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Giannichi B, Nilson E, Ferrari G, Rezende LFM. The projected economic burden of non-communicable diseases attributable to overweight in Brazil by 2030. Public Health 2024; 230:216-222. [PMID: 38579649 DOI: 10.1016/j.puhe.2024.02.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 02/01/2024] [Accepted: 02/29/2024] [Indexed: 04/07/2024]
Abstract
OBJECTIVES The prevalence of overweight increases the risk of several non-communicable diseases (NCDs) and, consequently, the costs of health care systems. In this study, we aimed to project the economic burden of NCDs attributable to overweight in Brazil between 2021 and 2030. METHODS A cohort simulation of adults (17-117 years) using multistate lifetable modeling was used to estimate the costs of NCDs attributable to overweight in Brazil. The projections of direct health care costs (outpatient and inpatient expenses in the Unified Health System) and indirect costs (years of productive life lost) considered different trajectories of the prevalence of overweight between 2021 and 2030. RESULTS In 2019, the prevalence of overweight was 55.4% in the adult Brazilian population. We estimate that around 1.8 billion international dollars (Int$) would be spent on the direct health care cost of NCDs between 2021 and 2030, through the continued increase in overweight prevalence observed between 2006 and 2020. The indirect costs over the same time would be approximately 20.1 billion Int$. We estimate that halving the annual increase in body mass index slope from the beginning of 2021 until 2030 would save 20.2 million Int$ direct and indirect costs by 2030. In the scenario of keeping the prevalence of overweight observed in 2019 constant until 2030, the savings would be 40.8 million Int$. Finally, in the scenario of a 6.7% reduction in the prevalence of overweight observed in 2019 (to be achieved gradually until 2030), 74.1 million Int$ would be saved. CONCLUSIONS These results highlight the high economic burden of overweight in the Brazilian adult population.
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Affiliation(s)
- B Giannichi
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
| | - E Nilson
- Center for Epidemiological Research in Nutrition and Public Health, University of São Paulo, São Paulo, Brazil; Food, Nutrition and Culture Program, Fundação Oswaldo Cruz, Brasília, Brazil; Facultad de Ciencias de la Salud, Universidad Autonoma de Chile, Santiago, Chile
| | - G Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Chile; Facultad de Ciencias de la Salud, Universidad Autonoma de Chile, Santiago, Chile
| | - L F M Rezende
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil; Facultad de Ciencias de la Salud, Universidad Autonoma de Chile, Santiago, Chile.
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Gindri IDM, Ferrari G, Pinto LPS, Bicca J, Dos Santos IK, Dallacosta D, Roesler CRDM. Evaluation of safety and effectiveness of NAD in different clinical conditions: a systematic review. Am J Physiol Endocrinol Metab 2024; 326:E417-E427. [PMID: 37971292 DOI: 10.1152/ajpendo.00242.2023] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 11/09/2023] [Accepted: 11/13/2023] [Indexed: 11/19/2023]
Abstract
Nicotinamide adenine dinucleotide (NAD+) is an essential pyridine nucleotide cofactor that is present in cells and in several important biological processes, including oxidative phosphorylation and production of adenosine triphosphate, DNA repair, calcium-dependent secondary messenger and gene expression. The purpose of this systematic review is to examine whether the coenzyme formulae NAD+ and NADH are safe and effective when acting as a supplement to humans. This systematic review of randomized clinical trials performed a search in six electronic databases: PubMed, MEDLINE (ovid), Embase, Cochrane CENTRAL (clinical trials), Web of Science, and Scopus. Secondary search included the databases (e.g., Clinical trials.gov, Rebec, Google Scholar - advance). Two reviewers assessed and extracted the studies independently. The risk of bias in studies was performed using version 2 of the Cochrane risk of bias tool for randomized trials. This review includes 10 studies, with a total of 489 participants. The studies included different clinical conditions, such as chronic fatigue syndrome (CFS), older adults, Parkinson's disease, overweight, postmenopausal prediabetes, and Alzheimer's disease. Based on studies, the supplementation with NADH and precursors was well tolerated and observed clinical results such as, a decrease in anxiety conditions and maximum heart rate was observed after a stress test, increased muscle insulin sensitivity, insulin signaling. Quality of life, fatigue intensity, and sleep quality among others were evaluated on patients with CFS. All studies showed some side effects, thus, the most common associated with NADs use are muscle pain, nervous disorders, fatigue, sleep disturbance, and headaches. All adverse events cataloged by the studies did not present a serious risk to the health of the participants. Overall, these findings support that the oral administration of NADH can be associated to an increase in general quality of life and improvement on health parameters (e.g., a decrease in anxiety, maximum heart rate, inflammatory cytokines in serum, and cerebrospinal fluid). NADH supplementation is safe and has a low incidence of side effects. Future investigations are needed to evidence the clinical benefits regarding specific diseases and doses administered.
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Affiliation(s)
| | - Gustavo Ferrari
- Nimma, Federal University of Santa Catarina, Florianópolis, Brazil
- Biomechanical Engineering Laboratory, University Hospital, Federal University of Santa Catarina, Florianópolis, Brazil
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Ferrari G, Silveira da Silva L, Cerruti R, Gindri IDM, Salmoria GV, de Mello Roesler CR. Development and characterization of 3D printed ethylene vinyl acetate (EVA) as drug delivery device for the treatment of overactive bladder. Drug Dev Ind Pharm 2024; 50:285-296. [PMID: 38486377 DOI: 10.1080/03639045.2024.2311177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 01/23/2024] [Indexed: 04/20/2024]
Abstract
The overactive bladder is a condition characterized by a sudden urge to urinate, even with small volumes of urine present in the bladder. The current treatments available for this pathology consist on conservative approaches and the continuous administration of drugs, which when made by conventional methods has limitations related to the first pass metabolism, bioavailability, severe side effects, and low patient adherence to treatments, ultimately leading to low effectiveness. Within this context, the present work proposes the design, manufacture, and characterization of an intravesical implant for the treatment of overactive bladder pathology, using EVA copolymer as a matrix and oxybutynin as a drug. The fabrication of devices through two manufacturing techniques (extrusion and additive manufacturing by fused filament fabrication, FFF) and the evaluation of the implants through characterization tests was proposed. The usability and functionality were evaluated through simulated insertion of the device/prototype in a bladder model through catheter insertion tests. The safety and effectiveness of the devices was investigated from mechanical testing as well as drug release assays. Drug release assays presented a burst release in the first 24 h, followed by a release of 1.8 and 2.8 mg/d, totalizing 32 d. Mechanical tests demonstrated an increase in the stiffness of the specimens due to the addition of the drug, showing a change in maximum stress and strain at break. The released dose was higher than that usually presented when considering the oral administration route, showing the optimization of the development of this implant has the potential to improve the quality of life of patients with overactive bladder.
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Affiliation(s)
- Gustavo Ferrari
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Santa Catarina, Brazil
- Biomechanical Engineering Laboratory, University Hospital & Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
| | - Loise Silveira da Silva
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Santa Catarina, Brazil
- Biomechanical Engineering Laboratory, University Hospital & Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
| | - Renata Cerruti
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Santa Catarina, Brazil
| | - Izabelle de Mello Gindri
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Santa Catarina, Brazil
- Bio meds Pharmaceutica LTDA, Florianópolis, Santa Catarina, Brazil
| | - Gean Vitor Salmoria
- Biomechanical Engineering Laboratory, University Hospital & Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
- NIMMA, Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
| | - Carlos Rodrigo de Mello Roesler
- Biomechanical Engineering Laboratory, University Hospital & Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil
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Ferrero-Hernández P, Farías-Valenzuela C, Castillo-Paredes A, Rezende LFM, Cristi-Montero C, Sadarangani KP, Christofaro DGD, Ferrari G. Preventable incidence cases from non-communicable diseases attributable to insufficient physical activity in Chile. Public Health 2024; 226:53-57. [PMID: 38006742 DOI: 10.1016/j.puhe.2023.10.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 09/04/2023] [Accepted: 10/30/2023] [Indexed: 11/27/2023]
Abstract
OBJECTIVES Lack of sufficient physical activity (PA) has been associated with an increased risk of several non-communicable diseases (NCDs) and all-cause mortality. This study aimed to estimate the number of preventable incidence cases of NCDs attributable to insufficient PA in the Chilean population. STUDY DESIGN Comparative risk assessment modelling study. METHODS This study examined data from 5834 participants aged ≥20 years from the Chilean National Survey (2016-2017). PA was assessed by the Global Physical Activity Questionnaire (GPAQ), and metabolic equivalent of tasks (METs) were assigned according to PA intensity. Estimated incidence cases of NCDs in Chile in 2019 were obtained from the Global Burden of Disease study. Relative risks for breast cancer, colon cancer, ischaemic heart disease, diabetes and stroke were obtained from a published meta-analysis and applied to the prevalence of insufficient PA estimates through the potential impact fraction equation. RESULTS High levels of PA (≥8000 MET-min/week) could potentially avoid more than 22,000 (64.6 %) incidence NCD cases, ranging from 498 (10.1 %) preventable cases of breast cancer to 5629 (14.7 %) cases of diabetes. Other modelled scenarios also showed to reduce the incidence cases of all five NCDs but to a lesser extent; where at least PA recommendation was achieved, preventable NCDs were reduced by 6522 cases (18.7 %), and where a 10 % relative reduction in insufficient PA level in the population was achieved, preventable NCDs were reduced by 651 (1.8 %) cases. CONCLUSIONS The study results provide estimates for the incidence cases of preventable NCDs attributable to insufficient PA, highlighting the important role of PA in NCD prevention in Chile.
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Affiliation(s)
- P Ferrero-Hernández
- Universidad de Santiago de Chile (USACH), Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Chile
| | - C Farías-Valenzuela
- Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Lota 2465, Providencia 7510157, Chile
| | - A Castillo-Paredes
- Grupo AFySE, Investigación en Actividad Física y Salud Escolar, Escuela de Pedagogía en Educación Física, Facultad de Educación, Universidad de Las Américas, Santiago 8370040, Chile
| | - L F M Rezende
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
| | - C Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - K P Sadarangani
- Universidad Autónoma de Chile, Providencia, Chile; Escuela de Kinesiología, Facultad de Salud y Odontología, Universidad Diego Portales, Santiago, Chile
| | - D G D Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo, Brazil
| | - G Ferrari
- Universidad de Santiago de Chile (USACH), Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Chile.
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Chu Y, Aune D, Yu C, Wu Y, Ferrari G, Rezende LFM, Wang Y. Temporal trends in sleep pattern among Chinese adults between 2010 and 2018: findings from five consecutive nationally representative surveys. Public Health 2023; 225:360-368. [PMID: 37981452 DOI: 10.1016/j.puhe.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 10/01/2023] [Accepted: 10/03/2023] [Indexed: 11/21/2023]
Abstract
OBJECTIVES This study aimed to comprehensively analyze the time trends in average sleep duration and prevalence of short sleep, poor sleep quality, and high sleep debt among Chinese adults. STUDY DESIGN This was a cross-sectional study. METHODS The study used nationally representative data from Chinese Family Panel Survey (CFPS) among adults aged ≥18 years. Linear regression and logistic regression were used to calculate P-values for trends across waves, and absolute difference in prevalences were calculated by linear regression. Poisson regression analysis was used to calculate the prevalence ratios of sleep-related problems. RESULTS In 2018, the estimated average sleep duration in adults was 7.6 h/d. A shorter sleep duration, higher proportion of short sleep, and poor sleep quality were observed in people aged ≥65 years, women, people with primary school education or below, and residents in Liaoning province. The average sleep duration slightly decreased from 8.2 h/d in 2010 to 7.6 h/d in 2016, and then remained stable from 2016 to 2018. The prevalence of short sleep duration has markedly increased from 11.8% in 2010 to 24.1% in 2016, and then there was a decline in prevalence from 2016 to 2018, although this decrease was not significant. The prevalence of high sleep debt among employed people increased from 6.2% in 2010 to 8.6% in 2018 (absolute difference, 2.4 p.p; P trend = 0.063). In addition, the prevalence of poor sleep quality increased from 15.6% in 2012 to 21.3% in 2018 (absolute difference of 5.7 p.p; P trend<0.001). For all the sleep-related variables, the degree of changes varied by sociodemographic subgroups. CONCLUSIONS In this nationally representative survey of the Chinese population, the average sleep duration slightly decreased from 2010 to 2016, and then remained stable from 2016 to 2018. Poor sleep quality, and high sleep debt increased among most of the sociodemographic subgroups. Future studies are needed to understand the drivers of changes in sleep health among Chinese adults.
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Affiliation(s)
- Y Chu
- Global Health Division, Public Health Research Center and Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China
| | - D Aune
- Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Nutrition, Bjørknes University College, Oslo, Norway; Department of Research, The Cancer Registry of Norway, Oslo, Norway
| | - C Yu
- Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, Hubei, China.
| | - Y Wu
- Lab of Modern Environmental Toxicology, Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China; Department of Basic Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
| | - G Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Santiago, Chile
| | - L F M Rezende
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, 7500912, Chile
| | - Y Wang
- Global Health Division, Public Health Research Center and Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China.
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Ferrero-Hernández P, Farías-Valenzuela C, Ferrari G, Espoz-Lazo S, Álvarez-Arangua S, Valdivia-Moral P. Cut-off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups. J Intellect Disabil Res 2023; 67:1124-1135. [PMID: 37574777 DOI: 10.1111/jir.13069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 04/19/2023] [Accepted: 07/09/2023] [Indexed: 08/15/2023]
Abstract
BACKGROUND The prevalence of overweight/obesity has been increasing globally and in people with Intellectual Disabilities (IDs), this problem is exacerbated even more, which added to a low physical condition that contributes to the deterioration of functionality and increases the risk of developing chronic diseases in the course of life. Therefore, the aim of this study was to establish cut-off points for levels of isometric handgrip and low limb explosive strength in children, adolescents and adults, which identify overweight/obesity in people with IDs and their respective associations. METHODS The sample was made up of 131 individuals with IDs, belonging to four special and community educational centres in the city of Santiago, Chile. Body mass index (BMI) and waist-to-height ratio (WHR) were used as indicators of overweight/obesity. Handgrip strength was used as a measure of isometric strength, and countermovement jump was used as a measure of low limb explosive strength. For the comparison of variables by age group, the analysis of Ancova, Kruskal-Wallis and chi-square tests were used. The total area under the receiver operating characteristic curve of isometric handgrip and low limb explosive strength was identified as an indicator of overweight/obesity according to age groups. A logistic regression model was used to quantify the effect that strength categories below the cut-off point have on the risk of overweight and obesity. RESULTS Significant differences were observed between the age groups for body weight, height, BMI and WHR, as well as in the levels of absolute handgrip strength and vertical jump with countermovement (P ≤ 0.05). Children showed the lowest cut-off points for absolute and relative strength. The adolescent group showed the highest cut-off points for relative strength and countermovement jump and adults showed the highest value for absolute strength as indicators of overweight/obesity. Different associations between cut-off points with BMI and WHR were found. CONCLUSIONS Adolescents showed the highest cut-off point for relative strength and countermovement jump, and adults showed the highest value for absolute strength, according to overweight/obesity indicators (BMI and WHR). It is suggested to adjust resistance training programmes according to age categories for the prevention of overweight/obesity in people with IDs.
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Affiliation(s)
- P Ferrero-Hernández
- Escuela de Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Santiago, Chile
| | - C Farías-Valenzuela
- Instituto del Deporte, Universidad de Las Américas, Santiago, Chile
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education, University of Granada, Granada, Spain
| | - G Ferrari
- Sciences of Physical Activity, Sports and Health School, University of Santiago of Chile (USACH), Santiago, Chile
| | - S Espoz-Lazo
- Facultad de Educación y Ciencias Sociales, Instituto del Deporte y Bienestar, Universidad Andres Bello, Las Condes, Santiago, Chile
| | - S Álvarez-Arangua
- Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Science, Universidad Andres Bello, Santiago, Chile
| | - P Valdivia-Moral
- Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education, University of Granada, Granada, Spain
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Bresolin S, Roy A, Ferrari G, Recati A, Pavloff N. Oscillating Solitons and ac Josephson Effect in Ferromagnetic Bose-Bose Mixtures. Phys Rev Lett 2023; 130:220403. [PMID: 37327440 DOI: 10.1103/physrevlett.130.220403] [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] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 04/18/2023] [Accepted: 05/10/2023] [Indexed: 06/18/2023]
Abstract
Close to the demixing transition, the degree of freedom associated with relative density fluctuations of a two-component Bose-Einstein condensate is described by a nondissipative Landau-Lifshitz equation. In the quasi-one-dimensional weakly immiscible case, this mapping surprisingly predicts that a dark-bright soliton should oscillate when subject to a constant force favoring separation of the two components. We propose a realistic experimental implementation of this phenomenon which we interpret as a spin-Josephson effect in the presence of a movable barrier.
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Affiliation(s)
- S Bresolin
- Pitaevskii BEC Center, CNR-INO and Dipartimento di Fisica, Università di Trento, Via Sommarive 14, I-38123 Povo, Trento, Italy
| | - A Roy
- Pitaevskii BEC Center, CNR-INO and Dipartimento di Fisica, Università di Trento, Via Sommarive 14, I-38123 Povo, Trento, Italy
- School of Physical Sciences, Indian Institute of Technology Mandi, Mandi-175075, Himachal Pradesh, India
| | - G Ferrari
- Pitaevskii BEC Center, CNR-INO and Dipartimento di Fisica, Università di Trento, Via Sommarive 14, I-38123 Povo, Trento, Italy
| | - A Recati
- Pitaevskii BEC Center, CNR-INO and Dipartimento di Fisica, Università di Trento, Via Sommarive 14, I-38123 Povo, Trento, Italy
| | - N Pavloff
- Université Paris-Saclay, CNRS, LPTMS, 91405, Orsay, France
- Institut Universitaire de France (IUF)
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Anceschi U, Amparore D, Siena G, Cocci A, Checcucci E, Prata F, De Cillis S, Flammia R, Tufano A, Quarà A, Ortenzi M, Brassetti A, Bove A, Tuderti G, D’Annunzio S, Viola L, Sessa F, Spatafora P, Fiori C, Varvello F, Minervini A, Ferrari G, Porpiglia F, Cindolo L, Simone G. A novel outcomes categorization for current minimally invasive ejaculation-sparing treatments of benign prostatic hyperplasia: Results of a multicentric series. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00069-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Corsi N, Nguyen D, Arezki A, Sadri I, Law K, Bouhadana D, Deyirmendjian C, Elterman D, Bhojani N, Bruyère F, Cindolo L, Ferrari G, Vasquez-Lastra C, Borelli-Bovo T, Becher E, Cash H, Reimann M, Rijo E, Misrai V, Chughtai B, Zorn K. Perioperative and functional outcomes of Greenlight 180-W photovaporization in large (>80 cc) prostates: An analysis from 7 centers in the international Global Greenlight Group. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01174-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Ruderman T, Ferrari G, Valeta F, Boti M, Kumwenda K, Park PH, Ngoga G, Ndarama E, Connolly E, Bukhman G, Adler A. Implementation of self-monitoring of blood glucose for patients with insulin-dependent diabetes at a rural non-communicable disease clinic in Neno, Malawi. S Afr Med J 2023; 113:84-90. [PMID: 36757071 DOI: 10.7196/samj.2023.v113i2.16643] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND Self-monitoring of blood glucose (SMBG) is a widely accepted standard of practice for management of insulin-dependentdiabetes, yet is largely unavailable in rural sub-Saharan Africa (SSA). This prospective cohort study is the first known report ofimplementation of SMBG in a rural, low-income country setting. OBJECTIVES To evaluate adherence and change in clinical outcomes with SMBG implementation at two rural hospitals in Neno, Malawi. METHODS Forty-eight patients with type 1 and insulin-dependent type 2 diabetes were trained to use glucometers and logbooks. Participantsmonitored preprandial glucose daily at rotating times and overnight glucose once a week. Healthcare providers were trained to evaluateglucose trends, and adjusted insulin regimens based on results. Adherence was measured as the frequency with which patients checked anddocumented blood glucose at prescribed times, while clinical changes were measured by change in glycated haemoglobin (HbA1c) over a6-month period. RESULTS Participants brought their glucometers and logbooks to the clinic 95 - 100% of the time. Adherence with measuring glucose valuesand recording them in logbooks eight times a week was high (mean (standard deviation) 69.4% (15.7) and 69.0% (16.6), respectively). MeanHbA1c decreased from 9.0% (75 mmol/mol) at enrolment to 7.8% (62 mmol/mol) at 6 months (mean difference 1.2% (95% confidenceinterval (CI) 0.6 - 2.0; p=0.0005). The difference was greater for type 1 diabetes (1.6%; 95% CI 0.6 - 2.7; p=0.0031) than for type 2 diabetes(0.9%; 95% CI 0.1 - 1.9; p=0.0630). There was no documented increase in hypoglycaemic events, and no hospitalisations or deaths occurred. CONCLUSION SMBG is feasible for patients with insulin-dependent diabetes in a rural SSA population, and may be associated with improvedHbA1c levels. Despite common misconceptions, all patients, regardless of education level, can benefit from SMBG. Further research onlong-term retention of SMBG activities and the benefits of increasing frequency of monitoring is warranted.
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Affiliation(s)
| | - G Ferrari
- NCD Synergies project, Partners in Health, Boston, Mass., USA; Division of Global Health Equity, Brigham and Women's Hospital, Boston, Mass., USA.
| | - F Valeta
- Partners in Health, Neno, Malawi.
| | - M Boti
- Partners in Health, Neno, Malawi.
| | | | - P H Park
- NCD Synergies project, Partners in Health, Boston, Mass., USA; Division of Global Health Equity, Brigham and Women's Hospital, Boston, Mass., USA; Program in Global Noncommunicable Disease and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Mass., USA.
| | - G Ngoga
- NCD Synergies project, Partners in Health, Boston, Mass., USA; Noncommunicable Disease Program, Partners in Health, Rwanda; Non-Communicable Diseases Division, Rwanda Biomedical Center, Kigali, Rwanda.
| | - E Ndarama
- Ministry of Health and Populations, Neno, Malawi.
| | - E Connolly
- Partners in Health, Neno, Malawi; Division of Pediatrics, University of Cincinnati College of Medicine, Ohio, USA; Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Ohio, USA.
| | - G Bukhman
- NCD Synergies project, Partners in Health, Boston, Mass., USA; ivision of Global Health Equity, Brigham and Women's Hospital, Boston, Mass., USA; Program in Global Noncommunicable Disease and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Mass., USA.
| | - A Adler
- Division of Global Health Equity, Brigham and Women's Hospital, Boston, Mass., USA.
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Elsherbini T, Bouhadana D, Sadri I, Nguyen DD, Law K, Arezki A, Deyirmendjian C, Ibrahim A, Oumedjbeur K, Bhojani N, Elterman D, Chughtai B, Bruyère F, Cindolo L, Ferrari G, Vasquez-Lastra C, Borelli-Bovo T, Becher E, Cash H, Reimann M, Rijo E, Misrai V, Zorn K. The impact of 5-alpha reductase inhibitors on perioperative and functional outcomes of Greenlight photovaporization of the prostate: An analysis of the Global Greenlight Group database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00091-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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de Souza Pinto LP, Ferrari G, Dos Santos IK, de Mello Roesler CR, de Mello Gindri I. Evaluation of safety and effectiveness of gestrinone in the treatment of endometriosis: a systematic review and meta-analysis. Arch Gynecol Obstet 2023; 307:21-37. [PMID: 36434439 DOI: 10.1007/s00404-022-06846-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 10/25/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE Endometriosis is a common chronic gynecological disease defined as the presence of endometrial glands and stroma tissue outside the uterus. Gestrinone is an effective antiestrogen that induces endometrial atrophy and/or amenorrhea. The purpose of this systematic review is to provide an evaluation of safety and effectiveness of gestrinone for the treatment of endometriosis. METHODS We performed a search in six electronic databases: PubMed, MEDLINE (ovid), Embase, Cochrane CENTRAL (clinical trials), Web of Science and Scopus. Our selected primary outcomes were the changes in dysmenorrhea, pain relief including pelvic pain and dyspareunia. The secondary outcomes embrace hormones parameters, pregnancy rate and adverse events. RESULTS Of 3269 references screened, 16 studies were included involving 1286 women. All studies compared gestrinone with other drugs treatments (placebo, Danazol, Mifepristone tablets, Leuprolide acetate, Quyu Jiedu Recipe) during 6 months. When compared with other drugs treatments, gestrinone relieved dysmenorrhea, pelvic pain, and morphologic response in the ovary. There was an increase on the pregnancy rate. Regarding the side effects observed, gestrinone showed the same adverse events and increased the risk of acne and seborrhea when compared to other treatments. Even if there was any difference in efficacy between gestrinone, danazol, leuprolide acetate, or Quyu Jiedu Recipe Chinese Medicine, it remains unclear due to insufficient data. CONCLUSION Based limited evidence available suggests that gestrinone appeared to be safe and may have some efficacy advantages over danazol, as well as other therapeutic interventions for treating endometriosis. However, this conclusion should be interpreted with caution, due the quality of the evidence provided is generally very low or unclear. TRIAL REGISTRATION CRD42021284148.
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Affiliation(s)
| | - Gustavo Ferrari
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, SC, Brazil.,Biomechanics Engineering Laboratory, Department of Mechanical Engineering, University Hospital &, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.,Bio Meds Pharmaceutica LTDA, Florianópolis, SC, 88050-001, Brazil.,NIMMA-Núcleo de Inovação em Moldagem e Manufatura Aditiva, Department of Mechanical Engineering, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil
| | | | - Carlos Rodrigo de Mello Roesler
- Biomechanics Engineering Laboratory, Department of Mechanical Engineering, University Hospital &, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil
| | - Izabelle de Mello Gindri
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, SC, Brazil. .,Bio Meds Pharmaceutica LTDA, Florianópolis, SC, 88050-001, Brazil.
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Lombardi PM, Bernasconi D, Baiocchi GL, Berselli M, Biondi A, Castoro C, Catarci M, Degiuli M, Fumagalli Romario U, Giacopuzzi S, Marchesi F, Marrelli D, Mazzola M, Molfino S, Olmi S, Rausei S, Rosa F, Rosati R, Roviello F, Santi S, Solaini L, Staderini F, Viganò J, Ferrari G. Open versus laparoscopic gastrectomy for advanced gastric cancer: a propensity score matching analysis of survival in a western population-on behalf of the Italian Research Group for Gastric Cancer. Gastric Cancer 2022; 25:1105-1116. [PMID: 35864239 DOI: 10.1007/s10120-022-01321-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 07/05/2022] [Indexed: 02/07/2023]
Abstract
BACKGROUND Oncologic outcomes after laparoscopic gastrectomy for advanced gastric cancer in the West have been poorly investigated. The aim of the present study was to compare survival outcomes in patients undergoing curative-intent laparoscopic and open gastrectomy for advanced gastric cancer in several centres belonging to the Italian Research Group for Gastric Cancer. METHODS Data of patients operated between 2015 and 2018 were retrospectively analysed. Propensity Score Matching was performed to balance baseline characteristics of patients undergoing laparoscopic and open gastrectomy. The primary endpoint was 3-year overall survival. Secondary endpoints were 3-year disease-free survival and short-term outcomes. Multivariable regression analyses for survival were conducted. RESULTS Data were retrieved from 20 centres. Of the 717 patients included, 438 patients were correctly matched, 219 per group. The 3-year overall survival was 73.6% and 68.7% in the laparoscopic and open group, respectively (p = 0.40). When compared with open gastrectomy, laparoscopic gastrectomy showed comparable 3-year disease-free survival (62.8%, vs 58.9%, p = 0.40), higher rate of return to intended oncologic treatment (56.9% vs 40.2%, p = 0.001), similar 30-day morbidity/mortality. Prognostic factors for survival were ASA Score ≥ 3, age-adjusted Charlson Comorbidity Index ≥ 5, lymph node ratio ≥ 0.15, p/ypTNM Stage III and return to intended oncologic treatment. CONCLUSIONS Laparoscopic gastrectomy for advanced gastric cancer offers similar rates of survival when compared to open gastrectomy, with higher rates of return to intended oncologic treatment. ASA score, age-adjusted Charlson Comorbidity Index, lymph node ratio, return to intended oncologic treatment and p/ypTNM Stage, but not surgical approach, are prognostic factors for survival.
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Affiliation(s)
- Pietro Maria Lombardi
- Division of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 3, 20162, Milan, Italy. .,IRCCS Humanitas Research Hospital, Unit of Foregut Surgery, Via Manzoni 56, Rozzano, 20089, Milan, Italy.
| | - D Bernasconi
- Bicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.,Functional Department for Higher Education, Research, and Development, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - G L Baiocchi
- General Surgery, ASST Cremona, Cremona, Italy.,Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - M Berselli
- Unit of General Surgery, Ospedale di Circolo e Fondazione Macchi, ASST Settelaghi, Varese, Italy
| | - A Biondi
- Dipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli n. 8, 00168, Rome, Italy.,Università Cattolica del Sacro Cuore, Largo F. Vito n.1, 00168, Rome, Italy
| | - C Castoro
- IRCCS Humanitas Research Hospital, Unit of Foregut Surgery, Via Manzoni 56, Rozzano, 20089, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20072, Milan, Italy
| | - M Catarci
- General Surgery Unit, Sandro Pertini Hospital, ASL Roma 2, Rome, Italy
| | - M Degiuli
- Department of Oncology, University of Torino, Turin, Italy.,Surgical Oncology and Digestive Surgery Unit, San Luigi University Hospital, Orbassano, TO, Italy
| | - U Fumagalli Romario
- Digestive Surgery, European Institute of Oncology, IRCCS, 20141, Milan, Italy
| | - S Giacopuzzi
- Department of General and Upper G.I. Surgery, University of Verona, Verona, Italy
| | - F Marchesi
- Unit of General Surgery, Parma University Hospital, Parma, Italy
| | - D Marrelli
- Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy
| | - M Mazzola
- Division of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 3, 20162, Milan, Italy
| | - S Molfino
- Department of Clinical and Experimental Sciences, University of Brescia and Third Division of General Surgery, Brescia Civili Hospital, Brescia, Italy
| | - S Olmi
- Head of General and Oncologic Surgery. Center for Minimal Invasive and Laparoscopic Surgery, Policlinico San Marco, Senior Research Vita-Salute University San Raffaele Milan (UNISR), Zingonia, Italy
| | - S Rausei
- Department of Surgery, ASST Valle Olona, Gallarate, Italy
| | - F Rosa
- Digestive Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - R Rosati
- Department of Gastrointestinal Surgery, San Raffaele Research Hospital, 20132, Milan, Italy.,Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132, Milan, Italy
| | - F Roviello
- Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy
| | - S Santi
- Division of Esophageal Surgery Regional Referral Center "Mauro Rossi" for Diagnosis and Treatment of Diseases of Esophagus, Azienda Ospedaliero-Universitaria Pisana (AOUP), Via Paradisa 2, 56010, Pisa, Italy
| | - L Solaini
- Department of Medical and Surgical Sciences, University of Bologna, Morgagni-Pierantoni Hospital, Forlì, Italy
| | - F Staderini
- Digestive Surgery Unit, Department of Clinical and Experimental Medicine, Careggi University Hospital of Florence, Florence, Italy
| | - J Viganò
- General Surgery. Department of Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - G Ferrari
- Division of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 3, 20162, Milan, Italy
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Bertoglio CL, Quagli O, Grimaldi S, Alampi B, Morini L, Ferrari G. V-037 PARASTOMAL MESH INFECTIONS WITH INTESTINAL FISTULA: 2 RARE SURGICAL CASES AND HOW WE FIXED THEM. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.289] [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: 11/13/2022]
Abstract
Abstract
Parastomal hernias (PSH) occur in 50–80% after stoma formation and its treatment is considered a real challenge. According to the recent literature, the use of prophylactic mesh at the time of primary stoma should decrease the odds of hernia formation. The most common occurrences after PSH surgery are: recurrence, seroma and wound complications.
In this video, we report 2 cases of mesh infection with fistula necessitated removal after 10 and 4 years of mesh placement.
The first patient was a 66 years-old male.
In 2007 he underwent radical prostatectomy and pelvic lymphadenectomy following radiotherapy. He underwent a radical cystectomy and Bricker's cutaneous uretero-ileostomy for stenosis of the vesicourethral anastomosis. In 2012 for PSH he underwent laparo-alloplasty with a placement of an intraperitoneal mesh. In February 2022, with fever and dyspnoea, at the CT-scan of the abdomen we found air bubbles near the mesh and a suspected sigmoid-to-mesh fistula.
The second patient was a 66 years old male.
In 2018 the patient underwent neoadjuvant radiotherapy, then Miles’ procedure and prophylactic 3D intraperitoneal mesh, subsequent adjuvant therapy. During the oncological follow-up an abdominal CT-scan showed air bubbles around the stoma and suspicion of fistula on the adjacent intestinal loops.
In both cases there was an infection of the area around the stoma due to a fistula between the mesh and the intestine. We proceeded, in laparoscopy, to remove the infected mesh. We converted in open surgery with the resection of the fistulized intestine tract and we did a new ostomy.
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Affiliation(s)
- C L Bertoglio
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
| | - O Quagli
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
| | - S Grimaldi
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
| | - B Alampi
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
| | - L Morini
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
| | - G Ferrari
- Division of Oncologic and Minimally Invasive General Surgery , ASST Grande Ospedale Metropolitano Niguarda, Milan , Italy
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Siena G, Campobasso D, Chiodini P, Conti E, Franzoso F, Maruzzi D, Viola L, Varvello F, Ferrari G, Micali S, Morselli S, Cindolo L. Water vapour intraprostatic injection (rezum procedure) outcomes: results from prospective multicentric italian study. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01066-7] [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: 11/07/2022] Open
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16
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Morselli S, Preto M, Alessio P, Rabito S, Micali S, Brausi M, Gatti L, Cindolo L, Ferrari G, Palminteri E. Iatrogenic bladder neck contracture: a new way to approach a frustrating condition. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01082-5] [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: 11/07/2022] Open
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Dal Sasso G, Dalconi M, Ferrari G, Pedersen J, Tamburini S, Bertolotti F, Guagliardi A, Bruno M, Valentini L, Artioli G. Structure and morphology of C-S-H-based hardening accelerator nanoparticles by X-ray total scattering techniques. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322091951] [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: 03/19/2023]
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Giusti I, Carnevali P, Bertoglio CL, Giani A, Achilli P, Grimaldi S, Origi M, Mazzola M, Magistro C, Ferrari G. Laparoscopic right hemicolectomy for hepatic flexure adenocarcinoma with complete mesocolic excision and 3D-CT vascular reconstruction. Tech Coloproctol 2022; 26:1003-1004. [PMID: 35749022 DOI: 10.1007/s10151-022-02639-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 05/15/2022] [Indexed: 11/25/2022]
Affiliation(s)
- I Giusti
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy.
| | - P Carnevali
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - C L Bertoglio
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - A Giani
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - P Achilli
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - S Grimaldi
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - M Origi
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - M Mazzola
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - C Magistro
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
| | - G Ferrari
- Division of Minimally-Invasive Surgical Oncology, Department of Mininvasive and Oncologic General Surgery, ASST Grande Ospedale Metropolitano di Niguarda, Milan, Italy
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Aprile A, Storto M, Malara A, Gulino A, Raggi L, Sighinolfi S, Beretta S, Merelli I, Marktel S, Ponzoni M, Tripodo C, Balduini A, Ferrari G. P1397: CHRONICALLY REDUCED LEVELS OF THROMBOPOIETIN IMPAIR HEMATOPOIETIC STEM CELL FUNCTION AND MEGAKARYOCYTE BONE MARROW NICHE. Hemasphere 2022. [PMCID: PMC9430024 DOI: 10.1097/01.hs9.0000848448.42841.9d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Ferrari G, Giannichi B, Resende B, Paiva L, Rocha R, Falbel F, Rache B, Adami F, Rezende L. The economic burden of overweight and obesity in Brazil: perspectives for the Brazilian Unified Health System. Public Health 2022; 207:82-87. [DOI: 10.1016/j.puhe.2022.03.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 03/21/2022] [Accepted: 03/22/2022] [Indexed: 02/06/2023]
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Moroni L, Ferrari G, Bonelli F, Batani V, Bellone M, Matucci-Cerinic M, Dagna L. AB0537 DRY EYE SYMPTOMS STRONGLY CORRELATE WITH OCULAR AND EXTRAOCULAR PAIN IN PRIMARY SJÖGREN’S SYNDROME. INTERIM REPORT OF A PILOT CROSS-SECTIONAL MONOCENTRIC STUDY. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundOcular involvement in primary Sjögren’s Syndrome (pSS) has been traditionally assessed by Schirmer’s test, Tear Break Up Time (TBUT) and Ocular Staining Score (OSS)1. The role of Ocular Surface Disease Index (OSDI), Visual Function Questionnaire-25 (VFQ-25) and Numerical Rating Scale (NRS) in measuring ocular pain and discomfort in pSS have not been yet investigated in detail.ObjectivesTo explore the prevalence of ocular pain in patients with pSS, and to investigate the potential correlations between dry eye, ocular pain, extraocular patient-reported outcomes and disease activity.MethodsIn this ongoing cross-sectional study, OSDI, VFQ-25 and NRS for ocular pain were administered to 19 consecutive patients with a definite diagnosis of pSS at our outpatient clinic. All patients signed an informed consent for the study. Pearson coefficients were obtained to assess correlation among EULAR Sjögren’s Syndrome (SS) disease activity index (ESSDAI), EULAR SS Patient Reported Index (ESSPRI), erythrocyte sedimentation rate (ESR), TBUT, OSDI, VFQ-25 and NRS.ResultsIn the study, 19 consecutive patients have been enrolled so far. The sample demographics and disease-related features are representative of a typical pSS population (10% male sex, median age at diagnosis of 49 [IQR 24], median ESSDAI = 1 [IQR 6] being biological, haematological and glandular involvement the most represented). Prevalence of ocular pain of any grade (NRS>0) was 11/19 (58%); 6 patients (33%) reported severe ocular pain (NRS≥5). The correlation analysis was significantly strong for patient-reported dryness (ESSPRId), ocular surface-associated symptoms (OSDI), and stability of the tear film (TBUT) with NRS for ocular pain. Moreover, ocular pain also correlated with generalised pain (ESSPRIp) and fatigue (ESSPRIf), while a significant correlation was outlined for OSDI (but not TBUT) with ESSDAI and ESR. Detailed results are summarised in Table 1.Table 1.Pearson r coefficients calculated for self-reported ocular pain (NRS), patient-reported outcomes (ESSPRI, OSDI, VFQ-25), physician-assessed dryness (TBUT), disease activity (ESSDAI) and erythrocyte sedimentation rate. *p<0.05 **p<0.01NRSTBUTESSDAIESSPRIdESSPRIpESSPRIfOSDIVFQ-25ESRNRS-0.95**+0.25+0.73*+0.69*+0.59*+0.68*-0.54+0.19TBUT-0.95**+0.40-0.56-0.58-0.64-0.57+0.24-0.67ESSDAI+0.25+0.40+0.14+0.43+0.12+0.77**-0.33+0.55*ESSPRId+0.73*-0.56+0.14+0.73**+0.36+0.61*-0.60*+0.11ESSPRIp+0.69*-0.58+0.43+0.73**+0.53*+0.51-0.63*+0.32ESSPRIf+0.59*-0.64+0.12+0.36+0.53*+0.09-0.31+0.73OSDI+0.68*-0.57+0.77**+0.61*+0.51+0.09-0.60*+0.56*VFQ-25-0.54+0.24-0.33-0.60*-0.63*-0.31-0.60*+0.05ESR+0.19-0.67+0.55*+0.11+0.32+0.73+0.56*+0.05Acronyms: NRS - Numerical Rating Scale (for ocular pain); TBUT - Tear Break Up Time; ESSDAI - EULAR Sjögren’s Syndrome (SS) disease activity index; ESSPRI - EULAR Sjögren’s Syndrome Patient Reported Index (d= dryness; p=pain; f=fatigue); OSDI - Ocular Surface Disease Index; VFQ-25 - Visual Function Questionnaire-25; ESR: erythrocyte sedimentation rate.ConclusionOcular pain may represent an additional criterion for pSS patient stratification. The unexpected association between ocular pain and extra-ocular symptoms is a novel datum which may suggest that nociceptive mediators could be involved in the genesis of symptoms in pSS2. Indeed, OSDI seemed to perform better than TBUT in assessing the sufferance of the ocular surface thus mirroring a systemic inflammatory activity.References[1]Ramos-Casals M et al, EULAR recommendations for the management of Sjögren’s syndrome with topical and systemic therapies, Ann Rheum Dis 2020.[2]Gebreegziabher EA et al, Neuropathic Pain in the Eyes, Body, and Mouth: Insights from the Sjögren’s International Collaborative Clinical Alliance, Pain Pract 2021Disclosure of InterestsNone declared
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Cattelan F, Hysa E, Pizzorni C, Grosso M, Barisione E, Paolino S, Pacini G, Ferrari G, Sulli A, Smith V, Cutolo M. AB1370 MICROVASCULAR CAPILLAROSCOPIC ABNORMALITIES AND AUTOANTIBODY OCCURRENCE IN SARCOIDOSIS PATIENTS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundSarcoidosis (S) is a granulomatous disease with multi-organ involvement displaying a mixed immune-mediated pathophysiology. Raynaud’s phenomenon (RP) has been occasionally reported in S patients [1] and serum positivity for autoantibodies has been detected in S patients but their significance is debated [2].ObjectivesWe described nailfold videocapillaroscopy (NVC) findings and estimated the prevalence of serum anti-nuclear (ANA) and extractable nuclear antigen autoantibodies (ENA-Abs) in S patients, comparing them with age- and sex- matched healthy controls (HCs) and patients with primary Raynaud’s phenomenon (PRP). Secondarily, we analysed potential correlations between NVC findings with the occurrence of autoantibodies, immunomodulatory treatment, laboratory parameters, variables of pulmonary function and whole-body imaging.MethodsTwenty-seven (27) S patients, classified according to WASOG criteria[3], were assessed through NVC examination, laboratory parameters (including serum concentrations of angiotensin-converting enzyme [ACE], C-reactive protein [CRP], calcium, phosphorus, albumin, 25-hydroxyvitamin D, parathormone, ANA and ENA), pulmonary function tests (PFTs), chest-X ray and positron emission tomography/computerized tomography (PET/CT).Among NVC parameters, we analysed capillary dilations, giant capillaries, haemorrhages, nonspecific abnormalities, and capillary absolute number for mm [4].Pulmonary involvement was classified by X-ray Scadding staging system (SSS) scoring S patients in 4 grades [5]. From PET data, the maximum standard uptake value (SUVmax) was quantified as a variable of tissue 18-fluorodeoxyglucose hyper-uptake: consequently, S patients were defined PET-positive when SUV value ≥ 2.5. NVC parameters and ANA/ENA dosage were recorded also in 30 PRPs and 30 HCs.ResultsWe excluded, among the cohort of S patient, one participant having a systemic sclerosis in overlap with S. The remaining 26 S patients (mean age 56.5 ± 12.5 years, 53.8 % of females, disease duration 28.4 ± 55.1 months, 27% glucocorticoid-naïve) showed a significant higher rate of dilations and nonspecific abnormalities and a lower mean capillary absolute number than PRPs and HCs (p < 0.01 for all comparisons). (Figure 1)The prevalence of ANA positivity was significantly higher in S patients compared with PRPs and HCs (p < 0.02 for both). Among the whole cohort of patients only one S patient displayed a positive ENA-Ab (Ro52).In the analysis of S patients’ subgroup, a significant negative correlation was detected between serum ACE levels with the presence of capillary dilations (rho = -0.45, p = 0.04), between CRP and mean capillary absolute number (rho = -0.49, p = 0.02) and a positive correlation was also detected between the mean capillary absolute number and the forced vital capacity percentage (FVC%) (rho = 0.40, p = 0.04).ConclusionOur findings suggest a microvascular involvement in sarcoidosis whose investigation by NVC could be useful for the detection of an overlapping connective tissue disease and for the monitoring of the phenotypes of S patients displaying RP.The positivity for autoantibodies in S patients is in line with literature data suggesting, at least partially, autoimmune features of the disease or the production of autoantibodies reactive to tissue damage.The correlations between NVC findings with ACE levels and lung function variables generate hypotheses of a potential partial vascular impairment in sarcoidosis disease activity and lung involvement.References[1]Nigro A et al. Reumatismo 2004; 56: 278-81.[2]Kobak S et al. Autoimmune Diseases 2014[3]Judson M.A et al. Clin Rev Allergy Immunol 2015; 49: 63-78.[4]Smith V et al. Autoimmun Rev 2020; 19: 102458.[5]Scadding J.G. Br Med J 1961; 2: 1165-72.Disclosure of InterestsNone declared
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Cominotti R, Berti A, Farolfi A, Zenesini A, Lamporesi G, Carusotto I, Recati A, Ferrari G. Observation of Massless and Massive Collective Excitations with Faraday Patterns in a Two-Component Superfluid. Phys Rev Lett 2022; 128:210401. [PMID: 35687467 DOI: 10.1103/physrevlett.128.210401] [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] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 01/28/2022] [Accepted: 04/19/2022] [Indexed: 06/15/2023]
Abstract
We report on the experimental measurement of the dispersion relation of the density and spin collective excitation modes in an elongated two-component superfluid of ultracold bosonic atoms. Our parametric spectroscopic technique is based on the external modulation of the transverse confinement frequency, leading to the formation of density and spin Faraday waves. We show that the application of a coherent coupling between the two components reduces the phase symmetry and gives a finite mass to the spin modes.
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Affiliation(s)
- R Cominotti
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - A Berti
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - A Farolfi
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - A Zenesini
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - G Lamporesi
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - I Carusotto
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - A Recati
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
| | - G Ferrari
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, and Trento Institute for Fundamental Physics and Applications, INFN, 38123 Povo, Italy
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Turconi L, Cavalleri F, Moreno LG, Surbano M, Illescas L, Bouchacourt JP, Kohn E, Ferrari G, Riva J. Inferior vena cava ultrasonography before general anesthesia cannot predict arterial hypotension in patients undergoing vascular surgery. Rev Esp Anestesiol Reanim (Engl Ed) 2022; 69:195-202. [PMID: 35537942 DOI: 10.1016/j.redare.2021.03.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Accepted: 03/30/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Intraoperative hypotension (IH) is an independent predictor of mortality. Some experts have suggested that ultrasound measurement of the inferior vena cava (IVC) in spontaneous ventilation can predict IH. OBJECTIVE To evaluate the capacity of ultrasound measures of IVC in spontaneous ventilation to predict episodes of IH after anaesthesia induction. PATIENTS AND METHODS We studied 55 high-risk cardiac patients undergoing vascular surgery. The maximum (dIVCmax) and minimum (dIVCmin) diameter of the IVC were measured and the collapsibility index CI = (dIVCmax-dIVCmin)/dIVCmax was calculated prior to anaesthesia induction. Three definitions of IH were used: systolic blood pressure (SBP) less than 100 mmHg, mean arterial pressure (MAP) less than 60 mmHg, and a decrease in MAP greater than or equal to 30% compared to baseline. RESULTS There were no significant differences in dIVCmax or in CI between patients presenting IH after anaesthesia induction and those who did not. ROC curves for dIVCmax showed an area under the curve of 0.55 (0.39-0.70), 0.69 (0.48-0.90), and 0.57 (0.42-0.73) and ROC curves for the CI were 0.62 (0.47-0.78), 0.60 (0.41-0.78) and 0.62 (0.47-0.78) for the 3 definitions of IH (<100 mmHg, MAP < 60 mmHg, and MAP ≥30% baseline), respectively. CONCLUSIONS Ultrasound measurements of IVC in spontaneous ventilation are not good predictors of IH after anaesthesia induction in these patients. The optimal cut-off points show low specificity and moderate sensitivity for predicting IH.
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Affiliation(s)
- L Turconi
- Profesora adjunta, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - F Cavalleri
- Profesora adjunta, Departamento de Medicina Preventiva y Social, licenciada en Estadística, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - L G Moreno
- Profesor adjunto, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - M Surbano
- Profesora adjunta, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - L Illescas
- Profesora agregada, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - J P Bouchacourt
- Profesor agregado, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - E Kohn
- Profesor agregado, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - G Ferrari
- Asistente, Departamento de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
| | - J Riva
- Profesor de Anestesiología, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
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Campobasso D, Siena G, Chiodini P, Conti E, Franzoso F, Maruzzi D, Martinelli E, Varvello F, De Nunzio C, Autorino R, Ferrari G, Cindolo L. Urinary and sexual outcomes after water vapour intraprostatic injection (Rezum procedure): Results from prospective multicentric Italian study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00801-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Giacometti M, Monticelli M, Piola M, Milesi F, Coppadoro L, Giuliani E, Jacchetti E, Raimondi MT, Ferrari G, Antinori S, Fiore GB, Bertacco R. On-chip magnetophoretic capture in a model of malaria-infected red blood cells. Biotechnol Bioeng 2022; 119:1129-1141. [PMID: 34984673 PMCID: PMC9306751 DOI: 10.1002/bit.28030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 12/14/2021] [Accepted: 12/22/2021] [Indexed: 11/06/2022]
Abstract
The search for new rapid diagnostic tests for malaria is a priority for developing an efficient strategy to fight this endemic disease, which affects more than 3 billion people worldwide. In this paper, we characterize systematically an easy-to-operate lab-on-chip, designed for the magnetophoretic capture of malaria-infected red blood cells. The method relies on the positive magnetic susceptibility of infected red blood cells with respect to blood plasma. A matrix of nickel posts fabricated in a silicon chip placed face down is aimed at attracting infected cells, while healthy cells sediment on a glass slide under the action of gravity. Using a model of infected red blood cells, i.e. erythrocytes with methaemoglobin, we obtained a capture efficiency of about 70% after 10 minutes in static conditions. By proper agitation, the capture efficiency reached 85% after just 5 minutes. Sample preparation requires only a 1:10 volume dilution of whole blood, previously treated with heparin, in a phosphate buffered solution. Nonspecific attraction of untreated red blood cells was not observed in the same time interval. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- M Giacometti
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy
| | - M Monticelli
- Department of Physics, Politecnico di Milano, 20133, Milano, Italy
| | - M Piola
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy
| | - F Milesi
- Department of Physics, Politecnico di Milano, 20133, Milano, Italy
| | - L Coppadoro
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy
| | - E Giuliani
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy
| | - E Jacchetti
- Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, 20133, Milano, Italy.,Interuniversity Center for the promotion of the 3Rs principles in teaching and research, 56122, Pisa, Italy
| | - M T Raimondi
- Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, 20133, Milano, Italy.,Interuniversity Center for the promotion of the 3Rs principles in teaching and research, 56122, Pisa, Italy
| | - G Ferrari
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy
| | - S Antinori
- Department of Biomedical and Clinical Sciences "Luigi Sacco", Università degli Studi di Milano, 20157, Milano, Italy
| | - G B Fiore
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133, Milano, Italy.,Interuniversity Center for the promotion of the 3Rs principles in teaching and research, 56122, Pisa, Italy
| | - R Bertacco
- Department of Physics, Politecnico di Milano, 20133, Milano, Italy.,IFN-CNR, c/o Politecnico di Milano, 20133, Milano, Italy
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Palminteri E, Preto M, Mari A, Vitelli D, Iacovelli V, Ferrari G. Non-transecting dorsal mucosal anastomosis plus ventral oral graft for the treatment of bulbar strictures. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00764-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Ferrari G, Thives Mello A, Melo G, de Mello Roesler CR, Salmoria GV, de Souza Pinto LP, de Mello Gindri I, Gindri M. Polymeric implants with drug-releasing capabilities: a mapping review of laboratory research. Drug Dev Ind Pharm 2021; 47:1535-1545. [PMID: 35171071 DOI: 10.1080/03639045.2022.2043354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
PURPOSE To provide a systematic map of the nature and extent of preclinical research concerning drug-releasing polymeric implants. SIGNIFICANCE By summarizing available data, this mapping review can guide the development of new drug-delivery devices. METHODS In-vitro studies assessing drug-delivery implants were reviewed. A study protocol was registered at Open Science Framework. The association of polymers with prominent drugs, manufacturing processes, geometries, treatments, and anatomical locations was assessed using the VOSviewer software. The release periods were also evaluated. RESULTS A total of 423 articles, published between 1975 and 2020, were included and grouped into a framework with nine main categories. More than half of studies were published between 2010 and 2020. Among 201 individual polymers or combinations, the most investigated were PLGA, PCL, PLA, Silicone (SIL), EVA, and PU. Similarly, from 232 individual drugs or combinations, the most prominent were dexamethasone (DEX; anti-inflammatory), paclitaxel (PTX; anticancer), fluoruracil (anticancer), ciprofloxacin (CFX) hydrochloride (antibiotic), and gentamicin (GS; antibiotic). A total of 51 manufacturing processes were encountered, of which the most reported were solvent evaporation, compression molding (CM), extrusion (EX), electrospinning (ELS), and melt molding (MM). Among 38 implant geometries, cylinder (CIL) was the most prominent, followed by disk, square film, circular film (FCIR), and undefined film. Release times varied greatly, although the majority of articles ranged between 5 and 300 d. CONCLUSIONS Drug-delivery implants were highly heterogeneous due to its applicability for multiple health conditions. Most implants were made of PLGA and most drugs assessed presented anti-inflammatory, antibiotic, or anticancer effects. Solvent evaporation and CIL were the most prominent manufacturing process and geometry, respectively.
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Affiliation(s)
- Gustavo Ferrari
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Brazil.,Mechanical Engineering Department, Biomechanical Engineering Laboratory, University Hospital and Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Arthur Thives Mello
- Postgraduate Program in Nutrition, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Gilberto Melo
- Postgraduate Program in Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Carlos Rodrigo de Mello Roesler
- Mechanical Engineering Department, Biomechanical Engineering Laboratory, University Hospital and Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Gean Vitor Salmoria
- Mechanical Engineering Department, Biomechanical Engineering Laboratory, University Hospital and Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.,Mechanical Engineering Department., NIMMA - Núcleo de Inovação em Moldagem e Manufatura Aditiva, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | | | - Izabelle de Mello Gindri
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Brazil.,Bio meds Pharmaceutica LTDA, Florianópolis, Brazil
| | - Mello Gindri
- Iaso Biodelivery Fabricação de Dispositivos com Liberação de Fármacos LTDA, Florianópolis, Santa Catarina, Brazil.,Bio meds Pharmaceutica LTDA, Florianópolis, Santa Catarina, Brazil
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Cocci A, Russo G, Sessa F, Tuccio A, Masieri L, Sforza S, Viola L, Cito G, Salamanca JM, Cindolo L, Ferrari G, Siena G. Functional and sexual symptoms improvement after Rezum water vapor therapy for the treatment of LUTS/BPE: 1-year results from a longitudinal multi-center italian study. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00882-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Leme A, Fisberg R, Haines J, Ferrari G, Veroneze Melo A, Gomez G, Hermes Sales C, Kovalskys I, Herrera-Cuenca M, Cortés Sanabria L, Yépez García M, Pareja R, Rigotti A, Fisberg M. Prevalence of Inadequacy and Food Sources of Shortfall Nutrients in Latin Americans: ELANS Study. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.261] [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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Carullo D, Donsì F, Ferrari G, Pataro G. Extraction improvement of water-soluble compounds from Arthrospira platensis through the combination of high-shear homogenization and pulsed electric fields. ALGAL RES 2021. [DOI: 10.1016/j.algal.2021.102341] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Siena G, Cocci A, Salamanca J, Ferrari G, Maruzzi D, Varvello F, Russo G, Spatafora P, Somani B, Noureldin M, Emara A, Whiting D, Hindley R, Cindolo L. Functional and sexual symptoms improvement after Rezum water vapor therapy for the treatment of LUTS/BPE: 3-year results from the first European observational study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00446-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hysa E, Camellino D, Bernini C, Gotelli E, Paolino S, Schenone C, Ferrari G, Sulli A, Cutolo M, Cimmino MA. AB0354 FDG-PET-DETECTED LARGE VESSEL VASCULITIS DOES NOT PREDICT DISEASE OUTCOME IN PATIENTS WITH GIANT CELL ARTERITIS AND POLYMYALGIA RHEUMATICA. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) are tightly associated inflammatory conditions of the elderly [1]. Both disorders can exhibit an increased articular and vascular uptake of 18-fluorodeoxyglucose (18-FDG) at positron emission tomography (PET)/computed tomography (CT) scan [2].Objectives:This study evaluated if large-vessel vasculitis (LVV) detected by PET/CT in patients with PMR and/or cranial GCA had a negative prognostic value.Methods:108 patients (35 men and 73 women) with a median age of 74 years (range 50-92 years) were prospectively enrolled in our centre over 4 years. PMR was diagnosed by Bird et al. criteria and GCA by the ACR criteria. Six patients died shortly after the first visit (V0) and six were lost at follow-up. Of the remaining 96 patients, 77 were classified as PMR, 6 as GCA and 13 were affected by both diseases.At V0, patients underwent a clinical, laboratory and PET/CT evaluation, and were stratified according to the presence or not of LVV. Follow-up visits were performed every 6 months for a median of 40 months. Disease outcomes were: prednisone (PDN) use and its cumulative dosage, need of methotrexate (MTX), number of relapses, patients’ death, and PMR disease activity score (PMR-DAS). The independent variables were age, sex, disease duration, fever, C-reactive protein (CRP) concentration, platelet count (PLT), presence of cranial GCA, degree of joint and vascular uptake of FDG, and presence of LVV. The predictive role of LVV was tested by multiple regression.Results:LVV was seen in 47 patients (49 %), 31 with PMR, 6 with GCA and 10 with both diseases. Patients with or without LVV did not significantly differ in terms of demographic and laboratory parameters except for a non-significant higher number of PLT in patients with LVV. Clinical and laboratory parameters at V0, stratified per disease and considered together, did not significantly change between PET+ and PET- patients (table 1). Lastly, none of the independent variables, including LVV, could predict disease outcomes.Conclusion:The presence of a PET-detected LVV at diagnosis does not seem a negative prognostic factor in PMR and GCA. As a consequence, routine investigation by PET/CT of patients with PMR and GCA is not indicated to predict disease outcome.References:[1]Dejaco C, Duftner C, Buttgereit F, Matteson EL, Dasgupta B. The spectrum of giant cell arteritis and polymyalgia rheumatica: revisiting the concept of the disease. Rheumatology (Oxford). 2017 Apr 1;56(4):506-515. doi: 10.1093/rheumatology/kew273. PMID: 27481272.[2]Blockmans D, Coudyzer W, Vanderschueren S, Stroobants S, Loeckx D, Heye S et al. Relationship between fluorodeoxyglucose uptake in the large vessels and late aortic diameter in giant cell arteritis. Rheumatology (Oxford). 2008 Aug;47(8):1179-84. doi: 10.1093/rheumatology/ken119. Epub 2008 May 31. PMID: 18515868.Table 1.Clinical, laboratory and imaging features between PET+ and
PET- patients at V0Features at V0PET+ patientsPET- patientspMorning stiffness (min)30 (0-480)60 (0-360)0.20Haemoglobin (g/dL)12.3±1.512.6±1.50.28Platelets (x 103/mm3)349 (108-643)297(159-571)0.08C-reactive protein (mg/dL)35.5 (3.4-149)36.2 (2-149)0.54Erythrocyte sedimentation rate (mm/h)62.5 (10-120)57.5 (10-120)0.29Total Vascular Score at PET20 (4-41)6 (0-12)0Total Joint Score at PET18 (5-30)18 (5-32)0.77Disclosure of Interests:None declared
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Pizzorni C, Ferrari G, Schenone C, Gotelli E, Paolino S, Sulli A, Pacini G, Alessandri E, Smith V, Cutolo M. POS0862 NAILFOLD CAPILLAROSCOPY IN UNDIFFERENTIATED AND MIXED CONNECTIVE TISSUE DISEASES. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Microvascular damage is a frequent feature in connective tissue diseases (CTDs) and can be easily detected trough nailfold videocapillaroscopy (NVC) (1,2). Mixed and Undifferentiated connective tissue diseases (MCTD and UCTD) do not show a specific and unique NVC pattern (3). However, a variety of microvascular abnormalities can occur in these two CTDs, both non-specific or specific for the scleroderma like-pattern (3-5).Objectives:To retrospectively assess and compare nailfold microangiopathy observed by NVC in MCTD and stable UCTD versus primary Raynaud’s phenomenon (PRP) (6). In addition, the aim was to correlate NVC findings with serum levels of autoantibodies (Abs) against extractable nuclear antigen (ENA) detected in UCTD.Methods:Files of fourty-six MCTD patients (Kasukawa’s criteria) (mean age 42.8±16 SD years), fourty-seven UCTD patients (mean age 47.7±16.1 SD years), fifty-one PRP (mean age 45.9±17.3 SD years) were retrospectively evaluated in the study. Among UCTD and MCTD patients 95% of both showed Raynaud’s phenomenon. Main NVC parameters (i.e. dilated capillaries, giant capillaries, microhemorrhages, abnormal shapes and number of capillaries) and related semiquantitative scale (score 0–3 for every parameter), were analyzed and compared between the two distinct CTD groups and PRP. Furthermore, ENA Abs (in particular, Ro/SSA, La/SSB, Scl70 and Jo1) were evaluated. The CTD patients were receiving different immunosuppressive treatments. Statistical analysis was performed by non-parametric tests.Results:Among UCTD group, 36% of patients showed a normal NVC pattern, 53% had non-specific NVC abnormalities and 11% had a scleroderma like-pattern. The latter was significantly more frequent in MCTD than in UCTD (p<0.001), in fact 22 out of 46 (48%) MCTD patients presented a scleroderma-like pattern. On the other hand, normal pattern or non-specific NVC abnormalities were respectively found in 9% and 43% MCTD patients. Therefore, CTD patients showing giant capillaries, abnormal shapes (i.e. angiogenesis) and lower capillary density were significantly more affected by MCTD than UCTD (p<0.001). Finally, the absolute number of capillaries was found significantly lower in MCTD versus UCTD patients (mean 7±1.7 SD vs mean 9.2±1 SD, respectively, p<0.001). Not any statistical correlation was observed between NVC parameters and specific Abs ENA in UCTD. PRP showed a normal NVC pattern in 2% and non-specific capillary abnormalities in 98%, (including dilated capillaries and microhemorrhages).Conclusion:NVC features in UCTD patients seem very close to the pattern observed in PRP (mostly non-specific capillary abnormalities), conversely in MCTD the scleroderma-like pattern was found significantly prevalent together with a significant capillary number reduction. The transition from the scleroderma-like to the scleroderma pattern (mean systemic sclerosis) is matter of actual investigation.References:[1]Cutolo M. et al. Best Pract Res Clin Rheumatol 2008; 22:1093-108.[2]Sulli A, Ann Rheum Dis. 2008;67:885-7.[3]Smith V. et al. Autoimmunity Reviews 2020; 19:102458.[4]De Holanda Mafaldo DA, et al. Lupus. 2007; 16:254–8.[5]Smith V, et al. Ann Rheum Dis 2010; 69: 1092-96.[6]Antunes M, et al. RMD Open. 2019, 26;4.Disclosure of Interests:None declared
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Ferrari G, Gotelli E, Pesce G, Nanni L, Colombo B, Paolino S, Pizzorni C, Sulli A, Smith V, Cutolo M. AB0330 ANTIPHOSPHOLIPID ANTIBODIES AND ANTICOAGULANT TREATMENT: CAPILLAROSCOPIC FINDINGS. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.3072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Antiphospholipid syndrome (APS) is an autoimmune condition characterized by arterial and/or venous thrombosis and/or obstetric morbidity, associated with the presence in the serum of antiphospholipid antibodies (aPL) [1]. Subjects with confirmed positivity of aPL in absence of thrombotic/obstetric manifestations are identified as aPL carriers [2] The microangiopathy detected by nailfold videocapillaroscopy (NVC) in APS and in aPL-carrier patients is poorly investigated, as well as the possible interference of anticoagulant drugs [3].Objectives:To compare microvascular damage in APS, aPL carriers and a group of patients (CTR) without aPL positivity and on regular warfarin therapy for cardiovascular indicationsMethods:NVC investigations were performed as part of standard procedures in APS patients (18, mean age 50.0±12.8 years), aPL carriers (24, mean age 46.4±16.4 years) and CTR without aPL (18, mean age 74±12.5 years) in therapy with oral anticoagulant (warfarin) for non-immunological vascular complications (atrial fibrillation, mechanical heart valve, deep venous thrombosis). Only patients affected by primary APS form were selected from data files (2006 Sapporo classification criteria). The following NVC parameters were availble: dilated capillaries, giant capillaries, microhemorrhages (with particular attention to linear and thin hemosiderin deposits, arranged perpendicularly and parallel to the nailfold bed, “comb-like”), abnormal shape (i.e. brunched “bushy” capillaries) and capillary number reduction. Those parameters were scored according to a semi-quantitative scale [4,5]. Statistical analysis was performed by non-parametric tests. Any p values equal or lower than 0.05 was considered statistically significant.Results:APS patients showed a higher score for dilated capillaries (p=0.001), more frequent microhemorrhages (p=0.03), in particular “comb-like” microhemorrhages (p=0.007) than simply aPL carriers. Of note, there wasn’t a statistically significant difference in the number of microhemorrhages between APS and CTR group (p=0.23), but again the number of “comb-like” hemorrhages, was almost absent in the CTR group (p=0.03). No significant correlation was found between the different aPL subtypes and the NVC parameters.Conclusion:APS patients showed significantly higher number of non-specific NVC abnormalities than aPL carriers. Anticoagulant treatment could represent a further risk factor for the appearance of microhemorrhages in all the patients, being the NVC “comb-like“ pattern mainly associated with the APS. Further investigations with larger cohorts of patients are needed for the definition of a possible APS specific NVC-pattern.References:[1]Ruiz-Irastorza G et al. Lancet. 2010;376(9751):1498-509. 2. Pengo V et al. Semin Thromb Hemost. 2012;38:322-7. 3. Sulli A et al. J Rheumatol. 2000;27:1574-6. 4. Smith V et al. 2020. Autoimmun Rev. 19:102458. 5. Sulli A et al. Ann Rheum Dis. 2008;67:885-7.Disclosure of Interests:None declared
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Lof S, van der Heijde N, Abuawwad M, Al-Sarireh B, Boggi U, Butturini G, Capretti G, Coratti A, Casadei R, D'Hondt M, Esposito A, Ferrari G, Fusai G, Giardino A, Groot Koerkamp B, Hackert T, Kamarajah S, Kauffmann EF, Keck T, Marudanayagam R, Nickel F, Manzoni A, Pessaux P, Pietrabissa A, Rosso E, Salvia R, Soonawalla Z, White S, Zerbi A, Besselink MG, Abu Hilal M. Robotic versus laparoscopic distal pancreatectomy: multicentre analysis. Br J Surg 2021; 108:188-195. [PMID: 33711145 DOI: 10.1093/bjs/znaa039] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/03/2020] [Accepted: 09/15/2020] [Indexed: 01/04/2023]
Abstract
BACKGROUND The role of minimally invasive distal pancreatectomy is still unclear, and whether robotic distal pancreatectomy (RDP) offers benefits over laparoscopic distal pancreatectomy (LDP) is unknown because large multicentre studies are lacking. This study compared perioperative outcomes between RDP and LDP. METHODS A multicentre international propensity score-matched study included patients who underwent RDP or LDP for any indication in 21 European centres from six countries that performed at least 15 distal pancreatectomies annually (January 2011 to June 2019). Propensity score matching was based on preoperative characteristics in a 1 : 1 ratio. The primary outcome was the major morbidity rate (Clavien-Dindo grade IIIa or above). RESULTS A total of 1551 patients (407 RDP and 1144 LDP) were included in the study. Some 402 patients who had RDP were matched with 402 who underwent LDP. After matching, there was no difference between RDP and LDP groups in rates of major morbidity (14.2 versus 16.5 per cent respectively; P = 0.378), postoperative pancreatic fistula grade B/C (24.6 versus 26.5 per cent; P = 0.543) or 90-day mortality (0.5 versus 1.3 per cent; P = 0.268). RDP was associated with a longer duration of surgery than LDP (median 285 (i.q.r. 225-350) versus 240 (195-300) min respectively; P < 0.001), lower conversion rate (6.7 versus 15.2 per cent; P < 0.001), higher spleen preservation rate (81.4 versus 62.9 per cent; P = 0.001), longer hospital stay (median 8.5 (i.q.r. 7-12) versus 7 (6-10) days; P < 0.001) and lower readmission rate (11.0 versus 18.2 per cent; P = 0.004). CONCLUSION The major morbidity rate was comparable between RDP and LDP. RDP was associated with improved rates of conversion, spleen preservation and readmission, to the detriment of longer duration of surgery and hospital stay.
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Affiliation(s)
- S Lof
- Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
- Department of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, UK
| | - N van der Heijde
- Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
| | - M Abuawwad
- Department of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, UK
| | - B Al-Sarireh
- Department of Surgery, Morriston Hospital, Swansea, UK
| | - U Boggi
- Division of General and Transplant surgery, University of Pisa, Pisa, Italy
| | - G Butturini
- Department of Surgery, Pederzoli Hospital, Peschiera, Italy
| | - G Capretti
- Pancreatic Surgery, Humanitas University, Milan, Italy
| | - A Coratti
- Department of Surgical Oncology and Robotics, Careggi University Hospital, Florence, Italy
| | - R Casadei
- Department of Surgery, S. Orsola-Malpighi Hospital, Bologna, Italy
| | - M D'Hondt
- Department of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium
| | - A Esposito
- Department of Surgery, Pancreas Institute, Verona University Hospital, Verona, Italy
| | - G Ferrari
- Department of Oncological and Minimally Invasive Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - G Fusai
- Division of Surgery and Interventional Science, Royal Free London NHS Foundation Trust, London, UK
| | - A Giardino
- Department of Surgery, Pederzoli Hospital, Peschiera, Italy
| | - B Groot Koerkamp
- Department of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands
| | - T Hackert
- Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany
| | - S Kamarajah
- Department of Surgery, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK
| | - E F Kauffmann
- Division of General and Transplant surgery, University of Pisa, Pisa, Italy
| | - T Keck
- Clinic for Surgery, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - R Marudanayagam
- Department of Surgery, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK
| | - F Nickel
- Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany
| | - A Manzoni
- Department of Surgery, Fondazione Poliambulanza - Istituto Ospedaliero, Brescia, Italy
| | - P Pessaux
- Department of Digestive and Endocrine Surgery, Nouvel Hôpital Civil - IHU Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France
| | - A Pietrabissa
- Department of Surgery, Fondazione IRCCS Policlinico San Matteo and University of Pavia, Pavia, Italy
| | - E Rosso
- Department of Surgery, Elsan Pôle Santé Sud, Le Mans, France
| | - R Salvia
- Department of Surgery, Pancreas Institute, Verona University Hospital, Verona, Italy
| | - Z Soonawalla
- Department of Surgery, Oxford University Hospital NHS Foundation Trust, Oxford, UK
| | - S White
- Department of Surgery, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK
| | - A Zerbi
- Pancreatic Surgery, Humanitas University, Milan, Italy
| | - M G Besselink
- Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
| | - M Abu Hilal
- Department of Surgery, Southampton University Hospital NHS Foundation Trust, Southampton, UK
- Department of Surgery, Fondazione Poliambulanza - Istituto Ospedaliero, Brescia, Italy
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Malanchini G, Ferrari P, Leidi C, Ferrari G, Racheli M, Senni M, De Filippo P. Ventricular arrhythmias among patients with implantable cardioverter-defibrillator during the COVID-19 pandemic. J Arrhythm 2021; 37:407-413. [PMID: 33821178 PMCID: PMC8014654 DOI: 10.1002/joa3.12518] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 01/08/2021] [Accepted: 01/30/2021] [Indexed: 01/08/2023] Open
Abstract
Background Coronavirus Disease-2019 (COVID-19) has been associated with myocardial injury and higher risk of arrhythmic complications. However, no reports are available about the effect of the ongoing pandemic on arrhythmias in patients at risk. Objective To describe the effect of COVID-19 pandemic on arrhythmic burden among high-risk patients. Methods This is a cross-sectional study on the incidence of ventricular arrhythmia (VA) during the pandemic outbreak (study period), compared to the same timeframe in 2019 (reference period). Inclusion criteria were age (>18 years) and having an implantable cardiac defibrillator (ICD). Results Among 455 patients enrolled (mean age 64.9 ± 15.7 years; 25.1% females and 39.6% with CRTD), in the study period, 45 (9.9%) patients experienced a total of 86 VA; 8 patients (1.7%) required antitachycardia-pacing (ATP) and 6 (1.3%) at least one shock. In the reference period, a total of 69 events occurred in 36 patients (7.9%). Six patients (1.3%) required ATP and three (0.7%) at least one shock. The number of patients that suffered from any arrhythmic events in the study period (9.9% vs 7.9%) did not significantly differ from the reference period (χ2 = 1.09, P = .29). The main predictor of VA during the COVID-19 pandemic was the previous history of any ICD therapy (OR = 3.84, P < .001). Conclusions No evidence of an increase of arrhythmic burden was found during the COVID-19 pandemic among patients with an ICD.
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Affiliation(s)
| | | | - C. Leidi
- ASST Papa Giovanni XXIIIBergamoItaly
| | | | | | - M. Senni
- ASST Papa Giovanni XXIIIBergamoItaly
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Siena G, Cindolo L, Ferrari G, Maruzzi D, Fasolis G, Condorelli SV, Varvello F, Visalli F, Rabito S, Toso S, Caroassai S, Mari A, Viola L, Somani BK, Carini M. Water vapor therapy (Rezūm) for lower urinary tract symptoms related to benign prostatic hyperplasia: early results from the first Italian multicentric study. World J Urol 2021; 39:3875-3880. [PMID: 33787986 PMCID: PMC8010783 DOI: 10.1007/s00345-021-03642-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 02/18/2021] [Indexed: 12/20/2022] Open
Abstract
Purpose Rezūm is the latest developed minimally invasive treatment for benign prostatic hyperplasia (BPH). We aimed to carefully assess the functional outcomes of patients treated with Rezūm for BPH. Methods We prospectively followed 135 consecutive patients treated by Rezūm at 5 institutions from June 2019 to August 2020. The International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI SF), the Overactive Bladder Questionnaire-Short Form (OAB-q SF) score, the International Index of Erectile Function (IIEF-5) and questions 9 and 10 to assess ejaculatory dysfunction were recorded. Election criteria were age > 18, no prior prostate interventions, IPSS ≥ 13, post-void residual ≤ 250 mL, prostate volume between 30 and 120 cc. Results The median operative time was 10.5 (IQR 8.7–15) min. All patients were dismissed few hours after surgery with indwelling urinary catheter that was removed after a median of 7 (IQR 7–10) days. A significantly decrease of IPSS from baseline at first (p = 0.001) and third (p < 0.0001) month after surgery was reported. No difference was reported in terms of ICIQ-UI SF score postoperatively. A mild reduction of the OAB-q SF score was reported at 1 month from surgery (p = 0.06) that turned significant at 3 months postoperatively (p < 0.0001). A slight but statistically significant increase of the IIEF-5 score was reported from baseline at 6 months (p = 0.04). Postoperatively, patients reported a significantly decrease of ejaculatory dysfunction after alpha-blocker interruption. Conclusion Rezūm treatment is a feasible minimally invasive option for patients with BPH symptoms and showed optimal early functional outcomes.
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Affiliation(s)
- Giampaolo Siena
- Department of Urology, Careggi Hospital, University of Florence, San Luca Nuovo, Florence, Italy.
| | - L Cindolo
- Department of Urology, Villa Stuart, Private Hospital, Rome, Italy.,Department of Urology, Hesperia Hospital, Cure Group, Modena, Italy
| | - G Ferrari
- Department of Urology, Hesperia Hospital, Cure Group, Modena, Italy
| | - D Maruzzi
- Department of Urology, S. Maria Degli Angeli Hospital, Pordenone, Italy
| | - G Fasolis
- Department of Urology, Michele e Pietro Ferrero Hospital, Alba-Bra, Italy
| | - S V Condorelli
- Department of Urology, Vittorio Emanuele Hospital, Gela, Italy
| | - F Varvello
- Department of Urology, Michele e Pietro Ferrero Hospital, Alba-Bra, Italy
| | - F Visalli
- Department of Urology, S. Maria Degli Angeli Hospital, Pordenone, Italy
| | - S Rabito
- Department of Urology, Hesperia Hospital, Cure Group, Modena, Italy
| | - S Toso
- Department of Urology, Hesperia Hospital, Cure Group, Modena, Italy
| | - S Caroassai
- Department of Urology, Careggi Hospital, University of Florence, San Luca Nuovo, Florence, Italy
| | - A Mari
- Department of Urology, Careggi Hospital, University of Florence, San Luca Nuovo, Florence, Italy
| | - L Viola
- Department of Urology, Careggi Hospital, University of Florence, San Luca Nuovo, Florence, Italy
| | - B K Somani
- University Hospital Southampton NHS Trust, Tremona Road, Southampton, SO16 6YD, Hampshire, UK
| | - M Carini
- Department of Urology, Careggi Hospital, University of Florence, San Luca Nuovo, Florence, Italy
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Paolino S, Gotelli E, Goegan F, Casabella A, Ferrari G, Patane M, Albertelli M, Gatto F, Pizzorni C, Cattelan F, Sulli A, Smith V, Cutolo M. Body composition and bone status in relation to microvascular damage in systemic sclerosis patients. J Endocrinol Invest 2021; 44:255-264. [PMID: 32449094 DOI: 10.1007/s40618-020-01234-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 03/19/2020] [Indexed: 12/11/2022]
Abstract
AIM To evaluate, in Systemic sclerosis (SSc) patients, the body composition and the bone status according to the peripheral microcirculatory condition, assessed and scored by nailfold videocapillaroscopy (NVC, "Early", "Active", "Late" patterns). METHODS Body composition and bone mineral density (BMD) were assessed by Dual X-ray absorptiometry and dedicated software (GE Lunar USA) in 37 female SSc patients classified according to the 2013 EULAR/ACR criteria and 40 sex-matched healthy subjects. Clinical, laboratory, body composition and bone parameters were analyzed according to the different NVC patterns. Means were compared by the Student's t test or one-way analysis of variance; medians were compared by the Kruskal-Wallis test; and frequencies by the chi-square test. RESULTS Higher prevalence of vertebral (21% vs 7%) and femoral (35% vs 7%) osteoporosis (OP) was found in SSc. Particularly SSc patients with "Late" NVC pattern showed a significantly higher prevalence of vertebral (p = 0.018) and femoral OP (p = 0.016). Regional assessment of bone mass (BM) in seven different body areas showed a significantly lower BMD only at the total spine (p = 0.008) and femoral neck (p = 0.027) in advanced microvascular damage. Patients with "Late" NVC pattern showed a lower whole-body lean mass (LM) compared to "Early" and "Active" NVC patterns, particularly at upper limbs. To note, in all body sites, BMD correlates with LM and BMC according to NVC pattern severity. CONCLUSIONS SSc patients with most severe microvascular damage show a significantly altered body composition and bone status suggesting a strong link between microvascular failure and associated muscle/bone sufferance.
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Affiliation(s)
- S Paolino
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy.
| | - E Gotelli
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - F Goegan
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - A Casabella
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - G Ferrari
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - M Patane
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - M Albertelli
- Endocrinology Unit, IRCCS Policlinico San Martino, Genoa, Italy
- Endocrinology Unit, Department of Internal Medicine and Medical Specialities (DIMI), Centre of Excellence for Biomedical Research (CEBR), Endocrinology Unit, University of Genoa, IRCCS Policlinico San Martino, Genoa, Italy
| | - F Gatto
- Endocrinology Unit, IRCCS Policlinico San Martino, Genoa, Italy
- Endocrinology Unit, Department of Internal Medicine and Medical Specialities (DIMI), Centre of Excellence for Biomedical Research (CEBR), Endocrinology Unit, University of Genoa, IRCCS Policlinico San Martino, Genoa, Italy
| | - C Pizzorni
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - F Cattelan
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - A Sulli
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
| | - V Smith
- Department of Internal Medicine, Ghent University, Ghent, Belgium
- Department of Rheumatology, Ghent University Hospital, Ghent, Belgium
- Unit for Molecular Immunology and Inflammation, VIB Inflammation Research Center (IRC), Ghent, Belgium
| | - M Cutolo
- Department of Internal Medicine DiMI, Research Laboratory and Academic Division of Clinical Rheumatology, University of Genoa, IRCCS San Martino Polyclinic, Genoa, Italy
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Carullo D, Barbosa-Cánovas G, Ferrari G. Changes of structural and techno-functional properties of high hydrostatic pressure (HHP) treated whey protein isolate over refrigerated storage. Lebensm Wiss Technol 2021. [DOI: 10.1016/j.lwt.2020.110436] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Shah FJ, Caviglia C, Zór K, Carminati M, Ferrari G, Sampietro M, Martínez-Serrano A, Emnéus JK, Heiskanen AR. Impedance-based Real-time Monitoring of Neural Stem Cell Differentiation. J Electr Bioimpedance 2021; 12:34-49. [PMID: 34966467 PMCID: PMC8667812 DOI: 10.2478/joeb-2021-0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Indexed: 06/14/2023]
Abstract
We present here the first impedance-based characterization of the differentiation process of two human mesencephalic fetal neural stem lines. The two dopaminergic neural stem cell lines used in this study, Lund human mesencephalic (LUHMES) and human ventral mesencephalic (hVM1 Bcl-XL), have been developed for the study of Parkinsonian pathogenesis and its treatment using cell replacement therapy. We show that if only relying on impedance magnitude analysis, which is by far the most usual approach in, e.g., cytotoxicity evaluation and drug screening applications, one may not be able to distinguish whether the neural stem cells in a population are proliferating or differentiating. However, the presented results highlight that equivalent circuit analysis can provide detailed information on cellular behavior, e.g. simultaneous changes in cell morphology, cell-cell contacts, and cell adhesion during formation of neural projections, which are the fundamental behavioral differences between proliferating and differentiating neural stem cells. Moreover, our work also demonstrates the sensitivity of impedance-based monitoring with capability to provide information on changes in cellular behavior in relation to proliferation and differentiation. For both of the studied cell lines, in already two days (one day after induction of differentiation) equivalent circuit analysis was able to show distinction between proliferation and differentiation conditions, which is significantly earlier than by microscopic imaging. This study demonstrates the potential of impedance-based monitoring as a technique of choice in the study of stem cell behavior, laying the foundation for screening assays to characterize stem cell lines and testing the efficacy epigenetic control.
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Affiliation(s)
- F. J. Shah
- Department of Micro- and Nanotechnology, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
- Particle Analytical ApS, Agern Allé 3, 2970 Hørsholm, Denmark
| | - C. Caviglia
- Department of Micro- and Nanotechnology, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
- Radiometer Medical ApS, Åkandevej 21, 2700 Brønshøj, Denmark
| | - K. Zór
- Department of Micro- and Nanotechnology, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
- Center for Intelligent Drug Delivery and Sensing Using Microcontainers and Nanomechanics, Department of Health Technology, Technical University of Denmark, Ørsteds Plads, Building 345C, 2800Kongens Lyngby, Denmark
| | - M. Carminati
- Dipartimento di Elettronica, Informazione e Bioingegneria - DEIB, Politecnico di Milano, P.za L. da Vinci 32, 20133Milano, Italy
| | - G. Ferrari
- Dipartimento di Elettronica, Informazione e Bioingegneria - DEIB, Politecnico di Milano, P.za L. da Vinci 32, 20133Milano, Italy
| | - M. Sampietro
- Dipartimento di Elettronica, Informazione e Bioingegneria - DEIB, Politecnico di Milano, P.za L. da Vinci 32, 20133Milano, Italy
| | - A. Martínez-Serrano
- Department of Molecular Neuropathology, Center of Molecular Biology Severo Ochoa, Universidad Autónoma de Madrid, Calle Nicolás Cabrera 1, Cantoblanco, 28049Madrid, Spain
| | - J. K. Emnéus
- Department of Micro- and Nanotechnology, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
- Present affiliation: Department of Biotechnology and Biomedicine, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
| | - A. R. Heiskanen
- Department of Micro- and Nanotechnology, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
- Present affiliation: Department of Biotechnology and Biomedicine, Technical University of Denmark, Produktionstorvet, Building 423, 2800Kongens Lyngby, Denmark
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Ferrari G, Reisin R, Kisinovsky I, Neumann P, Dragonetti L, Cáceres G, Choua M, Rozenfeld P, Marchesoni C, Finn V. Major cardiovascular adverse events in Fabry disease patients receiving agalsidase alfa. Medicina (B Aires) 2021; 81:173-179. [PMID: 33906135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023] Open
Abstract
Cardiovascular mortality (CVM) has become the major contributor to overall Fabry disease (FD) mortality in the enzyme replacement therapy (ERT) era. Our objectives were to describe causes and potential predictors of mortality in FD adult patients in Argentina, and to assess risk of major adverse cardiovascular events (MACE) in the ERT era. We retrospectively studied 93 consecutive patients treated with alphagalactosidase A (median follow up: 9.5 years from start of ERT). Mean age at ERT starting was 35 ± 16.3 years. Prevalence of cardiomyopathy and renal disease reached 47% and 41%, respectively. Eleven subjects (11.8%, 95% CI: 5-18%) died during follow up (1.24/100 patient-years). Mean overall survival was 71 years (95% CI: 66-75 years). Seven cases were considered as CVM; main causes were sudden death and stroke. Risk of MACE was 14% (95% CI: 6.9-21.1%; 1.47 events/100 patient-years from start of ERT). All but 2 subjects had at least one comorbid cardiovascular risk factor; however, 86% of patients remained free of MACE during follow-up. CVM remained low and our study was underpowered for detection of predictors of mortality, but it is worth noting that age at diagnosis and ERT starting, left ventricular mass index and renal disease trended to correlate with CVM. Prevalence of hypertension, diabetes and dyslipidemia were lower in FD patients when compared to population level data. As in the Argentinean general population, CVM was the leading cause of mortality among this cohort of consecutive FD patients treated with agalsidase alfa.
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Affiliation(s)
- Gustavo Ferrari
- Departamento de Cardiología, Hospital Británico, Buenos Aires, Argentina. E-mail:
| | - Ricardo Reisin
- Departamento de Neurología, Hospital Británico, Buenos Aires, Argentina
| | - Isaac Kisinovsky
- Departamento de Hematología, Sanatorio Urquiza, Quilmes, Argentina
| | - Pablo Neumann
- Departamento de Nefrología, Clínica Ipensa, La Plata, Argentina
| | - Laura Dragonetti
- Departamento de Imágenes, Hospital Alemán, Buenos Aires, Argentina
| | | | - Martin Choua
- Centro Fabry, San Miguel de Tucumán, Tucumán, Argentina
| | - Paula Rozenfeld
- Departamento de Ciencias Biológicas, Universidad Nacional de La Plata, Buenos Aires, Argentina
| | - Cintia Marchesoni
- Departamento de Neurología, Hospital Británico, Buenos Aires, Argentina
| | - Verónica Finn
- Departamento de Cardiología, Hospital Británico, Buenos Aires, Argentina
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Schiavone M, Gobbi C, Ratti A, Ferrari G, Villarini A, Meazza R. Asymptomatic hypertension-mediated organ damage in patients with or without moderate to severe chronic kidney disease. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Moderate or severe chronic kidney disease (CKD) is regarded as high or very high risk factor in the Systematic COronary Risk Evaluation (SCORE) system, as stated in the ESC guidelines on arterial hypertension. Assessment of cardiovascular (CV) risk should be completed evaluating hypertension-mediated organ damage (HMOD).
Purpose
The aim of our study was to find out differences in HMOD in patients with or without moderate to severe chronic kidney disease (CKD).
Methods
We enrolled 80 consecutive non-diabetic hypertensive patients, divided into two groups according to the presence of impaired renal function, evaluated by estimated glomerular filtration rate (eGFR): moderate to severe CKD group (n=26 patients, eGFR <60 mL/min/1.73 m2) and mild CKD - normal renal function group (n=54 patients, eGFR ≥60 mL/min/1.73 m2). A transthoracic echocardiogram was performed to evaluate cardiac HMOD. Small and large vessel damage was assessed by means of non-mydriatic digital fundus oculi examination in order to detect arteriolar narrowing using arteriolar-venular ratio (AVr), applanation tonometry to measure carotid-femoral pulse wave velocity (cfPWV) and carotid ultrasound to quantify intima-media tickness (IMT).
Results
Moderate to severe CKD patients appeared to be older (mean age 75.54±8.06 vs 63.38±9.62, p=0.001) and showed lower level of total and LDL cholesterol. Both groups showed abnormal values of cfPWV, but these were significantly higher in the presence of moderate to severe CKD (14.12±7.93 m/s vs 10.94±5.81 m/s, p=0.03). Abnormal AVr values were found in patients with higher grade of CKD, with statistically significant differences in the two groups (0.75±0.015 vs 0.81±0.06, p=0.00001). Carotid IMT resulted to be at the upper limit of normality in both groups (0.95±0.15 vs 0.90±0.18, p=0.35). With regard to echocardiography evaluation, left ventricular mass index (LVMi: 105.04±0.4 vs 96.35±1.7, p=0.06) and relative wall thickness (RWT: 0.43±0.02 vs 0.42±0.05, p=0.41) did not differ significantly in the two groups, with a mild trend for LVMi. Both groups showed abnormal diastolic dysfunction on average, but no differences emerged in the presence of more severe renal impairment (deceleration time 281.74±0.37 vs 256.30±0.54, p=0.08; E/A 0.86±0.03 vs 0.95±0.25, p=0.20; E/e' 7.89±2.93 vs 7.60±2.46, p=0.66).
Conclusions
Our study showed significant differences in HMOD in presence of moderate to severe renal impairment. Moderate to severe CKD seemed to be associated to vascular damage (hypertensive retinopathy and arterial stiffness), while no significant differences in echocardiographic markers of cardiac remodeling were found, suggesting that systemic vascular damage is more closely linked to CKD than cardiac damage. Therefore, the use of fundus oculi examination and PWV should always be considered to properly assess the target organ damage in hypertensive patients with CKD.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- M Schiavone
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
| | - C Gobbi
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
| | - A Ratti
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
| | - G Ferrari
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
| | - A Villarini
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
| | - R Meazza
- IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Cardiovascular diseases, University of Milan, Milan, Italy
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Mordini C, Trypogeorgos D, Farolfi A, Wolswijk L, Stringari S, Lamporesi G, Ferrari G. Measurement of the Canonical Equation of State of a Weakly Interacting 3D Bose Gas. Phys Rev Lett 2020; 125:150404. [PMID: 33095638 DOI: 10.1103/physrevlett.125.150404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 09/08/2020] [Indexed: 06/11/2023]
Abstract
Using a multiple-image reconstruction method applied to a harmonically trapped Bose gas, we determine the equation of state of uniform matter across the critical transition point, within the local density approximation. Our experimental results provide the canonical description of pressure as a function of the specific volume, emphasizing the dramatic deviations from the ideal Bose gas behavior caused by interactions. They also provide clear evidence for the nonmonotonic behavior with temperature of the chemical potential, which is a consequence of superfluidity and Bose-Einstein condensation. The measured thermodynamic quantities are compared to mean-field predictions available for the interacting Bose gas. The limits of applicability of the local density approximation near the critical point are also discussed, focusing on the behavior of the isothermal compressibility.
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Affiliation(s)
- C Mordini
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
| | - D Trypogeorgos
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
- Trento Institute for Fundamental Physics and Applications, INFN, Povo 38123, Italy
| | - A Farolfi
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
- Trento Institute for Fundamental Physics and Applications, INFN, Povo 38123, Italy
| | - L Wolswijk
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
- Trento Institute for Fundamental Physics and Applications, INFN, Povo 38123, Italy
| | - S Stringari
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
| | - G Lamporesi
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
- Trento Institute for Fundamental Physics and Applications, INFN, Povo 38123, Italy
| | - G Ferrari
- INO-CNR BEC Center and Dipartimento di Fisica, Università di Trento, Povo 38123, Italy,‡
- Trento Institute for Fundamental Physics and Applications, INFN, Povo 38123, Italy
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Campobasso D, Acampora A, De Nunzio C, Greco F, Marchioni M, Destefanis P, Altieri V, Bergamaschi F, Fasolis G, Varvello F, Voce S, Palmieri F, Divan C, Malossini G, Oriti R, Ruggera L, Tuccio A, Tubaro A, Delicato G, Laganà A, Dadone C, Pucci L, Carrino M, Montefiore F, Germani S, Miano R, Rabito S, De Rienzo G, Frattini A, Ferrari G, Cindolo L. Predicting factors of post-operative acute urinary retention after Greenlight laser photoselective vaporization of the prostate. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35446-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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46
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Ferrari P, Ferrari G, Ferrari R, Rabito S, Castagnetti G, Ghidini N, Brausi M. A 20 Years follow-up results of the Modena screening program for prostate cancer (PCA) “PROGETTO UOMO” (PU). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35377-5] [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: 11/16/2022] Open
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47
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Reale G, Marchioni M, Altieri V, Greco F, De Nunzio C, Destefanis P, Ricciardulli S, Bergamaschi F, Fasolis G, Varvello F, Voce S, Palmieri F, Divan C, Malossini G, Oriti R, Tuccio A, Ruggera L, Tubaro A, Delicato G, Laganà A, Dadone C, De Rienzo G, Ditonno P, Frattini A, Campobasso D, Pucci L, Carrino M, Montefiore F, Germani S, Miano R, Schips L, Rabito S, Ferrari G, Cindolo L. Greenlight laser standard vs anatomical vaporization: how long can time change our habits and results? analysis of temporal trends from the Italian Greenlight laser study group. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35438-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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48
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Brausi M, da Silva F, Ferrari P, Ferrari G, Rabito S. Intermittent androgen blockade can be a therapeutic option in patients with locally advanced and metastatic prostate cancer: long-term results from a pooled analysis of 2 prospective randomised trials (9401-9901) from SEUG (South European Uro-Onco Group). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35550-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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49
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Mordini C, Trypogeorgos D, Wolswijk L, Lamporesi G, Ferrari G. Single-shot reconstruction of the density profile of a dense atomic gas. Opt Express 2020; 28:29408-29418. [PMID: 33114841 DOI: 10.1364/oe.397567] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 07/14/2020] [Indexed: 06/11/2023]
Abstract
Partial transfer absorption imaging (PTAI) of ultracold atoms allows for repeated and minimally-destructive measurements of an atomic ensemble. Here, we present a reconstruction technique based on PTAI that can be used to piece together the non-uniform spatial profile of high-density atomic samples using multiple measurements. We achieved a thirty-fold increase of the effective dynamic range of our imaging, and were able to image otherwise saturated samples with unprecedented accuracy of both low- and high-density features.
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50
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Preci C, Bonfatti M, Garuti C, Corbelli L, Romani A, Fiandri P, Venturelli A, Ferrari G, Ghirotto L, Padula MS. Continuity of care and chronicity in medical students' education: 'adopt' a chronic patient. Educ Prim Care 2020; 31:365-370. [PMID: 32862789 DOI: 10.1080/14739879.2020.1811162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Purpose: Nowadays chronicity is one of the most frequent aspects of care doctors have to deal with. Students need to know and learn clinical, relational, social and managerial elements of chronicity and changes that disease causes in patients, families and doctors themselves. Methods: Students are supervised by a family doctor, in taking care of 'their' patient and of his/her family. They are asked to keep an updated diary, participate in the periodical revision of the medical history and write an end-report. Two focus groups were conducted, adopting a constructive qualitative approach in order to analyse results. Results: The focus groups and the SWOT analysis show common themes such as innovative learning and multidisciplinary approach. Clinical evolution of the disease, mental and body changes and the diagnostic and therapeutic future planning were also revealed. Conclusions: The main goal of this innovation was understanding the importance of a continuous clinical relationship and of the role of the doctor as 'therapy itself'. The project was demonstrated to be able to teach the future physicians how to practice more empathetic medicine and to improve the skills needed in a complex relational environment including that of chronic disease.
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Affiliation(s)
- C Preci
- Biomedical, metabolic and neuroscience department, University of Modena E Reggio Emilia , Italy
| | - M Bonfatti
- Biomedical, metabolic and neuroscience department, University of Modena E Reggio Emilia , Italy
| | - C Garuti
- Biomedical, metabolic and neuroscience department, University of Modena E Reggio Emilia , Italy
| | - L Corbelli
- Biomedical, metabolic and neuroscience department, University of Modena E Reggio Emilia , Italy
| | - A Romani
- Biomedical, metabolic and neuroscience department, GP, Family Medicine Teaching Unit, University of Modena and Reggio Emilia , Modena, Italy.,Research group on chronicity, GP, Italian College of General Practitioners and Primary Care , Florence, Italy
| | - P Fiandri
- Biomedical, metabolic and neuroscience department, GP, Family Medicine Teaching Unit, University of Modena and Reggio Emilia , Modena, Italy.,Research group on chronicity, GP, Italian College of General Practitioners and Primary Care , Florence, Italy
| | - A Venturelli
- Biomedical, metabolic and neuroscience department, GP, Family Medicine Teaching Unit, University of Modena and Reggio Emilia , Modena, Italy
| | - G Ferrari
- Biomedical, metabolic and neuroscience department, GP, Family Medicine Teaching Unit, University of Modena and Reggio Emilia , Modena, Italy.,Research group on chronicity, GP, Italian College of General Practitioners and Primary Care , Florence, Italy
| | - L Ghirotto
- Qualitative Research Unit, Azienda USL - IRCCS Di Reggio Emilia , Italy
| | - Maria Stella Padula
- Biomedical, metabolic and neuroscience department, GP, Family Medicine Teaching Unit, University of Modena and Reggio Emilia , Modena, Italy.,Research group on chronicity, GP, Italian College of General Practitioners and Primary Care , Florence, Italy
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