Effects of nicotine on microvascular responsiveness after nicotine satiety versus overnight nicotine abstinence

[no abstract available

Acute cardiovascular responses during resistance exercise: comparison between chronic heart failure patients, healthy age matched and young subjects

Acute hemodynamic responses during resistance efforts are not well characterized. The aim of the present project was to characterize such responses during lower limb resistance exercise, in different population

Preconditioning effect of heavy exercise on O2 uptake kinetics, determined as MRT (mean response time), in chronic heart failure patients

It has been demonstrated that oxygen consumption kinetics (VO2cin) at the onset of aerobic exercise may be speeded up when preceded by a short bout of heavy exercise (preconditioning heavy exercise,PHE). It was proposed that the mechanism underlying PHE be related to increased muscle blood flow and heart rate after heavy exercise, which would speed up the enhancement of oxygen transport to active muscle after PHE

Separability of Rotational Effects on a Gravitational Lens

We derive the deflection angle up to $O(m^2a)$ due to a Kerr gravitational lens with mass $m$ and specific angular momentum $a$. It is known that at the linear order in $m$ and $a$ the Kerr lens is observationally equivalent to the Schwarzschild one because of the invariance under the global translation of the center of the lens mass. We show, however, nonlinear couplings break the degeneracy so that the rotational effect becomes in principle separable for multiple images of a single source. Furthermore, it is distinguishable also for each image of an extended source and/or a point source in orbital motion. In practice, the correction at $O(m^2a)$ becomes $O(10^{-10})$ for the supermassive black hole in our galactic center. Hence, these nonlinear gravitational lensing effects are too small to detect by near-future observations.Comment: 12 pages (RevTeX); accepted for publication in Phys. Rev.

Meropenem PK/PD Variability and Renal Function: “We Go Together”

Background: Meropenem is a carbapenem antibiotic widely employed for serious bacterial infections. Therapeutic drug monitoring (TDM) is a strategy to optimize dosing, especially in critically ill patients. This study aims to show how TDM influences the management of meropenem in a real-life setting, not limited to intensive care units. Methods: From December 2021 to February 2022, we retrospectively analyzed 195 meropenem serum concentrations (Css). We characterized patients according to meropenem exposure, focusing on the renal function impact. Results: A total of 36% (n = 51) of the overall observed patients (n = 144) were in the therapeutic range (8–16 mg/L), whereas 64% (n = 93) required a meropenem dose modification (37 patients (26%) underexposed; 53 (38%) overexposed). We found a strong relationship between renal function and meropenem concentrations (correlation coefficient = −0.7; p-value < 0.001). We observed different dose-normalized meropenem exposure (Css/D) among renal-impaired (severe and moderate), normal, and hyperfiltrating patients, with a median (interquartile range) of 13.1 (10.9–20.2), 7.9 (6.1–9.5), 3.8 (2.6–6.0), and 2.4 (1.6–2.7), respectively (p-value < 0.001). Conclusions: Meropenem TDM in clinical practice allows modification of dosing in patients inadequately exposed to meropenem to maximize antibiotic efficacy and minimize the risk of antibiotic resistance, especially in renal alterations despite standard dose adaptations

Wave effect in gravitational lensing by a cosmic string

The wave effect in the gravitational lensing phenomenon by a straight cosmic string is investigated. The interference pattern is expressed in terms of a simple formula. We demonstrate that modulations of the interfered wave amplitude can be a unique signature of the wave effect. We briefly mention a possible chance of detecting the wave effect in future gravitational wave observatories.Comment: 4 pages, 1 figur

Cardiac, vascular and metabolic changes during recovery from resistance effort

The aim of the present project was to characterize cardiovascular changes combined with O2 utilisation during and after resistance efforts, such as weight-lifting, in young subjects

[Pathology of chronic obstructive pulmonary disease]

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory disorder of the lung characterized by poorly reversible airflow limitation. It is not a unique disease entity but rather a complex of conditions which include emphysema, chronic bronchitis and, sometimes, asthma. Moreover, COPD is a progressive disease often associated with exacerbations. Cigarette smoking, which is the most important risk factor for the development of COPD, induces pathological changes involving lung parenchyma, peripheral airways and central airways. Since lung parenchyma and peripheral airways are the sites responsible for airflow limitation and central airways are the main site of mucus hypersecretion, pathological changes in these compartments may be relevant in the development of COPD

Bronchoalveolar lavage in infants with recurrent lower respiratory symptoms

Background: Few data are available about the inflammatory cytokine profile of bronchoalveolar lavage (BAL) from young children with frequent wheeze. The first aim was to investigate the BAL cellular and cytokine profiles in infants with recurrent lower respiratory symptoms in whom bronchoscopy was indicated for clinical symptom evaluation. The second aim was to relate the BAL results with the histological findings of the endobronchial carina biopsies. Methods: Thirty-nine infants (median age 0.9 years) underwent lung function testing by whole-body plethysmography prior to the bronchoscopy. The BAL differential cell counts and cytokine levels were quantified. These findings were compared with the histological findings of the endobronchial carina biopsies. Results: The differential cytology reflected mainly that described for healthy infants with lymphocyte counts at the upper range level. A positive association between BAL CD8+ lymphocytes and neutrophils and endobronchial reticular basement membrane was found. Detectable levels of pro-inflammatory cytokine proteins IL-1 beta, IL-17A, IL-18, IL-23, and IL-33 were found, whereas levels of Th2-type cytokine proteins were low. Frequent wheeze was the only clinical characteristic significantly related to detectable combined pro-inflammatory cytokine profile. Lung function did not correlate with any cytokine. Conclusions: A positive association between BAL CD8+ lymphocytes and neutrophils and endobronchial reticular basement thickness was found. Detectable production of pro-inflammatory cytokines associated positively with frequent wheeze.Peer reviewe