89 results match your criteria: "University of Milan Milan Italy.[Affiliation]"

Background: Heart failure (HF) often occurs in patients with atrial fibrillation (AF), with a major impact on prognosis. Few data are available on the effect of integrated treatment strategies to improve prognosis in patients with AF. We aimed to evaluate the association between HF (according to left ventricular ejection fraction [LVEF]), HF optimal medical therapy and adherence to the Atrial Fibrillation Better Care pathway, and major outcomes in patients with AF.

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In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017.

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Vestibular Syncope and Acute Peripheral Vestibular Deficit: A Case Report.

Clin Case Rep

December 2024

Audiology Unit, Department of Surgical Sciences Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy.

Vestibular syncope is a rare condition in which vertigo may cause syncopal attacks; however, the term has been associated with confusion because it has been ascribed to completely different vestibular and neurological conditions, from dizziness to Menière disease (MD), to the neurovegetative symptoms in benign paroxysmal positional vertigo (BPPV) and central vertebrobasilar hyperfusion. A 75-year-old woman with vasodepressive vasovagal syncope, confirmed by a tilt test with trinitrine administration, was referred for an audiological and vestibular assessment showing an acute unilateral peripheral vestibular deficit on the right side. The diagnosis is peripheral acute vestibular deficits.

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Colorectal cancer (CRC) remains challenging to diagnose, necessitating the identification of a noninvasive biomarker that can differentiate it from other conditions such as inflammatory bowel diseases (IBD) and diverticular disease (DD). Raman spectroscopy (RS) stands out as a promising technique for monitoring blood biochemical profiles, with the potential to identify distinct signatures identifying CRC subjects. We performed RS analysis on dried plasma from 120 subjects: 32 CRC patients, 37 IBD patients, 20 DD patients, and 31 healthy controls.

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Pimasertib, a potent antiproliferative drug, has been extensively studied for treating cancers characterized by dysregulation in the ERK/MAPK signaling pathway, such as melanoma. However, its therapeutic efficacy would greatly benefit from an increased selectivity for tumour cells and a longer half-life. Such improvements may be achieved by combining the rational design of a prodrug with its encapsulation in a potential nanodelivery system.

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Concurrent infections with two or more pathogens with analogous tropism, such as RSV and SARS-CoV-2, may antagonize or facilitate each other, modulating disease outcome. Clinically, discrepancies in the severity of symptoms have been reported in children with RSV/SARS-CoV-2 co-infection. Herein, we propose an co-infection model to assess how RSV/SARS-CoV-2 co-infection alters cellular homeostasis.

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Article Synopsis
  • Posterior glottic lesions that look like granulomas and don’t respond to conservative treatments may indicate a possible tumor.
  • Surgery is usually not suggested for arytenoid granulomas due to their tendency to come back, but a tissue analysis is essential when the diagnosis is unclear.
  • Doctors should be mindful that a rare laryngeal neuroendocrine tumor can look like a granuloma, making diagnosis difficult.
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Objectives: The exclusive endoscopic transcanal transpromontorial approach (EETTA) has recently been developed for the removal of small-sized acoustic neuromas in the labyrinth (intralabyrinthine schwannoma [ILS]) or internal auditory canal (IAC). Although small tumors that meet the indications for EETTA are also good candidates for cochlear implantation (CI), there are few reports on CI after schwannoma removal using EETTA. Here we present an outcome of patients who underwent simultaneous EETTA and CI.

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Teduglutide is a glucagon-like peptide 2 (GLP-2) analog which acts by increasing intestinal absorption of the remnant bowel for children with short bowel syndrome (SBS) dependent on parenteral nutrition. We present a 13-year-old male patient with type 2 SBS (55 cm of jejunum) from necrotizing enterocolitis on full oral feeding from the age of 12 months. Because of faltering growth from the age of 11 despite oral hyperphagia, he started Teduglutide at the standard dose.

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Circulating cell-free nucleic acids are considered a promising source of biomarkers for diseases and cancer. Liquid biopsy biomarkers for brain tumours represent a major, still unmet, clinical need. In plasma, nucleic acids can be free or be associated with extracellular vesicles (EVs).

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Iron is an essential nutrient and a constituent of ferroproteins and enzymes crucial for human life. Generally, nonmenstruating individuals preserve iron very efficiently, losing less than 0.1% of their body iron content each day, an amount that is replaced through dietary iron absorption.

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Article Synopsis
  • There is a wealth of ideas in both mainstream and alternative medicine regarding diet's role in treating or preventing illnesses, but our understanding of how dietary changes affect the gastrointestinal (GI) tract is still limited.
  • The review focuses on understanding "leaky gut syndrome" through better testing of intestinal barrier function, stressing the need to consider its dynamic nature and the effects of stressors.
  • It also highlights the potential of intestinal ultrasound as a tool for assessing GI function and structure in real-time, particularly concerning gut-brain interactions, paving the way for improved dietary strategies in personalized healthcare.
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Recent research has shown that tau protein can be passed to neighboring cells, leading to cellular senescence in the endothelial cells present in the central nervous system (CNS). This discovery could potentially open new doors for testing novel therapeutic compounds that specifically target senescent cells (senolytics) or for identifying new biomarkers that can enable early detection of tauopathies and dementia.

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(Marshall, 1888) is redescribed and illustrated based on the holotype of Marshall, 1888 and on recently collected material from its type locality (Sicily, Italy). Previous host records for this species are unreliable. Here, the host of , the rare ptinid beetle Fairmaire, 1875, is recorded for the first time, having been reared in a historic library in Palermo, Italy.

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The expansion of forest cover and intensification of agriculture represent the main threats to the bush cricket , currently listed as Vulnerable globally by the IUCN and included in Annex IV of the European Union Habitats Directive. Gathering information on its ecology and population size is challenging due to its low abundance and localized distribution. Additionally, the elusive and cryptic behavior of this species reduces the likelihood of its detection, potentially resulting in population underestimations.

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Article Synopsis
  • Minimally invasive mitral valve repair using the MitraClip device shows beneficial outcomes in patients with significant mitral regurgitation, including those who have had prior valve repairs.
  • A study involving 2,238 patients highlighted that while device and procedural success rates are slightly lower for those with previous valve procedures, overall outcomes such as death and rehospitalization rates remain similar across groups.
  • The findings suggest that transcatheter edge-to-edge repair is a viable option for carefully selected patients even after previous mitral valve interventions.
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  • * The study found that patients with COPD had significantly higher rates of all-cause death, cardiovascular death, and heart failure compared to those without COPD, with COPD linked to a more than threefold increase in risk for these outcomes.
  • * Additionally, the use of beta blockers in COPD patients with AF was associated with lower mortality rates, suggesting potential benefits for treatment strategies in this demographic.
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Background Clinical risk factors are common among patients with atrial fibrillation (AF), but there are still limited data on their association with oral anticoagulant (OAC) treatment patterns and major outcomes. We aim to analyze the association between clinical risk phenotypes on AF treatment patterns and the risk of major outcomes. Methods and Results The GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation) phase 2 and 3 registries enrolled patients with a recent diagnosis of AF between 2011 and 2016.

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Neurodegenerative diseases (NDs) impose substantial medical and public health burdens on people worldwide and represent one of the major threats to human health. The prevalence of these age-dependent disorders is dramatically increasing over time, a process intrinsically related to a constantly rising percentage of the elderly population in recent years. Among all the NDs, Alzheimer's and Parkinson's are considered the most debilitating as they cause memory and cognitive loss, as well as severely affecting basic physiological conditions such as the ability to move, speak, and breathe.

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Exposure to anesthetic drugs has been proven to seriously affect developing animals in terms of neural stem cells' (NSCs') proliferation, differentiation, and apoptosis. This can severely hamper the development of physiological learning and memory skills. Studies on the effects of anesthetics on NSCs' proliferation and differentiation are thus reviewed here, with the aim to highlight which specific drug mechanisms are the least harmful to NSCs.

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Article Synopsis
  • Recent advances in Nanotechnology have greatly improved how we create materials that can help people stay healthy.
  • Many tiny materials, called nanoparticles (NPs), have the potential to improve human health, but we still don't fully understand how they work with our bodies.
  • This review will explain how nanoparticles travel through the brain, focusing on their interactions with important barriers, especially in cases of brain infections like tuberculosis, and provide tips for designing better NPs for treatment.
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Incidence of blast phase in myelofibrosis according to anemia severity.

EJHaem

August 2023

Hematology Foundation IRCCS Ca'Granda Ospedale Maggiore Policlinico Milan Italy.

Article Synopsis
  • Myelofibrosis (MF) is a type of blood cancer often causing anemia, which can lead to a progression to a severe form known as blast phase (BP) in 10%-20% of patients.
  • In a study of 1,752 MF patients largely untreated with ruxolitinib (RUX), anemia significantly increased BP incidence, with rates varying based on the severity of anemia.
  • Even among patients treated with RUX, those starting treatment with significant anemia showed similar BP rates, underscoring the need for careful management of anemia in MF patients and its implications for treatment safety.
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Background The impact of complete revascularization (CR) on the development of heart failure (HF) in patients with acute coronary syndrome and multivessel coronary artery disease undergoing percutaneous coronary intervention remains to be elucidated. Methods and Results Consecutive patients with acute coronary syndrome with multivessel coronary artery disease from the CORALYS (Incidence and Predictors of Heart Failure After Acute Coronary Syndrome) registry were included. Incidence of first hospitalization for HF or cardiovascular death was the primary end point.

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