Publications by authors named "Vecchiato M"

Background: An increasing number of patients with congenital heart disease (CHD) engage in physical activities and may exercise at high altitudes (HA). The physiological adaptations required at HA and their implications on individuals with CHD, especially during exercise, remain underexplored. This systematic review aims to investigate cardiopulmonary exercise responses to short-term HA exposure in individuals with CHD.

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This review critically examines the issue of thigh tendon reinjury in athletes, drawing on recent advancements and diverse perspectives in sports medicine. The findings underscore the paramount importance of an early and accurate diagnosis, which significantly influences treatment efficacy and rehabilitation outcomes. We explore the intricacies of tendon anatomy and the mechanisms underlying injuries, highlighting how these factors interplay with athlete-specific risk profiles to affect reinjury rates.

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Article Synopsis
  • * KTRs underwent assessments for body composition, health markers, and quality of life at multiple points, with adherence to exercise monitored through video calls and wearables.
  • * Although body composition and kidney function didn't change, KTRs showed improved lipid profiles, blood pressure, fitness, and quality of life, with both monitoring methods effectively maintaining exercise adherence.
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  • Postoperative pulmonary complications (PPCs) are a significant issue after esophagectomy, affecting up to 40% of patients despite advances in surgical care.
  • This study aims to determine if using high-flow nasal cannula (HFNC) right after extubation can lower PPC rates compared to standard oxygen therapy.
  • The research involves 320 participants who will be randomly assigned to either HFNC or standard therapy post-surgery, with various complications being tracked to assess the effectiveness of each approach.
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Background: Sport climbing is becoming incredibly popular both in the general population and among athletes. No consensus exists regarding evidence-based sport-specific performance evaluation; therefore, this systematic review is aimed at analyzing determinants of sport climbing performance and evaluation methods by comparing climbers of different levels.

Methods: PubMed, Scopus, and Web of Science were searched up to December 20, 2022.

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Human chorionic gonadotrophin (hCG) is prohibited in male athletes due to its potential performance-enhancing effects. Some athletes with elevated hCG levels during routine doping tests have been diagnosed with testicular cancer, highlighting the inadvertent role of anti-doping screening in cancer detection. This study explores the incidental detection of testicular cancer through routine anti-doping tests among elite athletes, aiming to raise awareness about the potential secondary benefits of these screenings.

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Purpose: The contribution of endothelial-targeted autoantibodies against the angiotensin II type 1 receptor (anti-AT1R) and the anti-endothelin 1 type A receptor (anti-ETAR1) has been proposed in the development of cardiovascular diseases. However, no data have been reported yet in obesity. In this observational study we evaluated the relationship between anthropometric and metabolic parameters and anti-AT1R and anti-ETAR1 concentrations in a cohort of patients with severe obesity and associated comorbidities undergoing bariatric surgery.

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Article Synopsis
  • - The study investigates the long-term outcomes of two surgical procedures for congenital heart diseases: the Fontan procedure and the one-and-half ventricle repair (1.5VR), focusing on young patients with borderline hypoplastic right ventricle (HRV).
  • - It involved a retrospective analysis of cardiopulmonary exercise tests (CPETs) from 43 patients over a 10-year follow-up, comparing cardiorespiratory fitness and efficiency among those who underwent each procedure.
  • - Results showed that after 10 years, patients who had the 1.5VR demonstrated better cardiorespiratory fitness and efficiency than those who had Fontan procedures, indicating potential superiority of 1.5VR for selected patients
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Purpose: Cardiorespiratory fitness (CRF) is a critical marker of overall health and a key predictor of morbidity and mortality, but the existing prediction equations for CRF are primarily derived from general populations and may not be suitable for patients with obesity.

Methods: Predicted CRF from different non-exercise prediction equations was compared with measured CRF of patients with obesity who underwent maximal cardiopulmonary exercise testing (CPET). Multiple linear regression was used to develop a population-specific nonexercise CRF prediction model for treadmill exercise including age, sex, weight, height, and physical activity level as determinants.

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Patagial wing tags are commonly used for identification of Red Kites (Milvus milvus) for postrelease monitoring, as they are easy to apply, affordable, permanent, and are apparently safe. The Red Kite was successfully reintroduced in the UK in the second half of the 20th century and postrelease health surveillance has been achieved through radio and satellite tracking, monitoring nest sites, and pathologic investigation of Red Kites found dead. This study reports on pathologic findings associated with the use of patagial wing tags in three of 142 (2.

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Bisphenol A (BPA) is a widespread organic micro-pollutant, found in most environments, including alpine and Arctic regions, and several matrices such as waters and aerosols. Polar regions are characterized by periods of intense irradiation with no sunset due to the continuous sunlight, while alpine areas, despite following the day-night cycle of mid-latitudes, also undergo strong irradiation. For such conditions, it is possible that a fraction of the BPA present in snow may degrade through direct photolysis, producing other unknown species with different environmental mobility and possible ecotoxic effects.

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  • Postoperative pulmonary complications remain a significant risk after esophagectomy, and this study explores the benefits of high flow nasal cannula (HFNC) compared to traditional oxygen therapy.
  • The study analyzed 71 cancer patients who underwent esophagectomy between May 2020 and November 2022, comparing those treated with HFNC to a historical cohort using conventional masks.
  • Results revealed that HFNC patients had significantly better ROX index scores and blood gas measurements, though both groups had similar rates of atelectasis and pneumonia; HFNC also showed a trend towards reduced acute respiratory failure.
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Background And Aims: Transient increases (overshoot) in respiratory gas analyses have been observed during exercise recovery, but their clinical significance is not clearly understood. An overshoot phenomenon of the respiratory exchange ratio (RER) is commonly observed during recovery from maximal cardiopulmonary exercise testing (CPET), but it has been found reduced in patients with heart failure with reduced ejection fraction (HFrEF). The aim of the study was to analyze the clinical significance of these RER recovery parameters and to understand if these may improve the risk stratification of patients with HFrEF.

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This study investigates for the first time the contamination of water and sediment of the Venice Lagoon by twenty Contaminants of Emerging Concern (CECs): three hormones, six pharmaceutical compounds (diclofenac and five antibiotics, three of which are macrolides), nine pesticides (methiocarb, oxadiazon, metaflumizone, triallate, and five neonicotinoids), one antioxidant (BHT), and one UV filter (EHMC). Water and sediment samples were collected in seven sites in four seasons, with the aim of investigating the occurrence, distribution, and possible emission sources of the selected CECs in the studied transitional environment. The most frequently detected contaminants in water were neonicotinoid insecticides (with a frequency of quantification of single contaminants ranging from 73% to 92%), and EHMC (detected in the 77% of samples), followed by BHT (42%), diclofenac (39%), and clarithromycin (35%).

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  • AI technologies are transforming sports cardiology by improving risk assessment, diagnosis, treatment planning, and monitoring of athletes.
  • The article discusses AI applications in imaging, genetic testing, and wearable devices, highlighting machine learning's role in analyzing complex data.
  • Ethical concerns like informed consent, algorithmic fairness, and data privacy need to be addressed, emphasizing the need for collaboration between AI and physician expertise to enhance patient care.
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Background: The association between obesity and some cardiovascular complications such as heart failure (HF) is well established, and drugs affecting adiposity are supposed to be promising treatments for these conditions. The sodium-glucose cotransporter-2 inhibitors (SGLT2i) are antidiabetic drugs showing benefits in patients with HF, despite the underlying mechanisms have not been completely understood yet. SGLT2i are supposed to promote systemic effects, such as triglycerides mobilization, through the enhancement of fibroblast growth factor-21 (FGF-21) activity.

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Objectives: Corporate health programs (CHPs) aim to improve employees' health through health promotion strategies at the workplace. Physical activity (PA) plays a crucial role in primary prevention, leading many companies to implement PA-based CHPs. However, there is limited examination in the scientific literature on whether PA-based CHPs (PA-CHPs) lead to economic benefits.

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Cardiorespiratory fitness (CRF) is a strong predictor of morbidity and mortality in patients with obesity. This study investigates the CRF range and its clinical determinants in patients with obesity. Moreover, a practical proposal for CRF interpretation is provided.

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Muscle injuries and subsequent reinjuries significantly impact athletes, especially in football. These injuries lead to time loss, performance impairment, and long-term health concerns. This review aims to provide a comprehensive overview of the current understanding of muscle reinjuries, delving into their epidemiology, risk factors, clinical management, and prevention strategies.

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Personal care products contain chemicals that are considered of emerging concern in the Arctic. In this study, a selected group of personal care products was investigated in the snowpack on north-western Spitsbergen. We report a preliminary study on the spatial and seasonal distribution of 13 ingredients commonly found in personal care products, including fragrance materials, UV filters, BHT and BPA.

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