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Khan DZ, Tariq K, Lee KS, Dyson EW, Russo V, Watkins LD, Russo A. Patient-specific automated cerebrospinal fluid pressure control to augment spinal wound closure: a case series using the LiquoGuard®. Br J Neurosurg 2024:1-9. [PMID: 38174716 PMCID: PMC11013023 DOI: 10.1080/02688697.2023.2290101] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 11/26/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVE Spinal cerebrospinal fluid (CSF) leaks are common, and their management is heterogeneous. For high-flow leaks, numerous studies advocate for primary dural repair and CSF diversion. The LiquoGuard7® allows automated and precise pressure and volume control, and calculation of patient-specific CSF production rate (prCSF), which is hypothesized to be increased in the context of durotomies and CSF leaks. METHODS This single-centre illustrative case series included patients undergoing complex spinal surgery where: 1) a high flow intra-operative and/or post-operative CSF leak was expected and 2) lumbar CSF drainage was performed using a LiquoGuard7®. CSF diversion was tailored to prCSF for each patient, combined with layered spinal wound closure. RESULTS Three patients were included, with a variety of pathologies: T7/T8 disc prolapse, T8-T9 meningioma, and T4-T5 metastatic spinal cord compression. The first two patients underwent CSF diversion to prevent post-op CSF leak, whilst the third required this in response to post-op CSF leak. CSF hyperproduction was evident in all cases (mean >/=140ml/hr). With patient-specific CSF diversion regimes, no cases required further intervention for CSF fistulae repair (including for pleural CSF effusion), wound breakdown or infection. CONCLUSIONS Patient-specific cerebrospinal fluid drainage may be a useful tool in the management of high-flow intra-operative and post-operative CSF leaks during complex spinal surgery. These systems may reduce post-operative CSF leakage from the wound or into adjacent body cavities. Further larger studies are needed to evaluate the comparative benefits and cost-effectiveness of this approach.
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Affiliation(s)
- Danyal Z. Khan
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK
| | - Kanza Tariq
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
- Department of Brain Repair & Rehabilitation, UCL Queen Square Institute of Neurology, London, UK
| | - Keng Siang Lee
- Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK
| | - Edward W Dyson
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
- Department of Brain Repair & Rehabilitation, UCL Queen Square Institute of Neurology, London, UK
| | - Vittorio Russo
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
| | - Laurence D Watkins
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
- Department of Brain Repair & Rehabilitation, UCL Queen Square Institute of Neurology, London, UK
| | - Antonino Russo
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK
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Franceschi P, Balducci A, Nardi E, Niro F, Attinà D, Russo V, Donti A, Angeli E, Gargiulo GD, Lovato L. Predictive value of Cardiac Magnetic Resonance: new and old parameters in the natural history of repaired Tetralogy of Fallot. BMC Cardiovasc Disord 2024; 24:15. [PMID: 38172687 PMCID: PMC10765701 DOI: 10.1186/s12872-023-03671-4] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 12/13/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Patients with repaired Tetralogy of Fallot (rTOF) often develop pulmonary regurgitation (PR) and right ventricle (RV) dysfunction, experiencing increased mortality and morbidity rates in adulthood. Pulmonary valve replacement (PVR) timing to address PR is controversial. Cardiac Magnetic Resonance (CMR) is the gold standard for morpho-functional evaluation of complex cardiopathies. This study aims to identify CMR parameters predictive of adverse outcomes to help defining the best therapeutic management of rTOF patients. METHODS 130 rTOF patients who underwent CMR (2006-2019) were enrolled in this retrospective single-center study. CMR, clinical, ECG and exercise data were analyzed. Univariate and multivariate analyses identified clinical and CMR parameters predictive of adverse outcomes both individually (e.g., death, arrhythmias, heart failure (HF), pharmacological therapy, QRS ≥ 160ms) and as composite outcome. RESULTS Univariate analysis confirmed RV volumes and RV ejection fraction corrected for PR as adverse outcome predictors and identified interesting correlations: pulmonary artery bifurcation geometry and abnormal interventricular septum (IVS) motion with arrhythmias (p < .001; p = .037), HF (p = .049; p = .005), composite outcome (p = .039; p = .009); right atrium (RA) dimensions with the composite outcome and the outcomes individually (p < .001). The best predictive models by multivariate analysis included sex (male), RV and RA dilation for QRS ≥ 160ms, time form repair to CMR, age at TOF repair and IVS fibrosis for pharmacological therapy. CONCLUSIONS Besides RV volumes, new adverse prognostic factors could guide rTOF therapeutic management: pulmonary arteries morphology, abnormal IVS motion, RV dysfunction, RA dilation. Perspective multicentric evaluation is needed to specify their effective role.
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Affiliation(s)
- Paola Franceschi
- Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy.
| | - A Balducci
- Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio-Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - E Nardi
- Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
- Department of Surgical and Medical Sciences, University of Bologna, Bologna, Italy
| | - F Niro
- Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - D Attinà
- Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - V Russo
- Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - A Donti
- Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio-Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - E Angeli
- Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio-Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
| | - G D Gargiulo
- Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio-Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
- Department of Surgical and Medical Sciences, University of Bologna, Bologna, Italy
| | - L Lovato
- Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via G. Massarenti, 9, Bologna, 40138, Italy
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Russo V, Wang CC, Unverdorben M, Yamashita T, Pecen L, Borrow A, Chen C, Kirchhof P, De Caterina R. Two-year effectiveness and safety outcomes in 27,333 edoxaban-treated patients with and without a history of major bleeding from the Global ETNA-AF programme. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Atrial fibrillation patients with a history of major bleeding (MB) are at high risk of future bleeding events; this history was an exclusion criterion in pivotal phase 3 trials of anticoagulation for stroke prevention. Real-world edoxaban effectiveness and safety in patients with a history of MB were analysed from the global ETNA programme.
Purpose
To compare edoxaban effectiveness and safety in AF patients with or without an MB history.
Methods
The Global ETNA-AF programme (EU: NCT02944019, Japan: UMIN000017011, South Korea/Taiwan: NCT02951039) integrates data from multiple prospective, observational, noninterventional regional studies of AF patients treated with edoxaban for stroke prevention. This snapshot analysis summarises global baseline characteristics and 2-year annualised rates of all-cause death, cardiovascular death, stroke (haemorrhagic, ischaemic, any), and bleeding (including MB, major gastrointestinal bleeding [MGIB], intracranial haemorrhage [ICH], clinically relevant nonmajor bleeding, and any bleeding) in patients with or without MB history.
Results
Data from 27,333 patients (479 with MB history and 26,854 without) from Europe, Japan, South Korea, and Taiwan were analysed. Patients with MB history were significantly older (P<0.0001) and more likely to be ≥75 years of age (P=0.0003), to be male (P=0.024), and to have a lower body weight and creatinine clearance (P<0.0001 for both) (Table). Globally, antiplatelet use was significantly higher in patients with MB history compared with patients without (P=0.005). Patients with MB history were more likely to have previously diagnosed heart failure (HF, P=0.001) and to receive 30 mg vs 60 mg edoxaban at baseline (P<0.0001). Hazard ratios for effectiveness and safety outcomes are shown in the Figure. Patients with MB history had significantly higher annualised rates of all-cause death (5.7% vs 3.1%; P<0.0001), ischaemic stroke (1.8% vs 0.7%; P=0.002), and any stroke (3.1% vs 0.9%; P<0.0001) than patients without MB history. Patients with MB history also had significantly higher annualised rates of MB (3.6% vs 1.0%; P<0.0001), MGIB (1.5% vs 0.5%; P=0.001), ICH (1.5% vs 0.3%; P<0.0001), fatal bleeding (0.9% vs 0.2%; P<0.0001), and fatal ICH (0.5% vs 0.1%; P=0.0002). Among patients with MB history, the annualised rate of ICH did not differ between patients with ICH history (1.42%/yr) vs without (1.65%/yr); whereas the annualised rate of MGIB was significantly higher in patients with MGIB history vs without (4.14%/yr vs 1.08%/yr; P=0.0337).
Conclusions
Patients with AF receiving edoxaban and who have a history of MB are more likely elderly, male, and have comorbidities, including HF. These patients are also more susceptible to any adverse cardiovascular event. ICH event rates were not higher in patients with prior ICH than those with non-ICH major bleedings, whereas history of MGIB was associated with a high risk of MGIB recurrence.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Daiichi Sankyo
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Affiliation(s)
- V Russo
- University of Campania Luigi Vanvitell , Naples , Italy
| | - C C Wang
- Linkou Chang Gung Memorial Hospital and Chang Gung University , Taoyuan , Taiwan
| | - M Unverdorben
- Daiichi Sankyo, Inc., Basking Ridge , NJ , United States of America
| | | | - L Pecen
- Institute of Computer Science ASCR , Prague , Czechia
| | - A Borrow
- Daiichi Sankyo, Inc., Basking Ridge , NJ , United States of America
| | - C Chen
- Daiichi Sankyo, Inc., Basking Ridge , NJ , United States of America
| | - P Kirchhof
- Institute of Cardiovascular Sciences, University of Birmingham , Birmingham , United Kingdom
| | - R De Caterina
- University of Pisa and Pisa University Hospital , Pisa , Italy
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Marabotti P, Tommasini M, Castiglioni C, Serafini P, Peggiani S, Tortora M, Rossi B, Li Bassi A, Russo V, Casari CS. Electron-phonon coupling and vibrational properties of size-selected linear carbon chains by resonance Raman scattering. Nat Commun 2022; 13:5052. [PMID: 36030293 PMCID: PMC9420137 DOI: 10.1038/s41467-022-32801-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/16/2022] [Indexed: 11/09/2022] Open
Abstract
UV resonance Raman spectroscopy of size-selected linear sp-carbon chains unveils vibrational overtones and combinations up to the fifth order. Thanks to the tunability of the synchrotron source, we excited each H-terminated polyyne (HCnH with n = 8,10,12) to the maxima of its vibronic absorption spectrum allowing us to precisely determine the electronic and vibrational structure of the ground and excited states for the main observed vibrational mode. Selected transitions are shown to enhance specific overtone orders in the Raman spectrum in a specific way that can be explained by a simple analytical model based on Albrecht's theory of resonance Raman scattering. The determined Huang-Rhys factors indicate a strong and size-dependent electron-phonon coupling increasing with the sp-carbon chain length.
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Affiliation(s)
- P Marabotti
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy
| | - M Tommasini
- Department of Chemistry, Materials and Chem. Eng. 'G. Natta', Politecnico di Milano Piazza Leonardo da Vinci 32, I-20133, Milano, Italy
| | - C Castiglioni
- Department of Chemistry, Materials and Chem. Eng. 'G. Natta', Politecnico di Milano Piazza Leonardo da Vinci 32, I-20133, Milano, Italy
| | - P Serafini
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy
| | - S Peggiani
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy
| | - M Tortora
- Elettra Sincrotrone Trieste, S.S. 114 km 163.5, Basovizza, 34149, Trieste, Italy
| | - B Rossi
- Elettra Sincrotrone Trieste, S.S. 114 km 163.5, Basovizza, 34149, Trieste, Italy
| | - A Li Bassi
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy
| | - V Russo
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy
| | - C S Casari
- Micro and Nanostructured Materials Laboratory-NanoLab, Department of Energy, Politecnico di Milano via Ponzio 34/3, I-20133, Milano, Italy.
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Bilucaglia M, Laureanti R, Circi R, Zito M, Bellati M, Fici A, Rivetti F, Mainardi LT, Russo V. Spectral differences in resting-state EEG associated to individual Emotional Styles. Annu Int Conf IEEE Eng Med Biol Soc 2022; 2022:4052-4055. [PMID: 36086662 DOI: 10.1109/embc48229.2022.9871191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The ability to manage the emotions has been associated to the Emotional Styles (ES), a set of coherent ways to deal with life's experiences. Recently, the Emotional Style Questionnaire (ESQ) has been proposed as a self-report mea-sure to assess the individual ES. The present study investigates the spectral differences in the resting-state EEG due to the individual ES, in order to support the psychometric reliability of the ESQ with associated neurophysiological measurements. In the alpha and beta band, Social Intuition showed significant and large (d > 0.8) effect sizes on the parietal and parieto-occipital regions, as well as a significant and large effect size in the gamma band on the pre-frontal region. In the beta band, Attention showed a significant and large effect size on the parieto-occipital region.
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Baig Mirza A, Bartram J, Sinha S, Gebreyohanes A, Boardman T, Vastani A, Dyson E, Lavrador JP, Russo V, Choi D, Vasan AK, Grahovac G. Surgical management and outcomes in spinal intradural arachnoid cysts: the experience from two tertiary neurosurgical centres. Acta Neurochir (Wien) 2022; 164:1217-1228. [PMID: 34705099 DOI: 10.1007/s00701-021-05027-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Accepted: 10/09/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE Evaluation of the presentation and outcomes of different surgical treatment approaches for spinal intradural arachnoid cysts (SIAC). METHODS Cases were identified from electronic records of two major neurosurgical centres in London over the last 10 years (October 2009-October 2019) that have been surgically treated in both institutions. Clinical findings, surgical technique, and recurrence by procedure were statistically analysed. Statistical analysis was performed with STATA 13.1 Software. RESULTS A total of 42 patients with SIAC were identified for this study with a mean age at the time of surgery of 53.6 years and a male:female ratio of 8:13. There were 31 patients with primary SIACs and 11 with secondary SIACs. The most common presenting symptom was paraesthesia (n = 27). The most common location of the cyst was in the thoracic region (n = 33). Syrinx was present in 26.2% of SIACs (n = 11). Resection was associated with significantly better postoperative pain compared to other surgical techniques (p = 0.01), significantly poorer postoperative urinary function (p = 0.029), and lower rates of sensory recovery in patients who presented preoperatively with sensory deficit (p = 0.041). No significant difference was seen in symptomatic outcomes between patients with primary and secondary SIACs. CONCLUSION Resection and drainage are both effective methods of managing SIACs. In this observational study, resection was associated with significantly reduced pain postoperatively when compared with drainage, however also with significantly less improvement in postoperative urinary function. Therefore, resection should be the gold standard management option for SIACs, with drainage as an option where resection is unsafe, and drainage should also be considered in patients presenting with urinary dysfunction.
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Bedford E, Russo V, Dickman C, Li B, Jezierski A, Kim D, Jang J, Yin Y, Harrington D, Sharma R, De la Vega L, Willerth S, Salmeron L, Morgan J, Kieffer T, Beyer S, Mohamed T, Witek R, Getsios S, Wadsworth S. Tissue Engineering, Embryonic, Organ and Other Tissue Specific Stem Cells: PARTNERING TO ADVANCE THE DEVELOPMENT OF TISSUE THERAPEUTICS WITH MICROFLUIDIC 3D BIOPRINTING. Cytotherapy 2022. [DOI: 10.1016/s1465-3249(22)00412-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Bilucaglia M, Laureanti R, Zito M, Circi R, Fici A, Russo V, Mainardi LT. It's a Question of Methods: Computational Factors Influencing the Frontal Asymmetry in Measuring the Emotional Valence. Annu Int Conf IEEE Eng Med Biol Soc 2021; 2021:575-578. [PMID: 34891359 DOI: 10.1109/embc46164.2021.9630625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The prefrontal asymmetry (FA) in the alpha band is a well-known physiological correlate of the emotional valence. Several methods for assessing the FA have been proposed in literature, but no studies have compared their effectiveness in a comprehensive way. In this study we first investigated whether the association between FA and valence depends on the computational methods and then, we identified the best one, namely the one giving the highest correlation with the self-reports. The investigated factors were the presence of a normalization factor, the computation in time or frequency domain and the cluster of electrodes used. All the analyses were implemented on the validated DEAP dataset. We found that the number and position of the electrodes do not influence the FA, in contrast with both the power computation method and the normalization. By using a spectrogram-based approach and by adding a normalization factor, a correlation of 0.36 between the FA and the self-reported valence was obtained.
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9
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Laureanti R, Bilucaglia M, Zito M, Circi R, Fici A, Rivetti F, Valesi R, Wahl S, Mainardi LT, Russo V. Yellow (Lens) Better: Bioelectrical and Biometrical Measures to Assess Arousing and Focusing Effects. Annu Int Conf IEEE Eng Med Biol Soc 2021; 2021:6163-6166. [PMID: 34892523 DOI: 10.1109/embc46164.2021.9630201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Colours can induce several psychological effects, conditioning perceptions, cognitive/emotional states and human performances. In this exploratory study we investigated the effect of a yellow light exposure, obtained filtering the ambient light with coloured glasses, on the human's psychological functioning. In particular we wanted to assess if people are more able to focus when exposed to a yellow light. We recorded EEG, SC, HR and gaze-related data from 16 subjects (50% split in experimental and control group) during the execution of a reactivity test (the Hazard Perception Test, HPT). Compared with the control group, the experimental group showed increases in concentration, focus, visual attention and arousal, as measured by increases of first fixation duration and Beta over-Alpha ratio (BAR) as well as by decreases of distraction, workload, and number of gaze revisits.
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Carbone A, Santelli F, Bottino R, Attena E, Mazzone C, Parisi V, D'Andrea A, Golino P, Nigro G, Russo V. Prevalence and clinical predictors of inappropriate direct oral anticoagulant dosage in octagenarians with atrial fibrillation. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Aims
Older age was associated to inappropriate dose prescription of direct oral anticoagulants. The aim of our study was to describe the prevalence and the clinical predictors of inappropriate DOACs dosage among octogenarians in real-world setting.
Methods and results
Data for this study were sourced from the multicenter prospectively maintained Atrial Fibrillation (AF) Research Database (NCT03760874). AF patients aged ≥ 80 who received DOACs treatment 253 patients were selected. Participants were categorized as appropriate dosage, overdosage, or underdosage. Underdosage and overdosage were respectively defined as administration of a lower or higher DOAC dose than recommended in the EHRA consensus. A total of 178 patients (71%) received appropriate DOACs dose and 75 patients (29%) inappropriate DOACs dose; among them 19 patients (25.6%) were overdosed and 56 (74.4%) were underdosed. Subgroup analysis demonstrated that underdosage was independently associated with male gender [OR=3,15 (95% IC 1.45–6.83); p<0,01], coronary artery disease [OR= 3,6 (95% IC 1.41–9.1); p<0,01] and body mass index [OR=1,27 (1.14–1.41); p<0,01]. Overdosage was independently associated with diabetes mellitus [OR= 18 (3.36–96); p<0,01]. There wasn't significant difference in thromboembolic, major bleeding events and mortality among different subgroups. Underdosage group showed a significatively lower survival compared with appropriate dose group (p<0,001).
Conclusion
In our analysis, nearly one-third of octogenarians with AF received an inappropriate dose of DOAC. Several clinical factors increased the risk of DOACs' overdosage (diabetes mellitus type II) or underdosage (male gender, coronary artery disease and higher body mass index). Octogenarians with inappropriate DOACs underdosage resulted in less survival.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Carbone
- university of Campania Luigi Vanvitelli, Naples, Italy
| | - F Santelli
- Federico II University of Naples, Naples, Italy
| | - R Bottino
- university of Campania Luigi Vanvitelli, Naples, Italy
| | - E Attena
- AO dei Colli-Monaldi Hospital, Naples, Italy
| | - C Mazzone
- Cardiovascular Center, Trieste, Italy
| | - V Parisi
- Federico II University of Naples, Naples, Italy
| | - A D'Andrea
- Hospital Umberto I, Nocera Inferiore, Italy
| | - P Golino
- university of Campania Luigi Vanvitelli, Naples, Italy
| | - G Nigro
- university of Campania Luigi Vanvitelli, Naples, Italy
| | - V Russo
- university of Campania Luigi Vanvitelli, Naples, Italy
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Teresi L, Rossi A, Giannoni A, Nesti M, Castiglione V, Solarino G, Mirizzi G, Russo V, Panchetti L, Startari U, Ripoli A, Santoro A, Casolo G, Emdin M, Piacenti M. Heterogeneity of right ventricular refractory period: a novel prognostic predictor in type-1 Brugada. Europace 2021. [DOI: 10.1093/europace/euab116.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Risk stratification in Brugada syndrome (BrS) is needed especially for the choice of an Implantable Cardiac Defibrillator (ICD). To date the predictive value of either clinical or conventional electrophysiological indexes in type 1 electrocardiographic pattern BrS is rather low.
We aimed to evaluate the eventual prognostic significance of refractoriness heterogeneity of right ventricular outflow tract, an emergent relevant pathophysiological substrate, at electrophysiological study (EPS) in patients with BrS.
From 5 centers 348 patients were retrospectively selected (age 44 ± 15 years, males 68%). Eighty-five (24%) patients had an ICD. EPS was proposed in patients with spontaneous type-1 ECG pattern regardless of symptoms, or in patients with drug-induced type-1 ECG pattern with symptoms (n = 174). The difference in the refractory period between the right ventricular outflow tract and the apex (ΔRPRVOT-apex) at EPS was evaluated as a prognostic factor. The optimal ΔRPRVOT-apex cutpoint for prognosis prediction was calculated through a P-spline hazard ratio analysis. Thus, ΔRPRVOT-apex was compared through different statistical analyses to other other clinical or conventional electrophysiological prognostic indexes previosly described in literature.
During a 36-month median follow-up (range 6-228) 3 SCD and 10 appropriate ICD shocks (aborted SCD, aSCD) occurred. Fifty patients (29%) had a positive EPS (induction of sustained ventricular tachycardia, VT, or ventricular fibrillation, VF, during the procedure). At multivariable logistic analysis, only ΔRPRVOT-apex and late potentials remained independent predictors of a positive EPS. At Cox Proportional Hazard analysis, family history of SCD, history of syncope, VT/VF inducibility and a ΔRPRVOT-apex >60 ms were all univariate predictors of SCD/aSCD. At bivariate analysis, a ΔRPRVOT-apex >60 ms remained an independent predictor of SCD/aSCD even when adjusted the other univariate predictors. At C-Statistic analysis, the strongest predictive model was the one using ΔRPRVOT-apex >60 ms as covariate with a C-statistics (95% CI) of 0.72 (0.51-0.93). At Kaplan-Meyer curves, ΔRPRVOT-apex >60 ms was confirmed a strong predictor of SCD/aSCD and another very interesting observation was possible: patients with positive EPS, but a ΔRPRVOT-apex < 60 ms, had a similar risk to SCD/aSCD compared to patients with a negative EPS, while those with a positive EPS and a ΔRPRVOT-apex > 60 ms were found to be at a higher risk of events.
Refractory period heterogeneity of the right ventricle defined as ΔRPRVOT-apex > 60 ms at EPS is a strong and independent predictor of SCD/aSCD in patients with BrS, beyond VT/VF inducibility at EPS and common clinical predictors. Abstract Figure.
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Affiliation(s)
- L Teresi
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - A Rossi
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - A Giannoni
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - M Nesti
- San Donato Hospital of Arezzo, Arezzo, Italy
| | | | - G Solarino
- Versilia Hospital, Lido Di Camaiore, Italy
| | - G Mirizzi
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - V Russo
- AO dei Colli-Monaldi Hospital, Naples, Italy
| | - L Panchetti
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - U Startari
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - A Ripoli
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - A Santoro
- Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - G Casolo
- Versilia Hospital, Lido Di Camaiore, Italy
| | - M Emdin
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
| | - M Piacenti
- Fondazione Toscana Gabriele Monasterio, Pisa, Italy
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12
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Bianchi V, Bisignani G, Russo V, Migliore F, Tola G, Viani S, Rossi P, Biffi M, Palmisano P, Checchi L, Licciardello G, Francia P, Leidi C, Ospizio R, D"onofrio A. Safety of omitting defibrillation efficacy testing with subcutaneous defibrillators: a propensity matched case-control study. Europace 2021. [DOI: 10.1093/europace/euab116.404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Defibrillation efficacy testing (DT) is recommended at implantation of subcutaneous implantable cardioverter–defibrillators (S-ICD). However, prior works found that adherence to this recommendation is declining in clinical practice.
Purpose
To compare survival from all-cause death and first ineffective shock (primary endpoint) and the composite of all-cause death, ineffective shock, inappropriate shock and device-related complication (secondary endpoint) between patients who underwent DT and those with omitted DT.
Methods
We analyzed 1652 consecutive patients who underwent S-ICD implantation in 60 Italian centers from 2013 to 2019.
Results
DT was not performed in 325 (20%) patients (no-DT patients). As compared with the DT group, these patients were older (51 ± 16 vs. 48 ± 15 years; p < 0.01) and had lower ejection fraction (37 ± 16% vs. 46 ± 16%; p < 0.01). The 325 no-DT patients were propensity matched with 325 patients of the DT group. During a median follow up of 19 months, 27 (4.2%) patients died for any-cause. During follow-up, 34 (5.2%) patients received appropriate shocks to treat discrete episodes of VT/VF. The first shock was effective in 30 out of 34 patients (88%), whereas a second shock was required to terminate VT/VF in 3 patients and a third shock in the last one. The primary endpoint occurred in 31 (4.8%) patients, and the risk was not significantly increased in the no-DT cohort (HR = 1.26, 95%CI:0.62-2.55, p = 0.522). Inappropriate shocks were reported in 36 (5.5%) patients and device-related complications in 25 (3.8%) patients during follow-up. Survival from the composite secondary endpoint was comparable between groups (HR = 0.86, 95%CI:0.57-1.32, p = 0.500).
Conclusions
Our data confirmed that DT is frequently omitted in current clinical practice, especially in older patients with worse systolic function. A strategy that omits DT did not appear to compromise the effectiveness of the S-ICD and no additional risk seems associated with DT omission at a mid-term follow-up. These data suggest that routine DT at S-ICD implant might not be necessary. Randomized trials are needed to confirm this finding.
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Affiliation(s)
| | | | - V Russo
- Second University of Naples, Naples, Italy
| | - F Migliore
- Azienda Ospedaliera di Padova, Padova, Italy
| | - G Tola
- AO Brotzu Hospital, Cagliari, Italy
| | - S Viani
- Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| | - P Rossi
- Giovanni Calibita Fatebenefratelli Hospital, Rome, Italy
| | - M Biffi
- Policlinico S. Orsola-Malpighi, Bologna, Italy
| | - P Palmisano
- Cardinale G. Panico Hospital, Tricase, Italy
| | - L Checchi
- Azienda Ospedaliera Universitaria Careggi, Firenze, Italy
| | | | | | - C Leidi
- Ospedale Papa Giovanni XXIII, Bergamo, Italy
| | - R Ospizio
- Boston Scientific Italy, Milan, Italy
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13
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G. Pedroza R, Saleh S, Russo V, Dickman C, Getsios S, Wadsworth S, Piret J. Engineering the design of cell encapsulated alginate fibres for the treatment of diabetes. Cytotherapy 2021. [DOI: 10.1016/s1465324921005089] [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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14
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Mirani F, Maffini A, Casamichiela F, Pazzaglia A, Formenti A, Dellasega D, Russo V, Vavassori D, Bortot D, Huault M, Zeraouli G, Ospina V, Malko S, Apiñaniz JI, Pérez-Hernández JA, De Luis D, Gatti G, Volpe L, Pola A, Passoni M. Integrated quantitative PIXE analysis and EDX spectroscopy using a laser-driven particle source. Sci Adv 2021; 7:7/3/eabc8660. [PMID: 33523900 PMCID: PMC7810378 DOI: 10.1126/sciadv.abc8660] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 11/30/2020] [Indexed: 06/12/2023]
Abstract
Among the existing elemental characterization techniques, particle-induced x-ray emission (PIXE) and energy-dispersive x-ray (EDX) spectroscopy are two of the most widely used in different scientific and technological fields. Here, we present the first quantitative laser-driven PIXE and laser-driven EDX experimental investigation performed at the Centro de Láseres Pulsados in Salamanca. Thanks to their potential for compactness and portability, laser-driven particle sources are very appealing for materials science applications, especially for materials analysis techniques. We demonstrate the possibility to exploit the x-ray signal produced by the co-irradiation with both electrons and protons to identify the elements in the sample. We show that, using the proton beam only, we can successfully obtain quantitative information about the sample structure through laser-driven PIXE analysis. These results pave the way toward the development of a compact and multifunctional apparatus for the elemental analysis of materials based on a laser-driven particle source.
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Affiliation(s)
- F Mirani
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy.
| | - A Maffini
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - F Casamichiela
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - A Pazzaglia
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - A Formenti
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - D Dellasega
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - V Russo
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - D Vavassori
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - D Bortot
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - M Huault
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
- Universidad de Salamanca, Patio de Escuelas 1, 37008 Salamanca, Spain
| | - G Zeraouli
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
- Universidad de Salamanca, Patio de Escuelas 1, 37008 Salamanca, Spain
| | - V Ospina
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
- Universidad de Salamanca, Patio de Escuelas 1, 37008 Salamanca, Spain
| | - S Malko
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
- Universidad de Salamanca, Patio de Escuelas 1, 37008 Salamanca, Spain
| | - J I Apiñaniz
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
| | - J A Pérez-Hernández
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
| | - D De Luis
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
| | - G Gatti
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
| | - L Volpe
- Centro de Laseres Pulsados (CLPU), Edicio M5. Parque Científico. C/ Adaja, 8. Villamayor, 37185 Salamanca, Spain
- Laser-Plasma Chair at the University of Salamanca, Salamanca, Spain
| | - A Pola
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy
| | - M Passoni
- Politecnico di Milano, Via Ponzio 34/3, I-20133 Milan, Italy.
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15
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Zuffa E, Dardi F, Saia F, Niro F, Palazzini M, Russo V, Taglieri N, Lovato L, De Lorenzis A, Pasca F, Guarino D, Magnani I, Marrozzini C, Manes A, Galie N. Prognostic value of pulmonary artery diameter in patients with pulmonary arterial hypertension. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Pulmonary artery (PA) dilation is common in pulmonary arterial hypertension (PAH) and may cause left main coronary artery (LMCA) compression. This complication have been sistematically evaluated in patients with angina but no evidence is available for patients asymptomatic for angina.
Purpose
To evaluate the prognostic value of PA diameter and the prevalence of LMCA compression in PAH patients with and without angina.
Methods
All patients with PAH and a baseline angio-CT scan were included. The last angio-CT scan performed was considered for PA diameter increase velocity calculation. Patients with angina or radiological signs of suspected LMCA compression underwent a coronary (cor)-CT scan. Patients with a not negative cor-CT underwent invasive coronary angiography. If clinically indicated invasive coronary angiography was performed without a preliminary cor-CT. To evaluate the predictivity for compression at coronary angiography the PA diameter at cor-CT or at the nearest angio-CT scan was considered.
Results
958 patients were included. PA diameter at baseline is higher in patients with congenital heart disease (CHD) and is not predictive of death. The velocity of PA diameter increase is lower in patients with connective tissue disease and is a risk factor for death in both overall population and different etiological subgroups except CHD and pulmonary veno-occlusive disease. 180 patients had angina and 50 had LMCA compression. 120 patients without angina underwent cor-CT and/or coronary angiography and 15 patients had LMCA compression. The best PA diameter cut-offs predicting LMCA compression in symptomatic/asymptomatic patients were, respectively, 40/42 mm (sensitivity and specificity, respectively, 80 and 72%/87 and 77%).
Conclusion
28% of patients with angina and 13% of patients without angina had LMCA compression. We found a similar PA diameter predicting LMCA compression in patients with or without angina. PA diameter, instead, was not predictive of prognosis (maybe because most deaths were related to heart failure and also because patients with LMCA compression were treated with stenting, possibly preventing sudden cardiac death). Eventually, PA diameter velocity increase is associated with prognosis but this may only reflect a severe disease refractory to medical therapy.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- E Zuffa
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - F Dardi
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - F Saia
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Cardiology, Bologna, Italy
| | - F Niro
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Radiology, Bologna, Italy
| | - M Palazzini
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - V Russo
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Radiology, Bologna, Italy
| | - N Taglieri
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Cardiology, Bologna, Italy
| | - L Lovato
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Radiology, Bologna, Italy
| | - A De Lorenzis
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - F Pasca
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - D Guarino
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - I Magnani
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - C Marrozzini
- Universitary Hospital Sant'orsola Malpighi, Cardio-thoracic-vascular Department, Cardiology, Bologna, Italy
| | - A Manes
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
| | - N Galie
- University of Bologna, Department of Specialized, Diagnostic and Experimental Medicine – DIMES - Bologna/IT, Bologna, Italy
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16
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Lio V, Pasceri V, Di Lullo L, Russo V, Fimiani F, Calabro' P, Petroni R, Grimaldi M, Renda G, Pignatelli P, Romano S, Penco M, Patti G. Clinical outcome with NOACs vs VKAs in patients with atrial fibrillation and severe chronic kidney disease: results of a retrospective, multicenter, real-world study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Patients with atrial fibrillation (AF) and severe chronic kidney disease (CKD) are at higher risk of both bleeding and thromboembolic events. Non-vitamin K antagonist oral anticoagulants (NOACs) are licensed to be used in these patients, although they were excluded from phase III controlled randomized trials comparing NOACs vs warfarin in AF. Thus, current evidence on NOACs use in such setting of patients is not definitive.
Purpose
Aim of our multicenter study was to perform a real-world comparison of clinical outcome with NOACs vs vitamin K antagonist anticoagulants (VKAs) also in AF patients having an estimated glomerular filtration rate (eGFR) 15–29 mL/min.
Methods
We retrospectively included a total of 266 patients receiving NOACs (N=159) or VKAs (N=107). Primary outcome measure was the cumulative incidence of the net composite endpoint including ischemic stroke, systemic thromboembolism or any bleeding. Mean follow-up was 2.6 years.
Results
CHA2DS2-VASc and HAS-BLED scores at baseline were similar in the two groups (3.4±1.3 with NOACs vs 3.4±0.9 with VKAs and 3.1±1.0 vs 3.0±0.7, respectively); eGFR and hemoglobin values were also comparable (31.8±12.3 vs 32±11.9 mL/min and 10.2±2.1 vs 11.0±2.3 g/dL, respectively). NOACs were not inferior to VKAs for the primary net composite endpoint: incidence 20.7% vs 29.9%, p<0.01 for non-inferiority, p=0.11 for superiority. In proportional Cox regression model, hazard ratio for the primary outcome measure with NOACs use was 0.74 (95% CI 0.45–1.21, p=0.22). In the NOAC group there was a trend towards reduction in minor bleeding complications (p=0.08).
Conclusions
Our real-world data indicate that in patients with AF and severe renal failure NOACs are not inferior to VKAs for both safety and efficacy. The use of NOACs was associated with a numerically lower incidence of minor bleeding.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- V Lio
- University of Eastern Piedmont, Cardiology Department, Novara, Italy
| | - V Pasceri
- San Filippo Neri Hospital, Rome, Italy
| | - L Di Lullo
- L. Parodi - Delfino Hospital, Rome, Italy
| | - V Russo
- AORN Ospedali dei Colli - Monaldi Hospital, Naples, Italy
| | - F Fimiani
- S. Anna-S. Sebastiano Hospital, University of Campania “Luigi Vanvitelli”, Caserta, Italy
| | - P Calabro'
- S. Anna-S. Sebastiano Hospital, University of Campania “Luigi Vanvitelli”, Caserta, Italy
| | - R Petroni
- University della Campania Luigi Vanvitelli, Naples, Italy
| | | | - G Renda
- Regional General Hospital F. Miulli, Acquaviva Delle Fonti, Italy
| | | | - S Romano
- Sapienza University of Rome, Rome, Italy
| | - M Penco
- University of L'Aquila, L'Aquila, Italy
| | - G Patti
- University of Eastern Piedmont, Cardiology Department, Novara, Italy
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17
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Gabrielli G, Bilucaglia M, Zito M, Laureanti R, Caponetto A, Circi R, Fici A, Rivetti F, Valesi R, Galanto A, Senoner G, Russo V. Neurocoaching: exploring the relationship between coach and coachee by means of bioelectrical signal similarities. Annu Int Conf IEEE Eng Med Biol Soc 2020; 2020:3184-3187. [PMID: 33018681 DOI: 10.1109/embc44109.2020.9176497] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Coaching aims to unlock the human's potential, self-awareness and responsibility, improving the professional performances and the personal satisfaction. Its effectiveness is known to depend on the degree of bonding and mutual engagement of the coaching relationship. In this exploratory study we recorded synchronised EEG and SC data from both coach and coachee during 36 individual sessions, performed following 2 different coaching methods. Our principal aim was to investigate the temporal evolution of the bonding and the mutual engagement along the different steps of a session, by means of a "similarity" metric based on the DTW distance between signals (namely, S-TVM). We found significant differences between session phases for the EEG-related S-TVMs (BAR, BATR and AWI), with maximum values (defined as "tuning") all in the same phase, but differentiated between the two experiments. The results suggest a temporal concurrency of the engagement and emotional tunings, whose specific location seems to be a function of the coaching approach.
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18
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Laureanti R, Bilucaglia M, Zito M, Circi R, Fici A, Rivetti F, Valesi R, Oldrini C, Mainardi LT, Russo V. Emotion assessment using Machine Learning and low-cost wearable devices. Annu Int Conf IEEE Eng Med Biol Soc 2020; 2020:576-579. [PMID: 33018054 DOI: 10.1109/embc44109.2020.9175221] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
The advancement in bioelectrical measurement technologies and the push towards a higher impact of the Brain Computer Interfaces and Affective Computing in the daily life have made non-invasive and low-priced devices available to the large population to record physiological states. The aim of this study is the assessment of the abilities of the MUSE headband, together with the Shimmer GSR+ device, to assess the emotional state of people during stimuli exposure. Twenty-four pictures from the IAPS database were showed to 54 subjects and were evaluated in their emotional values by means of the Self-Assessment Manikin (SAM). Using a Machine Learning approach, fifty-two scalar features were extracted from the signals and used to train 6 binary classifiers to predict the valence and arousal elicited by each stimulus. In all classifiers we obtained accuracies ranging from 53.6% to 69.9%, confirming that these devices are able to give information about the emotional state.
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19
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Zhang CH, Zaidman N, Russo V. Hybrid Minimally Invasive Technique for Treatment of Thoracolumbar Spondylodiscitis and Vertebral Osteomyelitis. World Neurosurg 2020; 141:e752-e762. [PMID: 32526368 DOI: 10.1016/j.wneu.2020.06.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 05/31/2020] [Accepted: 06/02/2020] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Spondylodiscitis and vertebral osteomyelitis cause significant morbidity and mortality, and typically occur in patients with multiple comorbidities. The use of minimally invasive spinal surgery in the previous decade has offered the advantages of reduced intraoperative blood loss and postoperative pain for patients. In the present report, we have described our experience with using a hybrid minimally invasive (HMI) technique (combining percutaneous fixation with a mini-open approach for decompression and debridement) for the treatment of thoracolumbar spondylodiscitis, reporting the patient demographics, intraoperative measures, and 12-month outcomes. METHODS The data from patients presenting to a tertiary referral neurosurgical center with thoracolumbar spondylodiscitis and osteomyelitis who had undergone HMI from 2016 to 2018 were retrospectively evaluated. Patient demographics, intraoperative factors, estimated blood loss, and immediate postoperative complications were recorded. The patient outcomes were evaluated using EuroQOL 5-dimension questionnaire and visual analog scale in the immediate postoperative period and at 12 months postoperatively. RESULTS A total of 13 patients were included in the present study, 12 with spontaneous infection and 1 with infection secondary to recent microdiscectomy at another institution. All the patients had systemic comorbidities with an American Society of Anesthesiologists class of ≥2. Of the 13 patients, 11 had pyogenic infections and 2 had spinal tuberculosis. The mean estimated blood loss was 546.2 mL. The mean time for patients to sit out of bed was 2.2 days, and the mean time to start mobilizing was 4.5 days. The EuroQOL 5-dimension questionnaire scores showed improvement in all modalities at 12 months postoperatively. CONCLUSIONS In our cohort, HMI was a safe and effective treatment of thoracolumbar spondylodiscitis, with the potential benefits of reduced blood loss, operative duration, and postoperative pain.
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Affiliation(s)
- Catherine Hao Zhang
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom.
| | - Nathalie Zaidman
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom
| | - Vittorio Russo
- Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom
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20
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Russo V, Molini S, De Bonis S, Ziacchi M, Ricciardi G, Migliore F, Viani S, Lavalle C, Pangallo A, La Greca C, Brambilla R, Tordini A, Ospizio R, Lovecchio M, Rago A. P1149Subcutaneous implantable cardioverter-defibrillator when Transvenous ICD is not a viable option. Europace 2020. [DOI: 10.1093/europace/euaa162.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
NO FUNDING
OnBehalf
RHYTHM DETECT Registry
Background
The class of recommendation for S-ICD implantation in patients who have inadequate vascular access is I according to AHA-ACC-HRS Guidelines and IIb according to ESC Guidelines. Data are lacking about the use of S-ICD for patients in which a transvenous ICD is not a viable option because of the inability to deploy a transvenous lead.
Purpose
To describe current practice and to measure outcomes associated with S-ICD use in patients in which a transvenous ICD is not a viable option.
Methods
942 consecutive patients underwent S-ICD implantation at 22 Italian centers from 2014 to 2019. We identified 101 (11%) patients who received S-ICD because of the reported impossibility of deploying a transvenous lead.
Results
21 patients presented with inadequate vascular access but no previous device in place. One patient had a mechanical prosthesis in tricuspid position. The remaining 79 patients received the S-ICD after removal of a prior system implanted, and venous occlusion was diagnosed after lead extraction, or partially or completely failed lead removal. In 24 of these patients a functional transvenous pacing system was left in place for persisting pacing needs. Patients were 60 ± 15 years old, 85% were male, 77% had ischemic or non-ischemic dilated cardiomyopathy, ejection fraction was 36 ± 13%. At implantation, acute conversion test was performed in 64 patients and shock energy of ≤65J was successful in 62 (96.9%) patients. During a median follow-up of 18 months, 6 patients died for non-device related reasons and 1 patient underwent heart transplantation. One patient underwent device replacement for battery depletion and one patient underwent leadless pacemaker implantation. Minor complications (hematomas not requiring system revision) were reported in 2 patients. Appropriate therapies were delivered in 4 patients and 8 patients experienced inappropriate therapies (in 3 patients due to double counting during pacing); all resolved with device reprogramming. Conclusions: In current clinical practice, a minority of S-ICD patients receive the device because of inadequate vascular access. The profile of these patients is similar to that of the typical ICD population in the context of primary sudden death prevention, but many of them present with pacing indications. Acute and mid-term efficacy of S-ICD seemed high. Few complications occurred during follow-up. Particular attention must be paid to device programming for those patients with concomitant pacing systems, in order to prevent inappropriate therapies.
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Affiliation(s)
- V Russo
- Second University of Naples, Naples, Italy
| | - S Molini
- Università Politecnica delle Marche , Torrette di Ancona (AN), Italy
| | | | - M Ziacchi
- Azienda Ospedaliero, Universitaria di Bologna, Policlinico S.Orsola-Malpigh, Bologna, Italy
| | - G Ricciardi
- Careggi University Hospital, Florence, Italy
| | | | - S Viani
- Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| | - C Lavalle
- Umberto I Polyclinic of Rome, Rome, Italy
| | - A Pangallo
- Bianchi Melacrino Morelli Hospital (BMM), Reggio Calabria, Italy
| | - C La Greca
- Poliambulanza Foundation Hospital Institute of Brescia, Brescia, Italy
| | | | | | | | | | - A Rago
- Second University of Naples, Naples, Italy
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Russo V, Viani S, Migliore F, Tola G, Bisignani G, Biffi M, Dello Russo A, Sartori P, Rordorf R, Ottaviano L, Perego GB, Papa A, Segreti L, Lovecchio M, Bongiorni MG. 852Lead abandonment and subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation in a cohort of patients with ICD lead malfunction. Europace 2020. [DOI: 10.1093/europace/euaa162.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
NO FUNDING
OnBehalf
Rhythm Detect Registry
Background
Currently, when an implantable-cardioverter defibrillator (ICD) lead becomes nonfunctional, a class IIa recommendation exists for either lead abandonment or for removal. The benefits of removal include creation of an access for insertion of a new lead. However, the subcutaneous ICD (S-ICD) does not require the insertion of any leads into the cardiovascular system, and may represent an additional option for patients not requiring pacing.
Purpose
To report outcomes associated with a strategy of lead abandonment and S-ICD implantation in the setting of lead malfunction.
Methods
We analyzed all consecutive patients who underwent S-ICD implantation after abandonment of malfunctioning leads and we compared outcomes with those of patients who underwent transvenous extraction and subsequent reimplantation of a single-chamber transvenous ICD (T- ICD).
Results
43 patients were implanted with an S-ICD after abandonment of malfunctioning leads, while in 62 patients extraction and subsequent reimplantation of a T-ICD. The two groups were comparable (Age 55 ± 16 vs. 54 ± 33years, BMI 26 ± 3 vs. 24 ± 4kg/m2, LVEF 43 ± 15 vs. 48 ± 8%). S-ICD defibrillation test success rate at implantation was 96% at 65J. In the extraction group, no major complications were reported during extraction, while the procedure failed and an S-ICD was implanted in 4 patients. During a median follow-up of 21 months, the rate of major complications was not higher in the S-ICD group than in the T-ICD group (HR 1.07; 95%CI 0.29–3.94; P = 0 .912; Figure), as well as the rate of minor complications (HR 2.13; 95%CI 0.49–9.24; P = 0 .238).
Conclusions
In case of ICD lead malfunction, extraction prevents potential long-term risks of abandoned leads, e.g. increased complications for a possible future mandatory extraction indication such as infection, and allows magnetic resonance imaging. Nonetheless in this series, the strategy of lead abandonment and S-ICD implantation appeared to be feasible and safe with no significant increase in adverse outcomes for patients not requiring pacing and may represent an option in selected clinical settings (very high risk or failed extractions, older patients, etc.). Longer follow-up studies are needed to fully understand the potential risks of lead abandonment.
Abstract Figure
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Affiliation(s)
- V Russo
- Second University of Naples, Naples, Italy
| | - S Viani
- Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| | - F Migliore
- University Hospital of Padova, Padua, Italy
| | - G Tola
- AO Brotzu Hospital, Cagliari, Italy
| | | | - M Biffi
- Azienda Ospedaliero, Universitaria di Bologna, Policlinico S.Orsola-Malpigh, Bologna, Italy
| | - A Dello Russo
- Marche Polytechnic University of Ancona, Ancona, Italy
| | - P Sartori
- Policlinc San Martino Hospital, Genoa, Italy
| | - R Rordorf
- Policlinic Foundation San Matteo IRCCS, Pavia, Italy
| | - L Ottaviano
- Sant"Ambrogio Clinical Institute, Milan, Italy
| | - G B Perego
- Istituto Auxologico Italiano, Milan, Italy
| | - A Papa
- Second University of Naples, Naples, Italy
| | - L Segreti
- Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| | | | - M G Bongiorni
- Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
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22
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Di Lollo V, Canciello A, Orsini M, Bernabò N, Ancora M, Di Federico M, Curini V, Mattioli M, Russo V, Mauro A, Cammà C, Barboni B. Transcriptomic and computational analysis identified LPA metabolism, KLHL14 and KCNE3 as novel regulators of Epithelial-Mesenchymal Transition. Sci Rep 2020; 10:4180. [PMID: 32144311 PMCID: PMC7060278 DOI: 10.1038/s41598-020-61017-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 09/11/2019] [Accepted: 02/17/2020] [Indexed: 12/15/2022] Open
Abstract
Epithelial-mesenchymal transition (EMT) is a complex biological program between physiology and pathology. Here, amniotic epithelial cells (AEC) were used as in vitro model of transiently inducible EMT in order to evaluate the transcriptional insights underlying this process. Therefore, RNA-seq was used to identify the differentially expressed genes and enrichment analyses were carried out to assess the intracellular pathways involved. As a result, molecules exclusively expressed in AEC that experienced EMT (GSTA1-1 and GSTM3) or when this process is inhibited (KLHL14 and KCNE3) were identified. Lastly, the network theory was used to obtain a computational model able to recognize putative controller genes involved in the induction and in the prevention of EMT. The results suggested an opposite role of lysophosphatidic acid (LPA) synthesis and degradation enzymes in the regulation of EMT process. In conclusion, these molecules may represent novel EMT regulators and also targets for developing new therapeutic strategies.
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Affiliation(s)
- V Di Lollo
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy. .,Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy.
| | - A Canciello
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy.
| | - M Orsini
- Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy
| | - N Bernabò
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - M Ancora
- Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy
| | - M Di Federico
- Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy
| | - V Curini
- Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy
| | - M Mattioli
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - V Russo
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - A Mauro
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - C Cammà
- Molecular biology and genomic Unit, Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale", Teramo, Italy
| | - B Barboni
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
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23
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Bilucaglia M, Laureanti R, Zito M, Circi R, Fici A, Rivetti F, Valesi R, Wahl S, Russo V. Looking through blue glasses: bioelectrical measures to assess the awakening after a calm situation .. Annu Int Conf IEEE Eng Med Biol Soc 2020; 2019:526-529. [PMID: 31945953 DOI: 10.1109/embc.2019.8856486] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Colors can elicit cognitive and emotional states. In particular, blue colour is associated to "refresh" and "restart" effects and is suggested to enhance a wake-up after a calm situation. In this exploratory study, these claims are investigated using Electroencephalographic (EEG), Skin Conductance (SC) and pupil diameter data. The results confirmed the "wake-up effect" for subjects wearing the lenses, as measured by Global Field Power (GFP) in Theta Band, Skin Conductance Response (SCR) and pupil diameter data.
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24
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Capuano F, Cocchia R, Ferrara F, Lanero S, Russo V, Ranieri B, Contaldi C, Sepe C, Mirto G, Pedrizzetti G, Bossone E. P737 Left ventricular hemodynamic forces: towards establishing reference values for healthy adults. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Left ventricular hemodynamic forces (LV-HDF) have been recently demonstrated to be promising markers of sub-clinical dysfunction and potential predictors of disease outcome. However, there is a lack of reference values in healthy subjects. Knowledge of physiologic ranges is mandatory towards the use of LV-HDF-based indices for disease assessment in future clinical applications.
Purpose
Aim of the current study is to define the normal reference values for LV-HDF parameters in a large cohort of healthy adults. Here we present preliminary results for the initial set of enrolled subjects.
Methods
We enrolled 82 healthy subjects [mean age 44 ± 13.2 years (range 18-88), 41 men]. All participants underwent standard transthoracic echocardiography (TTE) examination, as recommended by current guidelines, including apical two-, three- and four-chamber windows, acquired at a frame rate above 40 Hz. These were then analyzed by tri-plane tissue tracking, measuring LV volume and LV ejection fraction (EF) as reference parameters. The same tracking method was used to evaluate the global hemodynamic force by a novel mathematical calculation technique applied to the three-dimensional endocardial contour. Physical-based LV-HDF parameters were then extracted for clinical application; these included the amplitude (root mean square) of the longitudinal and transversal force components (FL and FT) and their alignment angle relative to the LV axis. Parameters were computed as average over the whole cardiac cycle as well as limited to the systolic phase. Forces were normalized with LV volume to reduce variability with LV dimension, and divided by specific weight to yield a dimensionless measure.
Results
Mean EF was 63 ± 9%. Whole cycle LV-HDF parameters were: FL = 16.0 ± 5.6%, FT = 2.3 ± 0.8%, with significant longitudinal alignment FT/FL = 0.15 ± 0.04, angle = 13.0°±3.1°. Systolic HDF parameters were: FL = 22.7 ± 8.2%, FT = 2.9 ± 1.1%, with longitudinal alignment FT/FL = 0.13 ± 0.04, angle = 11.2°±3.1°. Importantly, dimensionless physical-based LV-HDF parameters showed no significant variation with age, gender or BSA.
Conclusions
We report the physiologic range of LV-HDF parameters measured by TTE. Knowledge of age- and gender-specific reference values, for a combination of standard, mechanical and hemodynamic indices, can improve the global assessment of the LV function and may help to detect sub-clinical stages of LV dysfunction.
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Affiliation(s)
- F Capuano
- Federico II University of Naples, Department of Industrial Engineering, Naples, Italy
| | - R Cocchia
- Cardarelli Hospital, Division of Cardiology, Naples, Italy
| | - F Ferrara
- University Hospital of Salerno, Cardiology Division Cava de" Tirreni-Amalfi Coast, Salerno, Italy
| | - S Lanero
- IRCCS SDN, Cardiovascular Imaging Unit, Naples, Italy
| | - V Russo
- Federico II University of Naples, Department of Advanced Biomedical Sciences, Naples, Italy
| | - B Ranieri
- IRCCS SDN, Cardiovascular Imaging Unit, Naples, Italy
| | - C Contaldi
- University Hospital of Salerno, Cardiology Division Cava de" Tirreni-Amalfi Coast, Salerno, Italy
| | - C Sepe
- Cardarelli Hospital, Division of Cardiology, Naples, Italy
| | - G Mirto
- Cardarelli Hospital, Division of Clinical Engineering, Naples, Italy
| | - G Pedrizzetti
- University of Trieste, Department of Engineering and Architecture, Trieste, Italy
| | - E Bossone
- Cardarelli Hospital, Division of Cardiology, Naples, Italy
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25
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Ferrara F, Gargani L, Guazzi M, D"alto M, Wierzbowska Drabik K, Argiento P, Cocchia R, Bandera F, Contaldi C, Lanero S, Russo V, Vriz O, D"andrea A, Kasprzak JD, Bossone E. 1682 Feasibility of the exercise stress echocardiography for the evaluation of the right heart and pulmonary circulation unit in different clinical conditions: the right heart international network. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.1046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
no funding sources exists
OnBehalf
RIGHT Heart International NETwork (RIGHT-NET)
Purpose
Exercise stress echocardiography (ESE) is a well-validated tool in ischemic and valvular heart diseases. The aim of this study is to assess the ESE feasibility for the evaluation of the right heart pulmonary circulation unit (RH-PCU) in a large cohort of subjects, from healthy individuals and elite athletes to patients with overt or at risk of developing pulmonary hypertension. Methods: 954 subjects [mean age 54.2 ± 16.4 years, 430 women] [254 healthy volunteers, 40 elite athletes, 363 patients with cardiovascular risk factors, 25 with pulmonary arterial hypertension, 149 with connective tissue diseases, 81 with left heart and valvular diseases, 42 with lung diseases], underwent standardized semi-recumbent cycle ergometer ESE with an incremental workload of 25 watts every 2 minutes up to symptom-limited maximal tolerated workload. ESE parameters of right heart structure, function and pressures were obtained according current recommendations. Results: The success rate for the evaluation of the RV function at peak exercise was 903/940 (96%) for tricuspid annular plane systolic excursion (TAPSE), 667/751 (89%) for tissue Doppler–derived tricuspid lateral annular systolic velocity (S’) and 425/772 (63%) for right ventricular fractional area change (RVFAC). Right ventricular–right atrial pressure gradient [RV-RA gradient = 4 x tricuspid regurgitation velocity2] was obtained in 894/954 patients (93.7 %) at rest and in 816/954 (85.5%) at peak exercise. At peak exercise, pulmonary acceleration time (AcT) was feasible among 435/545 (82.5%) patients (Table 1). Conclusions: In daily ESE monitoring of TAPSE and S’ resulted to be less challenging than of RV FAC. ESE was a feasible tool for the evaluation of RV-RA gradient and pulmonary AcT.
Table 1 Parameters Rest mean ± SD Peak mean ± SD P value Assessed n (%) Feasibility at rest n (%) Feasibility at peak n (%) RVED area (cm2) 17.4 ± 5.7 17.4 ± 5.8 0.9 672 632 (94.0) 425 (63.2) RVES area (cm2) 9.7 ± 4.3 9.6 ± 4.9 0.7 672 632 (94.0) 425 (63.2) TAPSE (mm) 22.9 ± 3.9 27.4 ± 5.5 <0.001 940 922 (98.1) 903 (96.0) S’(cm/s) 13.1 ± 2.9 18.5 ± 5.0 <0.001 751 746 (99.4) 667 (88.8) RVFAC (%) 45.7 ± 10 46.7 ± 11 0.121 672 632 (94.0) 425 (63.2) RV-RA gradient (mmHg) 24.3 ± 15 42.5 ± 20 <0.001 954 894 (93.7) 816 (85.5) Pulmonary AcT (m/s) 129 ± 31 116 ± 35 <0.001 545 527( 96.7) 435 (82.5) RVED, right ventricle end diastolic area; RVES, right ventricle end systolic area; p values indicate differences at rest and peak exercise. The term “assessed” indicates that an attempt was done in order to measure the parameter. The term “feasibility” indicates that it was possible to measure the parameter that was assessed.
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Affiliation(s)
- F Ferrara
- Cardiology Division Cava deTirreni-Amalfi Coast, University Hospital of Salerno, Salerno, Italy
| | - L Gargani
- Institute of Clinical Physiology (IFC), Pisa, Italy
| | - M Guazzi
- IRCCS Policlinico San Donato, San Donato Milanese, Italy
| | - M D"alto
- Second University of Naples, Department of Cardiology, Napoli, Italy
| | | | - P Argiento
- Second University of Naples, Department of Cardiology, Napoli, Italy
| | | | - F Bandera
- IRCCS Policlinico San Donato, San Donato Milanese, Italy
| | - C Contaldi
- Cardiology Division Cava deTirreni-Amalfi Coast, University Hospital of Salerno, Salerno, Italy
| | - S Lanero
- SDN Foundation IRCCS, Naples, Italy
| | - V Russo
- Federico II University of Naples, Naples, Italy
| | - O Vriz
- King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
| | - A D"andrea
- Hospital Umberto I, Nocera Inferiore, Italy
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26
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D"angelo EC, Guarino D, Vitale G, Foa A, Paolisso P, Coriano M, Di Marco L, Attina D, Lovato L, Russo V, Niro F, Leone O, Pacini D, Pizzi C, Galie N. P460The role of cardiac magnetic resonance in cardiac masses: a single centre experience. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez118.043] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- E C D"angelo
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - D Guarino
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - G Vitale
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - A Foa
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - P Paolisso
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - M Coriano
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - L Di Marco
- University Hospital Policlinic S. Orsola-Malpighi, Cardiac Surgery Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - D Attina
- University Hospital Policlinic S. Orsola-Malpighi, Cardiovascular and Thoracic Department Sant’Orsola- Malpighi , Bologna, Italy
| | - L Lovato
- University Hospital Policlinic S. Orsola-Malpighi, Cardiovascular and Thoracic Department Sant’Orsola- Malpighi , Bologna, Italy
| | - V Russo
- University Hospital Policlinic S. Orsola-Malpighi, Cardiovascular and Thoracic Department Sant’Orsola- Malpighi , Bologna, Italy
| | - F Niro
- University Hospital Policlinic S. Orsola-Malpighi, Cardiovascular and Thoracic Department Sant’Orsola- Malpighi , Bologna, Italy
| | - O Leone
- University Hospital Policlinic S. Orsola-Malpighi, Department of Pathology, Bologna, Italy
| | - D Pacini
- University Hospital Policlinic S. Orsola-Malpighi, Cardiac Surgery Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - C Pizzi
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
| | - N Galie
- University Hospital Policlinic S. Orsola-Malpighi, Cardiology, Department of Experimental Diagnostic and Specialty Medicine, Bologna, Italy
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Barboni B, Russo V, Berardinelli P, Mauro A, Valbonetti L, Sanyal H, Canciello A, Greco L, Muttini A, Gatta V, Stuppia L, Mattioli M. Placental Stem Cells from Domestic Animals: Translational Potential and Clinical Relevance. Cell Transplant 2019; 27:93-116. [PMID: 29562773 PMCID: PMC6434480 DOI: 10.1177/0963689717724797] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [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] [Indexed: 12/16/2022] Open
Abstract
The field of regenerative medicine is moving toward clinical practice in veterinary science. In this context, placenta-derived stem cells isolated from domestic animals have covered a dual role, acting both as therapies for patients and as a valuable cell source for translational models. The biological properties of placenta-derived cells, comparable among mammals, make them attractive candidates for therapeutic approaches. In particular, stemness features, low immunogenicity, immunomodulatory activity, multilineage plasticity, and their successful capacity for long-term engraftment in different host tissues after autotransplantation, allo-transplantation, or xenotransplantation have been demonstrated. Their beneficial regenerative effects in domestic animals have been proven using preclinical studies as well as clinical trials starting to define the mechanisms involved. This is, in particular, for amniotic-derived cells that have been thoroughly studied to date. The regenerative role arises from a mutual tissue-specific cell differentiation and from the paracrine secretion of bioactive molecules that ultimately drive crucial repair processes in host tissues (e.g., anti-inflammatory, antifibrotic, angiogenic, and neurogenic factors). The knowledge acquired so far on the mechanisms of placenta-derived stem cells in animal models represent the proof of concept of their successful use in some therapeutic treatments such as for musculoskeletal disorders. In the next future, legislation in veterinary regenerative medicine will be a key element in order to certify those placenta-derived cell-based protocols that have already demonstrated their safety and efficacy using rigorous approaches and to improve the degree of standardization of cell-based treatments among veterinary clinicians.
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Affiliation(s)
- B Barboni
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - V Russo
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - P Berardinelli
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - A Mauro
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - L Valbonetti
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - H Sanyal
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - A Canciello
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - L Greco
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - A Muttini
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - V Gatta
- 1 Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
| | - L Stuppia
- 2 Medical Genetics, University "G. d'Annunzio" of Chieti Pescara, Chieti, Italy
| | - M Mattioli
- 3 Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "G. Caporale," Teramo, Italy
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Monda V, Villano I, Messina A, Valenzano A, Salerno M, Santo Signorelli S, Monda M, Russo V, Sessa F, Messina G. Aerobic exercise and Orexin A: role of sympathetic activity and redox system. J BIOL REG HOMEOS AG 2019; 33:587-592. [PMID: 30968680] [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
Aerobic exercise is associated with the sympathetic activation evoking adaptive responses to sustain muscle engagement. Physical exercise can cause alterations in the cardiovascular activity and cellular stress may occur which could be marked by either heart rate (HR), or galvanic skin response (GSR). Moderate plasma levels of reactive oxygen species (ROS) are considered as health markers, absolving to important roles such as adaptive cellular responses to exercise. Orexin A, a hypothalamic peptide, causes a widespread stimulation of the sympathetic nervous system, playing a role in many physiological functions.
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Affiliation(s)
- V Monda
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - I Villano
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - A Messina
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - A Valenzano
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - M Salerno
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - S Santo Signorelli
- Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - M Monda
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - V Russo
- Department of Ophthalmology. University of Foggia, Foggia, Italy
| | - F Sessa
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - G Messina
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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29
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Pérez Nebreda A, Russo V, Di Serio M, Salmi T, Grénman H. Modelling of homogeneously catalyzed hemicelluloses hydrolysis in a laminar-flow reactor. Chem Eng Sci 2019. [DOI: 10.1016/j.ces.2018.10.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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30
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Barbieri A, Visco-Comandini F, Alunni Fegatelli D, Schepisi C, Russo V, Calò F, Dessì A, Cannella G, Stellacci A. Complex trauma, PTSD and complex PTSD in African refugees. Eur J Psychotraumatol 2019; 10:1700621. [PMID: 31853336 PMCID: PMC6913679 DOI: 10.1080/20008198.2019.1700621] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 10/16/2019] [Accepted: 11/22/2019] [Indexed: 12/04/2022] Open
Abstract
Background: The introduction of the diagnosis of complex posttraumatic stress disorder (CPTSD) by ICD-11 is a turning point in the field of traumatic stress studies. It's therefore important to examine the validity of CPTSD in refugee groups exposed to complex trauma (CT) defined as a repeated, prolonged, interpersonal traumatic event. Objective: The objective of this study was to compare DSM-5 and ICD-11 post-traumatic stress disorder diagnoses and to evaluate the discriminant validity of ICD-11 PTSD and CPTSD constructs in a sample of treatment-seeking refugees living in Italy. Method: The study sample included 120 treatment-seeking African refugees living in Italy. All participants were survivors of at least one CT. PTSD and CPTSD diagnoses were assessed according to both DSM-5 and ICD-11 criteria. Results: Findings revealed that 79% of the participants met the DSM-5 criteria for PTSD, 38% for ICD-11 PTSD and 30% for ICD-11 CPTSD. Generally, ICD-11 CPTSD items evidenced strong sensitivity and negative predictive power, low specificity and positive predictive power. Latent class analysis results identified two distinct groups: (1) a PTSD class, (2) a CPTSD class. None of the demographic and trauma-related variables analysed was significantly associated with diagnostic group. On the other hand, the months spent in Italy were significantly associated with PCL-5 score. Conclusions: Findings extend the current evidence base to support the discriminant validity of PTSD and CPTSD amongst refugees exposed to torture and other gross violations of human rights. The results suggest also that, in the post-traumatic phase, the time spent in a 'safe place' condition contributes to improve the severity of post-traumatic symptomatology, but neither this variable nor other socio-demographic factors seem to contribute to the emergence of complex PTSD. Further investigations are needed to clarify which specific vulnerability factors influence the development of PTSD or CPTSD in refugees exposed to complex trauma.
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Affiliation(s)
| | | | - D Alunni Fegatelli
- Department of public health and infectious diseases, Sapienza University of Rome, Rome, Italy
| | | | - V Russo
- Medu Psychè Center, Rome, Italy
| | - F Calò
- Medu Center, Ragusa, Italy
| | | | | | - A Stellacci
- Auxilium - Reception Center for Asylum Seekers/CARA, Bari Palese, Italy
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Muttini A, Russo V, Rossi E, Mattioli M, Tosi U, Maffulli N, Valbonetti L, Abate M. Pilot experimental study on amniotic epithelial mesenchymal cell transplantation in natural occurring tendinopathy in horses. Ultrasonographic and histological comparison. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.01.2015.02] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- A. Muttini
- Department of Comparative Biomedical Sciences,University of Teramo, Italy
| | - V. Russo
- Department of Comparative Biomedical Sciences,University of Teramo, Italy
| | - E. Rossi
- Viral Vaccines Institute, Serum and Diagnostics, Abruzzo and Molise Region Experimental Animal Health Care Institute “G. Caporale” (IZSAM), Teramo, Italy
| | - M. Mattioli
- Department of Comparative Biomedical Sciences,University of Teramo, Italy
| | - U. Tosi
- Department of Comparative Biomedical Sciences,University of Teramo, Italy
| | - N. Maffulli
- Department of Physical and Rehabilitation Medicine, University of Salerno, Azienda Ospedaliera San Giovanni di Dio e Ruggi d’Aragona, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, UK
| | - L. Valbonetti
- Department of Comparative Biomedical Sciences,University of Teramo, Italy
| | - M. Abate
- Department of Medicine and Science of Aging, University G. d’Annunzio, Chieti-Pescara, Chieti Scalo, Italy
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Affiliation(s)
- T Luke
- Agriculture Victoria & La Trobe University,Melbourne, Australia
| | - V Russo
- Agriculture Victoria & La Trobe University,Melbourne, Australia
| | - S Rochfort
- Agriculture Victoria & La Trobe University,Melbourne, Australia
| | - B Wales
- Agriculture Victoria & La Trobe University,Melbourne, Australia
| | - J Pryce
- Department of Economic Development, Jobs, Transport and Resources, Bundorra, Vic, Australia
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Russo V, Santacesaria E, Tesser R, Turco R, Vitiello R, Di Serio M. Validation of the Kinetics of the Hydrogen Peroxide Propene Oxide Process in a Dynamic Continuous Stirred Tank Reactor. Ind Eng Chem Res 2018. [DOI: 10.1021/acs.iecr.8b03233] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- V. Russo
- Chemical Sciences Department, and CIRCC, Università di Napoli Federico II, IT-80126 Napoli, Italy
| | | | - R. Tesser
- Chemical Sciences Department, and CIRCC, Università di Napoli Federico II, IT-80126 Napoli, Italy
| | - R. Turco
- Chemical Sciences Department, and CIRCC, Università di Napoli Federico II, IT-80126 Napoli, Italy
| | - R. Vitiello
- Chemical Sciences Department, and CIRCC, Università di Napoli Federico II, IT-80126 Napoli, Italy
| | - M. Di Serio
- Chemical Sciences Department, and CIRCC, Università di Napoli Federico II, IT-80126 Napoli, Italy
- International Research Organization for Advanced Science and Technology, University of Kumamoto, 860-8555 Kumamoto, Japan
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Stanzione M, Russo V, Oliviero M, Verdolotti L, Sorrentino A, Di Serio M, Tesser R, Iannace S, Lavorgna M. Characterization of sustainable polyhydroxyls, produced from bio-based feedstock, and polyurethane and copolymer urethane-amide foams. Data Brief 2018; 21:269-275. [PMID: 30364666 PMCID: PMC6197507 DOI: 10.1016/j.dib.2018.09.077] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 09/21/2018] [Accepted: 09/26/2018] [Indexed: 11/13/2022] Open
Abstract
This manuscript presents data related to the research article entitled "Synthesis and characterization of sustainable polyurethane foams based on polyhydroxyls with different terminal groups" (DOI: 10.1016/j.polymer.2018.06.077) [1]. We provide Supplementary data on the chemical properties, in terms of FTIR characterization, of polyhydroxyls produced starting from bio-based feedstock (biosuccinic acid and 1,4 butandiol) and thermal properties (glass transition temperature-Tg and thermal degradation behavior) of polyurethane and copolymer urethane-amide foams manufactured from the aforementioned polyhydroxyls. The FTIR characterization elucidates the chemical structure of polyhydroxyls and allows to make some hypothesis on their reaction routes with the isocyanate molecules. The thermal characterization revealed that the addition of bio-based polyhydroxyls to the sample formulations improves both the glass transition and degradation temperature of the foams. These foamed products exhibit potential performances to be applied as a substitute for conventional polyurethane foams.
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Affiliation(s)
- M. Stanzione
- Institute of Polymers, Composites and Biomaterials, (IPCB-CNR) National Research Council, P.le E. Fermi 1, Napoli, Italy
| | - V. Russo
- Department of Chemical Sciences, University of Naples Federico II, Napoli, Italy
| | - M. Oliviero
- Institute of Polymers, Composites and Biomaterials, (IPCB-CNR) National Research Council, P.le E. Fermi 1, Napoli, Italy
| | - L. Verdolotti
- Institute of Polymers, Composites and Biomaterials, (IPCB-CNR) National Research Council, P.le E. Fermi 1, Napoli, Italy
| | - A. Sorrentino
- Institute of Polymers, Composites and Biomaterials, (IPCB-CNR) National Research Council, P.le E. Fermi 1, Napoli, Italy
| | - M. Di Serio
- Department of Chemical Sciences, University of Naples Federico II, Napoli, Italy
| | - R. Tesser
- Department of Chemical Sciences, University of Naples Federico II, Napoli, Italy
| | - S. Iannace
- Institute for Macromolecular Studies (ISMAC-CNR) National Research Council, Milano 20133, Italy
| | - M. Lavorgna
- Institute of Polymers, Composites and Biomaterials, (IPCB-CNR) National Research Council, P.le E. Fermi 1, Napoli, Italy
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D'Angelo E, Guarino D, Vitale G, Foa A, Paolisso P, Coriano M, Di Marco L, Attina D, Lovato L, Russo V, Niro F, Pacini D, Leone O, Pizzi C, Galie N. P703The role of cardiac magnetic resonance imaging in cardiac masses: a single centre experience. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p703] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - D Guarino
- University of Bologna, Bologna, Italy
| | - G Vitale
- University of Bologna, Bologna, Italy
| | - A Foa
- University of Bologna, Bologna, Italy
| | | | - M Coriano
- University of Bologna, Bologna, Italy
| | | | - D Attina
- University of Bologna, Bologna, Italy
| | - L Lovato
- University of Bologna, Bologna, Italy
| | - V Russo
- University of Bologna, Bologna, Italy
| | - F Niro
- University of Bologna, Bologna, Italy
| | - D Pacini
- University of Bologna, Bologna, Italy
| | - O Leone
- University of Bologna, Bologna, Italy
| | - C Pizzi
- University of Bologna, Bologna, Italy
| | - N Galie
- University of Bologna, Bologna, Italy
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Stasi A, Songa G, Mauri M, Ciceri A, Diotallevi F, Nardone G, Russo V. Neuromarketing empirical approaches and food choice: A systematic review. Food Res Int 2018; 108:650-664. [DOI: 10.1016/j.foodres.2017.11.049] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Revised: 11/17/2017] [Accepted: 11/19/2017] [Indexed: 11/24/2022]
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Lui Jonathan Y, Sayal P, Prezerakos G, Russo V, Choi D, Casey A. The surgical management of dysphagia secondary to diffuse idiopathic skeletal hyperostosis. Clin Neurol Neurosurg 2018; 167:36-42. [DOI: 10.1016/j.clineuro.2018.02.010] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 02/01/2018] [Accepted: 02/04/2018] [Indexed: 11/29/2022]
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Behravesh E, Kilpiö T, Russo V, Eränen K, Salmi T. Experimental and modelling study of partial oxidation of ethanol in a micro-reactor using gold nanoparticles as the catalyst. Chem Eng Sci 2018. [DOI: 10.1016/j.ces.2017.11.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Santangelo L, Russo V, Ammendola E, De Crescenzo I, Pagano C, Savarese C, Caruso A, Utili R, Calabrò R. Superior Vena Cava Thrombosis after Intravascular AICD Lead Extraction: A Case Report. J Vasc Access 2018; 7:90-3. [PMID: 16868904 DOI: 10.1177/112972980600700210] [Citation(s) in RCA: 3] [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: 11/16/2022] Open
Abstract
Pacemaker lead extraction has been shown to be an effective and safe treatment in the case of infected permanent pacemaker leads. However, it can lead to potentially serious complications, usually occurring during the extraction procedure. This report describes a case of a 74-year-old male with a persistent superior vena cava thrombosis related to an infected permanent pacemaker lead transvenous extraction. Clinical and surgical management are discussed.
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Affiliation(s)
- L Santangelo
- Department of Cardiology, Second University of Naples, Naples, Italy
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Roperto S, Russo V, Corrado F, Munday JS, De Falco F, Roperto F. Detection of bovine Deltapapillomavirus DNA in peripheral blood of healthy sheep (Ovis aries). Transbound Emerg Dis 2018; 65:758-764. [PMID: 29330926 DOI: 10.1111/tbed.12800] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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: 08/06/2017] [Indexed: 12/13/2022]
Abstract
Blood samples from 65 sheep were tested for the presence of bovine Deltapapillomavirus (δPVs) DNA. The sheep were divided into three groups. Sheep in groups 1 and 2 were from Sardinia and Campania, respectively, and were in contact with cattle and grazed on lands contaminated with bracken fern. Sheep in Group 3 lived in closed pens and had no contact with cattle. These sheep were fed hay that did not contain bracken fern. Bovine δPV E5 DNA was detected in blood from 24 of 27 (89%) sheep in Group 1. A single bovine δPV type was detected in the blood from nine (33%) sheep, including the detection of bovine δPV-1 DNA in four sheep, bovine δPV-2 in four and δPV-13 in one sheep. Two δPV types were detected in 33% of the sheep, and three bovine δPV types were detected in 22% of the sheep. Bovine δPVs were detected in 17 of 20 (85%) sheep from Group 2. The detection rate by a single δPV type was 40% with just δPV-1 DNA amplified from two, just δPV-2 DNA from four, and just δPV-13 DNA from two sheep. Two and three δPVs were detected in 30% and 15%, respectively. All sequenced amplicons showed a 100% identity with papillomaviral E5 DNA deposited in GenBank. Bovine δPV-14 DNA sequences were not detected from any sheep. No bovine δPV DNA was revealed in blood samples from sheep in Group 3. The detection of bovine δPV DNA in the blood of sheep means that sheep may be able to be infected by these PVs. This suggests that bovine δPVs could potentially be a previously unrecognized cause of disease in sheep. Furthermore, it is possible that sheep could act as a reservoir for these viruses.
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Affiliation(s)
- S Roperto
- Dipartimento di Medicina Veterinaria e delle Produzioni Animali, Università di Napoli Federico II, Napoli, Italia
| | - V Russo
- Dipartimento di Medicina Veterinaria e delle Produzioni Animali, Università di Napoli Federico II, Napoli, Italia
| | - F Corrado
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici (Na), Italia
| | - J S Munday
- Pathobiology, Institute of Veterinary, Animal, and Biomedical Sciences, Massey University, Palmerston North, New Zealand
| | - F De Falco
- Dipartimento di Medicina Veterinaria e delle Produzioni Animali, Università di Napoli Federico II, Napoli, Italia
| | - F Roperto
- Dipartimento di Biologia, Università di Napoli Federico II, Napoli, Italia
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D'Onofrio A, Ziacchi M, Giofre' F, Botto G, Cipolletta L, Silvetti M, Viani S, Pani A, Caravati F, Viscusi M, Rapacciuolo A, Mazzuero A, Vicentini A, Lovecchio M, Russo V. P5487Acute effectiveness of subcutaneous implantable defibrillator in clinical practice. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5487] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Angeloni E, Refice S, Russo V, Patrizi M. P5318Metabolic syndrome increases incidence of infective endocarditis and overall need for heart valve surgery among patients with non-severe heart valve disease. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5318] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Angeloni E, Refice S, Russo V, Patrizi M. P3984Reclassification of left ventricular dysfunction by means of global longitudinal strain. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3984] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Angeloni E, Refice S, Russo V, Patrizi M. P2684Ranolazine reduces the development of new-onset atrial fibrillation in patients with chronic ischemic heart disease. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p2684] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Angeloni E, Refice S, Russo V, Patrizi M. 272Dipping patterns among normotensive adults. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.272] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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D'onofrio A, Ziacchi M, Giofre' F, Botto GL, Cipolletta L, Silvetti MS, Viani S, Pani A, Caravati F, Viscusi M, Rapacciuolo A, Mazzuero A, Vicentini A, Lovecchio M, Russo V. P404Acute effectiveness of subcutaneous implantable defibrillator in clinical practice. Europace 2017. [DOI: 10.1093/ehjci/eux141.129] [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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De Biase D, Costagliola A, Pagano TB, Piegari G, Wojcik S, Dziewiątkowski J, Grieco E, Mattace Raso G, Russo V, Papparella S, Paciello O. Amyloid precursor protein, lipofuscin accumulation and expression of autophagy markers in aged bovine brain. BMC Vet Res 2017; 13:102. [PMID: 28407771 PMCID: PMC5390414 DOI: 10.1186/s12917-017-1028-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [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: 08/03/2016] [Accepted: 04/10/2017] [Indexed: 01/07/2023] Open
Abstract
Background Autophagy is a highly regulated process involving the bulk degradation of cytoplasmic macromolecules and organelles in mammalian cells via the lysosomal system. Dysregulation of autophagy is implicated in the pathogenesis of many neurodegenerative diseases and integrity of the autophagosomal - lysosomal network appears to be critical in the progression of aging. Our aim was to survey the expression of autophagy markers and Amyloid precursor protein (APP) in aged bovine brains. For our study, we collected samples from the brain of old (aged 11–20 years) and young (aged 1–5 years) Podolic dairy cows. Formalin-fixed and paraffin embedded sections were stained with routine and special staining techniques. Primary antibodies for APP and autophagy markers such as Beclin-1 and LC3 were used to perform immunofluorescence and Western blot analysis. Results Histologically, the most consistent morphological finding was the age-related accumulation of intraneuronal lipofuscin. Furthermore, in aged bovine brains, immunofluorescence detected a strongly positive immunoreaction to APP and LC3. Beclin-1 immunoreaction was weak or absent. In young controls, the immunoreaction for Beclin-1 and LC3 was mild while the immunoreaction for APP was absent. Western blot analysis confirmed an increased APP expression and LC3-II/LC3-I ratio and a decreased expression of Beclin-1 in aged cows. Conclusions These data suggest that, in aged bovine, autophagy is significantly impaired if compared to young animals and they confirm that intraneuronal APP deposition increases with age.
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Affiliation(s)
- D De Biase
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
| | - A Costagliola
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy.
| | - T B Pagano
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
| | - G Piegari
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
| | - S Wojcik
- Department of Anatomy and Neurobiology, Medical University of Gdansk, Debinki 1 80-11, Gdansk, Poland
| | - J Dziewiątkowski
- Department of Anatomy and Neurobiology, Medical University of Gdansk, Debinki 1 80-11, Gdansk, Poland
| | - E Grieco
- Azienda Sanitaria Locale, Salerno, Italy
| | - G Mattace Raso
- Department of Pharmacy, University of Naples Federico II, Via Montesano 49, 80131, Naples, Italy
| | - V Russo
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
| | - S Papparella
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
| | - O Paciello
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II via Delpino, 1, 80137, Naples, Italy
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Fontanesi L, Schiavo G, Galimberti G, Bovo S, Russo V, Gallo M, Buttazzoni L. A genome-wide association study for a proxy of intermuscular fat level in the Italian Large White breed identifies genomic regions affecting an important quality parameter for dry-cured hams. Anim Genet 2017; 48:459-465. [DOI: 10.1111/age.12542] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2016] [Indexed: 12/26/2022]
Affiliation(s)
- L. Fontanesi
- Department of Agricultural and Food Sciences; Division of Animal Sciences; University of Bologna; Viale Fanin 46 40127 Bologna Italy
| | - G. Schiavo
- Department of Agricultural and Food Sciences; Division of Animal Sciences; University of Bologna; Viale Fanin 46 40127 Bologna Italy
| | - G. Galimberti
- Department of Statistical Sciences “Paolo Fortunati”; University of Bologna; Via delle Belle Arti 41 40127 Bologna Italy
| | - S. Bovo
- Department of Agricultural and Food Sciences; Division of Animal Sciences; University of Bologna; Viale Fanin 46 40127 Bologna Italy
| | - V. Russo
- Department of Agricultural and Food Sciences; Division of Animal Sciences; University of Bologna; Viale Fanin 46 40127 Bologna Italy
| | - M. Gallo
- Associazione Nazionale Allevatori Suini; Via L. Spallanzani 4 00161 Roma Italy
| | - L. Buttazzoni
- Centro di Ricerca per la Produzione delle Carni e il Miglioramento Genetico; Consiglio per la Ricerca in Agricoltura e l'Analisi dell'Economia Agraria; Via Salaria 31 00015 Monterotondo Scalo (Roma) Italy
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Russo V, Inglese C, Avallone L, Roperto F, Abate C, Zizzo N, Munday JS, Berardi F, Colabufo NA, Roperto S. Sigma 2 receptor expression levels in blood and bladder from healthy and bladder cancer cattle. Vet Comp Oncol 2017; 15:1503-1512. [DOI: 10.1111/vco.12295] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 10/23/2016] [Accepted: 10/27/2016] [Indexed: 12/25/2022]
Affiliation(s)
- V. Russo
- Dipartimento di Medicina Veterinaria e Produzioni Animali; Università di Napoli Federico II; Napoli Italy
| | - C. Inglese
- Dipartimento di Farmacia-Scienze del Farmaco; Università di Bari; Bari Italy
| | - L. Avallone
- Dipartimento di Medicina Veterinaria e Produzioni Animali; Università di Napoli Federico II; Napoli Italy
| | - F. Roperto
- Dipartimento di Biologia; Università di Napoli Federico II; Napoli Italy
| | - C. Abate
- Dipartimento di Farmacia-Scienze del Farmaco; Università di Bari; Bari Italy
| | - N. Zizzo
- Dipartimento di Medicina Veterinaria; Università di Bari; Bari Italy
| | - J. S. Munday
- College of Science; Massey University; Palmerston North New Zealand
| | - F. Berardi
- Dipartimento di Farmacia-Scienze del Farmaco; Università di Bari; Bari Italy
| | - N. A. Colabufo
- Dipartimento di Farmacia-Scienze del Farmaco; Università di Bari; Bari Italy
| | - S. Roperto
- Dipartimento di Medicina Veterinaria e Produzioni Animali; Università di Napoli Federico II; Napoli Italy
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Kilpiö T, Behravesh E, Russo V, Eränen K, Salmi T. Physical modeling of the laboratory-scale packed bed reactor for partial gas-phase oxidation of alcohol using gold nanoparticles as the heterogeneous catalyst. Chem Eng Res Des 2017. [DOI: 10.1016/j.cherd.2016.10.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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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