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Tomassini L, Ferretti F, Uvelli A, Fedeli D, Gualtieri G. Fatal Viral and Bacterial Septicemia in a Seventeen-Year-Old Woman with Immunodepressive Influenza A H1N1: An Autopsy Case. Clin Ter 2024; 175:95-100. [PMID: 38571465 DOI: 10.7417/ct.2024.5039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2024]
Abstract
Abstract The Influenza A H1N1 subtype can present with a wide spectrum of severity, from mild symptoms of influenza to severe respiratory distress. The morbidity and mortality connected to influenza are mostly associated with secondary bacterial infections. The influenza syndrome alone can cause a massive release of cytokines with dysregulation of the immune system, and it can act in synergy with other bacteria which can enhance cytokines secretion. This article deals with a case of severe pneumonia of H1N1 in a 17-year-old woman with bacterial superinfection with Staphylococcus aureus characterized by a high level of interleukine-6 (105900 pg/mL) and the appearance of severe leukopenia with immuno-suppression, such that HIV infection and hematological diseases were included in the initial differential diagnosis. After death, the autopsy confirmed the presence of severe pneumonia, in addition to an hepatic steatosis in absence of other risk factors. This case reports the rapid and lethal course of influenza A /H1N1 in a young and healthy subject without comorbidities, in an age group in which mortality is about 0.3 deaths per 100,000. The case underlines the importance of quickly diagnosis of viral infections and the differential diagnoses with other immunosuppressive diseases, which can be fatal even in adolescent and healthy subjects.
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Affiliation(s)
- L Tomassini
- International School of Advanced Studies, University of Camerino, Camerino, Italy
| | - F Ferretti
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy
| | - A Uvelli
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy
| | - D Fedeli
- Forensic Pathologist and Clinical Forensic Medicine Specialist, Castel San Pietro Terme, Italy
| | - G Gualtieri
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy
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Lazzeri L, Ferretti F, Churski M, Diserens TA, Oliveira R, Schmidt K, Kuijper DPJ. Spatio-temporal interactions between the red fox and the wolf in two contrasting European landscapes. Sci Rep 2024; 14:221. [PMID: 38167473 PMCID: PMC10762132 DOI: 10.1038/s41598-023-50447-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Accepted: 12/20/2023] [Indexed: 01/05/2024] Open
Abstract
Relationships among carnivore species are complex, potentially switching from competition to facilitation on a context-dependent basis. Negative associations are predicted to increase with latitude, due to limited resources emphasising competition and/or intra-guild predation. Accordingly, a stronger negative correlation between large- and meso-carnivore abundances should be expected at higher latitudes, with a substantial spatio-temporal partitioning favouring interspecific coexistence. Human presence may influence spatio-temporal relationships between (meso)carnivore species, as it can be perceived as a risk factor, but anthropogenic food can also provide an important additional food resource. Using camera-trap data, we studied the spatio-temporal associations between two of the most widespread carnivores in Europe, i.e., the red fox and wolf. We compared their monthly/daily spatio-temporal partitioning between two different landscapes: Białowieża Primeval Forest (Poland) and the Mediterranean Maremma Regional Park (Italy). We predicted a stronger interspecific partitioning, as well as more attraction of red foxes to humans in the northern site (Poland). Temporal activity patterns of the two carnivores overlapped in both sites, and their detection rates were positively associated, even though in weaker way in Poland. We observed a positive spatial association of red foxes with human activity in Białowieża, but not in Maremma. This association occurred only at a monthly temporal scale and disappeared at a daily scale, suggesting some disturbance in the shorter term. Our results provided partial support to our predictions and suggest that, despite the ecological differences between our study areas, only weak differences in wolf-fox relations were observed, suggesting that red fox responses to wolves may be relatively comparable over large spatial scales.
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Affiliation(s)
- Lorenzo Lazzeri
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Department of Life Sciences, University of Siena, Via P.A. Mattioli 4, 53100, Siena, Italy.
| | - F Ferretti
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Department of Life Sciences, University of Siena, Via P.A. Mattioli 4, 53100, Siena, Italy
- NBFC, National Biodiversity Future Center, 90133, Palermo, Italy
| | - M Churski
- Mammal Research Institute, Polish Academy of Sciences, Stoczek 1, 17-230, Białowieża, Poland
| | - T A Diserens
- Mammal Research Institute, Polish Academy of Sciences, Stoczek 1, 17-230, Białowieża, Poland
- Faculty of Biology, University of Warsaw, Miecznikowa 1, 02‑097, Warsaw, Poland
| | - R Oliveira
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Department of Life Sciences, University of Siena, Via P.A. Mattioli 4, 53100, Siena, Italy
| | - K Schmidt
- Mammal Research Institute, Polish Academy of Sciences, Stoczek 1, 17-230, Białowieża, Poland
| | - D P J Kuijper
- Mammal Research Institute, Polish Academy of Sciences, Stoczek 1, 17-230, Białowieża, Poland
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Corlatti L, Iacolina L, Safner T, Apollonio M, Buzan E, Ferretti F, Hammer SE, Herrero J, Rossi L, Serrano E, Arnal MC, Brivio F, Chirichella R, Cotza A, Crestanello B, Espunyes J, Fernández de Luco D, Friedrich S, Gačić D, Grassi L, Grignolio S, Hauffe HC, Kavčić K, Kinser A, Lioce F, Malagnino A, Miller C, Peters W, Pokorny B, Reiner R, Rezić A, Stipoljev S, Tešija T, Yankov Y, Zwijacz‐Kozica T, Šprem N. Past, present and future of chamois science. Wildlife Biology 2022. [DOI: 10.1002/wlb3.01025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- L. Corlatti
- Chair of Wildlife Ecology and Management, Univ. of Freiburg Freiburg Germany
- Stelvio National Park Bormio Italy
| | - L. Iacolina
- Faculty of Mathematics, Natural Sciences and Information Technologies, Univ. of Primorska Koper Slovenia
- Aalborg Univ., Dept of Chemistry and Biosciences Aalborg Denmark
| | - T. Safner
- Faculty of Agriculture, Dept of Plant Breeding, Genetics and Biometrics, Univ. of Zagreb Zagreb Croatia
- Centre of Excellence for Biodiversity and Molecular Plant Breeding (CoE CroP‐BioDiv) Zagreb Croatia
| | - M. Apollonio
- Dept of Veterinary Medicine, Univ. of Sassari Sassari Italy
| | - E. Buzan
- Faculty of Mathematics, Natural Sciences and Information Technologies, Univ. of Primorska Koper Slovenia
- Faculty of Environmental Protection Velenje Slovenia
| | - F. Ferretti
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Dept of Life Sciences, Univ. of Siena Siena Italy
| | - S. E. Hammer
- Inst. of Immunology, Dept of Pathobiology, Univ. of Veterinary Medicine Vienna Austria
| | - J. Herrero
- Dept of Agrarian and Environmental Science, Univ. of Zaragoza Huesca Spain
| | - L. Rossi
- Dept of Veterinary Sciences, Univ. of Turin Grugliasco (TO) Italy
| | - E. Serrano
- Wildlife Ecology&Health Group (WE&H) and Servei d'Ecopatologia de Fauna Salvatge (SEFaS), Dept de Medicina i Cirurgia Animals, Facultat de Veterinària, Univ. Autònoma de Barcelona Barcelona Spain
| | - M. C. Arnal
- Dept of Animal Pathology, Univ. of Zaragoza Zaragoza Spain
| | - F. Brivio
- Dept of Veterinary Medicine, Univ. of Sassari Sassari Italy
| | - R. Chirichella
- Dept of Veterinary Medicine, Univ. of Sassari Sassari Italy
| | - A. Cotza
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Dept of Life Sciences, Univ. of Siena Siena Italy
| | - B. Crestanello
- Conservation Genomics Research Unit, Centre for Research and Innovation, Fondazione E. Mach S. Michele all'Adige (TN) Italy
| | - J. Espunyes
- Wildlife Conservation Medicine Research Group (WildCoM), Dept of Animal Medicine and Surgery, Univ. Autònoma de Barcelona Bellaterra Spain
| | | | - S. Friedrich
- Wildlife Research Unit (WFS), Agricultural Center Baden‐Württemberg (LAZBW) Aulendorf Germany
- Wildlife Sciences, Faculty of Forest Sciences and Forest Ecology, Univ. of Goettingen Göttingen Germany
| | - D. Gačić
- Dept of Forest Resources Use, Faculty of Forestry, Univ. of Belgrade Belgrade Serbia
| | - L. Grassi
- Dept of Animal Medicine, Production and Health (MAPS), Univ. of Padua Legnaro Italy
| | - S. Grignolio
- Dept of Life Sciences and Biotechnology, Univ. of Ferrara Ferrara Italy
| | - H. C. Hauffe
- Conservation Genomics Research Unit, Centre for Research and Innovation, Fondazione E. Mach S. Michele all'Adige (TN) Italy
| | - K. Kavčić
- Faculty of Agriculture, Dept of Fisheries, Apiculture, Wildlife Management and Special Zoology, Univ. of Zagreb Zagreb Croatia
| | - A. Kinser
- Deutsche Wildtier Stiftung Hamburg Germany
| | - F. Lioce
- Conservation Genomics Research Unit, Centre for Research and Innovation, Fondazione E. Mach S. Michele all'Adige (TN) Italy
- Dept of Life Sciences and Biotechnology, Univ. of Ferrara Ferrara Italy
| | - A. Malagnino
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LECA Grenoble France
- Dept of Biosciences, College of Science, Swansea Univ. Swansea UK
| | - C. Miller
- Deutsche Wildtier Stiftung Hamburg Germany
| | - W. Peters
- Dept of Biodiversity, Conservation and Wildlife Management, Bavarian State Inst. of Forestry Freising Germany
| | - B. Pokorny
- Faculty of Environmental Protection Velenje Slovenia
- Slovenian Forestry Inst. Ljubljana Slovenia
| | - R. Reiner
- Inst. of Wildlife Biology and Game Management, Univ. of Natural Resources and Life Sciences Vienna Austria
- Berchtesgaden National Park Berchtesgaden Germany
| | - A. Rezić
- Faculty of Agriculture, Dept of Fisheries, Apiculture, Wildlife Management and Special Zoology, Univ. of Zagreb Zagreb Croatia
| | - S. Stipoljev
- Faculty of Agriculture, Dept of Fisheries, Apiculture, Wildlife Management and Special Zoology, Univ. of Zagreb Zagreb Croatia
| | - T. Tešija
- Faculty of Agriculture, Dept of Plant Breeding, Genetics and Biometrics, Univ. of Zagreb Zagreb Croatia
| | - Y. Yankov
- Faculty of Agriculture, Dept of Biology and Aquaculture, Trakia Univ. Stara Zagora Bulgaria
| | | | - N. Šprem
- Faculty of Agriculture, Dept of Fisheries, Apiculture, Wildlife Management and Special Zoology, Univ. of Zagreb Zagreb Croatia
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Sanmarchi F, Soldà G, Salomoni MG, Gribaudo G, Capodici A, Marini S, Masini A, Dallolio L, Ferretti F, Arrichiello F. Does parents’ educational level affect children's sedentary behaviour? A cross sectional analysis. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Evidence links sedentary behaviours (SB) with poorer health outcomes; i.e. higher screen time is associated with poorer fitness and cardiometabolic health, as well as unfavourable measures of adiposity, mental health and social behaviour in children. The WHO guidelines for children recommend reaching at least an average of 60 min per day of physical activity (PA). Several studies show a correlation between parental education (PE) and children PA levels. This study aims to analyse the influence that PE has on childrens' sedentary lifestyle and PA habits in Italian society.
Methods
We conducted a cross-sectional analysis among 428 children aged 6-11 recruited in a primary school of Calderara di Reno (Italy) in 2017. Children's and parents' information were collected at baseline (i.e. age, BMI, occupation, instruction). PA level and SB were evaluated using a weekly diary investigating screen time (PC and TV), sports practice and active play (i.e: running, jumping, riding a bike, etc.). We investigated the relationship between lifestyles and PE (high school degree or lower vs college degree or higher) through multiple linear regression models adjusted for age and gender.
Results
Our models show that fathers' educational level is not related to children's SB. PA habits and weekly sports activities are not related to PE. On the other hand, higher mothers' educational level shows to be linked to a decreased TV screen time (p = 0.003) and time spent using a computer (p = 0.035). Notably, older children spend more time using PCs or devices (p = 0.001), net of confounding variables.
Conclusions
Our findings show that mothers' educational level positively influences children's lifestyle. This result might be related to the fact that, in the Italian context, mothers are usually the principal children's caregiver influencing their daily routine. In light of this, mothers might be considered a primary target when implementing public health interventions to reduce children's SB.
Key messages
Higher mothers’ educational level is positively associated with healthier lifestyles in children, in particular in determining a less sedentary behaviour. Fathers' degree of education does not display any impact on children's attitude toward sports and PA.
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Affiliation(s)
- F Sanmarchi
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - G Soldà
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - MG Salomoni
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - G Gribaudo
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Capodici
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - S Marini
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Masini
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - L Dallolio
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - F Ferretti
- Department of Public Health, Bologna Local Health Authority, Bologna, Italy
| | - F Arrichiello
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
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Melis A, Anastasia A, Zannoner A, Salussolia A, De Dominicis F, Arrichiello F, Ferretti F, Marini S, Masini A, Dallolio L. Association between parents’ education level and KIDMED index: a cross-sectional study. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Mediterranean diet (MD) is considered a healthy dietary model with several beneficial effects.
A strict adherence to the MD in children, coupled with daily exercise, can prevent obesity and significantly reduce the risk of correlated chronic diseases, such metabolic syndrome. The aim of this study is to evaluate the association between parents' educational level and compliance to the MD in a convenience sample of Italian children.
Methods
We conducted a cross-sectional study among 428 children aged 6-11 recruited in a primary school of Calderara di Reno (Italy) between May and June of 2017. Children's and parents' information were collected at baseline (i.e. age, BMI, occupation, educational level). A weekly food diary was administered to evaluate the participant's dietary habits. The degree of adherence to MD was derived from these diaries using the KIDMED index developed in 2003 by Serra-Majem et al. We used multiple linear regression models, adjusted for age and gender, to investigate how parents' educational level affected children's KIDMED index.
Results
Adherence to the MD was high, medium and poor in, respectively, 4%, 60% and 36% of children. Higher prevalence of overweight and obesity was observed among those with lower adherence to the MD. The linear regression model shows that fathers' educational level is not associated to children's KIDMED index variation. On the other hand, a higher mothers' educational level is linked to an increased weekly KIDMED index (p = 0.012) as well as an increased weekend KIDMED index (p = 0.048).
Conclusions
Mothers' education level is associated with increased adherence to MD, both weekly and weekend. The greater difference has been observed during weekend, when children of highly educated mothers score higher at KIDMED index.
Key messages
Mothers’ educational level plays an important role in children’s eating habits, with higher educational level associated with a better adherence to the MD. It is critical to implement parents' toolkit to promote healthy dietary patterns and adherence to MD in order to correct these social differences.
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Affiliation(s)
- A Melis
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Anastasia
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Zannoner
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Salussolia
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - F De Dominicis
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - F Arrichiello
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - F Ferretti
- Department of Public Health, Bologna Local Health Authority, Bologna, Italy
| | - S Marini
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - A Masini
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - L Dallolio
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
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Soldà G, Salussolia A, Zanutto G, Sanmarchi F, Marini S, Dallolio L, Ferretti F, Arrichiello F, Lorenzini A, Masini A. Meals adequacy during weekdays and weekends in an Italian primary school children sample. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Between 15 and 50% of European children aged 6-9 are overweight or obese and this number is rising dramatically over time, making it one of the most important public health challenges. Selection of healthy food and a balanced diet are key when addressing this obesity epidemic. At the same time, it is essential to consider schools' role and parents' influence on children's dietary habits. This study aims to assess the adequacy of meals during the weekdays (WD) and weekends (WE), therefore highlighting the critical moments where schools' and parents' involvement needs to be of greater impact.
Methods
A cross-sectional study was conducted among 428 children aged 6-11 recruited in a primary school of Calderara di Reno (Italy) in 2017. A weekly diary was administered between May and June 2017 to explore the dietary habits of the participants. Every day for each meal (breakfast, morning snack, lunch, dinner) it was required to report what types of food and beverages were consumed, and where (home/school). The adequacy of each meal was determined by using national guidelines. A McNemar test was performed to evaluate the differences in meal adequacy between the WD and WE.
Results
Our analysis showed that meals consumed at school, i.e. morning snacks and lunches, were more adequate during WD than WE (69.6% vs 22.2%, 53.5% vs 32.5%; P-value <0.001), underlying the positive influence of school. On the other hand, breakfasts and dinners were more adequate during WE than WD (64.5% vs 51.4%, 23.8% vs 15.7%; P-value <0.001); this difference might be partially explained by the different amount of time parents have for food preparation during workdays versus weekends.
Conclusions
Further preventive interventions should address childrens' and parents' home dietary routine as a tool to improve meal adequacy at home and therefore reduce childhood obesity. Parental school-based interventions could have a key role in changing childrens' dietary habits.
Key messages
Our study showed a significant difference of healthy dietary habits between meals served at school during weekdays and at home during weekends, highlighting a higher dietary adequacy in the first ones. The results underline the importance of implementing educational programs addressing childrens’ and their parents' home meals routine and dietary habits.
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Affiliation(s)
- G Soldà
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - A Salussolia
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - G Zanutto
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - F Sanmarchi
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - S Marini
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - L Dallolio
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - F Ferretti
- Department of Public Health, Bologna Local Health Authority, Bologna, Italy
| | - F Arrichiello
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - A Lorenzini
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
| | - A Masini
- Department of Biomedical and Neuromotor Science, University of Bologna, Bologna, Italy
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Ferretti F, Cannatelli R, Monico M, Carvalhas Gabrielli A, Carmagnola S, Maconi G, Ardizzone S. OC.06.7 LOWER INCIDENCE OF COVID-19 IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE TREATED WITH NON-GUT SELECTIVE BIOLOGIC THERAPY. Dig Liver Dis 2021. [PMCID: PMC8451187 DOI: 10.1016/s1590-8658(21)00526-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
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Mori E, Lazzeri L, Ferretti F, Gordigiani L, Rubolini D. The wild boar
Sus scrofa
as a threat to ground‐nesting bird species: an artificial nest experiment. J Zool (1987) 2021. [DOI: 10.1111/jzo.12887] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- E. Mori
- Consiglio Nazionale delle Ricerche Istituto di Ricerca sugli Ecosistemi Terrestri Sesto Fiorentino (FI) Italy
- Dipartimento di Scienze della Vita Università di Siena Siena Italy
| | - L. Lazzeri
- Dipartimento di Scienze della Vita Università di Siena Siena Italy
| | - F. Ferretti
- Dipartimento di Scienze della Vita Università di Siena Siena Italy
| | - L. Gordigiani
- Dipartimento di Scienze della Vita Università di Siena Siena Italy
| | - D. Rubolini
- Dipartimento di Scienze e Politiche Ambientali Università degli Studi di Milano Milano Italy
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Jorgensen SJ, Micheli F, White TD, Van Houtan KS, Alfaro-Shigueto J, Andrzejaczek S, Arnoldi NS, Baum JK, Block B, Britten GL, Butner C, Caballero S, Cardeñosa D, Chapple TK, Clarke S, Cortés E, Dulvy NK, Fowler S, Gallagher AJ, Gilman E, Godley BJ, Graham RT, Hammerschlag N, Harry AV, Heithaus M, Hutchinson M, Huveneers C, Lowe CG, Lucifora LO, MacKeracher T, Mangel JC, Barbosa Martins AP, McCauley DJ, McClenachan L, Mull C, Natanson LJ, Pauly D, Pazmiño DA, Pistevos JCA, Queiroz N, Roff G, Shea BD, Simpfendorfer CA, Sims DW, Ward-Paige C, Worm B, Ferretti F. Emergent research and priorities for shark and ray conservation. ENDANGER SPECIES RES 2021. [DOI: 10.3354/esr01169] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Serena F, Abella AJ, Bargnesi F, Barone M, Colloca F, Ferretti F, Fiorentino F, Jenrette J, Moro S. Species diversity, taxonomy and distribution of Chondrichthyes in the Mediterranean and Black Sea. The European Zoological Journal 2020. [DOI: 10.1080/24750263.2020.1805518] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- F. Serena
- Institute for Marine Biological Resources and Biotechnology, National Research Council (CNR-IRBIM), Mazara Del Vallo (TR), Italy
| | | | - F. Bargnesi
- Department of Life and Environmental Sciences (Disva), Marche Polytechnic University, Ancona, Italy
- Cattolica Aquarium, Cattolica (RN), Italy
| | - M. Barone
- Fisheries Resources Consultant, Food and Agriculture Organization, Rome, Italy
| | - F. Colloca
- Stazione Zoologica Anton Dohrn-Italian National Institute for Marine Biology, Ecology and Biotechnology, Naples, Italy
| | - F. Ferretti
- Department of Fish and Wildlife Conservation, Virginia Tech, Blacksburg (VA), USA
| | - F. Fiorentino
- Institute for Marine Biological Resources and Biotechnology, National Research Council (CNR-IRBIM), Mazara Del Vallo (TR), Italy
| | - J. Jenrette
- Department of Fish and Wildlife Conservation, Virginia Tech, Blacksburg (VA), USA
| | - S. Moro
- Department of Environmental Biology, Sapienza University of Rome, Rome, Italy
- Department of Statistical Sciences, Sapienza University of Rome, Rome, Italy
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Giorli A, Ferretti F, Biagini C, Salerni L, Bindi I, Dasgupta S, Pozza A, Gualtieri G, Gusinu R, Coluccia A, Mandalà M. A Literature Systematic Review with Meta-Analysis of Symptoms Prevalence in Covid-19: the Relevance of Olfactory Symptoms in Infection Not Requiring Hospitalization. Curr Treat Options Neurol 2020; 22:36. [PMID: 32874091 PMCID: PMC7453082 DOI: 10.1007/s11940-020-00641-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE OF REVIEW To investigate the association between the olfactory dysfunction and the more typical symptoms (fever, cough, dyspnoea) within the Sars-CoV-2 infection (COVID-19) in hospitalized and non-hospitalized patients. RECENT FINDINGS PubMed, Scopus and Web of Science databases were reviewed from May 5, 2020, to June 1, 2020. Inclusion criteria included English, French, German, Spanish or Italian language studies containing original data related to COVID19, anosmia, fever, cough, and dyspnoea, in both hospital and non-hospital settings. Two investigators independently reviewed all manuscripts and performed quality assessment and quantitative meta-analysis using validated tools. A third author arbitrated full-text disagreements. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 11 of 135 studies fulfilled eligibility. Anosmia was estimated less prevalent than fever and cough (respectively rate difference = - 0.316, 95% CI: - 0.574 to - 0.058, Z = - 2.404, p < 0.016, k = 11 and rate difference = - 0.249, 95% CI: - 0.402 to - 0.096, Z = - 3.185, p < 0.001, k = 11); the analysis between anosmia and dyspnoea was not significant (rate difference = - 0.008, 95% CI: - 0.166 to 0.150, Z = - 0.099, p < 0.921, k = 8). The typical symptoms were significantly more frequent than anosmia in hospitalized more critical patients than in non-hospitalized ones (respectively [Q(1) = 50.638 p < 0.000, Q(1) = 52.520 p < 0.000, Q(1) = 100.734 p < 0.000). SUMMARY Patient with new onset olfactory dysfunction should be investigated for COVID-19. Anosmia is more frequent in non-hospitalized COVID-19 patients than in hospitalized ones.
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Affiliation(s)
- A. Giorli
- Otolaryngology Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - F. Ferretti
- Dipartimento Scienze Mediche Chirurgiche e Neuroscienze, Università di Siena, Siena, Italy
| | - C. Biagini
- Otolaryngology Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - L. Salerni
- Otolaryngology Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - I. Bindi
- Otolaryngology Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - S. Dasgupta
- Department of Audiovestibular Medicine and Neurotology, Alder Hey Children’s Hospital NHS Trust, Liverpool, UK
- United Kingdom and Sheffield Vertigo and Balance Centre, Sheffield, UK
| | - A. Pozza
- Dipartimento Scienze Mediche Chirurgiche e Neuroscienze, Università di Siena, Siena, Italy
| | - G. Gualtieri
- Dipartimento Scienze Mediche Chirurgiche e Neuroscienze, Università di Siena, Siena, Italy
| | - R. Gusinu
- Dipartimento Scienze Mediche Chirurgiche e Neuroscienze, Università di Siena, Siena, Italy
| | - A. Coluccia
- Dipartimento Scienze Mediche Chirurgiche e Neuroscienze, Università di Siena, Siena, Italy
| | - Marco Mandalà
- Otolaryngology Department, Azienda Ospedaliera Universitaria Senese, Siena, Italy
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Gualtieri G, Traverso S, Pozza A, Ferretti F, Carabellese F, Gusinu R, Coluccia A. Clinical risk management in High-Security Forensic Psychiatry Residences. Protecting patients and health professionals: perspectives and critical issues of the Law 81/2014. Clin Ter 2020; 171:e97-e100. [PMID: 32141478 DOI: 10.7417/ct.2020.2196] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The Italian Law n. 9/2012 provided the Italian Regions with a new decisional role by demanding the management/rehabilitation of prisoners judged as partially/fully mentally ill to care and protection delivered by the psychiatric services of the Regional Health Service. Healthcare has to be guaranteed by the so-called High-Security Forensic Psychiatry Residences (Italian: Residenze per l'Esecuzione delle Misure di Sicurezza: REMS) and by community mental health centres. Ensuring patients' and professionals' health and safety is a complex issue which requires effective strategies to cope with several structural, technological, and organisational problems. The present paper summarises the historical evolution of the Italian laws towards the development of the High-Security Forensic Psychiatry Residences in Italy, focusing specifically on the Tuscany Region situation. The paper also presents the key issues emerging after the implementation of the Law 81/2014 which complemented the Law 9/2012. Since these reforms included the need for assessing to what extent the patient may be considered as a danger to society and for ensuring the safety of National Health Service (NHS) professionals, they underscored the importance of a preventive use of specific clinical governance tools aimed to reduce risk of adverse events. The present work has the strength of proposing a new, evidence-based scientific approach to the implementation of assessment and care pathways in High-Security Forensic Psychiatry Residences.
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Affiliation(s)
- G Gualtieri
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | - S Traverso
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | - A Pozza
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | - F Ferretti
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | | | - R Gusinu
- Health Service Management Board, Santa Maria alle Scotte University Hospital of Siena, Siena
| | - A Coluccia
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
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Pozza A, Coluccia A, Gualtieri G, Ferretti F. Enhancing adherence to antipsychotic treatment for bipolar disorders. Comparison of mobile app-based psychoeducation, group psychoeducation, and the combination of both: protocol of a three-arm single-blinded parallel-group multi-centre randomised trial. Clin Ter 2020; 171:e7-e93. [PMID: 32141476 DOI: 10.7417/ct.2020.2194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Group Psychoeducation (PE) is an effective strategy to enhance adherence to antipsychotic treatment in Bipolar Disorders (BD). However, it requires attendance to weekly sessions during a period of about 6 months. This may impede its application for those patients living far from mental health centres, resulting inequality in access to evidence-based care. Therefore, there is an increasing need to find new efficient strategies to deliver and extend PE programs to a wider population of BD patients. Mobile apps are a cost-effective way to deliver PE. In the Italian healthcare context, no evidence about the use of apps is available. The current paper presents the protocol about the development of a smartphone app to deliver PE for BD and the protocol for a trial assessing its effectiveness. In euthymic BD patients, the study will compare the adherence rates to antipsychotics between PE delivered through Bipolar mobile Application (Bip.App), group PE and a combination of both, will investigate demographic, socio-cultural and clinical predictors of lower adherence in the arms, and will investigate whether PE combined with Bip.App is associated with lower risk of recurrence of (hypo)manic and depressive episodes than group PE alone, and assess the feasibility and satisfaction for Bip.App. Participants will be recruited from mental health centres and included if they are 18-65 year-old, have primary BD in the euthymic phase, they have been prescribed a second-generation oral antipsychotic as a maintenance/prophylactic therapy for at least 1 year, they have not undergone a structured protocol of PE for BD, they have access to a smartphone and sufficient competence in using it. Participants will be excluded if they have neurological disease, mental retardation or learning disability, psychosis, limited fluency in Italian. Adherence will be assessed through count pills, blood levels, and self-reported adherence. A single-blinded parallel-group superiority multi-centre randomised controlled trial design will be used.
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Affiliation(s)
- A Pozza
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | - A Coluccia
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
| | - G Gualtieri
- Legal Medicine Unit, Santa Maria alle Scotte University Hospital of Siena, Siena, Italy
| | - F Ferretti
- Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena
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Bargnesi F, Lucrezi S, Ferretti F. Opportunities from citizen science for shark conservation, with a focus on the Mediterranean Sea. The European Zoological Journal 2020. [DOI: 10.1080/24750263.2019.1709574] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- F. Bargnesi
- Department of Life and Environmental Sciences (Di.S.V.A.), Polytechnic University of Marche, UO CoNISMa, Ancona, Italy
- Cattolica Aquarium, Cattolica (RN), Italy
| | - S. Lucrezi
- TREES - Tourism Research in Economics, Environs and Society, North-West University, Potchefstroom, South Africa
| | - F. Ferretti
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
- Department of Fish and Wildlife Conservation, Virginia Tech, Blacksburg, VA, USA
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Mori E, Bagnato S, Serroni P, Sangiuliano A, Rotondaro F, Marchianò V, Cascini V, Poerio L, Ferretti F. Spatiotemporal mechanisms of coexistence in an European mammal community in a protected area of southern Italy. J Zool (1987) 2019. [DOI: 10.1111/jzo.12743] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- E. Mori
- Dipartimento di Scienze della Vita Università degli Studi di Siena Siena Italy
| | - S. Bagnato
- Dipartimento di Scienze della Vita Università degli Studi di Siena Siena Italy
| | - P. Serroni
- Ente Parco Nazionale del Pollino Complesso Monumentale Santa Maria della Consolazione Rotonda Italy
| | - A. Sangiuliano
- Ente Parco Nazionale del Pollino Complesso Monumentale Santa Maria della Consolazione Rotonda Italy
| | - F. Rotondaro
- Ente Parco Nazionale del Pollino Complesso Monumentale Santa Maria della Consolazione Rotonda Italy
| | - V. Marchianò
- Ente Parco Nazionale del Pollino Complesso Monumentale Santa Maria della Consolazione Rotonda Italy
| | - V. Cascini
- A.S.D. Pollino Discovery Viggianello Italy
| | - L. Poerio
- A.S.D. Pollino Discovery Viggianello Italy
| | - F. Ferretti
- Dipartimento di Scienze della Vita Università degli Studi di Siena Siena Italy
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Tafuri S, Notarnicola A, Manno A, Ferretti F, Moretti B. CrossFit athletes exhibit high symmetry of fundamental movement patterns. A cross-sectional study. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.01.2016.19] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- S. Tafuri
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Italy
| | - A. Notarnicola
- Department of Orthopaedics, Aldo Moro University of Bari, Italy
| | - A. Manno
- Department of Orthopaedics, Aldo Moro University of Bari, Italy
| | - F. Ferretti
- Department of Orthopaedics, Aldo Moro University of Bari, Italy
| | - B. Moretti
- Department of Orthopaedics, Aldo Moro University of Bari, Italy
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Rinaldi A, Marani A, Montesano M, Berdini S, Petruccioli MC, Di Ninno F, Orioli R, Ferretti F, Tarsitani G, Napoli C, De Luca A, Orsi GB. Healthcare Associated Infections: educational intervention by "Adult Learning" in an Italian teaching hospital. Ann Ig 2018; 28:441-449. [PMID: 27845478 DOI: 10.7416/ai.2016.2126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND An educational intervention for HAI prevention based on a combination of training, motivation and subsequent application in the current clinical practice in an Italian teaching hospital. METHODS In 2015-2016 a pilot mandatory training on HAI targeted to HCWs was organized in the 450 bed teaching hospital Sant'Andrea in Rome. By adopting the "Impact/control matrix" prioritization tool, the relative level of impact (risk in causing or favoring HAI) and control (possibility for HCWs to prevent HAI) attributed by the participants to the issues associated to HAI during their working groups was evaluated. RESULTS Overall, 34 physicians, 43 nurses and 15 non clinical professionals participated actively in seven courses, identifying 58 different issues related to HAI, which were reported 128 times. Results showed frequently that, within the same type of issue, HCW referred various levels of impact (risk in causing or favoring HAI) and personal control (possibility for HCW to prevent HAI). Overall staff shortage was the most reported problem by HCW in our hospital. Also hand washing was regarded as a main problem, but HCW expressed the feeling that individuals could act more successfully on this issue (high or medium control). Results showed that staff frequently did not know how to handle correctly visitors, similarly many colleagues expressed some difficulty in communicating information to patients and relatives on HAI. Surprisingly, "antimicrobial therapy" and "excessive invasive procedures" were not particularly highlighted by the personnel. HCW expressed satisfaction for the course approac. CONCLUSIONS The study showed an overall good level of knowledge regarding the importance and principles of infection control in our teaching hospital HCW. However personnel perceived a variability in the impact of many issues on HAI and even more on the personal possibility to control their effect. In order to improve HCW compliance with HAI prevention programs, the "Adult Learning" model seems to be very useful.
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Affiliation(s)
- A Rinaldi
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
| | - A Marani
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
| | - M Montesano
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy
| | - S Berdini
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy
| | - M C Petruccioli
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy
| | - F Di Ninno
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
| | - R Orioli
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
| | - F Ferretti
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
| | - G Tarsitani
- Department of Medical-Surgical Sciences and Translational Medicine, "Sapienza" University of Rome, Italy
| | - C Napoli
- Department of Medical-Surgical Sciences and Translational Medicine, "Sapienza" University of Rome, Italy
| | - A De Luca
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, "Sapienza" University of Rome, Italy
| | - G B Orsi
- Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy
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Martano C, Ferretti F, Ghiani S, Buonsanti F, Bruno E, Lattuada L, Medana C. Development and validation of a new HPLC–MS method for meglumine impurity profiling. J Pharm Biomed Anal 2018; 149:517-524. [DOI: 10.1016/j.jpba.2017.11.039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 11/11/2017] [Accepted: 11/13/2017] [Indexed: 10/18/2022]
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Marani A, Napoli C, Berdini S, Montesano M, Ferretti F, Di Ninno F, Orioli R, De Luca A, Sommella L, Tarsitani G, Orsi GB. Point prevalence surveys on healthcare acquired infections in medical and surgical wards of a teaching hospital in Rome. Ann Ig 2017; 28:274-81. [PMID: 27479763 DOI: 10.7416/ai.2016.2106] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Healthcare acquired infections (HAI) are an important cause of morbidity and mortality in hospitals worldwide. Aim of the study was to analyze nine years surveillance activity, carried out by point prevalence surveys from 2007 to 2015, in a 450-bed teaching hospital in Rome. METHODS Point prevalence surveys were carried out every year in the medical and surgical wards following the same methodology. In accordance with definitions used by the Centers for Disease Control, all infections occurred more than 48 hours after hospital admission were considered HAI, and included in the study. Baseline characteristics, clinical features, isolated pathogens (only for the period 2011-2015) and antimicrobial resistance were recorded. RESULTS During the nine years point prevalence surveys a total 2,840 patients were enrolled. Overall 136 (4.79%) patients developed 180 (6.34%) HAI. The most frequent HAI were respiratory tract infections (RTI), which accounted for 35.0% of all HAI, followed by surgical site infections (SSI) 22.2%, urinary tract infections (UTI) 19.4%, bloodstream infections (BSI) 17.2%, and others 6.1%. HAI related to major invasive risk procedures were also evaluated. SSI/patients undergoing surgery 3.99%, UTI/ patients with urinary catheter 4.17% and BSI/patients with CVC 9.42%. Over one-half of all patients surveyed (1,532, 53.9%) were receiving antibiotics at the time of our study. Among them 892 (58.2%) for treatment, 641 (41.8%) for prophylaxis. In the latter group, 109 (17.0%) underwent extra-short term, 89 (13.9%) short term and 443 (69.1%) a long term prophylaxis. During the period 2011-2015 out of 110 HAI episodes 71 (64.5%) were confirmed microbiologically. In total 106 pathogens were isolates, Gram-negative bacteria (63.2%) were isolated more frequently than Gram-positive bacteria (28.3%). CONCLUSIONS The overall HAI prevalence in our hospital was consistent with those reported in other studies in Italy. The study underlined the role of Gram-negative bacteria in HAI and the need for antimicrobial stewardship. It also provided useful baseline data for rational priorities in allocation of resources, for further infection control activities.
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Affiliation(s)
- A Marani
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - C Napoli
- Department of Medical-Surgery Sciences and Translational Medicine, Sapienza University of Rome, Italy
| | - S Berdini
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, Sapienza University of Rome, Italy
| | - M Montesano
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, Sapienza University of Rome, Italy
| | - F Ferretti
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - F Di Ninno
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - R Orioli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - A De Luca
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, Sapienza University of Rome, Italy
| | - L Sommella
- Health Direction, Azienda Ospedaliero Universitaria Sant'Andrea, Sapienza University of Rome, Italy
| | - G Tarsitani
- Department of Medical-Surgery Sciences and Translational Medicine, Sapienza University of Rome, Italy
| | - G B Orsi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
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Ferretti F, Chiera A, Nicchiarelli S, Adornetti I, Magni R, Vicari S, Valeri G, Marini A. The development of episodic future thinking in middle childhood. Cogn Process 2017; 19:87-94. [PMID: 29052802 DOI: 10.1007/s10339-017-0842-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 10/11/2017] [Indexed: 11/24/2022]
Abstract
The ability to imagine future events (episodic future thinking-EFT) emerges in preschoolers and further improves during middle childhood and adolescence. In the present study, we focused on the possible cognitive factors that affect EFT and its development. We assessed the ability to mentally project forward in time of a large cohort of 135 6- to 11-year-old children through a task with minimal narrative demands (the Picture Book Trip task adapted from Atance and Meltzoff in Cogn Dev 20(3):341-361. doi:10.1016/j.cogdev.2005.05.001, 2005) in order to avoid potential linguistic effects on children's performance. The results showed that this task can be used to assess the development of EFT at least until the age of 8. Furthermore, EFT scores correlated with measures of phonological short-term and verbal working memory. These results support the possibility that cognitive factors such as working memory play a key role in EFT.
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Affiliation(s)
- F Ferretti
- Cosmic Lab, Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234-236, 00146, Rome, Italy.
| | - A Chiera
- Cosmic Lab, Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234-236, 00146, Rome, Italy
| | - S Nicchiarelli
- Cosmic Lab, Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234-236, 00146, Rome, Italy
| | - I Adornetti
- Cosmic Lab, Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234-236, 00146, Rome, Italy
| | - R Magni
- Department of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - S Vicari
- Department of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - G Valeri
- Department of Neuroscience, Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - A Marini
- Department of Languages and Literatures, Communication, Education, and Society, University of Udine, Via Margreth, 3, 33100, Udine, Italy. .,Claudiana - Landesfachhochschule für Gesundheitsberufe, Bozen, Italy.
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Marini A, Ferretti F, Chiera A, Magni R, Adornetti I, Nicchiarelli S, Vicari S, Valeri G. Brief Report: Self-Based and Mechanical-Based Future Thinking in Children with Autism Spectrum Disorder. J Autism Dev Disord 2017; 46:3353-60. [PMID: 27460001 DOI: 10.1007/s10803-016-2867-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This brief report is a partial replication of the study by Jackson and Atance (J Dev Disabil 14:40-45, 2008) assessing nonverbal Self-based and Mechanical-based future thinking (FT) in children with Autism Spectrum Disorder (ASD). In a first step, these tasks were administered to 30 children with ASD. The two Self-based tasks were then modified as a verbal component could not be completely ruled out. Consequently, 77 children with ASD and 77 children with typical development received the modified Self-based FT tasks and the Mechanical-based FT tasks. We partially replicated the previous findings. Participants with ASD had impaired FT in both kinds of tasks and both groups performed better on tasks assessing Mechanical-based FT than Self-based FT. These results suggest that impairments of FT in ASD are not limited to Self-Projection.
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Affiliation(s)
- A Marini
- Department of Languages and Literatures, Communication, Education, and Society, University of Udine, Via Margreth, 3, 33100, Udine, Italy. .,Scientific Institute, IRCCS Eugenio Medea, San Vito al Tagliamento, Pordenone, Italy.
| | - F Ferretti
- Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234, 00146, Rome, Italy.
| | - A Chiera
- Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234, 00146, Rome, Italy
| | - R Magni
- Scientific Institute, IRCCS Ospedale Pediatrico "Bambino Gesù", Rome, Italy
| | - I Adornetti
- Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234, 00146, Rome, Italy
| | - S Nicchiarelli
- Department of Philosophy, Communication and Performing Arts, Roma Tre University, Via Ostiense, 234, 00146, Rome, Italy
| | - S Vicari
- Scientific Institute, IRCCS Ospedale Pediatrico "Bambino Gesù", Rome, Italy
| | - G Valeri
- Scientific Institute, IRCCS Ospedale Pediatrico "Bambino Gesù", Rome, Italy
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Sepede G, Gambi F, De Berardis D, Di Iorio G, Perrucci MG, Ferretti F, Santacroce R, Romani GL, Di Giannantonio M. Traumatic Experiences Affect Negative Emotion Processing in Bipolar Disorder. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionPatients affected by bipolar disorder type I (BD-I) show a significant emotional impairment during both acute and euthymic phases of the illness, but the influence of negative life experiences is not yet fully understood.ObjectivesAim of the present study was to investigate the role of previous traumatic events on negative emotion processing in euthymic BD-I patients.MethodsEighteen euthymic BD-I patients, 7 reporting past traumatic events (T-BD-I), but free of post-traumatic stress disorder (PTSD) symptoms at the moment of the evaluation and 11 never exposed to traumas (NT-BD-I), were compared to 24 not traumatized controls (NC). All participants performed a IAPS-based emotional task: they were required to identify vegetable items (targets) among neutral or negative pictures. Accuracy (percentage of correct responses) and mean reaction times (RT) were recorded.ResultsT-BD-I performed similarly to NC and significantly better than NT-BD-I in terms of accuracy (Fig. 1). No significant between-group effects were observed for mean RT.ConclusionsA previous history of traumatic events, without current PTSD symptoms, may significantly impact the negative emotion processing in euthymic BD-I. Interestingly, traumatized patients showed a better accuracy when processing both neutral and negative images, thus suggesting that paying more attention to external stimuli may be a successful compensatory mechanism to cope with potential environmental threats.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Pecorella I, Ferretti F, Sforzi A, Macchi E. Effects of culling on vigilance behaviour and endogenous stress response of female fallow deer. Wildl Res 2016. [DOI: 10.1071/wr15118] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Context
Human activities can induce behavioural and stress responses in wild animals. Information is scarce on the effects of culling on anti-predator behaviour and endogenous stress response of wild ungulates.
Aims
In a Mediterranean area, we evaluated the effects of culling on vigilance, foraging and endogenous stress response of female fallow deer (Dama dama).
Methods
Effects of culling were evaluated through behavioural observations and hormone analyses of faecal samples.
Key results
In an area where culling occurred (C), individuals showed significantly greater vigilance rates and foraged closer to wood than in an area with no culling (NC). In C, 24 h after culling, faecal cortisol concentrations were greater than those recorded in NC, but they decreased significantly to values comparable to (48 h post-shot) and lower than (72 h post-shot) those observed in NC.
Conclusions
Most likely, culling determined behavioural responses in female fallow deer, but did not trigger long-term physiological effects.
Implications
Increased anti-predator behaviour may complicate the implementation of long-term culling programs.
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Capriati T, Francavilla R, Ferretti F, Castellaneta S, Ancinelli M, Diamanti A. The overweight: a rare presentation of celiac disease. Eur J Clin Nutr 2015; 70:282-4. [PMID: 26508459 DOI: 10.1038/ejcn.2015.169] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2015] [Revised: 07/05/2015] [Accepted: 07/08/2015] [Indexed: 01/07/2023]
Abstract
We describe the nutritional status of a cohort of celiac disease (CD) children at presentation and during follow-up on gluten-free diet (GFD). Two Italian centers (Rome and Bari) prospectively enrolled 445 biopsy-confirmed CD children, diagnosed between 2009 and 2013. Body Mass Index was used as a measure of nutritional status according to Italian growth charts of Cacciari. The overweight/obese subject was 7.8% at onset and did not significantly increase during follow-up (9.8% at final assessment). The prevalence of overweight/obesity was significantly higher among males than females. Furthermore, overweight/obesity children as compared with those with normal weight were significantly older and had significantly lower levels of tTG antibodies. This study shows that some CD children are obese/overweight at diagnosis; therefore, overweight/obesity can be considered a rare but a possible mode of CD presentation. Thus, CD diagnosis must be considered even in overweight/obese children where this diagnosis can be easily missed.
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Affiliation(s)
- T Capriati
- Gastroenterology-Hepatology and Nutrition Unit, 'Bambino Gesù' Children's Hospital, Rome, Italy
| | - R Francavilla
- Gastroenterology Unit, Pediatric Clinic of University, Bari, Italy
| | - F Ferretti
- Hepato-Metabolic Diseases Unit, 'Bambino Gesù' Children's Hospital, Rome, Italy
| | - S Castellaneta
- Department of Pediatrics, San Paolo Hospital, Bari, Italy
| | - M Ancinelli
- Gastroenterology-Hepatology and Nutrition Unit, 'Bambino Gesù' Children's Hospital, Rome, Italy
| | - A Diamanti
- Gastroenterology-Hepatology and Nutrition Unit, 'Bambino Gesù' Children's Hospital, Rome, Italy
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De Luca A, Rinaldi A, Ferretti F, Berdini S, Tranne C, Ferri E, Tarsitani G, Sommella L, Bianconi E. What lesson did we learn from a case of potential Ebola patient in a Italian university hospital? Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv176.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Zardi P, Pozzoli A, Ferretti F, Manca G, Mealli C, Gallo E. A mechanistic investigation of the ruthenium porphyrin catalysed aziridination of olefins by aryl azides. Dalton Trans 2015; 44:10479-89. [DOI: 10.1039/c5dt00951k] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
A combination of DFT and kinetic studies suggests a mechanism for olefin aziridination by organic azides catalysed by ruthenium porphyrins.
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Affiliation(s)
- P. Zardi
- Department of Chemistry
- University of Milan
- I-20133 Milan
- Italy
| | - A. Pozzoli
- Department of Chemistry
- University of Milan
- I-20133 Milan
- Italy
- Consorzio Interuniversitario Reattività Chimica e Catalisi (CIRCC)
| | - F. Ferretti
- Department of Chemistry
- University of Milan
- I-20133 Milan
- Italy
| | - G. Manca
- Istituto di Chimica dei Composti OrganoMetallici
- ICCOM-CNR
- I-50019 Sesto Fiorentino
- Italy
| | - C. Mealli
- Istituto di Chimica dei Composti OrganoMetallici
- ICCOM-CNR
- I-50019 Sesto Fiorentino
- Italy
| | - E. Gallo
- Department of Chemistry
- University of Milan
- I-20133 Milan
- Italy
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Lovari S, Pokheral CP, Jnawali SR, Fusani L, Ferretti F. Coexistence of the tiger and the common leopard in a prey-rich area: the role of prey partitioning. J Zool (1987) 2014. [DOI: 10.1111/jzo.12192] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S. Lovari
- Ev-K2-CNR Agency; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
| | - C. P. Pokheral
- Department of Life Sciences and Biotechnology; University of Ferrara; Ferrara Italy
- National Trust for Nature Conservation; Kathmandu Nepal
| | | | - L. Fusani
- Department of Life Sciences and Biotechnology; University of Ferrara; Ferrara Italy
| | - F. Ferretti
- Ev-K2-CNR Agency; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
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Lovari S, Ferretti F, Corazza M, Minder I, Troiani N, Ferrari C, Saddi A. Unexpected consequences of reintroductions: competition between reintroduced red deer and Apennine chamois. Anim Conserv 2014. [DOI: 10.1111/acv.12103] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S. Lovari
- Research Unit of Behavioural Ecology; Ethology and Wildlife Management; Department of Life Sciences; University of Siena; Siena Italy
- Biodiversity and Conservation Network (BIOCONNET); Department of Life Sciences; University of Siena; Siena Italy
| | - F. Ferretti
- Research Unit of Behavioural Ecology; Ethology and Wildlife Management; Department of Life Sciences; University of Siena; Siena Italy
- Biodiversity and Conservation Network (BIOCONNET); Department of Life Sciences; University of Siena; Siena Italy
| | - M. Corazza
- Department of Biological, Geological and Environmental Sciences; University of Bologna; Bologna Italy
| | - I. Minder
- Research Unit of Behavioural Ecology; Ethology and Wildlife Management; Department of Life Sciences; University of Siena; Siena Italy
- Biodiversity and Conservation Network (BIOCONNET); Department of Life Sciences; University of Siena; Siena Italy
| | - N. Troiani
- Department of Biological, Geological and Environmental Sciences; University of Bologna; Bologna Italy
| | - C. Ferrari
- Department of Biological, Geological and Environmental Sciences; University of Bologna; Bologna Italy
| | - A. Saddi
- Research Unit of Behavioural Ecology; Ethology and Wildlife Management; Department of Life Sciences; University of Siena; Siena Italy
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Zachos FE, Mattioli S, Ferretti F, Lorenzini R. The unique Mesola red deer of Italy: taxonomic recognition (Cervus elaphus italicusnova ssp., Cervidae) would endorse conservation#. ACTA ACUST UNITED AC 2014. [DOI: 10.1080/11250003.2014.895060] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lovari S, Minder I, Ferretti F, Mucci N, Randi E, Pellizzi B. Common and snow leopards share prey, but not habitats: competition avoidance by large predators? J Zool (1987) 2013. [DOI: 10.1111/jzo.12053] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S. Lovari
- Ev-K2-CNR; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
- BIOCONNET, Biodiversity and Conservation Network; University of Siena; Siena Italy
| | - I. Minder
- Ev-K2-CNR; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
- BIOCONNET, Biodiversity and Conservation Network; University of Siena; Siena Italy
| | - F. Ferretti
- Ev-K2-CNR; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
- BIOCONNET, Biodiversity and Conservation Network; University of Siena; Siena Italy
| | - N. Mucci
- I.S.P.R.A.; Ozzano Emilia (BO) Italy
| | - E. Randi
- I.S.P.R.A.; Ozzano Emilia (BO) Italy
| | - B. Pellizzi
- Ev-K2-CNR; Bergamo Italy
- Department of Life Sciences; University of Siena; Siena Italy
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Bianchi P, Biagi F, Borsotti E, Marchese A, Vattiato C, Ferretti F, Balduzzi D, Trotta L, Schiepatti A, Corazza G. P.05.13 PERIPHERAL ARTERY DISEASE IN COELIAC DISEASE. Dig Liver Dis 2013. [DOI: 10.1016/s1590-8658(13)60342-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
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Porcelli B, Ferretti F, Vindigni C, Scapellato C, Terzuoli L. Detection of autoantibodies against actin filaments in celiac disease. J Clin Lab Anal 2013; 27:21-6. [PMID: 23292801 DOI: 10.1002/jcla.21556] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2012] [Accepted: 10/01/2012] [Indexed: 01/28/2023] Open
Abstract
INTRODUCTION Serum autoantibodies specifically directed toward intracellular cytoskeletal actin filaments (anti-actin antibodies, AAA) were found to be associated with intestinal villous atrophy (IVA) in celiac disease (CD). The aim of this study was to assess IgA-AAA with a commercial test that uses sections of rat intestinal epithelial cells in a well-selected cohort of patients and to evaluate the relationship between the presence of serum IgA-AAA and the severity of intestinal mucosa damage. MATERIALS AND METHODS Serum samples from 70 CD patients and 150 controls subjects were analyzed retrospectively for the presence of IgA-AAA. RESULTS The indirect immunofluorescence test that we used has a specificity of 100%; the sensitivity of the test is not high (25.7%). In this study we also show that serum AAA are more frequently positive in CD patients with total IVA (77.8%) and that this association is significant DISCUSSION IgA-AAA certainly cannot take the place of much more sensitive tests such as a-tTG and EMA in the diagnosis of CD because of their low sensitivity; nonetheless, these antibodies could be determined in a-tTG and/or EMA positive patients who cannot undergo an intestinal biopsy because of a severe contraindication, or in the case of negative consensus regarding endoscopy, or when the histology interpretation is difficult. CONCLUSION In conclusion, the IFI commercial test with intestinal epithelial cells as substrate offers a useful method for IgA-AAA determination. Serum IgA-AAA positivity is indicative of more severe intestinal histology damage and their assay could be a real help to the clinician, especially in the complicated cases.
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Affiliation(s)
- B Porcelli
- Department of Internal Medicine, Endocrine-Metabolic Science and Biochemistry, Biochemistry Section, University of Siena, Siena, Italy.
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Cerase A, Lazzeretti L, Vallone IM, Ferretti F, Bracco S, Galluzzi P, Gennari P, Monti L, Menci E, Bellini M, Arrigucci U, Cioni S, Romano D, Sanna A, Zandonella A, Acampa M, Tassi R, Martini G, Venturi C. [Neuroimaging and definition of transient ischemic attack]. Minerva Med 2012; 103:299-311. [PMID: 22805622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
AIM Transient ischemic attack (TIA) has to be considered an "alarm bell" of a more or less severe organic or systemic vasculopathy. Positive findings at neuroimaging means tissue damage. The purpose of this retrospective study was to assess the role of neuroimaging in the management of patients presenting with TIA, and to consider the relative implications. METHODS In a consecutive series of 82 patients (53 males, 29 females, mean age: 65.9±13.1 years) admitted for TIA, it was possible to review the history and the clinical data of 66 patients, including ABCD2 score, laboratory including plasmatic D-dimer, and neuroimaging data including computed tomography (CT) and magnetic resonance imaging including diffusion-weighted with apparent diffusion coefficient measure (DWI-ADC) obtained at diagnosis and by a week later (16 by CT, and 50 by DWI-ADC). Thirty-three patients underwent DWI-ADC within 24 hours from symptoms onset. Statistical analysis has been performed by non-parametric tests (χ2 and Mann-Whitney), and logistic regression by a commercially available software. RESULTS CT and/or DWI-ADC showed signs of acute ischemic lesions in 23/66 (35%) patients. 12 out of the 35 patients with a 24-hour DWI-ADC follow-up were positive. Statistical analysis showed that positive neuroimaging was significantly associated only with familial history of cardiovascular diseases (P<0.012) and previous TIA/stroke (P<0.046). CONCLUSION In this patients series, at least 35% of patients with TIA had a positive neuroimaging, especially DWI-ADC. Positive neuroimaging seems an independent factor. Patients with TIA need an early assessment by neuroimaging including DWI-ADC, in order to obtain a correct classification and prognosis.
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Affiliation(s)
- A Cerase
- UOC NINT Neuroimmagini e Neurointerventistica, Dipartimento di Scienze Neurologiche e Neurosensoriali, Azienda Ospedaliera Universitaria Senese, Policlinico "Santa Maria alle Scotte", Siena, Italia.
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Affiliation(s)
- P De Nardi
- Department of Surgery, San Raffaele Scientific Institute, Milan, Italy.
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Chiassai S, Ferrara G, Francalanci C, Ferretti F, Mattei R. The aperitif: an investigation into young people's relationship with alcohol. Mediterranean Journal of Nutrition and Metabolism 2010. [DOI: 10.3233/s12349-010-0001-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- S. Chiassai
- Nutrition Unit, Department of Surgery and Bioengineering, University of Siena, Viale Bracci, 16-Policlinico Le Scotte, Siena 53100, Italy. e-mail:
| | - G. Ferrara
- Nutrition Unit, Department of Surgery and Bioengineering, University of Siena, Viale Bracci, 16-Policlinico Le Scotte, Siena 53100, Italy. e-mail:
| | - C. Francalanci
- Nutrition Unit, Department of Surgery and Bioengineering, University of Siena, Viale Bracci, 16-Policlinico Le Scotte, Siena 53100, Italy. e-mail:
| | - F. Ferretti
- Health Services Satisfaction Centre, University of Siena, Siena, Italy
| | - R. Mattei
- Nutrition Unit, Department of Surgery and Bioengineering, University of Siena, Viale Bracci, 16-Policlinico Le Scotte, Siena 53100, Italy. e-mail:
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Abstract
OBJECTIVES To assess the usefulness of MRI in the evaluation of the relationships between the mandibular canal and impacted mandibular third molars. METHODS 29 young patients from our hospital dental service, all with a unilateral impacted mandibular third molar, were investigated with MR and the anatomical details were evaluated in three dimensions by two MR-experienced radiologists from our radiology division. MR images were obtained by using a 1.0 T Siemens Magnetom Expert unit with a radiofrequency (RF) head coil. T(1) weighted axial oblique images and proton density-weighted sagittal/coronal oblique images were acquired in order to evaluate the anatomical details in the three dimensions. RESULTS In all of the cases it was possible to evaluate the depth of the third molar in the alveolar bone, its inclination towards the occlusal plane and the relationships with the mandibular canal, but in 2 of 29 cases it was not possible to distinguish the mandibular canal from the third molar because of magnetic susceptibility artefacts. CONCLUSIONS Owing to the possibility of inferior alveolar nerve injury during oral surgery, where dental panoramic radiography is not sufficient to demonstrate the relationships between mandibular third molar teeth and the mandibular canal, a dental CT scan is often needed; however, in young patients, to avoid high levels of radiation dose, MRI of the jaw may be useful.
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Affiliation(s)
- F Ferretti
- Department of Radiology, Hospital of Livorno, Livorno, Italy.
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Capoccetti F, Criscuoli B, Rossi G, Ferretti F, Manni C, Brianzoni E. The effectiveness of 124I PET/CT in patients with differentiated thyroid cancer. Q J Nucl Med Mol Imaging 2009; 53:536-545. [PMID: 19910907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
AIM Several studies consider 124I PET useful in the evaluation of differentiated thyroid cancer (DTC). The aim of this work was to evaluate the usefulness of 124I positron emission tomography (PET)/computed tomography (CT) for: 1) pretherapeutic staging; 2) optimizing the administering activity in case of remnants ablation; 3) individualizing a complex dosimetry case by case especially in plurimetastatic patients. METHODS A total of 69 patients were studied in our department between September 2007 and June 2008: 17 male and 52 female, aged 17-83 (mean age 46.6) and, with a simplified method, an expectation dose with a distant therapeutic evaluation, in term of efficacy, was calculated. A total body 124I PET/CT and a whole body scan (WBS) were done, respectively, before and after radiometabolic therapy with 131I and then compared in double blind in 67/69. In 2/69 with a follicular plurimetastatic DTC (both female, aged 65 and 71), an individualized complex dosimetric study was done. RESULTS PET/CT and WBS matched in 58/67 patients (86.6%). We obtained a complete ablation of the thyroid remnants in 60/67 patients (90%). The individualized complex dosimetry tells us that the administrable maximum activity is for: patient 1:13320 MBq and patient 2:9250 MBq. CONCLUSIONS Iodine-124 PET/CT is a powerful diagnostic tool before administration of 131I therapeutic dose. It allows for a precise dosimetry in plurimetastatic patients. After an empiric dose estimation, the successful percentage in term of thyroid's remnants ablation was very elevated.
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Affiliation(s)
- F Capoccetti
- Nuclear Medicine Unit, Oncologic Department, Macerata Hospital, ASUR Marche ZT 9 Macerata, Italy
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Coluccia A, Ferretti F, Cioffi R. [Theoric hints on the quality perception in health care services concept]. G Ital Med Lav Ergon 2009; 31:B31-B41. [PMID: 20518226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
topic in healthcare services management. In this article we try to summarize the most relevant theoretical approaches, providing a general definition of "quality" and trying a possible generic relationship between the concepts of "perceived quality" and "client satisfaction". Finally, we examine some methodological problems, concerning surveys on quality perception in healthcare services. Through the analysis of some examples, we will compare two methodologies, coming from the University of Siena (Italy) and from the Picker Institute Europe in Oxford (United Kingdom).
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Affiliation(s)
- A Coluccia
- Università di Siena, Centro Interdipartimentale di Soddisfazione dell'Utenza e Qualità Percepita nei Servizi Sanitari
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Ferretti F, Sforzi A, Lovari S. Intolerance amongst deer species at feeding: roe deer are uneasy banqueters. Behav Processes 2008; 78:487-91. [PMID: 18395364 DOI: 10.1016/j.beproc.2008.02.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2007] [Revised: 02/08/2008] [Accepted: 02/14/2008] [Indexed: 10/22/2022]
Abstract
The function of inter-specific interactions in large herbivore assemblies is under debate. We have studied inter-specific interactions between roe and fallow deer on pastures, to assess whether competition between these Cervidae occurs through behavioural interference. Roe were displaced by fallow deer (i.e. the former moved away from the latter at a distance of >50 m) in 83% of cases (N=127). Ninety-four percentage (N=83) of displacement events occurred while roe deer were feeding; in 50% of these cases (N=78), roe stopped grazing and left the feeding ground. Even when fallow deer did not show any sign of direct aggression to roe, these moved away from fallow in 72% of cases (N=127). Vigilance rate was significantly greater in roe than in fallow deer, irrespectively of the presence of the other species. When roe and fallow deer grazed within 50 m from each other, vigilance rate increased significantly in roe, but not in fallow deer. Roe deer, in a group, were significantly more tolerant of the presence of fallow deer (even in group), than when solitary. Fallow deer seemed to be able to exclude roe deer from feeding sites through behavioural intolerance.
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Affiliation(s)
- F Ferretti
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Department of Environmental Sciences, University of Siena, Via P.A. Mattioli 4, 53100 Siena, Italy
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Castro M, Papadatou B, Ceriati E, Knafelz D, De Angelis P, Ferretti F, Gambarara M, Diamanti A, De Peppo F, Rivosecchi M. Role of cyclosporin in preventing or delaying colectomy in children with severe ulcerative colitis. Langenbecks Arch Surg 2006; 392:161-4. [PMID: 16909296 DOI: 10.1007/s00423-006-0068-y] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2006] [Accepted: 04/28/2006] [Indexed: 12/25/2022]
Abstract
BACKGROUND Oral cyclosporin (CyA) has been widely and successfully used in adult patients with severe ulcerative colitis (UC) to delay or avoid colectomy. AIM To determine if treatment with oral CyA is similarly effective in pediatric patients MATERIALS AND METHODS Data on all patients with severe UC treated with oral CyA in our unit were collected retrospectively. Patients were treated with CyA if dependent on or resistant to steroids, and therefore, candidates for colectomy. RESULTS Thirty-two patients with severe UC were treated with CyA administered orally at a dose needed to obtain therapeutic blood levels (150-250 ng/ml). Twenty-eight of 32 patients (87%) had an immediate response within 11 days. Four (13%) did not respond and underwent colectomy. One patient had two cycles of treatment and is in remission. Two patients underwent three cycles of treatment because of relapse, but both eventually underwent elective colectomy. Three other patients underwent elective colectomy. A total of nine colectomies were performed. CONCLUSIONS Treatment with oral CyA altered the course of UC in 28/32 (87%) of patients; 4/32 (13%) did not respond to oral CyA and underwent colectomy. Of the 28 patients that responded to CyA, five underwent later elective colectomy. Overall, in 72% of patients, colectomy was avoided. We, therefore, suggest a trial of oral CyA in all children with severe UC who are dependent or resistant to corticosteroids.
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Affiliation(s)
- M Castro
- Gastroenterology Unit, Ospedale Bambino Gesù, Rome, Italy
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Coluccia A, Cioffi R, Ferretti F, Lorini F, Vidotto G. [Questionnaire of perceived quality (QQP): a study on the differences of gender]. G Ital Med Lav Ergon 2006; 28:53-60. [PMID: 19031558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
In the present paper we analyze the psychometric properties of an Italian questionnaire measuring the perceived quality of health services (Questionnaire of Perceived Quality; Coluccia, Ferretti, Lorini, Calamai, 2002). Subjects answered 14 questions subdivided into four factors (i.e. Satisfaction regarding Medical Doctors, Nurses, Auxiliary Staff, and Hospital Structure). We administered the questionnaire to 1,600 patients in the "Le Scotte" Hospital of Siena. According to structural equation modeling, we studied the dimensionality of the questionnaire using confirmatory factor analysis and, successively, we studied differences in gender using Multi-sample analysis. Results show significant gender differences for two dimensions (i.e. Satisfaction regarding Nurses and Satisfaction regarding Hospital Structures). Females, compared to males, express more negative evaluations in these two factors.
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Affiliation(s)
- A Coluccia
- Centro di Soddisfazione dell'Utenza, Policlinico Universitario Le Scotte, Siena, Italy
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Gambarara M, Bracci F, Diamanti A, Ambrosini MI, Pietrobattista A, Knafelz D, Ferretti F, Castro M. Long-Term Parenteral Nutrition in Pediatric Autoimmune Enteropathies. Transplant Proc 2005; 37:2270-1. [PMID: 15964396 DOI: 10.1016/j.transproceed.2005.03.063] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2005] [Indexed: 11/17/2022]
Abstract
Severe and protracted or persistent diarrhea (SPD) is the most severe form of diarrhea in infancy and has also been defined as intractable diarrhea when it leads to dependence on total parenteral nutrition (TPN). One of the rare causes of SPD is represented by autoimmune enteropathy that is characterized by life-threatening diarrhea mainly occurring within the first years of life, persistent villous atrophy in consecutive biopsies, resistance to bowel rest, and evidence of antigut autoantibodies. We evaluated 10 patients (seven boys, mean age at diagnosis 18 months; range: 0 to 160 months) fulfilling criteria of autoimmune enteropathy to assess dependence on TPN. TPN was first required in all patients to avoid dehydration and electrolytic imbalance. All patients were dependent on immunosuppressive therapy (steroid, azothioprine, cyclosporine, tacrolimus). Three patients died of sepsis: two during TPN while in the hospital, and one at home after he was weaned off TPN. Five patients are weaned off TPN after a mean period of 18 months; they are actually on oral alimentation with a cow milk-free diet after a period of enteral nutrition with elemental formula. One underwent total colectomy and bone marrow transplantation and one developed an IPEX syndrome. One patient is still dependent on TPN for 24 months. She is on home parenteral nutrition. Patients with diagnosis of IPEX syndrome require parenteral support with three or four infusion per week. TPN represents a fixed step in the management of autoimmune enteropathy, but it may be considered as an interim treatment while waiting for intestinal adaptation, at least in some selectioned case of autoimmune enteropathy. Bone marrow transplantation should be considered and reserved for those patients with severe complications due to home parenteral nutrition, or in those that are really dependent on parenteral nutrition.
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Affiliation(s)
- M Gambarara
- Gastroenterology and Nutrition Unit, Bambino Gesu Children Hospital, Piazza S. Onofrio 4, Rome RM 00174, Italy
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Knafelz D, Gambarara M, Diamanti A, Papadatou B, Ferretti F, Tarissi De Iacobis I, Castro M. Complications of home parenteral nutrition in a large pediatric series. Transplant Proc 2004; 35:3050-1. [PMID: 14697976 DOI: 10.1016/j.transproceed.2003.10.040] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
When adequate nutrition cannot be provided by enteral route as a consequence of failure of intestinal functions, parenteral nutrition (PN) become the only way to maintain adequate nutrition; however, prolonged periods of PN can lead to severe complications. Furthermore, long hospital admissions for this form of nutrition can be detrimental for the child and the family. In the past 20 years, home parenteral nutrition (HPN) programs have been developed. The aim of our study was to retrospectively evaluate the kind and the frequency of complications in a HPN pediatric case series. We had 61 patients on HPN. Total duration of the program was 27,740 days (76 total years, mean 1.2 years per patient). We observed a total of 58 complications; mean 0.79 per patient per year with a prevalence of central venous catheter-related complications (mechanical, 52%; infective, 26%). We had a very low incidence of metabolic complications (3%) and a low incidence of PN-related hepatic complications (19%). None of the complications described was the cause of death. Half of our patients have been able to stop the program. We had a low incidence (0.20 per patient per year) of septic episodes, lower than we had in patients on hospital PN in the same period (0.38 per patient per year). We had to replace 20 catheters, 18 of them for mechanical problems. Our study shows that HPN still can be a valid alternative to small intestinal transplantation in patients affected by intestinal failure and that only patients with PN-related liver disease must be considered early candidates for combined liver-small bowel transplant.
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Affiliation(s)
- D Knafelz
- Gastroenterology Unit, Bambino Gesù Children Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.
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Gambarara M, Diamanti A, Ferretti F, Papadatou B, Knafelz D, Pietrobattista A, Castro M. Intractable diarrhea of infancy with congenital intestinal mucosa abnormalities: outcome of four cases. Transplant Proc 2004; 35:3052-3. [PMID: 14697977 DOI: 10.1016/j.transproceed.2003.10.053] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Microvillous inclusion disease (MID) and epithelial dysplasia (ED) or tufting enteropathy are the most frequent causes of intractable diarrhea with persistent villous atrophy and indefinite dependence on total parenteral nutrition (PN) from early infancy. Since these are intractable diseases, they have been proposed to be elective indication for early bowel transplantation in order to avoid complications, such as PN-related liver disease, that would require a combined small bowel-liver transplant. We describe four cases of intractable diarrhea, two with MID and two with ED, seeking to discover whether these diseases are really elective, early indications for bowel transplant. Among our four patients, only one with ED underwent transplantation. The prognosis of small bowel transplant is still poor and worse than that of prolonged HPN. Further study is necessary to achieve a safe HPN program. Referral for transplant (small bowel only or combined with liver) should be considered when there is a venous access reduction and/or severe and irreversible liver disease.
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Affiliation(s)
- M Gambarara
- Gastroenterology Unit, Bambino Gesù Children Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.
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Diamanti A, Gambarara M, Knafelz D, Marcellini M, Boldrini R, Ferretti F, Papadatou B, Castro M. Prevalence of liver complications in pediatric patients on home parenteral nutrition: indications for intestinal or combined liver-intestinal transplantation. Transplant Proc 2004; 35:3047-9. [PMID: 14697975 DOI: 10.1016/j.transproceed.2003.10.037] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Parenteral nutrition (PN) is the only treatment for patients affected by chronic intestinal failure (CIF). Home parenteral nutrition (HPN) programs are started when patients need prolonged PN. Unfortunately, many patients on prolonged PN develop liver disease (LD). The aim of our study was to assess the prevalence of LD in our series of patients on HPN. We reviewed our records of patients discharged from the hospital on HPN for CIF. HPN was started when one parent was fully trained in the use of this treatment and if the social and familial home environment was reliable. All patients received total PN by a central venous catheter. All patients with abnormal AST, ALT, ALK, gammaGT, and bilirubin values for more than 3 months were considered affected by PN-related LD. Thirty-six patients (23 of whom were boys and 13 girls) were discharged on HPN. During the study period, for CIF, 16 were affected by short bowel syndrome (SBS), of whom 6 had ultra-short bowel; 16 with functional intestinal failure, and 4 with chronic intestinal pseudobstruction (CIPO). Mean duration of HPN was 2.1 years/patient. Nine of 36 patients (25%) on HPN for CIF showed LD. Seven of the 16 patients (43%) with LD were affected by SBS and 2 (12.5%) patients by functional intestinal failure. No patients with CIPO developed LD. In patients affected by SBS, the onset of LD was very earlier than in patients with ID.
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Affiliation(s)
- A Diamanti
- Gastroenterology Unit, Bambino Gesù Children Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.
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Diamanti A, Gambarara M, Boldrini R, Marcellini M, Ferretti F, Papadatou B, Russo D, Castro M. Liver disease in pediatric patients on home parenteral nutrition. Clin Nutr 2003. [DOI: 10.1016/s0261-5614(03)80266-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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