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Carter J, Horan T, Miller J, Madejski G, Butler E, Amato C, Roussie J. Comparative evaluation of filtration and imaging properties of analytical filters for microplastic capture and analysis. Chemosphere 2023; 332:138811. [PMID: 37127196 DOI: 10.1016/j.chemosphere.2023.138811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 04/17/2023] [Accepted: 04/28/2023] [Indexed: 05/03/2023]
Abstract
Pollution by microplastics (MPs) is a growing problem that is now well-recognized, as concerning levels of MPs have been found in drinking water, food, and even human tissues. Given the evolving understanding of their toxicological effects on human health, MPs are an area of concern requiring further study. Consequently, there is a need for greater understanding of the performance characteristics of common MP analytical methods and where possible, for standardizing methods and reporting practices. Here, we report our work comparing filtration and imaging properties of five analytical filters suitable for MP capture and analysis. We compared track-etched polycarbonate with (PCTEG) and without gold coating (PCTE), polytetrafluoroethylene (PTFE), porous silicon (PSi), and gold-coated microslit silicon nitride membranes (MSSN-Au). Four of the filter types had a nominal 1.0 μm cut-off, except for PCTEG which had a 0.8 nominal cut-off. We examined the ultrastructure of each membrane type by electron microscopy to understand how their physical properties influence filtration and imaging performance. We compared clean water filtration rates and timed volume passage for each filter in comparison to its porosity and working surface area. We further compared optical microscopy imaging properties for each filter with model MP samples in both bright-field and fluorescent modes with accompanying Nile Red staining. In terms of absolute and surface area-normalized flow rates, our measurements ranked the filters in order of MSSN-Au > PTFE > PCTE > PCTEG > PSi. Similarly, we found MSSN-Au filters compared favorably in terms of optical microscopy performance. Collectively, these data will aid practitioners when choosing analytical filters for MP surveillance and testing.
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Affiliation(s)
- Jared Carter
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA
| | - Teagan Horan
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA
| | - Joshua Miller
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA
| | | | - Erin Butler
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA
| | - Corinne Amato
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA
| | - James Roussie
- SiMPore Inc., 150 Lucius Gordon Drive, Suite 110, West Henrietta, NY, 14586, USA.
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Caimi G, Urso C, Brucculeri S, Amato C, Lo Presti R, Carlisi M. Leukocyte subtypes, gelatinases, and their tissue inhibitors in a group of subjects with asymptomatic carotid atherosclerosis. Clin Hemorheol Microcirc 2022; 82:37-51. [PMID: 35599473 PMCID: PMC9741743 DOI: 10.3233/ch-221380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
In a cohort of subjects with asymptomatic carotid atherosclerosis (ACA), we have evaluated the neutrophil and lymphocyte count and their ratio (NLR), the gelatinases (MMP-2 and MMP-9) and their tissue inhibitors (TIMP-1 and TIMP-2). At baseline, no difference was observed between ACA subjects and subject control group regarding neutrophil and lymphocyte count while was evident in ACA subjects a significant increase in MMP-2, MMP-9 and TIMP-2 associated to a significant decrease in TIMP-1. Dividing the ACA according to the number of cardiovascular risk factors (CRFs) we have observed an increase in lymphocyte count in the subgroup with 3-5 CRFs. Evaluating the leukocyte subtypes according to all the surrogate markers of insulin resistance has been noted, in the subgroups that exceed the medians of these markers, a significant increase in neutrophil and lymphocyte count without any variation of the NLR. Effecting the same evaluation for the MMP/TIMP pattern we observed, instead, that the same subgroups tend to show a decrease in MMP-2 and an increase in MMP-9. No difference instead for TIMP-1 and TIMP-2. The abnormality of the MMP/TIMP pattern, bearing in mind the cardiometabolic clustering present in this cohort of ACA subjects, would induce to use drugs able not only to cure the cardiometabolic risk factors but also to influence the MMP/TIMP profile.
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Affiliation(s)
- Gregorio Caimi
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy,Corresponding author: Gregorio Caimi, Via Leonardo Da Vinci, 52, 90145, Palermo, Italy. E-mails: ;
| | - C. Urso
- Fondazione Istituto “G. Giglio” Cefalù, Palermo, Italy
| | - S. Brucculeri
- Fondazione Istituto “G. Giglio” Cefalù, Palermo, Italy
| | - C. Amato
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy
| | - R. Lo Presti
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo, Italy
| | - M. Carlisi
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Università degli Studi di Palermo, Palermo, Italy
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Monini M, Ianiro G, Delogu R, Battistone A, Amato C, Bartolo IDI. Human Enteric Viruses Detection in Raw and Reclaimed Wastewaters in Two Cities in Southern Italy. Int J Infect Dis 2022. [DOI: 10.1016/j.ijid.2021.12.189] [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: 10/19/2022] Open
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Scerrino G, Cocorullo G, Orlando G, Rotolo G, Corigliano A, Amato C, Proclamà MP, Vitale I, Melfa G, Paladino NC. Predictive factors for lymph node involvement in sporadic medullary thyroid microcarcinoma: a systematic review. Eur Rev Med Pharmacol Sci 2022; 26:1004-1016. [PMID: 35179766 DOI: 10.26355/eurrev_202202_28009] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The aim of the study was to determine the impact of laboratory and imaging tests in predicting central and lateral neck lymph node/LN involvement and in decision making for surgical extent. MATERIALS AND METHODS A PubMed, Web of Science and Scopus search was performed according to PRISMA criteria. The relationship between nodule size, diagnostic biomarkers and imaging with LN involvement were evaluated. RESULTS The available data analysis did not yield clear indications of the relationship between each of these topics and the presence, number, and location of LN involved. There was no conclusive data for the selective indication of central neck dissection in the preoperative diagnosis of microMTC. CONCLUSIONS There is no justification for less invasive interventions than total thyroidectomy with lymph node dissection.
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Affiliation(s)
- G Scerrino
- Department of Surgical Oncology and Oral Sciences, Unit of General and Emergency Surgery, University of Palermo, Palermo, Italy.
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Pagano F, Amato C, De Marco G, Micillo M, Cecere G, Poeta M, Guarino A, Lo Vecchio A. Reduction in broad-spectrum antimicrobial prescriptions by primary care pediatricians following a multifaceted antimicrobial stewardship program. Front Pediatr 2022; 10:1070325. [PMID: 36683814 PMCID: PMC9853423 DOI: 10.3389/fped.2022.1070325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/08/2022] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Since 2016, following the Italian "National Plan to Contrast Antimicrobial Resistance", Campania Region has implemented an antimicrobial stewardship program, including the obligation to associate an appropriate International Classification of Diseases-9 code to each antibiotic prescription, the publication of schemes for empirical antibiotic therapy and educational interventions. METHODS To evaluate the impact of these interventions on the prescribing habits of family pediatricians, we conducted a retrospective cohort study (January 2016-December 2020), including all patients registered in an associate practice of Primary Care Pediatricians. We collected data on antibiotic prescriptions through a specific study management software; our primary outcomes were the annual prescription rates, calculated for both the number of patients in follow-up and the number of medical consultations, and the annual prescription rates for selected antibiotic classes and molecules. To investigate the hypothesis that chronic conditions would be associated with an increased rate of prescription, we also tested the association between underlying conditions and the number of antibiotics received. RESULTS During the study period, 2,599 children received 11,364 antibiotic prescriptions (mean 4.37, SD 4.28). From 2016 to 2020 we observed a substantial reduction in both the annual prescription rate per 100 patients (9.33 to 3.39; R 2 = 0.927, p = 0.009), and the annual prescription rate per 100 medical consultations (25.49 to 15.98; R 2 = 0.996, p < 0.01). The prescription rates of Amoxicillin-Clavulanate (50.25 to 14.21; R 2 = 0.983, p = 0.001) and third generation Cephalosporins (28.43 to 5.43; R 2 = 0.995, p < 0.01) significantly decreased; we didn't find significant modifications in the prescription rates of Amoxicillin and Quinolones; finally, we observed a trend toward reduction in the prescription of Macrolides. No statistical association was found between antibiotics prescribing frequency and history of chronic diseases. DISCUSSION Following the implementation of the regional interventions on antimicrobial stewardship, we observed a substantial reduction in the overall antibiotic prescription per patients and per medical consultations, with a statistically significant reduction in the use of broad-spectrum molecules. Considering the results of our analysis, new guidance and training interventions addressed to specialists in the primary care sector should be implemented to further limit antibiotic resistance.
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Affiliation(s)
- F Pagano
- Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy
| | - C Amato
- Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy
| | - G De Marco
- U.O. Materno Infantile, ASL Napoli 1 Centro, Distretto Sanitario 28, Naples, Italy
| | - M Micillo
- U.O. Materno Infantile, ASL Napoli 1 Centro, Distretto Sanitario 28, Naples, Italy
| | - G Cecere
- U.O. Materno Infantile, ASL Napoli 1 Centro, Distretto Sanitario 28, Naples, Italy
| | - M Poeta
- Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy
| | - A Guarino
- Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy
| | - A Lo Vecchio
- Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy
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Fiorindi C, Campani F, Rasero L, Campani C, Livi L, Giovannoni L, Amato C, Giudici F, Bartoloni A, Fattirolli F, Lavorini F, Olivotto I, Nannoni A. Prevalence of nutritional risk and malnutrition during and after hospitalization for COVID-19 infection: Preliminary results of a single-centre experience. Clin Nutr ESPEN 2021; 45:351-355. [PMID: 34620339 PMCID: PMC8327581 DOI: 10.1016/j.clnesp.2021.07.020] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/21/2021] [Accepted: 07/23/2021] [Indexed: 01/04/2023]
Abstract
Background & aims The effect of the COVID-19 infection on nutritional status is not well established. Worldwide epidemiological studies have begun to investigate the incidence of malnutrition during hospitalization for COVID-19. The prevalence of malnutrition during follow-up after COVID-19 infection has not been investigated yet. The primary objective of the present study was to estimate the prevalence of the risk of malnutrition in hospitalized adult patients with COVID-19, re-evaluating their nutritional status during follow-up after discharge. The secondary objective was to identify factors that may contribute to the onset of malnutrition during hospitalization and after discharge. Methods We enrolled 142 COVID-19 patients admitted to Careggi University Hospital. Nutritional parameters were measured at three different timepoints for each patient: upon admission to hospital, at discharge from hospital and 3 months after discharge during follow-up. The prevalence of both the nutritional risk and malnutrition was assessed. During the follow-up, the presence of nutritional impact symptoms (NIS) was also investigated. An analysis of the association between demographic and clinical features and nutritional status was conducted. Results The mean unintended weight loss during hospitalization was 7.6% (p < 0.001). A positive correlation between age and weight loss during hospitalization was observed (r = 0.146, p = 0.08). Moreover, for elderly patients (>61 years old), a statistically significant correlation between age and weight loss was found (r = 0.288 p = 0.05). Patients admitted to an Intensive Care Unit (ICU) or Intermediate Care Unit (IMCU) had a greater unintended weight loss than patients who stayed in a standard care ward (5.46% vs 1.19%; p < 0.001). At discharge 12 patients were malnourished (8.4%) according to the ESPEN definition. On average, patients gained 4.36 kg (p < 0.001) three months after discharge. Overall, we observed a weight reduction of 2.2% (p < 0.001) from the habitual weight measured upon admission. Patients admitted to an ICU/IMCU showed a higher MUST score three months after discharge (Cramer's V 0.218, p = 0.035). With regard to the NIS score, only 7 patients (4.9%) reported one or more nutritional problems during follow-up. Conclusions The identification of groups of patients at a higher nutritional risk could be useful with a view to adopting measures to prevent worsening of nutritional status during hospitalization. Admission to an ICU/IMCU, age and length of the hospital stay seem to have a major impact on nutritional status. Nutritional follow-up should be guaranteed for patients who lose more than 10% of their habitual weight during their stay in hospital, especially after admission to an ICU/IMCU.
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Affiliation(s)
- C Fiorindi
- Department of Health Science, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
| | - F Campani
- Department of Health Science, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
| | - L Rasero
- Department of Health Science, University of Florence, Florence, Italy.
| | - C Campani
- Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy.
| | - L Livi
- Department of Health Science, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
| | - L Giovannoni
- Department of Health Science, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
| | - C Amato
- Department of Health Science, University of Florence, Florence, Italy.
| | - F Giudici
- Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy.
| | - A Bartoloni
- Infectious and Tropical Diseases Unit, Careggi University and Hospital, Florence, Italy.
| | - F Fattirolli
- Cardiac Rehabilitation Unit, Careggi University Hospital, Florence, Italy.
| | - F Lavorini
- Department of Cardiothoracovascular Medicine, Careggi Hospital, Florence, Italy.
| | - I Olivotto
- Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy.
| | - A Nannoni
- Department of Health Science, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
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Grindlay K, Key K, Bradford RD, Amato C, Blanchard K, Grossman D. POSTER ABSTRACTS. Contraception 2021. [DOI: 10.1016/j.contraception.2021.07.061] [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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Caimi G, Urso C, Brucculeri S, Amato C, Carlisi M, Lo Presti R. An assessment of the hemorheological profile in patients with subclinical carotid atherosclerosis divided in relation to the number of cardiovascular risk factors and different degrees of insulin resistance. Clin Hemorheol Microcirc 2021; 78:417-428. [PMID: 33843665 DOI: 10.3233/ch-211105] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
We present a cohort of 100 subjects [43 men and 57 women; median age 66.00(25)] who were tested using carotid ultrasound to identify subclinical carotid atherosclerosis (SCA). We have evaluated the behaviour of whole blood viscosity (WBV) at high (450 s-1) and low (0.51 s-1) shear rates, plasma viscosity (450-1), hematocrit and mean erythrocyte aggregation. When compared to normal control subjects, using the Mann-Whitney test, we observed in SCA patients a significant increase in WBV only. The results were substantial after having divided the SCA subjects according to the cardiovascular risk factors (CRFs) and the degree of insulin resistance; the research was performed using two surrogate indexes such as TG/HDL-C and TyG. With the division carried out according to CRFs, employing the Kruskal-Wallis test, results show a significant increase in WBV (at high and low shear rates), in plasma viscosity, in erythrocyte aggregation and plasma fibrinogen level. Whereas by dividing them into the median of TG/HDL-C and TyG, we noticed a significant increase in WBV (at high and low shear rates) and in erythrocyte aggregation in the two groups with high TG/HDL-C ratio and with high TyG; having found an increased level of plasma fibrinogen in the latter. The data underlines the role of the main hemorheologic aspects in subclinical carotid atherosclerosis being closely correlated to the CRFs and different degrees of insulin resistance.
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Affiliation(s)
- G Caimi
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Universitá Degli Studi Di Palermo, Palermo, Italy
| | - C Urso
- Fondazione Istituto "G. Giglio" Cefalú, Palermo, Italy
| | - S Brucculeri
- Fondazione Istituto "G. Giglio" Cefalú, Palermo, Italy
| | - C Amato
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Universitá Degli Studi Di Palermo, Palermo, Italy
| | - M Carlisi
- Department of Health Promotion and Child Care, Internal Medicine and Medical Specialties, Universitá Degli Studi Di Palermo, Palermo, Italy
| | - R Lo Presti
- Department of Psychology, Educational Science and Human Movement, Universitá Degli Studi Di Palermo, Palermo, Italy
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Sawall S, Klein L, Wehrse E, Rotkopf LT, Amato C, Maier J, Schlemmer HP, Ziener CH, Heinze S, Kachelrieß M. Threshold-dependent iodine imaging and spectral separation in a whole-body photon-counting CT system. Eur Radiol 2021; 31:6631-6639. [PMID: 33713171 PMCID: PMC8379121 DOI: 10.1007/s00330-021-07786-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 01/20/2021] [Accepted: 02/12/2021] [Indexed: 11/01/2022]
Abstract
OBJECTIVE To evaluate the dual-energy (DE) performance and spectral separation with respect to iodine imaging in a photon-counting CT (PCCT) and compare it to dual-source CT (DSCT) DE imaging. METHODS A semi-anthropomorphic phantom extendable with fat rings equipped with iodine vials is measured in an experimental PCCT. The system comprises a PC detector with two energy bins (20 keV, T) and (T, eU) with threshold T and tube voltage U. Measurements using the PCCT are performed at all available tube voltages (80 to 140 kV) and threshold settings (50-90 keV). Further measurements are performed using a conventional energy-integrating DSCT. Spectral separation is quantified as the relative contrast media ratio R between the energy bins and low/high images. Image noise and dose-normalized contrast-to-noise ratio (CNRD) are evaluated in resulting iodine images. All results are validated in a post-mortem angiography study. RESULTS R of the PC detector varies between 1.2 and 2.6 and increases with higher thresholds and higher tube voltage. Reference R of the EI DSCT is found as 2.20 on average overall phantoms. Maximum CNRD in iodine images is found for T = 60/65/70/70 keV for 80/100/120/140 kV. The highest CNRD of the PCCT is obtained using 140 kV and is decreasing with decreasing tube voltage. All results could be confirmed in the post-mortem angiography study. CONCLUSION Intrinsically acquired DE data are able to provide iodine images similar to conventional DSCT. However, PCCT thresholds should be chosen with respect to tube voltage to maximize image quality in retrospectively derived image sets. KEY POINTS • Photon-counting CT allows for the computation of iodine images with similar quality compared to conventional dual-source dual-energy CT. • Thresholds should be chosen as a function of the tube voltage to maximize iodine contrast-to-noise ratio in derived image sets. • Image quality of retrospectively computed image sets can be maximized using optimized threshold settings.
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Affiliation(s)
- S Sawall
- Division of X-Ray Imaging and CT, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. .,Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
| | - L Klein
- Division of X-Ray Imaging and CT, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.,Department of Physics and Astronomy, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 226, 69120, Heidelberg, Germany
| | - E Wehrse
- Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.,Division of Radiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - L T Rotkopf
- Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.,Division of Radiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - C Amato
- Division of X-Ray Imaging and CT, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.,Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany
| | - J Maier
- Division of X-Ray Imaging and CT, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - H-P Schlemmer
- Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.,Division of Radiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - C H Ziener
- Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.,Division of Radiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - S Heinze
- Institute of Forensic and Traffic Medicine, University Hospital Heidelberg, Voßstraße 2, 69115, Heidelberg, Germany
| | - M Kachelrieß
- Division of X-Ray Imaging and CT, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.,Medical Faculty, Ruprecht-Karls-University Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany
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Camera P, Maarouf Y, Balducci F, Bettocchi C, Cocci A, Cito G, Gacci M, Serni S, Natali A, Giunti D, Olmi A, Barbagli G, Picinotti A, Amato C. Effectivness of a new drug (Camarouf 0.006%) in treatment of delayed ejaculation. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35337-4] [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: 10/23/2022] Open
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Sawall S, Klein L, Amato C, Wehrse E, Dorn S, Maier J, Heinze S, Schlemmer HP, Ziener C, Uhrig M, Kachelrieß M. Iodine contrast-to-noise ratio improvement at unit dose and contrast media volume reduction in whole-body photon-counting CT. Eur J Radiol 2020; 126:108909. [DOI: 10.1016/j.ejrad.2020.108909] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 02/09/2020] [Accepted: 02/14/2020] [Indexed: 10/25/2022]
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Amato C, Martisikova M, Gehrke T. A technique for spatial resolution improvement in helium‐beam radiography. Med Phys 2020; 47:2212-2221. [DOI: 10.1002/mp.14051] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 01/10/2020] [Accepted: 01/11/2020] [Indexed: 11/11/2022] Open
Affiliation(s)
- C. Amato
- Department of Medical Physics in Radiation Oncology German Cancer Research Center (DKFZ) Heidelberg Germany
- Heidelberg Institute for Radiation Oncology (HIRO) National Center for Radiation Research in Oncology (NCRO) Heidelberg Germany
- Department of Physics University of Pisa Pisa Italy
| | - M. Martisikova
- Department of Medical Physics in Radiation Oncology German Cancer Research Center (DKFZ) Heidelberg Germany
- Heidelberg Institute for Radiation Oncology (HIRO) National Center for Radiation Research in Oncology (NCRO) Heidelberg Germany
| | - T. Gehrke
- Department of Medical Physics in Radiation Oncology German Cancer Research Center (DKFZ) Heidelberg Germany
- Heidelberg Institute for Radiation Oncology (HIRO) National Center for Radiation Research in Oncology (NCRO) Heidelberg Germany
- Department of Physics and Astronomy Heidelberg University Heidelberg Germany
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Félix-Bautista R, Gehrke T, Ghesquière-Diérickx L, Reimold M, Amato C, Turecek D, Jakubek J, Ellerbrock M, Martišíková M. Experimental verification of a non-invasive method to monitor the lateral pencil beam position in an anthropomorphic phantom for carbon-ion radiotherapy. ACTA ACUST UNITED AC 2019; 64:175019. [DOI: 10.1088/1361-6560/ab2ca3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Pedrini LA, Winter AC, Cerino F, Zawada AM, Garbelli M, Feuersenger A, Feliciani A, Ruggiero P, Civardi S, Amato C, Canaud B, Stuard S, Karch A, Gauly A. Clinical outcomes of hemodialysis patients in a public-private partnership care framework in Italy: a retrospective cohort study. BMC Nephrol 2019; 20:35. [PMID: 30709341 PMCID: PMC6359808 DOI: 10.1186/s12882-019-1224-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 10/26/2018] [Accepted: 01/22/2019] [Indexed: 11/30/2022] Open
Abstract
Background Innovative care models such as public-private partnerships (PPPs) may help meet the challenge of providing cost-effective high-quality care for the steadily growing and complex chronic kidney disease population since they combine the expertise and efficiency of a specialized dialysis provider with the population care approach of a public entity. We report the five-years main clinical outcomes of a population of patients treated on hemodialysis within a PPP-care model in Italy. Methods This descriptive retrospective cohort study consisted of all consecutive hemodialysis patients treated in the NephroCare-operated Nephrology and Dialysis unit of the Seriate Hospital in 2012–2016, which exercises a PPP-care model. Clinical and treatment information was obtained from the European Clinical Database. Hospitalization outcomes and cumulative all-cause mortality incidences that accounted for competing risks were calculated. Results We included 401 hemodialysis patients (197 prevalent and 204 incident patients) in our study. The mean cohort age and age-adjusted Charlson Comorbidity Index were 67.0 years and 6.7, respectively. Patients were treated with online high-volume hemodiafiltration or high-flux hemodialysis. Parameters of treatment efficiency were above the recommended targets throughout the study period. Patients in the PPP experienced benefits in terms of hospitalization (average number of hospital admissions/patient-year: 0.79 and 1.13 for prevalent and incident patients, respectively; average length of hospitalization: 8.9 days for both groups) and had low cumulative all-cause mortality rates (12 months: 10.6 and 7.8%, 5 years: 42.0 and 35.9%, for prevalent and incident patients, respectively). Conclusions Results of our descriptive study suggest that hemodialysis patients treated within a PPP-care model framework received care complying with recommended treatment targets and may benefit in terms of hospitalization and mortality outcomes. Electronic supplementary material The online version of this article (10.1186/s12882-019-1224-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- L A Pedrini
- Department of Nephrology and DialysisNephroCare-ASST Bergamo-Est, Seriate, Italy
| | - A C Winter
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - F Cerino
- NephroCare S.p.A., Naples, Italy
| | - A M Zawada
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany.
| | - M Garbelli
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - A Feuersenger
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - A Feliciani
- Department of Nephrology and DialysisNephroCare-ASST Bergamo-Est, Seriate, Italy
| | - P Ruggiero
- Department of Nephrology and DialysisNephroCare-ASST Bergamo-Est, Seriate, Italy
| | - S Civardi
- Fresenius Medical Care Italia S.p.A, Palazzo Pignano, Italy
| | - C Amato
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - B Canaud
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - S Stuard
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - A Karch
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
| | - A Gauly
- Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany
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Mukherjee N, Strosnider A, Vagher B, Lambert K, Amato C, Robinson W, Norris D, Shellman Y. 1193 DRP1 Inhibition as an adjuvant for BH3 mimetics in melanoma. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1208] [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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Amato C, Carioni C, Kirchgessner J, Marcelli D, Mitteregger A, Moscardo V, Orlandini G, Gatti E, Steil H. EuCliD® – A Medical Registry. Methods Inf Med 2018. [DOI: 10.1055/s-0038-1633841] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Summary
Objectives:
The European Clinical Database EuCliD®
* has been developed as a tool for supervising selected quality indicators of about 200 European dialysis centers. Major efforts had to be made to comply with local and European laws regarding data security.
Method:
EuCliD® is a Lotus Notes® based flat-file database currently containing medical data of more than 14,000 dialysis patients from 10 European countries. Another 15,000 patients from 150 centers in 4 South-American countries will be added soon. Data are entered either manually or by means of interfaces to existing local data managing systems. This information is transferred to a central Lotus Notes Server. Data evaluation was performed with statistical tools like SPSS.
Results:
EuCliD® is used as a part of the CQI (Continuous Quality Improvement) management system of Fresenius Medical Care (FMC) dialysis units. Each participating dialysis center receives (currently every half year) benchmarking reports at a regular interval. The benchmark for all quality parameters is the weighted mean of the corresponding data of all centers.
Conclusions:
An obvious impact of data sampling and data evaluation on the quality of the treatments could be observed within the first one and a half years of working with EuCliD®. This also concerns important outcome predictors like Kt/V and hemoglobin concentration as the outcome itself expressed in hospitalization days and survival rates. With the help of EuCliD® the user is able to sample clinical data, identify problems, search for solutions with the aim of improving the dialysis treatment quality and guarantee a high-class treatment quality for all patients.
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Gehrke T, Amato C, Berke S, Martišíková M. Theoretical and experimental comparison of proton and helium-beam radiography using silicon pixel detectors. ACTA ACUST UNITED AC 2018; 63:035037. [DOI: 10.1088/1361-6560/aaa60f] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Amato C, Varanda C, Fernandes F, Molini-Avejonas D. Information to Improve Awareness, Contribution to Evidence-based Practice – What Does the Brazilian population Knows About Autism. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The present prevalence of autism spectrum disorders (ASD) demands changes in health policies highlights barriers that are inherent to the national diversity and therefore poses great challenges to the planning and delivering specialized services. Systematic data regarding the level of knowledge and information about autism in the general population may help in building a set of evidences to support decision-making processes about intervention proposals directed towards this population. Aiming to contribute to evidence-based practice, this study used a digital-delivered questionnaire to assess the knowledge by the general population about autism in Brazil. A self-explanatory questionnaire was made available on-line. It was comprised by 57 questions divided in five domains: data about the answerer; information about how the person had access to the issue of autism; information about the concept of autism (signs, symptoms and etiology); information about the characteristics of persons with autism and what are the professionals that are essential in the team that assists these individuals. Participants were contacted via e-mail and given full information on the nature of the research. They were 4282 persons living in the five large regions of Brazil. Results indicate that most of the participants were mothers, followed by teachers. The analysis of the answers demands consideration of the hypothesis that although most of the participants have answered that they knew what is Autism, this knowledge is based on lay beliefs and not on scientific-based information. This reality must be taken into account when proposing intervention programs directed to persons with ASD.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Caimi G, Ferrara F, Montana M, Muratori I, Amato C, Canino B, Lo Presti R, Hopps E. Behaviour of the plasma concentration of gelatinases and their tissue inhibitors in subjects with venous leg ulcers. Clin Hemorheol Microcirc 2016; 60:309-16. [PMID: 25159491 DOI: 10.3233/ch-141863] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Venous leg ulcers are common in subjects with chronic venous insufficiency. The increased intraluminal pressure causes alteration of the skin microcirculation, leukocyte activation and release of proteolytic enzymes leading to ulceration. An impaired expression and activity of matrix metalloproteases (MMPs) and their tissue inhibitors (TIMPs) might influence extracellular matrix degradation and deposition in chronic venous ulcers with the failure of the healing process. Our aim was to evaluate plasma concentration of gelatinases (MMP-2 and MMP-9) and their inhibitors (TIMP-1 and TIMP-2) in subjects with venous leg ulcers before and after the compression therapy. We enrolled 36 subjects (12 men and 24 women, mean age 67.38 ± 12.7 yrs) with non-infected venous leg ulcers (CEAP C6), which underwent a color Duplex scan examination of the veins and arteries of the inferior limbs and were treated with a multi-layer bandaging system. The ulcer healing was obtained in 23 subjects only (9 men and 14 women). We evaluated, on fasting venous blood, the plasma levels of MMP-2, MMP-9, TIMP-1 and TIMP-2 using ELISA kit, before and after the treatment. We observed a significant increase in plasma concentration of gelatinases and their inhibitors and in MMP-2/TIMP-2 ratio in subjects with leg ulcers in comparison with normal controls. In subjects with healed ulcers we found a decrease in MMP-9 and TIMP-1 levels and in MMP-2/TIMP-2 ratio compared to the baseline values, although higher levels of all the examined parameters in comparison with normal controls. In conclusion, plasma MMPs profile is impaired in subjects with venous leg ulcers and it improves after the healing, persisting anyway altered in respect to healthy controls.
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Amato C, D’Antino M, Rocha M, Fernandes F. Early interventions practices in ASD – Maternal behavior in spontaneous interaction with their children. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.1210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Recent studies point out that the occurrence of Autism Spectrum Disorders (ASD) is up to 1%. In Brazil, providing services of medical diagnosis for children with ASD takes precious time. The time spent waiting for the conclusion of the diagnostic process would be extremely important to the child's development. In this context, the parent–children interaction is an important aspect to be considered as a factor that has a positive impact in this process. The aim of this study was to explore maternal behavior during a spontaneous play situation with their children. All subjects were filmed for 30 minutes during a spontaneous play situation with their mothers that did not receive any special instructions. The subjects were 30 normal children, 3 of each age (respectively 9, 12, 15, 18, 21, 24, 27, 30, 33 and 36 months) and 20 autistic children with ages varying from 2:10 to 10:6 (not expected any chronological association). The whole corpus was analyzed considering of each subject, of each group and the possible associations between the groups. The analysis of the maternal behavior provides data about the importance of mother–child interaction and how everyday life activities and routines can be used to increase the opportunities to improve the ASD child's communicative abilities and their creative use as an important part of the whole development. These findings provide further evidence that families should be included in any plan for intervention designed towards ASD children.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Schepis C, Siragusa M, Puzzo A, Amato C, Elia M. Tuberous sclerosis underlying neonatal poliosis. J Eur Acad Dermatol Venereol 2015; 29:822-3. [DOI: 10.1111/jdv.12427] [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] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. Schepis
- Unit of Dermatology; Oasi Institute; IRCCS; Troina Italy
| | - M. Siragusa
- Unit of Dermatology; Oasi Institute; IRCCS; Troina Italy
| | - A. Puzzo
- Unit of Cardiology; Oasi Institute; IRCCS; Troina Italy
| | - C. Amato
- Unit of Neuroradiology; Oasi Institute; IRCCS; Troina Italy
| | - M. Elia
- Unit of Neurology; Oasi Institute; IRCCS; Troina Italy
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Kordasz ML, Manicam C, Steege A, Goloborodko E, Amato C, Laspas P, Brochhausen C, Pfeiffer N, Gericke A. Role of 1-Adrenoceptor Subtypes in Pupil Dilation Studied With Gene-Targeted Mice. Invest Ophthalmol Vis Sci 2014; 55:8295-301. [DOI: 10.1167/iovs.14-15706] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Chamney P, Moissl U, Wabel P, Amato C, Stuard S, Menzer M, Vollmeier C, Williams G, Shrivastava R, Chess J, Catling E, Brown C, Baker E, Ashcroft R, Mikhail A, Djukanovic L, Djuric Z, Knezevic V, Lazarevic T, Ljubenovic S, Markovic R, Rabrenovic V, Marinkovic J, Dimkovic N, Lebourg L, Ridel C, De Preneuf H, Le Roy F, Petitclerc T, Wester M, Simonis F, Kooman JP, Boer WH, Gerritsen KGF, Joles JA, Yamamoto KI, Eguchi K, Hirakawa S, Murakami J, Akiba T, Mineshima M, Stamopoulos D, Mpakirtzi N, Lavranos A, Panagiotou M, Barbarousi D, Matsouka C, Grapsa E, Abbas SR, Zhu F, Kaysen GA, Kotanko P, Levin NW, Vasilevsky A, Konoplev G, Stepanova O, Rubinsky A, Zemchenkov A, Gerasimchuk R, Frorip A, Abe T, Yamamoto KI, Ishimori I, Eguchi K, Murakami J, Mineshima M, Akiba T, Kusztal M, Go Biowski, T, Letachowicz K, Koni Ski P, Witkowski G, Pozna Ski P, Weyde W, Klinger M, Ito M, Ito S, Suzuki M, Masakane I, Navarro D, Goncalves C, Ferreira AC, Jorge C, Gil C, Aires I, Matias P, Mendes M, Azevedo A, Gomes F, Ferreira A, Perazzini C, Scutiero L, Brighenti L, Surace A, Steckiph D, Rovatti P, Severi S, Soltysiak J, Warzywoda A, Musielak A, Ostalska-Nowicka D, Zachwieja J, Goeksel T, Garnier H, Ritzerfeld M, Mann H, Babinet F, Allard B, Todorova V, Hamont C, Begri R, Dekker M, Taks M, Konings C, Scharnhorst V, Borawski J, Gozdzikiewicz-Lapinska J, Naumnik B, Lodi CA, Surace A, Grandi E, Rovatti P, Mancini E, Santoro A, Sereni L, Caiazzo M, Corazza L, Atti M, Palladino G, Sakurai K, Saito T, Hosoya H, Yamauchi F, Kurihara T, Tanibayashi Y, Ikebe N, Antonic M, Gubensek J, Drozg A, Vannier E, Mattio E, Todorova V, Ragon A, Brunet P, Klimm W, Pleskacz K, Pietrzak B, Niemczyk S, Leypoldt JK, Bernardo A, Muller M, Marbury TC, Culleton BF, Zeraati AA, Hekmat R, Reyhani HR, Sharifipoor F, Bolasco P, Sitzia I, Monni A, Mereu MC, Pinna AM, Logias F, Ghisu T, Passaghe M, Gazzanelli L, Ganadu M, Piras A, Cossu M, Contu B, Palleschi S, Rossi B, Atti M, Caiazzo M, Sereni L, Palladino G, Ghezzi PM, Kron S, Schneditz D, Leimbach T, Aign S, Kron J, Seker Kockara A, Kayatas M, Huzmeli C, Candan F, Yilmaz MB, Ahmed BA, Bejosano CN, Samra Abouchacra SA, Al Falahi SZ, Abdul Moniem KM, Dastoor H, Kim S, Oh J, Sin Y, Kim J, Lee J. HAEMODIALYSIS TECHNIQUES AND ADEQUACY 2. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu173] [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: 11/12/2022] Open
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Bornstein J, McCullough K, Combe C, Bieber B, Jadoul M, Pisoni R, Mariani L, Robinson B, Saito A, Sen A, Tentori F, Guinsburg A, Marelli C, Marcelli D, Usvyat L, Maddux D, Canaud B, Kotanko P, Hwang SJ, Hsieh HM, Chen HF, Mau LW, Lin MY, Hsu CC, Yang WC, Pitcher D, Rao A, Phelps R, Canaud B, Barbieri C, Marcelli D, Bellocchio F, Bowry S, Mari F, Amato C, Gatti E, Zitt E, Hafner-Giessauf H, Wimmer B, Herr A, Horn S, Friedl C, Sprenger-Maehr H, Kramar R, Rosenkranz AR, Lhotta K, Ferris M, Marcelli D, Marelli C, Etter M, Xu X, Grassmann A, Von Gersdorff GD, Pecoits-Filho R, Sylvestre L, Kotanko P, Usvyat L, Consortium M, Dzekova-Vidimliski P, Nikolov I, Trajceska L, Selim G, Gelev S, Matevska Geshkovska N, Dimovski A, Sikole A, Suleymanlar G, Utas C, Ecder T, Ates K, Bieber B, Robinson BM, Pisoni RL, Laplante S, Liu FX, Culleton B, Tomilina N, Bikbov B, Andrusev A, Zemchenkov A, Bieber B, Robinson BM, Pisoni RL, Bikbov B, Tomilina N, Kotenko O, Andrusev A, Panaye M, Jolivot A, Lemoine S, Guebre-Egziabher F, Doret M, Juillard L, Filiopoulos V, Hadjiyannakos D, Papakostoula A, Takouli L, Biblaki D, Dounavis A, Vlassopoulos D, Bikbov B, Tomilina N, Al Wakeel J, Bieber B, Al Obaidli AA, Ahmed Almaimani Y, Al-Arrayed S, Alhelal B, Fawzy A, Robinson BM, Pisoni RL, Aucella F, Girotti G, Gesuete A, Cicchella A, Seresin C, Vinci C, Scaparrotta G, Naso A, Pilotto A, Hoffmann TR, Flusser V, Santoro LF, Almeida FA, Aucella F, Girotti G, Gesuete A, Cicchella A, Seresin C, Vinci C, Scaparrotta G, Ganugi S, Gnerre T, Russo GE, Amato M, Naso A, Pilotto A, Trigka K, Douzdampanis P, Chouchoulis K, Mpimpi A, Kaza M, Pipili C, Kyritsis I, Fourtunas C, Ortalda V, Tomei P, Ybarek T, Lupo A, Torreggiani M, Esposito V, Catucci D, Arazzi M, Colucci M, Montagna G, Semeraro L, Efficace E, Piazza V, Picardi L, Esposito C, Hekmat R, Mohebi M, Ahmadzadehhashemi S, Park J, Hwang E, Jang M, Park S, Resende LL, Dantas MA, Martins MTS, Lopes GB, Lopes AA, Engelen W, Elseviers M, Gheuens E, Colson C, Muyshondt I, Daelemans R, He Y, Chen J, Luan S, Wan Q, Cuoghi A, Bellei E, Monari E, Bergamini S, Tomasi A, Atti M, Caiazzo M, Palladino G, Bruni F, Tekce H, Ozturk S, Aktas G, Kin Tekce B, Erdem A, Uyeturk U, Ozyasar M, Taslamacioglu Duman T, Yazici M, Schaubel DE, McCullough KP, Morgenstern H, Gallagher MP, Hasegawa T, Pisoni RL, Robinson BM, Nacak H, Van Diepen M, Suttorp MM, Hoorn EJ, Rotmans JI, Dekker FW, Speyer E, Beauger D, Gentile S, Isnard Bagnis C, Caille Y, Baudelot C, Mercier S, Jacquelinet C, Briancon S, Sosorburam T, Baterdene B, Delger A, Daelemans R, Gheuens E, Engelen W, De Boeck K, Marynissen J, Bouman K, Mann M, Exner DV, Hemmelgarn BR, Hanley D, Ahmed SB. DIALYSIS. EPIDEMIOLOGY, OUTCOME RESEARCH, HEALTH SERVICES 2. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu178] [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: 11/12/2022] Open
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Mace S, Stephens A, Amato C, Barata I, Benjamin L, Dietrich A, Sharieff G. A Prospective, Multicenter Study of Factors Affecting the Emergency Department Length of Stay of Pediatric Patients: Does the Diagnosis, Especially Psychiatric Diagnosis, Matter? Ann Emerg Med 2013. [DOI: 10.1016/j.annemergmed.2013.07.475] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Chapdelaine I, Mostovaya IM, Blankestijn PJ, Bots ML, van den Dorpel MA, Nube MJ, ter Wee PW, Grooteman MPC, Wang B, Wang K, Gayrard N, Ficheux A, Duranton F, Guzman C, Szwarc I, Bismuth-Mondolfo J, Brunet P, Servel MF, Argiles A, Pedrini L, Mari F, Barbieri C, Cattinelli I, Bellocchio F, Amato C, Leypoldt JK, Agar BU, Culleton BF, Eloot S, Vanholder R. Extracorporeal techniques and adequacy. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft159] [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: 11/12/2022] Open
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Oliehoek FA, Spaan MTJ, Amato C, Whiteson S. Incremental Clustering and Expansion for Faster Optimal Planning in Dec-POMDPs. J ARTIF INTELL RES 2013. [DOI: 10.1613/jair.3804] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
This article presents the state-of-the-art in optimal solution methods for decentralized partially observable Markov decision processes (Dec-POMDPs), which are general models for collaborative multiagent planning under uncertainty. Building off the generalized multiagent A* (GMAA*) algorithm, which reduces the problem to a tree of one-shot collaborative Bayesian games (CBGs), we describe several advances that greatly expand the range of Dec-POMDPs that can be solved optimally. First, we introduce lossless incremental clustering of the CBGs solved by GMAA*, which achieves exponential speedups without sacrificing optimality. Second, we introduce incremental expansion of nodes in the GMAA* search tree, which avoids the need to expand all children, the number of which is in the worst case doubly exponential in the node's depth. This is particularly beneficial when little clustering is possible. In addition, we introduce new hybrid heuristic representations that are more compact and thereby enable the solution of larger Dec-POMDPs. We provide theoretical guarantees that, when a suitable heuristic is used, both incremental clustering and incremental expansion yield algorithms that are both complete and search equivalent. Finally, we present extensive empirical results demonstrating that GMAA*-ICE, an algorithm that synthesizes these advances, can optimally solve Dec-POMDPs of unprecedented size.
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Amato C, Elia M. Transient Brain Lesions in Neuro-Behçet's Disease without Systemic Involvement. Neuroradiol J 2012; 25:319-24. [DOI: 10.1177/197140091202500306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2012] [Accepted: 05/07/2012] [Indexed: 11/16/2022] Open
Abstract
In neuro-Behçet's disease nervous involvement may occasionally precede somatic manifestations, making the diagnosis challenging. The reported case showed only a neurologic onset with relapsing-remitting form, transient brain MRI abnormalities and late appearance of typical muco-cutaneous lesions, thereby delaying the correct diagnosis and appropriate treatment. MRI revealed cerebral alterations mimicking demyelinating disease, but lesions rapidly disappeared on close follow-up scans indicating vasogenic edema. Being aware of this atypical presentation and recognizing these transient abnormalities may be useful for a prompt diagnosis.
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Affiliation(s)
- C. Amato
- Department of Neuroradiology, “Oasi” Research Institute (I.R.C.C.S); Troina, Italy
| | - M. Elia
- Department of Neurology, “Oasi” Research Institute (I.R.C.C.S); Troina, Italy
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Amato C, Martin L, Dumon H, Jaillardon L, Nguyen P, Siliart B. Variations of plasma leptin in show horses during a work season. J Anim Physiol Anim Nutr (Berl) 2011; 96:850-9. [PMID: 22129462 DOI: 10.1111/j.1439-0396.2011.01263.x] [Citation(s) in RCA: 6] [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: 01/21/2023]
Abstract
Leptin is an adipocytokine mainly expressed by adipose tissue. Secretion of leptin in healthy animals is closely related to fat mass and metabolic activity. The aim of this study was to investigate plasma leptin variations, in relation to nutritional and exercise parameters in adult show horses during a work season. EDTA-blood samples were taken at rest from 37 Iberian horses. Body weight, body condition score and fat percentage determined by ultrasonic measurement of rump fat thickness were measured. Plasma leptin was determined with a multi-species RIA kit. Linear mixed effects model was used to assess relationship between plasma leptin and other biological parameters. Plasma leptin concentration was <12.6 ng/ml (mean = 2.8 ± 1.6 ng/ml) and was significantly higher during training periods (p < 0.0001) (4.5 ± 1.7 ng/ml) than in show periods (2.0 ± 1.1 ng/ml), despite a significant increase (p < 0.0001) in energy intake. The body weight remained almost constant. The plasma leptin concentrations were significantly affected by exercise (p < 0.0001), body weight (p = 0.04) and BCS (p < 0.0001), but were not affected by percentage of fat. In conclusion, the marked decrease in leptin values observed during a period of intense (i.e. excessive) exercise could result from an adaptation to cumulative alterations in energy balance, to exercise per se or to a combination of both.
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Affiliation(s)
- C Amato
- Nutrition et Endocrinologie, LUNAM Université, Oniris, Ecole Nationale Vétérinaire, Agroalimentaire et de l'alimentation Nantes-Atlantique, Atlanpôle-La Chantrerie, Nantes, France.
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Takahashi K, Shibasaki A, Hirose T, Kaneko K, Nakamura M, Ohba K, Kato I, Totsune K, Zumrutdal A, Calayoglu R, Mescigil P, Kutlay S, Sengul S, Erturk S, Ibrahim M, Ahmed T, Awadalla A, El Naggar A, Yokoyama T, Onodera Y, Shimonaka Y, Sasaki Y, Kuragano T, Furuta M, Kida A, Kitamura R, Yahiro M, Otaki T, Hasuike Y, Nonoguchi H, Nishihara F, Nakanishi T, Sedlackova T, Racek J, Trefil L, Eiselt J, Kielberger L, Malanova L, Youssef D, Tawfeek D, Desoki T, Khalifa N, Takasawa K, Takaeda C, Higuchi M, Maeda T, Tomosugi N, Bratescu LO, Barsan L, Garneata L, Stanciu A, Lipan M, Stancu SH, Mircescu G, Zager P, Paine S, Myers O, Chang JH, Jung JY, Lee HH, Chung W, Kim S, Tutal E, Erkmen Uyar M, Sezer S, Bal Z, Wabel P, Machek P, Moissl U, Chamney P, Jirka T, Moissl U, Wabel P, Chamney P, Wieskotten S, Amato C, Mari F, Korol L, Dudar I, Van Wyck D, Goykhman I, Weldon J, Krishnan M, Nissenson A, Kinugasa E, Sanaka T, Mochizuki T, Kuno T, Kojima K, Kobayashi S, Satoh M, Noiri E, Kusano E, Owada S, Shimada N, Nakao K, Nakazawa R, Nishimura H, Tomo T, Shigematsu T, Maeda T, Rottembourg J, Guerin A, Diaconita M, Dumont JC, Dansaert A, Chailimpamontree W, Gojaseni P, Pajareya T, Chittinandana A, Bachmakov I, Meissner R, Benkenstein C, Migliori M, Bernabini G, Beati S, Paoletti S, De Pietro S, Ferrandello FP, Panichi V, Senol E, Ersoy A, Erdinc S, Sarandol E, Mikami S, Hamano T, Iba O, Inoue T, Toki M, Takamitsu Y, Mikami H, Fujii M. Anaemia in CKD 5D. Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.56] [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: 11/14/2022] Open
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Amato C, Elia M, Schepis C. Schimmelpenning syndrome: a kind of craniofacial epidermal nevus associated with cerebral and ocular MR imaging abnormalities. AJNR Am J Neuroradiol 2010; 31:E47-8. [PMID: 20299435 DOI: 10.3174/ajnr.a2062] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Scuderi C, Fichera M, Calabrese G, Elia M, Amato C, Savio M, Borgione E, Vitello GA, Musumeci SA. Posterior fossa abnormalities in hereditary spastic paraparesis with spastin mutations. J Neurol Neurosurg Psychiatry 2009; 80:440-3. [PMID: 19289482 DOI: 10.1136/jnnp.2008.154807] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [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: 11/04/2022]
Abstract
BACKGROUND Hereditary spastic paraparesis (HPS) linked to mutations in the spastin gene (SPG4) is considered to be a pure form of spastic hereditary paraparesis. However, in this disease also other signs of central nervous system involvement are frequently found. METHODS Clinical, genetical and neuroradiological investigations were carried out in a large family with autosomal dominant spastic paraparesis and in a sporadic case with spastic paraparesis. RESULTS Additional clinical and molecular data are provided, studying other members of the same pedigree, as already described, with a five-base deletion in exon 9 of the SPG4 gene (1215-1219delTATAA) whose members show MRI anomalies that fall within the Dandy-Walker continuum. Furthermore, an unrelated female patient with hypoplasia of the cerebellar vermis is indicated, carrying a de novo previously reported mutation of the SPG4 gene (c.1741C>T p.R581X). CONCLUSIONS Spastin may play an important role in the development of the central nervous system and in particular in the development of the structures of posterior fossa.
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Affiliation(s)
- C Scuderi
- Unità Operativa di Malattie Neuromuscolari, IRCCS Oasi Maria SS, Troina, EN, Italy.
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Bernstein DS, Amato C, Hansen EA, Zilberstein S. Policy Iteration for Decentralized Control of Markov Decision Processes. J ARTIF INTELL RES 2009. [DOI: 10.1613/jair.2667] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Coordination of distributed agents is required for problems arising in many areas, including multi-robot systems, networking and e-commerce. As a formal framework for such problems, we use the decentralized partially observable Markov decision process (DEC-POMDP). Though much work has been done on optimal dynamic programming algorithms for the single-agent version of the problem, optimal algorithms for the multiagent case have been elusive. The main contribution of this paper is an optimal policy iteration algorithm for solving DEC-POMDPs. The algorithm uses stochastic finite-state controllers to represent policies. The solution can include a correlation device, which allows agents to correlate their actions without communicating. This approach alternates between expanding the controller and performing value-preserving transformations, which modify the controller without sacrificing value. We present two efficient value-preserving transformations: one can reduce the size of the controller and the other can improve its value while keeping the size fixed. Empirical results demonstrate the usefulness of value-preserving transformations in increasing value while keeping controller size to a minimum. To broaden the applicability of the approach, we also present a heuristic version of the policy iteration algorithm, which sacrifices convergence to optimality. This algorithm further reduces the size of the controllers at each step by assuming that probability distributions over the other agents' actions are known. While this assumption may not hold in general, it helps produce higher quality solutions in our test problems.
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Fiesseler F, Kairam N, Salo D, Riggs R, Reedman L, Destefano S, Amato C. 166: Are Carboxyhemoglobin Levels Required in Asymptomatic Patients Whose Carbon Monoxide Detector Alarms? Ann Emerg Med 2008. [DOI: 10.1016/j.annemergmed.2008.06.183] [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: 10/21/2022]
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Lallemand F, Auguste D, Amato C, Hevesi L, Delhalle J, Mekhalif Z. Electrochemical synthesis and characterization of N-substituted polypyrrole derivatives on nickel. Electrochim Acta 2007. [DOI: 10.1016/j.electacta.2006.12.010] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Di Rosa AR, Amato C, Zumbo A. Morphological traits of the “Pantesco” donkey. Italian Journal of Animal Science 2007. [DOI: 10.4081/ijas.2007.1s.646] [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] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- A. R. Di Rosa
- Dipartimento di Morfologia, Biochimica, Fisiologia e Produzioni Animali, Università di Messina, Italy
| | - C. Amato
- Dipartimento Scienze e Tecnologie Agro-forestali e Ambientali, Università di Reggio Calabria, Italy
| | - A. Zumbo
- Dipartimento di Morfologia, Biochimica, Fisiologia e Produzioni Animali, Università di Messina, Italy
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Musumeci SA, Elia M, Fichera M, Amato C, Ferri R, Romano C, Federico A. Nail aplasia, microcephaly, severe mental retardation and MRI abnormalities: report of two unrelated cases. Neurol Sci 2006; 27:425-31. [PMID: 17205229 DOI: 10.1007/s10072-006-0724-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2006] [Accepted: 11/17/2006] [Indexed: 10/23/2022]
Abstract
We present the clinical and laboratory features of two unrelated mentally retarded females with sporadic bilateral periventricular nodular heterotopia (BPNH), hypoplastic/absent nails and other malformative features. Clinical examination, MRI scanning, EEG recording, karyotyping and neuropsychological testing were performed. From a molecular genetic point of view, direct sequencing analysis, X-inactivation assay and telomere analysis were carried out in one patient. The two patients showed convincing similarities from clinical and neuroradiological points of view with BPNH, mental retardation, microcephaly and hypoplastic/absent nails of fingers and toes. Our two unrelated mentally retarded females may be affected by complex malformative syndromes sharing some common features such as BPNH, mental retardation and hypoplastic/absent nails. Further genetic studies are needed to better understand the pathogenetic bases of this neurological disease. These two cases widen the spectrum of BPNH-associated syndromes.
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Affiliation(s)
- S A Musumeci
- Department of Neurology, Oasi Institute for Research on Mental Retardation and Brain Aging, IRCCS, Via Conte Ruggero 73, I-94018 Troina, Italy.
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Finley K, Allegra J, Amato C, Rothman J. 311. Ann Emerg Med 2006. [DOI: 10.1016/j.annemergmed.2006.07.772] [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: 10/24/2022]
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Milio G, Corrado E, Genova C, Amato C, Raimondi F, Almasio PL, Novo S. Iloprost treatment in patients with Raynaud's phenomenon secondary to systemic sclerosis and the quality of life: a new therapeutic protocol. Rheumatology (Oxford) 2006; 45:999-1004. [PMID: 16484290 DOI: 10.1093/rheumatology/kel038] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES To evaluate the clinical efficacy and the effects on the quality of life of iloprost, a prostacyclin analogue, used according to a new protocol in patients with Raynaud's phenomenon secondary to systemic sclerosis. METHODS In this randomized study, we treated 30 patients with iloprost, given by intravenous infusion, at progressively increasing doses (from 0.5 to 2 ng/kg/min) over a period of 6 h each day for 10 days in two consecutive weeks, with repeated cycles at regular intervals of 3 months for 18 months. The results were compared with those obtained in 30 other patients who received the same drug but with different dosing schemes. RESULTS The total average daily duration of the attacks, the average duration of a single attack and the average daily frequency of the attacks were reduced significantly in all treatment groups, but the comparison between the groups demonstrated significant differences between patients treated with the new protocol and the others at later times (12 and 18 months). The effects on the quality of life in the group treated with the new protocol, evaluated with the Short Form-36, demonstrated a marked improvement regarding both the scale relating to the physical aspect of the illness and, especially, the scale relating to the mental aspect. CONCLUSIONS In patients with systemic sclerosis, cyclic intravenous iloprost infusion is efficacious in the treatment of Raynaud's phenomenon. The protocol that we used, compared with others, not only has favourable clinical effects but also leads to a marked improvement in the quality of life.
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Affiliation(s)
- G Milio
- Department of Internal Medicine and Cardiovascular Diseases, University of Palermo, Palermo, Italy.
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Steil H, Amato C, Carioni C, Kirchgessner J, Marcelli D, Mitteregger A, Moscardo V, Orlandini G, Gatti E. EuCliD--a medical registry. Methods Inf Med 2004; 43:83-8. [PMID: 15026844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
OBJECTIVES The European Clinical Database EuCliD small star, filled has been developed as a tool for supervising selected quality indicators of about 200 European dialysis centers. Major efforts had to be made to comply with local and European laws regarding data security. METHOD EuCliD is a Lotus Notes based flat-file database currently containing medical data of more than 14,000 dialysis patients from 10 European countries. Another 15,000 patients from 150 centers in 4 South-American countries will be added soon. Data are entered either manually or by means of interfaces to existing local data managing systems. This information is transferred to a central Lotus Notes Server. Data evaluation was performed with statistical tools like SPSS. RESULTS EuCliD is used as a part of the CQI (Continuous Quality Improvement) management system of Fresenius Medical Care (FMC) dialysis units. Each participating dialysis center receives (currently every half year) benchmarking reports at a regular interval. The benchmark for all quality parameters is the weighted mean of the corresponding data of all centers. CONCLUSIONS An obvious impact of data sampling and data evaluation on the quality of the treatments could be observed within the first one and a half years of working with EuCliD. This also concerns important outcome predictors like Kt/V and hemoglobin concentration as the outcome itself expressed in hospitalization days and survival rates. With the help of EuCliD the user is able to sample clinical data, identify problems, search for solutions with the aim of improving the dialysis treatment quality and guarantee a high-class treatment quality for all patients.
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Affiliation(s)
- H Steil
- Fresenius Medical Care Deutschland GmbH, Department CME, 61346 Bad Homburg, Germany.
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Sinagra D, Amato C, Scarpilta AM, Brigandì M, Amato M, Saura G, Latteri MA, Caimi G. Metabolic syndrome and breast cancer risk. Eur Rev Med Pharmacol Sci 2002; 6:55-9. [PMID: 12708611] [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: 03/02/2023]
Abstract
States of hyperinsulinemia with insulin resistance are frequently associated with proliferative tissue abnormalities, via stimulation of DNA synthesis and cell proliferation through the IGF-1 receptor. Such elements of metabolic syndrome (hyperinsulinemia/insulin-resistance, obesity, type 2 diabetes mellitus, hypertension, dyslipidemia) are explored in a population of 125 women (n. 50 with histologically confirmed diagnosis of breast cancer, Group A; n. 50 with benign breast pathology, Group B; n. 25 with no breast pathology, Group C, controls), affering to a Center for the prevention of breast cancer, in order to investigate for an eventual relationship between these pathologies. The prevalence of type 2 diabetes mellitus, hypertension, dyslipidemia, was higher in group of women affected by breast cancer vs. benign breast pathology and controls. This finding is in agreement with the hypothesis of the interrelationship of hyperinsulinism/insulin resistance with the growth-related abnormalities of breast cancer.
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Affiliation(s)
- D Sinagra
- Department of Endocrinology, Internal Medicine, University of Palermo (Italy)
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Marcelli D, Kirchgessner J, Amato C, Steil H, Mitteregger A, Moscardò V, Carioni C, Orlandini G, Gatti E. EuCliD (European Clinical Database): a database comparing different realities. J Nephrol 2001; 14 Suppl 4:S94-100. [PMID: 11798154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
Quality and variability of dialysis practice are generally gaining more and more importance. Fresenius Medical Care (FMC), as provider of dialysis, has the duty to continuously monitor and guarantee the quality of care delivered to patients treated in its European dialysis units. Accordingly, a new clinical database called EuCliD has been developed. It is a multilingual and fully codified database, using as far as possible international standard coding tables. EuCliD collects and handles sensitive medical patient data, fully assuring confidentiality. The Infrastructure: a Domino server is installed in each country connected to EuCliD. All the centres belonging to a country are connected via modem to the country server. All the Domino Servers are connected via Wide Area Network to the Head Quarter Server in Bad Homburg (Germany). Inside each country server only anonymous data related to that particular country are available. The only place where all the anonymous data are available is the Head Quarter Server. The data collection is strongly supported in each country by "key-persons" with solid relationships to their respective national dialysis units. The quality of the data in EuCliD is ensured at different levels. At the end of January 2001, more than 11,000 patients treated in 135 centres located in 7 countries are already included in the system. FMC has put the patient care at the centre of its activities for many years and now is able to provide transparency to the community (Authorities, Nephrologists, Patients.....) thus demonstrating the quality of the service.
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Affiliation(s)
- D Marcelli
- Clinical Management Europe, Fresenius Medical Care, Bad Homburg, Germany
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Abstract
We report the case of an 18-year-old woman who presented a long-lasting cluster of partial seizures, and MRI cortical abnormalities localized in the left parietal lobe. The MRI changes correlated with the site of the epileptogenic focus, and disappeared within 2 weeks. The recognition of these reversible MRI abnormalities, which are presumably due to a temporary alteration of blood-brain barrier in the epileptogenic zone with subsequent edema, and are not associated with any underlying organic conditions, is extremely useful in the medical management of the patient and allows to avoid other invasive diagnostic procedures.
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Affiliation(s)
- C Amato
- Department of Radiology, Oasi Institute for resarch on Mental Retardation and Brain Aging, IRCCS, Via Conte Ruggero, 73, 94018 EN, Troina, Italy.
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Fiore L, Novello F, Simeoni P, Amato C, Buttinelli G, Fiore S, Vellucci L, De Stefano D, Grandolfo ME, Luzzi I. [Epidemiology of acute flaccid paralysis in Italy: 1996-98. Group for the Study of AFP]. Ann Ig 2000; 12:99-110. [PMID: 10863785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Affiliation(s)
- L Fiore
- Lab. di Virologia, ISS, Roma
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Fiore L, Novello F, Simeoni P, Amato C, Vellucci L, De Stefano D, Grandolfo ME, Luzzi I. Surveillance of acute flaccid paralysis in Italy: 1996-1997. AFP Study Group. Acute flaccid paralysis. Eur J Epidemiol 1999; 15:757-63. [PMID: 10555620 DOI: 10.1023/a:1007697421114] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The last case of poliomyelitis due to transmission of indigenous wild poliovirus occurred in Italy in 1982. To achieve the certification of the eradication of poliomyelitis in Italy, an active surveillance of acute flaccid paralysis (AFP) in the population aged less than 15 years was set up following the World Health Organization (WHO) guidelines. The survey started in 1996 with a pilot study involving 4 out of 21 regions, and was gradually extended to a national level in 1997. The two-year survey identified five patients with diagnosis of vaccine associated paralytic poliomyelitis (VAPP). Polioviruses type 2 and 3 Sabin-like were isolated and characterized in three of them. In the remaining two cases, samples were collected late after the onset of symptoms, and poliovirus could not be isolated. No wild polioviruses were detected during the survey. The rate of non-polio AFP found in Italy in 1997 was 0.61 cases per 100,000, which is lower than the level of 1.0 case per 100,000 considered as acceptable by the WHO. This was mainly due to the delay in organizing the hospital network and starting the active search of AFP cases in the largest and most densely populated regions. Therefore, the overall rate of AFP found in Italy underestimates the global effectiveness of the program, which however will be better evaluated in the next few years. This study is the first systematic attempt to determine the rate of AFP in Italy.
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Affiliation(s)
- L Fiore
- Laboratory of Virology, Istituto Superiore di Sanità, Rome, Italy.
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47
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Cipolla C, Amato C, Grillo A, Graceffa G, Tomasino RM, Nuara RB, Morello V, Latteri MA. [The use of stereotaxic cytology in the diagnosis of nonpalpable breast lesions. Our experience]. MINERVA CHIR 1999; 54:239-44. [PMID: 10380522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
BACKGROUND AND AIMS The increasingly frequent use of mammography for the early diagnosis of breast cancer and the consequent identification of mammary lesions at a preclinical stage raises the fundamental problem of the differential diagnosis between non-suspected non-palpable lesions (NPL) which can therefore be monitored over time and suspected NPL or definite carcinoma requiring histological confirmation and surgical biopsy. The diagnostic accuracy of mammography alone is not sufficiently high to differentiate benign lesions from malignant or strongly suspected ones. The use of surgical biopsy in the event of suspected NPL could be significantly reduced by the use of stereotaxic cytology which would improve the diagnostic accuracy of mammography. METHODS The study refers to 72 suspected NPL undergoing surgical biopsy after having performed stereotaxic cytology on a sample taken with a dedicated mammographic device (Mammotest-TRC). RESULTS The rate of inadequate samples for correct cytological evaluation was 16.1%. Of the 72 NPL undergoing surgical biopsy, 40 (55.5%) were found to be carcinomas and 32 (44.5%) were benign lesions. The sensitivities of mammography alone and cytology alone in identifying infraclinical breast carcinoma were respectively 0.85 and 0.95. If the results of the two methods were evaluated together, the level of sensitivity was 0.98. CONCLUSIONS The use of stereotaxic cytology enables a marked improvement to be achieved in the diagnostic accuracy of mammography for the identification of suspected NPL to undergo surgical biopsy, notably reducing the cost of biopsy (number of benign lesions for each carcinoma diagnosed) and consequent discomfort for patients.
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Affiliation(s)
- C Cipolla
- Dipartimento di Discipline Chirugiche ed Anatomiche, Università degli Studi, Palermo
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48
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Fiore L, Genovese D, Diamanti E, Catone S, Ridolfi B, Ibrahimi B, Konomi R, van der Avoort HG, Hovi T, Crainic R, Simeoni P, Amato C. Antigenic and molecular characterization of wild type 1 poliovirus causing outbreaks of poliomyelitis in Albania and neighboring countries in 1996. J Clin Microbiol 1998; 36:1912-8. [PMID: 9650935 PMCID: PMC104951 DOI: 10.1128/jcm.36.7.1912-1918.1998] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
Mass vaccination has led poliomyelitis to become a rare disease in a large part of the world, including Western Europe. However, in the past 20 years wild polioviruses imported from countries where polio is endemic have been responsible for outbreaks in otherwise polio-free European countries. We report on the characterization of poliovirus isolates from a large outbreak of poliomyelitis that occurred in Albania in 1996 and that also spread to the neighboring countries of Yugoslavia and Greece. The epidemics involved 145 subjects, mostly young adults, and caused persisting paralysis in 87 individuals and 16 deaths. The agent responsible for the outbreak was isolated from 74 patients and was identified as wild type 1 poliovirus by both immunological and molecular methods. Sequence analysis of the genome demonstrated the involvement of a single virus strain throughout the epidemics, and genotyping analysis showed 95% homology of the strain with a wild type 1 poliovirus strain isolated in Pakistan in 1995. Neutralization assays with both human sera and monoclonal antibodies were performed to analyze the antigenic structure of the epidemic strain, suggesting its peculiar antigenic characteristics. The presented data underline the current risks of outbreaks due to imported wild poliovirus and emphasize the need to improve vaccination efforts and also the need to implement surveillance in countries free of indigenous wild poliovirus.
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Affiliation(s)
- L Fiore
- Laboratory of Virology, Istituto Superiore di Sanità, Rome, Italy.
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49
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Milio G, Ferrara F, Raimondi F, Meli F, Amato C, Bruno F, Lo Presti T, Cospite M. [Hypertension and peripheral arterial hemodynamics]. Minerva Cardioangiol 1997; 45:193-6. [PMID: 9273469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Sixty uncomplicated hypertensive patients (40 stable and 20 borderline) were studied, by strain gauge plethysmography, in comparison with 25 normotensive subjects, in order to evaluate the arterial hemodynamics of the lower limbs in essential hypertension and to verify the different pattern in borderline and in stable hypertensives. Resting blood flow, even if lightly decreased in hypertensive groups, didn't show significant differences in its mean values; Peak Flow, instead, was reduced proportionally to the severity of hypertension in all the hypertensive patients, but only in the stable hypertensives did it prove statistically significant. Minimal Vascular Resistances showed a similar behaviour; they were significantly increased only in the stable hypertensives, whereas Basal Vascular Resistances, were raised in all hypertensive patients, in the borderline group too. Finally, half time and total hyperemic time, which indicate vascular reactivity, were significantly decreased in all hypertensives. These results suggest that the stable hypertensive patients principally develop arterial structural changes, while the borderline hypertensive patients have only functional modifications, such as a reduced compliance and a hyperdynamic condition.
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Affiliation(s)
- G Milio
- Cattedra di Angiologia, Università degli Studi, Palermo
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50
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Porta D, Chierchini P, Bruno L, Fiore L, Cristofaro G, Amato C, Catone S, Gentili G, Sangalli M, Forastiere F. [A seroepidemiological study on the level of immunological coverage in a nomadic population in Rome]. Epidemiol Prev 1997; 21:48-53. [PMID: 9157025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Immunization status to the three types of poliovirus, to tetanus, diphtheria and measles was evaluated in a Gypsy population living at a Roman camp. Information about demographic data and history of immunization was collected from 149 subjects and a blood sample was obtained from 86 individuals to determine antibody titres to the above mentioned infectious agents. Among the responders, only 20.8% had received at least one dose of oral polio vaccine (OPV), tetanus and diphtheria vaccine, while none was vaccinated against measles. In spite of a low immunization coverage, serological data showed high prevalence of antibodies to the three types of poliovirus (81.4% to polio type 1:94.2% to polio type 2:62.8% to polio type 3) and to measles (76.7%), while antibodies to tetanus and to diphtheria were detected respectively only in 3.5% and 0% of the individuals tested. High levels of antibodies to polio were found also among unvaccinated subjects. For these, a statistically significant positive correlation between age and number of "contact doses" from vaccinated family members was observed (r = 0.70; CI 95%: 0.27-0.90). In conclusion, this study uncovers very low levels of immunization to poliovirus, tetanus, diphtheria and measles in the study Gypsy population, and shows the effects of the secondary spread of the OPV, which probably contributed to reduce the risk of contracting the disease in unvaccinated individuals.
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Affiliation(s)
- D Porta
- Osservatorio Epidemiologico Regione Lazio
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