Publications by authors named "Francesca Ardenti Morini"

Background: Artificial intelligence (AI) has become a popular tool for clinical and research use in the medical field. The aim of this study was to evaluate the accuracy and reliability of a generative AI tool on pediatric familial Mediterranean fever (FMF).

Methods: Fifteen questions repeated thrice on pediatric FMF were prompted to the popular generative AI tool Microsoft Copilot with Chat-GPT 4.

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Article Synopsis
  • COVID-19 containment measures significantly affected the mental health of children with rheumatological chronic diseases, particularly those with juvenile idiopathic arthritis (JIA).
  • The study found an increase in anxiety and depressive symptoms during isolation, especially among female adolescents, with 47% experiencing disease relapse, despite adherence to treatment.
  • Participants underwent various psychological assessments, revealing high anxiety levels and emotional problems, but younger patients on therapy showed fewer issues related to social anxiety and functional problems.
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Background: SARS-CoV2 infection may present at onset with cutaneous manifestations as chilblains, pernio-like lesions characterized by rapid onset, itching, pain and tenderness and quick improvement with re-warming as similarly observed in primary acrocyanosis. The purpose of the present study was to detect in a single institution series of pediatric patients, during COVID-19 pandemic, the prevalence of acrocyanosis compared to previous period and an eventual correlation with SARS-Cov2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection or other secondary etiologies of this disorder.

Methods: We retrospectively analyzed the prevalence of pediatric patients with acrocyanosis between January 2020 and July 2021, compared to the same period of previous year.

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In Italy, during the second epidemic wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), rapid antigenic (Ag) test at point-of-care (POCT) station were employed to quickly evaluate large numbers of swabs. We collected data of all children who underwent the Ag test in our hospital. All positive patients were recalled to perform reverse transcription polymerase chain reaction.

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Previously, we demonstrated an 81% reduction in pediatric Emergency Room (ER) visits in Italy during the strict lockdown due to the SARS-CoV-2 pandemic. Since May 2020, lockdown measures were relaxed until 6 November 2020, when a strict lockdown was patchily reintroduced. Our aim was to evaluate the impact of the relaxed lockdown on pediatric ER visits in Italy.

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Objective: The objective of this study was to use real-world data to evaluate the effectiveness and safety of canakinumab in Italian patients with systemic JIA (sJIA).

Methods: A retrospective multicentre study of children with sJIA was performed. Clinical features, laboratory parameters and adverse events were collected at baseline, and 6 and 12 months after starting canakinumab.

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Juvenile osteoperiostites (JOP) are a group of inflammatory bone diseases whose differential diagnosis is often difficult. The main conditions are acute osteomyelitis (AOM), chronic non-bacterial osteomyelitis (CNO) and the Goldbloom syndrome (GS). The study was aimed to develop an algorithm to enable an early diagnosis of JOP.

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Article Synopsis
  • From March 9 to May 3, 2020, Italy implemented a lockdown due to COVID-19, significantly impacting pediatric emergency room (ER) visits.
  • During the lockdown, ER admissions dropped by 81% compared to the same period in 2019, with air communicable diseases showing the largest decrease.
  • While critical cases (red codes) remained stable, less severe cases (yellow codes) increased, possibly indicating delays in primary care that led to more urgent ER visits.
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