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  1. Article ; Online: Ex Vivo Uniaxial Tensile Properties of Rat Uterosacral Ligaments.

    Donaldson, Kandace / De Vita, Raffaella

    Annals of biomedical engineering

    2023  Volume 51, Issue 4, Page(s) 702–714

    Abstract: This manuscript presents new experimental methods for testing the ex vivo tensile properties of the uterosacral ligaments (USLs) in rats. The USL specimens ([Formula: see text]) were carefully dissected to preserve their anatomical attachments, and they ... ...

    Abstract This manuscript presents new experimental methods for testing the ex vivo tensile properties of the uterosacral ligaments (USLs) in rats. The USL specimens ([Formula: see text]) were carefully dissected to preserve their anatomical attachments, and they were loaded along their main in vivo loading direction (MD) using a custom-built uniaxial tensile testing device. During loading, strain maps in both the MD and the perpendicular direction (PD) were collected using the digital image correlation technique. The mean (± S.E.M.) maximum load and displacement at the maximum load were [Formula: see text] N and [Formula: see text] mm, respectively. The USLs were found to be highly heterogeneous structures, with some specimens experiencing strains in the MD that were lower than [Formula: see text] and others reaching strains that were up to [Formula: see text] in the intermediate region. At 0.5 kPa stress, a value reached by all the specimens, the mean strain in the MD was [Formula: see text] while at 5 kPa stress, a value achieved only by 9 out of the 21 specimens, the mean strain increased to [Formula: see text]. Under uniaxial loading, the specimens also elongated in the PD, with strains that were one order of magnitude lower than the strains in the MD; at the 0.5 kPa stress, the mean strain in the PD was recorded to be [Formula: see text] and, at the 5 kPa stress, the strain in the PD was [Formula: see text]. The directions of maximum principal strains remained almost unchanged with the increase in stress, indicating that little microstructural re-organization occurred due to uniaxial loading. This study serves as a springboard for future investigations on the supportive function of the USLs in the rat model by offering guidelines on testing methods that capture their complex mechanical behavior.
    MeSH term(s) Female ; Animals ; Rats ; Biomechanical Phenomena ; Stress, Mechanical ; Uterus ; Ligaments
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 185984-5
    ISSN 1573-9686 ; 0191-5649 ; 0090-6964
    ISSN (online) 1573-9686
    ISSN 0191-5649 ; 0090-6964
    DOI 10.1007/s10439-023-03135-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: INVITED DISCUSSION ON: Prepectoral Versus Subpectoral Direct-to-Implant Breast Reconstruction: Evaluation of Patient's Quality of Life and Satisfaction with BREAST-Q.

    Ceravolo, Mario Pelle / de Vita, Roy

    Aesthetic plastic surgery

    2023  Volume 47, Issue 4, Page(s) 1300–1302

    MeSH term(s) Humans ; Female ; Quality of Life ; Patient Satisfaction ; Mammaplasty ; Breast Implantation ; Personal Satisfaction ; Breast Neoplasms/surgery ; Breast Implants ; Retrospective Studies
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-023-03393-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Effect of Menopause on Vaginal Tissue Mechanics: A Brief Review.

    Gimenez, Clara / Alperin, Marianna / De Vita, Raffaella

    Journal of biomechanical engineering

    2023  Volume 146, Issue 6

    Abstract: Often called "the change of life," menopause affects every part of a woman's body. As the sex hormones decrease, the reproductive organs experience the most remarkable changes, with the vagina becoming thinner, drier, and less elastic. Despite the ... ...

    Abstract Often called "the change of life," menopause affects every part of a woman's body. As the sex hormones decrease, the reproductive organs experience the most remarkable changes, with the vagina becoming thinner, drier, and less elastic. Despite the important implications of these changes in genitourinary conditions, there are only a few experimental studies that focus on quantifying the effect of menopause on the mechanical properties of the vagina. These studies are mostly conducted using uniaxial tests on strips of vaginal tissues isolated from rats, rabbits, and sheep and, in only a few cases, from humans. The purpose of this article is to present a systematic review of experimental protocols, methods, and results that are currently published on how menopause alters the mechanical behavior of the vagina. This review will enable new investigators in the biomechanics field to identify important gaps and frame research questions that inform the design of new treatment options for menopausal symptoms.
    MeSH term(s) Humans ; Female ; Rats ; Rabbits ; Animals ; Sheep ; Menopause ; Vagina ; Pelvis ; Biomechanical Phenomena
    Language English
    Publishing date 2023-08-05
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 243094-0
    ISSN 1528-8951 ; 0148-0731
    ISSN (online) 1528-8951
    ISSN 0148-0731
    DOI 10.1115/1.4063101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Special Issue on the Advances in Engineering for Women's Health.

    De Vita, Raffaella / Munson, Jennifer

    Annals of biomedical engineering

    2021  Volume 49, Issue 8, Page(s) 1785–1787

    MeSH term(s) Biomedical Engineering ; Female ; Female Urogenital Diseases ; Genitalia, Female ; Humans ; Women's Health
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 185984-5
    ISSN 1573-9686 ; 0191-5649 ; 0090-6964
    ISSN (online) 1573-9686
    ISSN 0191-5649 ; 0090-6964
    DOI 10.1007/s10439-021-02837-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Extended Clinical Experience With Nipple-Sparing Mastectomy and Prepectoral Polyurethane Implant Positioning (BRAND4P method).

    de Vita, Roy / Villanucci, Amedeo / Buccheri, Ernesto Maria / Pozzi, Marcello

    Clinical breast cancer

    2022  Volume 22, Issue 5, Page(s) e623–e628

    Abstract: Background: Direct-to-implant prepectoral breast reconstruction in the last years demonstrated to be a feasible and advantageous method in selected cases because it respects chest wall musculature integrity and avoids animation deformity. Current ... ...

    Abstract Background: Direct-to-implant prepectoral breast reconstruction in the last years demonstrated to be a feasible and advantageous method in selected cases because it respects chest wall musculature integrity and avoids animation deformity. Current approaches involve implant wrapping with Acellular Dermal Matrix (ADM) or synthetic mesh to guarantee implant coverage and stability and reduce complications. Prepectoral polyurethane implant positioning without further coverage is an alternative breast reconstruction method poor described in literature.
    Patient and methods: A single-institution retrospective analysis was performed on 453 patients, extending our previous preliminary experience, who underwent nipple-sparing mastectomy (NSM) and prepectoral polyurethane implant positioning between December 2017 and June 2021. Follow-up included postoperative complications record and self-reported patient's satisfaction.
    Results: A total of 784 mastectomies were performed in 453 patients. 331 were bilateral procedures (73.1%) and 122 were unilateral (26.9%). Minimum follow-up time was 6 months and maximum was 42 months. No major complications were reported. Contour defects and excessive implant visibility occurred in 82 patients (18.1%) and was successfully managed with autologous fat grafting.
    Conclusion: Nipple-sparing mastectomy with immediate prepectoral polyurethane implant reconstruction without the need for ADM or mesh is a feasible and safe option. Accurate patient selection and respectful mastectomy technique is crucial to achieve optimal outcomes with this approach. Fat grafting is a useful refinement procedure to improve cosmetic results in this setting.
    MeSH term(s) Breast Implantation/methods ; Breast Implants ; Breast Neoplasms/surgery ; Female ; Humans ; Mammaplasty/methods ; Mastectomy/methods ; Nipples/surgery ; Polyurethanes ; Retrospective Studies
    Chemical Substances Polyurethanes
    Language English
    Publishing date 2022-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2106734-X
    ISSN 1938-0666 ; 1526-8209
    ISSN (online) 1938-0666
    ISSN 1526-8209
    DOI 10.1016/j.clbc.2022.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Mechanics of Uterosacral Ligaments: Current Knowledge, Existing Gaps, and Future Directions.

    Donaldson, Kandace / Huntington, Alyssa / De Vita, Raffaella

    Annals of biomedical engineering

    2021  Volume 49, Issue 8, Page(s) 1788–1804

    Abstract: The uterosacral ligaments (USLs) are important anatomical structures that support the uterus and apical vagina within the pelvis. As these structures are over-stretched, become weak, and exhibit laxity, pelvic floor disorders such as pelvic organ ... ...

    Abstract The uterosacral ligaments (USLs) are important anatomical structures that support the uterus and apical vagina within the pelvis. As these structures are over-stretched, become weak, and exhibit laxity, pelvic floor disorders such as pelvic organ prolapse occur. Although several surgical procedures to treat pelvic floor disorders are directed toward the USLs, there is still a lot that is unknown about their function. This manuscript presents a review of the current knowledge on the mechanical properties of the USLs. The anatomy, microstructure, and clinical significance of the USLs are first reviewed. Then, the results of published experimental studies on the in vivo and ex vivo, uniaxial and biaxial tensile tests are compiled. Based on the existing findings, research gaps are identified and future research directions are discussed. The purpose of this exhaustive review is to help new researchers navigate scientific literature on the mechanical properties of the USLs. The use of these structures remains very popular in reconstructive surgeries that restore and augment the support of pelvic organs, especially as synthetic surgical mesh implants continue to be highly controversial.
    MeSH term(s) Animals ; Female ; Humans ; Ligaments/physiopathology ; Ligaments/surgery ; Pelvic Organ Prolapse/physiopathology ; Pelvic Organ Prolapse/surgery ; Surgical Mesh ; Uterus/physiopathology ; Uterus/surgery ; Vagina/physiopathology ; Vagina/surgery
    Language English
    Publishing date 2021-03-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 185984-5
    ISSN 1573-9686 ; 0191-5649 ; 0090-6964
    ISSN (online) 1573-9686
    ISSN 0191-5649 ; 0090-6964
    DOI 10.1007/s10439-021-02755-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Metamaterial Computational Multi-Sensor of Grip-Strength Properties with Point-of-Care Human-Computer Interaction.

    Chen, Yinghua / Li, Tianrun / Wang, Zhemin / Yan, Zhimiao / De Vita, Raffaella / Tan, Ting

    Advanced science (Weinheim, Baden-Wurttemberg, Germany)

    2023  Volume 10, Issue 34, Page(s) e2304091

    Abstract: Grip strength is a biomarker of frailty and an evaluation indicator of brain health, cardiovascular morbidity, and psychological health. Yet, the development of a reliable, interactive, and point-of-care device for comprehensive multi-sensing of hand ... ...

    Abstract Grip strength is a biomarker of frailty and an evaluation indicator of brain health, cardiovascular morbidity, and psychological health. Yet, the development of a reliable, interactive, and point-of-care device for comprehensive multi-sensing of hand grip status is challenging. Here, a relation between soft buckling metamaterial deformations and built piezoelectric voltage signals is uncovered to achieve multiple sensing of maximal grip force, grip speed, grip impulse, and endurance indicators. A metamaterial computational sensor design is established by hyperelastic model that governs the mechanical characterization, machine learning models for computational sensing, and graphical user interface to provide visual cues. A exemplify grip measurement for left and right hands of seven elderly campus workers is conducted. By taking indicators of grip status as input parameters, human-computer interactive games are incorporated into the computational sensor to improve the user compliance with measurement protocols. Two elderly female schizophrenic patients are participated in the real-time interactive point-of-care grip assessment and training for potentially sarcopenia screening. The attractive features of this advanced intelligent metamaterial computational sensing system are crucial to establish a point-of-care biomechanical platform and advancing the human-computer interactive healthcare, ultimately contributing to a global health ecosystem.
    MeSH term(s) Humans ; Female ; Aged ; Hand Strength ; Ecosystem ; Point-of-Care Systems ; Sarcopenia ; Computers
    Language English
    Publishing date 2023-10-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2808093-2
    ISSN 2198-3844 ; 2198-3844
    ISSN (online) 2198-3844
    ISSN 2198-3844
    DOI 10.1002/advs.202304091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Regina Elena Institute (R.E.I.) Protocol for Breast Implant Salvage: Preliminary Results.

    Zoccali, Giovanni / Pozzi, Marcello / Gullo, Pierpaolo / Michelina, Veronica Vietti / Botti, Claudio / De Vita, Roy

    Clinical breast cancer

    2023  Volume 24, Issue 1, Page(s) 65–71

    Abstract: Introduction: implants are the most popular means of restoring the breast mound after mastectomy; the most feared complication is implant infection accounting for 4.8% to 35.4% of cases. Various antibiotic regimens or other surgical revisions to treat ... ...

    Abstract Introduction: implants are the most popular means of restoring the breast mound after mastectomy; the most feared complication is implant infection accounting for 4.8% to 35.4% of cases. Various antibiotic regimens or other surgical revisions to treat implant infections have been reported, but their failure rates are unacceptable. Implant removal is subsequently the most common recourse for managing prosthesis infections. we report preliminary results of infected breast implant salvage using our Regina Elena Institute (REI) protocol.
    Methods: Since June 2021, a prospective single-centre study has been ongoing for patients burdened by implant infection or exposure. All qualifying participants underwent our REI protocol. They receive a temporary smooth implant and 1 week of implant's pocket irrigation with antibiotic solution along with systemic antibiotic and then a new permanent prosthesis positioning.
    Results: Ten of whom completed at least 6 months of follow-up and were eligible for this preliminary analysis. Overall, the REI protocol was applied to 13 breasts. No infections relapsed during the 6-month minimum follow-up intervals; and no early capsular contraction was evident, resulting in good cosmetic outcomes for every treated breast.
    Discussion: The smooth-surfaced implant's sizer helps maintain tissue expansion, preventing skin retraction; and the slightly smaller diameters used (compared with originals) facilitate antibiotic wash distribution. Combining a targeted systemic antibiotic and a topical agent is the best way to optimise infection resolution. This preliminary analysis has clear limitations. A larger population is warranted to increase the level of evidence. Longer follow-up is also advisable to monitor for delayed infection recurrence.
    MeSH term(s) Humans ; Female ; Breast Implants/adverse effects ; Prospective Studies ; Breast Neoplasms/surgery ; Breast Neoplasms/drug therapy ; Mastectomy/adverse effects ; Mammaplasty/methods ; Anti-Bacterial Agents/therapeutic use ; Retrospective Studies
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-09-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2106734-X
    ISSN 1938-0666 ; 1526-8209
    ISSN (online) 1938-0666
    ISSN 1526-8209
    DOI 10.1016/j.clbc.2023.09.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Contractile Properties of Vaginal Tissue.

    Huntington, Alyssa / Donaldson, Kandace / De Vita, Raffaella

    Journal of biomechanical engineering

    2020  Volume 142, Issue 8

    Abstract: The vagina is an important organ of the female reproductive system that has been largely understudied in the field of biomechanics. In recent years, some research has been conducted to evaluate the mechanical properties of the vagina, but much has ... ...

    Abstract The vagina is an important organ of the female reproductive system that has been largely understudied in the field of biomechanics. In recent years, some research has been conducted to evaluate the mechanical properties of the vagina, but much has focused on characterizing the passive mechanical properties. Because vaginal contractions play a central role in sexual function, childbirth, and development and treatment of pelvic floor disorders, the active mechanical properties of the vagina must be also quantified. This review surveys and summarizes published experimental studies on the active properties of the vagina including the differences in such properties determined by anatomic regions and orientations, neural pathways, life events such as pregnancy and menopause, pelvic floor disorders such as prolapse, and surgical mesh treatment. Conflicting experimental findings are presented, illustrating the need for further research on the active properties of the vagina. However, consensus currently exists regarding the negative impact of surgical mesh on vaginal contractility. This review also identifies knowledge gaps and future research opportunities, thus proving a firm foundation for novice and experienced researchers in this emerging area of biomechanics and encouraging more activity on women's sexual and reproductive health research.
    MeSH term(s) Female ; Humans ; Muscle Contraction ; Pelvic Organ Prolapse ; Pregnancy ; Surgical Mesh ; Vagina
    Language English
    Publishing date 2020-03-20
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 243094-0
    ISSN 1528-8951 ; 0148-0731
    ISSN (online) 1528-8951
    ISSN 0148-0731
    DOI 10.1115/1.4046712
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: When is contrast needed for abdominal and pelvic CT?

    Radetic, Mark / DeVita, Robert / Haaga, John

    Cleveland Clinic journal of medicine

    2020  Volume 87, Issue 10, Page(s) 595–598

    MeSH term(s) Abdomen/diagnostic imaging ; Contraindications, Drug ; Contrast Media/therapeutic use ; Humans ; Pelvis/diagnostic imaging ; Risk Assessment ; Tomography, X-Ray Computed/methods
    Chemical Substances Contrast Media
    Keywords covid19
    Language English
    Publishing date 2020-10-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.87a.19093
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