1,483 results match your criteria: "University Vita- Salute San Raffaele[Affiliation]"

Responsiveness of different disease activity indices in moderate-to-severe ulcerative colitis.

Med

October 2024

Alimentiv, Inc., London, ON, Canada; Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Electronic address:

Article Synopsis
  • The study compares various scoring systems used to assess disease activity in patients with moderately to severely active ulcerative colitis (UC) after treatment with ustekinumab.
  • It utilized data from the phase 3 UNIFI induction trial, calculating the responsiveness of different scores by measuring how much better treated participants performed compared to those receiving a placebo, known as win probability (WinP).
  • The findings indicate that the UC-100 score showed the highest responsiveness, but the Mayo Clinic score and its modifications also performed well, suggesting that different scoring methods can be appropriate depending on specific circumstances and evaluation needs.
View Article and Find Full Text PDF
Article Synopsis
  • Invasive fungal infections (IFIs) are a significant health issue for patients undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT), and Isavuconazole (ISA) is a safe antifungal treatment option being studied in combination with sirolimus.
  • This retrospective analysis looked at 51 allo-HSCT patients treated with both ISA and sirolimus over about five years, focusing on the effectiveness, safety, and monitoring of drug levels.
  • Results showed that ISA was effective in treating IFIs, with a 68% response rate after 90 days, and no significant drug interaction toxicities were reported when both drugs were administered at therapeutic levels.
View Article and Find Full Text PDF

A novel analysis of interoceptive underpinnings of anxious psychopathology in COVID-19 survivors.

Behav Brain Res

January 2025

Psychiatry & Clinical Psychobiology Unit, Division of Neuroscience, IRCCS San Raffaele Hospital, Milano, Italy; University Vita-Salute San Raffaele, Milano, Italy. Electronic address:

Introduction: SARS-CoV-2 affects brain, body, and their interchange. We investigated interoceptive mechanisms in COVID-19 survivors focusing on their potential link with psychopathology and inflammatory biomarkers.

Methods: We assessed interoceptive accuracy (IAc) and time-perceiving (TA) skills of 57 COVID-19 survivors one month after hospital discharge through, respectively, a heartbeats perception task and a time duration task.

View Article and Find Full Text PDF

Neoadjuvant and Adjuvant Immune-based Approach for Renal Cell Carcinoma: Pros, Cons, and Future Directions.

Eur Urol Oncol

September 2024

The Royal Free London NHS Foundation Trust, London, UK; UCL Division of Surgery and Interventional Science, University College London, London, UK; Department of Urology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.

Article Synopsis
  • Immune-oncology strategies are improving treatment for renal cell carcinoma (RCC), especially with the introduction of immunotherapy in the perioperative setting.
  • Adjuvant therapy with pembrolizumab has shown benefits in disease-free survival post-surgery but there's limited support for neoadjuvant therapies outside trials; both strategies have their risks and challenges.
  • While adjuvant immunotherapy is now a standard treatment, understanding the optimal use of neoadjuvant approaches is still unclear and requires further research in biomarker development and clinical trials.
View Article and Find Full Text PDF

Background: Access to allogeneic haematopoietic stem-cell transplantation (HSCT) remains challenging for older patients (aged >60 years) with acute myeloid leukaemia. We aimed to evaluate the efficacy of venetoclax plus decitabine as first-line therapy and bridge to transplantation in this patient population.

Methods: This multicentre, single-arm, phase 2 trial was conducted in 20 Gruppo Italiano Trapianto Midollo Osseo (GITMO) centres in Italy.

View Article and Find Full Text PDF

Frailty and Renal Cell Carcinoma: Integration of Comprehensive Geriatric Assessment into Shared Decision-making.

Eur Urol Oncol

September 2024

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Unit of Urological Robotic Surgery and Renal Transplantation, University of Florence, Careggi Hospital, Florence, Italy; European Association of Urology (EAU) Young Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, The Netherlands. Electronic address:

Article Synopsis
  • Frailty is a significant geriatric syndrome affecting older adults, particularly influencing their surgical and oncological care, especially in cases of renal masses or renal cell carcinoma (RCC).
  • A review of literature highlighted that frailty is a negative prognostic factor that can impact treatment outcomes; screening tools like the G8 and Mini-COG are essential for assessing older patients and guiding comprehensive evaluations by geriatricians.
  • Integrating geriatricians into multidisciplinary tumor boards and creating specific care pathways for frailty assessment can enhance individualized treatment strategies and improve clinical outcomes for older patients with RCC.
View Article and Find Full Text PDF

Astrocyte TrkB promotes brain injury and edema formation in ischemic stroke.

Neurobiol Dis

October 2024

Immunobiology of Neurological Disorders Unit, Institute of Experimental Neurology (INSpe), IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address:

Following ischemic stroke astrocytes undergo rapid molecular and functional changes that may accentuate tissue damage. In this study we identified the neurotrophin receptor TrkB in astrocytes as a key promoter of acute CNS injury in ischemic stroke. In fact, TrkB protein was strongly upregulated in astrocytes after human and experimental stroke, and transgenic mice lacking astrocyte TrkB displayed significantly smaller lesion volume, lower brain atrophy and better motor performance than control animals after transient middle cerebral artery occlusion.

View Article and Find Full Text PDF

Clustering methods are increasingly used in social science research. Generally, researchers use them to infer the existence of qualitatively different types of individuals within a larger population, thus unveiling previously "hidden" heterogeneity. Depending on the clustering technique, however, valid inference requires some conditions and assumptions.

View Article and Find Full Text PDF
Article Synopsis
  • Metastatic pancreatic ductal adenocarcinoma (mPDAC) has a poor prognosis, leading researchers to explore the repurposing of existing drugs like valproic acid (VPA) and statins for potentially more effective treatments alongside standard chemotherapy.* -
  • The VESPA clinical trial is designed to investigate the combination of VPA and simvastatin (SIM) with gemcitabine/nab-paclitaxel in mPDAC patients, aiming to enhance treatment efficacy compared to chemotherapy alone.* -
  • The trial will enroll 240 patients across multiple centers, assessing outcomes like progression-free survival and overall survival, with a hypothesis that the combination therapy could extend progression-free survival from 6 to
View Article and Find Full Text PDF

Background And Aim: Suboptimal disease control (SDC) and its contributing factors in IBD according to STRIDE-II criteria is unclear. IBD-PODCAST was a non-interventional, international, multicenter real-world study to assess this.

Methods: Data from the Italian IBD cohort (N=220) are presented here.

View Article and Find Full Text PDF

Given the significant limitations of available literature, central nervous system (CNS) prophylaxis in large B-cell lymphomas remains debatable. Wilson and colleagues provide cautious recommendations, on a case-by-case basis, useful to guide discussion with individual patient. In daily practice, CNS relapse risk, prophylaxis safety and prognosis of CNS recurrence must be considered.

View Article and Find Full Text PDF
Article Synopsis
  • - A study on inflammatory bowel disease (IBD) showed that about 24.8% of patients met criteria for "difficult-to-treat" IBD, particularly those with severe forms of ulcerative colitis and Crohn's disease.
  • - Key risk factors included specific disease characteristics, such as left-sided colitis and multiple disease localizations, with delayed treatment initiation linked to worse outcomes in Crohn's disease but protective in ulcerative colitis.
  • - Patients with difficult-to-treat IBD experienced lower rates of remission and decreased drug effectiveness as they progressed through treatment options.
View Article and Find Full Text PDF

Leveraging current insights on IL-10-producing dendritic cells for developing effective immunotherapeutic approaches.

FEBS Lett

September 2024

Mechanisms of Peripheral Tolerance Unit, San Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute, Milan, Italy.

Article Synopsis
  • Dendritic cells (DC) are special cells in our body that help control our immune system and keep it balanced.
  • There are different types of these cells, and one type called tolerogenic (tol)DC helps prevent the immune system from overreacting, which is important for managing health issues.
  • Researchers have found ways to create these tolDC cells in the lab using a substance called IL-10, which helps them be really effective in promoting other helpful immune cells and keeping the immune response under control.
View Article and Find Full Text PDF

Background: Empirically-based developmental psychopathology approach identified three domains involved in the emergence of borderline personality disorder (BPD): i) underlying liabilities to develop psychopathology (i.e., early patterns of internalizing and externalizing manifestations); ii) invalidating relational experiences (e.

View Article and Find Full Text PDF

The COVID-19 pandemic has underscored the critical importance of adaptable and resilient public health systems capable of rapid response to emerging health crises. This paper synthesizes the lessons learned from the COVID-19 vaccination campaign and explores strategies to enhance vaccine uptake in the post-pandemic era. Key challenges identified include logistical, economic, sociocultural, and policy dimensions that impact vaccination efforts, particularly in low-resource settings.

View Article and Find Full Text PDF

Continuous Rhythm Monitoring With Implanted Loop Recorders in Children and Adolescents With Brugada Syndrome.

J Am Coll Cardiol

September 2024

Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland; Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland. Electronic address:

Background: Young (<18 years of age) patients with Brugada syndrome (BrS) are often under-represented in BrS studies and their management, especially related to syncopal episodes, remains unclear.

Objectives: This study sought to describe the arrhythmia prevalence among young patients with BrS undergoing continuous rhythm monitoring by implantable loop recorder (ILR) and to assess the etiology behind syncope of undetermined origin.

Methods: A total of 147 patients with BrS with ILR were enrolled in 12 international centers and divided into pediatric (age <12 years; n = 77, 52%) and adolescents (age 13-18 years; n = 70, 48%).

View Article and Find Full Text PDF

Proinflammatory cytokines are implicated in promoting neurodegeneration in multiple sclerosis (MS) by affecting excitatory and inhibitory transmission at central synapses. Conversely, the synaptic effects of anti-inflammatory molecules remain underexplored, despite their potential neuroprotective properties and their presence in the cerebrospinal fluid (CSF) of patients. In a study involving 184 newly diagnosed relapsing-remitting (RR)-MS patients, we investigated whether CSF levels of the anti-inflammatory interleukin (IL)-10 were linked to disease severity and neurodegeneration measures.

View Article and Find Full Text PDF
Article Synopsis
  • HLA mismatching (different types of immune cells) can make it harder for patients with blood cancer to survive after getting a transplant.
  • In a study with over 17,000 patients, those with mismatched HLA types had lower survival rates, especially with certain HLA classes.
  • Using a new treatment called post-transplantation cyclophosphamide (PTCy) helps reduce some risks, but HLA mismatching still leads to higher death rates in both PTCy and traditional transplant methods.
View Article and Find Full Text PDF
Article Synopsis
  • The IELSG37 trial investigated whether patients with primary mediastinal B-cell lymphoma (PMBCL) who have a complete metabolic response (CMR) after treatment can safely skip consolidation radiotherapy.
  • It was a randomized noninferiority study involving 545 patients, focusing on progression-free survival (PFS) over 30 months, with results showing high PFS rates of 96.2% for observation and 98.5% for radiotherapy.
  • The study concluded that avoiding irradiation does not negatively impact survival, highlighting positive outcomes for patients with CMR.
View Article and Find Full Text PDF

Background: In an era of precision and stratified medicine, homogeneity in population-based cohorts, stringent causative entry, and pattern analysis of datasets are key elements to investigate medical treatments. Adhering to these principles, we collected and data pointing to an insulin-sensitizing/insulin-mimetic effect of myo-inositol (MYO) relevant to cell regeneration in dentistry and oral surgery. Confirmation of this possibility was obtained by analysis of the relation between and results (the so-called bed-to-benchside reverse translational approach).

View Article and Find Full Text PDF

Optimizing Management of Stable Angina: A Patient-Centered Approach Integrating Revascularization, Medical Therapy, and Lifestyle Interventions.

J Am Coll Cardiol

August 2024

Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Center of Excellence of Cardiovascular Sciences, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy.

Article Synopsis
  • * Treatment for obstructive CAD focuses on reducing heart events and symptoms, while INOCA requires addressing functional changes in coronary circulation.
  • * A precise diagnosis in patients with INOCA is vital for personalized treatment, and the paper emphasizes combining coronary revascularization, medication, and lifestyle changes for effective angina management.
View Article and Find Full Text PDF

Background & Aims: Perianal fistulation is a challenging phenotype of Crohn's disease, with significant impact on quality of life. Historically, fistulae have been classified anatomically in relation to the sphincter complex, and management guidelines have been generalized, with lack of attention to the clinical heterogenicity seen. The recent 'TOpClass classification system' for perianal fistulizing Crohn's disease (PFCD) addresses this issue, and classifies patients into defined groups, which provide a focus for fistula management that aligns with disease characteristics and patient goals.

View Article and Find Full Text PDF