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Tarantino S, Capomolla C, Carlà A, Giotta L, Cascione M, Ingrosso C, Scarpa E, Rizzello L, Caricato AP, Rinaldi R, De Matteis V. Shape-Driven Response of Gold Nanoparticles to X-rays. Nanomaterials (Basel) 2023; 13:2719. [PMID: 37836360 PMCID: PMC10574111 DOI: 10.3390/nano13192719] [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: 08/31/2023] [Revised: 09/26/2023] [Accepted: 10/04/2023] [Indexed: 10/15/2023]
Abstract
Radiotherapy (RT) involves delivering X-ray beams to the tumor site to trigger DNA damage. In this approach, it is fundamental to preserve healthy cells and to confine the X-ray beam only to the malignant cells. The integration of gold nanoparticles (AuNPs) in the X-ray methodology could be considered a powerful tool to improve the efficacy of RT. Indeed, AuNPs have proven to be excellent allies in contrasting tumor pathology upon RT due to their high photoelectric absorption coefficient and unique physiochemical properties. However, an analysis of their physical and morphological reaction to X-ray exposure is necessary to fully understand the AuNPs' behavior upon irradiation before treating the cells, since there are currently no studies on the evaluation of potential NP morphological changes upon specific irradiations. In this work, we synthesized two differently shaped AuNPs adopting two different techniques to achieve either spherical or star-shaped AuNPs. The spherical AuNPs were obtained with the Turkevich-Frens method, while the star-shaped AuNPs (AuNSs) involved a seed-mediated approach. We then characterized all AuNPs with Transmission Electron Microscopy (TEM), Uv-Vis spectroscopy, Dynamic Light Scattering (DLS), zeta potential and Fourier Transform Infrared (FTIR) spectroscopy. The next step involved the treatment of AuNPs with two different doses of X-radiation commonly used in RT, namely 1.8 Gy and 2 Gy, respectively. Following the X-rays' exposure, the AuNPs were further characterized to investigate their possible physicochemical and morphological alterations induced with the X-rays. We found that AuNPs do not undergo any alteration, concluding that they can be safely used in RT treatments. Lastly, the actin rearrangements of THP-1 monocytes treated with AuNPs were also assessed in terms of coherency. This is a key proof to evaluate the possible activation of an immune response, which still represents a big limitation for the clinical translation of NPs.
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Affiliation(s)
- Simona Tarantino
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy; (S.T.); (M.C.); (A.P.C.)
| | - Caterina Capomolla
- Oncological Center, “Vito Fazzi” Hospital of Lecce, Piazza Filippo Muratore 1, 73100 Lecce, Italy; (C.C.)
| | - Alessandra Carlà
- Oncological Center, “Vito Fazzi” Hospital of Lecce, Piazza Filippo Muratore 1, 73100 Lecce, Italy; (C.C.)
| | - Livia Giotta
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy;
| | - Mariafrancesca Cascione
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy; (S.T.); (M.C.); (A.P.C.)
- Institute for Microelectronics and Microsystems (IMM), National Research Council (CNR), Via Monteroni, 73100 Lecce, Italy
| | - Chiara Ingrosso
- CNR-IPCF S.S. Bari, c/o Department of Chemistry, University of Bari Aldo Moro, Via Orabona 4, 70126 Bari, Italy;
| | - Edoardo Scarpa
- Department of Pharmaceutical Sciences, University of Milan, 20133 Milan, Italy; (E.S.); (L.R.)
- The National Institute of Molecular Genetics (INGM), 20133 Milan, Italy
| | - Loris Rizzello
- Department of Pharmaceutical Sciences, University of Milan, 20133 Milan, Italy; (E.S.); (L.R.)
- The National Institute of Molecular Genetics (INGM), 20133 Milan, Italy
| | - Anna Paola Caricato
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy; (S.T.); (M.C.); (A.P.C.)
- National Institute of Nuclear Physics (INFN), Section of Lecce, Via Monteroni, 73100 Lecce, Italy
| | - Rosaria Rinaldi
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy; (S.T.); (M.C.); (A.P.C.)
- Institute for Microelectronics and Microsystems (IMM), National Research Council (CNR), Via Monteroni, 73100 Lecce, Italy
| | - Valeria De Matteis
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy; (S.T.); (M.C.); (A.P.C.)
- Institute for Microelectronics and Microsystems (IMM), National Research Council (CNR), Via Monteroni, 73100 Lecce, Italy
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Tarantino S, Sulz I, Schuh C, Laviano A, Mellino U, Garcia Lorda P, Hiesmayr M. Variable Use Of Parenteral Nutrition In Icu And Wards In Europe: A Nutritionday Analysis 2006-2019. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.074] [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: 03/29/2023]
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Fischer A, Veraar C, Sulz I, Singer P, Barazzoni R, Tarantino S, Hiesmayr M. Does bmi affect ageing? A nutritionday analysis in 178 961 patients. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.163] [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: 03/29/2023]
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Tarantino S, Caricato AP, Rinaldi R, Capomolla C, De Matteis V. Cancer Treatment Using Different Shapes of Gold-Based Nanomaterials in Combination with Conventional Physical Techniques. Pharmaceutics 2023; 15:pharmaceutics15020500. [PMID: 36839822 PMCID: PMC9968101 DOI: 10.3390/pharmaceutics15020500] [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: 12/23/2022] [Revised: 01/23/2023] [Accepted: 01/28/2023] [Indexed: 02/05/2023] Open
Abstract
The conventional methods of cancer treatment and diagnosis, such as radiotherapy, chemotherapy, and computed tomography, have developed a great deal. However, the effectiveness of such methods is limited to the possible failure or collateral effects on the patients. In recent years, nanoscale materials have been studied in the field of medical physics to develop increasingly efficient methods to treat diseases. Gold nanoparticles (AuNPs), thanks to their unique physicochemical and optical properties, were introduced to medicine to promote highly effective treatments. Several studies have confirmed the advantages of AuNPs such as their biocompatibility and the possibility to tune their shapes and sizes or modify their surfaces using different chemical compounds. In this review, the main properties of AuNPs are analyzed, with particular focus on star-shaped AuNPs. In addition, the main methods of tumor treatment and diagnosis involving AuNPs are reviewed.
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Affiliation(s)
- Simona Tarantino
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy
| | - Anna Paola Caricato
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy
- National Institute of Nuclear Physics (INFN), Section of Lecce, Via Monteroni, 73100 Lecce, Italy
| | - Rosaria Rinaldi
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy
| | - Caterina Capomolla
- “Vito Fazzi” Hospital of Lecce, Oncological Center, Piazza Filippo Muratore 1, 73100 Lecce, Italy
| | - Valeria De Matteis
- Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Via Monteroni, 73100 Lecce, Italy
- Correspondence:
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Voci A, Bruni O, Ferilli M, Papetti L, Tarantino S, Ursitti F, Sforza G, Vigevano F, Mazzone L, Valeriani M, Moavero R. Sleep Disorders in Pediatric Migraine: a questionnaire-based study. Sleep Med 2022. [DOI: 10.1016/j.sleep.2022.05.552] [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: 10/17/2022]
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Tarantino S, Sulz I, Barazzoni R, Cuerda-Compes C, Schneider S, Hiesmayr M. Covid-19 hospitalized patients at nutritionday: use of enteral nutrition, parenteral nutrition or oral nutritional supplements is associated with being bedridden, not being allowed to eat, low appetite and low bmi. Clin Nutr ESPEN 2021. [PMCID: PMC8629523 DOI: 10.1016/j.clnesp.2021.09.113] [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: 11/30/2022]
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Tarantino S, Sulz I, Mellino U, Lorda PG, Hiesmayr M. Use of parenteral nutrition in European hospital wards is stable over time but differs across countries: a nutritionday analysis 2006-2019. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.213] [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: 10/19/2022]
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Brunton C, Tarantino S, Sulz I, Sulo S, Gomez G, Hiesmayr M. Association between food intake and oral nutrition supplementation utilization among patients at malnutrition risk in Latin America: results from nutritionday. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.639] [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]
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Fischer A, Barazzoni R, Tarantino S, Laviano A, Veraar C, Sulz I, Schneider S, Lassnigg A, Cuerda-Compes C, Pestana E, Hiesmayr M. Does bmi affect the use of enteral and parenteral nutrition in the ward: a nutritionday analysis in 191 886 adult patients. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.062] [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: 10/19/2022]
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Veraar C, Tarantino S, Lassnigg A, Laviano A, Pestana E, Hiesmayr M. How does a previous icu stay modify nutrition support in the wards: a risk adjusted evaluation from 191 886 adult patients from nutritionday 2006-2019. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.088] [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: 10/19/2022]
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Zapletal B, Veraar C, Sulz I, Fischer A, Mouhieddine M, Schuh C, Tarantino S, Hiesmayr M. Infections are associated with a higher substrate provision in icu patients: An icu nutritionday analysis. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.293] [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: 11/27/2022]
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Fischer A, Veraar C, Tarantino S, Moick S, Sulz I, Schuh C, Mouhieddine M, Hiesmayr M. Cut-off for risk increase with low bmi in hospitalized patients: A regional nutritionday analysis. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.255] [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]
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Edlmann E, Kolias A, Thelin E, Gatt D, Al-Tamimi Y, Owusu-Agyemang K, Suttner N, Holton P, Bulters D, Allison A, Bond S, Tarantino S, Davis-Wilkie C, Pantaleo B, Turner C, Hutchinson PJ. TP1-3 Final phase of recruitment and statistics analysis plan for Dex-CSDH trial. J Neurol Psychiatry 2019. [DOI: 10.1136/jnnp-2019-abn.33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
ObjectivesReview recruitment progression and statistical analysis plan for Dex-CSDH trial.DesignA UK multi-centre, randomised, double-blind, placebo-controlled trial of dexamethasone versus placebo for CSDH.SubjectsSymptomatic, adult CSDH patients admitted to a participating neurosurgical unit.MethodsTrial participants receive a 2 week course of dexamethasone in addition to standard care, including surgery. The primary outcome measure is the modified Rankin Scale (mRS) at 6 months. An mRS of 0–3 requires the patient to be independently mobile and we have considered this a favourable outcome, with scores 4–6 (non-mobile) as unfavourable. The primary analysis will be performed on an intention-to-treat basis, estimating the absolute difference between the two treatment arms in the proportions achieving a favourable outcome. Secondary analysis will be done with an ordinal analysis of mRS scores and proportional odds logistic regression of the original mRS score adjusting for baseline covariates (age, GCS).Results629/750 patients (84%) have been recruited to the Dex-CSDH trial which is on-going as of 20-06-2018. Recruitment progress and follow-up at time of presentation will be reviewed alongside full statistical analysis plan.ConclusionsThe Dex-CSDH trial is drawing close to target following excellent recruitment across 22 UK centres. Transparent communication of the statistical analysis plan is essential prior to unblinding of the data. Up-to-date recruitment and primary endpoint completion rates will also be reviewed.
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Galli F, D'Antuono G, Tarantino S, Viviano F, Borrelli O, Chirumbolo A, Cucchiara S, Guidetti V. Headache and Recurrent Abdominal Pain: A Controlled Study by the Means Of The Child Behaviour Checklist (CBCL). Cephalalgia 2016; 27:211-9. [PMID: 17381555 DOI: 10.1111/j.1468-2982.2006.01271.x] [Citation(s) in RCA: 66] [Impact Index Per Article: 8.3] [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: 11/30/2022]
Abstract
Headache and recurrent abdominal pain (RAP) are common disorders in children and adolescents, frequently referred to paediatricians. Both disorders show similarities in trigger and comorbid factors, their burden on family and individual life, and a paroxysmal trend with risks of chronicization over time. However, very few studies have compared directly headache and RAP. The main aim of this study was to compare the psychological profile of headache and RAP patients vs. healthy controls. A total of 210 children and adolescents [99 boys, 111 girls; age range 4-18 years; mean age (m.a.) = 11.04, SD 4.05] were assessed: 70 headache patients (m.a. 12.4 years; SD 2.9; F = 35, M = 35), 70 RAP patients (m.a. 9 years; SD 3.6; F = 30, M = 40) and 70 controls (m.a. 11.7 years; SD 4.6; F = 46, M = 24). The diagnoses had been made according to international systems of classification both for headache (ICHD-II criteria) and RAP (Rome II criteria). The psychological profile had been made according to the Child Behaviour Checklist 4-18 (CBCL). ANOVA one-way analysis was used to compare CBCL scales and subscales between groups. Headache and RAP showed a very similar trend vs. control for the main scales of the CBCL, with a statistically significant tendency to show problems in the Internalizing scale (anxiety, mood and somatic complaints) and no problems in the Externalizing (behavioural) scale. Only for the Attention Problems subscale migraineurs showed a significant difference compared with RAP. In conclusion, headache and RAP show a very similar psychological profile that should be considered not only for diagnostic and therapeutic purposes, but also from the aetiological aspect.
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Affiliation(s)
- F Galli
- Faculty of Psychology 1, Univesity of Rome 'La Sapienza', Rome, Italy
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Iacovelli E, Tarantino S, Pro S, Vollono C, Capuano A, Torriero R, Vigevano F, Valeriani M. 70. Correlation between abnormal brain excitability, anger management and anxiety in migraine children. Clin Neurophysiol 2015. [DOI: 10.1016/j.clinph.2014.10.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pro S, Tarantino S, Capuano A, Vigevano F, Valeriani M. P898: VEP habituation distribution in the families of migraine children. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50934-0] [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: 11/16/2022]
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Pro S, Tarantino S, Capuano A, Vigevano F, Valeriani M. Primary headache pathophysiology in children: The contribution of clinical neurophysiology. Clin Neurophysiol 2014; 125:6-12. [DOI: 10.1016/j.clinph.2013.04.335] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2013] [Revised: 04/23/2013] [Accepted: 04/26/2013] [Indexed: 11/28/2022]
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Casciani C, Tarantino S, Capuano A, Vigevano F, Valeriani M. 38. Familial aggregation of putative biomarkers of migraine: A family-based pilot study. Clin Neurophysiol 2013. [DOI: 10.1016/j.clinph.2013.06.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Iacovelli E, Tarantino S, Vollono C, Capuano A, Vigevano F, Valeriani M. P23.14 Psychophysiological mechanisms of spatial attention in migraine children with imploding and exploding pain. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60600-7] [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: 10/17/2022]
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Iacovelli E, Tarantino S, De Ranieri C, Vollono C, Galli F, De Luca M, Vigevano F, Biondi G, Valeriani M. P23.4 Spatial attention in children with primary headache: a combined neurophysiological and neuropsychological approach. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60590-7] [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: 10/17/2022]
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Valeriani M, Galli F, Tarantino S, Graceffa D, Pignata E, Miliucci R, Biondi G, Tozzi A, Vigevano F, Guidetti V. Correlation Between Abnormal Brain Excitability and Emotional Symptomatology in Paediatric Migraine. Cephalalgia 2009; 29:204-13. [DOI: 10.1111/j.1468-2982.2008.01708.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We investigated a possible correlation between brain excitability in children with migraine and tension-type headache (TTH) and their behavioural symptomatology, assessed by using the Child Behaviour Checklist (CBCL). The mismatch negativity (MMN) and P300 response were recorded in three successive blocks to test the amplitude reduction of each response from the first to the third block (habituation). MMN and P300 habituation was significantly lower in migraineurs and TTH children than in control subjects (two-way ANOVA: P < 0.05). In migraineurs, but not in TTH patients, significant positive correlations between the P300 habituation deficit and the CBCL scores were found ( P < 0.05), meaning that the migraineurs with the most reduced habituation showed also the worst behavioural symptomatology. To the best of our knowledge, this is the first study showing a correlation between neurophysiological abnormality and emotional symptomatology in migraine, suggesting a role of the latter in producing the migrainous phenotype.
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Affiliation(s)
- M Valeriani
- Headache Centre, Division of Neurology, Ospedale Pediatrico Bambino Gesù IRCCS
| | - F Galli
- Faculty of Psychology 1, University of Rome ‘La Sapienza’, Rome, Italy
| | - S Tarantino
- Division of Paediatric Psychology, Ospedale Pediatrico Bambino Gesù IRCCS
| | - D Graceffa
- Faculty of Psychology 1, University of Rome ‘La Sapienza’, Rome, Italy
| | - E Pignata
- Faculty of Psychology 1, University of Rome ‘La Sapienza’, Rome, Italy
| | - R Miliucci
- Headache Centre, Division of Neurology, Ospedale Pediatrico Bambino Gesù IRCCS
| | - G Biondi
- Division of Paediatric Psychology, Ospedale Pediatrico Bambino Gesù IRCCS
| | - A Tozzi
- Epidemiology Unit, Ospedale Pediatrico Bambino Gesù IRCCS
| | - F Vigevano
- Headache Centre, Division of Neurology, Ospedale Pediatrico Bambino Gesù IRCCS
| | - V Guidetti
- Department of Child and Adolescent Neurology and Psychiatry, University of Rome ‘La Sapienza’, Rome, Italy
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Starkey D, Glick B, O'Donnell C, Souza A, Tarantino S, Godin P, Tierney T, Leadholm B. Who's the Patient Here? Inpatient Psychiatric Rehabilitation in a State Hospital Setting. J Psychosoc Nurs Ment Health Serv 1997; 35:10-5. [PMID: 8994930 DOI: 10.3928/0279-3695-19970101-12] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
1. The primary focus of psychiatric rehabilitation is on improving the competencies of persons with psychiatric disabilities. 2. Both patients and staff must change their ideas about themselves and each other before the work of rehabilitation could move forward. 3. Institutional rigidity works against psychiatric rehabilitation, with its value on individual growth and self-sufficiency.
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Affiliation(s)
- D Starkey
- Metro South Area Office, Massachusetts Department of Mental Health, Medfield 02052, USA
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Sisto G, Lorusso D, Tarantino S, Zaka S, Guerra V. [Ulcerative rectocolitis: review of clinical characteristics in patients with distal colitis and extended colitis]. MINERVA GASTROENTERO 1995; 41:143-7. [PMID: 7647136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Ulcerative colitis is an inflammatory disease which, starting from the rectum, affects more or less extended tracts of the colon. Given that distal and extended forms are generally described as a single nosological entity, the authors aimed to verify whether there are any clinical differences between the two groups of patients with varying extents of disease. A retrospective review was made of data relating to 189 patients suffering from ulcerative colitis observed over a 90-months period. Only 111 cases were included in the study: all patients had undergone an endoscopic and histological diagnosis with a follow-up of over one year. Seventy-eight patients (41.26%) were excluded from the study because they had been lost during follow-up, or follow-up had lasted less than one year, or it had not been possible to perform pancolonoscopy. The 111 patients examined were subdivided into 2 groups: one (39 patients) with distal colitis, namely involving the rectum or recto-sigmoid, and the other (72 patients) with more extended disease. The extension of disease was evaluated on the basis of histological findings. The mean follow-up was 5 years and 11 months. The two groups were comparable for age, sex, number of annual attacks, maximum duration of disease-free periods, clinical evolution, predominant symptoms, extraintestinal symptoms and surgical treatment. Results were processed using Student's t test and the chi-square test.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- G Sisto
- Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia, Castellana Grotte, Bari
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Porcelli P, Zaka S, Tarantino S, Sisto G. [Body Image Index in the Rorschach test in ulcerative proctocolitis]. Minerva Psichiatr 1993; 34:25-28. [PMID: 8492674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The use of the Rorschach test allows the body image to be examined using the Body-Image Index formulated by Fisher-Cleveland. This index is obtained by calculating the responses to Penetration and Barrier. The hypothesis is that the diseases which affect the inside of the body are more greatly correlated to a high P score and a low B score (high P-low B type personality). The paper examines the Body-Image Index in a sample of 41 patients suffering from ulcerous rectocolitis comprising 24 males and 17 females with a mean age of 32 years. The personality profile obtained is of the "high P-low B" type with a P/R% ratio which is clearly higher than the central mean value (28.7% vs 8%) and a B/R% ratio which is clearly lower than the central mean value (4.2% vs 18%). The personality of the patients in this group was marked by a tendency to anxiety and a tendency to express aggression within their bodies (anger-in) which was field-dependent, difficulty in tolerating stress, a tendency to react somatically to conflicts, a low degree of body image stability and a constant need for an external holding object.
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Affiliation(s)
- P Porcelli
- Istituto di Ricovero e Cura a Carattere Scientifico, S. De Bellis, Castellana Grotte, Bari
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Porcelli P, Zaka S, Tarantino S, Sisto G. [Pathology of adaptation according to Sami-Ali and index of conformity to the Rorschach test in ulcerative rectocolitis]. Minerva Psichiatr 1992; 33:297-300. [PMID: 1297906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
According to Sami-Ali's theoretical model the psychosomatic personality is characterised by an adaptation pathology whose main elements are the repression of imaginative thought and conformity to socio-cultural standards. This study examines adaptation pathology using the Rorschach test. The Authors have formulated a conformity index by relating kinestheses (M) and banal perceptions (BAN). The study was carried out on a sample of 41 patients suffering from ulcerous rectocolitis comprising 24 males and 17 women with a mean age of 32 years. As expected in the hypothesis 97.6% of the sample showed M values below the norm, and 68.3% had Ban values higher than normal, whereas the conformity index was positive and tendentially positive in 65.9% of cases. These findings confirm Sami-Ali's theory. Subjects with ulcerous rectocolitis form part of the adaptation pathology which characterised the psychosomatic personality, with an inverse proportionality between imaginative activity (kinesthesia below normal) and conformism (banal perceptions above the norm).
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Affiliation(s)
- P Porcelli
- Divisione di Chirurgia, Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia S. De Bellis, Castellana Grotte, Bari
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Abstract
Intrafollicular insemination is a promising new development that may have a major impact on ART, notably in the treatment of male factor infertility. Reported is the first successful intrafollicular insemination in the United States and the first successful intrafollicular insemination for male factor infertility. Although the results are encouraging, further investigations are currently underway to critically evaluate intrafollicular insemination.
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Affiliation(s)
- E A Zbella
- Fertility Institute of West Florida, Clearwater 34619
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Abstract
The baboon uterus begins to synthesize insulin-like growth factor-binding protein-1 (IGFBP-1) in the deep glands of the late secretory endometrium, and this protein then becomes the major secretory product of the term decidua. We hypothesized that the placenta and/or conceptus may regulate the synthesis and secretion of IGFBP-1 by decidualized stromal cells during pregnancy. To test this hypothesis, tissue was obtained from pregnant baboons on days 18, 25, and 32 postovulation. The uterus was separated into three regions: RI (directly below the implantation site), RII (adjacent to the implantation site), and RIII (opposite the implantation site). Portions of the tissue were fixed in Bouin's solution for immunocytochemistry, and the remainder was subdivided into functionalis, basalis, and myometrium and subjected to organ explant culture. The placenta was fixed or cultured separately. Ligand blot analysis of functionalis medium showed that the major IGFBP had a mol wt (Mr) of 29,000-31,000; however, a doublet of 37,000-43,000 Mr and a band at 24,000 Mr were also present. The functionalis from all regions expressed the majority of the IGFBPs, but basalis from RI tissue also secreted the same array of IGFBPs on days 25 and 32. Ligand blot analysis of placental medium proteins revealed a doublet at Mr 37,000-43,000 on days 25 and 32, but not on day 18. Immunoprecipitation followed by ligand blot analysis of medium proteins using polyclonal antibodies to IGFBP-1 and IGFBP-2 and -3 confirmed that IGFBP-1 and -2 were the predominant products of the endometrium and decidua, while IGFBP-3 was synthesized by the placenta. Immunocytochemistry with a monoclonal antibody to IGFBP-1 demonstrated intense glandular epithelial staining in all regions on days 18, 25, and 32. Stromal staining for IGFBP-1 was first evident on day 25 and was only present in stromal cells in intimate contact with the trophoblastic tissue. By day 32, IGFBP-1 expression was not limited to the endometrial-trophoblastic junction, but extended to the deeper stromal cells and included the perivascular regions. IGFBP-1 staining was most intense in RI, but stromal cells at the luminal surface and those surrounding the spiral arteries also showed some staining in RII and RIII on day 32. These studies suggest that the baboon placenta and/or conceptus regulate IGFBP expression in the uterine endometrium during the initial stages of pregnancy.(ABSTRACT TRUNCATED AT 400 WORDS)
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Affiliation(s)
- S Tarantino
- Department of Obstetrics and Gynecology, University of Illinois, Chicago 60612
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Sisto G, Zaka S, Porcelli P, Tarantino S. [Psychological disorders in patients with enterostomy. The influence of age]. Minerva Med 1992; 83:65-7. [PMID: 1545923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
A retrospective study of patients who had undergone enterostomy and subsequent follow-up in the past 9 years was carried out with the aim of identifying differences with relation to symptoms of depression, the deterioration of social relations and sexual disturbances between elderly (age greater than or equal to 65) and non-elderly patients (age less than 65). Depressive symptoms were present to a greater extent in elderly (48.6%) than in non-elderly patients (34.8%), whereas sexual disturbances were experienced more in non-elderly (34.8%) than elderly (21.6%) patients. No striking differences were noted with regard to the deterioration of social relations. The differences observed, although marked in terms of percentage, were not statistically significant given the relatively small number of cases examined.
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Affiliation(s)
- G Sisto
- Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia S. De Belli, Castellana Grotte, Bari
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Sisto G, Tarantino S, Lantone G, Lacitignola S, Porcelli P. [Disabling outcomes and psychological disorders in the patient with an enterostomy]. MINERVA CHIR 1991; 46:855-60. [PMID: 1754087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The authors carried out a retrospective study of patients undergoing enterostomy during the past 9 years. From 1981 to present a total of 60 patients (39 males and 21 females) were operated and subsequently followed-up. The aim of the study was to examine the following factors: the diagnosis which led to operation, the type of stoma used, early and late complications, the behaviour of the alvus, psychological disorders and Karnofsky's Performance-Status Index. After having presented the findings, the surgical results obtained are discussed together with the patient's psychological reactions to stoma. All types of early surgical complications were absent in 66.6% of patients, whereas late complications were absent in 41.6%. Even in those cases where surgical techniques and prostheses permitted a satisfactory post-operative outcome, the sociopsychological and sexual problems relating to the wound and the perceived difference between the real and ideal Ego are highlighted.
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Affiliation(s)
- G Sisto
- Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia S. De Bellis, Castellana Grotte, Bari
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Tarantino S, Sisto G, Lorusso D, Giorgio P, Leoci G, Guerra V, Giorgio I. [Prevention of duodenal ulcer recurrence by the use of anti H2. Comparison of continuous long-term and seasonal therapy]. Minerva Dietol Gastroenterol 1990; 36:219-22. [PMID: 2089286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The Authors have assessed the incidence of ulcer recidivation in patients with cicatrized bulbar ulcers following anti H2 treatment using two maintenance therapy protocols: 1) 400 mg/day of cimetidine in a single evening dose for 1 year (continuous therapy); 2) the same dose of cimetidine administered at the same time but only for 4 months a year (February-March and September-October) (seasonal therapy). Ninety patients with cicatrized ulcers which had been diagnosed using endoscopy were randomly assigned to the two treatment protocols. Protocols were followed for a least one year with endoscopic controls every 6 months. There were no significant differences between continuous and seasonal therapy in relation to the recurrence of duodenal ulcers (Log Rank test p less than 0.05). Cox's proportional hazard model was used to assess the effect of the two treatment protocols on ulcer recurrence eliminating the influence of sex, age and smoking; it was seen that only smoking influenced the incidence of recidivation (p less than 0.05). These results suggest that seasonal maintenance therapy with anti H2 is as efficacious as continuous therapy in preventing the recurrence of ulcers.
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Affiliation(s)
- S Tarantino
- Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia, S. de Bellis, Castellana Grotte, Bari
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Lorusso D, Leo S, Lacitignola S, Tarantino S. [Chronic inflammatory diseases of the intestine. Extra-intestinal manifestations and perianal complications]. Minerva Dietol Gastroenterol 1989; 35:17-21. [PMID: 2725924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Extraintestinal manifestations and perianal complications were examined in 69 patients with ulcerative colitis (UC) and in 29 patients with Crohn's disease (CD). 17.5% of patients with UC presented an extraintestinal manifestation or a perianal disease against 48% of patients with CD. Over all, joint disease turned out to be the most frequent manifestation, but its frequency is significantly higher in patients with CD (27%) than in those with UC (3%). In the latter the most frequent disease is cholelithiasis (7%). This percentage is the same in both groups of patients. In 1.5% of patients with UC and in 14% of patients with CD perianal complications appeared; all patients with CD showed a colonic involvement.
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Lorusso D, Misciagna G, Noviello MR, Tarantino S. Cholelithiasis after Billroth II gastric resection. Surgery 1988; 103:579-83. [PMID: 3283982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
We evaluate whether Billroth II (BII) gastric resection is a predisposing condition in the formation of gallstones. In our department radiologic and echographic imaging is a routine examination before abdominal surgery. From 1980 to 1985, 202 patients underwent cholecystography or ultrasonography before BII gastric resections for peptic ulcers. The prevalence of cholelithiasis in a random sample of the population of the town near our institution was used to calculate the expected frequency of gallstones. The comparison of the expected and the observed frequencies of cholelithiasis in these patients did not show any statistically significant difference between men and women. All these patients were recalled for a follow-up of the long-term effects of gastric surgery, and 66% (133/202) returned and were examined. They underwent ultrasonography of the biliary tract. Again the observed and the expected (obtained as before) frequencies of cholelithiasis were compared. A statistically significant difference was apparent in male patients. We conclude that BII gastric resection could be a predisposing factor in the formation of gallstones in men.
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Affiliation(s)
- D Lorusso
- Department of Radiology, Istituto di Ricovero e Cura a Carattere Scientifico, Castellana Grotte (Bari), Italy
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Sisto G, Tarantino S, Lorusso D, Colucci G. [Hepatic metastases of gastrointestinal carcinoma. Clinical and prognostic considerations]. Minerva Dietol Gastroenterol 1987; 33:25-8. [PMID: 3587689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Misciagna G, Piccioli E, Scafoglieri U, Tarantino S, Giorgio I. [Gastric acid secretion and the pain syndrome in active and cicatrized duodenal ulcers]. Minerva Dietol Gastroenterol 1984; 30:373-383. [PMID: 6531132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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