Radiofrequency thermoablation (RFA) and radiotherapy (RT) combined treatment for bone metastases: a systematic review.

OBJECTIVE: Approximately 50% of cancer patients develop bone metastases in their natural disease history. The management of metastatic bone disease requires a multidisciplinary approach. Both radiofrequency ablation (RFA) and radiation therapy (RT) were safe and effective in the management of painful metastases, even if they rely on totally different action mechanisms. A synergistic combination of RT and RFA seems to result in a better pain control. A systematic review was performed to describe the feasibility and effectiveness of the association between RFA and RT in the treatment of metastatic bone pain in oligo-metastatic patients, evaluating its role in alleviating bone pain, reducing the risk of fractures, and consequently ensuring a better quality of life. MATERIALS AND METHODS: A systematic database search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This systematic review included studies that reported populations meeting the following inclusion criteria: (I) confirmed bone metastases in adult patients; (II) active bone metastases pain; (III) patients treated with combined RFA-RT; (IV) Original studies. RESULTS: Three papers that evaluated the combined treatment with doses ranging from moderately hypofractionated three-dimensional conformal RT (3D-CRT) and stereotactic body radiation therapy (SBRT) schedules were selected. CONCLUSIONS: The RFA-RT combined strategy appears to be promising in terms of efficiency and safety with adequate pain control and quality of life improvement. Positive effects on time to local failure and overall survival increase were also observed. Further prospective studies are needed to better delineate RFA-RT treatment benefits.

Mammary Paget's disease and radiotherapy: a systematic literature review.

OBJECTIVE: Paget disease of the breast (PDB) is a rare form of cutaneous breast cancer. Up to date, no randomized studies evaluated the different management strategies. This systematic review investigates the role of radiotherapy and its best technical profile in the treatment of this disease, with great attention to doses and fractionation regimens. MATERIALS AND METHODS: A systematic search was performed on PubMed, Embase and Scopus in order to detect case reports, case series and prospective as well as retrospective clinical studies describing histologically proven PDB and providing information about pertinent radiation treatments. Searching strategy followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. RESULTS: Inclusion criteria were met by six papers, dealing with radiation treatments performed postoperatively and in exclusive settings. No evaluations were performed on preoperative radiotherapy. CONCLUSIONS: Actually, the standard treatment of PDB reflects oncological principles of breast carcinoma therapy, including the role of breast-preserving surgery. The traditional radiotherapic dose is 50 Gy, with daily fractionation of 2 Gy. Adjuvant radiotherapy following breast preserving surgery represents the current standard of care; prospective studies could be of help in defining the role of exclusive radiotherapy, hypofractionated schemes and smaller target volumes.

Serological survey on Aujeszky's disease, swine influenza and porcine reproductive and respiratory syndrome virus infections in Italian pigs.

Aujeszky's disease (AD), Porcine reproductive and respiratory syndrome (PRRS) and Swine influenza (SI) are among the principal agents of respiratory diseases of pigs. The aim of the study was to determine the prevalence of antibodies to SHV-1, PRRSV and SIV in pigs reared in Sicily. An Enzyme Linked Immunosorbent Assay for the glicoprotein gE of pseudorabies virus, for PRRSV and for SIV was performed. Antibodies against gE of SHV-1 were detected in 171 serum samples (14.6%), whereas PRRSV antibodies occurred at a higher frequency than SHV-1 with 289 (31.1%) samples being positive. The seroprevalence of SIV was found to be 33.3%. This study demonstrated the circulation of ADV, PRRSV and SIV viruses in Sicilian swine population. This is the first report on this topics in Sicily.

[Prevalence of Staphylococcus aureus methicillin-resistant (MRSA) among health care workers]. / Prevalenza di Staphylococcus aureus meticillino-resistente (MRSA) tra gli operatori sanitari.

Methicillin-resistant Staphylococcus Aureus (MRSA) is a type of Staphylococcus that is resistant to certain antibiotics. These antibiotics include methicillin and other more common antibiotics such as oxacillin, penicillin and amoxicillin. Staphylococcus infections, including MRSA, occur most frequently among persons in hospitals and healthcare facilities. The present study was performed to investigate the in vitro activity of oxacillin and other antimicrobial agents against S. aureus strains obtained from nursing personnel. The study included 56 hospital personnel of Universitary Policlinic of Messina. S. aureus strain was isolated in 14 samples (25%); resistent patterns have been studied and results have demonstrated: none methicillin resistant, while 14% oxacillin and tetraciclin resistant. The incidence of methicillin sensitive was 100%, while 86% proved to be sensitive to oxacillin and tetraciclin. In conclusion, the usually hygienic methods (disposable gowns, hygienic hand disinfection after each patients contact, masks use when is a risk of aerosolization of MRSA) are indicate for significantly reducing of these strains. Continuing education programmes can help to increase awareness among hospital staff.

[Environmental pollution and infectious diseases. I. Isolation of a new serovar of the Salmonella genus, S.V 13.22:r: from a Periplaneta americana cockroach]. / Inquinamento ambientale e malattie infettive. Nota I. Isolamento di un nuovo serovar del genus Salmonella, S.V 13.22:r: da uno scarafaggio Periplaneta americana.

The AA have isolated a new serovar of Genus Salmonella S.V 13.22:r:-, from a cockroach Periplaneta Americana, captured near the municipal slaughterhouse of Messina and near the Faculty of Veterinary Science. This fifth original report fift in the vast subject of the environmental pollution, where the cockroaches, as widely documented, unwind a primary importance part as spreader of Salmonella, too.

[Isolation of S. mbdakada from a child seen at the University of Messina pediatric clinic]. / Isolamento di S. mbandaka da un minore ricoverato nella clinica pediatrica dell'università di Messina.

The authors made some diagnostic investigation into a serious case of diarrhoea observed in an infant in the pediatric ward of the University hospital of Messina (Sicily). They brought into evidence some of the causes of the world wide spread of salmonella infection, in particular the spread of new serum-types, such as S. mbandaka, which was involved in this case.

[A new serovar of Salmonella: S. IIIb 35: 1, z13: e, n, x, z15]. / Un nuovo serovar di Salmonella: S. IIIb 35: 1, z13: e, n, x, z15.

The authors describe briefly the protocol for isolating a new serovar of Salmonella from the stools and the sand of a cage-shield of a python (Python regius (Shaw, 1802), kept as pet animal by a family in Messina. Such a finding is considered within the complex and wide investigation programme which we have been carrying out for years in our Institute of Veterinary Infectious Diseases, and within the problems rising from the Health and Hygiene field for the ever increasing diffusion of Enterobacteriaceae, by now limited to the ones collected and belonging to the Genus Salmonella.