The Conselice Study of Brain Ageing

Among the age-related diseases, the development of cognitive impairments, in particular dementia, is the most devastating for the individual and has great social and healthcare costs. Accurate information is needed about the prevalence and incidence of cognitive disorders and the physiology of the ageing brain. In particular, only scant data are available about the relationship between ageing, cognitive status and nutritional factors. In order to address these issues we planned the Conselice Study of Brain Ageing, a longitudinal study of physiologic and pathologic brain ageing. The center involved in the study was the municipality of Conselice, Ravenna province, in the Northern Italian region Emilia-Romagna. A total of 1016 subjects aged 65 and over was enrolled at baseline. Information about cognitive status at 4-years of follow-up was collected for 940 of them. These data have been used to estimate prevalence and incidence of dementia in the elderly Italian population and to investigate the possible role of baseline blood homocysteine as risk factors for dementia

Seismotectonics of the Southern Apennines and Adriatic foreland: insights on active regional E-W shear zones from analogue modeling

The active tectonics at the front of the Southern Apennines and in the Adriatic foreland is characterized by E-W striking, right-lateral seismogenic faults, interpreted as reactivated inherited discontinuities. The best studied among these is the Molise-Gondola shear zone (MGsz). The interaction of these shear zones with the Apennines chain is not yet clear. To address this open question we developed a set of scaled analogue experiments, aimed at analyzing: 1) how dextral strike-slip motion along a pre-existing zone of weakness within the foreland propagates toward the surface and affects the orogenic wedge; 2) the propagation of deformation as a function of displacement; 3) any insights on the active tectonics of Southern Italy. Our results stress the primary role played by these inherited structures when reactivated, and confirm that regional E-W dextral shear zones are a plausible way of explaining the seismotectonic setting of the external areas of the Southern Apennines

Modes of fault reactivation from analogue modeling experiments: implications for the seismotectonics of the southern Adriatic foreland (Italy)

The active tectonics at the front of the Southern Apennines and in the Adriatic foreland is characterized by E-W striking, right-lateral seismogenic faults, interpreted as reactivated inherited discontinuities. The best studied among these is the Molise-Gondola shear zone (MGsz). The interaction of these shear zones with the Apennines chain is not yet clear. To address this open question we developed a set of scaled analogue experiments, aimed at analyzing: 1) how dextral strike-slip motion along a pre-existing zone of weakness within the foreland propagates toward the surface and affects the orogenic wedge; 2) the propagation of deformation as a function of increasing displacement; 3) any insights on the active tectonics of Southern Italy. Our results stress the primary role played by these inherited structures when reactivated, and confirm that regional EW dextral shear zones are a plausible way of explaining the seismotectonic setting of the external areas of the Southern Apennines

Mapeamento das unidades de paisagem das sub-regiões da Nhecolândia e Poconé, Pantanal Mato-Grossense.

O mapeamento apresentado sintetiza as principais unidades de paisagens das sub-regiões da Nhecolândia e de Poconé, no Pantanal brasileiro. Os mapas baseiam-se na identificação de formações vegetais dominantes conforme o grau de inundação. Observou-se que a sub-região da Nhecolândia é dominada por formações savânicas sazonalmente inundáveis (41%) e a sub-região de Poconé é dominada por formações florestais sazonalmente inundáveis (26%). O domínio de florestas em Poconé deve-se principalmente ao domínio do cambará (Vochysia divergens). Ambas as sub-regiões apresentaram extensas áreas de savanas. As pastagens nativas de melhor qualidade estão localizadas nas áreas inundáveis, embora nessas áreas haja predominío de espécies cespitosas de baixo valor nutricional como Andropogon hypogynus. Em ambas as sub-regiões observaram-se dominância de áreas savânicas sazonalmente inundáveis, o que mostra a dinâmica destas áreas com espécies arbustivas adaptadas ao ciclo de inundação. The map presented here contains the main landscape units of the Nhecolândia and Poconé sub-regions of the Pantanal wetland. The map is based on the identification of dominant vegetation types and the flooding degree. The Nhecolândia sub-region was dominated by savannas seasonally flooded formations (41%) and the Poconé sub-region was dominanted by seasonally flooded forests (26%). The domain of forests was mainly due to cambará (Vochysia divergens). Both sub-regions presented extenses savanna areas. Higher quality natural pastures were situated on the flooding areas, mainly on lower relief. In the intermediate areas, there is dominance of lower quality cespitous species as Andropogon hypogynus. In both sub-regions, there was dominance of savanna seasonally flooded formations, which shows the dynamic of these areas with woody speciess adapted to flooding cycle.bitstream/item/79837/1/BP105.pd

Heart rate variability and early recurrence of atrial fibrillation after electrical cardioversion

The study evaluated the role of the autonomic nervous system in atrial fibrillation (AF) recurrence

Bleeding Risk of Transbronchial Cryobiopsy Compared to Transbronchial Forceps Biopsy in Interstitial Lung Disease - a Prospective, Randomized, Multicentre Cross-over Trial

Bronchoscopic cryobiopsy is a new method of bronchoscopic tissue sampling in interstitial lung disease. In case of transbronchial biopsies, the resultant tissue samples are of high quality, and the lung parenchyma seen in the samples is adequate for a histological diagnosis in most cases. Bleeding after transbronchial biopsy is the most important procedure- associated complication and may be life threatening. This study addresses the risk of bleeding of transbronchial cryobiopsy. In this prospective, randomized, controlled multicentre study 359 patients with interstitial lung disease requiring diagnostic bronchoscopic tissue sampling were included. Both conventional transbronchial forceps biopsy and transbronchial cryobiopsy were undertaken in each patient. The sequence of the procedures was randomized. Bleeding severity was evaluated semi-quantitatively as "no bleeding", "mild" (suction alone), "moderate" (additional intervention) or "severe" (prolonged monitoring necessary or fatal outcome), for each intervention. In 359 patients atotal of 1160 cryobiopsies and 1302 forceps biopsies were performed. Bleeding was observed after forceps biopsy in 173 patients (48.2%) and after cryobiopsy in 261 patients (72.7%). Bleeding was significantly greater in the cryobiopsy group (cryobiopsy/forceps biopsy: no bleeding 27.3%/51.8%; mild 56.5%/44.0%; moderate 15.0%/4.2%; severe 1.2%/0%; p < 0.001). The rate of clinically relevant bleeding (moderate or severe) was higher after the cryobiopsy procedures compared to the forceps biopsies (16.2% vs. 4.2%, p < 0.05). No fatal bleeding complications occurred. Compared to transbronchial forceps biopsy, transbronchial cryobiopsy was associated with an increased risk of bleeding which is of clinical relevance. Therefore training and additional precautions for bleeding control should be considered. The study was registered with clinicaltrials.gov ( NCT01894113 )

Tissue detection of natural killer cells in colorectal adenocarcinoma

BACKGROUND: Natural killer (NK) cells represent a first line of defence against a developing cancer; however, their exact role in colorectal cancer remains undetermined. The aim of the present study was to evaluate the expression of CD16 and CD57 [immunohistochemical markers of natural NK cells] in colorectal adenocarcinoma. METHODS: Presence of NK cells was investigated in 82 colorectal adenocarcinomas. Immunohistochemical analysis was performed, using 2 monoclonal antibodies (anti-Fc Gamma Receptor II, CD16 and an equivalent to Leu-7, specific for CD-57). The number of immunopositive cells (%) was evaluated by image analysis. The cases were characterized according to: patient gender and age, tumor location, size, grade, bowel wall invasion, lymph node metastases and Dukes' stage. RESULTS: NK cells were detected in 79/82 cases at the primary tumor site, 27/33 metastatic lymph nodes and 3/4 hepatic metastases; they were detected in levels similar to those reported in the literature, but their presence was not correlated to the clinical or pathological characteristics of the series, except for a negative association with the patients' age (p = 0.031). CONCLUSIONS: Our data do not support an association of NK cell tissue presence with clinical or pathological variables of colorectal adenocarcinoma, except for a negative association with the patients' age; this might possibly be attributed to decreased adhesion molecule expression in older ages

Changes in Cognition and Mortality in Relation to Exercise in Late Life: A Population Based Study

BACKGROUND: On average, cognition declines with age but this average hides considerable variability, including the chance of improvement. Here, we investigate how exercise is associated with cognitive change and mortality in older people and, particularly, whether exercise might paradoxically increase the risk of dementia by allowing people to live longer. METHODS AND PRINCIPAL FINDINGS: In the Canadian Study of Health and Aging (CSHA), of 8403 people who had baseline cognition measured and exercise reported at CSHA-1, 2219 had died and 5376 were re-examined at CSHA-2. We used a parametric Markov chain model to estimate the probabilities of cognitive improvement, decline, and death, adjusted for age and education, from any cognitive state as measured by the Modified Mini-Mental State Examination. High exercisers (at least three times per week, at least as intense as walking, n = 3264) had more frequent stable or improved cognition (42.3%, 95% confidence interval: 40.6-44.0) over 5 years than did low/no exercisers (all other exercisers and non exercisers, n = 4331) (27.8% (95% CI 26.4-29.2)). The difference widened as baseline cognition worsened. The proportion whose cognition declined was higher amongst the high exercisers but was more similar between exercise groups (39.4% (95% CI 37.7-41.1) for high exercisers versus 34.8% (95% CI 33.4-36.2) otherwise). People who did not exercise were also more likely to die (37.5% (95% CI 36.0-39.0) versus 18.3% (95% CI 16.9-19.7)). Even so, exercise conferred its greatest mortality benefit to people with the highest baseline cognition. CONCLUSIONS: Exercise is strongly associated with improving cognition. As the majority of mortality benefit of exercise is at the highest level of cognition, and declines as cognition declines, the net effect of exercise should be to improve cognition at the population level, even with more people living longer

Ingestion of micronutrient fortified breakfast cereal has no influence on immune function in healthy children: A randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>This study investigated the influence of 2-months ingestion of an "immune" nutrient fortified breakfast cereal on immune function and upper respiratory tract infection (URTI) in healthy children during the winter season.</p> <p>Methods</p> <p>Subjects included 73 children (N = 42 males, N = 31 females) ranging in age from 7 to 13 years (mean ± SD age, 9.9 ± 1.7 years), and 65 completed all phases of the study. Subjects were randomized to one of three groups--low, moderate, or high fortification--with breakfast cereals administered in double blinded fashion. The "medium" fortified cereal contained B-complex vitamins, vitamins A and C, iron, zinc, and calcium, with the addition of vitamin E and higher amounts of vitamins A and C, and zinc in the "high" group. Immune measures included delayed-typed hypersensitivity, global IgG antibody response over four weeks to pneumococcal vaccination, salivary IgA concentration, natural killer cell activity, and granulocyte phagocytosis and oxidative burst activity. Subjects under parental supervision filled in a daily log using URTI symptoms codes.</p> <p>Results</p> <p>Subjects ingested 3337 ± 851 g cereal during the 2-month study, which represented 14% of total diet energy intake and 20-85% of selected vitamins and minerals. Despite significant increases in nutrient intake, URTI rates and pre- to- post-study changes in all immune function measures did not differ between groups.</p> <p>Conclusions</p> <p>Data from this study indicate that ingestion of breakfast cereal fortified with a micronutrient blend for two winter months by healthy, growing children does not significantly influence biomarkers for immune function or URTI rates.</p