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Protano C, Vitali M, De Giorgi A, Marotta D, Crucianelli S, Fontana M. Balneotherapy using thermal mineral water baths and dermatological diseases: a systematic review. Int J Biometeorol 2024:10.1007/s00484-024-02649-x. [PMID: 38530467 DOI: 10.1007/s00484-024-02649-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 02/28/2024] [Accepted: 03/03/2024] [Indexed: 03/28/2024]
Abstract
Balneotherapy includes practices and methods using medically and legally recognized mineral-medicinal waters, muds and natural gases from natural springs for therapeutic purposes. One of the most widely used method in balneotherapy is bathing with thermal mineral water. In the course of the years, scientific community has produced an increasing number of evidences that this practice is an effective method for treating signs and symptoms of several pathologies such as rheumatic, cardiovascular and dermatological diseases. This systematic review is aimed at evaluating the effect of balneotherapy with thermal water baths as a treatment to manage signs and symptoms of patients affected by all types of dermatological diseases. The systematic review was conducted according to the PRISMA Statement, and its protocol was registered on PROSPERO platform (CRD42022295913). The research was performed on the databases Pubmed, Scopus, Web of Science and Cochrane. We included clinical trials evaluating the effects of balneotherapy using thermal mineral water baths for managing dermatological diseases in humans, published in English and Italian language. Eight studies were included, seven of them enrolled adults affected by psoriasis and one studied atopic dermatitis patients. The common result of all the articles included was a clear improvement of signs and symptoms of psoriasis and eczematous diseases after use of thermal mineral water baths. These effects seem to be strictly related to physical and chemical properties of thermal water used for balneotherapy. However, studies in this field are still limited to support robust evidence of the effectiveness of balneotherapy using thermal mineral water baths and often their quality is low. Thus, new clinical studies need to be carried out, using more correct methods for conducting the studies and for processing statistical data.
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Affiliation(s)
- Carmela Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy.
| | - Matteo Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy
| | - Andrea De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy
| | - Daniela Marotta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy
| | - Serena Crucianelli
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy
| | - Mario Fontana
- Department of Biochemical Sciences, Sapienza University of Rome, P.Le Aldo Moro 5, 00185, Rome, Italy
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Protano C, Fontana M, De Giorgi A, Marotta D, Cocomello N, Crucianelli S, Del Cimmuto A, Vitali M. Balneotherapy for osteoarthritis: a systematic review. Rheumatol Int 2023; 43:1597-1610. [PMID: 37301799 PMCID: PMC10348981 DOI: 10.1007/s00296-023-05358-7] [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: 05/12/2023] [Accepted: 05/30/2023] [Indexed: 06/12/2023]
Abstract
This systematic review is aimed to evaluate the effects of balneotherapy with thermal mineral water for managing the symptoms and signs of osteoarthritis located at any anatomical site. The systematic review was conducted according to the PRISMA Statement. The following databases were consulted: PubMed, Scopus, Web of Science, Cochrane Library, DOAJ and PEDro. We included clinical trials evaluating the effects of balneotherapy as a treatment for patients with osteoarthritis, published in English and Italian language, led on human subjects. The protocol was registered in PROSPERO. Overall, 17 studies have been included in the review. All of these studies were performed on adults or elderly patients suffering from osteoarthritis localized to knees, hips, hands or lumbar spine. The treatment assessed was always the balneotherapy with thermal mineral water. The outcomes evaluated were pain, palpation/pressure sensibility, articular tenderness, functional ability, quality of life, mobility, deambulation, ability to climb stairs, medical objective and patients' subjective evaluation, superoxide dismutase enzyme activity, serum levels of interleukin-2 receptors. The results of all the included studies agree and demonstrated an improvement of all the symptoms and signs investigated. In particular, pain and quality of life were the main symptoms evaluated and both improved after the treatment with thermal water in all the studies included in the review. These effects can be attributed to physical and chemical-physical properties of thermal mineral water used. However, the quality of many studies resulted not so high due and, consequently, it is necessary to perform new clinical trial in this field using more correct methods for conducting the study and for processing statistical data.
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Affiliation(s)
- Carmela Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Mario Fontana
- Department of Biochemical Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Andrea De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Daniela Marotta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Nicholas Cocomello
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Serena Crucianelli
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Angela Del Cimmuto
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Matteo Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
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Vitali M, Fontana M, De Giorgi A, Marotta D, Crucianelli S, Antonucci A, Protano C. Natural Mineral Water and Diuresis: A Systematic Review. Int J Environ Res Public Health 2023; 20:ijerph20085527. [PMID: 37107810 PMCID: PMC10138893 DOI: 10.3390/ijerph20085527] [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] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 03/15/2023] [Accepted: 04/13/2023] [Indexed: 05/11/2023]
Abstract
The present systematic review is aimed at evaluating the diuretic effects determined according to the natural mineral water consumption on healthy individuals. This systematic review has been performed following the guidelines of the PRISMA (preferred reporting items for systematic reviews and meta-analyses) Statement, investigating PubMed, Scopus, Web of Science and Cochrane Library from inception to November 2022. Studies performed both on animals and on humans were considered. After screening, a total of 12 studies have been identified. Of these, 11 studies were performed in Italy and 1 in Bulgaria. The time range of publication is very wide, ranging from 1962 to 2019 for human studies and from 1967 to 2001 for animal studies. All the included studies found an increase in diuresis determined according to the consumption of natural mineral water, in some cases after just one administration of the tested water. However, the quality of the studies is not so high, especially for the research conducted many years ago. Thus, it would be desirable to carry out new clinical studies using more appropriate methodological approaches and more refined methods of statistical data processing.
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Affiliation(s)
- Matteo Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
- Correspondence:
| | - Mario Fontana
- Department of Biochemical Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Andrea De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Daniela Marotta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Serena Crucianelli
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Arianna Antonucci
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
| | - Carmela Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
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Ciprandi G, Crucianelli S, Zama M, Antonielli G, Armani R, Aureli S, Barra G, Beetham CJC, Bernardini G, Cancani F, Carai A, Cajozzo M, Carlesi L, Cialdella A, Ciaralli I, Ciliento G, Corsetti T, De Chirico B, Di Corato P, Dotta A, Filippelli S, Franci M, Frattaroli J, Grussu F, Lico S, Losani P, Giergji M, Magli S, Marino SF, Mongelli A, Nazzarri M, Pace M, Palmieri G, Pannacci I, Paparozzi F, Pomponi M, Portanova A, Preziosi A, Ragni A, Raponi M, Renzetti T, Rizzo M, Roberti M, Sasso E, Savarese I, Secci S, Selvaggio D, Serafini L, Spuntarelli G, Urbani U, Vanzi V, Permatunga R, Santamaria N. The clinical effectiveness of an integrated multidisciplinary evidence-based program to prevent intraoperative pressure injuries in high-risk children undergoing long-duration surgical procedures: A quality improvement study. Int Wound J 2022; 19:1887-1900. [PMID: 36250520 PMCID: PMC9615277 DOI: 10.1111/iwj.13967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/14/2022] [Accepted: 09/14/2022] [Indexed: 11/28/2022] Open
Abstract
The prevention of hospital‐acquired pressure injuries (HAPIs) in children undergoing long‐duration surgical procedures is of critical importance due to the potential for catastrophic sequelae of these generally preventable injuries for the child and their family. Long‐duration surgical procedures in children have the potential to result in high rates of HAPI due to physiological factors and the difficulty or impossibility of repositioning these patients intraoperatively. We developed and implemented a multi‐modal, multi‐disciplinary translational HAPI prevention quality improvement program at a large European Paediatric University Teaching Hospital. The intervention comprised the establishment of wound prevention teams, modified HAPI risk assessment tools, specific education, and the use of prophylactic dressings and fluidized positioners during long‐duration surgical procedures. As part of the evaluation of the effectiveness of the program in reducing intraoperative HAPI, we conducted a prospective cohort study of 200 children undergoing long‐duration surgical procedures and compared their outcomes with a matched historical cohort of 200 children who had undergone similar surgery the previous year. The findings demonstrated a reduction in HAPI in the intervention cohort of 80% (p < 0.01) compared to the comparator group when controlling for age, pathology, comorbidity, and surgical duration. We believe that the findings demonstrate that it is possible to significantly decrease HAPI incidence in these highly vulnerable children by using an evidence‐based, multi‐modal, multidisciplinary HAPI prevention strategy.
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Affiliation(s)
- Guido Ciprandi
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Serena Crucianelli
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Mario Zama
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Giancarlo Antonielli
- Operative Unit of Odontostomatology, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Riccarda Armani
- PIO XII Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Stefano Aureli
- Cardiology ICU, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Gianmarco Barra
- PIO XII Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | | | - Giulio Bernardini
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Federica Cancani
- Emergency Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Andrea Carai
- Division of Neurology-Neurosurgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Marta Cajozzo
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Laura Carlesi
- S.Onofrio Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Alessandra Cialdella
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Italo Ciaralli
- Dpt of Pediatric Oncohematology and Transfusion Medicine, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Gaetano Ciliento
- Health Management, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Tiziana Corsetti
- Clinical Pharmacology Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Benedetta De Chirico
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Paolo Di Corato
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Andrea Dotta
- Neonatal Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Sergio Filippelli
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Marina Franci
- Pediatric Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Jacopo Frattaroli
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Francesca Grussu
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Silvia Lico
- S.Onofrio Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Patrizia Losani
- Neonatal Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Marjola Giergji
- Dpt of Pediatric Oncohematology and Transfusion Medicine, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Simonetta Magli
- S.Onofrio Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Simone Faustino Marino
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Antonella Mongelli
- Clinical Pharmacology Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Martina Nazzarri
- Cardiology ICU, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Mauro Pace
- Pediatric Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Giancarlo Palmieri
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Ilaria Pannacci
- S.Onofrio Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Franca Paparozzi
- Dpt of Pediatric Oncohematology and Transfusion Medicine, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Manuel Pomponi
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Anna Portanova
- Neonatal Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Alessandra Preziosi
- Pediatric Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Angela Ragni
- Neonatal Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Massimiliano Raponi
- Health Management, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Tommaso Renzetti
- Division of Neurology-Neurosurgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Mirialda Rizzo
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Marco Roberti
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Eleonora Sasso
- Neonatal Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Immacolata Savarese
- Neonatal Intensive Care Unit, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Simone Secci
- PIO XII Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Daniele Selvaggio
- Division of Cardiology-Cardiothoracic Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Laura Serafini
- PIO XII Operating Room, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Giorgio Spuntarelli
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Urbano Urbani
- Division of Plastic and Maxillofacial Surgery, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Valentina Vanzi
- Division of General and Specialized Pediatrics, Bambino Gesu' Children's Hospital, Research Institute, Rome, Italy
| | - Roshani Permatunga
- Department of Nursing, University of Melbourne & Royal Melbourne Hospital, Melbourne, Australia
| | - Nick Santamaria
- Department of Nursing, University of Melbourne & Royal Melbourne Hospital, Melbourne, Australia
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Rivolo M, Dionisi S, Olivari D, Ciprandi G, Crucianelli S, Marcadelli S, Zortea RR, Bellini F, Martinato M, Gabrielli A, Pomponio G. Heel Pressure Injuries: Consensus-Based Recommendations for Assessment and Management. Adv Wound Care (New Rochelle) 2020; 9:332-347. [PMID: 32286202 PMCID: PMC7155923 DOI: 10.1089/wound.2019.1042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 09/12/2019] [Indexed: 12/27/2022] Open
Abstract
Significance: A systematic approach to develop experts-based recommendations could have a favorable impact on clinical problems characterized by scarce and low-quality evidence as heel pressure ulcers. Recent Advances: A systematic approach was used to conduce a formal consensus initiative. A multidisciplinary panel of experts identified relevant clinical questions, performed a systematic search of the literature, and created a list of statements. GRADE Working Group guidelines were followed. An independent international jury reviewed and voted recommendations for clinical practice. Consent was developed according to Delphi rules and GRADE method was used to attribute grade of strength. Critical Issues: The extensive search of the literature retrieved 42 pertinent articles (26 clinical studies, 7 systematic reviews or meta-analysis, 5 other reviews, 2 consensus-based articles, and 2 in vitro studies). Thirty-five recommendations and statements were created. Only 1 of 35, concerning ankle-brachial pressure index reliability in diabetic patients, was rejected by the panel. No sufficient agreement was achieved on toe brachial index test to rule out the orphan heel syndrome, removing dry eschar in adult patients without vascular impairment, and using an antimicrobial dressing in children with infected heel pressure injuries. Eleven recommendations were approved with a weak grade of strength. Experts strongly endorsed 20 recommendations. Offloading, stages I and II pressure injuries, and referral criteria were areas characterized by higher level of agreement. Future Directions: We believe that the results of our effort could improve practice, especially in areas where clear and shared opinions emerged. Barriers and limits that could hinder implementation are also discussed in the article.
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Affiliation(s)
- Massimo Rivolo
- Independent Tissue Viability Nurse Consultant, Turin, Italy
| | | | - Diletta Olivari
- Clinica Medica, Università Politecnica delle Marche, Ancona, Italy
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Spagnoli A, Borsellino A, Crucianelli S, Bizzarri C, Mucciolo M, Trucchi A, Ferro F. Complete Scrotal Agenesis: New Surgical Approach Using Self-inflating Tissue Expander. Urology 2017; 112:169-171. [PMID: 29080783 DOI: 10.1016/j.urology.2017.10.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 10/03/2017] [Accepted: 10/10/2017] [Indexed: 02/07/2023]
Abstract
Complete agenesis of the scrotum is an extremely rare entity: to date, only 8 cases have been reported. The authors describe 1 case carrying a heterozygous genomic variant in exon 17 of the MAP3K1 gene, whose surgical treatment included osmotic prosthesis implant to achieve reconstruction of a new scrotum. By constant and gradual expansion, self-inflating prothesis avoids patient discomfort and facilitates orchiopexy.
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Affiliation(s)
- Antonio Spagnoli
- Andrological Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy
| | - Alessandro Borsellino
- Andrological Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy.
| | - Serena Crucianelli
- Andrological Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy
| | - Carla Bizzarri
- Unit of Endocrinology, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy
| | - Mafalda Mucciolo
- Medical Genetics-Department of Biotechnology, University of Siena-Policlinico S. Maria delle Scotte, Siena, Italy
| | - Alessandro Trucchi
- Andrological Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy
| | - Fabio Ferro
- Andrological Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital, Research Institute, Rome, Italy
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