48 results match your criteria: "Hospital Santa Maria alle Scotte[Affiliation]"

Oxidative stress is a widespread causative agent of disease. Together with its general relevance for biomedicine, such a dynamic is recognizably detrimental to space exploration. Among other solutions, cerium oxide nanoparticles (or , NC) display a long-lasting, self-renewable antioxidant activity.

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Introduction: The COVID-19 pandemic has had a major impact on the Healthcare System, changing the patterns of Emergency Department access. In fact, accesses for trauma and less severe cases decreased significantly. This decline has generally been attributed to both the effects of the lockdown, imposed by the government, and the fear of being infected by SARS-CoV-2 in the hospital.

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Background: Cases of myocarditis and myopericarditis after mRNA COVID-19 vaccines have been reported, especially after the second dose and in young males. Their course is generally benign, with symptoms onset after 24-72 h from the dose.

Case Summary: We report two cases of myopericarditis after the second dose of the mRNA-1273 COVID-19 vaccine in two young males.

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Since SARS-CoV-2 emerged in 2019, strict monitoring of post-COVID-19 patients in order to ensure the early detection of sequelae and/or chronic organ damage that could been associated with the infection has been essential. Potential involvement of the NO pathway in the development of post-COVID-19 lung fibrotic alterations is feasible, since the majority of respiratory cells can produce NO, and fractional exhaled NO (FeNO) represents a biomarker of airway inflammation. The aim of this study was to investigate the potential utility of multiple-flow FeNO parameters in a post-COVID-19 population and to compare it with other indicators of lung damage proposed in the literature.

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Article Synopsis
  • The study aimed to evaluate the efficacy of SB5, a biosimilar of adalimumab, in treating noninfectious uveitis (NIU) due to concerns regarding immunogenicity and safety.
  • A retrospective analysis was conducted on patients treated with SB5, measuring factors like uveitis relapses, visual acuity, and medication dosage before and after starting treatment.
  • Results showed a dramatic reduction in uveitis relapses, improved visual acuity, significantly lowered glucocorticoid usage, and a high retention rate for SB5 over 20 months, indicating its effectiveness in managing NIU.
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Background: Volar plating has increasingly become the most used technique for the treatment of unstable distal radius fractures due to the low soft-tissue disturbance and its biomechanical reliability, which allows the early mobilization of the wrist. One of the main goals of the volar locking compression plates design is to avoid those soft tissue complications historically associated to the dorsal plating. However, extensor tendon complications can not be completely excluded.

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Unlabelled: Background and study purpose: to describe the comorbidity of celiac disease among a large cohort of multiple sclerosis patients in Tuscany.

Methods: the association of celiac disease among multiple sclerosis adult patients (n=2050) was retrospectively evaluated.

Results: 13 patients were diagnosed with celiac disease, the female:male ratio was 3.

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Recent expiry of patents for tumor necrosis factor (TNF)-α inhibitors has led to the employment of biosimilars in clinical practice. The aim of the study was to identify any change in the control of ocular inflammatory manifestations among patients with non-infectious uveitis switching from an originator to a corresponding anti-TNF-α biosimilar. Thirty-seven consecutive patients (62 eyes involved) with non-infectious uveitis undergoing the switch from anti-TNF-α originators to biosimilars were retrospectively enrolled; the frequency of ocular flares before and after the switch as well as best corrected visual acuity (BCVA), central macular thickness (CMT), daily systemic corticosteroid intake, and frequency of uveitic macular edema (UME) at the switch and at the following assessments were statistically analysed.

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A giant keratoacanthoma of the cheek.

Acta Biomed

December 2019

Division of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience; University Hospital "Santa Maria alle Scotte", Siena, Italy; University of Siena.

Keratoacanthoma (KA) is a cutaneous tumor arising on sun-exposed skin and characterized by self-limiting growth and involution. We reported a case of a 92-year-old man presented a 4.5x3.

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Objectives: The aim of this meta-analysis was to derive normal reference values of biventricular size and function estimated by cardiac magnetic resonance (CMR) in competitive athletes.

Background: Exercise-induced enlargement of cardiac chambers is commonly observed in competitive athletes. However, ventricular dilatation is also a common phenotypic expression of life-threatening cardiomyopathies.

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Purpose: To evaluate the clinical outcome of DiscoGel® chemonucleolysis for symptomatic disc herniation in patients who fail conservative treatment.

Material And Methods: Consecutive patients with symptomatic disc herniation confirmed on MRI who failed conservative management for at least 6 months were included. Visual analogue scale (VAS), Oswestry Disability Index (ODI) scores, and analgesic use were recorded at baseline, and 12 months after treatment.

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Purpose: Inflammation is a crucial but understudied mechanism of neuronal injury after hypoxia-ischemia. The aim was to identify a panel of cytokines involved in brain injury in neonates with hypoxic ischemic encephalopathy (HIE).

Methods: Ten newborns with HIE undergoing to therapeutic hypothermia (TH, HIE Group) and 8 healthy newborns (CTRL Group) were enrolled.

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Staying Safe during Gluteal Fat Transplantation.

Plast Reconstr Surg

October 2018

Division of Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University Hospital "Santa Maria alle Scotte", University of Siena, Siena, Italy.

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Introduction: This case report describes the management and the possible therapeutic solutions for the treatment of femoral bone loss associated with an open fracture IIIB Gustilo Andersonin a polytrauma that includes floating knee (GF) Fraser IIB from damage control orthopedics to final treatment.

Case Report: The patient was treated with an external fixator femorotibial bridge after extensive cleaning and debridement of open fractures. After 17-day post-trauma, we substitute the fixator with a less invasive stabilization system plate and screws with contralateral allograft bone strut.

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Evolving Routine Standards in Invasive Hemodynamic Assessment of Coronary Stenosis: The Nationwide Italian SICI-GISE Cross-Sectional ERIS Study.

JACC Cardiovasc Interv

August 2018

Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy; Maria Cecilia Hospital, GVM Care & Research, E.S: Health Science Foundation, Cotignola, Italy. Electronic address:

Objectives: The aims of the ERIS (Evolving Routine Standards of FFR Use) study are to describe the current use of invasive coronary physiology assessment and discern the reasons for its nonuse in daily practice.

Background: Adoption of coronary physiology guidance in the catheterization laboratory varies among countries, centers, and operators.

Methods: ERIS is an investigator-driven, nationwide, prospective, cross-sectional study involving 76 Italian catheterization laboratories.

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Article Synopsis
  • Quantitative coronary angiography (QCA) is traditionally used to assess stent results but may miss suboptimal deployment features, prompting the analysis of optical coherence tomography (OCT) in this context.
  • In a study of 125 lesions in patients with major cardiac events, 105 exhibited optimal QCA results, yet OCT revealed suboptimal stent placement in 54% of these cases, highlighting significant discrepancies between the two methods.
  • The findings underscore the importance of using OCT for a more comprehensive evaluation of stent deployment, as optimal angiographic results can still correlate with suboptimal outcomes.
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Introduction: Distal tibial fractures are the most common long bone fractures. Several studies focusing on the methods of treatment of displaced distal tibial fractures have been published. To date, locked plates, intramedullary nails and external fixation are the three most used techniques.

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A Case of Fatal Cerebral Air Embolism After Blunt Lung Trauma: Postmortem Computed Tomography and Autopsy Findings.

Am J Forensic Med Pathol

March 2018

From the *Section of Forensic Medicine, Department of Medical, Surgical, and Neurological Sciences, University of Siena, Hospital Santa Maria alle Scotte, Siena; †Section of Radiology, Department of Surgical and Biomedical Sciences, University of Perugia, Hospital Santa Maria della Misericordia, Perugia; ‡Section of Radiology, Hospital Alta Valdelsa, Tuscany; and §Postgraduate School of Public Health, University of Siena, Siena, Italy.

Cerebral air embolism is caused by gas bubbles in the vascular system. These bubbles can cause cerebral ischemia by obstructing encephalic blood vessels. It is frequently associated with blunt and penetrating chest trauma as well as iatrogenic interventions.

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Cocaine contamination of banknotes: a review.

Eur J Public Health

December 2017

Legal Medicine, Forensic Science and Sports Medicine, University of Perugia, Perugia, Italy.

Background: The analysis of drug traces on banknotes with different validated techniques can provide important information about the types of substances that are used in a geographical region. The aim of our review was to investigate banknotes' contamination by cocaine, by its metabolite, but also by other drugs.

Methods: A systematic literature search (English written literature) was conducted in MEDLINE, and Scopus, collecting studies from 1974 till 2017.

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