78 results match your criteria: "National Research Council Institute of Clinical Physiology[Affiliation]"

Accessibility to SARS-CoV-2 swab test during the Covid-19 pandemic: Did age make the difference?

Health Policy

December 2021

Unit of Geriatrics, Department of Medicine, Biomedical Campus of Rome, via Alvaro del Portillo, 21, 00128 Rome, Italy.

Although COVID-19 affects older people more severely, health policies during the first wave of the pandemic often prioritized younger individuals. We investigated whether age had influenced the access to a diagnostic test for SARS-CoV-2 infection and whether clinical complexity and healthcare resources availability could have impacted such differences. This work included 126,741 Italian participants in the EPICOVID19 web-based survey, who reported having had contacts with known/suspected COVID-19 cases (epidemiological criterion) and/or COVID-19-like signs/symptoms (clinical criterion) from February to June 2020.

View Article and Find Full Text PDF
Article Synopsis
  • - In patients with chronic kidney disease (CKD), fractures and vascular calcifications (VCs) are common due to hormone imbalances affecting bone and vascular health, particularly involving vitamin D and calcium metabolism.
  • - A study evaluated the impact of oral calcitriol on vertebral fractures and VCs in hemodialysis patients, revealing that those treated with calcitriol had a significantly lower prevalence of vertebral fractures compared to untreated patients.
  • - The analysis indicated that oral calcitriol reduced the odds of vertebral fractures by over 40% without increasing the risk of vascular calcification, suggesting a potential benefit that needs further investigation.
View Article and Find Full Text PDF

Reshaping of Italian Echocardiographic Laboratories Activities during the Second Wave of COVID-19 Pandemic and Expectations for the Post-Pandemic Era.

J Clin Med

August 2021

Cardiology Division, Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20138 Milano, Italy.

Article Synopsis
  • This study investigates how echocardiographic laboratories in Italy were organized and operated during the second wave of the COVID-19 pandemic, comparing it to the same period in 2019.
  • Findings show significant reductions in both hospital and outpatient echocardiographic activities, with many labs partially or fully interrupted during the pandemic.
  • Safety measures improved for operators, with a widespread use of personal protective equipment, and the study noted an increase in outpatient waiting times for echocardiograms and a rise in the use of point-of-care cardiac ultrasound during the pandemic.
View Article and Find Full Text PDF

Clinical Epidemiology of Systolic and Diastolic Orthostatic Hypotension in Patients on Peritoneal Dialysis.

J Clin Med

July 2021

Nephology, Dialysis and Transplantation Unit-GOM "Bianchi-Melacrino-Morelli", Via Vallone Petrara snc, 89124 Reggio Calabria, Italy.

Blood pressure changes upon standing reflect a hemodynamic response, which depends on the baroreflex system and euvolemia. Dysautonomia and fluctuations in blood volume are hallmarks in kidney failure requiring replacement therapy. Orthostatic hypotension has been associated with mortality in hemodialysis patients, but neither this relationship nor the impact of changes in blood pressure has been tested in patients on peritoneal dialysis.

View Article and Find Full Text PDF

The COVID-19 pandemic provided an extraordinary and naturalistic context to observe young people's psychosocial profiles and to study how a condition of environmental deprivation and lack of direct social contact, affects the well-being and health status of adolescents. The study explored whether the COVID-19 outbreak changes, in the short term, the acute well-being perception in adolescents, as measured by a Personalized Well-Being Index (PWBI) and the four components affecting health (i.e.

View Article and Find Full Text PDF

Age-Related Changes in Clinical Presentation of Covid-19: the EPICOVID19 Web-Based Survey.

Eur J Intern Med

April 2021

Geriatrics Unit, Department of Medicine, Biomedical Campus of Rome, via Alvaro del Portillo, 21, 00128 Rome, Italy.

Background: The influence of aging and multimorbidity on Covid-19 clinical presentation is still unclear.

Objectives: We investigated whether the association between symptoms (or cluster of symptoms) and positive SARS-CoV-2 nasopharyngeal swab (NPS) was different according to patients' age and presence of multimorbidity.

Methods: The study included 6680 participants in the EPICOVID19 web-based survey, who reported information about symptoms from February to June 2020 and who underwent at least one NPS.

View Article and Find Full Text PDF

Background: High-frequency ultrasound (HFUS) is a non-invasive method that detects superficial skin features. Ultra-high frequencies (50-100 MHz) can reveal epidermis and dermis structures.

Objectives: In this study, we describe the psoriatic plaque using a new device equipped with a 70 MHz probe (VEVO MD, Fujifilm, VisualSonics) and we assess the lesion before and after ixekizumab.

View Article and Find Full Text PDF

The present study aims to evaluate whether influenza and pneumococcal vaccinations are associated with positive nasopharyngeal swab (NPS) testing to detect SARS-CoV-2. Data from the Italian cross-sectional web-based survey (EPICOVID19), based on a self-selection sample of individuals aged ≥18, were considered. The probability of a positive SARS-CoV-2 NPS test result as a function of influenza or anti-pneumococcal vaccination was evaluated using multivariable logistic regression, stratifying analysis by age (<65 years, ≥65 years).

View Article and Find Full Text PDF

Objective: Interleukin (IL)-1β is involved in obesity-associated inflammation and in the pathogenesis of type 2 diabetes (T2D) mellitus. Our aim was to correlate serum IL-1β and caspase-1 levels with weight loss, glucose metabolism, and insulin resistance (IR) after bariatric surgery.

Methods: A total of 32 patients with morbid obesity and T2D (Ob-T2D) and 29 patients with morbid obesity and normal glucose tolerance (Ob-NGT), treated by Roux-en-Y gastric bypass, were studied before and 1 year after surgery.

View Article and Find Full Text PDF
Article Synopsis
  • * A study involving healthy individuals on a high-fructose diet for 8 weeks sought to understand its impact on glucose and lipid metabolism across various organs, compared to those with NAFLD as controls.
  • * Results showed that while high fructose did not significantly change overall dietary intake or lead to major metabolic disturbances in healthy participants, it did exacerbate issues in NAFLD patients, highlighting the complex relationship between fructose, metabolism, and liver health.
View Article and Find Full Text PDF

In recent years, the consumption of chocolate and, in particular, dark chocolate has been "rehabilitated" due to its high content of cocoa antioxidant polyphenols. Although it is recognized that regular exercise improves energy metabolism and muscle performance, excessive or unaccustomed exercise may induce cell damage and impair muscle function by triggering oxidative stress and tissue inflammation. The aim of this review was to revise the available data from literature on the effects of cocoa polyphenols on exercise-associated tissue damage and impairment of exercise performance.

View Article and Find Full Text PDF
Article Synopsis
  • - This study analyzes the prevalence and geographical differences of congenital cerebral anomalies in Europe, using data from 29 EUROCAT registries that cover approximately 1.7 million births each year.
  • - A total of 4,927 cases were identified, resulting in an adjusted prevalence of 9.8 per 10,000 births, with significant variation seen across different registries; higher prenatal diagnosis rates correlated with higher prevalence.
  • - The findings reveal that only 55% of cases were live births, and that many cases were associated with non-cerebral or chromosomal anomalies, with increases in prevalence linked to improved diagnoses over time (2005-2014).
View Article and Find Full Text PDF

Mitochondria are fundamental organelles producing energy and reactive oxygen species (ROS); their impaired functions play a key role in endothelial dysfunction. Hydroxytyrosol (HT), a well-known olive oil antioxidant, exerts health benefits against vascular diseases by improving endothelial function. However, the HT role in mitochondrial oxidative stress in endothelial dysfunction is not clear yet.

View Article and Find Full Text PDF

Sleeping oxygen saturation, rapid eye movement sleep, and the adaptation of postprandial metabolic function in insulin sensitive and resistant individuals without diabetes.

Physiol Behav

July 2018

Behavioral Medicine Research Center, University of Miami, Miami, FL, USA; Department of Psychology, University of Miami, Coral Gables, FL, USA; Division of Endocrinology, Diabetes and Metabolism, Miller School of Medicine, University of Miami, Miami, FL, USA. Electronic address:

Aims: Sleeping oxygen saturation (SaO) and sleep stage duration have been linked with prediabetic alterations but the pathogenic pathways are not well understood. This study of insulin sensitive and resistant adults examined the effect on postprandial metabolic regulation of repeated mixed-meal challenges of different carbohydrate loading. The aim was to examine whether the relationship between lower sleeping oxygen saturation (SaO) and poorer fasting and postprandial metabolic function may be linked with reduced slow wave sleep (SWS) and rapid eye movement (REM) duration, independent of age, sex and total adiposity.

View Article and Find Full Text PDF

Arsenic is ubiquitous and has a potentially adverse impact on human health. We compared the distribution of concentrations of urinary inorganic arsenic plus methylated forms (uc(iAs+MMA+DMA)) in four Italian areas with other international studies, and we assessed the relationship between uc(iAs+MMA+DMA) and various exposure factors. We conducted a human biomonitoring study on 271 subjects (132 men) aged 20-44, randomly sampled and stratified by area, gender, and age.

View Article and Find Full Text PDF

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality, and an emerging risk factor for atrial fibrillation (AF). CHADS and CHADS-VASc scores are significantly associated with incident AF independently of other risk factors. The aim of this study was to demonstrate a possible interaction between COPD and CHADS-VASc in predicting incident AF.

View Article and Find Full Text PDF

Body fat accumulation, distribution, and metabolic activity are factors in the pathophysiology of obesity and type 2 diabetes (T2D). We investigated adipose blood flow, fatty acid uptake (FAU), and subcutaneous and visceral fat cellularity in obese patients with or without T2D. A total of 23 morbidly obese (mean body mass index = 42 kg/m) patients were studied before and 6 mo after bariatric surgery; 15 nonobese subjects served as controls.

View Article and Find Full Text PDF

Context: Nonalcoholic fatty liver disease and elevated circulating branched-chain amino acids (BCAAs) are common characteristics of obesity and type 2 diabetes. In rodents, brain insulin signaling controls both hepatic triglyceride secretion and BCAA catabolism. Whether brain insulin signaling controls similar metabolic pathways in humans is unknown.

View Article and Find Full Text PDF

Obesity is a growing worldwide epidemic. Obesity is one of the strongest risk factors for new-onset chronic kidney disease, and also for nephrolithiasis and for kidney cancer. This year the World Kidney Day promotes education on the harmful consequences of obesity and its association with kidney disease, advocating healthy lifestyle and health policy measures that make preventive behaviors an affordable option.

View Article and Find Full Text PDF

Obesity is a growing worldwide epidemic. Obesity is one of the strongest risk factors for new-onset chronic kidney disease, and also for nephrolithiasis and for kidney cancer. This year the World Kidney Day promotes education on the harmful consequences of obesity and its association with kidney disease, advocating healthy lifestyle and health policy measures that make preventive behaviors an affordable option.

View Article and Find Full Text PDF