4,780 results match your criteria: "Department of Internal Medicine University of Pavia; Children's Hospital "Vittore Buzzi"[Affiliation]"

The impact of vitamin D status on lipid profiles and atherogenic dyslipidemia markers in children and adolescents with obesity.

Nutr Metab Cardiovasc Dis

November 2024

Department of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy; Pediatric Department, Buzzi Children's Hospital, 20154 Milan, Italy. Electronic address:

Article Synopsis
  • The study investigates the relationship between vitamin D levels and lipid profiles in children and adolescents with obesity, highlighting the high prevalence of vitamin D deficiency in this group compared to those with normal weight.
  • Results show that individuals with low vitamin D levels had significantly worse indicators of metabolic health, including higher glucose levels, insulin resistance, and unfavorable lipid ratios.
  • The findings suggest that vitamin D deficiency is a modifiable risk factor for cardiometabolic issues, indicating the need for early intervention and preventive strategies.
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US Markers and Necroinflammation, Steatosis, and Fibrosis in Metabolic Dysfunction-associated Steatotic Liver Disease: The iLEAD Study.

Radiology

August 2024

From the Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan (K. Sugimoto, T.I.); Department of Gastroenterology and Hepatology, International University of Health and Welfare, Sanno Hospital, Tokyo, Japan (F.M.); Department of Radiology, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Université de Paris, Clichy, France (M.D.B., V.V.); Departments of Internal Medicine 1, Medicine 1, Gastroenterology, Endocrinology, and Pneumology, Erlangen University Hospital, Erlangen, Germany (D.J., D.S.); Division of Gastroenterology, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany (V.B., T.K.); Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif (E.G.G.); Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, Ill (L.C.K., H.G.); Department of Radiology, Chung-Ang University Hospital, Seoul, Korea (B.I.C.); Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan (T.N., H.I.); Department of Radiology, University of Washington, Seattle, Wash (T.J.D.); Rocky Vista University, Ivins, Utah (J.G.); Department of Radiology, Seoul National University Hospital, Seoul, Korea (D.H.L., J.Y.L.); Department of Ultrasound in Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (Y.Z., P.H.); Department of Ultrasound, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China (J.Z.); Department of Imaging, Charing Cross Hospital, Imperial College London and Imperial College Healthcare NHS Trust, London, England (A.L.); Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China (X.X.); Department of Radiology, Northeastern Ohio Medical University, Rootstown, Ohio (R.G.B.); Southwoods Imaging, Youngstown, Ohio (R.G.B.); Division of Internal-Surgical Ultrasound, Department of Radiologic, Oncologic, and Anatomic-Pathologic Science, Polyclinic Umberto I, Sapienza University of Rome, Rome, Italy (V.C.); Department of Clinical-Surgical, Diagnostic, and Pediatric Sciences, Medical School, University of Pavia, Pavia, Italy (G.F.); Center for Data Science, Juntendo University, Tokyo, Japan (K. Sakamaki); and Department of Pathology, Kurume University School of Medicine, Kurume, Japan (M.K., H.Y.).

Background Attenuation coefficient (AC) and shear-wave speed (SWS) are established US markers for assessing patients with metabolic dysfunction-associated steatotic liver disease (MASLD), while shear-wave dispersion slope (DS) is not. Purpose To assess the relationship between the multiparametric US imaging markers DS, AC, and SWS and liver histopathologic necroinflammation in patients with MASLD. Materials and Methods This international multicenter prospective study enrolled consecutive patients with biopsy-proven MASLD between June 2019 and March 2023.

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Article Synopsis
  • Potential coeliac disease (PCD) is defined by positive tests for coeliac disease while maintaining normal intestinal tissue structure, with uncertainty about its progression to full-blown coeliac disease.
  • A systematic review of 17 studies involving 1,010 patients found that approximately 33% developed villous atrophy or normalized their serology while on a gluten-containing diet.
  • Nearly 88% of patients adhering to a gluten-free diet experienced symptom relief, emphasizing the need for careful monitoring and personalized treatment plans for those with PCD.
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Towards a comprehensive approach to the management and prognosis of systemic sclerosis's patients: The role of comorbidities in the SPRING-SIR registry.

Eur J Intern Med

December 2024

Department of Experimental and Clinical Medicine, Division of Rheumatology, University of Florence & Division of Rheumatology AOUC, University of Florence, Florence, Italy; Department of Rheumatology, University Hospital Zurich, University of Zurich, Switzerland.

Objectives: The current knowledge about the role of comorbidities in systemic sclerosis (SSc) is limited. Therefore, the aim of this study was to evaluate the prevalence of comorbidities and their impact on disease activity and prognosis in the Systemic sclerosis PRogression INvestiGation (SPRING) registry.

Methods: SSc patients from the SPRING registry, fulfilling the ACR/EULAR 2013 classification criteria, with complete data on baseline comorbidities were enrolled.

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Article Synopsis
  • Pulmonary alveolar proteinosis (PAP) is a condition where a sticky substance builds up in the lungs, making it hard to breathe.
  • There are three types of PAP: primary (caused by issues with the immune system), secondary (linked to other health problems), and congenital (from birth).
  • New treatments are being developed to help, like using a substance called GM-CSF to improve lung function.
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Effects of Glucagon-Like Peptide-1 Receptor Agonists on Upper Gastrointestinal Endoscopy: A Meta-Analysis.

Clin Gastroenterol Hepatol

August 2024

Department of Gastroenterology, Digestive Oncology and Hepatopancreatology, HUB Hôpital Erasme, Brussels, Belgium.

Background And Aims: Limited evidence exists regarding the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on upper endoscopy. Therefore, a meta-analysis was conducted to comprehensively review the available evidence on this subject.

Methods: A systematic bibliographic search was carried out until May 2024.

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Background: Phthalates are ubiquitous in the environment. Despite short half-lives, chronic exposure can lead to endocrine disruption. The safety of phthalate substitute DINCH is unclear.

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Heterozygosity for loss-of-function variants in LZTR1 is associated with isolated multiple café-au-lait macules.

Genet Med

November 2024

Medical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy. Electronic address:

Purpose: Pathogenic LZTR1 variants cause schwannomatosis and dominant/recessive Noonan syndrome (NS). We aim to establish an association between heterozygous loss-of-function LZTR1 alleles and isolated multiple café-au-lait macules (CaLMs).

Methods: A total of 849 unrelated participants with multiple CaLMs, lacking pathogenic/likely pathogenic NF1 and SPRED1 variants, underwent RASopathy gene panel sequencing.

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Bioimpedance-derived body composition parameters predict mortality and dose-limiting toxicity: the multicenter ONCO-BIVA study.

ESMO Open

August 2024

Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia. Electronic address:

Background: In patients with cancer, lean body mass loss is frequent and associated with worse outcomes, including reduced treatment tolerance and survival. Bioelectrical impedance analysis (BIA) is a popular method for body composition assessment. We evaluated the value of BIA-derived body composition parameters in predicting mortality and, for the first time, dose-limiting toxicity (DLT).

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Clinical and Economic Impact of Early Diagnosis of Chronic Kidney Disease in General Practice: The Endorse Study.

Clinicoecon Outcomes Res

August 2024

Nephrology, Dialysis and Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area (Dimepre-J), University of Bari "aldo Moro", Bari, Italy.

Introduction: The underdiagnosis of chronic kidney disease (CKD) remains a significant public health concern. The Early chroNic kiDney disease pOint of caRe Screening (ENDORSE) project aimed to evaluate the clinical and economic implications of a targeted training intervention for general practitioners (GPs) to enhance CKD awareness and early diagnosis.

Methods: Data on estimated Glomerular Filtration Rate (eGFR) and Urinary Albumin-Creatinine Ratio (uACR) were collected by 53 Italian GPs from 112,178 patients at baseline and after six months.

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Article Synopsis
  • Atrial fibrillation (AF) is a common issue in cancer patients, and this study aims to evaluate their clinical characteristics and management, particularly focusing on antithrombotic medications.
  • The study involved 1,514 patients with recent cancer diagnoses and confirmed AF, finding high rates of cardiovascular diseases and a significant number of patients not receiving optimal anticoagulation treatment upon admission.
  • Results indicate a significant underuse of appropriate antithrombotic therapy, suggesting the necessity for improved cardiovascular assessments in the care of cancer patients with AF.
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Uncommon finding in a pulmonary graft versus host disease: A first report of Tsukamurella pneumonia in a pulmonary graft-versus-host disease.

IDCases

July 2024

Cardiothoracic and Vascular Department, Unit of Respiratory Disease, IRCCS Policlinico San Matteo, 27100 Pavia, Italy.

A 64-year-old woman presented to Our Department with 2 weeks history of fever and cough. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of ; Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach. is an obligate aerobic, Gram-positive, weakly acid-fast, non-motile bacillus that belongs to the order Pneumonia caused by is exceedingly rare, and only few cases are reported in the literature.

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Aim Of The Study: To assess how virtual reality (VR) patient-specific simulations can support decision-making processes and improve care in pediatric urology, ultimately improving patient outcomes.

Patients And Methods: Children diagnosed with urological conditions necessitating complex procedures were retrospectively reviewed and enrolled in the study. Patient-specific VR simulations were developed with medical imaging specialists and VR technology experts.

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Guidelines for minimal information on cellular senescence experimentation in vivo.

Cell

August 2024

European Research Institute for the Biology of Ageing (ERIBA), University Medical Center Groningen (UMCG), University of Groningen (RUG), Groningen, the Netherlands. Electronic address:

Article Synopsis
  • * New research tools are helping scientists study senescence more effectively, but identifying senescent cells remains challenging because of a lack of clear markers.
  • * The "minimum information for cellular senescence experimentation in vivo" (MICSE) guidelines offer a comprehensive resource on senescence markers in different organisms and types of tissues to enhance the study of senescent cells.
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Background: The optimal treatment for acute minor ischemic stroke is still undefined. and options include dual antiplatelet treatment (DAPT), intravenous thrombolysis (IVT), or their combination. We aimed to investigate benefits and risks of combining IVT and DAPT versus DAPT alone in patients with MIS.

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Article Synopsis
  • A 62-year-old man with celiac disease went to the hospital because he had stomach pain, tiredness, and bleeding in his stool.
  • Doctors checked his insides with cameras and found a bad growth in his small intestine.
  • After surgery to remove the bad part, they discovered he had cancer but used special testing that showed some gene changes, which might help find better treatments in the future.
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Aim:  This survey analyzed techniques in laparoscopic inguinal hernia repair (LIHR) across pediatric age groups.

Materials And Methods:  Data were collected through an online survey for pediatric surgeons, comprising of 38 questions, conducted by the European Pediatric Surgeons' Association (EUPSA) Trainees of European Pediatric Surgery (TEPS) LIHR Working Group.

Results:  The survey was completed by 183 surgeons from 22 countries.

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Article Synopsis
  • This study looked at two ways to measure how stiff the liver is, which helps doctors see if there is damage or disease in the liver.
  • They compared the results of these two methods, VCTE and ElastQ, using data from 840 people.
  • The findings showed that the differences in results got bigger as liver problems worsened, and some factors like BMI and distance between the skin and liver affected the measurements differently.
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Article Synopsis
  • - A new framework for defining anemia severity and treatment response in myelofibrosis (MF) aims to improve clinical studies and comparisons as new drugs emerge in this area.
  • - The revised criteria will address gender differences in hemoglobin levels and update the definition of transfusion-dependent anemia (TDA) to align with current practices.
  • - The updated guidelines introduce specific eligibility thresholds for hemoglobin levels and establish distinct response criteria (major vs. minor) while maintaining a 12-week observation period on treatment.
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Background: Masticatory function seems to play a role in the aetiology of obesity. However, literature on the association between oral myofunctional status and overweight and obesity in children and adolescents is scarce and contrasting.

Objective: To compare masticatory performance, orofacial myofunctional status and tongue strength and endurance between children and adolescents with overweight and obesity and those with normal weight.

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Background: Psychopathological disorders are often comorbid diagnosis in eating disorders (EDs). We aimed to assess the presence of psychopathological traits and symptoms associated with EDs in an Italian high school adolescent population.

Methods: A sample of high school adolescents was enrolled, and demographic and clinical data were collected.

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Article Synopsis
  • Autoimmune gastritis (AIG) causes higher gastrin levels, leading to changes in the gastric mucosa and an increased risk of developing gastric polyps.
  • A study involving 612 AIG patients over a median of 4 years found that 36.3% developed gastric polyps, with various types identified, including inflammatory and adenomatous types, along with some cases of gastric neuroendocrine neoplasms (gNENs) and adenocarcinomas.
  • The findings highlight the need for regular endoscopic monitoring and histopathological assessments in AIG patients due to the significant risk of gastric polyps and related complications.
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Background: Nivolumab plus ipilimumab (NIVO+IPI) has demonstrated superior overall survival (OS) and durable response benefits versus sunitinib (SUN) with long-term follow-up in patients with advanced renal cell carcinoma (aRCC). We report updated analyses with 8 years of median follow-up from CheckMate 214.

Patients And Methods: Patients with aRCC (N = 1096) were randomized to NIVO 3 mg/kg plus IPI 1 mg/kg Q3W × four doses, followed by NIVO (3 mg/kg or 240 mg Q2W or 480 mg Q4W); or SUN (50 mg) once daily for 4 weeks on, 2 weeks off.

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Charged particle radiotherapy for thyroid cancer. A systematic review.

Crit Rev Oncol Hematol

October 2024

Clinical Department, CNAO National Center for Oncological Hadrontherapy, Pavia 27100, Italy; Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.

Article Synopsis
  • The use of external beam radiotherapy (EBRT) for thyroid cancer treatment is debated because there isn't a lot of strong data.
  • Some studies suggest that EBRT can help people with high-risk cases of thyroid cancer when it's used with surgery and chemotherapy.
  • Newer treatments like proton therapy and Boron Neutron Capture Therapy (BNCT) could be helpful, but more research is needed to understand how they work best.
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