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2. Assessing rural household’s food groups-and-sources and dietary diversity pattern in Malaita Province

Author

Zina Bird, Viliamu Iese, Helene Jacot Des Combes, Bradley Alungo, and Morgan Wairiu

Subjects
Medicine, Science
Abstract

Abstract Access to and availability of various food sources is not an issue in rural communities. However, there is no guarantee that households are not affected by nutritional inadequacy, which is still a problem in most underdeveloped nations. A mixed-methods study was conducted to determine the HDDS through the snowballing method for the last 12 months’ food groups-and-sources and the 48-h diet recall. Ninety-eight households in two rural communities surrounding Sikwafta (zone one) and Malu’u (zone two) participated in the interview between April and May 2019. The results were then analyzed through SPSS and QDA MINER. The aim is to analyze the household dietary patterns of the communities between the two zones. The study also hypothesizes that the dietary pattern of households has not changed. Results showed that a total of nine food groups were consumed: grain, white roots, tubers, plantains, oils/fats (95.90%), condiments (83.70%), and meat/poultry/sea foods (77.60%). The majority of the food consumed comes from the gardens, followed by other food sources, which make up the average HDDS of five. A correlation analysis found a statistically significant relationship between HDDS and total meal (0.504*), with no relationships between demographics. When comparing 48-h food sources-and-groups to the previous year, there was little to no difference in accessibility and availability. This implies that the majority of households are likely to achieve their nutritional needs within the parameters of their dietary trend. Even though households have adequate access to food, there is a significant need to improve their nutritional needs, even if they consume the average amount of the required food groups.

Published
2023
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3. Microsurgical Penile Replantation: Case Report

Author

Kenneth, Aluora, Stanley, Khainga, Ferdinand, Nang’ole, James, Ikol, Andrew, Were, Mukami, Gathariki, Martin, Ajujo, and Nang’andu, alungo

Subjects
Surgery
Abstract

Penile replantation is uncommon, with most data being case reports or case series. In our setting, replantation is fairly new despite penile amputations being common as a result of marital disputes and assault. Replantation remains the most ideal option for managing these cases. We present a case of penile replantation in a 17-year-old male after traumatic amputation following an assault. Some of the challenges we encountered included loss of skin and the glans with formation of a hypospadias. Nevertheless, the outcome was satisfactory with return of sensation and erection.

Published
2022
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4. Assessing rural household’s food group-source and dietary diversity pattern in Malaita Province

Author

Zina Bird, Viliamu Iese, Helene Jacot Des Combes, Bradley Alungo, and Morgan Wairiu

Abstract

Access to and availability of various food sources is not an issue in rural communities. However, there is no guarantee that households are not affected by nutritional inadequacy, which is still a problem in most underdeveloped nations. A mixed-methods study was conducted to determine the HDDS through snowballing method for the last 12 months' food-source-group and the 48-hour diet recall. Ninety-eight households in 2 rural communities in Malaita participated in the interview between April and May 2019 and analyzed through SPSS and QDA MINER. The aim is to analyze the household dietary patterns of two communities between Zion 1 and Zion 2. The study also hypothesizes that the dietary pattern of households has not changed. A total of 9 food groups; grain, white roots and tubers, plantains, oils/fats (95.90%), condiments (83.70%), and meat/poultry/sea foods (77.60%) were consumed. Majority of the food consumed are from the gardens followed by other food sources which makes up the average HDDS of 5. A correlation analysis found a statistically significant relationship between HDDS and total meal (0.504*) with no relationships between demographic. When comparing 48-hour food sources and food groups to the last year, there was little to no difference in accessibility and availability. This implies that the majority of households are likely to achieve their nutritional needs within the parameters of their dietary trend. Despite the fact that households have adequate food access, there is a significant need to improve their nutritional needs, even if they consume the average required food groups.

Published
2022
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7. Effectiveness of dolutegravir-based regimens as either first-line or switch antiretroviral therapy: data from the Icona cohort

Author

Mondi, Annalisa, Cozzi-Lepri, Alessandro, Tavelli, Alessandro, Rusconi, Stefano, Vichi, Francesca, Ceccherini-Silberstein, Francesca, Calcagno, Andrea, De Luca, Andrea, Maggiolo, Franco, Marchetti, Giulia, Antinori, Andrea, d'Arminio Monforte, Antonella, Andreoni, M., Castagna, A., Castelli, F., Cauda, R., Di Perri, G., Galli, M., Iardino, R., Ippolito, G., Azzarin, A., Rezza, G., von Schloesser, F., Viale, P., Ceccherini-Silberstein, F., Cozzi-Lepri, A., Girardi, E., Lo Caputo, S., Mussini, C., Puoti, M., Perno, C. F., Balotta, C., Bandera, A., Bonora, S., Borderi, M., Capetti, A., Capobianchi, M. R., Cicalini, S., Cingolani, A., Cinque, P., Di Biagio, A., Gianotti, N., Gori, A., Guaraldi, G., Lapadula, G., Lichtner, M., Madeddu, G., Maggiolo, F., Monno, L., Nozza, S., Quiros Roldan, E., Rossotti, R., Rusconi, S., Santoro, M. M., Aracino, A., Sarmati, L., Fanti, I., Galli, L., Lorenzini, P., Rodano’, A., Macchia, M., Tavelli, A., Carletti, F., Carrara, S., Di Caro, A., Graziano, S., Petrone, F., Prota, G., Quartu, S., Truffa, S., Giacometti, Italy A, Costantini, A., Barocci, V., Angarano, G., Fabrizio, C., Suardi, C., I, V., Verucchi, G., Castelnuovo, F., Minardi, C., Menzaghi, B., Abeli, C., Cacopardo, B., Celesia, B., Vecchiet, J., Falasca, K., Pan, A., Lorenzotti, S., Sighinolfi, L., Segala, D., Blanc, P., Cassola, G., Viscoli, C., Lessandrini, A., Bobbio, N., Mazzarello, G., Pozzetto, I., Bonfanti, P., Molteni, C., Chiodera, A., Milini, P., Nunnari, G., Pellicanò, G., Rizzardini, G., Bai, F., Moioli, M. C., Piolini, R., Ridolfo, A. L., Salpietro, S., Tincati, C., Puzzolante, C., Migliorino, C., Sangiovanni, V., Borgia, G., Esposito, V., Di Martino, F., Gentile, I., Maddaloni, L., Cattelan, A. M., Marinello, S., Cascio, A., Colomba, C., Baldelli, F., Schiaroli, E., Parruti, G., Sozio, F., Magnani, G., Ursitti, M. A., Cristaudo, A., Vullo, V., Acinapura, R., Baldin, G., Capozzi, M., Rivano Capparucia, M., Iaiani, G., Atini, A., Mastrorosa, I., Plazzi, M. M., Savinelli, S., Vergori, A., Cecchetto, M., Viviani, F., Bagella, P., Rossetti, B., Fontana Del Vecchio, R., Francisci, D., Di Giuli, C., Caramello, P., Orofino, G. C., Sciandra, M., Bassetti, M., Ondero, A., Pellizzer, G., Manfrin, V., Starnini, G., Alungo, A., Mondi, A, Cozzi-Lepri, A, Tavelli, A, Rusconi, S, Vichi, F, Ceccherini-Silberstein, F, Calcagno, A, De Luca, A, Maggiolo, F, Marchetti, G, Antinori, A, d'Arminio Monforte, A, Puoti, M, Annalisa Mondi, Alessandro Cozzi‐Lepri, Alessandro Tavelli, Stefano Rusconi, Francesca Vichi, Francesca Ceccherini‐Silberstein, Andrea Calcagno, Andrea De Luca, Franco Maggiolo, Giulia Marchetti, Andrea Antinori, Antonella d'Arminio Monforte, Icona Foundation Study Group, Pierluigi Viale, Gabriella Verucchi, Mondi, A., Cozzi-Lepri, A., Tavelli, A., Rusconi, S., Vichi, F., Ceccherini-Silberstein, F., Calcagno, A., De Luca, A., Maggiolo, F., Marchetti, G., Antinori, A., d'Arminio Monforte, A., Andreoni, M., Castagna, A., Castelli, F., Cauda, R., Di Perri, G., Galli, M., Iardino, R., Ippolito, G., Azzarin, A., Rezza, G., von Schloesser, F., Viale, P., Girardi, E., Lo Caputo, S., Mussini, C., Puoti, M., Perno, C. F., Balotta, C., Bandera, A., Bonora, S., Borderi, M., Capetti, A., Capobianchi, M. R., Cicalini, S., Cingolani, A., Cinque, P., Di Biagio, A., Gianotti, N., Gori, A., Guaraldi, G., Lapadula, G., Lichtner, M., Madeddu, G., Monno, L., Nozza, S., Quiros Roldan, E., Rossotti, R., Santoro, M. M., Aracino, A., Sarmati, L., Fanti, I., Galli, L., Lorenzini, P., Rodano', A., Macchia, M., Carletti, F., Carrara, S., Di Caro, A., Graziano, S., Petrone, F., Prota, G., Quartu, S., Truffa, S., Giacometti, I. A., Costantini, A., Barocci, V., Angarano, G., Fabrizio, C., Suardi, C., I, V., Verucchi, G., Castelnuovo, F., Minardi, C., Menzaghi, B., Abeli, C., Cacopardo, B., Celesia, B., Vecchiet, J., Falasca, K., Pan, A., Lorenzotti, S., Sighinolfi, L., Segala, D., Blanc, P., Cassola, G., Viscoli, C., Lessandrini, A., Bobbio, N., Mazzarello, G., Pozzetto, I., Bonfanti, P., Molteni, C., Chiodera, A., Milini, P., Nunnari, G., Pellicano, G., Rizzardini, G., Bai, F., Moioli, M. C., Piolini, R., Ridolfo, A. L., Salpietro, S., Tincati, C., Puzzolante, C., Migliorino, C., Sangiovanni, V., Borgia, G., Esposito, V., Di Martino, F., Gentile, I., Maddaloni, L., Cattelan, A. M., Marinello, S., Cascio, A., Colomba, C., Baldelli, F., Schiaroli, E., Parruti, G., Sozio, F., Magnani, G., Ursitti, M. A., Cristaudo, A., Vullo, V., Acinapura, R., Baldin, G., Capozzi, M., Rivano Capparucia, M., Iaiani, G., Atini, A., Mastrorosa, I., Plazzi, M. M., Savinelli, S., Vergori, A., Cecchetto, M., Viviani, F., Bagella, P., Rossetti, B., Fontana Del Vecchio, R., Francisci, D., Di Giuli, C., Caramello, P., Orofino, G. C., Sciandra, M., Bassetti, M., Ondero, A., Pellizzer, G., Manfrin, V., Starnini, G., Alungo, A., Mondi, Annalisa, Cozzi-Lepri, Alessandro, Tavelli, Alessandro, Rusconi, Stefano, Vichi, Francesca, Ceccherini-Silberstein, Francesca, Calcagno, Andrea, De Luca, Andrea, Maggiolo, Franco, Marchetti, Giulia, Antinori, Andrea, d'Arminio Monforte, Antonella, on behalf of Icona Foundation Study, Group, Castagna, Antonella, Mondi A., Cozzi-Lepri A., Tavelli A., Rusconi S., Vichi F., Ceccherini-Silberstein F., Calcagno A., De Luca A., Maggiolo F., Marchetti G., Antinori A., d'Arminio Monforte A., Andreoni M., Castagna A., Castelli F., Cauda R., Di Perri G., Galli M., Iardino R., Ippolito G., azzarin A., Rezza G., von Schloesser F., Viale P., Girardi E., Lo Caputo S., Mussini C., Puoti M., Perno C.F., Balotta C., Bandera A., Bonora S., Borderi M., Capetti A., Capobianchi M.R., Cicalini S., Cingolani A., Cinque P., Di Biagio A., Gianotti N., Gori A., Guaraldi G., Lapadula G., Lichtner M., Madeddu G., Monno L., Nozza S., Quiros Roldan E., Rossotti R., Santoro M.M., aracino A., Sarmati L., Fanti I., Galli L., Lorenzini P., Rodano' A., Macchia M., Carletti F., Carrara S., Di Caro A., Graziano S., Petrone F., Prota G., Quartu S., Truffa S., Giacometti I.A., Costantini A., Barocci V., Angarano G., Fabrizio C., Suardi C., i V., Verucchi G., Castelnuovo F., Minardi C., Menzaghi B., Abeli C., Cacopardo B., Celesia B., Vecchiet J., Falasca K., Pan A., Lorenzotti S., Sighinolfi L., Segala D., Blanc P., Cassola G., Viscoli C., lessandrini A., Bobbio N., Mazzarello G., Pozzetto I., Bonfanti P., Molteni C., Chiodera A., Milini P., Nunnari G., Pellicano G., Rizzardini G., Bai F., Moioli M.C., Piolini R., Ridolfo A.L., Salpietro S., Tincati C., Puzzolante C., Migliorino C., Sangiovanni V., Borgia G., Esposito V., Di Martino F., Gentile I., Maddaloni L., Cattelan A.M., Marinello S., Cascio A., Colomba C., Baldelli F., Schiaroli E., Parruti G., Sozio F., Magnani G., Ursitti M.A., Cristaudo A., Vullo V., Acinapura R., Baldin G., Capozzi M., Rivano Capparucia M., Iaiani G., atini A., Mastrorosa I., Plazzi M.M., Savinelli S., Vergori A., Cecchetto M., Viviani F., Bagella P., Rossetti B., Fontana Del Vecchio R., Francisci D., Di Giuli C., Caramello P., Orofino G.C., Sciandra M., Bassetti M., ondero A., Pellizzer G., Manfrin V., Starnini G., and alungo A.

Subjects
Male, adverse event, adverse events, antiretroviral therapy, cohort study, discontinuation, dolutegravir, toxicity, Adult, Anti-HIV Agents, Cohort Studies, Dideoxynucleosides, Female, HIV Infections, Heterocyclic Compounds, 3-Ring, Humans, Italy, Middle Aged, Prospective Studies, Retrospective Studies, Tenofovir, Treatment Outcome, Piperazines, 0302 clinical medicine, Heterocyclic Compounds, Abacavir, Retrospective Studie, Medicine, HIV Infection, 030212 general & internal medicine, Prospective cohort study, Research Articles, Hazard ratio, Dideoxynucleoside, Infectious Diseases, Tolerability, Cohort, Public Health, 0305 other medical science, Research Article, medicine.drug, Human, medicine.medical_specialty, Pyridones, Settore MED/17 - MALATTIE INFETTIVE, 3-Ring, Lower risk, NO, 03 medical and health sciences, Internal medicine, Oxazines, 030505 public health, business.industry, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, Anti-HIV Agent, Retrospective cohort study, Discontinuation, Prospective Studie, Cohort Studie, business
Abstract

Introduction: Concerns about dolutegravir (DTG) tolerability in the real-life setting have recently arisen. We aimed to estimate the risk of treatment discontinuation and virological failure of DTG-based regimens from a large cohort of HIV-infected individuals. Methods: We performed a multicentre, observational study including all antiretroviral therapy (ART)-naïve and virologically suppressed treatment-experienced (TE) patients from the Icona (Italian Cohort Naïve Antiretrovirals) cohort who started, for the first time, a DTG-based regimen from January 2015 to December 2017. We estimated the cumulative risk of DTG discontinuation regardless of the reason and for toxicity, and of virological failure using Kaplan–Meier curves. We used Cox regression model to investigate predictors of DTG discontinuation. Results: About 1679 individuals (932 ART-naïve, 747 TE) were included. The one- and two-year probabilities (95% CI) of DTG discontinuation were 6.7% (4.9 to 8.4) and 11.5% (8.7 to 14.3) for ART-naïve and 6.6% (4.6 to 8.6) and 7.6% (5.4 to 9.8) for TE subjects. In both ART-naïve and TE patients, discontinuations of DTG were mainly driven by toxicity with an estimated risk (95% CI) of 4.0% (2.6 to 5.4) and 2.5% (1.3 to 3.6) by one year and 5.6% (3.8 to 7.5) and 4.0% (2.4 to 5.6) by two years respectively. Neuropsychiatric events were the main reason for stopping DTG in both ART-naïve (2.1%) and TE (1.7%) patients. In ART-naïve, a concomitant AIDS diagnosis predicted the risk of discontinuing DTG for any reason (adjusted relative hazard (aRH)=3.38, p=0.001), whereas starting DTG in combination with abacavir (ABC) was associated with a higher risk of discontinuing because of toxicity (aRH=3.30, p=0.009). TE patients starting a DTG-based dual therapy compared to a triple therapy had a lower risk of discontinuation for any reason (adjusted hazard ratio (aHR)=2.50, p=0.037 for ABC-based triple-therapies, aHR=3.56, p=0.012 for tenofovir-based) and for toxicity (aHR=5.26, p=0.030 for ABC-based, aHR=6.60, p=0.024 for tenofovir-based). The one- and two-year probabilities (95% CI) of virological failure were 1.2% (0.3 to 2.0) and 4.6% (2.7 to 6.5) in the ART naïve group and 2.2% (1.0 to 3.3) and 2.9% (1.5 to 4.3) in the TE group. Conclusions: In this large cohort, DTG showed excellent efficacy and optimal tolerability both as first-line and switching ART. The low risk of treatment-limiting toxicities in ART-naïve as well as in treated individuals reassures on the use of DTG in everyday clinical practice.

Published
2019

9. Evolution of major non-HIV-related comorbidities in HIV-infected patients in the Italian Cohort of Individuals, Naïve for Antiretrovirals (ICONA) Foundation Study cohort in the period 2004-2014

Author

d'Arminio Monforte A., Diaz-Cuervo H., De Luca A., Maggiolo F., Cingolani A., Bonora S., Castagna A., Girardi E., Antinori A., Lo Caputo S., Guaraldi G., Cozzi-Lepri A., Castelli F., Cauda R., Di Perri G., Galli M., Iardino R., Ippolito G., Lazzarin A., Marchetti G. C., Perno C. F., Rezza G., von Schloesser F., Viale P., Ceccherini-Silberstein F., Mussini C., Puoti M., Andreoni M., Ammassari A., Balotta C., Bandera A., Bonfanti P., Borderi M., Calcagno A., Calza L., Capobianchi M. R., Cinque P., Di Biagio A., Gianotti N., Gori A., Lapadula G., Lichtner M., Madeddu G., Marcotullio S., Monno L., Nozza S., Roldan E., Rossotti R., Rusconi S., Santoro M. M., Saracino A., Zaccarelli M., Fanti I., Galli L., Lorenzini P., Rodano' A., Shanyinde M., Tavelli A., Carletti F., Carrara S., Di Caro A., Graziano S., Petrone F., Prota G., Quartu S., Truffa S., Giacometti A., Costantini A., Barocci V., Angarano G., Santoro C., Suardi C., Donati V., Verucchi G., Castelnuovo F., Minardi C., Menzaghi B., Abeli C., Cacopardo B., Celesia B., Vecchiet J., Falasca K., Sighinolfi L., Segala D., Blanc P., Vichi F., Cassola G., Viscoli C., Alessandrini A., Bobbio N., Mazzarello G., Mastroianni C., Pozzetto I., Molteni C., Chiodera A., Milini P., Nunnari G., Pellicano G., azzarin A., Rizzardini G., Marchetti G., Moioli M. C., Piolini R., Ridolfo A. L., Salpietro S., Tincati C., Puzzolante C., Chirianni A., Borgia G., Esposito V., Di Martino F., Gentile I., Maddaloni L., Cattelan A. M., Marinello S., Cascio A., Colomba C., Baldelli F., Schiaroli E., Parruti G., Sozio F., Magnani G., Ursitti M. A., Cristaudo A., Vullo V., Acinapura R., Baldin G., Capozzi M., Cicalini S., Capparucia M., Iaiani G., atini A., Mastrorosa I., Plazzi M. M., Savinelli S., Vergori A., Cecchetto M., Viviani F., Bagella P., Rossetti B., Franco A., Vecchio R., Francisci D., Di Giuli C., Caramello P., Orofino G. C., Sciandra M., Bassetti M., ondero A., Pellizzer G., Manfrin V., Starnini G., alungo A., d'Arminio Monforte, A, Diaz-Cuervo, H, De Luca, A, Maggiolo, F, Cingolani, A, Bonora, S, Castagna, A, Girardi, E, Antinori, A, Lo Caputo, S, Guaraldi, G, Cozzi-Lepri, A, Castelli, F, Cauda, R, Di Perri, G, Galli, M, Iardino, R, Ippolito, G, Lazzarin, A, Marchetti, G, Perno, C, Rezza, G, von Schloesser, F, Viale, P, Ceccherini-Silberstein, F, Mussini, C, Puoti, M, Andreoni, M, Ammassari, A, Balotta, C, Bandera, A, Bonfanti, P, Borderi, M, Calcagno, A, Calza, L, Capobianchi, M, Cinque, P, Di Biagio, A, Gianotti, N, Gori, A, Lapadula, G, Lichtner, M, Madeddu, G, Marcotullio, S, Monno, L, Nozza, S, Roldan, E, Rossotti, R, Rusconi, S, Santoro, M, Saracino, A, Zaccarelli, M, Fanti, I, Galli, L, Lorenzini, P, Rodano', A, Shanyinde, M, Tavelli, A, Carletti, F, Carrara, S, Di Caro, A, Graziano, S, Petrone, F, Prota, G, Quartu, S, Truffa, S, Giacometti, A, Costantini, A, Barocci, V, Angarano, G, Santoro, C, Suardi, C, Donati, V, Verucchi, G, Castelnuovo, F, Minardi, C, Menzaghi, B, Abeli, C, Cacopardo, B, Celesia, B, Vecchiet, J, Falasca, K, Sighinolfi, L, Segala, D, Blanc, P, Vichi, F, Cassola, G, Viscoli, C, Alessandrini, A, Bobbio, N, Mazzarello, G, Mastroianni, C, Pozzetto, I, Molteni, C, Chiodera, A, Milini, P, Nunnari, G, Pellicano, G, Azzarin, A, Rizzardini, G, Moioli, M, Piolini, R, Ridolfo, A, Salpietro, S, Tincati, C, Puzzolante, C, Chirianni, A, Borgia, G, Esposito, V, Di Martino, F, Gentile, I, Maddaloni, L, Cattelan, A, Marinello, S, Cascio, A, Colomba, C, Baldelli, F, Schiaroli, E, Parruti, G, Sozio, F, Magnani, G, Ursitti, M, Cristaudo, A, Vullo, V, Acinapura, R, Baldin, G, Capozzi, M, Cicalini, S, Capparucia, M, Iaiani, G, Atini, A, Mastrorosa, I, Plazzi, M, Savinelli, S, Vergori, A, Cecchetto, M, Viviani, F, Bagella, P, Rossetti, B, Franco, A, Vecchio, R, Francisci, D, Di Giuli, C, Caramello, P, Orofino, G, Sciandra, M, Bassetti, M, Ondero, A, Pellizzer, G, Manfrin, V, Starnini, G, Alungo, A, d'Arminio Monforte A., Diaz-Cuervo H., De Luca A., Maggiolo F., Cingolani A., Bonora S., Castagna A., Girardi E., Antinori A., Lo Caputo S., Guaraldi G., Cozzi-Lepri A., Castelli F., Cauda R., Di Perri G., Galli M., Iardino R., Ippolito G., Lazzarin A., Marchetti G.C., Perno C.F., Rezza G., von Schloesser F., Viale P., Ceccherini-Silberstein F., Mussini C., Puoti M., Andreoni M., Ammassari A., Balotta C., Bandera A., Bonfanti P., Borderi M., Calcagno A., Calza L., Capobianchi M.R., Cinque P., Di Biagio A., Gianotti N., Gori A., Lapadula G., Lichtner M., Madeddu G., Marcotullio S., Monno L., Nozza S., Roldan E., Rossotti R., Rusconi S., Santoro M.M., Saracino A., Zaccarelli M., Fanti I., Galli L., Lorenzini P., Rodano' A., Shanyinde M., Tavelli A., Carletti F., Carrara S., Di Caro A., Graziano S., Petrone F., Prota G., Quartu S., Truffa S., Giacometti A., Costantini A., Barocci V., Angarano G., Santoro C., Suardi C., Donati V., Verucchi G., Castelnuovo F., Minardi C., Menzaghi B., Abeli C., Cacopardo B., Celesia B., Vecchiet J., Falasca K., Sighinolfi L., Segala D., Blanc P., Vichi F., Cassola G., Viscoli C., Alessandrini A., Bobbio N., Mazzarello G., Mastroianni C., Pozzetto I., Molteni C., Chiodera A., Milini P., Nunnari G., Pellicano G., azzarin A., Rizzardini G., Marchetti G., Moioli M.C., Piolini R., Ridolfo A.L., Salpietro S., Tincati C., Puzzolante C., Chirianni A., Borgia G., Esposito V., Di Martino F., Gentile I., Maddaloni L., Cattelan A.M., Marinello S., Cascio A., Colomba C., Baldelli F., Schiaroli E., Parruti G., Sozio F., Magnani G., Ursitti M.A., Cristaudo A., Vullo V., Acinapura R., Baldin G., Capozzi M., Cicalini S., Capparucia M., Iaiani G., atini A., Mastrorosa I., Plazzi M.M., Savinelli S., Vergori A., Cecchetto M., Viviani F., Bagella P., Rossetti B., Franco A., Vecchio R., Francisci D., Di Giuli C., Caramello P., Orofino G.C., Sciandra M., Bassetti M., ondero A., Pellizzer G., Manfrin V., Starnini G., alungo A., d'Arminio Monforte, A., Diaz-Cuervo, H., De Luca, A., Maggiolo, F., Cingolani, A., Bonora, S., Castagna, A., Girardi, E., Antinori, A., Lo Caputo, S., Guaraldi, G., Cozzi-Lepri, A., Castelli, F., Cauda, R., Di Perri, G., Galli, M., Iardino, R., Ippolito, G., Lazzarin, A., Marchetti, G. C., Perno, C. F., Rezza, G., von Schloesser, F., Viale, P., Ceccherini-Silberstein, F., Mussini, C., Puoti, M., Andreoni, M., Ammassari, A., Balotta, C., Bandera, A., Bonfanti, P., Borderi, M., Calcagno, A., Calza, L., Capobianchi, M. R., Cinque, P., Di Biagio, A., Gianotti, N., Gori, A., Lapadula, G., Lichtner, M., Madeddu, G., Marcotullio, S., Monno, L., Nozza, S., Roldan, E., Rossotti, R., Rusconi, S., Santoro, M. M., Saracino, A., Zaccarelli, M., Fanti, I., Galli, L., Lorenzini, P., Rodano', A., Shanyinde, M., Tavelli, A., Carletti, F., Carrara, S., Di Caro, A., Graziano, S., Petrone, F., Prota, G., Quartu, S., Truffa, S., Giacometti, A., Costantini, A., Barocci, V., Angarano, G., Santoro, C., Suardi, C., Donati, V., Verucchi, G., Castelnuovo, F., Minardi, C., Menzaghi, B., Abeli, C., Cacopardo, B., Celesia, B., Vecchiet, J., Falasca, K., Sighinolfi, L., Segala, D., Blanc, P., Vichi, F., Cassola, G., Viscoli, C., Alessandrini, A., Bobbio, N., Mazzarello, G., Mastroianni, C., Pozzetto, I., Molteni, C., Chiodera, A., Milini, P., Nunnari, G., Pellicano, G., Azzarin, A., Rizzardini, G., Marchetti, G., Moioli, M. C., Piolini, R., Ridolfo, A. L., Salpietro, S., Tincati, C., Puzzolante, C., Chirianni, A., Borgia, G., Esposito, V., Di Martino, F., Gentile, I., Maddaloni, L., Cattelan, A. M., Marinello, S., Cascio, A., Colomba, C., Baldelli, F., Schiaroli, E., Parruti, G., Sozio, F., Magnani, G., Ursitti, M. A., Cristaudo, A., Vullo, V., Acinapura, R., Baldin, G., Capozzi, M., Cicalini, S., Capparucia, M., Iaiani, G., Atini, A., Mastrorosa, I., Plazzi, M. M., Savinelli, S., Vergori, A., Cecchetto, M., Viviani, F., Bagella, P., Rossetti, B., Franco, A., Vecchio, R., Francisci, D., Di Giuli, C., Caramello, P., Orofino, G. C., Sciandra, M., Bassetti, M., Ondero, A., Pellizzer, G., Manfrin, V., Starnini, G., Alungo, A., and on beahlf of he ICONA Foundation Study, Group

Subjects
0301 basic medicine, Adult, Male, medicine.medical_specialty, noncommunicable diseases (NCDs), persons living with HIV (PLWHIV), time trend, Health Policy, Infectious Diseases, Pharmacology (medical), Population, Renal function, Infectious Disease, HIV Infections, Disease, Comorbidity, Settore MED/17 - MALATTIE INFETTIVE, NO, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, Internal medicine, Prevalence, Medicine, Hiv infected patients, Humans, 030212 general & internal medicine, education, Dyslipidemias, education.field_of_study, Framingham Risk Score, business.industry, Incidence (epidemiology), noncommunicable diseases (NCDs), persons living with HIV (PLWHIV), time trend, Middle Aged, 030112 virology, Italy, Cardiovascular Diseases, Cohort, Hypertension, Female, business
Abstract

Objectives: The management of HIV disease is complicated by the incidence of a new spectrum of comorbid noncommunicable diseases (NCDs). It is important to document changes in the prevalence of NCDs over time. The aim of the study was to describe the impact of ageing on HIV markers and on the prevalence of NCDs in people living with HIV (PLWHIV) in the Italian Cohort of Individuals, Naïve for Antiretrovirals (ICONA) seen for care in 2004–2014. Methods: Analyses were conducted separately for a closed cohort (same people seen at both times) and an open cohort (all people under follow-up). We used the χ2 test for categorical factors and the Wilcoxon test for quantitative factors to compare profiles over time. Results: The closed cohort included 1517 participants and the open cohort 3668 under follow-up in 2004 and 6679 in 2014. The median age of the open cohort was 41 [interquartile range (IQR) 37–46] years in 2004 and 44 (IQR 36–52) years in 2014. Analysis of the closed cohort showed an increase in the prevalence of some NCDs [the prevalence of dyslipidaemia increased from 75% in 2004 to 91% in 2014, that of hypertension from 67 to 84%, and that of cardiovascular disease (CVD) from 18 to 32%] and a decrease in renal function (5% with eGFR < 60 mL/min per 1.73 m2 in 2004 versus 30% in 2014); the percentage of people in the high-risk group for the Framingham CHD score more than tripled (from 13 to 45%). Results in the open cohort were similar. Conclusions: The burden of NCDs in our PLWHIV population markedly worsened over a 10-year time-span, which is likely to be a result of the effects of both ageing and HIV infection as well as their interaction. Special attention must be given to the management and prevention of NCDs.

Published
2018

10. Climate Change Impacts on Livestock Production and Possible Adaptation and Mitigation Strategies in Developing Countries: A Review

Author

Rahul Ravneel Prasad, Mohseen Riaz Ud Dean, and Bradley Alungo

Abstract

Livestock production is an essential component of food security in developing countries across the globe. Apart from providing food, livestock production offers smallholder farmers a wide range of benefits, such as income, employment, and fuel. However, as human populations in developing countries increase, the demand for livestock production will also increase. At the same time, the world is experiencing rapid global warming, and climate change is expected to affect livestock production in multiple ways. This review paper aims to present insights on some livestock production areas, particularly beef and dairy, that are affected by climate change and will discuss possible adaptation and mitigation strategies for developing countries to adapt to and mitigate the impacts.

Published
2022
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11. Prevalence and Incidence of Cassava (Manihot esculenta) Brown Leaf Spot Disease Caused by Cercospora heningsii in Macuata Province, Vanua Levu, Fiji

Author

Rahul Ravneel Prasad, Mohseen Riaz Ud Dean, Bradley Alungo, and Vinal Vishal Chand

Subjects
Crop, Veterinary medicine, biology, Cercospora, Lower yield, Incidence (epidemiology), Manihot esculenta, food and beverages, Leaf spot, Disease, Subtropics, biology.organism_classification
Abstract

Cassava (Manihot esculenta Crantz) is a crop of many values in the tropical and subtropical regions of the globe. In Fiji, cassava is cultivated on vast acres of land but, the yield obtained is relatively lower because of many constraints, including the prevalence of diseases caused by the different pathogens. Among various pathogens responsible for a lower yield, the cassava brown leaf spot disease caused by Cercospora heningsii is responsible for causing enormous annual losses of cassava in tropical and subtropical regions. Because there is very little information regarding the association of the brown leaf spot disease and cassava in the country, the present study using survey as research instrument endeavors to determine the disease incidence and prevalence of brown leaf spot disease in the cassava fields of three villages (Mani Road, Boca, and Anuve) in the Bulileka area of the Macauta province in Vanua Levu, Fiji. The study found that brown leaf spot disease prevailed (100%) in all three villages. The percentage of disease incidence ranged from 36.4% to 42.9%. The maximum incidence (42.9%) of cassava brown leaf spot disease was found in Anuve village, followed by Mani Road village (38.2%), with the lowest disease incidence recorded for Boca village (36.4%).

Published
2021
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12. Effectiveness of dolutegravir-based regimens as either first-line or switch antiretroviral therapy: data from the Icona cohort

Author

Mondi, A., Cozzi-Lepri, A., Tavelli, A., Rusconi, S., Vichi, F., Ceccherini-Silberstein, F., Calcagno, A., De Luca, A., Maggiolo, F., Marchetti, G., Antinori, A., d'Arminio Monforte, A., Andreoni, M., Castagna, A., Castelli, F., Cauda, Roberto, Di Perri, G., Galli, M., Iardino, R., Ippolito, Giuseppe, Azzarin, A., Rezza, Giovanni, von Schloesser, F., Viale, P., Girardi, E., Lo Caputo, S., Mussini, C., Puoti, M., Perno, C. F., Balotta, C., Bandera, A., Bonora, S., Borderi, M., Capetti, A., Capobianchi, M. R., Cicalini, S., Cingolani, Antonella, Cinque, P., Di Biagio, Anna, Gianotti, N., Gori, A., Guaraldi, G., Lapadula, G., Lichtner, M., Madeddu, G., Monno, L., Nozza, S., Quiros Roldan, E., Rossotti, R., Santoro, M. M., Aracino, A., Sarmati, L., Fanti, I., Lorenzini, P., Rodano', A., Macchia, M., Carletti, F., Carrara, S., Di Caro, A., Graziano, S., Petrone, F., Prota, G., Quartu, S., Truffa, S., Giacometti, I. A., Costantini, A., Barocci, V., Angarano, G., Fabrizio, C., Suardi, C., I, V., Verucchi, G., Castelnuovo, F., Minardi, C., Menzaghi, B., Abeli, C., Cacopardo, Beatrice Marina, Celesia, B., Vecchiet, J., Falasca, K., Pan, A., Lorenzotti, S., Sighinolfi, L., Segala, D., Blanc, P., Cassola, G., Viscoli, C., Lessandrini, A., Bobbio, N., Mazzarello, G., Pozzetto, I., Bonfanti, P., Molteni, C., Chiodera, A., Milini, P., Nunnari, G., Pellicano, G., Rizzardini, G., Bai, F., Moioli, M. C., Piolini, R., Ridolfo, A. L., Salpietro, S., Tincati, C., Puzzolante, C., Migliorino, C., Sangiovanni, V., Borgia, G., Esposito, V., Di Martino, F., Gentile, I., Maddaloni, L., Cattelan, A. M., Marinello, S., Cascio, A., Colomba, C., Baldelli, F., Schiaroli, E., Parruti, G., Sozio, F., Magnani, G., Ursitti, M. A., Cristaudo, A., Vullo, V., Acinapura, R., Baldin, G., Capozzi, M., Rivano Capparucia, M., Iaiani, G., Atini, A., Mastrorosa, I., Plazzi, M. M., Savinelli, S., Vergori, A., Cecchetto, M., Viviani, F., Bagella, P., Rossetti, Barbara, Fontana Del Vecchio, R., Francisci, D., Di Giuli, C., Caramello, P., Orofino, G. C., Sciandra, M., Bassetti, M., Ondero, A., Pellizzer, G., Manfrin, V., Starnini, G., Alungo, A., Cauda R. (ORCID:0000-0002-1498-4229), Ippolito G., Rezza G., Cingolani A. (ORCID:0000-0002-3793-2755), Di Biagio A., Cacopardo B., Rossetti B., Mondi, A., Cozzi-Lepri, A., Tavelli, A., Rusconi, S., Vichi, F., Ceccherini-Silberstein, F., Calcagno, A., De Luca, A., Maggiolo, F., Marchetti, G., Antinori, A., d'Arminio Monforte, A., Andreoni, M., Castagna, A., Castelli, F., Cauda, Roberto, Di Perri, G., Galli, M., Iardino, R., Ippolito, Giuseppe, Azzarin, A., Rezza, Giovanni, von Schloesser, F., Viale, P., Girardi, E., Lo Caputo, S., Mussini, C., Puoti, M., Perno, C. F., Balotta, C., Bandera, A., Bonora, S., Borderi, M., Capetti, A., Capobianchi, M. R., Cicalini, S., Cingolani, Antonella, Cinque, P., Di Biagio, Anna, Gianotti, N., Gori, A., Guaraldi, G., Lapadula, G., Lichtner, M., Madeddu, G., Monno, L., Nozza, S., Quiros Roldan, E., Rossotti, R., Santoro, M. M., Aracino, A., Sarmati, L., Fanti, I., Lorenzini, P., Rodano', A., Macchia, M., Carletti, F., Carrara, S., Di Caro, A., Graziano, S., Petrone, F., Prota, G., Quartu, S., Truffa, S., Giacometti, I. A., Costantini, A., Barocci, V., Angarano, G., Fabrizio, C., Suardi, C., I, V., Verucchi, G., Castelnuovo, F., Minardi, C., Menzaghi, B., Abeli, C., Cacopardo, Beatrice Marina, Celesia, B., Vecchiet, J., Falasca, K., Pan, A., Lorenzotti, S., Sighinolfi, L., Segala, D., Blanc, P., Cassola, G., Viscoli, C., Lessandrini, A., Bobbio, N., Mazzarello, G., Pozzetto, I., Bonfanti, P., Molteni, C., Chiodera, A., Milini, P., Nunnari, G., Pellicano, G., Rizzardini, G., Bai, F., Moioli, M. C., Piolini, R., Ridolfo, A. L., Salpietro, S., Tincati, C., Puzzolante, C., Migliorino, C., Sangiovanni, V., Borgia, G., Esposito, V., Di Martino, F., Gentile, I., Maddaloni, L., Cattelan, A. M., Marinello, S., Cascio, A., Colomba, C., Baldelli, F., Schiaroli, E., Parruti, G., Sozio, F., Magnani, G., Ursitti, M. A., Cristaudo, A., Vullo, V., Acinapura, R., Baldin, G., Capozzi, M., Rivano Capparucia, M., Iaiani, G., Atini, A., Mastrorosa, I., Plazzi, M. M., Savinelli, S., Vergori, A., Cecchetto, M., Viviani, F., Bagella, P., Rossetti, Barbara, Fontana Del Vecchio, R., Francisci, D., Di Giuli, C., Caramello, P., Orofino, G. C., Sciandra, M., Bassetti, M., Ondero, A., Pellizzer, G., Manfrin, V., Starnini, G., Alungo, A., Cauda R. (ORCID:0000-0002-1498-4229), Ippolito G., Rezza G., Cingolani A. (ORCID:0000-0002-3793-2755), Di Biagio A., Cacopardo B., and Rossetti B.

Abstract

Introduction: Concerns about dolutegravir (DTG) tolerability in the real-life setting have recently arisen. We aimed to estimate the risk of treatment discontinuation and virological failure of DTG-based regimens from a large cohort of HIV-infected individuals. Methods: We performed a multicentre, observational study including all antiretroviral therapy (ART)-naïve and virologically suppressed treatment-experienced (TE) patients from the Icona (Italian Cohort Naïve Antiretrovirals) cohort who started, for the first time, a DTG-based regimen from January 2015 to December 2017. We estimated the cumulative risk of DTG discontinuation regardless of the reason and for toxicity, and of virological failure using Kaplan–Meier curves. We used Cox regression model to investigate predictors of DTG discontinuation. Results: About 1679 individuals (932 ART-naïve, 747 TE) were included. The one- and two-year probabilities (95% CI) of DTG discontinuation were 6.7% (4.9 to 8.4) and 11.5% (8.7 to 14.3) for ART-naïve and 6.6% (4.6 to 8.6) and 7.6% (5.4 to 9.8) for TE subjects. In both ART-naïve and TE patients, discontinuations of DTG were mainly driven by toxicity with an estimated risk (95% CI) of 4.0% (2.6 to 5.4) and 2.5% (1.3 to 3.6) by one year and 5.6% (3.8 to 7.5) and 4.0% (2.4 to 5.6) by two years respectively. Neuropsychiatric events were the main reason for stopping DTG in both ART-naïve (2.1%) and TE (1.7%) patients. In ART-naïve, a concomitant AIDS diagnosis predicted the risk of discontinuing DTG for any reason (adjusted relative hazard (aRH) = 3.38, p = 0.001), whereas starting DTG in combination with abacavir (ABC) was associated with a higher risk of discontinuing because of toxicity (aRH = 3.30, p = 0.009). TE patients starting a DTG-based dual therapy compared to a triple therapy had a lower risk of discontinuation for any reason (adjusted hazard ratio (aHR) = 2.50, p = 0.037 for ABC-based triple-th

Published
2019

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