1,520 results match your criteria: "Institute for Maternal and Child Health IRCCS "Burlo Garofolo[Affiliation]"

Ectopic pregnancy (EP) is a pregnancy where the growing blastocyst implants outside the endometrial cavity. EP account approximately for 0.5-1% of all pregnancies, and extrauterine implant is the leading cause of woman mortality in the first trimester of gestation.

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  • Kabuki Syndrome (KS) is a genetic disorder that can affect multiple systems in the body, leading to immunological issues like higher infection risk and autoimmune responses.
  • A study involving 39 KS patients revealed that many had congenital heart defects and a notable percentage suffered from autoimmune cytopenia, which was linked to thymectomy.
  • The findings indicated that a significant number of patients had low immunoglobulin levels, increasing the need for immunoglobulin therapy, while certain immune cell abnormalities were also noted, highlighting the complexity of KS-related immunological challenges.
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Respiratory infections are common in pregnancy with conflicting evidence supporting their association with neonatal congenital anomalies, especially during the first trimester. We profiled cytokine and chemokine systemic responses in 242 pregnant women and their newborns after SARS-CoV-2 infection, acquired in different trimesters. Also, we tested transplacental IgG passage and maternal vaginal-rectal microbiomes.

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MicroRNAs (miRNAs) play a crucial role in the early diagnosis of autoinflammatory diseases, with Hidradenitis Suppurativa (HS) being a notable example. HS, an autoinflammatory skin disease affecting the pilosebaceous unit, profoundly impacts patients' quality of life. Its hidden nature, with insidious initial symptoms and patient reluctance to seek medical consultation, often leads to a diagnostic delay of up to 7 years.

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Acute kidney injury in children hospitalised for febrile urinary tract infection.

Acta Paediatr

July 2024

Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Di Milano, Milano, Italy.

Article Synopsis
  • The study aimed to assess the prevalence and risk factors for acute kidney injury (AKI) in children hospitalized for febrile urinary tract infections (fUTI), and to determine if AKI could indicate underlying vesicoureteral reflux (VUR).
  • Out of 849 children studied, 14.6% developed AKI, with a higher prevalence of 30% in those having congenital anomalies of the kidney and urinary tract (CAKUT).
  • AKI was identified as a strong predictor for VUR, even after accounting for other diagnostic factors, indicating its relevance in evaluating children with fUTI.
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Introduction: Purpose of our study was to compare two competing methods of performing bisyllabic word speech audiometry for the detection of the 50% speech reception threshold in noise (SRT50).

Methods: Classic method is performed submitting multiple word lists at a fixed signal-to-noise ratio. A newer Fast method - Italian Fast Speech Reception Threshold 50 (IFastSRT50) - is performed by means of program software with a single list of bisyllabic words and noise intensity shifting.

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Pediatric stricturing Crohn's disease.

World J Gastroenterol

March 2024

Department of Gastrointestinal Endoscopy and Nutrition, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste 34137, Italy.

Crohn's disease (CD) is a chronic inflammatory disease of the digestive tract. The incidence of pediatric CD is increasing and is currently 2.5-11.

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  • Aggressive angiomyxoma (AAM) is a rare tumor found mostly in the pelvic area of young women, known for its slow growth and tendency to invade nearby tissues without a clear boundary.
  • Diagnosing AAM before surgery is challenging due to its rarity and lack of specific symptoms, making complete removal difficult during treatment.
  • Despite surgical excision being the primary approach, recurrence occurs in up to 40% of cases, sometimes many years later; this paper aims to provide updated information on diagnosis and management of AAM based on recent clinical experiences.
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Editorial: Short stature: beyond growth hormone.

Front Endocrinol (Lausanne)

April 2024

Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

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Background: This study aimed at documenting the levels of stress, depression, anxiety and participation in care among mothers versus fathers of newborns hospitalised in a third-level neonatal intensive care unit (NICU) in Northern Italy.

Methods: Parental stress, depression and anxiety were assessed by the Parental Stressor Scale in NICU (PSS:NICU), the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI). Participation in care was evaluated with the Index of Parental Participation.

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  • The CDC and ACIP endorse COVID-19 vaccination for patients with inborn errors of immunity (IEI), but there's limited knowledge on its safety and impact on infection severity in these patients.
  • A study involving a registry of 1,245 IEI patients across 24 countries was conducted to gather data on vaccination frequency, safety, and effectiveness, revealing that 64.7% were vaccinated, primarily with mRNA vaccines.
  • Results showed that vaccinated patients had significantly lower hospitalization and ICU admission rates when infected with COVID-19, indicating that vaccination is both safe and effective in reducing the severity of the disease in IEI patients.
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  • The ability to merge retinal images for depth perception (stereopsis) is crucial for human vision and relies on good eye alignment and visual acuity during childhood.
  • Early diagnosis of stereo deficiencies is important, but assessing these in infants and young children is challenging.
  • Recent research indicates that ocular-following responses (OFRs) can effectively indicate stereo deficiencies, as they differ between children with normal and compromised stereopsis, suggesting their potential as a diagnostic tool for conditions like amblyopia.
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Background: While oral laxatives represent the first-line treatment of fecal impaction, enemas are frequently used in clinical practice in pediatric emergency departments (PEDs) and by family pediatricians (FPs).

Objectives: Phosphate-containing enemas (PcEs) are commonly employed, even causing the risk of rare but lethal toxicity. We investigated pediatricians' awareness of PcE risks.

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The Women4Health cohort: a unique cohort to study women-specific mechanisms of cardio-metabolic regulation.

Eur Heart J Open

March 2024

Institute of Genetic and Biomedical Research (IRGB), National Research Council (CNR), c/o Cittadella Universitaria di Monserrato, SS554 Km 4500, Monserrato, 09042, CA, Italy.

Aims: Epidemiological research has shown relevant differences between sexes in clinical manifestations, severity, and progression of cardiovascular and metabolic disorders. To date, the mechanisms underlying these differences remain unknown. Given the rising incidence of such diseases, gender-specific research on established and emerging risk factors, such as dysfunction of glycaemic and/or lipid metabolism, of sex hormones and of gut microbiome, is of paramount importance.

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Objective: Pain's causes in children with severe cognitive impairment may be challenging to diagnose. This study aimed to investigate if there is a relationship between pain causes and the age of children.

Methods: We conducted a multicenter retrospective study in three Italian Pediatric Units.

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Introduction: It has been proposed that not all children with short stature displaying an inadequate response to tests for growth hormone (GH) secretion truly suffer from GH deficiency (GHD). Only children with a monogenic cause of GHD or an identifiable combined hormonal deficiency or anatomical anomaly in the hypothalamic-pituitary axis should be considered definite GHD (dGHD). The remaining patients can be defined as a separate group of patients, "short stature unresponsive to stimulation tests" (SUS).

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  • Antimicrobial resistance (AMR) is projected to cause 10 million deaths annually by 2050, with 1.27 million deaths directly resulting from antibiotic resistance (ABR) in 2019, heavily impacting children under five.
  • The study aims to compare the impact of ABR in terms of death and disability-adjusted life years (DALYs) between Italy and Western Europe, identifying urgent healthcare needs in Italy.
  • Data was extracted from the MICROBE tool, analyzing the burden of 33 bacterial pathogens across various infectious syndromes, and comparing death and DALY rates related to ABR in both regions to highlight significant health challenges.
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Flagellar beating forces of human spermatozoa with different motility behaviors.

Reprod Biol Endocrinol

March 2024

CNR-Istituto Officina dei Materiali (IOM), SS 14 km 163.5 Area Science Park Basovizza, Trieste, 34149, Italy.

Background: One of the causes of male infertility is associated with altered spermatozoa motility. These sperm features are frequently analyzed by image-based approaches, which, despite allowing the acquisition of crucial parameters to assess sperm motility, they are unable to provide details regarding the flagellar beating forces, which have been neglected until now.

Results: In this work we exploit Fluidic Force Microscopy to investigate and quantify the forces associated with the flagellar beating frequencies of human spermatozoa.

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As little is known about the burden of type 1 (T1DM) and type 2 diabetes (T2DM) in adolescents in Western Europe (WE), we aimed to explore their epidemiology among 10-24 year-olds. Estimates were retrieved from the Global Burden of Diseases Study (GBD) 2019. We reported counts, rates per 100,000 population, and percentage changes from 1990 to 2019 for prevalence, incidence and years lived with disability (YLDs) of T1DM and T2DM, and the burden of T2DM in YLDs attributable to high body mass index (HBMI), for 24 WE countries.

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Patients with Type 2 Diabetes Mellitus (T2DM) are rapidly increasing in Italy due to aging, preventable risk factors, and worsening socioeconomic context. T2DM and its sequelae take a heavy toll on healthcare systems and the economy, given costly management, difficulties in coping with everyday life, and decreasing patient/worker productivity. Considering long life expectancy in Italy and a decreasing mortality rate due to T2DM, this study aims to calculate the years lived with disability (YLDs) of T2DM and its sequelae grouped into three categories: Neuropathy, Chronic Kidney Disease and No Complications, taking into consideration sex, year, and geographical location.

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  • Granular cell tumors (GCTs), also known as Abrikossoff's tumors, are uncommon growths that originate from Schwann cells, which are important for nerve function.
  • The most effective way to diagnose GCTs is through immunohistochemistry, a technique that helps identify specific proteins in cells.
  • Surgical removal of benign GCTs can completely cure the condition, but it's important for patients to have regular check-ups after surgery to monitor for any issues.
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Bruxism is a worldwide oral health problem. Although there is a consensus about its multifactorial nature, its precise etiopathogenetic mechanisms are unclear. This study, taking advantage of a deeply characterized cohort of 769 individuals (aged 6-89 years) coming from Northern Italy's genetically isolated populations, aims to epidemiologically describe environmental risk factors for bruxism development and identify genes potentially involved through a Genome-Wide Association Study (GWAS) approach.

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Diet is an essential element of treating and managing type 1 diabetes (T1D). However, limited research has examined food behaviour in children and adolescents with T1D and their relationship to glycaemic control. This study evaluated food behaviour, metabolic characteristics and their impact on the glycaemic control of children and adolescents with T1D.

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