4,544 results match your criteria: "Careggi University Hospital.[Affiliation]"

The knowledge of pericardial diseases has now improved, including prospective and retrospective cohort studies focusing on the pathogenesis, diagnosis, treatment, and outcomes. The complex interplay between genetic predisposition (especially for autoinflammatory conditions), inflammation, and autoimmunity is now known to trigger recurrences of pericarditis. Moreover, diagnostic capabilities have improved with the implementation of multimodality imaging, particularly cardiac magnetic resonance (CMR), to detect and monitor pericardial inflammation, to allow diagnosis in more complicated cases, and tailor the duration of therapy based on objective parameters.

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Introduction: Scabies is a neglected disease that cause outbreaks in facilities such as hospitals and prisons. In Europe, treatment with 2 doses of ivermectin 200 mcg/kg, 7 days apart, is authorised and recommended especially in population mass treatment. We describe the management of a mass pre-emptive therapy of primary contacts of a confirmed case of classic scabies among health care workers.

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Type A aortic dissection is a life-threatening condition that requires immediate surgical intervention. The goal of traditional approaches is to treat the disease promptly, regardless of invasiveness, in order to achieve the quickest surgical outcome. This strategy has been shown to be associated with significant morbidity, extended recovery and postoperative complications.

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Background: The present study aimed to determine whether machine-learning (ML)-based models can predict 3-, 6, and 12-month responses to the monoclonal antibodies (mAbs) against the calcitonin gene-related peptide (CGRP) or its receptor (anti-CGRPmAbs) in patients with migraine using early predictors (up to one month) and to create an evolving prediction tool.

Methods: In this prospective cohort study data from patients with migraine who had received anti-CGRP mAbs for 12 months were collected. Demographic and monthly clinical variables were collected, including monthly headache days (MHDs), days with acute medication use, number of analgesics and Headache Impact Test-6.

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Background: Sex may impact clinical outcomes in patients with stroke treated with dual antiplatelet therapy (DAPT). We aimed to investigate the sex differences in the short-term outcomes of DAPT within a real-world population of patients with noncardioembolic mild-to-moderate ischemic stroke or high-risk transient ischemic attack.

Methods: We performed a propensity score-matched analysis from a prospective multicentric cohort study (READAPT [Real-Life Study on Short-Term Dual Antiplatelet Treatment in Patients With Ischemic Stroke or Transient Ischemic Attack]) by including patients with noncardioembolic mild-to-moderate stroke (National Institutes of Health Stroke Scale score of 0-10) or high-risk transient ischemic attack (age, blood pressure, clinical features, duration of transient ischemic attack, presence of diabetes [ABCD] ≥4) who initiated DAPT within 48 hours of symptom onset.

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Background: Laparoscopic cholecystectomy is the gold standard in the treatment of symptomatic gallstones. The large number of gallbladders removed every year is not fully consistent with the excessively high incidence of iatrogenic bile duct injury (IBDI). Several strategies have been suggested to reduce this risk.

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Bacteremic nosocomial pneumonia caused by Gram-negative bacilli: results from the nationwide ALARICO study in Italy.

Infection

December 2024

Infectious Diseases Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy.

Purpose: To describe the clinical characteristics and outcomes of patients with nosocomial pneumonia (NP) caused by carbapenem-resistant Gram-negative bacilli (CR-GNB) and to compare them to patients with NP caused by carbapenem-susceptible (CS)-GNB.

Methods: Prospective observational multicenter study including patients with bacteremic NP caused by GNB from the ALARICO Network (June 2018-January 2020). The primary outcome measure was 30-day mortality.

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Objective: To determine whether the bioactive sphingolipid sphingosine 1-phosphate (S1P) modulates cellular proliferation and synthesis of fibrotic proteins in leiomyoma differently than myometrial cells.

Design: A basic science study using human leiomyoma and myometrial cells.

Patient(s): Not applicable.

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Effect of alemtuzumab on fatigue, quality of life, and patient/caregiver-reported outcomes in relapsing-remitting multiple sclerosis-A real-world evidence study.

Mult Scler Relat Disord

December 2024

Department of Clinical Medicine, University of Bergen, Bergen, Norway; Neuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway. Electronic address:

Background: Alemtuzumab is approved in the European Union for treating highly active relapsing-remitting multiple sclerosis (RRMS). Patient-reported outcomes measure the treatment impact on quality of life (QoL), including fatigue, a common symptom in multiple sclerosis (MS). Chronic diseases like MS also affect the patient's caregiver.

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Article Synopsis
  • Septic embolization, a common complication of infective endocarditis (IE), can lead to serious issues like acute coronary syndrome, although it's rare and affects 22-50% of patients.
  • This study analyzed 649 patients with left-sided IE from 2013 to 2023, focusing on coronary embolism (CE) through various diagnostic methods, with a median follow-up duration of 4.7 years.
  • Results showed CE occurred in only 1.2% of patients, primarily treated surgically, and those with CE were more likely to have cerebral embolisms, highlighting the need for early detection and better management strategies in IE cases.
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  • The study aimed to explore how perihematomal oligemia changes over time in patients with acute intracerebral hemorrhage (ICH), which is bleeding within the brain.
  • Researchers analyzed data from 150 patients by using imaging to assess blood flow around the hemorrhage at three different time points: immediately at the onset, after 24 hours, and after 7 days.
  • Results showed that a significant portion of patients with initial oligemia (47.3%) progressed to ischemia by day 7, indicating that perihematomal oligemia is not as harmless as previously thought and is linked to poorer outcomes.
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  • The meta-analysis reviews the effectiveness of veno-venous extracorporeal membrane oxygenation (VV-ECMO) in treating severe ARDS among COVID-19 versus non-COVID patients.
  • It analyzed 24 studies involving 2,121 patients, finding that non-COVID ARDS patients had a lower mortality risk compared to those with COVID-19 ARDS and required ECMO for longer durations if they had COVID-19.
  • The findings emphasize the need for tailored ECMO strategies based on the viral cause of ARDS to improve clinical outcomes and resource management in current and future health crises.
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Exploring basal metabolic rate and dietary adequacy in twin pregnancies: the VENERE study.

Nutr Metab (Lond)

December 2024

Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.

Article Synopsis
  • * Results showed a significant increase in BMR during pregnancy, but most participants' energy intake remained below recommendations, with poor macro- and micronutrient consumption.
  • * Findings indicate a gap in nutritional needs for twin pregnancies, emphasizing the necessity for specific dietary guidelines and interventions to meet the increased energy demands.
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  • A 44-year-old man experienced a severe allergic reaction after receiving SonoVue during a heart test, leading to chest pain and a heart attack caused by stent thrombosis and coronary vasospasm.
  • Treatment involved mechanical thrombectomy, stent replacement, and careful management to avoid worsening the patient's condition, ultimately resulting in his recovery and discharge with normal heart function.
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  • Coronary intravascular lithotripsy (IVL) is an effective method for stent implantation in severely calcified lesions, specifically those with calcified nodules (CNs).
  • In a study of 155 patients, IVL demonstrated similar outcomes in terms of stent area and expansion, regardless of the presence of CNs, even though CNs had higher calcium volume and angle.
  • The 2-year rate of target lesion failure was not significantly different between CN and non-CN lesions, suggesting that further research is needed to evaluate different treatment methods for these types of lesions.
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Effectiveness of repeated pharmacological courses for patent ductus arteriosus in preterm infants.

Early Hum Dev

January 2025

Department of Neuroscience, Psychology, Drug Research and Child Health, Careggi University Hospital of Florence, Largo Brambilla 3, 50134 Firenze, Italy.

Article Synopsis
  • The study investigated the effectiveness of multiple drug treatments using ibuprofen and/or paracetamol for closing or constricting hemodynamically significant patent ductus arteriosus (hsPDA) in preterm infants with gestational ages under 29 weeks.
  • Results showed a significant increase in treatment failure rates: 38% for the first course, 76% for the second, and 92% for the third.
  • The findings suggest that repeating drug treatments may expose very preterm infants to prolonged risks associated with hsPDA, as many required surgical intervention or experienced adverse outcomes.
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  • The study investigates menstrual distress among women with Eating Disorders (EDs) compared to healthy controls (HCs), aiming to understand its correlation with ED psychopathology and the effects of hormonal contraception.
  • Results reveal that women with EDs experience significantly higher menstrual distress and associated symptoms than HCs, with a notable correlation between menstrual distress and the severity of ED psychopathology.
  • Hormonal contraception appears to alleviate menstrual distress in patients with low ED issues, but not in those with more severe psychopathology, emphasizing the need for tailored therapeutic approaches.
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Managing drug-drug interactions with mavacamten: A focus on combined use of antiarrhythmic drugs and anticoagulants.

Heart Rhythm

November 2024

Barts Heart Centre, Barts Health NHS Trust, London, UK; Center for Inherited Cardiovascular Diseases, WellSpan Health, Lancaster, Pennsylvania, USA; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA; Center for Inherited Cardiovascular Disease, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. Electronic address:

Article Synopsis
  • * Its effectiveness can be influenced by the individual's CYP2C19 genetic profile and interactions with other medications that affect liver enzymes, which could lead to adverse effects or reduced effectiveness.
  • * The paper aims to provide healthcare professionals with guidance on safely prescribing mavacamten alongside commonly used drugs for managing atrial fibrillation in HCM patients, emphasizing the importance of genetic factors and patient safety monitoring.
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Semen cryopreservation and storage in liquid nitrogen: Impact on chromatin compaction.

Andrology

November 2024

Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy.

Article Synopsis
  • Sperm cryopreservation serves as an option for preserving male fertility, but the freezing and thawing processes can harm sperm viability, motility, and DNA integrity, with less focus on chromatin structure.
  • This study aimed to assess how cryopreservation affects sperm chromatin compaction and other sperm parameters in relation to storage time in liquid nitrogen.
  • Findings revealed that after 7 days of storage, there was a notable decrease in sperm motility and viability, and an increase in chromatin compaction and DNA fragmentation, indicating that while motility declines, chromatin structure changes can be significant.
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  • The study evaluates the safety and effectiveness of switching from the original rituximab (RTX-O) to its biosimilars (RTX-B) in patients with autoimmune rheumatic diseases (ARDs), with a focus on long-term drug retention and safety.
  • It included 181 patients who switched to either GP2013 or CT-P10, finding that the drug retention rates were high over 36 months, particularly for GP2013.
  • The transition to CT-P10 showed a higher risk of discontinuation, but overall, the switch to RTX-B was deemed safe with a low incidence of adverse events.
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  • NOTCH3cys variants are common and linked to various small vessel diseases, including early-onset stroke and dementia, but there is no comprehensive staging system to assess their severity.
  • A cohort study created and validated a simple staging system for NOTCH3-SVD by analyzing data from several international cohorts and the UK Biobank, focusing on the impact of these variants on CVD outcomes and cognition.
  • The new system includes 9 disease stages, aiding in understanding the relationship between stages and clinical outcomes like ischemic strokes, cognitive function, and brain damage.
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  • Hyponatremia is known to indicate survival chances in metastatic non-small cell lung cancer (mNSCLC), but the effects of normal sodium levels had not been previously studied until this research.
  • The study involved 88 mNSCLC patients treated with immune checkpoint inhibitors (ICIs) and analyzed how sodium levels affected their treatment responses and overall survival.
  • Results showed that patients with sodium levels ≥140 mEq/L had significantly better progression-free survival (7.0 months vs. 2.1 months) and overall survival (15.6 months vs. 6.8 months), suggesting low sodium levels are linked to worse outcomes in mNSCLC.
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  • * A study involving 2,727 children showed that ICH occurred in 2.2% of cases, mostly before the age of one, with a significantly higher incidence in hemophilia A compared to hemophilia B.
  • * Early diagnosis of hemophilia is crucial, as 40% of ICH cases happened before the diagnosis, and preventive treatment could potentially lower the incidence of ICH if initiated promptly.
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Article Synopsis
  • - The study investigates the distribution of the synthetic cathinone MDPHP in post-mortem specimens of a 30-year-old man, highlighting high concentrations in urine and gastric content, suggesting potentially lethal levels.
  • - Various toxicological analyses, including gas chromatography and liquid chromatography, were used to measure MDPHP and other substances, with no evidence of recent cocaine injection found.
  • - Findings indicated that MDPHP levels were significantly higher compared to previously reported fatal cases, leading the researchers to conclude that the individual's death was likely due to MDPHP overdose.
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