24,469 results match your criteria: "University of Genoa & Clinical Neurology Polyclinic IRCCS San Martino-IST[Affiliation]"

Does greater variation reside in the larger sex?

Biol Lett

November 2024

Department of Psychological Sciences, Interdisciplinary Neuroscience, University of Missouri, Columbia, MO 65211-2500, USA.

The question of whether males or females are the more variable sex is long-standing, and yet to be fully answered. We investigate the relationships between body mass and variation across species using a phylogenetically informed analysis of the body mass of 337 species representing six mammalian orders. Within each order, we found that the larger sex is typically the more variable sex, whether male or female, and the variation-size relationship is arguably often close to unity.

View Article and Find Full Text PDF

Comparison of the Safety and Efficacy of Ustekinumab and Vedolizumab in Patients with Crohn's Disease: A Systematic Review and Meta-Analysis of Propensity Score Matched Cohort Studies.

Diseases

November 2024

Gastroenterology Unit, Department of Internal Medicine, Istituto di Ricovero e Cura a Carattere Scientifico Policlinico San Martino, University of Genoa, Viale Benedetto XV, 16132 Genoa, Italy.

Article Synopsis
  • A systematic review identified 10 retrospective studies involving 4,398 patients, focusing on outcomes like steroid-free remission and adverse events over 1 year.
  • Results indicated that both drugs performed similarly in achieving steroid-free remission, but ustekinumab had a lower risk of adverse events, serious infections, and hospitalization.
View Article and Find Full Text PDF
Article Synopsis
  • This study focused on serum IFN-α2 as a potential marker for disease activity and flare prediction in juvenile systemic lupus erythematosus (jSLE).
  • Researchers analyzed 222 serum samples from jSLE patients, healthy controls, and juvenile idiopathic arthritis patients to compare IFN-α2 levels across groups and assess its predictive value for disease flares.
  • The results indicated that higher IFN-α2 levels were associated with active disease states and could predict flare risk in jSLE patients, suggesting its utility for monitoring and managing the condition.
View Article and Find Full Text PDF

Background: C3 glomerulopathy is a rare clinical entity characterized by dysregulation of the alternative complement pathway in glomerular disease. Studies defining the natural history of C3G in the pediatric population are scarce.

Methods: Patients included in this retrospective study were diagnosed between 2011 and 2020 in 12 European pediatric nephrology units.

View Article and Find Full Text PDF

Background: Magnetic resonance imaging (MRI) has recently enabled to identify four distinct Alzheimer's disease (AD) subtypes: hippocampal sparing (HpSp), typical AD (tAD), limbic predominant (Lp), and minimal atrophy (MinAtr). To date, however, the natural history of these subtypes, especially regarding the presence of subjects switching to other MRI patterns and their clinical and biological differences, remains poorly understood.

Objective: To investigate the clinical and biological underpinnings of longitudinal atrophy pattern progression in AD.

View Article and Find Full Text PDF

Background: Social media has revolutionized the way healthcare professionals communicate with the public, particularly in Pediatrics. With over 5 billion users globally, platforms such as Facebook, Instagram, and TikTok have become increasingly popular even among caregivers in recent years. These channels offer unique opportunities to improve public health education, allowing pediatricians to reach a wide audience with evidence-based content.

View Article and Find Full Text PDF

Emotional auditory stimuli influence step initiation in Parkinson's disease with freezing of gait.

Sci Rep

November 2024

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genova, Genova, Italy.

Freezing of gait (FOG) in Parkinson's disease (PD) can be triggered by sensomotor, cognitive or limbic factors. The limbic system's impact on FOG is attributed to elevated limbic load, characterized by aversive stimuli, potentially depleting cognitive resources for movement control, resulting in FOG episodes. However, to date, PD patients with and without FOG have not shown alterations of anticipatory postural adjustments during gait initiation after exposure to emotional images, possibly because visual stimuli are less immediately disruptive than auditory stimuli, which can more directly affect attention and the limbic system.

View Article and Find Full Text PDF
Article Synopsis
  • Growth hormone deficiency can either be congenital (present at birth) or acquired (developing later), with acquired cases often linked to issues in the hypothalamic-pituitary axis.
  • Brain MRI is crucial for diagnosing these deficiencies since it can reveal important structural abnormalities and assess prognosis.
  • The article focuses on how neuroradiologists evaluate pediatric growth hormone deficiency by examining common findings in MRI scans of the pituitary, along with a summary of normal pituitary development and imaging techniques.
View Article and Find Full Text PDF

Big Epidemiology: The Birth, Life, Death, and Resurgence of Diseases on a Global Timescale.

Epidemiologia (Basel)

November 2024

Department of Clinical Pharmacy, Saarland University, 66123 Saarbrücken, Germany.

Article Synopsis
  • - Big Epidemiology is a multidisciplinary approach that combines fields like epidemiology, genetics, and sociology to analyze disease patterns in human history and their effects on society.
  • - The framework employs historical data, archaeological discoveries, and genetic studies to trace the origins and impacts of diseases, such as the Black Death, and examines how these diseases influenced social and economic changes over time.
  • - By integrating environmental factors and reviewing past public health policies, Big Epidemiology aims to enhance future responses to health challenges, while considering ethical implications in its research and interventions.
View Article and Find Full Text PDF

pectinase was immobilized on magnetic nanoparticles coated with calcium alginate for pectin hydrolysis in guava juice by a stirred electromagnetic reactor (SER). The average crystallite size estimated by the Scherrer formula was 33.7 nm.

View Article and Find Full Text PDF

Surgical Algorithm of Poland Syndrome Based on Thorax, Breast, and Nipple-areola Complex Classification.

Plast Reconstr Surg Glob Open

November 2024

From the Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Article Synopsis
  • Poland syndrome (PS) is a rare congenital condition that primarily affects the pectoralis major muscle and presents several thoracic anomalies, necessitating a classification system and treatment algorithm developed in 2016.
  • Between January 2016 and June 2023, 52 PS patients were treated following this algorithm, which included various surgical and conservative procedures; the majority of cases had soft-tissue defects requiring intervention.
  • The results demonstrated that after treatment, many patients improved significantly and could be reclassified; the algorithm proved effective, with few complications reported, highlighting the importance of a multidisciplinary approach for adolescents.
View Article and Find Full Text PDF
Article Synopsis
  • The study explores the assessment of coronary microvascular dysfunction (CMD) using a new hybrid index derived from pressure-wire measurements and angiography, promoting its potential use in clinical settings.
  • Researchers compared this hybrid index, known as IMR, with a traditional bolus thermodilution-based index in a cohort of patients with acute coronary syndrome and stable coronary artery disease.
  • Results indicate that both the new hybrid IMR and the traditional index showed strong correlations and diagnostic accuracy for CMD, suggesting IMR is a simpler and effective alternative for routine clinical use.
View Article and Find Full Text PDF

Objective: Cognitive impairment affects approximately 30% of pediatric onset Multiple Sclerosis (POMS) patients with a negative impact on everyday life. The aim of this study was to evaluate the feasibility and effectiveness of a home-based, computer-assisted training of attention in patients with POMS.

Methods: This was a randomized double-blind study.

View Article and Find Full Text PDF

Objectives: A post hoc analysis used pooled STRIVE/ReSTORE trial data to determine outcomes with rezafungin versus caspofungin by Candida species and antifungal susceptibility.

Methods: The efficacy and safety of once weekly rezafungin 400/200 mg versus once daily caspofungin 70/50 mg was demonstrated in the randomized, double-blind phase 2 STRIVE (NCT02734862) and phase 3 ReSTORE (NCT03667690) trials involving adults with candidaemia and/or invasive candidiasis. In this analysis, data were pooled for patients with a documented Candida infection within 96 hours of randomization who also received ≥1 dose of study drug.

View Article and Find Full Text PDF

BRAF p.V600E exon 15 hotspot mutation can identify a molecular subgroup of metastatic colorectal cancer (mCRC) patients exhibiting poor prognosis under the conventional chemotherapy regimen. Recently, the chemotherapy-free combination of encorafenib and cetuximab has been approved as the standard of care for previously treated BRAF p.

View Article and Find Full Text PDF

Psychometric properties and clinical correlates of the Frontal Behaviour Inventory in progressive supranuclear palsy: data from the PSP-NET.

Neurol Sci

November 2024

Center for Neurodegenerative Diseases (CEMAND), Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.

Objectives: Neuropsychiatric symptoms, such as apathy, disinhibition and irritability, are common in Progressive Supranuclear Palsy (PSP). The Frontal Behaviour Inventory (FBI) is a useful instrument for the evaluation of behavioural disorders in neurodegenerative diseases. The main goal of the present study was to explore the psychometric properties of the FBI in PSP.

View Article and Find Full Text PDF

Background: Breast cancer (BC) constitutes a significant public health challenge in Italy, with a considerable impact on healthcare resources and societal costs. Despite advancements in diagnostics and therapies, the economic burden of BC remains substantial, necessitating a comprehensive evaluation to inform healthcare policy and resource allocation. The aim of this study is to estimate both direct health costs and social security costs related to BC.

View Article and Find Full Text PDF

Purpose: To investigate whether intermittent treatment after an induction phase of first-line schedule of fluorouracil, leucovorin, and irinotecan (FOLFIRI) plus panitumumab (PAN) prevents or delays the onset of resistance and improves safety and compliance with treatment in patients with unresectable / wild-type (wt) metastatic colorectal cancer (mCRC).

Patients And Methods: IMPROVE (ClinicalTrials.gov identifier: NCT04425239) was an open-label, multicenter, randomized phase II noncomparative trial.

View Article and Find Full Text PDF

Organizing an Interdisciplinary Platform for Knowledge Sharing on a Class of Compounds of Natural Origin.

Stud Health Technol Inform

November 2024

Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Genoa, Italy.

Sesterterpenoids, a subset of the terpene family, exhibit notable biological activities. These natural compounds are present in a variety of organisms such as plants, fungi, bacteria, insects and marine life. The therapeutic potential and structural diversity of sesterterpenoids have attracted considerable interest in pharmacological and chemical research.

View Article and Find Full Text PDF

Triple inhaled therapy in asthma: Beliefs, behaviours and doubts.

Pulm Pharmacol Ther

December 2024

Respiratory Diseases and Allergy Department, IRCCS Polyclinic Hospital San Martino, Genoa, Italy; Department of Internal Medicine (DiMI), University of Genoa, Italy. Electronic address:

Long-acting muscarinic antagonists (LAMA) in association with inhaled corticosteroids (ICS) plus long-acting beta-2 agonists (LABA) are recommended by the GINA report as further option in step 4 and first choice in step 5 treatment. Despite consistent evidence of its efficacy and safety, inhaled triple therapy (ITT) is still not largely used in patients with asthma. With the aim to explore belief and behaviours of asthma specialists, an ad hoc survey has been developed by a panel of Interasma Scientific Network (INESnet) experts and subsequently defined by two Delphi rounds among an international group of physicians.

View Article and Find Full Text PDF

Introduction: Real-world studies in the USA report that 41-56% of patients with multiple sclerosis (MS) are ≥ 50 years old, yet data on their response to disease-modifying therapies (DMTs) is limited. Dimethyl fumarate (DMF) is an oral DMT approved for treating relapsing MS. This analysis evaluated the safety, efficacy, and immunophenotype changes of DMF in patients ≥ 50 years compared with patients < 50 years.

View Article and Find Full Text PDF

A criterion for sequential Cohen-Macaulayness.

Arch Math

July 2024

Dipartimento di Matematica, Università di Genova, Via Dodecaneso 35, Genoa, 16146 Italy.

The purpose of this note is to show that a finitely generated graded module over , a field, is sequentially Cohen-Macaulay if and only if its arithmetic degree agrees with , where is a graded free -module and . This answers positively a conjecture of Lu and Yu from 2016.

View Article and Find Full Text PDF

Influenza in Adults Seeking Care at Seven European Emergency Departments: A Prospective Active Surveillance During the 2019-2020 Influenza Season.

Influenza Other Respir Viruses

November 2024

Service d'Hygiène, Epidémiologie, Infectiovigilance et Prévention, Hospices Civils de Lyon, Lyon, France.

Background: Influenza can be associated with nonrespiratory disease presentation, but these are less well documented due to the lack of routine testing for influenza in the healthcare system, especially if patients do not present with influenza-like illness (ILI). We aimed to measure the proportion of influenza cases seeking care at emergency department (ED) for a nontraumatic cause, to describe their clinical presentation and their ED-discharge diagnosis.

Methods: The study was conducted at seven hospitals in France, Spain, Italy and Germany during the 2019-20 influenza season, for a period of 10 weeks.

View Article and Find Full Text PDF

Type 3 Macular Neovascularization in Age-related Macular Degeneration: Baseline Predictors of 3-Year Macular Atrophy Development.

Ophthalmol Retina

November 2024

School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Division of Head and Neck, Ophthalmology Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy. Electronic address:

Purpose: To identify baseline OCT predictors of the 3-year macular atrophy (MA) development for type 3 (T3) macular neovascularization (MNV) secondary to neovascular age-related macular degeneration (nAMD) treated by anti-VEGF therapy.

Design: Multicenter, retrospective, longitudinal study.

Participants: We included patients with treatment-naive T3 MNV secondary to nAMD at baseline, treated with anti-VEGF during a 3-year follow-up.

View Article and Find Full Text PDF