Mindfulness : Extending Treatment for Early Onset Obsessive Compulsive Disorder / Tourettes Syndrome

Mindfulness is a categorical name for a group of techniques borrowed from ancient Buddhist practices that teach individuals to pay attention in the present moment. Recently, the technique has been applied successfully in several clinical populations to help individuals live with, or accept, some of the difficult-to-treat symptoms of their illnesses. This intervention study takes three specific techniques from the mindfulness literature and introduces them to a young male who had been diagnosed and has received evidence-based treatment for early onset obsessive compulsive disorder, comorbid with Tourette’s syndrome. Fourteen sessions, scheduled over eight weeks, occurred. Three measures of effectiveness were developed to gauge the ability of practicing mindfulness to relieve the individual’s depressive symptoms, a common side effect of living with an incurable disorder. The individual took a Beck Depression Inventory, Second Edition before beginning the intervention, then, at two weeks, at four weeks and at eight weeks into the mindfulness practice. In addition, seven goals were created to assess the effectiveness of this intervention; five were based on clinical knowledge of the individual and two were related to the outcome research on mindfulness. The third measure of effectiveness came from the individual’s self-report data at the end of each session. Each session was predictable, practicing the same three techniques: (1). the facilitator began with a body scan; (2). the individual and the facilitator then listened to one piece of classical music; and (3). each session ended with conscious breathing. The results of this protocol are promising. This individual showed a reduction in depressive symptomology while practicing mindfulness meditation, achieved homeostasis or better on three of the five clinical and two outcome goals, and expressed personal benefit at the end of most sessions. Continued application with a young population will help to inform the practice of mindfulness with young people and will be able to bring this ancient practice into the twenty-first century classroom

Post-Mortem Immunohistochemical Evidence of β2-Adrenergic Receptor Expression in the Adrenal Gland

The evidence from post-mortem biochemical studies conducted on cortisol and catecholamines suggest that analysis of the adrenal gland could provide useful information about its role in human pathophysiology and the stress response. Authors designed an immunohistochemical study on the expression of the adrenal β2-adrenergic receptor (β2-AR), a receptor with high-affinity for catecholamines, with the aim to show which zones it is expressed in and how its expression differs in relation to the cause of death. The immunohistochemical study was performed on adrenal glands obtained from 48 forensic autopsies of subjects that died as a result of different pathogenic mechanisms using a mouse monoclonal β2-AR antibody. The results show that immunoreactivity for β2-AR was observed in all adrenal zones. Furthermore, immunoreactivity for β2-AR has shown variation in the localization and intensity of different patterns in relation to the original cause of death. To the best of our knowledge, this is the first study that demonstrates β2-AR expression in the human cortex and provides suggestions on the possible involvement of β2-AR in human cortex hormonal stimulation. In conclusion, the authors provide a possible explanation for the observed differences in expression in relation to the cause of death

Production, characterization and testing of antibacterial PVA membranes loaded with HA-Ag3PO4 nanoparticles, produced by SC-CO2 phase inversion

BACKGROUND: Silver-loaded hydroxyapatite nanoparticles were incorporated into poly(vinyl alcohol) (PVA) membranes obtained by supercritical CO2 (SC-CO2) assisted phase inversion. Ag3PO4 crystals of 2.2 ± 0.6 nm were dispersed in synthesized needle-like hydroxyapatite nanoparticles (20 × 65 nm) and were uniformly deposited on the internal surfaces of the PVA membranes. Operative conditions to produce membranes by SC-CO2, PVA concentration and the effect on membrane porosity and morphology were studied. RESULTS: Solutions at 20% w/w PVA produced membranes with cellular morphology and nanoporous walls, whereas 30% and 50% w/w solutions produced nanostructured membranes. Silver ions were released from PVA membranes mainly by diffusion according to the Peppas–Sahlin model. Membranes obtained at 20% w/w PVA showed a significant E. coli inhibition at an Ag concentration of 9 ppm, reaching the minimal inhibitory concentration (MIC) and improving the bactericidal activity of the nanoparticles. CONCLUSION: A concentration of Ag3PO4 crystals of about 22 ppm was calculated as being capable of completely destroying these bacteria, reaching the minimum bactericidal concentration (MBC)

Using Water Chemistry, Isotopes and Microbiology to Evaluate Groundwater Sources, Flow Paths and Geochemical Reactions in the Death Valley Flow System, USA

AbstractSprings of Ash Meadows and Furnace Creek (near or in Death Valley, CA) have nearly constant flow, temperature, chemistry, and similar δ2H and δ18O signatures. These factors indicate shared water sources and/or analogous geochemical reactions along similar flow paths. DNA-based (16S rRNA gene) microbial diversity assessments further illuminate these relationships. Whereas, all Ash Meadows springs share related archaeal populations, variations in carbon-14 (Crystal Spring) and strontium isotopes, Na+, SO2-, and methane concentrations (Big Spring), correspond with microbial differences within and between the two discharge areas. Similar geochemical signatures linking Ash Meadows and Furnace Creek springs appear to support a distinct end member at Big Spring in Ash Meadows, which is also supported by coincident enrichment in microbial methanogens and methanotrophs. Conversely, DNA libraries from a deep carbonate well (878 m) located between Ash Meadows and Furnace Creek (BLM-1), indicate no shared microbial diversity between Ash Meadows or Furnace Creek springs

Caspase 9 and caspase 3 immunohistochemical pattern in skeletal and cardiac muscles at different times after death: An experimental study on pmi estimation

(1) Background: The estimation of the post mortem interval (PMI) is a challenge for forensic pathologists because data emerging from methods commonly applied are not always conclusive, since several conditions exist that may affect the reliability of these parameters. Thus, new approaches have been proposed to overcome such a limit. In recent years, several studies have been performed on proteins analyzing their expression/degradation patterns in relation to the progressing of the post mortem interval. (2) Methods: The immunoreactivity patterns of two apoptosis mediators— Caspase 9 and Caspase 3—have been tested in order to evaluate their potential role as markers of the post mortem interval. The immunohistochemical analysis was performed on samples of skeletal and cardiac muscles obtained from rats at 0, 4, 8, 12, 24 and 72 h after death. (3) Results: The observed immunoreactivity patterns of both Caspase 9 and Caspase 3 showed a significant correlation with increasing post mortem interval either in skeletal or cardiac muscles, while the comparison of the immunoreactivity patterns of the two apoptotic mediators within each tissue appeared consistent with a preliminary activation of the “initiator” Caspase 9, which, in turn, subsequently activates the “executioner” Caspase 3. (4) Conclusion: The different expressions and decrease immunohistochemically observed on both caspases with progressing PMI support the usefulness of the combined analysis for post mortem interval estimation

Understanding the Dermoscopic Patterns of Basal Cell Carcinoma Using Line-Field Confocal Tomography

: Basal cell carcinoma (BCC) is the most frequent malignancy in the general population. To date, dermoscopy is considered a key tool for the diagnosis of BCC; nevertheless, line-field confocal optical coherence tomography (LC-OCT), a new non-invasive optical technique, has become increasingly important in clinical practice, allowing for in vivo imaging at cellular resolution. The present study aimed to investigate the possible correlation between the dermoscopic features of BCC and their LC-OCT counterparts. In total, 100 histopathologically confirmed BCC cases were collected at the Dermatologic Clinic of the University of Siena, Italy. Predefined dermoscopic and LC-OCT criteria were retrospectively evaluated, and their frequencies were calculated. The mean (SD) age of our cohort was 65.46 (13.36) years. Overall, BCC lesions were mainly located on the head (49%), and they were predominantly dermoscopically pigmented (59%). Interestingly, all dermoscopic features considered had a statistically significant agreement with the LC-OCT criteria (all p < 0.05). In conclusion, our results showed that dermoscopic patterns may be associated with LC-OCT findings, potentially increasing accuracy in BCC diagnosis. However, further studies are needed in this field

A review on the latest advances in extraction and analysis of artemisinin

Introduction: Artemisinin (1), a well-known natural antimalarial drug, is a sesquiterpene lactone that contains a unique peroxide bridge. Since its discovery, the amount of research into the analysis of artemisinin has increased considerably, and it has been further intensified since the Noble Prize win by Tu Youyou in the year 2015 for the discovery of artemisinin. Objective: To review published literature on the extraction and analysis of artemisinin, published during 2017-present, and to present an appraisal of those methods. Methodology: Extensive literature search was carried out which involved, but not limited to, the use of, various databases, like Web of Knowledge, PubMed and Google Scholar, and relevant published materials including published books. The keywords used, in various combinations, with artemisinin being present in all combinations, in the search were artemisinin, Artemisia annua, analysis, extraction, quantitative, qualitative and quality control. Results: During the period covered in this review, there are several methods of analysis of artemisinin have been reported, the most of which were LC-based methods. However, the use of new methods like near infrared analysis, fluorometirc analysis and molecular imprinting, and a significant increase in the use of computational tools have been observed. Mainly several methods involving supercritical fluid extraction and ultrasound-assisted extraction of artemisinin have dominated the extraction area. Conclusions: Newer analytical tools, as well as improved protocols for the known analytical tools, for qualitative and quantitative determination of artemisinin (1), have been made available by various researchers during the period covered by this review. Supercritical fluid extraction and ultrasound-assisted extraction are still the methods of choice for extraction of artemisinin

Prognostic role of KRAS mutations in Sardinian patients with colorectal carcinoma

The presence of mutations in the KRAS gene is a predictor of a poor clinical response to EGFR-targeted agents in patients affected by colorectal cancer (CRC), but its significance as a global prognostic factor remains unclear. The aim of the present study was to evaluate the impact of the KRAS mutational status on time to first metastasis (TTM) and overall survival (OS) in a cohort of Sardinian CRC patients. A total of 551 patients with metastatic CRC at the time of enrolment were included. Clinical and pathological features of the disease, including follow-up information, were obtained from medical records and cancer registry data. For mutational analysis formalin-fixed paraffin-embedded tissue samples were processed using a standard protocol. The coding sequence and splice junctions of exons 2 and 3 of the KRAS gene were screened for mutations by direct automated sequencing. Overall, 186 KRAS mutations were detected in 183/551 (33%) patients: 125 (67%) were located in codon 12, 36 (19%) in codon 13, and 18 (10%) in codon 61. The remaining mutations (7; 4%) were detected in uncommonly-affected codons. No significant correlation between KRAS mutations and gender, age, anatomical location and stage of the disease at the time of diagnosis was identified. Furthermore, no prognostic value of KRAS mutations was found considering either TTM or OS. When patients were stratified by KRAS mutational status and gender, males were significantly associated with a longer TTM. The results of the present study indicate that KRAS mutation correlated with a slower metastatic progression in males with CRC from Sardinia, irrespective of the age at diagnosis and the codon of the mutatio