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Magrì D, Gallo G, Piepoli M, Salvioni E, Mapelli M, Vignati C, Fiori E, Muthukkattil ML, Corrà U, Metra M, Paolillo S, Maruotti A, Di Loro PA, Senni M, Lagioia R, Scrutinio D, Emdin M, Passino C, Parati G, Sinagra G, Correale M, Badagliacca R, Sciomer S, Di Lenarda A, Agostoni P, Filardi PP. What about chronotropic incompetence in heart failure with mildly reduced ejection fraction? Clinical and prognostic implications from the Metabolic Exercise combined with Cardiac and Kidney Indexes score dataset. Eur J Prev Cardiol 2024; 31:263-271. [PMID: 37890033 DOI: 10.1093/eurjpc/zwad338] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 09/29/2023] [Accepted: 10/12/2023] [Indexed: 10/29/2023]
Abstract
AIMS Chronotropic incompetence (CI) is a strong predictor of outcome in heart failure with reduced ejection fraction, however no data on its clinical and prognostic impacts in heart failure with mildly reduced ejection fraction (HFmrEF) are available. Therefore, the study aims to investigate, in a large multicentre HFmrEF cohort, the prevalence of CI as well as its relationship with exercise capacity and its prognostic role over the cardiopulmonary exercise testing (CPET) parameters. METHODS AND RESULTS Within the Metabolic Exercise combined with Cardiac and Kidney Indexes (MECKI) database, we analysed data of 864 HFmrEF out of 1164 stable outpatients who performed a maximal CPET at the cycle ergometer and who had no significant rhythm disorders or comorbidities. The primary study endpoint was cardiovascular (CV) death. All-cause death was also explored. Chronotropic incompetence prevalence differed depending on the method (peak heart rate, pHR% vs. pHR reserve, pHRR%) and the cut-off adopted (pHR% from ≤75% to ≤60% and pHRR% ≤ 65% to ≤50%), ranging from 11% to 62%. A total of 84 (9.7%) CV deaths were collected, with 39 (4.5%) occurring within 5 years. At multivariate analysis, both pHR% [hazard ratio 0.97 (0.95-0.99), P < 0.05] and pHRR% [hazard ratio 0.977 (0.961-0.993), P < 0.01] were associated with the primary endpoint. A pHR% ≤ 75% and a pHRR% ≤ 50% represented the most accurate cut-off values in predicting the outcome. CONCLUSION The study suggests an association between blunted exercise-HR response, functional capacity, and CV death risk among patients with HFmrEF. Whether the CI presence might be adopted in daily HFmrEF management needs to be addressed in larger prospective studies.
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Affiliation(s)
- Damiano Magrì
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, 'Sapienza' Università degli Studi di Roma, Via di Grottarossa 1035-1039, 00189 Roma, Italy
| | - Giovanna Gallo
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, 'Sapienza' Università degli Studi di Roma, Via di Grottarossa 1035-1039, 00189 Roma, Italy
| | - Massimo Piepoli
- Department of Biomedical Science for Health, University of Milan, Via Festa del Perdono 7, 20122 Milan, Italy, and Clinical Cardiology, IRCCS Policlinico San Donato, Via Morandi 30, 20097 San Donato Milanese, Milan, Italy
| | | | - Massimo Mapelli
- Centro Cardiologico Monzino, IRCCS, Via Carlo Parea 4, 20138 Milano, Italy
| | - Carlo Vignati
- Centro Cardiologico Monzino, IRCCS, Via Carlo Parea 4, 20138 Milano, Italy
| | - Emiliano Fiori
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, 'Sapienza' Università degli Studi di Roma, Via di Grottarossa 1035-1039, 00189 Roma, Italy
| | - Melwyn Luis Muthukkattil
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, 'Sapienza' Università degli Studi di Roma, Via di Grottarossa 1035-1039, 00189 Roma, Italy
| | - Ugo Corrà
- Cardiology Department, Istituti Clinici Scientifici Maugeri, IRCCS, Veruno Institute, Via Revislate 13, 28010 Veruno, Italy
| | - Marco Metra
- Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazza del Mercato 15, 25121 Brescia, Italy
| | - Stefania Paolillo
- Cardiologia SUN, Ospedale Monaldi (Azienda dei Colli), Seconda Università di Napoli, Via Leonardo Bianchi, 80131 Napoli, Italy
| | - Antonello Maruotti
- Dipartimento di Giurisprudenza, Economia, Politica e Lingue Moderne, Libera Università Maria Ss Assunta, Via della Traspontina 21, 00193 Roma, Italy
| | - Pierfrancesco Alaimo Di Loro
- Dipartimento di Giurisprudenza, Economia, Politica e Lingue Moderne, Libera Università Maria Ss Assunta, Via della Traspontina 21, 00193 Roma, Italy
| | - Michele Senni
- Department of Cardiology, Heart Failure and Heart Transplant Unit, Azienda Ospedaliera Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo, Italy
| | - Rocco Lagioia
- Division of Cardiology, 'S. Maugeri' Foundation, IRCCS, Institute of Cassano Murge, Via Generale Bellomo 73-75, 70124 Bari, Italy
| | - Domenico Scrutinio
- Division of Cardiology, 'S. Maugeri' Foundation, IRCCS, Institute of Cassano Murge, Via Generale Bellomo 73-75, 70124 Bari, Italy
| | - Michele Emdin
- Life Science Institute, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, 56127 Pisa, Italy
- Fondazione Gabriele Monasterio, CNR-Regione Toscana, Via Giuseppe Moruzzi 1, 56124 Pisa, Italy
| | - Claudio Passino
- Life Science Institute, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, 56127 Pisa, Italy
- Fondazione Gabriele Monasterio, CNR-Regione Toscana, Via Giuseppe Moruzzi 1, 56124 Pisa, Italy
| | - Gianfranco Parati
- Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Istituto Auxologico Italiano, Piazzale Brescia 20, 20149 Milano, Italy
| | - Gianfranco Sinagra
- Cardiovascular Department, Ospedali Riuniti and University of Trieste, Via della Pietà 19, 34129 Trieste, Italy
| | - Michele Correale
- Department of Cardiology, University of Foggia, Via Antonio Gramsci 89, 71122 Foggia, Italy
| | - Roberto Badagliacca
- Dipartimento di Scienze Cardiovascolari, Respiratorie, Nefrologiche, Anestesiologiche e Geriatriche, 'Sapienza', Rome University, Via del Policlinico 155, 00161 Rome, Italy
| | - Susanna Sciomer
- Dipartimento di Scienze Cardiovascolari, Respiratorie, Nefrologiche, Anestesiologiche e Geriatriche, 'Sapienza', Rome University, Via del Policlinico 155, 00161 Rome, Italy
| | - Andrea Di Lenarda
- Cardiovascular Center, Health Authority n°1 and University of Trieste, Via Slataper 9, 34134 Trieste, Italy
| | - Piergiuseppe Agostoni
- Centro Cardiologico Monzino, IRCCS, Via Carlo Parea 4, 20138 Milano, Italy
- Department of Clinical Sciences and Community Health, Cardiovascular Section, University of Milano, Via Festa del Perdono 7, 20122 Milano, Italy
| | - Pasquale Perrone Filardi
- Cardiologia SUN, Ospedale Monaldi (Azienda dei Colli), Seconda Università di Napoli, Via Leonardo Bianchi, 80131 Napoli, Italy
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2
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Caruso G, Alaimo Di Loro P, Mingione M, Tardella L, Pace DS, Jona Lasinio G. Finite mixtures in capture-recapture surveys for modeling residency patterns in marine wildlife populations. Biom J 2024; 66:e2200350. [PMID: 38285406 DOI: 10.1002/bimj.202200350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 09/13/2023] [Accepted: 09/25/2023] [Indexed: 01/30/2024]
Abstract
This work aims to show how prior knowledge about the structure of a heterogeneous animal population can be leveraged to improve the abundance estimation from capture-recapture survey data. We combine the Open Jolly-Seber model with finite mixtures and propose a parsimonious specification tailored to the residency patterns of the common bottlenose dolphin. We employ a Bayesian framework for our inference, discussing the appropriate choice of priors to mitigate label-switching and nonidentifiability issues, commonly associated with finite mixture models. We conduct a series of simulation experiments to illustrate the competitive advantage of our proposal over less specific alternatives. The proposed approach is applied to data collected on the common bottlenose dolphin population inhabiting the Tiber River estuary (Mediterranean Sea). Our results provide novel insights into this population's size and structure, shedding light on some of the ecological processes governing its dynamics.
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Affiliation(s)
- Gianmarco Caruso
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
- Department of Statistical Sciences, Sapienza University of Rome, Rome, Italy
| | | | - Marco Mingione
- Department of Political Sciences, University of Roma Tre, Rome, Italy
| | - Luca Tardella
- Department of Statistical Sciences, Sapienza University of Rome, Rome, Italy
| | - Daniela Silvia Pace
- Department of of Environmental Biology, Sapienza University of Rome, Rome, Italy
- Institute for the Study of Anthropogenic Impacts and Sustainability in the Marine Environment, CNR, Trapani, Italy
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3
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Di Loro PA, Mingione M, Lipsitt J, Batteate CM, Jerrett M, Banerjee S. BAYESIAN HIERARCHICAL MODELING AND ANALYSIS FOR ACTIGRAPH DATA FROM WEARABLE DEVICES. Ann Appl Stat 2023; 17:2865-2886. [PMID: 38283128 PMCID: PMC10815935 DOI: 10.1214/23-aoas1742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
The majority of Americans fail to achieve recommended levels of physical activity, which leads to numerous preventable health problems such as diabetes, hypertension, and heart diseases. This has generated substantial interest in monitoring human activity to gear interventions toward environmental features that may relate to higher physical activity. Wearable devices, such as wrist-worn sensors that monitor gross motor activity (actigraph units) continuously record the activity levels of a subject, producing massive amounts of high-resolution measurements. Analyzing actigraph data needs to account for spatial and temporal information on trajectories or paths traversed by subjects wearing such devices. Inferential objectives include estimating a subject's physical activity levels along a given trajectory; identifying trajectories that are more likely to produce higher levels of physical activity for a given subject; and predicting expected levels of physical activity in any proposed new trajectory for a given set of health attributes. Here, we devise a Bayesian hierarchical modeling framework for spatial-temporal actigraphy data to deliver fully model-based inference on trajectories while accounting for subject-level health attributes and spatial-temporal dependencies. We undertake a comprehensive analysis of an original dataset from the Physical Activity through Sustainable Transport Approaches in Los Angeles (PASTA-LA) study to ascertain spatial zones and trajectories exhibiting significantly higher levels of physical activity while accounting for various sources of heterogeneity.
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Affiliation(s)
| | | | - Jonah Lipsitt
- Department of Environmental Health Sciences, University of California, Los Angeles
| | - Christina M. Batteate
- Center of Occupational and Environmental Health, University of California, Los Angeles
| | - Michael Jerrett
- Department of Environmental Health Sciences, University of California, Los Angeles
| | - Sudipto Banerjee
- Department of Biostatistics, University of California, Los Angeles
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4
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Magrì D, Palermo P, Salvioni E, Mapelli M, Gallo G, Vignati C, Mattavelli I, Gugliandolo P, Maruotti A, Di Loro PA, Fiori E, Sciomer S, Agostoni P. Influence of exertional oscillatory breathing and its temporal behavior in patients with heart failure and reduced ejection fraction. Int J Cardiol 2023:S0167-5273(23)00659-9. [PMID: 37164295 DOI: 10.1016/j.ijcard.2023.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 04/12/2023] [Accepted: 05/05/2023] [Indexed: 05/12/2023]
Abstract
BACKGROUND Exertional oscillatory breathing (EOV) represents an emerging prognostic marker in heart failure (HF) patients, however little is known about EOV meaning with respect to its disappearance/persistence during cardiopulmonary exercise test (CPET). The present single-center study evaluated EOV clinical and prognostic impact in a large cohort of reduced ejection fraction HF patients (HFrEF) and, contextually, if a specific EOV temporal behavior might be an addictive risk predictor. METHODS AND RESULTS Data from 1.866 HFrEF patients on optimized medical therapy were analysed. The primary cardiovascular (CV) study end-point was cardiovascular death, heart transplantation or LV assistance device (LVAD) implantation at 5-years. For completeness a secondary end-point of total mortality at 5- years was also explored. EOV presence was identified in 251 patients (13%): 142 characterized by EOV early cessation (Group A) and 109 by EOV persistence during the whole CPET (Group B). The entire EOV Group showed worse clinical and functional status than NoEOV Group (n = 1.615) and, within the EOV Group, Group B was characterized by a more severe HF. At CV survival analysis, EOV patients showed a poorer outcome than the NoEOV Group (events 27.1% versus 13.1%, p < 0.001) both unpolished and after matching for main confounders. Instead, no significant differences were found between EOV Group A and B with respect to CV outcome. Conversely the analysis for total mortality failed to be significant. CONCLUSIONS Our analysis, albeit retrospective, supports the inclusion of EOV into a CPET-centered clinical and prognostic evaluation of the HFrEF patients. EOV characterizes per se a more advanced HFrEF stage with an unfavorable CV outcome. However, the EOV persistence, albeit suggestive of a more severe HF, does not emerge as a further prognostic marker.
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Affiliation(s)
- Damiano Magrì
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, "Sapienza" University, Rome, Italy
| | | | | | - Massimo Mapelli
- Centro Cardiologico Monzino, IRCCS, Milan, Italy.; Dept. of Clinical sciences and Community health, Cardiovascular Section, University of Milano, Milan, Italy
| | - Giovanna Gallo
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, "Sapienza" University, Rome, Italy
| | | | | | | | - Antonello Maruotti
- Dipartimento di Giurisprudenza, Economia, Politica e Lingue Moderne - Libera Università Maria Ss Assunta; Department of Mathematics, University of Bergen, Norway; School of Computing, University of Portsmouth, United Kingdom
| | | | - Emiliano Fiori
- Department of Clinical and Molecular Medicine, Azienda Ospedaliera Sant'Andrea, "Sapienza" University, Rome, Italy
| | - Susanna Sciomer
- Dipartimento di Scienze Cardiovascolari, Respiratorie, Nefrologiche, Anestesiologiche e Geriatriche, "Sapienza" University, Rome, Italy
| | - Piergiuseppe Agostoni
- Centro Cardiologico Monzino, IRCCS, Milan, Italy.; Dept. of Clinical sciences and Community health, Cardiovascular Section, University of Milano, Milan, Italy..
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5
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Sherratt K, Gruson H, Grah R, Johnson H, Niehus R, Prasse B, Sandmann F, Deuschel J, Wolffram D, Abbott S, Ullrich A, Gibson G, Ray EL, Reich NG, Sheldon D, Wang Y, Wattanachit N, Wang L, Trnka J, Obozinski G, Sun T, Thanou D, Pottier L, Krymova E, Meinke JH, Barbarossa MV, Leithäuser N, Mohring J, Schneider J, Włazło J, Fuhrmann J, Lange B, Rodiah I, Baccam P, Gurung H, Stage S, Suchoski B, Budzinski J, Walraven R, Villanueva I, Tucek V, Smid M, Zajíček M, Pérez Álvarez C, Reina B, Bosse NI, Meakin SR, Castro L, Fairchild G, Michaud I, Osthus D, Alaimo Di Loro P, Maruotti A, Eclerová V, Kraus A, Kraus D, Pribylova L, Dimitris B, Li ML, Saksham S, Dehning J, Mohr S, Priesemann V, Redlarski G, Bejar B, Ardenghi G, Parolini N, Ziarelli G, Bock W, Heyder S, Hotz T, Singh DE, Guzman-Merino M, Aznarte JL, Moriña D, Alonso S, Álvarez E, López D, Prats C, Burgard JP, Rodloff A, Zimmermann T, Kuhlmann A, Zibert J, Pennoni F, Divino F, Català M, Lovison G, Giudici P, Tarantino B, Bartolucci F, Jona Lasinio G, Mingione M, Farcomeni A, Srivastava A, Montero-Manso P, Adiga A, Hurt B, Lewis B, Marathe M, Porebski P, Venkatramanan S, Bartczuk RP, Dreger F, Gambin A, Gogolewski K, Gruziel-Słomka M, Krupa B, Moszyński A, Niedzielewski K, Nowosielski J, Radwan M, Rakowski F, Semeniuk M, Szczurek E, Zieliński J, Kisielewski J, Pabjan B, Kirsten H, Kheifetz Y, Scholz M, Biecek P, Bodych M, Filinski M, Idzikowski R, Krueger T, Ozanski T, Bracher J, Funk S. Predictive performance of multi-model ensemble forecasts of COVID-19 across European nations. eLife 2023; 12:81916. [PMID: 37083521 DOI: 10.7554/elife.81916] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 02/20/2023] [Indexed: 04/22/2023] Open
Abstract
Background: Short-term forecasts of infectious disease contribute to situational awareness and capacity planning. Based on best practice in other fields and recent insights in infectious disease epidemiology, one can maximise forecasts' predictive performance by combining independent models into an ensemble. Here we report the performance of ensemble predictions of COVID-19 cases and deaths across Europe from March 2021 to March 2022. Methods: We created the European COVID-19 Forecast Hub, an online open-access platform where modellers upload weekly forecasts for 32 countries with results publicly visualised and evaluated. We created a weekly ensemble forecast from the equally-weighted average across individual models' predictive quantiles. We measured forecast accuracy using a baseline and relative Weighted Interval Score (rWIS). We retrospectively explored ensemble methods, including weighting by past performance. Results: We collected weekly forecasts from 48 models, of which we evaluated 29 models alongside the ensemble model. The ensemble had a consistently strong performance across countries over time, performing better on rWIS than 91% of forecasts for deaths (N=763 predictions from 20 models), and 83% forecasts for cases (N=886 predictions from 23 models). Performance remained stable over a 4-week horizon for death forecasts but declined with longer horizons for cases. Among ensemble methods, the most influential choice came from using a median average instead of the mean, regardless of weighting component models. Conclusions: Our results support combining independent models into an ensemble forecast to improve epidemiological predictions, and suggest that median averages yield better performance than methods based on means. We highlight that forecast consumers should place more weight on incident death forecasts than case forecasts at horizons greater than two weeks. Funding: European Commission, Ministerio de Ciencia, Innovación y Universidades, FEDER; Agència de Qualitat i Avaluació Sanitàries de Catalunya; Netzwerk Universitätsmedizin; Health Protection Research Unit; Wellcome Trust; European Centre for Disease Prevention and Control; Ministry of Science and Higher Education of Poland; Federal Ministry of Education and Research; Los Alamos National Laboratory; German Free State of Saxony; NCBiR; FISR 2020 Covid-19 I Fase; Spanish Ministry of Health / REACT-UE (FEDER); National Institutes of General Medical Sciences; Ministerio de Sanidad/ISCIII; PERISCOPE European H2020; PERISCOPE European H2021; InPresa; National Institutes of Health, NSF, US Centers for Disease Control and Prevention, Google, University of Virginia, Defense Threat Reduction Agency.
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Affiliation(s)
- Katharine Sherratt
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Hugo Gruson
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Rok Grah
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Helen Johnson
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Rene Niehus
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Bastian Prasse
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Frank Sandmann
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | | | | | - Sam Abbott
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | | | - Graham Gibson
- University of Massachusetts Amherst, Amherst, United States
| | - Evan L Ray
- University of Massachusetts Amherst, Amherst, United States
| | | | - Daniel Sheldon
- University of Massachusetts Amherst, Amherst, United States
| | - Yijin Wang
- University of Massachusetts Amherst, Amherst, United States
| | | | - Lijing Wang
- Boston Children's Hospital, Boston, United States
| | - Jan Trnka
- Department of Biochemistry, Cell and Molecular Biology, Charles University, Prague, Czech Republic
| | | | - Tao Sun
- École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Dorina Thanou
- École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | | | | | | | | | - Neele Leithäuser
- Fraunhofer Institute for Industrial Mathematics, Kaiserslautern, Germany
| | - Jan Mohring
- Fraunhofer Institute for Industrial Mathematics, Kaiserslautern, Germany
| | - Johanna Schneider
- Fraunhofer Institute for Industrial Mathematics, Kaiserslautern, Germany
| | - Jaroslaw Włazło
- Fraunhofer Institute for Industrial Mathematics, Kaiserslautern, Germany
| | | | - Berit Lange
- Helmholtz Centre for Infection Research, Braunschweig, Germany
| | - Isti Rodiah
- Helmholtz Centre for Infection Research, Braunschweig, Germany
| | | | | | | | | | | | | | - Inmaculada Villanueva
- Institut d'Investigacions Biomediques August Pi i Sunyer, Universitat Pompeu Fabra, Barcelona, Spain
| | - Vit Tucek
- Institute of Computer Science, Prague, Czech Republic
| | - Martin Smid
- Institute of Information Theory and Automation, Prague, Czech Republic
| | - Milan Zajíček
- Institute of Information Theory and Automation, Prague, Czech Republic
| | | | | | - Nikos I Bosse
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Sophie R Meakin
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Lauren Castro
- Los Alamos National Laboratory, Los Alamos, United States
| | | | - Isaac Michaud
- Los Alamos National Laboratory, Los Alamos, United States
| | - Dave Osthus
- Los Alamos National Laboratory, Los Alamos, United States
| | | | | | | | | | | | | | | | | | - Soni Saksham
- Massachusetts Institute of Technology, Cambridge, United States
| | - Jonas Dehning
- Max-Planck-Institut fur Dynamik und Selbstorganisation, Göttingen, Germany
| | - Sebastian Mohr
- Max-Planck-Institut fur Dynamik und Selbstorganisation, Göttingen, Germany
| | - Viola Priesemann
- MPRG Priesemann, Max Planck Institute for Dynamics and Self-Organization, Göttingen, Germany
| | | | | | | | | | | | - Wolfgang Bock
- Technical University of Kaiserlautern, Kaiserslautern, Germany
| | | | - Thomas Hotz
- Technische Universitat Ilmenau, Ilmenau, Germany
| | | | | | - Jose L Aznarte
- Universidad Nacional de Educacion a Distancia, Madrid, Spain
| | | | - Sergio Alonso
- Universitat Politecnica de Catalunya, Barcelona, Spain
| | - Enric Álvarez
- Universitat Politecnica de Catalunya, Barcelona, Spain
| | - Daniel López
- Universitat Politecnica de Catalunya, Barcelona, Spain
| | - Clara Prats
- Universitat Politecnica de Catalunya, Barcelona, Spain
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Benjamin Hurt
- University of Virginia, Charlottesville, United States
| | - Bryan Lewis
- University of Virginia, Charlottesville, United States
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Marcin Bodych
- Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Maciej Filinski
- Wroclaw University of Science and Technology, Wroclaw, Poland
| | | | - Tyll Krueger
- Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Tomasz Ozanski
- Wroclaw University of Science and Technology, Wroclaw, Poland
| | | | - Sebastian Funk
- Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
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6
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Giorgi A, Menicocci S, Forte M, Ferrara V, Mingione M, Alaimo Di Loro P, Inguscio BMS, Ferrara S, Babiloni F, Vozzi A, Ronca V, Cartocci G. Virtual and Reality: A Neurophysiological Pilot Study of the Sarcophagus of the Spouses. Brain Sci 2023; 13:brainsci13040635. [PMID: 37190600 DOI: 10.3390/brainsci13040635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 03/29/2023] [Accepted: 04/04/2023] [Indexed: 05/17/2023] Open
Abstract
Art experience is not solely the observation of artistic objects, but great relevance is also placed on the environment in which the art experience takes place, often in museums and galleries. Interestingly, in the last few years, the introduction of some forms of virtual reality (VR) in museum contexts has been increasing. This has solicited enormous research interest in investigating any eventual differences between looking at the same artifact either in a real context (e.g. a museum) and in VR. To address such a target, a neuroaesthetic study was performed in which electroencephalography (EEG) and autonomic signals (heart rate and skin conductance) were recorded during the observation of the Etruscan artifact "Sarcophagus of the Spouses", both in the museum and in a VR reproduction. Results from EEG analysis showed a higher level of the Workload Index during observation in the museum compared to VR (p = 0.04), while the Approach-Withdrawal Index highlighted increased levels during the observation in VR compared to the observation in the museum (p = 0.03). Concerning autonomic indices, the museum elicited a higher Emotional Index response than the VR (p = 0.03). Overall, preliminary results suggest a higher engagement potential of the museum compared to VR, although VR could also favour higher embodiment than the museum.
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Affiliation(s)
- Andrea Giorgi
- Unit of Histology and Medical Embryology, SAIMLAL Department, Sapienza University of Rome, 00185 Rome, Italy
- BrainSigns Ltd., 00185 Rome, Italy
| | - Stefano Menicocci
- BrainSigns Ltd., 00185 Rome, Italy
- Department of Molecular Medicine, Sapienza University of Rome, 00161 Rome, Italy
| | - Maurizio Forte
- Department of Classical Studies, Duke University, Durham, NC 27708, USA
| | - Vincenza Ferrara
- Art and Medical Humanities Lab, Sapienza University of Rome, 00185 Rome, Italy
| | - Marco Mingione
- Department of Political Sciences, Roma Tre University, 00145 Rome, Italy
| | - Pierfrancesco Alaimo Di Loro
- Department of Law, Economics, Politics and Modern Languages, Libera Università Maria SS. Assunta (LUMSA), 00192 Rome, Italy
| | - Bianca Maria Serena Inguscio
- BrainSigns Ltd., 00185 Rome, Italy
- Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy
| | | | - Fabio Babiloni
- BrainSigns Ltd., 00185 Rome, Italy
- Department of Molecular Medicine, Sapienza University of Rome, 00161 Rome, Italy
- Department of Computer Science, Hangzhou Dianzi University, Hangzhou 310018, China
| | - Alessia Vozzi
- Unit of Histology and Medical Embryology, SAIMLAL Department, Sapienza University of Rome, 00185 Rome, Italy
- BrainSigns Ltd., 00185 Rome, Italy
| | - Vincenzo Ronca
- BrainSigns Ltd., 00185 Rome, Italy
- Department of Computer, Control and Management Engineering "Antonio Ruberti", Sapienza University of Rome, 00185 Rome, Italy
| | - Giulia Cartocci
- BrainSigns Ltd., 00185 Rome, Italy
- Department of Molecular Medicine, Sapienza University of Rome, 00161 Rome, Italy
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7
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Jona Lasinio G, Divino F, Lovison G, Mingione M, Alaimo Di Loro P, Farcomeni A, Maruotti A. Two years of COVID-19 pandemic: The Italian experience of Statgroup-19. Environmetrics 2022; 33:e2768. [PMID: 36712697 PMCID: PMC9874523 DOI: 10.1002/env.2768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 08/30/2022] [Accepted: 09/18/2022] [Indexed: 06/18/2023]
Abstract
The amount and poor quality of available data and the need of appropriate modeling of the main epidemic indicators require specific skills. In this context, the statistician plays a key role in the process that leads to policy decisions, starting with monitoring changes and evaluating risks. The "what" and the "why" of these changes represent fundamental research questions to provide timely and effective tools to manage the evolution of the epidemic. Answers to such questions need appropriate statistical models and visualization tools. Here, we give an overview of the role played by Statgroup-19, an independent Italian research group born in March 2020. The group includes seven statisticians from different Italian universities, each with different backgrounds but with a shared interest in data analysis, statistical modeling, and biostatistics. Since the beginning of the COVID-19 pandemic the group has interacted with authorities and journalists to support policy decisions and inform the general public about the evolution of the epidemic. This collaboration led to several scientific papers and an accrued visibility across various media, all made possible by the continuous interaction across the group members that shared their unique expertise.
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Affiliation(s)
| | - Fabio Divino
- Department of Bio‐SciencesUniversity of MoliseItaly
| | - Gianfranco Lovison
- Department of EconomicsManagement and Statistics, University of PalermoPalermoItaly
| | - Marco Mingione
- Department of Political SciencesUniversity of Roma TreRomeItaly
| | | | - Alessio Farcomeni
- Department of Economics and FinanceUniversity of Rome “Tor Vergata”RomeItaly
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8
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Alaimo Di Loro P, Scacciatelli D, Tagliaferri G. 2-step Gradient Boosting approach to selectivity bias correction in tax audit: an application to the VAT gap in Italy. STAT METHOD APPL-GER 2022. [DOI: 10.1007/s10260-022-00643-4] [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: 10/18/2022]
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9
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Mingione M, Alaimo Di Loro P, Farcomeni A, Divino F, Lovison G, Maruotti A, Lasinio GJ. Spatio-temporal modelling of COVID-19 incident cases using Richards' curve: An application to the Italian regions. Spat Stat 2022; 49:100544. [PMID: 36407655 PMCID: PMC9643104 DOI: 10.1016/j.spasta.2021.100544] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 08/06/2021] [Accepted: 09/23/2021] [Indexed: 06/14/2023]
Abstract
We introduce an extended generalised logistic growth model for discrete outcomes, in which spatial and temporal dependence are dealt with the specification of a network structure within an Auto-Regressive approach. A major challenge concerns the specification of the network structure, crucial to consistently estimate the canonical parameters of the generalised logistic curve, e.g. peak time and height. We compared a network based on geographic proximity and one built on historical data of transport exchanges between regions. Parameters are estimated under the Bayesian framework, using Stan probabilistic programming language. The proposed approach is motivated by the analysis of both the first and the second wave of COVID-19 in Italy, i.e. from February 2020 to July 2020 and from July 2020 to December 2020, respectively. We analyse data at the regional level and, interestingly enough, prove that substantial spatial and temporal dependence occurred in both waves, although strong restrictive measures were implemented during the first wave. Accurate predictions are obtained, improving those of the model where independence across regions is assumed.
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Affiliation(s)
- Marco Mingione
- University of Rome "La Sapienza", Dpt. of Statistical Sciences, Rome, Italy
- Institute of Applied Computing "M. Picone" (IAC - CNR), Italy
| | | | - Alessio Farcomeni
- University of Rome "Tor Vergata", Dpt. of Economics and Finance, Italy
| | - Fabio Divino
- University of Molise, Dpt. of Bio-Sciences, Italy
| | - Gianfranco Lovison
- University of Palermo, Dpt. of Economics, Management and Statistics, Italy
- Swiss TPH, Dpt. of Epidemiology and Public Health, Switzerland
| | - Antonello Maruotti
- Libera Università Maria Ss Assunta, Dpt. GEPLI, Italy
- University of Bergen, Dpt. of Mathematics, Norway
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10
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Divino F, Alaimo Di Loro P, Farcomeni A, Jona-Lasinio G, Lovison G, Ciccozzi M, Mingione M, Maruotti A. Decreased severity of the Omicron variant of concern: further evidence from Italy. Int J Infect Dis 2022; 119:21-23. [PMID: 35331936 PMCID: PMC8935975 DOI: 10.1016/j.ijid.2022.03.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 03/12/2022] [Accepted: 03/15/2022] [Indexed: 02/05/2023] Open
Affiliation(s)
- Fabio Divino
- Department of Biosciences, University of Molise, Campobasso, Italy
| | | | - Alessio Farcomeni
- Department of Economics and Finance, University of Rome "Tor Vergata", Rome, Italy
| | | | - Gianfranco Lovison
- Department of Economics, Management and Statistics, University of Palermo, Palermo, Italy; Department of Epidemiology and Public Health, Swiss TPH Basel, Basel, Switzerland
| | - Massimo Ciccozzi
- Department of Medicine, Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy
| | - Marco Mingione
- Department of Statistical Sciences, University of Rome "La Sapienza", Rome, Italy
| | - Antonello Maruotti
- Department GEPLI, Libera Università Maria Ss Assunta, Rome, Italy; Department of Mathematics, University of Bergen, Bergen, Norway.
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11
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Alaimo Di Loro P, Divino F, Farcomeni A, Jona Lasinio G, Lovison G, Maruotti A, Mingione M. Nowcasting COVID-19 incidence indicators during the Italian first outbreak. Stat Med 2021; 40:3843-3864. [PMID: 33955571 PMCID: PMC8242495 DOI: 10.1002/sim.9004] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 03/08/2021] [Accepted: 04/08/2021] [Indexed: 01/12/2023]
Abstract
A novel parametric regression model is proposed to fit incidence data typically collected during epidemics. The proposal is motivated by real-time monitoring and short-term forecasting of the main epidemiological indicators within the first outbreak of COVID-19 in Italy. Accurate short-term predictions, including the potential effect of exogenous or external variables are provided. This ensures to accurately predict important characteristics of the epidemic (e.g., peak time and height), allowing for a better allocation of health resources over time. Parameter estimation is carried out in a maximum likelihood framework. All computational details required to reproduce the approach and replicate the results are provided.
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Affiliation(s)
| | - Fabio Divino
- Department of Bio‐SciencesUniversity of MoliseCampobassoItaly
| | - Alessio Farcomeni
- Department of Economics and FinanceUniversity of Rome “Tor Vergata”RomeItaly
| | | | - Gianfranco Lovison
- Department of Economics, Management and StatisticsUniversity of PalermoPalermoItaly
- Department of Epidemiology and Public HealthSwiss TPH BaselBaselSwitzerland
| | - Antonello Maruotti
- Department of GEPLILibera Universitá Maria Ss AssuntaRomeItaly
- Department of MathematicsUniversity of BergenBergenNorway
| | - Marco Mingione
- Department of Statistical SciencesUniversity of Rome “La Sapienza”RomeItaly
- IAC ‐ CNRInstitute of Applied Computing “M. Picone”RomeItaly
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12
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Pace DS, Di Marco C, Giacomini G, Ferri S, Silvestri M, Papale E, Casoli E, Ventura D, Mingione M, Alaimo Di Loro P, Jona Lasinio G, Ardizzone G. Capitoline Dolphins: Residency Patterns and Abundance Estimate of Tursiops truncatus at the Tiber River Estuary (Mediterranean Sea). Biology (Basel) 2021; 10:275. [PMID: 33800538 PMCID: PMC8066396 DOI: 10.3390/biology10040275] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 03/22/2021] [Accepted: 03/24/2021] [Indexed: 11/18/2022]
Abstract
Periodic assessments of population status and trends to detect natural influences and human effects on coastal dolphin are often limited by lack of baseline information. Here, we investigated for the first time the site-fidelity patterns and estimated the population size of bottlenose dolphins (Tursiops truncatus) at the Tiber River estuary (central Mediterranean, Tyrrhenian Sea, Rome, Italy) between 2017 and 2020. We used photo-identification data and site-fidelity metrics to study the tendency of dolphins to remain in, or return to, the study area, and capture-recapture models to estimate the population abundance. In all, 347 unique individuals were identified. The hierarchical cluster analysis highlighted 3 clusters, labeled resident (individuals encountered at least five times, in three different months, over three distinct years; n = 42), part-time (individuals encountered at least on two occasions in a month, in at least two different years; n = 73), and transient (individuals encountered on more than one occasion, in more than 1 month, none of them in more than 1 year; n = 232), each characterized by site-fidelity metrics. Open POPAN modeling estimated a population size of 529 individuals (95% CI: 456-614), showing that the Capitoline (Roman) coastal area and nearby regions surrounding the Tiber River estuary represent an important, suitable habitat for bottlenose dolphins, despite their proximity to one of the major urban centers in the world (the city of Rome). Given the high number of individuals in the area and the presence of resident individuals with strong site fidelity, we suggest that conservation plans should not be focused only close to the Tiber River mouths but extended to cover a broader scale of area.
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Affiliation(s)
- Daniela Silvia Pace
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Chiara Di Marco
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Giancarlo Giacomini
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Sara Ferri
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Margherita Silvestri
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Elena Papale
- CNR-IAS, Campobello di Mazara, 91021 Trapani, Italy;
- Department of Life Sciences and Systems Biology, University of Torino, 10123 Torino, Italy
| | - Edoardo Casoli
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Daniele Ventura
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
| | - Marco Mingione
- Department of Statistical Sciences, Sapienza University of Rome, 00185 Rome, Italy; (M.M.); (P.A.D.L.); (G.J.L.)
| | - Pierfrancesco Alaimo Di Loro
- Department of Statistical Sciences, Sapienza University of Rome, 00185 Rome, Italy; (M.M.); (P.A.D.L.); (G.J.L.)
| | - Giovanna Jona Lasinio
- Department of Statistical Sciences, Sapienza University of Rome, 00185 Rome, Italy; (M.M.); (P.A.D.L.); (G.J.L.)
| | - Giandomenico Ardizzone
- Department of Environmental Biology, Sapienza University of Rome, 00185 Rome, Italy; (C.D.M.); (G.G.); (S.F.); (M.S.); (E.C.); (D.V.); (G.A.)
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13
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Papetti L, Loro PAD, Tarantino S, Grazzi L, Guidetti V, Parisi P, Raieli V, Sciruicchio V, Termine C, Toldo I, Tozzi E, Verdecchia P, Carotenuto M, Battisti M, Celi A, D'Agnano D, Faedda N, Ferilli MA, Grillo G, Natalucci G, Onofri A, Pelizza MF, Ursitti F, Vasta M, Velardi M, Balestri M, Moavero R, Vigevano F, Valeriani M. I stay at home with headache. A survey to investigate how the lockdown for COVID-19 impacted on headache in Italian children. Cephalalgia 2020; 40:1459-1473. [PMID: 33146039 PMCID: PMC7684684 DOI: 10.1177/0333102420965139] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [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] [Indexed: 12/24/2022]
Abstract
Objective The present Italian multicenter study aimed at investigating whether the course of primary headache disorders in children and adolescents was changed during the lockdown necessary to contain the COVID-19 emergency in Italy. Methods During the lockdown, we submitted an online questionnaire to patients already diagnosed with primary headache disorders. Questions explored the course of headache, daily habits, psychological factors related to COVID-19, general mood and school stress. Answers were transformed into data for statistical analysis. Through a bivariate analysis, the main variables affecting the subjective trend of headache, and intensity and frequency of the attacks were selected. The significant variables were then used for the multivariate analysis. Results We collected the answers of 707 patients. In the multivariate analysis, we found that reduction of school effort and anxiety was the main factor explaining the improvement in the subjective trend of headache and the intensity and frequency of the attacks (p < 0.001). The greater the severity of headache, the larger was the clinical improvement (p < 0.001). Disease duration was negatively associated with the improvement (p < 0.001). It is noteworthy that clinical improvement was independent of prophylaxis (p > 0.05), presence of chronic headache disorders (p > 0.05) and geographical area (p > 0.05). Conclusions Our study showed that lifestyle modification represents the main factor impacting the course of primary headache disorders in children and adolescents. In particular, reduction in school-related stress during the lockdown was the main factor explaining the general headache improvement in our population.
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Affiliation(s)
- Laura Papetti
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | | | - Samuela Tarantino
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | - Licia Grazzi
- Headache Center, Neuroalgology Department, IRCCS Foundation "Carlo Besta" Neurological Institute, Milan, Italy
| | - Vincenzo Guidetti
- Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, "Sapienza" University, Rome, Italy
| | - Pasquale Parisi
- Child Neurology, Department of Neuroscience, Mental Health and Sense Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Vincenzo Raieli
- Child Neuropsychiatry Unit - Ismep - ARNAS Civico, Palermo, Italy
| | - Vittorio Sciruicchio
- Children Epilepsy and EEG Center, PO, San Paolo ASL (Azienda Sanitaria Locale), Bari, Italy
| | - Cristiano Termine
- Department of Medicine and Surgery, University of Insubria and ASST dei Sette Laghi, Varese, Italy
| | - Irene Toldo
- Centro Cefalee per l'età Evolutiva, Dipartimento di Salute della Donna e del Bambino, Università degli Studi, Azienda Ospedaliera di Padova, Padova, Italy
| | - Elisabetta Tozzi
- Dipartimento di Medicina Clinica, Sanità Pubblica, Scienze della Vita e dell'ambiente, Università degli Studi dell'Aquila, L'Aquila, Italy
| | - Paola Verdecchia
- Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, "Sapienza" University, Rome, Italy
| | - Marco Carotenuto
- Neuropsichiatria Infantile, Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Università della Campania "Luigi Vanvitelli", Napoli, Italy
| | - Matteo Battisti
- Child Neurology, Department of Neuroscience, Mental Health and Sense Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Angela Celi
- Department of Medicine and Surgery, University of Insubria and ASST dei Sette Laghi, Varese, Italy
| | - Daniela D'Agnano
- Children Epilepsy and EEG Center, PO, San Paolo ASL (Azienda Sanitaria Locale), Bari, Italy
| | - Noemi Faedda
- Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, "Sapienza" University, Rome, Italy
| | - Michela An Ferilli
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | - Giovanni Grillo
- Child Neuropsychiatry Unit - Ismep - ARNAS Civico, Palermo, Italy
| | - Giulia Natalucci
- Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, "Sapienza" University, Rome, Italy
| | - Agnese Onofri
- Dipartimento di Medicina Clinica, Sanità Pubblica, Scienze della Vita e dell'ambiente, Università degli Studi dell'Aquila, L'Aquila, Italy
| | - Maria Federica Pelizza
- Centro Cefalee per l'età Evolutiva, Dipartimento di Salute della Donna e del Bambino, Università degli Studi, Azienda Ospedaliera di Padova, Padova, Italy
| | - Fabiana Ursitti
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | - Michelangelo Vasta
- Unità di Neuropsichiatroia Infantile, Dipartimento di Medicina dei Sistemi, Università Tor Vergata, Rome, Italy
| | - Margherita Velardi
- Child Neurology, Department of Neuroscience, Mental Health and Sense Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Martina Balestri
- Neurology Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | - Romina Moavero
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy.,Unità di Neuropsichiatroia Infantile, Dipartimento di Medicina dei Sistemi, Università Tor Vergata, Rome, Italy
| | - Federico Vigevano
- Neurology Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy
| | - Massimiliano Valeriani
- Headache Center, Department of Neuroscience, Bambino Gesù Children's Hospital, Rome, Italy.,Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark
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14
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Kalair K, Connaughton C, Alaimo Di Loro P. A non‐parametric Hawkes process model of primary and secondary accidents on a UK smart motorway. J R Stat Soc Ser C Appl Stat 2020. [DOI: 10.1111/rssc.12450] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Kieran Kalair
- Centre for Complexity Science University of Warwick Coventry UK
| | - Colm Connaughton
- London Mathematical Laboratory London UK
- Mathematics Institute University of Warwick Coventry UK
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15
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Papetti L, Salfa I, Battan B, Moavero R, Termine C, Bartoli B, Di Nunzio F, Tarantino S, Alaimo Di Loro P, Vigevano F, Valeriani M. Features of Primary Chronic Headache in Children and Adolescents and Validity of Ichd 3 Criteria. Front Neurol 2019; 10:92. [PMID: 30890994 PMCID: PMC6413701 DOI: 10.3389/fneur.2019.00092] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 01/23/2019] [Indexed: 12/19/2022] Open
Abstract
Introduction: Chronic headaches are not a rare condition in children and adolescents with negative effects on their quality of life. Our aims were to investigate the clinical features of chronic headache and usefulness of the International Classification of Headache Disorders 3rd edition (ICHD 3) criteria for the diagnosis in a cohort of pediatric patients. Methods: We retrospectively reviewed the charts of patients attending the Headache Center of Bambino Gesù Children and Insubria University Hospital during the 2010–2016 time interval. Statistical analysis was conducted to study possible correlations between: (a) chronic primary headache (CPH) and demographic data (age and sex), (b) CPH and headache qualitative features, (c) CPH and risk of medication overuse headache (MOH), and (d) CPH and response to prophylactic therapies. Moreover, we compared the diagnosis obtained by ICHD 3 vs. ICHD 2 criteria Results: We included 377 patients with CPH (66.4% females, 33.6% males, under 18 years of age). CPH was less frequent under 6 years of age (0.8%; p < 0.05) and there was no correlation between age/sex and different CPH types. The risk to develop MOH was higher after 15 years of age (p < 0.05). When we compared the diagnosis obtained by ICHD 2 and ICHD 3 criteria we found a significant difference for the undefined diagnosis (2.6% vs. 7.9%; p < 0.05), while the diagnosis of probable chronic migraine was only possible by using the ICHD2 criteria (11.9% of patients; p < 0.05). The main criterion which was not satisfied for a definitive diagnosis was the duration of the attacks less than 2 h (70% of patients younger than 6 years; p < 0.005). Amitriptyline and topiramate were the most effective drugs (p < 0.05), although no significant difference was found between them (p > 0.05). Conclusion: The ICHD 3 criteria show limitations when applied to children under 6 years of age. The risk of developing MOH increases with age. Although our “real word” study shows that amitriptyline and topiramate are the most effective drugs regardless of the CPH type, the lack of placebo-controlled data and the limited follow-up results did not allow us to conclude about the drug efficacy.
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Affiliation(s)
- Laura Papetti
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | - Irene Salfa
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | - Barbara Battan
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | - Romina Moavero
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy.,Child Neurology Unit, Systems Medicine Department, Tor Vergata University Hospital of Rome, Rome, Italy
| | - Cristiano Termine
- Child Neuropsychiatry Unit, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy.,Child Neuropsychiatry Unit, ASST dei Sette Laghi, Varese, Italy
| | - Beatrice Bartoli
- Child Neuropsychiatry Unit, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy.,Child Neuropsychiatry Unit, ASST dei Sette Laghi, Varese, Italy
| | - Francesca Di Nunzio
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | - Samuela Tarantino
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | | | - Federico Vigevano
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy
| | - Massimiliano Valeriani
- Headache Center, Department of Neuroscience, Bambino Gesù Children Hospital, Rome, Italy.,Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark
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