From the history of the recognitions of the remains to the reconstruction of the face of Dante Alighieri by means of techniques of virtual reality and forensic anthropology

The work consists of the reconstruction of the face of the great poet called Dante Alighieri through a multidisciplinary approach that matches traditional techniques (manual ones), usually used in forensic anthropology, with digital methodologies that take advantage of technologies born in manufacturer-military fields but that are more and more often applied to the field of the cultural heritage. Unable to get the original skull of Dante, the work started from the data and the elements collected by Fabio Frassetto and Giuseppe Sergi, two important anthropologists, respectively at the University of Bologna and Rome, in an investigation carried out in 1921, sixth century anniversary of his death, on the remains of the poet collected in Ravenna. Thanks to this, we have a very accurate description of Dante’s bones, including 297 metric data inherent to the whole skeleton, some photographs in the scale of the skull, the various norms and many other bones, as well as a model of the skull subsequently realized by Frassetto. According to these information, a geometric reconstruction of Dante Alighieri skull including the jaw was carried out through the employment and integration of the instruments and technologies of the virtual reality, and from this the relative physical model through fast prototype was realized. An important aspect of the work regards in a particular manner the methodology of 3D modelling proposed for the new reconstruction of the jaw (not found in the course of the 1921 recognition), starting from a reference model. The model of the skull prototype is then useful as the basis for the successive stage of facial reconstruction through the traditional techniques of forensic art

Niveles de plomo en los individuos de la necrópolis tardorromana de la c/ Virgen de la Misericordia (Valencia)

El objetivo general de este estudio ha sido determinar los contenidos de plomo (Pb) en restos de huesos y suelos de la necrópolis de la c/ Virgen de la Misericordia (Valencia) para reconstruir el proceso de transición del elemento (desde el sedimento hacia los huesos y viceversa) debido a la acción de los procesos diagenéticos

Measurable Residual Disease (MRD) as a Surrogate Efficacy-Response Biomarker in AML

In acute myeloid leukemia (AML) many patients experience relapse, despite the achievement of morphological complete remission; therefore, conventional morphologic criteria are currently considered inadequate for assessing the quality of the response after treatment. Quantification of measurable residual disease (MRD) has been established as a strong prognostic marker in AML and patients that test MRD negative have lower relapse rates and better survival than those who test positive. Different techniques, varying in their sensitivity and applicability to patients, are available for the measurement of MRD and their use as a guide for selecting the most optimal postremission therapy is an area of active investigation. Although still controversial, MRD prognostic value promises to support drug development serving as a surrogate biomarker, potentially useful for accelerating the regulatory approval of new agents. In this review, we will critically examine the methods used to detect MRD and its potential role as a study endpoint

A 28,000 Years Old Cro-Magnon mtDNA Sequence Differs from All Potentially Contaminating Modern Sequences

Background: DNA sequences from ancient speciments may in fact result from undetected contamination of the ancient specimens by modern DNA, and the problem is particularly challenging in studies of human fossils. Doubts on the authenticity of the available sequences have so far hampered genetic comparisons between anatomically archaic (Neandertal) and early modern (Cro-Magnoid) Europeans. Methodology/Principal Findings: We typed the mitochondrial DNA (mtDNA) hypervariable region I in a 28,000 years old Cro-Magnoid individual from the Paglicci cave, in Italy (Paglicci 23) and in all the people who had contact with the sample since its discovery in 2003. The Paglicci 23 sequence, determined through the analysis of 152 clones, is the Cambridge reference sequence, and cannot possibly reflect contamination because it differs from all potentially contaminating modern sequences. Conclusions/Significance:: The Paglicci 23 individual carried a mtDNA sequence that is still common in Europe, and which radically differs from those of the almost contemporary Neandertals, demonstrating a genealogical continuity across 28,000 years, from Cro-Magnoid to modern Europeans. Because all potential sources of modern DNA contamination are known, the Paglicci 23 sample will offer a unique opportunity to get insight for the first time into the nuclear genes of earl

In BCR-ABL1 Positive B-Cell Acute Lymphoblastic Leukemia, Steroid Therapy Induces Hypofibrinogenemia

Hypofibrinogenemia (HF) in adult acute lymphoblastic leukemia (ALL) of B lineage is uncommon and mostly associated with asparaginase (ASP) delivery. Since we noticed a significant reduction in fibrinogen (FBG) plasma levels even before the first ASP dose, we aim to assess the levels of FBG during induction treatment and explore if the FBG fall correlated with therapies other than asparaginase and/or specific leukemia biological features. We retrospectively analyzed FBG levels in 115 patients with B-ALL. In 74 (64%) out of 115 patients FBG decline occurred during the steroid prephase. In univariate analysis, such a steroid-related HF was significantly associated with BCR-ABL1 rearrangement (p = 0.00158). None of those experiencing HF had significant modifications of liver function tests during induction treatment. Our retrospective study suggests that in B-ALL, steroid therapy can also induce HF and that such an event is preferentially observed in patients carrying BCR-ABL1 rearrangements. The pathogenesis of this phenomenon is still unclear. We attempt to explain it by applying the International Society of Thrombosis and Hemostasis-Disseminated Intravascular Coagulation score (ISTH-DIC score); nonetheless additional studies are needed to clarify further the mechanisms of HF in this subset of patients

Predictors of Early Thrombotic Events in Adult Patients with Acute Myeloid Leukemia: A Real-World Experience

Information regarding the incidence and the prognostic impact of thrombotic events (TE) in non-promyelocytic acute myeloid leukemia (AML) is sparse. Although several risk factors associated with an increased risk of TE development have been recognized, we still lack universally approved guidelines for identification and management of these complications. We retrospectively analyzed 300 consecutive patients with newly diagnosed AML. Reporting the incidence of venous TE (VTE) and arterial TE (ATE) was the primary endpoint. Secondarily, we evaluated baseline patient- and disease-related characteristics with a possible influence of VTE-occurrence probability. Finally, we evaluated the impact of TE on survival. Overall, the VTE incidence was 12.3% and ATE incidence was 2.3%. We identified three independent predictors associated with early-VTE: comorbidities (p = 0.006), platelets count >50x10e9/L (p = 0.006), and a previous history of VTE (p = 0.003). Assigning 1 point to each variable, we observed an overall cumulative incidence of VTE of 18.4% in the high-risk group (>2 points) versus 6.4% in the low-risk group (0–1 point), log-rank = 0.002. Overall, ATE, but not VTE, was associated with poor prognosis (p < 0.001). In conclusion, TE incidence in AML patients is not negligible. We proposed an early-VTE risk score that could be useful for a proper management of VTE prophylaxis

The ISTH DIC-score predicts early mortality in patients with non-promyelocitic acute myeloid leukemia

coagulation disorders frequently complicate the clinical course of acute myeloid leukemia (AML) patients. this study examined the frequency and prognostic significance, with regards of early mortality, of the presence of overt disseminated intravascular coagulation (DIC) at AML diagnosis and its correlation with clinical and biological characteristics. a retrospective analysis of 351 newly diagnosed non-promyelocytic AML patients was conducted, utilizing the 2018 ISTH DIC-Score criteria to evaluate the presence of overt DIC at AML onset. the study cohort had a median age of 65 years with a predominance of male gender (59%). overt DIC was present in 21% of cases and was associated with advanced age, comorbidities, poor performance status, hyperleukocytosis, LDH levels, NPM1 mutations, expression of CD33 and CD4, and lack of expression of CD34. With a median follow-up of 72 months (3–147 months), the 6-year overall survival (OS) was 17.4%, with patients having overt DIC showing significantly poorer outcomes (7.2% compared to 20.3 % of those without DIC, p < 0.001). patients with overt DIC showed markedly high early mortality rates at 30 (42.5% vs 8 %), 60 (49.3% vs 16.9%), and 120 days (64.4% vs 25.6%) from disease onset. In multivariate analysis overt DIC retained its independent prognostic value for early mortality. In conclusion, the prevalence and clinical relevance of DIC in non-promyelocytic AML is not negligible, underlining its potential as an unfavorable prognostic marker. In newly diagnosed patients with AML, early recognition and measure to counteract coagulation disturbances might help mitigate the elevated mortality risk associated with DIC

ACUTE LEUKEMIA AND LATENT TUBERCULOSIS INFECTION IN ITALY: QUANTIFERON-TB TEST SCREENING IN A LOW TUBERCULOSIS INCIDENCE COUNTRY

background: identification of latent tuberculosis infection (LTBI) is a critical step of tuberculosis surveillance, especially in low-incidence countries. however, it is limited to situations with a higher probability of developing active disease, e.g., patients with hematological malignancies. according to guidelines, in TB non-endemic countries, no clear screening program is established at diagnosis for patients with acute leukemia (AL). the primary endpoint of this study was to establish the prevalence of LTBI in patients with a diagnosis of AL using quanti FERON (QFT)-TB. Secondarily, radiological and clinical features driving the increased risk of LTBI were evaluated. methods: QFT-TB screening was performed before induction or consolidation in all patients with AL (myeloid and lymphoid) treated at our Institution between october 2019 and august 2023. results: we accrued 62 patients, of whom 7 (11,3%) tested positive, without any symptoms or signs of active TB, and 2 (3,2%) resulted as indeterminate. all positive patients started prophylaxis with isoniazid 300 mg daily, while patients whose test was indeterminate did not receive any prophylaxis. active TB was excluded by imaging, as well as microscopic, cultural, and molecular examination on bronchoalveolar lavage if signs of any infection were detected. during the 46 months of observation, no patients developed TB reactivation. conclusions: despite the low sample size, 1/10 of our patients had prior TB exposure, hinting that LTBI could be more common than expected in italy. this finding suggests implementing TB screening in the pre-treatment setting, particularly at a time when more active treatments are becoming available also for patients ineligible for intensive chemotherapy

Quelques restes humains immatures, des niveaux moustériens de la grotte du Fossellone (Monte Circeo, Italie) : Fossellone 3 (Olim Circeo IV)

Abstract — A metric, morphological and comparative analysis of a few remains ( — fragment mandibular — second premolar, and lower first and second molars) belonging to a single individual (about 9 years old) are presented. The remains were found by A. C. Blanc in 1 953- 1954 in the Obermeier entry of the Grotta del Fossellone, Monte Circeo (Italy), in a Mousterian stratum along with remains of Hyaena crocuta spaelea, Panthera pardus, Rhinoceros Merkii and Cervus elaphus. The study shows clear affinities with Guattari 2 and Guattari 3 specimens. All the remains are definable as Neandertalians. In particular, the teeth show some plesiomorphic features :fovea anterior (PI, Ml and M2), dryopithecoid pattern and rudiment of cingulum (Ml and M2). These characteristics are present on other European neanderthal specimens. Also notheworthy is the tendency towards metric gracilization shown by the Fossellone and Guattari teeth, which is shared with other Neandertal remains from late Middle Palaeolithic sites near the Mediterranean coasts.Résumé — Il s'agit de l'étude de quatre pièces humaines trouvées en 1953-54 dans les niveaux moustériens de la grotte du Fossellone au Monte Circeo avec des ossements de faune qui comprennent Rhinoceros Merkii, Hyaena crocuta spaelea, Panthera pardus et Cervus elaphus. Ces pièces ont appartenu presque sûrement au même sujet jeune (9-10 ans environ). Le fragment de mandibule et les trois dents montrent quelques traits archaïques (ou plésiomorphes) qu'on retrouve en général sur d'autres pièces d'Homo s. neanderthalensis, au moins en Europe. Sur le fragment mandibulaire on peut observer le torus transversus superior et quelques traits qu'on note aussi sur les mandibules Guattari 2 et Guarrari 3. Les dents ont uncfovea anterior (PI, Ml et M2), un schéma dryopitheciné sur la surface occlusale et une structure sur la couronne, près du collet, qui peut être interprétée comme un rudiment de cingulum (Ml et M2). Les diamètres sont petits et comparables à ceux des dents des Néandertaliens les plus récents du Bassin de la Méditerranée occidentale.Mallegni Francesco. Quelques restes humains immatures, des niveaux moustériens de la grotte du Fossellone (Monte Circeo, Italie) : Fossellone 3 (Olim Circeo IV). In: Bulletins et Mémoires de la Société d'anthropologie de Paris, Nouvelle Série. Tome 4 fascicule 1-2, 1992. pp. 21-32