74 results match your criteria: "Santa Lucia Hospital[Affiliation]"

Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study.

Sao Paulo Med J

December 2022

PhD. Professor, Postgraduate Program in Nursing, Universidade de Guarulhos (UNG), Guarulhos (SP), Brazil.

Background: Due to "stay at home" restrictions during the coronavirus disease 2019 (COVID-19) pandemic, people spent more time at home leading to an increase in home accidents, including burns.

Objective: To investigate the epidemiology of burns that occurred within homes during the COVID-19 pandemic in Brazil.

Design And Settings: This was a quantitative, descriptive, and cross-sectional study with a non-probabilistic sample.

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Background: Magnesium abnormalities have been associated with adverse kidney outcomes and mortality in critically ill patients, however, this association remains inconsistent. This study aimed to investigate the association of magnesium abnormalities at intensive care unit (ICU) admission with kidney outcomes (i.e.

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Purpose: There is scarce evidence of effective treatments for the chronic phase of Febrile infection-related epilepsy syndrome (FIRES). This study aimed to analyze the outcomes of treatment with anakinra and tocilizumab.

Methods: Retrospective study including patients receiving either anti-interleukin-1 (anti-IL-1, anakinra) or anti-IL-6 (tocilizumab) during the chronic phase of FIRES.

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Article Synopsis
  • Transcatheter aortic valve implantation (TAVI) using the Navitor, a third-generation device, showed positive outcomes in patients with severe aortic stenosis between June and December 2021.
  • The study included 39 patients with an average age of 80, achieving device and procedural success in all, with a hospital stay averaging 6.6 days and only one needing a permanent pacemaker.
  • Follow-up results at one month indicated no cases of moderate or severe aortic regurgitation, suggesting the Navitor device has the potential to broaden TAVI applications and improve patient outcomes.
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Article Synopsis
  • Transcatheter aortic valve implantation (TAVI) requires detailed planning using non-invasive imaging, primarily CT scans, which can be overwhelming due to the amount of data they provide.
  • A new scoring system, the TAVI-CT score, was developed to simplify and summarize CT exam details for decision-making related to TAVI procedures, focusing on features of the heart and arteries.
  • In a study of 200 patients, the scoring system helped differentiate procedural choices and outcomes, indicating that higher scores were associated with more vascular complications, while overall success rates remained consistent across all score groups.
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Background: Transcatheter aortic valve implantation (TAVI) is emerging as an appealing management strategy for patients with severe aortic stenosis at intermediate, high or exceedingly high risk, but its risk-benefit profile in younger patients is less certain. We aimed to explore the outlook of patients aged 70 years or less and undergoing TAVI at 2 high-volume Italian institutions.

Methods: We retrospectively collected baseline, imaging, procedural and outcome features of patients with age ≤70 years in whom TAVI was attempted at participating centers between 2012 and 2021.

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Purpose: The effectiveness of enhanced recovery after surgery (ERAS) pathways in patients undergoing bariatric surgery remains unclear. Our objective was to determine the effect of the ERAS elements on patient outcomes following elective bariatric surgery.

Materials And Methods: Prospective cohort study in adult patients undergoing elective bariatric surgery.

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The Impact of the Magnitude of the Group of Bullies on Health-Related Quality of Life and Academic Performance Among Adolescents.

Child Psychiatry Hum Dev

June 2023

Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Murcia, Campus de Espinardo, 30110, Murcia, Spain.

This study examines the consequences that physical and verbal/social victimization by peers and the magnitude of the groups of bullies have on academic performance and the psychological and social domains of Health-related Quality of Life (HRQoL). 1428 secondary school students in the south-east Spain completed the Spanish version of the "Adolescent Peer Relations Instrument-Bullying" and "KIDSCREEN-52" questionnaires in order to analyse, respectively, peer victimization and the psychological and social domains of HRQoL. Data on sociodemographic characteristics and academic achievement was also collected.

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Article Synopsis
  • The study analyzed the outcomes of patients receiving MitraClip treatment for mitral valve regurgitation, comparing those under 80 years old to octogenarians (80+ years).
  • A total of 1853 patients were included, with similar in-hospital mortality rates and improvements in mitral regurgitation among both age groups.
  • At a 15-month follow-up, while octogenarians had lower rates of rehospitalization and cardiac complications, once adjusting for various baseline characteristics, there were no significant differences in major outcomes between the age groups, indicating the procedure is safe for older patients.
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Article Synopsis
  • Transcatheter mitral valve repair (TMVR) using MitraClip™ is an effective treatment for mitral regurgitation (MR), with options for implanting one or multiple clips based on the severity of the condition.
  • A study analyzed data from the GISE registry, comparing outcomes for patients with one, two, or multiple MitraClips, focusing on 1-year cardiac death or rehospitalization as the primary endpoint.
  • The analysis included 1824 patients and revealed significant baseline health differences and procedural variations among those receiving different numbers of MitraClips, impacting clinical outcomes and recovery.
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Objective: To evaluate the influence of ABO and Rh blood groups on morbidity among SARS-CoV-2 infected pregnancies.

Design: Prospective observational study.

Setting: 78 centers of the Spanish Obstetric Emergency Group.

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Introduction: Urgent or emergency treatment of patients with abdominal aortic aneurysms that are anatomically unsuitable for conventional repair because of short proximal necks, small diameters and access vessel calcification, and high risk for open repair can be performed with commercially available branched or fenestrated aortic endografts or physician modified stent grafts.

Report: A technique is described for modification and successful implantation of a commercially available standard aortic stent graft with a low profile main body in two patients at high risk for open repair, with small access vessels and requiring uni- or bilateral renal artery fenestration for juxtarenal aneurysm repair.

Discussion: Based on two case experiences, the use of physician modified off the shelf endografts appears to be a feasible and effective alternative to fenestrated endovascular repair in patients with juxtarenal abdominal aortic aneurysms at high risk for open surgical repair.

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Direct and indirect effects of COVID-19 on acute coronary syndromes: Can we pick the worst?

Int J Cardiol

July 2021

Unità Operativa di Interventistica Cardiovascolare, Pineta Grande Hospital, Castel Volturno, Italy; Unità Operativa di Emodinamica, Santa Lucia Hospital, San Giuseppe Vesuviano, Italy.

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Objectives: To analyse the strains collected during a 1-year survey of ceftazidime-avibactam-resistant KPC-producing Klebsiella pneumoniae, in order to investigate the molecular mechanisms potentially responsible for their resistant phenotype.

Methods: Clinical KPC-producing K. pneumoniae isolates were collected from 31 patients in six different hospitals in Rome.

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Thrombocytopenia after TAVI is common and clinically detrimental. Retrospectively, we observed Portico recipients had a more profound platelet drop than Evolut recipients. We thus investigated periprocedural platelet damage and/orpro-inflammatory state in 64 TAVI recipients at baseline and after implantation.

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Introduction: Severe neutropenia is a dose-limiting factor that occurs in up to 82% of patients with metastatic castration-resistant prostate cancer (mCRPC) treated with cabazitaxel. This study evaluated the effectiveness of granulocyte colony-stimulating factor (G-CSF) plus ciprofloxacin as prophylaxis in post-docetaxel patients with mCRPC treated with cabazitaxel and at high risk for neutropenia.

Patients And Methods: This was a phase IV, multicenter, open-label, single-arm interventional study with men aged ≥ 65 years (or < 65 years and ≥ 25% irradiated bone marrow), presenting with mCRPC after docetaxel failure, performance status ≤ 1, and life expectancy > 12 weeks.

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Background: Transcatheter aortic valve implantation (TAVI) has become first-line treatment for severe aortic valve stenosis in patients with moderate, high or prohibitive surgical risk. However, access site complications may occur more frequently in extreme body mass index (BMI) categories. The aim of this study was to describe the features and outcomes of patients undergoing TAVI in a comprehensive Italian prospective clinical registry, focusing on BMI classes.

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Transcatheter aortic valve implantation (TAVI) is a safe and beneficial treatment for patients with severe symptomatic aortic stenosis at high and intermediate surgical risk. The safety of the procedure continues to improve thanks to more refined procedural approaches and devices but, also and above all, to the accrual of the procedural knowledge and expertise by the operators. The diversification of the approaches and the possibility to tailor the treatment on the individual needs and anatomical features of the patients allows a rapid learning curve in the management of even complications.

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Background: Laparoscopic distal pancreatectomy (LDP) is the preferred approach for resection of tumors in the distal pancreas because of its many advantages over the open approach.

Aim: To analyse and compare short and long-term outcomes from LDP performed through two different techniques: with splenectomy vs. spleen preservation and splenic vessel preservation.

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Objectives: Coupled Plasma Filtration and Adsorption (CPFA) use in septic shock remains controversial. The objective is to clarify whether the application of high doses of CPFA in addition to the current clinical practice could reduce hospital mortality in septic shock patients in Intensive Care Units at 28 days and at 90 days follow-up.

Design: We designed a prospective randomised clinical trial, Reducción de la Mortalidad Plasma-Adsorción (ROMPA), to demonstrate an absolute mortality reduction of 20% (α=0.

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Transcatheter aortic valve implantation (TAVI) for aortic stenosis is becoming an appealing alternative to surgical aortic valve replacement in high-risk patients and to medical therapy for inoperable ones. Several new-generation TAVI devices have been recently introduced, but comparative analyses are lacking. We aimed to compare 1-month outcomes associated with such five leading new-generation TAVI devices exploiting data collected in the prospective observational RISPEVA (Registro Italiano GISE sull'impianto di Valvola Aortica Percutanea) Study.

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