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

  29 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....

Continua a leggere
  32 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....

Continua a leggere
  31 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

  31 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....

Continua a leggere
  28 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....

Continua a leggere
  50 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....

Continua a leggere
  34 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

  41 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....

Continua a leggere
  31 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....

Continua a leggere
  34 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....

Continua a leggere
  36 Visite

Home-based telerehabilitation in older patients with chronic obstructive pulmonary disease and heart failure: a randomised controlled trial

 Background: chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) frequently coexist in older people, reducing patients' quality of life (QoL) and increasing morbidity and mortality. Objective: we studied the feasibility and efficacy of an integrated telerehabilitation home-based programme (Telereab-HBP), 4 months long,....

Continua a leggere
  39 Visite

Could a vitamin D deficiency cause a combined long-term FEV1 and bone mineral density deterioration in female asthmatics?

Objectives: We already know that asthma is associated to osteoporosis/osteopenia and characterized by an accelerated lung function decline. Our study aimed at assessing whether lung function decline and bone mineral density (BMD) deterioration in time were associated in a group of female long-standing asthmatics. We also tried to understand whether....

Continua a leggere
  36 Visite

Different Skin Prick Test Sensitization Patterns Do Not Influence the Response to Omalizumab in Severe Asthma

PMID: 29199967 DOI: 10.18176/jiaci.0196 No abstract available Keywords: Effectiveness; Omalizumab; Pollen sensitized; Real-life; Severe asthma. full article

  36 Visite

Can the response to Omalizumab be influenced by treatment duration? A real-life study

Objective: It is unknown whether Omalizumab effectiveness changes over the course of time. Our retrospective real-life study tried to analyze whether Omalizumab response may be influenced by treatment duration. Methods: 340 severe asthmatics treated with Omalizumab for different periods of time were recruited. They were subdivided into 4 groups acc....

Continua a leggere
  38 Visite

Predicted Values for Spirometry may Underestimate Long-Standing Asthma Severity

Background: Asthma may show an accelerated lung function decline. Asthmatics, although having FEV1 and FEV1/VC (and z-scores) higher than the lower limit of normality, may show a significant FEV1 decline when compared to previous measurements. We assessed how many asymptomatic long-standing asthmatics (LSA) with normal lung function showed a signif....

Continua a leggere
  37 Visite

Effects of omalizumab in severe asthmatics across ages: A real life Italian experience

Background: This retrospective study aimed at evaluating long-term effects of Omalizumab in elderly asthmatics in a real-life setting. Methods: 105 consecutive severe asthmatics (GINA step 4-5; mean FEV1% predicted:66 ± 15.7) treated with Omalizumab for at least 1 year (treatment mean duration 35.1 ± 21.7 months) were divided into 3 groups accordin....

Continua a leggere
  38 Visite

Smoking and Obesity Increase Airway Hyperesponsiveness Risk in the Elderly

Objective: of our study was assessing whether smoking and obesity might affect airways hyperresponsiveness (AHR) differently in younger and older subjects and whether this influence might be due to their different impacts on baseline lung function values at different ages. Methods: 3,903 consecutive adult subjects with normal lung function (1,920 m....

Continua a leggere
  34 Visite

Phenotyping asthma in the elderly: allergic sensitization profile and upper airways comorbidity in patients older than 65 years

Background: Data about allergic rhinitis in elderly patients with asthma are lacking. Objective: To investigate the presence of rhinitis and the role of sensitization of airborne allergens in elderly patients with asthma. Methods: This was a multicenter cross-sectional study involving subjects at least 65 years old with asthma. Demographic features....

Continua a leggere
  46 Visite

Could cigarette packaging be used as a tool to make prevention of smoke-induced respiratory diseases?

The most important consequences of smoking are chronic obstructive pulmonary disease (COPD) and lung cancer (LC). Although the use of shocking images and warning messages on cigarette packaging is a valid tool of smoke dishabituation, unfortunately, millions of people go on smoking. Our hypotheses is that cigarette packet covers could also be used ....

Continua a leggere
  42 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