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Biliary complications after liver transplantation:current perspectives and future strategies

Hepatobiliary Surgery and Nutrition 2021年第1期10卷 76-92页

作者： Bianca Magro Matteo Tacelli alessandra mazzola Filomena Conti Ciro Celsa Section of Gastroenterology and Hepatology Dipartimento di Promozione della SaluteMaterno-InfantileMedicina Interna e Specialistica di Eccellenza(PROMISE)University of PalermoPalermoItaly Service d'Hépatologie et Transplantation Hépatique Hôpital de la PitiéSalpétrièreAP-HPParisFrance

Importance:Liver transplantation(LT)is a life-saving therapy for patients with end-stage liver disease and with acute liver failure,and it is associated with excellent outcomes and survival rates at 1 and 5 *** incidence of biliary complications(BCs)after LT is reported to range from 5%to 20%,most of them occurring in the first three months,although they can occur also several years after ***:The aim of this review is to summarize the available evidences on pathophysiology,risk factors,diagnosis and therapeutic management of BCs after *** Review:a literature review was performed of papers on this topic focusing on risk factors,classifications,diagnosis and treatment Findings:Principal risk factors include surgical techniques and donor’s characteristics for biliary leakage and anastomotic biliary strictures and vascular alterations for non-anastomotic biliary *** is the gold standard both for intra-and extrahepatic BCs,while invasive cholangiography should be restricted for therapeutic uses or when MRCP is *** treatment,endoscopic techniques are the first line of treatment with success rates of 70-100%.The combined success rate of ERCP and PTBD overcome 90%of *** leaks often resolve spontaneously,or with the positioning of a stent in ERCP for major bile leaks Conclusions and Relevance:BCs influence morbidity and mortality after LT,therefore further evidences are needed to identify novel possible risk factors,to understand if an immunological status that could lead to their development exists and to compare the effectiveness of innovative surgical and machine perfusion techniques.

关键词： Liver transplantation(LT) biliary tract diseases cholangiography cholangiopancreatography endoscopic retrograde review

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COVID-19 in a liver transplant recipient:Could iatrogenic immunosuppression have prevented severe pneumonia?A case report

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World Journal of Gastroenterology 2020年第44期26卷 7076-7084页

作者： Anna Sessa alessandra mazzola Chetana Lim Mohammed Atif Juliana Pappatella Valerie Pourcher Olivier Scatton Filomena Conti Department of Hepatology and Gastroenterology University of Naples Federico IINapoli 80131Italy APHP Unite Medicale de Transplantation Hepatique Hopital Pitie SalpetriereParis 75013France Sorbonne Universite INSERMCentre de Recherche Saint-Antoine(CRSA)Paris 75013France APHP Unite de Chirurgie Hepatobiliaire et Transplantation HepatiqueHopital Pitie SalpetriereParis 75013France APHP Centre d’immunologie et des Maladies InfectieusesInserm U1135Hopital Pitie-SalpetriereParis 75013France Hospital Felicio Rocho Barro Preto 9530Brazil APHP Service des Maladies InfectieusesHopital Pitie SalpetriereParis 75013France Sorbonne Universite INSERMInstitute of Cardiometabolisme and Nutrition(ICAN)Paris 75013France

BACKGROUND Coronavirus disease(COVID)is a new and highly contagious infectious disease caused by the coronavirus(COVID-19 or severe acute respiratory syndrome coronavirus 2).There is limited data regarding the incidence and management of COVID-19 in immunocompromised patients’*** the pre-COVID-19 era,these patients were already at an increased risk of developing opportunistic *** often manifested with atypical *** SUMMARY We report another case of uneventful COVID-19 pneumonia in a 58-year old male who was 18 mo’post liver *** received tacrolimus monotherapy since July *** clinical manifestations included only epigastric pain radiating to the right hypochondrium,nausea and *** had no fevers,cough,shortness of breath,anosmia or dysgeusia even if the chest computed tomography scan revealed an extension of the multiple patchy ground-glass density shadows to the upper lobe of the left lung *** was hospitalised and received a course of oral chloroquine(200 mg×3 per day)for a period of 10 ***,the COVID 19 infection was uneventful though there were no modifications to his tacrolimus *** was successfully *** performed subsequent follow-up via *** In light of the current pandemic,it is even more important to identify how the liver recipient’s patients present and are managed,especially for immunosuppression treatment.

关键词： Liver transplantation COVID-19 Immunosuppression Gastrointestinal symptom Infection Case report

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Polymerization of 1,3-Butadiene with Catalysts Based on Cobalt Dichloride Complexes with Aminophosphines: Switching the Regioselectivity by Varying the MAO/Co Molar Ratio

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Chinese Journal of Polymer Science 2024年第4期42卷 501-510页

作者： Giovanni Ricci Anna Sommazzi Francesco Masi alessandra Forni CNR-Istituto di Scienze e Tecnologie Molecolari“Giulio Natta”(SCITEC) via A.Corti 1220133MilanoItaly Viale Giovanni XXIII 34 I-28100NovaraNOItaly Via Galvani 7 I-26866Sant’Angelo LodigianoLOItaly CNR-Istituto di Scienze e Tecnologie Molecolari“Giulio Natta”(SCITEC) via C.Golgi 1920133MilanoItaly

Several novel cobalt dichloride complexes with amino-phosphine bidentate ligands were synthesized and *** some of them single crystals were obtained and their molecular structure was determined by X-ray diffraction *** the complexes were then used in combination with MAO for the polymerization of 1,3-butadiene,obtaining polymers with different structures(i.e.,predominantly 1,2 or cis-1,4)mainly depending on the type of ligand and on the MAO/Co molar *** behavior of these novel catalysts was compared with that exhibited,in the polymerization of the same monomer,by the systems CoCl_(2)(PR3)2-MAO and CoCl_(2)(PRPh2)2-MAO(R=alkyl or cycloalkyl group),and by the systems based on cobalt dichloride complexes with various bi-and tridentate ligands(e.g.,diphosphines,bis-imines,pyridyl-imines,bis-iminopyridines).The comparison between the different systems allowed us to make some clarity about the actual and effective role played by the various types of ligands in the polymerization of conjugated dienes with catalytic systems CoCl_(2)(L)-MAO,in which L=mono-,bi-,or tri-dentate ligand.

关键词： 1,3-Butadiene Stereospecific polymerization Cobalt catalysts Regioselectivity Aminophosphine ligands Crystal structures Chelate rings

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Fashion and Brand Awareness: An Evidence-Based Approach to the Analysis of Distinctive Elements in Communication

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Journal of Textile Science and Technology 2020年第4期6卷 177-189页

作者： Giovanni Maria Conti alessandra mazzola Martina Motta Margherita Pillan Dipartimento del Design Politecnico di Milano Milan Italy

Brand identity is a key topic in fashion design and communication. It relies on several tangible and intangible elements, such as recognisability of trademarks and styles, of materials and processing details, on storytelling, values, testimonials, company history and so on. The evolution of communication strategies in the digital era, and of globalised markets, demands rational, evidence-based management of the public image of brands. This article offers a theoretical discussion of the structural elements which play a part in establishing the public identity of fashion brands in the era of digital communication, and an innovative approach to the evidence-based investigation of the identity of a number of fashion brands as perceived by customers. The approach proposed here is based on a mix of interviews exploring subjective brand awareness, and objective monitoring of visual attention through eye-tracking. The article also summarises findings obtained by applying this approach to several subjects exposed to communication artefacts produced by fashion brands in order to obtain some information of general interest regarding the factors that influence customers’ mental models.

关键词： Fashion Brand Design Eye Tracking Brand Identity Communication Experience

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A Methodology for Vulnerability Assessment of Cultural Heritage in Extreme Climate Changes

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International Journal of Disaster Risk Science 2024年第3期15卷 404-420页

作者： Riccardo Cacciotti Alessandro Sardella Milo? Drdácky alessandra Bonazza Institute of Theoretical and Applied Mechanics Czech Academy of Sciences Institute of Atmospheric Sciences and Climate National Research Council of Italy Department of Environmental and Prevention Sciences University of Ferrara Istituto Superiore per la Protezione e la Ricerca Ambientale

Vulnerability evaluation plays a key role in risk assessment and reduction and is essential for defining strategies for climate change adaptation and mitigation. In dealing with the safeguarding of cultural heritage at risk, we are still far from adopting and applying an agreed methodology for vulnerability assessment. With the aim to support practitioners, heritage managers,and policy and decision makers to undertake actions that address the protection of cultural heritage at risk, the methodology set up in the framework of the Interreg Central Europe STRENCH is illustrated and discussed here. Based on three major requirements(susceptibility, exposure, and resilience) and a continuous consultation with local stakeholders, the proposed methodology is applicable for evaluating the vulnerability of built heritage and cultural landscape exposed to hydrometeorological hazards, such as heavy rains, floods, and droughts. The results obtained through its validation on 15 case studies from seven Central European regions are shown to underline the strengths and limitations of the methodological *** consultation with local stakeholders was fundamental for the definition of the criteria/subcriteria and related values for the assessment of the requirements. Application to further sites in other contexts would surely contribute to strengthening the reliability of the methodological approach.

关键词： Built and natural heritage Exposure Heritage vulnerability Resilience Risk management Susceptibility

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Impact of cattle density on the structure and natural regeneration of a turkey oak stand on an agrosilvopastoral farm in central Italy

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Journal of Forestry Research 2024年第1期35卷 168-182页

作者： alessandra Pacini Francesco Pelleri Francesco Marini Alberto Maltoni Barbara Mariotti Gianluigi Mazza Maria Chiara Manetti Department of Agriculture FoodEnvironmentand ForestryUniversity of Florence50144 FlorenceItaly CREA Research Centre for Forestry and Wood 52100 ArezzoItaly PEFC Programme for the Endorsement of Forest Certification 06135 PerugiaItaly

On an agrosilvopastoral farm in central Italy where Maremmana cattle graze in Turkey oak forests,we evaluated the impact of different livestock densities on stand structure,tree diversity and natural regeneration in four types of grazed areas based on the grazing regime adopted:calf-grazed,high-intensity-grazed,low-intensity-grazed,ungrazed *** each area,we set up three permanent circular plots(radius of 15 m)to survey the structural and dasometric characteristics of the overstorey,understorey,and regeneration *** results showed that grazing negatively affected the complexity of the forest structure and its potential to regenerate and maintain a high level of *** differences in stand structure observed between the grazing areas were closely related to livestock *** most sensitive components of the system were the understorey and the regeneration ***,the current grazing management did not affect the dominant tree structure or its *** findings identified medium-term monitoring and regeneration management as the two significant aspects to consider when assessing sustainable *** forests can be established by excluding graz-ing for about 20–25 years.

关键词： Agroforestry Stand structure Regeneration Tree biodiversity Grazing intensity

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Prognosis value of heat-shock proteins in esophageal and esophagogastric cancer:A systematic review and meta-analysis

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World Journal of Gastrointestinal Oncology 2024年第4期16卷 1578-1595页

作者： Eric Toshiyuki Nakamura Amanda Park Marina alessandra Pereira Daniel Kikawa Francisco Tustumi Department of Gastroenterology Instituto do CâncerHospital das Clínicas da Universidade de São PauloFaculdade de MedicinaUniversidade de São PauloSão Paulo 01246000Brazil Department of Scientific Initiation Universidade Mogi das CruzesSão Paulo 08780911Brazil Department of Evidence-Based Medicine Centro Universitário LusíadaCentre for Evidence-Based MedicineCentro Universitário Lusíada(UNILUS)SantosBrazil Department of Surgery Hospital Israelita Albert EinsteinSão Paulo 05652900Brazil

BACKGROUND Heat shock proteins(HSPs)are molecular chaperones that play an important role in cellular protection against stress events and have been reported to be overex-pressed in many *** prognostic significance of HSPs and their regulatory factors,such as heat shock factor 1(HSF1)and CHIP,are poorly *** To investigate the relationship between HSP expression and prognosis in esophageal and esophagogastric *** A systematic review was conducted in accordance with PRISMA recommend-ations(PROSPERO:CRD42022370653),on Embase,PubMed,Cochrane,and ***,case-control,and cross-sectional studies of patients with eso-phagus or esophagogastric cancer were ***-positive patients were compared with HSP-negative,and the endpoints analyzed were lymph node metastasis,tumor depth,distant metastasis,and overall survival(OS).HSPs were stratified according to the HSP family,and the summary risk difference(RD)was calculated using a random-effect *** The final selection comprised 27 studies,including esophageal squamous cell carcinoma(21),esophagogastric adenocarcinoma(5),and mixed neoplasms(1).The pooled sample size was 3465 ***40 and 60 were associated with a higher 3-year OS[HSP40:RD=0.22;95%confidence interval(CI):0.09-0.35;HSP60:RD=0.33;95%CI:0.17-0.50],while HSF1 was associated with a poor 3-year OS(RD=-0.22;95%CI:-0.32 to-0.12).The other HSP families were not associated with long-term ***1 was associated with a higher probability of lymph node metastasis(RD=-0.16;95%CI:-0.29 to-0.04).HSP40 was associated with a lower probability of lymph node dissemination(RD=0.18;95%CI:0.03-0.33).The expression of other HSP families was not significantly related to tumor depth and lymph node or distant *** The expression levels of certain families of HSP,such as HSP40 and 60 and HSF1,are associated with long-term survival and lymph node dissemination in patients with esophageal and esophagogastric cancer.

关键词： Heat-shock proteins Heat-shock response Prognosis Esophageal neoplasms Meta-analysis

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从热力学计算到定形体系的实验表征设计全金属复合相变材料

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Transactions of Nonferrous Metals Society of China 2024年第5期34卷 1393-1412页

作者： Chiara CONFALONIERI alessandra CAMNAGHI Elisabetta GARIBOLDI Politecnico di Milano Department of Mechanical EngineeringVia La Masa 120156 MilanItaly

用于热能管理的复合相变材料(C-PCMs)利用其一个或多个低熔点活性相的可逆相变(如熔化—凝固)存储和释放热能作为潜热。同时,高熔点的惰性相可以提供额外的性能,如定形性和改善的导热性。从难混溶合金中可获得具有这些特征的全金属复合... 详细信息

用于热能管理的复合相变材料(C-PCMs)利用其一个或多个低熔点活性相的可逆相变(如熔化—凝固)存储和释放热能作为潜热。同时,高熔点的惰性相可以提供额外的性能,如定形性和改善的导热性。从难混溶合金中可获得具有这些特征的全金属复合材料体系。本文将热力学计算和实验测试相结合,探讨二元(Al-In,Al-Sn,Al-Bi和Cu-Bi)和三元(Al-In-Sn和Al-Bi-Sn)难混溶合金在100~300℃的温度范围内用作C-PCMs的潜力。结果表明,将这两种方法相结合对于全面理解复合体系和找到满足设计需求的最佳解决方案十分必要,它克服了“试错”法浪费时间的弊端,并为模拟提供了高质量的数据。

关键词：复合相变材料合金设计热力学性能定形性储热

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Phosphodiesterase 9 localization in cytoplasm and nucleus:the gateway to selective targeting in neuroprotection?

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Neural Regeneration Research 2025年第6期20卷 1701-1702页

作者： Giovanni Ribaudo Matteo Giannangeli Margrate Anyanwu alessandra Gianoncelli Department of Molecular and Translational Medicine University of BresciaBresciaItaly

The umbrella term"neurodege ne rative disorders"(NDDs) refers to several conditions characterized by a progressive loss of structure and function of cells belonging to the nervous *** diseases affect more than 50million people *** disorders are characterized by sundry factors and pathophysiological mechanisms that a re challenging to be fully *** of these rely on cell signaling pathways to preserve homeostasis,involving second messengers such as cyclic adenosine monophosphate (cAMP)and cyclic guanosine 3',5'-monophosphate(cGMP).Their ability to control the duration and amplitude of the signaling cascade is given by the presence of several common and uncommon *** kinases A and G (PKA and PKG),phosphodiesterases (PDEs),and scaffold proteins are among them.

关键词： gateway homeostasis preserve

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Risk factors for long COVID in children and adolescents:a systematic review and meta-analysis

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World Journal of Pediatrics 2024年第2期20卷 133-142页

作者： Daniel G.Rayner Elaine Wang Cloris Su Om D.Patel Stephanie Aleluya alessandra Giglia Evelyn Zhu Maha Siddique Department of Health Research Methods Evidenceand ImpactFaculty of Health SciencesMcMaster University1280 Main St WHamiltonONL8S 4K1Canada Faculty of Health Sciences McMaster University1280 Main St WHamiltonON L8S 4K1Canada Faculty of Science McMaster University1280 Main St WHamiltonONL8S 4K1Canada

Background The long-term sequelae of COVID-19 in children and adolescents remain poorly understood and *** systematic review and meta-analysis sought to summarize the risk factors for long COVID in the pediatric *** We searched six databases from January 2020 to May 2023 for observational studies reporting on risk factors for long COVID or persistent symptoms those were present 12 or more weeks post-infection using multivariable regression *** registries,reference lists of included studies,and preprint servers were hand-searched for relevant ***-effects meta-analyses were conducted to pool odds ratios for each risk *** study risk of bias was rated using QUIPS,and the GRADE framework was used to assess the certainty of evidence for each unique *** Sixteen observational studies(N=46,262)were included,and 19 risk factors were amenable to *** moderate certainty in the evidence,age(per 2-year increase),allergic rhinitis,obesity,previous respiratory diseases,hospitalization,severe acute COVID-19,and symptomatic acute COVID-19 are probably associated with an increased risk of long *** sex,asthma,comorbidity,and heart diseases may be associated with an increased risk of long COVID,and Asian and Black races may be associated with a decreased risk of long *** did not observe any credible subgroup effects for any risk *** The current body of literature presents several compelling risk factors for the development of long COVID in the pediatric *** research is necessary to elucidate the pathophysiology of long COVID.

关键词： COVID-19 Long COVID Post-acute COVID-19 syndrome Pediatrics Risk factors

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