cochleovestibular transient ischemic attack as a manifestation of patent foramen ovale

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Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants

Benign paroxysmal positional vertigo (BPPV) usually has a favorable course, although it is possible to observe BPPV with a high recurrence rate. Previous studies suggested that vitamin D deficiency might affect BPPV recurrences, and oxidative stress might play a complementary role in BPPV pathogenesis. This multicentric trial aimed to evaluate the effectiveness of oral nutritional supplementation with a compound of alpha-lipoic acid, Carnosine, and Zinc (LICA (R) (Difass International, Coriano (RN), Italy)), vitamins of group B and vitamin D in preventing BPPV recurrences. A total of 128 patients with high recurrence-BPPV were randomized in three arms: Arm 1 consisted of subjects with "insufficient" or "deficient" vitamin D blood levels, treated with daily oral supplementation of LICA (R), vitamins of group B and vitamin D3 (800 UI), Arm 2 included BPPV subjects with "sufficient" vitamin D who did not receive any nutritional support, and Arm 3 included subjects with a "sufficient" serum concentration of vitamin D who received supplementation with a compound of LICA (R) and Curcumin. After six months of follow-up, a significant reduction of BPPV relapses compared to the baseline was found only in Arm 1 (-2.32, 95% CI: 3.41-1.62, p-value < 0.0001). Study results suggested that oral nutritional supplementation with vitamin D3 plus antioxidants can prevent relapses in patients suffering from high recurrence-BPPV

Cluster-Zone Leaf Removal and GA₃ Application at Early Flowering Reduce Bunch Compactness and Yield per Vine in <i>Vitis vinifera</i> cv. Pinot Gris

Compact bunches have been often associated with higher susceptibility to Botrytis cinerea and therefore reduction in berry quality in grapevine. The objective of this study was to evaluate three management methods (early leaf removal, gibberellic acid, and their combination) for reducing bunch compactness in Vitis vinifera cv. Pinot gris trained in two different training systems with contrasting vigor (Guyot and pergola). Treatments were applied at BBCH 62 or BBCH 65 and yield components, total soluble solids, fruit set, and bunch compactness parameters were evaluated. Both treatments individually reduced berry number, mean bunches weight and bunches compactness as well as yield per vine when compared to control-untreated vines. However, no major differences were observed when both the treatments were applied in combination for Guyot or pergola although a higher reduction in yield was detected for Guyot and a significant increase in total soluble solids was observed in pergola. Our study suggests that intense leaf removal and gibberellic acid applied at early flowering can help reducing bunch compactness in Pinot gris and showing it in two training systems. In particular, leaf removal represents a valuable alternative to plant growth regulators (i.e., gibberellic acid) as applicable in organic viticulture

Cluster-Zone Leaf Removal and GA3 Application at Early Flowering Reduce Bunch Compactness and Yield per Vine in Vitis vinifera cv. Pinot Gris

Compact bunches have been often associated with higher susceptibility to Botrytis cinerea and therefore reduction in berry quality in grapevine. The objective of this study was to evaluate three management methods (early leaf removal, gibberellic acid, and their combination) for reducing bunch compactness in Vitis vinifera cv. Pinot gris trained in two different training systems with contrasting vigor (Guyot and pergola). Treatments were applied at BBCH 62 or BBCH 65 and yield components, total soluble solids, fruit set, and bunch compactness parameters were evaluated. Both treatments individually reduced berry number, mean bunches weight and bunches compactness as well as yield per vine when compared to control-untreated vines. However, no major differences were observed when both the treatments were applied in combination for Guyot or pergola although a higher reduction in yield was detected for Guyot and a significant increase in total soluble solids was observed in pergola. Our study suggests that intense leaf removal and gibberellic acid applied at early flowering can help reducing bunch compactness in Pinot gris and showing it in two training systems. In particular, leaf removal represents a valuable alternative to plant growth regulators (i.e., gibberellic acid) as applicable in organic viticulture

Vestibular paroxysmia in vestibular neuritis: A case report

The term vestibular paroxysmia (VP) was introduced for the first time by Brandt and Dieterich in 1994. In 2016, the Barany Society formulated the International Classification of VP, focusing in particular on the number and duration of attacks, on the differential diagnosis and on the therapy. Ephaptic discharges in the proximal part of the eighth cranial nerve, which is covered by oligodendrocytes, are assumed to be the neural basis of VP. We report the first case in literature of an onset of symptoms and signs typical of VP in a young man following acute unilateral vestibular loss not combined with auditory symptoms. Indeed, the pathogenic mechanism affected only the vestibular nerve as confirmed by the presence of a stereotyped nystagmus pattern. The magnetic resonance imaging didn’t reveal any specific cause therefore we suggest the possible role of a neuritis triggering an ephaptic discharge as the neural mechanism of VP

Interactive composition, performance and music generation through iterative structures

We present HYPERSCORE, a system for interactive execution of musical performances coupled with the generation system CLIPSCORE, in which a performer can virtually manipulate execution parameters through gestural interaction in real time. HYPERSCORE allows users to exploit their perceptive capabilities in terms of space and time in order to control and manipulate, via a multimodal interaction, the main component of music, namely time. Copyright 2006 ACM

Concorso di progettazione a procedura aperta in due gradi - Museo Parco naturale Gruppo di Tessa - Naturno

Il progetto proposto per il concorso di progettazione a procedura aperta in due gradi - Museo Parco naturale Gruppo di Tessa - Naturno esplora le possibilità di interazione che un'architettura è in grado promuovere con il paesaggio con il paesaggio nel quale si inserisce

Persistent Postural Perceptual Dizziness in Episodic Vestibular Disorders

Benign Paroxysmal Positional Vertigo (BPPV), Vestibular Migraine (VM), and Meniere Disease (MD) are among the most common episodic vestibulopathies. Persistent Postural Perceptual Dizziness (PPPD) is a chronic functional vestibular disorder that can arise in patients suffering from one or more of these conditions. We analyzed the role of these vestibular disorders as single or multiple associated comorbidities and as a precipitating condition for PPPD. A total of 376 patients suffering from dizziness with a known history of single or multiple vestibular disorders were preliminarily evaluated. We conducted a careful anamnesis to determine whether the reported dizziness could meet the diagnostic criteria for PPPD. PPPD was diagnosed in 24 cases; its incidence in patients with history of a single comorbidity or multiple vestibular comorbidities was 3.9% and 22.4%, respectively. BPPV, VM, and MD were identified as a precipitating condition in 2.34%, 16.45%, and 3.92%, respectively. BPPV constituted a precipitating condition mainly at the first episode. We observed that the presence of multiple vestibular comorbidities (BPPV, VM, and MD) in patients&rsquo; clinical history increased the risk of PPPD. VM plays a significant role in representing a precipitating condition for PPPD, both when present individually or in association with the other vestibular disorders

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

The benign paroxysmal positional vertigo (BPPV) is a vestibular disorder cause of vertigo. The BPPV may be corrected mechanically by repositioning maneuvers but even after successful maneuvers, some patients report residual dizziness for a certain period afterward. Early recognition and treatment might decrease the incidence of residual dizziness in patients with BPPV, especially in those patients with psychiatric comorbidities and in the elderly, lowering the risk of falling. Many pathogenetic hypotheses for residual dizziness are under debate. The purpose of this review was to identify, evaluate and review recent researches about possible causal factors involved in residual dizziness and the implications on clinical practice. A literature search was performed using different databases such as Pubmed and Scopus. The following search terms were used: residual dizziness, otolithic membrane and BPPV. The search found a total of 1192 titles, which were reduced to 963 after a procedure of de-duplication of the found titles. The research was then restricted to an interval of time comprised between 2000 and 2016 for a total of 800 titles. Among these titles, only those including the terms benign paroxysmal positional vertigo were considered eligible for this review. Only publications in English language were taken into consideration and we excluded those with not available abstract. Finally, 90 abstracts were obtained and critically evaluated by two different Authors, and additional studies were identified by hand searching from the references of artiche of interest. Only 53 were included in this work