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Terms modified by Milan Selected AbstractsA morphological reappraisal of Tubifex blanchardi Vejdovský, 1891 (Clitellata: Tubificidae)ACTA ZOOLOGICA, Issue 2 2009Roberto Marotta Abstract Tubifex blanchardi Vejdovský, 1891 is a freshwater tubificid, often living in sympatry with Tubifex tubifex (Müller 1774). Although considered from its discovery as a species on its own, its biological status is debated. During the early seventies T. blanchardi was reduced to a mere form of T. tubifex, as a particular case of polymorphism in chaetal pattern. Using classical histological techniques, microdissections of portions of the male genital apparatus and phalloidin staining of dissected copulatory organs we investigated 163 mixed individuals of T. blanchardi and T. tubifex belonging to sympatric populations from the Lambro River (Milan, Northern Italy). The internal morphology of T. blanchardi is described for the first time. Our results show that T. tubifex and T. blanchardi differ in several characters concerning both their external and internal morphology, and in the fine organization of their copulatory organs. Several independent character sets support the separation of T. blanchardi from T. tubifex, suggesting that it is an independent species. This study also supports the idea that T. blanchardi and T. bergi (Hrab,, 1935), another species closely related to T. tubifex, are not conspecific. The observed morphological differences between allopatric populations of T. tubifex are discussed. [source] Non-parametric tests and confidence regions for intrinsic diversity profiles of ecological populationsENVIRONMETRICS, Issue 8 2003Tonio Di Battista Abstract Evaluation of diversity profiles is useful for ecologists to quantify the diversity of biological communities. Measures of diversity profile can be expressed as a function of the unknown abundance vector. Thus, the estimators and related confidence regions and tests of hypotheses involve aspects of multivariate analysis. In this setting, using a suitable sampling design, inference is developed assuming an asymptotic specific distribution of the profile estimator. However, in a biological framework, ecologists work with small sample sizes, and the use of any probability distribution is hazardous. Assuming that a sample belongs to the family of replicated sampling design, we show that the diversity profile estimator can be expressed as a linear combination of the ranked abundance vector estimators. Hence we are able to develop a non-parametric approach based on a bootstrap in order to build balanced simultaneous confidence sets and tests of hypotheses for diversity profiles. Finally, the proposed procedure is applied on the avian populations of four parks in Milan, Italy. Copyright © 2003 John Wiley & Sons, Ltd. [source] Discussion on ,Personality psychology as a truly behavioural science' by R. Michael FurrEUROPEAN JOURNAL OF PERSONALITY, Issue 5 2009Article first published online: 14 JUL 200 Yes We Can! A Plea for Direct Behavioural Observation in Personality Research MITJA D. BACK and BORIS EGLOFF Department of Psychology, Johannes Gutenberg University Mainz, Germany mback@uni-leipzig.de Furr's target paper (this issue) is thought to enhance the standing of personality psychology as a truly behavioural science. We wholeheartedly agree with this goal. In our comment we argue for more specific and ambitious requirements for behavioural personality research. Specifically, we show why behaviour should be observed directly. Moreover, we illustratively describe potentially interesting approaches in behavioural personality research: lens model analyses, the observation of multiple behaviours in diverse experimentally created situations and the observation of behaviour in real life. Copyright © 2009 John Wiley & Sons, Ltd. The Categories of Behaviour Should be Clearly Defined PETER BORKENAU Department of Psychology, Martin-Luther University Halle-Wittenberg, Germany p.borkenau@psych.uni-halle.de The target paper is helpful by clarifying the terminology as well as the strengths and weaknesses of several approaches to collect behavioural data. Insufficiently considered, however, is the clarity of the categories being used for the coding of behaviour. Evidence is reported showing that interjudge agreement for retrospective and even concurrent codings of behaviour does not execeed interjudge agreement for personality traits if the categories being used for the coding of behaviour are not clearly defined. By contrast, if the behaviour to be registered is unambiguously defined, interjudge agreement may be almost perfect. Copyright © 2009 John Wiley & Sons, Ltd. Behaviour Functions in Personality Psychology PHILIP J. CORR Department of Psychology, Faculty of Social Sciences, University of East Anglia, Norwich, UK Philip.Corr@btopenworld.com Furr's target paper highlights the importance, yet under-representation, of behaviour in published articles in personality psychology. Whilst agreeing with most of his points, I remain unclear as to how behaviour (as specifically defined by Furr) relates to other forms of psychological data (e.g. cognitive task performance). In addition, it is not clear how the functions of behaviour are to be decided: different behaviours may serve the same function; and identical behaviours may serve different functions. To clarify these points, methodological and theoretical aspects of Furr's proposal would benefit from delineation. Copyright © 2009 John Wiley & Sons, Ltd. On the Difference Between Experience-Sampling Self-Reports and Other Self-Reports WILLIAM FLEESON Department of Psychology, Wake Forest University, Winston-Salem, NC, USA fleesonW@wfu.edu Furr's fair but evaluative consideration of the strengths and weaknesses of behavioural assessment methods is a great service to the field. As part of his consideration, Furr makes a subtle and sophisticated distinction between different self-report methods. It is easy to dismiss all self-reports as poor measures, because some are poor. In contrast, Furr points out that the immediacy of the self-reports of behaviour in experience-sampling make experience-sampling one of the three strongest methods for assessing behaviour. This comment supports his conclusion, by arguing that ESM greatly diminishes one the three major problems afflicting self-reports,lack of knowledge,and because direct observations also suffer from the other two major problems afflicting self-reports. Copyright © 2009 John Wiley & Sons, Ltd. What and Where is ,Behaviour' in Personality Psychology? LAURA A. KING and JASON TRENT Department of Psychology, University of Missouri, Columbia, USA kingla@missouri.edu Furr is to be lauded for presenting a coherent and persuasive case for the lack of behavioural data in personality psychology. While agreeing wholeheartedly that personality psychology could benefit from greater inclusion of behavioural variables, here we question two aspects of Furr's analysis, first his definition of behaviour and second, his evidence that behaviour is under-appreciated in personality psychology. Copyright © 2009 John Wiley & Sons, Ltd. Naturalistic Observation of Daily Behaviour in Personality Psychology MATTHIAS R. MEHL Department of Psychology, University of Arizona, Tucson, AZ, USA mehl@email.arizona.edu This comment highlights naturalistic observation as a specific method within Furr's (this issue) cluster direct behavioural observation and discusses the Electronically Activated Recorder (EAR) as a naturalistic observation sampling method that can be used in relatively large, nomothetic studies. Naturalistic observation with a method such as the EAR can inform researchers' understanding of personality in its relationship to daily behaviour in two important ways. It can help calibrate personality effects against act-frequencies of real-world behaviour and provide ecological, behavioural personality criteria that are independent of self-report. Copyright © 2009 John Wiley & Sons, Ltd. Measuring Behaviour D. S. MOSKOWITZ and JENNIFER J. RUSSELL Department of Psychology, McGill University, Montreal, Canada dsm@psych.mcgill.ca Furr (this issue) provides an illuminating comparison of the strengths and weaknesses of various methods for assessing behaviour. In the selection of a method for assessing behaviour, there should be a careful analysis of the definition of the behaviour and the purpose of assessment. This commentary clarifies and expands upon some points concerning the suitability of experience sampling measures, referred to as Intensive Repeated Measurements in Naturalistic Settings (IRM-NS). IRM-NS measures are particularly useful for constructing measures of differing levels of specificity or generality, for providing individual difference measures which can be associated with multiple layers of contextual variables, and for providing measures capable of reflecting variability and distributional features of behaviour. Copyright © 2009 John Wiley & Sons, Ltd. Behaviours, Non-Behaviours and Self-Reports SAMPO V. PAUNONEN Department of Psychology, University of Western Ontario, London, Canada paunonen@uwo.ca Furr's (this issue) thoughtful analysis of the contemporary body of research in personality psychology has led him to two conclusions: our science does not do enough to study real, observable behaviours; and, when it does, too often it relies on ,weak' methods based on retrospective self-reports of behaviour. In reply, I note that many researchers are interested in going beyond the study of individual behaviours to the behaviour trends embodied in personality traits; and the self-report of behaviour, using well-validated personality questionnaires, is often the best measurement option. Copyright © 2009 John Wiley & Sons, Ltd. An Ethological Perspective on How to Define and Study Behaviour LARS PENKE Department of Psychology, The University of Edinburgh, Edinburgh, UK lars.penke@ed.ac.uk While Furr (this issue) makes many important contributions to the study of behaviour, his definition of behaviour is somewhat questionable and also lacks a broader theoretical frame. I provide some historical and theoretical background on the study of behaviour in psychology and biology, from which I conclude that a general definition of behaviour might be out of reach. However, psychological research can gain from adding a functional perspective on behaviour in the tradition of Tinbergens's four questions, which takes long-term outcomes and fitness consequences of behaviours into account. Copyright © 2009 John Wiley & Sons, Ltd. What is a Behaviour? MARCO PERUGINI Faculty of Psychology, University of Milan,Bicocca, Milan, Italy marco.perugini@unimib.it The target paper proposes an interesting framework to classify behaviour as well as a convincing plea to use it more often in personality research. However, besides some potential issues in the definition of what is a behaviour, the application of the proposed definition to specific cases is at times inconsistent. I argue that this is because Furr attempts to provide a theory-free definition yet he implicitly uses theoretical considerations when applying the definition to specific cases. Copyright © 2009 John Wiley & Sons, Ltd. Is Personality Really the Study of Behaviour? MICHAEL D. ROBINSON Department of Psychology, North Dakota State University, Fargo, ND, USA Michael.D.Robinson@ndsu.edu Furr (this issue) contends that behavioural studies of personality are particularly important, have been under-appreciated, and should be privileged in the future. The present commentary instead suggests that personality psychology has more value as an integrative science rather than one that narrowly pursues a behavioural agenda. Cognition, emotion, motivation, the self-concept and the structure of personality are important topics regardless of their possible links to behaviour. Indeed, the ultimate goal of personality psychology is to understanding individual difference functioning broadly considered rather than behaviour narrowly considered. Copyright © 2009 John Wiley & Sons, Ltd. Linking Personality and Behaviour Based on Theory MANFRED SCHMITT Department of Psychology, University of Koblenz-Landau, Landau, Germany schmittm@uni-landau.de My comments on Furr's (this issue) target paper ,Personality as a Truly Behavioural Science' are meant to complement his behavioural taxonomy and sharpen some of the presumptions and conclusions of his analysis. First, I argue that the relevance of behaviour for our field depends on how we define personality. Second, I propose that every taxonomy of behaviour should be grounded in theory. The quality of behavioural data does not only depend on the validity of the measures we use. It also depends on how well behavioural data reflect theoretical assumptions on the causal factors and mechanisms that shape behaviour. Third, I suggest that the quality of personality theories, personality research and behavioural data will profit from ideas about the psychological processes and mechanisms that link personality and behaviour. Copyright © 2009 John Wiley & Sons, Ltd. The Apparent Objectivity of Behaviour is Illusory RYNE A. SHERMAN, CHRISTOPHER S. NAVE and DAVID C. FUNDER Department of Psychology, University of California, Riverside, CA, USA funder@ucr.edu It is often presumed that objective measures of behaviour (e.g. counts of the number of smiles) are more scientific than more subjective measures of behaviour (e.g. ratings of the degree to which a person behaved in a cheerful manner). We contend that the apparent objectivity of any behavioural measure is illusory. First, the reliability of more subjective measures of behaviour is often strikingly similar to the reliabilities of so-called objective measures. Further, a growing body of literature suggests that subjective measures of behaviour provide more valid measures of psychological constructs of interest. Copyright © 2009 John Wiley & Sons, Ltd. Personality and Behaviour: A Neglected Opportunity? LIAD UZIEL and ROY F. BAUMEISTER Department of Psychology, Florida State University, Tallahassee, FL, USA Baumeister@psy.fsu.edu Personality psychology has neglected the study of behaviour. Furr's efforts to provide a stricter definition of behaviour will not solve the problem, although they may be helpful in other ways. His articulation of various research strategies for studying behaviour will be more helpful for enabling personality psychology to contribute important insights and principles about behaviour. The neglect of behaviour may have roots in how personality psychologists define the mission of their field, but expanding that mission to encompass behaviour would be a positive step. Copyright © 2009 John Wiley & Sons, Ltd. [source] Geographies of Housing Finance: The Mortgage Market in Milan, ItalyGROWTH AND CHANGE, Issue 2 2007MANUEL B. AALBERS ABSTRACT The geography of financial exclusion has mainly focused on exclusion from retail banking. Alternatively, and following the work of David Harvey, this paper presents a geography of access to and exclusion from home mortgage finance. The case of Milan shows that capital switching to the built environment is partly a sign of economic crisis and partly a sign of the intrinsic opportunities that the built environment provides. A major factor in both is the deregulation of the mortgage market that has enabled the loosening of historically stringent lending criteria, leading to a tremendous growth of the mortgage market, while leaving the co-evolution of family and home ownership intact. In addition, capital switches within sectors of the economy and between places. In Milan, once "unattractive" but currently gentrified nineteenth-century districts underwent cycles of devalorisation and revalorisation. Even though access to mortgages has increased throughout Milan, geographical disparities in mortgage lending persist: at present, yellowlining (differential access, based on less favourable terms) is common in parts of the Milanese periphery. The creation of boundaries makes the realisation of class-monopoly rent possible; while the subsequent redrawing of these boundaries creates new submarkets in which surplus value can be extracted. Based on the Milan case, one cannot explain the timing and geography of formation and reformation of submarkets in other cities, but it helps us to see how Harvey's abstract ideas of class-monopoly rent, submarket creation, and capital switching take place in the real world. [source] Sustained virologic response prevents the development of esophageal varices in compensated, Child-Pugh class A hepatitis C virus,induced cirrhosis.HEPATOLOGY, Issue 6 2010A 12-year prospective follow-up study The incidence of de novo development of esophageal varices (EV) in patients with compensated liver cirrhosis has been determined by few studies in the short term and never in the long term. The aims of the present study were to determine the incidence and the risk factors associated with the development of EV and to assess whether antiviral treatment and achievement of sustained virologic response (SVR) may prevent de novo EV development in patients with HCV-induced cirrhosis. We studied 218 patients with compensated EV-free, HCV-induced cirrhosis consecutively enrolled between 1989 and 1992 at three referral centers in Milan, Italy. Endoscopic surveillance was performed at 3-year intervals according to international guidelines. SVR was defined as undetectable serum HCV-RNA 24 weeks after treatment discontinuation. During a median follow-up of 11.4 years, 149/218 (68%) patients received antiviral treatment and 34 (22.8%) achieved SVR. None of the SVR patients developed EV compared with 22 (31.8%) of the 69 untreated subjects (P < 0.0001) and 45 (39.1%) of the 115 non-SVR patients (P < 0.0001). On multivariate analysis, HCV genotype 1b (hazard ratio [HR] 2.40; 95% confidence interval [CI] 1.17-4.90) and baseline model for end-stage liver disease (MELD) score (HR 1.20; 95% CI 1.07-1.35 for 1 point increase) were independent predictors of EV. Conclusion: In the long term, the achievement of SVR prevents the development of EV in patients with compensated HCV-induced cirrhosis. Therefore, in these patients, endoscopic surveillance can be safely delayed or avoided. Genotype 1b infection and MELD score identify the subset of patients at higher risk of EV development who need tailored endoscopic surveillance. Hepatology 2010 [source] Risk factors for fibrosis progression in HIV/HCV coinfected patients from a retrospective analysis of liver biopsies in 1985,2002HIV MEDICINE, Issue 5 2006M Schiavini Objectives To identify predictive factors for moderate/severe liver fibrosis and to analyse fibrosis progression in paired liver biopsies from HIV-positive patients with chronic hepatitis C virus (HCV) infection. Methods HIV/HCV coinfected patients followed at the 2nd Department of Infectious Diseases of L. Sacco Hospital in Milan, Italy, with at least one liver biopsy specimen were retrospectively evaluated. Results A total of 110 patients were enrolled in the study. In a univariate analysis, predictive factors of Ishak,Knodell stage ,3 were a history of alcohol abuse [odds ratio (OR) 3.6, P=0.004], alanine aminotransferase level >100 IU/L at biopsy (OR 2.4, P=0.05), necro-inflammatory grade ,9 (OR 37.14, P<0.0001) and CD4 count <350 cells/,L at nadir (OR 5.3, P=0.05). In a multivariate analysis, age >35 years (OR 3.19, P=0.04) and alcohol abuse (OR 4.36, P=0.002) remained independently associated with Ishak,Knodell stage. Paired liver biopsies were available in 36 patients; 18 showed an increase of at least one stage in the subsequent liver biopsy. Either in a univariate or in a multivariate analysis, a decrease of CD4 cell count of more than 10% between two biopsies (OR 6.85, P=0.002) was significantly associated with liver fibrosis progression. Conclusion Our findings highlight the relevance of encouraging a withdrawal of alcohol consumption in people with chronic HCV infection and of carrying out close follow-up of patients, especially if they are more than 35 years old. It is therefore mandatory to evaluate HIV/HCV coinfected patients for anti-HCV treatment and to increase CD4 cell count through antiretroviral therapy in order to reduce the risk of fibrosis progression and to slow the evolution of liver disease. [source] Prediagnostic levels of C-peptide, IGF-I, IGFBP -1, -2 and -3 and risk of endometrial cancer,INTERNATIONAL JOURNAL OF CANCER, Issue 2 2004Annekatrin Lukanova Abstract Conditions related to chronic hyperinsulinemia, such as obesity, noninsulin dependent diabetes mellitus and polycystic ovary syndrome, are associated with an increased risk of endometrial cancer. Elevated plasma IGF-I and decreased levels of IGF-binding proteins have been shown to be associated with increased risk of several cancer types that are frequent in affluent societies. We investigated for the first time in a prospective study the association of pre-diagnostic blood concentrations of C-peptide (a marker of pancreatic insulin production), IGF-I, IGFBP-1, -2 and -3 with endometrial cancer risk. A case-control study was nested within 3 cohorts in New York (USA), Umeå (Sweden) and Milan (Italy). It included 166 women with primary invasive endometrial cancer and 315 matched controls, of which 44 case and 78 control subjects were premenopausal at recruitment. Endometrial cancer risk increased with increasing levels of C-peptide (ptrend = 0.0002), up to an odds ratio (OR) of 4.76 [95% confidence interval (CI) = 1.91,11.8] for the highest quintile. This association remained after adjustment for BMI and other confounders [OR for the top quintile = 4.40 (1.65,11.7)]. IGFBP-1 levels were inversely related to endometrial cancer [ptrend = 0.002; OR in the upper quintile = 0.30 (0.15,0.62)], but the association was weakened and lost statistical significance after adjustment for confounders [ptrend = 0.06; OR in the upper quintile = 0.49 (0.22,1.07)]. Risk was unrelated to levels of IGF-I, IGFBP-2 and IGFBP-3. Chronic hyperinsulinemia, as reflected by increased circulating C-peptide, is associated with increased endometrial cancer risk. Decrease in the prevalence of chronic hyperinsulinemia, through changes in lifestyle or medication, is expected to prevent endometrial cancer. © 2003 Wiley-Liss, Inc. [source] Sea-level pressure variability in the Po Plain (1765,2000) from homogenized daily secular recordsINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 4 2004Maurizio Maugeri Abstract A homogenized 236 year daily regional sea-level pressure (SLP) record is constructed for the Po Plain (north Italy) by means of six station records: Bologna, Genoa, Lugano, Milan, Padua and Turin. Station records are subjected to a first homogenization in order to reduce all observations to sea level and to 0°C and to correct the bias introduced by calculating daily means using different sets of observation hours. A second homogenization is performed by means of comparison with other Italian and European series. After homogenization, the root-mean square error of the yearly station records is evaluated within 0.2 hPa after 1880, whereas for the periods 1834,1880 and 1765,1833 it is estimated as between 0.2 and 0.3 hPa and as around 0.4 hPa respectively. Trend analysis is applied to the annual and seasonal regional records and concerns both SLP and its day-to-day variability. The results show that neither the SLP nor its day-to-day variability have an evident trend when considering the entire 1765,2000 period. However, if the series is divided roughly in two parts, then significant trends can be highlighted. The annual and seasonal regional SLP records are also compared with corresponding regional temperature series. The results show that, especially in spring and in summer, temperature and SLP are in good agreement. Copyright © 2004 Royal Meteorological Society [source] Integration, Participation, Identity: Immigrant Associations in the Province of MilanINTERNATIONAL MIGRATION, Issue 2 2010Marco Caselli The paper presents some results from a multi-year research project on immigrant associations in the province of Milan, Italy. The analysis yields numerous issues for reflection and recurrent features of particular significance. The first is the fact that for all the associations surveyed, their main goal and the essential reason for their existence was the desire to integrate their community of membership into the host society. However, such integration did not consist in a desire to be assimilated into Italian society. Quite the opposite: the majority of the associations studied were wholly committed to maintaining -- and sometimes rediscovering -- the identity and culture of their reference community. The second main feature is that immigrant associations are crucial nodes in a dense network of relations involving numerous actors of very different kinds: the immigrants themselves, other immigrant associations, third-sector organizations, and the local authorities. The third and final important issue concerns the representativeness of immigrant associations: whether, that is, they can be considered the legitimate representatives of the community of membership. [source] The analysis of motor vehicle crash clusters using the vector quantization techniqueJOURNAL OF ADVANCED TRANSPORTATION, Issue 3 2010Lorenzo Mussone Abstract In this paper, a powerful tool for analyzing motor vehicle data based on the vector quantization (VQ) technique is demonstrated. The technique uses an approximation of a probability density function for a stochastic vector without assuming an "a priori" distribution. A self-organizing map (SOM) is used to transform accident data from an N-dimensional space into a two-dimensional plane. The SOM retains all the original data yet provides an effective visual tool for describing patterns such as the frequency at which a particular category of events occurs. This enables new relationships to be identified. Accident data from three cities in Italy (Turin, Milan, and Legnano) are used to illustrate the usefulness of the technique. Crashes are aggregated and clustered crashes by type, severity, and along other dimensions. The paper includes discussion as to how this method can be utilized to further improve safety analysis. Copyright © 2010 John Wiley & Sons, Ltd. [source] Mild Cognitive Impairment Subtypes and Vascular Dementia in Community-Dwelling Elderly People: A 3-Year Follow-Up StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2006Mariella Zanetti MD OBJECTIVES: To investigate whether mild cognitive impairment (MCI) with multiple impaired cognitive domains (mcd-MCI) is a prodromal manifestation of vascular dementia (VaD). DESIGN: Prospective cohort study. SETTING: Geriatric unit of the Ospedale Maggiore Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy. PARTICIPANTS: Four hundred community-dwelling subjects aged 65 and older who came freely to the geriatric unit as part of a comprehensive geriatric assessment program were evaluated for memory impairment or other cognitive disorders. Subjects with MCI were kept under observation for 3 years. MEASUREMENTS: Subjects with MCI were studied by applying a standardized clinical evaluation and a conducting a computed tomography brain scan. Cognitive performance was assessed using the Mini-Mental State Examination, the Clock Drawing Test, and a comprehensive battery of neuropsychological tests. Cardiovascular comorbidity was assessed on the basis of medical history and using electrocardiography, echocardiography, and carotid color Doppler ultrasound. RESULTS: MCI was found in 65 of the 400 community-dwelling subjects; 31 were classified with amnestic MCI (a-MCI) and 34 with mcd-MCI. A dysexecutive syndrome characterized people with mcd-MCI, who had significantly more vascular comorbidity and signs of vascular disease on brain imaging as well as a higher prevalence of extra pyramidal features, mood disorders, and behavioral symptoms than people with a-MCI. Twenty of the 65 subjects with MCI (31%) progressed to dementia within 3 years of follow-up: 11 subjects with Alzheimer's disease (AD) and nine with VaD. All patients who evolved to AD had been classified with a-MCI at baseline, whereas all patients who evolved to subcortical VaD had been classified with mcd-MCI at baseline. CONCLUSION: All subjects who converted to subcortical VaD had been classified with mcd-MCI, suggesting that mcd-MCI might be an early stage of subcortical VaD. [source] Peripheral blood stem cell collection in multiple myeloma: A retrospective analysis of 6 years leukapheresis activity in 109 patients treated at the Istituto Nazionale dei Tumori of MilanJOURNAL OF CLINICAL APHERESIS, Issue 4 2009Paola Coluccia Abstract Double autologous stem cell transplantation is the standard treatment in newly diagnosed multiple myeloma (MM) patients younger than 65 years; therefore, optimization of leukapheresis is crucial. We performed a retrospective analysis of 297 leukaphereses comparing semiautomated (V4.7 in 20% of collections) versus automated (V6.0 in 80%) Caridian (COBE) Spectra versions and analyzing the influence of M-protein on the outcome. Both methods gave comparable collection efficiencies (CE%) (53.4% vs. 55.7% in V6.0 and V4.7, respectively) with similar leukapheresis time and processed volume. Harvest volume was higher in V4.7 (P < 0.0001) with similar contamination of red blood cells (RBCs) (P = 0.77) and platelets (P = 0.09) when compared with V6.0. In patients with higher peripheral white blood cells (WBCs), V6.0 with adjusted harvest volume (<700 mL), achieved similar CD34+ CE% (P = 0.39) and better enrichment of nucleated cells (P < 0.0,002) but higher RBCs (P < 0.0,001) and platelets contamination (P = 0.001), when compared with a larger cycle volume in patients with lower WBCs. In hard to mobilize patients, CD34+ CE% was significantly more efficient with V4.7 than V6.0 (P < 0.0,001). CD34+ CE% was unaffected by serologic M-protein, but platelet CE% was higher in the absence of M-protein (P = 0.0,003), without any reduction in peripheral patients platelets. We, therefore, conclude that in the setting of MM patients with a high WBCs count and/or low percentage of peripheral CD34+ cells, collections with V4.7 or adjusted cycle volume V6.0 gave comparable result in CD34+ CE%. RBCs and platelets contamination is higher if low cycle volume is chosen. In hard to mobilize patients, V4.7 is advisable. J. Clin. Apheresis, 2009. © 2009 Wiley-Liss, Inc. [source] Peripheral blood stem cell collection in pediatric patients: Feasibility of leukapheresis under anesthesia in uncompliant small children with solid tumors ,JOURNAL OF CLINICAL APHERESIS, Issue 2 2006Fernando Ravagnani Leukapheresis demands patient's compliance and adequate vascular accesses, which can require invasive methods in very small children whose treatment protocol includes hemopoietic stem cell collection for myeloablative chemotherapy and stem cell rescue. Since 1998, at the Istituto Nazionale Tumori of Milan, in selected uncompliant small children, the placement of peripheral vascular accesses and leukapheresis have been performed at the same time under general anesthesia. Peripheral venous cannulas were positioned for blood collection, while blood was returned through either peripheral cannulas or mono-lumen central catheters previously installed for chemotherapy. A continuous-flow cell separator was used for leukapheresis. Between 1998 and 2003, 47 children with solid tumors underwent anesthesia for a total of 54 leukaphereses. The patients' age ranged from 12.7 to 93 months (median 30.3) and their weight ranged from 7 to 20 kg (median 14.1). Neither metabolic nor anesthesiological complications were recorded. In 89% of cases, the CD 34+ cell target was achieved at a single harvest; the median number of CD 34+ cells was 10.8 × 106/kg/leukapheresis (range 1,117) and the median collection efficiency was 63.4% (range 25,100.6). Leukapheresis under anesthesia is feasible and safe in very low-weight children whose compliance is lacking due to age and disease. J. Clin. Apheresis, 2005 © 2005 Wiley-Liss, Inc. [source] A New Method of Reproduction of Fingerprints from Corpses in a Bad State of Preservation Using LatexJOURNAL OF FORENSIC SCIENCES, Issue 6 2007Davide Porta B.Sc. Abstract:, In view of the problems arising while fingerprinting corpses in a bad state of preservation, especially in case of mummification and carbonization, the authors propose an innovative technique which uses latex film. To better illustrate the potential of the method, two cases where the latex technique was applied successfully are reported: the first one is a mummified body discovered in a shack on the outskirts of Milan and the second one is the case of a burnt corpse found in a car boot. Such a technique is versatile, easy to apply, and allows the operator to work quickly on cadavers without amputating parts, except in rare cases (i.e., burnt bodies with muscle retraction). By the latex technique, a perfect and enduring negative copy of the fingerprint is obtained, ready to be inked and photographed. The numerous copies produced this way can be inked several times allowing for the repeatability of the procedure and this is crucial in cases of problematic legal identification of corpses. In both the cases illustrated, the fingerprints obtained by the latex technique were useful for identification. The quality was good enough for the automatic fingerprint identification system research system to be applied. [source] Inflammatory bowel disease: new insights into pathogenesis and treatmentJOURNAL OF INTERNAL MEDICINE, Issue 6 2002S. Ardizzone Abstract., Ardizzone S, Bianchi Porro G (,L. Sacco' University Hospital, Milan, Italy). Inflammatory bowel disease: new insights into pathogenesis and treatment (Review). J Intern Med 2002; 252: 475,496. Despite all the advances in our understanding of the pathophysiology of inflammatory bowel disease (IBD), we do not know the cause. Some of the most recently available data have been discussed here and yet it is now becoming increasingly accepted that immunogenetics play an important role in the predisposition, modulation, and perpetuation of IBD. The mucosal immune system is the central effector of intestinal inflammation and injury, with cytokines playing a central role in modulating inflammation. The role of intestinal milium, and enteric flora in particular, appears to be of greater significance than previously held. A review is made of the main areas of research exploring the mechanisms more intimately associated with the development of IBD, providing advances in the agents currently used, and identifying a host of new therapeutic agents potentially interacting with or interrupting specific targets in the genesis of IBD. [source] Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patientsJOURNAL OF ORAL REHABILITATION, Issue 9 2002V. F. FERRARIO Summary Surface electromyography (EMG) allows the quantification of the occlusal equilibrium in dysfunctional patients, for instance in those with temporomandibular disorders (TMD). Fourteen patients (ten women, four men) with internal derangement type I were selected among the TMD patients referred to a private practice in Milan. A stabilization splint with posterior contacts was made for each patient. To verify the static neuromuscular equilibrium of occlusion, EMG activity of left and right temporal and masseter muscles was recorded in all patients and the activity (ratio between the activities of the temporal and masseter muscles) index was computed over a maximum voluntary clench test of 3 s. Muscular waveforms were also analysed by computing a percentage overlapping coefficient (POC, an index of the symmetric distribution of the muscular activity determined by the occlusion). The total electrical activity was measured by calculating the area under the entire muscular waveforms. In all patients EMG was performed just before and immediately after the insertion of the splint and data were compared by paired Student's t -tests. Overall, the splint reduced the electrical activity of the analysed muscles (P < 0·005) and made it more equilibrated both between the left and right side (larger symmetry in the masseter muscle POC, P < 0·05) and between the temporal and masseter muscles (activity index, P < 0·01). [source] Lay-Religious Associations, Urban Identities, and Urban Space in Eighteenth-Century MilanJOURNAL OF RELIGIOUS HISTORY, Issue 1 2004David Garrioch Religious life was integral to the social and political organization of eighteenth-century Milan. The composition and character of lay-religious activities reflect not only official hierarchies within the city but also unofficial bonds and identities, such as those of neighbourhood. They reveal the multiple identities of neighbourhood, parish, trade and family, but equally the tensions between collective forms of piety and the new religious values and aesthetic adopted by the Milanese elites during the late Enlightenment. [source] The Delphi approach to Attain consensus in methodology of local regional therapy for peritoneal surface malignancy,,JOURNAL OF SURGICAL ONCOLOGY, Issue 4 2008Shigeki Kusamura MD Abstract At the Fifth International Workshop on Peritoneal Surface Malignancy (PSM), held in Milan, December 2006, the consensus on technical aspects of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) was obtained through the Delphi process. The following topics were discussed: pre-operative workup; eligibility to CRS,+,HIPEC; intra-operative staging system; technical aspects of surgery; residual disease classification systems; HIPEC: nomenclature and modalities; drugs, carrier solution and optimal temperature; morbidity grading systems. Conflicting points regarding above-mentioned topics were elaborated and voted in two rounds by a panel of international experts in local-regional therapy. The purpose of this manuscript is to describe the organization and the methodology of the consensus statements and to interpret and discuss the implications of the most striking results. J. Surg. Oncol. 2008;98:217,219. © 2008 Wiley-Liss, Inc. [source] The eligibility for local-regional treatment of peritoneal surface malignancy,JOURNAL OF SURGICAL ONCOLOGY, Issue 4 2008Vic J. Verwaal MD Abstract At the Fifth International Workshop on Peritoneal Surface Malignancy, held in Milan, the consensus on technical aspects of cytoreductive surgery (CRS) for peritoneal surface malignancy was obtained through the Delphi process. General conflicting points concerning the eligibility to the local-regional therapy were discussed and voted. J. Surg. Oncol. 2008;98:220,223. © 2008 Wiley-Liss, Inc. [source] Consensus statement on the loco-regional treatment of appendiceal mucinous neoplasms with peritoneal dissemination (pseudomyxoma peritonei),JOURNAL OF SURGICAL ONCOLOGY, Issue 4 2008Brendan Moran MD Abstract Pseudomyxoma peritonei (PMP) is a rare condition mostly originating from low malignant potential mucinous tumours of the appendix. Although this disease process is minimally invasive and rarely causes haematogenous or lymphatic metastases, expectation of long-term survival are limited with no prospect of cure. Recently, the combined approach of cytoreductive surgery (CRS) and perioperative loco-regional chemotherapy (PLC) has been proposed as the standard of treatment for the disease. The present paper summarizes the available literature data and the main features of the comprehensive loco-regional treatment of PMP. The controversial issues concerning the indications and technical methodology in PMP management were discussed through a web-based voting system by internationally known experts. Results were presented for further evaluation during a dedicated session of "The Fifth International Workshop on Peritoneal Surface Malignancy (Milan, Italy, December 4,6, 2006)". The experts agreed that multiple prospective trials support a benefit of the procedure in terms of improved survival, as compared with historical controls. Concerning the main controversial methodological questions, there was an high grade of consistency among the experts and agreement with the findings of the literature. J. Surg. Oncol. 2008;98:277,282. © 2008 Wiley-Liss, Inc. [source] Efficacy and safety of a new clobetasol propionate 0.05% foam in alopecia areata: a randomized, double-blind placebo-controlled trialJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 10 2006Antonella Tosti Abstract Background, Clinical efficacy of topical corticosteroids in alopecia areata (AA) is still controversial. Positive clinical results have been obtained using ointments with occlusive dressing but this approach has a low patient compliance. Recently, a new topical formulation (thermophobic foam: Versafoam®) of clobetasol propionate 0.05% has been introduced on the market (Olux®, Mipharm, Milan, Italy) (CF). This formulation is easy to apply. After application to the skin the foam quickly evaporates without residues and it has a good patient compliance. In vitro studies have also shown that this formulation enhances the delivery of the active compound through the skin. Aim, To evaluate the efficacy, safety and tolerability of CF in the treatment of moderate to severe AA. Subjects and methods, Thirty-four patients with moderate to severe AA (eight men, mean age 40 ± 13 years) were enrolled in a randomized, double-blind, right-to-left, placebo-controlled, 24-week trial. Alopecia grading score (AGS) was calculated at baseline and after 12 and 24 weeks of treatment using a 0,5 score (0 = no alopecia; 5 = alopecia totalis). Clobetasol foam and the corresponding placebo foam (PF) were applied twice a day for 5 days/week for 12 weeks (phase 1) using an intrapatient design (right vs. left). From weeks 13 to 24 each enrolled patient continued only with the treatment (both on the right and left site) that was judged to have a greater efficacy than that on the contralateral side (phase 2). The primary outcome of the trial, evaluated on an intention-to-treat basis, was the hair regrowth rate, which was evaluated using a semiquantitative score (RGS) (from 0: no regrowth, to 4: regrowth of 75%). Results, At baseline the AGS was 4.1 (range: 2,5). Nine (26%) patients prematurely concluded the trial. At the end of phase 1, a greater hair regrowth was observed in 89% of the head sites treated with CF vs. 11% in the sites treated with PF. The RGS was 1.2 ± 1.6 in the CF-treated sites and 0.4 ± 0.8 in the PF-treated sites (P = 0.001). A RGS of 2 (hair regrowth of more than 25%) was observed in 42% CF-treated sites and in 13% of PF-treated sites (P = 0.027). In seven subjects (20%) a RGS of 3 to 4 (hair regrowth of 50%) was observed in CF-treated sites. In three subjects (9%) a RGS of 4 (hair regrowth of 75%) was observed in CF-treated sites. In one patient only, in a PF-treated region, a RGS of 3 was observed. The AS was reduced to 3.8 by CF treatment at the end of phase 1 and to 3.3 at the end of phase 2 (P = 0.01). From weeks 12 to 24 the treatment with CF induced a further increase in the RGS (from 1.2 to 1.5 ± 1.4). Forty-seven per cent of CF-treated patients had a RGS of 2 at the end of the trial. A total of eight patients (25%) at the end of the treatment with CF showed a RGS of 3. Folliculitis occurred in two patients. No significant modifications in cortisol and ACTH blood levels were observed during the trial. Conclusion, This new formulation of clobetasol propionate foam is an effective, safe and well-tolerated topical treatment for AA. This formulation has a good cosmetic acceptance and patient compliance profile. [source] Accuracy of a new ultrafast rapid urease test to diagnose Helicobacter pylori infection in 1000 consecutive dyspeptic patientsALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 2 2010D. VAIRA Summary Background, Rapid diagnostic tools for Helicobacter pylori are important in endoscopy. Aims, To assess the accuracy of a new 5 min rapid urease test (UFT300, ABS Srl, Cernusco sul Naviglio, Milan, Italy) and to compare it with the 1 h Pyloritek (Serim Laboratories, Elkhart, IN, USA) and the 24 h CLO test (Kimberly-Clark Ballard Medical Products, Roswell, GA, USA). Method, Consecutive dyspeptic patients referred to our unit for endoscopy were prospectively studied. All patients underwent a 13C-urea-breath test, histology and the UFT300 (ABS Srl; Cernusco sul Naviglio, Milan, Italy). In a sub-set of patients (n = 375), two additional RUTs were performed. Patients were deemed infected if both 13C-UBT and histology were positive. RUTs were read at 1, 5, and 60 min. Results, Of 1000 enrolled patients 45.3% were infected with H. pylori. The sensitivity of the UFT 300 was 90.3%, 94.5% and 96.2% at 1, 5 and 60 min respectively (specificity 100%). The Pyloritek and the UFT were comparable, but the CLO test was not reliable at 5 and 60 min. Conclusion, The UFT 300 test is comparable to the Pyloritek test, but the CLO test is significantly less sensitive at early time points. Reading test results at 1 min may increase false negative results, thereby decreasing sensitivity. Aliment Pharmacol Ther,31, 331,338 [source] Hepatocellular carcinoma and liver transplantation: Entering the area after the Milan and University of California at San Francisco criteria?,LIVER TRANSPLANTATION, Issue 7 2008Markus Weber [source] The meteorite collection of the Civico Planetario and the Museo Civico di Storia Naturale in Milan, ItalyMETEORITICS & PLANETARY SCIENCE, Issue S12 2002Luigi FOLCO Started in 1838, the collection contains to date (March 2002) 231 samples of 77 individual falls, representing 118.935 kg (i.e., the total weight is 118 kg and 935 g) of extraterrestrial material, including 5 carbonaceous chondrites, 38 ordinary chondrites, 3 achondrites, 7 stony-iron meteorites and 24 iron meteorites. [source] Texas launches new hurricane insurance mediation programALTERNATIVES TO THE HIGH COST OF LITIGATION, Issue 11 2009Russ Bleemer Riccardo Buizza, of Milan, Italy, updates the status of legislation on new Italian class action and mediation laws. Also: a new Texas-sponsored hurricane relief mediation program opens. [source] The view from abroad on a parade of choices: Alternative processes to the ,traditional' alternative, arbitrationALTERNATIVES TO THE HIGH COST OF LITIGATION, Issue 5 2009Mauro Rubino-Sammartano Mauro Rubino-Sammartano, of Milan, Italy, discusses European alternatives to arbitration that have proven effective in resolving commercial disputes in a variety of forums. [source] Introduction to historic house museumsMUSEUM INTERNATIONAL, Issue 2 2001Giovanni Pinna In November 1997, a major conference entitled Abitare la storia: Le dimore storiche-museo (Inhabiting History: Historical House Museums) was held in Genoa, the city of many palaces. On this occasion, the historic house museum, a rather particular type of museum, was extensively discussed for the very first time. The specific nature and values of such museums were highlighted. Over forty experts, who are responsible for palaces and more modest residences, came to Genoa for the conference. They debated aspects of restoration, security, teaching and communication. The conference participants took the opportunity to express their wish for the International Council of Museums (ICOM) to set up an international committee more specifically dedicated to historic house museums. They asked ICOM Italia, which was also present at the conference, to support their recommendation for the creation of the new committee, and this was done in 1998. Giovanni Pinna is the chairman of this newly created International Committee for Historic House Museums. He is president of the ICOM Italian Committee and also president of the ICOM International Committee for Museology of Historic Sites. A palaeontologist by training, he directed the Museum of Natural History in Milan from 1981 to 1996. He has published some sixty books and articles on various topics in the domain of theoretical museology as well as on the history and functions of museum institutions. His books include Museo: Storia e funzioni di una macchina culturale dal cinquecento a oggi (1980) and Fondamenti terici per un Museo di Storia Naturale (1997). [source] Salivary gland neoplasms in children: The experience of the Istituto Nazionale Tumori of MilanPEDIATRIC BLOOD & CANCER, Issue 6 2006Marco Guzzo MD Abstract Background Epithelial salivary gland tumors are very uncommon in pediatric age. We report a series of 52 cases treated at the Istituto Nazionale Tumori of Milan, Italy, over a 30-year period. These results are presented in conjunction with a literature review of salivary tumors with a view to providing an up-to-date overview of the clinical course, prognosis, and treatment options for this rare tumor. Procedure Fifty-two cases of epithelial salivary tumors were reviewed and the clinical-pathological information concerning tumor characteristics, therapy, and follow-up were collected. Patients' age ranged between 4 and 18 years. Results The major salivary glands were the main site of tumor occurrence (79% of cases arose in parotid glands); 37 patients had benign tumors (pleomorphic adenoma), 15 had malignant tumors (12 mucoepidermoid carcinoma, 9 low grade). All the patients were treated by surgery; local relapses after parotidectomy were 4% and 25%, in benign and malignant tumors, respectively. When tumor enucleation was performed, recurrences occurred in 50% of benign neoplasms. At the time of the report, all patients with benign tumors were alive, 35(95%) without evidence of disease; only one patient with malignant tumor died of disease. Conclusions Epithelial salivary glands tumor in children had different characteristics compared with their adult counterpart with respect to the frequency of histotypes and site of occurrence, but their prognosis seems to be similar. Parotidectomy (total or superficial) is the best choice for achieving good cure rates in both benign and malignant tumors. Pediatric Blood Cancer 2006;47:806,810. © 2006 Wiley-Liss, Inc. [source] Topical antiinflammatory activity of an innovative aqueous formulation of actichelated® propolis vs two commercial propolis formulationsPHYTOTHERAPY RESEARCH, Issue 9 2007Silvio Sosa Abstract A novel aqueous commercial formulation of a new hydrophilic propolis product (Actichelated® Propolis, contained in ,LeniGola PropolEffect Spray Senza Alcohol'; Pharbenia, Milan, Italy) was evaluated for its topical antiinflammatory activity in comparison with a hydroglyceric propolis spray solution (,Propoli LeniGola Spray Senza Alcool'; Pharbenia, Milan, Italy) and a hydroalcohol preparation (,Propoli LeniGola Spray Forte'; Pharbenia, Milan, Italy). Actichelated® propolis (Actimex, Trieste, Italy) is a multicomposite material obtained with a patented technology, mechano-chemical activation, which application led to a new hydrosoluble form of propolis. Each propolis preparation provoked a dose-dependent inhibition of the croton oil-induced ear oedema in mice. Considering the administered doses of flavonoids, ,LeniGola PropolEffect Spray Senza Alcool' (ID50 = 13.6 µL/cm2, corresponding to 13.6 µg flavonoids/cm2) is slightly more active than the hydroglyceric formulation ,Propoli LeniGola Spray' (ID50 = 13.7 µL/cm2, corresponding to 20.6 µg flavonoids/cm2) and six times more active than the hydroalcohol preparation ,Propoli LeniGola Spray Forte' (ID50 = 5.5 µL/cm2, corresponding to 82.5 µg flavonoids/cm2). As a reference, 15 µL/cm2 of the commercial sprays Tantum® Verde and Froben®, containing 37.5 or 45 µg of the non-steroidal antiinflammatory drugs benzidamine hydrochloride or flurbiprofen, induced 18% and 35% oedema inhibition, respectively. Copyright © 2007 John Wiley & Sons, Ltd. [source] Henrico Boscano's Isola beata: new evidence for the Academia Leonardi Vinci in Renaissance MilanRENAISSANCE STUDIES, Issue 4 2008Jill Pederson Historians have long debated the possibility of an academy in Quattrocento Milan centred around Leonardo da Vinci. Such an academy has been variously characterized based on textual and material sources. Since the beginning of the twentieth century, however, the existence of this group has been vigorously denied in the scholarship on Leonardo. This article presents new information on the academy derived largely from the previously unpublished Renaissance manuscript, the Isola beata (c.1513). The text provides details of the academy's membership, as well as information that illuminates Leonardo's Milanese intellectual circle and helps to contextualize it in relation to other contemporary Italian Renaissance academies. [source] | ||||||||||||||||||||||||||||||||||||||||