18 results match your criteria: "Meyer Children's University Hospital IRCCS[Affiliation]"

Article Synopsis
  • A survey was conducted among 32 senior clinicians across 20 European countries to understand current practices in postnatal prophylaxis (PNP) and infant feeding guidelines.
  • Twenty-three clinicians responded, revealing that all countries use risk stratification for PNP, but methods and regimens widely differ, with zidovudine being the most commonly used drug.
  • There is significant variation in guidelines regarding infant feeding for babies born to HIV-positive parents, highlighting the need for harmonization in policies to minimize HIV transmission and support informed feeding choices.
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Article Synopsis
  • Childhood apraxia of speech (CAS) is a genetic speech disorder, and recent advancements in whole exome and genome sequencing have improved the identification of gene variants linked to it, particularly in a new Italian study.
  • In a study of 69 Italian children with CAS, researchers used whole exome sequencing to find high-confidence and low-confidence gene variants, revealing new potential genetic links to the disorder.
  • The study indicated that many of the identified high-confidence genes are involved in brain regions related to language acquisition, confirming their role in speech impairment and highlighting a significant diagnostic yield among affected Italian patients.
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  • Recurrent respiratory infections significantly impact individuals with Cystic Fibrosis (pwCF), and the role of Nocardia species as emerging pathogens necessitates further exploration in their management and clinical significance.
  • A systematic review of 16 studies involving 89 pwCF highlighted the isolation of various Nocardia species, with co-infection present in 85% of cases and a notable decline in lung function observed in 23% of patients post-isolation.
  • The findings emphasize the importance of prompt treatment following Nocardia strain isolation, with 93% of patients receiving immediate antibiotic therapy suited to their clinical conditions.
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Evaluation of cervical spinal cord atrophy using a modified SIENA approach.

Neuroimage

September 2024

Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy; Siena Imaging S.r.l., Siena, Italy. Electronic address:

Article Synopsis
  • Spinal cord atrophy, detectable through MRI, has become an important marker for neurodegeneration in neurological disorders, but traditional methods based on cross-sectional area are prone to variability.
  • The study introduces SIENA-SC, a refined imaging technique that directly measures volume changes in the spinal cord over time, showing lower measurement error compared to existing methods.
  • Results indicate that SIENA-SC can effectively differentiate between healthy individuals and Multiple Sclerosis patients, making it a reliable and automated tool for monitoring spinal cord atrophy in clinical research.
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Background: Right ventricular (RV) involvement has been reported in one out of three patients with hypertrophic cardiomyopathy (HCM), however its prognostic significance remains unknown. We aimed to assess the prognostic value of RV involvement in patients with HCM through a systematic review and meta-analysis.

Methods: A literature search was performed on PubMed, ClinicalTrials.

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Effect of antimetabolite regimen on cellular and humoral immune response to SARS-COV-2 vaccination in solid organ transplant recipients.

Immunol Lett

August 2024

University of Florence, Experimental and Clinical Medicine, Florence, Italy; Flow cytometry diagnostic center and immunotherapy, Careggi University Hospital, Florence, Italy. Electronic address:

Objective: Novel mRNA-based vaccines have been proven to be powerful tools in combating the global pandemic caused by SARS-CoV-2 protecting individuals, especially the immunocompromised, from COVID-19. Still, it remains largely unknown how solid organ transplant and different immunosuppressive medications affect development of vaccine-induced immunity.

Methods: In this work, we monitored humoral and cellular memory responses after mRNA SARS-CoV-2 two-doses and booster doses vaccination in cystic fibrosis lung transplanted patients (CFT) and compared them with both cystic fibrosis patients without lung transplant (CF) and with kidney transplant recipients (KT).

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Aim: Paediatric eosinophilia is a common clinical dilemma, often leading to resource- and time-consuming assessments. We aim to evaluate the main aetiologies of eosinophilia in children from different socioeconomic settings and propose a diagnostic algorithm.

Methods: A systematic literature review was conducted through PubMed, Embase and the Cochrane Library.

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Erdheim-Chester disease as complex clinical presentation and diagnosis: A case report and concise review of literature.

Medicine (Baltimore)

April 2024

Department of Health Promotion, Maternal and Child Health, Internal and Specialized Medicine of Excellence "G. D. Alessandro" (PROMISE), University of Palermo, Palermo, Italy.

Rationale: Erdheim-Chester disease (ECD) is a rare multisystemic disease characterized by the infiltration of multiple organs by foamy CD68 + CD1a-histiocytes. The genetic background consists of gain-of-function somatic mutations in the mitogen-activated protein kinase pathway. The purpose of the present paper is to make a contribution to the scientific literature on ECD by reporting our experience with a complex clinical case report, along with a concise review of the literature.

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Fever of unknown origin in pediatrics: role of nuclear medicine.

Q J Nucl Med Mol Imaging

March 2024

Unit of Nuclear Medicine, Department of Image Diagnostic, Rigshospitalet University Hospital, Copenhagen, Denmark.

Fever of unknown origin (FUO) is a debated issue in numerous scientific studies in adult patients with a not jet-defined workflow in a clinical and diagnostic setting. Few works are published about pediatric patients even if FUO represents a challenging, not infrequent scenario in hospital and outpatient recovery. The fever might be the onset symptom of a transient mild infection or the beginning of a more difficult-to-diagnose and serious pathological condition.

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Cancer Treatment-Related Complications in Patients With Hypertrophic Cardiomyopathy.

Mayo Clin Proc

February 2024

Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy; Pediatric Cardiology, Meyer Children's University Hospital IRCCS, Florence, Italy; Department of Experimental and Clinical Medicine, Careggi University Hospital, Florence, Italy.

Objective: To describe the potential clinical cardiotoxicity of oncological treatments in a cohort of consecutive patients with hypertrophic cardiomyopathy (HCM), systematically followed-up at two national referral centers for HCM. Cardiotoxicity relates to the direct effects of cancer-related treatment on heart function, commonly presenting as left ventricular contractile dysfunction. However, limited data are available regarding cardiotoxic effects on HCM as most studies have not specifically analyzed the effects of oncological treatment in HCM populations.

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Restrictive cardiomyopathy (RCM) is characterized by restrictive ventricular pathophysiology determined by increased myocardial stiffness. While suspicion of RCM is initially raised by clinical evaluation and supported by electrocardiographic and echocardiographic findings, invasive hemodynamic evaluation is often required for diagnosis and management of patients during follow-up. RCM is commonly associated with a poor prognosis and a high incidence of heart failure, and PH is reported in paediatric patients with RCM.

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Background: To report ocular manifestations, clinical course, and therapeutic management of patients with molecular genetically confirmed keratitis-ichthyosis-deafness syndrome.

Methods: Four patients, aged 19 to 46, with keratitis-ichthyosis-deafness syndrome from across the UK were recruited for a general and ocular examination and GJB2 (Cx26) mutational analysis. The ocular examination included best-corrected visual acuity, slit-lamp bio-microscopy, and ocular surface assessment.

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Effectiveness of Antimicrobial Lock Therapy for the Treatment of Catheter-Related and Central-Line-Associated Bloodstream Infections in Children: A Single Center Retrospective Study.

Antibiotics (Basel)

April 2023

Division of Pediatric Infectious Disease, Department of Health Sciences, Meyer Children's University Hospital IRCCS, University of Florence, 50139 Florence, Italy.

Antimicrobial lock solutions (ALT) in combination with systemic antibiotics can represent a valid option to attempt central venous catheter (CVC) salvage in the case of catheter-related and central-line-associated bloodstream infections (CRBSI and CLABSI). However, data concerning the effectiveness and safety of ALT in children are limited. We aimed to share our center's experience in order to contribute to investigations into the causes of ALT failure in the pediatric population.

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Management of pulmonary aspergillosis in children: a systematic review.

Ital J Pediatr

March 2023

Infectious Diseases Unit, Department of Health Sciences, Meyer Children's University Hospital IRCCS, University of Florence, Florence, Italy.

Invasive pulmonary aspergillosis (IPA) is a severe condition in immunocompromised children, but the optimal management is still under debate. In order to better clarify this issue, a literature search was performed through MEDLINE/PubMed database to describe current risk factors and diagnostic, therapeutic and prophylactic tools for invasive pulmonary aspergillosis (IPA) in the paediatric age. Observational studies and clinical trials regarding diagnosis, treatment and prophylaxis were considered, and results were summarised.

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Introduction: IgG4-related disease (IgG4-RD) is a rare fibro-inflammatory disease affecting multiple organs. In recent years basic and translational research has unveiled the role of different cellular subtypes and cytokines in inducing and perpetuating the pathological process, eventually leading to fibrosis of affected tissues. Hopefully, the growing knowledge of the disease pathogenesis will lead to patient-tailored treatments in the near future.

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