3,474 results match your criteria: "Federico II University of Naples[Affiliation]"

Objectives: To date, no studies have exploited micro-CT in humans to evaluate bone morphology and structure after bone augmentation with CAD/CAM-customized titanium mesh, in mandible and maxilla. The aim of this study was to assess the composition and microstructure of bone biopsy through micro-CT analysis.

Materials And Methods: Bone augmentation at both maxillary and mandible sites was performed on 30 patients randomly treated with customized mesh, either alone (M-) or covered with resorbable membrane (M+), in both cases filled 50:50 with autogenous bone and xenograft.

View Article and Find Full Text PDF
Article Synopsis
  • The systematic review evaluated the status of new robotic systems approved for urological surgery, focusing on their evolution based on the IDEAL framework.
  • It found 74 studies, with 90.5% being noncomparative, while only one randomized trial compared the KangDuo system with the da Vinci system.
  • Results showed that the new robotic platforms had similar outcomes to the da Vinci system, but the review highlighted limitations like small sample sizes and the lack of robust comparative studies.
View Article and Find Full Text PDF

Introduction: Multiple sclerosis (MS) is a chronic neurodegenerative disease that leads to impaired cognitive function and accumulation of disability, with significant socioeconomic burden. Serious unmet need in the context of managing MS has given rise to ongoing research efforts, leading to the launch of new drugs planned for the near future, and subsequent concerns about the sustainability of healthcare systems. This study assessed the changes in the Italian MS market and their impact on the expenditures of the Italian National Healthcare Service between 2023 and 2028.

View Article and Find Full Text PDF
Article Synopsis
  • * Out of 244 patients reviewed, 36 (14.7%) exhibited post-radiotherapy serous-like endometrial changes (PoRSEC), showing similarities in nuclear atypia with SEIC but differing in specific features like papillary architecture and mitotic activity.
  • * Immunohistochemical findings revealed that while SEIC consistently showed aberrant p53 expression and high Ki67 levels, PoRSEC was more variable and included some p53 positivity, making differential diagnosis challenging but with distinct patterns between the two.
View Article and Find Full Text PDF

Background: The programing of subcutaneous implantable cardioverter-defibrillators (S-ICD) in clinical practice has been little studied, as the activation status of the SMART Pass filter, which was implemented to reduce inappropriate shocks.

Purpose: We assessed device programing during follow-up and the rate of detected arrhythmias in consecutive S-ICD recipients.

Methods: We analyzed data from 670 S-ICD patients followed on the remote network at 17 Italian centers for a median of 31 months (25th-75th percentile: 16-51).

View Article and Find Full Text PDF

Being highly sensitive person negatively impacts on cognitive and psychosocial fatigue in multiple sclerosis patients: A cross-sectional, monocenter study.

Mult Scler Relat Disord

October 2024

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Via Sergio Pansini 5, Naples 80131, Italy. Electronic address:

Background: Fatigue is a common symptom in Multiple Sclerosis (MS), but its determinants are not clarified yet. Sensory processing sensitivity (SPS) is a personality trait characterized by enhanced sensitivity towards endogenous and exogenous stimuli, and higher attention toward minimal stimuli, resulting in overarousal and fatigue.

Objective: to evaluate the association between SPS and fatigue in MS patients.

View Article and Find Full Text PDF

Antiplatelet Therapy for Elderly Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention.

J Clin Med

July 2024

Division of Cardiology, Cardiovascular Department, Azienda Ospedaliera Regionale "San Carlo", 85100 Potenza, Italy.

The elderly represent an increasing proportion of patients presenting with acute coronary syndrome (ACS). Various data have shown that the benefits of percutaneous coronary revascularization are maintained in elderly patients presenting with ACS. Conversely, the management of antiplatelet therapy remains challenging and controversial, because older patients are usually at a high risk of both ischemia and bleeding.

View Article and Find Full Text PDF

Hydrogen Sulfide (HS)-Donor Molecules: Chemical, Biological, and Therapeutical Tools.

Int J Mol Sci

July 2024

Department of Pharmacy, School of Medicine, "Federico II" University of Naples, Via D. Montesano, 49, 80131 Naples, Italy.

This Special Issue aims to gather new research on hydrogen sulfide (HS)-releasing compounds (Figure 1) as cutting-edge pharmacological tools and to advance the understanding of the critical role that HS plays in physiological and pathological processes [...

View Article and Find Full Text PDF

Aim: To provide guidance for follow-up and monitoring of children and adolescents identified as positive to islet autoantibodies (IA) in the general population screening for type 1 diabetes (T1D) in Italy.

Methods: Detection of IA helps to diagnose pre-symptomatic T1D, prevent diabetic ketoacidosis (DKA) and identify persons for new therapies to delay symptomatic diabetes. Italy recently became the first country to approve by law a general autoantibody screening program for T1D and celiac disease in all children and adolescents (age 1-17yr).

View Article and Find Full Text PDF

Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.

Obes Surg

September 2024

Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Director of Bariatric and Metabolic Surgery, Harvard Medical School, Boston, MA, USA.

Article Synopsis
  • The study highlights the increasing importance of metabolic and bariatric surgery (MBS) in addressing global obesity, emphasizing the need for rigorous academic and fellowship training for surgeons.
  • A Modified Delphi method involving 89 surgeons from 42 countries was used to establish expert consensus on the necessary criteria for surgeons to obtain privileges for performing MBS, reaching agreement on 29 out of 30 statements.
  • Key consensus points include the requirement for surgeons to hold a general surgery degree, complete a dedicated fellowship, and adhere to defined learning curves for various MBS procedures, alongside maintaining patient data and collaborating in a multidisciplinary team.
View Article and Find Full Text PDF

Background: A sex-based evaluation of prognosis in heart failure (HF) is lacking.

Methods And Results: We analyzed the Metabolic Exercise test data combined with Cardiac and Kidney Indexes (MECKI) score registry, which includes HF with reduced ejection fraction (HFrEF) patients. A cross-validation procedure was performed to estimate weights separately for men and women of all MECKI score parameters: left ventricular ejection fraction (LVEF), hemoglobin, kidney function assessed by Modification of Diet in Renal Disease, blood sodium level, ventilation vs.

View Article and Find Full Text PDF

Newly Synthesized Indolylacetic Derivatives Reduce Tumor Necrosis Factor-Mediated Neuroinflammation and Prolong Survival in Amyotrophic Lateral Sclerosis Mice.

ACS Pharmacol Transl Sci

July 2024

Division of Pharmacology, Department of Neuroscience, Reproductive and Odontostomatological Sciences, School of Medicine, "Federico II" University of Naples, Via S. Pansini 5 ,Naples 80131, Italy.

The debilitating neurodegenerative disease known as amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons (MNs) in the brain, spinal cord, and motor cortex. The ALS neuroinflammatory component is being characterized and includes the overexpression of mediators, such as inducible nitric oxide synthase (iNOS) and tumor necrosis factor-α (TNF-α). Currently, there are no effective treatments for ALS.

View Article and Find Full Text PDF

Comprehensive EHMT1 variants analysis broadens genotype-phenotype associations and molecular mechanisms in Kleefstra syndrome.

Am J Hum Genet

August 2024

Department of Clinical Genetics, Erasmus MC, Rotterdam, the Netherlands; Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands; Center of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray, the Netherlands. Electronic address:

The shift to a genotype-first approach in genetic diagnostics has revolutionized our understanding of neurodevelopmental disorders, expanding both their molecular and phenotypic spectra. Kleefstra syndrome (KLEFS1) is caused by EHMT1 haploinsufficiency and exhibits broad clinical manifestations. EHMT1 encodes euchromatic histone methyltransferase-1-a pivotal component of the epigenetic machinery.

View Article and Find Full Text PDF

Skeletal anomalies represent a characteristic feature of type 1 Gaucher disease (GD1). Here we evaluated the impact of an integrated therapy comprising enzyme-replacement therapy (ERT), cholecalciferol, and a normocalcemic-normocaloric-hyposodic diet (bone diet) on bone health in GD1 patients. We also performed a systematic review to compare our results with available data.

View Article and Find Full Text PDF
Article Synopsis
  • - This study analyzed the link between metabolically healthy overweight/obese adults and major cardiovascular events (MACE) using data from 15,904 participants over 11.8 years, focusing on how LDL-cholesterol levels affect this relationship.
  • - Among participants younger than 70, being overweight/obese raised the risk of MACE significantly, while older adults had a lower risk despite having high BMI.
  • - Including LDL-cholesterol in the definition of healthy metabolism showed that metabolically healthy overweight/obese individuals have no increased risk of MACE compared to normal weight individuals, challenging standard assessments of health risk.
View Article and Find Full Text PDF

Rehabilitative interventions employing technology play a crucial role in bipolar disorder (BD) treatment. The study aims to appraise the virtual reality (VR)-based cognitive remediation (CR) and the interpersonal rhythm approaches to treatment outcomes of BD across different age groups. Post-hoc analysis of a 12-week randomizedcontrolled cross-over feasibility trial involving people with mood disorders (BD, DSM-IV) aged 18-75 years old: thirty-nine exposed to the experimental VR-based CR vs 25 waiting list controls.

View Article and Find Full Text PDF

A longitudinal study of glucose tolerance in cystic fibrosis: the central role of beta cell functional mass.

J Clin Endocrinol Metab

July 2024

Pediatric Diabetes and Metabolic Disorders Unit, Department of Surgery, Dentistry, Paediatrics and Gynaecology, Regional Center for Pediatric Diabetes, University Hospital of Verona, Verona, Italy.

Context: The pathophysiological mechanisms underlying the natural history of glucose intolerance and its fluctuations in subjects with cystic fibrosis (CF) are still unclear.

Objective: To investigate the relationship between longitudinal changes in glucose tolerance and concomitant changes in the main parameters of insulin secretion/metabolism/action determining glucose regulation in CF subjects.

Methods: Insulin sensitivity and glucose-stimulated insulin secretion (GSIS, a biomarker of beta cell functional mass), as estimated by the Oral Glucose Sensitivity Index (OGIS) and by a sophisticated mathematical model, respectively, and insulin clearance were assessed in 127 CF subjects, aged 10-25 years, who underwent two OGTT tests over at least 1-year follow-up period.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines how daily biventricular pacing percentage (BiV%) affects heart failure (HF) status in patients with cardiac resynchronization therapy (CRT) using the HeartLogic algorithm.
  • Researchers monitored 306 patients over 26 months and found that low BiV% and prolonged drops in pacing were linked to a higher risk of heart failure alerts, indicating worsening conditions.
  • The findings suggest that even small decreases in BiV% can significantly indicate potential heart failure problems, emphasizing the importance of maintaining high pacing levels for patient outcomes.
View Article and Find Full Text PDF

Background: The growing understanding of cancer biology and the establishment of new treatment modalities has not yielded the expected results in terms of survival for Laryngeal Squamous Cell Cancer (LSCC). Early diagnosis, as well as prompt identification of patients with high risk of relapse would ensure greater chance of therapeutic success. However, this goal remains a challenge due to the absence of specific biomarkers for this neoplasm.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigated the effectiveness of robotic right colectomy (RRC) compared to laparoscopic right colectomy (LRC) for nonmetastatic pT4 colon cancer, focusing on surgical outcomes like cancer removal success, complication rates, and recovery times.
  • - Results showed similar cancer removal rates and lymph node retrieval between RRC and LRC, but RRC had advantages like fewer conversions to open surgery, less blood loss, and fewer postoperative complications.
  • - Both surgical methods had comparable long-term survival rates, indicating that RRC is a viable option for treating pT4 right colon cancer with better short-term results than LRC.
View Article and Find Full Text PDF
Article Synopsis
  • * Current treatments can have side effects and don't always work well for everyone, so there's a big need for better options.
  • * A new drug called eculizumab has been approved in Italy and might help those who don’t respond to standard treatments, and experts think it could meet the needs of many patients with MG.
View Article and Find Full Text PDF

Clinical utility of the Lumipulse™ immunoassay for plasma neurofilament light chain in multiple sclerosis.

J Neurol Sci

August 2024

Department of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Italy; Multiple Sclerosis Unit, Policlinico Federico II University Hospital, Naples, Italy. Electronic address:

Article Synopsis
  • The study explored the link between blood neurofilament light chain (pNfL) levels and various clinical and demographic factors in 685 MS patients, finding that higher pNfL correlates with increased disability and recent disease activity.
  • Higher pNfL levels were also associated with cardiovascular comorbidities, while patients on disease-modifying treatments (DMTs) had lower pNfL levels.
  • This research reinforces the potential of pNfL as a valuable biomarker for understanding MS progression and the effects of treatment in both clinical and research settings.
View Article and Find Full Text PDF