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Martin GS, Galvan U, Perini GP, Morgante S. An international perspective on organizing people at risk for AIDS at the community level. Antibiot Chemother (1971) 2015; 43:257-63. [PMID: 1883220 DOI: 10.1159/000419734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- G S Martin
- International Course for Primary Health Care Managers, Istituto Superiore di Sanità, Rome, Italy
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Krassas GE, Pontikides N, Tziomalos K, Tzotzas T, Zosin I, Vlad M, Luger A, Gessl A, Marculescu R, Toscano V, Morgante S, Papini E, Pirags V, Konrade I, Hybsier S, Hofmann PJ, Schomburg L, Köhrle J. Selenium status in patients with autoimmune and non-autoimmune thyroid diseases from four European countries. Expert Rev Endocrinol Metab 2014; 9:685-692. [PMID: 30736204 DOI: 10.1586/17446651.2014.960845] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
CONTEXT Selenium supplementation has been suggested for Hashimoto thyroiditis and Graves' ophthalmopathy. Objective, Design: Our aim is to measure selenium status (p-Se, p-SePP), urine iodine (UI) levels and urine iodine/creatinine ratio (UI/C) in different thyroid diseases (n = 416) from four European countries and to compare the results between patients with and without thyroid autoimmunity. RESULTS p-Se and p-SePP showed positive correlation and did not correlate with UI/C. Also, these measurements were higher in patients from Italy in comparison with the other countries. Austria had the lowest UI/C ratios. Selenium deficiency exists in these four European countries. Selenium status was lower in patients with Hashimoto thyroiditis and Graves' disease in comparison with non-autoimmune thyroid disease patients and did not differ between autoimmune patients with or without thyroid peroxidase antibodies. The latter correlated positively with age. CONCLUSIONS Our findings suggest that Se supplementation might have a beneficial effect in autoimmune thyroid patients.
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Affiliation(s)
- Gerasimos E Krassas
- a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece
| | - Nikolaos Pontikides
- a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece
| | - Kostas Tziomalos
- a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece
| | - Themistoklis Tzotzas
- a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece
| | - Ioana Zosin
- b Clinic of Endocrinology, University of Medicine and Pharmacy Timisoara, Timosoara, Romania
| | - Mihaela Vlad
- b Clinic of Endocrinology, University of Medicine and Pharmacy Timisoara, Timosoara, Romania
| | - Anton Luger
- c Department of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria
| | - Alois Gessl
- c Department of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria
| | - Rodrig Marculescu
- d Clinical Institute of Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria
| | - Vincenzo Toscano
- e Department of Medicine, Clinical and Molecular Endocrinology, La Sapienza University of Rome, Rome, Italy
| | - Sara Morgante
- e Department of Medicine, Clinical and Molecular Endocrinology, La Sapienza University of Rome, Rome, Italy
| | - Enrico Papini
- f Department of Endocrinology and Metabolism, Hospital Regina Apostolorum - Albano Laziale, Rome, Italy
| | - Valdis Pirags
- g Department of Endocrinology, Pauls Stradins Clinical University Hospital, Riga, Latvia
| | - Ilze Konrade
- h Department of Endocrinology, Riga East Clinical University Hospital, Riga, Latvia
| | - Sandra Hybsier
- i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Peter J Hofmann
- i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Lutz Schomburg
- i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Josef Köhrle
- i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany
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Atteritano M, Bagnato G, Miceli G, Sangari D, Talotta R, Tamburello A, Morgante S, Bagnato G. SAT0366 Vitamin D levels and bone mineral density in systemic sclerosis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.3312] [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: 11/03/2022]
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Bagnato G, Atteritano M, Sorbara S, De Andres I, Talotta R, Corallo G, Verduci E, Miceli G, Sangari D, Visalli E, Marino N, Morgante S, Roberts WN, Bagnato G. THU0533 Pain Intensity and Threshold in Rheumatoid Arthritis, Psoriatic Arthritis and Ankylosing Spondylitis Patients: Correlations with the Hamilton Depression Rating Scale. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1061] [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: 11/04/2022]
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Atteritano M, Miceli G, Bagnato G, Sangari D, Talotta R, Tamburello A, Morgante S, Bagnato G. AB1029 Genistein prevents quality of life osteopenic post-menopausal womens: A 2-year randomized, double-blind, controlled-study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1029] [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: 11/03/2022]
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Gaudio A, Morabito N, Xourafa A, Macrì I, Meo A, Morgante S, Trifiletti A, Lasco A, Frisina N. Bisphosphonates in the treatment of thalassemia-associated osteoporosis. J Endocrinol Invest 2008; 31:181-4. [PMID: 18362512 DOI: 10.1007/bf03345587] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Thalassemia major is a common cause of skeletal morbidity, as shown by the increased fracture risk in thalassemic patients. The etiology of this bone disease is multifactorial and culminates in a state of increased bone turnover with excessive bone resorption and remodeling. Despite hormonal replacement therapy, calcium and vitamin D administration, effective iron chelation, and normalization of hemoglobin levels, patients with thalassemia major continue to lose bone mass. The increased bone turnover rate observed in thalassemic patients justifies the use of powerful anti-resorption drugs, such as bisphosphonates. To date, alendronate, pamidronate, and zoledronate seem to be effective in increasing bone mineral density and normalizing bone turnover, but more trials are necessary to evaluate their efficacy in reducing fracture risks in larger thalassemic populations.
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Affiliation(s)
- A Gaudio
- Department of Internal Medicine, University Polyclinic, Messina, Italy.
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de Filippis LG, Scibilia G, Caliri A, Morgante S, Arena A, Todaro G, Bonina L, Lo Gullo R, Bagnato GF. Rheumatic symptoms in patients with human immunodeficiency virus are related to levels of tumor necrosis factor-alpha but not to viral load. Int J Tissue React 2005; 27:9-13. [PMID: 15847100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Infection with human immunodeficiency virus (HIV) can lead to osteoarticular involvement, usually in the late stages. The pathogenesis of these symptoms has usually been attributed to viral load or to dysregulated cytokine production. We evaluated the presence of rheumatic symptoms and levels of tumor necrosis factor (TNF)-alpha viral load and CD4 count in 46 patients with HIV from southern Italy. The prevalence of rheumatic symptoms was 23.9%; CD4 count and viral load presented no statistically significant differences between patients with rheumatic symptoms and patients without osteoarticular involvement, whereas TNF-alpha levels were increased in HIV patients with arthralgias compared with those in patients without arthralgias (p = 0.02). Evidence that TNF-alpha is increased in patients with osteoarticular or soft tissue involvement is a clear index of the pivotal role this cytokine plays in the pathogenesis of these manifestations.
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Affiliation(s)
- L G de Filippis
- Department of Rheumatology, Policlinico Universitario, Messina, Italy.
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Africa A, De Filippis L, Caliri A, Romano C, Bocchino L, Forgione C, Morgante S, Balestrieri AM, Africa E, Furfari P, Bagnato G. Usefulness of gait analysis for rehabilitation and follow-up in a patient with neurolupus. A case report. Eura Medicophys 2004; 40:277-81. [PMID: 16175151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Neuropsychiatric symptoms are very common in patients with systemic lupus erythematosus (SLE) and can lead to a severe impairment of quality of life. Among neurological manifestations of SLE, altered gait patterns are common but usually not studied. Gait analysis allows us to evaluate the patients' skills, and in this way to plan a specific therapeutic-rehabilitative intervention. We describe the gait pattern of a patient with neurolupus, whose gait was characterized by a diminished propulsion capacity, a diminished load acceptance, a diminished progression of the pressure centre in a posterior-anterior sense, a diminished myoelectric activity in the swing and stence phases. We suggest that gait analysis may be a sensitive indicator of cerebral dysfunction and can be also an useful tool for the follow up of patients with neuropsychiatric SLE.
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Affiliation(s)
- A Africa
- Department of Physical Medicine and Rehabilitation Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy
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Bagnato G, De Filippis LG, Morgante S, Morgante ML, Farina G, Caliri A, Romano C, D'Avola G, Pinelli P, Calpona PR, Streva P, Resta ML, De Luca G, Di Giorgio R. Clinical improvement and serum amino acid levels after mud-bath therapy. Int J Clin Pharmacol Res 2004; 24:39-47. [PMID: 15689050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
Spa therapy is an ancient approach to degenerative diseases such as osteoarthritis, but until today this tradition has been predominantly empiric and intuitive and few studies have focused on the biological changes derived from this treatment. We assessed the clinical efficacy and variations in amino acid concentrations in serum samples from patients with knee osteoarthritis who underwent spa therapy and put forward an explanation of their role in clinical improvement. Thirty-one patients with knee osteoarthritis who underwent spa therapy underwent a clinical evaluation, and serum amino acid levels were assayed before and after a cycle of balneotherapy and mud-pack therapy. The thermal treatments were carried out in Sciacca. Analysis of the data showed a significant reduction in pain and improvement in joint motility. Serum concentrations of tryptophan, cysteine and citrulline were significantly higher than at baseline. No significant differences were observed in serum levels of the remaining free amino acids. The results of this study confirm the efficacy of spa therapy in the treatment of osteoarthritis. A possible role for changes in serum amino acid concentration is discussed.
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Affiliation(s)
- G Bagnato
- Department of Rheumatology, University of Messina, Messina, Italy
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De Filippis LG, Gulli S, Caliri A, D'Avola G, Lo Gullo R, Morgante S, Romano C, Munaò F, Trimarchi G, La Torre D, Fichera C, Pappalardo A, Triolo G, Gallo M, Valentini G, Bagnato G. Factors influencing pain, physical function and social functioning in patients with osteoarthritis in southern Italy. Int J Clin Pharmacol Res 2004; 24:103-9. [PMID: 15754914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
The aim of this study was to assess factors influencing bodily pain (BP), physical function (PF) and social functioning (SF) in patients with osteoarthritis (OA) from southern Italy A total of 1,782 patients (mean age 66.08 years, 570 men and 1,212 women) with knee, hip, spine or hand OA underwent a structured assessment comprising demographic data and the Short Form 36 (SF-36) BP, PF and SF scales. Separate multiple linear regression models were employed for statistical analysis. The mean disease duration was 9.18 years and the mean body mass index (BMI) was 27.06. The mean BP, PF and SF scores of 34.93 (SD 19.37), 63.58 (SD 26.53) and 47.89 (SD 21.83) for the study subjects were substantially lower than those expected for the general Italian population. Subjects who were younger with a shorter disease duration and lower BMI had better PF and SF Younger subjects with a lower BMI and a longer disease duration had less BP. Female sex was associated with more BP, worse SF and better PF. In conclusion, demographic and disease-related factors influence BP, PF and SF in southern Italian patients with OA.
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Martin GS, Serpelloni G, Galvan U, Rizzetto A, Gomma M, Morgante S, Rezza G. Behavioural change in injecting drug users: evaluation of an HIV/AIDS education programme. AIDS Care 1990; 2:275-9. [PMID: 2088523 DOI: 10.1080/09540129008257740] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The results obtained from the training and follow-up of 189 IDUs who participated in a programme consisting of an audiovisual presentation, pre-/post-testing and individual counselling are presented. Syringe sharing decreased from 35% at initial contact to 12% after 6 months. Sexual behaviour proved more resistant to change. However, condom use in at-risk situations increased from 49% to 70%. IDUs under continuous methadone treatment were less likely to engage high risk drug injecting practices than the other IDUs. Results indicate that an educational programme addressed toward risk reduction may determine relevant behavioural change among IDUs.
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Affiliation(s)
- G S Martin
- HIV Screening Section, USL-25 Verona, Italy
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Serpelloni G, Gomma M, Morgante S, Foroni M, Ciampalini G, Perini GP. [A system for screening and epidemiologic monitoring of HIV infection in drug addicts. A working model and analysis of data related to 1517 subjects from the Veronese area]. Epidemiol Prev 1988; 10:38-48. [PMID: 2978856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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