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Journal of Clinical Medicine, Volume 10, Issue 3

February-1 2021 - 182 articles

Cover Story: Ventricular assist device (VAD)-specific infections, in particular, driveline infections, are a concerning complication of VAD implantation that often results in significant morbidity and even mortality. The presence of a percutaneous driveline at the skin exit-site and in the subcutaneous tunnel allows biofilm formation and migration by many bacterial and fungal pathogens. Biofilm formation is an important microbial strategy, providing a shield against antimicrobial treatment and human immune responses; biofilm migration facilitates the extension of infection to deeper tissues such as the pump pocket and the bloodstream. The purpose of this review is to improve the understanding of VAD-specific infections, from basic “bench” knowledge to clinical “bedside” experience, with a specific focus on the role of biofilms in driveline infections. View this paper
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Articles (182)

  • Article
  • Open Access
14 Citations
2,792 Views
11 Pages

Interleukin-6 Could Be a Potential Prognostic Factor in Ambulatory Elderly Patients with Stable Heart Failure: Results from a Pilot Study

  • Marina Povar-Echeverría,
  • Pablo Esteban Auquilla-Clavijo,
  • Emmanuel Andrès,
  • Francisco Javier Martin-Sánchez,
  • María Victoria Laguna-Calle,
  • Alberto Elpidio Calvo-Elías,
  • Noel Lorenzo-Villalba and
  • Manuel Méndez-Bailón

1 February 2021

Introduction: Inflammation is a fundamental phenomenon in heart failure, but the prognostic or therapeutic role of markers such as interleukin-6 (IL-6) has not yet been clarified. The objective of this study is to describe the clinical profile of pat...

  • Article
  • Open Access
4 Citations
2,418 Views
13 Pages

Towards an Enhanced Tool for Quantifying the Degree of LV Hyper-Trabeculation

  • Gregorio Bernabé,
  • José D. Casanova,
  • Josefa González-Carrillo and
  • Juan R. Gimeno-Blanes

1 February 2021

Left ventricular non-compaction (LVNC) is defined by an increase of trabeculations in left ventricular (LV) endomyocardium. Although LVNC can be in isolation, an increase in hypertrabeculation often accompanies genetic cardiomyopathies. Current metho...

  • Article
  • Open Access
11 Citations
4,075 Views
11 Pages

Impact of Canagliflozin in Patients with Type 2 Diabetes after Hospitalization for Acute Heart Failure: A Cohort Study

  • Ernesto Martín,
  • José López-Aguilera,
  • Rafael González-Manzanares,
  • Manuel Anguita,
  • Guillermo Gutiérrez,
  • Aurora Luque,
  • Nick Paredes,
  • Jesús Oneto,
  • Jorge Perea and
  • Juan Carlos Castillo

1 February 2021

Background: Heart failure (HF) is one of the mayor contributors to cardiovascular morbidity and mortality in patients with diabetes. Sodium-glucose cotransporter 2 (SGLT2) inhibitors have demonstrated to reduce the risk of hospitalization for HF in p...

  • Article
  • Open Access
13 Citations
3,396 Views
10 Pages

Incoherence between Systemic Hemodynamic and Microcirculatory Response to Fluid Challenge in Critically Ill Patients

  • Paolo De Santis,
  • Chiara De Fazio,
  • Federico Franchi,
  • Ottavia Bond,
  • Jean-Louis Vincent,
  • Jacques Creteur,
  • Fabio Silvio Taccone and
  • Sabino Scolletta

1 February 2021

Background: The aim of the study was to assess the coherence between systemic hemodynamic and microcirculatory response to a fluid challenge (FC) in critically ill patients. Methods: We prospectively collected data in patients requiring a FC whilst c...

  • Review
  • Open Access
39 Citations
4,898 Views
13 Pages

Loop-Mediated Isothermal Amplification in Schistosomiasis

  • Juan García-Bernalt Diego,
  • Pedro Fernández-Soto,
  • Begoña Febrer-Sendra,
  • Beatriz Crego-Vicente and
  • Antonio Muro

1 February 2021

Human schistosomiasis is one of the most important parasitic diseases, causing around 250 million cases (mostly in Africa) and 280,000–500,000 deaths every year. Due to the limited resources and the far-removed nature of many endemic areas, the imple...

  • Article
  • Open Access
10 Citations
3,185 Views
15 Pages

Tomoelastography for Longitudinal Monitoring of Viscoelasticity Changes in the Liver and in Renal Allografts after Direct-Acting Antiviral Treatment in 15 Kidney Transplant Recipients with Chronic HCV Infection

  • Stephan R. Marticorena Garcia,
  • Christian E. Althoff,
  • Michael Dürr,
  • Fabian Halleck,
  • Klemens Budde,
  • Ulrike Grittner,
  • Christian Burkhardt,
  • Korinna Jöhrens,
  • Jürgen Braun and
  • Thomas Fischer
  • + 3 authors

1 February 2021

Besides the liver, hepatitis C virus (HCV) infection also affects kidney allografts. The aim of this study was to longitudinally evaluate viscoelasticity changes in the liver and in kidney allografts in kidney transplant recipients (KTRs) with HCV in...

  • Review
  • Open Access
92 Citations
13,163 Views
28 Pages

The Key Comorbidities in Patients with Rheumatoid Arthritis: A Narrative Review

  • Peter C. Taylor,
  • Fabiola Atzeni,
  • Alejandro Balsa,
  • Laure Gossec,
  • Ulf Müller-Ladner and
  • Janet Pope

1 February 2021

Comorbidities in patients with rheumatoid arthritis (RA) are often associated with poor health outcomes and increased mortality. Treatment decisions should take into account these comorbidities due to known or suspected associations with certain drug...

  • Article
  • Open Access
10 Citations
2,925 Views
14 Pages

Endoglin Expression and Microvessel Density as Prognostic Factors in Pediatric Rhabdomyosarcoma

  • Joanna Radzikowska,
  • Antoni Krzeski,
  • Anna M. Czarnecka,
  • Teresa Klepacka,
  • Magdalena Rychlowska-Pruszynska,
  • Anna Raciborska,
  • Bozenna Dembowska-Baginska,
  • Maciej Pronicki,
  • Andrzej Kukwa and
  • Janusz Sierdzinski
  • + 1 author

1 February 2021

(1) Background: The study proposed to analyze microvessel density (MVD) in rhabdomyosarcoma (RMS) based on the expression of angiogenesis markers and define its prognostic role in this group of patients. (2) Methods: The study included forty-nine ped...

  • Review
  • Open Access
13 Citations
4,883 Views
22 Pages

1 February 2021

Homology-directed gene editing of hematopoietic stem and progenitor cells (HSPCs) is a promising strategy for the treatment of inherited blood disorders, obviating many of the limitations associated with viral vector-mediated gene therapies. The use...

  • Review
  • Open Access
26 Citations
5,090 Views
12 Pages

Dose Optimization of Tyrosine Kinase Inhibitors in Chronic Myeloid Leukemia: A New Therapeutic Challenge

  • Alessandra Iurlo,
  • Daniele Cattaneo,
  • Cristina Bucelli and
  • Massimo Breccia

1 February 2021

The chronic myeloid leukemia (CML) therapeutic landscape has dramatically changed with tyrosine kinase inhibitor (TKI) development, which allows a near-normal life expectancy. However, long-term TKI exposure has been associated with persistent advers...

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J. Clin. Med. - ISSN 2077-0383