4,117 results match your criteria: "Cli;nica Universitaria[Affiliation]"

Article Synopsis
  • Critical limb ischemia (CLI) is a severe form of peripheral arterial disease that leads to significant health issues, including pain, mobility issues, ulcers, and amputations.
  • Spinal cord stimulation (SCS) may be an effective alternative treatment for CLI patients who cannot undergo surgery or endovascular procedures; it is mainly used for managing chronic pain conditions.
  • The review covers the surgical techniques involved in SCS, its mechanisms in vascular diseases, patient selection criteria, and the overall clinical outcomes, concluding that SCS is a safe option for specific CLI patients.
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Temporal Trends and Outcomes of Peripheral Artery Disease and Critical Limb Ischemia in the United States.

Crit Pathw Cardiol

September 2024

Department of Medicine/Cardiology, Icahn School of Medicine at Mount Sinai, The Zena and Michael A. Wiener Cardiovascular Institute and the Marie-Josée Henry R. Kravis Cardiovascular Health Center, Icahn School of Medicine at the Mount Sinai Hospital, Mount Sinai Heart, New York, NY, USA.

Introduction: Peripheral arterial disease (PAD) is a progressive, systemic atherosclerotic disease that is associated with an increased risk of coronary artery disease (CAD), cerebrovascular disease (CVD), and critical limb ischemia (CLI). CLI represents the most severe stage of PAD, characterized by progressive endothelial dysfunction and arterial narrowing. We hypothesized that the incidence of CLI and PAD would increase over the study period and that the rates of in-hospital mortality and major amputations among patients admitted with CLI would rise correspondingly.

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Objective: Endovascular revascularization of peripheral arterial occlusions has a high technical failure rate of 15-20%, mainly due to difficulties in crossing the occlusion with a guidewire. This study evaluates the use of a Picosecond mid-Infrared Laser (PIRL) to facilitate occlusion crossing.

Methods: Popliteal artery lesion samples were obtained from a donated limb of a patient with critical limb ischemia (CLI).

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Article Synopsis
  • This study compares the outcomes of subintimal angioplasty (SIA) for chronic total occlusions in the superficial femoral artery (SFA) versus the popliteal artery (PA).
  • Immediate results showed a higher technical success rate for PA but similar 30-day amputation rates between the two groups.
  • Long-term outcomes revealed better limb-based patency, amputation-free survival, and wound healing rates for the SFA group, with the number of runoff vessels being a key predictor of limb patency loss.
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Article Synopsis
  • Cell therapies using mesenchymal stromal cells (MSCs), particularly human adipose-derived stromal cells (hASCs), are gaining attention as potential treatments for peripheral arterial disease (PAD) and critical limb ischemia (CLI), focusing on their ability to promote blood vessel growth.
  • This study examined the effects of different natural polysaccharide hydrogels, specifically methacrylated glycol chitosan (MGC) and methacrylated hyaluronic acid (MHA), on the survival and pro-angiogenic functions of hASCs when encapsulated within them.
  • Results showed that while hASCs maintained high viability in both hydrogels, those in MGC hydrogels secreted more pro-
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The number of patients with diabetes mellitus (DM) has been progressively increasing worldwide over the past decades, and many international organizations consider DM as a public health emergency of the 21st century.Critical limb ischemia (CLI) is the most severe stage of peripheral arterial disease (PAD) in DM and is characterized by a high risk of limb loss without revascularization. Traditional treatment tactics include open and endovascular revascularization surgical techniques.

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Uniportal left middle lobectomy in a patient with situs inversus totalis: a case report.

J Cardiothorac Surg

September 2024

Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, 215000, China.

Article Synopsis
  • Situs inversus totalis (SIT) is a rare genetic condition where internal organs are reversed in position, and cases involving lung cancer are very uncommon.
  • A 57-year-old woman with SIT successfully underwent a minimally invasive lobectomy for lung adenocarcinoma, facilitated by advanced 3D imaging for surgical planning.
  • The surgery proceeded without complications, and the patient remained cancer-free two years after the operation, demonstrating the effectiveness of careful preoperative planning.
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: Chronic limb-threatening ischaemia (CLTI) is a significant life and limb-threatening condition. Two recent seminal trials, BEST-CLI and BASIL-2, have provided seemingly conflicting results concerning the optimal treatment modality for patients with CLTI. We sought to investigate the outcomes of patient undergoing infrainguinal bypass at two centres in Aotearoa New Zealand.

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Injectable Alginate-Based Hydrogels Encapsulating Engineered Endothelial Extracellular Vesicles for the Treatment of Critical Limb Ischemia.

Biomacromolecules

October 2024

Institute of Biomedical Engineering, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China.

Article Synopsis
  • Critical limb ischemia (CLI) is caused by chronic inflammation in the vascular system and can be treated by inhibiting macrophage inflammation.
  • Modifying extracellular vesicles from endothelial cells with platelet membranes enhances their effectiveness in reducing macrophage activity, while a new alginate-based collagen composite hydrogel aids in localized delivery.
  • Treatment with the modified vesicles in the hydrogel significantly improves blood supply and reduces inflammation, showing promise as a strategy for CLI therapy.
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Candesartan (CDN) is a useful anti-stroke medication because it lowers blood pressure, inflammation, oxidative stress, angiogenesis and apoptosis. However, CDN has limited efficacy due to its low solubility and poor bioavailability. This study set out to develop nasal pH-responsive in situ hydrogel of CDN-loaded invasomes a (PRHCLI) for enhancing CDN's release, penetration, bioavailability, and effectiveness as a possible treatment for stroke.

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Despite significant advances in the deep clustering research, there remain three critical limitations to most of the existing approaches. First, they often derive the clustering result by associating some distribution-based loss to specific network layers, neglecting the potential benefits of leveraging the contrastive sample-wise relationships. Second, they frequently focus on representation learning at the full-image scale, overlooking the discriminative information latent in partial image regions.

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Article Synopsis
  • The study aimed to assess the hemodynamic effects of commissural alignment (CA) in patients receiving self-expandable transcatheter aortic valves (TAVR) using two different devices: Evolut Pro (EP) and Acurate neo2 (AN2).
  • Analyzing 557 patients, the results showed that CA was linked to a significant reduction in the rate of commissural misalignment (CMA) compared to those without CA, leading to lower transvalvular gradients and less aortic regurgitation after one year.
  • Although patients with moderate/severe CMA experienced worsened aortic gradients and regurgitation rates, overall structural deterioration criteria were not met at
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Gardenia jasminoides Ellis. polysaccharide (GPS) can protect against cholestatic liver injury (CLI) by regulating nuclear farnesoid X receptor (FXR).However, the mechanism via which GPS mediates the FXR pathway remains unclear.

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Objective: To evaluate the effect of the basilar invagination (BI) type B on cervical spine.

Methods: The research protocol used head magnetic resonance imaging (MRI) exams from 41 participants with BI type B and 158 controls. The criterion for BI was the distance of the odontoid apex to Chamberlain's line (DOCL) equal to or greater than 7 mm.

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Introduction: Studies exploring the relationship between peripheral arterial disease (PAD), critical limb ischemia (CLI), and chronic kidney disease (CKD) and its effect on in-hospital outcomes are limited. We aimed to analyze the outcomes of patients with CKD and PAD who are admitted for CLI.

Methods: We utilized the National Inpatient Sample (NIS) to capture hospitalizations for CLI from 2012 to 2020 and then identified cases with concomitant CKD.

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Construction of a robust artificial solid-electrolyte interphase (SEI) layer has proposed an effective strategy to overcome the instability of the lithium (Li). However, existing artificial SEI layers inadequately controlled ion distribution, leading to dendritic growth and penetration. Furthermore, the environmental impact of the manufacturing process and materials of the artificial layer is often overlooked.

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CDK4/6 inhibitor PD-0332991 suppresses hepatocarcinogenesis by inducing senescence of hepatic tumor-initiating cells.

J Adv Res

August 2024

Institute for Regenerative Medicine, Medical Innovation Center and State Key Laboratory of Cardiology, Shanghai East Hospital, School of Life Sciences and Technology, Tongji University, Shanghai 200123, P. R. China; Shanghai Engineering Research Center of Stem Cells Translational Medicine, Shanghai 200335, P. R. China; Shanghai Institute of Stem Cell Research and Clinical Translation, Shanghai 200120, P. R. China. Electronic address:

Introduction: Owing to the limited treatment options for hepatocellular carcinoma (HCC), interventions targeting pre-HCC stages have attracted increasing attention. In the pre-HCC stage, hepatic tumor-initiating cells (hTICs) proliferate abnormally and contribute to hepatocarcinogenesis. Numerous studies have investigated targeted senescence induction as an HCC intervention.

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Background and objectives Stadice is a proprietary herbal ingredient preparation standardized to mangiferin, developed to support cognitive wellness in healthy adults. extract and its active constituent, mangiferin were known for its positive cognitive health benefits at experimental levels. This was an attempt to evaluate the clinical efficacy and safety of Stadice on healthy subjects.

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Background And Aims: Observational registries have suggested that optical coherence tomography (OCT) imaging-derived parameters may predict adverse events after drug-eluting stent (DES) implantation. The present analysis sought to determine the OCT predictors of clinical outcomes from the large-scale ILUMIEN IV trial.

Methods: ILUMIEN IV was a prospective, single-blind trial of 2487 patients with diabetes or high-risk lesions randomized to OCT-guided versus angiography-guided DES implantation.

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Efficient reductive recovery of arsenic from acidic wastewater by a UV/dithionite process.

Water Res

November 2024

National Engineering Research Center of Industrial Wastewater Detoxication and Resource Recovery, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China; State Key Laboratory of Environmental Aquatic Chemistry, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China; University of Chinese Academy of Sciences, Beijing 100049, China. Electronic address:

Article Synopsis
  • The study presents a new method using ultraviolet (UV) light and dithionite to convert harmful arsenic (As(III)) in acidic wastewater into safe elemental arsenic (As(0)), minimizing hazardous waste.
  • More than 99.9% of As(III) was successfully reduced to As(0) with a specific molar ratio of dithionite and optimal pH conditions, resulting in high purity suitable for commercial use.
  • The method's efficiency was demonstrated to be cost-effective at about $0.668 per cubic meter for treating real arsenic-laden wastewater, highlighting its practical value for environmental remediation.
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Metabolomics and serum pharmacochemistry combined with network pharmacology uncover the potential effective ingredients and mechanisms of Yin-Chen-Si-Ni Decoction treating ANIT-induced cholestatic liver injury.

J Ethnopharmacol

December 2024

Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, 210009, China; Key Laboratory of Drug Quality Control and Pharmacovigilance (China Pharmaceutical University), Ministry of Education, China Pharmaceutical University, Nanjing, 210009, China. Electronic address:

Ethnopharmacological Relevance: Yin-Chen-Si-Ni Decoction is a classical traditional Chinese medicine (TCM) prescription that is used clinically for treating cholestatic liver injury (CLI) and other hepatic diseases. However, the material basis and underlying mechanisms of YCSND are not clear.

Aim Of The Study: To investigate effective components and mechanisms of YCSND in the treatment of CLI using serum pharmacochemistry, metabolomics, and network pharmacology.

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Antimicrobial Silk Fibroin Methacrylated Scaffolds for Regenerative Endodontics.

J Endod

December 2024

Department of Cariology, Restorative Sciences and Endodontics, University of Michigan-School of Dentistry, Ann Arbor, Michigan; Department of Biomedical Engineering, College of Engineering, University of Michigan, Ann Arbor, Michigan. Electronic address:

Introduction: Recognizing the necessity of novel disinfection strategies for improved bacterial control to ultimately favor tissue regeneration, this study developed and characterized antibiotics-laden silk fibroin methacrylated (SilkMA) scaffolds for regenerative endodontics.

Methods: SilkMA-based solutions (10% w/v) containing Clindamycin (CLI) or Tinidazole (TIN) (0 - control; 5, 10, or 15% w/w) or the combination of both drugs (BiMix CLI/TIN 10%) were electrospun and photocrosslinked. Morphology and composition were assessed using scanning electron microscopy and Fourier-transform infrared spectroscopy.

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