1,668 results match your criteria: "University of Genoa DISSAL; Infectious Diseases Unit - IRCCS AOU San Martino-IST[Affiliation]"

Background: High-grade glioma (HGG) patients post-radiotherapy often face challenges distinguishing true tumor progression (TTP) from pseudoprogression (PsP). This study evaluates the effectiveness of systemic inflammatory markers and volume of enhancing tissue on post-contrast T1 weighted (T1WCE) MRI images for this differentiation within the first six months after treatment.

Material And Methods: We conducted a retrospective analysis on a cohort of HGG patients from 2015 to 2021, categorized per WHO 2016 and 2021 criteria.

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Secukinumab in the Treatment of Psoriasis: A Narrative Review on Early Treatment and Real-World Evidence.

Dermatol Ther (Heidelb)

October 2024

Dermatology Unit, Department of Biomedical Sciences, Humanitas University, 20072, Pieve Emanuele, Italy.

Psoriasis is a chronic, immune-mediated, inflammatory skin disease, associated with multiple comorbidities and psychological and psychiatric disorders. The quality of life of patients with this disease is severely compromised, especially in moderate-to-severe plaque psoriasis. Secukinumab, a fully humanized monoclonal antibody, was the first anti-interleukin (IL)-17 biologic approved for treating psoriasis.

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Background: Cognitive reserve (CR) is an expression of brain resilience in response to damage. Education, occupational experience and leisure activities are thought to increase CR and have beneficial effects on global cognition and cognitive decline in Parkinson's disease (PD). We aimed to disclose brain metabolic and dopaminergic correlates of CR in de-novo PD patients.

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  • Several new drugs are in advanced clinical trials aimed at treating resistant Gram-negative bacteria, which are difficult to treat with current antibiotics.
  • The review highlights agents that have either completed or are currently in phase-3 trials, focusing on research up to May 2024.
  • The novel agents, mainly β-lactams and β-lactam/β-lactamase inhibitors, show effectiveness against certain resistant strains, but most of their efficacy has been tested against bacteria that are still susceptible, making real-world studies important for future treatment guidelines.
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Clinicopathological and molecular differences between stage IV screen-detected and interval colorectal cancers in the Flemish screening program.

Front Oncol

September 2024

Research group on Social Epidemiology and Health Policy, Department of Family Medicine and Population Health (FAMPOP), University of Antwerp, Antwerp, Belgium.

Introduction: Interval cancer (IC) is an important quality indicator in colorectal cancer (CRC) screening. Previously, we found that fecal immunochemical test (FIT) ICs are more common in women, older age, right-sided tumors, and advanced stage. Here, we extended our existing stage IV patient cohort with clinicopathological and molecular characteristics, to identify factors associated with FIT-IC.

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  • Parkinson's disease (PD) negatively impacts health-related quality of life (HRQoL), particularly among Arabic-speaking individuals, highlighting a need for validated measurement scales in this population.
  • A scoping review conducted in December 2022 analyzed existing studies to identify HRQoL measurement scales that are validated for Arabic speakers with PD, focusing on their psychometric properties.
  • The review found that while several HRQoL scales exist for PD, only one has been specifically validated in Arabic, indicating a significant gap in resources for this demographic.
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(1) Background. A definition of healthcare-associated infections is essential also for the attribution of the restorative burden to healthcare facilities in case of harm and for clinical risk management strategies. Regarding infections, there remains several issues on the ecosystem and pathogenesis.

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Background: Arterial spin labeling (ASL) MRI has been anecdotally used to assess brain perfusion in autoimmune encephalitis (AE) and its relationship with [F]FDG-PET dysmetabolism has been scarcely investigated.Considering the physiological coupling of metabolism and perfusion, we aimed to evaluate the degree of correspondence between ASL-MRI and [F]FDG-PET in AE.

Methods: A retrospective cohort of five patients underwent ASL-MRI and [F]FDG-PET during the acute stage and at follow-up.

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  • Infections from multidrug-resistant Acinetobacter baumannii are a major health issue due to limited treatment options and drug safety concerns.
  • Sulbactam-durlobactam is a new drug combination developed to effectively target these infections, particularly against hard-to-treat carbapenem-resistant strains.
  • Current research highlights its promising results in clinical trials and emphasizes the need for continued monitoring and education to prevent resistance and enhance its use in various patient populations.
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  • Researchers did a review to update how good different types of PET scans are for finding and checking solid cancers (not brain cancers) using special medicines.
  • They looked through many studies and found 64 helpful articles that show which types of PET scans work best for various cancers, like prostate and neuroendocrine tumors.
  • The review found that some cancers, like esophageal cancer and certain types of lung cancer, don't have enough strong studies to help with diagnosis using PET scans.
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  • Higher age is linked to decreased inflammatory activity in relapsing-remitting multiple sclerosis (RRMS), but it's unclear if this is due to age itself or disease duration.
  • This study analyzed data from five large clinical trials to examine how age and disease duration impact relapse rates, MRI lesions, and other indicators of disease activity in RRMS.
  • Results showed that older patients had significantly lower relapse rates and fewer lesions on MRI, regardless of how long they had the disease, suggesting that age factors should be considered in clinical trial designs and treatment predictions.
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  • Apathy unawareness in mild cognitive impairment (MCI) is linked to differences between caregiver and patient assessments, potentially predicting progression to Alzheimer's dementia.
  • Researchers studied 28 MCI patients, using the Apathy Evaluation Scale to gauge apathy levels from both perspectives, and analyzed brain activity via PET scans.
  • Findings revealed that greater discrepancies in assessments correlated with lower metabolism in specific brain regions, indicating that apathy unawareness is tied to early limbic system disruptions rather than traditional pathways associated with apathy.
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Purpose: In Peptide Receptor Radionuclide Therapy (PRRT) with [Lu]Lu-DOTATATE of gastro-entero-pancreatic neuroendocrine tumours (GEP NETs) a question remains open about the potential benefits of personalised dosimetry. This observational prospective study examines the association of individualized dosimetry with progression free survival (PFS) in G1-G2 GEP NETs patients following the standard [Lu]Lu-DOTATATE therapeutic regimen.

Methods: The analysis was conducted on 42 patients administered 4 times, and on 165 lesions.

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Mycoplasma hominis can be a part of human urogenital tract microbiome, and it is a frequent cause of urogenital infections. In rare cases, it can also cause extragenital infections, especially in immunocompromised patients. In this case series, we report two cases and provide a literature review of extragenital infections caused by M.

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  • The study investigates the impact of adequate empirical combination therapy (AECT) on 30-day mortality rates in septic shock patients infected with Pseudomonas aeruginosa.
  • Of 98 patients analyzed, those receiving AECT had a significantly lower mortality rate (25%) compared to those on adequate empirical monotherapy (AEMT) (56.8%), indicating AECT may enhance survival.
  • The findings suggest transitioning to a single effective antibiotic after confirming susceptibility is safe, highlighting the need for further research to validate these results.
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Objective: The prevalence of anxiety and depression in patients diagnosed with Alopecia Areata (AA) is very high and this significant burden of psychological symptoms threatens the Health-Related Quality of Life (HRQoL) of affected patients. Indeed, AA often does not produce significant physical symptoms, but it nonetheless disrupts many areas of mental health. Clinical assessment of disease severity may not reliably predict patient's HRQoL, nor may it predict the patient's perception of illness.

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  • The study examines T-cell characteristics in individuals with perinatal HIV (PHIV), adults with HIV (AHIV), and healthy controls, focusing on activation, exhaustion, and regulatory T-cell frequencies.
  • It involved a cross-sectional analysis of young people with controlled HIV and healthy individuals, using various immunological markers to identify differences between groups.
  • Results showed PHIV had a healthier T-cell profile with lower exhaustion markers and higher naive T-cell frequencies than AHIV, suggesting that the timing of HIV infection influences immune system status.
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Influenza-like illness (ILI) patients co-detected with respiratory pathogens exhibit poorer health outcomes than those with single infections. To address the paucity of knowledge concerning the incidence of concurrent respiratory pathogens, their relationships, and the clinical differences between patients detected with single and multiple pathogens, we performed an in-depth characterization of the oropharyngeal samples of primary care patients collected in Genoa (Northwest Italy), during winter seasons 2018/19-2019/20.The apriori algorithm was employed to evaluate the incidence of viral, bacterial, and viral-bacterial pairs during the study period.

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The Etiology of Bloodstream Infections at an Italian Pediatric Tertiary Care Hospital: A 17-Year-Long Series.

Pathogens

August 2024

Infectious Diseases Unit, Department of Pediatrics, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.

Knowledge of epidemiology is essential for guiding correct antibiotic prescription, reducing bacteremia-associated mortality, and implementing targeted infection control programs. However, only a few studies have reported on the epidemiology of bloodstream infections (BSIs) in pediatrics. We performed a retrospective analysis of all BSIs (excluding those caused by common skin contaminants) diagnosed from 2006 to 2022 in patients younger than 18 years who were treated at an Italian pediatric tertiary care hospital.

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A 3-Year Experience with Tildrakizumab Treatment for Patients with Plaque Psoriasis in Clinical Practice.

Dermatol Ther (Heidelb)

September 2024

Division of Dermatology, Department of Health Sciences-DISSAL, University of Genoa, Genoa, Italy.

Introduction: The efficacy and safety of tildrakizumab for the treatment of plaque psoriasis were demonstrated by randomized clinical studies, but the reappraisal of prolonged experiences in the clinical practice helps to optimize the use of this biologic drug. The aim of this study was to evaluate the long-term efficacy of tildrakizumab in patients with moderate-to-severe psoriasis in the real world.

Methods: This is a long-term retrospective observational study in a real-life setting.

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  • Hand eczema (HE) significantly impacts quality of life and lacks comprehensive data for Italian patients undergoing patch testing, highlighting the need for a better understanding of this condition.
  • A study analyzed 1,597 HE patients over seven years, revealing key demographic and clinical information, such as that 60.2% were in the HE-only group and 33.2% of these had occupational dermatitis.
  • Results showed common allergic and irritant responses in HE-only patients, with significant patch test reactions primarily to nickel and various preservatives, emphasizing unique traits within this patient population.
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Background: Sarcopenia, characterized by muscle mass, strength, and performance decline, significantly impacts outcomes in older adults. This study aims to assess the predictive value of calf circumference (CC), in conjunction with SARC-F and hand grip, concerning in-hospital complications and post-discharge mortality among hospitalized frail older adults.

Methods: A cohort of 158 hospitalized patients aged over 65 years underwent Comprehensive Geriatric Assessment and sarcopenia screening, including CC measurement.

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Background: Seasonal influenza vaccination coverage in Italian older adults is insufficient and well below the minimum target of 75%. In Italy, most influenza vaccine doses are administered by general practitioners (GPs), whose number has been declining. In parallel, the number of patients per GP and GP workload increased dramatically, which theoretically may impair vaccination counselling.

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Efficacy and Safety of bimekizumab in elderly patients: real-world multicenter retrospective study - IL PSO (Italian Landscape Psoriasis).

J Dermatolog Treat

December 2024

Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, University of La Sapienza, Rome, Italy.

Article Synopsis
  • The study aimed to gather real-world data on the use of bimekizumab for treating moderate-to-severe plaque psoriasis in patients aged 65 and older, an age group often underrepresented in clinical trials.
  • Conducted in 33 dermatological clinics in Italy, 98 elderly patients were treated with bimekizumab while collecting clinical and demographic data to monitor their progress and any adverse events over 36 weeks.
  • Results showed significant improvements in psoriasis symptoms, with PASI scores dropping substantially after treatment, and a majority of patients achieving PASI75 or higher by weeks 16 and 36.
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Background: Trypanophobia or "needle phobia" represents a potential hindrance to the effective management of chronic diseases whenever an injectable therapy might be required, especially in case of frequent administrations. Psoriasis, a chronic dermatologic disease, can be effectively treated with biologic drugs administered subcutaneously. Thankfully, anti-IL-23 drugs require few administrations per year and are available in prefilled pens that hide the needle, thus representing a convenient option in patients with trypanophobia.

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