Publications by authors named "SALVI M"

Objective: In this paper, we explore the correlation between performance reporting and the development of inclusive AI solutions for biomedical problems. Our study examines the critical aspects of bias and noise in the context of medical decision support, aiming to provide actionable solutions. Contributions: A key contribution of our work is the recognition that measurement processes introduce noise and bias arising from human data interpretation and selection.

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Objective: Stain normalization is a technique used to standardize the color appearance of digital whole slide images (WSIs). This study aimed to assess the impact of digital stain normalization on prostate cancer diagnosis by pathologists.

Methods: A multi-institutional board of four pathologists evaluated 407 hematoxylin and eosin (H&E) prostate WSIs before and after stain normalization.

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The photoelectrochemical oxidation of 5-hydroxymethylfurfural (HMF), a biomass-derived intermediate, to 2,5-furandicarboxylic acid (FDCA), a key building block for industrial applications, is a well-studied anodic reaction. This photoelectrochemical (PEC) conversion typically requires an electron mediator, such as TEMPO, regardless of the semiconductor used. Various electrocatalysts can also perform this reaction electrochemically, without additional organic species in the electrolyte.

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Generative Adversarial Networks (GANs) have emerged as a powerful tool in artificial intelligence, particularly for unsupervised learning. This systematic review analyzes GAN applications in healthcare, focusing on image and signal-based studies across various clinical domains. Following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, we reviewed 72 relevant journal articles.

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Chronic myeloid leukemia (CML) is characterized by the fusion protein BCR::ABL1, a constitutively active tyrosine kinase. The frontline treatment, represented by tyrosine kinase inhibitors (TKIs), has dramatically improved the clinical outcomes of patients. However, TKI resistance through various mechanisms has been reported.

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Background: Targeted and immune therapies have recently been associated with the occurrence of multiple cutaneous toxicities, often challenging to differentiate by clinical examination alone without histology. Line-field confocal optical coherence tomography (LC-OCT) is a non-invasive and innovative imaging technique that has been shown to be almost as effective as histology in diagnosing several skin conditions. Our study aimed to assess the effectiveness of LC-OCT in predicting the clinical evolution of early maculopapular eruptions related to antineoplastic targeted therapy and immunotherapy.

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Article Synopsis
  • Age-related loss of muscle strength and mass, known as sarcopenia, can negatively impact postoperative recovery in older patients, especially those with severe osteoarthritis who need knee surgery.
  • This study reviews existing literature on the effectiveness of prehabilitation and dietary supplementation in improving outcomes for older sarcopenic patients before knee arthroplasty, focusing on interventions that enhance physical function and surgical resilience.
  • Combining exercise training with nutrient supplementation may lead to better functional capacity and reduced surgical complications, highlighting the importance of addressing both sarcopenia and osteoarthritis in this demographic.
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: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites.

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  • - The study investigates the link between lifestyle factors and weight gain in people living with HIV (PLWH) undergoing antiretroviral therapy (ART), as previous research primarily focused on the effects of ART alone.
  • - A total of 175 PLWH aged 18-65 from a clinic in Italy will be involved in a prospective observational study, where they will complete questionnaires on various health behaviors and undergo physical assessments at baseline and after 12 months.
  • - The research aims to determine how modifiable lifestyle factors, like diet and physical activity, influence the risk of overweight and obesity among PLWH experiencing weight gain, with results planned for publication in reputable journals.
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  • Female sexual dysfunction is common among women worldwide, especially those living with chronic conditions like HIV, yet there is limited research on this topic.
  • The review aims to summarize the current understanding of sexual dysfunction specifically in women living with HIV, considering various influencing factors such as biological, psychological, and sociocultural aspects.
  • A comprehensive clinical approach that addresses the complexities of sexual dysfunction could enhance the sexual health and overall quality of life for women living with HIV.
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Background: Factors to accurately stratify patients with early-stage non-small cell lung cancer (NSCLC) in different prognostic groups are still needed. This study aims to investigate 1) the prognostic potential of circulating cell-free (CF) and extracellular vesicles (EVs)-derived microRNA (miRNAs), and 2) their added value with respect to known prognostic factors (PFs).

Methods: The RESTING study is a multicentre prospective observational cohort study on resected stage IA-IIIA patients with NSCLC.

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  • Haemodynamic variables like right atrial pressure and cardiac index are important in predicting survival for patients with pulmonary arterial hypertension (PAH), but additional prognostic factors are needed for better risk assessment.* -
  • This study included 794 treatment-naïve PAH patients, evaluating various clinical and haemodynamic parameters before and after first-line therapy to identify relevant prognostic indicators through multivariate analysis.* -
  • Results showed that certain haemodynamic measures, while not providing additional value over existing ESC/ERS risk tools for all-cause death, were useful for predicting combined outcomes like death and hospitalizations, showing comparable effectiveness.*
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Count Neipperg (1775-1829), the morganatic husband of Maria Luigia of Habsburg, Napoleon's former wife, presented with typical heart failure symptoms and died of bilateral bronchopneumonia. Neipperg's case is an example of the conflict in the medical field, which led to the birth of modern evidence-based medicine (EBM), and although Neipperg died almost 200 years ago, his case presents the same critical issues that more complex geriatric patients face today. First, the attending physicians provided divergent opinions without reaching an agreement.

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  • AI models can enhance patient management by utilizing digital health records, with machine-learning (ML) and deep-learning (DL) techniques improving clinical processes.
  • Medical imaging machines are becoming more intelligent through these models, aiding physicians in decision-making and increasing clinical efficiency.
  • This review provides an easy-to-understand guide for physicians on key evaluation metrics for AI models, highlights the development of four diagnostic models for breast cancer, and offers practical applications for interpreting model outputs.
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Barrier layers against intermetallic diffusion are a fundamental part on engineering electroplated coatings as they improve the lifetime of goods reducing wastes and improving the sustainability of the production chain. This study aims to set a cost-effective methodology to characterize barrier systems by evaluating the effectiveness with a recent approach based on XRF and EDS and characterize the kinetic of diffusion processes with X-ray diffractometry. Several high fashion barrier systems were tested highlighting that anticorrosion systems are not automatically suited as barrier layers for intermetallic diffusion, as opposed to industrial practice.

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Objective: The objective of this study was to describe reported adverse events (AEs) associated with elexacaftor/tezacaftor/ivacaftor (ETI) in a pediatric sample with cystic fibrosis (CF) aged 6-18 years, with at least one F508del variant, followed at multiple Italian CF centers.

Study Design: This was a retrospective, multicenter, observational study. All children receiving ETI therapy from October 2019 to December 2023 were included.

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Recent years have ushered in a transformative era in in vitro modeling with the advent of organoids, three-dimensional structures derived from stem cells or patient tumor cells. Still, fully harnessing the potential of organoids requires advanced imaging technologies and analytical tools to quantitatively monitor organoid growth. Optical coherence tomography (OCT) is a promising imaging modality for organoid analysis due to its high-resolution, label-free, non-destructive, and real-time 3D imaging capabilities, but accurately identifying and quantifying organoids in OCT images remain challenging due to various factors.

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Cystic Fibrosis (CF) is a genetic disease caused by mutations in CFTR gene expressing the anion selective channel CFTR located at the plasma membrane of different epithelial cells. The most commonly investigated variant causing CF is F508del. This mutation leads to structural defects in the CFTR protein, which are recognized by the endoplasmic reticulum (ER) quality control system.

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Dopamine is a key neurotransmitter involved in physiological processes such as motor control, motivation, reward, cognitive function, and maternal and reproductive behaviors. Therefore, dysfunctions of the dopaminergic system are related to a plethora of human diseases. Dopamine, via different circuitries implicated in compulsive behavior, reward, and habit formation, also represents a key player in substance use disorder and the formation and perpetuation of mechanisms leading to addiction.

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Article Synopsis
  • The study aimed to determine if delays in surgery for prostate cancer patients undergoing robot-assisted radical prostatectomy (RARP) are linked to a higher likelihood of cancer progression (pathological upstaging).
  • A total of 2017 patients with various risk categories for prostate cancer were analyzed, finding that the average time from diagnosis to treatment varied by risk level, with localized high-risk patients experiencing delays.
  • Results indicated that delays in surgery, particularly for localized high-risk cases, could increase the risk of worse pathological outcomes, suggesting timely intervention is important.
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  • AI models trained on diverse studies can yield better research insights, but differences in imaging protocols can create inconsistencies that limit data integration.
  • A systematic review analyzed literature from 2013 to 2023 on image harmonization methods used in multi-center medical imaging studies, highlighting various techniques and their benefits.
  • Results showed that image harmonization significantly boosts AI performance across multiple imaging fields, paving the way for enhanced healthcare through standardized data and improved analysis capabilities.*
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Schistosomiasis is a neglected parasitic disease linked to water, posing a global public health concern with a significant burden in sub-Saharan Africa. It is transmitted by spp., causing both acute and chronic effects affecting the urogenital or the hepato-intestinal system.

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