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1. Epigenetic memory of radiotherapy in dermal fibroblasts impairs wound repair capacity in cancer survivors

Author

Xiaowei Bian, Minna Piipponen, Zhuang Liu, Lihua Luo, Jennifer Geara, Yongjian Chen, Traimate Sangsuwan, Monica Maselli, Candice Diaz, Connor A. Bain, Evelien Eenjes, Maria Genander, Michael Crichton, Jenna L. Cash, Louis Archambault, Siamak Haghdoost, Julie Fradette, Pehr Sommar, Martin Halle, and Ning Xu Landén

Subjects
Science
Abstract

Abstract Radiotherapy (RT), a common cancer treatment, unintentionally harms surrounding tissues, including the skin, and hinders wound healing years after treatment. This study aims to understand the mechanisms behind these late-onset adverse effects. We compare skin biopsies from previously irradiated (RT+) and non-irradiated (RT−) sites in breast cancer survivors who underwent RT years ago. Here we show that the RT+ skin has compromised healing capacity and fibroblast functions. Using ATAC-seq, we discover altered chromatin landscapes in RT+ fibroblasts, with THBS1 identified as a crucial epigenetically primed wound repair-related gene. This is further confirmed by single-cell RNA-sequencing and spatial transcriptomic analysis of human wounds. Notably, fibroblasts in both murine and human post-radiation wound models show heightened and sustained THBS1 expression, impairing fibroblast motility and contractility. Treatment with anti-THBS1 antibodies promotes ex vivo wound closure in RT+ skin from breast cancer survivors. Our findings suggest that fibroblasts retain a long-term radiation memory in the form of epigenetic changes. Targeting this maladaptive epigenetic memory could mitigate RT’s late-onset adverse effects, improving the quality of life for cancer survivors.

Published
2024
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2. How to define the therapeutic limits

Author

Alberto Cester, Monica Maselli, and Francesco Bolzetta

Subjects
Frailty, frail, elderly, ageing, cardiovascular diseases., Medicine
Abstract

With the advance of technological progress and the increase in life expectancy, it is nowadays mandatory to define what is the therapeutic limit. Every day each physician must take therapeutic decisions on the basis of his scientific knowledge, but also of his own conscience and sense of limits. They can not avoid to consider the global risk of death, disability and morbidity in more advanced age, especially in the field of cardiology and cardiac surgery. In these subjects, both fit that frail, is necessary not only an evaluation for adequate risk assessment, but also a multidimensional assessment performed with advanced tools. The resilience of the subject, ability for which some patients considered out of therapy demonstrate the ability to adapt and overcome critical phases, must also be weighed. Where and what is the therapeutic limit should be evaluated individually with humility, competence and capacity for dialogue with other disciplines in a work team that respects the individual professionalism. In recent years, much has changed in the cardiology/cardiac surgery approach in old people. With the development of less or minimal invasive new techniques, there are no more insurmountable limits that can be connected only to the chronological age of the patients.

Published
2017
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3. Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

Author

Rispoli, Vincenzo, Malara, Alba, Spadea, Fausto, Di Cello, Serena, Ceravolo, Francesco, Fabiano, Francesco, Chiaradia, Giuseppe, Gabriele, Amedeo, Lenino, Peluso, Andrea, Taristano, Settembrini, Vincenzo, Capomolla, Domenico, Citrino, Antonella, Scriva, Antonietta, Bruno, Irene, Secchi, Roberto, De Martino, Eugenio, Muccinelli, Roberto, Lupi, Gerardo, Paonessa, Patrizio, Fabbri, Andrea, Passuti, Maria Teresa, Castellari, Sofia, Po, Andrea, Gaggioli, Guido, Varesi, Massimo, Moneti, Paolo, Capurso, Sebastiano, Latini, Vincenzo, Ghidotti, Stefano, Riccardelli, Francesco, Macchi, Maurizio, Rigo, Rosaria, Claudio, Pascale, Angelo, Bosio, Flavio, Cerrato, Benedetta, Bardelli, Boffelli, Stefano, Cassinadri, Angela, Franzoni, Simone, Spazzini, Elena, Andretto, Daniela, Tonini, Gabriele, Andreani, Laura, Coralli, Mirco, Balotta, Antonio, Cancelliere, Roberto, Ballardini, Giorgio, Simoncelli, Margherita, Mancini, Annarita, Strazzacapa, Mara, Fabio, Stefano, De Filippi, Francesco, Giudice, Chiara, Dentizzi, Cosimo, Azzini, Margherita, Cazzadori, Marco, Mastroeni, Valeria, Bertassello, Paolo, Claudia Benati, Helena Santana, Nesta, Elisa, Tobaldini, Chiara, Guerini, Fabio, Elena, Tambara, Mombelloni, Paolo, Fontanini, Fulvio, Gabriella, Lassa, Pizzorni, Crosio, Oliverio, Martina, Del Grosso, Luciano Luca, Giavedoni, Cristina, Bidoli, Giuliano, Mazzei, Bruno, Corsonello, Andrea, Fusco, Sergio, Vena, Silvio, De Vuono, Tommaso, Maiuri, Giorgio, Luca, Fimognari Filippo, Andrea, Arone, Giovanni, Sgrò, Rossella, Nicolazzo, Castegnaro, Eugenio, De Rosa, Salvatore, Sechi, Rossella Bazzano, Benvenuti, Enrico, Del Lungo, Ilaria, Giardini, Sante, Giulietti, Chiara, Mauro, Di Bari, Eleonora, Barghini, Martina, Paoli, Irene, Fiordelli, Riccardo, Barucci, Federica, Sgrilli, Ilaria, Del Lungo, Bertoletti, Erik, D'Amico, Ferdinando, Caronzolo, Francesco, Grippa, Alessandro, Lombardo, Giuseppina, Pipicella, Tiziana, Antonino, Saitta, Francesco, Corica, Valeria, Prestipino Giarritta, Daniela, Larosa, Domenico, Cucinotta, Giorgio, Basile, March, Albert, Nitti, Maria Teresa, Felici, Alessandro, Pavan, Silvia, Piazzani, Fabrizio, Lunelli, Alessandra, Dimori, Sergio, Margotta, Alessandro, Soglia, Tiziano, Postacchini, Demetrio, Brunelli, Roberto, Santini, Silvia, Francavilla, Monia, Macchiati, Ilenia, Sorvillo, Francesca, Giuli, Cinzia, Mecocci, Patrizia, Longo, Annalisa, Perticone, Francesco, Addesi, Desireè, Rosa, Paola Cerra, Bencardino, Giuseppe, Falbo, Tania, Grillo, Nadia, Marco, Filice, Mirella, Flippo, Fantò, Fausto, Isaia, Gianluca, Pezzilli, Stella, Bergamo, Daniele, Furno, Elisabetta, Rrodhe, Sokol, Lucarini, Simonetta, Dijk, Babette, Dall'Acqua, Francesca, Cappelletto, Francesco, Calvani, Donatella, Becheri, Dimitri, Giuseppe, Mottino, Costanza, Mitidieri, Vito, Antonio, Francesca, Bartalucci, Magherini, Lorenza, Novella, Malin, Franca, Boni, Lucia Gambardella, Paoli Martina, Valente, Carlo, Ilaria, Bracali, Alice, Foschini, Bo, Mario, Porrino, Paola, Ceci, Giacomo, Giuliana, Bottignole, Michela, Tibaldi, Eleonora, Coppo, Ettore, Evaristo, Camellini, Cinzia, Servello, Adriana, Grassi, Alessandro, Rozzini, Renzo, Tironi, Sara, Grassi, Maria Grazia, Troisi, Elio, Carlo, Caltagirone, Simona Gabriella, Di Santo, Flaminia, Franchini, Federica, Ratto, Beatrice, Pavoni, Sofia, Toniolo, Gabutto, Anna, Quazzo, Loredana, Rosatello, Annalisa, Suraci, Domenico, Tagliabue, Benedetta, Perrone, Chiara, Ferrara, Lucia, Castagna, Alberto, Tremolada, Maria Luisa, Giuseppe, Castoldi, Stefano, Barbero, Davide, Oltramonti, Piano, Simonetta, Serviddio, Gaetano, Lo Buglio, Aurelio, Gurrera, Tiziana, Merlo, Valeria, Rovai, Carla, Cotroneo, Antonino Maria, Carlucci, Rosaria, Abbaldo, Anna, Monzani, Fabio, Qasem, Ahmad Amedeo, Bini, Giacomo, Tafuto, Silvia, Galli, Giovanni, Bruni, Amalia Cecilia, Mancuso, Giovanna, Mancuso, Gerardo, Calipari, Daniela, Giuseppe Massimiliano, De Luca, Bernardini, Bruno, Corsini, Carla, Michele, Ciccarelli, Sara, Dal Farra, Cagnin, Annachiara, Fragiacomo, Federica, Pompanin, Sara, Piero, Amodio, Marco, Cagnin, Zurlo, Amedeo, Guerra, Gianluca, Pala, Marco, Menozzi, Luca, Gatti, Chiara Delli, Magon, Stefania, Roberto, Manfredini, Alfredo, De Giorgi, Fabio, Fabbian, Ruana, Tiseo, Elisa, Misurati, Benedetta, Boari, Christian, Molino, Marco, Pala, Massimo, Gallerani, Di Francesco, Vincenzo, Faccioli, Silvia, Pellizzari, Luca, Giorgia, Fontana, Barbagallo, Giuseppe, Lunardelli, Maria Lia, Martini, Emilio, Ferrari, Eleonora, Macchiarulo, Maria, Corneli, Maria, Bacci, Monica, Battaglia, Giuseppe, Anastasio, Luigi, Lo Storto, Mario Sostene, Seresin, Chiara, Simonato, Matteo, Loreggian, Michele, Cestonaro, Fausta, Durando, Mario, Latella, Raffaele, Mazzoleni, Marta, Russo, Giuseppe, Ponte, Martino, Valchera, Alessandro, Salustri, Giuseppe, Petritola, Donatella, Costa, Alfredo, Sinforiani, Elena, Cotta, Matteo Ramusino, Pizio, Renato Nicola, Cester, Alberto, Formilan, Marino, Pietro, Bonometto, Carbone, Pasqualina, Cazzaniga, Ilaria, Appollonio, Ildebrando, Cereda, Diletta, Stabile, Andrea, Xhani, Rubjona, Acampora, Roberto, Tremolizzo, Lucio, Federico, Pieruzzi, Antonio, Ciaccio, Valerio, Pontecorvi, Cesare, Burti, Zhirajr, Mokini, Giovanni, Vitale, Maria, Amigoni, Mariaelena, Sparacino, Bottacchi, Edo, Bucciantini, Elisabetta, Di Giovanni, Marco, Franchi, Fabrizio, Lucchetti, Lucio, Mariani, Claudio, Grande, Giulia, Rapazzini, Piero, Marco, Mauri, Romanelli, Giuseppe, Marengoni, Alessandra, Franco, Nicosia, Alessio, Margola, Stefano, Bonardelli, Nicola, Latronico, Laura, Porcella, Nazario, Portolani, Carlo, Concoreggi, Chiara, Grassini, Soccorso, Pronto, Andrea, Salvi, Luca, Bianchetti, Francesca, Spagnoli, Roberto, Apuzzo, Marco, Fontanella, Anna, Ceraso, Francesco, Castelli, Fugazza, Luciano, Guerrini, Chiara, De Paduanis, Giovanna, Iallonardo, Lucia, Palumbo, Pasquale, Zuliani, Giovanni, Ortolani, Beatrice, Capatti, Eleonora, Soavi, Cecilia, Bianchi, Lara, Francesconi, Daniela, Miselli, Agata, Gloria, Brombo, Tommaso, Romagnoli, Chiara, Pazzaglini, Agata, Miselli Maria, Marco, Dall'Agata, Luca, Menozzi, Gianluca, Guerra, Suardi, Teresa, Mazzone, Andrea, Zaccarini, Cinzia, Manuela, Riva, Mirra, Gianluca, Muti, Ettore, Bottura, Renato, Gianpaolo, Moretti, Secreto, Piero, Bisio, Erika, Cecchettani, Marco, Naldi, Tamara, Pallavicino, Alessandra, Pugliese, Michela, Iozzo, Rosaria Cosima, Grassi, Guido, Michele, Bombelli, Raffaella, Dell'Oro, Fosca, Quarti Trevano, Giorgio, Giussani Carlo, Giovanni, Paternò, Ernesto, Contro, Mannironi, Antonio, Giorli, Elisa, Oberti, Sara, Fierro, Brigida, Piccoli, Tommaso, Giacalone, Fabio, Mandas, Antonella, Serchisu, Luca, Costaggiu, Diego, Pinna, Elisa, Orrù, Francesca, Mannai, Martina, Cordioli, Zeno, Pelizzari, Luca, Turcato, Emanuela, Arduini, Pietro, Cacace, Carlo, Chiloiro, Roberta, Cimino, Rosella, Ruberto, Carmen, Giovanni, Ruotolo, Pietro, Gareri, Laura, Greco, Alberto, Castagna, Carmen, Ruberto, Santo, Pierluigi Dal, Andriolli, Antonino, Burattin, Giuseppe, Rossi, Laura, Andreolli Antonino, Cervati Giovanna, Giuseppe, Catalano, Tezza, Fabiana, Maddalena, Pizzardini, Laura, Stievano, Crippa, Patrizia, Aloisio, Paola, Di Monda, Tiziana, Malighetti, Alessandro, Galbassini, Gloria, Salutis, Domus, Ivaldi, Claudio, Russo, Anna Maria, Bennati, Ettore, Pino, Elisabetta, Zavarise, Gianmaria, Pesci, Alberto, Suigo, Giulia, Faverio, Paola, Andrea, Gori, Sabrina, Perego, Zanasi, Massimo, Moniello, Giovanni, Rostagno, Carlo, Cartei, Alessandro, Polidori, Gianluca, Ungar, Andrea, Melis, Maria Ramona, Martellini, Eleonora, Enrico, Mossello, Monica, Torrini, Antonella, Giordano, Giovanna, Leone, Migliorini, Marta, Caramelli, Francesca, Battiston, Bruno, Berardino, Maurizio, Cavallo, Simona, Alessandro, Massè, Anna, Santoro, Lombardi, Bruna, D'Ippolito, Pierpaolo, Furini, Angela, Villani, Daniele, Clara, Raimondi, Guarneri, Massimo, Paolucci, Stefano, Bassi, Andrea, Coiro, Paola, De Angelis, Domenico, Morone, Giovanni, Venturiero, Vincenzo, Palleschi, Lorenzo, Raganato, Paolo, Di Niro, Giuseppina, Rosa, Casini Anna, Loredana, Bove, Imoscopi, Alessandra, Isaia, Giancarlo, Tibaldi, V., Bottignole G, G., Calvi, E., Clementi, C., Zanocchi, M., Agosta, L., Nortarelli, Antonella, Provenzano, Giuseppe, Mari, Daniela, Romano, Federica Ylenia, Rosini, Francesca, Mansi, Marta, Rossi, Silvia, Geriatria, Alex Riccardelli, Inzaghi, Lorenzo, Bonini, Giulia, Rossi, Paolo, Potena, Alfredo, Lichii, Mihaela, Candiani, Tiziana, Grimaldi, William, Bertani, Emiliano, Alessandra, Porta, Calogero, Pietro, Pinto, Daniela, Bernardi, Roberto, Nicolino, Francesco, Galetti, Caterina, Gianstefani, Alice, Giulia, Corvalli, Lorenzo, Mulazzani, Odetti, Patrizio, Monacelli, Fiammetta, Prefumo, Matteo, Fiammetta, Monacelli, Canepa, Marta, Minaglia, Cecilia, Paolisso, Giuseppe, Rizzo, Maria Rosaria, Prestano, Raffaele, Dalise, Anna Maria, Barra, Davide, Bosco, Livio Dal, Asprinio, Vincenzo, Dallape, Luciana, Perina, Elisa, Incalzi, Raffaele Antonelli, Bartoli, Isaura Rossi, Pluderi, Alice, Maina, Antonella, Pecoraro, Elisabetta, Sciarra, Michela, Prudente, Angela, Paola, Maina, Francesca, Mete, Manuel, Ventura, Luisella, Cesari, Maria, Pernigotti Luigi, Tina, Santangelo, Benini, Lucia, Levato, Francesco, Mhiuta, Victor, Alius, Florin, Davidoaia, Diana, Giardini, Vittorio, Garancini, Mattia, Bellamoli, Claudio, Terranova, Luciano, Bozzini, Claudia, Tosoni, Paolo, Provoli, Emma, Cascone, Luisa, Dioli, Andrea, Ferrarin, Gianfranco, Bucci, Adelmo, Bua, Guido, Fenu, Sara, Bianchi, Giovanna, Casella, Silvia, Romano, Valentina, Maurizio, Poli, Mascherona, Ilenia, Belotti, Gloria, Cavaliere, Sabina, Cuni, Estella, Merciuc, Nina, Oberti, Rosella, Veneziani, Silvia, Capoferri, Emanuela, De Bernardi, Elisabetta, Colombo, Katia, Bravi, Marco, Nicoletta, Negrinotti, D'Arcangelo, Paolo, Montenegro, Nicola, Montanari, Roberto, Lamanna, Pierpaolo, Gasperini, Beatrice, Isabella, Montesi, Stefania, Diotallevi, Gaia, Altobelli, Filippo, Calcinaro, Palamà, Chiara, Di Emidio, Chiara, Scarpini, Elio, Arighi, Andrea, Fumagalli, Giorgio, Basilico, Paola, De Amicis Margherita, Migone, Marta, Mancarella, Diletta, Maira, Granata, Antonino, Ranalli, Claudia, Cammilli, Alessandra, Cavallini, Maria Chiara, Tricca, Manola, Natella, Daniela, Gabbani, Luciano, Tesi, Francesca, Martella, Letizia, Imbrici, Rosalba, Guerrini, Gianbattista, Scotuzzi, Anna Maria, Sozzi, Ferdinando, Valenti, Luigi, Chiarello, Antonino, Monia, Monella, Pilotto, Alberto, Prete, Camilla, Senesi, Barbara, Meta, Anna Cristina, Pendenza, Enrico, Pasqualetti, Giuseppe, Polini, Antonio, Tognini, Sara, Ballino, Elena, Cherubini, Antonio, Dell'Aquila, Giuseppina, Gasparrini, Pina Maria, Marotti, Elisabetta, Migale, Monica, Scrimieri, Antonia, Falsetti, Lorenzo, Salvi, Aldo, Toigo, Gabriele, Ceschia, Giuliano, Rosso, Alessia, Tongiorgi, Chiara, Scarpa, Cristina, Maurizio, Pacchioni, De Dominicis, Luigino, Pucci, Eugenio, Renzi, Sara, Cartechini, Elisabetta, Tomassini, Pia Francesca, Del Gobbo, Maurizio, Ugenti, Francesca, Romeo, Pasquale, Nardelli, Anna, Lauretani, Fulvio, Visioli, Sandra, Montanari, Ilaria, Ermini, Francesca, Giordano, Antonio, Pigato, Giorgio, Simeone, Emilio, Barbujani, Mario, Giampieri, Marina, Amoruso, Raffaele, Piccinini, Maristella, Ferrari, Camilla, Gambetti, Claudio, Sfrappini, Mario, Semeraro, Letizia, Striuli, Rinaldo, Mariani, Claudia, Pelliccioni, Giuseppe, Marinelli, Donatella, Fabi, Katia, Rossi, Tommaso, Pesallaccia, Martina, Sabbatini, Debora, Gobbi, Beatrice, Cerqua, Raffaella, Tagliani, Giancarla, Schlauser, Elena, Caser, Luciano, Caramello, Elisa, Sandigliano, Franca, Rosso, Giorgio, Ferrari, Alberto, Bendini, Chiara, Luisa, Davoli Maria, Casella, Monica, Prampolini, Raffaella, Scevola, Moreno, Vitale, Enrico, Roberto, Brugiolo, Carlo, Fagherazzi, Sergio, Fusco, Alberto, Scarpa, Daniela, Zara, Giulia, Bertozzo, Serena, Granziera, Michele, Barazzuol, Maugeri, Domenico, Sorace, Rosaria, Anzaldi, Massimiliano, De Gesu, Roberto, Morrone, Giuseppe, Davolio, Federica, Fabbo, Andrea, Palmieri, Marina, Zoli, Marco, Forti, Paola, Pirazzoli, Luca, Fabbri, Elisa, Terenzi, Laura, Bergolari, Federica, Wenter, Christian, Ruffini, Ingrid, Insam, Miriam, Abraham, Elisabeth, Kirchlechner, Christine, Cucinotta, Domenico, Antonino, Lasco, Basile, Giorgio, Grazia, Arena Maria, Parise, Pasquale, Boccali, Andrea, Amici, Serena, Gambacorta, Maurizia, Lasagni, Anna, Lovati, Roberto, Giovinazzo, Francesca, Kimak, Elzbieta, Zappa, Paolo, Medici, Francesco, Lo Castro, Marika, Mauro, Flavia, De Luca, Alessandro, Sancesario, Giuseppe, Martorana, Alessandro, Scaricamazza, Beatrice, Toniolo, Sofia, Di Lorenzo, Francesco, Liguori, Claudio, Lasco, Antonino, Vita, Natale, Giomi, Mirna, Forte, Floriana, Padovani, Alessandro, Rozzini, Luca, Ceraso, Anna, Salvatore, Caratozzolo, Cottino, Maria, Vitali, Silvia, Marelli, Eleonora, Tripi, Gabriele, Miceli, Salvatore, Urso, Giovanni, Grioni, Giuseppe, Vezzadini, Giuliana, Misaggi, Giulia, Forlani, Chiara, Avanzi, Stefano, Serena, Saulle, Claudia, Casarini, Marilena, Viggiano, Alberto, Luisa, Diego, Ghianda, Alessandro, Giordano, Iemolo, Francesco, Giordano, Antonello, Sanzaro, Enzo, D'Asta, Gabriele, Proietto, Maria, Carnemolla, Anna, Razza, Grazia, Spadaro, Daniela, Bertolotti, Marco, Mussi, Chiara, Neviani, Francesca, Roberto, Chiesa, Valentina, Guerzoni, Linda, Morselli, Francesca, Venturelli, Tarozzi, Adriano, Balestri, Francesca, Mannarino, Giulio, Bigolari, Michela, Natale, Alessia, Grassi, Simona, Bottaro, Cinzia, Stefanelli, Sara, Bovone, Ugo, Tortorolo, Umberto, Quadri, Roberto, Leone, Giuseppe, Ponzetto, Maria, Frasson, Paola, Annoni, Giorgio, Bellelli, Giuseppe, Bruni, Adriana, Confalonieri, Roberto, Corsi, Maurizio, Moretti, Daniela, Teruzzi, Fabiola, Umidi, Simona, Mazzola, Paolo, Perego, Sabrina, Persico, Ilaria, Olivieri, Giulia, Bonfanti, Alessandra, Hajnalka, Szabò, Galeazzi, Marianna, Massariello, Francesca, Anzuini, Alessandra, Caffarra, Paolo, Barocco, Federica, Spallazzi, Marco, Paolo, Ceda Gian, Simonetta, Morganti, Andrea, Artoni, Chioatto, Paolo, Bortolamei, Sandra, Soattin, Lucia, Ruotolo, Giovanni, Beneamino, Borelli, Giuseppe, Barilaro, Bertazzoli, Marco, Rota, Elisabetta, Adobati, Annamaria, Scarpa, Alberto, Granziera, Serena, Zuccher, Paola, Fabbro, Angela Dal, Zara, Daniela, Lo Nigro, Ambra, Franchetti, Lorena, Toniolo, Marika, Marcuzzo, Cinzia, Rollone, Marco, Guerriero, Fabio, Sgarlata, Carmelo, Massè, Alessandro, Zatti, Giovanni, Piatti, Massimiliano, Graci, Jole, Benati, Giuseppe, Boschi, Federica, Biondi, Mario, Fiumi, Nicoletta, Erika, Tamburini, Locatelli, Sergio Mario, Mauri, Sabrina, Beretta, Mauro, Margheritis, Laura, Desideri, Giovanbattista, Liberatore, Ester, Carucci, Anna Cecilia, Bonino, Paolo, Caput, Margherita, Antonietti, Maria Paola, Polistena, Giuseppe, De la Pierre, Franz, Mari, Marcello, Massignani, Paola, Tombesi, Fabio, Selvaggio, Fabio, Verbo, Brunella, Bodoni, Paolo, Marchionni, Niccolò, Mossello, Enrico, Sabatini, Tony, Mussio, Eleonora, Magni, Eugenio, Bianchetti, Angelo, Crucitti, Andrea, Titoldini, Giulia, Cossu, Beatrice, Fascendini, Sara, Licini, Cristina, Tomasoni, Angela, Calderazzo, Massimo, Daniela, Tropiano, Valentina, Laganà, Melotti, Rita Maria, Lilli, Albina, Buda, Simona, Adversi, Marco, Noro, Gabriele, Turco, Renato, Ubezio, M Chiara, Mantovani, Anna Roberta, Viola, Maria Cristina, Serrati, Carlo, Pretta, Stefano, Infante, Maria, Gentile, Simona, Morandi, Alessandro, D'Ambrosio, Viviana, Mazzanti, Paolo, Brambilla, Cristina, Sportelli, Silvia, Platto, Caterina, Faraci, Bianca, Quattrocchi, Daniela, Pernigotti, Luigi Maria, Pisu, Cristina, Sicuro, Francesca, Zagnoni, Piergiuseppe, Ghiglia, Stefania, Mosca, Massimiliano, Corazzin, Ileana, Deola, Mariangela, Biagini, Carlo Adriano, Bencini, Francesca, Cantini, Claudia, Tonon, Elisabetta, Pierinelli, Silvia, Onofrj, Marco, Thomas, Astrid, Filomena, Borbone, Bonanni, Laura, Gabriella, Cacchiò, Comi, Giancarlo, Magnani, Giuseppe, Santangelo, Roberto, Mazzeo, Salvatore, Giuseppe, Magnani, Francesca, Caso, Giordano, Cecchetti, Roberto, Sant'Angelo, Barbieri, Cristina, Giroldi, Liviana, Bandini, Fabio, Masina, Marco, Malservisi, Simona, Cicognani, Annalena, Ricca, Laura, Piccininni, Maristella, Tassinari, Tiziana, Brogi, Davide, Sugo, Annalisa, Alessandra, Filippi, Sonia, Manfredi, Valerio, Vanni, Andrea, Usai Carlo, Enrico, Colombo, Vera, Renna Francesca, Assunta, Sauchella, Gianmaria, Zavarise, Mauro, Prete, Pietro, Bisagni, Roberto, Masini, Salvatore, Carrabetta, Barone, Antonella, Razzano, Monica, Giuseppe, Imperoli, Angela, Bini, Francesco, Serra, Valeria, D'Agostino, Federico, Gianolla, Lucia, Pietrangeli, Antonella, Velardi, Elisabetta, Di Cello, Cristina, Rosati, Nadia, Casali, Maria, Sessa, Luciano, Abruzzi, Chiara, Costanzi, Bini, Paolo, Pignata, Michele, Enrico, Buonagurio, Maria, Vollery, Giovanni, Carrieri, Giorgio, Cioni, Andrea, Toschi, Marco, Metra, Piera, Ranieri, Alberto, Zucchelli, Ceccon, Anna, Magrin, Laura, Marin, Sara, Barbara, Sofia, Marco, Masina, Laura, Ghedini, Matteo, Moroni, Marco, Paragona, Caterina, Pallotti Maria, Carla, Rota, Federica, Gottardi, Clara, Tomasoni, Melania, Cappuccio, Giampaolo, Bonini, Stefano, Guerini, Valeria, Guerini, Lucia, Merla, Giovambattista, Desideri, Ester, Liberatore, Cecilia, Carucci Anna, Maurizio, Tovaglieri, Vera, Renna Frandesca, Nadia, Bongiorni, Grillo, Antonio, Arenare, Francesca, Tonino, Mineo, David, Kanah, Giorgio, Vianello Piero, Ubaldo, Balducci, Vincenzo, Sidoti, Stefano, Montanari, Marino, Formilan, Busonera Flavio, Murelli Teodolindo, Paolo, Albanese, Monica, Maselli, Francesco, Bolzetta, Roberto, Fabris, Paolo, Bonino, DuranteMangoni, Emanuele, Testoni, Michela, Fabio, Di Stefano, Loredana, Seccia, Valeria, Sonzini, Fabiano, Maria, Annabella, Di Giorgio, Salvatore, De Cosmo, Greco, Antonio, Grazia, D'Onofrio, Daniele, Sancarlo, Gianluca, Resta, Renzo, Girardello, Sergio, Minervini, Morena, Boni, Vitali, Mariagrazia, Marina, Pizzoni, Paolo, De Colle, Cristina, Scarpa, Alessandra, Frattola, Orlandini, Francesco, La Regina, Micaela, Desirée, Addesi, Mirella, Filippo, Mario, Bo, Paola, Porrino, Padulo, Filomena, Cristina, Margheriti, Dario, Rolano, Giancarla, Moscatelli, Guido, Radaelli, Elena, Montini, Prete, Cosimo, Marileda, Novello, Igor, Bramuzzo, Nicole, Bertin, Elena, Rinaldo, Paolillo, Ciro, Riccardi, Angela, Claudia, Benedetti, Barbara, Rizzi, Francesca, Montagna, Silvia, Vitali, Chiara, Cutaia, Oliver, Baca, Mauro, Colombo, Eleonora, Marelli, Giuseppe, Procino, Rosaria, Tararà, Maria, Cottino, Davide, Dell'Acqua, Stefania, Cislaghi, Marco, Cairati, Massimo, Porta, Luca, Scaglione, Martina, De Feo, Paola, Vertolli, Lia, Salvati, Sandro, Cinotti, Valentina, De Santis, Erminia, Biferi, Paola, Cheli, Romina, Rebizzo, Minisola, Salvatore, Luciano, Colangelo, Pasquale, Abete, Ilaria, Liguori, Francesca, Curcio, Guglielmo, Spassini, Marco, Engheben, Sara, Rotunno, Paola, Arosio, Claudio, Angelini, Francesco, Reggiani, Alessandro, Cappelli, Simona, Marcheselli, Lara, Fratticci, Paola, Ranzani, Simonetta, Cesarini, Antonella, Cerini, Generoso, Uomo, Fernando, Gallucci, Giuliano, Ceschia, Emanuela, Serra, Mariolina, Sola, Alessandro, Delitala, Chiara, Pes, Giulia, Lobianco, Alessandro, Giani, Famularo, Simone, Sandini, Marta, Pinotti, Enrico, Gianotti, Luca, Antonella, Battuello, Giulia, Pintore, Sante, Giardini, Rossi, Andrea, Rubele, Sofia, Sant, Selena, Marco, Vignati, Danila, Clerici, Fabio, Rosa, Bandirali, Maria Pia, Nicoletta, Cattaneo, Laura, Boffi, Paolo, Tosoni, Luciano, Terranova, Leonello, Avalli, Margherita, Scanziani, Stefania, De Notaris, Pierluigi, Del Santo, Laura, Rossi, Fabiana, Tezza, Giovanna, Cervati, Antonino, Andreolli, Felice, Catalano, Giuseppe, Burattin, Danilo, Fogli, Giovanna, Di Bella, Francesco, Landi, Salini, Sara, Angela, Brunetti Maria, Giorgetta, Cappa, Giovanni, Galvagno, Paola, Cena, Gerardo, Bruno, Silvio, Raspo, Letizia, Semeraro, Sabrina, Pedrotti, Davide, Barra, Rosaria, Rizzo Maria, Maria, Dalise Anna, Raffaele, Prestano, Palmieri, Vincenzo Ostilio, Palasciano, Giuseppe, Belfiore, Anna, Portincasa, Piero, Carlo, Sabbà, Vincenzo, Solfrizzi, Alessia, D'introno, Valiani, Vincenzo, Carolina, Bologna, Tiziana, Ciarambino, Paola, Turelli, Ugo, Pazzaglia, Federica, Rodella, Giacomo, Piana, Castellano, Maurizio, Anna, Garelli, Elisa, Casella, Federica, Campana, Antonietta, Coschignano Maria, Luigi, Marinangeli, Fabio, Lorico, Salvatore, Bazzano, Giuseppe, Menculini, Gelosa, Giorgio, Viviana, Ambrogio Teresa, Piras, Valentina, Andrea, Ciricugno, Alessandra, Bollari, Coen, Daniele, Magliola, Renata, Milanesio, Deborah, Muzzulini, Carlo Lorenzo, Paolo, Fogliacco, Marinella, Turla, Sofia, Cotelli Maria, Marta, Bianchi, Siano, Pietro, Capo, Giuseppe, Napoletano, Rosa, Cecilia, Politi, Mancini, Concetta, Del Buono, Corrado, De Bartolomeo, Giuseppe, Addolorata, Martinelli, Carmen, Cefalogli, Roberto, Cozzi, Giovanni, Virtuani Angelo, Moschettini, Gianfilippo, Franco, Mastroianni, Daniela, Roglia, D'Amico, Gabriella, Mirella, Palella, Endrizzi, Cristina, Trotta, Lucia, Ciarambino, Tiziana, Orazio, Zanetti, Emanuela, Terazzi, Marta, Sacchetti, Thomas, Fleetwood, Giacomo, Tondo, Ignazio, Di Fazio, Andrea, Bruni, Giuseppe, Orsitto, Emanuela, Fabbro, Serena, Amici, Elena, D'Imporzano, Anna, Casanova, Serena, Bertolio, Erika, Nervo, Roberto, Silvestri, Elena, Semproni, Manuela, Pintus, Francesca, Aloe, Angelo, Tagliaccica, Zambon, Antonella, and Di Santo, Simona G.

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2020
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5. Prophylactic or therapeutic doses of heparins for COVID-19 infection? A retrospective study

Author

Paolo Albanese, Monica Maselli, Federica Chiaromanni, Francesco Bolzetta, Antonietta Romano, Marino Formilan, Nicola Veronese, Flavio Busonera, Bolzetta, F., Maselli, M., Formilan, M., Busonera, F., Albanese, P., Chiaromanni, F., Romano, A., and Veronese, N.

Subjects
Aging, medicine.medical_specialty, COVID-19 · Heparin · Mortality, Short Communication, Disease, Fondaparinux, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, Coagulopathy, Humans, 030212 general & internal medicine, Mortality, Survival rate, Aged, Retrospective Studies, Aged, 80 and over, Heparin, SARS-CoV-2, business.industry, Confounding, Hazard ratio, Anticoagulants, COVID-19, Retrospective cohort study, medicine.disease, Confidence interval, Female, Geriatrics and Gerontology, business, 030217 neurology & neurosurgery, medicine.drug
Abstract

Background: Coronavirus disease 19 (COVID-19) is a global outbreak. COVID-19 patients seem to have relevant coagulative abnormalities, even if they are not typical of disseminated intravascular coagulopathy (DIC) of the kind seen in septicaemia. Therefore, anticoagulant therapy with heparins is increasing in interest for a clinical approach to these patients, particularly if older. Studies comparing if prophylactic doses are more effective than therapeutic ones are still missing. Methods: Data were collected in the Geriatric Section of the Dolo Hospital, ULSS 3 “Serenissima”, Venice from 31st March to 01st May 2020. Heparins (calciparin, fondaparinux, enoxaparine) were divided into prophylactic or therapeutic doses. People previously treated with oral anticoagulants were removed. Vital status was assessed using administrative data. Cox’s regression analysis, adjusted for potential confounders, was used for assessing the strength of the association between heparins and mortality. The data were reported as hazard ratio (HR) with 95% confidence intervals (CIs). Results: 81 older people (mean age 84.1years; females = 61.9%) were included. No significant differences in terms of demographic and clinical characteristics emerged between people treated with prophylactic or therapeutic doses, including age, gender, X-rays findings or severity of disease. Therapeutic doses were not associated to a better survival rate (HR 1.06; 95% CI 0.47–2.60; p = 0.89), even after adjusting for 15 confounders related to mortality (HR 0.89; 95% CI 0.30–2.71; p = 0.84). Conclusions: Our paper indicates that in older people affected by COVID-19 there is no justification for using therapeutic doses instead of prophylactic ones, having a similar impact on mortality risk. © 2020, Springer Nature Switzerland AG.

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2020
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6. Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

Author

Morandi, Alessandro, primary, Zambon, Antonella, additional, Di Santo, Simona G., additional, Mazzone, Andrea, additional, Cherubini, Antonio, additional, Mossello, Enrico, additional, Bo, Mario, additional, Marengoni, Alessandra, additional, Bellelli, Giuseppe, additional, Rispoli, Vincenzo, additional, Malara, Alba, additional, Spadea, Fausto, additional, Di Cello, Serena, additional, Ceravolo, Francesco, additional, Fabiano, Francesco, additional, Chiaradia, Giuseppe, additional, Gabriele, Amedeo, additional, Lenino, Peluso, additional, Andrea, Taristano, additional, Settembrini, Vincenzo, additional, Capomolla, Domenico, additional, Citrino, Antonella, additional, Scriva, Antonietta, additional, Bruno, Irene, additional, Secchi, Roberto, additional, De Martino, Eugenio, additional, Muccinelli, Roberto, additional, Lupi, Gerardo, additional, Paonessa, Patrizio, additional, Fabbri, Andrea, additional, Passuti, Maria Teresa, additional, Castellari, Sofia, additional, Po, Andrea, additional, Gaggioli, Guido, additional, Varesi, Massimo, additional, Moneti, Paolo, additional, Capurso, Sebastiano, additional, Latini, Vincenzo, additional, Ghidotti, Stefano, additional, Riccardelli, Francesco, additional, Macchi, Maurizio, additional, Rigo, Rosaria, additional, Claudio, Pascale, additional, Angelo, Bosio, additional, Flavio, Cerrato, additional, Benedetta, Bardelli, additional, Boffelli, Stefano, additional, Cassinadri, Angela, additional, Franzoni, Simone, additional, Spazzini, Elena, additional, Andretto, Daniela, additional, Tonini, Gabriele, additional, Andreani, Laura, additional, Coralli, Mirco, additional, Balotta, Antonio, additional, Cancelliere, Roberto, additional, Ballardini, Giorgio, additional, Simoncelli, Margherita, additional, Mancini, Annarita, additional, Strazzacapa, Mara, additional, Fabio, Stefano, additional, De Filippi, Francesco, additional, Giudice, Chiara, additional, Dentizzi, Cosimo, additional, Azzini, Margherita, additional, Cazzadori, Marco, additional, Mastroeni, Valeria, additional, Bertassello, Paolo, additional, Claudia Benati, Helena Santana, additional, Nesta, Elisa, additional, Tobaldini, Chiara, additional, Guerini, Fabio, additional, Elena, Tambara, additional, Mombelloni, Paolo, additional, Fontanini, Fulvio, additional, Gabriella, Lassa, additional, Pizzorni, Crosio, additional, Oliverio, Martina, additional, Del Grosso, Luciano Luca, additional, Giavedoni, Cristina, additional, Bidoli, Giuliano, additional, Mazzei, Bruno, additional, Corsonello, Andrea, additional, Fusco, Sergio, additional, Vena, Silvio, additional, De Vuono, Tommaso, additional, Maiuri, Giorgio, additional, Luca, Fimognari Filippo, additional, Andrea, Arone, additional, Giovanni, Sgrò, additional, Rossella, Nicolazzo, additional, Castegnaro, Eugenio, additional, De Rosa, Salvatore, additional, Sechi, Rossella Bazzano, additional, Benvenuti, Enrico, additional, Del Lungo, Ilaria, additional, Giardini, Sante, additional, Giulietti, Chiara, additional, Mauro, Di Bari, additional, Eleonora, Barghini, additional, Martina, Paoli, additional, Irene, Fiordelli, additional, Riccardo, Barucci, additional, Federica, Sgrilli, additional, Ilaria, Del Lungo, additional, Bertoletti, Erik, additional, D'Amico, Ferdinando, additional, Caronzolo, Francesco, additional, Grippa, Alessandro, additional, Lombardo, Giuseppina, additional, Pipicella, Tiziana, additional, Antonino, Saitta, additional, Francesco, Corica, additional, Valeria, Prestipino Giarritta, additional, Daniela, Larosa, additional, Domenico, Cucinotta, additional, Giorgio, Basile, additional, March, Albert, additional, Nitti, Maria Teresa, additional, Felici, Alessandro, additional, Pavan, Silvia, additional, Piazzani, Fabrizio, additional, Lunelli, Alessandra, additional, Dimori, Sergio, additional, Margotta, Alessandro, additional, Soglia, Tiziano, additional, Postacchini, Demetrio, additional, Brunelli, Roberto, additional, Santini, Silvia, additional, Francavilla, Monia, additional, Macchiati, Ilenia, additional, Sorvillo, Francesca, additional, Giuli, Cinzia, additional, Mecocci, Patrizia, additional, Longo, Annalisa, additional, Perticone, Francesco, additional, Addesi, Desireè, additional, Rosa, Paola Cerra, additional, Bencardino, Giuseppe, additional, Falbo, Tania, additional, Grillo, Nadia, additional, Marco, Filice, additional, Mirella, Flippo, additional, Fantò, Fausto, additional, Isaia, Gianluca, additional, Pezzilli, Stella, additional, Bergamo, Daniele, additional, Furno, Elisabetta, additional, Rrodhe, Sokol, additional, Lucarini, Simonetta, additional, Dijk, Babette, additional, Dall'Acqua, Francesca, additional, Cappelletto, Francesco, additional, Calvani, Donatella, additional, Becheri, Dimitri, additional, Giuseppe, Mottino, additional, Costanza, Mitidieri, additional, Vito, Antonio, additional, Francesca, Bartalucci, additional, Magherini, Lorenza, additional, Novella, Malin, additional, Franca, Boni, additional, Lucia Gambardella, Paoli Martina, additional, Valente, Carlo, additional, Ilaria, Bracali, additional, Alice, Foschini, additional, Porrino, Paola, additional, Ceci, Giacomo, additional, Giuliana, Bottignole, additional, Michela, Tibaldi, additional, Eleonora, Coppo, additional, Ettore, Evaristo, additional, Camellini, Cinzia, additional, Servello, Adriana, additional, Grassi, Alessandro, additional, Rozzini, Renzo, additional, Tironi, Sara, additional, Grassi, Maria Grazia, additional, Troisi, Elio, additional, Carlo, Caltagirone, additional, Simona Gabriella, Di Santo, additional, Flaminia, Franchini, additional, Federica, Ratto, additional, Beatrice, Pavoni, additional, Sofia, Toniolo, additional, Gabutto, Anna, additional, Quazzo, Loredana, additional, Rosatello, Annalisa, additional, Suraci, Domenico, additional, Tagliabue, Benedetta, additional, Perrone, Chiara, additional, Ferrara, Lucia, additional, Castagna, Alberto, additional, Tremolada, Maria Luisa, additional, Giuseppe, Castoldi, additional, Stefano, Barbero, additional, Davide, Oltramonti, additional, Piano, Simonetta, additional, Serviddio, Gaetano, additional, Lo Buglio, Aurelio, additional, Gurrera, Tiziana, additional, Merlo, Valeria, additional, Rovai, Carla, additional, Cotroneo, Antonino Maria, additional, Carlucci, Rosaria, additional, Abbaldo, Anna, additional, Monzani, Fabio, additional, Qasem, Ahmad Amedeo, additional, Bini, Giacomo, additional, Tafuto, Silvia, additional, Galli, Giovanni, additional, Bruni, Amalia Cecilia, additional, Mancuso, Giovanna, additional, Mancuso, Gerardo, additional, Calipari, Daniela, additional, Giuseppe Massimiliano, De Luca, additional, Bernardini, Bruno, additional, Corsini, Carla, additional, Michele, Ciccarelli, additional, Sara, Dal Farra, additional, Cagnin, Annachiara, additional, Fragiacomo, Federica, additional, Pompanin, Sara, additional, Piero, Amodio, additional, Marco, Cagnin, additional, Zurlo, Amedeo, additional, Guerra, Gianluca, additional, Pala, Marco, additional, Menozzi, Luca, additional, Gatti, Chiara Delli, additional, Magon, Stefania, additional, Roberto, Manfredini, additional, Alfredo, De Giorgi, additional, Fabio, Fabbian, additional, Ruana, Tiseo, additional, Elisa, Misurati, additional, Benedetta, Boari, additional, Christian, Molino, additional, Marco, Pala, additional, Massimo, Gallerani, additional, Di Francesco, Vincenzo, additional, Faccioli, Silvia, additional, Pellizzari, Luca, additional, Giorgia, Fontana, additional, Barbagallo, Giuseppe, additional, Lunardelli, Maria Lia, additional, Martini, Emilio, additional, Ferrari, Eleonora, additional, Macchiarulo, Maria, additional, Corneli, Maria, additional, Bacci, Monica, additional, Battaglia, Giuseppe, additional, Anastasio, Luigi, additional, Lo Storto, Mario Sostene, additional, Seresin, Chiara, additional, Simonato, Matteo, additional, Loreggian, Michele, additional, Cestonaro, Fausta, additional, Durando, Mario, additional, Latella, Raffaele, additional, Mazzoleni, Marta, additional, Russo, Giuseppe, additional, Ponte, Martino, additional, Valchera, Alessandro, additional, Salustri, Giuseppe, additional, Petritola, Donatella, additional, Costa, Alfredo, additional, Sinforiani, Elena, additional, Cotta, Matteo Ramusino, additional, Pizio, Renato Nicola, additional, Cester, Alberto, additional, Formilan, Marino, additional, Pietro, Bonometto, additional, Carbone, Pasqualina, additional, Cazzaniga, Ilaria, additional, Appollonio, Ildebrando, additional, Cereda, Diletta, additional, Stabile, Andrea, additional, Xhani, Rubjona, additional, Acampora, Roberto, additional, Tremolizzo, Lucio, additional, Federico, Pieruzzi, additional, Antonio, Ciaccio, additional, Valerio, Pontecorvi, additional, Cesare, Burti, additional, Zhirajr, Mokini, additional, Giovanni, Vitale, additional, Maria, Amigoni, additional, Mariaelena, Sparacino, additional, Bottacchi, Edo, additional, Bucciantini, Elisabetta, additional, Di Giovanni, Marco, additional, Franchi, Fabrizio, additional, Lucchetti, Lucio, additional, Mariani, Claudio, additional, Grande, Giulia, additional, Rapazzini, Piero, additional, Marco, Mauri, additional, Romanelli, Giuseppe, additional, Franco, Nicosia, additional, Alessio, Margola, additional, Stefano, Bonardelli, additional, Nicola, Latronico, additional, Laura, Porcella, additional, Nazario, Portolani, additional, Carlo, Concoreggi, additional, Chiara, Grassini, additional, Soccorso, Pronto, additional, Andrea, Salvi, additional, Luca, Bianchetti, additional, Francesca, Spagnoli, additional, Roberto, Apuzzo, additional, Marco, Fontanella, additional, Anna, Ceraso, additional, Francesco, Castelli, additional, Fugazza, Luciano, additional, Guerrini, Chiara, additional, De Paduanis, Giovanna, additional, Iallonardo, Lucia, additional, Palumbo, Pasquale, additional, Zuliani, Giovanni, additional, Ortolani, Beatrice, additional, Capatti, Eleonora, additional, Soavi, Cecilia, additional, Bianchi, Lara, additional, Francesconi, Daniela, additional, Miselli, Agata, additional, Gloria, Brombo, additional, Tommaso, Romagnoli, additional, Chiara, Pazzaglini, additional, Agata, Miselli Maria, additional, Marco, Dall'Agata, additional, Luca, Menozzi, additional, Gianluca, Guerra, additional, Suardi, Teresa, additional, Zaccarini, Cinzia, additional, Manuela, Riva, additional, Mirra, Gianluca, additional, Muti, Ettore, additional, Bottura, Renato, additional, Gianpaolo, Moretti, additional, Secreto, Piero, additional, Bisio, Erika, additional, Cecchettani, Marco, additional, Naldi, Tamara, additional, Pallavicino, Alessandra, additional, Pugliese, Michela, additional, Iozzo, Rosaria Cosima, additional, Grassi, Guido, additional, Michele, Bombelli, additional, Raffaella, Dell'Oro, additional, Fosca, Quarti Trevano, additional, Giorgio, Giussani Carlo, additional, Giovanni, Paternò, additional, Ernesto, Contro, additional, Mannironi, Antonio, additional, Giorli, Elisa, additional, Oberti, Sara, additional, Fierro, Brigida, additional, Piccoli, Tommaso, additional, Giacalone, Fabio, additional, Mandas, Antonella, additional, Serchisu, Luca, additional, Costaggiu, Diego, additional, Pinna, Elisa, additional, Orrù, Francesca, additional, Mannai, Martina, additional, Cordioli, Zeno, additional, Pelizzari, Luca, additional, Turcato, Emanuela, additional, Arduini, Pietro, additional, Cacace, Carlo, additional, Chiloiro, Roberta, additional, Cimino, Rosella, additional, Ruberto, Carmen, additional, Giovanni, Ruotolo, additional, Pietro, Gareri, additional, Laura, Greco, additional, Alberto, Castagna, additional, Carmen, Ruberto, additional, Santo, Pierluigi Dal, additional, Andriolli, Antonino, additional, Burattin, Giuseppe, additional, Rossi, Laura, additional, Andreolli Antonino, Cervati Giovanna, additional, Giuseppe, Catalano, additional, Tezza, Fabiana, additional, Maddalena, Pizzardini, additional, Laura, Stievano, additional, Crippa, Patrizia, additional, Aloisio, Paola, additional, Di Monda, Tiziana, additional, Malighetti, Alessandro, additional, Galbassini, Gloria, additional, Salutis, Domus, additional, Ivaldi, Claudio, additional, Russo, Anna Maria, additional, Bennati, Ettore, additional, Pino, Elisabetta, additional, Zavarise, Gianmaria, additional, Pesci, Alberto, additional, Suigo, Giulia, additional, Faverio, Paola, additional, Andrea, Gori, additional, Sabrina, Perego, additional, Zanasi, Massimo, additional, Moniello, Giovanni, additional, Rostagno, Carlo, additional, Cartei, Alessandro, additional, Polidori, Gianluca, additional, Ungar, Andrea, additional, Melis, Maria Ramona, additional, Martellini, Eleonora, additional, Enrico, Mossello, additional, Monica, Torrini, additional, Antonella, Giordano, additional, Giovanna, Leone, additional, Migliorini, Marta, additional, Caramelli, Francesca, additional, Battiston, Bruno, additional, Berardino, Maurizio, additional, Cavallo, Simona, additional, Alessandro, Massè, additional, Anna, Santoro, additional, Lombardi, Bruna, additional, D'Ippolito, Pierpaolo, additional, Furini, Angela, additional, Villani, Daniele, additional, Clara, Raimondi, additional, Guarneri, Massimo, additional, Paolucci, Stefano, additional, Bassi, Andrea, additional, Coiro, Paola, additional, De Angelis, Domenico, additional, Morone, Giovanni, additional, Venturiero, Vincenzo, additional, Palleschi, Lorenzo, additional, Raganato, Paolo, additional, Di Niro, Giuseppina, additional, Rosa, Casini Anna, additional, Loredana, Bove, additional, Imoscopi, Alessandra, additional, Isaia, Giancarlo, additional, Tibaldi, V., additional, Bottignole G, G., additional, Calvi, E., additional, Clementi, C., additional, Zanocchi, M., additional, Agosta, L., additional, Nortarelli, Antonella, additional, Provenzano, Giuseppe, additional, Mari, Daniela, additional, Romano, Federica Ylenia, additional, Rosini, Francesca, additional, Mansi, Marta, additional, Rossi, Silvia, additional, Geriatria, Alex Riccardelli, additional, Inzaghi, Lorenzo, additional, Bonini, Giulia, additional, Rossi, Paolo, additional, Potena, Alfredo, additional, Lichii, Mihaela, additional, Candiani, Tiziana, additional, Grimaldi, William, additional, Bertani, Emiliano, additional, Alessandra, Porta, additional, Calogero, Pietro, additional, Pinto, Daniela, additional, Bernardi, Roberto, additional, Nicolino, Francesco, additional, Galetti, Caterina, additional, Gianstefani, Alice, additional, Giulia, Corvalli, additional, Lorenzo, Mulazzani, additional, Odetti, Patrizio, additional, Monacelli, Fiammetta, additional, Prefumo, Matteo, additional, Fiammetta, Monacelli, additional, Canepa, Marta, additional, Minaglia, Cecilia, additional, Paolisso, Giuseppe, additional, Rizzo, Maria Rosaria, additional, Prestano, Raffaele, additional, Dalise, Anna Maria, additional, Barra, Davide, additional, Bosco, Livio Dal, additional, Asprinio, Vincenzo, additional, Dallape, Luciana, additional, Perina, Elisa, additional, Incalzi, Raffaele Antonelli, additional, Bartoli, Isaura Rossi, additional, Pluderi, Alice, additional, Maina, Antonella, additional, Pecoraro, Elisabetta, additional, Sciarra, Michela, additional, Prudente, Angela, additional, Paola, Maina, additional, Francesca, Mete, additional, Manuel, Ventura, additional, Luisella, Cesari, additional, Maria, Pernigotti Luigi, additional, Tina, Santangelo, additional, Benini, Lucia, additional, Levato, Francesco, additional, Mhiuta, Victor, additional, Alius, Florin, additional, Davidoaia, Diana, additional, Giardini, Vittorio, additional, Garancini, Mattia, additional, Bellamoli, Claudio, additional, Terranova, Luciano, additional, Bozzini, Claudia, additional, Tosoni, Paolo, additional, Provoli, Emma, additional, Cascone, Luisa, additional, Dioli, Andrea, additional, Ferrarin, Gianfranco, additional, Bucci, Adelmo, additional, Bua, Guido, additional, Fenu, Sara, additional, Bianchi, Giovanna, additional, Casella, Silvia, additional, Romano, Valentina, additional, Maurizio, Poli, additional, Mascherona, Ilenia, additional, Belotti, Gloria, additional, Cavaliere, Sabina, additional, Cuni, Estella, additional, Merciuc, Nina, additional, Oberti, Rosella, additional, Veneziani, Silvia, additional, Capoferri, Emanuela, additional, De Bernardi, Elisabetta, additional, Colombo, Katia, additional, Bravi, Marco, additional, Nicoletta, Negrinotti, additional, D'Arcangelo, Paolo, additional, Montenegro, Nicola, additional, Montanari, Roberto, additional, Lamanna, Pierpaolo, additional, Gasperini, Beatrice, additional, Isabella, Montesi, additional, Stefania, Diotallevi, additional, Gaia, Altobelli, additional, Filippo, Calcinaro, additional, Palamà, Chiara, additional, Di Emidio, Chiara, additional, Scarpini, Elio, additional, Arighi, Andrea, additional, Fumagalli, Giorgio, additional, Basilico, Paola, additional, De Amicis Margherita, Migone, additional, Marta, Mancarella, additional, Diletta, Maira, additional, Granata, Antonino, additional, Ranalli, Claudia, additional, Cammilli, Alessandra, additional, Cavallini, Maria Chiara, additional, Tricca, Manola, additional, Natella, Daniela, additional, Gabbani, Luciano, additional, Tesi, Francesca, additional, Martella, Letizia, additional, Imbrici, Rosalba, additional, Guerrini, Gianbattista, additional, Scotuzzi, Anna Maria, additional, Sozzi, Ferdinando, additional, Valenti, Luigi, additional, Chiarello, Antonino, additional, Monia, Monella, additional, Pilotto, Alberto, additional, Prete, Camilla, additional, Senesi, Barbara, additional, Meta, Anna Cristina, additional, Pendenza, Enrico, additional, Pasqualetti, Giuseppe, additional, Polini, Antonio, additional, Tognini, Sara, additional, Ballino, Elena, additional, Dell'Aquila, Giuseppina, additional, Gasparrini, Pina Maria, additional, Marotti, Elisabetta, additional, Migale, Monica, additional, Scrimieri, Antonia, additional, Falsetti, Lorenzo, additional, Salvi, Aldo, additional, Toigo, Gabriele, additional, Ceschia, Giuliano, additional, Rosso, Alessia, additional, Tongiorgi, Chiara, additional, Scarpa, Cristina, additional, Maurizio, Pacchioni, additional, De Dominicis, Luigino, additional, Pucci, Eugenio, additional, Renzi, Sara, additional, Cartechini, Elisabetta, additional, Tomassini, Pia Francesca, additional, Del Gobbo, Maurizio, additional, Ugenti, Francesca, additional, Romeo, Pasquale, additional, Nardelli, Anna, additional, Lauretani, Fulvio, additional, Visioli, Sandra, additional, Montanari, Ilaria, additional, Ermini, Francesca, additional, Giordano, Antonio, additional, Pigato, Giorgio, additional, Simeone, Emilio, additional, Barbujani, Mario, additional, Giampieri, Marina, additional, Amoruso, Raffaele, additional, Piccinini, Maristella, additional, Ferrari, Camilla, additional, Gambetti, Claudio, additional, Sfrappini, Mario, additional, Semeraro, Letizia, additional, Striuli, Rinaldo, additional, Mariani, Claudia, additional, Pelliccioni, Giuseppe, additional, Marinelli, Donatella, additional, Fabi, Katia, additional, Rossi, Tommaso, additional, Pesallaccia, Martina, additional, Sabbatini, Debora, additional, Gobbi, Beatrice, additional, Cerqua, Raffaella, additional, Tagliani, Giancarla, additional, Schlauser, Elena, additional, Caser, Luciano, additional, Caramello, Elisa, additional, Sandigliano, Franca, additional, Rosso, Giorgio, additional, Ferrari, Alberto, additional, Bendini, Chiara, additional, Luisa, Davoli Maria, additional, Casella, Monica, additional, Prampolini, Raffaella, additional, Scevola, Moreno, additional, Vitale, Enrico, additional, Roberto, Brugiolo, additional, Carlo, Fagherazzi, additional, Sergio, Fusco, additional, Alberto, Scarpa, additional, Daniela, Zara, additional, Giulia, Bertozzo, additional, Serena, Granziera, additional, Michele, Barazzuol, additional, Maugeri, Domenico, additional, Sorace, Rosaria, additional, Anzaldi, Massimiliano, additional, De Gesu, Roberto, additional, Morrone, Giuseppe, additional, Davolio, Federica, additional, Fabbo, Andrea, additional, Palmieri, Marina, additional, Zoli, Marco, additional, Forti, Paola, additional, Pirazzoli, Luca, additional, Fabbri, Elisa, additional, Terenzi, Laura, additional, Bergolari, Federica, additional, Wenter, Christian, additional, Ruffini, Ingrid, additional, Insam, Miriam, additional, Abraham, Elisabeth, additional, Kirchlechner, Christine, additional, Cucinotta, Domenico, additional, Antonino, Lasco, additional, Basile, Giorgio, additional, Grazia, Arena Maria, additional, Parise, Pasquale, additional, Boccali, Andrea, additional, Amici, Serena, additional, Gambacorta, Maurizia, additional, Lasagni, Anna, additional, Lovati, Roberto, additional, Giovinazzo, Francesca, additional, Kimak, Elzbieta, additional, Zappa, Paolo, additional, Medici, Francesco, additional, Lo Castro, Marika, additional, Mauro, Flavia, additional, De Luca, Alessandro, additional, Sancesario, Giuseppe, additional, Martorana, Alessandro, additional, Scaricamazza, Beatrice, additional, Toniolo, Sofia, additional, Di Lorenzo, Francesco, additional, Liguori, Claudio, additional, Lasco, Antonino, additional, Vita, Natale, additional, Giomi, Mirna, additional, Forte, Floriana, additional, Padovani, Alessandro, additional, Rozzini, Luca, additional, Ceraso, Anna, additional, Salvatore, Caratozzolo, additional, Cottino, Maria, additional, Vitali, Silvia, additional, Marelli, Eleonora, additional, Tripi, Gabriele, additional, Miceli, Salvatore, additional, Urso, Giovanni, additional, Grioni, Giuseppe, additional, Vezzadini, Giuliana, additional, Misaggi, Giulia, additional, Forlani, Chiara, additional, Avanzi, Stefano, additional, Serena, Saulle, additional, Claudia, Casarini, additional, Marilena, Viggiano, additional, Alberto, Luisa, additional, Diego, Ghianda, additional, Alessandro, Giordano, additional, Iemolo, Francesco, additional, Giordano, Antonello, additional, Sanzaro, Enzo, additional, D'Asta, Gabriele, additional, Proietto, Maria, additional, Carnemolla, Anna, additional, Razza, Grazia, additional, Spadaro, Daniela, additional, Bertolotti, Marco, additional, Mussi, Chiara, additional, Neviani, Francesca, additional, Roberto, Chiesa, additional, Valentina, Guerzoni, additional, Linda, Morselli, additional, Francesca, Venturelli, additional, Tarozzi, Adriano, additional, Balestri, Francesca, additional, Mannarino, Giulio, additional, Bigolari, Michela, additional, Natale, Alessia, additional, Grassi, Simona, additional, Bottaro, Cinzia, additional, Stefanelli, Sara, additional, Bovone, Ugo, additional, Tortorolo, Umberto, additional, Quadri, Roberto, additional, Leone, Giuseppe, additional, Ponzetto, Maria, additional, Frasson, Paola, additional, Annoni, Giorgio, additional, Bruni, Adriana, additional, Confalonieri, Roberto, additional, Corsi, Maurizio, additional, Moretti, Daniela, additional, Teruzzi, Fabiola, additional, Umidi, Simona, additional, Mazzola, Paolo, additional, Perego, Sabrina, additional, Persico, Ilaria, additional, Olivieri, Giulia, additional, Bonfanti, Alessandra, additional, Hajnalka, Szabò, additional, Galeazzi, Marianna, additional, Massariello, Francesca, additional, Anzuini, Alessandra, additional, Caffarra, Paolo, additional, Barocco, Federica, additional, Spallazzi, Marco, additional, Paolo, Ceda Gian, additional, Simonetta, Morganti, additional, Andrea, Artoni, additional, Chioatto, Paolo, additional, Bortolamei, Sandra, additional, Soattin, Lucia, additional, Ruotolo, Giovanni, additional, Beneamino, Borelli, additional, Giuseppe, Barilaro, additional, Bertazzoli, Marco, additional, Rota, Elisabetta, additional, Adobati, Annamaria, additional, Scarpa, Alberto, additional, Granziera, Serena, additional, Zuccher, Paola, additional, Fabbro, Angela Dal, additional, Zara, Daniela, additional, Lo Nigro, Ambra, additional, Franchetti, Lorena, additional, Toniolo, Marika, additional, Marcuzzo, Cinzia, additional, Rollone, Marco, additional, Guerriero, Fabio, additional, Sgarlata, Carmelo, additional, Massè, Alessandro, additional, Zatti, Giovanni, additional, Piatti, Massimiliano, additional, Graci, Jole, additional, Benati, Giuseppe, additional, Boschi, Federica, additional, Biondi, Mario, additional, Fiumi, Nicoletta, additional, Erika, Tamburini, additional, Locatelli, Sergio Mario, additional, Mauri, Sabrina, additional, Beretta, Mauro, additional, Margheritis, Laura, additional, Desideri, Giovanbattista, additional, Liberatore, Ester, additional, Carucci, Anna Cecilia, additional, Bonino, Paolo, additional, Caput, Margherita, additional, Antonietti, Maria Paola, additional, Polistena, Giuseppe, additional, De la Pierre, Franz, additional, Mari, Marcello, additional, Massignani, Paola, additional, Tombesi, Fabio, additional, Selvaggio, Fabio, additional, Verbo, Brunella, additional, Bodoni, Paolo, additional, Marchionni, Niccolò, additional, Sabatini, Tony, additional, Mussio, Eleonora, additional, Magni, Eugenio, additional, Bianchetti, Angelo, additional, Crucitti, Andrea, additional, Titoldini, Giulia, additional, Cossu, Beatrice, additional, Fascendini, Sara, additional, Licini, Cristina, additional, Tomasoni, Angela, additional, Calderazzo, Massimo, additional, Daniela, Tropiano, additional, Valentina, Laganà, additional, Melotti, Rita Maria, additional, Lilli, Albina, additional, Buda, Simona, additional, Adversi, Marco, additional, Noro, Gabriele, additional, Turco, Renato, additional, Ubezio, M Chiara, additional, Mantovani, Anna Roberta, additional, Viola, Maria Cristina, additional, Serrati, Carlo, additional, Pretta, Stefano, additional, Infante, Maria, additional, Gentile, Simona, additional, Morandi, Alessandro, additional, D'Ambrosio, Viviana, additional, Mazzanti, Paolo, additional, Brambilla, Cristina, additional, Sportelli, Silvia, additional, Platto, Caterina, additional, Faraci, Bianca, additional, Quattrocchi, Daniela, additional, Pernigotti, Luigi Maria, additional, Pisu, Cristina, additional, Sicuro, Francesca, additional, Zagnoni, Piergiuseppe, additional, Ghiglia, Stefania, additional, Mosca, Massimiliano, additional, Corazzin, Ileana, additional, Deola, Mariangela, additional, Biagini, Carlo Adriano, additional, Bencini, Francesca, additional, Cantini, Claudia, additional, Tonon, Elisabetta, additional, Pierinelli, Silvia, additional, Onofrj, Marco, additional, Thomas, Astrid, additional, Filomena, Borbone, additional, Bonanni, Laura, additional, Gabriella, Cacchiò, additional, Comi, Giancarlo, additional, Magnani, Giuseppe, additional, Santangelo, Roberto, additional, Mazzeo, Salvatore, additional, Giuseppe, Magnani, additional, Francesca, Caso, additional, Giordano, Cecchetti, additional, Roberto, Sant'Angelo, additional, Barbieri, Cristina, additional, Giroldi, Liviana, additional, Bandini, Fabio, additional, Masina, Marco, additional, Malservisi, Simona, additional, Cicognani, Annalena, additional, Ricca, Laura, additional, Piccininni, Maristella, additional, Tassinari, Tiziana, additional, Brogi, Davide, additional, Sugo, Annalisa, additional, Alessandra, Filippi, additional, Sonia, Manfredi, additional, Valerio, Vanni, additional, Andrea, Usai Carlo, additional, Enrico, Colombo, additional, Vera, Renna Francesca, additional, Assunta, Sauchella, additional, Gianmaria, Zavarise, additional, Mauro, Prete, additional, Pietro, Bisagni, additional, Roberto, Masini, additional, Salvatore, Carrabetta, additional, Barone, Antonella, additional, Razzano, Monica, additional, Giuseppe, Imperoli, additional, Angela, Bini, additional, Francesco, Serra, additional, Valeria, D'Agostino, additional, Federico, Gianolla, additional, Lucia, Pietrangeli, additional, Antonella, Velardi, additional, Elisabetta, Di Cello, additional, Cristina, Rosati, additional, Nadia, Casali, additional, Maria, Sessa, additional, Luciano, Abruzzi, additional, Chiara, Costanzi, additional, Bini, Paolo, additional, Pignata, Michele, additional, Enrico, Buonagurio, additional, Maria, Vollery, additional, Giovanni, Carrieri, additional, Giorgio, Cioni, additional, Andrea, Toschi, additional, Marco, Metra, additional, Piera, Ranieri, additional, Alberto, Zucchelli, additional, Ceccon, Anna, additional, Magrin, Laura, additional, Marin, Sara, additional, Barbara, Sofia, additional, Marco, Masina, additional, Laura, Ghedini, additional, Matteo, Moroni, additional, Marco, Paragona, additional, Caterina, Pallotti Maria, additional, Carla, Rota, additional, Federica, Gottardi, additional, Clara, Tomasoni, additional, Melania, Cappuccio, additional, Giampaolo, Bonini, additional, Stefano, Guerini, additional, Valeria, Guerini, additional, Lucia, Merla, additional, Giovambattista, Desideri, additional, Ester, Liberatore, additional, Cecilia, Carucci Anna, additional, Maurizio, Tovaglieri, additional, Vera, Renna Frandesca, additional, Nadia, Bongiorni, additional, Grillo, Antonio, additional, Arenare, Francesca, additional, Tonino, Mineo, additional, David, Kanah, additional, Giorgio, Vianello Piero, additional, Ubaldo, Balducci, additional, Vincenzo, Sidoti, additional, Stefano, Montanari, additional, Marino, Formilan, additional, Busonera Flavio, Murelli Teodolindo, additional, Paolo, Albanese, additional, Monica, Maselli, additional, Francesco, Bolzetta, additional, Roberto, Fabris, additional, Paolo, Bonino, additional, DuranteMangoni, Emanuele, additional, Testoni, Michela, additional, Fabio, Di Stefano, additional, Loredana, Seccia, additional, Valeria, Sonzini, additional, Fabiano, Maria, additional, Annabella, Di Giorgio, additional, Salvatore, De Cosmo, additional, Greco, Antonio, additional, Grazia, D'Onofrio, additional, Daniele, Sancarlo, additional, Gianluca, Resta, additional, Renzo, Girardello, additional, Sergio, Minervini, additional, Morena, Boni, additional, Vitali, Mariagrazia, additional, Marina, Pizzoni, additional, Paolo, De Colle, additional, Cristina, Scarpa, additional, Alessandra, Frattola, additional, Orlandini, Francesco, additional, La Regina, Micaela, additional, Desirée, Addesi, additional, Mirella, Filippo, additional, Mario, Bo, additional, Paola, Porrino, additional, Padulo, Filomena, additional, Cristina, Margheriti, additional, Dario, Rolano, additional, Giancarla, Moscatelli, additional, Guido, Radaelli, additional, Elena, Montini, additional, Prete, Cosimo, additional, Marileda, Novello, additional, Igor, Bramuzzo, additional, Nicole, Bertin, additional, Elena, Rinaldo, additional, Paolillo, Ciro, additional, Riccardi, Angela, additional, Claudia, Benedetti, additional, Barbara, Rizzi, additional, Francesca, Montagna, additional, Silvia, Vitali, additional, Chiara, Cutaia, additional, Oliver, Baca, additional, Mauro, Colombo, additional, Eleonora, Marelli, additional, Giuseppe, Procino, additional, Rosaria, Tararà, additional, Maria, Cottino, additional, Davide, Dell'Acqua, additional, Stefania, Cislaghi, additional, Marco, Cairati, additional, Massimo, Porta, additional, Luca, Scaglione, additional, Martina, De Feo, additional, Paola, Vertolli, additional, Lia, Salvati, additional, Sandro, Cinotti, additional, Valentina, De Santis, additional, Erminia, Biferi, additional, Paola, Cheli, additional, Romina, Rebizzo, additional, Minisola, Salvatore, additional, Luciano, Colangelo, additional, Pasquale, Abete, additional, Ilaria, Liguori, additional, Francesca, Curcio, additional, Guglielmo, Spassini, additional, Marco, Engheben, additional, Sara, Rotunno, additional, Paola, Arosio, additional, Claudio, Angelini, additional, Francesco, Reggiani, additional, Alessandro, Cappelli, additional, Simona, Marcheselli, additional, Lara, Fratticci, additional, Paola, Ranzani, additional, Simonetta, Cesarini, additional, Antonella, Cerini, additional, Generoso, Uomo, additional, Fernando, Gallucci, additional, Giuliano, Ceschia, additional, Emanuela, Serra, additional, Mariolina, Sola, additional, Alessandro, Delitala, additional, Chiara, Pes, additional, Giulia, Lobianco, additional, Alessandro, Giani, additional, Famularo, Simone, additional, Sandini, Marta, additional, Pinotti, Enrico, additional, Gianotti, Luca, additional, Antonella, Battuello, additional, Giulia, Pintore, additional, Sante, Giardini, additional, Rossi, Andrea, additional, Rubele, Sofia, additional, Sant, Selena, additional, Marco, Vignati, additional, Danila, Clerici, additional, Fabio, Rosa, additional, Bandirali, Maria Pia, additional, Nicoletta, Cattaneo, additional, Laura, Boffi, additional, Paolo, Tosoni, additional, Luciano, Terranova, additional, Leonello, Avalli, additional, Margherita, Scanziani, additional, Stefania, De Notaris, additional, Pierluigi, Del Santo, additional, Laura, Rossi, additional, Fabiana, Tezza, additional, Giovanna, Cervati, additional, Antonino, Andreolli, additional, Felice, Catalano, additional, Giuseppe, Burattin, additional, Danilo, Fogli, additional, Giovanna, Di Bella, additional, Francesco, Landi, additional, Salini, Sara, additional, Angela, Brunetti Maria, additional, Giorgetta, Cappa, additional, Giovanni, Galvagno, additional, Paola, Cena, additional, Gerardo, Bruno, additional, Silvio, Raspo, additional, Letizia, Semeraro, additional, Sabrina, Pedrotti, additional, Davide, Barra, additional, Rosaria, Rizzo Maria, additional, Maria, Dalise Anna, additional, Raffaele, Prestano, additional, Palmieri, Vincenzo Ostilio, additional, Palasciano, Giuseppe, additional, Belfiore, Anna, additional, Portincasa, Piero, additional, Carlo, Sabbà, additional, Vincenzo, Solfrizzi, additional, Alessia, D'introno, additional, Valiani, Vincenzo, additional, Carolina, Bologna, additional, Tiziana, Ciarambino, additional, Paola, Turelli, additional, Ugo, Pazzaglia, additional, Federica, Rodella, additional, Giacomo, Piana, additional, Castellano, Maurizio, additional, Anna, Garelli, additional, Elisa, Casella, additional, Federica, Campana, additional, Antonietta, Coschignano Maria, additional, Luigi, Marinangeli, additional, Fabio, Lorico, additional, Salvatore, Bazzano, additional, Giuseppe, Menculini, additional, Gelosa, Giorgio, additional, Viviana, Ambrogio Teresa, additional, Piras, Valentina, additional, Andrea, Ciricugno, additional, Alessandra, Bollari, additional, Coen, Daniele, additional, Magliola, Renata, additional, Milanesio, Deborah, additional, Muzzulini, Carlo Lorenzo, additional, Paolo, Fogliacco, additional, Marinella, Turla, additional, Sofia, Cotelli Maria, additional, Marta, Bianchi, additional, Siano, Pietro, additional, Capo, Giuseppe, additional, Napoletano, Rosa, additional, Cecilia, Politi, additional, Mancini, Concetta, additional, Del Buono, Corrado, additional, De Bartolomeo, Giuseppe, additional, Addolorata, Martinelli, additional, Carmen, Cefalogli, additional, Roberto, Cozzi, additional, Giovanni, Virtuani Angelo, additional, Moschettini, Gianfilippo, additional, Franco, Mastroianni, additional, Daniela, Roglia, additional, D'Amico, Gabriella, additional, Mirella, Palella, additional, Endrizzi, Cristina, additional, Trotta, Lucia, additional, Ciarambino, Tiziana, additional, Orazio, Zanetti, additional, Emanuela, Terazzi, additional, Marta, Sacchetti, additional, Thomas, Fleetwood, additional, Giacomo, Tondo, additional, Ignazio, Di Fazio, additional, Andrea, Bruni, additional, Giuseppe, Orsitto, additional, Emanuela, Fabbro, additional, Serena, Amici, additional, Elena, D'Imporzano, additional, Anna, Casanova, additional, Serena, Bertolio, additional, Erika, Nervo, additional, Roberto, Silvestri, additional, Elena, Semproni, additional, Manuela, Pintus, additional, Francesca, Aloe, additional, and Angelo, Tagliaccica, additional

Published
2020
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7. How to define the therapeutic limits

Author

Francesco Bolzetta, Alberto Cester, and Monica Maselli

Subjects
Male, Pulmonary and Respiratory Medicine, Gerontology, medicine.medical_specialty, Sociology of scientific knowledge, media_common.quotation_subject, Cardiology, MEDLINE, lcsh:Medicine, Humility, Risk Assessment, elderly, frail, Life Expectancy, medicine, Humans, Minimally Invasive Surgical Procedures, Cognitive Dysfunction, Intensive care medicine, Geriatric Assessment, Competence (human resources), Aged, media_common, Aged, 80 and over, Frailty, business.industry, Technological change, lcsh:R, Thoracic Surgical Procedures, cardiovascular diseases, Cardiovascular Diseases, ageing, Life expectancy, Female, Work teams, Morbidity, Cardiology and Cardiovascular Medicine, Risk assessment, business
Abstract

With the advance of technological progress and the increase in life expectancy, it is nowadays mandatory to define what is the therapeutic limit. Every day each physician must take therapeutic decisions on the basis of his scientific knowledge, but also of his own conscience and sense of limits. They can not avoid to consider the global risk of death, disability and morbidity in more advanced age, especially in the field of cardiology and cardiac surgery. In these subjects, both fit that frail, is necessary not only an evaluation for adequate risk assessment, but also a multidimensional assessment performed with advanced tools. The resilience of the subject, ability for which some patients considered out of therapy demonstrate the ability to adapt and overcome critical phases, must also be weighed. Where and what is the therapeutic limit should be evaluated individually with humility, competence and capacity for dialogue with other disciplines in a work team that respects the individual professionalism. In recent years, much has changed in the cardiology/cardiac surgery approach in old people. With the development of less or minimal invasive new techniques, there are no more insurmountable limits that can be connected only to the chronological age of the patients.

Published
2017
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8. Detection of blood pressure increments in active elderly individuals: The role of ambulatory blood pressure monitoring

Author

Alessandra Tramontano, Maria Luisa Corradin, F. Zanatta, B. Stifani, Enzo Manzato, G. Sergi, Alessandro Franchin, Monica Maselli, S Sarti, and Valter Giantin

Subjects
Male, medicine.medical_specialty, Mean arterial pressure, Ambulatory blood pressure, Endocrinology, Diabetes and Metabolism, Medicine (miscellaneous), Blood Pressure, White coat hypertension, Motor Activity, Body Mass Index, Risk Factors, Internal medicine, Prevalence, medicine, Humans, Resting energy expenditure, Prospective Studies, Serum Albumin, Aged, Aged, 80 and over, Nutrition and Dietetics, business.industry, Body Weight, Blood Pressure Monitoring, Ambulatory, medicine.disease, Pulse pressure, Masked Hypertension, Blood pressure, Endocrinology, Hypertension, Body Composition, Cardiology, Female, Basal Metabolism, Waist Circumference, Cardiology and Cardiovascular Medicine, business, Body mass index, Follow-Up Studies
Abstract

Background and aims Physiological aging can lead to an increase in blood pressure (BP) over time even in regularly exercising elders. Office BP measurements (OBPM) might be unable to detect these BP variations. The aim of this study was to analyze BP changes over 3.5 years in active elders using ABPM. Methods and results The study involved 80 active subjects ≥65 years old who exercised regularly. At baseline and again 3.5 years later, all subjects had lab tests, weight, body mass index (BMI), body composition, resting energy expenditure (REE) recorded; they underwent OBPM, ABPM and physical activity assessment. Over 3.5 years, our sample's mean weight, BMI, body composition, REE, albumin, and physical activity levels, did not change significantly. The prevalence of hypertension detected by OBPM dropped from 68.8% to 61.3%. ABPM revealed an increase in mean 24-h BP (Δsystolic: 5.3 ± 13.6 mmHg; p = 0.001; Δdiastolic: 1.8 ± 6.7 mmHg; p = 0.018) and mean daytime BP (Δsystolic: 5.8 ± 13.5 mmHg; p = 0.001; Δdiastolic: 1.9 ± 7.1 mmHg; p = 0.022); the prevalence of hypertension detected by ABPM increased from 50% to 65%, also due to an increase (from 8.8% to 16.3%) in masked hypertension. There was no correlation between BP changes and changes in body composition and REE. Conclusion BP tends to increase over time in active elders, regardless of changes in body composition or level of physical activity. ABPM is an appropriate method for detecting these BP variations in active elders and to reveal cases of masked hypertension that might otherwise escape detection by OBPM.

Published
2014
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9. Effect of restoring sinus rhythm in hypertensive patients with atrial fibrillation undergoing electrical cardioversion

Author

Monica Maselli, Enzo Manzato, Domenico Corrado, Alessandra Tramontano, Pietro De Toni, Francesca Attanasio, Valter Giantin, Valentina Pengo, and Alessandro Franchin

Subjects
Male, medicine.medical_specialty, Ambulatory blood pressure, Electric Countershock, Rhythm control, Blood Pressure, Electric countershock, 030204 cardiovascular system & hematology, Assessment and Diagnosis, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Atrial Fibrillation, Internal Medicine, Medicine, Humans, Sinus rhythm, 030212 general & internal medicine, ambulatory blood pressure monitoring, atrial fibrillation, blood pressure, electrical cardioversion, Aged, Female, Follow-Up Studies, Middle Aged, Hypertension, Recovery of Function, Cardiology and Cardiovascular Medicine, Advanced and Specialized Nursing, business.industry, Follow up studies, Atrial fibrillation, General Medicine, medicine.disease, Electrical cardioversion, Blood pressure, Cardiology, business
Abstract

INTRODUCTION Little is known about the effects of atrial fibrillation (AF) on blood pressure (BP) levels in hypertensive patients. Some studies suggest a role for rhythm control in managing such patients' BP, but the improvement observed in cardiac performance after restoring sinus rhythm (SR) may coincide with an increase in BP. The aim of this study was to apply ambulatory BP monitoring to analyze BP changes in hypertensive patients after electrical cardioversion for persistent AF. METHODS AND RESULTS The study included 54 hypertensive patients with persistent AF. Ambulatory BP monitoring was performed on the day before electrical cardioversion and again about a month later under conditions of stable medical treatment.Patients with a SR at follow-up (n=34) had significantly higher 24-h, night-time (P

Published
2016

10. High serum uric acid levels increase the risk of metabolic syndrome in elderly women: The PRO.V.A study

Author

G. Sergi, Nicola Veronese, Egle Perissinotto, Anna Zurlo, Stefania Maggi, Sabina Zambon, Monica Maselli, Luigi Sartori, Gaetano Crepaldi, Elena Debora Toffanello, Estella Musacchio, Enzo Manzato, Valter Giantin, Zurlo, A., Veronese, N., Giantin, V., Maselli, M., Zambon, S., Maggi, S., Musacchio, E., Toffanello, E.D., Sartori, L., Perissinotto, E., Crepaldi, G., Manzato, E., and Sergi, G.

Subjects
Male, Time Factors, Endocrinology, Diabetes and Metabolism, Medicine (miscellaneous), 030204 cardiovascular system & hematology, chemistry.chemical_compound, Endocrinology, 0302 clinical medicine, Elderly, Longitudinal Studies, Prospective Studies, Prospective cohort study, Aged, 80 and over, Metabolic Syndrome, Cohort study, Community-dwelling adults, Metabolic syndrome X, Uric acid, Nutrition and Dietetics, Cardiology and Cardiovascular Medicine, Incidence (epidemiology), Incidence, Age Factors, Up-Regulation, Diabetes and Metabolism, Italy, Cohort, Female, Community-dwelling adult, medicine.medical_specialty, National Health and Nutrition Examination Survey, 030209 endocrinology & metabolism, Hyperuricemia, Risk Assessment, 03 medical and health sciences, Sex Factors, Internal medicine, medicine, Humans, Aged, Proportional Hazards Models, business.industry, medicine.disease, Logistic Models, chemistry, Linear Models, Metabolic syndrome, business, Body mass index, Biomarkers, Follow-Up Studies
Abstract

Background and aims: Serum uric acid (SUA) is the end-product of purine metabolism in humans, and its levels often increase in subjects with metabolic syndrome (MetS). Despite several studies demonstrating a relationship between increased SUA levels and the prevalence of MetS, prospective data on SUA as a predictor of the incidence of MetS in the elderly are limited. Our aim was to conduct a prospective study on the association between SUA concentrations and the onset of MetS in an elderly Italian cohort. Methods and results: This is a cohort study (Progetto Veneto Anziani Pro.V.A.) involving community-dwelling subjects aged ≥65 years and followed up for a mean 4.4 years. We included 1128 participants (aged 74.7 ± 7.1 years) without MetS at the baseline. Gender-specific SUA groups according to the standard deviation (SD) from the mean were considered, taking the incidence of MetS as the main outcome.The mean SUA level was significantly higher in men than in women (5.4 ± 1.2 vs. 4.5 ± 1.2 mg/dl; p < 0.0001). Over the 4.4-year follow-up, 496 individuals developed MetS. After adjusting for potential confounders, Cox's regression analysis revealed no relationship between higher baseline SUA concentrations and the incidence of MetS in men or in the sample as whole, while women with SUA levels more than 1 SD above the mean (≥5.7 mg/dl) carried a 58% higher risk (95%CI: 1.03-2.40; p = 0.03) of being newly diagnosed with MetS during the follow-up. Conclusion: High SUA levels significantly and independently predicted MetS in older women, but not in men, over a 4.4-year follow-up. © 2015 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University.

Published
2016

11. Reliability of Oscillometric Blood Pressure Monitoring in Atrial Fibrillation Patients Admitted for Electric Cardioversion

Author

Egle Perissinotto, Alessandra Tramontano, Monica Maselli, Alessandro Franchin, Pietro De Toni, Francesca Attanasio, Enzo Manzato, Valentina Pengo, Valter Giantin, and Domenico Corrado

Subjects
Male, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Diastole, Electric Countershock, Blood Pressure, Electrocardiography, Internal medicine, Oscillometry, Atrial Fibrillation, Internal Medicine, medicine, Humans, Sinus rhythm, Prospective Studies, Bland–Altman plot, Prospective cohort study, Aged, Electric Cardioversion, medicine.diagnostic_test, business.industry, Reproducibility of Results, Atrial fibrillation, Blood Pressure Monitoring, Ambulatory, Middle Aged, medicine.disease, Sphygmomanometers, Blood Pressure Monitors, Blood pressure, Anesthesia, Cardiology, Commentary, Female, Cardiology and Cardiovascular Medicine, business
Abstract

The reliability of automated oscillometric blood pressure (BP) monitors in atrial fibrillation (AF) has been poorly investigated, only comparing different patients with AF and sinus rhythm (SR), and is a method influenced by individual characteristics. This study compared the reliability of the oscillometric device A&D TM-2430 (A&D Company, Tokyo, Japan) with that of a mercury sphygmomanometer in AF patients whose SR was restored after electric cardioversion (ECV). Three consecutive BP measurements were obtained on the day before and about 30 days after ECV in stable treatment conditions. Of the 100 patients studied, 63 reported an SR at follow-up, with a significant increase in systolic BP and a significant decrease in diastolic BP according to both devices. There were no significant differences between the systolic and diastolic biases before and after ECV using Bland Altman analysis (P > .05 each). The oscillometric device analyzed, using three repeated measurements, is reliable in measuring BP in AF patients.

Published
2015

12. HYPOTHYROIDISM IN THE ELDERLY:DIAGNOSTIC PITFALLS ILLUSTRATED BY A CASE REPORT

Author

Valter Giantin, Monica Maselli, Emine Meral Inelmen, and Enzo Manzato

Subjects
Bradycardia, Aging, Pathology, medicine.medical_specialty, Pediatrics, Health (social science), Pleural effusion, Levothyroxine, Pulmonary Disease, Chronic Obstructive, Hypothyroidism, medicine, Humans, Liothyronine, Renal Insufficiency, Diagnostic Errors, Aged, 80 and over, COPD, Hoarseness, business.industry, Thyroid, Sodium, Primary hypothyroidism, Parkinson Disease, medicine.disease, Pleural Effusion, Thyroxine, medicine.anatomical_structure, Triiodothyronine, Female, Geriatrics and Gerontology, medicine.symptom, Hyponatremia, business, Respiratory Insufficiency, Gerontology, medicine.drug
Abstract

A diagnosis of hypothyroidism in the elderly can easily be overlooked if we rely exclusively on its clinical presentation because this may be highly non-specific, since the signs and symptoms of the disease are common to other diseases typical of old age, and even to the normal aging process. Imaging diagnostics (ultrasound or CT), when considered alone, are also of little use for the purpose of clarifying thyroid gland function. We report here on a case of primary hypothyroidism that was diagnosed late because the correlated signs and symptoms (asthenia, bradycardia, pleural effusions, hyponatremia, worsening renal and respiratory insufficiency, hoarseness) had previously been attributed to the normal aging process and to the patient's other health conditions (Parkinson's disease, PD; chronic obstructive pulmonary disease, COPD). After a couple of weeks of treatment with levothyroxine and liothyronine, there were clinical and laboratory evidences of an improvement in the patient's condition. She became more reactive, with a shriller voice. The pleural effusion disappeared, and so did the bradycardia. Laboratory tests showed normal sodium levels, and the renal insufficiency had improved. The lack of specificity of the clinical presentation of hypothyroidism in the elderly might justify the routine measurement of thyroid-stimulating hormone in these patients.

Published
2012

13. Masked and white-coat hypertension in two cohorts of elderly subjects, ambulatory and hospitalized patients

Author

Monica Maselli, Kareen Baccaglini, Alessandro Franchin, Elena Debora Toffanello, Giuliano Enzi, Enzo Manzato, Matteo Simonato, Giorgia Grosso, and Valter Giantin

Subjects
Male, Aging, medicine.medical_specialty, Health (social science), Ambulatory blood pressure, Blood Pressure, White coat hypertension, Severity of Illness Index, Prehypertension, Risk Factors, Internal medicine, Outpatients, Severity of illness, medicine, Humans, Aged, Aged, 80 and over, Inpatients, business.industry, Incidence, Age Factors, Blood Pressure Monitoring, Ambulatory, medicine.disease, Surgery, Masked Hypertension, Blood pressure, Italy, Hypertension, Cohort, Ambulatory, Female, Geriatrics and Gerontology, business, Gerontology, Follow-Up Studies
Abstract

Blood pressure (BP) measurement in clinical assessment by means of a mercury sphygmomanometer (MS) has numerous drawbacks. It has been proposed that non-invasive, 24-hr ambulatory blood pressure monitoring (NIABPM) should provide more appropriate BP values for both the diagnosis of hypertension and for its subsequent monitoring during treatment. The aim of the present study was to investigate, in 100 ambulatory and 250 hospitalized elderly subjects, the prevalence of white coat hypertension (WCH) and masked hypertension (MH) in a cohort of older subjects, by using both clinical readings (MS) and NIABPM. The results of our analyses indicate that a higher prevalence of old-old subjects regarded as normotensive at anamnesis or with normal BP values at MS are true hypertensive (50% of ambulatory patients and 17.1% of hospitalized patients) or masked hypertensive (10.3% of ambulatory patients and 28.6% of hospitalized patients), and consequently at higher risk of cardiovascular morbidity and mortality.

Published
2009

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