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Article ; Online: A virtual reality-based endurance training program for COPD patients: acceptability and user experience.

Colombo, Vera / Mondellini, Marta / Fumagalli, Alessia / Aliverti, Andrea / Sacco, Marco

Disability and rehabilitation. Assistive technology

2023 Volume 19, Issue 4, Page(s) 1590–1599

Abstract: Purpose: To investigate the acceptability and user experience of an in-hospital endurance training program based on the Virtual Park, a semi-immersive Virtual Reality (VR) system for patients with Chronic Obstructive Pulmonary Disease (COPD).: Results! ...

Abstract	Purpose: To investigate the acceptability and user experience of an in-hospital endurance training program based on the Virtual Park, a semi-immersive Virtual Reality (VR) system for patients with Chronic Obstructive Pulmonary Disease (COPD). Results: Fourteen patients (6 F/8 M; age = 71.29 ± 6.93 years) with mild/moderate COPD participated. The adherence rate was satisfying: 85.71% of patients attended the program without adverse events; the individual attendance rate (86.85% ± 27.43) was also high. The exercise capacity assessed before and after the training significantly improved in our group (6MWT pre-post: t(11)= -5.040, Conclusions: Our preliminary results open the possibility for further investigations on long-term motivation and clinical effectiveness of more immersive VR interventions for COPD.
MeSH term(s)	Humans ; Pulmonary Disease, Chronic Obstructive/rehabilitation ; Male ; Female ; Aged ; Virtual Reality ; Endurance Training ; Middle Aged ; Exercise Tolerance ; Patient Compliance
Language	English
Publishing date	2023-06-05
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2221782-4
ISSN	1748-3115 ; 1748-3107
ISSN (online)	1748-3115
ISSN	1748-3107
DOI	10.1080/17483107.2023.2219699
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Article: The Utility of Serological Analysis for

Villa, Luca / Gazzonis, Alessia Libera / Fumagalli, Emanuele / Zanzani, Sergio Aurelio / Manfredi, Maria Teresa

Animals : an open access journal from MDPI

2022 Volume 12, Issue 6

Abstract: ... Neospora ... ...

Abstract	Neospora caninum
Language	English
Publishing date	2022-03-20
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2606558-7
ISSN	2076-2615
ISSN	2076-2615
DOI	10.3390/ani12060786
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Article: Epidemiology and molecular analyses of respiratory syncytial virus in the 2021-2022 season in northern Italy.

Lai, Alessia / Bergna, Annalisa / Fabiano, Valentina / Ventura, Carla Della / Fumagalli, Giulia / Mari, Alessandra / Loiodice, Martina / Zuccotti, Gian Vincenzo / Zehender, Gianguglielmo

Frontiers in microbiology

2024 Volume 14, Page(s) 1327239

Abstract: Background: Human respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infection among infants and young children worldwide, with seasonal peaks in January and February. This study aimed to characterize the RSV samples ...

Abstract	Background: Human respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infection among infants and young children worldwide, with seasonal peaks in January and February. This study aimed to characterize the RSV samples from a pediatric cohort in the 2021-2022 season in Italy. Methods: In total, 104 samples were collected from pediatric patients attending the "Vittore Buzzi" Children's Hospital in Milan, Italy in the 2021-2022 season. RT-PCR and next-generation sequencing were used to discriminate subgroups and obtain whole genomes. Maximum likelihood and Bayesian phylogenetic methods were used to analyze Italian sequences in the European contest and date Italian clusters. Results: The median age was 78 days, and 76.9% of subjects required hospitalization, with a higher proportion of patients under 3 months of age. An equal proportion of subgroups A (GA2.3.5) and B (GB5.0.5a) was found, with significant differences in length of hospitalization, days of supplemental oxygen treatment, and intravenous hydration duration. Phylogeny highlighted 26 and 37 clusters containing quite the total of Italian sequences for RSV-A and -B, respectively. Clusters presented a tMRCA between December 2011-February 2017 and May 2014-December 2016 for A and B subgroups, respectively. Compared to European sequences, specific mutations were observed in Italian strains. Conclusion: These data confirmed a more severe clinical course of RSV-A, particularly in young children. This study permitted the characterization of recent Italian RSV whole genomes, highlighting the peculiar pattern of mutations that needs to be investigated further and monitored.
Language	English
Publishing date	2024-01-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2587354-4
ISSN	1664-302X
ISSN	1664-302X
DOI	10.3389/fmicb.2023.1327239
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Article: Addressing the Need of a Translational Approach in Peripheral Neuropathy Research: Morphology Meets Function.

Monza, Laura / Fumagalli, Giulia / Chiorazzi, Alessia / Alberti, Paola

Brain sciences

2021 Volume 11, Issue 2

Abstract: Peripheral neuropathies (PNs) are a type of common disease that hampers the quality of life of affected people. Treatment, in most cases, is just symptomatic and often ineffective. To improve drug discovery in this field, preclinical evidence is ... ...

Abstract	Peripheral neuropathies (PNs) are a type of common disease that hampers the quality of life of affected people. Treatment, in most cases, is just symptomatic and often ineffective. To improve drug discovery in this field, preclinical evidence is warranted. In vivo rodent models allow a multiparametric approach to test new therapeutic strategies, since they can allow pathogenetic and morphological studies different from the clinical setting. However, human readouts are warranted to promptly translate data from the bench to the bedside. A feasible solution would be neurophysiology, performed similarly at both sides. We describe a simple protocol that reproduces the standard clinical protocol of a neurophysiology hospital department. We devised the optimal montage for sensory and motor recordings (neurography) in mice, and we also implemented F wave testing and a short electromyography (EMG) protocol at rest. We challenged this algorithm by comparing control animals (BALB/c mice) with a model of mild neuropathy to grasp even subtle changes. The neurophysiological results were confirmed with neuropathology. The treatment group showed all expected alterations. Moreover, the neurophysiology matched the neuropathological analyses. Therefore, our protocol can be suggested to promptly translate data from the bench to the bedside and vice versa.
Language	English
Publishing date	2021-01-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2651993-8
ISSN	2076-3425
ISSN	2076-3425
DOI	10.3390/brainsci11020139
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Article ; Online: Translating morphology from bench side to bed side via neurophysiology: 8-min protocol for peripheral neuropathy research.

Monza, Laura / Fumagalli, Giulia / Chiorazzi, Alessia / Alberti, Paola

Journal of neuroscience methods

2021 Volume 363, Page(s) 109323

Abstract: Background: Peripheral neuropathy treatment is not always satisfactory. To fill this gap, inferences from bench side are warranted, where morphological and pathogenetic determinations can be performed. Nerve conduction studies (NCS) are ideal to ... ...

Abstract	Background: Peripheral neuropathy treatment is not always satisfactory. To fill this gap, inferences from bench side are warranted, where morphological and pathogenetic determinations can be performed. Nerve conduction studies (NCS) are ideal to translate results from preclinical to clinical setting. New methods: We propose a comprehensive 8-minute protocol for sensory-motor neurophysiological assessment, similar to routine clinical practice: sensory proximal and distal caudal nerves, motor caudal nerve, and sensory digital nerve recordings were used and tested in 2 different experimental settings. In Experiment 1 we compared control (CTRL) animals to a severe sensory-motor polyneuropathy (animals treated with vincristine [VCR]), and in Experiment 2 CTRL animals were compared to a mild sensory polyneuropathy (animals treated with oxaliplatin [OHP]). NCS were performed after 1-month of chemotherapy and matched with confirmatory neuropathological analyses. Results: VCR treated animals showed, at NCS, a relevant sensory-motor polyneuropathy ensued at the end of treatment; whereas, OHP animals showed a mild distal sensory neuropathy. These patterns were confirmed by neuropathological analysis. Comparison with existing methods: In literature, the majority of proposed neurophysiological protocols relies mainly on a single nerve testing, rather than a combination of them, and only a few studies tested both caudal and sciatic nerve branches, nevertheless not aiming at fully reproduce clinical protocols (e.g., seeking for length-dependency); to provide evidence of appropriateness of our protocol we applied a gold standard: neuropathology. Conclusion: The simple and rapid protocol here presented can be suggested as a good translation outcome measure in preclinical setting.
MeSH term(s)	Animals ; Neural Conduction ; Neurophysiology ; Peripheral Nerves ; Peripheral Nervous System Diseases/drug therapy
Language	English
Publishing date	2021-08-13
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	282721-9
ISSN	1872-678X ; 0165-0270
ISSN (online)	1872-678X
ISSN	0165-0270
DOI	10.1016/j.jneumeth.2021.109323
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Article ; Online: Incidence of stroke in patients with hypertrophic cardiomyopathy in stable sinus rhythm during long-term monitoring.

International journal of cardiology

2023 Volume 381, Page(s) 70–75

Abstract: Introduction: Patients with hypertrophic cardiomyopathy (HCM) are at increased risk of stroke, but the incidence and factors associated with cardioembolic events in HCM patients without atrial fibrillation (AF) remain unresolved. We determined the ... ...

Abstract	Introduction: Patients with hypertrophic cardiomyopathy (HCM) are at increased risk of stroke, but the incidence and factors associated with cardioembolic events in HCM patients without atrial fibrillation (AF) remain unresolved. We determined the incidence of stroke in patients in sinus rhythm (SR) monitored with a cardiac implantable electronic device (CIED). Methods: All consecutive patients diagnosed with HCM and referred to CIED implantation with >16 years at diagnosis and ≥ 1 year follow-up post CIED implantation were retrospectively reviewed. Severe LA dilatation was defined as ≥48 mm. Patients were stratified by rhythm as: Pre-existing AF (AF present prior to CIED); De novo AF (AF present after CIED implantation); SR: no episodes of AF. Results: Of 1651 patients, 185 (11.2%) implanted with a CIED were included (57% men, age: 54 ± 17 years). Baseline, pre-existing AF was present in 73 (39%) patients. Ischemic stroke was reported in 19 (10.3%, 1.78%/year) patients and was similar across the three groups (2.3%/year vs 1.1%/year vs 0.6%/year in patients in SR vs pre-existing AF vs de novo AF, respectively, p = 0.235). In SR patients, a LAD≥48 mm posed the greatest risk of stroke (Hazard Ratio: 10.03,95% Confidence-Interval 2.79-16.01). At Cox multivariable analysis, after adjustment for oral anticoagulation, LA was independently associated with stroke while rhythm was not. Conclusions: in HCM patients with CIED long-term monitoring and no prior history of AF, stroke rates were similar in those with de novo AF or stable SR. Severe LA dilatation was a powerful risk factor, irrespective of AF.
MeSH term(s)	Male ; Humans ; Adult ; Middle Aged ; Aged ; Female ; Retrospective Studies ; Incidence ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/complications ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/etiology ; Cardiomyopathy, Hypertrophic/diagnosis ; Cardiomyopathy, Hypertrophic/diagnostic imaging ; Risk Factors
Language	English
Publishing date	2023-04-13
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	779519-1
ISSN	1874-1754 ; 0167-5273
ISSN (online)	1874-1754
ISSN	0167-5273
DOI	10.1016/j.ijcard.2023.04.008
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Article ; Online: Introducing energy into marine environments: A lab-scale static magnetic field submarine cable simulation and its effects on sperm and larval development on a reef forming serpulid.

Oliva, Matteo / De Marchi, Lucia / Cuccaro, Alessia / Fumagalli, Giorgia / Freitas, Rosa / Fontana, Nunzia / Raugi, Marco / Barmada, Sami / Pretti, Carlo

Environmental pollution (Barking, Essex : 1987)

2023 Volume 328, Page(s) 121625

Abstract: Non-chemical sources of anthropogenic environmental stress, such as artificial lights, noise and magnetic fields, are still an underestimate factor that may affect the wildlife. Marine environments are constantly subjected to these kinds of stress, ... ...

Abstract	Non-chemical sources of anthropogenic environmental stress, such as artificial lights, noise and magnetic fields, are still an underestimate factor that may affect the wildlife. Marine environments are constantly subjected to these kinds of stress, especially nearby to urbanized coastal areas. In the present work, the effect of static magnetic fields, associated with submerged electric cables, was evaluated in gametes and early life stages of a serpulid polychaete, namely Ficopomatus enigmaticus. Specifically, biochemical/physiological impairments of sperm, fertilization rate inhibition and incorrect larval development were assessed. We evaluated differences between two selected magnetic field induction values (0.5 and 1 mT) along a range of exposure times (30 min-48 h), for a sound evaluation on this species. We found that a magnetic induction of 1 mT, a typical value that can be found at distance of tens of cm from a submerged cable, may be considered a biologically and ecologically relevant for sessile organisms and for coastal environments more generally. This value exerted statistically significant effects on membranes, DNA integrity, kinetic parameters and mitochondrial activity of sperm cells. Moreover, a significant reduction in fertilization rate was observed in sperm exposed to the same magnetic induction level (1 mT) for 3 h, compared to controls. Regarding early larval stages, 48-h exposure did not affect the correct development. Our results represent a starting point for a future focus of research on magnetic field effects on early life stages of aquatic invertebrates, using model species as representative for reef-forming/encrusting organisms and ecological indicators of soft sediment quality.
MeSH term(s)	Animals ; Male ; Semen ; Invertebrates ; Magnetic Fields ; Spermatozoa ; Larva
Language	English
Publishing date	2023-04-19
Publishing country	England
Document type	Journal Article
ZDB-ID	280652-6
ISSN	1873-6424 ; 0013-9327 ; 0269-7491
ISSN (online)	1873-6424
ISSN	0013-9327 ; 0269-7491
DOI	10.1016/j.envpol.2023.121625
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Article ; Online: Multi-biomarker approach for the (eco)toxicity of UV-filter environmental pollution on the Mediterranean mussel Mytilus galloprovincialis in a multiple stressor context. The case of 4-MBC under salinity shifts.

Cuccaro, Alessia / Freitas, Rosa / De Marchi, Lucia / Monni, Gianfranca / Meucci, Valentina / Oliva, Matteo / Fumagalli, Giorgia / Pretti, Carlo

Environmental pollution (Barking, Essex : 1987)

2023 Volume 336, Page(s) 122490

Abstract: Marine-coastal ecosystems are rapidly transforming because of climate change (CC). At the same time, the impacts of emerging organic contaminants (i.e., organic UV-filters) on these ecosystems are intensifying. In the Mediterranean, the consequences of ... ...

Abstract	Marine-coastal ecosystems are rapidly transforming because of climate change (CC). At the same time, the impacts of emerging organic contaminants (i.e., organic UV-filters) on these ecosystems are intensifying. In the Mediterranean, the consequences of these disturbances are occurring at a fast pace making this area a potential sentinel site to be investigated. While singular effects of organic UV-filters or CC-related factors on marine biota have been relatively described, their combined impact is still largely unknown. Thus, the objective of this study was to assess the long-term responses of the Mediterranean mussel Mytilus galloprovincialis towards anticipated salinity changes (decreases-S20 or increases-S40) when exposed to environmentally relevant concentrations of the UV-filter 4-methylbenzylidene camphor (4-MBC). An integrated multi-biomarker approach was applied, featuring general and oxidative stress, antioxidant and biotransformation enzyme capacity, energy metabolism, genotoxicity, and neurotoxicity biomarkers. Results showed that both projected salinities, considered separately, exerted non-negligible impacts on mussels' health status, with greater biological impairments found at S 40. Combining both stressors resulted in an evident increase in mussels' susceptibility to the UV-filter, which exacerbated the toxicity of 4-MBC. The dominant influence of salinity in the climate change-contaminant interaction played a crucial role in this outcome. The most severe scenario occurred when S 20 was combined with 4-MBC. In this situation, mussels exhibited a decrease in filtration rate, metabolic capacity and deployment of energy reserves increased, with an upregulation of biotransformation and inhibition of antioxidant enzyme activities. This exposure also led to the observation of cellular and DNA damage, as well as an increase in AChE activity. Furthermore, salinity-dependent bioaccumulation patterns were evaluated revealing that the lowest values in contaminated mussels are found at S 20. Overall, the present findings provide evidence that projected CC/pollutant scenarios may represent high risks for mussels' populations, with global relevant implications for the ecosystem level.
Language	English
Publishing date	2023-09-01
Publishing country	England
Document type	Journal Article
ZDB-ID	280652-6
ISSN	1873-6424 ; 0013-9327 ; 0269-7491
ISSN (online)	1873-6424
ISSN	0013-9327 ; 0269-7491
DOI	10.1016/j.envpol.2023.122490
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Zs.A 2599: Show issues

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Article ; Online: Determinants of health status in older patients with transthyretin cardiac amyloidosis: a prospective cohort study.

Fumagalli, Carlo / Ponti, Lucia / Smorti, Martina / Pozza, Francesca / Argirò, Alessia / Zampieri, Mattia / Di Mario, Carlo / Marfella, Raffaele / Sardu, Celestino / Paolisso, Giuseppe / Olivotto, Iacopo / Perfetto, Federico / Ungar, Andrea / Marchionni, Niccolò / Cappelli, Francesco

Aging clinical and experimental research

2024 Volume 36, Issue 1, Page(s) 89

Abstract: Background: Whether, and to what extent, frailty and other geriatric domains are linked to health status in patients with transthyretin cardiac amyloidosis (ATTR-CA) is unknown.: Aims: To determine the association of frailty with health status [ ... ...

Abstract	Background: Whether, and to what extent, frailty and other geriatric domains are linked to health status in patients with transthyretin cardiac amyloidosis (ATTR-CA) is unknown. Aims: To determine the association of frailty with health status [defined by the Kansas City Cardiomyopathy Questionnaire (KCCQ)] in patients with ATTR-CA. Methods: Consecutive ATTR-CA patients undergoing cardiovascular assessment at a tertiary care clinic from September 2021 to September 2023 were invited to participate. KCCQ, frailty and social environment were recorded. Frailty was assessed using the modified Frailty Index (mFI), mapping 11 variables from the Canadian Study of Health and Aging (frailty ≥0.36). Results: Of 168 screened ATTR-CA patients, 138 [83% men, median age of 79 (75-84) years] were enrolled in the study. Median KCCQ was 66 (50-75). wtATTR-CA was the most prevalent form (N = 113, 81.9%). The most frequent cardiac variant was Ile68Leu (17/25 individuals with vATTR-CA). Twenty (14.5%) patients were considered frail, and prevalence of overt disability was 6.5%. At multivariable linear regression analysis, factors associated with worsening KCCQ were age at evaluation, the mFI, NYHA Class, and NAC Score. Gender, ATTR-CA type, phenotype, and LVEF were not associated with health status. Discussion: In older patients diagnosed with ATTR-CA, frailty, symptoms, and disease severity were associated with KCCQ. Conclusions: Functional status is a determinant of quality of life and health status in older individuals with a main diagnosis of ATTR-CA. Future research may provide more in-depth knowledge on the association of frailty in patients with ATTR-CA with respect to quality of life and prognosis.
MeSH term(s)	Male ; Humans ; Aged ; Aged, 80 and over ; Female ; Quality of Life ; Prealbumin ; Frailty ; Prospective Studies ; Canada ; Health Status ; Amyloidosis
Chemical Substances	Prealbumin
Language	English
Publishing date	2024-04-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2104785-6
ISSN	1720-8319 ; 1594-0667
ISSN (online)	1720-8319
ISSN	1594-0667
DOI	10.1007/s40520-024-02750-6
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Article ; Online: Genetic factors influencing the development of vincristine-induced neurotoxicity.

Pozzi, Eleonora / Fumagalli, Giulia / Chiorazzi, Alessia / Canta, Annalisa / Cavaletti, Guido

Expert opinion on drug metabolism & toxicology

2020 Volume 17, Issue 2, Page(s) 215–226

Abstract: ... ...

Abstract	Introduction
MeSH term(s)	Antineoplastic Agents, Phytogenic/administration & dosage ; Antineoplastic Agents, Phytogenic/adverse effects ; Genotype ; Humans ; Neurotoxicity Syndromes/etiology ; Peripheral Nervous System Diseases/chemically induced ; Peripheral Nervous System Diseases/genetics ; Pharmacogenetics ; Polymorphism, Genetic ; Risk Factors ; Vincristine/administration & dosage ; Vincristine/adverse effects
Chemical Substances	Antineoplastic Agents, Phytogenic ; Vincristine (5J49Q6B70F)
Language	English
Publishing date	2020-12-06
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2214462-6
ISSN	1744-7607 ; 1742-5255
ISSN (online)	1744-7607
ISSN	1742-5255
DOI	10.1080/17425255.2021.1855141
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