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1.
Front Psychol ; 13: 818607, 2022.
Article in English | MEDLINE | ID: mdl-35401302

ABSTRACT

Existing literature indicates that parenting styles affect the development of cyber aggression in offspring differently, depending on the gender of children. The present study investigates whether mothers' and fathers' parenting styles show similar gender differences in their associations with a new form of dating violence, i.e., cyber dating abuse (CDA). The limited evidence on the issue focuses on the relation that each parenting style has with CDA perpetration, without considering CDA victimization and the joint effects of fathers' and mothers' parenting styles. The present study contributes to the research on gender differences in parenting by examining whether young adults' perceptions of maternal and paternal parenting styles during childhood were independently and/or jointly related to their perpetrated and suffered CDA and whether these relations differed across young adults' gender. In total, 351 young adults (50.7% men), age between 18 and 35 years and having a romantic relationship, completed online self-reports of the variables of interest that include a bidimensional measure of perpetrated/suffered CDA that assess aggression and control. Results showed that maternal authoritarian parenting was uniquely and positively associated to their children's perpetration and victimization of cyber dating control, whereas maternal permissive parenting was uniquely and positively related to their children's perpetration of cyber dating aggression and victimization of cyber dating control. For daughters, these associations were stronger when the father's style was similar to the mother's one or when a maternal authoritarian style combined with a paternal permissive style, thus indicating that the two parents' parenting styles interact in relating to their daughters' CDA.

2.
Front Psychol ; 12: 623646, 2021.
Article in English | MEDLINE | ID: mdl-33815208

ABSTRACT

The increasing role that new technologies play in intimate relationships has led to the emergence of a new form of couple violence, cyber dating abuse, especially among adolescents and young adults. Although this phenomenon has received increased attention, no research has investigated predictors of cyber dating abuse taking into account the interdependence of the two partners. The study examines adverse childhood experiences (abuse, neglect, and witnessed intimate partner violence) and early maladaptive schemas (emotional deprivation and abandonment) as possible predictors of young adults' perpetrated and suffered cyber dating abuse. Adopting a dyadic approach, mediational models in which adverse childhood experiences were assumed to be related to individual and partner's cyber dating abuse through individual early maladaptive schemas were tested. 134 couples completed online self-reports of the variables of interest, including a bidimensional measure of cyber dating abuse assessing pressure-aggression and control-monitoring. Actor-partner interdependence mediation model analyses were conducted. Results indicated that the emotional deprivation schema mediated the association between adverse childhood experiences and cyber dating abuse, whereas the abandonment schema did not. Specifically, more frequent experiences of emotional abuse and physical neglect during childhood were indirectly related to increased likelihood of perpetrating cyber dating pressure-aggression as well as of perpetrating and suffering cyber dating control-monitoring in both males and females. These associations were mediated by a stronger internalization of the emotional deprivation schema and were supported by both self-reported and partner-reported data. Also, a strong and direct association was found between childhood exposure to intimate partner violence by the opposite-sex parent and cyber dating pressure-aggression by females or control-monitoring by both males and females. These findings help to clarify the potential negative effects of specific adverse childhood experiences and early maladaptive schemas on the tendency to perpetrate and suffer cyber abuse in romantic relationships. The implications for prevention and treatment programs are noted and avenues for future research are described.

3.
Br J Health Psychol ; 26(2): 657-678, 2021 05.
Article in English | MEDLINE | ID: mdl-33460503

ABSTRACT

OBJECTIVES: This study examines perceived and anticipated stigma towards infected people, threat and impact appraisals of the COVID-19 pandemic as well as distressing personal experiences related to the virus in order to determine the extent to which they directly and indirectly predict hedonic and eudaimonic well-being. Investigated experiences included exposure to COVID-19-related news, having being in close proximity to people with a COVID-19 diagnosis or with COVID-19-like symptoms, having being sick or having suffered COVID-19-like symptoms, having tested negative for COVID-19. METHODS: Adults from northern Italy (n = 326; M age = 29.86) provided cross-sectional data through an online survey during the nationwide lockdown period. Structural equation modelling analyses were conducted. RESULTS: Perceived and anticipated stigma, exposure to COVID-19 news, perceived threat and impact on material resources access were negatively and indirectly related to both hedonic and eudaimonic well-being via perceived COVID-19 psychological impact which served as a mediator. Perceived stigma was also directly and negatively related to hedonic and eudaimonic well-being, whereas having tested negative for COVID diagnosis was positively and directly associated with eudaimonic well-being. CONCLUSIONS: COVID-19-related stigma and appraisals can impair positive feelings about life as well as the pursuit of self-realization and the search for meaning in life. The findings highlight the importance of developing psychological preventive and rehabilitative interventions to help people cope with these risk factors.


Subject(s)
COVID-19 , Pandemics , Adult , COVID-19 Testing , Communicable Disease Control , Cross-Sectional Studies , Humans , Italy , SARS-CoV-2
4.
J Phys Condens Matter ; 31(32): 325902, 2019 Aug 14.
Article in English | MEDLINE | ID: mdl-30943462

ABSTRACT

yambo is an open source project aimed at studying excited state properties of condensed matter systems from first principles using many-body methods. As input, yambo requires ground state electronic structure data as computed by density functional theory codes such as Quantum ESPRESSO and Abinit. yambo's capabilities include the calculation of linear response quantities (both independent-particle and including electron-hole interactions), quasi-particle corrections based on the GW formalism, optical absorption, and other spectroscopic quantities. Here we describe recent developments ranging from the inclusion of important but oft-neglected physical effects such as electron-phonon interactions to the implementation of a real-time propagation scheme for simulating linear and non-linear optical properties. Improvements to numerical algorithms and the user interface are outlined. Particular emphasis is given to the new and efficient parallel structure that makes it possible to exploit modern high performance computing architectures. Finally, we demonstrate the possibility to automate workflows by interfacing with the yambopy and AiiDA software tools.

5.
J Fam Psychol ; 27(4): 541-9, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23772846

ABSTRACT

This study investigates self-forgiveness for real hurts committed against the partner in a romantic relationship (N = 168 couples). Using a dyadic perspective, we evaluated whether offender self-forgiveness, conceived as a bidimensional construct distinct from self-excusing, was uniquely related to both own and partner relationship satisfaction. For both males and females, offending partners were more satisfied with their romantic relationship to the extent that they had more positive and less negative sentiment and thoughts toward themselves, whereas victimized partners were more satisfied with the relationship when the offending partner had less negative sentiment and thoughts (but not more positive ones) toward himself/herself. The implications of these findings for understanding self-forgiveness and its pro-relationship effects in romantic couples are discussed.


Subject(s)
Forgiveness/physiology , Guilt , Interpersonal Relations , Personal Satisfaction , Sexual Partners/psychology , Adult , Crime Victims/psychology , Female , Humans , Italy , Male , Middle Aged , Surveys and Questionnaires
6.
Psychol Assess ; 21(2): 194-209, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19485674

ABSTRACT

Three studies involving 328 married couples were conducted to validate the Marital Offence-Specific Forgiveness Scale, a new measure assessing offence-specific forgiveness for marital transgressions. The studies examined the dimensionality; internal consistency; and discriminant, concurrent, and predictive validity of the new measure. The final scale comprised 2 distinct correlated dimensions, 1 positive (Benevolence) and 1 negative (Resentment-Avoidance), both of which had adequate internal consistency. The 2 dimensions discriminated marital forgiveness from affective empathy, rumination, attributions, and marital quality. Convergent validity of the new scale was indicated by significant relationships between its underlying dimensions and a host of predicted sociocognitive, relationship, trait, and well-being correlates of forgiveness. Providing evidence for predictive validity, forgiveness dimensions accounted for variability in relationship variables over a 6-month period.


Subject(s)
Beneficence , Conflict, Psychological , Interpersonal Relations , Marriage/psychology , Personality Inventory/statistics & numerical data , Adult , Altruism , Female , Humans , Intention , Life Change Events , Male , Middle Aged , Personal Satisfaction , Personality Assessment , Psychometrics , Reproducibility of Results , Spouses/psychology , Surveys and Questionnaires
7.
Diabetologia ; 48(7): 1359-65, 2005 Jul.
Article in English | MEDLINE | ID: mdl-15933859

ABSTRACT

AIMS/HYPOTHESIS: Previous studies have shown that alterations in vascular, metabolic, inflammatory and haemocoagulative functions characterise the metabolic syndrome. Whether this is also the case for sympathetic function is not clear. We therefore aimed to clarify this issue and to determine whether metabolic or reflex mechanisms might be responsible for the possible adrenergic dysfunction. METHODS: In 43 healthy control subjects (age 48.2+/-1.0 years, mean+/-SEM) and in 48 untreated age-matched subjects with metabolic syndrome (National Cholesterol Education Program's Adult Treatment Panel III Report criteria) we measured, along with anthropometric and metabolic variables, blood pressure (Finapres), heart rate (ECG) and efferent postganglionic muscle sympathetic nerve activity (microneurography) at rest and during baroreceptor manipulation (vasoactive drug infusion technique). RESULTS: Compared with control subjects, subjects with metabolic syndrome had higher BMI, waist circumference, blood pressure, cholesterol, triglycerides, insulin and homeostasis model assessment (HOMA) index values but lower HDL cholesterol values. Sympathetic nerve traffic was significantly greater in subjects with metabolic syndrome than in control subjects (61.1+/-2.6 vs 43.8+/-2.8 bursts/100 heartbeats, p<0.01), the presence of sympathetic activation also being detectable when the metabolic syndrome did not include hypertension as a component. Muscle sympathetic nerve traffic correlated directly and significantly with waist circumference (r=0.46, p<0.001) and HOMA index (r=0.49, p<0.001) and was inversely related to baroreflex sensitivity (r=-0.44, p<0.001), which was impaired in the metabolic syndrome. CONCLUSIONS/INTERPRETATION: These data provide evidence that the metabolic syndrome is characterised by sympathetic activation and that this abnormality (1) is also detectable when blood pressure is normal and (2) depends on insulin resistance as well as on reflex alterations.


Subject(s)
Metabolic Syndrome/physiopathology , Reflex/physiology , Sympathetic Nervous System/physiopathology , Adult , Blood Glucose/metabolism , Blood Pressure , Epinephrine/blood , Female , Heart Rate , Homeostasis , Humans , Male , Metabolic Syndrome/blood , Middle Aged , Norepinephrine/blood , Reference Values
8.
Pers Soc Psychol Bull ; 31(3): 368-78, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15657452

ABSTRACT

McCullough, Rachal, et al.'s (1998) social-psychological framework of forgiveness informed a longitudinal study that examined the extent to which marital forgiveness is determined by social-cognitive (the offended spouse's rumination and emotional empathy) and relationship variables (the quality of the relationship in which the offense took place). In the study, 119 husbands and 124 wives from long- and medium-term marriages in north Italy provided data at two time points separated by a 6-month interval. Structural equation models showed that rumination and empathy independently predicted concurrent marital forgiveness. Forgiveness in turn predicted concurrent marital quality. Finally, reciprocal directions of effect emerged between forgiveness and marital quality over time. These results are discussed in terms of their implications for promoting forgiveness, and future research directions are outlined.


Subject(s)
Empathy , Interpersonal Relations , Marriage/psychology , Memory , Social Behavior , Adult , Affect , Female , Follow-Up Studies , Humans , Male , Middle Aged , Personal Satisfaction , Surveys and Questionnaires
9.
Acta Diabetol ; 40(4): 187-92, 2003 Dec.
Article in English | MEDLINE | ID: mdl-14740279

ABSTRACT

We investigated the use, in a short period, of Humalog Mix25 (Mix25) in a twice-daily administration regimen compared to a twice-daily injection therapy with Humulin 30/70 (30/70) in diabetic patients with Italian dietary habits. We studied 33 type 2 diabetic patients aged 59.1 +/- 8.1 years, BMI 29.8 +/- 2.7 kg/m2, duration of diabetes and insulin therapy of 14.4 +/- 9.8 and 4.2 +/- 4.6 years, respectively. After a 4-day lead-in period of twice-daily human insulin 30/70 treatment, patients were randomized to one of two treatment sequences: (1) a twice-daily regimen with Mix25 just 5 minutes before the morning and evening meals for 12 days, followed by a twice-daily therapy with human insulin 30/70 given 30 minutes before the morning and evening meals for an additional 12 days; or (2) the alternate sequence. Each patient underwent a mixed meal test: Humulin 30/70 was administered 30 minutes before the meal, while Mix25 was given 5 minutes before. The 2-hour post-prandial glucose concentration after breakfast was significantly lower during treatment with Mix25 than with Humulin 30/70 (157 +/- 43.2 vs. 180 +/- 43.2 mg/dl, p<0.05). The glycemic excursion after dinner on Mix25 treatment was significantly lower than with Humulin 30/70 (12.2 +/- 48.01 vs. 35.5 +/- 36.92 mg/dl, p<0.05). AUCglucose after Mix25 was lower than after Humulin 30/70. Glycemia after test meal was significantly lower with Mix25 than with Humulin 30/70. Insulin and free insulin concentrations after the test meal were significantly higher with Mix25 in comparison to Humulin 30/70. AUC serum insulin and free insulin curves after Mix25 were significantly higher than after Humulin 30/70 (p=0.028 and p=0.005, respectively). Twice-daily injections of Humalog Mix25, compared to human insulin 30/70 in type 2 diabetic patients with Italian dietary habits, provide improved and lasting post-prandial glycemic control, with the great convenience of the injection just before the meal.


Subject(s)
Diabetes Mellitus, Type 1/blood , Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/drug therapy , Feeding Behavior , Hypoglycemic Agents/therapeutic use , Insulin/analogs & derivatives , Insulin/administration & dosage , Insulin/therapeutic use , Biphasic Insulins , Cross-Over Studies , Drug Administration Schedule , Eating , Female , Humans , Hypoglycemic Agents/administration & dosage , Injections, Subcutaneous , Insulin Lispro , Insulin, Isophane , Italy , Male , Middle Aged , Research Design , Time Factors
10.
J Hypertens ; 19(9): 1675-80, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11564989

ABSTRACT

OBJECTIVE: We have recently observed that in young, normotensive patients with a type I diabetes mellitus and no macro or microvascular complications, large artery structure and function are already altered. This study has been done to assess whether this condition is also characterized by early alterations in cardiac structure and function, and whether these alterations progress with time. DESIGN AND METHODS: In 56 insulin-treated, normotensive uncomplicated type I diabetic patients (age 35.0 +/- 2 years, means +/- SE) in good metabolic control, left ventricular wall thickness and diameter were measured by echocardiography together with left ventricular ejection fraction and diastolic function E/A (ratio between early and late ventricular filling), before and after 23 +/- 1 months. The same measurements were made in 20 age and sex-matched subjects who served as controls (C). RESULTS: Compared to C, diabetic patients had a significant increase in left ventricular wall (septal plus posterior wall) thickness (+ 8.4%), left ventricular mass index (+ 11%) and h/r ratio (left ventricular wall thickness/ventricular end diastolic diameter, + 16.0%) whereas they showed a reduction of E/A (-6%). In C, all echocardiographic values were unchanged after 2 years. This was the case also for diabetic patients, except for left ventricular ejection fraction and diastolic diameter which showed a significant reduction (-7.2%) and increase (+ 3.8%), respectively, with a reduction of ratio between LV wall thickness and diameter, h/r (-6.8%). CONCLUSIONS: Uncomplicated type I diabetes mellitus is characterized by early structural and functional cardiac alterations. Some of these alterations show a measurable progression within a relatively short time span.


Subject(s)
Blood Pressure , Diabetes Mellitus, Type 1/pathology , Diabetes Mellitus, Type 1/physiopathology , Heart/physiopathology , Myocardium/pathology , Adolescent , Adult , Coronary Circulation , Diabetes Mellitus, Type 1/diagnostic imaging , Diastole , Disease Progression , Echocardiography , Heart Ventricles , Humans , Reference Values , Stroke Volume , Time Factors , Ventricular Function, Left
11.
Diabetologia ; 44(2): 203-8, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11270677

ABSTRACT

AIMS/HYPOTHESIS: Type I (insulin-dependent) diabetes mellitus is accompanied by reduced arterial distensibility and increased arterial wall thickness even in normotensive subjects with no micro-macrovascular complications. It is not known whether, and how fast, these subclinical markers of vascular damage develop over time. METHODS: We measured arterial wall distensibility in radial, common carotid artery and abdominal aorta in 60 normotensive patients (aged 35.0 +/- 1.2 years, means +/- SE) with Type I diabetes with no microvascular or macrovascular complications and in 20 healthy control subjects matched for age. Arterial distensibility was determined by continuous measurements of arterial diameter through echotracking techniques and by using either the Langewouters (radial artery) or the Reneman formula (carotid artery and aorta). The same echotracking techniques allowed us to ascertain the radial and carotid artery wall thickness. Data were collected before and after 23 +/- 1 months. RESULTS: In the first study, carotid artery distensibility was similar but radial artey and aortic distensibility was less (p < 0.01) in patients with diabetes than in control subjects (-39 % and 25 % respectively). This was accompanied by an increase (p < 0.01) in both radial (42 %) and carotid artery wall thickness (46 %). After 23 +/- 1 months diabetic subjects showed a further reduction in arterial distensibility (radial-12 %, p < 0.05; carotid-8 %, NS; aorta-20% p < 0.05) and an increase in arterial wall thickness (radial + 15 %; carotid 14%, p < 0,05). No change in distensibility and wall thickness values occurred in control subjects. CONCLUSION/INTERPRETATION: The early reduction in arterial distensibility and increase in arterial wall thickness characterizing uncomplicated normotensive Type I diabetes patients shows a measurable worsening over the short term.


Subject(s)
Arteries/pathology , Arteries/physiopathology , Diabetes Mellitus, Type 1/pathology , Diabetes Mellitus, Type 1/physiopathology , Adult , Aorta, Abdominal/pathology , Aorta, Abdominal/physiopathology , Biomechanical Phenomena , Blood Pressure , Carotid Artery, Common/pathology , Carotid Artery, Common/physiopathology , Female , Heart Rate , Humans , Male , Radial Artery/pathology , Radial Artery/physiopathology
12.
Hypertension ; 36(4): 622-8, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11040246

ABSTRACT

The aim of our study was to assess the effects of lacidipine, a long-acting calcium antagonist, on 24-hour average blood pressure, blood pressure variability, and baroreflex sensitivity. In 10 mildly to moderately hypertensive patients with type II diabetes mellitus (aged 18 to 65 years), 24-hour ambulatory blood pressure was continuously monitored noninvasively (Portapres device) after a 3-week pretreatment with placebo and a subsequent 4-week once daily lacidipine (4 mg) or placebo treatment (double-blind crossover design). Systolic blood pressure, diastolic blood pressure, and heart rate means were computed each hour for 24 hours (day and night) at the end of each treatment period. Similar assessments were also made for blood pressure and heart rate variability (standard deviation and variation coefficient) and for 24-hour baroreflex sensitivity, which was quantified (1) in the time domain by the slope of the spontaneous sequences characterized by progressive increases or reductions of systolic blood pressure and RR interval and (2) in the frequency domain by the squared ratio of RR interval and systolic blood pressure spectral power approximately 0.1 and 0.3 Hz over the 24 hours. Compared with placebo, lacidipine reduced the 24-hour, daytime, and nighttime systolic and diastolic blood pressure (P<0.05) with no significant change in heart rate. It also reduced 24-hour, daytime, and nighttime standard deviation (-19.6%, -14.4%, and -24.0%, respectively; P<0.05) and their variation coefficient. The 24-hour average slope of all sequences (7.7+/-1.7 ms/mm Hg) seen during placebo was significantly increased by lacidipine (8.7+/-1.8 ms/mm Hg, P<0.01), with a significant increase being obtained also for the 24-hour average alpha coefficient at 0.1 Hz (from 5.7+/-1.5 to 6.4+/-1.3 ms/mm Hg, P<0.01). Thus, in diabetic hypertensive patients, lacidipine reduced not only 24-hour blood pressure means but also blood pressure variability. This reduction was accompanied by an improvement of baroreflex sensitivity. Computer analysis of beat-to-beat 24-hour noninvasive blood pressure monitoring may offer valuable information about the effects of antihypertensive drugs on hemodynamic and autonomic parameters in daily life.


Subject(s)
Antihypertensive Agents/administration & dosage , Blood Pressure/drug effects , Diabetes Complications , Dihydropyridines/administration & dosage , Hypertension/drug therapy , Baroreflex/drug effects , Blood Pressure Monitoring, Ambulatory , Calcium Channel Blockers/administration & dosage , Circadian Rhythm , Cross-Over Studies , Double-Blind Method , Electrocardiography/drug effects , Female , Heart Rate/drug effects , Humans , Hypertension/complications , Hypertension/physiopathology , Male , Middle Aged , Reproducibility of Results , Signal Processing, Computer-Assisted , Treatment Outcome
14.
Diabetologia ; 42(8): 987-94, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10491759

ABSTRACT

AIMS/HYPOTHESIS: Diabetes mellitus is associated with an increased incidence of atherosclerosis. How early functional and structural alterations of large arteries that may preceded atherosclerosis occur in the course of this disease has, however, never been conclusively documented. METHODS: We evaluated arterial wall distensibility in the radial artery, common carotid artery and abdominal aorta in 133 patients (aged 35.4 +/- 0.9 years, means +/- SEM) with Type I (insulin-dependent) diabetes mellitus and no macrovascular complications. Arterial distensibility was derived from continuous measurements of arterial diameter through echotracking techniques and use of either the Langewouters (radial artery) or the Reneman (carotid artery and aorta) formula. The same echotracking techniques enabled us to obtain radial artery and carotid artery wall thickness. Data were compared with those from 70 age-matched normotensive control subjects. RESULTS: In diabetic patients arterial distensibility was consistently less (p < 0.01) than in control subjects, the reduction averaging 26%, 14% and 25% for the radial artery, carotid artery and aorta, respectively. This was accompanied by an increase (p < 0.01) in both radial and carotid artery wall thickness. The changes were more pronounced in patients with microalbuminuria, retinopathy or neuropathy or both. They were evident also in those without microvascular complications. This was the case also when subjects in whom diabetes was associated with hypertension (n = 30) were excluded from data analysis. Carotid and aortic wall abnormalities showed a relation with the duration of disease and blood pressure whereas radial artery abnormalities showed a relation with glycated haemoglobin. CONCLUSION/INTERPRETATION: Type I diabetes is characterised by diffuse arterial wall stiffening and thickening which progress with the severity of the disease but can clearly be seen also in the absence of any diabetic-related complication. This suggests that in diabetes stiffening and thickening are an early marker of vascular damage.


Subject(s)
Aorta, Abdominal/physiopathology , Carotid Artery, Common/physiopathology , Diabetes Mellitus, Type 1/pathology , Diabetes Mellitus, Type 1/physiopathology , Diabetic Angiopathies/physiopathology , Radial Artery/physiopathology , Adult , Aorta, Abdominal/pathology , Aorta, Abdominal/physiology , Blood Glucose/metabolism , Blood Pressure , Body Surface Area , Carotid Artery, Common/pathology , Carotid Artery, Common/physiology , Diabetic Angiopathies/pathology , Diastole , Female , Heart Rate , Humans , Male , Muscle, Smooth, Vascular/pathology , Muscle, Smooth, Vascular/physiology , Muscle, Smooth, Vascular/physiopathology , Radial Artery/pathology , Radial Artery/physiology , Reference Values , Systole
16.
Diabetologia ; 40(12): 1470-5, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9447956

ABSTRACT

Diabetic autonomic dysfunction is associated with a high risk of mortality which makes its early identification clinically important. The aim of our study was to compare the detection of autonomic dysfunction provided by classical laboratory autonomic function tests with that obtained through computer assessment of the spontaneous sensitivity of the baroreceptor-heart rate reflex (BRS) by time domain and frequency domain techniques. In 20 normotensive diabetic patients (mean age +/- SD 41.9 +/- 8.1 years) with no evidence of autonomic dysfunction on laboratory autonomic testing (D0) blood pressure (BP) and ECG were continuously monitored over 15 min in the supine position. BRS was assessed as the slope of the regression line between spontaneous increases or reductions in systolic BP and linearly related lengthening or shortening in RR interval over sequences of at least 4 consecutive beats (sequence method), or as the squared ratio between RR interval and systolic BP spectral powers around 0.1 Hz. We compared the results with those of 32 age-matched normotensive diabetic patients with abnormal autonomic function tests (D1) and with those of 24 healthy age-matched control subjects with normal autonomic function tests (C). Compared to C, BRS was markedly less in D1 when assessed by both the slope of the two types of sequences (data pooled) and by the spectral method (-71.3% and -60.2% respectively, both p < 0.01). However, BRS was consistently although somewhat less markedly reduced in D0, the reduction being clearly evident for all the estimates (-57.0% and -43.5%, both p < 0.01). The effects were more evident than those obtained by the simple quantification of the RR interval variability. These data suggest that time and frequency domain estimates of spontaneous BRS allow earlier detection of diabetic autonomic dysfunction than classical laboratory autonomic tests. The estimates can be obtained by short non-invasive recording of the BP and RR interval signals in the supine patient, i.e. under conditions suitable for routine outpatient evaluation.


Subject(s)
Autonomic Nervous System Diseases/diagnosis , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Diabetic Neuropathies/diagnosis , Heart Rate , Pressoreceptors/physiology , Adult , Autonomic Nervous System Diseases/physiopathology , Blood Pressure , Diabetic Neuropathies/physiopathology , Electrocardiography , Female , Humans , Male , Middle Aged , Regression Analysis
17.
J Hypertens Suppl ; 14(2): S61-6; discussion S66-8, 1996 Sep.
Article in English | MEDLINE | ID: mdl-8934380

ABSTRACT

PREDICTIVE VALUE OF 24-H AMBULATORY BLOOD PRESSURE MONITORING: Average 24-h blood pressure values are more closely related to the target-organ damage of hypertension than are clinic blood pressure readings. Preliminary evidence from longitudinal studies suggests that ambulatory blood pressure is also superior to isolated clinic readings in the prognostic evaluation of hypertensive patients. This is supported by the demonstration that in hypertensive patients with left ventricular hypertrophy, regression of cardiac hypertrophy following treatment was better predicted by the drug-induced reduction in 24-h average blood pressure than clinic blood pressure. BLOOD PRESSURE VARIABILITY: Also, 24-h blood pressure variability seems to be involved in the genesis of hypertension target-organ damage, while the clinical value of specific components of the 24-h blood pressure profile, such the nocturnal blood pressure fall, is still a matter of debate. Similar caution is needed in approaching the clinical significance of white coat hypertension, the definition of which is still affected by important methodological problems.


Subject(s)
Blood Pressure Monitoring, Ambulatory , Blood Pressure , Hypertension/diagnosis , Humans , Hypertension/physiopathology
19.
Eur J Med Chem ; 31(10): 827-32, 1996.
Article in English | MEDLINE | ID: mdl-22026939

ABSTRACT

With the aim of finding new renin inhibitors with improved bioavailability properties, two angiotensinogen transition state analogues 1a and 1b, containing a novel unnatural amino acid at the P(2) position, namely the (2R,3S)- and (2S,3S)-2-amino-3-(1,3-dithiolan-2-yl)-3-hydroxypropanoic acid (ADHPA), have been synthesized and tested for human renin inhibitory activity and for chemical and enzymatic stability. Only compound 1a (the S-isomer) possessed a significant activity, which was lower than that of the corresponding histidyl derivative KRI-1314, and combined with a low stability to the gut enzyme chymotrypsin.

20.
J Med Chem ; 38(24): 4806-20, 1995 Nov 24.
Article in English | MEDLINE | ID: mdl-7490730

ABSTRACT

A novel series of nonpeptide angiotensin II (A II) antagonists containing a pyrimidinone ring which carries a C-linked biphenyltetrazole moiety and a carboxyheteroaryl group on the 3-position have been prepared. Their affinity for the AT1 receptor was determined in a binding assay on rat adrenal cortical membranes. The in vivo antihypertensive properties were tested by evaluating the inhibition of the pressor response to A II followed by iv and id administration. Extensive molecular modeling studies, including comparison of molecular electrostatic potential distributions, conformational analysis, and overlays on a computational pharmacophore model of A II, were used to evaluate structural parameters of the new compounds, in comparison to other known A II antagonists (e.g., DUP-753 and SK&F 108566). According to the modeling studies, the introduction of a (carboxyheteroaryl)methyl moiety at the 3-position of the pyrimidinone ring led to derivatives with increased potency. Methyl 2-[[4-butyl-2-methyl-6-oxo-5-[[2'-(1H-tetrazol-5-yl)[1,1'-biphenyl ]- 4-yl]methyl]-1-(6H)-pyrimidinyl]methyl]-3-thiophenecarboxylate (3k, LR-B/081), one of the most potent compounds in the series (Ki = 1.4 nM), exhibited a marked antihypertensive activity on oral administration to conscious renal hypertensive rats, with long duration of action. It was selected for clinical evaluation in the treatment of hypertension in man.


Subject(s)
Angiotensin Receptor Antagonists , Pyrimidinones/chemistry , Pyrimidinones/pharmacology , Thiophenes/chemistry , Thiophenes/pharmacology , Administration, Oral , Animals , Humans , Hypertension/drug therapy , Male , Models, Molecular , Molecular Conformation , Molecular Structure , Pyrimidinones/chemical synthesis , Rats , Rats, Sprague-Dawley , Structure-Activity Relationship
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