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  1. Article ; Online: Multiple musculoskeletal abnormalities in a woman with breast cancer treated with aromatase inhibitor.

    Zardi, Enrico Maria

    Medical ultrasonography

    2023  Volume 25, Issue 4, Page(s) 483–484

    Abstract: ...

    Abstract .
    MeSH term(s) Female ; Humans ; Aromatase Inhibitors/adverse effects ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/drug therapy ; Musculoskeletal Abnormalities ; Musculoskeletal Diseases
    Chemical Substances Aromatase Inhibitors
    Language English
    Publishing date 2023-12-27
    Publishing country Romania
    Document type Letter
    ZDB-ID 2529606-1
    ISSN 2066-8643 ; 1844-4172
    ISSN (online) 2066-8643
    ISSN 1844-4172
    DOI 10.11152/mu-4288
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  2. Article ; Online: Multiparametric ultrasound images of three different cases of schwannoma of the peripheral nervous system.

    Zardi, Enrico Maria / Chello, Camilla

    Journal of clinical ultrasound : JCU

    2023  Volume 51, Issue 4, Page(s) 745–747

    Abstract: This case image illustrates the importance of new sonographic applications such as superb microvascular imaging and shear wave elastography; as showed, they improve the diagnostic recognition of peripheral nerve lesion thanks to a better definition of ... ...

    Abstract This case image illustrates the importance of new sonographic applications such as superb microvascular imaging and shear wave elastography; as showed, they improve the diagnostic recognition of peripheral nerve lesion thanks to a better definition of vascularity and measure of stiffness.
    MeSH term(s) Humans ; Ultrasonography/methods ; Elasticity Imaging Techniques/methods ; Ultrasonography, Doppler/methods ; Peripheral Nervous System ; Neurilemmoma/diagnostic imaging
    Language English
    Publishing date 2023-03-17
    Publishing country United States
    Document type Case Reports
    ZDB-ID 189393-2
    ISSN 1097-0096 ; 0091-2751
    ISSN (online) 1097-0096
    ISSN 0091-2751
    DOI 10.1002/jcu.23452
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  3. Article ; Online: Unstable angina as a result of coronary steal syndrome due to escape flow from a double large coronary-pulmonary artery fistula.

    Zardi, Enrico Maria / Marra, Andrea / Pignatelli, Matteo / Melina, Giovanni / Sada, Lidia / Zardi, Domenico Maria

    Acta cardiologica

    2023  , Page(s) 1–2

    Language English
    Publishing date 2023-10-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 390197-x
    ISSN 1784-973X ; 0001-5385
    ISSN (online) 1784-973X
    ISSN 0001-5385
    DOI 10.1080/00015385.2023.2272552
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  4. Article ; Online: Human Monkeypox-A Global Public Health Emergency.

    Zardi, Enrico Maria / Chello, Camilla

    International journal of environmental research and public health

    2022  Volume 19, Issue 24

    Abstract: Monkeypox, a viral zoonosis caused by an Orthopoxvirus, is clinically characterized by fever, headache, lymphadenopathy, myalgia, rash and burdened by some complications that can be severe and life threatening. Monkeypox, endemic in some central and west ...

    Abstract Monkeypox, a viral zoonosis caused by an Orthopoxvirus, is clinically characterized by fever, headache, lymphadenopathy, myalgia, rash and burdened by some complications that can be severe and life threatening. Monkeypox, endemic in some central and west African countries, in tropical areas near equator, rose to the headlines following its recent outbreak in non-endemic countries of Europe and the USA. Thus, the World Health Organization, worried about the growing dimension of the problem, declared monkeypox a global public health emergency. Now, after months of careful observation, the western scientific research is drawing conclusion that African endemic countries represent a reserve pool able to feed, through travelers and sexual networks, the outbreak in non-endemic countries in which high-risk communities such as gay and bisexual men are the most affected. Prevention through vaccination and early diagnosis are the core to breaking the chain of diffusion of this epidemic. Particular attention should be paid to avoid the spread from endemic countries, also implementing the economic investments in their public health system. Information campaigns and assistance to high-risk classes in non-endemic countries are important priorities, however, assuming that specific treatments for this disease are still tentative.
    MeSH term(s) Male ; Humans ; Mpox (monkeypox)/epidemiology ; Public Health ; Disease Outbreaks ; Africa ; Africa, Western
    Language English
    Publishing date 2022-12-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192416781
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  5. Article ; Online: Performance of classical serum inflammatory markers in healed and unhealed treated patients with joint and prosthetic joint infections.

    Zardi, Enrico Maria / de Sanctis, Edoardo Giovannetti / Franceschi, Francesco

    The American journal of the medical sciences

    2023  Volume 367, Issue 1, Page(s) 28–34

    Abstract: Background: Serum markers, such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and D-dimer, are currently used by clinicians and orthopedic surgeons in diagnosing and managing joint infections (JI), although conflicting results exist ... ...

    Abstract Background: Serum markers, such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and D-dimer, are currently used by clinicians and orthopedic surgeons in diagnosing and managing joint infections (JI), although conflicting results exist on their performance. The aim of this study was to evaluate their performance in assessing healing or unhealing of patients with JI or with prosthetic joint infection (PJI).
    Methods: ESR, CRP and D-dimer serum levels were evaluated before, during and after antibiotic treatment in 61 patients (65.1 ± 12.6 years): 49 affected by PJI and 12 by JI, between 2020 and 2022. These patients had undergone orthopedic surgery and were treated with antibiotics.
    Results: ESR, CRP and D-dimer were significantly lower after treatment than before (p value: 0.001, 0.001 and 0.003, respectively) in healed and unhealed patients. A moderate correlation was found between the three inflammatory markers.
    Conclusions: Using a cut off value of 25 mm/h for ESR, 0.5 mg/L for CRP, and 700 ng/ml for D-dimer, it might be possible to discriminate healed from unhealed patients (PPV and NPV: ESR 65.5% and 68.8%, CRP 71.9% and 79.3%, D-dimer 76.9% and 81.8%). The combined use of these three inflammatory markers might be useful in the management of joint infections.
    MeSH term(s) Humans ; Arthroplasty, Replacement, Hip ; Arthroplasty, Replacement, Knee/adverse effects ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/drug therapy ; Biomarkers ; C-Reactive Protein/analysis ; Blood Sedimentation ; Anti-Bacterial Agents/therapeutic use ; Retrospective Studies ; Sensitivity and Specificity
    Chemical Substances Biomarkers ; C-Reactive Protein (9007-41-4) ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-10-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82078-7
    ISSN 1538-2990 ; 0002-9629
    ISSN (online) 1538-2990
    ISSN 0002-9629
    DOI 10.1016/j.amjms.2023.09.026
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  6. Article ; Online: Prosthetic joint infection. A relevant public health issue.

    Zardi, Enrico Maria / Franceschi, Francesco

    Journal of infection and public health

    2020  Volume 13, Issue 12, Page(s) 1888–1891

    Abstract: Prosthetic joint infection (PJI) is a common complication of the knee and hip arthroplasty and represents a huge challenge for physicians. PJI raises serious social, economic and clinical concerns in the public health that need a comprehensive approach ... ...

    Abstract Prosthetic joint infection (PJI) is a common complication of the knee and hip arthroplasty and represents a huge challenge for physicians. PJI raises serious social, economic and clinical concerns in the public health that need a comprehensive approach to better focus on proven strategies for disease prevention and treatment. History and clinical signs on joint site are useful means for suspecting PJI that need to be confirmed through major and minor diagnostic criteria. The pathogen isolation and the resulting antibiogram are crucial to guide the correct antibiotic strategy and together with surgical treatment (prosthesis revision and spacer implantation) represent the cornerstones to eradicate the infection before attempting a new arthroplasty. External fixator with removal of the spacer may be an option before performing a new arthroplasty when the infection does not heal. Arthrodesis may also be considered if the arthroplasty is contraindicated. Limb amputation is the last chance when pathogen eradication failed and might lead to life-threatening situations.
    MeSH term(s) Arthroplasty, Replacement, Hip ; Arthroplasty, Replacement, Knee ; Humans ; Prostheses and Implants ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/epidemiology ; Prosthesis-Related Infections/prevention & control ; Public Health ; Reoperation ; Retrospective Studies
    Language English
    Publishing date 2020-10-21
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1876-035X
    ISSN (online) 1876-035X
    DOI 10.1016/j.jiph.2020.09.006
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  7. Article ; Online: Prosthetic joint infection. A relevant public health issue

    Enrico Maria Zardi / Francesco Franceschi

    Journal of Infection and Public Health, Vol 13, Iss 12, Pp 1888-

    2020  Volume 1891

    Abstract: Prosthetic joint infection (PJI) is a common complication of the knee and hip arthroplasty and represents a huge challenge for physicians. PJI raises serious social, economic and clinical concerns in the public health that need a comprehensive approach ... ...

    Abstract Prosthetic joint infection (PJI) is a common complication of the knee and hip arthroplasty and represents a huge challenge for physicians. PJI raises serious social, economic and clinical concerns in the public health that need a comprehensive approach to better focus on proven strategies for disease prevention and treatment. History and clinical signs on joint site are useful means for suspecting PJI that need to be confirmed through major and minor diagnostic criteria. The pathogen isolation and the resulting antibiogram are crucial to guide the correct antibiotic strategy and together with surgical treatment (prosthesis revision and spacer implantation) represent the cornerstones to eradicate the infection before attempting a new arthroplasty. External fixator with removal of the spacer may be an option before performing a new arthroplasty when the infection does not heal. Arthrodesis may also be considered if the arthroplasty is contraindicated. Limb amputation is the last chance when pathogen eradication failed and might lead to life-threatening situations.
    Keywords Costs ; Infection ; Joints ; Prosthesis ; Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Nosocomial Extracardiac Infections After Cardiac Surgery.

    Zardi, Enrico Maria / Chello, Massimo / Zardi, Domenico Maria / Barbato, Raffaele / Giacinto, Omar / Mastroianni, Ciro / Lusini, Mario

    Current infectious disease reports

    2022  Volume 24, Issue 11, Page(s) 159–171

    Abstract: Purpose of review: Nosocomial extracardiac infections after cardiac surgery are a major public health issue affecting 3-8.2% of patients within 30-60 days following the intervention.: Recent findings: Here, we have considered the most important ... ...

    Abstract Purpose of review: Nosocomial extracardiac infections after cardiac surgery are a major public health issue affecting 3-8.2% of patients within 30-60 days following the intervention.
    Recent findings: Here, we have considered the most important postoperative infective complications that, in order of frequency, are pneumonia, surgical site infection, urinary tract infection, and bloodstream infection. The overall picture that emerges shows that they cause a greater perioperative morbidity and mortality with a longer hospitalization time and excess costs. Preventive interventions and corrective measures, diminishing the burden of nosocomial extracardiac infections, may reduce the global costs. A multidisciplinary team may assure a more appropriate management of nosocomial extracardiac infections leading to a reduction of hospitalization time and mortality rate.
    Summary: The main and most current data on epidemiology, prevention, microbiology, diagnosis, and management for each one of the most important postoperative infective complications are reported. The establishment of an antimicrobial stewardship in each hospital seems to be, at the moment, the more valid strategy to counteract the challenging problems.
    Language English
    Publishing date 2022-09-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2019948-X
    ISSN 1534-3146 ; 1523-3847
    ISSN (online) 1534-3146
    ISSN 1523-3847
    DOI 10.1007/s11908-022-00787-0
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  9. Article ; Online: Pylephlebitis as a Complication of Cholangitis and Sepsis in an HIV-Positive Patient.

    Zardi, Enrico Maria / Giorgi, Chiara / Zardi, Domenico Maria

    Digestive diseases and sciences

    2018  Volume 64, Issue 6, Page(s) 1719–1721

    MeSH term(s) Adult ; Anti-Bacterial Agents/therapeutic use ; Anti-HIV Agents/therapeutic use ; Anticoagulants/therapeutic use ; Cholangitis/complications ; Cholangitis/diagnosis ; Cholangitis/drug therapy ; HIV Infections/complications ; HIV Infections/diagnosis ; HIV Infections/drug therapy ; Humans ; Male ; Portal Vein ; Sepsis/complications ; Sepsis/diagnosis ; Sepsis/drug therapy ; Sepsis/microbiology ; Thrombophlebitis/diagnosis ; Thrombophlebitis/drug therapy ; Thrombophlebitis/etiology ; Treatment Outcome
    Chemical Substances Anti-Bacterial Agents ; Anti-HIV Agents ; Anticoagulants
    Language English
    Publishing date 2018-11-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-018-5391-y
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  10. Article ; Online: Diagnostic approach to neuropsychiatric lupus erythematosus: what should we do?

    Zardi, Enrico Maria / Giorgi, Chiara / Zardi, Domenico Maria

    Postgraduate medicine

    2018  Volume 130, Issue 6, Page(s) 536–547

    Abstract: Neuropsychiatric systemic lupus erythematosus is a diagnostic challenge due to the multifarious neurological and psychiatric manifestations that define it but, when suspected, diagnostic imaging can give a fundamental help. The advancements and variety ... ...

    Abstract Neuropsychiatric systemic lupus erythematosus is a diagnostic challenge due to the multifarious neurological and psychiatric manifestations that define it but, when suspected, diagnostic imaging can give a fundamental help. The advancements and variety of neuroimaging techniques allow us to perform more and more accurate evaluations of structure, perfusion, and metabolism of the brain and to detect cerebral and spinal lesions. Moreover, vascular districts of the neck and the brain, as well as the electrical brain and peripheral muscle activity may be accurately investigated, thus giving us a wide panoramic view. Although magnetic resonance is recognized as a fundamental neuroimaging technique to reach a correct diagnosis, the juxtaposition of other diagnostic techniques has improved the possibility to make diagnoses but has also increased the confusion about deciding which of them to use and when. Our aim was to combine the number of available techniques with the need to simplify the diagnostic path. Therefore, through the construction of an algorithm from an evidence based approach, we believe we are providing some added improvements to facilitate and expedite the diagnosis of NPSLE.
    MeSH term(s) Algorithms ; Critical Pathways ; Humans ; Lupus Vasculitis, Central Nervous System/diagnosis ; Lupus Vasculitis, Central Nervous System/diagnostic imaging ; Tomography, Emission-Computed, Single-Photon ; Ultrasonography, Doppler, Transcranial
    Language English
    Publishing date 2018-07-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 410138-8
    ISSN 1941-9260 ; 0032-5481
    ISSN (online) 1941-9260
    ISSN 0032-5481
    DOI 10.1080/00325481.2018.1492309
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