49 results on '"Marchi MR"'
Search Results
2. Emergency tracheostomy in amyotrophic lateral sclerosis
- Author
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Andrea Vianello, Arcaro, G., Braccioni, F., Gallan, F., Marchi, Mr, Chizzolini, M., Donà, A., and Arianna PALMIERI
3. Noninvasive positive pressure ventilation in the management of acute respiratory failure due to osteogenesis imperfecta.
- Author
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Arcaro G, Braccioni F, Gallan F, Marchi MR, and Vianello A
- Published
- 2012
4. Combination of monoclonal antibodies targeting type 2 inflammation for severe asthma and eosinophilic granulomatosis with polyangiitis.
- Author
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Davanzo F, Marchi MR, Iorio L, Bortoli M, Doria A, and Padoan R
- Subjects
- Humans, Middle Aged, Female, Drug Therapy, Combination, Antibodies, Monoclonal therapeutic use, Antibodies, Monoclonal administration & dosage, Inflammation drug therapy, Inflammation immunology, Asthma drug therapy, Asthma immunology, Granulomatosis with Polyangiitis drug therapy, Granulomatosis with Polyangiitis immunology, Granulomatosis with Polyangiitis diagnosis, Antibodies, Monoclonal, Humanized therapeutic use, Antibodies, Monoclonal, Humanized administration & dosage, Antibodies, Monoclonal, Humanized adverse effects
- Abstract
Monoclonal antibodies targeting type 2 inflammation are promising treatments for eosinophilic-associated diseases. There is growing interest in the potential benefits of combining two biologics to treat patients with poorly controlled conditions. We present a case of a 54-year-old female patient affected with a relapsing-refractory ANCA myeloperoxidase positive eosinophilic granulomatosis with polyangiitis (EGPA), presenting with difficult-to-treat asthma and rhino-sinusitis manifestations. She failed several biologics, including omalizumab 300 mg, mepolizumab 100 mg, and benralizumab 30 mg every 8 weeks. A switch to dupilumab led to significant eosinophilia (7.69 × 10
9 /L) as well as systemic symptoms, and a deterioration of asthma control. Therefore, a combination of dupilumab-benralizumab was started, leading to better nasal and ear outcomes, asthma control and decrease in blood eosinophils. During the 12-month treatment, no adverse effects were observed. We conducted an extensive literature search in MEDLINE for original articles published until August 1st, 2023 reporting the combination of anti-type 2 biologics. A total of 51 cases were retrieved from the literature. Omalizumab was the most frequently combined drugs (34 cases). Combination therapy led to reduction of asthma exacerbations and glucocorticoid intake, though was ineffective only for one EGPA patient. Only one patient on omalizumab-mepolizumab therapy reported a mild adverse reaction. Combination biologic therapies for conditions which share pathogenic pathways appears to be both safe and effective. This approach may benefit patients with uncontrolled conditions and counter side effects of biologics, like dupilumab-related hypereosinophilia., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)- Published
- 2024
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5. Benralizumab for eosinophilic granulomatosis with polyangiitis: a retrospective, multicentre, cohort study.
- Author
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Bettiol A, Urban ML, Padoan R, Groh M, Lopalco G, Egan A, Cottin V, Fraticelli P, Crimi C, Del Giacco S, Losappio L, Moi L, Cinetto F, Caminati M, Novikov P, Berti A, Cameli P, Cathébras P, Coppola A, Durel CA, Folci M, Lo Gullo A, Lombardi C, Monti S, Parronchi P, Rivera CM, Solans R, Vacca A, Espígol-Frigolé G, Guarnieri G, Bianchi FC, Marchi MR, Tcherakian C, Kahn JE, Iannone F, Venerito V, Desaintjean C, Moroncini G, Nolasco S, Costanzo GAML, Schroeder JW, Ribi C, Tesi M, Gelain E, Mattioli I, Bello F, Jayne D, Prisco D, Vaglio A, and Emmi G
- Subjects
- Male, Humans, Female, Adult, Middle Aged, Retrospective Studies, Cohort Studies, Prednisone, Interleukin Inhibitors, Pathologic Complete Response, Churg-Strauss Syndrome diagnosis, Granulomatosis with Polyangiitis drug therapy, Leukocyte Disorders, Antibodies, Monoclonal, Humanized
- Abstract
Background: Interleukin-5 (IL-5) inhibitors represent novel therapies for eosinophilic granulomatosis with polyangiitis (EGPA). This study assessed the effectiveness and safety of the IL-5 receptor inhibitor benralizumab in a European cohort of patients with EGPA., Methods: This retrospective cohort study included patients with EGPA from 28 European referral centres of the European EGPA Study Group across six countries (Italy, France, UK, Russia, Spain, and Switzerland) who received benralizumab as any line of treatment between Jan 1, 2019, and Sep 30, 2022. We assessed the rates of complete response, defined as no disease activity (Birmingham Vasculitis Activity Score [BVAS] of 0) and a prednisone dose of up to 4 mg/day, in contrast to partial response, defined as a BVAS of 0 and a prednisone dose greater than 4 mg/day. Active disease manifestations, pulmonary function, variation in glucocorticoid dose, and safety outcomes were also assessed over a 12-month follow-up., Findings: 121 patients with relapsing-refractory EGPA treated with benralizumab at the dose approved for eosinophilic asthma were included (64 [53%] women and 57 [47%] men; median age at the time of beginning benralizumab treatment 54·1 years [IQR 44·2-62·2]). Complete response was reported in 15 (12·4%, 95% CI 7·1-19·6) of 121 patients at month 3, 25 (28·7%, 19·5-39·4) of 87 patients at month 6, and 32 (46·4%, 34·3-58·8) of 69 patients at month 12; partial response was observed in an additional 43 (35·5%, 27·0-44·8) patients at month 3, 23 (26·4%, 17·6-37·0) at month 6, and 13 (18·8%, 10·4-30·1) at month 12. BVAS dropped from 3·0 (IQR 2·0-8·0) at baseline to 0·0 (0·0-2·0) at months 3 and 6, and to 0·0 (0·0-1·0) at month 12. The proportion of patients with systemic manifestations, active peripheral neurological disease, ear, nose, and throat involvement, and pulmonary involvement decreased, with an improvement in lung function tests. Six patients relapsed after having a complete response. The oral prednisone (or equivalent) dose decreased from 10·0 mg/day (5·0-12·5) at baseline to 5·0 mg/day (3·6-8·5) at month 3 (p<0·01), to 5·0 mg/day (2·5-6·3) at month 6, and to 2·5 mg/day (0·0-5·0) at month 12 (p<0·0001). 19 (16%) of 121 patients had adverse events and 16 (13%) discontinued benralizumab., Interpretation: These data suggest that benralizumab could be an effective treatment for EGPA in real-life clinical practice. Further clinical trials are required to confirm the efficacy of benralizumab in patients with a higher baseline disease activity., Funding: None., Competing Interests: Declaration of interests ABer and RP report receiving consulting fees from GSK outside the current work. PCam reports receiving research grants and consulting fees from GSK and AstraZeneca outside the current work. FC reports being invited as a speaker or advisory board member by Grifols, Kedrion, GSK, Takeda, and CSL Behring outside the current work. CC reports receiving honoraria for lectures from GSK, Sanofi, AstraZeneca, Novartis, ResMed, and Fisher & Paykel outside the current work. GE reports receiving consultation honoraria from GSK and AstraZeneca outside the current work. GE-F reports receiving advisory fees from GSK outside the current work. J-EK and VC report receiving consulting fees from GSK and AstraZeneca outside the current work. CT reports receiving grants and consulting fees from GSK, Novartis, Sanofi, and AstraZeneca outside the current work. PP reports receiving consultation honoraria from GSK and Novartis outside the current work. AVag reports receiving consultation honoraria from GSK outside the current work. All other authors declare no competing interests., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
- Published
- 2023
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6. Risk of acute arterial and venous thromboembolic events in eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).
- Author
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Bettiol A, Sinico RA, Schiavon F, Monti S, Bozzolo EP, Franceschini F, Govoni M, Lunardi C, Guida G, Lopalco G, Paolazzi G, Vacca A, Gregorini G, Leccese P, Piga M, Conti F, Fraticelli P, Quartuccio L, Alberici F, Salvarani C, Bettio S, Negrini S, Selmi C, Sciascia S, Moroni G, Colla L, Manno C, Urban ML, Vannacci A, Pozzi MR, Fabbrini P, Polti S, Felicetti M, Marchi MR, Padoan R, Delvino P, Caporali R, Montecucco C, Dagna L, Cariddi A, Toniati P, Tamanini S, Furini F, Bortoluzzi A, Tinazzi E, Delfino L, Badiu I, Rolla G, Venerito V, Iannone F, Berti A, Bortolotti R, Racanelli V, Jeannin G, Padula A, Cauli A, Priori R, Gabrielli A, Bond M, Tedesco M, Pazzola G, Tomietto P, Pellecchio M, Marvisi C, Maritati F, Palmisano A, Dejaco C, Willeit J, Kiechl S, Olivotto I, Willeit P, Prisco D, Vaglio A, and Emmi G
- Subjects
- Humans, Churg-Strauss Syndrome, Granulomatosis with Polyangiitis, Venous Thromboembolism, Venous Thrombosis
- Abstract
Competing Interests: Conflict of interest: A. Bettiol has nothing to disclose. Conflict of interest: R.A. Sinico has nothing to disclose. Conflict of interest: F. Schiavon has nothing to disclose. Conflict of interest: S. Monti has nothing to disclose. Conflict of interest: E.P. Bozzolo has nothing to disclose. Conflict of interest: F. Franceschini has nothing to disclose. Conflict of interest: M. Govoni has nothing to disclose. Conflict of interest: C. Lunardi has nothing to disclose. Conflict of interest: G. Guida has nothing to disclose. Conflict of interest: G. Lopalco has nothing to disclose. Conflict of interest: G. Paolazzi has nothing to disclose. Conflict of interest: A. Vacca has nothing to disclose. Conflict of interest: G. Gregorini has nothing to disclose. Conflict of interest: P. Leccese has nothing to disclose. Conflict of interest: M. Piga has nothing to disclose. Conflict of interest: F. Conti has nothing to disclose. Conflict of interest: P. Fraticelli has nothing to disclose. Conflict of interest: L. Quartuccio has nothing to disclose. Conflict of interest: F. Alberici has nothing to disclose. Conflict of interest: C. Salvarani has nothing to disclose. Conflict of interest: S. Bettio has nothing to disclose. Conflict of interest: S. Negrini has nothing to disclose. Conflict of interest: C. Selmi has nothing to disclose. Conflict of interest: S. Sciascia has nothing to disclose. Conflict of interest: G. Moroni has nothing to disclose. Conflict of interest: L. Colla has nothing to disclose. Conflict of interest: C. Manno has nothing to disclose. Conflict of interest: M.L. Urban has nothing to disclose. Conflict of interest: A. Vannacci has nothing to disclose. Conflict of interest: M.R. Pozzi has nothing to disclose. Conflict of interest: P. Fabbrini has nothing to disclose. Conflict of interest: S. Polti has nothing to disclose. Conflict of interest: M. Felicetti has nothing to disclose. Conflict of interest: M.R. Marchi has nothing to disclose. Conflict of interest: R. Padoan has nothing to disclose. Conflict of interest: P. Delvino has nothing to disclose. Conflict of interest: R. Caporali has nothing to disclose. Conflict of interest: C. Montecucco has nothing to disclose. Conflict of interest: L. Dagna has nothing to disclose. Conflict of interest: A. Cariddi has nothing to disclose. Conflict of interest: P. Toniati has nothing to disclose. Conflict of interest: S. Tamanini worked at ASST Spedali Civili Brescia, Unit of Rheumatology and Immunology during the conduct of the study, but has since been employed by GlaxoSmithKline. Conflict of interest: F. Furini has nothing to disclose. Conflict of interest: A. Bortoluzzi has nothing to disclose. Conflict of interest: E. Tinazzi has nothing to disclose. Conflict of interest: L. Delfino has nothing to disclose. Conflict of interest: I. Badiu has nothing to disclose. Conflict of interest: G. Rolla has nothing to disclose. Conflict of interest: V. Venerito has nothing to disclose. Conflict of interest: F. Iannone has nothing to disclose. Conflict of interest: A. Berti has nothing to disclose. Conflict of interest: R. Bortolotti has nothing to disclose. Conflict of interest: V. Racanelli has nothing to disclose. Conflict of interest: G. Jeannin has nothing to disclose. Conflict of interest: A. Padula has nothing to disclose. Conflict of interest: A. Cauli has nothing to disclose. Conflict of interest: R. Priori has nothing to disclose. Conflict of interest: A. Gabrielli has nothing to disclose. Conflict of interest: M. Bond has nothing to disclose. Conflict of interest: M. Tedesco has nothing to disclose. Conflict of interest: G. Pazzola has nothing to disclose. Conflict of interest: P. Tomietto has nothing to disclose. Conflict of interest: M. Pellecchio has nothing to disclose. Conflict of interest: C. Marvisi has nothing to disclose. Conflict of interest: F. Maritati has nothing to disclose. Conflict of interest: A. Palmisano has nothing to disclose. Conflict of interest: C. Dejaco has nothing to disclose. Conflict of interest: J. Willeit has nothing to disclose. Conflict of interest: S. Kiechl has nothing to disclose. Conflict of interest: I. Olivotto has nothing to disclose. Conflict of interest: P. Willeit has nothing to disclose. Conflict of interest: D. Prisco has nothing to disclose. Conflict of interest: A. Vaglio has nothing to disclose. Conflict of interest: G. Emmi has nothing to disclose.
- Published
- 2021
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7. Dyspnea, effort and muscle pain during exercise in lung transplant recipients: an analysis of their association with cardiopulmonary function parameters using machine learning.
- Author
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Braccioni F, Bottigliengo D, Ermolao A, Schiavon M, Loy M, Marchi MR, Gregori D, Rea F, and Vianello A
- Subjects
- Adult, Cross-Sectional Studies, Dyspnea diagnosis, Exercise Tolerance physiology, Female, Humans, Lung Transplantation adverse effects, Male, Middle Aged, Myalgia diagnosis, Prospective Studies, Dyspnea physiopathology, Exercise physiology, Exercise Test methods, Lung Transplantation trends, Machine Learning, Myalgia physiopathology, Transplant Recipients
- Abstract
Background: Despite improvement in lung function, most lung transplant (LTx) recipients show an unexpectedly reduced exercise capacity that could be explained by persisting peripheral muscle dysfunction of multifactorial origin. We analyzed the course of symptoms, including dyspnea, muscle effort and muscle pain and its relation with cardiac and pulmonary function parameters during an incremental exercise testing., Methods: Twenty-four bilateral LTx recipients were evaluated in an observational cross-sectional study. Recruited patients underwent incremental cardio-pulmonary exercise testing (CPET). Arterial blood gases at rest and peak exercise were measured. Dyspnea, muscle effort and muscle pain were scored according to the Borg modified scale. Potential associations between the severity of symptoms and exercise testing parameters were analyzed using a Forest-Tree Machine Learning approach, which accomplishes for a ratio between number of observations and number of screened variables less than unit., Results: Dyspnea score was significantly associated with maximum power output (WR, watts), and minute ventilation (VE, L/min) at peak exercise. In a controlled subgroup analysis, dyspnea score was a limiting symptom only in LTx recipients who reached the higher levels of WR (≥ 101 watts) and V
E (≥ 53 L/min). Muscle effort score was significantly associated with breathing reserve as percent of maximal voluntary ventilation (BR%MVV). The lower the BR%MVV at peak exercise (< 32) the higher the muscle effort perception. Muscle pain score was significantly associated with VO2 peak, arterial [HCO3 - ] at rest, and VE /VCO2 slope. In a subgroup analysis, muscle pain was the limiting symptom in LTx recipients with a lower VO2 peak (< 15 mL/Kg/min) and a higher VE /VCO2 slope (≥ 32)., Conclusions: The majority of our LTx recipients reported peripheral limitation as the prevalent reason for exercise termination. Muscle pain at peak exercise was strictly associated with basal and exercise-induced metabolic altered pathways. The onset of dyspnea (breathing effort) was associated with the intensity of ventilatory response to meet metabolic demands for increasing WR. Our study suggests that only an accurate assessment of symptoms combined with cardio-pulmonary parameters allows a correct interpretation of exercise limitation and a tailored exercise prescription. The role and mechanisms of muscle pain during exercise in LTx recipients requires further investigations.- Published
- 2020
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8. Benralizumab as a glucocorticoid-sparing treatment option for severe asthma in eosinophilic granulomatosis with polyangiitis.
- Author
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Padoan R, Chieco Bianchi F, Marchi MR, Cazzador D, Felicetti M, Emanuelli E, Vianello A, Nicolai P, Doria A, and Schiavon F
- Subjects
- Antibodies, Monoclonal, Humanized, Eosinophils, Glucocorticoids therapeutic use, Humans, Asthma drug therapy, Churg-Strauss Syndrome diagnosis, Churg-Strauss Syndrome drug therapy, Granulomatosis with Polyangiitis
- Published
- 2020
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9. Relevance of TH2 Markers in the Assessment and Therapeutic Management of Severe Allergic Asthma: A Real-Life Perspective.
- Author
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Caminati M, Vianello A, Chieco Bianchi F, Festi G, Guarnieri G, Marchi MR, Micheletto C, Olivieri M, Tognella S, Guerriero M, and Senna G
- Subjects
- Adult, Asthma therapy, Biomarkers metabolism, Cytokines metabolism, Female, Humans, Immunoglobulin E blood, Leukocyte Count, Male, Middle Aged, Omalizumab therapeutic use, Quality of Life, Retrospective Studies, Asthma diagnosis, Eosinophils immunology, Nitric Oxide metabolism, Th2 Cells immunology
- Abstract
Background: Although blood eosinophils are currently recognized as the main clinical marker of TH2-type inflammation, their relevance in identifying asthma severity remains a matter of debate., Methods: Our retrospective real-life study on severe asthmatics included in the NEONet Italian database aimed to investigate the relevance of blood eosinophil count and fractional exhaled nitric oxide (FeNO) in the clinical assessment of severe asthma and their role as potential predictors of responsiveness to anti-IgE therapy. The cut-off values chosen were 300 eosinophils/mm3 and FeNO of 30 ppm., Results: We evaluated 132 adult patients. No significant differences were observed between the groups (high and low baseline eosinophil counts) in terms of demographic data, total IgE, lung function, patient-reported outcomes, or nasal comorbidities. The Asthma Control Test score and Asthma Quality of Life Questionnaire scores were poorer in patients with FeNO ≥30 ppb than in patients with FeNO <30 ppb. In the high FeNO subgroup, more frequent hospital admissions and a higher number of working days lost in the previous year were registered. A combined score including both eosinophils and FeNO did not improve the accuracy of the individual parameters. In the high-eosinophil subgroup, the proportion of responders to omalizumab was greater and increased at each follow-up time point., Conclusions: Our findings show that blood eosinophil count is not an unequivocal marker of asthma severity, whereas a higher FeNO level is associated with more frequent hospital admissions and more working days lost. Blood eosinophils seem to act as a predictor of response to omalizumab.
- Published
- 2020
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10. Mepolizumab for severe eosinophilic asthma: a real-world snapshot on clinical markers and timing of response.
- Author
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Caminati M, Cegolon L, Vianello A, Chieco Bianchi F, Festi G, Marchi MR, Micheletto C, Mazza F, Tognella S, and Senna G
- Subjects
- Biomarkers, Eosinophils, Exhalation, Female, Forced Expiratory Volume drug effects, Humans, Male, Middle Aged, Respiratory Function Tests, Treatment Outcome, Anti-Asthmatic Agents therapeutic use, Antibodies, Monoclonal, Humanized therapeutic use, Asthma drug therapy, Pulmonary Eosinophilia drug therapy
- Abstract
Background : Few studies have provided real-world evidence of mepolizumab efficacy and safety. We aimed to evaluate mepolizumab for severe eosinophilic asthma in daily clinical practice. Research design and methods : Patients included in the RINOVA (Interdisciplinary Network for the management of severe asthma in Veneto region, Italy) database were investigated. Blood eosinophil count, forced expiratory volume in 1 second, % of predicted (FEV1%), fractional exhaled nitric oxide (FeNO), asthma control test (ACT), oral steroid (OCS) intake, and exacerbation rate were evaluated during mepolizumab treatment. Results : 69 patients were enrolled (mean age: 55.1 years; 60.9% females). A significant improvement was detected at one month with respect to blood eosinophils (median level at baseline: 710/μl; -620/μl, p < 0,001), FEV1% (median value at baseline 87; range: 79-101; +4, p = 0.001) and ACT (median value at baseline 18; range: 14-20.5;+4, <0.001). A significant reduction of FeNO was observed six months after the treatment start, when the exacerbation rate and the mean OCS dose significantly decreased (respectively: Δ reduction -3; p < 0.001 and -5 mg; p < 0.001). Conclusions : Our study provides real-world evidence of mepolizumab safety and confirms its dramatic steroid sparing effect. The greatest clinical change (ACT and FEV1) was observed within the first month.
- Published
- 2019
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11. Estrogen levels in surface sediments from a multi-impacted Brazilian estuarine system.
- Author
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Pusceddu FH, Sugauara LE, de Marchi MR, Choueri RB, and Castro ÍB
- Subjects
- Brazil, Endocrine Disruptors analysis, Estradiol analysis, Estriol analysis, Estuaries, Ethinyl Estradiol analysis, Sewage, Estrogens analysis, Geologic Sediments analysis, Water Pollutants, Chemical analysis
- Abstract
Estrogen levels were assessed in surface sediments from one of the most industrialized and urbanized estuarine systems in Latin America (SSES, Santos and São Vicente estuarine system). Estriol (E3) presented quantifiable levels in all sampled sites, ranging from 20.9 ng g
-1 to 694.2 ng g-1 . 17β-estradiol (E2) and 17α-ethinylestradiol (EE2) were also detected in almost all sampled sites. The highest concentration of E2 was 23.9 ng g-1 , whereas high levels of EE2 86.3 ng g-1 . The occurrence of estrogens in SSES was diffuse and partially related to a domestic sewage outfall. Estrogens were also found in areas with substantial contribution of sanitary effluents from domiciles not covered by sanitation services. Our results reinforce that studies on environmental contamination by estrogens should not be spatially limited to the vicinities of point sources. These results contribute to raise awareness on the need of a formal approach to assess ecological risks of estrogens in the SSES., (Copyright © 2019 Elsevier Ltd. All rights reserved.)- Published
- 2019
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12. Spontaneous pneumomediastinum complicating severe acute asthma exacerbation in adult patients.
- Author
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Vianello A, Caminati M, Chieco-Bianchi F, Marchi MR, Vio S, Arcaro G, Iovino S, Braccioni F, Molena B, Turato C, Peditto P, Battistella L, Gallan F, and Senna G
- Subjects
- Adolescent, Adult, Age Factors, Aged, Alternariosis epidemiology, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy, Humans, Hypersensitivity, Immediate epidemiology, Length of Stay, Middle Aged, Oxygen blood, Prospective Studies, Radiography, Thoracic, Severity of Illness Index, Sex Factors, Smoking epidemiology, Socioeconomic Factors, Status Asthmaticus epidemiology, Tomography, X-Ray Computed, Young Adult, Asthma epidemiology, Mediastinal Emphysema epidemiology
- Abstract
Objectives : The real incidence of pneumomediastinum (PNM) in adult patients with severe acute asthma exacerbation continues to be unknown. The current study aims to investigate the occurrence of PNM in an adult population of patients presenting a severe asthma attack and to evaluate the risk factors associated to its development. Methods : The 45 consecutive subjects who were admitted to our Division between January 1, 2015 and December 31, 2016 for severe acute asthma exacerbation underwent a diagnostic protocol including a standard chest X-ray and continuous monitoring of arterial oxygen saturation (SaO
2 ) during the first 24 hours following admission. The patients showing persistence or deterioration of oxyhemoglobin desaturation were prescribed a chest Computed Tomographic (CT) scan. Results : Five out of the 45 patients (11.1%) with severe acute asthma exacerbation were diagnosed with PNM, in one case on the basis of an X-ray image and in four on the basis of a chest CT scan. Data analysis showed that the PNM patients were younger [21 (17-21) vs 49.5 (20-73) yrs; p < 0.001] and more likely to show sensitization to Alternaria (2/5 vs 0/40; p = 0.0101) with respect to their non-PNM counterparts. The duration of hospital stay was similar in the two groups [8 (4-12) vs 7 (3-15) days; p = 0.6939]. Conclusions : PNM is a common clinical entity in young adults with severe acute asthma exacerbation, particularly in those with unsatisfactory response to initial medical therapy. Although generally benign, patients with suspected PNM should be closely monitored because of the risk of developing severe hypoxemia.- Published
- 2018
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13. Occurrence and human exposure to brominated and organophosphorus flame retardants via indoor dust in a Brazilian city.
- Author
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Cristale J, Aragão Belé TG, Lacorte S, and Rodrigues de Marchi MR
- Subjects
- Air Pollution, Indoor statistics & numerical data, Automobiles statistics & numerical data, Brazil, Bromobenzenes analysis, Cities statistics & numerical data, Environmental Monitoring, Gas Chromatography-Mass Spectrometry, Halogenated Diphenyl Ethers analysis, Humans, Organophosphates analysis, Phosphates analysis, Risk Assessment, Schools statistics & numerical data, Air Pollution, Indoor analysis, Dust analysis, Environmental Exposure statistics & numerical data, Flame Retardants analysis, Organophosphorus Compounds analysis
- Abstract
Indoor dust is considered an important human exposure route to flame retardants (FRs), which has arised concern due the toxic properties of some of these substances. In this study, ten organophosphorus flame retardants (OPFRs), eight polybrominated diphenyl ethers (PBDEs) and four new brominated flame retardants (NBFRs) were determined in indoor dust from different places in Araraquara-SP (Brazil). The sampled places included houses, apartments, offices, primary schools and cars. The analysis of the sample extracts was performed by gas chromatography coupled to mass spectrometry and two ionization techniques were used (electron ionization - EI; electron capture negative ionization - ECNI). OPFRs were the most abundant compounds and tris(2-butoxyethyl) phosphate (TBOEP), tris(phenyl) phosphate (TPHP), tris(1,3-dichloroisopropyl) phosphate (TDCIPP) and tris(2-chloroisopropyl) phosphate (TCIPP) were present at the highest concentrations. Among the brominated FRs, the most ubiquitous compounds were BDE-209, bis(2-ethylhexyl) tetrabromophthalate (BEH-TEBP) and decabromodiphenyl ethane (DBDPE). Statistical analysis revealed that there were differences among dust typologies for TBOEP, TDCIPP, ethylhexyl diphenyl phosphate (EHDPHP), BDE-209, 2-ethylhexyl 2,3,4,5-tetrabromobenzoate (EH-TBB), BEH-TEBP and DBDPE, which were attributed to different construction materials in each particular environment and to the age of the buildings. The highest levels of brominated FRs were observed in offices, TBOEP was at high concentration in primary schools, and TDCIPP was at high concentration in cars. A preliminary risk assessment revealed that toddlers were exposed to TBOEP levels higher than the reference dose when considering the worst case scenario. The results obtained in this study showed for the first time that although Brazil does not regulate the use of FRs, these substances are present in indoor dust at levels similar to the observed in countries that have strict fire safety standards, and that humans are exposed to complex mixtures of these contaminants via indoor dust., (Copyright © 2017 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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14. Corrigendum to "Development of an Italian RM Y-STR haplotype database: Results of the 2013 GEFI collaborative exercise" [Forensic. Sci. Int. Genet. 15 (2015) 56-63].
- Author
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Robino C, Ralf A, Pasino S, De Marchi MR, Ballantyne KN, Barbaro A, Bini C, Carnevali E, Casarino L, Di Gaetano C, Fabbri M, Ferri G, Giardina E, Gonzalez A, Matullo G, Nutini AL, Onofri V, Piccinini A, Piglionica M, Ponzano E, Previderè C, Resta N, Scarnicci F, Seidita G, Sorçaburu-Cigliero S, Turrina S, Verzeletti A, and Kayser M
- Published
- 2018
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15. Randomized clinical trial of psychological support and sleep adjuvant measures for postoperative sleep disturbance in patients undergoing oesophagectomy.
- Author
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Scarpa M, Pinto E, Saraceni E, Cavallin F, Parotto M, Alfieri R, Nardi MT, Marchi MR, Cagol M, and Castoro C
- Subjects
- Aged, Female, Humans, Male, Middle Aged, Quality of Life, Treatment Outcome, Counseling, Esophageal Neoplasms surgery, Esophagectomy adverse effects, Postoperative Complications psychology, Postoperative Complications therapy, Sleep Wake Disorders psychology, Sleep Wake Disorders therapy
- Abstract
Background: Major surgery such as oesophagectomy requires a postoperative stay in intensive care. Painful stimuli lead to sleep disturbance and impairment in quality of life. The aim of this study was to evaluate the effect of psychological counselling and sleep adjuvant measures on postoperative quality of sleep and quality of life., Methods: This RCT was performed between January 2013 and October 2015. Patients undergoing oesophagectomy for cancer were randomized into one of four groups receiving: psychological counselling plus sleep adjuvant measures during the ICU stay; psychological counselling alone; sleep adjuvant measures alone during the ICU stay; or standard care. The primary endpoint was impairment in quality of life measured using the European Organisation for Research and Treatment of Cancer C30-QL2 questionnaire between admission for surgery and discharge from hospital. The secondary endpoint was impairment in quality of sleep assessed by means of the Pittsburgh Sleep Quality Index between admission for surgery and hospital discharge., Results: The local ethics committee approved the early termination of the study because of relevant changes in the ICU setting. Some 87 patients were randomized and 74 patients were evaluated in the analysis. Psychological counselling reduced the impairment in quality of life (odds ratio 0·23, 95 per cent c.i. 0·09 to 0·61) and in quality of sleep (odds ratio 0·27, 0·10 to 0·73)., Conclusion: Perioperative psychological support reduces impairment in quality of life and quality of sleep after oesophagectomy. Registration number: NCT01738620 (http://www.clinicaltrials.gov)., (© 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.)
- Published
- 2017
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16. Photochemical transformation of zearalenone in aqueous solutions under simulated solar irradiation: Kinetics and influence of water constituents.
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Emídio ES, Calisto V, de Marchi MR, and Esteves VI
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- Benzopyrans, Ferric Compounds, Fresh Water analysis, Half-Life, Humic Substances, Kinetics, Photochemical Processes, Photolysis, Seawater, Solar Energy, Solutions, Water chemistry, Water Pollutants, Chemical analysis, Water Pollutants, Chemical radiation effects, Zearalenone radiation effects, Sunlight, Water Pollutants, Chemical chemistry, Zearalenone chemistry
- Abstract
The presence of estrogenic mycotoxins, such as zearalenone (ZEN), in surface waters is an emerging environmental issue. Little is known about its phototransformation behavior, which may influence its environmental fate. In this context, the phototransformation of ZEN was investigated in pure water, river water and estuarine water using simulated sunlight irradiation. Kinetic studies revealed that two concomitant processes contribute to the fate of ZEN under solar irradiation: photoisomerization and photodegradation. This phototransformation followed a pseudo-first order kinetics. ZEN degrades quickly in natural waters and slowly in deionized water, with half-lives (t
1/2 ) of 28 ± 4 min (estuarine water), 136 ± 21 min (river water) and 1777 ± 412 min (deionized water). The effects of different water constituents on the phototransformation of ZEN in aqueous solution have been assessed (NaCl, Ca2+ , Mg2+ , Fe3+ , NO3 - and oxalate ions, synthetic seawater, Fe(III)-oxalate and Mg(II)-oxalate complexes, humic acids, fulvic acids and XAD-4 fraction). In the presence of synthetic seawater salt (t1/2 = 18 ± 5 min) and Fe(III)-oxalate complexes (t1/2 = 61 ± 9 min), the transformation rate increased considerably in relation to other water constituents tested. The solution pH also had a considerable effect in the kinetics with maximum transformation rates occurring around pH 8.5. These results allow us to conclude that phototransformation by solar radiation can be an important degradation pathway of ZEN in natural waters., (Copyright © 2016 Elsevier Ltd. All rights reserved.)- Published
- 2017
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17. Fatal asthma; is it still an epidemic?
- Author
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Vianello A, Caminati M, Crivellaro M, El Mazloum R, Snenghi R, Schiappoli M, Dama A, Rossi A, Festi G, Marchi MR, Bovo C, Canonica GW, and Senna G
- Abstract
Background: Asthma mortality has declined since the 1980s. Nevertheless the World Health Organization (WHO) identified asthma as responsible for 225.000 deaths worldwide in 2005, and 430.000 fatal cases are expected by 2030. Some unexpected and concentrated fatal asthma events all occurred between 2013 and 2015 in Veneto, a North Eastern region of Italy, which prompted a more in-depth investigation of characteristics and risk factors., Methods: A web search including key words related to fatal asthma in Italy between 2013 and 2015 has been performed. Concerning the cases that occurred in Veneto, subjects' clinical records have been evaluated and details about concomitant weather conditions, pollutants and pollen count have been collected., Results: Twenty-three cases of asthma deaths were found in Italy; 16 of them (69%) occurred in the Veneto Region. A prevalence of male and young age was observed. Most of patients were atopic, died in the night-time hours and during the weekends. The possible risk factors identified were the sensitization to alternaria , previous near fatal asthma attacks and the incorrect treatment of the disease. Weather condition did not appear to be related to the fatal exacerbations, whereas among the pollutants only ozone was detected over the accepted limits. Smoking habits, possible drug abuse and concomitant complementary therapies might be regarded as further risk factors., Discussion: Although not free from potential biases, our web search and further investigations highlight an increasing asthma mortality trend, similarly to what other observatories report. The analysis of available clinical data suggests that the lack of treatment more than a severe asthma phenotype characterizes the fatal events., Conclusions: Asthma mortality still represents a critical issue in the management of the disease, particularly in youngsters. Once more the inadequate treatment and the lack of adherence seem to be not only related to the uncontrolled asthma but also to asthma mortality.
- Published
- 2016
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18. Influence on the oxidative potential of a heavy-duty engine particle emission due to selective catalytic reduction system and biodiesel blend.
- Author
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Godoi RH, Polezer G, Borillo GC, Brown A, Valebona FB, Silva TO, Ingberman AB, Nalin M, Yamamoto CI, Potgieter-Vermaak S, Penteado Neto RA, de Marchi MR, Saldiva PH, Pauliquevis T, and Godoi AF
- Subjects
- Catalysis, Air Pollutants analysis, Biofuels analysis, Particulate Matter analysis, Vehicle Emissions analysis
- Abstract
Although the particulate matter (PM) emissions from biodiesel fuelled engines are acknowledged to be lower than those of fossil diesel, there is a concern on the impact of PM produced by biodiesel to human health. As the oxidative potential of PM has been suggested as trigger for adverse health effects, it was measured using the Electron Spin Resonance (OP(ESR)) technique. Additionally, Energy Dispersive X-ray Fluorescence Spectroscopy (EDXRF) was employed to determine elemental concentration, and Raman Spectroscopy was used to describe the amorphous carbon character of the soot collected on exhaust PM from biodiesel blends fuelled test-bed engine, with and without Selective Catalytic Reduction (SCR). OP(ESR) results showed higher oxidative potential per kWh of PM produced from a blend of 20% soybean biodiesel and 80% ULSD (B20) engine compared with a blend of 5% soybean biodiesel and 95% ULSD (B5), whereas the SCR was able to reduce oxidative potential for each fuel. EDXRF data indicates a correlation of 0.99 between concentration of copper and oxidative potential. Raman Spectroscopy centered on the expected carbon peaks between 1100cm(-1) and 1600cm(-1) indicate lower molecular disorder for the B20 particulate matter, an indicative of a more graphitic carbon structure. The analytical techniques used in this study highlight the link between biodiesel engine exhaust and increased oxidative potential relative to biodiesel addition on fossil diesel combustion. The EDXRF analysis confirmed the prominent role of metals on free radical production. As a whole, these results suggest that 20% of biodiesel blends run without SCR may pose an increased health risk due to an increase in OH radical generation., (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Published
- 2016
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19. Distribution of butyltin compounds in Brazil's southern and southeastern estuarine ecosystems: assessment of spatial scale and compartments.
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Dos Santos DM, Turra A, de Marchi MR, and Montone RC
- Subjects
- Animals, Brazil, Ecosystem, Environmental Monitoring methods, Fishes metabolism, Liver chemistry, Organotin Compounds analysis, Paint, Estuaries, Trialkyltin Compounds analysis, Water Pollutants, Chemical analysis
- Abstract
Butyltin compounds (BTs), including tributyltin (TBT) and its degradation products, dibutyltin and monobutyltin, have been found in a diversity of aquatic systems and causing toxic effects in target and nontarget organisms. They enter in coastal systems through different sources (as antifouling paints, industrial effluents, etc.) where they interact with biotic and abiotic components, and their distribution is commonly determined by the morphological and hydrodynamic conditions of the coastal systems. In this study, we discuss the contamination by BTs on a spatial scale (eight estuaries with three subareas each) and in different compartments of the estuaries (sediments, suspended particulate matter (SPM), and estuarine catfish tissues (liver and gills). Lower concentrations of BTs were found in the sediments (n.d. to 338 ng g(-1)) in comparison to studies before a ban of TBT in antifouling paints was enacted, mostly indicating an old input or preservation related with sediment properties and composition. For SPM samples (n.d. to 175 ng L(-1)) as well as in fish tissues (n.d. to 1426 ng g(-1)), the presence of these compounds was frequent, especially in the fish due to their movement throughout the estuaries and the potential to assess point sources of BTs. These results indicate that BTs persist in the environment, with variation in amounts between investigated estuaries and even at locations inside the same estuary, because of ideal preservation conditions, transport to remote areas, and input from different sources.
- Published
- 2016
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20. The occurrence of UV filters in natural and drinking water in São Paulo State (Brazil).
- Author
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da Silva CP, Emídio ES, and de Marchi MR
- Subjects
- Acrylates analysis, Benzophenones analysis, Brazil, Groundwater chemistry, Seasons, Ultraviolet Rays, Cinnamates analysis, Drinking Water, Sunscreening Agents analysis, Water Pollutants, Chemical analysis
- Abstract
Ultraviolet (UV) filters are widely used in the formulation of personal care products (PCPs) to prevent damage to the skin, lips, and hair caused by excessive UV radiation. Therefore, large amounts of these substances are released daily into the aquatic environment through either recreational activities or the release of domestic sewage. The concern regarding the presence of such substances in the environment and the exposure of aquatic organisms is based on their potential for bioaccumulation and their potential as endocrine disruptors. Although there are several reports regarding the occurrence and fate of UV filters in the aquatic environment, these compounds are still overlooked in tropical areas. In this study, we investigated the occurrence of the organic UV filters benzophenone-3 (BP-3), ethylhexyl salicylate (ES), ethylhexyl methoxycinnamate (EHMC), and octocrylene (OC) in six water treatment plants in various cities in Southeast Brazil over a period of 6 months to 1 year. All of the UV filters studied were detected at some time during the sampling period; however, only EHMC and BP-3 were found in quantifiable concentrations, ranging from 55 to 101 and 18 to 115 ng L(-1), respectively. Seasonal variation of BP-3 was most clearly noticed in the water treatment plant in Araraquara, São Paulo, where sampling was performed for 12 months. BP-3 was not quantifiable in winter but was quantifiable in summer. The levels of BP-3 were in the same range in raw, treated and chlorinated water, indicating that the compound was not removed by the water treatment process.
- Published
- 2015
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21. Determination of estrogenic mycotoxins in environmental water samples by low-toxicity dispersive liquid-liquid microextraction and liquid chromatography-tandem mass spectrometry.
- Author
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Emídio ES, da Silva CP, and de Marchi MR
- Subjects
- Chromatography, Liquid methods, Fresh Water chemistry, Limit of Detection, Liquid Phase Microextraction, Spectrometry, Mass, Electrospray Ionization methods, Tandem Mass Spectrometry methods, Estrogens, Non-Steroidal analysis, Mycotoxins analysis, Zearalenone analysis, Zeranol analogs & derivatives, Zeranol analysis
- Abstract
A novel, simple, rapid and eco-friendly method based on dispersive liquid-liquid microextraction using a bromosolvent was developed to determine six estrogenic mycotoxins (zearalenone, zearalanone, α-zearalanol, β-zearalanol, α-zearalenol and β-zearalenol) in water samples by liquid chromatography-electrospray ionization tandem mass spectrometry in the negative mode (LC-ESI-MS/MS). The optimal conditions for this method include the use of 100 μL bromocyclohexane as an extraction solvent (using a non-dispersion solvent), 10 mL of aqueous sample (adjusted to pH 4), a vortex extraction time of 2 min, centrifugation for 10 min at 3500 rpm and no ionic strength adjustment. The calibration function was linear and was verified by applying the Mandel fitting test with a 95% confidence level. No matrix effect was observed. According to the relative standard deviations (RSDs), the precision was better than 13% for the repeatability and intermediate precision. The average recoveries of the spiked compounds ranged from 81 to 118%. The method limits of detection (LOD) and quantification (LOQ) considering a 125-fold pre-concentration step were 4-20 and 8-40 ng L(-1), respectively. Next, the method was applied to the analysis of the environmental aqueous samples, demonstrating the presence of β-zearalanol and zearalanone in the river water samples., (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Published
- 2015
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22. Development of an Italian RM Y-STR haplotype database: Results of the 2013 GEFI collaborative exercise.
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Robino C, Ralf A, Pasino S, De Marchi MR, Ballantyne KN, Barbaro A, Bini C, Carnevali E, Casarino L, Di Gaetano C, Fabbri M, Ferri G, Giardina E, Gonzalez A, Matullo G, Nutini AL, Onofri V, Piccinini A, Piglionica M, Ponzano E, Previderè C, Resta N, Scarnicci F, Seidita G, Sorçaburu-Cigliero S, Turrina S, Verzeletti A, and Kayser M
- Subjects
- Base Sequence, Cooperative Behavior, DNA Primers, Humans, Italy, Quality Control, Chromosomes, Human, Y, Databases, Genetic, Haplotypes
- Abstract
Recently introduced rapidly mutating Y-chromosomal short tandem repeat (RM Y-STR) loci, displaying a multiple-fold higher mutation rate relative to any other Y-STRs, including those conventionally used in forensic casework, have been demonstrated to improve the resolution of male lineage differentiation and to allow male relative separation usually impossible with standard Y-STRs. However, large and geographically-detailed frequency haplotype databases are required to estimate the statistical weight of RM Y-STR haplotype matches if observed in forensic casework. With this in mind, the Italian Working Group (GEFI) of the International Society for Forensic Genetics launched a collaborative exercise aimed at generating an Italian quality controlled forensic RM Y-STR haplotype database. Overall 1509 male individuals from 13 regional populations covering northern, central and southern areas of the Italian peninsula plus Sicily were collected, including both "rural" and "urban" samples classified according to population density in the sampling area. A subset of individuals was additionally genotyped for Y-STR loci included in the Yfiler and PowerPlex Y23 (PPY23) systems (75% and 62%, respectively), allowing the comparison of RM and conventional Y-STRs. Considering the whole set of 13 RM Y-STRs, 1501 unique haplotypes were observed among the 1509 sampled Italian men with a haplotype diversity of 0.999996, largely superior to Yfiler and PPY23 with 0.999914 and 0.999950, respectively. AMOVA indicated that 99.996% of the haplotype variation was within populations, confirming that genetic-geographic structure is almost undetected by RM Y-STRs. Haplotype sharing among regional Italian populations was not observed at all with the complete set of 13 RM Y-STRs. Haplotype sharing within Italian populations was very rare (0.27% non-unique haplotypes), and lower in urban (0.22%) than rural (0.29%) areas. Additionally, 422 father-son pairs were investigated, and 20.1% of them could be discriminated by the whole set of 13 RM Y-STRs, which was very close to the theoretically expected estimate of 19.5% given the mutation rates of the markers used. Results obtained from a high-coverage Italian haplotype dataset confirm on the regional scale the exceptional ability of RM Y-STRs to resolve male lineages previously observed globally, and attest the unsurpassed value of RM Y-STRs for male-relative differentiation purposes., (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2015
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23. Method validation using weighted linear regression models for quantification of UV filters in water samples.
- Author
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da Silva CP, Emídio ES, and de Marchi MR
- Abstract
This paper describes the validation of a method consisting of solid-phase extraction followed by gas chromatography-tandem mass spectrometry for the analysis of the ultraviolet (UV) filters benzophenone-3, ethylhexyl salicylate, ethylhexyl methoxycinnamate and octocrylene. The method validation criteria included evaluation of selectivity, analytical curve, trueness, precision, limits of detection and limits of quantification. The non-weighted linear regression model has traditionally been used for calibration, but it is not necessarily the optimal model in all cases. Because the assumption of homoscedasticity was not met for the analytical data in this work, a weighted least squares linear regression was used for the calibration method. The evaluated analytical parameters were satisfactory for the analytes and showed recoveries at four fortification levels between 62% and 107%, with relative standard deviations less than 14%. The detection limits ranged from 7.6 to 24.1 ng L(-1). The proposed method was used to determine the amount of UV filters in water samples from water treatment plants in Araraquara and Jau in São Paulo, Brazil., (Copyright © 2014 Elsevier B.V. All rights reserved.)
- Published
- 2015
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24. Omalizumab management beyond clinical trials: the added value of a network model.
- Author
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Caminati M, Senna G, Chieco Bianchi F, Marchi MR, Vianello A, Micheletto C, Pomari C, Tognella S, Savoia F, Mirisola V, and Rossi A
- Subjects
- Adult, Anti-Asthmatic Agents adverse effects, Asthma physiopathology, Data Collection methods, Databases, Factual, Female, Forced Expiratory Volume, Health Services Needs and Demand, Humans, Italy, Male, Middle Aged, Models, Organizational, Omalizumab adverse effects, Retrospective Studies, Rhinitis, Allergic drug therapy, Severity of Illness Index, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy, Cooperative Behavior, Omalizumab therapeutic use
- Abstract
Background: Omalizumab is effective and safe in severe allergic asthma. Few data are available about its impact on lung function and on asthma comorbidities, long-term follow-up of treated patients, adherence, non-responders profile, and optimal treatment duration., Objective: We aimed at evaluating omalizumab-related clinical outcomes and unmet needs in a real-life setting., Methods: We created a collaborative network (NEONet - North East Omalizumab Network) involving 9 Allergy and Respiratory referral centres for severe asthma placed in the North-East of Italy. Patients' data were entered into a common study database shared by all the participating physicians. A preliminary retrospective analysis was performed., Results: Patients come from a common well-defined geographical and environmental district providing a homogeneous population sample. A moderate but statistically significant improvement of the FEV1, and an increasing proportion of exacerbations-free patients were observed since the treatment start. These findings were independent of the baseline severity of bronchial obstruction. A positive impact of omalizumab on rhinitis in patients with both asthma and rhinitis was detected. Moreover the efficacy of omalizumab on asthma seemed not to be affected by the baseline severity of rhinitis., Conclusion: Our retrospective analysis represents a preliminary report from the NEONet activity. It confirmed omalizumab efficacy and provided some new insights about its impact on lung function and on comorbid rhinitis. The network approach, under a prospective view, allows creating a large uniform database, by means of a standardized shared tool for data collecting, and joining a multidisciplinary expertise., (Copyright © 2014 Elsevier Ltd. All rights reserved.)
- Published
- 2014
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25. Noninvasive ventilation in the event of acute respiratory failure in patients with idiopathic pulmonary fibrosis.
- Author
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Vianello A, Arcaro G, Battistella L, Pipitone E, Vio S, Concas A, Paladini L, Gallan F, Marchi MR, Tona F, and Iliceto S
- Subjects
- Aged, Female, Humans, Intensive Care Units, Intubation, Intratracheal statistics & numerical data, Male, Respiration, Artificial methods, Respiratory Distress Syndrome therapy, Respiratory Insufficiency etiology, Respiratory Insufficiency physiopathology, Respiratory Rate, Retrospective Studies, Survival Analysis, Treatment Outcome, Idiopathic Pulmonary Fibrosis complications, Noninvasive Ventilation statistics & numerical data, Respiratory Insufficiency therapy
- Abstract
Background: Some patients with idiopathic pulmonary fibrosis (IPF) develop severe acute respiratory failure (ARF) requiring admission to an intensive care unit (ICU) and ventilatory support. A limited number of observational studies have reported that noninvasive ventilation (NIV) can be an effective treatment to support breathing and to prevent use of invasive mechanical ventilation in these patients. This study aimed to retrospectively investigate the clinical status and outcomes in IPF patients receiving NIV for ARF and to identify those clinical and laboratory characteristics, which could be considered risk factors for its failure., Methods: This is a retrospective analysis of short-term outcomes in 18 IPF patients being administered NIV for ARF. This study was conducted in a 4-bed respiratory ICU (RICU) in a university hospital. Eighteen IPF patients who were administered NIV between January 1, 2005, and April 30, 2013, were included. The outcome measures are the need for endotracheal intubation despite NIV treatment and mortality rate during their RICU stay. The length of the patients' stay in the RICU and their survival rate following RICU admission were also evaluated., Results: Noninvasive ventilation was successful in 8 patients and unsuccessful in 10 who required endotracheal intubation. All the patients in the NIV failure group died within 20.2±15.3 days of intubation. The patients in the NIV success group spent fewer days in the RICU (11.6±4.5 vs 24.6±13.7; P=.0146). The median survival time was significantly shorter for the patients in the NIV failure with respect to the success group (18.0 [95% confidence interval {CI}, 9.0-25.0] vs 90.0 [95% CI, 65.0-305.0] days; P<.0001); the survival rate at 90 days was, likewise, lower in the NIV failure group (0% vs 34%±19.5%). At admission, the patients in the failure group had significantly higher respiratory rate values (36.9±7.8 vs 30.5±3.3 breaths/min; P=.036), plasma N-terminal fragment of the prohormone of B-type natriuretic peptide (NT-proBNP) levels (4528.8±4012.8 vs 634.6±808.0 pg/mL; P=.023) and serum C-reactive protein values (72.0±50.0 vs 20.7±24.0 μg/mL; P=.0289) with respect to those in the success group. Noninvasive ventilation failure was correlated to the plasma NT-proBNP levels at RICU admission (P=.0326) with an odds ratio of 12.2 (95% CI, 1.2 to infinity) in the patients with abnormally high values (>900 pg/mL)., Conclusions: The outcome of IPF patients who were administered NIV was quite poor. The use of NIV was, nevertheless, found to be associated with clinical benefits in selected IPF patients, preventing the need for intubation and reducing the rate of complications/death. Elevated plasma NT-proBNP levels at the time of ICU admission is a simple clinical marker for poor NIV outcome., (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Published
- 2014
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26. Surface-sediment and hermit-crab contamination by butyltins in southeastern Atlantic estuaries after ban of TBT-based antifouling paints.
- Author
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Sant'Anna BS, Santos DM, Marchi MR, Zara FJ, and Turra A
- Subjects
- Animals, Brazil, Paint analysis, Anomura chemistry, Disinfectants analysis, Environmental Monitoring, Estuaries, Geologic Sediments chemistry, Organotin Compounds analysis, Water Pollutants, Chemical analysis
- Abstract
Butyltin (BT) contamination was evaluated in hermit crabs from 25 estuaries and in sediments from 13 of these estuaries along about 2,000 km of the Brazilian coast. BT contamination in hermit crabs ranged from 2.22 to 1,746 ng Sn g(-1) of DBT and 1.32 to 318 ng Sn g(-1) of TBT. In sediment samples, the concentration also varied widely, from 25 to 1,304 ng Sn g(-1) of MBT, from 7 to 158 ng Sn g(-1) of DBT, and from 8 to 565 ng Sn g(-1) of TBT. BTs are still being found in surface sediments and biota of the estuaries after the international and Brazilian bans, showing heterogeneous distribution among and within estuaries. Although hermit crabs were previously tested as an indicator of recent BT contamination, the results indicate the presence of contamination, probably from resuspension of BTs from deeper water of the estuary.
- Published
- 2014
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27. Bioaccumulation of butyltins and liver damage in the demersal fish Cathorops spixii (Siluriformes, Ariidae).
- Author
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Dos Santos DM, Santos GS, Cestari MM, de Oliveira Ribeiro CA, de Assis HC, Yamamoto F, Guiloski IC, de Marchi MR, and Montone RC
- Subjects
- Animals, Bile chemistry, Cytochrome P-450 CYP1A1 metabolism, DNA Damage, Glutathione Transferase metabolism, Liver drug effects, Liver enzymology, Liver pathology, Polycyclic Aromatic Hydrocarbons metabolism, Trialkyltin Compounds toxicity, Water Pollutants, Chemical toxicity, Catfishes metabolism, Trialkyltin Compounds metabolism, Water Pollutants, Chemical metabolism
- Abstract
The toxicity of butyltin compounds (BTs), mainly tributyltin (TBT), has been reported in different organisms. However, such an analysis in fish after field exposure with reference to the related biomarkers has not been commonly observed in the literature. This study presents the uptake of BTs in the liver of a neotropical marine catfish Cathorops spixii in Paranagua Bay, an important estuarine system located in southern Brazil. Two different areas, close to and distant from the harbor, were used for chemical analysis evaluation of hepatotoxicity through genetic, enzymatic, and histopathological biomarkers. The presence of polycyclic aromatic hydrocarbons in bile was also considered as a biomarker. The results showed a significant relationship between TBT levels and the inhibition of biotransformation enzymes and high occurrence of melanomacrophages in fish collected close to the harbor site. These effects were linked to the absence of TBT metabolites in the liver. In the second site, the presence of DBT was associated with an increase in EROD and GST activity. The larger amount of DNA damage as well as the highest oxidative stress was noted in fish from the less TBT-polluted area, where DBT and bile PAHs occurred. These findings showed different impact levels due to or increased by the chronic exposure of biota to BTs.
- Published
- 2014
- Full Text
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28. Intrauterine exposure to diesel exhaust diminishes adult ovarian reserve.
- Author
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Ogliari KS, Lichtenfels AJ, de Marchi MR, Ferreira AT, Dolhnikoff M, and Saldiva PH
- Subjects
- Age Factors, Animals, Cross-Over Studies, Female, Inhalation Exposure adverse effects, Male, Mice, Pregnancy, Prenatal Exposure Delayed Effects physiopathology, Reproduction drug effects, Reproduction physiology, Ovary drug effects, Ovary physiology, Particulate Matter administration & dosage, Particulate Matter toxicity, Prenatal Exposure Delayed Effects chemically induced, Vehicle Emissions toxicity
- Abstract
Objective: To analyze ovarian and uterine morphologic changes resulting from intrauterine and postnatal exposure to diesel exhaust., Design: Crossover study. Experimental groups: intrauterine and postnatal clean air exposure; intrauterine exposure to diesel only; postnatal exposure to diesel only; and intrauterine and postnatal exposure to diesel., Setting: Laboratory of Experimental Air Pollution., Animal(s): Swiss mice., Intervention(s): Mice exposed to diesel exhaust with doses that correspond to the daily average PM₂.₅ levels (fine particles in the ambient air 2.5 μm or less in size) reported by the World Health Organization., Main Outcome Measure(s): Morphometric analyses of the ovaries and uterus were performed to define the relative area occupied by follicles, corpus luteum, and stroma and the proportionate area of glands, epithelial layer, and stroma within the uterine endometrium., Result(s): A significant reduction in the proportion of primordial follicles was observed in intrauterine-exposed animals, those exposed during the postnatal period, and in animals exposed during both phases. Primary follicle proportion was reduced in animals exposed during pregnancy. No significant changes were detected in uterine morphology., Conclusion(s): Intrauterine exposure to acceptable levels of diesel exhaust compromises the reproductive potential of female mice, diminishing ovarian reserve when sexual maturity is achieved. This effect could increase the risk of premature menopause. The findings raise concern about current environmental guidelines for diesel exposure, warranting more careful examination of this issue in humans by regulatory authorities., (Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.)
- Published
- 2013
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29. Organotins: a review of their reproductive toxicity, biochemistry, and environmental fate.
- Author
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Graceli JB, Sena GC, Lopes PF, Zamprogno GC, da Costa MB, Godoi AF, Dos Santos DM, de Marchi MR, and Dos Santos Fernandez MA
- Subjects
- Animals, Disinfectants chemistry, Disinfectants metabolism, Disinfectants pharmacology, Endocrine Disruptors chemistry, Endocrine Disruptors metabolism, Endocrine Disruptors pharmacology, Endocrine System drug effects, Endocrine System metabolism, Energy Metabolism drug effects, Environmental Exposure, Female, Humans, Immunotoxins chemistry, Immunotoxins metabolism, Immunotoxins pharmacology, Immunotoxins toxicity, Infertility, Female metabolism, Infertility, Male metabolism, Male, Obesity chemically induced, Obesity metabolism, Organotin Compounds chemistry, Organotin Compounds metabolism, Organotin Compounds pharmacology, Trialkyltin Compounds chemistry, Trialkyltin Compounds metabolism, Trialkyltin Compounds pharmacology, Trialkyltin Compounds toxicity, Disinfectants toxicity, Endocrine Disruptors toxicity, Infertility, Female chemically induced, Infertility, Male chemically induced, Organotin Compounds toxicity
- Abstract
The review purposes are to (1) evaluate the experimental evidence for adverse effects on reproduction and metabolism and (2) identify the current knowledge of analytical procedures, biochemistry and environmental aspects relating to organotins. Organotins are pollutants that are used as biocides in antifouling paints. They produce endocrine-disrupting effects in mollusks, such as imposex. In rodents, organotin exposure induces developmental and reproductive toxicity as well as alteration of metabolic homeostasis through its action as an obesogen. The adverse effects that appear in rodents have raised concerns about organotins' potential health risk to humans in relation to organotin exposure. At present, triorganotin, such as tributyltin, have been demonstrated to produce imposex, and mammalian reproductive and metabolic toxicity. For most mammals, triorganotin exposure predominantly occurs through the ingestion, and this compound can cross the placenta. With these risks in mind, it is important to improve our knowledge of organotins' effects on environmental health., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2013
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30. Chemopreventive activity of compounds extracted from Casearia sylvestris (Salicaceae) Sw against DNA damage induced by particulate matter emitted by sugarcane burning near Araraquara, Brazil.
- Author
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Prieto AM, Santos AG, Csipak AR, Caliri CM, Silva IC, Arbex MA, Silva FS, Marchi MR, Cavalheiro AJ, Silva DH, Bolzani VS, and Soares CP
- Subjects
- Air Pollutants toxicity, Animals, Bone Marrow drug effects, Bone Marrow metabolism, Brazil, Comet Assay, Male, Mice, Mice, Inbred BALB C, Micronucleus Tests, Plant Leaves chemistry, Random Allocation, Anticarcinogenic Agents pharmacology, Casearia chemistry, DNA Damage, Diterpenes, Clerodane pharmacology, Particulate Matter toxicity, Plant Extracts pharmacology, Saccharum chemistry
- Abstract
Ethanolic extract of Casearia sylvestris is thought to be antimutagenic. In this study, we attempted to determine whether this extract and casearin X (a clerodane diterpene from C. sylvestris) are protective against the harmful effects of airborne pollutants from sugarcane burning. To that end, we used the Tradescantia micronucleus test in meiotic pollen cells of Tradescantia pallida, the micronucleus test in mouse bone marrow cells, and the comet assay in mouse blood cells. The mutagenic compound was total suspended particulate (TSP) from air. For the Tradescantia micronucleus test, T. pallida cuttings were treated with the extract at 0.13, 0.25, or 0.50 mg/ml. Subsequently, TSP was added at 0.3mg/ml, and tetrads from the inflorescences were examined for micronuclei. For the micronucleus test in mouse bone marrow cells and the comet assay in mouse blood cells, Balb/c mice were treated for 15 days with the extract-3.9, 7.5, or 15.0 mg/kg body weight (BW)-or with casearin X-0.3, 0.25, or 1.2 mg/kg BW-after which they received TSP (3.75 mg/kg BW). In T. pallida and mouse bone marrow cells, the extract was antimutagenic at all concentrations tested. In mouse blood cells, the extract was antigenotoxic at all concentrations, whereas casearin X was not antimutagenic but was antigenotoxic at all concentrations. We conclude that C. sylvestris ethanolic extract and casearin X protect DNA from damage induced by airborne pollutants from sugarcane burning., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2012
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31. A rapid, environmentally friendly, and reliable method for pesticide analysis in high-fat samples.
- Author
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Toledo Netto P, Teixeira OJ Jr, de Camargo JL, Lúcia Ribeiro M, and de Marchi MR
- Subjects
- Animals, Chromatography, Gas, Limit of Detection, Rats, Reproducibility of Results, Adipose Tissue chemistry, Pesticides analysis
- Abstract
This report describes the development and validation of a simple, rapid, and efficient method in which solid-phase extraction followed by analysis in a gas chromatograph equipped with an electron capture detector (SPE-GC-ECD) is used for the simultaneous determination of dicofol, dieldrin, endosulfan, and permethrin in rat adipose tissue. This study targeted pesticides for which controversies exist regarding the harm that they may cause to humans, such as endocrine disruption or cancer, and that have also been found in recent years in vegetables consumed by the Brazilian population. The analytical procedure was optimised for SPE extraction and for GC-ECD conditions. The optimised method includes the extraction of the samples with n-hexane followed by an SPE procedure in which deactivated neutral alumina cartridges are used as the sorbent and a mixture of n-hexane:dichloromethane is used for elution. Recovery studies with spiked samples were used to evaluate the method's efficiency. Mean recoveries ranged from 75% to 119% with relative standard deviations (RSD)<19%. Quantification limits (LOQs) were 0.05 mg kg(-1) for dieldrin and endosulfan and 0.5 mg kg(-1) for dicofol and permethrin. The matrix effect was pronounced for all of the pesticides studied and ranged from 26% to 49%. In comparison to other related methods, this method requires less time and solvent and allows for rapid isolation of the target analytes with high selectivity. This method therefore allows for the screening of numerous samples and can also be used for routine analyses., (Copyright © 2012 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
32. Burnt sugarcane harvesting: particulate matter exposure and the effects on lung function, oxidative stress, and urinary 1-hydroxypyrene.
- Author
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Prado GF, Zanetta DM, Arbex MA, Braga AL, Pereira LA, de Marchi MR, de Melo Loureiro AP, Marcourakis T, Sugauara LE, Gattás GJ, Gonçalves FT, Salge JM, Terra-Filho M, and de Paula Santos U
- Subjects
- Adult, Agriculture statistics & numerical data, Air Pollutants adverse effects, Air Pollutants, Occupational adverse effects, Air Pollution adverse effects, Air Pollution statistics & numerical data, Environmental Monitoring statistics & numerical data, Enzymes blood, Humans, Incidence, Lung drug effects, Male, Malondialdehyde blood, Occupational Exposure statistics & numerical data, Oxidative Stress drug effects, Prevalence, Respiratory Sounds physiopathology, Young Adult, Lung physiopathology, Occupational Exposure adverse effects, Oxidative Stress physiology, Particulate Matter adverse effects, Pyrenes urine, Saccharum
- Abstract
Non-mechanised sugarcane harvesting preceded by burning exposes workers and the people of neighbouring towns to high concentrations of pollutants. This study was aimed to evaluate the respiratory symptoms, lung function and oxidative stress markers in sugarcane workers and the residents of Mendonça, an agricultural town in Brazil, during the non-harvesting and harvesting periods and to assess the population and individual exposures to fine particulate matter (PM(2.5)). Sugarcane workers and healthy volunteers were evaluated with two respiratory symptom questionnaires, spirometry, urinary 1-hydroxypyrene levels, and the measurement of antioxidant enzymes and plasma malonaldehyde during the non-harvesting and harvesting periods. The environmental assessment was determined from PM(2.5) concentration. PM(2.5) level increased from 8 μg/m³ during the non-harvesting period to 23.5 μg/m³ in the town and 61 μg/m³ on the plantations during the harvesting period. Wheezing, coughing, sneezing, and breathlessness increased significantly in both groups during the harvesting period, but more markedly in workers. A decrease in lung function and antioxidant enzyme activity was observed in both populations during harvesting; this decrease was greater among the sugarcane workers. The urinary 1-hydroxypyrene levels only increased in the sugarcane workers during the harvesting period. The malonaldehyde levels were elevated in both groups, with a higher increase observed in the workers. This research demonstrates the exposure of sugarcane workers and the inhabitants of a neighbouring town to high PM(2.5) concentrations during the sugarcane harvest period. This exposure was higher among the sugarcane workers, as illustrated by both higher PM(2.5) concentrations in the sugarcane fields and higher urinary 1-hydroxypyrene levels in the volunteers in this group. The higher incidence of respiratory symptoms, greater decrease in lung function and more marked elevation of oxidative stress markers among the sugarcane workers during the harvest confirms the greater effect magnitude in this population and a dose-dependent relationship between pollution and the observed effects., (Copyright © 2012 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
33. Influence of sugarcane burning on indoor/outdoor PAH air pollution in Brazil.
- Author
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Cristale J, Silva FS, Zocolo GJ, and Marchi MR
- Subjects
- Air Pollution, Indoor analysis, Brazil, Cities, Environmental Exposure analysis, Environmental Monitoring, Humans, Seasons, Air Pollutants analysis, Air Pollution analysis, Polycyclic Aromatic Hydrocarbons analysis, Saccharum chemistry
- Abstract
This work presents the influence of sugarcane burning on PAH levels and their profiles at a residence located in Araraquara (SP, Brazil), a city surrounded by sugarcane plantations. The average concentrations of total PAHs (ΣPAHs) associated with atmospheric particulate matter were higher during the burning period (ΣPAHs 22.9 ng m(-3)) than in the non-burning period (ΣPAH 2.35 ng m(-3)). A comparison of our results with previous studies regarding PAH levels and their profiles in Araraquara outdoor air indicated that sugarcane burning was the main PAH air source in the indoor harvesting season samples. The benzo[a]pyrene equivalent (BaP(eq)) was used for cancer risk assessment, and higher average values were obtained in the harvesting season air samples (1.7 ng m(-3)) than in the non-harvesting air samples (0.07 ng m(-3)). These findings suggest that sugarcane burning during the harvesting season can represent a public health risk in affected cities., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
34. Pothomorphe umbellata: antifungal activity against strains of Trichophyton rubrum.
- Author
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Rodrigues ER, Nogueira NG, Zocolo GJ, Leite FS, Januario AH, Fusco-Almeida AM, Fachin AL, de Marchi MR, dos Santos AG, and Pietro RC
- Subjects
- Antifungal Agents isolation & purification, Brazil, Colony Count, Microbial, Drug Evaluation, Preclinical, Drug Resistance, Multiple, Fungal genetics, Ethanol, Gas Chromatography-Mass Spectrometry, Gene Deletion, Genes, Fungal, Hexanes, Methylene Chloride, Microbial Sensitivity Tests, Plant Extracts isolation & purification, Solvents, Trichophyton genetics, Antifungal Agents pharmacology, Piperaceae chemistry, Plant Extracts pharmacology, Trichophyton drug effects
- Abstract
Trichophyton rubrum is a dermatophyte, which can cause infections in human skin, hair and nail. Pothomorphe umbellata (L.) Miq. (Piperaceae) is a native Brazilian plant, in which phytochemical studies have demonstrated the presence of steroids, 4-nerolidylcatechol, sesquiterpenes and essential oils. The objective of this study was to analyze the in vitro activity of extracts and fractions of P. umbellata on resistant strains of T. rubrum. The microdilution plate method was utilized to test Tr1, H6 and ΔTruMDR2 strains of T. rubrum; ΔTruMDR2 strain was obtained from H6 by TruMDR2 gene rupture, which is involved in multiple drugs resistance. The highest antifungal activity to all strains was observed for dichloromethane and hexane fractions of the 70% ethanolic extract which showed minimal inhibitory concentration (MIC) and minimal fungicide concentration (MFC) of 78.13 μg/mL. This antifungal activity was also obtained by 70% ethanolic extract, which presented MIC and MFC of 78.13 μg/mL to ΔTruMDR2, whereas the MIC values for Tr1 and H6 were 78.13 and 156.25 μg/mL, respectively. Our results suggest the potential for future development of new antifungal drugs from P. umbellata, especially to strains presenting multiple resistance., (Copyright © 2012 Elsevier Masson SAS. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
35. Effects of tributyltin exposure in hermit crabs: Clibanarius vittatus as a model.
- Author
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Sant'Anna BS, Santos DM, Marchi MR, Zara FJ, and Turra A
- Subjects
- Animals, Anomura, Female, Genitalia drug effects, Genitalia metabolism, Genitalia pathology, Gonads drug effects, Gonads metabolism, Gonads pathology, Male, Reproduction drug effects, Trialkyltin Compounds metabolism, Water Pollutants, Chemical metabolism, Trialkyltin Compounds toxicity, Water Pollutants, Chemical toxicity
- Abstract
Tributyltin (TBT) contamination affects the reproductive system of many species of invertebrates worldwide. The present study was designed to evaluate the effects of exposure to TBT pollution on the reproduction of the hermit crab Clibanarius vittatus. An orthogonal experiment was designed with two treatments: contamination (with or without TBT in the food) and crab sex (males and females). The animals were reared in the laboratory for nine months, and macroscopic and histological analyses of reproductive organs were carried out after the end of the experiment. Tributyltin was recorded in exposed crabs, but no morphological alterations were detected in the gonads of males, regardless of whether they were exposed to TBT. In contrast, females exposed to TBT displayed disorganization and atrophy of their ovaries, thus directly affecting reproduction in this hermit crab species. This effect observed in female hermit crabs may harm populations located in harbor regions, where TBT concentration is high, even after the worldwide TBT ban., (Copyright © 2011 SETAC.)
- Published
- 2012
- Full Text
- View/download PDF
36. Genotoxicity assessment of water soluble fractions of biodiesel and its diesel blends using the Salmonella assay and the in vitro MicroFlow® kit (Litron) assay.
- Author
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Morais Leme D, Grummt T, Palma de Oliveira D, Sehr A, Renz S, Reinel S, Ferraz ER, Rodrigues de Marchi MR, Machado MC, Zocolo GJ, and Marin-Morales MA
- Subjects
- Biofuels analysis, Biological Assay, Environmental Monitoring methods, Gasoline analysis, Mutagenicity Tests, Mutagens analysis, Mutagens chemistry, Petroleum Pollution analysis, Polycyclic Aromatic Hydrocarbons analysis, Polycyclic Aromatic Hydrocarbons toxicity, Salmonella drug effects, Water Pollutants, Chemical analysis, Water Pollutants, Chemical chemistry, Biofuels toxicity, Gasoline toxicity, Mutagens toxicity, Water Pollutants, Chemical toxicity
- Abstract
The designation of biodiesel as an environmental-friendly alternative to diesel oil has improved its commercialization and use. However, most biodiesel environmental safety studies refer to air pollution and so far there have been very few literature data about its impacts upon other biotic systems, e.g. water, and exposed organisms. Spill simulations in water were carried out with neat diesel and biodiesel and their blends aiming at assessing their genotoxic potentials should there be contaminations of water systems. The water soluble fractions (WSF) from the spill simulations were submitted to solid phase extraction with C-18 cartridge and the extracts obtained were evaluated carrying out genotoxic and mutagenic bioassays [the Salmonella assay and the in vitro MicroFlow® kit (Litron) assay]. Mutagenic and genotoxic effects were observed, respectively, in the Salmonella/microsome preincubation assay and the in vitro MN test carried out with the biodiesel WSF. This interesting result may be related to the presence of pollutants in biodiesel derived from the raw material source used in its production chain. The data showed that care while using biodiesel should be taken to avoid harmful effects on living organisms in cases of water pollution., (Copyright © 2011 Elsevier Ltd. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
37. An overview of biodiesel soil pollution: data based on cytotoxicity and genotoxicity assessments.
- Author
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Leme DM, Grummt T, Heinze R, Sehr A, Renz S, Reinel S, de Oliveira DP, Ferraz ER, de Marchi MR, Machado MC, Zocolo GJ, and Marin-Morales MA
- Subjects
- Animals, CHO Cells, Carcinogenicity Tests, Cricetinae, Cricetulus, Mutagenicity Tests, Biofuels, Soil Pollutants toxicity
- Abstract
Biodiesel production has received considerable attention in the recent past as a nonpolluting fuel. However, this assertion has been based on its biodegradability and reduction in exhaust emissions. Assessments of water and soil biodiesel pollution are still limited. Spill simulation with biodiesel and their diesel blends in soils were carried out, aiming at analyzing their cytotoxic and genotoxic potentials. While the cytotoxicity observed may be related to diesel contaminants, the genotoxic and mutagenic effects can be ascribed to biodiesel pollutants. Thus, taking into account that our data stressed harmful effects on organisms exposed to biodiesel-polluted soils, the designation of this biofuel as an environmental-friendly fuel should be carefully reviewed to assure environmental quality., (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
38. Influence of sugar cane vinasse on the sorption and degradation of herbicides in soil under controlled conditions.
- Author
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Lourencetti C, De Marchi MR, and Ribeiro ML
- Subjects
- Adsorption, Brazil, Environmental Monitoring methods, Herbicides chemistry, Saccharum chemistry, Soil Pollutants chemistry
- Abstract
This study reports the influence of sugar cane vinasse on the persistence, sorption and leaching potential of diuron (3-(3,4-dichlorophenyl)-1,1-dimethylurea), hexazinone (3-cyclohexyl-6-(dimethylamino)-1-methyl-1,3,5-triazine-2,4-dione) and tebuthiuron (1-(5-tert-butyl-1,3,4-thiadiazol-2-yl)-1,3-dimethylurea) in both a clay and sandy soil from a tropical area of Brazil. The experiments were conducted out under controlled laboratory conditions. The addition of sugarcane vinasse to soil influenced the persistence and sorption of the herbicides in both the studied clay and sandy soils, with a considerable decrease in the diuron DT₅₀ values in clay soil. The Ground Water Ubiquity Score (GUS) Index classifies the herbicides as leachers in both soils and treatments, with the exception of diuron, which is classified as a non-leacher in clay soil-vinasse and as a transient herbicide in sandy soil. These results suggest that special attention should be given to areas such as those where the sandy soil was collected in this study, which is a recharge area of the Guarani Aquifer and is likely to experience groundwater contamination due to the high leaching potential of the applied pesticides.
- Published
- 2012
- Full Text
- View/download PDF
39. Cytotoxicity of water-soluble fraction from biodiesel and its diesel blends to human cell lines.
- Author
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Leme DM, Grummt T, Heinze R, Sehr A, Skerswetat M, de Marchi MR, Machado MC, de Oliveira DP, and Marin-Morales MA
- Subjects
- Cell Line, Cytotoxins chemistry, Environmental Pollution, Humans, Solubility, Water Pollutants, Chemical chemistry, Biofuels toxicity, Cytotoxins toxicity, Gasoline toxicity, Water Pollutants, Chemical toxicity
- Abstract
The designation of biodiesel as a green fuel has increased its commercialization and use, making its fate in the environment a matter of concern. Fuel spills constitute a major source of aquatic pollution and, like diesel spills, biodiesel can produce adverse effects on aquatic environments, animals and humans. The present study assessed cytotoxic effects of water systems contaminated with neat biodiesel and its diesel blends by means of different procedures on human T cell leukemia (Jurkat) and human hepatocellular carcinoma (HepG2) cells [detection of changes in mitochondrial membrane potential (ΔΨ(m)) using tetramethylrhodamine ethyl ester (TMRE), apoptosis recognition by Annexin V and impedance real-time cell analyzer (xCELLigence™ system)]. The data obtained showed concordance across the different bioassays, with cytotoxic effects observed as a dose-dependent response only for waters contaminated with pure diesel (D100) and B5 blend, which is characterized by a mixture of 95% diesel and 5% biodiesel. The data can also lead us to hypothesize that diesel accounts for the harmful effects observed, and that biodiesel does not worsen the impacts caused by diesel pollution., (Copyright © 2011 Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
40. Prevention of extubation failure in high-risk patients with neuromuscular disease.
- Author
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Vianello A, Arcaro G, Braccioni F, Gallan F, Marchi MR, Chizio S, Zampieri D, Pegoraro E, and Salvador V
- Subjects
- Adolescent, Adult, Case-Control Studies, Child, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Assessment, Treatment Failure, Treatment Outcome, Young Adult, Airway Extubation methods, Neuromuscular Diseases complications, Positive-Pressure Respiration, Respiratory Insufficiency therapy
- Abstract
Background: A substantial proportion of patients with neuromuscular disease (NMD) who undergo positive pressure ventilation via endotracheal intubation for acute respiratory failure fail to pass spontaneous breathing trials and should be considered at high risk for extubation failure. In our study, we prospectively investigated the efficacy of early application of noninvasive ventilation (NIV) combined with assisted coughing as an intervention aimed at preventing extubation failure in patients with NMD., Methods: This study is a prospective analysis of the short-term outcomes of 10 patients with NMD who were treated by NIV and assisted coughing immediately after extubation and comparison with the outcomes of a population of 10 historical control patients who received standard medical therapy (SMT) alone. The participants were composed of 10 patients with NMD who were submitted to NIV and assisted coughing after extubation (group A) and 10 historical control patients who were administered SMT (group B), who were admitted to a 4-bed respiratory intensive care unit (RICU) in a university hospital. Need for reintubation despite treatment was evaluated. Mortality during RICU stay, need for tracheostomy, and length of stay in the RICU were also compared., Results: Significantly fewer patients who received the treatment protocol required reintubation and tracheostomy compared with those who received SMT (reintubation, 3 vs 10; tracheostomy, 3 vs 9; P = .002 and .01, respectively). Mortality did not differ significantly between the 2 groups. Patients in group A remained for a shorter time in the RICU compared with group B (7.8 ± 3.9 vs 23.8 ± 15.8 days; P = .006)., Conclusions: Preventive application of NIV combined with assisted coughing after extubation provides a clinically important advantage to patients with NMD by averting the need for reintubation or tracheostomy and shortening their stay in the RICU; its use should be included in the routine approach to patients with NMD at high risk for postextubation respiratory failure., (Copyright © 2011 Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
41. Re-examination of the anion derivatives of isoflavones by radical fragmentation in negative electrospray ionization tandem mass spectrometry: experimental and computational studies.
- Author
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Vessecchi R, Zocolo GJ, Gouvea DR, Hübner F, Cramer B, de Marchi MR, Humpf HU, and Lopes NP
- Subjects
- Anions chemistry, Computer Simulation, Gases chemistry, Tandem Mass Spectrometry, Isoflavones chemistry, Spectrometry, Mass, Electrospray Ionization methods
- Abstract
This paper reports theoretical and experimental studies of gas-phase fragmentation reactions of four naturally occurring isoflavones. The samples were analyzed in negative ion mode by direct infusion in ESI-QqQ, ESI-QqTOF and ESI-Orbitrap systems. The MS/MS and MS(n) spectra are in agreement with the fragmentation proposals and high-resolution analyses have confirmed the formulae for each ion observed. As expected, compounds with methoxyl aromatic substitution have showed a radical elimination of •CH(3) as the main fragmentation pathway. A second radical loss (•H) occurs as previously observed for compounds which exhibit a previous homolytic •CH(3) cleavage (radical anion) and involves radical resonance to stabilize the anion formed. However, in this study we suggest another mechanism for the formation of the main ions, on the basis of the enthalpies for each species. Compounds without methoxy substituent dissociate at the highest energies and exhibit the deprotonated molecule as the most intense ion. Finally, energy-resolved experiments were carried out to give more details about the gas-phase dissociation reaction of the isoflavones and the results are in agreement with the theoretical approaches., (Copyright © 2011 John Wiley & Sons, Ltd.)
- Published
- 2011
- Full Text
- View/download PDF
42. Mutagenic activity of airborne particulate matter (PM10) in a sugarcane farming area (Araraquara city, southeast Brazil).
- Author
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de Andrade SJ, Varella SD, Pereira GT, Zocolo GJ, de Marchi MR, and Varanda EA
- Subjects
- Agriculture, Air Pollutants analysis, Air Pollution statistics & numerical data, Brazil, Environmental Monitoring, Mutagenicity Tests, Mutagens analysis, Particle Size, Particulate Matter analysis, Salmonella typhimurium drug effects, Salmonella typhimurium genetics, Air Pollutants toxicity, Mutagens toxicity, Particulate Matter toxicity, Saccharum
- Abstract
Brazil contains 25% of the total land planted with sugarcane in the world and is thus one of the major producers. The annual burning of sugarcane fields prior to harvesting emits huge amounts of pyrogenic particles. Biomass burning is an important primary and secondary source of aerosol particles. The presence of carbonaceous particles in the inhalable size range makes it important to study this fraction in view of the possible effects on human health and the climate. In this study, the mutagenic activity associated with inhalable airborne particulate matter (PM(10)) collected on air filters in a sugarcane-growing area near the city of Araraquara (SE Brazil) was determined. The extracts were dissolved in dimethylsulfoxide and tested for mutagenicity by the Ames plate incorporation test with Salmonella typhimurium YG1024 in the presence and absence of the S9 mixture. To assess the association between mutagenicity and PM(10), samples were collected in sugarcane harvesting and non-harvesting periods of the year. Significant mutagenicity was detected in organic solvent extracts of all samples, with differences between the two periods. The highest values of mutagenic potency (13.45 and 5.72 revertants/m(3) of air in the absence and presence of the S9 mixture, respectively) were observed during the harvest. In this period, a Teflon™-coated glass-fiber air filter trapped 67.0 μg of particulate matter per m(3) of air. In the non-harvest period, on the same type of filter, only 20.9 μg of particulate matter was found per m(3). The mutagenic potencies at this time were 1.30 and 1.04 revertants/m(3) of air, in the absence and presence of the S9 mixture, respectively. Period, concentration of PM(10) and mutagenicity were associated with each other. For routine monitoring of mutagenicity in the atmosphere, the use of YG1024 tester strain without metabolic activation (S9) is recommended., (Copyright © 2011 Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
43. Speciation of butyltin derivatives in surface sediments of three southern Brazilian harbors.
- Author
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de Oliveira CR, dos Santos D, Madureira LA, and de Marchi MR
- Subjects
- Brazil, Chromatography, Gas, Environmental Monitoring methods, Photometry, Trialkyltin Compounds, Water Pollutants, Chemical analysis, Geologic Sediments analysis, Organotin Compounds analysis, Rivers chemistry
- Abstract
For the first time, organotin compounds were determined in surface sediment samples collected from São Francisco do Sul, Itajaí-Navegantes and Imbituba Harbors, located in Santa Catarina State, Brazil. Butyltins (BTs) were determined by gas chromatography with a pulsed flame photometric detector (GC-PFPD) after being modified using the Grignard derivatization method. The concentrations of BTs derivatives ranged from n.d. to 1136.6 ng (Sn) g(-1) of dry weight (dw) sediment for tributyltin (TBT), n.d. to 394.4 ng (Sn)g(-1) dw for dibutyltin (DBT) and n.d. to 312.2 ng (Sn) g(-1) dw for monobutyltin (MBT). The highest concentration of total BTs was found at the Itajaí-Açu River dockyard, indicating intense inputs of antifouling paints to the environment. The relative difference in the BTs levels is a particular characteristic of sediments from harbors and may be related to the shipyards and the boat traffic which still use TBT-based antifouling paints., (Copyright 2010 Elsevier B.V. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
44. Integrated analysis of halogenated organic pollutants in sub-millilitre volumes of venous and umbilical cord blood sera.
- Author
-
Grimalt JO, Howsam M, Carrizo D, Otero R, de Marchi MR, and Vizcaino E
- Subjects
- Child, Preschool, Environmental Pollutants chemistry, Female, Humans, Hydrocarbons, Halogenated chemistry, Limit of Detection, Male, Chromatography, Gas methods, Environmental Pollutants blood, Fetal Blood chemistry, Hydrocarbons, Halogenated blood, Serum chemistry, Spectrometry, Mass, Electrospray Ionization methods
- Abstract
A rapid, robust and economical method for the analysis of persistent halogenated organic compounds in small volumes of human serum and umbilical cord blood is described. The pollutants studied cover a broad range of molecules of contemporary epidemiological and legislative concern, including polychlorobiphenyls (PCBs), polychlorobenzenes (CBs), hexachlorocyclohexanes (HCHs), DDTs, polychlorostyrenes (PCSs) and polybromodiphenyl ethers (PBDEs). Extraction and clean-up with n-hexane and concentrated sulphuric acid was followed with analysis by gas chromatography coupled to electron capture (GC-ECD) and GC coupled to negative ion chemical ionisation mass spectrometry (GC-NICI-MS). The advantages of this method rest in the broad range of analytes and its simplicity and robustness, while the use of concentrated sulphuric acid extraction/clean-up destroys viruses that may be present in the samples. Small volumes of reference serum between 50 and 1000 microL were extracted and the limits of detection/quantification and repeatability were determined. Recoveries of spiked compounds for the extraction of small volumes (> or = 300 microL) of the spiked reference serum were between 90% and 120%. The coefficients of variation of repeatability ranged from 0.1-14%, depending on the compound. Samples of 4-year-old serum and umbilical cord blood (n = 73 and 40, respectively) from a population inhabiting a village near a chloro-alkali plant were screened for the above-mentioned halogenated pollutants using this method and the results are briefly described.
- Published
- 2010
- Full Text
- View/download PDF
45. Organotin compounds in the Paranaguá Estuarine Complex, Paraná, Brazil: evaluation of biological effects, surface sediment, and suspended particulate matter.
- Author
-
Santos DM, Araújo IP, Machado EC, Carvalho-Filho MA, Fernandez MA, Marchi MR, and Godoi AF
- Subjects
- Animals, Brazil, Disorders of Sex Development chemically induced, Environmental Monitoring, Female, Gastropoda drug effects, Male, Organotin Compounds toxicity, Seawater chemistry, Sex Ratio, Water Pollutants, Chemical toxicity, Geologic Sediments chemistry, Organotin Compounds analysis, Rivers chemistry, Water Pollutants, Chemical analysis
- Published
- 2009
- Full Text
- View/download PDF
46. Residues of organochlorine pesticides and PCBs in some Brazilian municipal solid waste compost.
- Author
-
Lourencetti C, Favoreto R, Marchi MR, and Ribeiro ML
- Subjects
- Brazil, Chromatography, Gas methods, Environmental Monitoring methods, Gas Chromatography-Mass Spectrometry methods, Pesticides analysis, Environmental Pollutants analysis, Hydrocarbons, Chlorinated analysis, Pesticide Residues analysis, Polychlorinated Biphenyls analysis, Waste Products analysis
- Abstract
Persistent organic pollutants (POPs), organochlorine pesticides and polychlorinated biphenyls (PCBs), listed as per the Stockholm Convention (alpha -HCH, beta -HCH, gamma -HCH, p,p'-DDT, o,p'-DDT, p,p'-DDD, p,p'-DDE, aldrin, endrin, dieldrin, PCBs 28, 52, 118, 138, 153, and 180), were analyzed in municipal solid waste (MSW) compost samples from three different Brazilian composting plants located in three São Paulo State cities: Araras, Araraquara and São Paulo (Vila Leopoldinha). Quantitative and qualitative analyses were carried out using gas chromatography electron capture detection (GC-ECD) and gas chromatography mass spectrometry (GC-MS) (Ion Trap, electron impact ionization), respectively. The samples were analyzed in triplicate and the target POPs were not detected by GC-ECD. Twelve pollutants were identified in two samples when qualitative analysis (GC-MS) was used (beta -HCH, gamma -HCH, p,p'-DDT, o,p'-DDT, p,p'-DDD, and p,p'-DDE, PCBs 28, 118, 138, 153 and 180). The composting process has advantages such as urban solid waste reduction and landfill life-span increase, however the MSW compost quality, which can be utilized for agricultural purposes, should be evaluated and be controlled. This kind of study is the first step in making available information to answer questions regarding MSW compost for sustainable agricultural use, such as the pollutants accumulation in soil and in groundwater, and plants uptake.
- Published
- 2007
- Full Text
- View/download PDF
47. Effects of genetic polymorphisms CYP1A1, GSTM1, GSTT1 and GSTP1 on urinary 1-hydroxypyrene levels in sugarcane workers.
- Author
-
do Vale Bosso RM, Amorim LM, Andrade SJ, Rossini A, de Marchi MR, de Leon AP, Carareto CM, and Conforti-Froes ND
- Subjects
- Adult, Aged, Agriculture, Biomarkers urine, Brazil, Cytochrome P-450 CYP1A1 genetics, Environmental Monitoring, Female, Glutathione S-Transferase pi genetics, Glutathione Transferase genetics, Humans, Male, Middle Aged, Urinalysis, Occupational Exposure, Polymorphism, Genetic, Pyrenes metabolism, Saccharum
- Abstract
Sugarcane workers in Brazil are exposed to various genotoxic compounds, including polycyclic aromatic hydrocarbons (PAHs), derived from an incomplete combustion process of burnt sugarcane fields. The effects of the occupational exposure to sugarcane fields burning were measured in urine samples of sugarcane workers from the northwest of the State of São Paulo when exposed (harvesting) and when non-exposed (non-harvesting). The urinary levels of 1-hydroxypyrene (1-OHP) and the influence of the genetic polymorphisms CYP1A1, GSTM1, GSTT1 and GSTP1 were evaluated. Our results showed that the 1-OHP levels were significantly higher (P<0.0000) in the exposed sugarcane workers (0.318 mumol mol(-1) creatinine) than in the non-exposed workers (0.035 mumol mol(-1) creatinine). In an unvaried analysis, no influence regarding the polymorphisms was observed. However, multivariate regression analysis showed that the CYP1A1()4 polymorphism in the exposed group, and age and the GSTP1 polymorphism in the non-exposed group significantly influenced urinary 1-OHP excretion levels (P<0.10). The same group of sugarcane workers was significantly more exposed to PAHs during the harvesting period than during the non-harvesting period.
- Published
- 2006
- Full Text
- View/download PDF
48. [An education course on nonverbal communication].
- Author
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Marchi MR, Pierallini M, and Rossi F
- Subjects
- Curriculum, Humans, Italy, Teaching methods, Geriatric Nursing education, Nonverbal Communication education
- Published
- 1987
49. [Can one teach how to do research?].
- Author
-
Beccaluva MS, Librandi B, Marchi MR, and Monti G
- Subjects
- Humans, Nursing Research methods, Teaching
- Published
- 1988
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