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Bruno M, Fiore S. Review of lithium-ion batteries' supply-chain in Europe: Material flow analysis and environmental assessment. J Environ Manage 2024; 358:120758. [PMID: 38593735 DOI: 10.1016/j.jenvman.2024.120758] [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: 09/30/2023] [Revised: 02/26/2024] [Accepted: 03/23/2024] [Indexed: 04/11/2024]
Abstract
European legislation stated that electric vehicles' sale must increase to 35% of circulating vehicles by 2030, and concern is associated to the batteries' supply chain. This review aims at analysing the impacts (about material flows and CO2 eq emissions) of Lithium-Ion Batteries' (LIBs) recycling at full-scale in Europe in 2030 on the European LIBs' supply-chain. Literature review provided the recycling technologies' (e.g., pyro- and hydrometallurgy) efficiencies, and an inventory of existing LIBs' production and recycling plants in Europe. European production plants exhibit production capacity adequate for the expected 2030 needs. The key critical issues associated to recycling regard pre-treatments and the high costs and environmental impacts of metallurgical processes. Then, according to different LIBs' composition and market shares in 2020, and assuming a 10-year battery lifetime, the Material Flow Analysis (MFA) of the metals embodied in End of Life (EoL) LIBs forecasted in Europe in 2030 was modelled, and the related CO2 eq emissions calculated. In 2030 the European LIBs' recycling structure is expected to receive 664 t of Al, 530 t of Co, 1308 t of Cu, 219 t of Fe, 175 t of Li, 287 t of Mn and 486 t of Ni. Of these, 99% Al, 86% Co, 96% Cu, 88% Mn and 98% Ni will be potentially recovered by pyrometallurgy, and 71% Al, 92% Co, 92% Fe, 96% Li, 88 % Mn and 90% Ni by hydrometallurgy. However, even if the recycling efficiencies of the technologies applied at full-scale are high, the treatment capacity of European recycling plants could supply as recycled metals only 2%-wt of the materials required for European LIBs' production in 2030 (specifically 278 t of Al, 468 t of Co, 531 t of Cu, 114 t of Fe, 95 t of Li, 250 t of Mn and 428 t of Ni). Nevertheless, including recycled metals in the production of new LIBs could cut up 28% of CO2 eq emissions, compared to the use of virgin raw materials, and support the European batteries' value chain.
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Affiliation(s)
- Martina Bruno
- DIATI, Department of Engineering for Environment, Land, and Infrastructures, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129, Turin, Italy
| | - Silvia Fiore
- DIATI, Department of Engineering for Environment, Land, and Infrastructures, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129, Turin, Italy.
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Bruno M, Francia C, Fiore S. Closed-loop recycling of lithium iron phosphate cathodic powders via citric acid leaching. Environ Sci Pollut Res Int 2024:10.1007/s11356-024-32837-6. [PMID: 38468005 DOI: 10.1007/s11356-024-32837-6] [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] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 03/05/2024] [Indexed: 03/13/2024]
Abstract
Lithium recovery from Lithium-ion batteries requires hydrometallurgy but up-to-date technologies aren't economically viable for Lithium-Iron-Phosphate (LFP) batteries. Selective leaching (specifically targeting Lithium and based on mild organic acids and low temperatures) is attracting attention because of decreased environmental impacts compared to conventional hydrometallurgy. This study analysed the technical and economic performances of selective leaching with 6%vv. H2O2 and citric acid (0.25-1 M, 25 °C, 1 h, 70 g/l) compared with conventional leaching with an inorganic acid (H2SO4 1 M, 40 °C, 2 h, 50 g/l) and an organic acid (citric acid 1 M, 25 °C, 1 h, 70 g/l) to recycle end of life LFP cathodes. After conventional leaching, chemical precipitation allowed to recover in multiple steps Li, Fe and P salts, while selective leaching allowed to recover Fe and P, in the leaching residues and required chemical precipitation only for lithium recovery. Conventional leaching with 1 M acids achieved leaching efficiencies equal to 95 ± 2% for Li, 98 ± 8% for Fe, 96 ± 3% for P with sulfuric acid and 83 ± 0.8% for Li, 8 ± 1% for Fe, 12 ± 5% for P with citric acid. Decreasing citric acid's concentration from 1 to 0.25 M didn't substantially change leaching efficiency. Selective leaching with citric acid has higher recovery efficiency (82 ± 6% for Fe, 74 ± 8% for P, 29 ± 5% for Li) than conventional leaching with sulfuric acid (69 ± 15% for Fe, 70 ± 18% for P, and 21 ± 2% for Li). Also, impurities' amounts were lower with citric acid (335 ± 19 335 ± 19 of S mg/kg of S) than with sulfuric acid (8104 ± 2403 mg/kg of S). In overall, the operative costs associated to 0.25 M citric acid route (3.17€/kg) were lower compared to 1 M sulfuric acid (3.52€/kg). In conclusion, citric acid could be a viable option to lower LFP batteries' recycling costs, and it should be further explored prioritizing Lithium recovery and purity of recovered materials.
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Affiliation(s)
- Martina Bruno
- Department of Environment, Land and Infrastructure Engineering, DIATI, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, 10129, Turin, Italy
| | - Carlotta Francia
- DISAT, Department of Applied Sciences and Technology, Politecnico Di Torino, 10129, Turin, Italy
| | - Silvia Fiore
- Department of Environment, Land and Infrastructure Engineering, DIATI, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, 10129, Turin, Italy.
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Calegari JG, Bisesti A, Pazzaglia S, Gambazza S, Binda F, Bruno M, Chiappa L, Piatti A, Tiwana N, Letzgus M, Castaldi S, Sottocorno M, Laquintana D. Setting up and managing the largest COVID-19 mass vaccination center in Lombardy, Italy. Front Public Health 2023; 11:1290350. [PMID: 38045968 PMCID: PMC10691470 DOI: 10.3389/fpubh.2023.1290350] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 11/02/2023] [Indexed: 12/05/2023] Open
Abstract
Background The rapid global spread of severe acute respiratory syndrome coronavirus (SARS-CoV-2) was met with the rollout of vaccination campaigns at mass vaccination centers. The Palazzo delle Scintille, Milan, was designated by the Lombardy regional administration as a vaccination site with the target of processing about 9,000 users daily. Methods For this observational study, we compared data on vaccinations delivered at the Palazzo delle Scintille with coronavirus disease (COVID-19)-related regional data. Results Between 25 April 2021 and 28 February 2023, a total of 1,885,822 COVID-19 doses were administered; the mean hourly rate was 289 (247.2), the mean daily rate was 3185.5 (3104.5), the mean user age was 49.5 years (10.7). The Comirnaty vaccine (Pfizer-BioNTech) was most often given (1,072,030/1,885,822; 56.8%). Between 4 December 2021 and 15 January 2022, the daily dose rate was above the maximum daily capacity set by the regional administration. Conclusion The trend for daily dose rates administered at the Palazzo delle Scintille center was in line with COVID-19-related regional data. The center played a major role in the regional mass vaccination campaign.
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Affiliation(s)
- Jessica Graziella Calegari
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Alberto Bisesti
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Silvia Pazzaglia
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Simone Gambazza
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Filippo Binda
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Martina Bruno
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Laura Chiappa
- Hospital Medical Direction, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Alessandra Piatti
- Hospital Medical Direction, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Navpreet Tiwana
- Hospital Medical Direction, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Matteo Letzgus
- Hospital Medical Direction, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Silvana Castaldi
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- Quality Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Marcello Sottocorno
- Department of Hospital Pharmacy, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Dario Laquintana
- Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
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Amadei F, Fozzato S, Prevot LB, Ciccarelli A, Bruno M, Basile G. The posterior interosseus artery flap (piaf) in reconstructive surgery of the hand: strategies of use and medico-legal implications. Clin Ter 2023; 174:498-502. [PMID: 38048112 DOI: 10.7417/ct.2023.5016] [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
Background and aim The fascio-cutaneous posterior interosseus artery flap (PIAF) is used in hand reconstruction, especially to repair skin or tissue defects such as burn injuries, open fractures, gunshot wounds or traumatic amputations. The aim of this study is to examine the anatomical features of this flap, to describe the surgical harvesting technique and the difficulties associated with the dissection. Methods From January 2016 to January 2022, we performed PIAF in 10 patients (3 women and 7 men) with a mean age of 28 years (range 22-44). This flap is taken from the back of the forearm, between the extensor carpi ulnaris (ECU) muscle and the extensor digitorum common (EDC) muscle. Results We analyzed retrospectively our patients indicating the failures of this reconstructive surgery, the complications that have arisen and the results using DASH score with the related clinical and medico-legal implications. Conclusions Due to its location and structure, PIAF is one of the most versatile fascio-cutaneous flaps in upper limb reconstructive surgery and can be used to reconstruct parts of the hand, wrist, or elbow, allowing to restore limb function and improve the quality of life of patients even if there could be some medico-legal implications.
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Affiliation(s)
- F Amadei
- Hand and Peripheral Nerve Center, C.O.F. Lanzo Hospital, Italy
| | - S Fozzato
- Trauma Surgery IRCCS Orthopedic Institute Galeazzi, Milan, Italy
| | - L B Prevot
- Trauma Surgery IRCCS Orthopedic Institute Galeazzi, Milan, Italy
| | - A Ciccarelli
- Department of Movement, Human and Health Sciences University of Rome Foro Italico, Rome, Italy
| | - M Bruno
- Consultant Hand Surge-ry Villa Stuart Rome
| | - G Basile
- Trauma Surgery IRCCS Orthopedic Institute Galeazzi, Milan, Italy
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Bruno M, Capanna G, Di Florio C, Sollima L, Guido M, Ludovisi M. Sonographic characteristics of ovarian Leydig cell tumor. Ultrasound Obstet Gynecol 2023; 62:441-442. [PMID: 37021749 DOI: 10.1002/uog.26212] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 02/10/2023] [Accepted: 03/28/2023] [Indexed: 06/19/2023]
Affiliation(s)
- M Bruno
- Department of Obstetrics and Gynecology, San Salvatore Hospital, L'Aquila, Italy
| | - G Capanna
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - C Di Florio
- Department of Obstetrics and Gynecology, San Salvatore Hospital, L'Aquila, Italy
| | - L Sollima
- Pathology Unit, Biomedical Department, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - M Guido
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - M Ludovisi
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
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Galazzi A, Bruno M, Binda F, Caddeo G, Chierichetti M, Roselli P, Grasselli G, Laquintana D. Thematic analysis of intensive care unit diaries kept by staff: insights for caring. Intensive Crit Care Nurs 2023; 76:103392. [PMID: 36731262 PMCID: PMC9870754 DOI: 10.1016/j.iccn.2023.103392] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/07/2023] [Accepted: 01/16/2023] [Indexed: 01/25/2023]
Abstract
OBJECTIVE To explore recurrent themes in diaries kept by intensive care unit (ICU) staff during the coronavirus disease 2019 (COVID-19) pandemic. DESIGN Qualitative study. SETTING Two ICUs in a tertiary level hospital (Milan, Italy) from January to December 2021. METHODS ICU staff members wrote a digital diary while caring for adult patients hospitalized in the intensive care unit for >48 hours. A thematic analysis was performed. FINDINGS Diary entries described what happened and expressed emotions. Thematic analysis of 518 entries gleaned from 48 diaries identified four themes (plus ten subthemes): Presenting (Places and people; Diary project), Intensive Care Unit Stay (Clinical events; What the patient does; Patient support), Outside the Hospital (Family and topical events; The weather), Feelings and Thoughts (Encouragement and wishes; Farewell; Considerations). CONCLUSION The themes were similar to published findings. They offer insight into care in an intensive care unit during a pandemic, with scarce resources and no family visitors permitted, reflecting on the patient as a person and on daily care. The staff wrote farewell entries to dying patients even though no one would read them. IMPLICATIONS FOR CLINICAL PRACTICE The implementation of digital diaries kept by intensive care unit staff is feasible even during the COVID-19 pandemic. Diaries kept by staff can provide a tool to humanize critical care. Staff can improve their work by reflecting on diary records.
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Affiliation(s)
- Alessandro Galazzi
- Department of Healthcare Professions, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Martina Bruno
- Department of Healthcare Professions, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Filippo Binda
- Department of Healthcare Professions, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy,Corresponding author at: Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza, 35 – 20122 Milan, Italy
| | - Giorgia Caddeo
- Department of Anesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Monica Chierichetti
- Department of Anesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Paola Roselli
- Department of Anesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giacomo Grasselli
- Department of Anesthesia, Intensive Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy,Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Dario Laquintana
- Department of Healthcare Professions, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
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Ludovisi M, Bruno M, Capanna G, Di Florio C, Calvisi G, Guido M. Sonographic features of pelvic tuberculosis mimicking ovarian-tubal-peritoneal carcinoma. Ultrasound Obstet Gynecol 2023; 61:536-538. [PMID: 36776134 DOI: 10.1002/uog.26179] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 11/21/2022] [Accepted: 11/28/2022] [Indexed: 06/18/2023]
Affiliation(s)
- M Ludovisi
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - M Bruno
- Department of Obstetrics and Gynecology, San Salvatore Hospital, L'Aquila, Italy
| | - G Capanna
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - C Di Florio
- Department of Obstetrics and Gynecology, San Salvatore Hospital, L'Aquila, Italy
| | - G Calvisi
- Pathology Unit, Biomedical Department, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - M Guido
- Department of Clinical Medicine, Life Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
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Galazzi A, Bruno M, Binda F, Laquintana D. Diaries for dying patients: An outlet for staff members' grief or a powerful way to humanize the intensive care unit? Intensive Crit Care Nurs 2023. [PMID: 36863955 DOI: 10.1016/j.iccn.2023.103419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Affiliation(s)
- Alessandro Galazzi
- Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Martina Bruno
- Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Filippo Binda
- Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
| | - Dario Laquintana
- Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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de Jong D, Gilbert T, Nooijen L, Braunwarth E, Ninkovic M, Primavesi F, Malik H, Stern N, Sturgess R, Erdmann J, Voermans R, Bruno M, Groot-Koerkamp B, van Driel L. HPB P07 A propensity matched retrospective study of metal vs plastic stents in the preoperative biliary drainage of patients with resectable perihilar cholangiocarcinoma. Br J Surg 2022. [DOI: 10.1093/bjs/znac404.104] [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: 12/12/2022]
Abstract
Abstract
Background
Preoperative biliary drainage is required in the majority of patients with resectable perihilar cholangiocarcinoma (pCCA). Most centres use plastic stents rather than uncovered self-expanding metal stents (uSEMS) because of the potential difficulties associated in removing uSEMS. In the palliative setting, however, uSEMS are associated with superior patency and even improved survival. The aim of this study is to compare the utility of uSEMS versus plastic stents in the pre-operative drainage of patients with resectable pCCA.
Methods
In this retrospective, multicentre, international cohort study, all consecutive patients with a high suspicion of resectable pCCA who underwent an initial endoscopic biliary drainage with uSEMS or plastic stent between 2010–2020 were included. Analyses were stratified by groups according to initial stent type. The primary outcome was stent failure, which was a composite endpoint of cholangitis and/or re-intervention due to biliary complications or inadequate biliary drainage. Propensity score matching (1:1) was performed to adjust for age, gender, primary sclerosing cholangitis, Bismuth classification, WHO performance status and ASA classification.
Results
A total of 474 patients with successful initial stent placement were included. Of these patients 61 received uSEMS and 413 plastic stents. Matching resulted in two groups of 59 patients. Stent failure occurred significantly less in the uncovered uSEMS group (31% vs 64%, P<0.001) and resulted in a significant reduction in the number of repeat ERCP procedures (14% vs 54%, P<0.001). Despite this the number of patients eventually required percutaneous transhepatic biliary drainage was similar (9% vs 7%, P=1). uSEMS placement was also associated with a reduction in episodes of cholangitis (15% vs 31%, P=0.012), although other ERCP and stent related complications did not differ. The number of patients ultimately undergoing surgical resection was not significantly different (81% vs 90%, P=0.19) between groups with uSEMS removal during surgery successful in all patients. The median overall survival after initial stent placement was 482 days [95% CI, 338–787] in the uSEMS group and 429 [95% CI, 263–881] in the plastic stent group (log-rank P=0.81). Survival after surgical resection was similar and post-operative outcomes also comparable: R1 resections (58% vs 59%, P=0.569), complications according to Clavien-Dindo (P=0.227), and hepatico-jejunostomy associated complications (leak: 4% vs 14%, P=0.393, stricture: 15% vs 21%, P=0.822).
Conclusions
Stent failure occurred significantly less often in uSEMS group resulting in fewer drainage procedures and reduced episodes of cholangitis. Removal of uSEMS during surgery was feasible and surgical outcomes were comparable. Although preoperative biliary drainage by uSEMS shows promising results further study is warranted and multicentre randomized controlled trials with a clear treatment strategy should be performed.
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Affiliation(s)
- D de Jong
- Erasmus University Medical Center , Rotterdam , Netherlands
| | - T Gilbert
- Liverpool University Hospitals NHS FT , Liverpool , United Kingdom
| | - L Nooijen
- Amsterdam UMC, Cancer Centre Amsterdam , Amsterdam , Netherlands
| | - E Braunwarth
- Medical University of Innsbruck , Innesbruck , Austria
| | - M Ninkovic
- Medical University of Innsbruck , Innsbruck , Austria
| | - F Primavesi
- Medical University of Innsbruck , Innsbruck , Austria
| | - H Malik
- Liverpool University Hospitals NHS FT , Liverpool , United Kingdom
| | - N Stern
- Liverpool University Hospitals NHS FT , Liverpool , United Kingdom
| | - R Sturgess
- Liverpool University Hospitals NHS FT , Liverpool , United Kingdom
| | - J Erdmann
- Amsterdam UMC, Cancer Center Amsterdam , Amsterdam , Netherlands
| | - R Voermans
- Amsterdam Medical University , Amsterdam , Netherlands
| | - M Bruno
- Erasmus University Medical Center , Rotterdam , Netherlands
| | | | - L van Driel
- Erasmus University Medical Center , Rotterdam , Netherlands
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Dal Sasso G, Dalconi M, Ferrari G, Pedersen J, Tamburini S, Bertolotti F, Guagliardi A, Bruno M, Valentini L, Artioli G. Structure and morphology of C-S-H-based hardening accelerator nanoparticles by X-ray total scattering techniques. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322091951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
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Bruno M, Sotera L, Fiore S. Analysis of the influence of mobile phones' material composition on the economic profitability of their manual dismantling. J Environ Manage 2022; 309:114677. [PMID: 35151134 DOI: 10.1016/j.jenvman.2022.114677] [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: 07/22/2021] [Revised: 01/05/2022] [Accepted: 02/02/2022] [Indexed: 06/14/2023]
Abstract
This work presents a systematic characterisation of 100 waste mobile phones (73 feature phones and 23 smartphones) produced between 1989 and 2016. All items were inventoried and the evolvement of the relative abundances of their macro-components (mechanic and electro-mechanic parts, electronics and others) and materials was investigated. The average lifetime was 15.1 years for feature phones and 6.4 years for smartphones. The main component was plastic, on average 46%-wt. in feature phones and 37%-wt. in smartphones; over the years electronics' and plastic's amounts decreased (respectively 80% and 70%), while metal components' amount increased (12%). A cost-benefit analysis explored the profitability of the management of waste mobile phones through manual dismantling followed by the sale of the separated components and materials. The average cost of manual dismantling was estimated as 6.93 € per item according to EU average labour costs and 1.50 € per item based on minimum EU labour costs. According to the performed economic analysis, the actual market prices for the potentially recoverable materials and components of waste mobile phones were not able (particularly mixed plastics) to counterbalance the costs of manual dismantling according to the European standard labour costs.
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Affiliation(s)
- Martina Bruno
- DIATI, Department of Engineering for Environment, Land and Infrastructure, Politecnico di Torino, Corso Duca Degli Abruzzi 24, 10129, Torino, Italy
| | - Luigi Sotera
- DIATI, Department of Engineering for Environment, Land and Infrastructure, Politecnico di Torino, Corso Duca Degli Abruzzi 24, 10129, Torino, Italy
| | - Silvia Fiore
- DIATI, Department of Engineering for Environment, Land and Infrastructure, Politecnico di Torino, Corso Duca Degli Abruzzi 24, 10129, Torino, Italy.
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Baltes P, Dray X, Riccioni M, Pérez-Cuadrado-Robles E, Fedorov E, Wiedbrauck F, Chetcuti Zammit S, Cadoni S, Bruno M, Rondonotti E, Wurm Johansson G, Mussetto A, Beaumont H, Perrod G, McNamara D, Plevris J, Spada C, Pinho R, Rosa B, Hervás N, Carretero C, Tontini G, Keuchel M. CAPSULE ENDOSCOPY IN PATIENTS WITH MECKEL`S DIVERTICULUM- CLINICAL FEATURES AND DIAGNOSTIC FINDINGS – A EUROPEAN MULTICENTRE STUDY. ESGE Days 2022 2022. [DOI: 10.1055/s-0042-1744627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Affiliation(s)
- P. Baltes
- Agaplesion Bethesda Krankenhaus Bergedorf, Hamburg, Germany
| | - X. Dray
- Hospital Saint Antoine, Sorbonne University, Paris, France
| | - M.E. Riccioni
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | | | - E. Fedorov
- Moscow University Hospital N31, Pirogov Russia National Research Medical University, Moscow, Russian Federation
| | | | | | | | - M. Bruno
- University Hospital City of Science and Health Turin, Turin, Italy
| | | | | | - A. Mussetto
- Santa Maria delle Croci Hospital, Ravenna, Italy
| | - H. Beaumont
- Amsterdam University Medical Center, location VU, Amsterdam, Netherlands
| | - G. Perrod
- Georges Pompidou European Hospital, Paris, France
| | - D. McNamara
- Tallaght University Hospital, Dublin, Ireland
| | - J. Plevris
- The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - C. Spada
- Fondazione Poliambulanza, Brescia, Italy
| | - R. Pinho
- Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal
| | - B. Rosa
- Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - N. Hervás
- Complejo Hospitalario Navarra, Pamplona, Spain
| | | | - G.E. Tontini
- Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M. Keuchel
- Agaplesion Bethesda Krankenhaus Bergedorf, Hamburg, Germany
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Bruno M, Aquilano D. Correction: A new computational strategy to calculate the edge energy of a relaxed step. Calcite (CaCO 3) as a case study. CrystEngComm 2022. [DOI: 10.1039/d2ce90155b] [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: 11/10/2022]
Abstract
Correction for ‘A new computational strategy to calculate the edge energy of a relaxed step. Calcite (CaCO3) as a case study’ by M. Bruno et al., CrystEngComm, 2021, 23, 7340–7347, https://doi.org/10.1039/D1CE01119G.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, Torino, 10125, Italy
- SpectraLab s.r.l., Spin-off accademico dell'Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
- NIS, Centre for Nanostructured Interfaces and Surfaces, Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
| | - D. Aquilano
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, Torino, 10125, Italy
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Bruno M, Pastero L, Cotellucci A, Aquilano D. Epitaxy: a methodological approach to the study of an old phenomenon. CrystEngComm 2022. [DOI: 10.1039/d2ce00340f] [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: 11/21/2022]
Abstract
We describe the use of an integrated methodological approach to study epitaxial phenomena.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, 10125, Torino (TO), Italy
- SpectraLab s.r.l., Spin-off accademico dell'Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
- NIS, Centre for Nanostructured Interfaces and Surfaces, Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
| | - L. Pastero
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, 10125, Torino (TO), Italy
- SpectraLab s.r.l., Spin-off accademico dell'Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
- NIS, Centre for Nanostructured Interfaces and Surfaces, Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
| | - A. Cotellucci
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, 10125, Torino (TO), Italy
| | - D. Aquilano
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, 10125, Torino (TO), Italy
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Kuhlemann A, Beliu G, Janzen D, Petrini EM, Taban D, Helmerich DA, Doose S, Bruno M, Barberis A, Villmann C, Sauer M, Werner C. Genetic Code Expansion and Click-Chemistry Labeling to Visualize GABA-A Receptors by Super-Resolution Microscopy. Front Synaptic Neurosci 2021; 13:727406. [PMID: 34899260 PMCID: PMC8664562 DOI: 10.3389/fnsyn.2021.727406] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 11/02/2021] [Indexed: 01/15/2023] Open
Abstract
Fluorescence labeling of difficult to access protein sites, e.g., in confined compartments, requires small fluorescent labels that can be covalently tethered at well-defined positions with high efficiency. Here, we report site-specific labeling of the extracellular domain of γ-aminobutyric acid type A (GABA-A) receptor subunits by genetic code expansion (GCE) with unnatural amino acids (ncAA) combined with bioorthogonal click-chemistry labeling with tetrazine dyes in HEK-293-T cells and primary cultured neurons. After optimization of GABA-A receptor expression and labeling efficiency, most effective variants were selected for super-resolution microscopy and functionality testing by whole-cell patch clamp. Our results show that GCE with ncAA and bioorthogonal click labeling with small tetrazine dyes represents a versatile method for highly efficient site-specific fluorescence labeling of proteins in a crowded environment, e.g., extracellular protein domains in confined compartments such as the synaptic cleft.
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Affiliation(s)
- Alexander Kuhlemann
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
| | - Gerti Beliu
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany.,Rudolf Virchow Center for Integrative and Translational Bioimaging, University of Wuerzburg, Würzburg, Germany
| | - Dieter Janzen
- Institute of Clinical Neurobiology, University of Würzburg, Würzburg, Germany
| | - Enrica Maria Petrini
- Neuroscience and Brain Technologies Department, Istituto Italiano Di Tecnologia, Genova, Italy
| | - Danush Taban
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
| | - Dominic A Helmerich
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
| | - Sören Doose
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
| | - Martina Bruno
- Neuroscience and Brain Technologies Department, Istituto Italiano Di Tecnologia, Genova, Italy
| | - Andrea Barberis
- Neuroscience and Brain Technologies Department, Istituto Italiano Di Tecnologia, Genova, Italy
| | - Carmen Villmann
- Institute of Clinical Neurobiology, University of Würzburg, Würzburg, Germany
| | - Markus Sauer
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
| | - Christian Werner
- Department of Biotechnology and Biophysics, University of Würzburg, Biocenter, Würzburg, Germany
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Willis C, Kawamoto K, Watanabe A, Biskupiak J, Nolen K, Blackner L, Bruno M, Ateya M, Schepart A, Nativi-Nicolau J. SCREENING OF PATIENTS AT RISK FOR WILD TYPE ATTR-CM USING A COMPUTATIONAL MACHINE LEARNING ALGORITHM. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.134] [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: 10/20/2022] Open
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Restaino S, Vargiu V, Rosati A, Bruno M, Dinoi G, Cola E, Moroni R, Scambia G, Fanfani F. 4K versus 3D total laparoscopic hysterectomy by resident in training: a prospective randomised trial. Facts Views Vis Obgyn 2021; 13:221-229. [PMID: 34555876 PMCID: PMC8823275 DOI: 10.52054/fvvo.13.3.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background The introduction of ultra-high-definition laparoscopic cameras (4K), by providing stronger monocular depth perception, could challenge the existing 3D technology. There are few available studies on this topic, especially in gynaecological setting. Objectives Prospective, single institution, randomised clinical trial (NCT04209036). Materials and Methods The two laparoscopes utilised were the 0°ULTRA Telescopes with 4K technology and the 0°3D-HD by Olympus. The surgeons were all trainees and in their last year of residency and who had obtained the certificate of first or second level of the Gynaecological Endoscopic Surgical Education and Assessment program - GESEA program. Twenty-nine patients with benign uterine pathology were enrolled. Main outcome measures To compare if the use three-dimensional (3D) versus ultra-high-definition laparoscopic vision system (4K) for total laparoscopic hysterectomy performed by trainees was associated with a shorter operative time. Results The 3D vision system did not prove to be superior to the 4K vision system. Operators reported significantly more vision-related side effects when using 3D than 4K. Completing the GESEA training program was the only factor with a positive and statistically significant impact on the overall time of the procedure, especially when greater dexterity and tissue handling were required. Conclusions Neither technology used proved superior to the other, although operators showed a preference for 4K over 3D due to the lower number of visual side effects. Attendance at courses on laparoscopic simulators and training programs allowed trainees to demonstrate excellent surgical skills.
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Hoch MJ, Bruno M, Pacione D, Lui YW, Fieremans E, Shepherd TM. Simultaneous Multislice for Accelerating Diffusion MRI in Clinical Neuroradiology Protocols. AJNR Am J Neuroradiol 2021; 42:1437-1443. [PMID: 33985946 DOI: 10.3174/ajnr.a7140] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 03/04/2021] [Indexed: 01/23/2023]
Abstract
BACKGROUND AND PURPOSE Diffusion MR imaging sequences essential for clinical neuroradiology imaging protocols may be accelerated with simultaneous multislice acquisitions. We tested whether simultaneous multislice-accelerated diffusion data were clinically equivalent to standard acquisitions. MATERIALS AND METHODS In this retrospective study, clinical diffusion sequences obtained before and after implementation of 2-slice simultaneous multislice acceleration and an altered diffusion gradient sampling scheme using the same 3T MRI scanner and 20-channel coil (n = 25 per group) were independently and blindly evaluated by 2 neuroradiologists for perceived quality, artifacts, and overall diagnostic utility. Diffusion tractography was performed in 13 patients both with and without 2-slice simultaneous multislice acceleration (b = 0, 1000, 2000 s/mm2; 60 directions). The corticospinal tract and arcuate fasciculus ipsilateral to the lesion were generated using the same ROIs and then blindly assessed by a neurosurgeon for anatomic fidelity, perceived quality, and impact on surgical management. Tract volumes were compared for spatial overlap. RESULTS Two-slice simultaneous multislice diffusion reduced acquisition times from 141 to 45 seconds for routine diffusion and from 7.5 to 5.9 minutes for diffusion tractography using 3T MR imaging. The simultaneous multislice-accelerated diffusion sequence was rated equivalent for diagnostic utility despite reductions to perceived image quality. Simultaneous multislice-accelerated diffusion tractography was rated clinically equivalent. Dice similarity coefficients between routine and simultaneous multislice-generated corticospinal tract and arcuate fasciculus tract volumes were 0.78 (SD, 0.03) and 0.71 (SD, 0.05), respectively. CONCLUSIONS Two-slice simultaneous multislice diffusion appeared clinically equivalent for standard acquisitions and diffusion tractography. Simultaneous multislice makes it feasible to acquire higher angular and q-space-resolution diffusion acquisitions required for translating advanced diffusion models into clinical practice.
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Affiliation(s)
- M J Hoch
- From the Department of Radiology (M.J.H.), University of Pennsylvania, Philadelphia, Pennsylvania
| | - M Bruno
- Department of Radiology (M.B., Y.W.L., E.F., T.M.S.), New York University Langone School of Medicine, New York, New York
| | - D Pacione
- Department of Neurosurgery (D.P.), New York University Langone School of Medicine, New York, New York
| | - Y W Lui
- Department of Radiology (M.B., Y.W.L., E.F., T.M.S.), New York University Langone School of Medicine, New York, New York
| | - E Fieremans
- Department of Radiology (M.B., Y.W.L., E.F., T.M.S.), New York University Langone School of Medicine, New York, New York.,Center for Advanced Imaging Innovation and Research (E.F.), New York, New York
| | - T M Shepherd
- Department of Radiology (M.B., Y.W.L., E.F., T.M.S.), New York University Langone School of Medicine, New York, New York
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Abstract
We propose a new computational strategy to calculate the surface energy of a dipolar crystal face by generating a twinned slab without dipole moment.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- 10125-Italy
- SpectraLab s.r.l
| | - S. Ghignone
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- 10125-Italy
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20
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Bruno M, Aquilano D. A new computational strategy to calculate the edge energy of a relaxed step. Calcite (CaCO 3) as a case study. CrystEngComm 2021. [DOI: 10.1039/d1ce01119g] [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: 11/21/2022]
Abstract
We propose a new computational strategy to calculate the edge energy of any [uvw] step on any (hkl) crystal face.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, Torino, 10125, Italy
- SpectraLab s.r.l., Spin-off accademico dell'Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
- NIS, Centre for Nanostructured Interfaces and Surfaces, Università degli Studi di Torino, Via G. Quarello 15/a, 10135, Torino (TO), Italy
| | - D. Aquilano
- Dipartimento di Scienze della Terra, Università degli Studi di Torino, Via Valperga Caluso 35, Torino, 10125, Italy
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21
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Corsini A, Massarelli G, Bruno M, Bruno A, Compagnone M, Ghetti G, Saia F, Galie' N, Taglieri N. Derivation and validation of a scoring system to predict after discharge risk of cardiac events in patients with acute myocardial infarction undergoing percutaneous coronary revascularization. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1628] [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
In the acute coronary syndromes (ACS) setting, despite the extensive use of coronary revascularization and P2Y12 inhibitors such as prasugrel and ticagrelor, with a more pronounced inhibitory effect on platelets than clopidogrel, the rate of death and recurrent myocardial infarction (MI) at 1 year is still high. In this clinical setting the development of a risk score which takes into account patient's and procedural characteristics could represent a useful tool to identify patients at high risk for ischaemic events at 1 year who could take advantage from more aggressive secondary prevention strategies.
Purpose
The aim of our study was to develop a risk score to predict 1-year probability of after discharge cardiac events (recurrent MI and cardiac death) in patients with acute MI treated with percutaneous coronary intervention (PCI).
Methods
We prospectively enrolled all consecutive patients hospitalized for acute MI between 2003 and 2017 treated with PCI with/without stent placement at our center. We excluded patients who died in-hospital or who experienced in-hospital recurrent MI and patients undergoing surgical revascularization by coronary artery bypass graft (CABG). The patients of the final study cohort were therefore randomly assigned to either a derivation sample (60%) or a validation sample (40%). Based on the multivariate analysis we developed a point system according to the “Framingham Risk Score” method.
Results
The final study cohort, represented by 4922 patients, was split in a derivation sample of 2972 patients and in a validation sample of 1950 patients: in both groups the median age was around 70 years; the male prevalence was 73%; 65% of patients were dagnosed with ST-segment elevation MI.
The clinical prediction score underlined as risk factors for recurrent cardiac events older age, diabetes mellitus, peripheral arterial disease, prior MI, Killip class >2 at presentation, higher platelet count and creatinine values, lower left ventricular ejection fraction; radial access and the use of second generation drug eluting stents resulted to be protective. This model showed a good discrimination power in both the derivation and the validation samples with an area under the curve (AUC) of 0.75 and 0.71, respectively. The calibration showed a good concordance between predicted and observed events in both the derivation and the validation samples. Same results were observed in patients with/without ST-segment elevation MI and in gender subgroups.
Conclusions
The present study, conducted retrospectively on a large population of patients with acute MI treated with PCI enrolled prospectively, enabled us to derivate and validate a risk score of cardiac death and recurrent MI at 1 year which took into account both clinical and procedural characteristics and which demonstrated a good predictive performance.
After-discharge events by risk subgroups
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Corsini
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - G Massarelli
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - M Bruno
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - A.G Bruno
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - M Compagnone
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - G Ghetti
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - F Saia
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - N Galie'
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
| | - N Taglieri
- University Hospital Policlinic S. Orsola-Malpighi, Cardio-Thoraco-Vascular, Bologna, Italy
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Cappellari M, Bonetti B, Forlivesi S, Sajeva G, Naccarato M, Caruso P, Lorenzut S, Merlino G, Viaro F, Pieroni A, Giometto B, Bignamini V, Perini F, De Boni A, Morra M, Critelli A, Tamborino C, Tonello S, Guidoni SV, L'Erario R, Russo M, Burlina A, Turinese E, Passadore P, Zanet L, Polo A, Turazzini M, Basile AM, Atzori M, Marini B, Bruno M, Carella S, Campagnaro A, Baldi A, Corazza E, Zanette G, Idone D, Gaudenzi A, Bombardi R, Cadaldini M, Lanzafame S, Ferracci F, Zambito S, Ruzza G, Simonetto M, Menegazzo E, Masato M, Padoan R, Bozzato G, Paladin F, Tonon A, Bovi P. Acute revascularization treatments for ischemic stroke in the Stroke Units of Triveneto, northeast Italy: time to treatment and functional outcomes. J Thromb Thrombolysis 2020; 51:159-167. [PMID: 32424778 DOI: 10.1007/s11239-020-02142-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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] [Indexed: 10/24/2022]
Abstract
It is not known whether the current territorial organization for acute revascularization treatments in ischemic stroke patients guarantees similar time to treatment and functional outcomes among different levels of institutional stroke care. We aimed to assess the impact of time to treatment on functional outcomes in ischemic stroke patients who received intravenous thrombolysis (IVT) alone, bridging (IVT plus thrombectomy), or primary thrombectomy in level 1 and level 2 Stroke Units (SUs) in Triveneto, a geographical macroarea in Northeast of Italy. We conducted an analysis of data prospectively collected from 512 consecutive ischemic stroke patients who received IVT and/or mechanical thrombectomy in 25 SUs from September 17th to December 9th 2018. The favorable outcome measures were mRS score 0-1 and 0-2 at 3 months. The unfavorable outcome measures were mRS score 3-5 and death at 3 months. We estimated separately the possible association of each variable for time to treatment (onset-to-door, door-to-needle, onset-to-needle, door-to-groin puncture, needle-to-groin puncture, and onset-to-groin puncture) with 3-month outcome measures by calculating the odds ratios (ORs) with two-sided 95% confidence intervals (CI) after adjustment for pre-defined variables and variables with a probability value ≤ 0.10 in the univariate analysis for each outcome measure. Distribution of acute revascularization treatments was different between level 1 and level 2 SUs (p < 0.001). Among 182 patients admitted to level 1 SUs (n = 16), treatments were IVT alone in 164 (90.1%), bridging in 12 (6.6%), and primary thrombectomy in 6 (3.3%) patients. Among 330 patients admitted to level 2 SUs (n = 9), treatments were IVT alone in 219 (66.4%), bridging in 74 (22.4%), and primary thrombectomy in 37 (11.2%) patients. Rates of excellent outcome (51.4% vs 45.9%), favorable outcome (60.1% vs 58.7%), unfavorable outcome (33.3% vs 33.8%), and death (9.8% vs 11.3%) at 3 months were similar between level 1 and 2 SUs. No significant association was found between time to IVT alone (onset-to-door, door-to-needle, and onset-to-needle) and functional outcomes. After adjustment, door-to-needle time ≤ 60 min (OR 4.005, 95% CI 1.232-13.016), shorter door-to-groin time (OR 0.991, 95% CI 0.983-0.999), shorter needle-to-groin time (OR 0.986, 95% CI 0.975-0.997), and shorter onset-to-groin time (OR 0.994, 95% CI 0.988-1.000) were associated with mRS 0-1. Shorter door-to-groin time (OR 0.991, 95% CI 0.984-0.998), door-to-groin time ≤ 90 min (OR 12.146, 95% CI 2.193-67.280), shorter needle-to-groin time (OR 0.983, 95% CI 0.972-0.995), and shorter onset-to-groin time (OR 0.993, 95% CI 0.987-0.999) were associated with mRS 0-2. Longer door-to-groin time (OR 1.007, 95% CI 1.001-1.014) and longer needle-to-groin time (OR 1.019, 95% CI 1.005-1.034) were associated with mRS 3-5, while door-to-groin time ≤ 90 min (OR 0.229, 95% CI 0.065-0.808) was inversely associated with mRS 3-5. Longer onset-to-needle time (OR 1.025, 95% CI 1.002-1.048) was associated with death. Times to treatment influenced the 3-month outcomes in patients treated with thrombectomy (bridging or primary). A revision of the current territorial organization for acute stroke treatments in Triveneto is needed to reduce transfer time and to increase the proportion of patients transferred from a level 1 SU to a level 2 SU to perform thrombectomy.
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Affiliation(s)
- Manuel Cappellari
- Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy. .,USD Stroke Unit, DAI Di Neuroscienze, Azienda Ospedaliera Universitaria Integrata, Piazzale Aristide Stefani, 1, 37126, Verona, Italy.
| | - Bruno Bonetti
- Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - Stefano Forlivesi
- Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - Giulia Sajeva
- Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - Marcello Naccarato
- Stroke Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Paola Caruso
- Stroke Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Simone Lorenzut
- Stroke Unit, Azienda Sanitaria Universitaria Integrata, Udine, Italy
| | - Giovanni Merlino
- Stroke Unit, Azienda Sanitaria Universitaria Integrata, Udine, Italy
| | - Federica Viaro
- Stroke Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Alessio Pieroni
- Stroke Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | | | | | | | | | | | | | | | | | | | - Roberto L'Erario
- Stroke Unit, Ospedale Santa Maria della Misericordia, Rovigo, Italy
| | - Monia Russo
- Stroke Unit, Ospedale Santa Maria della Misericordia, Rovigo, Italy
| | | | | | - Paolo Passadore
- Stroke Unit, Ospedale Santa Maria degli Angeli, Pordenone, Italy
| | - Luca Zanet
- Stroke Unit, Ospedale Santa Maria degli Angeli, Pordenone, Italy
| | - Alberto Polo
- Stroke Unit, Ospedale Mater Salutis, Legnago, Italy
| | | | | | | | - Bruno Marini
- Stroke Unit, Ospedale San Giacomo Apostolo, Castelfranco Veneto, Italy
| | - Martina Bruno
- Stroke Unit, Ospedale San Giacomo Apostolo, Castelfranco Veneto, Italy
| | | | | | - Antonio Baldi
- Stroke Unit, Ospedale Di Portogruaro, Portogruaro, Italy
| | - Elisa Corazza
- Stroke Unit, Ospedale Di Portogruaro, Portogruaro, Italy
| | | | - Domenico Idone
- Stroke Unit, Ospedale Pederzoli, Peschiera del Garda, Italy
| | - Anna Gaudenzi
- Stroke Unit, Ospedale Santa Maria dei Battuti, Conegliano, Italy
| | - Roberto Bombardi
- Stroke Unit, Ospedale Santa Maria dei Battuti, Conegliano, Italy
| | - Morena Cadaldini
- Stroke Unit, Ospedali Riuniti Padova Sud Madre Teresa di Calcutta, Monselice, Italy
| | - Salvatore Lanzafame
- Stroke Unit, Ospedali Riuniti Padova Sud Madre Teresa di Calcutta, Monselice, Italy
| | | | | | | | | | | | | | - Roberta Padoan
- Stroke Unit, Ospedale Santa Maria del Prato, Feltre, Italy
| | - Giulio Bozzato
- Stroke Unit, Ospedale Santa Maria del Prato, Feltre, Italy
| | | | - Agnese Tonon
- Stroke Unit, Ospedale Santi Giovanni e Paolo, Venezia, Italy
| | - Paolo Bovi
- Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
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Shepherd TM, Ades-Aron B, Bruno M, Schambra HM, Hoch MJ. Direct In Vivo MRI Discrimination of Brain Stem Nuclei and Pathways. AJNR Am J Neuroradiol 2020; 41:777-784. [PMID: 32354712 DOI: 10.3174/ajnr.a6542] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 03/19/2020] [Indexed: 12/31/2022]
Abstract
BACKGROUND AND PURPOSE The brain stem is a complex configuration of small nuclei and pathways for motor, sensory, and autonomic control that are essential for life, yet internal brain stem anatomy is difficult to characterize in living subjects. We hypothesized that the 3D fast gray matter acquisition T1 inversion recovery sequence, which uses a short inversion time to suppress signal from white matter, could improve contrast resolution of brain stem pathways and nuclei with 3T MR imaging. MATERIALS AND METHODS After preliminary optimization for contrast resolution, the fast gray matter acquisition T1 inversion recovery sequence was performed in 10 healthy subjects (5 women; mean age, 28.8 ± 4.8 years) with the following parameters: TR/TE/TI = 3000/2.55/410 ms, flip angle = 4°, isotropic resolution = 0.8 mm, with 4 averages (acquired separately and averaged outside k-space to reduce motion; total scan time = 58 minutes). One subject returned for an additional 5-average study that was combined with a previous session to create a highest quality atlas for anatomic assignments. A 1-mm isotropic resolution, 12-minute version, proved successful in a patient with a prior infarct. RESULTS The fast gray matter acquisition T1 inversion recovery sequence generated excellent contrast resolution of small brain stem pathways in all 3 planes for all 10 subjects. Several nuclei could be resolved directly by image contrast alone or indirectly located due to bordering visualized structures (eg, locus coeruleus and pedunculopontine nucleus). CONCLUSIONS The fast gray matter acquisition T1 inversion recovery sequence has the potential to provide imaging correlates to clinical conditions that affect the brain stem, improve neurosurgical navigation, validate diffusion tractography of the brain stem, and generate a 3D atlas for automatic parcellation of specific brain stem structures.
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Affiliation(s)
- T M Shepherd
- From the Departments of Radiology (T.M.S., B.A.-A., M.B.)
| | - B Ades-Aron
- From the Departments of Radiology (T.M.S., B.A.-A., M.B.).,Electrical and Computer Engineering (B.A.-A.)
| | - M Bruno
- From the Departments of Radiology (T.M.S., B.A.-A., M.B.)
| | - H M Schambra
- Neurology (H.M.S.), New York University, New York, New York
| | - M J Hoch
- Department of Radiology (M.J.H.), University of Pennsylvania, Philadelphia, Pennsylvania
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Bagnis C, Gabella P, Bruno M, Cosseddu D, Marangella M, Vacha G, Linari F. Cloudy Dialysate Due to Adenocarcinoma Cells in a Capd Patient. Perit Dial Int 2020. [DOI: 10.1177/089686089301300416] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- C. Bagnis
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - P. Gabella
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - M. Bruno
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - D. Cosseddu
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - M. Marangella
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - G.M. Vacha
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
| | - F. Linari
- Divisione di Nefrologia e Dialisi Ospedale Mauriziano Torino Torino, Italy
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Gallotta V, Bruno M, Conte C, Giudice MT, Davià F, Moro F, Zannoni GF, Fagotti A, De Bonis M, Capoluongo E, Scambia G, Ferrandina G. Salvage lymphadenectomy in recurrent ovarian cancer patients: Analysis of clinical outcome and BRCA1/2 gene mutational status. Eur J Surg Oncol 2020; 46:1327-1333. [PMID: 32085925 DOI: 10.1016/j.ejso.2020.01.035] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 12/28/2019] [Accepted: 01/31/2020] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVE This study is aimed to analyze the clinical outcome of recurrent ovarian cancer patients bearing isolated lymph-node recurrence (ILNR) who underwent salvage lymphadenectomy (SL). The prognostic role of clinicopathological variables and the mutational status of BRCA1/2 have also been investigated. METHODS This retrospective, single-institutional study included women with platinum-sensitive lymph node recurrence underwent to SL between June 2008 and June 2018. Univariate and multivariate analysis was performed to evaluate the impact of clinical parameters, and BRCA1/2 mutational status on post salvage lymphadenectomy progression-free survival (PSL-PFS). RESULTS As of June 2019, the median follow-up after SL was 30 months, and the relapse has been documented in 48 (56.5%) patients. In the whole series, the median PSL-PFS was 21 months, and the 3-year PSL-PFS was 36.7%. The median PSL-PFS, according to patients with ILNR (N = 71) versus patients with lymph-nodes and other sites of disease (N = 14), was 27 months versus 12 months, respectively. Univariate analysis of variables conditioning PSL-PFS showed that platinum-free interval (PFI) ≥12 months, normal Ca125 serum levels, and number of metastatic lymph-nodes ≤3 played a statistically significant favorable role. In multivariate analysis, PFI duration ≥12 months and the number of metastatic lymph nodes ≤3 were shown to keep their favorable, independent prognostic value on PSL-PFS. CONCLUSIONS In the context of SL, the patients with long PFI and low metastatic lymph node numbers at ILNR diagnosis have the best outcome. The BRCA mutational status seems not associated with clinical variables and PSL-PFS, differently from other sites of disease in ROC patients.
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Affiliation(s)
- V Gallotta
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy.
| | - M Bruno
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
| | - C Conte
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy
| | - M T Giudice
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
| | - F Davià
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
| | - F Moro
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy
| | - G F Zannoni
- Università Cattolica Del Sacro Cuore, Roma, Italy; Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Gineco-patologia e Patologia Mammaria, Roma, Italy
| | - A Fagotti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
| | - M De Bonis
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Polo Scienze per Immagini, di Laboratorio e Infettivologiche, Roma, Italy
| | - E Capoluongo
- Università Federico II-CEINGE, Biotecnologie Avanzate, Napoli, Italy
| | - G Scambia
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
| | - G Ferrandina
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, UOC di Ginecologia Oncologica, Roma, Italy; Università Cattolica Del Sacro Cuore, Roma, Italy
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Abstract
A new growth model for primary dolomite is proposed, in which a disordered dolomite/calcite interface seems to promote dolomite nucleation on a newly formed calcite crystal.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
- SpectraLab s.r.l
| | - S. Ghignone
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
| | - L. Pastero
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
- SpectraLab s.r.l
| | - D. Aquilano
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
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Abstract
The theoretical equilibrium shape of the monoclinic hydroxyapatite crystal is revised, having taken into account, for the first time, a new set of {h0l} pinacoids: {101̄}, {102} and {1̄04}.
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Affiliation(s)
- D. Aquilano
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
| | - M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
- SpectraLab s.r.l
| | - S. Ghignone
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
| | - L. Pastero
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Torino
- Italy
- SpectraLab s.r.l
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Lucchini A, Bambi S, Elli S, Bruno M, Dallari R, Puccio P, Villa S, Rona R, Fumagalli R, Bellani G, Foti G. Water content of delivered gases during Helmet Continuous Positive Airway Pressure in healthy subjects. Acta Biomed 2019; 90:65-71. [PMID: 31714501 PMCID: PMC7233631 DOI: 10.23750/abm.v90i11-s.8820] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Accepted: 10/14/2019] [Indexed: 11/23/2022]
Abstract
INTRODUCTION During Continuous Positive Pressure Ventilation delivered through helmet, the patient inhales high flows of gas without adequate conditioning. However, the need to humidify the inspired gas during Helmet-CPAP, has not been sufficiently explored. METHODS Experimental design study. Six healthy individuals underwent High Flow Helmet CPAP with different gas flows (60 and 80 L/min) and FiO2 (0.35, 0.5, 0.7 and 1) generated by a Venturi system, with and without active humidification. The active humidifier setting was 26 ° at the humidification chamber and 28 ° at the helmet gas inlet. At each setting, measurements about temperature and relative humidity inside helmet were taken. Comfort level at each setting was evaluated using a visual analog scale rated from 0 to 10. RESULTS Without heated humidification, the mean value of absolute humidity in the eight combinations investigated was 5.9±2.1 mg H2O/L, with a mean temperature of 25.8±0.9°. With heated humidification mean absolute humidity was 15.0±3.5 mg H2O/L with mean temperature of 29.0±0.1°. The median comfort scale value was 6 (IQR: 5.25-6.75) during the phase without humidification vs 8 (7.25-8.0 - P<0.01) when active humidification was applied. CONCLUSIONS In healthy subjects undergoing High Flow Helmet CPAP, heated humidifiers with heated wires tubes are necessary to avoid the under-humidification inside the helmet. To obtain patient's comfort and airways mucosal humidification during continuous Helmet CPAP, the most desirable conditions are reached by heated humidifiers with a humidifying chamber temperature settled between 26-28°C.
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Affiliation(s)
- Alberto Lucchini
- ASST Monza, Ospedale San Gerardo - università degli Studi di Milano-Bicocca.
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Sigmund EE, Baete SH, Luo T, Patel K, Wang D, Rossi I, Duarte A, Bruno M, Mossa D, Femia A, Ramachandran S, Stoffel D, Babb JS, Franks AG, Bencardino J. Correction to: MRI assessment of the thigh musculature in dermatomyositis and healthy subjects using diffusion tensor imaging, intravoxel incoherent motion and dynamic DTI. Eur Radiol 2019; 29:1061. [DOI: 10.1007/s00330-018-5606-9] [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: 10/28/2022]
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Bruno M. A two-step nucleation model based on diffuse interface theory (DIT) to explain the non-classical view of calcium carbonate polymorph formation. CrystEngComm 2019. [DOI: 10.1039/c9ce00610a] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A two-step nucleation model to explain the non-classical pathway of crystallization of calcium carbonate polymorphs.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- 10125 Torino (TO)
- Italy
- SpectraLab S.R.L
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Bruno M, Donay J, Resche-Rigon M, Tristan A, Farhi D, Mercier-Delarue S, Cavelier-Balloy B, Assouly P, Petit A, Bagot M, Reygagne P. La folliculite décalvante est caractérisée par un microbiote sous épidermique anormal et persistant. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Forlivesi S, Cappellari M, Baracchini C, Viaro F, Critelli A, Tamborino C, Tonello S, Guidoni SV, Bruno M, Favaretto S, Burlina A, Turinese E, Ferracci F, Zambito Marsala S, Bazzano S, Orlando F, Turazzini M, Ricci S, Cadaldini M, De Biasia F, Bruno S, Gaudenzi A, Morra M, Danese A, L’Erario R, Russo M, Zanette G, Idone D, Basile AM, Atzori M, Masato M, Menegazzo E, Paladin F, Tonon A, Caneve G, Bozzato G, Campagnaro A, Carella S, Nicolao P, Padoan R, Perini F, De Boni A, Adami A, Bonetti B, Bovi P. Intravenous thrombolysis for ischemic stroke in the Veneto region: the gap between eligibility and reality. J Thromb Thrombolysis 2018; 47:113-120. [DOI: 10.1007/s11239-018-1753-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sigmund EE, Baete SH, Luo T, Patel K, Wang D, Rossi I, Duarte A, Bruno M, Mossa D, Femia A, Ramachandran S, Stoffel D, Babb JS, Franks AG, Bencardino J. MRI assessment of the thigh musculature in dermatomyositis and healthy subjects using diffusion tensor imaging, intravoxel incoherent motion and dynamic DTI. Eur Radiol 2018; 28:5304-5315. [DOI: 10.1007/s00330-018-5458-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 03/23/2018] [Accepted: 04/03/2018] [Indexed: 12/20/2022]
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Cazap E, Estevez R, Bruno M, Levy D, Algamiz C, Chacon R, Badano C, Romero A, Desimone G, Roca E. Phase II Trial of 4′-Epi-Doxorubicin in Locally Advanced or Metastatic Gastric Cancer. Tumori 2018; 74:313-5. [PMID: 3165228 DOI: 10.1177/030089168807400312] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Patients with locally advanced or metastatic gastric adenocarcinoma received an i.v. bolus of 4′-epi-doxorubicin, 75/mg/m2/cycle, every 21 days. Partial responses were observed in 5 of 23 evaluable patients (21.7%). Treatment was generally well tolerated and toxicity was mild. The response rate to epirubicin appears to be very similar to that reported for doxorubicin. Larger doses of epirubicin could be safely used in future studies, and further evaluation of epirubicin in phase III trials is indicated.
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Affiliation(s)
- E Cazap
- Grupo Argentino de Tratamiento de los Tumores Sólidos (GATTS), Buenos Aires, Argentina
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35
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Di Paolo M, Bruno M, Sansoni E, Gaggiotti E, Di Paolo N. Accidental Death Due to Erroneous Intravenous Infusion of Hypertonic Saline Solution for Hemodialysis. Int J Artif Organs 2018; 27:810-2. [PMID: 15521222 DOI: 10.1177/039139880402700912] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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: 11/17/2022]
Abstract
The case of a continuous hemodialysis patient who died shortly after erroneous infusion with undiluted hypertonic solution is reported. Autopsy showed small parenchymal hemorrhages in all organs. Although producers take measures to prevent such errors by hospital staff, further steps are suggested for types of dialysis requiring reinfusion of large quantities of reinfusion hemodialysis solution.
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Affiliation(s)
- M Di Paolo
- Institute of Legal Medicine, Pisa University, Pisa, Italy.
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36
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Bruno M, Bittarello E, Massaro FR, Aquilano D. The effect of impurities on the structure and energy of a crystal surface: Mg impurities in calcite as a case study. CrystEngComm 2018. [DOI: 10.1039/c8ce00750k] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A new calculation methodology to study doped surfaces.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- 10125 Torino
- Italy
| | - E. Bittarello
- Dipartimento di Chimica
- Università degli Studi di Torino
- 10125 Torino
- Italy
| | | | - D. Aquilano
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- 10125 Torino
- Italy
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Salis GB, Albertengo JC, Bruno M, Palau G, González Villaveirán R, Lombardo D, Villafañe V, Zorraquín C, Ghigliani M. Pedunculated liposarcoma of the esophagus. Dis Esophagus 2017; 11:68-71. [PMID: 29040487 DOI: 10.1093/dote/11.1.68] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [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: 12/11/2022]
Abstract
Polypoid tumours of the esophagus present diagnostic and therapeutic problems. Liposarcomas are infrequent among them. We report a recent case. A 73-year-old male patient was seen in May 1995 in the Ear, Nose and Throat (ENT) Department, Clinica Modelo de Morón, with intermittent dysphagia and dyspnoea due to recurrent vomiting. A laryngeal lineal tomography showed a subglottic obstruction due to extrinsic compression. The patient was referred to the Gastroenterology Department, where an upper gastrointestinal (upper GI) series demonstrated mega-esophagus with abundant retained food. Endoscopy showed a large intraluminal mass covered by normal mucosa which arose on the posterior wall. Videofluoroscopy and chest CT diagnosed a probable polypoid lipoma due to its densitometric characteristics. The tumour was resected by left cervicotomy and left esophagotomy. The patient's progress to date is favourable. Pathology studies showed a well-differentiated liposarcoma. According to the literature, the first case was reported in 1983, and ours is only the seventh case in the world to be documented.
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Affiliation(s)
- G B Salis
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - J C Albertengo
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - M Bruno
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - G Palau
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | | | - D Lombardo
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - V Villafañe
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - C Zorraquín
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
| | - M Ghigliani
- Cliníca Modelo de Morón, Uruguay 224 Morón Pcia, Buenos Aires, Argentina
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Loizzo MR, Falco T, Bonesi M, Sicari V, Tundis R, Bruno M. Ruta chalepensis L. (Rutaceae) leaf extract: chemical composition, antioxidant and hypoglicaemic activities. Nat Prod Res 2017; 32:521-528. [DOI: 10.1080/14786419.2017.1326491] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M. R. Loizzo
- Department of Pharmacy, Health Sciences and Nutrition, University of Calabria, Rende (CS), Italy
| | - T. Falco
- Department of Pharmacy, Health Sciences and Nutrition, University of Calabria, Rende (CS), Italy
| | - M. Bonesi
- Department of Pharmacy, Health Sciences and Nutrition, University of Calabria, Rende (CS), Italy
| | - V. Sicari
- Department of Agraria, University “Mediterranea” of Reggio Calabria, Reggio Calabria (RC), Italy
| | - R. Tundis
- Department of Pharmacy, Health Sciences and Nutrition, University of Calabria, Rende (CS), Italy
| | - M. Bruno
- Department STEBICEF, University of Palermo, Palermo, Italy
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Fuccaro M, Martini C, Bruno M, Bellamio M, Mainardi F, Lisotto C, Zanchin G, Maggioni F. P049. Migraine influence on female reproductive life and motherhood. J Headache Pain 2017; 16:A74. [PMID: 28132314 PMCID: PMC4759305 DOI: 10.1186/1129-2377-16-s1-a74] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Matteo Fuccaro
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy.
| | - Cristina Martini
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Martina Bruno
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Matteo Bellamio
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | | | - Carlo Lisotto
- Headache Centre, Hospital S. Vito al Tagliamento, Pordenone, Italy
| | - Giorgio Zanchin
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Ferdinando Maggioni
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
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Abstract
A new way to determine the adhesion and interfacial energies in epitaxial systems is presented.
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Affiliation(s)
- M. Bruno
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Italy
| | - F. R. Massaro
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Italy
| | - M. Rubbo
- Dipartimento di Scienze della Terra
- Università degli Studi di Torino
- Italy
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41
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Fabris D, Gramegna F, Cicerchia M, Marchi T, Barlini S, Piantelli S, Bini M, Bruno M, Casini G, Cinausero M, D’Agostino M, Degerlier M, Gelli N, Mantovani G, Morelli L, Mabiala J, Olmi A, Pasquali G, Poggi G, Valdré S, Vardaci E, Fotina O, Kravchuk V, Colonna M, Ono A. Pre-equilibrium emission to study clustering in nuclei. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201716300016] [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: 11/15/2022] Open
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Dhanireddy B, Kasarskis E, Bruno M, Wooten C, Vanderpool K, St Clair W. Unilateral Parotid Radiation With Electron Beam for Palliation of Sialorrhea in ALS Patients: A Prospective Study. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1896] [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: 11/29/2022]
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Bruno M, Nebbioso M, Rigoni E, Gagliardi A, Vingolo EM. Posterior capsule opacity in Retinitis Pigmentosa according to different biomaterials of intraocular lenses: Our clinical experience. Clin Ter 2016; 166:191-3. [PMID: 26550807 DOI: 10.7417/ct.2015.1876] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND AND AIM Complicated Cataract is frequently associated with Retinitis Pigmentosa (RP). This retinopathy is a great cause of visual impairment, and cataract surgery may resolve partially the situation and restore sight. Unfortunately, in this case there is a very high incidence of Posterior Capsule Opacity (PCO) ranging in several studies a percentage of 100% at six months. Our goal was to evaluate whether the high incidence of PCO is associated to specific type of Intraocular Lens (IOL) biomaterials. MATERIALS AND METHODS This observational retrospective study deals with 75 eyes of 43 patients affected with RP who underwent to cataract surgery with posterior chamber IOL implants (40% ECCE and 60% Phaco). Selected biomaterials were: 30 Poly (methyl methacrylate) (PMMA), 11 silicone, 34 acrylic. Observations were performed with retro-illumination camera and when recorded capsular fibrosis a PCO YAG laser capsulotomy was made. The patients were controlled at 3-6-12 months after the initial surgical treatment. RESULTS At three months of follow up, 80% of patients with PMMA, 81.8% silicone implants underwent to YAG capsulotomy while only 44% of acrylic type. At six months of follow-up 83.3% of patients with PMMA and 81.8% silicone implants underwent to YAG capsulotomy while only 49.88% of acrylic type. At 12 months of follow up 89.9% of patients with PMMA and 90.95 silicone implants underwent to YAG capsulotomy while only 52.82% of acrylic type. CONCLUSIONS We could not be able to differentiate incidence between different brand type of lens in PMMA. For Acrylic lens instead we noted an incidence of PCO of 41.38% with hydrophobic material and 60.0% of hydrophilic material. In conclusion to avoid massive PCO in RP, our experience is statistically significant, in fact the protective action of smooth material hydrophobic lens avoids the epithelial growth and fibrosis towards the center of visual axis.
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Affiliation(s)
- M Bruno
- Institute of Ophthalmic Sciences , "Sapienza" University of Rome, "Polo Pontino", Terracina, Italy
| | - M Nebbioso
- Institute of Ophthalmic Sciences , "Sapienza" University of Rome, "Polo Pontino", Terracina, Italy
| | - E Rigoni
- Institute of Ophthalmic Sciences , "Sapienza" University of Rome, "Polo Pontino", Terracina, Italy
| | - A Gagliardi
- Institute of Ophthalmic Sciences , "Sapienza" University of Rome, "Polo Pontino", Terracina, Italy
| | - E M Vingolo
- Institute of Ophthalmic Sciences , "Sapienza" University of Rome, "Polo Pontino", Terracina, Italy
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Morelli L, Bruno M, D’Agostino M, Baiocco G, Gulminelli F, Cinausero M, Degerlier M, Fabris D, Gramegna F, Marchi T, Barlini S, Bini M, Casini G, Gelli N, Pasquali G, Piantelli S, Valdrè S. Clustering effects in fusion evaporation reactions with light even-even N=Z nuclei. The 24Mg and 28Si cases. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201612211002] [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: 11/14/2022] Open
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Piantelli S, Casini G, Maurenzig P, Olmi A, Barlini S, Bini M, Pasquali G, Pastore G, Poggi G, Stefanini A, Valdrè S, Ademard G, Auger L, Bougault R, Bonnet E, Borderie B, Chbihi A, Frankland J, Gruyer D, Lopez O, LeNeindre N, Parlog M, Rivet M, Vient E, Rosato E, Spadaccini G, Vigilante M, Bruno M, Marchi T, Morelli L, Cinausero M, Degerlier M, Gramegna F, Kordyasz A, Kozik T, Twarog T, Alba R, Maiolino C, Santonocito D, Galichet E. FAZIA applications. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611710005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bruno M, Atzori M, Basile AM, Zanchin G, Maggioni F. P048. Thunderclap headache as presentation of ischemic posterior circulation stroke. J Headache Pain 2015; 16:A173. [PMID: 28132215 PMCID: PMC4715115 DOI: 10.1186/1129-2377-16-s1-a173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Pellicano R, Bruno M, Fagoonee S, Ribaldone DG, Fasulo R, De Angelis C. Endoscopic ultrasound in the preoperative staging of gastric cancer: key messages for surgeons. MINERVA CHIR 2015; 70:417-427. [PMID: 26354328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Gastric cancer (GC) remains a frequent and important cause of cancer mortality worldwide. Many factors affect the prognosis of GC, but invasion and metastasis are the leading causes of death. Due to the various stage-oriented therapies available, after the diagnosis of GC it is important to determine the staging preoperatively in order to choose the appropriate management. GC staging is the workhorse of endoscopic ultrasound (EUS). EUS can distinguish the different wall layers of the gastrointestinal tract as well as assess regional lymph nodes. Furthermore, samples of suspicious lesions or lymph nodes can be obtained by means of EUS-guided fine-needle aspiration (EUS-FNA). In this narrative review, we highlight the current status of the usefulness of EUS for GC staging, with focus on early GC that still remains a diagnostic and therapeutic challenge. In particular, the possibility to ameliorate the accuracy of EUS, in this context, by using instruments with increased ultrasound frequency is emphasized.
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Affiliation(s)
- R Pellicano
- Department of Gastroenterology and Hepatology, Molinette Hospital, Turin, Italy -
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Disco C, Bellamio M, Fuccaro M, Bruno M, Terrin A, Mainardi F, Zanchin G, Maggioni F. O051. Chronic migraine and onabotulinumtoxinA: a prospective study on patients treated at the Headache Centre of the Padua University and analysis of possible predictors of responsivity. J Headache Pain 2015; 16:A98. [PMID: 28132290 PMCID: PMC4715172 DOI: 10.1186/1129-2377-16-s1-a98] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Caterina Disco
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy.
| | - Matteo Bellamio
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Matteo Fuccaro
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Martina Bruno
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Alberto Terrin
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Federico Mainardi
- Department of Neurology, Headache Centre, Hospital SS Giovanni and Paolo, Venice, Italy
| | - Giorgio Zanchin
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
| | - Ferdinando Maggioni
- Department of Neurosciences, Headache Centre, University of Padua, Padua, Italy
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Bernelot-Moens S, Stroes E, Carpentier A, Brisson D, Andersen M, Meyer C, Bruno M, Gaudet D. Gene therapy for lipoprotein lipase deficiency (LPLD): Final results of 3 prospective gene therapy clinical studies and 1 retrospective clinical events analysis. Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.100] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bhutani M, Koduru P, Lanke G, Bruno M, Maitra A, Giovannini M. The emerging role of endoscopic ultrasound-guided core biopsy for the evaluation of solid pancreatic masses. MINERVA GASTROENTERO 2015; 61:51-59. [PMID: 25675155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Pancreatic ductal adenocarcinoma is a lethal cancer with a 5-year survival rate of less than 5%. Surgical resection is the only curative treatment but only 20% are eligible for resection at the time of diagnosis. Early detection of cancer is of paramount importance in the management. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the preferred modality for obtaining tissue diagnosis of pancreatic masses. However, the diagnostic accuracy of EUS-FNA may be limited by several factors like availability of onsite cytopathology, adequacy of tissue core for histology, location of the mass, presence of underlying chronic pancreatitis, and experience of the endoscopist. Modern oncology is focusing on personalizing treatment based on tissue analysis of genetic aberrations and molecular biomarkers which are now available. Core tissue also aids in the diagnosis of disease entities like lymphoma, metastatic tumors, neuroendocrine tumors and autoimmune pancreatitis whose diagnosis rely on preserved tissue architecture and immunohistochemistry. Making accurate diagnosis of solid pancreatic masses is critical to avoid unnecessary resections in patients with benign lesions like focal lesions of chronic pancreatitis and autoimmune pancreatitis which mimic cancer. To overcome the limitations of FNA and to obtain adequate core tissue, a Tru-Cut biopsy needle was developed which met with variable success due to stiffness, cumbersome operation and technical failure using it in the duodenum/pancreatic head. More recently fine needle biopsy needles, with reverse bevel technology have become available in different sizes (19, 22, 25-gauge). The aim of this article was to review the emerging role of core biopsy needles in acquiring tissue in solid pancreatic masses and discuss its potential role in personalized medicine.
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Affiliation(s)
- M Bhutani
- Department of Gastroenterology, Hepatology and Nutrition, University of Texas, MD Anderson Cancer Center, Houston, TX, USA -
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