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Authors = Simone Bianco

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28 pages, 41613 KiB  
Article
Acquisition and Modeling of Material Appearance Using a Portable, Low Cost, Device
by Davide Marelli, Simone Bianco and Gianluigi Ciocca
Sensors 2025, 25(4), 1143; https://doi.org/10.3390/s25041143 - 13 Feb 2025
Viewed by 1019
Abstract
Material appearance acquisition allows researchers to capture the optical properties of surfaces and use them in different tasks such as material analysis, digital twins reproduction, 3D configurators, augmented and virtual reality, etc. Precise acquisition of such properties requires complex and expensive hardware. In [...] Read more.
Material appearance acquisition allows researchers to capture the optical properties of surfaces and use them in different tasks such as material analysis, digital twins reproduction, 3D configurators, augmented and virtual reality, etc. Precise acquisition of such properties requires complex and expensive hardware. In this paper, we aim to answer the following research challenge: Can we design an accurate enough but low-cost and portable device for material appearance acquisition? We present the rationale behind the design of our device using consumer-grade hardware components. Ultimately, our device costs EUR 80 and can acquire surface patches of size 5 × 5 cm with a 40 pix/mm resolution. Our device exploits a traditional RGB camera to capture a surface using 24 different images, each photographed using different lighting conditions. The different lighting conditions are generated by exploiting the LED rings included in our device; specifically, each of the 24 images is acquired by turning on one individual LED at time. We also illustrate the custom processing pipelines developed to support capturing and generating the material data in terms of albedo, normal, and roughness maps. The accuracy of the acquisition process is comprehensively evaluated both quantitatively and qualitatively. Results show that our low-cost device can faithfully acquire different materials. The usefulness of our device is further demonstrated by a textile virtual catalog application that we designed for rendering virtual fabrics on a mobile apparatus. Full article
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9 pages, 3080 KiB  
Article
Long-Term Ageing Studies on Eco-Friendly Resistive Plate Chamber Detectors
by Marcello Abbrescia, Giulio Aielli, Reham Aly, Maria Cristina Arena, Mapse Barroso Ferreira, Luigi Benussi, Stefano Bianco, Fabio Bordon, Davide Boscherini, Alessia Bruni, Salvatore Buontempo, Mattia Busato, Paolo Camarri, Roberto Cardarelli, Liliana Congedo, Marilisa De Serio, Francesco Debernardis, Anna Di Ciaccio, Luigi Di Stante, Pascal Dupieux, Jan Eysermans, Alessandro Ferretti, Martino Gagliardi, Giuliana Galati, Sara Garetti, Roberto Guida, Giuseppe Iaselli, Baptiste Joly, Stefania Alexandra Juks, Umesh Lakshmaiah, KyongSei Lee, Barbara Liberti, Dalia Lucero Ramirez, Beatrice Mandelli, Samuel Pierre Manen, Lorenzo Massa, Alessandra Pastore, Enrico Pastori, Davide Piccolo, Luca Pizzimento, Alessandro Polini, Giorgia Proto, Gabriella Pugliese, Luca Quaglia, Dayron Ramos, Gianluca Rigoletti, Alessandro Rocchi, Marino Romano, Paola Salvini, Amrutha Samalan, Rinaldo Santonico, Giovanna Saviano, Marco Sessa, Saverio Simone, Livia Terlizzi, Michael Tytgat, Ermanno Vercellin, Mattia Verzeroli and Nikolaos Zaganidisadd Show full author list remove Hide full author list
Particles 2025, 8(1), 15; https://doi.org/10.3390/particles8010015 - 11 Feb 2025
Viewed by 682
Abstract
In high-energy physics, resistive plate chamber (RPC) detectors operating in avalanche mode make use of a high-performance gas mixture. Its main component, Tetrafluoroethane (C2H2F4), is classified as a fluorinated greenhouse gas. The RPC EcoGas@GIF++ collaboration is pursuing [...] Read more.
In high-energy physics, resistive plate chamber (RPC) detectors operating in avalanche mode make use of a high-performance gas mixture. Its main component, Tetrafluoroethane (C2H2F4), is classified as a fluorinated greenhouse gas. The RPC EcoGas@GIF++ collaboration is pursuing an intensive R&D on new gas mixtures for RPCs to explore eco-friendly alternatives complying with recent European regulations. The performance of different RPC detectors has been evaluated at the CERN Gamma Irradiation Facility with Tetrafluoropropene (C3H2F4)-CO2-based gas mixtures. A long-term ageing test campaign was launched in 2022, and since 2023, systematic long-term performance studies have been carried out thanks to dedicated beam tests. The results of these studies are discussed together with their future perspectives. Full article
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12 pages, 1702 KiB  
Article
How Antiretroviral Drug Concentrations Could Be Affected by Oxidative Stress, Physical Capacities and Genetics: A Focus on Dolutegravir Treated Male PLWH
by Jessica Cusato, Anna Mulasso, Micol Ferrara, Alessandra Manca, Guido Accardo, Alice Palermiti, Miriam Antonucci, Gianluca Bianco, Francesco Chiara, Jacopo Mula, Maria Cristina Tettoni, Simone Cuomo, Giulia Trevisan, Stefano Bonora, Giovanni Di Perri, Corrado Lupo, Alberto Rainoldi and Antonio D’Avolio
Antioxidants 2025, 14(1), 82; https://doi.org/10.3390/antiox14010082 - 13 Jan 2025
Cited by 1 | Viewed by 1247
Abstract
High levels of reactive oxygen species (ROS) are present in people living with HIV (PLWH), produced by intense physical activity; in response, our body produces antioxidant molecules. ROS influence the expression of gene-encoding enzymes and transporters involved in drug biotransformation. In addition, pharmacogenetics [...] Read more.
High levels of reactive oxygen species (ROS) are present in people living with HIV (PLWH), produced by intense physical activity; in response, our body produces antioxidant molecules. ROS influence the expression of gene-encoding enzymes and transporters involved in drug biotransformation. In addition, pharmacogenetics can influence transporter activity, and thus drug exposure. Currently, no studies concerning this topic are present in the literature. The aim of this study was to investigate whether some antioxidant molecules, physical exercise, and genetic variants could affect dolutegravir (DTG) concentrations in PLWH, switching from triple to dual therapy. Thirty PLWH were recruited and analyzed at baseline (triple therapy), and 6 months after (dual therapy). Physical capacities were investigated using validated tools. Drug concentrations and oxidative stress biomarkers levels were evaluated through liquid chromatography coupled with tandem mass spectrometry, while genetic variants through real-time PCR. No statistical differences were suggested for drug concentrations, with the exception of intracellular DTG (p = 0.047). Statistically significant correlations between DTG plasma concentrations and white blood cells (p = 0.011; S = 0.480) and cytoplasmic N-acetyl-cysteine (p = 0.033; S = −0.419) were observed. Finally, white blood cells and BMI remained in the final multivariate regression model as predictors of DTG concentrations. This is the first study showing possible factors related to oxidative stress impacting DTG exposure. Full article
(This article belongs to the Special Issue Oxidative-Stress in Human Diseases—3rd Edition)
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12 pages, 490 KiB  
Article
Impact of Triple Inhaler Therapy on COPD Patients with Non-Small Cell Lung Cancer After Radical Surgery: A Single-Centre Retrospective Analysis
by Francesco Rocco Bertuccio, Vito D’Agnano, Simone Cordoni, Mitela Tafa, Cristina Novy, Nicola Baio, Klodjana Mucaj, Chandra Bortolotto, Giulio Melloni, Andrea Bianco, Angelo Guido Corsico, Fabio Perrotta and Giulia Maria Stella
J. Clin. Med. 2025, 14(1), 249; https://doi.org/10.3390/jcm14010249 - 3 Jan 2025
Viewed by 1521
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is among the most relevant comorbidity associated with lung cancer. The advent of innovative triple treatment approaches for COPD has significantly improved patients’ quality of life and outcomes. Few data are available regarding the impact of triple [...] Read more.
Background: Chronic obstructive pulmonary disease (COPD) is among the most relevant comorbidity associated with lung cancer. The advent of innovative triple treatment approaches for COPD has significantly improved patients’ quality of life and outcomes. Few data are available regarding the impact of triple inhaler therapy on patients featuring COPD and lung cancer. Methods: We retrospectively evaluated the impact of triple inhale bronchodilators in a cohort of 56 patients with treated COPD who underwent lung surgery for primary cancer. Results: Triple bronchodilation can help to relieve the symptoms of the disease and improve lung function, allowing people with lung cancer to reduce the risk of serious exacerbations and improve their quality of life. Conclusions: Within the limits of the study, it should be underlined that bronchodilators can effectively affect the outcome and performance status after thoracic surgery. Full article
(This article belongs to the Section Respiratory Medicine)
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11 pages, 813 KiB  
Article
Evaluation of Cell-Free DNA Long Fragments in the Triage of FIT+ Patients Enrolled in a Colorectal Cancer Screening Program: An Italian Prospective, Cross-Sectional Study
by Mauro Scimia, Francesco Pepe, Gianluca Russo, Umberto Malapelle, Simone Scimia, Annalaura Alfieri, Valentina Olivieri, Rachel Chuang, Hiromi Tanaka, Michael Sha, David Chen, Claudia Scimone, Lucia Palumbo, Shuo Shen, Yulia Gavrilov, Stav Edelstein, Maria Antonia Bianco and Giancarlo Troncone
J. Mol. Pathol. 2024, 5(4), 533-543; https://doi.org/10.3390/jmp5040036 - 13 Dec 2024
Cited by 1 | Viewed by 1689
Abstract
Introduction: Colorectal cancer screening programs are effective in reducing incidence and mortality. In Europe, every FIT+ patient is referred to colonoscopy. The available data show that ~75.0% of these patients are negative. It is desirable to select patients at a greater risk of [...] Read more.
Introduction: Colorectal cancer screening programs are effective in reducing incidence and mortality. In Europe, every FIT+ patient is referred to colonoscopy. The available data show that ~75.0% of these patients are negative. It is desirable to select patients at a greater risk of having a positive colonoscopy. Materials and Methods: 711 subjects, aged 50–74, attending the screening program of ASL-NA-3-SUD (Naples, Italy), were enrolled in a cross-sectional study to evaluate the performance of the QuantiDNA™ test and the non-inferiority of an alternative approach (AAP). This evaluation is based on FIT+ and QuantiDNA™+ patients referred to colonoscopy, compared to Standard of Care (SOC) colonoscopy following a FIT+ test alone. A non-inferiority margin (NIM) for colorectal neoplasia (CN) and advanced adenomas (AA) was set at −10% and at −3.8% for CRC. Results: The odds ratio was 1.76 (p-value = 0.009). The detection rate of AAP was 15.9% for colorectal neoplasia, 13.0% for advanced adenoma, and 3.0% for CRC. The risk difference between AAP and SOC was −5.07% (95% C.I. −9.23, −0.90) for colorectal neoplasia, −4.02% (95% C.I. −7.89, −0.16) for advanced adenomas, and −1.04% (95% C.I. −3.16, 1.07) for CRC. This data suggests that AAP is non-inferior to SOC for detecting CN, AA, and CRC. The expected decrease in colonoscopies is 33.4%. Conclusions: The QuantiDNA™ test is straightforward, non-invasive, and well-tolerated. Data from this study indicate that it is effective in the reduction of the need for colonoscopy examinations (−33.4%) and is non-inferior to SOC in the detection of significant colorectal lesions. Full article
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17 pages, 812 KiB  
Article
Enhancing Direction-of-Arrival Estimation with Multi-Task Learning
by Simone Bianco, Luigi Celona, Paolo Crotti, Paolo Napoletano, Giovanni Petraglia and Pietro Vinetti
Sensors 2024, 24(22), 7390; https://doi.org/10.3390/s24227390 - 20 Nov 2024
Cited by 1 | Viewed by 1362
Abstract
There are numerous methods in the literature for Direction-of-Arrival (DOA) estimation, including both classical and machine learning-based approaches that jointly estimate the Number of Sources (NOS) and DOA. However, most of these methods do not fully leverage the potential synergies between these two [...] Read more.
There are numerous methods in the literature for Direction-of-Arrival (DOA) estimation, including both classical and machine learning-based approaches that jointly estimate the Number of Sources (NOS) and DOA. However, most of these methods do not fully leverage the potential synergies between these two tasks, which could yield valuable shared information. To address this limitation, in this article, we present a multi-task Convolutional Neural Network (CNN) capable of simultaneously estimating both the NOS and the DOA of the signal. Through experiments on simulated data, we demonstrate that our proposed model surpasses the performance of state-of-the-art methods, especially in challenging environments characterized by high noise levels and dynamic conditions. Full article
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25 pages, 16623 KiB  
Article
Using Mutation Breeding to Improve the Eating Characteristics of the Fusarium Wilt-Resistant Banana Variety, ‘Goldfinger’ (AAAB)
by Katelyn Robertson, Sharon Hamill, Carole Wright, Massimo Bianco, Ashley Balsom, Simoné Moller, Ishita Pramanik, Philippa Lyons and Jeff Daniells
Horticulturae 2024, 10(5), 444; https://doi.org/10.3390/horticulturae10050444 - 26 Apr 2024
Cited by 1 | Viewed by 2740
Abstract
Banana production in Australia is under threat from Fusarium wilt Tropical Race 4 (TR4), and the option of growing a disease-resistant variety is sought after by many farmers. Goldfinger is one such alternative; however, it was previously rejected by Australian consumers. In Phase [...] Read more.
Banana production in Australia is under threat from Fusarium wilt Tropical Race 4 (TR4), and the option of growing a disease-resistant variety is sought after by many farmers. Goldfinger is one such alternative; however, it was previously rejected by Australian consumers. In Phase I of this investigation, mutagenesis was employed as a practical method to generate large numbers of novel variants. In Phase II, 631 variants were established in a field trial where agronomic and postharvest assessments, including taste-testing, identified 20 improved selections. Phase III involved a replicated field evaluation of the selections with favourable mutations, where further taste-testing revealed five selections with the most promising eating characteristics. In Phase IV, the five selections underwent large-scale consumer and sensory evaluations where four of them performed as well as the industry standard controls ‘Williams’ Cavendish and Lady Finger. The sensory analysis revealed differences in the fruit flavour profile and textural attributes, and these features will play a key role in bringing a new banana variety to market and for promotion to consumers. Screening of the variants’ resistance to yellow Sigatoka was integrated into the project, but further work is needed to ensure these four selections have retained their TR4 resistance. Full article
(This article belongs to the Special Issue Developments in the Genetics and Breeding of Banana Species)
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13 pages, 446 KiB  
Article
Studying the Changes in Physical Functioning and Oxidative Stress-Related Molecules in People Living with HIV after Switching from Triple to Dual Therapy
by Jessica Cusato, Anna Mulasso, Micol Ferrara, Alessandra Manca, Miriam Antonucci, Guido Accardo, Alice Palermiti, Gianluca Bianco, Francesco Chiara, Jacopo Mula, Maria Grazia Maddalone, Maria Cristina Tettoni, Simone Cuomo, Giulia Trevisan, Stefano Bonora, Giovanni Di Perri, Corrado Lupo, Alberto Rainoldi and Antonio D’Avolio
Antioxidants 2024, 13(5), 518; https://doi.org/10.3390/antiox13050518 - 26 Apr 2024
Cited by 2 | Viewed by 1797
Abstract
Background: Physical activity could increase the production of oxidative stress biomarkers, affecting the metabolism and excretion of antiretroviral drugs and, consequently, the clinical outcome. Nowadays, people living with HIV (PLWH) are mostly switching from triple to dual therapy, but no data are available [...] Read more.
Background: Physical activity could increase the production of oxidative stress biomarkers, affecting the metabolism and excretion of antiretroviral drugs and, consequently, the clinical outcome. Nowadays, people living with HIV (PLWH) are mostly switching from triple to dual therapy, but no data are available in terms of physical functioning and oxidative stress. The aim of this study was to evaluate if some antioxidant biomarkers and physical functioning tests could be different according to triple or dual antiretroviral therapy. Methods: PLWH were evaluated at baseline (BL), while treated with three drugs, and six months after the switch to dual therapy. Physical functioning was quantified using validated tools. Mitochondrial and cytosol antioxidant molecules were evaluated through liquid chromatography. Results: Twenty-five patients were analyzed. A statistically significant difference between triple and dual therapy was found for mitochondrial glutathione, but not for physical tests. Evaluating differences between physically active and inactive individuals, the following statistically significant differences were suggested, considering triple therapy (mitochondrial n-formyl-methionine p = 0.022, triglycerides p = 0.023) and double therapy (mitochondrial glycine p = 0.035, cytosol glutamic acid p = 0.007, cytosol s-adenosylmethionine p = 0.021). Conclusions: For the first time, this study suggests possible differences in terms of antioxidant molecules and physical functioning in PLWH switching from triple to dual therapy. Full article
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12 pages, 784 KiB  
Article
Cornual Pregnancy: Results of a Single-Center Retrospective Experience and Systematic Review on Reproductive Outcomes
by Fathi Mraihi, Giovanni Buzzaccarini, Antonio D’Amato, Antonio Simone Laganà, Jihene Basly, Chaima Mejri, Montasar Hafsi, Dalenda Chelli, Zaineb Ghali, Bianca Bianco, Fabio Barra and Andrea Etrusco
Medicina 2024, 60(1), 186; https://doi.org/10.3390/medicina60010186 - 21 Jan 2024
Cited by 6 | Viewed by 3068
Abstract
Background and Objectives: Cornual pregnancies (CPs) are rare forms of ectopic pregnancy. When abortion does not occur, it can be a life-threatening condition for the mother and can also impair future fertility. We present our experience in the diagnosis and management of [...] Read more.
Background and Objectives: Cornual pregnancies (CPs) are rare forms of ectopic pregnancy. When abortion does not occur, it can be a life-threatening condition for the mother and can also impair future fertility. We present our experience in the diagnosis and management of CPs. A systematic review was also conducted to investigate the reproductive outcomes after treatment. Materials and Methods: Between January 2010 and December 2022, we performed a retrospective, cross-sectional, single-center, and descriptive data collection and analysis (ClinicalTrial ID: NCT06165770). The search for suitable articles published in English was carried out using the following databases (PROSPERO ID: CRD42023484909): MEDLINE, EMBASE, Global Health, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Methodology Register), Health Technology Assessment Database, Web of Science, and search register such as ClinicalTrial. Only studies describing the impact of CP treatment on fertility were selected. Results: Two studies were included in the systematic review. Seventeen patients suffering from CPs were selected. In our series, a pelvic ultrasound allowed for the diagnosis of a cornual localization in 35.30% of cases. Thirteen women (76.47%) underwent immediate surgical management. The laparoscopic approach was the most used (76.92%), with a laparotomic conversion rate of 30%. Four patients (23.52%) received medical treatment with methotrexate. After treatment, two patients managed to achieve pregnancy. Conclusions: CP is a rare form of ectopic pregnancy that can quickly become life-threatening for the mother. Ultrasound does not lead to a precise diagnosis in all cases. In the absence of complications and emergencies, laparoscopy is an approach that could be considered valid. For selected asymptomatic patients, medical treatment may be a valid alternative. The data from the studies included in the systematic review, although demonstrating a superiority of medical treatment in terms of future pregnancies, are heterogeneous and do not allow us to reach a definitive conclusion. Full article
(This article belongs to the Special Issue Constant Updated in the Tailored Treatment of Gynecological Diseases)
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12 pages, 2386 KiB  
Article
Microbial Community Profiling from Natural Whey Starter to Mozzarella among Different Artisanal Dairy Factories in Apulia Region (Italy)
by Stefano Castellana, Angelica Bianco, Loredana Capozzi, Laura Del Sambro, Domenico Simone, Marco Iammarino, Valeria Nardelli, Annamaria Caffò, Carmelinda Trisolini, Antonella Castellana, Elisabetta Catalano, Angelica Milano, Giulia Schino, Roldano Sottili and Antonio Parisi
Fermentation 2023, 9(10), 911; https://doi.org/10.3390/fermentation9100911 - 16 Oct 2023
Cited by 1 | Viewed by 2402
Abstract
Mozzarella is one of the most popular unripened Apulian cheeses. Knowledge about microbial composition and variability of artisanal mozzarella and its production chain is increasingly growing. In this study, microbial communities from natural whey starters to end products from four renowned Apulian artisanal [...] Read more.
Mozzarella is one of the most popular unripened Apulian cheeses. Knowledge about microbial composition and variability of artisanal mozzarella and its production chain is increasingly growing. In this study, microbial communities from natural whey starters to end products from four renowned Apulian artisanal dairy factories have been explored by means of 16S metagenomics. The chemical properties of mozzarella samples were also detected and analyzed. Lactobacillus is the core acidifying component of the used starters, while some psychrophilic or contaminants bacteria appear in site-specific products. Biodiversity was found to be quite similar between the whey and mozzarella sample pools, while a significant variability among production sites (factories) has been detected. Furthermore, mozzarella microbial diversity seems to be in positive correlation with its lactic acid content. Targeted metagenomics would then be a powerful and relatively quick technique to characterize the microbiological variability of traditional milk-based foods. Full article
(This article belongs to the Special Issue Perspectives on Microbial Ecology of Fermented Foods)
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14 pages, 1958 KiB  
Article
Celiac Disease Predisposition and Genital Tract Microbiota in Women Affected by Recurrent Pregnancy Loss
by Luca Masucci, Silvia D’Ippolito, Flavio De Maio, Gianluca Quaranta, Roberta Mazzarella, Delia Mercedes Bianco, Roberta Castellani, Annalisa Inversetti, Maurizio Sanguinetti, Antonio Gasbarrini, Giovanni Scambia and Nicoletta Di Simone
Nutrients 2023, 15(1), 221; https://doi.org/10.3390/nu15010221 - 1 Jan 2023
Cited by 21 | Viewed by 3682
Abstract
The incidence of Idiopathic Recurrent Pregnancy Loss (RPL) is doubled in patients suffering from Celiac Disease (CD) compared to healthy populations. CD genetic components are HLA class II genes known as HLA-DQ2 and DQ8. Genetically susceptible women can remain asymptomatic even though they [...] Read more.
The incidence of Idiopathic Recurrent Pregnancy Loss (RPL) is doubled in patients suffering from Celiac Disease (CD) compared to healthy populations. CD genetic components are HLA class II genes known as HLA-DQ2 and DQ8. Genetically susceptible women can remain asymptomatic even though they are exposed to a doubled risk of RPL compared to the general population. Furthermore, CD has been associated with microbiota alterations. The aim of this study is to evaluate endometrial and vaginal microbiota in HLA-DQ2/DQ8 positive and negative RPL patients compared to healthy pregnant women. Endometrial and vaginal microbiota of 3 subgroups were evaluated: 15 HLA-DQ2/DQ8 positive RPL women, 25 HLA DQ2/DQ8 negative RPL women (for a total of 40 RPL women) and 7 healthy fertile controls with previous uncomplicated pregnancies (all HLA-DQ2/DQ8 negative). The 2 RPL subgroups (HLA-DQ2/DQ8 positive and negative) showed a different endometrial and vaginal composition in the Lactobacillacae family compared to controls: Lactobacillus acidophilus was absent both in the vaginal and endometrial samples of RPL women, while Lactobaciluus iners, which can favor a less stable vaginal microbiota, was found only in RPL women (26.4% in HLA DQ2/DQ8 positive and 22.1% HLA DQ2/DQ8 negative) in both the vaginal and endometrial districts. In conclusion, both HLA DQ2/DQ8 positive-RPL and HLA DQ2/DQ8 negative-RPL women showed different endometrial and vaginal microbiota composition compared to healthy controls. Full article
(This article belongs to the Special Issue Early-Life Nutrition and Microbiome Development)
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12 pages, 730 KiB  
Article
Ten Years of KPC-Kp Bloodstream Infections Experience: Impact of Early Appropriate Empirical Therapy on Mortality
by Silvia Corcione, Ilaria De Benedetto, Nour Shbaklo, Fabio Ranzani, Simone Mornese Pinna, Anna Castiglione, Silvia Scabini, Gabriele Bianco, Rossana Cavallo, Stefano Mirabella, Renato Romagnoli and Francesco Giuseppe De Rosa
Biomedicines 2022, 10(12), 3268; https://doi.org/10.3390/biomedicines10123268 - 16 Dec 2022
Cited by 8 | Viewed by 2203
Abstract
Background. In K. pneumoniae KPC (KPC-Kp) bloodstream infections (BSI), INCREMENT CPE score >7, Charlson Comorbidity Index (CCI) ≥3 and septic shock are recognized predictors of mortality, with a possible beneficial effect of combination therapy in seriously ill patients. Materials and Methods. We conducted [...] Read more.
Background. In K. pneumoniae KPC (KPC-Kp) bloodstream infections (BSI), INCREMENT CPE score >7, Charlson Comorbidity Index (CCI) ≥3 and septic shock are recognized predictors of mortality, with a possible beneficial effect of combination therapy in seriously ill patients. Materials and Methods. We conducted a ten-year retrospective study including all KPC-Kp BSI in patients ≥18 years of age with the aim to evaluate the characteristics and impact of appropriate empirical therapy, either monotherapy or combination therapy, and targeted therapy on mortality. Appropriate therapy was defined as at least one active antimicrobial agent with in vitro activity against KPC-kp demonstrated by susceptibility testing, administered within 48 h from blood culture collection. Results. The median age of the 435 analyzed patients was 66.09 years (IQR 54.87–73.98). The median CCI was 4. KPC-Kp colonization was present in 324 patients (74.48%). The probable origin of the KPC-Kp BSI was not identified in 136 patients (31.26%), whereas in 120 (27.59%) patients, it was CVC-related, and in 118 (27.13%), it was respiratory. Source control was achieved in 87 patients (72.5%) with CVC-related KPC-Kp BSI. The twenty-eight-day survival was 70.45% for empirical monotherapy, 63.88% for empirical combination therapy and 57.05% for targeted therapy (p = 0.0399). A probable source of KPC-Kp BSI other than urinary, CVC or abdominal [aHR 1.64 (IC 1.15–2.34) p = 0.006] and deferred targeted therapy [HR 1.67 (IC 1.12–2.51), p= 0.013] emerged as predictors of mortality, whereas source control [HR 0.62 (IC 0.44–0.86), p = 0.005] and ceftazidime/avibactam administration in empirical therapy [aHR 0.37 (IC 0.20–0.68) p = 0.002] appeared as protective factors. Discussion. These data underline the importance of source control together with timing appropriateness in the early start of empirical therapy over the choice of monotherapy or combination therapy and the use of ceftazidime/avibactam against KPC-Kp BSI. Full article
(This article belongs to the Section Microbiology in Human Health and Disease)
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13 pages, 1140 KiB  
Article
Diagnosis of SARS-CoV-2 during the Pandemic by Multiplex RT-rPCR hCoV Test: Future Perspectives
by Alessio Danilo Inchingolo, Ciro Isacco Gargiulo, Giuseppina Malcangi, Anna Maria Ciocia, Assunta Patano, Daniela Azzollini, Fabio Piras, Giuseppe Barile, Vito Settanni, Antonio Mancini, Grazia Garofoli, Giulia Palmieri, Chiara Di Pede, Biagio Rapone, Angelo Michele Inchingolo, Megan Jones, Alberto Corriero, Nicola Brienza, Antonio Parisi, Angelica Bianco, Loredana Capozzi, Laura Del Sambro, Domenico Simone, Ioana Roxana Bordea, Gianluca Martino Tartaglia, Antonio Scarano, Felice Lorusso, Luigi Macchia, Giovanni Migliore, Van Hung Pham, Gianna Dipalma and Francesco Inchingoloadd Show full author list remove Hide full author list
Pathogens 2022, 11(11), 1378; https://doi.org/10.3390/pathogens11111378 - 18 Nov 2022
Cited by 14 | Viewed by 2861
Abstract
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has rapidly become a significant threat to public health. However, among the Coronaviridae family members, there are other viruses that can also cause infections in humans. Among these, severe acute [...] Read more.
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has rapidly become a significant threat to public health. However, among the Coronaviridae family members, there are other viruses that can also cause infections in humans. Among these, severe acute respiratory syndrome (SARS-CoV) and Middle East respiratory syndrome (MERS-CoV) have posed significant threats to human health in the past. Other human pathogenic coronaviruses have been identified, and they are known to cause respiratory diseases with manifestations ranging from mild to severe. In this study, we evaluated the performance of a multiplex RT-rPCR specific to seven human pathogenic coronaviruses in mainly detecting SARS-CoV-2 directly from nasopharyngeal swabs obtained from suspected COVID-19 infected patients, while simultaneously detecting different human pathogenic coronaviruses in case these were also present. We tested 1195 clinical samples suspected of COVID-19 infection. The assay identified that 69% of the samples tested positive for SARS-CoV-2 (1195), which was confirmed using another SARS-CoV-2 RT-PCR kit available in our laboratory. None of these clinical samples were positive for SARS-CoV, MERS-CoV or HCoV. This means that during the endemic phase of COVID-19, infection with other human pathogenic coronaviruses, even the common cold coronavirus (HCoV), is very uncommon. Our study also confirmed that the multiplex RT-rPCR is a sensitive assay for detecting SARS-CoV-2 regardless of differences among the variants. This multiplex RT-rPCR is also time- and cost-saving and very easy to apply in the diagnostic laboratory due to its simple procedure and its stability in storage after preparation. These features make the assay a valuable approach in screening procedures for the rapid detection of SARS-CoV-2 and other human pathogenic coronaviruses that could affect public health. Full article
(This article belongs to the Collection SARS-CoV-2 Infection and COVID-19 Disease)
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13 pages, 257 KiB  
Article
Multicentre Evaluation of the EUCAST Rapid Antimicrobial Susceptibility Testing (RAST) Extending Analysis to 16–20 Hours Reading Time
by Gabriele Bianco, Donatella Lombardo, Guido Ricciardelli, Matteo Boattini, Sara Comini, Rossana Cavallo, Cristina Costa and Simone Ambretti
Antibiotics 2022, 11(10), 1404; https://doi.org/10.3390/antibiotics11101404 - 13 Oct 2022
Cited by 11 | Viewed by 2476
Abstract
The aim of the study was to evaluate the EUCAST RAST method by extending analysis to 16–20 h reading time and performance with new β-lactam/β-lactamase inhibitor combinations. A total of 676 positive blood cultures (BCs) were enrolled. Results at 4 h, 6 h, [...] Read more.
The aim of the study was to evaluate the EUCAST RAST method by extending analysis to 16–20 h reading time and performance with new β-lactam/β-lactamase inhibitor combinations. A total of 676 positive blood cultures (BCs) were enrolled. Results at 4 h, 6 h, 8 h and 16–20 h were interpreted according to bacterial species using EUCAST RAST breakpoints (version 5.1). For species for which no breakpoints were available, tentative breakpoints were used. Categorical agreement with the Microscan microdilution system was analysed. Among the 676 BCs enrolled, 641 were monomicrobial and were included in the analysis. Categorical agreement ranged from 98.9% at 4 h to 99.4% at 16–20 h. The rates of very major errors were 3.3%, 3.7% and 3.4% at 4 h, 6 h and 8 h, respectively, and decreased to 1% at 16–20 h (p < 0.001). The number of major errors was low for each reading time (0.2% and 0.4% at 4 h and 6 h, respectively, and 0.3% at both 8 h and 16–20 h). The proportions of results in the area of technical uncertainty were 9.9%, 5.9%, 5% and 5.2% for readings at 4 h, 6 h, 8 h and 16–20 h, respectively. Tentative breakpoints proposed for Enterobacterales other than E.coli/K.pneumoniae and coagulase-negative staphylococci showed overall performances comparable to those observed for E. coli/K. pneumoniae and S. aureus. In conclusion, EUCAST RAST has been shown to be reliable to determine microbial susceptibility to main antimicrobials, including ceftazidime/avibactam and ceftolozane/tazobactam. A poorer performance was observed for certain species/antimicrobial agent combinations. The better performance observed at 16–20 h compared to the early readings may confer to the method greater potential for antimicrobial de-escalation interventions. Full article
25 pages, 8498 KiB  
Article
Predicting Epitope Candidates for SARS-CoV-2
by Akshay Agarwal, Kristen L. Beck, Sara Capponi, Mark Kunitomi, Gowri Nayar, Edward Seabolt, Gandhar Mahadeshwar, Simone Bianco, Vandana Mukherjee and James H. Kaufman
Viruses 2022, 14(8), 1837; https://doi.org/10.3390/v14081837 - 21 Aug 2022
Cited by 7 | Viewed by 3445
Abstract
Epitopes are short amino acid sequences that define the antigen signature to which an antibody or T cell receptor binds. In light of the current pandemic, epitope analysis and prediction are paramount to improving serological testing and developing vaccines. In this paper, known [...] Read more.
Epitopes are short amino acid sequences that define the antigen signature to which an antibody or T cell receptor binds. In light of the current pandemic, epitope analysis and prediction are paramount to improving serological testing and developing vaccines. In this paper, known epitope sequences from SARS-CoV, SARS-CoV-2, and other Coronaviridae were leveraged to identify additional antigen regions in 62K SARS-CoV-2 genomes. Additionally, we present epitope distribution across SARS-CoV-2 genomes, locate the most commonly found epitopes, and discuss where epitopes are located on proteins and how epitopes can be grouped into classes. The mutation density of different protein regions is presented using a big data approach. It was observed that there are 112 B cell and 279 T cell conserved epitopes between SARS-CoV-2 and SARS-CoV, with more diverse sequences found in Nucleoprotein and Spike glycoprotein. Full article
(This article belongs to the Special Issue SARS-CoV-2 Genomics)
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