509 results match your criteria: "State University of Medicine and Pharmacy[Affiliation]"

Guillain-Barré syndrome represents a heterogeneous group of immune-mediated peripheral neuropathies that are characterized by various clinical manifestations. Reporting this clinical case emphasizes the rarity of Guillain-Barré syndrome, the diagnostic challenges faced by healthcare providers, and the risk of delayed diagnosis for both the mother and fetus. A 34-year-old pregnant woman at 33 weeks of gestation presented to the inpatient ward complaining of paresthesia in the lower and upper limbs, muscle pain, balance disturbances, moderate headache, nausea and vertigo, general weakness, and pronounced fatigue.

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Malformative uropathy in children is one of the most common pathological conditions, with an incidence of 5-14% in newborns. Recent research shows that even in the current conditions, they are often diagnosed only in the advanced stages, when Chronic Kidney Disease is already affirming. This study's objective is to identify urinary tract anomalies, including malformative uropathies in the prenatal stage, using imaging techniques, namely ultrasound of the pregnant uterus.

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Flexible Endoscopic Approach to Glottic Carcinoma: Five-Year Oncological Outcomes.

J Voice

October 2024

Bioinformatics and Computational Medicine Laboratory, National Institute for Health and Medical Research, "Nicolae Testemițanu" State University of Medicine and Pharmacy, Chișinău, Republic of Moldova.

Objective: The objective of this study was to demonstrate the long-term oncologic efficacy of flexible endoscopic laryngeal surgery (FELS) in treating T1-T2 glottic carcinoma.

Methods: From 134 patients who underwent FELS, 90 patients (males-82, females-8), aged 18-83 (mean-56.9 ± 10.

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Somatic instability of the FGF14-SCA27B GAA•TTC repeat reveals a marked expansion bias in the cerebellum.

Brain

October 2024

Department of Neurology and Neurosurgery, Montreal Neurological Hospital and Institute, McGill University, Montreal, QC H3A 2B4, Canada.

Article Synopsis
  • Spinocerebellar ataxia 27B (SCA27B) is a disease that affects balance and coordination, caused by a genetic change in a specific part of a gene called FGF14.
  • Research shows that most brain damage from this disease happens mainly in the cerebellum, which controls movement.
  • In a study of blood samples and brain tissue, scientists found that the genetic change was mostly stable over time, but it exhibited more growth in the cerebellum than in other brain areas, helping to explain why SCA27B mainly affects that part of the brain.
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  • Juvenile Idiopathic Arthritis (JIA) encompasses various chronic inflammatory conditions that can lead to different health issues in children, notably growth retardation and delayed puberty.
  • Complications such as these are linked to the severity and duration of the disease, with reports indicating growth impairment in 8% to 41% of affected children, while data on puberty delays is limited.
  • Optimizing treatment for JIA, including the use of biological therapies, is crucial for improving growth outcomes and minimizing long-term health impacts, highlighting the need for early detection and preventive measures in affected children.
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  • * Recent efforts to stop smoking haven't been put into action yet, and it’s important to see what could happen if smoking rates stay the same or improve.
  • * Researchers used models to predict health outcomes by 2050 based on different scenarios of smoking rates, showing that cutting smoking could greatly improve health and life expectancy.
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  • A less-than-total thyroidectomy reduces the risk of complications like hypothyroidism and nerve injury, but may necessitate "redo" surgery if unexpected cancer or disease progression is found post-op.
  • The review analyzed recent English-language studies on redo thyroid surgeries from 2020 to 2024, focusing on various surgical techniques and complications.
  • Findings highlighted the rise in robotic-assisted surgeries and the need for more comprehensive studies to improve decision-making and risk assessment for redo interventions.
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White matter disorders with cerebral calcification in adulthood.

Handb Clin Neurol

September 2024

Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, London, United Kingdom; Neurogenetics Laboratory, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address:

Article Synopsis
  • The chapter provides an in-depth look at adult-onset leukoencephalopathies associated with cerebral calcification (CC), focusing on diagnosis through age of onset, clinical features, and brain imaging methods.
  • It explains the differences between primary familial brain calcification (PFBC) and secondary forms, including various metabolic and genetic disorders, detailing specific genetic causes.
  • The diagnostic process involves family history, clinical assessments, and imaging techniques, with genetic testing being key for proper diagnosis and patient management involving a multidisciplinary approach.
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Introduction: Stigmatising attitudes towards mentally ill people are present among healthcare professionals. The aim of the study was to evaluate medical students' attitudes in five medical schools from Albania, Bulgaria, Moldova, Romania and Serbia and to determine if psychiatry clerkship improves these attitudes.

Methods: In the first stage, the study included students from the first and final years of medical school; in the second stage, only final-year students were included; The Mental Illness Clinicians' Attitude Scale (MICA-2) and the Attribution Questionnaire (AQ-9) were used in this study.

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During the 2023-2024 influenza season, the Republic of Moldova, a lower-middle income country seeking accession into the European Union, independently financed their influenza vaccine supply transitioning from external support from the Partnership for International Vaccine Initiatives, a collaboration conceived in 2015. As part of this transition, a mixed-methods evaluation was conducted from May 2023 - January 2024 to identify current strengths and weaknesses of the influenza vaccination program. A total of 157 interviews were conducted: one with the National Immunization Program (NIP), six with district health officers, 18 at health facilities, 18 with caregivers/parents, 34 with healthcare workers, 43 with adults with chronic diseases, 19 with pregnant women, and 13 vaccine observation sessions; further five expert interviews with an international organization, the insurance company, senior government officials in public health and within the ministry of health, and those involved with COVID-19 were conducted.

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  • Infections resistant to antibiotics, especially carbapenem-resistant ones, are a serious global health issue, particularly in cases of hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP).
  • The review explores sulbactam-durlobactam therapy (SUL-DUR), assessing its approval process, how it works, and its potential in treating these bacterial infections.
  • SUL-DUR, known as Xacduro, has shown safety and effectiveness in clinical trials, making it a promising treatment alternative compared to traditional options like colistin for VAP, HAP, and related infections.
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Introduction: The bone marrow microenvironment (BME) is critical for healthy hematopoiesis and is often disrupted in hematologic malignancies. Tumor-associated macrophages (TAMs) are a major cell type in the tumor microenvironment (TME) and play a significant role in tumor growth and progression. Targeting TAMs and modulating their polarization is a promising strategy for cancer therapy.

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The eleven new copper(II) and nickel(II) coordination compounds [Cu(L)Br] (), [Cu(L)Cl] (), [Cu(L)NO] (), [Ni(L)Cl] (), [Ni(HL)](NO) (), and [Cu(A)(L)]NO, where A is 1,10-phenanthroline (), 2,2'-bipyridine (), 3,4-dimethylpyridine (), 3-methylpyridine (), pyridine () and imidazole () were synthesized with 3-(morpholin-4-yl)propane-2,3-dione 4-allylthiosemicarbazone (). The new thiosemicarbazone was characterized by NMR and FTIR spectroscopy. All the coordination compounds were characterized by elemental analysis and FTIR spectroscopy.

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  • The study evaluates the bioactive compounds, antioxidant activity, and color parameters of jostaberry extracts from three drying methods: frozen, freeze-dried, and oven-dried.
  • Non-conventional extraction methods like ultrasound and microwave are shown to better preserve anthocyanin content, while drying significantly reduces total anthocyanins and ascorbic acid levels.
  • Results indicate that the frozen jostaberry extracts possess the highest antioxidant activity, and significant differences in antimicrobial effects were observed between the different pretreatment methods.
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Background: Severe dysphagia poses a significant challenge for clinicians regarding feeding tube choices, practices, and timing due to a lack of evidence-based guidance.

Objectives: To assess national clinical practices and opinions on gastrostomy use in patients with atypical parkinsonian syndromes (APS) across the UK.

Methods: Online survey was administered to clinicians and allied health professionals regarding availability of services, current use, perceived advantages, and problems associated with gastrostomy insertion.

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Despite the early recognition of obesity as an epidemic with global implications, research on its pathogenesis and therapeutic approach is still on the rise. The literature of the 21st century records an excess weight found in up to 1/3 of children. Both the determining factors and its systemic effects are multiple and variable.

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  • DiGeorge syndrome (DGS) is a genetic disorder caused by microdeletions in the 22q11.2 region, leading to a range of developmental abnormalities, with a prevalence of about 1 in 4000 births.
  • A new multiplex droplet digital PCR (ddPCR) assay was developed to accurately detect and map these microdeletions by amplifying specific targets and including an internal control.
  • The assay proved effective in clinical samples, identifying microdeletions and correlating changes in immune cell counts, indicating its potential for reliable DGS diagnosis using blood samples.
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Background: Several studies have shown that the knowledge about coeliac disease (CD) is not satisfactory among healthcare professionals (HCP). The aim of our study was to assess the knowledge of HCPs about CD in the Danube region.

Methods: HCPs from 8 countries in the Danube region were asked to complete the web-based questionnaire about CD.

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Introduction: Careful adverse event assessment and management are important when prescribing immune checkpoint inhibitors (ICIs) to cancer patients. Iatrogenic Sjogren's syndrome is a relatively rare immune-related adverse event (irAEs) that affects the moisture-producing glands.

Methods: We describe a series of four patients who developed Sjogren's syndrome while being treated with ICIs at a community cancer center in Southern California, USA (1/1/2017-12/31/2023).

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  • Randomized clinical trials indicate that BTK inhibitors (BTKis) may heighten the risk of infectious diseases (IDs), prompting the need for systematic analysis based on both clinical practices and trial data.
  • A thorough review of peer-reviewed sources from 2014 to 2023 was conducted to assess ID morbidity in patients taking BTKis, taking into account immune defects present in patients with indolent B-cell lymphomas.
  • The findings highlight a significant association between BTKi usage and increased incidents of upper respiratory infections and invasive fungal infections, underscoring the need for better understanding and management of these risks to enhance patient outcomes.
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The study hypothesizes that some patients with diabetic neovascular glaucoma (NVG) do not fully respond to transscleral (TSC) cyclophotocoagulation (CPC) due to significant inflammation and insufficient glucose control. The study aimed to determine the effect of baseline blood levels of intercellular adhesion molecule-1 (ICAM-1) and glycated haemoglobin (HbA1c) on the management of patients with diabetic NVG by TSC CPC. This open prospective study included 70 diabetic patients (75 eyes; aged Ме 63.

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Background: Despite considerable research into COVID-19 sequelae, little is known about differences in illness duration and complications in patients presenting in primary care with symptoms of acute respiratory tract infections (RTI) that are and are not attributed to SARS-CoV-2 infection.

Objective: To explore whether aetiology impacted course of illness and prediction of complications in patients presenting in primary care with symptoms of RTI early in the COVID-19 pandemic.

Methods: Between April 2020-March 2021 general practitioners from nine European countries recruited consecutively contacting patients with RTI symptoms.

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