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1. Wastewater surveillance of SARS-CoV-2 variants in October–November 2022 in Italy: detection of XBB.1, BA.2.75 and rapid spread of the BQ.1 lineage

Author

Palma, Achille, Calabria, Adelaide, Carnevali, Agnese, Nehludoff, Albano, Stenico, Alberta, Izzotti, Alberto, Barca, Alessandra, Tosco, Alessandra, Porta, Amalia, Lombardi, Annalisa, Voli, Antonia, Franzetti, Andrea, Ciccaglione, Angela, Costa, Angela, D’Argenzio, Angelo, Romano, Angelo, Pariani, Anna, Carducci, Annalaura, Grucci, Annalisa, Prast, Anna-Maria, Agodi, Antonella, Cersini, Antonella, Giorgi, Antonella, Bertasi, Barbara, Griglio, Bartolomeo, Ancona, Carla, Maida, Carmelo Massimo, Montanaro, Carmen, Filizzolo, Chiara, Ottaviano, Claudio, Cocuzza, Clementina, Pignata, Cristina, Nasci, Daniele, Cereda, Danilo, Oliva, Desdemona, Giorgi, Doriana Antonella, Malacaria, Edoardo, Grasselli, Elena, Nicosia, Elena, Carraro, Elisabetta, Ammoni, Emanuela, Grange, Eric, Federici, Ermanno, Filippetti, Fabio, Tramuto, Fabio, Guarneri, Flavia, Serio, Flavia, Damasco, Florida, Palumbo, Franca, Apollonio, Francesca, Cutrupi, Francesca, Gucciardi, Francesca, Pennino, Francesca, Russo, Francesca, Triggiano, Francesco, Rigoli, Franco, Pietrella, Gabriele, Trani, Gabriella, Rossolini, Gian Maria, Bulotta, Giorgia, Fusco, Giovanna, La Vecchia, Giovanna, Alborali, Giovanni, Giammanco, Giovanni, Santoro, Giovanni, Pitter, Gisella, Purpari, Giuseppa, Aprea, Giuseppe, Di Vittorio, Giuseppe, Folino, Giuseppe, Lauria, Giuseppe, Federigi, Ileana, Amoruso, Irene, Ferrante, Irene, Tomesani, Irene, De Lellis, Laura, Pellegrinelli, Laura, Demetz, Lea, Gentili, Lisa, Richiardi, Lisa, Zago, Lorella, Masieri, Lorena, Decastelli, Lucia, Bolognini, Luigi, Cossentino, Luigi, Bianchi, Manila, Verani, Marco, Zampini, Marco, Ferrante, Margherita, Cadonna, Maria, Montagna, Maria Teresa, Scicluna, Maria Teresa, Arizzi, Mariaconcetta, Mariuz, Marika, Palermo, Mario, Bellisomi, Marta, Paniccià, Marta, Barchitta, Martina, Ramazzotti, Matteo, Postinghel, Mattia, Viscardi, Maurizio, Ruffier, Mauro, Petricciuolo, Maya, La Bianca, Michele, Colitti, Michele, Monfrinotti, Monica, Fontani, Nadia, Formenti, Nicoletta, Mongelli, Onofrio, De Giglio, Osvalda, Angelini, Paola, Foladori, Paola, Torlontano, Paolo, Calà, Piergiuseppe, Cifarelli, Rosa Anna, Binda, Sandro, Briscolini, Sara, Castiglioni, Sara, Bonetta, Silvia, Magi, Silvia, Scattolini, Silvia, Schiarea, Silvia, De Grazia, Simona, Rosatto, Stefano, Baldovin, Tatjana, Primache, Valeria, Groppi, Vanessa, Acciari, Vicdalia Aniela, Mazzucco, Walter, La Rosa, G., Brandtner, D., Bonanno Ferraro, G., Veneri, C., Mancini, P., Iaconelli, M., Lucentini, L., Del Giudice, C., Orlandi, L., and Suffredini, E.

Published
2023
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4. The Use of Automatic Vehicle Location (AVL) Data for Improving Public Transport Service Regularity

Author

Argenzio, Benedetta, Amatucci, Nicola, Botte, Marilisa, D’Acierno, Luca, Di Costanzo, Luca, Pariota, Luigi, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Barolli, Leonard, editor, Woungang, Isaac, editor, and Enokido, Tomoya, editor

Published
2021
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6. Clinical value of radiomics and machine learning in breast ultrasound: a multicenter study for differential diagnosis of benign and malignant lesions

Author

Romeo, Valeria, Cuocolo, Renato, Apolito, Roberta, Stanzione, Arnaldo, Ventimiglia, Antonio, Vitale, Annalisa, Verde, Francesco, Accurso, Antonello, Amitrano, Michele, Insabato, Luigi, Gencarelli, Annarita, Buonocore, Roberta, Argenzio, Maria Rosaria, Cascone, Anna Maria, Imbriaco, Massimo, Maurea, Simone, and Brunetti, Arturo

Published
2021
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7. Cancer registries and data protection in the age of health digital interoperability in Europe: The perspective of the Italian Network of Cancer Registries (AIRTUM)

Author

Walter Mazzucco, Fabrizio Stracci, Gemma Gatta, Angelo D’Argenzio, Ettore Bidoli, Simona Carone, Susanna Vitarelli, Maurizio Castelli, Santo Fruscione, and Francesco Vitale

Subjects
cancer registries, cancer epidemiology, data protection, digitalization, interoperability, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Published
2022
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9. The two behavioural risk factor surveillances on the adult and elderly populations as information systems for leveraging data on health-related sustainable development goals in Italy

Author

Possenti, Valentina, Minardi, Valentina, Contoli, Benedetta, Gallo, Rosaria, Lana, Susanna, Bertozzi, Nicoletta, Campostrini, Stefano, Carrozzi, Giuliano, Cristofori, Marco, D’Argenzio, Angelo, De Luca, Amalia, Fateh-Moghadam, Pirous, Ramigni, Mauro, Trinito, Massimo Oddone, Vasselli, Stefania, and Masocco, Maria

Published
2021
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12. Selenoprotein N‐related myopathy: a retrospective natural history study to guide clinical trials

Author

Arpana Silwal, Anna Sarkozy, Mariacristina Scoto, Deborah Ridout, Anne Schmidt, Aidan Laverty, Matilde Henriques, Luigi D'Argenzio, Marion Main, Rachael Mein, Adnan Y Manzur, Francois Abel, Fouad Al‐Ghamdi, Casie A Genetti, Didem Ardicli, Goknur Haliloglu, Haluk Topaloglu, Alan H Beggs, and Francesco Muntoni

Subjects
Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Neurology. Diseases of the nervous system, RC346-429
Abstract

Abstract Objective To describe clinical features and disease progression of Selenoprotein N‐related myopathy in a large multicenter cohort of patients. Methods Cross‐sectional multicenter data analysis of 60 patients (53 families) with Selenoprotein N‐related myopathy and single‐center retrospective longitudinal analysis of 25 patients (21 families) over a median period of 5.3 years. Results The majority of patients (46/60, 77%) presented before age 2 years with hypotonia, poor head/neck control, and developmental delay. At last assessment (median age 14 years; range 2.5 to 36 years), 10/60 patients had minimal or no ambulation. Ventilatory support was initiated in 50/60 patients at a mean Forced Vital Capacity (FVC) of 38% and at a median age of 13 years. Forty‐five/60 patients developed scoliosis (at median age 12.1 years) and 18 had scoliosis surgery at a median age of 13.6 years. Five children needed nasogastric feeds and/or gastrostomy. Longitudinal data analysis on 25 patients showed progressive decline of Hammersmith functional motor scores (estimated annual change −0.55 point), time to walk 10 meter, time standing from sitting, and from lying. Sixteen patients had weights

Published
2020
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14. Surveillance of Human Cases of Salmonellosis, Campylobacteriosis, Listeriosis, and Hepatitis A in Campania (Southern Italy): Seven-Year Monitoring (2013–2019)

Author

Germana Colarusso, Maria Francesca Peruzy, Polina Mazzone, Rosa Luisa Ambrosio, Roberta Pellicanò, Angelo D’Argenzio, Aniello Anastasio, and Loredana Baldi

Subjects
foodborne diseases, surveillance system, salmonellosis, campylobacteriosis, listeriosis, hepatitis A, Medicine
Abstract

Foodborne infections cause illness and death every year worldwide. The aim of this study was to describe trends in 2013–2019 in the occurrence of human cases of salmonellosis, campylobacteriosis, listeriosis, and hepatitis A in the Campania region. Human case data were provided by the National Surveillance System of disease and were grouped by year, province, age group, and sex. Moreover, the number of people hospitalized was recorded. In the Campania region, the total number of confirmed human cases for the diseases investigated was 1924, with Hepatitis A and the Salmonellosis as the first most reported (1009 and 825 cases, respectively). The incidence rates of gastroenteritis under study were lower than those in Italy and European Union in the same period, with the exception of Hepatitis A whose incidence was higher than that recorded in Italy. Data on hospitalizations pointed out the onset of severe forms of infection also for listeriosis and campylobacteriosis, whose incidence was very low (27 and 63 cases, respectively). Unfortunately, no information on the foods implicated is available. Although probably underestimated, gastroenteritis due to foodborne agents still represents a burden in Campania, and continuous monitoring and implementation of the currently available regional surveillance system is required.

Published
2022
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18. Risk of SARS-CoV-2 Infection Breakthrough among the Non-Vaccinated and Vaccinated Population in Italy: A Real-World Evidence Study Based on Big Data

Author

Alessandro Perrella, Massimo Bisogno, Angelo D’Argenzio, Ugo Trama, Enrico Coscioni, and Valentina Orlando

Subjects
SARS-CoV-2 infection, COVID-19, vaccine doses, COVID-19 symptoms, Medicine
Abstract

SARS-CoV-2 infection after vaccination can occur because COVID-19 vaccines do not offer 100% protection. The study aim was to assess duration of vaccination coverage, disease symptoms and type of hospitalization among non-vaccinated and vaccinated subjects to evaluate the vaccination trend over time. A retrospective cohort study was carried out among people testing COVID-19 positive in Campania Region using information from the Health Information System of Campania Region (Sinfonia). Vaccination status was assessed considering: no vaccination, partial vaccination and effective vaccination. Univariate and multivariate logistic regression models were constructed to evaluate the association between ICU admissions caused by COVID-19 and gender, age groups and vaccine type. Vaccine coverage duration trends were investigated using segmented linear regression and breakpoint estimations. Vaccination coverage was assessed by analyzing COVID-19 positive subjects in the 9 months after an effective dose vaccination. A significant risk of hospitalization in the ICU was caused by vaccination status: subjects non-vaccinated (OR: 7.14) and partially vaccinated (OR: 3.68) were 3 and 7 times more at risk of hospitalization, respectively, than subjects effectively vaccinated. Regarding subjects with an effective vaccination, the vaccine’s ability to protect against infection in the months following vaccination decreased. The risk of contracting COVID-19 after vaccination was higher 5 months (β = 1441, p < 0.001) and 7 months (β = 3110, p < 0.001) after administration of an effective dose. COVID-19 vaccines were demonstrated to protect from symptomatic infection by significantly reducing hospitalization risk, and their full protection against SARS-CoV-2 was demonstrated to decrease after 5 months regardless of age, gender or vaccine type.

Published
2022
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19. FRÁGIL GENEALOGÍA. María José Argenzio

Author

María José Argenzio and Eduardo Carrera

Subjects
arte contemporáneo, maría josé argenzio, curaduría, arte y política, Fine Arts, Visual arts, N1-9211
Abstract

A través de sus trabajos, la artista María José Argenzio transmite sus reflexiones sobre las esferas política, social y económica en el Ecuador contemporáneo. Sus principales proyectos se han centrado en las tensiones que rodean a la identidad mestiza y a las clases sociales de herencia colonial. La exhibición Frágil Genealogía explora, justamente, las formas en que nuestras conexiones con el pasado se producen y se mantienen en constante tensión. El conjunto de obras se centra en las manifestaciones de blanqueamiento que dan forma a su materialidad y evocan el desgarramiento que provoca esa tradición.

Published
2018
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21. Epidemiological, Clinical and Microbiological Characteristics of Patients with Bloodstream Infections Due to Carbapenem-Resistant K. Pneumoniae in Southern Italy: A Multicentre Study

Author

Lorenzo Onorato, Bruno Sarnelli, Federica D’Agostino, Giuseppe Signoriello, Ugo Trama, Angelo D’Argenzio, Maria Vittoria Montemurro, and Nicola Coppola

Subjects
Klebsiella, Carbapenem-Resistant Enterobacteriaceae, Carbapenemase-Producing Enterobacteriaceae, metallo-beta-lactamase, bloodstream infections, Therapeutics. Pharmacology, RM1-950
Abstract

Background: In the present study, our aim was to evaluate the clinical and microbiological characteristics of a cohort of patients with bloodstream infections (BSI) due to Carbapenem-Resistant Enterobacteriaceae (CRE) and investigate the independent predictors of mortality. Methods: All episodes of carbapenem-resistant E. coli (CREc) or K. pneumoniae (CRKp) BSI that were subject to a mandatory notification from January to December 2020 in all acute care hospitals and long-term care facilities of the Campania region in southern Italy were enrolled. All carbapenem-resistant strains were assessed through molecular tests for the presence of five carbapenemase gene families, i.e., K. pneumoniae Carbapenemase (KPC), oxacillinase-48 (OXA-48), New Delhi Metallo-β-lactamase (NDM), Verona integron encoded metallo-β-lactamase (VIM) and Imipenemase (IMP). Results: During the study period, a total of 154 consecutive non-repeated CRE BSI, all due to CRKp, were reported. The most frequently identified genes were KPC in 108 cases (70.1%), followed by metallo-betalactamases (MBL) (16.2%), and OXA-48 (2.6%); in 17 isolates (11%) no carbapenemase was detected. The overall mortality at 90 days was 41.9%. Using a log-rank test, patients without risk factors for CRE infections showed a significantly lower cumulative mortality (p = 0.001). After multivariate logistic regression analysis, the presence of at least one risk factor was the only predictor of mortality (OR: 1.7, 95% CI 1.2–6.1, p = 0.015). Conclusions. The study reported a non-negligible prevalence of MBL-producing organisms among CRKp isolated from blood cultures in our region. This data highlights the importance of molecular characterization of all clinical isolates of carbapenem-resistant organisms.

Published
2022
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23. Neuroimagen en síndrome de desmielinización osmótica

Author

Byron Iván Toapanta-Guayta, Delia Stefania Fiallos-Vega, and Alice Anunziatta Negrete-Argenzio

Subjects
Neurology, Neurology (clinical)
Abstract

El síndrome de desmielinización osmótica incluye a la mielinólisis pontina y extrapontina, siendo la primera su forma de presentación clásica. Usualmente relacionado a correcciones rápidas de hiponatremia (sodio sérico menor de 135mEq/L), ha sido descrito en múltiples condiciones que pueden alterar la osmolaridad plasmática. La sintomatología es muy variada e incluye tetraparesia espástica, parálisis pseudobulbar, coma, convulsiones o el característico síndrome “locked in”, además de trastornos del comportamiento como falta de control en los impulsos, agresividad, síndromes depresivos, catatonia, mutismo y labilidad emocional. Años atrás fue una entidad de muy difícil diagnóstico, pero con la introducción de la resonancia magnética muchos casos oligosintomáticos o asintomáticos se han podido detectar, aunque no existe tratamiento conocido, puede ocurrir la recuperación espontánea.

Published
2022

25. Excess risk of subsequent malignant neoplasms in adolescent and young adult cancer survivors: Results from the first Italian population-based cohort

Author

Trama, A, Tittarelli, A, Barigelletti, G, Botta, L, Gatta, G, Tagliabue, G, Contiero, P, Guzzinati, S, Andreano, A, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Mazzucco, W, Mangone, L, Iacovacci, S, Vitale, M, Stracci, F, Piffer, S, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Ballotari, P, Boschetti, L, Pisani, S, Cavalieri D'Oro, L, Cuccaro, F, D'Argenzio, A, D'Orsi, G, Fanetti, A, Ardizzone, A, Candela, G, Savoia, F, Pascucci, C, Castelli, M, Storchi, C, Bernasconi, A, Trama, Annalisa, Tittarelli, Andrea, Barigelletti, Giulio, Botta, Laura, Gatta, Gemma, Tagliabue, Giovanna, Contiero, Paolo, Guzzinati, Stefano, Andreano, Anita, Manneschi, Gianfranco, Falcini, Fabio, Castaing, Marine, Filiberti, Rosa A, Gasparotti, Cinzia, Cirilli, Claudia, Mazzucco, Walter, Mangone, Lucia, Iacovacci, Silvia, Vitale, Maria F, Stracci, Fabrizio, Piffer, Silvano, Tumino, Rosario, Carone, Simona, Sampietro, Giuseppe, Melcarne, Anna, Ballotari, Paola, Boschetti, Lorenza, Pisani, Salvatore, Cavalieri D'Oro, Luca, Cuccaro, Francesco, D'Argenzio, Angelo, D'Orsi, Giancarlo, Fanetti, Anna C, Ardizzone, Antonino, Candela, Giuseppa, Savoia, Fabio, Pascucci, Cristiana, Castelli, Maurizio, Storchi, Cinzia, Bernasconi, Alice, Trama, A, Tittarelli, A, Barigelletti, G, Botta, L, Gatta, G, Tagliabue, G, Contiero, P, Guzzinati, S, Andreano, A, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Mazzucco, W, Mangone, L, Iacovacci, S, Vitale, M, Stracci, F, Piffer, S, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Ballotari, P, Boschetti, L, Pisani, S, Cavalieri D'Oro, L, Cuccaro, F, D'Argenzio, A, D'Orsi, G, Fanetti, A, Ardizzone, A, Candela, G, Savoia, F, Pascucci, C, Castelli, M, Storchi, C, Bernasconi, A, Trama, Annalisa, Tittarelli, Andrea, Barigelletti, Giulio, Botta, Laura, Gatta, Gemma, Tagliabue, Giovanna, Contiero, Paolo, Guzzinati, Stefano, Andreano, Anita, Manneschi, Gianfranco, Falcini, Fabio, Castaing, Marine, Filiberti, Rosa A, Gasparotti, Cinzia, Cirilli, Claudia, Mazzucco, Walter, Mangone, Lucia, Iacovacci, Silvia, Vitale, Maria F, Stracci, Fabrizio, Piffer, Silvano, Tumino, Rosario, Carone, Simona, Sampietro, Giuseppe, Melcarne, Anna, Ballotari, Paola, Boschetti, Lorenza, Pisani, Salvatore, Cavalieri D'Oro, Luca, Cuccaro, Francesco, D'Argenzio, Angelo, D'Orsi, Giancarlo, Fanetti, Anna C, Ardizzone, Antonino, Candela, Giuseppa, Savoia, Fabio, Pascucci, Cristiana, Castelli, Maurizio, Storchi, Cinzia, and Bernasconi, Alice

Abstract

Background: Evidence about late effects in adolescent and young adult (AYA) cancer survivors is scarce. This study assessed the risk of subsequent malignant neoplasms (SMNs) to identify the most common SMNs to be considered in follow-up care. Methods: Population-based cancer registries retrospectively identified first primary tumors (between 1976 and 2013) and SMNs in AYAs (15-39 years old at their cancer diagnosis). AYA cancer survivors were those alive at least 5 years after their first cancer diagnosis. The excess risk of SMNs was measured as standardized incidence ratios (SIRs) and absolute excess risk together with the cumulative incidence of SMNs. Results: The cohort included 67,692 AYA cancer survivors. The excess risk of developing any SMN (SIR, 1.6; 95% confidence interval, 1.5-1.7) was 60%. The excess risk of SMNs was significantly high for survivors of lymphomas; cancers of the breast, thyroid, female genital tract, digestive organs, gonads, and urinary tract; and melanomas. The cumulative incidence of all SMNs in AYA cancer survivors within 25 years of their first cancer diagnosis was approximately 10%. Subsequent tumors contributing to approximately 60% of all SMNs were breast cancer, colorectal cancer, corpus uteri cancer, and ovarian cancer in females and colorectal cancer, bladder cancer, prostate cancer, lung cancer, and lymphomas in males. Conclusions: These results highlight the need to personalize follow-up strategies for AYA cancer survivors.

Published
2022

26. The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

Author

La Rosa, G, Iaconelli, M, Veneri, C, Mancini, P, Bonanno Ferraro, G, Brandtner, D, Lucentini, L, Bonadonna, L, Rossi, M, Grigioni, M, Suffredini, E, Bucciarelli, G, Torlontano, P, Aprea, G, La Bianca, M, Cifarelli, R, Palma, A, La Vecchia, G, Lauria, G, Brienza, R, Montenegro, P, D'Argenzio, A, Cossentino, L, Olivares, R, Pizzolante, A, Fusco, G, Tosco, A, Porta, A, Pennino, F, Maria, T, Angelini, P, De Lellis, L, Nasci, D, Alborali, G, Formenti, N, Guarneri, F, Fontani, N, Nani, G, Palumbo, F, Borlone, G, Guercio, M, Gentili, L, Mariuz, M, Trani, G, Pariani, A, Ancona, C, Giorgi, D, Ferrante, I, Monfrinotti, M, Riosa, S, Capparuccini, V, Scicluna, M, Cersini, A, Arizzi, M, Cecchini, G, Ottaviano, C, Nicosia, E, Grasselli, E, Allaria, G, Izzotti, A, Rosatto, S, Ammoni, E, Cereda, D, Losio, M, Bertasi, B, Aliscioni, A, Oliva, D, Castiglioni, S, Schiarea, S, Zuccato, E, Antonelli, M, Azzellino, A, Malpei, F, Turolla, A, Binda, S, Laura, P, Primache, V, Cocuzza, C, Franzetti, A, Bertanza, G, Callegari, M, Bolognini, L, Filippetti, F, Paniccia', M, Ciuti, F, Briscolini, S, Magi, S, Colitti, M, Montanaro, C, Cerroni, M, Griglio, B, Berruti, R, Cravero, M, Costa, A, Bianchi, M, Decastelli, L, Romano, A, Zuccon, F, Carraro, E, Pignata, C, Bonetta, S, Di Vittorio, G, Mongelli, O, De Giglio, O, Apollonio, F, Triggiano, F, Montagna, M, Ungaro, N, Palermo, M, Maida, C, Mazzucco, W, De Grazia, S, Giammanco, G, Purpari, G, Ferrante, M, Agodi, A, Barchitta, M, Cala', P, Carducci, A, Verani, M, Federigi, I, Lauretani, G, Muzio, S, Ramazzotti, M, Antonelli, A, Ricci, E, Santoro, G, Federici, E, Petricciuolo, M, Barigelli, S, Ruffier, M, Borney, F, Grange, E, Damasco, F, Russo, F, Pitter, G, Groppi, V, Rigoli, F, Zampini, M, Baldovin, T, Amoruso, I, Mengon, E, Cadonna, M, Postinghel, M, Pizzo, F, Schiavuzzi, A, Cutrupi, F, Foladori, P, Manara, S, Zago, L, Stenico, A, Prast, A, La Rosa G., Iaconelli M., Veneri C., Mancini P., Bonanno Ferraro G., Brandtner D., Lucentini L., Bonadonna L., Rossi M., Grigioni M., Suffredini E., Bucciarelli G., Torlontano P., Aprea G., La Bianca M., Cifarelli R. A., Palma A., La Vecchia G., Lauria G., Brienza R., Montenegro P., D'Argenzio A., Cossentino L., Olivares R., Pizzolante A., Fusco G., Tosco A., Porta A., Pennino F., Maria T., Angelini P., De Lellis L., Nasci D., Alborali G., Formenti N., Guarneri F., Fontani N., Nani G., Palumbo F., Borlone G., Guercio M., Gentili L., Mariuz M., Trani G., Pariani A., Ancona C., Giorgi D. A., Ferrante I., Monfrinotti M., Riosa S., Capparuccini V., Scicluna M. T., Cersini A., Arizzi M., Cecchini G., Ottaviano C., Nicosia E., Grasselli E., Allaria G., Izzotti A., Rosatto S., Ammoni E., Cereda D., Losio M. N., Bertasi B., Aliscioni A., Oliva D., Castiglioni S., Schiarea S., Zuccato E., Antonelli M., Azzellino A., Malpei F., Turolla A., Binda S., Laura P., Primache V., Cocuzza C., Franzetti A., Bertanza G., Callegari M. L., Bolognini L., Filippetti F., Paniccia' M., Ciuti F., Briscolini S., Magi S., Colitti M., Montanaro C., Cerroni M. G., Griglio B., Berruti R., Cravero M., Costa A., Bianchi M., Decastelli L., Romano A., Zuccon F., Carraro E., Pignata C., Bonetta S., Di Vittorio G., Mongelli O., De Giglio O., Apollonio F., Triggiano F., Montagna M. T., Ungaro N., Palermo M., Maida C. M., Mazzucco W., De Grazia S., Giammanco G., Purpari G., Ferrante M., Agodi A., Barchitta M., Cala' P., Carducci A., Verani M., Federigi I., Lauretani G., Muzio S., Ramazzotti M., Antonelli A., Ricci E., Santoro G., Federici E., Petricciuolo M., Barigelli S., Ruffier M., Borney F., Grange E., Damasco F., Russo F., Pitter G., Groppi V., Rigoli F., Zampini M., Baldovin T., Amoruso I., Mengon E., Cadonna M., Postinghel M., Pizzo F., Schiavuzzi A., Cutrupi F., Foladori P., Manara S., Zago L., Stenico A., Prast A. -M., La Rosa, G, Iaconelli, M, Veneri, C, Mancini, P, Bonanno Ferraro, G, Brandtner, D, Lucentini, L, Bonadonna, L, Rossi, M, Grigioni, M, Suffredini, E, Bucciarelli, G, Torlontano, P, Aprea, G, La Bianca, M, Cifarelli, R, Palma, A, La Vecchia, G, Lauria, G, Brienza, R, Montenegro, P, D'Argenzio, A, Cossentino, L, Olivares, R, Pizzolante, A, Fusco, G, Tosco, A, Porta, A, Pennino, F, Maria, T, Angelini, P, De Lellis, L, Nasci, D, Alborali, G, Formenti, N, Guarneri, F, Fontani, N, Nani, G, Palumbo, F, Borlone, G, Guercio, M, Gentili, L, Mariuz, M, Trani, G, Pariani, A, Ancona, C, Giorgi, D, Ferrante, I, Monfrinotti, M, Riosa, S, Capparuccini, V, Scicluna, M, Cersini, A, Arizzi, M, Cecchini, G, Ottaviano, C, Nicosia, E, Grasselli, E, Allaria, G, Izzotti, A, Rosatto, S, Ammoni, E, Cereda, D, Losio, M, Bertasi, B, Aliscioni, A, Oliva, D, Castiglioni, S, Schiarea, S, Zuccato, E, Antonelli, M, Azzellino, A, Malpei, F, Turolla, A, Binda, S, Laura, P, Primache, V, Cocuzza, C, Franzetti, A, Bertanza, G, Callegari, M, Bolognini, L, Filippetti, F, Paniccia', M, Ciuti, F, Briscolini, S, Magi, S, Colitti, M, Montanaro, C, Cerroni, M, Griglio, B, Berruti, R, Cravero, M, Costa, A, Bianchi, M, Decastelli, L, Romano, A, Zuccon, F, Carraro, E, Pignata, C, Bonetta, S, Di Vittorio, G, Mongelli, O, De Giglio, O, Apollonio, F, Triggiano, F, Montagna, M, Ungaro, N, Palermo, M, Maida, C, Mazzucco, W, De Grazia, S, Giammanco, G, Purpari, G, Ferrante, M, Agodi, A, Barchitta, M, Cala', P, Carducci, A, Verani, M, Federigi, I, Lauretani, G, Muzio, S, Ramazzotti, M, Antonelli, A, Ricci, E, Santoro, G, Federici, E, Petricciuolo, M, Barigelli, S, Ruffier, M, Borney, F, Grange, E, Damasco, F, Russo, F, Pitter, G, Groppi, V, Rigoli, F, Zampini, M, Baldovin, T, Amoruso, I, Mengon, E, Cadonna, M, Postinghel, M, Pizzo, F, Schiavuzzi, A, Cutrupi, F, Foladori, P, Manara, S, Zago, L, Stenico, A, Prast, A, La Rosa G., Iaconelli M., Veneri C., Mancini P., Bonanno Ferraro G., Brandtner D., Lucentini L., Bonadonna L., Rossi M., Grigioni M., Suffredini E., Bucciarelli G., Torlontano P., Aprea G., La Bianca M., Cifarelli R. A., Palma A., La Vecchia G., Lauria G., Brienza R., Montenegro P., D'Argenzio A., Cossentino L., Olivares R., Pizzolante A., Fusco G., Tosco A., Porta A., Pennino F., Maria T., Angelini P., De Lellis L., Nasci D., Alborali G., Formenti N., Guarneri F., Fontani N., Nani G., Palumbo F., Borlone G., Guercio M., Gentili L., Mariuz M., Trani G., Pariani A., Ancona C., Giorgi D. A., Ferrante I., Monfrinotti M., Riosa S., Capparuccini V., Scicluna M. T., Cersini A., Arizzi M., Cecchini G., Ottaviano C., Nicosia E., Grasselli E., Allaria G., Izzotti A., Rosatto S., Ammoni E., Cereda D., Losio M. N., Bertasi B., Aliscioni A., Oliva D., Castiglioni S., Schiarea S., Zuccato E., Antonelli M., Azzellino A., Malpei F., Turolla A., Binda S., Laura P., Primache V., Cocuzza C., Franzetti A., Bertanza G., Callegari M. L., Bolognini L., Filippetti F., Paniccia' M., Ciuti F., Briscolini S., Magi S., Colitti M., Montanaro C., Cerroni M. G., Griglio B., Berruti R., Cravero M., Costa A., Bianchi M., Decastelli L., Romano A., Zuccon F., Carraro E., Pignata C., Bonetta S., Di Vittorio G., Mongelli O., De Giglio O., Apollonio F., Triggiano F., Montagna M. T., Ungaro N., Palermo M., Maida C. M., Mazzucco W., De Grazia S., Giammanco G., Purpari G., Ferrante M., Agodi A., Barchitta M., Cala' P., Carducci A., Verani M., Federigi I., Lauretani G., Muzio S., Ramazzotti M., Antonelli A., Ricci E., Santoro G., Federici E., Petricciuolo M., Barigelli S., Ruffier M., Borney F., Grange E., Damasco F., Russo F., Pitter G., Groppi V., Rigoli F., Zampini M., Baldovin T., Amoruso I., Mengon E., Cadonna M., Postinghel M., Pizzo F., Schiavuzzi A., Cutrupi F., Foladori P., Manara S., Zago L., Stenico A., and Prast A. -M.

Abstract

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5–11 December, to 17.5% (25/143 samples) in the week 12–18, to 65.9% (89/135 samples) in the week 19–25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased from one in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons. In conclusion, we designed an RT-qPCR assay capable to detect the Omicron variant, which can be successfully used for the purpose of wastewater-based epidemiology. We also described the history of the introduction and diffusion of the Omicron variant in the Italian population and territory, confirming the effectiveness of sewage monitoring as a powerful surveillance tool.

Published
2022

27. Flat clathrin lattices are dynamic actin-controlled hubs for clathrin-mediated endocytosis and signalling of specific receptors

Author

Daniela Leyton-Puig, Tadamoto Isogai, Elisabetta Argenzio, Bram van den Broek, Jeffrey Klarenbeek, Hans Janssen, Kees Jalink, and Metello Innocenti

Subjects
Science
Abstract

Clathrin lattices coat flat membrane regions, called plaques, whose regulation and function are poorly understood. Here the authors find that plaques are regulated by actin dynamics and contain both the endocytic and the cell adhesion machineries, and are involved in endocytosis of specific cargos, and cell migration.

Published
2017
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28. Wastewater surveillance of SARS-CoV-2 variants in October–November 2022 in Italy: detection of XBB.1, BA.2.75 and rapid spread of the BQ.1 lineage

Author

La Rosa, G., primary, Brandtner, D., additional, Bonanno Ferraro, G., additional, Veneri, C., additional, Mancini, P., additional, Iaconelli, M., additional, Lucentini, L., additional, Del Giudice, C., additional, Orlandi, L., additional, Suffredini, E., additional, Palma, Achille, additional, Calabria, Adelaide, additional, Carnevali, Agnese, additional, Nehludoff, Albano, additional, Stenico, Alberta, additional, Izzotti, Alberto, additional, Barca, Alessandra, additional, Tosco, Alessandra, additional, Porta, Amalia, additional, Lombardi, Annalisa, additional, Voli, Antonia, additional, Franzetti, Andrea, additional, Ciccaglione, Angela, additional, Costa, Angela, additional, D’Argenzio, Angelo, additional, Romano, Angelo, additional, Pariani, Anna, additional, Carducci, Annalaura, additional, Grucci, Annalisa, additional, Prast, Anna-Maria, additional, Agodi, Antonella, additional, Cersini, Antonella, additional, Giorgi, Antonella, additional, Bertasi, Barbara, additional, Griglio, Bartolomeo, additional, Ancona, Carla, additional, Maida, Carmelo Massimo, additional, Montanaro, Carmen, additional, Filizzolo, Chiara, additional, Ottaviano, Claudio, additional, Cocuzza, Clementina, additional, Pignata, Cristina, additional, Nasci, Daniele, additional, Cereda, Danilo, additional, Oliva, Desdemona, additional, Giorgi, Doriana Antonella, additional, Malacaria, Edoardo, additional, Grasselli, Elena, additional, Nicosia, Elena, additional, Carraro, Elisabetta, additional, Ammoni, Emanuela, additional, Grange, Eric, additional, Federici, Ermanno, additional, Filippetti, Fabio, additional, Tramuto, Fabio, additional, Guarneri, Flavia, additional, Serio, Flavia, additional, Damasco, Florida, additional, Palumbo, Franca, additional, Apollonio, Francesca, additional, Cutrupi, Francesca, additional, Gucciardi, Francesca, additional, Pennino, Francesca, additional, Russo, Francesca, additional, Triggiano, Francesco, additional, Rigoli, Franco, additional, Pietrella, Gabriele, additional, Trani, Gabriella, additional, Rossolini, Gian Maria, additional, Bulotta, Giorgia, additional, Fusco, Giovanna, additional, La Vecchia, Giovanna, additional, Alborali, Giovanni, additional, Giammanco, Giovanni, additional, Santoro, Giovanni, additional, Pitter, Gisella, additional, Purpari, Giuseppa, additional, Aprea, Giuseppe, additional, Di Vittorio, Giuseppe, additional, Folino, Giuseppe, additional, Lauria, Giuseppe, additional, Federigi, Ileana, additional, Amoruso, Irene, additional, Ferrante, Irene, additional, Tomesani, Irene, additional, De Lellis, Laura, additional, Pellegrinelli, Laura, additional, Demetz, Lea, additional, Gentili, Lisa, additional, Richiardi, Lisa, additional, Zago, Lorella, additional, Masieri, Lorena, additional, Decastelli, Lucia, additional, Bolognini, Luigi, additional, Cossentino, Luigi, additional, Bianchi, Manila, additional, Verani, Marco, additional, Zampini, Marco, additional, Ferrante, Margherita, additional, Cadonna, Maria, additional, Montagna, Maria Teresa, additional, Scicluna, Maria Teresa, additional, Arizzi, Mariaconcetta, additional, Mariuz, Marika, additional, Palermo, Mario, additional, Bellisomi, Marta, additional, Paniccià, Marta, additional, Barchitta, Martina, additional, Ramazzotti, Matteo, additional, Postinghel, Mattia, additional, Viscardi, Maurizio, additional, Ruffier, Mauro, additional, Petricciuolo, Maya, additional, La Bianca, Michele, additional, Colitti, Michele, additional, Monfrinotti, Monica, additional, Fontani, Nadia, additional, Formenti, Nicoletta, additional, Mongelli, Onofrio, additional, De Giglio, Osvalda, additional, Angelini, Paola, additional, Foladori, Paola, additional, Torlontano, Paolo, additional, Calà, Piergiuseppe, additional, Cifarelli, Rosa Anna, additional, Binda, Sandro, additional, Briscolini, Sara, additional, Castiglioni, Sara, additional, Bonetta, Silvia, additional, Magi, Silvia, additional, Scattolini, Silvia, additional, Schiarea, Silvia, additional, De Grazia, Simona, additional, Rosatto, Stefano, additional, Baldovin, Tatjana, additional, Primache, Valeria, additional, Groppi, Vanessa, additional, Acciari, Vicdalia Aniela, additional, and Mazzucco, Walter, additional

Published
2023
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31. Cancer registries and data protection in the age of health digital interoperability in Europe: The perspective of the Italian Network of Cancer Registries (AIRTUM)

Author

Mazzucco, Walter, Stracci, Fabrizio, Gatta, Gemma, D'Argenzio, Angelo, Bidoli, Ettore, Carone, Simona, Vitarelli, Susanna, Castelli, Maurizio, Fruscione, Santo, Vitale, Francesco, Mazzucco, Walter, Stracci, Fabrizio, Gatta, Gemma, D'Argenzio, Angelo, Bidoli, Ettore, Carone, Simona, Vitarelli, Susanna, Castelli, Maurizio, Fruscione, Santo, and Vitale, Francesco

Subjects
data protection, Cancer Research, Oncology, cancer registries, cancer epidemiology, cancer registries, data protection,digitalization, interoperability, interoperability, Settore MED/42 - Igiene Generale E Applicata, digitalization, cancer epidemiology
Abstract

Population-based cancer registries (PBCRs) are advanced public health systems providing ongoing surveillance through systematic collection, analysis, interpretation, and dissemination of high-quality data on cancer incident cases registered in a defined population residing in a specific geographical area (1, 2). Basically, PBCRs are well equipped for strengthening cancer surveillance, playing a strategic role in making geographic and temporal variation comparisons to highlight cancer epidemics, while assessing the effectiveness of preventive interventions and oncological care (3). Furthermore, many PBCRs provide cancer risk communication to local communities and authorities by using valuable tools to spread epidemiological data on cancer in intelligible ways to better address preventive intervention and changes in lifestyles (4). To these ends, PBCRs link records and merge data from different administrative, demographic and health sources, following international standards, recommendations, and guidelines (5– 7). Standards in cancer surveillance have been defined in Europe and several cancer research domains are continuously alimented by the cancer registries networks in support of public health and clinical research, with specific regard to aetiologic research, mass screening evaluation, quality of care, translational prognostics, and survivorship (3). More recently, progress has been documented regarding the PBCRs’ capability to estimate the effectiveness of immunisation programmes against vaccine preventable viral infections associated to cancer as well as of cancer screening programmes to decrease late-stage incidence and mortality (8–10). Much more fruits can be harvested from “RegisTrees” having strong roots (11), including the ones allowing the deterministic linkage between cancer registries and clinical registries to generate real-world evidence on treatments, particularly on elderly patients as well, a target population that is usually not included in clinical trials (12, 13). However, the latest revision of the European Union (EU) data protection framework and of the General Data Protection Regulation (GDPR), while suggesting a harmonization of health registries requirements for confidentiality and individual consent to data processing, made it raise concerns from researchers and epidemiologists experiencing some excessive restrictions that may hamper data linkages between cancer registries and other sources (14–16). As documented by a survey on how GDPR could have impacted the running of the daily activities of the cancer registries in different EU countries, conducted in 2018 by the European network of cancer registries (ENCR), some critical points related to the implementation and interpretation of the GDPR emerged from PBCRs (17, 18). Of interest, in 2017 the European Commission adopted a strategy to implement an interoperability framework, in order to improve “the ability of organizations to interact towards mutually beneficial goals, involving the sharing of information and knowledge by means of the exchange of data between the respective ICT systems” (19). As the digital interoperability was conceived to maximize the use of huge amounts of data, by contrast an unnecessarily strict interpretation of EU data protection regulation may lead to missed data linkages in cancer registration and other epidemiological activities (20). Therefore, the nature and the use of data from cancer registries in public health and research purposes, and their potentialities in the age of health digital interoperability, are herein discussed (16).

Published
2022

33. The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

Author

La Rosa, G., Iaconelli, M., Veneri, C., Mancini, P., Bonanno Ferraro, G., Brandtner, D., Lucentini, L., Bonadonna, L., Rossi, M., Grigioni, M., Suffredini, E., Giuseppe, Bucciarelli, Paolo, Torlontano, Giuseppe, Michele La Bianca, Rosa Anna Cifarelli, Achille, Palma, Giovanna La Vecchia, Giuseppe, Lauria, Rosanna, Brienza, Patrizia, Montenegro, Angelo, D'Argenzio, Luigi, Cossentino, Renato, Olivares, Antonio, Pizzolante, Giovanna, Fusco, Alessandra, Tosco, Amalia, Porta, Francesca, Pennino, Triassi, Maria, Paola, Angelini, Laura De Lellis, Daniele, Nasci, Giovanni, Alborali, Nicoletta, Formenti, Flavia, Guarneri, Nadia, Fontani, Giulia, Nani, Franca, Palumbo, Gianluca, Borlone, Marco, Guercio, Lisa, Gentili, Marika, Mariuz, Gabriella, Trani, Anna, Pariani, Carla, Ancona, Doriana Antonella Giorgi, Irene, Ferrante, Monica, Monfrinotti, Silvia, Riosa, Valeria, Capparuccini, Maria Teresa Scicluna, Antonella, Mariaconcetta, Arizzi, Giancarlo, Cecchini, Claudio, Ottaviano, Elena, Nicosia, Elena, Grasselli, Giorgia, Allaria, Alberto, Izzotti, Stefano, Rosatto, Emanuela, Ammoni, Danilo, Cereda, Marina Nadia Losio, Barbara, Bertasi, Andrea, Aliscioni, Desdemona, Oliva, Sara, Castiglioni, Silvia, Schiarea, Ettore, Zuccato, Manuela, Antonelli, Arianna, Azzellino, Francesca, Malpei, Andrea, Turolla, Sandro, Binda, Pellegrinelli, Laura, Valeria, Primache, Clementina, Cocuzza, Andrea, Franzetti, Giorgio, Bertanza, Maria Luisa Callegari, Luigi, Bolognini, Fabio, Filippetti, Marta, Paniccia, Francesca, Ciuti, Sara, Briscolini, Silvia, Magi, Michele, Colitti, Carmen, Montanaro, Giuseppe, Aprea, Maria Grazia Cerroni, Bartolomeo, Griglio, Renza, Berruti, Mauro, Cravero, Angela, Costa, Manila, Bianchi, Lucia, Decastelli, Angelo, Romano, Fabio, Zuccon, Elisabetta, Carraro, Cristina, Pignata, Silvia, Bonetta, Giuseppe Di Vittorio, Onofrio, Mongelli, Osvalda De Giglio, Francesca, Apollonio, Francesco, Triggiano, Maria Teresa Montagna, Nicola, Ungaro, Mario, Palermo, Carmelo Massimo Maida, Walter, Mazzucco, Simona De Grazia, Giovanni, Giammanco, Giuseppa, Purpari, Margherita, Ferrante, Antonella, Agodi, Martina, Barchitta, Piergiuseppe, Cala’, Carducci, Annalaura, Verani, Marco, Federigi, Ileana, Giulia, Lauretani, Sara, Muzio, Matteo, Ramazzotti, Alberto, Antonelli, Enrica, Ricci, Giovanni, Santoro, Ermanno, Federici, Maya, Petricciuolo, Sofia, Barigelli, Mauro, Ruffier, Francesca, Borney, Eric, Grange, Florida, Damasco, Francesca, Russo, Gisella, Pitter, Vanessa, Groppi, Franco, Rigoli, Marco, Zampini, Tatjana, Baldovin, Irene, Amoruso, Elena, Mengon, Maria, Cadonna, Mattia, Postinghel, Francesco, Pizzo, Alessandra, Schiavuzzi, Francesca, Cutrupi, Paola, Foladori, Serena, Manara, Lorella, Zago, Alberta, Stenico, Anna-Maria, Prast., La Rosa, G, Iaconelli, M, Veneri, C, Mancini, P, Bonanno Ferraro, G, Brandtner, D, Lucentini, L, Bonadonna, L, Rossi, M, Grigioni, M, Suffredini, E, Bucciarelli, G, Torlontano, P, Aprea, G, La Bianca, M, Cifarelli, R, Palma, A, La Vecchia, G, Lauria, G, Brienza, R, Montenegro, P, D'Argenzio, A, Cossentino, L, Olivares, R, Pizzolante, A, Fusco, G, Tosco, A, Porta, A, Pennino, F, Maria, T, Angelini, P, De Lellis, L, Nasci, D, Alborali, G, Formenti, N, Guarneri, F, Fontani, N, Nani, G, Palumbo, F, Borlone, G, Guercio, M, Gentili, L, Mariuz, M, Trani, G, Pariani, A, Ancona, C, Giorgi, D, Ferrante, I, Monfrinotti, M, Riosa, S, Capparuccini, V, Scicluna, M, Cersini, A, Arizzi, M, Cecchini, G, Ottaviano, C, Nicosia, E, Grasselli, E, Allaria, G, Izzotti, A, Rosatto, S, Ammoni, E, Cereda, D, Losio, M, Bertasi, B, Aliscioni, A, Oliva, D, Castiglioni, S, Schiarea, S, Zuccato, E, Antonelli, M, Azzellino, A, Malpei, F, Turolla, A, Binda, S, Laura, P, Primache, V, Cocuzza, C, Franzetti, A, Bertanza, G, Callegari, M, Bolognini, L, Filippetti, F, Paniccia', M, Ciuti, F, Briscolini, S, Magi, S, Colitti, M, Montanaro, C, Cerroni, M, Griglio, B, Berruti, R, Cravero, M, Costa, A, Bianchi, M, Decastelli, L, Romano, A, Zuccon, F, Carraro, E, Pignata, C, Bonetta, S, Di Vittorio, G, Mongelli, O, De Giglio, O, Apollonio, F, Triggiano, F, Montagna, M, Ungaro, N, Palermo, M, Maida, C, Mazzucco, W, De Grazia, S, Giammanco, G, Purpari, G, Ferrante, M, Agodi, A, Barchitta, M, Cala', P, Carducci, A, Verani, M, Federigi, I, Lauretani, G, Muzio, S, Ramazzotti, M, Antonelli, A, Ricci, E, Santoro, G, Federici, E, Petricciuolo, M, Barigelli, S, Ruffier, M, Borney, F, Grange, E, Damasco, F, Russo, F, Pitter, G, Groppi, V, Rigoli, F, Zampini, M, Baldovin, T, Amoruso, I, Mengon, E, Cadonna, M, Postinghel, M, Pizzo, F, Schiavuzzi, A, Cutrupi, F, Foladori, P, Manara, S, Zago, L, Stenico, A, Prast, A, La Rosa G., Iaconelli M., Veneri C., Mancini P., Bonanno Ferraro G., Brandtner D., Lucentini L., Bonadonna L., Rossi M., Grigioni M., Bucciarelli G., Torlontano P., Aprea G., La Bianca M., Cifarelli R.A., Palma A., La Vecchia G., Lauria G., Brienza R., Montenegro P., D'Argenzio A., Cossentino L., Olivares R., Pizzolante A., Fusco G., Tosco A., Porta A., Pennino F., Maria T., Angelini P., De Lellis L., Nasci D., Alborali G., Formenti N., Guarneri F., Fontani N., Nani G., Palumbo F., Borlone G., Guercio M., Gentili L., Mariuz M., Trani G., Pariani A., Ancona C., Giorgi D.A., Ferrante I., Monfrinotti M., Riosa S., Capparuccini V., Scicluna M.T., Cersini A., Arizzi M., Cecchini G., Ottaviano C., Nicosia E., Grasselli E., Allaria G., Izzotti A., Rosatto S., Ammoni E., Cereda D., Losio M.N., Bertasi B., Aliscioni A., Oliva D., Castiglioni S., Schiarea S., Zuccato E., Antonelli M., Azzellino A., Malpei F., Turolla A., Binda S., Laura P., Primache V., Cocuzza C., Franzetti A., Bertanza G., Callegari M.L., Bolognini L., Filippetti F., Paniccia' M., Ciuti F., Briscolini S., Magi S., Colitti M., Montanaro C., Cerroni M.G., Griglio B., Berruti R., Cravero M., Costa A., Bianchi M., Decastelli L., Romano A., Zuccon F., Carraro E., Pignata C., Bonetta S., Di Vittorio G., Mongelli O., De Giglio O., Apollonio F., Triggiano F., Montagna M.T., Ungaro N., Palermo M., Maida C.M., Mazzucco W., De Grazia S., Giammanco G., Purpari G., Ferrante M., Agodi A., Barchitta M., Cala' P., Carducci A., Verani M., Federigi I., Lauretani G., Muzio S., Ramazzotti M., Antonelli A., Ricci E., Santoro G., Federici E., Petricciuolo M., Barigelli S., Ruffier M., Borney F., Grange E., Damasco F., Russo F., Pitter G., Groppi V., Rigoli F., Zampini M., Baldovin T., Amoruso I., Mengon E., Cadonna M., Postinghel M., Pizzo F., Schiavuzzi A., Cutrupi F., Foladori P., Manara S., Zago L., Stenico A., Prast A.-M., Suffredini E., and Triassi, M

Subjects
Omicron, RT-qPCR, SARS-CoV-2, Sewage, Variant, Wastewater-based epidemiology, Wastewater-Based Epidemiological Monitoring, Environmental Engineering, COVID-19, Wastewater, Pollution, Humans, RNA, Viral, Waste Water, SARS-Cov2, Environmental Chemistry, RNA, Viral, wastewater based epidemiology, Waste Management and Disposal, Human, Omicron, RT-qPCR, SARS-CoV-2, Sewage, Variant, Wastewater-based epidemiology
Abstract

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5-11 December, to 17.5% (25/143 samples) in the week 12-18, to 65.9% (89/135 samples) in the week 19-25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased from one in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons. In conclusion, we designed an RT-qPCR assay capable to detect the Omicron variant, which can be successfully used for the purpose of wastewater-based epidemiology. We also described the history of the introduction and diffusion of the Omicron variant in the Italian population and territory, confirming the effectiveness of sewage monitoring as a powerful surveillance tool.

Published
2022

34. Excess risk of subsequent malignant neoplasms in adolescent and young adult cancer survivors: Results from the first Italian population-based cohort

Author

Francesco Cuccaro, Maria Francesca Vitale, Marine Castaing, Simona Carone, Lorenza Boschetti, Salvatore Pisani, Rosa Filiberti, Silvano Piffer, Walter Mazzucco, Fabrizio Stracci, Giovanna Tagliabue, Giuseppe Sampietro, Antonino Ardizzone, Maurizio Castelli, Cinzia Gasparotti, Gianfranco Manneschi, Giancarlo D'Orsi, Andrea Tittarelli, Giulio Barigelletti, Paolo Contiero, Angelo D'Argenzio, Laura Botta, Gemma Gatta, Cinzia Storchi, Luca Cavalieri D'Oro, Anna Melcarne, Lucia Mangone, Alice Bernasconi, Rosario Tumino, Stefano Guzzinati, Fabio Savoia, Paola Ballotari, Giuseppa Candela, Cristiana Pascucci, Fabio Falcini, Anita Andreano, Annalisa Trama, Claudia Cirilli, Silvia Iacovacci, A.C. Fanetti, Trama, A, Tittarelli, A, Barigelletti, G, Botta, L, Gatta, G, Tagliabue, G, Contiero, P, Guzzinati, S, Andreano, A, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Mazzucco, W, Mangone, L, Iacovacci, S, Vitale, M, Stracci, F, Piffer, S, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Ballotari, P, Boschetti, L, Pisani, S, Cavalieri D'Oro, L, Cuccaro, F, D'Argenzio, A, D'Orsi, G, Fanetti, A, Ardizzone, A, Candela, G, Savoia, F, Pascucci, C, Castelli, M, Storchi, C, Bernasconi, A, Trama A., Tittarelli A., Barigelletti G., Botta L., Gatta G., Tagliabue G., Contiero P., Guzzinati S., Andreano A., Manneschi G., Falcini F., Castaing M., Filiberti R.A., Gasparotti C., Cirilli C., Mazzucco W., Mangone L., Iacovacci S., Vitale M.F., Stracci F., Piffer S., Tumino R., Carone S., Sampietro G., Melcarne A., Ballotari P., Boschetti L., Pisani S., Cavalieri D'Oro L., Cuccaro F., D'Argenzio A., D'Orsi G., Fanetti A.C., Ardizzone A., Candela G., Savoia F., Pascucci C., Castelli M., Storchi C., and Bernasconi A.

Subjects
Oncology, Adult, Male, Cancer Research, medicine.medical_specialty, Adolescent, Colorectal cancer, cancer survivor, Population, Breast Neoplasms, Settore MED/42 - Igiene Generale E Applicata, Prostate cancer, Breast cancer, Risk Factors, Internal medicine, Neoplasms, follow-up, Medicine, Humans, cancer survivors, Cumulative incidence, adolescents, education, Lung cancer, Retrospective Studies, education.field_of_study, Bladder cancer, business.industry, Incidence, Cancer, registries, Neoplasms, Second Primary, medicine.disease, humanities, registrie, adolescents, cancer survivors, follow-up, registries, young adult, young adult, Female, business
Abstract

Background: Evidence about late effects in adolescent and young adult (AYA) cancer survivors is scarce. This study assessed the risk of subsequent malignant neoplasms (SMNs) to identify the most common SMNs to be considered in follow-up care. Methods: Population-based cancer registries retrospectively identified first primary tumors (between 1976 and 2013) and SMNs in AYAs (15-39years old at their cancer diagnosis). AYA cancer survivors were those alive at least 5years after their first cancer diagnosis. The excess risk of SMNs was measured as standardized incidence ratios (SIRs) and absolute excess risk together with the cumulative incidence of SMNs. Results: The cohort included 67,692 AYA cancer survivors. The excess risk of developing any SMN (SIR, 1.6; 95% confidence interval, 1.5-1.7) was 60%. The excess risk of SMNs was significantly high for survivors of lymphomas; cancers of the breast, thyroid, female genital tract, digestive organs, gonads, and urinary tract; and melanomas. The cumulative incidence of all SMNs in AYA cancer survivors within 25years of their first cancer diagnosis was approximately 10%. Subsequent tumors contributing to approximately 60% of all SMNs were breast cancer, colorectal cancer, corpus uteri cancer, and ovarian cancer in females and colorectal cancer, bladder cancer, prostate cancer, lung cancer, and lymphomas in males. Conclusions: These results highlight the need to personalize follow-up strategies for AYA cancer survivors.

Published
2022

35. An Experimental and Numerical Study of Crosstalk Effects in PMUT Arrays

Author

Abdalla, Omer Mohamed Osman, Massimino, Gianluca, D'Argenzio, Cristina, Colosio, Matteo, Soldo, Marco, Quaglia, Fabio, and Corigliano, Alberto

Abstract

This study provides a comprehensive characterization of a 4 $\times $ 4 piezoelectric micromachined ultrasonic transducer (PMUT) array suited for in-air applications. Crosstalk can be viewed as a lack of isolation among the transducers, with possible reasons, including the electrical, acoustic, and structural coupling among the transducers. This study focuses on acoustic coupling as the primary cause of crosstalk, since the influence of electrical and structural coupling on crosstalk is shown to be negligible by comparing experimental tests and numerical analysis conducted in vacuum and in air. It is expected that acoustic coupling among diaphragms occurs due to air-connected cavities. Consequently, several scenarios are investigated in which the cavities are either partially or completely acoustically disconnected. The computed response spectra of the PMUTs demonstrate that the presence of secondary peaks, which indicated the presence of crosstalk, is diminished when the PMUTs are decoupled partially or completely as compared with an open cavity. The conducted acoustic tests also demonstrated that crosstalk impacts the intensity and directivity of the acoustic wave produced by the array.

Published
2023
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37. Wastewater surveillance of SARS-CoV-2 variants in October-November 2022 in Italy: detection of XBB.1, BA.2.75 and rapid spread of the BQ.1 lineage

Author

G. La Rosa, D. Brandtner, G. Bonanno Ferraro, C. Veneri, P. Mancini, M. Iaconelli, L. Lucentini, C. Del Giudice, L. Orlandi, E. Suffredini, Achille Palma, Adelaide Calabria, Agnese Carnevali, Albano Nehludoff, Alberta Stenico, Alberto Izzotti, Alessandra Barca, Alessandra Tosco, Amalia Porta, Annalisa Lombardi, Antonia Voli, Andrea Franzetti, Angela Ciccaglione, Angela Costa, Angelo D’Argenzio, Angelo Romano, Anna Pariani, Annalaura Carducci, Annalisa Grucci, Anna-Maria Prast, Antonella Agodi, Antonella Cersini, Antonella Giorgi, Barbara Bertasi, Bartolomeo Griglio, Carla Ancona, Carmelo Massimo Maida, Carmen Montanaro, Chiara Filizzolo, Claudio Ottaviano, Clementina Cocuzza, Cristina Pignata, Daniele Nasci, Danilo Cereda, Desdemona Oliva, Doriana Antonella Giorgi, Edoardo Malacaria, Elena Grasselli, Elena Nicosia, Elisabetta Carraro, Emanuela Ammoni, Eric Grange, Ermanno Federici, Fabio Filippetti, Fabio Tramuto, Flavia Guarneri, Flavia Serio, Florida Damasco, Franca Palumbo, Francesca Apollonio, Francesca Cutrupi, Francesca Gucciardi, Francesca Pennino, Francesca Russo, Francesco Triggiano, Franco Rigoli, Gabriele Pietrella, Gabriella Trani, Gian Maria Rossolini, Giorgia Bulotta, Giovanna Fusco, Giovanna La Vecchia, Giovanni Alborali, Giovanni Giammanco, Giovanni Santoro, Gisella Pitter, Giuseppa Purpari, Giuseppe Aprea, Giuseppe Di Vittorio, Giuseppe Folino, Giuseppe Lauria, Ileana Federigi, Irene Amoruso, Irene Ferrante, Irene Tomesani, Laura De Lellis, Laura Pellegrinelli, Lea Demetz, Lisa Gentili, Lisa Richiardi, Lorella Zago, Lorena Masieri, Lucia Decastelli, Luigi Bolognini, Luigi Cossentino, Manila Bianchi, Marco Verani, Marco Zampini, Margherita Ferrante, Maria Cadonna, Maria Teresa Montagna, Maria Teresa Scicluna, Mariaconcetta Arizzi, Marika Mariuz, Mario Palermo, Marta Bellisomi, Marta Paniccià, Martina Barchitta, Matteo Ramazzotti, Mattia Postinghel, Maurizio Viscardi, Mauro Ruffier, Maya Petricciuolo, Michele La Bianca, Michele Colitti, Monica Monfrinotti, Nadia Fontani, Nicoletta Formenti, Onofrio Mongelli, Osvalda De Giglio, Paola Angelini, Paola Foladori, Paolo Torlontano, Piergiuseppe Calà, Rosa Anna Cifarelli, Sandro Binda, Sara Briscolini, Sara Castiglioni, Silvia Bonetta, Silvia Magi, Silvia Scattolini, Silvia Schiarea, Simona De Grazia, Stefano Rosatto, Tatjana Baldovin, Valeria Primache, Vanessa Groppi, Vicdalia Aniela Acciari, Walter Mazzucco, La Rosa, G, Brandtner, D, Bonanno Ferraro, G, Veneri, C, Mancini, P, Iaconelli, M, Lucentini, L, Del Giudice, C, Orlandi, L, Suffredini, E, Cocuzza, C, Franzetti, A, La Rosa, G., Brandtner, D., Bonanno Ferraro, G., Veneri, C., Mancini, P., Iaconelli, M., Lucentini, L., Del Giudice, C., Orlandi, L., Suffredini, E., Pennino, F., Lombardi, A., Maida, CM, Mazzucco, W, and Tramuto, F

Subjects
BA2.75, Environmental Engineering, Surveillance, MED/42 - IGIENE GENERALE E APPLICATA, Omicron, SARS-CoV-2, BQ.1, Wastewater, XBB.1, BIO/19 - MICROBIOLOGIA GENERALE, Pollution, MED/07 - MICROBIOLOGIA E MICROBIOLOGIA CLINICA, BA2.75, BQ.1, Omicron, SARS-CoV-2, Surveillance, Wastewater, XBB.1, Environmental Chemistry, Waste Management and Disposal
Abstract

This study adds insight regarding the occurrence and spread of SARS-CoV-2 Variants of Concern (VOCs) and Var-iants of Interest (VOIs) in Italy in October and November 2022, by testing urban wastewater collected through-out the country. A total of 332 wastewater samples were collected from 20 Italian Regions/Autonomous Provinces (APs) within the framework of national SARS-CoV-2 environmental surveillance. Of these, 164 were collected in the first week of October and 168 in the first week of November. A similar to 1600 bp fragment of the spike protein was sequenced by Sanger (for individual samples) and long-read nanopore sequencing (for pooled Region/AP samples).In October, mutations characteristic of Omicron BA.4/BA.5 were detected in the vast majority (91 %) of the samples amplified by Sanger sequencing. A fraction of these sequences (9 %) also displayed the R346T mutation. Despite the low prevalence documented in clinical cases at the time of sampling, amino acid substitutions characteristic of sublineages BQ.1 or BQ.1.1 were detected in 5 % of sequenced samples from four Regions/APs. A significantly higher variability of sequences and variants was documented in November 2022, when the rate of se-quences harbouring mutations of lineages BQ.1 and BQ1.1 increased to 43 %, and the number of Regions/APs positive for the new Omicron subvariant more than tripled (n = 13) compared to October. Moreover, an increase in the number of sequences with the mutation package BA.4/BA.5 + R346T (18 %), as well as the detection of variants never observed before in wastewater in Italy, such as BA.2.75 and XBB.1 (the latter in a Region where no clinical cases asso-ciated with this variant had ever been documented) was recorded.The results suggest that, as predicted by the ECDC, BQ.1/BQ.1.1 is rapidly becoming dominant in late 2022. Environ-mental surveillance proves to be a powerful tool for tracking the spread of SARS-CoV-2 variants/subvariants in the population.

Published
2023

38. Clinical value of radiomics and machine learning in breast ultrasound: a multicenter study for differential diagnosis of benign and malignant lesions

Author

Simone Maurea, Luigi Insabato, Massimo Imbriaco, Francesco Verde, Renato Cuocolo, M. Amitrano, Valeria Romeo, Roberta Apolito, Annalisa Vitale, Anna Maria Cascone, Antonello Accurso, Maria Rosaria Argenzio, Arnaldo Stanzione, Annarita Gencarelli, Antonio Ventimiglia, Arturo Brunetti, Roberta Buonocore, Romeo, Valeria, Cuocolo, Renato, Apolito, Roberta, Stanzione, Arnaldo, Ventimiglia, Antonio, Vitale, Annalisa, Verde, Francesco, Accurso, Antonello, Amitrano, Michele, Insabato, Luigi, Gencarelli, Annarita, Buonocore, Roberta, Argenzio, Maria Rosaria, Cascone, Anna Maria, Imbriaco, Massimo, Maurea, Simone, and Brunetti, Arturo

Subjects
medicine.medical_specialty, education, Machine learning, computer.software_genre, 030218 nuclear medicine & medical imaging, Diagnosis, Differential, Machine Learning, 03 medical and health sciences, 0302 clinical medicine, McNemar's test, Breast cancer, Diagnosis, Ultrasound, Medicine, Humans, Radiology, Nuclear Medicine and imaging, Breast, Breast ultrasound, Neuroradiology, Retrospective Studies, Ultrasonography, Mammary, medicine.diagnostic_test, business.industry, General Medicine, medicine.disease, Confidence interval, Random forest, Female, Ultrasonography, Mammary, 030220 oncology & carcinogenesis, Test set, Differential, Radiology, Artificial intelligence, business, computer
Abstract

Objectives We aimed to assess the performance of radiomics and machine learning (ML) for classification of non-cystic benign and malignant breast lesions on ultrasound images, compare ML’s accuracy with that of a breast radiologist, and verify if the radiologist’s performance is improved by using ML. Methods Our retrospective study included patients from two institutions. A total of 135 lesions from Institution 1 were used to train and test the ML model with cross-validation. Radiomic features were extracted from manually annotated images and underwent a multistep feature selection process. Not reproducible, low variance, and highly intercorrelated features were removed from the dataset. Then, 66 lesions from Institution 2 were used as an external test set for ML and to assess the performance of a radiologist without and with the aid of ML, using McNemar’s test. Results After feature selection, 10 of the 520 features extracted were employed to train a random forest algorithm. Its accuracy in the training set was 82% (standard deviation, SD, ± 6%), with an AUC of 0.90 (SD ± 0.06), while the performance on the test set was 82% (95% confidence intervals (CI) = 70–90%) with an AUC of 0.82 (95% CI = 0.70–0.93). It resulted in being significantly better than the baseline reference (p = 0.0098), but not different from the radiologist (79.4%, p = 0.815). The radiologist’s performance improved when using ML (80.2%), but not significantly (p = 0.508). Conclusions A radiomic analysis combined with ML showed promising results to differentiate benign from malignant breast lesions on ultrasound images. Key Points • Machine learning showed good accuracy in discriminating benign from malignant breast lesions • The machine learning classifier’s performance was comparable to that of a breast radiologist • The radiologist’s accuracy improved with machine learning, but not significantly

Published
2021

40. Clinical and psychosocial constructs for breast, cervical, and colorectal cancer screening participation: A systematic review

Author

Daniela Lemmo, Maria Luisa Martino, Federica Vallone, Anna Rosa Donizzetti, Maria Francesca Freda, Francesco Palumbo, Elvira Lorenzo, Angelo D'Argenzio, Daniela Caso, Lemmo, Daniela, Martino, MARIA LUISA, Vallone, Federica, Donizzetti, ANNA ROSA, Freda, MARIA FRANCESCA, Palumbo, Francesco, Lorenzo, Elvira, D’Argenzio, Angelo, and Caso, Daniela

Subjects
Cancer screening participation, Health decision-making, Oncological prevention engagement, Psychology and preventive practices, Theory-based intervention, Clinical Psychology
Abstract

Research has identified a wide range of psychosocial factors associated to choosing to engage in ongoing cancer screenings. Nevertheless, a systematic review of the theoretical frameworks and constructs underpinning studies on breast, cervical, and colorectal cancer screening participation has yet to be conducted. As part of the action-research project “Miriade,” the present study aims to identifying the main theoretical frameworks and constructs adopted in the literature over the past five years to explain cancer screening participation. According to the PRISMA guidelines, a search of the MEDLINE/PubMed and PsycINFO databases was made. Empirical studies conducted from 2017 to 2021 were included. The following keywords were used: breast OR cervical OR colorectal screening AND adhesion OR participation OR engagement AND theoretical framework OR conceptual framework OR theory. Overall, 24 articles met the inclusion criteria. Each theoretical framework highlighted clinical and psychosocial constructs of cancer screening participation, focusing on the individuals (psycho-emotional functioning and skills plan) and/or the health services perspectives. Findings from the present study acknowledge the plurality of the theoretical frameworks and constructs adopted to predict or promote breast, cervical, and colorectal cancer screening adhesion and the need for new research efforts to improve the effectiveness of cancer screening promotion interventions.

Published
2023

42. The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

Author

La Rosa, G., primary, Iaconelli, M., additional, Veneri, C., additional, Mancini, P., additional, Bonanno Ferraro, G., additional, Brandtner, D., additional, Lucentini, L., additional, Bonadonna, L., additional, Rossi, M., additional, Grigioni, M., additional, Suffredini, E., additional, Palma, Achille, additional, Stenico, Alberta, additional, Antonelli, Alberto, additional, Izzotti, Alberto, additional, Schiavuzzi, Alessandra, additional, Tosco, Alessandra, additional, Porta, Amalia, additional, Franzetti, Andrea, additional, Turolla, Andrea, additional, Costa, Angela, additional, D’Argenzio, Angelo, additional, Romano, Angelo, additional, Pariani, Anna, additional, Carducci, Annalaura, additional, Prast, Anna-Maria, additional, Agodi, Antonella, additional, Cersini, Antonella, additional, Pizzolante, Antonio, additional, Azzellino, Arianna, additional, Bertasi, Barbara, additional, Griglio, Bartolomeo, additional, Ancona, Carla, additional, Maida, Carmelo Massimo, additional, Montanaro, Carmen, additional, Ottaviano, Claudio, additional, Cocuzza, Clementina, additional, Pignata, Cristina, additional, Nasci, Daniele, additional, Cereda, Danilo, additional, Oliva, Desdemona, additional, Giorgi, Doriana Antonella, additional, Grasselli, Elena, additional, Mengon, Elena, additional, Nicosia, Elena, additional, Carraro, Elisabetta, additional, Ammoni, Emanuela, additional, Ricci, Enrica, additional, Grange, Eric, additional, Federici, Ermanno, additional, Zuccato, Ettore, additional, Filippetti, Fabio, additional, Zuccon, Fabio, additional, Guarneri, Flavia, additional, Damasco, Florida, additional, Palumbo, Franca, additional, Apollonio, Francesca, additional, Borney, Francesca, additional, Ciuti, Francesca, additional, Cutrupi, Francesca, additional, Malpei, Francesca, additional, Pennino, Francesca, additional, Russo, Francesca, additional, Pizzo, Francesco, additional, Triggiano, Francesco, additional, Rigoli, Franco, additional, Trani, Gabriella, additional, Cecchini, Giancarlo, additional, Borlone, Gianluca, additional, Allaria, Giorgia, additional, Bertanza, Giorgio, additional, Fusco, Giovanna, additional, La Vecchia, Giovanna, additional, Alborali, Giovanni, additional, Giammanco, Giovanni, additional, Santoro, Giovanni, additional, Pitter, Gisella, additional, Lauretani, Giulia, additional, Nani, Giulia, additional, Purpari, Giuseppa, additional, Aprea, Giuseppe, additional, Bucciarelli, Giuseppe, additional, Di Vittorio, Giuseppe, additional, Lauria, Giuseppe, additional, Federigi, Ileana, additional, Amoruso, Irene, additional, Ferrante, Irene, additional, De Lellis, Laura, additional, Gentili, Lisa, additional, Zago, Lorella, additional, Decastelli, Lucia, additional, Bolognini, Luigi, additional, Cossentino, Luigi, additional, Bianchi, Manila, additional, Antonelli, Manuela, additional, Guercio, Marco, additional, Verani, Marco, additional, Zampini, Marco, additional, Ferrante, Margherita, additional, Cadonna, Maria, additional, Cerroni, Maria Grazia, additional, Callegari, Maria Luisa, additional, Montagna, Maria Teresa, additional, Scicluna, Maria Teresa, additional, Arizzi, Mariaconcetta, additional, Mariuz, Marika, additional, Losio, Marina Nadia, additional, Palermo, Mario, additional, Paniccià, Marta, additional, Triassi, Maria, additional, Barchitta, Martina, additional, Ramazzotti, Matteo, additional, Postinghel, Mattia, additional, Cravero, Mauro, additional, Ruffier, Mauro, additional, Petricciuolo, Maya, additional, La Bianca, Michele, additional, Colitti, Michele, additional, Monfrinotti, Monica, additional, Fontani, Nadia, additional, Ungaro, Nicola, additional, Formenti, Nicoletta, additional, Mongelli, Onofrio, additional, De Giglio, Osvalda, additional, Angelini, Paola, additional, Foladori, Paola, additional, Torlontano, Paolo, additional, Montenegro, Patrizia, additional, Laura, Pellegrinelli, additional, Calà, Piergiuseppe, additional, Olivares, Renato, additional, Berruti, Renza, additional, Cifarelli, Rosa Anna, additional, Brienza, Rosanna, additional, Binda, Sandro, additional, Briscolini, Sara, additional, Castiglioni, Sara, additional, Muzio, Sara, additional, Manara, Serena, additional, Bonetta, Silvia, additional, Magi, Silvia, additional, Riosa, Silvia, additional, Schiarea, Silvia, additional, De Grazia, Simona, additional, Barigelli, Sofia, additional, Rosatto, Stefano, additional, Baldovin, Tatjana, additional, Capparuccini, Valeria, additional, Primache, Valeria, additional, Groppi, Vanessa, additional, and Mazzucco, Walter, additional

Published
2022
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43. Midazolam

Author

D’Argenzio, Luigi, Hannan, Siobhan, Scott, Rod C., and Panayiotopoulos, C. P., editor

Published
2010
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44. Factors Promoting Breast, Cervical and Colorectal Cancer Screenings participation: A Systematic Review

Author

Federica Vallone, Daniela Lemmo, Maria Luisa Martino, Anna Rosa Donizzetti, Maria Francesca Freda, Francesco Palumbo, Elvira Lorenzo, Angelo D’Argenzio, Daniela Caso, Vallone, Federica, Lemmo, Daniela, Martino, MARIA LUISA, Donizzetti, ANNA ROSA, Freda, MARIA FRANCESCA, Palumbo, Francesco, Lorenzo, Elvira, D’Argenzio, Angelo, and Caso, Daniela

Subjects
research, cervical cancer, Uterine Cervical Neoplasms, Experimental and Cognitive Psychology, Breast Neoplasms, colorectal cancer, Health Promotion, Psychiatry and Mental health, breast cancer, systematic review, cancer screening, oncology, Humans, cancer, psycho-oncology, Female, Colorectal Neoplasms, Early Detection of Cancer, trends
Abstract

Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

Published
2022

45. Individualized prediction of seizure relapse and outcomes following antiepileptic drug withdrawal after pediatric epilepsy surgery

Author

Lamberink, Herm J., Boshuisen, Kim, Otte, Willem M., Geleijns, Karin, Braun, Kees P. J., Feucht, M, Gröppel, G, Kahane, P, Minotti, L, Arzimanoglou, A, Ryvlin, P, Panagiotakaki, E, de Bellescize, J, Ostrowsky‐Coste, K, Hirsch, E, Valenti, M, Polster, T, Sassen, R, Hoppe, C, Kuczaty, S, Elger, C, Schubert, S, Strobl, K, Bast, T, Barba, C, Guerrini, R, Giordano, F, Francione, S, Caputo, D, Boshuisen, K, Braun, K P J, Uiterwaal, C S P M, van Nieuwenhuizen, O, Leijten, F S, van Rijen, P C, Seeck, M, Yalnizoglu, D, Turanli, G, Topcu, M, Özkara, C, Uzan, M, Cross, J H, DʼArgenzio, L, and Harkness, W

Published
2018
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46. P06-10 To what extent is active mobility practiced by adults in Italy?

Author

Valentina Minardi, Valentina Possenti, Benedetta Contoli, Susanna Lana, Stefano Campostrini, Giuliano Carrozzi, Angelo D'Argenzio, Pirous Fateh-Moghadam, Mauro Ramigni, Massimo Oddone Trinito, and Maria Masocco

Subjects
Public Health, Environmental and Occupational Health
Abstract

Background Walking or cycling regularly instead of using motorised vehicles returns benefits not only to our health but also to the environment: in Europe, during 2020 a spotlight has also been put on the importance of accessibility to zero-emission transport, for promoting an inclusive framework that involves everyone. Policies in favour of a diffused active mobility in the general population encourage also to take steps effectively in order to achieve the longer-term goal of a European continent that is carbon-neutral. Methods In the Italian Behavioural Risk Factor Surveillance System PASSI, active mobility identifies both adults (aged 18-69) who cycle or walk to go to work or to school or for their usual commuting and those who, thanks to this habit, reach out recommended levels of physical activity to gain health benefits. Basing on their own active mobility levels, people are classified in: physically active (they reach out at least 150 minutes per week by walking or cycling for usual commuting, in bouts of at least 10 minutes); partially active (they use bicycle and/or walk usually, but not till 150 minutes weekly); non-active (they do not practise any active mobility or they do for little time duration). Results PASSI data 2016-2019 show that 44% among adults residing in Italy has practised active mobility by cycling (11%) and/or walking (41%) for usual commuting. They do in average for 4-5 days per week: people who cycle and those who walk sum up an average of, respectively, 144 and 181 minutes weekly. In the North, active mobility is experienced more than in the other parts of the Country. Active mobility definitively contributes to reach out recommended levels of physical activity that ensure health benefits and, in Italy, 21% of the resident adult population results to be physically active just thanks to this healthy lifestyle. Conclusions Walking or cycling for urban commuting, at least for 150 minutes per week in bouts of 10 minutes each, can help to meet the recommendations for physical activity by the WHO, without counting movement in spare time or at work.

Published
2022

47. Worldwide trends in population-based survival for children, adolescents, and young adults diagnosed with leukaemia, by subtype, during 2000–14 (CONCORD-3): analysis of individual data from 258 cancer registries in 61 countries

Author

Naomi Ssenyonga, Charles Stiller, Kayo Nakata, Jaime Shalkow, Shelagh Redmond, Jean-Luc Bulliard, Fabio Girardi, Christine Fowler, Rafael Marcos-Gragera, Audrey Bonaventure, Nathalie Saint-Jacques, Pamela Minicozzi, Prithwish De, Miguel Rodríguez-Barranco, Siri Larønningen, Veronica Di Carlo, Margit Mägi, Mikhail Valkov, Karri Seppä, Dyfed Wyn Huws, Michel P Coleman, Claudia Allemani, Sabiha Bouzbid, Mokhtar Hamdi-Chérif, Lamia Kara, Kaouel Meguenni, Derbali Regagba, Sine Bayo, Traore Cheick Bougadari, Shyam Shunker Manraj, Karima Bendahhou, Akinade Ladipo, Olufemi Ogunbiyi, Nontuthuzelo Somdyala, María Agustina Chaplin, Florencia Moreno, Gladis Calabrano, Silvia Espinola, Beatriz Carballo Quintero, Rosalba Fita, Walter Laspada, Susana Ibañez, Carlos Lima, Allini Mafra Da Costa, Paulo César De Souza, Juliana Chaves, Cyntia Laporte, Maria Paula Curado, Jose Carlos de Oliveira, Claudia Veneziano, Donaldo Veneziano, Ana Beatriz Almeida, Maria Latorre, Gulnar Azevedo e Silva, Marise Rebelo, Marceli Santos, Juan Galaz, Mackarena Aparicio Aravena, Jocelyn Sanhueza Monsalve, Denise Herrmann, Solange Vargas, Victor Herrera, Claudia Uribe, Luis Eduardo Bravo, Luz Stella Garcia, Nelson Arias-Ortiz, Daniela Morantes, Daniel Jurado, María Yépez Chamorro, Sandra Delgado, Melissa Ramirez, Yaima Galán Alvarez, Priscila Torres, Fray Martínez-Reyes, Leyda Jaramillo, Rina Quinto, Jhoanna Castillo, Mariela Mendoza, Patricia Cueva, José Yépez, Bernard Bhakkan, Jacqueline Deloumeaux, Clarisse Joachim, Jonathan Macni, Rodolfo Carrillo, Jaime Shalkow Klincovstein, Rebeca Rivera Gomez, Patricia Perez, Ebert Poquioma, Guillermo Tortolero-Luna, Diego Zavala, Rafael Alonso, Enrique Barrios, Angela Eckstrand, Cindy Nikiforuk, Ryan Woods, Gail Noonan, Donna Turner, Eshwar Kumar, Bin Zhang, Jeff Dowden, Gregory Doyle, Gordon Walsh, Aniq Anam, Carol McClure, Kim Vriends, Christine Bertrand, Agnihotram Ramanakumar, Serena Kozie, Heather Stuart-Panko, Tara Freeman, Justin George, Rosa Avila, David O'Brien, Abby Holt, Lyn Almon, Kevin Ward, Sandy Kwong, Cyllene Morris, Randi Rycroft, Lloyd Mueller, Cathryn Phillips, Heather Brown, Betsy Cromartie, Julie Ruterbusch, Ann Schwartz, Gary Levin, Brad Wohler, Rana Bayakly, Scarlett Gomez, Meg McKinley, Rosemary Cress, Joni Davis, Brenda Hernandez, Christopher Johnson, Bozena Morawski, Laura Ruppert, Suzanne Bentler, Mary Charlton, Bin Huang, Thomas Tucker, Dennis Deapen, Lihua Liu, Mei-Chin Hsieh, Xiao-Cheng Wu, Molly Schwenn, Kimberly Stern, Susan Gershman, Richard Knowlton, Georgetta Alverson, Tamara Weaver, Jay Desai, Deirdre Rogers, Jeanette Jackson-Thompson, Debbi Lemons, Heather Zimmerman, Michelle Hood, Jenifer Roberts-Johnson, Whitney Hammond, Judith Rees, Karen Pawlish, Antoinette Stroup, Charles Key, Charles Wiggins, Amy Kahn, Maria Schymura, Soundarya Radhakrishnan, Chandrika Rao, Lynn Giljahn, Roberta Slocumb, Christy Dabbs, Raffaella Espinoza, Karen Aird, Todd Beran, Jim Rubertone, Stephen Slack, Junhie Oh, Tiffany Janes, Stephen Schwartz, Stephanie Chiodini, Deborah Hurley, Martin Whiteside, Saroj Rai, Melanie Williams, Kim Herget, Carol Sweeney, Alison Johnson, Mahesh Keitheri Cheteri, Patti Migliore Santiago, Steven Blankenship, Shawn Farley, Robert Borchers, Robin Malicki, Julia Espinoza, Joseph Grandpre, Brenda Edwards, Angela Mariotto, Hannah Weir, Reda Wilson, Ning Wang, Lei Yang, Jian-Shun Chen, Yu-Tong He, Guo-Hui Song, Xiao-Ping Gu, Dan Mei, Heng-Ming Ge, Tong-Hao Wu, Yan-Yan Li, De-Li Zhao, Feng Jin, Jian-Hua Zhang, Feng-Dong Zhu, Qian Junhua, Yan Lei Yang, Chun-Xiao Jiang, Wang Biao, Jian Wang, Qi-Long Li, He Yi, Xin Zhou, JianMei Dong, WeiWei Li, Fang-Xian Fu, Jian-Guo Chen, Jian Zhu, Yan-Hua Li, Yu-Qiang Lu, Min Fan, Su-Qin Huang, Guo-Ping Guo, Hua Zhaolai, Kuangrong Wei, Wan-Qing Chen, Wenqiang Wei, Hongmei Zeng, Anna Demetriou, Wai Kong Mang, Kai Cheong Ngan, Amal Kataki, Manigreeva Krishnatreya, Padmavathi Amma Jayalekshmi, Paul Sebastian, Preethi George, Aleyamma Mathew, Ambakumar Nandakumar, Reza Malekzadeh, Gholamreza Roshandel, Lital Keinan-Boker, Barbara Silverman, Hidemi Ito, Yuriko Koyanagi, Masako Sato, Fumio Tobori, Ichiro Nakata, Norihiro Teramoto, Masakazu Hattori, Yasuharu Kaizaki, Fumitaka Moki, Hiromi Sugiyama, Mai Utada, Makiko Nishimura, Keiichi Yoshida, Katsuki Kurosawa, Yuji Nemoto, Hiroto Narimatsu, Masahiko Sakaguchi, Seiki Kanemura, Michiko Naito, Rintaro Narisawa, Isao Miyashiro, Daisuke Mori, Mayuko Yoshitake, Izumi Oki, Norimasa Fukushima, Akiko Shibata, Keiichiro Iwasa, Chie Ono, Tomohiro Matsuda, Omar Nimri, Kyu-Won Jung, Young-Joo Won, Eiman Alawadhi, Amani Elbasmi, Azizah Ab Manan, Farzaana Adam, Erdenekhuu Nansalmaa, Undarmaa Tudev, Chimedsuren Ochir, Al Hareth Al Khater, Mufid El Mistiri, Gek Hsiang Lim, Yik Ying Teo, Chun-Ju Chiang, Wen-Chung Lee, Rangsiya Buasom, Suleeporn Sangrajrang, Krittika Suwanrungruang, Patravoot Vatanasapt, Karnchana Daoprasert, Donsuk Pongnikorn, Atit Leklob, Somphob Sangkitipaiboon, Sarayut Geater, Hutcha Sriplung, Okan Ceylan, Iskender Kög, Oya Dirican, Tülay Köse, Tulın Gurbuz, Füsun Emine Karašahin, Duygu Turhan, Umut Aktaş, Yakup Halat, Sultan Eser, Cankut Yakut, Merve Altinisik, Yasar Cavusoglu, Ayşe Türkköylü, Nuršen Üçüncü, Monika Hackl, Anna Zborovskaya, Olga Aleinikova, Kris Henau, Liesbet Van Eycken, Trayan Atanasov, Zdravka Valerianova, Mario Šekerija, Ladislav Dušek, Miroslav Zvolský, Lina Steinrud Mørch, Hans Storm, Charlotte Wessel Skovlund, Kaire Innos, Nea Malila, Jérémie Jégu, Michel Velten, Edouard Cornet, Xavier Troussard, Anne-Marie Bouvier, Anne-Valérie Guizard, Véronique Bouvier, Guy Launoy, Sandrine Dabakuyo Yonli, Marie-Laure Poillot, Marc Maynadié, Morgane Mounier, Lina Vaconnet, Anne-Sophie Woronoff, Mélanie Daoulas, Michel Robaszkiewicz, Jacqueline Clavel, Claire Poulalhon, Emmanuel Desandes, Brigitte Lacour, Isabelle Baldi, Camille Pouchieu, Brice Amadeo, Gaëlle Coureau, Alain Monnereau, Magali Audoin, Tania D'Almeida, Séverine Boyer, Karima Hammas, Brigitte Trétarre, Marc Colonna, Patricia Delafosse, Sandrine Plouvier, Anne Cowppli-Bony, Florence Molinié, Simona Bara, Olivier Ganry, Bénédicte Lapôtre-Ledoux, Laetitia Daubisse-Marliac, Nadine Bossard, Jacques Estève, Zoé Uhry, Roland Stabenow, Heide Wilsdorf-Köhler, Andrea Eberle, Sabine Luttmann, Imma Löhden, Alice Nennecke, Joachim Kieschke, Eunice Sirri, Christina Justenhoven, Sylke Zeissig, Bernd Holleczek, Nora Eisemann, Alexander Katalinic, Rachelle Asquez, Vijay Kumar, Eleni Petridou, Elínborg Ólafsdóttir, Laufey Tryggvadóttir, Deirdre Murray, Paul Walsh, Hildrun Sundseth, Guido Mazzoleni, Fabio Vittadello, Enzo Coviello, Francesco Cuccaro, Rocco Galasso, Giuseppe Sampietro, Michele Magoni, Antonino Ardizzone, Angelo D'Argenzio, Alessia Anna Di Prima, Antonella Ippolito, Anna Maria Lavecchia, Antonella Sutera Sardo, Gemma Gola, Paola Ballotari, Erica Giacomazzi, Stefano Ferretti, Luigino Dal Maso, Diego Serraino, Maria Vittoria Celesia, Rosa Angela Filiberti, Fabio Pannozzo, Anna Melcarne, Fabrizio Quarta, Anita Andreano, Antonio Giampiero Russo, Giuliano Carrozzi, Claudia Cirilli, Luca Cavalieri d'Oro, Magda Rognoni, Mario Fusco, Maria Francesca Vitale, Mario Usala, Rosanna Cusimano, Walter Mazzucco, Maria Michiara, Paolo Sgargi, Lorenza Boschetti, Giorgio Chiaranda, Pietro Seghini, Milena Maule, Franco Merletti, Eugenia Spata, Rosario Tumino, Pamela Mancuso, Massimo Vicentini, Tiziana Cassetti, Romano Sassatelli, Fabio Falcini, Stefania Giorgetti, Anna Luisa Caiazzo, Rossella Cavallo, Daniela Piras, Francesca Bella, Anselmo Madeddu, Anna Clara Fanetti, Sergio Maspero, Simona Carone, Antonia Mincuzzi, Giuseppa Candela, Tiziana Scuderi, Maria Adalgisa Gentilini, Roberto Rizzello, Stefano Rosso, Roberto Zanetti, Adele Caldarella, Teresa Intrieri, Fortunato Bianconi, Fabrizio Stracci, Paolo Contiero, Giovanna Tagliabue, Massimo Rugge, Manuel Zorzi, Simonetta Beggiato, Angelita Brustolin, Roberta De Angelis, Gemma Gatta, Anita Maurina, Marija Oniščuka, Mohsen Mousavi, Nadezda Lipunova, Ieva Vincerzevskienė, Dominic Agius, Neville Calleja, Sabine Siesling, Otto Visser, Tom Johannesen, Maciej Trojanowski, Tomasz Mierzwa, Jadwiga Rachtan, Kamila Kępska, Beata Kościańska, Joanna Wójcik-Tomaszewska, Marcin Motnyk, Anna Gos, Magdalena Bielska-Lasota, Joanna Didkowska, Urszula Wojciechowska, Gonçalo Forjaz de Lacerda, Raul Rego, Branca Carrito, Ana Pais, Maria José Bento, Jessica Rodrigues, Antonio Lourenço, Alexandra Mayer-da-Silva, Luminita Blaga, Daniela Coza, Lubov Gusenkova, Olga Lazarevich, Olga Prudnikova, Dmitri Mikhailovich Vjushkov, Alla Egorova, Andrey Orlov, Lidiya Pikalova, Lilia Zhuikova, Juraj Adamcik, Chakameh Safaei Diba, Vesna Zadnik, Tina Zagar, Marta De-La-Cruz, Arantza Lopez-de-Munain, Araceli Aleman, Dolores Rojas, Rosario Jiménez Chillarón, Ana Isabel Marcos Navarro, Montse Puigdemont, María-José Sánchez Perez, Paula Franch Sureda, Maria Ramos Montserrat, Maria Dolores Chirlaque López, Antonia Sánchez Gil, Eva Ardanaz, Marcela Guevara, Adela Cañete-Nieto, Rafael Peris-Bonet, Marià Carulla, Jaume Galceran, Fernando Almela, Consol Sabater, Staffan Khan, David Pettersson, Paul Dickman, Katharina Staehelin, Benjamin Struchen, Christian Herrmann, Seyed Mohsen Mousavi, Céline Egger Hayoz, Christine Bouchardy, Robin Schaffar, Philip Went, Manuela Maspoli-Conconi, Claudia Kuehni, Andrea Bordoni, Laura Ortelli, Arnaud Chiolero, Isabelle Konzelmann, Sabine Rohrmann, Miriam Wanner, John Broggio, Jem Rashbass, Deirdre Fitzpatrick, Anna Gavin, David Morrison, Catherine Thomson, Giles Greene, Dyfed Huws, Michel Coleman, Melissa Matz, Natalia Sanz, Richard Stephens, Elizabeth Chalker, Mirka Smith, Jessica Gugusheff, Hui You, Shu Qin Li, Sarah Dugdale, Julie Moore, Shoni Philpot, Rhonda Pfeiffer, Helen Thomas, Bruna Silva Ragaini, Alison Venn, Sue Evans, Luc Te Marvelde, Vedrana Savietto, Richard Trevithick, David Currow, Chris Lewis, Ssenyonga, Naomi, Stiller, Charle, Nakata, Kayo, Shalkow, Jaime, Redmond, Sheilagh, Bulliard, Jean-Luc, Girardi, Fabio, Fowler, Christine, Marcos-Gragera, Raphael, Bonaventure, Audrey, Saint-Jacques, Nathalie, Minicozzi, Pamela, De, Prithwish, Rodríguez-Barranco, Miguel, Larønningen, Siri, Di Carlo, Veronica, Mägi, Margit, Valkov, Mikhail, Seppä, Karri, Wyn Huws, Dyfed, Coleman, Michel P, Allemani, Claudia, and Mazzucco, Walter

Subjects
Adolescent, Australia, 610 Medicine & health, lymphoma, Settore MED/42 - Igiene Generale E Applicata, survival, United States, Europe, Leukemia, Myeloid, Acute, Young Adult, children, population-based/cancer registry, 360 Social problems & social services, survival, leukemia, cancer registry, Hematologic Neoplasms, leukaemia, Pediatrics, Perinatology and Child Health, Developmental and Educational Psychology, cancer, Humans, Registries, haematological malignancy, Child
Abstract

BACKGROUND Leukaemias comprise a heterogenous group of haematological malignancies. In CONCORD-3, we analysed data for children (aged 0-14 years) and adults (aged 15-99 years) diagnosed with a haematological malignancy during 2000-14 in 61 countries. Here, we aimed to examine worldwide trends in survival from leukaemia, by age and morphology, in young patients (aged 0-24 years). METHODS We analysed data from 258 population-based cancer registries in 61 countries participating in CONCORD-3 that submitted data on patients diagnosed with leukaemia. We grouped patients by age as children (0-14 years), adolescents (15-19 years), and young adults (20-24 years). We categorised leukaemia subtypes according to the International Classification of Childhood Cancer (ICCC-3), updated with International Classification of Diseases for Oncology, third edition (ICD-O-3) codes. We estimated 5-year net survival by age and morphology, with 95% CIs, using the non-parametric Pohar-Perme estimator. To control for background mortality, we used life tables by country or region, single year of age, single calendar year and sex, and, where possible, by race or ethnicity. All-age survival estimates were standardised to the marginal distribution of young people with leukaemia included in the analysis. FINDINGS 164 563 young people were included in this analysis: 121 328 (73·7%) children, 22 963 (14·0%) adolescents, and 20 272 (12·3%) young adults. In 2010-14, the most common subtypes were lymphoid leukaemia (28 205 [68·2%] patients) and acute myeloid leukaemia (7863 [19·0%] patients). Age-standardised 5-year net survival in children, adolescents, and young adults for all leukaemias combined during 2010-14 varied widely, ranging from 46% in Mexico to more than 85% in Canada, Cyprus, Belgium, Denmark, Finland, and Australia. Individuals with lymphoid leukaemia had better age-standardised survival (from 43% in Ecuador to ≥80% in parts of Europe, North America, Oceania, and Asia) than those with acute myeloid leukaemia (from 32% in Peru to ≥70% in most high-income countries in Europe, North America, and Oceania). Throughout 2000-14, survival from all leukaemias combined remained consistently higher for children than adolescents and young adults, and minimal improvement was seen for adolescents and young adults in most countries. INTERPRETATION This study offers the first worldwide picture of population-based survival from leukaemia in children, adolescents, and young adults. Adolescents and young adults diagnosed with leukaemia continue to have lower survival than children. Trends in survival from leukaemia for adolescents and young adults are important indicators of the quality of cancer management in this age group. FUNDING Children with Cancer UK, the Institut National du Cancer, La Ligue Contre le Cancer, Centers for Disease Control and Prevention, Swiss Re, Swiss Cancer Research foundation, Swiss Cancer League, Rossy Family Foundation, US National Cancer Institute, and the American Cancer Society.

Published
2022

48. Obstáculos a la innovación y la cooperación para innovar. Caso de empresas en la industria manufacturera del Uruguay

Author

Luis Miguel Silveira Argenzio, Roberto Horta Berro, and Lucía Daniela Ferreira Muñoz

Abstract

El elemento clave de la competitividad organizacional es la innovación y las pymes no escapan de ello, en este sentido, el presente trabajo trata de responder, cuáles son las principales actividades de innovación y los obstáculos a esas actividades que más inciden en las empresas industriales uruguayas, y si la cooperación con otras empresas e instituciones y la participación en redes son importantes a la hora de superar dichos obstáculos. Se utilizaron microdatos de la encuesta que realiza la Agencia Nacional de Investigación e Innovación de Uruguay (ANII), que posibilitó elaborar una serie de descriptores estadísticos relacionados con las variables definidas en el estudio. La investigación pone de manifiesto que la principal actividad de innovación que realizan, tanto las pymes como las grandes empresas, es la adquisición de bienes de capital, junto con la I+D interna. Se verifica que los obstáculos más importantes para desarrollar actividades de innovación son aspectos relacionados a temas micro y meso-económicos. Se encuentra una mayor presencia relativa de grandes empresas en los acuerdos de cooperación para compra y desarrollo conjunto de tecnología y se detecta una reducida participación de empresas pymes en acuerdos o redes vinculadas a conocimientos científicos y tecnológicos, lo que indicaría que los mismos no necesariamente contribuyen a levantar algunos de los obstáculos para realizar actividades de innovación.

Published
2021

49. Comparison of Troponin I levels versus myocardial dysfunction on prognosis in sepsis

Author

Valerio Stefanone, Stefano Calcagno, Riccardo Pini, Federico D’Argenzio, Vittorio Palmieri, Michele Montuori, Francesca Innocenti, Anna De Paris, Marco Cigana, Elisa Capretti, and Irene Tassinari

Subjects
medicine.medical_specialty, Ventricular Dysfunction, Right, Context (language use), 030204 cardiovascular system & hematology, Sepsis, Ventricular Dysfunction, Left, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Troponin I, Internal Medicine, medicine, Humans, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Survival analysis, biology, business.industry, Mortality rate, Prognosis, medicine.disease, Troponin, Emergency Medicine, biology.protein, Cardiology, SOFA score, Sepsis-associated myocardial dysfunction, Cardiomyopathies, business
Abstract

In the context of sepsis, we tested the relationship between echocardiographic findings and Troponin, and their impact on prognosis. In this prospective study, we enrolled 325 septic patients (41% with shock), not mechanically ventilated, between October, 2012 and June, 2019 among those admitted to our High-Dependency Unit. By echocardiography within 24 h from the admission, sepsis-induced myocardial dysfunction (SIMD) was defined as left ventricular (LV) systolic dysfunction (speckle-tracking-based global longitudinal peak systolic strain, GLS, - 14%) and/or right ventricular (RV) systolic dysfunction (Tricuspid Annular Plane Systolic Excursion, TAPSE 16 mm). Troponin I levels were measured upon admission (T0) and after 24 h (T1); it was considered normal if 0.1 ng/mL. Mortality was assessed at day-7 and day-28 end-points. One-hundred and forty-two patients had normal Troponin level at T0 and T1 (G1), 69 had abnormal levels at T0 or T1 (G2) and 114 showed abnormal Troponin levels at both T0 and T1 (G3). Compared to G1, patients in G3 had worse LV and RV systolic function (GLS - 11.6 ± 3.4% vs - 14.0 ± 3.5%, p 0.001; TAPSE 18 ± 0.5 vs 19 ± 0.5 mm, p = 0.047) and greater day-28 (34% vs 20%, p = 0.015) mortality. In a Cox survival analysis including age, Troponin and SOFA score, mortality was predicted by the presence of SIMD (RR 3.24, 95% CI 1.72-6.11, p 0.001) with no contribution of abnormal Troponin level. While abnormal Troponin levels were associated with SIMD diagnosed by echocardiography, only the presence of SIMD predicted the short- and medium-term mortality rate, without an independent contribution of increased Troponin levels.

Published
2021

50. P06-10 To what extent is active mobility practiced by adults in Italy?

Author

Minardi, Valentina, primary, Possenti, Valentina, additional, Contoli, Benedetta, additional, Lana, Susanna, additional, Campostrini, Stefano, additional, Carrozzi, Giuliano, additional, D'Argenzio, Angelo, additional, Fateh-Moghadam, Pirous, additional, Ramigni, Mauro, additional, Trinito, Massimo Oddone, additional, and Masocco, Maria, additional

Published
2022
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