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1.
J Evol Biol ; 35(10): 1309-1318, 2022 10.
Article in English | MEDLINE | ID: mdl-35972882

ABSTRACT

The male competition for fertilization that results from female multiple mating promotes the evolution of increased sperm numbers and can impact sperm morphology, with theory predicting that longer sperm can at times be advantageous during sperm competition. If so, males with longer sperm should sire more offspring than competitors with shorter sperm. Few studies have directly tested this prediction, and findings are inconsistent. Here we assessed whether longer sperm provide a competitive advantage in the yellow dung fly (Scathophaga stercoraria; Diptera: Scathophagidae). Initially, we let brothers with different temperature-mediated mean sperm lengths compete - thus minimizing confounding effects of genetic background - and found no clear advantage of longer sperm. We then used flies from lines subjected to bidirectional selection on phenoloxidase activity that had shown correlated evolutionary responses in sperm and female spermathecal duct lengths. This experiment also yielded no main effect of sperm size on siring success. Instead, there was a trend for a shorter-sperm advantage, but only when competing in females with longer spermathecal ducts. Our data corroborated many previously reported findings (last-male precedence, effects of copula duration and body size), suggesting our failure to find sperm size effects is not inherently due to our experimental protocols. We conclude that longer sperm are not competitively superior in yellow dung flies under most circumstances, and that, consistent with previous work, in this species competitive fertilization success is primarily determined by the relative numbers of sperm competing.


Subject(s)
Diptera , Animals , Diptera/anatomy & histology , Female , Male , Monophenol Monooxygenase , Reproduction/physiology , Semen , Spermatozoa/physiology
2.
Int J Lab Hematol ; 38(1): 90-101, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26547138

ABSTRACT

INTRODUCTION: An accurate and rapid analysis of cells in body fluids (BFs) is important for diagnosis and follow-up in many pathological conditions. We evaluated the analytical performance of the module BF Mindray BC-6800 (BC-6800-BF) for cytometric analysis of ascitic and pleural fluids. METHODS: A total of 99 ascitic and 45 pleural samples were collected and assessed with BC-6800-BF and optical microscopy. This study also includes the evaluation of limit blank (LoB), limit detection (LoD), limit quantitation, (LoQ), carryover, linearity, and diagnostic concordance between the two methods. RESULTS: For TC-BF, LoB was 1 × 10(6) cells/L, LoD was 3 × 10(6) cells/L, and LoQ was 4 × 10(6) cells/L. Linearity was excellent (r(2) = 0.99) and carryover was negligible. TC-BF performed with the two methods showed Pearson's correlation of 0.99 (P < 0.0001), Passing-Bablok regression y = 1.04x - 1.17, and bias 33.7 cells. In ascitic fluids, polymorphonuclear cells (PMN) showed an area under curve (AUC) of 0.98 (P < 0.0001). In pleural fluids, mononuclear cells (MN) and PMN % displayed an AUC of 0.79 (P < 0.0001) and 0.93 (P < 0.0001), respectively. CONCLUSIONS: BC-6800-BF in ascitic and pleural fluids offers rapid and accurate cell and differential counts in clinically relevant concentration ranges. The use of BC-6800-BF may allow to replace routine optical counting, except for samples displaying abnormal cell counts or abnormal DIFF scattergram.


Subject(s)
Body Fluids/cytology , Cell Count/methods , Cell Count/standards , Pleural Effusion/diagnosis , Ascitic Fluid/cytology , Ascitic Fluid/pathology , Automation, Laboratory , Biomarkers , Cell Count/instrumentation , Humans , Pleural Effusion/pathology , Reproducibility of Results , Sensitivity and Specificity
3.
J Endocrinol Invest ; 37(12): 1225-31, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25323435

ABSTRACT

BACKGROUND: Osteoporosis is a major public health problem also in men and it recognizes hypogonadism as a major cause. AIMS: To investigate the possible pathogenetic mechanisms on bone impairment in male hypogonadism and on its improvement in response to testosterone replacement treatment (TRT). METHODS: We retrospectively investigated the hormonal profile and bone mineral density (BMD), evaluated by DXA, in 17 middle-aged hypogonadal men treated for at least 5 years with TRT, compared with 21 recently diagnosed untreated hypogonadal males and 18 age- and BMI-matched healthy subjects. RESULTS: No significant differences in clinical, biochemical and densitometric parameters were found among the three groups, with the exception of 25-OH vitamin D levels that were significantly higher in healthy subjects compared with hypogonadal patients. Untreated patients affected by central hypogonadism, despite similar hormonal levels, displayed significantly lower BMD and decreased LH and 25-OH vitamin D levels, compared with patients with primary hypogonadism. Among the treated patients, BMD parameters were similar regardless of the formulation of TRT. CONCLUSIONS: A recent history of central hypogonadism, compared with primary hypogonadism, appears to adversely affect bone health independently of gonadal steroids levels. This could be due to lower LH levels and consequent reduction of vitamin D 25-hydroxylation in the testis.


Subject(s)
Bone Density/physiology , Hypogonadism/blood , Luteinizing Hormone/blood , Osteoporosis/blood , Vitamin D/blood , Adult , Aged , Biomarkers/blood , Humans , Hypogonadism/diagnosis , Hypogonadism/epidemiology , Male , Middle Aged , Osteoporosis/diagnosis , Osteoporosis/epidemiology , Retrospective Studies
4.
J Endocrinol Invest ; 37(4): 393-400, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24458833

ABSTRACT

INTRODUCTION AND AIM: The relationship between androgen receptor (AR) CAG polymorphism and bone metabolism is highly controversial. We, therefore, aimed to evaluate the independent role of AR CAG repeat polymorphism on bone metabolism improvement induced by testosterone replacement therapy (TRT) in male post-surgical hypogonadotropic hypogonadism, a condition frequently associated with hypopituitarism and in which the effects of TRT have to be distinguished from those resulting from concomitant administration of pituitary function replacing hormones. METHODS: 12 men affected by post-surgical hypogonadotropic hypogonadism [mean duration of hypogonadism 8.3 ± 2.05 (SD) months] were retrospectively assessed before and after TRT (from 74 to 84 weeks after the beginning of therapy). The following measures were studied: parameters of bone metabolism [serum markers and bone mineral density (BMD)], pituitary dependent hormones and genetic analysis (AR CAG repeat number). RESULTS: Total testosterone, estradiol, free T4 (FT4) and insulin-like growth factor-1 (IGF-1) increased between the two phases, while follicle stimulating hormone (FSH) decreased. While serum markers did not vary significantly between the two phases, BMD improved slightly but significantly in all the studied sites. The number of CAG triplets correlated negatively and significantly with all the variations (Δ-) of BMDs. Conversely, Δ-testosterone correlated positively and significantly with all studied Δ-BMDs, while Δ-FSH, Δ-estradiol, Δ-FT4, and Δ-IGF-1 did not correlate significantly with any of the Δ-BMDs. Multiple linear regression analysis, after correction for Δ-testosterone, showed that CAG repeat length was negatively and significantly associated with ∆-BMD of all measured sites. CONCLUSIONS: Our data suggest that, in post-surgical male hypogonadotropic hypogonadism, shorter AR CAG tract is independently associated with greater TRT-induced improvement of BMD.


Subject(s)
Bone and Bones/metabolism , Hormone Replacement Therapy , Hypogonadism/drug therapy , Polymorphism, Genetic/genetics , Receptors, Androgen/genetics , Testosterone/therapeutic use , Bone Density/drug effects , Bone and Bones/drug effects , Humans , Hypogonadism/etiology , Male , Middle Aged , Pituitary Neoplasms/surgery , Postoperative Complications , Receptors, Androgen/physiology , Retrospective Studies , Testosterone/blood , Trinucleotide Repeats/genetics
5.
Andrologia ; 46(5): 564-9, 2014 Jun.
Article in English | MEDLINE | ID: mdl-23725463

ABSTRACT

Androgens and a normal androgen receptor (AR) are required for normal spermatogenesis. We investigated polyglutamine (CAG) and a polyglycine (GGC) tract in Italian men with defective spermatogenesis. We studied a group of 40 infertile men with spermatogenesis failure without Y-chromosome microdeletions compared with 60 normozoospermic ones. The distributions of both polymorphisms, within the normal range of Caucasian populations, were similar among infertile men and controls. Nonetheless, we observed that the frequency comparison of each CAG allele showed a statistical difference in the allele CAG 22; GGC 17 was the more predominant allele in infertile men than in controls. Moreover, to investigate the hypothesis that semen characteristics are perturbed by androgen receptor allele variants, we tried to detect a link between triplets and sperm motility in all subjects (cases plus controls). Subjects were subdivided into three groups, based on calculated allele frequencies. A significantly decreased motility, related to a longer CAG and GGC tracts, and marked differences between the groups exist for both polymorphisms. Our data highlight a probable relationship between the allele CAG 22/GGC 17 and a defective spermatogenesis in infertile men, suggesting that these polymorphisms might have an important effect on AR function.


Subject(s)
Infertility, Male/genetics , Polymorphism, Genetic , Receptors, Androgen/genetics , Sperm Motility/genetics , Trinucleotide Repeats , Alleles , Base Sequence , DNA Primers , Humans , Male , Polymerase Chain Reaction
6.
Brain ; 136(Pt 8): 2602-18, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23884815

ABSTRACT

Whether motor and linguistic representations of actions share common neural structures has recently been the focus of an animated debate in cognitive neuroscience. Group studies with brain-damaged patients reported association patterns of praxic and linguistic deficits whereas single case studies documented double dissociations between the correct execution of gestures and their comprehension in verbal contexts. When the relationship between language and imitation was investigated, each ability was analysed as a unique process without distinguishing between possible subprocesses. However, recent cognitive models can be successfully used to account for these inconsistencies in the extant literature. In the present study, in 57 patients with left brain damage, we tested whether a deficit at imitating either meaningful or meaningless gestures differentially impinges on three distinct linguistic abilities (comprehension, naming and repetition). Based on the dual-pathway models, we predicted that praxic and linguistic performance would be associated when meaningful gestures are processed, and would dissociate for meaningless gestures. We used partial correlations to assess the association between patients' scores while accounting for potential confounding effects of aspecific factors such age, education and lesion size. We found that imitation of meaningful gestures significantly correlated with patients' performance on naming and repetition (but not on comprehension). This was not the case for the imitation of meaningless gestures. Moreover, voxel-based lesion-symptom mapping analysis revealed that damage to the angular gyrus specifically affected imitation of meaningless gestures, independent of patients' performance on linguistic tests. Instead, damage to the supramarginal gyrus affected not only imitation of meaningful gestures, but also patients' performance on naming and repetition. Our findings clarify the apparent conflict between associations and dissociations patterns previously observed in neuropsychological studies, and suggest that motor experience and language can interact when the two domains conceptually overlap.


Subject(s)
Aphasia/physiopathology , Apraxias/physiopathology , Imitative Behavior/physiology , Language , Stroke/physiopathology , Aged , Aphasia/etiology , Apraxias/etiology , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Psychomotor Performance/physiology , Stroke/complications
7.
Eur Child Adolesc Psychiatry ; 22(4): 235-46, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23138539

ABSTRACT

The majority of studies examining associations between clinical-diagnostic and empirical-quantitative approaches have concentrated only on the target diagnosis without taking into account any possible co-variation of psychopathological traits, which is intrinsic to child psychopathology. The ability of child behaviour checklist (CBCL) DSM-oriented scales (DOSs) to predict target and other DSM diagnoses, taking into consideration the covariation of psychopathological traits, was analysed by logistic regression analysis. Corresponding odds ratio (OR) was used as indicator of the strength of the relationship between the clinical score in DOSs and the presence of DSM-IV diagnoses. Logistic regression allowed us to consider multiple scales simultaneously, thus addressing the problem of co-occurrence of psychopathological traits, and to include gender and age as covariates. The sample consisted of 360 children and adolescents aged 6-16 years, consecutively referred for behavioural and emotional problems. As a whole, the CBCL DOSs seem to be more specific but with a weaker association with DSM-IV diagnoses than syndrome scales, and with some distinctive features: clinical scores in the anxiety DOS suggest a diagnosis of both anxiety and mood disorder; clinical scores in the somatic problems DOS are very strong and specific predictors for diagnosis of separation anxiety disorder; clinical scores in the oppositional defiant problems DOS are not only predictors of the oppositional defiant disorder but are also strong predictors of generalized anxiety disorder; clinical scores in the conduct problems DOS are a specific and strong predictor for oppositional defiant disorder. Results confirm the clinical usefulness of CBCL and suggest using both syndrome and DOS scales for a complete and accurate assessment of children and adolescents.


Subject(s)
Adolescent Behavior/psychology , Child Behavior/psychology , Mental Disorders/diagnosis , Adolescent , Child , Diagnostic and Statistical Manual of Mental Disorders , Female , Humans , Male , Mental Disorders/psychology , Predictive Value of Tests , Psychometrics
8.
Cogn Neuropsychol ; 27(5): 428-61, 2010 Jul.
Article in English | MEDLINE | ID: mdl-21718215

ABSTRACT

It has been proposed that language and action representational systems overlap when the tasks used to assess them involve the same stimuli and require abilities acquired at similarly early developmental stage. We matched variables at task and stimulus level to test this hypothesis in a group of 12 left-damaged patients (and 17 controls). At the patients' group level, we replicated previously reported correlations between linguistic and nonlinguistic tasks. When performances were analysed individually, however, double dissociations were observed between the ability to imitate pantomimes and the ability to produce and comprehend the corresponding action verbs, as well as between the ability to use tools and the ability to comprehend the corresponding tool nouns. These findings suggest that processing action words is independent of the ability to produce the associated object-directed actions. Double dissociations were also found between the ability to comprehend action verbs and the ability to comprehend tool nouns. Moreover, action and tool naming showed differential effects of age of acquisition, suggesting that the two word categories meet the lexical organization by word class (nouns and verbs), even when related to identical action concept. Dissociations at behavioural level are supported by anatomical dissociations shown in the analysis of patients' lesions.


Subject(s)
Aphasia/physiopathology , Brain Injuries/physiopathology , Cerebrum/physiopathology , Comprehension/physiology , Psychomotor Performance/physiology , Adult , Aged , Aged, 80 and over , Aphasia/complications , Brain Injuries/complications , Case-Control Studies , Cerebrum/pathology , Female , Humans , Linguistics , Magnetic Resonance Imaging/methods , Male , Middle Aged , Neuropsychological Tests/statistics & numerical data , Photic Stimulation/methods , Tomography, X-Ray Computed/methods , Visual Perception/physiology
9.
Rev Esp Med Nucl ; 28(3): 114-20, 2009.
Article in Spanish | MEDLINE | ID: mdl-19558951

ABSTRACT

INTRODUCTION: Changes in regional cerebral blood flow (rCBF) have been reported in idiopathic Parkinson's disease (PD). Nonetheless, their typical pattern still remains controversial regarding some features, such as basal ganglia involvement and the main cortical regions affected. Functional neuroimaging makes it possible to identify the brain dysfunctions of the neural circuits underlying the disease. Voxel-based analysis methods make it possible to increase the reliability of the results. OBJECTIVE: To assess the rCBF changes in patients with PD and their relation with disease duration. MATERIALS AND METHODS: Thirty PD adult patients without dementia underwent evaluation with (99m)Tc-ECD SPECT. SPM5 was used for statistical comparison with 25 normal controls of similar ages. The disease course duration in years was added as a covariate. Additionally, patients with a 6-year evolution or less and those with more than 6 years were compared separately with normal controls. RESULTS: Significant hypoperfusion was detected in bilateral premotor and posterior parietal cortex and increase of perfusion was present in the cerebellum. These changes correlated with the years of evolution of the illness. Patients with longer evolution also presented thalamic, subthalamic and basal ganglia hypoperfusion. CONCLUSIONS: We describe rCBF changes in PD in neural circuits related with control of movements. These changes are more manifest in patients with a longer duration of the disease.


Subject(s)
Cerebrovascular Circulation , Parkinson Disease/physiopathology , Adult , Aged , Cerebellum/blood supply , Cerebellum/diagnostic imaging , Cerebral Cortex/blood supply , Cerebral Cortex/diagnostic imaging , Confounding Factors, Epidemiologic , Female , Humans , Male , Middle Aged , Parkinson Disease/diagnostic imaging , Prospective Studies , Time Factors , Tomography, Emission-Computed, Single-Photon
10.
Anticancer Res ; 29(5): 1499-506, 2009 May.
Article in English | MEDLINE | ID: mdl-19443357

ABSTRACT

BACKGROUND: Ductal intraepitelial neoplasia (DIN) represents a spectrum of disease that may progress from usual hyperplasia to ductal carcinoma in situ (DCIS) grade 3. The aim of the study was to asses the correlation between the DIN classification and the surgical treatment including sentinel lymph node biopsy (SLNB). PATIENTS AND METHODS: In this retrospective study, 229 patients with DIN had undergone conservative or radical surgical treatment and SLNB in cases of DIN1C-DIN3. RESULTS: Breast conservative surgery was the definitive treatment in 80% of the cases. The H&E evaluation of excised sentinel nodes was negative for metastatic disease; nevertheless the immunohistochemical (IHC) evaluation revealed the presence of metastatic cells in 6 patients (3.7%). CONCLUSION: In cases of DIN lesions SLNB is not indicated. The only reason SLNB should be considered is when there is an evidence of invasive foci at definitive histology or when radical mastectomy is proposed.


Subject(s)
Breast Neoplasms/classification , Carcinoma, Intraductal, Noninfiltrating/classification , Adult , Breast Neoplasms/pathology , Breast Neoplasms/surgery , Carcinoma, Intraductal, Noninfiltrating/pathology , Carcinoma, Intraductal, Noninfiltrating/surgery , Female , Humans , Immunohistochemistry , Middle Aged , Patient Care Planning , Sentinel Lymph Node Biopsy
11.
Rev. esp. med. nucl. (Ed. impr.) ; 28(3): 114-120, mayo 2009. ilus
Article in Spanish | IBECS | ID: ibc-73573

ABSTRACT

Introducción: En la enfermedad de Parkinson idiopática (EP) se han observado alteraciones del flujo sanguíneo cerebral regional (FSCr) cuyo patrón característico aún presenta aspectos controvertidos, como la existencia de alteraciones gangliobasales y las áreas corticales más afectadas. La neuroimagen funcional permite observar las disfunciones de circuitos neuronales existentes en estos pacientes. Los métodos de análisis estadístico basado en vóxeles permiten incrementar la validez de los resultados. Objetivo: Investigar los cambios de la perfusión cerebral existentes en pacientes con EP y su relación con la duración de los síntomas. Materiales y métodos: Treinta pacientes adultos con EP sin demencia fueron estudiados mediante SPECT cerebral con 99mTc-ECD. Se utilizó SPM5 para su comparación estadística con un grupo control de 25 sujetos sanos de edades similares. Se introdujo, como covariable en dicha comparación, el tiempo de evolución en años y se analizaron por separado los pacientes con 6 años o menos de evolución y aquellos con más de 6 años. Resultados: Se detectó hipoperfusión significativa en la corteza premotora y parietal posterior bilateral y aumento del flujo en el cerebelo. Estas alteraciones se correlacionaron con los años de evolución de la enfermedad. Los pacientes con evolución más prolongada presentaron además hipoperfusión talámica, subtalámica y gangliobasal. Conclusiones: Describimos alteraciones del FSCr en la EP que se relacionan con los circuitos implicados en el control del movimiento. Las mismas son más evidentes en los pacientes con evolución más prolongada de la enfermedad(AU)


Introduction: Changes in regional cerebral blood flow (rCBF) have been reported in idiopathic Parkinson's disease (PD). Nonetheless, their typical pattern still remains controversial regarding some features, such as basal ganglia involvement and the main cortical regions affected. Functional neuroimaging makes it possible to identify the brain dysfunctions of the neural circuits underlying the disease. Voxel-based analysis methods make it possible to increase the reliability of the results. Objective: To assess the rCBF changes in patients with PD and their relation with disease duration. Materials and methods: Thirty PD adult patients without dementia underwent evaluation with 99mTc-ECD SPECT. SPM5 was used for statistical comparison with 25 normal controls of similar ages. The disease course duration in years was added as a covariate. Additionally, patients with a 6-year evolution or less and those with more than 6 years were compared separately with normal controls. Results: Significant hypoperfusion was detected in bilateral premotor and posterior parietal cortex and increase of perfusion was present in the cerebellum. These changes correlated with the years of evolution of the illness. Patients with longer evolution also presented thalamic, subthalamic and basal ganglia hypoperfusion. Conclusions: We describe rCBF changes in PD in neural circuits related with control of movements. These changes are more manifest in patients with a longer duration of the disease(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cerebellum , Cerebral Cortex , Cerebrovascular Circulation , Parkinson Disease/physiopathology , Tomography, Emission-Computed, Single-Photon , Cerebellum/blood supply , Confounding Factors, Epidemiologic , Parkinson Disease , Prospective Studies , Time Factors
12.
Curr Alzheimer Res ; 5(5): 422-31, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18855583

ABSTRACT

Alzheimer's disease (AD) leads to a dramatic decline in cognitive abilities and memory. A more modest disruption of memory often occurs in normal aging and the same circuits that are devastated through degeneration in AD are vulnerable to sub-lethal age-related changes that alter synaptic transmission. There are numerous indications that aberrant plasticity is critically involved in Alzheimer's. Is ageing itself the major risk factor for AD? Is AD an acceleration of normal ageing? We assume that the ability of the brain is to modify its own structural organization and functioning which is liable to become impaired in ageing until it becomes dramatically impaired in Alzheimer's. Moreover, ageing can compromise the conversion of dietary alpha-linolenic acid (ALA) to docosahexaenoic acid (DHA). DHA regulates synaptogenesis and affects the synaptic structure, and synapse density is reduced in ageing. DHA and newly identified DHA-derived messenger, neuroprotecting D1 (NPD1), protect synapses and decrease the number of activated microglia in the hippocampal system. Delaying AD onset by a few years would reduce the number of the cases of dementia in the community. DHA (and NPD1?) and aspirin induce brain-derived neurotrophic factor (BDNF) protein expression and this protein has a crucial role in neuronal survival. The authors--in view of the increased neuroinflammatory reaction frequently observed during normal brain ageing--suggest the long-term use of "fatty aspirin", an association of DHA and/or NPD1 and aspirin (or nitroaspirin), to postpone, or prevent, the structural neurodegeneration of the brain.


Subject(s)
Alzheimer Disease/complications , Aspirin/analogs & derivatives , Dementia/prevention & control , Docosahexaenoic Acids/therapeutic use , Animals , Antioxidants/therapeutic use , Aspirin/therapeutic use , Cognition Disorders/etiology , Cognition Disorders/prevention & control , Dementia/etiology , Disease Models, Animal , Hippocampus/drug effects , Memory/drug effects , Memory/physiology , Mice , Microglia/drug effects , Microglia/physiology , Neurofibrillary Tangles/drug effects , Neuronal Plasticity/drug effects , Synapses/drug effects , Synapses/physiology
13.
Rev. Ter. Man ; 6(25): 136-141, maio-jun. 2008. ilus
Article in Portuguese | LILACS | ID: lil-515344

ABSTRACT

A analise de marcha é um instrumento de grande utilidade no diagnostico funcional de pacientes com problema na deambulação. Os protocolos disponíveis atualmente não fornecem dados tridimensionais dos movimentos das articulações do membro inferior completo e baseado na convenção biomecânica utilizada. O objetivo deste estudo foi de apresentar um novo protocolo para analise tridimensional do membro inferior e de mostrar em particular as vantagens das análises tridimensionais do complexo tíbio-társico em pacientes com deformidade típica consequente de acidente vascular encefálico (AVE). Cinco pacientes com pé equino varo supinado em consequência de AVE foram submetidos a uma análise de marcha utilizando o protocolo Total 3D Gait e o convencional Plug-in-Gait model (PIG). Um paciente com análoga deformidade foi submetido à análise da marcha antes e após a correção cirúrgica do pé. O protocolo Total 3D Gait apresentado forneceu, em relação ao protocolo convencional PIG, dados essenciais e únicos do movimento do pé nos três planos de espaço permitindo um diagnóstico funcional mais preciso da complexidade do movimento durante a deambulação e avaliou com maior eficácia os resultados do tratamento.


Gait analysis is an instrument of great value in the functional diagnosis of patients with altered gait. The currently available protocols do not provide tridimensional (3D) data of complete lower limb joint movements based on common biomechanics convetion. The aim of this study was to present an innovative protocol of lower limb 3D analysis and to demonstrate the advantages of 3D analysis of the tibiotarsal joint in patients with typical stroke deformities. Five patients with equinus foot due to cardiovascular accident were submitted to gait analysis with the Total 3D gait protocol and the convetional Plug-in-Gait model (PiG). One patient with the same type of deformity wasanalyzed before and after foot surgical intervention. The novel protocol provided, in contrast to the PiG conventional protocol, essential and unique data from foot movement in the three movement planes, allowing a more precise functional diagnosis of the movement complexity during gait along with efficienty assessing treatment results.


Subject(s)
Humans , Male , Female , Adult , Foot Deformities , Gait , Orthopedics/methods
14.
Clin Pharmacol Ther ; 83(4): 559-66, 2008 Apr.
Article in English | MEDLINE | ID: mdl-17898703

ABSTRACT

The pharmacokinetics and pharmacodynamics of morphine are under the control of several polymorphic genes, which can account for part of the observed interindividual variation in pain relief. We focused on two such genes: ABCB1/MDR1, a major determinant of morphine bioavailability, and OPRM1, which encodes for the mu-opioid receptor, the primary site of action for morphine. One hundred and forty-five patients of Italian origin undergoing morphine therapy were genotyped for the single-nucleotide polymorphism (SNP) C3435T of ABCB1/MDR1 and for the A80G SNP of OPRM1. Pain relief variability was significantly (P<0.0001) associated with both polymorphisms. Combining the extreme genotypes of both genes, the association between patient polymorphism and pain relief improved (P<0.00001), allowing the detection of three groups: strong responders, responders, and non-responders, with sensitivity close to 100% and specificity more than 70%. This study provides a good example of the possible clinical use of pharmacogenetics.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics , Analgesics, Opioid/pharmacokinetics , Morphine/pharmacokinetics , Pain/drug therapy , Polymorphism, Single Nucleotide , Receptors, Opioid, mu/genetics , White People/genetics , ATP Binding Cassette Transporter, Subfamily B , Adult , Aged , Analgesics, Opioid/administration & dosage , Biological Availability , Female , Humans , Italy , Male , Middle Aged , Morphine/administration & dosage , Pain/genetics , Sensitivity and Specificity , Time Factors
15.
Cogn Neuropsychol ; 24(8): 795-816, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18161497

ABSTRACT

An important issue in contemporary cognitive neuroscience concerns the role of motor production processes in perceptual and conceptual analysis. To address this issue, we studied the performance of a large group of unilateral stroke patients across a range of tasks using the same set of common manipulable objects. All patients (n = 37) were tested for their ability to demonstrate the use of the objects, recognize the objects, recognize the corresponding object-associated pantomimes, and imitate those same pantomimes. At the group level we observed reliable correlations between object use and pantomime recognition, object use and object recognition, and pantomime imitation and pantomime recognition. At the single-case level, we document that the ability to recognize actions and objects dissociates from the ability to use those same objects. These data are problematic for the hypothesis that motor processes are constitutively involved in the recognition of actions and objects and frame new questions about the inferences that are merited by recent findings in cognitive neuroscience.


Subject(s)
Apraxias/physiopathology , Concept Formation/physiology , Imagination/physiology , Pattern Recognition, Visual/physiology , Psychomotor Performance/physiology , Aged , Anomia/physiopathology , Anomia/psychology , Anomia/rehabilitation , Apraxias/psychology , Apraxias/rehabilitation , Brain/physiopathology , Brain Damage, Chronic/physiopathology , Brain Damage, Chronic/psychology , Brain Damage, Chronic/rehabilitation , Dominance, Cerebral/physiology , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests/statistics & numerical data , Psychometrics , Tomography, X-Ray Computed
16.
Neuron ; 55(3): 507-20, 2007 Aug 02.
Article in English | MEDLINE | ID: mdl-17678861

ABSTRACT

The principles driving the organization of the ventral object-processing stream remain unknown. Here, we show that stimulus-specific repetition suppression (RS) in one region of the ventral stream is biased according to motor-relevant properties of objects. Quantitative analysis confirmed that this result was not confounded with similarity in visual shape. A similar pattern of biases in RS according to motor-relevant properties of objects was observed in dorsal stream regions in the left hemisphere. These findings suggest that neural specificity for "tools" in the ventral stream is driven by similarity metrics computed over motor-relevant information represented in dorsal structures. Support for this view is provided by converging results from functional connectivity analyses of the fMRI data and a separate neuropsychological study. More generally, these data suggest that a basic organizing principle giving rise to "category specificity" in the ventral stream may involve similarity metrics computed over information represented elsewhere in the brain.


Subject(s)
Brain Mapping , Brain/physiology , Photic Stimulation/methods , Psychomotor Performance/physiology , Visual Pathways/physiology , Visual Perception/physiology , Female , Humans , Male , Tool Use Behavior/physiology
17.
Cortex ; 43(3): 376-88, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17533761

ABSTRACT

In the present paper we report the performance on object use and on semantic tasks of two patients, D.L. with probable semantic dementia, and A.M. with an atypical onset of dementia of Alzheimer, assessed twice two years apart. In particular, we investigated whether the patients' ability to use objects degraded as a function of their semantic knowledge about those objects. Results from the two assessments in 2002 and in 2004 confirmed that both patients had a selective loss of the lexical-semantic knowledge, despite a relative preservation of the other cognitive abilities including object use. This pattern of results suggests that semantic knowledge is not necessarily involved in the correct use of objects.


Subject(s)
Alzheimer Disease/complications , Cognition Disorders/complications , Comprehension , Dementia/complications , Language Disorders/complications , Tool Use Behavior , Aged , Alzheimer Disease/diagnosis , Cognition Disorders/diagnosis , Dementia/diagnosis , Female , Humans , Language Disorders/diagnosis , Language Tests , Longitudinal Studies , Male , Motor Skills , Semantics
18.
G Ital Med Lav Ergon ; 29(3 Suppl): 777-9, 2007.
Article in Italian | MEDLINE | ID: mdl-18409956

ABSTRACT

Radon toxicity on human body is well known from along (in 1988 radon has been classified as first type carcinogen, after only to tobacco's smoke, as cause of lung's cancer). Based on known scientific data, preliminary study has been conducted by the AA. It concerns radon exposition on inhabitants living in a Sicilian territory featured by previous seismic events: the territory and the town of Montevago. The project has been sponsored by ARPA Palermo. The territory of Montevago has been divided in several areas in order to assign detectors homogeneously, to begin the environmental sampling. In the period between May and October 2006, instruments has been calibrated and standardization of the procedure has been completed, in collaboration with Centro Studi Nucleare Enrico Fermi del Dipartimento di Ingegneria Nucleare del Politecnico di Milano. The values obtained result in European range.


Subject(s)
Air Pollutants, Radioactive , Environmental Exposure , Radon , Italy , Radiometry
19.
Evolution ; 60(8): 1612-21, 2006 Aug.
Article in English | MEDLINE | ID: mdl-17017062

ABSTRACT

Maintaining an immune system is costly. Resource allocation to immunity should therefore trade off against other fitness components. Numerous studies have found phenotypic trade-offs after immune challenge, but few have investigated genetic correlations between immune components and other traits. Furthermore, empirical evidence for the costs of maintaining an innate immune system in the absence of challenges is rare. We examined responses to artificial selection on phenoloxidase (PO) activity, an important part of the insect innate defense against multicellular pathogens, in yellow dung flies, Scathophaga stercoraria (L.). After 15 generations of successful selection on PO activity, we measured reproductive characters: clutch size, egg hatching rates, adult emergence rates, and adult longevity. We found no evidence for negative genetic correlations between PO activity and reproduction. In fact, flies of lines selected for increased PO activity had larger first clutches, and flies of lines selected for decreased PO activity had smaller ones. However, flies from high-PO lines died earlier than did low-PO flies when no food was available; that is, there is a survival cost of running at high PO levels in the absence of challenge. Variation in resource acquisition or use may lead to positive genetic correlations between PO and fertility and fecundity. The negative correlation between PO and longevity under starvation may indicate that variation for resource acquisition is maintained by a cost of acquisition, based on a genotype-environment interaction.


Subject(s)
Diptera/enzymology , Diptera/physiology , Monophenol Monooxygenase/genetics , Monophenol Monooxygenase/metabolism , Selection, Genetic , Animals , Catechol Oxidase/metabolism , Diptera/genetics , Enzyme Activation , Enzyme Precursors/metabolism , Longevity , Reproduction/genetics , Reproduction/physiology , Sex Ratio
20.
Eur J Pain ; 8(1): 13-22, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14690670

ABSTRACT

Recent literature demonstrates the relationship between psychopathology and medically unexplained pain, even if the results of several studies show a high degree of variability. The present study was planned with the aim of analysing both the possible relationship between the level (low/high) of organicity and the presence of psychopathology, and the degree to which these differences are related to methodological problems. Between 1998 and 2000, four hundred and thirty six consecutive patients seen at the Pisa Pain Therapy and Palliative Care Unit were requested to fill in a questionnaire, the GHQ-12, to screen the subjects probably with (GHQ-12>3) or without (GHQ-123 than the medically unexplained pain group. These results confirm that methodology is an important factor that could modify results in psychiatric research. Both medically unexplained pain and the presence of psychopathology are significantly correlated with sex, and age: females and young patients have a higher prevalence of psychopathology and of medically unexplained pain. Our results suggest that in the correlation between the low organicity of pain and psychopathology, the age and sex play a relevant role.


Subject(s)
Mental Disorders/complications , Pain/psychology , Somatoform Disorders/physiopathology , Age Factors , Aged , Anxiety Disorders/complications , Chronic Disease , Female , Humans , Male , Mental Disorders/physiopathology , Middle Aged , Mood Disorders/complications , Pain/physiopathology , Psychiatric Status Rating Scales , Psychopathology , Sex Factors , Surveys and Questionnaires
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