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Melchionna A, Collà Ruvolo C, Capece M, La Rocca R, Celentano G, Califano G, Creta M, Napolitano L, Morra S, Cilio S, Turco C, Caputo V, Longo N, Mirone V, Imbimbo C. Testicular pain and YouTube™: Are uploaded videos a reliable source to get information? Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00180-4] [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: 11/16/2022]
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Arcara G, Pezzetta R, Benavides-Varela S, Rizzi G, Formica S, Turco C, Piccione F, Semenza C. Magnetoencephalography reveals differences in brain activations for fast and slow responses to simple multiplications. Sci Rep 2021; 11:20296. [PMID: 34645843 PMCID: PMC8514455 DOI: 10.1038/s41598-021-97927-8] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 08/17/2021] [Indexed: 11/30/2022] Open
Abstract
Despite decades of studies, it is still an open question on how and where simple multiplications are solved by the brain. This fragmented picture is mostly related to the different tasks employed. While in neuropsychological studies patients are asked to perform and report simple oral calculations, neuroimaging and neurophysiological studies often use verification tasks, in which the result is shown, and the participant must verify the correctness. This MEG study aims to unify the sources of evidence, investigating how brain activation unfolds in time using a single-digit multiplication production task. We compared the participants' brain activity-focusing on the parietal lobes-based on response efficiency, dividing their responses in fast and slow. Results showed higher activation for fast, as compared to slow, responses in the left angular gyrus starting after the first operand, and in the right supramarginal gyrus only after the second operand. A whole-brain analysis showed that fast responses had higher activation in the right dorsolateral prefrontal cortex. We show a timing difference of both hemispheres during simple multiplications. Results suggest that while the left parietal lobe may allow an initial retrieval of several possible solutions, the right one may be engaged later, helping to identify the solution based on magnitude checking.
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Affiliation(s)
- Giorgio Arcara
- grid.492797.6IRCCS San Camillo Hospital, Via Alberoni 70, Lido, 30126 Venice, Italy
| | - Rachele Pezzetta
- grid.492797.6IRCCS San Camillo Hospital, Via Alberoni 70, Lido, 30126 Venice, Italy
| | - S. Benavides-Varela
- grid.5608.b0000 0004 1757 3470Department of Developmental Psychology and Socialization, University of Padova, Padua, Italy ,grid.5608.b0000 0004 1757 3470Department of Neuroscience (Padova Neuroscience Centre), University of Padova, Padua, Italy
| | - G. Rizzi
- grid.5608.b0000 0004 1757 3470Department of Neuroscience (Padova Neuroscience Centre), University of Padova, Padua, Italy
| | - S. Formica
- grid.5342.00000 0001 2069 7798Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - C. Turco
- grid.492797.6IRCCS San Camillo Hospital, Via Alberoni 70, Lido, 30126 Venice, Italy
| | - F. Piccione
- grid.5608.b0000 0004 1757 3470Riabilitazione, Azienda Ospedale - Università di Padova, Regione Veneto, Italy
| | - C. Semenza
- grid.5608.b0000 0004 1757 3470Department of Neuroscience (Padova Neuroscience Centre), University of Padova, Padua, Italy
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Romano F, Barone B, Vitale R, Morra S, Turco C, Caputo V, Napolitano L, Crocetto F, Imbimbo C, Prezioso D. Preoperative fibrinogen-to-albumin ratio as independent predictor of bladder cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00938-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Wojcik M, Doussot A, Manfredelli S, Duclos C, Paquette B, Turco C, Heyd B, Lakkis Z. Intra-operative fluorescence angiography is reproducible and reduces the rate of anastomotic leak after colorectal resection for cancer: a prospective case-matched study. Colorectal Dis 2020; 22:1263-1270. [PMID: 32306516 DOI: 10.1111/codi.15076] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [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: 10/11/2019] [Accepted: 02/03/2020] [Indexed: 02/08/2023]
Abstract
AIM Intra-operative fluorescence angiography (IOFA) with indocyanine green provides information on tissue perfusion that may help prevent an anastomotic leak (AL). The aim of this study was to assess the impact of IOFA on outcomes after left-sided colonic or low anterior resection with anastomosis for colorectal cancer. METHODS All patients with left-sided colonic or rectal cancer, operated between June 2017 and December 2018, were prospectively included. IOFA has been routinely implemented since May 2018. Reproducibility of IOFA, after a 1:1 matching for relevant clinical risk factors of AL, was studied in patients with IOFA (IOFA+) and without IOFA (IOFA-). Outcomes were compared in terms of postoperative events such as clinically relevant AL as the primary end-point. RESULTS In the IOFA+ group, changing of the initially planned colon transection due to inadequate perfusion occurred in five out of 46 patients (10.9%). Agreement between intra-operative assessment and postoperative blind review of IOFA was deemed strong (Cohen's kappa index 0.893, 95% CI 0.788-0.998, P < 0.001). Among 111 patients, 42 matched patients were included in each group. There was significantly more clinically relevant AL in the IOFA- group compared to the IOFA+ group (16.7% vs 2.4%, P = 0.026) involving significantly more anastomotic dehiscence which required re-intervention (19% vs 2.4%, P = 0.014). Additionally, more descending colon ischaemia/necrosis was observed in the IOFA- group compared with the IOFA+ group (9.5% vs 0%, P = 0.040). CONCLUSION In this prospective case-matched study, IOFA decreased the occurrence of clinically relevant AL due to necrosis of the descending colon or anastomosis. Upon blind review, perfusion assessment using IOFA was reproducible.
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Affiliation(s)
- M Wojcik
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - A Doussot
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - S Manfredelli
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - C Duclos
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - B Paquette
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - C Turco
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - B Heyd
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
| | - Z Lakkis
- Department of Digestive Surgical Oncology - Liver Transplantation Unit, University Hospital of Besançon, Besançon, France
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Grillot J, Raillat J, Vienot A, Vuitton L, Koch S, Algros M, Turco C, Chanut L, Prothe C, Borg C, D’engremont C. SUN-PO106: Preoperative Sarcopenia and Lymphopenia have an Additive Value for Prognosis Prediction in Localized Pancreatic Ductal Adenocarcinoma. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32740-2] [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: 10/26/2022]
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Raillat J, Grillot J, Vienot A, Vernerey D, Fein F, Turco C, Heyd B, Koch S, Vuitton L, D’Engremont C, Borg C. Valeur prédictive de la sarcopénie et de la lymphopénie préopératoires sur la survie sans récidive dans l’adénocarcinome pancréatique opérable. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.343] [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: 10/27/2022]
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Buzzoni R, Pusceddu S, Bajetta E, De Braud F, Platania M, Iannacone C, Cantore M, Mambrini A, Bertolini A, Alabiso O, Ciarlo A, Turco C, Mazzaferro V. Activity and safety of RAD001 (everolimus) in patients affected by biliary tract cancer progressing after prior chemotherapy: a phase II ITMO study. Ann Oncol 2014; 25:1597-603. [PMID: 24827133 DOI: 10.1093/annonc/mdu175] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [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: 12/13/2022] Open
Abstract
BACKGROUND Biliary tract cancer (BTC) is a highly lethal disease for which the best available therapy remains undetermined. The mammalian target of rapamycin (mTOR) pathway is up-regulated in several cancers, including BTC, and preclinical evidence indicates that mTOR inhibition may be effective in the treatment of BTC. We sought to evaluate the activity and tolerability of the mTOR inhibitor RAD001-everolimus-in patients with BTC progressing after prior chemotherapy. PATIENTS AND METHODS This was an open-label, single-arm, phase II study (EUDRACT 2008-007152-94) conducted in eight sites in Italy. Patients with locally advanced, metastatic or recurrent BTC progressing despite previous chemotherapy received a daily oral dose of everolimus 10 mg administered continuously in 28-day cycles. The two primary end points were disease control rate (DCR) and objective response rate (ORR). Secondary end points were progression-free survival (PFS), overall survival (OS) and time-to-progression (TTP). RESULTS Thirty-nine patients were enrolled. The DCR was 44.7%, and the ORR was 5.1%. One patient showed a partial response at 2 months and one patient showed a complete response sustained up to 8 months. The median (95% confidence interval) PFS was 3.2 (1.8-4.0) months, and the median OS was 7.7 (5.5-13.2) months. The median TTP was 2.0 (1.7-3.7) months. Most common toxicities were asthenia (43.6%), thrombocytopenia (35.9%), pyrexia (30.8%) and erythema, mainly of mild-to-moderate severity. Two patients required dose reduction due to adverse events. CONCLUSION Everolimus demonstrated a favourable toxicity profile and encouraging anti-tumour activity. Further trials are needed to establish the role of everolimus in the treatment of BTC. EUDRACT 2008-007152-94.
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Affiliation(s)
- R Buzzoni
- Day Hospital/Outpatient Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
| | - S Pusceddu
- Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
| | - E Bajetta
- Medical Oncology Unit, Policlinico of Monza, Monza
| | - F De Braud
- Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
| | - M Platania
- Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
| | | | - M Cantore
- Medical Oncology Unit, Asl 1, Massa Carrara
| | - A Mambrini
- Medical Oncology Unit, Asl 1, Massa Carrara
| | - A Bertolini
- Medical Oncology Unit, Presidio Ospedaliero Sondrio, Sondrio
| | - O Alabiso
- Medical Oncology Unit, A.U.O. Maggiore della Carità, Novara
| | - A Ciarlo
- Medical Oncology Unit, Usl 4, Presidio Ospedaliero, Prato
| | - C Turco
- Medical Oncology Unit, Italian Trials in Medical Oncology (ITMO) Group, Fondazione IRCCS Istituto Nazionale Tumori, Milan
| | - V Mazzaferro
- Gastro-Intestinal Surgery, Liver Transplantation and Hepatology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
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Brunetti P, Pagano G, Turco C, Gori M, Perriello G. Effects of two different glibenclamide dose-strengths in the fixed combination with metformin in patients with poorly controlled T2DM: a double blind, prospective, randomised, cross-over clinical trial. Diabetes Nutr Metab 2004; 17:350-7. [PMID: 15887629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
A double-blind, prospective, randomised, cross-over clinical trial was performed comparing a glibenclamide (G) 5.0 mg/metformin (M) 400 mg combination with a G 2.5 mg/M 400 mg formulation to evaluate whether a higher dose of glibenclamide was able to improve glycaemia in poorly controlled Type 2 diabetic patients. One hundred and ninety-eight patients with poorly controlled Type 2 diabetes mellitus were randomised to receive one of the two trial drugs for a first 3-month period, and were then assigned to the alternative combination for further 3 months. The starting dose (2 tablets/day, 30 min before breakfast and dinner) was to be up-titrated to 3 tablets/day when required. A standard dietary regimen was kept constant for the total trial duration. Fasting plasma glucose, HbA1c, C-peptide, insulin and lactate levels, haematology and blood chemistry were measured at the start/end of each cycle. Patients' self-assessment of the glycaemic profile (at fasting and 2 hr after the main meals) was performed weekly. Patients were constantly monitored for adverse events and episodes of hypoglycaemia, and all events were recorded. Decrease of mean fasting glucose levels measured in the first cycle was more pronounced in the group treated with G 5.0 mg/M 400 (p<0.01) compared to baseline, although the difference was not significant--no changes were observed in the second 3-month period. Results of patients' self-assessment of the glycaemic profile in the overall 6-month period show that the two trial drugs produced similar effects on fasting glucose, but the decrease of post-prandial glycaemic levels was markedly higher with G 5 mg/M 400 mg than with G 2.5 mg/M 400 mg at both main meals. A similar significant decrease (p<0.01) of HbA1c was observed in both sequence groups at the end of the first 3-month treatment period, and mean levels remained unchanged at 6 months. Drug-related adverse events were observed in 2 patients during treatment with G 2.5 mg/M 400 mg and in 5 with G 5 mg/M 400 mg, while 14 and 22 episodes of hypoglycaemia occurred with the two trial drugs, respectively (p=NS between treatments). Metformin-induced increases of lactate levels were similar in the two sequence groups. No differences between groups were found either in the number of up-titrated patients or in all the other laboratory parameters. In conclusion, the new combination containing 5-mg glibenclamide produced a greater improvement in post-prandial glycaemic control compared with the standard fixed doses, and resulted equally safe and well tolerated.
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Affiliation(s)
- P Brunetti
- Department of Internal Medicine, Section of Internal Medicine and Endocrine and Metabolic Sciences, University of Perugia, Perugia, Italy
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Pignata C, Fiore M, Scotese I, Cosentini E, Sperandeo MP, Turco C, Petrella A, Notarangelo L, Venuta S. Combined immunodeficiency phenotype associated with inappropriate spontaneous and activation-induced apoptosis. Clin Exp Immunol 1997; 108:484-9. [PMID: 9182896 PMCID: PMC1904687 DOI: 10.1046/j.1365-2249.1997.3971295.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Programmed death of T cells has been proposed as one of the mechanisms by which HIV induces a decline in the number and functions of T cells in advanced AIDS. In this study we report on a patient affected by a congenital form of combined immunodeficiency presenting as a profound T cell activation deficiency. Subsequently, a gradual loss of T cells occurred, eventually resulting in a classical form of severe combined immunodeficiency (SCID). In this patient a sizeable fraction of apoptotic cells was documented in the first phase of the disease by either propidium iodide staining or DNA fragmentation analysis. The presence of anergic T cells of maternal origin and engrafted in the child was excluded by analysis of DNA polymorphic regions. At 4 years of age the patient died of disseminated interstitial pneumopathy, while still awaiting an HLA-matched bone marrow transplantation. On the occasion of a new pregnancy in the mother, the prenatal immunological evaluation of the female fetus revealed a T B+ SCID phenotype. This is the first observation of a primary immunodeficiency associated with inappropriate apoptosis.
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Affiliation(s)
- C Pignata
- Department of Paediatrics, Federico II University, Naples, Italy
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Turco C, Nisio A, Lofano B. [Benign tumors of the mandible. The experience of reconstruction using immediate bone grafts]. Minerva Stomatol 1990; 39:101-8. [PMID: 2342445] [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: 12/31/2022]
Abstract
The numerous benign pathologies of the mandible are considered, attention being focused on the large neoplasms that require full demolition and appropriate reconstructive surgery. Among the most frequent mandibular tumours, a clear-cut prevalence was noted for odontogenic tumours; on the subject of reconstructive therapy, on the other hand, stress is laid on the need for increasingly frequent use of immediate bone grafts for which the iliac bone provides the most available bone tissue both in terms of quantity and ease of access, modellability and tolerance.
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Affiliation(s)
- C Turco
- Ospedale Regionale Miulli, Acquaviva delle Fonti, Bari
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Turco C, Nisio A, Lofano B. [Osteoma of the frontal sinus. Remarks on a clinical case]. Minerva Stomatol 1990; 39:109-12. [PMID: 2342446] [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: 12/31/2022]
Abstract
A case of frontal osteoma observed at the Maxillofacial Surgery and Odontostomatology Division of the Miulli di Acquaviva delle Fonti (Ba) Regional Hospital, treated surgically by the creation of a bone passage in correspondence with the anterior wall of the sinus which is then reset and osteosynthesized, is reported. The technique adopted thus makes possible full visualisation of the neoformation and valid morphological and aesthetic recovery.
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Affiliation(s)
- C Turco
- Ospedale Regionale Miulli, Acquaviva delle Fonti, Bari
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Turco C, Nisio A, Brunetti F, Logrieco F. [Fracture of the orbito-maxillo-zygomatic complex. Follow-up study]. Minerva Stomatol 1989; 38:811-3. [PMID: 2796923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The cases are examined of 82 patients out of 126 surgically treated for OMZ fractures who were followed up years later. The assessment of certain parameters reveals that many patients especially those suffering extensive OMZ injuries continued to complain of problems with the sensitivity of the orbital nerve.
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Turco C, Nisio A, Brunetti F. [Submandibular sialoadenectomy and long-term results]. Minerva Stomatol 1988; 37:329-34. [PMID: 3173302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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C. A, Bequinot C, Galasso G, Petriccione S, Turco C. Problemi demografici italiani e questione meridionale. Population (French Edition) 1960. [DOI: 10.2307/1526949] [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: 11/10/2022]
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