106 results on '"L. Gargano"'
Search Results
2. Applying Artificial Intelligence Techniques to Problems of Incomplete Information: Optimizing Bidding in the Game of Bridge.
- Author
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John Galatti, Sung-Hyuk Cha, Michael L. Gargano, and Charles C. Tappert
- Published
- 2005
3. A Minimal Bidding Application (with Slack Time) Solved by a Genetic Algorithm where Element Costs Are Time Dependent.
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Joseph DeCicco, Michael L. Gargano, and William Edelson
- Published
- 2002
4. An application of seriation to agent development consensus: A genetic algorithm approach.
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Michael L. Gargano, William Edelson, and Joseph DeCicco
- Published
- 2001
- Full Text
- View/download PDF
5. Value sets of graphs edge-weighted with elements of a finite abelian group.
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Edgar G. DuCasse, Michael L. Gargano, and Louis V. Quintas
- Published
- 2010
- Full Text
- View/download PDF
6. PCR78 JAV-Raras: Health-Related Quality of Life (HRQOL) in Adults with Osteogenesis Imperfecta (OI) in Brazil: A Cross-Sectional Study Using EQ-5D
- Author
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FF Mainka, GF Montero, L Gargano, BC Salvador, G Ogata, T Félix, M Nita, and P JAV-Raras Study Group
- Subjects
Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2022
7. HSD110 JAV-Raras: Comparative Analysis of Patient’s Costs According to Clinical and Therapeutic Protocol (PCDT) and Current Clinical Practice for Osteogenesis Imperfecta (OI) in Brazilian Public Healthcare System
- Author
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C Azevedo, JS Souza, L Gargano, BC Salvador, G Ogata, T Félix, ME Nita, and P JAV-Raras Study Group
- Subjects
Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2022
8. PCR112 JAV-Raras: Health-Related Quality of Life (HRQOL) in Children and Adolescents with Osteogenesis Imperfecta (OI) in Brazil: A Cross-Sectional Study Using PEDSQLTM
- Author
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GF Montero, FF Mainka, L Gargano, BC Salvador, G Ogata, T Félix, M Nita, and P JAV-Raras Study Group
- Subjects
Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2022
9. Data mining - a powerful information creating tool.
- Author
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Michael L. Gargano and Bel G. Raggad
- Published
- 1999
- Full Text
- View/download PDF
10. Feasible Encodings for GA Solutions of constrained Minimal Spanning Tree Problems.
- Author
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William Edelson and Michael L. Gargano
- Published
- 2000
11. Efficient Calculation of Compute-Intensive Fitness In Genetic Computations Using A Survival Indicator For Population Members.
- Author
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William Edelson and Michael L. Gargano
- Published
- 1999
12. Epidemiology and outcome research in CKD 5D
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L. Coentrao, C. Ribeiro, C. Santos-Araujo, R. Neto, M. Pestana, W. Kleophas, A. Karaboyas, Y. LI, J. Bommer, R. Pisoni, B. Robinson, F. Port, G. Celik, B. Burcak Annagur, M. Yilmaz, T. Demir, F. Kara, K. Trigka, P. Dousdampanis, N. Vaitsis, S. Aggelakou-Vaitsi, K. Turkmen, I. Guney, F. Turgut, L. Altintepe, H. Z. Tonbul, E. Abdel-Rahman, P. Sclauzero, G. Galli, G. Barbati, M. Carraro, G. O. Panzetta, M. Van Diepen, M. Schroijen, O. Dekkers, F. Dekker, A. Sikole, G. Severova- Andreevska, L. Trajceska, S. Gelev, V. Amitov, S. Pavleska- Kuzmanovska, H. Rayner, R. Vanholder, M. Hecking, B. Jung, M. Leung, F. Huynh, T. Chung, S. Marchuk, M. Kiaii, L. Er, R. Werb, C. Chan-Yan, M. Beaulieu, P. Malindretos, P. Makri, G. Zagkotsis, G. Koutroumbas, G. Loukas, E. Nikolaou, M. Pavlou, E. Gourgoulianni, M. Paparizou, M. Markou, E. Syrgani, C. Syrganis, J. Raimann, L. A. Usvyat, V. Bhalani, N. W. Levin, P. Kotanko, X. Huang, P. Stenvinkel, A. R. Qureshi, U. Riserus, T. Cederholm, P. Barany, O. Heimburger, B. Lindholm, J. J. Carrero, J. H. Chang, J. Y. Sung, J. Y. Jung, H. H. Lee, W. Chung, S. Kim, J. S. Han, K. Y. Na, A. Fragoso, A. Pinho, A. Malho, A. P. Silva, E. Morgado, P. Leao Neves, N. Joki, Y. Tanaka, M. Iwasaki, S. Kubo, T. Hayashi, Y. Takahashi, K. Hirahata, Y. Imamura, H. Hase, C. Castledine, J. Gilg, C. Rogers, Y. Ben-Shlomo, F. Caskey, J. S. Sandhu, G. S. Bajwa, S. Kansal, J. Sandhu, A. Jayanti, M. Nikam, L. Ebah, A. Summers, S. Mitra, J. Agar, A. Perkins, R. Simmonds, A. Tjipto, S. Amet, V. Launay-Vacher, M. Laville, A. Tricotel, C. Frances, B. Stengel, J.-Y. Gauvrit, N. Grenier, G. Reinhardt, O. Clement, N. Janus, L. Rouillon, G. Choukroun, G. Deray, A. Bernasconi, R. Waisman, A. P. Montoya, A. A. Liste, R. Hermes, G. Muguerza, R. Heguilen, E. L. Iliescu, V. Martina, M. A. Rizzo, P. Magenta, L. Lubatti, G. Rombola, M. Gallieni, C. Loirat, H. Mellerio, M. Labeguerie, B. Andriss, E. Savoye, M. Lassale, C. Jacquelinet, C. Alberti, Y. Aggarwal, J. Baharani, S. Tabrizian, S. Ossareh, M. Zebarjadi, P. Azevedo, F. Travassos, I. Frade, M. Almeida, J. Queiros, F. Silva, A. Cabrita, R. Rodrigues, C. Couchoud, J. Kitty, S. Benedicte, C. Fergus, C. Cecile, B. Sahar, V. Emmanuel, J. Christian, E. Rene, H. Barahimi, M. Mahdavi-Mazdeh, M. Nafar, M. Petruzzi, M. De Benedittis, M. Sciancalepore, L. Gargano, P. Natale, M. C. Vecchio, V. Saglimbene, F. Pellegrini, G. Gentile, P. Stroumza, L. Frantzen, M. Leal, M. Torok, A. Bednarek, J. Dulawa, E. Celia, R. Gelfman, J. Hegbrant, C. Wollheim, S. Palmer, D. W. Johnson, P. J. Ford, J. C. Craig, G. F. Strippoli, M. Ruospo, B. El Hayek, B. Hayek, E. Baamonde, E. Bosch, J. I. Ramirez, G. Perez, A. Ramirez, A. Toledo, M. M. Lago, C. Garcia-Canton, M. D. Checa, B. Canaud, B. Lantz, A. Granger-Vallee, P. Lertdumrongluk, N. Molinari, J. Ethier, M. Jadoul, B. Gillespie, C. Bond, S. Wang, T. Alfieri, P. Braunhofer, B. Newsome, M. Wang, B. Bieber, M. Guidinger, L. Zuo, X. Yu, X. Yang, J. Qian, N. Chen, J. Albert, Y. Yan, S. Ramirez, M. Beresan, A. Lapidus, M. Canteli, A. Tong, B. Manns, J. Craig, G. Strippoli, M. Mortazavi, B. Vahdatpour, S. Shahidi, A. Ghasempour, D. Taheri, S. Dolatkhah, A. Emami Naieni, M. Ghassami, M. Khan, K. Abdulnabi, P. Pai, M. Vecchio, M. A. Muqueet, M. J. Hasan, M. A. Kashem, P. K. Dutta, F. X. Liu, L. Noe, T. Quock, N. Neil, G. Inglese, M. Motamed Najjar, B. Bahmani, A. Shafiabadi, J. Helve, M. Haapio, P.-H. Groop, C. Gronhagen-Riska, P. Finne, R. Sund, M. Cai, S. Baweja, A. Clements, A. Kent, R. Reilly, N. Taylor, S. Holt, L. Mcmahon, M. Carter, F. M. Van der Sande, J. Kooman, R. Malhotra, G. Ouellet, E. L. Penne, S. Thijssen, M. Etter, A. Tashman, A. Guinsburg, A. Grassmann, C. Barth, C. Marelli, D. Marcelli, G. Von Gersdorff, I. Bayh, L. Scatizzi, M. Lam, M. Schaller, T. Toffelmire, Y. Wang, P. Sheppard, L. Neri, V. A. Andreucci, L. A. Rocca-Rey, S. V. Bertoli, D. Brancaccio, G. De Berardis, G. Lucisano, D. Johnson, A. Nicolucci, C. Bonifati, S. D. Navaneethan, V. Montinaro, M. Zsom, A. Bednarek-Skublewska, G. Graziano, J. N. Ferrari, A. Santoro, A. Zucchelli, G. Triolo, S. Maffei, S. De Cosmo, V. M. Manfreda, L. Juillard, A. Rousset, F. Butel, S. Girardot-Seguin, T. Hannedouche, M. Isnard, Y. Berland, P. Vanhille, J.-P. Ortiz, G. Janin, P. Nicoud, M. Touam, E. Bruce, B. Grace, P. Clayton, A. Cass, S. Mcdonald, Y. Furumatsu, T. Kitamura, N. Fujii, S. Ogata, H. Nakamoto, K. Iseki, Y. Tsubakihara, C.-C. Chien, J.-J. Wang, J.-C. Hwang, H.-Y. Wang, W.-C. Kan, N. Kuster, L. Patrier, A.-S. Bargnoux, M. Morena, A.-M. Dupuy, S. Badiou, J.-P. Cristol, J.-M. Desmet, V. Fernandes, F. Collart, N. Spinogatti, J.-M. Pochet, M. Dratwa, E. Goffin, J. Nortier, D. S. Zilisteanu, M. Voiculescu, E. Rusu, C. Achim, R. Bobeica, S. Balanica, T. Atasie, S. Florence, S. Anne-Marie, L. Michel, C. Cyrille, A. Strakosha, N. Pasko, S. Kodra, N. Thereska, A. Lowney, E. Lowney, R. Grant, M. Murphy, L. Casserly, T. O' Brien, W. D. Plant, J. Radic, D. Ljutic, V. Kovacic, M. Radic, K. Dodig-Curkovic, M. Sain, I. Jelicic, T. Hamano, C. Nakano, S. Yonemoto, A. Okuno, M. Katayama, Y. Isaka, M. Nordio, A. Limido, M. Postorino, M. Nichelatti, M. Khil, I. Dudar, V. Khil, I. Shifris, M. Momtaz, A. R. Soliman, M. I. El Lawindi, P. Dzekova-Vidimliski, S. Pavleska-Kuzmanovska, I. Nikolov, G. Selim, T. Shoji, R. Kakiya, N. Tatsumi-Shimomura, Y. Tsujimoto, T. Tabata, H. Shima, K. Mori, S. Fukumoto, H. Tahara, H. Koyama, M. Emoto, E. Ishimura, Y. Nishizawa, and M. Inaba
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Transplantation ,medicine.medical_specialty ,Nephrology ,business.industry ,Epidemiology ,Medicine ,business ,Intensive care medicine ,Outcome (game theory) - Published
- 2012
13. Clinical Nephrology - Epidemiology II
- Author
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H. Agnes, P. Kalman, A. Jozsef, B. Henrik, I. Mucsi, K. Kamata, T. Sano, S. Naito, T. Okamoto, C. Okina, M. Kamata, J. Murano, K. Kobayashi, M. Uchida, T. Aoyama, Y. Takeuchi, Y. Nagaba, H. Sakamoto, C. Torino, V. Panuccio, A. Clementi, M. Garozzo, G. Bonanno, R. Boito, G. Natale, T. Cicchetti, A. Chippari, D. Logozzo, G. Alati, S. Cassani, A. Sellaro, G. D'arrigo, G. Tripepi, A. Roberta, M. Postorino, F. Mallamaci, C. Zoccali, E. Buonanno, S. Brancaccio, V. Fimiani, P. Napolitano, R. Spadola, L. Morrone, B. DI Iorio, D. Russo, A. Betriu, M. Martinez-Alonso, T. Vidal, J. Valdivielso, E. Fernandez, F. Bernadette, B. Jean-Baptiste, L. Frimat, N. D. Madala, G. P. Thusi, N. Sibisi, B. G. Mazibuko, A. G. H. Assounga, N.-C. Tsai, H.-H. Wang, Y.-C. Chen, C.-C. Hung, S.-J. Hwang, H.-C. Chen, P. Branco, T. Adragao, R. Birne, A. R. Martins, R. Vizinho, A. Gaspar, M. J. Grilo, J. D. Barata, D. Bonhorst, P. Adragao, J. S. Kim, J. W. Yang, M. K. Kim, S. O. Choi, B. G. Han, N. Nathalie, E. Sunny, G. Glorieux, B. Daniela, B. Fellype, L. Sophie, L. Horst D, M. Ziad, V. Raymond, M. Yanai, K. Okada, K. Takeuchi, K. Nitta, S. Takahashi, M. Morena, I. Jaussent, A. Halkovich, A.-M. Dupuy, A.-S. Bargnoux, L. Chenine, H. Leray-Moragues, K. Klouche, H. Vernhet, B. Canaud, J.-P. Cristol, A. Shutov, V. Serov, J. Kuznetsova, M. Menzorov, D. Serova, L. Petrescu, A. Zugravu, C. Capusa, S. Stancu, S. Cinca, C. Anghel, D. Timofte, L. Medrihan, D. Ionescu, G. Mircescu, T.-W. Hsu, K.-L. Kuo, S.-C. Hung, D.-C. Tarng, S. Lee, I. Kim, D. Lee, H. Rhee, S. Song, E. Seong, I. Kwak, M. Holzmann, C. Gardell, A. Jeppsson, U. Sartipy, Y. Solak, M. I. Yilmaz, K. Caglar, M. Saglam, H. Yaman, A. Sonmez, H. U. Unal, M. Gok, A. Gaipov, M. Kayrak, T. Eyileten, S. Turk, A. Vural, L. DI Lullo, F. Floccari, R. Rivera, A. Granata, A. D'amelio, F. Logias, G. Otranto, M. Malaguti, A. Santoboni, F. Fiorini, T. Connor, D. Oygar, D. Nitsch, D. Gale, R. Steenkamp, G. H. Neild, P. Maxwell, I. Louise Hogsbro, B. Redal-Baigorri, B. Sautenet, J. M. Halimi, A. Caille, P. Goupille, B. Giraudeau, Y. Oguz, M. Yenicesu, H. Cetinkaya, Y. Ishimoto, T. Ohki, M. Sugahara, T. Kanemitsu, M. Kobayashi, L. Uchida, N. Kotera, S. Tanaka, T. Sugimoto, N. Mise, N. Miyazaki, J. Matsumoto, I. Murata, G. Yoshida, K. Morishita, H. Ushikoshi, K. Nishigaki, S. Ogura, S. Minatoguchi, R. Harvey, A. Ala, D. Banerjee, C. Farmer, J. Irving, H. Hobbs, T. Wheeler, B. Klebe, P. Stevens, G. Selim, O. Stojceva-Taneva, L. Tozija, N. Stojcev, S. Gelev, P. Dzekova-Vidimliski, S. Pavleska, A. Sikole, A. R. Qureshi, M. Evans, M. Stendahl, K. G. Prutz, C. G. Elinder, K. Tamagaki, H. Kado, M. Nakata, T. Kitani, N. Ota, R. Ishida, E. Matsuoka, Y. Shiotsu, M. Ishida, Y. Mori, M. Christelle, N. Rognant, D. Evelyne, F. Sophie, J. Laurent, L. Maurice, R. Silverwood, M. Pierce, D. Kuh, C. Savage, C. Ferro, D. G. Moniek, M. De Goeij, H. Nynke, O. Gurbey, R. Joris, D. Friedo, P. Clayton, B. Grace, A. Cass, S. Mcdonald, V. Lorenzo, M. Martin Conde, A. Dusso, J. M. Valdivielso, D. P. Roggeri, G. Cannella, M. Cozzolino, S. Mazzaferro, P. Messa, D. Brancaccio, R. De Souza Faria, N. Fernandes, J. Lovisi, M. Moura Marta, M. Reboredo, B. Do Vale Pinheiro, M. Bastos, F. Hundt, S. Pabst, C. Hammerstingl, T. Gerhardt, D. Skowasch, R. Woitas, A. A. Lopes, L. F. Silva, C. M. Matos, M. S. Martins, F. A. Silva, G. B. Lopes, F. Pizzarelli, P. Dattolo, S. Michelassi, C. Rossi, S. Bandinelli, M. Mieth, R. Mass, L. Ferrucci, S. Parisi, S. Arduino, R. Attini, F. Fassio, M. Biolcati, A. Pagano, C. Bossotti, M. Ferraresi, P. Gaglioti, T. Todros, G. B. Piccoli, T. M. Salgado, B. Arguello, S. I. Benrimoj, F. Fernandez-Llimos, P. Bailey, C. Tomson, Y. Ben-Shlomo, A. Santoro, P. Rucci, M. Mandreoli, F. Caruso, M. Corradini, M. Flachi, D. Gibertoni, A. Rigotti, G. Russo, M. Fantini, H. S. Mahapatra, S. Choudhury, G. Buxi, N. Sharma, Y. Gupta, V. Sekhar, N. Yanagisawa, M. Ando, A. Ajisawa, K. Tsuchiya, O. Janusz, M. Mikolaj, M. Jacek, R. Boleslaw, S. Prakash, R. Coffin, J. Schold, D. Einstadter, S. Stark, D. Rodgers, M. Howard, A. Sehgal, S. Palmer, A. Tong, B. Manns, J. Craig, M. Ruospo, L. Gargano, G. Strippoli, M. Vecchio, M. Petruzzi, M. De Benedictis, F. Pellegrini, Y. Ohno, E. Ishimura, T. Naganuma, K. Kondo, W. Fukushima, K. Mui, M. Inaba, Y. Hirota, X. Sun, S. Jiang, H. Gu, Y. Chen, C. XI, X. Qiao, X. Chen, E. Daher, G. S. Junior, C. N. Jacinto, R. S. Pimentel, G. B. R. Aguiar, C. B. Lima, R. C. Borges, L. P. C. Mota, J. V. L. Melo, S. A. Melo, V. T. Canamary, M. Alves, S. M. H. A. Araujo, Y. K. Huang, K. Rogacev, B. Cremers, A. Zawada, S. Seiler, N. Binder, P. Ege, G. Grosse-Dunker, I. Heisel, F. Hornof, J. Jeken, N. Rebling, C. Ulrich, B. Scheller, M. Bohm, D. Fliser, G. H. Heine, B. Robinson, M. Wang, B. Bieber, R. Fluck, P. G. Kerr, B. Wikstrom, M. Krishnan, A. Nissenson, R. L. Pisoni, S. Mykleset, T. B. Osthus, B. Waldum, I. Os, J. Buttigieg, A. Cassar, J. Farrugia Agius, M. Hara, M. Yamato, K. Yasuda, and K. Sasaki
- Subjects
Transplantation ,medicine.medical_specialty ,Acute coronary syndrome ,business.industry ,Red blood cell distribution width ,medicine.disease ,Sudden death ,Uremia ,Nephrology ,Diabetes mellitus ,Internal medicine ,Heart failure ,medicine ,Cardiology ,Endothelial dysfunction ,business ,Kidney disease - Published
- 2012
14. Feasible Task Schedules With Minimum Project Cost Solved By A Genetic Algorithm
- Author
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Michael L. Gargano and Louis V. Quintas
- Published
- 2015
15. A DDS/PLL architecture for highly stable local oscillators
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E. Fernandez, L. Gargano, F. Marchetti, S. Angelini, G. Tonelli, A. Lo Re, A. Pezzuti, and A. Mennella
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Frequency synthesizer ,Engineering ,business.industry ,Bandwidth (signal processing) ,Electrical engineering ,Frequency agility ,law.invention ,Phase-locked loop ,Direct digital synthesizer ,law ,Phase noise ,Electronic engineering ,Radar ,business ,Spectral purity - Abstract
Spectral purity and source stability represent two of the primary goals in the design of high performance frequency synthesizer for modern radar systems. This paper presents a new X-band High Stable Synthesizer (HSS) architecture, which combines Phase Lock Loop (PLL), Direct Digital Synthesis (DDS) and multiplier techniques, in order to cope with low phase noise and frequency agility requirements of the next radar generations. This synthesizer offers frequency coverage in X band with a percentage bandwidth of a minimum of 10%, with fast switching time, high digitally-tunable resolution and very low phase noise. The achievement of such performance has been demonstrated by experimental results measured on a laboratory demonstrator: they show a lock-in time within 10 us and a phase noise improvement up to 30 dB compared to the current state of art Frequency Generation Unit (FGU). Moreover, for its versatility, the architecture is able to provide an intermediate output covering the needs for new S-L band application.
- Published
- 2014
16. Expert system: defection and perfection
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Bel G. Raggad and Michael L. Gargano
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Engineering ,Decision support system ,Dependency (UML) ,Knowledge management ,business.industry ,media_common.quotation_subject ,computer.software_genre ,Expert system ,Human–computer interaction ,Learning curve ,Anticipation (artificial intelligence) ,Information system ,Satisficing ,Quality (business) ,business ,computer ,media_common - Abstract
Unlike other computer‐based information systems, expert systems (ES) are characterized by the satisficing and conservative behavior of their users. Shows that the learning curve may be used to model user dependency on ES technology. Even though user dependency relates to ES quality control parameters (for example, Raggad’s 13 ES quality attributes) only dynamic or late binding features really affect ES dependency: ES learning capability and ES recommendation anticipation. There is hence a learning race between the system and the user. If user learning prevails, then there will be user defection. If system learning prevails, then there will be system perfection. Proposes failure analysis based on user defection due to the absence or underutilization of machine learning. ES owners can adopt this model to design a subsystem capable of transforming user defection analysis into a strategic plan for ES management.
- Published
- 1999
17. Data mining ‐ a powerful information creating tool
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Bel G. Raggad and Michael L. Gargano
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business.industry ,Computer science ,Rule induction ,Data stream mining ,Information technology ,Library and Information Sciences ,Machine learning ,computer.software_genre ,Data science ,Expert system ,Data warehouse ,Education ,Knowledge-based systems ,Knowledge extraction ,Artificial intelligence ,Data mining ,Cluster analysis ,business ,computer ,Information Systems - Abstract
Data mining can discover information hidden within valuable data assets. Knowledge discovery, using advanced information technologies, can uncover veins of surprising, golden insights in a mountain of factual data. Data mining consists of a panoply of powerful tools which are intuitive, easy to explain, understandable, and simple to use. These advanced information technologies include artificial intelligence methods (e.g. expert systems, fuzzy logic, etc.), decision trees, rule induction methods, genetic algorithms and genetic programming, neural networks (e.g. backpropagation, associate memories, etc.), and clustering techniques. The synergy created between data warehousing and data mining allows knowledge seekers to leverage their massive data assets, thus improving the quality and effectiveness of their decisions. The growing requirements for data mining and real time analysis of information will be a driving force in the development of new data warehouse architectures and methods and, conversely, the development of new data mining methods and applications.
- Published
- 1999
18. High-dose chemotherapy with bone marrow transplantation for advanced colorectal cancer
- Author
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G, Codaccipisanelli, P, Seminara, L, Gargano, M, Accordino, E, Sbaffi, V, Bonaiuti, R, Rossetti, and F, Franchi
- Abstract
A chemotherapy regimen based on high doses of BCNU and mitomycin C with autologous bone marrow transplantation was used in 18 patients with advanced colorectal carcinoma. Haematological toxicity was manageable, with a short nadir for white blood cells and platelets. The response rate was 33%, with a prevalence in peritoneal lesions compared to liver or lung metastases. Extra-haematological toxicity appeared in 16% of cases: a case of veno-occlusive disease of the liver and two cases of lung impairment are discussed. Although the response rate obtained with the regimen was satisfactory, the more extensive use of high-dose chemotherapy followed by autologous bone marrow transplantation requires the identification of less toxic protocols.
- Published
- 2011
19. [Patient satisfaction in hemodialysis: a pilot cross-sectional analysis and a review]
- Author
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F, Pansini, L, Gargano, M, Sambati, N, Dambrosio, C, D'Altri, G, Giannoccaro, E, Boccia, A, Cecilia, R, Di Toro Mammarella, A, Flammini, S, La Rosa, M, Fici, V, Sabella, M, Falco, G, Montalto, F, Rindone, A M, Murgo, V, Greco, M, Giannetto, F, D'Agostino, F, Pellegrini, C, Invernizzi, G F M, Strippoli, and C, Manno
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Male ,Cross-Sectional Studies ,Patient Satisfaction ,Renal Dialysis ,Surveys and Questionnaires ,Humans ,Female ,Pilot Projects ,Aged - Abstract
Assessment of patient satisfaction is not performed routinely in many healthcare institutions. In this review, we discuss methodological aspects of assessment of patient satisfaction in hemodialysis. We also present a pilot study conducted in the Gambro Healthcare Italy dialysis clinics network.Patient satisfaction was assessed in a network of hemodialysis units by using an internally validated Italian translation of the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) questionnaire. A cross-sectional analytic study design was used and data analysed with univariate and multivariate hierarchical logistic regression to explore correlates of the risk of being unsatisfied with dialysis treatment. Covariates which were considered include a series of over 20 clinical, demographic, organizational and structural aspects. In addition, unexplained inter-centre residual variability due to 'case-mix' was explored and plotted.Seventeen dialysis units participated in this cross-sectional analysis and 758/1001 (75.7%) provided answers to the questionnaires. There was a statistically significant association on multivariate hierarchical analysis between the risk of being unsatisfied with dialysis treatment and interdialysis body weight gain (unit of increase: 1 kg, p=0.004). On the contrary, the risk of unsatisfaction with dialysis treatment was significantly lower in patients with higher dry weight (unit of increase: 1 kg, p=0.002). Our multivariate hierarchical analysis identified some residual variability between dialysis units (n=6 outliers) which may not be explained by any of over 20 potential confounding covariates which were explored.Assessment of ''customer satisfaction'' is standard practice in private for profit product companies in general but needs to be increasingly recognized as a standard in both public and private providers of healthcare services. Social research methods, which are used for this type of analysis, need to be fine tuned and actively implemented in order to better understand how we may influence the quality of service we provide to our patients and the level at which they rate it.
- Published
- 2008
20. NFL Unplugged : The Brutal, Brilliant World of Professional Football
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Anthony L. Gargano and Anthony L. Gargano
- Abstract
Blood, guts, and glory-veteran players reveal the NFL you never see on TVBehind every glittering NFL game on television is a world of happy pain for a hundred men. NFL Unplugged lets you see that world through the eyes of the pros who live and sweat in it. Here are the places the cameras don't go: the locker room where coaches'speeches can deflate or motivate, the huddle where fart jokes vie with playcalling, the training camp where locusts and heat conspire to break the strongest bodies and shake the most determined minds. Now you can experience it all up close and unplugged.Draws on firsthand accounts of more than thirty players and coaches from teams across the NFL, including Mark Schlereth, Bill Romanowski, Kevin Long, Kyle Turley, John Gruden, Hugh Douglas, Jon Runyan, and Michael StrahanAn unvarnished look at everything from training camp and broken dreams, conditioning and injuries, and camaraderie and hazing to the quest to gain a competitive edge and the exhilarating triumphs of the gameWritten by one of the top figures in sports radio, Anthony Gargano of Philadelphia's 610-WIPFrom the injuries that never heal and the money that never lasts to the memories and the glory that never fade, NFL Unplugged shows the unbridled brutality and sheer brilliance of the game.
- Published
- 2010
21. Dépression et mortalité cardiovasculaire en hémodialyse : une étude de cohorte multinationale
- Author
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Patrizia Natale, M. Scaldapane, J.C. Craig, P. Stroumza, V. Saglimbene, L. Gargano, L. Frantzen, Suetonia C. Palmer, J. Dulawa, Giovanni F.M. Strippoli, Marinella Ruospo, and Angelo M. Murgo
- Subjects
Nephrology - Abstract
Introduction La depression est frequente chez les adultes en dialyse avec une prevalence d’environ 25 %. Des etudes montrent un lien entre la depression et la mortalite totale, mais l’association entre la depression et la mortalite cardiovasculaire est incertaine. Patients et methodes Nous avons etudie une cohorte multinationale prospective portant sur les adultes traites par hemodialyse iterative au sein d’un reseau mondial entre avril et novembre 2010. La depression a ete etudiee grâce au Beck Depression Inventory (BDI) II. Les tests de sensibilite considerent un BDI II ≥ 14 pour deceler une depression et BDI II ≥ 20 pour affirmer une depression severe. Le modele de regression de Cox a ete utilise pour evaluer les risques ajustes pour toutes causes et la mortalite cardiovasculaire a 12 mois. Resultats Parmi les 2278 (73 %) participants qui ont fourni des reponses completes aux questions de l’enquete BDI II, 1047 (46 %) des repondants ont signale des symptomes correspondant a la depression. Discussion Les facteurs associes a des symptomes depressifs comprenaient l’âge, le pays, l’emploi, l’education, le tabagisme, la comorbidite cardiovasculaire, la pression arterielle, la dose de dialyse et la prise de medicaments psychoactifs. Au cours du suivi de 11 mois (± 2,5), 175 deces sont survenus, dont 66 etaient attribuables a des causes cardiovasculaires. La depression (BDI ≥ 14) n’etait pas associee a la mortalite toutes causes confondues (HR ajuste 1,26 [IC 95 % de 0,93 a 1,71]) ou a la mortalite cardiovasculaire (0,82 [0,50 a 1,34]). Quand un score plus eleve (BDI ≥ 20) a ete utilise pour identifier la depression, la depression etait associee a une mortalite globale (1,40 [1,02 a 1,93]), tandis qu’une association avec la mortalite cardiovasculaire n’etait pas evidente (1,05 [0,63 a 1,77]). Conclusion La relation entre la depression et la mortalite cardiovasculaire chez les adultes traites par hemodialyse est incertaine. Les liens actuels entre la depression et les causes de mortalite sont influences par les parametres et les seuils utilises pour identifier les symptomes depressifs.
- Published
- 2015
22. On the assumption of cubic graphs of vascular networks
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Sukmoon Chang, Sung-Hyuk Cha, and Michael L. Gargano
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Discrete mathematics ,Quantitative Biology::Tissues and Organs ,Voltage graph ,Strength of a graph ,Butterfly graph ,Simplex graph ,Quantitative Biology::Cell Behavior ,Combinatorics ,Cubic graph ,natural sciences ,Null graph ,Random geometric graph ,Complement graph ,Mathematics - Abstract
A vascular network is often represented by a Reeb graph, which is a topological skeleton, and graph theory has been widely applied to analyze properties of a vascular network. A Reeb graph model for a vascular network is obtained by assigning the branch points of the network to be the vertices of the graph and the vessels between branch points to be the edges of the graph. Vascular networks develop by way of angiogenesis, a growth process that involves the biological mechanisms of vessel sprouting (budding) and splitting (intussusception). Vascular networks develop by way of two biological mechanisms of vessel sprouting (budding) and splitting (intussusception). According to a graph theory modeling of two vascular network growth mechanisms, all nodes in the Reeb graph must be cubic in degree except for two special nodes: the afferent (A) and efferent (E) nodes. We define that a vascular network is cubic if all internal nodes are cubic in degree. We consider six normal adult rat renal glomerular networks and use their reeb graphs already constructed and published in the literature. We observe that five of them contain internal vertices of degree higher than three. Branch points in vascular networks may appear to be of a higher degree if the imaging resolution cannot differentiate between blood vessels that are very close in proximity. Here, we propose a random graph theory model that edits a non-cubic vascular network into a cubic graph. We observe that the edited cubic graph from a non-cubic vascular network has the similar size and order as the one cubic vascular network.
- Published
- 2006
23. A Vascular Network Growth Estimation Algorithm Using Random Graphs
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Eric M. Wahl, Sung-Hyuk Cha, Louis V. Quintas, and Michael L. Gargano
- Subjects
Random graph ,Discrete mathematics ,Renal glomerulus ,Quantitative Biology::Tissues and Organs ,Voltage graph ,Strength of a graph ,urologic and male genital diseases ,Graph property ,Null graph ,Random geometric graph ,Connectivity ,Quantitative Biology::Cell Behavior ,Mathematics - Abstract
Vascular networks develop by way of angiogenesis, a growth process that involves the biological mechanisms of vessel sprouting (budding) and splitting (intussusception). Graph theory is a branch of discrete mathematics that is excellently suited to model vascular networks and to analyze their properties (invariants). A random graph process model can simulate the development of a vascular network that has been modeled using graph theory. The renal glomerulus is one example of such a vascular network. Here the correlation between the invariants of this vascular network modeled as a graph and the mechanisms of the growth of the network are studied. It is proposed that the relative frequencies of sprouting and splitting during the growth of a given renal glomerulus can be estimated by the invariants (root distance, radius, and diameter) of the graph representing the renal glomerulus network. Experimental evidence is given to support this conjecture.
- Published
- 2005
24. Lésions buccodentaires chez les patients hémodialysés : ORAL-D, une étude de cohorte multinationale prospective
- Author
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Patrizia Natale, J. Hegbrant, P. Stroumza, Giovanni F.M. Strippoli, Fabio Pellegrini, D.W. Johnson, Suetonia C. Palmer, L. Gargano, Marinella Ruospo, S. Frantzen-Trendel, L. Frantzen, and V. Saglimbene
- Subjects
Nephrology - Published
- 2013
25. Failure of imaging techniques in revealing breast cancer progression
- Author
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F, Franchi, T, Ielapi, L, Gargano, G, Pasciuti, G, Nigita, and P, Seminara
- Subjects
Breast Neoplasms ,imaging techniques ,breast cancer ,early diagnosis ,micro-invasive breast carcinoma ,Lymphatic Metastasis ,Positron-Emission Tomography ,Disease Progression ,Humans ,Female ,Lymph Nodes ,Treatment Failure ,Aged - Abstract
This study focuses on a case of a 67-year-old woman with occult breast cancer involving the axillary lymph nodes. The instrumental examinations employed, positron emission tomography included, were not useful in diagnosing the disease. When the patient was surgically treated micro-invasive breast cancer was diagnosed. This peculiar malignant pathology is a matter of discussion especially because it is hardly diagnosable. Because of such diagnostic difficulties it may happen that micro-invasive carcinoma progression can easily mislead routine diagnostic screenings performed on women over 50.
- Published
- 2004
26. A graph theory analysis of renal glomerular microvascular networks
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Eric M. Wahl, Lorraine L. Lurie, Louis V. Quintas, and Michael L. Gargano
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Diagnostic Imaging ,Quantitative Biology::Tissues and Organs ,Kidney Glomerulus ,Biology ,urologic and male genital diseases ,Biochemistry ,Quantitative Biology::Cell Behavior ,Renal Circulation ,Imaging, Three-Dimensional ,Glomerulus ,medicine ,Animals ,Computer Simulation ,Uremia ,Quantitative Biology::Neurons and Cognition ,Graph theory ,Cell Biology ,Anatomy ,Models, Theoretical ,medicine.disease ,Quantitative model ,Planarity testing ,Rats ,Cycle rank ,Animals, Newborn ,Cardiology and Cardiovascular Medicine ,Graph theory analysis ,Neuroscience - Abstract
A graph theory model and its invariants are used to compare previously published renal glomerular networks of six adult rats, one adult uremic rat, and one newborn rat. Invariants calculated include order, size, cycle rank, eccentricity, root distance, planarity, and vertex degree distribution. These invariants enabled the differentiation of six normal adult glomerular microvascular networks from that of the uremic glomerulus and from that of the normal newborn glomerulus. These invariants might then be used to differentiate between normal and pathological vascular networks. Also proposed are graph theory invariants that might be used to develop a quantitative model for angiogenesis.
- Published
- 2003
27. EVOLVING SCORING FUNCTIONS WHICH SATISFY PREDETERMINED USER CONSTRAINTS
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Michael L. Gargano, William Edelson, and Ying He
- Published
- 2001
28. Two Models for Random Graphs with Bounded Degree
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Krystyna T. Balińska, Michael L. Gargano, and Louis V. Quintas
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random graph ,Markov chain ,bounded degree ,Computer Science::Discrete Mathematics - Abstract
Two digraphs both of whose nodes consist of the set of unlabeled graphs of order n having bounded vertex degree equal to f are studied. Adjacency in these digraphs is defined via one-edge transformations of the node graphs. Probabilities on the arcs are introduced so that one digraph is a strictly evolving absorbing Markov chain and the other an ergodic Markov chain. Probabilistic and deterministic results and problems concerning these Markov chains are presented. An example of physical interest in these chains is in models where the nodes of the digraphs are identified with Chemical species.
- Published
- 2001
29. The politics of advanced information technologies (panel)
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Frank LoSacco and Michael L. Gargano
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Politics ,business.industry ,Computer science ,Information technology ,business ,Data science - Published
- 1996
30. Hypercubes and Pascal's Triangle: A Tale of Two Proofs
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Marty Lewinter, Michael L. Gargano, and Joseph F. Malerba
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General Mathematics ,Binary number ,Graph theory ,Pascal's triangle ,Mathematical proof ,Graph ,Vertex (geometry) ,Combinatorics ,symbols.namesake ,symbols ,Hypercube ,Algebraic number ,Algorithm ,Mathematics - Abstract
This last identity can also be proven without calculus. For a typical short proof, see Rosen [9, Section 4.3, Exercise 51] or Buckley and Lewinter [3, Section 1.4, Exercise 9]. We shall prove identity (4) using graph theory. In contrast to the previously mentioned proofs, which suggest that (4) is an algebraic accident, our approach here will count a combinatorial object in two different ways, thereby yielding insight into why the identity is true. The hypercube, Qn, is an important graph, with applications in computer science [1]-[3], [5]-[8]. Its vertex set is given by V(Qn) = {(xl, x2, ..., Xn) I xi = 0 or 1; i = 1, 2 ..., n}, i.e., each vertex is labeled by a binary n-dimensional vector. It follows that IV(Qn)l = 2". Vertices x = (xl, x2, ..., xn) and Y = (Y, Y2 ..., Yn) are adjacent if and only if yin=l xiYi = 1, from which it follows that Qn is n-regular. Since the degree sum is n2n, we find that Qn has n2n-1 216 MATHEMATICS MAGAZINE
- Published
- 2003
31. Hémodialyse à domicile : est-ce encore d’actualité ?
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Mariacristina Vecchio, Giovanni F.M. Strippoli, Allison Tong, L. Frantzen, L. Gargano, P. Stroumza, and Marinella Ruospo
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Nephrology - Published
- 2012
32. Contents Vol. 56, 2001
- Author
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Kentaro Fujiwara, G. Gandolfo, Peter C. Hindmarsh, F.S. Celi, Taiya Kato, Leslie A. Perry, P.C. Hindmarsh, R. Sibilla, N. Viceconti, Fernando Bandrés, Steven Karger, Charles G. D. Brook, Michael Roden, Enric Vicens-Calvet, Yasutoshi Itoh, Evangelia Charmandari, Mehul T. Dattani, Susanna Riqué, Carmen Sanchez Ufarte, Elisabeth Bernroider, Neus Potau, M. Centanni, José L. Chicharro, Mutsuko Nagata, Akio Nagasaka, Antonio Carrascosa, Teruo Sugawara, M. Gussinyé, Naohisa Oda, Mitsuyasu Itoh, Kurt Kletter, Takako Kobayashi, L. Conti, Hiroaki Kakizawa, Claudia Ludwig, Yuko Fujimoto, D. Mentuccia, Milo Zachmann, Alejandro Lucia, Masaki Makino, Seiichiro Fujimoto, A. Nakai, Thomas Karger, Werner Waldhäusl, Susanne Kurzemann, D. Danese, Nicolás Terrados, Jesús Hoyos, Hideki Katsumata, Benjamín Fernández, L. Gargano, and Martin Bischof
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Endocrinology ,business.industry ,Endocrinology, Diabetes and Metabolism ,Pediatrics, Perinatology and Child Health ,Medicine ,business - Published
- 2001
33. Value sets of graphs edge-weighted with elements of a finite abelian group
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Michael L. Gargano, Edgar G. DuCasse, and Louis V. Quintas
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Combinatorics ,Discrete mathematics ,Graph labeling ,Applied Mathematics ,Edge-graceful labeling ,Discrete Mathematics and Combinatorics ,Cyclic group ,Edge (geometry) ,Abelian group ,Value (mathematics) ,Rank of an abelian group ,Free abelian group ,Mathematics - Published
- 2010
34. Subject Index Vol. 56, 2001
- Author
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P.C. Hindmarsh, Leslie A. Perry, A. Nakai, Werner Waldhäusl, D. Mentuccia, Nicolás Terrados, Milo Zachmann, R. Sibilla, Charles G. D. Brook, Masaki Makino, Michael Roden, Takako Kobayashi, Mitsuyasu Itoh, Yuko Fujimoto, Elisabeth Bernroider, Akio Nagasaka, M. Gussinyé, G. Gandolfo, Peter C. Hindmarsh, Teruo Sugawara, L. Conti, Enric Vicens-Calvet, Benjamín Fernández, Carmen Sanchez Ufarte, F.S. Celi, Claudia Ludwig, Seiichiro Fujimoto, Jesús Hoyos, Susanne Kurzemann, Fernando Bandrés, Evangelia Charmandari, Thomas Karger, Alejandro Lucia, Martin Bischof, Susanna Riqué, D. Danese, L. Gargano, Hideki Katsumata, Hiroaki Kakizawa, Mehul T. Dattani, Steven Karger, M. Centanni, José L. Chicharro, Antonio Carrascosa, Naohisa Oda, Neus Potau, Kurt Kletter, Kentaro Fujiwara, Taiya Kato, N. Viceconti, Yasutoshi Itoh, and Mutsuko Nagata
- Subjects
Endocrinology ,Index (economics) ,business.industry ,Endocrinology, Diabetes and Metabolism ,Pediatrics, Perinatology and Child Health ,Statistics ,Medicine ,Subject (documents) ,business - Published
- 2001
35. Preface
- Author
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Cordasco G., Gargano L., Rescigno A. A., G Cordasco, L. Gargano A.A.Rescigno, Cordasco, G., Gargano, L., and Rescigno, A. A.
- Published
- 2020
36. First report of Pleurotus fuscosquamulosus (Pleurotaceae, Basidiomycota) in Italy naturally occurring on new tropical hosts
- Author
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Livio Torta, Giuseppe Venturella, Maria Letizia Gargano, Vito Armando Laudicina, Selene Giambra, Giulia Mirabile, Patrizia Bella, Gaetano Conigliaro, and L. Torta, P. Bella, G. Conigliaro, G. Mirabile, V. A. Laudicina, S. Giambra, G. Venturella, M. L. Gargano
- Subjects
biology ,Settore BIO/02 - Botanica Sistematica ,Botany ,Coremiopleurotus, Antromycopsis fuscosquamulosa, white wood rot, syringaldazine ,Settore AGR/12 - Patologia Vegetale ,Pleurotus fuscosquamulosus ,Pleurotaceae ,Basidiomycota ,Plant Science ,biology.organism_classification - Abstract
Basidiomata of a mushroom macroscopically recognised as Pleurotus cystidosus sensu latu were collected on the trunks of three tropical ornamental trees such as Broussonetia papyrifera, Yucca elephantipes, and Paulownia tomentosa in the Parco d’Orleans, an urban park in the town of Palermo (Sicily, Italy). All the plants showed cavities and white rot symptoms at the base of the trunks. Macro- and microscopic observations on both collected basidiomata and isolated colonies, as well as molecular analysis, allowed identifying the collected basidiomata as Pleurotus fuscosquamulosus and its anamorph as Antromycopsis fuscosquamulosus. These species belong to the subgenus Coremiopleurotus that includes different species producing synnematoid fructifications. The positive reaction of the colonies to the syringaldazine and the artificial inoculation tests on wood blocks of B. papyrifera confirmed its white wood rotting activity. To our knowledge, this is the first report of occurring of P. fuscosquamulosus in Italy on three new tropical plant hosts.
- Published
- 2019
37. Wild and cultivated mushrooms as a model of sustainable development
- Author
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Mattia Bencivenga, Elena Salerni, Domizia Donnini, S. Di Piazza, Elisa Altobelli, Claudia Perini, G. Rana, Claude Murat, Maria Letizia Gargano, Alessandra Zambonelli, Elena Savino, Andrea Rubini, Roberto Venanzoni, Dept Appl Biol, Università degli Studi di Perugia (UNIPG), Dept Environm Biol & Biodivers, Sect Bot, Università degli studi di Palermo - University of Palermo, Dept Environm Sci G Sarfatti, Dipartimento di Scienze della Terra e dell'Ambiente [Pavia], Università degli Studi di Pavia, Interactions Arbres-Microorganismes (IAM), Institut National de la Recherche Agronomique (INRA)-Université de Lorraine (UL), DiSTAV, University of Genoa (UNIGE), Natl Res Council, Perugia Div, Institute of Plant Genetics, Dept Sci, University of Basilicata, DIPROVAL, Alma Mater Studiorum University of Bologna (UNIBO), Donnini, D, Gargano, ML, Perini, C, Savino, E, Murat, C, Di Piazza, S, Altobelli, E, Salerni, E, Rubini, A, Rana, GL, Bencivenga, M, Venanzoni, R, Zambonelli, A, Università di Pavia, Université de Lorraine (UL)-Institut National de la Recherche Agronomique (INRA), D. Donnini, M. L. Gargano, C. Perini, E. Savino, C. Murat, S. Di Piazza, E. Altobelli, E. Salerni, A. Rubini, G. L. Rana, M. Bencivenga, R. Venanzoni, and A. Zambonelli
- Subjects
0106 biological sciences ,Agroecosystem ,mushroom cultivation ,Food industry ,Emerging technologies ,[SDV]Life Sciences [q-bio] ,novel mushroom products ,MELANOSPORUM ,DIVERSITY ,truffle ,Weed biocontrol, environmental management, mushroom cultivation, novel mushroom products, truffles ,Plant Science ,Biology ,010603 evolutionary biology ,01 natural sciences ,environmental management ,Goods and services ,ANTIFUNGAL ,ANTIOXIDANT ,Ecosystem ,Ecology, Evolution, Behavior and Systematics ,weed biocontrol ,truffles ,Weed biocontrol, environmental management, mushroom cultivation, novel mushroom prducts, truffles ,BLACK TRUFFLE ,2. Zero hunger ,Sustainable development ,Agroforestry ,business.industry ,Ecology ,Weed biocontrol ,FUNGI ,15. Life on land ,Natural resource ,TUBER-AESTIVUM VITTAD ,SITU CONSERVATION ,13. Climate action ,Settore BIO/03 - Botanica Ambientale E Applicata ,BIODIVERSITY ,COMMUNITIES ,business ,Weed ,010606 plant biology & botany - Abstract
The natural resources are currently overexploited and since 1992 the Conference of Rio de Janeiro has focused on sustainable development to safeguard our planet for future generations. The Fungi kingdom includes producers of goods and services for ecosystems and organisms widely used in the food industry. Besides, macrofungi are recognized as nontimber forest products and could be utilized as agents of environmental management through weed biocontrol and environmental improvement. Moreover, the cultivation of fungi, in particular truffles, can provide an important income in agroecosystems, especially in marginal areas, along with the development of new technologies to produce novel products from fungi. © 2013 Societá Botanica Italiana.
- Published
- 2013
38. Nerve Growth and Plasticity in the Colonic Mucosa of Patients With Irritable Bowel Syndrome
- Author
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BARBARA, GIOVANNI, GARGANO, LUCIANA, CREMON, CESARE, VASINA, VALENTINA, DOTHEL, GIOVANNI, CARINI, GIOVANNI, DE GIORGIO, ROBERTO, STANGHELLINI, VINCENZO, COGLIANDRO, ROSANNA FRANCESCA, DE PONTI, FABRIZIO, CORINALDESI, ROBERTO, M. Tonini, G. Barbara, L. Gargano, C. Cremon, V. Vasina, G. Dothel, G. Carini, R. De Giorgio, V. Stanghellini, R. Cogliandro, M. Tonini, F. De Ponti, and R. Corinaldesi
- Published
- 2010
39. Evaluation of Rhode Island's Early Geographic COVID-19 Vaccine Prioritization Policy.
- Author
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Fortnam TM, Chambers LC, Bilinski A, DeVito R, Gargano L, Wilson M, and Hogan JW
- Abstract
Objectives. To determine whether geographic prioritization of limited COVID-19 vaccine supply was effective for reducing geographic disparities in case rates. Methods. Rhode Island allocated a portion of the initial COVID-19 vaccine supply to residents of Central Falls, a community already affected by structural policies and inadequate systems that perpetuate health inequities and experiencing disproportionately high COVID-19 morbidity and mortality. The policy was implemented with a culturally and linguistically appropriate community engagement plan and was intended to reduce observed disparities. Using a Bayesian causal analysis with population surveillance data, we evaluated the impact of this prioritization policy on recorded cases over the subsequent 16 weeks. Results. Early geographic prioritization of Central Falls accelerated vaccine uptake, averting an estimated 520 cases (95% confidence interval = 22, 1418) over 16 weeks and reducing cases by approximately 34% during this period (520 averted vs 1519 expected without early prioritization). Conclusions. Early geographic prioritization increased vaccine uptake and reduced cases in Central Falls, thereby reducing geographic disparities. Public Health Implications. Public health institutions should consider geographic prioritization of limited vaccine supply to reduce geographic disparities in case rates. ( Am J Public Health . Published online ahead of print August 28, 2024:e1-e10. https://doi.org/10.2105/AJPH.2024.307741).
- Published
- 2024
- Full Text
- View/download PDF
40. A New Method for the Follow-Up of Patients with Alopecia Areata.
- Author
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Bortone G, Caro G, Ala L, Gargano L, and Rossi A
- Abstract
Background: Teledermatology is the application of information and telecommunication technologies in the field of dermatology to provide remote care services based on the exchange of clinical information within a network of professionals or between professionals and patients. Tele-trichoscopy is a non-invasive, inexpensive, and easy-to-use method that applies the principle of surface microscopy at different magnifications. Alopecia areata is a non-scarring alopecia with a chronic evolution, which often needs a close follow-up. Objectives: The aim of our work was to analyze the possible benefits of telemedicine for the follow-up of patients with alopecia areata. Materials and Methods: We enrolled patients with alopecia areata, identified during the first trichological evaluation, and we divided the patients into two groups. One group was provided with the devices necessary for a telemedicine follow-up. The other group had a conventional follow-up. The total follow-up time was one year. All of the patients' photos were blindly evaluated by a team of expert dermatologists who were asked to indicate the quality of the images. The photos were also evaluated to identify disease markers. During the follow-up period, questionnaires were administered to both groups of patients to assess the quality of the visit, the level of patient satisfaction, and to identify any issues encountered by the patients. Results: There was a high degree of concordance between the images obtained by outpatient trichoscopy and those obtained by telemedicine. The satisfaction levels were the same between the patients followed via telemedicine and those seen in the outpatient clinic. Conclusions: Telemedicine applied to trichology using trichoscopy was proven to be a valid system for managing the follow-up of patients suffering from chronic recurrent scalp diseases and, above all, for maintaining continuity of care.
- Published
- 2024
- Full Text
- View/download PDF
41. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes.
- Author
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Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, and Strippoli GF
- Subjects
- Humans, Bias, Cause of Death, Hypoglycemic Agents therapeutic use, Hypoglycemic Agents adverse effects, Benzhydryl Compounds therapeutic use, Benzhydryl Compounds adverse effects, Glucosides therapeutic use, Glucosides adverse effects, Sodium-Glucose Transporter 2 Inhibitors therapeutic use, Sodium-Glucose Transporter 2 Inhibitors adverse effects, Renal Insufficiency, Chronic complications, Randomized Controlled Trials as Topic, Diabetes Mellitus, Type 2 drug therapy, Diabetes Mellitus, Type 2 complications, Cardiovascular Diseases prevention & control
- Abstract
Background: Diabetes is associated with high risks of premature chronic kidney disease (CKD), cardiovascular diseases, cardiovascular death and impaired quality of life. People with diabetes are more likely to develop kidney impairment, and approximately one in three adults with diabetes have CKD. People with CKD and diabetes experience a substantially higher risk of cardiovascular outcomes. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors have shown potential effects in preventing kidney and cardiovascular outcomes in people with CKD and diabetes. However, new trials are emerging rapidly, and evidence synthesis is essential to summarising cumulative evidence., Objectives: This review aimed to assess the benefits and harms of SGLT2 inhibitors for people with CKD and diabetes., Search Methods: We searched the Cochrane Kidney and Transplant Register of Studies up to 17 November 2023 using a search strategy designed by an Information Specialist. Studies in the Register are continually identified through regular searches of CENTRAL, MEDLINE, and EMBASE, conference proceedings, the International Clinical Trials Registry Platform (ICTRP) Search Portal and ClinicalTrials.gov., Selection Criteria: Randomised controlled studies were eligible if they evaluated SGLT2 inhibitors versus placebo, standard care or other glucose-lowering agents in people with CKD and diabetes. CKD includes all stages (from 1 to 5), including dialysis patients., Data Collection and Analysis: Two authors independently extracted data and assessed the study risk of bias. Treatment estimates were summarised using random effects meta-analysis and expressed as a risk ratio (RR) or mean difference (MD), with a corresponding 95% confidence interval (CI). Confidence in the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The primary review outcomes were all-cause death, 3-point and 4-point major adverse cardiovascular events (MACE), fatal or nonfatal myocardial infarction (MI), fatal or nonfatal stroke, and kidney failure., Main Results: Fifty-three studies randomising 65,241 people with CKD and diabetes were included. SGLT2 inhibitors with or without other background treatments were compared to placebo, standard care, sulfonylurea, dipeptidyl peptidase-4 (DPP-4) inhibitors, or insulin. In the majority of domains, the risks of bias in the included studies were low or unclear. No studies evaluated the treatment in children or in people treated with dialysis. No studies compared SGLT2 inhibitors with glucagon-like peptide-1 receptor agonists or tirzepatide. Compared to placebo, SGLT2 inhibitors decreased the risk of all-cause death (20 studies, 44,397 participants: RR 0.85, 95% CI 0.78 to 0.94; I
2 = 0%; high certainty) and cardiovascular death (16 studies, 43,792 participants: RR 0.83, 95% CI 0.74 to 0.93; I2 = 29%; high certainty). Compared to placebo, SGLT2 inhibitors probably make little or no difference to the risk of fatal or nonfatal MI (2 studies, 13,726 participants: RR 0.95, 95% CI 0.80 to 1.14; I2 = 24%; moderate certainty), and fatal or nonfatal stroke (2 studies, 13,726 participants: RR 1.07, 95% CI 0.88 to 1.30; I2 = 0%; moderate certainty). Compared to placebo, SGLT2 inhibitors probably decrease 3-point MACE (7 studies, 38,320 participants: RR 0.89, 95% CI 0.81 to 0.98; I2 = 46%; moderate certainty), and 4-point MACE (4 studies, 23,539 participants: RR 0.82, 95% CI 0.70 to 0.96; I2 = 77%; moderate certainty), and decrease hospital admission due to heart failure (6 studies, 28,339 participants: RR 0.70, 95% CI 0.62 to 0.79; I2 = 17%; high certainty). Compared to placebo, SGLT2 inhibitors may decrease creatinine clearance (1 study, 132 participants: MD -2.63 mL/min, 95% CI -5.19 to -0.07; low certainty) and probably decrease the doubling of serum creatinine (2 studies, 12,647 participants: RR 0.70, 95% CI 0.56 to 0.89; I2 = 53%; moderate certainty). SGLT2 inhibitors decrease the risk of kidney failure (6 studies, 11,232 participants: RR 0.70, 95% CI 0.62 to 0.79; I2 = 0%; high certainty), and kidney composite outcomes (generally reported as kidney failure, kidney death with or without ≥ 40% decrease in estimated glomerular filtration rate (eGFR)) (7 studies, 36,380 participants: RR 0.68, 95% CI 0.59 to 0.78; I2 = 25%; high certainty) compared to placebo. Compared to placebo, SGLT2 inhibitors incur less hypoglycaemia (16 studies, 28,322 participants: RR 0.93, 95% CI 0.89 to 0.98; I2 = 0%; high certainty), and hypoglycaemia requiring third-party assistance (14 studies, 26,478 participants: RR 0.75, 95% CI 0.65 to 0.88; I2 = 0%; high certainty), and probably decrease the withdrawal from treatment due to adverse events (15 studies, 16,622 participants: RR 0.94, 95% CI 0.82 to 1.08; I2 = 16%; moderate certainty). The effects of SGLT2 inhibitors on eGFR, amputation and fracture were uncertain. No studies evaluated the effects of treatment on fatigue, life participation, or lactic acidosis. The effects of SGLT2 inhibitors compared to standard care alone, sulfonylurea, DPP-4 inhibitors, or insulin were uncertain., Authors' Conclusions: SGLT2 inhibitors alone or added to standard care decrease all-cause death, cardiovascular death, and kidney failure and probably decrease major cardiovascular events while incurring less hypoglycaemia compared to placebo in people with CKD and diabetes., (Copyright © 2024 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.)- Published
- 2024
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42. Dynamic optical coherence tomography and reflectance confocal microscopy of basal cell carcinoma of the nipple-areola complex.
- Author
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Cantisani C, Taliano A, Longo C, Bortone G, Gargano L, Musolff N, and Pellacani G
- Subjects
- Female, Humans, Breast Neoplasms pathology, Breast Neoplasms diagnostic imaging, Carcinoma, Basal Cell pathology, Carcinoma, Basal Cell diagnostic imaging, Microscopy, Confocal methods, Nipples pathology, Nipples diagnostic imaging, Skin Neoplasms pathology, Skin Neoplasms diagnostic imaging, Tomography, Optical Coherence methods
- Abstract
Competing Interests: Conflicts of interest The authors declare no conflicts of interest.
- Published
- 2024
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43. Clinical and Ultrasound Efficacy of Topical Hypertonic Cream (Jovita Osmocell ® ) in the Treatment of Cellulite: A Prospective, Monocentric, Double-Blind, Placebo-Controlled Study.
- Author
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Di Guardo A, Solito C, Cantisani V, Rega F, Gargano L, Rossi G, Musolff N, Azzella G, Paolino G, Losco L, Rivieccio A, Campione E, Bianchi L, Nisticò SP, Pellacani G, and Cantisani C
- Subjects
- Humans, Female, Double-Blind Method, Prospective Studies, Adult, Middle Aged, Ultrasonography methods, Thigh diagnostic imaging, Treatment Outcome, Skin Cream therapeutic use, Administration, Topical, Cellulite drug therapy
- Abstract
Background and Objectives: Cellulite, or edemato-fibro-sclerotic panniculopathy (EFP), is characterized by dermal and hypodermal changes leading to adipose tissue accumulation and compromised venous circulation. This study investigates the efficacy of a hypertonic cream containing concentrated sodium chloride (Jovita Osmocell
® ) in addressing water retention and structural alterations in adipose tissue, aiming to interrupt the cellulite formation process. Materials and Methods: A 12-week, prospective, monocentric, double-blind, placebo-controlled study enrolled 30 female subjects with grade II or III cellulite. Patients were randomized to receive hypertonic cream or a placebo. Thigh circumference, ultrasound evaluations, and standardized photographs were collected at baseline, intermediate, and endpoint visits. Adverse events were monitored. Results: After 84 days, the hypertonic cream group exhibited a significant reduction in thigh circumference compared to the placebo group ( p = 0.0037). B-mode ultrasound examinations revealed significant changes in the parameters studied, such as the thickness of the subcutaneous tissue. No statistically significant changes were noticed in the placebo group. Volunteers reported the investigational product's pleasantness and good anti-cellulite activity, with no reported adverse events. Conclusions: The hypertonic cream demonstrated efficacy in reducing thigh circumference, addressing water retention and structural alterations in adipose tissue. The proposed mechanism involves osmosis, releasing accumulated fluids between fat cells, supporting drainage, and reducing inflammation. This study supports the efficacy and safety of hypertonic sodium chloride emulsions in cellulite treatment and confirms safety and user satisfaction.- Published
- 2024
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44. Optical Coherence Tomography as a Valuable Tool for the Evaluation of Cutaneous Kaposi Sarcoma Treated with Imiquimod 5% Cream.
- Author
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Cantisani C, Baja AV, Gargano L, Rossi G, Ardigò M, Soda G, Boostani M, Kiss N, and Pellacani G
- Abstract
Kaposi sarcoma (KS) is a rare disease that was not frequently identified before the widespread occurrence of AIDS. Even today, it remains a challenge for physicians to diagnose, particularly in its early stages, often requiring referral to specialists and further investigations. Dermoscopy, a non-invasive imaging technique, reveals a distinctive rainbow pattern that strongly indicates KS. Moreover, advanced imaging tools like optical coherence tomography (OCT) can provide additional information though specific disease-related patterns have not been fully established yet. These emerging techniques show promise in facilitating early diagnosis of skin-related KS and monitoring the effectiveness of treatments. However, biopsy remains the definitive method for confirming the disease. In this study, we present two cases of cutaneous Kaposi sarcoma, documented using OCT, both before and after treatment with imiquimod 5% cream. The study highlights the potential of OCT in evaluating disease progression and treatment response, as well as the usefulness of dermoscopy in detecting early indicators of KS. By integrating these advanced imaging techniques, the diagnosis and management of cutaneous KS could be improved, leading to timely interventions and better patient outcomes.
- Published
- 2023
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45. Daily requirement of softgel thyroxine is independent from gastric juice pH.
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Virili C, Capriello S, Stramazzo I, Brusca N, Santaguida MG, Gargano L, Bagaglini MF, Bruno G, Severi C, and Centanni M
- Subjects
- Gastric Juice, Humans, Hydrogen-Ion Concentration, Middle Aged, Tablets, Thyrotropin, Thyroxine
- Abstract
Background: Softgel levothyroxine (LT4) preparation showed a better in vitro dissolution profile at increasing pH as compared to tablet LT4 preparation. Clinical studies suggested a better performance of softgel LT4 preparation in patients with gastric disorders but whether this finding is related to gastric juice pH variation in vivo is not known., Methods: Twenty-eight hypothyroid patients (24F/4M; median age=50 treated with tablet LT4 (median dose= 1.65 µg/kg/day) and with stable thyroid stimulating hormone (TSH) values on target (<0.8-2.5> mU/l) have been shifted to softgel LT4 preparation. The dose of softgel LT4 has been titrated to obtain a similar individual serum TSH value. All subjects followed a specific treatment schedule, taking LT4 in fasting condition and then abstaining from eating or drinking for at least 1 hour. Owing to the presence of long-lasting dyspepsia or of already known gastric disorders, all patients underwent endoscopy, upon informed consent. Gastric juice has been collected during endoscopy to measure gastric pH. Then we plotted the dose of LT4 with the gastric pH obtained in vivo , before and after the switch tablet/softgel preparation in all patients., Results: Upon the switch tablet/softgel preparation, the therapeutic LT4 dose was very slightly reduced (-6%) in the whole sample. However, the individual variations revealed the existence of two populations, one without any dose reduction (A) and the other showing a dose reduction >20% (B). Upon matching with the actual gastric pH, patients with normal pH (A: n=17; 14F/3M, median 1.52) no showed a lower softgel LT4 requirement. Instead, among patients with reduced gastric acid production (B: n=11; 10F/1M, median pH 5.02) the vast majority (10/11; 91%, p<0.0001) benefited from a lower dose of softgel LT4 (median = -23%, p<0.0001). Interestingly, the dose of LT4 in tablet correlated with pH value (Spearman's ρ =0.6409; p = 0.0002) while softgel dose was independent from gastric juice pH (Spearman's ρ =1.952; p = 0.3194)., Conclusions: These findings provide evidence that softgel LT4 preparation is independent from the actual gastric pH in humans and may represent a significant therapeutic option in patients with increased LT4 requirement, owed to disorders impairing the gastric acidic output., Competing Interests: MC was invited lecturer in international symposia and received honorarium from IBSA, Pambio Noranco, CH. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Virili, Capriello, Stramazzo, Brusca, Santaguida, Gargano, Bagaglini, Bruno, Severi and Centanni.)
- Published
- 2022
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46. Levothyroxine treatment and gastric juice pH in humans: the proof of concept.
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Virili C, Bruno G, Santaguida MG, Gargano L, Stramazzo I, De Vito C, Cicenia A, Scalese G, Porowska B, Severi C, and Centanni M
- Subjects
- Gastric Juice, Humans, Hydrogen-Ion Concentration, Middle Aged, Hashimoto Disease, Thyroxine
- Abstract
Purpose: Despite the absorption of oral thyroxine (T4) occurs in the small bowel, several patients with gastric disorders show an increased need for T4. In vitro evidence suggested that medium pH variations interfere with T4 dissolution. This study was aimed at finding the proof of concept of a direct relationship between the minimal effective dose of T4 and the actual gastric juice pH., Patients and Methods: Among 311 consecutively thyroxine-treated patients, 61 bearing Hashimoto's thyroiditis (52 F/9 M; median age = 51 years) who complained persistent dyspepsia and/or upper abdominal symptoms following a noninvasive workup for gastrointestinal disorders, underwent EGDS with multiple biopsies and gastric juice pH measurement. All patients accepted to take thyroxine in fasting conditions, abstaining from eating or drinking for one hour., Results: Thyroxine requirement increased along with the rising gastric pH (ρ = 0.4229; p = 0.0007). A multivariate analysis revealed that gastric pH was, beside body mass index, the far more important independent variable in determining the effective dose of T4 (p = 0.001). The ROC curve revealed that the pH threshold for an increased thyroxine requirement was at 2.28, being the AUC by 78%. Subdividing patients by the histologic findings, it appeared a significant increase (p = 0.0025) along with the progressive damage of gastric mucosa., Conclusion: The in vivo measurement of gastric pH highlighted its key role in determining the minimal effective dose of oral T4 and may explain the interference of food, of some drugs and gut disorders on levothyroxine treatment., (© 2022. The Author(s).)
- Published
- 2022
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47. History of Methadone and Buprenorphine Opioid Agonist Therapy Among People Who Died of an Accidental Opioid-Involved Overdose: Rhode Island, January 1, 2018-June 30, 2020.
- Author
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Hallowell BD, Weidele HR, Daly M, Chambers LC, Scagos RP, Gargano L, and McDonald J
- Subjects
- Humans, Opiate Overdose mortality, Opioid-Related Disorders mortality, Risk Factors, Analgesics, Opioid therapeutic use, Buprenorphine therapeutic use, Methadone therapeutic use, Opiate Overdose drug therapy, Opiate Substitution Treatment methods, Opioid-Related Disorders drug therapy
- Abstract
To guide intervention efforts, we identified the proportion of individuals previously engaged in opioid agonist therapy among people who died of an accidental opioid-involved overdose. Most individuals (60.9%) had never received any prior buprenorphine or methadone treatment. Individuals who died of an overdose in 2020 had a similar demographic profile and treatment history compared with prior years. To prevent additional accidental opioid-involved overdose deaths, efforts should be directed toward linking individuals to care.
- Published
- 2021
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48. Recurrent Pregnancy Loss in Women with Hashimoto's Thyroiditis with Concurrent Non-Endocrine Autoimmune Disorders.
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Cellini M, Santaguida MG, Stramazzo I, Capriello S, Brusca N, Antonelli A, Fallahi P, Gargano L, Centanni M, and Virili C
- Subjects
- Adult, Female, Humans, Pregnancy, Retrospective Studies, Abortion, Habitual immunology, Autoimmune Diseases complications, Autoimmunity physiology, Hashimoto Disease complications
- Abstract
Background: An increased rate of recurrent miscarriage has been described in patients with autoimmune thyroid disease. However, there is a lack of studies that assess the rate of recurrent pregnancy loss (RPL) in patients with Hashimoto's thyroiditis (HT) isolated or with concurrent non-endocrine autoimmune disorders (NEAD). The objective of the study was to assess the rate of RPL in patients with HT isolated or accompanied with non-endocrine autoimmune diseases. Methods: This is a retrospective observational cohort study with a systematic review of the NEAD with concurrent HT in an outpatient Endocrinology Unit at a University Hospital. Among the 3480 consecutively examined women with HT, 87 patients met the criteria of RPL and represented the study group. Sixty-five of them had isolated HT and 22 women had HT+NEAD. Results: The rate of RPL in women with HT was 2.1% versus 5.64% observed in women with HT+NEAD (odds ratio = 2.78 [95% confidence interval 1.70-4.57]; p < 0.0001). On subdivision, this difference was still evident in euthyroid patients ( p < 0.0001), while it disappeared in hypothyroid women ( p = 0.21). The RPL did not correlate with the autoantibody concentrations nor in women with isolated HT nor in those with HT+NEAD. The presence of antiphospholipid syndrome (APS) explained RPL in 3 out of 22 (14%) patients with HT+NEAD, the remaining being related to different autoimmune disorders. Interestingly, even subtracting the patients with APS, RPL was more frequent in patients with poly-autoimmunity than in patients with isolated HT ( p = 0.0013). Conclusions: The co-presence of NEAD is correlated with a higher risk of RPL in women with HT. The association with APS may explain only a fraction of RPL rate in patients with poly-autoimmunity.
- Published
- 2020
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49. Dietary Patterns and Mortality in a Multinational Cohort of Adults Receiving Hemodialysis.
- Author
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Saglimbene VM, Wong G, Teixeira-Pinto A, Ruospo M, Garcia-Larsen V, Palmer SC, Natale P, Campbell K, Carrero JJ, Stenvinkel P, Gargano L, Murgo AM, Johnson DW, Tonelli M, Gelfman R, Celia E, Ecder T, Bernat AG, Del Castillo D, Timofte D, Török M, Bednarek-Skublewska A, Duława J, Stroumza P, Hansis M, Fabricius E, Felaco P, Wollheim C, Hegbrant J, Craig JC, and Strippoli GFM
- Subjects
- Cardiovascular Diseases etiology, Cardiovascular Diseases prevention & control, Cause of Death trends, Female, Follow-Up Studies, Global Health, Humans, Kidney Failure, Chronic complications, Male, Middle Aged, Prospective Studies, Survival Rate trends, Cardiovascular Diseases epidemiology, Diet methods, Feeding Behavior, Kidney Failure, Chronic therapy, Renal Dialysis
- Abstract
Rationale & Objective: Clinical practice guidelines for dietary intake in hemodialysis focus on individual nutrients. Little is known about associations of dietary patterns with survival. We evaluated the associations of dietary patterns with cardiovascular and all-cause mortality among adults treated by hemodialysis., Study Design: Prospective cohort study., Setting & Participants: 8,110 of 9,757 consecutive adults on hemodialysis (January 2014 to June 2017) treated in a multinational private dialysis network and with analyzable dietary data., Exposures: Data-driven dietary patterns based on the GA
2 LEN food frequency questionnaire. Participants received a score for each identified pattern, with higher scores indicating closer resemblance of their diet to the identified pattern. Quartiles of standardized pattern scores were used as primary exposures., Outcomes: Cardiovascular and all-cause mortality., Analytical Approach: Principal components analysis with varimax rotation to identify common dietary patterns. Adjusted proportional hazards regression analyses with country as a random effect to estimate the associations between dietary pattern scores and mortality. Associations were expressed as adjusted HRs with 95% CIs, using the lowest quartile score as reference., Results: During a median follow-up of 2.7 years (18,666 person-years), there were 2,087 deaths (958 cardiovascular). 2 dietary patterns, "fruit and vegetable" and "Western," were identified. For the fruit and vegetable dietary pattern score, adjusted HRs, in ascending quartiles, were 0.94 (95% CI, 0.76-1.15), 0.83 (95% CI, 0.66-1.06), and 0.91 (95% CI, 0.69-1.21) for cardiovascular mortality and 0.95 (95% CI, 0.83-1.09), 0.84 (95% CI, 0.71-0.99), and 0.87 (95% CI, 0.72-1.05) for all-cause mortality. For the Western dietary pattern score, the corresponding estimates were 1.10 (95% CI, 0.90-1.35), 1.11 (95% CI, 0.87-1.41), and 1.09 (95% CI, 0.80-1.49) for cardiovascular mortality and 1.01 (95% CI, 0.88-1.16), 1.00 (95% CI, 0.85-1.18), and 1.14 (95% CI, 0.93-1.41) for all-cause mortality., Limitations: Self-reported food frequency questionnaire, data-driven approach., Conclusions: These findings did not confirm an association between mortality among patients receiving long-term hemodialysis and the extent to which dietary patterns were either high in fruit and vegetables or consistent with a Western diet., (Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.)- Published
- 2020
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50. Implementing a Patient-Centered and Cost-Effective School-Based Oral Health Program.
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Mason M, Gargano L, Kumar A, and Northridge ME
- Subjects
- Adolescent, Child, Cost-Benefit Analysis, Humans, New York City, Oral Health, Patient-Centered Care economics, Program Development, School Dentistry economics
- Published
- 2019
- Full Text
- View/download PDF
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