Toward a new prognostic-therapeutic index in geriatric oncology

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Dietary strategy for prevention and management of dyslipidemia: International guidelines

Primary prevention of cardiovascular disease should begin with a detailed metabolic study of our patients who must follow a nutritional therapy. Recently, new guidelines ESC/EAS 2011 on the treatment of dyslipidemia have been drawn up, according to which it is possible to arrive at desirable values of cholesterol and triglycerides with a synergy between drug treatment and adequate diet therapy. At this time, Mediterranean diet has been undergoing a radical transformation: there is hyperalimentation of the Mediterranean diet in all its components. The effectiveness of the Mediterranean diet on the reduction of lipids has been demonstrated, and the problem is how to implement this diet in the general population and dyslipidemic patients. Certainly, awareness, education of their nutritional status, suitable food and portions can increase adherence to diet

Age-related curves of AMH using the Gen II, the picoAMH and the Elecsys assays in women with polycystic ovary syndrome

CONTEXT: Several challenges still exist to adopt the anti-Müllerian hormone (AMH) as a marker of polycystic ovary morphology (PCOM), as included in the recently updated international guideline. Although different evaluations of age- and assay-specific reference ranges have been published in the last years, these studies have mainly been conducted in normo-ovulatory or infertile women.OBJECTIVE: To develop an age-specific percentile distribution of AMH in patients with polycystic ovary syndrome (PCOS) measured by three different assays.DESIGN: Retrospective cross-sectional study.PATIENTS: 2,725 women aged 20 to 40 years with PCOS diagnosis were included.INTERVENTION (S): Serum AMH measurement by the Gen II (Beckman Coulter), the picoAMH (Ansh Labs), and the Elecsys (Roche) assays.MAIN OUTCOME MEAUSRE (S): Age-specific centile curves for all the assays and correlations between AMH, clinical, hormonal, and ultrasound characteristics.RESULTS: Age-related nomograms for the 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles of AMH were calculated using the LMS method for all the assays. AMH levels were significantly different between PCOS phenotypes. AMH levels were positive correlated to luteinizing hormone (LH), LH/follicular stimulating hormone (FSH) ratio, testosterone, androstenedione, free androgen index, mean follicular number, and mean ovarian volume.CONCLUSIONS: To our knowledge this is the first study reporting age specific percentile nomograms of serum AMH levels measured by the Gen II, the picoAMH and the Elecsys assays in a large population of PCOS women. These findings may help to interpret AMH levels in PCOS patients and facilitate the use of AMH as a diagnostic tool across age ranges.</p

Pulse processing routines for neutron time-of-flight data

A pulse shape analysis framework is described, which was developed for n_TOF-Phase3, the third phase in the operation of the n_TOF facility at CERN. The most notable feature of this new framework is the adoption of generic pulse shape analysis routines, characterized by a minimal number of explicit assumptions about the nature of pulses. The aim of these routines is to be applicable to a wide variety of detectors, thus facilitating the introduction of the new detectors or types of detectors into the analysis framework. The operational details of the routines are suited to the specific requirements of particular detectors by adjusting the set of external input parameters. Pulse recognition, baseline calculation and the pulse shape fitting procedure are described. Special emphasis is put on their computational efficiency, since the most basic implementations of these conceptually simple methods are often computationally inefficient.Comment: 13 pages, 10 figures, 5 table

Age and Depositional Environment of Whale-Bearing Sedimentary Succession from the Lower Pliocene of Tuscany (Italy): Insights from Palaeomagnetism, Calcareous Microfossils and Facies Analyses

A c. 31 m thick section straddling the fossil find of an Early Pliocene baleen whale ("Brunella", hereafter), made in 2007 in the sedimentary fill of the Middle Ombrone Basin of Tuscany, is investigated for depositional age and environment combining palaeomagnetic, micropalaeontological (Foraminifera and calcareous nannofossils) and sedimentary facies analyses. Resting unconformably onto Late Miocene continental deposits, the Early Pliocene marine deposits include, from bottom to top, a coarse-grained wave-winnowing lag, the few metres-thick fossiliferous sandstone bedset from which Brunella was unearthed, and several metres of clays. The stratigraphic organisation of these deposits indicate deposition in a deepening upward inner shelf environment. Successful isolation of characteristic remanent magnetisation and calcareous nannofossil content indicate the investigated marine section was deposited during the interval of polarity Chron C3n.2n corresponding to the basal part of the Mediterranean nannofossil zone MNN13 (between Helicosphaera sellii Base common and the Amaurolithus primus Top) and allow estimating the depositional age of Brunella to c. 4.6 Ma. Sedimentary facies, benthic Foraminifera association and anisotropy of magnetic susceptibility characterising the deposits that embedded Brunella suggest deposition above the fair-weather base level

miRNAs in the vitreous humor of patients affected by idiopathic epiretinal membrane and macular hole

The aim of the present study was to assess the expression of miRNAs in the Vitreous Humor (VH) of patients with Macular Hole (MH) and Epiretinal Membrane (ERM) compared to a control group. assays. Finally, we created a biological network of differentially expressed miRNA targets and their nearest neighbors. assays of the VH of patients affected by MH and ERM, with respect to controls, showed that the most differentially expressed were miR-19b (FC -9.13, p:<0.00004), mir-24 (FC -7.52, p:<0.004) and miR-142-3p (FC -5.32, p:<0.011). Our network data showed that deregulation of differentially expressed miRNAs induces an alteration of several pathways associated with genes involved in both MH and ERM.The present study suggests that disregulation of miR-19b, miR-24 and miR-142-3p, might be related to the alterations that characterize patients affected by MH and ERM

SERUM IONIZED MAGNESIUM IN DIABETIC OLDER PERSONS

Objective. Several alterations of magnesium metabolism have been associated with type 2 diabetes pathophysiology, a condition particularly frequent in older persons. We aimed to evaluate serum total (Mg-tot) and serum ionized magnesium (Mg-ion) in older persons with type 2 diabetes in order to explore clinically applicable methods for the detection of magnesium deficit. Material/Methods: Mg-tot and Mg-ion were measured in 105 fasting subjects with type 2 diabetes (mean age: 71.10.8 years; M/F: 45/60) and in 100 age-matched non-diabetic control persons (mean age: 72.20.8 years; M/F: 42/58). Results: Mg-ion concentrations were significantly lower in diabetic persons compared with controls (0.490.05 mmol/L vs. 0.550.05 mmol/L; p<0.001). Mg-tot was also slightly but significantly lower in diabetic patients (0.820.007 mmol/L vs. 0.840.006 mmol/L; p<0.05). There was an almost complete overlap in the values of Mg-tot in older diabetic patients and controls; conversely, 44.8% of diabetic patients had Mg-ion values below 0.47 mmol/L, while none of the controls did. After adjustment for age, sex, BMI, and triglycerides, Mg-tot was significantly associated with FBG in all the participants (p<0.05) and Mg-ion was significantly associated with FBG in all the participants (p<0.01) and with HbA1c in diabetic participants (p<0.001). Conclusions: Alterations of magnesium serum concentrations are common in type 2 diabetic older adults; Mg-ion evaluation may help to identify subclinical magnesium depletion (i.e. in patients with normal Mg-tot); the close independent associations of Mg-tot and Mg-ion with FBG and with HbA1c reinforce the possible link between magnesium homeostasis and altered glucose metabolism

(n,cp) reactions study at the n_TOF facilitty at CERN: results for the cosmological lithium problem

The Big Bang Nucleosynthesis describes the production of the lightest nuclides from deuterium to Li at the early stages of the Universe. While a general good agreement is found for most of the isotopes involved in the synthesis, a serious discrepancy between the predicted abundance of 7Li and the related experimental observations is still present. This discrepancy has been referred since several decades as Cosmological Lithium Problem. In one last attempt to find nuclear solutions to this longstanding conundrum, the 7Be(n,alpha)4He and 7Be(n,p)7Li reactions, that affect predominantly the production of 7Li via the destruction of his parent nucleus 7Be, have been studied. Here we present the 7Be(n,a)4He and 7Be(n,p)7Li reaction crosssection measurements performed at the high-resolution n_TOF facility using the time-of-flight technique and high purity samples. The result of the experiments definitely rules out neutron induced reactions as a solution to the puzzle, thus indicating that explanations have to be sought out in other Physics scenarios.Postprint (published version