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Study of the Impact of the Patient Rhythm during Cryoballoon Ablation on the Acute Biophysical Parameters

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World Journal of Cardiovascular Diseases 2022年第1期12卷 65-76页

作者： Mohamed Sanhoury Gaetano Fassini Salvatore Pala Massimo Moltrasio Fabrizio Tundo Stefania Riva Antonio Dello Russo michela casella Claudio Tondo Cardiac Arrhythmia Research Centre Department of Cardiovascular Sciences University of Milan Centro Cardiologico Monzino IRCCS Milan Italy Electrophysiology Unit Department of Cardiology and Angiology University of Alexandria Alexandria Egypt

Background: Pulmonary vein isolation by means of cryoballoon is a well-established way of treatment of atrial fibrillation. The aim of the study was to compare the acute cryoballoon biophysical parameters attained during energy applications to the individual pulmonary vein during sinus rhythm versus atrial fibrillation. Methods: 100 Patients who underwent their first-time PVI using second-generation cryoballoon for symptomatic and drug-refractory AF, between the beginning of March to end of August 2016, were initially screened. 61 patients with paroxysmal AF were included in the present study. 39 patients with persistent AF were excluded. No pre-procedural anatomical imaging was reported. Results: A total of 61 patients (male 80%, age 59.3 ± 13.4 years) were included in the present analysis.

Mitochondria replacement from transplanted amniotic fluid stem cells:a promising therapy for non-neuronal defects in spinal muscular atrophy

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Neural Regeneration Research 2024年第5期19卷 971-972页

作者： michela Pozzobon Camilla Bean Women’s and Children’s Health Department University of Padova Foundation Institute of Pediatric Research Cittàdella Speranza PadovaItaly Department of Medicine University of UdineUdineItaly

Spinal muscular atrophy(SMA)is a genetic disorder that primarily affects infants and leads to muscle weakness,atrophy,and *** main cause is the homozygous mutation or deletion of the SMN1 gene,resulting in inadequate levels of the survival motor neuron(SMN)*** treatments focus on restoring SMN levels through various approaches,but there is a need for“SMN-independent”therapies that target other pathological *** muscle is closely involved in SMA pathology,with impaired muscle function observed before motor neuron *** have revealed that SMN loss leads to skeletal muscle mitochondrial structural abnormalities,impaired respiration,and accumulation of reactive oxygen species.

关键词： impaired atrophy muscular

Manifold benefits of choosing a minimally fluoroscopic catheter ablation approach

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World Journal of Cardiology 2013年第2期5卷 8-11页

作者： michela casella Antonio Dello Russo Gaetano Fassini Daniele Andreini Pasquale De Iuliis Saima Mushtaq Stefano Bartoletti Stefania Riva Claudio Tondo Cardiac Arrhythmia Research Centre Centro Cardiologico Monzino IRCCS Cardiovascular Imaging Department Centro Cardiologico Monzino IRCCS St Jude Medical Italy

We report the case of a 14-year-old boy with ventricular preexcitation. A standard, fluoroscopy guided, ablation procedure was successfully performed in a postero-midseptal region with a total fluoroscopy time of about 45 min (2430 ***2). A few hours after the procedure, preexcitation reappeared. A second ablation procedure was scheduled using the EnSite NavXTM mapping system. During mapping along the tricuspid groove, preexcitation suddenly disappeared due to mechanical "bumping" of the accessory pathway and it did not recover over the next 30 min. As per our routine practice, the phase of geometry reconstruction has been continuously recorded by the system; thus, an off-line analysis allowed to pinpoint the site of earliest activation and the site of mechanical bumping, where radiofrequency obtained the accessory pathway ablation. The second procedure was performed without using fluoroscopy at all. Thanks to the geometry reconstruction, the procedure was completely successful thus avoiding a further rehospitalization.

关键词： Supraventricular arrhythmias Accessory pathway Radiofrequency ablation Electroanatomical mapping Radiation exposure

Has the open surgical approach in colorectal cancer really become uncommon?

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1485-1492页

作者： Maria Cariati Giuseppe Brisinda Maria michela Chiarello Department of Surgery Azienda Sanitaria Provinciale di CrotoneCrotone 88900Italy Abdominal and Endocrine Metabolic Medical and Surgical Sciences Fondazione Policlinico Universitario A Gemelli IRCCSRome 00168Italy Department of Surgery Azienda Sanitaria Provinciale di CosenzaCosenza 87100Italy

Colorectal cancer is the third most common cancer in the *** is man-datory to treat patients with colorectal *** colorectal cancer be treated in laparoscopy?Scientific literature has validated the oncological quality of laparo-scopic approach for the treatment of patients with colorectal *** non-inferiority trials with good remote control have answered positively to this long-debated *** as 1994,first publications demonstrated technical feasibility and compliance with oncological imperatives and,as far as short-term outcomes are concerned,there is no difference in terms of mortality and post-operative morbidity between open and minimally invasive surgical approaches,but only longer operating times at the beginning of the ***,from 2007 onwards,long-term results were published that demonstrated the ab-sence of a significant difference regarding overall survival,disease-free survival,quality of life,local and distant recurrence rates between open and minimally in-vasive *** this editorial,we aim to summarize the clinical and technical aspects which,even today,make the use of open surgery relevant and necessary in the treatment of patients with colorectal cancer.

关键词： Colorectal cancer Laparoscopy Laparoscopic colorectal resection Bowel obstruction Bowel perforation Advanced colorectal cancer

How to identify early complications in patients undergoing distal gastrectomy?

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World Journal of Gastrointestinal Surgery 2024年第4期16卷 974-981页

作者： Giuseppe Tropeano Maria michela Chiarello Valeria Fico Giuseppe Brisinda Emergency Surgery and Trauma Center Fondazione Policlinico Universitario A Gemelli IRCCSRome 00168Italy Department of Surgery Azienda Sanitaria Provinciale di CosenzaCosenza 87100Italy Department of Medical and Surgical Sciences UniversitàCattolica del Sacro CuoreRome 00168Italy

In this editorial we comment on the article by Zhang et al published in a recent issue of the World Journal of Gastrointestinal *** with appropriate lymph node dissection is still standard curative treatment in locally advanced gastric *** studies point out that gastric cancer surgery is a complex procedure that leads to a high risk of morbidity and *** factors can contribute to the onset of complications with consequent effects on prognosis and increased *** complications can be divided in complications related to anastomosis,to motility and to surgical site *** study presented by Zhang B et al represent an interesting analysis on the possibility to prevent postoperative *** study was performed on 131 patients with distal gastric cancer who underwent gastrectomy with D2 lymph node *** these patients,16%developed early postoperative *** univariate analysis showed that prealbumin level,hypertension,diabetes,history of abdominal surgery,R0 resection,and blood transfusion were factors influencing early postoperative complications after distal ***,the inclusion of the above significant variables in the logistic regression analysis revealed that hypertension,diabetes,a history of abdominal surgery,and blood transfusion were independent predictors of postoperative *** conclusion,preoperative and intraoperative factors can be used to establish an early postoperative nomogram *** results of the study presented by Zhang et al suggest that the prediction model can be used to guide the detection of postoperative complications and has clinical reference value.

关键词： Gastric cancer Gastrectomy Lymph node dissection Morbidity Mortality Surgical site infections

Lithium-Metal Free Sulfur Battery Based on Waste Biomass Anode and Nano-Sized Li2S Cathode

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Energy & Environmental Materials 2024年第2期7卷 43-51页

作者： Pejman Salimi Eleonora Venezia Somayeh Taghaνi Sebastiano Tieuli Lorenzo Carbone Mirko Prato michela Signoretto Jianfeng Qiu Remo Proietti Zaccaria Istituto Italiano di Tecnologia Department of Chemistry and Industrial Chemistry University of Genova CATMAT Lab Department of Molecular Sciences and Nanosystems Ca’ Foscari University Venice and INSTM Consortium Department of Physics Shaoxing University

The realization of a stable lithium-metal free（LiMF） sulfur battery based on amorphous carbon anode and lithium sulfide（Li2S） cathode is here *** particular,a biomass waste originating full-cell combining a carbonized brewer's spent grain（CBSG） biochar anode with a Li2S-graphene composite cathode（Li2S70Gr30） is *** design is particularly attractive for applying a cost-effective,high performance,environment friendly,and safe anode material,as an alternative to standard graphite and metallic lithium in emerging battery *** anodic and cathodic materials are characterized in terms of structure,morphology and composition through Xray diffraction,scanning and transmission electron microscopy,X-ray photoelectron and Raman ***,an electrochemical characterization comprising galvanostatic cycling,rate capability and cyclic voltammetry tests were carried out both in half-cell and full-cell *** systematic investigation reveals that unlike graphite,the biochar electrode displays good compatibility with the electrolyte typically employed in sulfur *** CBSG/Li2S70Gr30 full-cell demonstrates an initial charge and discharge capacities of 726 and 537 mAh g-1,respectively,at 0.05C with a coulombic efficiency of 74%.Moreover,it discloses a reversible capacity of 330 mAh g-1（0.1 C） after over 300 *** on these achievements,the CBSG/Li2S70Gr30 battery system can be considered as a promising energy storage solution for electric vehicles（EVs）,especially when taking into account its easy scalability to an industrial level.

关键词： biochars ether-based electrolytes lithium sulfide lithium-metal free batteries superior cycling stability

Indocyanine green:The guide to safer and more effective surgery

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World Journal of Gastrointestinal Surgery 2024年第3期16卷 641-649页

作者： Pietro Fransvea Maria michela Chiarello Valeria Fico Maria Cariati Giuseppe Brisinda Emergency Surgery and Trauma Center Fondazione Policlinico Universitario Agostino Gemelli IRCCSRome 00168Italy Department of Surgery Azienda Sanitaria Provinciale di CosenzaCosenza 87100Italy Department of Surgery Azienda Sanitaria Provinciale di CrotoneCrotone 88900Italy Department of Abdominal and Endocrine Metabolic Medical and Surgical Sciences Fondazione Policlinico Universitario A Gemelli IRCCSRome 00168Italy

In this editorial we comment on the article by Kalayarasan and co-workers published in the recent issue of the World Journal of Gastrointestinal *** authors present an interesting review on the use of indocyanine green fluo-rescence in different aspects of abdominal *** also highlight future perspectives of the use of indocyanine green in mini-invasive ***-cyanine green,used for fluorescence imaging,has been approved by the Food and Drug Administration and is safe for use in *** can be administered in-travenously or *** its advent,there have been several advance-ments in the applications of indocyanine green,especially in the surgical field,such as intraoperative mapping and biopsy of sentinel lymph node,measurement of hepatic function prior to resection,in neurosurgical cases to detect vascular anomalies,in cardiovascular cases for patency and assessment of vascular ab-normalities,in predicting healing following amputations,in helping visualization of hepatobiliary anatomy and blood vessels,in reconstructive surgery,to assess flap viability and for the evaluation of tissue perfusion following major trauma and *** these reasons,the intraoperative use of indocyanine green has become common in a variety of surgical specialties and transplant ***-lorectal surgery has just lately begun to adopt this technique,particularly for perfusion visualization to prevent anastomotic *** regular use of in-docyanine green coupled with fluorescence angiography has recently been pro-posed as a feasible tool to help improve patient *** the best available data,it has been shown that routine use of indocyanine green in colorectal surgery reduces the rates of anastomotic *** use of indocyanine green is proven to be safe,feasible,and effective in both elective and emergency ***,additional robust evidence from larger-scale,high-quality studies is essential before incorporating indocyanine g

关键词： Indocyanine green Colorectal surgery Fluorescence-guided surgery Gastrointestinal surgery Hepato-biliary surgery Pancreatic surgery Surgical oncology

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外推法导引及应用

数学进展 2024年第1期53卷 13-40页

作者： Claude BREZINSKI michela REDIVO-ZAGLIA 保罗·潘勒韦实验室法国国家科学研究中心混合研究单位8524里尔大学法国里尔59655 帕多瓦大学意大利帕多瓦35122

在数值科学和应用科学中,人们经常需要考虑多种类型的序列:标量、向量、四元数、矩阵以及后来出现的张量.这些序列可能收敛,也可能发散.当它们收敛时,其收敛速度可能会非常缓慢,以至于其实际用途十分有限.在某些情况下,可以修改建立这... 详细信息

在数值科学和应用科学中,人们经常需要考虑多种类型的序列:标量、向量、四元数、矩阵以及后来出现的张量.这些序列可能收敛,也可能发散.当它们收敛时,其收敛速度可能会非常缓慢,以至于其实际用途十分有限.在某些情况下,可以修改建立这些序列的过程,但在其他情况下,这个过程是一个无法进入的黑箱.那么,规避这一困难的一个可行方法就是将序列变换成另一个序列,希望它能收敛到相同的极限,并且收敛得更快.这种序列变换背后的思想就是外推法.本文是关于这些方法中最重要的方法以及其理论基础和算法方面的导引.本文还介绍了一些应用.

关键词：外推法收敛加速序列变换安德森加速张量非线性方程吉布斯现象

Electrical storm in systemic sclerosis: Inside the electroanatomic substrate

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World Journal of Cardiology 2014年第10期6卷 1127-1130页

作者： michela casella Corrado Carbucicchio Eleonora Russo Francesca Pizzamiglio Paolo Golia Sergio Conti Fabrizio Costa Antonio Dello Russo Claudio Tondo Francesca Pizzamiglio Sergio Conti Antonio Dello Russo Claudio Tondo Cardiac Arrhythmia Research Centre Centro Cardiologico Monzino IRCCS 20138 Milan Italy Department of Cardiovascular Disease Morgagni-Pierantoni Hospital 27121 Forlì Italy Biosense-Webster 00040 Pomezia Italy

We report the case of a 63-year-old woman affected by a severe form of systemic scleroderma with pul-monary involvement(interstitial fibrosis diagnosed by biopsy and moderate pulmonary hypertension) and cardiac involvement(paroxysmal atrial fibrillation, right atrial flutter treated by catheter ablation, ventricular tachyarrhythmias, previous dual chamber implantable cardioverter defibrillator implant). Because of recurrent electrical storms refractory to iv antiarrhythmic drugs the patient was referred to our institution to undergo catheter ablation. During electrophysiological proce-dure a 3D shell of cardiac anatomy was created with intracardiac echocardiography pointing out a significant right ventricular dilatation with a complex aneurysmal lesion characterized by thin walls and irregular multiple trabeculae. A substrate-guided strategy of catheter ab-lation was accomplished leading to a complete electri-cal isolation of the aneurism and to the abolishment of all abnormal electrical activities. The use of advanced strategies of imaging together with electroanatomical mapping added important information to the complex arrhythmogenic substrate and improved efficacy and safety.

关键词： Ventricular tachycardia Electrical storm Radiofrequency catheter ablation Systemic sclerosis