Search results for " natural history"
showing 10 items of 16 documents
AISF position paper on nonalcoholic fatty liver disease (NAFLD): Updates and future directions
2017
Abstract This review summarizes our current understanding of nonalcoholic fatty liver disease (NAFLD), a multi-factorial systemic disease resulting from a complex interaction between a specific genetic background and multiple environmental/metabolic “hits”. The role of gut microbiota, lipotoxicity, inflammation and their molecular pathways is reviewed in-depth. We also discuss the epidemiology and natural history of NAFLD by pinpointing the remarkably high prevalence of NAFLD worldwide and its inherent systemic complications: hepatic (steatohepatitis, advanced fibrosis and cirrhosis), cardio-metabolic (cardiovascular disease, cardiomyopathy, arrhythmias and type 2 diabetes) and neoplastic (…
Clinical Course and Genetic Susceptibility of Primary Biliary Cirrhosis: Analysis of a Prospective Cohort
2016
Background: Natural history of primary biliary cirrhosis (PBC) is partially characterized in patients from the Mediterranean area whose genetic background differs from that of Northern Europeans. Objectives: We aimed to describe genetic susceptibility and clinical course of PBC in patients from Southern Italy. Methods: Socio-demographic, clinical, biochemical and histological data at diagnosis as well as disease progression of 81 PBC consecutive patients were collected. All subjects were treated with Ursodeoxycholic acid at a dose of 15 mg/kg. HLA class II DRB1 alleles were compared with those of 237 healthy control subjects. IL28B genotyping for IL28B rs12979860 C/T and rs80899917 G/T was …
Predicting Mortality Risk in Patients With Compensated HCV-Induced Cirrhosis: A Long-Term Prospective Study
2009
OBJECTIVES: The identification of prognostic factors associated with mortality is crucial in any clinical setting. METHODS: We enrolled in a prospective study 352 patients with compensated hepatitis C virus (HCV)-induced cirrhosis, consecutively observed between 1989 and 1992. At entry, patients underwent upper endoscopy to detect esophageal varices, and were then surveilled by serial clinical and ultrasonographic examination. The model for end-stage liver disease (MELD) score was calculated with information collected at enrollment. Baseline predictors and intercurrent events associated with mortality were assessed using the Cox regression model. RESULTS: During a median follow-up of 14.4 y…
The Impact of Antiviral Therapy and the Influence of Metabolic Cofactors on the Outcome of Chronic HCV Infection
2010
Natural history of HCV related chronic hepatitis is influenced and modified by many factors: virus features, coinfections and host characteristics. In particular, a peculiar genetic background of the host by conditioning the occurrence of intracellular metabolic derangements (i.e., insulin resistance) might contribute to accelerate the rate of progression to cirrhosis and eventually the occurrence of hepatocellular carcinoma (HCC) and death. Likely, direct interplays between virus genotype and host genetic background might be hypothesized at this level. Morbidity and mortality in cirrhosis is primarily associated with complications of liver cirrhosis (ascites, hepatic encephalopathy, jaundi…
"Paolo Boccone’s curious observations and the Commitment to Visual Communication of Natural History", speech at International Conference "Art and Sci…
2015
In his "Recherches et observations naturelles" (Amsterdam 1674) the botanist Paolo Boccone (1633- 1704) presents himself as an advocate of a new visual method. He was supported by Jan Swammerdam, with whom he shared his scientific observations. Boccone claims to be the first to apply microscopic dissection to figured stones, in order to distinguish accidental shapes from natural ones. Boccone, as many of the members of the scientific community with whom he corresponded, had a strong commitment to painstaking observation and visual communication, that he was able to handle on many levels. The allegorical frontispiece of "Recherches" is aimed to present a range of moral and psychological atti…
A multicentre case control study on complicated coeliac disease: two different patterns of natural history, two different prognoses
2014
Background: Coeliac disease is a common enteropathy characterized by an increased mortality mainly due to its complications. The natural history of complicated coeliac disease is characterised by two different types of course: patients with a new diagnosis of coeliac disease that do not improve despite a strict gluten-free diet (type A cases) and previously diagnosed coeliac patients that initially improved on a gluten-free diet but then relapsed despite a strict diet (type B cases). Our aim was to study the prognosis and survival of A and B cases. Methods: Clinical and laboratory data from coeliac patients who later developed complications (A and B cases) and sex- and age-matched coeliac p…
Management of chronic hepatitis C in childhood: The impact of therapy in the clinical practice during the first 2 decades
2011
Background and aim: Treatment of chronic hepatitis C in children is controversial and its role in the clinical practice is unknown. We retrospectively investigated the impact of treatment in a large cohort of children with chronic hepatitis C over the past 20years. Methods: 376 hepatitis C virus RNApositive children were recruited consecutively in five Italian centres since 1990and followed for1–17years. Results: 86 (23%)subjects were treated: 73 with recombinant interferon alone and 13 with pegylated-interferon and ribavirin. Sustained clearance of hepatitis C virus RNA was observed in 25%of the former, in 92%of the latter and in 9% of untreated cases(p < 0.001). Loss of viraemia was re…
The Alloxysta (Hymenoptera: Figitidae: Charipinae) type material in the United States National Museum of Natural History and the Canadian National Co…
2013
AbstractAlloxysta Förster, 1869 (Hymenoptera: Figitidae) type material of 19 nominal species deposited in the Canadian National Collection of Insects (Ottawa, Ontario, Canada) and the United States National Museum of Natural History (Washington, District of Columbia, United States of America) were studied. Nine species are treated as valid: A. australiae (Ashmead, 1900), A. commensuratus Andrews, 1978, A. japonicus (Ashmead, 1904), A. lachni (Ashmead, 1885), A. longiventris Baker, 1896, A. minuscula Andrews, 1978, A. nothofagi Andrews, 1976, A. vandenboschi Andrews, 1978, and A. xanthopsis (Ashmead, 1896). The following synonymies are established: A. affinis (Baker, 1896) and A. quebeci And…
A new species of the genus Cyclopelta (Hemiptera: Dinidoridae) from Thailand, with a key to its Oriental species
2013
Cyclopelta gibbosasp. nov., a new species of dinidorid bug is described from Thailand and compared with Cyclopelta obscura. It is the ninth Oriental species of the genus, and the fourth known species from Thailand. A key to all the Oriental species of the genus Cyclopelta is also provided. The type specimens are deposited with the Smithsonian National Museum of Natural History, Washington, USA, and the Department of Biosystematics, Opole University, Poland.
Natural history of untreatable hepatocellular carcinoma: A retrospective cohort study
2012
Abstract AIM: To investigate the clinical course of untreatable hepatocellular carcinoma (HCC) identified at any stage and to identify factors associated with mortality. METHODS: From January 1999 to December 2010, 320 out of 825 consecutive patients with a diagnosis of HCC and not appropriate for curative or palliative treatments were followed and managed with supportive therapy. Cirrhosis was diagnosed by histological or clinical features and liver function was evaluated according to Child-Pugh score. The diagnosis of HCC was performed by Ultra-Sound guided biopsy or by multiphasic contrast-enhanced computed tomography or gadolinium-enhanced magnetic resonance imaging. Data were collected…