The study is based on the analysis of the design and operational path conducted by the architect Gio Ponti on ceramic materials between the late 1920s and the early 1970s,with particular attention to applications in t...The study is based on the analysis of the design and operational path conducted by the architect Gio Ponti on ceramic materials between the late 1920s and the early 1970s,with particular attention to applications in the Milanese context.Milan represents the main laboratory for experimenting with the figurative,plastic and chromatic potential of modern ceramic surfaces.The analysis of archival documentation preserved at the CSAC Archive in Parma,the Gio Ponti Archives in Milan and the Archivio Progetti at the Iuav University of Venice allows for a deeper understanding of the design path at different scales,from the design of specific lines of ceramics for industry,to their application in buildings.The second part of the analysis is aimed at tracing the conservation problems of ceramic surfaces,with the aim of highlighting both the cultural and technical aspects that are affecting the conservation of this heritage.Connected to the latter aspect is a focus on the principal deterioration phenomena of modern ceramic surfaces related to different types of substrates,providing in-depth knowledge that opens up new strategies for their conservation.展开更多
Liver transplantation(LT) has been accepted as an effective therapy for hepatocellular carcinoma(HCC). The Milan criteria(MC) are widely used across the world to select LT candidates in HCC patients. However, the MC m...Liver transplantation(LT) has been accepted as an effective therapy for hepatocellular carcinoma(HCC). The Milan criteria(MC) are widely used across the world to select LT candidates in HCC patients. However, the MC may be too strict because a substantial subset of patients who have HCC exceed the MC and who would benefit from LT may be unnecessarily excluded from the waiting list. In recent years, many extended criteria beyond the MC were raised, which were proved to be able to yield similar outcomes compared with those patients meeting the MC. Because the simple use of tumor size and number was insufficient to indicate HCC biological features and to predict the risk of tumor recurrence, some biological markers such as Alphafetoprotein, Des-Gamma-carboxy prothrombin and the neutrophil-to-lymphocyte ratio were useful in selecting LT candidates in HCC patients beyond the MC. For patients with advanced HCC, downstaging therapy is an effective way to reduce the tumor stage to fulfill the MC by using liver-directed therapy such as transarterial chemoembolization, radiofrequency ablation and percutaneous ethanol injection. This article reviews the recent advances in LT for HCC beyond the MC.展开更多
Milan criteria are currently the benchmark related to liver transplantation(LT) for hepatocellular carcinoma. However, several groups have proposed different expanded criteria with acceptable results. In this article,...Milan criteria are currently the benchmark related to liver transplantation(LT) for hepatocellular carcinoma. However, several groups have proposed different expanded criteria with acceptable results. In this article, we review the current status of LT beyond the Milan criteria in three different scenarios-expanded criteria with cadaveric LT, downstaging to Milan criteria before LT, and expansion in the context of adult living donor LT. The review focuses on three main questions: what would the impact of the expansion beyond Milan criteria be on the patients on the waiting list; whether the dichotomous criteria(yes/no) currently used are appropriate for LT or continuous survival estimations, such as the one of "Metroticket" and whether it should enter into the clinical practice; and, whether the use of living donor LT in the context of expansion beyond Milan criteria is justified.展开更多
BACKGROUND Surgical resection and radiofrequency ablation(RFA)represent two possible strategy in treatment of hepatocellular carcinoma(HCC)in Milan criteria.AIM To evaluate short-and long-term outcome in elderly patie...BACKGROUND Surgical resection and radiofrequency ablation(RFA)represent two possible strategy in treatment of hepatocellular carcinoma(HCC)in Milan criteria.AIM To evaluate short-and long-term outcome in elderly patients(>70 years)with HCC in Milan criteria,which underwent liver resection(LR)or RFA.METHODS The study included 594 patients with HCC in Milan criteria(429 in LR group and 165 in RFA group)managed in 10 European centers.Statistical analysis was performed using the Kaplan-Meier method before and after propensity score matching(PSM)and Cox regression.RESULTS After PSM,we compared 136 patients in the LR group with 136 patients in the RFA group.Overall survival at 1,3,and 5 years was 91%,80%,and 76%in the LR group and 97%,67%,and 41%in the RFA group respectively(P=0.001).Diseasefree survival at 1,3,and 5 years was 84%,60%and 44%for the LR group,and 63%,36%,and 25%for the RFA group(P=0.001).Postoperative Clavien-Dindo IIIIV complications were lower in the RFA group(1%vs 11%,P=0.001)in association with a shorter length of stay(2 d vs 7 d,P=0.001).In multivariate analysis,Model for End-stage Liver Disease(MELD)score(>10)[odds ratio(OR)=1.89],increased value of international normalized ratio(>1.3)(OR=1.60),treatment with radiofrequency(OR=1.46),and multiple nodules(OR=1.19)were independent predictors of a poor overall survival while a high MELD score(>10)(OR=1.51)and radiofrequency(OR=1.37)were independent factors associated with a higher recurrence rate.CONCLUSION Despite a longer length of stay and a higher rate of severe postoperative complications,surgery provided better results in long-term oncological outcomes as compared to ablation in elderly patients(>70 years)with HCC in Milan criteria.展开更多
Liver transplantation(LT) for hepatocellular carcinoma(HCC) has been established as a standard treatment in selected patients for the last two and a half decades. After initially dismal outcomes, the Milan criteria(MC...Liver transplantation(LT) for hepatocellular carcinoma(HCC) has been established as a standard treatment in selected patients for the last two and a half decades. After initially dismal outcomes, the Milan criteria(MC)(single HCC ≤ 5 cm or up to 3 HCCs ≤ 3 cm) have been adopted worldwide to select HCC patients for LT, however cumulative experience has shown that MC can be too strict. This has led to the development of numerous expanded criteria worldwide. Morphometric expansions on MC as well as various criteria which incorporate biomarkers as surrogates of tumor biology have been described. HCC that presents beyond MC initially can be downstaged with locoregional therapy(LRT). Post-LRT monitoring aims to identify candidates with favorable tumor behavior. Similarly, tumor marker levels as response to LRT has been utilized as surrogate of tumor biology. Molecular signatures of HCC have also been correlated to outcomes; these have yet to be incorporated into HCC-LT selection criteria formally. The ongoing discrepancy between organ demand and supply makes patient selection the most challenging element of organ allocation. Further validation of extended HCCLT criteria models and pre-LT treatment strategies are required.展开更多
Profile of Expo Milan 2015Open from May 1 to October 31,2015,the Expo will be held in Milan,the industrial center and economic center of Italy,running for 184 days.The theme of Milan Expo will be"Feeding the Plan...Profile of Expo Milan 2015Open from May 1 to October 31,2015,the Expo will be held in Milan,the industrial center and economic center of Italy,running for 184 days.The theme of Milan Expo will be"Feeding the Planet,Energy for Life",focusing on food,nutrition and resources,like water and food security,global biodiversity and so on.The Expo will raise the issues instead of solutions,promoting people to think展开更多
"Milan Expo 2015 was opened in Italy on May 1,and the China Pavilion opened on the same day.Since its opening,the China Pavilion has earned wide attention and praise by virtue of its bravo design and sound operat..."Milan Expo 2015 was opened in Italy on May 1,and the China Pavilion opened on the same day.Since its opening,the China Pavilion has earned wide attention and praise by virtue of its bravo design and sound operation services,which has turned into a significant platform for展开更多
At a press conference on December 29,2014,Wang Jinzhen,general representative for the China Pavilion at World Expo 2015&vice president of CCPIT said,"This is the first time that China will open a national pav...At a press conference on December 29,2014,Wang Jinzhen,general representative for the China Pavilion at World Expo 2015&vice president of CCPIT said,"This is the first time that China will open a national pavilion at an overseas expo.During Milan Expo 2015,the China Pavilion will hold hundreds of activities and act as a platform for further promoting cooperation between China and Italy in a variety of fields such as agriculture,travel,culture,and finance."展开更多
In preparation for the upcomingMilan Expo 2015,China is focus-ing on its pavilions to be showcasedat the event.China has offi cially begun itsprepa ra tions for Expo Milano 2015,after a con tract signed on Novem ber 2...In preparation for the upcomingMilan Expo 2015,China is focus-ing on its pavilions to be showcasedat the event.China has offi cially begun itsprepa ra tions for Expo Milano 2015,after a con tract signed on Novem ber 20,2013 by Wang Jinzhen,Com mis sionerGen eral for the Chi nese Pavil ion andVice Chairman of the China Coun-cil for the Promotion of展开更多
We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of Int...We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of International Trade(CCPIT)will host the China pavilion there.To know more about the Milan World Expo2015,China’s Foreign Trade magazine had an exclusive interview with Italian Ambassador to China,H.E.Mr.Alberto Bradanini.展开更多
Co-hosted by Bauhinia Culture.Group Co.,Ltd.,the Beling Municlpal Bureau of Culture and Tourism and the Milan Municipal Bureau of Cuture,and co-organized by China Arts and Entertainment Group Ltd.(CAEG),the Beiing Fin...Co-hosted by Bauhinia Culture.Group Co.,Ltd.,the Beling Municlpal Bureau of Culture and Tourism and the Milan Municipal Bureau of Cuture,and co-organized by China Arts and Entertainment Group Ltd.(CAEG),the Beiing Fine Art Academy.展开更多
Stem cell marker LIN28,related closely with SOX2 and OCT4,has been studied as a biomarker for the maintainance of pluripotent cells in several malignancies.Our previous study showed that SOX2 and OCT4 were negative pr...Stem cell marker LIN28,related closely with SOX2 and OCT4,has been studied as a biomarker for the maintainance of pluripotent cells in several malignancies.Our previous study showed that SOX2 and OCT4 were negative predictors for hepatocellular carcinoma(HCC).However,the predictive value of LIN28 in HCC outcome is still undetermined.We hypothesized that LIN28 may also play a role as a biomarker for HCC.To test this hypothesis,we examined the expression of LIN28 in 129 radically resected HCC tissues using reverse transcription-polymerase chain reaction and analyzed the association of LIN28 expression with clinicopathologic features and prognosis.Our study showed that LIN28 was expressed at a higher frequency in tumor tissues than in non-HCC tissues(45.0% vs.21.7%,P = 0.020).Moreover,LIN28 expression was significantly increased in cases with large tumor size(P = 0.010).Univariate analysis did not reveal a significant correlation between LIN28 expression and overall survival or recurrence-free survival.For HCC patients who met the Milan criteria,stratified analysis revealed shorter overall survival(P = 0.007) and recurrence-free survival(P < 0.001) in those with detectable LIN28 expression compared to those with no detectable LIN28 expression.Furthermore,multivariate analysis revealed that LIN28 was a negative independent predictor for both overall survival(hazard ratio= 7.093,P = 0.017) and recurrence-free survival(hazard ratio=5.518,P = 0.004) in patients who met the Milan criteria.Taken together,our results suggest that LIN28 identifies low-risk and high-risk subsets of HCC patients meeting the Milan criteria who undergo hepatectomy.展开更多
AIM: To evaluate whether the Milan criteria are useful in patients with hepatocellular carcinoma (HCC) who received transarterial chemoembolization (TACE) before liver transplantation (LT). METHODS: Thirty-six HCC pat...AIM: To evaluate whether the Milan criteria are useful in patients with hepatocellular carcinoma (HCC) who received transarterial chemoembolization (TACE) before liver transplantation (LT). METHODS: Thirty-six HCC patients who fulfilled the Milan criteria after having received TACE and subsequently underwent LT were included (TACE + LT group) in the study. As controls, 21 patients who also met the Milan criteria and underwent LT without prior treatment were selected (LT group). Post-LT clinical outcomes, such as HCC recurrence, survival rate, and histologic features of explanted livers, were compared between the two groups. RESULTS: Baseline characteristics were not different between the two groups. Pre-LT maximal tumor diameter in TACE + LT group was similar to that of LT group (2.0 ± 0.6 cm vs 2.3 ± 0.9 cm; P = 0.10). Post-LT histologic findings also revealed similar maximal tumor diameter in the two groups (2.4 ± 1.4 cm vs 2.3 ± 0.9 cm; P = 0.70). Explanted livers showed similar incidence of unfavorable pathologic features. The morality within 60 d after transplantation was not different between the two groups (8.3% vs 9.5%; P = 0.99). Post-LT 5-year survival rate (57% vs 74%; P = 0.70) and cumulative recurrence rate (8.3% vs 4.8%; P = 0.90) were not significantly different between the two groups. CONCLUSION: The Milan criteria are still a useful selec- tion criteria showing favorable outcomes in HCC patientsreceiving TACE before LT.展开更多
文摘The study is based on the analysis of the design and operational path conducted by the architect Gio Ponti on ceramic materials between the late 1920s and the early 1970s,with particular attention to applications in the Milanese context.Milan represents the main laboratory for experimenting with the figurative,plastic and chromatic potential of modern ceramic surfaces.The analysis of archival documentation preserved at the CSAC Archive in Parma,the Gio Ponti Archives in Milan and the Archivio Progetti at the Iuav University of Venice allows for a deeper understanding of the design path at different scales,from the design of specific lines of ceramics for industry,to their application in buildings.The second part of the analysis is aimed at tracing the conservation problems of ceramic surfaces,with the aim of highlighting both the cultural and technical aspects that are affecting the conservation of this heritage.Connected to the latter aspect is a focus on the principal deterioration phenomena of modern ceramic surfaces related to different types of substrates,providing in-depth knowledge that opens up new strategies for their conservation.
基金Supported by the National Natural Science Foundation of China,No.81472243
文摘Liver transplantation(LT) has been accepted as an effective therapy for hepatocellular carcinoma(HCC). The Milan criteria(MC) are widely used across the world to select LT candidates in HCC patients. However, the MC may be too strict because a substantial subset of patients who have HCC exceed the MC and who would benefit from LT may be unnecessarily excluded from the waiting list. In recent years, many extended criteria beyond the MC were raised, which were proved to be able to yield similar outcomes compared with those patients meeting the MC. Because the simple use of tumor size and number was insufficient to indicate HCC biological features and to predict the risk of tumor recurrence, some biological markers such as Alphafetoprotein, Des-Gamma-carboxy prothrombin and the neutrophil-to-lymphocyte ratio were useful in selecting LT candidates in HCC patients beyond the MC. For patients with advanced HCC, downstaging therapy is an effective way to reduce the tumor stage to fulfill the MC by using liver-directed therapy such as transarterial chemoembolization, radiofrequency ablation and percutaneous ethanol injection. This article reviews the recent advances in LT for HCC beyond the MC.
基金Supported by the Association Llavaneres contra el Cáncer,No.IP004500
文摘Milan criteria are currently the benchmark related to liver transplantation(LT) for hepatocellular carcinoma. However, several groups have proposed different expanded criteria with acceptable results. In this article, we review the current status of LT beyond the Milan criteria in three different scenarios-expanded criteria with cadaveric LT, downstaging to Milan criteria before LT, and expansion in the context of adult living donor LT. The review focuses on three main questions: what would the impact of the expansion beyond Milan criteria be on the patients on the waiting list; whether the dichotomous criteria(yes/no) currently used are appropriate for LT or continuous survival estimations, such as the one of "Metroticket" and whether it should enter into the clinical practice; and, whether the use of living donor LT in the context of expansion beyond Milan criteria is justified.
文摘BACKGROUND Surgical resection and radiofrequency ablation(RFA)represent two possible strategy in treatment of hepatocellular carcinoma(HCC)in Milan criteria.AIM To evaluate short-and long-term outcome in elderly patients(>70 years)with HCC in Milan criteria,which underwent liver resection(LR)or RFA.METHODS The study included 594 patients with HCC in Milan criteria(429 in LR group and 165 in RFA group)managed in 10 European centers.Statistical analysis was performed using the Kaplan-Meier method before and after propensity score matching(PSM)and Cox regression.RESULTS After PSM,we compared 136 patients in the LR group with 136 patients in the RFA group.Overall survival at 1,3,and 5 years was 91%,80%,and 76%in the LR group and 97%,67%,and 41%in the RFA group respectively(P=0.001).Diseasefree survival at 1,3,and 5 years was 84%,60%and 44%for the LR group,and 63%,36%,and 25%for the RFA group(P=0.001).Postoperative Clavien-Dindo IIIIV complications were lower in the RFA group(1%vs 11%,P=0.001)in association with a shorter length of stay(2 d vs 7 d,P=0.001).In multivariate analysis,Model for End-stage Liver Disease(MELD)score(>10)[odds ratio(OR)=1.89],increased value of international normalized ratio(>1.3)(OR=1.60),treatment with radiofrequency(OR=1.46),and multiple nodules(OR=1.19)were independent predictors of a poor overall survival while a high MELD score(>10)(OR=1.51)and radiofrequency(OR=1.37)were independent factors associated with a higher recurrence rate.CONCLUSION Despite a longer length of stay and a higher rate of severe postoperative complications,surgery provided better results in long-term oncological outcomes as compared to ablation in elderly patients(>70 years)with HCC in Milan criteria.
文摘Liver transplantation(LT) for hepatocellular carcinoma(HCC) has been established as a standard treatment in selected patients for the last two and a half decades. After initially dismal outcomes, the Milan criteria(MC)(single HCC ≤ 5 cm or up to 3 HCCs ≤ 3 cm) have been adopted worldwide to select HCC patients for LT, however cumulative experience has shown that MC can be too strict. This has led to the development of numerous expanded criteria worldwide. Morphometric expansions on MC as well as various criteria which incorporate biomarkers as surrogates of tumor biology have been described. HCC that presents beyond MC initially can be downstaged with locoregional therapy(LRT). Post-LRT monitoring aims to identify candidates with favorable tumor behavior. Similarly, tumor marker levels as response to LRT has been utilized as surrogate of tumor biology. Molecular signatures of HCC have also been correlated to outcomes; these have yet to be incorporated into HCC-LT selection criteria formally. The ongoing discrepancy between organ demand and supply makes patient selection the most challenging element of organ allocation. Further validation of extended HCCLT criteria models and pre-LT treatment strategies are required.
文摘Profile of Expo Milan 2015Open from May 1 to October 31,2015,the Expo will be held in Milan,the industrial center and economic center of Italy,running for 184 days.The theme of Milan Expo will be"Feeding the Planet,Energy for Life",focusing on food,nutrition and resources,like water and food security,global biodiversity and so on.The Expo will raise the issues instead of solutions,promoting people to think
文摘"Milan Expo 2015 was opened in Italy on May 1,and the China Pavilion opened on the same day.Since its opening,the China Pavilion has earned wide attention and praise by virtue of its bravo design and sound operation services,which has turned into a significant platform for
文摘At a press conference on December 29,2014,Wang Jinzhen,general representative for the China Pavilion at World Expo 2015&vice president of CCPIT said,"This is the first time that China will open a national pavilion at an overseas expo.During Milan Expo 2015,the China Pavilion will hold hundreds of activities and act as a platform for further promoting cooperation between China and Italy in a variety of fields such as agriculture,travel,culture,and finance."
文摘In preparation for the upcomingMilan Expo 2015,China is focus-ing on its pavilions to be showcasedat the event.China has offi cially begun itsprepa ra tions for Expo Milano 2015,after a con tract signed on Novem ber 20,2013 by Wang Jinzhen,Com mis sionerGen eral for the Chi nese Pavil ion andVice Chairman of the China Coun-cil for the Promotion of
文摘We still remember the S hanghai World Expo in 2010,which impressed the whole world.After a blink,another World Expo is here soon.Milan in Italy will be the host next year,and the China Council for the Promotion of International Trade(CCPIT)will host the China pavilion there.To know more about the Milan World Expo2015,China’s Foreign Trade magazine had an exclusive interview with Italian Ambassador to China,H.E.Mr.Alberto Bradanini.
文摘Co-hosted by Bauhinia Culture.Group Co.,Ltd.,the Beling Municlpal Bureau of Culture and Tourism and the Milan Municipal Bureau of Cuture,and co-organized by China Arts and Entertainment Group Ltd.(CAEG),the Beiing Fine Art Academy.
基金supported by grants from the National Natural Science Foundation of China(30872489and30972916)
文摘Stem cell marker LIN28,related closely with SOX2 and OCT4,has been studied as a biomarker for the maintainance of pluripotent cells in several malignancies.Our previous study showed that SOX2 and OCT4 were negative predictors for hepatocellular carcinoma(HCC).However,the predictive value of LIN28 in HCC outcome is still undetermined.We hypothesized that LIN28 may also play a role as a biomarker for HCC.To test this hypothesis,we examined the expression of LIN28 in 129 radically resected HCC tissues using reverse transcription-polymerase chain reaction and analyzed the association of LIN28 expression with clinicopathologic features and prognosis.Our study showed that LIN28 was expressed at a higher frequency in tumor tissues than in non-HCC tissues(45.0% vs.21.7%,P = 0.020).Moreover,LIN28 expression was significantly increased in cases with large tumor size(P = 0.010).Univariate analysis did not reveal a significant correlation between LIN28 expression and overall survival or recurrence-free survival.For HCC patients who met the Milan criteria,stratified analysis revealed shorter overall survival(P = 0.007) and recurrence-free survival(P < 0.001) in those with detectable LIN28 expression compared to those with no detectable LIN28 expression.Furthermore,multivariate analysis revealed that LIN28 was a negative independent predictor for both overall survival(hazard ratio= 7.093,P = 0.017) and recurrence-free survival(hazard ratio=5.518,P = 0.004) in patients who met the Milan criteria.Taken together,our results suggest that LIN28 identifies low-risk and high-risk subsets of HCC patients meeting the Milan criteria who undergo hepatectomy.
文摘AIM: To evaluate whether the Milan criteria are useful in patients with hepatocellular carcinoma (HCC) who received transarterial chemoembolization (TACE) before liver transplantation (LT). METHODS: Thirty-six HCC patients who fulfilled the Milan criteria after having received TACE and subsequently underwent LT were included (TACE + LT group) in the study. As controls, 21 patients who also met the Milan criteria and underwent LT without prior treatment were selected (LT group). Post-LT clinical outcomes, such as HCC recurrence, survival rate, and histologic features of explanted livers, were compared between the two groups. RESULTS: Baseline characteristics were not different between the two groups. Pre-LT maximal tumor diameter in TACE + LT group was similar to that of LT group (2.0 ± 0.6 cm vs 2.3 ± 0.9 cm; P = 0.10). Post-LT histologic findings also revealed similar maximal tumor diameter in the two groups (2.4 ± 1.4 cm vs 2.3 ± 0.9 cm; P = 0.70). Explanted livers showed similar incidence of unfavorable pathologic features. The morality within 60 d after transplantation was not different between the two groups (8.3% vs 9.5%; P = 0.99). Post-LT 5-year survival rate (57% vs 74%; P = 0.70) and cumulative recurrence rate (8.3% vs 4.8%; P = 0.90) were not significantly different between the two groups. CONCLUSION: The Milan criteria are still a useful selec- tion criteria showing favorable outcomes in HCC patientsreceiving TACE before LT.