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Dhuli K, Micheletti C, Medori MC, Madeo G, Bonetti G, Donato K, Gaffuri F, Tartaglia GM, Michelini S, Fiorentino A, Cesarz D, Connelly ST, Capodicasa N, Bertelli M. Retraction Note: The potential preventive role of a dietary supplement containing hydroxytyrosol in COVID-19: a multi-center study. Eur Rev Med Pharmacol Sci 2024; 28:3288. [PMID: 38708488 DOI: 10.26355/eurrev_202404_36067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
The article "The potential preventive role of a dietary supplement containing hydroxytyrosol in COVID-19: a multi-center study", by K. Dhuli, C. Micheletti, M.C. Medori, G. Madeo, G. Bonetti, K. Donato, F. Gaffuri, G.M. Tartaglia, S. Michelini, A. Fiorentino, D. Cesarz, S.T. Connelly, N. Capodicasa, M. Bertelli, published in Eur Rev Med Pharmacol Sci 2023; 27 (6 Suppl): 33-38-DOI: 10.26355/eurrev_202312_34687-PMID: 38112946 has been retracted by the Editor in Chief for the following reasons. Following some concerns raised on PubPeer, the Editor in Chief has started an investigation to assess the validity of the results. The outcome of the investigation revealed that the manuscript presented major flaws in the following: - Issues with ethical approval - Issues in methodology - Undeclared conflict of interest Consequently, the Editor in Chief mistrusts the results presented and has decided to withdraw the article. The authors disagree with this retraction. https://www.europeanreview.org/article/34687 This article has been retracted. The Publisher apologizes for any inconvenience this may cause.
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Affiliation(s)
- K Dhuli
- MAGI'S LAB, Rovereto, Trento, Italy
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Dhuli K, Micheletti C, Medori MC, Madeo G, Bonetti G, Donato K, Gaffuri F, Tartaglia GM, Michelini S, Fiorentino A, Cesarz D, Connelly ST, Capodicasa N, Bertelli M. The potential preventive role of a dietary supplement containing hydroxytyrosol in COVID-19: a multi-center study. Eur Rev Med Pharmacol Sci 2023; 27:33-38. [PMID: 38112946 DOI: 10.26355/eurrev_202312_34687] [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: 12/21/2023]
Abstract
OBJECTIVE COVID-19 is a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which emerged as a global pandemic in 2019. Its main symptoms include fever, cough, fatigue, and, in severe cases, pneumonia, acute respiratory distress syndrome, and organ failure, which can be life-threatening. Various therapies have been proposed for treating COVID-19, among which antiviral drugs and monoclonal antibodies, but natural molecules have gained attention for their potential antiviral properties against various viral infections, including COVID-19. The use of hydroxytyrosol (HT), a polyphenol from the olive tree possessing antioxidant, anti-inflammatory, and anti-viral properties, has been proposed to reduce COVID-19 infection. SUBJECTS AND METHODS A total of 443 subjects were recruited from four centers, located in Albania, Germany, and Italy (Milan and Trento provinces). The participants were randomly assigned to receive either the dietary supplement containing HT or a placebo for a duration of one month. RESULTS Analysis of the study data revealed that, among the subjects who tested positive for COVID-19 during the study, 36% belonged to the group that received the dietary supplement containing HT, while 64% belonged to the placebo group. The difference was statistically significant. These findings suggest that the use of a dietary supplement containing HT may have a possible preventive effect against COVID-19 infection. CONCLUSIONS The study's results indicate that the dietary supplement containing HT shows promise as a possible preventive measure against COVID-19 infection. Large-scale, randomized clinical trials and animal studies could be useful to provide more definitive conclusions on HT's possible potential preventive effects against COVID-19, which could potentially supplement existing therapies and contribute to fighting COVID-19 infection.
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Affiliation(s)
- K Dhuli
- MAGI'S LAB, Rovereto, Trento, Italy.
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Sferrazza S, Crispino F, Vieceli F, Fiorentino A, Michielan A, de Pretis G. Circumferential endoscopic submucosal dissection for long-segment Barrett's adenocarcinoma: the double-tunnel and single clip-and-loop traction method. Endoscopy 2023; 55:E645-E646. [PMID: 37084786 PMCID: PMC10121328 DOI: 10.1055/a-2058-8202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/23/2023]
Affiliation(s)
- Sandro Sferrazza
- Gastroenterology and Digestive Endoscopy Unit, Presidio Ospedaliero Santa Chiara, Trento, Italy
| | - Federica Crispino
- Gastroenterology and Hepatology Section, PROMISE, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy
| | - Filippo Vieceli
- Gastroenterology and Digestive Endoscopy Unit, Presidio Ospedaliero Santa Chiara, Trento, Italy
| | - Andrea Fiorentino
- Gastroenterology and Digestive Endoscopy Unit, Presidio Ospedaliero Sant'Ottone Frangipane, Ariano Irpino, Italy
| | - Andrea Michielan
- Gastroenterology and Digestive Endoscopy Unit, Presidio Ospedaliero Santa Chiara, Trento, Italy
| | - Giovanni de Pretis
- Gastroenterology and Digestive Endoscopy Unit, Presidio Ospedaliero Santa Chiara, Trento, Italy
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Gregucci F, Di Monaco A, Bonaparte I, Surgo A, Troisi F, Ludovico E, Vitulano N, Quadrini F, Carbonara R, Ciliberti M, Grimaldi M, Fiorentino A. Paroxysmal Atrial Fibrillation in Elderly: Worldwide Preliminary Data of Linac-Based Stereotactic Arrhythmia Radioablation Prospective Phase II Trial. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Di Monaco A, Gregucci F, Bonaparte I, Troisi F, Surgo A, Di Molfetta D, Vitulano N, Romanazzi I, Quadrini F, Carbonara R, Ludovico E, Guida P, Ciliberti MP, Fiorentino A, Grimaldi M. Linac-based stereotactic arrhythmia radioablation of paroxysmal atrial fibrillation in elderly patients. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, occurring in 1–2% of the general population. Patients affected by AF have an increased risk of stroke and heart failure and European guidelines recommend catheter ablation of AF in symptomatic patients refractory to antiarrhythmic therapy. In elderly patients, the AF ablation procedure is associated with a higher rate of overall complications. Recently, stereotactic arrhythmia radioablation (STAR) with precise high-dose of radiation was used to treat ventricular arrhythmias.
Purpose
No data were reported in literature about the use of Linac-based STAR, so a prospective phase-II trial was designed to evaluate safety of Linac-based STAR in elderly patients with paroxysmal AF.
Methods
Fourteen patients (mean age 78±6 years; 57% male) were enrolled in the study. All patients had symptomatic paroxysmal AF refractory to antiarrhythmic drugs. All patients performed 1-week ECG-Holter monitoring (ECG-HM) and transthoracic echocardiogram before and after STAR. Primary end-point was defined as all the adverse events of special interest related to STAR treatment; secondary end-point was defined as AF recurrence after the treatment. The study was approved by the local Ethics Committee and all patients signed informed consent.
Results
All patients performed STAR with a mean overall treatment time of 3 minutes. No serious adverse events were documented acutely and after 6 months of follow up. Transthoracic echocardiogram did not show cardiac damage after STAR. The 1-week ECG-HM performed before STAR documented symptomatic AF episodes in all patients. The 1-week ECG-HM performed 1-month after procedure documented frequent symptomatic atrial ectopy and atrial tachycardias without AF recurrences. The 1-week ECG-HM performed 3 and 6 months after procedure did not revealed AF recurrences. Two patients had a single episode of sustained atrial tachycardia 6 months after STAR. Both patients performed a left atrial mapping using CARTO system and Pentaray mapping catheter documenting PV isolation without vein stenosis (figure); no phrenic nerve damage was documented in both patients. All patients had an improvement in quality of life.
Conclusion
Our preliminary data reported for the first time that the LINAC-based STAR approach could represent a valid alternative to perform PVI in elderly patients with paroxysmal AF.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Di Monaco
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - F Gregucci
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - I Bonaparte
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - F Troisi
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - A Surgo
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - D Di Molfetta
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - N Vitulano
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - I Romanazzi
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - F Quadrini
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - R Carbonara
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - E Ludovico
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - P Guida
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - M P Ciliberti
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - A Fiorentino
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
| | - M Grimaldi
- Regional General Hospital F. Miulli , Acquaviva Delle Fonti , Italy
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Cossiga V, La Civita E, Bruzzese D, Guarino M, Fiorentino A, Sorrentino R, Pontillo G, Vallefuoco L, Brusa S, Montella E, Terracciano D, Morisco F, Portella G. Enhanced liver fibrosis score as a noninvasive biomarker in hepatitis C virus patients after direct-acting antiviral agents. Front Pharmacol 2022; 13:891398. [PMID: 36059971 PMCID: PMC9428144 DOI: 10.3389/fphar.2022.891398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
Background: In more than 90% of chronic viral hepatitis C (HCV) patients treated with direct-acting antiviral agents (DAAs), a sustained viral response (SVR) was observed. Unfortunately, there are subgroups of subjects who display enduring liver fibrosis and are at high risk of developing hepatocellular carcinoma (HCC). Thus, liver fibrosis evaluation during the follow-up of these patients plays a pivotal role. The gold standard to evaluate hepatic fibrosis is liver biopsy, which is an invasive procedure. Imaging techniques and serum biomarkers have been proposed as safer and cheaper procedures. Objectives: In this study, we evaluated the concordance of transient elastography (TE) with ELF score ( enhanced liver fibrosis) in a cohort of patients with HCV before and after direct-acting antiviral (DAAs) treatment. ELF score has been validated in other chronic liver diseases; the evidence is not available in HCV patients treated with DAAs. Study design: We prospectively recruited all consecutive HCV patient candidates for DAAs therapy at the University of Naples “Federico II” between April 2015 and July 2016. TE and ELF scores were assessed at baseline, at SVR24, and at SVR48. Results: One-hundred-nineteen patients were treated with DAAs, and 94.1% of them reached SVR. A total of 55.5% of patients were males with a mean age of 64.7 ± 9.6 years. TE results revealed that 12 patients (10%) had F1-2 mild/moderate fibrosis, and 107 (90%) had F3-4 advanced fibrosis. At baseline, SVR24, and SVR48, the concordance between ELF test and TE was poor: 0.11 (p = 0.086), 0.15 (p = 0.124), and 0.034 (p = 0.002), respectively. However, at SVR24 and SVR48, both methods showed a significant amelioration of liver fibrosis compared to baseline (p < 0.001). In addition, both ELF index and TE were significantly associated with portal hypertension at baseline, but not with varices and ascites. Conclusions: Our findings suggested that ELF test could predict changes in liver fibrosis, independently of TE. In case of TE unavailability, ELF score could represent an appropriate tool. Notably, in the context of the COVID-19 pandemic, ELF testing should be encouraged to reduce unnecessary access to the hospital and prolonged physical contact.
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Affiliation(s)
- Valentina Cossiga
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
- *Correspondence: Daniela Terracciano, ; Valentina Cossiga,
| | - Evelina La Civita
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
| | - Dario Bruzzese
- Department of Public Health, University of Naples Federico II, Naples, Italy
| | - Maria Guarino
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
| | - Andrea Fiorentino
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
| | - Rosanna Sorrentino
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
| | - Giuseppina Pontillo
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
| | - Luca Vallefuoco
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
| | - Stefano Brusa
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
| | - Emma Montella
- Department of Public Health, University of Naples Federico II, Naples, Italy
| | - Daniela Terracciano
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
- *Correspondence: Daniela Terracciano, ; Valentina Cossiga,
| | - Filomena Morisco
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
| | - Giuseppe Portella
- Department of Translational Medical Science, University of Naples “Federico II”, Naples, Italy
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Incampo G, De Luca V, Rizzo D, Bux F, Moramarco M, Valecce R, Robles G, Pirozzi M, Candida T, Marino F, Campagna M, Fiorentino A, Bonfantino M. P229 IMPROVED CLINICAL–INSTRUMENTAL OUTCOMES IN PATIENTS WITH CHRONIC DILATED HYPERTENSIVE / ISCHEMIC HEART DISEASE, UNDERGOING CCM, CARRIER OF CRTD WITH PERSISTENT SEVERE LEFT VENTRICULAR DYSFUNCTION. Eur Heart J Suppl 2022. [DOI: 10.1093/eurheartj/suac012.221] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
A 62–year–old man repeatedly subjected to PTCA + stent with severe left ventricular dysfunction and estimated FE 15%. After some hospitalizations for heart failure in 2015 he underwent an AICD implant Biventricular. Followed up in our clinics dedicated to heart failure, the patient did not present the characters of the CRT responder presenting a constant high end–systolic volume (224 ml) and none FE improvement of 15%. There was also an asthenia and tendency to inactivity and elevated NT Pro BNP levels despite optimal medical therapy even with entresto 24/26 mg x 2 / day. It has been decided to submit the patient enrolled in the cardiac transplant and / or VAD implantation lists to an implantation procedure of CCM system (cardiac contractility modulation). After two active fixation placement leads on the interventricular septum and connection to the CCM system housed in the subcutaneous pocket right contralateral to the biventricular AICD, the patient was monitored. We have noticed since the first days conditions of hemodynamic stability. Scheduled CCM therapy delivery for 10 hours a day. Following subsequently in the follow up at 3 – 6 – 12 – 18 months the patient showed an improvement of minneshota quality of life questionnaire in heart failure: MLWHFQ (44 at baseline, 17 at two months, 15 to six months, 10 to 12 months and 3 to 18 months), an increase in FE from 15 to 23 up to 26%, a reduction of the NTPROBNP from 13444 to 1178 then climbed back to 5549 and 3712 at 18 months for atrial fibrillation, without any requires re–hospitalization, an increased physical activity of the patient detected by the sensors of the two devices
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Affiliation(s)
- G Incampo
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - V De Luca
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - D Rizzo
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - F Bux
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - M Moramarco
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - R Valecce
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - G Robles
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - M Pirozzi
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - T Candida
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - F Marino
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - M Campagna
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - A Fiorentino
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
| | - M Bonfantino
- OSPEDALE DI VENERE ASL BA, BARI CARBONARA; FRANCOFORTE, FRANCOFORTE SUL MENO
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Cuscito R, Fragnoli F, Indelicati C, Sanfrancesco G, De Pascali C, De Masi M, Parabita R, Aga A, Berloco F, Brana' L, Ciocia A, Curci D, Ladisa G, Nardiello M, Nardelli D, De Candia V, Gregucci F, Surgo A, Carbonara R, Cliliberti M, Caliandro M, Bonaparte I, Fiorentino A. PO-1845 Surface guided adjuvant radiotherapy tattoo-free for breast cancer. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03808-7] [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: 11/25/2022]
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9
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Gregucci F, Di Monaco A, Bonaparte I, Surgo A, Troisi F, Vitulano N, Quadrini F, Di Molfetta D, Martinelli G, Guida P, Carbonara R, Ciliberti M, Grimaldi M, Fiorentino A. PO-1055 Atrial fibrillation: worldwide preliminary data of LINAC-based STAR prospective phase II trial. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03019-5] [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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Dinapoli N, Dinapoli L, Chiesa S, Mazzarella C, Marconi E, Chieffo D, Fiorentino A, Valentini V, Balducci M. PD-0241 Resilience, spirituality and survival outcome in glioblastoma patients after radiotherapy. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02796-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Surgo A, Gregucci F, Laera L, Carbonara R, Ciliberti M, Caliandro M, Bonaparte I, Fiorentino A. PO-1167 Re-irradiation in glioblastoma: is it possible? Is it feasible? Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03131-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Guarino M, Cossiga V, Loperto I, Esposito I, Ortolani R, Fiorentino A, Pontillo G, De Coppi L, Cozza V, Galeota Lanza A, Di Costanzo GG, Picciotto FP, Morisco F. COVID-19 in liver transplant recipients: incidence, hospitalization and outcome in an Italian prospective double-centre study. Sci Rep 2022; 12:4831. [PMID: 35318432 PMCID: PMC8940902 DOI: 10.1038/s41598-022-08947-x] [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: 09/09/2021] [Accepted: 03/08/2022] [Indexed: 12/22/2022] Open
Abstract
Liver transplant (LT) recipients are vulnerable to SARS-CoV-2-infection (COVID-19), due to immunosuppression and comorbidities. This study aimed to evaluate the impact of COVID-19 on LT recipients compared to general population in the Campania region. In this prospective double-centre study, we enrolled all consecutive adult LT recipients with confirmed SARS-CoV-2-infection. Data were collected at diagnosis of COVID-19 and during follow-up and compared with the regional population. Thirty LT recipients (3.28%) developed SARS-CoV-2-infection (76.66% male, median age 62.61 years). Sixteen (53.33%) were symptomatic. Common symptoms were fever, cough, fatigue, and anosmia. Twenty-five (83.33%) were outpatients, 5 (16.66%) required hospitalization (6.66% admitted to Intensive Care Unit, 6.62% developed Acute Respiratory Distress Syndrome and 6.66% died). Immunosuppressors were in 3 (10%) patients. Incidence rate of COVID-19 was similar between LT patients and general population (3.28% vs 4.37%, p = 0.142) with higher rate of symptoms in LT patients (53.33% vs 15.87%, p < 0.000). At univariate analysis, hospitalization and case fatality rates were higher in LT patients compared to general population (16.66% vs 4.54%, p = 0.001; and 6.66% vs 1.76%, p = 0.041, respectively). At multivariable logistic regression analysis, LT patients with COVID-19 were more frequently symptomatic (OR 5.447 [95% CI 2.437–12.177], p < 0.000), whereas hospitalization and death for COVID-19 were not significatively associated with LT condition (p = 0.724 and p = 0.462, respectively) and were comparable with general population. LT is not a risk factor for acquiring COVID-19. Nonetheless, LT patients are more frequently symptomatic, although comparable to the general population for hospitalization rate and mortality.
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Affiliation(s)
- Maria Guarino
- Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, NA, Italy.
| | - Valentina Cossiga
- Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, NA, Italy
| | - Ilaria Loperto
- UOC Epidemiologia e Prevenzione e Registro Tumori, ASL Napoli 1 Centro, Naples, Italy
| | | | - Rosanna Ortolani
- UOC Epidemiologia e Prevenzione e Registro Tumori, ASL Napoli 1 Centro, Naples, Italy
| | - Andrea Fiorentino
- Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, NA, Italy
| | - Giuseppina Pontillo
- Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, NA, Italy
| | - Lucia De Coppi
- UOC Epidemiologia e Prevenzione e Registro Tumori, ASL Napoli 1 Centro, Naples, Italy
| | - Valentina Cozza
- UOC Epidemiologia e Prevenzione e Registro Tumori, ASL Napoli 1 Centro, Naples, Italy
| | | | | | | | - Filomena Morisco
- Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples "Federico II", Via Sergio Pansini, 5, 80131, Naples, NA, Italy
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Fiorentino A, Lofrano G, Cucciniello R, Carotenuto M, Motta O, Proto A, Rizzo L. Disinfection of roof harvested rainwater inoculated with E. coli and Enterococcus and post-treatment bacterial regrowth: Conventional vs solar driven advanced oxidation processes. Sci Total Environ 2021; 801:149763. [PMID: 34438135 DOI: 10.1016/j.scitotenv.2021.149763] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 08/15/2021] [Accepted: 08/15/2021] [Indexed: 06/13/2023]
Abstract
Solar driven advanced oxidation processes (AOPs) (an alternative solar photo Fenton like process (SPF), sunlight/H2O2 (SHP) and sunlight/chlorine (SCL)) and respective dark conditions, were compared for the first time to conventional (chlorination and UV-C radiation) disinfection processes, in the inactivation of E. coli and Entero strains inoculated in real roof-harvested rainwater (RHRW), to evaluate their possible safe use for crop irrigation. In this regard, bacterial regrowth was also evaluated 6, 12, 24 and 48 h after disinfection treatment. The SPF, using iminodisuccinic acid (IDS)-Cu complex as catalyst, was optimized (H2O2/IDS-Cu 55/1 best molar ratio) under mild conditions (spontaneous pH) and sunlight. The faster inactivation kinetics were observed for the SCL process (k = 1.473 min-1, t1/2 = 0.47 min for E. coli and k = 1.193 min-1, t1/2 = 0.57 min for Entero), while the most effective processes in controlling bacterial regrowth were SPF and SCL. Although UV-C radiation (0-1.3 × 104 μW s cm-2 dose range) was the second faster disinfection process (k = 1.242 min-1, t1/2 = 0.55 min for E. coli and k = 1.150 min-1, t1/2 = 0.60 min for Entero), it was the less effective process in controlling bacterial regrowth (>10 CFU 100 mL-1 already after 6 h post-treatment incubation). According to the bacterial inactivation and regrowth tests carried out in this work, SPF and SCL are interesting options for RHRW disinfection, in case of effluent use for crop irrigation.
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Affiliation(s)
- A Fiorentino
- Department of Chemistry and Biology "A. Zambelli", University of Salerno, via Giovanni Paolo II 132, 84084 Fisciano, SA, Italy
| | - G Lofrano
- Centro Servizi Metereologici e Tecnologici Avanzati (CeSMA), University of Naples Federico II, Via Cinthia 21, 80126 Naples, Italy.
| | - R Cucciniello
- Department of Chemistry and Biology "A. Zambelli", University of Salerno, via Giovanni Paolo II 132, 84084 Fisciano, SA, Italy
| | - M Carotenuto
- Department of Chemistry and Biology "A. Zambelli", University of Salerno, via Giovanni Paolo II 132, 84084 Fisciano, SA, Italy
| | - O Motta
- Department of Medicine Surgery and Dentistry, University of Salerno, via S. Allende, 84081 Baronissi, SA, Italy
| | - A Proto
- Department of Chemistry and Biology "A. Zambelli", University of Salerno, via Giovanni Paolo II 132, 84084 Fisciano, SA, Italy
| | - L Rizzo
- Department of Civil Engineering, University of Salerno, via Giovanni Paolo II 132, 84084 Fisciano, SA, Italy
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Salvestrini V, Iorio GC, Borghetti P, De Felice F, Greco C, Nardone V, Fiorentino A, Gregucci F, Desideri I. The impact of modern radiotherapy on long-term cardiac sequelae in breast cancer survivor: a focus on deep inspiration breath-hold (DIBH) technique. J Cancer Res Clin Oncol 2021; 148:409-417. [PMID: 34853887 DOI: 10.1007/s00432-021-03875-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 11/25/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION One of the most feared side effects of radiotherapy (RT) in the setting of breast cancer (BC) patients is cardiac toxicity. This side effect can jeopardize the quality of life (QoL) of long-term survivors. The impact of modern techniques of RT such as deep inspiration breath hold (DIBH) have dramatically changed this setting. We report and discuss the results of the literature overview of this paper. MATERIALS AND METHODS Literature references were obtained with a PubMed query, hand searching, and clinicaltrials.gov. RESULTS We reported and discussed the toxicity of RT and the improvements due to the modern techniques in the setting of BC patients. CONCLUSIONS BC patients often have a long life expectancy, thus the RT should aim at limiting toxicities and at the same time maintaining the same high cure rates. Further studies are needed to evaluate the risk-benefit ratio to identify patients at higher risk and to tailor the treatment choices.
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Affiliation(s)
- V Salvestrini
- Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
| | - G C Iorio
- Radiation Oncology, University of Turin, Turin, Italy
| | - P Borghetti
- Radiation Oncology, University and SpedaliCivili, Brescia, Italy
| | - F De Felice
- Radiation Oncology, Policlinico Umberto I "Sapienza" University of Rome, Rome, Italy
| | - C Greco
- Radiation Oncology, Campus Bio-Medico University of Rome, Rome, Italy
| | - V Nardone
- RadiationOncology, Ospedale del Mare, Viale della Metamorfosi, Naples, Italy
| | - A Fiorentino
- Radiation Oncology, General Regional Hospital "F. Miulli, Acquaviva delle Fonti, Bari, Italy
| | - F Gregucci
- Radiation Oncology, General Regional Hospital "F. Miulli, Acquaviva delle Fonti, Bari, Italy
| | - I Desideri
- Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Largo Brambilla 3, 50134, Florence, Italy
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15
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Boldrini L, Elia C, Pollutri V, Dinapoli L, Caliandro M, Manfrida S, Masiello V, Chieffo D, Balducci M, Marazzi F, Gregucci F, Gambacorta M, Colangione S, Fiorentino A, Valentini V. PH-0492 Modesty in breast cancer patients during radiotherapy: interim results of a multicentric study. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07343-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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16
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Caliandro M, Gregucci F, Surgo A, Carbonara R, Ciliberti M, Bonaparte I, Turchiano A, Fiorentino A. PO-1476 Covid-19 era and radiotherapy: psychological changes in oncological patients. Radiother Oncol 2021. [PMCID: PMC8629157 DOI: 10.1016/s0167-8140(21)07927-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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17
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Bonaparte I, Gregucci F, Surgo A, Di Monaco A, Vitulano N, Ludovico E, Carbonara R, Ciliberti MP, Quadrini F, Grimaldi M, Fiorentino A. Linac-based STereotactic Arrhythmia Radioablation (STAR) for ventricular tachycardia: a treatment planning study. Jpn J Radiol 2021; 39:1223-1228. [PMID: 34241797 DOI: 10.1007/s11604-021-01159-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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: 04/02/2021] [Accepted: 06/14/2021] [Indexed: 10/20/2022]
Abstract
OBJECT To analyze geometrical approaches, prescription modalities, and delivery efficiency for linear accelerator (Linac)-based STereotactic Arrhythmia Radioablation (STAR) for ventricular tachycardia. METHODS The anatomy and planning target volume (PTV) of the first Italian STAR patient were used. To assess geometrical approaches, 3 plans prescribed to 75% isodose-line, differing for number, length of arcs, and couch rotations, were generated and compared (Plans#1-3). Volumetric-arc with 6-MV flattening-filter-free (FFF) was employed. To evaluate prescription modality and delivery, the best geometrical plan was compared with other plans prescribed on 70%, 65%, and 60% isodose-line and with another one using 10MV-FFF beams (Plans#4-7). RESULTS For Plans#1-3, PTV coverage, mean cardiac dose, monitor units (MUs), and beam-delivery-time (BDT) were 96-98.5%, 4.9-5.2 Gy, 7047-7790, and 5-6 min, respectively. Plans#4-7 were similar in terms of mean cardiac dose, MUs and BDT to Plans#1-3, except in maximum dose and lower time for 10MV-FFF plan. CONCLUSION Linac-based STAR is safe and efficient in terms of BDT and MUs. To ensure high dose to PTV, different dose prescription modalities should be evaluated. The 10FFF approach was the faster but not suitable in patient with cardiac implantable electronic devices.
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Affiliation(s)
- I Bonaparte
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - F Gregucci
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - A Surgo
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy.
| | - A Di Monaco
- Cardiology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy.,Department of Cardiology, University of Foggia, Foggia, Italy
| | - N Vitulano
- Cardiology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - E Ludovico
- Radiology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - R Carbonara
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - M P Ciliberti
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - F Quadrini
- Cardiology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - M Grimaldi
- Cardiology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
| | - A Fiorentino
- Radiation Oncology Department, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy
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18
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Rispo A, Imperatore N, Guarino M, Tortora R, Alisi A, Cossiga V, Testa A, Ricciolino S, Fiorentino A, Morisco F. Metabolic-associated fatty liver disease (MAFLD) in coeliac disease. Liver Int 2021; 41:788-798. [PMID: 33319459 DOI: 10.1111/liv.14767] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [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] [Received: 10/09/2020] [Revised: 11/21/2020] [Accepted: 12/08/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND AIMS Coeliac disease (CD) is considered a high-risk condition for developing non-alcoholic fatty liver disease (NAFLD) and other related metabolic disorders, particularly after commencing gluten-free diet (GFD). Recently, a new concept of metabolic-associated fatty liver disease (MAFLD) has been proposed to overcome the limitations of NAFLD definition. This study aimed at exploring the prevalence of NAFLD and MAFLD in CD patients at the time of CD diagnosis and after 2 years of GFD. Furthermore, we evaluated the role of PNPLA3 rs738409 in the development of NAFLD and MAFLD in the same population. METHODS We retrospectively enrolled all newly diagnosed CD patients who underwent clinical, laboratory and ultrasonography investigations both at diagnosis and after 2 years of follow-up. Moreover, a PNPLA3 rs738409 genotyping assay was performed. RESULTS Of 221 newly diagnosed CD patients, 65 (29.4%) presented NAFLD at CD diagnosis, while 32 (14.5%) met the criteria for MAFLD (k = 0.57). There were no significant differences between NAFLD and MAFLD, except for the higher rate of insulin resistance (IR) of MAFLD patients (75% vs 33.8%, P < .001). At 2 years of follow-up, 46.6% of patients developed NAFLD while 32.6% had MAFLD (k = 0.71). MAFLD subjects had higher transaminases (P = .03), LDL-cholesterol (P = .04), BMI and waist circumference and higher IR than NAFLD patients. MAFLD patients showed higher non-invasive liver fibrosis scores than NAFLD subjects (APRI = 1.43 ± 0.56 vs 0.91 ± 0.62, P < .001; NFS=-1.72 ± 1.31 vs -2.18 ± 1.41, P = .03; FIB-4 = 1.27 ± 0.77 vs 1.04 ± 0.74, P = .04). About PNPLA3 polymorphisms, at 2 years follow-up, NAFLD subjects presented a higher rate of heterozygosis (40.8%) and homozygosis (18.4%) polymorphisms than non-NAFLD (26.3% and 7.6%, respectively, P = .03 and 0.02), while no correlation between PNPLA3 polymorphisms and MAFLD was seen. CONCLUSIONS The new MAFLD definition better reflects the metabolic alterations following GFD in CD population. This new classification could be able to identify patients at higher risk of worse metabolic outcome, who need a close multidisciplinary approach for their multisystemic disease.
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Affiliation(s)
- Antonio Rispo
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | - Nicola Imperatore
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy.,Gastroenterology and Endoscopy Unit, AORN Antonio Cardarelli, Naples, Italy
| | - Maria Guarino
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | | | - Anna Alisi
- Research Unit of Molecular Genetics and Compex Phenotypes, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Valentina Cossiga
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | - Anna Testa
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | - Simona Ricciolino
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | - Andrea Fiorentino
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
| | - Filomena Morisco
- Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II of Naples, Naples, Italy
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Fragnoli F, Bonaparte I, Branà L, Aga A, De Masi M, Ciocia A, Indellicati C, Parabita R, Sanfrancesco G, De Pascali C, Berloco F, Caliandro M, Gregucci F, Surgo A, Carbonara R, Fiorentino A. PO-1947: ARIA 15 Visual care Path for quality assurance of radiation oncology course. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01964-2] [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: 11/25/2022]
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20
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Gregucci F, Bonaparte I, Surgo A, Carbonara R, Fiorentino A. PO-1446: Multiple brain metastases (BMs) radiosurgery (SRS) with single isocenter: ALDO or ILA? Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01464-x] [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: 11/30/2022]
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21
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Guarino M, Cossiga V, Fiorentino A, Pontillo G, Morisco F. Use of Telemedicine for Chronic Liver Disease at a Single Care Center During the COVID-19 Pandemic: Prospective Observational Study. J Med Internet Res 2020; 22:e20874. [PMID: 32896833 PMCID: PMC7528624 DOI: 10.2196/20874] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [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: 05/31/2020] [Revised: 08/01/2020] [Accepted: 08/17/2020] [Indexed: 12/15/2022] Open
Abstract
Background The COVID-19 outbreak has overwhelmed and altered health care systems worldwide, with a substantial impact on patients with chronic diseases. The response strategy has involved implementing measures like social distancing, and care delivery modalities like telemedicine have been promoted to reduce the risk of transmission. Objective The aim of this study was to analyze the benefits of using telemedicine services for patients with chronic liver disease (CLD) at a tertiary care center in Italy during the COVID-19–mandated lockdown. Methods From March 9 to May 3, 2020, a prospective observational study was conducted in the Liver Unit of the University Hospital of Naples Federico II to evaluate the impact of (1) a fully implemented telemedicine program, partially restructured in response to COVID-19 to include video consultations; (2) extended hours of operation for helpline services; and (3) smart-working from home to facilitate follow-up visits for patients with CLD while adhering to social distancing regulations. Results During the lockdown in Italy, almost 400 visits were conducted using telemedicine; only patients requiring urgent care were admitted to a non–COVID-19 ward of our hospital. Telemedicine services were implemented not only for follow-up visits but also to screen patients prior to hospital admission and to provide urgent evaluations during complications. Of the nearly 1700 patients with CLD who attended a follow-up visit at our Liver Unit, none contracted COVID-19, and there was no need to alter treatment schedules. Conclusions Telemedicine was a useful tool for following up patients with CLD and for reducing the impact of the COVID-19 pandemic. This system of health care delivery was appreciated by patients since it gave them the opportunity to be in contact with physicians while respecting social distancing rules.
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Affiliation(s)
- Maria Guarino
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Valentina Cossiga
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Andrea Fiorentino
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Giuseppina Pontillo
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Filomena Morisco
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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22
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Cuccia F, Fiorentino A, Corrao S, Mortellaro G, Valenti V, Tripoli A, De Gregorio G, Serretta V, Verderame F, Ognibene L, Lo Casto A, Ferrera G. Moderate hypofractionated helical tomotherapy for prostate cancer in a cohort of older patients: a mono-institutional report of toxicity and clinical outcomes. Aging Clin Exp Res 2020; 32:747-753. [PMID: 31267377 DOI: 10.1007/s40520-019-01243-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 06/05/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE OR OBJECTIVE To evaluate toxicity and outcomes of moderately hypofractionated helical tomotherapy for the curative treatment of a cohort of patients aged ≥ 75 years with localized prostate cancer (PC). MATERIALS AND METHODS From January 2013 to February 2017, 95 patients with median age 77 years (range 75-88) were treated for PC. 39% were low risk, 33% intermediate risk (IR), 28% high risk (HR). Median iPSA was 9.42 ng/ml (1.6-107). Androgen deprivation was prescribed according to NCCN recommendations. All patients received 70 Gy in 28 fractions to the prostate; 61.6 Gy were delivered to the seminal vesicles for IR; whole pelvis irradiation with a total dose of 50.4 Gy was added in the HR group. Toxicity evaluation was based on CTCAE V4.0 criteria, biochemical failure was defined following Phoenix criteria. Quality of Life was assessed with the EPIC-26 index. Overall survival and biochemical failure-free survival were analysed with Kaplan-Meier method. RESULTS With a median follow-up of 36 months (range 24-73), acute and late toxicity were acceptable. No correlation between toxicity patterns and clinical or dosimetric parameter was registered. EPIC-26 showed a negligible difference in urinary and bowel function post-treatment that did not reach statistical significance. The 2- and 3-years OS were 93% and 87% with cancer specific survival of 97.9% and 96.2%. CONCLUSION Moderate hypofractionated RT reported excellent outcomes in our cohort of older patients. Shorter schedules may be proposed regardless of chronological age facilitating the treatment compliance in the older population.
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Abstract
As reported in the literature, benzopyrones (alpha and gamma) have important effects on the microcirculation through various mechanisms. Coumarins are an alpha-benzopyrone as derivatives of Melilotus Officinalis, while bioflavonoids are a gamma-benzopyrone and include Rutin. Alpha-benzopyrones have two fundamental pharmacological effects: they have pro-lymphokinetic action by activating contractility of lymphangions; and the activation of macrophages to provide a proteolytic effect. Gamma-benzopyrones, such as Rutin, have an important anti-exuding and membrane stabilizing effect. Bromelain is known for its anti-inflammatory effect. The present study enrolled 52 patients with primary and/or secondary lymphedema in clinical stages I or II (according to the ISL classification) with 31 cases involving the lower limbs and 21 cases involving the upper limbs. All subjects were given for six months a natural compound consisting of 100 mg of natural Melilotus, that contains 20 grams of Coumarin, 300 mg of Rutin and 100 mg of Bromelain. The following parameters were studied at zero time (T0), after three months (T1), and after six months of treatment (T2): pitting, Stemmer's sign, measurement of limb circumferences, measurement of superficial tissue thickness in the affected limbs using ultrasound, and blood tests to evaluate hepatic function (ALT, AST, GGT, total and fractional bilirubin). At the end of the treatment (T2), the following results were observed: disappearance of pitting in 72% of the cases; unchanged Stemmer's sign; average decrease in limb circumferences of 4.2 cm; and average reduction of the superficial thickness of 29%. There was no variation in the liver function parameters examined. The combination of natural compounds (Melilotus, Rutin, and Bromelain) has been shown to be a valuable aid in the clinical control of both primary and secondary lymphedema of clinical stages I and II as well as in control of inflammatory phenomena related to chronic stasis. There were no side effects and no alteration of liver function parameters found.
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Crescenzi L, Pecoraro A, Fiorentino A, Poto R, Varricchi G, Rispo A, Morisco F, Spadaro G. Liver stiffness assessment by transient elastography suggests high prevalence of liver involvement in common variable immunodeficiency. Dig Liver Dis 2019; 51:1599-1603. [PMID: 31155490 DOI: 10.1016/j.dld.2019.05.016] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 05/06/2019] [Accepted: 05/09/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND Up to 50% of patients with common variable immunodeficiency (CVID) present persistently increased serum levels of liver enzymes and/or mild hepatomegaly. Ultrasound-based transient elastography (TE) is largely used for early detection of the progression of chronic liver diseases, but has never been employed in CVID. We performed a cross-sectional study to evaluate TE values in a cohort of adult CVID-patients. METHODS Full blood count, liver function test, liver and spleen sonogram and ultrasound-based TE were performed in 77 adult CVID patients. Demographic and clinical data were retrospectively collected from medical files. RESULTS 33.8% (26/77) patients presented increased TE values ranging from moderate fibrosis to cirrhosis. TE values were positively correlated with ALP, γGT, spleen longitudinal diameter and peripheral blood counts (no significant correlation with BMI, AST, ALT, total proteins, albumin, bilirubin and hemoglobin). Moreover, liver stiffness was higher in patients with the clinical phenotypes polyclonal lymphoproliferation and enteropathy, and patients with both these complications had an increased risk (OR: 7.14) of presenting pathologic TE values compared with those without anyone of these. CONCLUSIONS Transient elastography is a useful tool to be used alongside clinical and laboratory data to assess liver involvement in CVID.
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Affiliation(s)
- Ludovica Crescenzi
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy
| | - Antonio Pecoraro
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy
| | - Andrea Fiorentino
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Remo Poto
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy
| | - Gilda Varricchi
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy
| | - Antonio Rispo
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Filomena Morisco
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Giuseppe Spadaro
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, Naples, Italy.
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La Rocca E, Dispinzieri M, Meneghini E, Fiorentino A, Bonfantini F, Di Cosimo S, Gennaro M, Cosentino V, Sant M, Pignoli E, Valdagni R, Lozza L, De Santis M. EP-1284 Older age and comorbidity in breast cancer: is radiotherapy alone the new therapeutic frontier? Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31704-9] [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: 11/25/2022]
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26
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Belgioia L, Desideri I, Errico A, Franzese C, Daidone A, Marino L, Fiore M, Borghetti P, Greto D, Fiorentino A. EP-1638 Radiotherapy and Immunotherapies in elderly: a systematic literature review. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32058-4] [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: 10/26/2022]
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27
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Fiorentino A, Mazzola R, Lancellotta V, Saldi S, Chierchini S, Alitto A, Borghetti P, Gregucci F, Fiore M, Desideri I, Marino L, Greto D. EP-1653 Evaluation of Italian Radiotherapy research: preliminary analysis. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32073-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Gregucci F, Fiorentino A, Corradini S, Figlia V, Mazzola R, Ricchetti F, Ruggeri R, Alongi F. EP-1636 Linac-based radiosurgery in elderly patients: mono-institutional experience on 110 brain metastases. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32056-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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29
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La Rocca E, Dispinzieri M, Meneghini E, Fiorentino A, Bonfantini F, Di Cosimo S, Gennaro M, Cosentino V, Sant M, Pignoli E, Valdagni R, Lozza L, De Santis M. EP-1285 Hypofractionated irradiation in elderly breast cancer patients: an observational study. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31705-0] [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: 11/30/2022]
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Alongi F, Gregucci F, Fiorentino A, Mazzola R, Figlia V, Ricchetti F, Sicignano G, Giaj-Levra N, Naccarato S, Massocco A, Corradini S, Ruggieri R. PV-0047 IMRT versus VMAT for elderly patients with breast cancer: comparison of acute and late toxicities. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30467-0] [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: 11/25/2022]
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31
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Mattavelli D, Doglietto F, Ferrari M, Fiorentino A, Agnelli S, Rodella L, Maroldi R, Nicolai P. PO-167 3D printing of biocompatible polymers for personalized skull-base reconstruction: proof of concept. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30333-0] [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: 11/16/2022]
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32
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Michelini S, Fiorentino A, Cardone M. Melilotus, Rutin and Bromelain in primary and secondary lymphedema. Lymphology 2019; 52:177-186. [PMID: 32171184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
As reported in the literature, benzopyrones (alpha and gamma) have important effects on the microcirculation through various mechanisms. Coumarins are an alpha-benzopyrone as derivatives of Melilotus Officinalis, while bioflavonoids are a gamma-benzopyrone and include Rutin. Alpha-benzopyrones have two fundamental pharmacological effects: they have pro-lymphokinetic action by activating contractility of lymphangions; and the activation of macrophages to provide a proteolytic effect. Gamma-benzopyrones, such as Rutin, have an important anti-exuding and membrane stabilizing effect. Bromelain is known for its anti-inflammatory effect. The present study enrolled 52 patients with primary and/or secondary lymphedema in clinical stages I or II (according to the ISL classification) with 31 cases involving the lower limbs and 21 cases involving the upper limbs. All subjects were given for six months a natural compound consisting of 100 mg of natural Melilotus, that contains 20 grams of Coumarin, 300 mg of Rutin and 100 mg of Bromelain. The following parameters were studied at zero time (T0), after three months (T1), and after six months of treatment (T2): pitting, Stemmer's sign, measurement of limb circumferences, measurement of superficial tissue thickness in the affected limbs using ultrasound, and blood tests to evaluate hepatic function (ALT, AST, GGT, total and fractional bilirubin). At the end of the treatment (T2), the following results were observed: disappearance of pitting in 72% of the cases; unchanged Stemmer's sign; average decrease in limb circumferences of 4.2 cm; and average reduction of the superficial thickness of 29%. There was no variation in the liver function parameters examined. The combination of natural compounds (Melilotus, Rutin, and Bromelain) has been shown to be a valuable aid in the clinical control of both primary and secondary lymphedema of clinical stages I and II as well as in control of inflammatory phenomena related to chronic stasis. There were no side effects and no alteration of liver function parameters found.
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Affiliation(s)
- S Michelini
- Ospedale San Giovanni Battista - ACISMOM - Rome, Italy
| | - A Fiorentino
- Ospedale San Giovanni Battista - ACISMOM - Rome, Italy
| | - M Cardone
- Ospedale San Giovanni Battista - ACISMOM - Rome, Italy
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Ruggieri R, Naccarato S, Ricchetti F, Mazzola R, Gregucci F, Figlia V, Fiorentino A, Corradini S, Alongi F. Comparison of Two Mono-Isocenter Techniques with Multiple Non-Coplanar Arcs for Linac Based SRS of Multiple Brain Lesions. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1458] [Citation(s) in RCA: 1] [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: 10/28/2022]
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Giaj-Levra N, Trovo M, Muraro E, Fersino S, Fiorentino A, Mazzola R, Ricchetti F, Filippi A, Ricardi U, Alongi F. Report of a Pilot Study on IL-13 As Prognostic Biomarker in Patients with Early Stage Lung Cancer Treated with Stereotactic Ablative Radiation Therapy. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1842] [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: 11/29/2022]
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Alongi F, Fiorentino A, Gregucci F, Giaj-Levra N, Mazzola R, Ricchetti F, Fersino S, Ruggieri R. Stereotactic Intracranial Ablative Radiation Therapy for Brain Metastases with a Mono-Isocenter No-Coplanar Dedicated System: A Preliminary Dosimetric and Clinical Report. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Mazzola R, Giaj-Levra N, Fiorentino A, Fersino S, Figlia V, Gregucci F, Ricchetti F, Ruggieri R, Alongi F. Can Stereotactic Body Radiation Therapy for Lung Oligometastases Impact on Delaying the Administration of Systemic Therapies? A Cohort Study of 70 Patients with 140 Lung Metastases. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1794] [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: 11/27/2022]
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O'Brien NL, Fiorentino A, Curtis D, Rayner C, Petrosellini C, Al Eissa M, Bass NJ, McQuillin A, Sharp SI. Rare variant analysis in multiply affected families, association studies and functional analysis suggest a role for the ITGΒ4 gene in schizophrenia and bipolar disorder. Schizophr Res 2018; 199:181-188. [PMID: 29526452 PMCID: PMC6179966 DOI: 10.1016/j.schres.2018.03.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 02/22/2018] [Accepted: 03/01/2018] [Indexed: 11/29/2022]
Abstract
Recent results imply that rare variants contribute to the risk of schizophrenia. Exome sequence data from the UK10K project was used to identify three rare, amino acid changing variants in the ITGB4 gene which segregated with schizophrenia in two families: rs750367954, rs147480547 and rs145976111. Association analysis was carried out in the exome-sequenced Swedish schizophrenia study and in UCL schizophrenia and bipolar cases and controls genotyped for these variants. A gene-wise weighted burden test was performed on a trio sample of schizophrenia cases and their parents. rs750367954 was seen in two Swedish cases and in no controls. The other two variants were commoner in cases than controls in both Swedish and UCL cohort samples and an overall burden test was significant at p=0.0000031. The variants were not observed in the trio sample but ITGB4 was most highly ranked out of 14,960 autosomal genes in a gene-wise weighted burden test. The effect of rs147480547 and rs145976111 was studied in human neuroblastoma SH-SY5Y cells. Cells transfected with both variants had increased proliferation at both 24 and 48h (p=0.013 and p=0.05 respectively) compared to those with wild-type ITGB4. Taken together, these results suggest that rare variants in ITGB4 which affect function may contribute to the aetiology of schizophrenia and bipolar disorder.
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Affiliation(s)
- N L O'Brien
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
| | - A Fiorentino
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
| | - D Curtis
- UCL Genetics Institute, University College London, London, UK; Centre for Psychiatry, Barts and the London School of Medicine and Dentistry, London, UK
| | - C Rayner
- UCL Genetics Institute, University College London, London, UK
| | - C Petrosellini
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
| | - M Al Eissa
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
| | - N J Bass
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
| | - A McQuillin
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK.
| | - S I Sharp
- UCL Molecular Psychiatry Laboratory, Division of Psychiatry, University College London, London, UK
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Ricchetti F, Fersino S, Mazzola R, Fiorentino A, Giaj Levra N, Aiello D, Gregucci F, Tebano U, Sicignano G, Naccarato S, Ruggieri R, Alongi F. EP-1414: Stereotactic body radiotherapy with image-guided delivery for liver metastasis. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31723-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Ruggieri R, Naccarato S, Fiorentino A, Ricchetti F, Mazzola R, Alongi F. EP-1899: HyperArc^TM: a new mono-isocenter VMAT technique for SRS of multiple brain lesions. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32208-4] [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: 10/14/2022]
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Alongi F, Mazzola R, Fersino S, Aiello D, Fiorentino A, Gregucci F, Giaj Levra N, Ricchetti F, Salgarello M. EP-1544: Ga-68 PSMA PET/CT in postoperative Prostate Cancer patients. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31853-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Fiorentino A, Mazzola R, Fersino S, Ricchetti F, Giaj-Levra N, Gregucci F, Alongi F. PO-0861: Stereotactic Ablative Radiotherapy For Oligometastatic Patients With Isolated/Limited Lymphnodes. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31171-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Fersino S, Mazzola R, Aiello D, Gregucci F, Giaj-Levra N, Fiorentino A, Ricchetti F, Ruggieri R, Alongi F. EP-1417: SBRT for liver oligometastases:predictive factors of local responce response by 18F-FDG-PET/CT. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31726-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Alongi F, Fersino S, Mazzola R, Levra NG, Ricchetti F, Fiorentino A, Aiello D, Ballario R, Ruggieri R, Cavalleri S. Phase 2 Study With FFF LINAC-Based SBRT in Five Consecutive Fractions for Localized Prostate Cancer. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Fiorentino A, Tebano U, Levra NG, Fersino S, Mazzola R, Ricchetti F, Sicignano G, Ruggieri R, Alongi F. Are Hippocampi Considered Organs at Risk During Stereotactic Radiation Therapy for Brain Metastases? Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Potts C, Gordon J, DiMattina M, Fiorentino A, Celia G. Implantation and live births following transfer of 0pn embryos in natural cycle IVF. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fersino S, Tebano U, Mazzola R, Ricchetti F, Giaj Levra N, Fiorentino A, Sicignano G, Naccarato S, Ruggeri R, Alongi F. EP-1316: Moderate Hypofractionation RT in postprostatectomy setting:report on feasibility and acute toxicity. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31751-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Fiorentino A, Mazzola R, Giaj Levra N, Sicignano G, Di Paola G, Naccarato S, Fersino S, Tebano U, Ricchetti F, Ruggieri R, Alongi F. EP-1151: Hypofractionated Radiotherapy in breast cancer treatment: A comparison between 3-DCRT and IMRT. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31587-6] [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: 11/29/2022]
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Giaj Levra N, Fiorentino A, Sicignano G, Tebano U, Fersino S, Mazzola R, Ricchetti F, Aiello D, Naccarato S, Ruggieri R, Alongi F. EP-1104: SABR for brain metastases with VMAT and FFF: feasibility and early clinical results. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31540-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Mazzola R, Giaj Levra N, Fiorentino A, Fersino S, Ricchetti F, Tebano U, Aiello D, Ruggieri R, Alongi F. EP-1206: FDG-PET/CT predictive parameters of early response after SABR for lung oligometastases. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)32302-2] [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: 11/29/2022]
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Tebano U, Fiorentino A, Sicignano G, Giaj-Levra N, Fersino S, Mazzola R, Ricchetti F, Naccarato S, Ruggieri R, Alongi F. EP-1103: Are hippocampi considered organs at risks during stereotactic radiotherapy for brain metastases? Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31539-6] [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: 11/16/2022]
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