700 results match your criteria: ""V. Buzzi" Hospital[Affiliation]"

Background: The diverse manifestations of Long-COVID have become increasingly important due to their significant impact on patients' lives. Telemedicine has emerged as an important tool for post COVID-19 follow-up. This study is part of a large cohort study involving COVID-positive patients monitored by the COD19 telemedicine platform operations center.

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Article Synopsis
  • Brain malformations are diverse abnormalities in brain development that affect neural structure and connectivity, often impacting brain size.
  • Effective prenatal detection of these malformations relies on a solid grasp of embryology and developmental anatomy at different stages of pregnancy.
  • This review aims to simplify the process of identifying and characterizing these structural brain issues by examining various neuroimaging techniques, such as prenatal neurosonography and MRI, and incorporating insights from post-mortem imaging throughout different developmental stages.
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Background: Labial adhesions, a frequent gynecological condition in prepubertal girls, occur when the labia minora adhere along the midline. The prevailing hypothesis about their etiology suggests that labial adhesion may occur when the delicate and non-estrogenized labia minora undergo an inflammatory response, triggered by exposure to an irritant environment. Therefore, conservative treatment involves the application of topical estrogen or betamethasone cream.

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Ultrasound features of cutaneous myiasis: a rare case in a child.

J Ultrasound

July 2024

Department of Radiology, AORN "Santobono-Pausilipon", Via Posillipo 226, Naples, Italy.

Cutaneous myiasis is an infestation of the skin with larvae of some dipteran species. Among humans, Dermatobia hominis is the most frequently encountered dipteran responsible for cutaneous myiasis. This insect is endemic to tropical and subtropical regions, consequently, individuals travelling from non-endemic areas are most susceptible to infection due to a lack of prior exposure.

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Venous malformations in children: comparison between magnetic resonance imaging and histopathological findings.

Pediatr Radiol

August 2024

Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo Hospital Medical School, University of Milan, Via Di Rudinì 8, 20148, Milan, Italy.

Background: Among low-flow vascular malformations, venous malformations are relatively frequent. The pathological patterns vary in severity and are generally characterized by dilated vessels and low-flow blood that over time can organize into phleboliths. Sometimes small capillary and/or lymphatic vessels may be associated, micro- and/or macro-shunts may form alone or in different combinations, and finally adipose tissue may be interposed between the malformed vessels.

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  • This study investigates the effectiveness of two surfactant administration methods—INtubate-RECruit-SURfactant-Extubate (IN-REC-SUR-E) and less invasive surfactant administration (LISA)—on improving BPD-free survival in preterm infants with respiratory distress syndrome (RDS).
  • A total of 382 preterm infants, born at 24-27 weeks' gestation and not intubated at birth, will be randomly assigned to either method within the first 24 hours of life. The primary outcome being measured is a combination of death or bronchopulmonary dysplasia (BPD) at 36 weeks' postmenstrual age.
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  • Central nervous system tumors are significant in children due to their prevalence and effects on health, highlighting the need for advanced imaging techniques to assess these conditions more thoroughly.* -
  • Recent advances in magnetic resonance imaging (MRI) techniques, including radiomics and artificial intelligence, are enhancing the characterization, grading, and prognosis of pediatric brain tumors beyond traditional visual assessment.* -
  • A review of relevant literature from 2008 to 2024 identified 63 studies that explore the roles of radiomics and AI in improving the management of pediatric brain tumors through more detailed and quantitative imaging analysis.*
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Surgical techniques are evolving in Pediatric Surgery, especially in the area of minimal access surgery (MAS) where indications for applications are expanding. Miniaturization of instruments, using natural orifices, single incisions, or remotely controlled robot-assisted procedures, promises to increase the benefits of MAS procedures in pediatrics. Many pediatric pathologies are rare, and specialized surgical and anesthesiologic instruments are necessary to manage them, defined as "orphan devices", for which development and dissemination on the market are slowed down or sometimes hindered by regulatory standards and limiting financial conflicts of interest.

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Background: An intronic deletion within intron 2 of the DCDC2 gene encompassing the entire READ1 (hereafter, READ1d) has been associated in both children with developmental dyslexia (DD) and typical readers (TRs), with interindividual variation in reading performance and motion perception as well as with structural and functional brain alterations. Visual motion perception -- specifically processed by the magnocellular (M) stream -- has been reported to be a solid and reliable endophenotype of DD. Hence, we predicted that READ1d should affect neural activations in brain regions sensitive to M stream demands as reading proficiency changes.

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Cat-scratch disease is a well-known infection in childhood. It usually presents as tender lymphadenopathy and should be included in the differential diagnosis of any lymphadenopathy syndrome. An history of exposure to cats supports the suspect and a positive serologic test to Bartonella henselae confirms the diagnosis.

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Hypomyelinating leukodystrophies (HLD) are a group of heterogeneous genetic disorders characterized by a deficit in myelin deposition during brain development. Specifically, 4H-Leukodystrophy is a recessive disease due to biallelic mutations in the POLR3A gene, which encodes one of the subunits forming the catalytic core of RNA polymerase III (PolIII). The disease also presents non-neurological signs such as hypodontia and hypogonadotropic hypogonadism.

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Role of epigenetics and alterations in RNA metabolism in leukodystrophies.

Wiley Interdiscip Rev RNA

June 2024

Center of Functional Genomics and Rare Diseases, Department of Pediatrics, Buzzi Children's Hospital, Milan, Italy.

Leukodystrophies are a class of rare heterogeneous disorders which affect the white matter of the brain, ultimately leading to a disruption in brain development and a damaging effect on cognitive, motor and social-communicative development. These disorders present a great clinical heterogeneity, along with a phenotypic overlap and this could be partially due to contributions from environmental stimuli. It is in this context that there is a great need to investigate what other factors may contribute to both disease insurgence and phenotypical heterogeneity, and novel evidence are raising the attention toward the study of epigenetics and transcription mechanisms that can influence the disease phenotype beyond genetics.

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Reference Ranges for Arterial Oxygen Saturation, Heart Rate, and Cerebral Oxygen Saturation during Immediate Postnatal Transition in Neonates Born Extremely or Very Preterm.

J Pediatr

October 2024

Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria. Electronic address:

Article Synopsis
  • The study aimed to create percentile charts for arterial oxygen saturation (SpO), heart rate (HR), and cerebral oxygen saturation (crSO) in very or extremely preterm neonates during their first 15 minutes after birth.
  • It analyzed data from the COSGOD III trial, focusing on neonates with favorable outcomes, excluding those with early inflammatory issues, and utilized various methods for measuring the oxygen and heart metrics.
  • The findings revealed specific percentiles for SpO, HR, and crSO at 2, 5, 10, and 15 minutes post-birth, providing a new reference that could aid in better managing oxygen levels during the critical stabilization period after delivery.
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Objective: Recurrent bacterial vaginosis (RBV) after antibiotic treatment has relapse rates of 35% within 3 months and 60% within 12 months. A medical device containing polycarbophil, lauryl glucoside, and glycerides (PLGG) inhibits bacterial growth and has mucoadhesive properties. This study examined the efficacy of the device in women with RBV.

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Purpose: To describe fetal brain Magnetic Resonance Imaging (MRI) findings in a large series of monochorionic (MC) pregnancies complicated by Twin Anemia-Polycythemia Sequence (TAPS) prenatally diagnosed, so to characterize the potential intracranial complications associated with this condition, their frequency and potential treatment options.

Methods: This is a retrospective study of MC twin pregnancies complicated by TAPS and undergone fetal MRI in a single institution from 2006 to 2023. MRI control was performed and post-natal ultrasound (US) or MRI were available.

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Brainstem Chipmunk Sign: A Diagnostic Imaging Clue across All Subtypes of Alexander Disease.

AJNR Am J Neuroradiol

June 2024

Perelman School of Medicine (M.T.W., A.Vossough, A.W., A.Vanderver), University of Pennsylvania, Philadelphia, Pennsylvania

Background And Purpose: While classic brain MR imaging features of Alexander disease have been well-documented, lesional patterns can overlap with other leukodystrophies, especially in the early stages of the disease or in milder phenotypes. We aimed to assess the utility of a new neuroimaging sign to help increase the diagnostic specificity of Alexander disease.

Materials And Methods: A peculiar bilateral symmetric hyperintense signal on T2-weighted images affecting the medulla oblongata was identified in an index patient with type I Alexander disease.

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Background: Congenital h-type tracheoesophageal fistula (H-TEF) without esophageal atresia (EA) represents about 4% of congenital esophageal anomalies. The diagnosis is challenging, and surgery is considered curative. The aim was to report a national survey on the diagnosis, management, and outcome of patients with congenital H-TEF.

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Genetic barriers more than environmental associations explain Serratia marcescens population structure.

Commun Biol

April 2024

Department of Biomedical and Clinical Sciences, Pediatric Clinical Research Center "Romeo and Enrica Invernizzi", Università Di Milano, 20157, Milan, Italy.

Article Synopsis
  • Bacterial species, like Serratia marcescens, often develop distinct lineages due to genetic isolation and ecological differences, but the relationship between these factors is not fully understood.
  • This study examines the genetic and ecological influences on Serratia marcescens, revealing five well-defined genetic clusters with limited gene sharing, influenced in part by R-M systems compatibility.
  • Additionally, investigations into metagenomic datasets indicate only some habitat separation among these clusters, suggesting that genetic isolation is a key factor that occurred before ecological adaptations, aligning with the principles of the Evolutionary Extended Synthesis.
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Background: The prognostic relevance of fetal/early postnatal magnetic resonance (MR) imaging (MRI) isolated "minor" lesions in congenital cytomegalovirus (CMV) infection is still unclear, because of the heterogeneity of previously reported case series. The aim of this study was to report the imaging and long-term clinical follow-up data on a relatively large cohort of infected fetuses.

Methods: Among 140 CMV-infected fetuses from a single-center 12-year-long fetal MRI database, cases that showed isolated "minor" lesions at MRI, mainly represented by polar temporal lesions, were selected.

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Brain Alteration Patterns in Children with Duchenne Muscular Dystrophy: A Machine Learning Approach to Magnetic Resonance Imaging.

J Neuromuscul Dis

April 2024

Unit of Rehabilitation of Rare Diseases of the Central and Peripheral Nervous System, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy.

Background: Duchenne Muscular Dystrophy (DMD) is a genetic disease in which lack of the dystrophin protein causes progressive muscular weakness, cardiomyopathy and respiratory insufficiency. DMD is often associated with other cognitive and behavioral impairments, however the correlation of abnormal dystrophin expression in the central nervous system with brain structure and functioning remains still unclear.

Objective: To investigate brain involvement in patients with DMD through a multimodal and multivariate approach accounting for potential comorbidities.

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Article Synopsis
  • - The text discusses a rare case of a fibroblastic connective nevus (FCTN) present at birth, located in the groin and thigh, which exhibited a large purplish-brown mass.
  • - This mass experienced partial spontaneous regression during the first three months of the infant's life.
  • - Notably, this case is the first documented instance of an FCTN occurring alongside vascular anomalies.
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Pediatric Lyme Disease in Northern Italy: An 18-Year Single-Center Case Series.

Microorganisms

February 2024

Pediatric Infectious Disease Unit, Università degli Studi di Milano, L. Sacco Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.

Article Synopsis
  • The study investigates pediatric Lyme borreliosis (LB) in Europe, specifically an 18-year case series involving 130 children suspected of having LB, revealing significant regional differences in incidence and challenges in diagnosis.
  • Out of the patients, 34% were confirmed with LB, with a median age of six years; a notable percentage, over 70%, had a history of tick bites, primarily from the Po River valley region.
  • The findings indicate a need for improved awareness and adherence to Lyme disease management protocols among healthcare providers, as many children presented with non-specific symptoms and there was a notable issue with over-prescription of antibiotics.
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This multi-center prospective randomized controlled trial was a tolerance and safety study investigating the thickener locust bean gum (LBG) in infants with regurgitation, to support the re-evaluation of the safety of LBG in infant formula. The primary objective was to demonstrate that after an 8-week intervention, stool consistency was not inferior (i.e.

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: Available evidence reports the overexpression of β1 integrin in dysplastic rather than normal cervical tissue. We aimed to evaluate the involvement of β1 (CD29) integrin in the progressive pathogenesis of cervical intraepithelial neoplasia (CIN). : From January 2019 to December 2021, we prospectively enrolled women undergoing a colposcopy with a cervical biopsy for abnormal cervical cytology and/or undefined cytology with a positive HPV DNA test and women with relapsing cervical inflammatory disorders.

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Coagulase-negative staphylococci (CoNS) are reportedly responsible for 50-60% of bloodstream infections in very preterm (<1500 g) infants in neonatal intensive care units (NICUs). is an increasingly prevalent pathogen in the neonatal setting, frequently causing central-line-associated bloodstream infections (CLABSIs) that can be difficult to eradicate. Central venous catheter (CVC) removal versus in situ treatment with CoNS CLABSIs is a controversial treatment strategy with no clear consensus.

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