Publications by authors named "Ridolfi L"

Urgent climate action, especially carbon emissions reduction, is required to achieve sustainable goals. Therefore, understanding the drivers of and predicting [Formula: see text] emissions is a compelling matter. We present two global modeling frameworks-a multivariate regression and a Random Forest Regressor (RFR)-to hindcast (until 2021) and forecast (up to 2035) [Formula: see text] emissions across 117 countries as driven by 12 socioeconomic indicators regarding carbon emissions, economic well-being, green and complexity economics, energy use and consumption.

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  • Glioblastoma (GBM) is a highly aggressive brain tumor with a poor prognosis, typically treated with surgery followed by radiotherapy and temozolomide; a trial is assessing the addition of Dendritic Cell vaccination (DCvax) to standard therapy.* ! -
  • The study is a phase II trial involving 9 patients, focusing on progression-free survival (PFS) and safety, with DCvax administered after standard treatment and showing promising early immune response results.* ! -
  • Initial findings indicate that the combination therapy is well-tolerated and achieves the initial study endpoints, allowing enrollment of additional patients to continue the research.* !
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Background And Objective: The evidence on the role of hemodynamics in aorta pathophysiology has yet to be robustly translated into clinical applications, to improve risk stratification of aortic diseases. Motivated by the need to enrich the current understanding of the pathophysiology of the ascending aorta (AAo), this study evaluates in vivo how large-scale aortic flow coherence is affected by AAo dilation and aortic valve phenotype.

Methods: A complex networks-based approach is applied to 4D flow MRI data to quantify subject-specific AAo flow coherence in terms of correlation between axial velocity waveforms and the aortic flow rate waveform along the cardiac cycle.

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Background Aims: Dendritic cells (DCs) are professional antigen-presenting cells of the mammalian immune system. Ex vivo differentiated DCs represent a unique Advanced Therapy Medicinal Product (ATMP), used in several clinical trials as personalized cancer immunotherapy. The therapy's reliability depends on its capacity to produce high-quality mature DCs (mDCs) in compliance with Good Manufacturing Practices.

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For advanced therapy medicinal products, the development and validation of potency assays are required, in accordance with international guidelines, to characterise the product and obtain reliable and consistent data. Our purpose was to validate the killing assay for the evaluation of autologous anti-CD19 chimeric antigen receptor (CAR) T potency. We used CD4 + and CD8 + lymphocytes or anti-CD19 CAR-T cells as effector cells and REH (CD19 +) or MOLM-13 (CD19 -) cell lines as target cells.

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  • Atrial fibrillation (AF) is linked to an increased risk of vascular dementia and cognitive impairment due to changes in deep cerebral blood flow, with lenticulostriate arteries (LSAs) being particularly affected.
  • The study used computational fluid dynamics (CFD) and high-resolution MRI to analyze the LSA's shape and its influence on blood flow during AF, identifying key features like MCA size and bifurcation angles.
  • Findings suggest that LSAs with larger angles and smaller MCA sizes may be more susceptible to vascular damage caused by AF, highlighting the importance of LSA morphology in cerebral hemodynamics.
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  • * This study aimed to analyze how long R-R intervals during AF affect cerebral blood flow and oxygenation using near-infrared spectroscopy (NIRS) in patients undergoing electrical cardioversion.
  • * Findings showed that long R-R intervals significantly lowered diastolic blood pressure and cerebral blood volume, with subsequent decreases in oxygen levels; these changes were temporary and smoothed out over time, suggesting the brain's regulatory mechanisms are at work in response to these blood flow fluctuations.
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Head-down tilt (HDT) has been widely proposed as a terrestrial analog of microgravity and used also to investigate the occurrence of spaceflight-associated neuro-ocular syndrome (SANS), which is currently considered one of the major health risks for human spaceflight. We propose here an in vivo validated numerical framework to simulate the acute ocular-cerebrovascular response to 6° HDT, to explore the etiology and pathophysiology of SANS. The model links cerebral and ocular posture-induced hemodynamics, simulating the response of the main cerebrovascular mechanisms, as well as the relationship between intracranial and intraocular pressure to HDT.

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A recent research project using data from a total of 40 cancer registries has provided new epidemiologic insights into the results of efforts for melanoma control in Italy between the 1990s and the last decade. In this article, the authors present a summary and a commentary of their findings. Incidence increased significantly throughout the study period in both sexes.

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Colorectal cancer (CRC) is the third most frequent cancer and the second leading cause of cancer-related deaths in Europe. About 5% of metastatic CRC (mCRC) are characterized by high microsatellite instability (MSI) due to a deficient DNA mismatch repair (dMMR), and this condition has been related to a high sensitivity to immunotherapy, in particular to the Immune Checkpoint Inhibitors (ICIs). In fact, in MSI-H or dMMR mCRC, treatment with ICIs induced remarkable response rates and prolonged survival.

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Purpose: The aims of our retrospective study investigated the role of immune system in glioblastoma (GBM), which is the most aggressive primary brain tumor in adults characterized by a poor prognosis. The recurrence rate remains high, probably due to "immune-desert" tumor microenvironment (TME) making GBM hidden from the anti-tumoral immune clearance. Considering this, we aimed to create a panel of prognostic markers from blood and tumor tissue correlating with overall survival (OS) and progression-free survival (PFS).

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Research and Development (R&D) is the common denominator of innovation and technological progress, supporting sustainable development and economic growth. In light of the availability of new datasets and innovative indicators, in this work, we introduce a novel perspective to analyse the international trade of goods through the lenses of the nexus R&D-industrial activities of countries. We propose two new indices, RDE and RDI, summarizing the R&D content of countries' export and import baskets-respectively-and investigate their evolution in time, during the period 1995-2017, and space.

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Atrial fibrillation (AF)-induced peripheral microcirculatory alterations have poorly been investigated. The present study aims to expand current knowledge through a beat-to-beat analysis of non-invasive finger photoplethysmography (PPG) in AF patients restoring sinus rhythm by electrical cardioversion (ECV). Continuous non-invasive arterial blood pressure and left middle finger PPG pulse oximetry waveform (POW) signals were continuously recorded before and after elective ECV of consecutive AF or atrial flutter (AFL) patients.

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  • A study looked at how stopping anti-PD1 treatment affects patients with advanced melanoma, focusing on those who stopped without their disease getting worse.
  • Researchers checked records from 23 hospitals in Italy and found that out of 237 patients, more than half stopped treatment because their cancer showed complete response (CR).
  • After about 21 months of follow-up, a high percentage (85.7%) of patients had no signs of their cancer getting worse after stopping treatment, but some (14.3%) did see their cancer progress again.
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Cancer immunotherapy embraces many current, promising therapeutic approaches to eradicate tumors by activating host antitumor activity [...

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Breast cancer represents one of the most common tumor histologies. To date, based on the specific histotype, different therapeutic strategies, including immunotherapies, capable of prolonging survival are used. More recently, the astonishing results that were obtained from CAR-T cell therapy in haematological neoplasms led to the application of this new therapeutic strategy in solid tumors as well.

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Pressure-flow travelling waves are a key topic for understanding arterial haemodynamics. However, wave transmission and reflection processes induced by body posture changes have not been thoroughly explored yet. Current research has shown that the amount of wave reflection detected at a central level (ascending aorta, aortic arch) decreases during tilting to the upright position, despite the widely proved stiffening of the cardiovascular system.

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Atrial fibrillation (AF) is the most common cardiac arrhythmia, inducing irregular and faster heart beating. Aside from disabling symptoms-such as palpitations, chest discomfort, and reduced exercise capacity-there is growing evidence that AF increases the risk of dementia and cognitive decline, even in the absence of clinical strokes. Among the possible mechanisms, the alteration of deep cerebral hemodynamics during AF is one of the most fascinating and least investigated hypotheses.

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Background and Aim: Exercise-induced pulmonary hypertension (ExPH) predicts clinical outcomes, such as all-cause mortality and cardiovascular (CV) hospitalizations, in patients with dyspnea on effort. We investigated its prognostic significance in human immunodeficiency virus (HIV)-affected patients. Methods: In 52 consecutive HIV patients with either low (n = 47) or intermediate probability (n = 5) of PH at rest, we evaluated—at time 0 and after 2 years—the prognostic determinants of CV risk, according to the 2015 European Society of Cardiology (ESC)/European Respiratory Society (ERS) Guidelines.

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Atrial fibrillation (AF) is the most common clinical tachyarrhythmia, posing a significant burden to patients, physicians, and healthcare systems worldwide. With the advent of more effective rhythm control strategies, such as AF catheter ablation, an early rhythm control strategy is progressively demonstrating its superiority not only in symptoms control but also in prognostic terms, over a standard strategy (rate control, with rhythm control reserved only to patients with refractory symptoms). This review summarizes the different impacts exerted by AF on heart mechanics and systemic circulation, as well as on cerebral and coronary vascular beds, providing computational modeling-based hemodynamic insights in favor of pursuing sinus rhythm maintenance in AF patients.

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Objective: The need for distilling the hemodynamic complexity of aortic flows into clinically relevant quantities resulted in a loss of the information hidden in 4D aortic fluid structures. To reduce information loss, this study proposes a network-based approach to identify and characterize in vivo the large-scale coherent motion of blood in the healthy human aorta.

Methods: The quantitative paradigm of the aortic flow as a "social network" was applied on 4D flow MRI acquisitions performed on forty-one healthy volunteers.

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Advanced therapy medical products (ATMPs) are rapidly growing as innovative medicines for the treatment of several diseases. Hence, the role of quality analytical tests to ensure consistent product safety and quality has become highly relevant. Several clinical trials involving dendritic cell (DC)-based vaccines for cancer treatment are ongoing at our institute.

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Centrality metrics aim to identify the most relevant nodes in a network. In the literature, a broad set of metrics exists, measuring either local or global centrality characteristics. Nevertheless, when networks exhibit a high spectral gap, the usual global centrality measures typically do not add significant information with respect to the degree, i.

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