32 results on '"Ala, L."'
Search Results
2. Real-life effectiveness and safety of baricitinib in patients with severe alopecia areata: A 24-week Italian study
- Author
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Piraccini, B. M., Pampaloni, F., Cedirian, S., Quadrelli, F., Bruni, F., Rapparini, L., Caro, G., Acri, M. C., Ala, L., Rossi, A., Pellacani, G., Lacarrubba, F., Micali, G., Dall'Oglio, F., Vastarella, M., Cantelli, M., Nappa, P., Diluvio, L., Bianchi, L., Gnesotto, L., Sechi, A., Naldi, L., Tassone, F., Peris, Ketty, Caldarola, Giacomo, Pinto, Lorenzo Maria, Girolomoni, G., Marangoni, F., Bellinato, F., Gisondi, P., Scandagli, I., Prignano, F., Pimpinelli, N., Tomasini, C., Barruscotti, S., Desimoni, E., Simonetti, O., Ambrogio, F., Foti, C., Boccaletti, V., Fraghi, A., Marzano, A. V., Mattioli, M. A., Rocca, Lorenzo, Barbareschi, M., Ferrucci, S. M., Gallo, G., Ribero, S., Quaglino, P., Balestri, R., Ioris, T., Caposienacaro, R. D., Zalaudek, Iri, Vagnozzi, E., Fargnoli, Maria Concetta, Caponio, C., Rubegni, P., Cinotti, E., Trovato, E., Romanelli, Margherita, Dini, Veronica, Manzomargiotta, F., Feliciani, C., de FelicidelGiudice, M. B., Atzori, L., Sanna, S., Lembo, S., Raimondo, A., Magnano, M., Starace, M., Peris K. (ORCID:0000-0002-5237-0463), Caldarola G. (ORCID:0000-0002-8837-9232), Pinto L. M., Rocca L., Zalaudek I., Fargnoli M. C., Romanelli M., Dini V., Piraccini, B. M., Pampaloni, F., Cedirian, S., Quadrelli, F., Bruni, F., Rapparini, L., Caro, G., Acri, M. C., Ala, L., Rossi, A., Pellacani, G., Lacarrubba, F., Micali, G., Dall'Oglio, F., Vastarella, M., Cantelli, M., Nappa, P., Diluvio, L., Bianchi, L., Gnesotto, L., Sechi, A., Naldi, L., Tassone, F., Peris, Ketty, Caldarola, Giacomo, Pinto, Lorenzo Maria, Girolomoni, G., Marangoni, F., Bellinato, F., Gisondi, P., Scandagli, I., Prignano, F., Pimpinelli, N., Tomasini, C., Barruscotti, S., Desimoni, E., Simonetti, O., Ambrogio, F., Foti, C., Boccaletti, V., Fraghi, A., Marzano, A. V., Mattioli, M. A., Rocca, Lorenzo, Barbareschi, M., Ferrucci, S. M., Gallo, G., Ribero, S., Quaglino, P., Balestri, R., Ioris, T., Caposienacaro, R. D., Zalaudek, Iri, Vagnozzi, E., Fargnoli, Maria Concetta, Caponio, C., Rubegni, P., Cinotti, E., Trovato, E., Romanelli, Margherita, Dini, Veronica, Manzomargiotta, F., Feliciani, C., de FelicidelGiudice, M. B., Atzori, L., Sanna, S., Lembo, S., Raimondo, A., Magnano, M., Starace, M., Peris K. (ORCID:0000-0002-5237-0463), Caldarola G. (ORCID:0000-0002-8837-9232), Pinto L. M., Rocca L., Zalaudek I., Fargnoli M. C., Romanelli M., and Dini V.
- Abstract
Background: Alopecia areata is an autoimmune condition characterized by rapid hair loss in the scalp, eyebrows and eyelashes, for which treatments are limited. Baricitinib, an oral inhibitor of Janus kinases 1 and 2, has been recently approved to treat alopecia areata. Materials and Methods: We conducted a retrospective study involving 23 medical centres across Italy, enrolling patients affected by severe alopecia areata (SALT >50), for more than 6 months. Clinical and trichoscopic assessment was performed at each visit and impact on quality of life, anxiety and depression were evaluated using the Skindex-16 and the Hospital Anxiety and Depression Scale (HADS), respectively. Results: A total of 118 patients were enrolled, with a mean age of 39 years and a mean SALT >95. The mean value of the SALT score decreased from an average of 96.6 (±8.23 sd) to 48 (±35.2 sd) after 24 weeks of treatment and 42.3% of patients achieved a SALT 30, 31.3% a SALT 20 and 20.3% a SALT 10 by Week 24. Trichoscopic signs showed fewer yellow dots and black dots significantly earlier than hair regrowth. Adverse events during the treatment period (mild laboratory test abnormalities) were reported in 12.7% patients. No drop-out were registered. Conclusion: Data on the effectiveness and safety of baricitinib are promising and support the use of this drug in severe forms of AA, also in the early stages. We also suggest performing trichoscopy in order to reveal early response to therapy.
- Published
- 2024
3. Italian National Registry of Alopecia Areata: an epidemiological study of 699 Italian patients
- Author
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Piraccini, B. M., Rapparini, L., Quadrelli, F., Alessandrini, A., Bruni, F., Cedirian, S., Pampaloni, F., Marcelli, E., Bortolani, B., Giampieri, E., Gallo, G., Torrelli, F., Sciamarrelli, N., Quaglino, P., Tomasini, C., Barruscotti, S., Ambrogio, F., Foti, C., Picciallo, M., Caro, G., Rossi, A., Pellacani, G., Ala, L., Acri, M. C., Diluvio, L., Matteini, Elena, Bianchi, L., Argenziano, G., Babino, G., Fulgione, E., Gnesotto, L., Sechi, A., Naldi, L., Tassone, F., Peris, Ketty, Caldarola, Giacomo, Caposiena Caro, R. D., Bazzacco, G., Zalaudek, Iri, Vastarella, M., Cantelli, M., Patri, A., Dall'Oglio, F., Lacarrubba, F., Micali, G., Fraghi, A., Boccaletti, V., Marzano, A. V., Barbareschi, M., Silvio, M., Vagnozzi, E., Fargnoli, Maria Concetta, Caponio, C., Atzori, L., Sanna, S., Anedda, J., Feliciani, C., de Felici Del Giudice, M. B., Scandagli, I., Prignano, F., Rongioletti, F., Podo Brunetti, A., Bigotto, G. D., Offidani, A. M., Simonetti, O., Lembo, S., Raimondo, A., Balestri, R., Ioris, T., Gisondi, P., Bellinato, F., Trovato, E., Cinotti, E., Papini, M., Cicoletti, M., Corazza, M., Starace, M., Matteini E., Peris K. (ORCID:0000-0002-5237-0463), Caldarola G. (ORCID:0000-0002-8837-9232), Zalaudek I., Fargnoli M. C., Piraccini, B. M., Rapparini, L., Quadrelli, F., Alessandrini, A., Bruni, F., Cedirian, S., Pampaloni, F., Marcelli, E., Bortolani, B., Giampieri, E., Gallo, G., Torrelli, F., Sciamarrelli, N., Quaglino, P., Tomasini, C., Barruscotti, S., Ambrogio, F., Foti, C., Picciallo, M., Caro, G., Rossi, A., Pellacani, G., Ala, L., Acri, M. C., Diluvio, L., Matteini, Elena, Bianchi, L., Argenziano, G., Babino, G., Fulgione, E., Gnesotto, L., Sechi, A., Naldi, L., Tassone, F., Peris, Ketty, Caldarola, Giacomo, Caposiena Caro, R. D., Bazzacco, G., Zalaudek, Iri, Vastarella, M., Cantelli, M., Patri, A., Dall'Oglio, F., Lacarrubba, F., Micali, G., Fraghi, A., Boccaletti, V., Marzano, A. V., Barbareschi, M., Silvio, M., Vagnozzi, E., Fargnoli, Maria Concetta, Caponio, C., Atzori, L., Sanna, S., Anedda, J., Feliciani, C., de Felici Del Giudice, M. B., Scandagli, I., Prignano, F., Rongioletti, F., Podo Brunetti, A., Bigotto, G. D., Offidani, A. M., Simonetti, O., Lembo, S., Raimondo, A., Balestri, R., Ioris, T., Gisondi, P., Bellinato, F., Trovato, E., Cinotti, E., Papini, M., Cicoletti, M., Corazza, M., Starace, M., Matteini E., Peris K. (ORCID:0000-0002-5237-0463), Caldarola G. (ORCID:0000-0002-8837-9232), Zalaudek I., and Fargnoli M. C.
- Abstract
BACKGROUND: Alopecia areata (AA) is an organ-specific autoimmune disease that affects the hair follicles of the scalp and the rest of the body causing hair loss. Due to the unpredictable course of AA and the different degrees of severity of hair loss, only a few well-designed clinical studies with a low number of patients are available. Also, there is no specific cure, but topical and systemic anti-inflammatory and immune system suppressant drugs are used for treatment. The need to create a global registry of AA, comparable and reproducible in all countries, has recently emerged. An Italian multicentric electronic registry is proposed as a model to facilitate and guide the recording of epidemiological and clinical data and to monitor the introduction of new therapies in patients with AA. METHODS: The aim of this study was to evaluate the epidemiological data of patients with AA by collecting detailed information on the course of the disease, associated diseases, concomitant and previous events, and the clinical response to traditional treatments. Estimate the impact on the quality of life of patients. RESULTS: The creation of the National Register of AA has proven to be a valid tool for recording, with a standardized approach, epidemiological data, the trend of AA, response to therapies and quality of life. CONCLUSIONS: AA is confirmed as a difficult hair disease to manage due to its unpredictable course and, in most cases, its chronic-relapsing course, capable of having a significant impact on the quality of life of patients.
- Published
- 2024
4. Spectral modeling of scintillator for the NEMO-3 and SuperNEMO detectors
- Author
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Argyriades, J., Arnold, R., Augier, C., Baker, J., Barabash, A. S., Bongrand, M., Broudin-Bay, G., Brudanin, V. B., Caffrey, A. J., Cebrián, S., Chapon, A., Chauveau, E., Dafni, Th., Daraktchieva, Z., iaz, J. D, Durand, D., Egorov, V. G., Evans, J. J., Fatemi-Ghomi, N., Flack, R., Basharina-Freshville, A., Fushimi, K-I., Garrido, X., Gómez, H., Guillon, B., Holin, A., Holy, K., Horkey, J. J., Hubert, Ph., Hugon, C., Iguaz, F. J., Irastorza, I. G., Ishihara, N., Jackson, C. M., Jullian, S., Kanamaru, S., Kauer, M., Kochetov, O. I., Konovalov, S. I., Kovalenko, V. E., Lalanne, D., Lang, K., ere, Y. Lemi, Lutter, G., Luzón, G., Mamedov, F., Marquet, Ch., Martin-Albo, J., Mauger, F., Monrabal, F., Nachab, A., Nasteva, I., Nemchenok, I. B., Nguyen, C. H., Nova, F., Novella, P., Ohsumi, H., Pahlka, R. B., Perrot, F., Piquemal, F., Povinec, P. P., Richards, B., Ricol, J. S., Riddle, C. L., Rodriguez, A., Saakyan, R., Sarazin, X., Sedgbeer, J. K., Serra, L., Simard, L., Šimkovic, F., Shitov, Yu. A., Smolnikov, A. A., Soldner-Rembold, S., Štekl, I., Sugaya, Y., Sutton, C. S., Szklarz, G., Tamagawa, Y., Thomas, J., Thompson, R., Timkin, V. V., Tretyak, V. I., Tretyak, Vl. I., Umatov, V. I., ala, L. V, Vanyushin, I. A., Vasiliev, R., Vorobel, V., Vylov, Ts., Waters, D., Yahlali, N., and Žukauskas, A.
- Subjects
Physics - Instrumentation and Detectors ,High Energy Physics - Experiment - Abstract
We have constructed a GEANT4-based detailed software model of photon transport in plastic scintillator blocks and have used it to study the NEMO-3 and SuperNEMO calorimeters employed in experiments designed to search for neutrinoless double beta decay. We compare our simulations to measurements using conversion electrons from a calibration source of $\rm ^{207}Bi$ and show that the agreement is improved if wavelength-dependent properties of the calorimeter are taken into account. In this article, we briefly describe our modeling approach and results of our studies., Comment: 16 pages, 10 figures
- Published
- 2010
- Full Text
- View/download PDF
5. Summary of the Effect of Multiple Site Damage on the Linkup Strength of 2024-T3 Aluminum Panels
- Author
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Smith, Bert L., Hijazi, Ala L., and Myose, Roy Y.
- Published
- 2002
6. Hypercoagulability in ICU Patients With Coronavirus Disease 2019 With Respiratory Failure Results in Increased Prevalence of Venous Thromboembolic Disease
- Author
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Long, Sarah A., Tahboub, Mohammad Y., Palomino, Jaime, Alkhatib, Ala L., Kennedy, Thomas P., Caridi, James, and Lasky, Joseph A.
- Published
- 2021
- Full Text
- View/download PDF
7. Evidence for affluence-related hypertension in urban Brazil
- Author
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Ala, L, Gill, G, Gurgel, R, and Cuevas, L
- Published
- 2004
- Full Text
- View/download PDF
8. Link-up strength of 2524-T3 and 2024-T3 aluminum panels with multiple site damage
- Author
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Smith, Bert L., Flores, Tanya L.Z., and Hijazi, Ala L.
- Subjects
Airplanes, Model -- Design and construction ,Airplanes, Model -- Testing ,Airplanes, Model -- Mechanical properties ,Aerospace and defense industries ,Business ,Science and technology - Abstract
The aluminum alloy 2524-T3 is replacing 2024-T3 for many applications because 2524-T3 has a greater fracture toughness while retaining the same strength. Much attention has been given to the effect of multiple site damage on 2024-T3 aluminum; however, very little has been reported about 2524-T3. Twenty-two panels of 2524-T3, each with a different crack configuration, were tested for critical (linkup) strength, and the results were compared with an identical set of previously tested 2024-T3 panels with MSD. The panels were 24 in. wide with a midspan row of 0.25-in.-diam holes at 1-in. pitch. Each panel had a central lead crack with collinear MSD cracks emerging from both sides of the adjacent holes. A comparison of the results showed the 2524-T3 panels to average approximately 27% greater strength than the 2024-T3 panels. The linkup or plastic-zone-touch model used to predict the critical (link-up) strength of the panels was found to be highly conservative. Consequently the test data were used for a semi-empirical analysis to develop a modified link-up model for 2524-T3, similar to the one previously developed for 2024-T3. The average error between the critical strengths from testing and those predicted by the link-up model was approximately 20%, whereas that for the modified link-up model was approximately 3%.
- Published
- 2005
9. Comparison of residual strength estimates for bolted lap-joint panels
- Author
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Hijazi, Ala L., Lacy, Thomas E., and Smith, Bert L.
- Subjects
Aerospace and defense industries ,Business ,Science and technology - Abstract
Fracture analysis of cracks along mechanically fastened joints is a central issue in the damage tolerance assessment of semimonoque aircraft structures. Nonlinear elastic-plastic finite element analysis, employing the crack-tip-opening-angle criterion, was used to evaluate residual strength of bolted lap-joint 2024-T3 aluminum panels with multiple site damage subjected to Mode-I loading. A total of 36 different crack configurations were analyzed and compared to the experimental results. The effect of different aspects of the finite element modeling procedure on the accuracy of the residual strength predictions was investigated. Modeling of the geometric details of the test panels, such as fasteners and antibuckling restraints, was found to have a considerable effect on the predicted residual strengths. The nonlinear analyses provided reasonable estimates of the residual strength. The numerical results were compared with residual strength predictions obtained from a semi-empirical link-up model. Both approaches were comparable in terms of accuracy when compared to the test data.
- Published
- 2004
10. Linkup strength of 2024-T3 bolted lap joint panels with multiple-site damage
- Author
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Hijazi, Ala L., Smith, Bert L., and Lacy, Thomas E.
- Subjects
Plates, Aluminum -- Testing ,Plates, Aluminum -- Evaluation ,Aerospace and defense industries ,Business ,Science and technology - Abstract
A modified linkup model has been developed for determining the residual strength of 2024-T3 aluminum panels with multiple-site damage. This model was developed by semi-empirical analysis of test data from flat unstiffened open-hole panels. The model was later validated with test data from 36 open-hole stiffened panels. During the investigation, 36 bolted lap joint panels with different crack configurations were tested to further validate the previously developed modified linkup model. Stress intensity factors for the modified linkup model for the different crack configurations were determined from finite element analysis with the FRANC2D/L code. The residual strengths predicted by the modified linkup model correlate well with the test data, as was the case with the earlier studies of the stiffened panels. The results for the bolted lap joint panels show a sudden reduction in the residual strength at the early stages of multiple-site damage followed by a gradual linear decrease with increasing multiple-site damage crack size. The results also demonstrate that a stress-intensity-factor-based solution can be formulated with empirical analysis of test data from a simple configuration and then used to analyze more complex configurations.
- Published
- 2004
11. Avascular necrosis of the femoral head due to a novel C propeptide mutation in COL2A1
- Author
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Kannu, Peter, OʼRielly, D. D., Hyland, J. C., and Kokko, Ala L.
- Published
- 2011
- Full Text
- View/download PDF
12. BMI is Associated with Coronavirus Disease 2019 Intensive Care Unit Admission in African Americans
- Author
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Alkhatib, Ala L., primary, Kreniske, Jonah, additional, Zifodya, Jerry S., additional, Fonseca, Vivian, additional, Tahboub, Mohammad, additional, Khatib, Joanna, additional, Denson, Joshua L., additional, Lasky, Joseph A., additional, Lefante, John J., additional, and Bojanowski, Christine M., additional
- Published
- 2020
- Full Text
- View/download PDF
13. HDAC8 inhibition ameliorates pulmonary fibrosis
- Author
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Saito, Shigeki, primary, Zhuang, Yan, additional, Suzuki, Takayoshi, additional, Ota, Yosuke, additional, Bateman, Marjorie E., additional, Alkhatib, Ala L., additional, Morris, Gilbert F., additional, and Lasky, Joseph A., additional
- Published
- 2019
- Full Text
- View/download PDF
14. Link-Up Strength of 2524-T3 and 2024-T3 Aluminum Panels with Multiple Site Damage
- Author
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Bert L. Smith, Tanya L. Z. Flores, and Ala L. Hijazi
- Subjects
Materials science ,Fissure ,business.industry ,Shell (structure) ,Aerospace Engineering ,chemistry.chemical_element ,Structural engineering ,Residual strength ,Fracture toughness ,medicine.anatomical_structure ,chemistry ,Aluminium ,visual_art ,Aluminium alloy ,visual_art.visual_art_medium ,medicine ,business ,Stress intensity factor ,Test data - Abstract
The aluminum alloy 2524-T3 is replacing 2024-T3 for many applications because 2524-T3 has a greater fracture toughness while retaining the same strength. Much attention has been given to the effect of multiple site damage on 2024-T3 aluminum; however, very little has been reported about 2524-T3. Twenty-two panels of 2524-T3, each with a different crack configuration, were tested for critical (linkup) strength, and the results were compared with an identical set of previously tested 2024-T3 panels with MSD. The panels were 24 in. wide with a midspan row of 0.25-in.-diam holes at 1-in. pitch. Each panel had a central lead crack with collinear MSD cracks emerging from both sides of the adjacent holes. A comparison of the results showed the 2524-T3 panels to average approximately 27% greater strength than the 2024-T3 panels. The linkup or plastic-zone-touch model used to predict the critical (link-up) strength of the panels was found to be highly conservative. Consequently the test data were used for a semi-empirical analysis to develop a modified link-up model for 2524-T3, similar to the one previously developed for 2024-T3. The average error between the critical strengths from testing and those predicted by the link-up model was approximately 20%, whereas that for the modified link-up model was approximately 3%.
- Published
- 2005
- Full Text
- View/download PDF
15. HDAC8 inhibition ameliorates pulmonary fibrosis.
- Author
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Shigeki Saito, Yan Zhuang, Takayoshi Suzuki, Yosuke Ota, Bateman, Marjorie E., Alkhatib, Ala L., Morris, Gilbert F., and Lasky, Joseph A.
- Subjects
PULMONARY fibrosis ,MYOFIBROBLASTS ,CELL differentiation - Abstract
Idiopathic pulmonary fibrosis (IPF) is a fibroproliferative lung disease, and fibroblast-myofibroblast differentiation (FMD) is thought to be a key event in the pathogenesis of IPF. Histone deacetylase-8 (HDAC8) has been shown to associate with α-smooth muscle actin (α-SMA; a marker of FMD) and regulates cell contractility in vascular smooth muscle cells. However, the role of HDAC8 in FMD or pulmonary fibrosis has never been reported. This study investigated the role of HDAC8 in pulmonary fibrosis with a focus on FMD. We observed that HDAC8 expression was increased in IPF lung tissue as well as transforming growth factor (TGF)β1-treated normal human lung fibroblasts (NHLFs). Immunoprecipitation experiments revealed that HDAC8 was associated with α-SMA in TGFβ1-treated NHLFs. HDAC8 inhibition with NCC170 (HDAC8-selective inhibitor) repressed TGFβ1-induced fibroblast contraction and α-SMA protein expression in NHLFs cultured in collagen gels. HDAC8 inhibition with HDAC8 siRNA also repressed TGFβ1-induced expression of profibrotic molecules such as fibronectin and increased expression of antifibrotic molecules such as peroxisome proliferator-activated receptor- (PPAR). Chromatin immunoprecipitation quantitative PCR using an antibody against H3K27ac (histone H3 acetylated at lysine 27; a known HDAC8 substrate and a marker for active enhancers) suggested that HDAC8 inhibition with NCC170 ameliorated TGFβ1- induced loss of H3K27ac at the PPAR gene enhancer. Furthermore, NCC170 treatment significantly decreased fibrosis measured by Ashcroft score as well as expression of type 1 collagen and fibronectin in bleomycin-treated mouse lungs. These data suggest that HDAC8 contributes to pulmonary fibrosis and that there is a therapeutic potential for HDAC8 inhibitors to treat IPF as well as other fibrotic lung diseases. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
16. Design of a Light-Weight Aluminum Fuel Semi-trailer Tanker in accordance with ADR-2011 Specifications
- Author
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Hijazi, Ala L.
- Published
- 2011
- Full Text
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17. Design of the Tailgate Mechanism and Structure for a Garbage Compactor Truck
- Author
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Hijazi, Ala L.
- Published
- 2007
- Full Text
- View/download PDF
18. 148 The assessment of transient loss of consciousness: we're still not asking the right questions
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Bewick, A. E., primary, Gasson, A., additional, Ala, L., additional, and Bleasdale, R. A., additional
- Published
- 2011
- Full Text
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19. Measurement of intrathoracic blood volume by lithium dilution: comparison with thermodilution
- Author
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Roberts, H, primary, Saayman, A, additional, Ala, L, additional, and Findlay, G, additional
- Published
- 2007
- Full Text
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20. The effect of urea addition on the preservation of low dry matter oat-vetch silages
- Author
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Cristina Guedes, Rodrigues, M. A. M., Ala, L. F., Ferreira, L. M., Silva, S. R., Carnide, V. P., and Ferreira, L. M. M.
21. The effect of urea addition on the preservation of low dry matter oat-vetch silages
- Author
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Guedes, C. M., Rodrigues, M. A. M., Ala, L. F., Ferreira, L. M., Severiano Silva, and Carnide, V. P.
22. Mackay has a vision for his spirited St Johnstone.
- Author
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ALA L SD A A D IR FRA R S A ER
- Abstract
Ross County 1 St Johnstone 2 By ALASDAIR FRASER By ALA L SD A A D IR FRA R S A ER THEY may have been battered almost senseless against the ropes but David Mackay had every cause to leave Dingwall with a clear-headed vision of what St Johnstone can achieve this season. [ABSTRACT FROM PUBLISHER]
- Published
- 2012
23. Seabather's eruption from the Mediterranean Sea.
- Author
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Veraldi S, Tadini G, Acri MC, Ala L, Bortone G, Nazzaro G, and Rossi A
- Subjects
- Humans, Male, Adult, Mediterranean Sea, Female, Middle Aged, Adolescent, Animals, Young Adult, Pruritus etiology, Swimming, Scyphozoa
- Abstract
Seabather's eruption (SBE) is an acute dermatitis characterized clinically by erythematous papules located almost exclusively under a bathing suit. SBE is caused by contact on the skin by the jellyfish, Linuche unguiculata (L. unguiculata). To report our clinical experience of SBE, with a description of the presentation of the first SBE cases from the Mediterranean Sea. In the period 1987-2023, we observed seven patients with SBE; four males and three females, with an age ranging from 16 to 56 years (mean age: 37.2 years). All patients contracted SBE in the Mediterranean Sea, which was characterized by a typical clinical picture of erythematous papules located almost exclusively under the bra or underpants, accompanied by severe pruritus. In all patients, SBE showed a typical clinical presentation and it was possible to exclude other diagnoses, such as swimmer's itch, folliculitis, acne/acneiform eruptions, and follicular larva migrans. No cases of SBE have been previously reported from patients swimming in the Mediterranean Sea. L. unguiculata may have reached the Mediterranean Sea from the Atlantic Ocean, however, it is also possible that SBE in our patients was caused by different microorganisms other than L. unguiculata, supporting the hypothesis, as previously suggested, that SBE can be caused by microorganisms other than L. unguiculata.
- Published
- 2024
- Full Text
- View/download PDF
24. A New Method for the Follow-Up of Patients with Alopecia Areata.
- Author
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Bortone G, Caro G, Ala L, Gargano L, and Rossi A
- Abstract
Background: Teledermatology is the application of information and telecommunication technologies in the field of dermatology to provide remote care services based on the exchange of clinical information within a network of professionals or between professionals and patients. Tele-trichoscopy is a non-invasive, inexpensive, and easy-to-use method that applies the principle of surface microscopy at different magnifications. Alopecia areata is a non-scarring alopecia with a chronic evolution, which often needs a close follow-up. Objectives: The aim of our work was to analyze the possible benefits of telemedicine for the follow-up of patients with alopecia areata. Materials and Methods: We enrolled patients with alopecia areata, identified during the first trichological evaluation, and we divided the patients into two groups. One group was provided with the devices necessary for a telemedicine follow-up. The other group had a conventional follow-up. The total follow-up time was one year. All of the patients' photos were blindly evaluated by a team of expert dermatologists who were asked to indicate the quality of the images. The photos were also evaluated to identify disease markers. During the follow-up period, questionnaires were administered to both groups of patients to assess the quality of the visit, the level of patient satisfaction, and to identify any issues encountered by the patients. Results: There was a high degree of concordance between the images obtained by outpatient trichoscopy and those obtained by telemedicine. The satisfaction levels were the same between the patients followed via telemedicine and those seen in the outpatient clinic. Conclusions: Telemedicine applied to trichology using trichoscopy was proven to be a valid system for managing the follow-up of patients suffering from chronic recurrent scalp diseases and, above all, for maintaining continuity of care.
- Published
- 2024
- Full Text
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25. Italian National Registry of Alopecia Areata: an epidemiological study of 699 Italian patients.
- Author
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Piraccini BM, Rapparini L, Quadrelli F, Alessandrini A, Bruni F, Cedirian S, Pampaloni F, Marcelli E, Bortolani B, Giampieri E, Gallo G, Torrelli F, Sciamarrelli N, Quaglino P, Tomasini C, Barruscotti S, Ambrogio F, Foti C, Picciallo M, Caro G, Rossi A, Pellacani G, Ala L, Acri MC, Diluvio L, Matteini E, Bianchi L, Argenziano G, Babino G, Fulgione E, Gnesotto L, Sechi A, Naldi L, Tassone F, Peris K, Caldarola G, Caposiena Caro RD, Bazzacco G, Zalaudek I, Vastarella M, Cantelli M, Patrì A, Dall'oglio F, Lacarrubba F, Micali G, Fraghì A, Boccaletti V, Marzano AV, Barbareschi M, Silvio M, Vagnozzi E, Fargnoli MC, Caponio C, Atzori L, Sanna S, Anedda J, Feliciani C, DE Felici Del Giudice MB, Scandagli I, Prignano F, Rongioletti F, Podo Brunetti A, Bigotto GD, Offidani AM, Simonetti O, Lembo S, Raimondo A, Balestri R, Ioris T, Gisondi P, Bellinato F, Trovato E, Cinotti E, Papini M, Cicoletti M, Corazza M, and Starace M
- Subjects
- Humans, Italy epidemiology, Male, Female, Adult, Middle Aged, Adolescent, Young Adult, Child, Quality of Life, Aged, Child, Preschool, Alopecia Areata epidemiology, Registries
- Abstract
Background: Alopecia areata (AA) is an organ-specific autoimmune disease that affects the hair follicles of the scalp and the rest of the body causing hair loss. Due to the unpredictable course of AA and the different degrees of severity of hair loss, only a few well-designed clinical studies with a low number of patients are available. Also, there is no specific cure, but topical and systemic anti-inflammatory and immune system suppressant drugs are used for treatment. The need to create a global registry of AA, comparable and reproducible in all countries, has recently emerged. An Italian multicentric electronic registry is proposed as a model to facilitate and guide the recording of epidemiological and clinical data and to monitor the introduction of new therapies in patients with AA., Methods: The aim of this study was to evaluate the epidemiological data of patients with AA by collecting detailed information on the course of the disease, associated diseases, concomitant and previous events, and the clinical response to traditional treatments. Estimate the impact on the quality of life of patients., Results: The creation of the National Register of AA has proven to be a valid tool for recording, with a standardized approach, epidemiological data, the trend of AA, response to therapies and quality of life., Conclusions: AA is confirmed as a difficult hair disease to manage due to its unpredictable course and, in most cases, its chronic-relapsing course, capable of having a significant impact on the quality of life of patients.
- Published
- 2024
- Full Text
- View/download PDF
26. Current Diagnostic and Therapeutic Practices in Alopecia Areata in Two Mediterranean Countries: A Survey-Based Study.
- Author
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Starace M, Pampaloni F, Lazaridou E, Kyrmanidou E, Stratigos A, Lallas A, Katoulis A, Sgouros D, Quadrelli F, Rapparini L, Cedirian S, Bruni F, Ala L, Rossi A, Piraccini BM, and Apalla Z
- Abstract
Introduction: Alopecia areata (AA) affects approximately 2% of the general population and is associated with significant psychosocial morbidity and poor health-related quality of life. Despite the high incidence of the disease the available clinical practice guidelines to help clinicians and improve patients' care are very poor and of a low methodological quality, as compared to other high-burden dermatoses. The aim of this survey is to capture the current clinical practice in AA management, as performed by dermatologists, in two Mediterranean countries to identify potential disparities and gaps in diagnosis and treatment., Methods: A 50-item questionnaire was created in the English language and then translated into Greek and Italian language and sent to the Greek and Italian dermatologists via email., Results: A total of 490 dermatologists from Italy and 234 from Greece participated in the survey. The diagnosis of AA is usually based on history and clinical examination, supported by trichoscopy. The rate of use of severity scores and scales to evaluate impact on quality of life by dermatologists was low. Treatment of patchy AA, in both adult and pediatric populations, is based on use of topical steroids as first-line treatment. Results on special site involvement (eyebrows, beard, and ophiasis), chronic cases, and the pediatric population highlight extreme heterogeneity in treatment approach., Conclusions: Our results highlight that management of AA, in terms of diagnosis and treatment, is still challenging., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
27. Erythema annulare centrifugum with perieccrine inflammation triggered by SARS-CoV-2 infection.
- Author
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Dell'antonia M, Pilloni L, Ala L, Conti B, Ferreli C, and Atzori L
- Subjects
- Skin Diseases, Genetic, Inflammation, SARS-CoV-2, Female, Erythema etiology, Humans, Middle Aged, COVID-19 complications
- Published
- 2023
- Full Text
- View/download PDF
28. Dermoscopy of Tinea Incognito.
- Author
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Dell'Antonia M, Mugheddu C, Ala L, Lai D, Pilloni L, Ferreli C, and Atzori L
- Subjects
- Humans, Dermoscopy, Tinea diagnosis
- Published
- 2023
- Full Text
- View/download PDF
29. Seasonally recurrent granuloma annulare associated with Graves' disease - do anti-thyroid peroxidase antibodies have a role in the pathogenesis of granuloma annulare?
- Author
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Dell'Antonia M, Ala L, Ferreli C, Pilloni L, and Atzori L
- Subjects
- Humans, Peroxidases, Granuloma Annulare diagnosis, Granuloma Annulare etiology, Granuloma Annulare pathology, Graves Disease complications
- Published
- 2022
- Full Text
- View/download PDF
30. Selecting ambulatory emergency care (AEC) patients from the medical emergency in-take: the derivation and validation of the Amb score.
- Author
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Ala L, Mack J, Shaw R, Gasson A, Cogbill E, Marion R, Rahman R, Deibel F, and Rathbone N
- Subjects
- Adult, Aged, Aged, 80 and over, Area Under Curve, Delivery of Health Care methods, Female, Health Status Indicators, Humans, Length of Stay, Logistic Models, Male, Middle Aged, Odds Ratio, Patient Admission, Patient Discharge, Prospective Studies, ROC Curve, Risk Assessment methods, Ambulatory Care economics, Emergency Service, Hospital economics, Patient Selection, Triage methods
- Abstract
Accurate prediction of the likelihood of same-day discharge could make it possible to direct one-third of the medical in-take to an ambulatory care unit, thereby facilitating bed management. In Phase 1 of this study, we identified seven independent factors that contribute to an ambulatory care score (Amb score) that can potentially be used as a tool to select ambulatory emergency care (AEC) patients from the medical emergency in-take. A high score was associated with discharge within 12 hours of assessment and treatment in hospital. In Phase 2, we verified and internally validated the performance of the Amb score in a different cohort of patients, finding that it functioned well in identifying early discharges (ie AEC patients), with an area under the receiver operator curve (AUROC) of 0.91 (95% CI 0.88-0.94). An Amb score of > or = 5 has a sensitivity of 96% (95% CI 90-98) and a specificity of 62% (95% CI 55-68) in identifying potential AEC patients.
- Published
- 2012
- Full Text
- View/download PDF
31. Where there is no resident neurologist: a case for a neurology attachment for acute medicine trainees.
- Author
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Ala L and Hughes T
- Subjects
- Acute Disease, Humans, Wales, Workforce, Education, Medical, Graduate methods, Internship and Residency, Neurology education
- Published
- 2011
- Full Text
- View/download PDF
32. Accuracy of aneroid sphygmomanometer blood pressure recording compared with digital and mercury measurements in Brazil.
- Author
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Gill G, Ala L, Gurgel R, and Cuevas L
- Subjects
- Adult, Blood Pressure Determination methods, Brazil epidemiology, Female, Humans, Male, Middle Aged, Prevalence, Random Allocation, Reproducibility of Results, Blood Pressure Determination instrumentation, Hypertension epidemiology, Sphygmomanometers
- Abstract
Digital, mercury and aneroid blood pressure measurements were carried out in 400 South American adults. There was slight under-reading of the aneroid instrument (hypertension prevalence 30%, compared with 32% for digital and mercury), but its robustness and simplicity makes it a suitable alternative to mercury machines in tropical field conditions.
- Published
- 2004
- Full Text
- View/download PDF
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