1,291 research outputs found

    Electrocardiographic and Echocardiographic Detection of Myocardial Infarction in Patients with Left-Ventricular Hypertrophy: the LIFE Study

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    Ectonucleoside triphosphate diphosphohydrolase-1/CD39 affects the response to ADP of female rat platelets

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    There is evidence that an imbalance of extracellular purine levels may be associated with increased cardiovascular risk. Platelets play a pivotal role in vascular homeostasis and thrombosis and are important source of purine nucleotides and nucleosides. Hydrolysis of nucleotides ATP and ADP is regulated by two ectonucleotidases, triphosphate diphosphohydrolase-1 (NTPDase-1/CD39) and ecto-5’-nucleotidase (ecto-5’-NT/CD73). CD39 enzyme is expressed on the endothelium, circulating blood cells, and smooth muscle cells; there is evidence that changes in CD39 expression and activity affects the potential thrombogenic of a tissue. Gender difference in the cardiovascular risk has been extensively observed; however, while the age-dependent difference in the prevalence of cardiovascular events between men and women has been attributed to the loss of the protective effect of estrogens in the postmenopausal period, the physiological mechanism behind gender disparity is still unclear. Here, we evaluated comparatively male and female rat platelet reactivity and considered the possible role of CD39 at the basis of difference observed. We found a reduced in vitro response to ADP (1–30 µM) of female compared to male platelets, associated to increased platelet CD39 expression and activity. Platelet response to ADP was strongly increased by incubation (10 min) with the CD39 inhibitor, ARL67156 (100 µM), while male platelet response was unaffected. Rat treatment with clopidogrel (30 mg/kg, per os) inhibited ex vivo platelet aggregation. Bleeding time was prolonged in female compared to male. Taken together, our results suggest that platelet ATPase and ADPase activity might be a reliable predictor of platelet reactivity

    Arctium lappa contributes to the management of type 2 diabetes mellitus by regulating glucose homeostasis and improving oxidative stress: A critical review of in vitro and in vivo animal-based studies

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    Diabetes is a metabolic disease highly widespread worldwide, and the most common form is the type 2 diabetes mellitus (T2DM). A large number of synthetic drugs are currently available for the treatment of diabetes; however, they present various side effects and, for this reason, people are increasingly inclined to search natural alternative treatments. Among these, Arctium lappa (A. lappa) has interesting anti-diabetic activities, exerted by improving glucose homeostasis and reducing insulin-resistance. In addition, A. lappa exerts a marked antioxidant activity, an effect known to play a pivotal role in the treatment of T2DM. The purpose of this review is to analyse scientific evidence in order to evaluate the role of A. lappa and its bioactive compounds in management of T2DM. The literature search performed provided only in vitro and animal-based studies. No clinical studies have been conducted in order to investigate the effect of A. lappa on T2DM patients. However, available literature provides evidence for further clinical trials in order to confirm these claimed activities on humans

    Guidelines and Recommendations on the Use of Higher OrderFinite Elements for Bending Analysis of Plates

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    This paper compares and evaluates various plate finite elements to analyse the static response of thick and thin plates subjected to different loading and boundary conditions. Plate elements are based on different assumptions for the displacement distribution along the thickness direction. Classical (Kirchhoff and Reissner-Mindlin), refined (Reddy and Kant), and other higher-order displacement fields are implemented up to fourth-order expansion. The Unified Formulation UF by the first author is used to derive finite element matrices in terms of fundamental nuclei which consist of 3 Ă— 3 arrays. The MITC4 shear-locking free type formulation is used for the FE approximation. Accuracy of a given plate element is established in terms of the error vs. thickness-to-length parameter. A significant number of finite elements for plates are implemented and compared using displacement and stress variables for various plate problems. Reduced models that are able to detect the 3D solution are built and a Best Plate Diagram (BPD) is introduced to give guidelines for the construction of plate theories based on a given accuracy and number of terms. It is concluded that the UF is a valuable tool to establish, for a given plate problem, the most accurate FE able to furnish results within a certain accuracy range. This allows us to obtain guidelines and recommendations in building refined elements in the bending analysis of plates for various geometries, loadings, and boundary conditions

    Safety and tolerability of antipsychotic drugs in pediatric patients: data from a 1-year naturalistic study

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    Background: Antipsychotic drugs (APs) are increasingly used to treat a variety of psychiatric disorders in children and adolescents. However, their safety and tolerability profiles, when used in a developmental age context, show different characteristics from the ones observed in adult patients. Treatment with APs in pediatric patients is often long-term. However, the tolerability data regarding these patients mostly derive from short-term studies. Methods: Starting from April 2017, for a 1-year period, patients between 4 and 18 years of age followed by five units of developmental age neuropsychiatry, who initiated a treatment with at least an AP (ATC class N05A) were included into the study. Patient-related data have been collected at baseline and regularly thereafter, as allowed by the clinical routine. Changes to continuous variables over time have been analyzed using a linear mixed model in subsamples of our population treated with risperidone or aripiprazole. Results: During the observation period, 158 patients were initially enrolled, but only 116 completed 12 months of therapy with an AP. Risperidone was the most used AP (n = 52) followed by aripiprazole (n = 44) and olanzapine (n = 7). For both the aripiprazole and risperidone groups, the mean body mass index (BMI) (P < 0.001 for both groups) and heart rate (P = 0.026 for aripiprazole group and P < 0.001 for the risperidone one) values significantly increased over time. The mean prolactin concentration value significantly increased over time only in the risperidone group (P = 0.04). Eighty-six patients experienced at least one adverse drug reaction (ADR), accounting for a total of 238 specific reactions, with the most frequent being weight gain (n = 34), increased serum prolactin levels (n = 21), hyperphagia (n = 20), and hypercholesterolemia (n = 14). Among these, only 24 ADRs were classifiable as serious. Conclusions: The results of this study confirm that risperidone and aripiprazole are relatively well-tolerated therapeutic options for the treatment of a variety of psychiatric disorders in pediatric patients. However, in findings such as statistically significant increments of BMI and heart rate mean values, the variations over time in prolactin levels observed with risperidone and the differences between the two drugs remark the necessity of systematic monitoring

    Optimisation du processus de texturation des surfaces métalliques par faisceau laser

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    Le processus de texturation par laser représente la réalisation de motifs micro/macro géométrique, plus ou moins réguliers sur une surface métallique, à l'aide d'un faisceau d'énergie concentré dans un spot très fin. Obtenir des indicateurs de performances optimaux, oblige à étudier et comprendre les interactions physico-chimiques apparues dans la zone d'impact faisceau laser - matière. Cet article présente l'étude expérimentale et numérique sur le processus de texturation par laser pulsé de l'alliage de titane TA6V. Dans une première partie l'influence des paramètres opératoires sur les indicateurs des performances a été quantifiée par la méthodologie des plans des expériences. En analysant les résultats on a observé que la productivité et la qualité de la surface texturée dépend de l'énergie et de la fréquence des impulsions. Afin de déterminer les corrélations entre les paramètres opératoires et les fonctions objectifs, des modèles empiriques ont été établis

    Aluminum to titanium laser welding-brazing in V-shaped grooveI

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    Laser assisted joining of AA5754 aluminum alloy to T40 titanium with use of Al-Si filler wires was carried out. Continuous Yb:YAG laser beam was shaped into double spot tandem and defocalized to cover larger interaction zone in V shaped groove. Experimental design method was applied to study the influence of operational parameters on the tensile properties of the joints. Microstructure examination and fractography study were carried out to understand the relation between local phase content and fracture mode. Within defined window of operational parameters, statistically important factors that influenced the strength of T40 to AA5754 joints in V groove configuration were Si content in the filler metal and groove opening angle on T40 side. The best quality joint showed joint coefficient of 90% (or 200 MPa of apparent UTS). Tensile strength of the joints was found to be determined by the proportion between well-developed and under-developed reaction zones of T40/melted zone interface. The formation of 2–25 μm thick Si-rich interlayers composed by Ti5Si3 and τ2 proved to enhance the strength of brazed interface. The creation of very thin (<0.5 μm) Si-rich layers at the bottom of the groove was found not sufficient to establish mechanical continuity of the joint and thus should be avoided
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