104 results match your criteria: ""Azienda Ospedaliera dei Colli" - Monaldi Hospital[Affiliation]"

: This study aimed to assess the role of macular pigment optical density (MPOD) in patients with a full-thickness macular hole (FTMH) compared to healthy controls, evaluating postoperative changes in MPOD and exploring potential correlations with visual outcomes. : This prospective, cross-sectional, comparative study included 16 eyes from FTMH patients who achieved anatomical hole closure following pars plana vitrectomy with the inverted ILM flap technique. Each eye underwent a comprehensive ophthalmologic examination, including BCVA and intraocular pressure measurements, anterior segment evaluation, fundus examination, and macular assessment with Enhanced Depth Imaging Optical Coherence Tomography (EDI-OCT, Spectralis, Heidelberg Engineering Inc.

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Article Synopsis
  • Predictors of severe COVID-19 cases, specifically the ROX index, were analyzed in a study involving 227 patients hospitalized in Italy during the second pandemic wave, focusing on its ability to predict treatment failures like intubation or death.
  • The study found that older age, history of smoking, cardiovascular diseases, and a lower PaO2/FiO2 ratio at admission were linked to a higher likelihood of treatment failure.
  • The predictive value of the ROX index improved by the third day of hospitalization, with a critical cut-off value of 8.53 indicating a greater risk of treatment failure in patients on days 1 to 3.
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This study aimed to evaluate the impact of Fabry disease (FD) on retinal microvasculature using optical coherence tomography angiography (OCTA), arterial stiffness, and the resistive index (RI) of the central retinal artery (CRA) in early disease stages. Twenty-nine genetically confirmed FD patients and twenty-six healthy controls were enrolled. Vessel density (VD) values of the superficial, deep, and choriocapillaris plexuses (SCP, DCP, and CC) were measured via OCTA.

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Cutaneous Squamous Cell Carcinoma: From Diagnosis to Follow-Up.

Cancers (Basel)

August 2024

Department of Medicine, Surgery and Pharmacy, University of Sassari, Piazza Università, 21, 07100 Sassari, Italy.

Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer, accounting for approximately 20% of all cutaneous malignancies, and with an increasing incidence due to the progressive increment of the average age of life. The diagnosis is usually firstly suspected based on clinical manifestations; however, dermoscopic features may improve diagnostic sensitivity in cases of an uncertain diagnosis and may guide the biopsy, which should be performed to histopathologically prove the tumor. New diagnostic strategies may improve the sensitivity of the cutaneous SCC, such as reflectance confocal microscopy and line-field confocal optical coherence, for which increasing data have been recently published.

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We report the clinical case of a patient with acute myocardial infarction due to coronary stent compression as first manifestation of a large thymoma. The patient underwent a coronarography and thrombus aspiration + plain old balloon angioplasty restoring the stent patency. The mass resection was performed through left robotic-assisted thoracic surgery (RATS), resulting in a type A thymoma pT1a, IIb Masaoka-Koga.

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Amyotrophic lateral sclerosis (ALS) is a neuromuscular progressive disorder characterized by limb and bulbar muscle wasting and weakness. A total of 30% of patients present a bulbar onset, while 70% have a spinal outbreak. Respiratory involvement represents one of the worst prognostic factors, and its early identification is fundamental for the early starting of non-invasive ventilation and for the stratification of patients.

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Acute normovolemic hemodilution in cardiac surgery: Rationale and design of a multicenter randomized trial.

Contemp Clin Trials

August 2024

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.

Article Synopsis
  • The study evaluates acute normovolemic hemodilution (ANH) as a method to decrease the need for red blood cell (RBC) transfusions in patients undergoing elective cardiac surgery, aiming to reduce associated risks and costs.
  • It is a randomized controlled trial conducted in various hospitals, where patients are assigned to either receive ANH before surgery or the best available alternative treatment.
  • The primary goal is to see if ANH lowers the percentage of patients requiring RBC transfusion from 35% to 28%, with secondary outcomes including mortality and complications related to kidney and bleeding issues.
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  • - Subclinical hypothyroidism (SH) is a condition marked by elevated serum TSH levels with normal free T4, affecting 0.6% to 1.8% of adults, and has been linked to worse outcomes in heart failure patients.
  • - A study analyzed 277 heart failure patients, with 23 having SH, and found no significant demographic or health differences between those with SH and those who were euthyroid (normal thyroid function).
  • - Results indicated that SH is an independent predictor of cardiovascular mortality, emphasizing the need for thyroid testing in heart failure patients to potentially enhance their treatment and outcomes.
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The Role of T2 Mapping in Cardiac Amyloidosis.

Diagnostics (Basel)

May 2024

Department of Radiology, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy.

Cardiac amyloidosis (CA) is an infiltrative cardiomyopathy divided into two types: light-chain (LA) and transthyretin (ATTR) CA. Cardiac magnetic resonance (CMR) has emerged as an important diagnostic tool in CA. While late gadolinium enhancement (LGE), T1 mapping and extracellular volume (ECV) have a consolidate role in the assessment of CA, T2 mapping has been less often evaluated.

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Background: Incisional hernias (IH) are a significant postoperative complication with profound implications for patient morbidity and healthcare costs. The relationship between IH and perioperative factors in pancreatic surgery, with particular attention to preoperative biliary stents and pancreatic fistulas requires further exploration.

Methods: This retrospective observational study examined adult patients who underwent open pancreatic surgeries via midline incision at a high-volume tertiary hepatopancreatobiliary center from January 2008 to December 2021.

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Article Synopsis
  • Benign endobronchial tumors are uncommon and can show a wide range of causes and symptoms.
  • The authors present four cases of endobronchial hamartomas treated between 2018 and 2023, with three located in the right lower lobe successfully removed using flexible bronchoscopy.
  • One case in the left main bronchus was treated using laser therapy with rigid bronchoscopy, and the authors discuss various intervention strategies for managing benign endobronchial tumors based on current research.
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Utility of Dual-Energy Computed Tomography in Clinical Conundra.

Diagnostics (Basel)

April 2024

Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale S. Pietro, 07100 Sassari, Italy.

Article Synopsis
  • Advancements in medical technology, specifically Dual-Energy Computed Tomography (DECT), enhance the ability to diagnose diseases, overcoming limitations of traditional Single-Energy Computed Tomography (SECT).* -
  • DECT, which has evolved since its introduction in 2006, offers various techniques like virtual monoenergetic imaging and iodine quantification that help radiologists identify pathologies that SECT might miss.* -
  • The article provides an overview of DECT principles, systems, and practical applications across different medical fields such as Gastrointestinal and Musculoskeletal imaging to improve diagnostic confidence.*
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  • Idiopathic pulmonary fibrosis (IPF) is a chronic lung disease that leads to worsening lung function, breathing difficulties, and decreased quality of life.
  • Pulmonary rehabilitation (PR) is a multi-disciplinary program that combines strength training and counseling to improve symptoms and physical abilities in patients with chronic lung diseases like IPF.
  • Despite evidence supporting PR’s benefits for IPF, including better exercise capacity and quality of life, it is still not widely implemented or adequately supported.
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Background: The COVID-19 pandemic caused by SARS-CoV-2 continues to pose a significant threat worldwide, with severe cases leading to hospitalization and death. This study aims to evaluate the potential use of serum nucleocapsid antigen (NAg) and Krebs von den Lungen-6 glycoprotein (KL-6) as biomarkers of severe COVID-19 and to investigate their correlation with clinical, radiological, and biochemical parameters.

Methods: This retrospective study included 128 patients with confirmed SARS-CoV-2 infection admitted to a Neapolitan hospital in Italy between October 2020 and July 2021.

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Article Synopsis
  • - Immune-checkpoint inhibitors have significantly transformed cancer treatment by enhancing patient outcomes, but they can trigger immune-related side effects across various organs.
  • - Pulmonary complications from these treatments are common and can be severe, making accurate diagnosis complex due to diverse symptoms and imaging findings.
  • - Radiologists play a crucial role in identifying and diagnosing pulmonary complications early to evaluate their severity and help manage patient treatment effectively.
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Lung is the second most common locationof cystic echinococcosis (CE), after the liver. Diagnosis of lung CE is often incidental, and clinical manifestations depend on the location and size of the cyst, the most common being chest pain, shortness of breath, expectoration of fragments of endocyst, and haemoptysis. Surgery is the primary treatment, with a minor role for medical therapy.

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Technology is making giant strides and is increasingly improving the diagnostic imaging of both frequent and rare acute and chronic diseases [...

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Hypersensitivity pneumonitis (HP) is a diffuse parenchymal lung disease (DLPD) characterized by complex interstitial lung damage with polymorphic and protean inflammatory aspects affecting lung tissue targets including small airways, the interstitium, alveolar compartments and vascular structures. HP shares clinical and often radiological features with other lung diseases in acute or chronic forms. In its natural temporal evolution, if specific therapy is not initiated promptly, HP leads to progressive fibrotic damage with reduced lung volumes and impaired gas exchange.

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Purpose: Retinal angiopathy represents a well-known ocular manifestation of hereditary transthyretin amyloidosis (ATTRv). Until recently, there have been no reports on retinal changes in ATTRwt. In this retrospective observational clinical study, we aimed to determine whether vessel density (VD) indices and the choroidal vascularity index (CVI) could offer insights into retinal and choroidal vascular changes among patients affected by ATTRwt.

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Scientific Status Quo of Small Renal Lesions: Diagnostic Assessment and Radiomics.

J Clin Med

January 2024

Radiology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Naples, Italy.

Small renal masses (SRMs) are defined as contrast-enhanced renal lesions less than or equal to 4 cm in maximal diameter, which can be compatible with stage T1a renal cell carcinomas (RCCs). Currently, 50-61% of all renal tumors are found incidentally. : The characteristics of the lesion influence the choice of the type of management, which include several methods SRM of management, including nephrectomy, partial nephrectomy, ablation, observation, and also stereotactic body radiotherapy.

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Endometrial cancer (EC) is intricately linked to obesity and diabetes, which are widespread risk factors. Medical imaging, especially magnetic resonance imaging (MRI), plays a major role in EC assessment, particularly for disease staging. However, the diagnostic performance of MRI exhibits variability in the detection of clinically relevant prognostic factors (e.

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