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Petrontino A, Madau F, Frem M, Fucilli V, Bianchi R, Campobasso AA, Pulina P, Bozzo F. Seafood Choice and Consumption Behavior: Assessing the Willingness to Pay for an Edible Sea Urchin. Foods 2023; 12:foods12020418. [PMID: 36673510 PMCID: PMC9857571 DOI: 10.3390/foods12020418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 01/18/2023] Open
Abstract
Consumers' behavior towards sea urchin and preferences towards their origin certification and place of consumption may condition their market. In this context, the aim of this research was to elicit the preferences and perceptions of Italian sea urchin dishes using a discrete choice experiment (DCE) approach. A field survey of 453 respondents in Apulia (southern Italy) was conducted for this purpose. The DCE revealed that the origin certification of sea urchin provided Apulia's consumers a high utility with a great pleasurable service in restaurants in which this species was served as a principal dish or seasoned with pasta or pizza. The DCE also showed that the consumption utility of sea urchin was related to a greater influence by place of purchase, place of consumption, technique of conservation, appearance, quality label, fishing zone, low price, male buyer, and, finally, medium and high incomes. Furthermore, Apulian consumers were willing to pay EUR 10.53/dish as an overall average for safe and certified sea urchin consumption. Given this, this research may promote the creation of a local sea urchin brand through the adoption of a market policy and a particular regulation related to the certification of origin, enhancing the competitiveness of this marine heritage species.
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Affiliation(s)
- Alessandro Petrontino
- Department of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
- Sinagri s.r.l., Spin Off of the University of Bari-Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
| | - Fabio Madau
- Department of Agricultural Sciences, University of Sassari, Viale Italia, 39A, 07100 Sassari, Italy
| | - Michel Frem
- Department of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
- Sinagri s.r.l., Spin Off of the University of Bari-Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
- Lebanese Agricultural Research Institute, El Roumieh Zone, Qleiat, Keserwan, Lebanon
- Correspondence:
| | - Vincenzo Fucilli
- Department of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
- Sinagri s.r.l., Spin Off of the University of Bari-Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
| | - Rossella Bianchi
- Sinagri s.r.l., Spin Off of the University of Bari-Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
| | | | - Pietro Pulina
- Department of Agricultural Sciences, University of Sassari, Viale Italia, 39A, 07100 Sassari, Italy
| | - Francesco Bozzo
- Department of Soil, Plant and Food Sciences, University of Bari Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
- Sinagri s.r.l., Spin Off of the University of Bari-Aldo Moro, Via Amendola 165/A, 70126 Bari, Italy
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Blezien O, Mistretta F, Luzzago S, Molinari F, Lievore E, Fontana M, Cozzi G, Bianchi R, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Effect of body mass index and obesity on perioperative and oncological outcomes in patients treated with thermal ablation for T1 renal cell tumors. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01187-9] [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: 11/05/2022] Open
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3
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Marmiroli A, Mistretta F, Luzzago S, Vaccaro C, Tozzi M, Cozzi G, Bianchi R, Di Trapani E, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, de Cobelli O. Perioperative and oncological outcomes in patients with a solitary kidney treated with thermal ablation for T1 renal cell tumour. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01183-1] [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: 11/07/2022] Open
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4
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Vaccaro C, Mistretta F, Luzzago S, Piccinelli M, Lo Giudice A, Bianchi R, Cozzi G, Cioffi A, Brescia A, Cordima G, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Thermal ablation for small renal masses: identifying anthropometric predictors of surgical and oncologic outcomes. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01195-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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5
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Tozzi M, Mistretta F, Luzzago S, Piccinelli M, Lo Giudice A, Cozzi G, Bianchi R, Fontana M, Bottero D, Matei D, Mauri G, Orsi F, Ferro M, Musi G, De Cobelli O. Association between histology and oncological outcomes or complication rates in patients treated with thermal ablation for T1 renal cell tumours. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01182-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: 11/07/2022] Open
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Corrao G, Marvaso G, Mistretta F, Luzzago S, Sabatini I, Di Trapani E, Cozzi G, Bianchi R, Ferro M, Matei D, Musi G, Pepa M, Zaffaroni M, Jereczek-Fossa B, De Cobelli O. PD-0412 Impact of adjuvant radiotherapy on biochemical recurrence rates for pn1 prostate cancer patients. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02847-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: 10/18/2022]
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Evans A, Bongiorno G, Fourie JJ, Lekouch N, Bianchi R, Khoury C, Thomas E, Chiummo R, Gradoni L. Elevated and sustained anti-feeding effect of Scalibor® deltamethrin collar against the sand fly Phlebotomus perniciosus in dogs confirmed for 1 year following treatment. Med Vet Entomol 2022; 36:14-19. [PMID: 34449100 PMCID: PMC9291146 DOI: 10.1111/mve.12545] [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] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 07/21/2021] [Accepted: 08/10/2021] [Indexed: 06/13/2023]
Abstract
Dogs are reservoir hosts for Leishmania infantum, a protozoan parasite transmitted by phlebotomine sand flies. The anti-feeding and fast-killing efficacy of Scalibor® deltamethrin collars against experimental Phlebotomus perniciosus challenges on dogs was determined over 1 year. Two groups of 8 dogs each were fitted with placebo (control) or deltamethrin collars (treated) on Day 0 and exposed to sand flies approximately every 28 days up to Day 364. After each exposure, anti-feeding and fast-killing efficacy rates were determined by comparing blood-fed or live insects, respectively, in the treated vs. the control group. Blood-fed and live sand flies were significantly less in treated dogs as compared to control dogs at each assessment. The anti-feeding efficacy rate exceeded 90% except on Day 337 (89%) but increased again (96%) on Day 364. Fast killing efficacy was <74% over the study when considering all flies. However, this value increased cumulatively to 98% when only blood-fed flies were compared between groups. Scalibor® collars are highly effective at preventing P. perniciosus blood-feeding and in fast-killing flies taking a blood meal for up to 1 year after application. These strong and long-lasting effects are an important strategic component for L. infantum transmission control.
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Affiliation(s)
- A. Evans
- Clinvet SA MoroccoMohammediaMorocco
| | - G. Bongiorno
- Unit of Vector‐borne Diseases, Department of Infectious DiseasesIstituto Superiore di SanitàRomeItaly
| | - J. J. Fourie
- Clinvet International (Pty) LtdBloemfonteinSouth Africa
| | | | - R. Bianchi
- Unit of Vector‐borne Diseases, Department of Infectious DiseasesIstituto Superiore di SanitàRomeItaly
| | - C. Khoury
- Unit of Vector‐borne Diseases, Department of Infectious DiseasesIstituto Superiore di SanitàRomeItaly
| | - E. Thomas
- MSD Animal Health Innovation GmbHSchwabenheimGermany
| | - R. Chiummo
- MSD Animal Health Innovation GmbHSchwabenheimGermany
| | - L. Gradoni
- Unit of Vector‐borne Diseases, Department of Infectious DiseasesIstituto Superiore di SanitàRomeItaly
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Bongiorno G, Bosco A, Bianchi R, Rinaldi L, Foglia Manzillo V, Gizzarelli M, Maurelli MP, Giaquinto D, El Houda Ben Fayala N, Varloud M, Crippa A, Oliva G, Gradoni L, Cringoli G. Laboratory evidence that dinotefuran, pyriproxyfen and permethrin combination abrogates Leishmania infantum transmissibility by sick dogs. Med Vet Entomol 2022; 36:81-87. [PMID: 34724230 PMCID: PMC9298322 DOI: 10.1111/mve.12553] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 10/05/2021] [Accepted: 10/14/2021] [Indexed: 06/13/2023]
Abstract
Dogs are reservoir hosts of leishmaniasis caused by Leishmania infantum and transmitted by phlebotomine vectors. The effect of dinotefuran, pyriproxyfen and permethrin spot-on solution (Vectra®3D, Ceva Santé Animale, Libourne, France) on Leishmania transmissibility by naturally infected dogs via reared Phlebotomus perniciosus, was assessed. Dogs affected by leishmaniasis were submitted to xenodiagnosis and 6 infecting >10% of insects were treated topically on day 0. Antifeeding, insecticidal and anti-transmissibility effects were evaluated through xenodiagnoses performed on days 1, 7 and 28, using individual pre-treatment parameters as control. Feeding and mortality rates were assessed at 24 h, whereas promastigote infection, maturation and burden were assessed up to 96 h post blood meal (potentially infectious rate). On day 1, the anti-feeding efficacy was >95% in 4 dogs, insecticidal efficacy 100% in 4 dogs, and anti-transmissibility effect 100% in 6 dogs. Efficacy rates recorded on day 7 were very similar to day 1. On day 28, anti-feeding and insecticidal efficacy values were much broader, ranging 32.6-100% and 7.7-94.4%, respectively. Potentially infectious insects were recorded from two dogs, with sharp decrease in transmissibility rate as compared with pre-treatment condition. Altogether, Vectra®3D abrogated by >98% the potential Leishmania transmissibility by the examined pool of infected dogs over 1 month.
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Affiliation(s)
- G. Bongiorno
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - A. Bosco
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
- CREMOPAREboliItaly
| | - R. Bianchi
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - L. Rinaldi
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
- CREMOPAREboliItaly
| | - V. Foglia Manzillo
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
| | - M. Gizzarelli
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
| | - M. P. Maurelli
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
- CREMOPAREboliItaly
| | - D. Giaquinto
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
| | - N. El Houda Ben Fayala
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
| | | | | | - G. Oliva
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
| | - L. Gradoni
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - G. Cringoli
- Department of Veterinary Medicine and Animal ProductionUniversity of Naples Federico IINaplesItaly
- CREMOPAREboliItaly
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Sperlongano S, Renon F, Del Giudice C, Iannuzzi A, Bocchetti M, Liccardo B, Malvezzi Caracciolo D"aquino M, Scognamiglio G, Salerno G, Ciccarelli G, Bianchi R, Tartaglione D, Cappelli Bigazzi M, D"andrea A, Golino P. Myocardial work evaluation in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging 2022. [DOI: 10.1093/ehjci/jeab289.365] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
myocardial work (MW) is a novel echocardiographic technique which assesses left ventricular (LV) performance through LV pressure-strain loops. MW corrects speckle tracking echocardiography (STE)-derived parameters for afterload using non-invasive systolic blood pressure (SBP) as a surrogate for LV systolic pressure. In patients with severe aortic stenosis (AS), the corrected MW (cMW) has been proposed, consisting in adding the mean aortic gradient in SBP. This method revealed to be feasible and reliable, demonstrating good correlation with invasively measured LV systolic pressure.
Purpose
to evaluate myocardial performance of patients with severe AS, before and after transcatheter aortic valve implantation (TAVI), by MW indices.
Methods
patients with severe AS undergoing TAVI were included. Transthoracic, standard echocardiography and STE were performed the day before the procedure and within 2 days after. MW was calculated by combining STE-derived indices with non-invasively estimated LV systolic pressure.
Results
30 patients (79 ± 5 years old, 56% females) with severe AS (mean gradient 47 ± 14 mmHg, aortic valve area 0.6 ± 0.1 cm2), and eligible for TAVI were enrolled. Baseline global longitudinal strain was impaired (GLS -15 ± 4%), in presence of normal LV ejection fraction (LVEF 57 ± 10%). Corrected global work index and global constructive work were preserved at baseline and markedly decreased after TAVI (cGWI 2322 ± 791 vs 1710 ± 505 mmHg%, p = 0.001; cGCW 2774 ± 803 vs 2083 ± 536 mmHg%, p = 0.0007). Corrected global wasted work and global work efficiency were higher than reference values existing in literature, and no significant changes were observed after TAVI (cGWW 276 ± 174 vs 277 ± 165 mmHg%, p = 0.974; cGWE 89 ± 5 vs 87 ± 5%, p = 0.177). A significant inverse correlation was found between baseline cGWI and left atrial volume index (r=-0.5, p = 0.03).
Conclusions
patients with severe aortic stenosis and preserved LVEF show a good LV performance before and after TAVI, with a significant decrease in MW indices after TAVI, because of the reduced afterload due to AS treatment. The negative correlation between left atrial volume and cGWI may reflect the extent of myocardial damage in AS. However, further studies with larger sample size and appropriate follow-up are needed to evaluate the role of MW in prognosis and risk stratification of this subset of patients.
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Affiliation(s)
- S Sperlongano
- University of Campania Luigi Vanvitell, Naples, Italy
| | - F Renon
- University of Campania Luigi Vanvitell, Naples, Italy
| | - C Del Giudice
- University of Campania Luigi Vanvitell, Naples, Italy
| | - A Iannuzzi
- University of Campania Luigi Vanvitell, Naples, Italy
| | - M Bocchetti
- University of Campania Luigi Vanvitell, Naples, Italy
| | - B Liccardo
- University of Campania Luigi Vanvitell, Naples, Italy
| | | | | | - G Salerno
- University of Campania Luigi Vanvitell, Naples, Italy
| | - G Ciccarelli
- University of Campania Luigi Vanvitell, Naples, Italy
| | - R Bianchi
- University of Campania Luigi Vanvitell, Naples, Italy
| | - D Tartaglione
- University of Campania Luigi Vanvitell, Naples, Italy
| | | | - A D"andrea
- University of Campania Luigi Vanvitell, Naples, Italy
| | - P Golino
- University of Campania Luigi Vanvitell, Naples, Italy
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Luzzago S, Mistretta F, Mauri G, Bianchi R, Cioffi A, Bottero D, Blezien O, Jannello L, Marvaso G, Ferro M, Matei D, Jereczek Fossa B, Orsi F, Musi G, De Cobelli O. Validation of the recommended size cut-off for thermal ablation in T1 renal cell carcinoma patients, according to the EAU Guidelines. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00302-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Piccinelli M, Luzzago S, Fontana M, Botticelli F, Mistretta F, Catellani M, Di Trapani E, Bianchi R, Cozzi G, Cioffi A, Pricolo P, Alessi S, Cordima G, Ferro M, Matei D, Petralia G, Musi G, de Cobelli O. Active surveillance for prostate cancer: comparison between incidental tumors vs. tumors diagnosed at prostate biopsies. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00959-9] [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: 12/01/2022] Open
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Piccinelli M, Luzzago S, Jannello L, Malfatto M, Mistretta F, Bianchi R, Di Trapani E, Catellani M, Cozzi G, Cioffi A, Marvaso G, Bottero D, Ferro M, Matei D, Renne G, Fossa BJ, Musi G, de Cobelli O. Association between previous negative biopsies and lower rates of disease progression during active surveillance for prostate cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00957-5] [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: 11/30/2022] Open
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Luzzago S, Piccinelli M, Fontana M, Botticelli F, Cozzi G, Mistretta F, Catellani M, Bianchi R, Cioffi A, Di Trapani E, Pricolo P, Alessi S, Brescia A, Ferro M, Matei D, Petralia G, Musi G, de Cobelli O. Outcomes of serial multiparametric magnetic resonance imaging in patients managed with Active Surveillance for prostate cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00960-5] [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] Open
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Marvaso G, Mistretta F, Sabatini I, Luzzago S, Catellani M, Di Trapani E, Cozzi G, Bianchi R, Cordima G, Ferro M, Bottero D, Matei D, Musi G, Jereczek-Fossa B, De Cobelli O. PO-1359 PORT impact on biochemical recurrence in pN1 PCa patients: establishing the appropriate RT timing. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07810-5] [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: 10/20/2022]
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Piccinelli M, Luzzago S, Fontana M, Botticelli F, Mistretta F, Catellani M, Di Trapani E, Bianchi R, Cozzi G, Cioffi A, Pricolo P, Alessi S, Cordima G, Ferro M, Matei D, Petralia G, Musi G, De Cobelli O. Active surveillance for prostate cancer: Comparison between incidental tumors vs. tumors diagnosed at prostate biopsies. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01405-6] [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: 10/20/2022]
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Luzzago S, Piccinelli M, Fontana M, Botticelli F, Cozzi G, Mistretta F, Catellani M, Bianchi R, Cioffi A, Di Trapani E, Pricolo P, Alessi S, Brescia A, Ferro M, Matei D, Petralia G, Musi G, De Cobelli O. Outcomes of serial multiparametric magnetic resonance imaging in patients managed with active surveillance for prostate cancer. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01416-0] [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: 11/29/2022]
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Di Trapani E, Luzzago S, Peveri G, Catellani M, Ferro M, Cordima G, Mistretta FA, Bianchi R, Cozzi G, Alessi S, Matei DV, Bagnardi V, Petralia G, Musi G, De Cobelli O. A novel nomogram predicting lymph node invasion among patients with prostate cancer: The importance of extracapsular extension at multiparametric magnetic resonance imaging. Urol Oncol 2021; 39:431.e15-431.e22. [PMID: 33423938 DOI: 10.1016/j.urolonc.2020.11.040] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 11/24/2020] [Accepted: 11/29/2020] [Indexed: 12/12/2022]
Abstract
PURPOSE To develop a novel risk tool that allows the prediction of lymph node invasion (LNI) among patients with prostate cancer (PCa) treated with robot-assisted radical prostatectomy (RARP) and extended pelvic lymph node dissection (ePLND). METHODS We retrospectively identified 742 patients treated with RARP + ePLND at a single center between 2012 and 2018. All patients underwent multiparametric magnetic resonance imaging (mpMRI) and were diagnosed with targeted biopsies. First, the nomogram published by Briganti et al. was validated in our cohort. Second, three novel multivariable logistic regression models predicting LNI were developed: (1) a complete model fitted with PSA, ISUP grade groups, percentage of positive cores (PCP), extracapsular extension (ECE), and Prostate Imaging Reporting and Data System (PI-RADS) score; (2) a simplified model where ECE score was not included (model 1); and (3) a simplified model where PI-RADS score was not included (model 2). The predictive accuracy of the models was assessed with the receiver operating characteristic-derived area under the curve (AUC). Calibration plots and decision curve analyses were used. RESULTS Overall, 149 patients (20%) had LNI. In multivariable logistic regression models, PSA (OR: 1.03; P= 0.001), ISUP grade groups (OR: 1.33; P= 0.001), PCP (OR: 1.01; P= 0.01), and ECE score (ECE 4 vs. 3 OR: 2.99; ECE 5 vs. 3 OR: 6.97; P< 0.001) were associated with higher rates of LNI. The AUC of the Briganti et al. model was 74%. Conversely, the AUC of model 1 vs. model 2 vs. complete model was, respectively, 78% vs. 81% vs. 81%. Simplified model 1 (ECE score only) was then chosen as the best performing model. A nomogram to calculate the individual probability of LNI, based on model 1 was created. Setting our cut-off at 5% we missed only 2.6% of LNI patients. CONCLUSIONS We developed a novel nomogram that combines PSA, ISUP grade groups, PCP, and mpMRI-derived ECE score to predict the probability of LNI at final pathology in RARP candidates. The application of a nomogram derived cut-off of 5% allows to avoid a consistent number of ePLND procedures, missing only 2.6% of LNI patients. External validation of our model is needed.
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Affiliation(s)
- E Di Trapani
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy.
| | - S Luzzago
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - G Peveri
- Department of Molecular and Translational Medicine, Università degli Studi di Brescia, Brescia, Italy
| | - M Catellani
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - M Ferro
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - G Cordima
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - F A Mistretta
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - R Bianchi
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - G Cozzi
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - S Alessi
- Division of Precision Imaging and Radiation Sciences, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - D V Matei
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - V Bagnardi
- Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy
| | - G Petralia
- Division of Precision Imaging and Radiation Sciences, IEO - European Institute of Oncology, IRCCS, Milan, Italy
| | - G Musi
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy; Department of Oncology and Hematology-Oncology, Università degli Studi di Milano, Milan, Italy
| | - O De Cobelli
- Division of Urology, IEO - European Institute of Oncology, IRCCS, Milan, Italy; Department of Oncology and Hematology-Oncology, Università degli Studi di Milano, Milan, Italy
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18
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Luzzago S, Mistretta F, Piccinelli M, Lorusso V, Morelli M, Bianchi R, Catellani M, Cozzi G, Di Trapani E, Pricolo P, Alessi S, Ferro M, Matei D, Petralia G, Musi G, de Cobelli O. MRI-Targeted or systematic random biopsies for prostate cancer diagnosis in biopsy naïve patients: Follow-up of a precision trial-like retrospective cohort. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35373-8] [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: 10/23/2022] Open
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Mistretta F, Ruvolo C, Luzzago S, Piccinelli M, Lorusso V, Morelli M, Bianchi R, Catellani M, Cozzi G, Di Trapani E, Ferro M, Matei D, Musi G, de Cobelli O. Robot-assisted radical cystectomy for bladder cancer: a comparison between intracorporeal vs. extracorporeal orthotopic neobladder. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35614-7] [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: 10/23/2022] Open
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Bianchi R, Mistretta F, Collà Ruvolo C, Conti A, Luzzago S, Vizziello D, Catellani M, Di Trapani E, Cozzi G, Ferro M, Cordima G, Brescia A, Bottero D, Verweij F, Matei D, Musi G, De Cobelli O. Robot-assisted intracorporeal orthotopic ileal neobladder: Description of the “Shell” technique. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)34208-7] [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: 10/23/2022] Open
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Luzzago S, Sabatini I, Garelli G, Mistretta F, Conti A, Catellani M, Di Trapani E, Bianchi R, Cozzi G, Alessi S, Pricolo P, Ferro M, Metei D, Musi G, Petralia G, De Cobelli O. MRI-targeted or standard biopsy for prostate cancer diagnosis in biopsy naïve patients. The PRECISION trial follow-up. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33754-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: 11/28/2022] Open
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Bongiorno G, Meyer L, Evans A, Lekouch N, Bianchi R, Khoury C, Chiummo R, Thomas E, Gradoni L. A single oral dose of fluralaner (Bravecto®) in dogs rapidly kills 100% of blood-fed Phlebotomus perniciosus, a main visceral leishmaniasis vector, for at least 1 month after treatment. Med Vet Entomol 2020; 34:240-243. [PMID: 31769060 PMCID: PMC7318609 DOI: 10.1111/mve.12420] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/20/2019] [Accepted: 10/27/2019] [Indexed: 06/10/2023]
Abstract
Dogs are the reservoir host of zoonotic visceral leishmaniasis (VL) caused by Leishmania infantum (Kinetoplastida: Trypanosomatidae). Both subclinically-infected and sick animals can be infectious to competent phlebotomine vectors. The degree and duration of insecticidal efficacy of an oral dose of fluralaner (Bravecto®; Merck Animal Health) was determined in dogs exposed to bites of Phlebotomus perniciosus (Diptera: Psychodidae), a main Mediterranean vector of VL. Twelve dogs allocated to two groups of six animals each were included in a parallel-group designed, negative-controlled, randomized, blinded, single-centre efficacy study. Group 2 was treated with fluralaner on day 0, and sand-fly exposure of both groups was performed on days 1, 28 and 84. Viability of blood-fed females was assessed up to 96 h after exposure and efficacy was measured as the survival rate of specimens fed on Group 2 versus those fed on Group 1. A mortality of 100% was recorded at 24 h in females fed on Group 2 at both days 1 and 28. Significant insecticidal efficacy was still observed on day 84, with > 50% mortality recorded by 48 h post blood meal in Group 2. Fluralaner treatment of dogs represents a promising and affordable method for reducing the pool of infected vectors in endemic settings of zoonotic VL.
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Affiliation(s)
- G. Bongiorno
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - L. Meyer
- Clinvet SA MoroccoMohammediaMorocco
| | - A. Evans
- Clinvet SA MoroccoMohammediaMorocco
| | | | - R. Bianchi
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - C. Khoury
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
| | - R. Chiummo
- MSD Animal Health Innovation GmbHSchwabenheimGermany
| | - E. Thomas
- MSD Animal Health Innovation GmbHSchwabenheimGermany
| | - L. Gradoni
- Unit of Vector‐borne DiseasesIstituto Superiore di SanitàRomeItaly
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Abstract
Background A link between burnout and paranoid ideation has long been suspected. However, systematic research on the association has been scarce. Aims We investigated the relationship between burnout and paranoid ideation. Because burnout overlaps with depression, depression was also examined. Methods A total of 218 Swiss schoolteachers participated in the study (58% female; mean age: 47). Burnout symptoms were assessed with the emotional exhaustion (EE) and depersonalization (DP) subscales of the Maslach Burnout Inventory-Educators Survey, depressive symptoms with the PHQ-9 and paranoid ideation with the Green et al. Paranoid Thought Scales. Results Burnout, depression and their subdimensions showed raw correlations ranging from 0.42 to 0.55 with paranoid ideation. Burnout, depression and paranoid thoughts were found to cluster together. Lower levels of burnout and depression coexisted with lower levels of paranoid ideation and higher levels of burnout and depression coexisted with higher levels of paranoid ideation. When corrected for measurement error, the correlations of EE with depression and DP were 0.96 and 0.57, respectively. A principal component analysis confirmed that EE was indistinguishable from depression. Conclusions Burnout is substantially associated with paranoid ideation. Interestingly, EE correlated as strongly with paranoid ideation as it correlated with DP. Moreover, if burnout is a syndrome of EE and DP that excludes depression, then the EE-depression correlation should not be close to 1 and EE should not correlate more strongly with depression than with DP. These basic requirements for construct distinctiveness and syndromal unity were not satisfied.
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Affiliation(s)
- R Bianchi
- Institute of Work and Organizational Psychology, University of Neuchâtel, Neuchâtel, NE, Switzerland
| | - L Janin
- Institute of Work and Organizational Psychology, University of Neuchâtel, Neuchâtel, NE, Switzerland
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Bianchi R, Janin L. Corrigendum to: Burnout, depression and paranoid ideation: a cluster-analytic study. Occup Med (Lond) 2019; 69:77. [DOI: 10.1093/occmed/kqy177] [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: 11/12/2022] Open
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Albini E, Coletti A, Greco F, Pallotta M, Mondanelli G, Gargaro M, Belladonna M, Volpi C, Bianchi R, Grohmann U, Macchiarulo A, Orabona C. Identification of a 2-propanol analogue modulating the non-enzymatic function of indoleamine 2,3-dioxygenase 1. Biochem Pharmacol 2018; 158:286-297. [DOI: 10.1016/j.bcp.2018.10.033] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Accepted: 10/30/2018] [Indexed: 12/20/2022]
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Pellegrino D, Bellina CR, Manca G, Boni G, Grosso M, Volterrani D, Desideri I, Bianchi F, Bottoni A, Ciliberti V, Salimbeni G, Gandini D, Castagna M, Zucchi V, Romanini A, Bianchi R. Detection of Melanoma Cells in Peripheral Blood and Sentinel Lymph Nodes by RT-PCR Analysis: A Comparative Study with Immunohistochemistry. Tumori 2018; 86:336-8. [PMID: 11016721 DOI: 10.1177/030089160008600422] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The presence of lymph node metastases is the best prognostic factor for predicting relapse or survival in melanoma patients. It has been demonstrated that melanoma metastases spread through the first lymph node(s) draining the tumor (sentinel lymph node, SN) to the lymphatic system and that detection of melanoma cells in peripheral blood directly correlates with prognosis in melanoma. To identify lymph node metastases and circulating melanocytes, we developed a single-step reverse transcriptase-polymerase chain reaction assay (RT-PCR) for detection of two melanoma-specific markers: the tyrosinase gene, which encodes an enzyme associated with melanin synthesis, and melanoma antigen-related T-cells, which are present in tumor infiltrating T-lymphocytes. This method detects two tumor cells in a background of 107 lymphocytes. Thirty patients with stage I–IV cutaneous melanoma entered the study. Blood samples were taken preoperatively, one month after excision of the primary melanoma lesion and the SN or total lymphadenectomy, and before the start of chemotherapy and every three months thereafter in metastatic patients. SNs were collected from 22 patients, bisected and analyzed by RT-PCR and routine pathological and immunohistochemical tests. The preliminary results indicate that RT-PCR for melanoma markers is a sensitive and valuable method for the detection of micrometastases and for early diagnosis and staging of melanoma.
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Affiliation(s)
- D Pellegrino
- Department of Medical Oncology, University of Pisa, Italy
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Boni G, Bellina CR, Grosso M, Lucchi M, Manca G, Ambrogi MC, Volterrani D, Menconi G, Melfi FM, Gonfiotti A, Davini F, Angeletti CA, Bianchi R, Chella A. Gamma Probe-Guided Thoracoscopic Surgery of Small Pulmonary Nodules. Tumori 2018; 86:364-6. [PMID: 11016731 DOI: 10.1177/030089160008600432] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Video-assisted thoracic surgery (VATS) is an interesting and emerging procedure for the diagnosis and treatment of peripheral pulmonary nodules. We developed a new radioguided surgical technique for the detection during VATS of pulmonary nodules smaller than 2 cm, situated deep in the lung parenchyma and neither visible nor palpable with endoscopic instruments. The procedure is divided into two phases. Two hours before surgery 0.3 ml of a solution composed of 0.2 mL of 99mTc-labeled human serum albumin microspheres (5–10 MBq) and 0.1 mL of non-ionic contrast is injected into the lesion under CT guidance. Then the patient is submitted to VATS. During thoracoscopy a collimated probe of 11 mm diameter connected to a gamma ray detector is introduced via an 11.5 mm trocar and the pleural surface of the suspected area is scanned. A hot spot indicates the presence of the radiolabeled nodule and hence the area to be resected. We treated 39 patients with small pulmonary nodules (mean size, 8.3 mm; range, 4–19 mm). The patients were 27 men and 12 women (mean age, 60.8 years; range, 13–80 years). Nineteen patients had a history of synchronous or metachronous malignancy. In all cases the nodule was detected and resected and the resection margins were pathologically free of tumor. Histological examination showed 21 benign and 18 malignant lesions (7 metastases and 11 primary lung cancers). Nine patients with a frozen section-based histopathological diagnosis of lung cancer without functional contraindications underwent a completion lobectomy by open surgery in the same surgical session. In conclusion, the radiolocalization of small pulmonary nodules by gamma probe during VATS is a safe and easy procedure, with fewer complications and a lower failure rate than other localization techniques.
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Affiliation(s)
- G Boni
- Department of Oncology, University of Pisa, Italy
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Machiels JP, Bossi P, Menis J, Lia M, Fortpied C, Liu Y, Lhommel R, Lemort M, Schmitz S, Canevari S, De Cecco L, Guzzo M, Bianchi R, Quattrone P, Crippa F, Duprez T, Lalami Y, Quiriny M, de Saint Aubain N, Clement P, Coropciuc R, Hauben E, Licitra L. Activity and safety of afatinib in a window preoperative EORTC study in patients with squamous cell carcinoma of the head and neck (SCCHN). Ann Oncol 2018; 29:985-991. [DOI: 10.1093/annonc/mdy013] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pallotta M, Iacono A, Albini E, Orabona C, Belladonna M, Bianchi R, Coletti A, Greco F, Macchiarulo A, Grohmann U. Towards the identification of the mechanism of action of antitumor 1-methyl-D-tryptophan. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy047.036] [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: 11/13/2022] Open
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Bianchi R, Lichtenthäler A. Empirical Redundancy of Burnout and Depression: Evidence from Time-standardized Measures. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.02.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionBurnout and depression are ordinarily assessed within different time frames. Burnout is most frequently assessed on an annual or a monthly basis whereas depression is generally assessed over a one- or two-week period. This state of affairs may have partly obscured the burnout-depression relationship in past research and contributed to an underestimation of burnout-depression overlap.ObjectivesWe investigated burnout-depression overlap using time-standardized measures of the two constructs. We additionally examined whether burnout and depression were differently associated with work-related effort and reward, occupational social support, and intention to quit the job.MethodsWe enrolled 257 Swiss schoolteachers (76% female; mean age: 45). Burnout was assessed with the Shirom-Melamed Burnout Measure and depression with a dedicated module of the Patient Health Questionnaire. Work-related effort and reward were measured with a short version of the Effort-Reward Imbalance Scale and occupational social support with a subscale of the Job Content Questionnaire. Intention to quit the job was assessed with 3 generic items (e.g., “I plan on leaving my job within the next year”).ResultsWe observed a raw correlation of .82 and a disattenuated correlation of .91 between burnout and depression. Burnout's dimensions (physical fatigue; cognitive weariness; emotional exhaustion) did not correlate more strongly with each other (mean r = .63) than with depression (mean r = .69). Burnout and depression showed similar associations with the job-related factors under scrutiny.ConclusionsBurnout and depression may be empirically-redundant constructs. Measurement artifacts probably contributed to an underestimation of burnout-depression overlap in many studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Lichtenthäler A, Bianchi R. A Person-centered Approach to Burnout-depression Overlap. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
IntroductionBurnout has widely infiltrated the popular culture and has been extensively studied in both psychiatry and psychology. However, there are currently no consensual or binding diagnostic criteria for burnout. A major obstacle to the elevation of burnout to the status of nosological category is the overlap of burnout with depression.ObjectivesWe examined whether burnout and depressive symptoms can be distinguished from each other using a person-centered approach.MethodsA total of 1759 French schoolteachers took part in the present study (77% female; mean age: 41; mean length of employment: 15). Burnout symptoms were assessed with the Shirom-Melamed Burnout Measure (14 items) and depressive symptoms with a dedicated module of the Patient Health Questionnaire (9 items). Data were primarily processed using two-step cluster analysis. Correlation analysis and analysis of variance (ANOVA) were additionally carried out.ResultsConsidered as continuous variables, burnout and depression were found to be closely intertwined (r = 0.81; disattenuated correlation: 0.91). Our cluster analysis revealed four different participant profiles, identifiable as “minimal burnout-depression” (n = 542; 31%), “low burnout-depression” (n = 566; 32%), “medium burnout-depression” (n = 412; 23%), and “high burnout-depression” (n = 239; 14%). Burnout and depression played equivalently important roles in cluster construction. Our ANOVA confirmed that the four clusters differed from each other in terms of burnout and depressive symptoms.ConclusionsOur findings are consistent with the view that the burnout syndrome is depressive in nature. A diagnostic category dedicated to burnout may therefore not be needed.
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Abstract
IntroductionMore than 40 years after the introduction of the construct in the literature, the status of “burnout” remains unclear. Whether burnout is anything other than a depressive syndrome has been increasingly discussed in recent years.ObjectivesWe examined the extent to which burnout can be considered distinct from depression.MethodsWe reviewed the literature dedicated to burnout-depression overlap over the last decade.ResultsRecent research suggests that burnout and depression overlap in terms of (a) etiology, with (chronic) unresolvable stress a common, key causal factor, (b) clinical picture and course, with burnout and depressive manifestations inextricably linked such that they increase or decrease together over time, (c) cognitive biases, with burnout and depressive symptoms similarly predicting increased attention to negative stimuli and decreased attention to positive stimuli, (d) dispositional correlates (e.g, neuroticism, rumination, pessimism), and (e) allostatic load—an index of the biological cost of adaptation to life adversity. Hypocortisolism has been linked to both burnout and depression with atypical features—a highly prevalent form of depression. The often-invoked argument that burnout is singularized by its job-related character is actually invalid given that (a) depression can also be job-related and (b) the “job-relatedness” of a syndrome is not nosologically discriminant in itself.ConclusionsRobust evidence that burnout overlaps with depression has accumulated in recent years. The burnout construct is unlikely to capture a distinct pathological phenomenon. We propose that burnout be characterized as a depressive syndrome for the sake of conceptual parsimony, theoretical clarity, and effective public health policies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Bianchi R, Schonfeld I, Vandel P, Laurent E. On the depressive nature of the “burnout syndrome”: A clarification. Eur Psychiatry 2017; 41:109-110. [DOI: 10.1016/j.eurpsy.2016.10.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 10/26/2016] [Accepted: 10/29/2016] [Indexed: 11/25/2022] Open
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Martelli AG, Bianchi R, Boldrighini B, Bosoni M, De Vuono A, Flores D'Arcais A, Gargantini G, Longhi R, Ortisi MT, Racchi E, Parola L. Monitoring the hospital management of acute asthma: the Italian Pediatric Network experience. Eur Ann Allergy Clin Immunol 2016; 48:228-232. [PMID: 27852427] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND The Study Group on Accreditation and Quality Improvement of the Italian Society of Pediatrics has developed an observational study about the hospital management of pediatric patients affected by severe asthma, in order to evaluate how the Guidelines for severe asthma in childhood are applied in the daily practice. METHODS This study included patients between 2 and 17 years, hospitalized or under short intensive observation for acute asthma. The data collection was carried out through the compilation of on-line forms. The statistical technique used was the Chi Square test. RESULTS 409 forms were filled in by 32 Italian Centers. 17% of the patients showed severe asthma, 59% moderate and 24% mild. On arrival at the Emergency Room the oximetry was measured in 95% of the patients, the respiratory rate in 64% while the heart rate in 88% of them. 48% of the children were exposed to chest X-ray. More than half of the children received oxygen therapy, 98.5% received short-acting beta-2 agonists and systemic steroid therapy was given to 82% of children, mainly orally. At discharge only half of the children were provided with written instructions for the management of any subsequent asthmatic episode. The analysis of the collected data highlights that not all the children had their oxygen saturation measured, although this parameter is one of the main indicators of disease severity, as well as the respiratory rate, which was detected in a minimal percentage of cases. The frequency of chest X-ray was extremely high, even though it does not have any indication in the majority of asthma cases. The evaluation of the therapeutic treatment denotes an adequate use of the oxygen therapy according to the oximetry values found on arrival, but an abuse of steroid therapy. Critical issues emerge at discharge: children are not always educated about the home management of the disease and the self-evaluation of the illness seriousness. CONCLUSION The pediatric network has become an excellent system of monitoring of the clinical management of asthmatic children, highlighting strengths and weaknesses on which to focus actions of improvement.
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Affiliation(s)
- A G Martelli
- Department of Pediatrics, S. Corona Hospital, Garbagnate - Milano, Italy
| | - R Bianchi
- Department of Pediatrics, S. Corona Hospital, Garbagnate - Milano, Italy
| | - B Boldrighini
- Department of Pediatrics, AO Ospedale Civile di Legnano, Legnano - Milano, Italy
| | - M Bosoni
- Department of Pediatrics, AO Ospedale Civile di Legnano, G. Fornaroli Hospital, Magenta - Milano, Italy. E-mail:
| | - A De Vuono
- Department of Health data and programming, S. Corona Hospital, Garbagnate - Milano, Italy
| | - A Flores D'Arcais
- Department of Pediatrics, AO Ospedale Civile di Legnano, Legnano - Milano, Italy
| | - G Gargantini
- Department of Pediatrics, Hospital of Lodi, Lodi, Italy
| | - R Longhi
- Pediatric Division, St. Anna Hospital, Como, Italy
| | - M T Ortisi
- Pediatric Division, St. Anna Hospital, Como, Italy
| | - E Racchi
- Department of Pediatrics, AO Ospedale Civile di Legnano, G. Fornaroli Hospital, Magenta - Milano, Italy
| | - L Parola
- Department of Pediatrics, AO Ospedale Civile di Legnano, G. Fornaroli Hospital, Magenta - Milano, Italy
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Chiusolo F, Diamanti A, Bianchi R, Fusco L, Elia M, Capriati T, Vigevano F, Picardo S. From intravenous to enteral ketogenic diet in PICU: A potential treatment strategy for refractory status epilepticus. Eur J Paediatr Neurol 2016; 20:843-847. [PMID: 27594068 DOI: 10.1016/j.ejpn.2016.08.004] [Citation(s) in RCA: 22] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 07/06/2016] [Accepted: 08/05/2016] [Indexed: 12/17/2022]
Abstract
BACKGROUND Ketogenic diet (KD) has been used to treat refractory status epilepticus (RSE). KD is a high-fat, restricted-carbohydrate regimen that may be administered with different fat to protein and carbohydrate ratios (3:1 and 4:1 fat to protein and carbohydrate ratios). Other ketogenic regimens have a lower fat and higher protein and carbohydrate ratio to improve taste and thus compliance to treatment. We describe a case of RSE treated with intravenous KD in the Pediatric Intensive Care Unit (PICU). CASE REPORT An 8-year-old boy was referred to the PICU because of continuous tonic-clonic and myoclonic generalized seizures despite several antiepileptic treatments. After admission he was intubated and treated with intravenous thiopental followed by ketamine. Seizures continued with frequent myoclonic jerks localized on the face and upper arms. EEG showed seizure activity with spikes on rhythmic continuous waves. Thus we decided to begin KD. The concomitant ileus contraindicated KD by the enteral route and we therefore began IV KD. The ketogenic regimen consisted of conventional intravenous fat emulsion, plus dextrose and amino-acid hyperalimentation in a 2:1 then 3:1 fat to protein and carbohydrate ratio. Exclusive IV ketogenic treatment, well tolerated, was maintained for 3 days; peristalsis then reappeared so KD was continued by the enteral route at 3:1 ratio. Finally, after 8 days and no seizure improvement, KD was deemed unsuccessful and was discontinued. CONCLUSIONS Our experience indicates that IV KD may be considered as a temporary "bridge" towards enteral KD in patients with partial or total intestinal failure who need to start KD. It allows a prompt initiation of KD, when indicated for the treatment of severe diseases such as RSE.
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Affiliation(s)
- F Chiusolo
- Department of Anesthesia and Critical Care, ARCO Rome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
| | - A Diamanti
- Artificial Nutrition Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - R Bianchi
- Department of Anesthesia and Critical Care, ARCO Rome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - L Fusco
- Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - M Elia
- Department of Anesthesia and Critical Care, ARCO Rome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - T Capriati
- Department of Anesthesia and Critical Care, ARCO Rome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - F Vigevano
- Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - S Picardo
- Department of Anesthesia and Critical Care, ARCO Rome, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
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Montinaro F, Nincheri D, Falli F, Giaconi G, Romoli L, Zalla T, Farfalla C, Vinattieri R, Consales G, Murtigni M, Silvestri V, Truglia M, Sestini S, Castagnoli A, Bianchi R, Pozzessere D, Scatizzi M. V-161VIDEO-ASSISTED THORACOSCOPIC UPPER LOBE TRISEGMENTECTOMY IN PATIENTS WITH NON-SMALL CELL LUNG CANCER AND PULMONARY FIBROSIS. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.159] [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: 11/13/2022] Open
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Iseas S, Coraglio M, Dieguez A, Eleta M, Bertoncini C, Tejerina H, Carballido M, Bianchi R, Leiro F, Mendez G, Barugel M, Roca E. P-127 Pathological versus clinical complete responders after preoperative treatment in rectal cancer: long term outcomes analysis. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw199.121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Bianchi R, Bossi P, Pistillo P, Locati L, Licitra L. Phase II study of preoperative TPF chemotherapy in molecularly selected resectable oral cavity cancer–Trial in progress. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv342.16] [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: 11/12/2022] Open
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Appierto L, Monti L, Valzani Y, Soglia G, Rossetti E, Bianchi R, Picardo SG. Pleural effusion in pediatric patients submitted to liver transplantation: ultrasound and radiological assessment. Crit Ultrasound J 2014. [PMCID: PMC4147844 DOI: 10.1186/2036-7902-6-s2-a10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Rossetti E, Bianchi R, Pro S, Di Capua M, Picardo S. Neurally adjusted ventilatory assist and Guillain-Barré syndrome in a child. Minerva Anestesiol 2014; 80:972-973. [PMID: 24476846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- E Rossetti
- Pediatric Intensive Care Unit, Department of Pediatric Emergency, Anesthesia and Intensive Care (DEA-ARCO), Bambino Gesù Children's Hospital, IRCCS, Rome, Italy -
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Rossetti E, Bianchi R, Paglietti MG, Cutrera R, Picardo S. Severe phenotype of rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic dysfunction syndrome. Minerva Anestesiol 2014; 80:744-745. [PMID: 24492667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- E Rossetti
- DEA-ARCO Department, Pediatric Intensive Care Unit, IRCCS, Bambino Gesù Children's Hospital, Rome, Italy -
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Hornemann T, Othman A, Eckardstein AV, Porretta-Serapiglia C, Lauria G, Bianchi R. L-serine supplementation suppresses the formaiton of neurotoxic deoxysphingolipids and improves neuropathy in a type 1 diabetic rat model. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375013] [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: 10/25/2022]
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Bianchi R, Kinzler E, DiFalco R, Shah M, Aigner S. (404) Extraction testing of a novel extended-release, abuse-deterrent formulation of morphine, Morphine ARER, in common household solvents. The Journal of Pain 2014. [DOI: 10.1016/j.jpain.2014.01.315] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Bianchi R, Schonfeld I. EPA-1146 – Depressive cognition does not discriminate burnout from depression. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78410-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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Bianchi R, Coradini A, Federico C, Giberti G, Lanciano P, Pozzi JP, Sartoris G, Scandone R. Modeling of surface deformation in volcanic areas: The 1970-1972 and 1982-1984 crises of Campi Flegrei, Italy. ACTA ACUST UNITED AC 2012. [DOI: 10.1029/jb092ib13p14139] [Citation(s) in RCA: 102] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Othman A, Rütti MF, Ernst D, Saely CH, Rein P, Drexel H, Porretta-Serapiglia C, Lauria G, Bianchi R, von Eckardstein A, Hornemann T. Plasma deoxysphingolipids: a novel class of biomarkers for the metabolic syndrome? Diabetologia 2012; 55:421-31. [PMID: 22124606 DOI: 10.1007/s00125-011-2384-1] [Citation(s) in RCA: 102] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Accepted: 10/10/2011] [Indexed: 01/04/2023]
Abstract
AIMS/HYPOTHESIS Sphingolipid synthesis is typically initiated by the conjugation of L-serine and palmitoyl-CoA, a reaction catalysed by serine palmitoyltransferase (SPT). SPT can also metabolise other acyl-CoAs (C(12) to C(18)) and other amino acids such as L-alanine and glycine, giving rise to a spectrum of atypical sphingolipids. Here, we aimed to identify changes in plasma levels of these atypical sphingolipids to explore their potential as biomarkers in the metabolic syndrome and diabetes. METHODS We compared the plasma profiles of ten sphingoid bases in healthy individuals with those of patients with the metabolic syndrome but not diabetes, and diabetic patients (n = 25 per group). The results were verified in a streptozotocin (STZ) rat model. Univariate and multivariate statistical analyses were used. RESULTS Deoxysphingolipids (dSLs) were significantly elevated (p = 5 × 10⁻⁶) in patients with the metabolic syndrome (0.11 ± 0.04 μmol/l) compared with controls (0.06 ± 0.02 μmol/l) but did not differ between the metabolic syndrome and diabetes groups. Levels of C(16)-sphingosine-based sphingolipids were significantly lowered in diabetic patients but not in patients with the metabolic syndrome but without diabetes (p = 0.008). Significantly elevated dSL levels were also found in the plasma and liver of STZ rats. A principal component analysis revealed a similar or even closer association of dSLs with diabetes and the metabolic syndrome in comparison with the established biomarkers. CONCLUSIONS/INTERPRETATION We showed that dSLs are significantly elevated in patients with type 2 diabetes mellitus and non-diabetic metabolic syndrome compared with healthy controls. They may, therefore, be useful novel biomarkers to improve risk prediction and therapy monitoring in these patients.
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Affiliation(s)
- A Othman
- Institute for Clinical Chemistry, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland
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Bianchi R, Cervellini I, Porretta-Serapiglia C, Oggioni N, Burkey B, Ghezzi P, Cavaletti G, Lauria G. Beneficial effects of PKF275-055, a novel, selective, orally bioavailable, long-acting dipeptidyl peptidase IV inhibitor in streptozotocin-induced diabetic peripheral neuropathy. J Pharmacol Exp Ther 2011; 340:64-72. [PMID: 21984837 DOI: 10.1124/jpet.111.181529] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
1-[(2-adamantyl)amino]acetyl-2-cyano-(S)-pyrrolidine, monohydrochloride (PKF275-055), a vildagliptin analog, is a novel, selective, potent, orally bioavailable, and long-acting dipeptidyl peptidase IV inhibitor. We studied the effect of PKF275-055 administration on the prevention, protection, and treatment of diabetic neuropathy in the streptozotocin-induced diabetic rat. PKF275-055 improved body and muscle weight. Oral glucose tolerance tests showed a marked improvement in glucose metabolism under all treatment schedules. When tested in prevention and protection experiments, PKF275-055 completely averted the decrease of Na⁺/K⁺-ATPase activity and partially counteracted the nerve conduction velocity (NCV) deficit observed in untreated diabetic rats but had no effects on abnormal mechanical and thermal sensitivity. When used in a therapeutic setting, PKF275-055 induced a significant correction in the alteration in Na⁺,K⁺-ATPase activity and NCV present in untreated diabetics. Diabetic rats developed mechanical hyperalgesia within 2 weeks after streptozotocin injection and exhibited significantly longer thermal response latencies. It is noteworthy that PKF275-055 treatment restored mechanical sensitivity thresholds by approximately 50% (p < 0.01) and progressively improved the alteration in thermal responsiveness. In conclusion, PKF275-055 showed an anabolic effect, improved oral glucose tolerance, and counteracted the alterations in Na⁺,K⁺-ATPase activity, NCV, and nociceptive thresholds in diabetic rats. The present data support a potential therapeutic effect of PKF275-055 in the treatment of rodent diabetic neuropathy.
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Affiliation(s)
- R Bianchi
- Neuromuscular Disease Unit, IRCCS Foundation "Carlo Besta" Neurological Institute, Via Celoria 11, 20133, Milan, Italy.
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