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New challenges in hepatocellular carcinoma:A role for PIWIinteracting RNAs?

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World Journal of Gastroenterology 2024年第22期30卷 2843-2848页

作者： domenico Tierno Gabriele Grassi Bruna Scaggiante Department of Medicine Surgery and Health SciencesUniversity Hospital of CattinaraUniversity of TriesteTrieste 34149Italy Department of Life Sciences University of TriesteTrieste 34127Italy

Hepatocellular carcinoma(HCC)is the most common and deadliest subtype of liver cancer worldwide and,therefore,poses an enormous threat to global *** the molecular mechanisms underlying the development and progression of HCC is central to improving our clinical *** RNAs(piRNAs)are a class of small non-coding RNAs that bind to PIWI family proteins to regulate gene expression at transcriptional and posttranscriptional levels.A growing body of work shows that the dysregulation of piRNAs plays a crucial role in the progression of various human *** this editorial,we report on the current knowledge of HCC-associated piRNAs and their potential clinical *** on the editorial by Papadopoulos and Trifylli,on the role and clinical evaluation of exosomal circular RNAs in HCC,we highlight this other emerging class of non-coding RNAs.

关键词： Biomarker Hepatocellular carcinoma Liquid biopsy Non-coding RNA PIWI-interacting RNA Next-generation sequencing

Cardioprotective effects of glucagon-like peptide 1 receptor agonists in heart failure: Myth or truth?

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World Journal of Diabetes 2024年第5期15卷 818-822页

作者： Lorenzo Nesti domenico Trico Department of Clinical and Experimental Medicine University of PisaPisa 56126Italy Laboratory of Metabolism Nutritionand AtherosclerosisUniversity of PisaPisa 56126Italy

Therapy with glucagon-like peptide 1(GLP1)receptor agonists has raised great interest for its beneficial cardiovascular effects in preventing atherosclerosis and heart failure-related ***,while evidence about atherosclerosis consistently suggests a cardioprotective potential with class effect,controversies remain on its impact on heart ***1 receptor agonists appear to prevent hospitalization for new-onset heart failure and reduce symptoms in heart failure with preserved ejection fraction(as demonstrated by the recent STEP-HFpEF Trial).Still,GLP1 agonism has resulted in neutral or even harmful effects in patients with established heart failure with reduced ejection fraction(the LIVE trial).GLP1 receptor agonists benefit the cardiovascular system indirectly through their marked metabolic effects(improved weight management,glycemic control,blood pressure,systemic and tissue inflammation),while direct effects on the heart have been ***,weight loss alone achieved through GLP1 receptor agonists has failed in improving left ventricular *** is a dual agonist of GLP1 and glucose-dependent insulinotropic polypeptide,representing an innovative treatment option in diabetes with a major impact on weight loss and promising cardiovascular *** this class of therapies is going to change the history of heart failure is an ongoing debate.

关键词： Atherosclerosis Cardiovascular system Glucagon-like peptide-1 Heart failure Tirzepatide Type 2 diabetes Ventricular function Left

Keep in mind sex differences when prescribing psychotropic drugs

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World Journal of Psychiatry 2024年第2期14卷 194-198页

作者： Marianna Mazza domenico De Berardis Giuseppe Marano Department of Neurosciences Fondazione Policlinico Universitario A Gemelli IRCCSUniversitàCattolica del Sacro CuoreRome 00168Italy Mental Health NHSASL 4 TeramoTeramo 64100Italy

Women represent the majority of patients with psychiatric diagnoses and also the largest users of psychotropic *** are inevitable differences in efficacy,side effects and long-term treatment response between men and *** research needs to develop adequately powered animal and human trials aimed to consider pharmacokinetics and pharmacodynamics of central nervous system drugs in both male and female *** professionals have the responsibility to prescribe sex-specific psychopharmacotherapies with a priority to differentiate between men and women in order to minimize adverse drugs reactions,to maximize therapeutic effectiveness and to provide personalized management of care.

关键词： Women Psychopharmacology Psychotropic drugs Sex differences

Numerical modeling techniques for noise emission of free railway wheels

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Railway Engineering Science 2024年第2期32卷 144-161页

作者： Linus Taenzer Urs Pachale Bart Van Damme Andrea Bergamini domenico Tallarico Laboratory of Acoustics/Noise Control EmpaÜberlandstrasse 129DübendorfSwitzerland

In this article,we consider the numerical prediction of the noise emission from a wheelset in laboratory *** focus on the fluid-structure interaction leading to sound emission in the fluid domain by analyzing three different methods to account for acoustic *** are a discretized baffled piston using the discrete calculation method(DCM),a closed cylindrical volume using the boundary element method(BEM)and radiating elastic disks in a cubic enclosure solved with the finite element method(FEM).We provide the validation of the baffled piston and the BEM using measurements of the noise emission of a railway wheel by considering ground reflections in the numerical *** space-resolved waveforms are compared with experimental results as well as with a fluid-structure interaction finite element *** computational advantage of a discretized disk mounted on a baffle and BEM compared to FEM is highlighted,and the baffled pistons limitations caused by a lack of edge radiation effects are investigated.

关键词： Discretized baffled piston Finite element Boundary element Railway noise Acoustic emission Vibrations

Three predictive scores compared in a retrospective multicenter study of nonunion tibial shaft fracture

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World Journal of Orthopedics 2024年第6期15卷 560-569页

作者： Davide Quarta Marco Grassi Giuliano Lattanzi Antonio Pompilio Gigante Alessio D'Anca domenico Potena Clinical Orthopedics Department of Clinical and Molecular ScienceUniversitàPolitecnica Delle MarcheAncona 60126Italy Department of Information and Engineering UniversitàPolitecnica delle MarcheAncona 60121Italy

BACKGROUND Delayed union,malunion,and nonunion are serious complications in the healing of *** the risk of nonunion before or after surgery is *** To compare the most prevalent predictive scores of nonunion used in clinical practice to determine the most accurate score for predicting *** We collected data from patients with tibial shaft fractures undergoing surgery from January 2016 to December 2020 in three different trauma *** this retrospective multicenter study,we considered only fractures treated with intramedullary *** calculated the tibia FRACTure prediction healING days(FRACTING)score,Nonunion Risk Determination score,and Leeds-Genoa Nonunion Index(LEG-NUI)score at the time of definitive *** Of the 130 patients enrolled,89(68.4%)healed within 9 months and were classified as *** remaining patients(n=41,31.5%)healed after more than 9 months or underwent other surgical procedures and were classified as *** calculation of the three scores,LEG-NUI and FRACTING were the most accurate at predicting *** LEG-NUI and FRACTING showed the best performances by accurately predicting union and nonunion.

关键词： Trauma Bone Tibial fracture Nonunion Scores Prediction model

Driving pressure:A useful tool for reducing postoperative pulmonary complications

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World Journal of Critical Care Medicine 2024年第3期13卷 91-94页

作者： domenico Posa Fabio Sbaraglia Giuliano Ferrone Marco Rossi Department of Emergency Intensive Care Medicine and AnaesthesiaFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168LazioItaly

The operating room is a unique environment where surgery exposes patients to non-physiological changes that can compromise lung ***,raising clinicians’awareness of the potential risk of ventilator-induced lung injury(VILI)is *** pressure is a useful tool for reducing lung complications in patients with acute respiratory distress syndrome and those undergoing elective *** pressure has been most extensively studied in the context of single-lung ventilation during thoracic ***,the awareness of association of VILI risk and patient positioning(prone,beach-chair,parkbench)and type of surgery must be raised.

关键词： Ventilator-induced lung injury Protective ventilation Driving pressure Mechanical ventilation Surgery room Single-lung ventilation Operative room Surgery

Three Dimensional Coupling between Elastic and Thermal Fields in the Static Analysis of Multilayered Composite Shells

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Computer Modeling in Engineering & Sciences 2023年第9期136卷 2551-2594页

作者： Salvatore Brischetto roberto Torre domenico Cesare Department of Mechanical and Aerospace Engineering.Politecnico di Torino Torino10129Italy

This new work aims to develop a full coupled thermomechanical method including both the temperature profile and displacements as primary unknowns of the *** generic full coupled 3D exact shell model permits the thermal stress investigation of laminated isotropic,composite and sandwich *** and spherical panels,cylinders and plates are analyzed in orthogonal mixed curved reference *** 3D equilibrium relations and the 3D Fourier heat conduction equation for spherical shells are coupled and they trivially can be simplified in those for plates and cylindrical *** exponential matrix methodology is used to find the solutions of a full coupled model based on coupled differential relations with respect to the thickness *** analytical solution is based on theories of simply supported edges and harmonic relations for displacement components and *** sovra-temperature magnitudes are directly applied at the outer faces through static state *** a consequence,the sovra-temperature description is assumed to be an unknown variable of themodel and it is calculated in the sameway as the three *** final systemis based on a set of coupled homogeneous differential relations of second order in the thickness *** system is reduced in a first order differential relation system by redoubling the number of ***,the exponential matrix methodology is applied to calculate the *** temperature field effects are evaluated in the static investigation of shells and plates in terms of displacement and stress *** an appropriate preliminary validation,new benchmarks are discussed for several thickness ratios,geometrical data,lamination sequences,materials and sovra-temperature values imposed at the outer *** make evident the accordance between the uncoupled thermo-mechanical model and this new full coupled thermo-mechanical model without the need to se

关键词： Three-dimensional exact thermo-elastic shellmodel full coupled thermoelasticity three-dimensional fourier heat conduction relation plate and shell geometries laminated and sandwich configurations

SARS-CoV-2 induced myocarditis:Current knowledge about its molecular and pathophysiological mechanisms

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BIOCELL 2022年第8期46卷 1779-1788页

作者： domenico MARIA CARRETTA MARINA DI domenico roberto LOVERO roberto ARRIGONI ANGELIKA ELZBIETA WEGIERSKA MARIAROSARIA BOCCELLINO ANDREA BALLINI IOANNIS ALEXANDROS CHARITOS LUIGI SANTACROCE AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII Cardiology UnitPoliclinico University Hospital of BariBari70124Italy Department of Precision Medicine University of Campania Luigi VanvitelliNaples80138Italy AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII Clinical Pathology UnitPoliclinico University Hospital of BariBari70124Italy CNR Institute of Biomembranes Bioenergetics and Molecular Biotechnologies(IBIOM)Bari70125Italy Department Interdisciplinary of Medicine University of Bari Aldo MoroBari70124Italy School of Medicine University of Bari Aldo MoroBari70124Italy Department of Emergency and Urgency National Poisoning CentreRiuniti University Hospital of FoggiaFoggia71122Italy

The existence of an inflammatory process in the heart muscle,related to a progressive worsening of myocardial function,different etiopathogenetic mechanisms concur and often overlap,thus making the diagnosis and the therapeutic approach *** the COVID-19 pandemic progresses,the effects of the disease on the organ systems and in particular on the cardiovascular system are becoming more and more *** involvement is a well-known event with a high percentage of findings in the heart’s magnetic field,even in asymptomatic *** are numerous uncertainties regarding their evolution,in the long and short term,due not only to a difficult to determine the varied clinical expression and the rarely performed intramyocardial biopsy which additionally presents diagnostic problems but also in part to different clinical ***,the new SARS-CoV-2 virus that uses the angiotensin converting enzyme 2(ACE2)which is present at high levels in myocardial cells as its entrance it can create even severe heart *** pathophysiology in all of these cases can involve multiple immune and non-immune mechanisms within organs and vessels and can be occur in the clinical *** mechanisms of direct and indirect myocardial infarction in patients with COVID-19 include additional lesion and oxygen-rich and generalized inflammation response with myocardial immune hyperactivity(myocarditis).Therefore,these can occur through the excessive release of cytokines,the presence of thrombocytopenia,endocrine damage,heart failure,arrhythmias and *** can show average signs of myocardial damage,and some develop spontaneous cardiac complications,such as heart failure,arrhythmias and,rarely,rare cardiogenic *** in all of these may involve multiple mechanisms within the cytokine cephalic membrane,endocrine damage and *** diagnosis of this myocardial injuri is mainly based on the myocardial enzyme *** viewpoint paper

关键词： Viruses Infections SARS-CoV-2 Pandemics Myocarditis Molecular diagnosis

R0 resection in the treatment of gastric cancer:Room for improvement

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World Journal of Gastroenterology 2010年第27期16卷 3358-3370页

作者： Alberto Biondi roberto Persiani Ferdinando Cananzi Marco Zoccali Vincenzo Vigorita Andrea Tufo domenico D'Ugo Emergency and General Surgery Unit Fondazione IRCCS 'Ca Grande' Policlinico Maggiore First General Surgery Unit Department of Surgery Catholic University Rome LargoA. Gemelli 800168RomeItaly

Gastric carcinoma is one of the most frequent malignancies in the world and its clinical behavior especially depends on the metastatic potential of the *** particular,lymphatic metastasis is one of the main predictors of tumor recurrence and survival,and current pathological staging systems reflect the concept that lymphatic spread is the most relevant prognostic factor in patients undergoing curative *** is compounded by the observation that two-thirds of gastric cancer in the Western world presents at an advanced stage,with lymph node metastasis at *** current therapeutic efforts in gastric cancer are directed toward individualization of therapeutic protocols,tailoring the extent of resection and the administration of preoperative and postoperative *** goals of all these strategies are to improve prognosis towards the achievement of a curative resection(R0 resection) with minimal morbidity and mortality,and better postoperative quality of life.

关键词： Gastric cancer R0 resection Total gastrectomy Lymph node dissection Adjuvant therapy Preoperative therapy