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Tambuzzi S, Crudele G, Maggioni L, Collini F, Tunesi S, Decarli A, Russo AG, Cattaneo C. Are autopsies on minors a taboo?: The experience of Milan in a 19-year retrospective study. Int J Legal Med 2024; 138:639-649. [PMID: 37934209 PMCID: PMC10861724 DOI: 10.1007/s00414-023-03114-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 10/25/2023] [Indexed: 11/08/2023]
Abstract
Forensic autopsy is an important tool for the proper management of non-natural deaths in minors. However, it seems that autopsy in minors is a practice which may not be performed routinely. In this framework, we conducted a study analyzing autopsies of minors (under 18 years of age in Italy) performed at the Institute of Forensic Medicine in Milan in the period 2001-2019. For the period 2015-2019, we extrapolated all deaths due to non-natural causes in minors to investigate how many and which of these deaths were not subjected to forensic autopsy. Of the total, 344 minors (235 males and 109 females) underwent autopsies, with an overall downward trend of about 80% since 2004. Most autopsies occurred between the ages of 0 and 1 year, and the fewest between the ages of 5 and 9 years. The place of death was home in most cases, and accidental death was most common, followed by natural death, suicide, and homicide, with prevalence varying by age group. Blunt force trauma predominated among accidental death in all age groups, followed by asphyxia. Similar findings were observed for suicides, although there was a more differentiated pattern for suicides between the ages of 15 and 17 years. Among homicides, blunt force trauma, asphyxia, and gunshot wounds were fairly evenly distributed across all age groups. Between 2015 and 2019, a total of 86 minors died of a non-natural cause, and a forensic autopsy was performed in only 33 cases (38%). Our data shows that fewer and fewer autopsies are being performed over the last years, which indicates a dangerous lack of forensic investigation of children and adolescent deaths, with enormous implications for prevention of child abuse.
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Affiliation(s)
- Stefano Tambuzzi
- Department of Biomedical Sciences for Health, Institute of Forensic Medicine, University of Milan, Luigi Mangiagalli Street, 37, 20133, Milan, Italy.
| | - Graziano Crudele
- Department of Biomedical Sciences for Health, Institute of Forensic Medicine, University of Milan, Luigi Mangiagalli Street, 37, 20133, Milan, Italy
| | - Lidia Maggioni
- Department of Biomedical Sciences for Health, Institute of Forensic Medicine, University of Milan, Luigi Mangiagalli Street, 37, 20133, Milan, Italy
| | - Federica Collini
- Department of Health Sciences, University of Eastern Piedmont Amedeo Avogadro, Novara, Italy
| | - Sara Tunesi
- Epidemiology Unit, Agency for Health Protection of Milan, Milan, Italy
| | - Adriano Decarli
- Epidemiology Unit, Agency for Health Protection of Milan, Milan, Italy
| | | | - Cristina Cattaneo
- Department of Biomedical Sciences for Health, Institute of Forensic Medicine, University of Milan, Luigi Mangiagalli Street, 37, 20133, Milan, Italy
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Cattaneo C, Tambuzzi S, De Vecchi S, Maggioni L, Costantino G. Consequences of the lack of clinical forensic medicine in emergency departments. Int J Legal Med 2024; 138:139-150. [PMID: 36806756 PMCID: PMC10772006 DOI: 10.1007/s00414-023-02973-8] [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] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 02/08/2023] [Indexed: 02/23/2023]
Abstract
Most victims of physical violence sooner or later will access a hospital or medical cabinet because of that violence, and in particular emergency departments (EDs). This paper aims to analyze the performance of emergency ward clinicians in the forensic management of such victims by examining the activities carried out and the data reported. A total of 991 medical records were extrapolated from the database of the ED of the Policlinico of Milan in an average pre-pandemic 1-year activity. For each medical record, 16 parameters were analyzed in-depth including epidemiological data, information on the type of violent actions, injuries, and time between the infliction of the lesion and access to the ED. In the vast majority of cases, all the actions with medicolegal implications had been neglected by health professionals causing loss of data not only for the justice system but especially for correctly interpreting what happened and taking appropriate measures to protect the patient/victim. Hence, given that clinicians in EDs are busy with non-forensic clinical tasks (and rightly so), it should be ensured that there be specific forensic clinical personnel. However, it is crucial that when unfortunately there can be no forensic staff, at least the clinicians who work in the ED are properly trained to correctly apply essential medicolegal measures. Overall, timely and informed medical and forensic intervention is possible and necessary for the improvement and maintenance of the mental and physical health of victims of violence.
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Affiliation(s)
- Cristina Cattaneo
- Istituto di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli, 37, 20133, Milan, Italy
| | - Stefano Tambuzzi
- Istituto di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli, 37, 20133, Milan, Italy.
| | - Stefano De Vecchi
- Istituto di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli, 37, 20133, Milan, Italy
| | - Lidia Maggioni
- Istituto di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli, 37, 20133, Milan, Italy
| | - Giorgio Costantino
- Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy
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3
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Cattaneo C, Tambuzzi S, Maggioni L, Zoja R. Has violent death lost the interest of epidemiology? Int J Epidemiol 2022; 51:2020-2021. [PMID: 35474538 DOI: 10.1093/ije/dyac088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 04/19/2022] [Indexed: 01/21/2023] Open
Affiliation(s)
- Cristina Cattaneo
- Department of Biomedical Sciences for Health (Scienze Biomediche per la Salute), Institute of Forensic Medicine, University of Milan, Milan, Italy
| | - Stefano Tambuzzi
- Department of Biomedical Sciences for Health (Scienze Biomediche per la Salute), Institute of Forensic Medicine, University of Milan, Milan, Italy
| | - Lidia Maggioni
- Department of Biomedical Sciences for Health (Scienze Biomediche per la Salute), Institute of Forensic Medicine, University of Milan, Milan, Italy
| | - Riccardo Zoja
- Department of Biomedical Sciences for Health (Scienze Biomediche per la Salute), Institute of Forensic Medicine, University of Milan, Milan, Italy
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Tambuzzi S, Cummaudo M, Maggioni L, Tritella S, Lucchesi B, Montedoro P, Agostinelli I, Trezzi S, Costantino AM, Mazzoni R, Marognoli M, Poppa P, De Angelis D, Cattaneo C. A Pilot COVID-19 Surveillance Program at the Zendrini Center in Milan (Italy) for Unaccompanied Foreign Minors. Children (Basel) 2022; 9:1485. [PMID: 36291420 PMCID: PMC9600787 DOI: 10.3390/children9101485] [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: 08/10/2022] [Revised: 09/17/2022] [Accepted: 09/19/2022] [Indexed: 06/16/2023]
Abstract
During the COVID-19 pandemic, not only crowded refugee camps and immigration detention centers, but also receptions were places in which outbreaks occurred. To date there has been no report of the application of a COVID-19 surveillance system in reception centers for unaccompanied foreign minors only, who most of all deserve the utmost attention. Aware of this critical issue, we implemented a pilot COVID-19 surveillance program at the Zendrini center in Milan. It was started in September 2021 and was carried out for 4 months. Nasopharyngeal antigenic swabs were adopted. One day a week, two forensic physicians performed the first antigenic swab to minors who had just entered the center, or a monitoring swab after 15 days to those who were still hosted at the center. Operators were also swabbed for surveillance. A total of 80 subjects were enrolled and divided into 68 (72.5%) unaccompanied foreign minors and 22 (27.5%) operators. A total of 178 antigenic nasopharyngeal swabs were performed and tested negative. Regarding the monitoring activities, it was found that the minimum number of swabs per subject was 1 and the maximum number was 7, with an average value of 2.2 per individual. Having been able to confirm the absence of SARS-CoV-2 within the community represented a way to protect individual and collective health that could not have been pursued otherwise. Only inclusive approaches can allow communities and societies to respond more effectively to this crisis, and reduce the risk of future ones, intended as both upcoming COVID-19 waves and new infectious diseases.
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Affiliation(s)
- Stefano Tambuzzi
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
| | - Marco Cummaudo
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
| | - Lidia Maggioni
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
| | - Stefania Tritella
- Unit of Radiology, IRCCS Policlinico San Donato, Rodolfo Morandi 30 Street, 20097 San Donato Milanese, Italy
| | - Barbara Lucchesi
- Zendrini Centre, Municipality of Milan, Bernardino Zendrini 15 Street, 20147 Milan, Italy
| | - Paola Montedoro
- Zendrini Centre, Municipality of Milan, Bernardino Zendrini 15 Street, 20147 Milan, Italy
| | - Immacolata Agostinelli
- Zendrini Centre, Municipality of Milan, Bernardino Zendrini 15 Street, 20147 Milan, Italy
| | - Sofia Trezzi
- U.O.N.P.I.A., Operative Unit of Neuropsychiatry of Childhood and Adolescence, IRCCS Fondazione Ca’ Granda, Ospedale Maggiore Policlinico, Festa del Perdono 7 Street, 20122 Milan, Italy
| | - Antonella Maria Costantino
- U.O.N.P.I.A., Operative Unit of Neuropsychiatry of Childhood and Adolescence, IRCCS Fondazione Ca’ Granda, Ospedale Maggiore Policlinico, Festa del Perdono 7 Street, 20122 Milan, Italy
| | - Rossana Mazzoni
- U.O.N.P.I.A., Operative Unit of Neuropsychiatry of Childhood and Adolescence, IRCCS Fondazione Ca’ Granda, Ospedale Maggiore Policlinico, Festa del Perdono 7 Street, 20122 Milan, Italy
| | - Michela Marognoli
- Zendrini Centre, Municipality of Milan, Bernardino Zendrini 15 Street, 20147 Milan, Italy
| | - Pasquale Poppa
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
| | - Danilo De Angelis
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
| | - Cristina Cattaneo
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Institute of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Mangiagalli 37 Street, 20133 Milan, Italy
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Caldiroli A, Tagliabue I, Turco M, Capuzzi E, Fortunato A, Tringali A, Montana C, Maggioni L, Pellicioli C, Sibilla M, Marcatili M, Crespi G, Colmegna F, Buoli M, Clerici M. Comparing the COVID-19-related PTSD symptoms between psychiatric patients and healthy subjects: an observational retrospective study from Northern Italy. PSYCHOL HEALTH MED 2022; 28:1298-1308. [PMID: 36093977 DOI: 10.1080/13548506.2022.2121971] [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: 10/14/2022]
Abstract
COVID-19 pandemic had a great impact on mental health, both in the general population and psychiatric patients. Little is known about the difference between these two populations in perceiving the pandemic as a traumatic event. The aim of the study was to compare psychiatric patients and healthy controls (HC) in terms of change over time of post-traumatic (PTSD) symptoms. Demographic and clinical variables were collected. Impact of Event Scale Revised (IES-R) scores were registered at T1 as lockdown period (March-April 2020) and T2 as restarting (May-June 2020). Descriptive analyses and linear regression models were performed. A total of 166 outpatients and 57 HC were recruited. Time (F = 15.76; p < 0.001) and diagnosis (F = 4.94; p < 0.001) had a significant effect on the change of IES-R scores, which resulted T1 > T2 (p < 0.001), except for subjects affected by Obsessive-Compulsive Disorder (OCD). Overall, IES-R scores were < in patients than in HC (p = 0.02), particularly in the schizophrenia (SKZ) subgroup (p < 0.001). IES-R scores of subjects with personality disorders (PDs) resulted to be > HC, although not statistically significant. The lockdown period was perceived as more traumatic than the reopening phase by both groups, with the exception of OCD patients, probably because of the clinical worsening associated with the urge of control against risks of contamination. Overall, HC reported more PTSD symptoms than psychiatric patients did, particularly SKZ ones. PD patients, in contrast, may be more vulnerable to PTSD symptoms probably as a result of poor coping skills. Together with OCD patients, subjects with PDs may need closer monitoring during the different phases of the pandemic. Trial Registration: ClinicalTrials.gov Identifier: NCT04694482.
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Affiliation(s)
- A Caldiroli
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
| | - I Tagliabue
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - M Turco
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - E Capuzzi
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
| | - A Fortunato
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - A Tringali
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - C Montana
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - L Maggioni
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - C Pellicioli
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - M Sibilla
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
| | - M Marcatili
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
| | - G Crespi
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
| | - F Colmegna
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
| | - M Buoli
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca’Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - M Clerici
- Department of Mental Health and Addiction, ASST Monza, Monza (MB), Italy
- Department of Medicine and Surgery, University of Milan Bicocca, Monza (MB), Italy
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6
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Biehler-Gomez L, Tambuzzi S, Maggioni L, Cattaneo C. Commentary on “A 70-year study of femicides at the Forensic Medicine department, University of Bologna (Italy)”. Forensic Sci Int 2022; 334:111269. [DOI: 10.1016/j.forsciint.2022.111269] [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] [Received: 11/23/2021] [Accepted: 03/09/2022] [Indexed: 11/26/2022]
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7
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Barbara G, Albertini V, Tagi VM, Maggioni L, Gorio MC, Cattaneo C, Parazzini F, Ricci E, Buggio L, Kustermann A. Characteristics of Sexual Violence Against Adolescent Girls: A 10 Years' Retrospective Study of 731 Sexually Abused Adolescents. Int J Womens Health 2022; 14:311-321. [PMID: 35273451 PMCID: PMC8901429 DOI: 10.2147/ijwh.s343935] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 02/04/2022] [Indexed: 11/24/2022] Open
Abstract
Introduction Sexual violence against young girls is a pervasive multifaceted phenomenon which embraces several different forced sexual acts, including attempted and/or completed rape, sexual coercion and harassment, and sexual contact with force or threat of force. The aim of this study is to evaluate the characteristics of sexual violence in adolescent girls, by a retrospective analysis of 731 consecutive cases of sexually abused girls. Materials and Methods We analyzed demographic characteristics, risk factors for rape, and the eventual subsequent presence and type of ano-genital lesions. Results We found that sexual violence with penetration was perpetrated in 591 (80%) cases. Vulnerability factors related with a major risk of rape were age >17 years old and consumption of alcohol and/or other drugs. About 196 (55%) victims had at a least one genital lesion. Conclusion A prompt identification of red flags of sexual violence may help physicians in suspecting and managing cases of sexual assault in adolescent girls, even in the absence of typical lesions.
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Affiliation(s)
- Giussy Barbara
- Gynecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Valentina Albertini
- Department of Emergencies, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | | | - Lidia Maggioni
- Department of Biomedical Science, Legal Medicine Section, University of Milan, Milan, Italy
| | - Maria Carlotta Gorio
- Department of Clinical and Biomedical Sciences Luigi Sacco, University of Milan, Milan, Italy
| | - Cristina Cattaneo
- Department of Biomedical Science, Legal Medicine Section, University of Milan, Milan, Italy
| | - Fabio Parazzini
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Elena Ricci
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Laura Buggio
- Gynecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Alessandra Kustermann
- Gynecological Unit and SVSeD, Service for Sexual and Domestic Violence, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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Cummaudo M, Merelli V, De Angelis D, Magli F, Maggioni L, Tambuzzi S, Lanza G, Palazzo C, Colombo A, Lucchesi B, Montedoro P, Agostinelli I, Marognoli M, Marando L, Senatore A, Mazzoni R, Trezzi S, Fornoni C, Torlasco G, Cattaneo C. Institutionalising forensic sciences and medicine in centres for newly arrived unaccompanied minors: A case study from Milano. J Forensic Leg Med 2021; 85:102297. [PMID: 34920355 DOI: 10.1016/j.jflm.2021.102297] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 12/06/2021] [Indexed: 11/24/2022]
Affiliation(s)
- M Cummaudo
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy.
| | - V Merelli
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - D De Angelis
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - F Magli
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - L Maggioni
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - S Tambuzzi
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - G Lanza
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - C Palazzo
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - A Colombo
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - B Lucchesi
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - P Montedoro
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - I Agostinelli
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - M Marognoli
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
| | - L Marando
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; U.O.N.P.I.A., Unità Operativa di Neuropsichiatria Dell'Infanzia e Adolescenza, IRCCS Fondazione Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - A Senatore
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; Ospedale Luigi Sacco, Polo Universitario, Via Giovanni Battista Grassi 74, 20157, Milan, Italy
| | - R Mazzoni
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; U.O.N.P.I.A., Unità Operativa di Neuropsichiatria Dell'Infanzia e Adolescenza, IRCCS Fondazione Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - S Trezzi
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; U.O.N.P.I.A., Unità Operativa di Neuropsichiatria Dell'Infanzia e Adolescenza, IRCCS Fondazione Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - C Fornoni
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; U.O.N.P.I.A., Unità Operativa di Neuropsichiatria Dell'Infanzia e Adolescenza, IRCCS Fondazione Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - G Torlasco
- Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy; U.O.N.P.I.A., Unità Operativa di Neuropsichiatria Dell'Infanzia e Adolescenza, IRCCS Fondazione Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - C Cattaneo
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per La Salute, Università Degli Studi di Milano, Milan, Italy; Centro Servizi Zendrini, Comune di Milano, Via Bernardino Zendrini, 15, 20147, Milan, Italy
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9
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Blandino A, Maggioni L, Chiaffarino F, Parazzini F, Capano D, Florio EM, Margherita M, Bertelle GM, Franceschetti L, Amadasi A, Vignali G, Ciprandi B, Crudele GDL, Merelli VG, Collini F, Muccino EA, Nicolò P, Barbara G, Kustermann A, Cattaneo C, Gentilomo A. Sexual assault and abuse committed against family members: An analysis of 1342 legal outcomes and their motivations. PLoS One 2021; 16:e0253980. [PMID: 34185821 PMCID: PMC8241090 DOI: 10.1371/journal.pone.0253980] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 06/16/2021] [Indexed: 11/26/2022] Open
Abstract
Background Over the past years medical centres specifically addressed in gender-based violence have developed protocols for the collections of evidence useful in the courtroom, including accurate documentation of physical and psychological states of the victim and collection of samples. Previous studies showed an association between documented physical trauma and conviction but unfortunately, few studies in the recent literature analysed the factors that influence the legal outcome and final judgement. The present study focused on the elements that appeared of significance in the legal outcome, including medico-legal evaluation, source of the crime report and circumstance of the assault. Methods It was conducted a retrospective analysis of all the judgments issued by the Public Prosecutor’s Office at a Court of a Metropolitan Italian city regarding sexual and domestic violence, from January 1st 2011 to 31st December 31st 2015. Examination regarded the demographic information of the victim and of the defendant, information on the crime, the circumstances of the aggression and medical information retrieved. Sentences were subsequently divided into two categories based on the legal outcome (conviction vs acquittal) and the different characteristics of the two sub-populations were compared to verify if there were variables significantly associated to the judge’s final judgment. Results Over the 5 years taken into consideration, there have been 1342 verdicts regarding crimes of sexual violence (374 cases) and regarding abuses against family members or cohabitants (875): other 93 cases regarded both sexual violence and abuse. 66.3% ended in conviction of the offender and 33.7% in acquittal of the accused. Cases of conviction were more frequent when they involved: use of a weapon by the assailant, as well as if the assailant had a criminal record and had a history of drug abuse or other addictions; duration of proceeding less 22 months and a civil party involved; presence of clinical documentation together with other deposition in addition to victim’s deposition; also frequent episodes of violence and application of precautionary measures were associated to conviction. Conclusions Many factors seem able to influence the judge’s judgment, although clearly each case must be singularly evaluated. The mere presence of medical documentation, without the support of other sources of evidence, such as the victim’s statement or further declarations, however, is almost always not definitive for the verdict. Despite so, in cases where there are multiple sources of evidence, clinical documentation can provide useful elements and can give clues on the consistency between the history told and injuries observed.
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Affiliation(s)
- Alberto Blandino
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
- * E-mail:
| | - Lidia Maggioni
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Francesca Chiaffarino
- Department of Woman, Newborn and Child, Gynaecology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Fabio Parazzini
- Department of Clinical Sciences and Community Health, Università Degli Studi, Milan, Italy
| | | | - Elena Maria Florio
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Manuela Margherita
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Gian Marco Bertelle
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Lorenzo Franceschetti
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Alberto Amadasi
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Giulia Vignali
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Barbara Ciprandi
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | | | - Vera Gloria Merelli
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Federica Collini
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Enrico Angelo Muccino
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | | | - Giussy Barbara
- Department of Obstetrics and Gynecology and Service for Sexual and Domestic Violence (SVSeD), Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Alessandra Kustermann
- Department of Obstetrics and Gynecology and Service for Sexual and Domestic Violence (SVSeD), Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
| | - Cristina Cattaneo
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
| | - Andrea Gentilomo
- Department of Biomedical Science for Health, Institute of Legal Medicine, Università Degli Studi, Milan, Italy
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Mazzarelli D, Milotta L, Franceschetti L, Maggioni L, Merelli VG, Poppa P, Porta D, De Angelis D, Cattaneo C. Twenty-five years of unidentified bodies: an account from Milano, Italy. Int J Legal Med 2021; 135:1983-1991. [PMID: 33748873 DOI: 10.1007/s00414-021-02560-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 03/02/2021] [Indexed: 11/30/2022]
Abstract
The identification of decedents has always been a central issue in forensic pathology, for ethical, criminal, and administrative reasons, but today, it needs more attention due to issues related not only to migration but also to the weakening of family ties. This article presents a descriptive study discussing the Italian regulatory situation developed in the last decade to face the many identification issues, with all its improvements and flaws. Hence, data gathered in 25 years of at the Institute of Legal Medicine of Milan and the epidemiology of unidentified decedents are illustrated. Briefly, from 1995 to 2019, the number of unidentified human remains with no identity or requesting verification of identity amounts to 726, i.e., 3% circa of all autopsies performed at the Institute, with an average of 29 individuals per year. In total, 528 (72.7%) individuals were successfully identified, 100 (13.8%) remained without an identity, and 98 (13.5%) individuals remained with suspected yet unconfirmed identities. Percentages for each identification technique are displayed, with insight into the role of forensic anthropology and odontology compared to genetics, and into the misuse of non-scientific methods allowed by Public Prosecutors. All the data is compared, as much as possible, with the very few recent studies concerning the problem worldwide. Finally, the article aims to show the Italian experience in dealing with unidentified bodies, in order to provide food for thought for other countries toward a discussion regarding a global issue which is sometimes taken for granted and underestimated.
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Affiliation(s)
- Debora Mazzarelli
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Lorenzo Milotta
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Lorenzo Franceschetti
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy.
| | - Lidia Maggioni
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Vera Gloria Merelli
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Pasquale Poppa
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Davide Porta
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Danilo De Angelis
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
| | - Cristina Cattaneo
- LABANOF, Laboratorio Di Antropologia E Odontologia Forense, Istituto Di Medicina Legale, Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, via Luigi Mangiagalli 37, 20133, Milano, Italy
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11
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Maggioni L, Maderna E, Gorio MC, Cappella A, Andreola S, Bulfamante G, Cattaneo C. The frequently dismissed importance of properly sampling skin bruises. Leg Med (Tokyo) 2021; 50:101867. [PMID: 33639541 DOI: 10.1016/j.legalmed.2021.101867] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 11/15/2020] [Accepted: 02/17/2021] [Indexed: 11/16/2022]
Abstract
The correct interpretation of skin lesions is a crucial issue in forensic medicine. Many macroscopic and microscopic vital reaction markers and molecules have been studied in the past years in order to estimate the timing of injuries. However, literature lacks information regarding how to perform sampling to obtain a more reliable and accurate response. The present study investigates 25 bruises and analyses the different histological asset in different areas (central or marginal) and the different layers (epidermis, dermis, hypodermis and muscle) of the wound. All wounds were sampled in several areas and analysed under a 200× magnification optical microscope, simply counting the degree of haemorrhaging (i.e hematic infiltration) visible in each optical field (0 = 0%-5%; 1 = 6%-25%; 2 = 26%-50%; 3 = 51%-75%; 4 = 76%-100%). All the injuries presented some kind of infiltration in at least one area, nonetheless only 56% of the wounds were infiltrated in the entirety of the areas. Finally, in 28% the dermal layer did not show any trace of infiltration. Therefore, considering such results it seems that depth or area of sampling of a bruise may largely influence the evaluation of vitality and hence of age of a wound. Though this may seem intuitive, no studies have examined this issue in depth.
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Affiliation(s)
- Lidia Maggioni
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy.
| | - Emanuela Maderna
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy
| | - Maria Carlotta Gorio
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy
| | - Annalisa Cappella
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy; Sezione di Anatomia Umana, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 31, 20133 Milan, Italy
| | - Salvatore Andreola
- Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy
| | - Gaetano Bulfamante
- Sezione di Citogenetica e Patologia Molecolare, Dipartimento di patologia umana, ASST Santi Paolo e Carlo, Milan, Italy
| | - Cristina Cattaneo
- LABANOF, Laboratorio di Antropologia e Odontologia Forense, Sezione di Medicina Legale, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133 Milan, Italy
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12
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Margherita M, Franceschetti L, Maggioni L, Vignali G, Kustermann A, Cattaneo C. Male victims of sexual abuse and domestic violence: A steadily increasing phenomenon. Med Sci Law 2021; 61:54-61. [PMID: 33591863 DOI: 10.1177/0025802420947003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Violence perpetrated on male victims is a phenomenon that is currently underestimated by both national and international scientific communities, since males are historically (and stereotypically) considered the perpetrators rather than the victims of violence. As a consequence, the available literature lacks data which would allow a better understanding of this issue and its presenting features. We undertook a retrospective analysis of 231 medical files of male victims of violence over a five-year-period (2014-2018) at the Soccorso Violenza Sessuale e Domestica Centre in Milan, Italy. The sample included 112 victims of sexual violence and 119 victims of domestic violence, most of whom were younger than 18 years of age. The main aim of this study was to describe the presentations of male victims of violence in order to understand the phenomenon better, increase awareness of the issue and enable improved health-care management. The need to pay more attention to this vulnerable part of the population is mandatory in health-care services, and it includes: the provision of management guidelines, training to attending physicians and a supportive service to male survivors. Understanding which risk factors are related to male abuse can help with the development of programmes that identify, prevent and minimise violence - this being especially useful for primary-care clinicians. This is the first Italian study to deal with domestic and sexual violence involving male victims.
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Affiliation(s)
- Manuela Margherita
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Istituto di Medicina Legale, Dipartimento di Scienze Biochimiche per la Salute, Università degli Studi di Milano, Italy
| | - Lorenzo Franceschetti
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Istituto di Medicina Legale, Dipartimento di Scienze Biochimiche per la Salute, Università degli Studi di Milano, Italy
| | - Lidia Maggioni
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Istituto di Medicina Legale, Dipartimento di Scienze Biochimiche per la Salute, Università degli Studi di Milano, Italy
| | - Giulia Vignali
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Istituto di Medicina Legale, Dipartimento di Scienze Biochimiche per la Salute, Università degli Studi di Milano, Italy
| | - Alessandra Kustermann
- Service for Sexual and Domestic Violence (SVSeD), Department of Obstetrics and Gynecology, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Italy
| | - Cristina Cattaneo
- LABANOF (Laboratorio di Antropologia e Odontologia Forense), Istituto di Medicina Legale, Dipartimento di Scienze Biochimiche per la Salute, Università degli Studi di Milano, Italy
- Service for Sexual and Domestic Violence (SVSeD), Department of Obstetrics and Gynecology, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Italy
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13
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Helio T, Koskenvuo J, Gimeno J, Tavazzi L, Tendera M, Kaski J, Mansencal N, Damy T, Maggioni L, Laroche C, Caforio A, Charron P. Real-life clinical practice of genetic counselling and testing in adult patients with cardiomyopathies: Insight from the ESC EORP Cardiomyopathy Registry. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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14
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Suffritti C, Tobaldini E, Schiavon R, Strada S, Maggioni L, Mehta S, Sandrone G, Toschi-Dias E, Cicardi M, Montano N. Complement and contact system activation in acute congestive heart failure patients. Clin Exp Immunol 2017; 190:251-257. [PMID: 28707730 DOI: 10.1111/cei.13011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2017] [Indexed: 12/13/2022] Open
Abstract
Recent experimental data indicate a pathogenic role of complement activation in congestive heart failure (CHF). The aim of this study was to evaluate contact and complement systems activation in patients hospitalized for an acute episode of CHF. Forty-two of 80 consecutive patients admitted at our hospital with confirmed diagnosis of acute CHF were enrolled. They underwent blood sampling within 24 h from admission (T0) and at clinical stability (T1). Patients were stratified for ejection fraction (EF) based on echocardiographic test. We measured plasma levels of C3, C4, sC5b-9 and cleaved high molecular weight kininogen (contact activation marker). At T1, C3 levels increased significantly compared to T0 (97 ± 2 versus 104 ± 3% of total pooled plasma, P < 0·01). Classifying patients according to EF, only patients with preserved EF presented a significant increase of C3 from T0 to T1 (99 ± 3 versus 108 ± 4%, P = 0·03). When the sample was stratified according to clinical outcome, C3 (98 ± 3 versus 104 ± 4%, P = 0·03) and sC5b-9 levels (204 ± 10 versus 230 ± 11 ng/ml, P = 0·03) were increased in patients who had positive outcome after hospitalization. CHF patients with preserved EF and positive outcome after hospitalization showed higher levels of sC5b-9 in the T1 period compared with T0 (211 ± 14 versus 243 ± 14 ng/ml, P = 0·04). Our results suggest that the complement system reacts differently if CHF occurs with preserved or reduced EF. This finding is interesting if we consider the difference in epidemiology, pathogenesis and possible therapeutic approaches of these two clinical entities.
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Affiliation(s)
- C Suffritti
- Departments of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, Milan, Italy
| | - E Tobaldini
- Department of Internal Medicine, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community of Health, University of Milan, Milan, Italy
| | - R Schiavon
- Internal Medicine, L. Sacco Hospital, University of Milan, Milan, Italy
| | - S Strada
- Internal Medicine, L. Sacco Hospital, University of Milan, Milan, Italy
| | - L Maggioni
- Departments of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, Milan, Italy
| | - S Mehta
- Biomedical Research and Environmental Sciences, JES Tech, Houston, TX, USA
| | - G Sandrone
- Internal Medicine, L. Sacco Hospital, University of Milan, Milan, Italy
| | - E Toschi-Dias
- Heart Institute (InCor), University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - M Cicardi
- Departments of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, Milan, Italy
| | - N Montano
- Department of Internal Medicine, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community of Health, University of Milan, Milan, Italy
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15
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Pinotti L, Campagnoli A, Maggioni L, Paltanin C, Cheli F, Dell’Orto V, Savoini G. Selection of new markers for animal by-products characterization by classical microscopy. Italian Journal of Animal Science 2016. [DOI: 10.4081/ijas.2007.1s.339] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- L. Pinotti
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - A. Campagnoli
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - L. Maggioni
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - C. Paltanin
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - F. Cheli
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - V. Dell’Orto
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
| | - G. Savoini
- Dipartimento di Scienze e Tecnologie Veterinarie per la Sicurezza Alimentare, Università di Milano, Italy
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Suffritti C, Zanichelli A, Maggioni L, Bonanni E, Cugno M, Cicardi M. High-molecular-weight kininogen cleavage correlates with disease states in the bradykinin-mediated angioedema due to hereditary C1-inhibitor deficiency. Clin Exp Allergy 2014; 44:1503-14. [DOI: 10.1111/cea.12293] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2013] [Revised: 01/31/2014] [Accepted: 02/10/2014] [Indexed: 11/29/2022]
Affiliation(s)
- C. Suffritti
- Department of Biomedical and Clinical Sciences Luigi Sacco; University of Milan, Ospedale Luigi Sacco; Milan Italy
| | - A. Zanichelli
- Department of Biomedical and Clinical Sciences Luigi Sacco; University of Milan, Ospedale Luigi Sacco; Milan Italy
| | - L. Maggioni
- Department of Biomedical and Clinical Sciences Luigi Sacco; University of Milan, Ospedale Luigi Sacco; Milan Italy
| | - E. Bonanni
- Department of Biomedical and Clinical Sciences Luigi Sacco; University of Milan, Ospedale Luigi Sacco; Milan Italy
| | - M. Cugno
- Department of Internal Medicine; IRCCS Fondazione Ospedale Maggiore Policlinico Mangiagalli Regina Elena; University of Milan; Milan Italy
| | - M. Cicardi
- Department of Biomedical and Clinical Sciences Luigi Sacco; University of Milan, Ospedale Luigi Sacco; Milan Italy
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Branca F, Ragusa L, Tribulato A, Poulsen G, Maggioni L, von Bothmer R. DIVERSITY OF KALE GROWING IN EUROPE AS A BASIS FOR CROP IMPROVEMENT. ACTA ACUST UNITED AC 2013. [DOI: 10.17660/actahortic.2013.1005.13] [Citation(s) in RCA: 5] [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] [Indexed: 11/17/2022]
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18
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Piasentier E, Volpelli L, Sepulcri A, Maggioni L, Corti M. Effect of milk feeding system on carcass and meat quality of Frisa Valtellinese kids. Ital J Animal Sci 2010. [DOI: 10.4081/ijas.2005.2s.398] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Pinotti L, Paltanin C, Maggioni L, Peri V, Savoini G. Image analysis applied to the classic microscopic method in animal meal characterization. Vet Res Commun 2008; 32 Suppl 1:S355-7. [PMID: 18709435 DOI: 10.1007/s11259-008-9147-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- L Pinotti
- Department of Veterinary Science and Technology for Food Safety, University of Milan, Via Trentacoste 2, Milano 20134, Italy.
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Zanichelli A, Cugno M, Zingale L, Lambertenghi Deliliers D, Maggioni L, Griffini S, Cicardi M. Plasmatic Markers Of Coagulation And Fibrinolysis In Patients With C1 Inhibitor Deficiency During Acute Attacks Of Angioedema. J Allergy Clin Immunol 2007. [DOI: 10.1016/j.jaci.2006.12.448] [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]
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21
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Galmarini D, Ghidoni P, Gatti S, Rossi G, Reggiani P, Doglia M, Maggioni L, Fassati LR. Serotonin (5-HT): an enteroendocrine marker of rejection after small bowel allotransplantation in the pig. Transplant Proc 1997; 29:1830-2. [PMID: 9142291 DOI: 10.1016/s0041-1345(97)00087-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- D Galmarini
- Istituto di Chirurgia Sperimentale e dei Trapianti, Università degli Studi di Milano, Ospedale Maggiore di Milano IRCCS, Italy
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22
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Gridelli B, Gatti S, Andreani P, Donato MF, Bergamaschini L, Berti E, Di Mauro P, Maggioni L, Orsenigo R, Fassati LR, Galmarini D. Xenogeneic orthotopic liver transplantation from sheep to pig: delay of rejection by FUT 175 Infusion. Transplant Proc 1996; 28:784-7. [PMID: 8623399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- B Gridelli
- Institute of Experimental and Transplantation Surgery, University of Milan, Italy
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