Publications by authors named "Senatore S"

Introduction: Here we reported the virological, entomological and epidemiological characteristics of the large autochthonous outbreak of dengue (DENV) occurred in a small village of the Lombardy region (Northern Italy) during summer 2023.

Methods: After the diagnosis of the first autochthonous case on August 18, 2023, public health measures, including epidemiological investigation and vector control measures, were carried out. A serological screening for DENV antibodies detection was offered to the population.

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Runners often reduce their pace during inclined running to maintain a constant metabolic workload, known as iso-efficiency speed (a speed-incline combination with the same metabolic intensity as level running). This study investigates changes in lower extremity (LE) joint work profiles when running on an incline at iso-efficiency speed. Eleven collegiate distance runners completed a treadmill running task under three conditions (0%, 4%, and 8% incline).

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In line with European trends, since 2023 Lombardy (Northern Italy) is experiencing a resurgence of measles and an increased number of reported cases of fever and rash. Measles discarded cases observed in our region within the context of measles and rubella surveillance from the first few months of 2024 (N = 30) were investigated for parvovirus B19 (B19V) and other rash-associated viruses. Thirteen cases tested positive for B19V DNA, representing a significant increase from previous years (on average 3 cases per year, p < 0.

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Since late 2023, the Metropolitan City of Milan and surrounding areas (northern Italy) have been experiencing a resurgence of measles, with most cases detected starting from January 2024. During this brief period, we observed measles in travellers from endemic areas, participants in international events, vaccinees and healthcare workers. Indigenous cases have also been identified.

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Article Synopsis
  • In August 2023, six cases of dengue virus 1 were reported in Lodi province, Lombardy, indicating local transmission in an area where the mosquito vector exists.
  • Four of these cases required hospitalization, but there were no fatalities.
  • The dengue strains found are closely related to those from Peru and Brazil, emphasizing the need for ongoing surveillance of tropical diseases in densely populated northern Italy.
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Human-in-the-loop optimization algorithms have proven useful in optimizing complex interactive problems, such as the interaction between humans and robotic exoskeletons. Specifically, this methodology has been proven valid for reducing metabolic cost while wearing robotic exoskeletons. However, many prostheses and orthoses still consist of passive elements that require manual adjustments of settings.

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  • Individuals at risk for adverse COVID-19 outcomes were offered telephone triage and consultations by General Practitioners (GPs) during the first wave of the epidemic, with a focus on education and prevention rather than clinical interventions.
  • A total of 127,292 patients aged 70 and older, with comorbidities, were assigned to GPs for these consultations, which included discussing risks and preventive measures against COVID-19.
  • Results showed that contacted patients exhibited higher vaccination rates and greater access to therapies, whereas non-contacted patients faced higher risks of COVID-19 infection and related hospitalizations.
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Rituximab (RTX) is a monoclonal antibody directed against CD20 antigen indicated in an increasing number of immune-mediated diseases. While its efficacy in pemphigus vulgaris has been widely investigated, only a few data about its possible role in pemphigoid diseases have been reported in the literature. Accordingly, herein we evaluated a case series of patients with mucous membrane pemphigoid (MMP) treated with RTX.

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Background: In the context of the fourth wave of the COVID-19 pandemic in Italy, which occurred in correspondence with the outbreak of the Omicron variant, it became fundamental to assess differences in the risk of severe disease between the Omicron variant and the earlier SARS-CoV-2 variants that were still in circulation despite Omicron becoming prevalent.

Methods: We collected data on 2,267 genotyped PCR-positive swab tests and assessed whether the presence of symptoms, risk of hospitalization, and recovery times were significantly different between Omicron and the earlier variants. Multivariable models adjusted for sex, age class, citizenship, comorbidities, and symptomatology allowed assessing the difference in outcomes between Omicron and the earlier variants according to vaccination status and timing of administration.

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  • An investigation into breakthrough measles cases in Northern Italy from 2017 to 2021 revealed that 7.8% of confirmed infections occurred in vaccinated individuals, indicating that the live-attenuated vaccine does not guarantee complete protection.
  • Among vaccinated patients, 69.4% demonstrated secondary vaccine failure, with non-responders being more likely to require hospitalization and having lower virus detection levels in samples.
  • The study also found that vaccinated individuals could transmit the virus, contributing to 20 outbreaks, emphasizing the need for monitoring and understanding vaccine failures and their implications for public health.
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Bullous pemphigoid (BP) represents the most common autoimmune bullous disease and is characterized by IgG autoantibodies targeting collagen XVII (BP180). BP has reportedly been occurred in association with other inflammatory skin diseases. Here, we describe the unusual occurrence of BP in a female patient with a concomitant history of generalized morphea (localized scleroderma, LoS) and cutaneous and genital lichen sclerosus (LiS).

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  • Serogroup 1 (Lp1) sequence type (ST) 23 is a prevalent cause of outbreaks in Italy, linked to both epidemic and sporadic cases from 1995 to 2018.
  • A genomic analysis was conducted comparing ST23 strains from Italy with those in other countries using core genome multi-locus sequence typing (cgMLST) and SNP methods.
  • The study found that Italian ST23 isolates are phylogenetically related to strains from Denmark and Scotland, suggesting a common origin and emphasizing the need for comprehensive investigations into infection sources when ST23 is detected.
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We describe an unusual case of myelodysplasia cutis in a patient with chronic myelomonocytic leukaemia.

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Vaccines are today considered one of the most effective means against the Sars-CoV-2 pandemic. The BNT162b2 vaccine by Pfizer/BioNTech has been massively administered throughout the globe; since its approval, a wide spectrum of cutaneous reactions has been reported. Here we report the case of a 52-year-old Caucasian male who presented with an acute febrile eruption that arose 72 h after the first dose of the BNT162b2 vaccine.

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  • Diabetic patients, especially those with type 1 diabetes mellitus (T1DM), are at a greater risk for infections and serious complications, yet there’s limited research on their influenza vaccination rates.
  • In a study of 251 T1DM patients in Milan, only 36% reported receiving the flu vaccine, which dropped to 21.7% based on official registries—far below the target coverage of 75%.
  • Results showed that most patients trust diabetologists for vaccine information, indicating a need for targeted vaccination campaigns involving diabetes specialists to improve immunization rates.
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  • Hepatitis E is a globally distributed disease, with outbreaks typically linked to contaminated water in developing countries, while developed nations see more travel-related cases; however, there has been a rise in local cases in Europe lately.
  • This study focuses on the epidemiology of hepatitis E in Italy from 2007 to 2019, utilizing data from a special surveillance system and analyzing risk factors associated with the disease.
  • From 2007 to mid-2019, Italy reported 385 cases of hepatitis E, with an increasing trend in notifications, particularly in Northern and Central regions, although testing rates are lower in the South and only 46% of suspected cases were actually tested for underlying infections.
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