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Marconi M, Pagano MT, Ristori J, Bonadonna S, Pivonello R, Meriggiola MC, Motta G, Lombardo F, Mosconi M, Oppo A, Cocchetti C, Romani A, Federici S, Bruno L, Verde N, Lami A, Crespi CM, Marinelli L, Giordani L, Matarrese P, Ruocco A, Santangelo C, Contoli B, Masocco M, Minardi V, Chiarotti F, Fisher AD, Pierdominici M. Sociodemographic profile, health-related behaviours and experiences of healthcare access in Italian transgender and gender diverse adult population. J Endocrinol Invest 2024:10.1007/s40618-024-02362-x. [PMID: 38733428 DOI: 10.1007/s40618-024-02362-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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 03/09/2024] [Indexed: 05/13/2024]
Abstract
PURPOSE Information on the general health of transgender and gender diverse (TGD) individuals continues to be lacking. To bridge this gap, the National Institute of Health in Italy together with the National Office against Racial Discriminations, clinical centres, and TGD organizations carried out a cross-sectional study to define the sociodemographic profile, health-related behaviours, and experiences of healthcare access in Italian TGD adult population. METHODS A national survey was conducted by Computer-Assisted Web Interviewing (CAWI) technique. Collected data were compared within the TGD subgroups and between TGD people and the Italian general population (IGP). RESULTS TGD respondents were 959: 65% assigned female at birth (AFAB) and 35% assigned male at birth (AMAB). 91.8% and 8.2% were binary and non-binary TGD respondents, respectively. More than 20% of the TGD population reported to be unemployed with the highest rate detectable in AMAB and non-binary people. Cigarette smoking and binge drinking were higher in the TGD population compared with IGP (p < 0.05), affecting TGD subgroups differently. A significant lower percentage of AFAB TGD people reported having had screening for cervical and breast cancer in comparison with AFAB IGP (p < 0.0001, in both cases). Over 40% was the percentage of AFAB and non-binary TGD people accessing healthcare who felt discriminated against because of their gender identity. CONCLUSIONS Our results are a first step towards a better understanding of the health needs of TGD people in Italy in order to plan the best policy choices for a more inclusive public health.
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Affiliation(s)
- M Marconi
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - M T Pagano
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - J Ristori
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Florence, Italy
| | - S Bonadonna
- Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - R Pivonello
- Dipartimento Di Medicina Clinica E Chirurgia, Sezione di Endocrinologia, University Federico II, Naples, Italy
| | - M C Meriggiola
- Division of Gynecology and Physiopathology of Human Reproduction, Department of Medical and Surgical Sciences (DIMEC), IRCCS Azienda Ospedaliero-Universitaria di Bologna, S. Orsola Hospital, University of Bologna, Bologna, Italy
| | - G Motta
- Division of Endocrinology, Diabetology and Metabolism, Azienda Ospedaliero-Universitaria Città Della Salute E Della Scienza di Torino, University of Turin, Turin, Italy
| | - F Lombardo
- Laboratory of Semiology, Department of Experimental Medicine, Sperm Bank "Loredana Gandini", Sapienza University of Rome, Rome, Italy
| | - M Mosconi
- Gender Identity Development Service, Hospital S. Camillo-Forlanini, Rome, Italy
| | - A Oppo
- Endocrinology Unit, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - C Cocchetti
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Florence, Italy
| | - A Romani
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Florence, Italy
| | - S Federici
- Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - L Bruno
- Dipartimento Di Medicina Clinica E Chirurgia, Sezione di Endocrinologia, University Federico II, Naples, Italy
| | - N Verde
- Dipartimento Di Medicina Clinica E Chirurgia, Sezione di Endocrinologia, University Federico II, Naples, Italy
| | - A Lami
- Division of Gynecology and Physiopathology of Human Reproduction, Department of Medical and Surgical Sciences (DIMEC), IRCCS Azienda Ospedaliero-Universitaria di Bologna, S. Orsola Hospital, University of Bologna, Bologna, Italy
| | - C M Crespi
- Division of Endocrinology, Diabetology and Metabolism, Azienda Ospedaliero-Universitaria Città Della Salute E Della Scienza di Torino, University of Turin, Turin, Italy
| | - L Marinelli
- Division of Endocrinology, Diabetology and Metabolism, Azienda Ospedaliero-Universitaria Città Della Salute E Della Scienza di Torino, University of Turin, Turin, Italy
| | - L Giordani
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - P Matarrese
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - A Ruocco
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - C Santangelo
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - B Contoli
- National Centre for Disease Prevention and Health Promotion, Istituto Superiore Di Sanità, Rome, Italy
| | - M Masocco
- National Centre for Disease Prevention and Health Promotion, Istituto Superiore Di Sanità, Rome, Italy
| | - V Minardi
- National Centre for Disease Prevention and Health Promotion, Istituto Superiore Di Sanità, Rome, Italy
| | - F Chiarotti
- Reference Centre for Behavioral Sciences and Mental Health, Istituto Superiore Di Sanità, Rome, Italy
| | - A D Fisher
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Florence, Italy
| | - M Pierdominici
- Reference Centre for Gender Medicine, Istituto Superiore di Sanità, Rome, Italy.
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Wong MC, Avanzini S, Mosconi M, Mazzola C, Arrigo S, Pistorio A, Mattioli G. Enterostomy-related complications in Hirschsprung's disease in a single cohort. Minerva Pediatr (Torino) 2023; 75:711-718. [PMID: 31692311 DOI: 10.23736/s0026-4946.19.05593-2] [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: 11/08/2022]
Abstract
BACKGROUND Hirschsprung's disease (HSCR) is a frequent cause of intestinal obstruction in children and may require an enterostomy. The study aimed to describe the most common enterostomy-related complications in a series of patients treated in a single center. METHODS A series of consecutive HSCR patients treated or followed-up at our institution between January 1993 and December 2016 were included. Data about HSCR type, enterostomy site, duration and complications of the stoma were recorded. RESULTS Three hundred one patients with HSCR were followed-up. Sixty-one had ultralong forms (TCSA/TIA), 21 had long forms (L-HSCR) and 219 had classic short forms (S-HSCR). One hundred thirty-seven patients required a stoma (100% of patients with TCSA/TIA, 66.7% with L-HSCR and 28.3% with S-HSCR). We observed 64 stoma-related complications: 36 major complications and 28 minor complications. Major complications occurred more often in long forms (P=0.037). The presence of an ileostomy was statistically associated with an increased rate of complications compared to colostomy. The longer the stoma was in site, the higher the complication rate was. CONCLUSIONS Long and ultra-long forms are associated with a longer duration of the stoma and to a major risk of stoma-related complications.
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Affiliation(s)
- Michela C Wong
- Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy -
- DINOGMI, University of Genoa, Genoa, Italy -
| | - Stefano Avanzini
- Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Manuela Mosconi
- Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Cinzia Mazzola
- Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Serena Arrigo
- Unit of Pediatric Gastroenterology, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Angela Pistorio
- Section of Epidemiology and Biostatistics, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Girolamo Mattioli
- Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy
- DINOGMI, University of Genoa, Genoa, Italy
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Pini Prato A, Faticato MG, Mazzola C, Arrigo S, Mattioli G, Arnoldi R, Mosconi M. Intrasphincteric Botox injections in Hirschsprung's disease: indications and outcome in 64 procedures over a ten-year period. Minerva Pediatr (Torino) 2023; 75:482-489. [PMID: 30419742 DOI: 10.23736/s2724-5276.18.05238-6] [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: 07/20/2023]
Abstract
BACKGROUND Intrasphincteric botulinum toxin (Botox) injection for symptomatic postoperative anal achalasia in Hirschsprung's disease (HSCR) has found wide application in the last twenty years. The aim of this study was to describe effectiveness and functional outcome of a series of patients treated over a 10-year period. METHODS All consecutive HSCR patients who received intrasphincteric Botox injections between January 2007 and December 2016 were included. Demographic data and clinical features were collected. A detailed questionnaire focusing on outcome in the medium and long-term was administered to all families. RESULTS In the study period 64 intrasphincteric Botox injections were performed in 31 patients. Completed questionnaires were returned by 27 out of 28 eligible patients (96%) reporting improvement or symptoms resolution in 16 (59%). The highest success rates were experienced by patients younger than 4, with long HSCR forms and with recurrent enterocolitis (75%, 100% and 100% of success rates, respectively). No major complications occurred. Minor complications were described by 7 patients (26%). CONCLUSIONS Intrasphincteric Botox injection proved to be feasible, safe and reasonably effective in children with HSCR and postoperative anal achalasia. Infants and toddlers with long HSCR forms and recurrent bouts of enterocolitis are those who would benefit most from this treatment.
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Affiliation(s)
- Alessio Pini Prato
- Unit of Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy -
| | - Maria G Faticato
- Department of Pediatric Surgery, Institute for Scientific Research, Giannina Gaslini Children's Hospital, Genoa, Italy
- Department of Neuroscience, Ophthalmology, Rehabilitation, Genetics and Maternal-Infant Science - DINOGMI, University of Genoa, Genoa, Italy
| | - Cinzia Mazzola
- Department of Pediatric Surgery, Institute for Scientific Research, Giannina Gaslini Children's Hospital, Genoa, Italy
| | - Serena Arrigo
- Unit of Pediatric Gastroenterology, Institute for Scientific Research, Giannina Gaslini Children's Hospital, Genoa, Italy
| | - Girolamo Mattioli
- Department of Pediatric Surgery, Institute for Scientific Research, Giannina Gaslini Children's Hospital, Genoa, Italy
- Department of Neuroscience, Ophthalmology, Rehabilitation, Genetics and Maternal-Infant Science - DINOGMI, University of Genoa, Genoa, Italy
| | - Rossella Arnoldi
- Unit of Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Manuela Mosconi
- Department of Pediatric Surgery, Institute for Scientific Research, Giannina Gaslini Children's Hospital, Genoa, Italy
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Mazzoli F, Cassioli E, Ristori J, Castellini G, Rossi E, Cocchetti C, Romani A, Angotti T, Giovanardi G, Mosconi M, Lingiardi V, Speranza AM, Ricca V, Vignozzi L, Maggi M, Fisher AD. Apparent autistic traits in transgender people: a prospective study of the impact of gender-affirming hormonal treatment. J Endocrinol Invest 2022; 45:2059-2068. [PMID: 35779204 PMCID: PMC9525411 DOI: 10.1007/s40618-022-01835-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 05/29/2022] [Indexed: 11/25/2022]
Abstract
PURPOSE We evaluated differences in Autism Spectrum Quotient (AQ) scores between a sample of hormone-naïve transgender and cisgender people and the impact of gender-affirming hormonal treatment (GAHT) on AQ scores across time. Furthermore, we assessed alexithymia and social anxiety as possible mediators of changes in AQ scores. METHODS A cross-sectional comparison between cisgender and transgender people before GAHT and a prospective study on the effects of GAHT over time were performed. Transgender and cisgender people completed several psychometric tests. A total sample of 789 persons (n = 229 cismen; n = 172 ciswomen; n = 206 transmen; n = 182 transwomen) referring to the Florence and Rome Gender Clinics between 2018 and 2020 was enrolled. Of these, 62 participants referring to the Florence Gender Clinic were evaluated in a prospective study at baseline and 12 months after GAHT. RESULTS Groups showed significant differences in terms of autistic traits: ciswomen showed lower scores of AQ, while cismen reported higher scores of AQ than all other groups. Transgender individuals showed significant higher levels of Gender Dysphoria (GD), body uneasiness, alexithymia and social anxiety, compared to cisgender ones. No significant differences in general psychopathology were found between groups. Across time, transmen and transwomen showed a significant reduction in AQ scores. The decrease in alexithymia and social anxiety after GAHT did not predict the change in AQ scores. CONCLUSIONS The autistic traits in our sample may represent an epiphenomenon of GD rather than being part of an Autism Spectrum Disorder (ASD) condition, since they significantly decreased after 12 months of GAHT.
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Affiliation(s)
- F Mazzoli
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - E Cassioli
- Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy
| | - J Ristori
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - G Castellini
- Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy
| | - E Rossi
- Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy
| | - C Cocchetti
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - A Romani
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - T Angotti
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - G Giovanardi
- Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - M Mosconi
- Azienda Ospedaliera San Camillo Forlanini, Rome, Italy
| | - V Lingiardi
- Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - A M Speranza
- Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - V Ricca
- Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy
| | - L Vignozzi
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - M Maggi
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy
| | - A D Fisher
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence University Hospital, Florence, Italy.
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy.
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5
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Parisi F, De Luca G, Rossi G, Coco S, Dellepiane C, Bennicelli E, Zinoli L, Zullo L, Alama A, Mosconi M, Mora M, Ballestrero A, Montecucco F, Marconi S, Pronzato P, Del Mastro L, Nozza P, Bellodi A, Dono M, Genova C. 1099P Front-line liquid biopsy for early molecular assessment and treatment of hospitalized lung cancer patients. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1224] [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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Fisher AD, Senofonte G, Cocchetti C, Guercio G, Lingiardi V, Meriggiola MC, Mosconi M, Motta G, Ristori J, Speranza AM, Pierdominici M, Maggi M, Corona G, Lombardo F. SIGIS-SIAMS-SIE position statement of gender affirming hormonal treatment in transgender and non-binary people. J Endocrinol Invest 2022; 45:657-673. [PMID: 34677807 DOI: 10.1007/s40618-021-01694-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 10/10/2021] [Indexed: 01/29/2023]
Abstract
PURPOSE Gender Incongruence (GI) is a marked and persistent incongruence between an individual's experienced and the assigned gender at birth. In the recent years, there has been a considerable evolution and change in attitude as regards to gender nonconforming people. METHODS According to the Italian Society of Gender, Identity and Health (SIGIS), the Italian Society of Andrology and Sexual Medicine (SIAMS) and the Italian Society of Endocrinology (SIE) rules, a team of experts on the topic has been nominated by a SIGIS-SIAMS-SIE Guideline Board on the basis of their recognized clinical and research expertise in the field, and coordinated by a senior author, has prepared this Position statement. Later on, the present manuscript has been submitted to the Journal of Endocrinological Investigation for the normal process of international peer reviewing after a first internal revision process made by the SIGIS-SIAMS-SIE Guideline Board. RESULTS In the present document by the SIGIS-SIAMS-SIE group, we propose experts opinions concerning the psychological functioning, gender affirming hormonal treatment, safety concerns, emerging issues in transgender healthcare (sexual health, fertility issues, elderly trans people), and an Italian law overview aimed to improve gender non-conforming people care. CONCLUSION In this Position statement, we propose experts opinions concerning the psychological functioning of transgender people, the gender-affirming hormonal treatment (full/partial masculinization in assigned female at birth trans people, full/partial feminization and de-masculinization in assigned male at birth trans people), the emerging issues in transgender health care aimed to improve patient care. We have also included an overview of Italian law about gender affirming surgery and registry rectification.
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Affiliation(s)
- A D Fisher
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Viale Pieraccini 6, 50139, Florence, Italy
| | - G Senofonte
- Laboratory of Seminology, Sperm Bank "Loredana Gandini", Department of Experimental Medicine, Sapienza University of Rome, 00185, Rome, Italy
| | - C Cocchetti
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Viale Pieraccini 6, 50139, Florence, Italy
| | - G Guercio
- Studio Legale Avv. Giovanni Guercio, Via Antonio Mordini, 14, 00195, Rome, Italy
| | - V Lingiardi
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Via degli Apuli 1, 00185, Roma, Italy
| | - M C Meriggiola
- Gynecology and Physiopathology of Human Reproduction, Department of Medical and Surgical Sciences (DIMEC), IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy
| | - M Mosconi
- Gender Identity Development Service, Hospital S. Camillo-Forlanini, Rome, Italy
| | - G Motta
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - J Ristori
- Andrology, Women's Endocrinology and Gender Incongruence Unit, Florence University Hospital, Viale Pieraccini 6, 50139, Florence, Italy
| | - A M Speranza
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Via degli Apuli 1, 00185, Roma, Italy
| | - M Pierdominici
- Center for Gender Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - M Maggi
- Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, Viale Pieraccini 6, 50139, Florence, Italy
| | - G Corona
- Endocrinology Unit, Medical Department, Maggiore-Bellaria Hospital, Azienda-Usl, Bologna, Italy
| | - F Lombardo
- Laboratory of Seminology, Sperm Bank "Loredana Gandini", Department of Experimental Medicine, Sapienza University of Rome, 00185, Rome, Italy.
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Biassoni R, Di Marco E, Squillario M, Ugolotti E, Mosconi M, Faticato MG, Mattioli G, Avanzini S, Pini Prato A. Pathways and microbiome modifications related to surgery and enterocolitis in Hirschsprung disease. Pediatr Surg Int 2022; 38:83-98. [PMID: 34677676 DOI: 10.1007/s00383-021-05012-y] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/11/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Hirschsprung disease (HSCR) is a congenital anomaly of the enteric nervous system. Abnormal microbiome composition was reported in HSCR patients. In this study, we addressed and analyzed microbiome modifications with relation tosurgery and HSCR associated enterocolitis (HAEC). METHODS The faecal microbiome of 31 HSCR patients (overall 64 samples) was analyzed. HAEC was diagnosed and classified according to a combination of Pastor's and Elhalabi's criteria. Stool samples were analyzed by 16S sequencing (7 out of 9 polymorphic regions). Compositional and relative abundance profiles, as well as the functional potentials of the microbial community, were analyzed with the marker gene sequencing profiles using PICRUSt. RESULTS The relative abundance of Bacteroidetes showed a severe decrease with slow recovery after surgery. Conversely, Proteobacteria transiently increased their abundance. Noteworthy, a strong linkage has been found between Proteobacteria descendants and HAEC occurrences. The inferred functional analysis indicated that virulence factors and fimbriae or pili might be associated with HAEC. CONCLUSIONS Our study, addressing microbiome dynamics, demonstrated relevant changes after surgical manipulation. Alpha-diversity analyses indicated that surgery deeply affects microbiome composition. Proteobacteria and Enterobacteriaceae seem to play a pivotal role in HAEC occurrences. Several virulence factors, such as fimbriae or pili, might explain the HAEC-predisposing potential of selected microbiomes. These results suggest some innovative therapeutic approaches that deserve to be tested in appropriate clinical trials.
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Affiliation(s)
- Roberto Biassoni
- IRCCS Istituto Giannina Gaslini, Genova, Italy. .,Dipartimento Ricerca Traslazionale, Medicina Di Laboratorio, Diagnostica E Servizi, U.O.C. Laboratorio Analisi- U.O.S. Diagnostica Molecolare, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genova, Italy.
| | | | | | | | | | - Maria Grazia Faticato
- Umberto Bosio Center for Digestive Diseases, The Children Hospital, Azienda Ospedaliera SS Antonio E Biagio E Cesare Arrigo, Alessandria, Italy
| | - Girolamo Mattioli
- Umberto Bosio Center for Digestive Diseases, The Children Hospital, Azienda Ospedaliera SS Antonio E Biagio E Cesare Arrigo, Alessandria, Italy
| | | | - Alessio Pini Prato
- Umberto Bosio Center for Digestive Diseases, The Children Hospital, Azienda Ospedaliera SS Antonio E Biagio E Cesare Arrigo, Alessandria, Italy
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Castelli A, Jannelli E, Calderoni EF, Galanzino G, Ivone A, Caliogna L, Klersy C, Pasta G, Mosconi M, Benazzo F, Zanon G. MPFL reconstruction and tibial tuberosity transposition in patients with patellar instability: May it troubleshots also trochlear dysplasia? J Exp Orthop 2021; 8:98. [PMID: 34716851 PMCID: PMC8557225 DOI: 10.1186/s40634-021-00392-5] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 08/19/2021] [Indexed: 02/08/2023] Open
Abstract
Purpose This study aimed to highlight short- and medium-term outcomes of combined medial patello-femoral ligament (MPFL) reconstruction and anterior tibial tuberosity (ATT) transposition surgery in patients with recurrent patellar instability and different degrees of trochlear dysplasia. Methods Between January 2014 and May 2019, 25 patients with patellar instability underwent a surgical procedure combining the lowering/transposition of the ATT and the MPFL reconstruction. Each patient were preoperative assessed by Kujala score, International Knee Documentation Committee (IKDC), Tegner activity level scale. The assessment of instability predisposing factors was carried out with patellar height, tibial tuberosity-trochlear groove (TT-TG) distance, trochlear dysplasia, sulcus angle, patellar tilt and MPFL injuries. Functional outcomes were evaluated with Kujala, IKDC and Tegner scores at 3, 6 and 12 months after surgery. Results The average age of the patients was 20 years (range 13–43 years). Pre- operative Caton–Deschamps index was pathological in 10 (40%). Sulcus angle was elevated in 13 patients (52%) and TT-TG distance was irregular in 17 patients (68%). Trochlear dysplasia was present in 13 patients (9 type A, 3 type B, 1 type C according to Dejour’s Classification). No re-dislocation occurred during the follow-up. There was a significant increase in the Kujala, IKDC and Lysholm scores after 3, 6 and 12 months, and the results were compared for the different follow-up times and patient’s trochlear dysplasia degree. Conclusion This prospective observational longitudinal study identified good clinical outcomes in patients who underwent MPFL reconstruction and ATT transposition for patellar instability. Finally, the different risk factors for patellar instability examined, particularly the presence of trochlear dysplasia, did not significantly influence the final functional results, which range from good to excellent without re-dislocation episodes.
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Affiliation(s)
- A Castelli
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Jannelli
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Ferranti Calderoni
- Department of Orthopaedic and Traumatology Surgery, Ospedale Maggiore "Carlo Alberto Pizzardi", Bologna, Italy
| | - G Galanzino
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - A Ivone
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
| | - L Caliogna
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - C Klersy
- Biometrie and Clinical Epidemiology Service, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy
| | - G Pasta
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Mosconi
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - F Benazzo
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - G Zanon
- Department of Orthopaedic and Traumatology Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
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9
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Benazzo F, Jannelli E, Ivone A, Formagnana M, Rossi SM, Ghiara M, Danesino G, Mosconi M. Knee arthroplasty system with medialized keel: Seven-year follow-up of a pioneer cohort. Knee 2020; 27:624-632. [PMID: 32563416 DOI: 10.1016/j.knee.2020.04.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 02/22/2020] [Revised: 04/03/2020] [Accepted: 04/06/2020] [Indexed: 02/05/2023]
Abstract
BACKGROUND In this clinical investigation, a new design with a progressive increased keel medialization according to the size was implanted. The cohort of patients was followed up for seven years. METHODS From May 2012 to November 2012, we implanted 70 total knee arthroplasties in 69 patients. The mean age of the patients was 76.2 years. We followed up 56 patients for seven years; we evaluated the patients at six and 60 months after surgery by Patient Reported Outcome Measures score. During the seven-year follow-up, all patients were clinically re-evaluated using the Knee Society Score and the Forgotten Joint Score. All patients underwent a preoperative and postoperative radiographic investigation. At the last follow-up the presence of any radiolucency lines was checked using the Knee Society Total Knee Arthroplasty Radiographic Evaluation and Scoring System. RESULTS The patients defined the surgical results as excellent in 66% of the cases, very good in 23%, good in five percent. The analysis of the functional data at seven years, performed by administering the Forgotten Joint Score, showed average values of 70.4. The clinical analysis, performed through the Knee Society Score at the same follow-up, showed average values of 90.4. The seven-year radiological analysis revealed the presence of radiolucency lines in 20 implants. The sum of the line widths never exceeded the critical value of nine millimeters, always remaining below four millimeters. Only one patient was revised. CONCLUSIONS The results showed an excellent outcome of this design. The medialization of the tibial keel showed good bone fixation and component alignment at seven-year follow-up.
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Affiliation(s)
- F Benazzo
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
| | - E Jannelli
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
| | - A Ivone
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy.
| | - M Formagnana
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
| | - S M Rossi
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
| | - M Ghiara
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
| | - G Danesino
- Interventional and Diagnostic Radiology and Neuroradiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Mosconi
- Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy
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10
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Cocchetti C, Ristori J, Mazzoli F, Meriggiola M, Jannini E, Manieri C, Mosconi M, Maggi M, Vignozzi L, Fisher A. P-06-6 Prevalence and Correlated Sociodemographic Characteristics of Sexually Transmitted Diseases in Transgender Individuals: An Italian Multicentric Evaluation. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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11
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Pasta G, Jannelli E, Ivone A, Mosconi M, Ferranti Calderoni E, Minen A, Benazzo F, Rodriguez-Merchan EC. The role of six biomarkers in diagnosis of hemophilic arthropathy: review of the literature. J BIOL REG HOMEOS AG 2020; 34:7-13. ADVANCES IN MUSCULOSKELETAL DISEASES AND INFECTIONS - SOTIMI 2019. [PMID: 32856434 DOI: pmid/32856434] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The aim of our narrative review of the literature is to identify the role of six important biomarkers: synovial fluid thrombomodulin, fibroblast-like synoviocytes, synovial tissue growth factor , vascular endothelial growth factor in synovium and peripheral blood, urinary C-terminal telopeptide of type II collagen, and synovial fluid tumor necrosis factor alpha. These urinary, serum and synovial biomarkers illustrated should be evaluated in patients with hemophilic arthropathy for early diagnosis of hemophilic arthropathy, because they have important implications in the development of arthrofibrosis, altered inflammatory response and bleeding. Moreover, better knowledge of their biological activity is important to identify possible new biological treatment options.
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Affiliation(s)
- G Pasta
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Jannelli
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - A Ivone
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Mosconi
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Ferranti Calderoni
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - A Minen
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - F Benazzo
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
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12
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Lantieri F, Gimelli S, Viaggi C, Stathaki E, Malacarne M, Santamaria G, Grossi A, Mosconi M, Sloan-Béna F, Prato AP, Coviello D, Ceccherini I. Copy number variations in candidate genomic regions confirm genetic heterogeneity and parental bias in Hirschsprung disease. Orphanet J Rare Dis 2019; 14:270. [PMID: 31767031 PMCID: PMC6878652 DOI: 10.1186/s13023-019-1205-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Accepted: 09/13/2019] [Indexed: 11/26/2022] Open
Abstract
Background Hirschsprung Disease (HSCR) is a congenital defect of the intestinal innervations characterized by complex inheritance. Many susceptibility genes including RET, the major HSCR gene, and several linked regions and associated loci have been shown to contribute to disease pathogenesis. Nonetheless, a proportion of patients still remains unexplained. Copy Number Variations (CNVs) have already been involved in HSCR, and for this reason we performed Comparative Genomic Hybridization (CGH), using a custom array with high density probes. Results A total of 20 HSCR candidate regions/genes was tested in 55 sporadic patients and four patients with already known chromosomal aberrations. Among 83 calls, 12 variants were experimentally validated, three of which involving the HSCR crucial genes SEMA3A/3D, NRG1, and PHOX2B. Conversely RET involvement in HSCR does not seem to rely on the presence of CNVs while, interestingly, several gains and losses did co-occur with another RET defect, thus confirming that more than one predisposing event is necessary for HSCR to develop. New loci were also shown to be involved, such as ALDH1A2, already found to play a major role in the enteric nervous system. Finally, all the inherited CNVs were of maternal origin. Conclusions Our results confirm a wide genetic heterogeneity in HSCR occurrence and support a role of candidate genes in expression regulation and cell signaling, thus contributing to depict further the molecular complexity of the genomic regions involved in the Enteric Nervous System development. The observed maternal transmission bias for HSCR associated CNVs supports the hypothesis that in females these variants might be more tolerated, requiring additional alterations to develop HSCR disease.
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Affiliation(s)
- Francesca Lantieri
- Dipartimento di Scienze della Salute, sezione di Biostatistica, Universita' degli Studi di Genova, 16132, Genoa, Italy
| | - Stefania Gimelli
- Department of Medical Genetic and Laboratories, University Hospitals of Geneva, Geneva, Switzerland
| | - Chiara Viaggi
- S.C. Laboratorio Genetica Umana, Ospedali Galliera, Genoa, Italy
| | - Elissavet Stathaki
- Department of Medical Genetic and Laboratories, University Hospitals of Geneva, Geneva, Switzerland
| | - Michela Malacarne
- S.C. Laboratorio Genetica Umana, Ospedali Galliera, Genoa, Italy.,Present address: U.O.C. Laboratorio di Genetica Umana, IRCCS Istituto Giannina Gaslini, Genoa, 16148, Italy
| | - Giuseppe Santamaria
- U.O.C. Genetica Medica, IRCCS, Istituto Giannina Gaslini, 16148, Genoa, Italy
| | - Alice Grossi
- U.O.C. Genetica Medica, IRCCS, Istituto Giannina Gaslini, 16148, Genoa, Italy
| | - Manuela Mosconi
- UOC Chirurgia Pediatrica, Istituto Giannina Gaslini, 16148, Genoa, Italy
| | - Frédérique Sloan-Béna
- Department of Medical Genetic and Laboratories, University Hospitals of Geneva, Geneva, Switzerland
| | - Alessio Pini Prato
- UOC Chirurgia Pediatrica, Istituto Giannina Gaslini, 16148, Genoa, Italy.,Present address: Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Domenico Coviello
- S.C. Laboratorio Genetica Umana, Ospedali Galliera, Genoa, Italy.,Present address: U.O.C. Laboratorio di Genetica Umana, IRCCS Istituto Giannina Gaslini, Genoa, 16148, Italy
| | - Isabella Ceccherini
- U.O.C. Genetica Medica, IRCCS, Istituto Giannina Gaslini, 16148, Genoa, Italy.
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13
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Pini Prato A, Arnoldi R, Sgrò A, Felici E, Racca F, Nozza P, Mariani N, Mosconi M, Mazzola C, Mattioli G. Hirschsprung disease and Down syndrome: From the reappraisal of risk factors to the impact of surgery. J Pediatr Surg 2019; 54:1838-1842. [PMID: 30814038 DOI: 10.1016/j.jpedsurg.2019.01.053] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 07/29/2018] [Revised: 01/19/2019] [Accepted: 01/23/2019] [Indexed: 01/22/2023]
Abstract
INTRODUCTION The association of Hirschsprung disease (HSCR) and Down Syndrome (DS) is not uncommon (HSCR+DS). This paper aims at reporting the results of a 24-year series focusing on surgical approach, complications and long term outcome. MATERIALS AND METHODS The notes of all patients admitted with a diagnosis of HSCR+DS have been retrospectively reviewed. Surgical details, intraoperative complications, long term issues and functional outcome have been recorded. The results have been compared to those of patients without DS and were assessed based on surgical approach. RESULTS A total of 23 HSCR+DS out of a series of 385 HSCR (6%) have been included. Preoperative enterocolitis (HAEC) was reported by 32%. Associated anomalies were detected in more than half of the patients. In particular, Congenital Heart Defects (CHDs) were reported by 57%. Postoperative complications (mostly symptomatic anal sphincter achalasia) were experienced by 55%. Constipation was experienced by 30%; severe continence issues, by 53%. One patient suffering from severe CHDs died. With regard to complications, only symptomatic anal achalasia requiring intrasphincteric BoTox injection was significantly more frequent in HSCR+DS (30% vs 10%, p = 0.0071). Similarly, continence proved to be significantly worse in HSCR+DS. DISCUSSION With the exception of symptomatic anal achalasia, HSCR+DS patients proved not to have a higher likelihood of complications compared to HSCR alone. On the other hand, functional results in the long term are worse. As a consequence, long term follow up and personalized rehabilitation programs are warranted for this delicate subset of HSCR patients. LEVEL OF EVIDENCE Level III.
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Affiliation(s)
- Alessio Pini Prato
- Unit of Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
| | - Rossella Arnoldi
- Unit of Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Alberto Sgrò
- Unit of Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Enrico Felici
- Unit of Pediatrics, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Fabrizio Racca
- Unit of Pediatric Anesthesia, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Paolo Nozza
- Pathology Unit, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy; Pathology Unit, Ospedali Galliera, Genova, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Narcisio Mariani
- Pathology Unit, Ospedali Galliera, Genova, Italy; "Umberto Bosio" Center for Digestive Diseases, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Manuela Mosconi
- Unit of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
| | - Cinzia Mazzola
- Unit of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
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14
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Pini Prato A, Bartow-McKenney C, Hudspeth K, Mosconi M, Rossi V, Avanzini S, Faticato MG, Ceccherini I, Lantieri F, Mattioli G, Larson D, Pavan W, De Filippo C, Di Paola M, Mavilio D, Cavalieri D. A Metagenomics Study on Hirschsprung's Disease Associated Enterocolitis: Biodiversity and Gut Microbial Homeostasis Depend on Resection Length and Patient's Clinical History. Front Pediatr 2019; 7:326. [PMID: 31448249 PMCID: PMC6696876 DOI: 10.3389/fped.2019.00326] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 07/19/2019] [Indexed: 12/12/2022] Open
Abstract
Objectives: Since 2010, several researches demonstrated that microbiota dynamics correlate and can even predispose to Hirschsprung (HSCR) associated enterocolitis (HAEC). This study aims at assessing the structure of the microbiota of HSCR patients in relation to extent of aganglionosis and HAEC status. Methods: All consecutive HSCR patients admitted to Gaslini Institute (Genova, Italy) between May 2012 and November 2014 were enrolled. Institutional review board (IRB) approval was obtained. Stools were sampled and 16S rDNA V3-V4 regions were sequenced using the Illumina-MiSeq. Taxonomy assignments were performed using QIIME RDP. Alpha diversity indexes were analyzed by Shannon and Simpson Indexes, and Phylogenetic Diversity. Results: We enrolled 20 patients. Male to female ratio was 4:1. Six patients suffered from Total Colonic Aganglionosis (TCSA). Considering sample site (i.e., extent of aganglionosis), we confirmed the known relationship between sample site and both biodiversity and composition of intestinal microbiota. Patients with TCSA showed lower biodiversity and increased Proteobacteria/Bacteroidetes relative abundance ratio. When addressing biodiversity, composition and dynamics of TCSA patients we could not find any significant relationship with regard to HAEC occurrences. Conclusions: The composition of HAEC predisposing microbiota is specific to each patient. We could confirm that total colon resections can change the composition of intestinal microbiota and to dramatically reduce microbial diversity. The subsequent reduction of system robustness could expose TCSA patients to environmental microbes that might not be part of the normal microbiota. Future long-term studies should investigate both patients and their family environment, as well as their disease history.
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Affiliation(s)
- Alessio Pini Prato
- Division of Pediatric Surgery, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.,Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
| | - Casey Bartow-McKenney
- Department of Dermatology and Microbiology, University of Pennsylvania, Philadelphia, PA, United States
| | - Kelly Hudspeth
- Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Milan, Italy.,Department of Medical Biotechnologies and Translational Medicine (BioMeTra), University of Milan, Milan, Italy
| | - Manuela Mosconi
- Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
| | - Valentina Rossi
- Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
| | - Stefano Avanzini
- Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy
| | - Maria G Faticato
- Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy.,Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Science (DINOGMI), University of Genoa, Genoa, Italy
| | | | - Francesca Lantieri
- Biostatistics Section, Department of Health Science, University of Genoa, Genoa, Italy
| | - Girolamo Mattioli
- Division of Pediatric Surgery, Giannina Gaslini Institute, Genoa, Italy.,Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal and Child Science (DINOGMI), University of Genoa, Genoa, Italy
| | - Denise Larson
- Genomics, Development and Disease Section, National Human Genome Research Institute (NHGRI), National Institutes of Health (NIH), Bethesda, MD, United States
| | - William Pavan
- Genomics, Development and Disease Section, National Human Genome Research Institute (NHGRI), National Institutes of Health (NIH), Bethesda, MD, United States
| | - Carlotta De Filippo
- Institute of Agriculture Biology and Biotechnology, National Research Council, Pisa, Italy
| | - Monica Di Paola
- Department, of Biology, University of Florence, Firenze, Italy
| | - Domenico Mavilio
- Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Milan, Italy.,Department of Medical Biotechnologies and Translational Medicine (BioMeTra), University of Milan, Milan, Italy
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15
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Pini Prato A, Faticato MG, Mazzola C, Arrigo S, Mattioli G, Arnoldi R, Mosconi M. Intrasphincteric BoTox injections in Hirschsprung's disease: indications and outcome in 64 procedures over a ten-year period. Minerva Pediatr 2018:S0026-4946.18.05238-6. [PMID: 30419742 DOI: 10.23736/s0026-4946.18.05238-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Intrasphincteric Botulinum toxin (BoTox) injection for symptomatic postoperative anal achalasia in Hirschsprung's disease (HSCR) has found wide application in the last twenty years. The aim of this study is to describe effectiveness and functional outcome of a series of patients treated over a 10-year period. METHODS All consecutive HSCR patients who received intrasphincteric BoTox injections between January 2007 and December 2016 were included. Demographic data and clinical features were collected. A detailed questionnaire focusing on outcome in the medium and long term was administered to all families. RESULTS In the study period 64 intrasphincteric BoTox injections were performed in 31 patients. Completed questionnaires were returned by 27 out of 28 eligible patients (96%) reporting improvement or symptoms resolution in 16 (59%). The highest success rates were experienced by patients younger than 4, with long HSCR forms and with recurrent enterocolitis (75%, 100% and 100% of success rates, respectively). No major complications occurred. Minor complications were described by 7 patients (26%). CONCLUSIONS Intrasphincteric BoTox injection proved to be feasible, safe and reasonably effective in children with HSCR and postoperative anal achalasia. Infants and toddlers with long HSCR forms and recurrent bouts of enterocolitis are those who would benefit most from this treatment.
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Affiliation(s)
- Alessio Pini Prato
- Pediatric Surgery Unit, The Children Hospital, AON S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy -
| | - Maria Grazia Faticato
- Department of Pediatric Surgery, Giannina Gaslini Children's Hospital, Institute for Scientific Research, Genoa, Italy.,Department of Neuroscience, Ophthalmology, Rehabilitation, Genetics and Maternal-Infant Science (DINOGMI), University of Genoa, Genoa, Italy
| | - Cinzia Mazzola
- Department of Pediatric Surgery, Giannina Gaslini Children's Hospital, Institute for Scientific Research, Genoa, Italy
| | - Serena Arrigo
- Pediatric Gastroenterology Unit, Giannina Gaslini Children's Hospital, Institute for, Scientific Research, Genoa, Italy
| | - Girolamo Mattioli
- Department of Pediatric Surgery, Giannina Gaslini Children's Hospital, Institute for Scientific Research, Genoa, Italy.,Department of Neuroscience, Ophthalmology, Rehabilitation, Genetics and Maternal-Infant Science (DINOGMI), University of Genoa, Genoa, Italy
| | - Rossella Arnoldi
- Pediatric Surgery Unit, The Children Hospital, AON S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Manuela Mosconi
- Department of Pediatric Surgery, Giannina Gaslini Children's Hospital, Institute for Scientific Research, Genoa, Italy
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16
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Pasta G, Vanelli R, Jannelli E, Castelli A, Mosconi M, Preti PS, Ambaglio C, Benazzo F. Primary total knee replacement in hemophiliacs: experience of a single institution over fourteen years of surgical procedures. J BIOL REG HOMEOS AG 2018; 32:145-150. [PMID: 30644295 DOI: pmid/30644295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
This retrospective study reports clinical and functional orthopedic outcomes and complications after 14 primary total knee replacement (TKR) performed between 2000 and 2014. The mean age at surgery was 42 years (range 26-59), with a removal-free survival of 100% at the end of follow-up (months 109.85). The KSS score was 49.64 pre-operatively (range 31-63) and 78.14 at final follow-up (range 45-90), the KSS function score was 64.64 pre-operatively (range 35-80) and 84.57 at final follow-up (range 45-100). According to this study, there are three main factors that can influence long-term and early surgical outcomes: post-operative fibrosis, a previous synovectomy and presence of inhibitors. Even if our results are slightly suboptimal compared to those obtained in non-hemophilic patients, this study shows that TKR is an effective surgical procedure in hemophiliacs.
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Affiliation(s)
- G Pasta
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - R Vanelli
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Jannelli
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - A Castelli
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Mosconi
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.,Università degli Studi di Pavia, Pavia, Italy
| | - P S Preti
- Internal Medicine Department; Hemophilia Center and bleeding congenital disorders, Medicina Generale 2, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - C Ambaglio
- Hemophilia Center and bleeding congenital disorders, Medicina Generale 2, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - F Benazzo
- Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.,Università degli Studi di Pavia, Pavia, Italy
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Dupont E, Otuka N, Cabellos O, Aberle O, Aerts G, Altstadt S, Alvarez H, Alvarez-Velarde F, Andriamonje S, Andrzejewski J, Audouin L, Bacak M, Badurek G, Balibrea J, Barbagallo M, Barros S, Baumann P, Bécares V, Bečvář F, Beinrucker C, Belloni F, Berthier B, Berthoumieux E, Billowes J, Boccone V, Bosnar D, Brown A, Brugger M, Caamaño M, Calviani M, Calviño F, Cano-Ott D, Capote R, Cardella R, Carrapiço C, Casanovas A, Castelluccio D, Cennini P, Cerutti F, Chen Y, Chiaveri E, Chin M, Colonna N, Cortés G, Cortés-Giraldo M, Cosentino L, Couture A, Cox J, Damone L, David S, Deo K, Diakaki M, Dillmann I, Domingo-Pardo C, Dressler R, Dridi W, Duran I, Eleftheriadis C, Embid-Segura M, Fernández-Domínguez B, Ferrant L, Ferrari A, Ferreira P, Finocchiaro P, Fraval K, Frost R, Fujii K, Furman W, Ganesan S, Garcia A, Gawlik A, Gheorghe I, Gilardoni S, Giubrone G, Glodariu T, Göbel K, Gomez-Hornillos M, Goncalves I, Gonzalez-Romero E, Goverdovski A, Gramegna F, Griesmayer E, Guerrero C, Gunsing F, Gurusamy P, Haight R, Harada H, Heftrich T, Heil M, Heinitz S, Hernández-Prieto A, Heyse J, Igashira M, Isaev S, Jenkins D, Jericha E, Kadi Y, Kaeppeler F, Kalamara A, Karadimos D, Karamanis D, Katabuchi T, Kavrigin P, Kerveno M, Ketlerov V, Khryachkov V, Kimura A, Kivel N, Kokkoris M, Konovalov V, Krtička M, Kroll J, Kurtulgil D, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Naour CL, Lerendegui-Marco J, Leong L, Licata M, Meo SL, Lonsdale S, Losito R, Lozano M, Macina D, Manousos A, Marganiec J, Martinez T, Marrone S, Masi A, Massimi C, Mastinu P, Mastromarco M, Matteucci F, Maugeri E, Mazzone A, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Montesano S, Moreau C, Mosconi M, Musumarra A, Negret A, Nolte R, O’Brien S, Oprea A, Palomo-Pinto F, Pancin J, Paradela C, Patronis N, Pavlik A, Pavlopoulos P, Perkowski J, Perrot L, Pigni M, Plag R, Plompen A, Plukis L, Poch A, Porras I, Praena J, Pretel C, Quesada J, Radeck D, Rajeev K, Rauscher T, Reifarth R, Riego A, Robles M, Roman F, Rout P, Rudolf G, Rubbia C, Rullhusen P, Ryan J, Sabaté-Gilarte M, Salgado J, Santos C, Sarchiapone L, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Smith A, Sosnin N, Stamatopoulos A, Stephan C, Suryanarayana S, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tavora L, Terlizzi R, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Versaci R, Vermeulen M, Villamarin D, Vicente M, Vlachoudis V, Vlastou R, Voss F, Wallner A, Walter S, Ware T, Warren S, Weigand M, Weiß C, Wolf C, Wiesher M, Wisshak K, Woods P, Wright T, Žugec P. Dissemination of data measured at the CERN n_TOF facility. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714607002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Fisher AD, Ristori J, Castellini G, Sensi C, Cassioli E, Prunas A, Mosconi M, Vitelli R, Dèttore D, Ricca V, Maggi M. Psychological characteristics of Italian gender dysphoric adolescents: a case-control study. J Endocrinol Invest 2017; 40:953-965. [PMID: 28357782 DOI: 10.1007/s40618-017-0647-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [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: 12/23/2016] [Accepted: 02/21/2017] [Indexed: 01/27/2023]
Abstract
PURPOSE Gender dysphoria (GD) is associated with clinically significant distress and impairment in social, scholastic, and other important areas of functioning, especially when early onset is reported. The aim of the present study is to assess the psychopathological features associated with GD in adolescence, comparing a group of gender dysphoric adolescents (GDs) with a group of non-referred adolescents (NRs), in terms of body uneasiness, suicide risk, psychological functioning, and intensity of GD. METHODS A sample of 46 adolescents with GD and 46 age-matched NRs was evaluated (mean ± SD age = 16.00 ± 1.49 and 16.59 ± 1.11 respectively, p > 0.05). Subjects were asked to complete the Body Uneasiness Test (BUT) to explore body uneasiness, the Youth Self Report (YSR) to measure psychological functioning, the Multi-Attitude Suicide Tendency Scale (MAST) for suicide risk, and the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA) for GD assessment. RESULTS Adolescents with GD reported significantly higher levels of body uneasiness (BUT-GSI, F = 380.13, p < 0.0001), as well as a worse psychological functioning (YSR, F = 13.06 and p < 0.0001 for "total problem scale" and F = 12.53, p = 0.001 for "internalizing" scale) as compared to NRs. When YSR subscales were considered, GDs showed significantly higher scores in the "withdrawal/depression", "anxiety/depression", and "social problems" (all p < 0.0001). In addition, GDs showed significantly higher levels in the "attraction to death" and "repulsion by life" scales and lower scores in the "attraction to life" scale (all p < 0.0001). Finally, GIDYQ-AA score was significantly lower (meaning a higher level of gender dysphoria symptoms) in GDs vs. NRs (p < 0.0001). CONCLUSIONS GD adolescents reported significantly higher body dissatisfaction and suicidal risk compared to NRs. In addition, results confirmed a significant impairment in social psychological functioning in adolescents with GD.
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Affiliation(s)
- A D Fisher
- Sexual Medicine and Andrology Unit, Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy
| | - J Ristori
- Sexual Medicine and Andrology Unit, Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy
| | - G Castellini
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - C Sensi
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - E Cassioli
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - A Prunas
- Dipartimento di Psicologia Milano, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - M Mosconi
- Gender Identity Development Service, Hospital S. Camillo-Forlanini, Rome, Italy
| | - R Vitelli
- Dipartimento di Neuroscienze, Scienze Riproduttive ed Odontostomatologiche Università degli Studi di Napoli Federico II, Naples, Italy
| | - D Dèttore
- Department of Health Sciences, University of Florence, Florence, Italy
| | - V Ricca
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - M Maggi
- Sexual Medicine and Andrology Unit, Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy.
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Ocherashvili A, Bogucarska T, Beck A, Heger G, Mosconi M, Roesgen E, Crochemore JM, Mayorov V, Varasino G, Pedersen B. Detection of Combined n/γ Fission Signatures Induced by an Epithermal Neutron Source. Journal of Nuclear Engineering and Radiation Science 2017. [DOI: 10.1115/1.4036698] [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: 11/08/2022]
Abstract
In this paper, a method is presented for the detection of special nuclear materials (SNMs) in shielded containers, which is both sensitive and applicable under field conditions. The method uses an external pulsed neutron source to induce fission in SNM and subsequent detection of the fast prompt fission neutrons. The detectors surrounding the container under investigation are liquid scintillation detectors able to distinguish gamma rays from fast neutrons by means of pulse shape discrimination method (PSD). One advantage of these detectors, besides the ability for PSD analysis, is that the analog signal from a detection event is of very short duration (typically few tens of nanoseconds). This allows the use of very short coincidence gates for the detection of the prompt fission neutrons in multiple detectors, while benefiting from a low background coincidence rate, yielding a low detection limit. Another principle advantage of this method derives from the fact that the external neutron source is pulsed. By proper time gating, the interrogation can be conducted by epithermal source neutrons only. These neutrons do not appear in the fast neutron signal following the PSD analysis, thus providing a fundamental method for separating the interrogating source neutrons from the sample response in the form of fast fission neutrons. This paper describes laboratory tests with a configuration of eight detectors in the Pulsed Neutron Interrogation Test Assembly (PUNITA). Both the photon and neutron signature for induced fission is observed, and the methods used to isolate these signatures are described and demonstrated.
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Affiliation(s)
- A. Ocherashvili
- Physics Department, Nuclear Research Center Negev (NRCN), P.O. Box 9001, Beer-Sheva 84190, Israel
| | - T. Bogucarska
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - A. Beck
- Physics Department, Nuclear Research Center Negev (NRCN), P.O. Box 9001, Beer-Sheva 84190, Israel
| | - G. Heger
- Israel Atomic Energy Commission (IAEC), P.O. Box 7061, Tel Aviv 61070, Israel
| | - M. Mosconi
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - E. Roesgen
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - J.-M. Crochemore
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - V. Mayorov
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - G. Varasino
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
| | - B. Pedersen
- Nuclear Security Unit, Joint Research Centre, Institute for Transuranium Elements (ITU), European Commission, Via Enrico Fermi 2749, Ispra, VA 21027, Italy
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Castellini G, Ristori J, Fisher A, Ristori J, Casale H, Carone N, Fanni E, Mosconi M, Jannini E, Ricca V, Lingiardi V, Maggi M. PS-01-001 Transphobia and homophobia levels in gender dysphoric individuals, general population and health care providers. J Sex Med 2017. [DOI: 10.1016/j.jsxm.2017.03.073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ristori J, Fisher A, Castellini G, Sensi C, Cassioli E, Prunas A, Mosconi M, Vitelli R, Ricca V, Dettore D, Maggi M. PS-01-005 Psychological characteristics of Italian gender dysphoric adolescents: a case control study. J Sex Med 2017. [DOI: 10.1016/j.jsxm.2017.03.075] [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]
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Fisher AD, Castellini G, Ristori J, Casale H, Giovanardi G, Carone N, Fanni E, Mosconi M, Ciocca G, Jannini EA, Ricca V, Lingiardi V, Maggi M. Who has the worst attitudes toward sexual minorities? Comparison of transphobia and homophobia levels in gender dysphoric individuals, the general population and health care providers. J Endocrinol Invest 2017; 40:263-273. [PMID: 27639401 DOI: 10.1007/s40618-016-0552-3] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [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: 07/14/2016] [Accepted: 09/08/2016] [Indexed: 12/12/2022]
Abstract
PURPOSE To date, few studies have addressed attitudes toward transgender individuals. In addition, little is known about health care providers' (HCP) attitudes toward sexual minorities. The aim of the present study is to compare attitudes toward homosexual and transgender individuals between gender dysphoric individuals (GDs), general population controls (C) and HCP. METHODS A total of 310 subjects were considered, including 122 GDs (63 transwomen and 59 transmen), 53 heterosexual HCP (26 males and 27 females) and 135 C. Participants completed the Modern Homophobia Scale (MHS) and the Attitudes Toward Transgendered Individuals Scale (ATTI) in order to assess attitudes toward gay men and lesbian women and toward transgender individuals, respectively. In addition, GDs completed the Gender Identity/Gender Dysphoria Questionnaire (GIDYQ-AA) and ATTI to measure, respectively, gender dysphoria levels and internalized transphobia. Religious attitudes were evaluated by means of the Religious Fundamentalism Scale (RFS), and Discrimination and Stigma Scale (DISC-12) was used to measure perceived discrimination. RESULTS (1) Men showed significantly higher levels of homophobia and transphobia when compared to women (p < 0.001); (2) perceived discrimination was higher in lesbian women compared to gay men and in transwomen compared to transmen (p < 0.001 and p < 0.05, respectively); and (3) religious fundamentalism was associated with both homophobia and transphobia (both p < 0.001). CONCLUSIONS Our results underline the need to promote awareness and acceptance of the sexual minorities, who are more at risk of discriminatory attitudes, which are strongly dependent on religious precepts and dogma.
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Affiliation(s)
- A D Fisher
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy
| | - G Castellini
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - J Ristori
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy
| | - H Casale
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy
| | - G Giovanardi
- Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - N Carone
- Department of Developmental and Social Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - E Fanni
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy
| | - M Mosconi
- Gender Identity Development Service, Hospital S. Camillo-Forlanini, Rome, Italy
| | - G Ciocca
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - E A Jannini
- Chair of Endocrinology and Medical Sexology, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - V Ricca
- Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - V Lingiardi
- Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - M Maggi
- Department of Experimental, Clinical and Biomedical Sciences, Sexual Medicine and Andrology Unit, University of Florence, Florence, Italy.
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Rossi V, Mosconi M, Nozza P, Murgia D, Mattioli G, Ceccherini I, Pini Prato A. Chronic intestinal pseudo-obstruction in a child harboring a founder Hirschsprung RET mutation. Am J Med Genet A 2016; 170:2400-3. [PMID: 27273837 DOI: 10.1002/ajmg.a.37787] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 11/27/2015] [Accepted: 05/21/2016] [Indexed: 11/11/2022]
Abstract
Chronic intestinal pseudo obstruction (CIPO) is a rare clinical entity characterized by symptoms and signs of intestinal obstruction without either recognizable anatomical abnormalities or intestinal aganglionosis. A Chinese female infant presented to our institution with a clinical diagnosis of CIPO. Aganglionosis was ruled out by full thickness colonic and ileal biopsies and by rectal suction biopsies. Unexpectedly, direct sequencing and PCR amplification of RET proto-oncogene from peripheral blood extracted DNA identified a RET R114H mutation. This mutation has already been reported as strongly associated with Asian patients affected by Hirschsprung's disease (HSCR) and is considered a founder mutation in Asia. The same mutation has never been reported in patients with CIPO, so far. These findings support the role of RET in the development of the enteric nervous system but underline the importance of other genetic or environmental factors contributing to the gastrointestinal phenotype of the disease. Somehow, this RET R114H mutation proved to have a role in the etiology of both CIPO and HSCR and could contribute to a more diffuse imbalance of gut dysmotility. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Valentina Rossi
- Istituto Giannina Gaslini, Genoa, Italy.,DINOGMI, University of Genoa, Genoa, Italy
| | | | | | | | - Girolamo Mattioli
- Istituto Giannina Gaslini, Genoa, Italy.,DINOGMI, University of Genoa, Genoa, Italy
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Fisher A, Ristori J, Castellini G, Sensi C, Mosconi M, Lavaggi M, Ricca V, Maggi M. HP-03-006 Psychological characteristics of gender dysphoric adolescents sample compared to a control group. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Diakaki M, Audouin L, Berthoumieux E, Calviani M, Colonna N, Dupont E, Duran I, Gunsing F, Leal-Cidoncha E, Le Naour C, Leong L, Mastromarco M, Paradela C, Tarrio D, Tassan-Got L, Aerts G, Altstadt S, Alvarez H, Alvarez-Velarde F, Andriamonje S, Andrzejewski J, Badurek G, Barbagallo M, Baumann P, Becares V, Becvar F, Belloni F, Berthier B, Billowes J, Boccone V, Bosnar D, Brugger M, Calvino F, Cano-Ott D, Capote R, Carrapiço C, Cennini P, Cerutti F, Chiaveri E, Chin M, Cortes G, Cortes-Giraldo M, Cosentino L, Couture A, Cox J, David S, Dillmann I, Domingo-Pardo C, Dressler R, Dridi W, Eleftheriadis C, Embid-Segura M, Ferrant L, Ferrari A, Finocchiaro P, Fraval K, Fujii K, Furman W, Ganesan S, Garcia A, Giubrone G, Gomez-Hornillos M, Goncalves I, Gonzalez-Romero E, Goverdovski A, Gramegna F, Griesmayer E, Guerrero C, Gurusamy P, Haight R, Heil M, Heinitz S, Igashira M, Isaev S, Jenkins D, Jericha E, Kadi Y, Kaeppeler F, Karadimos D, Karamanis D, Kerveno M, Ketlerov V, Kivel N, Kokkoris M, Konovalov V, Krticka M, Kroll J, Lampoudis C, Langer C, Lederer C, Leeb H, Lo Meo S, Losito R, Lozano M, Manousos A, Marganiec J, Martinez T, Marrone S, Massimi C, Mastinu P, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Moreau C, Mosconi M, Musumarra A, O’Brien S, Pancin J, Patronis N, Pavlik A, Pavlopoulos P, Perkowski J, Perrot L, Pigni M, Plag R, Plompen A, Plukis L, Poch A, Pretel C, Praena J, Quesada J, Rauscher T, Reifarth R, Riego A, Roman F, Rudolf G, Rubbia C, Rullhusen P, Salgado J, Santos C, Sarchiapone L, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Stephan C, Tagliente G, Tain J, Tavora L, Terlizzi R, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Versaci R, Vermeulen M, Villamarin D, Vincente M, Vlachoudis V, Vlastou R, Voss F, Wallner A, Walter S, Ware T, Weigand M, Weiß C, Wiesher M, Wisshak K, Wright T, Zugec P. Towards the high-accuracy determination of the238U fission cross section at the threshold region at CERN – n_TOF. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611102002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Paradela C, Duran I, Tassan-Got L, Audouin L, Berthier B, Isaev S, Le Naour C, Stephan C, Tarrío D, Abbondanno U, Aerts G, Álvarez-Pol H, Álvarez-Velarde F, Andriamonje S, Andrzejewski J, Badurek G, Baumann P, Becvar F, Berthoumieux E, Calviño F, Calviani M, Cano-Ott D, Capote R, Carrapiço C, Cennini P, Chepel V, Chiaveri E, Colonna N, Cortes G, Couture A, Cox J, Dahlfors M, David S, Dillmann I, Domingo-Pardo C, Dridi W, Eleftheriadis C, Embid-Segura M, Ferrant L, Ferrari A, Ferreira-Marques R, Fujii K, Furman W, Gonçalves I, Gonzalez-Romero E, Goverdovski A, Gramegna F, Guerrero C, Gunsing F, Haight R, Heil M, Igashira M, Jericha E, Kadi Y, Kaeppeler F, Karadimos D, Kerveno M, Ketlerov V, Koehler P, Konovalov V, Krticka M, Lampoudis C, Lederer C, Leeb H, Lindote A, Lukic S, Marganiec J, Martinez T, Marrone S, Massimi C, Mastinu P, Mengoni A, Milazzo P, Moreau C, Mosconi M, Pancin SJ, Pavlik A, Pavlopoulos P, Perrot L, Plag R, Plompen A, Plukis A, Poch A, Pretel C, Praena J, Quesada J, Rauscher T, Reifarth R, Rubbia C, Rudolf G, Rullhusen P, Salgado J, Santos C, Sarchiapone L, Savvidis I, Tagliente G, Tain J, Tavora L, Terlizzi R, Vaz P, Ventura A, Villamarin D, Vincente M, Vlachoudis V, Vlastou R, Voss F, Walter S, Weiss C, Wiesher M, Wisshak K. High accuracy235U(n,f) data in the resonance energy region. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611102003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pini Prato A, Rossi V, Mosconi M, Disma N, Mameli L, Montobbio G, Michelazzi A, Faranda F, Avanzini S, Buffa P, Ramenghi L, Tuo P, Mattioli G. Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration. Pediatr Surg Int 2015; 31:131-6. [PMID: 25381589 DOI: 10.1007/s00383-014-3638-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [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] [Accepted: 11/03/2014] [Indexed: 11/30/2022]
Abstract
BACKGROUND/PURPOSE Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration. METHODS This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients' charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients' relatives to confirm the long-term outcome. RESULTS One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months-7.5 years). Thirteen patients (13/124 = 10.5 %) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p < 0.05). We observed 10 % of complications, including 2.7 % testicular atrophy and 4.5 % recurrence. Atrophy proved to occur more frequently in patients who experienced preoperative incarceration (p < 0.05). No other risk factors were identified. CONCLUSIONS The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.
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Affiliation(s)
- A Pini Prato
- Paediatric Surgery Unit, Istituto Giannina Gaslini, Genoa, Italy,
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Tuo G, Pini Prato A, Derchi M, Mosconi M, Mattioli G, Marasini M. Hirschsprung's Disease and Associated Congenital Heart Defects: A Prospective Observational Study from a Single Institution. Front Pediatr 2014; 2:99. [PMID: 25279367 PMCID: PMC4166232 DOI: 10.3389/fped.2014.00099] [Citation(s) in RCA: 10] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 09/01/2014] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE To define the prevalence and characteristics of associated congenital heart diseases (CHDs) in patients with Hirschsprung's disease (HSCR). METHOD All patients with a histological diagnosis of HSCR admitted to our hospital between January 2010 and December 2013 were included in this prospective observational study and underwent cardiovascular screening. Cardiac anatomy was assessed by a segmental echocardiographic approach. Measurements of aortic root and left ventricular dimensions, wall thickness, and function were obtained. CHDs requiring a percutaneous or surgical intervention were described as major heart diseases. RESULTS One hundred thirty-three consecutive patients were enrolled at median age of 2.3 years. Eleven patients (8.3%) presented an associated heart disease. Moreover, five patients had mild dilatation of aortic root. Six out of 11 (4.5%) patients had a major CHDs requiring surgical repair. CONCLUSION Prevalence of associated CHDs was slightly higher than in previous papers, and mostly represented by septal defects. Four out of six patients with major heart disease had also a chromosomal anomaly. If we do not consider the subpopulation of patients with a chromosomal anomaly, cardiac defects were present in 3.8% of the patients. Based on these results, we suggest to perform routine echocardiogram in all Hirschsprung patients, with or without associated chromosomal syndromes.
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Affiliation(s)
- Giulia Tuo
- Department of Pediatric Cardiology, Istituto Giannina Gaslini, Genoa, Italy
| | - Alessio Pini Prato
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Genoa, Italy
| | - Maria Derchi
- Department of Pediatric Cardiology, Istituto Giannina Gaslini, Genoa, Italy
| | - Manuela Mosconi
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Genoa, Italy
| | - Girolamo Mattioli
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Genoa, Italy
- Department of Neuroscience, Ophthalmology, Rehabilitation, Genetics and Maternal-Infant Science (DINOGMI), University of Genoa, Genoa, Italy
| | - Maurizio Marasini
- Department of Pediatric Cardiology, Istituto Giannina Gaslini, Genoa, Italy
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Fisher AD, Ristori J, Bandini E, Giordano S, Mosconi M, Jannini EA, Greggio NA, Godano A, Manieri C, Meriggiola C, Ricca V, Dettore D, Maggi M. Medical treatment in gender dysphoric adolescents endorsed by SIAMS-SIE-SIEDP-ONIG. J Endocrinol Invest 2014; 37:675-87. [PMID: 24862877 DOI: 10.1007/s40618-014-0077-6] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Accepted: 03/27/2014] [Indexed: 12/30/2022]
Abstract
PURPOSE Despite international guidelines being available, not all gender clinics are able to face gender dysphoric (GD) youth population needs specifically. This is particularly true in Italy. Centers offering specialized support are relatively few and a commonly accepted Italian approach to GD youth has still not been defined. The aim of the present Position Statement is to develop and adhere to Italian guidelines for treatment of GD adolescents, in line with the "Dutch Approach", the Endocrine Society (ES), and the World Professional Association for Transgender Health (WPATH) guidelines. METHODS An in-depth brainstorming on the application of International guidelines in the Italian context was performed by several dedicated professionals. RESULTS A staged approach, combining psychological support as well as medical intervention is suggested. In the first phase, individuals requesting medical help will undergo a psycho-diagnostic procedure to assess GD; for eligible adolescents, pubertal suppression should be made available (extended diagnostic phase). Finally, from the age of 16 years, cross-sex hormonal therapy can be added, and from the age of 18 years, surgical sex reassignment can eventually be performed. CONCLUSIONS The current inadequacy of Italian services offering specialized support for GD youth may lead to negative consequences. Omitting or delaying treatment is not a neutral option. In fact, some GD adolescents may develop psychiatric problems, suicidality, and social marginalization. With access to specialized GD services, emotional problems, as well as self-harming behavior, may decrease and general functioning may significantly improve. In particular, puberty suppression seems to be beneficial for GD adolescents by relieving their acute suffering and distress and thus improving their quality of life.
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Affiliation(s)
- A D Fisher
- Sexual Medicine and Andrology Unit, Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Viale Pieraccini 6, 50139, Florence, Italy,
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Pini Prato A, Rossi V, Mosconi M, Holm C, Lantieri F, Griseri P, Ceccherini I, Mavilio D, Jasonni V, Tuo G, Derchi M, Marasini M, Magnano G, Granata C, Ghiggeri G, Priolo E, Sposetti L, Porcu A, Buffa P, Mattioli G. A prospective observational study of associated anomalies in Hirschsprung's disease. Orphanet J Rare Dis 2013; 8:184. [PMID: 24267509 PMCID: PMC4222065 DOI: 10.1186/1750-1172-8-184] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2013] [Accepted: 11/21/2013] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Associated anomalies have been reported in around 20% of Hirschsprung patients but many Authors suggested a measure of underestimation. We therefore implemented a prospective observational study on 106 consecutive HSCR patients aimed at defining the percentage of associated anomalies and implementing a personalized and up-to-date diagnostic algorithm. METHODS After Institutional Ethical Committee approval, 106 consecutive Hirschsprung patients admitted to our Institution between January 2010 and December 2012 were included. All families were asked to sign a specific Informed Consent form and in case of acceptance each patient underwent an advanced diagnostic algorithm, including renal ultrasound scan (US), cardiologic assessment with cardiac US, cerebral US, audiometry, ENT and ophthalmologic assessments plus further specialist evaluations based on specific clinical features. RESULTS Male to female ratio of our series of patients was 3,4:1. Aganglionosis was confined to the rectosigmoid colon (classic forms) in 74,5% of cases. We detected 112 associated anomalies in 61 (57,5%) patients. The percentage did not significantly differ according to gender or length of aganglionosis. Overall, 43,4% of patients complained ophthalmologic issues (mostly refraction anomalies), 9,4% visual impairment, 20,7% congenital anomalies of the kidney and urinary tract, 4,7% congenital heart disease, 4,7% hearing impairment or deafness, 2,3% central nervous system anomalies, 8,5% chromosomal abnormalities or syndromes and 12,3% other associated anomalies. CONCLUSIONS Our study confirmed the underestimation of certain associated anomalies in Hirschsprung patients, such as hearing impairment and congenital anomalies of the kidney and urinary tract. Subsequently, based on our results we strongly suggest performing renal US and audiometry in all patients. Conversely, ophthalmologic assessment and cerebral and heart US can be performed according to guidelines applied to the general population or in case of patients with suspected clinical features or chromosomal abnormalities. This updated diagnostic algorithm aims at improving overall outcome thanks to better prognostic expectations, prevention strategies and early rehabilitation modalities. The investigation of genetic background of patients with associated anomalies might be the next step to explore this intriguing multifactorial congenital disease.
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Affiliation(s)
- Alessio Pini Prato
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
| | - Valentina Rossi
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
- DINOGMI, Università di Genova, Genova, Italy
| | - Manuela Mosconi
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
| | - Catarina Holm
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
| | - Francesca Lantieri
- Department of Health Science, Biostatistics Section, Università di Genova, Genova, Italy
| | - Paola Griseri
- UOC Medical Genetics, Istituto Giannina Gaslini, Genoa, Italy
| | | | - Domenico Mavilio
- Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy
- Department of Medical Biotechnologies and Translational Medicine, University of Milan, Milan, Italy
| | - Vincenzo Jasonni
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
| | - Giulia Tuo
- Cardiovascular Department, Istituto Giannina Gaslini, Genoa, Italy
| | - Maria Derchi
- Cardiovascular Department, Istituto Giannina Gaslini, Genoa, Italy
| | | | | | | | | | - Enrico Priolo
- Ophthalmology Unit, Istituto Giannina Gaslini, Genoa, Italy
| | | | - Adelina Porcu
- Otorhinolaryngology Unit, Giannina Gaslini Institute, Genoa, Italy
| | - Piero Buffa
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
| | - Girolamo Mattioli
- Department of Pediatric Surgery, Istituto Giannina Gaslini, Largo G. Gaslini, 5, 16100 Genoa, Italy
- DINOGMI, Università di Genova, Genova, Italy
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Pezzolo A, Parodi F, Marimpietri D, Raffaghello L, Cocco C, Pistorio A, Mosconi M, Gambini C, Cilli M, Deaglio S, Malavasi F, Pistoia V. Oct-4+/Tenascin C+ neuroblastoma cells serve as progenitors of tumor-derived endothelial cells. Cell Res 2011; 21:1470-86. [PMID: 21403679 DOI: 10.1038/cr.2011.38] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Neuroblastoma (NB)-associated endothelial microvessels (EMs) may be lined by tumor-derived endothelial cells (TECs), that are genetically unstable and chemoresistant. Here we have addressed the identification of TEC progenitors in NB by focusing on Octamer-binding transcription factor 4 (Oct-4) as a putative marker. Oct-4(+) cells were detected in primary NB samples (n = 23), metastatic bone marrow aspirates (n = 10), NB cell lines (n = 4), and orthotopic tumors (n = 10) formed by the HTLA-230 NB cell line in immunodeficient mice. Most Oct-4(+) cells showed a perivascular distribution, with 5% of them homing in perinecrotic areas. All Oct-4(+) cells were tumor-derived since they shared amplification of MYCN oncogene with malignant cells. Perivascular Oct-4(+) cells expressed stem cell-related, neural progenitor-related and NB-related markers, including surface Tenascin C (TNC), that was absent from perinecrotic Oct-4(+) cells and bulk tumor cells. TNC(+) but not TNC(-) HTLA-230 cells differentiated in vitro into endothelial-like cells expressing vascular-endothelial-cadherin, prostate-specific membrane antigen and CD31 upon culture in medium containing vascular endothelial growth factor (VEGF). TNC(+) but not TNC(-) HTLA-230 cells formed neurospheres when cultured in serum-free medium. Both cell fractions were tumorigenic, but only tumors formed by TNC(+) cells contained EMs lined by TECs. In conclusion, we have identified in NB tumors two putative niches containing Oct-4(+) tumor cells. Oct-4(+)/TNC(+) perivascular NB cells displayed a high degree of plasticity and served as progenitors of TECs. Therapeutic targeting of Oct4(+)/TNC(+) progenitors may counteract the contribution of NB-derived ECs to tumor relapse and chemoresistance.
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Affiliation(s)
- Annalisa Pezzolo
- Laboratory of Oncology, Istituto Giannina Gaslini, Largo G. Gaslini 5, 16147 Genova-Quarto, Italy.
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Abstract
In an inter-disciplinary collaboration of Physikalisch-Technische Bundesanstalt (PTB), German Collection of Microorganisms and Cell Cultures (DSMZ) and Heinrich-Heine University, live-cell imaging has been established at the charged-particle microbeam facility of PTB. Candidate genes participating in DNA strand-break repair pathways such as PARP-1, MRE11, MSH2, MDC1 and p53BP1 have been modified to generate fluorescent fusion proteins. Using multi-cistronic expression vectors, stable genomic integration was achieved in HT-1080 fibroblasts. The aim of this study is to characterise and use these highly reliable cell lines for studying initial steps of DNA damage responses and kinetics of repair after microbeam irradiation with high- and low-linear energy transfer (LET) particles in living cells at physiological conditions.
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Affiliation(s)
- U Giesen
- Physikalisch-Technische Bundesanstalt, Bundesallee 100, Braunschweig 38116, Germany.
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Schena F, Gambini C, Gregorio A, Mosconi M, Reverberi D, Gattorno M, Casazza S, Uccelli A, Moretta L, Martini A, Traggiai E. Interferon-γ-dependent inhibition of B cell activation by bone marrow-derived mesenchymal stem cells in a murine model of systemic lupus erythematosus. ACTA ACUST UNITED AC 2010; 62:2776-86. [PMID: 20496367 DOI: 10.1002/art.27560] [Citation(s) in RCA: 140] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Bone marrow-derived mesenchymal stem cells (BM-MSCs) are multipotent cells characterized by immunomodulatory properties and are therefore considered a promising tool for the treatment of immune-mediated diseases. This study was undertaken to assess the influence of murine BM-MSCs on the activation of B cells in (NZB × NZW)F(1) mice as an animal model of systemic lupus erythematosus (SLE). METHODS We evaluated the in vitro effects of BM-MSCs on the proliferation and differentiation to plasma cells of splenic mature B cell subsets, namely follicular and marginal zone B cells isolated from (NZB × NZW)F(1) mice. Lupus mice were also treated with BM-MSCs, and serum autoantibodies, proteinuria, histologic changes in the kidney, and survival rates were monitored. RESULTS BM-MSCs inhibited antigen-dependent proliferation and differentiation to plasma cells of follicular and marginal zone B cells in vitro. This inhibitory effect was dependent on interferon-γ (IFNγ) and was mediated by cell-to-cell contact, involving the programmed death 1 (PD-1)/PD ligand pathway. In vivo treatment with BM-MSCs did not affect the levels of anti-double-stranded DNA antibodies or proteinuria. However, a reduction in glomerular immune complex deposition, lymphocytic infiltration, and glomerular proliferation was observed. CONCLUSION Our findings indicate that BM-MSCs affect B cell receptor-dependent activation of both follicular and marginal zone B cells from lupus mice. This inhibitory effect is IFNγ-dependent and cell contact-dependent. MSCs in vivo do not affect the production of autoantibodies, the level of proteinuria, or the mortality rates. Nonetheless, the significant improvement in histologic findings in the kidney supports the potential role of MSCs in the prevention of glomerular damage.
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Tarrío D, Tassan-Got L, Audouin L, Berthier B, Duran I, Ferrant L, Isaev S, Le Naour C, Paradela C, Stephan C, Trubert D, Abbondanno U, Aerts G, Álvarez H, Álvarez-Velarde F, Andriamonje S, Andrzejewski J, Assimakopoulos P, Badurek G, Baumann P, Becvár F, Berthoumieux E, Calviño F, Calviani M, Cano-Ott D, Capote R, Carrapiço C, Cennini P, Chepel V, Chiaveri E, Colonna N, Cortes G, Couture A, Cox J, Dahlfors M, David S, Dillmann I, Domingo-Pardo C, Dridi W, Eleftheriadis C, Embid-Segura M, Ferrari A, Ferreira-Marques R, Fujii K, Furman W, Gonçalves I, González-Romero E, Gramegna F, Guerrero C, Gunsig F, Haas B, Haight R, Heil M, Herrera-Martinez A, Igashira M, Jericha E, Kadi Y, Käppeler F, Karadimos D, Karamanis D, Kerveno M, Koehler P, Kossionides E, Krticka M, Lampoudis C, Leeb H, Lindote A, Lopes I, Lozano M, Lukic S, Marganiec J, Marrone S, Martínez T, Massimi C, Mastinu P, Mengoni A, Milazzo P, Moreau C, Mosconi M, Neves F, Oberhummer H, O’Brien S, Oshima M, Pancin J, Papachristodoulou C, Papadopoulos C, Patronis N, Pavlik A, Pavlopoulos P, Perrot L, Pigni M, Plag R, Plompen A, Plukis A, Poch A, Praena J, Pretel C, Quesada J, Rauscher T, Reifarth R, Rubbia C, Rudolf G, Rullhusen P, Salgado J, Santos C, Sarchiapone L, Savvidis I, Tagliente G, Tain J, Tavora L, Terlizzi R, Vannini G, Vaz P, Ventura A, Villamarin D, Vicente M, Vlachoudis V, Vlastou R, Voss F, Walter S, Wiescher M, Wisshak K. Measurements of high-energy neutron-induced fission ofnatPb and209Bi. EPJ Web of Conferences 2010. [DOI: 10.1051/epjconf/20100807009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Rastrelli M, Soteldo J, Zonta M, Trifirò G, Mazzarol G, Vitali G, Mosconi M, Testori A. Sentinel Node Biopsy for High-Risk Cutaneous Nonanogenital Squamous Cell Carcinoma: A Preliminary Result. Eur Surg Res 2010; 44:204-8. [DOI: 10.1159/000312649] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2009] [Accepted: 03/26/2010] [Indexed: 11/19/2022]
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di Pietro A, Ferrucci P, Munzone E, Mosconi M, Gandini S, Pari C, Cataldo F, Verrecchia F, Nole F, Testori A. Dacarbazine (DTIC) plus bevacizumab (B) combination therapy in chemotherapy (CTh)-naïve advanced melanoma (MM) patients (pts): A phase II study. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.8536] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Colonna N, Abbondanno U, Aerts G, Álvarez H, Álvarez-Velarde F, Andriamonje S, Andrzejewski J, Assimakopoulos P, Audouin L, Badurek G, Baumann P, Becvar F, Berthoumieux E, Calviani M, Calviño F, Cano-Ott D, Capote R, Carrillo de Albornoz A, Cennini P, Chepel V, Chiaveri E, Cortes G, Couture A, Cox J, Dahlfors M, David S, Dillman I, Dolfini R, Domingo-Pardo C, Dridi W, Duran I, Eleftheriadis C, Ferrant L, Ferrari A, Ferreira-Marques R, Frais-Koelbl H, Fujii K, Furman W, Goncalves I, González-Romero E, Goverdovski A, Gramegna F, Griesmayer E, Guerrero C, Gunsing F, Haas B, Haight R, Heil M, Herrera-Martinez A, Igashira M, Isaev S, Jericha E, Käppeler F, Kadi Y, Karadimos D, Karamanis D, Kerveno M, Ketlerov V, Koehler P, Konovalov V, Kossionides E, Krticka M, Lampoudis C, Leeb H, Lindote A, Lopes I, Lozano M, Lukic S, Marganiec J, Marques L, Marrone S, Martínez T, Massimi C, Mastinu P, Mengoni A, Milazzo P, Moreau C, Mosconi M, Neves F, Oberhummer H, O’Brien S, Oshima M, Pancin J, Papachristodoulou C, Papadopoulos C, Paradela C, Patronis N, Pavlik A, Pavlopoulos P, Perrot L, Pigni M, Plag R, Plompen A, Plukis A, Poch A, Pretel C, Quesada J, Rauscher T, Reifarth R, Rosetti M, Rubbia C, Rudolf G, Rullhusen P, Salgado J, Sarchiapone L, Savvidis I, Stephan C, Tagliente G, Tain J, Tassan-Got L, Tavora L, Terlizzi R, Vannini G, Vaz P, Ventura A, Villamarin D, Vicente M, Vlachoudis V, Vlastou R, Voss F, Walter S, Wendler H, Wiescher M, Wisshak K. Neutron cross-sections for next generation reactors: New data from n_TOF. Appl Radiat Isot 2010; 68:643-6. [DOI: 10.1016/j.apradiso.2010.01.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [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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Ledoux X, Doré D, Mosconi M, Nolte R, Roettger S. Delayed neutron measurements for 232Th neutron-induced fission. EPJ Web of Conferences 2010. [DOI: 10.1051/epjconf/20100807010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Matić A, Beyer R, Birgersson E, Ferrari A, Grosse E, Hannaske R, Junghans A, Kögler T, Massarczyk R, Mosconi M, Nolte R, Schilling KD, Schwengner R, Wagner A. Total neutron cross section for 181Ta. EPJ Web of Conferences 2010. [DOI: 10.1051/epjconf/20100807006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Landewé RBM, Günther KP, Lukas C, Braun J, Combe B, Conaghan PG, Dreinhöfer K, Fritschy D, Getty J, van der Heide HJL, Kvien TK, Machold K, Mihai C, Mosconi M, Nelissen R, Pascual E, Pavelka K, Pileckyte M, Puhl W, Punzi L, Rüther W, San-Julian M, Tudisco C, Westhovens R, Witso E, van der Heijde DMFM. EULAR/EFORT recommendations for the diagnosis and initial management of patients with acute or recent onset swelling of the knee. Ann Rheum Dis 2009; 69:12-9. [DOI: 10.1136/ard.2008.104406] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives:The European League Against Rheumatism (EULAR) and the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) have recognised the importance of variation in diagnostic and therapeutic performance across disciplines, have found consensus in starting task forces aiming at achieving diagnostic and therapeutic uniformity, and have identified medical conditions with which representatives of both organisations will frequently be confronted in common clinical practice. The aim of the present work was to establish recommendations for the diagnosis and initial management of patients presenting with acute or recent onset swelling of the knee.Methods:The EULAR standard operating procedures for the elaboration and implementation of evidence-based recommendations were followed.Results:In all, 11 rheumatologists from 11 countries and 12 orthopaedic surgeons from 7 countries met twice under the leadership of 2 conveners, a clinical epidemiologist and a research fellow. After carefully defining the content and procedures of the task force, research questions were developed, a comprehensive literature search was performed and the results were presented to the entire committee. Subsequently, a set of 10 recommendations was formulated based on evidence from the literature if available, and after discussion and consensus building.Conclusions:This is the first combined interdisciplinary project of rheumatologists and orthopaedic surgeons, successfully aiming at achieving consensus in the diagnosis and initial management of patients presenting with acute or recent onset swelling of the knee.
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Gregorio A, Corrias MV, Castriconi R, Dondero A, Mosconi M, Gambini C, Moretta A, Moretta L, Bottino C. Small round blue cell tumours: diagnostic and prognostic usefulness of the expression of B7-H3 surface molecule. Histopathology 2008; 53:73-80. [PMID: 18613926 PMCID: PMC2658025 DOI: 10.1111/j.1365-2559.2008.03070.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.4] [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] [Indexed: 12/12/2022]
Abstract
Aims: To assess whether the expression of B7-H3 surface molecule could improve differential diagnosis of small cell round tumours. Methods and results: One hundred and one well-characterized paraffin-embedded small round cell tumours, stored in the pathology archive of the Gaslini Institute, were immunohistochemically analysed with the 5B14 monoclonal antibody, which recognizes the surface molecule B7-H3. All lymphoblastic lymphomas and the blastematous component of Wilms’ tumours were completely negative and a few Ewing's sarcoma and Burkitt's lymphoma specimens showed focal positivity, whereas 74% of neuroblastomas, 67% of rhabdomyosarcomas and 100% of medulloblastomas were positive. The pattern of immunoreactivity of 5B14 mAb observed in rhabdomyosarcoma, neuroblastoma and medulloblastoma specimens was limited to the cytoplasmic membrane, and in neuroblastomas areas of rosette formation or of ganglion differentiation were preferentially stained. Interestingly, in neuroblastoma patients high expression of the antigen recognized by the 5B14 mAb was associated with a worse event-free survival. Conclusions: The 5B14 mAb represents an additional tool for the differential diagnosis of small round cell tumours and might be useful in identifying neuroblastoma patients at risk of relapse who may take advantage of more careful follow-up.
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Affiliation(s)
- A Gregorio
- Department of Pathology, Gaslini Institute, Genoa, Italy
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Munzone E, Testori A, Minchella I, Mosconi M, Passoni C, Verri E, Cossu Rocca M, Lambiase A, Goldhirsch A, Nolè F. A phase II trial of dacarbazine (DTIC) and bevacizumab in patients with metastatic melanoma. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.8579] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
8579 Background: Dacarbazine (DTIC) has been approved for treating metastatic melanoma in the 1970s, and as a single agent gives a response rate of about 20%. There have been efforts to ameliorate this poor result by using DTIC in different combinations without a significant improvement. In addition, new studies with melanoma cells in vitro show that DTIC causes transcriptional up-regulation of vascular endothelial growth factor (VEGF), suggesting a potential clinical benefit from the concomitant treatment of DTIC and anti-VEGF therapy. The purpose of this study is to determine whether a combination therapy of bevacizumab and DTIC is safe and can increase response rate and progression-free survival in patients (pts) with metastatic melanoma. Methods: From June 2006 to December 2006, 8 chemo-naive pts (1 female and 7 males) with metastatic melanoma were enrolled in the study. The median age was 53 (43–74) and PS was 0–1. Patients received DTIC 800 mg/m2 iv every 4 weeks and bevacizumab 10 mg/kg iv every 2 weeks. A treatment cycle consisted of 28 days. Results: Among 5 evaluable pts there were 1 partial response, 2 stable disease and 2 progressions, 3 pts were not evaluable because it is too early. Median number of administered cycles was 2 (2–6). The toxicity profile was particularly favourable with no G3/G4 haematological toxicity. Other most commonly seen toxicities were: nausea/vomiting (22%), mucositis (13%), diarrhea (9%). Proteinuria 1+ was reported in 3 cycles (13%). One patient with an early progression had also a G2 increase in blood pressure with a dilatative cardiomyopathy. Conclusions: The combination treatment resulted well tolerated and with a sufficient anti-tumor activity to warrant the continuing of enrolment. Updated efficacy and safety data will be presented. No significant financial relationships to disclose.
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Affiliation(s)
- E. Munzone
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - A. Testori
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - I. Minchella
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - M. Mosconi
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - C. Passoni
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - E. Verri
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - M. Cossu Rocca
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - A. Lambiase
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - A. Goldhirsch
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
| | - F. Nolè
- European Institute of Oncology, Milan, Italy; Roche, Monza, Italy
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Abbondanno U, Aerts G, Alvarez-Velarde F, Alvarez-Pol H, Andriamonje S, Andrzejewski J, Badurek G, Baumann P, Becvár F, Benlliure J, Berthoumieux E, Calviño F, Cano-Ott D, Capote R, Cennini P, Chepel V, Chiaveri E, Colonna N, Cortes G, Cortina D, Couture A, Cox J, Dababneh S, Dahlfors M, David S, Dolfini R, Domingo-Pardo C, Duran I, Embid-Segura M, Ferrant L, Ferrari A, Ferreira-Marques R, Frais-Koelbl H, Furman W, Goncalves I, Gallino R, Gonzalez-Romero E, Goverdovski A, Gramegna F, Griesmayer E, Gunsing F, Haas B, Haight R, Heil M, Herrera-Martinez A, Isaev S, Jericha E, Käppeler F, Kadi Y, Karadimos D, Kerveno M, Ketlerov V, Koehler P, Konovalov V, Krticka M, Lamboudis C, Leeb H, Lindote A, Lopes I, Lozano M, Lukic S, Marganiec J, Marrone S, Martinez-Val J, Mastinu P, Mengoni A, Milazzo PM, Molina-Coballes A, Moreau C, Mosconi M, Neves F, Oberhummer H, O'Brien S, Pancin J, Papaevangelou T, Paradela C, Pavlik A, Pavlopoulos P, Perlado JM, Perrot L, Pignatari M, Plag R, Plompen A, Plukis A, Poch A, Policarpo A, Pretel C, Quesada J, Raman S, Rapp W, Rauscher T, Reifarth R, Rosetti M, Rubbia C, Rudolf G, Rullhusen P, Salgado J, Soares JC, Stephan C, Tagliente G, Tain J, Tassan-Got L, Tavora L, Terlizzi R, Vannini G, Vaz P, Ventura A, Villamarin D, Vincente MC, Vlachoudis V, Voss F, Wendler H, Wiescher M, Wisshak K. Neutron capture cross section measurement of 151Sm at the CERN neutron time of flight facility (n_TOF). Phys Rev Lett 2004; 93:161103. [PMID: 15524972 DOI: 10.1103/physrevlett.93.161103] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2004] [Indexed: 05/24/2023]
Abstract
The151Sm(n,gamma)152Sm cross section has been measured at the spallation neutron facility n_TOF at CERN in the energy range from 1 eV to 1 MeV. The new facility combines excellent resolution in neutron time-of-flight, low repetition rates, and an unsurpassed instantaneous luminosity, resulting in rather favorable signal/background ratios. The 151Sm cross section is of importance for characterizing neutron capture nucleosynthesis in asymptotic giant branch stars. At a thermal energy of kT=30 keV the Maxwellian averaged cross section of this unstable isotope (t(1/2)=93 yr) was determined to be 3100+/-160 mb, significantly larger than theoretical predictions.
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Affiliation(s)
- U Abbondanno
- Istituto Nazionale di Fisica Nucleare, Trieste, Italy
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Abstract
UNLABELLED Achilles tendinopathy (AT) is a degenerative disorder resulting from functional overload, especially during running and jumping, with some inflammatory features at the insertions, bursae, and paratenon. The Achilles tendon is poorly vascularized, especially in the middle third, and the consequent slow metabolic rate allows it to work at very low oxygen tensions but prevents on the other hand a rapid healing. PURPOSE To create an animal model to study a novel surgical technique employed in AT: transplanting some fibers of the soleus muscle into the tendon in order to improve its vascularization and healing and to study the histological appearance of the soleus graft incorporated in the tendon. METHODS We operated on 10 white New Zealand rabbits (eight rabbits underwent the procedure, two rabbits the sham operation with incision of the tendon without graft). Two animals were euthanized at 1 wk, 1, 2, and 3 months. RESULTS Histology showed that after 3 months the muscle fibers were still viable within the tendons, interspersed within connective tissue fibers. Tendon and muscle tissues were intimately fused. CONCLUSIONS The persistence of the soleus muscle pedicle graft within the Achilles tendon tissue is an index of sound blood supply. This surgical model is suitable for application in further studies on tendon healing.
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Affiliation(s)
- F Benazzo
- Dipartimento di Scienze Morfologiche, Eidologiche e Cliniche, Sezione di Ortopedia e Traumatologia, Centro di Studi e Ricerche di Medicina e Traumatologia dello Sport, Università degli Studi di Pavia, I.R.C.C.S.-Policlinico San Matteo, PAVIA 27100, Italy
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47
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Ceroni D, Mosconi M, DiMeglio A. [Fibrocartilaginous dysplasia and tibia vara in young children: presentation of 3 new cases with spontaneous resolution and review of the literature]. Acta Orthop Belg 2000; 66:368-75. [PMID: 11103489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
Focal fibrocartilaginous dysplasia is a rare and benign condition associated with unilateral tibia vara in toddlers. Three additional cases are reported in children aged 17, 18 and 26 months with spontaneous resolution. The authors discuss, based on a meta-analysis, the natural history of the disorder and review the diagnostic and pathophysiological problems. Since spontaneous remodeling of varus angulation and healing of the bony defect can be expected, biopsy and surgical intervention should be avoided.
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Affiliation(s)
- D Ceroni
- Unité d'Orthopédie et de Traumatologie Infantile, Hôpital des Enfants, Genève, Suisse
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48
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Bellosta M, Gaviglio MR, Mosconi M, Cavanna C, Viglio A, Rabbiosi G. Primary cutaneous cryptococcosis in an HIV-negative patient. Eur J Dermatol 1999; 9:224-6. [PMID: 10210790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
We report a case of primary cutaneous cryptococcosis in an HIV-negative patient, who presented with painless, ulcerated lesions involving the right forearm (fingers and elbow), which developed over 45 days. On the basis of the clinical appearance, serological and cultural examinations were performed to confirm the diagnosis; the histological evaluation of a skin biopsy showed an acute inflammatory infiltrate containing several PAS + Cryptococci. Subsequently, the patient was treated with fluconazole (400 mg/day for 10 days, then a maintenance therapy of 200 mg/day); after one month, the cutaneous lesions were remarkably improved, but, although a series of further laboratory and clinical examinations was scheduled, the patient repeatedly refused any other re-evaluation, and he was lost from follow-up.
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Affiliation(s)
- M Bellosta
- Dipartimento di Patologia Umana ed Ereditaria, Clinica Dermatologica, IRCCS Policlinico S. Matteo/Università di Pavia, Piazzale Golgi, 2, 27100 Pavia, Italy
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49
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Rodolico S, Giovinazzo R, Mosconi M. Comparison between ELISAs and traditional analytical methods to determine pesticide pollution in water. Bull Environ Contam Toxicol 1997; 58:644-650. [PMID: 9060384 DOI: 10.1007/s001289900382] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Affiliation(s)
- S Rodolico
- Chair of Environmental Health, Hygiene Institute, University of Rome La Sapienza, Italy
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50
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Biancardi A, Mosconi M, Rubini A. Papilio: A Visual Environment for Multi-SIMD Programming. Journal of Visual Languages & Computing 1995. [DOI: 10.1006/jvlc.1995.1020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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