Publications by authors named "Gianfranco Di Gennaro"

Background: Radiation necrosis is a significant late adverse effect of stereotactic radiotherapy (fSRT) for brain metastases, characterized by inflammatory processes and necrotic degeneration of healthy brain tissue.

Objective: To evaluate the relationship between the incidence of radiation necrosis and the distribution of lesions across different brain regions treated with fSRT, with a focus on the potential involvement of stem cell niches.

Methods: We conducted a analysis of two separate prospective datasets consisting of data from 41 patients previously treated for brain metastases at Campus Bio-Medico University Hospital.

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Background: A growing body of evidence supports the effectiveness of cenobamate (CNB). This study aimed to assess the clinical response to add-on CNB through a time-to-event approach and explore the potential contribution of the concomitant classes of antiseizure medications (ASMs) to improve CNB clinical use.

Patients And Methods: This study is a subgroup analysis of a larger retrospective, multicenter study on adults with focal-onset seizures participating in the Italian Expanded Access Program at five pre-established centers.

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Purpose: To understand the role of enlarged Perivascular Spaces (PVSs) in a population with young middle age stroke and to identify predictors of PVSs enlargment using clinical and imaging data.

Materials/methods: Retrospective revision of demographics, clinical and MRI data, of 163 patients, with MRI confirmed stroke. Ischemic area and WMH were semi-automatically segmented on DWI images and FLAIR images.

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: Autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and Tourette syndrome (TS) are neurodevelopmental disorders (NDDs) with overlapping symptoms, suggesting a partially shared genetic origin. This study investigates the prevalence of connective tissue-related conditions in individuals with ASD, ADHD, or TS. : A questionnaire was administered to families of 120 individuals with ASD, ADHD, or TS, collecting sociodemographic data and examining 10 types of disorders affecting various organs and systems.

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Background/objectives: The impact of stroke location and volume on the development of post-stroke dysphagia is not fully understood. The aim of this study is to evaluate the relationship between acute ischemic lesions and the severity of dysphagia.

Methods: Brain MRIs were obtained with a 1.

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Background: Today more and more people search the web for health-related information, risking to come across misinformation and biased content that may affect their treatment decisions. Cannabidiol (CBD) is among the products for which beneficial effects have been claimed, often at the expense of the risks; further keeping in mind unreliable information reported on products themselves.

Objective: This study evaluated the quality of information retrieved by Google on the potential effects of CBD on weight management, also comparing Italian and English contents, hypothesizing generally low quality and language-driven differences in offered information.

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This research seeks to investigate correlations between enlarged Perivascular Spaces (PVSs) and clinical/imaging data, such as information obtained through Doppler analysis, in a population with young and middle-age stroke. We retrospectively reviewed demographics, clinical and MRI data, of 163 patients, with MRI confirmed stroke. All patients underwent ECD TSA (Eco-Color-Doppler of the Supra-aortic Trunks) and TCCD (Transcranial Eco-color-Doppler), to study extra or intracranial stenosis, presence and composition of plaques.

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  • * A clinical study at "Renato Dulbecco" University Hospital examined how sex affects pain treatment between February 2021 and April 2024, enrolling 174 patients who met specific criteria.
  • * Findings showed minimal differences in treatment outcomes and dosages between males and females, indicating no significant disparities in pain management or side effects based on sex.
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  • Neurodevelopmental disorders (NDDs) like autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and Tourette syndrome (TS) were assessed for joint hypermobility in children, focusing on passive range of motion (pROM) in the ankles.
  • The study included 102 children aged 5 to 15 years, and findings showed significant correlations between pROM and Beighton/Brighton scores in those with NDDs, indicating potential hypermobility.
  • Results suggested a trend of higher Beighton scores, especially in ADHD and TS groups, and noted that the right ankle showed significantly higher pROM in the ADHD and TS groups compared to healthy controls.
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Background: The study's main objectives were to evaluate the distribution of levels of procrastination and its relationship with sleep quality, smoking status, alcohol consumption, and skipping breakfast, as a proxy measure of an unhealthy dietary pattern, among Italian university students.

Methods: A cross-sectional study was conducted at the "Magna Græcia" University of Catanzaro in the Southern part of Italy, using stratified random sampling techniques. Eligible students were sent an anonymous online survey aimed at assessing sociodemographic characteristics, procrastination levels using the Pure Procrastination Scale, sleep quality using Pittsburgh Sleep Quality Index, smoking status, alcohol consumption using WHO's Alcohol Use Disorders Identification Tool, and breakfast habits.

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  • The study aimed to investigate the relationship between preoperative right ventricular free-wall longitudinal strain (RVFWLS) and changes in strain with the diagnosis of right ventricular dysfunction in patients undergoing mitral surgery.
  • It was conducted as a prospective observational study at a university hospital, analyzing various clinical and echocardiographic parameters before and after surgery to assess cardiac function.
  • The findings suggested that a preoperative RVFWLS value of -15% may predict the risk of postoperative biventricular dysfunction, although no significant correlations were found between strain measures and other clinical outcomes like ICU stay or renal function.
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  • Low back pain (LBP) is often the primary reason patients undergo MRI of the lumbosacral spine, yet the specific impact of soft tissues like muscles on LBP severity remains unclear.
  • In a study involving 94 patients, MRI scans and symptom questionnaires were used to analyze the correlation between muscle conditions and pain intensity, revealing that a larger psoas muscle area was linked to lower pain ratings and that higher BMI was associated with more severe pain.
  • The findings suggest that the health of paravertebral and psoas muscles plays a crucial role in LBP, potentially guiding future research and treatment strategies to enhance patient quality of life.
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Introduction: Post-stroke epilepsy (PSE) is one of the most common causes of acquired epilepsy. Nevertheless, there is limited evidence regarding the clinical profile of antiseizure medications (ASMs) in PSE. This study aims to evaluate the 12-month effectiveness and tolerability of perampanel (PER) used as only add-on treatment in patients with PSE in a real-world setting.

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Neuroeconomics merges neuroscience, economics, and psychology to investigate the neural basis of decision making. Decision making involves assessing outcomes with subjective value, shaped by emotions and experiences, which are crucial in economic decisions. Functional MRI (fMRI) reveals key areas of the brain, including the ventro-medial prefrontal cortex, that are involved in subjective value representation.

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  • * A meta-analysis of 14 studies involving over 10,000 participants found that LIs had a small but significant effect in reducing meat consumption, with the strongest impact coming from educating participants about health risks.
  • * The findings suggest that younger individuals and longer intervention durations enhance the effectiveness of LIs, while focusing on health risks leads to temporary reductions in meat intake, with less impact from environmental or animal welfare messaging.
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Introduction: To evaluate lower urinary tract symptoms (LUTS) and bowel disorders in a population of young subjects with autism spectrum disorder (ADS) by a national survey and to assess the relationship between the occurrence, frequency, and type of LUTS and the severity of behavioral and neuropsychiatric characteristics.

Materials And Methods: A survey on LUTS and bowel disorders in the ASD population was sent by mail and social media through the main Italian Associations of ASD between February and September 2022. The correlation between LUTS and ASD severity was also assessed.

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Mild mesial temporal lobe epilepsy (MTLE) patients may remain untreated for a considerable time after disease onset or achieve seizure control with a single anti-seizures medication (ASM). Thus, they represent an optimal population to investigate whether ASMs might have influence on brain structure. We consecutively enrolled 56 mild MTLE patients (22/56 untreated, 34/56 on-monotherapy) and 58 healthy controls, matched for age and gender.

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  • Advances in imaging technology have heightened interest in perivascular and paravascular spaces in the brain, known for their role in waste clearance and support of the glymphatic system.
  • These spaces facilitate the exchange of cerebrospinal fluid and interstitial fluid, crucial for removing substances like ß-amyloid, and while often seen as normal in MRI, they may indicate neurological issues or intracranial pressure changes.
  • The article reviews current knowledge about these spaces, including their microscopic anatomy, connections to various conditions, and tips for imaging interpretation in clinical practice.
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Background: Patient accidental falls in a hospital environment are a serious problem for patient safety, and for the additional costs due to associated medical interventions.

Objective: The endpoints of this study were the assessment of the fall incidence in the hospital before and after the implementation of a multidisciplinary care-bundle, along with a cost-effectiveness evaluation.

Design: A stepped-wedge trial was conducted between April 2015 and December 2016 in Bologna University Hospital.

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Objective: There are few comparative data on the third-generation antiseizure medications (ASMs). We aimed to assess and compare the effectiveness of brivaracetam (BRV), eslicarbazepine acetate (ESL), lacosamide (LCM), and perampanel (PER) in people with epilepsy (PWE). Efficacy and tolerability were compared as secondary objectives.

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  • The study investigated how well healthcare workers (HCWs) in Southern Italy followed infection prevention and control (IPC) measures during the COVID-19 pandemic, focusing on their knowledge and concerns about the virus as potential predictors of adherence.
  • Using a questionnaire distributed to 492 HCWs, the research assessed factors such as training, experience, and personal concerns regarding transmission to family and patients.
  • Results indicated that while HCWs had a good median knowledge score about COVID-19, adherence to IPC practices varied, with better outcomes in facilities that provided training, highlighting both successes and gaps in pandemic response.
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Background: Breast cancer is currently the most prevalent and impacting cancer among women and mammography has been recommended for screening by The European Commission Initiative on Breast Cancer since 2003. The objective of this study is to estimate the interest in breast cancer screening breast cancer in European countries by analyzing data from online searches for the term "mammography" obtained via Google Trends.

Methods: The relative search volumes (RSVs) of the term "mammography" translated into various languages and relating to the January 2010-December 2022 period were downloaded from Google Trends.

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