Publications by authors named "Nicoletti G"

(1) Background: Testicular cancer, although accounting for only 0.5% to 1% of all solid male cancers, is the most common malignancy in males aged 15 to 35 years. Non-seminomatous germ cell tumors (NSGCT) represent nearly half of all testicular germ cell tumors and are associated with a more aggressive clinical course.

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Background: Reduction mammaplasty surgery is a commonly performed procedure in plastic surgery, offering significant improvements in quality of life. However, the postoperative period may be accompanied by considerable pain. In this study, we assess the impact of interpectoral block on reducing postoperative pain.

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High-grade gliomas (HGGs) represent a formidable challenge in neuro-oncology due to their aggressive nature and resistance to current therapeutic interventions, which include surgery, radiation, chemotherapy, and emerging immunotherapies. Despite these efforts, the prognosis for patients remains poor, emphasizing the urgent need for novel treatment strategies. One promising avenue of exploration is microgravity, a condition experienced during spaceflight and simulated in laboratories on Earth, which induces significant physiological changes in cells and tissues.

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Background: The dura mater, a fibrous membrane protecting the brain and spinal cord, is prone to lacerations during spinal surgery, often leading to complications such as cerebrospinal fluid (CSF) leakage. Anatomical differences in the spinal dura mater, particularly in regions under high biomechanical stress, suggest that chronic inflammatory processes may compromise its structural integrity. This pilot study investigates the molecular and anatomical characteristics of the spinal dura mater, focusing on its response to inflammation and the challenges of surgical repair.

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Background: The favorable regenerative effects of some mineral waters on wound healing have long been empirically demonstrated.

Objectives: The aim of this experimental study is to investigate the effects of an Italian salso-bromo-iodic mineral water (Rivanazzano, Italy) on an in vitro human native fibroblast culture model to identify any potential regenerative actions.

Material And Methods: Human native fibroblasts were cultured under different experimental conditions: - Dulbecco's modified Eagle's medium (DMEM) reconstituted with distilled water (control); - DMEM reconstituted with filtered mineral water collected from the spring; - DMEM reconstituted with filtered mineral water collected at the balneotherapy facility; - DMEM reconstituted with filtered, heated mineral water collected at the balneotherapy facility; - DMEM partially replaced with filtered mineral water collected from the spring at different concentrations (10%, 20%, 30%, 40%, 50%); - DMEM partially replaced with filtered, heated mineral water collected at the balneotherapy facility at different concentrations (10%, 20%, 30%, 40%, 50%); - DMEM partially replaced with filtered mineral water collected at the balneotherapy facility at different concentrations (10%, 20%, 30%, 40%, 50%).

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  • The study investigated the prevalence of REM sleep behavior disorder (RBD) among patients with spontaneous intracranial hypotension (SIH) and looked at how epidural blood patch (EBP) treatment affects brainstem structures through neuroimaging.
  • Half of the SIH patients showed confirmed RBD symptoms, and imaging revealed deep brain swelling, which improved after EBP treatment leading to changes in midbrain and pons dimensions.
  • Results suggest that measuring midbrain area could be a useful biomarker for SIH, particularly in cases of RBD, guiding clinical approaches.
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Biological and living organisms sense and process information from their surroundings, typically having access only to a subset of external observables for a limited amount of time. In this Letter, we uncover how biological systems can exploit these accessible degrees of freedom to transduce information from the inaccessible ones with a limited energy budget. We find that optimal transduction strategies may boost information harvesting over the ideal case in which all degrees of freedom are known, even when only finite-time trajectories are observed, at the price of higher dissipation.

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Metapopulation models have been instrumental in quantifying the ecological impact of landscape structure on the survival of a focal species. However, extensions to multiple species with arbitrary dispersal networks often rely on phenomenological assumptions that inevitably limit their scope. Here, we propose a multilayer network model of competitive dispersing metacommunities to investigate how spatially structured environments impact species coexistence and ecosystem stability.

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  • * A study involving 54 patients who underwent reconstructive surgery using skin grafts or local flaps assessed aesthetic outcomes through various scales evaluated by three independent surgeons.
  • * Results showed that patients receiving local flap reconstructions reported higher satisfaction in both aesthetics and functionality compared to other methods, indicating a better approach to reconstructing facial tissue defects after cancer surgery.
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  • Intraventricular glioblastomas (IVGBMs) are rare brain tumors located in the ventricular system, complicating diagnosis and treatment.
  • A systematic review of literature revealed that these tumors mostly affect middle-aged males, presenting symptoms like increased intracranial pressure and seizures, with surgical resection being the main treatment.
  • Results indicate that while surgical and adjuvant therapies are standard, outcomes are still uncertain, highlighting the need for further research to improve strategies for managing IVGBMs.
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The Basal Cell Carcinoma (BCC) is a sort of unique tumour due to its combined peculiar histological features and clinical behaviour, such as the constant binary involvement of the epithelium and the stroma, the virtual absence of metastases and the predilection of specific anatomical sites for both onset and spread. A potential correlation between the onset of BCC and a dysembryogenetic process has long been hypothesised. A selective investigation of PubMed-indexed publications supporting this theory retrieved 64 selected articles published between 1901 and 2024.

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  • Glioblastomas are aggressive brain tumors that disrupt the glymphatic system, which affects how the brain drains waste and could influence disease severity.
  • Research highlighted significant changes in lymphatic outflow and cerebrospinal fluid drainage in glioblastoma patients, suggesting the glymphatic system plays a critical role in managing these tumors.
  • The study emphasizes the need for future research to understand the molecular mechanisms behind these changes and to improve treatment strategies, including drug delivery and immunotherapy.
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Key Clinical Message: can cause rare odontogenic brain abscesses in immunocompetent patients, highlighting the importance of considering uncommon pathogens in central nervous system infections. With only three reported cases of cerebral abscesses and one pituitary abscess caused by this microorganism, tailored diagnostic methods and individualized treatment regimens are crucial for accurate management.

Abstract: Brain abscesses present diagnostic and therapeutic challenges, with infections being exceptionally rare in the central nervous system.

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  • In some small counties in southern Italy, people celebrate traditional Catholic festivals by carrying large, heavy wagons called "lilies" on their shoulders.
  • This practice has led to the development of a specific tumor on the shoulder, named the "Saint Paolino tumor," which is linked to the festival.
  • The study focuses on the clinical and pathological characteristics of this tumor, emphasizing the need to differentiate it from other similar lesions, like spontaneous lipomas and liposarcoma.
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Background: Breast hyperplasia is a condition with a significant impact on the quality of life and psychological well-being of patients. Over time, various surgical techniques have been developed to reduce breast mass, which have proven effective in improving the quality of life of women undergoing the procedure. It is not yet well described how various techniques may influence the improvement in QoL (Quality of Life).

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Botulinum toxin-A (BTX-A), a neurotoxin produced by Clostridium botulinum, was assessed for relieving implant-related pectoralis major muscle's painful spasms. In detail, 100 units of BTX-A can reduce muscle activity and, as a consequence, muscle spasms. The latter is considered the leading cause of post-operative pain after the sub-pectoral tissue expansion, sometimes leading to early expanders' removal.

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Background:  Skull metastases from follicular thyroid carcinoma (FTC) are infrequent but clinically significant, often presenting with localized pain, neurologic deficits, and cranial nerve dysfunction. Early detection and accurate diagnosis pose challenges due to their asymptomatic nature in some cases.

Methods:  A systematic literature review, conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, identified and analyzed 15 relevant studies focusing on large skull metastases in FTC.

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Cells and extracts derived from adipose tissue are gaining increasing attention not only in plastic surgery and for aesthetic purposes but also in regenerative medicine. The ability of hyaluronan (HA) to support human adipose stromal cell (hASC) viability and differentiation has been investigated. However, the compatibility of adipose tissue with HA-based formulation in terms of biophysical and rheological properties has not been fully addressed, although it is a key feature for tissue integration and in vivo performance.

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Thigh lift surgery is generally performed in patients with severe weight loss outcomes, particularly those undergoing bariatric surgery. However, there are other congenital malformation conditions that may require the same treatment, such as Beckwith Wideman syndrome.

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Background/aim: Intraventricular cerebral metastases (IVCM) are a rare but clinically significant subset of brain metastases. This systematic review aimed to provide a comprehensive analysis of IVCM by synthesizing current literature on epidemiology, clinical presentation, imaging features, pathophysiology, and treatment options.

Materials And Methods: A systematic literature search was conducted, identifying 11 relevant studies encompassing 11 studies encompassing 842 IVCM cases.

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Article Synopsis
  • Pragmatic trials are gaining importance in multiple sclerosis research as they provide real-world evidence about treatment choices.
  • A systematic review identified 48 pragmatic trials published between 1967 and 2022, mostly involving small sample sizes and focusing primarily on supportive care rather than drug interventions.
  • The findings suggest a lack of widespread use of routine data in these trials, highlighting a significant opportunity to improve the quality of evidence in MS treatment through more comprehensive, pragmatic study designs.
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Introduction: Gigantomastia, characterized by excessive breast size (usually heavier than 2.5 kg), can result from various causes and significantly affect patients' lives. Surgical intervention is often required, and over time, several techniques have been developed for its treatment.

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