1,424 results match your criteria: "University Hospital of Messina "G. Martino"[Affiliation]"

Background: Dental anxiety is an excessive and irrational negative emotional state experienced by population; the dental anxiety is common throughout the lifespan and is an obstacle to improving oral health behaviors and outcomes. The aim of this study was to assess gender differences in dental anxiety and to investigate if oral health impacts patients' Quality of Life and the perception of their body image.

Methods: The sample consisted of 366 subjects selected in Italy and Spain (January 2021-September 2021).

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Gender differences in adult atopic dermatitis and clinical implication: Results from a nationwide multicentre study.

J Eur Acad Dermatol Venereol

February 2024

Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy.

Background: Atopic dermatitis (AD) is a common inflammatory skin disease that affects both children and adults. However, limited research has been conducted on gender differences in AD.

Objectives: This study aimed to assess gender differences in adult AD patients, focusing on demographic and clinical features, comorbidities and treatment approaches.

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Background: Myocardial infarction (MI) with non-obstructed coronary arteries (MINOCA) is an increasingly recognized condition with challenging management. Some MINOCA patients ultimately experience recurrent acute MI (re-AMI) during follow-up; however, clinical and angiographic factors predisposing to re-AMI are still poorly defined.

Methods: In this retrospective multicenter cohort study we enrolled consecutive patients fulfilling diagnostic criteria of MINOCA according to the IV universal definition of myocardial infarction; characteristics of patients experiencing re-AMI during the follow-up were compared to a group of MINOCA patients without re-AMI.

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Thyroid Autoimmunity and SARS-CoV-2 Infection.

J Clin Med

October 2023

Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.

Article Synopsis
  • SARS-CoV-2, the virus responsible for COVID-19, can enter cells through the ACE2 receptor, which is found in various tissues, including the thyroid.
  • The virus has been linked to several thyroid disorders, such as subacute thyroiditis and autoimmune thyroid diseases, potentially due to its replication in the gland.
  • Proposed mechanisms for how SARS-CoV-2 may trigger autoimmune responses include immune system overactivity and molecular mimicry, but further research is needed to solidify these connections.
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The impact of SARS-CoV-2 variants on maternal and neonatal outcomes during pregnancy is still poorly understood, and the emergence of different variants has further complicated our understanding of the virus's effects. This retrospective, monocentric study aimed to fill this knowledge gap by analyzing the outcomes of pregnant women with acute SARS-CoV-2 infection caused by the Alpha, Delta, and Omicron variants. The study, conducted between December 2020 and March 2022 at San Marco Hospital, included 313 pregnant women with confirmed SARS-CoV-2 infection.

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Background: Parathyroid cancer (PC) is a rare sporadic or hereditary malignancy whose histologic features were redefined with the 2022 WHO classification. A total of 24 Italian institutions designed this multicenter study to specify PC incidence, describe its clinical, functional, and imaging characteristics and improve its differentiation from the atypical parathyroid tumour (APT).

Methods: All relevant information was collected about PC and APT patients treated between 2009 and 2021.

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Article Synopsis
  • The study investigates the effectiveness of systemic chemotherapy (SC) and its timing in conjunction with surgical cytoreduction (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for treating colorectal cancer peritoneal metastases (CRC-PM).
  • Researchers analyzed data from 367 patients across 13 Italian centers, noting different timings for chemotherapy administration: before, after, or both surrounding the CRS-HIPEC procedure.
  • Results indicated that while SC was not linked to an overall survival benefit, receiving SC after the surgery improved disease-free survival rates compared to receiving it before the procedure, highlighting the need for further research on optimal chemotherapy strategies.
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Clinical and laboratory features associated with macrophage activation syndrome in Still's disease: data from the international AIDA Network Still's Disease Registry.

Intern Emerg Med

November 2023

Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases, Behçet's Disease Clinic and Rheumatology-Ophthalmology Collaborative Uveitis Center, University of Siena, Siena, Italy.

Article Synopsis
  • The study focuses on patients with Still's disease to identify clinical and laboratory signs associated with macrophage activation syndrome (MAS), a serious complication.
  • Out of 414 patients examined, 39 (9.4%) developed MAS, with several significant variables like liver involvement and high ferritin levels linked to its occurrence.
  • Multivariate analysis revealed that having hepatomegaly and monoarthritis were directly associated with MAS, while factors like a normal platelet count were protective against its development.
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MR imaging of primary benign cardiac tumors in the pediatric population.

Heliyon

September 2023

Radiology Department of AO "San Marco", A.O.U. Policlinico "G. Rodolico - San Marco", Catania, Italy.

Article Synopsis
  • Primary cardiac tumors are very rare, especially in children, with prevalence rates between 0.0017-0.28% noted in autopsy studies, highlighting the need for a standardized diagnostic approach due to limited case reports.
  • The initial diagnostic method typically used is transthoracic echocardiogram (TTE), valued for its accessibility, affordability, and non-invasive nature, which helps in identifying the location and features of the tumors.
  • Recently, cardiac magnetic resonance imaging (CMR) has gained prominence for its ability to accurately characterize soft tissue masses and assess their size and extent, making it a preferred imaging technique in pediatric cases while still allowing for adaptations based on patient needs.
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In-stent restenosis after percutaneous coronary intervention: emerging knowledge on biological pathways.

Eur Heart J Open

September 2023

Department of Surgical, Medical and Molecular Pathology and of Critical Sciences, University of Pisa, Lungarno Antonio Pacinotti 43, 56126 Pisa, Italy.

Article Synopsis
  • Percutaneous coronary intervention (PCI) has improved over 40 years, yet in-stent restenosis (ISR) remains a significant complication, affecting a large patient population despite reduced rates due to advancements like drug-eluting stents.
  • ISR is influenced by various factors, including patient genetics and the characteristics of the stent and procedure, and involves biological responses to the mechanical trauma of PCI that can lead to either healing or problematic vessel growth.
  • Understanding the molecular pathways underlying ISR is vital for developing effective treatments, with new strategies such as EPC-capturing stents showing promise in improving stent healing and reducing complications like stent thrombosis.
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Unfolding dermatologic spectrum of Behçet's disease in Italy: real-life data from the International AIDA Network Behçet's disease Registry.

Intern Emerg Med

November 2023

Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease Clinic, University of Siena, Siena, Italy.

Behçet's disease (BD) is a heterogeneous multifactorial autoinflammatory disease characterized by a plethora of clinical manifestations. Cutaneous lesions are considered hallmarks of the disease. However, their evolution over time and a thorough description are scarcely reported in non-endemic regions.

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Objective: Differentiated thyroid cancer (DTC) is rare in childhood and adolescence although it represents the most frequent endocrine malignancy in this population. DTC includes both papillary thyroid carcinoma (PTC) and follicular thyroid carcinoma (FTC). Most pediatric DTCs are PTCs, while FTCs are rare.

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The current literature shows mixed results relating to the significance of environmental exposure, such as owning a pet, and the development of atopy in children. Our review aimed to collect the most recent evidence on the association between early-life cat and dog ownership and the development of allergy and asthma. A comprehensive literature review was performed using PubMed and Scopus.

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Article Synopsis
  • Platelets play a crucial role in atherosclerosis, particularly in thrombus (blood clot) formation in the context of coronary artery disease.
  • Recent studies have focused on the morphology, reactivity, and genetic factors influencing platelet activation, which could help in assessing patient risk for cardiovascular events.
  • The relationship between platelets and the immune system is being explored, offering new insights that could enhance our understanding of platelet regulation and improve patient outcomes in cardiovascular health.
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Article Synopsis
  • Left atrial myopathy is common in chronic coronary syndromes and can be triggered by stress, especially in patients with atrial fibrillation.
  • A study involving 3042 patients assessed left atrial volume and function at rest and during stress, showing that left atrial volume index increased and LA strain decreased as patients progressed from sinus rhythm to permanent atrial fibrillation.
  • The findings highlighted that both paroxysmal and permanent AF are linked to greater left atrial dilation and dysfunction, which correlates with more instances of stress-induced ischemia and pulmonary congestion.
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Gastrointestinal and nutritional care in pediatric neuromuscular disorders.

World J Clin Pediatr

September 2023

Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital "G. Martino", Messina 98124, Italy.

Neuromuscular diseases (NMDs) affect the development and growth of the neuromuscular system in children. The pathology can occur anywhere along the neuromuscular pathway, from the brain to the nerves to the muscle fibers. These diseases have a profound impact on the quality of life not only of children but also of their families.

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Objective: To evaluate pre-operative predictors of early (<30 days) severe complications (grade Dindo 3+) in patients with gynecological malignancy submitted to pelvic exenteration (PE).

Methods: We retrospectively analyzed 129 patients submitted to surgery at Fondazione Policlinico Gemelli between 2010 and 2019. We included patients affected by primary or recurrent/persistent cervical, endometrial, or vulvar/vaginal cancers.

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Background: Real-world evidence is needed to determine the value of tofacitinib (TOFA) for the treatment of ulcerative colitis (UC).

Aim: To assess the safety and effectiveness of TOFA in clinical practice.

Methods: TOFA-UC is a multicenter, observational study performed among the Sicilian Network for Inflammatory Bowel Disease (SN-IBD).

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Article Synopsis
  • The study aimed to assess the prognostic value of the SYNTAX score (SS) and SYNTAX score II (SS-II) in myocardial infarction (MI) patients who underwent percutaneous coronary intervention (PCI).
  • Conducted at the University Hospital of Salerno from January 2015 to April 2020, the study included 915 MI patients and found that both SS and SS-II were linked to increased risks of all-cause and cardiovascular mortality. However, only SS-II was associated with recurrent MI.
  • The results indicated that SS-II was more effective than SS in predicting long-term mortality, with a better ability to differentiate risk levels over a five-year follow-up period.
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Introduction: Patients with either Idiopathic Hypersomnia or Narcolepsy demonstrate excessive daytime somnolence (EDS) with resultant inattention mimicking Attention Deficit Hyperactivity Disorder (ADHD). Patients with ADHD also often express sleep problems including EDS. Thus, patients with ADHD and patients with idiopathic hypersomnia or narcolepsy may share inattention and daytime drowsiness as common features.

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Background: No data are available on the working conditions and workload of anesthesiologists during perioperative nighttime work in Italy and on the perceived risks.

Results: We analyzed 1085 responses out of the 5292 from the whole dataset. Most of the responders (76%) declared working a median of 12 consecutive hours during night shifts, with an irregular nightshift schedule (70%).

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The recent evolution of immunotherapy has revolutionised the treatment of hepatocellular carcinoma (HCC) and has led to new therapeutic standards. The advances in immunotherapy have been accompanied by the recognition of the role of the gut-liver axis in the progression of HCC but also of the clinical relevance of the gut microbiota, which influences host homeostasis but also cancer development and the response to treatment. Dysbiosis, by altering the tumour microenvironment, favours the activation of intracellular signalling pathways and promotes carcinogenesis.

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Cystic Fibrosis and Cancer: Unraveling the Complex Role of CFTR Gene in Cancer Susceptibility.

Cancers (Basel)

August 2023

Pediatric Respiratory Unit, Department of Clinical and Experimental Medicine, San Marco Hospital, University of Catania, Viale Carlo Azeglio Ciampi sn, 95121 Catania, Italy.

Cystic fibrosis (CF) is a genetic disorder affecting multiple organs, primarily the lungs and digestive system. Over the years, advancements in medical care and treatments have significantly increased the life expectancy of individuals with CF. However, with this improved longevity, concerns about the potential risk of developing certain types of cancers have arisen.

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Background: Emerging technologies have demonstrated outstanding potential in improving healthcare, yet their full integration remains a challenge for all medical specialties, including pediatrics. To support the swift implementation of technologies, we identified the current trends through a bibliometric review, and we conducted a survey on Italian pediatricians to gauge educational needs and willingness to integrate technologies into clinical practice.

Methods: A working group of pediatricians representing various backgrounds designed and coordinated the study.

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Medial fascia lata perforator flap: Anatomical basis and clinical application as a pedicled or free flap.

JPRAS Open

December 2023

Plastic Reconstructive and Aesthetic Surgery Unit, University of Messina, Policlinico 'G. Martino', Via Consolare Valeria 1, 98125 Messina, Italy.

Adipofascial flaps have proven to be an excellent tool for multipurpose reconstruction as free or pedicled flaps. The anatomical studies in this field are now focused on improving esthetics in reconstruction while maintaining a minimal donor site morbidity. An anatomical cadaver study has been carried out to investigate the medial thigh region as a potential donor site for adipofascial flaps.

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