Which LABA/LAMA should be chosen in COPD patients in real life?

Background: Given COPD heterogeneity, we do not know if some LABA/LAMAs are more suitable for some COPD phenotypes. This real-life database study aimed to evaluate retrospectively the 4 LABA/LAMA effectiveness and highlight possible specificities that could better guide us in choosing the right LABA/LAMA to be used. Methods: We searched for subject....

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  32 Visite

Mepolizumab Effectiveness and Allergic Status in Real Life

Background: It is not clear whether mepolizumab is differently effective in allergic and nonallergic severe eosinophilic asthmatics (SEA) in real life. Objective: We tested mepolizumab effectiveness in allergic/nonallergic SEA in real life. A strict criterion to identify the 2 phenotypes was used. Method: We retrospectively considered 134 consecuti....

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  29 Visite

An epidemiological study on COVID-19 should be carried out: With a serological test, a pharyngeal swab or both?

An epidemiological study on COVID-19 should be carried out: With a serological test, a pharyngeal swab or both?  Marco Scalese 1, Bruno Sposato 2Affiliations expand PMID: 33055004 PMCID: PMC7522694 DOI: 10.1016/j.jiph.2020.09.007 Free PMC article full article

  28 Visite

Real-life Mepolizumab effectiveness in severe eosinophilic asthmatics with nasal polyposis

Affiliations expand PMID: 33039948 DOI: 10.1016/j.resmer.2020.100791No abstract available Keywords: Mepolizumab; Nasal polyposis; Outcomes; Real-life; Severe eosinophilic asthma.  full article

  33 Visite

Long-term omalizumab efficacy in allergic rhinitis

Background: Omalizumab therapy was found to be safe and effective as an add-on therapy for patients with poorly controlled severe asthma. Although several studies over the last decade have demonstrated its efficacy in other Immunoglobulin E related diseases, its use in such conditions is off-label. Objective: This study aimed to assess the effectiv....

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  32 Visite

Why do children seem to be more protected against COVID-19? A hypothesis

Today it remains unclear why children seem to be less likely to get infected by COVID-19 or why they appear to be less symptomatic after infections. All individuals, especially children, are exposed to various viruses including human coronavirus (CoVs) that can generally lead to respiratory infections. We hypothesize that recurrent CoVs exposure ma....

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  27 Visite

Hospitalization and mortality for acute exacerbation of chronic obstructive pulmonary disease (COPD): an Italian population-based study

Objective: Patients with acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) have a significant mortality and morbidity. Previous studies have identified a number of independent prognostic factors. However, information on hospital admission databases is limited and data regarding short-term prognosis of these patients in Italian hosp....

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  23 Visite

Mepolizumab effectiveness on small airway obstruction, corticosteroid sparing and maintenance therapy step-down in real life

Background: Mepolizumab (MEP) has been recently introduced to treat severe eosinophilic asthma. Trials have demonstrated a significant effectiveness in this asthma phenotype. We evaluated MEP efficacy on lung function, symptoms, asthma exacerbations, biologic markers, steroid dependence and controller treatment level in real-life. Methods: We retro....

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  23 Visite

A prevalent exposure to male dog is a risk factor for exclusive allergic sensitization to Can f 5: An Italian multicenter study

A prevalent exposure to male dog is a risk factor for exclusive allergic sensitization to Can f 5: An Italian multicenter study PMID: 32173510 DOI: 10.1016/j.jaip.2020.02.041 No abstract available  

  25 Visite

Seasonal monitoring of serum IgE and blood eosinophil variability may lead to a better severe asthma phenotyping and to a correct biologic prescription

PMID: 32538068 DOI: 10.23812/19-429-L-49 No abstract available Keywords: IgE; biologic treatment; blood eosinophils; prescription; season; severe asthma. full article

  20 Visite

Normal Values of the Mitral-Aortic Intervalvular Fibrosa Thickness: A Multimodality Study

Background: The avascular region of the fibrous body between the mitral and aortic valves, named mitral-aortic intervalvular fibrosa (MAIVF), is often involved in the periaortic diffusion of infective endocarditis (IE), resulting in abscess or pseudoaneurysm formation. The early recognition of these life-threatening complications is of crucial impo....

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  19 Visite

Use of narrative medicine to identify key factors for effective doctor-patient relationships in severe asthma

Background: In this project the authors use a narrative medicine (NM) approach to assess the promotion of trust in the relationship between physicians and their asthma patients. Methods: Following a NM educational course for physicians, a research was carried out in which at least 5 written narratives (parallel charts) for each participating physic....

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  22 Visite

Higher blood eosinophil levels after omalizumab treatment may be associated with poorer asthma outcomes

Collaborators, Affiliations  PMID: 30898690 DOI: 10.1016/j.jaip.2019.03.006 No abstract available full article

  22 Visite

Metronomic Chemotherapy with Vinorelbine Produces Clinical Benefit and Low Toxicity in Frail Elderly Patients Affected by Advanced Non-Small Cell Lung Cancer

Background: Lung cancer is the leading cause of death worldwide. The treatment choice for advanced stage of lung cancer may depend on histotype, performance status (PS), age, and comorbidities. In the present study, we focused on the effect of metronomic vinorelbine treatment in elderly patients with advanced unresectable non-small cell lung cancer....

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  20 Visite

Should omalizumab be used in severe asthma/COPD overlap?

A large number of patients suffering from asthma or chronic obstructive pulmonary disease (COPD) can show overlapping features of both diseases. Several subjects affected by asthma-COPD overlap (ACO) may be at a severe stage, poorly responsive to triple therapy including inhaled corticosteroids, long-acting β2 agonists and muscarinic antagonists. T....

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  30 Visite

Factors reducing omalizumab response in severe asthma

Background: Despite adding Omalizumab to conventional therapy, several severe asthmatics still show poor disease control. We investigated the factors that may affect a reduced Omalizumab response in a large population of severe asthmatics. Methods: 340 patients were retrospectively evaluated. FEV1%, FVC%, Asthma Control Test (ACT), fractional exhal....

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  27 Visite

Should Inhaler Prescriptions Also Recommend Watching Videos Showing How to Use Inhaling Devices Properly?

PMID: 29812991 DOI: 10.1089/jamp.2018.1470 No abstract available full article

  29 Visite

Multimodality Imaging and Clinical Significance of Congenital Ventricular Outpouchings: Recesses, Diverticula, Aneurysms, Clefts, and Crypts

The high spatial resolution of cardiac computed tomography (CT) and cardiac magnetic resonance (CMR) permit the diagnosis of congenital ventricular outpouchings (CVOs), including congenital ventricular diverticula (CVD), congenital ventricular aneurysms (CVA), clefts, and crypts. A unique classification has not been established, and these terms are....

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  23 Visite

Asthma associated to rhinitis

A large amount of data show that AR and asthma are associated both epidemiologically and clinically, introducing the definition of “united airway disease”. The mechanisms underlying such association were initially suggested to start from the nose, including the loss of the protective and homeostatic effects of nasal function, the activation of a na....

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  25 Visite

Allergic sensitization to common pets (cats/dogs) according to different possible modalities of exposure: an Italian Multicenter Study

Background: The query "are there animals at home?" is usually administered for collecting information on anamnesis. This modality to consider exposure to pet allergens constitutes a potential bias in epidemiological studies and in clinical practice. The aim of our study was to evaluate/quantify different modalities of exposure to cat/dog in inducin....

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  28 Visite

Maggiori informazioni

Dott. Bruno Sposato svolge la propria attività presso l'Ospedale Misericordia di Grosseto, in via Senese 205.

Città:
Grosseto 58100 (Gr)
Indirizzo:
Via Senese 205
Telefono:
+39 0564 079414