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  1. Article ; Online: Will children reveal their secret? The coronavirus dilemma.

    Midulla, Fabio / Cristiani, Luca / Mancino, Enrica

    The European respiratory journal

    2020  Volume 55, Issue 6

    MeSH term(s) Child ; Coronavirus ; Humans
    Keywords covid19
    Language English
    Publishing date 2020-06-25
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.01617-2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Is ChatGPT an Effective Tool for Providing Dietary Advice?

    Ponzo, Valentina / Goitre, Ilaria / Favaro, Enrica / Merlo, Fabio Dario / Mancino, Maria Vittoria / Riso, Sergio / Bo, Simona

    Nutrients

    2024  Volume 16, Issue 4

    Abstract: The chatbot Chat Generative Pretrained Transformer (ChatGPT) is becoming increasingly popular among patients for searching health-related information. Prior studies have raised concerns regarding accuracy in offering nutritional advice. We investigated ... ...

    Abstract The chatbot Chat Generative Pretrained Transformer (ChatGPT) is becoming increasingly popular among patients for searching health-related information. Prior studies have raised concerns regarding accuracy in offering nutritional advice. We investigated in November 2023 ChatGPT's potential as a tool for providing nutritional guidance in relation to different non-communicable diseases (NCDs). First, the dietary advice given by ChatGPT (version 3.5) for various NCDs was compared with guidelines; then, the chatbot's capacity to manage a complex case with several diseases was investigated. A panel of nutrition experts assessed ChatGPT's responses. Overall, ChatGPT offered clear advice, with appropriateness of responses ranging from 55.5% (sarcopenia) to 73.3% (NAFLD). Only two recommendations (one for obesity, one for non-alcoholic-fatty-liver disease) contradicted guidelines. A single suggestion for T2DM was found to be "unsupported", while many recommendations for various NCDs were deemed to be "not fully matched" to the guidelines despite not directly contradicting them. However, when the chatbot handled overlapping conditions, limitations emerged, resulting in some contradictory or inappropriate advice. In conclusion, although ChatGPT exhibited a reasonable accuracy in providing general dietary advice for NCDs, its efficacy decreased in complex situations necessitating customized strategies; therefore, the chatbot is currently unable to replace a healthcare professional's consultation.
    MeSH term(s) Humans ; Health Education ; Choline O-Acetyltransferase ; Health Facilities ; Non-alcoholic Fatty Liver Disease ; Noncommunicable Diseases/prevention & control
    Chemical Substances Choline O-Acetyltransferase (EC 2.3.1.6)
    Language English
    Publishing date 2024-02-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu16040469
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comment on Walsh P, et al. Lung ultrasound allows for earlier diagnosis of bronchiolitis than auscultation: an animal experiment and human case series. J Ultrasound, 2022.

    La Regina, Domenico Paolo / Petrarca, Laura / Nenna, Raffaella / Iovine, Elio / Mancino, Enrica / Midulla, Fabio

    Journal of ultrasound

    2022  Volume 26, Issue 1, Page(s) 293–294

    MeSH term(s) Humans ; Animals ; Animal Experimentation ; Lung/diagnostic imaging ; Bronchiolitis/diagnostic imaging ; Auscultation
    Language English
    Publishing date 2022-08-15
    Publishing country Italy
    Document type Letter ; Comment
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-022-00695-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: What do differences in case fatality ratios between children and adults tell us about COVID-19?

    Midulla, Fabio / Cristiani, Luca / Mancino, Enrica

    The European respiratory journal

    2020  Volume 56, Issue 1

    MeSH term(s) Adult ; Betacoronavirus ; COVID-19 ; Child ; Coronavirus ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-09
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.01852-2020
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  5. Article ; Online: Immunomodulatory biomimetic nanoparticles target articular cartilage trauma after systemic administration

    Mancino, Chiara / Pasto, Anna / De Rosa, Enrica / Dolcetti, Luigi / Rasponi, Marco / c, Patrick / Taraballi, Francesca

    Heliyon. 2023 May 28, p.e16640-

    2023  

    Abstract: Post-traumatic osteoarthritis (PTOA) is one of the leading causes of disability in developed countries and accounts for 12% of all osteoarthritis cases in the United States. After trauma, inflammatory cells (macrophages amongst others) are quickly ... ...

    Abstract Post-traumatic osteoarthritis (PTOA) is one of the leading causes of disability in developed countries and accounts for 12% of all osteoarthritis cases in the United States. After trauma, inflammatory cells (macrophages amongst others) are quickly recruited within the inflamed synovium and infiltrate the joint space, initiating dysregulation of cartilage tissue homeostasis. Current therapeutic strategies are ineffective, and PTOA remains an open clinical challenge. Here, the targeting potential of liposome-based nanoparticles (NPs) is evaluated in a PTOA mouse model, during the acute phase of inflammation, in both sexes. NPs are composed of biomimetic phospholipids or functionalized with macrophage membrane proteins. Intravenous administration of NPs in the acute phase of PTOA and advanced in vivo imaging techniques reveal preferential accumulation of NPs within the injured joint for up to 7 days post injury, in comparison to controls. Finally, imaging mass cytometry uncovers an extraordinary immunomodulatory effect of NPs that are capable of decreasing the amount of immune cells infiltrating the joint and conditioning their phenotype. Thus, biomimetic NPs could be a powerful theranostic tool for PTOA as their accumulation in injury sites allows their identification and they have an intrinsic immunomodulatory effect.
    Keywords biomimetics ; cartilage ; homeostasis ; immunomodulators ; inflammation ; intravenous injection ; macrophages ; mice ; models ; nanoparticles ; osteoarthritis ; phenotype ; phospholipids ; Posttraumatic osteoarthritis ; Biomimetic nanoparticles ; Theranostics ; Immunomodulation
    Language English
    Dates of publication 2023-0528
    Publishing place Elsevier Ltd
    Document type Article ; Online
    Note Pre-press version ; Use and reproduction
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e16640
    Database NAL-Catalogue (AGRICOLA)

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  6. Article: Immunomodulatory biomimetic nanoparticles target articular cartilage trauma after systemic administration.

    Mancino, Chiara / Pasto, Anna / De Rosa, Enrica / Dolcetti, Luigi / Rasponi, Marco / McCulloch, Patrick / Taraballi, Francesca

    Heliyon

    2023  Volume 9, Issue 6, Page(s) e16640

    Abstract: Post-traumatic osteoarthritis (PTOA) is one of the leading causes of disability in developed countries and accounts for 12% of all osteoarthritis cases in the United States. After trauma, inflammatory cells (macrophages amongst others) are quickly ... ...

    Abstract Post-traumatic osteoarthritis (PTOA) is one of the leading causes of disability in developed countries and accounts for 12% of all osteoarthritis cases in the United States. After trauma, inflammatory cells (macrophages amongst others) are quickly recruited within the inflamed synovium and infiltrate the joint space, initiating dysregulation of cartilage tissue homeostasis. Current therapeutic strategies are ineffective, and PTOA remains an open clinical challenge. Here, the targeting potential of liposome-based nanoparticles (NPs) is evaluated in a PTOA mouse model, during the acute phase of inflammation, in both sexes. NPs are composed of biomimetic phospholipids or functionalized with macrophage membrane proteins. Intravenous administration of NPs in the acute phase of PTOA and advanced
    Language English
    Publishing date 2023-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e16640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Weighing policymaking: A narrative review of school closures as COVID-19 pandemic-mitigation strategies.

    Nenna, Raffaella / Zeric, Hana / Petrarca, Laura / Mancino, Enrica / Midulla, Fabio

    Pediatric pulmonology

    2021  Volume 57, Issue 9, Page(s) 1982–1989

    Abstract: Introduction: In the era of data-driven decision-making, unacceptable haziness, and inconsistency surrounds the yearlong scientific and public debate on the school closure policy in the coronavirus disease-2019 (COVID-19) pandemic mitigation efforts.: ...

    Abstract Introduction: In the era of data-driven decision-making, unacceptable haziness, and inconsistency surrounds the yearlong scientific and public debate on the school closure policy in the coronavirus disease-2019 (COVID-19) pandemic mitigation efforts.
    Aim: The present literature review stems out of the need for a clear scaffold collecting in one place all current evidence, as well as helping to organize incoming future evidence, concerning both the role of schools in driving the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) community spread and the cost-effectiveness of school closure in containing such spread.
    Methods: References for this review were initially identified through searches of PubMed, Scopus, and Cochrane Library for articles published from March 2020 to March 2021 by the use of key terms "Schools," "COVID-19," "pandemic," "clusters," "outbreak," and "seroprevalence," selecting all articles from 2020 to 2021 with full-text availability. A further search was undertaken by screening citations of articles found in the original search and through Google Scholar and ResearchGate.
    Results: Overall, evidence shows that opening schools and keeping them open in the context of the SARS-CoV-2 pandemic is possible, although behaviorally challenging and unfeasible if educational facilities or testing services are inadequate. Contrary to other respiratory viruses, children are not chief targets of SARS-CoV-2 infection, transmission, and disease. It also appears that the second wave of the SARS-CoV-2 virus spread in the WHO European region has been unrelated to school re-opening.
    Conclusions: A fact-based understanding of what is currently known on such a consequential policy is required to provide a basis of evidence for advocacy of either school closure or school opening at times of high-intensity community transmission of SARS-CoV-2.
    MeSH term(s) COVID-19/epidemiology ; Child ; Humans ; Pandemics/prevention & control ; SARS-CoV-2 ; Schools ; Seroepidemiologic Studies
    Language English
    Publishing date 2021-12-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.25787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: An overview on viral interference during SARS-CoV-2 pandemic.

    Matera, Luigi / Manti, Sara / Petrarca, Laura / Pierangeli, Alessandra / Conti, Maria Giulia / Mancino, Enrica / Leonardi, Salvatore / Midulla, Fabio / Nenna, Raffaella

    Frontiers in pediatrics

    2023  Volume 11, Page(s) 1308105

    Abstract: Respiratory viruses represent the most frequent cause of mortality, morbidity and high healthcare costs for emergency visits and hospitalization in the pediatric age. Respiratory viruses can circulate simultaneously and can potentially infect the same ... ...

    Abstract Respiratory viruses represent the most frequent cause of mortality, morbidity and high healthcare costs for emergency visits and hospitalization in the pediatric age. Respiratory viruses can circulate simultaneously and can potentially infect the same host, determining different types of interactions, the so-called viral interference. The role of viral interference has assumed great importance since December 2019, when the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) came on the scene. The aim of this narrative review is to present our perspective regarding research in respiratory virus interference and discuss recent advances on the topic because, following SARS-CoV-2 restrictions mitigation, we are experimenting the co-circulation of respiratory viruses along with SARS-CoV-2. This scenario is raising many concerns about possible virus-virus interactions, both positive and negative, and the clinical, diagnostic and therapeutic management of these coinfections. Moreover, we cannot rule out that also climatic conditions and social behaviours are involved. Thus, this situation can lead to different population epidemic dynamics, including changes in the age of the targeted population, disease course and severity, highlighting the need for prospective epidemiologic studies and mathematical modelling able to predict the timing and magnitude of epidemics caused by SARS-CoV-2/seasonal respiratory virus interactions in order to adjust better public health interventions.
    Language English
    Publishing date 2023-12-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2023.1308105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Respiratory Syncytial Virus Bronchiolitis Before and After COVID-19 Pandemic: Has the Immunity Debt Been Paid Off?

    Nenna, Raffaella / Pierangeli, Alessandra / Matera, Luigi / Petrarca, Laura / Conti, Maria Giulia / Mancino, Enrica / di Mattia, Greta / La Regina, Domenico Paolo / Virgili, Fabrizio / Papoff, Paola / Bonci, Enea / Midulla, Fabio

    The Pediatric infectious disease journal

    2024  

    Abstract: Background: Our aim was to hypothesize that the COVID-19 pandemic influenced the characteristics of viral bronchiolitis by comparing the last 3 epidemics with 3 pre-COVID-19 epidemics in infants hospitalized with bronchiolitis.: Methods: We ... ...

    Abstract Background: Our aim was to hypothesize that the COVID-19 pandemic influenced the characteristics of viral bronchiolitis by comparing the last 3 epidemics with 3 pre-COVID-19 epidemics in infants hospitalized with bronchiolitis.
    Methods: We prospectively enrolled 637 consecutive infants (median age 3.0 ± 2.1 months, 58.5% males), hospitalized for bronchiolitis during 6 consecutive annual epidemic seasons from 2017 to 2023. All parents of the children were given a structured anamnestic questionnaire. A nasopharyngeal aspirate was tested for 15 respiratory viruses. As measures of severity, we evaluated the O2 supplementation and the admission at the pediatric intensive care unit.
    Results: A total of 166 were hospitalized with bronchiolitis in 2017-2018, 97 in 2018-2019, 69 in 2019-2020, 0 in 2020-2021, 129 in 2021-2022 and 176 in 2022-2023. Taking together the 332 bronchiolitis cases hospitalized during the 3 prepandemic seasons, they peaked between December and January; after the flat curve in 2020-2021, the cases of bronchiolitis peaked in November 2021 and in December 2022. While the 2021-2022 season registered a less severe clinical presentation, O2 supplementation and pediatric intensive care unit admissions increased in 2022-2023 with respect to the prepandemic seasons (P < 0.001).
    Conclusions: This study represents an important scientific demonstration of the impact of primary prevention measures on the epidemiology of viral infections; their fluctuations were related to the intensity of restrictive measures and to the changing trend of respiratory viruses. It is essential to predict the real temporal trend of bronchiolitis in order not to leave high-risk children uncovered and to guide hospitals to maintain a high level of readiness.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392481-6
    ISSN 1532-0987 ; 0891-3668
    ISSN (online) 1532-0987
    ISSN 0891-3668
    DOI 10.1097/INF.0000000000004314
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