Publications by authors named "Tomaselli G"

Purpose: This study explores how corporate social responsibility (CSR) and artificial intelligence (AI) can be combined in the healthcare industry during the post-COVID-19 recovery phase. The aim is to showcase how this fusion can help tackle healthcare inequalities, enhance accessibility and support long-term sustainability.

Design/methodology/approach: Adopting a viewpoint approach, the study leverages existing literature and case studies to analyze the intersection of CSR and AI.

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  • This study looks at how well doctors can predict sudden cardiac death after someone has a heart attack using a measurement called left ventricular ejection fraction (LVEF).
  • They combined information from over 140,000 heart attack patients to see if LVEF alone is good enough for deciding who should get a heart device called a defibrillator.
  • The results showed that LVEF didn't do a great job at predicting sudden cardiac death, which means doctors need better ways to tell who is at risk.
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Superradiant clouds of ultralight bosons can leave an imprint on the gravitational waveform of black hole binaries through "ionization" and "resonances." We study the sequence of resonances as the binary evolves and show that there are only two possible outcomes, each with a distinct imprint on the waveform. If the cloud and the binary are nearly counterrotating, then the cloud survives in its original state until it enters the sensitivity band of future gravitational wave detectors, such as the Laser Interferometer Space Antenna.

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  • The LIVE-LQTS study aimed to investigate whether vigorous exercise increases the risk of ventricular arrhythmias in individuals with congenital long QT syndrome (LQTS) by tracking participants' activity and health events over three years.
  • Among 1,413 participants, 52% engaged in vigorous exercise, and the study found similar rates of serious cardiac events (2.6% in vigorous exercisers vs. 2.7% in non-vigorous) suggesting that vigorous exercise may not significantly increase risk for these individuals.
  • The results had a hazard ratio of 0.97, indicating that vigorous exercisers experienced similar or potentially lower rates of adverse events than those who did not exercise vigorously, providing insight into safe exercise practices for LQ
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Voltage gated Na channels (Na) are essential for excitation of tissues. Mutations in Nas cause a spectrum of human disease from autism and epilepsy to cardiac arrhythmias to skeletal myotonias. The carboxyl termini (CT) of Na channels are hotspots for disease-causing mutations and are richly invested with protein interaction sites.

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Nonischemic cardiomyopathy (NICM) is common and patients are at significant risk for early mortality secondary to ventricular arrhythmias. Current guidelines recommend implantable cardioverter-defibrillator (ICD) therapy to decrease sudden cardiac death (SCD) in patients with heart failure and reduced left ventricular ejection fraction. However, in randomized clinical trials comprised solely of patients with NICM, primary prevention ICDs did not confer significant mortality benefit.

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This is the protocol for a Campbell systematic review. The objectives are as follows: The main aim of this systematic review is to identify whether hospital leadership styles predict patient safety as measured through several indicators over time. The second aim is to assess the extent to which the prediction of hospital leadership styles on patient safety indicators varies as a function of the leader's hierarchy level in the organization.

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  • The study investigates whether vigorous exercise increases the risk of ventricular arrhythmias and mortality in individuals with hypertrophic cardiomyopathy (HCM).
  • Researchers enrolled 1,660 participants aged 8 to 60 with HCM or its genetic markers, categorizing them by their exercise levels (sedentary, moderate, vigorous).
  • The primary outcomes included serious events like death and arrhythmias, with findings analyzed by an unbiased committee to evaluate the effects of exercise intensity on these health risks.
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  • Heart failure (HF) is on the rise, sparking the need for better biomarkers like GDF-15, which is linked to HF mortality but hasn't been studied over time.
  • This study looked at 148 patients with heart issues and tracked GDF-15 levels every 6 months over an average of 4.6 years, comparing those with HF hospitalizations to a control group.
  • The findings showed that GDF-15 levels were higher in HF patients prior to hospitalizations and were strong predictors of mortality, but no significant difference was found for those experiencing ventricular arrhythmias.
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Introduction: Autism spectrum disorders (ASD) are the most prevalent neurobiological disorders in children. The etiology comprises genetic, epigenetic, and environmental factors such as dysfunction of the immune system. Epigenetic mechanisms are mainly represented by DNA methylation, histone modifications, and microRNAs (miRNA).

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Background: Patients with ≥2 ventricular arrhythmia (VA) events within 3 months (clustered VA) have increased risk for mortality.

Objectives: The aim of this study was to examine the association of risk factors including scar characteristics on cardiovascular magnetic resonance imaging with clustered VA and VA cycle length in nonischemic cardiomyopathy (NICM) and ischemic cardiomyopathy (ICM).

Methods: Data from 329 primary prevention implantable cardioverter-defibrillator recipients (mean age 57 years, 26% women) were analyzed from the Left Ventricular Structural Predictors of Sudden Cardiac Death study.

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Aim: To inform the primary care community about priorities for research in primary care as came up from the European project TO-REACH and to discuss transferability of service and policy innovations between countries.

Background: TO-REACH stands for ransfer of rganizational innovations for esilient, ffective, equitable, ccessible, sustainable and omprehensive ealth services and systems. This EU-funded project has put health systems and services research higher on the European agenda and has led to the current development of a European 'Partnership Transforming Health and Care Systems'.

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Gravitational waves (GWs) are an exciting new probe of physics beyond the standard models of gravity and particle physics. One interesting possibility is provided by the so-called "gravitational atom," wherein a superradiant instability spontaneously forms a cloud of ultralight bosons around a rotating black hole. The presence of these boson clouds affects the dynamics of black hole binary inspirals and their associated GW signals.

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Voltage-gated sodium (Nav1.5) channels support the genesis and brisk spatial propagation of action potentials in the heart. Disruption of Na1.

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BACKGROUNDSudden cardiac death (SCD) remains a worldwide public health problem in need of better noninvasive predictive tools. Current guidelines for primary preventive SCD therapies, such as implantable cardioverter defibrillators (ICDs), are based on left ventricular ejection fraction (LVEF), but these guidelines are imprecise: fewer than 5% of ICDs deliver lifesaving therapy per year. Impaired cardiac metabolism and ATP depletion cause arrhythmias in experimental models, but to our knowledge a link between arrhythmias and cardiac energetic abnormalities in people has not been explored, nor has the potential for metabolically predicting clinical SCD risk.

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  • This document serves as a comprehensive guide for health care professionals on managing arrhythmias associated with neuromuscular disorders (NMDs), focusing on various specific conditions like Duchenne muscular dystrophy and myotonic dystrophy.
  • It includes expert-recommended practices for diagnosing and treating arrhythmic complications, as well as provides insights into end-of-life care for these patients.
  • The recommendations are based on extensive research, a consensus from specialists, and have undergone public and professional review to ensure effective and reliable clinical guidance.
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  • - JNKs, particularly JNK3, are stress-response protein kinases mainly found in the brain and other specific tissues, playing a crucial role in stress signaling and synaptic function related to neurodegeneration.
  • - The JNK3 signaling pathway involves a series of carefully regulated phosphorylation steps, with specificity ensured by scaffold proteins like JIP1 and β-arrestin2.
  • - Using techniques like super-resolution microscopy and co-immunoprecipitation, researchers demonstrated that JNK3 interacts with PSD95 and the scaffold proteins JIP1 and β-arrestin2 in neurons, suggesting these interactions could be targets to modulate synaptic events affected by stress.
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Voltage-gated sodium channels, Nas, are responsible for the rapid rise of action potentials in excitable tissues. Na channel mutations have been implicated in several human genetic diseases, such as hypokalemic periodic paralysis, myotonia, and long-QT and Brugada syndromes. Here, we generated high-affinity anti-Na nanobodies (Nbs), Nb17 and Nb82, that recognize the Na1.

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In this editorial, we describe the experience of the JCI editors during the COVID-19 pandemic. Our goal is to share how we operated during the pandemic, recount how the JCI contributed to the response, highlight some of the major papers we published on SARS-CoV-2 and COVID-19, and impart our insights in the hope that these are helpful to journal editors that may need to deal with similar types of crises in the future.

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  • The CERTAINTY study aims to improve the identification of individuals at low risk for ventricular arrhythmia (VA) among those who may need implantable cardioverter-defibrillators (ICDs) to reduce complications.* -
  • This study utilizes deep learning techniques to analyze cine cardiac magnetic resonance (CMR) images, developing two neural networks: one for extracting cardiac features (Cine Fingerprint Extractor) and another for predicting VA risk (Risk Predictor).* -
  • Findings show that a cine risk score derived from CMR images effectively differentiates between patients with and without VA, suggesting that cine CMR can enhance risk predictions in patients being considered for primary prevention ICDs.*
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Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a progressive heart condition which causes fibro-fatty myocardial scarring, ventricular arrhythmias, and sudden cardiac death. Most cases of ARVC can be linked to pathogenic mutations in the cardiac desmosome, but the pathophysiology is not well understood, particularly in early phases when arrhythmias can develop prior to structural changes. Here, we created a novel human induced pluripotent stem cell-derived cardiomyocyte (hiPSC-CM) model of ARVC from a patient with a c.

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Background: An estimated 1 million patients require cardiac implantable electronic devices (CIEDs) but go without annually. This disparity exists in low-to-middle-income nations largely owing to the cost of CIED hardware. of CIEDs has been shown to be safe and feasible.

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Brown adipose tissue (BAT) activity plays a key role in regulating systemic energy. The activation of BAT results in increased energy expenditure, making this tissue an attractive pharmacological target for therapies against obesity and type 2 diabetes. Sirtuin 5 (SIRT5) affects BAT function by regulating adipogenic transcription factor expression and mitochondrial respiration.

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In cardiomyocytes, Na1.5 channels mediate initiation and fast propagation of action potentials. The Ca-binding protein calmodulin (CaM) serves as a de facto subunit of Na1.

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