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Article: Sedation-Led chEmotherapy Evades Pain (S.L.E.E.P.)

Cirillo, Marco

Research Ideas and Outcomes. 2021 Oct. 28, v. 7

2021

Abstract: Chemotherapy and other invasive therapies are often limited by side effects, pain and negative experiences that can limit adherence to the therapy itself. Such negative components add to the patient's depressive state due to the disease. This research ... ...

Abstract	Chemotherapy and other invasive therapies are often limited by side effects, pain and negative experiences that can limit adherence to the therapy itself. Such negative components add to the patient's depressive state due to the disease. This research project proposes the use of deep sedation during chemotherapy sessions or other disabling therapies in the treatment of tumors or other severe diseases. The proposed protocol provides for an ad hoc hospitalization which could be during the night, during the day or limited to a few hours. Administration during sleep eliminates the memory and the negative impact the treatment has on the rest of the patient's daily life. This approach also agrees with the evidence of the circadian rhythm of cellular repair processes, which is greater at sunrise and sunset and linked to a good quantity and quality of sleep. In conclusion, this project aims to reduce the negative impact and increase the adherence to and efficacy of the therapy itself.
Keywords	circadian rhythm ; drug therapy ; memory ; pain ; patients ; research projects ; sedation ; sleep
Language	English
Dates of publication	2021-1028
Publishing place	Pensoft Publishers
Document type	Article
ZDB-ID	2833254-4
ISSN	2367-7163
ISSN	2367-7163
DOI	10.3897/rio.7.e71271
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Comprehensive Evaluation of Multispectral Image Registration Strategies in Heterogenous Agriculture Environment.

Rana, Shubham / Gerbino, Salvatore / Crimaldi, Mariano / Cirillo, Valerio / Carillo, Petronia / Sarghini, Fabrizio / Maggio, Albino

Journal of imaging

2024 Volume 10, Issue 3

Abstract: This article is focused on the comprehensive evaluation of alleyways to scale-invariant feature transform (SIFT) and random sample consensus (RANSAC) based multispectral (MS) image registration. In this paper, the idea is to extensively evaluate three ... ...

Abstract	This article is focused on the comprehensive evaluation of alleyways to scale-invariant feature transform (SIFT) and random sample consensus (RANSAC) based multispectral (MS) image registration. In this paper, the idea is to extensively evaluate three such SIFT- and RANSAC-based registration approaches over a heterogenous mix containing
Language	English
Publishing date	2024-02-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2824270-1
ISSN	2313-433X ; 2313-433X
ISSN (online)	2313-433X
ISSN	2313-433X
DOI	10.3390/jimaging10030061
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Article ; Online: RafanoSet: Dataset of raw, manually, and automatically annotated Raphanus Raphanistrum weed images for object detection and segmentation.

Rana, Shubham / Gerbino, Salvatore / Barretta, Domenico / Carillo, Petronia / Crimaldi, Mariano / Cirillo, Valerio / Maggio, Albino / Sarghini, Fabrizio

Data in brief

2024 Volume 54, Page(s) 110430

Abstract: The rationale for this data article is to provide resources which could facilitate the studies focussed over weed detection and segmentation in precision farming using computer vision. We have curated Multispectral (MS) images over crop fields ... ...

Abstract	The rationale for this data article is to provide resources which could facilitate the studies focussed over weed detection and segmentation in precision farming using computer vision. We have curated Multispectral (MS) images over crop fields of
Language	English
Publishing date	2024-04-16
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2786545-9
ISSN	2352-3409 ; 2352-3409
ISSN (online)	2352-3409
ISSN	2352-3409
DOI	10.1016/j.dib.2024.110430
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Article ; Online: First trimester pregnancy outcomes in a large IVF center from the Lombardy County (Italy) during the peak COVID-19 pandemic.

Setti, P E Levi- / Cirillo, F / Immediata, V / Morenghi, E / Canevisio, V / Ronchetti, C / Baggiani, A / Albani, E / Patrizio, P

Scientific reports

2021 Volume 11, Issue 1, Page(s) 16529

Abstract: ... p = 0.237) during COVID-19 risk. There were no differences in biochemical pregnancy rates 52 (3.57 ... versus 38 (2.50%) (p = 0.089) nor in ectopic pregnancies 4 (1.08%) versus 3 (0.72%) (p = 0.594 ... spontaneous miscarriages 84 (22.70%) versus 103 (24.82%) p = 0.487, nor in intrauterine ongoing pregnancies ...

Abstract	At the beginning of 2020, the Italian Lombardy region was hit by an "epidemic tsunami" which was, at that point in time, one of the worst pandemics ever. At that moment the effects of SARS-COV 2 were still unknown. To evaluate whether the pandemic has influenced ART (Assisted Reproduction Techniques) outcomes in an asymptomatic infertile population treated at one of the major COVID-19 epicentres during the weeks immediately preceding lockdown. All ART procedures performed during two time periods were compared: November 1st, 2018 to February 28th, 2019 (non-COVID-19 risk) and November 1st, 2019 to February 29th, 2020 (COVID-19 risk). In total 1749 fresh cycles (883 non-COVID-19 risk and 866 COVID-19 risk) and1166 embryos and 63 oocytes warming cycles (538 and 37 during non-COVID and 628 and 26 during COVID-19 risk, respectively) were analysed. Clinical pregnancies per cycle were not different: 370 (25.38%) in non-COVID versus 415 (27.30%) (p = 0.237) during COVID-19 risk. There were no differences in biochemical pregnancy rates 52 (3.57%) versus 38 (2.50%) (p = 0.089) nor in ectopic pregnancies 4 (1.08%) versus 3 (0.72%) (p = 0.594), spontaneous miscarriages 84 (22.70%) versus 103 (24.82%) p = 0.487, nor in intrauterine ongoing pregnancies 282 (76.22%) versus 309 (74.46%) p = 0.569. A multivariate analysis investigating differences in spontaneous miscarriage rate showed no differences between the two timeframes. Our results support no differences in asymptomatic infertile couples' ART outcomes between the pre COVID and COVID-19 periods in one of the earliest and most severe pandemic areas.
MeSH term(s)	Abortion, Spontaneous/epidemiology ; Adult ; Asymptomatic Infections/epidemiology ; COVID-19/complications ; COVID-19/epidemiology ; COVID-19/prevention & control ; Communicable Disease Control/standards ; Female ; Humans ; Infertility/therapy ; Italy/epidemiology ; Male ; Pandemics ; Pregnancy ; Pregnancy Rate ; Pregnancy Trimester, First ; Reproductive Techniques, Assisted/standards ; Reproductive Techniques, Assisted/statistics & numerical data ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2021-08-16
Publishing country	England
Document type	Comparative Study ; Journal Article ; Observational Study
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-021-96134-9
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Article ; Online: One step further: randomised single-centre trial comparing the direct and afterload techniques of embryo transfer.

Levi Setti, P E / Cirillo, F / Morenghi, E / Immediata, V / Caccavari, V / Baggiani, A / Albani, E / Patrizio, P

Human reproduction (Oxford, England)

2021 Volume 36, Issue 9, Page(s) 2484–2492

Abstract: ... 68 (38.6%) versus 17 (9.7%), respectively (OR 0.17, 95% CI 0.09-0.30, P < 0.001). The mean percentage ... in the direct group compared with 8.6% (± 8.2%) in the afterload group (P < 0.001). The difficult transfer rate ... The clinical pregnancy rates (42.0% vs 48.3%, P = 0.239 in the direct and afterload groups, respectively) were ...

Abstract	Study question: What are the differences in ease of use between two different embryo transfer (ET) techniques: the preload direct approach and the afterload approach. Summary answer: The afterload technique seems to reduce the rate of difficult ETs. What is known already: Numerous published trials now document that the ET procedure has an impact on pregnancy and delivery rates after IVF. Difficult transfers should be avoided, as they reduce implantation and pregnancy rates. Preload direct ETs with soft catheters under ultrasound guidance is currently considered the best procedure. However, when using soft catheters, it is not known which technique is preferable or which one should be implemented to reduce the operator factor. Study design, size, duration: This prospective randomised unblinded controlled clinical trial, included 352 ultrasound-guided ETs assigned to either direct ET or afterload ET, between September 2017 and March 2019. The sample size was calculated based on the historical rate of difficult ETs encountered between 2014 and 2015 with a direct ET procedure. Participants/materials, setting, methods: The inclusion criteria were women 18-38 years old, with BMI between 18 and 28, receiving a single-thawed blastocyst transfer. The exclusion criteria were use of testicular sperm and preimplantation genetic testing (PGT) cycles. The primary outcome was the rate of difficult or suboptimal transfers defined as: advancement of the outer sheath (specific for the direct transfer), multiple attempts, use of force, required manipulation, use of a stylet or tenaculum, dilatation, or use of a different catheter. The secondary outcome was clinical pregnancy rate. Main results and the role of chance: A total of 352 frozen ETs were randomised, with 176 patients in each group. The two arms were homogeneous for female and male age, female BMI, duration of infertility, secondary infertility, previous deliveries or miscarriages, myomas, previous surgery to the uterine cavity, cycle day at ovulation trigger, freeze all cycles, first transfers, indication for treatment, endometrial preparation protocol and duration, endometrial thickness, and blastocyst grade at vitrification. Across the entire population, 85 (24.1%) ETs were defined as difficult. The rate of difficult transfers was significantly higher in the direct ET group than in the afterload group: 68 (38.6%) versus 17 (9.7%), respectively (OR 0.17, 95% CI 0.09-0.30, P < 0.001). The mean percentage in the rate of difficult transfers per operator was 22.5% (SD ± 14.5%), of which 36.1% (SD ± 23.4%) were in the direct group compared with 8.6% (± 8.2%) in the afterload group (P < 0.001). The difficult transfer rate among operators varied from 0 to 43.8% (0-77.8% in the direct group and 0 to 25.0% in the afterload group). The clinical pregnancy rates (42.0% vs 48.3%, P = 0.239 in the direct and afterload groups, respectively) were not significantly different between the groups. Limitations, reasons for caution: There were 18 experienced operators who participated in the trial. Conclusions about the pregnancy rate should not be generalised, since the sample analysis was not performed on this outcome and, although clinically relevant, the difference was not significantly different. Wider implications of the findings: The rate of difficult transfers was significantly higher in the direct ET group compared with the afterload ET group, although a wide variation was observed among operators. Further studies regarding the association between transfer technique and ART outcomes are required. Study funding/competing interest(s): No specific funding was sought and there are no competing interests. Trial registration number: NCT03161119. Trial registration date: 5 April 2017. Date of first patient's enrolment: 26 September 2017.
MeSH term(s)	Adolescent ; Adult ; Embryo Implantation ; Embryo Transfer ; Female ; Fertilization in Vitro ; Humans ; Male ; Ovulation Induction ; Pregnancy ; Pregnancy Rate ; Prospective Studies ; Retrospective Studies ; Young Adult
Language	English
Publishing date	2021-07-29
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	632776-x
ISSN	1460-2350 ; 0268-1161 ; 1477-741X
ISSN (online)	1460-2350
ISSN	0268-1161 ; 1477-741X
DOI	10.1093/humrep/deab178
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Article: Myogenesis in C2C12 Cells Requires Phosphorylation of ATF6α by p38 MAPK.

Pagliara, Valentina / Amodio, Giuseppina / Vestuto, Vincenzo / Franceschelli, Silvia / Russo, Nicola Antonino / Cirillo, Vittorio / Mottola, Giovanna / Remondelli, Paolo / Moltedo, Ornella

Biomedicines

2023 Volume 11, Issue 5

Abstract: ... inactivation of p38 MAPK and, consequently, loss of ATF6α activity. All these findings suggest that the p ...

Abstract	Activating transcription factor 6α (ATF6α) is an endoplasmic reticulum protein known to participate in unfolded protein response (UPR) during ER stress in mammals. Herein, we show that in mouse C2C12 myoblasts induced to differentiate, ATF6α is the only pathway of the UPR activated. ATF6α stimulation is p38 MAPK-dependent, as revealed by the use of the inhibitor SB203580, which halts myotube formation and, at the same time, impairs trafficking of ATF6α, which accumulates at the cis-Golgi without being processed in the p50 transcriptional active form. To further evaluate the role of ATF6α, we knocked out the ATF6α gene, thus inhibiting the C2C12 myoblast from undergoing myogenesis, and this occurred independently from p38 MAPK activity. The expression of exogenous ATF6α in knocked-out ATF6α cells recover myogenesis, whereas the expression of an ATF6α mutant in the p38 MAPK phosphorylation site (T166) was not able to regain myogenesis. Genetic ablation of ATF6α also prevents the exit from the cell cycle, which is essential for muscle differentiation. Furthermore, when we inhibited differentiation by the use of dexamethasone in C2C12 cells, we found inactivation of p38 MAPK and, consequently, loss of ATF6α activity. All these findings suggest that the p-p38 MAPK/ATF6α axis, in pathophysiological conditions, regulates myogenesis by promoting the exit from the cell cycle, an essential step to start myoblasts differentiation.
Language	English
Publishing date	2023-05-16
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2720867-9
ISSN	2227-9059
ISSN	2227-9059
DOI	10.3390/biomedicines11051457
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Article ; Online: Serum HMGB1 levels are independently associated with glucose clamp-derived measures of insulin resistance in women with PCOS.

Moghetti, P / Catellani, C / Sartori, C / Migazzi, M / Cirillo, F / Villani, M / Buia, V / Righi, B / Dauriz, M / Fiers, T / Tosi, F / Street, M E

Journal of endocrinological investigation

2023 Volume 46, Issue 12, Page(s) 2629–2637

Abstract: ... women (p = 0.017), and inversely associated with insulin-induced total and non-oxidative glucose ...

Abstract	Purpose: PCOS is associated with low grade inflammation which could play a role in insulin resistance and ovarian dysfunction. Preliminary findings suggested that serum levels of HMGB1, a cytokine involved in inflammation, might be altered in women with PCOS. Primary aim of this study was to assess whether HMGB1 serum concentrations are associated with PCOS and with the state of insulin resistance of these women. Methods: Sixty women with PCOS, selected to have a similar proportion of subjects with altered or normal insulin sensitivity, and 29 healthy controls were studied. Serum HMGB1 levels were compared in subgroups of PCOS women and controls. In PCOS women, insulin sensitivity was assessed by the glucose clamp technique and HMGB1 was measured at baseline and after acute hyperinsulinemia. Results: HMGB1 levels were similar in women with PCOS and controls and no elements used for diagnosing PCOS were associated with serum HMGB1. However, HMGB1 concentrations were higher in insulin-resistant vs insulin-sensitive PCOS women (p = 0.017), and inversely associated with insulin-induced total and non-oxidative glucose metabolism. In both subgroups of PCOS women, serum HMBG1 levels significantly increased after acute hyperinsulinemia. Conclusions: These data suggest that HMGB1 levels are not associated with PCOS per se, but with insulin resistance. Further research should establish the underlying nature of this relationship, and whether this protein might play a role in the metabolic complications of PCOS.
MeSH term(s)	Female ; Humans ; Insulin Resistance ; Polycystic Ovary Syndrome ; Glucose Clamp Technique ; HMGB1 Protein ; Insulin ; Hyperinsulinism ; Inflammation/complications
Chemical Substances	HMGB1 Protein ; Insulin
Language	English
Publishing date	2023-05-31
Publishing country	Italy
Document type	Journal Article
ZDB-ID	432272-1
ISSN	1720-8386 ; 0391-4097 ; 1121-1369
ISSN (online)	1720-8386
ISSN	0391-4097 ; 1121-1369
DOI	10.1007/s40618-023-02119-y
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Article ; Online: A Monocentric Randomized Controlled Clinical Trial to Compare Single- and Double-Lumen Needles in Oocyte Retrieval Procedure in Assisted Reproductive Technologies.

Ronchetti, Camilla / Cirillo, Federico / Immediata, Valentina / Gargasole, Clara / Scolaro, Valeria / Morenghi, Emanuela / Albani, Elena / Patrizio, Pasquale / Levi-Setti, Paolo Emanuele

Reproductive sciences (Thousand Oaks, Calif.)

2023 Volume 30, Issue 9, Page(s) 2866–2875

Abstract: ... different between groups (10.2 ± 6.5 for DLNs vs. 10.7 ± 7.0 for SLNs, p = 0.810). No significant ... 81.0% ± 22.0%, p = 0.916), number of retrieved oocytes/follicles at trigger (78.0% ± 29.0% vs. 78.0 ... 27.0%, p = 0.881), number of mature oocytes (7.6 ± 5.3 vs. 8.0 ± 5.1, p = 0.519), and pregnancy rate ...

Abstract	The purpose was to determine any difference in outcomes, primarily in terms of number of retrieved oocytes per procedure, between two different needles used for oocytes retrieval procedure in Assisted Reproductive Technologies: the single-lumen needle (SLN) versus the double-lumen needle (DLN) with follicle flushing after aspiration. This randomized controlled trial included oocyte retrieval (OR) cycles for IVF and ICSI performed in 18 to 42-year-old women between March 2019 and January 2021 at a tertiary-care Fertility Center. A total of 200 ORs were randomized, 100 in each group. The mean number of retrieved oocytes was not different between groups (10.2 ± 6.5 for DLNs vs. 10.7 ± 7.0 for SLNs, p = 0.810). No significant differences were observed also in terms of number of retrieved oocytes/punctured follicles (83.0% ± 27.0% vs. 81.0% ± 22.0%, p = 0.916), number of retrieved oocytes/follicles at trigger (78.0% ± 29.0% vs. 78.0% ± 27.0%, p = 0.881), number of mature oocytes (7.6 ± 5.3 vs. 8.0 ± 5.1, p = 0.519), and pregnancy rate (27% vs. 23%, p = 0.514). However, the time required to retrieve each oocyte was longer using the DLN (1.5 ± 1.3 vs. 1.1 ± 0.9 minutes, p = 0.002). The present study confirmed the new perspectives on the sole use of SLNs in terms of saving time, without affecting the number of retrieved oocytes. Trial registration number and date of registration NCT03611907; July 26, 2018.
MeSH term(s)	Female ; Humans ; Pregnancy ; Fertilization in Vitro/methods ; Oocyte Retrieval/methods ; Oocytes ; Ovarian Follicle ; Ovulation Induction/methods ; Pregnancy Rate ; Reproductive Techniques, Assisted ; Retrospective Studies
Language	English
Publishing date	2023-04-17
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2276411-2
ISSN	1933-7205 ; 1933-7191
ISSN (online)	1933-7205
ISSN	1933-7191
DOI	10.1007/s43032-023-01232-w
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Article ; Online: Bibrachial amyotrophy as a rare manifestation of intraspinal fluid collection: a case report and systematic review.

Quattrocchi, Silvia / Bonan, Luigi / Cirillo, Luigi / Avoni, Patrizia / Di Stasi, Vitantonio / Rizzo, Giovanni / Liguori, Rocco / Vacchiano, Veria

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

2023 Volume 45, Issue 5, Page(s) 2279–2288

Abstract: Introduction: Intraspinal cerebrospinal fluid (CSF) collection has been reported as a rare cause of lower motor neuron (LMN) disorder. We report a case of bibrachial diplegia associated with intraspinal CSF collection and perform a systematic literature ...

Abstract	Introduction: Intraspinal cerebrospinal fluid (CSF) collection has been reported as a rare cause of lower motor neuron (LMN) disorder. We report a case of bibrachial diplegia associated with intraspinal CSF collection and perform a systematic literature review. Patient and methods: A 52-year-old man developed a bibrachial amyotrophy over 6 years, confirmed by the presence of cervical subacute neurogenic changes at electromyography (EMG). Brain magnetic resonance imaging (MRI) revealed cerebral siderosis, while spine MRI showed a ventral longitudinal intraspinal fluid collection (VLISFC) from C2 to L2. No CSF leakage was localized at myelography; a conservative treatment was chosen. We searched for all published cases until 30th April 2023 and extrapolated data of 44 patients reported in 27 publications. Results: We observed a male predominance, a younger disease onset compared to amyotrophic lateral sclerosis, and a quite long disease duration, highlighting a slow disease progression. LMN signs were more frequently bilateral, mostly involving C5-C6 myotomes. Around 61% of patients presented additional symptoms, but only three referred to a history of headache. Accordingly, CSF opening pressure was mostly normal. Spinal MRI revealed the presence of VLISFC and in some cases myelomalacia. EMG patterns displayed both chronic and subacute neurogenic change in the cervical region. The disease course mainly depended on the treatment choice, which was mostly represented by a surgical approach when a specific dural defect was detected by imaging. Conclusion: Bibrachial diplegia due to VLISFC can be a treatable cause of focal amyotrophy and presents some clinical and radiological "red flags" which cannot be missed by a clinical neurologist.
MeSH term(s)	Humans ; Male ; Middle Aged ; Female ; Cerebrospinal Fluid Leak/complications ; Spinal Cord Diseases ; Magnetic Resonance Imaging ; Motor Neuron Disease/complications ; Myelography ; Intracranial Hypotension/etiology
Language	English
Publishing date	2023-11-16
Publishing country	Italy
Document type	Case Reports ; Systematic Review ; Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-023-07170-4
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Article ; Online: QIAreach QuantiFERON-TB for the diagnosis of

Saluzzo, Francesca / Mantegani, Paola / Poletti de Chaurand, Valeria / Cirillo, Daniela Maria

The European respiratory journal

2022 Volume 59, Issue 3

MeSH term(s)	Humans ; Interferon-gamma Release Tests ; Latent Tuberculosis/diagnosis ; Mycobacterium tuberculosis ; Tuberculin Test ; Tuberculosis/diagnosis ; Tuberculosis/microbiology
Language	English
Publishing date	2022-03-24
Publishing country	England
Document type	Letter ; Research Support, Non-U.S. Gov't
ZDB-ID	639359-7
ISSN	1399-3003 ; 0903-1936
ISSN (online)	1399-3003
ISSN	0903-1936
DOI	10.1183/13993003.02563-2021
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