Publications by authors named "Giovanni Rossi"

Objectives: A multicentre European randomized control trial - European Uncomplicated Type B Aortic Repair (EU-TBAR) is being developed to compare pre-emptive TEVAR with custom-made devices vs conventional OMT. The pre-trial set-up is confluent on different pillars, including evaluation of 1) European activity, trends, and governance, 2) outcome reporting, and 3) cost evaluation. This article aimed to demonstrate the observational cross-sectional survey results from participating centres and highlight the risk assessment, activity, practices, and governance of uncomplicated type B aortic dissection (uTBAD).

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  • * Despite the known association with complement activation, evidence shows that microvascular inflammation and endothelial damage can occur independently of this system, particularly in late AMR (>6 months post-transplant).
  • * The review discusses differences in mechanisms and clinical features between early and late AMR, suggesting that treatment strategies should reflect these variations in underlying inflammatory processes and complement activation levels.
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Background: Molecular characterization is pivotal for managing non-small cell lung cancer (NSCLC), although this process is often time-consuming and patients' conditions might worsen while molecular analyses are processed. Our primary aim was to evaluate the performance of "up-front" next-generation sequencing (NGS) through liquid biopsy (LB) of hospitalized patients with newly detected lung neoplasm in parallel with conventional diagnosis. The secondary aim included longitudinal monitoring through LB of patients with oncogenic alterations at baseline.

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Microvascular inflammation (MVI), defined as the presence of glomerulitis and/or peritubular capillaritis, is the key histological lesion of anti-HLA donor-specific antibodies (DSA)-related antibody mediated rejection, but recently other possible mechanisms of MVI have emerged. However, except for peritubular capillary C4d deposition that is more frequently observed in the presence of anti-HLA-DSA, histological features are similar regardless of MVI origin. Therefore, accurately describing patterns of MVI may help differentiate etiologies and drive therapeutic choices.

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Early-onset systemic lupus erythematous (SLE) is a distinct clinical entity characterized by the onset of disease manifestations during childhood. Despite some similarities to patients who are diagnosed during adulthood, early-onset SLE typically displays a greater disease severity, with aggressive multiorgan involvement, lower responsiveness to classical therapies, and more frequent flares. Lupus nephritis is one of the most severe complications of SLE and represents a major risk factor for long-term morbidity and mortality, especially in children.

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Immune checkpoint inhibitors (ICIs) have revolutionized the management of advanced non-small cell lung cancer (NSCLC), although patient survival is still unsatisfactory. Accurate predictive markers capable of personalizing the treatment of patients with NSCLC are still lacking. Circulating extracellular vesicles involved in cell-to-cell communications through miRNAs (EV-miRs) transfer are promising markers.

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Objective: This study aimed to analyze early and midterm results of custom-made proximal scallop and fenestrated stent grafts for thoracic endovascular aortic repair (TEVAR) with a proximal landing zone (PLZ) in the aortic arch.

Methods: All consecutive patients treated with the custom made proximal scalloped and fenestrated Relay stent grafts (Terumo Aortic Bolton Medical Inc.) in 10 Italian centers between January 2014 and December 2022 were included.

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  • * The study focuses on three children with monogenic systemic lupus erythematosus (SLE) due to DNASE1L3 variants who experienced severe kidney issues, showing different types of glomerulonephritis.
  • * Findings revealed a connection between DNASE1L3-related kidney issues and interferon signaling, suggesting potential benefits of targeted interferon therapies to improve patient outcomes.
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This study describes and explores the application of no-restraint policies in General Hospital Psychiatric Units (GHPUs) in Italy, a country pioneering in deinstitutionalization and psychiatric reform. The research aims to assess the organizational characteristics and effectiveness of no-restraint practices, contributing to the global discourse on humane psychiatric care. Following a purposive sampling approach, a nationwide descriptive study was conducted involving a detailed online survey distributed to 24 GHPUs actively engaged in or aspiring toward no-restraint practices.

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Social interaction is organized around norms and preferences that guide our construction of actions and our interpretation of those of others, creating a reflexive moral order. Sociological theory suggests two possibilities for the type of moral order that underlies the policing of interactional norm and preference violations: a morality that focuses on the of violations themselves and a morality that focuses on the of actors as they maintain their conduct's comprehensibility, even when they depart from norms and preferences. We find that actors are more likely to reproach interactional violations for which an account is not provided by the transgressor, and that actors weakly reproach or let pass first offenses while more strongly policing violators who persist in bad behavior.

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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. A 12-week, prospective, monocentric, double-blind, placebo-controlled study enrolled 30 female subjects with grade II or III cellulite.

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IgA nephropathy (IgAN) is the most common primary glomerulonephritis worldwide. IgAN causes end-stage kidney disease (ESKD) in 30-40% of all cases. The activation of the complement system by pathological circulating IgAs, which is often associated with low serum C3 levels (LowC3), seems to play a crucial role.

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  • The study examines the necessity of treatment with intravenous steroids versus clinical follow-up for kidney transplant recipients diagnosed with "borderline" acute T-cell mediated rejection (TCMR).
  • Researchers followed 59 patients over 12 months, comparing the groups receiving treatment (TRT) and those with simple clinical follow-up (F-UP), measuring trends in renal function through estimated glomerular filtration rate (eGFR).
  • Results showed that while the TRT group initially had lower kidney function, they reached comparable eGFR levels to the F-UP group after 12 months, indicating that treatment may be beneficial in cases with indication biopsies.
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The number of vascular centers performing endovascular repair of ascending aortic disease is constantly increasing. Accordingly to the guidelines, open surgical repair remains the gold standard for these pathologies. However, approximately one quarter of patients are deemed unfit for open surgery.

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Purpose: Pembrolizumab-based regimens are conditioned by the expression of PD-L1, but durable response rate is limited by innate and acquired resistance mechanisms. Here, we focus on osteopontin (OPN), an upfront biomarker of senescence, which closely associated with natural history of non-small cell lung cancer (NSCLC).

Methods: Seventy-nine patients eligible to pembrolizumab regimens-alone or in combination with chemotherapy-as first-line treatment of advanced NSCLC were enrolled.

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Objective: The aim of this study was to investigate the mid-term results of stented-assisted balloon-induced intimal disruption and relamination (STABILISE) in patients with aortic dissection with the implementation of volumetric analysis.

Methods: This was a single-center retrospective analysis of prospectively collected data. From May 2017 to September 2022, 42 patients underwent STABILISE for acute complicated or subacute high-risk aortic dissection.

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  • Agmination and satellitosis in pigmented blue lesions are poorly understood phenomena that can appear in various skin conditions, including benign and malignant lesions like blue nevi and melanoma.
  • Non-invasive imaging technologies, such as dermoscopy, reflectance confocal microscopy (RCM), and dynamic Optical coherence tomography (D-OCT), can assist in diagnosing skin cancers but have limitations in studying these lesions.
  • The paper presents four new cases of agminated pigmented lesions and emphasizes the need for more literature and clinical-pathological correlations to improve diagnostic confidence among clinicians.
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Small cell lung cancer (SCLC) has been historically considered a homogeneous disease and thus approached as a single entity when it comes to clinical studies design and new treatments developments. However, increasing knowledge in the genetic and molecular landscape of this disease challenges this concept, opening the possibility that different subtypes might show differential vulnerability to treatments. In this narrative review, we gather the most relevant advances in genetic and molecular characterization of SCLC, focusing on how these discoveries may be used to design the path for a personalized treatment approach.

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Background: Lung cancer patients diagnosed following emergency admission often present with advanced disease and poor performance status, leading to suboptimal treatment options and outcomes. This study aimed to investigate the clinical and molecular characteristics, treatment initiation, and survival outcomes of these patients.

Methods: We retrospectively analyzed data from 124 patients diagnosed with lung cancer following emergency admission at a single institution.

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  • * Research found that the EphB6 receptor is significantly overexpressed in T-ALL, particularly in a small cell population that exhibits high LIC activity and is associated with poor clinical outcomes.
  • * Targeting EphB6+ cells may offer a new therapeutic strategy for treating T-ALL, as they play a crucial role in the disease’s progression and resistance to standard treatments.
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