1
|
Damiani G, Poli P, Pacifico A, Rosi E, Allocca G, Berti E, Taschieri S, Tumedei M, Del Fabbro M, Mercuri SR, Bindi M, Francetti L, Buja A, Prignano F, Maiorana C. The Relevant Oral Burden of Patients with Hidradenitis Suppurativa. Dermatol Ther (Heidelb) 2023; 13:2319-2329. [PMID: 37653235 PMCID: PMC10539249 DOI: 10.1007/s13555-023-01006-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 08/04/2023] [Indexed: 09/02/2023] Open
Abstract
INTRODUCTION Interleukin-17 plays a pivotal role in both hidradenitis suppurativa (HS) and in maintaining oral homeostasis, but their potential link remains unknown. Thus, we aimed to evaluate and quantify the oral burden of patients with HS. METHODS In this real-life, multicenter, cross-sectional study, patients with HS were clinically evaluated by two board-certified dermatologists and two board-certified dentists. Oral comorbidities were carefully collected with medical history and therapeutic information. RESULTS A total of 102 patients (44.0 ± 0.9 years, body mass index 27.0 ± 2.2 kg/m2) were enrolled. Remarkably, 48% and 43% did not undergo at least an oral hygiene or a dental visit each year, respectively. Oral disorders were found in 55.9% of patients with HS, in particular 39.2% had caries and 46.7% reported at least one missing tooth. The main oral manifestations in patients with HS were recurrent aphthous stomatitis (N = 19, 19.2%), amalgam tattoo (N = 14, 14.1%), leukoplakia (N = 11, 11.1%), nicotinic stomatitis (N = 9, 9.1%), papilloma (N = 8, 8.1%), and geographic tongue (N = 8, 8.1%). Whilst the main predictor of oral pathological conditions was Hurley staging (P = 0.0276), multivariate regression analysis indicated that gender and International Hidradenitis Suppurativa Severity Score System (IHS4) were the main predictors for the presence of caries and number of missing teeth. CONCLUSION As a result of the relevant oral burden in patients with HS, dentists should be part of the multidisciplinary team and oral education should be promoted among patients with HS.
Collapse
Affiliation(s)
- Giovanni Damiani
- Italian Center of Precisione Medicine and Chronic Inflammation Milan, Milan, Italy.
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy.
- Dermatology and Cosmetology Unit, IRCCS San Raffaele Hospital, Milan, Italy.
- Dermatology Unit, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy.
| | - Pierpaolo Poli
- Maxillofacial Surgery and Odontostomatology Unit, Implant Center for Edentulism and Jawbone Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Alessia Pacifico
- Clinical Dermatology Department, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - Elia Rosi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Giovanni Allocca
- Maxillofacial Surgery and Odontostomatology Unit, Implant Center for Edentulism and Jawbone Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Emilio Berti
- UOC Dermatologia, Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Silvio Taschieri
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy
- Dentistry Unit, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy
- Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - Margherita Tumedei
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy
| | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy
- Maxillofacial Surgery and Odontostomatology Unit, Implant Center for Edentulism and Jawbone Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Santo R Mercuri
- Dermatology and Cosmetology Unit, IRCCS San Raffaele Hospital, Milan, Italy
| | - Marino Bindi
- Director of Dental Assistants Regional Course, CAN Formazione, Forlì, Italy
| | - Luca Francetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy
- Dentistry Unit, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy
| | - Alessandra Buja
- Department of Cardiologic, Vascular and Thoracic Sciences, and Public Health, University of Padua, Padua, Italy
| | - Francesca Prignano
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Carlo Maiorana
- Maxillofacial Surgery and Odontostomatology Unit, Implant Center for Edentulism and Jawbone Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| |
Collapse
|
2
|
Corbi F, Bedford J, Poli P, Funiciello F, Deng Z. Probing the seismic cycle timing with coseismic twisting of subduction margins. Nat Commun 2022; 13:1911. [PMID: 35396397 PMCID: PMC8993884 DOI: 10.1038/s41467-022-29564-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 03/15/2022] [Indexed: 11/09/2022] Open
Abstract
Assessing the timing of great megathrust earthquakes is together crucial for seismic hazard analysis and deemed impossible. Geodetic instrumentation of subduction zones has revealed unexpected deformation patterns at subduction segments adjacent to those that hosted recent mega-earthquakes: coastal sites move landward with faster velocities than before the earthquake. Here, we show observations from the largest and best-monitored megathrust earthquakes, and from a scaled analog model, to reveal that these events create coseismic and postseismic deformation patterns typical of a complete gear-like rotation about a vertical axis, hereafter called twisting. We find that such twisting alters the interseismic velocity field of adjacent subduction segments depending on the time since the last earthquake. Early interactions accelerate while late interactions decelerate local kinematics. This finding opens the possibility of using megathrust earthquakes, the characteristics of the twisting pattern, and the ensuing geodetic velocity changes, as a proxy for estimating the timing of the seismic cycle at unruptured segments along the margin. Satellite geodesy and downscaled laboratory experiments reveal that great subduction earthquakes trigger step changes in kinematics of neighboring segments. This signal is potentially informative of the timing of the seismic cycle.
Collapse
Affiliation(s)
- F Corbi
- Istituto di Geologia Ambientale e Geoingegneria - CNR c/o Dipartimento di Scienze della Terra, Sapienza Università di Roma, Rome, Italy.
| | - J Bedford
- Helmholtz Centre Potsdam - GFZ German Research Centre for Geosciences, Potsdam, Germany
| | - P Poli
- Université Grenoble Alpes, CNRS, ISTerre, Grenoble, France
| | - F Funiciello
- Università "Roma TRE", Dip. Scienze, Laboratory of Experimental Tectonics, Rome, Italy
| | - Z Deng
- Helmholtz Centre Potsdam - GFZ German Research Centre for Geosciences, Potsdam, Germany
| |
Collapse
|
3
|
Damiani G, Gironi LC, Pacifico A, Pigatto PDM, Malagoli P, Bindi M, Francetti L, Maiorana C, Poli P, Taschieri S, Corbella S, Del Fabbro M, Marino S, Spadari F, Savoia P. Cutaneous and oral comorbidities in patients with geographic tongue: a multicenter multidisciplinary cross-sectional observational study. J BIOL REG HOMEOS AG 2021; 35:339-344. [PMID: 34281330 DOI: 10.23812/21-2supp1-33] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Geographic tongue (GT) represents a localized type of psoriasis inversa and its burden of dermatological and oral comorbidities frequently conditions its severity and diagnosis. Currently, no epidemiological studies have evaluated GT muco-cutaneous comorbidities. We aimed to study oral and dermatological comorbidities in a large sample of GT patients. In this multicenter, cross-sectional study, involving 4 primary referral centers in Italy, we evaluated adult GT patients, who were assessed by board certified dermatologists and dentists for 5 months and collected demographics and medical history. GT was evaluated using Hume's classification together with Geographic tongue severity index (GTASI) to score its severity. The prevalence of oral and dermatological comorbidities was recorded. In the sample we enrolled 137 GT patients (M/F= 5:1) with a mean age of 48,2 ± 14,7 yoa and 33.6% had GT family history. The clinical evaluation found 96 (70.1%) GT type I, 7 (5.1%) type II, 13 (9.5%) type IIIa, 19 (13.9%) type IIIb, 2 (1.5%) type IV, following Hume's classification. The mean GTASI score was 23,7 ± 14,2 and the vast majority displayed a severe form of GT. Eighty-nine patients had oral comorbidities (burning mouth syndrome, caries, parulid and lichen planus) and 80 had dermatological concurrent conditions (plaque psoriasis, inverse psoriasis and atopic dermatitis). In GT patients, both dermatological and dental evaluation should be mandatory to identify previously undiagnosed mucocutaneous comorbidities.
Collapse
Affiliation(s)
- G Damiani
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.,Department of Pharmaceutical and Pharmacological Sciences, University of Padua, Padua, Italy
| | - L C Gironi
- A.O.U. Maggiore della Carità, Novara, Italy
| | - A Pacifico
- Clinical Dermatology Department, IRCCS S. Gallicano Dermatological Institute, Rome, Italy
| | - P D M Pigatto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - P Malagoli
- Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy
| | - M Bindi
- Dental Clinic, A.O.U. Maggiore della Carità di Novara, Novara, Italy
| | - L Francetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
| | - C Maiorana
- Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - P Poli
- Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - S Taschieri
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.,Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - S Corbella
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.,Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - M Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
| | - S Marino
- Maxillo-facial and Dental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - F Spadari
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Maxillo-facial and Dental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - P Savoia
- Department of Health Science, University of Eastern Piedmont, Novara, Italy
| |
Collapse
|
4
|
Damiani G, Pacifico A, Malagoli P, Bindi M, Maiorana C, Poli P, Taschieri S, Francetti L, Corbella S, Del Fabbro M, Marino S, Spadari F, Bragazzi NL, Pigatto PDM. Geographic tongue clinical response in moderate-to-severe psoriatic patients undergoing secukinumab: a real-life, multicenter retrospective observational study. J BIOL REG HOMEOS AG 2021; 35:331-337. [PMID: 34281329 DOI: 10.23812/21-2supp1-32] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Geographic tongue (GT), a form of inverse psoriasis, is frequently linked to plaque psoriasis. The objective of the study is to evaluate IL-17 blocker (secukinumab) effect on GT severity. This reallife, multicenter, retrospective observational pilot study evaluated patients with plaque psoriasis and concomitant GT that started in label treatment with secukinumab. Patients were evaluated twice (T0=baseline and T1=after 16 weeks) by a dentist and a dermatologist collecting data on cutaneous Psoriasis Area Severity Index (PASI) and oral statuses using Hume's classification of the Geographic Tongue Severity Index (GTASI). Twenty-nine psoriatic patients with GT treated with secukinumab were enrolled for the study. Seventeen patients display type I GT, 6 type II and 6 type III with an overall GTASI of 25.52±9.57 at the baseline (T0). No correlation was found between delta GTASI and delta PASI (r=-0.27, p=0.1551). GTASI decrement from T0 to T1 was statistically significant ([95%CI -26.64 to -19.56], t=-13.36, p<0.0001). Secukinumab may enter in GT therapeutic armamentarium as the first biologic IL-17 blocker in patients with concomitant moderate-to-severe plaque psoriasis.
Collapse
Affiliation(s)
- G Damiani
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.,Department of Pharmaceutical and Pharmacological Sciences, University of Padua, Padua, Italy
| | - A Pacifico
- Clinical Dermatology Department, IRCCS S. Gallicano Dermatological Institute, Rome, Italy
| | - P Malagoli
- Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy
| | - M Bindi
- Dental Clinic, A.O.U. Maggiore della Carità di Novara, Novara, Italy
| | - C Maiorana
- Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - P Poli
- Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - S Taschieri
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.,Maxillo-facial and Dental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - L Francetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
| | - S Corbella
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.,Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - M Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Dental Clinic, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
| | - S Marino
- Maxillo-facial and Dental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - F Spadari
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Maxillo-facial and Dental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - N L Bragazzi
- Centre for Disease Modelling, York University, Toronto, Canada
| | - P D M Pigatto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.,Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| |
Collapse
|
5
|
Poli P, Andreoletti A, Timpano S, Padoan R, Badolato R. WS02.5 The insulinogenic index as a predictive marker of cystic fibrosis-related diabetes. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)00925-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
6
|
Colombo C, Alicandro G, Daccó V, Gagliano V, Morlacchi L, Casciaro R, Pisi G, Francalanci M, Cavallo A, Poli P, Folino A, Messore B, Cristadoro S, Leonetti G, Maschio M, Lucca F, Cipolli M. P134 SARS-CoV-2 infection in cystic fibrosis during the first pandemic wave in Italy: a multi-centre prospective study with a control group. J Cyst Fibros 2021. [PMCID: PMC8192163 DOI: 10.1016/s1569-1993(21)01160-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
7
|
Steinacker JM, Bloch W, Halle H, Mayer F, Meyer T, Hirschmüller A, Röcker K, Nieß A, Scharhag J, Reinsberger C, Scherr J, Niebauer J, Wolfarth B, Hannafin J, Hiura M, Wilkinson M, Koubaa D, Poli P, Smoljanovic T, Nielsen HB, Ackerman K, Wilson F. Fact Sheet: Health Situation for Athletes in the Current Coronavirus Pandemic (SARS-CoV-2 / COVID-19). Dtsch Z Sportmed 2020. [DOI: 10.5960/dzsm.2020.431] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
8
|
Poli P, Colpani M, Timpano S, Padoan R. P225 May serum amyloid A be a marker for diagnosis of cystic fibrosis pulmonary exacerbation? J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30518-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
9
|
Damiani G, Leone S, Fajgenbaum K, Bragazzi NL, Pacifico A, Conic RRZ, Pigatto PDM, Maiorana C, Poli P, Berti E, Pace MC, Malagoli P, Bettoli V, Fiore M. Nonalcoholic fatty liver disease prevalence in an Italian cohort of patients with hidradenitis suppurativa: A multi-center retrospective analysis. World J Hepatol 2019; 11:391-401. [PMID: 31114643 PMCID: PMC6504856 DOI: 10.4254/wjh.v11.i4.391] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2019] [Revised: 02/25/2019] [Accepted: 03/16/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Nonalcoholic fatty liver disease (NAFLD) includes two distinct conditions, with different histologic features and prognosis: non-alcoholic fatty liver (NAFL) and non-alcoholic steatohepatitis (NASH). Furthermore, NASH is the more aggressive necro-inflammatory form, which may accumulate fibrosis and result in End stage liver disease (ESLD). NAFLD is also linked to systemic inflammatory conditions such as psoriasis. NAFLD is currently the most common cause of ESLD in Western countries, becoming a serious public health concern. Hidradenitis suppurativa (HS) is a systemic inflammatory/autoinflammatory disease of the terminal follicular epithelium of the apocrine gland with a prevalence of 0.05% to 4.10%. Due to its systemic inflammatory behavior several comorbidities were recently associated, however liver ones were scarcely assessed.
AIM To evaluate the prevalence and characteristics of NASH/NAFL in HS patients.
METHODS This retrospective study is a sub-analysis of a larger study carried out in 4 Italian dermatological centers. In this cohort, there were 83 patients: 51 patients with HS only, 20 patients with HS/NAFL and 12 with HS/NASH.
RESULTS Inflammatory comorbidities were present in 3.9% of HS only patients, 25% of HS/NAFL patients and 58.3% of HS/NASH patients (P < 0.001). Similarly, mean Autoinflammatory Disease Damage Index (ADDI) was significantly higher among patients with HS/NASH (5.3 ± 2.2, P < 0.001) compared to patients with HS/NAFL or HS only (2.8 ± 1.6 and 2.6 ± 1.4 respectively). Furthermore, ADDI correlates with IHS4 in HS, HS/NAFL and HS/NASH. Diabetic patients have higher Hurley score than not diabetic ones. Ultrasound examination was significantly different in the three groups.
CONCLUSION HS patients displayed a high prevalence of NASH/NAFLD and ultrasound examination should be particularly addressed to patients that display high ADDI scores.
Collapse
Affiliation(s)
- Giovanni Damiani
- Department of Dermatology, Case Western Reserve University, Cleveland, OH 44195, United States
- Young Dermatologists Italian Network (YDIN), Centro Studi GISED, Bergamo 24100, Italy
- Clinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, Milan 20100, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan 20161, Italy
| | - Sebastiano Leone
- Division of Infectious Diseases, “San Giuseppe Moscati” Hospital, Avellino 83100, Italy
| | - Kristen Fajgenbaum
- University of North Carolina School of Medicine, Chapel Hill, NC 27516, United States
| | - Nicola L Bragazzi
- School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Gevova 16132, Italy
| | - Alessia Pacifico
- San Gallicano Dermatological Institute, IRCCS, Rome 00144, Italy
| | - Rosalynn RZ Conic
- Department of Dermatology, Case Western Reserve University, Cleveland, OH 44195, United States
| | - Paolo DM Pigatto
- Clinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, Milan 20100, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan 20161, Italy
| | - Carlo Maiorana
- Center for Jawbone Atrophies Policlinico Hospital, University of Milan School of Dentistry, Milan 20123, Italy
| | - Pierpaolo Poli
- Center for Jawbone Atrophies Policlinico Hospital, University of Milan School of Dentistry, Milan 20123, Italy
| | - Emilio Berti
- Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Unità Operativa di Dermatologia, IRCCS Fondazione Ca’ Granda, Ospedale Maggiore Policlinico, Milan 20122, Italy
| | - Maria C Pace
- Department of Women, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, Naples 80138, Italy
| | | | - Vincenzo Bettoli
- Department of Clinical and Experimental Dermatology, O.C. of Dermatology, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara 44121, Italy
| | - Marco Fiore
- Department of Women, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, Naples 80138, Italy
| |
Collapse
|
10
|
Abstract
AIMS Many authors have reported a shorter treatment time when using trifocal bone transport (TFT) rather than bifocal bone transport (BFT) in the management of long segmental tibial bone defects. However, the difference in the incidence of additional procedures, the true complications, and the final results have not been investigated. PATIENTS AND METHODS A total of 86 consecutive patients with a long tibial bone defect (≥ 8 cm), who were treated between January 2008 and January 2015, were retrospectively reviewed. A total of 45 were treated by BFT and 41 by TFT. The median age of the 45 patients in the BFT group was 43 years (interquartile range (IQR) 23 to 54). RESULTS The size of the bone defect was significantly longer (p = 0.005), the number of previous operations was significantly higher (p < 0.001), the operating time was significantly longer (p < 0.001), and the bone transport distance was significantly increased (p = 0.017) in the TFT group. However, the external fixation time (p < 0.001), the healing index (p < 0.001), the number of additional procedures (p = 0.013), and the number of true complications (p < 0.001) were significantly reduced in this group. Both groups achieved highly satisfactory bone and functional results. CONCLUSION TFT can significantly reduce the treatment time, the number of additional surgical procedures, and true complications compared with BFT in the treatment of long segmental tibial bone defects.
Collapse
Affiliation(s)
- M A Catagni
- Medical School, University of Milan, Milan, Italy; Director of the Ilizarov Unit, Mangioni Hospital, Lecco, Italy
| | - W Azzam
- Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - F Guerreschi
- Department of Orthopaedic Surgery and Traumatology, Alessandro Manzoni Hospital, Lecco, Italy
| | - L Lovisetti
- Villa Aprica Clinical Institute, Como, Italy
| | - P Poli
- Department of Orthopaedic Surgery and Traumatology, Alessandro Manzoni Hospital, Lecco, Italy
| | - M S Khan
- Isra University Hospital, Hyderabad, Pakistan
| | - L M Di Giacomo
- Division of Orthopaedics and Trauma Surgery, University of Perugia, S. Maria della Misericordia Hospital, Perugia, Italy
| |
Collapse
|
11
|
Poli P, Crestani F, Salvadori C, Valenti I, Sannino C. Medical Cannabis in Patients with Chronic Pain: Effect on Pain Relief, Pain Disability, and Psychological aspects. A Prospective Non randomized Single Arm Clinical Trial. Clin Ter 2018; 169:e102-e107. [PMID: 29938740 DOI: 10.7417/t.2018.2062] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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 There is an increasing interest in the medical use of cannabis, particularly in the treatment of chronic pain. OBJECTIVES The aim is to evaluate the effects of cannabis use and the associated benefits reported by patients with various chronic pain diagnoses. MATERIAL AND METHODS A total of 338 patients with different chro- nic pain conditions were treated with a Cannabis Flos 19% decoction for 12 months, in addition to their pharmacological therapy. Baseline levels for pain medications, pain intensity, pain disability, anxiety and depression were recorded at 1, 3, 6 and 12 months. RESULTS Pain intensity records a statistically significant reduction from Baseline to 12 months follow up (X² 61.375; P<0,001); the im- provements from Baseline to 12 months follow up are also recorded in pain disability (X² 39.423; P<0,001) and in anxiety and depression symptoms (X²30.362; P<0,001; X²27.786; P<0,001). CONCLUSIONS Our study suggest that Cannabis therapy, as an adjun- ct a traditional analgesic therapy, can be an efficacious tool to make more effective the management of chronic pain and its consequences on functional and psychological dimension. Further randomized, controlled trials are needed to confirm our conclusions.
Collapse
Affiliation(s)
- P Poli
- Surgeon Specialist in Anesthesia and Intensive Care and Pain Therapy
| | - F Crestani
- Surgeon Specialist in Anesthesia and Intensive Care and Pain Therapy
| | | | | | | |
Collapse
|
12
|
Vellucci R, Fanelli G, Pannuti R, Peruselli C, Adamo S, Alongi G, Amato F, Consoletti L, Lamarca L, Liguori S, Lo Presti C, Maione A, Mameli S, Marinangeli F, Marulli S, Minotti V, Miotti D, Montanari L, Moruzzi G, Palermo S, Parolini M, Poli P, Tirelli W, Valle A, Romualdi P. What to Do, and What Not to Do, When Diagnosing and Treating Breakthrough Cancer Pain (BTcP): Expert Opinion. Drugs 2016; 76:315-30. [PMID: 26755179 PMCID: PMC4757619 DOI: 10.1007/s40265-015-0519-2] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Clinical management of breakthrough cancer
pain (BTcP) is still not satisfactory despite the availability of effective pharmacological agents. This is in part linked to the lack of clarity regarding certain essential aspects of BTcP, including terminology, definition, epidemiology and assessment. Other barriers to effective management include a widespread prejudice among doctors and patients concerning the use of opioids, and inadequate assessment of pain severity, resulting in the prescription of ineffective drugs or doses. This review presents an overview of the appropriate and inappropriate actions to take in the diagnosis and treatment of BTcP, as determined by a panel of experts in the field. The ultimate aim is to provide a practical contribution to the unresolved issues in the management of BTcP. Five ‘things to do’ and five ‘things not to do’ in the diagnosis and treatment of BTcP are proposed, and evidence supporting said recommendations are described. It is the duty of all healthcare workers involved in managing cancer patients to be mindful of the possibility of BTcP occurrence and not to underestimate its severity. It is vital that all the necessary steps are carried out to establish an accurate and timely diagnosis, principally by establishing effective communication with the patient, the main information source. It is crucial that BTcP is treated with an effective pharmacological regimen and drug(s), dose and administration route prescribed are designed to suit the particular type of pain and importantly the individual needs of the patient.
Collapse
Affiliation(s)
| | - R Vellucci
- SOD Cure Palliative e Terapia del Dolore, Ospedale Universitario Careggi, Florence, Italy.
| | - G Fanelli
- SC Anestesia, Rianimazione e Terapia Antalgica, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
| | - R Pannuti
- Fondazione ANT Italia Onlus, Andria, Italy
| | - C Peruselli
- SC Cure Palliative, Ospedale di Biella, Ponderano, BI, Italy
| | - S Adamo
- UO Terapia del Dolore, ARNAS Civico di Palermo, Palermo, Italy
| | - G Alongi
- Hospice e Cure Palliative, ASP 1di Agrigento, Agrigento, Italy
| | - F Amato
- UOC Terapia del Dolore e Cure Palliative, Azienda ospedaliera di Cosenza, Cosenza, Italy.,Past President Feder Dolore-SICD, Cosenza, Italy
| | - L Consoletti
- Struttura di Medicina del Dolore, Ospedale Universitario "Ospedali Riuniti", Foggia, Italy
| | - L Lamarca
- UOS Cure Palliative e Terapia Antalgica, Azienda ULSS N. 10 "Veneto Orientale", San Donà di Piave, VE, Italy
| | - S Liguori
- USC Cure Palliative Terapia del Dolore, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - C Lo Presti
- UOD Terapia del Dolore e Cure Palliative, ACO San Filippo Neri, ASLRME, Rome, Italy
| | - A Maione
- Terapia antalgica e Cure Palliative, Presidio Ospedaliero "S. Maria della Pietà", Nola, NA, Italy
| | - S Mameli
- SC Terapia del Dolore, Presidio Ospedaliero "A. Businco", Cagliari, Italy
| | - F Marinangeli
- Scuola di Specializzazione di Anestesia, Rianimazione e Terapia Intensiva, Università dell'Aquila, L'Aquila, Italy
| | - S Marulli
- OC Anestesia, Rianimazione e Terapia Iperbarica, UOS-I Gruppo Operatorio, Ospedale "Vito Fazzi", Lecce, Italy
| | - V Minotti
- SC Oncologia Medica, Azienda Ospedaliera "S.M. della Misericordia", Perugia, Italy
| | - D Miotti
- UO Cure Palliative e Terapia del Dolore, Fondazione Salvatore Maugeri-IRCCS, Pavia, Italy
| | - L Montanari
- UO Semplice Cure Palliative, Ravenna, Italy.,Dipartimento Onco-ematologico, AUSL della Romagna c/o Presidio Ospedaliero Umberto I, Lugo di Ravenna, Italy
| | - G Moruzzi
- UOS Hospice, Azienda Sanitaria Provinciale di Siracusa, Siracuse, Italy
| | - S Palermo
- UOC Terapia Antalgica, IRCCS San Martino-IST, Genoa, Italy
| | - M Parolini
- UOC Anestesia e Rianimazione B, Azienda Universitaria integrata di Verona, Verona, Italy
| | - P Poli
- UO Terapia del Dolore, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
| | - W Tirelli
- Centro di Terapia del Dolore, Hospice "Fondazione Roma Sanità", Rome, Italy.,Centro di Rianimazione e Terapia del Dolore e Cure Palliative, Istituto Nazionale Tumori "Regina Elena", Rome, Italy
| | - A Valle
- Fondazione FARO, Turin, Italy
| | - P Romualdi
- Dipartimento di Farmacia e Biotecnologie, Alma mater studiorum, Università di Bologna, Bologna, Italy
| |
Collapse
|
13
|
Ferruzzi G, Casarosa L, Balestri G, Poli P, Andreotti L, Pistoia A. Milk characteristics of grazing sheep fed with different hay/concentrate ratio. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.1s.551] [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] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- G. Ferruzzi
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| | - L. Casarosa
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| | - G. Balestri
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| | - P. Poli
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| | - L. Andreotti
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| | - A. Pistoia
- Dipartimento di Agronomia e Gestione dell’Agroecosistema. Università di Pisa, Italy
| |
Collapse
|
14
|
Pistoia A, Poli P, Casarosa L, Balestri G, Ferruzzi G. Sorghum used to fodder production in dry farming. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.1s.342] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- A. Pistoia
- Dipartimento di Agronomia e Gestione dell’Agroecosistema, Università di Pisa, Italy
| | - P. Poli
- Dipartimento di Agronomia e Gestione dell’Agroecosistema, Università di Pisa, Italy
| | - L. Casarosa
- Dipartimento di Agronomia e Gestione dell’Agroecosistema, Università di Pisa, Italy
| | - G. Balestri
- Dipartimento di Agronomia e Gestione dell’Agroecosistema, Università di Pisa, Italy
| | - G. Ferruzzi
- Dipartimento di Agronomia e Gestione dell’Agroecosistema, Università di Pisa, Italy
| |
Collapse
|
15
|
Kaiser-Weiss AK, Kaspar F, Heene V, Borsche M, Tan DGH, Poli P, Obregon A, Gregow H. Comparison of regional and global reanalysis near-surface winds with station observations over Germany. Adv Sci Res 2015. [DOI: 10.5194/asr-12-187-2015] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract. Reanalysis near-surface wind fields from multiple reanalyses are potentially an important information source for wind energy applications. Inter-comparing reanalyses via employing independent observations can help to guide users to useful spatio-temporal scales. Here we compare the statistical properties of wind speeds observed at 210 traditional meteorological stations over Germany with the reanalyses' near-surface fields, confining the analysis to the recent years (2007 to 2010). In this period, the station time series in Germany can be expected to be mostly homogeneous. We compare with a regional reanalysis (COSMO-REA6) and two global reanalyses, ERA-Interim and ERA-20C. We show that for the majority of the stations, the Weibull parameters of the daily mean wind speed frequency distribution match remarkably well with the ones derived from the reanalysis fields. High correlations (larger than 0.9) can be found between stations and reanalysis monthly mean wind speeds all over Germany. Generally, the correlation between the higher resolved COSMO-REA6 wind fields and station observations is highest, for both assimilated and non-assimilated (i.e., independent) observations. As expected from the lower spatial resolution and reduced amount of data assimilated into ERA-20C, the correlation of monthly means decreases somewhat relative to the other reanalyses (in our investigated period of 2007 to 2010). Still, the inter-annual variability connected to the North Atlantic Oscillation (NAO) found in the reanalysis surface wind anomalies is in accordance with the anomalies recorded by the stations. We discuss some typical examples where differences are found, e.g., where the mean wind distributions differ (probably related to either height or model topography differences) and where the correlations break down (because of unresolved local topography) which applies to a minority of stations. We also identified stations with homogeneity problems in the reported station values, demonstrating how reanalyses can be applied to support quality control for the observed station data. Finally, as a demonstration of concept, we discuss how comparing feedback files of the different reanalyses can guide users to useful scales of variability.
Collapse
|
16
|
Gregow H, Poli P, Mäkelä HM, Jylhä K, Kaiser-Weiss AK, Obregon A, Tan DGH, Kekki S, Kaspar F. User awareness concerning feedback data and input observations used in reanalysis systems. Adv Sci Res 2015. [DOI: 10.5194/asr-12-63-2015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract. A web-based survey to assess the benefits and gaps in reanalyses as part of growing climate services was carried out in 2013–2014. The survey elicited responses from about 2500 users of climate information. One of the eleven survey points specifically addressed the observations used in reanalysis, with a multiple-choice question "Have you used reanalysis input observations and feedback data?". Almost half of the respondents admitted to not knowing what such data were about. Among the others, specific queries asked for these observations to be made available more openly. This paper summarizes the main findings in regard to use of existing reanalyses as well as user awareness and needs in regard to reanalysis feedback data and input observations. In the future, the information obtained via the survey makes it possible to perform various statistically robust analyses addressing different aspects of the use of reanalysis data.
Collapse
|
17
|
Mandelli M, Semeraro LG, Brunetti L, Poli P, Giovannini M. [A challenge for pediatrician: non allergic urticaria]. Pediatr Med Chir 2014; 35:253-8. [PMID: 24620551 DOI: 10.4081/pmc.2013.19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
In general population about 15-20% of subjects have suffered from one episode of urticaria-angioedema syndrome in their life. The etiology of his condition is various and multifactorial. In children the principal cause of acute urticaria is infection, while physical factors are the main agents of chronic urticaria. All those conditions which lack an etiology are named chronic idiopathic urticaria, but in reality a considerable number of these patients is affected by a chronic autoimmune urticaria. For this reason, screening out the most frequent causes of chronic urticaria, it's useful to know when it's possible to apply specific diagnostic tests for this condition and which therapies are employable.
Collapse
|
18
|
|
19
|
Borgonovo AE, Tafuro CM, Censi R, Poli P, Maiorana C. Minimally invasive surgical approach in a large mandibular solitary cyst: case report and review of the literature. Minerva Stomatol 2012; 61:239-245. [PMID: 22576449] [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: 05/31/2023]
Abstract
Solitary bone cyst (SBC) is an intraosseus radiolucent lesions that defers from real cysts for the fact that peripheral epithelial lining is totally absent. It could be classified as a psudocyst and occurs most frequently in young patients. In most cases SBC doesn't cause symptoms and it is often diagnosed accidentally during routine radiographic examination. A right diagnosis of this disease is also complicated because there are no pathognomonic radiographic signs and symptoms: so this form of pseudocyst is often misdiagnosed as a common odontogenic cyst. Despite numerous studies, the pathogenesis of the SBC is not yet established: the most widely accepted theory is that it could be the result of an intramedullary necrosis determined by a trauma. In this article we report a case of SBC in child treated with a minimal surgical approach. This new kind of treatment is much more conservative than the traditional one, it can be performed as outpatients, under local anesthesia and with few postoperative discomfort: For these reasons this minimal invasive technique appears to be particulary suitable for pediatric patients.
Collapse
|
20
|
Ciaramella A, Grosso S, Poli P, Gioia A, Inghirami S, Massimetti G, Conti L. When pain is not fully explained by organic lesion: a psychiatric perspective on chronic pain patients. Eur J Pain 2012; 8:13-22. [PMID: 14690670 DOI: 10.1016/s1090-3801(03)00062-4] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [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: 11/29/2022]
Abstract
Recent literature demonstrates the relationship between psychopathology and medically unexplained pain, even if the results of several studies show a high degree of variability. The present study was planned with the aim of analysing both the possible relationship between the level (low/high) of organicity and the presence of psychopathology, and the degree to which these differences are related to methodological problems. Between 1998 and 2000, four hundred and thirty six consecutive patients seen at the Pisa Pain Therapy and Palliative Care Unit were requested to fill in a questionnaire, the GHQ-12, to screen the subjects probably with (GHQ-12>3) or without (GHQ-12</=3) psychopathology. All the patients scoring above the GHQ-12 threshold (score of 3), and a randomised sample of those scoring below the GHQ-12 threshold, were included in the study. These patients were then interviewed using three different instruments: the Mini International Neuropsychiatric Interview (MINI) for a standardised psychiatric diagnosis, the Semistructured Interview for Depression (SID) for the characterisation of temperament, and the Italian Pain Questionnaire (IPQ) for the evaluation of pain. Our results suggest that Somatisation Disorders are more frequent in the medically unexplained pain group than in the medically explained pain group, whereas the other psychiatric disorders have a similar prevalence in the two pain groups. Mood and anxiety disorders are correlated with high scores on GHQ-12 and medically explained pain has a higher prevalence of GHQ-12>3 than the medically unexplained pain group. These results confirm that methodology is an important factor that could modify results in psychiatric research. Both medically unexplained pain and the presence of psychopathology are significantly correlated with sex, and age: females and young patients have a higher prevalence of psychopathology and of medically unexplained pain. Our results suggest that in the correlation between the low organicity of pain and psychopathology, the age and sex play a relevant role.
Collapse
Affiliation(s)
- A Ciaramella
- Pain Therapy and Palliative Care Unit, Azienda Ospedaliera Pisana, Via Roma 67, Pisa, 56100, Italy.
| | | | | | | | | | | | | |
Collapse
|
21
|
Maffei F, Carbone F, Forti GC, Buschini A, Poli P, Rossi C, Marabini L, Radice S, Chiesara E, Hrelia P. Drinking water quality: an in vitro approach for the assessment of cytotoxic and genotoxic load in water sampled along distribution system. Environ Int 2009; 35:1053-1061. [PMID: 19573924 DOI: 10.1016/j.envint.2009.05.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 05/26/2009] [Accepted: 05/27/2009] [Indexed: 05/28/2023]
Abstract
An in vitro approach was performed to assess the quality of drinking water collected at two treatment/distribution networks located near the source (Plant #1) and the mouth of River Po (Plant #2). The water was sampled at different points of each distribution network, before (raw water) and after the chlorine dioxide disinfection, and in two points of the pipeline system to evaluate the influence of the distribution system on the amount and quality of the disinfection by-product. Cytotoxicity and genotoxicity of water extracts were evaluated in human peripheral lymphocytes and Hep-G2 cells by the use of the micronucleus (MN) test and Comet assay. Raw water samples of both plants induced cytotoxic effects, but not the increases of MN frequency in Hep-G2 cells and in human lymphocytes. Increases of DNA damage in human leukocytes was detected by Comet assay for raw water of Plant #2 at concentration > or = 0.25 Leq/mL. The disinfection process generally has reduced the toxicity of water samples, even if potential direct DNA-damaging compounds have been detectable in drinking water samples. The proposal approach, if currently used together with chemical analysis, can contribute to improve the monitoring drinking water.
Collapse
Affiliation(s)
- F Maffei
- Department of Pharmacology, University of Bologna, 40126 Bologna, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Raffaeli W, Montrone V, Sarti D, Bonezzi C, Poli P. 97 SAFETY AND EFFICACY ANALYSIS OF TRANSDERMAL BUPRENORPHINE IN CHRONIC NON‐CANCER AND CANCER PAIN: AN ITALIAN REGISTER OPIOIDS CORRECT USE. Eur J Pain 2009. [DOI: 10.1016/s1090-3801(09)60100-2] [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: 10/20/2022]
Affiliation(s)
- W. Raffaeli
- Pain Therapy and Palliative Care Unit, Infermi Hospital, Rimini, Italy
| | - V. Montrone
- Pain Therapy and Palliative Care Unit, Cardarelli Hospital, Naples, Italy
| | - D. Sarti
- Pain Therapy and Palliative Care Unit, Infermi Hospital, Rimini, Italy
| | - C. Bonezzi
- Pain Unit, Maugeri Fundation, Pavia, Italy
| | - P. Poli
- Pain Therapy and Palliative Care Unit, “S. Chiara” Reunited Hospitals, Pisa, Italy
| |
Collapse
|
23
|
Yan X, Ducrocq V, Poli P, Hakam M, Jaubert G, Walpersdorf A. Impact of GPS zenith delay assimilation on convective-scale prediction of Mediterranean heavy rainfall. ACTA ACUST UNITED AC 2009. [DOI: 10.1029/2008jd011036] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
24
|
Sousa G, Zucchi T, Zucchi F, Miller R, Anjos R, Poli P, Zucchi T. Aspergillus nidulans as a biological system to detect the genotoxic effects of mercury fumes on eukaryotes. Genet Mol Res 2009; 8:404-13. [DOI: 10.4238/vol8-2gmr587] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
25
|
Abstract
The pharmacokinetics and pharmacodynamics of morphine are under the control of several polymorphic genes, which can account for part of the observed interindividual variation in pain relief. We focused on two such genes: ABCB1/MDR1, a major determinant of morphine bioavailability, and OPRM1, which encodes for the mu-opioid receptor, the primary site of action for morphine. One hundred and forty-five patients of Italian origin undergoing morphine therapy were genotyped for the single-nucleotide polymorphism (SNP) C3435T of ABCB1/MDR1 and for the A80G SNP of OPRM1. Pain relief variability was significantly (P<0.0001) associated with both polymorphisms. Combining the extreme genotypes of both genes, the association between patient polymorphism and pain relief improved (P<0.00001), allowing the detection of three groups: strong responders, responders, and non-responders, with sensitivity close to 100% and specificity more than 70%. This study provides a good example of the possible clinical use of pharmacogenetics.
Collapse
Affiliation(s)
- D Campa
- Department of Biology, University of Pisa, Pisa, Italy.
| | | | | | | | | |
Collapse
|
26
|
Poli P, Moll P, Rabier F, Desroziers G, Chapnik B, Berre L, Healy SB, Andersson E, El Guelai FZ. Forecast impact studies of zenith total delay data from European near real-time GPS stations in Météo France 4DVAR. ACTA ACUST UNITED AC 2007. [DOI: 10.1029/2006jd007430] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
27
|
Gioia A, Campa D, Poli P, Barale R. 182 ASSOCIATION BETWEEN ALLELES IN GENES INVOLVED IN OPPIATE ANALGESIA AND PAIN RELIEF. Eur J Pain 2006. [DOI: 10.1016/s1090-3801(06)60185-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
28
|
Poli P, Ciaramella A, Orsitto E, Carolis G, Gioia A. 768 INTRATHECAL MORPHINE TO CONTROL CANCER PAIN: PAIN ASSESSMENT AND OPIOID REQUIREMENT. Eur J Pain 2006. [DOI: 10.1016/s1090-3801(06)60771-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
29
|
Gioia A, Poli P, Adami S, Ciaramella A. 962 THE USEFULNESS OF PSYCHOSOCIAL FACTORS AND PAIN COPING ASSESSMENT TO PREDICT THE OUTCOME FOR SPINAL OPIOID TREATMENT WITH IMPLANTED PUMP. Eur J Pain 2006. [DOI: 10.1016/s1090-3801(06)60965-8] [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]
|
30
|
Passon P, Tessitori G, Lombardo M, Callea S, Poli P. Long-surviving case of adenosquamous carcinoma of the larynx: case report and review of literature. Acta Otorhinolaryngol Ital 2005; 25:301-3. [PMID: 16602330 PMCID: PMC2639909] [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: 05/08/2023]
Abstract
A singularly long-surviving (15 years) disease-free case of a stage II adenosquamous carcinoma of the larynx is described. A review of the literature reveals that prognosis of this aggressive malignant neoplasm is poor (mean 2-3 years free of disease) on account of local recurrences, early cervical lymph node metastasis and distant dissemination. This long survival rate emphasises the importance of early radical surgical treatment and the choice of total laryngectomy with neck dissection in stage II laryngeal neoplasm.
Collapse
Affiliation(s)
- P Passon
- Department of Surgery, Otolaryngology Section, Regione Friuli, ASS 6, Civic Hospital of San Vito al Tagliamento (PN), Italy.
| | | | | | | | | |
Collapse
|
31
|
Viliani T, Huber U, Pasquetti P, Poli P, Marcucci M, Popolizio A. Rehabilitation after primary total hip replacement. Comparison between Italian and international protocols. Eura Medicophys 2004; 40:67-74. [PMID: 16046929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
AIM In intensive rehabilitation departments (Code 56) there is a high case-load of patients with recent total hip replacement (THR). Whereas there has been a progressive standardisation and perfecting of prosthetic materials and surgical techniques, time-frames and modalities of rehabilitation programmes are still very variable. Following the Ministerial Guidelines, issued in 1998 by the Italian National Health System, and the introduction of Accreditation Requirements, methods must become more uniform and there must be increased scientific rigour in treatment so as to reduce variability and the subjective nature of the service provided. Ana-lysis of the working methods of large Rehabilitation Centres may help to focus on the problems more clearly and stimulate any improvements that may be required. The study analyses and compares rehabilitation protocols for hip replacement patients adopted in Italian and international rehabilitation centres. METHODS Thirty-four post-THR rehabilitation protocols were analysed; 14 Italian plus 20 international. RESULTS The analysis revealed that some factors are unanimously considered important and are therefore codified: 1) posture and positioning; 2) prevention of deep vein thrombosis; 3) rapid return to mobility; 4) education of patients to joint care. CONCLUSIONS Weight-bearing on the operated limb is not yet a standardised aspect and thus the physiatrist's attention should be focused on this for a return to walking that is safe (for patients and for implanted prosthesis) correct (from the biomechanical and kinematic standpoints) and that plays a normal role in performing activities of daily living.
Collapse
Affiliation(s)
- T Viliani
- Functional Re-education and Recovery Unit, Careggi Hospital, Trauma and Orthopaedics Centre, Florence, Italy.
| | | | | | | | | | | |
Collapse
|
32
|
Buschini A, Martino A, Gustavino B, Monfrinotti M, Poli P, Rossi C, Santoro M, Dörr AJM, Rizzoni M. Comet assay and micronucleus test in circulating erythrocytes of Cyprinus carpio specimens exposed in situ to lake waters treated with disinfectants for potabilization. Mutation Research/Genetic Toxicology and Environmental Mutagenesis 2004; 557:119-29. [PMID: 14729366 DOI: 10.1016/j.mrgentox.2003.10.008] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The detection of a possible genotoxic effect of surface water treated with disinfectants for potabilization is the aim of the present work. The Comet assay and the micronucleus test were applied in circulating erythrocytes of Cyprinus carpio. Young specimens (20-30 g) were exposed in experimental basins, built within the potabilization plant of Castiglione del Lago (Perugia, Italy). In this plant the water of the Trasimeno Lake is treated and disinfected for potabilization before it is distributed to the people in the net of drinkable water. A continuous flow of water at a constant rate was supplied to basins; the water was continuously treated at a constant concentration with one of the three tested disinfectants (sodium hypochlorite, peracetic acid and chloride dioxide), one control basin being supplied with untreated water. Three sampling campaigns were performed: October 2000, February 2001 and June 2001. Repeated blood samplings through intracardiac punctures allowed to follow the same fish populations after different exposure times: before introduction of the disinfectant, and 10 or 20 days afterwards. An additional blood sampling was performed 3 h after addition of the disinfectant in other, simultaneously exposed, fish populations. Genotoxic damage was shown in fish exposed to water disinfected with sodium hypochlorite and chloride dioxide. The Comet assay showed an immediate response, i.e. DNA damage that was induced directly in circulating erythrocytes, whereas micronuclei reached their highest frequencies at later sampling times, when a genotoxic damage in stem cells of the cephalic kidney is expressed in circulating erythrocytes. The quality of the untreated surface water seems to be the most important parameter for the long-term DNA damage in circulating erythrocytes.
Collapse
Affiliation(s)
- A Buschini
- Dipartimento di Genetica Antropologia Evoluzione, Università degli Studi di Parma, Parma, Italy
| | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Poli P, de Mello MA, Buschini A, de Castro VLSS, Restivo FM, Rossi C, Zucchi TMAD. Evaluation of the genotoxicity induced by the fungicide fenarimol in mammalian and plant cells by use of the single-cell gel electrophoresis assay. Mutat Res 2003; 540:57-66. [PMID: 12972058 DOI: 10.1016/s1383-5718(03)00165-7] [Citation(s) in RCA: 16] [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: 11/25/2022]
Abstract
Fenarimol, a systemic pyrimidine carbinol fungicide, is considered to be not genotoxic or weakly genotoxic, although the available toxicological data are controversial and incomplete. Our results obtained in vitro with leukocytes of two different rodent species (rat and mouse) show that fenarimol affects DNA, as detected by the single-cell gel electrophoresis (SCGE, Comet) assay. This fungicide is able to induce DNA damage in a dose-related manner, with significant effectiveness at 36 nM, but without significant interspecies differences. Simultaneous exposure of rat leukocytes to fenarimol (36-290 nM) and a model genotoxic compound (50 microg/ml bleomycin) produced a supra-additive cytotoxic and genotoxic effect. This supports previous findings suggesting possible co-toxic, co-mutagenic, cancer-promoting and co-carcinogenic potential of fenarimol, and modification of the effects of other xenobiotics found to be influenced by this agrotoxic chemical, with consequent different toxicological events. The potential for DNA strand breaks to act as a biomarker of genetic toxicity in plants in vivo was also considered, in view of the fact that higher plants represent reliable sensors in an ecosystem. Significant DNA breakage was observed in the nuclei of Impatiens balsamina leaves after in vivo treatment with fenarimol (145 nM, 1h). More than 50% of the cells showed such DNA damage.
Collapse
Affiliation(s)
- P Poli
- Dipartimento di Genetica Antropologia Evoluzione, Università degli Studi di Parma, Parco Area delle Scienze11/a, 43100 Parma, Italy.
| | | | | | | | | | | | | |
Collapse
|
34
|
Biscardi D, Monarca S, De Fusco R, Senatore F, Poli P, Buschini A, Rossi C, Zani C. Evaluation of the migration of mutagens/carcinogens from PET bottles into mineral water by Tradescantia/micronuclei test, Comet assay on leukocytes and GC/MS. Sci Total Environ 2003; 302:101-108. [PMID: 12526902 DOI: 10.1016/s0048-9697(02)00349-2] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
This study monitored the release of mutagenic/carcinogenic compounds into mineral water (natural and carbonated) from polyethylene terephthalate (PET) bottles, using a plant mutagenicity test which reveals micronuclei formation in Tradescantia pollen cells (Trad/MCN test), a DNA damage assay (Comet assay) on human leukocytes and gas chromatography/mass spectrometry (GC/MS) for the characterisation of migrants. The water samples were collected at a bottling plant and stored in PET bottles for a period ranging from 1 to 12 months. Every month some samples were randomly collected and lyophilised, the residual powders were extracted with organic solvents and then analysed by GC/MS and tested for DNA damage in human leukocytes, or reconstituted with distilled water to obtain concentrates for the exposure of Tradescantia inflorescences. Micronuclei increase in pollen was found only in natural mineral water stored for 2 months. DNA-damaging activity was found in many of the natural and carbonated water samples. Spring water was negative in the plant micronuclei test and the Comet assay, whereas distributed spring water showed DNA-damaging effects, suggesting a possible introduction of genotoxins through the distribution pipelines. GC/MS analysis showed the presence in mineral water of di(2-ethylhexyl)phthalate, a nongenotoxic hepatocarcinogenic plasticizer, after 9 months of storage in PET bottles.
Collapse
Affiliation(s)
- D Biscardi
- Department of Life Science, II University of Naples, Naples, Italy
| | | | | | | | | | | | | | | |
Collapse
|
35
|
Buschini A, Cassoni F, Anceschi E, Pasini L, Poli P, Rossi C. Urban airborne particulate: genotoxicity evaluation of different size fractions by mutagenesis tests on microorganisms and comet assay. Chemosphere 2001; 44:1723-1736. [PMID: 11534904 DOI: 10.1016/s0045-6535(00)00550-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The genotoxic effects of different size fractions of airborne particulate (Total, PM10 and PM25), extracted with acetone or toluene, were evaluated by: the Ames plate test (TA98 and TA100 strains, w/o S9), gene conversion and reversion (w/o endogenous metabolic activation) in the Saccharomyces cerevisiae D7 strain, and the comet assay on human leukocytes. The data on human leukocytes confirm the sensitivity of the comet assay and its applicability to assess genotoxicity in environmental samples. The PM2.5 fraction of airborne particulate generally shows the highest concentration of DNA-damaging compounds. Genotoxic response, in all the test systems applied, is highly dependent on extraction solvent used. Acetone seems to extract compounds with more similar genotoxic responses in the three test systems used than toluene extracts. Toluene appears to extract air pollutants genotoxic on yeast and leukocytes but is mainly cytotoxic on Salmonella.
Collapse
Affiliation(s)
- A Buschini
- Istituto di Genetica, Università di Parma, Italy
| | | | | | | | | | | |
Collapse
|
36
|
Masi G, Tomaiuolo F, Sbrana B, Poli P, Baracchini G, Pruneti CA, Favilla L, Floriani C, Marcheschi M. Depressive symptoms and academic self-image in adolescence. Psychopathology 2001; 34:57-61. [PMID: 11244375 DOI: 10.1159/000049281] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [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: 11/19/2022]
Abstract
The aim of this paper was to specifically analyse the relationship between the different components of academic self-image, defined as the way adolescents represent themselves as students, and self-reported depressive symptoms, assessed with the Children's Depression Inventory (CDI), in a non-clinical sample of 298 adolescents. We considered both adolescents' beliefs about their own cognitive functioning in academic performance and beliefs about their emotional attitude in achievement situations. Our data indicate that the pattern of correlation between emotional beliefs about schooling and learning are significantly related to CDI scores, but this correlation is not evident for the cognitive beliefs. This pattern of correlation is affected by actual school functioning, because correlation between CDI and beliefs is much more significant in subjects without school failure. Differences between gender in CDI scores, beliefs about schooling and learning, and pattern of correlation are considered. These results can enable to focus supporting psychological interventions on more specific targets.
Collapse
Affiliation(s)
- G Masi
- Division of Child Neurology and Psychiatry, University of Pisa, IRCCS Stella Maris, Pisa, Italy.
| | | | | | | | | | | | | | | | | |
Collapse
|
37
|
Abstract
One hundred consecutive cancer patients were assessed using two structured methods for assessing major depressive disorder-Structured Clinical Interview for DSM III-R (SCID) and Endicott criteria-and using a depression rating scale-Hamilton Depression Rating Scale (HAMD). Forty-nine percent of patients were depressed using SCID (DSM III-R criteria), whereas 29% of patients were depressed using Endicott criteria. Twenty-eight percent of patients were depressed using both criteria. Age and sex did not have any influence on the assessment of major depression. Both the structured interview and the rating scale were able to identify suicide ideation. Depressed patients were not shown to have more lifetime depression than non-depressed patients using both structured methods. Patients who were depressed using both assessments of depression had more metastasis and pain than non-depressed patients.
Collapse
Affiliation(s)
- A Ciaramella
- Florence University School of Psychology, Florence, Italy.
| | | |
Collapse
|
38
|
Abstract
This report examines clinical features of 'pure' dysthymic disorder (DD, without superimposed major depressive disorder, MDD) in a sample of children and adolescents. Profiles of symptomatology and comorbidity as a function of age and gender are described. The sample consisted of 48 subjects (22 males, 26 females, age range 7-18 years, mean age 12.1 years) screened from consecutively referred children and adolescents. All subjects were comprehensively diagnosed with structured diagnostic interviews (Schedule for Affective Disorders and Schizophrenia for School Age, Diagnostic Interview for Children and Adolescents-Revised), according to DSM-IV criteria. Depressed mood, irritability, loss of energy and fatigue, guilt and low self-esteem were present in more than 70% of the subjects. Differences in symptomatic profile between males and females were not significant. Children showed less symptoms than adolescents, but the symptomatic profile was comparable (only anhedonia was significantly more frequent in adolescents). Anxiety disorders were more commonly comorbid with DD, especially separation anxiety disorder in children (33%) and generalised anxiety disorder in adolescents (67%). Externalising disorders were less frequently represented in our sample (14%). An early diagnosis of 'pure' DD before the first episode of MDD is crucial for a timely intervention.
Collapse
Affiliation(s)
- G Masi
- Division of Child Neurology and Psychiatry, University of Pisa, IRCCS Stella Maris, Calambrone, Pisa, Italy.
| | | | | | | | | |
Collapse
|
39
|
Buschini A, Anceschi E, Carlo-Stella C, Regazzi E, Rizzoli V, Poli P, Rossi C. Amifostine (WR-2721) selective protection against melphalan genotoxicity. Leukemia 2000; 14:1642-51. [PMID: 10995012 DOI: 10.1038/sj.leu.2401877] [Citation(s) in RCA: 19] [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: 11/08/2022]
Abstract
Amifostine (WR-2721) is an aminothiol compound dephosphorylated at the tissue site by alkaline phosphatase to the active metabolite, which is able to inactivate electrophilic substances and scavenge free radicals. Amifostine effects against melphalan-induced DNA strand breaks were studied in normal human white blood cells (WBC) and K562 leukemic cells using the single cell gel electrophoresis (SCGE) or Comet assay, a reported method for measuring DNA damage in individual cells. Prior to treatment (1 h, 37 degrees C) with increasing doses of melphalan, with or without S9, the cells were treated (15 min, 37 degrees C) with a control medium or amifostine (3 mg/ml). Treatment of normal and leukemic cells with melphalan induced a dose-dependent 'comet formation'. Melphalan-induced DNA damage follows a normal distribution in WBC. On the other hand, in K562, a significant proportion of undamaged cells remains even with doses at which mean DNA damage is serious. Pretreatment with WR-2721 protects WBC, but not K562, against the genotoxic effect of melphalan. Amifostine might even strengthen the action of the antiblastic drug against K562 cells. S9 addition appears to enhance melphalan effectiveness. SCGE appears as a suitable primary screening method for in vitro and in vivo studies on drug-DNA interactions and their modulations by endogenous/exogenous factors.
Collapse
Affiliation(s)
- A Buschini
- Istituto di Genetica, Università di Parma, Italy
| | | | | | | | | | | | | |
Collapse
|
40
|
Abstract
Self-image and self-perceived competencies have been considered to be related to depression in childhood and adolescence. Data from literature points to school functioning as one of the most important factors in self-esteem and self-worth during adolescence. Academic self image, defined as the way adolescents represent themselves as students, directly affects the global self-image; for this reason it has important psychopathological implications. The major aim of this preliminary report is to specifically analyze the relationship between academic self-image (assessed with a specific questionnaire), and self-reported depressive symptoms (assessed with the Children's Depression Inventory) in a school sample 150 adolescents. Our data indicate that the emotional beliefs about schooling and learning were significantly related to depressive symptomatology. Females scored higher in CDI and school anxiety. A real school failure did not affect the academic self image. These data seem to suggest that different components of the academic self-image can be differently associated with depressive feelings.
Collapse
Affiliation(s)
- G Masi
- University of Pisa, IRCCS Stella Maris, Italy.
| | | | | | | | | | | |
Collapse
|
41
|
Ciaramella A, Grosso S, Poli P. [Fluoxetine versus fluvoxamine for treatment of chronic pain]. Minerva Anestesiol 2000; 66:55-61. [PMID: 10736983] [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: 02/15/2023]
Abstract
AIM This study aimed: 1) to compare the analgesic efficacy and profile of two antidepressants with the same mechanism of action (SSRI: selective serotonine reuptake inhibitors): fluoxetine vs fluvoxamine; 2) to investigate the relationship between analgesic efficacy and antidepressant effects in both drugs; 3) to evaluate the relationship between the analgesic profile and the quality (global or neuropathic) of pain. METHODS Fifty-three depressed patients were randomly treated with 20 mg/die of fluoxetine and 100 mg/die of fluvoxamine for chronic pain. Forty subjects (20 with fluoxetine and 20 with fluvoxamine) completed the 2-month study and were followed up on day 14, 28 and 56 of treatment. The intensity and quality of pain was assessed using Quid and depression-anxiety symptoms with the Hamilton Rating Scale (HAMD). RESULTS The intensity and overall quality of pain deteriorated at day 14 in the fluvoxamine group and improved in those treated with fluoxetine. However, a comparable level of analgesia was achieved with both drugs at 2 months. After 2 weeks the neuropathic component of pain improved in patients treated with fluvoxamine. The improvement in pain observed in patients treated with fluoxetine depended on an improvement in depressive symptoms, whereas this relationship was not observed in the fluvoxamine group. CONCLUSIONS Although a comparable level of analgesia was observed after two months of treatment, the two drugs show different analgesic profiles. Their analgesic action appears to depend on different mechanisms.
Collapse
Affiliation(s)
- A Ciaramella
- Dipartimento di Psichiatria, Neurobiologia, Farmacologia e Biotecnologie, Università degli Studi, Pisa.
| | | | | |
Collapse
|
42
|
Poli P, Buschini A, Restivo FM, Ficarelli A, Cassoni F, Ferrero I, Rossi C. Comet assay application in environmental monitoring: DNA damage in human leukocytes and plant cells in comparison with bacterial and yeast tests. Mutagenesis 1999; 14:547-56. [PMID: 10567029 DOI: 10.1093/mutage/14.6.547] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Urban airborne particulate is a complex mixture of air pollutants, many of which have not been identified. However, short-term mutagenesis tests together with chemicophysical parameter analysis are able to better assess air quality and genotoxic load. The findings of continuous monitoring (January 1991-August 1998) of urban air genotoxicity of a Po Valley town (Italy) on Salmonella typhimurium and Saccharomyces cerevisiae are reported. During this period, various measures (catalytic devices, unleaded fuels, annual vehicle overhaul, etc.) to improve air-dispersed pollutant control were enforced. However, a continuous presence of genotoxic compounds is shown and more qualitative than quantitative changes are evident. We also demonstrate the ability of the Comet assay to detect DNA-damaging agents in airborne particulate samples. We applied the test to human leukocytes and, with major improvements, to plant cells (Allium cepa roots and epigean tissues of Impatiens balsamina). The first findings on human leukocytes confirm the sensitivity of this assay, its peculiarity and its applicability in assessing genotoxicity in environmental samples. The capability of plants to show the response of multicellular organisms to environmental pollutants largely counterbalances a probable lowering in sensitivity. Moreover, application of the Comet test to epigean tissues could be useful in estimating the bioavailability of and genotoxic damage by air pollutants, including volatile compounds (ozone, benzene, nitrogen oxides, etc.) to higher plants.
Collapse
Affiliation(s)
- P Poli
- Istituto di Genetica, Università degli Studi di Parma, Parco Area delle Scienze 11/a, 43100 Parma and ARPA Emilia Romagna, Sezione di Parma, Parma, Italy.
| | | | | | | | | | | | | |
Collapse
|
43
|
Poli P, Buschini A, Spaggiari A, Rizzoli V, Carlo-Stella C, Rossi C. DNA damage by tobacco smoke and some antiblastic drugs evaluated using the Comet assay. Toxicol Lett 1999; 108:267-76. [PMID: 10511271 DOI: 10.1016/s0378-4274(99)00098-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The Comet assay was used in human leukocytes to detect, in vivo, DNA strand-breaks induced by smoking habit to evaluate the test sensitivity to an environmental factor, and by several antiblastic drugs to note their effectiveness at single cell level. Differences related to smoking habit, gender and age are evident. Melphalan shows the widest DNA damage. The damage induced by etoposide can be ascribed to the balancing between the production of strand-breaks and cross-links which limit the migration of DNA fragments. Interferon, fludarabine, prednisone, and oncocarbide appear to induce unexpected strand-breaks. Single cell gel electrophoresis (SCGE) is highly effective in revealing the association between DNA damage and environmental, genetic, and acquired factors, providing further data on the possible applicability of this assay in genotoxic human surveillance in addition to established tests. Moreover, the ability to point out cell subpopulations varying in mean damage levels could allow detection of potentially emerging drug-resistant populations.
Collapse
Affiliation(s)
- P Poli
- Istituto di Genetica, Università degli Studi di Parma, Italy.
| | | | | | | | | | | |
Collapse
|
44
|
Abstract
This study investigated the symptomatology and comorbidity of generalized anxiety disorder (GAD) in a clinically referred sample of Italian children and adolescents as a function of age and gender. The sample consisted of 58 subjects (19 children and 39 adolescents), 23 males and 35 females screened from consecutively referred children and adolescents. This sample was divided into two groups of younger children (19 subjects, eight males and 11 females aged 7 to 12 years; mean age, 9.6) and adolescents (39 subjects, 15 males and 24 females aged 12 to 18 years; mean age, 14.9). Feelings of tension, apprehension, the need for reassurance, irritability, negative self-image, and physical complaints were reported in more than 70% of the subjects. Differences in the symptomatic profile between males and females were not significant. Children and adolescents did not show significant differences in the number of symptoms. The need for reassurance was significantly more frequent in children, and brooding was more frequent in adolescents. Other anxiety disorders were commonly comorbid with GAD. More than half of the patients with GAD showed a concurrent depressive disorder; no differences were found for comorbidity between children and adolescents, except for higher rates of separation anxiety disorder in children.
Collapse
Affiliation(s)
- G Masi
- Division of Child Neurology and Psychiatry, University of Pisa, Italy
| | | | | | | | | |
Collapse
|
45
|
Abstract
The present report examines the clinical features of dysthymic disorder in a sample of adolescents with mild intellectual disability (ID). Frequency of symptoms, comorbidity, agreement between reports of subjects and parents, comparison between the frequency of depressive symptoms in subjects with ID and in two different groups of normal IQ dysthymic subjects (aged 7-11, 11 and 12-18 years) are described. The sample consisted of 12 subjects (age range = 12-25.6 years; mean age = 16.3 years) screened from unselected consecutively referred patients with mild ID. All the subjects were comprehensively diagnosed with a structured diagnostic interview, the Kiddie-Schedule for Affective Disorder and Schizophrenia (K-SADS), according to DSM-IV criteria. A symptomatic profile in the group with ID showed that intrapsychic and cognitive symptoms, such as depressed mood, irritability, pathological guilt and low self-image, were frequently reported in people with ID. Parents were less aware of depressed mood, but they reported high rates of low self-esteem; the agreement between the depressive reports of ID subjects and their parents was higher than in previous findings in normal IQ children. The symptomatic profile of subjects with ID was more comparable to that of prepubertal dysthymic children than that of dysthymic adolescents, but more significant are the analogies between dysthymic disorder in ID and normal IQ subjects. High rates of comorbidity with generalized anxiety disorder were evident in the group with ID. According to the present data, dysthymic disorder can be diagnosed in adolescents with mild ID. The K-SADS clinical interview seems to be a reliable instrument for the diagnosis and clinical definition of depressive symptomatology in this special population.
Collapse
Affiliation(s)
- G Masi
- Division of Child Neurology and Psychiatry, University of Pisa (Italy) IRCCS Stella Maris, Calambrone.
| | | | | | | |
Collapse
|
46
|
Masi G, Brovedani P, Poli P. Emotional and cognitive aspects in adolescence-onset school difficulties. Panminerva Med 1999; 41:54-8. [PMID: 10230259] [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: 02/12/2023]
Abstract
Learning disorders in adolescence can become a significant risk factor for psychopathology. The paper investigates emotional and cognitive patterns in adolescents with learning disorders. The first part of the study describes the impact of child-onset learning disorders on adolescence passage. In the second part four clinical conditions that can determine adolescence-onset learning disorders are outlined. These are adolescent turmoil, intellectual inhibition, delay in reasoning development and metacognitive dysfunctioning. Cognitive, emotional and behavioral features of these conditions are discussed, in terms of diagnostic and therapeutic implications.
Collapse
Affiliation(s)
- G Masi
- Institute of Developmental Neurology, Psychiatry and Educational Psychology, University of Pisa, Italy
| | | | | |
Collapse
|
47
|
Poli P, Buschini A, Candi A, Rossi C. Bleomycin genotoxicity alteration by glutathione and cytochrome P-450 cellular content in respiratory proficient and deficient strains of Saccharomyces cerevisiae. Mutagenesis 1999; 14:233-8. [PMID: 10229927 DOI: 10.1093/mutage/14.2.233] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The genotoxic effects of the antiblastic drug bleomycin were studied in the D7 strain of Saccharomyces cerevisiae and on its derivative mitochondrial mutant rho degree at different cellular concentrations of two drug metabolizing systems, glutathione (GSH) and cytochrome P-450. Bleomycin mutagenic activity was evaluated as frequencies of mitotic gene conversion, reversion and total aberrations under different physiological conditions. In the D7 strain, petite mutant induction was also detected. This is important due to the role of the mitochondrial genome in cancer induction, ageing and degenerative diseases. Both strains showed higher convertant than revertant induction. At high cytochrome P-450 levels, bleomycin-induced gene conversion was enhanced in both strains although mitochondrial functionality showed a detoxicant role while cellular GSH content decreased the induction of convertants only in the respiratory proficient strain. Cell metabolic conditions, such as cell cycle, aerobic/hypoxic conditions of the cell and content of drug metabolizing enzymes, appeared to interact with the genotoxic effectiveness of bleomycin. Moreover, the usefulness of S.cerevisiae as a model organism for drug assessment for mutagenicity was emphasized.
Collapse
Affiliation(s)
- P Poli
- Istituto di Genetica, Università degli Studi di Parma, Italy.
| | | | | | | |
Collapse
|
48
|
Abstract
School difficulties and learning disorders in adolescence can become significant risk factors for psychopathology. This study investigates emotional and cognitive patterns in adolescents with school difficulties. Four clinical conditions that can determine adolescence-onset learning disorders are outlined. These are adolescent turmoil, intellectual inhibition, delay in reasoning development, and metacognitive dysfunctioning. Cognitive, emotional and behavioral features of these conditions are discussed in terms of diagnostic and therapeutic implications.
Collapse
Affiliation(s)
- G Masi
- INPE-University of Pisa, Calambrone, Italy.
| | | | | |
Collapse
|
49
|
Rossi C, Poli P, Candi A, Buschini A. Modulation of mitomycin C mutagenicity on Saccharomyces cerevisiae by glutathione, cytochrome P-450, and mitochondria interactions. Mutat Res 1997; 390:113-20. [PMID: 9150759 DOI: 10.1016/s0165-1218(97)00007-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
It is well established that most anticancer drugs also have mutagenic effects and require metabolic activation before exerting their mutagenic/antiblastic activity. Antitumoral compound effects strongly depend on the biochemical/physiological conditions of the tumoral cells, and especially on the activation of specific drugs metabolizing enzymes and on respiration. We examined the mitomycin C-induced mutagenic effects on the D7 strain of Saccharomyces cerevisiae and on its derivative mitochondrial mutant p degrees at different contents of glutathione and cytochrome P-450, molecules able to activate/detoxicate xenobiotics. The mutagenic activity of the drug was evaluated as frequency of mitotic gene conversion and reversion in different physiological conditions. The highest frequencies of reversion and especially of gene conversion were observed at the highest cytochrome P-450 contents in the D7 strain with a further increase at high glutathione level. In the respiratory-deficient strain, the highest frequency of convertants was shown at low glutathione level and lack of cytochrome P-450. These results suggest the relevance of mitochondrial functionality for the expression of genotoxic activity of this anticancer drug.
Collapse
Affiliation(s)
- C Rossi
- Istituto di Genetica, Università degli Studi di Parma, Italy.
| | | | | | | |
Collapse
|
50
|
Abstract
The study investigated the relationship between reflective or impulsive cognitive style, metacognitive functioning, and depression in young adolescents. Metacognitive functioning (metacognitive knowledge about reading and memory, monitoring of text comprehension) and self-reported depressive feelings were analyzed in a group of subjects who showed a Reflective or Impulsive cognitive style. The sample consisted of 56 junior high-school students (Grades 6, 7, and 8) selected from a larger original group of 61 subjects. We excluded from the original group those with an IQ below 75 on both the Verbal and Performance subscales on the short form of the WISC-R, those reported by teachers to have a severe learning disability, and those that did not complete the test battery due to long absences from school. The reflective-impulsive cognitive style was identified with the Matching Familiar Figures Test-20. Using the median of the distribution for both Latency (17 sec. per item) and Errors (9 errors) on this task, the sample was divided in four partially overlapping subgroups: 16 with Impulsive cognitive style (Latency below the median, Errors above the median), 13 with Reflective cognitive style (Latency above the median, Error below the median), 4 fast and accurate (both scores below the median), and 11 slow and inaccurate (both scores above the median). Twelve subjects with one or both scores coinciding with the critical value (median) were excluded. Analysis showed that subjects with Impulsive cognitive style had significantly lower scores than those with Reflective cognitive style in monitoring of comprehension of text. No differences were found on monitoring by eighth graders, irrespective of cognitive style. No differences between the two groups were found in metacognitive knowledge. Subjects with Impulsive cognitive style had significantly higher scores than subjects with Reflective cognitive style on a self-rating scale for childhood depression, the Children's Depression Inventory. The implications of these data are discussed.
Collapse
Affiliation(s)
- P Palladino
- Institute of Developmental Neurology, Psychiatry and Educational Psychology, University of Pisa, Italy
| | | | | | | |
Collapse
|