Clinical nutrition in surgical oncology: Young AIOM-AIRO-SICO multidisciplinary national survey on behalf of NutriOnc research group

Malnutrition is a common condition in cancer patients which is usually associated with functional limitations, as well as increased morbidity and mortality. Based on the support of the young sections of Italian Association of Medical Oncology (AIOM), Italian Association of Radiotherapy and Clinical Oncology (AIRO) and Italian Society of Surgical Oncology (SICO) merged into the NutriOnc Research Group, we performed a multidisciplinary national survey with the aim to define the awareness of nutritional issues among healthcare professionals delivering anticancer care. The questionnaire was organized in four sections, as follows: Knowledge and practices regarding Nutritional Management of cancer patients; Timing of screening and assessment of Nutritional Status; Nutritional Treatment and prescription criteria; Immunonutrition and educational topics. The modules focused on esophagogastric, hepato-bilio-pancreatic and colorectal malignancies. Overall, 215 physicians completed the survey. As regards the management of Nutritional Status of cancer patients, many responders adopted the ERAS program (49.3%), while a consistent number of professionals did not follow a specific validated nutritional care protocol (41.8%), mainly due to lack of educational courses (14.5%) and financial support (15.3%). Nearly all the included institutions had a multidisciplinary team (92%) to finalize the treatment decision-making. Cancer patients routinely underwent nutritional screening according to 57.2% of interviewed physicians. The timing of nutritional assessment was at diagnosis (37.8%), before surgery (25.9%), after surgery (16.7%), before radiochemotherapy (13.5%) and after radiochemotherapy (7%). Most of the responders reported that nutritional status was assessed throughout the duration of cancer treatments (55.6%). An important gap between current delivery and need of nutritional assessment persists. The development of specific and defined care protocols and the adherence to these tools may be the key to improving nutritional support management in clinical practice

Dédifférenciation des cellules épithéliales mammaires primaires en culture : un modèle ex vivo de la plasticité du tissu mammaire

Dédifférenciation des cellules épithéliales mammaires primaires en culture : un modèle ex vivo de la plasticité du tissu mammaire. Journées d’Animation des Crédits Incitatifs du Département de Physiologie Animale et Systèmes d’Elevage (JACI Phase 2016

La biopsia minima dei noduli mammari in fase preclinica

In conjuction with ultrasonography, mammography is the most common instrumental method used in the screening program of subclinical breast lesions. The Authors present their method of preoperative localization and minimal biopsy of subclinical breast lesions. According to our experience, the most efficient technique is founded on marking the suspected area, guided by mammography, with vegetal coal, that remain 'in situ' about 2 weeks. We have performed this procedure in 40 cases. A diagnosis positive for carcinoma was made in 9 cases. Hospitalization of the patients is not necessary: in fact marked lesion is excised under local anaesthesia and the whole operation takes about 30 minutes. Complications have been negligible. The aesthetic result is agreeable and the patients acceptance of a minimal biopsy is good

Memorial acadêmico para Professor Titular

No cumprimento do requisito parcial para obtenção do título de Professora Titular do Departamento de Teoria e Prática da Educação da UFPR, elaboro este Memorial Descritivo para que seja julgado por banca de professores titulares, cujos nomes e currículos foram aprovados no âmbito de meu Departamento e Setor. Percorrer novamente a trajetória construída na vida acadêmica, agora de um gole só para alcançar o termo da narrativa, identificando o fluxo do “sangue quando fervia” e selecionar alguns elementos fractais que logrem expressar o paradigma político-epistemológico-afetivo ao qual me vinculo é uma viagem emocionante, que encanta e dói, veste e desnuda

A national survey on the current status of minimally invasive gastric practice on behalf of GIRCG

: Italian Research Group for Gastric Cancer (GIRCG), during the 2013 annual Consensus Conference to gastric cancer, stated that laparoscopic or robotic approach should be limited only to early gastric cancer (EGC) and no further guidelines were currently available. However, accumulated evidences, mainly from eastern experiences, have supported the application of minimally invasive surgery also for locally advanced gastric cancer (AGC). The aim of our study is to give a snapshot of current surgical propensity of expert Italian upper gastrointestinal surgeons in performing minimally invasive techniques for the treatment of gastric cancer in order to answer to the question if clinical practice overcome the recommendation. Experts in the field among the Italian Research Group for Gastric Cancer (GIRCG) were invited to join a web 30-item survey through a formal e-mail from January 1st, 2020, to June 31st, 2020. Responses were collected from 46 participants out of 100 upper gastrointestinal surgeons. Percentage of surgeons choosing a minimally invasive approach to treat early and advanced gastric cancer was similar. Additionally analyzing data from the centers involved, we obtained that the percentage of minimally invasive total and partial gastrectomies in advanced cases augmented with the increase of surgical procedures performed per year (p = 0.02 and p = 0.04 respectively). It is reasonable to assume that there is a widening of indications given by the current national guideline into clinical practice. Propensity of expert Italian upper gastrointestinal surgeons was to perform minimally invasive surgery not only for early but also for advanced gastric cancer. Of interest volume activity correlated with the propensity of surgeons to select a minimally invasive approach