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Ferrara R, Damato FM, Ricci L, Iovine L, Ricci S, Ricci P, Laznik MC, Cicinelli G. Parents-children co-regulation as therapeutic variable and target in autism spectrum disorders. From observation of drive to need of cooperative parent-mediated therapy. Clin Ter 2023; 174:537-544. [PMID: 38048118 DOI: 10.7417/ct.2023.5022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Abstract Autism spectrum disorders (ASDs) belong to the category of neurodevelopmental disorders. ASD emerges in early childhood and involves deficits in communication, language, behavioural inflexibility and fixity, and sensorial neurodivergent perception. ASDs have a biological pathogenesis related to genetic and epigenetic factors. Additionally, research has shown that starting from childhood, autistic persons could find emotional regulation challenging during communication with caregivers. The importance of emotional co-regulation has always been under-lined in psychology, starting with Freud who introduced the concept of the Compassionate Other. Emotional difficulties are grasped immediately and almost instinctively by parents, who try to modulate their approach to the child's needs from the very beginning. This paper seeks to highlight the importance of emotional co-regulation as a wake-up call-in developmental trajectories that present peculiarities or anomalies. It also emphasizes the significance of emotional co-regulation as a useful tool for intervening in the dysfun-ctionality of such trajectories. This intervention aims to directly involve parents in treatment, as seen in Cooperative parent-mediated therapy. This approach is crucial for facilitating the evolution of the cognitive framework while utilizing this target. This article aims to review the most recent literature on co-regulation after explaining the theoretical framework that gave rise to this concept. It's now well established the importance of adopting a develop-mental approach that starts from the bodily dimension as the basis for the relationship with caregivers, pairs, and unfamiliar people. It is from this basis that starts the affective, emotional, and cognitive construction of the internal and external world of the child. This scoping review takes into account the most recent evidence on co-regulation and autism, emphasizing the importance of this process in diagnostic and therapeutic settings.
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Affiliation(s)
- R Ferrara
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - F M Damato
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - L Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - L Iovine
- "Parthenope" University of Naples, Naples, Italy Coordination Internationale entre Psychothérapeutes Psychanalystes et membres associés 'occupant de personnes Autistes (CIPPA), Paris, France
| | - S Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - P Ricci
- Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy
| | - M C Laznik
- Italy Coordination Internationale entre Psychothérapeutes Psychanalystes et membres associés s'occupant de personnes Autistes (CIPPA)
| | - G Cicinelli
- Adult Autism Centre, Mental Health Department, Local Health Unit ASL Città di Torino, Turin, Italy
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Ricci S, Abu-Rumeileh S, Campagna N, Barbati F, Stagi S, Canessa C, Lodi L, Palterer B, Maggi L, Matucci A, Vultaggio A, Annunziato F, Azzari C. Case Report: A child with NFKB1 haploinsufficiency explaining the linkage between immunodeficiency and short stature. Front Immunol 2023; 14:1224603. [PMID: 37600787 PMCID: PMC10434558 DOI: 10.3389/fimmu.2023.1224603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 07/17/2023] [Indexed: 08/22/2023] Open
Abstract
We report the case of a patient with common variable immunodeficiency (CVID) presenting with short stature and treated with recombinant human growth hormone (rhGH). Whole exome sequencing revealed a novel single-nucleotide duplication in the NFKB1 gene (c.904dup, p.Ser302fs), leading to a frameshift and thus causing NFKB1 haploinsufficiency. The variant was considered pathogenic and was later found in the patient's mother, also affected by CVID. This is the first reported case of a patient with CVID due to NFKB1 mutation presenting with short stature. We analyzed the interconnection between NFKB1 and GH - IGF-1 pathways and we hypothesized a common ground for both CVID and short stature in our patient.
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Affiliation(s)
- S. Ricci
- Department of Health Sciences, University of Florence, Florence, Italy
- Immunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, Italy
| | - S. Abu-Rumeileh
- Department of Health Sciences, University of Florence, Florence, Italy
| | - N. Campagna
- Department of Health Sciences, University of Florence, Florence, Italy
| | - F. Barbati
- Department of Health Sciences, University of Florence, Florence, Italy
| | - S. Stagi
- Department of Health Sciences, University of Florence, Florence, Italy
- Endocrinology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, Italy
| | - C. Canessa
- Department of Health Sciences, University of Florence, Florence, Italy
- Immunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, Italy
| | - L. Lodi
- Department of Health Sciences, University of Florence, Florence, Italy
- Immunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, Italy
| | - B. Palterer
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - L. Maggi
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - A. Matucci
- Immunoallergology Unit, Careggi University Hospital, Florence, Italy
| | - A. Vultaggio
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- Immunoallergology Unit, Careggi University Hospital, Florence, Italy
| | - F. Annunziato
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- Flow Cytometry Diagnostic Center and Immunotherapy, Careggi University Hospital, Florence, Italy
| | - C. Azzari
- Department of Health Sciences, University of Florence, Florence, Italy
- Immunology Division, Section of Pediatrics, Meyer Children’s Hospital Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Florence, Italy
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Ojo OE, Hajek L, Johanns S, Pacífico C, Sener-Aydemir A, Ricci S, Rivera-Chacon R, Castillo-Lopez E, Reisinger N, Zebeli Q, Kreuzer-Redmer S. Evaluation of circulating microRNA profiles in blood as potential candidate biomarkers in a subacute ruminal acidosis cow model - a pilot study. BMC Genomics 2023; 24:333. [PMID: 37328742 DOI: 10.1186/s12864-023-09433-y] [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: 08/08/2022] [Accepted: 06/06/2023] [Indexed: 06/18/2023] Open
Abstract
BACKGROUND Subacute ruminal acidosis (SARA) is a metabolic disorder often observed in high-yielding dairy cows, that are fed diets high in concentrates. We hypothesized that circulating miRNAs in blood of cows could serve as potential candidate biomarkers to detect animals with metabolic dysbalances such as SARA. MicroRNAs (miRNAs) are a class of small non-coding RNAs, serving as regulators of a plethora of molecular processes. To test our hypothesis, we performed a pilot study with non-lactating Holstein-Friesian cows fed a forage diet (FD; 0% concentrate, n = 4) or a high-grain diet (HG; 65% concentrate, n = 4) to induce SARA. Comprehensive profiling of miRNA expression in plasma and leucocytes were performed by next generation sequencing (NGS). The success of our model to induce SARA was evaluated based on ruminal pH and was evidenced by increased time spent with a pH threshold of 5.8 for an average period of 320 min/d. RESULTS A total of 520 and 730 miRNAs were found in plasma and leucocytes, respectively. From these, 498 miRNAs were shared by both plasma and leucocytes, with 22 miRNAs expressed exclusively in plasma and 232 miRNAs expressed exclusively in leucocytes. Differential expression analysis revealed 10 miRNAs that were up-regulated and 2 that were down-regulated in plasma of cows when fed the HG diet. A total of 63 circulating miRNAs were detected exclusively in the plasma of cows with SARA, indicating that these animals exhibited a higher number and diversity of circulating miRNAs. Considering the total read counts of miRNAs expressed when fed the HG diet, differentially expressed miRNAs ( log2 fold change) and known function, we have identified bta-miR-11982, bta-miR-1388-5p, bta-miR-12034, bta-miR-2285u, and bta-miR-30b-3p as potential candidates for SARA-biomarker in cows by NGS. These were further subjected to validation using small RNA RT-qPCR, confirming the promising role of bta-miR-30b-3p and bta-miR-2285. CONCLUSION Our data demonstrate that dietary change impacts the release and expression of miRNAs in systemic circulation, which may modulate post-transcriptional gene expression in cows undergoing SARA. Particularly, bta-miR-30b-3p and bta-miR-2285 might serve as promising candidate biomarker predictive for SARA and should be further validated in larger cohorts.
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Affiliation(s)
- O E Ojo
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
- Nutrigenomics Unit, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - L Hajek
- Nutrigenomics Unit, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - S Johanns
- Nutrigenomics Unit, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - C Pacífico
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
- Biome Diagnostics GmbH, Vienna, Austria
| | - A Sener-Aydemir
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - S Ricci
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - R Rivera-Chacon
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - E Castillo-Lopez
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - N Reisinger
- DSM, BIOMIN Research Center, Tulln an Der Donau, Austria
| | - Q Zebeli
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria
| | - S Kreuzer-Redmer
- Christian Doppler Laboratory for Innovative Gut Health Concepts of Livestock, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria.
- Nutrigenomics Unit, Institute of Animal Nutrition and Functional Plant Compounds, University of Veterinary Medicine Vienna, Vienna, Austria.
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Ricci S, Gandolfi F, Marchesi G, Bellitto A, Basteris A, Canessa A, Massone A, Casadio M. ADRIS: The new open-source accessible driving simulator for training and evaluation of driving abilities. Comput Methods Programs Biomed 2022; 221:106857. [PMID: 35597201 DOI: 10.1016/j.cmpb.2022.106857] [Citation(s) in RCA: 2] [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: 01/26/2022] [Revised: 05/02/2022] [Accepted: 05/04/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND OBJECTIVE Independent living and transportation are crucial aspects for people living with a disability. After an injury, it is important to assess driving ability, in terms of physical and psychological conditions, and to test the effects of prescribed drugs. Within this framework, driving simulators are suitable tools for training driving skills; however, available tools are expensive or lack appropriate sets of behavioral measures to fully characterize the drivers' ability. METHODS This work presents the first step toward the development of ADRIS, a new open-source, accessible, realistic virtual reality simulator for training and testing driving skills of people with sensory-motor disability. This includes a prototype based on an open-source simulator for autonomous driving research (CARLA), with the addition of customized features such as adaptable driving controllers, a virtual reality headset, and the possibility to collect behavioral and physiological data. Also, the new system allows to set different environmental conditions, to include and control the timing of potentially dangerous situations, and to set scenarios with various difficulty levels. RESULTS Tests on 17 healthy participants demonstrated that the simulator is well tolerated in terms of discomfort, physical fatigue, and mental effort. Also, the system is easy to use and is capable of providing a realistic driving experience, allowing the extraction of reliable behavioral parameters. CONCLUSIONS ADRIS combines a high-fidelity virtual world, with customizable features specifically designed for the training and testing of people living with a disability, thus making it usable in many contexts such as home training, rehabilitation, education, and research.
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Affiliation(s)
- S Ricci
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy; Simulation and Advanced Education Center, University of Genova, Via all'Opera Pia 13, Genova 16145, Italy.
| | - F Gandolfi
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy
| | - G Marchesi
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy
| | - A Bellitto
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy; Spinal Cord Italian Laboratory, Spinal Cord Unit, Santa Corona Hospital, ASL2 Savonese, Pietra Ligure, Italy
| | - A Basteris
- Health Informatics and Technology, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Odense, Denmark
| | - A Canessa
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy
| | - A Massone
- Spinal Cord Italian Laboratory, Spinal Cord Unit, Santa Corona Hospital, ASL2 Savonese, Pietra Ligure, Italy
| | - M Casadio
- Department of Informatics, Bioengineering, Robotics, and Systems Engineering, University of Genova, Via Pastore 3, Genova 16132, Italy; Simulation and Advanced Education Center, University of Genova, Via all'Opera Pia 13, Genova 16145, Italy; Spinal Cord Italian Laboratory, Spinal Cord Unit, Santa Corona Hospital, ASL2 Savonese, Pietra Ligure, Italy.
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Conti F, Marzollo A, Moratti M, Lodi L, Ricci S. Inborn Errors of Immunity underlying a susceptibility to pyogenic infections: from innate immune system deficiency to complex phenotypes. Clin Microbiol Infect 2022; 28:1422-1428. [DOI: 10.1016/j.cmi.2022.05.022] [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] [Received: 01/28/2022] [Revised: 04/29/2022] [Accepted: 05/14/2022] [Indexed: 12/26/2022]
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Fazi C, Lodi L, Magi L, Canessa C, Giovannini M, Pelosi C, Pochiero F, Procopio E, Donati MA, Azzari C, Ricci S. Case Report: Zellweger Syndrome and Humoral Immunodeficiency: The Relevance of Newborn Screening for Primary Immunodeficiency. Front Pediatr 2022; 10:852943. [PMID: 35402347 PMCID: PMC8990230 DOI: 10.3389/fped.2022.852943] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 02/03/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Zellweger syndrome (ZS) is a congenital autosomal recessive disease within the spectrum of peroxisome biogenesis disorders, characterized by the impairment of peroxisome assembly. The presence of peroxisome enzyme deficiencies leads to complex developmental sequelae, progressive disabilities, and multiorgan damage, due to intracellular accumulation of very-long-chain fatty acids (VLCFAs). CASE PRESENTATION We report the case of an infant affected by ZS in which agammaglobulinemia, detected through neonatal screening of congenital immunodeficiencies, appeared as a peculiar trait standing out among all the other classical characteristics of the syndrome. The exome analysis through next-generation sequencing (NGS), which had previously confirmed the diagnostic suspicion of ZS, was repeated, but no mutations causative of inborn error of immunity (humoral defect) were detected. CONCLUSION In this case, no genetic variants accountable for the abovementioned agammaglobulinemia were detected. Given that the scientific literature reports the involvement of peroxisomes in the activation of Nuclear Factor κ-light-chain-enhancer of activated B cells (NF-κB) pathway, which is crucial for B-cell survival, with this work, we hypothesize the existence of a link between ZS and humoral immunodeficiencies. Further studies are required to confirm this hypothesis.
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Affiliation(s)
- C Fazi
- Pediatric Immunology Division, Meyer Children's Hospital, Florence, Italy
| | - L Lodi
- Pediatric Immunology Division, Meyer Children's Hospital, Florence, Italy.,Department of Health Sciences, University of Florence, Florence, Italy
| | - L Magi
- Neonatology Division, San Donato Hospital, Arezzo, Italy
| | - C Canessa
- Pediatric Immunology Division, Meyer Children's Hospital, Florence, Italy
| | - M Giovannini
- Pediatric Allergy Division, Meyer Children's Hospital, Florence, Italy
| | - C Pelosi
- Department of Health Sciences, University of Florence, Florence, Italy
| | - F Pochiero
- Department of Metabolic Diseases, Meyer Children's Hospital, Florence, Italy
| | - E Procopio
- Department of Metabolic Diseases, Meyer Children's Hospital, Florence, Italy
| | - M A Donati
- Department of Metabolic Diseases, Meyer Children's Hospital, Florence, Italy
| | - C Azzari
- Pediatric Immunology Division, Meyer Children's Hospital, Florence, Italy.,Department of Health Sciences, University of Florence, Florence, Italy
| | - S Ricci
- Pediatric Immunology Division, Meyer Children's Hospital, Florence, Italy.,Department of Health Sciences, University of Florence, Florence, Italy
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Tatti E, Ferraioli F, Peter J, Alalade T, Nelson AB, Ricci S, Quartarone A, Ghilardi MF. Frontal increase of beta modulation during the practice of a motor task is enhanced by visuomotor learning. Sci Rep 2021; 11:17441. [PMID: 34465846 PMCID: PMC8408223 DOI: 10.1038/s41598-021-97004-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 02/26/2021] [Accepted: 08/19/2021] [Indexed: 12/12/2022] Open
Abstract
Movement is accompanied by beta power changes over frontal and sensorimotor regions: a decrease during movement (event-related desynchronization, ERD), followed by an increase (event-related synchronization, ERS) after the movement end. We previously found that enhancements of beta modulation (from ERD to ERS) during a reaching test (mov) occur over frontal and left sensorimotor regions after practice in a visuo-motor adaptation task (ROT) but not after visual learning practice. Thus, these enhancements may reflect local cumulative effects of motor learning. Here we verified whether they are triggered by the learning component inherent in ROT or simply by motor practice in a reaching task without such learning (MOT). We found that beta modulation during mov increased over frontal and left areas after three-hour practice of either ROT or MOT. However, the frontal increase was greater after ROT, while the increase over the left area was similar after the two tasks. These findings confirm that motor practice leaves local traces in beta power during a subsequent motor test. As they occur after motor tasks with and without learning, these traces likely express the cost of processes necessary for both usage and engagement of long-term potentiation mechanisms necessary for the learning required by ROT.
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Affiliation(s)
- E Tatti
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA.
| | - F Ferraioli
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA
| | - J Peter
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA
| | - T Alalade
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA
| | - A B Nelson
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA
| | - S Ricci
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA.,DIBRIS University of Genova, 16145, Genoa, Italy
| | - A Quartarone
- Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98125, Messina, Italy
| | - M F Ghilardi
- CUNY School of Medicine, 160 Convent Avenue, Harris Hall Room 008, New York, NY, 10031, USA.
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Upadhyay U, Raymond E, Koenig L, Coplon L, Ricci S, Kaneshiro B, Boraas C, Winikoff B. CLINICAL ORAL ABSTRACTS. Contraception 2021. [DOI: 10.1016/j.contraception.2021.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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AlHilli M, Maggiotto A, Tullio K, Ricci S, Mahdi H, Knight J, DeBernardo R, Michener C, Rose P. Decrease in time to treatment in gynecologic cancers through quality improvement. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.526] [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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Son J, Carr C, Chambers LM, Michener C, Meng Y, Yen T, Beavis A, Stone R, Wethington S, Burkett W, Richardson D, Staley AS, Ahn S, Gehrig P, Torres D, Dowdy S, Sullivan M, Modesitt S, Watson C, Secord A, Veade A, Havrilesky L, Loreen A, Griffin K, Jackson A, Fader AN, Ricci S. Adjuvant treatment in high intermediate risk early stage endometrial cancer. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2019.11.055] [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]
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Romoli M, Tuna MA, Li L, Paciaroni M, Giannandrea D, Tordo Caprioli F, Lotti A, Eusebi P, Mosconi MG, Pellizzaro Venti M, Salvadori N, Gili A, Ricci S, Stracci F, Sarchielli P, Parnetti L, Rothwell PM, Calabresi P. Time trends, frequency, characteristics and prognosis of short-duration transient global amnesia. Eur J Neurol 2020; 27:887-893. [PMID: 32012408 PMCID: PMC7115816 DOI: 10.1111/ene.14163] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Accepted: 01/20/2020] [Indexed: 12/20/2022]
Abstract
Background and purpose Transient global amnesia (TGA) is characterized by a sudden onset of anterograde amnesia lasting up to 24 h. One major differential for TGA is transient epileptic amnesia, which typically lasts < 1 h. However, TGA can also be short in duration and little is known about the time trends, characteristics and prognosis of TGA cases lasting < 1 h. Methods We compared the clinical features of TGA ascertained in two independent cohort studies in Oxfordshire, UK [Oxford cohort 1977–1987 versus Oxford Vascular Study (OXVASC) 2002–2018] to determine the time trends of clinical features of TGA. Results were validated in another independent contemporary TGA cohort in Italy [Northern Umbria TGA registry (NU) 2002–2018]. We compared the risk factors, clinical features and long‐term prognosis (major cardiovascular events, recurrent TGA and seizure/epilepsy) of patients presenting with episodes lasting < 1 h versus those lasting ≥ 1 h. Results Overall, 639 patients with TGA were included (114 Oxford cohort, 100 OXVASC, 425 NU). Compared with the original Oxford cohort, there were more cases with TGA lasting < 1 h in OXVASC [32 (32.0%) vs. 9 (8.8%)] and NU (11.8% vs. 8.8% in Oxford cohort). In both OXVASC and NU, patient age, vascular risk factors and clinical features were largely similar between those with TGA lasting < 1 h versus those lasting ≥ 1 h. Moreover, there was no difference in the long‐term risk of seizure/epilepsy or major cardiovascular events between TGA lasting < 1 h versus TGA lasting ≥ 1 h. Conclusions Short‐duration TGA episodes (<1 h) were not uncommon and were more frequent than in earlier studies. The clinical features and long‐term prognosis of short‐duration TGA did not differ from more typical episodes lasting ≥ 1 h.
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Affiliation(s)
- M Romoli
- Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.,Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia.,Neurology Unit, Rimini 'Infermi' Hospital - AUSL Romagna, Rimini
| | - M A Tuna
- Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | - L Li
- Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | - M Paciaroni
- Stroke Unit, University of Perugia - S. Maria della Misericordia Hospital of Perugia, Perugia
| | - D Giannandrea
- Neurology and Stroke Unit, USL Umbria 1, Gubbio and Città di Castello Hospital, Perugia, Italy
| | - F Tordo Caprioli
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - A Lotti
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - P Eusebi
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - M G Mosconi
- Stroke Unit, University of Perugia - S. Maria della Misericordia Hospital of Perugia, Perugia
| | - M Pellizzaro Venti
- Stroke Unit, University of Perugia - S. Maria della Misericordia Hospital of Perugia, Perugia.,Stroke Unit, Addenbrooke's Hospital - Cambridge University Hospital, Cambridge, UK
| | - N Salvadori
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - A Gili
- Public Health Department, University of Perugia, Perugia
| | - S Ricci
- Neurology and Stroke Unit, USL Umbria 1, Gubbio and Città di Castello Hospital, Perugia, Italy
| | - F Stracci
- Public Health Department, University of Perugia, Perugia
| | - P Sarchielli
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - L Parnetti
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia
| | - P M Rothwell
- Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | - P Calabresi
- Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia.,IRCCS 'Santa Lucia', Rome, Italy
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Gastaldi M, Mariotto S, Giannoccaro MP, Iorio R, Zoccarato M, Nosadini M, Benedetti L, Casagrande S, Di Filippo M, Valeriani M, Ricci S, Bova S, Arbasino C, Mauri M, Versino M, Vigevano F, Papetti L, Romoli M, Lapucci C, Massa F, Sartori S, Zuliani L, Barilaro A, De Gaspari P, Spagni G, Evoli A, Liguori R, Ferrari S, Marchioni E, Giometto B, Massacesi L, Franciotta D. Subgroup comparison according to clinical phenotype and serostatus in autoimmune encephalitis: a multicenter retrospective study. Eur J Neurol 2020; 27:633-643. [PMID: 31814224 DOI: 10.1111/ene.14139] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 07/31/2019] [Accepted: 12/03/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND AND PURPOSE Autoimmune encephalitides (AE) include a spectrum of neurological disorders whose diagnosis revolves around the detection of neuronal antibodies (Abs). Consensus-based diagnostic criteria (AE-DC) allow clinic-serological subgrouping of AE, with unclear prognostic implications. The impact of AE-DC on patients' management was studied, focusing on the subgroup of Ab-negative-AE. METHODS This was a retrospective multicenter study on patients fulfilling AE-DC. All patients underwent Ab testing with commercial cell-based assays (CBAs) and, when available, in-house assays (immunohistochemistry, live/fixed CBAs, neuronal cultures) that contributed to defining final categories. Patients were classified as Ab-positive-AE [N-methyl-d-aspartate-receptor encephalitis (NMDAR-E), Ab-positive limbic encephalitis (LE), definite-AE] or Ab-negative-AE (Ab-negative-LE, probable-AE, possible-AE). RESULTS Commercial CBAs detected neuronal Abs in 70/118 (59.3%) patients. Testing 37/48 Ab-negative cases, in-house assays identified Abs in 11 patients (29.7%). A hundred and eighteen patients fulfilled the AE-DC, 81 (68.6%) with Ab-positive-AE (Ab-positive-LE, 40; NMDAR-E, 32; definite-AE, nine) and 37 (31.4%) with Ab-negative-AE (Ab-negative-LE, 17; probable/possible-AE, 20). Clinical phenotypes were similar in Ab-positive-LE versus Ab-negative-LE. Twenty-four/118 (20.3%) patients had tumors, and 19/118 (16.1%) relapsed, regardless of being Ab-positive or Ab-negative. Ab-positive-AE patients were treated earlier than Ab-negative-AE patients (P = 0.045), responded more frequently to treatments (92.3% vs. 65.6%, P < 0.001) and received second-line therapies more often (33.3% vs. 10.8%, P = 0.01). Delays in first-line therapy initiation were associated with poor response (P = 0.022; odds ratio 1.02; confidence interval 1.00-1.04). CONCLUSIONS In-house diagnostics improved Ab detection allowing better patient management but was available in a patient subgroup only, implying possible Ab-positive-AE underestimation. Notwithstanding this limitation, our findings suggest that Ab-negative-AE and Ab-positive-AE patients share similar oncological profiles, warranting appropriate tumor screening. Ab-negative-AE patients risk worse responses due to delayed and less aggressive treatments.
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Affiliation(s)
- M Gastaldi
- Neuroimmunology Laboratory, IRCCS Mondino Foundation, Pavia, Italy
| | - S Mariotto
- Neurology Unit, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - M P Giannoccaro
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.,UOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - R Iorio
- Istituto di Neurologia, Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS, Rome, Italy.,Universita' Cattolica del Sacro Cuore, Rome, Italy
| | - M Zoccarato
- Ospedale S. Antonio, AULSS Euganea, Padua, Italy.,Neuroimmunology Group, Paediatric Research Institute "Città della Speranza", Padua, Italy
| | - M Nosadini
- Neuroimmunology Group, Paediatric Research Institute "Città della Speranza", Padua, Italy.,Paediatric Neurology and Neurophysiology Unit, Department of Women's and Children's Health, University Hospital of Padua, Padua, Italy
| | - L Benedetti
- IRCCS Ospedale Policlinico S. Martino, Genoa, Italy
| | - S Casagrande
- Neurosciences Department, Florence University, Italy.,Careggi University Hospital, Florence, Italy
| | - M Di Filippo
- Neurology Clinic, S. Maria della Misericordia Hospital, Perugia University, Perugia, Italy
| | - M Valeriani
- Neurology Unit, Bambino Gesù Children Hospital, Rome, Italy
| | - S Ricci
- Ospedale 'Città-di-Castello-e-Branca', Italy
| | - S Bova
- Pediatric Neurology Unit, ASST Fatebenefratelli Sacco, Children Hospital Vittore Buzzi, Milan, Italy
| | | | - M Mauri
- Neurology and Stroke Unit, Insubria University, Varese, Italy
| | - M Versino
- Neurology and Stroke Unit, Insubria University, Varese, Italy
| | - F Vigevano
- Neurology Unit, Bambino Gesù Children Hospital, Rome, Italy
| | - L Papetti
- Neurology Unit, Bambino Gesù Children Hospital, Rome, Italy
| | - M Romoli
- Neurology Clinic, S. Maria della Misericordia Hospital, Perugia University, Perugia, Italy.,Neurology Unit, Rimini "Infermi" Hospital - AUSL Romagna, Rimini, Italy
| | - C Lapucci
- IRCCS Ospedale Policlinico S. Martino, Genoa, Italy
| | - F Massa
- IRCCS Ospedale Policlinico S. Martino, Genoa, Italy
| | - S Sartori
- Neuroimmunology Group, Paediatric Research Institute "Città della Speranza", Padua, Italy.,Paediatric Neurology and Neurophysiology Unit, Department of Women's and Children's Health, University Hospital of Padua, Padua, Italy
| | - L Zuliani
- Neuroimmunology Group, Paediatric Research Institute "Città della Speranza", Padua, Italy.,Neurology Department, Ospedale S. Bortolo, Vicenza, Italy
| | - A Barilaro
- Careggi University Hospital, Florence, Italy
| | - P De Gaspari
- Neuroimmunology Group, Paediatric Research Institute "Città della Speranza", Padua, Italy
| | - G Spagni
- Universita' Cattolica del Sacro Cuore, Rome, Italy
| | - A Evoli
- Istituto di Neurologia, Fondazione Policlinico Universitario 'Agostino Gemelli' IRCCS, Rome, Italy.,Universita' Cattolica del Sacro Cuore, Rome, Italy
| | - R Liguori
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.,UOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - S Ferrari
- Neurology Unit, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - E Marchioni
- Neuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy
| | | | - L Massacesi
- Neurosciences Department, Florence University, Italy.,Careggi University Hospital, Florence, Italy
| | - D Franciotta
- Neuroimmunology Laboratory, IRCCS Mondino Foundation, Pavia, Italy
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13
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Costales A, Shah S, Ricci S, Mahdi H, Rose P, Michener C. Minimally invasive interval debulking surgery in ovarian cancer (MIID-SOC): A prospective pilot study. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.367] [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]
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14
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Yen T, Beavis A, Stone R, Wethington S, Carr C, Son J, Chambers LM, Ricci S, Burkett W, Richardson D, Staley A, Ahn S, Gehrig P, Torres D, Dowdy S, Sullivan M, Modesitt S, Watson C, Secord A, Veade A, Havrilesky L, Loreen A, Griffin K, Jackson A, Fader A. Early-stage endometrial cancer with lymphovascular space invasion: Chemotherapy improves progression free survival and reduces distant metastases. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.675] [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]
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15
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Mencaglia L, Cerboneschi M, Ciociola F, Ricci S, Mancioppi I, Ambrosino V, Ferrandi C, Strozzi F, Piffanelli P, Grasselli A. Characterization of microRNA in the follicular fluid of patients undergoing assisted reproductive technology. J BIOL REG HOMEOS AG 2019; 33:946-956. [PMID: 31190512] [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: 06/09/2023]
Abstract
Female fertility plays a decisive role in the reproduction of mammals, with related issues that include oocyte or embryo quality, establishment of pregnancy, and the physiology of the tissues that contribute to reproduction and metabolic disorders associated with reproductive failure. Although reproductive failure may be attributed to various factors in different species, female infertility is largely controlled by a number of molecular signals that can be regulated in a cycle- and tissue-dependent manner.
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Affiliation(s)
- L Mencaglia
- Azienda USL Sud Est, Regione Toscana Centro di PMA Ospedale Santa Margherita La Fratta Cortona, Arezzo, Italy
| | - M Cerboneschi
- NEXT Genomics Srl, Prato, Italy
- Department of AgriFood Production and Envi¬ronmental Sciences (DISPAA), University of Florence, Sesto Fiorentino (Florence), Italy
| | - F Ciociola
- Azienda USL Sud Est, Regione Toscana Centro di PMA Ospedale Santa Margherita La Fratta Cortona, Arezzo, Italy
| | - S Ricci
- Azienda USL Sud Est, Regione Toscana Centro di PMA Ospedale Santa Margherita La Fratta Cortona, Arezzo, Italy
| | - I Mancioppi
- Azienda USL Sud Est, Regione Toscana Centro di PMA Ospedale Santa Margherita La Fratta Cortona, Arezzo, Italy
| | - V Ambrosino
- Azienda USL Sud Est, Regione Toscana Centro di PMA Ospedale Santa Margherita La Fratta Cortona, Arezzo, Italy
| | | | | | | | - A Grasselli
- IBSA Farmaceutici Italia Srl, Medical Scientific Division, Lodi, Italy
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16
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Salomone G, Ricci S, Rossi F, Turazzini M, Annese V, Del Colle R, Polo A. Electrophysiological assessment of lower cranial nerve palsy triggered by spontaneous extracranial carotid dissection. Clin Neurophysiol 2019. [DOI: 10.1016/j.clinph.2018.09.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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17
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Ricci S, Montemaggi A, Nieddu F, Serranti D, Indolfi G, Moriondo M, Azzari C. Is primary meningococcal arthritis in children more frequent than we expect? Two pediatric case reports revealed by molecular test. BMC Infect Dis 2018; 18:703. [PMID: 30591016 PMCID: PMC6307139 DOI: 10.1186/s12879-018-3602-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 12/10/2018] [Indexed: 11/19/2022] Open
Abstract
Background Primary meningococcal arthritis is a rare infectious disease that occurs in less than 3% of meningococcal infections and is characterized by arthritis without meningitis, fever, rash, or hemodynamic instability Barahona [Case Rep Orthop 4696014:2017 ]. There are no validated clinical criteria that can be used for the diagnosis. We present two pediatric cases of atypical presentation of meningococcal disease revealed by molecular tests. Case presentation The clinical presentation of the two children (6- and 9-years-old) was characterized by signs of arthritis. By Real Time Polymerase Chain Reaction (RT-PCR), we identified N. meningitidis serogroup Y in the joint fluid in both cases. After specific antimicrobial treatment, the clinical conditions of the two patients quickly improved during hospitalization. Conclusions. We believe that the incidence of meningococcal arthritis could be underestimated in those settings where the use of RT-PCR is limited. Clearer data on the incidence of meningococcal disease would help to design specific treatments and the best possible national vaccine strategies [Fiji Sci Rep 23:39784, 2016, J Infect 67:385-90, 2013].
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Affiliation(s)
- S Ricci
- Immunology Division, Section of Pediatrics, Department of Health Sciences, University of Florence and Meyer Children's University Hospital, Florence, Italy.
| | - A Montemaggi
- Section of Paediatrics, Meyer Children's University Hospital, Florence, Italy
| | - F Nieddu
- Section of Paediatrics, Meyer Children's University Hospital, Florence, Italy
| | - D Serranti
- Section of Paediatrics, Meyer Children's University Hospital, Florence, Italy
| | - G Indolfi
- Section of Pediatrics, Department of Neurofarba, University of Florence and Meyer Children's University Hospital, Florence, Italy
| | - M Moriondo
- Immunology Division, Section of Pediatrics, Department of Health Sciences, University of Florence and Meyer Children's University Hospital, Florence, Italy
| | - C Azzari
- Immunology Division, Section of Pediatrics, Department of Health Sciences, University of Florence and Meyer Children's University Hospital, Florence, Italy
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18
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Bongiovanni A, Pusceddu S, Leo S, Di meglio G, Gelsomino F, Pucci F, Berardi R, Ricci S, Lolli I, Bergamo F, Campana D, Santini D, Tamberi S, Pastorelli D, Cives M, Silvestris N, Russo A, Buonadonna A, Foca F, Ibrahim T. CAPTEM or FOLFIRI as second-line therapy in neuroendocrine carcinomas and exploratory analysis of predictive role of PET imaging and biological markers (SENECA study). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy293.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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19
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Vargas R, Vargas C, Costales A, Connor E, Ricci S. Readability of online hysterectomy literature: Too difficult for our patients? Gynecol Oncol 2018. [DOI: 10.1016/j.ygyno.2018.04.480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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20
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Businaro R, Corsi M, Asprino R, Di Lorenzo C, Laskin D, Corbo R, Ricci S, Pinto A. Modulation of Inflammation as a Way of Delaying Alzheimer's Disease Progression: The Diet's Role. Curr Alzheimer Res 2018; 15:363-380. [DOI: 10.2174/1567205014666170829100100] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2017] [Revised: 07/24/2017] [Accepted: 08/18/2017] [Indexed: 11/22/2022]
Abstract
Background:
Most of the recent reports suggest that inflammatory mediators play a central
role in the etiopathogenesis of Alzheimer's disease (AD) and that the conditions leading to a chronic
low-grade inflammation, such as stress, depression, obesity and metabolic syndrome, increase the odds
of developing Mild Cognitive Impairment (MCI) and AD. Microglia cells are the main actors in the AD
process: stimuli from the microenvironment may induce microglia cells to switch to a classically activated
inflammatory phenotype M1, or, on the contrary to an alternatively activated M2 phenotype characterized
by the secretion of different types of cytokines. Many attempts are currently being made in
order to delay the progression of AD by reducing inflammatory mechanisms underlying the disease.
Several studies support a relationship among neuroinflammation and nutrients, foods or dietary patterns,
taking into account the synergistic or antagonistic biochemical interactions among nutrients as well as
the different food sources of the same nutrient. Natural antioxidant and anti-inflammatory compounds
found in plant foods, such as fruits, particularly berries (such as strawberry, blueberry, blackcurrant,
blackberry, blueberry and mulberry) have been shown to exert neuroprotective activity. It is still unclear
whether the dietary bioactive compounds enter the Blood Brain Barrier (BBB) playing a direct antiinflammatory
or pro-inflammatory effect on microglia and/or other Central Nervous System (CNS)
cells. Another hypothesis is that they may trigger a peripheral reaction that induce indirectly a CNS' response.
The subsequent synthesis of cytokines may drive microglia polarization by different ways. So,
via an indirect route microglia detects and responds to immune-to-brain signaling.
Conclusion:
This review summarizes current evidence about the potential mechanisms of the interaction
among diet, neuroinflammation and AD.
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Affiliation(s)
- R. Businaro
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy
| | - M. Corsi
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy
| | - R. Asprino
- Department of Experimental Medicine, Medical Physiopathology, Food Science and Endocrinology Section, Sapienza University of Rome, Rome, Italy
| | | | - D. Laskin
- Departments of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, United States
| | - R.M. Corbo
- Department of Biology and Biotechnology "Charles Darwin", Sapienza University of Rome, Rome, Italy
| | - S. Ricci
- Department of Anatomical Sciences, Histological, Legal Medicine and Locomotor Apparatus, Sapienza University of Rome, Rome, Italy
| | - A. Pinto
- Department of Experimental Medicine, Medical Physiopathology, Food Science and Endocrinology Section, Sapienza University of Rome, Rome, Italy
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21
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Sancini A, Ricci S, Tomei F, Sacco C, Pacchiarotti A, Nardone N, Ricci P, Suppi A, De Cesare DP, Anzelmo V, Giubilati R, Pimpinella B, Rosati MV, Tomei G. Work related stress and blood glucose levels. Ann Ig 2017; 29:123-133. [PMID: 28244581 DOI: 10.7416/ai.2017.2139] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AIM The aim of the study is to evaluate work-related subjective stress in a group of workers on a major Italian company in the field of healthcare through the administration of a valid "questionnaire-tool indicator" (HSE Indicator Tool), and to analyze any correlation between stress levels taken from questionnaire scores and blood glucose values. MATERIAL AND METHODS We studied a final sample consisting of 241 subjects with different tasks. The HSE questionnaire - made up of 35 items (divided into 7 organizational dimensions) with 5 possible answers - has been distributed to all the subjects in occasion of the health surveillance examinations provided by law. The questionnaire was then analyzed using its specific software to process the results related to the 7 dimensions. These results were compared using the Pearson correlation and multiple linear regression with the blood glucose values obtained from each subject. RESULTS From the analysis of the data the following areas resulted critical, in other words linked to an intermediate (yellow area) or high (red area) condition of stress: sustain from managers, sustain from colleagues, quality of relationships and professional changes. A significant positive correlation (p <0.05) between the mean values of all critical areas and the concentrations of glucose values have been highlighted with the correlation index of Pearson. Multiple linear regression confirmed these findings, showing that the critical dimensions resulting from the questionnaire were the significant variables that can increase the levels of blood glucose. CONCLUSION The preliminary results indicate that perceived work stress can be statistically associated with increased levels of blood glucose.
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Affiliation(s)
- A Sancini
- Spin off "Sipro", Sapienza University of Rome, Italy
| | - S Ricci
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Sapienza University of Rome, Italy - Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - F Tomei
- Spin off "Sipro", Sapienza University of Rome, Italy
| | - C Sacco
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - A Pacchiarotti
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - N Nardone
- Spin off "Sipro", Sapienza University of Rome, Italy
| | - P Ricci
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Sapienza University of Rome, Italy
| | - A Suppi
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - D P De Cesare
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - V Anzelmo
- Institute of Public Health, Unit of Occupational Medicine, Catholic University of the Scred Heart, Rome, Italy
| | - R Giubilati
- Spin off "Sipro", Sapienza University of Rome, Italy
| | - B Pimpinella
- Spin off "Sipro", Sapienza University of Rome, Italy
| | - M V Rosati
- Department of Anatomy, Histology, Medical-Legal and the Orthopaedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, Sapienza University of Rome, Italy
| | - G Tomei
- Department of Psychiatric and Psychological Science, Sapienza University of Rome, Italy
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22
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Lenzi D, Serafini A, Rosadini D, Burgassi S, Castellani D, Pozzi G, Ricci S, Messina G. Heater cooler and Mycobacterium chimaera. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx189.097] [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: 11/12/2022] Open
Affiliation(s)
- D Lenzi
- Medical Management, “Le Scotte” Teaching Hospital, Siena, Italy
| | - A Serafini
- Medical Management, “Le Scotte” Teaching Hospital, Siena, Italy
| | - D Rosadini
- Post Graduate School of Public Health, University of Siena, Siena, Italy
| | - S Burgassi
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - D Castellani
- Cardiocirculatory Physiopathology and Cardiovascular Perfusion, “Le Scotte” Teaching Hospital, Siena, Italy
| | - G Pozzi
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - S Ricci
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - G Messina
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
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23
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Rosati MV, Sancini A, Tomei F, Sacco C, Traversini V, De Vita A, De Cesare DP, Giammichele G, De Marco F, Pagliara F, Massoni F, Ricci L, Tomei G, Ricci S. Correlation between benzene and testosterone in workers exposed to urban pollution. Clin Ter 2017; 168:e380-e387. [PMID: 29209688 DOI: 10.7417/t.2017.2038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIM Many studies have examined the effects of benzene on testosterone. The purpose of this study was to evaluate the possible correlation between the blood levels of benzene and the levels of testosterone. MATERIALS AND METHODS The study involved a group of 148 subjects. For every worker have been made out a blood sample for the evaluation of benzene and testosterone levels and an urine analysis for the evaluation of the levels of trans, trans-muconic acid and S-phenylmercapturic acid. We estimated the Pearson correlation coefficient between the variables in the sample and the urinary metabolites, age, length of service, gender, BMI. For the analysis of the major confounding factors it was performed a multiple linear regression. RESULTS The Pearson correlation coefficiet showed: 1. a significant inverse correlation between the S-phenyl mercapturic acid and free testosterone; 2. a significant direct correlation between trans-trans muconic acid and BMI. After dividing the sample according to the median of blood benzene (161.0 ng / L), Pearson correlation coefficient showed a significant inverse correlation between the S-phenyl mercapturic acid and free testosterone in the group with values below this median. CONCLUSIONS Our results, to be considered preliminary, suggest that occupational exposure to low levels of benzene, present in urban pollution, affect the blood levels of testosterone. These results need to be confirmed in future studies, with the eventual possibility of including more specific fertility tests.
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Affiliation(s)
- M V Rosati
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - A Sancini
- Spin off of University of Rome "Sapienza" "Sipro", Rome
| | - F Tomei
- Spin off of University of Rome "Sapienza" "Sipro", Rome
| | - C Sacco
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - V Traversini
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - A De Vita
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - D P De Cesare
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - G Giammichele
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F De Marco
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F Pagliara
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome
| | - F Massoni
- Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
| | - L Ricci
- Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
| | - G Tomei
- Department of Psychiatric and Psychological Science, University of Rome " Sapienza", Rome, Italy
| | - S Ricci
- Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Specialty School of Occupational Medicine, Unit of Occupational Medicine, University of Rome "Sapienza", Rome - Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome
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24
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Farnesi A, Mazzarri S, Boni G, Galli L, Cianci C, Biasco E, Sbrana A, Paolieri F, Bloise F, Ghedini P, Lodi Rizzini E, Dionisi V, Borsatti E, Bortolus R, Fratino L, Gobitti C, Fanti S, Volterrani D, Monari F, Ricci S, Falcone A. 223Ra-chloride therapy: the first multidisciplinary and multicenter Italian study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx423.020] [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: 11/15/2022] Open
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Meattini I, Salvadori B, Coltelli L, Perna M, Carta G, Becherini C, Grassi R, Garlatti P, Cappelli S, Desideri I, Vannini A, Fontana A, Landucci E, Michelotti A, Ricci S, Allegrini G, Falcone A, Livi L. Efficacy and safety of everolimus and exemestane for metastatic breast cancer patients: a real-life experience of three Oncology Departments. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx424.062] [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: 11/12/2022] Open
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Ajgal Z, Le Plenier S, Ricci S, Neveu N, Alexandre J, Goldwasser F, De Bandt JP, Cynober L, Blanc MC. MON-P116: PI3KINASE-AKT-Mtor Pathway and Glutamine Metabolism in Ovarian Cancer. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30968-8] [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: 10/18/2022]
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Hur C, Kotlyar A, Ricci S, Flyckt R. A rare uterine leiomyoma in an adolescent patient. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.1136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Ippoliti F, Corbosiero P, Canitano N, Massoni F, Ricciardi MR, Ricci L, Archer T, Ricci S. Work- related Stress, over-nutrition and cognitive disability. Clin Ter 2017; 168:e42-e47. [PMID: 28240762 DOI: 10.7417/ct.2017.1981] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Work-related stress may exert a negative impact on a variety of physical and psychological attributes relating to the health of employees and work organizations. Several studies conducted in Italy have shown that workers and employees who express less satisfaction show increased symptoms of obesity and cognitive disability. The latest evidence underlines the pathogenic relationship between stress and neurological disease through inflammatory neuro- immune activation. The aim of this review was to describe the relationship between workplace stress and adverse changes in lifestyle that develop into obesity, neuroinflammation and cognitive dysfunction. The molecular mechanisms involved and guidelines for the prevention of these trends are discussed briefly.
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Affiliation(s)
- F Ippoliti
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - P Corbosiero
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - N Canitano
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - F Massoni
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - M R Ricciardi
- Department of Psychology, University of Gothenburg, Sweden
| | - L Ricci
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
| | - T Archer
- Department of Psychology, University of Gothenburg, Sweden
| | - S Ricci
- Department of Anatomical, Histological, Legal Medicine and Orthopedics Sciences, Sapienza University of Rome, Italy
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Solimini R, Busardò FP, Rotolo MC, Ricci S, Mastrobattista L, Mortali C, Graziano S, Pellegrini M, di Luca NM, Palmi I. Hepatotoxicity associated to synthetic cannabinoids use. Eur Rev Med Pharmacol Sci 2017; 21:1-6. [PMID: 28379600] [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: 06/07/2023]
Abstract
Synthetic cannabinoids (SCs) are psychotropic compounds, chemically created in laboratory to mimic cannabinergic brain activity of delta-9 tetrahydrocannabinol. The consumption of these compounds for recreational purposes can lead to a variety of adverse effects on health including overdose and deaths. Increasingly popular as substances of abuse since the 2000s, SCs were produced initially to bind and study cannabinoid receptors (they also can be called synthetic cannabimimetics) failing in eliminating the psychoactive effects. Currently, SCs are misused by students and young adults as "natural products" because of their herbal aspect. Actually, these apparently innocuous recreational substances hide toxic effects to health. Reported side effects are cardiovascular, gastrointestinal, neurological, renal, metabolic, ophthalmologic, pulmonary and psychoactive including dependence and withdrawal. A few cases of SCs ingestion have also been associated with liver failure. We herein review the recent literature on the SCs toxicity with particular attention to liver damage aspects.
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Affiliation(s)
- R Solimini
- Department of Therapeutic Research and Medicines Evaluation, Drug Abuse and Doping Unit, Istituto Superiore di Sanità, Rome, Italy.
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Corsi M, Di Raimo T, Di Lorenzo C, Rapp-Ricciardi M, Archer T, Ricci S, Businaro R. Cognitive disability in alzheimer's disease and its management. Clin Ter 2017; 167:e123-e126. [PMID: 27845490 DOI: 10.7417/ct.2016.1955] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Cognitive disability linked to neurodegenerative diseases and in particular to Alzheimer's disease, remains an increasing cause for concern through a dramatic prevalence increment and associated socio-economic burdens. Initially Alzheimer's disease develops asymptomatically with primary clinical signs, such as memory impairment, decline of spatial and perceptual abilities, occurring at a later stage. This delay implies the possibility of promoting early interventions during the pre-symptomatic stage of the disease. Different strategies have been applied in order to prevent/delay onset of Alzheimer's disease or at least to improve quality of life and health conditions of Alzheimer's disease patients and their caregivers, especially in the absence of current viable therapies. Multidomain interventions, aimed at affecting several risk factors simultaneously, offer a versatility that may attain improved outcomes in comparison with single-domain prevention trials. These multidomain interventions involve diet, physical exercise, cognitive training and social activities, while music therapy, improving self-consciousness and reducing neurofibrils, may contribute to deceleration/delay onset of Alzheimer's disease progression. Information and Communication Technology (ICT) provides broad applications to improve quality of life and well-being of Alzheimer's disease patients and caregivers, suffering from psychological distress, as well as reducing additional public health costs.
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Affiliation(s)
- M Corsi
- Department of Medico-Surgical Sciences and Biotechnologies
| | - T Di Raimo
- Department of Medico-Surgical Sciences and Biotechnologies
| | - C Di Lorenzo
- Department of Medico-Surgical Sciences and Biotechnologies
| | - M Rapp-Ricciardi
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden; 4Network for Empowerment and Well Being, Sweden
| | - T Archer
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden; 4Network for Empowerment and Well Being, Sweden
| | - S Ricci
- Department of Anatomy, Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome
| | - R Businaro
- Department of Medico-Surgical Sciences and Biotechnologies
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Archer T, Ricci S, Massoni F, Ricci L, Rapp-Ricciardi M. Cognitive Benefits of Exercise Intervention. Clin Ter 2017; 167:e180-e185. [PMID: 28051833 DOI: 10.7417/ct.2016.1965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Exercise, as a potent epigenetic regulator, implies the potential to counteract pathophysiological processes and alterations in most cardiovascular/respiratory cells and tissues not withstanding a paucity of understanding the underlying molecular mechanisms and doseresponse relationships. In the present account, the assets accruing from physical exercise and its influence upon executive functioning are examined. Under conditions of neuropsychiatric and neurologic ill-health, age-related deterioration of functional and biomarker indicators during healthy and disordered trajectories, neuroimmune and affective unbalance, and epigenetic pressures, exercise offers a large harvest of augmentations in health and well-being. Both animal models and human studies support the premise of manifest gains from regular exercise within several domains, besides cognitive function and mood, notably as the agency of a noninvasive, readily available therapeutic intervention.
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Affiliation(s)
- T Archer
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden - Network for Empowerment and Well Being, Sweden
| | - S Ricci
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - F Massoni
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - L Ricci
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University of Rome, Italy
| | - M Rapp-Ricciardi
- University of Gothenburg, Department of Psychology, Box 500, SE 40530 Gothenburg, Sweden - Network for Empowerment and Well Being, Sweden
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Massoni F, Ricci P, Crusco M, Onofri E, Petrone L, Sacco C, Ricci L, Ricciardi M, Archer T, Ricci S. Psychopathology and neoplastic disease: medico-social and medico-legal considerations. Clin Ter 2017; 168:e48-e53. [PMID: 28240763 DOI: 10.7417/ct.2017.1982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The cognitive disability associated with stress in patients presenting cancer disease may exert a significant impact on the psychological health of the individual and even deteriorate the clinical diagnosis. The present study consists of a review of the available literature and an analysis of the association between psychopathologic disease and cancer by selecting useful contributions to the medicosocial discussion of the topic. Interesting considerations have emerged on the epidemiology and pathogenesis of the association between psychopathology and cancer that initiated possibilities towards a greater accuracy in the assessment of the patient that is not only limited to oncologic problems and outcomes.
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Affiliation(s)
- F Massoni
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - P Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Crusco
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - E Onofri
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - L Petrone
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - C Sacco
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - L Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Ricciardi
- Department of Psychology, University of Gothenburg, Sweden
| | - T Archer
- Department of Psychology, University of Gothenburg, Sweden
| | - S Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
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Crusco M, Massoni F, Luzi E, Ricci P, Pelosi M, Corbosiero P, Rapp-Ricciardi M, Ricci S. Gambling and the need for new responses in Public Health with an addiction "sine substantia". Clin Ter 2016; 167:e162-e166. [PMID: 28051830 DOI: 10.7417/ct.2016.1962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND The Gambling Disorder (GD) was recently defined as a behavioral addiction by the "The Diagnostic and Statistical Manual of Mental Disorders IV"( DSM-V) since the clinical, neurobiological and psychopathological similarities led it to be defined it as an addiction "sine substantia". The aim of this study is to formulate an "identikit" of the gambler, to evaluate a possible association between GD / emotional specific factors and the correlation between GD / substance abuse, GD / suicide. METHOD In the study, 41 subjects were included (31 males and 10 females) and all were diagnosed with GD. A questionnaire was distributed containing 24 questions deriving from South Oaks Gambling Screen and the DSM-IVTR. RESULTS The study showed that 51% of the respondents makes use of alcohol and / or drugs; that 73% of the patients started playing in order to relieve feelings of dysphoria and suffering consequences on work as well as family life (51%). A great deal of the respondents were indebted (39%) to the extent of needing to ask for loans from usurer (17%). Furthermore, 41% of the respondents in the sample showed that GD could be transformed into an alarming risk of suicide. DISCUSSION The correlation between GD and drug abuse may depend on the brain function and the neural circuits that support impulsive behavior and the gratification mechanisms. Emotional experiences (stress, low level of education, divorce, poor social support) could constitute a possible risk factor that increases the GD. The committed offenses related to gambling could be explained by "loss of control". CONCLUSIONS The results of the present study contributes to the body of knowledge regarding the size of phenomenon from a statistical and epidemiological point of view, suggesting the necessity for targeted information on the risks connected to GD in order to capture early warning signs which enables the intervention with suitable strategies.
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Affiliation(s)
- M Crusco
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - F Massoni
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - E Luzi
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - P Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Pelosi
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - P Corbosiero
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | | | - S Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
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Marconcini R, Faviana P, Campani D, Galli L, Antonuzzo A, Orlandini C, Falcone A, Ricci S. Enhancer of zest homolog 2 (EZH2) expression in well and moderately differentiated pancreatic neuroendocrine tumor (pNET). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw369.18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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35
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Marconcini R, Ricci S, Galli L, Antonuzzo A, Orlandini C, Vasile E, Falcone A. Progressing G1-G2 neuroendocrine tumors (WD NET) in treatment with capecitabine (Cp) plus somatostatin analog (SSA): a single center experience. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw369.32] [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: 11/13/2022] Open
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36
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Vasile E, Musettini G, Sbrana A, Farnesi A, Brunetti I, Galli L, Biasco E, Falcone A, Ricci S, Antonuzzo A. Antiemetic prophylaxis (AP) in our clinical practice: are we doing it right? Ann Oncol 2016. [DOI: 10.1093/annonc/mdw390.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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37
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Massoni F, Ricci P, Crusco M, Ricci L, Ricci S. [Head trauma with clinical and medical legal interest]. Clin Ter 2016; 166:e357-60. [PMID: 26550822 DOI: 10.7417/t.2015.1891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
In clinical and legal cases some injuries found in living patient or dead body can give rise to difficulties of interpretation regarding the nature of the legally relevant formation mechanism. A field of study that offers often this issue is the brain hemorrhage that it could be traumatic or no traumatic. The authors propose a narrative review of the literature that enables us to recognize in the analysis of the kind of bleeding or type of associated lesions, useful and updated support tools for settlement of the case in question.
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Affiliation(s)
- F Massoni
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - P Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - M Crusco
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - L Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
| | - S Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università "Sapienza" di Roma, Italia
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Antonuzzo A, Vasile E, Sbrana A, Lucchesi M, Galli L, Brunetti IM, Musettini G, Farnesi A, Biasco E, Virgili N, Falcone A, Ricci S. Impact of a supportive care service for cancer outpatients: management and reduction of hospitalizations. Preliminary results of an integrated model of care. Support Care Cancer 2016; 25:209-212. [DOI: 10.1007/s00520-016-3403-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Accepted: 08/29/2016] [Indexed: 10/21/2022]
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Crusco M, Susi B, Luzi E, Massoni F, Ricci P, Corbosiero P, Pelosi M, Ricci L, Ricci S. Risk factors correlating event falling to eventual medico-legal responsability. Clin Ter 2016; 167:e130-e136. [PMID: 27845492 DOI: 10.7417/ct.2016.1957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- M Crusco
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - B Susi
- Direttore UOC Pronto Soccorso e Medicina d'Urgenza Policlinico Tor Vergata, Roma, Italia
| | - E Luzi
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - F Massoni
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - P Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - P Corbosiero
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - M Pelosi
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - L Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
| | - S Ricci
- Dipartimento di Scienze Anatomiche, Istologiche, Medico legale e dell'Apparato locomotore. Università Sapienza Roma
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Vasile E, Sbrana A, Musettini G, Farnesi A, Brunetti I, Biasco E, Galli L, Falcone A, Ricci S, Antonuzzo A. Antiemetic prophylaxis (AP) in our clinical practice: are we doing it right? Ann Oncol 2016. [DOI: 10.1093/annonc/mdw345.17] [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: 11/12/2022] Open
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41
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Farnesi A, Mazzarri S, Galli L, Boni G, Cianci C, Biasco E, Sbrana A, Monari F, Dionisi V, Graziani T, Fanti S, Massari F, Ardizzoni A, Borsatti E, Bortolus R, Gobitti C, Fratino L, Volterrani D, Ricci S, Falcone A. First Italian Multicentre Experience in using Ra-223 in patients with metastatic castration resistant prostate cancer (mCRPC). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw334.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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42
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Ferrara R, Ansermet F, Massoni F, Petrone L, Onofri E, Ricci P, Archer T, Ricci S. Autism Spectrum Disorder and intact executive functioning. Clin Ter 2016; 167:e96-e101. [PMID: 27845486 DOI: 10.7417/ct.2016.1951] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
UNLABELLED Earliest notions concerning autism (Autism Spectrum Disorders, ASD) describe the disturbance in executive functioning. Despite altered definition, executive functioning, expressed as higher cognitive skills required complex behaviors linked to the prefrontal cortex, are defective in autism. Specific difficulties in children presenting autism or verbal disabilities at executive functioning levels have been identified. Nevertheless, the developmental deficit of executive functioning in autism is highly diversified with huge individual variation and may even be absent. The aim of the present study to examine the current standing of intact executive functioning intact in ASD. RESULTS Analysis of ASD populations, whether high-functioning, Asperger's or autism Broad Phenotype, studied over a range of executive functions including response inhibition, planning, cognitive flexibility, cognitive inhibition, and alerting networks indicates an absence of damage/impairment compared to the typically-developed normal control subjects. CONCLUSIONS These findings of intact executive functioning in ASD subjects provide a strong foundation on which to construct applications for growth environments and the rehabilitation of autistic subjects.
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Affiliation(s)
- R Ferrara
- Student, doctoral school of the Faculty of Biology and Medicine, Unil ( University of Lausanne)
| | - F Ansermet
- Francoise Ansermet, Professor of Child and Adolescent Psychiatry, Faculty of Medicine, University of Geneva. Chef of service, Department of child and adolescent psychiatry, Department of Pediatrics, University Hospital of Geneva & Department of psychiatry, University of Geneva
| | - F Massoni
- Department of Anatomical sciences, histological, Legal Medicine and Locomotor apparatus. University Sapienza of Rome
| | - L Petrone
- Department of Anatomical sciences, histological, Legal Medicine and Locomotor apparatus. University Sapienza of Rome
| | - E Onofri
- Department of Anatomical sciences, histological, Legal Medicine and Locomotor apparatus. University Sapienza of Rome
| | - P Ricci
- Department of Anatomical sciences, histological, Legal Medicine and Locomotor apparatus. University Sapienza of Rome
| | - T Archer
- Department of Psychology, University of Gothenburg, Sweden
| | - S Ricci
- Department of Anatomical sciences, histological, Legal Medicine and Locomotor apparatus. University Sapienza of Rome
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Marconcini R, Faviana P, Campani D, Galli L, Antonuzzo A, Falcone A, Ricci S. Enhancer of zeste homolog 2 (EZH2) expression in G1 -G2 Pancreatic Neuroendocrine Tumor (pNET). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw333.12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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44
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Ricci S, Marconcini R, Galli L, Antonuzzo A, Vasile E, Falcone A. G1-G2 Neuroendocrine Tumors (WD NET) in treatment with Capecitabine (Cp) plus somatostatin analog (SSA). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw345.41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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45
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Zeller M, Laffitte-Fitou O, Ricci S, De Bandt JP, Alexandre J, Goldwasser F, Cynober L, Blanc-Quintin MC. Prolifération de trois lignées humaines de carcinome ovarien présentant des profils métaboliques différents vis-à-vis du glucose et de la glutamine. NUTR CLIN METAB 2016. [DOI: 10.1016/j.nupar.2016.09.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
Sono stati studiati 51 pazienti affetti da disturbi di circolo cerebrale nel territorio carotideo con TC a strato sottile della regione cervicale e con angiografia convenzionale (AGF) dei tronchi epiaortici. I risultati TC sono stati confrontati con quelli AGF e, in 18 casi, anche con i reperti operatori. In tutti i 102 casi studiati la TC è stata in grado di dimostrare la biforcazione carotidea e la morfologia delle sue pareti. La TC si è rivelata più sensibile della AGF nell'evidenziare la morfologia delle placche e le lesioni ulcerative offrendo l'opportunità di una obiettiva misurazione del grado di stenosi luminale, grazie alla dimostrazione dei vasi sul piano assiale.
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Affiliation(s)
| | | | - S. Ricci
- Clinica Neurologica, Università degli Studi; Perugia
| | - G.P. Cao
- Clinica Chirurgica, Università degli Studi; Perugia
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Ricci S, Di Luca A, Di Luca NM. Comment on "The static evolution of the new Italian code of medical ethics". Eur Rev Med Pharmacol Sci 2016; 20:2753-2754. [PMID: 27424967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- S Ricci
- Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Section of Legal Medicine, Faculty of Pharmacy and Medicine, "Sapienza" University of Rome, Rome, Italy.
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Cavezzi A, Labropoulos N, Partsch H, Ricci S, Caggiati A, Myers K, Nicolaides A, Coleridge-Smith P. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP Consensus Document. Part II: Anatomy. Phlebology 2016. [DOI: 10.1258/026835506779115799] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of the anatomy of superficial and perforating veins in the lower limb by ultrasound imaging. Design: Consensus conference leading to a consensus document. Methods: The authors performed a systematic review of the published literature on duplex anatomy of the superficial and perforating veins of the lower limbs. Afterwards, they invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the authors and the experts (text and images) were made available to all participants via the UIP website. The authors prepared a draft document for discussion at the UIP Chapter meeting held in San Diego, USA, in August 2003. Following this meeting, a revised manuscript was circulated to all participants and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually, all participants agreed on the final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination as well as the interpretation of images and measurements obtained. This document provides a detailed methodology for complete ultrasound assessment of the anatomy of the superficial and perforating veins in the lower limbs. Conclusions: The authors and a large group of experts have agreed on a methodology for the investigation of the lower limbs venous system, by duplex ultrasonography, with specific reference to the anatomy of the main superficial veins and perforators of the lower limbs in healthy and varicose subjects.
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Affiliation(s)
| | | | - H Partsch
- University of Vienna, Vienna, Austria
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Abstract
Objective: To define the relationship between the long saphenous vein and the connective framework of the subcutaneous tissue (hypodermis) of the lower limb. Methods: The connective skeleton of the hypodermis was studied by anatomical dissection, stereomicroscopy of cross-sectioned specimens and ultrasound imaging in 88 lower extremities. Results: The long saphenous vein runs for most of its length in a narrow compartment delineated deeply by the muscular fascia and superficially by a connective tissue lamina descending from the inguinal ligament in the anteromedial part of the thigh and medial aspect of the calf. These two fascia fuse at the boundaries of the compartment. The long saphenous vein adventitia is anchored to both fasciase by thick connective tissue strands. Conclusion: The anatomical relationship between the long saphenous vein and the connective framework of the hypodermis suggests that: (1) only the vein running within the deep compartment of the hypodermis should be considered as the ‘true’ long saphenous vein; (2) the other subcutaneous veins running outside the compartment should be considered as collaterals of the long saphenous vein; (3) the connective sheath surrounding the long saphenous vein could oppose dilatation of this vessel should valvular incompetence develop; and (4) thigh muscle contraction could modify the calibre of the long saphenous vein as happens in the deep veins. Finally, the authors propose to term the deep compartment of the medial thigh and the leg hypodermis the ‘long saphenous vein compartment’ and consequently the hypodermic connective lamina, by which it is superficially delimited, as the ‘long saphenous vein fascia’.
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Affiliation(s)
- A. Caggiati
- Department of Anatomy, University of Rome ‘La Sapienza’, Rome
| | - S. Ricci
- ‘Ricci’ Phlebological Office, Rome, Italy
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Abstract
Objective: To evaluate the pathway of reflux in incompetent long saphenous veins (LSVs), paying particular attention to the role of longitudinal saphenous tributaries in the thigh (accessory saphenous veins, ASVs). Design: Prospective study in a group of patients with primary varices. Comparison with the anatomical patterns in a group of normal subjects. Setting: Private phlebology practice. Patients: Sixty-seven patients with primary varices (100 limbs) and 66 subjects without varices and with competent saphenous veins (120 limbs). Methods: Duplex ultrasound evaluation of the saphenous system in the thigh of patients and healthy subjects. The ‘eye’ ultrasonographic sign was used as the marker to distinguish the LSV from the longitudinal tributary veins of the thigh. Results: In 57% of limbs in patients with varices, reflux followed the saphenous vein, while in 43% the reflux spilled outside the LSV into an ASV (h or S types). When reflux followed the saphenous vein, no large calibre ASVs could be observed. In 30% of limbs in control subjects a parallel tributary vein with a similar calibre was found joining the LSV. Conclusion: Clinically visible varices in the thigh rarely comprise the LSV itself, but are usually dilated ASVs, the reflux stream passing from the proximal LSV into a more superficial ASV. The distal LSV running parallel beneath is often competent. In subjects with healthy LSVs, a large competent tributary vein is already present in the thigh in 30% of cases. This suggests that superficial deviation of reflux flow into an ASV in patients with varices may not arise from haemodynamically acquired changes, but could have a congenital origin. This could even be a predisposing factor in the development of varices.
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Affiliation(s)
- S. Ricci
- Private Phlebology Office, University of Rome ‘La Sapienza’, Rome, Italy
| | - A. Caggiati
- Department of Anatomy, University of Rome ‘La Sapienza’, Rome, Italy
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