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Dachs LR, Gaisán CM, Bustamante G, López SG, García EG, Persona EP, González-Calle V, Auzmendi MS, Pérez JMA, González Montes Y, Ríos Tamayo R, de Miguel Llorente D, Bernal LP, Mayol AS, Caro CC, Grande M, Fernández-Nistal A, Naves A, Miguel EMOS. Assessment of the psychometric properties of the Spanish version of EORTC QLQ-MY20 and evaluation of health-related quality of Life outcomes in patients with relapsed and/or refractory multiple myeloma in the real-world setting in Spain: results from the CharisMMa study. Leuk Lymphoma 2023; 64:1847-1856. [PMID: 37539698 DOI: 10.1080/10428194.2023.2240922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 07/19/2023] [Accepted: 07/20/2023] [Indexed: 08/05/2023]
Abstract
We evaluated the psychometric properties of the Spanish version of the European Organization for Research and Treatment of Multiple Myeloma (MM) specific quality-of-life (QoL) questionnaire module (QLQ-MY20) in relapsed/refractory MM (RRMM) patients. This was an observational, cross-sectional, multicenter study using EORTC QLQ-C30 and QLQ-MY20 in RRMM patients (ClinicalTrials.gov ID NCT03188536). We assessed the non-response rate, ceiling/floor effects, internal consistency, test-retest reliability, and validity. The study included 276 patients (53.3% males, mean [SD] age of 67.4 [10.5] years). The EORTC QLQ-MY20 showed a low non-response rate, very low ceiling and floor effects, and good internal consistency. The test-retest reliability assessment revealed good temporary stability, the construct validity analysis stated four main factors similar to the ones of the original version, and the criterion validity assessment showed no differences between groups. In conclusion, the Spanish version of EORTC QLQ-MY20 is a reliable and valid tool for assessing QoL in RRMM patients.
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Affiliation(s)
| | - Carmen Montes Gaisán
- Hospital Universitario Marqués de Valdecilla (IDIVAL). Universidad de Cantabria. Santander, Spain
| | | | | | | | - Ernesto Pérez Persona
- Instituto de Investigación Sanitaria Bioaraba, Vitoria-Gasteiz, Spain
- Osakidetza. Hospital Universitario de Álava. Vitoria-Gasteiz, Spain
| | - Verónica González-Calle
- Hospital Universitario de Salamanca (HUS/IBSAL), Salamanca, Spain
- Centro de Investigación Biomédica en Red (CIBERONC), Spain
- Instituto Universitario de Biología Molecular y Celular del Cáncer - IBMCC (USAL-CSIC), Salamanca, Spain
| | | | | | | | | | | | | | | | | | - Marta Grande
- Takeda Farmacéutica España, Madrid, Spain
- Universidad de Alcalá, Madrid, Spain
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2
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Ocio EM, Montes-Gaisán C, Bustamante G, Garzón S, González E, Pérez-Persona E, González-Calle V, Sirvent M, Arguiñano JM, González Y, Ríos R, de Miguel D, Grande M, Fernández-Nistal A, Naves A, Rosiñol L. Real-World Health Care Services Utilization Associated With the Management of Patients With Relapsed and Refractory Multiple Myeloma in Spain: The CharisMMa Study. Clin Lymphoma Myeloma Leuk 2023; 23:e341-e347. [PMID: 37517875 DOI: 10.1016/j.clml.2023.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/05/2023] [Accepted: 07/12/2023] [Indexed: 08/01/2023]
Abstract
BACKGROUND Most patients with multiple myeloma (MM) relapse or become refractory, resulting in high health care costs. However, real-world data regarding the utilization of health care services among the relapsed/refractory MM (RRMM) population are scarce. METHODS Observational, cross-sectional, multicenter study of the utilization of health care services by RRMM patients who had relapsed within the previous 6 months in Spain in a real-world setting. Data were collected from the clinical records and during a single structured interview and included sociodemographic and clinical characteristics at last relapse, the treatment and health care services nature, and were presented using descriptive statistics. RESULTS The 276 patients enrolled (53.3% males), with a mean [SD] age of 67.4 [10.5] years, had experienced their most recent relapse a median (IQR) of 1.61 (0.74, 3.14) months before entering the study. Patients lived a median (IQR) of 9.0 (3.0, 30.0) km away from the hospital and visited the hospital a median (IQR) of 3.0 (2.0, 5.0) times/month to receive treatment for their most recent relapse. They spent a median (IQR) of 15.84 (5.0, 42.0) euros/month on transportation. Since their most recent relapse, most patients had been admitted to a hospital unit (n = 155, 56.2%), had required ≥1 diagnostic tests (n = 227, 82.2%), and had consulted the hematologist (n = 270, 97.8%) a mean (SD) of 5.5 (5.4) times. In half of the visits, patients were accompanied by an actively working caregiver (n = 112, 54.4%). CONCLUSIONS RRMM treatments are associated with a high utilization of health care services and pose a significant burden for patients and caregivers. TRIAL REGISTRATION NUMBER NCT03188536.
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Affiliation(s)
- Enrique M Ocio
- Hospital Universitario Marqués de Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
| | - Carmen Montes-Gaisán
- Hospital Universitario Marqués de Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
| | - Gabriela Bustamante
- Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat, Barcelona, Spain
| | | | | | - Ernesto Pérez-Persona
- Department of Hematology, Bioaraba, Onco-hematology research group, Vitoria-Gasteiz, Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Verónica González-Calle
- Hospital Universitario de Salamanca (HUS/IBSAL), CIBERONC, Instituto de Investigación Biomédica de Salamanca-IBMCC (USAL-CSIC), Salamanca, Spain
| | | | | | | | - Rafael Ríos
- Hospital Universitario Puerta de Hierro, Majadahonda, Spain
| | | | - Marta Grande
- Takeda Farmacéutica España, Madrid, Spain; Universidad de Alcalá, Madrid, Spain
| | | | | | - Laura Rosiñol
- Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
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3
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Pirozzi BM, Siragusa L, Baldini G, Pellicciaro M, Grande M, Efrati C, Finizio R, Formica V, Del Vecchio Blanco G, Sica GS. Influence of COVID-19 Pandemic on Colorectal Cancer Presentation, Management and Outcome during the COVID-19 Pandemic. J Clin Med 2023; 12:jcm12041425. [PMID: 36835958 PMCID: PMC9962694 DOI: 10.3390/jcm12041425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/30/2023] [Accepted: 02/06/2023] [Indexed: 02/17/2023] Open
Abstract
The aim of the study was to investigate whether the COVID-19 pandemic and related measures had an influence on colorectal cancer (CRC) presentation, management, and outcomes; it was a retrospective monocentric study. CRC patients undergoing surgery during the COVID-19 pandemic (1 March 2020-28 February 2022) (group B) were compared with patients operated on in the previous two years (1 March 2018-29 February 2020) in the same unit (group A). The primary outcome was to investigate whether there were differences in concern regarding the stage at presentation, as a whole and after dividing groups based on cancer location (right colon cancer, left colon cancer, rectal cancer). Secondary outcomes included differences in the number of patients admitted from emergency departments and emergency surgeries between periods, and differences in the postoperative outcomes. A subanalysis within the pandemic group was conducted on the same outcomes, dividing the aforementioned group based on pandemic trends. Two hundred and eighty (280) were operated on during the study period: 147 in group A and 133 in group B. Stage at presentation was similar between groups; however, the subgroups analysis showed that in the pandemic group, the number of early-stage left colon cancer occurrences almost halves, yet not significantly. Emergency department referral was more common in group B (p-value: 0.003); in group B, they also had longer operations and there was a more frequent use of ostomy. No differences in the number of postoperative complications nor in the postoperative outcomes were found. Patients with CRC were more frequently referred through the emergency department during the COVID-19 pandemic and left-sided cancers appear to be generally diagnosed at a more advanced stage. Postoperative outcomes showed that high specialized colorectal units can deliver standard high-level treatment under high-pressure external conditions.
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Affiliation(s)
- B. M. Pirozzi
- Department of Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
- Correspondence:
| | - L. Siragusa
- Department of Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - G. Baldini
- Department of Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - M. Pellicciaro
- Department of Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - M. Grande
- Department of Emergency, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - C. Efrati
- Department of Medicine, Israelitic Hospital of Rome, 00148 Rome, Italy
| | - R. Finizio
- Department of Medicine, Israelitic Hospital of Rome, 00148 Rome, Italy
| | - V. Formica
- Department of Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | | | - G. S. Sica
- Department of Surgery, University of Rome “Tor Vergata”, 00133 Rome, Italy
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4
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Orsini S, Milillo A, Lichtenegger H, Varsani A, Barabash S, Livi S, De Angelis E, Alberti T, Laky G, Nilsson H, Phillips M, Aronica A, Kallio E, Wurz P, Olivieri A, Plainaki C, Slavin JA, Dandouras I, Raines JM, Benkhoff J, Zender J, Berthelier JJ, Dosa M, Ho GC, Killen RM, McKenna-Lawlor S, Torkar K, Vaisberg O, Allegrini F, Daglis IA, Dong C, Escoubet CP, Fatemi S, Fränz M, Ivanovski S, Krupp N, Lammer H, Leblanc F, Mangano V, Mura A, Rispoli R, Sarantos M, Smith HT, Wieser M, Camozzi F, Di Lellis AM, Fremuth G, Giner F, Gurnee R, Hayes J, Jeszenszky H, Trantham B, Balaz J, Baumjohann W, Cantatore M, Delcourt D, Delva M, Desai M, Fischer H, Galli A, Grande M, Holmström M, Horvath I, Hsieh KC, Jarvinen R, Johnson RE, Kazakov A, Kecskemety K, Krüger H, Kürbisch C, Leblanc F, Leichtfried M, Mangraviti E, Massetti S, Moissenko D, Moroni M, Noschese R, Nuccilli F, Paschalidis N, Ryno J, Seki K, Shestakov A, Shuvalov S, Sordini R, Stenbeck F, Svensson J, Szalai S, Szego K, Toublanc D, Vertolli N, Wallner R, Vorburger A. Inner southern magnetosphere observation of Mercury via SERENA ion sensors in BepiColombo mission. Nat Commun 2022; 13:7390. [PMID: 36450728 PMCID: PMC9712576 DOI: 10.1038/s41467-022-34988-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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 11/14/2022] [Indexed: 12/03/2022] Open
Abstract
Mercury's southern inner magnetosphere is an unexplored region as it was not observed by earlier space missions. In October 2021, BepiColombo mission has passed through this region during its first Mercury flyby. Here, we describe the observations of SERENA ion sensors nearby and inside Mercury's magnetosphere. An intermittent high-energy signal, possibly due to an interplanetary magnetic flux rope, has been observed downstream Mercury, together with low energy solar wind. Low energy ions, possibly due to satellite outgassing, were detected outside the magnetosphere. The dayside magnetopause and bow-shock crossing were much closer to the planet than expected, signature of a highly eroded magnetosphere. Different ion populations have been observed inside the magnetosphere, like low latitude boundary layer at magnetopause inbound and partial ring current at dawn close to the planet. These observations are important for understanding the weak magnetosphere behavior so close to the Sun, revealing details never reached before.
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Affiliation(s)
- S Orsini
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy.
| | - A Milillo
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - H Lichtenegger
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - A Varsani
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - S Barabash
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - S Livi
- Southwest Research Institute, San Antonio, TX, USA
- University of Michigan, Department of Climate and Space Sciences and Engineering, Ann Arbor, MI, USA
| | - E De Angelis
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - T Alberti
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - G Laky
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - H Nilsson
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - M Phillips
- Southwest Research Institute, San Antonio, TX, USA
| | - A Aronica
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - E Kallio
- Aalto University, Department of Electronics and Nanoengineering, School of Electrical Engineering, Helsinki, Finland
| | - P Wurz
- University of Bern, Institute of Physics, Bern, Switzerland
| | | | | | - J A Slavin
- University of Michigan, Department of Climate and Space Sciences and Engineering, Ann Arbor, MI, USA
| | - I Dandouras
- Institut de Recherche en Astrophysique et Planétologie, CNRS, CNES, Université de Toulouse, Toulouse, France
| | - J M Raines
- University of Michigan, Department of Climate and Space Sciences and Engineering, Ann Arbor, MI, USA
| | | | - J Zender
- ESA-ESTEC, Noordwijk, The Netherlands
| | | | - M Dosa
- Wigner Research Centre for Physics, Budapest, Hungary
| | - G C Ho
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD, 20723, USA
| | - R M Killen
- NASA/Goddard Space Flight Center, Greenbelt, MD, 20771, USA
| | | | - K Torkar
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - O Vaisberg
- IKI Space Research Institute, Moscow, Russia
| | - F Allegrini
- Southwest Research Institute, San Antonio, TX, USA
- University of Texas at San Antonio, Department of Physics and Astronomy, San Antonio, TX, USA
| | - I A Daglis
- National and Kapodistrian University of Athens, Department of Physics, Athens, Greece
- Hellenic Space Center, Athens, Greece
| | - C Dong
- Princeton Plasma Physics Laboratory and Department of Astrophysical Sciences, Princeton University, Princeton, NJ, USA
| | | | - S Fatemi
- Department of Physics, Umeå University, Umeå, Sweden
| | - M Fränz
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077, Göttingen, Germany
| | - S Ivanovski
- Astronomincal Observatory, INAF, Trieste, Italy
| | - N Krupp
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077, Göttingen, Germany
| | - H Lammer
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - V Mangano
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - A Mura
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - R Rispoli
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - M Sarantos
- NASA/Goddard Space Flight Center, Greenbelt, MD, 20771, USA
| | - H T Smith
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD, 20723, USA
| | - M Wieser
- Swedish Institute of Space Physics, Kiruna, Sweden
| | | | | | - G Fremuth
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - F Giner
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - R Gurnee
- Laboratory for Atmospheric and Space Physics, Boulder, CO, USA
| | - J Hayes
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD, 20723, USA
| | - H Jeszenszky
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - B Trantham
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - J Balaz
- Institute of Experimental Physics SAS, Slovak Academy of Sciences, 040 01, Košice, Slovakia
| | - W Baumjohann
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | | | - M Delva
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - M Desai
- Southwest Research Institute, San Antonio, TX, USA
| | - H Fischer
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077, Göttingen, Germany
| | - A Galli
- University of Bern, Institute of Physics, Bern, Switzerland
| | - M Grande
- Aberystwyth University, Aberystwyth, Ceredigion, UK
| | - M Holmström
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - I Horvath
- Wigner Research Centre for Physics, Budapest, Hungary
| | - K C Hsieh
- University of Arizona, Tucson, AZ, USA
| | - R Jarvinen
- Aalto University, Department of Electronics and Nanoengineering, School of Electrical Engineering, Helsinki, Finland
- Finnish Meteorological Institute FMI, Helsinki, Finland
| | - R E Johnson
- University of Virginia, Charlottesville, VA, 22904, USA
| | - A Kazakov
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - K Kecskemety
- Wigner Research Centre for Physics, Budapest, Hungary
| | - H Krüger
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077, Göttingen, Germany
| | - C Kürbisch
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - M Leichtfried
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - S Massetti
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - D Moissenko
- IKI Space Research Institute, Moscow, Russia
| | - M Moroni
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - R Noschese
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - F Nuccilli
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - N Paschalidis
- NASA/Goddard Space Flight Center, Greenbelt, MD, 20771, USA
| | - J Ryno
- Finnish Meteorological Institute FMI, Helsinki, Finland
| | - K Seki
- University of Tokyo, Department of Earth and Planetary Science, Graduate School of Science, Tokyo, Japan
| | - A Shestakov
- IKI Space Research Institute, Moscow, Russia
| | - S Shuvalov
- IKI Space Research Institute, Moscow, Russia
| | - R Sordini
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - F Stenbeck
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - J Svensson
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - S Szalai
- Wigner Research Centre for Physics, Budapest, Hungary
| | - K Szego
- Wigner Research Centre for Physics, Budapest, Hungary
| | - D Toublanc
- Institut de Recherche en Astrophysique et Planétologie, CNRS, CNES, Université de Toulouse, Toulouse, France
| | - N Vertolli
- Institute of Space Astrophysics and Planetology, INAF, Roma, Italy
| | - R Wallner
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - A Vorburger
- University of Bern, Institute of Physics, Bern, Switzerland
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5
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Marasco I, Niro G, Mastronardi VM, Rizzi F, D'Orazio A, De Vittorio M, Grande M. A compact evolved antenna for 5G communications. Sci Rep 2022; 12:10327. [PMID: 35725778 PMCID: PMC9209445 DOI: 10.1038/s41598-022-14447-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 06/07/2022] [Indexed: 11/09/2022] Open
Abstract
Flexible and bendable electronics are gaining a lot of interest in these last years. In this scenario, compact antennas on flexible substrates represent a strategical technological step to pave the way to a new class of wearable systems. A crucial issue to overcome is represented by the poor radiation properties of compact antennas, especially in the case of flexible and thin substrates. In this paper, we propose an innovative design of a miniaturized evolved patch antenna whose radiation properties have been enhanced with a Split Ring Resonator (SRR) placed between the top and the ground plane. The antenna has been realized on a flexible and biocompatible substrate polyethylene naphthalate (PEN) of 250 μm by means of a new fabrication protocol that involves a three-layer 3D-inkjet printing and an alignment step. The antenna has been characterized in terms of the scattering parameter S11 and the radiation pattern showing a good agreement between simulations and measurements.
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Affiliation(s)
- I Marasco
- Politecnico di Bari, Via E. Orabona 4, 70125, Bari (BA), Italy. .,Center for Biomolecular Nanotechnologies, Istituto Italiano di Tecnologia (IIT), Via E. Barsanti 14, 73010, Arnesano (LE), Italy.
| | - G Niro
- Politecnico di Bari, Via E. Orabona 4, 70125, Bari (BA), Italy.,Center for Biomolecular Nanotechnologies, Istituto Italiano di Tecnologia (IIT), Via E. Barsanti 14, 73010, Arnesano (LE), Italy
| | - V M Mastronardi
- Center for Biomolecular Nanotechnologies, Istituto Italiano di Tecnologia (IIT), Via E. Barsanti 14, 73010, Arnesano (LE), Italy.,Dipartimento di Ingegneria Dell'innovazione, Università del Salento, Campus Ecotekne, Via Monteroni, Lecce (LE), Italy
| | - F Rizzi
- Center for Biomolecular Nanotechnologies, Istituto Italiano di Tecnologia (IIT), Via E. Barsanti 14, 73010, Arnesano (LE), Italy
| | - A D'Orazio
- Politecnico di Bari, Via E. Orabona 4, 70125, Bari (BA), Italy
| | - M De Vittorio
- Center for Biomolecular Nanotechnologies, Istituto Italiano di Tecnologia (IIT), Via E. Barsanti 14, 73010, Arnesano (LE), Italy.,Dipartimento di Ingegneria Dell'innovazione, Università del Salento, Campus Ecotekne, Via Monteroni, Lecce (LE), Italy
| | - M Grande
- Politecnico di Bari, Via E. Orabona 4, 70125, Bari (BA), Italy
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6
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Ocio EM, Montes-Gaisán C, Bustamante G, Garzón S, González E, Pérez E, Sirvent M, Arguiñano JM, González Y, Ríos R, de Miguel D, Grande M, Fernández A, Naves A, Rosiñol L. Clinical and Sociodemographic Characteristics of Patients With Relapsed and/or Refractory Multiple Myeloma and Their influence on Treatment in the Real-World Setting in Spain: The CharisMMa Study. Clin Lymphoma Myeloma Leuk 2021; 22:e241-e249. [PMID: 34774462 DOI: 10.1016/j.clml.2021.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 09/21/2021] [Accepted: 10/01/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Treatment of relapsed and/or refractory multiple myeloma (RRMM) should be established based on multiple factors, including previous treatment and the sociodemographic/clinical characteristics of the patients. However, patients enrolled in randomized-controlled trials often do not mirror the scenario encountered in real-world practice, thus challenging therapeutic decisions in day-to-day practice. PATIENTS AND METHODS This observational, cross-sectional, multicenter study aimed to investigate the sociodemographic and clinical characteristics of patients with RRMM treated in routine practice in Spain and their influence on treatment regimens. RESULTS The study included 276 RRMM patients (median age 69 years; no gender predominance). Seventy-four percent of patients had CRAB features at the time of study inclusion, 65.9% bone lesions, 28.7% high-risk cytogenetics, and 27.0% were at ISS stage III; 65.1% were retired and lived in urban areas (75.7%) with their relatives (85.8%); 28.7% had some dependence degree. Patients had experienced their last relapse in a median of 1.61 months before enrollment and had received a median of 2 treatment lines (range 1-10). Second-and third-line therapies were mostly based on immunomodulatory drugs, followed by proteasome inhibitors (PIs), whereas monoclonal antibodies prevailed in later treatment lines. The presence of extramedullary plasmacytomas, the absence of osteopenia, and being in the second or third treatment line (vs. later lines) significantly increased the odds of receiving PIs. CONCLUSIONS RRMM treatment in the real-world setting is highly heterogeneous and is primarily influenced by the number of previous lines. The consideration of patients' clinical and sociodemographic characteristics may support clinicians in making therapeutic decisions.
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Affiliation(s)
- Enrique M Ocio
- Complejo Hospitalario de Salamanca (IBSAL), Universidad de Salamanca, Salamanca, Spain; Hospital Universitario Marqués de Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
| | - Carmen Montes-Gaisán
- Hospital Universitario Marqués de Valdecilla (IDIVAL), Universidad de Cantabria, Santander, Spain
| | | | | | | | - Ernesto Pérez
- Bioaraba, [Grupo diagnóstico y terapéutica oncológica], Vitoria-Gasteiz, Spain; Osakidetza, [OSI Araba], Hospital Universitario Araba, [Servicio de hematología], Vitoria-Gasteiz, Spain
| | | | | | | | - Rafael Ríos
- Hospital Virgen de las Nieves, Granada, Spain
| | | | - Marta Grande
- Takeda Farmacéutica España, Madrid, Spain; Universidad de Alcalá, Madrid, Spain
| | | | | | - Laura Rosiñol
- Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain.
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7
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Lisi G, Campanelli M, Mastrangeli MR, Grande S, Viarengo MA, Garbarino GM, Vanni G, Grande M. Acute appendicitis in elderly during Covid-19 pandemic. Int J Colorectal Dis 2021; 36:2287-2290. [PMID: 34046696 PMCID: PMC8159028 DOI: 10.1007/s00384-021-03959-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/21/2021] [Indexed: 02/04/2023]
Abstract
PURPOSE During the past months, the Italian Government has reduced the restrictions and access to hospitals. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the pandemic, it is useful to assess how the current situation is influencing the management of elderly with acute appendicitis. METHODS Between February 2020 and December 2020, all patients older than 68 years old undergone appendectomy were included. Surgical approach, hospital stay, post-operative complications, radiology reports, and histologic examination were included in the retrospective analysis and compared with a same sample of the same period before the pandemic. RESULTS Twenty-seven patients underwent appendectomy for acute appendicitis during the pandemic and 34 patients in the pre-outbreak period. Laparoscopic approach was completed in 51.8% of the cases, while conversion to laparotomy in 22.3% of patients and open procedure in the 25.9%, before the pandemic 73.6%, 14.7%, and 11.7%, respectively. During the pandemic, complicated appendicitis occurred in 59.3% of the cases (26.5% before the outbreak). One patient was treated for a pelvic abscess, while no minor complications were detected. No mortality rate was reported, with a mean hospital stay of 5.64 days during the outbreak and 4.21 days before the pandemic. CONCLUSION Our data highlighted a partial delay in diagnosis in the elderly group, and an increase in complicated appendicitis also demonstrated by the need for conversion to laparotomy.
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Affiliation(s)
- G Lisi
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
| | - M Campanelli
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M R Mastrangeli
- Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy
| | - S Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M A Viarengo
- Day-Case Surgery Unit, Israelitic Hospital, 00144, Rome, Italy
| | - G M Garbarino
- Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University, Via di Grottarossa, 1035-39, 00189, Rome, Italy
| | - G Vanni
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
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Hernández-Rivas JÁ, Arnao M, Arguiñano Pérez JM, Rubio A, García EG, de Miguel D, Cherepanov D, Romanus D, Verleger K, Johnson C, Corman SL, Grande M, Persona EP. Treatment patterns and outcomes among nontransplant newly diagnosed multiple myeloma patients in Spain. Future Oncol 2021; 17:3465-3476. [PMID: 34342494 DOI: 10.2217/fon-2021-0301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: To describe treatment patterns and outcomes in nontransplant newly diagnosed multiple myeloma (NDMM) patients in Spain. Methods: This retrospective study included two cohorts of NDMM patients diagnosed between 1 January 2012 to 31 December 2013 and 1 April 2016 to 31 March 2017. Results: Among 113 patients, proteasome inhibitor (PI) + alkylator combinations (49%) and PI-based regimens without an alkylator (30%) were the most common first-line (1L) therapies. Use of PI + immunomodulatory drug-based regimens increased between the cohorts; PI-based regimens without an alkylator/immunomodulatory drug decreased. Use of 1L oral regimens was low but increased over time; use of maintenance therapy was low across both periods. Median 1L duration of treatment was 6.9 months. Conclusion: Short 1L duration of treatment and low use of 1L oral regimens and maintenance therapy highlight unmet needs in NDMM.
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Affiliation(s)
| | - Mario Arnao
- Department of Hematology, Hospital La Fe, Valencia 46026, Spain
| | | | - Araceli Rubio
- Department of Hematology, Hospital Miguel Servet, Zaragoza, 50009, Spain
| | | | - Dunia de Miguel
- Department of Hematology, Hospital Universitario de Guadalajara, Guadalajara 19002, Spain
| | | | - Dorothy Romanus
- Takeda Pharmaceutical Company Limited, Cambridge, MA 02139, USA
| | | | | | | | - Marta Grande
- Takeda Farmaceutica España, Madrid 28046, Spain.,Universidad de Alcalá, Alcalá de Henares, Madrid 28801, Spain
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9
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Cordero JM, Hingorani R, Jimenez-Relinque E, Grande M, Cutillas F, Martinez E, Borge R, Narros A, Castellote M. Challenges in quantification of photocatalytic NO 2 abatement effectiveness under real world exposure conditions illustrated by a case study. Sci Total Environ 2021; 766:144393. [PMID: 33418266 DOI: 10.1016/j.scitotenv.2020.144393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 11/30/2020] [Accepted: 12/04/2020] [Indexed: 06/12/2023]
Abstract
Health risks due to NO2 exposure commonly exceed acceptable levels in modern societies. Among the measures to reduce such risks, photocatalytic materials present a promising technology. However, while the pollutant remediation of such materials has been extensively validated in laboratory studies, the performance under real world environmental exposure conditions is still subject to controversy. Indeed, a comparison of available in-situ monitoring studies manifests non-conclusive and highly scattered results regarding the photocatalytic effectiveness observed. The reasons for this behaviour must be carefully explored in order to prevent non-efficient photocatalytic applications from being put into practice on a larger scale. This paper presents a comprehensive large-scale study for assessing the photocatalytic NO2 remediation by active pavements in a street of Madrid (Spain), comprising different in-situ monitoring techniques. The discussion is enriched by relating the obtained results to those of other large-scale studies. The discrepancies between these results may be traced back to different circumstances, among them the distance between the active pavement and the pollutant concentration sampling inlet, as well as to significant site-specific and time-dependent variations of pollutant concentrations and climatic parameters. Under due consideration of these influences, for materials with relatively high initial effectiveness, it was concluded that in most such applications, the average NO2 removal effectiveness, if evaluated at a typical inlet height of Air Quality Stations (3 m), will not exceed a value of 4% (averaged over a sufficiently large number of measurement points in the area of application and a sustained amount of time, i.e. several months). When considering more realistic human exposure conditions (lower heights and daytime), it might be justified to assume somewhat higher average effectiveness.
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Affiliation(s)
- J M Cordero
- Universidad Politécnica de Madrid (ETSII-UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain.
| | - R Hingorani
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - E Jimenez-Relinque
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - M Grande
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - F Cutillas
- Departamento de Apoyo Técnico e Innovación, DG del Espacio Público, Obras e Infraestructura, Madrid City Council, Barco 20, 28004 Madrid, Spain
| | - E Martinez
- Departamento de Apoyo Técnico e Innovación, DG del Espacio Público, Obras e Infraestructura, Madrid City Council, Barco 20, 28004 Madrid, Spain
| | - R Borge
- Universidad Politécnica de Madrid (ETSII-UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - A Narros
- Universidad Politécnica de Madrid (ETSII-UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - M Castellote
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
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10
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Orsini S, Livi SA, Lichtenegger H, Barabash S, Milillo A, De Angelis E, Phillips M, Laky G, Wieser M, Olivieri A, Plainaki C, Ho G, Killen RM, Slavin JA, Wurz P, Berthelier JJ, Dandouras I, Kallio E, McKenna-Lawlor S, Szalai S, Torkar K, Vaisberg O, Allegrini F, Daglis IA, Dong C, Escoubet CP, Fatemi S, Fränz M, Ivanovski S, Krupp N, Lammer H, Leblanc F, Mangano V, Mura A, Nilsson H, Raines JM, Rispoli R, Sarantos M, Smith HT, Szego K, Aronica A, Camozzi F, Di Lellis AM, Fremuth G, Giner F, Gurnee R, Hayes J, Jeszenszky H, Tominetti F, Trantham B, Balaz J, Baumjohann W, Brienza D, Bührke U, Bush MD, Cantatore M, Cibella S, Colasanti L, Cremonese G, Cremonesi L, D'Alessandro M, Delcourt D, Delva M, Desai M, Fama M, Ferris M, Fischer H, Gaggero A, Gamborino D, Garnier P, Gibson WC, Goldstein R, Grande M, Grishin V, Haggerty D, Holmström M, Horvath I, Hsieh KC, Jacques A, Johnson RE, Kazakov A, Kecskemety K, Krüger H, Kürbisch C, Lazzarotto F, Leblanc F, Leichtfried M, Leoni R, Loose A, Maschietti D, Massetti S, Mattioli F, Miller G, Moissenko D, Morbidini A, Noschese R, Nuccilli F, Nunez C, Paschalidis N, Persyn S, Piazza D, Oja M, Ryno J, Schmidt W, Scheer JA, Shestakov A, Shuvalov S, Seki K, Selci S, Smith K, Sordini R, Svensson J, Szalai L, Toublanc D, Urdiales C, Varsani A, Vertolli N, Wallner R, Wahlstroem P, Wilson P, Zampieri S. SERENA: Particle Instrument Suite for Determining the Sun-Mercury Interaction from BepiColombo. Space Sci Rev 2021; 217:11. [PMID: 33487762 PMCID: PMC7803725 DOI: 10.1007/s11214-020-00787-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 12/03/2020] [Indexed: 06/12/2023]
Abstract
The ESA-JAXA BepiColombo mission to Mercury will provide simultaneous measurements from two spacecraft, offering an unprecedented opportunity to investigate magnetospheric and exospheric particle dynamics at Mercury as well as their interactions with solar wind, solar radiation, and interplanetary dust. The particle instrument suite SERENA (Search for Exospheric Refilling and Emitted Natural Abundances) is flying in space on-board the BepiColombo Mercury Planetary Orbiter (MPO) and is the only instrument for ion and neutral particle detection aboard the MPO. It comprises four independent sensors: ELENA for neutral particle flow detection, Strofio for neutral gas detection, PICAM for planetary ions observations, and MIPA, mostly for solar wind ion measurements. SERENA is managed by a System Control Unit located inside the ELENA box. In the present paper the scientific goals of this suite are described, and then the four units are detailed, as well as their major features and calibration results. Finally, the SERENA operational activities are shown during the orbital path around Mercury, with also some reference to the activities planned during the long cruise phase.
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Affiliation(s)
- S Orsini
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - S A Livi
- Southwest Research Institute, San Antonio, TX USA
- Department of Climate and Space Sciences and Engineering, University of Michigan, Ann Arbor, MI USA
| | - H Lichtenegger
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - S Barabash
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - A Milillo
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - E De Angelis
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - M Phillips
- Southwest Research Institute, San Antonio, TX USA
| | - G Laky
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - M Wieser
- Swedish Institute of Space Physics, Kiruna, Sweden
| | | | | | - G Ho
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD 20723 USA
| | - R M Killen
- NASA/Goddard Space Flight Center, Greenbelt, MD 20771 USA
| | - J A Slavin
- Department of Climate and Space Sciences and Engineering, University of Michigan, Ann Arbor, MI USA
| | - P Wurz
- Physics Institute, University of Bern, Bern, Switzerland
| | | | - I Dandouras
- Institut de Recherche en Astrophysique et Planétologie, CNRS, CNES, Université de Toulouse, Toulouse, France
| | - E Kallio
- School of Electrical Engineering, Department of Electronics and Nanoengineering, Aalto University, Helsinki, Finland
| | | | - S Szalai
- Wigner Research Centre for Physics, Budapest, Hungary
| | - K Torkar
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - O Vaisberg
- IKI Space Research Institute, Moscow, Russia
| | - F Allegrini
- Southwest Research Institute, San Antonio, TX USA
| | - I A Daglis
- Department of Physics, National and Kapodistrian University of Athens, Athens, Greece
- Hellenic Space Center, Athens, Greece
| | - C Dong
- Department of Astrophysical Sciences and Princeton Plasma Physics Laboratory, Princeton University, Princeton, NJ USA
| | | | - S Fatemi
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - M Fränz
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - S Ivanovski
- Astronomical Observatory, INAF, Trieste, Italy
| | - N Krupp
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - H Lammer
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - V Mangano
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - A Mura
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - H Nilsson
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - J M Raines
- Department of Climate and Space Sciences and Engineering, University of Michigan, Ann Arbor, MI USA
| | - R Rispoli
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - M Sarantos
- NASA/Goddard Space Flight Center, Greenbelt, MD 20771 USA
| | - H T Smith
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD 20723 USA
| | - K Szego
- Wigner Research Centre for Physics, Budapest, Hungary
| | - A Aronica
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | | | | | - G Fremuth
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - F Giner
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - R Gurnee
- Laboratory for Atmospheric and Space Physics, Boulder, CO USA
| | - J Hayes
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD 20723 USA
| | - H Jeszenszky
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - B Trantham
- Southwest Research Institute, San Antonio, TX USA
| | - J Balaz
- Institute of Experimental Physics SAS, Slovak Academy of Sciences, 040 01 Košice, Slovakia
| | - W Baumjohann
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - D Brienza
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - U Bührke
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - M D Bush
- Physics Institute, University of Bern, Bern, Switzerland
| | | | - S Cibella
- Istituto di Struttura della Materia (CNR-ISM), 00133 Roma, Italy
| | - L Colasanti
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - G Cremonese
- Astronomical Observatory, INAF, Padova, Italy
| | | | - M D'Alessandro
- Istituto di Struttura della Materia (CNR-ISM), 00133 Roma, Italy
| | | | - M Delva
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - M Desai
- Southwest Research Institute, San Antonio, TX USA
| | - M Fama
- Comisión Nacional de Energía Atómica, cnea, Centro Atómico Bariloche, Bariloche, Argentina
| | - M Ferris
- Southwest Research Institute, San Antonio, TX USA
| | - H Fischer
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - A Gaggero
- Istituto di Struttura della Materia (CNR-ISM), 00133 Roma, Italy
| | - D Gamborino
- Physics Institute, University of Bern, Bern, Switzerland
| | - P Garnier
- Institut de Recherche en Astrophysique et Planétologie, CNRS, CNES, Université de Toulouse, Toulouse, France
| | - W C Gibson
- Southwest Research Institute, San Antonio, TX USA
| | - R Goldstein
- Southwest Research Institute, San Antonio, TX USA
| | - M Grande
- Aberystwyth University, Aberystwyth, Ceredigion SY23 3FL UK
| | - V Grishin
- IKI Space Research Institute, Moscow, Russia
| | - D Haggerty
- The Johns Hopkins University Applied Physics Laboratory, Laurel, MD 20723 USA
| | - M Holmström
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - I Horvath
- Wigner Research Centre for Physics, Budapest, Hungary
| | - K-C Hsieh
- University of Arizona, Tucson, AZ USA
| | - A Jacques
- NASA/Goddard Space Flight Center, Greenbelt, MD 20771 USA
| | - R E Johnson
- University of Virginia, Charlottesville, VA 22904 USA
| | - A Kazakov
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - K Kecskemety
- Wigner Research Centre for Physics, Budapest, Hungary
| | - H Krüger
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - C Kürbisch
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | | | - M Leichtfried
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | | | - A Loose
- Max-Planck-Institut für Sonnensystemforschung, MPS, 37077 Göttingen, Germany
| | - D Maschietti
- Istituto Fotonica e Nanotecnologie, CNR-IFN, Roma, Italy
| | - S Massetti
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | | | - G Miller
- Southwest Research Institute, San Antonio, TX USA
| | - D Moissenko
- IKI Space Research Institute, Moscow, Russia
| | - A Morbidini
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - R Noschese
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - F Nuccilli
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - C Nunez
- Southwest Research Institute, San Antonio, TX USA
| | - N Paschalidis
- NASA/Goddard Space Flight Center, Greenbelt, MD 20771 USA
| | - S Persyn
- Southwest Research Institute, San Antonio, TX USA
| | - D Piazza
- Physics Institute, University of Bern, Bern, Switzerland
| | - M Oja
- Swedish Institute of Space Physics, Kiruna, Sweden
| | - J Ryno
- Finnish Meteorological Institute FMI, Helsinki, Finland
| | - W Schmidt
- Finnish Meteorological Institute FMI, Helsinki, Finland
| | | | - A Shestakov
- IKI Space Research Institute, Moscow, Russia
| | - S Shuvalov
- IKI Space Research Institute, Moscow, Russia
| | - K Seki
- Department of Earth and Planetary Science, Graduate School of Science, University of Tokyo, Tokyo, Japan
| | - S Selci
- Istituto di Struttura della Materia (CNR-ISM), 00133 Roma, Italy
| | - K Smith
- Southwest Research Institute, San Antonio, TX USA
| | - R Sordini
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | | | - L Szalai
- Wigner Research Centre for Physics, Budapest, Hungary
| | - D Toublanc
- Institut de Recherche en Astrophysique et Planétologie, CNRS, CNES, Université de Toulouse, Toulouse, France
| | - C Urdiales
- Southwest Research Institute, San Antonio, TX USA
| | - A Varsani
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - N Vertolli
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
| | - R Wallner
- Space Research Institute, Austrian Academy of Sciences, Graz, Austria
| | - P Wahlstroem
- Physics Institute, University of Bern, Bern, Switzerland
| | - P Wilson
- Southwest Research Institute, San Antonio, TX USA
| | - S Zampieri
- Institute of Space Astrophysics and Planetology, INAF, via del Fosso del Cavaliere 100, 00133 Rome, Italy
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11
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Lisi G, Campanelli M, Grande S, Milito G, Grande M. Sclerotherapy with 3% polidocanol foam for third- and fourth-degree hemorrhoids as "bridge treatment" during the COVID-19 pandemic in Italy. Int J Colorectal Dis 2021; 36:1321-1322. [PMID: 33452908 PMCID: PMC7811334 DOI: 10.1007/s00384-021-03848-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/13/2021] [Indexed: 02/04/2023]
Abstract
PURPOSE In Italy, colorectal surgery has been strongly affected with the vast majority (90%) of operations treating benign diseases, with an estimated overall 12-week cancellation rate of 72%. Little is known on how to best manage patients with benign diseases and the consequences this interruption of care will have in post-pandemic times. Proctologic diseases have social, psychological, and healthcare repercussions for their high incidence and great impact on the quality of life. METHODS We decided to treated 10 urgent cases affected from III- and IV-degree hemorrhoids with 3% polidocanol foam in attempt to reduce hemorrhoidal symptoms while waiting for surgery so called "bridge treatment". RESULTS During the follow-up no complications were occurred, and all patients had resolution of bleeding and pruritus with a mean VAS of 1 (range, 0-1). CONCLUSIONS This treatment could reduce the bleeding that is the main symptom from which patients suffer and for which they underwent proctological evaluation and surgery. According to our preliminary experience in the impossibility of accessing the surgery during the COVID-19 pandemic, ST could be considered as the treatment of choice in those patients who are suffering from grade III- and IV-degree hemorrhoids while waiting for surgery.
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Affiliation(s)
- Giorgio Lisi
- Department of Surgery, Sant'Eugenio Hospital, Viale dell'Umanesimo 10, 00144, Rome, Italy.
| | - M Campanelli
- Emergency Surgery Unit, University Hospital of Tor Vergara, viale Oxford 81, 00133, Rome, Italy
| | - S Grande
- Emergency Surgery Unit, University Hospital of Tor Vergara, viale Oxford 81, 00133, Rome, Italy
| | - G Milito
- Emergency Surgery Unit, University Hospital of Tor Vergara, viale Oxford 81, 00133, Rome, Italy
| | - M Grande
- Emergency Surgery Unit, University Hospital of Tor Vergara, viale Oxford 81, 00133, Rome, Italy
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12
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Cordero JM, Hingorani R, Jimenez-Relinque E, Grande M, Borge R, Narros A, Castellote M. NO x removal efficiency of urban photocatalytic pavements at pilot scale. Sci Total Environ 2020; 719:137459. [PMID: 32151396 DOI: 10.1016/j.scitotenv.2020.137459] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 02/18/2020] [Accepted: 02/19/2020] [Indexed: 06/10/2023]
Abstract
Photocatalytic technology implemented in construction materials is a promising solution to contribute to alleviate air quality issues found in big cities. Photocatalysis has been proved able to mineralise most harmful contaminants. However, important problems associated with monitoring the efficiency of these solutions under real conditions still remain, including the lack of affordable analytical tools to measure NOx concentrations with enough accuracy. In this work, two pilot scale demonstration platforms were built at two different locations to assess the photocatalytic NOX removal efficiency of ten selected materials exposed outdoors for AQmesh low-cost sensor PODs were used to measure ground-level to measure NO and NO2 concentrations during nearly one year. The pollutant removal efficiency of the materials was then calculated based on a comparison with simultaneously concentration measurements carried-out on reference, non-active materials. It was found that the NO2 removal efficiency presented large variations across the seasons, with maxima during the warmer months, while NO efficiencies were comparatively steadier. Statistical analysis delivered evidence that the efficiencies significantly depend on different meteorological variables (irradiance and relative humidity) besides NO, NO2 ambient concentrations. Lower efficiencies were observed for higher concentration levels and vice versa. The influence of water vapour could be related to two different effects: a short-term contribution by the instantaneous air humidity and a long-term component associated with the hygroscopic state of the material. The contribution of wind to the pollutant removal efficiencies was principally related to the humidity of air masses moving above the location and to the advection of pollutants from specific emission sources.
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Affiliation(s)
- J M Cordero
- Universidad Politécnica de Madrid (UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain.
| | - R Hingorani
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - E Jimenez-Relinque
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - M Grande
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
| | - R Borge
- Universidad Politécnica de Madrid (UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - A Narros
- Universidad Politécnica de Madrid (UPM), José Gutiérrez Abascal 2, 28006 Madrid, Spain
| | - M Castellote
- Institute of Construction Science "Eduardo Torroja" IETcc-CSIC, Serrano Galvache 4, 28033 Madrid, Spain
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Rodriguez-Pinilla SM, Domingo-Domenech E, Climent F, Sanchez J, Perez Seoane C, Lopez Jimenez J, Garcia-Cosio M, Caballero D, Blanco Muñez OJ, Carpio C, Castellvi J, Martinez Pozo A, Gonzalez Farre B, Bendaña A, Aliste C, Gonzalez AJ, Gonzalez de Villambrosia S, Piris MA, Gomez Codina J, Mayordomo-Aranda E, Navarro B, Bellas C, Rodriguez G, Borrero JJ, Ruiz-Zorrilla A, Grande M, Montoto C, Cordoba R. Clinical and pathological characteristics of peripheral T-cell lymphomas in a Spanish population: a retrospective study. Br J Haematol 2020; 192:82-99. [PMID: 32426847 PMCID: PMC7818499 DOI: 10.1111/bjh.16741] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 02/19/2020] [Accepted: 04/21/2020] [Indexed: 12/18/2022]
Abstract
We investigated the clinicopathological features and prognostic factors of patients with peripheral T‐cell lymphoma (PTCL) in 13 sites across Spain. Relevant clinical antecedents, CD30 expression and staining pattern, prognostic indices using the International Prognostic Index and the Intergruppo Italiano Linfomi system, treatments, and clinical outcomes were examined. A sizeable proportion of 175 patients had a history of immune‐related disorders (autoimmune 16%, viral infections 17%, chemo/radiotherapy‐treated carcinomas 19%). The median progression‐free survival (PFS) and overall survival (OS) were 7·9 and 15·8 months, respectively. Prognostic indices influenced PFS and OS, with a higher number of adverse factors resulting in shorter survival (P < 0·001). Complete response (CR) to treatment was associated with better PFS (62·6 vs. 4 months; P < 0·001) and longer OS (67·0 vs. 7·3 months; P < 0·001) compared to no CR. CD30 was expressed across all subtypes; >15% of cells were positive in anaplastic lymphoma kinase‐positive and ‐negative anaplastic large‐cell lymphoma and extranodal natural killer PTCL groups. We observed PTCL distribution across subtypes based on haematopathological re‐evaluation. Poor prognosis, effect of specific prognostic indices, relevance of histopathological sub‐classification, and response level to first‐line treatment on outcomes were confirmed. Immune disorders amongst patients require further examination involving genetic studies and identification of associated immunosuppressive factors.
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Affiliation(s)
| | - Eva Domingo-Domenech
- Hematology Department, Institut Català d'Oncologia L'Hospitalet de Llobregat (Barcelona), Barcelona, Spain
| | - Fina Climent
- Pathology Department, Hospital Universitari de Bellvitge. IDIBELL, L'Hospitalet de Llobregat (Barcelona), Barcelona, Spain
| | - Joaquin Sanchez
- Hematology Department and Pathology Department, Hospital Universitario Reina Sofía, Cordoba, Spain
| | - Carlos Perez Seoane
- Hematology Department and Pathology Department, Hospital Universitario Reina Sofía, Cordoba, Spain
| | | | - Monica Garcia-Cosio
- Anatomical Pathology Department, Hospital Universitario Ramón y Cajal, Madrid, CIBERONC, Madrid, Spain
| | - Dolores Caballero
- Hematology Department, Hospitalario Universitario de Salamanca (HUS/IBSAL) and CIBERONC, Salamanca, Spain
| | | | - Cecilia Carpio
- Hematology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Josep Castellvi
- Pathology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Antonio Martinez Pozo
- Pathology Department, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBERONC, Universitat de Barcelona, Barcelona, Spain
| | - Blanca Gonzalez Farre
- Hematopathology Unit, Hospital Clínic Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) CIBERONC Universitat de Barcelona, Barcelona, Spain
| | - Angeles Bendaña
- Hematology Department, Complexo Hospitalario Universitario de Santiago de Compostela, La Coruña,, Spain
| | - Carlos Aliste
- Hematology Department, Complexo Hospitalario Universitario de Santiago de Compostela, La Coruña,, Spain
| | - Ana Julia Gonzalez
- Hematology Department, Hospital Universitario Central de Asturias, Oviedo, Spain
| | | | - Miguel A Piris
- Hospital Universitario Fundación Jiménez Díaz, Madrid, CIBERONC, Madrid, Spain
| | - Jose Gomez Codina
- Medical Oncology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain
| | | | - Belen Navarro
- Hematology Department, Hospital Universitario Puerta de Hierro, Madrid, CIBERONC, Madrid, Spain
| | - Carmen Bellas
- Pathology Department, Hospital Universitario Puerta de Hierro, Madrid, CIBERONC, Madrid, Spain
| | - Guillermo Rodriguez
- Anatomical Pathology Department, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/Universidad de Sevilla, Sevilla, Spain
| | - Juan Jose Borrero
- Anatomical Pathology Department, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/Universidad de Sevilla, Sevilla, Spain
| | | | - Marta Grande
- Medical Department, Takeda Farmacéutica España S.A, Madrid, Spain
| | - Carmen Montoto
- Medical Department, Takeda Farmacéutica España S.A, Madrid, Spain
| | - Raul Cordoba
- Hematology Department, Fundación Jiménez Díaz, Madrid, CIBERONC, Madrid, Spain
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Lisi G, Campanelli M, Villa M, Grande S, Grande M. Colorectal emergency surgery in a COVID-19 referral hospital during the phase 2 in Italy. Int J Colorectal Dis 2020; 35:2137-2138. [PMID: 32607618 PMCID: PMC7326622 DOI: 10.1007/s00384-020-03684-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/25/2020] [Indexed: 02/04/2023]
Affiliation(s)
- Giorgio Lisi
- University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.
| | - M Campanelli
- Mininvasive Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M Villa
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - S Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
| | - M Grande
- Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy
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Grande M, Bianco GV, Capezzuto P, Petruzzelli V, Prudenzano F, Scalora M, Bruno G, D'Orazio A. Amplitude and phase modulation in microwave ring resonators by doped CVD graphene. Nanotechnology 2018; 29:325201. [PMID: 29767629 DOI: 10.1088/1361-6528/aac557] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
In this paper, we numerically and experimentally demonstrate how to modulate the amplitude and phase of a microwave ring resonator by means of few-layers chemical vapour deposition graphene. In particular, both numerical and experimental results show a modulation of about 10 dB and a 90 degrees-shift (quadrature phase shift) when the graphene sheet-resistance is varied. These findings prove once again that graphene could be efficiently exploited for the dynamically tuning and modulation of microwave devices fostering the realization of (i) innovative beam-steering and beam-forming systems and (ii) graphene-based sensors.
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Affiliation(s)
- M Grande
- Dipartimento di Ingegneria Elettrica e dell'Informazione, Politecnico di Bari, Via Re David 200, I-70125-Bari, Italy. Istituto di Nanotecnologia-CNR-NANOTEC, Via Orabona, 4, I-70125-Bari, Italy
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Pauta M, Grande M, Rodriguez-Revenga L, Kolomietz E, Borrell A. Added value of chromosomal microarray analysis over karyotyping in early pregnancy loss: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2018; 51:453-462. [PMID: 29055063 DOI: 10.1002/uog.18929] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 09/29/2017] [Accepted: 10/06/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To estimate the increased test success rate and incremental yield of chromosomal microarray analysis (CMA) over conventional karyotyping in detection of pathogenic copy number variants (CNVs) and variants of unknown significance (VOUS) in early pregnancy loss. METHOD This was a systematic review conducted in accordance with PRISMA criteria. All articles identified in PubMed, Ovid MEDLINE and Web of Science, between January 2000 and April 2017, that described CNVs in early pregnancy losses (up to 20 weeks) were included. Risk differences were pooled to estimate the incremental yield of CMA over karyotyping overall, and after stratification. In addition, test success rate, defined as the proportion of informative results, was compared in series in which CMA and karyotyping were performed concurrently. RESULTS Twenty-three studies, reporting on 5507 pregnancy losses up to 20 weeks with full data available, met the inclusion criteria for analysis. In the series in which CMA and karyotyping were performed concurrently, CMA showed a significant improvement in success rate, providing informative results in 95% (95% CI, 94-96%) of cases compared with karyotyping in which informative results were provided in 68% (95% CI, 66-70%) of cases. Combined data from reviewed studies revealed that incremental yields of CMA over karyotyping were 2% (95% CI, 1-2%) for pathogenic CNVs and 4% (95% CI, 3-6%) for VOUS. The most common pathogenic CNVs reported were 22q11.21 and 1p36.33 deletion. CONCLUSION In comparison with conventional karyotyping, CMA provides a significant increase in test success rate and incremental diagnostic yield in early pregnancy loss. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- M Pauta
- BCNatal Hospital Clínic Barcelona and IDIBAPS, Barcelona, Spain
| | - M Grande
- BCNatal Hospital Clínic Barcelona and IDIBAPS, Barcelona, Spain
| | - L Rodriguez-Revenga
- Biochemistry and Molecular Genetics Department, Hospital Clínic Barcelona and IDIBAPS, Barcelona, Spain
| | - E Kolomietz
- Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Ontario, Canada
| | - A Borrell
- BCNatal Hospital Clínic Barcelona and IDIBAPS, Barcelona, Spain
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Abstract
Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common condition affecting 10% of women in the reproductive age. Menstrual factors reported to increase risk include dysmenorrhea, early menarche, and shorter cycle lengths. The theory of retrograde menstruation with implantation of endometrial fragments, in conjunction with peritoneal factors to stimulate cell growth is the most widely accepted. There is a growing body of evidence that immunological factors and angiogenesis play a key role in the pathogenesis of endometriosis. In women with endometriosis, there appears to be an alteration in the function of peritoneal macrophages, natural killer cells and lymphocytes, with production of growth factors and inflammatory mediators in the peritoneal fluid. Survival, adhesion, proliferation, invasion and vascularization of endometrial tissue in abdominal cavity may be the consequence of retrograde menstruation and referred to as implantation theory.
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Affiliation(s)
- M. Larosa
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
| | - F. Facchini
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
| | - G. Pozzoli
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
| | - M. Leone
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
| | - M. Grande
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
| | - B. Monica
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla - Italy
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Grande M, Facchini F, La Rosa M, Pozzoli G, Leone M, Piana S, Monica B. Carcinoma dei Dotti Collettori del Bellini: Case Report con Metastasi Cutanea Come Iniziale Manifestazione Clinica. Urologia 2018. [DOI: 10.1177/0391560310077016s12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Bellini's collecting ducts carcinoma represents a rare tumor with an aggressive behaviour with a poor prognosis and often metastatic at diagnosis. We report the first case documented of Bellini tumor with an initial clinic presentation represented by a cutaneous metastasis of scalp. Materials and Methods All pertinent clinical information were compiled, including patient age, sex, mode of presentation, preoperative laboratory data, radiologic findings, surgery type, macro and microscopic findings, survival data. Results After reporting an histopathologic finding of cutaneous metastasis of unknown origin adenocarcinoma with poorly differentiation, a voluminous 6 cm left mesorenal mass is diagnosed through uro-CT. Consequently, it is performed a left radical transperitoneal nephrectomy with consensual exeresis of scalp cutaneous lozenge at the level of previous excision. The histopathologic diagnosis reported was Bellini tumor at stage pT3a-N2-M1. It has not reported significative responsiveness to adjuvant chemotherapy and the patient was died seven months after diagnosis of cutaneous metastasis. Conclusions Most of Bellini's carcinoma are already metastatic at presentation. Analiyzing literature, it is never documented a cutaneous metastasis as first sign at clinical presentation. In this context, radical nephrectomy, differently from others subtypes of advanced renal cell carcinoma, does not seem to improve survival of the patient but rather, it can keep a role in palliation or in the context of new chemotherapeutic protocols.
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Affiliation(s)
- M. Grande
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
| | - F. Facchini
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
| | - M. La Rosa
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
| | - G.L. Pozzoli
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
| | - M. Leone
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
| | - S. Piana
- U.O. di Anatomia Patologica - Arcispedale S. Maria Nuova - ASL Reggio Emilia
| | - B. Monica
- U.O.C. di Urologia - Osp. di Guastalla - AS LReggio Emilia
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Grande M, Fernandez J, Dahmani B, Stanel S, Albin N, Guillevin L, Belorgey C, D'Andon A. How to assess a cancer therapy? Feedback from the French HTA body on the ESMO-MCBS. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx440.064] [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: 11/15/2022] Open
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Quirce S, Delgado J, Entrenas LM, Grande M, Llorente C, López Viña A, Martínez Moragón E, Mascarós E, Molina J, Olaguibel JM, Pérez de Llano LA, Perpiñá Tordera M, Quintano JA, Rodríguez M, Román-Rodriguez M, Sastre J, Trigueros JA, Valero AL, Zoni AC, Plaza V. Quality Indicators of Asthma Care Derived From the Spanish Guidelines for Asthma Management (GEMA 4.0): A Multidisciplinary Team Report. J Investig Allergol Clin Immunol 2017; 27:69-73. [PMID: 28211351 DOI: 10.18176/jiaci.0121] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- S Quirce
- Servicio de Alergología, Instituto de Investigación Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
| | - J Delgado
- Unidad de Gestión Clínica de Alergología, Hospital Virgen Macarena, Sevilla, Spain
| | - L M Entrenas
- Unidad de Gestión Clínica de Neumología, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - M Grande
- Servicio de Medicina Preventiva y Gestión de Calidad, Hospital General Universitario Gregorio Marañón, SERMAS, Madrid, Spain
| | - C Llorente
- Servicio de Medicina Preventiva y Gestión de Calidad, Hospital General Universitario Gregorio Marañón, SERMAS, Madrid, Spain
| | - A López Viña
- Servicio de Neumología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain
| | - E Martínez Moragón
- Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, Spain
| | - E Mascarós
- Medicina de Atención Primaria, Centro de Salud Fuente de San Luis, Valencia, Spain; Departamento de Salud, Hospital Dr. Peset, Valencia, Spain
| | - J Molina
- Medicina de Atención Primaria, EAP Francia, Fuenlabrada, Madrid, Spain
| | - J M Olaguibel
- Servicio de Alergología, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - L A Pérez de Llano
- Servicio de Neumología, Hospital Universitario Lucus Agusti, Lugo, Spain
| | - M Perpiñá Tordera
- Servicio de Neumología, Hospital Universitario Politécnico La Fe, Valencia, Spain
| | - J A Quintano
- Medicina de Atención Primaria, Lucena, Córdoba, Spain
| | - M Rodríguez
- Servicio de Alergología, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain
| | - M Román-Rodriguez
- Medicina de Atención Primaria, Centro de Salud Son Pisá, Instituto de Investigación de Palma de Mallorca (IdisPa), Palma de Mallorca, Spain
| | - J Sastre
- Servicio de Alergología, Fundación Jiménez Díaz, CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain; Universidad Autónoma de Madrid, Madrid, Spain
| | - J A Trigueros
- Medicina de Atención Primaria, Centro de Salud Menasalbas, Toledo, Spain
| | - A L Valero
- Servicio de Neumología, Intitut Clinic Respiratori, Hospital Clinic, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigaciones Biomédicas en Red de Enfermedades Respiratorias (CIBERES), Spain
| | - A C Zoni
- Área de Epidemiología, Subdirección de Promoción y Prevención de la Salud, Consejería de Salud de la Comunidad de Madrid, Madrid, Spain
| | - V Plaza
- Departmento of Medicina Respiratoria, Hospital de la Santa Creu i Sant Pau. Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Departmento de Medicina, Barcelona, Spain
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Grande M, Murua H, Zudaire I, Arsenault-Pernet EJ, Pernet F, Bodin N. Energy allocation strategy of skipjack tuna Katsuwonus pelamis during their reproductive cycle. J Fish Biol 2016; 89:2434-2448. [PMID: 27730635 DOI: 10.1111/jfb.13125] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 05/08/2016] [Accepted: 07/26/2016] [Indexed: 06/06/2023]
Abstract
The lipid composition of somatic and reproductive tissues was determined for female skipjack tuna Katsuwonus pelamis caught in the western Indian Ocean between latitude 10° N and 20° S and longitude 40° and 70° E. The highest total lipid (TL) contents were in the liver and gonads, with white muscle levels approximately three-fold lower. Three lipid classes dominated: triacylglycerols (TAG), sterol esters and wax esters (SE-WE) and phospholipids (PL). Collectively, these accounted for between 70 and 80% of TLs. Changes in lipid concentrations were evaluated over the maturation cycle. Immature fish had the lowest gonad and liver TL levels; concentrations of TL, TAG, SE-WE and PL accumulated from immature to mature (spawning-capable) phase, reflecting sustained vitellogenic activity of the liver and a transfer of lipids to developing oocytes from the onset of vitellogenesis. Gonado-somatic and hepato-somatic indices were positively correlated with each other and positively related to TL in the gonads and liver. Fulton's condition index and lipid concentrations in muscle did not vary significantly over the maturation cycle; fat content in the main storage tissues was undepleted as the ovary developed. Hence, K. pelamis apparently supports reproduction directly from food intake over the breeding season. In the gonads, reserve lipids (SE-WE and TAG) and sterols were related to batch fecundity but this was not the case for somatic and hepatic tissues. These results suggest that K. pelamis utilizes an income breeding strategy.
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Affiliation(s)
- M Grande
- AZTI-Tecnalia, Marine Research Division, Herrera Kaia-Portu aldea z/g, Pasaia, Gipuzkoa, Spain.
- ALBACORA S.A., Polígono Landabaso s/n, Bermeo, Spain.
| | - H Murua
- AZTI-Tecnalia, Marine Research Division, Herrera Kaia-Portu aldea z/g, Pasaia, Gipuzkoa, Spain
| | - I Zudaire
- AZTI-Tecnalia, Marine Research Division, Herrera Kaia-Portu aldea z/g, Pasaia, Gipuzkoa, Spain
- Institut de Recherche pour le Développement (IRD), UMR 248 MARBEC, Avenue Jean Monnet, BP 171, Sète, France
| | - E J Arsenault-Pernet
- Institut de Recherche pour le Développement (IRD), UMR 248 MARBEC, Avenue Jean Monnet, BP 171, Sète, France
| | - F Pernet
- Ifremer - Centre Bretagne- ZI de la Pointe du Diable-CS 10070 - 29280 Plouzané, Brest, France
| | - N Bodin
- Institut de Recherche pour le Développement (IRD), UMR 248 MARBEC, Victoria, Mahé, Seychelles
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Grande M, Bianco GV, Vincenti MA, de Ceglia D, Capezzuto P, Petruzzelli V, Scalora M, Bruno G, D'Orazio A. Optically transparent microwave screens based on engineered graphene layers. Opt Express 2016; 24:22788-22795. [PMID: 27828344 DOI: 10.1364/oe.24.022788] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We propose an innovative approach for the realization of a microwave absorber fully transparent in the optical regime. This device is based on the Salisbury screen configuration, which consists of a lossless spacer, sandwiched between two graphene sheets whose sheet resistances are different and properly engineered. Experimental results show that it is possible to achieve near-perfect electromagnetic absorption in the microwave X-band. These findings are fully supported by an analytical approach based on an equivalent circuital model. Engineering and integration of graphene sheets could facilitate the realization of innovative microwave absorbers with additional electromagnetic and optical functionalities that could circumvent some of the major limitations of opaque microwave absorbers.
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Grande M, Jansen FAR, Blumenfeld YJ, Fisher A, Odibo AO, Haak MC, Borrell A. Genomic microarray in fetuses with increased nuchal translucency and normal karyotype: a systematic review and meta-analysis. Ultrasound Obstet Gynecol 2015; 46:650-658. [PMID: 25900824 DOI: 10.1002/uog.14880] [Citation(s) in RCA: 115] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Revised: 04/09/2015] [Accepted: 04/10/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To estimate the incremental yield of detecting copy number variants (CNVs) by genomic microarray over karyotyping in fetuses with increased nuchal translucency (NT) diagnosed by first-trimester ultrasound. METHODS This was a systematic review conducted in accordance with PRISMA criteria. We searched PubMed, Ovid MEDLINE and Web of Science for studies published between January 2009 and January 2015 that described CNVs in fetuses with increased NT, usually defined as ≥ 3.5 mm, and normal karyotype. Search terms included: fetal or prenatal, nuchal translucency or cystic hygroma or ultrasound anomaly, array comparative genomic hybridization or copy number variants, with related search terms. Risk differences were pooled to estimate the overall and stratified microarray incremental yield using RevMan. Quality assessment of included studies was performed using the Quality Assessment tool for Diagnostic Accuracy Studies (QUADAS-2) checklist. RESULTS Seventeen studies met the inclusion criteria for analysis. Meta-analysis indicated an incremental yield of 5.0% (95% CI, 2.0-8.0%) for the detection of CNVs using microarray when pooling results. Stratified analysis of microarray results demonstrated a 4.0% (95% CI, 2.0-7.0%) incremental yield in cases of isolated NT and 7.0% (95% CI, 2.0-12.0%) when other malformations were present. The most common pathogenic CNVs reported were 22q11.2 deletion, 22q11.2 duplication, 10q26.12q26.3 deletion and 12q21q22 deletion. The pooled prevalence for variants of uncertain significance was 1%. CONCLUSION The use of genomic microarray provides a 5.0% incremental yield of detecting CNVs in fetuses with increased NT and normal karyotype.
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Affiliation(s)
- M Grande
- Department of Maternal-Fetal Medicine, Institute of Gynecology, Obstetrics and Neonatology, Hospital Clinic of Barcelona, Catalonia, Spain
| | - F A R Jansen
- Leiden University Medical Center, Department of Obstetrics and Fetal Medicine, Leiden, The Netherlands
| | - Y J Blumenfeld
- Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, CA, USA
| | - A Fisher
- Elliot Health System, Manchester, NH, USA
| | - A O Odibo
- Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, University of South Florida, Tampa, FL, USA
| | - M C Haak
- Leiden University Medical Center, Department of Obstetrics and Fetal Medicine, Leiden, The Netherlands
| | - A Borrell
- Department of Maternal-Fetal Medicine, Institute of Gynecology, Obstetrics and Neonatology, Hospital Clinic of Barcelona, Catalonia, Spain
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Novitsky Y, Fayezizadeh M, Majumder A, Yee S, Petro C, Orenstein S, Woeste G, Reinisch A, Bechstein WO, Rosen M, Carbonell A, Cobb W, Bauer J, Selzer D, Chao J, Harmaty M, Poulose B, Matthews B, Goldblatt M, Jacobsen G, Rosman C, Hansson B, Prabhu A, Fathi A, Skipworth J, Younis I, Floyd D, Shankar A, Olmi S, Cesana G, Ciccarese F, Uccelli M, Carrieri D, Castello G, Legnani G, Lyo V, Irwin C, Xu X, Harris H, Zuvela M, Galun D, Petrovic J, Palibrk I, Koncar I, Basaric D, Tian W, Fei Y, Pittman M, Jones E, Schwartz J, Mikami D, Perrakis A, Knüttel D, Klein P, Croner RS, Hohenberger W, Perrakis E, Müller V, Grande M, Villa M, Lisi G, Esser A, De Sanctis F, Petrella G, Birolini C, Miranda JS, Tanaka EY, Utiyama EM, Rasslan S, Shi Y, Guo XB, Zhuo HQ, Li LP, Liu HJ, Bauder A, Gerety P, Epps G, Pannucci C, Fischer J, Kovach S. Incisional Hernia: Difficult Cases 2. Hernia 2015; 19 Suppl 1:S105-11. [PMID: 26518784 DOI: 10.1007/bf03355335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Y Novitsky
- Case Comprehensive Hernia Center, Cleveland, USA
| | | | - A Majumder
- Case Comprehensive Hernia Center, Cleveland, USA
| | - S Yee
- Case Comprehensive Hernia Center, Cleveland, USA
| | - C Petro
- Case Comprehensive Hernia Center, Cleveland, USA
| | - S Orenstein
- Case Comprehensive Hernia Center, Cleveland, USA
| | - G Woeste
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - A Reinisch
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - W O Bechstein
- Department of Surgery, Goethe University, Frankfurt, Germany
| | - M Rosen
- Cleveland Clinic Foundation, Cleveland, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - A Fathi
- Case Comprehensive Hernia Center, Cleveland, USA
| | - J Skipworth
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - I Younis
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - D Floyd
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - A Shankar
- Hospital Complex Hernia Unit, Royal Free and University College London, London, UK
| | - S Olmi
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Cesana
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - F Ciccarese
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - M Uccelli
- School of General Surgery, University of Milan, Milan, Italy.,General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - D Carrieri
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Castello
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - G Legnani
- General and Oncologic Surgery Department, S. Marco Hospital, Zingonia, BG, Italy
| | - V Lyo
- Division of General Surgery, University of California San Francisco, San Francisco, USA
| | - C Irwin
- Division of Plastic & Reconstructive Surgery, University of California San Francisco, San Francisco, USA
| | - X Xu
- Division of Plastic & Reconstructive Surgery, University of California San Francisco, San Francisco, USA
| | - H Harris
- Division of General Surgery, University of California San Francisco, San Francisco, USA
| | - M Zuvela
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - D Galun
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - J Petrovic
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia
| | - I Palibrk
- Medical School, University of Belgrade, Belgrade, Serbia.,Clinical center of Serbia, Clinic for vascular and endovascular surgery, Belgrade, Serbia
| | - I Koncar
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia.,Medical School, University of Belgrade, Belgrade, Serbia
| | - D Basaric
- Clinical center of Serbia, University Clinic for Digestive Surgery, Belgrade, Serbia
| | - W Tian
- Department of General Surgery, 1st affiliated hospital of PLA general hospital, Beijing, China
| | | | - M Pittman
- The Ohio State University Medical Center, Columbus, USA
| | | | | | | | - A Perrakis
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - D Knüttel
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - P Klein
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - R S Croner
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - W Hohenberger
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - E Perrakis
- Department of Surgery, Omilos Iatrikoo Kentrou Athinon, Iatriko Kentro Peristeriou, Athens, Greece
| | - V Müller
- Department of Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - M Grande
- University Hospital of Tor Vergata, Rome, Italy
| | - M Villa
- University Hospital of Tor Vergata, Rome, Italy
| | - G Lisi
- University Hospital of Tor Vergata, Rome, Italy
| | - A Esser
- University Hospital of Tor Vergata, Rome, Italy
| | | | - G Petrella
- University Hospital of Tor Vergata, Rome, Italy
| | - C Birolini
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - J S Miranda
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - E Y Tanaka
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - E M Utiyama
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - S Rasslan
- Abdominal Wall and Hernia Surgery, University of São Paulo, School of Medicine, São Paulo, Brazil
| | - Y Shi
- Department of Gastrointestinal Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, China
| | | | | | | | | | - A Bauder
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - P Gerety
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - G Epps
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - C Pannucci
- Division of Plastic and Reconstructive Surgery, University of Utah, Salt Lake City, USA
| | - J Fischer
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
| | - S Kovach
- Division of Plastic Surgery, University of Pennsylvania, Philadelphia, USA
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Grande M, Vincenti MA, Stomeo T, Bianco GV, de Ceglia D, Aközbek N, Petruzzelli V, Bruno G, De Vittorio M, Scalora M, D'Orazio A. Graphene-based perfect optical absorbers harnessing guided mode resonances. Opt Express 2015; 23:21032-42. [PMID: 26367955 DOI: 10.1364/oe.23.021032] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
We investigate graphene-based optical absorbers that exploit guided mode resonances (GMRs) attaining theoretically perfect absorption over a bandwidth of few nanometers (over the visible and near-infrared ranges) with a 40-fold increase of the monolayer graphene absorption. We analyze the influence of the geometrical parameters on the absorption rate and the angular response for oblique incidence. Finally, we experimentally verify the theoretical predictions in a one-dimensional, dielectric grating by placing it near either a metallic or a dielectric mirror, thus achieving very good agreement between numerical predictions and experimental results.
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Mula R, Grande M, Bennasar M, Crispi F, Borobio V, Martinez JM, Gratacos E, Borrell A. Further insights into diastolic dysfunction in first-trimester trisomy-21 fetuses. Ultrasound Obstet Gynecol 2015; 45:205-210. [PMID: 24706444 DOI: 10.1002/uog.13380] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2013] [Revised: 02/20/2014] [Accepted: 03/26/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To assess fetal cardiac function in first-trimester trisomy-21 fetuses as compared with fetuses with other aneuploidies, euploid fetuses with cardiac defects or isolated increased nuchal translucency (NT) and controls. METHODS During a 2.5-year period, NT, ductus venosus (DV) blood flow, diastolic filling time, early filling time, tricuspid flow, tricuspid and mitral valve E/A velocity ratios, left ventricle shortening fraction, left myocardial performance index and fetal heart rate were assessed in fetuses with a crown-rump length between 45 and 84 mm undergoing chorionic villus sampling at our center. Cardiac parameters among study groups were compared with the use of 95% CIs. RESULTS The study population comprised 28 fetuses with trisomy 21, 25 with other aneuploidies, 94 euploid fetuses with abnormal findings (27 with cardiac defects, 31 with other structural anomalies and 36 with isolated increased NT) and 271 controls. Trisomy-21 fetuses showed signs of diastolic dysfunction such as increased DV pulsatility index and E/A ratios together with a higher prevalence of tricuspid regurgitation. However, no differences were found in euploid fetuses with cardiac defects or isolated increased NT. CONCLUSIONS No signs of cardiac dysfunction were observed in euploid fetuses with increased NT or cardiac defects, while in trisomy-21 fetuses signs of diastolic dysfunction could be potentially attributed to volume overload.
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Affiliation(s)
- R Mula
- Maternal-Fetal Medicine Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
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27
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Grande M, Vincenti MA, Stomeo T, Bianco GV, de Ceglia D, Aközbek N, Petruzzelli V, Bruno G, De Vittorio M, Scalora M, D'Orazio A. Graphene-based absorber exploiting guided mode resonances in one-dimensional gratings. Opt Express 2014; 22:31511-9. [PMID: 25607101 DOI: 10.1364/oe.22.031511] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
A one-dimensional dielectric grating, based on a simple geometry, is proposed and investigated to enhance light absorption in a monolayer graphene exploiting guided mode resonances. Numerical findings reveal that the optimized configuration is able to absorb up to 60% of the impinging light at normal incidence for both TE and TM polarizations resulting in a theoretical enhancement factor of about 26 with respect to the monolayer graphene absorption (≈2.3%). Experimental results confirm this behavior showing CVD graphene absorbance peaks up to about 40% over narrow bands of a few nanometers. The simple and flexible design points to a way to realize innovative, scalable and easy-to-fabricate graphene-based optical absorbers.
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28
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Brosa M, García DMX, Mora J, Villacampa A, Pozo T, Adán C, Grande M, García E, Cubells L. Economic Considerations On the Use of Mifamurtide In the Treatment of Osteosarcoma In Spain. Value Health 2014; 17:A526-A527. [PMID: 27201662 DOI: 10.1016/j.jval.2014.08.1662] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- M Brosa
- Oblikue Consulting, Barcelona, Spain
| | | | - J Mora
- Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain
| | | | - T Pozo
- Medical Department. Takeda Farmacéutica España, Madrid, Spain
| | - C Adán
- Medical Department. Takeda Farmacéutica España, Madrid, Spain
| | - M Grande
- Medical Department. Takeda Farmacéutica España, Madrid, Spain
| | - E García
- Medical Department. Takeda Farmacéutica España, Madrid, Spain
| | - L Cubells
- Medical Department. Takeda Farmacéutica España, Madrid, Spain
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Magno G, Monmayrant A, Grande M, Lozes-Dupuy F, Gauthier-Lafaye O, Calò G, Petruzzelli V. Stable planar mesoscopic photonic crystal cavities. Opt Lett 2014; 39:4223-4226. [PMID: 25121692 DOI: 10.1364/ol.39.004223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Mesoscopic self-collimation (MSC) in mesoscopic photonic crystals with high reflectivity is exploited to realize a novel high Q-factor cavity by means of mesoscopic PhC planar mirrors. These mirrors efficiently confine a mode inside a planar Fabry-Perot-like cavity, that results from a beam focusing effect that stabilizes the cavity even for small beam sizes, resembling the focusing behavior of curved mirrors. Moreover, they show an improved reflectivity with respect to their standard distributed Bragg reflector counterparts that allows higher compactness. A Q-factor higher than 10⁴ has been achieved for an optimized 5-period-long mirror cavity. The optimization of the Q-factor and the performances in terms of energy storage, field enhancement, and confinement are detailed.
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30
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Grande M, Solernou R, Ferrer L, Borobio V, Jimenez JM, Bennasar M, Soler A, Borrell A. Is nuchal translucency a useful aneuploidy marker in fetuses with crown-rump length of 28-44 mm? Ultrasound Obstet Gynecol 2014; 43:520-524. [PMID: 24006271 DOI: 10.1002/uog.13203] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2012] [Revised: 01/22/2013] [Accepted: 09/02/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To investigate whether increased nuchal translucency (NT) in fetuses with a crown-rump length (CRL) below 45 mm needs to be re-evaluated at a later stage, or whether the early NT measurement can be used effectively as an aneuploidy marker. METHODS This was a prospective cohort study including all singleton fetuses with a CRL between 28 and 44 mm, scanned in our center during 2002-2012. The CRL, NT, fetal karyotype (when available) and pregnancy outcome were recorded. NT reference ranges were constructed using the Lambda-Mu-Sigma (LMS) method in non-referred pregnancies after exclusion of chromosomal anomalies. The 95(th) percentile was used to calculate detection rates for chromosomally abnormal fetuses. RESULTS NT was successfully measured in 643 of 672 fetuses with a CRL of 28-44 mm. Subsequent cytogenetic analysis revealed 11 cases of trisomy 21, 14 cases of trisomy 13 or 18, three cases of monosomy X, three sex trisomies, three triploidies and 12 balanced anomalies. NT was above the 95(th) percentile in 64% of the fetuses with trisomy 21, in 71% with trisomy 13 or 18 and in all three cases of monosomy X. CONCLUSION NT appears to be useful as a marker for the early detection of fetal trisomies at 9-10 weeks' gestation (28-44 mm CRL).
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Affiliation(s)
- M Grande
- Department of Maternal-Fetal Medicine, Institute of Gynecology, Obstetrics and Neonatology, Hospital Clínic Barcelona, Catalonia, Spain; CIBER de Enfermedades Raras, Instituto de Salud Carlos III, Spain
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Grande M, Borobio V, Jimenez JM, Bennasar M, Stergiotou I, Penarrubia J, Borrell A. Antral follicle count as a marker of ovarian biological age to reflect the background risk of fetal aneuploidy. Hum Reprod 2014; 29:1337-43. [DOI: 10.1093/humrep/deu055] [Citation(s) in RCA: 18] [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] [Indexed: 11/12/2022] Open
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32
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Grande M, Descout J, Kouyoumdjian V, Gervais R, Talbert MM, Verriere D, Pellerin M. GM-010 Sugammadex compared with suxamethonium/neostigmine/atropine for routine reversal of neuromuscular block in bariatric surgery: What’s the budget impact? Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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33
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Descout J, Grande M, Kouyoumdjian V, Gervais R, Verrière D, Pellerin M, Talbert M. DI-025 Evaluation of a new protocol to induce/reverse neuromuscular blockade in bariatric surgery. Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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34
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Vincenti MA, de Ceglia D, Grande M, D'Orazio A, Scalora M. Nonlinear control of absorption in one-dimensional photonic crystal with graphene-based defect. Opt Lett 2013; 38:3550-3553. [PMID: 24104811 DOI: 10.1364/ol.38.003550] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Perfect, narrow-band absorption is achieved in an asymmetric 1D photonic crystal with a monolayer graphene defect. Thanks to the large third-order nonlinearity of graphene and field localization in the defect layer we demonstrate the possibility to achieve controllable, saturable absorption for the pump frequency.
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Borrell A, Grande M, Bennasar M, Borobio V, Jimenez JM, Stergiotou I, Martinez JM, Cuckle H. First-trimester detection of major cardiac defects with the use of ductus venosus blood flow. Ultrasound Obstet Gynecol 2013; 42:51-57. [PMID: 23152003 DOI: 10.1002/uog.12349] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Revised: 02/27/2013] [Accepted: 10/31/2012] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To assess the best method of combining fetal nuchal translucency (NT) and ductus venosus (DV) blood flow measurements in the detection of major cardiac defects in chromosomally normal fetuses during the first-trimester scan. METHODS During an 8-year period NT and DV blood flow were routinely assessed at 11-14 weeks' gestation. Only chromosomally normal singleton pregnancies were included in the study. When a cardiac defect was suspected, or when increased fetal NT and/or absent or reversed (AR) A-wave in the DV was observed, early fetal echocardiography was offered. Data on routine second- and third-trimester scans, neonatal follow-up or postmortem examination were obtained from hospital records. The detection and false-positive rates for all major cardiac defects were calculated for several screening strategies, including: NT or DV pulsatility index for veins (DV-PIV) above a fixed normal centile; AR A-wave; risk based on NT and DV-PIV or A-wave velocity above a fixed normal centile; and combinations of these strategies. RESULTS The study population included 37 chromosomally normal fetuses with a major cardiac defect and 12 799 unaffected pregnancies. Fetal NT above the 95(th) or the 99(th) centile and AR A-wave was observed in 40, 27 and 39% of the fetuses with major cardiac defects, respectively. A 47% detection rate with a 2.7% false-positive rate was obtained when AR A-wave or NT above the 99(th) centile was used as the selection criterion. CONCLUSIONS Half of major fetal cardiac defects could be detected in the first trimester if NT and DV Doppler are used to select 2.7% of the general pregnant population for extended fetal echocardiography.
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Affiliation(s)
- A Borrell
- Department of Maternal-Fetal Medicine, Institute of Gynecology, Obstetrics and Neonatology, Hospital Clínic Barcelona, Catalonia, Spain.
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36
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Triviño M, Grande M, Torijano MJ, Terol M, Gil C, Rodríguez P. P359: The consequences after an aesthetic procedure, is it worth it? Antimicrob Resist Infect Control 2013. [PMCID: PMC3688291 DOI: 10.1186/2047-2994-2-s1-p359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- M Triviño
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
| | - M Grande
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
| | - MJ Torijano
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
| | - M Terol
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
| | - C Gil
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
| | - P Rodríguez
- Preventive Medicine and Quality Management, General University Hospital Gregorio Marañón, Madrid, Spain
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Grande M, Rodríguez P, Terol M, Triviño M, Suárez C, Gil C. P239: Salmonella group B 4,5 outbreak on a neonatology unit. Antimicrob Resist Infect Control 2013. [PMCID: PMC3687740 DOI: 10.1186/2047-2994-2-s1-p239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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38
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Grande M, Wijers I, Navarro P, Nováková V, Bové C, Rodríguez P. P227: Outbreak of Serratia marcescens in a postoperative cardiosurgery unit in a tertiary care hospital. Antimicrob Resist Infect Control 2013. [PMCID: PMC3687843 DOI: 10.1186/2047-2994-2-s1-p227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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39
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Torijano MJ, Grande F, Cantero M, Grande M, Nováková V, Rodríguez P. P055: Roommates’ colonization rates for multiresistant bacteria in a tertiary care hospital. Antimicrob Resist Infect Control 2013. [PMCID: PMC3688357 DOI: 10.1186/2047-2994-2-s1-p55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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40
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Linder DR, Coates AJ, Woodliffe RD, Alsop C, Johnstone AD, Grande M, Preece A, Narheim B, Young DT. The Cassini CAPS Electron Spectrometer. Measurement Techniques in Space Plasmas: Particles 2013. [DOI: 10.1029/gm102p0257] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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41
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Grande M, Ordoñez E, Cirigliano V, Cid J, Grau E, Pericot A, Teixido I, Marin JL, Borrell A. Clinical application of midtrimester non-invasive fetal RHD genotyping and identification of RHD variants in a mixed-ethnic population. Prenat Diagn 2012; 33:173-8. [PMID: 23280558 DOI: 10.1002/pd.4035] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This study aims to assess the suitability of non-invasive prenatal RHD genotyping in non-immunized midtrimester pregnant women from a mixed ethnic population, to prevent unnecessary anti-D immunoglobulin prophylaxis and to identify RHD variants METHODS Rhesus D-negative pregnant women were offered fetal RHD genotyping at 24 gestational weeks. A total of 284 samples were tested for RHD status using multiplex rt-PCR amplification of exons 5 and 7 of the RHD gene and exons 6 and 10 in selected cases. Women carrying RHD-negative fetuses were counseled about their option to avoid routine antenatal anti-D immunoglobulin administration. Diagnostic accuracy of RHD genotyping was compared with postnatal Rhesus D serotyping. RESULTS A total of 184 positives (65%), 91 negatives (32%) and 7 cases (2.5%) compatibles with RHD variants were detected by RHD genotyping. No false negative results were found, and a single false positive was observed in a twin pregnancy. Genotyping was accepted when offered by 94% of women (284/302), and anti-D immunoglobulin was avoided in 95% (90/95) of RHD-negative fetuses. CONCLUSIONS Non-invasive routine antenatal RHD genotyping at 24 weeks of pregnancy is a highly accurate method, resulting in the avoidance of 95% of unnecessary administrations of anti-D immunoglobulin, with no false negative results.
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Affiliation(s)
- M Grande
- Department of Maternal-Fetal Medicine, Institute Gynecology, Obstetrics and Neonatology, Hospital Clínic Barcelona, Catalonia, Spain
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42
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Villa M, Grande M, Rulli F, Konda D, Perretta T, Amabile D, Montuori M, Giurioli C, Simonetti G, Tucci G. Rectus sheath haematoma: are there prognostic risk factors of haemodynamic instability motivating an early operative treatment? Eur J Trauma Emerg Surg 2012; 38:537-41. [PMID: 26816257 DOI: 10.1007/s00068-012-0184-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Accepted: 03/10/2012] [Indexed: 10/28/2022]
Abstract
PURPOSE Rectus sheath haematoma (RSH) is an uncommon condition caused by lesion of the superior or inferior epigastric arteries or their branches or by rupture of the rectus muscle. Treatment is usually supportive; however, if haemodynamic compromise develops, intravascular embolisation or surgery may be required. Furthermore, in some cases, bleeding may be so conspicuous that it can determine the patient's death before an adequate treatment is performed. We performed a retrospective study on 78 consecutive patients with the diagnosis of RSH admitted to the General Surgery Unit of our hospital between January 2000 and December 2010 in order to identify possible prognostic risk factors that could affect the operational approach before the onset of haemodynamic instability. METHODS Demographic characteristics, patient history, laboratory and diagnostic imaging examinations were investigated. The variables considered were: gender, age, anti-coagulation or anti-platelet therapy, trauma, international normalised ratio (INR) and bleeding time in the first 72 h of observation and concomitant diseases. The data were used for statistical analysis. RESULTS Sixty patients received a conservative treatment, while 18 underwent operative treatment for haemodynamic instability (embolisation in 2 patients and surgery in 16 patients). Three of these 18 patients (17 %) died for consumption coagulopathy after surgery. None of the variables included in the univariate statistical analysis was significant (p = ns). CONCLUSION Ultrasonography or computed tomography are the most common methods used to establish the diagnosis of RSH, so it is no longer a diagnostic dilemma. Most patients can be treated conservatively and an operative treatment is justified only in case of haemodynamic instability. Our retrospective study could not identify any prognostic risk factor of haemodynamic instability in RSH. We believe that only a close observation of the patients with RSH and "common sense" can prevent a possible fatal outcome.
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Affiliation(s)
- M Villa
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
| | - M Grande
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
| | - F Rulli
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
| | - D Konda
- Department of Diagnostic Imaging and Interventional Radiology, University Hospital of Tor Vergata, Rome, Italy
| | - T Perretta
- Department of Diagnostic Imaging and Interventional Radiology, University Hospital of Tor Vergata, Rome, Italy
| | - D Amabile
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
| | - M Montuori
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy.
| | - C Giurioli
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
| | - G Simonetti
- Department of Diagnostic Imaging and Interventional Radiology, University Hospital of Tor Vergata, Rome, Italy
| | - G Tucci
- Department of Surgery, University Hospital of Tor Vergata, Rome, Italy
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Grande M, Arigita M, Borobio V, Jimenez JM, Fernandez S, Borrell A. First-trimester detection of structural abnormalities and the role of aneuploidy markers. Ultrasound Obstet Gynecol 2012; 39:157-163. [PMID: 21845742 DOI: 10.1002/uog.10070] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVES To determine the sensitivity of first-trimester ultrasound for diagnosing different structural anomalies in chromosomally normal pregnancies, and to establish the role of aneuploidy markers in the detection of abnormalities. METHODS This was a retrospective study of chromosomally normal singleton pregnancies with an 11-14-week scan performed in our center during 2002-2009. The ultrasound examination included an early fetal anatomy survey and assessment of nuchal translucency, ductus venosus blood flow and nasal bone. RESULTS Among 13 723 scanned first-trimester pregnancies with no genetic anomalies and complete follow-up, 439 fetuses (3.2%) were found to present with structural anomalies (194 with major anomalies and 245 with only minor anomalies). Forty-nine per cent of major structural anomalies were detected during the first-trimester scan, the highest rates corresponding to acrania (17/17), holoprosencephaly (three of three), hypoplastic left heart syndrome (10/10), omphalocele (six of six), megacystis (seven of eight) and hydrops (eight of nine). Higher than expected detection rates were obtained for skeletal (69%) and cardiac (57%) defects, coincidentally showing the highest presence of an increased nuchal translucency or abnormal ductus venosus blood flow (38% and 52%, respectively). The finding of an absent nasal bone did not appear to be associated with structural defects. CONCLUSION About half of major structural abnormalities can be diagnosed in the first trimester. Increased nuchal translucency or abnormal ductus venosus blood flow appear to be associated with cardiac and skeletal defects and may facilitate early detection.
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Affiliation(s)
- M Grande
- Department of Maternal-Fetal Medicine, Institute of Gynecology, Obstetrics and Neonatology, Hospital Clínic Barcelona, Barcelona, Catalonia, Spain
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Affiliation(s)
- M Villa
- Department of Surgery, Tor Vergata University Hospital, Rome, Italy.
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Cadeddu F, Sileri P, Grande M, De Luca E, Franceschilli L, Milito G. Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature. Tech Coloproctol 2011; 16:37-53. [PMID: 22170252 DOI: 10.1007/s10151-011-0798-x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [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] [Received: 09/04/2011] [Accepted: 11/23/2011] [Indexed: 12/18/2022]
Abstract
BACKGROUND Laparoscopic rectopexy to treat full-thickness rectal prolapse has proven short-term benefits, but there are few long-term follow-up and functional outcome data available. Using meta-analysis techniques, this study was designed to evaluate long-term results of open and laparoscopic abdominal procedures to treat full-thickness rectal prolapse in adults. METHODS A literature review was performed using the National Library of Medicine's PubMed database. All articles on abdominal rectopexy patients with a follow-up longer than 16 months were considered. The primary end point was recurrence of rectal prolapse, and the secondary end points were improvement in incontinence and constipation. A random effect model was used to aggregate the studies reporting these outcomes, and heterogeneity was assessed. RESULTS Eight comparative studies, consisting of a total of 467 patients (275 open and 192 laparoscopic), were included. Analysis of the data suggested that there is no significant difference in recurrence, incontinence and constipation improvement between laparoscopic abdominal rectopexy and open abdominal rectopexy. Considering non-comparative trials, the event rate for recurrence was similar in open and laparoscopic suture rectopexy studies and in open and laparoscopic mesh rectopexy trials. Improvement in constipation after the intervention was not statistically significant except for open mesh repair; postoperative improvement in incontinence was statistically significant after laparoscopic procedures and open mesh rectopexy. CONCLUSIONS Laparoscopic abdominal rectopexy is a safe and feasible procedure, which may compare equally with the open technique with regard to recurrence, incontinence and constipation. However, large-scale randomized trials, with comparative, strong methodology, are still needed to identify outcome measures accurately.
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Affiliation(s)
- F Cadeddu
- Department of Surgery, University Hospital Tor Vergata, Viale Oxford 81, 00133, Rome, Italy
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Firinu D, Serusi L, Lorrai MM, Grande M, Murgia G, Barca MP, Collu F, Spiga S, Peralta MM, Manconi PE. Systemic reactive (AA) amyloidosis in the course of common variable immunodeficiency. Amyloid 2011; 18 Suppl 1:214-6. [PMID: 21838492 DOI: 10.3109/13506129.2011.574354080] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- D Firinu
- Department of Internal Medicine, Allergy and Clinical Immunology, Azienda Ospedaliero-Universitaria, Cagliari, Italy
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Andreoli A, De Lorenzo A, Cadeddu F, Iacopino L, Grande M. New trends in nutritional status assessment of cancer patients. Eur Rev Med Pharmacol Sci 2011; 15:469-480. [PMID: 21744742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Nutritional status assessment and support should be considered a valuable measure within the overall oncology strategy. Despite extensive research in the field of clinical nutrition, definite guidelines to base rational nutritional assessment and support in cancer patients are still debated. This review examines different approaches to nutritional status in cancer patients. DESIGN The assessment of nutritional status is usually based on anthropometric measures, biochemical or laboratory tests, clinical indicators and dietary assessment. At present, body composition (BC) is rarely measured in the clinical setting because it is thought to be too unmanageable and time-consuming. However, using new technologies, the estimation of fat, lean and body fluids, that is significant in the management of nutrition therapies in oncology, has become easy. The present study evaluates the different methods of nutrition assessment today available, especially body composition (BC) measurements. Furthermore, nutrition assessment, relevance of nutritional support and choice of nutritional strategy, in surgical patients, are discussed. DISCUSSION Given the clinical relevance of nutritional intervention in patients' quality of life, the nutritional status assessment has a key role in oncological and surgical practice and should include BC assessment in order to tailor nutritional treatment to patients' individual requirements. Furthermore, administration of the supplemented diet before and after surgery seemed to be the best strategy to reduce complications and length of hospital stay.
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Tillmanns E, Meffert E, Heim S, Frauenrath T, Huber W, Amunts K, Grande M. Neuronale Korrelate lexikalischen Suchverhaltens in der aphasischen Spontansprache: Ein Einzelfall. Sprache Stimme Gehör 2011. [DOI: 10.1055/s-0031-1271760] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Meffert E, Grande M, Hußmann K, Christoph S, Willmes K, Piefke M, Huber W. Basisparameter ungestörter Spontansprache: Voraussetzung für die Aphasiediagnostik. Sprache Stimme Gehör 2010. [DOI: 10.1055/s-0030-1263187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Larosa M, Facchini F, Pozzoli G, Leone M, Grande M, Monica B. [Endometriosis: aetiopathogenetic basis]. Urologia 2010; 77 Suppl 17:1-11. [PMID: 21308668] [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] [Accepted: 11/30/2010] [Indexed: 05/30/2023]
Abstract
Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common condition affecting 10% of women in the reproductive age. Menstrual factors reported to increase risk include dysmenorrhea, early menarche, and shorter cycle lengths. The theory of retrograde menstruation with implantation of endometrial fragments, in conjunction with peritoneal factors to stimulate cell growth is the most widely accepted. There is a growing body of evidence that immunological factors and angiogenesis play a key role in the pathogenesis of endometriosis. In women with endometriosis, there appears to be an alteration in the function of peritoneal macrophages, natural killer cells and lymphocytes, with production of growth factors and inflammatory mediators in the peritoneal fluid. Survival, adhesion, proliferation, invasion and vascularization of endometrial tissue in abdominal cavity may be the consequence of retrograde menstruation and referred to as implantation theory.
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Affiliation(s)
- M Larosa
- UOC di Urologia, Azienda AUSL Reggio Emilia, Distretto di Guastalla, Italy.
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