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Grasso F, De Leonibus L, Bertozzi M, Sica M, Angotti R, Luzzi L, Molinaro F, Messina M, Paladini P. Robotic-assisted thoracoscopy thymectomy for juvenile myasthenia gravis. Journal of Pediatric Surgery Case Reports 2020. [DOI: 10.1016/j.epsc.2020.101541] [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] Open
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De Rosa G, Di Palo R, Serafini R, Grasso F, Bragaglio A, Braghieri A, Napolitano F. Different assessment systems fail to agree on the evaluation of dairy cattle welfare at farm level. Livest Sci 2019. [DOI: 10.1016/j.livsci.2019.09.024] [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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Verdoni F, Compagnone D, Grasso F, Lombardo MDM, Maffulli N, Peretti GM, Mangiavini L. Chemical and physical influences in bone and cartilage regeneration: a review of literature. J BIOL REG HOMEOS AG 2019; 33:89-95. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata. [PMID: 31169015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Nowadays several studies demonstrate the influence of chemical and physical stimulation to bone and cartilage exist. The first studies date back to the 50s and for a long time, they did not have a strong impact on clinical practice. In recent times, however, the findings arising from these studies are increasingly used to address clinical problems such as osteoarthritis or non-unions. The aim of this article is to make a review of the literature of the state of the art about physical and chemical influences on bone and cartilage.
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Affiliation(s)
- F Verdoni
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - D Compagnone
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - F Grasso
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - M D M Lombardo
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - N Maffulli
- Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Fisciano, Italy
- San Giovanni di Dio e Ruggi D'Aragona Hospital "Clinica Ortopedica" Department, Hospital of Salerno, Salerno, Italy
- Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, England
| | - G M Peretti
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Italy
| | - L Mangiavini
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Italy
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Verdoni F, Compagnone D, Grasso F, Lombardo MDM, Maffulli N, Peretti GM, Mangiavini L. Fibula-pro-tibia transfer with external fixator after tibia fracture with extensive bone defect: a case report. J BIOL REG HOMEOS AG 2019; 33:97-101. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata. [PMID: 31169016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A 27-year-old girl suffered a tibial fracture with an extensive bone defect due to a major trauma. At first, she was treated with a plate with the purpose to obtain a fibula-pro-tibia transfer, without any improvement. At one-year-follow up, a non-union due to mechanical hardware failure was shown by x-ray. Thus, a second surgery was performed: the ipsilateral fibula was tightly wedged between the preserved proximal and distal third of tibia with an external fixator. We report a follow up of 1 year after the reconstruction that allowed a good bone healing and a remodeling with also further ossification of the periosteal sheath of the fibula.
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Affiliation(s)
- F Verdoni
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - D Compagnone
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - F Grasso
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - M D M Lombardo
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - N Maffulli
- Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Fisciano, Italy
- San Giovanni di Dio e Ruggi D'Aragona Hospital "Clinica Ortopedica" Department, Hospital of Salerno, Salerno, Italy
- Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, England
| | - G M Peretti
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Italy
| | - L Mangiavini
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Italy
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Verdoni F, Curci D, Grasso F, Agnoletto M, Scurati R, Peretti GM, Mangiavini L. External fixation versus titanium endomedullary nail in the treatment of diaphyseal fractures of the lower limb in pediatric age: our experience. J BIOL REG HOMEOS AG 2018; 32:117-120. [PMID: 30644291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In the past, the use of external fixation technique (FE) in children was limited, as the patient's compliance to the treatment was scarce due to an important visual impact for the little patient. With the evolution of the surgical approach and the technology of fixators, we have been able to considerably implement the treatment possibilities, thus allowing for an immediate load bearing of the operated limb and for the early mobilization of the joints. The FE technique does not represent an overcoming of classical synthesis techniques by internal fixation with elastic intramedullary nails, but it simply offers a valid treatment alternative to selected cases. In this work, we radiologically and clinically evaluated pediatric patients treated with FE for diaphyseal fractures of the lower limb and we compared them with patients treated with standard Titanium Endomedullary Nail (TEN) techniques. Our results confirmed that FE is a valid alternative treatment for these types of fractures.
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Affiliation(s)
- F Verdoni
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - D Curci
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - F Grasso
- Residency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy
| | - M Agnoletto
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - R Scurati
- Department of Biomedical Sciences for Health, University of Milan, Italy
| | - G M Peretti
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Italy
| | - L Mangiavini
- IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
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Romano R, Grasso F, Gallo V, Cirillo E, Prencipe R, Mamone G, Mollica C, Ursini VM, De Ville De Goyet J, Pignata C, Giardino G. A case of incontinentia pigmenti associated with congenital absence of portal vein system and nodular regenerative hyperplasia. Br J Dermatol 2018; 180:674-675. [PMID: 30328117 DOI: 10.1111/bjd.17319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- R Romano
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - F Grasso
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - V Gallo
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - E Cirillo
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - R Prencipe
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - G Mamone
- Department of Diagnostic and Therapeutic Services, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), Palermo, Italy
| | - C Mollica
- Biostructure and Bioimaging Institute, International Council of Research, Napoli, Italy
| | - V M Ursini
- International Institute of Genetics and Biophysics Adriano Buzzati Traverso, International Council of Research, Napoli, Italy
| | - J De Ville De Goyet
- Department for Treatment and Study of Paediatric Abdominal Diseases and Abdominal Transplantation, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), Palermo, Italy
| | - C Pignata
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
| | - G Giardino
- Department of Translational Medical Sciences, Federico II University, via S. Pansini 5-80131, Napoli, Italy
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Fusar-Poli L, Brondino N, Rocchetti M, Ballerio M, Vercesi M, Grasso F, Politi P. Prevalence and predictors of metabolic syndrome in a sample of Italian psychiatric inpatients. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
IntroductionPsychiatric population is characterized by a higher prevalence of cardiovascular events compared to general population. This difference might be due, in part, to the metabolic adverse effects of psychotropic agents, and, in part, to common risk factors such as smoking, sedentary lifestyle and unhealthy diet. Another potential risk factor is represented by the presence of metabolic syndrome (MetS).ObjectivesWe aimed to evaluate the prevalence of MetS and to identify the baseline predictors for the longitudinal development of MetS in a sample of Italian psychiatric inpatients.MethodsMedical records of 343 patients admitted to our psychiatric ward between 2007 and 2012 were retrospectively reviewed.ResultsPrevalence of MetS was 21.5%. MetS appeared directly associated with age and number of medication assumed. ROC curves showed HDL as the best predictor of metabolic syndrome in our sample.ConclusionsOur results confirm previous data on the association between metabolic syndrome and exposure to complex polytherapy. Additionally, our findings support the notion of psychiatric patients as an at-risk group for metabolic abnormalities, which should be carefully monitored.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Rosa D, Napolitano F, Grasso F, Bilancione A, Spadetta M, Pacelli C, Reenen V. PosterWelfare Quality®: a pan-European integrated project including buffalo. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.s2.1360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Di Francia A, Masucci F, De Rosa G, Grasso F, Proto V. Feeding management and milk production in organic and conventional buffalo farms. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.s2.571] [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] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Rosa D, Bordi A, Napolitano F, Bilancione A, Grasso F. Effect of housing system on behavioural activity of lactating buffaloes. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.1s.506] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- De Rosa
- Dipartimento di Scienze del Suolo, della Pianta, dell’Ambiente e delle Produzioni Animali, Università di Napoli Federico II, Italy
| | - A. Bordi
- Dipartimento di Scienze del Suolo, della Pianta, dell’Ambiente e delle Produzioni Animali, Università di Napoli Federico II, Italy
| | - F. Napolitano
- Dipartimento di Scienze delle Produzioni Animali, Università della Basilicata, Potenza, Italy
| | - A. Bilancione
- Dipartimento di Scienze del Suolo, della Pianta, dell’Ambiente e delle Produzioni Animali, Università di Napoli Federico II, Italy
| | - F. Grasso
- Dipartimento di Scienze del Suolo, della Pianta, dell’Ambiente e delle Produzioni Animali, Università di Napoli Federico II, Italy
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Napolitano F, Grasso F, Saltalamacchia F, Martiniello P, Bilancione A, Pacelli C, Rosa D. Grazing behaviour of buffalo heifers. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.s2.1256] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Rosa D, Napolitano F, Saltalamacchia F, Bilancione A, Sabia E, Grasso F, Bordi A. The effect of rearing system on behavioural and immune responses of buffalo heifers. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.s2.1260] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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13
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De Rosa G, Napolitano F, Marinaro F, Bordi A, Migliori G, Grasso F. The influence of early handling on the behavioural reaction of foals at 2 months of age. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2005.2s.409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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De Rosa G, Grasso F, Winckler C, Bilancione A, Pacelli C, Masucci F, Napolitano F. Application of the Welfare Quality protocol to dairy buffalo farms: Prevalence and reliability of selected measures. J Dairy Sci 2015; 98:6886-96. [PMID: 26233458 DOI: 10.3168/jds.2015-9350] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 06/14/2015] [Indexed: 11/19/2022]
Abstract
Within the general aim of developing a Welfare Quality system for monitoring dairy buffalo welfare, this study focused on prevalence and interobserver reliability of the animal-related variables to be included in the scheme. As most of the measures were developed for cattle, the study also aimed to verify their prevalence for buffaloes. Thirty animal-based measures (22 clinical and 8 behavioral measurements) and 20 terms used for qualitative behavior assessment were assessed in 42 loose-housed buffalo farms. All farms were located in central-southern Italy. Two assessors were used (1 male and 1 female). The time needed to record all measures (animal-, resource-, and management-based) was 5.47 ± 0.48 h (mean ± SD). Interobserver reliability of animal-based measures was evaluated using Spearman rank correlation coefficient test (rs). If 0.7 is considered as threshold for high interobserver reliability, all animal-based measures were above this level. In particular, most of the coefficients were above 0.85, with higher values observed for prevalence of animals that can be touched (rs = 0.99) and prevalence of animals with iatrogenic abscess (rs = 0.97), whereas lower coefficients were found for the prevalence of vulvar discharge (rs = 0.74) and dewlap edema (rs = 0.73). Twelve out of the 20 terms used for the qualitative behavior assessment reached a satisfactory interobserver reliability (rs = 0.65). Principal component analysis of qualitative behavior assessment scores was conducted for each assessor. Both principal component 1 and principal component 2 showed high interobserver reliability (rs = 0.80 and 0.79, respectively). In addition, relevant proportions of animals were affected by welfare issues specific to buffaloes, such as overgrown claws (median = 34.1%), withers hygroma (median = 13.3%), and vulvar or uterine prolapse (median = 9.3%). We concluded that most of the investigated measures could be reliably included in the final scheme, which can be used as such to monitor buffalo welfare. However, to inform consumers about the welfare status of the animals, the data should be integrated into a single overall assessment of animal welfare, as already performed in the Welfare Quality project for dairy cattle.
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Affiliation(s)
- G De Rosa
- Dipartimento di Agraria, Università degli Studi di Napoli Federico II, 80055 Portici (Napoli), Italy.
| | - F Grasso
- Dipartimento di Agraria, Università degli Studi di Napoli Federico II, 80055 Portici (Napoli), Italy
| | - C Winckler
- Department of Sustainable Agricultural Systems, Division of Livestock Sciences, University of Natural Resources and Applied Life Sciences, A-1180 Wien, Austria
| | - A Bilancione
- Dipartimento di Agraria, Università degli Studi di Napoli Federico II, 80055 Portici (Napoli), Italy
| | - C Pacelli
- Scuola di Scienze Agrarie, Forestali, Alimentari ed Ambientali, Università degli Studi della Basilicata, 85100 Potenza, Italy
| | - F Masucci
- Dipartimento di Agraria, Università degli Studi di Napoli Federico II, 80055 Portici (Napoli), Italy
| | - F Napolitano
- Scuola di Scienze Agrarie, Forestali, Alimentari ed Ambientali, Università degli Studi della Basilicata, 85100 Potenza, Italy
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Martano P, Elefante C, Grasso F. Ten years water and energy surface balance from the CNR-ISAC micrometeorological station in Salento peninsula (southern Italy). Adv Sci Res 2015. [DOI: 10.5194/asr-12-121-2015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract. Data of surface-atmosphere energy and water transfer from a ten years (2003–2013) period of activity of the ISAC-Lecce micrometeorological station (http://www.basesperimentale.le.isac.cnr.it) have been analyzed: to the authors' knowledge this is the first decadal data set of surface-atmosphere transfer in Salento peninsula. The surface energy budget shows a tendency to a positive bias possibly due to several reasons that require more investigations. Some suitable indices related to the surface water balance, such as the precipitation intensity, the aridity index and the ground water infiltration fraction have been calculated. Possible trends of these annual averages in the decadal period are considered, also taking into account the statistical uncertainty associated to measurement errors and missing data. The results indicate a significant increasing in the precipitation intensity together with an experimental evidence of increasing of the ground water infiltration in the measurement area, that is in agreement with recent estimations for the whole Salento peninsula. On the other hand, recent studies show that seawater intrusion and salinization of the deep underground aquifer keep increasing in the same period.
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Leanza V, Coco L, Grasso F, Leanza G, Zarbo G, Palumbo M. Ovulation induction with clomiphene citrate and metformin in women with polycystic ovary syndrome. Minerva Ginecol 2014; 66:299-301. [PMID: 24971785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Polycystic ovary syndrome (PCOS) is one of the most common causes of ovulatory infertility. It is an endocrine disorders characterized by a high level of male hormones (androgens) and frequent anovulatory cycles associated with multiple ovarian microcysts. The aim of this paper was to evaluate effects of a Clomiphene citrate alone versus a combined treatment (Metformin and Clomiphene citrate). METHODS A total of 60 women with PCOS and infertility were evaluated. Inclusions criteria were: age 26-34 years, nulliparity, above 3 years of sterility, multiple ovarian microcysts, BMI>27.5, oligomenorrhea/amenorrhea, hyperandrogenism and normal male fertility. Four patients were excluded (renal damage 2, tubal occlusion 1 and Pelvic Inflammatory Disease 1). The remaining 56 were divided into 2 groups: group A were inducted with Clomiphene Citrate alone, while group B were inducted with Clomiphene citrate and Metformin. RESULTS In group A we obtained ovulation in 20 women (71.4%), 8 pregnancies (28.5%) and one (3.5%) spontaneous abortion. In group B we obtained ovulation in 24 women (85.7%), 15 pregnancies (53.5%) and no spontaneous abortions. CONCLUSION Combined treatment was found to be more effective (53.5) in improving pregnancy rate compared to monotherapy (28.5%).
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Affiliation(s)
- V Leanza
- Obstetric and Gynecology, Department Of Surgery, Catania University, Italy -
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Leanza V, Coco L, Grasso F, Leanza G, Zarbo G, Palumbo M. Unexplained infertility and ovulatory induction with menopausal gonadotropins. Minerva Ginecol 2014; 66:303-307. [PMID: 24971786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Unexplained infertility affects 30% of infertile couples. Management depends on duration of infertility and age of female partner. Ovulation induction, together with intrauterine insemination, is commonly offered to couples with infertility of unknown origin. Intrauterine insemination gained its popularity because it is simple, non-invasive and cost-effective technique. The association with pharmacological stimulation is suitable to induce follicular maturation. The most used drugs to induce ovulation are clomiphene citrate and menopausal or recombinant gonodotropins. The aim of this paper was to evaluate the success rate after homologous intrauterine insemination (IUI) combined with menopausal gonadotropins stimulation. METHODS A total of 90 couples were evaluated. Twelve couples (13.3%) were excluded from the treatment (6 vaginal infections, 4 tubal occlusions and 2 male infertility). Informed consent was applied for every couple. The remaining 78 couples were divided in two groups: group A (39 couples) were inducted with menopausal gonadotropins, while group B (39 couples) underwent placebo (multivitamin). RESULTS In group A (gonadotropins) 25 (64.1%) pregnancies and 2 (5.1%) abortion were registered, while in group B (placebo) there were 7 (17.9%). pregnancies and 1 (2.5%) abortion. CONCLUSION Ovulation inductions with menopausal gonadotropins, together with intrauterine insemination, improves fecundity in patients with infertility of unknown origin without recur to more invasive techniques.
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Affiliation(s)
- V Leanza
- Department of Surgery, Obstetrics and Gynecology Catania University, Italy -
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18
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Leanza V, Coco L, Grasso F, Leanza G, Zarbo G, Palumbo M. Ovulation induction with clomiphene citrate for infertile couple. Minerva Ginecol 2014; 66:309-312. [PMID: 24971787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Among couples unable to conceive without any identifiable cause, 30% are defined as having unexplained infertility. Management depends on duration of infertility and age of female partner. In order to increase pregnancy rate, couples with infertility of unknown origin can undergo ovulation induction and intrauterine insemination. These techniques are able to increase pregnancy rate in case of unexplained infertility. Clomiphene citrate and menopausal or recombinant gonodotropins are the most used drugs to induce ovulation. Aim of the present study was to evaluate the success rate after homologous intrauterine insemination (IUI) combined with clomiphene citrate (CC) stimulation. METHODS A total of 77 couples were evaluated. Nine couples (11.6%) were excluded from the treatment (vaginal infections 4, tubal occlusions 3 and male sterility 2). Informed consent was applied for every couple. The remaining 68 couples were divided in two groups: group A (34 couples) were inducted with CC, while group B (34 couples) underwent placebo (multivitamin). RESULTS In group A (CC) 15 (44.1%) pregnancies and 3 (8.8%) abortion were registered, while in group B (placebo) there were 4 (11.7%) pregnancies and 1 (2.9%) abortion. CONCLUSION Ovulation inductions with CC, together with intrauterine insemination, improves fecundity in patients with infertility of unknown origin with no need to recur to more invasive techniques.
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Affiliation(s)
- V Leanza
- Department of Surgery Obstetrics and Gynecology, University of Catania, Catania, Italy -
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Maringelli F, Brienza N, Scorrano F, Grasso F, Gregoretti C. Gaze-controlled, computer-assisted communication in Intensive Care Unit: "speaking through the eyes". Minerva Anestesiol 2013; 79:165-175. [PMID: 23174919] [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: 06/01/2023]
Abstract
BACKGROUND The aim of this study was to test the hypothesis that a gaze-controlled communication system (eye tracker, ET) can improve communication processes between completely dysarthric ICU patients and the hospital staff, in three main domains: 1) basic communication processes (i.e., fundamental needs, desire, and wishes); 2) the ability of the medical staff to understand the clinical condition of the patient; and 3) the level of frustration experienced by patient, nurses and physicians. METHODS Fifteen fully conscious medical and surgical patients, 8 physicians, and 15 nurses were included in the study. The experimental procedure was composed by three phases: in phase 1 all groups completed the preintervention questionnaire; in phase 2 the ET was introduced and tested as a communication device; in phase 3 all groups completed the postintervention questionnaire. RESULTS Patients preintervention questionnaires showed remarkable communication deficits, without any group effect. Answers of physicians and nurses were pretty much similar to the one of patients. Postintervention questionnaires showed in all groups a remarkable and statistically significant improvement in different communication domains, as well as a remarkable decrease of anxiety and disphoric thought. Improvement was also reported by physicians and nurses in their ability to understand patient's clinical conditions. CONCLUSION Our results show an improvement in the quality of the examined parameters. Better communication processes seem also to lead to improvements in several psychological parameters, namely anxiety and drop-out depression perceived by both patients and medical staff. Further controlled studies are needed to define the ET role in ICU.
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Affiliation(s)
- F Maringelli
- Anthea Hospital, GVM Care and Research, Bari, Italy.
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Biffi R, Orsi F, Grasso F, De Braud F, Cenciarelli S, Andreoni B. Catheter rupture and distal embolisation: a rare complication of central venous ports. J Vasc Access 2012; 1:19-22. [PMID: 17638217 DOI: 10.1177/112972980000100106] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Central venous access devices placed through a percutaneous subclavian approach may be compressed by neighbouring bony structures, leading to biomaterial fatigue, catheter fracture at the compression site, and possible embolisation of distal fragment into the central veins. The aim of this paper is to review the experience of the authors, including more than 1300 subclavian port placements, carried out during a five-year period, discussing possible causes and therapeutic options of this rare complication. Nine patients out of 1320 (0.68%) experienced this complication during the five-year period of this study. Two patients only showed a retrospective radiologic evidence of the 'pinch-off sign' (e.g. initial compression of the catheter at the costo-clavicular junction). No patients had symptoms from the embolised catheter fragment; the most frequent symptom (8 out of 9 cases) was a painful swelling around the port area during infusion, related to the extravasation of medications or fluids into the subcutaneous tissue. The site of embolised segment varied from azygos vein to right pulmonary artery; however, these findings did not affect the outcome, and all the embolised fragments were successfully retrieved through a transfemoral approach using a radiologic interventional technique. No fatality occurred. The catheter fracture and embolisation of the distal fragment are a well-known complication of subclavian central venous long-term cannulation, whose estimated overall incidence is 0.5-1%. Diagnosis is usually based on the radiologic appearance of the catheter compression (so called 'pinch-off sign'), which is far from being constant; a clinical suspicion can derive from intermittent malfunction, which claims differential diagnosis with the pres-ence of a fibrin sleeve around the tip of the catheter. Once diagnosed, the treatment is always an interventional radiologic approach, which has a very high success rate. When it fails, the possibility to leave the fragment embolised in the central veins, heart or pulmonary arteries, should be considered, being the thoracotomy and open catheter retraction questionable, at present time, in patients who have no symptoms and limited life-expectancy.
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Affiliation(s)
- R Biffi
- Division of General Surgery, European Institute of Oncology, Milano - Italy
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Guarneri V, Frassoldati A, Gebbia V, Bisagni G, Cavanna L, Donadio M, Lelli G, Musolino A, Colucci G, Banna GL, Degli Esposti R, Ferro A, Grasso F, Zamagni C, Amadori D, Aieta M, Molino A, Garrone O, Aitini E, Fornari G, Cascinu S, Rossi G, D'Amico R, Conte PF. Abstract P5-12-05: 9 Weeks vs 1 Year Adjuvant Trastuzumab in Combination with Chemotherapy: Preliminary Cardiac Safety Data of the Phase III Multicentric Italian Study Short-HER. Cancer Res 2010. [DOI: 10.1158/0008-5472.sabcs10-p5-12-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction: Several large randomized trials have shown the superiority of combining trastuzumab with chemotherapy versus chemotherapy alone as adjuvant treatment for HER2+ breast cancer patients. We are running a large phase III trial comparing two different trastuzumab durations (Short-HER study). We are reporting the preliminary cardiac safety data.
Methods: The Short-HER study is a phase III, multicentric, Italian trial where 2500 HER2+ breast cancer patients will be randomized to: Arm A (Long) 4 courses of anthracycline based chemotherapy (AC or EC) followed by 4 courses of docetaxel in combination with trastuzumab, followed by 14 additional courses of 3-weekly trastuzumab; or Arm B (Short) 3 courses of 3-weekly docetaxel in combination with weekly trastuzumab followed by FEC x3. this is a non-inferiority trial with DFS and OS as primary end points, and 2-yr failure rate and incidence of cardiac events as secondary end points. Left ventricular ejection fraction (LVEF) is measured at baseline, at the end of each sequence of chemotherapy in both arms, and after 9 and 12 months since randomization thereafter. A cardiac event (CE) was defined as the occurrence of any of the followings: 1) LVEF decrease of more than 15 percentage points from baseline ; 2) LVEF decrease of more than 10 percentage points with absolute value below 50%; 3) symptomatic cardiac failure; 4) other cardiac side effects of grade 2 or more.
Results: 510 patients from 69 Italian centers have been randomized so far, 251 in arm A (long) and 259 in Arm B (Short). 146 patients enrolled in arm A and 150 patients enrolled in arm B have received at least 3 months of therapy, and are eligible for the present analysis. In arm A (long), 20 patients (13.7%) experienced a CE: 12 patients experienced a LVEF decline of > 15 percentage points (5 patients with LVEF below 50%, one patient with concomitant atrial fibrillation); 3 patients had a LVEF decline of >10 percentage points with an absolute value below 50%. One patient had symptomatic cardiac failure. Two patients developed Grade 2 hypertension. Two patients developed Grade 2 arrhythmia.
In arm B (short), 11 patients (7.3%) experienced a CE: 7 patients had a LVEF decline of > 15 percentage points; one patient had a LVEF decline of > 10 percentage points with an absolute value below 50%. Three patients developed Grade 2 arrhythmia
Conclusions: This is a non-inferiority study designed on the assumption that a shorter treatment duration is associated with a significantly lower incidence of cardiac events. With 9 clinically relevant CEs (symptomatic cardiac failure or LVEF below 50%) in arm A (Long) and 1 in arm B (Short), these preliminary data support the assumption, and recruitment is ongoing.
Supported by Agenzia Italiana del FArmaco (AIFA).
Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr P5-12-05.
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Affiliation(s)
- V Guarneri
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - A Frassoldati
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - V Gebbia
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - G Bisagni
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - L Cavanna
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - M Donadio
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - G Lelli
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - A Musolino
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - G Colucci
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - GL Banna
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - R Degli Esposti
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - A Ferro
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - F Grasso
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - C Zamagni
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - D Amadori
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - M Aieta
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - A Molino
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - O Garrone
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - E Aitini
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - G Fornari
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - S Cascinu
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - G Rossi
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - R D'Amico
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
| | - PF. Conte
- Modena University Hospital, Italy; La Maddalena Hospital, Palermo; S Maria Nuova Hospital, Reggio Emilia; Hospital of Piacenza; San Giovanni Battista Hospital, Torino; S. Anna Hospital, Ferrara; Medical Oncology Unit, University Hospital of Parma; Medical and Experimental Oncology Unit, Oncology Institute Giovanni Paolo II, Bari, Italy; Vittorio Emanuele University Hospital, Catania; Bellaria Hospital, University of Bologna; Hospital of Trento; Hospital of Aosta; Medical Oncology Unit, S. Orsola-Malpighi University Hospital, Bologna; Istituto Scientifico Romagnolo perlo Studio e la Cura dei Tumori, Meldola; Hospital of Rionero in Vulture; OCM, Verona University Hospital; Oncology Division, Santa Croce-Carle Hospital, Cuneo; Hospital of Mantova; Ospedale Evangelico Valdese, Torino; Ancona University Hospital; Hospital of Guastalla
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Di Bonito P, Grasso F, Mangino G, Massa S, Illiano E, Franconi R, Fanales-Belasio E, Falchi M, Affabris E, Giorgi C. Immunomodulatory activity of a plant extract containing human papillomavirus 16-E7 protein in human monocyte-derived dendritic cells. Int J Immunopathol Pharmacol 2009; 22:967-78. [PMID: 20074460 DOI: 10.1177/039463200902200412] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [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: 11/15/2022] Open
Abstract
This study reports the immunomodulatory activity on human monocyte derived dendritic cells (MDDCs) of a vaccine preparation shown to be effective against an HPV16-related tumour in an animal model. The vaccine is composed of extract from Nicotiana benthamiana leaves containing HPV16 E7 protein expressed by a potato virus X-derived vector (NbPVX-E7). The effect of the extract was evaluated on MDDC differentiation and maturation by monitoring the phenotypic expression of specific markers. The results show that NbPVX-E7 does not induce monocyte differentiation to dendritic cells, but does induce MDDC maturation. Plant extract does not influence MDDC-uptake of E7-FITC while it significantly improves the Ovalbumin-FITC uptake, considered as a model antigen. Importantly, NbPVX-E7-pulsed MDDCs/PBMCs are able to prime human blood-derived lymphocytes from healthy individuals to induce HPV16 E7-specific cytotoxic activity. This is a propaedeutic study for a possible use of E7-containing plant extract in human immunotherapy of HPV-related lesions.
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MESH Headings
- Adjuvants, Immunologic/isolation & purification
- Adjuvants, Immunologic/pharmacology
- Antigen Presentation
- Cell Differentiation
- Cell Line, Tumor
- Cell Survival
- Coculture Techniques
- Cytotoxicity, Immunologic
- Dendritic Cells/drug effects
- Dendritic Cells/immunology
- Dendritic Cells/metabolism
- Dose-Response Relationship, Drug
- Genetic Vectors
- Humans
- Lymphocyte Activation
- Lymphocytes/drug effects
- Lymphocytes/immunology
- Male
- Oncogene Proteins, Viral/biosynthesis
- Oncogene Proteins, Viral/genetics
- Oncogene Proteins, Viral/immunology
- Oncogene Proteins, Viral/isolation & purification
- Ovalbumin/immunology
- Ovalbumin/metabolism
- Papillomavirus E7 Proteins
- Papillomavirus Vaccines/biosynthesis
- Papillomavirus Vaccines/genetics
- Papillomavirus Vaccines/immunology
- Papillomavirus Vaccines/isolation & purification
- Plant Extracts/immunology
- Plant Extracts/isolation & purification
- Plant Leaves
- Plants, Genetically Modified
- Potexvirus/genetics
- Recombinant Proteins/immunology
- Time Factors
- Nicotiana/genetics
- Nicotiana/metabolism
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Affiliation(s)
- P Di Bonito
- Department of Infectious Parasitic and Immune-mediated Diseases, Superior Institute of Health, Rome, Italy.
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Grasso F, Michallet H, Barthélemy E, Certain R. Physical modeling of intermediate cross-shore beach morphology: Transients and equilibrium states. ACTA ACUST UNITED AC 2009. [DOI: 10.1029/2009jc005308] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Napolitano F, De Rosa G, Ferrante V, Grasso F, Braghieri A. Monitoring the welfare of sheep in organic and conventional farms using an ANI 35 L derived method. Small Rumin Res 2009. [DOI: 10.1016/j.smallrumres.2009.04.001] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [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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De Rosa G, Grasso F, Braghieri A, Bilancione A, Di Francia A, Napolitano F. Behavior and milk production of buffalo cows as affected by housing system. J Dairy Sci 2009; 92:907-12. [DOI: 10.3168/jds.2008-1157] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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31
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Grasso F, Maroto B, Camusso C, Zaritzky N. Modelling the hexane extraction of soya enzymatically pretreated grits. Grasas y Aceites 2007. [DOI: 10.3989/gya.2007.v58.i2.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Garbuglia AR, Grasso F, Donà MG, Mochi S, Conti P, De Lutiis MA, Giorgi C, Iezzi T. TT virus infection: role of interferons, interleukin-28 and 29, cytokines and antiviral proteins. Int J Immunopathol Pharmacol 2007; 20:249-58. [PMID: 17624237 DOI: 10.1177/039463200702000205] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
In 1997 a novel virus in the serum of a patient with acute post-transfusion hepatitis of non A-G etiology was identified. This agent was designed TT virus (TTV). It produces persistent viremia and no disease, but the mechanism of its persistence is poorly understood. In the present study mRNA expression of antiviral proteins as MxA, 2' 5' OAS, anti-apopotic protein, cytokines IL- 28, IL- 29 and IFN are examined in a subject affected by B lymphoma and positive for TTV DNA and RNA in this cellular subset, and in BJAB and Dohh2 cell lines.
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Affiliation(s)
- A R Garbuglia
- National Institute of Infectious Diseases, Lazzaro Spallanzani, Rome, Italy
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Campisano SU, Foti G, Grasso F, Quercia IF, Rimini E. Depth dependence of angular dips: Measurements and calculations for H+and D+in Si and Ge. ACTA ACUST UNITED AC 2006. [DOI: 10.1080/00337577208231157] [Citation(s) in RCA: 13] [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: 10/23/2022]
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Abstract
The maturation of nitrogen metabolism was studied in six Thoroughbred and six Arabian foals. Rectal temperature, heart and respiratory rates and serum concentration of several hematochemical parameters (total protein, urea, uric acid, creatinine, and albumine) were monitored from birth to 5 months of age. In both breeds, all the parameters except albumine showed significant differences over time (P<0.05). The two breeds did not differ from each other at any time point. Statistically significant decreases in urea and creatinine concentrations were related to the growth needs of foals during this critical period of development.
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Piccione G, Borruso M, Fazio F, Grasso F, Caola G. Oxidative Stress Evaluation During Milking Period in the Ewes. Journal of Applied Animal Research 2006. [DOI: 10.1080/09712119.2006.9706582] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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37
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Calcinaro F, Dionisi S, Marinaro M, Candeloro P, Bonato V, Marzotti S, Corneli RB, Ferretti E, Gulino A, Grasso F, De Simone C, Di Mario U, Falorni A, Boirivant M, Dotta F. Oral probiotic administration induces interleukin-10 production and prevents spontaneous autoimmune diabetes in the non-obese diabetic mouse. Diabetologia 2005; 48:1565-75. [PMID: 15986236 DOI: 10.1007/s00125-005-1831-2] [Citation(s) in RCA: 205] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2004] [Accepted: 04/18/2005] [Indexed: 12/15/2022]
Abstract
AIMS/HYPOTHESIS Recent observations suggest the involvement of the gastrointestinal tract in the pathogenesis of islet autoimmunity. Thus, the modulation of gut-associated lymphoid tissue may represent a means to affect the natural history of the disease. Oral administration of probiotic bacteria can modulate local and systemic immune responses; consequently, we investigated the effects of oral administration of the probiotic compound VSL#3 on the occurrence of diabetes in non-obese diabetic (NOD) mice. METHODS VSL#3 was administered to female NOD mice three times a week starting from 4 weeks of age. A control group received PBS. Whole blood glucose was measured twice a week. IFN-gamma and IL-10 production/expression was evaluated by ELISA in culture supernatants of mononuclear cells isolated from Peyer's patches and the spleen, and by real-time PCR in the pancreas. Insulitis was characterised by immunohistochemistry and histomorphometric studies. RESULTS Early oral administration of VSL#3 prevented diabetes development in NOD mice. Protected mice showed reduced insulitis and a decreased rate of beta cell destruction. Prevention was associated with an increased production of IL-10 from Peyer's patches and the spleen and with increased IL-10 expression in the pancreas, where IL-10-positive islet-infiltrating mononuclear cells were detected. The protective effect of VSL#3 was transferable to irradiated mice receiving diabetogenic cells and splenocytes from VSL#3-treated mice. CONCLUSIONS/INTERPRETATION Orally administered VSL#3 prevents autoimmune diabetes and induces immunomodulation by a reduction in insulitis severity. Our results provide a sound rationale for future clinical trials of the primary prevention of type 1 diabetes by oral VSL#3 administration.
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Affiliation(s)
- F Calcinaro
- Department of Internal Medicine, University of Perugia, Italy
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38
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Piccione G, Grasso F, Giudice E. Circadian rhythm in the cardiovascular system of domestic animals. Res Vet Sci 2005; 79:155-60. [PMID: 15924933 DOI: 10.1016/j.rvsc.2004.11.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [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: 04/05/2004] [Revised: 09/06/2004] [Accepted: 11/24/2004] [Indexed: 10/25/2022]
Abstract
Definition of the temporal characteristics of cardiovascular rhythms is of scientific interest. This article reviews the literature on the rhythmic pattern of some cardiovascular parameters in domestic animals, providing greater understanding of general chronobiological processes in mammals. The techniques of the chronophysiological studies have been applied in domestic species to determine the existence of periodicity in the cardiovascular functions. Detailed knowledge of these rhythms is useful for clinical, practical and pharmacological purposes and physical performances.
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Affiliation(s)
- G Piccione
- Dipartimento di Morfologia, Biochimica, Fisiologia e Produzioni Animali, Sezione di Fisiologia Veterinaria, Università degli Studi di Messina, Italy.
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Orlandi A, Grasso F, Corinti S, Marinaro M, Bonura A, Boirivant M, Colombo P, Di Felice G. The recombinant major allergen of Parietaria judaica and its hypoallergenic variant: in vivo evaluation in a murine model of allergic sensitization. Clin Exp Allergy 2004; 34:470-7. [PMID: 15005743 DOI: 10.1111/j.1365-2222.2004.01894.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [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: 11/29/2022]
Abstract
BACKGROUND Par j 1 represents the major allergenic component of Parietaria judaica pollen. Its three-dimensional structure is stabilized by four disulphide bridges. A family of three-dimensional mutants of the recombinant Par j 1 (rPar j 1) allergen, showing reduced allergenicity and retained T cell recognition has been recently developed by site-directed mutagenesis. OBJECTIVE To develop and characterize a murine model of IgE sensitization to rPar j 1. To evaluate similarities between the murine model and the human IgE response. To investigate in this model the recognition of a hypoallergenic mutant of Par j 1, and to study the immune responses elicited in mice by the mutant itself. METHODS BALB/c mice were sensitized by two intraperitoneal immunizations with rPar j 1 in alum on days 0 and 21. Allergen-specific serum IgE and IgG responses were studied by direct ELISA and immunoblotting, ELISA inhibition and competitive ELISA. Cell proliferation was evaluated in splenocyte cultures. RESULTS Sensitization with rPar j 1 induced high levels of IgE and IgG1 vs. low levels of IgG2a. Mouse antibodies specific to rPar j 1 were able to compete with human IgE for recognition of rPar j 1. IgE from mice immunized with rPar j 1 showed a significantly reduced binding activity towards the hypoallergenic variant rPjC, which lacks three disulphide bridges. On the contrary, rPjC was recognized by IgG1 and IgG2a antibodies as well as rPar j 1. The proliferative response to rPjC by splenocytes from mice immunized with rPar j 1 was comparable to that stimulated by rPar j 1. Immunization with rPjC induced low levels of IgE antibodies to the rPjC itself, while IgG and proliferative responses were similar to those induced by rPar j 1. CONCLUSION Conformational variants of allergens, displaying reduced allergenicity accompanied by retained IgG and T cell recognition, offer a safe, specific and flexible approach to immunotherapy of type I allergy. Our mouse model of IgE sensitization to a recombinant allergen, mimicking the human response to its native counterpart, could provide valuable information for pre-clinical testing of such hypoallergenic molecules.
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Affiliation(s)
- A Orlandi
- Laboratory of Immunology, Istituto Superiore di Sanità, Rome, Italy
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Alnimer M, De Rosa G, Grasso F, Napolitano F, Bordi A. Effect of climate on the response to three oestrous synchronisation techniques in lactating dairy cows. Anim Reprod Sci 2002; 71:157-68. [PMID: 12047925 DOI: 10.1016/s0378-4320(02)00021-0] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [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: 11/30/2022]
Abstract
The reproductive efficiency of Friesian dairy cows was investigated in a three (oestrous synchronisation technique) x two (seasons of the year) factorial design. The 90 primiparous and multiparous cows (winter, n=42; summer, n=48) were allocated at random to three synchronisation treatments (n=30 cows per treatment). In treatment 1 (GPG), the cows were administered 15 mg PGF(2alpha) i.m. at 30 +/- 3 days postpartum, 100 microg GnRH i.m. at 51 +/- 3 days and 15 mg PGF(2alpha) 7 days later. A second 100 microg dose of GnRH was given after, further 2 days and fixed time AI occurred 16-20 h later. In treatment 2 (PG-PG), 15 mg PGF(2alpha) was administered i.m. to each cow on three occasions at successive 14 days interval starting at 30 +/- 3 days postpartum and the cows were inseminated at observed oestrus following the third dose of PGF(2alpha). Cows in treatment 3 (PG) had a single administration of 15 mg PGF(2alpha) i.m. at 57+/-3days postpartum and were inseminated as in treatment 2. Mean daily ambient temperature was 10.9 degrees C in winter (November-March) and 20.2 degrees C in summer (June-October). The cows were confined in an open-fronted shed and had ad libitum access to a complete diet with a 37:63 forage to concentrate ratio. Body condition score was assessed at 57 +/- 3 days postpartum. Cow rectal temperature at insemination, milk yield, reproductive data and climatic variables were recorded. Blood samples were collected for progesterone assay on days 4, 11, 18, 25, 32, 39 and 46 post-AI from 54 of the cows (19 GPG; 17 PG-PG; 18 PG). Pregnancy rate to first AI was 36.7% (11/30) for GPG and 16.7% (5/30) for both PG-PG and PG treatments. The difference was not significant. The cumulative pregnancy rate after third AI were GPG 83.3% (25/30), PG-PG 60.0% (18/30) and PG 60.0% (18/30; P<0.057). The cumulative pregnancy rate for cows inseminated in the winter (81.0%; 34/42) was higher (P<0.01) than for those inseminated in the summer (56.3%; 27/48). The interval from calving to first service was shorter (P<0.05) in treatment PG-PG (65.4+/-1.3 days) than in PG (69.2+/-1.3 days). Mean plasma progesterone concentrations post-AI of pregnant cows were higher (P<0.001) for GPG cows than those for PG-PG and PG cows. Plasma progesterone levels of pregnant cows tended to be higher (P=0.087) in winter than in summer. In conclusion, although the cumulative pregnancy rate was higher for GPG cows, it may be appropriate to correct the nutrition and management of the herd before resorting to synchronisation techniques to improve animal reproductive performances.
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Affiliation(s)
- M Alnimer
- Dipartimento di Scienze zootecniche e Ispezione degli alimenti, Università degli Studi di Napoli Federico II, Portici (NA), Italy
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Salvo I, Cucchi C, Camporesi A, Borghi B, Grasso F, Silvani P. [Sedation with magnetic resonance imaging in pediatric patients]. Minerva Anestesiol 2002; 68:414-9. [PMID: 12029256] [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: 02/25/2023]
Abstract
219 children (ASA I-II, age 30 days-12 yrs), underwent deep sedation with intravenous thiopental for magnetic resonance imaging in a hospital setting. Sedation strategies and monitoring are described. The procedure showed to be safe for the patients and cause low artefacts by movements.
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Affiliation(s)
- I Salvo
- Dipartimento di Anestesia e Rianimazione, Ospedale dei Bambini V. Buzzi, Istituti Clinici di Perfezionamento, Milan, Italy.
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Abstract
Goat feeding preferences for straw pellets flavored with ryegrass (Lolium perenne, cv. Belida) or white clover (Trifolium repens, cv. Huia) aromatic extracts, obtained by means of a cold aromatic extraction method, were assessed with cafeteria trials. Prior to the trials, odor differences between the two plant species, the two aromatic extracts, and the straw pellets sprayed with the two aromatic extracts were verified using sensory analysis performed by 30 human panelists. Since odor differences observed among fresh samples were still detectable in aromatic extracts and moistened pellets, the extraction method was considered effective in reproducing plant odors. Straw pellets sprayed with either distilled water (W) or ryegrass (R) or clover (C) aromatic extracts were used to assess flavor preferences of 12 female Rossa Mediterranea goats. Sprayed pellet preference was evaluated in two sessions conducted in two consecutive weeks. Each session consisted of three two-choice presentations performed on three consecutive days. In both sessions, food intake, proportion of food intake, time spent feeding, and proportion of time spent feeding were significantly affected by pellet type (0.05 > P > 0.001). In particular, straw pellets sprayed with ryegrass extract were highly selected compared to those sprayed with clover (0.01 > P > 0.001) or water (0.01 > P > 0.001). In addition, in the second session, the clover extract was preferred to distilled water (0.05 > P > 0.01). The results of this study gave two main indications: first, goat selectivity for rye-grass against clover was consistent even when straw pellets sprayed with odors of these plants were offered, and secondly, the addition of aromatic extracts to straw pellets increased the preference for pellets.
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Affiliation(s)
- Rosa G De
- Dipartimento di Scienze zootecniche e Ispezione degli alimenti, Università degli Studi di Napoli Federico II, Portici (NA), Italy
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Solli P, Spaggiari L, Grasso F, Pastorino U. Double prosthetic replacement of pulmonary artery and superior vena cava and sleeve lobectomy for lung cancer. Eur J Cardiothorac Surg 2001; 20:1045-8. [PMID: 11675203 DOI: 10.1016/s1010-7940(01)00908-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
We present a case of double prosthetic replacement of the right pulmonary artery and superior vena cava combined with upper sleeve bi-lobectomy for a limited pT4N1 adenocarcinoma occurring in a patient with poor pulmonary reserve, which, to the best of our knowledge, has never been reported before.
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Affiliation(s)
- P Solli
- Division of Thoracic Surgery, European Institute of Oncology (IEO), Via Ripamonti 435, 20141, Milan, Italy.
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45
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Buemi M, Marino D, Di Pasquale G, Floccari F, Senatore M, Aloisi C, Grasso F, Mondio G, Perillo P, Frisina N, Corica F. Cell proliferation/cell death balance in renal cell cultures after exposure to a static magnetic field. Nephron Clin Pract 2001; 87:269-73. [PMID: 11287763 DOI: 10.1159/000045925] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
The effect of a static magnetic field (MF) of 0.5 mT of intensity on the cell proliferation/cell death balance was investigated in renal cells (VERO) and cortical astrocyte cultures from rats. Magnetic stimulation was delivered by magnetic disks at known intensities. The percentage of apoptotic and necrotic cells was evaluated using flow cytometry and morphological analysis following Hoechst chromatin staining. An index of cell proliferation was determined using sulfonated tetrazolium (WST-1). Control cultures were prepared without exposure to MFs. After 2, 4 and 6 days of exposure to a MF, we observed a gradual decrease in apoptosis and proliferation and a gradual increase in cells with a necrotic morphology with respect to the control group. In astrocyte cultures, over a 6-day exposure period. A gradual increase was observed in apoptotic, proliferating, and necrotic cells. Our findings suggest that the effect of exposure to MFs varies, depending on the cell type; MFs may also have a nephropathogenic effect.
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Affiliation(s)
- M Buemi
- Dipartimento di Medicina Interna, Facoltà di Medicina e Chirurgia, Università di Messina, Italy.
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Buemi M, Floccari F, Nettò M, Allegra A, Grasso F, Mondio G, Perillo P. Environmental air pollution in an intensive care unit for nephrology and dialysis. J Nephrol 2000; 13:433-6. [PMID: 11132759] [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: 02/18/2023]
Abstract
The quality of indoor air depends on external pollutant concentrations and on internal sources, such as heating and air conditioning systems, building materials, ventilation, cleaning products, personnel and their activity. This study assessed environmental air pollution in an intensive care unit (ICU) for nephrology and dialysis. Air-dispersed particulate pollution was measured using a gravimetric method and spectroscopic photocorrelation. Microbiological pollution was evaluated by passive and active collection. Particulate concentrations exceeded recommended limits in some of the environments. There was a prevalence of small particulates, which are the most harmful type of all. An overall evaluation of bacterial pollution showed low levels of contamination in some of the rooms. In none of the environments we were able to detect pathogens such as Aspergillus fumigatus, methycillin-resistant Staphylococci or toxin-producing fungi.
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Affiliation(s)
- M Buemi
- Department of Internal Medicine, University of Messina, Italy.
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Mjos K, Grasso F, Atema J. Antennule Use by the American Lobster, Homarus americanus, During Chemo-orientation in Three Turbulent Odor Plumes. Biol Bull 1999; 197:249-250. [PMID: 28281802 DOI: 10.2307/1542631] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Abstract
In this paper, we describe how user-adapted explanations about drug prescriptions can be generated from already existing data sources. We start by illustrating the two-step approach employed in the first version of the natural language generator and the limitations of generated texts, that we discovered through analytical and empirical evaluations. We claim that, although style refinement would be needed in these texts, particular care should be devoted to implementing some of the persuasion techniques that doctors employ in their explanations. This would require either thoroughly revising the text planning techniques employed or converting to a multistep generation architecture. We justify why we selected this second alternative and propose some heuristics to repair problems found in the first version of the generator. Some final considerations about the advantages of this approach and the possibility of generalizing it to other domains conclude the paper.
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Affiliation(s)
- F de Rosis
- Dipartimento di Informatica, Università di Bari, Italy.
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Grasso F, Napolitano F, De Rosa G, Quarantelli T, Serpe L, Bordi A. Effect of pen size on behavioral, endocrine, and immune responses of water buffalo (Bubalus bubalis) calves. J Anim Sci 1999; 77:2039-46. [PMID: 10461979 DOI: 10.2527/1999.7782039x] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [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
Female water buffalo (Bubalus bubalis) calves (n = 28) aged 7 to 10 d were divided into four groups of seven animals each to examine the effects of space allowance (Group A: 2.6 indoor m2 + 2.0 outdoor m2/calf; Group B: 2.6 indoor m2/calf; Group C: 1.5 indoor m2/calf; Group D: 1.0 indoor m2/calf) on behavioral, endocrine, and immune variables for a period of 60 d. Animals were offered 7 L/d of a commercial acidified milk substitute. The calves averaged 45.9 kg initially and 92.4 kg finally. The behavior observations were conducted 7 d after grouping and fortnightly thereafter. At wk 4 and 8, the phytohemagglutinin (PHA) skin test was performed to induce aspecific delayed hypersensitivity. At wk. 1 and 3, calves were injected i.m. with keyhole limpet hemocyanin. Antibody titers were determined at weekly intervals for 7 wk. Calves in pens with greater space allowance (Groups A and B) were less active than Groups C and D (P<.001). The latter groups were also observed feeding more often at wk 7 (P<.01). Calves provided with an outdoor paddock spent less time standing than Groups C and D (P<.01), and lay with a greater number of outstretched legs (P<.001). Groups C and D showed a lower reaction to PHA in both skin tests than did Groups A and B (P<.001 and P<.05, respectively). Group A showed an antibody response consistently higher than groups B, C, and D (P<.01, P<.05, and P<.05, respectively). At the end of the experimental period, the calves were subjected to an isolation test lasting 10 min. Group D showed a longer duration of movement with respect to Groups A and B (P<.01); animals from Group C walked more than did Group A (P<.05). Cortisol concentration evaluated 0, 10, 45, 90, 150, and 225 min after separation from the group was higher in Groups C and D than in Groups A and B (P<.01). For all animals, the highest cortisol level was observed immediately after the isolation test (P<.001). Space restriction resulted in evidence of stress in the animals as shown by alterations in a number of physiological responses. However, the use of small groups of only seven animals per pen may have affected their reactions to space restriction. It is possible that using larger groups could change these conclusions.
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Affiliation(s)
- F Grasso
- Dipartimento di Scienze zootecniche e Ispezione degli alimenti, Università di Napoli Federico II, Italy
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Abstract
Animals were assigned to three experimental groups, conditioned (cyclophosphamide-glucose treatment; C group), non-conditioned (cyclophosphamide-commercial pellet treatment; NC group) and placebo (saline solution-glucose treatment; P group). The three groups were injected intraperitoneally (i.p.) with sheep red blood cells. An hemagglutination assay according to standard procedures was performed along with the flow cytofluorometric analysis of leukocyte surface antigens CD4, CD8 and CD45. C group consumed less food on Days 3 and 6 than on Day 0, NC animals showed no changes in food consumption throughout the experimental period, whereas an increasing trend was observed for P animals. The proportion of T lymphocytes expressing CD8 and CD45 did not differ significantly among C, NC and P groups. Group C showed the lowest proportion of T lymphocytes bearing CD4, whereas Group P displayed the highest. The antibody response was lower in the Group C than in the groups NC and P. We conclude that, although the mechanisms by which humoral conditioned immunosuppression occurs in mice is still unknown, a reduced T helper-mediated activation of B-cells may play an important role in producing conditioned humoral response.
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Affiliation(s)
- F Napolitano
- Dipartimento di Scienze delle Produzioni animali, Università degli Studi della Basilicata, Potenza, Italy.
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