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  1. Article ; Online: A complete overview of REEP1: old and new insights on its role in hereditary spastic paraplegia and neurodegeneration.

    Guglielmi, Alessio

    Reviews in the neurosciences

    2020  Volume 31, Issue 4, Page(s) 351–362

    Abstract: At the end of 19th century, Adolf von Strümpell and Sigmund Freud independently described the symptoms of a new pathology now known as hereditary spastic paraplegia (HSP). HSP is part of the group of genetic neurodegenerative diseases usually associated ... ...

    Abstract At the end of 19th century, Adolf von Strümpell and Sigmund Freud independently described the symptoms of a new pathology now known as hereditary spastic paraplegia (HSP). HSP is part of the group of genetic neurodegenerative diseases usually associated with slow progressive pyramidal syndrome, spasticity, weakness of the lower limbs, and distal-end degeneration of motor neuron long axons. Patients are typically characterized by gait symptoms (with or without other neurological disorders), which can appear both in young and adult ages depending on the different HSP forms. The disease prevalence is at 1.3-9.6 in 100 000 individuals in different areas of the world, making HSP part of the group of rare neurodegenerative diseases. Thus far, there are no specific clinical and paraclinical tests, and DNA analysis is still the only strategy to obtain a certain diagnosis. For these reasons, it is mandatory to extend the knowledge on genetic causes, pathology mechanism, and disease progression to give clinicians more tools to obtain early diagnosis, better therapeutic strategies, and examination tests. This review gives an overview of HSP pathologies and general insights to a specific HSP subtype called spastic paraplegia 31 (SPG31), which rises after mutation of REEP1 gene. In fact, recent findings discovered an interesting endoplasmic reticulum antistress function of REEP1 and a role of this protein in preventing τ accumulation in animal models. For this reason, this work tries to elucidate the main aspects of REEP1, which are described in the literature, to better understand its role in SPG31 HSP and other pathologies.
    MeSH term(s) Animals ; Axons/metabolism ; Endoplasmic Reticulum/metabolism ; Humans ; Membrane Transport Proteins/genetics ; Membrane Transport Proteins/metabolism ; Mutation/genetics ; Spastic Paraplegia, Hereditary/genetics ; Spastic Paraplegia, Hereditary/metabolism ; Spastic Paraplegia, Hereditary/pathology
    Chemical Substances Membrane Transport Proteins ; REEP1 protein, human
    Language English
    Publishing date 2020-03-18
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 639035-3
    ISSN 2191-0200 ; 0334-1763
    ISSN (online) 2191-0200
    ISSN 0334-1763
    DOI 10.1515/revneuro-2019-0083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Clustering blood donors via mixtures of product partition models with covariates.

    Argiento, Raffaele / Corradin, Riccardo / Guglielmi, Alessandra / Lanzarone, Ettore

    Biometrics

    2024  Volume 80, Issue 1

    Abstract: Motivated by the problem of accurately predicting gap times between successive blood donations, we present here a general class of Bayesian nonparametric models for clustering. These models allow for the prediction of new recurrences, accommodating ... ...

    Abstract Motivated by the problem of accurately predicting gap times between successive blood donations, we present here a general class of Bayesian nonparametric models for clustering. These models allow for the prediction of new recurrences, accommodating covariate information that describes the personal characteristics of the sample individuals. We introduce a prior for the random partition of the sample individuals, which encourages two individuals to be co-clustered if they have similar covariate values. Our prior generalizes product partition models with covariates (PPMx) models in the literature, which are defined in terms of cohesion and similarity functions. We assume cohesion functions that yield mixtures of PPMx models, while our similarity functions represent the denseness of a cluster. We show that including covariate information in the prior specification improves the posterior predictive performance and helps interpret the estimated clusters in terms of covariates in the blood donation application.
    MeSH term(s) Humans ; Blood Donors ; Bayes Theorem ; Cluster Analysis
    Language English
    Publishing date 2024-01-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 213543-7
    ISSN 1541-0420 ; 0099-4987 ; 0006-341X
    ISSN (online) 1541-0420
    ISSN 0099-4987 ; 0006-341X
    DOI 10.1093/biomtc/ujad021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Dramatic Response to Second-Line Nivolumab and Ipilimumab in BRAF-V600-Mutated Metastatic Melanoma.

    Fedele, Dahlia / Moroso, Stefano / Turoldo, Angelo / Bazzocchi, Gabriele / Conforti, Claudio / Zalaudek, Iris / Guglielmi, Alessandra

    Case reports in oncology

    2024  Volume 17, Issue 1, Page(s) 161–168

    Abstract: Introduction: Current treatment options for BRAF V600-mutated unresectable stage III/IV melanoma include anti-PD-1 monotherapy or combination with anti-CTLA-4 or anti-LAG-3 agents, BRAF/MEK inhibitors, and clinical trials. The strategy of combination ... ...

    Abstract Introduction: Current treatment options for BRAF V600-mutated unresectable stage III/IV melanoma include anti-PD-1 monotherapy or combination with anti-CTLA-4 or anti-LAG-3 agents, BRAF/MEK inhibitors, and clinical trials. The strategy of combination immunotherapy with nivolumab and ipilimumab has shown promising results, achieving higher response rates, longer duration of response, improved progression-free survival, and enhanced overall survival. The optimal sequence of treatments remains a topic of interest, with preliminary data suggesting a greater effectiveness of immunotherapy as the first-line approach. Preclinical trials have indicated that the efficacy of this sequence may be due to the modification of the immune environment by BRAF kinase inhibitors, leading to immune escape by tumor cells and resistance to immune checkpoint inhibitors.
    Case presentation: We present a case of a 72-year-old woman with high-burden metastatic melanoma who failed to respond to prior targeted therapy with BRAF/MEK inhibitors and exhibited a successful response to the second-line treatment with ipilimumab and nivolumab. We discuss the potential reasons for this positive outcome contributing to the current debate concerning treatment sequences, resistance mechanisms, and biomarkers predictive of response to immune checkpoint inhibitors in metastatic melanoma.
    Conclusion: We believe that in few years the therapeutic algorithms in BRAF V600-mutated unresectable stage III/IV melanoma will be more complex since they will define clearly the correct therapeutic sequences with the inclusion of new immune checkpoint inhibitor drugs and multiple predictive biomarkers of response to better select patients eligible to immunotherapy.
    Language English
    Publishing date 2024-01-29
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2458961-5
    ISSN 1662-6575
    ISSN 1662-6575
    DOI 10.1159/000535902
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acute traumatic brain injury in frail patients: the next pandemic.

    Baggiani, Marta / Guglielmi, Angelo / Citerio, Giuseppe

    Current opinion in critical care

    2022  Volume 28, Issue 2, Page(s) 166–175

    Abstract: Purpose of review: To highlight recent findings on the evaluation and impact of frailty in the management of patients with traumatic brain injury (TBI).: Recent findings: Frailty is not a direct natural consequence of aging. Rather, it commonly ... ...

    Abstract Purpose of review: To highlight recent findings on the evaluation and impact of frailty in the management of patients with traumatic brain injury (TBI).
    Recent findings: Frailty is not a direct natural consequence of aging. Rather, it commonly results from the intersection of age-related decline with chronic diseases and conditions. It is associated with adverse outcomes such as institutionalization, falls, and worsening health status. Growing evidence suggests that frailty should be a key consideration both in care planning and in adverse outcome prevention. The prevalence of elderly patients with TBI is increasing, and low-energy trauma (i.e., ground or low-level falls, which are typical in frail patients) is the major cause. Establishing the real incidence of frailty in TBI requires further studies. Failure to detect frailty potentially exposes patients to interventions that may not benefit them, and may even harm them. Moreover, considering patients as 'nonfrail' purely on the basis of their age is unacceptable. The future challenge is to shift to a new clinical paradigm characterized by more appropriate, goal-directed care of frail patients.
    Summary: The current review highlights the crucial importance of frailty evaluation in TBI, also given the changing epidemiology of this condition. To ensure adequate assessment, prevention and management, both in and outside hospital, there is an urgent need for a valid screening tool and a specific frailty-based and comorbidity-based clinical approach.
    MeSH term(s) Aged ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/therapy ; Comorbidity ; Frail Elderly ; Frailty/epidemiology ; Geriatric Assessment ; Humans ; Pandemics
    Language English
    Publishing date 2022-01-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1235629-3
    ISSN 1531-7072 ; 1070-5295
    ISSN (online) 1531-7072
    ISSN 1070-5295
    DOI 10.1097/MCC.0000000000000915
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book ; Online: Surgical Treatment of Hilar and Intrahepatic Cholangiocarcinoma

    Guglielmi, Alfredo / Iacono, Calogero / Ruzzenente, Andrea

    2008  

    Author's details by Alfredo Guglielmi, Andrea Ruzzenente, Calogero Iacono
    Keywords Abdomen/Clinical medicine ; Gastroenterology ; Surgery
    Language English
    Publisher Springer-Verlag
    Publishing place Milano
    Document type Book ; Online
    HBZ-ID TT050387988
    ISBN 978-88-470-0728-4 ; 978-88-470-0729-1 ; 88-470-0728-3 ; 88-470-0729-1
    DOI 10.1007/978-88-470-0729-1
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  6. Book: Surgical treatment of hilar and intrahepatic cholangiocarcinoma

    Guglielmi, Alfredo / Ruzzenente, Andrea / Iacono, Calogero

    2008  

    Author's details Alfredo Guglielmi ; Andrea Ruzzenente ; Calogero Iacono
    Keywords Cholangiocarcinoma / surgery ; Cholangiocarcinoma / diagnosis ; Surgical Procedures, Operative
    Language English
    Size XIII, 241 S. : Ill., graph. Darst., 235 mm x 155 mm
    Publisher Springer
    Publishing place Milan
    Publishing country Italy
    Document type Book
    HBZ-ID HT015434355
    ISBN 978-88-470-0728-4 ; 88-470-0728-3 ; 9788847007291 ; 8847007291
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: Cerebral flow variation at different intra-aortic balloon settings in cardiogenic shock.

    Colombo, Costanza Natalia Julia / Guglielmi, Angelo / Mojoli, Francesco / Tavazzi, Guido

    European heart journal. Cardiovascular Imaging

    2022  Volume 23, Issue 6, Page(s) e270

    MeSH term(s) Aorta ; Humans ; Intra-Aortic Balloon Pumping ; Myocardial Infarction ; Shock, Cardiogenic/diagnostic imaging ; Shock, Cardiogenic/therapy
    Language English
    Publishing date 2022-03-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2638345-7
    ISSN 2047-2412 ; 2047-2404
    ISSN (online) 2047-2412
    ISSN 2047-2404
    DOI 10.1093/ehjci/jeac054
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  8. Article ; Online: Trends in hospital volume and operative mortality in hepato-biliary surgery in Veneto region, Italy.

    Guglielmi, Alfredo / Tripepi, Marzia / Salmaso, Laura / Fedeli, Ugo / Ruzzenente, Andrea / Saia, Mario

    Updates in surgery

    2023  Volume 75, Issue 7, Page(s) 1949–1959

    Abstract: Hepatobiliary resections are among the most complex and technically challenging surgical procedures. Even though robust evidence showed that complex surgical procedures such as hepatobiliary surgery have better short- and long-term outcomes and lower ... ...

    Abstract Hepatobiliary resections are among the most complex and technically challenging surgical procedures. Even though robust evidence showed that complex surgical procedures such as hepatobiliary surgery have better short- and long-term outcomes and lower mortality rate when performed in high-volume centers, the minimal criteria of centers that can perform hepatobiliary activity are not clearly defined. We conducted a retrospective population study of patients who underwent hepatobiliary surgery for malignant disease in a single Italian administrative region (Veneto) from 2010 to 2021 with the aim to investigate the hospitals annual surgical volume for hepatobiliary malignant diseases and the effect of hospital volume on in-hospital, 30- and 90-day postoperative mortality. The centralization process of hepatobiliary surgery in Veneto is rapidly increasing over the past 10 years (rate of performed in highly specialized centers increased from 62% in 2010 to 78% in 2021) and actually it is really established. The crude and adjusted (for age, sex, Charlson Index) mortality rate after hepatobiliary surgery resulted significantly lower in centers with high-volume activity compared to them with low-volume activity. In the Veneto region, the "Hub and Spoke" model led to a progressive centralization of liver and biliary cancer treatment. High surgical volume has been confirmed to be related to better outcomes in terms of mortality rate after hepatobiliary surgical procedures. Further studies are necessary to clearly define the minimal criteria and associated numerical cutoffs that can help define the characteristics of centers that can perform hepatobiliary activities.
    MeSH term(s) Humans ; Retrospective Studies ; Hospitals ; Biliary Tract Surgical Procedures ; Hospital Mortality ; Biliary Tract Neoplasms/surgery ; Italy/epidemiology ; Hospitals, High-Volume
    Language English
    Publishing date 2023-07-03
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01574-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Focal electroretinogram and microperimetry testing of photoreceptor-retinal pigment epithelium function in intermediate age-related macular degeneration.

    Messenio, Dario / Babbi, Alessandro / Guglielmi, Alessandra / Airaldi, Matteo

    Acta ophthalmologica

    2021  Volume 100, Issue 3, Page(s) 277–284

    Abstract: Purpose: To compare the performance of focal electroretinogram (FERG) and fast mesopic microperimetry in evaluating macular function of intermediate age-related macular degeneration (iAMD) subjects with preserved visual acuity.: Methods: Cross- ... ...

    Abstract Purpose: To compare the performance of focal electroretinogram (FERG) and fast mesopic microperimetry in evaluating macular function of intermediate age-related macular degeneration (iAMD) subjects with preserved visual acuity.
    Methods: Cross-sectional, observational study. Participants with drusen >125 µm and VA ≥80 ETDRS letters and age- and sex-comparable healthy subjects were consecutively enrolled in the study. Three photopic FERG recordings of the central 9° of the macula with luminance modulated stimuli flickering at 42.5 Hz and a fast mesopic microperimetry with a custom pattern of 3 central (CS) and 3 paracentral (pCS) stimuli at 1.2° and 6° from fixation were acquired.
    Results: Overall, 112 eyes of 77 participants (age 73.0 ± 7.1 years, 47 iAMD eyes) were analysed. Mean FERG amplitude, CS and pCS (all p < 0.05) were lower in the iAMD group. A significant association was observed between FERG amplitude and iAMD (OR 9.58, p < 0.001) in multiple logistic regression analysis. Z-scores of FERG were lower than microperimetry in iAMD (p = 0.002) but not for healthy participants. AUC of the ROC curve was greater for FERG than microperimetry (0.895 versus 0.644 and 0.675, both p < 0.05).
    Conclusion: Focal ERG objectively measures a cumulative response originating from the photoreceptor-RPE complex of the central 9° of the macula and demonstrated high accuracy in identifying decreased central macular function in iAMD patients with preserved visual acuity, performing better than fast mesopic microperimetry. Focal ERG should be considered a reliable technique for measuring retinal sensitivity of iAMD patients.
    MeSH term(s) Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Electroretinography ; Humans ; Macular Degeneration/diagnosis ; Retinal Pigment Epithelium ; Tomography, Optical Coherence ; Visual Field Tests
    Language English
    Publishing date 2021-06-29
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2408333-1
    ISSN 1755-3768 ; 1755-375X
    ISSN (online) 1755-3768
    ISSN 1755-375X
    DOI 10.1111/aos.14934
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: A Subatomic Proof System for Decision Trees

    Barrett, Chris / Guglielmi, Alessio

    2021  

    Abstract: We design a proof system for propositional classical logic that integrates two languages for Boolean functions: standard conjunction-disjunction-negation and binary decision trees. We give two reasons to do so. The first is proof-theoretical naturalness: ...

    Abstract We design a proof system for propositional classical logic that integrates two languages for Boolean functions: standard conjunction-disjunction-negation and binary decision trees. We give two reasons to do so. The first is proof-theoretical naturalness: the system consists of all and only the inference rules generated by the single, simple, linear scheme of the recently introduced subatomic logic. Thanks to this regularity, cuts are eliminated via a natural construction. The second reason is that the system generates efficient proofs. Indeed, we show that a certain class of tautologies due to Statman, which cannot have better than exponential cut-free proofs in the sequent calculus, have polynomial cut-free proofs in our system. We achieve this by using the same construction that we use for cut elimination. In summary, by expanding the language of propositional logic, we make its proof theory more regular and generate more proofs, some of which are very efficient. That design is made possible by considering atoms as superpositions of their truth values, which are connected by self-dual, non-commutative connectives. A proof can then be projected via each atom into two proofs, one for each truth value, without a need for cuts. Those projections are semantically natural and are at the heart of the constructions in this paper. To accommodate self-dual non-commutativity, we compose proofs in deep inference.

    Comment: To appear on ACM Transactions on Computational Logic
    Keywords Computer Science - Logic in Computer Science ; Mathematics - Logic
    Subject code 511
    Publishing date 2021-05-04
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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