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A faraway complex bifurcation hidden behind an occluded left main in an elderly patient

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Journal of Geriatric Cardiology 2023年第5期20卷 383-385页

作者： gianluca Rigatelli Giulio Rodino giuseppe Marchese Marco Zuin Interventional Cardiology Unit Division of CardiologyMadre Teresa di Calcutta HospitalAULSS 6Ospedali Riuniti Padova SudMonseliceItaly

A82-year-old man,with a previous history of ischemic heart disease due to 3-vessel disease with left main(LM)*** years before he underwent a double coronary artery bypass graft(left internal mammary artery(LIMA)to left anterior descending coronary artery(LAD)and saphein graft to Posterior Descending coronary artery(PDA));subsequent follow-up was *** was admitted to our hospital due to an acute coronary syndrome with ST segment abnormalities in the lateral and inferior leads on baseline EKG.

关键词： admitted involvement acute

This pain drives me crazy:Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome

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World Journal of Psychiatry 2024年第6期14卷 954-984页

作者： Marianna Mazza Stella Margoni giuseppe Mandracchia Guglielmo Donofrio Alessia Fischetti Georgios D Kotzalidis giuseppe Marano Alessio Simonetti Delfina Janiri Lorenzo Moccia Ilaria Marcelli Greta Sfratta Domenico De Berardis Ottavia Ferrara Evelina Bernardi Antonio Restaino Francesco Maria Lisci Antonio Maria D'Onofrio Caterina Brisi Flavia Grisoni Claudia Calderoni Michele Ciliberto Andrea Brugnami Sara Rossi Maria Chiara Spera Valeria De Masi Ester Maria Marzo Francesca Abate gianluca Boggio Maria Benedetta Anesini Cecilia Falsini Anna Quintano Alberto Torresi Miriam Militenda Giovanni Bartolucci Marco Biscosi Sara Ruggiero Luca Lo Giudice Giulia Mastroeni Elisabetta Benini Luca Di Benedetto Romina Caso Francesco Pesaresi Francesco Traccis Luca Onori Luca Chisari Leonardo Monacelli Mariateresa Acanfora Eleonora Gaetani Monia Marturano Sara Barbonetti Elettra Specogna Francesca Bardi Emanuela De Chiara Gianmarco Stella Andrea Zanzarri Flavio Tavoletta Arianna Crupi Giulia Battisti Laura Monti Giovanni Camardese Daniela Chieffo Antonio Gasbarrini Giovanni Scambia Gabriele Sani Department of Neurosciences Fondazione Policlinico Universitario A Gemelli IRCCSUniversita Cattolica del Sacro CuoreRome 00168Italy Department of Psychiatry UniversitàCattolica del Sacro CuoreRome 00168Italy Department of Neurosciences Section of PsychiatryFondazione Policlinico Universitario Agostino Gemelli IRCCSUniversitàCattolica del Sacro CuoreRome 00168Italy Mental Health NHSASL 4 TeramoTeramo 64100Italy Medical and Surgical Sciences UniversitàCattolica del Sacro CuoreRome 00168Italy Division of Gynecologic Oncology UniversitàCattolica del Sacro CuoreRome 00168Italy UOS Psicologia Clinica Governo ClinicoFondazione Policlinico Universitario Agostino Gemelli IRCCSRome 00168Italy CEMAD Digestive Disease Center Fondazione Policlinico Universitario A.Gemelli-IRCCSRome 00168Italy Department of Woman and Child Health Catholic UniversityRome 00168Italy UOC Psichiatria Clinica e d’Urgenza Dipartimento di Scienze Dell’InvecchiamentoNeurologicheOrtopediche e Della Testa-colloFondazione Policlinico Universitario Agostino Gemelli IRCCSRome 00168Italy

BACKGROUND Interstitial cystitis/bladder pain syndrome(IC/BPS)is an at least 6-mo noninfectious bladder inflammation of unknown origin characterized by chronic suprapubic,abdominal,and/or pelvic *** the term cystitis suggests an inflammatory or infectious origin,no definite cause has been *** occurs in both sexes,but women are twice as much *** To systematically review evidence of psychiatric/psychological changes in persons with IC/*** Hypothesizing that particular psychological characteristics could underpin IC/BPS,we investigated in three databases the presence of psychiatric symptoms and/or disorders and/or psychological characteristics in patients with IC/BPS using the following strategy:("interstitial cystitis"OR"bladder pain syndrome")AND("mood disorder"OR depressive OR antidepressant OR depression OR depressed OR hyperthymic OR mania OR manic OR rapid cyclasterisk OR dysthymiasterisk OR dysphoriasterisk).RESULTS On September 27,2023,the PubMed search produced 223 articles,CINAHL 62,and the combined PsycLIT/PsycARTICLES/PsycINFO/Psychology and Behavioral Sciences Collection search *** on *** produced 14 studies,of which none had available *** were peer-reviewed articles reporting psychiatric/psychological symptoms in patients with IC/BPS,i.e.63 articles spanning from 2000 to October *** studies identified depression and anxiety problems in the IC/BPS population,along with sleep problems and the tendency to *** Psychotherapies targeting catastrophizing and life stress emotional awareness and expression reduced perceived pain in women with IC/*** concepts should be considered when implementing treatments aimed at reducing IC/BPS-related pain.

关键词： Interstitial cystitis/bladder pain syndrome Psychiatric symptoms Psychological symptoms Catastrophizing Anxiety Depression

Grafting effects on bioactive compounds,chemical and agronomic traits of‘Corbarino’tomato grown under greenhouse healthy conditions

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Horticultural Plant Journal 2023年第2期9卷 273-284页

作者： Mario Parisi Alfonso Pentangelo Antonietta D’Alessandro Giovanna Festa gianluca Francese Alejandra Navarro Vincenzo Onofaro Sanajà giuseppe Mennella CREA Research Centre for Vegetable and Ornamental Crops Via Cavalleggeri 25PontecagnanoSA 84098Italy

In tomatoes,grafting onto resistant rootstocks represents an effective strategy to control several soil-borne diseases that reduce crop profitability,especially for landraceswith little or no resistance tomultiple pathogens/*** this study,the high-value‘Corbarino’tomato landrace was grafted onto seven commercial Solanum interspecific rootstocks to evaluate graft compatibility,yield performance,and qualitative characteristics under greenhouse healthy *** rootstocks were themost effective in improving fruit yield without negatively affecting the carpometric,technological,and health-related traits of the traditional tomato.‘Dinafort’rootstock increased fresh and dry yield,harvest index,and fruit/clusters,while mean fruit weight,shape index,total and soluble solid content,simple sugars,organic acids,flavonoids,ascorbic acid,and trans-lycopene content did not differ with respect to the ungrafted‘Corbarino’.‘Interpro’rootstock also showed promising results for the overall yield and quality traits,although it reduced the trans-lycopene content in the fruit.‘Silex’rootstock showed the highest harvest index as result of decreased *** fruit quality induced by‘Silex’was satisfactory and high levels of simple sugars,flavonoids,ascorbic acid,and trans-lycopene were also ***,graft success,especially for‘Dinafort’and‘Silex’,needs to be improved by investigating more suitable methods for seedling production,grafting,acclimatization,etc.

关键词： Solanum lycopersicum L Local variety Yield Graft compatibility Sugars Organic acids Health-related compounds

Clinical spectrum and currently available treatment of typeⅠinterferonopathy Aicardi-Goutières syndrome

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World Journal of Pediatrics 2023年第7期19卷 635-643页

作者： Giovanni Battista Dell'Isola gianluca Dini Kaleb Logan Culpepper Katherin Elizabeth Portwood Pietro Ferrara giuseppe Di Cara Alberto Verrotti Mauro Lodolo Department of Pediatrics University of PerugiaGiorgio Menghini Square06129 PerugiaItaly Department of Neurology Jacksonville University of FloridaFloridaUSA Department of Pediatrics Division of Child NeurologyUniversity of FloridaUF Health Shands Children's HospitalGainesvilleFLUSA Unit of Pediatrics Campus Bio-Medico UniversityRomeItaly

Background Aicardi-Goutières syndrome(AGS)is a genetically determined disorder with a variable *** the original description of AGS,advances in gene sequencing techniques have resulted in a significant broadening of the phenotypic spectrum associated with AGS genes,and new clinical pictures have emerged beyond the classic *** aim of this review is to provide a comprehensive analysis of the clinical spectrum of AGS and report currently available treatments and new immunosuppressive *** sources Literature reviews and original research articles were collected from databases,including PubMed and *** articles about AGS were *** The involvement of the nervous system certainly represents the major cause of mortality and morbidity in AGS ***,other clinical manifestations,such as chilblains,hepatosplenomegaly,and hematological disturbances,may lead to the diagnosis and considerably impact the prognosis and overall quality of life of these *** approaches of AGS are limited to interventions aimed at specific symptoms and the management of multiple ***,advances in understanding the pathogenesis of AGS could open new and more effective *** The over-activation of innate immunity due to upregulated interferon production plays a critical role in AGS,leading to multi-organ damage with the main involvement of the central nervous *** date,there is no specific and effective treatment for *** drugs specifically targeting the interferon pathway may bring new hope to AGS patients.

关键词： Aicardi-Goutieres syndrome Immunosuppressive drugs Interferon-α Neuroinflammation Systemic lupus erythematosus

Harnessing the value of TCTP in breast cancer treatment resistance: an opportunity for personalized therapy

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Cancer Drug Resistance 2023年第3期6卷 447-467页

作者： gianluca Santamaria Mario Cioce Antonia Rizzuto Vito Michele Fazio giuseppe Viglietto Maria Lucibello Department of Experimental and Clinical Medicine “Magna Graecia”University of CatanzaroCatanzaro 88100Italy Department of Medicine Laboratory of Molecular Medicine and BiotechnologyUniversity Campus Bio-Medico of RomeRome 00128Italy Institute of Translational Pharmacology National Research Council of Italy(CNR)Rome 00133Italy Department of Medical and Surgical Sciences “Magna Graecia”University of CatanzaroCatanzaro 88100Italy Department of Biomedical Sciences Institute for Biomedical Research and InnovationNational Research Council of Italy(CNR)Catanzaro 88100Italy

Early identification of breast cancer (BC) patients at a high risk of progression may aid in therapeutic and prognostic aims. This is especially true for metastatic disease, which is responsible for most cancer-related deaths. Growing evidence indicates that the translationally controlled tumor protein (TCTP) may be a clinically relevant marker for identifying poorly differentiated aggressive BC tumors. TCTP is an intriguing protein with pleiotropic functions, which is involved in multiple signaling pathways. TCTP may also be involved in stress response, cell growth and proliferation-related processes, underlying its potential role in the initiation of metastatic growth. Thus, TCTP marks specific cancer cell sub-populations with pronounced stress adaptation, stem-like and immune-evasive properties. Therefore, we have shown that in vivo phospho-TCTP levels correlate with the response of BC cells to anti-HER2 agents. In this review, we discuss the clinical relevance of TCTP for personalized therapy, specific TCTP-targeting strategies, and currently available therapeutic agents. We propose TCTP as an actionable clinically relevant target that could potentially improve patient outcomes.

关键词： Breast cancer metastasis TCTP stem cells therapy resistance biomarker

Past and present of cardiocirculatory assist devices: a comprehensive critical review

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Journal of Geriatric Cardiology 2012年第4期9卷 389-400页

作者： gianluca Rigatelli Francesco Santini giuseppe Faggian Section of Adult Congenital Heart Disease Cardiovascular Diagnosis and Endoluminal Interventions Rovigo General Hospital Viale Tre Martiri 45100 Rovigo Italy Division of Cardiac Surgery University of Verona Medical School Verona Italy

During the last 20 years, the management of heart failure has significantly improved by means of new pharmacotherapies, more timely invasive treatments and device assisted therapies. Indeed, advances in mechanical support, namely with the development of more efficient left ventricular assist devices (LVADs), and the total artificial heart have reduced mortality and morbidity in patients awaiting transplantation, so much so, that LVADs are now approved of as a strategy for destination therapy. In this review, the authors describe in detail the current basic indications, functioning modalities, main limitations of surgical LAVDs, total artificial heart development, and percutaneous assist devices, trying to clarify this complex, but fascinating topic.

关键词： Cardiac surgery Cardiocirculatory support Devices Heart failure Heart transplant

Unicompartimental knee arthroplasty metallosis treated with uni-onuni revision:A case report

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World Journal of Orthopedics 2023年第12期14卷 889-896页

作者： giuseppe Toro Adriano Braile gianluca Conza Annalisa De Cicco Assala Abu Mukh Giacomo Placella Vincenzo Salini Department of Medical and Surgical Specialties and Dentistry University of Campania“Luigi Vanvitelli”Naples 80138Italy Department of Orthopaedics and Traumatology San Raffaele HospitalMilan 20132Italy

BACKGROUND Metallosis is the result of metallic wear debris in the soft tissues and is associated to both local and systemic inflammatory *** has been reported after total hip and total knee arthroplasty(TKA),but rarely after a unicompartimental knee arthroplasty(UKA).In the context of UKA metallosis,surgeons often opt for revision using a ***,in this paper,the authors successfully treated UKA revising the metal back *** SUMMARY Prior to treat our patient we conducted a literature research through which we identified eleven cases of metallosis after UKA,ten(90.9%)were treated revising using though a *** one case was managed through a uni-on-uni revision,reporting high knee *** patient complained worsening pain and function after a snap occurred at 16 mo after UKA *** 18 mo following surgical debridment and uni-on-uni revision surgery,our patient exhibited a relevant improvement in Oxford Knee Score and a reduction of metal ion levels in the *** Our study highlights that in case of metallosis after UKA,the treatment may be based on surgical debridement and just revising the mobilized components.

关键词： Metallosis Unicompartimental knee arthroplasty Revision Uni-on-uni revision case report Review Case report

Tumor budding as a potential histopathological biomarker in colorectal cancer:Hype or hope?

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World Journal of Gastroenterology 2012年第45期18卷 6532-6536页

作者： Fabio Grizzi giuseppe Celesti gianluca Basso Luigi Laghi Laboratories of Molecular Gastroenterology Humanitas Clinical and Research CenterRozzano20089 MilanItaly

Colorectal cancer （CRC）, the third most commonly di- agnosed type of cancer in men and women worldwide is recognized as a complex multi-pathway disease, an observation sustained by the fact that histologically identical tumors may have different outcome, including various response to therapy. Therefore, particularly in early and intermediate stage （stages Ⅱ and Ⅲ, respec- tively） CRC, there is a compelling need for biomarkers helpful of selecting patients with aggressive disease that might benefit from adjuvant and targeted therapy. Histopathological examination shows that likely other solid tumors the development and progression of hu- man CRC is not only determined by genetically abnor- mal cells, but also by intricate interactions between malignant cells and the surrounding microenvironment. This has led to reconsider the features of tumor mi- croenvironment as potential predictive and prognostic biomarkers. Among the histopathological biomarkers, tumor budding （i.e., the presence of individual cells and small clusters of tumor cells at the tumor invasive front）has received much recent attention, particularly in the setting of CRC. Although its acceptance as a reportable factor has been held back by a lack of uniformity with respect to qualitative and quantitative aspects, tumor budding is now considered as an independent adverse prognostic factor in CRC that may allow for stratifica- tion of patients into risk categories more meaningful than those defined by tumor-node-metastasis staging alone, and also potentially guide treatment decisions, especially in T2-T3 NO （stage Ⅱ） CRCs.

关键词： Colorectal cancer Tumor budding Bio-marker Histopathology

Stepwise approach and surgery for gallbladder adenomyomatosis: a mini-review

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Hepatobiliary & Pancreatic Diseases International 2013年第2期12卷 136-142页

作者： gianluca Pellino Guido Sciaudone giuseppe Candilio giuseppe Perna Antonio Santoriello Silvestro Canonico Francesco SelvaggiAuthor Unit of General and Geriatric Surgery School of Medicine Second University of Naples

BACKGROUND: Gallbladder adenomyomatosis (GBA) is a hyperplastic disease affecting the wall of the gallbladder, with some typical features. It has historically been considered a benign condition, nevertheless recent reports highlighted a potential role of GBA in predisposing to malignancies of the gallbladder. DATA SOURCES: We reviewed the literature concerning GBA from its identification until July 2012. Owing to the relative rarity of the disease, studies often are case reports or case series. Thus we herein report a summary of the key-points concerning diagnosis and treatment of GBA, easily applicable in everyday practice, rather than a systematic review. Also, results are integrated with our recent experience. RESULTS: In our experience, we observed a trend toward an increase of GBA during the last years, probably due to enhanced ultrasonographic technical advancements and physician’s expertise. GBA has distinctive imaging features. Several recent reports highlight the potential risk of cancer associated with GBA; however the disease is still classified as a benign condition. Although its correlation with malignancy has not been demonstrated, it is prudent to recommend cholecystectomy in some cases. However, in selected asymptomatic patients, a wait-and-see policy is a viable alternative. We propose an algorithm, based on GBA pathological pattern (diffuse, segmental, localized or fundal), suitable for ***: In symptomatic patients and if the diagnosis is doubtful, cholecystectomy is mandatory. Postponing surgery is an option to be offered to asymptomatic patients with low-risk GBA pattern who adhere to scheduled follow-ups.

关键词： gallbladder adenomyomatosis gallbladder carcinoma cholecystectomy ultrasonography