Alexithymia and Treatment Outcome in Anorexia Nervosa: A Scoping Review of the Literature

Alexithymia is of great interest as an outcome predictor of recovery from anorexia nervosa, since it may interfere with both treatment compliance and patients' ability to benefit from the adopted interventions. Using the PRISMA methodology, we performed a scoping review of the literature about treatment outcome in anorexia nervosa, in terms of changes in alexithymia as assessed by its most commonly used self-report measure, the Toronto Alexithymia Scale (TAS). The Medline and Scopus databases were searched, and articles were included if matching the following criteria: dealing with patients affected by anorexia nervosa, without limits of age; involving the application of any kind of targeted therapy or treatment; assessing alexithymia and the effect of a treatment intervention on alexithymia, using the TAS. Ten studies were eventually included; overall, according to the selected studies, alexithymia levels often remain high even after specific treatment. Further research aimed at a deeper understanding of the actual impact of alexithymia on the outcome of anorexia, as well as exploring alternative treatment strategies for alexithymia in eating disorders (EDs), are warranted

From the Roman Empire to the New Millennium. Data access and sharing from healthy ageing cohorts

Cohort studies are the best way to analyze the incidence and natural history of a disorder, permitting to assess associations between multiple exposures and multiple outcomes. A well-designed cohort may be particularly relevant regarding the study of the ageing processes of adult populations, allowing the study of processes and dynamics of the individual life course and the study of the effects of earlier exposures and characteristics on later outcomes. Moreover, cohort studies seem the best instrument to analyze the factors favoring active and healthy ageing, and to increase knowledge about the most appropriate interventions to enhance older population's wellness. Nonetheless, the number of cohorts on ageing is limited, because they are very expensive to develop, establish, and maintain, requiring long-term investment to be efficiently performed to obtain all the data needed to address the longitudinal research questions. Open data and data sharing should be encouraged to ensure verifiable, reproducible and transparent results, and to allow the generation of new knowledge in the context of earlier discoveries. Making cohort studies \u201copen\u201d can foster the efforts of the scientific community committed in the study of ageing and give a real contribution to the well-being of the ageing population. KEY-MESSAGE: \u2022 Cohort studies are the best way to analyze the incidence and natural history of a disorder, the factors favoring active and healthy ageing, and to increase knowledge about the most appropriate interventions to enhance older population's wellness. \u2022 Making cohort studies \u201copen\u201d can foster the efforts of the scientific community committed in the study of ageing and give a real contribution to the well-being of the ageing population

Determination of propofol by GC/MS and fast GC/MS-TOF in two cases of poisoning

Two cases of suspected acute and lethal intoxication caused by propofol were delivered by the judicial authority to the Department of Sciences for Health Promotion and Mother-Child Care in Palermo, Sicily. In the first case a female nurse was found in a hotel room, where she lived with her mother; four 10 mg/mL vials and two 20 mg/mL vials of propofol were found near the decedent along with syringes and needles. In the second case a male nurse was found in the operating room of a hospital, along with a used syringe. In both cases a preliminary systematic and toxicological analysis indicated the presence of propofol in the blood and urine. As a result, a method for the quantitative determination of propofol in biological fluids was optimized and validated using a liquid-liquid extraction protocol followed by GC/MS and fast GC/MS-TOF. In the first case, the concentration of propofol in blood was determined to be 8.1 \u3bcg/mL while the concentration of propofol in the second case was calculated at 1.2 \u3bcg/mL. Additionally, the tissue distribution of propofol was determined for both cases. Brain and liver concentrations of propofol were, respectively, 31.1 and 52.2 \u3bcg/g in Case 1 and 4.7 and 49.1 \u3bcg/g in Case 2. Data emerging from the autopsy findings, histopathological exams as well as the toxicological results aided in establishing that the deaths were due to poisoning, however, the manner of death in each were different: homicide in Case 1 and suicide in Case 2

Determination of daptomycin in human plasma and breast milk by UPLC/MS-MS

During the lactation, the choice of a proper antibiotic is crucial since the drug can cross into breast milk causing toxicity to the infant. Therefore, an extraction protocol and LC/MS-MS method for the determination of daptomycin in human milk and plasma were developed, validated and applied to a case of a breastfeeding mother affected by a purulent acute soft skin infection treated with daptomycin. Because of daptomycin high protein binding and its high molecular weight, the optimisation of the extraction protocol and analytical conditions were deeply investigated, and several parameters were taken into account: in particular the type of extraction, internal standard, the type of organic modifier, pH of the aqueous solution, and gradient. The use of a protein precipitation protocol coupled to a C8-reverse phase LC-MS/MS allows for a reliable quantification of daptomycin in both plasma (in the range of 19\u2013199 \u3bcg/mL) and breast milk (in the range of 0.12\u20130.32 \u3bcg/mL). The determination of milk/plasma (M/P) ratio, which ranged from 0.002 to 0.006, allowed to assess that daptomycin, effective for the mother, was contemporarily safe for the breastfed newborn

Conversazione con Vittorio Spinazzola

Conversazione con Vittorio Spinazzola \ue8 la trascrizione di un\u2019intervista condotta da Elisa Gambaro e Stefania Sini a Milano il 9 maggio 2012, della quale si pubblica anche la versione video. La redazione di \uabEnthymema\ubb ringrazia il professor Spinazzola per la sua disponibilit\ue0 e la sua generosit\ue0

The psychopathology of body image in orthorexia nervosa

The human body has a complex meaning and role in everybody\u2019s life and experience. Body image has two main components: body percept (the internal visual image of body shape and size) and body concept (the level of satisfaction with one\u2019s body), whose specific alterations may lead to different conditions, such as overestimation of one\u2019s own body dimensions, negative feelings and thoughts towards the body, body avoidance and body checking behavior. Moreover, body dissatisfaction can be associated with a variety of other mental health and psychosocial conditions, but only a few studies have explored the body image construct in orthorexia nervosa (ON). ON is a condition characterized by concern and fixation about healthy eating, with mixed results available in the literature about the presence of body image disorders. The aim of this manuscript is to present the main findings from the literature about the psychopathology of body image in ON. Summarizing, while theoretically the presence of body image disturbances should help clinicians to differentiate ON from eating disorders, further research is needed to confirm this finding. It is not clear whether the body image disorder in ON depends on an altered body percept or body concept, and the relationship between the disordered eating behavior and body image disorder still needs to be disentangled. Further studies regarding the relationship between ON and body image could be helpful to better understand the relevance of body image as a transdiagnostic factor and its potential value as target for treatment intervention

A year-round measurement of water-soluble trace and rare earth elements in arctic aerosol: Possible inorganic tracers of specific events

This study presents the year-round variability of the water-soluble fraction of trace elements (wsTE) and rare earth elements (wsREE) among size segregated airborne particulate matter samples collected at Ny-Å lesund in the Svalbard Archipelago from 26 February 2018 to 26 February 2019. Six different aerosol dimensional fractions were collected using a multi-stage Andersen impactor to better understand local and global circulation with the aim of disentangling the source of inorganic tracers from specific natural or anthropogenic sources. The wsTE and wsREE content, especially in the finest fractions in remote areas, is primarily related to long-range transport and it gives valuable information on (1) the global circulation, (2) the natural sources and (3) the contribution of human activities to aerosol composition. A Factor Analysis was applied to the dataset, including levoglucosan and methanesulfonic acid (MSA), to assess the possibility of using certain inorganic tracers as indicators of specific transport events or circulation regimes. We also investigate back-trajectories to determine potential source areas

Blood cyanide determination in two cases of fatal imtoxication: comparison between headspace gas chromatography and a spectrophotometric method

Blood samples of two cases were analyzed preliminarily by a classical spectrophotometric method (VIS) and by an automated headspace gas chromatographic method with nitrogen-phosphorus detector (HS-GC \u2044 NPD). In the former, hydrogen cyanide (HCN) was quantitatively determined by measuring the absorbance of chromophores forming as a result of interaction with chloramine T. In the automated HS-GC \u2044NPD method, blood was placed in a headspace vial, internal standard (acetonitrile) and acetic acid were then added. This resulted in cyanide being liberated as HCN. The spectrophotometric (VIS) and HS-GC\u2044NPD methods were validated on postmortem blood samples fortified with potassium cyanide in the ranges 0.5\u201310 and 0.05\u20135 lg \u2044 mL, respectively. Detection limits were 0.2 lg \u2044mL for VIS and 0.05 lg \u2044mL for HS-GC\u2044NPD. This work shows that results obtained by means of the two procedures were insignificantly different and that they compared favorably. They are suitable for rapid diagnosis of cyanide in postmortem cases

Low-pressure plasma treatment of CFRP substrates for epoxy-adhesive bonding: an investigation of the effect of various process gases

This work reports a systematic and quantitative evaluation of the effects induced on the adhesive properties of carbon fiber reinforced polymer (CFRP) substrates by various vacuum cold-plasma treatments. In particular, surface activation of the CFRP substrates was performed using several combinations of exposure time, plasma power, and processing gas (air, O 2 , Ar and N 2 ). By comparing these plasma treatments with conventional techniques of abrasion and peel ply, it was possible to substantially increase the performance of the adhesively bonded joints made by overlapping the CFRP substrates with a structural epoxy resin. On each differently treated surface, measurements of roughness and of wettability were performed, allowing the evaluation of the increase in surface energy after the plasma treatment. XPS analyses allowed the identification of the chemical state of the substrates and showed an in-depth functionalization of the outer layer of the CFRP material. The experimental results show that an engineered plasma treatment of the CFRP substrates allows one to modify the surface morphology and both wetting and chemical activation properties of the treated surfaces, resulting in an increased mechanical shear strength of the joints

Telecom reforms in the EU : prices and consumers\u2019 satisfaction

The paper shows the impact of privatization and liberalization on consumers in the telecommunication sector for 15 EU countries. Policy reforms are summarized by the OECD regulatory indicators (REGREF) that consider the extent of privatization, vertical disintegration, and market entry. After controlling for other country variables, first, a test of the impact of ownership and regulatory changes on consumer prices is given. In the second step, the Eurobarometer data on consumers' satisfaction about quality and prices of the telecommunication service are considered. The analysis confirms the importance of market regulation in reducing prices but minimizes the role played by privatization per se. Overall, the findings offer only mixed evidence, and somehow contradict, the hypothesis that all the reforms work in a similar way across the EU countries