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Prevalence and prognostic value of cardiac troponin in elderly patients hospitalized for COVID-19

Journal of Geriatric Cardiology 2021年第5期18卷 338-345页

作者： Vincenzo De Marzo Antonio Di Biagio Roberta Della Bona Antonio Vena Eleonora Arboscello Harusha Emirjona Sara Mora Mauro Giacomini giorgio da rin Paolo Pelosi Matteo Bassetti Pietro Ameri Italo Porto GECOVID study group Cardiovascular Diseases Unit IRCCS Ospedale Policlinico San MartinoGenovaItaly Department of Internal Medicine University of GenovaGenovaItaly Infectious Diseases Unit IRCCS Ospedale Policlinico San MartinoGenovaItaly Department of Health Sciences University of GenovaGenovaItaly Emergency Department IRCCS Ospedale Policlinico San MartinoGenovaItaly Department of Informatics BioengineeringRobotics and System EngineeringUniversity of GenovaGenovaItaly Laboratory Unit IRCCS Ospedale Policlinico San MartinoGenovaItaly Anesthesia and Intensive Care Unit IRCCS Ospedale Policlinico San MartinoGenovaItaly Department of Surgical Sciences and Integrated Diagnostics University of GenovaGenovaItaly

BACKGROUND Increases in cardiac troponin(cTn)in coronavirus disease 2019(COVID19)have been associated with worse ***,data about the significance of cTn in elderly subjects with COVID19 are *** From a registry of consecutive patients with COVID19 admitted to a hub hospital in Italy from 25/02/2020 to 03/07/2020,we selected those≥60 yearold and with cTnI measured within three days from the molecular diagnosis of SARSCoV2 *** available,a second cTnI value within 48 h was also *** relationship between increased cTnI and allcause inhospital mortality was evaluated by a Cox regression model and restricted cubic spline functions with three *** Of 343 included patients(median age:75.0(68.0−83.0)years,34.7%men),88(25.7%)had cTnI above the upperreference limit(0.046μg/L).Patients with increased cTnI had more comorbidities,greater impaired respiratory exchange and higher inflammatory markers on admission than those with normal ***,they died more(73.9%vs.37.3%,Pdays of *** association of elevated cTnI with mortality was confirmed by the adjusted Cox regression model(HR=1.61,95%CI:1.06−2.52,P=0.039)and was linear until 0.3μg/L,with a subsequent *** 191(55.7%)patients with a second cTnI measurement,49(25.7%)had an increasing trend,which was not associated with mortality(univariate HR=1.39,95%CI:0.87−2.22,P=0.265).CONCLUSIONS In elderly COVID19 patients,an initial increase in cTn is common and predicts a higher risk of *** cTn testing may not confer additional prognostic information.

关键词： patients mortality admitted

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A novel method for clustering cellular data to improve classification

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Neural Regeneration Research 2025年第9期20卷 2697-2705页

作者： Diek W.Wheeler giorgio A.Ascoli Center for Neural Informatics Structures&PlasticityKrasnow Institute for Advanced Study Bioengineering Department Volgenau School of Engineering George Mason University FairfaxVAUSA

Many fields,such as neuroscience,are experiencing the vast prolife ration of cellular data,underscoring the need fo r organizing and interpreting large datasets.A popular approach partitions data into manageable subsets via hierarchical clustering,but objective methods to determine the appropriate classification granularity are *** recently introduced a technique to systematically identify when to stop subdividing clusters based on the fundamental principle that cells must differ more between than within *** we present the corresponding protocol to classify cellular datasets by combining datadriven unsupervised hierarchical clustering with statistical *** general-purpose functions are applicable to any cellular dataset that can be organized as two-dimensional matrices of numerical values,including molecula r,physiological,and anatomical *** demonstrate the protocol using cellular data from the Janelia MouseLight project to chara cterize morphological aspects of neurons.

关键词： cellular data clustering dendrogram data classification Levene's one-tailed statistical test unsupervised hierarchical clustering

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The effect of operating and design parameter on bubble column performance:The LOPROX case study

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Chinese Journal of Chemical Engineering 2021年第12期34卷 48-52页

作者： giorgio Besagni Politecnico di Milano Department of EnergyVia Lambruschini 4a20156 MilanoItaly

It is known that the performances of multi-phase reactors depend on the operating parameters(the temperature and the pressure of the system),the phase properties,and the design parameters(the aspect ratio(AR),the bubble column diameter,and the gas sparger design).Hence,the precise design and the correct operation of multi-phase reactors depends on the understanding and prediction of the fluid dynamics *** paper contributes to the existing discussion on the effect of operating and design parameter on multi-phase reactors and,in particular,it considers an industrial process(e.g.,the LOPROX(low pressure oxidation)case study,which is typical example of two-phase bubble columns).Based on a previously-validated set of correlations,the influence of operating and design parameter on system performances is studied and critically ***,we studied the effects of the design parameter on the liquid–gas interfacial area,by keeping constant the fluid physical–chemical properties as well as the operating conditions;subsequently,we discussed for a fixed system design,the influence of the liquid phase properties and the operating *** conclusion,this paper is intended to provide guidelines for the design and scale-up of multi-phase reactors.

关键词： Bubble column Scale-up Gas holdup Interfacial area LOPROX

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Nutritional supplementation on wound healing in diabetic foot:What is known and what is new?

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World Journal of Diabetes 2022年第11期13卷 940-948页

作者： Andrea da Porto Cesare Miranda Gabriele Brosolo giorgio Zanette Andrea Michelli Roberto da Ros Department of Internal Medicine Clinic of Endocrinology and Metabolism Diseases Azienda Sanitaria Friuli OccidentalePordenone 33170Italy Department of Internal Medicine SC Diabete e Centro Trattamento Piede DiabeticoMonfalcone 34074GoriziaItaly

Non-healing diabetic foot ulcers(DFU)are the most notable and striking complications of diabetes *** than 25% of nonhealing DFU can ultimately lead to amputation of the lower extremity within 6-18 mo after the first manifestation of the *** wound healing is complex,nutritional status is crucial in soft tissue *** is highly prevalent and overlooked in patients with diabetes and chronic ***,to date,we do not have clear recommendations or evidence about the use of nutritional supplements for improving wound healing in patients with *** this article the authors briefly analyzed the current evidence on the use of nutritional supplements of proteins or amino acids,fatty acids,probiotics,vitamins,and trace elements in the wound healing process in patients with DFU.

关键词： Malnutrition Supplements Diabetic foot Diabetes Wound healing Nutritional therapy

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Free triiodothyronine level correlates with statin responsiveness in acute myocardial infarction

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Journal of Geriatric Cardiology 2018年第4期15卷 290-297页

作者： Wen-Yao WANG Kuo ZHANG Wei ZHAO A. Martin Gerdes giorgio Iervasi Yi-da TANG Departments of Cardiology State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Department of Biomedtcal Sciences New York Institute of Technology-College of Osteopathic Medicine Northern Blvd. Old Westbury New York USA Clinical Physiology Institute Consiglio Nazionale delle Ricerche (CNR) Pisa Italy

Background Although thyroid hormone （TH） has important effects on lipid metabolism, the relationship between TH and statin responsiveness has never been investigated. We hypothesize that TH plays an important role in statin responsiveness in patients with acute myocardial infarction （AMI）. Methods Consecutive 1091 hospitalized AMI patients in Fuwai hospital （Beijing, China） were enrolled into this current study. The study population was divided into three groups based on the intensity of statin treatment： low-intensity （n = 221）, moderate-intensity （n = 712） and high-intensity （n = 158）. Lipid levels were measured after statin therapy lasting for 10-14 days. The association between TH, lipid profile levels and achievement of low-density lipoprotein cholesterol （LDL-C） lowering goals was explored in patients with AMI on statin therapy. Results By general linear analysis, a significant linear trend between free triiodothyronine （FT3） and LDL-C level （linear coefficient r = -0.082, P = 0.001） and FT3 and total cholesterol （TC） level （r = -0.105, P = 0.031） was observed in the moderate-intensity statin group. A more apparent linear trend was detected in the high-intensity statin group （for LDL-C： r = -0.113, P = 0.005; for TC： r = -0.172, P = 0.029, respectively）. However, no significant correlation was observed in the low-intensity statin group. Compared with the low-FT3 group （defined as FT3 〈 1.79 pg/mL）, the OR （95% CI） for attaining a LDL-C 〈 3.0mmol/L was found to be 2.217 （1.001–4.839） in the higher FT3 group （〉 2.95 pg/mL）. The OR （95% CI） for attaining the more intensive goal （LDL-C 〈 1.8mmol/L） was 2.836 （1.014–5.182）. Conclusions Our study reveals that variation in FT3 levels is related to the cholesterol-lowering responsiveness of statins in AMI patients. These findings suggest that low FT3 may be a factor responsible for lack of LDL-C goal attainment and patients’ poor responsiveness to statin treatment.

关键词： Acute myocardial infarction Free triiodothyronine Hypothyroid Statin

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Production of metallic iron nanoparticles in a baffled stirred tank reactor: Optimization via computational fluid dynamics simulation

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Particuology 2020年第5期18卷 83-96页

作者： giorgio Vilardi Nicola Verdone Sapienza University of Rome Department of Chemical Engineering Materials EnvironmentVia Eudossiana 1800184RomeItaly

The aim of this work is to optimize iron nanoparticle production in stirred tank reactors equipped with two classical impellers:Rushton and four-pitched blade turbines,which are largely used in batch industrial synthesis and efficient *** main operative parameters of nanoparticle synthesis are the precursor initial concentration,reducing agent/precursor molar ratio,impeller-tank clearance,and impeller rotational *** parameters were varied during the synthesis to find the optimal operating values based on the Fe(0)(%)production,zeta potential,particle size distribution,and powder X-ray diffraction pattern *** found that the optimal operating conditions for nanoparticle production were an impeller velocity of 1500 rpm,initial iron precursor concentration of 20 mM,molar ratio of reducing agent to iron precursor of 3 mol/mol,and impeller clearance of 0.25 and 0.4 times the vessel diameter for Rushton and four-pitched blade impellers,*** these conditions achieved a total conversion of 0.94-0.98 and yielded a product with a unimodal size distribution and average diameters in the range 30-50 *** computational fluid dynamics results agreed with the expectations,and the obtained mixing damkohler numbers show that the process is mixed controlled.

关键词： Nano zero-valent iron Computational fluid dynamics Turbulence Micromixing Length scale

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Resolution of erectile dysfunction after an andrological visit in a selected population of patients affected by psychogenic erectile dysfunction

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Asian Journal of Andrology 2017年第2期19卷 219-222页

作者： giorgio Cavallini Gynepro-Medical Group Andrological Section via Tranquillo Cremona 8 40137 Bologna Italy

The aim of this study was to ascertain whether some patients with psychogenic erectile dysfunction （PED） who chose psychotherapy spontaneously improved their sexual function immediately after diagnosis. Two hundred eighty-five patients with PED were retrospectively studied. Complete resolution of PED was analyzed regarding age, primary or secondary PED, marital status, domestic status, prevailing attitude of the female partner to the dysfunction, duration of their partnership, social status, duration of PED, International Index of Erectile Function score, and prevailing attitude of the patient after a diagnosis of PED. The data were analyzed using post-hoc tests. PED was resolved in 32.3% of the patients immediately after diagnosis. These patients were older, more frequently affected by secondary ED, more frequently living with their partner, and more frequently resigned or happy with the diagnosis of PED than the patients who did not resolve their PED. A nonchalant or cooperative female attitude to PED improved the possibility of PED resolution. The other variables did not influence PED resolution. Our data showed that a clear-cut diagnosis of psychogenic erectile deficiency and some psychosocial factors were critical for the management of some patients with PED.

关键词： diagnosis psychogenic erectile dysfunction recovery of sexual function visit

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Coping with uncertainties through an automated workflow for 3D reservoir modelling of carbonate reservoirs

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Geoscience Frontiers 2021年第6期12卷 361-375页

作者： Christoforos Benetatos giorgio Giglio Department of Environment Land and Infrastructure EngineeringPolitecnico di TorinoCorso Duca Degli Abruzzi 2410129TorinoItaly DREAM Srl Via Asinari di Bernezzo 6710146TorinoItaly

Reliable 3D modelling of underground hydrocarbon reservoirs is a challenging task due to the complexity of the underground geological formations and to the availability of different types of data that are typically affected by uncertainties. In the case of geologically complex depositional environments, such as fractured hydrocarbon reservoirs, the uncertainties involved in the modelling process demand accurate analysis and quantification in order to provide a reliable confidence range of volumetric estimations. In the present work, we used a 3D model of a fractured carbonate reservoir and populated it with different lithological and petrophysical properties. The available dataset also included a discrete fracture network(DFN) property that was used to model the fracture distribution. Uncertainties affecting lithological facies, their geometry and absolute positions(related to the fault system), fracture distribution and petrophysical properties were accounted for. We included all different types of uncertainties in an automated approach using tools available in today’s modelling software packages and combining all the uncertain input parameters in a series of statistically representative geological realizations. In particular, we defined a specific workflow for the definition of the absolute permeability according to an equivalent, single porosity approach, taking into account the contribution of both the matrix and the fracture system. The results of the analyses were transferred into a 3D numerical fluid-dynamic simulator to evaluate the propagation of the uncertainties associated to the input data down to the final results, and to assess the dynamic response of the reservoir following a selected development plan. The "integrated approach" presented in this paper can be useful for all technicians involved in the construction and validation of 3D numerical models of hydrocarbon-bearing reservoirs and can potentially become part of the educational training for youn

关键词： Uncertainty propagation 3D geological modelling Integrated study Carbonate rock Risk analysis

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Detection and quantitation of host cell proteins in monoclonal antibody drug products using automated sample preparation and data-independent acquisition LC-MS/MS

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Journal of Pharmaceutical Analysis 2021年第6期11卷 726-731页

作者： Lisa Strasser giorgio Oliviero Craig Jakes Izabela Zaborowska Patrick Floris Meire Ribeiro da Silva Florian Füssl Sara Carillo Jonathan Bones Characterization and Comparability Laboratory NIBRT-National Institute for Bioprocessing Research and TrainingDublinA94 X099Ireland School of Chemical and Bioprocess Engineering University College DublinDublinD04 V1W8Ireland

Ensuring the removal of host cell proteins(HCPs) during downstream processing of recombinant proteins such as monoclonal antibodies(m Abs) remains a *** residual HCPs might affect product stability or safety,constant monitoring is required to demonstrate their removal to be below the regulatory accepted level of 100 ng/*** current standard analytical approach for this procedure is based on ELISA;however,this approach only measures the overall HCP ***,the use of orthogonal methods,such as liquid chromatography-mass spectrometry(LC-MS),has been established,as it facilitates the quantitation of total HCPs as well as the identification and quantitation of the individual HCPs *** the present study,a workflow for HCP detection and quantitation using an automated magnetic bead-based sample preparation,in combination with a data-independent acquisition(DIA) LC-MS analysis,was *** the same instrumental setup commonly used for peptide mapping analysis of m Abs allows for its quick and easy implementation into pre-existing workflows,avoiding the need for dedicated instrumentation or ***,quantitation of HCPs over a broad dynamic range was enabled to allow monitoring of problematic HCPs or to track changes upon altered bioprocessing conditions.

关键词： data-independent acquisition Host cell proteins Critical quality attributes Liquid chromatography-mass spectrometry Monoclonal antibody Chinese hamster ovary cells

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Real-world characteristics of hospitalized frail elderly patients with atrial fibrillation： can we improve the current prescription of anticoagulants？

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Journal of Geriatric Cardiology 2016年第3期13卷 226-232页

作者： giorgio Annoni Paolo Mazzola School of Medicine and Surgery University of Milano-Bicocca and Acute Geriatric Unit San Gerardo Hospital ASST Monza Monza Italy NeuroMI-Milan Center for Neuroscience Clinical Neurosciences Research Area Milano Italy

Background In elderly patients, especially those older than 80 years, atrial fibrillation （AF） is associated with an almost 25% in- creased risk of stroke. Stroke prophylaxis with anticoagulants is therefore highly recommended. The prevalence of factors that have been associated with a lower rate of prescription and adherence to anticoagulant therapy in these patients is little known. The objective of this study was to explore the clinical characteristics of elderly subjects, with and without AF, consecutively admitted to an acute geriatric unit, discussing factors that may decrease the persistence on stroke prophylaxis therapy. We also highlight possible strategies to overcome the barriers conditioning the current underuse of oral anticoagulants in this segment of the population. Methods A retrospective observational study was performed on a cohort of elderly patients with and without AF admitted to the Acute Geriatric Unit of San Gerardo Hospital （Monza, Italy）. Results Compared to patients without AF （n = 1216）, those with AF （n = 403） had a higher Charlson Comorbidity Index （3 vs. 2, P 〈 0.001）, number of administered drugs （4 vs. 3, P 〈 0.001）, rate of heart failure （36.5% vs. 12%, P 〈 0.001） and chronic kidney disease （20.6 vs. 13.2, P 〈 0.001）. Many patients with AF were frail （54%） or pre-frail （29%）. Conclusions Elderly patients with AF have higher rates of conditions that affect adherence to traditional anticoagulant therapy （vitamin K antagonists, VKA）. New direct oral anticoagulants （DOAs） can help overcome this problem. In order to prescribe the most appropriate VKA or DOAs, with the best efficacy/safety profile and the highest compliance, a comprehensive geriatric assessment should always accompany the scores for thrombotic and hemorrhagic risk stratification.

关键词： Anticoagulant prescription Atrial fibrillation Comorbidity Comprehensive geriatric assessment Frailty

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