
  • A specific technique involved using a C-arm at a 40° angle to capture an anteroposterior view and align the fluoroscopy beam with the cup's orientation.
  • The study found strong agreement between the two measurement methods, highlighting fluoroscopy as a reliable alternative in surgeries where navigation systems are unavailable.
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  • Periprosthetic joint infections after total knee arthroplasty are often treated with 2-stage revisions using either articulating or static antibiotic cement spacers, but many studies exclude patients with recurrent infections or multiple revisions.
  • A study reviewed the use of static spacers in patients treated from 2017 to 2020, focusing on infection eradication rates and the effectiveness of an antibiotic-loaded locked intramedullary nail for complex cases.
  • Results showed a 68.8% infection eradication rate over an average of 46.9 months, with identified risk factors for reinfection including the number of previous spacers and longer surgical times during spacer placement.
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As first-time pass rates on the North American Pharmacy Licensure Examination (NAPLEX) continue to decrease, pharmacy educators are left questioning the dynamics causing the decline and how to respond. Institutional and student factors both influence first-time NAPLEX pass rates. Pharmacy schools established before 2000, those housed within an academic medical center, and public rather than private schools have been associated with tendencies toward higher first-time NAPLEX pass rates.

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In our experimental study we explored the impact of maternal reduced heme oxygenase-1 (HO-1) gene () expression on the fertilization (IVF) rate through the use of heterozygous Hmox1 knockout mice models (HET/Hmox1+/ -). Also, we hypothesized a beneficial role of gametes exposure during fertilization to carbon monoxide (CO), one of HO-1 by-products, that might be relevant for the improvement of IVF rates. IVF technique was performed by using oocytes obtained from wild-type (WT) or dams fertilized with WT, or mice-derived sperm.

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The complicated and ever-growing roles of assistant and associate deans (A-deans) can often be compared to those of middle managers. With responsibilities that are rapidly expanding and often unclear or overlapping with other personnel, A-deans may face identity crises. Additionally, because they are often not at the full professor level, they may experience difficulty achieving promotion.

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In recent years, a growing number of studies have examined the relationship between thyroid pathophysiology and intestinal microbiota composition. The reciprocal influence between these two entities has been proven so extensive that some authors coined the term "gut-thyroid axis". However, since some papers reported conflicting results, several aspects of this correlation need to be clarified.

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Background And Aim: Legionnaires' disease is a severe form of pneumonia caused by the inhalation or aspiration of water droplets contaminated with Legionella pneumophila and other Legionella species. These bacteria are commonly found in natural habitats and man-made water systems. Legionnaires' disease is a significant public health problem, especially in healthcare settings where patients may be exposed to contaminated environmental sources.

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Introduction: Bloodstream infections (BSI) caused by carbapenem-resistant Acinetobacter baumannii (CRAB) are associated with high mortality with limited treatment. The aim of this study is to compare effectiveness and safety of colistin-based versus cefiderocol-based therapies for CRAB-BSI.

Methods: This is a retrospective observational study enrolling patients with monomicrobial CRAB-BSIs treated with colistin or cefiderocol from 1 January 2020, to 31 December 2022.

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Unlabelled: This study is aimed at describing the TreC Oculistica novel smartphone App that facilitated the clinical practice of pediatric ophthalmology and strabismus during the COVID-19 pandemic and at reporting on the validation of visual acuity tests in a home setting. The Trec Oculistica smartphone App was prescribed to eligible patients at the Pediatric Ophthalmology and Strabismus Clinic, Ophthalmology Unit of Rovereto Hospital, between September 2020 and March 2022. Four key indicators were identified for monitoring visual and visuo-motor functions remotely: visual acuity, ocular motility, head posture, and color vision.

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Evidence-based, standard antibiotic therapy for ventilator-associated pneumonia (VAP) caused by carbapenem-resistant (CRAB) is a relevant unmet clinical need in the intensive care unit (ICU). We aimed to evaluate the effectiveness of first-line therapy with old and novel CRAB active antibiotics in monomicrobial VAP caused by CRAB. A prospective, observational study was performed in a mixed non-COVID-19 ICU.

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The interest of the fusion community in Pd-Ag membranes has grown in the last decades due to the high value of hydrogen permeability and the possibility of continuous operation, making it a promising technology when a gaseous stream of hydrogen isotopes must be recovered and separated from other impurities. This is the case of the Tritium Conditioning System (TCS) of the European fusion power plant demonstrator, called DEMO. This paper presents an experimental and numerical activity aimed at (i) assessing the Pd-Ag permeator performance under TCS-relevant conditions, (ii) validating a numerical tool for scale-up purposes, and (iii) carrying out a preliminary design of a TCS based on Pd-Ag membranes.

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Background And Aim: Since December 2019, the Coronavirus disease 2019, caused by severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), has spread from China, becoming a pandemic. Bacterial and fungal co-infections may lead to increase in COVID-19 severity with a decrease in patients survive. The aim of this work was to evaluate bacterial and fungal co-infections in COVID-19 patients admitted to ICU in comparison with patients recovered in ICU in pre-COVID-19 era in order to understand whether the pandemic had changed the incidence of overinfections in patients admitted to ICU.

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Since 2000, the Doctor of Pharmacy degree has served as the entry-level credential for pharmacy practice in the United States, Some 20-plus years following the complete transition to an entry-level clinical doctorate in pharmacy, a re-examination of the outcomes of this move and the trajectory of the profession is merited. Particular attention might be given to the increasing diversity within pharmacy and the myriad of practice types. Regardless of the path forward, intentional and critical appraisals of both the pros and cons of the entry-level Doctor of Pharmacy, as well as the future of pharmacy practice, are warranted.

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Introduction: The use of hinged knee replacements (HKRs) for limb salvage is a popular option for revision total knee arthroplasty (RTKA). Although recent literature focuses on the outcomes of HKR for septic and aseptic RTKAs, little is reported on the risk factors of returning to the operating room. The purpose of this study was to evaluate risk factors of revision surgery and revision after receiving HKR for septic versus aseptic etiology.

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Background: Abnormal auditory processing of deviant stimuli, as reflected by mismatch negativity (MMN), is often reported in schizophrenia (SCZ). At present, it is still under debate whether this dysfunctional response is specific to the full-blown SCZ diagnosis or rather a marker of psychosis in general. The present study tested MMN in patients with SCZ, bipolar disorder (BD), first episode of psychosis (FEP), and in people at clinical high risk for psychosis (CHR).

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The use of pre-exposure prophylaxis (PrEP) has curtailed transmission of human immunodeficiency virus (HIV) in most industrialized nations. Despite the availability of PrEP, HIV infections continue to occur. Access and adherence are major limitations to PrEP.

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Meropenem/vaborbactam (M/V) is a new carbapenem-carbapenemase inhibitor combination drug active against extensively drug resistant Gram-negative pathogens. Studies about its efficacy and place in therapy are limited in "real-life" and no data are available for deep site infections, like vascular graft infections. We present a case of a patient successfully treated with M/V for a thoracic aorta graft infection, placed for a traumatic penetrating aortic ulcer, due to an extensively KPC-producing resistant to ceftazidime/ avibactam.

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Article Synopsis
  • The COVID-19 pandemic has negatively impacted TB services in Italy, necessitating a study to understand patient characteristics contributing to poor outcomes and complications from treatment.
  • A retrospective analysis was conducted on 206 TB patients at the Clinic of Infectious Diseases University of Bari between 2013 and 2021, categorizing them by age (under and over 65) to identify relevant differences.
  • Key findings show that younger age, non-Italian nationality, homelessness, respiratory symptoms, and diagnostic delays were significantly associated with unsuccessful TB treatment and adverse drug reactions.
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