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Kihn MP, Caruso N, Iaconis K, M. J. PG, Soler L. Analysis of conflicts with wild carnivores in the Humid Chaco, Argentina. Anim Biodiv Conserv 2021. [DOI: 10.32800/abc.2021.44.0251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Interactions between humans and carnivores tend to be conflictual, especially due to predation on domestic animals. As certain landscape characteristics predispose the occurrence of carnivore attacks, spatial modelling of predation events can be particularly useful when developing management plans. In this study we determined the incidence of predation on the mortality of domestic animals by interviewing local inhabitants. In addition, we identified the spatial variables that explain the distribution of the conflicts and we created a two–scale model based on the Maxent algorithm. The results showed that Puma concolor (41.2 %) and the foxes Lycalopex gymnocercus and Cerdocyon thous (33.3 %) were the most conflictive species. Predation accounted for only 5.6 % of the causes of domestic animal mortality. The distribution models showed that the most probable variables for predicting conflicts were the distance from the roads, livestock density and the proportion of anthropized areas. High–risk areas represented 28 % of the study area and were distributed in broad patches around the protected areas and in the eastern sector of the area.
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Affiliation(s)
- M. P. Kihn
- Universidad Nacional del Sur (UNS), Buenos Aires, Argentina
| | - N. Caruso
- Instituto de Ciencias Biológicas y Biomédicas del Sur, CONICET, Buenos Aires, Argentina
| | - K. Iaconis
- Asociación para el Estudio y la Conservación de la Biodiversidad, Buenos Aires, Argentina
| | | | - L. Soler
- Instituto de Ciencias Biológicas y Biomédicas del Sur, CONICET, Buenos Aires, Argentina
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Ekambaram K, Lamprecht H, Lalloo V, Caruso N, Engelbrecht A, Jooste W. An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities. Afr J Emerg Med 2021; 11:3-9. [PMID: 33318911 PMCID: PMC7724151 DOI: 10.1016/j.afjem.2020.10.014] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 10/28/2020] [Accepted: 10/30/2020] [Indexed: 10/26/2022] Open
Abstract
INTRODUCTION Global usage of educational Emergency Medicine (EM) podcasts is popular and ever-increasing. This study aims to explore the desired content, format and delivery characteristics of a potential educational, context-specific Southern African EM podcast, by investigating current podcast usages, trends and preferences among Southern African EM registrars of varying seniority. METHODS We developed an electronic survey - using a combination of existing literature, context-specific specialist-training guidance, and input from local experts - exploring preferred podcast characteristics among EM registrars from four Southern African universities. RESULTS The study's response rate was 75%, with 24 of the 39 respondents being junior registrars. Ninety-four percent (94%) of respondents used EM podcasts as an educational medium: 64% predominantly using podcasts to supplement a personal EM study program. The primary mode of accessing podcasts was via personal mobile devices (84%). Additionally, respondents preferred a shorter podcast duration (5-15 min), favoured multimedia podcasts (56%) and showed an apparent aversion toward recorded faculty lectures (5%). Eighty-two percent (82%) of respondents preferred context-specific podcast content, with popular topics including toxicology (95%), cardiovascular emergencies (79%) and medico-legal matters (74%). Just-in-Time learning proved an unpopular learning strategy in our study population, despite its substantial educational value. CONCLUSION Podcast-usage proved to be near-ubiquitous among the studied Southern African EM registrars. Quintessentially, future context-specific podcast design should cater for mobile device-use, shorter duration podcasts, more video content, context-specific topics, and content optimised for both Just-in-Time learning.
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Affiliation(s)
- K. Ekambaram
- Division of Emergency Medicine, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - H. Lamprecht
- Division of Emergency Medicine, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - V. Lalloo
- Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - N. Caruso
- Division of Emergency Medicine, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana
| | - A. Engelbrecht
- Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - W. Jooste
- New Somerset Hospital, Cape Town, South Africa
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Luengos Vidal E, Guerisoli M, Caruso N, Lucherini M. Updating the distribution and population status of Jaguarundi, Puma yagouaroundi (É. Geoffroy, 1803) (Mammalia: Carnivora: Felidae), in the southernmost part of its distribution range. CheckList 2017. [DOI: 10.15560/13.4.75] [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: 11/03/2022] Open
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4
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Manzo R, Petrillo G, Guida R, Lentini Graziano M, Massaro G, Pignataro G, Silvestro N, Caruso N, Vitale I, Laudato F, Montesarchio V. Psycho-social assistence for oncological patients, to reveal and answer to the patient and caregiver's psychological discomfort. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv347.29] [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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Caruso N, Guerisoli M, Luengos Vidal E, Castillo D, Casanave E, Lucherini M. Modelling the ecological niche of an endangered population of Puma concolor: First application of the GNESFA method to an elusive carnivore. Ecol Modell 2015. [DOI: 10.1016/j.ecolmodel.2014.11.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Servillo P, Vigna E, De Stefano L, Gentile M, Lucia E, Mazzone C, Bossio S, Gigliotti V, Franzese S, Caruso N, Cartolano A, Scarpelli D, Bisconte M, Gentile C, Recchia A, Morabito F. 249 Two novel TET2 gene mutations in myelodysplastic syndrome. Leuk Res 2011. [DOI: 10.1016/s0145-2126(11)70251-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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7
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Iacobellis A, Siciliano M, Annicchiarico BE, Valvano MR, Niro GA, Accadia L, Caruso N, Bombardieri G, Andriulli A. Sustained virological responses following standard anti-viral therapy in decompensated HCV-infected cirrhotic patients. Aliment Pharmacol Ther 2009; 30:146-53. [PMID: 19392868 DOI: 10.1111/j.1365-2036.2009.04025.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Little data is available about predictors of sustained virological response (SVR) during anti-viral therapy of patients with decompensated HCV cirrhosis. AIMS To determine whether rapid and early virological responses (RVR and EVR) could predict SVR and help optimize treatment in these patients. METHODS A total of 94 cirrhotics underwent treatment with peg-interferon alfa-2b (1.5 microg/kg weekly) and ribavirin (800/1200 mg daily) for 48 or 24 weeks for genotypes 1/4 or genotypes 2/3, respectively. RESULTS Overall, SVR was achieved in 33 patients (35.1%), 16% with genotype 1/4 and 56.8% with genotype 2/3 (P < 0.01). At treatment week 4, 34 patients had undetectable HCV-RNA, 10 with genotype 1/4 and 24 with genotype 2/3. Of RVR patients, 24 achieved SVR (70.5%), 6 and 18 with genotypes 1 and non-1. At the multivariate analysis, only EVR, genotypes 2 and 3, and adherence to full course and dosage of therapy retained their independent predictive power, with corresponding ORs of 25.5 (95% CI 3.0-217.3), 4.2 (95% CI 1.2-15.3) and 9.1 (95% CI 2.2-38.0), respectively. CONCLUSION In decompensated cirrhotic patients, anti-viral therapy with current regimens is feasible and associated with an overall SVR rate of 35.1%. Treatment ought to be pursued among patients who attain an EVR, and maintain a full course and dosage of therapy.
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Affiliation(s)
- A Iacobellis
- Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo 71013, Italy
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Niro GA, Fontana R, Gioffreda D, Fiorella S, Accadia L, Iacobellis A, Caruso N, Conoscitore P, Andriulli A. Sequential treatment with lamivudine and alpha-interferon in anti-HBe-positive chronic hepatitis B patients: a pilot study. Dig Liver Dis 2007; 39:857-63. [PMID: 17652045 DOI: 10.1016/j.dld.2007.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2007] [Revised: 06/05/2007] [Accepted: 06/06/2007] [Indexed: 12/11/2022]
Abstract
BACKGROUND In chronic hepatitis B, long-term use of alpha interferon is hampered by side effects, and long-term treatment with nucleos(t)ide analogues is burdened by drug-resistant mutants. We hypothesized that alternate rounds of lamivudine and alpha interferon might circumvent previous shortcomings. AIM To evaluate efficacy of sequential lamivudine or IFN-alpha2b monotherapies in preventing occurrence of tyrosine-methionine-aspartate-aspartate (YMDD) mutants and achieving virological and biochemical response. METHODS Fifteen patients with hepatitis B surface antigen, anti-HBe-positive chronic hepatitis received four consecutive rounds of monotherapy with lamivudine (100 mg/day), IFN-alpha2b (5MU/tiw), lamivudine, IFN-alpha2b. Serum HBV-DNA levels were evaluated during and off treatment, HBV polymerase and pre-core/core regions sequenced. RESULTS End-of-treatment response was achieved in 10 patients (67%). One patient did not respond, a second developed genotypic resistance at week 24. A rebound in viremia occurred in three patients at week 48. Six patients (40%) remained sustained responders. Triple promoter mutations at nucleotides 1762-1764-1896 prevailed in non-responders (60%) as compared to responders (20%). L180M/M204V mutations were identified during virological breakthrough. CONCLUSION Sequential approach of alternate rounds of lamivudine or interferon may help patients to tolerate a prolonged schedule of therapy and protect them from emergence of viral strains.
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Affiliation(s)
- G A Niro
- Division of Gastroenterology, Casa Sollievo Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy.
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9
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Soutric J, Bantar C, Caruso N, Heguilén R, Casellas JM, Casellas JM, Farinati A, Jasovich A, Arenoso H, Rodriguez M. Review of Pharmacokinetic, Pharmacodynamic and Clinical Studies with a Modern Combination of Amoxicillin/Sulbactam. Chemotherapy 2006; 52:200-4. [PMID: 16720984 DOI: 10.1159/000093593] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [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: 11/01/2004] [Accepted: 09/06/2005] [Indexed: 11/19/2022]
Abstract
Amoxicillin/sulbactam is a modern antimicrobial combination. This combination proved to be useful for the treatment of several infections caused by different microorganisms, mainly with the beta-lactamase-producing species. In this review we present the most relevant pharmacokinetic, pharmacodynamic and clinical information associated with its use.
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Affiliation(s)
- J Soutric
- Medical Department, Laboratorios Bagó SA Argentina, Buenos Aires, Argentina.
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10
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Iacobellis A, Siciliano M, Perri F, Annicchiarico A, Leandro G, Caruso N, Accadia L, Bombardieri G, Andriulli A. P.231 Outcome of decompensated hepatitis C virus-related cirrhotic patients treated with peg-interferon alpha-2b and ribavirin. A controlled study. J Clin Virol 2006. [DOI: 10.1016/s1386-6532(06)80411-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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11
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Mangia A, Villani MR, Cappucci G, Santoro R, Ricciardi R, Facciorusso D, Leandro G, Caruso N, Andriulli A. Causes of portal venous thrombosis in cirrhotic patients: the role of genetic and acquired factors. Eur J Gastroenterol Hepatol 2005; 17:745-51. [PMID: 15947552 DOI: 10.1097/00042737-200507000-00009] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE AND METHODS We compared frequencies of three common prothrombotic mutations (factor V Leiden, the G20210A mutation of the prothrombin gene, and homozygosity for C677T methylenetetrahydrofolate reductase) in 219 cirrhotic patients, 43 with and 176 without portal vein thrombosis (PVT). The following variables were related to PVT: prothrombin levels, platelet count, Child-Pugh classification, previous abdominal surgery, number of decompensation events, size of varices, red markers on varices, and sclerotherapy. All patients were followed up for a mean period of 18 months (range 10-30). RESULTS Prothrombotic mutations were detected in 64 of the 219 cirrhotic patients (29.2%), at equal frequency in patients with or without PVT. At univariate analysis, PVT was associated with Child-Pugh classes B and C, signs of liver decompensation, large varices with red markings, sclerotherapy, and abdominal surgery. At multivariate analysis, PVT was associated with sclerotherapy [odds ratio (OR) 4.9, 95% confidence interval (CI) 2.2-11] and previous surgery (OR 2.8, 95% CI 1.2-6.3). The combination of the two acquired factors increased the risk of PVT, whereas the combination of local with genetic defects did not. Only a single patient with genetic thrombophilia and without PVT at inclusion developed the complication during follow-up, concomitantly with the development of hepatocellular carcinoma. CONCLUSION In cirrhotic patients prothrombotic mutations by themselves are not causative of PVT. Sclerotherapy and previous abdominal surgery favour the development of two-thirds of cases of PVT; in the remaining cases the pathogenesis remains elusive.
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Affiliation(s)
- A Mangia
- Division of Gastroenterology, Hospital Casa Sollievo della Sofferenza, IRCCS, San Giovanni Rotondo, Italy.
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12
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Andriulli A, Annese V, Caruso N, Pilotto A, Accadia L, Niro AG, Quitadamo M, Merla A, Fiorella S, Leandro G. Proton-pump inhibitors and outcome of endoscopic hemostasis in bleeding peptic ulcers: a series of meta-analyses. Am J Gastroenterol 2005; 100:207-19. [PMID: 15654802 DOI: 10.1111/j.1572-0241.2005.40636.x] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To perform meta-analyses of studies on outcome of bleeding ulcers of different proton-pump inhibitors (PPIs) regimens, after stratification of patients by endoscopic stigmata, and analysis of studies with and without endotherapy. METHODS A total of 35 randomized trials comparing PPIs to placebo and/or H2-receptor antagonists (H2RAs) in 4,843 patients with high-risk endoscopic stigmata were retrieved. Outcomes were rebleeding, surgery, and mortality. RESULTS Monotherapy with oral or bolus PPIs was superior to placebo and H2RAs in reducing rebleeding in both bleeders and nonbleeders at index endoscopy; the need for surgery was reduced only when compared to H2RAs. In nonbleeders, PPI monotherapy was as effective as a combination of endotherapy with H2RAs. A combination of endotherapy with PPIs was superior to monotherapy in reducing bleeding and surgery, and superior to endotherapy alone in minimizing rebleeding, but not surgery; the benefit was lost when confronted to endotherapy plus H2RAs, whether PPIs were given as infusion or bolus. By pooling data from studies comparing high doses of PPIs as continuous infusion versus regular doses as intermittent bolus, rebleeding, surgery, and mortality were not significantly different. CONCLUSIONS Combination of endotherapy with either PPIs or H2RAs is indicated for nonbleeding ulcers at endoscopy with the intent to reduce rebleeding and surgery. Its value may extend to bleeding lesions, but current data are scanty. The benefit appears to be independent from route and doses of PPIs, as oral, bolus, or infusional methods are all effective.
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Affiliation(s)
- A Andriulli
- Divisions of Gastroenterology and Geriatrics, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy
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13
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Annese V, Piepoli A, Latiano A, Lombardi G, Napolitano G, Caruso N, Cocchiara E, Accadia L, Perri F, Andriulli A. HLA-DRB1 alleles may influence disease phenotype in patients with inflammatory bowel disease: a critical reappraisal with review of the literature. Dis Colon Rectum 2005; 48:57-64; discussion 64-5. [PMID: 15690658 DOI: 10.1007/s10350-004-0747-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
PURPOSE The HLA region has been implicated in determining the disease susceptibility or the clinical phenotype of inflammatory bowel disease. The aim of this study was to assess the relation between HLA-DRB1 alleles with the clinical features of Crohn's disease and ulcerative colitis and the presence of anti-neutrophil cytoplasmic and anti-Saccharomyces cerevisiae antibodies. METHODS Blood samples were obtained from 102 Crohn's disease patients, 114 ulcerative colitis patients, and 264 unrelated healthy controls. Anti-neutrophil cytoplasmics were detected by a standard immunofluorescence method, and anti-Saccharomyces cerevisiaes were examined by an enzyme-linked immunosorbent assay immunoglobulin G/immunoglobulin A commercial assay. HLA-DRB1 typing of 26 alleles was performed by polymerase chain reaction sequence-specific primes. Patients were phenotyped according to gender, disease location, extent, and behavior, surgical resection, need of steroid, and anti-neutrophil cytoplasmic/anti-Saccharomyces cerevisiae status. RESULTS As a whole, after applying Bonferroni's correction for multiple comparisons, no significant association of HLA-DRB1 alleles with Crohn's disease or ulcerative colitis was found. After stratifying HLA-DRB1 alleles by clinical phenotypes of patients with ulcerative colitis, an excess of DRB1*1309*1320*1325*1329 allele (DR13) was found in conjunction with pancolitis (P < 0.0001), surgical resection (P < 0.0003), and extraintestinal manifestations (P < 0.0001). In Crohn's disease patients, an excess of DRB1*0304*0305*0307*0309 allele (DR3) was found in those with colonic disease (P < 0.0001) and patients with extraintestinal manifestations (P = 0.0003). This statistical association, however, emerged in only 3 of 114 patients with ulcerative colitis and in 3 of 102 patients with Crohn's disease. We found no association with the presence of anti-Saccharomyces cerevisiae or anti-neutrophil cytoplasmic. CONCLUSIONS Some clinical features of Crohn's disease and ulcerative colitis may be influenced by specific HLA-DR alleles; in particular, in ulcerative colitis some alleles appear to segregate with more aggressive disease, whereas in Crohn's disease different alleles cosegregate in patients with colonic disease and extraintestinal manifestations.
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Affiliation(s)
- V Annese
- Department of Internal Medicine, Unit of Gastroenterology and Endoscopy, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy
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Bantar C, Nicola F, Arenoso H, Soutric J, Caruso N, Fernández Canigia L. An ex-vivo pharmacodynamic study comparing bactericidal activity of amoxicillin/sulbactam, azithromycin, doxycycline and levofloxacin against Streptococcus pneumoniae. J Chemother 2004; 16:248-54. [PMID: 15330320 DOI: 10.1179/joc.2004.16.3.248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 10/31/2022]
Abstract
We designed a 4-way crossover, ex-vivo pharmacodynamic study to compare the bactericidal rate of amoxicillin/sulbactam (AMX-SUL), azithromycin (AZM), doxycycline (DOX) and levofloxacin (LVX) against Streptococcus pneumoniae ATCC 49619. Six volunteers were randomized to receive alternatively a single tablet of the above drugs. Venous blood samples were obtained immediately before and at 2, 4 and 6 h after dose to perform time-kill studies and to determine antibiotic levels in serum. AMX-SUL was the only drug showing bactericidal activity with the sera obtained at every time after dose, as defined by a > or = 3-log10 cfu/ml decrease in the viable cell counts compared to the original inoculum after a 24-h incubation. AZM was only inhibitory at 2h after dose (i.e. a 1.3-log10 cfu/ml decrease in the viable cell counts) and proved bactericidal at 4 and 6 h post-dose. LVX proved bactericidal with the 2-h serum, was only inhibitory with the 4-h serum (e.g. a 1.5-log10 cfu/ml decrease) and was unable to avoid bacterial growth at 6 h post-dose. Bacterial growth was observed with DOX at every time after dose. This study may shed light on the understanding of breakthrough pneumococcal bacteremia during the course of oral therapy with AZM in patients with community-acquired nia (CAP), as well as the increasing treatment failures observed with LVX, and the selection of bacterial resistance during therapy reported with both drugs. It also provides the basis for a "warning signal" on the use of oral DOX and confirms the efficacy of AMX-SUL.
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Affiliation(s)
- C Bantar
- Laboratorio Domingo I Nanni (Paraná), Argentina.
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15
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Corti R, Améndola R, Menéndez G, Diwecj J, Schenone L, Soutric J, Caruso N. [Acid-supressing capacity of omeprazole 20 mg tablets vs pantoprazole 20 and 40 mg tablets. A pilot study in volunteers]. Acta Gastroenterol Latinoam 2003; 33:199-203. [PMID: 14708472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
OBJECTIVE To compare the acid-supressing capacity of omeprazole (OZ) 20 mg tablets vs pantoprazole (PZ) 20 and 40 mg tablets, in healthy volunteers, with 24-h intragastric pH-metry. MATERIAL AND METHODS Open, randomized, cross-over trial in 10 healthy volunteers; on days 0.8 and 22, 24-h intragastric pH-metry. Day 0, basal, thereafter 7 days with OZ or PZ 20 mg/day; day 8, pH-metry, then "wash out" for 7 days and thereafter 7 more days' therapy with PZ or OZ. On day 22 a 24-h intragastric pH control was performed again. In the last treatment stage, all of them were administered pantoprazole 40 mg/day for 8 days again with a 24-h pH recording at the end. RESULTS 24-h pH-metry expressed as the time (hours) in which the pH was < or = 4 and the values as mean +/- standard deviation. BASAL 22.12 +/- 1.54, POST-OZ 9.78 +/- 6.72, POST-PZ 20 15.65 +/- 5.65, POST-PZ 40 8.57 +/- 5.93. Statistical evaluation with two way repeated measures ANOVA p < 0.0001. Newman Keuls post-hoc test: (1) vs (2) p < 0.003; (1) vs (3) p < 0.03; (2) vs (4) 0.65. CONCLUSIONS According to the results it might be stated that both proton pump inhibitors have acid-supressing capacity and omeprazole in equal dosis is more effective than pantoprazole as acid-supressor, with statistically significative differences. There was no difference between 20 mg omeprazole and 40 mg pantoprazole.
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Affiliation(s)
- R Corti
- Unidad de Esófago y Estómago. Dpto. Medicina Hospital de Gastroenterología Dr. C. Bonorino Udaondo, Ciudad de Buenos Aires, Argentina.
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Perri F, Festa V, Clemente R, Villani MR, Quitadamo M, Caruso N, Bergoli ML, Andriulli A. Randomized study of two "rescue" therapies for Helicobacter pylori-infected patients after failure of standard triple therapies. Am J Gastroenterol 2001. [PMID: 11197288 DOI: 10.1111/j.1572-0241.2001.03452] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVES A novel rifabutin-based therapy is able to cure Helicobacter pylori infection in most patients who have failed eradication after standard proton pump inhibitor (PPI)-based triple therapy. We compared this regimen with the quadruple therapy. METHODS A total of 135 patients were randomized into three groups who were treated for 10 days with pantoprazole 40 mg b.i.d., amoxycillin 1 g b.i.d., and rifabutin 150 mg o.d. (RAP50150 group), or 300 mg o.d. (RAP300 group), and pantoprazole 40 mg b.i.d., metronidazole 250 mg t.i.d., bismuth citrate 240 mg b.i.d., and tetracycline 500 mg q.i.d. (QT group). Before therapy, patients underwent endoscopy with biopsies for histology, culture and antibiotic susceptibility tests. H. pylori eradication was assessed by the 13C-urea breath test. RESULTS On intention-to-treat analysis, eradication rates (with 95% confidence intervals [CI]) were 66.6% (53-80%) in the RAP150 and QT groups, respectively, and 86.6% (76-96%) in RAP300 group (p < 0.025). Most patients harboring metronidazole- and clarithromycin-resistant strains were eradicated at an equal rate by each of the three regimens. Side effects were observed in 9% and 11% of rifabutin-treated patients, and in 47% of those on quadruple therapy (p < 0.0001). CONCLUSIONS In patients who failed standard eradicating treatments, a 10-day course of rifabutin with pantoprazole and amoxycillin is more effective and well tolerated than the quadruple therapy.
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Affiliation(s)
- F Perri
- Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy
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Perri F, Festa V, Clemente R, Villani MR, Quitadamo M, Caruso N, Bergoli ML, Andriulli A. Randomized study of two "rescue" therapies for Helicobacter pylori-infected patients after failure of standard triple therapies. Am J Gastroenterol 2001; 96:58-62. [PMID: 11197288 DOI: 10.1111/j.1572-0241.2001.03452.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVES A novel rifabutin-based therapy is able to cure Helicobacter pylori infection in most patients who have failed eradication after standard proton pump inhibitor (PPI)-based triple therapy. We compared this regimen with the quadruple therapy. METHODS A total of 135 patients were randomized into three groups who were treated for 10 days with pantoprazole 40 mg b.i.d., amoxycillin 1 g b.i.d., and rifabutin 150 mg o.d. (RAP50150 group), or 300 mg o.d. (RAP300 group), and pantoprazole 40 mg b.i.d., metronidazole 250 mg t.i.d., bismuth citrate 240 mg b.i.d., and tetracycline 500 mg q.i.d. (QT group). Before therapy, patients underwent endoscopy with biopsies for histology, culture and antibiotic susceptibility tests. H. pylori eradication was assessed by the 13C-urea breath test. RESULTS On intention-to-treat analysis, eradication rates (with 95% confidence intervals [CI]) were 66.6% (53-80%) in the RAP150 and QT groups, respectively, and 86.6% (76-96%) in RAP300 group (p < 0.025). Most patients harboring metronidazole- and clarithromycin-resistant strains were eradicated at an equal rate by each of the three regimens. Side effects were observed in 9% and 11% of rifabutin-treated patients, and in 47% of those on quadruple therapy (p < 0.0001). CONCLUSIONS In patients who failed standard eradicating treatments, a 10-day course of rifabutin with pantoprazole and amoxycillin is more effective and well tolerated than the quadruple therapy.
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Affiliation(s)
- F Perri
- Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy
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Harrison CJ, Caruso N. Correlation of maternal and pup NK-like activity and TNF responses against cytomegalovirus to pregnancy outcome in inbred guinea pigs. J Med Virol 2000; 60:230-6. [PMID: 10596026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Immunologic causes for poor outcome of pregnancy complicated by primary cytomegalovirus (CMV) infection are only partially understood. Maternal and pup tumor necrosis factor (TNF) and natural killer cell (NK)-like activity associated with primary gestational CMV infection initiated in either the first or third trimester equivalent in the inbred guinea pig model were investigated. Poor pregnancy outcome defined as fetal resorptions, premature delivery, stillbirths, and intrauterine growth retardation occurred with infection at either gestational time. Induction of TNF and NK activity by CMV infection during pregnancy correlated with resorptions in early pregnancy infection and with premature labor in late pregnancy infection. Stillbirths occurred with CMV infection at either time. Regardless of the gestational time of CMV acquisition, poor outcome correlated with higher maternal NK and TNF responses during the first weeks after maternal virus acquisition. Furthermore, CMV infected dams with loss of >/= 50% of conceptus had higher TNF responses than infected dams with < 50% conceptus loss. Likewise, pups born in litters from CMV-infected dams with resorptions and/or premature labor also had enhanced NK activity and TNF response to CMV compared with pups born to dams not having resorptions or premature labor. TNF responses in the delivered pups of infected dams were higher than from pups of uninfected dams regardless of litter outcome, whereas pup NK responses were enhanced only in pups from litters of dams with premature labor or resorptions. Enhanced NK and TNF activity appear to be associated with premature delivery and other poor outcomes of pregnancy.
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Affiliation(s)
- C J Harrison
- Department of Pediatrics, Medical Microbiology and Immunology, Creighton University, Omaha, NE 68178, USA
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Farinati A, Soler C, Pagniez G, Gliosca L, Casellas J, Guntin R, Gambaro E, Soutric J, Arenoso H, Caruso N. Bacteriology in infected abortion. Int J Gynaecol Obstet 2000. [DOI: 10.1016/s0020-7292(00)80666-9] [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: 10/26/2022]
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Annese V, Bassotti G, Caruso N, De Cosmo S, Gabbrielli A, Modoni S, Frusciante V, Andriulli A. Gastrointestinal motor dysfunction, symptoms, and neuropathy in noninsulin-dependent (type 2) diabetes mellitus. J Clin Gastroenterol 1999; 29:171-7. [PMID: 10478880 DOI: 10.1097/00004836-199909000-00014] [Citation(s) in RCA: 75] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Although relatively frequent. diabetic involvement of digestive tract motility has not been investigated extensively in different organs. The authors studied esophageal, gastric, and gallbladder motor function in 35 type 2 (noninsulin-dependent) diabetic patients to determine the extent of gut involvement. Of these patients, 27 (77%) had peripheral neuropathy, 12 (34%) had both peripheral and autonomic neuropathy, and 22 (63%) had gastrointestinal symptoms. Esophageal manometric abnormalities were recorded in 18 patients, and delayed radionuclide emptying of the esophagus was documented in 16 patients, with a 83% concordance between the two tests. Scintigraphic gastric emptying of solids was delayed in 56% of patients, whereas gallbladder emptying after cholecystokinin stimulation was reduced in 69% of them. In 74% of patients at least one of the viscera under investigation showed abnormal motor function; however, only 36% of patients displayed involvement of the three organs. Gastrointestinal symptoms, duration and therapy of diabetes, previous poor glycemic control, and retinopathy did not correlate with the presence or the extent of motor disorders. Neuropathy was not predictive of gastrointestinal involvement and its extent; however, when motor abnormalities were present in patients with neuropathy, these were usually more severe. Gastrointestinal motor disorders are frequent and widespread in type 2 diabetics, regardless of symptoms. Autonomic neuropathy has a poor predictive value on motor disorders (0.75 for the esophagus, 0.5 for the stomach, 0.8 for the gallbladder), thus suggesting the coexistence of other pathophysiologic mechanisms.
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Affiliation(s)
- V Annese
- Section of Gastroenterology, CSS-IRCSS, San Giovanni Rotondo Hospital, Italy
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22
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Annese V, Caruso N, Bisceglia M, Lombardi G, Clemente R, Modola G, Tardio B, Villani MR, Andriulli A. Fatal ulcerative panenteritis following colectomy in a patient with ulcerative colitis. Dig Dis Sci 1999; 44:1189-95. [PMID: 10389695 DOI: 10.1023/a:1026688526551] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
A 37-year-old man, previously submitted to colectomy for ulcerative pancolitis unresponsive to medical therapy, presented with nausea, vomiting, epigastric pain, and bloody diarrhea. An upper gastrointestinal endoscopy revealed mucosal friability, petechiae, and erosions throughout the duodenum, whereas prestomal ileum showed large ulcers and pseudopolyps. Histologically, a dense inflammation chiefly composed of lymphocytes and plasma cells with few neutrophils was detected. No bacteria, protozoa, and fungi could be detected. Despite intensive care, intra-1194 venous antibiotics and steroids, the patient died of diffuse intravascular coagulation and multiorgan failure. At post-mortem examination severe ulcerative lesions were observed scattered throughout the duodenum up to the distal ileum. The dramatic clinical presentation with fatal outcome, the widespread ulcers throughout the intestine, and the histological picture are peculiar features in our patient which can not be ascribed to any type of the ulcerative jejunoenteritis so far reported. Patients with pancolitis and diffuse ileal involvement do not necessarily have Crohn's disease but rather may have ulcerative colitis.
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Affiliation(s)
- V Annese
- Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Foggia, Italy
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23
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Giacobbe A, Facciorusso D, Modola G, Caturelli E, Caruso N, Perri F, Tardio B, Bisceglia M, Andriulli A. Splenic abscess secondary to penetrating gastric ulcer. MINERVA GASTROENTERO 1998; 44:111-5. [PMID: 16495891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Splenic abscess is a rare disease whose diagnosis is difficult, though the use of modern imaging methods has increased diagnosed cases in recent years. We report a case of splenic abscess whose aetiology is unusual, namely, a gastric ulcer penetrating into the splenic artery and causing arterial thrombosis and septic embolism. Ultrasonography and ultrasound-guided puncture resolved any diagnostic doubt, and subsequent surgery confirmed the diagnosis. Pathogenesis, clinical picture, diagnostic methods, and treatment are discussed with reference to the literature.
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Affiliation(s)
- A Giacobbe
- Department of Gastroenterology, Casa Sollievo della Sofferenza Hospital, IRCCS San Giovanni Rotondo, Foggia
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Andriulli A, Leandro G, Clemente R, Festa V, Caruso N, Annese V, Lezzi G, Lichino E, Bruno F, Perri F. Meta-analysis of somatostatin, octreotide and gabexate mesilate in the therapy of acute pancreatitis. Aliment Pharmacol Ther 1998; 12:237-45. [PMID: 9570258 DOI: 10.1046/j.1365-2036.1998.00295.x] [Citation(s) in RCA: 81] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Autodigestion of the pancreas, secondary to the activation of digestive enzymes, is the pathogenetic mechanism of acute pancreatitis (AP). AIM Clinical trials in which somatostatin (SS), octreotide (OCT) and gabexate mesilate (FOY) were used to treat patients with AP, were submitted to a meta-analytical evaluation. Five end-points were evaluated: early and overall mortality, patients with complications, complication rate, and patients who needed surgery. RESULTS In mild AP, no agent proved of value. In severe AP, both SS and OCT were beneficial in improving the overall mortality: the odds ratios (OR) were, respectively, 0.36 (95% CI: 0.20-0.64, P = 0.001) and 0.57 (95% CI: 0.35-0.88, P = 0.006). FOY had no effect on either early or overall mortality, but was effective in improving complication rate (OR = 0.70, 95% CI: 0.56-0.88, P = 0.02), number of patients with complications (OR = 0.61, 95% CI: 0.41-0.91, P = 0.01), and number of cases submitted to surgery (OR = 0.60, 95% CI: 0.39-0.92, P = 0.01). SS and OCT had no effect on these latter outcomes. CONCLUSIONS Antisecretory agents, such as SS and OCT, are able to reduce mortality without affecting complications, whereas antiproteases, such as FOY, have no effect on mortality but do reduce complications. A trial exploring the efficacy of combining antisecretory agents with antiproteases would be of great benefit in patients with severe AP.
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Affiliation(s)
- A Andriulli
- Division of Gastroenterology, Ospedale Casa Sollievo della Sofferenza, IRCCS, San Giovanni Rotondo, Italy
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Annese V, Basciani M, Lombardi G, Caruso N, Perri F, Simone P, Andriulli A. Perendoscopic injection of botulinum toxin is effective in achalasia after failure of myotomy or pneumatic dilation. Gastrointest Endosc 1996; 44:461-5. [PMID: 8905369 DOI: 10.1016/s0016-5107(96)70100-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- V Annese
- Division of Gastroenterology, Casa Sollievo della Sofferenza Hospital, I.R.C.C.S., San Giovanni Rotondo, Italy
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26
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Avogaro A, Armigliato M, Cazzolato G, Caruso N, Boffa G, Bittolo Bon G, Tiengo A. [Lipid peroxidation and LDL modifications in nondiabetic patients with ischemic heart disease: the role of insulin action]. G Ital Cardiol 1996; 26:169-75. [PMID: 8666174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Nondiabetic patients with advanced coronary artery disease (CAD) were assessed for lipid peroxidation, LDL modifications and insulin action. Twenty-four patients and 10 normal controls were studied. METHODS Insulin tolerance test (Kitt), glucose, insulin lipoproteins, electronegatively charged, modified, low density lipoproteins (LDL-) and the thiobarbituric acid reactivity (TBARS), as an index of lipid peroxidation, were determined. RESULTS No difference was observed in insulin action (determined by insulin tolerance test) between patients with CAD (3.31 +/- 0.28%/min; range 0.73-6.13) and normal controls (3.59 +/- 0.42; range 1.76-6.06). The percentage of modified, electronegative LDL (LDL -) was higher in patients with CAD (0.5 +/- 0.48%; range 1.3-9.2) than that of controls (2.80 +/- 0.33; range 1.00-4.00; p = 0.013). TBARS were significantly (P = 0.043) higher in CAD patients (3.49 +/- 0.17 nmol/ml; range 2.4-5.5) than normal controls (1.47 +/- 0.12; range 1.07-2.10). A significantly negative correlation was observed between Kitt and TBARS (r= - 0.48; p = 0.016), and a significant (r = 0.46; p = 0.022) positive correlation was observed between plasma glucose and TBARS. On the contrary no correlation has been observed between LDL- and TBARS. CONCLUSIONS We conclude that in patients with advanced coronary artery disease: A) there are increased circulating levels of modified low density lipoprotein; B) there is evidence of increased lipid peroxidation. This latter process is significantly influenced by the degree of insulin action.
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Affiliation(s)
- A Avogaro
- Istituto di Medicina Clinica Dell'Universitatà di Padova
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27
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Zucconelli R, Belmonte P, Caruso N, Fiaccavento G. Percutaneous treatment of renal staghorn calculosis: 8 years experience. Urologia 1996. [DOI: 10.1177/039156039606301s33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study reports 8 years of personal experience in percutaneous nephrolithotripsy (PCNL) of complex renal calculosis. It is emphasised that even in this era of widespread use of extracorporeal lithotripsy (ESWL), PCNL is regaining importance in the more complex cases of renal calculosis, to try to reduce times for adequate stone clearance and to reach a better benefit/cost ratio. A success rate of 87.3% with monotherapy PCNL, 78.6% with debulking PCNL and 91.3% with associated PCNL-ESWL (programmed from the beginning or attempted out of necessity), has convinced us of the correct application we have given the method for treating complex renal calculosis.
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Affiliation(s)
- R. Zucconelli
- Divisione Urologica - Presidio Ospedaliero - Portogruaro (Venezia)
| | - P. Belmonte
- Divisione Urologica - Presidio Ospedaliero - Portogruaro (Venezia)
| | - N. Caruso
- Divisione Urologica - Presidio Ospedaliero - Portogruaro (Venezia)
| | - G. Fiaccavento
- Divisione Urologica - Presidio Ospedaliero - Portogruaro (Venezia)
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28
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Zucconelli R, Belmonte P, Caruso N, Fiaccavento G. Iatrogenic pathology caused by ureteral endoprosthesis. Urologia 1995. [DOI: 10.1177/039156039506201s30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
— The Authors write about their experience with three cases of endoureteral prosthesis fragmentation during removal of the same. They review the various factors which may combine in making the materials of these prostheses more fragile. On the one hand they emphasise the necessity of preparing prophylactic measures for such an event, and on the other the central role of the urologist in the choice and management of the endoprosthesis.
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Affiliation(s)
- R. Zucconelli
- Divisione Urologica - Presidio Ospedaliero di Portogruaro (Venezia)
| | - P. Belmonte
- Divisione Urologica - Presidio Ospedaliero di Portogruaro (Venezia)
| | - N. Caruso
- Divisione Urologica - Presidio Ospedaliero di Portogruaro (Venezia)
| | - G. Fiaccavento
- Divisione Urologica - Presidio Ospedaliero di Portogruaro (Venezia)
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29
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Perri F, Pastore M, Annese V, Caruso N, Napolitano G, Andriulli A. [Osteoarticular manifestations during liver and gastrointestinal diseases]. MINERVA GASTROENTERO 1994; 40:137-50. [PMID: 7948323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The most important osteoarticular complications occurring during gastrointestinal and liver diseases are reviewed. Although etiopathogenesis of these disorders is not yet fully understood, their knowledge is required to gastroenterologists for two main reasons: to establish a correct diagnosis and to start an appropriate therapy.
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Affiliation(s)
- F Perri
- Divisioni di Gastroenterologia e Pediatria, IRCCS-Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo Foggia
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30
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Caruso N. Benign Prostatic Hyperplasia (BPH): Therapeutic Options. Urologia 1994. [DOI: 10.1177/039156039406100305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Researchers' interest in the last few years has been concentrated on finding a medical, if possible, or at least “mini-invasive” therapy for benign prostatic hypertrophy (BPH), which can be used for the symptomatic form instead of open or endoscopic surgery. The various therapeutic options are reviewed, underlining their advantages and disadvantages.
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Affiliation(s)
- N. Caruso
- Divisione Urologica - Presidio Ospedaliero - Portogruaro (Venezia)
- Via S. Pellico, 16 - 30023 Concordia Sagittaria (Venezia) - Italy
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31
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Annese V, Napolitano G, Caruso N, Perri F, Conoscitore P, Frusciante V, Barbano F, Andriulli A. Segmental motor abnormalities of the distal oesophagus. Ital J Gastroenterol 1994; 26:179-183. [PMID: 7949261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Patients with chest pain and/or dysphagia may present non-specific motor abnormalities that do not fit into classical categories of primary motor disorders. Two such patients are described, both with segmental aperistalsis of the distal oesophagus and with fairly normal proximal motility and LES function. Delayed radionuclide oesophageal transit was noted in both cases. Medical treatment was only partially effective and one patient required pneumatic dilatation. The aperistaltic segments have remained unchanged over 3-4 year follow-ups. These patients account for less than 1% of all those diagnosed with oesophageal motor abnormalities in our hospital in the last ten years.
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Affiliation(s)
- V Annese
- Divisione di Gastroenterologia ed Endoscopia, Ospedale CSS IRCCS, San Giovanni Rotondo, Italy
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32
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Bettin A, Zucconelli R, Caruso N, Girelli G, Francini M. Nostro Atteggiamento Terapeutico in Uno Stravaso Spontaneo D'Urina Secondario a Ostruzione Ureterale Litiasica. Urologia 1991. [DOI: 10.1177/039156039105800507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- A. Bettin
- (Divisione Urologica e Servizio di Radiologia, USL n. 11, Pordenone)
| | - R. Zucconelli
- (Divisione Urologica e Servizio di Radiologia, USL n. 11, Pordenone)
| | - N. Caruso
- (Divisione Urologica e Servizio di Radiologia, USL n. 11, Pordenone)
| | | | - M. Francini
- (Divisione Urologica e Servizio di Radiologia, USL n. 11, Pordenone)
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Abstract
Because of evidence that the abnormalities in achalasia are not restricted to the distal esophagus, we investigated gallbladder function by cholescintigraphy in the steady state and in response to CCK and the scintigraphic gastric emptying of a liquid caloric meal in 10 individuals with achalasia and 10 normal controls. No abnormalities were found during the filling phase of the gallbladder but seven of the 10 patients showed a 50% reduction in the ejection fraction (39.4% +/- 30.4 vs 80.3 +/- 8.3 of controls, mean +/- SD, P = 0.007) and a slower than normal ejection phase (9.1%/min +/- 6.6 vs 18.1 +/- 4.5, P = 0.02. In eight of the 10 patients, gastric liquid emptying was accelerated with a T1/2 of 41.5 min +/- 15.4 vs 74.7 min +/- 11.5 in the controls (P = 0.007). It is concluded that in some achalasia patients extraesophageal functional abnormalities of the gastrointestinal tract may be found. Whether these findings are promoted by degenerative charges of extraesophageal nerve fibers as well as their clinical significance require further investigations.
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Affiliation(s)
- V Annese
- Department of Gastroenterology, C.S.S. Hospital, San Giovanni Rotondo (FG), Italy
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34
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Annese V, Caruso N, Napolitano G, Federici T. [Esophageal manometry. Normalcy and pathology]. MINERVA CHIR 1991; 46:83-91. [PMID: 2067701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Esophageal manometry is an established method of investigation in patients with suspected motor abnormalities. However, some degree of standardization of technique and method of analysis are still needed among different Laboratories. It is actually the gold standard for assessing the esophageal motor function but a correlation with other esophageal tests (i.e. radiology, endoscopy, pH-metry, scintigraphy) is usually required to reach a clinical diagnosis. Because of the large interindividual variability of manometric findings it is suggested that each laboratory could obtain its "own normal population". Recent evidences support that values outside the normal range may not always be associated with a functional abnormality. New physiopathological insights and widely accepted scheme of classification of manometric data are needed to improve its diagnostic usefulness.
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Affiliation(s)
- V Annese
- Divisione di Gastroenterologia ed Endoscopia Digestiva, Ospedale Generale Casa Sollievo della Sofferenza San Giovanni Rotondo, FG
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35
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Belmonte P, Zucconelli R, Rustici C, Bettin A, Caruso N, Francini M. Su Di Un Caso Di Malattia Neoplastica Uroteliale Diffusa. Urologia 1990. [DOI: 10.1177/039156039005700622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- P. Belmonte
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - R. Zucconelli
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - C. Rustici
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - A. Bettin
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - N. Caruso
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - M. Francini
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
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36
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Federici T, Annese V, Caruso N, Accadia L, Gabbrielli A, Modoni S, Frusciante V. Are the lower oesophageal sphincter relaxations in achalasia always incomplete? A manometric and scintigraphic study. Ital J Gastroenterol 1990; 22:342-5. [PMID: 2131952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
In two patients with achalasia we found intermittent, complete lower oesophageal sphincter (LES) relaxations at manometric evaluation. These patients had no weight loss, minimal oesophageal dilation, lower LES pressure and faster radionuclide oesophageal emptying when compared with other achalasia patients. Concurrent performing of radionuclide oesophageal emptying and manometry showed that the complete relaxations (CRs) were too short and functionally unsuccessful. Our findings suggest that these patients may be at an earlier disease stage and that intermittent CRs of LES may occasionally occur in achalasia.
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Affiliation(s)
- T Federici
- Divisione di Gastroenterologia ed Endoscopia, Ospedale C.S.S., San Giovanni Rotondo (FG), Italy
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37
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Caruso N, Zucconelli R, Belmonte P, Bettin A, Rustici C, Francini M. Fibrosi Retroperitoneale. Urologia 1990. [DOI: 10.1177/039156039005700621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- N. Caruso
- (Ospedale Civile di Pordenone, Divisione di Urologia)
| | - R. Zucconelli
- (Ospedale Civile di Pordenone, Divisione di Urologia)
| | - P. Belmonte
- (Ospedale Civile di Pordenone, Divisione di Urologia)
| | - A. Bettin
- (Ospedale Civile di Pordenone, Divisione di Urologia)
| | - C. Rustici
- (Ospedale Civile di Pordenone, Divisione di Urologia)
| | - M. Francini
- (Ospedale Civile di Pordenone, Divisione di Urologia)
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Zucconelli R, Belmonte P, Bettin A, Caruso N, Rustici C. Polipo Fibroso Dell'Uretra Posteriore. Urologia 1990. [DOI: 10.1177/039156039005700628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- R. Zucconelli
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - P. Belmonte
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - A. Bettin
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - N. Caruso
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
| | - C. Rustici
- (U.L.S. 11 di Pordenone, Divisione Urologica - Primario)
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39
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Bettin A, Zucconelli R, Rustici C, Belmonte P, Caruso N, Francini M. Fistola Vescico-Uterina Una Rara Complicanza Nel Parto. Urologia 1990. [DOI: 10.1177/039156039005700517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | | | | | | | | | - M. Francini
- Ospedale Civile di Pordenone, Divisione Urologica - Primario
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40
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Rustici C, Zucconelli R, Belmonte P, Bettin A, Caruso N, Francini M. Incisione Endoscopica Cervico-Prostatica. Urologia 1990. [DOI: 10.1177/039156039005700518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | | | | | | | | | - M. Francini
- Ospedale Civile di Pordenone, Divisione Urologica - Primario
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41
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Scarabino T, Petronelli S, Palladino D, Balzano S, Federici T, Accadia L, Annese V, Caruso N. [ERCP in the diagnosis of bilio-pancreatic pathology. Comparison with echography and CT]. Radiol Med 1989; 77:650-4. [PMID: 2667044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The authors have evaluated both sensitivity and specificity of ERCP in comparison with other imaging methods, such as US and CT, on the basis of a study of 63 patients with suspected pancreatobiliary pathologies. Our results show ERCP of chronic pancreatitis to have 83% sensitivity and 66% specificity. As for biliary pathologies, sensitivity was 94% and specificity 88%. In pancreatic pathologies, CT sensitivity was 99% and its specificity was 70%. The combined use of ERCP and CT determines a considerable rise in the percentages, and allows the evaluation of both the excretory tree and the parenchyma. As for biliary pathologies, the role of ERCP is fundamental, since its combination with the other methods (CT: sensitivity 72%, specificity 3.5%; US: sensitivity 70%, specificity 3.5%) has not determined but a slight increase in sensitivity, and no significant increase in specificity.
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Affiliation(s)
- T Scarabino
- Dipartimento di Diagnostica per Immagini, Ospedale Regionale Generale, Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG
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42
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Accadia L, Federici T, Annese V, Caruso N. [Autoimmune hemolytic anemia and ulcerative colitis]. Minerva Dietol Gastroenterol 1988; 34:201-3. [PMID: 3200469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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43
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Caruso N, De Jacobis M, Roccato M, Sequino A, Sgoifo B, Tinello M. [Use of ornithine carbamoyltransferase in the treatment of liver diseases]. Clin Ter 1984; 110:37-44. [PMID: 6237844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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44
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Amadori G, Raumer R, Caruso N, Tinello M. [Nosologic position of angioimmunoblastic lymphadenopathy. Apropos of 2 debatable cases]. Arch Sci Med (Torino) 1983; 140:457-63. [PMID: 6673711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Two cases of lymphadenopathy grouped together by a common histologic diagnosis of angio-immunoblastic lymphadenopathy (A.I.L.) have been described. While in the first case there was a recent vaccination with BCG and tests positive for toxoplasmosis, the second case did not reveal any important anamnestic elements. The first case appeared to respond to antiprotozoan therapy while the second underwent lymphomatous degeneration with cerebral involvement. In view of the different clinical developments the existing nosologic position of A.I.L. comes under discussion. The great difficulty with which A.I.L. is demarcated from forms of reactive or neoplastic lymphadenopathy is emphasized by this example. Essential towards this is the study of lymphocyte markers and their in vitro function.
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