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Verrelli CM, Romagnoli C, Colistra N, Ferretti I, Annino G, Bonaiuto V, Manzi V. Golden ratio and self-similarity in swimming: breast-stroke and the back-stroke. Front Hum Neurosci 2023; 17:1176866. [PMID: 37554410 PMCID: PMC10406382 DOI: 10.3389/fnhum.2023.1176866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 06/19/2023] [Indexed: 08/10/2023] Open
Abstract
INTRODUCTION Dynamics-on-graph concepts and generalized finite-length Fibonacci sequences have been used to characterize, from a temporal point of view, both human walking & running at a comfortable speed and front-crawl & butterfly swimming strokes at a middle/long distance pace. Such sequences, in which the golden ratio plays a crucial role to describe self-similar patterns, have been found to be subtly experimentally exhibited by healthy (but not pathological) walking subjects and elite swimmers, in terms of durations of gait/stroke-subphases with a clear physical meaning. Corresponding quantitative indices have been able to unveil the resulting hidden time-harmonic and self-similar structures. RESULTS In this study, we meaningfully extend such latest findings to the remaining two swimming strokes, namely, the breast-stroke and the back-stroke: breast-stroke, just like butterfly swimming, is highly technical and involves the complex coordination of the arm and leg actions, while back-stroke is definitely similar to front-crawl swimming. An experimental validation with reference to international-level swimmers is included.
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Affiliation(s)
| | - Cristian Romagnoli
- Sport Engineering Lab, Department of Industrial Engineering, University of Rome Tor Vergata, Rome, Italy
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University, Rome, Italy
| | - Nicolò Colistra
- Department of Electronic Engineering, University of Rome Tor Vergata, Rome, Italy
| | - Ivo Ferretti
- Biomechanical and Video-Analysis Area for the National Teams of “Federazione Italiana Nuoto”, Rome, Italy
| | - Giuseppe Annino
- Sport Engineering Lab, Department of Industrial Engineering, University of Rome Tor Vergata, Rome, Italy
- Human Performance Lab, Centre of Space Biomedicine, Department of Medicine Systems, University of Rome Tor Vergata, Rome, Italy
| | - Vincenzo Bonaiuto
- Sport Engineering Lab, Department of Industrial Engineering, University of Rome Tor Vergata, Rome, Italy
| | - Vincenzo Manzi
- Department of Humanities Science, Pegaso Open University, Naples, Italy
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D’Onofrio R, Alashram AR, Annino G, Masucci M, Romagnoli C, Padua E, Manzi V. Prevention of Secondary Injury after Anterior Cruciate Ligament Reconstruction: Relationship between Pelvic-Drop and Dynamic Knee Valgus. Int J Environ Res Public Health 2023; 20:3063. [PMID: 36833752 PMCID: PMC9958946 DOI: 10.3390/ijerph20043063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 02/03/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: Optimal neuromuscular, Lumbo-Pelvic-Hip Complex, and lower extremity control are associated with decreased risk factors for secondary anterior cruciate ligament (ACL) injury. This study aimed to analyze any asymmetries and malalignments in the Lumbo-Pelvic-Hip Complex and the lower limbs at 6 months after ACL reconstruction (ACLR). (2) Methods: We conducted an exploratory retrospective observational single-center study in patients during the outpatient postoperative rehabilitation program at ICOT (Latina, Italy). From January 2014 to June 2020, 181 patients were recruited, but only 100 patients (86 male 28 ± 0.6 years, 178 ± 0.5 height; 14 female 24 ± 2.0 years, 178 ± 3.0 height) were eligible for the inclusion criteria and studied 6 months after ACL reconstruction surgery. (3) Statistical analysis: Student's t-tests and Pearson's product-moment correlation coefficient were used to determine significant differences between affected and non-affected limbs and variables' association. (4) Results: The study shows a decrease in neuromuscular control of the Lumbo-Pelvic-Hip Complex and dynamic adaptive valgus of the knee at 6 months after ACLR (mean difference between pathological and healthy limb of dynamic adaptive valgus was -10.11 ± 8.19° 95% CI -14.84 to -9.34; mean value was 16.3 ± 6.8° 95% CI 14.04 to 18.55 for healthy limb and 4.2 ± 3.1° 95% CI 3.15 to 5.21 for pathological limb, p < 0.0001). The results also showed a relationship between dynamic adaptive valgus and contralateral pelvic drop (r = 0.78, 95% CI 0.62 to 0.88, magnitude of correlation very large). (5) Conclusions: The analysis showed an associative correlation between decreased postural control of the pelvic girdle and dynamic adaptive valgus of the knee in 38% of patients; this study highlights the usefulness of the Single-Leg Squat Test (SLST) as a clinical/functional assessment to evaluate the rehabilitation process and as a preventive tool to reduce the risk of second ACL injuries during the return to sport.
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Affiliation(s)
- Rosario D’Onofrio
- Member of the Medical-Scientific Multidisciplinary Commission, Italian Football Doctors Association-L.A.M.I.CA., 04023 Formia, Italy
| | - Anas Radi Alashram
- Department of Physiotherapy, Faculty of Allied Medical Science, Middle East University, Amman 11622, Jordan
| | - Giuseppe Annino
- Centre of Space Bio-Medicine, Department of Medicine Systems, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Matteo Masucci
- Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
| | - Cristian Romagnoli
- Sport Engineering Lab, Department Industrial Engineering, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy
| | - Vincenzo Manzi
- Department of Humanities Science, Pegaso Open University, 80143 Naples, Italy
- Hellas Verona Football Club, Via Olanda 11, 37135 Verona, Italy
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Alashram AR, Annino G, Romagnoli C, Raju M, Padua E. Proprioceptive Focal Stimulation (Equistasi ®) for gait and postural balance rehabilitation in patients with Parkinson's disease: A systematic review. Proc Inst Mech Eng H 2023; 237:179-189. [PMID: 36515387 DOI: 10.1177/09544119221141945] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Gait and postural deficits are the most common impairments in patients with Parkinson's Disease (PD). These impairments often reduce patients' quality of life. Equistasi® is a wearable proprioceptive stabilizer that converts body thermic energy into mechanical vibration. No systematic reviews have been published investigating the influences of Equistasi® on gait and postural control in patients with PD. This review aimed to examine the effects of proprioceptive focal stimulation (Equistasi®) on gait deficits and postural instability in patients with PD. PubMed, Scopus, PEDro, REHABDATA, web of science, CHAINAL, EMBASE, and MEDLINE were searched from inception to July 2021. The methodological quality of the selected studies was evaluated using the Physiotherapy Evidence Database (PEDro) scale. Five studies met the eligibility criteria. The scores on the PEDro scale ranged from 3 to 8, with a median score of 8. The results showed evidence for the benefits of the proprioceptive focal stimulation (Equistasi®) on gait and postural stability in individuals with PD. Proprioceptive focal stimulation (Equistasi®) appears to be safe and well-tolerated in patients with PD. Proprioceptive focal stimulation (Equistasi®) may improve gait ability and postural stability in patients with PD. Further high-quality studies with long-term follow-ups are strongly needed to clarify the long-term effects of proprioceptive focal stimulation (Equistasi®) in patients with PD.
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Affiliation(s)
- Anas R Alashram
- Department of Physiotherapy, Middle East University, Amman, Jordan.,Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata," Rome, Italy
| | - Cristian Romagnoli
- Sport Engineering Lab, Department Industrial Engineering, University of Rome "Tor Vergata," Rome, Italy.,Science and Culture of Well-being and Lifestyle, "Alma Mater" University, Bologna, Italy
| | - Manikandan Raju
- Clinical/Experimental Neuroscience and Psychology, Department of Neuroscience Umane, University of Sapienza, Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
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Annino G, Alashram A, Romagnoli C, Balducci E, De Paolis M, Manzi V, Padua E. Acute Effects of Kinesio Taping on Functional Performance in Healthy Soccer Players: A Randomized, Controlled Crossover Trial. J Funct Morphol Kinesiol 2022; 8:jfmk8010002. [PMID: 36648894 PMCID: PMC9844374 DOI: 10.3390/jfmk8010002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/07/2022] [Accepted: 12/09/2022] [Indexed: 12/24/2022] Open
Abstract
This study aimed to investigate the acute effects of the Kinesio tape (KT) application on functional performance in healthy athletes. In this randomized, controlled crossover trial, a total of sixteen healthy soccer players (male = 14; age = 23.28 ± 3.13 years old) were assigned randomly into either KT over quadriceps, KT over hamstring, KT over quadriceps plus hamstring, or no intervention control condition. Four conditions were applied in a crossover design through three consecutive test sessions for each condition with a washout period of 2 days between the trials. Afterwards, all participants performed a 5-min warm-up routine and four sets of 30-s static stretching exercises for the hamstring and gluteal muscles for three consecutive treatment sessions. The running, jump, and flexibility tests were used to assess the functional performance of healthy athletes. A total of sixteen participants completed the study. No significant differences in the jump, flexibility, and running tests among the conditions were reported (p > 0.05). These findings suggest that KT application has no acute effects in improving functional performance in healthy athletes. However, further studies with larger sample sizes are needed to verify our results.
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Affiliation(s)
- Giuseppe Annino
- Department of Systems Medicine, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Anas Alashram
- Department of Physiotherapy, Middle East University, Amman 11831, Jordan
- Correspondence:
| | - Cristian Romagnoli
- Sport Engineering Lab, Department of Industrial Engineering, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Emanuele Balducci
- School of Human Movement Science, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Marco De Paolis
- School of Human Movement Science, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Vincenzo Manzi
- Department of Humanities Science, Pegaso Open University, 80143 Naples, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00133 Rome, Italy
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Bonanni R, Cariati I, Romagnoli C, D’Arcangelo G, Annino G, Tancredi V. Whole Body Vibration: A Valid Alternative Strategy to Exercise? J Funct Morphol Kinesiol 2022; 7:jfmk7040099. [PMID: 36412761 PMCID: PMC9680512 DOI: 10.3390/jfmk7040099] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 10/26/2022] [Accepted: 10/28/2022] [Indexed: 11/06/2022] Open
Abstract
Several studies agree that mechanical vibration can induce physiological changes at different levels, improving neuromuscular function through postural control strategies, muscle tuning mechanisms and tonic vibration reflexes. Whole-body vibration has also been reported to increase bone mineral density and muscle mass and strength, as well as to relieve pain and modulate proprioceptive function in patients with osteoarthritis or lower back pain. Furthermore, vibratory training was found to be an effective strategy for improving the physical performance of healthy athletes in terms of muscle strength, agility, flexibility, and vertical jump height. Notably, several benefits have also been observed at the brain level, proving to be an important factor in protecting and/or preventing the development of age-related cognitive disorders. Although research in this field is still debated, certain molecular mechanisms responsible for the response to whole-body vibration also appear to be involved in physiological adaptations to exercise, suggesting the possibility of using it as an alternative or reinforcing strategy to canonical training. Understanding these mechanisms is crucial for the development of whole body vibration protocols appropriately designed based on individual needs to optimize these effects. Therefore, we performed a narrative review of the literature, consulting the bibliographic databases MEDLINE and Google Scholar, to i) summarize the most recent scientific evidence on the effects of whole-body vibration and the molecular mechanisms proposed so far to provide a useful state of the art and ii) assess the potential of whole-body vibration as a form of passive training in place of or in association with exercise.
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Affiliation(s)
- Roberto Bonanni
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Ida Cariati
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Correspondence:
| | - Cristian Romagnoli
- Sport Engineering Lab, Department of Industrial Engineering, “Tor Vergata” University of Rome, Via Politecnico 1, 00133 Rome, Italy
| | - Giovanna D’Arcangelo
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Giuseppe Annino
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Virginia Tancredi
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
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Cariati I, Bonanni R, Pallone G, Romagnoli C, Rinaldi AM, Annino G, D’Arcangelo G, Tancredi V. Whole Body Vibration Improves Brain and Musculoskeletal Health by Modulating the Expression of Tissue-Specific Markers: FNDC5 as a Key Regulator of Vibration Adaptations. Int J Mol Sci 2022; 23:ijms231810388. [PMID: 36142305 PMCID: PMC9498983 DOI: 10.3390/ijms231810388] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/02/2022] [Accepted: 09/06/2022] [Indexed: 12/11/2022] Open
Abstract
Whole body vibration (WBV) is well known to exert beneficial effects on multiple tissues, improving synaptic transmission, muscle mass, bone quality, and reducing anxiety and depressive behavior. However, the underlying molecular mechanisms are not yet fully understood, and organs and tissues may respond differently to the vibratory stimulus depending on multiple factors. Therefore, we investigated the WBV effects on the brain and musculoskeletal tissue of 4-month-old young mice, evaluating synaptic plasticity by electrophysiological recordings and tissue organization by histology and histomorphometric analysis. Specifically, WBV protocols were characterized by the same vibration frequency (45 Hz), but different in vibration exposure time (five series of 3 min for the B protocol and three series of 2 min and 30 s for the C protocol) and recovery time between two vibration sessions (1 min for the B protocol and 2 min and 30 s for the C protocol). In addition, immunohistochemistry was conducted to evaluate the expression of fibronectin type III domain-containing protein 5 (FNDC5), as well as that of tissue-specific markers, such as brain-derived neurotrophic factor (BDNF) in brain, myostatin in muscle and collagen I (COL-1) in bone. Our results suggest that the WBV effects depend closely on the type of protocol used and support the hypothesis that different organs or tissues have different susceptibility to vibration. Further studies will be needed to deepen our knowledge of physiological adaptations to vibration and develop customized WBV protocols to improve and preserve cognitive and motor functions.
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Affiliation(s)
- Ida Cariati
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Roberto Bonanni
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Gabriele Pallone
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Cristian Romagnoli
- Department of Industrial Engineering, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Anna Maria Rinaldi
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Giuseppe Annino
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Giovanna D’Arcangelo
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Correspondence:
| | - Virginia Tancredi
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
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Annino G, Manzi V, Alashram AR, Romagnoli C, Coniglio M, Lamouchideli N, Perrone MA, Limongi D, Padua E. COVID-19 as a Potential Cause of Muscle Injuries in Professional Italian Serie A Soccer Players: A Retrospective Observational Study. Int J Environ Res Public Health 2022; 19:11117. [PMID: 36078838 PMCID: PMC9518420 DOI: 10.3390/ijerph191711117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/30/2022] [Accepted: 08/26/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic has shocked the entire planet. The soccer world has also suffered major upheavals, and many professional soccer players have been infected with the virus. The aim of this study was to evaluate the incidence of injuries in Italian Serie A professional soccer players before and during the COVID-19 pandemic. Methods: We evaluated the incidence of muscle injuries between four competitive seasons of the Italian Serie A (2016-2017, 2017-2018, and 2018-2019 pre-COVID-19 vs. 2020/2021 post-COVID-19) in professional soccer players. Results: Significant differences were found in muscular injuries between the post-COVID-19 season and the previous seasons (p < 0.001). The median split of the players' positivity duration was of 15 days. The players' long positivity (PLP) group showed a significant number of muscular injuries compared to the players' short positivity (PSP) group (p < 0.0014, ES = 0.81, Large). The total teams' days of positivity were significantly related to the total team number of muscular injuries (r = 0.86; CI 95% 0.66 to 0.94; p < 0.0001). In conclusion, this data showed that the competitive season post-COVID-19 lockdown has a higher incidence of muscle injuries in Italian Serie A soccer players compared to the pre-pandemic competitive season.
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Affiliation(s)
- Giuseppe Annino
- Department of Systems Medicine, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
- Centre of SpaceBio-Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Vincenzo Manzi
- Department of Humanities Science, Pegaso Open University, 80143 Naples, Italy
- Hellas Verona FC, Via Olanda 11, 37135 Verona, Italy
| | - Anas Radi Alashram
- Department of Physiotherapy, Middle East University, Amman 11831, Jordan
| | - Cristian Romagnoli
- Department for Life Quality Studies Rimini, Alma Mater University, 47521 Bologna, Italy
| | - Mattia Coniglio
- Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Niloofar Lamouchideli
- Department of Human Neuroscience, University of Rome “La Sapienza”, 00185 Rome, Italy
| | - Marco Alfonso Perrone
- Department of Systems Medicine, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
- University Sports Centre, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Dolores Limongi
- IRCCS San Raffaele Pisana, 00166 Rome, Italy
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy
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Romagnoli C, Ditroilo M, Bonaiuto V, Annino G, Gatta G. Paddle propulsive force and power balance: a new approach to performance assessment in flatwater kayaking. Sports Biomech 2022:1-14. [PMID: 35968767 DOI: 10.1080/14763141.2022.2109505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 07/29/2022] [Indexed: 10/15/2022]
Abstract
This study aims to determine the propulsive force (Fp) and its timing of application during the paddle stroke confirming the dynamic balance between propulsive and drag powers (Pp = Pd) in kayaking performance. Ten male sub-elite paddlers participated in the study. The athletes carried out three trials of 50 m at three different velocity ranges: 2.70 - 3.00 m/ s; 3.01 - 3.50 m/s and 3.51 - 4.00 m/ s. A constant velocity during each trial was maintained and the section between 15 and 40 m of the total pool length was considered for further analysis. Data were collected using the E-kayak system provided of an instrumented paddle and 2D video analysis. It was observed that the propulsive force increases in intensity (up to 90% of the peak force) as the velocity increases. The dynamic balance between Pd and Pp was confirmed with a Bland and Altman plot (estimated bias: 0.2; LoA: 12.8 and 13.3 W). The related comparisons between the power parameters showed no significant difference (p > 0.050) in each of the considered velocity. By applying the dynamic balance theory between Pp = Pd on the data obtained from the interaction among GPS, force on the paddle and 2D video analysis, it is possible to acquire essential information (Fp, Pp) to monitor the flatwater kayaking performance.
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Affiliation(s)
- Cristian Romagnoli
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
- Sport Engineering Laboratory, Department of Industrial Engineering, University of Rome "Tor Vergata", Rome, Italy
| | - Massimiliano Ditroilo
- School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Vincenzo Bonaiuto
- Sport Engineering Laboratory, Department of Industrial Engineering, University of Rome "Tor Vergata", Rome, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy
- Centre of Space Bio-Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - Giorgio Gatta
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
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Romagnoli C, Gatta G, Lamouchideli N, Bianco A, Loddo S, Alashram AR, Bonaiuto V, Annino G, Padua E. Specificity of weightlifting bench exercises in kayaking sprint performance: A perspective for neuromuscular training. Front Physiol 2022; 13:898468. [PMID: 35936907 PMCID: PMC9354820 DOI: 10.3389/fphys.2022.898468] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 07/01/2022] [Indexed: 11/13/2022] Open
Abstract
Several studies showed significant differences between bench lift exercises without investigating which is more related, in biomechanical and neuromuscular terms, to improve the sprint flatwater kayak performance. This study aims to compare the power-load and velocity-load neuromuscular parameters performed in prone bench pull (PBP), and bench press (BP) exercises to identify which of them meet the gesture specificity in sprint flatwater kayak performance. Ten elite kayakers participated in this study. Power-load, velocity-load relationships, the maximum dynamic strength, and the kayak sprint performance test were assessed. The power-load and velocity-load relationships showed significant differences between the PBP and BP for each considered load. The kayakers showed a significant correlation between maximum power performed on the PBP and the maximum velocity reached in the kayak sprint (r = 0.80, p < 0.01) and the stroke frequency (r = 0.61, p < 0.05). Conversely, the maximum power performed on the BP did not correlate with the kinematic parameters analyzed. In addition, the maximum dynamic strength in the PBP and BP did not correlate with the maximum velocity and stroke frequency. Furthermore, no significant difference was observed in both the bench exercises for the maximum dynamic strength (p > 0.05). The results of this study suggest that the maximal muscular power expressed in PBP exercise only seems to be more specific in kayak velocity performance compared with maximal dynamic strength and with all dynamic parameters recorded in the BP. This will allow coaches and trainers to use specific bench exercises for specific neuromuscular kayakers’ adaptations during the whole competitive season.
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Affiliation(s)
- Cristian Romagnoli
- Department for Life Quality Studies University of Bologna, Bologna, Italy
- Sport Engineering Lab, Department Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Giorgio Gatta
- Department for Life Quality Studies University of Bologna, Bologna, Italy
| | - Niloofar Lamouchideli
- Department of Human Neuroscience, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | | | | | - Vincenzo Bonaiuto
- Sport Engineering Lab, Department Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
| | - Giuseppe Annino
- Sport Engineering Lab, Department Industrial Engineering, University of Rome “Tor Vergata”, Rome, Italy
- Department of Medicine Systems, University of Rome “Tor Vergata”, Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Rome, Italy
- *Correspondence: Giuseppe Annino,
| | - Elvira Padua
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, Rome, Italy
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Alashram AR, Padua E, Romagnoli C, Raju M, Annino G. Clinical effectiveness of focal muscle vibration on gait and postural stability in individuals with neurological disorders: A systematic review. Physiother Res Int 2022; 27:e1945. [PMID: 35279915 DOI: 10.1002/pri.1945] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 12/17/2021] [Accepted: 02/24/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Gait deficits and postural instability are common impairments among patients with neurological disorders. These impairments limit function independence and decrease activities of daily living. Focal muscle vibration (FMV) produces vibration signals affecting the nervous system. No systematic review has been published examining the influence of FMV on gait ability and postural stability in individuals with neurological disorders. OBJECTIVES This study aimed to investigate the effects of FMV on gait and postural stability parameters in individuals with neurological disorders. METHODS PubMed, Scopus, PEDro, REHABDATA, web of science, CHAINAL, EMBASE, and MEDLINE were searched from inception to July 2021. The methodological quality of the selected studies was evaluated using the Physiotherapy Evidence Database (PEDro) scale. RESULTS Five randomized controlled trials (RCTs) met the eligibility criteria. The scores on the PEDro scale ranged from seven to nine, with a median score of eight. The results showed evidence for the benefits and non-benefits of the FMV intervention on gait and postural stability in individuals with neurological disorders. CONCLUSIONS The FMV intervention is safe and well-tolerated in individuals with neurological disorders. The evidence for the effects of FMV on individuals with neurological disorders was limited. Further high-quality studies with long-term follow-up are strongly needed.
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Affiliation(s)
- Anas R Alashram
- Department of Physiotherapy, Isra University, Amman, Jordan.,Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Cristian Romagnoli
- PhD School in Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy
| | - Manikandan Raju
- Clinical/Experimental Neuroscience and Psychology, Department of Neuroscience Umane, University of Sapienza, Rome, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy
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11
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Alashram AR, Padua E, Romagnoli C, Annino G. Hyperbaric oxygen therapy for cognitive impairments in patients with traumatic brain injury: A systematic review. Appl Neuropsychol Adult 2022:1-12. [PMID: 35213282 DOI: 10.1080/23279095.2022.2041418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Cognitive deficits are the most common impairments after traumatic brain injury (TBI). It can be linked with poor physical function. Hyperbaric oxygen therapy (HBOT) increases blood flow and oxygen supply to the brain. This review aimed to summarize and evaluate the available literature on the influences of HBOT on cognitive deficits in patients with TBI. PubMed, SCOPUS, PEDro, REHABDATA, MIDLINE, CHINAL, EMBASE, and Web of Science were searched from inception until June 2021. The methodological quality was measured using the physiotherapy evidence database (PEDro) scale. Ten studies met the eligibility criteria. Six studies were randomized controlled trials, and four were pilot studies. The scores on the PEDro scale ranged from two to nine, with a median score of seven. The included studies showed heterogeneity results for the beneficial effects of HBOT on improving cognitive functions in patients with TBI. The evidence for the beneficial effects of HBOT on cognitive functions post-TBI was limited. Further randomized controlled trials with large sample sizes are strongly needed to understand the effects of HBOT on cognitive functions in patients with TBI.
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Affiliation(s)
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Cristian Romagnoli
- PhD School in Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy
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12
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Luciano R, Romeo DM, Mancini G, Sivo S, Dolci C, Velli C, Turriziani Colonna A, Vento G, Romagnoli C, Mercuri EM. Neurological development and iron supplementation in healthy late-preterm neonates: a randomized double-blind controlled trial. Eur J Pediatr 2022; 181:295-302. [PMID: 34291331 PMCID: PMC8760203 DOI: 10.1007/s00431-021-04181-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 06/22/2021] [Accepted: 06/23/2021] [Indexed: 11/26/2022]
Abstract
Late-preterm infants (LPT) are at increased risk for long-term neurodevelopmental sequelae and iron deficiency. The aim of the study is to assess the positive effect of iron supplementation on psychomotor development in healthy LPT. We designed a randomized placebo-controlled double-blind trial dividing the newborns into two groups. Every patient was assessed using the Griffiths Mental Development Scales (GMDS)-II edition at 12-month post-conceptional age. The study was performed at the Neonatology Unit of our Hospital, in Italy. Sixty-six healthy LPT infants born between 340⁄7 and 366⁄7 weeks of gestational age were enrolled in the study. One group received martial prophylaxis from the third week of life to 6 months of post-conceptional age (2 mg/kg/day of iron pidolate), the other received placebo. Fifty-two of the enrolled infants were assessed using the GMDS at 12-month of post-conceptional age. Statistical analysis of the mean scores of the Griffiths subscales was performed. There was a difference in the mean developmental quotient (DQ) (p < 0.01) between the two groups: iron group mean DQ 121.45 ± 10.53 vs placebo group mean DQ 113.25 ± 9.70. Moreover, mean scores of the Griffiths subscales A, B, and D showed significant differences between the two groups (scale A p < 0.05, scale B p < 0.02, scale D p < 0.01, respectively).Conclusions: We recommend that all LPT neonates receive iron supplementation during the first 6 months of life in order to improve their 1-year neurodevelopmental quotient. What is Known: • Late-preterm infants (LPT) are at increased risk for long-term neurodevelopmental sequelae and also for iron deficiency. • Iron deficiency is an independent risk factor for adverse neurological outcomes. What is New: • Healthy late-preterm who received iron supplementation during the first 6 months of life achieved better neurological outcomes at 12-month post-conceptional age than LPT who received placebo. • Our study strongly supports the need for the implementation of martial prophylaxis in LPT neonates.
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Affiliation(s)
- R. Luciano
- Neonatology Unit, Department of Woman and Child Health and Public Health, Child Health Area, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of Sacred Heart, Rome, Italy
| | - D. M. Romeo
- Pediatric Neurology Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy
| | - G. Mancini
- Department of Woman and Child Health and Public Health, Child Health Area, Catholic University of Sacred Heart, Rome, Italy
| | - S. Sivo
- Pediatric Neurology Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy
| | - C. Dolci
- Department of Woman and Child Health and Public Health, Child Health Area, Catholic University of Sacred Heart, Rome, Italy
| | - C. Velli
- Pediatric Neurology Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy
| | - A. Turriziani Colonna
- Department of Woman and Child Health and Public Health, Child Health Area, Catholic University of Sacred Heart, Rome, Italy
| | - G. Vento
- Neonatology Unit, Department of Woman and Child Health and Public Health, Child Health Area, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of Sacred Heart, Rome, Italy
| | - C. Romagnoli
- Neonatology Unit, Department of Woman and Child Health and Public Health, Child Health Area, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - E. M. Mercuri
- Pediatric Neurology Unit, Department of Woman and Child Health and Public Health, Child Health Area, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of Sacred Heart, Rome, Italy
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13
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Alashram AR, Padua E, Raju M, Romagnoli C, Annino G. Transcutaneous spinal cord stimulation effects on spasticity in patients with spinal cord injury: A systematic review. J Spinal Cord Med 2021:1-8. [PMID: 34855565 DOI: 10.1080/10790268.2021.2000200] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
CONTEXT Spasticity is one of the most prevalent impairments following spinal cord injury (SCI). It can lead to a decrease in the patient's functional level. Transcutaneous spinal cord stimulation (tSCS) has demonstrated motor function improvements following SCI. No systematic reviews were published examining the influences of tSCS on spasticity post-SCI. OBJECTIVES This review aimed to investigate the effects of tSCS on spasticity in patients with SCI. METHODS PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases were searched until June 2021. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the selected studies. RESULTS Six studies met the inclusion criteria. Five studies were pilot studies, and one was a case series. The scores on the PEDro scale ranged from two to four, with a median score of four. The results showed heterogenous evidence for the effects of tSCS on spasticity reduction post-SCI. CONCLUSIONS TSCS appears safe and well-tolerated intervention in patients with SCI. The evidence for the effectiveness of tSCS on spasticity in chronic SCI patients is limited. Further randomized controlled studies are strongly needed to study the effects of tSCS on patients with SCI.
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Affiliation(s)
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Manikandan Raju
- Clinical/Experimental Neuroscience and Psychology, Department of Neuroscience Umane, University of Sapienza, Rome, Italy
| | - Cristian Romagnoli
- PhD School in Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy
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14
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Annino G, Manzi V, Buselli P, Ruscello B, Franceschetti F, Romagnoli C, Cotelli F, Casasco M, Padua E, Iellamo F. Acute effects of whole-body vibrations on the fatigue induced by multiple repeated sprint ability test in soccer players. J Sports Med Phys Fitness 2021; 62:788-794. [PMID: 34156181 DOI: 10.23736/s0022-4707.21.12349-7] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND We tested the hypothesis that Whole Body Vibration (WBV) positively affects the fatigue process ensuing from repeated bouts of maximal efforts, as induced by repeated sprints ability (RSA). Eleven male soccer players performed three sets of six repeated shuttle sprints (40 metres). METHODS Eleven male soccer players (age 23,6±4,5 years) were cross-randomized to perform WBW before RSA and during the recovery between sets (WBV-with) or to warm-up and passive recovery between sets (WBV-without). The effects of WBV were quantified by sprint time (ST) and blood lactate concentration (LA), collected up to 15th min after completion of tests. RESULTS ST during RSA showed a better maintenance of performance in the WBV-with compared to WBV-without condition in all three sets, reaching a statistical significance between-groups during the 2nd and 3rd set (P< 0.05). No significant differences in ST over the sets were detected in WBVwith, whereas a significant decrease was observed in the WBV-without condition (P<0.001). LA recovered significantly faster from the 9th to 15th minute of recovery in WBV-with as compared to WBV-without (P<0.05). CONCLUSIONS These findings would indicate that WBV performed during recovery between RSA sets is capable of delaying the onset of muscle fatigue resulting in a better maintenance of sprint performance.
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Affiliation(s)
- Giuseppe Annino
- Department of Medicine Systems, University of Rome Tor Vergata, Rome, Italy - .,School of Human Movement Science, University of Rome Tor Vergata, Rome, Italy - .,Centro di Biomedicina Spaziale, University of Rome Tor Vergata, Rome, Italy -
| | - Vincenzo Manzi
- Dipartimento di Scienze Umanistiche, Università Telematica Pegaso, Naples, Italy
| | - Paolo Buselli
- Physical and Rehabilitation Medicine Department, Hospital Istituti Ospitalieri di Cremona, Cremona, Italy
| | - Bruno Ruscello
- School of Human Movement Science, University of Rome Tor Vergata, Rome, Italy
| | | | - Cristian Romagnoli
- School of Human Movement Science, University of Rome Tor Vergata, Rome, Italy.,Department for Life Quality Studies, University of Bologna, Rimini, Italy
| | - Franco Cotelli
- High Performance Lab, S. Caterina Valfurva, Sondrio, Italy
| | | | - Elvira Padua
- School of Human Movement Science, University of Rome Tor Vergata, Rome, Italy.,Department of Science and Human Promotion of the Quality of Life, San Raffaele University online, Rome, Italy
| | - Ferdinando Iellamo
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.,Scientific Institute of Research and Care, San Raffaele Pisana, Rome, Italy
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15
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Annino G, Romagnoli C, Zanela A, Melchiorri G, Viero V, Padua E, Bonaiuto V. Kinematic Analysis of Water Polo Player in the Vertical Thrust Performance to Determine the Force-Velocity and Power-Velocity Relationships in Water: A Preliminary Study. Int J Environ Res Public Health 2021; 18:ijerph18052587. [PMID: 33807554 PMCID: PMC7967513 DOI: 10.3390/ijerph18052587] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 02/24/2021] [Accepted: 02/27/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND To date, studies on muscle force and power-velocity (F-v and P-v) relationships performed in water are absent. AIM The goal of this study is to derive the F-v and P-v regression models of water polo players in water vertical thrust performance at increasing load. METHODS After use of a control object for direct linear transformation, displacement over the water and elapsed time was measured, by using a high-speed 2D-videoanalysis system, on 14 players involved in the study. RESULTS Intra-operator and player's performance interclass correlation coefficient (ICC) reliability showed an excellent level of reproducibility for all kinematic and dynamic measurements considered in this study with a coefficient of variation (CV) of less than 4.5%. Results of this study have shown that an exponential force-velocity relationship seems to explain better the propulsive force exerted in the water in lifting increasing loads compared to the linear one, while the power and velocity have been shown to follow a second-order polynomial regression model. CONCLUSION Given the accuracy of the video analysis, the high reliability and the specificity of the results, it is pointed out that video analysis can be a valid method to determine force-velocity and power-velocity curves in a specific environment to evaluate the neuromuscular profile of each water polo player.
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Affiliation(s)
- Giuseppe Annino
- Department of Medicine Systems, “Tor Vergata” University of Rome, via Montpellier 1, 00133 Rome, Italy; (G.A.); (G.M.)
- Sport Engineering Lab, Department of Industrial Engineering, “Tor Vergata” University of Rome, via del Politecnico 1, 00133 Rome, Italy; (C.R.); (V.B.)
| | - Cristian Romagnoli
- Sport Engineering Lab, Department of Industrial Engineering, “Tor Vergata” University of Rome, via del Politecnico 1, 00133 Rome, Italy; (C.R.); (V.B.)
- Department for Life Quality Studies, University of Bologna, 47900 Rimini, Italy
| | - Andrea Zanela
- Robotics and Artificial Intelligence Lab, ENEA “Casaccia” Research Centre, via Anguillarese, 00301 Rome, Italy;
| | - Giovanni Melchiorri
- Department of Medicine Systems, “Tor Vergata” University of Rome, via Montpellier 1, 00133 Rome, Italy; (G.A.); (G.M.)
- Italian Swimming Federation, Stadio Olimpico Curva Nord, 00135 Rome, Italy;
| | - Valerio Viero
- Italian Swimming Federation, Stadio Olimpico Curva Nord, 00135 Rome, Italy;
| | - Elvira Padua
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, via di val Cannuta 247, 00166 Rome, Italy
- Correspondence:
| | - Vincenzo Bonaiuto
- Sport Engineering Lab, Department of Industrial Engineering, “Tor Vergata” University of Rome, via del Politecnico 1, 00133 Rome, Italy; (C.R.); (V.B.)
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16
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Verrelli CM, Romagnoli C, Jackson RR, Ferretti I, Annino G, Bonaiuto V. Front crawl stroke in swimming: Phase durations and self-similarity. J Biomech 2021; 118:110267. [PMID: 33571818 DOI: 10.1016/j.jbiomech.2021.110267] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 08/12/2020] [Revised: 01/07/2021] [Accepted: 01/16/2021] [Indexed: 11/30/2022]
Abstract
Human movements, such as walking and running, are able to generate rhythmic motor patterns, with the consequent appearance of hidden time-harmonic structures. Such harmonic structures are represented (at comfortable speed) by the occurrence of the golden ratio as ratio of durations of specific walking and running gait sub-phases. Preliminary experimental evidences suggest that front crawl swimming may behave, under this point of view, like walking and running. This paper aims to demonstrate that a mathematical connection between the golden ratio and the front crawl swimming stroke actually exists, at a pace that plays the role of the comfortable speed in walking and running. Generalized Fibonacci sequences are used to this purpose. They rely on the durations of aggregate phases of the front crawl swimming stroke with a clear physical meaning, while characterizing self-similarity of front crawl strokes in its simple nature and enhanced (stronger) variant. Experimental data on front crawl swimmers illustrate the theoretical derivations, suggesting that the pace playing the role of the comfortable speed in walking and running is the middle/long-distance one, while showing that the self-similarity level increases with the swimming technique and the enhanced self-similarity is associated with the performance of top-level swimmers.
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Affiliation(s)
- C M Verrelli
- Electronic Engineering Department of the University of Rome Tor Vergata, Via del Politecnico 1, 00133 Rome, Italy.
| | - C Romagnoli
- Department for Life Quality Studies, University of Bologna, 47900 Rimini, Italy; Sport Engineering Lab - Department of Industrial Engineering, University of Rome Tor Vergata, 00133 Rome, Italy
| | - R R Jackson
- Institute of Automation Technology, Otto-von-Guericke University Magdeburg, 39106 Magdeburg, Germany
| | - I Ferretti
- Biomechanical and Video-Analysis Area for the National Teams of "Federazione Italiana Nuoto (FIN)", Italy
| | - G Annino
- Sport Engineering Lab - Department of Industrial Engineering, University of Rome Tor Vergata, 00133 Rome, Italy; Department of Medicine Systems, University of Rome Tor Vergata, 00133 Rome, Italy
| | - V Bonaiuto
- Sport Engineering Lab - Department of Industrial Engineering, University of Rome Tor Vergata, 00133 Rome, Italy
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17
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Alashram AR, Padua E, Romagnoli C, Annino G. Effectiveness of focal muscle vibration on hemiplegic upper extremity spasticity in individuals with stroke: A systematic review. NeuroRehabilitation 2019; 45:471-481. [DOI: 10.3233/nre-192863] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Anas R. Alashram
- School of Neuroscience, Faculty of Medicine and Surgery, University of Rome “Tor Vergata”, Rome, Italy
- Department of Medicine Systems, University of Rome “Tor Vergata”, Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Cristian Romagnoli
- Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome “Tor Vergata”, Rome, Italy
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18
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Padua E, D'Amico AG, Alashram A, Campoli F, Romagnoli C, Lombardo M, Quarantelli M, Di Pinti E, Tonanzi C, Annino G. Effectiveness of Warm-Up Routine on the Ankle Injuries Prevention in Young Female Basketball Players: A Randomized Controlled Trial. ACTA ACUST UNITED AC 2019; 55:medicina55100690. [PMID: 31623096 DOI: 10.3390/medicina55100690] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 10/11/2019] [Accepted: 10/11/2019] [Indexed: 12/21/2022]
Abstract
Background and Objectives: Ankle joint is the most common site of injury for basketball athletes. An effective warm-up (WU) is a period of preparatory exercise to improve training performance and reduce sports injuries. Continuous examination of effective WU routines in basketball players is a necessity. The aim of this study was to investigate the effects of general and combined warm up on ankle injury range of motion (ROM) and balance in young female basketball players. Materials and Methods: A sample of 28 young female basketball players were randomly allocated to either global warm up control group (GWU) (n = 11) or combined warm up experimental group (CWU) (n = 17). All participants performed 7-min of run. The CWU group performed a single leg stance barefoot with eyes closed, plank forearm position and triceps sural stretching. Participants in GWU performed walking ball handling and core stability using a Swiss ball. Both WU routines were conducted 3 times per week for 10 weeks. Outcome measurements were the Stabilometric platform and dorsiflexion lunge test. Results: Twenty-eight young female basketball players completed the study. Participants in the experimental group improved significantly in the range of motion (ROM) in right and left ankle and the center of pressure displacement (CoP). The control group did not show any changes in ankle dorsiflexion and a significant reduction in all body balance parameters. Conclusions: An 8-min combined warm-up routine for 10 weeks improves the ankle dorsiflexion ROM and CoP displacement that plays a key role in ankle injuries prevention in basketball players. Further studies are strongly needed to verify our findings.
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Affiliation(s)
- Elvira Padua
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, 00166 Rome, Italy.
| | - Agata Grazia D'Amico
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, 00166 Rome, Italy.
| | - Anas Alashram
- School of Neuroscience, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Rome, Italy.
| | - Francesca Campoli
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, 00166 Rome, Italy.
| | - Cristian Romagnoli
- Departement for Life Quality Studies, Alma Mater Studiorum University of Bologna, 47921 Rimini, Italy.
| | - Mauro Lombardo
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, 00166 Rome, Italy.
| | - Matteo Quarantelli
- Department of Human Science and Promotion of Quality of Life, San Raffaele Open University of Rome, 00166 Rome, Italy.
| | | | | | - Giuseppe Annino
- Department of Medicine Systems, University of Rome, "Tor Vergata", 00133 Rome, Italy.
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19
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Alashram AR, Annino G, Padua E, Romagnoli C, Mercuri NB. Cognitive rehabilitation post traumatic brain injury: A systematic review for emerging use of virtual reality technology. J Clin Neurosci 2019; 66:209-219. [PMID: 31085075 DOI: 10.1016/j.jocn.2019.04.026] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [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: 03/21/2019] [Accepted: 04/29/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Traumatic brain injury (TBI) can causes numerous cognitive impairments usually in the aspects of problem-solving, executive function, memory, and attention. Several studies has suggested that rehabilitation treatment interventions can be effective in treating cognitive symptoms of brain injury. Virtual reality (VR) technology potential as a useful tool for the assessment and rehabilitation of cognitive processes. OBJECTIVES The aims of present systematic review are to examine effects of VR training intervention on cognitive function, and to identify effective VR treatment protocol in patients with TBI. METHODS PubMed, Scopus, PEDro, REHABDATA, EMBASE, web of science, and MEDLINE were searched for studies investigated effect of VR on cognitive functions post TBI. The methodological quality were evaluated using PEDro scale. The results of selected studies were summarized. RESULTS Nine studies were included in present study. Four were randomized clinical trials, case studies (n = 3), prospective study (n = 1), and pilot study (n = 1). The scores on the PEDro ranged from 0 to 7 with a mean score of 3. The results showed improvement in various cognitive function aspects such as; memory, executive function, and attention in patients with TBI after VR training. CONCLUSION Using different VR tools with following treatment protocol; 10-12 sessions, 20-40 min in duration with 2-4 sessions per week may improves cognitive function in patients with TBI. There was weak evidence for effects of VR training on attention post TBI.
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Affiliation(s)
- Anas R Alashram
- Department of Neurology, Faculty of Medicine and Surgery, University of Rome "Tor Vergata", Italy.
| | - Giuseppe Annino
- Department of Medicine Systems, University of Rome "Tor Vergata", Italy; Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy
| | - Elvira Padua
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy.
| | - Cristian Romagnoli
- PhD School in Science and Culture of Well-being and Lifestyle, Alma Mater University, Bologna, Italy.
| | - Nicola Biagio Mercuri
- Department of Neurology, Faculty of Medicine and Surgery, University of Rome "Tor Vergata", Italy; Department of Medicine Systems, University of Rome "Tor Vergata", Italy.
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20
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Annino G, Alashram AR, Alghwiri AA, Romagnoli C, Messina G, Tancredi V, Padua E, Mercuri NB. Effect of segmental muscle vibration on upper extremity functional ability poststroke: A randomized controlled trial. Medicine (Baltimore) 2019; 98:e14444. [PMID: 30762754 PMCID: PMC6408108 DOI: 10.1097/md.0000000000014444] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Upper extremity functional impairments are common consequences of stroke. Therefore, continuous investigation of effective interventions for upper extremity functions after stroke is a necessity. Segmental muscle vibration (SMV) is one of the interventions that incorporate sensory stimulation to improve motor cortical excitability. The aim of this study was to investigate the influence of 5-minute SMV application along with supervised physical therapy (SPT) on improving activities of daily living and motor recovery on the hemiparetic upper extremity in patients with stroke. METHODS A sample of 37 patients poststroke (29 males) was randomly allocated to either SPT control group (n = 18) or SPT and SMV (SPT-SMV) experimental group (n = 19). All patients received 3 sessions per week of SPT for 8 weeks. The SPT-SMV experimental group received SMV at the end of each SPT session. Outcome measures used were Barthel index (BI), modified Ashworth scale, manual muscle testing, and goniometry for range of motion (ROM) assessment. RESULTS Thirty-four patients completed the study. Patients in both groups improved significantly after treatment in BI, elbow ROM, and elbow muscles strength. However, muscle tone in elbow joint of the hemiplegic upper extremity improved significantly after SMV only in the experimental group (SPT-SMV). CONCLUSION The SPT intervention can improve functional outcomes of upper extremity in people after stroke. However, using SMV may have superior effect on improving muscle tone after stroke.
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Affiliation(s)
- Giuseppe Annino
- Department of Medicine Systems, University of Rome, “Tor Vergata”
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome
| | - Anas R. Alashram
- Faculty of Medicine and Surgery, University of Rome, “Tor Vergata,” Italy
| | - Alia A. Alghwiri
- Department of Physical Therapy, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan
| | | | - Giuseppe Messina
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Virginia Tancredi
- Department of Medicine Systems, University of Rome, “Tor Vergata”
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome
| | | | - Nicola Biagio Mercuri
- Department of Medicine Systems, University of Rome, “Tor Vergata”
- Faculty of Medicine and Surgery, University of Rome, “Tor Vergata,” Italy
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Capoluongo E, Vento G, Ameglio F, Lulli P, Matassa P, Carrozza C, Santini S, Antenucci M, Castagnola M, Giardina B, Romagnoli C, Zuppi C. Increased Levels of IGF-1 and Beta2-Microglobulin in Epithelial Lining Fluid of Preterm Newborns Developing Chronic Lung Disease: Effects of rhG-CSF. Int J Immunopathol Pharmacol 2018. [DOI: 10.1177/205873920601900106] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Insulin-like growth factor-1 (IGF-1) is involved in regulating the TH-l/TH-2 balance, favoring the development of the TH-2 compartment which enhances fibrosis, one of the main characteristics of Chronic Lung Disease (CLD) in premature newborns. Limited data is available concerning a possible association between early epithelial lining fluid (ELF) concentrations of IGF-1 (total and free forms), IGF-binding protein-3 (IGFBP-3), b2-microglobulin (B2M) and subsequent development of CLD in preterm neonates. If neutropenic, preterm neonates are frequently treated with recombinant human Granulocyte Colony Stimulating Factor (rhG-CSF). The objective of the study was to correlate ELF concentrations of IGF-1 and B2M during the first week of life both in non-neutropenic and in rhG-CSF-treated neutropenic preterm neonates, with subsequent development in CLD. Thirty preterm neonates with Respiratory Distress Syndrome (6 with neutropenia) were studied. Eleven out of 24 non-neutropenic preterm infants (46%) and all of the six neutropenic subjects (100%) developed CLD. With the exception of first day values, there was a clear similarity in the behaviors of assayed molecules between non-neutropenic and neutropenic patients developing CLD. Non-neutropenic patients without CLD showed significantly lower values of free IGF-1 and B2M both on days 1 and 3. Total IGF-I and cell counts were different only on the 3rd day. Conclusions: 1) the mechanisms leading to CLD might be mediated by high levels of IGF-family molecules soon after birth 2) B2M could be a marker of increased bronchoalveolar lavage fluid cellularity with potential inflammatory properties 3) G-CSF treatment induces an increased synthesis of IGF-1 molecules by cells recruited in the lung, with possible enhancement of the fibrogenic mechanisms.
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Affiliation(s)
- E. Capoluongo
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - G. Vento
- Department of Pediatrics, Division of Neonatology, Catholic University, 00168 - Rome, Italy
| | - F. Ameglio
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - P. Lulli
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - P.G. Matassa
- Department of Pediatrics, Division of Neonatology, Catholic University, 00168 - Rome, Italy
| | - C. Carrozza
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - S.A. Santini
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - M. Antenucci
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - M. Castagnola
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - B. Giardina
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
| | - C. Romagnoli
- Department of Pediatrics, Division of Neonatology, Catholic University, 00168 - Rome, Italy
| | - C. Zuppi
- Biochemistry and Clinical-Biochemistry Institute and Scientific International Institute “Paolo VI”
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22
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Ausili E, Maresca G, Massimi L, Morgante L, Romagnoli C, Rendeli C. Occult spinal dysraphisms in newborns with skin markers: role of ultrasonography and magnetic resonance imaging. Childs Nerv Syst 2018; 34:285-291. [PMID: 29075839 DOI: 10.1007/s00381-017-3638-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 10/17/2017] [Indexed: 11/30/2022]
Abstract
PURPOSE The purpose of this paper is to investigate occult spinal dysraphisms (OSD) using lumbar ultrasonography (LUS) in newborns presenting with specific skin markers or sacrococcygeal dimple. METHOD From 2012 to 2015, we performed LUS in newborns with cutaneous stigmata and/or sacroccygeal dimple. Magnetic resonance imaging (MRI) was performed in all patients with abnormal ultrasound or features of neurological involvement in order to detect spinal lesions. RESULTS We prospectively evaluated 475 newborns who presented cutaneous stigmata performing LUS during their 4 weeks of life though 439 completed the study. All patients had a follow-up of almost 12 months. Of these, 39 presented abnormal ultrasonography and underwent MRI. In this group, spinal dysraphism was confirmed in 12 patients. When considering skin markers, dermal sinus correlated with higher risk of spinal cord lesions, on the other hand the presence of simple sacral dimple alone denoted a very low risk of occult spinal dysraphism. The simultaneous presence of more skin markers and/or the presence of lumbar ultrasonography abnormality regarding the level of the conus, pulsatility, and the position of the cord, thickness of the filum terminale, or the presence of an intratecal mass, lipoma, or dermal sinus tract indicated the necessity to perform MRI in order to detect spinal cord abnormalities because of higher risk of spinal lesions. CONCLUSION LUS in newborns with specific skin markers is a valid method to select patients in which MRI can be performed to detect OSD. The presence of a simple sacral dimple alone is a negligible marker for occult neural pathology while the presence of isolated dermal sinus or more than one cutaneous marker could be considered indicative of higher risk of spinal dysraphism.
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Affiliation(s)
- E Ausili
- Spina Bifida Center, Women's and Infant Health Sciences, A. Gemelli Policlinic, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.
| | - G Maresca
- Spina Bifida Center, Women's and Infant Health Sciences, A. Gemelli Policlinic, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy
| | - L Massimi
- Neurosurgery Department, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy
| | - L Morgante
- Spina Bifida Center, Women's and Infant Health Sciences, A. Gemelli Policlinic, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy
| | - C Romagnoli
- Spina Bifida Center, Women's and Infant Health Sciences, A. Gemelli Policlinic, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy
| | - C Rendeli
- Spina Bifida Center, Women's and Infant Health Sciences, A. Gemelli Policlinic, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy
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23
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Gonzalez J, Bestach Y, Arbelbide J, Perusini A, Romagnoli C, Fantl D, De Dios Soler M, Rossenhain M, Santos I, Lima WM, Velloso E, Rocha V, Larripa I, Flores M, Belli C. Clinical and Prognostic Features in a Series of 277 Patients with Chronic Myelomonocytic Leukemia (CMML) from South America: A Multicenter Study. Leuk Res 2017. [DOI: 10.1016/s0145-2126(17)30359-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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24
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De Carolis MP, Pinna G, Cocca C, Rubortone SA, Romagnoli C, Bersani I, Salvi S, Lanzone A, De Carolis S. The transition from intra to extra-uterine life in late preterm infant: a single-center study. Ital J Pediatr 2016; 42:87. [PMID: 27658827 PMCID: PMC5034543 DOI: 10.1186/s13052-016-0293-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2016] [Accepted: 09/08/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Infants born at 34 to 36 weeks of gestation (late preterm) are at greater risk for adverse outcomes than those born at 37 weeks of gestation or later. Aim of this paper is to examine risk factors for late preterm births and to investigate the complications of the transition period in late preterm infants (LPIs). METHODS All consecutive late preterm deliveries, excluded stillbirths, were included. Maternal and neonatal data, need for delivery room resuscitative procedures, temperature at birth (T1) and two hours after the admission (T2) were analyzed in all LPIs stratified by Gestational Age (GA) and divided into three groups (34, 35 and 36 weeks). RESULTS Two hundred seventy-six LPIs were analyzed. Pregnancy complications were present in 72 mothers (26.1 %), more frequently at 34 weeks of gestation respect to 35 and 36 weeks (p = 0.008, p = 0.006 respectively). Forty seven LPIs (17.1 %) needed for any resuscitation and 37 (13.4 %) were ventilated at birth. LPIs at 34 weeks were significantly more likely to receive ventilation respect to those at 35 and 36. At T1 the mean temperature resulted lower at 34 weeks respect to 36 weeks (p = 0.03). At T2 respect to T1, the rate of normothermic neonates increased at 35 and 36 weeks (p = 0.003, p = 0.005, respectively). Hypoglicemia rate was similar among the groups; 66.7 % of hypoglicemic neonates were hypothermic at T1. The rate of respiratory diseases and NICU admission decreased with increasing GA. Higher number of neonates ventilated at birth developed respiratory disorders respect to those unventilated (40.5 % vs 8.4 %; p < 0.001). CONCLUSIONS Transition period in LPIs may become critical, as resuscitation strategies can be required and heat loss can occur. LPIs, especially at 34 gestational weeks, are higher-risk group needing adequate and targeted management at birth.
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Affiliation(s)
- M. P. De Carolis
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - G. Pinna
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - C. Cocca
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - S. A. Rubortone
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - C. Romagnoli
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - I. Bersani
- Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Universitary Hospital A. Gemelli, Largo Gemelli 8, 00168 Rome, Italy
| | - S. Salvi
- Department of Obsterics and Gynecology, Catholic University of Sacred Heart, Rome, Italy
| | - A. Lanzone
- Department of Obsterics and Gynecology, Catholic University of Sacred Heart, Rome, Italy
| | - S. De Carolis
- Department of Obsterics and Gynecology, Catholic University of Sacred Heart, Rome, Italy
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Casadei R, De Paolis M, Drago G, Romagnoli C, Donati D. Total elbow arthroplasty for primary and metastatic tumor. Orthop Traumatol Surg Res 2016; 102:459-65. [PMID: 27084091 DOI: 10.1016/j.otsr.2015.12.026] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Revised: 10/05/2015] [Accepted: 12/23/2015] [Indexed: 02/02/2023]
Abstract
BACKGROUND Prostheses can be used in elbow reconstruction in both primary and metastatic lesions. Several authors have reported their experience with different types of implant, but not with modular prostheses. HYPOTHESIS Limb salvage using an elbow prosthesis is effective in obtaining good functional results and reliable local tumor control. MATERIAL AND METHODS Forty-seven patients treated at the Rizzoli Institute for elbow neoplasm from 1990 to 2012 were evaluated. There were 30 primary tumors (64%), 24 bone tumors and 6 soft tissue sarcomas, and 17 bone metastases. Elbow reconstruction used a modular prosthesis in 25 patients and a standard prosthesis in 22. Reconstruction was primary in 30 patients and secondary in 17. RESULTS At last control, 15 (32%) were dead of disease (DOD) at a mean follow-up of 35 months, 12 (25%) were alive with disease (AWD) at a mean follow-up of 29 months, 19 (40%) showed no evidence of disease (NED) at a mean follow-up of 80 months. Early complications were related to unexpected neurological damage, observed in 12 patients (25%): in 5 cases the deficit resolved in a mean 6 months; in the others, no or only partial recovery was observed. Two implants (4%) developed infection: 1 was treated with antibiotic therapy, and the other required implant revision. One implant showing cement extrusion was revised. In 3 patients (6%) radiography showed a radiolucent halo around the stem (2 humeral, 1 ulnar); no measures were taken, as the patients were completely asymptomatic at every follow-up. In 3 patients (6%) partial resorption of the allograft was observed on X-ray, but remained unchanged at last follow-up, without pain or functional impairment. Seven local recurrences (15%) were observed, at a mean of 16 months after surgery; 5 were treated by resection and/or radiotherapy, and 2 by amputation. Mean functional scores on MEPS and MSTS were respectively 84% and 22/30 (73%). CONCLUSIONS Elbow prostheses provided better function in primary than in metastatic tumor. Elbow prosthesis reconstruction after tumor resection is a viable option both for primary and secondary bone neoplasms. TYPE OF STUDY Therapeutic. LEVEL OF EVIDENCE IV, retrospective study.
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Affiliation(s)
- R Casadei
- Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.
| | - M De Paolis
- Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.
| | - G Drago
- Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.
| | - C Romagnoli
- Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.
| | - D Donati
- Department of Musculoskeletal Oncology, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.
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Picciotti PM, Battista M, Pandolfini M, Paludetti G, Ausili E, Romagnoli C, Rendeli C. Audiological evaluation in children affected by myelomeningocele. Childs Nerv Syst 2015; 31:2321-4. [PMID: 26351072 DOI: 10.1007/s00381-015-2898-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 09/01/2015] [Indexed: 11/24/2022]
Abstract
PURPOSE The aim of the present study is to evaluate the auditory system in children affected by myelomeningocele and comparing the results with clinical neurological conditions. MATERIALS AND METHODS Forty-three children, aged between 7 and 26 years, affected by myelomeningocele were investigated by means of subjective tonal audiometry and objective impedance audiometry (tympanometry and acoustic stapedial reflex). RESULTS Audiological evaluation showed an alteration in 32 patients (74%%). Nine patients presented a mild hearing loss: bilateral in six cases (three sensorineural, one mixed, and two conductive) and unilateral in three cases (two mixed and one conductive). One patient had moderate unilateral conductive deafness and, finally another one severe unilateral sensorineural. Almost all patients with deafness were affected by myelomeningocele and Chiari II. Stapedial-cochlear reflex investigation showed an alteration in 30 patients (70%): 9 of these also showed deafness while the remaining 21 was normal hearing. In these 30 patients, we demonstrated the presence of myelomeningocele, hydrocephalus, and Chiari II malformation in 21 subjects (70%). CONCLUSION Otoneurological evaluation is important in myelomeningocele not only at the birth but also in the follow-up. It could have an important prognostic role for neurological impairment.
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Affiliation(s)
- Pasqualina Maria Picciotti
- Department of Otolaryngology Head and Neck Surgery and Paediatrics, Rome, Italy. .,Department of Otolaryngology, Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.
| | - M Battista
- Department of Otolaryngology Head and Neck Surgery and Paediatrics, Rome, Italy
| | - M Pandolfini
- Department of Otolaryngology Head and Neck Surgery and Paediatrics, Rome, Italy
| | - G Paludetti
- Department of Otolaryngology Head and Neck Surgery and Paediatrics, Rome, Italy
| | - E Ausili
- Catholic University of Sacred Heart, Rome, Italy
| | - C Romagnoli
- Catholic University of Sacred Heart, Rome, Italy
| | - C Rendeli
- Catholic University of Sacred Heart, Rome, Italy
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27
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Luciano R, Fracchiolla A, Ricci D, Cota F, D'Andrea V, Gallini F, Papacci P, Mercuri E, Romagnoli C. Are high cumulative doses of erythropoietin neuroprotective in preterm infants? A two year follow-up report. Ital J Pediatr 2015; 41:64. [PMID: 26376632 PMCID: PMC4574078 DOI: 10.1186/s13052-015-0171-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 09/01/2015] [Indexed: 01/24/2023] Open
Abstract
Background Preterm infants are at risk for neurodevelopmental sequelae even in absence of major cerebral lesions. The hypothesis that Human Recombinant Erythropoietin (rEpo) could improve the neurodevelopmental outcome in risk neonates has raised the highest interest in recent years. Methods A group of preterm neonates born at a gestational age ≤ 30 weeks and free from major cerebral lesions or major visual impairment, were included in the study if they had a complete neurologic evaluation for at least 24 months of postmenstrual age. They were assigned to group I in the case they had been treated with rEpo or group II if untreated. The aim was to evaluate whether rEpo, given at the high cumulative doses utilized for hematologic purposes, is able to improve the neurodevelopmental outcome in preterm infants born at a gestational age ≤ 30 weeks. A group of 104 preterm neonates were studied: 59 neonates who received rEpo for 6.9 ± 2.4 weeks at a median cumulative dose of 6300 UI/Kg (6337 ± 2434 UI/Kg), starting at a median age of 4 days and 45 neonates who were born in the period preceding the routine use of rEpo. The neurodevelopmental quotient at 24 month postmenstrual age was assessed utilizing the Griffiths’ Mental Developmental Scales. Results Our results failed to show any difference in the Developmental Quotient at 24 month. Bronchopulmonary dysplasia, minor intraventricular hemorrhages and blood transfusions were the clinical features significantly related to the Developmental Quotient. Conclusions Our results do not support the hypothesis that rEpo, administered with the schedule utilized for hematologic purposes, improve the neurodevelopmental outcome of preterm neonates, at least those preterm infants free from major impairments.
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Affiliation(s)
- R Luciano
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - A Fracchiolla
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - D Ricci
- Pediatric Neurology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - F Cota
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - V D'Andrea
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - F Gallini
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - P Papacci
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - E Mercuri
- Pediatric Neurology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
| | - C Romagnoli
- Neonatology Unit, Department of Gynecology, Obstetrics and Pediatrics, A. Gemelli University Hospital, Rome, Italy.
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Costa S, Giannantonio C, Romagnoli C, Barone G, Gervasoni J, Perri A, Zecca E. Lutein and zeaxanthin concentrations in formula and human milk samples from Italian mothers. Eur J Clin Nutr 2015; 69:531-2. [PMID: 25626411 DOI: 10.1038/ejcn.2014.282] [Citation(s) in RCA: 7] [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: 11/09/2022]
Affiliation(s)
- S Costa
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
| | - C Giannantonio
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
| | - C Romagnoli
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
| | - G Barone
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
| | - J Gervasoni
- Department of Clinical Chemistry, Catholic University of Sacred Heart, Rome, Italy
| | - A Perri
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
| | - E Zecca
- Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Rome, Italy
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Gibson E, Gaed M, Gómez J, Moussa M, Romagnoli C, Kassam Z, Bastian-Jordan M, Cool D, Pautler S, Chin J, Crukley C, Bauman G, Fenster A, Ward A. Toward Prostate Cancer Contouring Guidelines on MRI: Dominant Lesion Gross and Clinical Target Volume Coverage via Accurate Histology Fusion. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Vento G, Tana M, Tirone C, Aurilia C, Lio A, Ricci C, Gambacorta A, Romagnoli C. Lung recruitment strategies and surfactant in neonatal intensive care unit. Acta Biomed 2014; 85:11-14. [PMID: 24957340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/20/2014] [Accepted: 06/20/2014] [Indexed: 06/03/2023]
Abstract
Several studies in the lamb model have shown that hyperinflation of the lungs early in life may cause a blunted response to surfactant with signs of lung injury and any attempt to recruit lung volume in the surfactant deficient preterm infant by large lung inflations at birth should be potentially dangerous. As regards the situation when surfactant is given later, as rescue treatment for established RDS, the evidence for a clinically beneficial effect of a recruitment maneuver is yet insufficient and, hopefully, future studies will gather more data on this aspect.
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31
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Zuppa AA, Alighieri G, Fracchiolla A, Galluccio C, Riccardi R, Cavani M, Romagnoli C. Effectiveness of a prematurity-based protocol for management of infants born to mothers with Group B Streptococcus colonisation. J OBSTET GYNAECOL 2014; 34:673-8. [PMID: 24921191 DOI: 10.3109/01443615.2014.920796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The aim of this study was to validate the efficacy of a protocol for the management of infants born to colonised mothers with Group B Streptococcus (GBS). We studied a cohort of newborns admitted at the A. Gemelli University Hospital between May 2006 and December 2009. A total of 1,108 were newborns of mothers with GBS; 178 were children of mothers with unknown GBS status. Newborns were managed according to the care protocol in use at our division. Infected infants were born to mothers who underwent inadequate intrapartum antibiotic prophylaxis (IAP). No mother with complete IAP had an infected newborn. The incidence of invasive GBS infection in newborns of mothers with GBS was 0.4% and in newborns of mothers with unknown GBS status was 2.2%. Only 17.4% of newborns of mothers with GBS had risk factors. The complete IAP should always be performed regardless of the presence or the absence of risk factors. The care protocol applied offers successful management of the newborns of mothers with GBS, based on the correct execution of IAP, considering as a primary risk factor, the gestational age of < 35 weeks.
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Affiliation(s)
- A A Zuppa
- Department of Pediatrics, Division of Neonatology, Catholic University of the Sacred Heart , Rome , Italy
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Costa S, Barone G, Vento G, Tirone C, Perelli S, Romagnoli C. Adrenocortical insufficiency is not a problem in preterm infants treated with antifungal prophylaxis with fluconazole. Acta Paediatr 2014; 103:e234-7. [PMID: 24575768 DOI: 10.1111/apa.12613] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Accepted: 02/24/2014] [Indexed: 11/30/2022]
Abstract
AIM Fluconazole prophylaxis of invasive fungal infections is a cornerstone of neonatal care, but in vitro studies have shown that it inhibits corticosteroid production. This study assessed whether preterm infants demonstrated an association between fluconazole administration, and its duration, and symptoms of adrenocortical insufficiency. METHODS We compared two groups who were treated before and after we introduced the use of fluconazole to our neonatal intensive care unit. Infants with a gestational age of ≤27 weeks or with a birth weight of ≤750 g were considered for the retrospective analysis. In order to assess whether the duration of prophylaxis was related to adrenocortical insufficiency, regression models were performed in all preterm infants in the fluconazole group. RESULTS The fluconazole group (n = 37) and nonfluconazole group (n = 41) were compared. No differences were found in the percentage of infants with symptoms of adrenocortical insufficiency, such as hypotension or need of vasopressor therapy. The incidence of hypotension and the use of vasopressor therapy were not related to duration of fluconazole prophylaxis. CONCLUSION Fluconazole and it duration were not associated with the incidence of symptoms related to adrenocortical insufficiency. Further prospective trials are needed to better define the relationship between fluconazole and adrenocortical insufficiency.
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Affiliation(s)
- S Costa
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
| | - G Barone
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
| | - G Vento
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
| | - C Tirone
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
| | - S Perelli
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
| | - C Romagnoli
- Division of Neonatology; Department of Pediatrics; Catholic University of Sacred Heart; Rome Italy
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Billia M, Burtnyk M, Kuru T, Pahernik S, Roethke M, Schlemmer H, Romagnoli C, Chin J. 1133 MRI-guided transurethral ultrasound ablation of prostate cancer: Preliminary outcomes of a phase I clinical trial. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/s1569-9056(14)61113-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Gibson E, Gaed M, Gómez JA, Moussa M, Romagnoli C, Pautler S, Chin JL, Crukley C, Bauman GS, Fenster A, Ward AD. 3D prostate histology reconstruction: an evaluation of image-based and fiducial-based algorithms. Med Phys 2014; 40:093501. [PMID: 24007184 DOI: 10.1118/1.4816946] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
PURPOSE Evaluation of in vivo prostate imaging modalities for determining the spatial distribution and aggressiveness of prostate cancer ideally requires accurate registration of images to an accepted reference standard, such as histopathological examination of radical prostatectomy specimens. Three-dimensional (3D) reconstruction of prostate histology facilitates these registration-based evaluations by reintroducing 3D spatial information lost during histology processing. Because the reconstruction accuracy may constrain the clinical questions that can be answered with these data, it is important to assess the tradeoffs between minimally disruptive methods based on intrinsic image information and potentially more robust methods based on extrinsic fiducial markers. METHODS Ex vivo magnetic resonance (MR) images and digitized whole-mount histology images from 12 radical prostatectomy specimens were used to evaluate four 3D histology reconstruction algorithms. 3D reconstructions were computed by registering each histology image to the corresponding ex vivo MR image using one of two similarity metrics (mutual information or fiducial registration error) and one of two search domains (affine transformations or a constrained subset thereof). The algorithms were evaluated for accuracy using the mean target registration error (TRE) computed from homologous intrinsic point landmarks (3-16 per histology section; 232 total) identified on histology and MR images, and for the sensitivity of TRE to rotational, translational, and scaling initialization errors. RESULTS The algorithms using fiducial registration error and mutual information had mean ± standard deviation TREs of 0.7 ± 0.4 and 1.2 ± 0.7 mm, respectively, and one algorithm using fiducial registration error and affine transforms had negligible sensitivities to initialization errors. The postoptimization values of the mutual information-based metric showed evidence of errors due to both the optimizer and the similarity metric, and variation of parameters of the mutual information-based metric did not improve its performance. CONCLUSIONS The extrinsic fiducial-based algorithm had lower mean TRE and lower sensitivity to initialization than the intrinsic intensity-based algorithm using mutual information. A model relating statistical power to registration error for certain imaging validation study designs estimated that a reconstruction algorithm with a mean TRE of 0.7 mm would require 27% fewer subjects than the method used to initialize the algorithms (mean TRE 1.3 ± 0.7 mm), suggesting the choice of reconstruction technique can have a substantial impact on the design of imaging validation studies, and on their overall cost.
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Affiliation(s)
- E Gibson
- Biomedical Engineering Graduate Program, The University of Western Ontario, London, Ontario N6A 5B9, Canada.
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Zuppa AA, D’Andrea V, Verrillo G, Riccardi R, Savarese I, Cavani M, Romagnoli C. Spontaneous neonatal pneumomediastinum: Radiological or clinical diagnosis? J OBSTET GYNAECOL 2014; 34:138-40. [DOI: 10.3109/01443615.2013.830597] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Girtler MT, Krasinski A, Dejaco C, Kitzler HH, Cui LG, Sherebrin S, Gardi L, Chhem RK, Fenster A, Romagnoli C, De Zordo T. Feasibility of 3D ultrasound to evaluate upper extremity nerves. Ultraschall Med 2013; 34:382-387. [PMID: 23023451 DOI: 10.1055/s-0032-1325397] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE This study investigates the performance of a 3 D Ultrasound (US) system in imaging elbow and wrist nerves. MATERIALS AND METHODS Twenty healthy volunteers with asymptomatic median, ulnar and radial nerves were prospectively investigated. Bilateral 3DUS scans of the elbows and wrists were acquired by using a commercially available US scanner (18 MHz, AplioXG, Toshiba) and stored as a 3 D volume by a dedicated software (CURE, Robarts Research Institute). Retrospectively, qualitative (image quality, atypical nerve location, findings potentially associated with compression neuropathy) and quantitative (cross-sectional area measurements) evaluations were performed. RESULTS In all 200 nerves 3DUS was feasible (100%). Image quality was insufficient in 13.5% (25 ulnar nerve elbow, 2 radial nerve) and sonomorphology was not assessable in those nerves. Measurement of cross sectional areas was feasible in all nerves (100%). Median cross-sectional area (range) were: median nerve elbow 7 mm2 (6-9), radial nerve 3 mm2 (1-4), ulnar nerve elbow 8 mm2 (5-11), median nerve wrist 8 mm2 (5-10), and ulnar nerve wrist 4 mm2 (2-6). No significant changes in nerve cross-sectional area along each nerve was found. Ulnar nerve subluxation was found in 2 nerves (6.7%). No anconeus epitrochlearis muscle or osteophytes were found. CONCLUSION 3DUS is a feasible method for assessing nerves of the upper extremity and has been shown to provide a good overview of the median, ulnar and radial nerve at the elbow and wrist, but is limited for evaluation of the ulnar nerve in the cubital tunnel. This technique enables reliable measurements at different locations along the nerve.
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Affiliation(s)
- M-T Girtler
- Robarts Research Institute, University of Western Ontario, Canada
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Inchingolo R, Maresca G, Cacaci S, Ausili E, Paolucci V, Bonomo L, Romagnoli C, Rendeli C. Post-natal ultrasound morpho-dynamic evaluation of mild fetal hydronephrosis: a new management. Eur Rev Med Pharmacol Sci 2013; 17:2232-9. [PMID: 23893191 DOI: pmid/23893191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Fetal hydronephrosis is the most common anomaly detected on antenatal ultrasound examination, affecting 1-5% pregnancies. AIM A new management in mild antenatal renal pelvis dilatation (ARPD), using a technique based on both morphological and dynamical evaluation. MATERIALS AND METHODS Prospective study conducted during a 36-months period in 180 consecutive newborns referred as having mild ARPD. Examinations consisted in a morphological ultra-sound (US) scan evaluating antero-posterior diameter, renal parenchyma, ureteral evidence and pelvis morphology and, subsequently, a dynamic evaluation to analyze any change of the urinary tract during bladder voiding. All children were evaluated both at 3rd day and 1 month after birth. They were divided among those with negative examinations and those with at least one positive scan, trying to discriminate within the latter, children suspected for transient pyelectasis from those suspected for organic pathology. RESULTS 108 patients had normal US findings both at birth and at 1 month. The remaining 72 babies had at least one abnormal US examination: 54 were suspected for transient pyelectasis, while 18 suspected for organic pathology. At the end of the study, 61 babies (33.9%) had final diagnosis of transient pyelectasis and 11 cases (6.1%) of organic pathology. At one month the dynamic pattern of US findings had the highest negative predictive value, while renal parenchyma evaluation has the highest accuracy. CONCLUSIONS a dynamic US approach allowed to better select among infants suspected for transient pyelectasis from those suspected for organic pathology, avoiding unnecessary and invasive examinations in healthy babies.
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Affiliation(s)
- R Inchingolo
- Department of Bio-Imaging and Radiological Sciences, School of Medicine and Department of Pediatrics, Catholic University of the Sacred Heart, Polyclinic A. Gemelli, Rome, Italy.
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Zuppa AA, Alighieri G, Fracchiolla A, Catenazzi P, D'Antuono A, Riccardi R, Cavani M, Romagnoli C. Comparison between two treatment protocols with recombinant human erythropoietin (rHuEpo) in the treatment of late anemia in neonates with Rh-isoimmunization. Pediatr Med Chir 2012; 34:186-91. [PMID: 23173411 DOI: 10.4081/pmc.2012.72] [Citation(s) in RCA: 4] [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: 11/22/2022] Open
Abstract
OBJECTIVE [corrected] The Rh-hemolytic disease can lead to a late anemia by hemolytic and hyporigenerative mechanism. We compared the effectiveness of rHuEPO in two care protocols that differ for doses of rHuEPO administrated and for timing of administration. METHODS A cohort of 14 neonates was investigated. The neonates were treated with two different protocols. Protocol A: a dose of 200 U/kg/day of rHuEpo administered subcutaneously starting from the end of the second week of life; Protocol B: a dose of 400 U/kg/day of rHuEpo administered subcutaneously starting from the end of the first week of life. RESULTS The hematocrit values in the protocol A group decreased during treatment (32,5% vs 25,2%), whereas the hematocrit value in protocol B group remained almost stable (38,7% vs 42,8%). The mean numbers of platelets remained stable in both groups while neutrophils increased in protocol A group and decreased in protocol B (p<0,05). Reticulocyte count increased during treatment in both groups, although only in protocol B group it was statistically significative (p<0,05). CONCLUSIONS Our results suggest a similar efficacy between the two treatment protocols. Increasing doses of rHuEPO do not seem enhancing their effectiveness and the incidence of side effects.
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Affiliation(s)
- A A Zuppa
- Dipartimento di Pediatria, Divisione di Neonatologia, Università Cattolica del Sacro Cuore, Roma.
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Shahedi M, Fenster A, Romagnoli C, Ward AD. MO-G-BRA-03: Semi-Automatic Segmentation of the Prostate Midgland in Magnetic Resonance Images Using Shape and Local Appearance Similarity Analysis. Med Phys 2012. [DOI: 10.1118/1.4735848] [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: 11/07/2022] Open
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Tana M, Zecca E, Tirone C, Aurilia C, Cota F, Lio A, Tesfagabir MG, Romagnoli C, Vento G. Target fraction of inspired oxygen during open lung strategy in neonatal high frequency oscillatory ventilation: a retrospective study. Minerva Anestesiol 2012; 78:151-159. [PMID: 21712769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND There is no agreement to define the target FiO2 to adopt in the lung recruitment phase during HFOV in preterm infants. We report our experience of an optimal lung volume strategy (OLVS), defined as FiO2≤0.25 during the recruitment phase, in a cohort of neonates with gestational age (GA) ≤27 weeks treated with elective HFOV for respiratory distress syndrome (RDS) between July 2006 and September 2008. METHODS FiO2 used during the recruitment phase was different according to physician' evaluation. 51 newborns were then divided into two groups: patients reaching FiO2≤0.25 (OLVS Group, N.=28), and patients reaching FiO2>0.25 (No-OLVS Group, N.=23). RESULTS Prior to surfactant administration OLVS Group, respect to No-OLVS Group, received a significantly higher continuous distending pressure (CDP): 12.8±1.1 cmH2O vs 11.2±1.3 cmH2O (P<0.0001) and a significantly lower FiO2: 0.25±0.01 vs 0.35±0.06 (P<0.0001). A multivariate modeling approach confirmed that OLVS was significantly associated to the need for less surfactant doses (OR 0.19[95% CI 0.05-0.84]), a decreased risk of ductus arteriosus surgically ligated (OR 0.13[95% CI 0.02-0.86]) and to a lower number of ventilation hours before extubation: -152 (95% CI -284- -20). CONCLUSION OLVS to fully recruit the lungs achieving FiO2≤0.25 during elective HFOV is associated with better short-term pulmonary outcomes respect to a strategy where the patients received a FiO2>0.25 during the recruitment phase. Utilizing HFOV in this way provides a more effective means to recruit and protect acutely injured lungs.
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Affiliation(s)
- M Tana
- Reparto di Neonatologia, Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
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Vento G, Tana M, Tirone C, Aurilia C, Lio A, Perelli S, Ricci C, Romagnoli C. Effectiveness of treatment with surfactant in premature infants with respiratory failure and pulmonary infection. Acta Biomed 2012; 83 Suppl 1:33-36. [PMID: 23029875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
INTRODUCTION Surfactant inactivation is present in neonatal pneumonia. MATERIALS AND METHODS One hundred thirty-nine preterm babies with Birth Weight (BW) < or = 1250 grams were studied and subdivided in two groups: RDS Group, with a diagnosis of "simple" RDS (N 80) and RDS with Pneumonia Group, consisting of babies with a diagnosis of RDS and a positive BALF culture in the first 24-48 h of life (N 59). OUTCOMES Surfactant administration seems less effective in the latter group, because a significantly higher number of infants needed a second dose of surfactant, compared to the patients suffering from RDS alone. (www.actabiomedica.it).
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Affiliation(s)
- Giovanni Vento
- Department of Pediatrics, Division of Neonatology, Università Cattolica del Sacro Cuore, Rome, Italy.
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Borgia P, Cambieri A, Chini F, Coltella L, Delogu G, Di Rosa E, Fadda G, Giorgi Rossi P, Girardi E, Goletti D, Guasticchi G, Morrone A, Pezzotti P, Romagnoli C, Sacerdote M, Russo C, Villani A, Zarelli L. Suspected transmission of tuberculosis in a maternity ward from a smear-positive nurse: preliminary results of clinical evaluations and testing of neonates potentially exposed, Rome, Italy, 1 January to 28 July 2011. ACTA ACUST UNITED AC 2011; 16. [PMID: 21996378 DOI: 10.2807/ese.16.40.19984-en] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report preventive measures adopted after tuberculosis(TB) transmission from a nurse to a newborn assessed in late July 2011. All exposed neonates born between January and July 2011 were clinically evaluated and tested by QuantiFERON TB gold in-tube; newborns testing positive were referred for prophylaxis.Of 1,340 newborns, 118 (9%) tested positive and no other active cases of TB were found. Active surveillance for TB will be continued over the next three years for all those exposed.
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Affiliation(s)
- P Borgia
- Agency for Public Health, Lazio Region, Rome, Italy
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Costa S, Cota F, Romagnoli C, Latella C, Maggio L, Gallini F. Urinary aldosterone excretion and electrolytic balance in response to chronic diuretic therapy in very low-birth weight infants. J Endocrinol Invest 2011; 34:604-8. [PMID: 21060248 DOI: 10.3275/7330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
BACKGROUND It has been reported that the reninangiotensin- aldosterone system of healthy newborn infants and pre-term infants responds to acute furosemide challenge. OBJECTIVE To assess urinary aldosterone excretion (UAE) and electrolytic balance in very low-birth weight (VLBW) infants who received chronic therapy with furosemide and to compare them with those of infants who did not receive diuretic therapy. METHODS Infants with birth weight <1500 g were considered eligible for this prospective observational study. On the 10th day of life, infants enrolled were divided in 2 groups on the basis of our predictive score for chronic lung disease (CLD): group 1, with positive score, received furosemide and group 2, with negative score, did not receive diuretic therapy. Urinary aldosterone and electrolytes excretion, electrolytes intakes and clearance of creatinine were investigated before the beginning of the treatment and then weekly until discharge in both groups, and results were compared. RESULTS Thirty infants were studied: 15 received long-term furosemide and 15 did not. UAE progressively increased in infants who received furosemide whereas remained unchanged in infants who did not receive treatment. UAE was greater in group 1 than in group 2 after 3 weeks of diuretic treatment, reaching statistical significance after 4 weeks of treatment. CONCLUSIONS In VLBW infants, chronic therapy with furosemide leads to a progressive increase in UAE that may potentially limit the diuretic effect of long-term use of furosemide in the management of CLD.
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Affiliation(s)
- S Costa
- Division of Neonatology, Department of Paediatrics, University Hospital Agostino Gemelli- Catholic University Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.
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De Carolis MP, Bersani I, De Rosa G, Cota F, Romagnoli C. Ibuprofen Lysinate and sodium ibuprofen for prophylaxis of patent ductus arteriosus in preterm neonates. Indian Pediatr 2011; 49:47-9. [DOI: 10.1007/s13312-012-0006-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Accepted: 03/28/2011] [Indexed: 11/29/2022]
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Karnik V, Fenster A, Bax J, Romagnoli C, Ward A. SU-E-U-04: MRI-Targeted, 3D TRUS-Guided Prostate Biopsy: Measurement of Inter-Modality Prostate Deformation and Rigid Registration Algorithm Performance. Med Phys 2011. [DOI: 10.1118/1.3612864] [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: 11/07/2022] Open
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Karnik VV, Fenster A, Bax J, Romagnoli C, Ward AD. Evaluation of intersession 3D-TRUS to 3D-TRUS image registration for repeat prostate biopsies. Med Phys 2011; 38:1832-43. [DOI: 10.1118/1.3560883] [Citation(s) in RCA: 16] [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: 11/07/2022] Open
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Abstract
Erythropoietin (EPO) is a glycoprotein that regulates many functions of an organism: It stimulates the production of red blood cells and it has angiogenic and neuroprotective properties in newborn infants. Retinopathy of prematurity (ROP) is a frequent cause of visual impairment in preterm newborn infants and it has two distinct phases in which hypoxia-induced angiogenic factors are involved. The relationship between EPO and ROP is derived from the observation of studies done on the haematopoietic effect of EPO. The first observations suggested that a precocious treatment with EPO increases the risk of ROP, while the most recent reports suggested that the late treatment with high doses of rhEPO can increase the risk of ROP. All these studies were not designed to demonstrate the relationship between EPO and ROP. Further studies specifically designed should be performed. New ongoing studies on the neuroprotective role of EPO should consider this objective. In the mean time the use of EPO in the neonatal period should be cautious, mainly in very low birth weight infants.
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Affiliation(s)
- C Romagnoli
- Division of Neonatology, Department of Paediatrics, Catholic University of Rome, Italy.
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De Zordo T, Ahmad N, Ødegaard F, Girtler MT, Jaschke W, Klauser AS, Chhem RK, Romagnoli C. US-guided therapy of calcific tendinopathy: clinical and radiological outcome assessment in shoulder and non-shoulder tendons. Ultraschall Med 2011; 32 Suppl 1:S117-S123. [PMID: 20414859 DOI: 10.1055/s-0029-1245333] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE To analyze the effectiveness and complication rate of ultrasound (US)-guided perforation and lavage using a two-needle technique with 16 - 18 G needles in the treatment of patients with calcific tendinopathy in the shoulder, elbow, hip, and knee by radiological and clinical follow-up. MATERIALS AND METHODS A retrospective chart review was performed and 40 patients (13 male, 27 female; mean age, 53.5 years; range 24 -74 years) were identified as having received US-guided perforation and lavage due to symptomatic calcific tendinopathy of the rotator cuff tendons, triceps, extensor and flexor tendons at the elbow, rectus femoris tendon and patellar tendons. The radiographic outcome was assessed by comparison of the size and quality of the calcification before and 6 weeks after the procedure. On US images, the quality of the acoustic shadow was assessed, together with other alterations of the tendon and surrounding tissue. Patients were interviewed by telephone to assess the clinical outcome regarding pre-treatment and post-treatment pain and tendon function. RESULTS 34 shoulder tendons and 6 non-shoulder tendons were identified. The mean calcium reduction was 39.9 mm(2) (range, 0 - 215; p < 0.001), while 80 % of patient showed a resolution of more than 60 % resulting in good clinical improvement. A very low complication rate was found (1 partial tear). CONCLUSION The US-guided perforation and lavage technique is an effective and safe treatment for rotator cuff calcifications as well as for other body tendons. Although the two-needle technique and large needles were used in this study, a very low complication rate was detected.
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Affiliation(s)
- T De Zordo
- Radiology, Medical University Innsbruck, Innsbruck, Austria.
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Zuppa AA, Antichi E, Fracchiolla A, Carducci C, Catenazzi P, Romagnoli C. [Breastfeeding and infectious diseases: state of the art]. Minerva Pediatr 2010; 62:397-409. [PMID: 20940673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Despite the well-known nutritive, psychological, immunological and economical benefits of breast-feeding, some contraindications exist, such as some mother infectious diseases transmitted through the breastfeeding itself. The risk of transmitting an infectious agent through breast milk seems to be relatively low, except for some virus diseases (CMV HIV), for some invasive bacteria forms (Salmonella typhimurium and Brucella) and for the presence of abscesses and mastitis. In some mother infectious disease, a correct hygiene allows the continuation of breastfeeding without risks for the infant, whereas in other cases it is recommended to breastfeed for the role of defence carried out from specific antibodies contained in the breast milk. Therefore, the decision of interrupting the breastfeeding may be done only after comparing risks and benefits, considering current knowledge on transmission of infectious pathologies.
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Affiliation(s)
- A A Zuppa
- Divisione di Neonatologia, Dipartimento di Scienze Pediatriche, Medico Chirurgiche e Neuroscienze dello Sviluppo, Università Cattolica del Sacro Cuore, Roma, Italia.
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