2,637 results match your criteria: "and Sapienza University Hospital "Policlinico Umberto I"[Affiliation]"

Long-Term Functional Outcomes of Retinal Detachment Due to Acute Retinal Necrosis: A Case Series.

Biomedicines

October 2024

Ophthalmology Unit, Department of Head and Neck, Policlinico Umberto I University Hospital, Sapienza University of Rome, 00185 Rome, Italy.

: To evaluate the long-term anatomical and functional prognosis of patients with retinal detachment (RD) secondary to acute retinal necrosis (ARN) treated with pars plana vitrectomy (PPV). : This retrospective case series included 21 eyes from 21 patients with RD secondary to ARN. The study analyzed vitreous or aqueous biopsy results, the impact of antiviral therapy, time to retinal detachment, changes in visual acuity (VA), and anatomical and surgical outcomes.

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The Role of Tumor Biomarkers in Tailoring the Approach to Advanced Ovarian Cancer.

Int J Mol Sci

October 2024

Unit of Gynecology, Department of Surgical and Medical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.

Growing evidence has demonstrated the role of mutations of tumor biomarkers in diagnosing and treating epithelial ovarian cancer. This review aims to analyze recent literature on the correlation between tumor biomarkers and chemotherapy in nonmucinous ovarian cancer, providing suggestions for personalized treatment approaches. An extensive literature search was conducted to identify relevant studies and trials.

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Article Synopsis
  • Proliferative vitreoretinopathy (PVR) causes fibrotic membranes that lead to recurrent retinal detachment, with current treatment (pars plana vitrectomy) having high recurrence rates due to unresolved underlying issues.
  • There are no approved pharmacological therapies for PVR, largely because of ethical and safety concerns in preclinical and in vivo studies.
  • The review discusses the potential of computational models and Digital Twins in developing personalized treatment strategies, highlighting nintedanib as a promising drug candidate for simulating effects on fibrotic pathways.
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A fracture-related infection (FRI) is a severe complication of an orthopedic trauma, often leading to challenging treatments and poor outcomes. The surgical strategies are typically categorized into one-stage or two-stage procedures, with the use of systemic and local antibiotics being crucial for infection management. This study assessed the efficacy of an antibiotic-loaded hydrogel (ALH) applied over the internal fixation devices for treating FRIs, comparing the outcomes between the one-stage (OS) and two-stage (TS) reconstructions.

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This review delves into the potential of manipulating the microbiome to enhance oral tolerance in food allergy, focusing on food allergen-specific immunotherapy (FA-AIT) and the use of adjuvants, with a significant emphasis on probiotics. FA-AIT, including oral (OIT), sublingual (SLIT), and epicutaneous (EPIT) immunotherapy, has shown efficacy in desensitizing patients and achieving sustained unresponsiveness (SU). However, the long-term effectiveness and safety of FA-AIT are still under investigation.

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Objective: To qualitatively assess the perception and experiences of bladder instillation for interstitial cystitis among women on Reddit, a widely used anonymous social media platform.

Methods: "r/interstitialcystitis," a Subreddit with >27,000 subscribers, was queried for bladder instillation among women with interstitial cystitis in November 2023. Posts were analyzed qualitatively by 3 independent researchers.

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Background: Resection and reconstruction of the carina infiltrated by non-small cell lung cancer (NSCLC) or an airway tumor is a technically demanding operation allowing oncologic radical treatment. Hereby we report the results of a 20-year experience from a high-volume center.

Methods: Carinal resection was performed in 41 patients for NSCLC (n = 32) or primary airway tumor (n = 9).

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Interrelation between anaesthesiology and intensive care medicine training in Europe: An ESAIC National Anaesthesiologists Societies Committee survey.

Eur J Anaesthesiol

February 2025

From the Department of Intensive Care, St. George's University Hospitals, UK (AZ), the Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, UK (AS), the Department of Anaesthesiology, Critical Care and Pain Medicine, Policlinico Umberto I, University 'La Sapienza', Rome, Italy (FB).

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Article Synopsis
  • In the TOPAZ-1 trial, patients with biliary tract cancers (BTC) who had recurrence within 6 months of surgery were excluded, which often happens in practice. This study looked into the effectiveness of cisplatin-gemcitabine-durvalumab (CGD) in patients who did experience early recurrence.
  • The study enrolled 178 BTC patients who had surgery and then underwent treatment with CGD after experiencing either early or late disease recurrence. Key goals were to measure overall survival (OS) and progression-free survival (PFS).
  • Results showed no significant differences in OS and PFS between early and late relapse groups, suggesting CGD is effective regardless of when the cancer
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Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper.

World J Emerg Surg

October 2024

Department of General and Emergency Surgery, Anesthesia and Intensive Care Unit, Maurizio Bufalini Hospital, Cesena, Italy.

Article Synopsis
  • * A thorough literature review led to the selection of 287 studies, which informed the development of 39 key statements addressing surgical indications, timing, and techniques for SSRF.
  • * The consensus document serves to clarify best practices in managing rib fractures, helping clinicians make informed decisions about the surgical treatment process.
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Obesity is a chronic disease associated with increased morbidity and mortality and reduced quality of life. Pharmacotherapy can be associated with life style changes in increasing and maintaining weight loss and ameliorating obesity-related complications and comorbidities. In patients affected by obesity and uncontrolled obesity-associated complications or high degrees of BMI (> 40 Kg/m), metabolic bariatric surgery can be a valid therapeutic option.

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Background: Oxidative stress has emerged as a key contributor to numerous NCDs (non-communicable diseases), including cardiovascular diseases, cancer, and diabetes. This study aims to explore the potential of targeted interventions to mitigate oxidative stress as part of a primary prevention strategy.

Methods: The study included 32 healthy participants (11 men, 21 women) aged 45-65 who completed both the initial and follow-up assessments of the Healthy Days Initiative, a community-based wellness program organized by the non-profit Associazione O.

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  • The study evaluates the recovery of cardiac diagnostic procedures in Italy one year after the COVID-19 outbreak, focusing on procedure volumes, practices, and staff well-being.
  • A global survey revealed a 72% drop in cardiac diagnostic procedures in April 2020 compared to March 2019, with only a slight recovery (3% increase) by April 2021, though some specific tests showed increased volumes.
  • Many healthcare centers adopted measures like physical distancing and COVID-19 screening, but 25% of physicians reported high psychological stress levels, highlighting ongoing challenges within the healthcare system.
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  • * The survey had a 28.6% completion rate with 201 responses, revealing that while about half of the institutions using SP platforms have done so for over 2 years, structured training is limited, leading to concerns about hands-on experience and the learning curve associated with SP procedures.
  • * Despite recognizing the clinical benefits of SP surgery, many trainees do not view proficiency in it as essential for career advancement; however, predictors of future SP implementation include academic aspirations and the availability of SP platforms
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A comprehensive analysis of 220 patients diagnosed with APL between 1993 and 2022 is here reported. Overall, 214 patients (97.2%) received induction therapy.

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  • The CUT-less trial investigates whether patients diagnosed with low-risk non-muscle-invasive bladder cancers (NMIBCs) can safely skip a second transurethral resection of bladder tumor (Re-TURBT) by using advanced imaging and diagnostic techniques during their initial treatment.
  • The study involves 327 patients who will receive either standard care with a second TURBT or an experimental procedure using photodynamic diagnosis (PDD) without the second resection, to see if outcomes remain comparable.
  • Key measures of the trial include short-term recurrence rates of bladder cancer, as well as assessments of patients' quality of life and the economic impact of the treatment options.
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  • The review examines how online medical resources and AI tools are changing radiation oncology practices by enhancing clinical decision-making.* -
  • A search of several databases identified 70 relevant studies that demonstrate the integration of web-based tools in various aspects of radiation therapy, including calculations and educational needs.* -
  • The findings indicate that these digital tools can improve personalized cancer treatment strategies, particularly across different cancer types, with a focus on breast and head & neck cancers.*
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Purpose: To determine the prognostic impact of microscopic residual disease after neoadjuvant chemotherapy (NACT) in patients undergoing interval debulking surgery (IDS) for advanced epithelial ovarian cancer (AEOC).

Methods: Patients affected by FIGO stage IIIC-IV ovarian cancer undergoing IDS between October 2010 and April 2016 were selected. Progression-free survival (PFS) and overall survival (OS) were estimated using the Kaplan-Meier analysis.

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  • This study looked at how different hospitals approach treating liver cancer, especially regarding liver transplants.
  • They surveyed 75 hospital directors to see if those with liver transplant programs treat patients differently compared to those without.
  • The results showed that hospitals with transplant programs were more likely to recommend transplants for certain types of liver cancer and other liver diseases than those without, showing a need for better communication between the two types of centers.
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Infrarenal Aortic Treatment With AFX2 Endograft: Results From a Multicentric, International, Non-Randomized, Prospective Registry-the AFX2-LIVE Study.

J Endovasc Ther

October 2024

Vascular and Endovascular Surgery Unit, Department of General and Specialistic Surgery, Policlinico Umberto I Hospital of Rome, Sapienza University of Rome, Roma, Italy.

Introduction: To confirm real-world clinical practice results reported with anatomically fixed bifurcated endograft, a physician-initiated study was designed-AFX2-LIVE registry.

Materials And Methods: From November 2019 to August 2021, investigators enrolled all consecutive patients treated with AFX2 (Endologix Inc., Irvine, CA, USA) endograft.

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Importance: Evidence on prostate cancer (PCa) in transgender women is very limited; data are needed to reduce gender disparities in both PCa knowledge and health care.

Objective: To evaluate the prevalence of PCa among transgender women in the US and assess the factors associated with PCa, and factors associated with biochemical recurrence (BCR) and bone metastases (BM) secondary to PCa in the transgender population.

Design, Setting, And Participants: A retrospective cohort study was conducted in October 2023, covering the period between 2011 and 2022 (12-year analysis).

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Article Synopsis
  • - Hysteroscopy is an important gynecological procedure, but traditional training methods face ethical and safety concerns, increasing the need for simulation training to improve skills among medical students and residents.
  • - A systematic review analyzed studies from January 2000 to December 2023, finding that simulation training, especially with virtual reality, significantly enhances hysteroscopic skills, although the long-term retention of these skills and the development of related non-technical skills need further investigation.
  • - The findings suggest that simulation-based training is effective for skill improvement in hysteroscopy, but more rigorous research, including randomized trials, is crucial for confirming these benefits and exploring broader training outcomes.
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  • Viral hepatitis is a global health issue, characterized by complex interactions between hepatitis viruses and human liver cells, affecting disease progression and severity.
  • The paper focuses on how different hepatitis viruses (B, C, D, and E) enter liver cells, replicate, evade the immune system, and cause liver damage, as well as the body's immune responses to these infections.
  • It emphasizes the importance of understanding individual factors influencing susceptibility to viral hepatitis and highlights new findings on chronic infection mechanisms, aiming to inform better treatment strategies.
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