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Fiorino C, Palumbo D, Mori M, Palazzo G, Pellegrini AE, Albarello L, Belardo A, Canevari C, Cossu A, Damascelli A, Elmore U, Mazza E, Pavarini M, Passoni P, Puccetti F, Slim N, Steidler S, Del Vecchio A, Di Muzio NG, Chiti A, Rosati R, De Cobelli F. Early regression index (ERI) on MR images as response predictor in esophageal cancer treated with neoadjuvant chemo-radiotherapy: Interim analysis of the prospective ESCAPE trial. Radiother Oncol 2024; 194:110160. [PMID: 38369025 DOI: 10.1016/j.radonc.2024.110160] [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: 11/07/2023] [Revised: 02/05/2024] [Accepted: 02/13/2024] [Indexed: 02/20/2024]
Abstract
PURPOSE The early regression index (ERI) predicts treatment response in rectal cancer patients. Aim of current study was to prospectively assess tumor response to neoadjuvant chemo-radiotherapy (nCRT) of locally advanced esophageal cancer using ERI, based on MRI. MATERIAL AND METHODS From January 2020 to May 2023, 30 patients with esophageal cancer were enrolled in a prospective study (ESCAPE). PET-MRI was performed: i) before nCRT (tpre); ii) at mid-radiotherapy, tmid; iii) after nCRT, 2-6 weeks before surgery (tpost); nCRT delivered 41.4 Gy/23fr with concurrent carboplatin and paclitaxel. For patients that skipped surgery, complete clinical response (cCR) was assessed if patients showed no local relapse after 18 months; patients with pathological complete response (pCR) or with cCR were considered as complete responders (pCR + cCR). GTV volumes were delineated by two observers (Vpre, Vmid, Vpost) on T2w MRI: ERI and other volume regression parameters at tmid and tpost were tested as predictors of pCR + cCR. RESULTS Complete data of 25 patients were available at the time of the analysis: 3/25 with complete response at imaging refused surgery and 2/3 were cCR; in total, 10/25 patients showed pCR + cCR (pCR = 8/22). Both ERImid and ERIpost classified pCR + cCR patients, with ERImid showing better performance (AUC:0.78, p = 0.014): A two-variable logistic model combining ERImid and Vpre improved performances (AUC:0.93, p < 0.0001). Inter-observer variability in contouring GTV did not affect the results. CONCLUSIONS Despite the limited numbers, interim analysis of ESCAPE study suggests ERI as a potential predictor of complete response after nCRT for esophageal cancer. Further validation on larger populations is warranted.
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Affiliation(s)
- C Fiorino
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy.
| | - D Palumbo
- Radiology, IRCCS San Raffaele Hospital, Milano, Italy
| | - M Mori
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy
| | - G Palazzo
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy
| | | | - L Albarello
- Pathology, IRCCS San Raffaele Hospital, Milano, Italy
| | - A Belardo
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy
| | - C Canevari
- Nuclear Medicine, IRCCS San Raffaele Hospital, Milano, Italy
| | - A Cossu
- Gastric Surgery, IRCCS San Raffaele Hospital, Milano, Italy
| | - A Damascelli
- Radiology, IRCCS San Raffaele Hospital, Milano, Italy
| | - U Elmore
- Gastric Surgery, IRCCS San Raffaele Hospital, Milano, Italy
| | - E Mazza
- Oncology, IRCCS San Raffaele Hospital, Milano, Italy
| | - M Pavarini
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy
| | - P Passoni
- Radiotherapy, IRCCS San Raffaele Hospital, Milano, Italy
| | - F Puccetti
- Gastric Surgery, IRCCS San Raffaele Hospital, Milano, Italy
| | - N Slim
- Radiotherapy, IRCCS San Raffaele Hospital, Milano, Italy
| | - S Steidler
- Radiology, IRCCS San Raffaele Hospital, Milano, Italy
| | - A Del Vecchio
- Medical Physics, IRCCS San Raffaele Hospital, Milano, Italy
| | - N G Di Muzio
- Radiotherapy, IRCCS San Raffaele Hospital, Milano, Italy; Vita-Salute University, Milano, Italy
| | - A Chiti
- Nuclear Medicine, IRCCS San Raffaele Hospital, Milano, Italy; Vita-Salute University, Milano, Italy
| | - R Rosati
- Gastric Surgery, IRCCS San Raffaele Hospital, Milano, Italy; Vita-Salute University, Milano, Italy
| | - F De Cobelli
- Radiology, IRCCS San Raffaele Hospital, Milano, Italy; Vita-Salute University, Milano, Italy
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Ronsivalle V, Nucci L, Bua N, Palazzo G, La Rosa S. Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review. Children (Basel) 2023; 10:1821. [PMID: 38002912 PMCID: PMC10670240 DOI: 10.3390/children10111821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/10/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND Interceptive orthodontic treatment aims to eliminate factors that prevent the harmonious development of the maxillary and mandibular arches during childhood, and elastodontic appliances (EAs) represent a group of devices with an increasingly important role. This systematic narrative hybrid review (HR) aims to provide an overview of the clinical indications for the use of EAs according to the available evidence and to identify potential research areas for unexplored applications. MATERIALS AND METHODS To assess the available literature on the subject, selective database searches were performed between July 2023 and September 2023. With the assistance of a health sciences librarian, a search strategy that utilized terms related to elastodontic therapy was developed. Embase, Scopus, PubMed, and Web of Science were the databases used. RESULTS The current literature addressing the usability of EAs is scarce and mostly limited to case reports and case series. After 2168 citations were found through the searches, 13 studies were ultimately included. In this regard, information about the clinical use and effectiveness of EAs are reported in a narrative form, defining specific domains of the application that are clinically oriented, including sagittal and transversal discrepancies, atypical swallowing, teeth malposition, two-phase orthodontics and a lack of teeth retention. CONCLUSIONS Within the intrinsic quality limitation of the available literature, it seems that EAs may represent a promising treatment alternative for managing mild-to-moderate malocclusion in children as an adjuvant therapy to the interruption of spoiled habits.
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Affiliation(s)
- Vincenzo Ronsivalle
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Ludovica Nucci
- Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80100 Naples, Italy
| | - Nicolò Bua
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Giuseppe Palazzo
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Salvatore La Rosa
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
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Cicchetti A, Mangili P, Fodor A, Mori M, Chiara A, Deantoni C, Pasetti M, Palazzo G, Ubeira Gabellini MG, Rancati T, Del Vecchio A, Muzio NGD, Fiorino C. Dosimetry Predictors of Late Skin Reactions after Whole Breast Radiotherapy on a Large Mono-Institutional Cohort of Patients. Int J Radiat Oncol Biol Phys 2023; 117:e171. [PMID: 37784780 DOI: 10.1016/j.ijrobp.2023.06.1012] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To develop an NTCP model predicting late skin toxicity using dosimetric parameters from the breast dermis to identify possible RT constraints on such a structure. MATERIALS/METHODS The skin structure was defined as the 5 mm inner isotropic expansion from the outer CT body contour. It was retrospectively segmented on a large mono-Institutional cohort of early-stage breast cancer patients enrolled between 2009 and 2017 (n = 1066). Patients were treated with tangential-field RT, delivering 40 Gy in 15 fractions without a RT boost. Toxicity was reported during FU using SOMA/LENT scoring. The study endpoint was moderate-severe late toxicity consisting of Fibrosis-Atrophy-Telangiectasia-Pain (FATP G2+) developed within 42 months after RT completion. Automatic delineation of skin and DVH extraction were accomplished by scripting using the MIM_assistant software. Also, the impact of changes in the dose calculation algorithms during enrolment time was quantified. A logistic model was created by combining multifactorial variables, considering both clinical factors and the absolute skin DVH (cc). Variance Inflation Factor (VIF) was performed to reduce the multicollinearity. Repeated 5-fold cross-validation with SMOTE approach to overcome the class unbalance was applied for model feature selection. The predictive model was then developed on the entire population due to the limited G2+ events. RESULTS The FATP G2+ rate was 3.8% with 40/1066 experiencing late toxicity. Among them, a 40% had already developed acute symptoms after RT completion showing a consequential effect. The multicollinearity analysis selected 27 clinical-treatment-dosimetric factors. After repeated (20 times) 5-fold cross-validation, the best-performing model included Post-Surgery Cosmetic alterations, Aromatase Inhibitors (as a protective factor), V20 Gy (50% of the prescribed dose - DVH plateau region) and V42 Gy (105% of the prescribed dose - DVH high-dose tail). Accuracy and f1-score were 0.76 and 0.58 in both training and test sets, providing good reliability for selected variables. AUC for the final model on the entire population was 0.76+/-0.04. CONCLUSION We quantified the association between fibrosis and skin DVH when delivering 40 Gy in 15fr. The model suggested an independent role of V20 and V42 Gy and a heavy risk modulation by surgical effects and aromatase inhibitors. This last factor could interfere with adipose tissue and water-content distribution within the breast. For this purpose, a CT-based densitometry characterization of toxicity patients is ongoing.
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Affiliation(s)
- A Cicchetti
- Fondazione IRCCS Istituto Nazionale dei Tumori, Data Science Unit, Milan, Italy
| | - P Mangili
- San Raffaele Scientific Institute, Milan, Italy
| | - A Fodor
- Department of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - M Mori
- San Raffaele Scientific Institute - IRCCS, Milano, Italy
| | - A Chiara
- San Raffaele Scientific Institute, Milan, Italy
| | - C Deantoni
- San Raffaele Scientific Institute, Milan, Italy
| | - M Pasetti
- San Raffaele Scientific Institute, Milano, Italy
| | - G Palazzo
- San Raffaele Scientific Institute, Milan, Italy
| | | | - T Rancati
- Fondazione IRCCS Istituto Nazionale dei Tumori, Data Science Unit, Milan, Italy
| | | | - N G Di Muzio
- Department of Radiation Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - C Fiorino
- San Raffaele Scientific Institute - IRCCS, Milano, Italy
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Mele A, Prete E, Citiso S, Mele G, Pastore D, Sgherza N, Curci P, Musto P, Falcone AP, Cascavilla N, Germano C, Giuseppe T, Reddiconto G, Di Renzo N, Palazzo G, Mazza P, Rossini B, Guarini A, Palumbo G, Melillo LMA, Pavone V. PB2016: COMPARISON BETWEEN DRD VS KRD AS SALVAGE THERAPY FOR MULTIPLE MYELOMA PATIENTS IN FIRST RELAPSE: THE REAL LIFE EXPERIENCE OF RETE EMATOLOGICA PUGLIESE (REP). Hemasphere 2022. [PMCID: PMC9431550 DOI: 10.1097/01.hs9.0000850896.11254.d1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Mele G, Cascavilla N, Di Renzo N, Guarini A, Mazza P, Melillo L, Pavone V, Tarantini G, Curci P, Falcone AP, Germano C, Mele A, Palazzo G, Palumbo G, Reddiconto G, Rossini B, Specchia G, Musto P, Pastore D. Daratumumab plus bortezomib or daratumumab plus lenalidomide as salvage therapy for patients with myeloma: initial follow-up of an Italian multicentre retrospective clinical experience by 'Rete Ematologica Pugliese'. Ann Hematol 2022; 101:1727-1739. [PMID: 35587825 DOI: 10.1007/s00277-022-04857-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 04/24/2022] [Indexed: 12/01/2022]
Abstract
We report herein a multicentre retrospective analysis of 192 consecutive patients with symptomatic refractory/relapsed multiple myeloma (RRMM) treated with daratumumab in combination with bortezomib or lenalidomide as salvage therapy at 9 haematological centres in Puglia. Choice of both regimens was based on previous treatment and/or physicians' preference. Considering the under-representation of older patients (very old patient ≥ 80 years) in clinical trials and the prognostic and predictive importance and value of frailty status, here, we further characterised the patient cohort by age. The overall response rate (ORR) was generally lower than what was previously reported in the CASTOR (ORR 72.6% vs 85%) and POLLUX (ORR 86.5% vs 93%) trials. The lower ORR in our analysis compared to the CASTOR and POLLUX trials could be related to a less selected population. Similarly, amongst very old patients, the ORR was encouraging: ORR to treatment with DVd (daratumumab + bortezomib + dexamethasone) was 66.7%, and ORR to treatment with DRd (daratumumab + lenalidomide + dexamethasone) was 92.3%. Median TTP (time to progression) was 10.8 months (1-year TTP: 44.7%; 2-year TTP: 25.3%) in the DVd group; median TTP was not reached in the DRd group (1-year TTP: 82.7%; 2-year TTP: 71.4%). Median OS (overall survival) was not reached either in the DRd group (1-year OS: 85.9%; 2-year OS: 73.7%) or the DVd group (1-year OS: 70.2%; 2-year OS: 58.9%).
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Affiliation(s)
- G Mele
- Haematology and BMT Unit, Ospedale A. Perrino, SS 7 per Mesagne, 72100, Brindisi, Italy.
| | - N Cascavilla
- Haematology, Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy
| | - N Di Renzo
- Haematology, Ospedale V. Fazzi, Lecce, Italy
| | - A Guarini
- Haematology, Ospedale Giovanni Paolo II°, Bari, Italy
| | - P Mazza
- Haematology, Ospedale G. Moscati, Taranto, Italy
| | - L Melillo
- Haematology, Ospedali Riuniti, Foggia, Italy
| | - V Pavone
- Haematology, Ospedale Cardinale Panico, Tricase, Lecce, Italy
| | - G Tarantini
- Haematology, Ospedale Monsignor R. Dimiccoli, Barletta, Bari, Italy
| | - P Curci
- University of Bari Medical School, Policlinico, Bari, Italy
| | - A P Falcone
- Haematology, Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy
| | - C Germano
- Haematology, Ospedale Monsignor R. Dimiccoli, Barletta, Bari, Italy
| | - A Mele
- Haematology, Ospedale Cardinale Panico, Tricase, Lecce, Italy
| | - G Palazzo
- Haematology, Ospedale G. Moscati, Taranto, Italy
| | - G Palumbo
- Haematology, Ospedali Riuniti, Foggia, Italy
| | | | - B Rossini
- Haematology, Ospedale Giovanni Paolo II°, Bari, Italy
| | - G Specchia
- University of Bari Medical School, Policlinico, Bari, Italy
| | - P Musto
- University of Bari Medical School, Policlinico, Bari, Italy
| | - D Pastore
- Haematology and BMT Unit, Ospedale A. Perrino, SS 7 per Mesagne, 72100, Brindisi, Italy
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Rozzini R, Bianchetti A, Alboni P, Baldasseroni S, Bo M, Boccanelli A, Desideri G, Marchionni N, Palazzo G, Terrosu P, Ungar A, Vetta F, Zito G. The older patient with cardiovascular disease: background and clinical implications of the comprehensive geriatric assessment (CGA). Minerva Med 2022; 113:609-615. [PMID: 35332761 DOI: 10.23736/s0026-4806.22.08086-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Principles and processes of Comprehensive Geriatric Assessment (CGA) are increasingly being applied to subspecialties and subspecialty conditions, including cardiovascular patients (i.e. infective endocarditis; considerations of surgery or transcatheter aortic valve replacement, TAVR, for patients with aortic stenosis; vascular surgery) and postoperative mortality risk. In cardiovascular field CGA has mainly the aim to define ideal management according to the different typology of older adult patients (eg, robust versus intermediate versus physical and cognitively disabled versus end-stage or dying), allowing physicians to select different therapeutic goals according to life expectancy; Aspect to be valued are by CGA are global health status and patient's decision-making capacity: CGA allows the individualized treatment definition and optimize the preprocedure condition.
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Affiliation(s)
- Renzo Rozzini
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy - .,Fondazione Poliambulanza, Istituto Ospedaliero, Brescia, Italy -
| | | | - Paolo Alboni
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | | | - Mario Bo
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | | | | | | | - Giuseppe Palazzo
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | | | - Andrea Ungar
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Francesco Vetta
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Giovanni Zito
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
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Lo Giudice A, Ronsivalle V, Rustico L, Aboulazm K, Isola G, Palazzo G. Evaluation of the accuracy of orthodontic models prototyped with entry-level LCD-based 3D printers: a study using surface-based superimposition and deviation analysis. Clin Oral Investig 2022; 26:303-312. [PMID: 34100158 DOI: 10.1007/s00784-021-03999-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [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: 12/08/2020] [Accepted: 05/19/2021] [Indexed: 02/07/2023]
Abstract
OBJECTIVES The objective of this study was to evaluate the accuracy of dental models prototyped via entry-level liquid crystal display (LCD) 3D printers. MATERIALS AND METHODS Identical prototyped models were generated from a master digital file testing two entry-level LCD-based 3D printers and using one professional-grade 3D printer as gold standard (GS), with 50-µm and 100-µm layer thickness. Each 3D-printed model was scanned, and a specific 3D technology was used to perform surface-based superimposition and deviation analysis to evaluate trueness and precision. The distances between surface points of two superimposed models were converted to root mean square (RMS) and statistically analyzed. RESULTS The RMS values detected were significantly higher in dental models prototyped with entry-level compared to the SLA printer (p < 0.001), in terms of trueness (50 µm: GS 0.075 mm, LCD1 0.192 mm, LCD2 0.179 mm; 100 µm: GS 0.066 mm, LCD1 0.209 mm, LCD2 0.199 mm) and precision (50 µm: GS 0.028 mm, LCD1 0.075 mm, LCD2 0.085 mm; 100 µm: GS 0.039 mm, LCD1 0.096 mm, LCD2 0.101 mm). No significant differences were found between the values of RMS of both entry-level 3D printers (p > 0.05). Layer thickness did not affect either the trueness or precision of the 3D-printed models (p > 0.05). CONCLUSION Entry-level LCD-based 3D printers are not as accurate as professional-grade 3D printer, but still close to orthodontics clinical threshold values. CLINICAL RELEVANCE Clinicians should evaluate the intended application of 3D-printed orthodontic models before using entry-level 3D printers.
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Affiliation(s)
- Antonino Lo Giudice
- Department of Orthodontics, School of Dentistry, Unit of Orthodontics, University of Catania, Policlinico Universitario "Vittorio Emanuele, " Via Santa Sofia 78 95123, Catania, Italy
| | - Vincenzo Ronsivalle
- Department of Orthodontics, School of Dentistry, Unit of Orthodontics, University of Catania, Policlinico Universitario "Vittorio Emanuele, " Via Santa Sofia 78 95123, Catania, Italy
| | - Lorenzo Rustico
- Department of Orthodontics, School of Dentistry, Unit of Orthodontics, University of Catania, Policlinico Universitario "Vittorio Emanuele, " Via Santa Sofia 78 95123, Catania, Italy.
| | - Kaled Aboulazm
- Department of Orthodontics, School of Dentistry, Pharos University, Canal El Mahmoudia Street, Alexandria, Egypt
| | - Gaetano Isola
- Department of Orthodontics, School of Dentistry, Unit of Orthodontics, University of Catania, Policlinico Universitario "Vittorio Emanuele, " Via Santa Sofia 78 95123, Catania, Italy
| | - Giuseppe Palazzo
- Department of Orthodontics, School of Dentistry, Unit of Orthodontics, University of Catania, Policlinico Universitario "Vittorio Emanuele, " Via Santa Sofia 78 95123, Catania, Italy
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Isola G, Giudice A, Palazzo G, Campagna P, Fichera G. Analysis of Therapy by Means of Gallium Aluminum Arsenide Laser During Orthodontic Tooth Movement: A Randomized, Split Mouth Controlled Clinical Trial. Dent Hypotheses 2022. [DOI: 10.4103/denthyp.denthyp_48_21] [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] Open
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Terrosu P, Boccanelli A, Sabino G, Alboni P, Baldasseroni S, Bo M, Desideri G, Marchionni N, Palazzo G, Rozzini R, Ungar A, Vetta F, Zito G. Severe aortic stenosis and transcatheter aortic valve replacement in elderly patients: utility vs futility. Minerva Med 2021; 113:640-646. [PMID: 34542953 DOI: 10.23736/s0026-4806.21.07777-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Recently, transcatheter aortic valve replacement (TAVR) has emerged as established standard treatment for symptomatic severe aortic stenosis, providing an effective, less-invasive alternative to open cardiac surgery for inoperable or high-risk older patients. EVIDENCE ACQUISITION In order to assess the anticipated benefit of aortic replacement, considerable interest now lies in better identifying factors likely to predict outcome. In the elderly population frailty and medical comorbidities have been shown to significantly predict mortality, functional recovery and quality of life after transcatheter aortic valve replacement. Scientific literature focused on the three items will be discussed. EVIDENCE SYNTHESIS High likelihood of futility is described in patients with severe chronic lung, kidney, liver disease and/or frailty. The addition of frailty components to conventional risk prediction has been shown to result in improved discrimination for death and disability following the procedure and identifies those individuals least likely to derive benefit. Several dedicated risk score have been proposed to provide new insights into predicted "futile" outcome. However, assessment of frailty according to a limited number of variables is not sufficient, while a multi-dimensional geriatric assessment significantly improves risk prediction. CONCLUSIONS A multidisciplinary heart team that includes geriatricians can allow the customization of therapeutic interventions in elderly patients to optimise care and avoid futility.
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Affiliation(s)
| | | | - Giuseppe Sabino
- UOC di Cardiologia, AOU-Ospedale SS. Annunziata, Sassari, Italy
| | - Paolo Alboni
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | | | - Mario Bo
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | | | | | - Giuseppe Palazzo
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | - Renzo Rozzini
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | - Andrea Ungar
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | - Francesco Vetta
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
| | - Giovanni Zito
- SICGe - Società Italiana di Cardiologia Geriatrica, Firenze, Italy
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Polizzi A, Quinzi V, Santonocito S, Palazzo G, Marzo G, Isola G. Analysis of Earlier Temporomandibular Joint Disorders in JIA Patients: A Clinical Report. Healthcare (Basel) 2021; 9:healthcare9091140. [PMID: 34574914 PMCID: PMC8466676 DOI: 10.3390/healthcare9091140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 08/28/2021] [Accepted: 08/30/2021] [Indexed: 02/07/2023] Open
Abstract
The aim of this study was to analyse the structural characteristics of the temporo-mandibular joint (TMJ) and the dysfunctional consequences induced by disease in subjects with juvenile idiopathic arthritis (JIA). The study was conducted in 25 patients with JIA (median age (IQR), 13.9 (10.9-15.3)) and 26 healthy controls (median age (IQR), 14.3 (11.6-17.2)) years. All enrolled patients were subjected to anamnestic evaluation, laboratory parameters, JIA subclass, and type of therapy for the disease. A clinical-gnathological evaluation, anamnestic and dysfunctional index (Ai and Di), and magnetic resonance imaging of TMJs were performed in all patients. The test group showed a significant reduction (p < 0.001) regarding the clinical findings such as maximal mouth opening, left and rightward laterotrusion and protrusion, and a significant difference in the reported symptoms (TMJ sounds, reduced mouth opening and pain), and Ai and Di (p < 0.001) compared to healthy patients. Correlation analysis showed a significant correlation between the median duration of disease and the maximum mouth opening and between visual analogue scale (VAS) score and maximum mouth opening, leftward laterotrusion, rightward laterotrusion, and protrusion. The results obtained in this study suggest that patients with JIA presented a cohort of symptoms in TMJs in comparison with healthy controls. Moreover, a careful TMJs evaluation and an early diagnosis of TMJs dysfunction and regular follow-ups are recommended in order to prevent and reduce functional and chewing problems in patients with JIA.
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Affiliation(s)
- Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (A.P.); (S.S.); (G.P.)
- Department of Life Health and Environmental Sciences, University of L’Aquila, 61700 L’Aquila, Italy; (V.Q.); (G.M.)
| | - Vincenzo Quinzi
- Department of Life Health and Environmental Sciences, University of L’Aquila, 61700 L’Aquila, Italy; (V.Q.); (G.M.)
| | - Simona Santonocito
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (A.P.); (S.S.); (G.P.)
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (A.P.); (S.S.); (G.P.)
| | - Giuseppe Marzo
- Department of Life Health and Environmental Sciences, University of L’Aquila, 61700 L’Aquila, Italy; (V.Q.); (G.M.)
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (A.P.); (S.S.); (G.P.)
- Correspondence: ; Tel.: +39-095-7435-359
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Fichera G, Ronsivalle V, Santonocito S, Aboulazm KS, Isola G, Leonardi R, Palazzo G. Class II Skeletal Malocclusion and Prevalence of Temporomandibular Disorders. An Epidemiological Pilot Study on Growing Subjects. J Funct Morphol Kinesiol 2021; 6:jfmk6030063. [PMID: 34287330 PMCID: PMC8293263 DOI: 10.3390/jfmk6030063] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 07/14/2021] [Accepted: 07/16/2021] [Indexed: 02/07/2023] Open
Abstract
The purpose of our work is to evaluate the correlation between skeletal Class II malocclusion and temporomandibular disorders, by assessing potential different frequency scores compared with Class I and Class III skeletal malocclusion, and to evaluate associated etiological and risk factors. Fifty-five subjects were examined, 35 females and 20 males, with a mean age of 18 ± 1.3 years, divided into two groups: those with TMD and those without TMD, and prevalence was evaluated in the two groups of Class II subjects. Symptoms and more frequent signs were also examined in the TMD group. Regarding Group A (subjects with the presence of TMD), we found that 48% have a Class II, 16% have Class I, and 28% have Class III. In the totality of the group A sample, only 8% were male subjects. In Group B (subjects without TMD), we found that 40% were females, with 26.7% in Class I, 10% in Class II, and 3.3% in Class III; the male subjects in this group (60%) were distributed with 33.3% in Class I, 16.7% in Class II, and 10% in Class III. Class II malocclusion is not a causal factor of TMD but may be considered a predisposing factor.
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Affiliation(s)
- Grazia Fichera
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, School of Dentistry, University of Messina, Via Consolare Valeria 1, 98123 Messina, Italy
| | - Vincenzo Ronsivalle
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, School of Dentistry, University of Messina, Via Consolare Valeria 1, 98123 Messina, Italy
| | - Simona Santonocito
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
| | - Khaled S. Aboulazm
- Department of Orthodontics, School of Dentistry Pharos University, Canal El Mahmoudia Street, Alexandria 21500, Egypt;
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
| | - Rosalia Leonardi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
- Correspondence: ; Tel.: +39-095-3782453
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (V.R.); (S.S.); (G.I.); (G.P.)
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12
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Santonocito S, Polizzi A, Palazzo G, Isola G. The Emerging Role of microRNA in Periodontitis: Pathophysiology, Clinical Potential and Future Molecular Perspectives. Int J Mol Sci 2021; 22:5456. [PMID: 34064286 PMCID: PMC8196859 DOI: 10.3390/ijms22115456] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 05/17/2021] [Accepted: 05/21/2021] [Indexed: 02/07/2023] Open
Abstract
During the last few decades, it has been established that messenger ribonucleic acid (mRNA) transcription does not inevitably lead to protein translation, but there are numerous processes involved in post-transcriptional regulation, which is a continuously developing field of research. MicroRNAs (miRNAs) are a group of small non-coding RNAs, which negatively regulate protein expression and are implicated in several physiological and pathological mechanisms. Aberrant expression of miRNAs triggers dysregulation of multiple cellular processes involved in innate and adaptive immune responses. For many years, it was thought that miRNAs acted only within the cell in which they were synthesised, but, recently, they have been found outside cells bound to lipids and proteins, or enclosed in extracellular vesicles, namely exosomes. They can circulate throughout the body, transferring information between cells and altering gene expression in the recipient cells, as they can fuse with and be internalised by the recipient cells. Numerous studies on miRNAs have been conducted in order to identify possible biomarkers that can be used in the diagnosis of periodontal disease. However, as therapeutic agents, single miRNAs can target several genes and influence multiple regulatory networks. The aim of this review was to examine the molecular role of miRNAs and exosomes in the pathophysiology of periodontal disease and to evaluate possible clinical and future implications for a personalised therapeutical approach.
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Affiliation(s)
| | | | | | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (S.S.); (A.P.); (G.P.)
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Ungar A, Rivasi G, Coscarelli A, Boccanelli A, Marchionni N, Alboni P, Baldasseroni S, Bo M, Palazzo G, Rozzini R, Terrosu P, Vetta F, Zito G, Desideri G. Hypertension in older persons: why one size does not fit all. Minerva Med 2021; 113:616-625. [PMID: 33832215 DOI: 10.23736/s0026-4806.21.07502-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Over recent years, managing hypertension in older people has gained increasing attention, with particular reference to very old, frailer individuals. In these patients, hypertension treatment may be challenging due to a higher risk of hypotension-related adverse events which commonly overlaps with a higher cardiovascular risk. Additionally, frailer older adults rarely satisfy inclusion criteria of randomized clinical trials, which determines a substantial lack of scientific data. Although limited, available evidence suggests that the association between blood pressure and adverse outcomes significantly varies at advanced age according to frailty status. In particular, the negative prognostic impact of hypertension seems to attenuate or even revert in individuals with older biological age, e.g. patients with disability, cognitive impairment, and poor physical performance. Consequently, one size doesn't fit all and personalized treatment strategies are needed, customized to individuals' frailty and functional status. Similar to other cardiovascular diseases, hypertension management in older people should be characterized by a geriatric approach based on biological rather than chronological age and a geriatric comprehensive evaluation including frailty assessment is required to provide the most appropriate treatment, tailored to patients' prognosis and health care goals. This review illustrates the importance of a patient-centered geriatric approach to hypertension management in older people with the final purpose to promote a wider implementation of frailty assessment in routine practice.
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Affiliation(s)
- Andrea Ungar
- Department of Geriatric and Intensive Care Medicine, Hypertension Clinic, Careggi Hospital and University of Florence, Florence, Italy - .,SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy -
| | - Giulia Rivasi
- Department of Geriatric and Intensive Care Medicine, Hypertension Clinic, Careggi Hospital and University of Florence, Florence, Italy
| | - Antonio Coscarelli
- Department of Geriatric and Intensive Care Medicine, Hypertension Clinic, Careggi Hospital and University of Florence, Florence, Italy
| | | | | | - Paolo Alboni
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | | | - Mario Bo
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Giuseppe Palazzo
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Renzo Rozzini
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | | | - Francesco Vetta
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Giovanni Zito
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy
| | - Giovambattista Desideri
- SICGe Società Italiana di Cardiologia Geriatrica, Florence, Italy.,Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
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Fichera G, Martina S, Palazzo G, Musumeci R, Leonardi R, Isola G, Lo Giudice A. New Materials for Orthodontic Interceptive Treatment in Primary to Late Mixed Dentition. A Retrospective Study Using Elastodontic Devices. Materials (Basel) 2021; 14:ma14071695. [PMID: 33808257 PMCID: PMC8037598 DOI: 10.3390/ma14071695] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 03/13/2021] [Accepted: 03/23/2021] [Indexed: 02/07/2023]
Abstract
The aim of this study was to assess the skeletal and dentoalveolar changes obtained after 1 year of treatment with elastodontic appliances (EA) in a retrospective cohort of children reporting early signs of malocclusion. Also, a detailed description of the tested EAs was reported. The study sample included 20 subjects, 8 males and 12 females, with a mean age of 8.4 ± 0.6 years, and a control group consisting of 20 subjects, 9 males and 11 females, with a mean age of 8.1 ± 0.8 years. All subjects in the treated group received the AMCOP second class (SC) (Ortho Protec, Bari, Italy) device. Digital impressions were taken along with a digital bite registration in centric relation before treatment (T0) and after 1 year (T1). Lateral cephalograms were also taken at T0 and T1 and cephalometric analysis was performed to assess the skeletal sagittal changes of the maxilla and the mandible (sella, nasion, A point angle, SNA^; sella, nasion, B point angle, SNB^; and A point-nasion-B point angle, ANB^) as well as the changes of the inter-incisors angle (IIA^). In the treated group, the distribution of subjects according to the presence of crowding and the pattern of malocclusion changed at T1. In the same group, there was an increase of subjects showing no signs of crowding and a class I occlusal relationship, while in the control group, there was a small increase of subjects developing dental crowding and featuring a worse sagittal relationship (class II) compared to pre-treatment condition. A statistically significant reduction of the overjet and overbite was recorded in the treated group between T0 and T1 (p < 0.05); in the control group, a slight increase in the overjet and overbite was detected at T1, being this increment significanct only for the latter parameter. In the tested group, no significant differences were found between SNA^ values detected at T0 and T1 (p > 0.05), instead the SNB^, ANB^, and IIA^ showed a significant increase after 1 year of treatment (p < 0.05). From a clinical perspective, all clinical goals were reached since patients showed remarkable improvements in overjet, overbite, crowding, and the sagittal molar relationship. Within the limitations of the present study, EAs could be effectively used for the interceptive orthodontic in growing patients.
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Affiliation(s)
- Grazia Fichera
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
- Section of Orthodontics, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via Consolare Valeria 1, 98123 Messina, Italy
| | - Stefano Martina
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno via Allende, 84081 Baronissi, Italy;
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
| | - Rosaria Musumeci
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
| | - Rosalia Leonardi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
- Correspondence:
| | - Antonino Lo Giudice
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.F.); (G.P.); (R.M.); (R.L.); (A.L.G.)
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15
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Isola G, Polizzi A, Ronsivalle V, Alibrandi A, Palazzo G, Lo Giudice A. Impact of Matrix Metalloproteinase-9 during Periodontitis and Cardiovascular Diseases. Molecules 2021; 26:molecules26061777. [PMID: 33810003 PMCID: PMC8004886 DOI: 10.3390/molecules26061777] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 03/18/2021] [Accepted: 03/19/2021] [Indexed: 02/07/2023] Open
Abstract
Matrix metalloproteinase-9 (MMP-9) has been shown to play a key role in endothelial function and perhaps pivotal in the correlation between periodontal disease and cardiovascular disease (CVD). For the study, the impact of MMP-9 of periodontitis and CVD on serum and saliva concentrations was analyzed. For the study patients with periodontitis (n = 31), CVD (n = 31), periodontitis + CVD (n = 31), and healthy patients (n = 31) were enrolled. Clinical and demographic characteristics as well as serum and salivary MMP-9 were evaluated. MMP-9 concentrations in serum and saliva were statistically elevated in patients with CVD (p < 0.01) and in patients with periodontitis plus CVD (p < 0.001) compared to patients with periodontitis and healthy subjects. Multivariate regression analysis showed that c-reactive protein (hs-CRP) was the only significant predictor for MMP-9 serum (p < 0.001), whereas hs-CRP (p < 0.001) and total cholesterol (p = 0.029) were the statistically significant salivary MMP-9 predictors. This study evidenced that patients with CVD and periodontitis + CVD presented elevated MMP-9 concentrations in serum and saliva compared to patients with periodontitis and healthy subjects. Furthermore, hs-CRP was a negative predictor of serum and salivary MMP-9.
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Affiliation(s)
- Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (A.P.); (V.R.); (G.P.); (A.L.G.)
- Correspondence: ; Tel.: +39-095-378-2453
| | - Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (A.P.); (V.R.); (G.P.); (A.L.G.)
| | - Vincenzo Ronsivalle
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (A.P.); (V.R.); (G.P.); (A.L.G.)
| | - Angela Alibrandi
- Department of Economical, Business and Environmental Sciences and Quantitative Methods, University of Messina, 98122 Messina, Italy;
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (A.P.); (V.R.); (G.P.); (A.L.G.)
| | - Antonino Lo Giudice
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (A.P.); (V.R.); (G.P.); (A.L.G.)
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Isola G, Palazzo G, Polizzi A, Murabito P, Giuffrida C, Lo Gullo A. Association of Systemic Sclerosis and Periodontitis with Vitamin D Levels. Nutrients 2021; 13:nu13020705. [PMID: 33672176 PMCID: PMC7926920 DOI: 10.3390/nu13020705] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 02/18/2021] [Accepted: 02/19/2021] [Indexed: 02/07/2023] Open
Abstract
The aim of the present study was to analyze the association among systemic sclerosis (SSc), periodontitis (PT); we also evaluated the impact of PT and SSc on vitamin D levels. Moreover, we tested the association with potential confounders. A total of 38 patients with SSc, 40 subjects with PT, 41 subjects with both PT and SSc, and 41 healthy controls were included in the study. The median vitamin D levels in PT subject were 19.1 (17.6-26.8) ng/mL, while SSc + PT group had vitamin d levels of 15.9 (14.7-16.9) ng/mL, significantly lower with respect to SSc patients (21.1 (15.4-22.9) ng/mL) and to healthy subjects (30.5 (28.8-32.3) ng/mL) (p < 0.001). In all subjects, vitamin D was negatively associated with c-reactive protein (CRP) (p < 0.001) and with probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), and plaque score (PI) (p < 0.001 for all parameters) and positively related to the number of teeth (p < 0.001). Moreover, univariate regression analysis demonstrated an association among high low-density lipoproteins (LDL) cholesterol (p = 0.021), CRP (p = 0.014), and PT (p < 0.001) and reduced levels of vitamin D. The multivariate regression analysis showed that PT (p = 0.011) and CRP (p = 0.031) were both predictors of vitamin D levels. Subjects with PT and SSc plus PT had significant lower vitamin D values with respect to SSc and to healthy subjects. In addition, PT seems negatively associated with levels of vitamin D in all analyzed patients.
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Affiliation(s)
- Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (G.P.); (A.P.); (P.M.)
- Correspondence: ; Tel.: +39-095-7435359
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (G.P.); (A.P.); (P.M.)
| | - Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (G.P.); (A.P.); (P.M.)
| | - Paolo Murabito
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy; (G.P.); (A.P.); (P.M.)
| | - Clemente Giuffrida
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.G.); (A.L.G.)
| | - Alberto Lo Gullo
- IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy; (C.G.); (A.L.G.)
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Santonocito S, Polizzi A, Palazzo G, Indelicato F, Isola G. Dietary Factors Affecting the Prevalence and Impact of Periodontal Disease. Clin Cosmet Investig Dent 2021; 13:283-292. [PMID: 34267556 PMCID: PMC8276823 DOI: 10.2147/ccide.s288137] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [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: 05/07/2021] [Accepted: 06/23/2021] [Indexed: 02/05/2023] Open
Abstract
In the last few decades, growing evidence have shown a possible impact of diet and nutrients on oral health. This review aims to describe, in the light of current knowledge, the role of diet, nutrients, and micronutrients in periodontal health and periodontal diseases. A variety of macronutrients and micronutrients could have an impact on periodontal health. The balanced intake of unprocessed complex carbohydrates, vegetable proteins, omega-3 fatty acids, minerals, and vitamins positively affects periodontal inflammation. On the other way, refined carbohydrates, non-vegetable proteins, proinflammatory saturated fatty acids and an unbalanced supply of vitamins and minerals may increase periodontal inflammation. This review will discuss the current evidence that shows how a healthy and balanced diet has anti-inflammatory and protective effects on periodontal health. Therefore, it appears that adopting a correct lifestyle and diet should be encouraged in patients with oral and periodontal disease.
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Affiliation(s)
- Simona Santonocito
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Francesco Indelicato
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Catania, Italy
- Correspondence: Gaetano Isola Unit of Periodontology, Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania, 95123, ItalyTel/Fax +390953782453 Email
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Fichera G, Santonocito S, Ronsivalle V, Polizzi A, Torrisi S, Deodato L, Palazzo G, Isola G. Prevalence of Early Childhood Caries in Southern Italy: An Epidemiological Study. Int J Dent 2021; 2021:5106473. [PMID: 34122549 PMCID: PMC8169260 DOI: 10.1155/2021/5106473] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 05/19/2021] [Indexed: 02/07/2023] Open
Abstract
The purpose of this study was to assess the prevalence of Early Childhood Caries (ECC) and oral habits among preschool children from a southern Italian cohort. The survey population consisted of 300 subjects randomly selected among children attending two kindergartens in Catania, Italy. The prevalence of ECC and oral habits were clinically evaluated. During the clinical evaluation, the oral hygiene of children was also assessed. Parents were also interviewed using a brief and simple online questionnaire aimed at investigating eating and oral hygiene habits. The selected sample age ranged between 3 and 5 years. The prevalence of ECC was 9.34%, and the most affected teeth were primary molars. Moreover, the prevalence of oral habits was 44.66%. Only two-thirds of the sample brush their teeth at least once per day. The prevalence of ECC among Sicilian children (9.33%) seems suitable with the rest of the country. The results of the present study evidenced that oral habits showed a high prevalence among preschool children. The level of oral hygiene among preschool children is still not sufficient.
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Affiliation(s)
- Grazia Fichera
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
- 2Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, University of Messina, Via Consolare Valeria 1, Messina 98123, Italy
| | - Simona Santonocito
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - Vincenzo Ronsivalle
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
- 2Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, University of Messina, Via Consolare Valeria 1, Messina 98123, Italy
| | - Alessandro Polizzi
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - Salvatore Torrisi
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - Ludovica Deodato
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - Giuseppe Palazzo
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - Gaetano Isola
- 1Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
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Lo Giudice A, Ronsivalle V, Zappalà G, Leonardi R, Campagna P, Isola G, Palazzo G. The Evolution of the Cephalometric Superimposition Techniques from the Beginning to the Digital Era: A Brief Descriptive Review. Int J Dent 2021; 2021:6677133. [PMID: 33981342 PMCID: PMC8088383 DOI: 10.1155/2021/6677133] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 02/13/2021] [Accepted: 04/02/2021] [Indexed: 02/07/2023] Open
Abstract
Superimposition of craniofacial structures from radiographic examination has been always used for assessing changes in the maxilla-mandibular complexes, especially for the evaluation of potential changes occurring during growth as well as after orthodontic treatment and/or maxillofacial surgery. However, the availability of cone beam computed tomography (CBCT) and the recent advancement in 3D imaging have allowed the development of specific techniques for the registration and superimposition of virtual three-dimensional anatomical structures, improving the diagnosis and treatment plan strategies. In the present paper, it will be discussed the evolution of superimposition techniques from the beginning (2D) to the newest 3D approach, describing the most used methods and their main advantages and disadvantages, focusing primarily on accuracy and reproducibility of each technique.
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Affiliation(s)
- A. Lo Giudice
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - V. Ronsivalle
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - G. Zappalà
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - R. Leonardi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - P. Campagna
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - G. Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
| | - G. Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, Catania 95124, Italy
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Palazzo G, Ronsivalle V, Oteri G, Lo Giudice A, Toro C, Campagna P, Patini R, Bocchieri S, Bianchi A, Isola G. Comparison between Additive and Subtractive CAD-CAM Technique to Produce Orthognathic Surgical Splints: A Personalized Approach. J Pers Med 2020; 10:jpm10040273. [PMID: 33322616 PMCID: PMC7768501 DOI: 10.3390/jpm10040273] [Citation(s) in RCA: 2] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 11/30/2020] [Accepted: 12/09/2020] [Indexed: 02/07/2023] Open
Abstract
The present study aimed to evaluate the accuracy of digitally designed surgical splints generated with milling technology (material subtractive procedure) and with 3D printing technology (material additive procedure) through a customized approach in the planning of surgical orthognathic splints. Cone beam computed tomography (CBCT) examinations and scanned dental models of 10 subjects who had required surgical treatment of skeletal malocclusion were included. Simulation of the orthognathic surgery was performed according to dento-skeletal and aesthetic characteristics of the subjects and the visual treatment objective (VTO), using Dolphin3D software (Dolphin Imaging, version 11.0, Chatsworth, CA, USA). Afterward, the Appliance Designer software (3Shape A/S, Copenhagen, Denmark) was used to digitally design the surgical splints that were generated twice using laser stereolithography technology (DWS 0.29D, DWS, Vicenza, Italy) and milling technology (Sirona inLab MC X5). Finally, each physical splint was digitalized using a desktop scanner (D500 3D, 3Shape A/S, Copenhagen, Denmark) in order to perform deviation analysis using the original project as a reference. The relative percentage of matching (trueness) was calculated (Geomagic Control X software (3D Systems, version 2018.1.1, 3D Systems, Rock Hill, SC, USA). An Independent Student's t-test was used to statistically analyze the data. The milled splints showed a lower value of root to mean square (RMS) relative to the original project (0.20 mm ± 0.018) compared to the prototyped splints (0.31 ± 0.021) (p < 0.001). According to the present findings, surgical splints generated with milling technology present higher trueness compared with 3D printing technology.
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Affiliation(s)
- Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Vincenzo Ronsivalle
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Giacomo Oteri
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, School of Dentistry, University of Messina, Via Consolare Valeria 1, 98123 Messina, Italy;
| | - Antonino Lo Giudice
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Corrado Toro
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Paola Campagna
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Romeo Patini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Correspondence: (R.P.); (G.I.); Tel.: +39-06-3015-4286 (R.P.); +39-09-5743-5359 (G.I.)
| | - Salvatore Bocchieri
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Alberto Bianchi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
| | - Gaetano Isola
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy; (G.P.); (V.R.); (A.L.G.); (C.T.); (P.C.); (S.B.); (A.B.)
- Correspondence: (R.P.); (G.I.); Tel.: +39-06-3015-4286 (R.P.); +39-09-5743-5359 (G.I.)
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Isola G, Polizzi A, Patini R, Ferlito S, Alibrandi A, Palazzo G. Association among serum and salivary A. actinomycetemcomitans specific immunoglobulin antibodies and periodontitis. BMC Oral Health 2020; 20:283. [PMID: 33059645 PMCID: PMC7565341 DOI: 10.1186/s12903-020-01258-5] [Citation(s) in RCA: 50] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 09/21/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The aim of this study was to assess the association between serum and salivary Immunoglobulin (Ig) Aggregatibacter actinomycetemcomitans (A. actinomycetemcomitans) specific antibodies in healthy controls (HC) and periodontitis (PT) patients. Furthermore, the objectives were to determine whether PT influenced serum A. actinomycetemcomitans specific antibodies and whether serum or salivary antibodies against A. actinomycetemcomitans IgG were mediated by serum high-sensitivity c-reactive protein (hs-CRP). METHODS Fifty-three patients with periodontitis and 48 HC were enrolled in the present study. Patients were regularly examined and characterized by clinical, salivary and blood samples analyses. A. actinomycetemcomitans IgA and IgG antibodies and hs-CRP were evaluated using a commercially available kit. The Spearman Correlation Test and Jonckheere-Terpstra Test were applied in order to assess the interdependence between serum A. actinomycetemcomitans IgG antibodies and clinical periodontal parameters. To evaluate the dependence of the serum and salivary A. actinomycetemcomitans IgG levels from possible confounders, univariate and multivariable linear regression analyses were performed. RESULTS Compared to HC, patients with PT had significantly higher IgA [serum: PT, 1.89 (1.2-2.2) EU vs HC, 1.37 (0.9-1.8) EU (p = 0.022); saliva: PT, 1.67 (1.4-2.1) EU vs HC, 1.42 (0.9-1.6) EU (p = 0.019)] and A. actinomycetemcomitans IgG levels [serum: PT, 2.96 (2.1-3.7) EU vs HC, 2.18 (1.8-2.1) EU (p < 0.001); saliva, PT, 2.19 (1.8-2.5) EU vs HC, 1.84 (1.4-2) EU (p = 0.028)]. In PT patients, serum A. actinomycetemcomitans IgG were associated with a proportional extent of PT and tooth loss (P-trend value< 0.001). The univariate regression analysis demonstrated that PT (p = 0.013) and high hs-CRP (p < 0.001) had a significant negative effect on serum and salivary A. actinomycetemcomitans IgG levels. The multivariate regression analysis showed that PT (p = 0.033), hs-CRP (p = 0.014) and BMI (p = 0.017) were significant negative predictors of serum A. actinomycetemcomitans IgG while hs-CRP (p < 0.001) and BMI (P = 0.025) were significant negative predictors of salivary A. actinomycetemcomitans IgG. CONCLUSIONS PT patients presented a significantly higher serum and salivary A. actinomycetemcomitans IgA and IgG compared to HC. There was a significant increase in serum A. actinomycetemcomitans IgG when patients presented a progressive extent of PT. Moreover, PT and hs-CRP were significant negative predictors of increased salivary and serum A. actinomycetemcomitans IgG levels. TRIAL REGISTRATION The study was retrospectively registered at clinicaltrials.gov ( NCT04417322 ).
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Affiliation(s)
- Gaetano Isola
- grid.8158.40000 0004 1757 1969Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy
| | - Alessandro Polizzi
- grid.8158.40000 0004 1757 1969Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy
| | - Romeo Patini
- grid.8142.f0000 0001 0941 3192Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Sebastiano Ferlito
- grid.8158.40000 0004 1757 1969Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy
| | - Angela Alibrandi
- grid.10438.3e0000 0001 2178 8421Department of Economical, Business and Environmental Sciences and Quantitative Methods, University of Messina, Messina, Italy
| | - Giuseppe Palazzo
- grid.8158.40000 0004 1757 1969Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, Via S. Sofia 78, 95124 Catania, Italy
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Fichera G, Polizzi A, Scapellato S, Palazzo G, Indelicato F. Craniomandibular Disorders in Pregnant Women: An Epidemiological Survey. J Funct Morphol Kinesiol 2020; 5:E36. [PMID: 33467252 PMCID: PMC7739292 DOI: 10.3390/jfmk5020036] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 05/28/2020] [Accepted: 06/01/2020] [Indexed: 11/16/2022] Open
Abstract
Temporomandibular joint (TMJ) disorder has been reported to be 1.5 to two times more common in women than men. Such a gender-based difference could be attributed to behavioral, hormonal, anatomical, and psychological characteristics. Physiological hormonal differences between genders could be one of the possible explanations for the higher incidence of temporomandibular disorder (TMD) in women. As the plasma level of certain female hormones increases during gestation, it could be assumed that there is a higher prevalence of dysfunctional signs and symptoms in pregnant women. We performed an epidemiological survey based on screening for TMD in a group of 108 pregnant women and found that 72% of young women reported significant signs of TMJ disorders, 9% of the young women reported mild signs of TMJ disorders, and 19% of the included subjects reported no signs or symptoms of TMD. The presence of estrogen receptors in the temporomandibular joint of female baboons could be the basis of an explanation for the increased prevalence of dysfunction in young women reported in the literature and the high feedback we have seen of joint noises in pregnant women. On the basis of the present findings, it could be assumed that gestation period could represent a risk factor for craniomandibular dysfunctions.
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Affiliation(s)
- Grazia Fichera
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95124 Catania, Italy; (G.F.); (S.S.); (G.P.); (F.I.)
| | - Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95124 Catania, Italy; (G.F.); (S.S.); (G.P.); (F.I.)
| | - Simone Scapellato
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95124 Catania, Italy; (G.F.); (S.S.); (G.P.); (F.I.)
- Department of Biomedical, Odontostomatological Sciences and of Morphological and Functional Images, University of Messina, 98125 Messina, Italy
| | - Giuseppe Palazzo
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95124 Catania, Italy; (G.F.); (S.S.); (G.P.); (F.I.)
| | - Francesco Indelicato
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95124 Catania, Italy; (G.F.); (S.S.); (G.P.); (F.I.)
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Gaudio F, Mazza P, Mele A, Palazzo G, Carella A, Pastore D, Cascavilla N, Pavone V, Specchia G. BRENTUXIMAB VEDOTIN PRIOR TO ALLOGENEIC STEM CELL TRANSPLANTATION IN HODGKIN'S LYMPHOMAS: A RETROSPECTIVE EXPERIENCE BY THE RETE EMATOLOGICA PUGLIESE (REP). Hematol Oncol 2019. [DOI: 10.1002/hon.172_2631] [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] [Indexed: 11/06/2022]
Affiliation(s)
- F. Gaudio
- Haematology; Policlinico Hospital; Bari Italy
| | - P. Mazza
- Haematology; “G.Moscati” Hospital; Taranto Italy
| | - A. Mele
- Haematology; “G.Panico” Hospital; Tricase (LE) Italy
| | - G. Palazzo
- Haematology; “G.Moscati” Hospital; Taranto Italy
| | - A. Carella
- Haematology; “Casa Sollievo della sofferenza” Hospital; San Giovanni Rotondo (FG) Italy
| | - D. Pastore
- Haematology; “A.Perrino” Hospital; Brindisi Italy
| | - N. Cascavilla
- Haematology; “Casa Sollievo della sofferenza” Hospital; San Giovanni Rotondo (FG) Italy
| | - V. Pavone
- Haematology; “G.Panico” Hospital; Tricase (LE) Italy
| | - G. Specchia
- Haematology; Policlinico Hospital; Bari Italy
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Cicala G, Velardi L, Palazzo G, Valentini A, Perna G, Capozzi V. Comparison between photoemitting and colloidal properties of nanodiamond particles. Colloids Surf A Physicochem Eng Asp 2017. [DOI: 10.1016/j.colsurfa.2017.04.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
Vancomycin containing nano-capsules have been synthesized in one step by means of aerosol-assisted atmospheric pressure plasma.
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Affiliation(s)
- C. Lo Porto
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
| | - F. Palumbo
- Institute of Nanotechnology
- National Research Council of Italy
- c/o Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
| | - G. Palazzo
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
| | - P. Favia
- Institute of Nanotechnology
- National Research Council of Italy
- c/o Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
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Mazza P, Palazzo G, Minoia C, Amurri B, Pisapia G. Autologous and allogeneic stem cell transplant in Jehovah’s Witnesses: a single-center experience on 22 patients. Bone Marrow Transplant 2016; 51:1002-3. [DOI: 10.1038/bmt.2016.29] [Citation(s) in RCA: 5] [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: 11/09/2022]
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Abstract
Here we investigate the structural evolution of TX100 micelles upon loading with several linear and cyclic alkanes by DLS, PGSE-NMR, 2D NOESY NMR, viscosity measurements, and molecular dynamic simulations.
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Affiliation(s)
- G. Giorgio
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
| | - G. Colafemmina
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
- Consorzio Interuniversitario Sistemi a Grande Interfase
| | - F. Mavelli
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
- Consorzio Interuniversitario Sistemi a Grande Interfase
| | - S. Murgia
- Department of Chemical & Geological Sciences
- University of Cagliari
- I-09042 Monserrato
- Italy
- Consorzio Interuniversitario Sistemi a Grande Interfase
| | - G. Palazzo
- Department of Chemistry
- University of Bari “Aldo Moro”
- 70126 Bari
- Italy
- Consorzio Interuniversitario Sistemi a Grande Interfase
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Minoia C, Pisapia G, Palazzo G, Ingrosso C, Buonanno M, Spinosa C, Prudenzano A, Pricolo G, Mazza P. Impact of novel agents followed by autologous hematopoietic stem cell transplantation for multiple myeloma patients aged 65 years or older: a retrospective single Institutional analysis. Bone Marrow Transplant 2015; 50:1486. [PMID: 26281030 DOI: 10.1038/bmt.2015.185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- C Minoia
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - G Pisapia
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - G Palazzo
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - C Ingrosso
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - M Buonanno
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - C Spinosa
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - A Prudenzano
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - G Pricolo
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
| | - P Mazza
- Haematology Unit and BMT, 'San Giuseppe Moscati' Hospital, Taranto, Italy
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Mele G, Melpignano A, Quarta G, Palumbo G, Capalbo S, Falcone A, Cascavilla N, Palazzo G, Mazza P, Iannitto E, Curci P, Rizzi R, Specchia G, Rossini B, Pavone V, Ria R, Vacca A, Buquicchio C, Tarantini G, Minoia C, Guarini A, Ditonno P, Polimeno G, Reddiconto G, Di Renzo N. “Real world” outcome of lenalidomide plus dexamethasone in the setting of recurrent and refractory multiple myeloma: Extended follow-up of a retrospective multicenter study by the “rete ematologica pugliese”. Leuk Res 2015; 39:279-83. [DOI: 10.1016/j.leukres.2014.12.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Revised: 12/01/2014] [Accepted: 12/14/2014] [Indexed: 11/29/2022]
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Perna G, Lasalvia M, D’Antonio P, Mallardi A, Palazzo G, Fiocco D, Gallone A, Cicero R, Capozzi V. Morphology of synthetic DOPA-eumelanin deposited on glass and mica substrates: An atomic force microscopy investigation. Micron 2014; 64:28-33. [DOI: 10.1016/j.micron.2014.03.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 03/25/2014] [Accepted: 03/30/2014] [Indexed: 11/27/2022]
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Fiorelli E, Lanti A, Ferraro A, Del Proposto G, Basso L, Chiru O, De Masi A, Antonelli M, Palazzo G, Massarelli R, Insalaco D, Ippolito M, Pattofatto F, Agostini F, Adorno G. Automated cell processing device to eliminate DMSO: experience of Policlinico Tor Vergata. Transfus Apher Sci 2014. [DOI: 10.1016/s1473-0502(14)50043-2] [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: 10/23/2022]
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Ronci C, Ferraro A, Lanti A, Papa A, Cipriani C, Insalaco D, Marconi G, Chiru O, Pattofatto F, Basso L, Palazzo G, Del Proposto G, Ippolito M, Sinopoli S, Adorno G. Platelet-rich plasma as treatment for persistent ocular epithelial defect. Transfus Apher Sci 2014. [DOI: 10.1016/s1473-0502(14)50046-8] [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: 11/30/2022]
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Argenziano G, Moscarella E, Annetta A, Battarra VC, Brunetti B, Buligan C, Cantisani C, Capizzi R, Carbone A, Carlino A, Corsetti V, Damiano A, De Salvo V, De Simone P, Di Caterino P, Fargnoli MC, Ferrari A, Fossati B, Frascione P, Ghigliotti G, González Inchaurraga MA, Guerriero C, Landi C, Mazzoni L, Mirizzi S, Palazzo G, Pedretti A, Peris K, Piemonte P, Rossi A, Satta R, Savoia F, Scalvenzi M, Stanganelli I, Stinco G, Zampieri P, Zalaudek I. Melanoma detection in Italian pigmented lesion clinics. GIORN ITAL DERMAT V 2014; 149:161-166. [PMID: 24819635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM Accuracy in melanoma detection is important to recognize early curable melanomas and to minimize the unnecessary excision of benign lesions. The aim of this paper was to evaluate melanoma screening accuracy of Italian pigmented lesion clinics in terms of number needed to excise (NNE), melanoma thickness, and number of melanomas diagnosed during patient follow-up. METHODS Information on all skin tumors excised in 2011 were extracted from the databases of the participating centers. Information whether the lesion was excised at the baseline examination or during patient follow-up was recorded, as well as the overall number of patients examined in each center in 2011. RESULTS After e-mail solicitation, 22 of 40 centers agreed to participate. A total of 8229 excised lesions were collected. The overall number of examined patients was 86.564, thus 9.5% of screened patients had a lesion removed. Of the excised lesions, 866 were diagnosed as melanoma (1% of examined patients) and 5311 (88.9%) were melanocytic nevi. Three NNE were calculated giving values of 7.9 excised lesions to find 1 melanoma, 7.1 melanocytic lesions to find 1 melanoma, and 3.7 lesions to find 1 skin malignancy. The median melanoma thickness was 0.6 mm, with only 15.1% of melanomas ≥ 1 mm of thickness. Melanomas detected over time were 96 (11.1%; mean thickness, 0.3 mm), with 15.6% of lesions excised after short-term follow-up and 84.4% after long-term follow-up. CONCLUSION The NNE values comparable to those achieved in specialized clinical settings and the high number of early melanomas diagnosed at the baseline examination or during patient follow-up indicate a high level of accuracy in melanoma screening achieved by Italian pigmented lesion clinics.
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MESH Headings
- Adolescent
- Adult
- Aged
- Ambulatory Care Facilities/statistics & numerical data
- Carcinoma, Basal Cell/diagnosis
- Carcinoma, Basal Cell/epidemiology
- Carcinoma, Basal Cell/surgery
- Carcinoma, Squamous Cell/diagnosis
- Carcinoma, Squamous Cell/epidemiology
- Carcinoma, Squamous Cell/surgery
- Dermatology/organization & administration
- Dermoscopy
- Early Detection of Cancer
- Female
- Follow-Up Studies
- Humans
- Italy/epidemiology
- Keratosis, Seborrheic/diagnosis
- Keratosis, Seborrheic/epidemiology
- Keratosis, Seborrheic/surgery
- Male
- Melanoma/diagnosis
- Melanoma/epidemiology
- Melanoma/pathology
- Melanoma/surgery
- Middle Aged
- Neoplasm Grading
- Nevus, Pigmented/diagnosis
- Nevus, Pigmented/epidemiology
- Nevus, Pigmented/pathology
- Nevus, Pigmented/surgery
- Skin Neoplasms/diagnosis
- Skin Neoplasms/epidemiology
- Skin Neoplasms/pathology
- Skin Neoplasms/surgery
- Young Adult
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Affiliation(s)
- G Argenziano
- Skin Cancer Unit Arcispedale Santa Maria Nuova IRCCS Reggio Emilia, Italy -
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Loreto C, Galanti C, Leonardi R, Musumeci G, Pannone G, Palazzo G, Rusu MC. Possible role of apoptosis in the pathogenesis and clinical evolution of radicular cyst: an immunohistochemical study. Int Endod J 2013; 46:642-8. [DOI: 10.1111/iej.12040] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2012] [Accepted: 11/15/2012] [Indexed: 12/31/2022]
Affiliation(s)
- C. Loreto
- Department of Bio-Medical Sciences; Section of Anatomy; University of Catania; Catania; Italy
| | - C. Galanti
- Department of Orthodontics; University of Catania; Catania; Italy
| | - R. Leonardi
- Department of Orthodontics; University of Catania; Catania; Italy
| | - G. Musumeci
- Department of Bio-Medical Sciences; Section of Anatomy; University of Catania; Catania; Italy
| | - G. Pannone
- Department of Surgical Sciences; Institute of Pathology and Cytopathology; University of Foggia; Foggia; Italy
| | - G. Palazzo
- Department of Orthodontics; University of Catania; Catania; Italy
| | - M. C. Rusu
- Faculty of Dental Medicine; “Carol Davila” University of Medicine and Pharmacy; Bucharest; Romania
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Sicurezza E, Palazzo G, Leonardi R. Three-dimensional computerized tomographic orbital volume and aperture width evaluation: a study in patients treated with rapid maxillary expansion. ACTA ACUST UNITED AC 2011; 111:503-7. [PMID: 21420642 DOI: 10.1016/j.tripleo.2010.11.022] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2010] [Revised: 11/14/2010] [Accepted: 11/22/2010] [Indexed: 10/18/2022]
Abstract
OBJECTIVE The purpose of this study was to assess the influence of rapid maxillary expansion (RME) on orbital volume and aperture width measurements by using freeware software with DICOM data from low-dose-protocol multidetector computerized tomography (MDCT). STUDY DESIGN The subjects consisted of 30 patients (12 male, 18 females) treated with a Hyrax Palatal Expander, activated 3 times per day (0.25 mm per turn of the screw) for an average of 18 days. Low-dose MDCT was performed immediately before (T1) and after (T2) treatment. DICOM data was exported into the open-source OsiriX Medical Imaging software (www.osirix-viewer.com), the data reoriented to a standard projection, and then orbital volumetric and maximum aperture measurements performed. RESULTS Orbital mean volumes increased significantly from 18.81 ± 1.23 cm(3) (T1) to 19.53 ± 1.26 cm(3) (T2). Orbital aperture width also increased significantly from 36.02 ± 1.24 mm (T1) to 37.11 ± 1.01 mm (T1). CONCLUSIONS RME produces small but significant increases in orbital dimensions. However, RME does not produce drastic changes of the normal architecture of the orbital bones and is unlikely to alter the normal anatomy of the face.
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Leonardi R, Santarelli A, Barbato E, Ciavarella D, Bolouri S, Härle F, Palazzo G, Lo Muzio L. Atlanto-occipital ligament calcification: a novel sign in nevoid basal cell carcinoma syndrome. Anticancer Res 2010; 30:4265-4267. [PMID: 21036751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND The nevoid basal cell carcinoma syndrome (NBCCS), first described by Gorlin and Goltz in 1960, is a hereditary autosomal dominant disease with high penetrance and variable expressivity. Almost 70% of patients with NBCCS have some degree of craniofacial anomaly. Among these, the presence of ectopic calcification have been reported but Atlanto-occipital ligament calcification has never been described. Therefore this investigation was carried out to determine the prevalence of atlanto-occipital ligament calcification on lateral x-ray of NBCCS patients aiming to assess the effectiveness of this sign in NBCCS diagnosis. PATIENTS AND METHODS Lateral and frontal cephalometric radiographs of 18 patients (11 males and 7 females), aged 8-61 years, with the diagnosis of NBCCS were evaluated for the presence of intracranial calcifications (diaphragma sellae and falx cerebri) and or calcification of the atlanto-occipital ligament. RESULTS A total of 11 patients presented calcification of atlanto-occipital ligament to various degrees and in three cases this represented the only sign of ectopic calcification. When compared to the other two sites of ossification, atlanto-occipital ligament calcification had a similar prevalence. CONCLUSION The calcification of the atlanto-occipital ligament should be considered in addition to the other major criteria for NBCCS diagnosis.
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Affiliation(s)
- Rosalia Leonardi
- Department of Medical and Surgical Sciences, II Dental Unity, University of Catania, Catania, Italy
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Angelico R, Rossi CO, Ambrosone L, Palazzo G, Mortensen K, Olsson U. Ordering fluctuations in a shear-banding wormlike micellar system. Phys Chem Chem Phys 2010; 12:8856-62. [DOI: 10.1039/b926152d] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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38
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Palazzo G, Mena S. [Can tobacco companies be good corporate citizens?]. Rev Med Suisse 2009; 5:1454-1456. [PMID: 19634530] [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: 05/28/2023]
Abstract
Tobacco companies have jumped on the Corporate social responsibility (CSR) bandwagon as a tentative to be societally accepted as responsible actors and good corporate citizens. This is however not possible for two reasons. First, the product they sell is lethal and thus not compatible with the precondition of doing no harm to be a good corporate citizen. Second, the behavior of tobacco firms is not responsible, being illustrated by four examples: junk science versus sound science strategy, seducing young smokers, political lobbying and getting customers on new markets. To conclude, three implications for regulating the activities of the tobacco industry are given.
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Affiliation(s)
- G Palazzo
- Guido Palazzo et Sébastien Mena, Faculté HEC, Université de Lausanne, 1015 Lausanne
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Pedullà E, Meli GA, Garufi A, Cascone P, Mandalà ML, Deodato L, Palazzo G. Morphometric evaluation of the temporomandibular joint and the masticatory spaces: the role of high-definition MRI. Minerva Stomatol 2009; 58:127-143. [PMID: 19369919] [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: 05/27/2023]
Abstract
AIM The aim of this work was to describe the anatomy of the temporomandibular joint (TMJ), the masticator spaces and their possible variance by means of magnetic resonance imaging MRI. METHODS We evaluated one TMJ in each of 28 volunteers (14 males and 14 females) without temporomandibular disorders. The TMJ with mouth closed was evaluated on axial, coronal and sagittal planes obtained with a 1.5 Tesla magnetic resonance scanner. MRI scans of the anatomic patterns of the temporomandibular region were analyzed and compared with the classical anatomy notions reported in the literature. Morphometric evaluation of the temporomandibular region and the medial and lateral pterygoid muscles was carried out. RESULTS MRI anatomy of the TMJ, the masticator spaces and their possible variance were accurately described. In addition, morphometric evaluation of the TMJ and the masticator spaces was performed. Statistical analysis of the measurements showed that the length of the structures related to the glenoid fossa were usually longer in the female than in the males, whereas the condyle and masticator muscles were usually greater in the males than in the females. T-tests showed no significant differences (P > 0.05) between the measurements of the right and left TMJ. CONCLUSIONS In preoperative maxillofacial surgery assessment, MRI is a useful tool to reduce operating time, avert surgical complications and improve patient outcome.
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Affiliation(s)
- E Pedullà
- DMD, University of Rome La Sapienza, Rome, Italy.
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Abballe F, Lombardi M, Maccone I, Palazzo G, Severoni A, Travaini S, Venturini A. New method for low molecular weight heparin quantification in tablets by suppressed conductivity detection and cryptand column. J Pharm Biomed Anal 2008; 48:467-71. [DOI: 10.1016/j.jpba.2008.04.009] [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] [Received: 11/13/2007] [Revised: 04/05/2008] [Accepted: 04/07/2008] [Indexed: 10/22/2022]
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Alberti G, D'Agostino G, Palazzo G, Biesuz R, Pesavento M. Aluminium speciation in natural water by sorption on a complexing resin. J Inorg Biochem 2005; 99:1779-87. [PMID: 16055193 DOI: 10.1016/j.jinorgbio.2005.06.017] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2005] [Revised: 06/14/2005] [Accepted: 06/16/2005] [Indexed: 11/16/2022]
Abstract
Very stable aluminium complexes may be present in natural waters, which can be detected only using appropriate methods. One of them is the resin titration based on the sorption of aluminium on a strongly sorbing resin, Chelex 100. It was here used to detect strong aluminium complexes, and to characterize them by determining their concentration, and the corresponding stability constant. High and low salinity waters were sampled in different sites in the North of Italy. In all the samples aluminium complexes with high stability constant, up to 10(17.4) M(-1) in the less acidic solution, were detected. The stability constant depends mainly on the solution acidity, increasing with increasing pH up to 7. The concentration of the ligands responsible for the strong complexation is similar to that of aluminium (from 0.5 to 1.5 microM), or somewhat lower in the case of estuarine and sea waters. A small fraction of aluminium (from 0% to 2%) in freshwaters, higher in estuarine and sea waters (14% and 10%, respectively), is present in weakly bound forms which could also be the hydrolysis products. The conditional constants of the strong complexes were determined for the different samples examined. They were found to be slightly lower in the case of the high salinity waters, in which a value of 10(16.1) M(-1) at pH 7.5 was obtained. This is probably due to the higher ionic strength in marine water, which strongly influences the complexation of trivalent metal ions, as seen for example also in the hydrolysis. It could be deduced that similar substances, but at different concentration, would be responsible for the aluminium complexation in the sea and freshwaters here examined. They could be natural organics like fulvic substances, or better some particular complexing sites in this substances with very high affinity for aluminium.
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Affiliation(s)
- G Alberti
- Dipartimento di Chimica Generale, Università di Pavia, via Taramelli, 12, 27100 Pavia, Italy.
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Angelico R, Burgemeister D, Ceglie A, Olsson U, Palazzo G, Schmidt C. Deuterium NMR Study of Slow Relaxation Dynamics in a Polymer-like Micelles System after Flow-Induced Orientation. J Phys Chem B 2003. [DOI: 10.1021/jp0356259] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- R. Angelico
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
| | - D. Burgemeister
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
| | - A. Ceglie
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
| | - U. Olsson
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
| | - G. Palazzo
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
| | - C. Schmidt
- Consorzio per lo sviluppo dei Sistemi a Grande Interfase (CSGI) c/o Università del Molise (DISTAAM), via De Sanctis, I-86100 Campobasso, Italy, Institut für Makromolekulare Chemie, Universität Freiburg, Stefan-Meier-Strasse 31, D-79104 Freiburg, Germany, Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O.Box 124, S-22100 Lund, Sweden, Dipartimento di Chimica, Università di Bari, via Orabona 4, I-70126 Bari, Italy, and Fakultät für Naturwissenschaften, Department
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Mazza P, Prudenzano A, Amurri B, Palazzo G, Pisapia G, Stani L, Pricolo G. Myeloablative therapy and bone marrow transplantation in Jehovah's Witnesses with malignancies: single center experience. Bone Marrow Transplant 2003; 32:433-6. [PMID: 12900781 DOI: 10.1038/sj.bmt.1704179] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Hematological malignancies in Jehovah's Witnesses are often difficult to cure since these patients deny transfusions. By a retrospective analysis, we report the possibility of treating some tumors, mostly hematological, with either autologous or allogeneic bone marrow transplantation (BMT) without blood support. Eight patients were evaluated, including lymphoma (two patients), acute lymphoblastic (one patient) and myeloblastic (one patient) leukemia, chronic lymphocytic leukemia (one patient), refractory anemia with blasts in transformation (one patient), chronic myeloid leukemia (one patient) and metastatic breast cancer (one patient). All patients experienced a severe cytopenia with no major side effects or life-threatening complications. We had four deaths: three from relapse and progression of the disease (at 5, 8 and 15 months after the stem cell infusion), and one from acute intestinal GVHD (at 2 months after the stem cell infusion). Four patients are in complete clinical remission (at 8, 10, 16 and 26 months after the stem cell infusion), and this was related to the disease outcome. We conclude that autologous and allogeneic BMT are feasible without the support of transfusions. We believe that this should be performed as soon as possible in the course of the disease.
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Affiliation(s)
- P Mazza
- Struttura Complessa di Ematologia, Azienda Ospedaliera SS.Annunziata, Taranto, Italy.
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Cigliano B, De Franciscis A, Palazzo G, Pisanti A, Rufolo L, Di Martino L. [Bilobectomy in a brazilian infant suffering from extensive monolateral pulmonary TBC]. Infez Med 2003; 7:125-128. [PMID: 12759593] [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: 03/02/2023]
Abstract
As there has recently been a significant increase in childhood tuberculosis, we considered an important contribution the clinical case of an infant from Brazil, who underwent right bilobectomy to treat a previously poorly cured enlarged pulmonary tubercular infiltrate.
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Affiliation(s)
- B. Cigliano
- Cattedra di Chirurgia Pediatrica e Dipartimento di Pediatria, Universita Federico II di Napoli, Italy
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Affiliation(s)
- R. Angelico
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
| | - U. Olsson
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
| | - K. Mortensen
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
| | - L. Ambrosone
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
| | - G. Palazzo
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
| | - A. Ceglie
- Physical Chemistry 1, Center for Chemistry and Chemical Engineering, Lund University, P.O. Box 124, S-221 00 Lund, Sweden, DISTAM, Università del Molise, v. De Santis, I-861 00 Campobasso, Italy, Condensed Matter Physics and Chemistry Department, Risø National Laboratory, DK-4000 Roskilde, Denmark, and Dipartimento di Chimica, Università di Bari, v. Orabona 4, I-70126 Bari, Italy
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Mazza P, Palazzo G, Amurri B, Pricolo G, Prudenzano A, Stani L. Rituximab with peripheral blood stem cell transplantation in CD20 lymphoproliferative disorders. Haematologica 2001; 86:1104-5. [PMID: 11602420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023] Open
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Palazzo G. [Morphofunctional aspects of the stomatognathic apparatus in the totally edentulous patient. Prosthetic rehabilitation]. Minerva Stomatol 2001; 50:165-71. [PMID: 11420568] [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: 02/20/2023]
Abstract
The authors examined the morphofunctional aspects of the various structures of the stomatognathic apparatus in the totally edentulous patient with the aim of carrying out and incorporating full prosthetic restoration. The following aspects are evaluated: 1) the reactive behaviour or resilience of the fibromucous support in the various areas under the functional load and its functional conditioning; 2) the vertical and horizontal intermaxillary ratios. Its modifications in an edentulous subject; 3) the evaluation and optimisation of the verticentre, namely the correct stable functional centre reference; 4) the regulation of muscle strength in relation to the length of contraction of muscle fibre; 5) type 3 lever mechanism in mandibular function and the creation of a balance distribution of occlusal forces in the centre. A suitable functional occlusive scheme in the total prosthesis achieves a correct adjustment of muscle contraddiction and a balanced distribution of load forces on the supporting tissues and on the temporomandibular joints. It constitutes a functional centre reference which centralises and stabilises the jaw and the prosthesis. In addition to correct technical installation, this also depends on a detailed preliminary diagnostic evaluation of the anatomofunctional conditions of all the structures in the stomatognathic apparatus of the subject to be treated.
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Affiliation(s)
- G Palazzo
- Facoltà di Medicina e Chirurgia, Corso di Laurea in Odontoiatria e Protesi Dentaria, Università degli Studi, Catania, Italy
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Mazza P, Palazzo G, Amurri B, Cervellera M, Rizzo C, Maggi A. Acute leukemia in Jehovah's Witnesses: a challenge for hematologists. Haematologica 2000; 85:1221-2. [PMID: 11064477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
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Palazzo G, Mallardi A, Giustini M, Berti D, Venturoli G. Cumulant analysis of charge recombination kinetics in bacterial reaction centers reconstituted into lipid vesicles. Biophys J 2000; 79:1171-9. [PMID: 10968981 PMCID: PMC1301013 DOI: 10.1016/s0006-3495(00)76371-5] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
The kinetics of charge recombination between the primary photoxidized donor (P(+)) and the secondary reduced quinone acceptor (Q(B)(-)) have been studied in reaction centers (RCs) from the purple photosynthetic bacterium Rhodobacter sphaeroides incorporated into lecithin vesicles containing large ubiquinone pools over the temperature range 275 K </= T </= 307 K. To account for the non-exponential kinetics of P(+) re-reduction observed following a flash, a new approach has been developed, based on the following assumptions: 1) the exchange of quinone between different vesicles is negligible; 2) the exchange of quinone between the Q(B) site of the RC and the quinone pool within each single vesicle is faster than the return of the electron from the primary reduced acceptor Q(A)(-) to P(+); 3) the size polydispersity of proteoliposomes and the distribution of quinone molecules among them result in a quinone concentration distribution function, P(Q). The first and second moments of P(Q) have been evaluated from the size distribution of proteoliposomes probed by quasi-elastic light scattering (mean radius, <R> = (50 +/- 15) nm). Following these premises, we describe the kinetics of P(+)Q(B)(-) recombination with a truncated cumulant expansion and relate it to P(Q) and to the free energy changes for Q(A)(-)Q(B) --> Q(A)Q(B)(-) electron transfer (DeltaG(AB)(o)) and for quinone binding (DeltaG(bind)(o)) at Q(B). The model accounts well for the temperature and quinone dependence of the charge recombination kinetics, yielding DeltaG(AB)(o) = -7.67 +/- 0.05 kJ mol(-1) and DeltaG(bind)(o) = -14.6 +/- 0.6 kJ mol(-1) at 298 K.
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Affiliation(s)
- G Palazzo
- Dip. Chimica, Università di Bari, I-70126 Bari, Italy.
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Mazza P, Amurri B, Palazzo G, Prudenzano A, Pricolo G, Stani L. Fludarabine containing regimen followed by autologous peripheral blood stem cell transplantation in unselected patients with acute myeloid leukemia: a single center experience. Haematologica 2000; 85:222-4. [PMID: 10681741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
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