1,720,963 research outputs found

    Asymptomatic Carotid Stenosis

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    SI PONGONO SPECIFICHE INDICAZIONI PER LA RIVASCOLARIZZAZIONE IN PAZIENTI CON STENOSI-OCCLUSIONE DELLA CAROTIDE ASINTOMATIC

    Conservative Therapy for Patients With Intermittent Claudication: Primum Non Nocere

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    Vengono analizzate le varie opzioni terapeutiche per pazienti che soffrono di claudicatio intermittent degli arti inferior

    Lower exposure to risk factors for stroke in green spaces in comparison with metropolitan areas. The importance of education and information to reduce the difference

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    Lo studio analizza i fattori che portano ad un aumento della prevalenza di ictus cerebrale in persone che vivono in zone metropolitane in confronto a coloro che vivono in regioni con "molto verde". Vengono proposte iniziative a ridurre tale differenza

    National organized screening programs for breast, colorectal, and cervical cancer reduce socioeconomic disparities, but it is not enough

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    Lo screening organizzato a livello nazionale per tumori della mammella, del colon-retto, e cervicale permettono di aumentare gli esami nella popolazione con difficoltà economiche e non alto livello di istruzione. Tuttavia necessitano significativi migliorament

    Reduced adherence to cervical cancer screening. The importance of information and education for women with low education and low-income

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    Lo studio indica le problematiche relative ad un livello di scarso screening per il cancro cerivcale uterino in done con basso livello di educazion

    Disparities in Colorectal Cancer Screening

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    Si evidenziano le cause per mancato screening del colon rettale durante la pandemia da COVID 1

    TRENDS TOWARDS INCREASE OF CARDIOVASCULAR DISEASES MORTALITY IN USA: A COMPARISON WITH EUROPE ANDTHE IMPORTANCE OF PREVENTIVE CARE

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    Background: The aim of our study was to analyze exposure of the general population to established risk factors for cardiovascular disease (CVD), which might have determined the trend towards increased mortality rates related with CVD from 2015 to 2019 in USA. Material and methods: We analyzed epidemiological of data from the US National Health and Nutrition Examination Survey and from the European Health Interview Survey to determine trends for exposure to several established risk factors for CVD from 2000 to 2018-2019. Trends of prevalence of obesity, arterial hypertension, cigarettes smoking, high cholesterol level, diabetes in the period 2000 to 2018-2019 in USA were correlated with age adjusted mortality and burden related with CVD. We correlated these trends also with educational attainment, family income and national expenditure for preventive care. Results: Cardiovascular diseases related mortality and burden decreased significantly in USA in the period 2000-2015; in the period 2015-2019 there was a trend towards increasing mortality rates. The trend in the period 2015-2019 was associated with increased exposure to several established risk factors for CVD: obesity, diabetes, cigarettes smoking and arterial hypertension. Level of education attainment and family income, and national health expenditure for information, education and counseling were statistically correlated with reduced exposure to established risk factors. Similar trends were present in Western European countries. Conclusions: Attention is required to improve education and communication, health access and care for people with poor economic conditions, homeless, minorities, to reduce CVD related mortality and burden

    Clinical outcomes for patients with cardiovascular diseases before, during, and after the COVID19 pandemic. A pooled analysis of 600.000 patients

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    Background: . The unexpected virulence of the COVID19 pandemic brought to significant changes of generally accepted therapeutic approaches. The consequences of these changes were difficult to define during the pandemic period. Methods: . We analyzed the National Registries including 97% of hospital admissions in Italy, regrading data describing number of operations for aortic valve implantation or repair, carotid and coronary revascularization, AAA repair, and lower limb arterial reconstruction performed in the period 2015 to 2019 and in the pandemic years 2020, 2021, and 2022. Primary outcomes were number and type of surgical procedures, 30-days operative mortality. Results: . During the three years of the pandemic there was a statistically significant increase of the number of all-causes deaths in comparison with the mean of the previous five years (2015-2019). In Italy there was a total increase of all causes-deaths of 251.911 (+105900 in 2020; +66929 in 2021; and +79082 in 2022), and 73% of the excess of deaths was related with COVID19 infection and 27% occurred in COVID 19 negative patients. During the first year of the pandemic, worse clinical outcomes for hospitalized patients with CVD were registered. The medical system responded adequately and in the following two pandemic years clinical outcomes for hospitalized patients were similar with those of the pre-pandemic period. Conclusions: . The unexpected virulence of COVID19 pandemic determined worse clinical outcomes for patients with CVD during the first year. The adopted preventive measures allowed in the following two pandemic years improved clinical outcomes, similar with those of the pre-pandemic period

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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