Publications by authors named "Sarno Laura"

Article Synopsis
  • - The study aimed to evaluate the rate of false-positive cases for congenital heart defects (CHDs) during first-trimester fetal heart evaluations conducted by experienced professionals.
  • - It looked at a group of pregnant women suspected of having CHDs during initial screenings, utilizing comprehensive protocols that included critical heart assessment views.
  • - Among the 22 cases analyzed, a high percentage (86.4%) were confirmed to have CHDs, but 13% showed normal heart anatomy, indicating that first-trimester screenings may lead to more false positives than anticipated.
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Klippel-Trénaunay-Weber syndrome (KTW) is a rare congenital disease, representing a challenge in prenatal diagnosis due to overlapping characteristics with other syndromes and no specific genetic markers known to date. We have collected all the cases present in the literature on the prenatal diagnosis of KTW, emphasizing common ultrasound findings that can guide the clinician and genetics to the prenatal counseling. Thus, we collected all the information about the postnatal prognosis and the necessity for treatment.

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Article Synopsis
  • The study aimed to evaluate how effective ultrasound is in detecting invasive placentation in women with placenta previa who have a history of cesarean delivery.
  • It involved a multicenter, retrospective analysis of 180 singleton pregnancies at risk for placenta accreta between January 2010 and May 2020, focusing on women with diagnosed placenta previa.
  • Out of 155 women suspected to have placenta accreta based on ultrasound findings, 99 were confirmed to have the condition during delivery, highlighting the ultrasound's diagnostic potential.
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  • This study investigates the early diagnosis of preeclampsia (PE) by analyzing biochemical changes and immune system activity in pregnant women.
  • Researchers compared 30 women divided into three groups: healthy pregnant women, those with early preeclampsia, and those with late preeclampsia, focusing on various immune markers and lipid profiles.
  • Results showed notable increases in immune markers IL-6 and IL-8 in early preeclampsia cases, indicating heightened immune activity, while a decrease in PCSK9 gene expression was observed in early preeclampsia, suggesting potential implications for placental hormone synthesis.
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Problem: Knowledge about physical activity in pregnancy is limited compared to general population and several approaches have been used to evaluate duration and intensity of physical activity during pregnancy.

Background: Although physical activity can contribute to maternal and fetal well-being, more than half of women stopped their physical activity because of pregnancy.

Aim: To evaluate the adherence to physical activity of low-risk pregnant women by adapting an Italian version of the PPAQ.

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The aim of this systematic review is to report the normal cortical development of different fetal cerebral fissures on ultrasound, describe associated anomalies in fetuses with cortical malformations, and evaluate the quality of published charts of cortical fissures. The inclusion criteria were studies reporting development, anomalies, and reference charts of fetal cortical structures on ultrasound. The outcomes observed were the timing of the appearance of different cortical fissures according to different gestational age windows, associated central nervous system (CNS) and extra-CNS anomalies detected at ultrasound in fetuses with cortical malformation, and rate of fetuses with isolated anomaly.

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Article Synopsis
  • The study aimed to analyze changes in hemodynamics (blood flow and heart function) during controlled ovarian stimulation in women undergoing in vitro fertilization at a hospital in Naples, Italy.
  • It included 68 infertile patients and assessed their cardiovascular parameters at three key time points: baseline, estradiol peak, and embryo transfer day.
  • The results indicated significant changes in cardiac output and stroke volume index at these time points, highlighting the impact of ovarian stimulation on maternal cardiovascular health, particularly in patients at risk of hyperstimulation.
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Background: This study aims to evaluate maternal reassurance, satisfaction, and anxiety after two different strategies for the first-trimester screening for aneuploidies.

Methods: Patients between 11 + 3 and 13 + 6 weeks of gestation attending the first-trimester screening at Department of Mother and Child, University Hospital Federico II, Naples, Italy have been recruited and randomly allocated to contingent screening or universal cell-free fetal DNA testing (cffDNA). Questionnaires to measure reassurance, satisfaction, and anxiety have been filled twice: (Q1) after randomization and (Q2) after receiving results.

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Background: Preterm birth is a major cause of perinatal morbidity and mortality. It is unclear whether the introduction of a universal transvaginal ultrasound cervical length screening program in women at low risk for preterm delivery is associated with a reduction in the frequency of preterm birth.

Objective: To test the hypothesis that the introduction of a midtrimester universal transvaginal ultrasound cervical length screening program in asymptomatic singleton pregnancies without prior preterm delivery would reduce the rate of preterm birth at <37 weeks of gestation.

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Semaphorin 3A (SEMA3A) plays a crucial role in the development, differentiation, and plasticity of specific types of neurons that secrete Gonadotropin-Releasing Hormone (GnRH) and regulates the acquisition and maintenance of reproductive competence in humans and mice. Its insufficient expression has been linked to reproductive disorders in humans, which are characterized by reduced or failed sexual competence. Various mutations, polymorphisms, and alternatively spliced variants of SEMA3A have been associated with infertility.

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To compare the utilization of prenatal services between immigrant and Italian women during the COVID-19 pandemic. A cross-sectional survey was conducted at 3 maternity care centers in Italy. We included 1,312 women, 1,198 (91.

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The objective of this review is to systematically analyze the potential correlation between gut microbiota and osteoarthritis (OA) as well as to evaluate the feasibility of microbiota-targeted therapies for treating OA. Studies conducted from October 2013 to October 2023 were identified via a search on electronic databases such as PubMed, Web of Science, and Scopus, following established PRISMA statement standards. Two reviewers independently screened, assessed, and extracted relevant data, and then they graded the studies using the ROBINS I tool for non-randomized interventions studies and SYRCLE's risk-of-bias tool for animal studies.

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Musculoskeletal frailty-a common and debilitating condition linked to aging and chronic diseases-presents a major public health issue. In vivo models have become a key tool for researchers as they investigate the condition's underlying mechanisms and develop effective interventions. This systematic review examines the current body of research on in vivo models of musculoskeletal frailty, without any time constraints.

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The World Health Organization (WHO) describes gender violence as a real global health problem with a major impact not only on the victims' physical and mental health, but also on the economics of the National Health System. Gender-based violence has been also extended to all types of subjects defined as fragile: children, elderly, women, men and disabled people. Older people abuse, more frequent in women, is a far less socially debated issue, with many forms: physical, sexual, psychological, abandonment, neglect, economic-financial, pharmaceutical, discriminatory, institutional.

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Joint dysplasias always represent a great challenge for prosthetic surgeons. The common altered anatomical landmarks and the subversion of the anatomy of soft tissues surrounding the dysplastic joint are problems that can cause difficulties if approached with standard methods. Together with the resolution of functional issues related to dysplasia, the understanding of the underlying cause is fundamental.

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Ageing is an irreversible and inevitable biological process and a significant risk factor for the development of various diseases, also affecting the musculoskeletal system, resulting from the accumulation of cell senescence. The aim of this systematic review was to collect the in vitro studies conducted over the past decade in which cell senescence was induced through various methods, with the purpose of evaluating the molecular and cellular mechanisms underlying senescence and to identify treatments capable of delaying senescence. Through three electronic databases, 22 in vitro studies were identified and included in this systematic review.

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Article Synopsis
  • The study aimed to create and validate a predictive model for placental accreta spectrum (PAS) in patients with placenta previa (PP) by combining clinical risk factors with ultrasound (US) and MRI signs.
  • Researchers analyzed data from 171 patients, identifying key predictors of PAS including maternal smoking, cesarean section history, and specific imaging signs from US and MRI.
  • A nomogram was developed with a strong diagnostic performance, achieving 91% sensitivity and 88% specificity in predicting PAS, indicating that MRI provides more valuable information than US alone.
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Objective: Prenatal diagnosis of the Ectrodactyly-Ectodermal dysplasia-clefting (EEC) syndrome has been based upon the detection of ectrodactyly, in association with facial clefting and/or positive family history. Our aim is to describe other ultrasonographic features indicating the presuntive diagnosis, regardless of genetic diagnosis, especially in cases of negative family history.

Materials And Methods: A case report and a review of the literature was assessed.

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Background: Neurotrophins, such as BDNF and NGF, are overexpressed in tumor cells in cervical cancer, and HIV infection is associated with the upregulation of neurotrophin expression. Therefore, we aimed to investigate whether BDNF and NGF are overexpressed in preneoplastic cervical disease from HIV-infected women.

Methods: Women with preneoplastic cervical lesions (cervical intraepithelial neoplasia grade 2 or 3) were prospectively enrolled and grouped according to their HIV status.

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Article Synopsis
  • The study aimed to evaluate various manual segmentation methods of placenta MRI images to predict Placenta Accreta Spectrum (PAS) disorders in patients with placenta previa using machine learning radiomics analysis.
  • A total of 64 patients underwent MRI, with different segmentation techniques applied to identify areas of interest in the placenta and surrounding tissues, followed by a rigorous validation process to find the most effective method for predicting PAS.
  • Results indicated that the segmentation method focusing on the retroplacental myometrium yielded the highest prediction accuracy for PAS, suggesting its significance in developing predictive models in clinical settings.
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