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Roletto A, Catania D, Ciaralli C, Cozzi A, Di Feo D, Durante S, Pasini D, Raiano N, Zanardo M. National survey for investigating the diagnostic imaging departments reorganization and management during the COVID-19 pandemic. J Med Imaging Radiat Sci 2022. [PMCID: PMC9716005 DOI: 10.1016/j.jmir.2022.10.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
Abstract
Introduction The COVID-19 pandemic has had a profound impact on radiography services globally. The objective of this study was to evaluate the impact of the COVID-19 pandemic on the management of radiology departments in Italy. Methods An online survey with 32 questions was developed and promoted by the Italian Federation of Scientific Radiographer Societies (FASTeR) and sent to all Radiology Service Managers (RSM) identified in the RSM committee of the Italian Federation of Radiographers and Health Professionals, counting for 39 Italian RSM, representing more than 1,200 radiographers. The survey included questions regarding RSM demographics data, the number of radiographers and specialties managed, the effects of the pandemic on the diagnostic imaging service, and any reorganizations that had been implemented, such as the partial or total suspension of diagnostic activities and the number of radiographers tested as positive to COVID-19. Results Twenty (52%) RSM from different Italian regions completed the questionnaire. A total of 70% of respondents had implemented reorganizations in terms of space, equipment, and pathways dedicated to COVID-19-infected patients, including an extension of the timing of acquisition of the exams. More than half of the respondents reported breast and DXA imaging unit had suffered the most suspension of activities. 70% of respondents reported that more than 50% of radiographers were resulted as COVID-19 positive. Conclusion These data show how challenging was of the reorganization of Italian diagnostic imaging departments during the COVID-19 pandemic, with impact on the suspension of some exams and the rescheduling of breast and DXA imaging. The reorganization of the services also had to consider the high number of radiographers suspended from activity due to the positivity to COVID-19, and the lengthening of the duration of the examinations due to the sanitation of the spaces.
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Affiliation(s)
- Andrea Roletto
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - D Catania
- Directorate General for Healthcare Professions, San Raffaele Research Hospital, Milan, Italy
| | - C Ciaralli
- Radiology department, Lazzaro Spallanzani National Institute for Infectious Diseases, Rome, Italy
| | - A Cozzi
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - D Di Feo
- Radiology Department, Meyer Children's Hospital, Florence, Italy
| | - S Durante
- Directorate of the Nursing, Technical and Rehabilitation Assistance Service, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - D Pasini
- Directorate General for Healthcare Professions, Agostino Gemelli University Policlinic, Rome, Italy
| | - N Raiano
- Radiology and Radiotherapy Department, Research Cancer Center “Pascale Foundation”, Naples, Italy
| | - M Zanardo
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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Piccolo C, Vigorito S, Rondi E, Piperno G, Ferrari A, Pepa M, Riva G, Durante S, Conte E, Catto V, Andreini D, Carbucicchio C, Jereczek-Fossa BA, Pompilio G, Orecchia R, Cattani F. Phantom study of stereotactic radioablation for ventricular tachycardia (STRA-MI-VT) using Cyberknife Synchrony Respiratory Tracking System with a single fiducial marker. Phys Med 2022; 100:135-141. [PMID: 35816942 DOI: 10.1016/j.ejmp.2022.06.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 02/01/2022] [Revised: 06/22/2022] [Accepted: 06/29/2022] [Indexed: 12/25/2022] Open
Abstract
PURPOSE Within the STRA-MI-VT phase Ib/II trial (NCT04066517), the aim of this phantom study was to explore the feasibility of Cyberknife treatments on cardiac lesions by tracking as a single marker the lead tip of an implantable cardioverter defibrillator. The residual displacement of the lesion during the tracking was studied, planning margins were found and the dosimetric accuracy of the treatment was checked. MATERIALS AND METHODS A lead was inserted into a phantom (EasyCube phantom, Sun Nuclear Co, USA) and then placed on the translating ExacTrac Gating System (BrainLAB AG, Germany). The phantom was rotated, a virtual lesion was identified and its displacement during the tracking was studied. Two plans were compared, calculated on the unrotated volume and on the envelope of the unrotated and the rotated volumes. The plans were delivered using the Cyberknife System (Accuray Inc, USA) and their dosimetric accuracy verified by gamma analysis with gafchromic films. RESULTS The residual margin increases enhancing the distance between the lead and the lesion. It is 4 mm for distance 0 cm and 5 mm for distance 5 cm. The coverage is reduced by 3.8% (interquartile range 2.5%-4.7%) when the dose is prescribed on the unrotated volume. All treatment plans are accurate and 3% 3 mm gamma analysis results are greater than 94%. CONCLUSIONS Results showed that tracking with a single marker is feasible considering adequate residual planning margins. The volumes could be further reduced by using additional markers, for example by placing them on the patient's skin.
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Affiliation(s)
- C Piccolo
- Unit of Medical Physics, IEO European Institute of Oncology, IRCCS, Milan, Italy.
| | - S Vigorito
- Unit of Medical Physics, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - E Rondi
- Unit of Medical Physics, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - G Piperno
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - A Ferrari
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - M Pepa
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - G Riva
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - S Durante
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy
| | - E Conte
- Cardiovascular Imaging Department, Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - V Catto
- Department of Clinical Electrophysiology and Cardiac Pacing, Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Electronics, Information and Biomedical Engineering, Politecnico di Milano, Milan, Italy
| | - D Andreini
- Cardiovascular Imaging Department, Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy
| | - C Carbucicchio
- Department of Clinical Electrophysiology and Cardiac Pacing, Centro Cardiologico Monzino IRCCS, Milan, Italy
| | - B A Jereczek-Fossa
- Division of Radiation Oncology, IEO European Institute of Oncology, IRCCS, Milan, Italy; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy
| | - G Pompilio
- Scientific Directorate, Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - R Orecchia
- Scientific Directorate, IEO European Institute of Oncology IRCCS, Milan, Italy
| | - F Cattani
- Unit of Medical Physics, IEO European Institute of Oncology, IRCCS, Milan, Italy
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Scipilliti E, Fiore M, Cuccia F, Durante S, Ronchi S, Bonora M, Barcellini A, Valvo F. PO-1229: Preliminary data on long term toxicity in young patients with chordoma: C.N.A.O. experience. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01247-0] [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: 10/22/2022]
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Durante S, Corrao G, Marvaso G, Piperno G, Colombo F, Gugliandolo S, Rondi E, Vigorito S, Frassoni S, Bagnardi V, Fodor C, Spaggiari L, De Marinis F, Orecchia R, Jereczek-Fossa B. PO-1023: Impact of biological features in radiosurgery for Brain metastases from Non Small Cell Lung Cancer. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01040-9] [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: 11/29/2022]
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Durante S, Dunet V, Gorostidi F, Mitsakis P, Schaefer N, Delage J, Prior JO. Head and neck tumors angiogenesis imaging with 68Ga-NODAGA-RGD in comparison to 18F-FDG PET/CT: a pilot study. EJNMMI Res 2020; 10:47. [PMID: 32382869 PMCID: PMC7205972 DOI: 10.1186/s13550-020-00638-w] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [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: 03/30/2020] [Accepted: 04/24/2020] [Indexed: 12/16/2022] Open
Abstract
Background Angiogenesis plays an important role in head and neck squamous cell carcinoma (HNSCC) progression. This pilot study was designed to compare the distribution of 68Ga-NODAGA-RGD PET/CT for imaging αvβ3 integrins involved in tumor angiogenesis to 18F-FDG PET/CT in patients with HNSCC. Material and methods Ten patients (aged 58.4 ± 8.3 years [range, 44–73 years], 6 males, 4 females) with a total of 11 HNSCC were prospectively enrolled. Activity mapping and standard uptake values (SUV) from both 68Ga-NODAGA-RGD and 18F-FDG PET/CT scans were recorded for primary tumor and compared with the Wilcoxon signed-rank test. The relation between the SUV of both tracers was assessed using the Spearman correlation. Results All HNSCC tumors were visible with both tracers. Quantitative analysis showed higher 18F-FDG SUVmax in comparison to 68Ga-NODAGA-RGD (14.0 ± 6.1 versus 3.9 ± 1.1 g/mL, p = 0.0017) and SUVmean (8.2 ± 3.1 versus 2.0 ± 0.8 g/mL, p = 0.0017). Both 18F-FDG and 68Ga-NODAGA-RGD uptakes were neither correlated with grade, HPV status nor p16 protein expression (p ≥ 0.17). Conclusion All HNSCC tumors were detected with both tracers with higher uptake with 18F-FDG, however. 68Ga-NODAGA-RGD has a different spatial distribution than 18F-FDG bringing different tumor information. Trial registration NCT, NCT02666547. Registered 12.8.2012.
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Affiliation(s)
- Steve Durante
- Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon, 46, Lausanne, Switzerland.,Department of Nuclear Medicine and Molecular Imaging, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Vincent Dunet
- Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon, 46, Lausanne, Switzerland.
| | - François Gorostidi
- Department of Otolaryngology, Head and Neck Surgery, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Periklis Mitsakis
- Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon, 46, Lausanne, Switzerland
| | - Niklaus Schaefer
- Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon, 46, Lausanne, Switzerland
| | - Judith Delage
- Department Pharmacy, Unit of Radiopharmacy, Lausanne University Hospital, Lausanne, Switzerland
| | - John O Prior
- Department of Nuclear Medicine and Molecular Imaging, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
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Zanardo M, Martini C, Monti CB, Cattaneo F, Ciaralli C, Cornacchione P, Durante S. Management of patients with suspected or confirmed COVID-19, in the radiology department. Radiography (Lond) 2020; 26:264-268. [PMID: 32340912 PMCID: PMC7167552 DOI: 10.1016/j.radi.2020.04.010] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 04/10/2020] [Accepted: 04/13/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVES From December 2019, a novel coronavirus disease named COVID-19 was reported in China. Within 3 months, the World Health Organization defined COVID-19 as a pandemic, with more than 370,000 cases and 16,000 deaths worldwide. In consideration of the crucial role of diagnostic testing during COVID-19, the aim of this technical note was to provide a complete synthesis of approaches implemented for the management of suspected or confirmed COVID-19 patients. KEY FINDINGS The planning of a robust plan to prevent the transmission of the virus to patients and department staff members should be fundamental in each radiology service. Moreover, the speed of spread and the incidence of the pandemic make it necessary to optimize the use of personal protective devices and dedicated COVID-19 equipment, given the limited availability of supplies. CONCLUSION In the management of radiographic and CT imaging, staff should take special precautions to limit contamination between patients and other patients or professionals. IMPLICATIONS FOR PRACTICE An isolated imaging room should be dedicated to suspected or confirmed COVID-19 cases, including radiography and CT scanners. This paper will provide guidance concerning disposable protective gear to be utilized, as well as on the cleaning and sanitation of radiology room and equipment.
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Affiliation(s)
- M Zanardo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy; FASTeR, Italian Federation of Scientific Radiographers Societies, Italy.
| | - C Martini
- FASTeR, Italian Federation of Scientific Radiographers Societies, Italy; Department of Health Professions, University Hospital of Parma, Parma, Italy; Department of Medicine and Surgery, University of Parma, Parma, Italy.
| | - C B Monti
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy.
| | - F Cattaneo
- Department of Neuroscience, Centre of Sleep Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
| | - C Ciaralli
- UOS Professioni Sanitarie Tecniche, INMI Lazzaro Spallanzani IRCCS, Rome, Italy.
| | - P Cornacchione
- UOC Radioterapia Oncologica, Dipartimento di Diagnostica per immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
| | - S Durante
- Nursing, Technical and Rehabilitation Assistance Service, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
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Riva G, Andrea V, Spoto R, Durante S, Ciardo D, Comi S, Cattani F, Lazzari R, Jereczek-Fossa B. EP-2131 Venezia: New Advanced Brachytherapy Gynecological Applicator in cervical cancer. Our preliminary data. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32551-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Alterio D, Preda L, Volpe S, Giannitto C, Riva G, Pounou Kamga A, Atac M, Giugliano G, Ferrari A, Marvaso G, Durante S, Arculeo S, Turturici I, Cossu Rocca M, Ansarin M, Bellomi M, Jereczek-Fossa B, Orecchia R. EP-1160 Quantifying the impact of radiologic revision in head and neck cancer: monoinstitutional experience. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31580-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Riva G, Ferrari A, Durante S, Ciardo D, Piperno G, Leonardi M, Vigorito S, Rondi E, Orecchia R, Jereczek-Fossa B. EP-1212 Clinical outcome in brain metastases from breast cancer treated with stereotactic radiotherapy. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31632-9] [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: 11/26/2022]
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Abstract
Objectives Meniscal injuries are often associated with an active lifestyle. The damage of meniscal tissue puts young patients at higher risk of undergoing meniscal surgery and, therefore, at higher risk of osteoarthritis. In this study, we undertook proof-of-concept research to develop a cellularized human meniscus by using 3D bioprinting technology. Methods A 3D model of bioengineered medial meniscus tissue was created, based on MRI scans of a human volunteer. The Digital Imaging and Communications in Medicine (DICOM) data from these MRI scans were processed using dedicated software, in order to obtain an STL model of the structure. The chosen 3D Discovery printing tool was a microvalve-based inkjet printhead. Primary mesenchymal stem cells (MSCs) were isolated from bone marrow and embedded in a collagen-based bio-ink before printing. LIVE/DEAD assay was performed on realized cell-laden constructs carrying MSCs in order to evaluate cell distribution and viability. Results This study involved the realization of a human cell-laden collagen meniscus using 3D bioprinting. The meniscus prototype showed the biological potential of this technology to provide an anatomically shaped, patient-specific construct with viable cells on a biocompatible material. Conclusion This paper reports the preliminary findings of the production of a custom-made, cell-laden, collagen-based human meniscus. The prototype described could act as the starting point for future developments of this collagen-based, tissue-engineered structure, which could aid the optimization of implants designed to replace damaged menisci. Cite this article: G. Filardo, M. Petretta, C. Cavallo, L. Roseti, S. Durante, U. Albisinni, B. Grigolo. Patient-specific meniscus prototype based on 3D bioprinting of human cell-laden scaffold. Bone Joint Res 2019;8:101–106. DOI: 10.1302/2046-3758.82.BJR-2018-0134.R1.
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Affiliation(s)
- G Filardo
- Applied and Translational Research (ATR) Center, IRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy
| | - M Petretta
- Laboratory RAMSES, Laboratorio RAMSES, Rizzoli Research, Innovation & Technology Department (RIT), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy; RegenHu Ltd, Villaz-St-Pierre, Switzerland
| | - C Cavallo
- Laboratorio RAMSES, Rizzoli Research, Innovation & Technology Department (RIT), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
| | - L Roseti
- Laboratorio RAMSES, Rizzoli Research, Innovation & Technology Department (RIT), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
| | - S Durante
- Struttura Complessa Radiologia Diagnostica ed Interventistica, Dipartimento Patologie Ortopediche-Traumatologiche Complesse, IRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy
| | - U Albisinni
- Struttura Complessa Radiologia Diagnostica ed Interventistica, Dipartimento Patologie Ortopediche-Traumatologiche Complesse, IRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy
| | - B Grigolo
- Laboratorio RAMSES, Rizzoli Research, Innovation & Technology Department (RIT), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
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Durante S, Perez MH, De Buys Roessingh A, Boubaker A. Bone and muscular viability assessment before amputation: usefulness of bone scan and 99mTc sestamibi dual-phase scintigraphy. BMJ Case Rep 2017; 2017:bcr-2017-222258. [PMID: 29054958 DOI: 10.1136/bcr-2017-222258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Steve Durante
- Department of Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
| | - Maria Helena Perez
- Pediatric Intensive Care Unit, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
| | | | - Ariane Boubaker
- Department of Nuclear Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
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Durante S, Haller S, Amzalag G, Tessitore E, Rager O. 99mTc-HDP SPECT With CT Myelography in a 1-Step Procedure. Clin Nucl Med 2016; 41:74-5. [DOI: 10.1097/rlu.0000000000001048] [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: 11/25/2022]
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Teti G, Manzoli L, Pelotti S, Mariani G, Durante S, Mattioli Belmonte M, Falconi M. Human gingival fibroblasts after exposure to 2-hydroxy-ethyl-methacrylate: Morphological evaluation. Dent Mater 2014. [DOI: 10.1016/j.dental.2014.08.332] [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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Falconi M, Salvatore V, Teti G, Focaroli S, Durante S, Nicolini B, Mazzotti A, Orienti I. Gelatin crosslinked with dehydroascorbic acid as a novel scaffold for tissue regeneration with simultaneous antitumor activity. Biomed Mater 2013; 8:035011. [DOI: 10.1088/1748-6041/8/3/035011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Tamai A, Donazzan A, Gallo V, Durante S. [TVT and TOT: a comparison between these two techniques based on our clinical experience]. Urologia 2008; 75:232-236. [PMID: 21086338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
A retrospective evaluation and a comparison of results from two minimally invasive surgery techniques that we adopted for the treatment of SUI. MATERIALS AND METHODS. In this study we evaluated 113 selected patients who underwent SUI minimally invasive surgery from 1-1-2000 to 31-12-2007. 87 patients underwent epidural anesthesia. 26 local anesthesia. In Group A (TVT) 61 patients were enrolled, mean age 57.6 (±22). 43 patients (70%) were on menopause. In Group B (TOT out-in) 52 patients were enrolled (for 34 of them we used the Obtape® sling while for 18 the Obtryx® one), their mean age was 58.5 (±20.5) and 39 patients (75%) were on menopause. Patients from both groups did not undergo any past previous urogynecological surgery and suffered from stress urinary incontinence with cervico-urethral hypermobility butno other associated pathology. The pre-operative work-up included an evaluation of patients based on ICS guidelines. RESULTS. Group A (TVT) - mean follow-up 66.3 months, dry patients 53/61 (86.8%). Bladder perforations resolved by catheterization 3/61 (5%). Transient voiding dysfunction 14/61 (22.8%). "De novo" urgency 8/61 (13%). One patient on self-catheterization due to persistent urinary retention underwent a single-side section of the sling with spontaneous micturition and complete continence recovery. Group B (TOT out-in) - mean follow-up 35.5 months, dry patients 43/52 (82%). 4 patients (7.6%) complained oftransient voiding dysfunction, 5 patients (9.5%) for "de novo" urgency, 1 patient underwent a sling removal due to vaginal erosion 4 months after surgery (Obtape®).
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Tamai A, Donazzan A, Gallo V, Durante S. TVT and TOT: a comparison between these two techniques based on our clinical experience. Urologia 2008. [DOI: 10.1177/039156030807500406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim of the Study A retrospective evaluation and a comparison of results from two minimally invasive surgery techniques that we adopted for the treatment of SUI. Materials and Methods. In this study we evaluated 113 selected patients who underwent SUI minimally invasive surgery from 1–1-2000 to 31–12–2007. 87 patients underwent epidural anesthesia. 26 local anesthesia. In Group A (TVT) 61 patients were enrolled, mean age 57.6 (±22). 43 patients (70%) were on menopause. In Group B (TOT out-in) 52 patients were enrolled (for 34 of them we used the Obtape® sling while for 18 the Obtryx® one), their mean age was 58.5 (±20.5) and 39 patients (75%) were on menopause. Patients from both groups did not undergo any past previous urogynecological surgery and suffered from stress urinary incontinence with cervico-urethral hypermobility butno other associated pathology. The pre-operative work-up included an evaluation of patients based on ICS guidelines. Results. Group A (TVT) - mean follow-up 66.3 months, dry patients 53/61 (86.8%). Bladder perforations resolved by catheterization 3/61 (5%). Transient voiding dysfunction 14/61 (22.8%). “De novo” urgency 8/61 (13%). One patient on self-catheterization due to persistent urinary retention underwent a single-side section of the sling with spontaneous micturition and complete continence recovery. Group B (TOT out-in) - mean follow-up 35.5 months, dry patients 43/52 (82%). 4 patients (7.6%) complained oftransient voiding dysfunction, 5 patients (9.5%) for “de novo” urgency, 1 patient underwent a sling removal due to vaginal erosion 4 months after surgery (Obtape®).
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Travaglini P, Shahaj L, Durante S, De Luca A, Di Donato A, Di Giampaolo P, Forcella L, Boscolo P, Di Giampaolo L. [Risk perception in a group of dentists from Abruzzo]. G Ital Med Lav Ergon 2007; 29:719-720. [PMID: 18409923] [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: 05/26/2023]
Abstract
Dentist's office represents an area with high infectious risk both for workers and patients. With our study we tried to analyse the relationship between dentists and prevention. We studied 104 dentists who had to answer to a questionnaire composed by 25 questions on topics such as job management, risk perception, measures adopted for prevention and knowledge about normatives regarding safety at work. From the answers we can conclude that dentists know the risk present in their work and use correctly the individual preventive dispositives; make blood control to test hepatitis markers, in particular HCV. But only 68% made HBV vaccination. Many dentists,even if they know the way of transmission of HIV, avoid to cure positive patient.
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Affiliation(s)
- P Travaglini
- Corso di Laurea in Tecniche della Prevenzione nell'Ambiente e nei Luoghi di Lavoro, Università "G. D'Annunzio, Chieti
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Abatangelo L, Durante S. [Work suitability: toxic gas management and certificate of competence for operations related to their use]. G Ital Med Lav Ergon 2000; 22:209-11. [PMID: 10911570] [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] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Affiliation(s)
- L Abatangelo
- Fondazione S. Maugeri, IRCCS, Servizio di Fisiopatologia Respiratoria, Istituto di Pavia
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Abstract
The occurrence of cardiovascular side effects is sometimes associated with the utilization of beta-adrenoceptor agonists. The most important causes of these undesirable pharmacologic actions are as follows: (1) direct stimulation of cardiac beta-adrenoceptors; (2) reflex activation of adrenergic mechanisms due to peripheral vasodilation; (3) hypokalemia; and (4) hypoxemia. The aim of this study was to evaluate the potential short-term, cardiovascular side effects of salmeterol, a long-acting and highly selective beta2-adrenoceptor agonist. Eight volunteer healthy subjects and eight patients with reversible airway obstruction and without cardiovascular alterations were treated with 50 microg of salmeterol twice a day for 3 days and then with 100 microg of salmeterol twice a day for a further 3-day period. The 24-h ECG (Holter) monitoring and measurement of arterial BP, performed on the admission day and on the third and the sixth day of pharmacologic treatment, showed that salmeterol did not produce any significant change in mean heart rate, number of supraventricular and ventricular premature complexes, and BP. Furthermore, no ECG abnormality related to myocardial ischemia was recorded during 24-h Holter monitoring. These data suggest that salmeterol, administered in regular and high doses for a short period, does not cause significant cardiovascular effects in both normal subjects and patients with reversible airway obstruction.
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Affiliation(s)
- C M Tranfa
- Faculty of Medicine, University of Catanzaro, Italy
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Borrello G, Durante S, Froiio D. [Cardiac arrhythmias and behavior of the duration of electrical systole (Q-T interval) in cerebrovascular accidents]. Riv Neurol 1982; 52:267-78. [PMID: 7156785] [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: 01/23/2023]
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