Publications by authors named "Trombetta M"

Aims: According to the 2023 International Consensus, glucose metrics derived from two-week-long continuous glucose monitoring (CGM) can be extrapolated up to 90 days before. However, no studies have focused on adults with type 1 diabetes (T1D) on multiple daily injections (MDIs) and with second-generation intermittently scanned CGM (isCGM) sensors in a real-world setting.

Methods: This real-world, retrospective study included 539 90-day isCGM data from 367 adults with T1D on MDI therapy.

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Active life monitoring via chemosensitive sensors could hold promise for enhancing athlete monitoring, training optimization, and performance in athletes. The present work investigates a resistive flex sensor (RFS) in the guise of a chemical sensor. Its carbon 'texture' has shown to be sensitive to CO, O, and RH changes; moreover, different bending conditions can modulate its sensitivity and selectivity for these gases and vapors.

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  • The study investigates how bone-derived proteins, known as osteokines, influence insulin sensitivity, beta-cell function, and vascular damage in newly diagnosed type 2 diabetes (T2D) patients.
  • A cohort of 794 drug-naive T2D patients was analyzed for various osteokines and their relationships with insulin levels, beta-cell function, and arterial health.
  • The findings indicate that certain osteokines, particularly osteocalcin and RANKL, are linked to insulin sensitivity and the severity of atherosclerosis, suggesting a connection between bone metabolism and glucose regulation in T2D.
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Hyaluronic acid (HA) based nanogels showed effective intracellular delivery efficacy for anti-cancer and anti-inflammatory drugs, characterized by their ability targeting relevant cell receptors. In the present study, we demonstrate the ability of hyaluronic acid-polyethyleneimine (HA-PEI) nanogels as a promising dual-functional interfacial active for intra-articular injection to intervene arthritis. Nanomechanical measurements on both model substrates and human cartilage samples confirm that the HA-PEI nanogels can significantly improve interfacial lubrication, in comparison to HA molecules, or silica-based nanoparticles.

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Context: The pathophysiological mechanisms underlying the natural history of glucose intolerance and its fluctuations in subjects with cystic fibrosis (CF) are still unclear.

Objective: To investigate the relationship between longitudinal changes in glucose tolerance and concomitant changes in the main parameters of insulin secretion/metabolism/action determining glucose regulation in CF subjects.

Methods: Insulin sensitivity and glucose-stimulated insulin secretion (GSIS, a biomarker of beta cell functional mass), as estimated by the Oral Glucose Sensitivity Index (OGIS) and by a sophisticated mathematical model, respectively, and insulin clearance were assessed in 127 CF subjects, aged 10-25 years, who underwent two OGTT tests over at least 1-year follow-up period.

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  • - Breast cancer (BrC) is the most common cancer in women, and most deaths related to it are due to metastasis, which is the spread of cancer to other parts of the body.
  • - Common areas where BrC metastasizes include lymph nodes, liver, lungs, bones, and brain, with instances of bladder metastasis being rare.
  • - A case is reported where a patient with a history of BrC showed bladder metastasis, exhibiting symptoms like blood in urine (hematuria), low urinary tract issues, and swelling of the kidneys (hydronephrosis).
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We investigate for the first time the compatibility of nanovials with microfluidic impedance cytometry (MIC). Nanovials are suspendable crescent-shaped single-cell microcarriers that enable specific cell adhesion, the creation of compartments for undisturbed cell growth and secretion, as well as protection against wall shear stress. MIC is a label-free single-cell technique that characterizes flowing cells based on their electrical fingerprints and it is especially targeted to cells that are naturally in suspension.

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One of the hurdles to the development of new anticancer therapies is the lack of in vitro models which faithfully reproduce the in vivo tumor microenvironment (TME). Understanding the dynamic relationships between the components of the TME in a controllable, scalable, and reliable setting would indeed support the discovery of biological targets impacting cancer diagnosis and therapy. Cancer research is increasingly shifting from traditional two-dimensional (2D) cell culture toward three-dimensional (3D) culture models, which have been demonstrated to increase the significance and predictive value of in vitro data.

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  • Mepitel Film (MF) is effective in reducing radiation dermatitis in breast cancer patients undergoing radiotherapy, and this study aimed to assess patient experiences using it.
  • A survey of 192 patients revealed that most reported MF had little to no effect on their daily activities like work and sleep, with a majority finding it comfortable and protective.
  • Overall, 92% of patients had a positive experience with MF and would recommend it to others undergoing similar treatment.
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  • * Researchers analyzed 191 samples from different pig farms, using culture methods to isolate carbapenemase-producing Enterobacteriaceae (CPE) and assess their resistance levels.
  • * Findings revealed only one resistant strain, Aeromonas veronii, with high resistance levels, and a low prevalence of certain resistance genes, highlighting the need for monitoring these bacteria in livestock to safeguard human health.
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Introduction: Randomized clinical trials support Mepitel Film (MF) as a prophylactic treatment for radiation dermatitis (RD) in patients undergoing breast radiotherapy. Although several studies have canvassed the opinion of patients on using MF, no such studies have been done to investigate the perception of healthcare professionals (HCPs). The objective of this study was therefore to investigate the perceptions of HCPs on MF as a treatment option for RD.

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A 1.5T MRI combined with a linear accelerator (Unity, Elekta; Stockholm, Sweden) is a device that shows promise in MRI-guided stereotactic body radiation treatment (SBRT). Previous studies utilized the manufacturer's pre-set MRI sequences (i.

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Skin toxicities are very common in patients undergoing cancer treatment and have been found to occur with all types of cancer therapeutic interventions (cytotoxic chemotherapy, targeted therapies, immunotherapy, and radiotherapy). Further, skin toxicities can lead to interruption or even discontinuation of anticancer treatment in some patients, translating to suboptimal outcomes. Dermocosmetics (or cosmeceuticals)-defined as skincare solutions incorporating dermatologically active ingredients (beyond vehicle effects) that directly improve symptoms of various skin conditions-are increasingly being used in cancer care to prevent and manage skin toxicities.

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Purpose: Identifying the target region is critical for successfully treating ventricular tachycardia (VT) with single fraction stereotactic arrhythmia radioablation (STAR). We report the feasibility of target definition based on direct co-registration of electroanatomic maps (EAM) and radioablation planning images.

Materials And Methods: The EAM consists of 3D cardiac anatomy representation with electrical activity at endocardium and is acquired by a cardiac electrophysiologist (CEP) during electrophysiology study.

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A previously described heterophil degranulation assay was adapted for use with ileal mucosal tissue via quantification of β-D-glucuronidase and assay end product 4-methylumbelliferone (4-MU). Three initial experiments evaluated the effect of in ovo inoculations of Citrobacter freundii (CF) or mixed lactic acid bacteria (LAB) on ileal granulocyte degranulation. Inoculations were administered on embryonic d18, body weights (BW) were recorded on day of hatch (DOH) and d10 to calculate body weight gain (BWG), and ileal mucosal scrapings were collected on DOH or d10 for the 4-MU assay.

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The human genome counts hundreds of GPCRs specialized to sense thousands of different extracellular cues, including light, odorants and nutrients in addition to hormones. Primordial GPCRs were likely glucose transporters that became sensors to monitor the abundance of nutrients and direct the cell to switch from aerobic metabolism to fermentation. Human β cells express multiple GPCRs that contribute to regulate glucose homeostasis, cooperating with many others expressed by a variety of cell types and tissues.

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  • The study aimed to explore how genetic variations in the adiponectin (ADIPOQ), leptin (LEP), and leptin receptor (LEPR) genes relate to the glucose-insulin system and early signs of atherosclerosis in patients recently diagnosed with type 2 diabetes.
  • Data from 794 subjects were analyzed using various tests to assess insulin sensitivity, β-cell function, heart health, and vascular health, along with genotyping of specific tag-SNPs in the targeted genes.
  • Findings indicated that adiponectin levels are linked to healthier metabolic profiles, while leptin levels correlate with higher BMI and poorer insulin sensitivity; genetic variations in these genes also show significant associations with cardiovascular risks.
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Purpose: Radiation dermatitis (RD) is a frequently occurring adverse reaction during radiotherapy in cancer patients. While the use of topical corticosteroids (TCs) is common for the treatment of RD, its role in preventing severe reactions remains unclear. This systematic review and meta-analysis aim to evaluate the evidence on the use of TCs as prophylaxis of RD.

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  • This study explored the link between autonomic function, indicated by lower heart rate variability (HRV), and beta cell function, assessed during an oral glucose tolerance test (OGTT), using data from 2,007 participants in The Maastricht Study.
  • Researchers found that lower HRV was significantly correlated with worse overall beta cell response, regardless of sex or glucose metabolism status.
  • The findings suggest that autonomic dysfunction could play a role in beta cell dysfunction, potentially leading to issues with glucose metabolism, such as prediabetes and type 2 diabetes.
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Aims: The aim of the study was to adapt the German version of the insulin pump therapy (IPA) questionnaire to Italian (IT-IPA) and to evaluate its psychometric properties in adults with type 1 diabetes.

Methods: We conducted a cross-sectional study, data were collected through an online survey. In addition to IT-IPA, questionnaires evaluating depression, anxiety, diabetes distress, self-efficacy, and treatment satisfaction were administered.

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  • Type 1 diabetes (T1D) leads to subclinical vascular damage that can result in cardiovascular issues, making it crucial to understand various cardiovascular risk factors in T1D patients.
  • The study analyzed 172 young adults with T1D to investigate the connection between subclinical arterial damage markers and traditional cardiovascular risk factors, focusing on blood pressure metrics.
  • Results showed a significant association between central blood pressure (cBP) and subclinical damage markers, emphasizing the importance of hemodynamic factors in the early development of cardiovascular disease in T1D patients.
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Conventional batch syntheses of polymer-based nanoparticles show considerable shortcomings in terms of scarce control over nanomaterials morphology and limited lot-to-lot reproducibility. Droplet-based microfluidics represents a valuable strategy to overcome these constraints, exploiting the formation of nanoparticles within discrete microdroplets. In this work, we synthesized nanogels (NGs) composed of hyaluronic acid and polyethyleneimine using a microfluidic flow-focusing device endowed with a pressure-driven micro-actuator.

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