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1. Satisfaction with antiepileptic drugs in children and adolescents with newly diagnosed and chronic epilepsy

Author

Beghi, E, Messina, P, Pupillo, E, Crichiutti, G, Baglietto, Mg, Veggiotti, P, Zamponi, N, Casellato, S, Margari, L, Cianchetti, C, Collaborators: Giussani G, TASCA Study G. r. o. u. p., Lanzarotti, C, Mattana, F, Assalone, C, Vari, Ms, Prato, G, Brustia, F, Lunghi, S, Olivotto, S, Cesaroni, E, Cappanera, S, Simula, D, Chillotti, I, Pisano, T, Pruna, D, Lucarelli, E, Bonanni, P, Micoli, B, Ferrari, Ar, Valvo, G, Parmeggiani, A, Tedde, Mr, Conti, S, Tortorella, G, Briguglio, M, Coppola, G, D'Aniello, A, Capovilla, G, Beccaria, F, Cagdas, S, Besana, D, Rasmini, P, Caldognetto, M, Martini, A, Romeo, A, Viri, M, Lodi, M, Gobbi, G, Boni, A, Germano, M, Tiberti, A, Battaglia, S, Micheli, R, Galli, J, Capizzi, Giorgio, Pieri, I., E. Beghi, P. Messina, E. Pupillo, G. Crichiutti, M.G. Baglietto, P. Veggiotti, N. Zamponi, S. Casellato, L. Margari, C. Cianchetti, the TASCA study group [.., A. Parmeggiani, and ]

Subjects
Male, Adverse event, medicine.medical_specialty, Pediatrics, Adolescent, Disease, Newly diagnosed, Epilepsy, antiepileptic drug, Quality of life, Humans, Medicine, Prospective Studies, Child, Psychiatry, Adverse effect, business.industry, Incidence (epidemiology), Age Factors, Adverse events, Drug acceptability, quality of life, medicine.disease, Chronic epilepsy, Adverse events, Quality of life, Drug acceptability, childhood and adolescence, Treatment Outcome, Neurology, Patient Satisfaction, Child, Preschool, Chronic Disease, epilepsy, Anticonvulsants, Female, Observational study, Neurology (clinical), business, Follow-Up Studies
Abstract

PURPOSE: To assess incidence, indicators and outcome of satisfaction with antiepileptic drugs in children. METHODS: Multicenter, observational, open, prospective survey of children and adolescents with epilepsy with three-month follow-up. Included were patients aged 3-17 years with newly diagnosed ("new diagnosis") or chronic epilepsy ("old diagnosis") requiring treatment start or change. Satisfaction was assessed with the Hedonic Visual Scale or direct questions, depending on patient's age. Quality of life of adolescents (QOLIE-48) and of caregivers (SF-36) and predictors of (dis)satisfaction were also assessed. RESULTS: 293 patients completed the study. Most had generalized idiopathic epilepsy, and a disease lasting

Published
2012
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2. Endovascular Treatment for Acute Ischemic Stroke

Author

Ciccone, A, Valvassori, L, Nichelatti, M, Sgoifo, A, Ponzio, M, Sterzi, R, Boccardi, E, SYNTHESIS Expansion Investigators: Gatti, A, Guccione, A, Motto, C, Santilli, I, Tortorella, R, Ferrante, E, Imbesi, F, Marazzi, R, Jann, S, Protti, A, Rizzone, M, Tiraboschi, P, Pero, G, Quilici, L, Piano, M, Zini, A, Casoni, F, Cavazzuti, M, Falzone, F, Nichelli, P, Vallone, S, Carpeggiani, P, Menetti, F, Guidotti, M, Checcarelli, N, Muscia, F, Martegani, A, Torgano, G, Mandelli, C, Zecca, B, Baron, P, Bersano, A, Branca, V, Isalberti, M, Papa, R, Paolucci, A, Magoni, M, Costa, A, Gamba, M, Gasparotti, R, Federico, F, Petruzzellis, M, Tartaglione, B, Mezzapesa, D, Chiumarulo, L, De Blasi, R, Agostoni, E, Botto, E, Longoni, M, Ballarini, V, Reganati, P, Malfatto, L, Rizzi, D, Serrati, C, Balestrino, M, Gandolfo, C, Castellan, L, Mavilio, N, Allegretti, L, Delodovici, Ml, Carimati, F, Verrengia, Ep, Bono, G, Perlasca, F, Craparo, G, Giorgianni, A, Azzini, C, De Vito, A, Tola, M, Saletti, A, Pozzessere, C, Corsi, F, Scifoni, G, Anticoli, S, Pezzella, Fr, Cotroneo, E, Gigli, R, Nencini, P, Palumbo, V, Pantoni, L, Inzitari, D, Mangiafico, S, Chinaglia, M, Russo, M, L'Erario, R, Amistà, P, Malferrari, G, Nucera, A, Zedde, Ml, Dallari, A, Deberti, G, Falaschi, F, Martignoni, A, Zappoli, F, Marcheselli, S, Stival, B, Presbitero, P, Rossi, Ml, Belli, G, Paciaroni, M, Caso, V, Agnelli, Gc, Hamam, M, Bovi, P, Piovan, Enrico, Sessa, M, Scomazzoni, F, Arnaboldi, M, Tancredi, L, Peroni, R, Censori, B, Poloni, M, Lunghi, S, Bonaldi, G, Donati, E, Magni, E, Pavia, M, Cobelli, M, Bottacchi, E, Corso, G, Tosi, P, Cordera, S, Di Giovanni, M, Giardini, G, Meloni, T, Cristoferi, M, Natrella, M, Ruiz, L, Dell'Acqua, Ml, Rolandi, G, Gallesio, I, Sandercock, P, Candelise, L, del Zoppo, G, Ciceri, E, Doneda, P, Daolio, M, Caputo, D, del Zotto, E, Cantisani, T., Ciccone, A, Valvassori, L, Nichelatti, M, Sgoifo, M, Ponzio, M, Sterzi, R, Boccardi, E, and Comi, Giancarlo

Subjects
Adult, Male, OCCLUSION, Psychoanalysis, RECANALIZATION, Neuroimaging, Article, law.invention, Brain Ischemia, TISSUE-PLASMINOGEN-ACTIVATOR, Randomized controlled trial, Fibrinolytic Agents, law, Case fatality rate, medicine, Humans, Single-Blind Method, PROUROKINASE, cardiovascular diseases, Adverse effect, Infusions, Intravenous, Stroke, Aged, Cerebral Hemorrhage, Thrombectomy, business.industry, Standard treatment, Endovascular Procedures, TISSUE-PLASMINOGEN-ACTIVATOR, CEREBRAL-ARTERY STROKE, RANDOMIZED-TRIAL, INTRAARTERIAL THROMBOLYSIS, INTRAVENOUS THROMBOLYSIS, OCCLUSION, REVASCULARIZATION, RECANALIZATION, PROUROKINASE, THROMBECTOMY, Atrial fibrillation, General Medicine, Odds ratio, Middle Aged, medicine.disease, INTRAARTERIAL THROMBOLYSIS, Combined Modality Therapy, RANDOMIZED-TRIAL, Cerebral Angiography, Treatment Outcome, Anesthesia, Tissue Plasminogen Activator, Acute Disease, REVASCULARIZATION, Female, INTRAVENOUS THROMBOLYSIS, CEREBRAL-ARTERY STROKE, business, Fibrinolytic agent
Abstract

In patients with ischemic stroke, endovascular treatment results in a higher rate of recanalization of the affected cerebral artery than systemic intravenous thrombolytic therapy. However, comparison of the clinical efficacy of the two approaches is needed.We randomly assigned 362 patients with acute ischemic stroke, within 4.5 hours after onset, to endovascular therapy (intraarterial thrombolysis with recombinant tissue plasminogen activator [t-PA], mechanical clot disruption or retrieval, or a combination of these approaches) or intravenous t-PA. Treatments were to be given as soon as possible after randomization. The primary outcome was survival free of disability (defined as a modified Rankin score of 0 or 1 on a scale of 0 to 6, with 0 indicating no symptoms, 1 no clinically significant disability despite symptoms, and 6 death) at 3 months.A total of 181 patients were assigned to receive endovascular therapy, and 181 intravenous t-PA. The median time from stroke onset to the start of treatment was 3.75 hours for endovascular therapy and 2.75 hours for intravenous t-PA (P0.001). At 3 months, 55 patients in the endovascular-therapy group (30.4%) and 63 in the intravenous t-PA group (34.8%) were alive without disability (odds ratio adjusted for age, sex, stroke severity, and atrial fibrillation status at baseline, 0.71; 95% confidence interval, 0.44 to 1.14; P=0.16). Fatal or nonfatal symptomatic intracranial hemorrhage within 7 days occurred in 6% of the patients in each group, and there were no significant differences between groups in the rates of other serious adverse events or the case fatality rate.The results of this trial in patients with acute ischemic stroke indicate that endovascular therapy is not superior to standard treatment with intravenous t-PA. (Funded by the Italian Medicines Agency, ClinicalTrials.gov number, NCT00640367.).

Published
2013

3. Satisfaction with antiepileptic drugs in children and adolescents with newlydiagnosed and chronic epilepsy

Author

Beghi, E, Messina, P, Pupillo, E, Crichiutti, G, Baglietto, Mg, Veggiotti, P, Zamponi, N, Casellato, S, Margari, L, Cianchetti, C, Collaborators: Giussani G, TASCA Study G. r. o. u. p., Lanzarotti, C, Mattana, F, Assalone, C, Vari, Ms, Prato, G, Brustia, F, Lunghi, S, Olivotto, S, Cesaroni, E, Cappanera, S, Simula, D, Chillotti, I, Pisano, T, Pruna, D, Lucarelli, E, Bonanni, P, Micoli, B, Ferrari, Ar, Valvo, G, Parmeggiani, A, Tedde, Mr, Conti, S, Tortorella, Gaetano, Briguglio, Marilena, Coppola, G, D'Aniello, A, Capovilla, G, Beccaria, F, Cagdas, S, Besana, D, Rasmini, P, Caldognetto, M, Martini, A, Romeo, A, Viri, M, Lodi, M, Gobbi, G, Boni, A, Germano, M, Tiberti, A, Battaglia, S, Micheli, R, Galli, J, Capizzi, G, and Pieri, I.

Published
2012

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