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Carotid lesions in outpatients with nonalcoholic fatty liver disease

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World Journal of Gastroenterology 2009年第38期15卷 4770-4774页

作者： stefano Ramilli stefano Pretolani Antonio Muscari Barbara Pacelli Vincenzo Arienti Department of Internal Medicine Maggiore Hospital Department of Internal Medicine Aging and Nephrological DiseasesUniversity of Bologna Epidemiology Unit Local Health Authority

AIM:To ascertain whether carotid lesions are more prevalent in outpatients with incidental findings of nonalcoholic fatty liver disease (NAFLD) at abdominal ultrasound (US).METHODS: One hundred and fifty-four consecutive outpatients (age range 24-90 years, both sexes) referred by general practitioners for abdominal US, and drinking less than 20 g alcohol/day, underwent carotid US for an assessment of carotid intima-media thickness (c-IMT) and carotid plaque prevalence. Hepatic steatosis, visceral fat thickness and subcutaneous fat thickness were also assessed at ***: Higher c-IMT values were found in the presence of NAFLD (90 patients), even after adjustment for indices of general and abdominal obesity and for the principal cardiovascular risk factors (0.84±0.10 mm vs 0.71±0.10 mm, P<0.001). The prevalence of carotid plaques was 57.8% in the patients with NAFLD vs 37.5% in the patients without this condition (P=0.02). The adjusted relative risk of having carotid plaques for patients with NAFLD was 1.85 (95% CI:1.33-2.57, P<0.001).CONCLUSION: An incidental finding of hepatic steatosis may suggest the presence of silent carotid atherosclerotic lesions.

关键词： Hepatic steatosis Nonalcoholic fatty liverdisease Metabolic syndrome Carotid atherosclerosis Plaque Intima-media thickness

Antiplatelet therapy in very elderly and comorbid patients with acute coronary syndromes

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Journal of Geriatric Cardiology 2019年第2期16卷 103-113页

作者： Roberta De Rosa Federico Piscione Gennaro Galasso stefano De Servi stefano Savonitto Department of Medicine Surgery and DentistrySchola Medica SalemitanaUniversity of SalernoItaly IRCCS Multimedica Sesto San Giovanni(MI)Italy Cardiovascular Department Alessandro Manzoni HospitalLeccoItaly

With population ageing and rise of life expectancy,a progressively increasing proportion of patients presenting with an acute coronary syndrome(ACS)are older adults,including those at extreme chronological *** amounts of data,including randomized clinical trials,have shown that the benefits of an early revascularization are maintained also at very old age,resulting in improved outcome after an acute coronary *** the contrary,the optimal antiplatelet therapy(APT)remains unclear in these patients,because of both safety and efficacy ***,age-related multiple organ dysfunction and high prevalence of comorbidities may on the one hand reduce the therapeutic effects of administered drugs;on the other hand,it leads to increased vulnerability to drug toxicity and side ***,management of APT is particularly challenging in elderly patients because of higher risk of both ischemic and bleeding *** aim of the present paper is to review the current evidence,gaps in knowledge and ongoing research regarding APT in the setting of an ACS in elderly and very elderly patients,and in those with significant comorbidities including chronic kidney disease,diabetes mellitus and frailty.

关键词： Acute coronary syndrome Antiplatelet therapy The elderly

Rethinking to riluzole mechanism of action: the molecular link among protein kinase CK1δ activity, TDP-43 phosphorylation, and amyotrophic lateral sclerosis pharmacological treatment

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Neural Regeneration Research 2019年第12期14卷 2083-2085页

作者： Maicol Bissaro stefano Moro Molecular Modeling Section (MMS) Department of Pharmaceutical and Pharmacological Sciences University of Padova

Life expectancy in industrialized and developed countries will continue to increase in the near future. Consequently, over the last years, the incidence and social impact of neurodegenerative diseases have increased, highlighting an urgent need for new and more effective therapeutic strategies to counter these terrible disorders. While we tend to think about neurodegenerative diseases as conditions that are uniquely associated with the elder age, these diseases cover a diverse range across the entire lifespan, even affecting infants and children.

关键词： riluzole mechanism Life future

Sexual outcome of patients undergoing thulium laser enucleation of the prostate for benign prostatic hyperplasia

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Asian Journal of Andrology 2015年第5期17卷 802-806,I0009页

作者： Luca Carmignani Giorgio Bozzini Alberto Macchi Serena Maruccia stefano Picozzi stefano Casellato Academic Department of Urology IRCCS Policlinico San Donato University of Milan Milan Italy

Treatment of patients with lower urinary tract symptoms （LUTS） secondary to benign prostatic hyperplasia （BPH） may affect the quality of sexual function and ejaculation. The effect of new surgical procedures, which are currently available to treat BPH, on erection and ejaculation, has been poorly studied. This study aimed to assess the effect of thulium laser enucleation of the prostate （ThuLEP） on sexual function and retrograde ejaculation in patients with LUTS secondary to BPH. We performed a prospective study in 110 consecutive patients who had undergone ThuLEP to analyze changes in sexual function and urinary symptoms. To evaluate changes in erection and ejaculation, and the effect of urinary symptoms on the quality of life （QoL）, five validated questionnaires were used： the ICIQ-MLUTSsex, MSHQ-EjD, International Index of Erectile Function 5, International Prognostic Scoring System （IPSS） questionnaire, and QoL index of the intraclass correlation coefficients. Patients also underwent IPSS and flowmetry to assess the outcome of flow. Patients were evaluated before surgery and 3-6 months after ThuLEP, whereas those with previous abdominal surgery were excluded. The patients＇ mean age was 67.83 years. Postoperative urinary symptoms improved after surgery. No significant differences in erectile function before and after surgery were observed. As compared with other techniques described in the literature, the percentage of patients with conserved ejaculation increased by 52.7% after ThuLEP. ThuLEP positively affects urinary symptoms and their effect on the QoL of patients as assessed by questionnaire scores. While endoscopic management of BPH （e.g. transurethral resection of the prostate） causes retrograde ejaculation in most patients, those who undergo ThuLEP have conserved ejaculation and erectile function.

关键词： antegrade ejaculation benign prostatic hyperplasia sexual function thulium laser enucleation of the prostate

Modelling sediment delivery using connectivity components at the experimental SPA2 basin, Sicily(Italy)

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Journal of Mountain Science 2018年第9期15卷 1868-1880页

作者： Costanza DI stefano Vito FERRO Department of Agricultural Food and Forest Sciences University of Palermo Viale delle Scienze Department of Earth and Marine Sciences University of Palermo

Sediment delivery ratio can be used as a measure of sediment connectivity and it can be linked to the structural connectivity(morphological unit, slope length, slope steepness, travel time) of a basin and to the functional connectivity(rainfall-runoff processes at morphological unit scale). In this paper the sediment connectivity approach was applied at basin scale both using Sediment Delivery Distributed(SEDD) model, which takes into account the hillslope sediment transport, and sediment yield measurements carried out at SPA2 experimental basin(Sicily, Italy). The expression of the sediment delivery ratio SDRi of a morphological unit was modified for highlighting two components corresponding to the structural(SDR_(L,i)) and functional(SDR_(F,i)) sediment connectivity, respectively. For SPA2 basin the frequency distribution of the travel time of each morphological unit was used to estimate the coefficient βL of the structural component of the sediment delivery ratio of each morphological unit. Then, using the sediment yield measurements carried out at the outlet of the experimental SPA2 basin in the period April 2000-March 2015, the SEDD model was calibrated at event scale for estimating the coefficient βF of the functional component of the sediment delivery ratio. At event scale the developed analysis stated that the functional connectivity is dependent on the magnitude of erosion events. Intermediate and high events, which were characterized by the lowest values of the functional coefficient, determine a more high functional connectivity and are characterized by a more efficient sediment transport along the hillslopes. Finally, at annual scale, the model was calibrated for the period 2000-2015 and relationships for estimating the coefficient βF,a of the functional component of the sediment delivery ratio taking into account the intensity of erosion events occurring in each year were determined. At annual scale, the analysis demonstrated that the functional coeffic

关键词： Soil erosion Sediment delivery Sediment connectivity Experimental basin SEDD

An ethics assessment list for geoinformation ecosystems: revisiting the integrated geospatial information framework of the United Nations

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International Journal of Digital Earth 2023年第1期16卷 1418-1438页

作者： stefano Calzati Bastiaan van Loenen Urban Data Science Department of UrbanismTechnology University of DelftDelftThe Netherlands

To achieve sustainable development goals,georeferenced data and geographic information systems play a crucial ***,the way in which these data and systems are summoned upon rests on positivist assumptions which overlook both epistemological and ethical *** is epitomized by the integrated geospatial information framework(IGIF)of the United Nations,which,from the perspective of sustainable development,aims to provide guidance for the management of geoinformation and related tools,considering these as mirrors of the physical *** this respect,the article has three main ***,it delivers an epistemological and ethical critique of the IGIF,by highlighting its internal ***,it suggests how the IGIF and similar geoinformation initiatives can benefit from an ethical reflection that allows to conduct georeferenced practices in a fair(er)***,it designs an ethics assessment list for self-evaluating the ethical robustness of geoinformation initiatives as ecosystems.

关键词： Sustainable development goals geoinformation GISs data ecosystem data ethics integrated geospatial information framework

Physical exercise and traumatic brain injury: is it question of time?

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Neural Regeneration Research 2024年第3期19卷 475-476页

作者： Valentina Mastrorilli stefano Farioli Vecchioli Institute of Biochemistry and Cell Biology Institute of Biochemistry and Cell BiologyNational Research Council(IBBC/CNR)MonterotondoRomeItaly Plaisant S.R.L. RomeItaly

Is it better to be safe than sorry?This Hamletic dilemma has always stimulated medical-scientific debates in numerous fields of *** among these,the preventive-therapeutic approach to the treatment of brain trauma is one of the most striking *** brain injury(TBI)is a leading cause of brain damage among young and elderly populations with a very high hospitalization and death *** is characterized by two pathologically distinct but strictly consequential phases:a first characterized by an immediate and highly variable mechanical dysfunction of the brain tissue,which involves widespread cell death and tissue degeneration,followed by a second phase which can last from days to even years depending on the severity of the TBI and the patient’s pre-existing health *** processes,including inflammatory phenomena,oxidative stress associated with metabolic,vascular,and neuro-modulatory deficits,are very often responsible for neuro-motor and psychological deficits leading to long-term disabilities(Kaur and Sharma,2018).

关键词： injury striking modulator

Italian perspective on the planned preventive conservation of architectural heritage

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Frontiers of Architectural Research 2021年第1期10卷 108-116页

作者： stefano Della Torre Deportment of Architecture Built Environment and Construction EngineeringPolitecnico di MilanoMilan 20131Italy

This paper tells us a complex story on the historic evolution of preventive conser vation of architectural heritage in ***,it introduces Cesare Brandi's Theory of Resto ration,pointing out the peculiar sense of the word Restoration in Brandi's system other than the common sense in the international discourse,the limits of Brandi's theory to architectural conservation and his prophecy on preventive *** it talks about the differentframework and practices of preventive conservation in the field of built heritage compared to the museum sector,the milestone of Giovanni Urbani's pilot project on programmed *** and the leading role of the Risk Map of Cultural ***,based on the discus-sions of the durable change in the architectural conservation field after the Venice Charter,including the teaching in Milan School,the debate and re-definition of architectural conserva-tion and the advance definitions of conservation,prevention,maintenance and restoration in the 2004 National Code of Cultural Heritage and Landscape,it gives us an agenda for futuretrends of planned conservation with aims to conserve the material authenticity and *** co-evolutional strategy.

关键词： Preventive conservation Planned conservation Architectural conservation Material authenticity Co-evolutional strategy

Evaluating soil erosion by water in a small alpine catchment in Northern Italy: comparison of empirical models

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Acta Geochimica 2021年第4期40卷 507-524页

作者： Francesca Berteni stefano Barontini Giovanna Grossi DICATAM(Department of Civil EnvironmentalArchitectural Engineering and Mathematics)University of BresciaVia Branze 4325123 BresciaItaly

To quantify water erosion rates and annual soil loss in mountainous areas,two different empirical models were used to estimate the effects of soil erosion in a small mountain basin,the Guerna Creek watershed,located in the Central Southern Alps(Northern Italy).These two models,Revised Universal Soil Loss Equation(RUSLE) and Erosion Potential Model(EPM),were implemented in a Geographical Information System,accounting for the geographical,geomorphological,and weather-climate parameters,which are fundamental to evaluating the intensity and variability of the erosive *** characterization was supported by laboratory *** results(computed soil loss of 87 t/ha/year and 11.1 m^(3)/ha/year,using RUSLE equation and EPM method,respectively,and sediment yield of 7.5 m^(3)/ha/year using EPM method) were compared to other studies reported in the literature for different case studies with similar topographic and climatic features,as well as to those provided by the European Soil Data Centre(ESDAC).In both cases,the agreement was satisfactory,showing consistency of the adopted procedures to the parametrization of the physical processes.

关键词： Water erosion Alpine hydrology EPM RUSLE Soil loss Ungauged basin