Therapeutic approach in glioblastoma multiforme with primitive neuroectodermal tumor components: case report and review of the literature

Glioblastoma multiforme (GBM) is the most common and aggressive malignant glioma that is treated with first-line therapy, using surgical resection followed by local radiotherapy and concomitant/adjuvant temozolomide (TMZ) treatment. GBM is characterised by a high local recurrence rate and a low response to therapy. Primitive neuroectodermal tumour (PNET) of the brain revealed a low local recurrence rate; however, it also exhibited a high risk of cerebrospinal fluid (CSF) dissemination. PNET is treated with surgery followed by craniospinal irradiation (CSI) and platinum-based chemotherapy in order to prevent CSF dissemination. GBM with PNET-like components (GBM/PNET) is an emerging variant of GBM, characterised by a PNET-like clinical behaviour with an increased risk of CSF dissemination; it also may benefit from platinum-based chemotherapy upfront or following failure of GBM therapy. The results presented regarding the management of GBM/PNET are based on case reports or case series, so a standard therapeutic approach for GBM/PNET is not defined, constituing a challenging diagnostic and therapeutic dilemma. In this report, a case of a recurrent GBM/PNET treated with surgical resection and radiochemotherapy as Stupp protocol, and successive platinum-based chemotherapy due to the development of leptomeningeal dissemintation and an extracranial metastasis, is discussed. A review of the main papers regarding this rare GBM variant and its therapeutic approach are also reported. In conclusion, GBM/PNET should be treated with a multimodal approach including surgery, chemoradiotherapy, and/or the early introduction of CSI and platinum-based chemotherapy upfront or at recurrence

DETERMINAZIONE INNOVATIVA DEL ROTENONE NEGLI OLI DI OLIVA DA AGRICOLTURA BIOLOGICA MEDIANTE SPETTROMETRIA DI MASSA TANDEM

Il rotenone, pesticida naturale utilizzato in agricoltura biologica su una grande varietà di colture, è stato determinato quantitativamente mediante Atmosheric Pressure Chemical Ionisation Spettrometria di Massa Tandem (APCI MS/MS) nelle olive e negli oli di oliva ottenuti dopo trattamento in una prova di campo che ha interessato la cv Carolea in Calabria. La tecnica analitica ha previsto la realizzazione di esperimenti “Multiple Reaction Monitoring” (MRM) utilizzando uno standard interno ottenuto per sintesi. Le quantità rilevate sono comprese tra 9 mg/Kg di olio dopo 1 giorno dal trattamento e 0.15 mg/Kg di olio dopo 1 mese circa dal trattamento. Quest’ultimo valore è molto più elevato dei 40 µg/Kg permessi dalla legislazione italiana

Sarilumab plus standard of care vs standard of care for the treatment of severe COVID-19: a phase 3, randomized, open-labeled, multi-center study (ESCAPE study)

Background Among interleukin-6 inhibitors suggested for use in COVID-19, there are few robust evidences for the efficacy of sarilumab. Herein, we evaluated the efficacy and safety of sarilumab in severe COVID-19.Methods In this phase 3, open-labeled, randomized clinical trial, conducted at 5 Italian hospitals, adults with severe COVID-19 pneumonia (excluding mechanically ventilated) were randomized 2:1 to receive intravenous sarilumab (400 mg, repeatable after 12 h) plus standard of care (SOC) (arm A) or to continue SOC (arm B). Randomization was web-based. As post-hoc analyses, the participants were stratified according to baseline inflammatory parameters. The primary endpoint was analysed on the modified Intention-To-Treat population, including all the randomized patients who received any study treatment (sarilumab or SOC). It was time to clinical improvement of 2 points on a 7-points ordinal scale, from baseline to day 30. We used Kaplan Meier method and log-rank test to compare the primary outcome between two arms, and Cox regression stratified by clinical center and adjusted for severity of illness, to estimate the hazard ratio (HR). The trial was registered with EudraCT (2020-001390-76).Findings Between May 2020 and May 2021, 191 patients were assessed for eligibility, of whom, excluding nine dropouts, 176 were assigned to arm A (121) and B (55). At day 30, no significant differences in the primary endpoint were found (88% [95% CI 81-94] in arm A vs 85% [74-93], HR 1.07 [0.8-1.5] in arm B; log-rank p = 0.50). After stratifying for inflammatory parameters, arm A showed higher probability of improvement than B without statistical significance in the strata with C reactive protein (CRP) < 7 mg/dL (88% [77-96] vs 79% [63-91], HR 1.55 [0.9-2.6]; log-rank p = 0.049) and in the strata with lymphocytes <870/mmc (90% [79-96]) vs (73% [55-89], HR 1.53 [0.9-2.7]; log-rank p = 0.058). Overall, 39/121 (32%) AEs were reported in arm A and 14/55 (23%) in B (p = 0.195), while serious AEs were 22/121 (18%) and 7/55 (11%), respectively (p = 0.244). There were no treatment-related deaths.Interpretation The efficacy of sarilumab in severe COVID-19 was not demonstrated both in the overall and in the stratified for severity analysis population. Exploratory analyses suggested that subsets of patients with lower CRP values or lower lymphocyte counts might have had benefit with sarilumab treatment, but this finding would require replication in other studies. The relatively low rate of concomitant corticosteroid use, could partially explain our results.Funding This study was supported by INMI "Lazzaro Spallanzani" Ricerca Corrente Linea 1 on emerging and ree-merging infections, funded by Italian Ministry of Health.Copyright (c) 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Mechanistic Studies of Ethylene Hydrophenylation Catalyzed by Bipyridyl Pt(II) Complexes

This article discusses mechanistic studies of ethylene hydrophenylation catalyzed by bipyridyl Pt(II) complexes

Surface high-resolution temperature forecast in southern Italy

Since June 2008, 1-h temperature forecasts for the Calabria region (Southern Italy) are issued at 2.5 km horizontal resolution at CRATI/ISAC-CNR. Forecasts are available online at <a href="http://meteo.crati.it/previsioni.html" target="_blank">http://meteo.crati.it/previsioni.html</a> (every 6-h). This paper shows the forecast performance out to three days for one climatological year (from 1 December 2008 to 30 November 2009, 365 run) for minimum, mean and maximum temperature. The forecast is evaluated against gridded analyses at the same horizontal resolution. <br><br> Gridded analysis is based on Optimal Interpolation (OI) and uses a de-trending technique for computing the background field. Observations from 87 thermometers are used in the analysis system. <br><br> In this paper cumulative statistics are shown to quantify forecast errors out to three days

Distribution of cardiovascular risk factors in athletes and no athletes in a population of 10.000 young Italian students

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Augmented reality and mobile technologies for maintenance, security and operations in industrial facilities

Safety issues are a crucial aspect in industrial plants management due to regulatory, operational as well as strategic aspects. It calls for tools that could be easily embedded into everyday practices and able to combine complex methodologies with high usability requirements. In this perspective, the proposed research work is focused on the design and development of a practical solution able to integrate augmented reality and wearable technologies for operators' support in complex man-machine interactions. After establishing both functional and non-functional requirements, a structured design strategy has been adopted. The main outcomes of the aforementioned strategy include a multi-layered modular solution (developed at MSC-LES lab of University of Calabria) whose potentials are investigated through two different case studies and technical equipments

Prophylactic heparin and risk of orotracheal intubation or death in patients with mild or moderate COVID-19 pneumonia

Prophylactic low molecular weight heparin (pLMWH) is currently recommended in COVID-19 to reduce the risk of coagulopathy. The aim of this study was to evaluate whether the antinflammatory effects of pLMWH could translate in lower rate of clinical progression in patients with COVID-19 pneumonia. Patients admitted to a COVID-hospital in Rome with SARS-CoV-2 infection and mild/moderate pneumonia were retrospectively evaluated. The primary endpoint was the time from hospital admission to orotracheal intubation/death (OTI/death). A total of 449 patients were included: 39% female, median age 63 (IQR, 50–77) years. The estimated probability of OTI/death for patients receiving pLMWH was: 9.5% (95% CI 3.2–26.4) by day 20 in those not receiving pLMWH vs. 10.4% (6.7–15.9) in those exposed to pLMWH; p-value = 0.144. This risk associated with the use of pLMWH appeared to vary by PaO2/FiO2 ratio: aHR 1.40 (95% CI 0.51–3.79) for patients with an admission PaO2/FiO2 ≤ 300&nbsp;mmHg and 0.27 (0.03–2.18) for those with PaO2/FiO2 &gt; 300&nbsp;mmHg; p-value at interaction test 0.16. pLMWH does not seem to reduce the risk of OTI/death mild/moderate COVID-19 pneumonia, especially when respiratory function had already significantly deteriorated. Data from clinical trials comparing the effect of prophylactic vs. therapeutic dosage of LMWH at various stages of COVID-19 disease are needed