1,113 results match your criteria: "Unit of Clinical Epidemiology[Affiliation]"

Introduction: The relationship between blood distribution, body temperature, and sleep/wakefulness states is still unclear. The aim of the present study is to systematically review the potential beneficial effects of bedding strategies (e.g.

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Simulation-based training in ultrasound-guided regional anaesthesia for emergency physicians: insights from an Italian pre/post intervention study.

BMC Med Educ

December 2024

Emergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Background: Despite the importance of Ultrasound-guided Regional Anaesthesia (UGRA) in Emergency Medicine (EM), there is significant variability in UGRA training among emergency physicians. We recently developed a one-day (8 h), simulation-based UGRA course, specifically tailored to help emergency physicians to integrate these skills into their clinical practice.

Methods: In this pre/post intervention study, emergency physicians attended a course consisting of a 4-hour teaching on background knowledge and a practical part structured as follows: a scanning session on a healthy individual; a needling station with an ex-vivo model (turkey thighs); a simulation-based learning experience on local anaesthetic toxicity (LAST); a session on the UGRA simulator BlockSim™.

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Early downmodulation of tumor glycolysis predicts response to fasting-mimicking diet in triple-negative breast cancer patients.

Cell Metab

December 2024

Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133 Milan, Italy; IFOM ETS, the AIRC Institute of Molecular Oncology, Via Adamello 16, 20139 Milan, Italy. Electronic address:

In preclinical experiments, cyclic fasting-mimicking diets (FMDs) showed broad anticancer effects in combination with chemotherapy. Among different tumor types, triple-negative breast cancer (TNBC) is exquisitely sensitive to FMD. However, the antitumor activity and efficacy of cyclic FMD in TNBC patients remain unclear.

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Multimorbidity and COVID-19 Outcomes in the Emergency Department: Is the Association Mediated by the Severity of the Condition at Admission?

J Clin Med

November 2024

Centre for Biostatistics, Epidemiology, and Public Health, Department of Clinical and Biological Sciences, University of Turin, Orbassano, 10043 Turin, Italy.

Charlson Comorbidity Index (CCI) is one of the most reliable indicators to assess the impact of multimorbidity on COVID-19-related outcomes. Moreover, the patient's clinical conditions are associated with SARS-CoV-2 outcomes. This study aimed to analyze the association between multimorbidity and COVID-19-related outcomes, evaluating whether the National Early Warning Score 2 (NEWS2) mediated these associations.

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Characteristics and Popularity of Videos of Abusive Head Trauma Prevention: Systematic Appraisal.

J Med Internet Res

December 2024

Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France.

Background: Numerous strategies for preventing abusive head trauma (AHT) have been proposed, but controlled studies failed to demonstrate their effectiveness. Digital tools may improve the effectiveness of AHT prevention strategies by reaching a large proportion of the adult population.

Objective: This study aimed to describe the characteristics of videos of AHT prevention published on the internet, including their quality content, and to study their association with popularity.

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Purpose: This systematic review with meta-analysis evaluates the long-term efficacy of matrix-assisted autologous chondrocyte transplantation (MACT) in terms of functional scores using scaffolds made of hyaluronic acid (HA) or collagen (C).

Methods: Nineteen articles met the eligibility criteria for the analysis. Fourteen studies focused on patients treated with MACT with HA-based scaffolds, four studies with C-based scaffolds, and one study compared both scaffold types.

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Selected chronic diseases in children and adolescents conceived with intracytoplasmic sperm injection.

Eur J Obstet Gynecol Reprod Biol

January 2025

Center for Clinical Epidemiology, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Odense, Denmark. Electronic address:

Purpose: Today about 12.5% of all children are conceived using assisted reproductive technology. Intracytoplasmic sperm injection (ICSI) was introduced without knowledge of the possible long-term adverse consequences on the offspring health.

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Article Synopsis
  • - The prevalence of obesity is rising globally, particularly among individuals with inflammatory bowel disease (IBD), leading researchers to investigate glucagon-like peptide 1 receptor agonists (GLP-1RAs) as potential anti-obesity treatments due to their weight loss benefits.
  • - A nationwide Danish cohort study was conducted to assess the risk of severe side effects, specifically ileus and intestinal obstruction, in IBD patients using GLP-1RAs, utilizing health registries and adjusting for multiple factors like age, sex, and prior health issues.
  • - The results of the study indicated that the use of GLP-1RAs does not increase the likelihood of ileus or intestinal obstruction in patients with IBD, suggesting
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Clinical trial emulation in nephrology.

J Nephrol

November 2024

CNR-IFC, Institute of Clinical Physiology, Research Unit of Clinical Epidemiology, IPNET c/o Nefrologia, Grande Ospedale Metropolitano, 89125, Reggio Calabria, Italy.

Trial emulation, also known as target trial emulation, has significantly advanced epidemiology and causal inference by providing a robust framework for deriving causal relationships from observational data. This approach aims to reduce biases and confounding factors inherent in observational studies, thereby improving the validity of causal inferences. By designing observational studies to mimic randomized controlled trials (RCTs) as closely as possible, researchers can better control for confounding and bias.

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D-PRISM: a global survey-based study to assess diagnostic and treatment approaches in pneumonia managed in intensive care.

Crit Care

November 2024

Division of Perioperative, Acute, Critical Care and Emergency Medicine, Department of Medicine, University of Cambridge, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge, UK.

Article Synopsis
  • The D-PRISM study investigated global practices for diagnosing and treating pneumonia in ICU settings, focusing on community-acquired, hospital-acquired, and ventilator-associated pneumonia across different countries.
  • A survey gathered responses from 1,296 ICU clinicians across 72 countries, revealing varied diagnostic processes and a lack of standardized microbiological testing, particularly in lower-income regions.
  • Findings indicated that the typical antibiotic treatment duration was 5-7 days, with shorter durations linked to effective antimicrobial stewardship programs in higher-income countries.
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Background: The 24-h urine protein (24-hUP) excretion is the gold standard for evaluating proteinuria. This study aimed to evaluate the diagnostic efficacy of protein/creatinine ratio (PCR) for estimating 24-hUP at various levels of renal function and proteinuria levels.

Methods: A cross-sectional study was conducted between December 2021 and December 2023 in Salvador, Bahia-Brazil, as an extension of previously published data from the TUNARI study.

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Background: High-impact chronic pain (HICP), defined as chronic pain with a significant impact on daily function, affects approximately 8% of the Western population. In Denmark, HICP still remains to be described at the population level. Some patients with HICP are referred to the Danish pain centres, where they are registered with a procedural code.

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Anemia of chronic kidney disease is a multifactorial condition secondary to various etiologies, including nutritional deficiencies, chronic inflammation, erythropoietin deficiency or resistance, bone marrow suppression, iron deficiency and adverse drug effects. The major therapeutic intervention for anemia among chronic kidney disease patients is erythropoiesis-stimulating agents. However, a limitation of erythropoiesis-stimulating agents is the risk for thromboembolic events, hypertension, seizures, solid organ malignancies and hyporesponsiveness.

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Article Synopsis
  • The study aimed to identify echocardiographic indicators that could predict the success of weaning patients from veno-arterial extracorporeal membrane oxygenation (V-A ECMO) and their survival after the procedure.
  • It involved 76 patients undergoing V-A ECMO due to cardiogenic shock, measuring various echocardiographic parameters before and during the weaning process.
  • Key findings highlighted that parameters like total isovolumic time (t-IVT), mitral annular plane systolic excursion (MAPSE), and left ventricular output velocity-time integral (LVOT VTI) were strong predictors of successful weaning and survival, whereas the left ventricular ejection fraction (LVEF) was not a reliable
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Article Synopsis
  • Chronic kidney disease and related mineral bone disorders increase the risk of vascular calcifications and bone fractures due to factors like calcium overload and hormonal imbalances.
  • Vitamin K-dependent proteins, such as matrix Gla protein (MGP) and bone Gla protein (BGP), play crucial roles in these risks, with studies suggesting calcimimetics may have protective effects.
  • The ETERNITY-ITA study will compare the effects of Etelcalcetide versus traditional vitamin D on VKDP levels and the health of blood vessels and bones in hemodialysis patients over 18 months.
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Article Synopsis
  • This study compares peripherally inserted central catheters (PICC) and midlines (MC) as alternatives to implanted vascular access devices in cancer patients receiving chemotherapy.
  • Conducted in Italy with 559 patients from 2019 to 2022, the study looked at catheter failure rates and various demographic factors influencing outcomes.
  • Results showed a 75% lower failure rate for PICC compared to MC, indicating that PICC is a safer and more effective option for cancer patients in need of vascular access during treatment.
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Article Synopsis
  • - Obesity affects about 40% of adults in developed countries, leading to serious health issues like diabetes, fatty liver disease, and chronic kidney disease, with limited medication options available for significant weight reduction.
  • - New types of medications, like glucagon-like peptide-1 agonists and sodium-glucose cotransporter-2 inhibitors, show promise in improving kidney health by positively impacting filtration rates and reducing kidney disease progression.
  • - Recent studies on dual agonist therapies, such as survodutide and cotadutide, indicate potential benefits for treating obesity-related conditions like fatty liver and fatty kidney, which are linked to chronic kidney disease.
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Predictive factors and dose-response effect of rehabilitation for upper limb induced recovery after stroke: systematic review with proportional meta-analyses.

Physiotherapy

December 2024

Department of Biomedical and Neuromotor Sciences - DIBINEM, Alma Mater Studiorum Università di Bologna, Bologna, Italy; Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Article Synopsis
  • The review analyzes predictive factors for motor recovery in stroke patients undergoing rehabilitation, focusing on what influences patient responses to treatment.
  • Only 6% of the studied research examined these predictive factors, revealing that over 30 hours of therapy can lead to notable clinical improvements, especially through task-oriented approaches.
  • Key indicators of recovery included the integrity of the corticospinal tract, preservation of arm function, and certain genetic markers, suggesting that rehabilitation strategies should consider these elements for better outcomes.
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Prognostic and survival factors in head and neck extra-nodal non-Hodgkin's lymphoma.

Oral Surg Oral Med Oral Pathol Oral Radiol

September 2024

Oral Sciences Research Group, Endodontics and Restorative Dentistry Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain.

Article Synopsis
  • The objective of the study was to characterize primary extranodal non-Hodgkin lymphomas in the head and neck and assess patient survival and prognostic factors over a period from 2005 to 2016.
  • A total of 145 patients were analyzed, with 69.3% having localized disease and 91.8% being of B-cell phenotype, predominantly diffuse large B-cell lymphoma; most were treated with immunochemotherapy.
  • Survival rates at 3 and 5 years were 75% and 73%, with adverse prognostic indicators including low hemoglobin, high ß2-microglobulin, high LDH levels, advanced disease stages, and presence of B symptoms at diagnosis.*
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Constitutional Factors and Irradiation as Risk Factors for Thymoma: A European Case-Control Study.

Int J Environ Res Public Health

September 2024

Department of Cardiovascular, Thoracic Sciences and Public Health, University of Padova, 35122 Padova, Italy.

Little is known about the aetiology of thymoma. This study aims to identify medical risk factors for thymoma as a systematic approach to new hypotheses on the aetiology of this disease. A European multi-centre case-control study was conducted from 1995 to 1997, including incident cases aged 35-69 years with thymoma.

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Pleomorphic Liposarcoma of the Extremity and Trunk: Multimodality Therapy for Some but Not All?

J Surg Oncol

September 2024

Sarcoma Service, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Article Synopsis
  • Pleomorphic liposarcoma (PLPS) is a rare cancer, and this study focused on the surgical outcomes and treatment strategies for patients with non-metastatic PLPS from 2002 to 2019.* -
  • The research involved analyzing data from 44 verified cases, finding that 75% of patients survived for at least five years, with larger tumors linked to worse survival outcomes and higher risks of disease-specific death.* -
  • The study concluded that aggressive surgery combined with radiation therapy leads to good local control, while smaller Grade 2 tumors might be effectively treated with surgery alone.*
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Article Synopsis
  • There are links between the kidney and the eye, meaning problems in one can show signs in the other, especially in chronic kidney disease (CKD).
  • Special eye tests can help doctors see early signs of CKD and manage treatment better.
  • More research is needed to truly understand how eye health can predict CKD progression and to find better ways to treat and prevent issues in both areas.
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