1
|
Tombini M, Narducci F, Ricci L, Sancetta B, Boscarino M, Quintiliani L, Lanzone J, Straffi M, Di Lazzaro V, Assenza G. Resilience and psychosocial factors in adult with epilepsy: A longitudinal study. Epilepsy Behav 2024; 154:109746. [PMID: 38513570 DOI: 10.1016/j.yebeh.2024.109746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 03/10/2024] [Accepted: 03/12/2024] [Indexed: 03/23/2024]
Abstract
PURPOSE Resilience is conceptually characterized as a dynamic process encompassing positive adaptation in the context of significant adversity. Our goal was to assess the resilience in people with epilepsy (PWE) and how it impacts longitudinally on psychosocial factors, with a particular focus on the manifestation of stigmatization-related feelings. METHODS We consecutively enrolled 78 adults PWE (42.5 ± 16.2 years old); among them 36 (46.1 %) were seizure-free. All subjects completed at baseline (T0) the Resilience Scale (RS-14) and questionnaires for the assessment of depressive symptoms, anxiety and quality of life: respectively, Beck Depression Inventory-II (BD-II), Generalized Anxiety Disorder-7 (GAD-7) and QOLIE-31 (Q31). All patients were followed up prospectively and re-evaluated after 6-22 months (T1; mean: 14 ± 8 months; median 14 months); at follow up they also completed the Stigma Scale of Epilepsy (SSE) for the assessment of the stigma associated with epilepsy. We correlated resilience values with all psychosocial scores at T0 and T1. Factors associated with resilient and vulnerable outcomes were identified. Finally, a multiple stepwise regression analysis was applied to identify predictors for resilience and stigma perception. RESULTS The results showed for the RS-14 score a significant direct correlation with the Q31 (p < 0.001) and an inverse correlation with the depressive and anxiety symptoms at both times (T0 and T1), as evaluated with BDI-II (p < 0.001) and GAD-7 (p < 0.001). Finally, we found a significant inverse correlation between RS-14 at T0 and the levels of stigmatization assessed with SSE at T1 (p =.015). Using a multiple stepwise regression analysis separately for resilience and stigma perception, depressive symptoms turned out as the best predictors for both variables. Finally, considering longitudinal evaluation we did not observe significant changes in depressive and anxious symptoms, despite a significant reduction in the total number of seizures at follow up. CONCLUSIONS Our study showed that depressive symptoms, anxiety and quality of life were significantly associated with resilience in PwE. Finally, as a novel finding resilience was proved to affect the perception of stigma related to epilepsy more than seizures.
Collapse
Affiliation(s)
- M Tombini
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy.
| | - F Narducci
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy
| | - L Ricci
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy
| | - B Sancetta
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy
| | - M Boscarino
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy; Dipartimento di Neuroriabilitazione, IRCCS Fondazione Salvatore Maugeri, Milano, Italia
| | - L Quintiliani
- Psicologia Clinica, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy
| | - J Lanzone
- Dipartimento di Neuroriabilitazione, IRCCS Fondazione Salvatore Maugeri, Milano, Italia
| | - M Straffi
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy
| | - V Di Lazzaro
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy
| | - G Assenza
- Unità di Neurologia, Neurofisiologia, Neurobiologia, Dipartimento di Medicina, Università Campus Bio-Medico, via Álvaro del Portillo 21, 00128 Roma, Italy; Unità di Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, via Álvaro del Portillo 200, 00128 Roma, Italy
| |
Collapse
|
2
|
Lanzone J, Motolese F, Ricci L, Tecchio F, Tombini M, Zappasodi F, Cruciani A, Capone F, Di Lazzaro V, Assenza G. Quantitative measures of the resting EEG in stroke: a systematic review on clinical correlation and prognostic value. Neurol Sci 2023; 44:4247-4261. [PMID: 37542545 DOI: 10.1007/s10072-023-06981-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 07/26/2023] [Indexed: 08/07/2023]
Abstract
OBJECT Quantitative electroencephalography (qEEG) has shown promising results as a predictor of clinical impairment in stroke. We systematically reviewed published papers that focus on qEEG metrics in the resting EEG of patients with mono-hemispheric stroke, to summarize current knowledge and pave the way for future research. METHODS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched the literature for papers that fitted our inclusion criteria. Rayyan QCRR was used to allow deduplication and collaborative blinded paper review. Due to multiple outcomes and non-homogeneous literature, a scoping review approach was used to address the topic. RESULTS Or initial search (PubMed, Embase, Google scholar) yielded 3200 papers. After proper screening, we selected 71 papers that fitted our inclusion criteria and we developed a scoping review thar describes the current state of the art of qEEG in stroke. Notably, among selected papers 53 (74.3%) focused on spectral power; 11 (15.7%) focused on symmetry indexes, 17 (24.3%) on connectivity metrics, while 5 (7.1%) were about other metrics (e.g. detrended fluctuation analysis). Moreover, 42 (58.6%) studies were performed with standard 19 electrodes EEG caps and only a minority used high-definition EEG. CONCLUSIONS We systematically assessed major findings on qEEG and stroke, evidencing strengths and potential pitfalls of this promising branch of research.
Collapse
Affiliation(s)
- J Lanzone
- Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Department of the Milano Institute, Milan, Italy.
| | - F Motolese
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - L Ricci
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - F Tecchio
- Laboratory of Electrophysiology for Translational Neuroscience LET'S, Institute of Cognitive Sciences and Technologies ISTC, Consiglio Nazionale Delle Ricerche CNR, Rome, Italy
| | - M Tombini
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - F Zappasodi
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies, 'Gabriele D'Annunzio' University, Chieti, Italy
| | - A Cruciani
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - F Capone
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - V Di Lazzaro
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| | - G Assenza
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy
- Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy
| |
Collapse
|
3
|
Antonicelli G, Ricci L, Tarraran L, Fraterrigo Garofalo S, Re A, Vasile NS, Verga F, Pirri CF, Menin B, Agostino V. Expanding the product portfolio of carbon dioxide and hydrogen-based gas fermentation with an evolved strain of Clostridium carboxidivorans. Bioresour Technol 2023; 387:129689. [PMID: 37597573 DOI: 10.1016/j.biortech.2023.129689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/09/2023] [Accepted: 08/15/2023] [Indexed: 08/21/2023]
Abstract
CO2:H2-based gas fermentation with acetogenic Clostridium species are at an early stage of development. This work exploited the Adaptive Laboratory Evolution technique to improve the growth of C. carboxidivorans P7 on CO2 and H2. An adapted strain with decreased growth lag phase and improved biomass production was obtained. Genomic analysis revealed a conserved frameshift mutation in the catalytic subunit of the hexameric hydrogenase gene. The resulted truncated protein variant, most likely lacking its functionality, suggests that other hydrogenases might be more efficient for H2-based growth of this strain. Furthermore, the adapted strain generated hexanol as primary fermentation product. For the first time, hexanol was produced directly from CO2:H2 blend, achieving the highest maximum productivity reported so far via gas fermentation. Traces of valerate, pentanol, eptanol and octanol were observed in the fermentation broth. The adapted strain shows promising to enrich the product spectrum targetable by future gas fermentation processes.
Collapse
Affiliation(s)
- G Antonicelli
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy; Department of Environment, Land and Infrastructure Engineering, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - L Ricci
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy
| | - L Tarraran
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy; Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - S Fraterrigo Garofalo
- Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - A Re
- Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - N S Vasile
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy; Department of Environment, Land and Infrastructure Engineering, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - F Verga
- Department of Environment, Land and Infrastructure Engineering, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - C F Pirri
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy; Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - B Menin
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy; Istituto di Biologia e Biotecnologia Agraria, Consiglio Nazionale delle Ricerche, Via Alfonso Corti 12, 20133 Milan, Italy
| | - V Agostino
- Centre for Sustainable Future Technologies, Fondazione Istituto Italiano di Tecnologia, Via Livorno 60, 10144 Turin, Italy.
| |
Collapse
|
4
|
Ferrara R, Damato FM, Ricci L, Iovine L, Ricci S, Ricci P, Laznik MC, Cicinelli G. Parents-children co-regulation as therapeutic variable and target in autism spectrum disorders. From observation of drive to need of cooperative parent-mediated therapy. Clin Ter 2023; 174:537-544. [PMID: 38048118 DOI: 10.7417/ct.2023.5022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Abstract Autism spectrum disorders (ASDs) belong to the category of neurodevelopmental disorders. ASD emerges in early childhood and involves deficits in communication, language, behavioural inflexibility and fixity, and sensorial neurodivergent perception. ASDs have a biological pathogenesis related to genetic and epigenetic factors. Additionally, research has shown that starting from childhood, autistic persons could find emotional regulation challenging during communication with caregivers. The importance of emotional co-regulation has always been under-lined in psychology, starting with Freud who introduced the concept of the Compassionate Other. Emotional difficulties are grasped immediately and almost instinctively by parents, who try to modulate their approach to the child's needs from the very beginning. This paper seeks to highlight the importance of emotional co-regulation as a wake-up call-in developmental trajectories that present peculiarities or anomalies. It also emphasizes the significance of emotional co-regulation as a useful tool for intervening in the dysfun-ctionality of such trajectories. This intervention aims to directly involve parents in treatment, as seen in Cooperative parent-mediated therapy. This approach is crucial for facilitating the evolution of the cognitive framework while utilizing this target. This article aims to review the most recent literature on co-regulation after explaining the theoretical framework that gave rise to this concept. It's now well established the importance of adopting a develop-mental approach that starts from the bodily dimension as the basis for the relationship with caregivers, pairs, and unfamiliar people. It is from this basis that starts the affective, emotional, and cognitive construction of the internal and external world of the child. This scoping review takes into account the most recent evidence on co-regulation and autism, emphasizing the importance of this process in diagnostic and therapeutic settings.
Collapse
Affiliation(s)
- R Ferrara
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - F M Damato
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - L Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - L Iovine
- "Parthenope" University of Naples, Naples, Italy Coordination Internationale entre Psychothérapeutes Psychanalystes et membres associés 'occupant de personnes Autistes (CIPPA), Paris, France
| | - S Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - P Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - M C Laznik
- Italy Coordination Internationale entre Psychothérapeutes Psychanalystes et membres associés s'occupant de personnes Autistes (CIPPA)
| | - G Cicinelli
- Adult Autism Centre, Mental Health Department, Local Health Unit ASL Città di Torino, Turin, Italy
| |
Collapse
|
5
|
Assenza G, Sancetta BM, Lanzone J, Narducci F, Ricci L, Boscarino M, Marrelli A, Ciuffini R, Piccioli M, Di Lazzaro V, Tombini M. Resilience predicts and modulates anxiety severity in people with epilepsy. Epilepsy Behav 2023; 147:109390. [PMID: 37619458 DOI: 10.1016/j.yebeh.2023.109390] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Revised: 07/29/2023] [Accepted: 07/30/2023] [Indexed: 08/26/2023]
Abstract
BACKGROUND Anxiety is one of the most relevant psychiatric comorbidities in people with epilepsy (PwE). The role of resilience (RES) in the development of anxiety is not well understood. We purposed to better characterize RES impact on anxiety severity in PwE. MATERIALS AND METHODS One hundred and seventy-six PwE underwent online surveys including a collection of socio-demographic, seizure-related, and psychological variables. PwE were grouped according to the data collected; anxiety levels were compared through non-parametric statistics. Hierarchical regression analysis (HRA) and logistic regression were performed to characterize RES contribute in predicting the presence and the severity of anxiety. Mediation/moderation analysis was performed to evaluate causal effects among RES, depression, and anxiety. RESULTS Anxiety did not differ according to socio-demographic and seizure-related variables, exemption for the presence of drug-related adverse effects. Depression, RES, and sleep quality provided the major contribute on anxiety variance. The addiction of RES level in HRA and logistic regression provided a significant increase of R-squared value (p-value = 0.02) and of area under the curve (p-value = 0.03), respectively. RES modulated depression/anxiety relationship (p-value < 0.001), whereas depression did not mediate RES/anxiety correlation (p-value = 0.68). CONCLUSIONS We demonstrated that RES is a significant independent predictor of anxiety in PwE and is able to modulate depression impact on anxiety. Moreover, we confirmed the relevance of depression and sleep quality on anxiety severity.
Collapse
Affiliation(s)
- G Assenza
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy
| | - B M Sancetta
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
| | - J Lanzone
- Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Department of the Milano Institute, Milan, Italy
| | - F Narducci
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy
| | - L Ricci
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy
| | - M Boscarino
- Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Department of the Milano Institute, Milan, Italy
| | - A Marrelli
- UOC Neurophysiopathology, Ospedale San Salvatore, L'Aquila, Italy
| | - R Ciuffini
- Department of MeSVA, Università degli Studi dell'Aquila, L'Aquila, Italy
| | - M Piccioli
- UOC Neurology, PO San Filippo Neri, ASL Roma 1, Rome, Italy
| | - V Di Lazzaro
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy
| | - M Tombini
- UOC Neurologia, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy; Research Unit of Neurology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy
| |
Collapse
|
6
|
Romiti A, Moro F, Ricci L, Codeca C, Pozzati F, Viggiano M, Vicario R, Fabietti I, Scambia G, Bagolan P, Testa AC, Caforio L. Using IOTA terminology to evaluate fetal ovarian cysts: analysis of 51 cysts over 10-year period. Ultrasound Obstet Gynecol 2023; 61:408-414. [PMID: 36123819 DOI: 10.1002/uog.26061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 08/09/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES To describe ultrasound features of fetal ovarian cysts as reported by the original ultrasound examiner, to apply International Ovarian Tumor Analysis (IOTA) terminology after retrospective analysis of the images and to describe patient management and evolution of fetal cysts during pregnancy and after delivery. METHODS This retrospective observational study included pregnant women diagnosed on ultrasound examination with a fetal ovarian cyst at the Prenatal Diagnosis Division of the Bambino Gesù Children's Hospital, in Rome, between March 2011 and May 2020. Cysts were classified by the original ultrasound examiner as 'simple' (unilocular anechoic cyst) or 'complex' (cyst with other morphology). In addition, three ultrasound examiners, experienced in gynecologic ultrasound, classified retrospectively the fetal ovarian cysts according to IOTA terminology, by reviewing stored ultrasound images. The evolution of these fetal ovarian cysts during pregnancy and after birth was recorded. RESULTS Included were 51 ovarian cysts in 48 fetuses. Of the 51 cysts, 29 (56.9%) had been classified by the original ultrasound examiner as 'simple', and 22 (43.1%) as 'complex'. Of the simple cysts, the majority (20/29 (69.0%)) resolved spontaneously after delivery, 2/29 (6.9%) resolved following intrauterine aspiration, 2/29 (6.9%) resolved after postnatal aspiration and 5/29 (17.2%) underwent surgery due to persistence after delivery; in all five, normal ovarian parenchyma without signs of necrosis was observed at histology. Of the complex cysts, 7/22 (31.8%) resolved spontaneously. The other 15/22 (68.2%) were removed surgically and, at histology, necrosis was observed in most (12/15 (80.0%)), while a benign epithelial cyst with normal ovarian parenchyma was observed in 3/15 (20%). After reviewing the ultrasound images and applying IOTA terminology, all 51 (100%) fetal cysts were described as unilocular; 29/51 (56.9%) cysts showed anechoic content (described as simple cysts by the original ultrasound examiner), and 10/51 (19.6%) had low-level, 1/51 (2.0%) had ground-glass, 9/51 (17.6%) had hemorrhagic, 1/51 (2.0%) had mixed and 1/51 (2.0%) had undefined content (all described as complex by the original ultrasound examiner). Among the 29 anechoic ovarian cysts, resolution was observed in most (24/29, 82.8%) cases. Similarly, resolution was observed in 7/10 (70.0%) cysts with low-level content. Resolution was not observed in any of the other 12 cysts and all of these cases underwent surgery, with evidence of necrosis being observed in 11 (91.7%). CONCLUSIONS Applying IOTA terminology provided a more detailed and accurate description of fetal ovarian cysts compared with the original classification into 'simple' and 'complex' categories. Anechoic cysts (described as simple cysts by the original ultrasound examiner) and cysts with low-level content (described as complex by the original ultrasound examiner) frequently resolved spontaneously. Cysts with ground-glass, hemorrhagic, mixed or undefined content were frequently associated with necrosis at histology following surgery. © 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
Collapse
Affiliation(s)
- A Romiti
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| | - F Moro
- Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
| | - L Ricci
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| | - C Codeca
- Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
| | - F Pozzati
- Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
| | - M Viggiano
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| | - R Vicario
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| | - I Fabietti
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| | - G Scambia
- Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
- Università Cattolica del Sacro Cuore, Istituto di Clinica Ostetrica e Ginecologica, Rome, Italy
| | - P Bagolan
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
- Department of Systems Medicine, University of Rome 'Tor Vergata', Rome, Italy
| | - A C Testa
- Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
- Università Cattolica del Sacro Cuore, Istituto di Clinica Ostetrica e Ginecologica, Rome, Italy
| | - L Caforio
- Bambino Gesù Children's Hospital, Medical and Surgical Department of Foetus-Newborn-Infant, IRCCS, Rome, Italy
| |
Collapse
|
7
|
Bleynat S, Dulla S, Pancotti F, Ricci L, Vicini C, Zanino R. Hybrid Monte Carlo/deterministic activation calculation to support the decommissioning of PWRs: Validation against data from the thermal shield of the Enrico Fermi NPP. ANN NUCL ENERGY 2023. [DOI: 10.1016/j.anucene.2022.109527] [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: 11/11/2022]
|
8
|
Narducci F, Lanzone J, Ricci L, Marrelli A, Piccioli M, Boscarino M, Vico C, Sancetta B, Di Lazzaro V, Tombini M, Assenza G. Determinants of medication adherence in people with epilepsy: A multicenter, cross-sectional survey. Epilepsy Behav 2023; 138:109029. [PMID: 36512930 DOI: 10.1016/j.yebeh.2022.109029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 11/27/2022] [Accepted: 11/28/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES Poor medication adherence in people with epilepsy (PwE) increases mortality, hospitalization, and poor quality of life, representing a critical challenge for clinicians. Several demographic, clinical, and neuropsychological factors were singularly found associated with medication adherence in several studies, but the literature lacks a comprehensive study simultaneously assessing all these variables. METHODS We performed a multicenter and cross-sectional study using online questionnaires with the following clinical scales: Morisky Medication Adherence Scale (MMAS-8), Quality of Life in Epilepsy Inventory 31 (QoLIE-31), Beck Depression Inventory-II (BDI-II), Generalized Anxiety Disorder-7 (GAD-7) and 14-item Resilience scale (RES14) in a population of 200 PwE. We used the ANOVA test and Spearman's correlation to evaluate the relationship between medication adherence and demographic, clinical (seizure frequency, number of anti-seizure medications), and neuropsychological characteristics. We trained separate machine learning models (logistic regression, random forest, support vector machine) to classify patients with medium-high adherence (MMAS-8 ≥ 6) and poor adherence (MMAS-8 < 6) and to identify the main features that influence adherence. RESULTS Women were more adherent to medication (p-value = 0.035). Morisky Medication Adherence Scale -8 showed a direct correlation with RES14 (p-value = 0.001) and age (p-value = 0.001), while was inversely correlated with BDI-II (p-value = 0.001) and GAD-7 (p-value = 0.001). In our model, the variables mostly predicting treatment adherence were QoLIE-31 subitems, followed by age, resilience, anxiety, years of school, and disease duration. CONCLUSION Our study confirms that gender, age, and neuropsychological traits are relevant factors in predicting medication adherence to PwE. Furthermore, our data provided the first evidence that machine learning on multidimensional self-report questionnaires could help to develop a decisional support system in outpatient epilepsy clinics.
Collapse
Affiliation(s)
- F Narducci
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - J Lanzone
- Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Unit of Milan Institute, Italy.
| | - L Ricci
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - A Marrelli
- UOC Neurophysiopathology, Ospedale San Salvatore, L'Aquila, Italy
| | - M Piccioli
- UOC Neurology, PO San Filippo Neri, ASL Roma 1, Rome, Italy
| | - M Boscarino
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - C Vico
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - B Sancetta
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - V Di Lazzaro
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - M Tombini
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - G Assenza
- Department of Medicine and Surgery, Unit of Neurology, Neurophysiology, Neurobiology and Psichiatry, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21 - 00128 Roma, Italy; Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| |
Collapse
|
9
|
Ayav C, Ricci L, Frimat L, Moranne O, Castin N, Coulomb M, Févotte P, Couchoud C. Est-il possible de mesurer en routine les symptômes ressentis par les patients dialysés à l’aide d’autoquestionnaires électroniques ? Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.230] [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]
|
10
|
Buzzi M, Minar L, Kestens Y, Agrinier N, Ricci L, Epstein J. Création et validation de l'instrument d’évaluation écologique momentanée du bien-être (EMOWI, « Ecological Momentary Well-being Instrument ») chez les adolescents. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2021.11.007] [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: 10/18/2022] Open
|
11
|
Ferrières J, Banks V, Pillas D, Ricci L, Dova-Boivin M, Chauny J, Desamericq G. Screening and treatment of Familial Hypercholesterolemia in a French sample of ambulatory care: A retrospective longitudinal cohort study. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.320] [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: 11/17/2022]
|
12
|
Ferrieres J, Banks V, Pillas D, Ricci L, Dova-Boivin M, Vannak JV, Desamericq G. P648Screening and treatment of familial hypercholesterolemia in a French sample of ambulatory care: a retrospective longitudinal cohort study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0255] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Familial hypercholesterolemia (FH) is largely underdiagnosed as there are typically no clinical symptoms prior to the first cardiovascular (CV) event. We conducted a study which utilised ambulatory care electronic medical record (EMRs) to alert physicians to possible cases of FH. Specifically, physicians were alerted to LDL-C levels >190 mg/dL (suggesting a risk of FH) and invited to complete the Dutch Lipid Clinic Network score (DLCN).
Purpose
Describe characteristics, comorbidities and clinical management of patients diagnosed with definite or probable FH in an ambulatory care setting.
Methods
All patients with a DLCN score of definite/probable FH (score higher or equal than 6; index event) between January 2016 and September 2018 were identified in the THIN® database (The Health Improvement Network; an anonymized EMR powered by GERSDATA, a Cegedim Health Data Division). These fully anonymized data were collected by 2000 General Practitioners (GP), 130 cardiologists and 40 endocrinologists, receiving 5.5 million patients regularly in their office. Sociodemographic, laboratory measurements, comorbidities, lipid-lowering therapies (LLT), visits to specialists, LDL-C and hospitalizations were collected and analysed at baseline, and 1, 2, 3, 6 months, and 1 year thereafter.
Results
From 999 anonymous patients with a DLCN score, 98 (10%) FH patients were identified (38 [39%] definite FH, 60 [61%] probable FH) while remaining fully anonymous, 9 (9%) of whom already had genetic testing. Mean (SD) age was 57.4 (14.3) years; 56 (57%) patients were female, half (51/98 [52%]) were diagnosed with pure hypercholesterolemia (ICD-10 code: E78.0) and 9 (9%) had a personal history of CV event. 93 patients (95%) had a LDL-C measurement prior to DLCN assessment (definite FH, 36/38 [95%]; probable FH, 57/60 [95%]). Among screened FH patients, 61.2% had LDL-C between 190 to 250 mg/dL and 16.3% had LDL-C higher than 250 mg/dL. At the time of DLCN assessment, one third (30/98 [31%]) of patients were not receiving any LLT, one third ([35%] 34/98) were receiving statins alone, 19% (19/98) receiving LLT combination with statin, and 15% (15) other LLTs. Moderate statin intensity was prescribed in 20% (20/98) of patients; high intensity statin, 17%, (17/98); low intensity, 10% (10/98). No improvement on LLT use (including use of high statin intensity) was observed over the 12-month follow-up.
Conclusion
This is the first study in France that use EMR to screen possible FH patients and support GPs in identifying patients that need to be treated. Our data highlight the need to screen, diagnosis and treat potential FH patients in ambulatory care settings. Longer follow-up is needed to evaluate the impact of FH assessment on referral to specialists, LLT and clinical outcomes.
Acknowledgement/Funding
Amgen
Collapse
Affiliation(s)
- J Ferrieres
- Toulouse University hospital, Department of Cardiology and UMR INSERM 1027, Toulouse, France
| | - V Banks
- Amgen Ltd, Center for Observational Research, Uxbridge, United Kingdom
| | - D Pillas
- Amgen Ltd, Center for Observational Research, Uxbridge, United Kingdom
| | - L Ricci
- Amgen SAS, Medical, Boulogne-Billancourt, France
| | - M Dova-Boivin
- Amgen SAS, Value, Access & Policy, Boulogne-Billancourt, France
| | - J V Vannak
- Amgen SAS, Value, Access & Policy, Boulogne-Billancourt, France
| | - G Desamericq
- Amgen SAS, Value, Access & Policy, Boulogne-Billancourt, France
| |
Collapse
|
13
|
Abstract
Assessing brain connectivity makes up a major issue in the field of network dynamics and neuroscience. Conventional experimental techniques are based on functional imaging and magnetoencephalography, allowing to reconstruct the activity of relatively small brain volume elements. A common approach to identify networks consists in singling out sets of elements that maintain a correlated activity over time. Despite the general consensus that these networks are detectable on a time window of 10 s, no study is presently available on the distribution and thus the reliability of this time scale. In this work, we describe a new method to assess time scales on which correlations between network elements occur and to consequently identify the underlying network structures. The analysis relies on the evaluation of quasi-zero-delay cross-correlation between power sequences associated with distinct volume elements. By changing the width of the running window used to analyze successive segments of time series, the behavior of cross-correlation at different time scales was investigated. The onset of connectivity was estimated to be observable at about 30 s. The method was applied to a set of volume elements that are supposed to belong to a known resting-state network, namely the Default Mode Network. Fully connected networks were identified, provided that a sufficiently long time scale is considered. Our method makes up a new tool for the investigation of the temporal dynamics of networks.
Collapse
Affiliation(s)
- A Perinelli
- Department of Physics, University of Trento, I-38123 Trento, Italy
| | - D E Chiari
- Department of Physics, University of Trento, I-38123 Trento, Italy
| | - L Ricci
- Department of Physics, University of Trento, I-38123 Trento, Italy
| |
Collapse
|
14
|
Abstract
In vivo treatment of mouse leukemia L1210 with DTIC can induce new antigens on tumor cells that are not detectable on parental cells and that are transmissible as a genetic character. Moreover, L1210/DTIC is rejected by syngeneic hosts. The aim of this study was to investigate whether DTIC selects pre-existing immunogenic clones rather than inducing ex novo new antigenic determinants and to verify the number of induced antigens. L1210 leukemia was cloned in vitro and 4 clones were treated in vivo with DTIC. All the treated clones displayed antigenic properties since they were rejected by syngeneic hosts. Cytotoxic T lymphocytes (CTL) activated against one DTIC clone could recognize and lyse the relevant target. One of these DTIC-modified clones (L4/DTIC) was recloned and the subclones were tested in vivo and in vitro. Two out of six subclones were rejected by syngeneic hosts. CTL specific against these two clones were able to recognize and lyse all the other clones to different degrees. The degree of suscptibility to lysis did not correlate with the capability to evoke an immune response in vivo. Based on these findings we conclude that DTIC does not select pre-existing clones but modifies the tumor cells antigenically, and that the antigenicity induced by DTIC in a cloned tumor line is due to the presence of common antigens shared to different degrees with treated cells.
Collapse
Affiliation(s)
- O Marelli
- Department of Pharmacology, School of Medicine, Università di Milano, Italia
| | | | | | | | | |
Collapse
|
15
|
Bottini LP, Ricci L, Piattelli A, Perrotti V, Iezzi G. RETRACTED: Bucco-Lingual Crestal Bone Changes Around Implants Immediately Placed in Fresh Extraction Sockets in Association or not With Porcine Bone: A Non-Blinded Randomized Controlled Trial in Humans (J Periodontol October 29, 2012 [published online ahead of print]; doi: 10.1902/jop.2012.120396). J Periodontol 2017; 88:1374. [DOI: 10.1902/jop.2017.1712002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- LP Bottini
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| | - L Ricci
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| | - A Piattelli
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| | - V Perrotti
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| | - G Iezzi
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| |
Collapse
|
16
|
Rapani M, Rapani C, Ricci L. Corrigendum to "Schneider membrane thickness classification evaluated by cone-beam computed tomography and its importance in the predictability of perforation. Retrospective analysis of 200 patients" [Br. J. Oral Maxillofac. Surg. 54 (10) (December 2016) 1106-1110]. Br J Oral Maxillofac Surg 2017; 56:84. [PMID: 29174805 DOI: 10.1016/j.bjoms.2017.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- M Rapani
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.
| | | | - L Ricci
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| |
Collapse
|
17
|
Kivits J, Munsch L, Vallata A, Ricci L, Minary L. Qualitative exploration of participation to a quit smoking program in a population of apprentices. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Kivits
- University of Lorraine, Vandoeuvre les Nancy, France
| | - L Munsch
- University of Lorraine, Vandoeuvre les Nancy, France
| | - A Vallata
- University of Lorraine, Vandoeuvre les Nancy, France
| | | | - L Minary
- University of Lorraine, Vandoeuvre les Nancy, France
| |
Collapse
|
18
|
Rosati MV, Sancini A, Tomei F, Sacco C, Traversini V, De Vita A, De Cesare DP, Giammichele G, De Marco F, Pagliara F, Massoni F, Ricci L, Tomei G, Ricci S. Correlation between benzene and testosterone in workers exposed to urban pollution. Clin Ter 2017; 168:e380-e387. [PMID: 29209688 DOI: 10.7417/t.2017.2038] [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] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIM Many studies have examined the effects of benzene on testosterone. The purpose of this study was to evaluate the possible correlation between the blood levels of benzene and the levels of testosterone. MATERIALS AND METHODS The study involved a group of 148 subjects. For every worker have been made out a blood sample for the evaluation of benzene and testosterone levels and an urine analysis for the evaluation of the levels of trans, trans-muconic acid and S-phenylmercapturic acid. We estimated the Pearson correlation coefficient between the variables in the sample and the urinary metabolites, age, length of service, gender, BMI. For the analysis of the major confounding factors it was performed a multiple linear regression. RESULTS The Pearson correlation coefficiet showed: 1. a significant inverse correlation between the S-phenyl mercapturic acid and free testosterone; 2. a significant direct correlation between trans-trans muconic acid and BMI. After dividing the sample according to the median of blood benzene (161.0 ng / L), Pearson correlation coefficient showed a significant inverse correlation between the S-phenyl mercapturic acid and free testosterone in the group with values below this median. CONCLUSIONS Our results, to be considered preliminary, suggest that occupational exposure to low levels of benzene, present in urban pollution, affect the blood levels of testosterone. These results need to be confirmed in future studies, with the eventual possibility of including more specific fertility tests.
Collapse
Affiliation(s)
- M V Rosati
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - A Sancini
- Spin off of University of Rome "Sapienza" "Sipro", Rome
| | - F Tomei
- Spin off of University of Rome "Sapienza" "Sipro", Rome
| | - C Sacco
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - V Traversini
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - A De Vita
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - D P De Cesare
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - G Giammichele
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F De Marco
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F Pagliara
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F Massoni
- Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
| | - L Ricci
- Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
| | - G Tomei
- Department of Psychiatric and Psychological Science, University of Rome " Sapienza", Rome, Italy
| | - S Ricci
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome - Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
| |
Collapse
|
19
|
Agustsson S, Bianchi G, Calabrese R, Corradi L, Dainelli A, Khanbekyan A, Marinelli C, Mariotti E, Marmugi L, Mazzocca G, Moi L, Ricci L, Stiaccini L, Tomassetti L. Observation of 7pP2 3/2→7dD2 optical transitions in 209 and 210 francium isotopes. Opt Lett 2017; 42:3682-3685. [PMID: 28914932 DOI: 10.1364/ol.42.003682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 08/01/2017] [Indexed: 06/07/2023]
Abstract
We report on the direct experimental observation of the 7pP23/2→7dD2 optical transitions in 209 and 210 francium isotopes. By continuously monitoring the fluorescence emitted by the isotopes collected in a magneto-optical trap (MOT), the electric dipole transitions 7pP23/2→7dD25/2 of Fr209, not yet experimentally observed, and 7pP23/2→7dD25/2, 7pP23/2→7dD25/2 of Fr210 were detected as sub-Doppler depletion dips of the cold atom population. This approach allowed unambiguous identification of the excited state hyperfine structures, even in the absence of a large stable vapor. Our findings demonstrate the effectiveness and the flexibility of fluorescence monitoring of trap depletion upon laser excitation, and broaden the experimental knowledge of francium isotopes and their electronic and nuclear properties. These results will have a relevant impact on ongoing researches for low-energy testing of fundamental symmetries with francium, from atomic parity non-conservation to the electron dipole moment.
Collapse
|
20
|
Ippoliti F, Corbosiero P, Canitano N, Massoni F, Ricciardi MR, Ricci L, Archer T, Ricci S. Work- related Stress, over-nutrition and cognitive disability. Clin Ter 2017; 168:e42-e47. [PMID: 28240762 DOI: 10.7417/ct.2017.1981] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Work-related stress may exert a negative impact on a variety of physical and psychological attributes relating to the health of employees and work organizations. Several studies conducted in Italy have shown that workers and employees who express less satisfaction show increased symptoms of obesity and cognitive disability. The latest evidence underlines the pathogenic relationship between stress and neurological disease through inflammatory neuro- immune activation. The aim of this review was to describe the relationship between workplace stress and adverse changes in lifestyle that develop into obesity, neuroinflammation and cognitive dysfunction. The molecular mechanisms involved and guidelines for the prevention of these trends are discussed briefly.
Collapse
Affiliation(s)
- F Ippoliti
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - P Corbosiero
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - N Canitano
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - F Massoni
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - M R Ricciardi
- Department of Psychology, University of Gothenburg, Sweden
| | - L Ricci
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - T Archer
- Department of Psychology, University of Gothenburg, Sweden
| | - S Ricci
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| |
Collapse
|
21
|
Behbod F, Limback D, Hong Y, Elsarraj H, Berger J, Heddens E, Valdez K, Smith WP, Inciardi M, Reddick M, Gatewood J, Darrah J, Winblad O, Meierotto R, Ricci L, Wagner J, Amin A, May L, Cusick T, Mammen J, Fields T, Godwin AK, Fabian C, Kaufman C, Tawfik O, Fan F. Abstract P4-06-01: Patient derived DCIS mouse-intraductal (MIND) models recapitulate the full spectrum of human patient pathology and histologic features including progression to invasion in a subset of cases. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p4-06-01] [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: 11/16/2022]
Abstract
Abstract
Introduction: The 20-year breast cancer mortality rate following a DCIS diagnosis is ∼3%. Radiation and anti-hormonal therapy of DCIS has not resulted in improved overall survival, which argues against the non-selective use of such therapies in DCIS management. However, some DCIS cases do progress to invasive cancer, and these patients may benefit from treatment. A study of 80 DCIS patients followed for up to 30 years reported a 43% progression rate. Notably, progression was not predicted by grade, as 39% of even low-grade DCIS ultimately progressed to invasive cancer. Clearly, there is a need to identify which DCIS lesions are likely to progress. We have developed a novel mouse xenograft model (mouse-intraductal; MIND) to study the molecular basis of DCIS progression and enable identification of suitable biomarkers that predict invasive progression.
Methods: MIND involves injection of epithelial cells derived from patient breast lesions into the mammary ducts of immunocompromised mice. Serial sections of mouse mammary glands containing DCIS xenograft lesions were examined at time intervals of 3-14 months post-engraftment by histology using hematoxylin and eosin (H&E) and immunohistochemistry using anti-human cytokeratin 5/19, smooth muscle actin, ER, PR, p53, Ki67 and HER-2.
Results: Intraductal injection of cells derived from breast lesions of 28 patients into 133 mice resulted in a successful engraftment rate of 60%. Among these, 12 pure DCIS samples were injected into 35 different mice to create MIND xenografts. As early as three months post-engraftment, the DCIS xenograft cells showed multilayered in situ growth consisting of atypical neoplastic cells with prominent and vesicular nuclei. DCIS MIND xenografts exhibited the full spectrum of human DCIS histologic features, including similar biomarker expression (ER, PR, Ki67, HER-2 and p53) at long-term follow-up after engraftment (up to 12 months). Most remarkably, a subset of xenografts representing 5 patients (5/12; 42%) showed progression to invasion 6-12 months post-engraftment in the absence of any external genetic manipulations. This rate is very similar to that reported for human DCIS progression in untreated patients. MIND DCIS xenograft lesions that progressed showed disruption of basement membrane and myoepithelial layer by the invasive cells, retraction of basement membrane, and micro-invasion. MIND DCIS lesions were enriched in small capillaries, and in some cases clusters of invasive cells appeared inside nearby blood vessels.
Conclusion: The MIND xenograft is a viable model for human DCIS progression that recapitulates histologic features of human DCIS, as well as reported rates of progression to invasion. The availability of this innovative model provides a valuable tool for the discovery of new biomarkers to identify DCIS with invasive potential. The identification of high risk DCIS will ultimately help patients and clinicians choose the best course of therapy and avoid the morbidity and costs associated with unnecessary treatment.
Citation Format: Behbod F, Limback D, Hong Y, Elsarraj H, Berger J, Heddens E, Valdez K, Smith WP, Inciardi M, Reddick M, Gatewood J, Darrah J, Winblad O, Meierotto R, Ricci L, Wagner J, Amin A, May L, Cusick T, Mammen J, Fields T, Godwin AK, Fabian C, Kaufman C, Tawfik O, Fan F. Patient derived DCIS mouse-intraductal (MIND) models recapitulate the full spectrum of human patient pathology and histologic features including progression to invasion in a subset of cases [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P4-06-01.
Collapse
Affiliation(s)
- F Behbod
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - D Limback
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - Y Hong
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - H Elsarraj
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - J Berger
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - E Heddens
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - K Valdez
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - WP Smith
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - M Inciardi
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - M Reddick
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - J Gatewood
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - J Darrah
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - O Winblad
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - R Meierotto
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - L Ricci
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - J Wagner
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - A Amin
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - L May
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - T Cusick
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - J Mammen
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - T Fields
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - AK Godwin
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - C Fabian
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - C Kaufman
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - O Tawfik
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| | - F Fan
- University of Kansas Medical Center, Kansas City, KS; Truman Hospital, Kansas City, MO; St. Luke's Hospital, Kansas City, MO; Wichita School of Medicine, Wichita, KS
| |
Collapse
|
22
|
Archer T, Ricci S, Massoni F, Ricci L, Rapp-Ricciardi M. Cognitive Benefits of Exercise Intervention. Clin Ter 2017; 167:e180-e185. [PMID: 28051833 DOI: 10.7417/ct.2016.1965] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Exercise, as a potent epigenetic regulator, implies the potential to counteract pathophysiological processes and alterations in most cardiovascular/respiratory cells and tissues not withstanding a paucity of understanding the underlying molecular mechanisms and doseresponse relationships. In the present account, the assets accruing from physical exercise and its influence upon executive functioning are examined. Under conditions of neuropsychiatric and neurologic ill-health, age-related deterioration of functional and biomarker indicators during healthy and disordered trajectories, neuroimmune and affective unbalance, and epigenetic pressures, exercise offers a large harvest of augmentations in health and well-being. Both animal models and human studies support the premise of manifest gains from regular exercise within several domains, besides cognitive function and mood, notably as the agency of a noninvasive, readily available therapeutic intervention.
Collapse
Affiliation(s)
- T Archer
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden - Network for Empowerment and Well Being, Sweden
| | - S Ricci
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - F Massoni
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - L Ricci
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - M Rapp-Ricciardi
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden - Network for Empowerment and Well Being, Sweden
| |
Collapse
|
23
|
Massoni F, Ricci P, Crusco M, Onofri E, Petrone L, Sacco C, Ricci L, Ricciardi M, Archer T, Ricci S. Psychopathology and neoplastic disease: medico-social and medico-legal considerations. Clin Ter 2017; 168:e48-e53. [PMID: 28240763 DOI: 10.7417/ct.2017.1982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The cognitive disability associated with stress in patients presenting cancer disease may exert a significant impact on the psychological health of the individual and even deteriorate the clinical diagnosis. The present study consists of a review of the available literature and an analysis of the association between psychopathologic disease and cancer by selecting useful contributions to the medicosocial discussion of the topic. Interesting considerations have emerged on the epidemiology and pathogenesis of the association between psychopathology and cancer that initiated possibilities towards a greater accuracy in the assessment of the patient that is not only limited to oncologic problems and outcomes.
Collapse
Affiliation(s)
- F Massoni
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - P Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Crusco
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - E Onofri
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - L Petrone
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - C Sacco
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - L Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Ricciardi
- Department of Psychology, University of Gothenburg, Sweden
| | - T Archer
- Department of Psychology, University of Gothenburg, Sweden
| | - S Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| |
Collapse
|
24
|
Massoni F, Ricci P, Crusco M, Ricci L, Ricci S. [Head trauma with clinical and medical legal interest]. Clin Ter 2016; 166:e357-60. [PMID: 26550822 DOI: 10.7417/t.2015.1891] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
In clinical and legal cases some injuries found in living patient or dead body can give rise to difficulties of interpretation regarding the nature of the legally relevant formation mechanism. A field of study that offers often this issue is the brain hemorrhage that it could be traumatic or no traumatic. The authors propose a narrative review of the literature that enables us to recognize in the analysis of the kind of bleeding or type of associated lesions, useful and updated support tools for settlement of the case in question.
Collapse
Affiliation(s)
- F Massoni
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - P Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - M Crusco
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - L Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - S Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| |
Collapse
|
25
|
Crusco M, Susi B, Luzi E, Massoni F, Ricci P, Corbosiero P, Pelosi M, Ricci L, Ricci S. Risk factors correlating event falling to eventual medico-legal responsability. Clin Ter 2016; 167:e130-e136. [PMID: 27845492 DOI: 10.7417/ct.2016.1957] [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] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- M Crusco
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - B Susi
- Direttore UOC Pronto Soccorso e Medicina d'Urgenza Policlinico Tor Vergata, Roma, Italia
| | - E Luzi
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - F Massoni
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - P Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - P Corbosiero
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - M Pelosi
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - L Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - S Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| |
Collapse
|
26
|
Ricci G, Ferrari S, Calamelli E, Ricci L, Neri I, Patrizi A. Heterogeneity in the genetic alterations and in the clinical presentation of acrodermatitis enteropathic: Case report and review of the literature. Int J Immunopathol Pharmacol 2016; 29:274-9. [PMID: 26684640 PMCID: PMC5806715 DOI: 10.1177/0394632015606845] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Acrodermatitis enteropathic (AE) is a rare autosomal recessive disorder due to a zinc deficiency and characterized by a classical triad of symptoms: dermatitis, alopecia, and diarrhea. The defective gene is SLC39A4, which encodes a zinc transporter. Nevertheless many abnormalities in SLC39A4 have been relieved, only 50% of patients show alterations. Here is reported the case of an infant with mild and incomplete manifestations of AE, for whom the SLC39A4 genetic test was performed. A novel mutation in SLC39A4 was identified. Zinc replacement improved rapidly the skin lesions. Our case highlights the importance of suspecting this rare condition and to perform the genetic test even in those patients who do not fulfil the classical triad of symptoms. Further efforts should be addressed to identify a more strength correlation between genotype and phenotype of this disorder.
Collapse
Affiliation(s)
- G Ricci
- Pediatric Unit - Department of Medical and Surgical Sciences, S. Orsola- Malpighi Hospital, Italy
| | - S Ferrari
- Medical Genetic - Department of Medical and Surgical Sciences, S. Orsola- Malpighi Hospital, Italy
| | - E Calamelli
- Pediatric Unit - Department of Medical and Surgical Sciences, S. Orsola- Malpighi Hospital, Italy
| | - L Ricci
- Dermatology Unit - Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola- Malpighi Hospital, Italy
| | - I Neri
- Dermatology Unit - Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola- Malpighi Hospital, Italy
| | - A Patrizi
- Dermatology Unit - Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola- Malpighi Hospital, Italy
| |
Collapse
|
27
|
Ricci L, Formica D, Tamilia E, Taffoni F, Sparaci L, Capirci O, Guglielmelli E. An experimental protocol for the definition of upper limb anatomical frames on children using magneto-inertial sensors. Annu Int Conf IEEE Eng Med Biol Soc 2015; 2013:4903-6. [PMID: 24110834 DOI: 10.1109/embc.2013.6610647] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Motion capture based on magneto-inertial sensors is a technology enabling data collection in unstructured environments, allowing "out of the lab" motion analysis. This technology is a good candidate for motion analysis of children thanks to the reduced weight and size as well as the use of wireless communication that has improved its wearability and reduced its obtrusivity. A key issue in the application of such technology for motion analysis is its calibration, i.e. a process that allows mapping orientation information from each sensor to a physiological reference frame. To date, even if there are several calibration procedures available for adults, no specific calibration procedures have been developed for children. This work addresses this specific issue presenting a calibration procedure for motion capture of thorax and upper limbs on healthy children. Reported results suggest comparable performance with similar studies on adults and emphasize some critical issues, opening the way to further improvements.
Collapse
|
28
|
Massoni F, Di Sabatino D, Ricci L, Onofri E, Ricci S. A rare case of myocardial infarction by myocardial bridging of circumflex artery. Clin Ter 2014; 165:e416-8. [PMID: 25524197 DOI: 10.7417/ct.2014.1784] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Myocardial Bridging (MB) is a benign condition that may be considered as a possible cause of ischaemic cardiopathy up to myocardial infarction. The authors describe the autopsy case of an MB of circumflex artery in a person with a myocardial infarction of the posterior wall of the left ventricle. In this case, the chronic ischemic heart disease can be explained by the congenital anomaly and in the literature there is scientific evidence to support the thesis. The MB is a benign condition that in combination with other risk factors can cause ischemic heart disease.
Collapse
Affiliation(s)
- F Massoni
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - D Di Sabatino
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - L Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - E Onofri
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - S Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| |
Collapse
|
29
|
Coppolaro V, Papi N, Khanbekyan A, Marinelli C, Mariotti E, Marmugi L, Moi L, Corradi L, Dainelli A, Arikawa H, Ishikawa T, Sakemi Y, Calabrese R, Mazzocca G, Tomassetti L, Ricci L. Light desorption from an yttrium neutralizer for Rb and Fr magneto-optical trap loading. J Chem Phys 2014; 141:134201. [PMID: 25296799 DOI: 10.1063/1.4896609] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
We present here the first evidence of photodesorption induced by low-intensity non-resonant light from an yttrium thin foil, which works as a neutralizer for Rb and Fr ions beam. Neutral atoms are suddenly ejected from the metal surface in a pulsed regime upon illumination with a broadband flash light and then released in the free volume of a pyrex cells. Here atoms are captured by a Magneto-Optical Trap (MOT), which is effectively loaded by the photodesorption. Loading times of the order of the flash rise time are measured. Desorption is also obtained in the continuous regime, by exploiting CW visible illumination of the metallic neutralizer surface. We demonstrate that at lower CW light intensities vacuum conditions are not perturbed by the photodesorption and hence the MOT dynamics remains unaffected, while the trap population increases thanks to the incoming desorbed atoms flux. Even with the Y foil at room temperature and hence with no trapped atoms, upon visible illumination, the number of trapped atoms reaches 10(5). The experimental data are then analyzed by means of an analytical rate equation model, which allows the analysis of this phenomenon and its dynamics and allows the determination of critical experimental parameters and the test of the procedure in the framework of radioactive Francium trapping. In this view, together with an extensive investigation of the phenomenon with (85)Rb, the first demonstration of the photodesorption-aided loading of a (210)Fr MOT is shown.
Collapse
Affiliation(s)
- V Coppolaro
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - N Papi
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - A Khanbekyan
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - C Marinelli
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - E Mariotti
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - L Marmugi
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - L Moi
- DSFTA and CNISM, University of Siena, via Roma 56, 53100 Siena, Italy
| | - L Corradi
- INFN - Laboratori Nazionali di Legnaro, viale dell'Università 2, 35020 Legnaro (PD), Italy
| | - A Dainelli
- INFN - Laboratori Nazionali di Legnaro, viale dell'Università 2, 35020 Legnaro (PD), Italy
| | - H Arikawa
- Cyclotron and Radioisotope Center, Tohoku University, Sendai, Miyagi 980-8578, Japan
| | - T Ishikawa
- Cyclotron and Radioisotope Center, Tohoku University, Sendai, Miyagi 980-8578, Japan
| | - Y Sakemi
- Cyclotron and Radioisotope Center, Tohoku University, Sendai, Miyagi 980-8578, Japan
| | - R Calabrese
- University of Ferrara and INFN, via Saragat 1, 44122 Ferrara, Italy
| | - G Mazzocca
- University of Ferrara and INFN, via Saragat 1, 44122 Ferrara, Italy
| | - L Tomassetti
- University of Ferrara and INFN, via Saragat 1, 44122 Ferrara, Italy
| | - L Ricci
- Physics Department, University of Trento, via Sommarive 14, 38123 Povo (TN), Italy
| |
Collapse
|
30
|
Balestri R, Neri I, Patrizi A, Angileri L, Ricci L, Magnano M. Analysis of current data on the use of topical rapamycin in the treatment of facial angiofibromas in Tuberous Sclerosis Complex. J Eur Acad Dermatol Venereol 2014; 29:14-20. [DOI: 10.1111/jdv.12665] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2014] [Accepted: 06/27/2014] [Indexed: 11/29/2022]
Affiliation(s)
- R. Balestri
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| | - I. Neri
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| | - A. Patrizi
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| | - L. Angileri
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| | - L. Ricci
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| | - M. Magnano
- Department of Specialized, Clinical and Experimental Medicine; Division of Dermatology; University of Bologna; Bologna Italy
| |
Collapse
|
31
|
Sinjari B, Murmura G, Caputi S, Ricci L, Varvara G, Scarano A. Use of Oral Chroma™ in the assessment of volatile sulfur compounds in patients with fixed protheses. Int J Immunopathol Pharmacol 2014; 26:691-7. [PMID: 24067465 DOI: 10.1177/039463201302600312] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Prosthetic rehabilitation improves the patient's quality of life and oral health. The purpose of the present study was to assess the production of volatile sulfur compounds (VSCs) using Oral Chroma in patients wearing provisional and permanent fixed prosthesis, who were treated or not, with supportive non-surgical periodontal therapy. A total of 10 healthy patients not affected by periodontal disease and who needed the restoration of at least two edentulous single sites were included in the present study. Registrations of VSCs were carried out with a Gas Chromatograph OralChroma™ (Oral Chroma™, Abimedical, Abilit Corp., Osaka, Japan) one month after placement of the provisional restoration (group 1) and one month after placement of the final restoration (group 3). After each measurement, professional oral hygiene was carried out both on patients with provisional (group 2) and permanent prostheses (group 4) and VSC values were registered. The results showed that there were no statistical significant differences in the VSC quantity between groups with temporary or permanent prostheses. Meanwhile, statistically significant differences were found in VCS values between groups before and after the professional health care session (p less than 0.05). Also it was observed that dimethyl sulphide (CH3)2S was present in all the study groups. The present preliminary study suggests that OralChroma™ produce a comprehensive assessment of VSC in the clinical diagnosis of halitosis and that professional oral hygiene seems to influence VSC production. However, further clinical long-term studies with a larger sample size are necessary for a better understanding of halitosis manifestation in patients wearing provisional and permanent fixed prosthesis.
Collapse
Affiliation(s)
- B Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Italy
| | | | | | | | | | | |
Collapse
|
32
|
|
33
|
Dondi A, Ricci L, Neri I, Ricci G, Patrizi A. The switch from non-IgE-associated to IgE-associated atopic dermatitis occurs early in life. Allergy 2013; 68:259-60. [PMID: 23320563 DOI: 10.1111/all.12070] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
| | - L. Ricci
- Dermatology Unit; Department of Internal Medicine, Aging and Nephrological Diseases; University of Bologna; Bologna; Italy
| | - I. Neri
- Dermatology Unit; Department of Internal Medicine, Aging and Nephrological Diseases; University of Bologna; Bologna; Italy
| | - G. Ricci
- Pediatric Unit; Department of Gynecological, Obstetrical and Pediatric Sciences; University of Bologna; Bologna; Italy
| | - A. Patrizi
- Dermatology Unit; Department of Internal Medicine, Aging and Nephrological Diseases; University of Bologna; Bologna; Italy
| |
Collapse
|
34
|
Troili GM, Businaro R, Massoni F, Ricci L, Petrone L, Ricci P, Ricci S. [Investigation on a group of autistic children: risk factors and medical social considerations]. Clin Ter 2013; 164:e273-e278. [PMID: 24045522 DOI: 10.7417/ct.2013.1587] [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: 06/02/2023]
Abstract
AIMS The aim of this work is to study the association between autism in a group of autistic children and risk factors for specific familiar diseases and developmental disease in the early years of life, through a medical social investigation. MATERIALS AND METHODS For this study, we have submitted an anamnestic questionnaire to 29 autistic children and their families in a South Italy region (Basilicata), collecting data about children and their parents. RESULTS The results show that many children have a family history of autoimmune diseases (psoriasis, rheumatoid arthritis, celiac disease, Takayasu's arteritis), allergies and food intolerances, suggesting a putative involvement of the immune system in autism etiopathogenesis. Analyzing residences areas of patients, Potenza and Matera, with their environmental factors (radioactive waste repositories, incinerators, intensive farming), we demonstrate that the particular territorial characteristics don't affect autism. CONCLUSIONS Autistic disorder is a spectrum of neurologic disorders complex both in etiopathogenesis and healthcare. So we aim to continue the study already undertaken on cytokines of autistic subjects serum and to extend it through biomolecular approaches assessing the presence of specific genetic polymorphisms in order to identify the physiopathogenetic mechanisms underlying the disease and to evaluate the predictive risk with the aim to improve care interventions.
Collapse
Affiliation(s)
- G M Troili
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore. Università degli Studi "Sapienza" di Roma
| | | | | | | | | | | | | |
Collapse
|
35
|
Bottini LP, Ricci L, Piattelli A, Perrotti V, Iezzi G. Bucco-Lingual Crestal Bone Changes Around Implants Immediately Placed in Fresh Extraction Sockets in Association or not With Porcine Bone: A Non-Blinded Randomized Controlled Trial in Humans. J Periodontol 2012:1-8. [PMID: 23106506 DOI: 10.1902/jop.2012.120396] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Background: The aim of the present randomized controlled clinical trial was to assess the bucco-lingual bone changes of implants immediately placed in fresh extraction sockets in association or not with porcine bone. Methods: Forty patients were included in the present study, and were randomly assigned to the control (n = 20) and test (n = 20) groups. Each patient received a single implant placed into an immediate extraction site of a molar or a first upper premolar with a flapless approach. In the control sites no grafting material was placed, while in the tests a deantigenated collagenated bone substitute of porcine origin was used to fill the gaps between the implant and the extraction socket. The bucco-lingual bone width was measured at different time points: at the time of surgery (T0), at 90 days (T1), at 110 days (T2) and after 6 months of masticatory function (T3). The values were statistically analyzed between and within the treatment groups (p>0.05). Results: All the implants were osseointegrated. Four control implants were excluded from the analysis due to the exposure of the coronal portion of the fixture. At T1, T2 and T3, statistically significant differences were found by comparing the mean width of the bucco-lingual bone between control and test groups. The mean values decreased during the observation period in both groups; statistically significant differences within controls were detected at T1, T2 and T3, and at T2 and T3 within tests. Conclusions: The outcomes of present study suggested that porcine bone enabled to avoid bucco-lingual crestal bone changes in implants immediately placed in fresh extraction sockets.
Collapse
Affiliation(s)
- L P Bottini
- Department of Medical, Oral and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
| | | | | | | | | |
Collapse
|
36
|
Cutrupi S, Reineri S, Panetto A, Grosso E, Caizzi L, Ricci L, Friard O, Agati S, Scatolini M, Chiorino G, Lykkesfeldt AE, De Bortoli M. Erratum: Targeting of the adaptor protein Tab2 as a novel approach to revert tamoxifen resistance in breast cancer cells. Oncogene 2012. [DOI: 10.1038/onc.2012.95] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
37
|
Cutrupi S, Reineri S, Panetto A, Grosso E, Caizzi L, Ricci L, Friard O, Agati S, Scatolini M, Chiorino G, Lykkesfeldt AE, De Bortoli M. Targeting of the adaptor protein Tab2 as a novel approach to revert tamoxifen resistance in breast cancer cells. Oncogene 2012; 31:4353-61. [PMID: 22249258 DOI: 10.1038/onc.2011.627] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Pharmacological resistance is a serious threat to the clinical success of hormone therapy for breast cancer. The antiproliferative response to antagonistic drugs such as tamoxifen (Tam) critically depends on the recruitment of NCoR/SMRT corepressors to estrogen receptor alpha (ERα) bound to estrogen target genes. Under certain circumstances, as demonstrated in the case of interleukin-1β (IL-1β) treatment, the protein Tab2 interacts with ERα/NCoR and causes dismissal of NCoR from these genes, leading to loss of the antiproliferative response. In Tam-resistant (TamR) ER-positive breast cancer cells, we observed that Tab2 presents a shift in mobility on sodium dodecyl sulfate--PAGE (SDS-PAGE) similar to that seen in MCF7 wt upon stimulation with IL-1β, suggesting constitutive activation. Accordingly, TamR treatment with Tab2-specific short interfering RNA, restored the antiproliferative response to Tam in these cells. As Tab2 is known to directly interact with the N-terminal domain of ERα, we synthesized a peptide composed of a 14-aa motif of this domain, which effectively competes with ERα/Tab2 interaction in pull-down and co-immunoprecipitation experiments, fused to the carrier TAT peptide to allow internalization. Treatment of TamR cells with this peptide resulted in partial recovery of the antiproliferative response to Tam, suggesting a strategy to revert pharmacological resistance in breast cancer. Silencing of Tab2 in TamR cells by siRNA caused modulation of a gene set related to the control of cell cycle and extensively connected to BRCA1 in a functional network. These genes were able to discern two groups of patients, from a published data set of Tam-treated breast cancer profiles, with significantly different disease-free survival. Altogether, our data implicate Tab2 as a mediator of resistance to endocrine therapy and as a potential new target to reverse pharmacological resistance and potentiate antiestrogen action.
Collapse
Affiliation(s)
- S Cutrupi
- Center for Molecular Systems Biology, University of Turin, Turin, Italy
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Ricci L. Home literacy environments, interest in reading and emergent literacy skills of children with Down syndrome versus typical children. J Intellect Disabil Res 2011; 55:596-609. [PMID: 21435070 DOI: 10.1111/j.1365-2788.2011.01415.x] [Citation(s) in RCA: 5] [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] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND The present study examined home literacy environments, children's interest in reading and emergent literacy skills of pre-school-aged children with Down syndrome (DS; n=20), school-aged children with DS (n=17) and typically developing children (n=18) matched on chronological age with the younger DS group and mental age (MA) with the older DS group. METHOD Parents filled out questionnaires on their home literacy environments and their children's interest in reading. School-aged children with DS and typical children were assessed on cognitive functioning, receptive vocabulary, alphabet knowledge, familiarity with print conventions and comprehension of meaning. RESULTS School-aged children with DS and typical children - as opposed to pre-school-aged children with DS - were exposed to more literacy-rich home environments and had greater interest in reading. School-aged children with DS also outperformed the MA-matched typical group on letter and sight word knowledge and familiarity with print conventions. CONCLUSIONS Parents of children with DS tailor home literacy environments to their children's developmental levels. Confirming earlier studies, children with DS achieved some higher literacy skills than what was expected for their MA, emphasising the importance of early reading interventions for this population.
Collapse
Affiliation(s)
- L Ricci
- Special Education & Counseling, California State University, Los Angeles, CA, USA.
| |
Collapse
|
39
|
Reineri S, Cutrupi S, Panetto A, Ricci L, Lykkesfeldt A, Bortoli MD. 315 The corepressor-associated protein Tab2 as a new target to revert resistance to antiestrogens in breast cancer. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)72022-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: 11/27/2022] Open
|
40
|
Pagano L, Valentini CG, Posteraro B, Girmenia C, Ossi C, Pan A, Candoni A, Nosari A, Riva M, Cattaneo C, Rossini F, Fianchi L, Caira M, Sanguinetti M, Gesu GP, Lombardi G, Vianelli N, Stanzani M, Mirone E, Pinsi G, Facchetti F, Manca N, Savi L, Mettimano M, Selva V, Caserta I, Scarpellini P, Morace G, D'Arminio Monforte A, Grossi P, Giudici D, Tortorano AM, Bonini A, Ricci L, Picardi M, Rossano F, Fanci R, Pecile P, Fumagalli L, Ferrari L, Capecchi PL, Romano C, Busca A, Barbui A, Garzia M, Minniti RR, Farina G, Montagna MT, Bruno F, Morelli O, Chierichini A, Placanica PM, Castagnola E, Bandettini R, Giordano S, Monastero R, Tosti ME, Rossi MR, Spedini P, Piane R, Nucci M, Pallavicini F, Bassetti M, Cristini F, LA Sorda M, Viviani M. Zygomycosis in Italy: a survey of FIMUA-ECMM (Federazione Italiana di Micopatologia Umana ed Animale and European Confederation of Medical Mycology). J Chemother 2009; 21:322-9. [PMID: 19567354 DOI: 10.1179/joc.2009.21.3.322] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The aims of the study were to analyze the clinical and epidemiological characteristics and treatments for patients who developed zygomycosis enrolled in Italy during the European Confederation of Medical Mycology of medical mycology survey. This prospective multicenter study was performed between 2004 and 2007 at 49 italian Departments. 60 cases of zygomycosis were enrolled: the median age was 59.5 years (range 1-87), with a prevalence of males (70%). The majority of cases were immunocompromised patients (42 cases, 70%), mainly hematological malignancies (37). Among non-immunocompromised (18 cases, 30%), the main category was represented by patients with penetrating trauma (7/18, 39%). The most common sites of infection were sinus (35%) with/without CNS involvement, lung alone (25%), skin (20%), but in 11 cases (18%) dissemination was observed. According to EORTC criteria, the diagnosis of zygomycosis was proven in 46 patients (77%) and in most of them it was made in vivo (40/46 patients, 87%); in the remaining 14 cases (23%) the diagnosis was probable. 51 patients received antifungal therapy and in 30 of them surgical debridement was also performed. The most commonly used antifungal drug was liposomal amphotericin B (L-AmB), administered in 44 patients: 36 of these patients (82%) responded to therapy. Altogether an attributable mortality rate of 32% (19/60) was registered, which was reduced to 18% in patients treated with L-AmB (8/44). Zygomycosis is a rare and aggressive filamentous fungal infection, still associated with a high mortality rate. This study indicates an inversion of this trend, with a better prognosis and significantly lower mortality than that reported in the literature. It is possible that new extensive, aggressive diagnostic and therapeutic procedures, such as the use of L-AmB and surgery, have improved the prognosis of these patients.
Collapse
Affiliation(s)
- L Pagano
- Instituto di Ematologia, Università Cattolica del Sacro Cuore, Roma.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Ricci L, Murru G, Varini R, Guidetti C, Vecchia L. IDENTIFICAZIONE RAPIDA CON PCR REAL TIME DI MRSA E VRE ISOLATI DA CAMPIONI CLINICI. Microbiol Med 2007. [DOI: 10.4081/mm.2007.2853] [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: 11/22/2022] Open
|
42
|
Ricci L, Murru G, Varini R, Gabbi E, Salsi P, Guidetti C, Vecchia L. RISULTATI PRELIMINARI RELATIVI ALL’IMPIEGO DI PCR REAL TIME NELLA DIAGNOSTICA PRECOCE DELLA SEPSI. Microbiol Med 2007. [DOI: 10.4081/mm.2007.2854] [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: 11/23/2022] Open
|
43
|
Falcini F, Cimaz R, Ricci L, Fanner S, De Martino M, Ceruso M. A boy with bizarre hands mimicking an inflammatory chronic disease. Clin Exp Rheumatol 2007; 25:790-791. [PMID: 18078635] [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: 05/25/2023]
|
44
|
Calderaro A, Piccolo G, Perandin F, Gorrini C, Peruzzi S, Zuelli C, Ricci L, Manca N, Dettori G, Chezzi C, Snounou G. Genetic polymorphisms influence Plasmodium ovale PCR detection accuracy. J Clin Microbiol 2007; 45:1624-7. [PMID: 17360843 PMCID: PMC1865880 DOI: 10.1128/jcm.02316-06] [Citation(s) in RCA: 84] [Impact Index Per Article: 4.9] [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] Open
Abstract
Detection of Plasmodium ovale by use of a nested PCR assay with a novel Plasmodium ovale primer set was superior to detection of Plasmodium ovale by real-time PCR assays. Nested PCR was also better at detecting P. malariae. The detection of P. ovale in many patients first admitted >2 months following their return to Italy indicated that P. ovale relapses are common.
Collapse
Affiliation(s)
- A Calderaro
- Faculty of Medicine and Surgery, University of Parma, Department of Pathology and Laboratory Medicine, Section of Microbiology, Viale A. Gramsci, 14-43100 Parma, Italy.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
45
|
Magnani G, Gabbi E, Catania A, Ricci L, Guidetti C, Vecchia L. P1067 Fusobacterium necrophorum severe sepsis associated with Lemierre's syndrome and pulmonary metastatic septic embolisation. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70907-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: 11/17/2022]
|
46
|
Calderaro A, Piccolo G, Perandin F, Gorrini C, Peruzzi S, Ricci L, Manca N, Snounou G, Dettori G, Chezzi C. MESSA A PUNTO DI UNA NESTED-PCR PER IDENTIFICARE CEPPI DI P.OVALE CON POLIMORFISMO GENETICO NEL 18S-rDNA. Microbiol Med 2006. [DOI: 10.4081/mm.2006.3362] [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: 11/23/2022] Open
|
47
|
Falcini F, Ricci L, Poggi GM, Simonini G, Calabri GB, de Martino M. Severe cutaneous manifestations in a child with refractory Kawasaki disease. Rheumatology (Oxford) 2006; 45:1444-5. [PMID: 16847007 DOI: 10.1093/rheumatology/kel194] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
48
|
Falcini F, Trapani S, Ricci L, Resti M, Simonini G, de Martino M. Sustained improvement of a girl affected with Devic's disease over 2 years of mycophenolate mofetil treatment. Rheumatology (Oxford) 2006; 45:913-5. [PMID: 16638802 DOI: 10.1093/rheumatology/kei263] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
49
|
Frosini M, Ricci L, Saponara S, Palmi M, Valoti M, Sgaragli G. GABA-mediated effects of some taurine derivatives injected i.c.v. on rabbit rectal temperature and gross motor behavior. Amino Acids 2006; 30:233-42. [PMID: 16583317 DOI: 10.1007/s00726-005-0270-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2005] [Accepted: 11/13/2005] [Indexed: 11/29/2022]
Abstract
Some synthetic taurine analogues, namely ethanolamine-O-sulphate (EOS), N,N-dimethyltaurine (DMT), N,N,N-trimethyltaurine (TMT) and 2-aminoethylphosphonic acid (AEP) were shown to interact with rabbit brain GABA(A)- or GABA(B)-receptors, while (+/-)piperidine-3-sulfonic acid (PSA) inhibited the activity of rabbit brain 4-aminobutyrate transaminase. This suggests that they behave like direct/indirect GABA agonists or GABA antagonists and affect thermoregulation and gross motor behaviour (GMB) which are under GABA control. In the present study micromole (1.2-48) amounts of these compounds were i.c.v. injected in conscious, restrained rabbits while monitoring rectal temperature (RT), ear skin temperature (EST) and GMB. AEP, EOS, DMT and TMT induced a dose-related hyperthermia, ear vasoconstriction and excitation of GMB, while PSA induced a dose-related hypothermia, ear vasodilation and inhibition of GMB. EOS antagonized in a dose-related fashion hypothermia induced by 60 nmol THIP, a GABA(A) agonist, while AEP, DMT and TMT counteracted that induced by 8 nmol R(-)Baclofen, a GABA(B) agonist. In conclusion, EOS and AEP, DMT, TMT seem to act as GABA(A) and GABA(B) antagonists, respectively, while PSA behaves like an indirect GABA agonist, all affecting the central mechanisms which drive rabbit thermoregulation.
Collapse
Affiliation(s)
- M Frosini
- Dipartimento di Scienze Biomediche, Sezione di Farmacologia, Università di Siena, Siena, Italy.
| | | | | | | | | | | |
Collapse
|
50
|
Abstract
OBJECTIVE Kawasaki disease (KD) is an acute febrile systemic vasculitis, mainly affecting infants and young children. Immunological abnormalities during the acute phase of KD have been described extensively. However, the occurrence of a second immunological disorder in a patient with a history of KD is rarely reported. We evaluated the presence of autoimmune thyroiditis and coeliac disease (CD) in patients with KD diagnosis. METHODS Ninety consecutive children (57 males and 33 females, median age 5.2 yr, age range 1.6-14.1 yr) with KD were evaluated. All patients were evaluated for thyroid function (thyroid-stimulating hormone, thyroxine and triiodothyronine), anti-thyroglobulin (TgA) and anti-peroxidase (TPOA) antibodies, and antigliadin, anti-endomysium and antitransglutaminase antibodies. CD was confirmed by jejunal biopsy if the specific antibody profile was positive. One hundred and fifty Italian children, matched for age and sex and from the same geographic area, acted as controls. RESULTS A total of five patients (three boys, two girls; 5.5%; P<0.05) were found positive for coeliac antibodies. In all of these patients the diagnosis of CD was confirmed histologically. Regarding thyroid function and autoantibodies, no patient showed subclinical hypothyroidism or autoimmune thyroiditis. No differences in the familial occurrence of autoimmune diseases between KD patients and controls were found (9.1 and 7.9%, respectively). CONCLUSIONS Our data showed a higher prevalence of CD in children with KD, and this suggests that children with KD should be monitored carefully for CD. However, there was no increase in the prevalence of autoimmune thyroid diseases in patients with KD or the familial occurrence of autoimmune diseases.
Collapse
Affiliation(s)
- S Stagi
- Department of Paediatrics, Paediatric Rheumatology Unit, University of Florence, Florence, Italy
| | | | | | | | | |
Collapse
|