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Franco A, Cornacchia AP, Moreira D, Miamoto P, Bueno J, Murray J, Heng D, Mânica S, Porto L, Abade A. Radiographic morphology of canines tested for sexual dimorphism via convolutional-neural-network-based artificial intelligence. Morphologie 2024; 108:100772. [PMID: 38460321 DOI: 10.1016/j.morpho.2024.100772] [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] [Received: 01/20/2024] [Revised: 02/19/2024] [Accepted: 02/19/2024] [Indexed: 03/11/2024]
Abstract
The permanent left mandibular canines have been used for sexual dimorphism when human identification is necessary. Controversy remains whether the morphology of these teeth is actually useful to distinguish males and females. This study aimed to assess the sexual dimorphism of canines by means of a pioneering artificial intelligence approach to this end. A sample of 13,046 teeth radiographically registered from 5838 males and 7208 females between the ages of 6 and 22.99 years was collected. The images were annotated using Darwin V7 software. DenseNet121 was used and tested based on binary answers regarding the sex (male or female) of the individuals for 17 age categories of one year each (i.e. 6-6.99, 7.7.99… 22.22.99). Accuracy rates, receiver operating characteristic (ROC) curves and confusion matrices were used to quantify and express the artificial intelligence's classification performance. The accuracy rates across age categories were between 57-76% (mean: 68%±5%). The area under the curve (AUC) of the ROC analysis was between 0.58 and 0.77. The best performances were observed around the age of 12 years, while the worst were around the age of 7 years. The morphological analysis of canines for sex estimation should be restricted and allowed in practice only when other sources of dimorphic anatomic features are not available.
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Affiliation(s)
- A Franco
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil; Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, Moscow, Russia.
| | - A P Cornacchia
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
| | - D Moreira
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Campinas, Brazil
| | - P Miamoto
- Division of Forensic Anthropology and Dentistry, Scientific Police of Santa Catarina, Florianopolis, Brazil
| | - J Bueno
- Oral Imaging and Radiology Clinic - CIRO, Goiânia, Brazil
| | - J Murray
- Division of Forensic and Legal Medicine and Dentistry, University of Dundee, Dundee, United Kingdom
| | - D Heng
- Division of Forensic and Legal Medicine and Dentistry, University of Dundee, Dundee, United Kingdom
| | - S Mânica
- Division of Forensic and Legal Medicine and Dentistry, University of Dundee, Dundee, United Kingdom
| | - L Porto
- Computer Vision Solutions, Rumina, Belo Horizonte, Brazil
| | - A Abade
- Division of Computer Vision, Federal Institute of Education and Technology - MT, Barra do Garças, Brazil
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Murray J, Heng D, Lygate A, Porto L, Abade A, Manica S, Franco A. Applying artificial intelligence to determination of legal age of majority from radiographic data. Morphologie 2024; 108:100723. [PMID: 37897941 DOI: 10.1016/j.morpho.2023.100723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 08/24/2023] [Indexed: 10/30/2023]
Abstract
Forensic odontologists use biological patterns to estimate chronological age for the judicial system. The age of majority is a legally significant period with a limited set of reliable oral landmarks. Currently, experts rely on the questionable development of third molars to assess whether litigants can be prosecuted as legal adults. Identification of new and novel patterns may illuminate features more dependably indicative of chronological age, which have, until now, remained unseen. Unfortunately, biased perceptions and limited cognitive capacity compromise the ability of researchers to notice new patterns. The present study demonstrates how artificial intelligence can break through identification barriers and generate new estimation modalities. A convolutional neural network was trained with 4003 panoramic-radiographs to sort subjects into 'under-18' and 'over-18' age categories. The resultant architecture identified legal adults with a high predictive accuracy equally balanced between precision, specificity and recall. Moving forward, AI-based methods could improve courtroom efficiency, stand as automated assessment methods and contribute to our understanding of biological ageing.
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Affiliation(s)
- J Murray
- Department of Forensic Odontology, University of Dundee, Nethergate, Dundee DD1 4HN, UK.
| | - D Heng
- Department of Forensic Odontology, University of Dundee, Nethergate, Dundee DD1 4HN, UK
| | - A Lygate
- Department of Forensic Odontology, University of Dundee, Nethergate, Dundee DD1 4HN, UK
| | - L Porto
- Department of Mechanical Engineering, University of Brasilia, Federal District 70910-900, Brazil
| | - A Abade
- Departmento de Computacao, Instituto Federal de Educacao, Ciencie e Tecnologia de Mato Grosso, Cuiaba, Mato Grosso, Brazil
| | - S Manica
- Department of Forensic Odontology, University of Dundee, Nethergate, Dundee DD1 4HN, UK
| | - A Franco
- Department of Forensic Odontology, University of Dundee, Nethergate, Dundee DD1 4HN, UK; Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
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Shoukath A, Vidigal MTC, Vieira W, Paranhos LR, Mânica S, Franco A. Dental age estimation methods applied to Indian children and adolescents: A systematic review and meta-analysis. Morphologie 2023; 108:100758. [PMID: 38128159 DOI: 10.1016/j.morpho.2023.100758] [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] [Received: 10/08/2023] [Revised: 11/23/2023] [Accepted: 11/24/2023] [Indexed: 12/23/2023]
Abstract
Country-specific systematic reviews and meta-analyses have been proposed to compile the available literature and rank methods based on their performance for a target population. India is a country with a vast scientific literature on dental age estimation. This systematic review aimed to provide evidence to help the decision of experts regarding the method of choice for dental age estimation in India. The research protocol was registered in Open Science Framework. Literature Search was performed in Embase, LILACS, MedLine (via PubMed), SciELO, Scopus and Web of Science. Grey Literature was searched in Google Scholar and ProQuest. Observational cross-sectional studies that compared chronological and estimated ages using Demirjian (original [DEM] and Chaillet's modification [modified-DEM]) and Acharya (ACH) methods were included. JBI tool was used to assess the risk of bias. The search detected 9799 studies, out of which 56 were eligible (n=13,107 panoramic radiographs of Indian individuals). Low risk of bias was registered for 48 studies, while 8 presented a moderate risk of bias. The meta-analysis showed a standardized mean difference between chronological and estimated ages of -0.11 (95%CI: -0.29; 0.07), 0.74 (95%CI: 0.39; 1.09), and -0.01 (95%CI: -0.23; 0.22) years for DEM, modified-DEM and ACH, respectively. High heterogeneity (I2=88-93%) was observed across studies for all the methods, including subgroup analyses based on sex. This study ranked ACH, DEM and modified-DEM (from the best to the worse) performances in the Indian population.
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Affiliation(s)
- A Shoukath
- Centre of Forensic and Legal Medicine and Dentistry, University of Dundee, Dundee, United Kingdom
| | - M T C Vidigal
- Department of Preventive and Social Dentistry, Federal University of Uberlandia, Uberlandia, Brazil
| | - W Vieira
- Division of Endodontics, Department of Restorative Dentistry, State University of Campinas, Piracicaba, Brazil
| | - L R Paranhos
- Department of Preventive and Social Dentistry, Federal University of Uberlandia, Uberlandia, Brazil
| | - S Mânica
- Centre of Forensic and Legal Medicine and Dentistry, University of Dundee, Dundee, United Kingdom
| | - A Franco
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Block E, Office 3, R. José Rocha Junqueira 13, Swift, 13.045-755 Campinas, SP, Brazil.
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Angelakopoulos N, Franco A, Mula AP, Moukarzel M, Sharma S, Balla SB. Effect of impaction on third molar development and age estimation-A study in a Lebanese population. Morphologie 2023; 107:100607. [PMID: 37543029 DOI: 10.1016/j.morpho.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Revised: 06/18/2023] [Accepted: 06/19/2023] [Indexed: 08/07/2023]
Abstract
BACKGROUND The effect of impaction on third molar development is disputable as the scientific literature is not uniform. In parallel, population-specific studies have been encouraged in dental age estimation. This study aimed to investigate the effect of impaction on third molar formation in a sample of Lebanese individuals. MATERIALS AND METHODS The sample consisted of 518 panoramic radiographs of females (n=229) and males (n=289) between 15 and 23.9 years. Mandibular third molars were classified based on their position as non-impacted and impacted (with horizontal, vertical, mesioangular, and distoangular impaction). Dental development was classified according to Demirjian's 8-level staging system. RESULTS Most teeth presented mesioangular impaction (#38=29.7%, #48=33%). Developing third molars were predominantly distributed between stages D and G. The mean age of most developmental stages was higher among impacted teeth, meaning that third molar mineralization could be slower in the presence of impaction. In general, the delayed dental development did not have statistically significant effects (P<0.05). However, descriptive data pointed out differences between (impacted and non-impacted) mean ages of >12 months-suggesting a potential clinical significance (despite the lack of a statistical one). Furthermore, differences changed based on sex and side (#38/#48). CONCLUSION Therefore, dental age estimation from third molars in the selected Lebanese population should preferably be performed in non-impacted third molars whenever available.
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Affiliation(s)
- N Angelakopoulos
- Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland.
| | - A Franco
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil.
| | - A P Mula
- Department of Public Health Dentistry, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, India.
| | | | - S Sharma
- Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
| | - S B Balla
- La Trobe Rural Health School, La Trobe University, Bendigo, Australia.
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Angelakopoulos N, Franco A, Sezgin N, Cevik ZA, Canturk N, Panciera MC, Pinto PHV, Alves da Silva RH, Balla SB, Kumagai A, Zolotenkova G, Silveira Sousa AM, Ferrante L, Cameriere R. Ear identification: A multi-ethnic study sample. Morphologie 2023; 107:100602. [PMID: 37230829 DOI: 10.1016/j.morpho.2023.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 05/09/2023] [Accepted: 05/10/2023] [Indexed: 05/27/2023]
Abstract
The external human ear is considered to be highly variable among individuals. Hence, forensic applications could be explored for human identification. This research compares the usefulness of Cameriere's ear identification method, in samples originating from six different countries (Brazil, India, Japan, Russia, South Africa and Turkey) in order to examine possible differences in their accuracy values. A sample of 2,225 photographs of the external human ear (1,134 left and 1,091 right ears) from 1,411 individuals (633 females and 778 males) was collected. The samples included healthy subjects with no systemic disorders and without any craniofacial trauma, maxillofacial abnormalities, auricular anomalies, ear diseases or previous auricular surgery. Cameriere's ear identification method was applied and measurements were performed on the images of each ear, considering four anatomic regions: helix, antihelix, concha, and lobe. The quantified measurement values were converted into a proposed coded number system. A search for identical codes was accomplished to find out the distinctiveness of the morphology of the human ear. The combined codes of left and right ears of each of the 814 subjects were not repeated in this multi-ethnic study sample. Dirichlet's distribution and the inherent study equation showed that the probability of two different individuals having the same code (false-positive identification) was found to be <0.0007. Because of the distinctive metrics of the ratios of external human ears, studies with Cameriere's ear identification method may be valuable for human identification. Studying the differences between the left and right ears of the same individual and across different ethnic groups could contribute to the development of supplementary tools for human identification.
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Affiliation(s)
- N Angelakopoulos
- Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland; Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, AgEstimation Project, Campobasso, Italy.
| | - A Franco
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
| | - N Sezgin
- Department of Forensic Sciences, Faculty of Engineering and Natural Sciences, Kütahya Health Sciences University, Kutahya, Turkey
| | - Z A Cevik
- Department of Forensic Medicine, Medical School, Ankara University, Ankara, Turkey
| | - N Canturk
- Department of Forensic Medicine, Medical School, Ankara University, Ankara, Turkey
| | - M C Panciera
- Department of Pathology and Forensic Medicine, USP - University of São Paulo, Ribeirão Preto Medical School, Ribeirão Preto, SP, Brazil
| | - P H V Pinto
- Department of Pathology and Forensic Medicine, USP - University of São Paulo, Ribeirão Preto Medical School, Ribeirão Preto, SP, Brazil
| | - R H Alves da Silva
- Department of Stomatology, Public Health and Forensic Odontology, School of Dentistry of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil
| | - S B Balla
- La Trobe Rural Health School, La Trobe University, Bendigo, Australia
| | - A Kumagai
- Department of Forensic Science, Division of Forensic Odontology and Disaster Oral Medicine, Iwate Medical University, Iwate, Japan
| | - G Zolotenkova
- Department of Forensic Medicine, Sechenov First Moscow State Medical University, Moscow, Russia
| | - A M Silveira Sousa
- School of Dentistry of Ribeirão Preto, USP-University of São Paulo, Ribeirão Preto, SP, Brazil
| | - L Ferrante
- Polytechnic University of Marche, Center of Epidemiology, Biostatistics and Medical Information Technology, Department of Biomedical Science and Public Health, Ancona, Italy
| | - R Cameriere
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, AgEstimation Project, Campobasso, Italy
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Rivas SF, Franco A, Vieira RM, Almeida LS, Saiz C. Assessing higher education students' critical thinking with the PENCRISAL test - Portuguese short version: a psychometric study. Front Psychol 2023; 14:1196794. [PMID: 37538999 PMCID: PMC10394698 DOI: 10.3389/fpsyg.2023.1196794] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 06/23/2023] [Indexed: 08/05/2023] Open
Abstract
The development of critical thinking in higher education is fundamental, preparing students to think well, find explanations, make decisions and solve problems. Given the importance of its promotion, its assessment is crucial, since the two are inseparable. Moreover, the number of instruments that are validated to assess critical thinking in the Portuguese language and culture are scarce. We present the validation psychometric study of the PENCRISAL test (short version) to the Portuguese language, a critical thinking assessment test for higher education students, designed and validated in Spain (full and short version), which presents adequate reliability and validity psychometric characteristics to assess key-dimensions of critical thinking. A sample of 225 Portuguese higher education students from three universities (two public and one private) performed a reduced version of the PANCRISAL test. The results obtained allowed replicating the Spanish reduced version in Portugal (only changing one of the six items), and the confirmatory factorial analysis permits to identify two factors intercorrelated, legitimizing the combination of the six items in a global score. This short version can be used as a screening test, and its potential is pointed out to assess students critical thinking to support teaching and research in higher education.
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Affiliation(s)
- Silvia F. Rivas
- Psychology Faculty, University of Salamanca, Salamanca, Spain
| | - Amanda Franco
- Escola Superior de Educação de Viseu (ESEV), Viseu, Portugal
| | | | | | - Carlos Saiz
- Psychology Faculty, University of Salamanca, Salamanca, Spain
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Fonseca MT, Siqueira LFR, Belo IS, Rodrigues LG, de Torres ÉM, Franco A, Silva RF. Anatomy of the mastoid triangle and morphometric sex differences. Morphologie 2023; 107:252-258. [PMID: 36503869 DOI: 10.1016/j.morpho.2022.11.003] [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] [Received: 09/20/2022] [Revised: 11/19/2022] [Accepted: 11/25/2022] [Indexed: 05/14/2023]
Abstract
OBJECTIVE OF THE STUDY This study aimed to quantify the area of the mastoid triangle (MT) and assess potential morphometric differences between males and females. PATIENTS The sample consisted of 244 dry human skulls, with biological sex known based on genetic analysis, collected from a medicolegal osteological database from Central-Western Brazil. MATERIALS AND METHODS The study was observational, analytical, and cross-sectional. The skulls were analyzed using Heron's equation to calculate the area of the MT. The landmarks connecting each of the sides of the triangle were: Porion (Po)>Mastoidale (Ma)>Asterion (Ast). Morphometric references were calculated and compared based on sex. RESULTS The area of the MT was nearly 14% larger in males compared to females (p<0.05). The mean MT area for the right and left sides of males were 684.11±93.25mm2 and 668.94±111.95mm2, respectively. In females, the mean MT for the right and left sides were 588.93±91.09mm2 and 582.88±102.98mm2, respectively. Right and left side measurements were significantly different (p<0.05), except for Po-Ast (p=0.232). CONCLUSION Morphometric features regarding the MT were slightly different between males and females. Application of the MT as a dimorphic tool should be adjuvant. Moreover, this tool should be considered carefully, especially because the sex-based differences were statistically significant, but discrete between males and females.
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Affiliation(s)
- M T Fonseca
- Department of Dentistry, Federal University of Goias, Goiânia, Brazil
| | - L F R Siqueira
- Department of Dentistry, Federal University of Goias, Goiânia, Brazil
| | - I S Belo
- Department of Dentistry, Federal University of Goias, Goiânia, Brazil
| | - L G Rodrigues
- Department of Dentistry, School of Dentistry, UniFASAM, Goiânia, Brazil
| | - É M de Torres
- Department of Dentistry, Federal University of Goias, Goiânia, Brazil
| | - A Franco
- Department of Therapeutic Dentistry, Sechenov University, Moscow, Russia; Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
| | - R F Silva
- Department of Dentistry, Federal University of Goias, Goiânia, Brazil; Department of Forensic Odontology and Anthropology, Scientific Police of Goias, Goiânia, Brazil.
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Pinheiro A, Franco R, Makeeva I, Bueno J, Miamoto P, Franco A. 30 years of the ABFO study: Reproduction in a Brazilian sample. Morphologie 2023:S1286-0115(23)00029-2. [PMID: 37149420 DOI: 10.1016/j.morpho.2023.04.001] [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] [Received: 01/19/2023] [Revised: 04/19/2023] [Accepted: 04/19/2023] [Indexed: 05/08/2023]
Abstract
The ABFO study on third molar development is a benchmark in the scientific literature of dental age estimation. In its 30th anniversary, the study has been reproduced in the present external validation. Standardized comparative outcomes were obtained and discussed across studies. The sample consisted of 1.087 panoramic radiographs of Brazilian females (n=542, 49.87%) and males (n=545, 50.13%) between 14 and 22.9 years. All available third molars were classified into developmental stages following Mincer's adaptation of Demirjian's system (8 sequential stages, from A to H). The mean chronological age of individuals within each stage was assessed. The probability of an individual being ≥ 18 years was calculated for each third molar, sex and stage. Maxillary and mandibular third molars showed a similar development with an agreement between stages of about 90%. In general, males developed 0.5 years (6 months) earlier than females. The probability of being an adult increased considerably when at least one third molar is in stage G. Maxillary third molars had higher coefficients of determination (right: 0.704; left: 0.702), showing that statistical models with these teeth could explain better the age estimation outcomes. The reproducibility of the ABFO study on third molar development led to reference tables and probability measures for the studied Brazilian population.
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Affiliation(s)
- A Pinheiro
- Faculdade São Leopoldo Mandic, R. Jose-Rocha-Junqueira 13, 13.045-755 Campinas, SP, Brazil
| | - R Franco
- Department of Community and Preventive Dentistry, Federal University of Uberlândia, 38.400-902 Uberlândia, Minas Gerais, Brazil
| | - I Makeeva
- Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, 119146 Moscow, Russia
| | - J Bueno
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Brazil
| | - P Miamoto
- Division of Forensic Odontology and Anthropology, Scientific Police of Santa Catarina, 88085-002 Florianopolis, Santa Catarina, Brazil
| | - A Franco
- Faculdade São Leopoldo Mandic, R. Jose-Rocha-Junqueira 13, 13.045-755 Campinas, SP, Brazil.
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de la Torre A, Franco A. [Adherence to clinical practice guidelines from theory to action in a hospital in Colombia]. J Healthc Qual Res 2023; 38:193-194. [PMID: 36481207 DOI: 10.1016/j.jhqr.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/08/2022] [Indexed: 05/01/2023]
Affiliation(s)
- A de la Torre
- Dirección científica, Clínica Imbanaco Grupo QuirónSalud, Cali, Colombia.
| | - A Franco
- Dirección de calidad y seguridad del paciente, Clínica Imbanaco Grupo QuirónSalud, Cali, Colombia; Universidad del Valle, Cali, Colombia
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Sebastian S, Franco A, Mânica S. Intersection of forensic odontology and psychology. J Forensic Odontostomatol 2023; 41:2-18. [PMID: 37149750 PMCID: PMC10319096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Forensic odontologists are expected to deal with challenging demands which can affect their mental health while dealing with forensic activities. This study aimed to explore the psychological impacts of forensic activities on forensic odontologists and students undertaking training. Firstly, it of an integrative review (part I) on the psychological effects of forensic odontology practice. The review was performed on Scopus, Medline and Web of Science. Next, an anonymous online survey using JISC Online Surveys tool (part II) was performed to assess the inherent opinions of forensic odontologists from the the International Organization for Forensic Odonto-Stomatology (IOFOS), and Association of Forensic Odontologists for Human Rights (AFOHR), and Dentify.me. Results were quantitatively evaluated by means of descriptive statistics and qualitatively upon reflection using Microsoft Office Excel (2010). Part I, only one full-text article out of 2235 (Webb et al., 2002) was found eligible indicating a low number of eligible studies. Part II, 75 forensic odontologists and 26 students (49.9% male; 50.5% female) from over 35 countries participated. Results showed that forensic dentists are more psychologically or emotionally affected by child abuse cases and least affected by age estimation cases. Most experienced forensic odontologists reported the lowest scores of discomforts. Males were more comfortable than women in dealing with stress. 80.77% (n= 21) of the students have not experienced any behavioural changes following mortuary sessions but 19.2% (n= 5) witnessed stress. All respondents support the inclusion of a module in Psychology or stress management in training programmes in Forensic Odontology. Suggestions to maintain mental health are considered by the respondents and topics to be taught suggested by a psychologist.
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Affiliation(s)
- S Sebastian
- Centre for Forensic Medicine and Dentistry, University of Dundee, Dundee, Scotland, UK
| | - A Franco
- Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas Brazil
| | - S Mânica
- Centre for Forensic Medicine and Dentistry, University of Dundee, Dundee, Scotland, UK
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Scardina L, Di Leone A, Biondi E, Carnassale B, Zotta F, Murando F, Franco A, Terribile D, Masetti R, Franceschini G. P199 Management and Outcomes of Very Young Women (≤35 Years) with Breast Cancer treated in a single Institution. Breast 2023. [DOI: 10.1016/s0960-9776(23)00317-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023] Open
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De Nunzio C, Lombardo R, Mancini E, Rovesti L, Cicione A, Nacchia A, Trucchi A, Baldassarri V, D’Annunzio S, Voglino O, Guarnotta G, Gallo G, Stira J, Gravina C, Turchi B, Franco A, Pastore A, Carbone A, Leonardo C, Franco G, Sciarra A, Salciccia S, Di Pierro G, Al Salhi Y, Tubaro A. Metabolic syndrome evaluation improves prostate cancer detection in patients undergoing a repeat biopsy. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00122-7] [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: 02/12/2023]
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Nacchia A, Lombardo R, Tema G, Cicione A, Del Giudice F, Pastore A, Gravina C, Gallo G, Turchi B, Stira J, Zammitti F, Ghezzo N, Franco A, Mancini E, Guidotti A, Fuschi A, Franco G, Leonardo C, Sciarra A, Salciccia S, Del Giudice F, Pastore A, Carbone A, Tubaro A, De Nunzio C. Major adverse cardiovascular events (MACE) related to phosphodiesterase 5 inhibitors (PDE5i): Analysis of real-life data from Eudra-Vigilance (EV) database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01287-3] [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: 02/12/2023]
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Carbonell E, Mercader C, Sureda J, Gutiérrez A, Muñoz J, Gallardo E, Feltes N, Vilaseca A, Franco A, Musquera M, Alcaraz A, Ribal M. Nadir prostate-specific antigen after salvage cryotherapy as a potential prognostic factor for oncologic outcomes. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01156-9] [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: 02/12/2023]
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Nacchia A, Gravina C, Gallo G, Fiasconaro D, Sarcinelli L, Zammitti F, Ghezzo N, Guidotti A, Lombardo R, Franco A, Tema G, Cicione A, Pastore A, Sciarra A, Di Pierro G, Salciccia S, Leonardo C, Al Salhi Y, Franco G, Carbone A, Tubaro A, De Nunzio C. Trends and incidence of reported events associated with male slings: An analysis of the food and drug administration’s manufacturer and user facility device experience database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00821-7] [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: 02/12/2023]
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16
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Nacchia A, Gravina C, Gallo G, Fiasconaro D, Sarcinelli L, Zammitti F, Ghezzo N, Guidotti A, Lombardo R, Franco A, Tema G, Cicione A, Pastore A, Carbone A, Sciarra A, Salciccia S, Di Pierro G, Al Salhi Y, Franco G, Tubaro A, De Nunzio C. Trends and incidence of reported events associated with ureteroscopes: An analysis of the food and drug administration’s manufacturer and user facility device xxperience database. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00824-2] [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: 02/12/2023]
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17
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Baz A, Mantovani S, Ramos RP, Santos B, Grecco L, Gonçalves G, Arakelyan M, Marques J, Franco A. Age-at-death assessed with Lamendin's original and population-specific models in a modern Brazilian osteological collection. J Forensic Odontostomatol 2022; 40:45-51. [PMID: 36623297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
BACKGROUND Estimating the age at death is a common procedure in the fields of forensic human identification and anthropological/archaeological investigations. Root translucency and periodontosis are regressive parameters used to estimate the age of adults, more specifically in Lamendin's method - established in 1992 in a French population. This study aimed to test the applicability and validity of Lamendin's method in a Brazilian osteological collection. METHODS The sample consisted of 74 single-rooted teeth obtained from 50 skeletal remains (mean age: 53.20 ± 16.17 years) from Southeast Brazil. Lamendin's method was applied to enable a comparison between chronological (CA) and estimated ages (EA). A new population-specific equation was designed for the studied sample and the outcomes were compared with those obtained with Lamendin's original equation. RESULTS The original methods led to a general underestimation of 11.32 years (8.83 years in males and 15.91 years in females). The method had a better performance among individuals between 40 and 59 years (mean differences between CA and EA: 4.8 years). The population-specific equation led to a mean overestimation of -2.04 years in males, and a mean underestimation of 3.77 years in females. Underestimations were considerably higher in other age groups. CONCLUSION Despite the apparent improvements, both the original and the population-specific equations revealed coefficients of concordance that were constantly low between CA and EA. These outcomes suggest restrictions to the application of Lamendin's method in the forensic field, especially for human identification. The method, however, seems to be applicable for anthropological/archaeological applications.
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Affiliation(s)
- A Baz
- Division of Forensic Dentistry, Faculdade Sao Leopoldo Mandic, Campinas, Brazil
| | - S Mantovani
- Division of Forensic Dentistry, Faculdade Sao Leopoldo Mandic, Campinas, Brazil
| | - R P Ramos
- Legal Medical Institute of Porto Velho, Civil Police of Rondônia, Porto Velho, Brazil
| | - B Santos
- Legal Medical Institute of Porto Velho, Civil Police of Rondônia, Porto Velho, Brazil
| | - L Grecco
- Laboratory of Human Anatomy, Faculdade Sao Leopoldo Mandic, Campinas, Brazil
| | - G Gonçalves
- Laboratory of Human Anatomy, Faculdade Sao Leopoldo Mandic, Campinas, Brazil
| | - M Arakelyan
- Department of Therapeutic Stomatology, Sechenov University, Russia
| | - J Marques
- Department of Dentistry, State University of Feira de Santana, Brazil
| | - A Franco
- Division of Forensic Dentistry, Faculdade Sao Leopoldo Mandic, Campinas, Brazil
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Fiasconaro D, Cicione A, Di Giacomo F, Lombardo R, Disabato G, Voglino O, D’Annunzio S, Baldassarri V, Franco A, Rovesti L, Mancini E, Guarnotta G, Guercio A, Gallo G, Stira J, Turchi B, Gravina C, Tubaro A, De Nunzio C. Medications mostly associated with urinary tract infections (UTIS): assessment of the eudravigilance (EV) and food and drug administration (FDA) pharmacovigilance databases entries. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01110-7] [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: 11/07/2022] Open
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De Nunzio C, Rovesti L, Lombardo R, Nacchia A, Ghezzo N, Riolo S, Cicione A, Turchi B, Gravina C, Gallo G, Guercio A, Stira J, Franco A, Mancini E, Baldassarri V, Voglino O, Guarnotta G, D’Annunzio S, Di Giacomo F, Disabato G, Tubaro A. Is MRI and fusion biopsies necessary in patients with PSA levels >10 ng/ml? EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00995-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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20
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Wieser J, Chen A, Lee G, Baughman L, Pope E, Franco A, Verhave B, Johnson B, Love T, Beck L, Ryan Wolf J. 388 Impact of crisaborole & tacrolimus 0.03% on patient-reported outcomes and caregiver burden in children with atopic dermatitis. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.397] [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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Pratas Penedos S, Freire M, Fonseca I, Franco A, Ribeiro N, Moreno L, Magalhães M, Afonso P, Alves I, Paulino L, Ramos C, Figueiredo M, Madruga L, Gamito A. MDMA-Assisted Therapy for Treatment-Resistant Posttraumatic Stress Disorder (PTSD) – One step further toward a patient-centered treatment pathway. Eur Psychiatry 2022. [PMCID: PMC9567733 DOI: 10.1192/j.eurpsy.2022.1731] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Introduction PTSD is a chronic, debilitating condition with limited treatment efficacy. Accessing traumatic memories often leads to overwhelming distress, impacting treatment process. Current approved pharmacological treatments have exhibited small to moderate effects when compared with placebo. Evidence suggests 3,4,-methylene-dioxymethamphetamine(MDMA)-assisted psychotherapy as a viable option for refractory PTSD. Objectives Comprehensive review of early clinical research, proposed mechanisms, safety and emerging therapeutic models. Methods Eligible studies will be identified through strategic search of MEDLINE. Results Pre-clinical and imaging studies suggest memory reconsolidation and fear extinction as candidate psychological and neurological mechanisms, involving MDMA’s combined effects of increasing serotonergic activity, as well the release of oxytocin and brain-derived neurotrophic factor in key memory and emotional circuits. Resulting reduction in amygdala and insula activation and increasing connectivity between the amygdala and hippocampus may create a “tolerance window” of neuroplasticity for emotional engagement and reprocessing of traumatic memories during psychotherapy. Early clinical trials report impressive and durable reduction in PTSD symptoms, with a safety profile comparable to that of SSRIs. A recently completed randomized, double-blind, placebo-controlled phase 3 trial reported full remission of PTSD symptoms in 67% of patients at 2 months, with no increase in suicidality, cardiovascular events or abuse behavior. Emerging treatment models underline the importance of unmedicated therapeutic sessions for preparation for the experience and subsequent integration as essential for full benefit and safety of the clinical context. Conclusions The psychological impact associated with the COVID-19 pandemic is an reminder of the emotional and economic burden associated with PTSD. MDMA-assisted therapy may be a breakthrough approach meriting further multidisciplinary investment and clinical research. Disclosure No significant relationships.
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Scardina L, Magno S, Franco A, Biondi E, Sanchez M, Di Leone A, D'Archi S, Carnassale B, Masetti R, Franceschini G. 123P Paget’s disease of the breast: Our 20-year experience. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.140] [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] Open
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23
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Franco RPAV, Franco A, da Silva RF, Pinto PHV, Alves da Silva RH. Use of non-clinical smile images for human identification: a systematic review. J Forensic Odontostomatol 2022; 40:65-73. [PMID: 35499538] [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: 05/08/2023]
Abstract
Human identification using Forensic Dentistry occurs through comparative analysis of ante-mortem (AM) and post-mortem (PM) data. With the constant improvement of technology, photographs became a common source of AM data. When clinical dental records are not available, images showing the smile can be useful in human identification. The aim of this study was to investigate human identification techniques through the analysis of smile images in the available literature. Studies on human identification through the analysis of smile images were searched in the scientific literature. The search resulted in 4,043 studies. After screening, 14 studies were considered eligible. Eleven were case reports, two were pilot studies and one a technical note. From the eligible studies, in addition to the methodological data, information about the sample, used techniques and results regarding human identification were extracted. Three techniques were detected: direct comparison of morphological characteristics, AM/PM image overlap, and the analysis of smile lines. One or more associated techniques were used for human identification. Authors highlighted as a common limitation of the techniques the quality of the available images, the difficulty in reproducing PM the same images AM, and the eventual image modifications performed by the victim before posting in social media. Advantages included the low-cost aspect of the technique, as well as a potential fast and accurate procedure (depending on the quantity and quality of evidence). In general, studies considered the technique useful and adjuvant for human identification.
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Affiliation(s)
- R P A V Franco
- Forensic Odontology Specialization Program, USP - University of São Paulo, School of Dentistry of Ribeirão Preto, Brazil
| | - A Franco
- Centre of Forensic and Legal Medicine and Dentistry, University of Dundee, UK
| | - R F da Silva
- Department of Dentistry - Forensic Odontology, Federal University of Goiás, Brazil
| | - P H V Pinto
- PhD Graduate Program, USP - University of São Paulo, Ribeirão Preto Medical School, Brazil
| | - R H Alves da Silva
- Department of Stomatology, Public Health and Forensic Odontology, USP - University of São Paulo, School of Dentistry of Ribeirão Preto, Brazil
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Anees W, Franco A, Manica S. Non-accidental head and neck injuries in children and adolescents. J Forensic Odontostomatol 2022; 40:42-52. [PMID: 35499536] [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: 05/08/2023]
Abstract
Child abuse or maltreatment has been a global problem and research shows that more than half of the cases present with head and neck injuries. This study aimed to propose an online referencing platform for dental professionals to know more about signs of child abuse and neglect (CAN) and how suspicious head and neck injuries might look like in real-life scenarios by proposing a 3D design. The study was divided into two parts: i) Integrative literature review, ii) Survey. The first part included an integrative literature review to check if there are enough publications by dentists containing real-life images of injuries related to CAN. Using appropriate keywords and searching across four well-known databases 264 publications relevant to CAN were found, of which, only 3 contained real-life images. Part II of the study included a JISC online survey, consisting of two sections, amongst general dentists, pediatric and forensic dentists. The first section of the survey was about the basic knowledge related to CAN management. A total of 61 dentists from 10 different countries filled the survey, of which 83.1% had seen common head and neck injuries involved in CAN, 61% knew about the dentist's role in reporting such cases, and 66.1% were familiar with local law enforcements to contact. The second section of the survey involved going through real-life scenarios to check the participants understanding of how to tackle a real-life case concluding that only 4-10 participants managed to figure the aspects vital to check before reporting such cases which include a proper detailed history, any previous injuries and their stage of progression, clinical examination of injuries and finally whether the injuries are consistent with the history given. To conclude, there is insufficient representation of the real-life head and neck injuries for dentists to see related to child abuse. Also, all specialists agreed that they require further training regarding CAN management with real-life examples. To address this, a 3d model of commonly seen head and neck injuries in CAN along with some other tools, was created for training and educational purposes and was embedded in a website https://3datlasofchildabuse.webflow.io/.
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Affiliation(s)
- W Anees
- Department of Forensic Odontology, University of Dundee, Dundee, United Kingdom
| | - A Franco
- Department of Forensic Odontology, University of Dundee, Dundee, United Kingdom
| | - S Manica
- Department of Forensic Odontology, University of Dundee, Dundee, United Kingdom
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De Nunzio C, Cicione A, Di Giacomo F, Disabato G, Nacchia A, Gravina C, Voglino O, Franco A, Lombardo R, Rovesti L, Baldassarri V, D'Annunzio S, Turchi B, Gallo G, Stira J, Guercio A, Guarnotta G, Tubaro A. Cardiovascular adverse events-related to GnRH agonists and GnRH antagonists: Analysis of real-life data from Eudra-Vigilance database. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00290-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Nacchia A, Franco A, Rovesti L, Lombardo R, Cicione A, Spatafora P, Verdelli L, Gacci M, Al Salhi Y, Fuschi A, Sommatino F, Simonato A, Pastore A, Serni S, Carbone A, Tubaro A, De Nunzio C. Ureteral stent encrustation: Evaluation of forgotten encrustation calcification score, kidney ureter bladder score and encrustation burden score as predictors of a complex surgery. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01120-4] [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: 11/04/2022]
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27
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Kasinski S, Seixas Alves M, Serralha R, Tamaoki M, Rodrigues I, Bertolini A, Yorgos D, Punaro G, Mouro M, Gigek C, Franco A, Higa E, Lopes L, Higa E. POS-447 BENEFICIAL EFFECTS OF AEROBIC TRAINING ON THE NUCLEUS PULPOSUS OF THE INTERVERTEBRAL DISC OF DIABETIC RATS: ATTENUATION OF OXIDATIVE STRESS AND RENAL DYSFUNCTION. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.01.475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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28
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Franco A, Nacchia A, Disabato G, Voglino O, Baldassarri V, Lombardo R, D'Annunzio S, Cicione A, Rovesti L, Mancini E, Guarnotta G, Guercio A, Gallo G, Turchi B, Gravina C, Stira J, Tubaro A, De Nunzio C. Medications mostly associated with urinary retention: Assessment of the Eudravigilance (EV) and the Food and Drug Administration (FDA) Pharmacovigilance database entries. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00670-4] [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: 11/04/2022]
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29
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Lombardo R, Nacchia A, Cicione A, Turchi B, Gallo G, Guercio A, Stira J, Rovesti L, Franco A, Gravina C, Guarnotta G, Mancini E, Voglino O, Baldassarri V, D'Annunzio S, Riolo S, Tubaro A, De Nunzio C. Real-life adverse events related to PDE-5 I treatment: Analysis of the EudraVigilance database. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01245-3] [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: 11/04/2022]
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30
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Rovesti L, Nacchia A, Di Giacomo F, Disabato G, Gravina C, Gallo G, Stira J, Turchi B, Guercio A, Lombardo R, Cicione A, Voglino O, Baldassarri V, Guarnotta G, Mancini E, Franco A, D'Annunzio S, Tubaro A, De Nunzio C. Medications mostly associated with haematuria: Assessment of the EudraVigilance (EV) and Food and Drug Administration (FDA) Pharmacovigilance databases entries. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00193-2] [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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31
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De Nunzio C, Nacchia A, Lombardo R, Franco A, Tema G, Baldassarri V, Rovesti L, Mancini E, Guarnotta G, Di Giacomo F, D’Annunzio S, Voglino O, Disabato G, Cicione A, Tubaro A. Alpha-blockers adverse events: Analysis of real-life data from Eudra-Vigilance. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00428-0] [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: 10/20/2022]
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32
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De Nunzio C, Nacchia A, Lombardo R, Franco A, Tema G, Di Giacomo F, Disabato G, Rovesti L, Cicione A, Tubaro A. Adverse events related to different antimuscarinics and beta-3-agonist: Analysis of real-life data from Eudra-Vigilance. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00411-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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33
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De Nunzio C, Nacchia A, Lombardo R, Franco A, Tema G, Baldassarri V, Simonato A, Bartoletti R, Ficarra V, Di Giacomo F, Disabato G, Cicione A, Tubaro A. Adverse events in patients treated with quinolones and fluoroquinolones before and after European Medicines Agency warning. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00540-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Lorente L, Martín MM, Franco A, Barrios Y, Cáceres JJ, Solé-Violán J, Perez A, Marcos Y Ramos JA, Ramos-Gómez L, Ojeda N, Jiménez A. HLA genetic polymorphisms and prognosis of patients with COVID-19. Med Intensiva 2021; 45:96-103. [PMID: 38620408 PMCID: PMC7474921 DOI: 10.1016/j.medin.2020.08.004] [Citation(s) in RCA: 77] [Impact Index Per Article: 25.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 07/22/2020] [Accepted: 08/07/2020] [Indexed: 12/22/2022]
Abstract
Objective Different genetic polymorphisms of human leukocyte antigen (HLA) have been associated with the risk and prognosis of autoimmune and infectious diseases. The objectives of this study were to determine whether there is an association between HLA genetic polymorphisms and the susceptibility to and mortality of coronavirus disease 2019 (COVID-19) patients. Design Observational and prospective study. Setting Eight Intensive Care Units (ICU) from 6 hospitals of Canary Islands (Spain). Patients COVID-19 patients admitted in ICU and healthy subjects. Interventions Determination of HLA genetic polymorphisms. Main variable of interest Mortality at 30 days. Results A total of 3886 healthy controls and 72 COVID-19 patients (10 non-survivors and 62 survivor patients at 30 days) were included. We found a trend to a higher rate of the alleles HLA-A*32 (p = 0.004) in healthy controls than in COVID-19 patients, and of the alleles HLA-B*39 (p = 0.02) and HLA-C*16 (p = 0.02) in COVID-19 patients than in healthy controls; however, all these p-values were not significant after correction for multiple comparisons. Logistic regression analysis showed that the presence of certain alleles was associated with higher mortality, such as the allele HLA-A*11 after controlling for SOFA (OR = 7.693; 95% CI = 1.063-55.650; p = 0.04) or APACHE-II (OR = 11.858; 95% CI = 1.524-92.273; p = 0.02), the allele HLA-C*01 after controlling for SOFA (OR = 11.182; 95% CI = 1.053-118.700; p = 0.04) or APACHE-II (OR = 17.604; 95% CI = 1.629-190.211; p = 0.02), and the allele HLA-DQB1*04 after controlling for SOFA (OR = 9.963; 95% CI = 1.235-80.358; p = 0.03). Conclusions The new finding from our preliminary study of small sample size was that HLA genetic polymorphisms could be associated with COVID-19 mortality; however, studies with a larger sample size before definitive conclusions can be drawn.
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Affiliation(s)
- L Lorente
- Intensive Care Unit, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain
| | - M M Martín
- Intensive Care Unit, Hospital Universitario Nuestra Señora de Candelaria, Crta del Rosario s/n., Santa Cruz de Tenerife 38010, Spain
| | - A Franco
- Immunology Unit of Laboratory Department, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain
| | - Y Barrios
- Immunology Unit of Laboratory Department, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain
| | - J J Cáceres
- Intensive Care Unit, Hospital Insular, Plaza Dr. Pasteur s/n., Las Palmas de Gran Canaria 35016, Spain
| | - J Solé-Violán
- Intensive Care Unit, Hospital Universitario Dr. Negrín, Barranco de la Ballena s/n., Las Palmas de Gran Canaria 35010, Spain
| | - A Perez
- Internal Intensive Care Unit, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain
| | - J A Marcos Y Ramos
- Intensive Care Unit, Hospital Doctor José Molina Orosa, Ctra. Arrecife-Tinajo, km 1.300, Arrecife, Lanzarote 35550, Spain
| | - L Ramos-Gómez
- Intensive Care Unit, Hospital General La Palma, Buenavista de Arriba s/n, Breña Alta, La Palma 38713, Spain
| | - N Ojeda
- Department of Anesthesiology, Hospital Universitario Dr. Negrín, Barranco de la Ballena s/n., Las Palmas de Gran Canaria 35010, Spain
| | - A Jiménez
- Research Unit, Hospital Universitario de Canarias, Ofra, s/n., La Laguna 38320, Santa Cruz de Tenerife, Spain
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Lorente L, Martín M, Franco A, Barrios Y, Cáceres J, Solé-Violán J, Perez A, Marcos y Ramos J, Ramos-Gómez L, Ojeda N, Jiménez A, Lorente L, Franco A, Barrios Y, Perez A, Jiménez A, Pérez-Cejas A, Pérez-Llombet A, Uribe L, González L, Alvarez R, Martín MM, Alcoba-Flórez J, Estupiñan A, Cáceres JJ, Vega P, Gonzalez L, Solé-Violán J, Ojeda N, López S, Rodríguez-Pérez A, Domínguez C, Marcos y Ramos JA, Zapata MF, Ramos-Gómez L, Ortiz-López R. HLA genetic polymorphisms and prognosis of patients with COVID-19. Medicina Intensiva (English Edition) 2021. [PMCID: PMC7905376 DOI: 10.1016/j.medine.2020.08.006] [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] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Objective Different genetic polymorphisms of human leukocyte antigen (HLA) have been associated with the risk and prognosis of autoimmune and infectious diseases. The objectives of this study were to determine whether there is an association between HLA genetic polymorphisms and the susceptibility to and mortality of coronavirus disease 2019 (COVID-19) patients. Design Observational and prospective study. Setting Eight Intensive Care Units (ICU) from 6 hospitals of Canary Islands (Spain). Patients COVID-19 patients admitted in ICU and healthy subjects. Interventions Determination of HLA genetic polymorphisms. Main variable of interest Mortality at 30 days. Results A total of 3886 healthy controls and 72 COVID-19 patients (10 non-survivors and 62 survivor patients at 30 days) were included. We found a trend to a higher rate of the alleles HLA-A*32 (p = 0.004) in healthy controls than in COVID-19 patients, and of the alleles HLA-B*39 (p = 0.02) and HLA-C*16 (p = 0.02) in COVID-19 patients than in healthy controls; however, all these p-values were not significant after correction for multiple comparisons. Logistic regression analysis showed that the presence of certain alleles was associated with higher mortality, such as the allele HLA-A*11 after controlling for SOFA (OR = 7.693; 95% CI = 1.063–55.650; p = 0.04) or APACHE-II (OR = 11.858; 95% CI = 1.524–92.273; p = 0.02), the allele HLA-C*01 after controlling for SOFA (OR = 11.182; 95% CI = 1.053–118.700; p = 0.04) or APACHE-II (OR = 17.604; 95% CI = 1.629–190.211; p = 0.02), and the allele HLA-DQB1*04 after controlling for SOFA (OR = 9.963; 95% CI = 1.235–80.358; p = 0.03). Conclusions The new finding from our preliminary study of small sample size was that HLA genetic polymorphisms could be associated with COVID-19 mortality; however, studies with a larger sample size before definitive conclusions can be drawn.
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Sanchez AM, Scardina L, Franceschini G, Terribile D, Franco A, Salgarello M, Masetti R. Treatment protocol to allow reconstructive breast surgery during COVID-19 pandemic. Br J Surg 2020; 107:e573-e574. [PMID: 32909278 PMCID: PMC7929344 DOI: 10.1002/bjs.11969] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 07/08/2020] [Indexed: 06/11/2023]
Affiliation(s)
- A M Sanchez
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - L Scardina
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - G Franceschini
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Istituto di Semeiotica Chirurgica - Università Cattolica del Sacro Cuore, Roma, Italia
| | - D Terribile
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Istituto di Semeiotica Chirurgica - Università Cattolica del Sacro Cuore, Roma, Italia
| | - A Franco
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - M Salgarello
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - R Masetti
- Multidisciplinary Breast Center – Dipartimento Scienze della Salute della donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Istituto di Semeiotica Chirurgica - Università Cattolica del Sacro Cuore, Roma, Italia
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Albuquerque DP, Manhães Junior LRC, Silva MBF, Francischone CE, Franco A, Junqueira JLC. Alveolar antral artery in edentulous patients and their visualization through cone beam computed tomography. Morphologie 2020; 105:64-68. [PMID: 32891508 DOI: 10.1016/j.morpho.2020.08.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 11/16/2022]
Abstract
OBJECTIVE OF THE STUDY The aim of this study was to assess the anatomical features of the alveolar antral artery (AAA) in edentulous patients using cone beam computed tomography (CBCT). PATIENTS The sample consisted of 191 CBCT scans of maxillary sinuses (n=382) of male (n=59) and female (n=132) edentulous patients (age: 38-89 years). MATERIAL AND METHODS The images were analyzed in Dolphin™ 11.9 software. Visualization, location, and diameter of the AAA was registered. RESULTS AAA was present in 88.5% of the assessed maxillary sinuses. Bilateral visualization was predominant 77% (P<0.0001). The mean vertical distance from the most anterior part of the AAA to the sinus floor was 7.9±6mm in female patients (both sides) and 12±7.22mm on the right side and 10.9±6.86mm on the left side in males. The mean diameter of the AAA was 1.2±0.7mm on both sides in females. In males, the diameter was significantly (P<0.05) larger: 1.5±0.62mm on the right side and 1.4±0.69 on the left side in females. CONCLUSION The AAA had a higher visualization rate, better visualization, and larger diameter when it was present bilaterally in male and female patients.
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Affiliation(s)
- D P Albuquerque
- Division of Implantology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rue José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil
| | - L R C Manhães Junior
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rua José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil
| | - M B F Silva
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rua José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil
| | - C E Francischone
- Division of Implantology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rue José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil
| | - A Franco
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rua José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil.
| | - J L C Junqueira
- Division of Oral Radiology, Faculdade São Leopoldo Mandic, Centro de Pesquisas São Leopoldo Mandic, rua José-Rocha-Junqueira, 13, Ponte Preta, 13.045-755 Campinas, São Paulo, Brazil
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Franco A, Tresch E, Sakji I, Makhloufi S, Abdeddaim C, Julieron M, Dansin E, Chevalier D, Mouawad F, Lefebvre G. 952P Neutrophil-to-lymphocyte ratio (NLR) and survival in recurrent or metastatic head and neck cancer patients treated with immunotherapy. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1067] [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] Open
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Burns JC, Hsieh LE, Kumar J, Behnamfar N, Shimizu C, Sivilay N, Tremoulet AH, Franco A. Characterization of circulating immune cells in acute Kawasaki disease suggests exposure to different antigens. Clin Exp Immunol 2020; 202:263-272. [PMID: 32812215 PMCID: PMC7670149 DOI: 10.1111/cei.13506] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [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: 04/13/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 01/03/2023] Open
Abstract
Kawasaki disease (KD) is an acute pediatric vasculitis of unknown etiology that can cause coronary artery aneurysms, and is the leading cause of acquired heart disease in children. We studied aspects of the innate and adaptive immune response in 17 acute KD children prior to treatment with intravenous immunoglobulin. Distinct patterns within the innate immune response correlated with specific clinical features. Proinflammatory myeloid dendritic cells (mDC) were abundant in four of 17 (23·5%) subjects who were older and manifested severe inflammation with clinical myocarditis and elevated hepatobiliary enzyme levels. Of the nine subjects with low levels of anti‐inflammatory, tolerogenic mDC, six had enlarged cervical lymph nodes at diagnosis. In contrast, the adaptive immune repertoire varied greatly with no discernible patterns or associations with clinical features. Two subjects with aneurysms had numerous circulating CD8+ T cells. Ten subjects showed low CD4+ T cell numbers and seven subjects had CD4+ T cells in the normal range. CD4+ T cells expressed interleukin‐7 receptor (IL‐7R), suggesting repeated antigenic stimulation. Thymic‐derived regulatory T cells (nTreg) and peripherally induced regulatory T cells (iTreg) were also enumerated, with the majority having the nTreg phenotype. Natural killer (NK) and NK T cell numbers were similar across all subjects. Taken together, the results of the immune monitoring suggest that KD may have multiple triggers that stimulate different arms of the innate and adaptive compartment in KD patients. Thus, it is possible that diverse antigens may participate in the pathogenesis of KD.
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Affiliation(s)
- J C Burns
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - L E Hsieh
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - J Kumar
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - N Behnamfar
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - C Shimizu
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - N Sivilay
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - A H Tremoulet
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
| | - A Franco
- School of Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
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Costa Grau M, Peri L, D’anna M, Franco A, Álvarez-Vijande R, Alcaraz A. Outcomes of Virtue® male sling for postprostatectomy incontinence. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32873-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Taramasso L, Fabbiani M, Nozza S, De Benedetto I, Bruzzesi E, Mastrangelo A, Pinnetti C, Calcagno A, Ferrara M, Bozzi G, Focà E, Quiros-Roldan E, Ripamonti D, Campus M, Celesia BM, Torti C, Cosco L, Di Biagio A, Rusconi S, Marchetti G, Mussini C, Gulminetti R, Cingolani A, d'Ettorre G, Madeddu G, Franco A, Orofino G, Squillace N, Muscatello A, Gori A, Antinori A, Tambussi G, Bandera A. Predictors of incomplete viral response and virologic failure in patients with acute and early HIV infection. Results of Italian Network of ACuTe HIV InfectiON (INACTION) cohort. HIV Med 2020; 21:523-535. [PMID: 32578947 DOI: 10.1111/hiv.12885] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the factors that can influence an incomplete viral response (IVR) after acute and early HIV infection (AEHI). METHODS This was a retrospective, observational study including patients with AEHI (Fiebig stages I-V) diagnosed between January 2008 and December 2014 at 20 Italian centres. IVR was defined by: (1) viral blip (51-1000 HIV-1 RNA copies/mL after achievement of < 50 HIV-1 RNA copies/mL); (2) virologic failure [> 1000 copies/mL after achievement of < 200 copies/mL, or ≥ 200 copies/mL after 24 weeks on an antiretroviral therapy (ART)]; (3) suboptimal viral response (> 50 copies/mL after 48 weeks on ART or two consecutive HIV-1 RNA levels with ascending trend during ART). Cox regression analysis was used to calculate the hazard ratios (HRs) and 95% confidence intervals (95% CIs) for IVR. RESULTS In all, 263 patients were studied, 227 (86%) males, with a median [interquartile range (IQR)] age of 38 (30-46) years. During a median follow-up of 13.0 (5.7-31.1) months, 38 (14.4%) had IVR. The presence of central nervous system (CNS) symptoms was linked to a higher risk of IVR (HR = 4.70, 95% CI: 1.56-14.17), while a higher CD4/CD8 cell count ratio (HR = 0.13, 95% CI: 0.03-0.51 for each point increase) and first-line ART with three-drug regimens recommended by current guidelines (HR = 0.40, 95% CI: 0.18-0.91 compared with other regimens including four or five drugs, older drugs or non-standard backbones) were protective against IVR. CONCLUSIONS Patients with lower CD4/CD8 ratio and CNS symptoms could be at a higher risk of IVR after AEHI. The use of recommended ART may be relevant for improving short-term viral efficacy in this group of patients.
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Affiliation(s)
- L Taramasso
- Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Policlinico Maggiore Hospital, Milan, Italy
| | - M Fabbiani
- Infectious Diseases Unit, IRCCS San Matteo Hospital Foundation, University of Pavia, Pavia, Italy
| | - S Nozza
- Clinic of Infectious Diseases, San Raffaele Hospital, University Vita Salute, Milan, Italy
| | - I De Benedetto
- Department of Medical Sciences, Unit of Infectious Diseases, Amedeo di Savoia Hospital, University of Turin, Turin, Italy
| | - E Bruzzesi
- Clinic of Infectious Diseases, San Raffaele Hospital, University Vita Salute, Milan, Italy
| | - A Mastrangelo
- Clinic of Infectious Diseases, San Raffaele Hospital, University Vita Salute, Milan, Italy
| | - C Pinnetti
- National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, Rome, Italy
| | - A Calcagno
- Department of Medical Sciences, Unit of Infectious Diseases, Amedeo di Savoia Hospital, University of Turin, Turin, Italy
| | - M Ferrara
- Department of Medical Sciences, Unit of Infectious Diseases, Amedeo di Savoia Hospital, University of Turin, Turin, Italy
| | - G Bozzi
- Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Policlinico Maggiore Hospital, Milan, Italy
| | - E Focà
- Division of Infectious and Tropical Diseases, ASST Spedali Civili Hospital, University of Brescia, Brescia, Italy
| | - E Quiros-Roldan
- Division of Infectious and Tropical Diseases, ASST Spedali Civili Hospital, University of Brescia, Brescia, Italy
| | - D Ripamonti
- Infectious Disease Unit, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - M Campus
- Infectious Diseases Unit, SS Trinità Hospital, ASSL Cagliari, Cagliari, Italy
| | - B M Celesia
- Unit of Infectious Diseases, Garibaldi Hospital, Catania, Italy
| | - C Torti
- Unit of Infectious Diseases, Department of Medical and Surgical Sciences, University "Magna Graecia", Catanzaro, Italy
| | - L Cosco
- Infectious Diseases Unit, "Pugliese-Ciaccio" Hospital, Catanzaro, Italy
| | - A Di Biagio
- Department of Infectious Diseases, Policlinico San Martino Hospital, Genoa, Italy
| | - S Rusconi
- Infectious Diseases Unit, Department of Biomedical and Clinical Sciences, "Luigi Sacco" Hospital, University of Milan, Milan, Italy
| | - G Marchetti
- Clinic of Infectious Diseases, Department of Health Sciences, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy
| | - C Mussini
- Clinic of Infectious Diseases, Modena Hospital, University of Modena and Reggio Emilia, Modena, Italy
| | - R Gulminetti
- Infectious Diseases Unit, IRCCS San Matteo Hospital Foundation, University of Pavia, Pavia, Italy
| | - A Cingolani
- Institute of Clinical Infectious Diseases, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
| | - G d'Ettorre
- Infectious Diseases Unit, Umberto I Hospital, La Sapienza University, Rome, Italy
| | - G Madeddu
- Unit of Infectious Diseases, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy
| | - A Franco
- Infectious Diseases Unit, ASP Siracusa, Siracusa, Italy
| | - G Orofino
- Unit of Infectious Diseases, Divisione A, Amedeo di Savoia Hospital, Turin, Italy
| | - N Squillace
- Infectious Diseases Unit, Department of Internal Medicine, ASST San Gerardo, Monza, Italy.,University of Milano-Bicocca, Milan, Italy
| | - A Muscatello
- Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Policlinico Maggiore Hospital, Milan, Italy
| | - A Gori
- Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Policlinico Maggiore Hospital, Milan, Italy.,School of Medicine and Surgery, University of Milan, Milan, Italy
| | - A Antinori
- National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, Rome, Italy
| | - G Tambussi
- Clinic of Infectious Diseases, San Raffaele Hospital, University Vita Salute, Milan, Italy
| | - A Bandera
- Infectious Diseases Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Policlinico Maggiore Hospital, Milan, Italy.,School of Medicine and Surgery, University of Milan, Milan, Italy
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Brites AN, Rezende Machado AL, Franco A, Alves da Silva RH. Revisiting autopsies of death by mechanical asphyxia in the search for post-mortem pink teeth. J Forensic Odontostomatol 2020; 38:34-38. [PMID: 32420911 PMCID: PMC7880156] [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: 05/09/2023]
Abstract
BACKGROUND In contemporary forensic practice, Medicine and Dentistry combine forces to improve the search for the cause of death and human identification. The pink tooth phenomenon (PTP) is a cadaveric sign that allegedly manifests more often in victims of asphyxia. However, the scientific literature is scarce and controversial on this aspect. OBJECTIVE This study aimed at screening victims of mechanical asphyxia in order to search for post-mortem pink teeth. MATERIAL AND METHODS Retrospectively, autopsy reports from a local medico-legal institute in South Brazil were revisited in the search for victims of death by asphyxia. Autopsy reports of twenty one victims aged between 6 and 67 years (mean age: 40.6 years ±19.20; median: 37 years) were found and analyzed. RESULTS The different modalities of asphyxia included drowning (n=7; 33.33%), strangulation (n=1; 4.76%) and hanging (n=13; 61.91%). A single case of PTP was detected (4.76%) - a 26-year-old male victim of hanging. CONCLUSION This study illustrates and highlights the unspecific aspect of the PTP. In practice, forensic experts must avoid interpretations of this phenomenon as conclusive evidence of the cause of death, such as asphyxia by drowning, strangulation or hanging.
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Affiliation(s)
- A N Brites
- Forensic Odontology Specialization Program, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - A L Rezende Machado
- Department of Pathology and Legal Medicine (MSc Candidate), Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
| | - A Franco
- Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, Moscow, Russia
| | - R H Alves da Silva
- Forensic Odontology, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
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Dias MJ, Franco A, Junqueira JL, Fayad FT, Pereira PH, Oenning AC. Marginal bone loss in the second molar related to impacted mandibular third molars: comparison between panoramic images and cone beam computed tomography. Med Oral Patol Oral Cir Bucal 2020; 25:e395-e402. [PMID: 32271319 PMCID: PMC7211373 DOI: 10.4317/medoral.23443] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2019] [Accepted: 03/09/2020] [Indexed: 12/12/2022] Open
Abstract
Background Deciding whether or not to extract third molars remains a controversial situation in dental practice. Image exams support this decision by enabling a close view of the third molar, its adjacent bone and its relationship with the second molar. This study aimed to assess and compare second molar bone loss adjacent to impacted mandibular third molar in panoramic radiographs (PAN) and cone beam computed tomography (CBCT) scans.
Material and Methods A sample of 70 patients was selected (n=124 teeth). Each patient had a set of a panoramic radiograph and CBCT scans consecutively taken for dental treatment purposes. In PAN and CBCT, mandibular third molars were classified based on their position and bone loss of the adjacent second molar. Agreement between PAN and CBCT scans was assessed and quantified.
Results Outcomes of bone loss assessment were different between PAN and CBCT scans (p<0.05). Bone loss was found in 62.9% of the PAN, while in CBCT scans it was found in 80%. In particular, nearly 29% (n=27) of the teeth that were classified without bone loss in PAN were classified with bone loss in CBCT scans. Mesioangular and horizontal third molars had a statistically significant association with bone loss of the adjacent second molars (p<0.05). In general, PAN underestimated the severity of bone loss compared to CBCT scans (p<0.05).
Conclusions Diagnosing second molar bone loss due to impaction of adjacent third molar in PAN may be challenging because of false negatives. Impacted third molars justify preoperative CBCT scans if second molar bone loss needs to be precisely assessed for a more detailed and reliable treatment plan. Key words:Bone, CBCT, panoramic radiograph, third molar.
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Affiliation(s)
- M-J Dias
- Division of Oral Radiology, Faculdade São Leopoldo Mandic Instituto de Pesquisas São Leopoldo Mandic R. Dr. José Rocha Junqueira 13, Ponte. Preta CEP: 13.045-755, Campinas, São Paulo, Brazil
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Barrios Y, Franco A, Alonso-Larruga A, Sánchez-Machín I, Poza-Guedes P, Gonzalez R, Matheu R. Success With Multidisciplinary Team Work: Experience of a Primary Immunodeficiency Unit. J Investig Allergol Clin Immunol 2020; 30:208-210. [PMID: 31932269 DOI: 10.18176/jiaci.0485] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Y Barrios
- Inmunología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - A Franco
- Inmunología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - A Alonso-Larruga
- Bioquímica, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - I Sánchez-Machín
- Alergología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - P Poza-Guedes
- Alergología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - R Gonzalez
- Alergología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
| | - R Matheu
- Alergología, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain.,On behalf of Grupo de Estudio de Inmunodeficiencias Primarias (GEDIP) Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain
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Franco A, Ascenso JR, Ilharco L, Silva JALD. Synthesis of ribonucleotides from the corresponding ribonucleosides under plausible prebiotic conditions within self-assembled supramolecular structures. NEW J CHEM 2020. [DOI: 10.1039/c9nj05601g] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Abiotic synthesis of ribonucleotides, mainly at the 5′ position, from the corresponding ribonucleosides within guanosine:borate hydrogels in the temperature range of 70–90 °C, using urea and a phosphate source (K2HPO4 or hydroxyapatite).
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Affiliation(s)
- A. Franco
- Centro de Química Estrutural
- Instituto Superior Técnico
- Universidade de Lisboa
- 1049-001 Lisboa
- Portugal
| | - J. R. Ascenso
- Centro de Química Estrutural
- Instituto Superior Técnico
- Universidade de Lisboa
- 1049-001 Lisboa
- Portugal
| | - L. Ilharco
- IBB
- Instituto de Bioengenharia e Biociências
- Instituto Superior Técnico
- Universidade de Lisboa
- 1049-001 Lisboa
| | - J. A. L. da Silva
- Centro de Química Estrutural
- Instituto Superior Técnico
- Universidade de Lisboa
- 1049-001 Lisboa
- Portugal
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Baldasso RP, Damascena NP, Deitos AR, Palhares Machado CE, Franco A, Nogueira de Oliveira R. Morphologic alterations ear, nose and lip detected with aging through facial photoanthropometric analysis. J Forensic Odontostomatol 2019; 37:25-34. [PMID: 31589593 PMCID: PMC6981354] [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] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND Understanding the morphologic alterations of the human face over the time is an essential step towards optimal simulations of facial age progression. In practice, these simulations contribute to the forensic routine by tracking and recognizing missing persons. OBJECTIVE This study aimed to assess the morphometric facial alterations with aging - concerning specifically the development of ear, nose and lip in relation to other facial structures. MATERIAL AND METHODS The sample consisted of 700 photographs taken standardly in frontal view from male and female Caucasian subjects aged from 20 to 80 years old. The sample was divided in 7 age groups (20, 30, 40, 50, 60, 70 and 80 years old), in which 50 males and 50 females were distributed homogenously. Photoanthropometric analysis was applied with SAFF 2D® 2.0.05 (SEPAEL/INC, Federal Police, Brazil) software package considering 36 facial landmarks. A single examiner analyzed the sample aided by two other examiners for the assessment of intra-/inter-rater reliability. RESULTS The most evident alterations found in the facial structures consisted of the enlargement of the nose and ears with aging, as well the reduction in size of the lip thickness. These alterations varied considerably in the specific age ranges studied in this research being different between males and females. CONCLUSION The present outcomes indicated the possibility of quantifying morphometric alterations observed in the human face with aging. These alterations may support the forensic practice providing tools for age estimation based on photographic analyses.
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Affiliation(s)
- R P Baldasso
- Department of Preventive and Community Dentistry, University of São Paulo, São Paulo (SP), Brazil
| | - N P Damascena
- Department of Forensic Odontology, Scientific Police, Salvador (BA), Brazil
| | - A R Deitos
- Department of Federal Police, National Institute of Criminalistics, Brasília (DF), Brazil
| | - C E Palhares Machado
- Department of Federal Police, National Institute of Criminalistics, Brasília (DF), Brazil
| | - A Franco
- Department of Imaging and Pathology, Forensic Odontology, KU Leuven, Belgium
| | - R Nogueira de Oliveira
- Department of Preventive and Community Dentistry, University of São Paulo, São Paulo (SP), Brazil
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Bosykh YY, Turkina AY, Franco RPAV, Franco A, Makeeva MK. Cone beam computed tomography study on the relation between mental foramen and roots of mandibular teeth, presence of anterior loop and satellite foramina. Morphologie 2019; 103:65-71. [PMID: 31036461 DOI: 10.1016/j.morpho.2019.04.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 06/09/2023]
Abstract
PURPOSE To investigate the position of the mental foramen based on its relation with the roots of the mandibular teeth and quantify the prevalence of anterior loop and satellite foramina in the mandible in cone beam computed tomography (CBCT) scans. METHODS The sample consisted of 400 CBCT scans of males (n=190) and females (n=210) from Moscow, Russia. Using the system proposed by Tebo and Telford (1950), the position of the mental foramen was classified into: I) mesial to the mandibular first premolar; II) at the apex of the mandibular first premolar; III) between the roots of the mandibular first and second premolars; IV) at the apex of the mandibular second premolar; V) between the roots of the mandibular second premolar and first molar; and VI) at the apex of the roots of the mandibular first molar. Additionally, the images were assessed to investigate the prevalence of the anterior loop of the mandibular canal and the presence of satellite foramina. RESULTS Mental foramen position class III was the most prevalent (61%) followed by class IV (27%), II (8%), I, V and VI (together <4%). Statistically significant differences were not detected between males and females (P<0.05). In Russian males and females, the anterior loop of the mandibular canal was found in 15.78% and 3%, respectively; while satellite foramina were found in 31.58% and 19.62%, respectively. CONCLUSION The spatial position of the mental foramen and the morphological alterations of the mandibular canal and adjacent foramina must be known prior to surgical interventions in the mandible.
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Affiliation(s)
- Y Y Bosykh
- Department of Human Anatomy, I.M. Sechenov First Moscow State Medical University, Bolshaya Pirogovskaya Ulitsa 19C, 119146, Moscow, Russia
| | - A Y Turkina
- Department of Therapeutic Dentistry, Institute of Dentistry, I.M. Sechenov First Moscow State Medical University, Bolshaya Pirogovskaya Ulitsa 19C, 119146, Moscow, Russia.
| | - R P A V Franco
- Dentistry, Private practice, Atílio Bório 51, 80.050-250, Curitiba, Brazil
| | - A Franco
- Department of Therapeutic Dentistry, Institute of Dentistry, I.M. Sechenov First Moscow State Medical University, Bolshaya Pirogovskaya Ulitsa 19C, 119146, Moscow, Russia
| | - M K Makeeva
- Department of Therapeutic Dentistry, RUDN University, Miklukho-Maklaya 6, 117198, Moscow, Russia
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Almeida C, Reis M, Franco A, Zille D, Paixao L, Kayser D. Perioperative optimization in bariatric surgery based on enhanced recovery after surgery (ERAS) protocols - experience in a general hospital in Brazil. Clin Nutr ESPEN 2019. [DOI: 10.1016/j.clnesp.2019.03.116] [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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