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Brassetti A, Proietti F, Anceschi U, Bove A, Ferriero M, Mastroianni R, Misuraca L, Tuderti G, Leonardo C, Simone G. Laparoscopic vs. Robot-assisted nephroureterectomy: Propensity score matched comparison of surgical and early oncologic outcomes. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00381-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Proietti F, Palombi V, Flammia R, Tufano A, Bologna E, Gerolimetto C, Franco G, Leonardo C. Is tutoring radical cystectomy safetely performed by residents? Impact on perioperative outcomes from high-volume center. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00855-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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3
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Tufano A, Flammia R, Gerolimetto C, Proietti F, Canale V, Gallucci M, Leonardo C. Multiparametric prospective contrast-enhanced ultrasound evaluation of kidney lesions: comparison with histological examination. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00735-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Tufano A, Canale V, Flammia R, Gerolimetto C, Proietti F, Cantisani V, Gallucci M, Leonardo C. Multiparametric prospective contrast enhanced ultrasound evaluation of kidney lesions: Comparison with histological examination. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00975-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Brassetti A, Bove A, Anceschi U, Ferriero M, Mastroianni R, Misuraca L, Proietti F, Guaglianone S, Tuderti G, Gallucci M, Simone G. Avoiding renorraphy at the end of off-clamp robotic partial nephrectomy does not jeopardize surgical and functional outcomes: A multicenter analysis. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00968-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Proietti F, Brassetti A, Mirabile G, Pansadoro A, Giandotti M, Martini M, Emiliozzi P, Pansadoro V. Buccal mucosa graft repair of proximal ureteral lesion. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01653-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Flammia R, Gerolimetto C, Tufano A, Proietti F, Bologna E, Franco G, Gallucci M, Leonardo C. Indocyanine green guided off – Clamp robot assisted partial nephrectomy for endophytic masses. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35498-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Brassetti A, Proietti F, Napodano G, Sanseverino R, Badenchini F, Anceschi U, Ferriero M, Mastroianni R, Tuderti G, Gallucci M, Simone G. Physical activity decreases the risk of cancer progression in patients on active surveillance: A multicenter retrospective study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33895-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Lo Monaco MR, Laudisio A, Fusco D, Vetrano DL, Ricciardi D, Delle Donne V, Proietti F, Zuccalà G, Silveri MC. Laterality in Parkinson's disease may predict motor and visual imagery abilities. Funct Neurol 2018; 33:106-111. [PMID: 29984688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Experimental evidence suggests that motor imagery (MI) engages the same neural substrates supporting actual motor activities and is likely impaired when such substrates are damaged, as in Parkinson's disease (PD). MI intuitively relies on visual imagery (VI), because mental simulations of physical movements depend on the visual retrieval of these movements. Although VI is generally considered a right hemispheric function, the hemispheric dominance of MI is still in dispute. Disparities in sidedness of motor disturbances are a distinctive feature of PD, and recent findings indicate that such disparities may similarly characterize cognition. Specifically, the deficits observed may depend upon which hemisphere is principally involved. Essentially, MI and VI are cognitive tasks subject to differential impairment and reflecting the prevalence of hemispheric impairment in PD. Motor imagery (assessed by the Vividness of Motor Imagery Questionnaire [VMIQ]) and VI (assessed by the Vividness of Visual Imagery Questionnaire [VVIQ] and Test of Visual Imagery Control [TVIC]) were examined in patients with asymmetric PD and in healthy elderly control subjects (HC group). VMIQ scores were similar in PD laterality subsets and the HC group, but VVIQ scores were significantly lower in both PD groups compared with the HC group. TVIC scores were significantly lower in the presence of left motor (right hemispheric) impairment and were predictive of left motor (right hemispheric) impairment. We suspect that MI is strongly reliant on VI and that language may mediate these two functions, to the extent that both are evoked through verbal stimuli. Working memory, both visual and verbal, is also involved in MI and VI tasks. Without due attention to laterality of symptoms, any training incorporating MI and VI may not deliver expected outcomes in the setting of asymmetric PD symptomatology.
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Passali D, Corallo G, Yaremchuk S, Longini M, Proietti F, Passali GC, Bellussi L. Oxidative stress in patients with obstructive sleep apnoea syndrome. Acta Otorhinolaryngol Ital 2017; 35:420-5. [PMID: 26900248 PMCID: PMC4755047 DOI: 10.14639/0392-100x-895] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Obstructive sleep apnoea syndrome (OSAS) is a disorder that leads to metabolic abnormalities and increased cardiovascular risk. The aim of this study was to identify early laboratory markers of cardiovascular disease through analysis of oxidative stress in normal subjects and patients with OSAS. A prospective study was designed to compare outcomes of oxidative stress laboratory tests in 20 adult patients with OSAS and a control group of 20 normal subjects. Laboratory techniques for detecting and quantifying free radical damage must be targeted to assess the pro-oxidant component and the antioxidant in order to obtain an overall picture of oxidative balance. No statistical differences in age, sex distribution, or BMI were found between the two groups (p>0.05). There were significant differences in the apnoea/hypopnoea index (AHI) between OSAS patients and the control group (p<0.05). Statistically significant differences in isoprostane, advanced oxidation protein products (AOPP) and non-protein bound iron (NPBI) levels were found between the study and control groups. No significant difference in the levels of thiol biomarkers was found between the two groups. The main finding of the present study was increased production of oxidative stress biomarkers in OSAS patients. The major difference between thiols and other oxidative stress biomarkers is that thiols are antioxidants, while the others are expressions of oxidative damage. The findings of the present study indicate that biomarkers of oxidative stress in OSAS may be used as a marker of upper airway obstructive episodes due to mechanical trauma, as well as a marker of hypoxaemia causing local oropharyngeal inflammation.
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Affiliation(s)
- D Passali
- Department of Otolaryngology, University of Siena, Siena, Italy
| | - G Corallo
- Department of Otolaryngology, University of Siena, Siena, Italy
| | - S Yaremchuk
- Institute of Otolaryngology NAMS of Ukraine, Kiev, Ukraine
| | - M Longini
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - F Proietti
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - G C Passali
- Department of Head and Neck Surgery-Institute of Otorhinolaryngology, Catholic University School of Medicine and Surgery, Rome, Italy
| | - L Bellussi
- Department of Otolaryngology, University of Siena, Siena, Italy
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Negro S, Boutsikou T, Briana DD, Tataranno ML, Longini M, Proietti F, Bazzini F, Dani C, Malamitsi-Puchner A, Buonocore G, Perrone S. Maternal obesity and perinatal oxidative stress: the strength of the association. J BIOL REG HOMEOS AG 2017; 31:221-227. [PMID: 28337896] [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: 06/06/2023]
Abstract
Maternal obesity is a chronic inflammatory state, which has been shown to induce increased levels of free fatty acids, reactive oxygen species and inflammatory cells. Recent evidence reveals increased levels of lipid peroxidation products in the plasma of obese women during pregnancy. The aim of this study was to test the hypothesis that maternal overweight or obesity is associated with increased oxidative stress (OS) in offspring. Two hundred and forty-five pregnant women and their newborns were prospectively enrolled. Mothers were divided in two groups: lean control - LC (n=175, Group I); overweight or obese (n=70, Group II) according to BMI ≥ 25 before pregnancy. Cord blood F2-isoprostanes (F2-IsoPs), as reliable markers of OS, were measured in all newborns. Lower 1 minute APGAR score and higher weight at discharge were found in Group II neonates, compared to those of Group I (p less than 0.05). Small for gestational age (SGA) newborns of both groups showed increased levels of F2-IsoPs than appropriate (AGA) or large (LGA) for gestational age (GA) (p less than 0.01). SGA newborns of Group II had higher F2-IsoPs levels compared to SGA of Group I (p less than 0.01), which were significantly correlated to maternal BMI at the end of pregnancy (r=0.451, p less than 0.01). Multivariate regression analysis corrected for confounding factors, showed that maternal overweight or obesity was significantly associated with high F2-IsoPs levels in SGA offspring (p less than 0.01). Maternal overweight or obesity is associated with increased OS in their SGA newborns. Data suggest the need of antioxidant protection for both mothers during pregnancy and infants soon after birth.
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Affiliation(s)
- S Negro
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - T Boutsikou
- Department of Neonatology, Aretaieion University Hospital, University of Athens, Greece
| | - D D Briana
- Department of Neonatology, Aretaieion University Hospital, University of Athens, Greece
| | - M L Tataranno
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - M Longini
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - F Proietti
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - F Bazzini
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - C Dani
- Neonatal Intensive Care Unit, University of Florence, Florence, Italy
| | - A Malamitsi-Puchner
- Department of Neonatology, Aretaieion University Hospital, University of Athens, Greece
| | - G Buonocore
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - S Perrone
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
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Proietti F, De Bernardo G, Longini M, Sordino D, Scaramuzzini G, Tataranno ML, Belvisi E, Bazzini F, Perrone S, Buonocore G. Neonatal oxidative stress depends on oxygen blood pressure in umbilical artery. J BIOL REG HOMEOS AG 2016; 30:929-934. [PMID: 27655523] [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: 06/06/2023]
Abstract
With advancing gestation, partial pressure of oxygen (pO2) and pH fall significantly. Hypoxia is a main factor inducing free radical generation and thereby oxidative stress (OS). Placental and fetal tissue response when oxygen becomes restricted is complex and partially known. We tested the hypothesis that changes in umbilical artery and vein blood gas concentrations modulate OS occurrence in the newborn. Seventy umbilical artery and vein plasma samples were collected from healthy term newborns immediately after delivery. F2 Isoprostanes (F2-Isop) were measured in all samples as reliable markers of lipid peroxidation. Significantly lower pCO2 and higher pO2 and pH were found in umbilical vein than in artery, as expected. A positive correlation was detected between pH and pO2 only in umbilical artery (p=0.019). F2-Isop levels were no different between artery and vein in cord blood. Significant correlations were found between F2-Isop and pCO2 (p=0.025) as well as between F2-Isop and pH in umbilical vein (p=0.027). F2-Isop correlated with pCO2 (p=0.007) as well as with pO2 values (p=0.005) in umbilical artery blood. Oxidative stress (OS) in newborns depends on oxygen concentrations in umbilical artery. OS biomarkers significantly correlate with pO2 and in umbilical artery but not in umbilical vein. In normoxic conditions fetal-maternal gas exchanges occurring in placenta re-establish normal higher oxygen levels in umbilical vein than artery, with a normal production of free radicals without any deleterious effects.
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Affiliation(s)
- F Proietti
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - G De Bernardo
- Department of Emergency UOC TIN-Neonatology AORN Santobono-Pausilipon Naples, Italy
| | - M Longini
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - D Sordino
- Department of Emergency UOC TIN-Neonatology AORN Santobono-Pausilipon Naples, Italy
| | - G Scaramuzzini
- Neonatology and Obstetrics Nursing C.G. Ruesch, Naples, Italy
| | - M L Tataranno
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - E Belvisi
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - F Bazzini
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - S Perrone
- Department of Molecular and Developmental Medicine, University of Siena, Italy
| | - G Buonocore
- Department of Molecular and Developmental Medicine, University of Siena, Italy
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Bispo S, Xavier C, Caiaffa W, Proietti F. Convergence of Overweight and Undernutrition in Urban Adolescents and the Dissonance of Correlated Factors; a Transition? Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.458] [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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14
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Andrade R, Costa D, Bispo S, Ramos C, Reis P, Chaves O, Xavier C, Proietti F, Correia MI, Friche A, Caiaffa W. Typology of Families Living in Urban areas and Obesity: One Family does not Fit all. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.378] [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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Tataranno ML, Oei JL, Perrone S, Wright IM, Smyth JP, Lui K, Tarnow-Mordi WO, Longini M, Proietti F, Negro S, Saugstad OD, Buonocore G. Resuscitating preterm infants with 100% oxygen is associated with higher oxidative stress than room air. Acta Paediatr 2015; 104:759-65. [PMID: 25966608 DOI: 10.1111/apa.13039] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Revised: 01/24/2015] [Accepted: 04/17/2015] [Indexed: 11/26/2022]
Abstract
AIM The starting fraction of inspired oxygen for preterm resuscitation is a matter of debate, and the use of room air in full-term asphyxiated infants reduces oxidative stress. This study compared oxidative stress in preterm infants randomised for resuscitation with either 100% oxygen or room air titrated to internationally recommended levels of preductal oxygen saturations. METHODS Blood was collected at birth, two and 12 hours of age from 119 infants <32 weeks of gestation randomised to resuscitation with either 100% oxygen (n = 60) or room air (n = 59). Oxidative stress markers, including advanced oxidative protein products (AOPP) and isoprostanes (IsoP), were measured with high-performance liquid chromatography and mass spectrometry. RESULTS Significantly higher levels of AOPP were found at 12 hours in the 100% oxygen group (p < 0.05). Increases between two- and 12-hour AOPP (p = 0.004) and IsoP (p = 0.032) concentrations were significantly higher in the 100% oxygen group. CONCLUSION Initial resuscitation with room air versus 100% oxygen was associated with lower protein oxidation at 12 hour and a lower magnitude of increase in AOPP and IsoP levels between two and 12 hours of life. Correlations with clinical outcomes will be vital to optimise the use of oxygen in preterm resuscitation.
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Affiliation(s)
- ML Tataranno
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
| | - JL Oei
- School of Women's and Children's Health; University of New South Wales; Sydney NSW Australia
- Department of Newborn Care; The Royal Hospital for Women; Randwick NSW Australia
| | - S Perrone
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
| | - IM Wright
- School of Paediatrics; University of Wollongong; Wollongong NSW Australia
| | - JP Smyth
- School of Women's and Children's Health; University of New South Wales; Sydney NSW Australia
- Department of Newborn Care; The Royal Hospital for Women; Randwick NSW Australia
| | - K Lui
- School of Women's and Children's Health; University of New South Wales; Sydney NSW Australia
- Department of Newborn Care; The Royal Hospital for Women; Randwick NSW Australia
| | - WO Tarnow-Mordi
- Australia Westmead International Network for Neonatal Education and Research; The University of Sydney; Camperdown NSW Australia
| | - M Longini
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
| | - F Proietti
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
| | - S Negro
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
| | - OD Saugstad
- Department of Pediatric Research; Oslo University Hospital; University of Oslo; Oslo Norway
| | - G Buonocore
- Department of Molecular and Developmental Medicine; University of Siena; Siena Italy
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Anichini C, Lotti F, Longini M, Proietti F, Felici C, Perrone S, Buonocore G. Antioxidant effects of potassium ascorbate with ribose therapy in a case with Prader Willi Syndrome. Dis Markers 2013; 33:179-83. [PMID: 22960339 PMCID: PMC3810693 DOI: 10.3233/dma-2012-0922] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Oxidative stress (OS) is involved in several human diseases, including obesity, diabetes, atherosclerosis, carcinogenesis, as well as genetic diseases. We previously found that OS occurs in Down Syndrome as well as in Beckwith-Wiedemann Syndrome (BWS). Here we describe the clinical case of a female patient with Prader Willi Syndrome (PWS), a genomic imprinting disorder, characterized by obesity, atherosclerosis and diabetes mellitus type 2, pathologies in which a continuous and important production of free radicals takes place. We verified the presence of OS by measuring a redox biomarkers profile including total hydroperoxides (TH), non protein-bound iron (NPBI), thiols (SH), advanced oxidation protein products (AOPP) and isoprostanes (IPs). Thus we introduced in therapy an antioxidant agent, namely potassium ascorbate with ribose (PAR), in addition to GH therapy and we monitored the redox biomarkers profile for four years. A progressive decrease in OS biomarkers occurred until their normalization. In the meantime a weight loss was observed together with a steady growth in standards for age and sex.
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Affiliation(s)
- C Anichini
- Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy
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Balduini W, Carloni S, Perrone S, Bertrando S, Tataranno M, Negro S, Proietti F, Longini M, Buonocore G. The use of melatonin in hypoxic-ischemic brain damage: an experimental study. J Matern Fetal Neonatal Med 2012; 25 Suppl 1:119-24. [DOI: 10.3109/14767058.2012.663232] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Caiaffa W, Souza A, Goston J, Dayrell A, Xavier C, Comini C, Proietti F. SP4-29 Neighbourhood-based differences in physical activity: a deprived urban neighbourhood program approach (fitness centers--FCs) for reducing social inequalities in chronic diseases: preliminary comparisons. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976p.23] [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: 11/03/2022]
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Friche A, Diez-Roux A, Cesar C, Proietti F, Caiaffa W. P1-426 Assessing the psychometrics and the ecometrics measurements of neighbourhood scales: saUde em beagA study, Belo Horizonte, Brazil, 2008-2009. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976g.16] [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: 11/04/2022]
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Goston J, Andrade A, Proietti F, Caiaffa W. P2-407 Perceived social support and leisure-time physical activity levels in adults living in a large urban center: SaUde em BeagA Study - Belo Horizonte city, Brazil. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976l.37] [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: 11/03/2022]
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Friche A, Ferreira A, Diez-Roux A, Cesar C, Proietti F, Caiaffa W. P2-87 Effects of neighbourhood features on obesity: SaUde em BeagA Study, Belo Horizonte, Brazil, 2008-2009. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976i.22] [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: 11/04/2022]
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Lima D, Moreira M, Proietti F. ACUTE MYOCARDIAL INFARCTION AS A METABOLIC DISEASE: PREVALENCE AND TIME SINCE DIABETES MELLITUS DIAGNOSIS. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70298-8] [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: 10/22/2022]
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Moreira M, Lima D, Proietti F. ACUTE MYOCARDIAL INFARCTION AS A METABOLIC DISEASE: RISK MARKERS TO DIABETES MELLITUS IN THE FIRST EPISODE. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70302-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Capone A, Valle M, Proietti F, Federici O, Garofalo A, Petrosillo N. Postoperative infections in cytoreductive surgery with hyperthermic intraperitoneal intraoperative chemotherapy for peritoneal carcinomatosis. J Surg Oncol 2007. [PMID: 20213741 DOI: 10.1002/jso] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Peritoneal carcinomatosis is a common evolution of many abdominal and pelvic malignancies. Over the last decade novel therapeutic approaches have emerged combining cytoreductive surgery with perioperative intraperitoneal chemotherapy. Aim of our study was to assess frequency, sites, and organisms of postoperative infections in this surgery and to evaluate associated risk factors and clinical outcome. METHODS Retrospective study of postoperative infection in 30 patients undergoing combined cytoreductive surgery and hypertermic intraoperative chemotherapy in an oncologic surgery in Rome, between June 2001 and December 2004. RESULTS Twenty-nine postoperative infections were recorded in 11 patients (36.7%; 2.6 infections per patient), including 13 surgical site infections, 8 clinical sepsis, 6 bloodstream infections, and 2 pneumonias. At multivariate analysis, total peritonectomy was found as independent variable associated to postoperative infection. Mortality rates were 36.4% and 5% among patients with and without postoperative infections, respectively (P = 0.04). Four of the 5 patients with invasive candidosis died. CONCLUSIONS Peritonectomy procedures have an high risk of postoperative infections, prolonged hospital stay, and high morbidity and mortality. The increasing role of this surgery for the treatment of peritoneal carcinomatosis should strengthen the need for a careful evaluation of possible risk factors for postoperative infections, including the role of colonizing organisms.
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Affiliation(s)
- A Capone
- National Institute for Infectious Diseases L. Spallanzani, Via Portuense, Rome, Italy.
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Capone A, Valle M, Proietti F, Federici O, Garofalo A, Petrosillo N. Postoperative Infections in Cytoreductive Surgery With Hyperthermic Intraperitoneal Intraoperative Chemotherapy for Peritoneal Carcinomatosis. J Surg Oncol 2007; 96:507-13. [PMID: 17708508 DOI: 10.1002/jso.20837] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [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: 11/10/2022]
Abstract
BACKGROUND Peritoneal carcinomatosis is a common evolution of many abdominal and pelvic malignancies. Over the last decade novel therapeutic approaches have emerged combining cytoreductive surgery with perioperative intraperitoneal chemotherapy. Aim of our study was to assess frequency, sites, and organisms of postoperative infections in this surgery and to evaluate associated risk factors and clinical outcome. METHODS Retrospective study of postoperative infection in 30 patients undergoing combined cytoreductive surgery and hypertermic intraoperative chemotherapy in an oncologic surgery in Rome, between June 2001 and December 2004. RESULTS Twenty-nine postoperative infections were recorded in 11 patients (36.7%; 2.6 infections per patient), including 13 surgical site infections, 8 clinical sepsis, 6 bloodstream infections, and 2 pneumonias. At multivariate analysis, total peritonectomy was found as independent variable associated to postoperative infection. Mortality rates were 36.4% and 5% among patients with and without postoperative infections, respectively (P = 0.04). Four of the 5 patients with invasive candidosis died. CONCLUSIONS Peritonectomy procedures have an high risk of postoperative infections, prolonged hospital stay, and high morbidity and mortality. The increasing role of this surgery for the treatment of peritoneal carcinomatosis should strengthen the need for a careful evaluation of possible risk factors for postoperative infections, including the role of colonizing organisms.
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Affiliation(s)
- A Capone
- National Institute for Infectious Diseases L. Spallanzani, Via Portuense, Rome, Italy.
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26
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Alberti A, Tomei F, Miele E, Pizzardi N, Ramponi S, De Paula U, Gentile P, Proietti F, Marmiroli L, De Quarto A. Concurrent radiotherapy (RT) and chemotherapy (CT) with oxaliplatin as primary treatment of advanced rectal cancer: a phase II study. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.13507] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
13507 Background: Combined pre-operative RT and CT increase the possibility for conservative surgery in locally advanced rectal cancer. Most clinical trials show that responding patients could obtain a reduction of local relapse and an improvement of overall survival, especially when a complete pathological response is obtained (pCR 9–29%). The aim of our study was to determine the activity of RT concomitant to oxaliplatin (OHP) in combination with c.i. 5-fluorouracil (5FU). Methods: Primary endpoint was pCR. Sample size was defined according to Simon Two-Stage phase II design (planned sample size: 29 evaluable patients). From May 2002 to November 2005, 33 patients (15 males, 18 females) were enrolled: median age was 64 years (range 21–74); clinical stage was cT3/cT4 cN0 or cTany cN+ M0. In 24 patients rectal cancer was ≤ 5 cm from anal verge. Weekly OHP 60 mg/m2 was administered in combination with c.i. 5FU 225 mg/ m2 for 5 days per week. Twelve patients received conventional RT (CRT): 25 fractions with 1.8 Gy, total dose 50.4 Gy on the pelvis and a boost on tumor bed with 3 fractions of 1.8 Gy. 21 patients received hyperfractionated RT (HRT): 1.2 Gy b.i.d. for 5 days per week for 4 weeks and a concomitant boost on tumor bed with daily 3 Gy (total dose 54–56 Gy on tumor bed, 48–50 Gy on the pelvis). Patients underwent surgery after 6–8 weeks from the end of treatment. Results: All patients were evaluable for pathological response. Sphincter preservation was obtained in 30 patients (=90.9%), a clinical down-staging in 30 patients (=90.9%). Overall, 12 patients (=36.4%) experienced a pCR: 9 of 21 patients (=42.8%) who received HRT obtained a pCR; 3 of 12 patients (=25%) who received CRT showed a pCR. Treatment was well tolerated. No G3–4 toxicity was observed. Conclusions: The results of our study are promising in terms of sphincter preservation, clinical down-staging and pCR. Moreover in this trial patients who received HRT obtained an encouraging outcome. No significant financial relationships to disclose.
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Affiliation(s)
- A. Alberti
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - F. Tomei
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - E. Miele
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - N. Pizzardi
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - S. Ramponi
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - U. De Paula
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - P. Gentile
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - F. Proietti
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - L. Marmiroli
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
| | - A. De Quarto
- Ospedale Sandro Pertini, Rome, Italy; Fatebenefratelli S. Pietro Hospital, Rome, Italy; Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
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27
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Sarrecchia C, Niutta P, Testore GP, Sordillo P, Proietti F, Andreoni M. [Interstitial pulmonary fibrosis in chronic HCV hepatitis treated with interferon]. Recenti Prog Med 2001; 92:336-9. [PMID: 11413892] [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: 02/20/2023]
Abstract
The study describes the clinical, virologic and immunological characteristics of a patient with interstitial pulmonary fibrosis during interferon treatment for HCV chronic hepatitis. After the interruption of the interferon and the beginning of immunosuppressive treatment, an improvement of pulmonary pathology was observed. At the reintroduction of interferon, the patient presented a rapid worsening of pulmonary fibrosis with a normalization of biochemical and virologic parameters of hepatitis. The correlation among interstitial pulmonary fibrosis, HCV infection and interferon treatment is discussed; however in the described case, the pulmonary pathology was correlated to interferon treatment.
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Affiliation(s)
- C Sarrecchia
- Dipartimento di Sanità Pubblica, Università Tor Vergata, Roma.
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28
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Rizza P, Fais S, Pini C, Proietti F, Belardelli F. First International Workshop on Human/SCID Mouse Models. J BIOL REG HOMEOS AG 2001; 15:170-4. [PMID: 11501976] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Affiliation(s)
- P Rizza
- Department of Virology, Istituto Superiore di Sanità, Roma, Italy
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29
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Colombo M, Vitobello D, Proietti F, Milani R. Randomised comparison of Burch colposuspension versus anterior colporrhaphy in women with stress urinary incontinence and anterior vaginal wall prolapse. BJOG 2000; 107:544-51. [PMID: 10759276 DOI: 10.1111/j.1471-0528.2000.tb13276.x] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.0] [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: 12/01/2022]
Abstract
OBJECTIVE To compare the Burch colposuspension and the anterior colporrhaphy in women with both stress urinary incontinence and advanced anterior vaginal wall prolapse (cystocele). DESIGN Prospective randomised study. SETTING Secondary referral centre, Urogynaecology Unit, San Gerardo Hospital, Monza, Italy. SAMPLE Seventy-one women undergoing surgery for primary genuine stress incontinence and concurrent grade 2 or 3 cystocele (descending at or outside the vaginal introitus). METHODS Full urodynamic investigation performed pre-operatively and repeated six months after surgery. Clinical follow up continued for 8 to 17 years. MAIN OUTCOME MEASURES Subjective (patient history) and objective (negative stress test result) cure of stress incontinence. Assessment of cystocele recurrence. RESULTS Thirty (86%) of the 35 evaluable women who had the Burch colposuspension and 17 (52%) of the 33 evaluable women who had the anterior colporrhaphy were subjectively cured (OR 5.6, 95% CI 1.6 to 21.6; P = 0.005). Objective cure rates were 74% (26 of 35) and 42% (14 of 33), respectively (OR 3.9, 95% CI 1.3 to 12.5; P = 0.02). A recurrent cystocele of grade 2 or 3 with or without prolapse at other vaginal sites was recorded in 34% (12 of 35) and 3% (1 of 33) of women, respectively (OR 16.7, 95% CI 2.0 to 368.1; P = 0.003). CONCLUSIONS The Burch colposuspension was better in controlling stress incontinence but it lead to an unacceptable high rate of prolapse recurrence. The anterior colporrhaphy was more effective in restoring vaginal anatomy but it was accompanied by an unacceptable low cure rate of stress incontinence. Neither of the two operations is recommended for women who are suffering from a combination of stress incontinence and advanced cystocele.
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Affiliation(s)
- M Colombo
- Department of Obstetrics and Gynaecology, University of Milan, San Gerardo Hospital, Monza, Italy.
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30
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Ammirati F, Colivicchi F, Minardi G, De Lio L, Terranova A, Scaffidi G, Rapino S, Proietti F, Bianchi C, Uguccioni M, Carunchio A, Azzolini P, Neri R, Accogli S, Sunseri L, Orazi S, Mariani M, Fraioli R, Calcagno S, De Luca F, Santini M. [The management of syncope in the hospital: the OESIL Study (Osservatorio Epidemiologico della Sincope nel Lazio)]. G Ital Cardiol 1999; 29:533-9. [PMID: 10367221] [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: 02/12/2023]
Abstract
BACKGROUND While syncope is generally considered a frequent finding in clinical practice, no clear epidemiological evidence is available about the relevance of such an event in the general population of Italy. METHODS The OESIL Study was designed and undertaken in 15 hospitals of the Italian region of Latium in order to assess the percentage of emergency-room visits and admissions due to syncope, as well as to analyze the in-hospital diagnostic work-up performed for this condition. RESULTS During a two-month observation period, 781 (372 males and 409 females, mean age 55.2 (22.8 years) consecutive patients came to the emergency rooms of the 15 hospitals included in the investigation due to a syncope spell (0.9% of emergency room visits); 450/781 patients (57.6%) were subsequently hospitalized (1.3% of all admissions): 48.0% of the admissions were admitted to a general medical ward, 29.3% to an observation ward, 13.3% to a cardiology section, 1.6% to a neurology section and 7.8% to other clinical sections (neurosurgery, general surgery). The mean duration of in-hospital stay was 6.9 (5.8 days; range 1-40 days). During the hospitalization period, 93.1% of patients underwent an ECG, 51.0% an EEG, 44.3% a CT scan of the central nervous system, 40.2% an echocardiogram and 19.5% a tilt-test. The syncope spell was considered to have a cardiovascular origin in 33.8% of the cases and a non-cardiovascular in 11.6% of the cases, while the origin was unknown in 54.4% of the cases. CONCLUSIONS Collected data support the idea that syncope represents a frequent event in the general population and is responsible for a significant percentage of emergency-room visits and hospital admissions. However, the performance of conventional diagnostic work-ups is far from being satisfactory.
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Affiliation(s)
- F Ammirati
- Dipartimento Malattie del Cuore, Ospedale S. Filippo Neri, Roma
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Abstract
In coeliac disease immunological abnormalities are not confined to the small bowel and it has been suggested that changes in peripheral blood lymphocytes may predispose to autoimmune or malignant complications. Using dual-colour immunofluorescence with labelled monoclonal antibodies, multiparameter flow cytometry was used to analyse peripheral blood lymphocytes in 32 untreated coeliacs, 29 treated coeliacs and 20 healthy volunteers. When the absolute numbers were considered, a decrease of CD3+, CD4+, CD8+ and CD19+ lymphocytes was found in untreated coeliacs compared with treated coeliacs and healthy volunteers. The proportion of CD3+ was significantly higher in untreated coeliacs (P<0.05) than in healthy volunteers. No differences were observed in CD4+, CD8+ and CD19+ subsets between the three groups studied. The proportion of CD3+ CD25+ and CD3+ HLA-DR+ cells were higher in untreated coeliacs (P<0. 001 and P>0.005) and in treated coeliacs (P<0.005 and P<0.05) than in healthy volunteers. On the contrary, natural killer cells and cytotoxic cells were lower in untreated and treated coeliacs than in healthy volunteers. As regards B-cell subsets, the only difference was the increase in FcepsilonR+ B cells in untreated coeliacs. The absolute reduction of peripheral lymphocytes in coeliac disease probably reflects their compartimentalization in intestinal mucosa. The decrease of natural killer cells and cytotoxic cells may be in keeping with the increased prevalence of malignancy in this condition. Finally, the phenotypic changes found in untreated coeliacs indicate T-cell activation.
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Affiliation(s)
- A Di Sabatino
- Department of Internal Medicine, University of L'Aquila, L'Aquila, Italy
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32
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Versaci F, Tomai F, Gaspardone A, Proietti F, Chiariello L, Gioffrè PA. Stent implantation for spontaneous coronary dissection. Cardiologia 1997; 42:971-4. [PMID: 9369039] [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: 02/05/2023]
Abstract
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction and sudden death. We report a case of diffuse spontaneous left coronary artery dissection occurring in the postpartum period, successfully treated by multiple stent implantation. Coronary angiography performed 3 months later showed no evidence of dissection and TIMI flow grade 3 in the treated coronary arteries. At 12-month follow-up the patient was asymptomatic.
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Affiliation(s)
- F Versaci
- Servizio Speciale di Diagnosi e Cura di Emodinamica, Università degli Studi Tor Vergata, Roma
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33
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Galvão-Castro B, Loures L, Rodriques LG, Sereno A, Ferreira Júnior OC, Franco LG, Muller M, Sampaio DA, Santana A, Passos LM, Proietti F. Distribution of human T-lymphotropic virus type I among blood donors: a nationwide Brazilian study. Transfusion 1997; 37:242-3. [PMID: 9051104 DOI: 10.1046/j.1537-2995.1997.37297203532.x] [Citation(s) in RCA: 124] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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34
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Trinchieri V, Ferone U, Monacelli M, Isceri L, Proietti F, Sorice F. [Pancreatitis during treatment of leishmaniasis with n-methylglucamine antimoniate in a subject infected with HIV]. Riv Eur Sci Med Farmacol 1996; 18:49-51. [PMID: 9213843] [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
In this study the authors report the case of HIV patients with visceral leishmaniasis. He presented a pancreatitis with evident clinical signs and high increase of amilasis (9876 U/L) the twelfth day of treatment with meglumine antimoniate. The interruption of therapy was followed by a rapid disappearance of signs and symptoms and a normalization of amilasis. In accordance with the most recent studies, it is expedient, for every patients treated with antimonial drugs, to undergo an accurate amilasis monitoring.
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Affiliation(s)
- V Trinchieri
- Dipartimento di Mallattie Infettive e Tropicali, Università degli Studi La Sapienza, Roma
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35
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Ferone U, Cerimele C, Isceri L, Trinchieri V, Proietti F, Galati V, Monacelli M. [Cytomegalovirus infection in HIV]. Riv Eur Sci Med Farmacol 1994; 16:55-60. [PMID: 7480960] [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: 01/25/2023]
Abstract
The data are taken from a retrospective study of 24 patients with AIDS who developed CMV disease. This study was performed to detect the principal characteristics associated with the development of CMV disease. Age, sex, risk factors, the time interval between HIV seropositivity to CMV disease were examined, as well as efficacy of gancyclovir therapy in both groups of patients with symptomatic and asymptomatic retinitis. When the chorioretinitis is still asymptomatic the early treatment of CMV disease may suppress progression of retinic lesions and seems to be efficacious to prevent the evolution of CMV disease.
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Affiliation(s)
- U Ferone
- Istituto di Malattie Infettive, Università degli Studi La Sapienza, Roma
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36
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Paoluzi P, Ricotta G, Ripoli F, Proietti F, Zaccardelli E, Carratù R, Torsoli A. Incompletely and completely healed duodenal ulcers' outcome in maintenance treatment: a double blind controlled study. Gut 1985; 26:1080-5. [PMID: 3902588 PMCID: PMC1432945 DOI: 10.1136/gut.26.10.1080] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
A six month, double blind, controlled study was performed in 107 asymptomatic duodenal ulcer patients who, after short term cimetidine treatment, showed complete or incomplete endoscopic healing. Patients were stratified according to the type of healing and randomly allocated to cimetidine (200 mg at lunch, 400 mg at bedtime) or placebo. Endoscopic examinations were carried out after six months or when symptoms recurred. Eighty seven patients completed the maintenance trial. Of the 56 patients admitted to the study with complete healing, 30 were placed on cimetidine and 26 on placebo. Of the 31 patients admitted with incomplete healing, 15 were placed on cimetidine, and 16 on placebo. Results showed that, regardless of maintenance treatment, patients with incompletely healed ulcers had a higher ulcer crater recurrence rate, than patients with complete healing (71% vs 34%; p less than 0.005). A significantly higher ulcer crater recurrence was observed in incompletely healed ulcer patients, even when cimetidine or placebo treatment groups were considered separately. Irrespective of the type of healing, ulcer crater recurrence was more frequent in placebo treated patients than in those treated with cimetidine (67% vs 29%; p less than 0.001). We conclude that, in order to prevent a high ulcer recurrence rate, maintenance treatment should start only after the assessment of a complete endoscopic healing of duodenal ulcers.
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37
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Iannucci F, Adamo N, Bizzarro A, Coppola C, D'Anna M, Lavitola G, Proietti F, Gorga F. [Anti-rubella antibodies in neapolitan females. Correlation with age and work (author's transl)]. Ann Sclavo 1981; 23:449-54. [PMID: 7345978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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38
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Zaccardelli E, Proietti F, Ricotta G, Carratù R, Paoluzi P. [Treatment of duodenal ulcer with various dosages of cimetidine. Results of a clinical-endoscopic study]. Clin Ter 1980; 95:279-87. [PMID: 7214843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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