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Papa M, Tripodi V, P Francioso A, Bisagni P. Pancreatic fistula: interventional radiological treatment by collection. Jejunal loop internal drainage. Ann Ital Chir 2023; 94:S2239253X23039567. [PMID: 37737663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
Pancreaticoduodenectomy is a major surgical procedure associated with various and important complications, often difficult to be managed. Pancreatic fistula is due to leakage of pancreatic juice in the abdominal cavity and is the main and most frequent complication after pancreatic surgery. The treatment of pancreatic fistula may change according to degree. Interventional radiology (IR) can offer powerful minimally invasive alternatives in managing pancreatic fistulas. We report the case of a patient affected by ampullar adenocarcinoma who underwent pancreaticoduodenectomy. Surgery was complicated by high-flow pancreatic fistula treated conservatively with CT guided percutaneous transhepatic drainage. Due to persistent leak of pancreatic fluid the abdominal effusion was drained percutaneously in the jejunal loop by Interventional radiology. KEY WORDS: Pancreatic fistula, Jejunal loop internal drainage, Radiological treatment.
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Agnoli C, Sabattini S, Ubiali A, Battisti E, Rossi F, Diana A, Camerino MT, Perfetti S, Ciammaichella L, Stefanello D, Papa M, Zaccone R, Marconato L. A retrospective study on bone metastasis in dogs with advanced-stage solid cancer. J Small Anim Pract 2023; 64:561-567. [PMID: 37186237 DOI: 10.1111/jsap.13621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 03/23/2023] [Accepted: 04/09/2023] [Indexed: 05/17/2023]
Abstract
OBJECTIVES To review clinical characteristics, treatment, outcome and prognostic factors in dogs with solid cancer-bearing bone metastases. MATERIALS AND METHODS Records were reviewed from dogs with histologically-proven solid cancer and bone metastases. Clinicopathologic variables, bone metastases characteristics and skeletal-related events were recorded. Endpoints were time to bone metastases and survival. RESULTS Fifty dogs were included, 20 of them with synchronous and 30 of them with metachronous bone metastases. In the latter group, median time to diagnosis of bone metastases was 210 days (range, 30 to 1835). Most common primary cancer locations included mammary gland (n=6), spleen (n=5) and tonsil (n=5). Most common histotypes were carcinoma (n=32) and hemangiosarcoma (n=10). Nineteen dogs had multiple bones involvement, with humeri and vertebrae more commonly affected. Twenty-four dogs received antitumoural therapy, five symptomatic treatment and 21 were not treated. Overall median survival after bone metastases diagnosis was 30 days (range, 11 to 49); 83% of dogs died because of skeletal-related events. Lack of antitumoural therapy was significantly associated with shorter survival (hazard ratio: 2.7; 95% confidence interval: 1.3 to 5.6) and with increased risk of skeletal-related death (hazard ratio: 3.3; 95% confidence interval: 1.4 to 7.4). Dogs with endocrine/neuroendocrine tumours (odds ratio: 8.8; 95% confidence interval: 1.2 to 63.9), without appendicular metastases (odds ratio: 5.1; 95% confidence interval: 1.0 to 25.8), without extra-skeletal metastases (odds ratio: 5.2; 95% confidence interval: 1.1 to 24.5) and receiving antitumoural therapy (odds ratio: 14.8; 95% confidence interval: 1.7 to 131.4) had an increased chance of surviving more than 100 days. CLINICAL SIGNIFICANCE Bone metastases in dogs with solid cancers are associated with poor prognosis and a high risk of skeletal-related events. Treatment appears to have an impact on survival.
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Affiliation(s)
- C Agnoli
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - S Sabattini
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - A Ubiali
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - E Battisti
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - F Rossi
- Clinica Veterinaria dell'Orologio, Sasso Marconi (BO), Italy
| | - A Diana
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - M T Camerino
- Department of Veterinary Sciences, University of Torino, Torino, Italy
| | - S Perfetti
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - L Ciammaichella
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - D Stefanello
- Department of Veterinary Medicine and Animal Sciences, University of Milan, Milan, Italy
| | - M Papa
- Clinica Veterinaria Gran Sasso, Milan, Italy
| | - R Zaccone
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - L Marconato
- Department of Veterinary Medical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
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Agnoli C, Baroni L, Bertini I, Ciappellano S, Fabbri A, Goggi S, Metro D, Papa M, Sbarbati R, Scarino ML, Pellegrini N, Sieri S. A comprehensive review of healthy effects of vegetarian diets. Nutr Metab Cardiovasc Dis 2023; 33:1308-1315. [PMID: 37217433 DOI: 10.1016/j.numecd.2023.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 04/04/2023] [Accepted: 04/05/2023] [Indexed: 05/24/2023]
Abstract
AIMS A comprehensive review comparing the effect of vegetarian (V) and non-vegetarian (NV) diets on the major cardiometabolic diseases' outcomes was performed. DATA SYNTHESIS We performed literature research (up to December 31, 2022) of the evidence separately for vascular disease (VD), obesity (OB), dyslipidemia (Dysl), hypertension (HPT), type 2 diabetes (T2D), metabolic syndrome (MetS), analyzing only cohort studies and randomized controlled studies (RCTs) and comparing the effect of V and NV diets. Cohort studies showed advantages of V diets compared to NV diets on incidence and/or mortality risk for ischemic heart disease, overweight and OB risk. Most cohort studies showed V had lower risk of HPT and lower blood pressure (BP) than NV and V diets had positive effects on T2D risk or plasma parameters. The few cohort studies on the risk of MetS reported mixed results. In RCTs, V diets, mainly low-fat-vegan ones, led to greater weight loss and improved glycemic control than NV diets and in the only one RCT a partial regression of coronary atherosclerosis. In most RCTs, V diets significantly reduced LDL-C levels (but also decreased HDL-C levels) and BP. CONCLUSIONS In this comprehensive review of the association between V diets and cardiometabolic outcomes, we found that following this type of diet may help to prevent most of these diseases. However, the non-uniformity of the studies, due to ethnic, cultural, and methodological differences, does not allow for generalizing the present results and drawing definitive conclusions. Further, well-designed studies are warranted to confirm the consistency of our conclusions.
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Affiliation(s)
- C Agnoli
- Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - L Baroni
- Scientific Society for Vegetarian Nutrition - SSNV, Venice (VE), Italy
| | | | - S Ciappellano
- Department of Food, Environmental and Nutritional Sciences (DeFENS), Division of Human Nutrition, University of Milan, Italy
| | - A Fabbri
- Department of Food and Drug Science, University of Parma, Italy
| | - S Goggi
- Nutrition and Dietetic Department, Plant Based Clinic, via Giannone 9, 20154, Milano, Italy
| | - D Metro
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125, Messina, Italy
| | - M Papa
- Messina Provincial Health Authority, Messina, Italy
| | | | - M L Scarino
- Research Institute for Food and Nutrition, Council for Agricultural Research and Economics, Rome, Italy
| | - N Pellegrini
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Udine, Italy.
| | - S Sieri
- Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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Ascenti G, Cicero G, Cardone G, Bertelli E, Papa M, Ciccone V, Manetta R, Gentili F, Francioso AP, Mazzei MA, Floridi C, Di Cesare E, Gandolfo N, De Filippo M, Miele V, Giovagnoni A. Cornerstones of CT urography: a shared document by the Italian board of urogenital radiology. Radiol Med 2023; 128:601-611. [PMID: 37027091 DOI: 10.1007/s11547-023-01623-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 03/15/2023] [Indexed: 04/08/2023]
Abstract
CT urography is a single term used to refer to different scanning protocols that can be applied for a number of clinical indications. If, on the one hand, this highlights the role of the radiologist in deciding the most suitable technique to perform according to the patient's needs, on the other hand, a certain confusion may arise due to the different technical and clinical variables that have to be taken into account. This has been well demonstrated by a previous work based on an online questionnaire administered to a population of Italian radiologists that brought out similarities as well as differences across the national country. Defining precise guidelines for each clinical scenario, although desirable, is a difficult task to accomplish, if not even unfeasible. According to the prementioned survey, five relevant topics concerning CT urography have been identified: definition and clinical indications, opacification of the excretory system, techniques, post-processing reconstructions, and radiation dose and utility of dual-energy CT. The aim of this work is to deepen and share knowledge about these main points in order to assist the radiology in the daily practice. Moreover, a synopsis of recommendations agreed by the Italian board of genitourinary imaging is provided.
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Affiliation(s)
- Giorgio Ascenti
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino", Via Consolare Valeria, 1, 98100, Messina, Italy
| | - Giuseppe Cicero
- Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino", Via Consolare Valeria, 1, 98100, Messina, Italy.
| | - Gianpiero Cardone
- Diagnostic and Interventional Radiology Department, IRCCS Ospedale San Raffaele-Turro, Università Vita-Salute San Raffaele, Milan, Italy
| | - Elena Bertelli
- Department of Emergency Radiology, Careggi University Hospital, Florence, Italy
| | - Maurizio Papa
- Complex Unit of Radiology, Department of Diagnostic and Interventional Radiology, Azienda Socio Sanitaria Territoriale (ASST) Lodi, Lodi, Italy
| | - Vincenzo Ciccone
- Radiology Department, San Giovanni Di Dio E Ruggi D'Aragona Hospital, Salerno, Italy
| | - Rosa Manetta
- Radiology Unit, San Salvatore Hospital, L'Aquila, Italy
| | - Francesco Gentili
- Unit of Diagnostic Imaging, Department of Radiological Sciences, Azienda Ospedaliero-Universitaria Senese, "Santa Maria Alle Scotte" General Hospital, Viale Mario Bracci, 16, Siena, 53100, Italy
| | - Antonio Pio Francioso
- Complex Unit of Radiology, Department of Diagnostic and Interventional Radiology, Azienda Socio Sanitaria Territoriale (ASST) Lodi, Lodi, Italy
| | - Maria Antonietta Mazzei
- Unit of Diagnostic Imaging, Department of Medical, Surgical and Neuro Sciences and of Radiological Sciences, University of Siena, Azienda Ospedaliero-Universitaria Senese, Siena, Italy
| | - Chiara Floridi
- Department of Radiological Sciences, Ospedali Riuniti Ancona, Università Politecnica Delle Marche - University Hospital, Via Tronto 10, 60126, Ancona, Italy
| | - Ernesto Di Cesare
- Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100, L'Aquila, Italy
| | - Nicoletta Gandolfo
- Diagnostic Imaging Department, Villa Scassi Hospital-ASL 3, Corso Scassi 1, Genoa, Italy
| | - Massimo De Filippo
- University of Parma, Parma Hospital, Via Gramsci 14, 43126, Parma, Italy
| | - Vittorio Miele
- Department of Emergency Radiology, Careggi University Hospital, Florence, Italy
| | - Andrea Giovagnoni
- Department of Radiological Sciences, Ospedali Riuniti Ancona, Università Politecnica Delle Marche - University Hospital, Via Tronto 10, 60126, Ancona, Italy
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Ierardi AM, Tintori J, Shehab A, Papa M, Carrafiello G. Percutaneous Imaging Guided Puncture and Embolization of Visceral Pseudoaneurysms. JEVTM 2023. [DOI: 10.26676/jevtm.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Background: Visceral pseudoaneurysms (PSAs) are usually treated endovascularly. No official guidelines existregarding the correct management when this management option fails. The aim of this study is to assess the efficacyand safety of percutaneous imaging guided puncture of visceral PSAs in patients where intra-arterial embolizationwas unsuccessful or unfeasible.Methods: Five patients with visceral artery pseudoaneurysms (VAPAs) were enrolled in the study. The diagnosis wasmade using a 64-slice multi-detector computed tomography (MDCT) scanner and all patients were previously consideredunsuitable for the procedure or underwent the procedure unsuccessfully; all patients had anemia with hemoglobinloss greater than 2 g/dL in the last 24 hours. A 22-gauge Chiba needle was used to get percutaneous access to thelesion, where N-butyl cyanoacrylate (NBCA) and lipiodol or coils and onyx were subsequently injected.Results: Four patients received a mixture of NBCA and lipiodol in a 1:2 ratio (80%, n = 4), and only one participantreceived coils and onyx. Primary clinical success was 100% and embolization was not repeated in any cases. Nolife-threatening secondary conditions or major complications were observed throughout the follow-up period; in onepatient an asymptomatic embolic agent migration was reported. Secondary clinical success was also obtained in thecurrent study. None of the remaining four participants experienced re-bleeding episodes or any procedure-relatedproblems.Conclusions: Percutaneous embolization of visceral PSAs is a safe and effective treatment alternative that should beconsidered when the trans-arterial method cannot be used.
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Oricco S, Boz E, Dravelli G, Rossi C, Papa M, Signorelli S, Gatti L, Gendusa M, Noto F, Caristi D, Bussadori CM. Acute pulmonary edema in a dog with severe pulmonary valve stenosis: A rare complication after balloon valvuloplasty. J Vet Cardiol 2021; 39:1-7. [PMID: 34861639 DOI: 10.1016/j.jvc.2021.10.005] [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: 01/19/2021] [Revised: 10/16/2021] [Accepted: 10/28/2021] [Indexed: 11/17/2022]
Abstract
Pulmonic stenosis is a frequent congenital heart disease in dogs, and the treatment of choice is balloon valvuloplasty which is usually safe and successful. The authors describe for the first time a severe complication after balloon valvuloplasty in a five-month-old dog. After effective treatment, with a considerable drop in right ventricular pressures, the dog developed hypoxemia and dyspnea due to pulmonary edema. The dog underwent intensive care and symptoms improved after a few hours of oxygen therapy, continuous positive airway pressure, and furosemide. Although this event is rare, it could have a large impact on patient survival and should be considered in the treatment of severe pulmonary valve stenosis in the future.
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Affiliation(s)
- S Oricco
- Centro Veterinario Imperiese, Via Dott. Augusto Armelio 10, Imperia, 18100, Italy.
| | - E Boz
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - G Dravelli
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - C Rossi
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - M Papa
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - S Signorelli
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - L Gatti
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - M Gendusa
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - F Noto
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - D Caristi
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
| | - C M Bussadori
- Clinica Veterinaria Gran Sasso, Via Donatello, 26, Milano, 20131, Italy
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Campochiaro C, Tomelleri A, Sartorelli S, Sembenini C, Papa M, Fallanca F, Picchio M, Cavalli G, De Cobelli F, Baldissera E, Dagna L. A Prospective Observational Study on the Efficacy and Safety of Infliximab-Biosimilar (CT-P13) in Patients With Takayasu Arteritis (TAKASIM). Front Med (Lausanne) 2021; 8:723506. [PMID: 34646844 PMCID: PMC8502860 DOI: 10.3389/fmed.2021.723506] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 09/02/2021] [Indexed: 11/25/2022] Open
Abstract
Objectives: Infliximab (IFX) is widely used in patients with refractory Takayasu arteritis (TAK). Recently, the IFX-biosimilar CT-P13 has been introduced for the treatment of inflammatory diseases. The aim of this study was to assess the efficacy and safety of CT-P13 in patients with refractory TAK. Methods: In this prospective, open-label, single-center trial, TAK patients either already on treatment with IFX-originator (switch group) or never treated with IFX (naïve group) received CT-P13 for 52 weeks. The primary outcomes of the study were: (i) number of patients with active disease at month 6; (ii) incidence of treatment-emergent adverse events at month 12. Disease activity was assessed at month 6 and month 12 by clinical evaluation (ITAS-2020, ITAS-ESR, and ITAS-CRP scores) and imaging assessment [magnetic resonance angiography (MRA) and (18F)-FDG-PET]. Results: 23 patients were recruited (21 switch, 2 naïve). At baseline, 7 patients (32%) were classified as active. At month 6, one patient voluntarily dropped out and 7 patients were still active (30%), including one patient started on a different bDMARD at month 2 due to poor disease control. Mean daily dose of prednisone equivalent was significantly lower than baseline (4.2 ± 1.9 mg vs. 4.8 ± 2.1 mg, p = 0.009). At month 12, another patient was excluded because of pregnancy desire. Five patients were classified as active (24%), including two patients started on a different bDMARD at month 2 and month 6. Mean daily dose of prednisone equivalent was significantly lower than baseline (3.3 ± 2.6, p = 0.034). No patient experienced side effects during CT-P13 infusion. Overall, one patient experienced grade 1 adverse event and 9 patients experienced grade 2 adverse events. In no case hospitalization was required. CT-P13 retention rate was 90.9% at month 6 and 90.4% at month 12. Conclusion: In this study, the use of IFX-biosimilar CT-P13 in patients with refractory TAK showed satisfying efficacy and safety profile.
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Affiliation(s)
- Corrado Campochiaro
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - Alessandro Tomelleri
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - Silvia Sartorelli
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy
| | | | - Maurizio Papa
- Unit of Radiology, IRCCS San Raffaele Hospital, Milan, Italy
| | - Federico Fallanca
- Unit of Nuclear Medicine, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Maria Picchio
- Vita-Salute San Raffaele University, Milan, Italy.,Unit of Nuclear Medicine, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Giulio Cavalli
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - Francesco De Cobelli
- Vita-Salute San Raffaele University, Milan, Italy.,Unit of Radiology, IRCCS San Raffaele Hospital, Milan, Italy
| | - Elena Baldissera
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy
| | - Lorenzo Dagna
- Unit of Immunology, Rheumatology, Allergy and Rare Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
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Papa M, Biondetti P, Colombo R, Ierardi AM, Angileri SA, Lucignani G, Boeri L, Montanari E, Cardone G, Scagnelli P, Carrafiello G. sABLATE: a simplified ABLATE score for prediction of complications and outcome in percutaneous thermal ablation of renal lesions. Med Oncol 2021; 38:126. [PMID: 34495438 DOI: 10.1007/s12032-021-01542-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 05/23/2021] [Indexed: 11/28/2022]
Abstract
The aim of the study is to evaluate the performance of a simplified ABLATE score (sABLATE) in predicting complications and outcome with respect to RENAL, mRENAL, and ABLATE scores. This study included 136 renal lesions in 113 patients (M:F ratio = 2.5; mean age 70.8 years). 98 tumors underwent cryoablation at San Raffaele hospital between 01/2015 and 03/2020, while 37 underwent microwave ablation at San Paolo or Policlinico hospitals between 07/2016 and 03/2020. RENAL, mRENAL, ABLATE, and sABLATE scores were calculated using pre-procedural imaging. Data regarding complications and follow-up were registered. Mann-Whitney U test, ROC analyses, and logistic regression analyses were used for complications. Cox-regression analyses were performed for outcome. Mean tumor diameter was 23.2 mm. Mean and median RENAL, mRENAL, ABLATE, and sABLATE scores were 6.8 and 7, 6.9 and 7, 5.3, and 5, and 3.5 and 3, respectively. During a mean follow-up of 21.9 months (range 1-73), we registered 7 complications, 3 cases of residual disease, and 10 local tumor progressions. Mann-Whitney U test p values for complications for RENAL, mRENAL, ABLATE, and sABLATE were 0.51, 0.49, 0.66, and 0.056, respectively. ROC analyses for complications showed an AUC for RENAL, mRENAL, ABLATE, and sABLATE of 0.57, 0.57, 0.55, and 0.71, respectively. Regarding outcome, HR and p values of Cox-regression analyses were 1.30 and 0.36 for RENAL, 1.33 and 0.35 for mRENAL, 2.16 and 0.01 for ABLATE, 2.29 and 0.004 for sABLATE. sABLATE was the only score close to significance for complications, representing a progress even if not definitive. Regarding outcome, ABLATE confirmed its value, and sABLATE maintained validity despite being a simplification.
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Affiliation(s)
- Maurizio Papa
- Azienda Socio Sanitaria Territoriale (ASST) Lodi, Complex Unit of Radiology, Department of Diagnostic and Interventional Radiology, Viale Savoia 4, 26900, Lodi, Italy.
| | - Pierpaolo Biondetti
- Diagnostic and Interventional Radiology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Roberta Colombo
- Diagnostic and Interventional Radiology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Anna Maria Ierardi
- Diagnostic and Interventional Radiology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Salvatore Alessio Angileri
- Diagnostic and Interventional Radiology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Gianpaolo Lucignani
- Urology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Luca Boeri
- Urology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Emanuele Montanari
- Urology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
| | - Gianpiero Cardone
- Diagnostic and Interventional Radiology Department, IRCCS Ospedale San Raffaele-Turro, Università Vita-Salute San Raffaele, Milan, Italy
| | - Paola Scagnelli
- Azienda Socio Sanitaria Territoriale (ASST) Lodi, Complex Unit of Radiology, Department of Diagnostic and Interventional Radiology, Viale Savoia 4, 26900, Lodi, Italy
| | - Gianpaolo Carrafiello
- Diagnostic and Interventional Radiology Department, IRCCS Cà Granda Fondazione Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy
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9
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Tomelleri A, Campochiaro C, Sartorelli S, Papa M, De Luca G, Cavalli G, Baldissera E, Dagna L. Large-vessel Vasculitis Affecting the Aorta and its Branches in Relapsing Polychondritis: Case Series and Systematic Review of the Literature. J Rheumatol 2020; 47:1780-1784. [PMID: 31839593 DOI: 10.3899/jrheum.190862] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2019] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To describe the features of large-vessel vasculitis (LVV) as it affects the aorta and its branches in patients with relapsing polychondritis (RP). METHODS Retrospective data and systematic literature review. RESULTS Twenty-one patients were identified. LVV diagnosis was subsequent to RP and associated with extrachondral involvement in the majority of patients. Supraaortic vessels were more frequently involved (82%). Fourteen patients (67%) were treated with a conventional synthetic disease-modifying antirheumatic drug (csDMARD) and 7 (33%) with a biological DMARD (bDMARD). Vascular interventional procedures were performed in 10 patients (48%). Premature death due to cardiovascular complications was reported in 3 cases (14%). CONCLUSION Extraaortic LVV is a serious and overlooked RP manifestation. All patients with RP should be investigated for LVV.
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Affiliation(s)
- Alessandro Tomelleri
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University
| | - Corrado Campochiaro
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University;
| | - Silvia Sartorelli
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University
| | - Maurizio Papa
- M. Papa, MD, Department of Radiology, IRCCS San Raffaele Hospital
| | - Giacomo De Luca
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University
| | - Giulio Cavalli
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University
| | - Elena Baldissera
- E. Baldissera, MD, Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, Milan, Italy
| | - Lorenzo Dagna
- A. Tomelleri, MD, C. Campochiaro, MD, S. Sartorelli, MD, G. De Luca, MD, G. Cavalli, MD, PhD, L. Dagna, MD, FACP, FEFIM(Hon), Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital, and Vita-Salute San Raffaele University
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Arrichiello A, Angileri SA, Buccimazza G, Di Bartolomeo F, Di Meglio L, Liguori A, Gurgitano M, Ierardi AM, Papa M, Paolucci A, Carrafiello G. Interventional radiology management of high flow priapism: review of the literature. Acta Biomed 2020; 91:e2020010. [PMID: 33245065 PMCID: PMC8023077 DOI: 10.23750/abm.v91i10-s.10233] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 10/02/2020] [Indexed: 01/04/2023]
Abstract
Introduction: High-flow priapism is a persistent partial penile tumescence, related to high flow arterial blood into the corpora. It is much less common than the low-flow priapism, and history of trauma is the more common aetiology. In the treatment of high flow priapism, super-selective embolization is considered treatment of choice when conservative treatment fails as reported in the “European Association of Urology Guidelines on Priapism”, but there are only few series reporting the outcome, the efficacy of different embolic materials and these studies are uncontrolled and relatively small. Objectives: The aim of this study is to review the literature to outline the state of the art of this interventional treatment and to analyse the outcome of the different embolic agents. Methods: Through Medline database (via PubMed) we searched all the English-language published articles related to priapism. Keywords were chosen according to MeSH terms. We selected case-series from 1990 to 2020 including at least five cases of high-flow priapism. The variables extracted from the selected articles were: number of patients, mean age, diagnostic imaging modality, mono or bilateral involvement of the arteries, embolization material, technical success, clinical success, complications, recurrence rate and type of reintervention, mean follow up, onset of erectile dysfunction. Results: We analyzed 11 papers. A total of 117 patients, mean age of 30 years, were studied during a period of 8 to 72 months. Technical success average was 99%, varying from 93 to 100%. Clinical success average was 88%, varying from 56 to 100%. After two or more treatments, resolution of priapism was obtained in all patients. No major adverse events registered. Recurrence rate of 21% (25/117) was observed, and only 4 patients underwent surgery. A total of 17 patients (15%) developed erectile dysfunction (ED). We also created a subgroup analysis focusing on specific outcome with different types of materials. Technical success was very high, 100% for all materials except for PVA particles Clinical Success was at least 70% with all kind of material. Best result was obtained with gel-foam (89%) and the worse with PVA (70%). Conclusion: Our data suggested comparable outcomes using different types of materials. In line with the last evidences we suggest that the choice of the embolic material should be selected basing on the expertise of the operator, the characteristic of the fistula and characteristic of the patients. (www.actabiomedica.it)
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Affiliation(s)
- Antonio Arrichiello
- Postgraduation School in Radiodiagnostics, Univeristà Degli Studi di Milano, Milan, Italy.
| | - Salvatore Alessio Angileri
- Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
| | - Giorgio Buccimazza
- Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | | | - Letizia Di Meglio
- Postgraduation School in Radiodiagnostics, Univeristà Degli Studi di Milano, Milan, Italy.
| | - Alessandro Liguori
- Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
| | - Martina Gurgitano
- Division of Radiology, IEO European institute of oncology IRCCS, Milan, Italy.
| | - Anna Maria Ierardi
- Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
| | - Maurizio Papa
- Azienda Socio Sanitaria Territoriale (ASST) Lodi, Department of Diagnostic, Complex Unit of Radiology, Lodi, Italy.
| | - Aldo Paolucci
- Operative Unit of Neuroradiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
| | - Gianpaolo Carrafiello
- 1-Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. 2-Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.
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11
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Angileri SA, Granata G, Savoldi AP, Rodà GM, Di Meglio L, Grillo P, Tortora S, Arrichiello A, Papa M, Liguori A, Ierardi AM, De Filippo M, Paolucci A, Carrafiello G. Cooled radiofrequency ablation technology for painful bone tumors. Acta Biomed 2020; 91:e2020007. [PMID: 33245074 PMCID: PMC8023082 DOI: 10.23750/abm.v91i10-s.10271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Accepted: 09/23/2020] [Indexed: 11/23/2022]
Abstract
Bone metastases are a common cause of cancer-related debilitating pain, especially when -localized in the vertebral column and not responsive to standard treatment. In such cases, various treatment options are available; among these is Radiofrequency, whose role has been rapidly growing over the past few years. In this study, we used the innovative Osteocool RF Ablation System (Medtronic) on a patient with a painful bone metastasis localized in the 5th lumbar vertebra, with encouraging results. The radiofrequency ablation of bone metastases with palliative aim represents an excellent treatment option, as it is a minimally invasive and safe procedure, and can be repeated multiple times.
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Affiliation(s)
- Salvatore Alessio Angileri
- 1. Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy..
| | - Giuseppe Granata
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Anna Paola Savoldi
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Giovanni Maria Rodà
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Letizia Di Meglio
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Pasquale Grillo
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Silvia Tortora
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Antonio Arrichiello
- 2. Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
| | - Maurizio Papa
- 3. Azienda Socio Sanitaria Territoriale (ASST) Lodi, Department of Diagnostic, Complex Unit of Radiology, Lodi, Italy..
| | - Alessandro Liguori
- 1. Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy..
| | - Anna Maria Ierardi
- 1. Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy..
| | - Massimo De Filippo
- 4. Section of Radiology, of Surgical Sciences, Department of Medicine and Surgery, Azienda Ospedaliero-Universitaria di Parma, University of Parma, Parma, Italy.
| | - Aldo Paolucci
- 5. Operative Unit of Neuroradiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy.
| | - Gianpaolo Carrafiello
- 1. Operative Unit of Radiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy. 6. Department of Health Sciences, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy.
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12
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Le Donne M, Metro D, Alibrandi A, Papa M, Benvenga S. Effects of three treatment modalities (diet, myoinositol or myoinositol associated with D-chiro-inositol) on clinical and body composition outcomes in women with polycystic ovary syndrome. Eur Rev Med Pharmacol Sci 2020; 23:2293-2301. [PMID: 30915778 DOI: 10.26355/eurrev_201903_17278] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To evaluate, in overweight/obese PCOS women, which of three distinct treatment modalities achieved the greatest clinical benefits in terms of clinical and body composition outcomes. PATIENTS AND METHODS Forty-three polycystic ovary syndrome (PCOS) overweight/obese patients were randomly treated for 6 months with: only diet (Group 1, n = 21); diet and myo-inositol (MI) 4 g + folic acid 400 µg daily (group 2, n = 10); diet in association with MI 1.1 g + D-chiroinositol (DCI) 27.6 mg + folic acid 400 µg daily (group 3, n = 13). Menstrual cycle, Ferriman-Gallwey score, body mass index (BMI), waist circumference, hip circumference, waist-hip ratio (WHR), and body composition by bioimpedentiometry were measured at baseline, 3 and 6 months. RESULTS Body weight, BMI, waist and hip circumferences decreased significantly in all groups. There was a significant difference between the 3 groups regarding the restoration of menstrual regularity (p = 0.02) that was obtained in all patients only in-group 3. CONCLUSIONS MI+DCI in association with diet seems to accelerate the weight loss and the fat mass reduction with a slight increase of percent lean mass, and this treatment contributes significantly in restoring the regularity of the menstrual cycle.
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Affiliation(s)
- M Le Donne
- Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
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Bussadori CM, Claretti M, Borgonovo S, Boz E, Papa M, Rossi C, Martelli F, Aimi M, Signorelli S, Marinelli R. Branch pulmonary artery stent placement in a dog with heart base neoplasia. J Vet Cardiol 2020; 30:17-22. [PMID: 32619933 DOI: 10.1016/j.jvc.2020.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 05/06/2020] [Accepted: 05/12/2020] [Indexed: 10/24/2022]
Abstract
A 7-year-old French bulldog was presented for evaluation of cardiac neoplasia. Two-dimensional transthoracic echocardiography revealed a mass on the base of the heart, compressing the right pulmonary artery. Computed tomography exam confirmed that a surgical approach to remove the mass would not be viable. Stent placement in the right pulmonary artery was performed to relieve external compression caused by the neoplasia. When surgery is not feasible, pulmonary artery stenting could be one aspect of a multidisciplinary approach to palliative management of heart base neoplasia.
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Affiliation(s)
- C M Bussadori
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - M Claretti
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy.
| | - S Borgonovo
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - E Boz
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - M Papa
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - C Rossi
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - F Martelli
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - M Aimi
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - S Signorelli
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - R Marinelli
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
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Campochiaro C, Tomelleri A, Sartorelli S, De Luca G, Sembenini C, Cavalli G, Mapelli P, Picchio M, Papa M, Baldissera E, Dagna L. AB0466 EFFICACY AND SAFETY OF INFLIXIMAB-BIOSIMILAR IN TAKAYASU ARTERITIS (TAKASIM): A MONOCENTRIC, OBSERVATIONAL, PROSPECTIVE, OPEN-LABEL STUDY. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Treatment of Takayasu arteritis (TA) is mainly based on steroids, but, in approximately 50% of patients, disease-modifying antirheumatic drugs(DMARDs) are required.Objectives:To evaluate efficacy and safety of IFX-biosimilar in TA patients.Methods:Both bDMARD-naïve and IFX-O treated patients were eligible. Primary endpoint was the number of patients with active disease as assessed by magnetic resonance angiography(MRA), 18FDG PET/CT, ITAS2010 and ITAS-ESR/CRP at month 6. Secondary endpoints were safety and tolerability, number of patients with active disease at month 12, quality of life. Non-parametric statistic tests were used.Results:Twenty-three patients(21 female) were recruited. At baseline, mean age was 43.8±14.4 years and mean disease duration 95.5±61.3months. Two patients were IFX-O-naïve. Mean time on IFX-O was 51.5±37.9 months. Four patients had been previously treated with other biologics(tocilizumab, 3; adalimumab, 1). Twenty-one patients(91.3%) were on concomitant steroids(mean dose, 4.8±2.0 mg daily) and 82% on concomitant csDMARDs, kept unchanged throughout the study. At baseline, 4 patients(17%) were classified as active according to ITAS2010, ITAS-ESR, and ITAS-CRP; mean HAQ was 3.48±5.26. Over the study period two patients dropped out the study because of poor disease control (1 at month 3 and 1 at month 6). PET/CT was not available for one patient who was on lactation during the study period and 1 patient refused to undergo imaging re-evaluation. At month 6, MRA was available for 21 patients: it was stable in 11(52%), improved in 5(24%), worsened in 5(24%). PET/CT was available for 20 patients: it was negative in 12(65%), improved although still positive in 3(16%), stable in 1(5%), worsened in 3(16%). At month 6, among 22 patients, 4(18%) were clinically active according to ITAS2010, ITAS-ESR and ITAS-CRP; mean steroid dose was significantly lower compared to baseline(4.2±2.0 mg daily, p=0.009); HAQ didn’t significantly change(mean, 3.35±6.59, p=0.357). At month 12, MRA was available for 20 patients. It was stable in 9 patients(45%), improved in 8 (40%), worsened in 3(15%). PET/CT was available for 19 patients: it was negative in 14(74%), improved although still positive in 2(10%), stable in 3(10%), worsened in 1(5%). At month 12, 3 patients(14%) were active according to ITAS2010 and 2(9%) according to ITAS-ESR and ITAS-CRP; mean steroid dose was significantly lower compared to baseline(3.4±2.56 mg daily, p=0.034); HAQ didn’t significantly change(mean, 3.84±6.34, p=0.919). Nine patients(39%) experienced low-grade side effects related to TNFα-blockade (6, herpes reactivation; 3, urinary tract infection; 1 gastroenteritis). No IFX-B therapy modification was required.Conclusion:Our study suggests that IFX-B is effective and safe both in IFX-O switch and IFX-O naïve TA patients.Disclosure of Interests: :Corrado Campochiaro Speakers bureau: Novartis, Pfizer, Roche, GSK, SOBI, Alessandro Tomelleri: None declared, Silvia Sartorelli: None declared, Giacomo De Luca Speakers bureau: SOBI, Novartis, Celgene, Pfizer, MSD, Camilla Sembenini: None declared, Giulio Cavalli Speakers bureau: SOBI, Novartis, Pfizer, Paola Mapelli: None declared, Maria Picchio: None declared, Maurizio Papa: None declared, Elena Baldissera Speakers bureau: Novartis, Pfizer, Roche, Alpha Sigma, Sanofi, Lorenzo Dagna Grant/research support from: Abbvie, BMS, Celgene, Janssen, MSD, Mundipharma Pharmaceuticals, Novartis, Pfizer, Roche, SG, SOBI, Consultant of: Abbvie, Amgen, Biogen, BMS, Celltrion, Novartis, Pfizer, Roche, SG, and SOBI
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15
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Boz E, Papa M, Claretti M, Bussadori R, Serrano Lopez B, Rossi C, Mazzoni L, Pradelli D, Bussadori CM. Real-time three-dimensional echocardiographic study of a cardiac hemangiosarcoma in a dog. J Vet Cardiol 2020; 28:31-36. [PMID: 32182572 DOI: 10.1016/j.jvc.2020.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 01/07/2020] [Accepted: 02/11/2020] [Indexed: 10/25/2022]
Abstract
A 7-year-old Golden Retriever was presented for a second opinion regarding a cardiac mass. Two-dimensional transthoracic echocardiography demonstrated presence of a mass in the area of the right atrium. The mass appeared adherent and possibly infiltrative to the external wall of the right atrium. Three-dimensional transthoracic echocardiography allowed better visualization of the neoplasia, suggesting that it was not infiltrative and contributed significantly to the decision to carry out the surgical resection of the cardiac tumor. This case report demonstrates the use of three-dimensional transthoracic echocardiography in the diagnostic evaluation of cardiac masses in dogs without the need for general anesthesia.
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Affiliation(s)
- E Boz
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy.
| | - M Papa
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - M Claretti
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - R Bussadori
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - B Serrano Lopez
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - C Rossi
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - L Mazzoni
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - D Pradelli
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
| | - C M Bussadori
- Department of Cardiology of Clinica Veterinaria Gran Sasso, Via Donatello 26, 20131, Milano, Italy
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Papa M, Suardi N, Losa A, Agostini G, Maga T, Ierardi AM, Carrafiello G, Gaboardi F, Cardone G. ABLATE: a score to predict complications and recurrence rate in percutaneous treatments of renal lesions. Med Oncol 2020; 37:26. [PMID: 32166542 DOI: 10.1007/s12032-020-01351-3] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Accepted: 02/26/2020] [Indexed: 01/20/2023]
Abstract
RENAL score has been validated on predicting adverse events and relapses in percutaneous treatments of renal lesions. To better fit interventional issues a modified score (mRENAL) has been introduced, but the only difference from the RENAL score is on the dimensional parameter. However, it remains of surgical derivation while a specific interventional score is missing. This study aims to obtain a specific score (ABLATE) to better quantify the risk of complications and relapses in percutaneous kidney ablation procedures compared to the existing surgical scores. Taking inspiration from previous papers, a score was built to quantify the real difficulties faced in percutaneous treatment of renal lesions. The ABLATE score was used on 71 cryoablations to evaluate its predictivity of complications and relapses. Logistic regression was used to predict complication incidence; Cox-regression was used for relapses; ROC analysis was used to evaluate the accuracy of the different scores. Between January 2014 and November 2019, 71 lesions in 68 patients were treated. Overall, malignant histology was found in 62 lesions (87.3%). Mean and median RENAL, mRENAL, and ABLATE scores were 7.04 and 7, 7.19 and 7, and 5.11 and 4, respectively. Out of 71 treatments, we experienced 3 bleeding with anemia (4.2%), only 2 of which needed further treatment (2.82%). The mean and median RENAL, mRENAL, and ABLATE scores in those with complications were 7.66 and 7.01 (p = 0.69), 8.0 and 7.1 (p = 0.54), and 6.6 and 5.0 (p = 0.38), respectively. Out of 62 malignant lesions, we experienced 2 persistent and 6 recurrent lesions (3.2% and 8.4%, respectively). At Cox-regression analyses, mABLATE score outperformed both RENAL and mRENAL scores in predicting recurrences (HR 1.48; p < 0.001 vs. 1.41; p = 0.1 vs. 1.38: p = 0.07, respectively). The ABLATE score showed to be a better predictor of relapses than RENAL and mRENAL. The small number of complications conditioned a lack of statistic power on complications for all the scores. At the moment to quantify the risks in percutaneous kidney ablation procedures, surgical scores are used. A specific score better performs this task.
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Affiliation(s)
- Maurizio Papa
- Ospedale San Raffaele Sede di Ville Turro - UOC Radiology, Milan, Italy.
| | - Nazareno Suardi
- Ospedale San Raffaele Sede di Ville Turro - UOC Urology, Milan, Italy
| | - Andrea Losa
- Ospedale San Raffaele Sede di Ville Turro - UOC Urology, Milan, Italy
| | - Giulia Agostini
- Ospedale San Raffaele Sede di Ville Turro - UOC Radiology, Milan, Italy
| | - Tommaso Maga
- Ospedale San Raffaele Sede di Ville Turro - UOC Urology, Milan, Italy
| | | | | | - Franco Gaboardi
- Ospedale San Raffaele Sede di Ville Turro - UOC Urology, Milan, Italy
| | - Gianpiero Cardone
- Ospedale San Raffaele Sede di Ville Turro - UOC Radiology, Milan, Italy
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Uricchio N, Seddio F, Marcora S, Marrone C, Ferrero P, Preda L, Papa M, Ciuffreda M, Didedda G, Sadou Y, Galletti L. MORE THAN 10 YEARS SINGLE CENTRE EXPERIENCE WITH NORWOOD STAGE I PROCEDURE. J Cardiovasc Med (Hagerstown) 2018. [DOI: 10.2459/01.jcm.0000549873.02815.ed] [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: 11/05/2022]
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Mannucci PM, Coppola R, Lombardi R, Papa M, Biasi RD. Direct Proof of Extreme Lyonization as a Cause of Low Factor VIII Levels in Females. Thromb Haemost 2018. [DOI: 10.1055/s-0038-1646723] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- P M Mannucci
- Hemophilia & Thrombosis Centre Angelo Bianchi Bonomi, University of Milano, Milano, Italy
| | - R Coppola
- Hemophilia & Thrombosis Centre Angelo Bianchi Bonomi, University of Milano, Milano, Italy
| | - R Lombardi
- Hemophilia & Thrombosis Centre Angelo Bianchi Bonomi, University of Milano, Milano, Italy
| | - M Papa
- Blood Transfusion Centre, Ospedale dei Pellegrini, Napoli, Italy
| | - R De Biasi
- Blood Transfusion Centre, Ospedale dei Pellegrini, Napoli, Italy
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Agnoli C, Baroni L, Bertini I, Ciappellano S, Fabbri A, Papa M, Pellegrini N, Sbarbati R, Scarino ML, Siani V, Sieri S. Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutr Metab Cardiovasc Dis 2017; 27:1037-1052. [PMID: 29174030 DOI: 10.1016/j.numecd.2017.10.020] [Citation(s) in RCA: 139] [Impact Index Per Article: 19.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 09/28/2017] [Accepted: 10/23/2017] [Indexed: 01/28/2023]
Abstract
BACKGROUND Interest in vegetarian diets is growing in Italy and elsewhere, as government agencies and health/nutrition organizations are emphasizing that regular consumption of plant foods may provide health benefits and help prevent certain diseases. METHODS AND RESULTS We conducted a Pubmed search, up to September, 2015, for studies on key nutrients (proteins, vitamin B12, iron, zinc, calcium, vitamin D, and n-3 fatty acids) in vegetarian diets. From 295 eligible publications the following emerged: Vegetarians should be encouraged to supplement their diets with a reliable source of vitamin B12 (vitamin-fortified foods or supplements). Since the plant protein digestibility is lower than that of animal proteins it may be appropriate for vegetarians to consume more proteins than recommended for the general population. Vegetarians should also be encouraged to habitually consume good sources of calcium, iron and zinc - particularly vegetables that are low in oxalate and phytate (e.g. Brassicaceae), nuts and seeds, and calcium-rich mineral water. Calcium, iron, and zinc bioavailability can be improved by soaking, germination, and sour-dough leavening that lower the phytate content of pulses and cereals. Vegetarians can ensure good n-3 fatty acid status by habitually consuming good sources of a-linolenic acid (walnuts, flaxseeds, chia seeds, and their oils) and limiting linoleic acid intake (corn and sunflower oils). CONCLUSIONS Well-planned vegetarian diets that include a wide variety of plant foods, and a reliable source of vitamin B12, provide adequate nutrient intake. Government agencies and health/nutrition organizations should provide more educational resources to help Italians consume nutritionally adequate vegetarian diets.
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Affiliation(s)
- C Agnoli
- Epidemiology and Prevention Unit, Fondazione IRCSS Istituto Nazionale dei Tumori, Milan, Italy
| | - L Baroni
- Primary Treatment Unit, Northern Health and Social Security District 9, Treviso, Italy
| | | | - S Ciappellano
- Department of Food, Environmental and Nutritional Sciences, Division of Human Nutrition, University of Milan, Milan, Italy
| | - A Fabbri
- Nutrition Unit, Hygiene, Food and Nutrition Services, Department of Public Health, Local Health Unit, Reggio Emilia, Italy
| | - M Papa
- Independent Researcher, Italy
| | - N Pellegrini
- Department of Food and Drug, University of Parma, Parma, Italy
| | | | - M L Scarino
- Research Centre for Food and Nutrition, Council for Agricultural Research and Economics, Rome, Italy
| | - V Siani
- Independent Researcher, Italy
| | - S Sieri
- Epidemiology and Prevention Unit, Fondazione IRCSS Istituto Nazionale dei Tumori, Milan, Italy.
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Youngstein T, Tombetti E, Mukherjee J, Barwick TD, Al-Nahhas A, Humphreys E, Nash J, Andrews J, Incerti E, Tombolini E, Salerno A, Sartorelli S, Ramirez GA, Papa M, Sabbadini MG, Gianolli L, De Cobelli F, Fallanca F, Baldissera E, Manfredi AA, Picchio M, Mason JC. FDG Uptake by Prosthetic Arterial Grafts in Large Vessel Vasculitis Is Not Specific for Active Disease. JACC Cardiovasc Imaging 2017; 10:1042-1052. [DOI: 10.1016/j.jcmg.2016.09.027] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2016] [Revised: 09/02/2016] [Accepted: 09/15/2016] [Indexed: 10/20/2022]
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Giordano G, Stanziano M, Mucci A, Papa M, Galderisi S. Functional connectivity of the ventral tegmental area and avolition in schizophrenia: A resting state functional MRI study. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.2136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionImpaired motivation is considered a fundamental aspect of the Avolition domain of negative symptoms. The ventral tegmental area (VTA) contains the highest number of DA neurons projecting to the brain areas involved in motivation-related processes.AimThe aim of our study was to investigate by functional MRI the resting-state functional connectivity (RS-FC) of the VTA in patients with schizophrenia and its relationships with real-life motivation and avolition.MethodThe RS-FC was investigated in 22 healthy controls (HC) and in 26 schizophrenia patients (SCZ) treated with second generation antipsychotics only and divided in high (HA = 13) and low avolition (LA = 13) subgroups. We used the Quality of Life Scale and the Schedule for the Deficit Syndrome to assess real-life motivation and avolition, respectively.ResultsHA, as compared to LA and HC, showed a reduced RS-FC of VTA with the right ventrolateral prefrontal cortex (R VLPFC), right posterior insula (R pINS) and right lateral occipital cortex (R LOC). The RS-FC for these regions was positively correlated with motivation in the whole sample and negatively correlated with avolition in schizophrenia patients.ConclusionOur findings demonstrate that motivational deficits in schizophrenia patients are linked to reduced functional connectivity in the DA circuit involved in retrieval of the outcome values of different actions to guide behavior. Further characterization of the factors modulating the functional connectivity in this circuit might foster the development of innovative treatments for avolition.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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22
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Mucci A, Giordano G, Stanziano M, Papa M, Galderisi S. VTA-insula Connectivity and Avolition in Subjects with Schizophrenia. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionAvolition represents an important domain of negative symptoms in schizophrenia with a strong impact on functional outcome. Primary and persistent avolition is refractory to available pharmacological and psychological treatments. A better understanding of its pathophysiological mechanisms is fundamental to promote development of new treatments. Recent models of avolition converge on dopaminergic circuits involved in motivation and its translation in goal-directed behavior. Deficits in task-related activation or connectivity within mesolimbic and mesocortical dopamine circuits were reported in schizophrenia but the relationship with avolition was not fully established.AimsThe present study aimed to investigate resting-state functional connectivity (RS-FC) within the motivation circuits in schizophrenia patients and its relationships with primary and persistent avolition.MethodsRS-FC, using VTA as a seed region, was investigated in 22 healthy controls (HC) and in 26 schizophrenia patients (SCZ) divided in high (HA) and low avolition (LA) subgroups. Avolition was assessed using the Schedule for the Deficit Syndrome.ResultsHA, in comparison to LA and HC, showed significantly reduced RS-FC with the right ventrolateral prefrontal cortex (R-VLPFC), right insula (R-INS) and right lateral occipital cortex (R-LOC). The RS-FC of these regions was negatively correlated to avolition.ConclusionsOur findings demonstrate that avolition in schizophrenia is linked to dysconnection of VTA from key cortical regions involved in retrieval of outcome values of instrumental actions to motivate behavior.Disclosure of interestAM received honoraria or advisory board/consulting fees from the following companies: Janssen Pharmaceuticals, Otsuka, Pfizer and Pierre Fabre. SG received honoraria or advisory board/consulting fees from the following companies: Lundbeck, Janssen Pharmaceuticals, Hoffman-La Roche, Angelini-Acraf, Otsuka, Pierre Fabre and Gedeon-Richter. All other Authors declare no potential conflict of interest.
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23
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De Filippo E, Russotto P, Acosta L, Adamczyk M, Al-Ajlan A, Al-Garawi M, Al-Homaidhi S, Amorini F, Auditore L, Aumann T, Ayyad Y, Basrak Z, Benlliure J, Boisjoli M, Boretzky K, Brzychczyk J, Budzanowski A, Caesar C, Cardella G, Cammarata P, Chajecki Z, Chartier M, Chbihi A, Colonna M, Cozma M, Czech B, Di Toro M, Famiano M, Gannon S, Gašparić I, Grassi L, Guazzoni C, Guazzoni P, Heil M, Heilborn L, Introzzi R, Isobe T, Kezzar K, Kiš M, Krasznahorkay A, Kupny S, Kurz N, La Guidara E, Lanzalone G, Lasko P, Le Fèvre A, Leifels Y, Lemmon R, Li Q, Lombardo I, Łukasik J, Lynch W, Marini P, Matthews Z, May L, Minniti T, Mostazo M, Pagano A, Pagano E, Papa M, Pawłowski P, Pirrone S, Politi G, Porto F, Reviol W, Riccio F, Rizzo F, Rosato E, Rossi D, Santoro S, Sarantites D, Simon H, Skwirczynska I, Sosin Z, Stuhl L, Trautmann W, Trifirò A, Trimarchi M, Tsang M, Verde G, Veselsky M, Vigilante M, Wang Y, Wieloch A, Wigg P, Winkelbauer J, Wolter H, Wu P, Yennello S, Zambon P, Zetta L, Zoric M. The symmetry energy at suprasaturation density and the ASY-EOS experiment at GSI. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201713709002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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24
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Gonzalez-Gil L, Papa M, Feretti D, Ceretti E, Mazzoleni G, Steimberg N, Pedrazzani R, Bertanza G, Lema JM, Carballa M. Is anaerobic digestion effective for the removal of organic micropollutants and biological activities from sewage sludge? Water Res 2016; 102:211-220. [PMID: 27344252 DOI: 10.1016/j.watres.2016.06.025] [Citation(s) in RCA: 87] [Impact Index Per Article: 10.9] [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: 03/29/2016] [Revised: 06/09/2016] [Accepted: 06/11/2016] [Indexed: 06/06/2023]
Abstract
The occurrence of emerging organic micropollutants (OMPs) in sewage sludge has been widely reported; nevertheless, their fate during sludge treatment remains unclear. The objective of this work was to study the fate of OMPs during mesophilic and thermophilic anaerobic digestion (AD), the most common processes used for sludge stabilization, by using raw sewage sludge without spiking OMPs. Moreover, the results of analytical chemistry were complemented with biological assays in order to verify the possible adverse effects (estrogenic and genotoxic) on the environment and human health in view of an agricultural (re)use of digested sludge. Musk fragrances (AHTN, HHCB), ibuprofen (IBP) and triclosan (TCS) were the most abundant compounds detected in sewage sludge. In general, the efficiency of the AD process was not dependent on operational parameters but compound-specific: some OMPs were highly biotransformed (e.g. sulfamethoxazole and naproxen), while others were only slightly affected (e.g. IBP and TCS) or even unaltered (e.g. AHTN and HHCB). The MCF-7 assay evidenced that estrogenicity removal was driven by temperature. The Ames test did not show point mutation in Salmonella typhimurium while the Comet test exhibited a genotoxic effect on human leukocytes attenuated by AD. This study highlights the importance of combining chemical analysis and biological activities in order to establish appropriate operational strategies for a safer disposal of sewage sludge. Actually, it was demonstrated that temperature has an insignificant effect on the disappearance of the parent compounds while it is crucial to decrease estrogenicity.
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Affiliation(s)
- L Gonzalez-Gil
- Department of Chemical Engineering, School of Engineering, Universidade de Santiago de Compostela, Rúa Lope Gómez de Marzoa, E-15782 Santiago de Compostela, Spain
| | - M Papa
- Department of Chemical Engineering, School of Engineering, Universidade de Santiago de Compostela, Rúa Lope Gómez de Marzoa, E-15782 Santiago de Compostela, Spain; Department of Civil, Environmental, Architectural Engineering and Mathematics, University of Brescia, via Branze 43, I-25123 Brescia, Italy
| | - D Feretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, I-25123 Brescia, Italy; Brescia University Research Center "Integrated Models for Prevention and Protection in Environmental and Occupational Health" (MISTRAL), Italy
| | - E Ceretti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, I-25123 Brescia, Italy
| | - G Mazzoleni
- Department of Clinical & Experimental Sciences, University of Brescia, viale Europa 11, I-25123 Brescia, Italy; Brescia University Research Center "Integrated Models for Prevention and Protection in Environmental and Occupational Health" (MISTRAL), Italy
| | - N Steimberg
- Department of Clinical & Experimental Sciences, University of Brescia, viale Europa 11, I-25123 Brescia, Italy
| | - R Pedrazzani
- Department of Mechanical and Industrial Engineering, University of Brescia, via Branze 38, I-25123 Brescia, Italy; Brescia University Research Center "Integrated Models for Prevention and Protection in Environmental and Occupational Health" (MISTRAL), Italy
| | - G Bertanza
- Department of Civil, Environmental, Architectural Engineering and Mathematics, University of Brescia, via Branze 43, I-25123 Brescia, Italy; Brescia University Research Center "Integrated Models for Prevention and Protection in Environmental and Occupational Health" (MISTRAL), Italy
| | - J M Lema
- Department of Chemical Engineering, School of Engineering, Universidade de Santiago de Compostela, Rúa Lope Gómez de Marzoa, E-15782 Santiago de Compostela, Spain
| | - M Carballa
- Department of Chemical Engineering, School of Engineering, Universidade de Santiago de Compostela, Rúa Lope Gómez de Marzoa, E-15782 Santiago de Compostela, Spain.
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25
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Abstract
Aneurysms of infrapopliteal arteries are rare. The etiology is usually traumatic, and most aneurysms are false. The English-language literature reports only 33 cases of infrapopliteal arterial true aneurysms, of which 8 involve the posterior tibial artery. The etiology of these lesions is unclear; a fibromuscular fibrodysplasia similar to ulnar aneurysm may be hypothesized, but traumatic, atherosclerotic, inflammatory, and other pathological processes are also probably involved. The natural history seems to be related to thrombosis and distal embolism more than to rupture. Surgical indications are debated. Aneurysm repair with a complete restoration of the blood flow through the affected artery is particularly challenging owing to the small size of the vessels, and ligation may be required. We report, to the best of our knowledge, the first case of an atherosclerotic posterior tibial artery true aneurysm successfully treated with aneurysmectomy and end-to-end direct reconstruction with a documented good long-term patency. Clinical features, imaging findings, and surgical management are described; indications and treatments (open or endovascular) are discussed.
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Affiliation(s)
- Yamume Tshomba
- Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.
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26
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Melissano G, Civilini E, Papa M, Del Guercio R, Chiesa R. Antalgic Flexion of the Lower Limb: An Unusual Presentation of Aortoiliac Infection with Psoas Muscle Abscess. Vasc Endovascular Surg 2016; 39:287-92. [PMID: 15920659 DOI: 10.1177/153857440503900311] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Psoas abscess with aortoiliac infection is rare. Patients are often symptomatic for a long time before the correct diagnosis is made. The authors report 4 cases in which the presenting symptom was an antalgic flexion of the left thigh. In 2 patients the cause was an aortic graft infection with enteric fistula; in the other 2, infection developed after transfemoral endovascular procedures. Open surgical treatment was performed in 3 cases and percutaneous drainage in 1. One surgical patient with a late diagnosis eventually died of sepsis; the other 3 are alive and well at mean follow-up of 14 months.
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Affiliation(s)
- Germano Melissano
- Chair of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.
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27
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Tombetti E, Colombo B, Di Chio MC, Sartorelli S, Papa M, Salerno A, Bozzolo EP, Tombolini E, Benedetti G, Godi C, Lanzani C, Rovere-Querini P, Del Maschio A, Ambrosi A, De Cobelli F, Sabbadini MG, Baldissera E, Corti A, Manfredi AA. Chromogranin-A production and fragmentation in patients with Takayasu arteritis. Arthritis Res Ther 2016; 18:187. [PMID: 27531191 PMCID: PMC4987982 DOI: 10.1186/s13075-016-1082-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Accepted: 07/22/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Chromogranin-A (CgA) is a secretory protein processed into peptides that regulate angiogenesis and vascular cells activation, migration and proliferation. These processes may influence arterial inflammation and remodelling in Takayasu arteritis (TA). METHODS Plasma levels of full-length CgA (CgA439), CgA fragments lacking the C-terminal region (CgA-FRs) and the N-terminal fragment, CgA1-76 (vasostatin-1, VS-1) were analysed in 42 patients with TA and 20 healthy age-matched controls. Vascular remodelling was longitudinally assessed by imaging. CgA peptides were related to markers of systemic and local inflammation, disease activity and vascular remodelling. RESULTS Levels of CgA-FRs and VS-1 were increased in TA. Treatment with proton-pump inhibitors (PPIs) and arterial hypertension partially accounted for CgA levels and high inter-patient variability. CgA439, CgA-FRs and VS-1 levels did not reflect disease activity or extent. Markers of systemic or local inflammation correlated with higher CgA-FRs and VS-1 in normotensive patients and with higher CgA439 in hypertensive patients. Treatment with non-biologic anti-rheumatic agents was associated with increased CgA-FRs and a distinctive regulation of CgA processing. Reduced blood levels of anti-angiogenic CgA peptides were associated with vascular remodelling in the groups of patients on PPIs and with arterial hypertension. CONCLUSIONS The plasma levels of CgA fragments are markedly increased in TA as a consequence of disease- and therapy-related variables. Anti-angiogenic forms of CgA may limit vascular remodelling. Given the effect of the various CgA peptides, it is advisable to limit the therapeutic prescriptions that might influence CgA-derived peptide levels to clearly agreed medical indications until further data become available.
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Affiliation(s)
- Enrico Tombetti
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy. .,Vita-Salute San Raffaele University, 20132, Milan, Italy.
| | - Barbara Colombo
- Division of Oncology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Maria Chiara Di Chio
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy.,Vita-Salute San Raffaele University, 20132, Milan, Italy
| | - Silvia Sartorelli
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy.,Vita-Salute San Raffaele University, 20132, Milan, Italy
| | - Maurizio Papa
- Department of Radiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Annalaura Salerno
- Vita-Salute San Raffaele University, 20132, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Enrica Paola Bozzolo
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy
| | | | - Giulia Benedetti
- Vita-Salute San Raffaele University, 20132, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Claudia Godi
- Department of Neuroradiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Chiara Lanzani
- Genomics of Renal Disease and Hypertension Unit, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Patrizia Rovere-Querini
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy.,Vita-Salute San Raffaele University, 20132, Milan, Italy
| | - Alessandro Del Maschio
- Vita-Salute San Raffaele University, 20132, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | | | - Francesco De Cobelli
- Vita-Salute San Raffaele University, 20132, Milan, Italy.,Department of Radiology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Maria Grazia Sabbadini
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy.,Vita-Salute San Raffaele University, 20132, Milan, Italy
| | - Elena Baldissera
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy
| | - Angelo Corti
- Vita-Salute San Raffaele University, 20132, Milan, Italy.,Division of Oncology, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy
| | - Angelo A Manfredi
- Department of Medicine and Division of Immunology, Transplantation & Infectious Diseases, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132, Milan, Italy.,Vita-Salute San Raffaele University, 20132, Milan, Italy
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Schröder P, Helmreich B, Škrbić B, Carballa M, Papa M, Pastore C, Emre Z, Oehmen A, Langenhoff A, Molinos M, Dvarioniene J, Huber C, Tsagarakis KP, Martinez-Lopez E, Pagano SM, Vogelsang C, Mascolo G. Status of hormones and painkillers in wastewater effluents across several European states-considerations for the EU watch list concerning estradiols and diclofenac. Environ Sci Pollut Res Int 2016; 23:12835-66. [PMID: 27023823 PMCID: PMC4912981 DOI: 10.1007/s11356-016-6503-x] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [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: 06/14/2015] [Accepted: 02/28/2016] [Indexed: 05/05/2023]
Abstract
Present technologies for wastewater treatment do not sufficiently address the increasing pollution situation of receiving water bodies, especially with the growing use of personal care products and pharmaceuticals (PPCP) in the private household and health sector. The relevance of addressing this problem of organic pollutants was taken into account by the Directive 2013/39/EU that introduced (i) the quality evaluation of aquatic compartments, (ii) the polluter pays principle, (iii) the need for innovative and affordable wastewater treatment technologies, and (iv) the identification of pollution causes including a list of principal compounds to be monitored. In addition, a watch list of 10 other substances was recently defined by Decision 2015/495 on March 20, 2015. This list contains, among several recalcitrant chemicals, the painkiller diclofenac and the hormones 17β-estradiol and 17α-ethinylestradiol. Although some modern approaches for their removal exist, such as advanced oxidation processes (AOPs), retrofitting most wastewater treatment plants with AOPs will not be acceptable as consistent investment at reasonable operational cost. Additionally, by-product and transformation product formation has to be considered. The same is true for membrane-based technologies (nanofiltration, reversed osmosis) despite of the incredible progress that has been made during recent years, because these systems lead to higher operation costs (mainly due to higher energy consumption) so that the majority of communities will not easily accept them. Advanced technologies in wastewater treatment like membrane bioreactors (MBR) that integrate biological degradation of organic matter with membrane filtration have proven a more complete elimination of emerging pollutants in a rather cost- and labor-intensive technology. Still, most of the presently applied methods are incapable of removing critical compounds completely. In this opinion paper, the state of the art of European WWTPs is reflected, and capacities of single methods are described. Furthermore, the need for analytical standards, risk assessment, and economic planning is stressed. The survey results in the conclusion that combinations of different conventional and advanced technologies including biological and plant-based strategies seem to be most promising to solve the burning problem of polluting our environment with hazardous emerging xenobiotics.
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Affiliation(s)
- P Schröder
- Research Unit Microbe-Plant Interactions (EGEN), German Research Center for Health and Environment GmbH, Helmholtz Zentrum Muenchen, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany.
| | - B Helmreich
- Chair of Urban Water Systems Engineering, Technische Universität München, Munich, Germany
| | - B Škrbić
- Faculty of Technology, University of Novi Sad, Novi Sad, Serbia
| | - M Carballa
- Department of Chemical Engineering, School of Engineering, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - M Papa
- Department of Civil Environmental Architectural Engineering & Mathematics, University of Brescia, Brescia, Italy
| | - C Pastore
- CNR-Istituto di Ricerca Sulle Acque, Bari, Italy
| | - Z Emre
- Turkish Atomic Energy Authority, Ankara, Turkey
| | - A Oehmen
- Departamento de Química, Faculdade de Ciências e Tecnologia (FCT), Universidade Nova de Lisboa (UNL), Caparica, Portugal
| | - A Langenhoff
- Sub-department of Environmental Technology, Wageningen University of Agrotechnology & Food Sciences, Wageningen, The Netherlands
| | - M Molinos
- University of Valencia, Valencia, Spain
| | | | - C Huber
- Research Unit Microbe-Plant Interactions (EGEN), German Research Center for Health and Environment GmbH, Helmholtz Zentrum Muenchen, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany
| | - K P Tsagarakis
- Business and Environmental Economics Technology Lab (BETECO), Department of Environmental Engineering, Democritus University of Thrace, Xanthi, Greece
| | | | | | - C Vogelsang
- Norwegian Institute for Water Research (NIVA), Oslo, Norway
| | - G Mascolo
- CNR-Istituto di Ricerca Sulle Acque, Bari, Italy
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29
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Gamus D, Glasser S, Langner E, Beth-Hakimian A, Caspi I, Carmel N, Siev-Ner I, Amir H, Ziv A, Papa M, Lerner-Geva L. Psychometric properties of the Hebrew version of the Oswestry Disability Index. J Back Musculoskelet Rehabil 2016; 30:BMR726. [PMID: 27341645 DOI: 10.3233/bmr-160726] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Low back pain (LBP) is one of the most common health complaints, with lifetime prevalence rates as high as 84%. The Oswestry Disability Index (ODI) is often the measure of choice for LBP in both research and clinical settings and, as such, has been translated into 29 languages and dialects. Currently, however, there is no validated version of Hebrew-translated ODI (ODI-H). OBJECTIVE To examine the psychometric properties of the ODI-H. METHODS Cross-culturally appropriate translation into Hebrew was conducted. A convenience sample of 115 participants (Case Group) with LBP and 68 without LBP (Control Group) completed the ODI-H, SF-36 Health Survey, and two Visual Analog Scales (VAS). RESULTS Internal consistency was α = 0.94 and test-retest reliability for 18 participants repeating the ODI-H was 0.97. No floor or ceiling effects were noted for Cases, although there was a floor effect for the Control Group. Scores were significantly different for the two groups, indicating discriminant validity. Concurrent validity was reflected by significant correlations with SF-36 scores, particularly the Physical Functioning and Bodily Pain subscales (-0.83 and -0.79, respectively) and with the VAS (0.84 and 0.79). CONCLUSIONS The ODI-H is a valid and reliable measure of low back pain-related disability for the Hebrew-speaking public.
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Affiliation(s)
- Dorit Gamus
- Complementary Medicine Service, Sheba Medical Center, Tel Hashomer, Israel
| | - Saralee Glasser
- Women and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel
| | - Elisheva Langner
- Women and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel
| | | | - Israel Caspi
- Department of Orthopedics, Spine Deformity Unit, Sheba Medical Center, Tel Hashomer, Israel
| | - Narin Carmel
- Complementary Medicine Service, Sheba Medical Center, Tel Hashomer, Israel
| | - Itzhak Siev-Ner
- Orthopedic Rehabilitation Department, Sheba Medical Center, Tel Hashomer, Israel
| | - Hagai Amir
- Orthopedic Rehabilitation Department, Sheba Medical Center, Tel Hashomer, Israel
| | - A Ziv
- MSR - Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel
| | - M Papa
- Surgery & Surgical Oncology & Breast Service, Sheba Medical Center, Tel Hashomer, Israel
| | - Liat Lerner-Geva
- Women and Children's Health Research Unit, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel
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Tombetti E, Tombolini E, Incerti E, Salerno A, Benedetti G, Papa M, Gianolli L, Sabbadini M, De Cobelli F, Manfredi A, Picchio M, Baldissera E. SAT0350 Functional Characterisation of Takayasu Arteritis Vascular Lesions by MR and FDG-PET/CT Provides Non-Redundant Information over Clinical Assessment. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.6014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Tombetti E, Colombo B, Di Chio M, Sartorelli S, Tombolini E, Ramirez G, Papa M, Baldissera E, Sabbadini M, De Cobelli F, Corti A, Manfredi A. SAT0335 Differential Modulation of The Chromogranin-A System in Takayasu Arteritis and Systemic Lupus Erythematosus. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.6062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Pagano E, Acosta L, Auditore L, Boiano C, Cardella G, Castoldi A, D’Andrea M, Dell’aquila D, De Filippo E, De Luca S, Fichera F, Francalanza L, Giudice N, Gnoffo B, Grimaldi A, Guazzoni C, Lanzalone G, Lombardo I, Minniti T, Norella S, Pagano A, Papa M, Pirrone S, Politi G, Porto F, Quattrocchi L, Rizzo F, Russotto P, Saccá G, Trifirò A, Trimarchi M, Verde G, Vigilante M. Status and perspective of FARCOS: A new correlator array for nuclear reaction studies. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611710008] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Dell’Aquila D, Acosta L, Amorini F, Andolina R, Auditore L, Berceanu I, Cardella G, Chatterjiee M, De Filippo E, Francalanza L, Gnoffo B, Grzeszczuk A, Lanzalone G, Lombardo I, Martorana N, Minniti T, Pagano A, Pagano E, Papa M, Pirrone S, Politi G, Pop A, Porto F, Quattrocchi L, Rizzo F, Rosato E, Russotto P, Trifirò A, Trimarchi M, Verde G, Vigilante M. Study of cluster structures in 10Be and 16C neutron-rich nuclei via break-up reactions. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611706011] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [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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Quattrocchi L, Acosta L, Amorini F, Anzalone A, Auditore L, Berceanu I, Cardella G, Chbihi A, De Filippo E, Dell’ Aquila D, Francalanza L, Gnoffo B, Grzeszczuk A, Lanzalone G, Lombardo I, Martel I, Minniti T, Norella S, Pagano A, Pagano E, Papa M, Pirrone S, Politi G, Porto F, Rizzo F, Rosato E, Russotto P, Trifirò A, Trimarchi M, Verde G, Veselsky M, Vigilante M. Study of two- and multi-particle correlations in 12C+ 24Mg and 12C+ 208Pb reactions at E=35 AMeV. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611707020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Marcora S, Ciuffreda M, Patanè L, Papa M, Candiano M, Galletti L, Valsecchi O, Frigerio L, Lorini F, Mangili G, Strobelt N. Fetal Cardiac Procedures and Postnatal Outcomes: Experience of a Single Center. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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De Filippo E, Pagano A, Russotto P, Acosta L, Auditore L, Baran V, Cap T, Cardella G, Colonna M, Francalanza L, Gnoffo B, Lanzalone G, Lombardo I, Marquínez-Durán G, Maiolino C, Minniti T, Norella S, Pagano E, Papa M, Piasecki E, Pirrone S, Politi G, Porto F, Quattrocchi L, Rizzo F, Rosato E, Trifirò A, Trimarchi M, Verde G, Vigilante M, Siwek-Wilczyńska K, Wilczyński J. Sensitivity of N/Z ratio in projectile break-up of isobaric systems. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611707017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pirrone S, Politi G, Wieleczko J, De Filippo E, Gnoffo B, Russotto P, Trimarchi M, La Commara M, Vigilante M, Ademard G, Amorini F, Auditore L, Beck C, Berceanu I, Bonnet E, Borderie B, Cardella G, Chibihi A, Colonna M, D’Onofrio A, Frankland JD, Geraci E, Henry E, La Guidara E, Lanzalone G, Lautesse P, Lebhertz D, Le Neindre N, Lombardo I, Mazurek K, Norella S, Pagano A, Pagano E, Papa M, Piasecki E, Porto F, Quattrocchi L, Quinlann M, Rizzo F, Schroeder WU, Spadaccini G, Trifirò A, Toke J, Verde G. Isospin influence on the decay modes of compound systems produced in the 78,86Kr + 40,48Ca at 10 AMeV. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201612213001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Russotto P, Chartier M, Cozma M, De Filippo E, Le Fèvre A, Gannon S, Gašparić I, Kiš M, Kupny S, Leifels Y, Lemmon R, Li Q, Łukasik J, Marini P, Pawłowski P, Trautmann W, Acosta L, Adamczyk M, Al-Ajlan A, Al-Garawi M, Al-Homaidhi S, Amorini F, Auditore L, Aumann T, Ayyad Y, Baran V, Basrak Z, Bassini R, Benlliure J, Boiano C, Boisjoli M, Boretzky K, Brzychczyk J, Budzanowski A, Cardella G, Cammarata P, Chajecki Z, Chbihi A, Colonna M, Czech B, Di Toro M, Famiano M, Greco V, Grassi L, Guazzoni C, Guazzoni P, Heil M, Heilborn L, Introzzi R, Isobe T, Kezzar K, Krasznahorkay A, Kurz N, La Guidara E, Lanzalone G, Lasko P, Lombardo I, Lynch W, Matthews Z, May L, Minniti T, Mostazo M, Pagano A, Papa M, Pirrone S, Pleskac R, Politi G, Porto F, Reifarth R, Reisdorf W, Riccio F, Rizzo F, Rosato E, Rossi D, Santoro S, Simon H, Skwirczynska I, Sosin Z, Stuhl L, Trifirò A, Trimarchi M, Tsang M, Verde G, Veselsky M, Vigilante M, Wieloch A, Wigg P, Wolter H, Wu P, Yennello S, Zambon P, Zetta L, Zoric M. The ASY-EOS Experiment at GSI. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611707010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Cardella G, Acosta L, Auditore L, Chatterjiee M, Castoldi A, De Filippo E, Dell’Aquila D, De Luca S, Gnoffo B, Guazzoni C, Francalanza L, Lanzalone G, Lombardo I, Martorana N, Norella S, Pagano A, Pagano E, Papa M, Pirrone S, Politi G, Quattrocchi L, Rizzo F, Russotto P, Trifirò A, Trimarchi M, Verde G, Vigilante M. Using CHIMERA detector at LNS for gamma-particle coincidences. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611706008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Gnoffo B, Pirrone S, Politi G, La Commara M, Wieleczko J, De Filippo E, Russotto P, Trimarchi M, Vigilante M, Ademard G, Amorini F, Auditore L, Beck C, Bercenau I, Bonnet E, Borderie B, Cardella G, Chibihi A, Colonna M, D’Onofrio A, Frankland J, Geraci E, Henry E, La Guidara E, Lanzalone G, Lautesse P, Lebhertz D, LeNeidre N, Lombardo I, Mazurek K, Norella S, Pagano A, Pagano E, Papa M, Piasecki E, Porto F, Quattrocchi L, Quinlann M, Rizzo F, Shoroeder U, Spadaccini G, Trifirò A, Toke J, Verde G. Isospin influence on the decay modes of the systems produced in the 78,86Kr + 40,48Ca reactions at 10 AMeV. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611708012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pagano E, Acosta L, Auditore L, Bassini R, Boiano C, Cardella G, Castoldi A, D’Andrea M, De Filippo E, Fichera F, Francalanza L, Giudice N, Gnoffo B, Grimaldi A, Guazzoni C, Lanzalone G, Lombardo I, Minniti T, Morgana E, Pagano A, Papa M, Passaro G, Pirrone S, Politi G, Porto F, Quattrocchi L, Rizzo F, Rosato E, Russotto P, Saccà G, Trifirò A, Trimarchi M, Verde G, Vigilante M. The FARCOS project — Status and perspective. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20158800013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Quattrocchi L, Acosta L, Auditore L, Baran V, Cap T, Cardella G, Colonna M, De Filippo E, Francalanza L, Geraci E, Gnoffo B, Lanzalone G, Lombardo I, Maiolino C, Marquínez-Durán G, Morgana E, Minniti T, Norella S, Pagano A, Pagano E, Papa M, Piasecki E, Pirrone S, Politi G, Porto F, Rizzo F, Rosato E, Russotto P, Trifirò A, Trimarchi M, Verde G, Vigilante M, Wilczynski J. The InKiIsSY experiment at LNS: A study of size vs. isospin effects with 124Xe+ 64Zn and 124,112Sn+ 64,58Ni reactions. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20158801014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Cap T, Siwek-Wilczyńska K, Skwira-Chalot I, Wilczyński J, Amorini F, Auditore L, Cardella G, De Filippo E, Geraci E, Grassi L, Grzeszczuk A, La Guidara E, Han J, Kozik T, Lanzalone G, Lombardo I, Najman R, Nicolis NG, Pagano A, Papa M, Piasecki E, Pirrone S, Płaneta R, Politi G, Rizzo F, Russotto P, Trifirò A, Trimarchi M, Verde G, Zipper W. Polar-side emission of heavy IMFs in 197Au + 197Au collisions at 23A MeV. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20158800007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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45
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Russotto P, Chartier M, Cozma M, De Filippo E, Le Fèvre A, Gannon S, Gašparić I, Kiš M, Kupny S, Leifels Y, Lemmon R, Li Q, Łukasik J, Marini P, Pawłowski P, Trautmann W, Acosta L, Adamczyk M, Al-Ajlan A, Al-Garawi M, Al-Homaidhi S, Amorini F, Auditore L, Aumann T, Ayyad Y, Baran V, Basrak Z, Bassini R, Benlliure J, Boiano C, Boisjoli M, Boretzky K, Brzychczyk J, Budzanowski A, Cardella G, Cammarata P, Chajecki Z, Chbihi A, Colonna M, Czech B, Di Toro M, Famiano M, Greco V, Grassi L, Guazzoni C, Guazzoni P, Heil M, Heilborn L, Introzzi R, Isobe T, Kezzar K, Krasznahorkay A, Kurz N, La Guidara E, Lanzalone G, Lasko P, Lombardo I, Lynch W, Matthews Z, May L, Minniti T, Mostazo M, Pagano A, Papa M, Pirrone S, Pleskac R, Politi G, Porto F, Reifarth R, Reisdorf W, Riccio F, Rizzo F, Rosato E, Rossi D, Santoro S, Simon H, Skwirczynska I, Sosin Z, Stuhl L, Trifirò A, Trimarchi M, Tsang M, Verde G, Veselsky M, Vigilante M, Wieloch A, Wigg P, Wolter H, Wu P, Yennello S, Zambon P, Zetta L, Zoric M. The ASY-EOS experiment at GSI: Constraining the symmetry energy at supra-saturation densities. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20158800022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Cardella G, Acosta L, Amorini F, Auditore L, Berceanu I, Chatterjiee M, De Filippo E, Francalanza L, Grassi L, La Guidara E, Lanzalone G, Lombardo I, Minniti T, Pagano A, Pagano E, Papa M, Pirrone S, Politi G, Quattrocchi L, Rizzo F, Rosato E, Russotto P, Trifirò A, Trimarchi M, Verde G, Vigilante M. Status and perspectives of fragmentation beams at LNS with CHIMERA detector. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20158800012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Sartorelli S, Di Chio M, Baldissera E, Papa M, De Cobelli F, Sabbadini M, Manfredi A, Tombetti E. SAT0292 Clinical, Imaging and Laboratory Variables Fail to PREDICT Morphological Vascular Progression in Takayasu Arteritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5598] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tombetti E, Incerti E, Salerno A, Sartorelli S, Di Chio M, Alongi P, Fallanca F, Papa M, Gianolli L, Sabbadini M, Manfredi A, Picchio M, De Cobelli F, Baldissera E. AB0572 Additional Role of FDG Pet/Ct in the Assessment of Disease Activity in Takayasu Arteritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Quattrocchi L, Acosta L, De Filippo E, Minniti T, Pagano EV, Russotto P, Trifirò A, Verde G, Amorini F, Anzalone A, Auditore L, Boiano C, Cardella G, Castoldi A, Francalanza L, Gianì R, Guazzoni C, Lanzalone G, Lombardo I, Morgana E, Norella S, Pagano A, Papa M, Pirrone S, Politi G, Riccio F, Rizzo F, Trimarchi M, Zambon P. The FARCOS project. First characterization of CsI(Tl) crystals of the FARCOS array using charged particle beams at LNS. EPJ Web of Conferences 2014. [DOI: 10.1051/epjconf/20146611001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Di Pietro A, Moro A, Acosta L, Amorini F, Borge M, Figuera P, Fisichella M, Fraile L, Gomez-Camacho J, Jeppesen H, Lattuada M, Martel I, Milin M, Musumarra A, Papa M, Pellegriti M, Perez-Bernal F, Raabe R, Randisi G, Rizzo F, Scuderi V, Tengblad O, Torresi D, Maira Vidal A, Voulot D, Wenander F, Zadro M. Elastic and break-up of the 1n-halo11Be nucleus. EPJ Web of Conferences 2014. [DOI: 10.1051/epjconf/20146603023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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