Claritromycin Resistance and Helicobacter pylori Genotypes in Italy

Francesco Vincenzo De,Margiotta Marcella,Zullo Angelo,Hassan Cesare,Valle Nicolar Della,Burattini Osvaldo,D'Angel Roberto,Stoppino Giuseppe,Cea Ugo,Giorgio Floriana,Monno Rosa,Morini Sergio,Panella Ca The Microbiological Society of Korea 2006 The journal of microbiology Vol.44 No.6

The relationship between H. pylori clarithromycin resistance and genetic pattern distribution has been differently explained from different geographic areas. Therefore, we aimed to assess the clarithromycin resistance rate, to evaluate the bacterial genetic pattern, and to search for a possible association between clarithromycin resistance and cagA or vacA genes. This prospective study enrolled 62 consecutive H. pylori infected patients. The infection was established by histology and rapid urease test. Clarithromycin resistance, cagA and vacA status, including s/m subtypes, were assessed on paraffin-embedded antral biopsy specimens by TaqMan real time polymerase chain reaction (PCR). Primary clarithromycin resistance was detected in 24.1 % of cases. The prevalence of cagA was 69.3%, and a single vacA mosaicism was observed in 95.1 % cases. In detail, the s1m1 was observed in 23 (38.9%) patients, the s1m2 in 22 (37.2%), and the s2m2 in 14 (23.7%), whereas the s2m1 combination was never found. The prevalence of cagA and the vacA alleles distribution did not significantly differ between susceptible and resistant strains. Primary clarithromycin resistance is high in our area. The s1m1 and s1m2 are the most frequent vacA mosaicisms. There is no a relationship between clarithromycin resistance and bacterial genotypic pattern and/or cagA positivity.

Claritromycin Resistance and Helicobacter pylori Genotypes in Italy

Vincenzo De Francesco,Marcella Margiotta,Cesare Hassan,Nicola Della Valle,Osvaldo Burattini,Roberto D’Angelo,Giuseppe Stoppino,Ugo Cea,Floriana Giorgio,Rosa Monno,Sergio Morini,Carmine Panella,Enzo Ie 한국미생물학회 2006 The journal of microbiology Vol.44 No.6

The relationship between H. pylori clarithromycin resistance and genetic pattern distribution has been differently explained from different geographic areas. Therefore, we aimed to assess the clarithromycin resistance rate, to evaluate the bacterial genetic pattern, and to search for a possible association between clarithromycin resistance and cagA or vacA genes. This prospective study enrolled 62 consecutive H. pylori infected patients. The infection was established by histology and rapid urease test. Clarithromycin resistance, cagA and vacA status, including s/m subtypes, were assessed on paraffin-embedded antral biopsy specimens by TaqMan real time polymerase chain reaction (PCR). Primary clarithromycin resistance was detected in 24.1% of cases. The prevalence of cagA was 69.3%, and a single vacA mosaicism was observed in 95.1% cases. In detail, the s1m1 was observed in 23 (38.9%) patients, the s1m2 in 22 (37.2%), and the s2m2 in 14 (23.7%), whereas the s2m1 combination was never found. The prevalence of cagA and the vacA alleles distribution did not significantly differ between susceptible and resistant strains. Primary clarithromycin resistance is high in our area. The s1m1 and s1m2 are the most frequent vacA mosaicisms. There is no a relationship between clarithromycin resistance and bacterial genotypic pattern and/or cagA positivity.

The suprafascial course of lower leg perforators: An anatomical study

Vaienti, Luca,Cottone, Giuseppe,De Francesco, Francesco,Borelli, Francesco,Zaccaria, Giovanna,Amendola, Francesco Korean Society of Plastic and Reconstructive Surge 2020 Archives of Plastic Surgery Vol.47 No.2

Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective in vivo anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design. Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported. Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them. Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.

Multichannel Intraluminal Impedance and pH Monitoring: A Step Towards Pediatric Reference Values

( Francesco Cresi ),( Elena Andrea Cester ),( Silvia Salvatore ),( Domenico Umberto De Rose ),( Antonio Ripepi ),( Anna Maria Magist ),( Claudia Fontana ),( Elena Maggiora ),( Alessandra Coscia ),( Ru 대한소화기기능성질환·운동학회(구 대한소화관운동학회) 2020 Journal of Neurogastroenterology and Motility (JNM Vol.26 No.3

Background/Aims Combined multichannel intraluminal impedance and pH monitoring (MII/pH) is considered the most accurate test to detect gastroesophageal reflux (GER), however lacking reference values. We aim to determine reference values for the pediatric population and to correlate these values with age and postprandial/fasting period. Methods We evaluated MII/pH traces from patients (newborns, infants, and children) admitted to 3 Italian hospitals and who underwent MII/ pH for suspected GER disease. Patients with MII/pH traces that showed significant symptom-reflux associations and/or a pathological reflux index (> 6% for newborns and infants, > 3% for children) were excluded. Traces were analysed in their entirety, and in the postprandial period (first hour after a meal) and the fasting period (the following hours before the next meal) separately. Results A total of 195 patients (46 newborns, 83 infants, and 66 children) were included. Age positively correlated with frequency of acidic GER events (r = 0.37, P < 0.05) and negatively associated with weakly acidic GER events (r = 0.46, P < 0.05). Conclusions This study describes the distribution of MII/pH values in a pediatric population with normally acidic GER exposure and no significant association between GER events and symptoms. These MII/pH values may be used as reference values in clinical practice for a corrected GER disease diagnosis in the pediatric population. (J Neurogastroenterol Motil 2020;26:370-377)

PECS II block is associated with lower incidence of chronic pain after breast surgery

De Cassai, Alessandro,Bonanno, Claudio,Sandei, Ludovica,Finozzi, Francesco,Carron, Michele,Marchet, Alberto The Korean Pain Society 2019 The Korean Journal of Pain Vol.32 No.4

Background: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%-60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it is not known if the pectoral nerve block (PECS block), which is commonly used for breast surgery, is able to prevent this complication. Our main objective was therefore to detect any association between the PECS block and chronic pain at 3, 6, 9, and 12 months in patients undergoing breast surgery. Methods: We conducted a prospective, monocentric, observational study. We enrolled 140 consecutive patients undergoing breast surgery and divided them in patients receiving a PECS block and general anesthesia (PECS group) and patients receiving only general anesthesia (GA group). Then we considered both intraoperative variables (intravenous opioids administration), postoperative data (pain suffered by the patients during the first 24 postoperative hours and the need for additional analgesic administration) and development and persistence of chronic pain (at 3, 6, 9, and 12 mo). Results: The PECS group had a lower incidence of chronic pain at 3 months (14.9% vs. 31.8%, P = 0.039), needed less intraoperative opioids (fentanyl $1.61{\mu}g/kg/hr$ vs. $3.3{\mu}g/kg/hr$, P < 0.001) and had less postoperative pain (3 vs. 4, P = 0.017). Conclusions: The PECS block might play an important role in lowering incidence of chronic pain, but further studies are needed.

Analysis of the wind loading of square cylinders using covariance proper transformation

de Grenet, Enrico T.,Ricciardelli, Francesco Techno-Press 2004 Wind and Structures, An International Journal (WAS Vol.7 No.2

In this paper the capacity of Covariance Proper Transformation (CPT) analyses to provide information about the wind loading mechanisms of bluff bodies is investigated through the application to square cylinders. CPT is applied to the fluctuating pressure distributions on a single cylinder, as well as on a pair of cylinders in the tandem and side by side arrangements, with different separations. Both smooth and turbulent flow conditions are considered. First, through the analysis of the contributions of each CPT mode to the total fluctuating aerodynamic forces, a correspondence between modes and aerodynamic components is sought, which is then verified through examination of the mode shapes. When a correspondence between modes and aerodynamic components is found, an attempt is made to separate the different frequency contributions to the aerodynamic forces, provided by each mode. From the analyses it emerges that (a) in most cases each mode is associated to one single force component, that (b) retaining a limited number of modes allows reproducing the aerodynamic forces with a rather good accuracy, and that (c) each mode is mainly associated with one frequency of excitation.

Analytical similitudes applied to thin cylindrical shells

De Rosa, Sergio,Franco, Francesco Techno-Press 2015 Advances in aircraft and spacecraft science Vol.2 No.4

This work is focused on the definition and the analysis of both complete and incomplete similitudes for the dynamic responses of thin shells. Previous numerical and experimental investigations on both structural and structural-acoustic systems motivated this further analysis, mainly centred on the incomplete (distorted) similitudes. These similitudes and the associated scaling laws are defined by using the classical modal approach (CMA) and by invoking also the Energy Distribution Approach (EDA) in order to take into account both the cinematic and energetic items. The whole procedure is named SAMSARA: Similitude and Asymptotic Models for Structural-Acoustic Research and Applications. A brief summary of the procedure is herein given and the attention is paid to the analytical models of thin stiffened and unstiffened cylindrical shells. By using the well-known smeared model, the stiffened cylinder equations are used as general framework to analyse the possibility to define exact (replicas) or distorted similitudes (avatars). Despite the extreme simplicity of the proposed models, the results are really encouraging. The final aim is to define equivalent models to be used in laboratory measurements.

Clinical correlation among male infertility and overall male health: A systematic review of the literature

Francesco Del Giudice,Alex M. Kasman,Matteo Ferro,Alessandro Sciarra,Ettore De Berardinis,Federico Belladelli,Andrea Salonia,Michael L. Eisenberg 대한비뇨의학회 2020 Investigative and Clinical Urology Vol.61 No.4

Purpose: Ongoing evidence has suggested the role of male factor infertility as a potential predictor of mortality and general health status. The aim of the present review is to update the current knowledge base regarding the association between male factor infertility and general health through a critical review of the literature. Materials and Methods: A systematic review of the literature was carried out from inception to November 2019 in order to evaluate significant associations between male infertility and adverse health outcomes such as cardiovascular, oncologic, metabolic and autoimmune diseases as well as overall mortality. Results: In all, 27 studies met inclusion criteria and were critically examined. Five studies examined male infertility and cardiovascular disease risk, 11 examined oncologic risk (e.g., overall cancer risk, testis and prostate cancer), 8 examined aggregate chronic medical diseases and 5 infertility related to incidence of mortality, for a total of 599,807 men diagnosed with any male factor infertility covering a period from 1916 to 2016. Conclusions: A man's fertility and overall health appear to be interconnected. Therefore, a diagnosis of male infertility may allow a window into future comorbidity and/or mortality which may help guide clinical decisions and counseling. Several possible etiologies such as genetic, epigenetic, developmental, and lifestyle-based factors need to be further evaluated in order to establish the underlying mechanisms between male infertility and health.

Changes in Speech Range Profile Are Associated with Cognitive Impairment

De Stefano Alessandro,Di Giovanni Pamela,Kulamarva Gautham,Di Fonzo Francesca,Massaro Tommaso,Contini Agnese,Dispenza Francesco,Cazzato Claudio 대한치매학회 2021 Dementia and Neurocognitive Disorders Vol.20 No.4

Background and Purpose: The aim of this study was to describe the variations in the speech range profile (SRP) of patients affected by cognitive decline. Methods: We collected the data of patients managed for suspected voice and speech disorders, and suspected cognitive impairment. Patients underwent an Ear Nose and Throat evaluation and Mini-Mental State Examination (MMSE). To obtain SRP, we asked the patients to read 18 sentences twice, at their most comfortable pitch and loudness as they would do in daily conversation, and recorded their voice on to computer software. Results: The study included 61 patients. The relationship between the MMSE score and SRP parameters was established. Increased severity of the MMSE score resulted in a statistically significant reduction in the average values of the semitones to the phonetogram, and the medium and maximum sound pressure levels (p<0.001). The maximum predictivity of MMSE was based on the highly significant values of semitones (p<0.001) and the maximum sound pressure levels (p=0.010). Conclusions: The differences in SRP between the various groups were analyzed. Specifically, the SRP value decreased with increasing severity of cognitive decline. SRP was useful in highlighting the relationship between all cognitive declines tested and speech.

Clinical History, Prognostic Factors, and Management of Facial Nerve in Malignant Tumors of the Parotid Gland

Francesco Bussu,Mario Rigante,Veronica Giglia,Giovanni Bastanza,Eugenio De Corso,Giovanni Almadori,Gaetano Paludetti 대한이비인후과학회 2014 Clinical and Experimental Otorhinolaryngology Vol.7 No.2

Objectives. We analyzed the outcomes following clinical management of parotid masses that were determined to be malig- nant tumors after parotidectomy. Methods. We evaluated data from 70 patients with parotid malignancies between November 1994 and December 2005. Results. Among salivary histotypes (n=49), the most significant prognostic parameter was cT4 stage at diagnosis (P=0.0055, log-rank) both for clinical involvement of the facial nerve and for invasion of other structures. The main cause of cancer-related death was a distant metastasis. Conclusion. The present series confirms that the main prognostic parameter in salivary parotid malignancies was cT4 clas- sification at diagnosis, often due to clinical involvement of the facial nerve. The oncological outcome of salivary ma- lignancies was influenced by distant metastasis more than most other head and neck sites. We recommend dissecting and preserving the functioning VIIth cranial nerve during surgery for parotid malignancies.