717 research outputs found

    A pharmacodynamic comparison of prasugrel vs. high-dose clopidogrel in patients with type 2 diabetes mellitus and coronary artery disease: results of the Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 Trial

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    Aims: Patients with diabetes mellitus (DM) have increased platelet reactivity and reduced platelet response to clopidogrel compared with patients without DM. Prasugrel, a more potent antiplatelet agent, is associated with greater reductions in ischaemic events compared with clopidogrel, particularly in patients with DM. The aim of this study was to perform serial pharmacodynamic assessments of prasugrel with high-dose clopidogrel in patients with DM. Methods and results: Optimizing anti-Platelet Therapy In diabetes MellitUS (OPTIMUS)-3 was a prospective, randomized, double-blind, crossover study in patients with type 2 DM and coronary artery disease (CAD). Patients (n= 35) were randomly assigned to either prasugrel 60 mg loading dose (LD)/10 mg maintenance dose (MD) or clopidogrel 600 mg LD/150 mg MD over two 1-week treatment periods separated by a 2-week washout period. Platelet function was assessed by VerifyNow® P2Y12 assay, light transmission aggregometry, and vasodilator-stimulated phosphoprotein phosphorylation at 0, 1, 4, and 24 h and 7 days. Greater platelet inhibition by VerifyNow® P2Y12 was achieved by prasugrel compared with clopidogrel at 4 h post-LD (least squares mean, 89.3 vs. 27.7%, P< 0.0001; primary endpoint). The difference in platelet inhibition between prasugrel and clopidogrel was significant from 1 h through 7 days (P < 0.0001). Similar results were obtained using all other platelet function measures. Prasugrel resulted in fewer poor responders at all time points irrespective of definition used. Conclusion: In patients with type 2 DM and CAD, standard-dose prasugrel is associated with greater platelet inhibition and better response profiles during both the loading and maintenance periods when compared with double-dose clopidogrel

    A Preliminary Investigation into a Deep Learning Implementation for Hand Tracking on Mobile Devices

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    Hand tracking is an essential component of computer graphics and human-computer interaction applications. The use of RGB camera without specific hardware and sensors (e.g., depth cameras) allows developing solutions for a plethora of devices and platforms. Although various methods were proposed, hand tracking from a single RGB camera is still a challenging research area due to occlusions, complex backgrounds, and various hand poses and gestures. We present a mobile application for 2D hand tracking from RGB images captured by the smartphone camera. The images are processed by a deep neural network, modified specifically to tackle this task and run on mobile devices, looking for a compromise between performance and computational time. Network output is used to show a 2D skeleton on the user's hand. We tested our system on several scenarios, showing an interactive hand tracking level and achieving promising results in the case of variable brightness and backgrounds and small occlusions

    An updated overview of the geographic and bathymetric distribution of Savalia savaglia

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    The distribution of gold coral Savalia savaglia is modified on the basis of bibliographic information and recent occurrence data, collected using a ROV (Remotely Operated Vehicle) and SCUBA divers. The species is long-lived, rare and has been exploited in the past by divers for collection purposes. S. savaglia is listed in Annex II of the SPA/BD Protocol of the Barcelona Convention and has a wider distribution than previously thought, including both the Mediterranean Sea and the Atlantic Ocean. Our results highlighted that specimens mainly live at a depth range of 15-90 m, but may reach as deep as 900 m in the Mediterranean Sea. This species can form monospecific facies of hundreds of colonies, as observed in Montenegro (Adriatic Sea), between 10 and 20 m, and in the Canary Islands, at a depth range of 27-70 m. Recent data highlighted numerous cases of specimens that were endangered by lost fishing gear, which exposed this species to further threats. Considering its longevity and structural role, it is urgent to develop an effective protection measure for S. savaglia, thereby increasing research efforts and implementing protection areas for this species

    An updated overview of the geographic and bathymetric distribution of Savalia savaglia

    Get PDF
    The distribution of gold coral Savalia savaglia is modified on the basis of bibliographic information and recent occurrence data, collected using a ROV (Remotely Operated Vehicle) and SCUBA divers. The species is long-lived, rare and has been exploited in the past by divers for collection purposes. S. savaglia is listed in Annex II of the SPA/BD Protocol of the Barcelona Convention and has a wider distribution than previously thought, including both the Mediterranean Sea and the Atlantic Ocean. Our results highlighted that specimens mainly live at a depth range of 15-90 m, but may reach as deep as 900 m in the Mediterranean Sea. This species can form monospecific facies of hundreds of colonies, as observed in Montenegro (Adriatic Sea), between 10 and 20 m, and in the Canary Islands, at a depth range of 27-70 m. Recent data highlighted numerous cases of specimens that were endangered by lost fishing gear, which exposed this species to further threats. Considering its longevity and structural role, it is urgent to develop an effective protection measure for S. savaglia, thereby increasing research efforts and implementing protection areas for this species

    The coral assemblage of an off-shore deep Mediterranean rocky bank (NW Sicily, Italy)

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    In this study we characterized the deep assemblages dwelling at 200–250 m depth on a large shoal off Capo St. Vito Promontory (Northwestern coast of Sicily, South Tyrrhenian Sea) by means of ROV-imaging. Two assemblages of suspension feeders, dominated by the gorgonian Callogorgia verticillata and by the black coral Leiopathes glaberrima, together with a tanatocoenosis of the colonial yellow scleractinian coral Dendrophyllia cornigera, were examined. The three main species were significatively distributed into two areas corresponding to different habitat preferences: a more elevated hardground hosting black corals and a gently sloping, silted rocky bottom hosting the other coral species. The study area is subjected to a heavy pressure from the professional fishery, resulting in the mechanical damage of numerous colonies, some of which are then overgrown by various epibionts including a parasitic bioluminescent zoanthid, new for the Mediterranean fauna, and tentatively identified as Isozoanthus primoidus. In the Mediterranean Sea, these deep off-shore rocky banks are widely known among recreational and professional fishermen due to their rich fish fauna. However, there has been still little effort into quantifying and characterizing the extent of the impact and its consequences on the benthic communities, which may represent, as in this case, only a partial picture of their original structure and extent

    MRP4 over-expression has a role on both reducing nitric oxide-dependent antiplatelet effect and enhancing ADP induced platelet activation

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    The impact of inhibition of multidrug resistance protein 4 (MRP4) on nitric oxide (NO) resistance and on ADP-induced platelet aggregation is unknown. The aim of this investigation was to verify whether platelet NO resistance correlates with MRP4 expression and evaluate whether this can be reduced by in vitro MRP4 inhibition mediated by cilostazol. Moreover, we assessed if inhibition of MRP4-mediated transport reduces ADP-induced platelet reactivity. The inhibitory effect of sodium nitroprusside (SNP), a NO-donor that enhances cyclic guanosine monophosphate (cGMP) cytosolic concentration, was assessed in platelets obtained from aspirin treated patients and in a control population. The inhibitory effect of SNP was evaluated by ADP-induced aggregation in SNP-treated platelets. The impact of MRP4 on ADP-induced platelet aggregation was performed in high on aspirin residual platelet reactivity (HARPR) patients and compared to healthy volunteers (HV), and a control cohort (CTR). In aspirin-treated patients with high levels of MRP4, reduced SNP inhibition was found compared to those with low levels of MRP4. MRP4 inhibition by cilostazol significantly reduced ADP-induced platelet aggregation in HARPR population, and to a lesser extent in HV and CTR populations. In conclusion, cilostazol can mitigate the hyper-reactive platelet phenotype of HARPR patients by reducing residual ADP-induced platelet aggregation and increasing NO-dependent endothelial antiplatelet effects

    Gradients of Variation in the At-Vessel Mortality Rate between Twelve Species of Sharks and Skates Sampled through a Fishery-Independent Trawl Survey in the Asinara Gulf (NW Mediterranean Sea)

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    Elasmobranchs are priority species for conservation due to their rapid decline determined by the unbalanced struggle between a fragile bio-ecology and strong anthropogenic impacts, such as bycatch from professional fishing. In this context, measuring species resistance to catch of poorly selective gear is of paramount importance. During June-October 2022, five experimental fishing campaigns were carried out in the Asinara Gulf (northern Sardinia) through 35 geographically and bathymetrically representative hauls of an area between 30 and 600 m in depth. Skates prevailed over sharks in the number of species, with seven and five species, respectively. We first evaluated the status of each individual with respect to stress due to the trawl's catch using a three-graded scale. We also recorded individual biometrics (total and disk length, weight and sex, and maturity for males) on board by implementing the best practices in manipulating individuals for physiological recovery and release at sea. After capture, skates resulted in generally better conditions than sharks, although deepwater species of both groups exhibited a worse state than coastal species. The estimated vitality rates also depended on the size of the individuals. This work provides standardized data on the intermingled effect of size, species type, and inhabited depth on the resistance response of some elasmobranch species against capture by trawl fishery activities

    Effects of Lippia citriodora leaf extract on lipid and oxidative blood profile of volunteers with hypercholesterolemia: A preliminary study

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    Lippia citriodora is a plant traditionally used for its anti-inflammatory, antioxidant and antispasmodic effects, as well as for additional biological activities proven in cell culture, animal studies and a small number of human clinical trials. The plant has also shown a marked improvement in blood lipid profile in some animal species. In the present preliminary study, we investigated the effect of a leaf extract on lipid and oxidative blood profile of hypercholesterolemic volunteers. Twelve adults received Lippia citriodora extract caps, containing 23% phenylpropanoids, (100 mg, once a day) for 16 weeks. Selected blood lipids and plasma oxidative markers were measured at baseline and after 4, 8 and 16 weeks of treatment. Compared with baseline, total cholesterol levels significantly decreased and high-density lipoprotein cholesterol increased, while low-density lipoprotein cholesterol and triglycerides showed only a downward trend. Oxidative status was improved due to a decrease in the concentration of total oxidant status, reactive oxygen metabolites and malondialdehyde, and a significant increase in ferric reducing ability of plasma, vitamin A and vitamin E. These preliminary results suggest that dietary supplementation with Lippia citriodora extract can improve the lipid profile, enhance blood antioxidant power, and could be a valuable natural compound for the management of human hypercholesterolemia
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