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Cignitti M, Gaudino D, Nanna M, Contento E, Montagnoli A, Pascucci A, Melli M, Di Vittorio M, Ippolito E, Silipigni S, Bellesi L, Cellini F, Trodella L. EP-1647: Re-planning of field-in-field tangential treatment based on misalignment during the delivery. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41639-1] [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]
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Montagnoli A, Cellini F, Contento E, Nanna N, Cignitti M, Pascucci A, Melli M, Di Vittorio M, Stimato G, Fiore M, Iannacone E, Gaudino D, Trodella L. EP-1654: 2D-based direct evaluation of field alignment for adjuvant breast cancer with field-in-field tangential technique. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41646-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Perino A, Vassiliadis A, Vucetich A, Colacurci N, Menato G, Cignitti M, Semprini AE. Short-term therapy for recurrent abortion using intravenous immunoglobulins: results of a double-blind placebo-controlled Italian study. Hum Reprod 1997; 12:2388-92. [PMID: 9436670 DOI: 10.1093/humrep/12.11.2388] [Citation(s) in RCA: 70] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
It is still unclear whether i.v. immunoglobulins (Ig) can facilitate the reproductive prognosis of women who have suffered recurrent pregnancy loss. We report the results of a multicentre placebo-controlled study on the effect of Ig administration on pregnancy outcome in 46 women who had suffered at least three recurrent miscarriages. All were screened to exclude chromosomal or Müllerian abnormalities, the presence of antinuclear antibodies, lupus anticoagulant (LA) or elevated titres of anticardiolipin antibodies which may have revealed an underlying autoimmune problem. To avoid a selection bias towards ongoing pregnancies, i.v. Ig or placebo were administered between weeks 5 and 7 of gestation for 2 consecutive days as soon as each woman knew she was pregnant and before embryonic heart activity could be detected. A further infusion was administered at week 8 when ultrasonography confirmed an ongoing embryonic development. In all, 68% of the women who received Ig went to term versus 79% of those who received a placebo (not significant), with no significant differences in the pregnancy course or the perinatal outcome. These results suggest either that women with recurrent miscarriages who have no recognized cause of pregnancy loss have a good reproductive prognosis without any treatment or that the emotional care associated with the administration of a placebo can indirectly facilitate the progression of pregnancy.
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Affiliation(s)
- A Perino
- Department of Obstetrics and Gynaecology, University of Palermo, Italy
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Abstract
During operative laparoscopy in the management of the ectopic pregnancy, conservative treatment consisting of linear salpingotomy and extraction of trophoblast must be carried out systematically. Until recently, tubal incision was performed with monopolar delivery systems. Bipolar electrosurgery has been used for many years, but is limited to coagulation. We applied bipolar technology in the conservative treatment of ectopic pregnancy. The instrument we used for the salpingotomy consisted of disposable Bilap needle or hook electrodes with shaft diameter of 5 mm and working length 33 cm. The trophoblast was extracted with a hydrodissection pump provided with 10- or 5-mm probes without irrigation holes. The electrodes were connected to an electrosurgical generator with maximum cutting power of 70 W. This system offers cutting in bipolar applications that are designed to eliminate current passing through tissues other than those selected. The conductive electrodes are closely spaced, reducing the energy requirements and power delivered to the surrounding tissue. The operative procedure was performed in 12 women. We had no persistent trophoblastic proliferation, and no patient required additional treatment.
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Affiliation(s)
- M Tiriduzzi
- Department of Obstetrics and Gynecology, University of Ancona, Ospedale "G. Salesi," Via F. Corridoni, 11, 60123 Ancona, Italy
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Garzetti GG, Ciavattini A, Provinciali M, Fabris N, Cignitti M, Romanini C. Natural killer cell activity in endometriosis: correlation between serum estradiol levels and cytotoxicity. Obstet Gynecol 1993; 81:665-8. [PMID: 8469451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
OBJECTIVE To evaluate the correlation between natural killer cell activity and serum estradiol (E2) levels in patients with different stages of endometriosis. METHODS Natural killer cell activity of peripheral blood lymphocytes and serum E2 levels were evaluated in 73 women who underwent laparoscopy for pelvic pain, infertility, and benign adnexal masses. RESULTS The 33 patients (45%) with endometriosis showed a significant decrease in natural killer cell activity in relationship to an increase in disease stage (correlation coefficient r = -0.83, P < .001). A significant inverse relationship was observed between cytotoxicity and serum E2 levels (correlation coefficient r = -0.89, P < .001). CONCLUSION The relationship between natural killer cell activity and serum E2 levels suggests that an immunoendocrine interaction plays an important role in the progression of endometriosis.
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Affiliation(s)
- G G Garzetti
- Department of Obstetrics and Gynecology, University of Ancona, Italy
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Garzetti GG, Cignitti M, Ciavattini A, Fabris N, Romanini C. Natural killer cell activity and progression-free survival in ovarian cancer. Gynecol Obstet Invest 1993; 35:118-20. [PMID: 8383627 DOI: 10.1159/000292678] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
A longitudinal evaluation of the natural killer (NK) cell activity of peripheral blood lymphocytes was performed in 17 patients with advanced ovarian cancer (treated surgically and with subsequent multiagent chemotherapy) for a median follow-up period of 32 months. At the time of primary treatment, the mean value of NK cell activity was significantly lower in patients who then had disease progression (p < 0.05) than in patients with progression-free survival. During the follow-up period, no significant modifications of the NK cell activity were observed; only at the time of clinical disease progression did the NK cell activity show a significant reduction. We conclude that the NK cell activity is a potentially important prognostic factor.
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Affiliation(s)
- G G Garzetti
- Department of Gynecology and Obstetrics, University of Ancona, Italy
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Garzetti GG, Ciavattini A, Cignitti M, Valensise H, Amoroso D, Ravasi E, Lanza R, Romanini C. [Transvaginal echography in the evaluation of the grade of myometrial invasion in locally advanced endometrial carcinoma]. Ann Ostet Ginecol Med Perinat 1992; 113:114-8. [PMID: 1299153] [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: 12/26/2022]
Abstract
Neoplastic myometrial invasion is an important prognostic factor in local advanced endometrial carcinoma, conditioning therapeutic choice. In 34 patients with stage I and II endometrial carcinoma, the depth of myometrial invasion was evaluated by transvaginal sonography (TVS). In comparison with pathological findings, TVS showed an overall accuracy of 82.3% with a sensitivity of 82.6% and a specificity of 81.8%. The principal error was related to the underestimation of the lesion: negative predictive value of 49.2% vs positive predictive value of 90.4%. In conclusion, TVS is an accurate imaging method for staging of local advanced endometrial carcinoma.
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Affiliation(s)
- G G Garzetti
- Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Ancona
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Cignitti M, Costa M, Chiarelli A, Papi A, Pini A, Ciavattini A, Garzetti GG, Romanini C. [Homologous intrauterine insemination: our experience]. Ann Ostet Ginecol Med Perinat 1992; 113:119-23. [PMID: 1299154] [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: 12/26/2022]
Abstract
Sixty-five couples with male infertility or unexplained infertility or infertility due to cervical factor underwent 156 cycles of homologue intrauterine insemination. The overall pregnancy rate was 16.5% with 2.4 mean value of insemination cycles for each couple. The highest pregnancy rate was observed in cases of cervical factor infertility. The mean age of patients who had pregnancy was 30 years (overall mean value 34 years) and the mean time of sterility was 3 years (overall mean value 4.4 years).
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Affiliation(s)
- M Cignitti
- Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Ancona
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Cignitti M. [Sterilization by gamma radiation of materials for pharmaceutical use: the problem of its effect on chemical structure]. Boll Chim Farm 1992; 131:71-3. [PMID: 1503707] [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: 12/27/2022]
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Garzetti GG, Ciavattini A, Cignitti M, Lufino R, Romanini C. [Prognostic significance of diagnostic delay in carcinoma of the endometrium: our experience]. Ann Ostet Ginecol Med Perinat 1992; 113:55-9. [PMID: 1476403] [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: 12/27/2022]
Abstract
Although endometrial carcinoma is characterized by a precocious symptomatology, in 28.4-22.6% of cases at the time of diagnosis it is found to be at clinical stage higher than I. In the present study the diagnostic delay is related to the stage of disease. Our data suggest that diagnostic delay can cause a higher risk of advanced-stage disease; all the cases of stage III and IV disease, in fact, were diagnosed after more than 7 months. Diagnostic delay was also directly related to depth of myometrial invasion; the mean diagnostic delay was significantly shorter in patients with stage I disease and superficial myometrial invasion (3.92 vs 8.76 months) (p < 0.001). Therefore, diagnostic delay is directly related to well-established prognostic variables as well as to clinical stage and depth of myometrial invasion.
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Affiliation(s)
- G G Garzetti
- Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Ancona
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Garzetti GG, Cignitti M, Marchegiani F, Ciavattini A, Tranquilli AL, Fabris N, Romanini C. Natural killer cell activity in patients with gynecologic malignancies: correlation with histologic grading and stage of disease. Gynecol Obstet Invest 1992; 34:49-51. [PMID: 1526531 DOI: 10.1159/000292724] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [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: 12/27/2022]
Abstract
Basal natural killer (NK) cell activity in peripheral blood lymphocytes (PBLs) of 29 patients with gynecologic malignancy and 10 healthy controls was performed using K 562 cell line. A significant decrease of NK cell activity was observed in patients with gynecologic malignancy (p = 0.003). The NK cell activity of patients with poorly differentiated tumor or with stage IV of disease was significantly reduced with respect to patients at any other lower grade or earlier stage. We conclude that in patients with gynecologic malignancies there is a decrease of basal NK cell activity of PBLs, which is more significant in cases of distant tumor dissemination or poorly differentiated tumor (p less than 0.001).
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Affiliation(s)
- G G Garzetti
- Department of Gynecology and Obstetrics, University of Ancona, Italy
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Garzetti GG, Cignitti M, Ciavattini A, Fabris N, Romanini C. Lymphocyte subset and NK activity in cervical intra-epithelial neoplasia. Gynecol Obstet Invest 1992; 34:119-21. [PMID: 1398262 DOI: 10.1159/000292740] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
We have studied the systemic T-lymphocyte subset and, in particular, the natural-killer (NK) activity in 23 patients with cervical intra-epithelial neoplasia (CIN), and 11 controls (a history of normal cervical PAP smears and colposcopy patterns). The lymphocyte phenotypes were studied using a panel of monoclonal antibodies, and NK activity was evaluated as the percentage lysis of K 562 target cells. In patients with CIN we found a significant decrease in NK activity (p = 0.002) which was directly correlated with the grade of CIN, with no alterations in the absolute number of NK cells.
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Affiliation(s)
- G G Garzetti
- Department of Obstetrics and Gynaecology, University of Ancona, Italy
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Cittadini E, Montemagno U, Pardi G, Perino A, Marcenò R, Semprini E, Cavallaro AM, Cignitti M, Cimino C, Colacurci N. Protocol for the diagnostic and therapeutic management of recurrent alloimmune abortion. Acta Eur Fertil 1991; 22:267-74. [PMID: 1845749] [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: 12/29/2022]
Affiliation(s)
- E Cittadini
- Istituto Materno-Infantile, Università di Palermo
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Garzetti GG, Cignitti M, Ciavattini A, Marchegiani F, Romanini C, Fabris N, La Cava MC. Immunitary system in pregnancy hypertension. Acta Eur Fertil 1991; 22:157-8. [PMID: 1839482] [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: 12/29/2022]
Abstract
Several Authors demonstrate changes in maternal immune system in women with pregnancy induced hypertension (PIH). In this study peripheral mononuclear cells were isolated in fifteen primigravid women with PIH and tested with monoclonal antibodies Leu 4, Leu 3, Leu 2 and Leu 7; in four women were studied monoclonal antibodies anti-Tac. The results were compared with a normotensive pregnant control group. T helper and T suppressor were increased but showed no statistical difference. The difference was statistically significant only for th NK cells. Tac antigen was expressed only on the Leu 3 induce subset. The PIH occurs because of a failure of maternal immune system.
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Affiliation(s)
- G G Garzetti
- Department of Obstetrics and Gynaecology, University of Ancona
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Cignitti M, Mazzarini A, Pini A, Garzetti GG, Romanini C. Induction of ovulation with pulsatile gonadotropin releasing hormone (GnRH) in anovulatory women. Acta Eur Fertil 1990; 21:235-8. [PMID: 2132474] [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: 12/30/2022]
Abstract
In this study we employed pulsatile GnRH therapy in different anovulatory disorders to test its real efficacy on ovulation induction. Ten adult women, 25-35 years old with primary or secondary infertility, underwent our study; all women showed anovulatory disorders such as Secondary Amenorrhea (n. 4), PCOD (n. 3) or Oligomenorrhea resistant to Clomiphene Citrate (n. 3). Pulsatile gonadotropin releasing hormone (GnRH) was given intravenously via automatic micropump, with a pulse interval of 90' and a pulse dose of 5 mcg/day. Ovulation was achieved in 7 cases (70%), whereas the failure of therapy was observed in 3 patients (30%), all affected by PCOD. The mean duration of follicular phase was 15 days and the ovulatory cycles did not need the luteal phase support. The maximum length of infusional therapy was 20 days with a low incidence of adverse side effects such as phlebitis; only in one patient a mild ovarian hyperstimulation was observed. Our results confirm that infusional pulsatile GnRH therapy is a very important tool to ovulation induction and it is more successful in primary or secondary amenorrhea and in hypothalamic disorders than in PCOD.
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Affiliation(s)
- M Cignitti
- Department of Obstetrics and Gynecology, Ancona University, Italy
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Cignitti M. Physical Methods of Chemistry. Vol. 2. Electrochemical Methods (2nd edition). J Electroanal Chem (Lausanne) 1989. [DOI: 10.1016/0022-0728(89)87206-7] [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: 11/28/2022]
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Cignitti M. Spectroscopy of Biological Molecules. J Electroanal Chem (Lausanne) 1988. [DOI: 10.1016/0022-0728(88)87095-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Turi A, Di Prospero F, Mazzarini A, Costa M, Cignitti M, Garzetti GG, Romanini C. Lymphocytes subset in hyperandrogenic women with polycystic ovarian disease. Acta Eur Fertil 1988; 19:155-7. [PMID: 2906494] [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: 01/03/2023]
Abstract
The correlation between the sex steroids and the immune system is already known but the relationships between testosterone, progesterone, estradiol, cortisol and the immune system are still controversial. The Authors have studied lymphocytes subset in ten women with polycystic ovarian disease (PCOD); it was observed: 1) a decrease of T8 in 64% and of natural killer activity (NK) in 60% of patients, and an increase of T4/T8 ratio in 55%; 2) a significant negative correlation between androstenedione and testosterone (P less than 0.05); 3) a significant positive correlation between the decreased T8 lymphocytes and NK cells and the increase of testosterone and androstenedione serum values. The data suggest that in PCOD a correlation between endocrine and immune system exists and the androgens can affect the lymphocyte subset.
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Affiliation(s)
- A Turi
- Department of Obstetrics and Gynecology, University of Ancona, Italy
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Tranquilli AL, Cignitti M, Valensise H, Garzetti GG, Romanini C. [Cellular bases of hypertension in pregnancy. III. Immunologic factors. Review of the literature and methodological introduction to the study]. Ann Ostet Ginecol Med Perinat 1986; 107:278-83. [PMID: 3827072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Cignitti M. J Electroanal Chem (Lausanne) 1983; 155:402-403. [DOI: 10.1016/s0022-0728(83)80505-1] [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: 10/24/2022]
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Cignitti M. Membrane spectroscopy. J Electroanal Chem (Lausanne) 1982. [DOI: 10.1016/0022-0728(82)87055-1] [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]
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Paoloni L, Cignitti M, Tosato ML. 13C and1H NMR spectroscopic studies on the structure ofN-Methyl-3-pyridone and 3-hydroxypyridine. ACTA ACUST UNITED AC 1974. [DOI: 10.1002/mrc.1270060817] [Citation(s) in RCA: 3] [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: 11/11/2022]
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Paoloni L, Tosato ML, Cignitti M. Tautomeric forms of Oxy- and Oxo-derivatives of 1,3,5-Triazine. Part VI. Isomerization mechanism and thermal stability of the methyl esters of cyanuric acid. J Heterocycl Chem 1968. [DOI: 10.1002/jhet.5570050415] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Cerquiglini S, Cignitti M, Marchetti M, Salleo A. On the origin of electrical effects produced by stress in the hard tissues of livg organisms. Life Sci 1967; 6:2651-60. [PMID: 6082158 DOI: 10.1016/0024-3205(67)90116-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Cerquiglini S, Cignitti M, Marchetti M, Salleo A. Mechanoelectrical properties of the exoskeleton of crustacea. Arch Sci Biol (Bologna) 1967; 51:288-95. [PMID: 5589045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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