225 results on '"M. Fantini"'
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2. IL-GLOBO (1.0) – development and verification of the moist convection module
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D. Rossi, A. Maurizi, and M. Fantini
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Geology ,QE1-996.5 - Abstract
The development and verification of the convective module of IL-GLOBO, a Lagrangian transport model coupled online with the Eulerian general circulation model GLOBO, is described. The online-coupling promotes the full consistency between the Eulerian and the Lagrangian components of the model. The Lagrangian convective scheme is based on the Kain–Fritsch convective parametrization used in GLOBO. A transition probability matrix is computed using the fluxes provided by the Eulerian KF parametrization. Then, the convective redistribution of Lagrangian particles is implemented via a Monte Carlo scheme. The formal derivation is described in details and, consistently with the Eulerian module, includes the environmental flux in the transition probability matrix to avoid splitting of the convection and subsidence processes. Consistency of the Lagrangian implementation with its Eulerian counterpart is verified by computing environment fluxes from the transition probability matrix and comparing them to those computed by the Eulerian module. Assessment of the impact of the module is made for different latitudinal belts, showing that the major impact is found in the Tropics, as expected. Concerning vertical distribution, the major impact is observed in the boundary layer at every latitude, while in the tropical area, the influence extends to very high levels.
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- 2016
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3. Attempts on cardoon gasification in two different circulating fluidized beds
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Chr. Christodoulou, Chr. Tsekos, G. Tsalidis, M. Fantini, K.D. Panopoulos, W. de Jong, and E. Kakaras
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Cardoon ,CFB ,Defluidization ,Tackling agglomeration problems ,Engineering (General). Civil engineering (General) ,TA1-2040 - Abstract
Few tests have been carried out in order to evaluate the use of cardoon in gasification and combustion applications most of the researchers dealt with agglomeration problems. The aim of this work is to deal with the agglomeration problem and to present a solution for the utilization of this biofuel at a near industrial application scale. For this reason, two experiments were conducted, one in TU Delft and one in Centre for Research and Technology Hellas (CERTH), using fuel cardoon and 50% w/w cardoon blended with 50% w/w giant reed respectively. Both experimental campaigns were carried out in similar atmospheric circulating fluidized bed gasifiers. Apart from the feedstock, the other differences were the gasification medium and the bed material used in each trial. The oxidizing agent at TUD׳s run was O2/steam, whereas CERTH׳s tests used air. When experiments with the cardoon 50% w/w–giant reed 50% w/w blend were performed no agglomeration problems were presented. Consequently, gasification could be achieved in higher temperature than that of pure cardoon which led to the reduction of tar concentration.
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- 2014
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4. Numerical study of a banded precipitation event over Italy
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P. Malguzzi, M. Fantini, and A. Buzzi
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Science ,Geology ,QE1-996.5 ,Dynamic and structural geology ,QE500-639.5 - Abstract
Satellite images of 30 October 2008 show the development over north-central Italy of rainbands and multiple waves during a strong south-westerly wind episode associated with a deepening synoptic trough and cold front passage. The event was studied by means of the ISAC model chain constituted of the hydrostatic model BOLAM and the nested non-hydrostatic model MOLOCH at 1.1 km resolution. Diagnostics of model output was performed to reveal the physical origin of the dynamical features and precipitation field as simulated. Based on our results we propose a theoretical framework in which symmetric instability underlies some of the observed precipitation patterns.
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- 2010
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5. Numerical study of two-dimensional moist symmetric instability
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M. Fantini and P. Malguzzi
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Science ,Geology ,QE1-996.5 ,Dynamic and structural geology ,QE500-639.5 - Abstract
The 2-D version of the non-hydrostatic fully compressible model MOLOCH developed at ISAC-CNR was used in idealized set-up to study the start-up and finite amplitude evolution of symmetric instability. The unstable basic state was designed by numerical integration of the equation which defines saturated equivalent potential vorticity qe*. We present the structure and growth rates of the linear modes both for a supersaturated initial state ("super"-linear mode) and for a saturated one ("pseudo"-linear mode) and the modifications induced on the base state by their finite amplitude evolution.
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- 2008
6. Linear baroclinic instability in the presence of heat inflow from the lower boundary
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M. Fantini
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Science ,Physics ,QC1-999 ,Geophysics. Cosmic physics ,QC801-809 - Abstract
A linear Eady model with a parameterization of heat influx from the lower boundary is studied analytically in order to obtain the characteristics of baroclinic normal modes modified by this non-adiabatic source. The results display a secondary maximum of growth rate at high wave numbers and a range of absolutely unstable waves, thus suggesting that the property observed among mid-latitude explosive cyclones of being near-stationary in the phase of maximum growth may be captured by this representation of the air-sea energy exchange.
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- 1995
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7. Orographic cyclogenesis in a saturated atmosphere and intense precipitation: baroclinic modal solutions under the joint action of localized mountains and humidity
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A. Speranza, R. Mantovani, M. Fantini, and R. Benzi
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wide precipitation area ,orographic cyclogenesis ,moist cyclogenesis ,intense precipitation ,Meteorology. Climatology ,QC851-999 ,Geophysics. Cosmic physics ,QC801-809 - Abstract
In this paper we analyse the nature of orographic cyclogenesis in a saturated atmosphere by means of a simplified model based on the analysis of linear modal solutions.The space structure of fastest growing modal solutions suggests that three different scales of axtratropical atmospheric motion may simultaneously be activated in a single, growing, unstable mode: the orographic modulation of growing baroclinic modes extending, as we know from the classical modal theory of orographic cyclogenesis, from the scale typical of the primary, extra-tropical cyclone to the scale of the secondary, orographic cyclone, is also characterized by the (smaller) scale associated with strong ascending motion in a saturated atmosphere. Since ascending motion can be associated with intense precipitation, this result is important in view of its potential consequences both on the ability to achieve a good forecast of intense precipitation events in the Mediterranean and on the refinement of the theory of orographic cyclogenesis.
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- 1997
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8. Linear baroclinic instability in the presence of heat inflow from the lower boundary
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M. Fantini
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Science ,Physics ,QC1-999 ,Geophysics. Cosmic physics ,QC801-809 - Abstract
A linear Eady model with a parameterization of heat influx from the lower boundary is studied analytically in order to obtain the characteristics of baroclinic normal modes modified by this non-adiabatic source. The results display a secondary maximum of growth rate at high wave numbers and a range of absolutely unstable waves, thus suggesting that the property observed among mid-latitude explosive cyclones of being near-stationary in the phase of maximum growth may be captured by this representation of the air-sea energy exchange.
9. CONTEMPLATING HEALTH ECONOMICS, CODING AND REIMBURSEMENT IN ORTHOTICS, PROSTHETICS AND PEDORTHICS
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M. Jason Highsmith, Christopher M. Fantini, and Douglas G. Smith
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Coding ,Economics ,Fee for Service ,Orthotics ,Prosthetics ,Reimbursement ,Medical technology ,R855-855.5 ,Orthopedic surgery ,RD701-811 - Abstract
Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&P), currently codes using a system that describes the devices they evaluate for, fabricate, fit and maintain and their professional services are incorporated into their codes. These O&P codes, in contrast to those for other healthcare disciplines, are predominantly product based rather than service based, focusing on product features and function more than clinical service. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36125/28316 How To Cite: Highsmith MJ, Fantini CM, Smith DG. Contemplating health economics, coding and reimbursement in orthotics, prosthetics and pedorthics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.5. https://doi.org/10.33137/cpoj.v4i2.36125 Corresponding Author: M. Jason Highsmith, PhD, DPT, CP, FAAOP School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. Florida, USA. E-Mail: mhighsmi@usf.edu ORCID ID: https://orcid.org/0000-0001-8361-7345
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- 2021
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10. Additive manufacturing to assist prosthetically guided bone regeneration of atrophic maxillary arches
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M. Fantini, F. De Crescenzio, L. Ciocca, and F. Persiani
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- 2015
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11. Cyclogenesis in the lee of the Alps: a review of theories
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Buzzi A., Davolio S., and M. Fantini
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baroclininc waves ,Genoa cyclogenesis ,Mediterranean cyclones ,lee cyclogenesis ,Alpine cyclogenesis ,cyclogenesis - Abstract
Although the phenomenon has been known, and investigated, as early as the nineteenth century, the interest in understanding Alpine lee cyclogenesis (often called Genoa cyclogenesis) has grown since the middle twentieth century, when it was realized that the largest fraction of cyclones affecting the central-eastern Mediterranean and later Eastern Europe originated in the area south of the Alps, more often in the Gulf of Genoa. Forecasting this type of cyclogenesis remained a challenging task until at least the mid- late 1980s, even after the development of the earlier NWP models, which failed in predicting this phenomenon, lacking the ability to adequately represent the orographic forcing. Monitoring and understanding of cyclogenesis in the lee of the Alps was the main objective of field projects, the most important being GARP-ALPEX in 1982. The following years were full of ideas and theories about this phenomenon, which is representative of orographic cyclogenesis in other regions of the world. The main steps in understanding the complex phenomenon of lee cyclogenesis, with particular reference to the Alps, are outlined here, focusing on theoretical explanations.
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- 2020
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12. Changes in parental smoking during pregnancy and risks of adverse birth outcomes and childhood overweight in Europe and North America: An individual participant data meta-analysis of 229,000 singleton births
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Philips, E.M. Santos, S. Trasande, L. Aurrekoetxea, J.J. Barros, H. von Berg, A. Bergström, A. Bird, P.K. Brescianini, S. Chaoimh, C.N. Charles, M.-A. Chatzi, L. Chevrier, C. Chrousos, G.P. Costet, N. Criswell, R. Crozier, S. Eggesbø, M. Fantini, M.P. Farchi, S. Forastiere, F. van Gelder, M.M.H.J. Georgiu, V. Godfrey, K.M. Gori, D. Hanke, W. Heude, B. Hryhorczuk, D. Iñiguez, C. Inskip, H. Karvonen, A.M. Kenny, L.C. Kull, I. Lawlor, D.A. Lehmann, I. Magnus, P. Manios, Y. Melén, E. Mommers, M. Morgen, C.S. Moschonis, G. Murray, D. Nohr, E.A. Nybo Andersen, A.-M. Oken, E. Oostvogels, A.J.J.M. Papadopoulou, E. Pekkanen, J. Pizzi, C. Polanska, K. Porta, D. Richiardi, L. Rifas-Shiman, S.L. Roeleveld, N. Rusconi, F. Santos, A.C. Sørensen, T.I.A. Standl, M. Stoltenberg, C. Sunyer, J. Thiering, E. Thijs, C. Torrent, M. Vrijkotte, T.G.M. Wright, J. Zvinchuk, O. Gaillard, R. Jaddoe, V.W.V.
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Background Fetal smoke exposure is a common and key avoidable risk factor for birth complications and seems to influence later risk of overweight. It is unclear whether this increased risk is also present if mothers smoke during the first trimester only or reduce the number of cigarettes during pregnancy, or when only fathers smoke. We aimed to assess the associations of parental smoking during pregnancy, specifically of quitting or reducing smoking and maternal and paternal smoking combined, with preterm birth, small size for gestational age, and childhood overweight. Methods and findings We performed an individual participant data meta-analysis among 229,158 families from 28 pregnancy/birth cohorts from Europe and North America. All 28 cohorts had information on maternal smoking, and 16 also had information on paternal smoking. In total, 22 cohorts were population-based, with birth years ranging from 1991 to 2015. The mothers’ median age was 30.0 years, and most mothers were medium or highly educated. We used multilevel binary logistic regression models adjusted for maternal and paternal sociodemographic and lifestyle-related characteristics. Compared with nonsmoking mothers, maternal first trimester smoking only was not associated with adverse birth outcomes but was associated with a higher risk of childhood overweight (odds ratio [OR] 1.17 [95% CI 1.02–1.35], P value = 0.030). Children from mothers who continued smoking during pregnancy had higher risks of preterm birth (OR 1.08 [95% CI 1.02–1.15], P value = 0.012), small size for gestational age (OR 2.15 [95% CI 2.07–2.23], P value < 0.001), and childhood overweight (OR 1.42 [95% CI 1.35–1.48], P value < 0.001). Mothers who reduced the number of cigarettes between the first and third trimester, without quitting, still had a higher risk of small size for gestational age. However, the corresponding risk estimates were smaller than for women who continued the same amount of cigarettes throughout pregnancy (OR 1.89 [95% CI 1.52–2.34] instead of OR 2.20 [95% CI 2.02–2.42] when reducing from 5–9 to ≤4 cigarettes/day; OR 2.79 [95% CI 2.39–3.25] and OR 1.93 [95% CI 1.46–2.57] instead of OR 2.95 [95% CI 2.75–3.15] when reducing from ≥10 to 5–9 and ≤4 cigarettes/day, respectively [P values < 0.001]). Reducing the number of cigarettes during pregnancy did not affect the risks of preterm birth and childhood overweight. Among nonsmoking mothers, paternal smoking was associated with childhood overweight (OR 1.21 [95% CI 1.16–1.27], P value < 0.001) but not with adverse birth outcomes. Limitations of this study include the self-report of parental smoking information and the possibility of residual confounding. As this study only included participants from Europe and North America, results need to be carefully interpreted regarding other populations. Conclusions We observed that as compared to nonsmoking during pregnancy, quitting smoking in the first trimester is associated with the same risk of preterm birth and small size for gestational age, but with a higher risk of childhood overweight. Reducing the number of cigarettes, without quitting, has limited beneficial effects. Paternal smoking seems to be associated, independently of maternal smoking, with the risk of childhood overweight. Population strategies should focus on parental smoking prevention before or at the start, rather than during, pregnancy. © 2020 Philips et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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- 2020
13. Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European, North American and Australian cohorts
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Santos, S. Voerman, E. Amiano, P. Barros, H. Beilin, L.J. Bergström, A. Charles, M.-A. Chatzi, L. Chevrier, C. Chrousos, G.P. Corpeleijn, E. Costa, O. Costet, N. Crozier, S. Devereux, G. Doyon, M. Eggesbø, M. Fantini, M.P. Farchi, S. Forastiere, F. Georgiu, V. Godfrey, K.M. Gori, D. Grote, V. Hanke, W. Hertz-Picciotto, I. Heude, B. Hivert, M.-F. Hryhorczuk, D. Huang, R.-C. Inskip, H. Karvonen, A.M. Kenny, L.C. Koletzko, B. Küpers, L.K. Lagström, H. Lehmann, I. Magnus, P. Majewska, R. Mäkelä, J. Manios, Y. McAuliffe, F.M. McDonald, S.W. Mehegan, J. Melén, E. Mommers, M. Morgen, C.S. Moschonis, G. Murray, D. Ní Chaoimh, C. Nohr, E.A. Nybo Andersen, A.-M. Oken, E. Oostvogels, A.J.J.M. Pac, A. Papadopoulou, E. Pekkanen, J. Pizzi, C. Polanska, K. Porta, D. Richiardi, L. Rifas-Shiman, S.L. Roeleveld, N. Ronfani, L. Santos, A.C. Standl, M. Stigum, H. Stoltenberg, C. Thiering, E. Thijs, C. Torrent, M. Tough, S.C. Trnovec, T. Turner, S. van Gelder, M.M.H.J. van Rossem, L. von Berg, A. Vrijheid, M. Vrijkotte, T.G.M. West, J. Wijga, A.H. Wright, J. Zvinchuk, O. Sørensen, T.I.A. Lawlor, D.A. Gaillard, R. Jaddoe, V.W.V.
- Abstract
Objective: To assess the separate and combined associations of maternal pre-pregnancy body mass index (BMI) and gestational weight gain with the risks of pregnancy complications and their population impact. Design: Individual participant data meta-analysis of 39 cohorts. Setting: Europe, North America, and Oceania. Population: 265 270 births. Methods: Information on maternal pre-pregnancy BMI, gestational weight gain, and pregnancy complications was obtained. Multilevel binary logistic regression models were used. Main outcome measures: Gestational hypertension, pre-eclampsia, gestational diabetes, preterm birth, small and large for gestational age at birth. Results: Higher maternal pre-pregnancy BMI and gestational weight gain were, across their full ranges, associated with higher risks of gestational hypertensive disorders, gestational diabetes, and large for gestational age at birth. Preterm birth risk was higher at lower and higher BMI and weight gain. Compared with normal weight mothers with medium gestational weight gain, obese mothers with high gestational weight gain had the highest risk of any pregnancy complication (odds ratio 2.51, 95% CI 2.31– 2.74). We estimated that 23.9% of any pregnancy complication was attributable to maternal overweight/obesity and 31.6% of large for gestational age infants was attributable to excessive gestational weight gain. Conclusions: Maternal pre-pregnancy BMI and gestational weight gain are, across their full ranges, associated with risks of pregnancy complications. Obese mothers with high gestational weight gain are at the highest risk of pregnancy complications. Promoting a healthy pre-pregnancy BMI and gestational weight gain may reduce the burden of pregnancy complications and ultimately the risk of maternal and neonatal morbidity. Tweetable abstract: Promoting a healthy body mass index and gestational weight gain might reduce the population burden of pregnancy complications. © 2019 Royal College of Obstetricians and Gynaecologists
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- 2019
14. Association of Gestational Weight Gain With Adverse Maternal and Infant Outcomes
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LifeCycle Project-Maternal Obesity Childhood Outcomes Study Group Voerman, E. Santos, S. Inskip, H. Amiano, P. Barros, H. Charles, M.-A. Chatzi, L. Chrousos, G.P. Corpeleijn, E. Crozier, S. Doyon, M. Eggesbø, M. Fantini, M.P. Farchi, S. Forastiere, F. Georgiu, V. Gori, D. Hanke, W. Hertz-Picciotto, I. Heude, B. Hivert, M.-F. Hryhorczuk, D. Iñiguez, C. Karvonen, A.M. Küpers, L.K. Lagström, H. Lawlor, D.A. Lehmann, I. Magnus, P. Majewska, R. Mäkelä, J. Manios, Y. Mommers, M. Morgen, C.S. Moschonis, G. Nohr, E.A. Nybo Andersen, A.-M. Oken, E. Pac, A. Papadopoulou, E. Pekkanen, J. Pizzi, C. Polanska, K. Porta, D. Richiardi, L. Rifas-Shiman, S.L. Roeleveld, N. Ronfani, L. Santos, A.C. Standl, M. Stigum, H. Stoltenberg, C. Thiering, E. Thijs, C. Torrent, M. Trnovec, T. van Gelder, M.M.H.J. van Rossem, L. von Berg, A. Vrijheid, M. Wijga, A. Zvinchuk, O. Sørensen, T.I.A. Godfrey, K. Jaddoe, V.W.V. Gaillard, R.
- Abstract
Importance: Both low and high gestational weight gain have been associated with adverse maternal and infant outcomes, but optimal gestational weight gain remains uncertain and not well defined for all prepregnancy weight ranges. Objectives: To examine the association of ranges of gestational weight gain with risk of adverse maternal and infant outcomes and estimate optimal gestational weight gain ranges across prepregnancy body mass index categories. Design, Setting, and Participants: Individual participant-level meta-analysis using data from 196 670 participants within 25 cohort studies from Europe and North America (main study sample). Optimal gestational weight gain ranges were estimated for each prepregnancy body mass index (BMI) category by selecting the range of gestational weight gain that was associated with lower risk for any adverse outcome. Individual participant-level data from 3505 participants within 4 separate hospital-based cohorts were used as a validation sample. Data were collected between 1989 and 2015. The final date of follow-up was December 2015. Exposures: Gestational weight gain. Main Outcomes and Measures: The main outcome termed any adverse outcome was defined as the presence of 1 or more of the following outcomes: preeclampsia, gestational hypertension, gestational diabetes, cesarean delivery, preterm birth, and small or large size for gestational age at birth. Results: Of the 196 670 women (median age, 30.0 years [quartile 1 and 3, 27.0 and 33.0 years] and 40 937 were white) included in the main sample, 7809 (4.0%) were categorized at baseline as underweight (BMI
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- 2019
15. Gestational weight gain charts for different body mass index groups for women in Europe, North America, and Oceania
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Santos, S. Eekhout, I. Voerman, E. Gaillard, R. Barros, H. Charles, M.-A. Chatzi, L. Chevrier, C. Chrousos, G.P. Corpeleijn, E. Costet, N. Crozier, S. Doyon, M. Eggesbø, M. Fantini, M.P. Farchi, S. Forastiere, F. Gagliardi, L. Georgiu, V. Godfrey, K.M. Gori, D. Grote, V. Hanke, W. Hertz-Picciotto, I. Heude, B. Hivert, M.-F. Hryhorczuk, D. Huang, R.-C. Inskip, H. Jusko, T.A. Karvonen, A.M. Koletzko, B. Küpers, L.K. Lagström, H. Lawlor, D.A. Lehmann, I. Lopez-Espinosa, M.-J. Magnus, P. Majewska, R. Mäkelä, J. Manios, Y. McDonald, S.W. Mommers, M. Morgen, C.S. Moschonis, G. Murínová, L. Newnham, J. Nohr, E.A. Andersen, A.-M.N. Oken, E. Oostvogels, A.J.J.M. Pac, A. Papadopoulou, E. Pekkanen, J. Pizzi, C. Polanska, K. Porta, D. Richiardi, L. Rifas-Shiman, S.L. Roeleveld, N. Santa-Marina, L. Santos, A.C. Smit, H.A. Sørensen, T.I.A. Standl, M. Stanislawski, M. Stoltenberg, C. Thiering, E. Thijs, C. Torrent, M. Tough, S.C. Trnovec, T. Van Gelder, M.M.H.J. Van Rossem, L. Von Berg, A. Vrijheid, M. Vrijkotte, T.G.M. Zvinchuk, O. Van Buuren, S. Jaddoe, V.W.V.
- Abstract
Background: Gestational weight gain differs according to pre-pregnancy body mass index and is related to the risks of adverse maternal and child health outcomes. Gestational weight gain charts for women in different pre-pregnancy body mass index groups enable identification of women and offspring at risk for adverse health outcomes. We aimed to construct gestational weight gain reference charts for underweight, normal weight, overweight, and grades 1, 2 and 3 obese women and to compare these charts with those obtained in women with uncomplicated term pregnancies. Methods: We used individual participant data from 218,216 pregnant women participating in 33 cohorts from Europe, North America, and Oceania. Of these women, 9065 (4.2%), 148,697 (68.1%), 42,678 (19.6%), 13,084 (6.0%), 3597 (1.6%), and 1095 (0.5%) were underweight, normal weight, overweight, and grades 1, 2, and 3 obese women, respectively. A total of 138, 517 women from 26 cohorts had pregnancies with no hypertensive or diabetic disorders and with term deliveries of appropriate for gestational age at birth infants. Gestational weight gain charts for underweight, normal weight, overweight, and grade 1, 2, and 3 obese women were derived by the Box-Cox t method using the generalized additive model for location, scale, and shape. Results: We observed that gestational weight gain strongly differed per maternal pre-pregnancy body mass index group. The median (interquartile range) gestational weight gain at 40 weeks was 14.2 kg (11.4-17.4) for underweight women, 14.5 kg (11.5-17.7) for normal weight women, 13.9 kg (10.1-17.9) for overweight women, and 11.2 kg (7.0-15.7), 8.7 kg (4.3-13.4) and 6.3 kg (1.9-11.1) for grades 1, 2, and 3 obese women, respectively. The rate of weight gain was lower in the first half than in the second half of pregnancy. No differences in the patterns of weight gain were observed between cohorts or countries. Similar weight gain patterns were observed in mothers without pregnancy complications. Conclusions: Gestational weight gain patterns are strongly related to pre-pregnancy body mass index. The derived charts can be used to assess gestational weight gain in etiological research and as a monitoring tool for weight gain during pregnancy in clinical practice. © 2018 The Author(s).
- Published
- 2018
16. Bagasse gasification in a 100 kWth steam-oxygen blown circulating fluidized bed gasifier with catalytic and non-catalytic upgrading of the syngas using ceramic filters
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M. Nacken, M. Fantini, W. de Jong, S. Heidenreich, M. A. Haikal Leite, M. Siedlecki, G. Fornasari, P. Benito, M. Fantini, M. Nacken, S. Heidenreich, M. Siedleckil, G. Fornasari, P. Benito, M.A. Haikal Leite, and W. de Jong
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Materials science ,Atmospheric pressure ,Wood gas generator ,Dry basis ,food and beverages ,High temperature ,Bagasse ,chemistry.chemical_compound ,chemistry ,Chemical engineering ,visual_art ,visual_art.visual_art_medium ,Tar ,Ceramic ,Fluidized bed combustion ,Composite material ,Magnesite ,Syngas ,Ceramic candle ,Gasification - Abstract
Gasification of pelletized sugar cane bagasse, the waste residue from sugar cane, was carried out using an atmospheric pressure 100 kWth steam-oxygen blown circulating fluidized bed gasifier (CFBG). The purification of the syngas produced was carried out using a high temperature filter unit which contains 3 rigid ceramic candles with an outer diameter of 60 mm and a length of 1500 mm. Keeping the gasification temperature in the range of 800°-860°C and using magnesite M85 as the bed material, the effects of operational conditions (e.g. steam to biomass ratio (SBR) and oxygen to biomass stoichiometric ratio (ER)) and of catalytic and non-catalytic filtration on the composition distribution of the product gas and tar formation were investigated. Higher temperature and SBR values were favorable for increasing the mole ratio H2 to CO and decreasing the tar compound (PAH) concentration on dry basis, measured via solid phase adsorption (SPA) sampling and subsequent GC analysis varying from approximately 2 to 6 g/mn 3. At the same operational conditions, in the downstream filter, the conversion of tar content obtained using catalytic filter candles increased by a factor of 2.8 compared to the one with non-catalytic filter elements. The specification and distribution of major ash forming elements were investigated by SEM-EDS. Experimental results showed that bagasse is an interesting fuel for syngas production via the gasification process, both from a gas composition and from a tar production point of view.
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- 2014
17. Attempts on cardoon gasification in two different circulating fluidized beds
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Kyriakos D. Panopoulos, M. Fantini, E. Kakaras, Georgios Archimidis Tsalidis, Chr. Tsekos, W. de Jong, and Chr. Christodoulou
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Fluid Flow and Transfer Processes ,cardoon ,Economies of agglomeration ,020209 energy ,Tar ,defluidization ,tackling agglomeration problems ,02 engineering and technology ,Raw material ,Combustion ,Pulp and paper industry ,7. Clean energy ,CFB ,020401 chemical engineering ,lcsh:TA1-2040 ,Biofuel ,0202 electrical engineering, electronic engineering, information engineering ,Environmental science ,Fluidized bed combustion ,0204 chemical engineering ,lcsh:Engineering (General). Civil engineering (General) ,Engineering (miscellaneous) - Abstract
Few tests have been carried out in order to evaluate the use of cardoon in gasification and combustion applications most of the researchers dealt with agglomeration problems. The aim of this work is to deal with the agglomeration problem and to present a solution for the utilization of this biofuel at a near industrial application scale. For this reason, two experiments were conducted, one in TU Delft and one in Centre for Research and Technology Hellas (CERTH), using fuel cardoon and 50% w/w cardoon blended with 50% w/w giant reed respectively. Both experimental campaigns were carried out in similar atmospheric circulating fluidized bed gasifiers. Apart from the feedstock, the other differences were the gasification medium and the bed material used in each trial. The oxidizing agent at TUD׳s run was O2/steam, whereas CERTH׳s tests used air. When experiments with the cardoon 50% w/w–giant reed 50% w/w blend were performed no agglomeration problems were presented. Consequently, gasification could be achieved in higher temperature than that of pure cardoon which led to the reduction of tar concentration.
- Published
- 2014
18. Storm surge modelling in the Mediterranean Sea with focus on the Italian coast
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Ferrarin C., G. Umgiesser, A. Cucco, A. Roland, M. Bajo, S. Davolio, A. Buzzi, P. Malguzzi, O. Drofa, M. Fantini, and C. Rendina
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Computer Science::Performance ,Quantitative Biology::Tissues and Organs ,Physics::Space Physics ,Astrophysics::Earth and Planetary Astrophysics ,Physics::Geophysics - Abstract
This study examines the interactions between tide, wave and surge in determining the total water level in the Mediterranean Sea, by using a high resolution finite element tide-wave-surge model.
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- 2010
19. Idealized numerical simulations of atmospheric convection in 2D
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M. Fantini
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Physics::Fluid Dynamics ,Astrophysics::Solar and Stellar Astrophysics ,Physics::Atmospheric and Oceanic Physics - Abstract
The response of atmospheric convection to low-level shear is examined with highly idealized two-dimensional non-hydrostatic numerical experiments of intermediate (4 days) duration, where the environmental conditions for the development of convection are created by the solar cycle. Statistical properties of the simulated convective systems and their relation to environmental parameters are presented. Maxima of precipitation at intermediate values of low-level shear are obtained in days 2 to 4 of the simulation, but not in the first day, which might be too close to an arbitrary initial condition.
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- 2010
20. High-resolution simulation of a banded precipitation event over Italy
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P. Malguzzi, M. Fantini, and A. Buzzi
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Satellite images of 30 October 2008 show the development over north-central Italy of rainbands and multiple waves during a strong south-westerly wind episode associated with a deepening synoptic trough and cold front passage. The event was studied by means of the ISAC model chain constituted of the hydrostatic model BOLAM and the nested non-hydrostatic model MOLOCH at 1 kilometer resolution. Diagnostics of model output were performed to reveal characteristic features of symmetric instability.
- Published
- 2009
21. The atypical chemokine receptor D6 controls intestinal inflammation and inflammation-associated colon cancer
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S. Vetrano, E. Borroni, R. Bonecchi, C. Correale, V. Arena, M. Fantini, A. Malesci, A. Vecchi, A. Mantovani, M. Locati, S. Danese, Vetrano, S., Borroni, E., Bonecchi, R., Correale, C., Arena, V., Fantini, M., Malesci, A., Vecchi, A., Mantovani, A., Locati, M., and Danese, S.
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- 2008
22. Idealized numerical study of convective organization
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M. Fantini, P. Malguzzi, and P. Bongioannini Cerlini
- Abstract
Two distinct non-hydrostatic models, a 2D version of MOLOCH and the 3D ARPS, were used to perform idealized experiments on the development and structural organization of convection in environments which either have a high degree of imposed conditional innstability or are near a condition of radiative-convective equilibrium determined by a balancing of sensible/latent heat fluxes at the surface and imposed radiative cooling. Reference cases for both kinds of experiments are shown and their relation to the scientific objective of the project discussed.
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- 2007
23. Mesoscale simulations with BOLAM and MOLOCH in the Sahel region: model description and preliminary results
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M. Zampieri, A. Buzzi, M. Fantini, F. Fierli, and P. Malguzzi
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- 2005
24. Effects of moisture on baroclinic waves
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M. Fantini
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Physics::Atmospheric and Oceanic Physics - Abstract
A simple representation of the effects of latent heat release on meso- and synoptic scale dynamics is given by the use of small static stability for ascending motions. The specific location where this condition is applied and the value of static stability depends on environmental parameters, including relative humidity, and other thermodynamic assumptions. A primitive equation model in simplified geometry which implements the above representation of moist processes is used to study the modifications induced on baroclinic instability and the generation of eddy-scale kinetic energy. Results of preliminary simulations of the life cycles of baroclinic waves will be presented.
- Published
- 2002
25. An integrated system for printing and publishing applications
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S Cavaliere, M Fantini, and A Turtur
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000 computer science ,Engineering drawing ,Interactivity ,Graphics software ,Computer science ,Page layout ,Systems architecture ,Process (computing) ,Graphics ,computer.software_genre ,Modularity ,computer ,Output device - Abstract
This paper describes the architecture of a system, providing an integrated approach to the printing process, starting from the input of the basic components (images, texts, and graphics) up to the definition and modification of page layout and finally to driving high resolution output devices. The system allows an interactive management of the documents to be printed as well as of their elementary components, i.e. the pages, and at a lower level, the boxes, containing texts, images and graphics. The main peculiarities of the system architecture are interactivity, modularity and non-procedurality discussed in more details and some of its functions are illustrated by means of some system outputs.
- Published
- 1985
- Full Text
- View/download PDF
26. Feeling good, being sick. Living well with chronic conditions
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ANTONIO Francesco MATURO, Marta Gibin, M. Fantini, S. Farolfi, F. M. Lazzari, L. Mazzara, ANTONIO Francesco MATURO, and Marta Gibin
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Cronicità, qualità di vita, benessere, felicità - Abstract
In Italia aumentano in modo impressionante, anche a causa dell’elevata aspettativa di vita, il numero di malati cronici, con molti anni vissuti in condizioni di non autosufficienza. Persone anziane e malate, tuttavia, hanno il diritto ad una vita dignitosa e di qualità. Un ben vivere, perché no? La qualità della vita dei malati cronici varia enormemente a seconda del tipo di patologia e della fase. La malattia ha effetti sul fisico, eminentemente per il dolore e la sofferenza che questa comporta. Ha certamente effetti psicologici per l’incertezza e le preoccupazioni che l’accompagnano. Il contesto di malattia, ovvero la famiglia del malato, la più estesa comunità nella quale egli/ella vive, e anche il suo personale livello di istruzione e reddito modificano la qualità della sua vita con la malattia. Inoltre, la malattia cronica rende evidente il legame tra benessere dei pazienti e dei loro familiari, che spesso svolgono la maggior parte del lavoro di assistenza. L’obiettivo del contributo è quello di pensare al benessere nella malattia, rivedendo il concetto di salute in termini di capacità di creare nuove relazioni. Si può pensare all’idea di una comunità “accogliente”, che dia numerose possibilità di socializzazione, eventualmente stimolata dal volontariato e dalla municipalità. Inoltre, la salute digitale è ormai una realtà imprescindibile. Gli anziani di oggi, ma soprattutto di domani, sono sempre più digitalizzati. Attraverso computer e smartphone, è possibile accedere a un numero elevatissimo di servizi e possibilità di comunicazione. Infine, per anticipare cronicità e anni in disabilità è bene coltivare stili di vita sani e pratiche di wellness. Alla politica spetta di stimolare queste possibilità rimuovendo o comunque minimizzando le posizioni di svantaggio.
- Published
- 2022
27. Post-graduate medical education in public health: the case of Italy and a call for action
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Odone, Anna, Privitera, Gaetano Pierpaolo, Signorelli, Carlo, D'Errico MM, Quarto M, Fantini MP, Donato F, Contu P, Marranzano M, Bianco A, Staniscia T, Gabutti G, Bonanni P, Gasparini R, Fabiani L, Picerno I, Cesana GM, Pontello MM, Signorelli C, Borella P, LA TORRE, ILARIA, Attena F, Baldo V, Casuccio A, Pelissero G, Stracci F, Privitera GP, Damiani G, Villari P, DE PANFILIS, FRANCO ENRIQUE, Capunzo M, Mura I, Messina G, Siliquini R, Parpinel M, Romano G., Odone, A, Privitera, G, Signorelli, C, Cesana, G, Odone, Anna, Privitera, Gaetano Pierpaolo, Signorelli, Carlo, D'Errico MM, Quarto M, Fantini MP, Donato F, Contu P, Marranzano M, Bianco A, Staniscia T, Gabutti G, Bonanni P, Gasparini R, Fabiani L, Picerno I, Cesana GM, Pontello MM, Signorelli C, Borella P, Torre I, Attena F, Baldo V, Casuccio A, Pelissero G, Stracci F, Privitera GP, Damiani G, Villari P, Franco E, Capunzo M, Mura I, Messina G, Siliquini R, Parpinel M, Romano G., and Casuccio, A
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medicine.medical_specialty ,020205 medical informatics ,education ,Socio-culturale ,02 engineering and technology ,Population health ,Education ,Public health ,Hygiene and preventive medicine ,Training ,Survey ,03 medical and health sciences ,0302 clinical medicine ,Health care ,0202 electrical engineering, electronic engineering, information engineering ,Medicine ,030212 general & internal medicine ,Settore MED/42 - IGIENE GENERALE E APPLICATA ,Health policy ,Community and Home Care ,Medical education ,HRHIS ,business.industry ,lcsh:Public aspects of medicine ,Environmental and Occupational Health ,Public Health, Environmental and Occupational Health ,International health ,lcsh:RA1-1270 ,Public health informatics ,Health promotion ,Commentary ,business - Abstract
Summary Public health technical expertise is of crucial importance to inform decision makers’ action in the field of health and its broader determinants. Improving education and training of public health professionals for both practice and research is the starting point to strengthen the role of public health so that current health challenges can be efficiently tackled. At the Association of Schools of Public Health in the European Region (ASPHER) Deans’ & Directors’ 2017 Annual Retreat, we presented the structure and management of public health training system in Italy, and we reported recent data on Italian public health specialists’ educational experience, employment opportunities and job satisfaction. Public health training in Italy is implemented in the context of the post-graduate medical education residency programme in Hygiene and Preventive Medicine, delivered by 34 University-based Schools of Public Health. We report relatively high employment rates across the county and wide spectrum of career opportunities for young public health specialists. However, job security is low and training expectations only partially met. We call upon other Schools of Public Health to scale up the survey within the broad ASPHER community in a shared and coordinated action of systematically collecting useful data that can inform the development of public health education and training models, their implementation and fruitful interaction with population health, health systems and services.
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- 2017
28. Continuity of care of cancer patients. Analysis of theoretical models and survey tools of continuity of care in people with a cancer diagnosis
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A, Marcon, F, Bravi, S, Foglino, A, Angelastro, E, Carretta, M P, Altini, M P, Fantini, T, Carradori, A. Marcon, F. Bravi, S. Foglino, A. Angelastro, E. Carretta, M.P. Altini, M. Fantini, and T. Carradori
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continuity of care ,Neoplasms ,Surveys and Questionnaires ,CANCER PATIENT ,Humans ,Continuity of Patient Care ,Models, Theoretical ,CANCER - Abstract
Background The Italian Ministry of Health declared oncology a priority and stressed the importance of ensuring continuity and integration in cancer care pathways. In order to monitor the quality of cancer care pathways, we need to explore patients’ experience of the continuity of care, identifying the dimensions that define continuity Methods We found 886 relevant articles in the Pubmed database from 1987 to 5 November 2013. The search strategy for the electronic database was defined using the Population, Intervention, Comparison and Outcome(s) framework (PICO) to identify keywords. Two researchers independently reviewed records identified through the search strategy, analyzing continuity dimensions, specificity and/or transversal domains Results We selected 20 articles that measure the patients’ experience of continuity of care: 7 articles including 5 questionnaires [Questionnaire by King et al. 2008; Cancer care coordination Questionnaire (Cccq); Patient Continuity of Care Questionnaire (Pccq); Medical Care Questionnaire (Mcq); Continuity and Coordination of Care Questionnaire (CCCQ)]; 6 articles evaluating the relationship between patient and his/her physician (the same across the care pathway) in terms of frequency and/or dispersion; 6 articles considering one subscale of larger scales designed to evaluate the generic cancer care service patient experience; 1 revealing four organizational indicators of care pathway continuity / discontinuity Conclusion We traced 3 transversal dimensions across the individual analyses: informational, organizational, relational continuity. It follows that in order to cater to the needs of cancer patients, we need to simultaneously focus on these three dimensions along the cancer care pathway. In line with these results, we promoted the “R.In.Cu.ORAM.i” study (Networks for Integrated Treatment of colorectal and breast cancer), in Area Vasta Romagna Area (Italy), and developed a continuity of care patient-experience continuity tool
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- 2014
29. Radically resected pancreatic cancer and adjuvant treatment. A review of the literature
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Fabrizio, Drudi, Davide, Tassinari, Jacopo, Giuliani, Claudio, Ridolfi, Lorenzo, Gianni, Emiliano, Tamburini, Manuela, Fantini, Carlotta, Santelmo, Eleonora, Barzotti, Nadia, Lotti, Alberto, Ravaioli, F. Drudi, D. Tassinari, J. Giuliani, C. Ridolfi, L. Gianni, E. Tamburini, M. Fantini, C. SantelmoE. Barzotti, and N. Lotti
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Antimetabolites, Antineoplastic ,randomized clinical trials ,Mitomycin ,pancreatic cancer ,Adjuvant treatment ,chemotherapy ,Combined Modality Therapy ,Deoxycytidine ,Survival Analysis ,Gemcitabine ,Disease-Free Survival ,chemoradiotherapy ,Pancreatic Neoplasms ,Clinical Trials, Phase II as Topic ,Pancreatectomy ,Clinical Trials, Phase III as Topic ,Chemotherapy, Adjuvant ,Doxorubicin ,Antineoplastic Combined Chemotherapy Protocols ,Practice Guidelines as Topic ,Humans ,Multicenter Studies as Topic ,Radiotherapy, Adjuvant ,Fluorouracil ,Randomized Controlled Trials as Topic - Abstract
Adjuvant therapy represents the gold standard treatment for radically resected pancreatic cancer. Results from randomized clinical trials confirmed the efficacy of adjuvant therapy for pancreatic cancer but did not define what is the "right choice" in terms of type of antiblastic drug (among gemcitabine, 5-fluorouracil or other drugs), role of polychemotherapy and chemoradiotherapy. The objective of our study was to evaluate the efficacy and toxicity of adjuvant chemotherapy and chemoradiotherapy for radically resected pancreatic cancer through a systematic review of literature data, emphasizing the benefits regarding overall survival, disease-free survival and toxicity.
- Published
- 2013
30. A Validated Computational Model of Cardiac Pacemaking: Mechanisms of Physiological and Pharmacological Rate Modulation
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Dario DiFrancesco, Stefano Severi, Enrico Ravagli, Matteo Fantini, Lara A. Charawi, S.Severi, M. Fantini, E. Ravagli, L. Charawi, and D. DiFrancesco
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Computational model ,Ryanodine receptor ,Chemistry ,Rate modulation ,Biophysics ,Experimental data ,chemistry.chemical_compound ,BAPTA ,medicine ,cardiovascular system ,Ivabradine ,Cycle length ,Neuroscience ,Acetylcholine ,medicine.drug ,Computational Cardiology - Abstract
The cellular basis of heart's pacemaking activity, and specifically the degree of contribution of the different mechanisms involved, is still debated. Reliable computational models of the sinoatrial (SAN) action potential (AP) may help gain a deeper understanding of the phenomenon. Recently, novel models incorporating a detailed calcium-handling dynamics have been proposed, but they fail in reproducing experimental effects of “funny” current (If) reduction. We therefore developed a SAN AP model, based on available experimental data, to reproduce and investigate autonomic and drug-induced rate modulation.Cell compartmentalization and all the intracellular Ca2+ handling mechanisms were formulated as in the Maltsev-Lakatta model. Membrane current equations were revised on the basis of published experimental data. Modifications to the current formulations to simulate autonomic modulation and drug effects (Acetylcholine, Isoprenaline, Ivabradine, Cesium, BAPTA, Ryanodine) were derived from experimental data.The model generates AP waveforms typical of rabbit SAN cells, whose parameters fall within the experimental ranges: 176ms AP duration, 329ms cycle length, 73mV AP amplitude, −56mV maximum diastolic potential and 6.23V/s maximum upstroke velocity. Rate modulation by If-blocking drugs agrees with experimental findings: 18% and 20% Cesium-induced (5mM) and Ivabradine-induced (3μM) rate reductions, respectively. The model reproduces the autonomic modulation effects, with Acetylcholine- and Isoprenaline-induced rate variations, in a way that is quantitatively consistent with experimental data. Model testing of Ryanodine and BAPTA effects showed slowing of rate without cessation of beating.Our up-to-date model describes satisfactorily experimental data concerning autonomic stimulation, funny-channel blockade and inhibition of the Ca-related system by specific drugs, making it a useful tool for further investigations. Simulation results suggest that a detailed description of the intracellular calcium fluxes is fully compatible with the observation that If is a major component of pacemaking and rate modulation.
- Published
- 2012
31. Design and manufacturing of ear prosthesis by means of rapid prototyping technology
- Author
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DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, CIOCCA, LEONARDO, PERSIANI, FRANCO, SCOTTI, ROBERTO, F. De Crescenzio, M. Fantini, L. Ciocca, F. Persiani, and R. Scotti
- Subjects
PROSTHETIC REHABILITATION ,RAPID PROTOTYPING ,REVERSE ENGINEERING ,FACIAL REHABILITATION ,CAD/CAM - Abstract
In this paper, the complete procedure to design and construct reusable moulds for implant-based ear prosthesis and manufacture substructures by means of a computer aided design-computer aided manufacturing (CAD-CAM) procedure and rapid prototyping (RP) technology is presented. The scan of the healthy ear, the virtual superimposition of its mirrored image on to the defective side, and the rapid manufacturing of the substructure and of the mould eliminate several steps of traditional procedures (wax, stone, try-in). Moreover, the precise design and customization of the substructure is presented, with the original and engineered shape for the retention of the silicone. The time and cost saving results of this protocol are presented together with a discussion of the main design features that make the prosthesis a stable and reproducible system to improve rehabilitation of patients with auricular defects or absence.
- Published
- 2011
32. Teaching Methods for Concept Design and Prototyping
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DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, LUCCHI, FRANCESCA, F. De Crescenzio, M. Fantini, and F. Lucchi
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Design Method ,Concepts Generation ,Rapid Prototyping ,Product Development - Abstract
In product development processes, the definition of an adequate design methodology allows to reduce the Time to Market (TTM) and create new products meeting user’s requirements. In particular, for a generic product the process starts from the Mission Statement, which gives a brief description of the product and its goals, underling target market and stakeholders, assumptions and constrains that guide product development. Hence, in the early steps of the development process, alternative concepts of new products are generated, evaluated and then selected for further development and testing. In this phase, the first activities consist in identifying customer needs and establishing target specifications. Following actions regard concepts generation and selection. In this context new technologies, such as knowledge based engineering and rapid prototyping have a significant impact on the reduction of the time and costs needed to verify the technical and functional aspects of the project. This paper reports the teaching experience carried out in the course of “Project Methodologies for Industrial Engineering” of the second degree course (MSc) in Mechanical Engineering of the Second Faculty of Engineering at the University of Bologna. The aim of this course is to supply students with design methodologies and all the related activities that are at the basis of concept development and prototyping. Therefore, students are directly involved, through a design experience, in the creation of a new product from some defined topics and issues. Besides the conceptual design and the Computer Aided Design specification of the product students experience the rapid prototyping of the designed shape by means of a FDM (Fused Deposition Modelling) technique. In the projects of the last academic year, students, working in groups up to 4 persons, were requested to design a helmet, with an advanced level of customization. Following the phases of the design process, their ideas evolved into new products, which addressed latent needs defined in accordance with the typology and functions of the helmet chosen by each team and compared to similar existing products. Therefore, each project resulted in significant different products concerning several markets in spite of the few same guiding indications and workflow. By this teaching approach, it is possible to transmit course’s contents through students’ direct experience and applying product design concepts and innovative technologies on a specific case study. In this way, the final step of the paper is to compare the different projects, and underline in each of them the workflow of each product design and how each team developed the ideas of future engineers
- Published
- 2011
33. Experimental analysis for error compensation of laser scanner data
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DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, LUCCHI, FRANCESCA, SECCIA, LEONARDO, F. De Crescenzio, M. Fantini, F. Lucchi, and L. Seccia
- Subjects
Laser Scanning ,ACCURACY AND PRECISION - Abstract
Among the different techniques of (RE), laser scanners are one of the most used instruments. The output of these optical technologies is a digital 3D description of a studying object, which is defined by a point cloud that approximates its surface. Reverse pipeline consists in a process beginning with the acquisition of object’s surface, described by range maps acquired from different points of view. Further steps of the post-processing procedure allow to obtain the final output as a unique and well defined mesh. Laser scanners, as measure instruments, introduce errors in the 3D coordinates of each point cloud acquired, due to object’s surface appearance and reflection property, and also to noise components caused from the instrumentation itself. This paper presents an error experimental analysis of range maps acquired by an optical triangulation laser scanning system (Konica Minolta Vivid 9i), using a painted glass plane as reference object. This study is conducted considering that all point clouds acquired are affected by an error which is composed by two elements: a random component and a systematic one. In scanning processes it is not possible to completely remove the random component, but it is only possible to reduce it, in order to detect and define the systematic one, which is caused by laser scanner’s inner components and constructive features. The goal of this experimental work is to identify a compensation array to apply to the 3D coordinates of the range map points, in order to reduce the systematic component of error. It is possible to define a different array for every operative condition, depending on the distance from object to scanner and on the lens used during the scanning operation. By identifying an appropriate compensation array, it is possible to increase data precision and reduce noise of the collected laser scanning data
- Published
- 2011
34. Implementing Augmented Reality to aircraft maintenance: a daily inspection case study
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DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, X. FISCHER, J.P. NADEAU, F. De Crescenzio, and M. Fantini
- Abstract
AR (Augmented Reality) has been investigated in the last decade as a promising candidate technology to build up advanced interfaces for maintenance operators. Nevertheless, many factors, such as the scarce usability of cumbersome hardware, the need to use markers and the complexity in creating digital contents for single applications seem to affect its effective implementation in industry. In this paper we describe an AR interface designed to support bringing this technology to the industrial context. A Testing prototype taking into account usability requirements has been provides. The display is composed of the main window where the video stream and the virtual layer are overlaid. The 3D animation in the virtual layer depends on the specific status of the maintenance intervention. Different contents have been derived through the task analysis of the aircraft daily inspection. Finally, the evaluation of the system performed by operators is presented.
- Published
- 2010
35. Rehabilitation of the nose using CAD/CAM and rapid prototyping technology after ablative surgery of squamous cell carcinoma: a pilot clinical report
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Ciocca, L., Crescenzio, F., Massimiliano Fantini, Scotti, R., L. Ciocca, F. De Crescenzio, M. Fantini, and R. Scotti
- Published
- 2010
36. CAD/CAM and rapid prototyped scaffold construction for bone regenerative medicine and surgical transfer of virtual planning: a pilot study
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Roberto Scotti, F. De Crescenzio, Massimiliano Fantini, Leonardo Ciocca, L. CIOCCA, F. DE CRESCENZIO, M. FANTINI, and R. SCOTTI
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Models, Anatomic ,Rapid prototyping ,medicine.medical_specialty ,Scaffold ,Swine ,Computer science ,Pilot Projects ,Health Informatics ,CAD ,Regenerative Medicine ,Regenerative medicine ,Condyle ,BONE REGENERATION ,medicine ,Animals ,Radiology, Nuclear Medicine and imaging ,MAXILLOFACIAL PROSTHESIS ,Bone regeneration ,Bone Transplantation ,Tissue Engineering ,Tissue Scaffolds ,Radiological and Ultrasound Technology ,SCAFFOLD ,Dental Implantation, Endosseous ,Mandibular Condyle ,Mesenchymal Stem Cells ,Plastic Surgery Procedures ,CAD–CAM ,Computer Graphics and Computer-Aided Design ,Osteotomy ,Surgery ,Durapatite ,Dental Prosthesis Design ,Surgery, Computer-Assisted ,Virtual planning ,RAPID PROTOTYPING ,Bone Substitutes ,Computer-Aided Design ,Maxillofacial Prosthesis ,Computer Vision and Pattern Recognition ,Tomography, X-Ray Computed ,Biomedical engineering - Abstract
We developed a model to test new bone constructs to replace spare skeletal segments originating from new generation scaffolds for bone marrow-derived mesenchymal stem cells. Using computed tomography (CT) data, scaffolds were defined using computer-aided design/computer-aided manufacturing (CAD/CAM) for rapid prototyping by three-dimensional (3D) printing. A bone defect was created in pig mandible ramus by condyle resection for CT and CAD/CAM elaboration of bone volume for cutting and scaffold restoration. The protocol produced a perfect-fitting bone substitute model for rapid prototyped hydroxyapatite (HA) scaffolds. A surgical guide system was developed to accurately reproduce virtually planned bone sectioning procedures in animal models to obtain a perfect fit during surgery.
- Published
- 2009
37. Rapid Design, Prototyping and Manufacturing in Industrial R&D
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BAGASSI, SARA, DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, FRANCIA, DANIELA, PERSIANI, FRANCO, s. Bagassi, F. De Crescenzio, M. Fantini, D. Francia, and F. Persiani
- Abstract
A major issue in the industrial product development is the reduction of the “time to market”. Early releases of the initial design usually need to be tested and several first prototypical versions are manufactured. In this phase the use of “soft tooling” is compulsory, since the “hard tools” of serial production are unsuitable for the several changes necessary during the development phase. This paper presents the potentials of the rapid prototyping process adopted in our laboratories to overcome problems due to the standard production cycle in the industrial field. Even with virtual prototyping, several problems arise during the manufacturing process, where important technological constraints impose modification of the original, strictly functional, CAD model. Over constrained, feature based design is an old dream of product managers, material purchasers and manufacturers. Through the rapid prototyping process, one of the most useful “time compression technologies”, it is possible to implement the 3D CAD model into a prototyping machine and to realise physical models for several kind of applications in competitive time and costs. For aircraft/helicopter/naval components where weight, performance and reliability are in the top part of the list, this approach may cancel some overcomplicated solution that unavoidably conduct to difficult manufacturing, long development time, production and quality problems.
- Published
- 2008
38. Monitoring of the conservation state of the internal wall surfaces of Room with Golden Vault in the Domus Aurea
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DE CRESCENZIO, FRANCESCA, FANTINI, MASSIMILIANO, PERSIANI, FRANCO, SECCIA, LEONARDO, VIRGILLI, VALENTINA, N. Santopuoli, edited by P. Tiano and C. Pardini, F. De Crescenzio, M. Fantini, F. Persiani, N. Santopuoli, L. Seccia, and V. Virgilli
- Subjects
3D SCANNING ,SPECTROPHOTOMETRY ,3D-2D DATA INTEGRATION - Abstract
This project describes the monitoring campaign developed jointly with the Archaeological Superintendence of Rome and performed in situ with the collaboration of Konica Minolta Sensing Europe, in order to verify the actual conservation state of the internal wall surfaces of the Room with Golden Vault in the Domus Aurea in Rome. Particularly, the main aim of this work was to evaluate the problems caused by aggressive environmental conditions (combination of low air temperature and high relative humidity). During this survey, characterized by the integrated use of two and three-dimensional techniques, the environmental conditions were carefully monitored. Reference sample regions of the vault were acquired by means of the 3D laser scanner Konica Minolta Vivid 9i (optical triangulation-based) that allows capturing morphological details of the stucco decorations with a good resolution. Moreover, each detailed scan was supplied with related high resolution images taken by a digital reflex camera Olympus E-510 rigidly connected to the scanner. In Cultural Heritage monitoring applications it is important to integrate the data acquired with different instruments and techniques. Therefore, by this methodological approach, it has been possible to integrate both two and three dimensional data by the projection of the acquired images on the corresponding digital model. In order to complete the cognitive framework of the vault, systematic measures of spectrophotometry by means of the portable spectrophotometer Konica Minolta CM-2660d were also carried out. The digital data, collected and elaborated by this monitoring campaign, allowed to create a database of morphological information, high resolution digital images, colorimetric values and reflectance curves that may be used in the future as reference data to periodically monitor the conservation state of the surfaces.
- Published
- 2008
39. Immediate effects of the semi-occluded bubble mask technique using VocalFeel® device as vocal warm-up in singers.
- Author
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Natale E, Fantini M, Lovato A, Fussi F, Stomeo F, and De Filippis C
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- Humans, Male, Adult, Female, Young Adult, Time Factors, Acoustics instrumentation, Warm-Up Exercise, Phonation, Occupations, Occupational Health, Singing, Voice Quality, Voice Training, Equipment Design
- Abstract
Objective: The present study aims at investigating the immediate effects of the Semi-Occluded Bubble Mask Technique (SOBM) performed with the device VocalFeel® as a vocal warm-up in a group of professional singers., Study Design: A randomized controlled study was carried out., Methods: Forty-four vocally healthy professional singers were randomly divided into two groups on recruitment: an experimental group and a control group. The same vocal warm-up exercise was performed by the experimental group with the SOMB technique and by the control group without semi-occlusion. Self assessments, acoustic analysis and aerodynamic analysis of Peak Nasal Inspiratory Flows (PNIF) and Peak Oral Inspiratory Flows (POIF) were performed., Results: Significant improvements after the SOBM technique were detected in the experimental group concerning some acoustic parameters (Jitt%; Shimm%) and aerodynamic measures (PNIF and POIF). No significant improvements after the warm-up exercise were observed in the control group. Significant differences between the experimental and the control group were found for ΔJitt%, ΔShimm%, ΔNHR, ΔPOIF and self assessments., Conclusions: The results of the present study support the efficacy of a vocal warm-up performed with the SOBM technique using VocalFeel® device in terms of acoustic quality, aerodynamic measures and perceived phonatory comfort in professional singers.
- Published
- 2024
- Full Text
- View/download PDF
40. The Physiology of Vocal Damping: Historical Overview and Descriptive Insights in Professional Singers.
- Author
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Fantini M
- Abstract
Objective: Vocal damping has been historically described as a distinctive phonatory glottic behavior where the posterior part of the vocal folds is strongly adducted and vibration occurs in the anterior part. The aim of the present descriptive study is to analyze anterior glottis phonation patterns in professional singers through a multidimensional approach, in order to better understand the physiological underpinnings of vocal damping and their relation to glottic vibratory mechanisms., Methods: Ten professional singers (five males and five females) with no vocal complaints were recruited. Each subject was asked to produce ascending and descending glissandos in a spontaneous way; sustained vowels and little sung fragments in vocal fry, chest voice, falsetto, and whistle register. Each singer was asked to produce - where possible - damping sounds. A multidimensional investigation including acoustic analysis, electroglottography, and videolaryngostroboscopy was carried out., Results: Among the enrolled singers, nine out of 10 successfully produced vocalizations with a typical anterior-vibrating glottic pattern indicative of damping. All nine singers achieved a damping glottic configuration when vocalizing in the falsetto register and five were consciously able to switch between a full-glottic falsetto and a damping falsetto upon request. Three male and two female singers were able to produce a damping glottic configuration while emitting whistle notes. Three male singers demonstrated damping glottic configurations when producing high pitched chest notes., Conclusions: In conclusion, it is possible to state that damping is an existing and documentable glottic behavior, with a wide range of manifestations across vocal registers. The present preliminary study describes damping in the domains of chest voice, falsetto, and whistle register. A proper damping phenomenon, defined as the modification of the glottic vibratory boundaries according to pitch variations, is described for M2 emissions, both in male and female larynx. The analysis of passaggio patterns allows to describe damping-M2 as a possible vibratory submechanism., Competing Interests: Declaration of Competing Interest The author declares no conflict of interest., (Copyright © 2024 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
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- 2024
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41. Phonosurgical Injection Approaches for Voice Restoration After Open Partial Horizontal Laryngectomies: A Pilot Study.
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Fantini M, Crosetti E, Firino A, Gallia M, Borrelli G, Stacchini M, Ricci Maccarini A, and Succo G
- Subjects
- Humans, Pilot Projects, Male, Middle Aged, Aged, Treatment Outcome, Female, Injections, Time Factors, Phonation, Voice Disorders physiopathology, Voice Disorders diagnosis, Voice Disorders therapy, Voice Disorders surgery, Voice Disorders rehabilitation, Voice Disorders etiology, Speech Therapy, Speech Acoustics, Laryngoscopy, Acoustics, Speech Production Measurement, Voice Training, Voice Quality, Laryngectomy adverse effects, Laryngectomy rehabilitation, Laryngoplasty, Durapatite administration & dosage, Recovery of Function, Hyaluronic Acid administration & dosage
- Abstract
Objective: The aim of the present study is to evaluate the efficacy of phonosurgical corrective approaches based on injection laryngoplasties and pharyngoplasties followed by speech therapy for voice restoration after unsatisfactory phonatory results of open partial horizontal laryngectomies., Methods: Ten patients with not satisfying phonatory results despite speech therapy after type II or type III open partial horizontal laryngectomies (OPHLs) were included. Each patient underwent a voice restoration program based on phonosurgery (injection laryngoplasty and/or injection pharyngoplasty) with hyaluronic acid and/or calcium hydroxyapatite, followed by post-surgical voice rehabilitation. Voices were recorded and analysed through spectrographic, aerodynamic, perceptual, laryngoscopic and self-assessment evaluations before the treatment (T0), after 1 month (T1) and after three months (T2)., Results: Significant improvements in the patients voices were found between T0, T1 and T2 concerning acoustic, perceptual, aerodynamic, laryngoscopic and self assessment evaluations., Conclusions: The results of the present study support phonosurgical injection procedures followed by speech therapy as an effective strategy for voice restoration after type II or type III OPHLs in selected patients., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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42. Non-cholera Vibrio spp. invasive infections in the summer following May 2023 flood disaster in Romagna, Italy: a case series.
- Author
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Zaghi I, Tebano G, Vanino E, Vandi G, Cricca M, Sambri V, Fantini M, Di Antonio F, Terzitta M, Russo E, Cristini F, Bassi P, Biagetti C, and Tatarelli P
- Subjects
- Humans, Italy epidemiology, Aged, Male, Female, Aged, 80 and over, Vibrio isolation & purification, Vibrio genetics, Seasons, Middle Aged, Seawater microbiology, Disasters, Vibrio Infections microbiology, Vibrio Infections epidemiology, Floods
- Abstract
Non-cholera Vibrio spp. includes ubiquitous organisms living in aquatic environments. Their occurrence is associated with global warming and meteorological disasters. In May 2023 the Romagna region, Italy, was affected by severe floods. In the following 15 weeks we observed 5 patients with invasive infections caused by V. vulnificus (3/5) and V. harveyi (2/5). All patients (median age 77 years) had medical comorbidities and shared exposure to seawater. Two patients needed surgery; 2 died. In conclusion, we observed an increased burden of Vibrio spp. invasive infections after May 2023 floods, affecting old patients with predisposing medical conditions., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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- 2024
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43. Current Status of Partial Laryngeal Surgery for Advanced Laryngeal Cancer: When and Why?
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Crosetti E, Fantini M, Bertotto I, Bertolin A, Arrigoni G, Lorenzi A, and Succo G
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- Humans, Laryngeal Neoplasms surgery, Laryngeal Neoplasms pathology, Laryngectomy methods, Quality of Life
- Abstract
Purpose of Review: This paper aims to evaluate the evolution and current status of partial laryngeal surgery in the treatment of advanced laryngeal cancer (LC). Specifically, recent progress in the selection of both patients and tumors, together with surgical and rehabilitation innovations, have contributed to balancing oncological control with the maintenance of quality of life in naïve and radiorecurrent patients. The main aspect is represented by the recognized role of open partial horizontal laryngectomies (OPHLs) in this new era of laryngeal cancer treatment., Recent Findings: Recent advancements highlight OPHLs' efficacy for conservative management of intermediate to advanced stages of LC. Innovations such as supratracheal partial laryngectomy have expanded surgical options, offering a modular approach to complex cases. Improved understanding of tumor biology, enhanced imaging techniques, and more precise preoperative planning have led to better patient outcomes, emphasizing the importance of a conservative function-preserving surgical treatment. These advancements reflect a broader trend towards individualized treatment plans that prioritize both survival and quality of life. OPHLs play an important role in current management of intermediate/advanced LC, effectively balancing oncological control with the preservation of laryngeal functions. Critical factors include meticulous patient and tumor selection, the impact of surgical and technological refinements on functional outcomes, and the necessity of a multidisciplinary approach in treatment planning. Current evidence justifies the use of these interventions in many intermediate T-stage laryngeal tumors, even at risk of upstaging on pathological examination. The oncological results, the preservation of laryngeal function and the laryngectomy-free survival achieved with OPHLs appear to be highly competitive with those of non surgical organ-preservation protocols, aiming to introduce a new standard in the LC treatment., (© 2024. The Author(s).)
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- 2024
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44. Validity, reliability and reproducibility of the VLS parameters form for the collection of videolaryngostroboscopic basic findings.
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Ricci-Maccarini A, Mozzanica F, Fantini M, Dadduzio S, Bergamini G, Fustos R, and Schindler A
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- Humans, Reproducibility of Results, Laryngoscopy methods, Stroboscopy, Voice Disorders diagnosis, Voice Disorders surgery, Larynx
- Abstract
Objective: The videolaryngostroboscopy parameters form (VLSP form) is a diagnostic tool for the collection of videolaryngostroboscopic basic findings through the evaluation of 12 parameters. The aim of the present study is to preliminarily investigate intra- and inter-rater reliability, validity and responsiveness of the VLSP form., Methods: A study on a total amount of 160 forms for the evaluation of VLS basic findings was carried out. 80 forms were scored through the VLSP form and 80 with the Voice Vibratory Assessment with Laryngeal Imaging (VALI) form Stroboscopy (S) by four expert phoniatricians, that blindly scored the VLS recordings of 5 subjects without voice disorders and 5 patients with organic voice disorder before and after successful phonosurgery. Intra-rater and inter-rater analysis have been performed for both forms. The scores obtained through VLSP form and VALI form S have been compared to analyse concurrent validity, while VLSP scores before and after phonosurgery have been compared to analyse responsiveness. Finally, each rater annotated the "difficulty" in rating every parameter and its "importance" for the diagnosis., Results: The VLSP form showed good inter- and intra-rater reliability. It showed a good accuracy for the documentation of changes of laryngeal anatomy and function after phonosurgery, similarly to the VALI form S. The 12 parameters of the VLSP form were judged "Slightly Important" in 28.3% of the samples, "Very Important" in 64.8% of the samples, "Not Difficult" in 73.1% of the samples., Conclusions: The results of the present study suggest that the VLSP form is comparable to the VALI form S for the evaluation of videolaryngostroboscopic parameters and is a valid, reliable and reproducible diagnostic tool. It can help voice clinicians in the evaluation of VLS examinations and it allows for a punctual assessment of modifications in laryngeal anatomy and function in pathological conditions and after phonosurgery., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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- 2024
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45. Evaluation of Biofilm Production and Antifungal Susceptibility to Fluconazole in Clinical Isolates of Candida spp. in Both Planktonic and Biofilm Form.
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Marzucco A, Gatti G, Montanari MS, Fantini M, Colosimo C, Tamburini MV, Arfilli V, Morotti M, Schiavone P, Congestrì F, Manera M, Denicolò A, Brandolini M, Taddei F, Grumiro L, Zannoli S, Dirani G, De Pascali AM, Sambri V, and Cricca M
- Abstract
Candida spp. are an important opportunistic pathogen that can represent a possible cause of severe infections, especially in immunocompromised individuals. The clinical impact of Candida spp. depends, in part, on the ability to form biofilms, communities of nestled cells into the extracellular matrix. In this study, we compared the biofilm formation ability of 83 strains of Candida spp. isolated from blood cultures and other materials, such as respiratory samples, urine, and exudate, and their sensitivity to fluconazole (FLZ). Strains were divided into tertiles to establish cut-offs to classify isolates as low, moderate, or high biofilm producers (<0.26, 0.266-0.839, >0.839) and biofilms with low, moderate, or high metabolic activity (<0.053, 0.053-0.183, >0.183). A non-linear relationship between biofilm production and metabolic activity was found in C. glabrata and C. tropicalis . In addition, the increase in minimum biofilm eradication concentrations (MBEC
50 ) compared to the Minor Inhibitory Concentration (PMIC) of the planktonic form in Candida spp. confirms the role of biofilm in the induction of resistance to FLZ.- Published
- 2024
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46. Generation of the therapeutic monoclonal antibody NEO-201, derived from a cancer vaccine, which targets human malignancies and immune suppressor cells.
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Fantini M, Tsang KY, and Arlen PM
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- Humans, Animals, T-Lymphocytes, Regulatory immunology, Immunotherapy methods, Cancer Vaccines immunology, Cancer Vaccines administration & dosage, Neoplasms immunology, Neoplasms therapy, Antibodies, Monoclonal immunology, Antibodies, Monoclonal therapeutic use, Antibodies, Monoclonal pharmacology, Antigens, Neoplasm immunology
- Abstract
Introduction: Cancer vaccines stimulate the activation of specific humoral and cellular adaptive responses against cancer cells.Antibodies generated post vaccination can be isolated and further selected to develop highly specific and potent monoclonal antibodies (mAbs) against tumor-associated antigens., Areas Covered: This review describes different types of cancer vaccines, the process of the generation of the mAb NEO-201 from the Hollinshead cancer vaccine platform, the characterization of the antigen recognized by NEO-201, the ability of NEO-201 to bind and mediate the killing of cancer cells and immunosuppressive cells (gMDSCs and Tregs) through ADCC and CDC, NEO-201 preclinical and clinical toxicity and efficacy., Expert Opinion: To overcome the problem of poor clinical efficacy of cancer vaccines, due to the activity of immunosuppressive cells, cancer vaccines could be combined with other immunotherapeutics able to deplete immunosuppressive cells. Results from clinical trials, employing NEO-201 alone or in combination with pembrolizumab, showed that durable stabilization of disease after treatment was due to the ability of NEO-201 to target and reduce the percentage of circulating Tregs and gMDSCs.These findings provide compelling support to combine NEO-201 with cancer vaccines to reintegrate their ability to elicit a robust and durable immune adaptive response against cancer.
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- 2024
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47. Containment of carbapenem-resistant Enterobacterales colonisations and infections: Results from an integrated infection control intervention in a large hospital trust of northern Italy.
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Biagetti C, Tatarelli P, Tebano G, Casolari S, Fantini M, Malavolti M, Amadori A, Tura GA, Sambri V, Minghetti M, Grilli R, and Gagliotti C
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- Humans, Carbapenems pharmacology, beta-Lactamases, Bacterial Proteins, Trust, Infection Control methods, Hospitals, Klebsiella pneumoniae, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents therapeutic use, Bacteremia epidemiology, Bacteremia prevention & control, Bacteremia drug therapy
- Abstract
Purpose: We describe the results of an infection control intervention, implemented in 4 tertiary hospitals in Romagna, Italy, aiming at containing the spread of carbapenem-resistant Enterobacterales (CRE)., Methods: The intervention consisted of rectal screening in patients at risk for CRE; pre-emptive contact precaution waiting for screening results; timely notification of CRE identification and concomitant computerized alert; contact precaution for confirmed CRE-positive patients. We performed an interrupted time series analysis to compare the incidence of CRE bacteraemia, of other CRE infections, and CRE-positive rectal swabs in the pre and postintervention period (January 2015-July 2017 and August 2017-June 2020, respectively)., Results: 4,332 CRE isolates were collected. Klebsiella pneumoniae was the most represented pathogen (n = 3,716, 85%); KPC production was the most common resistance mechanism (n = 3,896, 90%). The incidence rate of CRE bacteraemia significantly decreased from 0.554 to 0.447 episodes per 10.000 patient days in the early postintervention period (P = .001). The incidence rate of other CRE infections significantly decreased from 2.09 to 1.49 isolations per 10.000 patient days in the early postintervention period (P = .021). The monthly number of rectal swabs doubled in the postintervention period and there was a significant reduction trend of CRE-positive swabs, sustained over time (P < .001)., Conclusions: The infection control intervention was successful in containing the spread of CRE infections and colonisations., (Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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48. Potentiation of natural killer cells to overcome cancer resistance to NK cell-based therapy and to enhance antibody-based immunotherapy.
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Fantini M, Arlen PM, and Tsang KY
- Subjects
- Humans, Antibodies, Monoclonal, Immunotherapy, Cytokines metabolism, Cell- and Tissue-Based Therapy, Tumor Microenvironment, Killer Cells, Natural, Neoplasms therapy, Neoplasms metabolism
- Abstract
Natural killer (NK) cells are cellular components of the innate immune system that can recognize and suppress the proliferation of cancer cells. NK cells can eliminate cancer cells through direct lysis, by secreting perforin and granzymes, or through antibody-dependent cell-mediated cytotoxicity (ADCC). ADCC involves the binding of the Fc gamma receptor IIIa (CD16), present on NK cells, to the constant region of an antibody already bound to cancer cells. Cancer cells use several mechanisms to evade antitumor activity of NK cells, including the accumulation of inhibitory cytokines, recruitment and expansion of immune suppressor cells such as myeloid-derived suppressor cells (MDSCs) and regulatory T cells (Tregs), modulation of ligands for NK cells receptors. Several strategies have been developed to enhance the antitumor activity of NK cells with the goal of overcoming cancer cells resistance to NK cells. The three main strategies to engineer and boost NK cells cytotoxicity include boosting NK cells with modulatory cytokines, adoptive NK cell therapy, and the employment of engineered NK cells to enhance antibody-based immunotherapy. Although the first two strategies improved the efficacy of NK cell-based therapy, there are still some limitations, including immune-related adverse events, induction of immune-suppressive cells and further cancer resistance to NK cell killing. One strategy to overcome these issues is the combination of monoclonal antibodies (mAbs) that mediate ADCC and engineered NK cells with potentiated anti-cancer activity. The advantage of using mAbs with ADCC activity is that they can activate NK cells, but also favor the accumulation of immune effector cells to the tumor microenvironment (TME). Several clinical trials reported that combining engineered NK cells with mAbs with ADCC activity can result in a superior clinical response compared to mAbs alone. Next generation of clinical trials, employing engineered NK cells with mAbs with higher affinity for CD16 expressed on NK cells, will provide more effective and higher-quality treatments to cancer patients., Competing Interests: MF, KT and PA are employees of Precision Biologics, Inc. PA has an ownership interest in Precision Biologics, Inc. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2023 Fantini, Arlen and Tsang.)
- Published
- 2023
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49. Nasal Breathing Through a Damp Gauze Enhances Surface Hydration of the Vocal Folds and Optimizes Vocal Function.
- Author
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Borragan M, Mediavilla BG, Legina MA, Fernandez MJG, Strangis D, Fantini M, Maccarini AR, and Torre AB
- Subjects
- Young Adult, Humans, Glottis, Acoustics, Nose, Randomized Controlled Trials as Topic, Vocal Cords, Voice Disorders
- Abstract
Objective: The present study proposes a direct surface hydration system based on nasal breathing through a damp gauze. The goal is to observe whether such direct hydration procedure positively modifies vocal fold functionality by improving voice quality and enhancing the mobility and pliability of the vocal fold mucosa., Methods: Sixty-one young adults without voice problems were enrolled and were randomly divided into three double-blinded treatment groups. In the first group (the gauze group), participants breathed through the nose wrapped in a damp gauze for 10 minutes while doing vocal warm-up exercises to facilitate water penetration into the mucosal layers of the vocal folds. The second group (the exercise group) performed the same warm-up exercises as the gauze group for 10 minutes without hydration procedures. The third group (the control group) talked using their normal speaking voice for 10 minutes. The participants were evaluated before and after the treatment tasks with three tests: a laryngostroboscopic examination (ie, the glottic closure, the amplitude of the mucosal wave, and the maximum opening of the glottic space); voice acoustic analysis (multidimensional voice program); and a perceptual voice evaluation (GRBAS scale)., Results: Results showed that after the use of a damp gauze, glottic closure, the amplitude of the mucosal wave, the maximum opening of the glottic space, the shimmer, and the B of GRBAS all improved., Conclusion: Findings showed significantly better vocal results for the participants of the gauze group, suggesting the damp gauze procedure to be an effective, fast, and economical procedure to improve and optimize vocal fold functionality. It can be hypothesized that the obtained results are related to an improvement in vocal folds surface hydration and viscoelasticity., (Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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50. Validation of the Acoustic Voice Quality Index (AVQI) Version 03.01 in Italian.
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Fantini M, Ricci Maccarini A, Firino A, Gallia M, Carlino V, Gorris C, Spadola Bisetti M, Crosetti E, and Succo G
- Subjects
- Humans, Speech Acoustics, Reproducibility of Results, Speech Production Measurement, Acoustics, Language, Severity of Illness Index, Voice Quality, Dysphonia diagnosis
- Abstract
Objective: The aim of the present study is to validate the Acoustic Voice Quality Index version 03.01 in the Italian language (AVQIv3-IT)., Methods: A total of 150 native Italian speakers with normal voices (n = 50) and with various voice disorders (n = 100) were enrolled. Voice samples of a sustained vowel (SV) [a:] and five phonetically balanced continuous speech (CS) samples were recorded. The most appropriate syllable number for a standardized voiced CS approximating 3 seconds was identified. Perceptual evaluations of the overall voice quality were performed by three expert voice clinicians using the G score of the GRBAS scale. AVQIs were calculated using a 3 seconds mid-vowel selection of the SV [a:] and the standardized syllable number of the CS. Finally, concurrent validity and diagnostic accuracy of AVQIv3-IT were analysed., Results: The most appropriate syllable number for a standardized CS approximating 3 seconds in Italian was identified as 25. The perceptual ratings showed robust intra- and inter-rater reliability. A strong correlation was found between AVQI scores and overall voice quality perceptual evaluations (r = 0.81, P < 0.001). The best diagnostic outcome for AVQIv3-IT was found for a threshold of 2.35 (sensitivity of 90% and specificity of 92%)., Conclusions: AVQIv3-IT was demonstrated to be a valid and robust tool for quantifying overall acoustic voice quality in the Italian speaking population., (Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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