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Patterns of treatment with PDE5 inhibitors in the clinical practice in Italy： longitudinal data from the Erectile Dysfunction Observational Study

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Asian Journal of Andrology 2009年第5期11卷 629-637,I0005页

作者： ferdinando fusco[意大利] Riccardo Sicuteri[意大利] Andrea Rossi[意大利] Stathis Kontodimas[意大利] Jose Maria Haro[意大利] Ciro Imbimbo[意大利] 无 Clinica Urologica- Universita Federico Ⅱ Napoli 80100 Italy Ely Lilly Italia Firenze 50019 Italy Eli Lilly and Company Windlesham Surrey GU20 6PH UK Fundacio Sant Joan de Deu Esplugues de Llobregat 08950 Spain

The Erectile Dysfunction Observational Study （EDOS） is a 6-months observational prospective multicentric study enrolling men with erectile dysfunction （ED） who asked, to be started on a treatment or to change a previous treatment. Aims of the study were to analyse the pattern of treatment and compare the efficacy of treatments used. Patients were enrolled during a normal hospital visit and were prescribed a treatment for ED. They were asked at baseline and after 3 and 6 months, to answer a set of questions from the International Index of Erectile Function, Erectile Dysfunction Inventory of Treatment Satisfaction （EDITS） and Short Form of the Psychological and Interpersonal Relationships Scale questionnaires （SF-PAIRS）. Clinicians were free to prescribe any therapy for ED available in the market, and to change therapy at any time during the study. Out of 1 338 patients, available for analysis at 6 months, 624 （47%） changed their treatment during the study and 714 （53%） continued with the drug prescribed at baseline. Patients assuming tadalafil had a significantly higher probability of maintaining the same treatment compared to sildenafil or vardenafil. There was no clinically significant difference in terms of efficacy, patient satisfaction, self-confidence and spontaneity between the different inhibitors of PDE5. The ‘time concerns＇ domain score of SF-PAIRS, was statistically better in patients assuming tadalafil. In conclusion sildenafil, vardenafil and tadalafil show similar efficacy in the clinical practice. However, patients receiving tadalafil display a lower risk to discontinue or change the treatment.

关键词： clinical practice Italy phosphodiesterase type 5 inhibitors sildenafil tadalafil vardenafil

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A new therapeutic approach to erectile dysfunction： urotensin-II receptor high affinity agonist ligands

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Asian Journal of Andrology 2015年第1期17卷 81-85,I0008,I0009页

作者： Roberta d'Emmanuele di Villa Bianca Emma Mitidieri Erminia Donnarumma ferdinando fusco Nicola Longo Giuseppe De Rosa Ettore Novellino Paolo Grieco Vincenzo Mirone Giuseppe Cirino Raffaella Sorrentino Department of Pharmacy University of Naples Federico II Via D. Montesano 49 Naples Italy Interdepartmental Centre for Sexual Medicine University of Naples Federico II Via S. Pansini 5 Naples Italy Department of Neurosciences Human Reproduction and Odontostomatology University of Naples Federico II Via S. Pansini 5 Naples Italy.

Urotensin-II （U-II） is a cyclic peptide that acts through a G protein-coupled receptor （urotensin-II receptor [UTR]） mainly involved in cardiovascular function in humans. The urotensinergic system is also implicated in the urogenital tract. Indeed, U-II relaxes human corpus cavernosum strips and causes an increase in intracavernous pressure （ICP） in rats. In light of this, the U-II/UTR pathway can be considered a new target for the treatment of erectile dysfunction. On this hypothesis, herein we report on two new UTR high affinity-agonists, P5U （H-Asp-c[Pen-Phe-Trp-Lys-Tyr-Cys]-Val-OH） and UPG84（H-Asp-c[Pen-Phe-DTrp-Orn-（pNH2） Phe-Cys]-Val-OH）. The effects of P5U and UPG84 were each compared separately with U-II by monitoring the ICP in anesthetized rats. Intracavernous injection of U-II （0.03-1 nmol）, P5U （0.03-1 nmol） or UPG84 （0.03-1 nmol） caused an increase in ICP. P5U, in particular, elicited a significant increase in ICP as compared to U-II. The observed effect by using P5U at a dose of 0.1 nmol per rat was comparable to the effect elicited by U-II at a dose of 0.3 nmol. Moreover, UPG84 at the lowest dose （0.03 nmol） showed an effect similar to the highest dose of U-II （1 nmol）. Furthermore, UPG84 was found to be more effective than P5U. Indeed, while the lowest dose of P5U （0.03 nmol） did not affect the ICP, UPG84, at the same dose, induced a prominent penile erection in rat. These compounds did not modify the blood pressure, which indicates a good safety profile. In conclusion, UPG84 and P5U may open new perspectives for the management of erectile dysfunction.

关键词： erectile dysfunction intracavernous pressure rat urotensin-II urotensin-II ligands

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Bilateral calcified Macroplastique®after 12 years

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Asian Journal of Urology 2022年第3期9卷 334-336页

作者： Biagio Barone Luigi De Luca Luigi Napolitano Vincenzo Francesco Caputo Mariano Marsicano Gennaro Cancelmo Massimiliano Creta ferdinando fusco Department of Neuroscience Reproductive Sciences and DentistryUniversity of Naples Federico IINaplesItaly Department of Woman Child and General and Specialized SurgeryUniversity of Campania Luigi VanvitelliNaplesItaly

Dear editor,In recent years,endoscopic subureteral transurethral injection(STING)has become the first-line therapy for children with vesicoureteral reflux(VUR)owing its diffusion in clinical practice to a high success rate and minimum complications[1].Macroplastique(Uroplasty,Inc.,Minnetonka,MN,USA)is an efficient and safe bulking agent commonly used in VUR,being non-migratory,non-antigenic,and ***,its stability over time,with a virtual no-reabsorption phenomenon,has allowed its application in wider medical fields[2].

关键词： clinical plast editor

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Evaluation of an alternative dosing regimen with tadalafil, three times per week, for men with erectile dysfunction： SURE study in Italy

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Asian Journal of Andrology 2007年第3期9卷 395-402页

作者： Vincenzo Mirone Ciro Imbimbo Andrea Rossi Riccardo Sicuteri Domenico Valle Nicola Longo ferdinando fusco Italian SURE Study Group Department of Urology University Federico H of Naples Naples 80132 Italy Ely Lilly Italy Florence 50019 Italy 不详

Aim： To examine the preference for two dosing regimens of 20 mg of tadalafil, on demand or three times per week, in men affected with erectile dysfunction （ED） in Italy. Methods： Scheduled Use versus on demand Regimen Evaluation （SURE） is a multicenter, crossover and open-label study, involving 94 urology centers in Italy. Patients aged 18 years or older affected with ED for at least 3 months were enrolled and randomized to 20 mg of tadalafil treatment on demand or three times per week for 5-6 weeks. After a 1-week washout, patients were crossed over to the alternate regimen for 5-6 weeks. A treatment preference question was used to determine the preferred treatment regimen. International Index of Erectile Function （IIEF） and Sexual Encounter Profile （SEP） questionnaire were used as efficacy measures. Results： A total of 1 058 men （mean age 54.8 years）, were randomized to treatment. Overall, 59.1% of patients preferred the on-demand regimen and 41.9% preferred the three times per week dosing. Both regimens were efficacious and well tolerated. Although a statistically higher improvement of the IIEF erectile function （IIEF-EF） domain score and the SEP questionnaire was reported for the three times per week compared to the ondemand treatment regimen, this difference was numerically minimal and lacking in clinical significance. Conclusion： Tadalafil is effective and well tolerated whether used on demand or three times per week. Patients should be given the option to choose the best treatment regimen according to personal needs and preferences.

关键词： erectile dysfunction SURE study on demand three times per week alternate tadalafil

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Is GDNF to Parkinson’s disease what BDNF is to Huntington’s disease?

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Neural Regeneration Research 2024年第5期19卷 973-974页

作者： Francesca R.fusco Emanuela Paldino Laboratory of Neuroanatomy Fondazione Santa Lucia IRCCS HospitalRomeItaly

Neurotrophic factors,or neurotrophins,are a group of molecules supporting the growth,survival,and differentiation of developing and mature *** their role in the survival of neurons,and often of specific subsets of bra... 详细信息

关键词： Huntington supporting degenerative

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Management of cerebral amyloid angiopathy and atrial fibrillation:We are still far from precision medicine

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World Journal of Cardiology 2024年第5期16卷 231-239页

作者： Liuba fusco Zefferino Palamà Antonio Scarà Alessio Borrelli Antonio Gianluca Robles Gabriele De Masi DeLuca Silvio Romano Luigi Sciarra Department of Cardiology University Hospital of NorthamptonshireNorthampton NN15BDUnited Kingdom Department of Cardiology Casa di Cura Villa VerdeTaranto 70124Italy Department of Life Health and Environmental SciencesUniversity of l'AquilaL'Aquila 67100Italy Department of Cardiology GVM Care and ResearchSan Carlo di Nancy HospitalRome 00100Italy

The use of anticoagulation therapy could prove to be controversial when trying to balance ischemic stroke and intracranial bleeding risks in patients with concurrent cerebral amyloid angiopathy(CAA)and atrial fibrillation(AF).In fact,CAA is an age-related cerebral vasculopathy that predisposes patients to intracerebral ***,many AF patients require oral systemic dose-adjusted warfarin,direct oral anticoagulants(such as factor Xa inhibitors)or direct thrombin inhibitors to control often associated with cardioembolic stroke *** prevalence of both CAA and AF is expected to rise,due to the aging of the *** clinical dilemma is becoming increasingly *** patients with coexisting AF and CAA,the risks/benefits profile of anticoagulant therapy must be assessed for each patient individually due to the lack of a clear-cut consensus with regard to its risks in scientific *** review aims to provide an overview of the management of patients with concomitant AF and CAA and proposes the implementation of a risk-based decision-making algorithm.

关键词： Anticoagulation Atrial fibrillation Cerebral amyloid angiopathy Intracerebral hemorrhage Stroke Watchman Secondary prevention Left atrial appendage closure

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Effect of Dietary Components on the Shear Bond Strength of Orthodontics Brackets after Thermal Aging

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Open Journal of Stomatology 2024年第6期14卷 309-315页

作者： Philip Punzalan Tanya Al Talib Anthony fusco Neamat Hassan Abubakr School of Dental Medicine University of Nevada Las Vegas Nevada USA

Introduction: The stability of orthodontic brackets throughout orthodontic treatment plays a critical role in the treatment’s effectiveness. The present in vitro study was designed to assess the impact of various dietary components on the performance of orthodontic brackets. Methods: Metal orthodontic brackets were bonded to 66 extracted anterior teeth divided into groups based on the solution type: Milk, Gatorade, Cold Coffee, and a control group using water. Each group consisted of 20 teeth except for the control group, which included six teeth. The bracketed teeth were submerged in their respective solutions for 15 minutes three times daily at different intervals to mimic an in vivo environment and were stored in artificial saliva at room temperature (23?C). The specimens underwent artificial aging through 10,000 cycles of thermocycling (representing one clinical year) between 5?C and 55?C. Shade measurements were taken using a VITA Easy Shade device, capturing the classic shade and L*, a*, and b* values. Delta E values were calculated immediately post-bonding and after 7 days, 1 month, 1, and 2 clinical years. The shear bond strength of each bracket was measured using an ultra-tester machine. Results: After two clinical years, significant differences in ΔE color values were observed across all groups, with the most substantial change noted in teeth immersed in cold coffee. Brackets submerged in milk demonstrated lower shear bond strength than other solutions, whereas the control group exhibited the highest shear bond strength (P = 0.01). Conclusion: The study indicates that dietary components significantly influence tooth color stability and the shear bond strength of orthodontic brackets, underscoring the importance of considering these factors in orthodontic treatment planning.

关键词： Shear Bond Orthodontic Brackets Color Stability Thermal Aging

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HER2 aberrations and heterogeneity in cancers of the digestive system: Implications for pathologists and gastroenterologists

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World Journal of Gastroenterology 2016年第35期22卷 7926-7937页

作者： Nicola fusco Silvano Bosari Division of Pathology Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico 20122 Milan Italy Department of Pathophysiology and Organ Transplantation University of Milan

Management of cancers of the digestive system has progressed rapidly into the molecular era. Despite the significant recent achievements in the diagnosis and treatment of these patients, the number of deaths for these tumors has currently plateaued. Many investigations have assessed the role of HER2 in tumors of the digestive system in both prognostic and therapeutic settings, with heterogeneous results. Novel testing and treatment guidelines are emerging, in particular in gastric and colorectal cancers. However, further advances are needed. In this review we provide a comprehensive overview of the current state-ofknowledge of HER2 alterations in the most common tumors of the digestive system and discuss the operational implications of HER2 testing.

关键词： HER2 Digestive system Gastrointestinal tract Gastric cancer Colon cancer Esophageal cancer Gastroesophageal junction cancer Biliary tract cancer Gallbladder cancer Liver cancer Pancreas cancer

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Biomarkers for targeted rehabilitation strategies after breast cancer: Proposal for the next-generation management of survivorship issues

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BIOCELL 2022年第10期46卷 2221-2223页

作者： MARCO INVERNIZZI NICOLA fusco Translational Medicine Dipartimento AttivitàIntegrate Ricerca e Innovazione(DAIRI)Azienda Ospedaliera SS.Antonio e Biagio e Cesare ArrigoAlessandria15121Italy Physical and Rehabilitation Medicine Department of Health SciencesUniversity of Eastern PiedmontNovara28100Italy Division of Pathology IEOEuropean Institute of Oncology IRCCSMilan20141Italy Department of Oncology and Hemato-Oncology University of MilanMilan20122Italy

Breast cancer(BC)is the most common malignant tumor and one of the top causes of cancer-related death worldwide(Sung et al.,2021).The recent advances in early tumor diagnosis coupled with more effective treatment strategies resulted in a steady increase of long-term survivors(Nardin et al.,2020;Invernizzi et al.,2022).These improved survival rates led to a significantly higher incidence of disabling complications related to breast cancer and/or its treatment(Invernizzi et al.,2020a;D’Egidio et al.,2017;Zhong et al.,2020).

关键词： Breast cancer Biomarkers Survivorship Rehabilitation Precision medicine

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Dual role of brain-derived extracellular vesicles in dementia-related neurodegenerative disorders: cargo of disease spreading signals and diagnostic-therapeutic molecules

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Translational Neurodegeneration 2022年第1期11卷 161-177页

作者： Francesca Natale Salvatore fusco Claudio Grassi Department of Neuroscience UniversitàCattolica del Sacro Cuore00168 RomeItaly Fondazione Policlinico Universitario A.Gemelli IRCCS 00168 RomeItaly.

Neurodegenerative disorders are one of the most common causes of disability and represent 6.3%of the global burden of *** them,Alzheimer’s,Parkinson’s,and Huntington’s diseases cause cognitive decline,representing the most disabling symptom on both personal and social *** molecular mechanisms underlying the onset and progression of dementia are still poorly understood,and include secretory factors potentially affecting differentiated neurons,glial cells and neural stem cell *** the last decade,much attention has been devoted to exosomes as novel carriers of information exchanged among both neighbouring and distant *** vesicles can be generated and internalized by different brain cells including neurons,neural stem cells,astrocytes,and microglia,thereby affecting neural plasticity and cognitive functions in physiological and pathological ***,we review data on the roles of exosomes as carriers of bioactive molecules potentially involved in the pathogenesis of neurodegenerative disorders and detectable in biological fluids as biomarkers of *** also discuss the experimental evidence of the therapeutic potential of stem cell-derived vesicles in experimental models of neurodegeneration-dependent cognitive decline.

关键词： Extracellular vesicles Neurodegenerative diseases Stem cells Biomarkers Cognitive decline

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