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  1. Article ; Online: Looking for Post-Mortem Metabolomic Standardization: Waiting for Godot-The Importance of Post-Mortem Interval in Forensic Metabolomics.

    Chighine, Alberto / Locci, Emanuela / Nioi, Matteo / d'Aloja, Ernesto

    Chemical research in toxicology

    2021  Volume 34, Issue 9, Page(s) 1946–1947

    Abstract: A growing body of evidence suggests that the post-mortem interval exerts a strong effect on the metabolome, independently of the biological matrix or the cause of death. A sound and shared approach in standardization is mandatory. ...

    Abstract A growing body of evidence suggests that the post-mortem interval exerts a strong effect on the metabolome, independently of the biological matrix or the cause of death. A sound and shared approach in standardization is mandatory.
    MeSH term(s) Forensic Medicine/standards ; Humans ; Metabolome/physiology ; Metabolomics/standards ; Postmortem Changes ; Reference Standards ; Time Factors
    Language English
    Publishing date 2021-07-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639353-6
    ISSN 1520-5010 ; 0893-228X
    ISSN (online) 1520-5010
    ISSN 0893-228X
    DOI 10.1021/acs.chemrestox.1c00211
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Letter to the Editor regarding the article 'ER stress-related protein, CHOP, may serve as a biomarker of mechanical asphyxia: a primary study' by Hu and colleagues.

    Chighine, Alberto / Locci, Emanuela / Ferino, Giulio / De-Giorgio, Fabio / d'Aloja, Ernesto

    International journal of legal medicine

    2022  Volume 136, Issue 3, Page(s) 969–970

    MeSH term(s) Asphyxia ; Biomarkers ; Heat-Shock Proteins ; Humans
    Chemical Substances Biomarkers ; Heat-Shock Proteins
    Language English
    Publishing date 2022-03-01
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 1055109-8
    ISSN 1437-1596 ; 0937-9827
    ISSN (online) 1437-1596
    ISSN 0937-9827
    DOI 10.1007/s00414-022-02808-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Dual Corneal-Graft Rejection after mRNA Vaccine (BNT162b2) for COVID-19 during the First Six Months of Follow-Up: Case Report, State of the Art and Ethical Concerns.

    Nioi, Matteo / d'Aloja, Ernesto / Fossarello, Maurizio / Napoli, Pietro Emanuele

    Vaccines

    2021  Volume 9, Issue 11

    Abstract: ... supplementation of Vitamin D. A risk of corneal graft rejection must be included in the list of potential vaccine ...

    Abstract Present mass vaccination against Coronavirus Disease-19 (COVID-19) is the most widely used health policy and the most promising approach to curb the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic globally. However, new side effects are emerging from the mass vaccination not described during the experimental stages. In the present study, we discuss a case of acute corneal graft rejection, which has occurred 25 years after transplantation and 13 days after the administration of the BNT162b2 vaccine (Comirnaty, BioNTech/Pfizer), which was followed-up for a period of six months. In this period, the corneal inflammation appeared twice but was successfully managed with topical therapy and supplementation of Vitamin D. A risk of corneal graft rejection must be included in the list of potential vaccine complications, in order to inform the transplanted patient to undergo a preliminary and a follow-up ocular examination, and eventually to include corneal graft in the list of contraindications to vaccination.
    Language English
    Publishing date 2021-11-03
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines9111274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Metabolomics investigation of post-mortem human pericardial fluid.

    Chighine, Alberto / Stocchero, Matteo / Ferino, Giulio / De-Giorgio, Fabio / Conte, Celeste / Nioi, Matteo / d'Aloja, Ernesto / Locci, Emanuela

    International journal of legal medicine

    2023  Volume 137, Issue 6, Page(s) 1875–1885

    Abstract: Introduction: Due to its peculiar anatomy and physiology, the pericardial fluid is a biological matrix of particular interest in the forensic field. Despite this, the available literature has mainly focused on post-mortem biochemistry and forensic ... ...

    Abstract Introduction: Due to its peculiar anatomy and physiology, the pericardial fluid is a biological matrix of particular interest in the forensic field. Despite this, the available literature has mainly focused on post-mortem biochemistry and forensic toxicology, while to the best of authors' knowledge post-mortem metabolomics has never been applied. Similarly, estimation of the time since death or post-mortem interval based on pericardial fluids has still rarely been attempted.
    Objectives: We applied a metabolomic approach based on
    Methods: Pericardial fluid samples were collected in 24 consecutive judicial autopsies, in a time frame ranging from 16 to 170 h after death. The only exclusion criterion was the quantitative and/or qualitative alteration of the sample. Two different extraction protocols were applied for low molecular weight metabolites selection, namely ultrafiltration and liquid-liquid extraction. Our metabolomic approach was based on the use of
    Results: The pericardial fluid samples treated with the two experimental protocols did not show significant differences in the distribution of the metabolites detected. A post-mortem interval estimation model based on 18 pericardial fluid samples was validated with an independent set of 6 samples, giving a prediction error of 33-34 h depending on the experimental protocol used. By narrowing the window to post-mortem intervals below 100 h, the prediction power of the model was significantly improved with an error of 13-15 h depending on the extraction protocol. Choline, glycine, ethanolamine, and hypoxanthine were the most relevant metabolites in the prediction model.
    Conclusion: The present study, although preliminary, shows that PF samples collected from a real forensic scenario represent a biofluid of interest for post-mortem metabolomics, with particular regard to the estimation of the time since death.
    Language English
    Publishing date 2023-07-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1055109-8
    ISSN 1437-1596 ; 0937-9827
    ISSN (online) 1437-1596
    ISSN 0937-9827
    DOI 10.1007/s00414-023-03050-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Autopsies and Asymptomatic Patients During the COVID-19 Pandemic: Balancing Risk and Reward.

    Nioi, Matteo / Napoli, Pietro Emanuele / Fossarello, Maurizio / d'Aloja, Ernesto

    Frontiers in public health

    2020  Volume 8, Page(s) 595405

    MeSH term(s) Autopsy ; COVID-19 ; Humans ; Pandemics ; Reward ; SARS-CoV-2
    Language English
    Publishing date 2020-11-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2020.595405
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Ocular Surface and the Coronavirus Disease 2019: Does a Dual 'Ocular Route' Exist?

    Napoli, Pietro Emanuele / Nioi, Matteo / d'Aloja, Ernesto / Fossarello, Maurizio

    Journal of clinical medicine

    2020  Volume 9, Issue 5

    Abstract: Coronavirus disease 2019 (COVID-19) is an important health problem that was defined as a pandemic by the World Health Organization on 11 March 2020. Although great concern has been expressed about COVID-19 infection acquired through ocular transmission, ... ...

    Abstract Coronavirus disease 2019 (COVID-19) is an important health problem that was defined as a pandemic by the World Health Organization on 11 March 2020. Although great concern has been expressed about COVID-19 infection acquired through ocular transmission, its underlying mechanism has not currently been clarified. In the current work, we analyzed and elucidated the two main elements that should be taken into account to understand the "ocular route", both from a clinical and molecular point of view. They are represented by the dynamism of the ocular surface system (e.g., the tear film turnover) and the distribution of ACE2 receptors and TMPRSS2 protein. Although it seems, at the moment, that there is a low risk of coronavirus spreading through tears, it may survive for a long time or replicate in the conjunctiva, even in absence of conjunctivitis signs, indicating that eye protection (e.g., protective goggles alone or in association with face shield) is advisable to prevent contamination from external droplets and aerosol.
    Keywords covid19
    Language English
    Publishing date 2020-04-28
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm9051269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Safety Recommendations and Medical Liability in Ocular Surgery during the COVID-19 Pandemic: An Unsolved Dilemma.

    Napoli, Pietro Emanuele / Nioi, Matteo / d'Aloja, Ernesto / Fossarello, Maurizio

    Journal of clinical medicine

    2020  Volume 9, Issue 5

    Abstract: Ocular surgery is one of the most performed medical procedures in the world. Its limitation or suspension, recursively extended over time, could be associated with a significant increase in the number of blind people worldwide. Indeed, cataract causes ... ...

    Abstract Ocular surgery is one of the most performed medical procedures in the world. Its limitation or suspension, recursively extended over time, could be associated with a significant increase in the number of blind people worldwide. Indeed, cataract causes more than half of all cases of visual impairment in those countries with limited availability of means for performing eye operations (e.g., Africa or India). In this scenario, the pandemic of coronavirus disease 2019 (COVID-19) quickly resulted in the suspension or sharp reduction of various ophthalmic activities considered non-urgent, including lens replacement surgery or some intraocular injections. Despite the imperative need to continuously practice eye operations to avoid the abovementioned problems, there are currently little-shared and vague recommendations among the various countries on safety in operating rooms (for health care workers and patients) and poor legal protection for surgeons (potentially transmitting the COVID-19 infectious agent). Herein, we individuated and discussed some critical points in safety recommendations and medical liability. A paradigm shift for ocular surgery during the COVID-19 era is now mandatory. While telemedicine has been able to solve some problems in clinical ophthalmology, the lack of adequate health and legal protection for surgeons and patients may result in an excessive reduction in the volume of surgical interventions during a pandemic era and the immediately following period, thus determining inability to ensure health care to all patients.
    Keywords covid19
    Language English
    Publishing date 2020-05-09
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm9051403
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Letter by d'Aloja et al Regarding Article, "Competitive Sport Participation Among Athletes With Heart Disease: A Call for a Paradigm Shift in Decision Making".

    d'Aloja, Ernesto / Chighine, Alberto / Gabiati, Letizia

    Circulation

    2018  Volume 137, Issue 18, Page(s) 1986–1987

    MeSH term(s) Athletes ; Decision Making ; Heart Diseases ; Humans ; Sports
    Language English
    Publishing date 2018-04-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.117.033082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: COVID-19 and Italian Healthcare Workers From the Initial Sacrifice to the mRNA Vaccine: Pandemic Chrono-History, Epidemiological Data, Ethical Dilemmas, and Future Challenges.

    Nioi, Matteo / Napoli, Pietro Emanuele / Lobina, Jessica / Fossarello, Maurizio / d'Aloja, Ernesto

    Frontiers in public health

    2021  Volume 8, Page(s) 591900

    Abstract: On March 11, 2020, the World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak a pandemic. Simultaneously, in Italy, in which the first case had occurred on February 18, the rigid phase of the lockdown began. The country ...

    Abstract On March 11, 2020, the World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak a pandemic. Simultaneously, in Italy, in which the first case had occurred on February 18, the rigid phase of the lockdown began. The country has attracted worldwide attention, becoming at the same time a field of study both concerning the spread of the pandemic and advanced assessments of the effectiveness of political, public health, and therapeutic measures. The protagonists of the Italian crisis were the healthcare workers (HCWs) who were exposed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) without having any perception of what they were facing, courageously contributing to the containment of the epidemic to be defined by the media as "heroes." However, in the first phase of the pandemic (March-May 2020), the price that the Italian Public Health System had to pay both in terms of the number of positive virus cases and deaths among the HCWs was beyond and represented a peculiarity compared to what happened in other countries. In the current study, after a summary of the evolution of the pandemic in Italy, we offer an analysis of the statistical data concerning contagions and deaths among healthcare workers (physicians in particular). In conclusion, we describe the critical issues that still need to be resolved and the future challenges facing healthcare workers and the general population.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/mortality ; COVID-19 Vaccines ; Communicable Disease Control ; Health Personnel/ethics ; Health Personnel/statistics & numerical data ; Humans ; Italy/epidemiology ; Middle Aged ; Personal Protective Equipment ; Public Health ; RNA, Messenger ; SARS-CoV-2 ; Surveys and Questionnaires
    Chemical Substances COVID-19 Vaccines ; RNA, Messenger
    Language English
    Publishing date 2021-01-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2020.591900
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Postmortem Ocular Findings in the Optical Coherence Tomography Era: A Proof of Concept Study Based on Six Forensic Cases.

    Nioi, Matteo / Napoli, Pietro Emanuele / Demontis, Roberto / Locci, Emanuela / Fossarello, Maurizio / d'Aloja, Ernesto

    Diagnostics (Basel, Switzerland)

    2021  Volume 11, Issue 3

    Abstract: Postmortem analysis of the ocular globe is an important topic for forensic pathology and transplantology. Although crucial elements may be gathered from examining cadaveric eyes, the latter do not routinely undergo in-depth analysis. The paucity of ... ...

    Abstract Postmortem analysis of the ocular globe is an important topic for forensic pathology and transplantology. Although crucial elements may be gathered from examining cadaveric eyes, the latter do not routinely undergo in-depth analysis. The paucity of quantitative and objective data that are obtainable using current, invasive necroscopic techniques is the main reason for the limited interest in this highly specialized procedure. The aim of the current study is to describe and to object for the first time the postmortem ocular changes by mean of portable optical coherence tomography for evaluating ocular tissues postmortem. The design involved the postmortem analysis (in situ, and without enucleation) of 12 eyes by portable spectral-domain Optical Coherence Tomography. The scans were performed, in corneal, retinal and angle modality at different intervals: <6 h, 6th, 12th, and 24th hour and after autopsy (25th-72nd hour). The morphological changes in the cornea, sclera, vitreous humor and aqueous humor were easy to explore and objectify in these tissues in first 72 h postmortem. On the other hand, the "in situ" observation of the retina was difficult due to the opacification of the lenses in the first 24 h after death.
    Language English
    Publishing date 2021-02-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics11030413
    Database MEDical Literature Analysis and Retrieval System OnLINE

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