16 results match your criteria: "Clinical and Experimental Lab[Affiliation]"

Simulation-based training in ultrasound-guided regional anaesthesia for emergency physicians: insights from an Italian pre/post intervention study.

BMC Med Educ

December 2024

Emergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Background: Despite the importance of Ultrasound-guided Regional Anaesthesia (UGRA) in Emergency Medicine (EM), there is significant variability in UGRA training among emergency physicians. We recently developed a one-day (8 h), simulation-based UGRA course, specifically tailored to help emergency physicians to integrate these skills into their clinical practice.

Methods: In this pre/post intervention study, emergency physicians attended a course consisting of a 4-hour teaching on background knowledge and a practical part structured as follows: a scanning session on a healthy individual; a needling station with an ex-vivo model (turkey thighs); a simulation-based learning experience on local anaesthetic toxicity (LAST); a session on the UGRA simulator BlockSim™.

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Ketogenic Diet and Neuroinflammation: Implications for Neuroimmunometabolism and Therapeutic Approaches to Refractory Epilepsy.

Nutrients

November 2024

Nutrition Lab, Egas Moniz Center for Interdisciplinary Research (CiiEM, U4585 FCT), Egas Moniz School of Health and Science, 2829-511 Caparica, Portugal.

Refractory epilepsy, characterized by seizures that do not respond to standard antiseizure medications, remains a significant clinical challenge. The central role of the immune system on the occurrence of epileptic disorders has been long studied, but recent perspectives on immunometabolism and neuroinflammation are reshaping scientific knowledge. The ketogenic diet and its variants have been considered an important medical nutrition therapy for refractory epilepsy and may have a potential modulation effect on the immune system, specifically, on the metabolism of immune cells.

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Health Professionals' Knowledge, Perceptions, and Attitudes Toward Baby-Led Weaning: Scoping Review.

SAGE Open Nurs

September 2024

Universidade Católica Portuguesa, Faculdade de Ciências da Saúde e Enfermagem, Centro de Investigação Interdisciplinar em Saúde (CIIS), Portugal.

Introduction: Baby-led weaning (BLW) is a growing method for parents to introduce food to their kids. As advisers who affect the decisions of parents, health practitioners have significant obligations in this regard.

Objective: We aim to identify existing literature on the knowledge, perceptions, and attitudes of health professionals toward BLW.

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Clinical characteristics of acute lacosamide poisoning: Pavia Poison Control Centre experience.

Br J Clin Pharmacol

March 2024

Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.

Article Synopsis
  • Lacosamide, a third-generation antiepileptic drug used for partial seizures, has had limited documentation of overdose cases since its approval in 2008, prompting a study to assess the clinical effects of acute poisoning.
  • This retrospective study at the Pavia Poison Control Centre analyzed 31 cases between 2012 and 2021, noting that the median ingested dose was 1500 mg and that 64.5% of individuals had taken other substances like benzodiazepines.
  • The findings indicated that 87% of patients experienced symptoms, with the most common being vomiting and seizures, and those who entered a coma had significantly higher doses; however, all patients eventually fully recovered
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Hydrogen cyanamide exposure: a case series from Pavia Poison Control Centre.

Occup Med (Lond)

December 2023

Toxicology Unit, Istituti Clinici Scientifici Maugeri SpA SB IRCCS, Pavia Poison Control Centre, National Toxicology Information Centre, Clinical and Experimental Lab, Pavia 27100, Italy.

Article Synopsis
  • Hydrogen cyanamide, a plant growth regulator introduced in Italy, was recalled in 2008 and is currently unauthorized in Europe due to its potential for causing serious health issues, including irritation, organ damage, and dangerous reactions with alcohol.
  • A study covering exposures from 2007 to 2021 found that most cases (79%) occurred after the product's market withdrawal, primarily in Sicily, with all instances being unintentional and work-related; a significant portion (41%) involved alcohol co-ingestion.
  • Common symptoms included flushing, dyspnoea, and burns, but all patients treated symptomatically fully recovered; the findings highlight ongoing illegal usage and the need for heightened awareness of the risks
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People bitten by Alpine vipers are usually treated with antivenom antisera to prevent the noxious consequences caused by the injected venom. However, this treatment suffers from a number of drawbacks and additional therapies are necessary. The venoms of Vipera ammodytes and of Vipera aspis are neurotoxic and cause muscle paralysis by inducing neurodegeneration of motor axon terminals because they contain a presynaptic acting sPLA neurotoxin.

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Coronary thrombosis after European adder bite in a patient on dual antiplatelet therapy: A case report.

Toxicon

December 2022

Pavia Poison Control Centre, National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS, Pavia, Italy. Electronic address:

Introduction: Until now very few cases of an adverse cardiovascular event have been described following European viper envenomation (Aravanis et al., 1982) (Aravanis et al., 1982) (Aravanis et al.

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Nutritional senolytics and senomorphics: Implications to immune cells metabolism and aging - from theory to practice.

Front Nutr

September 2022

Nutritional Immunology - Clinical and Experimental Lab (NICE Lab), Clinical Research Unit, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM, U4585 FCT), Egas Moniz Higher Education School, Monte de Caparica, Portugal.

Aging is a natural physiological process, but one that poses major challenges in an increasingly aging society prone to greater health risks such as diabetes, cardiovascular disease, cancer, frailty, increased susceptibility to infection, and reduced response to vaccine regimens. The loss of capacity for cell regeneration and the surrounding tissue microenvironment itself is conditioned by genetic, metabolic, and even environmental factors, such as nutrition. The senescence of the immune system (immunosenescence) represents a challenge, especially when associated with the presence of age-related chronic inflammation (inflammaging) and affecting the metabolic programming of immune cells (immunometabolism).

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Comment on accidental intravenous acetaminophen overdose in an infant without development of hepatotoxicity.

Clin Toxicol (Phila)

October 2022

Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit - Istituti Clinici Scientifici Maugeri IRCCS, University of Pavia, Pavia, Italy.

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Accidental ingestion of sodium molybdate at the workplace followed by short-term biomonitoring.

Med Lav

April 2022

Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit, Maugeri Clinical and Scientific Institutes IRCCS, Pavia, Italy.

Introduction: Most of the molybdenum (Mo) is used in metallurgical applications, the tetrathiomolybdate form is an experimental chelating agent for Wilson's disease. Human data of acute Mo exposure are lacking and, no report of no-observed-adverse-effect level (NOAEL) has been described until now. Case-study: We report a case of acute occupational exposure to molybdenum, with the related plasma and urine molybdenum concentrations, caused by an accidental ingestion of a sip of an anti-corrosion liquid for metal containing sodium molybdate.

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Introduction: Chemical burns are a risk in domestic and occupational accidents due to the common use of caustic agents. Long-term sequelae are normally due to the amount of skin and underlying tissues damaged. We describe a case of work-related chemical burns with unusual evolution in guttate psoriasis.

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Overall Efficacy and Safety of Safinamide in Parkinson's Disease: A Systematic Review and a Meta-analysis.

Clin Drug Investig

April 2021

Department of Oncology and Onco-Hematology, Postgraduate School of Clinical Pharmacology and Toxicology, University of Milan, 20129, Milan, Italy.

Unlabelled: BACKGROUND AND OBJECTIVE: Safinamide is a novel anti-parkinsonian drug with possible anti-dyskinetic properties. Parkinson's disease (PD) is a complex disease. The objective of this systematic review and meta-analysis is to evaluate the efficacy and safety of safinamide administration compared to placebo in PD patients on multiple outcomes.

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Poisoning related to therapeutic error in prolonged low-dose methotrexate treatment.

Br J Clin Pharmacol

May 2021

Pavia Poison Control Centre - National Toxicology Information Centre - Clinical and Experimental Lab, Toxicology Unit - Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.

Aims: To study the predictive factors for the development of clinical manifestations in poisoning due to the erroneous taking of low-dose methotrexate (MTX).

Methods: A retrospective observational study was performed. Only cases of erroneous administration in non-oncologic outpatients were included (July 2008-March 2020).

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