Physical activity programs in older persons with Alzheimer’s disease: a need for dedicated trials

Recent works highlight the influence of different aspects of lifestyle on cognitive decline and the risk of dementia. Some data suggest that exercise could improve cognitive performance, especially executive functions and reduce the risk of cognitive decline and dementia in the elder. There is controversial data regarding the role of physical exercise on cognitive performance in older patients with dementia, which may be due to diverse study designs. Innovative interventional trials need to adapt their aims toward physical and cognitive changes in patients suffering from Alzheimer's disease (AD) in association with physical activity (PA). Future goals should include specific Adapted Physical Activity (APA) intervention programs on maintaining cognitive, emotional, and physical function in older persons with dementia at risk of rapid decline. In this commentary, we will provide novel insights on the use of potential physical activity programs in Alzheimer's Disease Day Centers

Disseminated superficial porokeratosis and pyoderma gangrenosus

Disseminated Superficial Actinic Porokeratosis (DSAP) is usually triggered by sun exposure. In some cases sun exposure is not essential and this skin disease is related to immunosuppression. Many associated diseases are described in the literature. We report a clinical case of a patient affected by pyoderma gangrenosum, who developed DSAP

COVID-19 and psoriasis: Is it time to limit treatment with immunosuppressants? A call for action

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Parry-Romberg syndrome: A case with a possible association with lyme disease

Parry-Romberg syndrome is an acquired slowly progressive disease characterized by an atrophy mostly involving half of the face. The pathogenesis of this disfiguring condition is still controversial. The relationship between Parry-Romberg syndrome and Lyme disease needs to be considered in depth. A 16-year-old woman from Albania presented with linear depressions of the right side of the face, clinically compatible with Parry-Romberg syndrome. She had a positive history of Lyme disease. Borrelia infection was confirmed by the positivity of PCR and the presence of IgM antibodies. The patient received intravenous penicillin and metronidazole for 14 days. After treatment and during a 2-year follow-up, the clinical disease progression was halted and the serological and microbiological tests for Borrelia burgdorferi sensu lato were negative. We cannot exclude a coincidence, however, of the bacteriological and serological evidence. Moreover, the interruption of the disease progression after the antibiotic therapy is difficult to ignore without claiming that this association is at least suggestive

Abdominopelvic post-irradiation morphea in a prostate cancer patient: the first case of an under recognized condition

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An unusual presentation of genital herpes in a patient affected by lichen sclerosus et atrophicus: A case report and a combined treatment proposal

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Effect of mannanoligosaccharides supplementation on caecal microbial activity of rabbits

A total of 200 weaned (35 days) hybrid Hyla rabbits were randomly divided among five groups housed in bicellular cages (20 cages per group). Between 35 and 60 days of age, the groups were submitted to the following treatments: group ANT (positive control) fed a basal diet supplemented with antibiotics (colistin sulphate, 144 mg/kg; tylosin, 100 mg/kg; and oxytetracyclin, 1000 mg/kg); groups MOS-0.5, MOS-1.0 and MOS-1.5 fed the basal diet supplemented with 0.5, 1.0 and 1.5 g/kg mannanoligosaccharides (MOS), respectively; another group fed the basal diet without antibiotics or mannanoligosaccarides supplementation (negative control). Along the trial, an episode of epizootyc rabbit enteropathy occurs so that in the control group mortality rate was very high (78%) and survivor rabbits showed severe symptoms of disease (diarrhoea). Thus, the control group was discarded from the trial. At 60 days of age, samples of caecal content were collected from 10 rabbits per group and used as inocula for an in vitro gas production trial. At the end of fermentation (120 h of incubation), organic matter digestibility (OMd), cumulative gas production, fermentation kinetics, pH, volatile fatty acid (VFA) and NH3 productions were measured. Inoculum from MOS-1.0 rabbits showed the significant higher values of OMd (64.21%, P < 0.05), gas production (262.32 ml/g, P < 0.05), acetate (96.99 mmol/g OM, P < 0.05) and butyrate (26.21 mmol/g OM, P < 0.05) than the other groups. Slight differences were recorded among the groups ANT, MOS-0.5 and MOS-1.5. In addition, branched chain acids, in proportion to total VFAs, were significantly higher in MOS-1.0 inoculum (0.04, P < 0.05). MOS are able to affect fermentation activity of caecal micro-organism, but their activities seem not proportional to their level in the diet. Copyright © The Animal Consortium 2010

Physiological mechanisms and adaptation strategies of Lactuca sativa L. in response to Olea europaea L. and Ficus carica L. allelochemicals

Agro-industrial wastes of Ficus carica L. and Olea europaea L. represent great sources of bioactive phenolic compounds that would be actively involved in sustainable development. Most of these wastes possess a valuable source of phytotoxic compounds that would be used as potential bioherbicides, but their function and mechanisms of action in cultivated crops remain far to be understood. In this study, we investigate the biochemical and physiological mechanisms of action of fig and olive allelochemicals extracts in lettuce as a model plant for weed species studies. Results revealed that these allelochemicals triggered an oxidative stress through cell membrane damage in lettuce roots and leaves, which was mitigated by various adaptive responses. Therefore, an intricate defense system was implicated by the increase of enzymatic and non-enzymatic antioxidants in lettuce tissues. This adaptive physiological response was highly correlated with the regulation of the phenylpropanoid pathway through the distinguished activation of phenylalanine ammonia-lyase by 98% and phenolic accumulation by 85% under olive and fig leaves aqueous extracts. The outcomes of this study will help understanding the response of cultivated crop to fig and olive phenolic compounds that can be selective in their actions, or the plants can be selective in their responses