1,422 results match your criteria: "University Hospital of Messina "G. Martino"[Affiliation]"

Stroke thrombectomy in the elderly: A propensity score matched study on a nationwide real-world registry.

Eur Stroke J

November 2024

IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neurologia e Rete Stroke Metropolitana, Bologna, Italy.

Introduction: Data on safety and efficacy of endovascular thrombectomy (EVT) for acute ischemic stroke in older patients are limited and controversial, and people aged 80 or older were under-represented in randomized trials. Our aim was to assess EVT effect for ischemic stroke patients aged ⩾80 at a nationwide level.

Patients And Methods: The cohort included stroke patients undergoing EVT from the Italian Registry of Endovascular Treatment in Acute Stroke (IRETAS).

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Objective: To investigate the potential role of dual-energy spectral computer tomography (CT) quantitative parameters in the definition of bladder cancer (BCa) pathological grading.

Methods: This retrospective study evaluated the use of spectral CT imaging features for BCa. From 2021 to 2023, 63 patients with histologically-confirmed BCa diagnosis were examined at our Institution.

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Background: Data on the predictors of percutaneous stellate ganglion block (PSGB) efficacy in electrical storm are scanty.

Objective: We aimed to assess whether PSGB efficacy is influenced by the arrhythmia type and cycle length before the procedure.

Methods: This is a subanalysis of the multicenter STAR study.

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Influence of gender on Behçet's disease phenotype and irreversible organ damage: Data from the International AIDA Network Behçet's Disease Registry.

Joint Bone Spine

November 2024

Rheumatology Unit, Department of Medical Sciences, Surgery and Neurosciences Department of Medical Sciences, Surgery and Neurosciences, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory, and Autoimmune Diseases (RITA) Center], Siena, Italy. Electronic address:

Article Synopsis
  • The study aimed to explore gender differences in the phenotypical expression of Behçet's disease (BD) using data from the International AIDA Network Registry, focusing on damage index, disease manifestations, and cardiovascular risk.
  • A total of 1024 patients (567 males and 457 females) were examined, revealing that males had a significantly higher overall damage index and more frequent occurrences of uveitis and vascular involvement, while females showed higher instances of arthralgia, arthritis, and CNS involvement.
  • Key factors associated with major organ involvement included male gender, treatment with biologic agents, origin from endemic regions, and longer disease duration, indicating a more severe course of BD in males compared to females.
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The evaluation of myocarditis in patients with Still's disease; clinical findings from the multicentre international AIDA Network Still's Disease Registry.

J Rheumatol

November 2024

Luca Cantarini, Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease Clinic, University of Siena, Siena, Italy; Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center] Siena, Italy.

Objective: To evaluate the cardiac involvement in patients with Still's disease with a focus on myocarditis included in the multicenter AIDA (AutoInflammatory Disease Alliance) network Still's disease registry. To exploit the predictive factors for myocarditis in deriving a clinical risk patient profile for this severe manifestation.

Methods: A multicenter observational study was built up assessing consecutive patients with Still's disease characterized by the cardiac involvement among those included in the AIDA Network Still's Disease Registry.

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The pediatric psychopharmacology of autism spectrum disorder: A systematic review - Part II: The future.

Prog Neuropsychopharmacol Biol Psychiatry

October 2024

Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Turin, Italy.

Part I of this systematic review summarized the state-of-the-art of pediatric psychopharmacology for Autism Spectrum Disorder (ASD), a severe and lifelong neurodevelopmental disorder. The purpose of this Part II follow-up article is to provide a systematic overview of the experimental psychopharmacology of ASD. To this aim, we have first identified in the Clinicaltrials.

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HERV-Derived Syncytin-1 and Syncytin-2 as Sources of Linear and Discontinuous Epitopes in Antiphospholipid Syndrome: A Pivotal Computational Study.

Discov Med

October 2024

Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Messina, University Hospital "G. Martino", 98125 Messina, Italy.

Article Synopsis
  • This study explores the potential link between human endogenous retroviruses (HERVs), specifically syncytin-1 and syncytin-2, and the development of antiphospholipid syndrome (APS).
  • Researchers used computational tools to predict T-cell and B-cell epitopes from these syncytins and a reference protein, β2-glycoprotein I, to assess their ability to trigger an immune response in genetically susceptible individuals.
  • The findings indicate that syncytin-1 has a higher number of immunogenic epitopes and binding affinity than syncytin-2, suggesting that HERVs could play a role in APS development, but more lab studies are needed to confirm this.
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: Renal function influences bone metabolism, as kidney failure can increase the risk of fractures. Denosumab is an approved osteoporosis treatment, but its efficacy in relation to renal function has not yet been studied in real-life scenarios. This study aimed to investigate the denosumab-induced change in bone mineral density (BMD) according to kidney function.

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: Out of 39.9 million adults living with HIV in 2022, 20 million were women. Despite bearing a significant burden, women remain underrepresented in clinical trials, including those for antiretroviral treatments (ART).

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The Effect of Therapeutic Exercise and Local Cryotherapy on Lower Limb Enthesitis in Non-Radiographic Axial Spondyloarthritis: A Case Report.

J Pers Med

September 2024

Research Laboratory in Biomechanics, Rehabilitation and Ergonomics, IRCCS, Istituto Auxologico Italiano, San Giuseppe Hospital, 28824 Verbania, Italy.

Background: Enthesitis is a common feature of spondyloarthritis and can severely impair the patient's quality of life. International guidelines recommend multidisciplinary management of this condition, combining physical and pharmacological interventions. In this case report, we demonstrate clinical and ultrasonographic improvements by prescribing local cryotherapy and therapeutic exercise alone in an adult woman with non-radiographic axial SpA (nRX-AxSpA) complaining of heel enthesitis.

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The new frontiers of computer-based surgery, technology, and material advances, have allowed for customized 3D printed manufacturing to become widespread in guided bone regeneration (GBR) in oral implantology. The shape, structural, mechanical, and biological manufacturing characteristics achieved through 3D printing technologies allow for the customization of implant-prosthetic rehabilitations and GBR procedures according to patient-specific needs, reducing complications and surgery time. Therefore, the present narrative review aims to elucidate the 3D-printing digital radiographic process, materials, indications, 3D printed manufacturing-controlled characteristics, histological findings, complications, patient-reported outcomes, and short- and long-term clinical considerations of customized 3D printed mesh, membranes, bone substitutes, and dental implants applied to GBR in oral implantology.

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Background: Hypertension is the most prevalent cardiovascular risk factor, with several detrimental effects on the cardiovascular system. Contrasting results have been reported so far on its prognostic role in patients admitted for ST-segment elevation myocardial infarction (STEMI). Therefore, we investigated the impact of hypertension on short-term mortality in a large multicenter contemporary registry of STEMI patients, including patients treated during COVID-19 pandemic.

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Article Synopsis
  • The study evaluated mid-term outcomes of "short" inframalleolar vein bypasses in patients with chronic limb-threatening ischemia (CLTI) who previously experienced failed tibial endovascular treatments.
  • A total of 107 CLTI patients were analyzed for early and 3-year outcomes, focusing on survival rates and patency levels; results indicated a 66.7% overall survival at three years.
  • Insulin treatment and long-term corticosteroid use were found to negatively impact patency and limb salvage rates, emphasizing the need for careful management of these conditions in patients undergoing such procedures.
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Acute muscle pain is muscle soreness that occurs during or within 24 hours of strenuous activity. Possible causes of acute muscle pain include localized muscle trauma, muscle tear, contusion with acute hemorrhage, or acute compartment syndrome. Isolated ruptures of the rectus femoris muscle are rare clinical conditions that result from excessive muscle strain following an abrupt contraction, incorrect movement, or sudden snap that exceeds the physiological limit of strain that the muscle can withstand.

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Article Synopsis
  • * An 87-year-old patient with severe aortic stenosis and acute heart failure, complicated by COVID-19 pneumonia, successfully underwent a rescue TAVI procedure with veno-arterial ECMO support despite facing cardiac arrest during the process.
  • * The case highlights the importance of careful patient selection and effective hemodynamic management in complex TAVI scenarios and indicates a need for further research to develop standardized guidelines for mechanical support in such procedures.
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Obesity is a chronic disease associated with increased morbidity and mortality and reduced quality of life. Pharmacotherapy can be associated with life style changes in increasing and maintaining weight loss and ameliorating obesity-related complications and comorbidities. In patients affected by obesity and uncontrolled obesity-associated complications or high degrees of BMI (> 40 Kg/m), metabolic bariatric surgery can be a valid therapeutic option.

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Assessment of pediatric breast ultrasound less is more: a practical imaging approach.

Acta Radiol

December 2024

Department of Biomedical Sciences and Morphologic and Functional Imaging, Policlinico Universitario "G.Martino", University of Messina, Messina, Italy.

Article Synopsis
  • Breast cancer is very rare in pediatric patients, and while ultrasound (US) is often used for those showing symptoms, this study questions its necessity.
  • The research examined 579 patients under 19, mainly girls, and found that most had normal clinical exams and US results, with only a small percentage requiring biopsies or surgeries.
  • Findings suggest that if clinical evaluations are normal, breast US can be skipped entirely, which would have saved 52% of the patients from unnecessary ultrasound procedures.
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Predictors of hypercontractile heart phenotype in patients with chronic coronary syndromes or heart failure.

Int J Cardiovasc Imaging

October 2024

Cardiology Clinic, University Center Serbia, Medical School, University Clinical Center Serbia, University of Belgrade, Belgrade, Serbia.

Hypercontractile phenotype (HP) of the left ventricle (LV) is an actionable therapeutic target in patients with chronic coronary syndromes (CCS) or heart failure (HF), but its clinical recognition remains difficult. To assess the clinical variables associated with the HP. In a prospective, observational, multicenter study, we recruited 5122 patients (age 65 ± 11 years, 2974 males, 58%) with CCS and/or HF with preserved ejection fraction (EF).

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Enhanced metabolic health and immune response with bictegravir/emtricitabine/TAF: Insights from a 96‑week retrospective study.

Biomed Rep

December 2024

Unit of Infectious Diseases, Department of Clinical and Experimental Medicine, Azienda di Rilievo Nazionale ed Alta Specializzazione Garibaldi Hospital, University of Catania, Catania I-95124, Italy.

Article Synopsis
  • Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) is a fixed-dose combination therapy found to be effective for people living with HIV who switched from other treatments.
  • A study involving 127 patients showed that virological suppression improved from 66.4% to 74.8% over 96 weeks, along with significant increases in CD4 and CD8 T cell counts and the CD4/CD8 ratio.
  • The treatment was associated with lower levels of triglycerides and total cholesterol, indicating a better metabolic profile, although there was a notable increase in serum creatinine levels.
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Infrarenal Aortic Treatment With AFX2 Endograft: Results From a Multicentric, International, Non-Randomized, Prospective Registry-the AFX2-LIVE Study.

J Endovasc Ther

October 2024

Vascular and Endovascular Surgery Unit, Department of General and Specialistic Surgery, Policlinico Umberto I Hospital of Rome, Sapienza University of Rome, Roma, Italy.

Introduction: To confirm real-world clinical practice results reported with anatomically fixed bifurcated endograft, a physician-initiated study was designed-AFX2-LIVE registry.

Materials And Methods: From November 2019 to August 2021, investigators enrolled all consecutive patients treated with AFX2 (Endologix Inc., Irvine, CA, USA) endograft.

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Article Synopsis
  • * Cardiovascular magnetic resonance (CMR) imaging is crucial for assessing TS, as it can noninvasively identify distinct heart tissue characteristics and abnormalities related to the condition.
  • * Recent advances in CMR techniques are enhancing its role in diagnosing, predicting outcomes, and managing TS, with a focus on new biomarkers that improve accuracy and patient care.
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Parathyroid carcinoma and atypical parathyroid tumor: analysis of an Italian database.

Eur J Endocrinol

September 2024

Fondazione FIRMO Onlus, Italian Foundation for the Research on Bone Diseases, 50129 Florence, Italy.

Article Synopsis
  • Atypical parathyroid tumors (aPT) and parathyroid carcinoma (PC) are very rare types of tumors in the parathyroid glands, making up less than 2% of all such tumors.
  • The study looked at patients with aPT and PC to see how they compare in terms of medical features and problems.
  • Both types showed similar symptoms, but PCs had more kidney issues and a higher chance of the disease coming back after surgery, leading to plans for better tracking and study of these tumors in Italy and Europe.
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EPS T14 from Prevents Infection of Human Nasal Epithelial Cells by Respiratory Viruses.

Immunotargets Ther

September 2024

Laboratory of Immunology and Biotherapy, Department Human Pathology "G. Barresi", University of Messina, Messina, Italy.

Background: Respiratory viral infections are a leading cause of severe diseases and mortality; therefore, novel treatments effective for their prevention are highly requested. Here, we identified a broad-spectrum antiviral activity of a natural exopolysaccharide, EPS T14, purified from a marine thermotolerant strain of strain T14.

Methods: The effects on human normal nasal epithelial cells (HNEpCs) following treatment with EPS T14 was evaluated at different time points and with increasing concentration of compound.

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Preventing and treating childhood obesity by sleeping better: a systematic review.

Front Endocrinol (Lausanne)

October 2024

Department of Human Pathology of Adulthood and Childhood, University of Messina, Messina, Italy.

Background: Childhood obesity represents a major public health issue worldwide. Evidence showed the need to implement prevention strategies mainly focused on lifestyle habits. Sleep hygiene is a variable of great interest and this review systematically examined the effects of sleep duration in increasing childhood obesity risk.

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