260 results match your criteria: "Hospitalization and Healthcare[Affiliation]"

As plant-based diets gain traction, interest in their impacts on the gut microbiome is growing. However, little is known about diet-pattern-specific metagenomic profiles across populations. Here we considered 21,561 individuals spanning 5 independent, multinational, human cohorts to map how differences in diet pattern (omnivore, vegetarian and vegan) are reflected in gut microbiomes.

View Article and Find Full Text PDF

Background And Objective: The metaverse refers to a digital realm accessible via internet connections using virtual reality and augmented reality glasses for promoting a new era of social rehabilitation. It represents the next-generation mobile computing platform expected to see widespread utilization in the future. In the context of rehabilitation, the metaverse is envisioned as a novel approach to enhance the treatment of human functioning exploiting the "synchronized brains" potential exacerbated by social interactions in virtual scenarios.

View Article and Find Full Text PDF

In hemodialysis (HD), complement activation, bioincompatibility, and inflammation are intricately intertwined. In the 1970s, as HD became a routine therapy, the observation of complement pathway activation and transient leukopenia by cellulosic dialysis membranes triggered the bioincompatibility debate and its clinical relevance. Extensive deliberations have covered definitions, assessment markers, scope, and long-term clinical consequences of membrane-dependent bioincompatibility reactions.

View Article and Find Full Text PDF
Article Synopsis
  • Turner-type X-linked syndromic intellectual developmental disorder (MRXST) is linked to variants in the HUWE1 gene and manifests through global developmental delays, intellectual disabilities, and unique facial features.
  • This study examined two families with MRXST, identifying genetic variations in HUWE1 through whole-exome sequencing and noting different inheritance patterns.
  • The research highlights consistent clinical features across cases, emphasizing the role of the HUWE1 gene in development, and proposes a monitoring protocol to improve diagnosis and management for affected individuals.
View Article and Find Full Text PDF

Importance: Evidence suggests that prophylactic abdominal drainage after gastrectomy for cancer may reduce postoperative morbidity and hospital stay but this evidence comes from small studies with a high risk of bias. Further research is needed to determine whether drains safely meet their primary purpose of identifying and managing postoperative intraperitoneal collections without the need for reoperation or additional percutaneous drainage.

Objective: To determine whether avoiding routine abdominal drainage increased postoperative invasive procedures.

View Article and Find Full Text PDF

Significant Advancements and Evolutions in Chimeric Antigen Receptor Design.

Int J Mol Sci

November 2024

Scientific Institute for Research, Hospitalization and Healthcare, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 40121 Meldola, Italy.

Recent times have witnessed remarkable progress in cancer immunotherapy, drastically changing the cancer treatment landscape. Among the various immunotherapeutic approaches, adoptive cell therapy (ACT), particularly chimeric antigen receptor (CAR) T cell therapy, has emerged as a promising strategy to tackle cancer. CAR-T cells are genetically engineered T cells with synthetic receptors capable of recognising and targeting tumour-specific or tumour-associated antigens.

View Article and Find Full Text PDF

Influence of Uric Acid on Vascular and Cognitive Functions: Evidence for an Ambivalent Relationship.

Metabolites

November 2024

Geriatric Unit, Department of Internal Medicine and Medical Specialties, AOU Policlinico Umberto I, 00161 Rome, Italy.

Article Synopsis
  • The growing awareness of cognitive impairment and dementia as public health issues has led to global efforts to identify risk factors and prevent these conditions.
  • Uric acid, a byproduct of purine metabolism, is being studied for its potential dual role in cognitive health, with some research suggesting high levels may protect against Alzheimer's while other studies show opposite effects.
  • This review explores the complex relationship between uric acid metabolism and cognitive function, acknowledging the multifaceted nature of biological interactions involved.
View Article and Find Full Text PDF

Introduction: Recently, the ASCO and ESMO guidelines on salivary gland carcinomas (SGCs) have been released. However, several crucial points lack strong recommendations due to low or intermediate quality of evidence. To better address these "grey zones" in the guidelines, we conducted a survey among the European Organization for Research and Treatment of Cancer (EORTC) Head and Neck Cancer Group (HNCG) members on behalf of the EORTC young and early career investigators.

View Article and Find Full Text PDF

Objective: Sexual functioning is a multifaceted aspect of human life that can be profoundly affected in patients with glioma. Most frequent symptoms include reduced sexual desire, difficulties in sexual arousal, or low satisfaction. Such symptoms may cause distress or interpersonal difficulties, inevitably resulting in negative outcomes on different domains of patients' quality of life.

View Article and Find Full Text PDF

Severe ischemia-reperfusion injury induces epigenetic inactivation of LHX1 in kidney progenitor cells after kidney transplantation.

Am J Transplant

November 2024

Cancer Epigenetics Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Institute for Biomedical Research (IDIBELL), Barcelona, Spain; Epigenetic Therapies Group, Genesis of Cancer Program, Josep Carreras Leukaemia Research Institute (IJC), Badalona, Spain. Electronic address:

Severe ischemia-reperfusion injury (IRI) causes acute and chronic kidney allograft damage. As therapeutic interventions to reduce damage are limited yet, research on how to promote kidney repair has gained significant interest. To address this question, we performed genome-wide transcriptome and epigenome profiling in progenitor cells isolated from the urine of deceased (severe IRI) and living (mild IRI) donor human kidney transplants and identified LIM homeobox-1 (LHX1) as an epigenetically regulated gene whose expression depends on the IRI severity.

View Article and Find Full Text PDF

Differential Gene Expression in Late-Onset Friedreich Ataxia: A Comparative Transcriptomic Analysis Between Symptomatic and Asymptomatic Sisters.

Int J Mol Sci

October 2024

Division of Biotechnologies, Italian National Agency for New Technologies, Energy and Sustainable Development (ENEA), 00123 Rome, Italy.

Friedreich ataxia (FRDA) is the most common inherited ataxia, primarily impacting the nervous system and the heart. It is characterized by GAA repeat expansion in the FXN gene, leading to reduced mitochondrial frataxin levels. Previously, we described a family displaying two expanded GAA alleles, not only in the proband affected by late-onset FRDA but also in the younger asymptomatic sister.

View Article and Find Full Text PDF

Background: Research shows that older adults' performance on choice reaction time (CRT) tests can predict cognitive decline. A simple CRT tool could help detect mild cognitive impairment (MCI) and preclinical dementia, allowing for further stratification of cognitive disorders on-site or via telemedicine.

Objective: The primary objective was to develop a CRT testing device and protocol to differentiate between two cognitive impairment categories: (a) subjective cognitive decline (SCD) and non-amnestic mild cognitive impairment (na-MCI), and (b) amnestic mild cognitive impairment (a-MCI) and multiple-domain a-MCI (a-MCI-MD).

View Article and Find Full Text PDF

Brainstem cerebral cavernous malformations (CCM) are clinically more aggressive compared to superficial CCMs. Due to their location, resection can be challenging, making stereotactic radiosurgery (SRS) an attractive alternative for symptomatic patient. Brainstem CCM patients (n = 170) were treated with Gamma Knife SRS at 11 radiosurgical centers.

View Article and Find Full Text PDF

Background: Alzheimer's disease (AD) is the most common cause of dementia and cognitive decline in the elderly. Although the etiology of AD is unknow, an increase in amyloid precursor protein (APP) leads to the toxic aggregation of Aβ plaques. Several factors, such as hypertension, diabetes, dyslipidemia, smoking, hormonal changes, and metal exposure, could increase the risk of developing AD.

View Article and Find Full Text PDF

Bone health in transgender assigned female at birth people: effects of gender-affirming hormone therapy and gonadectomy.

Front Endocrinol (Lausanne)

October 2024

Division of Gynecology and Human Reproduction Physiopatology, Istituito di Ricovero e Cura a Carattere Scientifico (Scientific Institute for Research, Hospitalization and Healthcare) (IRCCS) Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Article Synopsis
  • The study focuses on the effects of gender-affirming hormone therapy (GAHT) on bone health in transgender and gender-diverse individuals assigned female at birth (AFAB), specifically comparing those who have undergone bilateral oophorectomy (BO) and those who have not.
  • Over 240 TGD AFAB participants were assessed for bone density using dual-energy X-ray absorptiometry scans at the start and after 5-10 years on GAHT, revealing a decline in bone density after 5 years, particularly in individuals who had undergone BO.
  • Findings indicate that physically active individuals maintained better bone density, while GAHT led to significantly lower estradiol levels after 5 years, which correlated with
View Article and Find Full Text PDF
Article Synopsis
  • The study looked at how patients with a liver disease called primary biliary cholangitis (PBC) respond to a treatment called ursodeoxycholic acid (UDCA).
  • It found that many patients (33%) didn’t have a good response after one year, and those who lost their good response had a higher chance of needing a liver transplant or dying.
  • The research showed that staying or getting back to a good response is important for improving long-term health.
View Article and Find Full Text PDF
Article Synopsis
  • Many people with schizophrenia do worse than average on memory and thinking tests, even if they seem fine to others.
  • Problems with thinking can happen before someone shows signs of schizophrenia and can still be present even when they’re feeling better.
  • A group of experts looked at the latest research about how to help people with these thinking problems and made suggestions to improve mental health care.
View Article and Find Full Text PDF

Anti-slit diaphragm antibodies on kidney biopsy identify pediatric patients with steroid-resistant nephrotic syndrome responsive to second-line immunosuppressants.

Kidney Int

December 2024

Nephrology and Dialysis Unit, Meyer Children's Hospital, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy; Department of Biomedical, Experimental and Clinical Sciences "Mario Serio, " University of Florence, Florence, Italy. Electronic address:

Article Synopsis
  • * In a study of pediatric and adult patients, a significant portion showed IgG antibodies localizing to kidney proteins, but the presence of these antibodies varied, indicating potential involvement of other proteins.
  • * Patients with anti-slit antibodies were more likely to develop nephrotic syndrome and showed a higher response rate to second-line immunosuppressants, while those without these antibodies had a greater risk of kidney failure.
View Article and Find Full Text PDF

Phenotypic presentation of c.758delC (p.Ser253Cys 28) pathogenic variant: a case report.

Oxf Med Case Reports

September 2024

Division of Anatomic Pathology and Histology, Catholic University of Sacred Heart, Largo Agostino Gemelli, 8, 00168, Rome, Italy.

Article Synopsis
  • - A 32-year-old man with MEN1 syndrome presented with multiple health issues, including hyperparathyroidism, but no prolactin or growth hormone-secreting tumors were found.
  • - After a subtotal parathyroidectomy, he was diagnosed with non-functioning pituitary adenoma, pancreatic lesions, and Cushing syndrome linked to an adrenal adenoma.
  • - Genetic testing confirmed MEN1 syndrome, revealing a new pathogenic mutation (c.758delC) in the MEN1 gene.
View Article and Find Full Text PDF

Definitions of adverse events associated with extracorporeal membrane oxygenation in children: results of an international Delphi process from the ECMO-CENTRAL ARC.

Lancet Child Adolesc Health

October 2024

Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA; Susan B Meister Child Health Evaluation and Research Center, Division of General Pediatrics, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA. Electronic address:

Article Synopsis
  • ECMO is a complex and risky life support system that lacks standardized definitions for adverse outcomes, which hinders effective research and practices.
  • The ECMO-CENTRAL ARC was formed to create clear definitions for pediatric ECMO adverse events, using input from literature and a diverse expert panel.
  • After three rounds of surveys, 13 key adverse event definitions were established and unanimously agreed upon by the voting experts.
View Article and Find Full Text PDF

Myoclonic epilepsy with ragged red fibers (MERRF) is a rare mitochondrial disease that can affect various organs, including the heart. We present a case report and brief review of the literature with the aim of exploring the progression of cardiac involvement in patients with MERRF. A 65-year-old male with a history of MERRF, first diagnosed at age 55 with interventricular septum hypertrophy, presented with acute heart failure.

View Article and Find Full Text PDF

Solitary primary extraosseous plasmacytoma is a rare disease in the gastrointestinal tract, recently classified as an "exceptional" tumor of the colon site. The real incidence (one case/population/year) is unknown but reasonably less than 1/10,000,000 cases/year with very few descriptions in the literature. The rare cases described in the literature are often diagnosed after surgery for perforation and with predominant localization of the left colon.

View Article and Find Full Text PDF

Bullous pemphigoid (BP) is the most common autoimmune bullous disease: it most commonly affects individuals over 70 years old and impacts severely on their quality of life. BP represents a paradigm for an organ-specific autoimmune disease and is characterized by circulating IgG autoantibodies to hemidesmosomal components: BP180 and BP230. While the crucial role of these autoantibodies in triggering BP inflammatory cascade is fully acknowledged, many ancillary etiological mechanisms need to be elucidated yet.

View Article and Find Full Text PDF

Editorial: Women in cancer immunity and immunotherapy.

Front Immunol

September 2024

Scientific Directorate, Eurpean Institute of Oncology (IEO) Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Milan, Italy.

View Article and Find Full Text PDF
Article Synopsis
  • A study on perioperative antibiotic prophylaxis (PAP) in lung transplant recipients over a 20-year period revealed significant variation in practices among different centers.
  • The research enrolled 111 lung transplant recipients, finding that most received combination therapy, while the median duration for PAP was 10 days.
  • However, the study concluded that there was no significant difference in preventing early post-operative infections (EPOIs) between combination and single-agent therapies, and duration of PAP also did not impact EPOI rates.
View Article and Find Full Text PDF