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Cicci A, Scarponi P, Cavinato C, Bravi M. Microalgae production in olive mill wastewater fractions and cattle digestate slurry: Bioremediation effects and suitability for energy and feed uses. Sci Total Environ 2024; 932:172773. [PMID: 38685426 DOI: 10.1016/j.scitotenv.2024.172773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 04/08/2024] [Accepted: 04/23/2024] [Indexed: 05/02/2024]
Abstract
The possibility of obtaining energy or nutritive streams and bioremediation as an add-on opens new perspectives for the massive culturing of microalgal biomass on waste waters generated by the agro-food sector. Ordinary revenue streams are fully preserved, or even boosted, if they are used in microalgal cultivation; however, the suitability of wastewaters depends on multiple nutritional and toxic factors. Here, the effect of modulating the Olive Mill Wastewater (OMW) and cattle digestate (CD) fraction in the formulation of a growth medium on biomass accumulation and productivity of selected biomass fractions and their relevance for biofuel and/or feed production were tested for the microalga Scenedesmus dimorphus and for the cyanobacterium Arthrospira platensis (Spirulina). Tests highlighted the strong S. dimorphus adaptability to digestate, as on OMW, compared to A. platensis, with the maximum lipid storage (48 %) when culture medium was composed by 50 % of cattle digestate.
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Affiliation(s)
- A Cicci
- Department of Chemical Engineering Materials Environment, Sapienza University of Roma, via Eudossiana, 18, 00184 Roma, Italy
| | - P Scarponi
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy.
| | - C Cavinato
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy
| | - M Bravi
- Department of Chemical Engineering Materials Environment, Sapienza University of Roma, via Eudossiana, 18, 00184 Roma, Italy
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Scarponi P, Caminiti V, Bravi M, Izzo FC, Cavinato C. Coupling anaerobic co-digestion of winery waste and waste activated sludge with a microalgae process: Optimization of a semi-continuous system. Waste Manag 2024; 174:300-309. [PMID: 38086294 DOI: 10.1016/j.wasman.2023.12.004] [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: 05/06/2023] [Revised: 10/12/2023] [Accepted: 12/02/2023] [Indexed: 01/16/2024]
Abstract
Wine production represents one of the most important agro-industrial sectors in Italy. Wine lees are the most significant waste in the winery industry and have high disposal and storage costs and few applications within the circular economy. In this study, anaerobic digestion and a microalgae coupled process was studied in order to treat wine lees and waste activated sludge produced within the same facility, with the aim of producing energy and valuable microalgae biomass that could be processed to recover biofuel or biostimulant. Chlorella vulgaris was cultivated on liquid digestate in a semi-continuous system without biomass recirculation. The best growth and phytoremediation performance were achieved applying a hydraulic retention time (HRT) of 20 days with a stable dry weight, lipid and protein storage of 1.85 ± 0.02 g l-1, 33.48 ± 7.54 % and 57.85 ± 10.14 % respectively. Lipid characterization highlighted the potential use in high quality biodiesel production, according to EN14214 (<12 % v/v linolenic acid). The microalgae reactor's liquid output showed high removal of ammonia (95.72 ± 2.10 %), but low organic soluble matter reduction. Further semi-continuous process optimization was carried out by increasing the time between digestate feeding and biomass recovery at HRT 10. These operative changes avoided biomass wash-out and provided a stable phytoremediation of the digestate with 84.58 ± 4.02 % ammonia removal, 33.01 ± 1.44 % sCOD removal, 38.06 ± 2.65 % of polyphenols removal.
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Affiliation(s)
- P Scarponi
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy.
| | - V Caminiti
- Department of Agronomy, Animals, Food, Natural Resources and Environment, University of Padova, viale dell'Università, 16, 35020 Legnaro, Italy
| | - M Bravi
- Department of Chemical Engineering Materials Environment, Sapienza University of Rome, via Eudossiana, 18, 00184 Roma, Italy
| | - F C Izzo
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy
| | - C Cavinato
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy
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3
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Alfares BA, van der Doef HPJ, Wildhaber BE, Casswall T, Nowak G, Delle M, Aldrian D, Berchtold V, Vogel GF, Kaliciński P, Markiewicz-Kijewska M, Kolesnik A, Bernabeu JQ, Hally MM, Larrarte K M, Marra P, Bravi M, Pinelli D, Kasahara M, Sakamoto S, Uchida H, Mali V, Aw M, Franchi-Abella S, Gonzales E, Guérin F, Cervio G, Minetto J, Sierre S, de Santibañes M, Ardiles V, Uno JW, Evans H, Duncan D, McCall J, Hartleif S, Sturm E, Patel J, Mtegha M, Prasad R, Ferreira CT, Nader LS, Farina M, Jaramillo C, Rodriguez-Davalos MI, Feola P, Shah AA, Wood PM, Acord MR, Fischer RT, Mullapudi B, Hendrickson RJ, Khanna R, Pamecha V, Mukund A, Sharif K, Gupte G, McGuirk S, Porta G, Spada M, Alterio T, Maggiore G, Hardikar W, Beretta M, Dierckx R, de Kleine RHJ, Bokkers RPH. Prevalence, management and efficacy of treatment in portal vein obstruction after paediatric liver transplantation: protocol of the retrospective international multicentre PORTAL registry. BMJ Open 2023; 13:e066343. [PMID: 37500271 PMCID: PMC10387733 DOI: 10.1136/bmjopen-2022-066343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/29/2023] Open
Abstract
INTRODUCTION Portal vein obstruction (PVO) consists of anastomotic stenosis and thrombosis, which occurs due to a progression of the former. The aim of this large-scale international study is to assess the prevalence, current management practices and efficacy of treatment in patients with PVO. METHODS AND ANALYSIS The Portal vein Obstruction Revascularisation Therapy After Liver transplantation registry will facilitate an international, retrospective, multicentre, observational study, with 25 centres around the world already actively involved. Paediatric patients (aged <18 years) with a diagnosed PVO between 1 January 2001 and 1 January 2021 after liver transplantation will be eligible for inclusion. The primary endpoints are the prevalence of PVO, primary and secondary patency after PVO intervention and current management practices. Secondary endpoints are patient and graft survival, severe complications of PVO and technical success of revascularisation techniques. ETHICS AND DISSEMINATION Medical Ethics Review Board of the University Medical Center Groningen has approved the study (METc 2021/072). The results of this study will be disseminated via peer-reviewed publications and scientific presentations at national and international conferences. TRIAL REGISTRATION NUMBER Netherlands Trial Register (NL9261).
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Affiliation(s)
- Bader A Alfares
- Department of Radiology, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
- King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Hubert P J van der Doef
- Division of Paediatric Gastroenterology and Hepatology, Department of Paediatrics, University Medical Centre Groningen, Groningen, The Netherlands
| | - Barbara E Wildhaber
- Swiss Paediatric Liver Centre, Division of Child and Adolescent Surgery, Geneva University Hospitals, Geneve, Switzerland
| | - Thomas Casswall
- Department Clinical Interventions and Technology Clintec, Division for Paediatrics, Karolinska Institute, Stockholm, Sweden
| | - Greg Nowak
- Department Clinical Interventions and Technology Clintec, Division for Transplantation Surgery, Karolinska Institute, Stockholm, Sweden
| | - Martin Delle
- Department Clinical Science, Intervention and Technology Clintec, Division for Interventional Radiology, Karolinska Institute, Stockholm, Sweden
| | - Denise Aldrian
- Department of Paediatrics, Medical University of Innsbruck, Innsbruck, Austria
| | - Valeria Berchtold
- Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Georg F Vogel
- Department of Paediatrics, Medical University of Innsbruck, Innsbruck, Austria
- Institute of Cell Biology, Medical University of Innsbruck, Innsbruck, Austria
| | - Piotr Kaliciński
- Department of Paediatric Surgery and Organ Transplantation, The Children's Memorial Health Institute, Warsaw, Poland
| | | | - Adam Kolesnik
- Cardiovascular Interventions Laboratory, The Children's Memorial Health Institute, Warsaw, Poland
| | - Jesús Q Bernabeu
- Department of Paediatric Gastroenterology, Hepatology and Nutrition, Vall d'Hebron Hospital (HVH), Barcelona, Spain
| | - María Mercadal Hally
- Department of Paediatric Gastroenterology, Hepatology and Nutrition, Vall d'Hebron Hospital (HVH), Barcelona, Spain
| | - Mauricio Larrarte K
- Department of Paediatric Gastroenterology, Hepatology and Nutrition, Vall d'Hebron Hospital (HVH), Barcelona, Spain
| | - Paolo Marra
- Department of Radiology, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Michela Bravi
- Department of Paediatric Hepatology, Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Domenico Pinelli
- Department of Organ Failure and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Mureo Kasahara
- Organ Transplantation Centre, National Center for Child Health and Development, Tokyo, Japan
| | - Seisuke Sakamoto
- Organ Transplantation Centre, National Center for Child Health and Development, Tokyo, Japan
| | - Hajime Uchida
- Organ Transplantation Centre, National Center for Child Health and Development, Tokyo, Japan
| | - Vidyadhar Mali
- Department of Paediatric Surgery, National University Hospital, Singapore
| | - Marion Aw
- Department of Paediatrics, National University Hospital, Singapore
| | | | - Emmanuel Gonzales
- Paediatric Hepatology and Paediatric Liver Transplantation Unit, Hôpital Bicêtre, Paris, France
| | - Florent Guérin
- Paediatric Surgery and Paediatric Liver Transplantation Unit, Hôpital Bicêtre, Paris, France
| | - Guillermo Cervio
- Division of Liver Transplant, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Julia Minetto
- Division of Liver Transplant, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Sergio Sierre
- Division of Interventional Radiology, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Martin de Santibañes
- HPB and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Victoria Ardiles
- HPB and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Jimmy Walker Uno
- HPB and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Helen Evans
- Department of Paediatric Gastroenterology, Starship Children's Health, Auckland, New Zealand
| | - David Duncan
- Department of Paediatric Radiology, Starship Children's Health, Auckland, New Zealand
| | - John McCall
- Liver Transplant Unit, Starship Children's Health, Auckland, New Zealand
| | - Steffen Hartleif
- Paediatric Gastroenterology and Hepatology, University Hospitals Tubingen, Tubingen, Germany
| | - Ekkehard Sturm
- Paediatric Gastroenterology and Hepatology, University Hospitals Tubingen, Tubingen, Germany
| | - Jai Patel
- Department of Radiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Marumbo Mtegha
- Department of Paediatrics, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Raj Prasad
- Department of Surgery and Transplantation, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | | | - Luiza S Nader
- Department of Paediatrics, Hospital Santo Antonio, Porto Alegre, Brazil
| | - Marco Farina
- Department of Paediatrics, Hospital Santo Antonio, Porto Alegre, Brazil
| | - Catalina Jaramillo
- Department of Paediatrics, Division of Paediatric Gastroenterology, Hepatology and Nutrition, The University of Utah School of Medicine, Salt Lake City, Utah, USA
| | | | - Peter Feola
- Paediatric Interventional Radiology, The University of Utah School of Medicine, Salt Lake City, Utah, USA
| | - Amit A Shah
- Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Phoebe M Wood
- Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Michael R Acord
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Ryan T Fischer
- Division of Paediatric Gastroenterology and Hepatology, Department of Paediatrics, Children's Mercy Hospital Kansas, Overland Park, Kansas, USA
| | - Bhargava Mullapudi
- Department of Paediatric Surgery, Children's Mercy Hospital Kansas, Overland Park, Kansas, USA
| | - Richard J Hendrickson
- Department of Paediatric Surgery, Children's Mercy Hospital Kansas, Overland Park, Kansas, USA
| | - Rajeev Khanna
- Department of Paediatric Hepatology, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Viniyendra Pamecha
- Department Hepatobiliary Surgery and Liver transplantation, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Amar Mukund
- Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Khalid Sharif
- Liver Unit, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Girish Gupte
- Liver Unit, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Simon McGuirk
- Department of Interventional Radiology, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Gilda Porta
- Department of Paediatric Hepatology, Hospital Sírio-Libanês, Sao Paulo, Brazil
| | - Marco Spada
- Division of Abdominal Transplantation and Hepatobiliopancreatic Surgery, Ospedale Pediatrico Bambino Gesu, Roma, Italy
| | - Tommaso Alterio
- Gastrointestinal, Liver, Nutrition Disorders Unit, IRCCS Pediatric Hospital Bambino Gesù, Rome, Italy
| | - Giuseppe Maggiore
- Gastrointestinal, Liver, Nutrition Disorders Unit, IRCCS Pediatric Hospital Bambino Gesù, Rome, Italy
| | - Winita Hardikar
- Department of Pediatrics, Royal Children's Hospital Research Institute, Parkville, Victoria, Australia
| | - Marisa Beretta
- Faculty of Health Sciences, Wits Donald Gordon Medical Centre, Johannesburg, South Africa
| | - Rudi Dierckx
- Department of Radiology, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
| | - Ruben H J de Kleine
- Division of Hepatobiliary Surgery & Liver Transplantation, Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands
| | - Reinoud P H Bokkers
- Department of Radiology, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
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Di Stasio F, Bravi M, Bonanomi S, Balduzzi A, Prunotto G, Migliorino GM, Dufour C, D'Antiga L, Vendemini F. Successful sequential liver and hematopoietic stem cell transplantation in a patient with Fanconi anemia. Pediatr Transplant 2023:e14503. [PMID: 36915258 DOI: 10.1111/petr.14503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 01/09/2023] [Accepted: 02/28/2023] [Indexed: 03/16/2023]
Abstract
BACKGROUND In Fanconi anemia bone marrow failure is the major cause of morbidity and mortality and hematopoietic stem cell transplantation represents the only curative treatment. Liver disease, in terms of elevated liver function tests, as well as benign and malignant liver tumors, occurs especially in case of androgen treatment. We report a unique case of a child with Fanconi anemia with FANCD2 mutation who developed neonatal cryptogenic liver cirrhosis and bone marrow failure. The child successfully underwent sequential liver transplantation and hematopoietic stem cell transplantation in the first 2 years of life. Nineteen months after hematopoietic stem cell transplantation and 30 months after liver transplantation, the patient is clinically well with normal hematopoietic function and excellent liver function. CONCLUSION This is the first FA patient who successfully received sequential LT and HSCT highlighting that successful sequential transplantation is feasible in Fanconi anemia patients.
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Affiliation(s)
- Fabiana Di Stasio
- Department of Pediatrics, University of Milano-Bicocca, Milan, Italy
| | - Michela Bravi
- Pediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Sonia Bonanomi
- Pediatric Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
| | - Adriana Balduzzi
- Pediatric Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
| | - Giulia Prunotto
- Pediatric Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
| | | | - Carlo Dufour
- Hematology Unit, G. Gaslini IRCCS Children's Institute, Genoa, Italy
| | - Lorenzo D'Antiga
- Pediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Francesca Vendemini
- Pediatric Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy
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Mazzelli A, Valentini M, Cicci A, Iaquaniello G, Bravi M. Industrial bio-fractionation process of microalgae valuable products using supercritical CO2. A techno-economical evaluation. Chem Eng Res Des 2022. [DOI: 10.1016/j.cherd.2021.12.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zaltieri M, Presti DL, Bravi M, Caponero MA, Sterzi S, Schena E, Massaroni C. Assessment of a Multi-Sensor FBG-based Wearable System in Sitting Postures Recognition and Respiratory Rate Evaluation of Office Workers. IEEE Trans Biomed Eng 2022; 70:1673-1682. [PMID: 37079397 DOI: 10.1109/tbme.2022.3225065] [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: 11/29/2022]
Abstract
Due to prolonged incorrect sitting posture, upper body musculoskeletal disorders (UBMDs) are largely widespread among sedentary workers. Monitoring employees' sitting behaviors could be of great help in minimizing UBMDs' occurrence. In addition, being primarily influenced by psycho-physical stress conditions, respiratory rate (RR) would be a further useful parameter to delineate the workers' state of health. Wearable systems have emerged as a viable option for sitting posture and RR monitoring since enable continuous data collecting with no posture disturbances. Nevertheless, the main limits are poor fit, cumbersomeness, and movement restriction resulting in discomfort for the user. In addition, only few wearable solutions can track both these parameters contextually. To address these problems, in this study a flexible wearable system composed of seven modular sensing elements based on fiber Bragg grating (FBG) technology and designed to be worn on the back has been proposed to recognize the most common sitting postures (i.e., kyphotic, upright and lordotic) and estimate RR. The assessment was performed on ten volunteers showing good performances in postures recognition via Naïve Bayes classificator (accuracy >96.9%) and agreement with the benchmark in RR estimation (MAPE ranging between 0.74% and 3.83%, MODs close to zero, and LOAs between 0.76 bpm and 3.63 bpm). The method was then successfully tested on three additional subjects under different breathing conditions. The wearable system could offer great support for a better understanding of the workers' posture attitudes and contribute to gathering RR information to depict an overall picture of the users' state of health.
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Affiliation(s)
- M. Zaltieri
- Department of Engineering, Università Campus Bio-Medico di Roma, Rome, Italy
| | - D. Lo Presti
- Department of Engineering, Università Campus Bio-Medico di Roma, Rome, Italy
| | - M. Bravi
- Unit of Physical Medicine and Rehabilitation of Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy
| | | | - S. Sterzi
- Unit of Physical Medicine and Rehabilitation of Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy
| | - E. Schena
- Department of Engineering, Università Campus Bio-Medico di Roma, Rome, Italy
| | - C. Massaroni
- Department of Engineering, Università Campus Bio-Medico di Roma, Rome, Italy
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7
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Sana L, Betalli P, Bravi M, Stroppa P, Cheli M, Sonzogni A, Licini L, Agazzi R, Colledan M, Parolini F, Alberti D, D'Antiga L. Hepatic hemangioendothelioma of infancy: clinical features of a large cohort of patients and proposed management. Pediatr Surg Int 2021; 37:791-797. [PMID: 33515109 DOI: 10.1007/s00383-021-04860-y] [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] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/09/2021] [Indexed: 12/29/2022]
Abstract
PURPOSE The management of hepatic hemangioendothelioma (HHE) may be challenging. We aimed to review a large cohort of children who presented to our centers with symptomatic HHE in the last 16 years. METHODS We collected age at presentation, clinical features, histology, diagnostic process, management and outcome. RESULTS Twenty seven patients (male/female 5/22), median age 13 days (1-1530) presented with hepatomegaly (24/27), cardiac failure (10/27), cutaneous hemangiomas (8/27), fever and anemia (6/27 each), vomiting (5/27), splenomegaly (4/27). The lesion was focal, multifocal, or diffuse in 9 patients of each group. The management included medical treatment (8/27), embolization (8/27), resection (3/27), observation (6/27), transplantation (2/27). After 16 months' follow-up (30 days-11 years), 23/27 (85%) were alive. Diffuse lesions (4/4), cardiac failure (4/4), type II histology (4/4), age older than 6 months at diagnosis (3/4) predicted mortality (all p < 0.01). Histology showed type 1 lesion in 3/8, type 2 in 3/8, and type 3 in 2/8 with foci of angiosarcoma. CONCLUSION Most patients with symptomatic HHE can be managed successfully with a combination of medical, radiological and surgical treatments. Patients with diffuse lesions, late presentation, cardiac failure and type II histology have a poor outcome. LEVEL OF EVIDENCE Diagnostic level IV. Therapeutic level IV.
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Affiliation(s)
- Loredana Sana
- Paediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII di Bergamo, Piazza OMS1, 24127, Bergamo, Italy
| | - Pietro Betalli
- Paediatric Surgery, Hospital Papa Giovanni XXIII, Bergamo, Italy.
| | - Michela Bravi
- Paediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII di Bergamo, Piazza OMS1, 24127, Bergamo, Italy
| | - Paola Stroppa
- Paediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII di Bergamo, Piazza OMS1, 24127, Bergamo, Italy
| | - Maurizio Cheli
- Paediatric Surgery, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Aurelio Sonzogni
- Pathology Department, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Lisa Licini
- Pathology Department, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Roberto Agazzi
- Interventional Radiology, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - Michele Colledan
- General Surgery and Transplantation, Hospital Papa Giovanni XXIII, Bergamo, Italy
| | | | | | - Lorenzo D'Antiga
- Paediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII di Bergamo, Piazza OMS1, 24127, Bergamo, Italy
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8
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Miccinilli S, Bravi M, Maselli M, Santacaterina F, Morrone M, Manco D, Toglia R, Sterzi S, Bressi F. THE EFFECTIVENESS OF EXTRACORPOREAL SHOCK WAVE THERAPY ON BREAST CANCER-RELATED LYMPHEDEMA: A LITERATURE REVIEW. Lymphology 2021. [DOI: 10.2458/lymph.4664] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Lymphedema is one of the most dreaded complications related to breast cancer surgery, commonly resulting in upper limb functional, esthetic, and psychological impairment. The necessity to improve the efficacy of conventional treatments and the promising effect of extracorporeal shock wave therapy (ESWT) on lymphangiogenesis in vitro and animal models, has prompted studies involving women affected by breast-cancer related lymphedema. Since intervention modalities and treatment protocols used are different, a review is necessary to verify the effectiveness of ESWT, evaluating the quality of existing studies and the eventual need for further research. Data were obtained from PubMed, Scopus, Google Scholar, Cochrane Library and PEDro, including articles published until January 2019. Five studies met the inclusion criteria. Evident heterogeneity emerged among selected studies permitting only a purely descriptive analysis of their data and strongly limiting their comparison. When compared to other treatment modalities, ESWT showed a significant effect on measured outcomes. It is clear that further high quality research is necessary to assert with confidence the effects and possible superiority of ESWT over other conservative therapies in the management of breast-cancer related lymphedema.
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9
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Scarponi P, Volpi Ghirardini AM, Bravi M, Cavinato C. Evaluation of Chlorella vulgaris and Scenedesmus obliquus growth on pretreated organic solid waste digestate. Waste Manag 2021; 119:235-241. [PMID: 33075620 DOI: 10.1016/j.wasman.2020.09.047] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 09/09/2020] [Accepted: 09/24/2020] [Indexed: 05/09/2023]
Abstract
In this research Scenedesmus obliquus and Chlorella vulgaris growth was tested on digestate sludge obtained from the anaerobic co-digestion treatment of the organic fraction of municipal solid waste (OFMSW) together with waste activated sludge (WAS). Digestate was diluted 1:10 and tested in three batch experimental conditions: with no pre-treatments (noPT), after centrifugation (AC) and after filtration (AUF), in order to evaluate microalgae limiting growth factors. The best growth was obtained by C. vulgaris on digestate AC compared to S. obliquus, reaching 479 ± 31 cell million ml-1 and 131 ± 12 cell million ml-1 respectively. Ammonia removal evaluated in C. vulgaris and S. obliquus cultures was 99.2% ± 0.3 and 98.146% ± 0.008 in AC condition, respectively. Considering that AUF showed similar microalgae growth values, the digestate pretreatment for microalgae growth, could be limited to centrifugation.
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Affiliation(s)
- P Scarponi
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy
| | - A M Volpi Ghirardini
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy
| | - M Bravi
- Department of Chemical Engineering Materials Environment, Sapienza University of Rome, via Eudossiana 18, 00184 Rome, Italy
| | - C Cavinato
- Department of Environmental Sciences, Informatics and Statistics, University Ca' Foscari of Venice, via Torino 155, 30172 Venice, Italy.
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Nicastro E, Di Giorgio A, Zambelli M, Ginammi M, Bravi M, Stroppa P, Casotti V, Palladino R, Colledan M, D’Antiga L. Impact of the Severe Acute Respiratory Syndrome Coronavirus 2 Outbreak on Pediatric Liver Transplant Recipients in Lombardy, Northern Italy. Liver Transpl 2020; 26:1359-1362. [PMID: 32614988 PMCID: PMC7361630 DOI: 10.1002/lt.25840] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 05/28/2020] [Accepted: 06/01/2020] [Indexed: 12/16/2022]
Affiliation(s)
- Emanuele Nicastro
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Angelo Di Giorgio
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Marco Zambelli
- Department of SurgeryHospital Papa Giovanni XXIIIBergamoItaly
| | - Marco Ginammi
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Michela Bravi
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Paola Stroppa
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Valeria Casotti
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
| | - Raffaele Palladino
- Department of Public HealthUniversity “Federico II” of NaplesNaplesItaly
| | | | - Lorenzo D’Antiga
- Pediatric Hepatology, Gastroenterology and Transplantation UnitHospital Papa Giovanni XXIIIBergamoItaly
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11
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Cordella F, Scotto Di Luzio F, Bravi M, Santacaterina F, Bressi F, Zollo L. Hand motion analysis during robot-aided rehabilitation in chronic stroke. J BIOL REG HOMEOS AG 2020; 34:45-52. Technology in Medicine. [PMID: 33386033] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
A high percentage of post-stroke patients reports spasticity and no functional use of the upper limb. To adapt the therapy in the most patient-specific manner, it is of paramount importance to objectively assess motor improvement during rehabilitation therapy. In this paper, a quantitative evaluation of the results obtained by using a commercial exoskeletal glove for hand rehabilitation (i.e. Gloreha Sinfonia®) is performed. A camera-based calibration procedure for the bending sensors embedded in the Gloreha Sinfonia robotic glove for hand rehabilitation is introduced to retrieve the range of motion (i.e. the flexion angle excursion of the finger metacarpophalangeal joints) of the patients' hand. Once calibrated, the sensors embedded in the glove have been used to objectively assess the motor performance of chronic post-stroke patients that underwent a robotic treatment with the Gloreha Sinfonia glove. The preliminary results obtained on ten post-stroke patients demonstrated i) that the camera-based procedure permits to retrieve joints' angular values from bending sensors embedded in the glove ii) an improvement in motor performance.
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Affiliation(s)
- F Cordella
- Research Unit of Advanced Robotics and Human-Centred Technologies, Università Campus Bio-Medico di Roma, Rome, Italy
| | - F Scotto Di Luzio
- Research Unit of Advanced Robotics and Human-Centred Technologies, Università Campus Bio-Medico di Roma, Rome, Italy
| | - M Bravi
- Research Unit of Physical Medicine and Rehabilitation, Università Campus Bio-Medico di Roma, Rome, Italy
| | - F Santacaterina
- Research Unit of Physical Medicine and Rehabilitation, Università Campus Bio-Medico di Roma, Rome, Italy
| | - F Bressi
- Research Unit of Physical Medicine and Rehabilitation, Università Campus Bio-Medico di Roma, Rome, Italy
| | - L Zollo
- Research Unit of Advanced Robotics and Human-Centred Technologies, Università Campus Bio-Medico di Roma, Rome, Italy
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12
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Miccinilli S, Schena E, Massaroni C, Bravi M, Campiglia F, Santacaterina F, Foti C, Bressi F, Sterzi S. Use of wearable systems for the detection of chest-abdominal wall movement aimed at respiratory monitoring in sport: a scoping review on available data. J BIOL REG HOMEOS AG 2020; 34:87-96. Technology in Medicine. [PMID: 33386038] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
There is a significant request for wearable systems for vital signs and athletic performance monitoring during sport practice, both in professional and non-professional fields. Respiratory rate is a rather neglected parameter in this field, but several studies show that it is a strong marker of physical exertion. The aim of the present scoping review is to evaluate the number and kind of existing studies on wearable technologies for the analysis of the chest wall movement for respiratory monitoring in sport and fitness. The review included studies investigating the use of contact-based wearable techniques for the detection of chest wall movement for respiratory monitoring during professional or amateur sport, during fitness and physical activity. The search was conducted on PubMed/Medline, Scopus and Google Scholar electronic databases using keywords. Data extracted were entered into a Microsoft Excel spreadsheet by the leading author and then double-checked by the second author. A total of 25 descriptive studies met the inclusion criteria. Few studies on small number of athletes were found, technologies were often evaluated without a reference system, data on participants are sometimes missing. To date, we are not able to draw conclusions on which is the best and most reliable device to use during sport practice.
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Affiliation(s)
- S Miccinilli
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
- PhD Student in Research Doctorate in Tissue Engineering and Remodeling Biotechnologies For Body Function, Tor Vergata University, Rome, Italy
| | - E Schena
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University, Rome, Italy
| | - C Massaroni
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University, Rome, Italy
| | - M Bravi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - F Campiglia
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - F Santacaterina
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - C Foti
- Clinical Sciences and Translational Medicine Department; Research Doctorate in Tissue Engineering And Remodeling Biotechnologies For Body Function, Tor Vergata University, Rome, Italy
| | - F Bressi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - S Sterzi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
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13
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Bressi F, Bravi M, Campagnola B, Bruno D, Marzolla A, Santacaterina F, Miccinilli S, Sterzi S. Robotic treatment of the upper limb in chronic stroke and cerebral neuroplasticity: a systematic review. J BIOL REG HOMEOS AG 2020; 34:11-44. Technology in Medicine. [PMID: 33386032] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Stroke is the second cause of mortality and the third cause of long-term disability worldwide. Deficits in upper limb (UL) capacity persist at 6 months post-stroke in 30-66% of hemiplegic stroke patients with major limitations in activity of daily living (ADL), thus making the recovery of paretic UL function the main rehabilitation goal. Robotic rehabilitation plays a crucial role since it allows to perform a repetitive, intensive, and task-oriented treatment, adaptable to the patients' residual abilities, necessary to facilitate recovery and the rehabilitation of the paretic UL. It has been proposed that robot-mediated training may amplify neuroplasticity by providing a major interaction of proprioceptive and/or other sensory inputs with motor outputs, with significant modifications in functional connectivity (coherence) within the fronto-parietal networks (inter- and intra-hemispheric functional connectivity) related to processes of movement preparation and execution. However, the neurophysiological mechanisms underlying this reorganization are not entirely clear yet. Therefore, the aim of this study is to revise the literature, which assesses the effect of robotic treatment in the recovery of UL deficits measured in terms of neuroplasticity in patients affected by chronic stroke. This systematic review was conducted using PubMed, PEDro, Cinahl (EBSCOhost), Scopus and Cochrane databases. The research was carried out until February 2020 it included articles written in English language, published between 2009 and 2020, and the outcomes considered were neuroplasticity assessments. We included 23 studies over 6145 records identified from the preliminary research. The selected studies proposed different methods for neuroplasticity assessment (i.e. transcranial direct current stimulation (tDCS), EEG-Based Brain Computer Interface (BCI) and Neuroimaging (fMRI)), and different Robotic Rehabilitation treatments. These studies demonstrated a positive correlation between changes in central nervous circuits and post-treatment clinical outcomes. Our study has highlighted the effectiveness of robotic therapy in promoting mechanisms that facilitate re-learning and motor recovery in patients with post-stroke chronic disabilities. However, future studies should overcome the limitations of heterogeneity found in the current literature, by proposing a greater number of high-level RCTs, to better understand the mechanisms of robot-induced neuroplasticity, follow the clinical progress, estimate a prognosis of recovery of motor function, and plan a personalized rehabilitative programme for the patients.
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Affiliation(s)
- F Bressi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - M Bravi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - B Campagnola
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - D Bruno
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - A Marzolla
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - F Santacaterina
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - S Miccinilli
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - S Sterzi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
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14
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Miccinilli S, Bravi M, Foti C, Morrone M, Maselli M, Santacaterina F, Scotto Di Luzio F, Zollo L, Sterzi S, Bressi F. Robotic hand treatment of patients affected by chronic stroke: a monocentric longitudinal pilot study. J BIOL REG HOMEOS AG 2020; 34:79-86. Technology in Medicine. [PMID: 33386037] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Few studies investigated the effects of a robotic treatment in hand motor recovery after stroke. Aim of the present study was to evaluate the efficacy of treatment by means of Gloreha Sinfonia® robotic glove in hand motor recovery of a chronic stroke sample of patients with different impairment severity. Thirteen chronic stroke subjects were assigned to either active-assisted robotic treatment or passive robotic treatment according to their ability to actively extend wrist for at least 20 degrees. All subjects underwent 20 sessions of treatment with Gloreha Sinfonia® and were evaluated before (T0), after treatment (T1) and after one month (T2) with clinical scales testing motor performance [Motor Power (MP); Fugl Meyer Upper-Extremity (FMUE)] and spasticity [Modified Ashworth Scale (MAS)]. Both groups showed significant motor recovery and spasticity reduction. Further randomized controlled trials with larger samples are needed to confirm our results.
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Affiliation(s)
- S Miccinilli
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - M Bravi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - C Foti
- Clinical Sciences and Translational Medicine Department. Tor Vergata University, Rome, Italy
| | - M Morrone
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - M Maselli
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Santacaterina
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Scotto Di Luzio
- Biomedical Robotics Laboratory and Bio-microsystems, Biomedical Engineering Laboratory, Campus Bio-Medico University, Rome, Italy
| | - L Zollo
- Biomedical Robotics Laboratory and Bio-microsystems, Biomedical Engineering Laboratory, Campus Bio-Medico University, Rome, Italy
| | - S Sterzi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Bressi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
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15
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Miccinilli S, Bravi M, Maselli M, Santacaterina F, Morrone M, Manco D, Toglia R, Sterzi S, Bressi F. The effectiveness of extracorporeal shock wave therapy on breast cancer-related lymphedema: A literature review. Lymphology 2020; 53:118-135. [PMID: 33350286] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Lymphedema is one of the most dreaded complications related to breast cancer surgery, commonly resulting in upper limb functional, esthetic, and psychological impairment. The necessity to improve the efficacy of conventional treatments and the promising effect of extracorporeal shock wave therapy (ESWT) on lymphangiogenesis in vitro and animal models, has prompted studies involving women affected by breast cancer-related lymphedema. Since intervention modalities and treatment protocols used are different, a review is necessary to verify the effectiveness of ESWT, evaluating the quality of existing studies and the eventual need for further research. Data were obtained from PubMed, Scopus, Google Scholar, Cochrane Library and PEDro, including articles published until January 2019. Five studies met the inclusion criteria. Evident heterogeneity emerged among selected studies permitting only a purely descriptive analysis of their data and strongly limiting their comparison. When compared to other treatment modalities, ESWT showed a significant effect on measured outcomes. It is clear that further high quality research is necessary to assert with confidence the effects and possible superiority of ESWT over other conservative therapies in the management of breast cancer-related lymphedema.
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Affiliation(s)
- S Miccinilli
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - M Bravi
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - M Maselli
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - F Santacaterina
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - M Morrone
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - D Manco
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - R Toglia
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - S Sterzi
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
| | - F Bressi
- Physical and Rehabilitative Medicine, Università Campus Bio-Medico di Roma, Italy
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16
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Capone F, Di Pino G, Pellegrino G, Florio L, Zollo L, Simonetti D, Ranieri F, Brunelli N, Corbetto M, Miccinilli S, Bravi M, Milighetti S, Guglielmelli E, Sterzi S, Di Lazzaro V. 35. Association of robot-assisted rehabilitation and non-invasive brain stimulation to improve upper limb function in chronic stroke patients. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2017.09.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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17
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Cianetti S, Lombardo G, Bravi M, Grandini S. Is pit and fissure sealing of buccal surfaces useful in reducing incidence of caries of first permanent molars? Eur J Paediatr Dent 2016; 17:193-196. [PMID: 27759407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
AIM The aim of the study was to establish whether caries prevalence on the buccal surfaces of first lower permanent molars (FLPMs) can be compared to those on the occlusal surfaces in order to justify the utility of extending pit and fissure sealing also to the extra-occlusal surfaces. MATERIALS AND METHODS Design: an observational study was carried out in the children population (n=779) aged ≤14 years (mean age 7.68, SD 3.53) that presented at the Paediatric Dentistry Department of the University of Perugia. In the study were included 460 patients, and absolute frequency (number) of FLMP occlusal and buccal caries, together with their ratio and their difference in percentage, were recorded and analysed. Moreover, FLMP buccal caries variation related to age, sex and parent's nationality were calculated. RESULTS Among the 460 children included (243 males) aged 5-14 years, 103 erupted FLPMs were analysed. Of their decayed surfaces (n=115), the occlusal surfaces were 62 (53.9%) and the buccal surfaces 53 (46.1%); the absolute frequency ratio was 1.17 and the percentage difference was 7.8%. The female gender was significantly related to buccal caries of FLPMs [OR = 2.66 (95% CI; 1.27-5.59; p=0.0096)] as was the age ranging between 10-14 years [OR = 2.73 (95% CI; 1.36-5.50; p =0.004)]. The parents nationality was not significantly related to buccal caries [Odds Ratio =1.47 (95% CI; 0.70-3.06; p = 09040)]. CONCLUSIONS The similar caries susceptibility of buccal and occlusal surfaces of FLPMs stimulates further comparative studies about the usefulness of extending pit and fissure sealing to the buccal surfaces in addition to the occlusal prophylactic intervention, particularly with regard to the female sex and during the early eruption stages of these teeth.
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Affiliation(s)
- S Cianetti
- Department of Surgical and Biomedical Sciences, Unit of Pediatric Dentistry, Medical School, University of Perugia, Italy
| | - G Lombardo
- Department of Surgical and Biomedical Sciences, Unit of Pediatric Dentistry, Medical School, University of Perugia, Italy
| | - M Bravi
- Department of Surgical and Biomedical Sciences, Unit of Pediatric Dentistry, Medical School, University of Perugia, Italy
| | - S Grandini
- Department of Biomedical Sciences, Unit of Endodontics and Restorative Dentistry, Dental School, University of Siena, Italy
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Bruno M, Saague P, Constant Anatole P, Prosper Cabral B, Jacques Romain N, Vicky Joseline A, Stoller M, Bravi M, Jeanne N. In vitro and in vivo hepatoprotective effects of Tetrapleura tetraptera extract against CCl 4 induced toxicity in rats model and its antioxidant property. Toxicol Lett 2015. [DOI: 10.1016/j.toxlet.2015.08.725] [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: 11/16/2022]
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Zollo L, Zaccheddu N, Ciancio AL, Morrone M, Bravi M, Santacaterina F, Laineri Milazzo M, Guglielmelli E, Sterzi S. Comparative analysis and quantitative evaluation of ankle-foot orthoses for foot drop in chronic hemiparetic patients. Eur J Phys Rehabil Med 2015; 51:185-196. [PMID: 25184801] [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: 06/03/2023]
Abstract
BACKGROUND Ankle-foot-orthoses (AFOs) are frequently prescribed for hemiparetic patients to compensate for the foot drop syndrome. However, there is not a systematic study either on the effectiveness of AFOs in the gait recovery process or pointing out the therapeutic differences among the various types of AFOs available on the market. AIM To perform a comparative evaluation of solid and dynamic Ankle-Foot-Orthoses (AFOs) on hemiparetic patients affected by foot drop syndrome by means of spatio-temporal, kinematic and electromyographic indicators. DESIGN Crossover design with randomization for the interventions. SETTING A rehabilitation center for adults with neurologic disorders. POPULATION Ten chronic hemiparetic patients with foot drop syndrome met inclusion criteria and volunteered to participate. METHODS Biomechanical gait analysis was carried out on hemiparetic subjects with foot drop syndrome under 3 conditions with randomized sequences: 1) without AFO; 2) wearing a solid AFO; 3) wearing a dynamic AFO. Significant changes in spatio-temporal, kinematic and electromyographic features of gait were investigated. RESULTS Gait analysis outcomes showed that there were no significant differences among the solid and the dynamic AFO on the spatio-temporal parameters. Both AFOs led to a reduction of the range of motion of the ankle dorsi-plantar-flexion during stance with respect to the ambulation without AFO. They also had the effect of reducing the asymmetry between the paretic and the contralateral limb in terms of ankle angle at initial contact and hip flexion. The solid AFO generally led to an increase of the co-contraction of the couples of muscles involved in the gait. CONCLUSION The proposed set of indicators showed that the AFOs were capable of limiting the effect of the foot-drop in hemiparetic patients and balancing the two limbs. Main differences between the two orthoses were related to muscular activity, being the level of co-contraction of the two couples of analysed muscles typically lower when the dynamic AFO was worn and closer to a normal pattern. CLINICAL REHABILITATION IMPACT A more extensive use of the proposed indicators in the clinical practice is expected in order to enable the definition of clinical guidelines for the prescription of the two devices.
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Affiliation(s)
- L Zollo
- Laboratory of Biomedical Robotics and Biomicrosystems, Università Campus Bio‑Medico, Rome, Italy -
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20
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Cicci A, Stoller M, Bravi M. Microalgal biomass production by using ultra- and nanofiltration membrane fractions of olive mill wastewater. Water Res 2013; 47:4710-4718. [PMID: 23770485 DOI: 10.1016/j.watres.2013.05.030] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Revised: 05/14/2013] [Accepted: 05/18/2013] [Indexed: 06/02/2023]
Abstract
Olive milling produces huge amounts of wastewater (OMWW) characterized by an extremely high organic load. Its polyphenols content is a hindrance to conventional biological treatment and to using it as growing medium for common microbial biomasses. The practice to dump it on soil is in conflict with the latest EU directives about waste management. OMWW can be effectively and efficiently treated by means of membrane technology to a fraction of the initial volume, but membrane processing concentrates still require treatment. Reversing the overall cost balance of membrane processing and subsequent treatment requires valorizing the concentrates through their reuse, as well as ensuring long-term service of the membrane system through effective wastewater pretreatment and sustainable, fouling-controlling, membrane operation conduite. Aim of this work is to reuse and valorize the ultra- and nanofiltration membrane concentrates as media for biomass production of microalgae and cyanobacteria. Scenedesmus dimorphus and Arthrospira platensis, usable as a food, feed, nutraceutical component or feedstock for biofuels, were selected for this investigation. Microalgal growth was experimentally determined and related to the composition of the concentrate-based media and to the irradiance distribution within the photobioreactor volume to decouple light limitation and medium chemical composition effects.
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Affiliation(s)
- A Cicci
- University of Rome La Sapienza, Department of Chemical Engineering, Via Eudossiana 18, 00184 Rome, Italy.
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21
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Pellegrino G, Tomasevic L, Tombini M, Assenza G, Bravi M, Sterzi S, Giacobbe V, Zollo L, Guglielmelli E, Cavallo G, Vernieri F, Tecchio F. Inter-hemispheric coupling changes associate with motor improvements after robotic stroke rehabilitation. Restor Neurol Neurosci 2013; 30:497-510. [PMID: 22868224 DOI: 10.3233/rnn-2012-120227] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE In the chronic phase of stroke brain plasticity plays a crucial role for further motor control improvements. This study aims to assess the brain plastic reorganizations and their association with clinical progresses induced by a robot-aided rehabilitation program in chronic stroke patients. METHODS 7 stroke patients with an upper limb motor impairment in chronic phase underwent a multi-modal evaluation before starting and at the end of a 12-week upper-limb neurorehabilitation program. Fugl-Meyer Assessment (FMA) Scale scores and performance indices of hand movement performance (isometric pinch monitored through a visual feedback) were collected. Cerebral reorganizations were characterized by 32-channel electroencephalography (EEG) focusing on ipsilesional and contralesional resting state properties investigating both bipolar derivations overlying the middle cerebral artery territory and the primary somatosensory sources (S1) obtained through the Functional Source Separation (FSS) method. Power Spectral Density (PSD) and interhemispheric coherence (IHCoh) at rest were measured and correlated with clinical and hand control robot-induced improvements. RESULTS After the robotic rehabilitation we found an improvement of FMAS scores and hand motor control performance and changes of brain connectivity in high frequency rhythms (24-90 Hz). In particular, the improvement of motor performance correlated with the modulation of the interhemispheric S1 coherence in the high beta band (24-33 Hz). CONCLUSIONS Recently it has been shown that an upper limb robot-based rehabilitation improves motor performance in stroke patients. We confirm this potential and demonstrate that a robot-aided rehabilitation program induces brain reorganizations. Specifically, interhemispheric connectivity between primary somatosensory areas got closer to a 'physiological level' in parallel with the acquisition of more accurate hand control.
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Affiliation(s)
- G Pellegrino
- Department of Neurology, Campus Bio-Medico University, Rome, Italy.
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22
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Romano F, Stroppa P, Bravi M, Casotti V, Lucianetti A, Guizzetti M, Sonzogni A, Colledan M, D'Antiga L. Favorable outcome of primary liver transplantation in children with cirrhosis and hepatocellular carcinoma. Pediatr Transplant 2011; 15:573-9. [PMID: 21797955 DOI: 10.1111/j.1399-3046.2011.01528.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [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: 02/06/2023]
Abstract
The outcome of HCC after transplantation (OLT) in children is not well known. Unfavorable features based on adult reports may lead to contraindicate OLT even in children. We reviewed a cohort of children with cirrhosis and HCC to evaluate their outcome after primary transplantation. We considered children with cirrhosis and HCC who had a primary OLT. We retrospectively recorded demographic, medical and surgical features, and MC as predictors of outcome. Among 456 children transplanted in the last 15 yr, 10 (2%), median age at diagnosis 1.8 yr (range 0.5-7.2), had HCC in biliary atresia (3), BSEP deficiency (3), tyrosinemia type 1 (2), complications of choledocal cyst and glycogen storage disease type IV (1 each). At HCC discovery, median AFP was 2322 ng/mL (3-35,000), high or rising in 9/10 patients. Six patients were outside the MC. Median time on the waiting list was 38 days (1-152). Two patients died from early complications of OLT. In the other eight patients, there was no tumor recurrence after a median follow-up of four yr. Children with cirrhosis may develop HCC at a very young age. The outcome appears excellent even outside MC. Primary liver transplantation is advisable for children with cirrhosis, HCC, and no extrahepatic disease.
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Affiliation(s)
- Fabrizio Romano
- Department of Surgical Science, S. Gerardo Hospital, Milan, Italy
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23
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Belotti G, Giannelli L, Torzillo G, De Filippis P, Scarsella M, Bravi M. Microalgae biomass and lipid production potential, and mechanical stress compliance. J Biotechnol 2010. [DOI: 10.1016/j.jbiotec.2010.08.060] [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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Colledan M, Stroppa P, Bravi M, Casotti V, Lucianetti A, Pinelli D, Zambelli M, Guizzetti M, Corno V, Aluffi A, Sonzogni V, Sonzogni A, D'Antiga L, Codazzi D. Intestinal Transplantation in Children: The First Successful Italian Series. Transplant Proc 2010; 42:1251-2. [DOI: 10.1016/j.transproceed.2010.03.046] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Abstract
An investigation was performed to explore the capabilities of a filamentous fungal biomass to grow non-aseptically in a glucose-fed Sequencing Batch Reactor system in very extreme environment (pH 3.5) conditions. Trichoderma viride Pers: Fr. Isolate 8/90 was used as inoculum. Microscopic investigations were carried out to confirm fungal dominance in the open culture. In batch tests, the fungal biomass showed a significant ability to grow and remove the applied organic load (2000 mg(Glucose) L(-1) d(-1)), with high biomass yields. Furthermore, the biomass showed an ability to resist gallic acid toxicity at high concentraions (1 g L(-1)) without any pre- exposure acclimation of the biomass. The biomass (about 2.5 g(VSS) L(-1)) demonstrated significant aerobic removal of gallic acid in a timeframe of 20 h from initial exposure. The robust characteristics of this SBR system demonstrate potential for future development of fungal based treatment for recalcitrant feedstocks or operation under extreme environmental conditions.
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Affiliation(s)
- A D'Urso
- Dipartimento Ingegneria Chimica Materiali e Ambiente, Sapienza - Università di Roma, Rome, Italy.
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Bravi M, Spinoglio F, Verdone N, Adami M, Aliboni A, D’Andrea A, De Santis A, Ferri D. Improving the extraction of α-tocopherol-enriched oil from grape seeds by supercritical CO2. Optimisation of the extraction conditions. J FOOD ENG 2007. [DOI: 10.1016/j.jfoodeng.2005.10.017] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Riva S, Sonzogni A, Bravi M, Bertani A, Alessio MG, Candusso M, Stroppa P, Melzi ML, Spada M, Gridelli B, Colledan M, Torre G. Late graft dysfunction and autoantibodies after liver transplantation in children: preliminary results of an Italian experience. Liver Transpl 2006; 12:573-7. [PMID: 16555335 DOI: 10.1002/lt.20673] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Late graft dysfunction (GD) associated with the development of autoantibodies is a common event after pediatric liver transplantation (OLTx) and can present in 2 clinicohistological subsets: de novo autoimmune hepatitis (DNAH) and early chronic rejection (ECR). Sixty out of 247 children developed autoantibodies after OLTx. GD was demonstrated in 22 (37%); based on histology, patients were divided in a DNAH and an ECR group. Portal/periportal inflammatory infiltrate with interface/lobular hepatitis was suggestive for DNAH. Pericentral hepatocytes confluent dropout with a variable degree of central vein endothelitis, but not with ductopenia (loss of >50% of interlobular bile ducts), was diagnosed as ECR. Nine patients had DNAH and 13 ECR. Five out of 9 in the DNAH group were on cyclosporin (CsA) and 4/9 were on tacrolimus (Tac). In the ECR group, 11 children were treated with CsA and 2 with Tac. All DNAH patients had normal liver function tests on steroids and azathioprine (AZA). Five patients with ECR recovered by increasing calcineurin inhibitors (CNIs) dosage, but in 8/13, including 7 switched from CsA to Tac, AZA and steroids were added to obtain remission of disease. Two patients developed late chronic rejection. DNAH and ECR associated with autoantibodies are forms of late GD after OLTx. DNAH improves after standard treatment of autoimmune hepatitis. ECR has a good response to increased doses of CNIs, although ductopenic chronic rejection may occur. In conclusion, the early differential diagnosis of these conditions and an appropriate treatment seem to allow good overall results reflected by a graft survival of more than 90%.
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Affiliation(s)
- Silvia Riva
- Pediatric Unit, Ospedali Riuniti, Bergamo, Italy [corrected]
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Stoller M, Bravi M, Chianese A. The Effect of Scaling on the Performances of a DTB Crystallizer by Means of a Compartmental Simulation Model. Chem Eng Res Des 2005. [DOI: 10.1205/cherd.03384] [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: 11/19/2022]
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Chiappini MG, Ammann T, Selvaggi G, Bravi M, Traietti P. [Effects of different dialysis membranes and techniques on the nutritional status, morbidity and mortality of hemodialysis patients]. G Ital Nefrol 2004; 21 Suppl 30:S190-6. [PMID: 15750983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
To evaluate long-term effects of different hemodialysis (HD) membranes and techniques on nutritional status, morbidity, and mortality in HD patients, we prospectively studied 138 stable HD patients (59 females, 79 males, mean age 53 +/- 13 yrs) on maintenance HD from at least 1 yr with bicarbonate (BD) and cellulose acetate (AC). Patients were randomly assigned to one of four groups: comparable for age, sex, underlying nephropathy, time on dialysis, comorbidity, and followed-up for 5 yrs. Group A (n=38) BD/AC; group B (n=30) BD/low-flux polysulfone (PS); group C (n=30) BD/middle-flux PS or PA; group D (n=20) hemodiafiltration (HDF)/high-flux polysulfone (PS-HDF); group E (n=20) acetate free biofiltration (AFB) with PAN. Nutritional status was evaluated by anthropometric index, visceral protein compartment index, immunological index and bioelectrical impedance analysis. In all patients, we evaluated yearly plasma values of Beta2-microglobulin and of C-reactive protein (CRP) before and after dialysis. A significant and sustained improvement in nutritional status and a striking reduction in CRP and in pre- and post-dialysis beta2-microglobulin levels was observed in groups C, D and E. Morbidity (calculated from the number of clinical complications/patient/yr and from the number of hospital admissions/patient/yr) and mortality were significantly higher in groups A and B (mortality: group A=24%, group B=23%, group C=10%, group D=5%, and group E=5%; p<0.001). The results of our study indicate that the use of middle and high-flux biocompatible membranes is associated with a remarkable and sustained amelioration in nutritional status and with a significant improvement in the prognosis of HD patients, explained by the notable reduction in beta2-microglobulin and in the systemic inflammatory response.
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Affiliation(s)
- M G Chiappini
- Dipartimento delle Discipline Mediche, U.O. di Nefrologia e Dialisi, Ospedale Fatebenefratelli, Isola Tiberina, Rome
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Abstract
This experimental study reports about production selectivity in the fermentation of glucose to citric acid by Yarrowia lipolytica as a function of substrate concentration. Batch runs featuring biomass growth and one or two citric acid production phases were carried out in a 15-l stirred tank fermentor. The presented results demonstrate that working at high initial substrate concentration in the production phase is beneficial both in terms of a higher production rate of citric acid, the desired metabolite (reaching 0.077 h(-1)) and of a higher utilization degree of the employed carbon source (yield up to 0.384 g(c.a.)/g(glucose)). The production rate of isocitric acid, the major undesired metabolite, was found to be practically constant over the tested initial substrate concentration range.
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Affiliation(s)
- S Antonucci
- Dipartimento di Ingegneria Chimica, Università di Roma "La Sapienza", Italy
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Notario A, Torriani A, Bravi M, Broglia M, Borghi G, Guerra G. The Influence of Thyroid Hormones on Colony Growth of Peripheral CFU-GM from Normal and Leukemic Subjects. Tumori 1988; 74:507-12. [PMID: 3217984 DOI: 10.1177/030089168807400502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In order to clarify the alterations of granuloblastic cells in chronic and acute myeloid leukemia, the colony growth behavior of cultured CFU-GM from the peripheral blood of normal and leukemic subjects was examined in basal conditions and after adding to the medium T3 or T4 and/or thioproline and/or flurbiprofen. These drugs had in previous investigations proved their ability to modify cellular receptors and the uptake of thyroid hormones. The study was carried out in semisolid (double agar layer) and liquid medium, utilizing the techniques described previously. Both thyroid hormones enhanced the colony growth from normal peripheral blood CFU-GM and the response was more evident with T4 than T3. The effect on leukemic CFU-GM (from CML and AML) was less clear, probably due to the presence in leukemic cells of a defect of cellular uptake and to the utilization of T3 and T4. Indeed, on addition to the culture medium of thioproline, which modifies membrane permeability, and of fluorbiprofen, which inhibits PGE synthesis, the colony number and growth from leukemic CFU increased considerably in accordance with the results of our previous studies on these substances showing that they are able to modify cellular receptors for thyroid and several other hormones.
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Affiliation(s)
- A Notario
- Department of Internal Medicine and Medical Therapy, University of Pavia
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Notario A, Bravi M, Torriani A, Broglia M, Giuffrè G, Gianoglio G. [Action of calcitonin in peri- and post-menopausal osteoporosis and in osteoporosis induced by long-term treatment with cortisone]. Clin Ter 1987; 123:95-103. [PMID: 2972477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Torriani A, Bravi M, Broglia M, Giuffrè G, Carisdeo V. [Penbutolol and arterial hypertension]. Minerva Med 1987; 78:1375-80. [PMID: 3658210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Penbutolol has proved particularly effective and suitable for the treatment, even on a long-term basis, of recently developed hypertension, especially in its hyperkinetic forms. The drug produces minimal side effects, is well tolerated and gives an early therapeutic response. In addition penbutolol does not cause any significant alterations in the biohumoral parameters of the patients treated and is ideal for combination with dihydralazine, reserpine and dihydrochlorotiazide in the treatment of more stubborn cases, making it possible to reduce the doses of the other drugs without causing bradycardia.
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Affiliation(s)
- A Torriani
- Università di Pavia, Dipartimento di Medicina Interna e Terapia Medica
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