Interfacing graphene with peripheral neurons: influence of neurite outgrowth and NGF axonal transport

Graphene displays properties that make it appealing for neuroregenerative medicine, yet the potential of large-scale highly-crystalline graphene as a conductive peripheral neural interface has been scarcely investigated. In particular, pristine graphene offers enhanced electrical properties that can be advantageous for nervous system regeneration applications. In this work, we investigate graphene potential as peripheral nerve interface. First, we perform an unprecedented analysis aimed at revealing how the typical polymeric coatings for neural cultures distribute on graphene at the nanometric scale. Second, we examine the impact of graphene on the culture of two established cellular models for peripheral nervous system: PC12 cell line and primary embryonic rat dorsal root ganglion (DRG) neurons, showing a better and faster axonal elongation using graphene. We then observe that the axon elongation in the first days of culture correlates to an altered nerve growth factor (NGF) axonal transport, with a reduced number of retrogradely moving NGF vesicles in favor of stalled vesicles. We thus hypothesize that the axon elongation observed in the first days of culture could be mediated by this pool of NGF vesicles locally retained in the medial/distal parts of axons. Furthermore, we investigate electrophysiological properties and cytoskeletal structure of peripheral neurons. We observe a reduced neural excitability and altered membrane potential together with a reduced inter-microtubular distance on graphene and correlate these electrophysiological and structural reorganizations of axon physiology to the observed vesicle stalling. Finally, the potential of another 2D material as neural interface, tungsten disulfide, is explored

Risk-based Multi-Criteria Decision Analysis for Epilepsy Death Risk Reduction

L'epilessia è fra le malattie neurologiche più frequenti: nel mondo colpisce circa 43 milioni di persone. Questo tesi tratta di un caso particolare di problema di analisi multicriterio. Il problema studiato proviene dal dominio medico ad di rilevanza pratica molto importante. Dato un paziente affetto da epilessia qual'è il modo migliore di diagnosticare e curare la malattia? Questa domanda contiene in sè lo scopo di questa tesi. Il modo più comune per affrontare un problema di ottimizzazione multi-obiettivo è quello di applicare un'ottimizzazione paretiana tra le soluzioni. Viene qui proposto un modello basato sulla valutazione del rischio che utilizza strumenti sviluppati nel campo dell'analisi decisionale multicriteria (MCDA)ope

Words and their primary associates: a comparison of deaf and hearing students

This word association study compared the primary associates given by deaf college students with those from a set of hearing norms. Forty common words were selected from the norms; twenty category names for which the primary associate was an exemplar (or member of that category) and twenty exemplars for which the primary associate was the category name. Overall, deaf students showed a similar pattern of responses to the hearing norms, although the strength of the primary associates for the deaf students was not as strong as for the hearing students. Comparing responses to the two groups of stimuli, hearing students were far more consistent going from category names to exemplars than the deaf students, while there was no significant difference between the two groups going from exemplars to category names. Relations between reading scores and patterns of responding were analyzed, and higher scores were found to be associated with a greater consistency with the hearing norms

Elevated central venous pressure: A consequence of exercise training-induced hypervolemia

Resting plasma volumes, and arterial and central venous pressures (CVP) were measured in 16 men before and after exercise training to determine if training-induced hypervolemia could be explained by a change in total vascular capacitance. In addition, resting levels of plasma vasopressin (AVP), atrial natriuretic peptide (ANP), aldosterone (ALD), and norepinephrine (NE) were measured before and after training. The same measurements of vacular volume, pressures, and plasma hormones were measured in 8 subjects who did not undergo exercise and acted as controls. The exercise training program consisted of 10 weeks of controlled cycle exercise for 30 min/d, 4 d/wk at 75 to 80 percent of maximal oxygen uptake (VO2max). A training effect was verified by a 20 percent increase in VO2max, a resting bradycardia, and a 370 ml (9 percent) increase in blood volume. Mean arterial blood pressure was unaltered by exercise training, but resting CVP increased. The percent change in blood volume from before to after training was linearly related to the percent change in CVP. As a consequence of elevations in both blood volume and CVP, the volume-to-pressure ratio was essentially unchanged following exercise training. Plasma AVP, ANP, ALD, and NE were unaltered. Results indicate that elevated CVP is a consequence of training-induced hypervolemia without alteration in total effective venous capacitance. This may represent a resetting of the pressure-volume stimulus-response relation for regulation of blood volume

Evaluation of the patients with syncope during the first month after coronary artery bypass graft

Background: Syncope is a well-known risk factor for adverse cardiovascular event in patients with coronary artery disease, especially those with previous myocardial infarction (MI) or left ventricular dysfunction. The aim of this study was to assess electrophysiologic findings and results of head-up tilt test (HUTT) in patients with syncope and without orthostatic changes in blood pressure during the first month after coronary artery bypass graft (CABG). Materials and Methods: A total of 20 patients with syncope during the first month after CABG were prospectively enrolled in this study from June 2002 to April 2006. Electrophysiologic study (EPS) was performed in all of them. HUTT was performed in all of the patients regardless of the result of EPS. Results: The mean age of patients was 60.311 years. Twelve patients were males. EPS was negative in 18 patients. HUTT was positive in 10 patients. Six patients had old MI. Ischemic insult occurred in one patient after CABG. Left bundle branch was present in two patients. There was a significant relationship between the duration of bed rest after CABG and positive HUTT (P value = 0.021). All of the patients except one did not experience syncope during the follow-up period. Conclusion: In patients with syncope during the first month post CABG, in whom an arrhythmic cause is suspected, the other cause of syncope like orthostatic intolerance should be considered. Being bedridden for an extended period of time post CABG can be a predisposing factor