Chronic migraine long-term regular treatment with onabotulinumtoxinA: a retrospective real-life observational study up to 4 years of therapy

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Cognitive function in childhood and lifetime cognitive change in relation to mental wellbeing in four cohorts of older people

Background: poorer cognitive ability in youth is a risk factor for later mental health problems but it is largely unknown whether cognitive ability, in youth or in later life, is predictive of mental wellbeing. The purpose of this study was to investigate whether cognitive ability at age 11 years, cognitive ability in later life, or lifetime cognitive change are associated with mental wellbeing in older people.Methods: we used data on 8191 men and women aged 50 to 87 years from four cohorts in the HALCyon collaborative research programme into healthy ageing: the Aberdeen Birth Cohort 1936, the Lothian Birth Cohort 1921, the National Child Development Survey, and the MRC National Survey for Health and Development. We used linear regression to examine associations between cognitive ability at age 11, cognitive ability in later life, and lifetime change in cognitive ability and mean score on the Warwick Edinburgh Mental Wellbeing Scale and meta-analysis to obtain an overall estimate of the effect of each.Results: people whose cognitive ability at age 11 was a standard deviation above the mean scored 0.53 points higher on the mental wellbeing scale (95% confidence interval 0.36, 0.71). The equivalent value for cognitive ability in later life was 0.89 points (0.72, 1.07). A standard deviation improvement in cognitive ability in later life relative to childhood ability was associated with 0.66 points (0.39, 0.93) advantage in wellbeing score. These effect sizes equate to around 0.1 of a standard deviation in mental wellbeing score. Adjustment for potential confounding and mediating variables, primarily the personality trait neuroticism, substantially attenuated these associations.Conclusion: associations between cognitive ability in childhood or lifetime cognitive change and mental wellbeing in older people are slight and may be confounded by personality trait difference

Comunità energetiche e territorio, binomio indissolubile

L’emergenza climatica ed energetica stanno focalizzando l’attenzione per le comunità energetiche rinnovabili (CER), costituite da cittadini che diventano produttori e consumatori di energia (“prosumer”) ma anche piccole e medie imprese e amministrazioni comunali, al fine della distribuzione locale di energia prodotta da fonti rinnovabili, portando una serie di benefici ambientali, economici e sociali a livello territoriale e contribuendo a ridurre la povertà energetica quale obiettivo di sviluppo sostenibile ed al raggiungimento del comune obiettivo di “decarbonizzazione” richiesto dal futuro sistema energetico dell’Unione Europea. È quindi immediata l’esigenza di pianificazione, per cui l’articolo espone delle riflessioni conseguenti, con particolare riferimento alla pianificazione paesaggistica, basandosi sul caso di studio del Comune di Corsano (Lecce). Dai processi di decentramento e localismo energetico, emergono alcune prospettive che convergono sul distretto energetico come proiezione della comunità energetica locale e che sembrano valorizzarne una più sistemica e dimensione strategica della pianificazione energetica a scala urbana

Calcium and vitamin D intakes in children: a randomized controlled trial.

BACKGROUND:Calcium (Ca(2+)) and vitamin D (VitD) play an important role in child health. We evaluated the daily intake of Ca(2+) and VitD in healthy children. Moreover, we demonstrate the efficacy of Ca(2+) and VitD supplementation. METHODS:Daily Ca(2+) and VitD intake was evaluated in consecutive healthy children through a validated questionnaire. Subjects with <70% of dietary reference intakes (DRIs) of Ca(2+) and VitD were invited to participate in a prospective randomized trial with 2 groups of nutritional intervention: Group 1, dietary counseling aiming to optimize daily Ca(2+) and VitD intake plus administration of a commercially available Ca(2+) and VitD supplementation product; Group 2, dietary counseling alone. At the enrollment (T0) and after 4 months (T1) serum 25(OH) Vitamin D levels were assessed. RESULTS:We evaluated 150 healthy children (male 50%, mean age 10 years); at baseline a low VitD intake was observed in all subjects (median 0.79 μg/die, IQR 1.78; range 0.01-5.02); this condition was associated with Ca(2+) intake <70% of the DRIs in 82 subjects (55%). At baseline serum 25(OH)D levels were low (<30 ng/ml) in all study subjects and after 4 months of nutritional intervention, a normalization of serum 25(OH)D levels (≥30 ng/ml) was observed in all children in Group 1 and in only one subject in Group 2 [Group 1: T1 33.8 ng/ml (IQR 2.5) vs Group 2: T1 24.5 ng/ml (IQR 5.2), p <0.001]. CONCLUSIONS:Adequate Ca(2+) and VitD intakes are difficult to obtain through dietary counseling alone in pediatric subjects. Oral supplementation with of Ca(2+) and VitD is a reliable strategy to prevent this condition. TRIAL REGISTRATION:The study was registered in Clinical Trials Protocol Registration System (ID number: NCT01638494)

Calcium and vitamin D intakes in children: a randomized controlled trial.

BACKGROUND:Calcium (Ca(2+)) and vitamin D (VitD) play an important role in child health. We evaluated the daily intake of Ca(2+) and VitD in healthy children. Moreover, we demonstrate the efficacy of Ca(2+) and VitD supplementation. METHODS:Daily Ca(2+) and VitD intake was evaluated in consecutive healthy children through a validated questionnaire. Subjects with <70% of dietary reference intakes (DRIs) of Ca(2+) and VitD were invited to participate in a prospective randomized trial with 2 groups of nutritional intervention: Group 1, dietary counseling aiming to optimize daily Ca(2+) and VitD intake plus administration of a commercially available Ca(2+) and VitD supplementation product; Group 2, dietary counseling alone. At the enrollment (T0) and after 4 months (T1) serum 25(OH) Vitamin D levels were assessed. RESULTS:We evaluated 150 healthy children (male 50%, mean age 10 years); at baseline a low VitD intake was observed in all subjects (median 0.79 μg/die, IQR 1.78; range 0.01-5.02); this condition was associated with Ca(2+) intake <70% of the DRIs in 82 subjects (55%). At baseline serum 25(OH)D levels were low (<30 ng/ml) in all study subjects and after 4 months of nutritional intervention, a normalization of serum 25(OH)D levels (≥30 ng/ml) was observed in all children in Group 1 and in only one subject in Group 2 [Group 1: T1 33.8 ng/ml (IQR 2.5) vs Group 2: T1 24.5 ng/ml (IQR 5.2), p <0.001]. CONCLUSIONS:Adequate Ca(2+) and VitD intakes are difficult to obtain through dietary counseling alone in pediatric subjects. Oral supplementation with of Ca(2+) and VitD is a reliable strategy to prevent this condition. TRIAL REGISTRATION:The study was registered in Clinical Trials Protocol Registration System (ID number: NCT01638494)

Continuum of vasodilator stress from rest to contrast medium to adenosine hyperemia for fractional flow reserve assessment

Objectives: This study compared the diagnostic performance with adenosine-derived fractional flow reserve (FFR) ≤0.8 of contrast-based FFR (cFFR), resting distal pressure (Pd)/aortic pressure (Pa), and the instantaneous wave-free ratio (iFR). Background: FFR objectively identifies lesions that benefit from medical therapy versus revascularization. However, FFR requires maximal vasodilation, usually achieved with adenosine. Radiographic contrast injection causes submaximal coronary hyperemia. Therefore, intracoronary contrast could provide an easy and inexpensive tool for predicting FFR. Methods: We recruited patients undergoing routine FFR assessment and made paired, repeated measurements of all physiology metrics (Pd/Pa, iFR, cFFR, and FFR). Contrast medium and dose were per local practice, as was the dose of intracoronary adenosine. Operators were encouraged to perform both intracoronary and intravenous adenosine assessments and a final drift check to assess wire calibration. A central core lab analyzed blinded pressure tracings in a standardized fashion. Results: A total of 763 subjects were enrolled from 12 international centers. Contrast volume was 8 ± 2 ml per measurement, and 8 different contrast media were used. Repeated measurements of each metric showed a bias &lt;0.005, but a lower SD (less variability) for cFFR than resting indexes. Although Pd/Pa and iFR demonstrated equivalent performance against FFR ≤0.8 (78.5% vs. 79.9% accuracy; p = 0.78; area under the receiver-operating characteristic curve: 0.875 vs. 0.881; p = 0.35), cFFR improved both metrics (85.8% accuracy and 0.930 area; p &lt; 0.001 for each) with an optimal binary threshold of 0.83. A hybrid decision-making strategy using cFFR required adenosine less often than when based on either Pd/Pa or iFR. Conclusions: cFFR provides diagnostic performance superior to that of Pd/Pa or iFR for predicting FFR. For clinical scenarios or health care systems in which adenosine is contraindicated or prohibitively expensive, cFFR offers a universal technique to simplify invasive coronary physiological assessments. Yet FFR remains the reference standard for diagnostic certainty as even cFFR reached only ∼85% agreement

Far Ultraviolet Spectra of B Stars near the Ecliptic

Spectra of B stars in the wavelength range of 911-1100 A have been obtained with the EURD spectrograph onboard the Spanish satellite MINISAT-01 with ~5 A spectral resolution. IUE spectra of the same stars have been used to normalize Kurucz models to the distance, reddening and spectral type of the corresponding star. The comparison of 8 main-sequence stars studied in detail (alpha Vir, epsilon Tau, lambda Tau, tau Tau, alpha Leo, zeta Lib, theta Oph, and sigma Sgr) shows agreement with Kurucz models, but observed fluxes are 10-40% higher than the models in most cases. The difference in flux between observations and models is higher in the wavelength range between Lyman alpha and Lyman beta. We suggest that Kurucz models underestimate the FUV flux of main-sequence B stars between these two Lyman lines. Computation of flux distributions of line-blanketed model atmospheres including non-LTE effects suggests that this flux underestimate could be due to departures from LTE, although other causes cannot be ruled out. We found the common assumption of solar metallicity for young disk stars should be made with care, since small deviations can have a significant impact on FUV model fluxes. Two peculiar stars (rho Leo and epsilon Aqr), and two emission line stars (epsilon Cap and pi Aqr) were also studied. Of these, only epsilon Aqr has a flux in agreement with the models. The rest have strong variability in the IUE range and/or uncertain reddening, which makes the comparison with models difficult.Comment: 25 pages, 6 figures, to be published in The Astrophysical Journa

Características geoquímicas de los sedimentos superficiales de la Bahía de Panamá

Se cuantificó de manera puntual la composición porcentual de cada textura granulométrica así como los parámetros estadísticos texturales y los niveles de concentración de metales (Cu, Cd, Zn y Pb) en los sedimentos superficiales de 15 puntos de colecta de la Bahía de Panamá. Los resultados indican que la textura predominante es la arenosa, siendo las fracciones abundantes la arena fina (AF) > arena media (AM) > arena gruesa (AG). No se encontró uniformidad en el tamaño de grano en los distintos depósitos sedimentarios. El 58.3% de los sedimentos son mal clasificados y el 41.7% muy mal clasificados. Se diferenciaron sedimentos leptokúrticos (Costa del Este, Rampa, Naos), muy leptokúrticos (Santo Tomás), extremadamente leptokúrticos (Panamá Vieja) mesokúrticos (Matasnillo). Los porcentajes de materia orgánica en la Bahía de Panamá resultaron bajos, entre 0,13 y 1,23%. Las concentraciones de Cu variaron desde 17 µg.g-1 hasta 45 µg.g-1. El Cd mostró concentraciones que oscilaron entre 0.13 a 0.58ug. g-1. cuyo El contenido de Zn fluctuó entre 27 y 73 g.g-1. El Pb varió entre 19 y 433 ug.g1. Los metales no mostraron correlación significativa con la materia orgánica, excepto el Cd (r = 0,40). En general la distribución de la materia orgánica no condicionó la distribución de los metales traza en los sedimentos superficiales de la Bahía. Los metales trazas se acumularon preferiblemente en sedimentos finos, menores de 125 µm (>3Φ). Existen claras evidencias que el ecosistema se encuentra muy impactado por Pb

KIC 7599132: an ellipsoidal variable in a close SB1 system

In this paper, we present a spectroscopic and photometric analysis of the suspected ellipsoidal variable star KIC 7599132. New spectroscopic observations have been obtained with Catania Astrophysical Observatory Spectropolarimeter. From the fit of Hα and Hβ, we determined the effective temperature and gravity of the primary component, Teff = 10200 ± 150 K and log g = 4.1 ± 0.1, while from a number of metal lines, we derive the rotational velocity, v esin i = 60 ± 2 km s-1. We found almost solar abundances with the exception of silicon (0.50 dex) overabundance. A Bayesian analysis, based on the comparison between observational data and theoretical predictions of PROSECCO evolutionary models, allows us to estimate the mass and the age of the primary. We obtained M1 = 2.4 ± 0.2 M☉ and τs = 3.8 _{-0.7}^{+0.9} Myr. A new model for the system was obtained combining Kepler photometric time series (Q0-Q17) and our radial velocities by using the code PHOEBE. As a result, the system appears to be a detached binary system with a mass ratio q = 0.30 ± 0.01, a semimajor axis a = 7.3 ± 0.1 R☉ and an inclination angle i = 35° ± 2°. This modelling allowed us to derive: M2 = 0.7 ± 0.1 M☉, R1 = 3.0 ± 0.2 R☉, and R2 = 1.5 ± 0.2 R☉. Numerical simulations show that if the secondary star had been hotter than 4000 K, we would have observed its spectral features in our spectra