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Sattin D, Rossi Sebastiano D, Magnani FG, D'Incerti L, Marotta G, Benti R, Tirelli S, Bersano A, Duran D, Visani E, Ferraro S, Minati L, Nigri A, Rosazza C, Bianchi Marzoli S, Ciasca P, Carcagni A, Bruzzone MG, Franceschetti S, Leonardi M, Guido D. Visual fixation in disorders of consciousness: Development of predictive models to support differential diagnosis. Physiol Behav 2021; 230:113310. [PMID: 33412191 DOI: 10.1016/j.physbeh.2021.113310] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 12/29/2020] [Accepted: 12/30/2020] [Indexed: 12/13/2022]
Abstract
The visual fixation represents a doubtful behavioral sign to discriminate Vegetative from Minimally Conscious State (MCS). To disentangle its meaning, we fitted univariate and multivariable logistic regression models matching different neurophysiological and neuroimaging data of 54 patients with Disorders of Consciousness to select the best model predicting which visual performance (visual blink or pursuit) was shown by patients and the best predictors set. The best models found highlighted the importance of the structural MRI and the visual evoked potentials data in predicting visual pursuit. Then, a qualitative pilot test was made on four patients showing visual fixation revealing that the obtained models correctly predict whether the patients' visual performance could support/correlate to a cognitively mediated behavior. The present pilot models could help clinicians to evaluate if the visual fixation response can support the MCS diagnosis.
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Affiliation(s)
- Davide Sattin
- Neurology, Public Health, Disability Unit - Coma Research Centre; Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Davide Rossi Sebastiano
- Neurophysiology and Diagnostic Epileptology Unit - Fondazione IRCCS Istituto Neurologico Carlo Besta n, Via Celoria 11, Milan, 20133, Italy.
| | - Francesca Giulia Magnani
- Neurology, Public Health, Disability Unit - Coma Research Centre; Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Ludovico D'Incerti
- Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Giorgio Marotta
- Department of Nuclear Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Milan, 20122, Italy; Dipartimento di Studi Umanistici (DISTUM), Università degli Studi di Urbino Carlo Bo, Via Bramante, 17, 61029 Urbino PU.
| | - Riccardo Benti
- Department of Nuclear Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Milan, 20122, Italy.
| | - Simone Tirelli
- Neurology, Public Health, Disability Unit - Coma Research Centre; Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy
| | - Anna Bersano
- Neurology Unit, UCV, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Dunja Duran
- Neurophysiology and Diagnostic Epileptology Unit - Fondazione IRCCS Istituto Neurologico Carlo Besta n, Via Celoria 11, Milan, 20133, Italy.
| | - Elisa Visani
- Neurophysiology and Diagnostic Epileptology Unit - Fondazione IRCCS Istituto Neurologico Carlo Besta n, Via Celoria 11, Milan, 20133, Italy.
| | - Stefania Ferraro
- Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Ludovico Minati
- Direzione Scientifica, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Anna Nigri
- Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Cristina Rosazza
- Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy; Dipartimento di Studi Umanistici (DISTUM), Università degli Studi di Urbino Carlo Bo, Via Bramante, 17, 61029 Urbino PU.
| | - Stefania Bianchi Marzoli
- Neuro-Ophthalmology Center, IRCCS Istituto Auxologico Italiano, Scientific Institute Capitanio Hospital, via Mercalli, 28, Milan 20122, Italy.
| | - Paola Ciasca
- Neuro-Ophthalmology Center, IRCCS Istituto Auxologico Italiano, Scientific Institute Capitanio Hospital, via Mercalli, 28, Milan 20122, Italy.
| | - Antonella Carcagni
- Data Methods and Systems Statistical Laboratory, Department of Economics and Management, University of Brescia, Contrada Santa Chiara, 50, Brescia, 25122, Italy.
| | - Maria Grazia Bruzzone
- Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Silvana Franceschetti
- Neurophysiology and Diagnostic Epileptology Unit - Fondazione IRCCS Istituto Neurologico Carlo Besta n, Via Celoria 11, Milan, 20133, Italy.
| | - Matilde Leonardi
- Neurology, Public Health, Disability Unit - Coma Research Centre; Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
| | - Davide Guido
- Neurology, Public Health, Disability Unit - Coma Research Centre; Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, Milan, 20133, Italy.
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Marconi S, Giambra MA, Montanaro A, Mišeikis V, Soresi S, Tirelli S, Galli P, Buchali F, Templ W, Coletti C, Sorianello V, Romagnoli M. Photo thermal effect graphene detector featuring 105 Gbit s -1 NRZ and 120 Gbit s -1 PAM4 direct detection. Nat Commun 2021; 12:806. [PMID: 33547318 PMCID: PMC7864989 DOI: 10.1038/s41467-021-21137-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [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: 05/29/2020] [Accepted: 01/13/2021] [Indexed: 01/30/2023] Open
Abstract
One of the main challenges of next generation optical communication is to increase the available bandwidth while reducing the size, cost and power consumption of photonic integrated circuits. Graphene has been recently proposed to be integrated with silicon photonics to meet these goals because of its high mobility, fast carrier dynamics and ultra-broadband optical properties. We focus on graphene photodetectors for high speed datacom and telecom applications based on the photo-thermo-electric effect, allowing for direct optical power to voltage conversion, zero dark current, and ultra-fast operation. We report on a chemical vapour deposition graphene photodetector based on the photo-thermoelectric effect, integrated on a silicon waveguide, providing frequency response >65 GHz and optimized to be interfaced to a 50 Ω voltage amplifier for direct voltage amplification. We demonstrate a system test leading to direct detection of 105 Gbit s-1 non-return to zero and 120 Gbit s-1 4-level pulse amplitude modulation optical signals.
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Affiliation(s)
- S. Marconi
- grid.263145.70000 0004 1762 600XTecip Institute – Scuola Superiore Sant’Anna, Pisa, Italy
| | - M. A. Giambra
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy
| | - A. Montanaro
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy
| | - V. Mišeikis
- grid.25786.3e0000 0004 1764 2907Center for Nanotechnology Innovation @NEST - Istituto Italiano di Tecnologia, Pisa, Italy ,grid.25786.3e0000 0004 1764 2907Graphene Labs, Istituto Italiano di Tecnologia, Genova, Italy
| | - S. Soresi
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy ,Fondazione INPHOTEC, Pisa, Italy
| | - S. Tirelli
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy ,Fondazione INPHOTEC, Pisa, Italy
| | - P. Galli
- Nokia Solutions and Networks Italia, Vimercate, Italy
| | - F. Buchali
- grid.425792.fNokia Bell Labs, Stuttgart, Germany
| | - W. Templ
- grid.425792.fNokia Bell Labs, Stuttgart, Germany
| | - C. Coletti
- grid.25786.3e0000 0004 1764 2907Center for Nanotechnology Innovation @NEST - Istituto Italiano di Tecnologia, Pisa, Italy ,grid.25786.3e0000 0004 1764 2907Graphene Labs, Istituto Italiano di Tecnologia, Genova, Italy
| | - V. Sorianello
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy
| | - M. Romagnoli
- Photonic Networks and Technologies Lab – CNIT, Pisa, Italy
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Sattin D, Rossi Sebastiano D, D’Incerti L, Guido D, Marotta G, Benti R, Tirelli S, Magnani FG, Bersano A, Duran D, Ferraro S, Minati L, Nigri A, Rosazza C, Bianchi Marzoli S, Leonardi M. Visual behaviors in disorders of consciousness: Disentangling conscious visual processing by a multimodal approach. Eur J Neurosci 2020; 52:4345-4355. [DOI: 10.1111/ejn.14875] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 06/15/2020] [Accepted: 06/16/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Davide Sattin
- Neurology, Public health, Disability Unit / Coma Research Centre Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Davide Rossi Sebastiano
- Neurophysiology and Diagnostic Epileptology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Ludovico D’Incerti
- Neuroradiology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Davide Guido
- Neurology, Public health, Disability Unit / Coma Research Centre Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Giorgio Marotta
- Department of Nuclear Medicine Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico Milan Italy
| | - Riccardo Benti
- Department of Nuclear Medicine Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico Milan Italy
| | - Simone Tirelli
- Neurology, Public health, Disability Unit / Coma Research Centre Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Francesca Giulia Magnani
- Neurology, Public health, Disability Unit / Coma Research Centre Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Anna Bersano
- Neurology Unit UCV Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Dunja Duran
- Neurophysiology and Diagnostic Epileptology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Stefania Ferraro
- Neuroradiology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Ludovico Minati
- Direzione Scientifica Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Anna Nigri
- Neuroradiology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
| | - Cristina Rosazza
- Neuroradiology Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
- Dipartimento di Studi Umanistici (DISTUM) Università degli Studi di Urbino Carlo Bo Urbino PU Italy
| | - Stefania Bianchi Marzoli
- Neuro‐Ophthalmology Center IRCCS Istituto Auxologico Italiano, Scientific Institute Capitanio Hospital Milan Italy
| | - Matilde Leonardi
- Neurology, Public health, Disability Unit / Coma Research Centre Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
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Iannello P, Mottini A, Tirelli S, Riva S, Antonietti A. Ambiguity and uncertainty tolerance, need for cognition, and their association with stress. A study among Italian practicing physicians. Med Educ Online 2017; 22:1270009. [PMID: 28178917 PMCID: PMC5328324 DOI: 10.1080/10872981.2016.1270009] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
UNLABELLED Medical practice is inherently ambiguous and uncertain. The physicians' ability to tolerate ambiguity and uncertainty has been proved to have a great impact on clinical practice. The primary aim of the present study was to test the hypothesis that higher degree of physicians' ambiguity and uncertainty intolerance and higher need for cognitive closure will predict higher work stress. Two hundred and twelve physicians (mean age = 42.94 years; SD = 10.72) from different medical specialties with different levels of expertise were administered a set of questionnaires measuring perceived levels of work-related stress, individual ability to tolerate ambiguity, stress deriving from uncertainty, and personal need for cognitive closure. A linear regression analysis was performed to examine which variables predict the perceived level of stress. The regression model was statistically significant [R2 = .32; F(10,206) = 8.78, p ≤ .001], thus showing that, after controlling for gender and medical specialty, ambiguity and uncertainty tolerance, decisiveness (a dimension included in need for closure), and the years of practice were significant predictors of perceived work-related stress. Findings from the present study have some implications for medical education. Given the great impact that the individual ability to tolerate ambiguity and uncertainty has on the physicians' level of perceived work-related stress, it would be worth paying particular attention to such a skill in medical education settings. It would be crucial to introduce or to empower educational tools and strategies that could increase medical students' ability to tolerate ambiguity and uncertainty. ABBREVIATIONS JSQ: Job stress questionnaire; NFCS: Need for cognitive closure scale; PRU: Physicians' reactions to uncertainty; TFA: Tolerance for ambiguity.
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Affiliation(s)
- Paola Iannello
- Department of Psychology – Research Unit on Decision-making Processes in Emergency Medicine, Catholic University of the Sacred Heart, Milan, Italy
- CONTACT Paola Iannello Department of Psychology, Catholic University of the Sacred Heart, Largo Gemelli, 1, Milan20123, Italy
| | - Anna Mottini
- Department of Psychology – Research Unit on Decision-making Processes in Emergency Medicine, Catholic University of the Sacred Heart, Milan, Italy
| | - Simone Tirelli
- Department of Psychology – Research Unit on Decision-making Processes in Emergency Medicine, Catholic University of the Sacred Heart, Milan, Italy
| | - Silvia Riva
- University of Milan, Department of Health Sciences, Milan, Italy
| | - Alessandro Antonietti
- Department of Psychology – Research Unit on Decision-making Processes in Emergency Medicine, Catholic University of the Sacred Heart, Milan, Italy
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Balconi M, Tirelli S, Frezza A. Event-related potentials (ERPs) and hemodynamic (functional near-infrared spectroscopy, fNIRS) as measures of schizophrenia deficits in emotional behavior. Front Psychol 2015; 6:1686. [PMID: 26579058 PMCID: PMC4630975 DOI: 10.3389/fpsyg.2015.01686] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 10/19/2015] [Indexed: 11/13/2022] Open
Abstract
Recent research evidences supported the significant role of multimethodological neuroscientific approach for the diagnosis and the rehabilitative intervention in schizophrenia. Indeed both electrophysiological and neuroimaging measures in integration each other appear able to furnish a deep overview of the cognitive and affective behavior in schizophrenia patients (SPs). The aim of the present review is focused on the emotional dysfunctional response taking into account the multimeasures for emotional behavior, i.e., the event-related potentials (ERPs) and the hemodynamic profile functional near-infrared spectroscopy (fNIRS). These measures may be considered as predictive measures of the SPs' deficits in emotional behavior. The integration between ERP and fNIRS may support both the prefrontal cortical localization anomaly and the attentional bias toward some specific emotional conditions (mainly negative).
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Affiliation(s)
- Michela Balconi
- Research Unit in Affective and Social Neuroscience, Catholic University of the Sacred Heart Milan, Italy ; Department of Psychology, Catholic University of the Sacred Heart Milan, Italy
| | - Simone Tirelli
- Department of Psychology, Catholic University of the Sacred Heart Milan, Italy
| | - Alessandra Frezza
- Department of Psychology, Catholic University of the Sacred Heart Milan, Italy ; Sapienza University of Rome Rome, Italy
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Vérier-Mine O, Tirelli S, Delemotte A, Charlet J, Zamboni J, Escouflaire N. P12 Dépistage de la rétinopathie diabétique en collaboration avec les pharmaciens d’officine du Hainaut. Expérience du réseau Ville-Hôpital Diabhainaut. Diabetes & Metabolism 2009. [DOI: 10.1016/s1262-3636(09)71810-5] [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] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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7
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Tirelli S, Savin AM, Garcia CP, Pekola JP, Beltram F, Giazotto F. Manipulation and generation of supercurrent in out-of-equilibrium Josephson tunnel nanojunctions. Phys Rev Lett 2008; 101:077004. [PMID: 18764569 DOI: 10.1103/physrevlett.101.077004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2008] [Indexed: 05/26/2023]
Abstract
We demonstrate experimentally the manipulation of supercurrent in Al-AlOx-Ti Josephson tunnel junctions by injecting quasiparticles in a Ti island from two additional tunnel-coupled Al superconducting reservoirs. Both supercurrent enhancement and quenching with respect to equilibrium are achieved. We demonstrate cooling of the Ti line by quasiparticle injection from the normal state deep into the superconducting phase. A model based on heat transport and the nonmonotonic current-voltage characteristic of a Josephson junction satisfactorily accounts for our findings.
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Affiliation(s)
- S Tirelli
- NEST CNR-INFM and Scuola Normale Superiore, I-56126 Pisa, Italy
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8
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Ghio L, Ferraresso M, Viganò SM, Ginevri F, Perfumo F, Gianoglio B, Murer L, Zacchello G, Dello Strologo L, Cardillo M, Tirelli S, Valente U, Edefonti A. Mycophenolate Mofetil Pharmacokinetic Monitoring in Pediatric Kidney Transplant Recipients. Transplant Proc 2005; 37:856-8. [PMID: 15848555 DOI: 10.1016/j.transproceed.2004.12.282] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
This open-label, longitudinal, long-term study of de novo pediatric renal transplant recipients was designed to investigate the pharmacokinetics (PK) of mycophenolic acid (MPA) and its possible interaction with cyclosporine (CsA). Thirty-four children on an immunosuppressive regimen of CsA, prednisone, and mycophenolate mofetil (MMF, 300-400 mg/m2 twice daily) were investigated at 6, 30, 180, and 360 days after transplantation. Considerable interindividual variability in the areas under the concentration curve (AUC(0-12)) of MPA was observed during the follow-up, although the dose of MMF remained the same over the same time. Predose levels (C0) increased significantly during the first 6 months after transplantation: C0 at 6 and 180 days after transplantation was 0.8 +/- 0.6 and 1.9 +/- 1.1 microg/mL (P < .0001). A significant time-dependent increase in the AUC of MPA was also observed during the first 6 posttransplant months: AUC(0-12) at 6 and 180 days after transplantation was 23.3 +/- 10.8 and 40 +/- 11.6 mg*h/L (P = .003). MPA concentrations 3 and 4 hours after MMF intake were the individual time points that best correlated with the full MPA AUC (r = 0.8 and 0.79; P < .001). The abbreviated MPA AUC (0-4 hours) correlated reasonably with the full AUC (r = 0.87; P < .001). Finally, a significant reduction in CsA dose during the first 6 posttransplant months (P < .001) matched the significant increases in both MPA C0 and full MPA AUC, thus demonstrating the interaction of the 2 immunosuppressive drugs. These observations suggest the need for therapeutic drug monitoring when adjusting the dose of MMF in children.
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Affiliation(s)
- L Ghio
- Pediatric Nephrology Unit, Pediatric Department, Ospedale Maggiore-Policlinico, IRCCS, Milan, Italy.
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Ferraresso M, Ghio L, Tirelli S, Pedotti P, Taioli E, Edefonti A, Berardinelli L. Cyclosporine monitoring in stable, long-term, pediatric kidney transplant recipients: the value of C2 determination. Transplant Proc 2004; 36:685-6. [PMID: 15110630 DOI: 10.1016/j.transproceed.2004.03.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Although a generalized consensus has been reached for therapeutic drug monitoring of cyclosporine microemulsion in adult transplant patients, clear guidelines are recently not available for the pediatric population. In this retrospective analysis of pharmacokinetic data obtained from stable, long-term, pediatric kidney transplant recipients, we sought to define a possible approach to manage cyclosporine therapy in a pediatric setting. The 2-hour postdose cyclosporine blood concentration, C(2), rather than trough levels, was the best single time point predictor of the area under the concentration curve. We concluded that therapeutic drug monitoring of cyclosporine-based immunosuppressive regimens should be tailored based on C(2) determinations for pediatric kidney transplant recipients.
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Affiliation(s)
- M Ferraresso
- Division of Vascular Surgery and Kidney Transplant, Ospedale Maggiore--Policlinico, IRCCS, Milan, Italy.
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Fossali E, Intermite R, Minoja M, Tirelli S, Sereni F. The captopril test in children with renovascular and renal hypertension. Acta Paediatr 1996; 85:1129-31. [PMID: 8888932 DOI: 10.1111/j.1651-2227.1996.tb14232.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
We used the captopril test (CT) in 32 children, 8 with renovascular hypertension (RVH), 17 with renal hypertension (RH) and 7 with normal blood pressure, in order to study the renin-angiotensin system activation (RASA). All children affected by RVH presented a positive CT: a post-captopril plasma renin activity (PRA) of 12 ng ml-1 h-1 or more, an absolute PRA increase of 10 ng ml-1 h-1 or more and a 150% increase or more, or 400% or more if the baseline PRA was less than 3 ng ml-1 h-1. The CT may be useful for demonstrating the RASA in RVH.
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Affiliation(s)
- E Fossali
- Clinica pediatrica II, Università di Milano, Italy
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11
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Salvadori S, Gansbacher B, Wernick I, Tirelli S, Zier K. B7-1 amplifies the response to interleukin-2-secreting tumor vaccines in vivo, but fails to induce a response by naive cells in vitro. Hum Gene Ther 1995; 6:1299-306. [PMID: 8590734 DOI: 10.1089/hum.1995.6.10-1299] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Parental and interleukin-2 (IL-2)-secreting CMS5 tumor cells were transfected with the B7-1 costimulatory molecule to amplify anti-tumor responses. CMS5 cells transfected with B7-1 grew more slowly in vivo than did parental CMS5 cells. Moreover, tumor cells secreting levels of IL-2 too low to cause rejection alone were rejected following transfection with B7-1. To determine whether the expression of B7-1 enabled the tumor cells to activate T cells directly, their ability to stimulate in vitro functional responses by T cells was examined. We found that neither B7-1+ nor IL-2-secreting, B7-1+ CMS5 cells stimulated naive spleen cells to proliferate or to become cytotoxic. In contrast, restimulation of primed T cells by B7-1+ CMS5 cells resulted in stronger cytotoxicity responses than seen following restimulation by parental CMS5 cells. Lysis was even higher if the B7-1+ tumor cells also secreted IL-2. Our results suggest that the expression of costimulatory molecules can augment responses generated by vaccinating with IL-2-secreting tumor cells. Furthermore, they are consistent with the hypothesis that the initiation of an anti-tumor response by naive T cells may depend upon initial antigen presentation by another unidentified cell and that the major action of IL-2-secreting and/or B7-1+ tumor cell vaccines might be to potentiate the response of already primed cells.
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Affiliation(s)
- S Salvadori
- Division of Clinical Immunology, Mount Sinai School of Medicine, New York, NY 10029, USA
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12
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Seracchioli R, Bafaro G, Bianchi L, Borini A, Cattoli M, Maccolini A, Violini F, Tirelli S, Flamigni C. Influence of spermatozoa characteristics on gamete intra-fallopian transfer procedures: analysis of results obtained utilizing normozoospermic, oligoasthenozoospermic and donor spermatozoa. Hum Reprod 1993; 8:2098-101. [PMID: 8150910 DOI: 10.1093/oxfordjournals.humrep.a137989] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
The objective of this study was to analyze the efficacy of the gamete intra-Fallopian transfer (GIFT) procedure in relation to spermatozoa characteristics. A total of 268 infertile couples enlisted for GIFT were categorized into three groups on the basis of semen characteristics in the husband. These included oligoasthenozoospermic men in 88 retrieval cycles (group 1), normozoospermic men in 116 cycles (group 2) and azoospermic partners who needed donor semen in 86 cycles (group 3). All female patients had ovarian stimulation and laparoscopic GIFT. Pregnancy rates were significantly higher with donor spermatozoa than with oligoasthenozoospermic or normozoospermic spermatozoa, i.e. 51.1% versus 15.9% (P < 0.001), and 32.7% (P < 0.005). Implantation rates were significantly higher with donor spermatozoa than with normo- or oligoasthenozoospermic spermatozoa (P < 0.01). These data suggest that GIFT does not give good results with male factor infertility. Donor cryopreserved semen gives higher pregnancy and implantation rates than normozoospermic semen, and GIFT with donor spermatozoa gives a good chance of pregnancy to couples previously treated with artificial insemination using donor semen.
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Affiliation(s)
- R Seracchioli
- Department of Obstetrics and Gynaecology, University of Bologna, Italy
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13
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Grisler R, Tirelli S, Botta A, Forestieri L, Meroni MG, Todaro C, Randolino L. [Frequency of microalbuminuria in an adult population]. Quad Sclavo Diagn 1987; 23:146-52. [PMID: 3451291] [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: 01/05/2023]
Abstract
Urinary samples overnight collected from the thousand normotensive adults with normal urinalysis and normal serum levels of creatinine, urea and glucose were tested for the presence of microalbuminuria by latex test Sclavo. Fourty-five cases were positive: the values of microalbuminuria in 21 of these cases tested with RIA method exceeded 26 mg/l; one hundred twenty-six latex-negative cases evidenced lower RIA values. The high sensitivity of the test and its clinical significance suggest the need of an automatic procedure for detecting microalbuminuria in Albustix-negative urine samples.
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Affiliation(s)
- R Grisler
- Laboratorio di ricerche cliniche, Istituti Clinici di Perfezionamento, Milano
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Melega C, Biscontin S, Canedi L, Marchesini FP, Tirelli S, Bartolotti T, Flamigni C. A comparison of the delta copper T and the copper T 200 in Bologna, Italy. Acta Eur Fertil 1986; 17:39-41. [PMID: 3727892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
An analysis is presented of a comparative study of the Delta T and Copper T 200 IUDs. A total of 195 postabortion insertions was performed between March 1981 and August 1982. All insertions were performed with an inserter. Primary bleeding/pain complaints after insertion were largely related to intermenstrual problems, with spotting the most frequently reported. Nine women had their devices removed for PID. One pregnancy occurred at ten months in the Delta T group. Both groups had one expulsion/displacement. Eight devices in each group were removed for bleeding/pain. Two women in the TCu group had their devices removed for personal reasons. The 6-months continuation rates for the two groups were 85.5 for the Delta T group and 82.2 for the TCu group. The 6-months follow-up rate for the Delta T group was 39.4 and 38.8 for the TCu group.
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15
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Garattini S, Forloni GL, Tirelli S, Ladinsky H, Consolo S. Neurochemical effects of minaprine, a novel psychotropic drug, on the central cholinergic system of the rat. Psychopharmacology (Berl) 1984; 82:210-4. [PMID: 6425901 DOI: 10.1007/bf00427775] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Minaprine, a novel psychotropic drug with antidepressant, anticataleptic and antiaggressive properties, produced an increase in rat brain regional acetylcholine content at a subconvulsant dose of 30 mg/kg IP. The greatest increase (60%) was produced in the striatum, whereas an increase of about 35% was obtained in the hippocampus and the rest of the cortex. A small but significant increase of 14% was also found in the midbrain-hindbrain region. Minaprine decreased choline content only in the striatum. No tolerance to acute challenge was observed after 10-day chronic treatment. In vitro, the drug had no effect on striatal choline acetyltransferase activity up to a concentration of 160 microM and only weakly displaced (3H) dexetimide from its specific muscarinic receptor binding sites in striatum (IC50, 2 X 10(-4) M). After in vivo administration the drug did not affect sodium-dependent high affinity choline uptake by a hippocampal homogenate. On the other hand, the drug inhibited both striatal and hippocampal acetylcholinesterase activity at high (40-160 microM) concentrations in vitro. In vivo the drug produced a brief (5 min), small (18%) decrease in the enzymic activity which corresponded in time to the peak drug level attained in the brain, but was not concomitant with a change in striatal acetylcholine content. By contrast, the increase in striatal acetylcholine appeared after 30 min when there was no longer inhibition of acetylcholinesterase activity and when the level of minaprine in brain was reduced by 78%. Blockade of dopamine receptors by pimozide pretreatment partially prevented the increase in striatal acetylcholine produced by minaprine, whereas interference with cholinergic or serontonergic neurotransmission was without effect.(ABSTRACT TRUNCATED AT 250 WORDS)
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