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Figueiredo CC, Casaro S, Cunha F, Merenda VR, de Oliveira EB, Pinedo P, Santos JEP, Chebel RC, Schuenemann GM, Bicalho RC, Gilbert RO, Zas SR, Seabury CM, Rosa G, Thatcher WW, Bisinotto RS, Galvão KN. Evaluating differences in milk production, reproductive performance, and survival associated with vaginal discharge characteristics and fever in postpartum dairy cows. J Dairy Sci 2024:S0022-0302(24)00637-4. [PMID: 38580147 DOI: 10.3168/jds.2023-23905] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 02/26/2024] [Indexed: 04/07/2024]
Abstract
The objective was to assess differences in productive and reproductive performance, and survival associated with vaginal discharge characteristics and fever in postpartum dairy cows located in Western and Southern states of the U.S.A. This retrospective cohort study included data from 3 experiments conducted in 9 dairies. Vaginal discharge was evaluated twice within 12 DIM and scored on a 5-point scale. The highest score observed for each cow was used for group assignment (VD group) as follows: VD 1 and 2 (VD 1/2; n = 1,174) = clear mucus/lochia with or without flecks of pus; VD 3 (n = 1,802) = mucopurulent with < 50% pus; VD 4 (n = 1,643) = mucopurulent with ≥50% of pus or non-fetid reddish/brownish mucous, n = 1,643; VD 5 = fetid, watery, and reddish/brownish, n = 1,800. All VD 5 cows received treatment according to each herd's protocol. Rectal temperature was assessed in a subset of VD 5 cows, and subsequently divided into Fever (rectal temperature ≥39.5°C; n = 334) and NoFever (n = 558) groups. A smaller proportion of cows with VD 5 (67.6%) resumed ovarian cyclicity compared with VD 1/2 (76.2%) and VD 4 (72.9%) cows; however, a similar proportion of VD5 and VD 3 (72.6%) cows resumed ovarian cyclicity. A smaller proportion of VD 5 (85.8%) cows received at least one artificial insemination (AI) compared with VD 1/2 (91.5%), VD 3 (91.0%), or VD 4 (91.6%) cows. Although we did not detect differences in pregnancy at first AI according to VD, fewer cows with VD 5 (64.4%) were pregnant at 300 DIM than cows with VD 1/2 (76.5%), VD 3 (76.2%), or VD 4 (74.7%). Hazard of pregnancy by 300 DIM was smaller for VD 5 compared with VD 1/2, VD 3, or VD 4 cows. A greater proportion of VD 5 cows were removed from the herd within 300 DIM compared with other VD groups. There was 760 kg lesser milk production within 300 DIM for VD 5 compared with VD 2, VD 3, and VD 4, whereas VD 2, VD 3, and VD 4 had similar milk production. We did not detect an association between fever at diagnosis of VD 5 and reproductive performance or milk production. A greater proportion of VD 5 cows without fever were removed from the herd by 300 DIM compared with VD 5 cows with fever. Differences in productive and reproductive performance, and removal of the herd were restricted to fetid, watery, and reddish/brownish vaginal discharge, which was independent of fever.
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Affiliation(s)
- C C Figueiredo
- Department of Veterinary Clinical Sciences, Washington State University, Pullman, WA 99163, USA.
| | - S Casaro
- Department of Large Animal Clinical Sciences, D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32610, USA
| | - F Cunha
- Department of Large Animal Clinical Sciences, D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32610, USA
| | - V R Merenda
- Department of Population Health and Pathobiology, North Carolina State University, Raleigh, NC 27606, USA
| | - E B de Oliveira
- Department of Population Health and Reproduction, University of California, Davis, CA 95616, USA
| | - P Pinedo
- Department of Animal Sciences, Colorado State University, Fort Collins, CO 80521, USA
| | - J E P Santos
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - R C Chebel
- Department of Large Animal Clinical Sciences, D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32610, USA; Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - G M Schuenemann
- Department of Veterinary Preventative Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - R C Bicalho
- FERA Diagnostics and Biologicals, College Station, TX 77845, USA
| | - R O Gilbert
- School of Veterinary Medicine, Ross University, St. Kitts, West Indies, KN
| | - S Rodriguez Zas
- Department of Animal Sciences, University of Illinois, Urbana, IL 61801, USA
| | - C M Seabury
- College of Veterinary Medicine, Texas A&M University, College Station, TX 77843, USA
| | - G Rosa
- Department of Animal Sciences, University of Wisconsin, Madison, WI 53706, USA
| | - W W Thatcher
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - R S Bisinotto
- Department of Large Animal Clinical Sciences, D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32610, USA
| | - K N Galvão
- Department of Large Animal Clinical Sciences, D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32610, USA.
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Oliveira B, Barros P, Dores M, Rosa G, Cabrita M, Coutinho A. Erectile dysfunction in young people with type I diabetes: Prevalence, comorbidities and therapeutic response. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02069-9] [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: 11/05/2022] Open
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Zhang Y, Rosa G, Mustieles V, Sun Y, Bibi Z, Torres N, Hillcoat A, Wang Y, Messerlian C. P-740 Social disparities in pregnancy awareness among individuals in the general U.S. population. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.686] [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: 11/13/2022] Open
Abstract
Abstract
Study question
What are socio-demographic and lifestyle characteristics of pregnant individuals who were aware versus those who were unaware of pregnancy status in the general U.S. population.
Summary answer
Women unaware of their pregnancy status were more likely to be Non-Hispanic Black, living below the poverty line, and unmarried.
What is known already
The early weeks of pregnancy are critical for fetal programming of organ systems and consequently long-term offspring health. Individuals who are unaware of pregnancy are at risk of poor nutrition, inadvertent environmental chemical exposures and risky behaviors/lifestyles that contribute to inadequate prenatal care. Lack of pregnancy awareness increases the risk of pregnancy complications and misses opportunities for early intervention.
Study design, size, duration
We included 842 individuals aged between 20 to 44 years who had a positive urine pregnancy test result at time of the cross-sectional National Health and Examination Survey (NHANES), 2003-2016 cycles.
Participants/materials, setting, methods
The urine pregnancy tests and reproductive health interviews were conducted concurrently in medical examination center. We defined participants with a positive urine pregnancy test result but who reported not being pregnant during the interview as being unaware of their pregnancy status. Information on demographic, socio-economic, and lifestyle characteristics were collected by questionnaires. We employed student t test and chi-square test to compare the characteristics between individuals who were aware vs. unaware of the pregnancy.
Main results and the role of chance
Among 842 pregnant individuals, 62 (7.36%) were unaware of their pregnancy status. The mean (SE) ages (years) were similar between individuals who were unaware vs. those aware of their pregnancy status (Unaware: 28.05 (0.96) vs. Aware: 28.48 (0.32)). Compared with aware individuals, a higher proportion of the unaware group were Non-Hispanic Black (Unaware: 36.31% vs. Aware: 13.06%; p < 0.001), living in poverty (Unaware: 30.03% vs. Aware: 18.95%; p = 0.09), and unmarried (Unaware: 68.12% vs. Aware: 30.45%; p < 0.001). No significant differences were found for education (College degree and above: Unaware: 60.73% vs. Aware: 67.73%; p = 0.33) and smoking behavior between the two groups (Current smoker: Unaware: 4.97% vs. Aware: 8.88%; p = 0.38).
Limitations, reasons for caution
The sample size of this study was relatively small. Findings may not be representative of population characteristics.
Wider implications of the findings
Our findings point to significant social disparities in pregnancy awareness and have important implications for clinical practice and early identification of high-risk pregnancies.
Trial registration number
not applicable
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Affiliation(s)
- Y Zhang
- Harvard T H Chan School of Public Health, Department of Environmental Health , Boston, U.S.A
| | - G Rosa
- Harvard T H Chan School of Public Health, Department of Epidemiology , Boston, U.S.A
| | - V Mustieles
- University of Granada, Center for Biomedical Research CIBM. Instituto de Investigación Biosanitaria Ibs GRANADA. Consortium for Biomedical Research in Epidemiology and Public Health CIBERESP. , Granada, Spain
| | - Y Sun
- Harvard T H Chan School of Public Health, Department of Epidemiology , Boston, U.S.A
| | - Z Bibi
- Harvard T H Chan School of Public Health, Department of Epidemiology , Boston, U.S.A
| | - N Torres
- Harvard T H Chan School of Public Health, Department of Epidemiology , Boston, U.S.A
| | - A Hillcoat
- Harvard T H Chan School of Public Health, Department of Epidemiology , Boston, U.S.A
| | - Y.X Wang
- Harvard T H Chan School of Public Health, Department of Nutrition , Boston, U.S.A
| | - C Messerlian
- Harvard T H Chan School of Public Health, Department of Environmental Health- Department of Epidemiology , Boston, U.S.A
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4
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Agafonova N, Alexandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bertolin A, Bozza C, Brugnera R, Buonaura A, Buontempo S, Chernyavskiy M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievsky S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Gentile V, Goldberg J, Gorbunov S, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa T, Hollnagel A, Ishiguro K, Iuliano A, Jakovčić K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim SH, Kitagawa N, Kliček B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Lavasa A, Longhin A, Loverre P, Malgin A, Mandrioli G, Matsuo T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Niwa K, Ogawa S, Okateva N, Ozaki K, Paoloni A, Park BD, Pasqualini L, Pastore A, Patrizii L, Pessard H, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sato O, Shakirianova I, Schembri A, Shchedrina T, Shibayama E, Shibuya H, Shiraishi T, Šimko T, Simone S, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipčević M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tsanaktsidis I, Tufanli S, Ustyuzhanin A, Vasina S, Vidal García M, Vilain P, Voevodina E, Votano L, Vuilleumier JL, Wilquet G, Yoon CS. OPERA tau neutrino charged current interactions. Sci Data 2021; 8:218. [PMID: 34385471 PMCID: PMC8361145 DOI: 10.1038/s41597-021-00991-y] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 07/01/2021] [Indexed: 11/08/2022] Open
Abstract
The OPERA experiment was designed to discover the vτ appearance in a vμ beam, due to neutrino oscillations. The detector, located in the underground Gran Sasso Laboratory, consisted of a nuclear photographic emulsion/lead target with a mass of about 1.25 kt, complemented by electronic detectors. It was exposed from 2008 to 2012 to the CNGS beam: an almost pure vμ beam with a baseline of 730 km, collecting a total of 1.8·1020 protons on target. The OPERA Collaboration eventually assessed the discovery of vμ→vτ oscillations with a statistical significance of 6.1 σ by observing ten vτ CC interaction candidates. These events have been published on the Open Data Portal at CERN. This paper provides a detailed description of the vτ data sample to make it usable by the whole community.
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Affiliation(s)
- N Agafonova
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | | | - A Anokhina
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - S Aoki
- Kobe University, Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
- Faculty of Arts and Science, Kyushu University, Fukuoka, Japan
| | | | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
- University of Liverpool, Liverpool, UK
| | | | - M Chernyavskiy
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - A Chukanov
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | | | - N D'Ambrosio
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - A Di Crescenzo
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - N Di Marco
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- GSSI - Gran Sasso Science Institute, L'Aquila, Italy
| | - S Dmitrievsky
- JINR - Joint Institute for Nuclear Research, Dubna, Russia.
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, Padova, Italy
| | - T Dzhatdoev
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - J Ebert
- Hamburg University, Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - R A Fini
- INFN Sezione di Bari, Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - T Fukuda
- Nagoya University, Nagoya, Japan
| | - G Galati
- INFN Sezione di Napoli, Napoli, Italy.
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy.
| | - A Garfagnini
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - V Gentile
- GSSI - Gran Sasso Science Institute, L'Aquila, Italy
| | - J Goldberg
- Department of Physics, Technion, Haifa, Israel
| | - S Gorbunov
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - Y Gornushkin
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - A M Guler
- METU - Middle East Technical University, Ankara, Turkey
| | | | - C Hagner
- Hamburg University, Hamburg, Germany
| | - T Hara
- Kobe University, Kobe, Japan
| | | | | | | | - A Iuliano
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | - K Jakovčić
- Ruder Bošković Institute, Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - C Kamiscioglu
- METU - Middle East Technical University, Ankara, Turkey
- Ankara University, Ankara, Turkey
| | - M Kamiscioglu
- METU - Middle East Technical University, Ankara, Turkey
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
| | | | - B Kliček
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bošković Institute, Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, Kariya, (Aichi-Ken), Japan
| | | | - U Kose
- INFN Sezione di Padova, Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - F Laudisio
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - A Lauria
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - A Longhin
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | | | - A Malgin
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | | | - T Matsuo
- Toho University, Funabashi, Japan
| | - V Matveev
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - E Medinaceli
- Istituto Nazionale di Astrofisica - Osservatorio di Astrofisica e Scienza dello Spazio Bologna, Bologna, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - S Mikado
- Nihon University, Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | | | - T Naka
- Nagoya University, Nagoya, Japan
| | | | - T Nakano
- Nagoya University, Nagoya, Japan
| | - K Niwa
- Nagoya University, Nagoya, Japan
| | - S Ogawa
- Toho University, Funabashi, Japan
| | - N Okateva
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - K Ozaki
- Kobe University, Kobe, Japan
| | - A Paoloni
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | | | | | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - D Podgrudkov
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - N Polukhina
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
- MEPhI - Moscow Engineering Physics Institute, Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - F Pupilli
- INFN Sezione di Padova, Padova, Italy
| | - M Roda
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
- Physik-Institut, Universitaet Zuerich, Zuerich, Switzerland
| | - T Roganova
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - H Rokujo
- Nagoya University, Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, Roma, Italy
| | - O Ryazhskaya
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - O Sato
- Nagoya University, Nagoya, Japan
| | - I Shakirianova
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - A Schembri
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - T Shchedrina
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | | | | | | | | | - S Simone
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | - C Sirignano
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, Bologna, Italy
| | - A Sotnikov
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | - M Spinetti
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, Padova, Italy
| | - N Starkov
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - M Stipčević
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bošković Institute, Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, Bologna, Italy
| | - F Terranova
- Dipartimento di Fisica dell'Università di Milano-Bicocca, Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, Napoli, Italy
| | | | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
- CERN, Geneva, Switzerland
| | - A Ustyuzhanin
- INFN Sezione di Napoli, Napoli, Italy
- HSE - National Research University Higher School of Economics, Moscow, Russia
| | - S Vasina
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | | | - P Vilain
- IIHE, Université Libre de Bruxelles, Brussels, Belgium
| | | | - L Votano
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, Brussels, Belgium
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
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5
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Pérez-Báez J, Silva TV, Risco CA, Chebel RC, Cunha F, De Vries A, Santos JEP, Lima FS, Pinedo P, Schuenemann GM, Bicalho RC, Gilbert RO, Rodrigez-Zas S, Seabury CM, Rosa G, Thatcher WW, Galvão KN. The economic cost of metritis in dairy herds. J Dairy Sci 2021; 104:3158-3168. [PMID: 33455790 DOI: 10.3168/jds.2020-19125] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [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: 06/19/2020] [Accepted: 10/13/2020] [Indexed: 01/17/2023]
Abstract
The objective of this study was to estimate the cost of metritis in dairy herds. Data from 11,733 dairy cows from 16 different farms located in 4 different regions of the United States were compiled for up to 305 d in milk, and 11,581 cows (2,907 with and 8,674 without metritis) were used for this study. Metritis was defined as fetid, watery, red-brownish vaginal discharge that occurs ≤21 d in milk. Continuous outcomes such as 305-d milk production, milk sales ($/cow), cow sales ($/cow), metritis treatment costs ($/cow), replacement costs ($/cow), reproduction costs ($/cow), feeding costs ($/cow), and gross profit per cow ($/cow) were analyzed using mixed effect models using the MIXED procedure of SAS (SAS Institute Inc., Cary, NC). Gross profit was also compared using the Kruskal-Wallis test. Dichotomous outcomes such as pregnant and culling by 305 d in milk were analyzed using the GLIMMIX procedure of SAS. Time to pregnancy and culling were analyzed using the PHREG procedure of SAS. Models included the fixed effects of metritis, parity, and the interaction between metritis and parity, and farm as the random effect. Variables were considered significant when P ≤ 0.05. Metritis cost was calculated by subtracting the gross profit of cows with metritis from the gross profit of cows without metritis. A stochastic analysis was performed with 10,000 iterations using the observed results from each group. Milk yield and proportion of cows pregnant were lesser for cows with metritis than for cows without metritis, whereas the proportion of cows leaving the herd was greater for cows with metritis than for cows without metritis. Milk sales, feeding costs, residual cow value, and gross profit were lesser for cows with metritis than for cows without metritis. Cow sales and replacement costs were greater for cows with metritis than for cows without metritis. The mean cost of metritis from the study herds was $511 and the median was $398. The stochastic analysis showed that the mean cost of a case of metritis was $513, with 95% of the scenarios ranging from $240 to $884, and that milk price, treatment cost, replacement cost, and feed cost explained 59%, 19%, 12%, and 7%, respectively, of the total variation in cash flow differences. In conclusion, metritis caused large economic losses to dairy herds by decreasing milk production, reproduction, and survival in the herd.
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Affiliation(s)
- J Pérez-Báez
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - T V Silva
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - C A Risco
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - R C Chebel
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - F Cunha
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - A De Vries
- Department of Animal Sciences, University of Florida, Gainesville 32610
| | - J E P Santos
- Department of Animal Sciences, University of Florida, Gainesville 32610; D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - F S Lima
- Department of Veterinary Clinical Medicine, University of Illinois, Urbana 61802
| | - P Pinedo
- Department of Animal Sciences, Colorado State University, Fort Collins 80521
| | - G M Schuenemann
- Department of Veterinary Preventive Medicine, The Ohio State University, Columbus 43210
| | - R C Bicalho
- College of Veterinary Medicine, Cornell University, Ithaca, NY 14850
| | - R O Gilbert
- School of Veterinary Medicine, Ross University, PO Box 334, Basseterre, St. Kitts, West Indies
| | - S Rodrigez-Zas
- Department of Animal Sciences, University of Illinois, Urbana-Champaign 61802
| | - C M Seabury
- College of Veterinary Medicine, Texas A&M University, College Station 77843
| | - G Rosa
- Department of Animal Sciences, University of Wisconsin, Madison 53706
| | - W W Thatcher
- Department of Animal Sciences, University of Florida, Gainesville 32610; D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610
| | - K N Galvão
- Department of Large Animal Clinical Sciences and D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610; D. H. Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville 32610.
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Pinedo P, Santos JEP, Chebel RC, Galvão KN, Schuenemann GM, Bicalho RC, Gilbert RO, Rodriguez Zas S, Seabury CM, Rosa G, Thatcher WW. Early-lactation diseases and fertility in 2 seasons of calving across US dairy herds. J Dairy Sci 2020; 103:10560-10576. [PMID: 32896394 DOI: 10.3168/jds.2019-17951] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [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: 11/22/2019] [Accepted: 06/26/2020] [Indexed: 12/15/2022]
Abstract
The objective of this study was to characterize incidences of health disorders during early lactation in a large population of Holstein cows calving in 2 seasons across multiple US dairy herds. In addition, cumulative effects of combinations of health-related events on fertility and survival by season of calving and parity number were tested. Data were prospectively collected from a total of 11,729 cows in 16 herds located in 2 regions in the United States [north (7,820 cows in 10 herds) and south (3,909 cows in 6 herds)]. Cows were enrolled at parturition and monitored weekly for disease occurrence, reproductive events, and survival. Health-related events were grouped into reproductive disorders (REP; dystocia, twins, retained fetal membranes, metritis, and clinical endometritis) and other disorders (OTH; subclinical ketosis, mastitis, displaced abomasum, and pneumonia). Counts of health events within 50 d postpartum were added into each of the groups and categorized as 0, 1, 2, 3, and ≥4 for REP and 0, 1, 2, and ≥3 for OTH. Multivariable logistic regression was used for testing potential associations between categories of disease occurrence and outcome variables, including resumption of ovarian cyclicity, pregnancy per artificial insemination (AI), pregnancy loss, and survival up to and after 50 DIM. The incidence of disease varied with season of calving and parity, and these 2 variables were associated with the reproductive and survival outcomes. The size of the detrimental effect of disease incidence on reproduction and survival depended on disease group and varied for each specific outcome. Resumption of ovarian cyclicity decreased as incidences of disorders increased in both REP and OTH categories. Pregnancy at first AI also was smaller in greater number of REP categories, but the effect of number of OTH categories on pregnancy at first AI was not consistent. Similarly, pregnancy loss at first AI was not affected consistently by REP or OTH. Survival was reduced by REP and OTH. The magnitude of these negative effects was variable, depending on season of calving and parity, but consistently increased with the number of health events during early lactation.
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Affiliation(s)
- P Pinedo
- Department of Animal Sciences, Colorado State University, Fort Collins 80521.
| | - J E P Santos
- Department of Animal Sciences, University of Florida, Gainesville 32611
| | - R C Chebel
- College of Veterinary Medicine, University of Florida, Gainesville 32611
| | - K N Galvão
- College of Veterinary Medicine, University of Florida, Gainesville 32611
| | - G M Schuenemann
- Department of Veterinary Preventive Medicine, The Ohio State University, Columbus 43210
| | - R C Bicalho
- College of Veterinary Medicine, Cornell University, Ithaca, NY 14850
| | - R O Gilbert
- School of Veterinary Medicine, Ross University, St. Kitts, West Indies
| | - S Rodriguez Zas
- Department of Animal Sciences, University of Illinois, Urbana 61801
| | - C M Seabury
- College of Veterinary Medicine, Texas A&M University, College Station 77843
| | - G Rosa
- Department of Animal Sciences, University of Wisconsin, Madison 53706
| | - W W Thatcher
- Department of Animal Sciences, University of Florida, Gainesville 32611
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Turatti B, Rosa G, Moretti-Pires R. Health impacts of pregnant working women victims of discrimination and moral harassment In Brazil. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.678] [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: 11/13/2022] Open
Abstract
Abstract
Background
Brazilian women are still a recurring target of discrimination in the workplace, facing violence related to gender relations and moral harassment, especially when they are pregnant. When the worker perceives discriminatory acts and attitudes or any violation of the rights guaranteed by law, she may appeal to the Labor Court to initiate legal action. The rights of pregnant women to temporary stability, free time for medical examinations, change of duties and maternity leave contrast with the usurpation of the administration's workforce. Considering pregnancy as a specific moment of change in a woman's life, one issue becomes all the more important: is it possible to be a pregnant in the working world?
Objective
Reflect on the consequence of moral harassment at work for the health of the mother-child binomial.
Methods
This was an exploratory, descriptive, qualitative study that used the Internet to search and draw the national profile of women cases in the gestational period that had their labor lawsuits judged by the Regional Labor Courts of Brazil. After reading and selection of the speeches, three main groups of categories were identified: labor issues, exclusion of women's bodies in the working world and consequences for the the mother-child binomial`s health.
Results
After analyzing 5,238 labor lawsuits, four main groups were identified considering the motivating fator. We sought to highlight the excerpts according to the chosen theoretical framework, namely the increased female performativity during the pregnant, abortion cases, postpartum depression and preterm births.
Conclusions
This research argues that social relations in the workplace imply the exclusion of female bodies in favour of masculine ones and seeks to understand the process of becoming a woman and becoming pregnant in the workplace in contemporary Brazil.
Key messages
This inclusion and permanence of women in the workplace is unstable and steeped in stereotypes, particularly when these women are pregnant, often resulting in violent and discriminatory attitudes. Motherhood must be understood and defended when it is desired as a social function that contributes to building a society based on respect for community. Defending this is part of reproductive rights.
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Affiliation(s)
- B Turatti
- Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - G Rosa
- Universidade São Judas Tadeu, São Paulo, Brazil
| | - R Moretti-Pires
- Universidade Federal de Santa Catarina, Florianópolis, Brazil
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8
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Pinedo P, Santos JEP, Chebel RC, Galvão KN, Schuenemann GM, Bicalho RC, Gilbert RO, Rodriguez-Zas SL, Seabury CM, Rosa G, Thatcher W. Associations of reproductive indices with fertility outcomes, milk yield, and survival in Holstein cows. J Dairy Sci 2020; 103:6647-6660. [PMID: 32359989 DOI: 10.3168/jds.2019-17867] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [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: 11/07/2019] [Accepted: 02/17/2020] [Indexed: 12/31/2022]
Abstract
The study is part of a research effort investigating potential associations between genomic variation and fertility of Holstein cows. The objective was to compare the reproductive performance of Holstein cows in 3 categories of 2 reproductive indices (RI) that were developed for the allocation of cows in a ranking for potential fertility, based on the predicted probability of pregnancy. The associations between categories of the developed indices and multiple fertility variables in a large multistate population of Holstein cows were tested. In addition, we analyzed associations among the RI categories with milk yield and survival. Based on phenotypic information from individual cows, 2 reproductive indices (RI1 and RI2) were developed, representing a predicted probability that a cow will become pregnant at first artificial insemination postpartum, as a function of explanatory variables used in a logistic model. Data from a total of 11,733 cows calving in 16 farms located in 4 regions of the United States (Northeast, Midwest, Southeast, and Southwest) were available. Cows were enrolled at parturition and monitored weekly for reproductive events, health status, milk yield, and survival. To develop the indices, potential significant effects were initially tested by univariate analyses. Effects with P ≤ 0.05 were offered to the multivariate analysis, and the final models were determined through backward elimination, considering potentially significant interactions. The final model for RI1 included the random effect of farm and a complement of significant fixed effects as explanatory variables influencing a pregnancy outcome: (1) incidence of retained fetal membranes; (2) metritis; (3) clinical endometritis; (4) lameness at 35 days in milk (DIM); (5) resumption of postpartum ovulation by 50 DIM; (6) season of calving; and (7) parity number. The model for RI2 included (1) parity number; (2) body condition score at 40 DIM; (3) incidence of retained fetal membranes; (4) metritis; (5) resumption of postpartum ovulation by 50 DIM; (6) region; (7) subclinical ketosis; (8) mastitis; (9) clinical endometritis; and (10) milk yield at the first milk test after calving; as well as the interaction effects of postpartum resumption of ovulation by 50 DIM × region; mastitis × region; and milk yield at the first milk test after calving × parity number. Multivariate logistic regression, ANOVA, and survival analysis were used to test the correspondence between the resulting RI and individual fertility, milk yield, and survival from the population. To facilitate the analyses, the resulting RI values were categorized as low for cows in the lowest quartile, medium for cows within the interquartile range, or high for cows in the top quartile. We found consistent agreement between categories of the predicted RI and the measures of fertility and survival collected from individual cows. We conclude that the proposed RI represent a viable approach to refine the allocation of cows into potential low- and high-fertility populations.
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Affiliation(s)
- P Pinedo
- Department of Animal Sciences, Colorado State University, Fort Collins 80521.
| | - J E P Santos
- Department of Animal Sciences, University of Florida, Gainesville 32611
| | - R C Chebel
- College of Veterinary Medicine, University of Florida, Gainesville 32611
| | - K N Galvão
- College of Veterinary Medicine, University of Florida, Gainesville 32611
| | - G M Schuenemann
- College of Veterinary Medicine, The Ohio State University, Columbus 43210
| | - R C Bicalho
- College of Veterinary Medicine, Cornell University, Ithaca, NY 14850
| | - R O Gilbert
- School of Veterinary Medicine, Ross University, Basseterre, Saint Kitts and Nevis, West Indies
| | - S L Rodriguez-Zas
- Department of Animal Sciences, University of Illinois, Urbana-Champaign 61801
| | - C M Seabury
- College of Veterinary Medicine, Texas A&M University, College Station 77843
| | - G Rosa
- Department of Animal Sciences, University of Wisconsin, Madison 53706
| | - W Thatcher
- Department of Animal Sciences, University of Florida, Gainesville 32611
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Lopes F, Rosa G, Pinedo P, Santos JEP, Chebel RC, Galvao KN, Schuenemann GM, Bicalho RC, Gilbert RO, Rodrigez-Zas S, Seabury CM, Thatcher W. Genome-enable prediction for health traits using high-density SNP panel in US Holstein cattle. Anim Genet 2020; 51:192-199. [PMID: 31909828 PMCID: PMC7065151 DOI: 10.1111/age.12892] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2019] [Indexed: 11/29/2022]
Abstract
The objective of this study was to compare accuracies of different Bayesian regression models in predicting molecular breeding values for health traits in Holstein cattle. The dataset was composed of 2505 records reporting the occurrence of retained fetal membranes (RFM), metritis (MET), mastitis (MAST), displaced abomasum (DA), lameness (LS), clinical endometritis (CE), respiratory disease (RD), dystocia (DYST) and subclinical ketosis (SCK) in Holstein cows, collected between 2012 and 2014 in 16 dairies located across the US. Cows were genotyped with the Illumina BovineHD (HD, 777K). The quality controls for SNP genotypes were HWE P‐value of at least 1 × 10−10; MAF greater than 0.01 and call rate greater than 0.95. The fimpute program was used for imputation of missing SNP markers. The effect of each SNP was estimated using the Bayesian Ridge Regression (BRR), Bayes A, Bayes B and Bayes Cπ methods. The prediction quality was assessed by the area under the curve, the prediction mean square error and the correlation between genomic breeding value and the observed phenotype, using a leave‐one‐out cross‐validation technique that avoids iterative cross‐validation. The highest accuracies of predictions achieved were: RFM [Bayes B (0.34)], MET [BRR (0.36)], MAST [Bayes B (0.55), DA [Bayes Cπ (0.26)], LS [Bayes A (0.12)], CE [Bayes A (0.32)], RD [Bayes Cπ (0.23)], DYST [Bayes A (0.35)] and SCK [Bayes Cπ (0.38)] models. Except for DA, LS and RD, the predictive abilities were similar between the methods. A strong relationship between the predictive ability and the heritability of the trait was observed, where traits with higher heritability achieved higher accuracy and lower bias when compared with those with low heritability. Overall, it has been shown that a high‐density SNP panel can be used successfully to predict genomic breeding values of health traits in Holstein cattle and that the model of choice will depend mostly on the genetic architecture of the trait.
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Affiliation(s)
- F Lopes
- Department of Animal Sciences, University of Wisconsin, Madison, WI, 53706, USA
| | - G Rosa
- Department of Animal Sciences, University of Wisconsin, Madison, WI, 53706, USA
| | - P Pinedo
- Department of Animal Sciences, Colorado State University, Fort Collins, CO, 80521, USA
| | - J E P Santos
- Department of Animal Sciences, University of Florida, Gainesville, FL, 32611, USA
| | - R C Chebel
- College of Veterinary Medicine, University of Florida, Gainesville, FL, 32611, USA
| | - K N Galvao
- College of Veterinary Medicine, University of Florida, Gainesville, FL, 32611, USA
| | - G M Schuenemann
- College of Veterinary Medicine, The Ohio State University, Columbus, OH, 43210, USA
| | - R C Bicalho
- College of Veterinary Medicine, Cornell University, Ithaca, NY, 14850, USA
| | - R O Gilbert
- School of Veterinary Medicine, Ross University, Saint Kitts, Saint Kitts and Nevis, West Indies
| | - S Rodrigez-Zas
- Department of Animal Sciences, University of Illinois, Urbana-Champaign, IL, 61790, USA
| | - C M Seabury
- College of Veterinary Medicine, Texas A&M University, College Station, TX, 77843, USA
| | - W Thatcher
- Department of Animal Sciences, University of Florida, Gainesville, FL, 32611, USA
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10
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Agafonova N, Alexandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bertolin A, Bozza C, Brugnera R, Buonaura A, Buontempo S, Chernyavskiy M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievsky S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Favier J, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Gentile V, Goldberg J, Gorbunov S, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa T, Hollnagel A, Ishiguro K, Iuliano A, Jakovcic K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim SH, Kitagawa N, Klicek B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Ljubicic A, Longhin A, Loverre P, Malenica M, Malgin A, Mandrioli G, Matsuo T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Niwa K, Ogawa S, Okateva N, Olchevsky A, Ozaki K, Paoloni A, Paparella L, Park BD, Pasqualini L, Pastore A, Patrizii L, Pessard H, Pistillo C, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sadovsky A, Sato O, Schembri A, Shakiryanova I, Shchedrina T, Shibayama E, Shibuya H, Shiraishi T, Simone S, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipcevic M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tufanli S, Ustyuzhanin A, Vasina S, Vilain P, Voevodina E, Votano L, Vuilleumier JL, Wilquet G, Wonsak B, Yoon CS. Final Results of the OPERA Experiment on ν_{τ} Appearance in the CNGS Neutrino Beam. Phys Rev Lett 2018; 120:211801. [PMID: 29883136 DOI: 10.1103/physrevlett.120.211801] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Indexed: 06/08/2023]
Abstract
The OPERA experiment was designed to study ν_{μ}→ν_{τ} oscillations in the appearance mode in the CERN to Gran Sasso Neutrino beam (CNGS). In this Letter, we report the final analysis of the full data sample collected between 2008 and 2012, corresponding to 17.97×10^{19} protons on target. Selection criteria looser than in previous analyses have produced ten ν_{τ} candidate events, thus reducing the statistical uncertainty in the measurement of the oscillation parameters and of ν_{τ} properties. A multivariate approach for event identification has been applied to the candidate events and the discovery of ν_{τ} appearance is confirmed with an improved significance level of 6.1σ. |Δm_{32}^{2}| has been measured, in appearance mode, with an accuracy of 20%. The measurement of the ν_{τ} charged-current cross section, for the first time with a negligible contamination from ν[over ¯]_{τ}, and the first direct evidence for the ν_{τ} lepton number are also reported.
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Affiliation(s)
- N Agafonova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | | | - A Anokhina
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Aoki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
- Faculty of Arts and Science, Kyushu University, J-819-0395 Fukuoka, Japan
| | - A Bertolin
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - S Buontempo
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - M Chernyavskiy
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Chukanov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - L Consiglio
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - N D'Ambrosio
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - A Di Crescenzo
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - N Di Marco
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - S Dmitrievsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - T Dzhatdoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - J Ebert
- Hamburg University, D-22761 Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - J Favier
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - R A Fini
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - T Fukuda
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Galati
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - A Garfagnini
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - V Gentile
- GSSI-Gran Sasso Science Institute, I-40127 L'Aquila, Italy
| | - J Goldberg
- Department of Physics, Technion, IL-32000 Haifa, Israel
| | - S Gorbunov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - Y Gornushkin
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A M Guler
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
| | | | - C Hagner
- Hamburg University, D-22761 Hamburg, Germany
| | - T Hara
- Kobe University, J-657-8501 Kobe, Japan
| | - T Hayakawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Hollnagel
- Hamburg University, D-22761 Hamburg, Germany
| | - K Ishiguro
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Iuliano
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - K Jakovcic
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - C Kamiscioglu
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
- Ankara University, TR-06560 Ankara, Turkey
| | - M Kamiscioglu
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - N Kitagawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - B Klicek
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bośković Institute, HR-10002 Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, J-448-8542 Kariya (Aichi-Ken), Japan
| | - M Komatsu
- Nagoya University, J-464-8602 Nagoya, Japan
| | - U Kose
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - F Laudisio
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Lauria
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - A Ljubicic
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - A Longhin
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - P Loverre
- INFN Sezione di Roma, I-00185 Roma, Italy
| | - M Malenica
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - A Malgin
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - G Mandrioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - T Matsuo
- Toho University, J-274-8510 Funabashi, Japan
| | - V Matveev
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - E Medinaceli
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - S Mikado
- Nihon University, J-275-8576 Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - N Naganawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Naka
- Nagoya University, J-464-8602 Nagoya, Japan
| | - M Nakamura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Nakano
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Niwa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - S Ogawa
- Toho University, J-274-8510 Funabashi, Japan
| | - N Okateva
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Olchevsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - K Ozaki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Paoloni
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Paparella
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - A Pastore
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - L Patrizii
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - C Pistillo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Podgrudkov
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - N Polukhina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
- MEPhI-Moscow Engineering Physics Institute, RUS-115409 Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - F Pupilli
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - M Roda
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - T Roganova
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - H Rokujo
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, I-00185 Roma, Italy
| | - O Ryazhskaya
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - A Sadovsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - O Sato
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Schembri
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - I Shakiryanova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - T Shchedrina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | | | - H Shibuya
- Toho University, J-274-8510 Funabashi, Japan
| | | | - S Simone
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - C Sirignano
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - A Sotnikov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Spinetti
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - N Starkov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - M Stipcevic
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bośković Institute, HR-10002 Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - F Terranova
- Dipartimento di Fisica dell'Università di Milano-Bicocca, I-20126 Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - A Ustyuzhanin
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- HSE-National Research University Higher School of Economics, RUS-101000, Moscow, Russia
| | - S Vasina
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - P Vilain
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - E Voevodina
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - L Votano
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - B Wonsak
- Hamburg University, D-22761 Hamburg, Germany
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
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11
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Ribeiro DS, Lins CF, Galvão V, Santos WGD, Rosa G, Machicado V, Pedreira AL, da Fonseca EP, Souza APMD, Baleeiro C, Ferreira LG, Oliveira ISD, Gama da Silva JPC, Atta AM, Santiago MB. Association of CXCL13 serum level and ultrasonographic findings of joints in patients with systemic lupus erythematosus and Jaccoud’s arthropathy. Lupus 2018; 27:939-946. [DOI: 10.1177/0961203317753557] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- D Sá Ribeiro
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - C F Lins
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - V Galvão
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | | | - G Rosa
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - V Machicado
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - A L Pedreira
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - E P da Fonseca
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | | | - C Baleeiro
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - L G Ferreira
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - I Silva de Oliveira
- Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - J P Cotrim Gama da Silva
- Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - A M Atta
- Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - M B Santiago
- Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
- Serviços Especializados em Reumatologia da Bahia, Salvador, Bahia, Brazil
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Marinelli L, Balestrino M, Mori L, Puce L, Rosa G, Giorello L, Currà A, Fattapposta F, Serrati C, Gandolfo C, Abbruzzese G, Trompetto C. 26. A randomized controlled cross-over double blind study protocol on THC/CBD oromucosal spray as an add-on therapy for post-stroke spasticity. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2017.09.033] [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: 11/26/2022]
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Camana L, Nieri S, Dalle Carbonare S, Martinotti C, Frisone E, Cerra C, Rosa G, Fontana G. Promoting healthy lifestyles in adolescents in the Province of Pavia (northern Italy). Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.181] [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: 11/12/2022] Open
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14
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Agafonova N, Aleksandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bender D, Bertolin A, Bodnarchuk I, Bozza C, Brugnera R, Buonaura A, Buontempo S, Büttner B, Chernyavsky M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievski S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Goldberg J, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa H, Hollnagel A, Hosseini B, Ishiguro K, Jakovcic K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim JH, Kim SH, Kitagawa N, Klicek B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Ljubicic A, Longhin A, Loverre PF, Malgin A, Malenica M, Mandrioli G, Matsuo T, Matsushita T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Nakatsuka Y, Niwa K, Ogawa S, Olchevsky A, Omura T, Ozaki K, Paoloni A, Paparella L, Park BD, Park IG, Pasqualini L, Pastore A, Patrizii L, Pessard H, Pistillo C, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sato O, Schembri A, Schmidt-Parzefall W, Shakirianova I, Shchedrina T, Sheshukov A, Shibuya H, Shiraishi T, Shoziyoev G, Simone S, Sioli M, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipcevic M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tufanli S, Vilain P, Vladymyrov M, Votano L, Vuilleumier JL, Wilquet G, Wonsak B, Yoon CS, Zemskova S. Discovery of τ Neutrino Appearance in the CNGS Neutrino Beam with the OPERA Experiment. Phys Rev Lett 2015; 115:121802. [PMID: 26430986 DOI: 10.1103/physrevlett.115.121802] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Indexed: 06/05/2023]
Abstract
The OPERA experiment was designed to search for ν_{μ}→ν_{τ} oscillations in appearance mode, i.e., by detecting the τ leptons produced in charged current ν_{τ} interactions. The experiment took data from 2008 to 2012 in the CERN Neutrinos to Gran Sasso beam. The observation of the ν_{μ}→ν_{τ} appearance, achieved with four candidate events in a subsample of the data, was previously reported. In this Letter, a fifth ν_{τ} candidate event, found in an enlarged data sample, is described. Together with a further reduction of the expected background, the candidate events detected so far allow us to assess the discovery of ν_{μ}→ν_{τ} oscillations in appearance mode with a significance larger than 5σ.
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Affiliation(s)
- N Agafonova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | | | - A Anokhina
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Aoki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Bender
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - A Bertolin
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Bodnarchuk
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - B Büttner
- Hamburg University, D-22761 Hamburg, Germany
| | - M Chernyavsky
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Chukanov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | | | - N D'Ambrosio
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | | | | | - N Di Marco
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - S Dmitrievski
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - T Dzhatdoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - J Ebert
- Hamburg University, D-22761 Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - R A Fini
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - T Fukuda
- Toho University, J-274-8510 Funabashi, Japan
| | - G Galati
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - A Garfagnini
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - J Goldberg
- Department of Physics, Technion, IL-32000 Haifa, Israel
| | - Y Gornushkin
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A M Guler
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | | | - C Hagner
- Hamburg University, D-22761 Hamburg, Germany
| | - T Hara
- Kobe University, J-657-8501 Kobe, Japan
| | - H Hayakawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Hollnagel
- Hamburg University, D-22761 Hamburg, Germany
| | - B Hosseini
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - K Ishiguro
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Jakovcic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - C Kamiscioglu
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - M Kamiscioglu
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - J H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - N Kitagawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - B Klicek
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, J-448-8542 Kariya (Aichi-Ken), Japan
| | - M Komatsu
- Nagoya University, J-464-8602 Nagoya, Japan
| | - U Kose
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - F Laudisio
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A Lauria
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - A Ljubicic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - A Longhin
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - P F Loverre
- INFN Sezione di Roma, I-00185 Roma, Italy
- Dipartimento di Fisica dell'Università di Roma "La Sapienza", I-00185 Roma, Italy
| | - A Malgin
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - M Malenica
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - G Mandrioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - T Matsuo
- Toho University, J-274-8510 Funabashi, Japan
| | | | - V Matveev
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - E Medinaceli
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - S Mikado
- Nihon University, J-275-8576 Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - N Naganawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Naka
- Nagoya University, J-464-8602 Nagoya, Japan
| | - M Nakamura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Nakano
- Nagoya University, J-464-8602 Nagoya, Japan
| | | | - K Niwa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - S Ogawa
- Toho University, J-274-8510 Funabashi, Japan
| | - A Olchevsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - T Omura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Ozaki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Paoloni
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Paparella
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - I G Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - A Pastore
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
| | - L Patrizii
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - C Pistillo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Podgrudkov
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - N Polukhina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - F Pupilli
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - M Roda
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - T Roganova
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - H Rokujo
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, I-00185 Roma, Italy
- Dipartimento di Fisica dell'Università di Roma "La Sapienza", I-00185 Roma, Italy
| | - O Ryazhskaya
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - O Sato
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Schembri
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | | | - I Shakirianova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - T Shchedrina
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Sheshukov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - H Shibuya
- Toho University, J-274-8510 Funabashi, Japan
| | | | - G Shoziyoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Simone
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - M Sioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - C Sirignano
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - A Sotnikov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Spinetti
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - N Starkov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - M Stipcevic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - F Terranova
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
- Dipartimento di Fisica dell'Università di Milano-Bicocca, I-20126 Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, 80125 Napoli, Italy
| | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - P Vilain
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - M Vladymyrov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - L Votano
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - B Wonsak
- Hamburg University, D-22761 Hamburg, Germany
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - S Zemskova
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
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Bilotta F, Lauretta MP, Tewari A, Haque M, Hara N, Uchino H, Rosa G. Insulin and the Brain: A Sweet Relationship With Intensive Care. J Intensive Care Med 2015; 32:48-58. [PMID: 26168800 DOI: 10.1177/0885066615594341] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [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: 01/20/2015] [Revised: 04/28/2015] [Accepted: 05/15/2015] [Indexed: 12/11/2022]
Abstract
BACKGROUND Insulin receptors (IRs) in the brain have unique molecular features and a characteristic pattern of distribution. Their possible functions extend beyond glucose utilization. In this systematic review, we explore the interactions between insulin and the brain and its implications for anesthesiologists, critical care physicians, and other medical disciplines. METHODS A literature search of published preclinical and clinical studies between 1978 and 2014 was conducted, yielding 5996 articles. After applying inclusion and exclusion criteria, 92 studies were selected for this systematic review. RESULTS The IRs have unique molecular features, pattern of distribution, and mechanism of action. It has effects on neuronal function, metabolism, and neurotransmission. The IRs are involved in neuronal apoptosis and neurodegenerative processes. CONCLUSION In this systematic review, we present a close relationship between insulin and the brain, with discernible effects on memory, learning abilities, and motor functions. The potential therapeutic effects extend from acute brain insults such as traumatic brain injury, brain ischemia, and hemorrhage, to chronic neurodegenerative diseases such as Alzheimer and Parkinson disease. An understanding of the wider effects of insulin conveyed in this review will prompt anaesthesiologists and critical care physicians to consider its therapeutic potential and guide future studies.
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Affiliation(s)
- F Bilotta
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy
| | - M P Lauretta
- Anesthesia and Intensive Care Department, "La Sapienza" University of Rome, Rome, Italy .,Critical Care Department, University College London Hospital, London, United Kingdom
| | - A Tewari
- Department of Pediatric Neuroanesthesia and IONM, Cincinnati Children Hospital & Medical Center, Cincinnati, OH, USA
| | - M Haque
- Anesthesia and Critical Care Department, University College London Hospital, London, United Kingdom
| | - N Hara
- Department of Anesthesiology, Tokyo Medical University, Tokyo, Japan
| | - H Uchino
- Department of Anesthesiology, Tokyo Medical University, Tokyo, Japan
| | - G Rosa
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy
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del Campo R, de Valbuena MR, Máiz L, Rosa G, Barrio M, Caballero J, Cantón R, Suárez L, Lamas A. 87 Metagenomic approach to bacterial identification in induced sputum from cystic fibrosis subjects. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60223-x] [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: 10/25/2022]
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Bosio A, Menossi D, Rosa G, Romeo N. Key developments in CIGS thin film solar cells on ceramic substrates. Crystal Research and Technology 2014. [DOI: 10.1002/crat.201300408] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [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)
- A. Bosio
- Thin Film Laboratory (ThiFiLab) of the Physics and Earth Sciences Department; University of Parma; Viale delle Scienze 7A 43124 - Parma Italy
| | - D. Menossi
- Thin Film Laboratory (ThiFiLab) of the Physics and Earth Sciences Department; University of Parma; Viale delle Scienze 7A 43124 - Parma Italy
| | - G. Rosa
- Thin Film Laboratory (ThiFiLab) of the Physics and Earth Sciences Department; University of Parma; Viale delle Scienze 7A 43124 - Parma Italy
| | - N. Romeo
- Thin Film Laboratory (ThiFiLab) of the Physics and Earth Sciences Department; University of Parma; Viale delle Scienze 7A 43124 - Parma Italy
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Bilotta F, Gelb AW, Stazi E, Titi L, Paoloni FP, Rosa G. Reply from the authors. Br J Anaesth 2013; 112:179-80. [PMID: 24318715 DOI: 10.1093/bja/aet460] [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: 11/14/2022] Open
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19
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Bilotta F, Lauretta MP, Borozdina A, Mizikov VM, Rosa G. Postoperative delirium: risk factors, diagnosis and perioperative care. Minerva Anestesiol 2013; 79:1066-1076. [PMID: 23511351] [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
UNLABELLED Postoperative delirium (PD) relates to increased morbidity -associated with prolonged hospital stay, institutionalization and persistent functional and cognitive decline- poor long term outcome and higher perioperative mortality. Aim of this literature review is to identify established risk factors for PD and to categorize them according timing of occurrence (pre, intra and post operative), and clinical impact (Odds ratio [OR], % increase in incidence of PD). SOURCE OF INFORMATION medical literature databases (medline and embase) were searched for published manuscripts on "postoperative delirium". Predictors and preoperative risk factors for PD were categorized into 4 groups: demographics; co morbidities; surgery and anesthesia-related (age, education, laboratory anomalies, smoking habits, benzodiazepines premedication, cardiac and thoracic surgery, etc). Intra operative risk factors for PD were categorized into 2 groups: surgery and anesthesia-related (anemia, duration and type of surgery, selected opioid, intraoperative hypotension, etc). Post operative risk factors and precipitating factors include various pathophysiological and environmental conditions, (i.e., ICU admission, low cardiac output requiring inotropes infusion; new onset atrial fibrillation; persistent hypoxia or hypercarbia; use of narcotic analgesics, delayed ambulation, inadequate nutritional status; sensory deprivation, etc). In conclusion, the effective identification, prevention and treatment of pre, intra and postoperative risk factors are the cornerstones for the prevention of PD. A dedicated perioperative care path that encompasses a tailored selection of drugs used perioperatively, the appropriate anesthesia strategy, qualified nursing surveillance, systematic use of diagnostic tools and accurate staff communication reduces the incidence and clinical impact of PD.
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Affiliation(s)
- F Bilotta
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy -
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Vernillo G, Schena F, Berardelli C, Rosa G, Galvani C, Maggioni M, Agnello L, La Torre A. Anthropometric characteristics of top-class Kenyan marathon runners. J Sports Med Phys Fitness 2013; 53:403-408. [PMID: 23828288] [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: 06/02/2023]
Abstract
AIM This study aims to: 1) describe the current anthropometric profiles of Kenyan marathon runners and 2) establish a set of reference values useful for future investigations on athlete selection, talent identification, and training programme development. METHODS The participants were 14 male top-class Kenyan marathon runners (mean [s] age 27.71 [3.75] yrs, height 171.21 [6.12] cm, body mass 57.71 [4.02] kg, marathon personal best 02h 07min 16s (01min 55s); training volume: 180-220 km·wk-1; high:low intensity training ratio: 1:2). The anthropometric profiles included the measurement of skinfolds, and segment lengths, breadths, and girths. To estimate body density (BD) multiple regression equations were calculated using the sum of 7-skinfolds method and then converted to percentage of body fat (%BF). The somatotype, somatotype dispersion mean (SDM), somatotype attitudinal mean (SAM), and height to weight ratio (HWR) as well as the skinfolds extremity to trunk ratio (E:T) were also calculated. RESULTS The mean (s) of BD, %BF, SDM, SAM, HWR and E:T were 1.13 (0.02), 8.87 (0.07) %, 4.58 (3.62), 0.51 (0.09), 44.32 (1.06), and 0.36 (0.11), respectively. The mean (s) endomorphy, mesomorphy, and ectomorphy were 1.53 (0.32), 1.61 (1.81), and 3.86 (0.78), respectively. CONCLUSION Top-class Kenyan marathon runners seem to have ectomorphy as dominant, with endomorphy and mesomorphy more than one-half unit lower. Despite population comparisons would be required to identify any connection between specific anthropometric dimensions, these reference data should be useful to practitioners and researchers, providing useful information for talent identification and development and for the assessment of training progression in marathon.
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Affiliation(s)
- G Vernillo
- CeRiSM, Research Center, "Sport, Mountain and Health", University of Verona, Rovereto, Trento, Italy -
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Bilotta F, Gelb A, Stazi E, Titi L, Paoloni F, Rosa G. Pharmacological perioperative brain neuroprotection: a qualitative review of randomized clinical trials. Br J Anaesth 2013; 110:i113-i120. [DOI: 10.1093/bja/aet059] [Citation(s) in RCA: 70] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
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Li G, Peñagaricano F, Weigel K, Zhang Y, Rosa G, Khatib H. Comparative genomics between fly, mouse, and cattle identifies genes associated with sire conception rate. J Dairy Sci 2012; 95:6122-9. [DOI: 10.3168/jds.2012-5591] [Citation(s) in RCA: 17] [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] [Received: 04/02/2012] [Accepted: 07/12/2012] [Indexed: 02/06/2023]
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23
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Rosa G, Dantas E, Biehl C, de Castro e Silva H, Montano MAE, de Mello DB. Leptin, cortisol and distinct concurrent training sequences. Int J Sports Med 2012; 33:177-80. [PMID: 22261823 DOI: 10.1055/s-0031-1298002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
In order to investigate the effects of distinct concurrent training sequences on serum leptin and cortisol levels, 10 subjects (27.1±4.8 years, body mass index 25.38±0.09) were submitted to a control session, concurrent training 1 and concurrent training 2. Samples of leptin and cortisol were collected. Concurrent training 1 consisted of indoor cycling followed by strength training and concurrent training 2 of strength training followed by indoor cycling. No exercises were performed at the control session. Blood was collected once again to verify the same variables. Shapiro-Wilk, 2-way ANOVA and Tukey post-hoc tests were used. There was a reduction in leptin levels after concurrent training 1 (Δ%= - 16.04; p=0.05) and concurrent training 2 (Δ%= - 8.54; p=0.02). Cortisol decreased after concurrent training 1 (Δ%= - 26.32; p=0.02) and concurrent training 2 (Δ%= - 33.57; p=0.05). There was a high and significant correlation between blood variables only in CS (lep PRE X cort PRE and cort POST: r= - 0.80 and r= - 0.81; lep POST X cort PRE and cort POST: r= - 0.62 and r= - 0.62). Concurrent training promoted a reduction in leptin and cortisol levels irrespective of sequence.
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Affiliation(s)
- G Rosa
- Laboratory of Human Kinetics Science of the Federal University of Rio de Janeiro State - LABIMH/UNIRIO - Rio de -Janeiro, Brazil. grfi
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Kimi Uehara S, Rosa G. Association of uricemia with biochemical and dietary factors in human adults with metabolic syndrome genotyped to C677T polymorphism in the methylenetetrahydrofolate reductase gene. NUTR HOSP 2011; 26:298-303. [PMID: 21666966 DOI: 10.1590/s0212-16112011000200009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2009] [Accepted: 06/24/2010] [Indexed: 11/22/2022] Open
Abstract
It is suggested that hyperuricemia is a marker of cardiovascular risk in human adults with metabolic syndrome (MS). The C677T polymorphism in the gene encoding the enzyme methylenetetrahydrofolate reductase (MTHFR) is associated with hyperuricemia. Data on factors associated with uricemia in human adults with MS genotyped for this polymorphism are lacking. We aimed to investigate the factors associated with uricemia in human adults with MS genotyped for the C677T polymorphism in the MTHFR gene. Cross-sectional study was conducted with 63 human adults (24 men and 39 women) with MS. Body weight, body mass index, waist circumference, body fat, glycemia, lipid profile, uricemia, insulinemia, homocysteinemia, plasma folate, erythrocyte folate, blood pressure, smoking, diuretics use, usual dietary alcohol and protein intakes, MTHFR and the presence of the C677T polymorphism in the gene were assessed. Hyperuricemia was observed in 16 (25.4%) human adults (10 men and 6 women). In the group, 33% (n = 21) showed the C677T polymorphism, being 19 heterozygous and 2 mutant homozygous. A significant association between hyperuricemia and C677T polymorphism was not verified. Uricemia was positively associated with homocys-teinemia (r = 0.43, p < 0.05), triglyceridemia (r = 0.41, p<0.05), serum concentrations of very-low-density lipoprotein (r = 0.27, p< 0.05) and the habitual alcohol intake (r = 0.37, p < 0.05). However, only homocysteinemia, triglyc-eridemia, and habitual alcohol intake remained in the final model of linear regression. In human adults with MS geno-typed for the C677T polymorphism in the MTHFR gene, uricemia was positively associated with homocysteinemia, triglyceridemia and the habitual alcohol intake.
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Affiliation(s)
- S Kimi Uehara
- Departamento de Nutriçâo e Dietética, Universidade Federal do Rio de Janeiro, Río de Janeiro, Brasil
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25
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Chaia Kaippert V, Lopes Rosado E, Rosa G, Morais Oliveira EM, Kimi Uehara S, Lima D'Andrea C, Nogueira J, Fofano do Lago M. [Influence of fat diet in glicidic metabolism in obese women with Pro12Pro genotype in PPARgamma2 gene]. NUTR HOSP 2010; 25:622-629. [PMID: 20694299] [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] [Received: 04/30/2009] [Accepted: 08/18/2009] [Indexed: 05/29/2023] Open
Abstract
INTRODUCTION The peroxisome proliferator-activated receptor gamma 2 (PPARgamma2) is an adipogenic transcription factor that influences in insulin resistance (IR) in the presence of agonists such as polyunsaturated fatty acids (PUFA). OBJECTIVE Evaluate the influence of dietary fat in glicidic metabolism in morbidly obese women with Pro12Pro genotype in the gene PPARgamma2. METHODS Were selected 25 women with genotype Pro12Pro. The fat intake was estimated by food records, being used for the division of groups, GA (until 30% of the total energy expenditure (TEE)) and GB (greater than 30% of the TEE). Biochemical and anthropometric evaluations were conducted in fasting, following the test meal high in n-6 PUFA and postprandial biochemical evaluations. IR and insulin sensitivity (IS) were assessed by HOMA-IR (Homeostasis Model Assessment) and QUICKI (Quantitative Insulin Sensitivity Check Index), respectively. RESULTS AND DISCUSSION GA presented normal HOMAIR and QUICKI. GB presented higher body mass index (BMI), HOMA-IR, saturated fatty acids (SFA) and monounsaturated (MUFA) intake higher, compared with GA (p < 0.05). In GA, the MUFA intake was negatively correlated with HOMA-IR, fasting glucose and insulin, and positively with QUICKI. The fat and SFA intake contributed to the increase in body mass and IR. However, MUFA intake may have reduced the impact of high fat diet in glicidic metabolism. It is suggested that obese women with Pro12Pro genotype in the PPARgamma2 gene avoid high fat and SFA diets, prioritizing MUFA for controlling obesity and improving the IS.
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Affiliation(s)
- V Chaia Kaippert
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Brasil
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26
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Araimo F, Bilotta F, Caramia R, Rosa G. Adrenaline through the endotracheal tube as an answer to severe bronchospasms caused by lidocaine. Minerva Anestesiol 2010; 76:63-65. [PMID: 20125074] [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: 05/28/2023]
Abstract
The authors describe the effect of instilling adrenaline through the endotracheal tube in one case of severe bronchospasms due to intubation with an endotracheal tube lubricated with 10% lidocaine spray in a patient with no history of adverse respiratory or allergic reactions.
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Affiliation(s)
- F Araimo
- Department of Anesthesiology, Critical Care and Pain Medicine, La Sapienza University of Rome, Rome, Italy.
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Bilotta F, Pizzichetta F, Fiorani L, Paoloni FP, Delfini R, Rosa G. Risk index for peri-operative atrial fibrillation in patients undergoing open intracranial neurosurgical procedures. Anaesthesia 2009; 64:503-7. [PMID: 19413819 DOI: 10.1111/j.1365-2044.2008.05833.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The aim of this prospective study was to determine the prevalence of pre-operative atrial fibrillation and the incidence of postoperative atrial fibrillation in patients undergoing elective or emergency intracranial neurosurgical procedures and the relation to survival and neurological outcome at 6-months follow-up compared to patients with sinus rhythm. A total of 2020 patients were enrolled; 1540 patients underwent elective procedures and 480 underwent emergency procedures. Prevalence of pre-operative atrial fibrillation was 3.7% in elective and 7.2% in emergency procedures (p = 0.0012). In patients undergoing elective cerebral procedures with pre-operative atrial fibrillation, compared to patients with sinus rhythm, 6-month neurological outcome and survival rate are similar. In patients undergoing emergency neurosurgical cerebral procedures, the presence of pre-operative atrial fibrillation is related to an increased risk of poor neurological outcome but with similar survival rate.
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Affiliation(s)
- F Bilotta
- Department of Anaesthesiology, Critical Care and Pain Medicine, La Sapienza University of Rome, Italy.
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Martorano PP, Aloj F, Baietta S, Fiorelli A, Munari M, Paccagnella F, Rosa G, Scafuro M, Zei E, Falzetti G, Pelaia P. Sufentanil-propofol vs remifentanil-propofol during total intravenous anesthesia for neurosurgery. A multicentre study. Minerva Anestesiol 2008; 74:233-243. [PMID: 18414368] [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: 05/26/2023]
Abstract
BACKGROUND In a randomised, prospective multi-centre study, we compared the intraoperative and postoperative effects of two opioids: sufentanil and remifentanil, in combination with propofol in two groups of patients undergoing neurosurgery. METHODS After Local Ethics Committee approval and informed consent obtaining, 69 patients undergoing neurosurgery for supratentorial tumours, between 18 and 75 years of age were randomised to receive either sufentanil or remifentanil in combination with propofol. Intraoperative and postoperative haemodynamic variables, recovery times (time to eye opening and to extubation), the incidence of postoperative respiratory depression, pain, nausea and vomiting were also evaluated. The Short Orientation-Memory-Concentration Test was used to evaluate cognitive function at 15, 45 and 180 min after emergence from anesthesia. RESULTS There were no significant differences between the groups in the duration of surgery and anesthesia, mean arterial pressure, heart rate, time to eye opening or extubation. The incidence of vomiting, respiratory depression and shivering was similar in both groups. Postoperative pain requiring supplemental analgesics was significantly lower in the sufentanil group (P<0.05). Although there were no significant differences between the groups in postoperative behavioural examinations by Rancho Los Amigos Test, patients anesthetised with sufentanil had significantly better Short Orientation-Memory-Concentration Test values at 15 and 180 min postoperatively (P<0.05). CONCLUSION. We conclude that remifentanil and sufentanil are suitable adjunct to propofol for total intravenous anesthesia (TIVA). Patients receiving sufentanil have reduced analgesic requirements and better cognitive function postoperatively than those who received remifentanil.
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Affiliation(s)
- P P Martorano
- Institute of Medical and Surgical Emergencies, Polytechnic University of Marche, Ancona, Italy
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Rosa G, Mingrone G, Manco M, Euthine V, Gniuli D, Calvani R, Calvani M, Favuzzi AMR, Castagneto M, Vidal H. Molecular mechanisms of diabetes reversibility after bariatric surgery. Int J Obes (Lond) 2007; 31:1429-36. [PMID: 17515913 DOI: 10.1038/sj.ijo.0803630] [Citation(s) in RCA: 15] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE Insulin resistance is a strong biological marker of both obesity and type 2 diabetes. Abnormal fat deposition within skeletal muscle has been identified as a mechanism of obesity-associated insulin resistance. Biliopancreatic diversion (BPD), inducing a massive lipid malabsorption, leads to a reversion of type 2 diabetes. To elucidate the mechanisms of diabetes reversibility, the expression of genes involved in glucose and free fatty acids (FFAs) metabolism was investigated in skeletal muscle biopsies from obese, type 2 diabetic subjects. Peripheral insulin sensitivity and insulin secretion was also measured. SUBJECTS Eight Caucasian obese diabetic patients (BMI 52.1+/-1.85 kg/m(2)) were studied before and 3 years after BPD. MEASUREMENTS The mRNA levels were estimated by quantitative real-time reverse transcription polymerase chain reaction (RT-PCR), insulin sensitivity by the euglycemic-hyperinsulinemic clamp and insulin secretion using a model describing the relationship between insulin secretion and glucose concentration. RESULTS Whole-body glucose uptake (M), normalized by fat-free mass, significantly increased in post-obese subjects (P<0.0001). Total insulin output decreased (P<0.05) in association with a significant improvement of beta-cells glucose sensitivity (P<0.05). mRNA levels of FABP3 (P<0.05), FACL (P<0.05), ACC2 (P<0.05), HKII (P<0.05) and PDK4 (P<0.05) were significantly decreased, while SREBP1c mRNA increased (P<0.05) after BPD. CONCLUSION Reversibility of type 2 diabetes after BPD is dependent on the improvement of skeletal muscle insulin sensitivity, mediated by changes in the expression of genes regulating glucose and fatty acid metabolism in response to nutrient availability.
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Affiliation(s)
- G Rosa
- Department of Internal Medicine, Catholic University S Cuore, Rome, Italy.
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Bilotta F, Caramia R, Paoloni FP, Favaro R, Araimo F, Pinto G, Rosa G. Early postoperative cognitive recovery after remifentanil–propofol or sufentanil–propofol anaesthesia for supratentorial craniotomy: a randomized trial. Eur J Anaesthesiol 2007; 24:122-7. [PMID: 16938153 DOI: 10.1017/s0265021506001244] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2006] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND OBJECTIVE This study was designed to evaluate early postoperative cognitive recovery after total intravenous anaesthesia with remifentanil-propofol or sufentanil-propofol in patients undergoing craniotomy for supratentorial expanding lesions. METHODS Sixty patients were consecutively enrolled, and randomly assigned to one of two study groups: remifentanil-propofol or sufentanil-propofol anaesthesia. To evaluate cognitive function the Short Orientation Memory Concentration Test (SOMCT) and Rancho Los Amigos Scale (RLAS) were administered to all patients in a double-blind procedure before surgery at 15, 45 min and 3 h after extubation. RESULTS Mean extubation time was similar in the two groups (13 +/- 5 min vs. 19 +/- 6 min). A significantly larger number of patients in the remifentanil-propofol group than in the sufentanil-propofol group required antihypertensive medication postoperatively to maintain mean arterial pressure within 20% of baseline (18/30 vs. 4/29; P = 0.0004). Intergroup analysis showed no differences in baseline SOMCT scores (28 +/- 1 vs. 28 +/- 1) whereas mean SOMCT scores at 15, 45 min and 3 h after extubation were significantly higher in the remifentanil-propofol group (30 patients) than in the sufentanil-propofol group (29 patients) (22 +/- 3 vs. 16 +/- 3; P < 0.0001 and 27 +/- 1 vs. 22 +/- 3; P < 0.0001; 28 +/- 1 vs. 26 +/- 2; P = 0.0126). CONCLUSIONS In conclusion, propofol-remifentanil and propofol-sufentanil are both suitable for fast-track neuroanaesthesia and provide similar intraoperative haemodynamics, awakening and extubation times. Despite a higher risk of treatable postoperative hypertension propofol-remifentanil allows earlier cognitive recovery.
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Affiliation(s)
- F Bilotta
- Department of Anesthesiology, Intensive Care and Pain Medicine, University of Rome La Sapienza, Viale Somalia 81, 00199 Rome, Italy.
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Magni G, La Rosa I, Imperiale C, Melillo G, Bilotta F, Favaro R, Rosa G. Comparison between sevoflurane and desflurane anesthesia in patients undergoing craniotomy for supratentorial intracranial surgery. J Neurosurg Anesthesiol 2006. [DOI: 10.1097/00008506-200610000-00078] [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: 11/25/2022]
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Rosa G, Lolli P, Piccinelli D, Mazzola F, Bonomo S. Fistula in ano: anatomoclinical aspects, surgical therapy and results in 844 patients. Tech Coloproctol 2006; 10:215-21. [PMID: 16969614 DOI: 10.1007/s10151-006-0282-1] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2005] [Accepted: 11/10/2005] [Indexed: 12/01/2022]
Abstract
BACKGROUND Several new therapies, including advancement flaps and fibrin glue, have been proposed for fistula in ano, with conflicting results. Most colorectal surgeons continue to use classic methods, e.g. fistulotomy, fistulectomy, a combined method, loose or cutting seton, and rubber loop. The aim of the present study is to report the outcome of our patients, operated on by such methods. METHODS We retrospectively reviewed the clinical records of 844 patients treated for anal fistula over a 30-year period, and assessed fistula morphology, surgical procedure and healing period. For patients treated 2 or more years prior to this study, we evaluated rates of persistent fistula and relapse, as well as prevalence of incontinence and patient satisfaction. RESULTS The majority of patients had trans-sphincteric fistulae (58.3%). We observed 274 secondary extensions (32.5%); these were common in all fistula types except for intrasphincteric fistulae. Most patients were treated by fistulotomy alone (594 patients, 70.4%) or by the combined fistulectomy-fistulotomy method (237 patients, 28.1%), with or without loose seton. All patients with trans-, supra- and extrasphincteric fistulae were re-examined in the operations theatre. Follow-up data were available for 652 (87%) of 751 patients at least two years after surgery. The anal fistula persisted in 3.2% and recurred in 2.1% of cases. A second procedure lowered the initial rate of unsuccessful operations from 5.3% to 2.5%. Continence disorders were reported in 6.9% of patients: 4.0% complained of incontinence to gas, 2.6% to liquid and 0.3% to solid feces. CONCLUSIONS Fistulotomy and fistulectomy with loose seton supported by preoperative anal manometry and postoperative evaluation under anaesthesia are followed by good clinical and functional results.
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Affiliation(s)
- G Rosa
- Department of Surgical and Gastroenterological Sciences, University of Verona Policlinic G.B. Rossi, Verona, Italy.
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Frova G, Guarino A, Petrini F, Merli G, Sorbello M, Baroncini S, Agrò F, Giusti F, Ivani G, Lombardo G, Messeri A, Mirabile L, Pigna A, Ripamonti D, Salvo I, Sarti A, Serafini G, Villani A, Accorsi A, Adrario E, Amicucci G, Antonelli M, Azzeri F, Bettelli G, Cafaggi C, Cattano D, Chinelli E, Corbanese U, Corso R, Di Filippo A, Facco E, Favaro R, Giunta F, Giurati G, Iannuzzi E, Mazzon D, Menarini M, Mondello E, Muttini S, Nardi G, Pittoni G, Rosa G, Rosi R, Servadio G, Sgandurra A, Tana F, Tufano R, Vesconi S, Zauli M. Recommendations for airway control and difficult airway management in paediatric patients. Minerva Anestesiol 2006; 72:723-48. [PMID: 16871154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
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Orsi GB, Scorzolini L, Franchi C, Mondillo V, Rosa G, Venditti M. Hospital-acquired infection surveillance in a neurosurgical intensive care unit. J Hosp Infect 2006; 64:23-9. [PMID: 16839643 DOI: 10.1016/j.jhin.2006.02.022] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2005] [Accepted: 02/20/2006] [Indexed: 11/25/2022]
Abstract
A prospective study on hospital-acquired infection (HAI) was undertaken in the eight-bed neurosurgical intensive care unit (NSICU) of a teaching hospital in Rome, Italy. All patients admitted for >48 h between January 2002 and December 2004 were included. The infection control team collected the following data from all patients: demographic characteristics, patient origin, diagnosis, severity score, underlying diseases, invasive procedures, HAI, isolated micro-organisms and antibiotic susceptibilities. Overall, 323 patients were included in the study. Mean age was 55.5 years (range 17-91), and mean American Society of Anesthesiologists' score was 2.88. Seventy (21.7%) patients developed 132 NSICU HAIs: 43 pneumonias, 40 bloodstream infections (BSIs), 30 urinary tract infections (UTIs), 10 cases of meningitis associated with an external ventricular drain (EVD) and nine surgical site infections (SSIs). The SSI rate was high (5.6%), but a reduction was achieved during the three-year period. There were 7.2 bloodstream infection episodes per 1000 days of device exposure; 11.00 pneumonias per 1000 days of mechanical ventilation and 4.5 UTIs per 1,000 days of urinary catheterisation. Among patients with an EVD, the SSI relative risk was 11.3 [95% confidence intervals (CI) 4.2-30.6; P<0.01]. Sixty-one (18.9%) patients died. Logistic regression analysis showed that mortality was significantly associated with infection [odds ratio (OR)=2.28; 95%CI 1.11-4.71; P=0.02] and age (OR=1.04; 95%CI 1.01-1.06; P=0.002). Candida spp. were the leading cause of UTIs (40.0%) and the third most common cause of BSIs (12.7%). Antibiotic-resistant pathogens included meticillin-resistant staphylococci (77.5%), carbapenem-resistant Pseudomonas aeruginosa (36.4%), and extended-spectrum beta-lactamase-producing Klebsiella pneumoniae (75.0%). Although the overall incidence of infection (21.7%) was within the range of published data, the associated mortality, the increasing severity of illness of patients, and the emergence of multi-drug-resistant organisms shows the need to improve infection control measures.
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Affiliation(s)
- G B Orsi
- Department of Public Health Sciences, University La Sapienza, Rome, Italy.
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Bilotta F, Tempe DK, Giovannini F, Rosa G. Perioperative Transoesophageal Echocardiography in Noncardiac Surgery. Ann Card Anaesth 2006. [DOI: 10.4103/0971-9784.37908] [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: 04/03/2023] Open
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Rosa G, Lolli P, Piccinelli D, Vicenzi L, Ballarin A, Bonomo S, Mazzola F. Submucosal reconstructive hemorrhoidectomy (Parks' operation): a 20-year experience. Tech Coloproctol 2005; 9:209-14; discussion 214-5. [PMID: 16328127 DOI: 10.1007/s10151-005-0229-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2005] [Accepted: 03/11/2005] [Indexed: 10/25/2022]
Abstract
BACKGROUND Submucosal reconstructive hemorrhoidectomy has never been a popular operation due to its difficulty and duration, the amount of blood loss, and the risk of incontinence. The main indication for hemorrhoidectomy according to Parks is fourth-degree hemorrhoids with prolapse of the dentate line outside the anus and with simultaneous presence of external hemorrhoids. We report our experience in the treatment of hemorrhoids using submucosal reconstructive hemorrhoidectomy according to Parks. METHODS A total of 640 patients (381 men and 259 women) of median age 42 years (range, 18-81) were treated between 1983 and 2002; 80% of patients had fourth-degree, 19% third-degree and 1% second- degree hemorrhoids. All patients underwent rectosigmoidoscopic examination before surgery; patients over 35 years of age or with a suspected inflammatory or neoplastic disease underwent colonoscopy or barium enema. All patients underwent anorectal manometry before operation, to measure anal resting pressure, maximal squeeze and sphincter length, with the purpose of determining if an internal sphincterotomy was also necessary (in case of high anal resting tone). One-third of the patients also had an internal sphincterotomy to correct anal hypertonia. RESULTS Postoperative bleeding occurred in 19 patients (2.9%), 0.9% requiring a reintervention. Severe pain was reported by 9 patients (1.4%); fecal impaction occurred in 3 cases (0.5%) and suture disruption in 2 patients (0.3%). In 74 patients (11.6%), bladder catheterization was needed due to urinary retention. Of 550 patients who had a minimum follow-up of 3 years and were sent a postal questionnaire, 374 patients responded, with a median 7.3-year follow- up; 176 patients (32%) were lost to follow-up. Eleven patients (2.9% of 374 cases) reported pain during defecation, 6 (1.6%) developed skin tags or recurrence, 3 (0.8%) reported gas incontinence, 2 (0.5%) developed anal fistula and 1 (0.3%) had anal stricture. CONCLUSIONS Submucosal reconstructive hemorrhoidectomy according to Parks still represents a good choice for the treatment of high-degree hemorrhoids with prolapse of the dentate line outside the anus and external circumferential hemorrhoids.
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Affiliation(s)
- G Rosa
- Department of Surgical and Gastroenterological Sciences, University of Verona, Italy.
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Petrini F, Accorsi A, Adrario E, Agrò F, Amicucci G, Antonelli M, Azzeri F, Baroncini S, Bettelli G, Cafaggi C, Cattano D, Chinelli E, Corbanese U, Corso R, Della Puppa A, Di Filippo A, Facco E, Favaro R, Favero R, Frova G, Giunta F, Giurati G, Giusti F, Guarino A, Iannuzzi E, Ivani G, Mazzon D, Menarini M, Merli G, Mondello E, Muttini S, Nardi G, Pigna A, Pittoni G, Ripamonti D, Rosa G, Rosi R, Salvo I, Sarti A, Serafini G, Servadio G, Sgandurra A, Sorbello M, Tana F, Tufano R, Vesconi S, Villani A, Zauli M. Recommendations for airway control and difficult airway management. Minerva Anestesiol 2005; 71:617-57. [PMID: 16278626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- F Petrini
- Anestesia e Rianimazione, Università degli Studi Gabriele D'Annunzio Chieti-Pescara, Chieti.
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Magni G, Baisi F, La Rosa I, Imperiale C, Fabbrini V, Pennacchiotti ML, Rosa G. No difference in emergence time and early cognitive function between sevoflurane-fentanyl and propofol-remifentanil in patients undergoing craniotomy for supratentorial intracranial surgery. J Neurosurg Anesthesiol 2005; 17:134-8. [PMID: 16037733 DOI: 10.1097/01.ana.0000167447.33969.16] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.5] [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: 11/25/2022]
Abstract
Balanced anesthesia with sevoflurane-fentanyl has been widely accepted as anesthetic management for neurosurgery. Propofol-remifentanil regimen has been successfully used in various surgical settings, but a comprehensive comparison of sevoflurane-fentanyl and propofol-remifentanil anesthesia in patients undergoing craniotomy for supratentorial intracranial surgery has not yet been done. The aim of this prospective, randomized, open-label clinical trial was to compare clinical properties of sevoflurane-fentanyl with propofol-remifentanil anesthesia in patients undergoing supratentorial intracranial surgery. The primary endpoint was to compare early postoperative recovery and cognitive functions within the two groups; we also evaluated hemodynamic events, vomiting, shivering, and pain. One hundred twenty patients (64 males; age 15-75 years) were randomized to either total intravenous anesthesia (group T) or sevoflurane anesthesia (group S). Emergence and extubation times and cognitive function (Short Orientation Memory Concentration Test [SOMCT]) were compared in the two groups. Brain swelling, incidence of hypotensive and hypertensive episodes, postoperative vomiting, shivering, and pain were also analyzed. The mean emergence time (12.2 +/- 4.9 minutes for group S versus 12.3 +/- 6.1 minutes for group T; P = 0.92) and extubation time (18.2 +/- 2.3 minutes for group S versus 18.3 +/- 2.1 minutes for group T; P = 0.80) were similar in the two groups. Average SOMCT scores, both 15 minutes after extubation (25.6 +/- 4.9 in group S versus 23.9 +/- 7.5 in group T; P = 0.14) and 45 minutes after extubation (27.3 +/- 2.2 in group S versus 26.0 +/- 5.1 in group T; P = 0.07) were also comparable. Brain swelling was present in seven and five patients in groups S and T, respectively (P = 0.76). Hypotension was present in 12% (group S) and 28% (group T) of patients (P = 0.02). Hypertension was present in 17% of patients in group S and 40% of patients in group T (P = 0.0046). Shivering was present in 18% and 25% of patients in groups T and S (P = 0.37). Our study demonstrates that there is no patient benefit of using total intravenous anesthesia with an ultra-short-acting opioid over the conventional balanced volatile technique in terms of recovery and cognitive functions.
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Affiliation(s)
- G Magni
- Department of Anesthesia and Intensive Care, Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy.
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Bilotta F, Spinelli F, Centola G, Caramia R, Rosa G. A comparison of propofol and sevoflurane anaesthesia for percutaneous trigeminal ganglion compression. Eur J Anaesthesiol 2005; 22:233-5. [PMID: 15852998 DOI: 10.1017/s0265021505210402] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Rosa G, Lolli P, Piccinelli D, Mazzola F, Zugni C, Ballarin A, Bonomo S. Calibrated lateral internal sphincterotomy for chronic anal fissure. Tech Coloproctol 2005; 9:127-31; discussion 131-2. [PMID: 16007362 DOI: 10.1007/s10151-005-0210-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2005] [Accepted: 03/18/2005] [Indexed: 11/25/2022]
Abstract
UNLABELLED Lateral internal sphincterotomy is an effective procedure for the treatment of anal fissure, but may affected anal continence. We describe a procedure aimed at tailoring the division of the sphincter according to the degree of the hypertonia and to the sphincter length in order to offer an effective and safe treatment for chronic anal fissure. METHODS The internal sphincter was divided on the basis of anal manometry results. The average of maximum values of resting pressure determined by the stationary motility protocol was considered the reference parameter to measure hypertonia. Mild hypertone was considered to be 50-60 mmHg, moderate hypertone 60-80 mmHg, and severe hypertone >80 mmHg. In case of mild hypertone, 20% of the internal sphincter was divided; in case of moderate hypertone; 40% and 60% for severe hypertone. Calibrated lateral internal sphincterotomy is the division of the internal sphincter based on these parameters. Over 5 years, 388 patients underwent this procedure (197 men, 191 women) with a median age of 43 years (range, 18-80). RESULTS Postoperative complications consisted of abscess in 4 patients (1.0%), hemorrhage in 2 patients (0.5%), and pain in 6 patients (1.5%). Follow-up data are available for 261 patients (67.3%). Two months after surgery, 9 patients (3.4%) complained of persistent or recurring pain with or without fissure and 1 (0.4%) complained of gas incontinence. At postoperative manometry, 12 patients (4.6%) revealed persistence of anal resting pressure over 40 mmHg, 9 patients (3.4%) were still symptomatic and 97.6% were cured at a median follow-up of 8 months. An anal resting pressure lower than 30 mmHg was found in 10 patients (3.8%), only one of whom was incontinent. CONCLUSIONS Calibrated sphincterotomy may represent an effective and safe procedure for the treatment of chronic anal fissure.
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Affiliation(s)
- G Rosa
- Department of Surgical and Gastroenterological Sciences, University of Verona, Verona, Italy.
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Bilotta F, Ferri F, Giovannini F, Pinto G, Rosa G. Nefopam or clonidine in the pharmacologic prevention of shivering in patients undergoing conscious sedation for interventional neuroradiology. Anaesthesia 2005; 60:124-8. [PMID: 15644007 DOI: 10.1111/j.1365-2044.2004.04032.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [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: 10/26/2022]
Abstract
The aim of this randomised, double-blind study was to investigate the usefulness of intravenous nefopam, clonidine or placebo in preventing shivering in patients undergoing conscious sedation for interventional neuroradiological procedures. A total of 101 patients were prospectively enrolled and assigned to one of three groups to receive nefopam, clonidine or placebo. The overall incidence of intra-operative shivering was significantly lower in patients treated with nefopam than in those treated with clonidine or placebo (2/32 (6%) vs. 11/38 (29%), p < 0.02; 2/32 (6%) vs. 24/31 (77%), p < 0.0001, respectively). The number of patients who required ephedrine infusions to maintain a mean arterial pressure of 100 mm Hg was higher in the clonidine group than in the nefopam and placebo groups (18/38 (47%) vs. 5/32 (17%), p < 0.05; 18/38 (47%) vs. 6/31 (19%), p < 0.05, respectively). We found that both nefopam and clonidine significantly lowered the rate and severity of shivering during interventional neuroradiological procedures. Fewer patients in the nefopam group than in the other two groups required vasoactive drugs.
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Affiliation(s)
- F Bilotta
- Department of Anaesthesia and Intensive Care, Policlinico Umberto I, Rome, Italy.
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Mingrone G, Rosa G, Greco AV, Manco M, Vega N, Nanni G, Castagneto M, Vidal H. Intramyocitic lipid accumulation and SREBP-1c expression are related to insulin resistance and cardiovascular risk in morbid obesity. Atherosclerosis 2003; 170:155-61. [PMID: 12957694 DOI: 10.1016/s0021-9150(03)00254-5] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The aim of this study was to investigate the sterol regulatory element-binding protein 1c (SREBP1c) mRNA muscle expression in morbid obese subjects before and after massive lipid malabsorption due to bariatric surgery (bilio-pancreatic diversion, BPD). We studied 11 obese subjects (BMI 49+/-2 kg/m2) before and 24 months after BPD. Skeletal muscle SREBP1c mRNA expression was determined using RT-competitive PCR. Intramyocytic triglycerides were quantified by HPLC. Insulin sensitivity (M/I) was assessed by euglycemic-hyperinsulinemic clamp. Energy expenditure and respiratory quotient (RQ) were measured over 24 h in a calorimetric chamber. Total cardiovascular risk dropped from 2 before to -2.5 after BPD (P<0.0001). The M/I value was normalized after surgery (0.036+/-0.0148 to 0.095+/-0.0147 micromol kgFFM(-1) min(-1) pmoles(-1) P<0.001). SREBP-1c mRNA levels were decreased (from 4.12+/-2.43 to 2.69+/-1.83% of cyclophilin mRNA, P=0.02) after BPD. In a multiple regression analysis, M/I values (P<0.0001) as well as the intramyocytic triglyceride levels (P=0.039) were the most powerful independent variables for predicting cardiovascular risk. Our results show that the reduction of cardiovascular risk after bariatric massive weight loss is strongly related to the reversion of insulin resistance and to the lowering of intramyocytic triglyceride depots. These two parameters are associated with a significant reduction in SREBP-1c mRNA expression in skeletal muscle, suggesting that this transcription factor might be involved in the accumulation of triglycerides in muscle cells of morbidly obese subjects.
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Affiliation(s)
- G Mingrone
- Istituto di Clinica Medica, Università Cattolica del Sacro Cuore, Rome, Italy.
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Rosa G. Park's procedure for fourth-degree hemorrhoids. Tech Coloproctol 2003; 7:123-4; author reply 124. [PMID: 14619863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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Mingrone G, Rosa G, Di Rocco P, Manco M, Capristo E, Castagneto M, Vettor R, Gasbarrini G, Greco AV. Skeletal muscle triglycerides lowering is associated with net improvement of insulin sensitivity, TNF-alpha reduction and GLUT4 expression enhancement. Int J Obes (Lond) 2002; 26:1165-72. [PMID: 12187392 DOI: 10.1038/sj.ijo.0802053] [Citation(s) in RCA: 65] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2001] [Revised: 02/18/2002] [Accepted: 03/19/2002] [Indexed: 12/25/2022]
Abstract
AIMS/HYPOTHESIS The aim of the present study was to investigate the relationship between intramyocytic triglycerides levels, muscle TNF-alpha and GLUT4 expression and insulin resistance. METHODS Insulin sensitivity was studied in 14 severely obese women (BMI>40 kg/m(2)), before and 6 months after low-dietary intake or bariatric malabsorptive surgery (bilio-pancreatic diversion, BPD), by the euglycaemic hyperinsulinaemic clamp technique, while the amount of intramyocytic triglycerides was chemically measured in needle muscle biopsies. Using reverse transcriptase-polymerase chain reaction analysis, the muscle mRNA expression of TNF-alpha and GLUT4 was also investigated. RESULTS The weight loss after surgery was 25.98+/-5.81 kg (P<0.001), while that obtained with the diet was 5.07+/-5.99 kg (P=NS). Marked decrease in TNF-alpha mRNA levels (76.67+/-12.59 to 14.01+/-5.21 AU, P<0.001) were observed in comparison with pre-treatment, whereas GLUT4 was significantly increased (62.25+/-11.77-124.25+/-21.01 AU, P<0.001) only in BPD patients. Increased glucose uptake (M) was accompanied by a significant decrease of TNF-alpha mRNA (76.67+/-12.59-14.01+/-5.21 AU, P<0.01) and an increase of GLUT4. The amounts of TNF-alpha mRNAs in skeletal muscle correlated inversely with GLUT4 mRNAs and directly with intramyocytic triglycerides levels. In a step-down regression analysis (r(2)=0.95) TNFalpha mRNA (P=0.0014), muscular TG levels (P=0.018), and GLUT4 mRNA (P=0.028) resulted to be the most powerful independent variables for predicting M values. CONCLUSION/INTERPRETATION These findings suggest that insulin resistance in morbidly obese patients is positively associated to the intramyocytic triglycerides content and to TNF-alpha gene expression and inversely correlated to GLUT4 expression.
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Affiliation(s)
- G Mingrone
- Istituto di Medicina Interna, Università Cattolica S Cuore, Rome, Italy.
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Bezante GP, Deferrari L, Molinari G, Valbusa A, Rosa G, Barsotti A. Cor triatriatum sinistrum and persistent left superior vena cava: an original association. Eur J Echocardiogr 2002; 3:162-5. [PMID: 12114101 DOI: 10.1053/euje.2002.0142] [Citation(s) in RCA: 14] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Cor triatriatum sinistrum is a rare congenital heart disease usually diagnosed in symptomatic children. Symptoms depend on the degree of obstruction to pulmonary venous return with pulmonary hypertension and other associated abnormalities. Persistent left superior vena cava is quite a common congenital heart disease (about 0.5% in healthy populations). It should be suspected every time a dilated coronary sinus is detected at the echo examination. Transthoracic and transoesophageal examinations visualize the site and the size of the fibrous membrane as well as the degree of obstruction, and allow the evaluation of pulmonary pressures that are very important clues for prognosis and therapy. This case report describes the clinical signs and the diagnostic ultrasound findings evaluated in comparison with magnetic resonance imaging, a well-defined gold standard in heart disease of this uncommon congenital association.
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Affiliation(s)
- G P Bezante
- Cardiology Unit, Department of Internal Medicine, University of Genoa, Genoa, Italy.
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46
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Rosa G, Oltra R, Nadal MH. Laser induced decohesion of coatings: probing by laser ultrasonics. Ultrasonics 2002; 40:765-769. [PMID: 12160041 DOI: 10.1016/s0041-624x(02)00209-3] [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] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The aim of the present study is to investigate a conventional laser-ultrasonics technique for the determination of intrinsic properties of oxide coatings and their adhesion strength on a metallic substrate. The good agreement between experiments and computations in an epicenter configuration allows determining the longitudinal wave velocity as well as the Young's modulus of the oxide coatings versus the porosity. For a critical value of the laser energy, a breakdown at the coating-substrate interface is generated by the laser irradiation. The critical tensile stress field developed at the coating/substrate interface, which leads to the interfacial fracture, can be easily calculated. The value of the practical adhesion which is defined is found to be in accordance with those obtained by classic contact techniques (tensile adhesion test, indentation, bending test). Finally, this work demonstrates that this quantitative, contactless test fits well to simultaneously characterise the oxide coatings and evaluate the coating-substrate adhesion.
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Affiliation(s)
- G Rosa
- Laboratoire de Recherches sur la Réactivité des Solides, UMR 5613 CNRS, Université de Bourgogne, UFR Sciences et Techniques, Dijon, France
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Castellini C, De Nitto F, Bonomo S, Bottura D, Mazzola F, Ballarin A, Rosa G. [Fournier's gangrene in a patient with Hodgkin's disease: a clinical case]. Chir Ital 2001; 53:905-8. [PMID: 11824071] [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: 02/23/2023]
Abstract
The authors report a case of Fournier's gangrene in a 54-year-old patient subjected 6 days earlier to chemotherapy for mediastinal Hodgkin's disease. The patient had fever and reported the onset of worsening pain and heat sensations in the inguinal, perineal and scrotal areas. Objectively, there was local oedema followed by the onset of crepitation. The patient had a very low white blood cell count (900/cu.mm). The Patient underwent emergency surgery with multiple, communicating incisions in the inguinal, perineal and scrotal areas, with the removal of necrotic tissue and daily washing with physiological solution and 12% H2O2. He also received antibiotic treatment with metronidazole and gentamicin and 5 cycles of high-pressure oxygen therapy, with disappearance of pain and fever and good local tissue repair.
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Affiliation(s)
- C Castellini
- Dipartimento di Scienze Chirurgiche e Gastroenterologiche, Cattedra di Semeiotica e Metodologia Chirurgica, Università degli Studi di Verona
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48
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Affiliation(s)
- F Bilotta
- Department of Anesthesia and Intensive Care, University of Rome La Sapienza, Rome, Italy.
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Bilotta F, Pietropaoli P, La Rosa I, Spinelli F, Rosa G. Effects of shivering prevention on haemodynamic and metabolic demands in hypothermic postoperative neurosurgical patients. Anaesthesia 2001; 56:514-9. [PMID: 11412155 DOI: 10.1046/j.1365-2044.2001.02057.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.9] [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: 11/20/2022]
Abstract
We evaluated the haemodynamic and metabolic effects of prevention of shivering after prophylactic nefopam administration in neurosurgical patients undergoing craniotomy and mild systemic hypothermia (33-35 degrees C). Forty patients were enrolled in a randomised, double-blind study. Before extubation, patients received intravenously either nefopam 0.12 mg.kg-1 or an equal volume of saline 0.9%. Left ventricular systolic work index, oxygen consumption index and systemic lactate concentration were recorded before, immediately after and every 20 min for 2 h after extubation. Shivering appeared in two patients treated with nefopam and in all control patients (p < 0.001). Both left ventricular systolic work index and oxygen consumption index were similar in the two groups before extubation, increased after extubation, and further increased in control patients showing a statistical difference compared to patients treated with nefopam. Our results suggest that nefopam is effective in preventing postoperative shivering in patients undergoing neurosurgery and mild hypothermia and attenuates the haemodynamic effects of shivering during rewarming.
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Affiliation(s)
- F Bilotta
- Department of Anaesthesia and Intensive Care, University of Rome 'La Sapienza' Rome, Italy.
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Vicenzi L, Moser A, Mazzola F, Rizzo S, Bonomo S, Bottura D, Castellini C, Ballarin A, Tosi D, Rosa G. [Appendiceal mucocele associated with colonic neoplasm. Report of 2 cases and review of the literature]. Chir Ital 2001; 53:420-4. [PMID: 11452831] [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: 02/20/2023]
Abstract
Appendiceal mucocele is a rare entity frequently associated with colorectal cancer. We report two cases of mucocele associated with colorectal tumours. The first case (male, 64 yrs) is an appendiceal mucinous cystadenoma found incidentally during surgery for colon cancer. There is no evidence of disease after a 4-year follow-up. The second case (male, 66 yrs) is a mucocele associated with mucosal hyperplasia that was found during surgery for acute appendicitis with a periappendicular abscess. Endoscopic follow-up showed a rectal adenocarcinoma that was initially treated with local excision with T.E.M.. Examination of the pathology specimen documented vascular invasion and the patient underwent curative colorectal resection. The preoperative radiological and endoscopic diagnostic procedures and the current therapeutic approaches described in the literature are reviewed. The relevance of the association between appendiceal mucocele and colorectal cancer is emphasized. Thorough investigation of the colorectal tract is recommended after diagnosing an appendiceal mucocele.
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Affiliation(s)
- L Vicenzi
- Cattedra di Semeiotica e Metodologia Chirurgica Dipartimento di Scienze Chirurgiche e Gastroenterologiche Università degli Studi di Verona
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