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  1. Article ; Online: A multifaceted approach to reveal the very‐fine root's response of Fagus sylvatica seedlings to different drought intensities

    Domingo, Guido / Vannini, Candida / Marsoni, Milena / Costantini, Elena / Bracale, Marcella / Di Iorio, Antonio

    Physiologia Plantarum. 2023 , v. 175, no. 3 p.e13934-

    2023  

    Abstract: How temperate trees respond to drier summers strongly depends on the drought susceptibility and the starch reserve of the very‐fine roots (<0.5 mm in diameter). We performed morphological, physiological, chemical, and proteomic analyses on very‐fine ... ...

    Abstract How temperate trees respond to drier summers strongly depends on the drought susceptibility and the starch reserve of the very‐fine roots (<0.5 mm in diameter). We performed morphological, physiological, chemical, and proteomic analyses on very‐fine roots of Fagus sylvatica seedlings grown under moderate‐ and severe drought conditions. Moreover, to reveal the role of the starch reserves, a girdling approach was adopted to interrupt the flux of photosynthates toward the downstream sinks. Results show a seasonal sigmoidal growth pattern without evident mortality under moderate drought. After the severe‐drought period, intact plants showed lower starch concentration and higher growth than those subjected to moderate drought, highlighting that very‐fine roots rely on their starch reserves to resume growth. This behavior caused them to die with the onset of autumn, which was not observed under moderate drought. These findings indicated that extreme dry soil conditions are needed for significant root death in beech seedlings and that mortality mechanisms are defined within individual compartments. The girdling treatment showed that the physiological responses of very‐fine roots to severe drought stress are critically related to the altered load or the reduced transport velocity of the phloem and that the changes in starch allocation critically alter the distribution of biomass. Proteomic evidence revealed that the phloem flux‐dependent response was characterized by the decrease of carbon enzymes and the establishment of mechanisms to avoid the reduction of the osmotic potential. The response independent from the aboveground mainly involved the alteration of primary metabolic processes and cell wall‐related enzymes.
    Keywords Fagus sylvatica ; autumn ; biomass ; carbon ; death ; drought ; mortality ; osmotic pressure ; phloem ; photosynthates ; proteomics ; soil ; starch ; water stress
    Language English
    Dates of publication 2023-05
    Publishing place Blackwell Publishing Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 2020837-6
    ISSN 1399-3054 ; 0031-9317
    ISSN (online) 1399-3054
    ISSN 0031-9317
    DOI 10.1111/ppl.13934
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: COVID-19: dealing with ventilator shortage.

    Santini, Alessandro / Messina, Antonio / Costantini, Elena / Protti, Alessandro / Cecconi, Maurizio

    Current opinion in critical care

    2022  Volume 28, Issue 6, Page(s) 652–659

    Abstract: Purpose of review: To describe different strategies adopted during coronavirus disease 2019 pandemic to cope with the shortage of mechanical ventilators.: Recent findings: Short-term interventions aimed to increase ventilator supply and decrease ... ...

    Abstract Purpose of review: To describe different strategies adopted during coronavirus disease 2019 pandemic to cope with the shortage of mechanical ventilators.
    Recent findings: Short-term interventions aimed to increase ventilator supply and decrease demand. They included: redistributing and centralizing patients, repurposing operating rooms into intensive care units (ICUs) and boosting ventilator production and using stocks and back-ups; support by the critical care outreach team to optimize treatment of patients in the ward and permit early discharge from the ICU, ethical allocation of mechanical ventilators to patients who could benefit more from intensive treatment and short term ICU trials for selected patients with uncertain prognosis, respectively. Long-term strategies included education and training of non-ICU physicians and nurses to the care of critically-ill patients and measures to decrease viral spread among the population and the progression from mild to severe disease.
    Summary: The experience and evidence gained during the current pandemic is of paramount importance for physicians and law-makers to plan in advance an appropriate response to any future similar crisis. Intensive care unit, hospital, national and international policies can all be improved to build systems capable of treating an unexpectedly large number of patients, while keeping a high standard of safety.
    MeSH term(s) Humans ; COVID-19/therapy ; Ventilators, Mechanical ; Pandemics ; Intensive Care Units ; Critical Care
    Language English
    Publishing date 2022-10-13
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1235629-3
    ISSN 1531-7072 ; 1070-5295
    ISSN (online) 1531-7072
    ISSN 1070-5295
    DOI 10.1097/MCC.0000000000001000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A multifaceted approach to reveal the very-fine root's response of Fagus sylvatica seedlings to different drought intensities.

    Domingo, Guido / Vannini, Candida / Marsoni, Milena / Costantini, Elena / Bracale, Marcella / Di Iorio, Antonino

    Physiologia plantarum

    2023  Volume 175, Issue 3, Page(s) e13934

    Abstract: How temperate trees respond to drier summers strongly depends on the drought susceptibility and the starch reserve of the very-fine roots (<0.5 mm in diameter). We performed morphological, physiological, chemical, and proteomic analyses on very-fine ... ...

    Abstract How temperate trees respond to drier summers strongly depends on the drought susceptibility and the starch reserve of the very-fine roots (<0.5 mm in diameter). We performed morphological, physiological, chemical, and proteomic analyses on very-fine roots of Fagus sylvatica seedlings grown under moderate- and severe drought conditions. Moreover, to reveal the role of the starch reserves, a girdling approach was adopted to interrupt the flux of photosynthates toward the downstream sinks. Results show a seasonal sigmoidal growth pattern without evident mortality under moderate drought. After the severe-drought period, intact plants showed lower starch concentration and higher growth than those subjected to moderate drought, highlighting that very-fine roots rely on their starch reserves to resume growth. This behavior caused them to die with the onset of autumn, which was not observed under moderate drought. These findings indicated that extreme dry soil conditions are needed for significant root death in beech seedlings and that mortality mechanisms are defined within individual compartments. The girdling treatment showed that the physiological responses of very-fine roots to severe drought stress are critically related to the altered load or the reduced transport velocity of the phloem and that the changes in starch allocation critically alter the distribution of biomass. Proteomic evidence revealed that the phloem flux-dependent response was characterized by the decrease of carbon enzymes and the establishment of mechanisms to avoid the reduction of the osmotic potential. The response independent from the aboveground mainly involved the alteration of primary metabolic processes and cell wall-related enzymes.
    MeSH term(s) Seedlings ; Fagus/metabolism ; Droughts ; Plant Roots/metabolism ; Proteomics ; Trees/physiology ; Starch/metabolism
    Chemical Substances Starch (9005-25-8)
    Language English
    Publishing date 2023-05-12
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 2020837-6
    ISSN 1399-3054 ; 0031-9317
    ISSN (online) 1399-3054
    ISSN 0031-9317
    DOI 10.1111/ppl.13934
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Surviving Capnocytophaga Canimorsus Septic Shock: Intertwining a Challenging Diagnosis with Prompt Treatment.

    Nisi, Fulvio / Dipasquale, Andrea / Costantini, Elena / Giustiniano, Enrico / Ripani, Umberto / Cecconi, Maurizio

    Diagnostics (Basel, Switzerland)

    2022  Volume 12, Issue 2

    Abstract: Capnocytophaga ... ...

    Abstract Capnocytophaga canimorsus
    Language English
    Publishing date 2022-01-20
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics12020260
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience.

    Marziali, Valentina / Mangiameli, Giuseppe / Crepaldi, Alessandro / Piccioni, Federico / Costantini, Elena / Citterio, Enrico / Borbone, Alessandro / Cariboni, Umberto

    Frontiers in surgery

    2023  Volume 10, Page(s) 1238462

    Abstract: For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. ... ...

    Abstract For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery. In this article, we share our experience in performing right tracheal sleeve pneumonectomy with veno-venous extracorporeal membrane oxygenation (VV-ECMO) in three cases by anterior right thoracotomy, reporting our tips and tricks.
    Language English
    Publishing date 2023-08-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1238462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Frontal Lobe Status Epilepticus Related to CAR T-Cell Therapy Responsive to Anakinra.

    Pensato, Umberto / de Philippis, Chiara / Mannina, Daniele / Taurino, Daniela / Sarina, Barbara / Mariotti, Jacopo / Villa, Federico / Costantini, Elena / Marcheselli, Simona / Bramanti, Stefania

    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques

    2024  , Page(s) 1–3

    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 197622-9
    ISSN 0317-1671
    ISSN 0317-1671
    DOI 10.1017/cjn.2024.7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Effect of decreasing PEEP on hyperinflation and collapse in COVID-19: A computed tomography study.

    Santini, Alessandro / Protti, Alessandro / Pennati, Francesca / Dalla Corte, Francesca / Martinetti, Nicolò / Pugliese, Luca / Picardo, Giorgio / Chiurazzi, Chiara / Ferrari, Michele / Costantini, Elena / Aliverti, Andrea / Cecconi, Maurizio

    Acta anaesthesiologica Scandinavica

    2024  Volume 68, Issue 5, Page(s) 626–634

    Abstract: Background: High positive end-expiratory pressure (PEEP>10 cmH: Methods: Twenty mechanically ventilated patients with COVID-19 underwent a lung computed tomography (CT) at PEEP of 15 and 10 cmH: Results: On average, the ratio of arterial tension ... ...

    Abstract Background: High positive end-expiratory pressure (PEEP>10 cmH
    Methods: Twenty mechanically ventilated patients with COVID-19 underwent a lung computed tomography (CT) at PEEP of 15 and 10 cmH
    Results: On average, the ratio of arterial tension to inspiratory fraction of oxygen (PaO
    Conclusion: In 20 patients with COVID-19 the net response to decreasing PEEP, as assessed with lung CT, was variable. In approximately half of them it was positive (and possibly beneficial), with a decrease in hyperinflation larger than the increase in collapse.
    MeSH term(s) Humans ; Lung Compliance/physiology ; Respiratory Distress Syndrome ; COVID-19/therapy ; Lung/diagnostic imaging ; Positive-Pressure Respiration/methods ; Tomography, X-Ray Computed ; Shock
    Language English
    Publishing date 2024-02-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 80002-8
    ISSN 1399-6576 ; 0001-5172
    ISSN (online) 1399-6576
    ISSN 0001-5172
    DOI 10.1111/aas.14401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Health related quality of life, physical function, and cognitive performance in mechanically ventilated COVID-19 patients: A long term follow-up study.

    Carenzo, Luca / Zini, Leonardo / Mercalli, Cesare / Stomeo, Niccolò / Milani, Angelo / Amato, Katia / Gatti, Roberto / Costantini, Elena / Aceto, Romina / Protti, Alessandro / Cecconi, Maurizio

    Journal of critical care

    2024  Volume 82, Page(s) 154773

    Abstract: Background: Survivors of severe COVID-19 related respiratory failure may experience durable functional impairments. We aimed at investigating health-related quality of life (HR-QoL), physical functioning, fatigue, and cognitive outcomes in COVID-19 ... ...

    Abstract Background: Survivors of severe COVID-19 related respiratory failure may experience durable functional impairments. We aimed at investigating health-related quality of life (HR-QoL), physical functioning, fatigue, and cognitive outcomes in COVID-19 patients who received invasive mechanical ventilation (IMV).
    Methods: Case-series, prospective, observational cohort study at 18 months from hospital discharge. Patients referring to the Intensive Care Unit (ICU) of Humanitas Research Hospital (Milan, Italy) were recruited if they needed IMV due to COVID-19 related respiratory failure. After 18 months, these patients underwent the 6-min walking test (6MWT), the Italian version of the 5-level EQ-5D questionnaire (EQ-5D-5L), the Functional Assessment of Chronic Illness Therapy - Fatigue questionnaire (FACIT-F), the Trail Making Test-B (TMT-B) and the Montreal Cognitive Assessment-BLIND test (MoCA-BLIND).
    Results: 105 patients were studied. The population's age was 60 ± 10 years on average, with a median Frailty Scale of 2 (Hodgson et al., 2017; Carenzo et al., 2021a [2,3]). EQ-VAS was 80 [70-90] out of 100, walked distance was 406 [331-465] meters, corresponding to about 74 ± 19,1% of the predicted value. FACIT-F score was 43 [36-49] out of 52, and MoCa-BLIND score was 19 (DeSalvo et al., 2006; von Elm et al., 2008; Herdman et al., 2011; Scalone et al., 2015 [16-20]) out of 22. The median TMT-B time was 90 [62-120] seconds. We found a possible age and gender specific effect on HR-QoL and fatigue.
    Conclusions: After 18 months from ICU discharge, survivors of severe COVID-19 respiratory failure experience a moderate reduction in HR-QoL, and a severe reduction in physical functioning. Fatigue prevalence is higher in younger patients and in females. Finally, cognitive impairment was present at a low frequency.
    Language English
    Publishing date 2024-03-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2024.154773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Pressure response to fluid challenge administration in hypotensive surgical patients: a post-hoc pharmacodynamic analysis of five datasets.

    Messina, Antonio / Colombo, Davide / Lionetti, Giulia / Calabrò, Lorenzo / Negri, Katerina / Robba, Chiara / Cammarota, Gianmaria / Costantini, Elena / Cecconi, Maurizio

    Journal of clinical monitoring and computing

    2022  Volume 37, Issue 2, Page(s) 449–459

    Abstract: In this study we evaluated the effect of fluid challenge (FC) administration in elective surgical patients with low or normal blood pressure. Secondarily, we appraised the pharmacodynamic effect of FC in normotensive and hypotensive patients. We assessed ...

    Abstract In this study we evaluated the effect of fluid challenge (FC) administration in elective surgical patients with low or normal blood pressure. Secondarily, we appraised the pharmacodynamic effect of FC in normotensive and hypotensive patients. We assessed five merged datasets of patients with a baseline mean arterial pressure (MAP) above or below 65 mmHg and assessed the changes of systolic, diastolic, mean and dicrotic arterial pressures, dynamic indexes of fluid responsiveness and arterial elastance over a 10-min infusion. The hemodynamic effect was assessed by considering the net area under the curve (AUC), the maximal percentage difference from baseline (d
    MeSH term(s) Humans ; Fluid Therapy/methods ; Arterial Pressure/physiology ; Blood Pressure/physiology ; Hypotension ; Hemodynamics ; Stroke Volume/physiology
    Language English
    Publishing date 2022-10-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1418733-4
    ISSN 1573-2614 ; 1387-1307 ; 0748-1977
    ISSN (online) 1573-2614
    ISSN 1387-1307 ; 0748-1977
    DOI 10.1007/s10877-022-00918-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Kinetics of the Cell Cycle Arrest Biomarkers (TIMP2 and IGFBP7) for the Diagnosis of Acute Kidney Injury in Critically Ill COVID-19 Patients.

    Greco, Massimiliano / De Rosa, Silvia / Boehm, Fabian / Spano, Sofia / Aceto, Romina / Voza, Antonio / Reggiani, Francesco / Calatroni, Marta / Castellani, Gianluca / Costantini, Elena / Villa, Gianluca / Cecconi, Maurizio

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 2

    Abstract: Background: Acute kidney injury (AKI) is highly prevalent in critical COVID-19 patients. The diagnosis and staging of AKI are based on serum creatinine (sCr) and urinary output criteria, with limitations in the functional markers. New cell-cycle arrest ... ...

    Abstract Background: Acute kidney injury (AKI) is highly prevalent in critical COVID-19 patients. The diagnosis and staging of AKI are based on serum creatinine (sCr) and urinary output criteria, with limitations in the functional markers. New cell-cycle arrest biomarkers [TIMP2]*[IGFBP7] have been proposed for early detection of AKI, but their role in critically ill COVID-19 patients is poorly understood.
    Methods: We conducted an observational study to assess the performance of [TIMP2]*[IGFBP7] for the detection of AKI in critical COVID-19 patients admitted to our intensive care unit (ICU). We sampled urinary [TIMP2]*[IGFBP7] levels at ICU admission, 12 h, 24 h, and 48 h, and compared the results to the development of AKI, as well as baseline and laboratory data.
    Results: Forty-one patients were enrolled. The median age was 66 years [57-72] and most were males (85%). Thirteen patients (31.7%) developed no/mild stage AKI, 19 patients (46.3%) moderate AKI, and nine patients (22.0%) severe AKI. The ICU mortality was 29.3%. sCr levels in the Emergency Department or at ICU admission were not significantly different according to AKI stage. [TIMP-2]*[IGFBP-7] urinary levels were elevated in severe AKI at 12 h after ICU admission, but not at ICU admission or 24 h or 48 h after ICU admission.
    Conclusion: Urinary biomarkers [TIMP-2]*[IGFBP-7] were generally increased in this population with a high prevalence of AKI, and were higher in patients with severe AKI measured at 12 h from ICU admission. Further studies are needed to evaluate the best timing of these biomarkers in this population.
    Language English
    Publishing date 2023-01-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13020317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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