24,449 results match your criteria: "University of Genoa & Clinical Neurology Polyclinic IRCCS San Martino-IST[Affiliation]"

The experience of pedagogical training on postgraduate rehabilitation health professionals: A qualitative study.

PLoS One

December 2024

School of Health and Society, Centre for Human Movement and Rehabilitation, University of Salford, Salford, Greater Manchester, United Kingdom.

Introduction: Health professionals that act as lecturers in higher education necessitate the acquisition of pedagogical skills along with clinical ones. Consequently, pedagogical training courses have been introduced as part of professional development or within university curricula. While several studies explored the experiences of attending courses on pedagogical methodology, there is a notable gap in the literature within the rehabilitation field.

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  • Obstructive sleep apnoea (OSA) is a common sleep disorder linked to significant health risks and economic costs, and machine learning (ML) may help predict its severity and understand its causes.
  • This study involved adult patients suspected of OSA who underwent assessments and sleep monitoring, using various ML models to analyze their clinical data.
  • Results showed different ML models had varying levels of accuracy in predicting OSA severity, with certain demographic and health factors, like body measurements and hypertension, being important predictors.
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Secondary acute myeloid leukemia (s-AML) is associated with inferior outcomes with conventional chemotherapy, and fludarabine combinations (FLAG-Ida) have been tested to improve results. More recently, CPX-351 resulted superior to conventional 3 + 7 in s-AML patients. In the UK NCRI AML19 trial, AML patients were randomized to receive either FLAG-Ida or CPX-351.

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An interconnected system employing Kinect Azure and Fitbit Sense for continuous and non-intrusive data collection was used in the PRO-HOME protected discharge program, aiming at monitoring functional and clinical parameters in hospitalized older patients at different risks of frailty. The present study shows the findings on 30 older patients included in the PRO-HOME project. The Fitbit Sense recorded the mean daily and hourly number of steps, mean daily walked distance, and time spent inactive.

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Objective: Transoral robotic surgery (TORS) has shown promising results in treating human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC), and there has been increasing interest in incorporating neoadjuvant chemotherapy (NCT) prior to TORS. This study aimed to assess the feasibility and safety of sparing adjuvant RT following NCT and TORS.

Methods: A retrospective cohort study included consecutive patients with HPV-positive OPSCC who underwent NCT followed by TORS without adjuvant RT.

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  • Anesthesiologists are at risk from exposure to waste anesthetic gases, but research shows that newer gases like desflurane and sevoflurane may have better safety profiles compared to older ones like nitrous oxide.
  • A study was conducted using health data from anesthesiologists and a control group of unexposed physicians in Italy from 2016 to 2022, analyzing liver and kidney function markers.
  • The findings indicated no significant health differences between the two groups over time, except for a higher estimated glomerular filtrate in the exposed group, suggesting that exposure to anesthetic gases may not adversely affect liver or kidney functions.
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  • The European Diploma in Musculoskeletal Radiology (EDiMSK) is a prestigious qualification for MSK radiologists that verifies their expertise beyond national certifications.
  • The examination includes both a written section with 40 multiple-choice questions and an oral component, all conducted in English.
  • The article offers preparation tips for the written exam, explaining the question structure and scoring, and provides ten sample MCQs representative of the exam's content.
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  • Genetic syndromes have been extensively studied for their clinical signs and underlying mechanisms, but gaps remain in understanding specific aspects like vocal production in conditions such as Cri du chat syndrome (CdCS).
  • A study aimed to analyze the vocal characteristics of 29 CdCS patients aged 4 to 21 by recording their pronunciations of the vowels [a], [i], and [u], as well as counting from 1 to 10.
  • Results showed notable differences in vocal qualities based on age and gender, with older males exhibiting the most pronounced roughness and asthenia, highlighting the link between voice production and biological or clinical traits.
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  • The study aims to explore the coexistence of Poland Syndrome (PS) and Tuberous Breast (TB) abnormalities in female adolescents and assess how to manage TB in patients with PS.
  • Data was collected from 51 PS patients over 13 years, finding that 45% also developed TB, with varying severity and treatment approaches like implants and fat grafting.
  • The findings suggest that TB is more common in PS patients than the general population, highlighting the need for a multidisciplinary approach for effective treatment and better cosmetic outcomes.
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The clinical dilemma of high-risk stage II colon cancer: are we truly prepared to withdraw oxaliplatin?

ESMO Open

December 2024

Institut du Cancer Paris CARPEM, AP-HP Centre, Department of Gastroenterology and Digestive Oncology, Hôpital Européen Georges Pompidou, Paris, France.

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Split notochord syndrome (SNS) is a rare congenital anomaly characterized by incomplete midline notochordal integration during gastrulation, leading to segmental clefts of the spine. This case report describes a female patient with symptomatic cervico-dorsal SNS associated with a neurenteric cyst (NEC), intrathoracic gut duplication, and secondary hydrocephalus. Multistep surgical interventions were performed, including hydrocephalus management, excision of the cyst and gut duplication, and detethering with sectioning of the filum.

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  • About 70% of bladder cancer cases are non-muscle invasive (NMIBC) and inflammation, influenced by factors like smoking, affects treatment outcomes with BCG therapy.
  • A study analyzed data from 1,313 NMIBC patients to examine how smoking and systemic inflammation impact the effectiveness of BCG using a machine-learning algorithm.
  • The results indicated that both smoking status and specific inflammatory markers can significantly predict the risk of disease progression, highlighting the need for tailored treatment strategies and further research to confirm the findings.
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Exercise for osteoarthritis of the knee.

Cochrane Database Syst Rev

December 2024

Centre for Health, Exercise and Sports Medicine, The University of Melbourne, Victoria, Australia.

Article Synopsis
  • Knee osteoarthritis (OA) is a significant health problem that leads to chronic pain and decreased quality of life, with exercise being a recommended self-management strategy as there is currently no cure.
  • This review evaluates the effectiveness of land-based exercise for knee OA in three ways: comparing it to control groups, to no treatment/usual care, and in combination with other interventions.
  • A total of 139 randomized controlled trials involving over 12,000 participants were analyzed, focusing on outcomes like pain relief, physical function, and quality of life, with exercise interventions ranging from 2 to 104 weeks in duration.
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  • * Researchers investigated the G85E-CFTR variant using human nasal epithelial cells and found that the drugs elexacaftor and tezacaftor modestly improved CFTR function, but chronic treatment with ivacaftor had negative effects.
  • * The study suggests that combining elexacaftor with a new corrector, ARN23765, can significantly enhance CFTR activity and highlights the need for better drug combinations to help patients with the G85E mutation.
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Liquid antipsychotics in the management of psychomotor agitation: a focus on promazine.

Drugs Context

November 2024

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy.

Article Synopsis
  • * PMA occurs in 4.3% to 10% of psychiatric emergencies, creating a heavy burden on healthcare systems, yet there’s a gap in standardized treatment protocols, especially regarding the use of liquid antipsychotics like liquid promazine.
  • * The review analyzes the benefits of liquid promazine, which include ease of use, quick action, and better patient adherence, but emphasizes the need for further research to validate its effectiveness compared to other antips
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Clinical phenotypes of COVID-19, associated with mortality risk, have been identified in the general population. The present study assesses their applicability in solid organ transplant recipients (SOTR) hospital-admitted by COVID-19. In a cohort of 488 SOTR, nonvaccinated (n = 394) and vaccinated (n = 94) against SARS-CoV-2, we evaluated 16 demographic, clinical, analytical, and radiological variables to identify the clinical phenotypes A, B, and C.

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Background: Adherence to optimal practices in the preparation and issuance of pediatric blood components can significantly influence patient care outcomes. This study aims to examine the blood banking procedures across prominent Italian children's hospitals, with the goal of identifying both consistent and potentially divergent standards within this field.

Materials And Methods: A survey was conducted among the blood banks affiliated with the Italian Association of Pediatric Hospitals.

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Rationale: Doravirine (DOR) is an attractive new option both for ART-naïve people with HIV (PWH) and those with suppressed HIV-RNA who seek treatment simplification. We used real-world data to examine the pattern of use of DOR-containing regimens in these settings.

Methods: All PWH enrolled in the Icona cohort after January 2020 who initiated a three-drug regimen (3-DR) with DOR or an integrase inhibitor (INSTI)-based regimen as first antiretroviral therapy (ART) or when switching ART, with HIV-RNA ≤50 copies/mL, were included.

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Risk factors for community-acquired acute kidney injury: Challenges and perspectives.

Eur J Intern Med

January 2025

Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy; UO Nephrology Dialysis and Transplantation, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

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Background: The risk factors for proximal radial abnormalities (PRA) in paediatric patients with untreated chronic Monteggia fractures (CMFs) are unclear. This multicentre study aimed to evaluate the risk factors for PRA in children with untreated CMFs.

Materials And Methods: The clinical data of 142 patients (mean age at the time of injury: 5.

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Background: In recent years, theranostics has become a promising approach for treating metastatic castration-resistant prostate cancer (mCRPC), with trials investigating targeted radioligand therapy, particularly using prostate-specific membrane antigen labeled with lutetium-177 ([Lu]Lu-PSMA). The proper position of [Lu]Lu-PSMA in the therapeutic algorithm of mCRPC is yet to be identified.

Design, Setting, And Participants: We conducted a systematic review and meta-analysis of phase II/III randomized controlled trials to assess the efficacy of [Lu]Lu-PSMA in treating mCRPC.

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  • The study aimed to determine if switching from dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) reduces neuropsychiatric symptoms in HIV patients.
  • Conducted as a randomized trial, it involved 41 participants who had been stable on DTG/ABC/3TC and compared those who switched to BIC/FTC/TAF versus those who continued their current therapy.
  • Results indicated that switching improved sleep disorders among participants but did not significantly impact other neuropsychiatric symptoms, suggesting better tolerability with BIC-based therapy despite the small sample
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