1,476 results match your criteria: "Internal Medicine Department "Carol Davila" University of Medicine and Pharmacy[Affiliation]"

Article Synopsis
  • - Somatostatin is a peptide with multifaceted roles as a neurotransmitter and endocrine regulator, primarily exerting inhibitory effects in various tissues, despite its low physiological concentrations.
  • - It binds to specific receptors called somatostatin receptors (SSTRs), which differ in tissue distribution and can be altered in conditions like tumors, making them useful as cancer biomarkers and for prognostic insights.
  • - The review discusses the five SSTRs, their therapeutic potentials for multiple conditions, including tumors and acromegaly, as well as the potential use of somatostatin antagonists in medical settings.
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1:  The European Society of Gastrointestinal Endoscopy (ESGE) adheres to the overarching principles of equality of opportunity, fair treatment, nondiscrimination, and diversity of health care professionals. 2:  ESGE strongly supports the creation of collaborations within and between national and international endoscopy societies to disseminate the principles of diversity, equality, and inclusion (DEI) in the field of gastrointestinal (GI) endoscopy. 3:  ESGE aims to reflect the diversity of its membership in all its scientific and educational activities.

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Background:  Mucosal visualization during upper gastrointestinal (UGI) endoscopy can be impaired by the presence of foam, bubbles, and mucus. Some UGI endoscopy visibility scales have been proposed but have not undergone multicenter validation. This study aimed to develop and validate the Gastroscopy RAte of Cleanliness Evaluation (GRACE) scale.

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Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers with patients having unresectable or metastatic disease at diagnosis, with poor prognosis and very short survival. Given that genetic variation within autophagy-related genes influences autophagic flux and susceptibility to solid cancers, we decided to investigate whether 55,583 single nucleotide polymorphisms (SNPs) within 234 autophagy-related genes could influence the risk of developing PDAC in three large independent cohorts of European ancestry including 12,754 PDAC cases and 324,926 controls. The meta-analysis of these populations identified, for the first time, the association of the BID variant with an increased risk of developing the disease (OR = 1.

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Aims: Real-world data show that guidelines are insufficiently implemented, and particularly guideline-directed medical therapies (GDMT) are underused in patients with heart failure and reduced ejection fraction (HFrEF) in clinical practice. The Council for Cardiology Practice and the Heart Failure Association of the European Society of Cardiology (ESC) developed a survey aiming to (i) evaluate the perspectives of the cardiology community on the 2021 ESC heart failure (HF) guidelines, (ii) pinpoint disparities in disease management, and (iii) propose strategies to enhance adherence to HF guidelines.

Methods And Results: A 22-question survey regarding the diagnosis and treatment of HFrEF was delivered between March and June 2022.

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Global and risk-group stratified well-being and mental health during the COVID-19 pandemic in adults: Results from the international COH-FIT Study.

Psychiatry Res

December 2024

Charité Universitätsmedizin Berlin, Department of Child and Adolescent Psychiatry, Berlin, Germany; Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, USA; The Zucker Hillside Hospital, Northwell Health, New York, USA; The Feinstein Institute for Medical Research, Center for Psychiatric Neuroscience, Manhasset, NY, USA. Electronic address:

Article Synopsis
  • There is a lack of comprehensive international studies examining multidimensional mental health and wellbeing before and during the COVID-19 pandemic, particularly identifying at-risk groups and effective coping strategies.
  • The COH-FIT survey, conducted from April 2020 to June 2022 in 30 languages, assessed changes in well-being and psychopathology among over 121,000 participants, revealing significant declines in mental health during the pandemic.
  • Key findings indicated that certain demographics, such as young adults and people in low-income countries, were particularly affected, while coping strategies like exercise, internet use, and maintaining social contacts emerged as the most effective for managing stress.
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Background: Bortezomib, dexamethasone and cyclophosphamide (VCd) remains a popular regimen, due to its activity and low toxicity, while bortezomib, lenalidomide and dexamethasone (VRd) is widely used in US and Europe; both are combined with anti-CD38 monoclonal antibodies but VCd and VRd have not been compared directly in adequately powered prospective trials.

Aim: We compared the outcomes of 1216 patients treated with VCd (N = 690) or VRd (N = 526) in a real-world setting.

Results: Patients treated with VCd had more often severe renal dysfunction, ISS-3 disease, hypercalcemia, elevated LDH, anemia, thrombocytopenia, poor performance while VRd-treated were older and received less often autologous transplant but more frequently maintenance but the duration of induction was similar.

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Article Synopsis
  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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Compared to the general population, patients with chronic pancreatitis have an up to 12-fold higher risk of developing pancreatic cancer. The aim of our study was the identification of potential proteomic biomarkers to contribute to the detection of pancreatic cancer among patients with chronic pancreatitis. We initially performed a proteomic screening analysis of 105 analytes on plasma pools.

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  • The study examined the results of sequential pars plana vitrectomy for treating retinal detachment with macular holes in non-highly myopic patients from 2017 to 2023.
  • Out of 980 patients, 10 underwent this two-step surgical process, which included repairing the retinal detachment followed by macular hole closure using a specific technique, leading to high rates of success.
  • The findings showed a 90% initial retinal reattachment rate, 100% after the second surgery, complete macular hole closure in all cases, and a significant improvement in visual acuity after treatment.
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Article Synopsis
  • - The study investigates the role of oxidized LDL particles (LDLox) in assessing cardiometabolic risk, focusing on their relationship with other biomarkers and risk factors using data from 1089 participants aged 40-75.
  • - Researchers performed correlation analyses and developed machine learning models to predict risks associated with high blood pressure and obesity, achieving promising validation scores that highlighted the significance of LDLox.
  • - The findings provide new insights into how LDL oxidation may interact with aging markers to influence cardiometabolic health, suggesting that further research with larger groups could enhance clinical assessment tools.
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Introduction: This study aimed to evaluate the effect of baseline body mass index (BMI) and glycated hemoglobin (HbA1c) on the effectiveness and safety of initiating iGlarLixi (insulin glargine 100 U/ml and lixisenatide) in people with type 2 diabetes (T2D) in routine clinical practice.

Methods: We pooled patient-level data from 1406 people with inadequately controlled T2D, initiating a 24-week iGlarLixi treatment. Analysis sets were based on baseline BMI and HbA1c.

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As the population ages, promoting healthy aging through targeted interventions becomes increasingly crucial. Growing evidence suggests that dietary interventions can significantly impact this process by modulating fundamental molecular pathways. This review focuses on the potential of targeted dietary strategies in promoting healthy aging and the mechanisms by which specific nutrients and dietary patterns influence key pathways involved in cellular repair, inflammation, and metabolic regulation.

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Globally, irritable bowel syndrome (IBS) is present in approximately 10% of the population. While this condition does not pose a risk of complications, it has a substantial impact on the patient's quality of life. Moreover, this disease has a significant financial impact on healthcare systems.

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Unlabelled: Breast cancer is one of the most common cancers and the leading cause of cancer death in women. Less than 1% of breast cancer cases are male breast cancers. Although there has been significant progress made in the management of breast cancer, due to its rarity among men, the question of whether men and women with breast cancer have the same treatment response and survival rate still needs to be answered.

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Article Synopsis
  • - Cervical cancer is the third most common female cancer globally and while chemoradiotherapy can improve survival by 6%, it often leads to serious side effects that diminish quality of life due to bone marrow suppression from pelvic radiation.
  • - A study of 69 patients with advanced cervical cancer analyzed their blood cell counts and side effects during treatment, revealing that factors like BMI, age, and radiation dose were linked to significant drops in hemoglobin and other blood cell levels.
  • - Specific radiation doses and techniques were found to correlate with severe blood count reductions, with neutropenia linked to gastrointestinal issues and a notable drop in leukocyte levels occurring around day 35 of treatment with 3D conformal radiotherapy.
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This paper reports results obtained using white light diffraction phase microscopy (wDPM) on captured images of breast and colon tissue samples, marking a contribution to the advancement in biomedical imaging. Unlike conventional brightfield microscopy, wDPM offers the capability to capture intricate details of biological specimens with enhanced clarity and precision. It combines high resolution, enhanced contrast, and quantitative capabilities with non-invasive, label-free imaging.

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Ultrasound Assessment of Sarcopenia in Alcoholic Liver Disease.

Diagnostics (Basel)

August 2024

Internal Medicine II and Gastroenterology Department, Emergency University Hospital Bucharest, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Malnutrition frequently affects patients with alcoholic liver disease (ALD), with important impacts on disease prognosis. Sarcopenia, the clinical phenotype of malnutrition characterized by skeletal muscle loss, is the major component responsible for adverse events in this population. The aim of this study is to assess the use of ultrasound (US) skeletal muscle performance in stratifying ALD disease severity.

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Article Synopsis
  • This statement from the European Association of Cardiovascular Imaging (EACVI) outlines key principles for conducting clinical research in cardiovascular imaging.
  • It serves as a useful guide for clinical researchers, cardiology fellows, and Ph.D. students in designing and implementing imaging protocols for clinical trials.
  • While it can't substitute formal research training, it's highly recommended for anyone wanting to learn about or get involved in clinical trials related to cardiovascular imaging.
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Persistent Müllerian duct syndrome (PMDS) is a rare kind of internal male pseudohermaphroditism. The patient, who has a male karyotype and phenotypic characteristics, exhibits Müllerian duct derivatives such as the uterus, cervix, fallopian tubes, and upper two-thirds of the vagina. This article provides a comprehensive analysis of the CT and MRI characteristics of a case of PMDS in a 35-year-old male patient who sought medical attention at our clinic due to pain in the left inguinal region and the presence of undescended testes on both sides.

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Article Synopsis
  • An online survey of European thyroid specialists revealed that 28% believe thyroid hormone (TH) treatment may be appropriate for euthyroid patients with growing simple goiters, despite guidelines against this practice.
  • There were significant regional differences in support for TH treatment, with only 7% in The Netherlands compared to 78% in the Czech Republic.
  • Factors influencing the likelihood of recommending TH included the specialist's age and the historical iodine insufficiency of their region, while gender, country, and economic factors showed weak associations.
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Hepatitis B Virus (HBV) remains a major global health challenge, with significant morbidity and mortality associated with chronic infections. This study examines the epidemiology, screening, and risk factors associated with HBV in Romania, focusing on a comprehensive national screening program, LIVE(RO)2, involving 320,000 individuals (majority of them considered vulnerable population). A questionnaire was used to collect information on the potential risk factors for HBV transmission.

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Autoimmune bullous diseases (AIBDs) are characterized by the formation of vesicles, bullous lesions, and mucosal erosions. The autoantibodies target the cellular anchoring structures from the surface of epidermal keratinocyte named desmosomes, leading to a loss of cellular cohesion named acantholysis. AIBDs are classified into intraepidermal or subepidermal types based on clinical features, histological characteristics, and immunofluorescence patterns.

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Background: The serum levels of presepsin correlate with parameters indicating cholestasis in sepsis; however, the probability and significance of this association remain uncertain. We aimed to ascertain whether infection, as signaled by presepsin levels, is the primary determinant of elevated biliary parameters in sepsis.

Methods: A unicenter, retrospective study included 396 COVID-free emergency-admitted patients, in which presepsin level was determined.

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Article Synopsis
  • The study investigates the long-term disability effects of severe COVID-19 three years after post-acute rehabilitation using the WHODAS 2.0 questionnaire.
  • Out of 69 identified patients, only 27 participated, highlighting the impact of emotional distress on patient response rates; most patients were older, with comorbidities like diabetes and high blood pressure prevalent.
  • Results showed a mean disability score of 35.09%, largely influenced by diabetes and central neurological deficits, suggesting a need for targeted rehabilitation and ongoing care to enhance recovery outcomes.
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