Publications by authors named "Giuliani M"

Microbiome gained attention as a cofactor in cancers originating from epithelial tissues. High-risk (hr)HPV infection causes oropharyngeal squamous cell carcinoma but only in a fraction of hrHPV+ individuals, suggesting that other factors play a role in cancer development. We investigated oral microbiome in cancer-free subjects harboring hrHPV oral infection (n = 33) and matched HPV- controls (n = 30).

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Purpose: To evaluate the performance of different embryo transfer (ET) operators in a strictly controlled scenario minimizing potential confounders.

Methods: This single-center retrospective cohort study analyzed vitrified-warmed single euploid top-quality day-5 blastocyst transfers performed in non-obese women at the same IVF center by four equally trained clinicians using a standardized ET technique. These strict inclusion criteria allowed excluding all main confounders on the primary study outcome, namely clinical pregnancy rate (CPR) per ET across different operators.

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Neurodegenerative pathologies such as age-related macular degeneration currently have no cure or effective treatment. In this type of disease, the presence of amyloid-β peptides, oxidative stress, and inflammation trigger dysregulation of retinal pigment epithelial cells and progression toward the death of these cells, resulting in a loss of vision. The production of amyloid-β peptides, oxidative stress, and inflammation can be triggered in response to viral infections.

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The provision of information is critical to the care and support for cancer patients. Relevant information leads to lower anxiety, increased patient control and involvement in decision-making, greater satisfaction, and improved coping skills. To identify the unique needs of lung cancer patients and their caregivers (LPCs), a needs assessment was conducted.

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This study aimed to examine the education and training needs of health care practitioners (HCPs) in the Philippines who encounter lung oligometastatic cancer patients. Lung oligometastatic disease is among the most common sites for cancer spread and has the most established practices for treating oligometastases. A modified version of the Hennessy-Hicks Training Needs Assessment Questionnaire was administered online to HCPs working in private and public centers in the Philippines.

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Pharmaceutical active compounds (PhACs) and microplastics (MPs) have been detected in different marine compartments from coastal areas, raising concerns due to their simultaneous discharge through wastewater treatment plants (WWTPs) and the role of MPs as vectors of pollutants for marine organisms. This study investigates the biochemical effects of citalopram (CIT) and bezafibrate (BEZ) on the mussel Mytilus galloprovincialis, at environmentally relevant concentrations, and their co-exposure with high-density polyethylene (HDPE) MPs. MPs accumulated in gills and digestive glands during exposure, but they were rapidly eliminated after depuration, except for a small fraction of the smallest MPs in gills.

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Objective: To compare the effectiveness and cost of in-vitro fertilization (IVF) with or without preimplantation genetic testing for aneuploidy (PGT-A) when only one or two blastocysts are obtained.

Methods: A dataset was gathered from 1829 patients including 368 non-PGT-A and 1461 PGT-A cycles with one or two blastocysts obtained, between April 2013 and July 2022. Patients were matched 1:1 by propensity-score matching for maternal age, number of metaphase-II oocytes inseminated and number of blastocysts obtained, achieving a database of 242 patients per group.

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Background: Populations with limited English proficiency (LEP) face comprehension barriers with health information as navigating healthcare systems involves encountering health information that is written at high reading grade levels, utilizes complex medical jargon, and unfamiliar or abstract terms and concepts. Despite the serious consequences of language discordance there is limited funding available for the translation of patient education material in the public healthcare setting. In response to the imperative need to provide equal access to patient education materials to all patients, regardless of English language proficiency, some have raised the feasibility of leveraging machine translation software.

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Purpose: This study is to evaluate the effectiveness of a PPOS protocol in poor prognosis patients undergoing IVF with DuoStim and PGT-A versus the conventional protocol with GnRH antagonist.

Methods: Retrospective cohort study encompassing 444 couples obtained matching one PPOS-DuoStim with two antagonist-DuoStim cycles at a private IVF center between 2020 and 2023 (average maternal age: 40 years, average cumulus-oocyte complexes collected after the first stimulation: 5). The study was powered to exclude a two-sided different euploid blastocyst rate per MII oocytes (EBR per MII) in the two groups (alpha = 0.

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The field of radiation oncology (RO) has experienced large fluctuations in the number of applicants to residency programs. It is essential to understand the modifiable factors which influence entry. The objective of this project is to identify factors (i.

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Article Synopsis
  • The article reflects on how the Milan Approach has evolved since the time of its founders, Luigi Boscolo and Gianfranco Cecchin, while emphasizing a humble perspective from current teachers at Via Leopardi.
  • It explores the unique aspects of the Milan model, highlighting the ongoing use of key principles like hypothesizing, circularity, and curiosity that were established in the 1980s.
  • The focus is on the adaptability of the approach in response to current social and cultural issues, emphasizing a constant state of questioning and progress in clinical work rather than a fixed identity.
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  • The paper introduces a new method that combines analogue methods (AM) and deep autoencoders (AEs) for reconstructing weather data, specifically focusing on rebuilding temperature fields from sea-level pressure data.
  • The AE-AM algorithm works by using a deep AE to simplify data into a lower-dimensional space before finding similar past situations to reconstruct the current field, improving efficiency by filtering out unnecessary details.
  • Results show that the AE-AM method significantly improves the accuracy of temperature reconstructions during eight major European heat waves from 1950 to 2010, yielding skill score enhancements between 7% and 22% compared to traditional AM techniques.
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This study aims to fill a gap in understanding how customising robots can affect how humans interact with them, specifically regarding human decision-making and robot perception. The study focused on the robot's ability to persuade participants to follow its suggestions within the Balloon Analogue Risk Task (BART), where participants were challenged to balance the risk of bursting a virtual balloon against the potential reward of inflating it further. A between-subjects design was used, involving 62 participants divided evenly between customised or non-customised robot conditions.

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Skin aging is characterized by reactive oxygen species (ROS) accumulation, principal players in triggering events associated with aging. Our recent data on the ability of an innovative poly-component formulation (KARISMA Rh Collagen FACE: K formulation) to suppress the biomolecular events associated with oxidative stress-induced aging prompted us to deepen the mechanisms underlying the observed effects on aged human dermal fibroblasts (HDFs). Here, we evaluated K's ability to perform a direct free radical-scavenging action and modulate anti-oxidant systems by counteracting the inflammatory process in an HO-induced cellular senescence model.

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  • - The SABR-SYNC trial aims to evaluate the effectiveness of stereotactic ablative radiotherapy (SABR) in patients with oligometastatic cancers that have a synchronous primary tumor, addressing a gap in phase III data currently available.
  • - One hundred and eighty patients will be randomly assigned to receive either standard care treatment or standard care plus SABR, with various dosing and treatment modalities used depending on the physician's clinical judgement.
  • - The trial will focus on overall survival as the main goal, while also examining factors like progression-free survival, quality of life, and potential biomarkers from circulating tumor DNA to improve future treatment decisions.
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Purpose: Positive patient experiences can lead to better adherence to cancer treatment and greater patient health outcomes. The primary aim of this descriptive study was to determine whether commonly used cancer PREMs have been developed according to health literacy best practices. The secondary and third aims were to examine the development of PREMs and to assess their comprehensiveness against principles of patient-centered care.

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  • Major depressive disorder (MDD) is a serious mental health issue especially prevalent in older adults, often going untreated and leading to high rates of disability and mortality.
  • New therapeutic approaches are needed for geriatric MDD patients, focusing on microRNAs that target Brain-Derived Neurotrophic Factor (BDNF), which is reduced in those with MDD.
  • The review highlights the importance of using multiple microRNAs together and explores delivery methods, suggesting liposomes as the best option for treatment administration despite the challenges in developing the perfect delivery vehicle.
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Purpose: This trial examined if patients with ≤5 sites of oligoprogression benefit from the addition of SABR to standard of care (SOC) systemic therapy.

Methods And Materials: We enrolled patients with 1 to 5 metastases progressing on systemic therapy, and after stratifying by type of systemic therapy (cytotoxic vs noncytotoxic), randomized 1:2 between continued SOC treatment versus SABR to all progressing lesions plus SOC. The trial was initially limited to non-small cell lung cancer but was expanded to include all nonhematologic malignancies to meet accrual goals.

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  • Understanding how the origin of wheat affects the volatile organic compounds (VOCs) in craft wheat beer can improve quality and emphasize local products.
  • The study analyzed 17 different craft wheat beers made from various wheat types, revealing that wheat concentration was the most significant factor influencing VOCs, followed by species, age of the wheat, and altitude.
  • Various statistical methods were used to classify beers based on their VOCs profiles, highlighting the importance of wheat source and cultivation location in authenticating craft beers, which has not been thoroughly explored before.
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  • The study investigates the diversity of Meningococcal serogroup B (MenB) strains in Argentina and assesses vaccine coverage using genetic tools like gMATS and human serum bactericidal antibodies (hSBA).
  • Researchers analyzed 284 MenB isolates, identifying that the four main clonal complexes represented over 81% of the samples, with varying antigen profiles for vaccine candidates.
  • Results showed that the 4CMenB vaccine could potentially cover approximately 61.3% of strains based on gMATS predictions and 78.4% based on hSBA assay, highlighting the need for ongoing genomic monitoring of MenB in Argentina.
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Ageing represents a main risk factor for several pathologies. Among them, cardiovascular diseases (CVD) and type 2 diabetes mellitus (T2DM) are predominant in the elderly population and often require prolonged use of multiple drugs due to their chronic nature and the high proportion of co-morbidities. Hence, research is constantly looking for novel, effective molecules to treat CVD and T2DM with minimal side effects.

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Purpose: The use of stereotactic body radiation therapy for tumors in close proximity to the central mediastinal structures has been associated with a high risk of toxicity. This study (NCT03306680) aimed to determine the maximally tolerated dose of stereotactic body radiation therapy for ultracentral non-small cell lung carcinoma, using a time-to-event continual reassessment methodology.

Methods And Materials: Patients with T1-3N0M0 (≤6 cm) non-small cell lung carcinoma were eligible.

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Purpose: The Canadian Association of Radiation Oncology Annual Scientific Meeting Medical Student Research and Mentorship Award was established in 2020 to support medical students pursuing radiation oncology (RO) research and RO as a career. This study is an evaluation of the effect of this national research and mentorship award on medical students, resident mentors, and research supervisors over 3 iterations.

Methods And Materials: Three separate surveys were created for medical student mentees, RO resident mentors, and attending research supervisors.

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