Semaphorin 3A Increases in the Plasma of Women with Diminished Ovarian Reserve Who Respond Better to Controlled Ovarian Stimulation.

Semaphorin 3A (SEMA3A) plays a crucial role in the development, differentiation, and plasticity of specific types of neurons that secrete Gonadotropin-Releasing Hormone (GnRH) and regulates the acquisition and maintenance of reproductive competence in humans and mice. Its insufficient expression has been linked to reproductive disorders in humans, which are characterized by reduced or failed sexual competence. Various mutations, polymorphisms, and alternatively spliced variants of SEMA3A have been associated with infertility. One of the common causes of infertility in women of reproductive age is diminished ovarian reserve (DOR), characterized by a reduced ovarian follicular pool. Despite its clinical significance, there are no universally accepted diagnostic criteria or therapeutic interventions for DOR. In this study, we analyzed the SEMA3A plasma levels in 77 women and investigated their potential role in influencing fertility in patients with DOR. The results revealed that the SEMA3A levels were significantly higher in patients with DOR than in healthy volunteers. Furthermore, the SEMA3A levels were increased in patients who underwent fertility treatment and had positive Beta-Human Chorionic Gonadotropin (ßHCG) values (ß+) after controlled ovarian stimulation (COS) compared to those who had negative ßHCG values (ß-). These findings may serve as the basis for future investigations into the diagnosis of infertility and emphasize new possibilities for the SEMA3A-related treatment of sexual hormonal dysfunction that leads to infertility.

The 75-99 C-Terminal Peptide of URG7 Protein Promotes α-Synuclein Disaggregation.

Up Regulation Gene seven (URG7) is the pseudogene 2 of the transporter ABCC6. The translated URG7 protein is localized with its single transmembrane α-helix in the endoplasmic reticulum (ER) membrane, orienting the N- and C-terminal regions in the lumen and cytoplasm, respectively, and it plays a crucial role in the folding of ER proteins. Previously, the C-terminal region of URG7 (PU, residues 75-99) has been shown to modify the aggregation state of α-synuclein in the lysate of HepG2 cells. PU analogs were synthesized, and their anti-aggregation potential was tested in vitro on α-synuclein obtained using recombinant DNA technology. Circular dichroism (CD), differential scanning calorimetry (DSC), Fourier-transform infrared (FTIR) spectroscopy, and microscopic techniques were used to assess the sample's behavior. The results show that the peptides studied by themselves are prone to clathrate-like structure formation of variable stability. Aggregation of α-synuclein is accompanied by desolvation of its peptide chain and an increase in intermolecular ß-sheets. The PU analogs all interact with α-synuclein aggregates and those possessing the most stable clathrate-like structures have the highest disaggregating effect. These findings suggest that the C-terminal region of URG7 may have a role in interacting and modulating α-synuclein structures and could be used to generate interesting therapeutic candidates as disaggregators of α-synuclein.

Obstetric A&E unit admission and hospitalization for obstetrical management during COVID-19 pandemic in a third-level hospital of southern Italy.

BACKGROUND: The COronaVIrus Disease 2019 (COVID-19) has spread in Italy since February 2020, inducing the government to call for lockdown of any activity, apart primary needs, during the months March-May 2020. During the lockdown, a reduction of admissions and hospitalizations for ischemic diseases was noticed. Purpose of this study was to observe if there has been the same reduction trend in Accident & Emergency (A&E) unit admissions also for obstetric-gynecological conditions. METHODS: Medical records and electronic clinical databases were searched for all patients who were admitted to the obstetric A&E department or hospitalized at the Gynecology and Obstetrics Unit of University hospital of Naples Federico II, during the quarter March-May in the years 2019 and 2020. The mean ± standard deviation (SD) of monthly admission to the obstetric A&E department and hospitalization of the year 2020 was compared with that of the year 2019, using the unpaired T test with α error set to 0.05 and 95% confidence intervals (95% CI). RESULTS: Admissions were 1483 in the year 2020 and 1786 in 2019. Of total, 1225 (37.5%) women were hospitalized: 583 in the year 2020, 642 in 2019. Mean ± SD of patients monthly admitted to our obstetric A&E department was 494 ± 33.7 in the year 2020, and 595.3 ± 30.9 in 2019, with a mean difference of - 101.3 (95% CI - 103.5 to - 99.1; p < 0.0001). Mean ± SD of patients monthly hospitalized to our department was 194 ± 19.1 in the year 2020, 213.7 ± 4.7 in 2019, with a mean difference of - 19.7 (95% CI - 23.8 to - 15.6; p < 0.0001). CONCLUSION: A significant decrease in the mean of monthly admissions and hospitalizations during the COVID-19 pandemic when compared to the previous year was found also for obstetric-gynecological conditions. Further studies are necessary to assess COVID-19 impact and to take the most appropriate countermeasures.

Nivel de adherencia al protocolo asistencial para la prevención de lesiones por presión en servicios de atención al grave / Level of Adherence to the Care Protocol for the Prevention of Pressure Injuries in Services of Care for Seriously Ill Patients

Introducción: La implementación de protocolos asistenciales como proyección estratégica en la prestación de servicios de salud permite contribuir a mejorar la calidad de la atención. Objetivo: Identificar el nivel de adherencia al protocolo asistencial para la prevención de lesiones por presión en servicios de atención al grave. Métodos: Estudio descriptivo y transversal en cinco servicios de atención al grave del Hospital Hermanos Ameijeiras, desde octubre a diciembre de 2019. Según criterios, la muestra quedó constituida por 31 personal de enfermería, de ellos, 16 licenciados en enfermería (51,61 por ciento) y 15 enfermeros técnicos (48,39 por ciento). Fueron evaluadas 21 historias clínicas. La recolección de la información se realizó mediante un test de conocimientos y una lista de chequeo, validados a través de criterios de expertos. Se realizó prueba piloto con el test, que permitió evaluar su validez y confiabilidad. Resultados: El 92,09 por ciento del total de los evaluados presentaron conocimientos medianamente suficientes (64,51 por ciento) y suficientes (27,58 por ciento). En cuatro servicios evaluados (80 por ciento) tenían disponible los recursos materiales. En 21 historias clínicas (100 por ciento) se valoraron los factores de riesgo. La identificación del riesgo, así como la planificación y ejecución de intervenciones de enfermería, solamente se reflejaron en 10 historias (47,61 por ciento). Se obtuvieron 4,33 puntos en la sumatoria total. Conclusiones: Se determinó como de nivel medio la adherencia al protocolo asistencial para la prevención de lesiones por presión en servicios de atención al grave(AU)

Introduction: The implementation of care protocols as a strategic projection in the provision of health services allows to contribute to improving the quality of care. Objective: To identify the level of adherence to the care protocol for the prevention of pressure injuries in care services for severely ill patients. Methods: Descriptive and cross-sectional study carried out in five care services for severely ill patients at Hermanos Ameijeiras Hospital, from October to December 2019. Based on to criteria, the sample consisted of 31 nursing staff members, of which sixteen were diploma nurses (51.61 percent) and fifteen were associate nurses (48.39 percent). Twenty-one medical records were assessed. The information was collected using a knowledge test and a checklist, validated through expert criteria. A pilot test was carried out with the test, which made it possible to evaluate its validity and reliability. Results: 92.09 percent of those evaluated had moderately sufficient (64.51 percent) and sufficient (27.58 percent) knowledge. In four assessed services (80 percent), the material resources were available. Risk factors were assessed in 21 medical records (100 percent). The identification of risk, as well as the planning and execution of nursing interventions, were only reflected in ten medical records (47.61 percent). In the total sum, 4.33 points were obtained. Conclusions: Adherence to the care protocol for the prevention of pressure injuries in serious care services was determined as medium level(AU)

Validation of self-reported measures of periodontitis in a Spanish Population.

BACKGROUND AND OBJECTIVE: Use of self-reported questionnaires in Dentistry may be useful to estimate the prevalence of periodontitis in epidemiological studies. This study aims to assess the accuracy of self-reporting for predicting the prevalence of periodontitis in a Spanish population participating in a diabetes incidence study. MATERIALS AND METHODS: Data were collected from 231 patients participating in the Di@bet.es study. Eight questions about periodontal health were included in a health patient-reported questionnaire. The outcomes from self-reporting were validated against a full-mouth periodontal examination. Multivariable logistic regression predictive modeling was used to determine the sensitivity, specificity, and area under the receiver operator characteristic curve (AUROCC). RESULTS: Self-reported gum health, loose teeth, tooth appearance, and use of dental floss were associated with different definitions of severe periodontitis. Correlations between responses to the questions were weak. The question "Do you think you might have gum disease?" combined with demographic and well-established risk factors resulted in an AUC value of 0.75, sensitivity of 75.2%, and specificity of 60.6% for severe periodontitis. The answer to 4 questions combined with age, educational level, smoking status, and tooth loss was 76.4% sensitive and 63.5% specific, with an AUC of 0.75 in predicting prevalence of ≥25% of teeth with probing pocket depth (PPD) ≥6 mm. CONCLUSION: Predictive models, combining self-reporting on oral health status with demographic and risk factors, were useful for estimating the prevalence of severe periodontitis in the Spanish population.

Autonomic response to the Adult Attachment Projective in anorexia nervosa.

PURPOSE: Cardiovascular complications associated with anorexia nervosa (AN) are well recognized. Whether a wide array of studies has investigated autonomic nervous system (ANS) functioning at rest in people with AN, few is yet known on their reactivity ability during stress conditions. The aim of the current study is testing ANS reactivity to a stressful task activating attachment system among adolescents with AN. METHODS: Heart rate (HR) and its variability, as derived by high-frequency-heart rate variability (HF-HRV), were continuously assessed while 13 AN patients and 12 healthy controls (HCs) responded to a set of attachment-related drawings (Adult Attachment Projective, AAP). RESULTS: Findings showed that patients with AN displayed a stronger parasympathetic activity, as indicated by generally a lower heart rate (HR) during the entire task and a higher HF-HRV for drawings eliciting dyadic interactions compared to HCs. CONCLUSION: The study findings suggest a novel understanding of cardiovascular functioning in AN. LEVEL OF EVIDENCE: Level V, descriptive study.

Daily Associations between Emotions and Aggressive and Depressive Symptoms in Adolescence: The Mediating and Moderating Role of Emotion Dysregulation.

Nearly half of adolescents experience depressive or aggressive symptoms that impair their functioning at some point in adolescence. Experiencing intense difficult emotions and difficulties regulating such emotions may lead to these depressive and aggressive symptoms. However, existing work largely investigates how adolescent emotions at a single time point predict adolescent depressive or aggressive symptoms months or years later. New investigations are needed to capture the dynamic, changing nature of adolescents' daily experiences of emotions and symptoms of mental distress. Such investigations would further understanding of how emotions affect mental health in adolescents' everyday lives. Answering this call, the present study investigated how emotion dysregulation moderated and mediated daily associations between sadness and depressive symptoms and between anger and aggression utilizing ecological momentary assessment in a community sample of 103 Italian adolescents (Mage = 16.77, SD = 0.78, range: 15-18 years old; 47% female). The results revealed that if an adolescent experienced higher-than-usual sadness or anger on a particular day, then they also experienced higher than usual depressive or aggressive symptoms, respectively. Emotion dysregulation mediated and moderated these associations. Adolescents with higher anger had greater difficulties regulating their anger, which led to higher aggressive symptoms (a mediating effect). If adolescents' sadness was higher than usual on a given day, their depressive symptoms were more severe than usual if they also had higher than usual difficulties regulating sadness (a moderating effect). These findings contribute to our understanding of how emotions impact mental distress on a daily basis for adolescents, emphasize the importance of examining specific adolescent emotions, and shed new light on how emotional regulatory capacities influence emotions and mental health in adolescents' everyday lives.

Cyclin G Functions as a Positive Regulator of Growth and Metabolism in Drosophila.

In multicellular organisms, growth and proliferation is adjusted to nutritional conditions by a complex signaling network. The Insulin receptor/target of rapamycin (InR/TOR) signaling cascade plays a pivotal role in nutrient dependent growth regulation in Drosophila and mammals alike. Here we identify Cyclin G (CycG) as a regulator of growth and metabolism in Drosophila. CycG mutants have a reduced body size and weight and show signs of starvation accompanied by a disturbed fat metabolism. InR/TOR signaling activity is impaired in cycG mutants, combined with a reduced phosphorylation status of the kinase Akt1 and the downstream factors S6-kinase and eukaryotic translation initiation factor 4E binding protein (4E-BP). Moreover, the expression and accumulation of Drosophila insulin like peptides (dILPs) is disturbed in cycG mutant brains. Using a reporter assay, we show that the activity of one of the first effectors of InR signaling, Phosphoinositide 3-kinase (PI3K92E), is unaffected in cycG mutants. However, the metabolic defects and weight loss in cycG mutants were rescued by overexpression of Akt1 specifically in the fat body and by mutants in widerborst (wdb), the B'-subunit of the phosphatase PP2A, known to downregulate Akt1 by dephosphorylation. Together, our data suggest that CycG acts at the level of Akt1 to regulate growth and metabolism via PP2A in Drosophila.

Cyclin G is involved in meiotic recombination repair in Drosophila melanogaster.

Cyclin G (CycG) belongs to the atypical cyclins, which have diverse cellular functions. The two mammalian CycG genes, CycG1 and CycG2, regulate the cell cycle in response to cell stress. Detailed analyses of the role of the single Drosophila cycG gene have been hampered by the lack of a mutant. We generated a null mutant in the Drosophila cycG gene that is female sterile and produces ventralised eggs. This phenotype is typical of the downregulation of epidermal growth factor receptor (EGFR) signalling during oogenesis. Ventralised eggs are also observed in mutants (for example, mutants of the spindle class) that are defective in meiotic DNA double-strand break repair. Double-strand breaks (DSBs) induce a meiotic checkpoint by activating Mei-41 kinase (the Drosophila ATR homologue), thereby indirectly causing dorsoventral patterning defects. We provide evidence for the role of CycG in meiotic checkpoint control. The increased incidence of DSBs in cycG mutant germaria may reflect inefficient DSB repair. Therefore, the downregulation of Mei-W68 (an endonuclease that induces meiotic DSBs), Mei-41, or Drosophila melanogaster Chk2 (a downstream kinase that initiates the meiotic checkpoint) rescues the cycG mutant eggshell phenotype. In vivo, CycG associates with Rad9 and BRCA2. These two proteins are components of the 9-1-1 complex, which is involved in sensing DSBs and in activating meiotic checkpoint control. Therefore, we propose that CycG has a role in an early step of meiotic recombination repair, thereby affecting EGFR-mediated patterning processes during oogenesis.