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Proximal-distal motor unit number estimationdynamic changes in patients with amyotrophic lateral sclerosis A one-year follow-up

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Neural Regeneration Research 2010年第8期5卷 597-601页

作者： Sartucci Ferdinando Moscato Gianluca rossi Chiara Caleo Matteo Bocci Tommaso Murri Luigi Giannini Fabio rossi alessandro Department of Neuroscience Unit of NeurologyPisa University Medical School Institute of Neuroscience Unit of Neurophysiopathology Pontedera Hospital Pisa Department of Neurological Neurosurgical and Behavioural Sciences Siena University Medical School

BACKGROUND：Amyotrophic lateral sclerosis （ALS） is the most common of all the motor neuron diseases and the absence of a biologic marker has made both diagnosis and tracking evolution of the disease difficult, Electrodiagnostic tests play a fundamental role in quantifying pathological changes in the motor unit ***：We assessed distal-proximal Motor Unit （MU） loss and changes using the method of motor unit number estimation （MUNE）.DESIGN, TIME AND SETTING：A case-control study was performed at the Department of Neuroscience, Pisa University Medical School, Italy from December 1999 to November 2009. PARTICIPANTS：A total of 50 ALS patients were recruited, 30 males：mean age （59.6 ± 13.3） years; 20 females：mean age （63.9 ± 11.7） years; range （30-82） years; all patients had probable or definite ALS. Thirty healthy volunteers were recruited from department staffs, including 20 males and 10 females; mean age （57.7 ± 13.8） years served as ***：MUNE was performed for both the biceps brachii and abductor digiti minimi muscles of the same side. The technique used relayed substantially on manual incremental stimulation of the motor nerve, known as the McComas technique （50 ms sweep duration, a gain of 2 mV/Div for M wave, 0.5 mV/Div for each step; filters 10-20 kHz）.MAIN OUTCOME MEASURES：MUNE results were ***：Functioning MU numbers, measured by MUNE, decreased in the biceps brachii and abductor digiti minimi muscles over the entire one-year follow-up period （one assessment every three months） compared with baseline determination, the rate of MU decrease was similar in both muscles, but steeper ***：MUNE is a feasible method for ALS patients both proximally and distally to track changes over time in muscle MUs during the disease＇s evolution.

关键词： motor unit number estimation amyotrophic lateral sclerosis motor neuron disease time changes denervation reinnervation

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氧化锆基台及钛基台应用于后牙单牙缺失种植修复5年的功能性对比研究

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中国口腔医学继续教育杂志 2016年第3期19卷 132-137页

作者： Diego Lops Eriberto Bressan Matteo Chiapasco alessandro rossi Eugenio Romeo 陈键汤春波不详无锡口腔医院江苏省无锡市健康路110-1号 214001 南京医科大学附属口腔医院种植修复科江苏省南京市汉中路136号 210029

目的：经过5年随访研究证实．在后牙缺失种植修复的应用中，氧化锆基台与钛基台的成功率相似。材料和方法：采用两段式种植方案。最终修复体戴入后．对每位患者进行了为期5年的随访观察．每年通过临床及影像学参数来进行评估，记录修复... 详细信息

目的：经过5年随访研究证实．在后牙缺失种植修复的应用中，氧化锆基台与钛基台的成功率相似。材料和方法：采用两段式种植方案。最终修复体戴入后．对每位患者进行了为期5年的随访观察．每年通过临床及影像学参数来进行评估，记录修复体并发症的发生情况。通过数据分析（Wilcoxon signedr ank test）来观察比较种植体支持的修复体与对侧同名牙之间在生物学及影像学参数之间的差异。描述·性数据用于分析随着时间的推移（从基准到最后一次随访）临床及影像参数的变化。结果：85名患者均存在单颗后牙缺失．植入85颗种植体，其中38颗氧化锆基台和47颗钛基台，分别安装38个全瓷冠及47个金属烤瓷冠。其中4名患者中途退出试验。81颗种植体分别支持44颗钛基台、37颗氧化锆基台．完成了为期5年的随访观察。均未发现种植体失败，骨组织改建失败及基台失败。因此．5年随访的所有基台及修复体的成功率为100％。并且通过对比种植牙与对侧天然牙．发现钛基台及氧化锆基台之间在生物学及影像学参数指标方面没有显著性差异。在随访记录中还发现，钛基台与氧化锆基台不会引起明显的边缘骨吸收。结论：通过中期随访研究发现，氧化锆基台在单颗后牙缺失中的应用类似于钛基台。但仍需要长期的观察研究来证实。

关键词：氧化锆基台钛基台单牙缺失固定修复存活率

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Safety,immunogenicity,efficacy,and acceptability of COVID-19 vaccination in people with multiple sclerosis:a narrative review

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Neural Regeneration Research 2023年第2期18卷 284-288页

作者： Fioravante Capone Mariagrazia rossi alessandro Cruciani Francesco Motolese Fabio Pilato Vincenzo Di Lazzaro Neurology Neurophysiology and Neurobiology UnitDepartment of MedicineCampus Bio-Medico of Rome UniversityRomeItaly

In the last two years,a new seve re acute res piratory syndrome coronavirus(SARS-CoV)infection has spread worldwide leading to the death of *** ccination represents the key factor in the global strategy against this pandemic,but it also poses several problems,especially for vulnerable people such as patients with multiple scle *** this review,we have briefly summarized the main findings of the safety,efficacy,and acceptability of Coronavirus Disease 2019(COVID-19)vaccination fo r multiple sclerosis *** the acceptability of COVID-19 vaccines has progressively increased in the last year,a small but significant part of patients with multiple sclerosis still has relevant concerns about vaccination that make them hesitant about receiving the COVID-19 ***,available data suggest that the COVID-19 vaccination is safe and effective in multiple scle rosis patients,even though some pharmacological treatments such as anti-CD20 therapies or sphingosine I-phosphate receptor modulato rs can reduce the immune response to ***,COVID-19 vaccination should be strongly recommended for people with multiple scle rosis and,in patients treated with anti-CD20 therapies and sphingosine I-phosphate receptor modulato rs,and clinicians should evaluate the appropriate timing for vaccine *** studies are necessary to understand the role of cellular immunity in COVID-19 vaccination and the possible usefulness of booster *** the other hand,it is mandatory to learn more about the reasons why people refuse *** would help to design a more effective communication campaign aimed at increasing vaccination coverage among vulnerable people.

关键词： COVID-19 multiple sclerosis SARS-CoV-2 vaccination vaccine

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Benign intratesticular schwannoma:a rare finding

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Asian Journal of Andrology 2006年第1期8卷 101-103页

作者： Maria Chiara Sighinolfi alessandro Mofferdin Stefano S.De Stefani Antonio Celia Salvatore Micali Giovanni Saredi Giulio rossi Riccardo Valli Giampaolo Bianchi Division of Urology Department of Pathology Section of Anatomic Pathology University of Modena 41100 ModenaItaly

Schwannoma is a peripheral nerve tumour, occasionally located in the genitourinary tract. We described an extremely rare case of intratesticular neurinoma in a 79-year-old patient. （Asian JAndrol 2006 Jan; 8： 101-103）

关键词： schwannoma Schwann cells testicular neoplasm S 100 protein

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Use of artificial intelligence in improving adenoma detection rate during colonoscopy:Might both endoscopists and pathologists be further helped

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World Journal of Gastroenterology 2020年第39期26卷 5911-5918页

作者： Emanuele Sinagra Matteo Badalamenti Marcello Maida Marco Spadaccini Roberta Maselli Francesca rossi Giuseppe Conoscenti Dario Raimondo Socrate Pallio alessandro Repici Andrea Anderloni Gastroenterology and Endoscopy Unit Fondazione Istituto San Raffaele GiglioCefalù90015Italy Digestive Endoscopy Unit Division of GastroenterologyHumanitas Clinical and Research Center IRCCSRozzano 20089Italy Gastroenterology and Endoscopy Unit S.Elia-Raimondi HospitalCaltanissetta 93100Italy Endoscopy Unit AOUP Policlinico G.MartinoMessina 98125Italy

Colonoscopy remains the standard strategy for screening for colorectal cancer around the world due to its efficacy in both detecting adenomatous or precancerous lesions and the capacity to remove them *** detection and diagnosis(CAD),thanks to the brand new developed innovations of artificial intelligence,and especially deep-learning techniques,leads to a promising solution to human biases in performance by guarantying decision support during *** application of CAD on real-time colonoscopy helps increasing the adenoma detection rate,and therefore contributes to reduce the incidence of interval cancers improving the effectiveness of colonoscopy screening on critical outcome such as colorectal cancer related ***,a significant reduction in costs is also *** addition,the assistance of the machine will lead to a reduction of the examination time and therefore an optimization of the endoscopic *** aim of this opinion review is to analyze the clinical applications of CAD and artificial intelligence in colonoscopy,as it is reported in literature,addressing evidence,limitations,and future prospects.

关键词： Colonoscopy Artificial intelligence Adenoma detection rate Pathology Endoscopy Computer-aided detection and diagnosis

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Evaluation of in vitro cell and blood compatibility and in vivo analgesic activity of plant-derived dietary supplements

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Journal of Integrative Medicine 2019年第3期17卷 213-220页

作者： Stefania Lamponi Anna Maria Aloisi Claudia Bonechi Marco Consumi alessandro Donati Gemma Leone Claudio rossi Gabriella Tamasi Luana GhiANDai Ersilia Ferrini Paolo Fiorenzani Ilaria Ceccarelli Agnese Magnani Department of Biotechnology Chemistry and PharmacyUniversity of Siena Union B.I.O.S.r.l. Labor Chimica S.r.l. Department of Medicine Surgery and NeurosciencesUniversity of Siena

Objective: In vitro cell and blood compatibility of three dietary supplements, comprised of multiple plant extracts, Pneumo Go(PG), Green active(GA) and Equistasi(Eq), and their main component, the phytocomplex Matrix U.B.ò(Union Bio S.r.l.)(M), were evaluated. Moreover, preliminary in vivo tests were performed on GA in order to assess its ability to reduce pain in an animal ***: Cell compatibility was determined using fibroblasts(NIH3T3) and primary adult human microvascular endothelial cells(HMVECad) and the neutral red uptake test. Blood compatibility was evaluated by analyzing blood parameters after incubation of the products with sodium citrate anticoagulated whole blood. Thrombin time was determined by adding thrombin to aliquots of human plasma containing the samples. Clotting time was revealed by an automatic coagulometer. The in vivo analgesic effect of GA was evaluated in Wistar rats using the formalin ***: M and PG reduced the percentage of viable NIH3T3 cells, indicating their interference in the cell cycle. GA and Eq stimulated fibroblast proliferation and neutralized the toxic effect of M. M and PG reduced HMVECad cell viability. GA and Eq did not affect cell viability as well as negative control. The hemocompatibility tests indicated that all the samples did not interfere with fibrinogen. The in vivo test carried out in male rats showed a significant analgesic effect of GA in all formalin-induced pain ***: No hemotoxicity and good cell compatibility were found for all the tested samples. GA and Eq were the best candidates for further biocompatibility testing. Moreover, GA reduced pain in the animal model.

关键词： Plant extracts Fibroblasts Endothelial cells Cytotoxicity Cytocompatibility Haemocompatibility Pain reduction In vivo animal model

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Extracorporeal membrane oxygenation in lung transplantation:Indications,techniques and results

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World Journal of Transplantation 2021年第7期11卷 290-302页

作者： Eleonora Faccioli Stefano Terzi alessandro Pangoni Ivan Lomangino Sara rossi Andrea Lloret Giorgio Cannone Carlotta Marino Chiara Catelli Andrea Dell'Amore Thoracic Surgery Unit Department of Cardiothoracic and Vascular SciencesUniversity of PadovaPadova 35128Italy

The use of extracorporeal membrane oxygenation(ECMO)in the field of lung transplantation has rapidly expanded over the past 30 *** has become an important tool in an increasing number of specialized centers as a bridge to transplantation and in the intra-operative and/or post-operative *** is an extremely versatile tool in the field of lung transplantation as it can be used and adapted in different configurations with several potential cannulation sites according to the specific need of the *** example,patients who need to be bridged to lung transplantation often have hypercapnic respiratory failure that may preferably benefit from veno-venous(VV)ECMO or peripheral veno-arterial(VA)ECMO in the case of hemodynamic ***,in an intraoperative setting,VV ECMO can be maintained or switched to a VA *** routine use of intra-operative ECMO and its eventual prolongation in the postoperative period has been widely investigated in recent years by several important lung transplantation centers in order to assess the graft function and its potential protective role on primary graft dysfunction and on ischemia-reperfusion *** review will assess the current evidence on the role of ECMO in the different phases of lung transplantation,while analyzing different studies on pre,intra-and post-operative utilization of this extracorporeal support.

关键词： Lung transplantation Extracorporeal membrane oxygenation Bridge to transplantation Support Primary graft dysfunction Ischemia-reperfusion injury

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An isolate alpha-fetoprotein producing gastric cancer liver metastasis emerged in a patient previously affected by radiation induced liver disease

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World Journal of Hepatology 2013年第7期5卷 398-403页

作者： Vincenzo Cardinale Gianmaria De Filippis alessandro Corsi Augusto La Penna Michele rossi Carlo Catalano Paolo Bianco Adriano De Santis Domenico Alvaro Department of Medico-Surgical Sciences and Biotechnologies Sapienza University of Rome Department of Radiology Sapienza University of Rome Department of Molecular Science Sapienza University of Rome Department of Clinical Medicine Sapienza University of Rome Department of Radiology Sant'Andrea Hospital Sapienza University of Rome

We report a case of an isolated hepatic neoplasia which originated in a site of the liver previously affected by radiation induced liver disease (RILD) in a patient resected for gastric cancer and referred to us for high serum alpha-fetoprotein (AFP) levels. This case challenged us in distiguishing, even histologically, between primary liver cancer and AFP producing gastric cancer metastasis. Only a panel of immunohis-tochemical markers allowed the definitive diagnosis of liver metastasis of endodermal stem cell-derived and AFP producing gastric cancer. We discuss the criteria for a differential diagnosis, as well as the possible link between RILD and emergence of liver neoplasia.

关键词： Alpha-fetoprotein producing gastric cancer Hepatoid adenocarcinoma Liver metastasization Radiation induced liver disease

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Familial colorectal cancer screening: When and what to do?

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World Journal of Gastroenterology 2015年第26期21卷 7944-7953页

作者： Giovanna Del Vecchio Blanco Omero alessandro Paoluzi Pierpaolo Sileri Piero rossi Giuseppe Sica Francesco Pallone Department of Systems Medicine Gastroenterology UnitUniversity Tor Vergata Department of Surgery University Tor Vergata Department of Experimental Science and Surgery University Tor Vergata

Colorectal cancer(CRC) is the third leading cause of death worldwide and represents a clinical *** members of patients affected by CRC have an increased risk of CRC *** these individuals,screening is strongly recommended and should be started earlier than in the population with average risk,in order to detect neoplastic precursors,such as adenoma,advanced adenoma,and nonpolypoid adenomatous lesions of the *** occult blood test(FOBT) is a non invasive,widespread screening method that can reduce CRC-related ***,alone or in addition to FOBT,represents another screening strategy that reduces CRC *** is the best choice for screening highrisk populations,as it allows simultaneous detection and removal of preneoplastic *** choice of test depends on local health policy and varies among countries.

关键词： Colonoscopy Colorectal cancer screening Fecal occult blood test Advanced adenoma Firstdegreerelative Sigmoidoscopy

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Hepatocellular carcinoma in cirrhotic patients with portal hypertension:Is liver resection always contraindicated?

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World Journal of Gastroenterology 2011年第46期17卷 5083-5088页

作者： Andrea Ruzzenente alessandro Valdegamberi Tommaso Campagnaro Simone Conci Silvia Pachera Calogero Iacono Alfredo Guglielmi Department of Surgery Division of General Surgery"A"GB Rossi HospitalUniversity of Verona

AIM:To analyze the outcome of hepatocellular car-cinoma(HCC)resection in cirrhosis patients,related to presence of portal hypertension(PH)and extent of ***:A retrospective analysis of 135 patients with HCC on a background of cirrhosis was submitted to curative liver ***:PH was present in 44(32.5%)*** mortality and morbidity were 2.2% and 33.7%,*** survival time in patients with or without PH was 31.6 and 65.1 mo,respectively(P=0.047);in the subgroup with Child-Pugh class A cirrhosis,median survival was 65.1 mo and 60.5 mo,respectively(P=0.257).Survival for patients submitted to limited liver resection was not significantly different in presence or absence of ***,median survival for patients after resection of 2 or more segments with or without PH was 64.4 mo and 163.9 mo,respectively(P=0.035).CONCLUSION:PH is not an absolute contraindication to liver resection in Child-Pugh class A cirrhotic patients,but resection of 2 or more segments should not be recommended in patients with PH.

关键词：肝硬化肝切除患者肝癌禁忌高压平均存活时间 PH值

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