Publications by authors named "Piccoli M"

Minimally invasive surgery (MIS) for adrenal glands is becoming increasingly developed worldwide and robotic surgery has advanced significantly. Although there are still concerns about the generalization of outcomes and the cost burden, the robotic platform shows several advantages in overcoming some laparoscopic shortcomings. A systematic review and meta-analysis were conducted using the PubMed, MEDLINE and Cochrane library databases of published articles comparing RA and LA up to January 2024.

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  • * Behavioral tests showed that both PIL and vit-D led to depressive and anxious behaviors, along with cognitive impairments, but vit-D reduced harmful IgM and IgG deposits in the brain after 6 months.
  • * The findings suggest that the PIL model effectively represents systemic lupus erythematosus (SLE) with neuropsychiatric manifestations, indicating vit-D's potential for reducing brain inflammation while improving memory without affecting anxiety or depression.
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  • The study evaluates the use of biologic and targeted synthetic drugs for treating psoriatic arthritis (PsA) in Italy, specifically focusing on the role of biosimilar drugs.
  • Conducted over four years at eight hospital pharmacies, the research tracked patients new to treatment, assessing their persistence and adherence to medication using the proportion of days covered (PDC).
  • Findings revealed that patients on biosimilars showed better adherence and persistence than those on originators, and utilizing biosimilars resulted in significant cost savings, highlighting their potential benefits in healthcare resource optimization.
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Introduction: The successful integration of socially assistive robots in geriatric care settings hinges on the attitudes and opinions of healthcare professionals. This study explored their needs, expectations, and perceptions regarding robot use, including facilitating factors and barriers to implementation.

Methods: Twenty professionals participated in semi-structured interviews that covered topics such as robot applications, perceived value, acceptance criteria, prerequisites for deployment, ethical considerations, and design attributes.

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Following ischemic stroke astrocytes undergo rapid molecular and functional changes that may accentuate tissue damage. In this study we identified the neurotrophin receptor TrkB in astrocytes as a key promoter of acute CNS injury in ischemic stroke. In fact, TrkB protein was strongly upregulated in astrocytes after human and experimental stroke, and transgenic mice lacking astrocyte TrkB displayed significantly smaller lesion volume, lower brain atrophy and better motor performance than control animals after transient middle cerebral artery occlusion.

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  • Patients with Brugada syndrome (BrS) face dangerous heart rhythm issues, and diagnosing it can be tricky due to atypical ECG patterns and the limited detectability of genetic markers like SCN5A variants.
  • A study screened plasma from 50 BrS patients and found that 90% had anti-NaV1.5 autoantibodies, which were absent in 94% of control participants, indicating these autoantibodies could be a reliable diagnostic tool.
  • The presence of these autoantibodies not only affects sodium current density but also induces Brugada-like ECG changes in experimental models, suggesting an autoimmune aspect to BrS that should be considered along with genetic factors.
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Scientific advancements in bottom-up synthetic biology have led to the development of numerous models of synthetic cells, or protocells. To date, research has mainly focused on increasing the (bio)chemical complexity of these bioinspired micro-compartmentalized systems, yet the successful integration of protocells with living cells remains one of the major challenges in bottom-up synthetic biology. In this review, we aim to summarize the current state of the art in hybrid protocell/living cell and prototissue/living cell systems.

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  • - The study investigated the effectiveness of robotic right colectomy (RRC) compared to laparoscopic right colectomy (LRC) for nonmetastatic pT4 colon cancer, focusing on surgical outcomes like cancer removal success, complication rates, and recovery times.
  • - Results showed similar cancer removal rates and lymph node retrieval between RRC and LRC, but RRC had advantages like fewer conversions to open surgery, less blood loss, and fewer postoperative complications.
  • - Both surgical methods had comparable long-term survival rates, indicating that RRC is a viable option for treating pT4 right colon cancer with better short-term results than LRC.
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Glucosamine-chitosan synthesized by the Maillard reaction was combined with montmorillonite to obtain a nanohybrid composite to immobilize horseradish peroxidase. The material combines the advantageous properties of clay with those of the chitosan derivative; has improved water solubility and reduced molecular weight and viscosity; involves an eco-friendly synthesis; and exhibits ion exchange capacity, good adhesiveness, and a large specific surface area for enzyme adsorption. The physicochemical characteristics of the composite were analyzed by infrared spectroscopy and X-ray diffraction to determine clay-polycation interactions.

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  • This study looks at how often and consistently patients with psoriasis use different drugs over 1 to 5 years, specifically focusing on medications like Adalimumab and others.
  • Researchers used real-life data to measure how well patients adhered to their treatment plans using the Proportion of Days Covered (PDC) method.
  • While adherence to treatment was generally good, the study found that persistence (the duration patients stay on treatment) dropped significantly after the second year, highlighting the need for better strategies to encourage long-term treatment.
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  • This study compares two surgical methods, Hartmann's procedure (HP) and resection with primary anastomosis (RPA), for treating acute left-sided colonic emergencies among 1215 patients from 204 centers globally.
  • Results showed that while HP was the more common treatment (57.3%), RPA was favored for younger patients with fewer health issues and those needing surgery sooner.
  • The study concluded that although HP is still widely used, RPA might be the better option, emphasizing the importance of patient characteristics and surgeon experience in determining treatment choice.
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Background: Robot-assisted radical prostatectomy (RARP) with extended lymphadenectomy (ePLND) is the gold standard for surgical treatment of prostate cancer (PCa). Recently, the en-bloc ePLND has been proposed but no studies reported on the standardization of the technique. The aim of the study is to describe different standardized en-bloc ePLND, the antegrade and the retrograde ePLND, and to compare their surgical and oncological outcomes.

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  • This study compares the costs and effectiveness of minimally invasive rectus abdominal diastasis (RAD) repair with standard care (SOC) from the perspectives of both Italy's National Healthcare Service and society.
  • Results show that while the SOC costs are higher overall, RAD repair offers better quality-adjusted life years (QALYs), indicating improved patient outcomes despite higher NHS costs per patient.
  • The findings suggest that increasing the use of RAD repair could lead to substantial societal benefits, highlighting the importance of economic evaluations in healthcare decision-making and resource allocation.
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Elder abuse and neglect in institutions is frequent, but is still not studied enough. This study aims to better understand the risks of elder abuse, through daily experiences of health professionals. This is a monocentric, qualitative study, with semi-structured interviews of health professionals working in a geriatric hospital.

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Thyroid surgery is characterized by large volumes and typically affects a young female population. Mini-invasive or remote access surgical techniques are born driven by the desire to improve aesthetic outcomes of the traditional technique, following technological advances that have upset the surgical world in the last 20 years. In our multicenter, retrospective observational study, we first compared an endoscopic technique with a robotic one: minimally invasive video-assisted thyroidectomy (MIVAT) and robot-assisted transaxillary thyroidectomy (RATT).

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Brugada Syndrome (BrS) is a genetic heart condition linked to sudden cardiac death. Though the gene is primarily associated with BrS, there is a lack of comprehensive studies exploring the connection between mutation locations and the clinical presentations of the syndrome. This study aimed to address this gap and gain further understanding of the syndrome.

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  • The study aimed to evaluate adherence, persistence, and costs associated with biologic disease-modifying antirheumatic drugs (bDMARDs) in patients with Rheumatoid Arthritis across nine Italian hospital pharmacies.
  • Researchers analyzed several bDMARDs, comparing the actual medication taken by patients (Received Daily Dose) to what was prescribed (Prescribed Daily Dose) to measure adherence and the length of time patients continued with each drug (persistence).
  • Results indicated that adherence was generally high (over 0.8) for all drugs, but patients had difficulty maintaining treatment over longer periods, with median persistence ranging between 1.3 and 1.8 years.
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Objective: To gain insight into the global practice of robot-assisted minimally invasive gastrectomy (RAMIG) and evaluate perioperative outcomes using an international registry.

Background: The techniques and perioperative outcomes of RAMIG for gastric cancer vary substantially in the literature.

Methods: Prospectively registered RAMIG cases for gastric cancer (≥10 per center) were extracted from 25 centers in Europe, Asia, and South-America.

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In the search for effective antivirals against Paramyxoviridae, the dynamics of human parainfluenza virus type 1 hemagglutinin-neuraminidase (hPIV1-HN) inhibition offers a promising perspective. This study focuses on the potential of C5- and C4-modified 2,3-unsaturated sialic acid (DANA) inhibitors and highlights their interaction with the hPIV1-HN enzyme. We show that a strategic substitution, replacing the C5 isopropyl group in BCX 2798 with a trifluoroacetyl function, increases inhibitory potency 3- to 4-fold.

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  • Stayability (STAY) assesses how long female cattle remain productive by evaluating their performance at each calving event, providing early insights into their longevity.
  • The study analyzed connections between STAY and various traits like age at first calving (AFC), days to calving (DC), weaning weight (WW), and yearling weight (YW) using data from different cattle breeds.
  • Results showed that certain traits (AFC, DC, WW—maternal effects) positively impacted the likelihood of selecting for STAY, while the influence of WW (direct effect) varied by breed, with YW showing breed-dependent impacts on its connection to STAY.
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