613 research outputs found
Cytotoxic Activity of Oleocanthal Isolated from Virgin Olive Oil on Human Melanoma Cells
Oleocanthal is one of the phenolic compounds of extra virgin olive oil with important anti-inflammatory properties. Although its potential anticancer activity has been reported, only limited evidence has been provided in cutaneous malignant melanoma. The present study is aimed at investigating the selective in vitro antiproliferative activity of oleocanthal against human malignant melanoma cells. Since oleocanthal is not commercially available, it was obtained as a pure standard by direct extraction and purification from extra virgin olive oil. Cell viability experiments carried out by WST-1 assay demonstrated that oleocanthal had a remarkable and selective activity for human melanoma cells versus normal dermal fibroblasts with IC50s in the low micromolar range of concentrations. Such an effect was paralleled by a significant inhibition of ERK1/2 and AKT phosphorylation and downregulation of Bcl-2 expression. These findings may suggest that extra virgin olive oil phenolic extract enriched in oleocanthal deserves further investigation in skin cancer
Arterial blood gas analysis: base excess and carbonate are predictive of noninvasive ventilation adaptation and survival in amyotrophic lateral sclerosis
Objective: To investigate the role of arterial blood gas (ABG) analysis parameters (blood carbon dioxide, pCO2; oxygen, pO2; carbonate, HCO3−; standard base excess, SBE) in monitoring respiratory f..
Lifetime Sport Practice and Brain Metabolism in Amyotrophic Lateral Sclerosis
Objective: To evaluate the metabolic correlates of lifetime sport practice in ALS through brain 18F-FDG-PET. Methods: 131 patients completed a questionnaire about lifetime exposures, including physical activity related to sports, hobbies and occupations, and underwent brain 18F-FDG-PET. Exposure to sports was expressed as MET (Metabolic Equivalent of Task). We considered only regular practice (at least 2 h/week, for at least three months). We compared brain metabolism between two groups: subjects who did not report regular sport practice during life (N-group) and patients who did (Y-group). The resulting significant clusters were used in each group as seed regions in an interregional correlation analysis (IRCA) to evaluate the impact of lifetime sport practice on brain networks typically involved by the neurodegenerative process of ALS. Each group was compared to healthy controls (HC, n = 40). Results: We found a significant, relative cerebellar hypermetabolism in the N-group compared to the Y-group. The metabolism of such cerebellar cluster resulted correlated to more significant and widespread metabolic changes in areas known to be affected by ALS (i.e. frontotemporal regions and corticospinal tracts) in the N-group as compared to the Y-group, despite the same level of disability as expressed by the ALS FRS-R. Such findings resulted independent of age, sex, site of onset (bulbar/spinal), presence/absence of C9ORF72 expansion, cognitive status and physical activity related to hobbies and occupations. When compared to HC, the N-group showed more widespread metabolic changes than the Y-group in cortical regions known to be relatively hypometabolic in ALS patients as compared to HC. Conclusions: We hypothesize that patients of the N-group might cope better with the neurodegenerative process, since they show more widespread metabolic changes as compared to the Y-group, despite the same level of disability. Nevertheless, further studies are necessary to corroborate this hypothesis
Serum chloride as a respiratory failure marker in amyotrophic lateral sclerosis
Respiratory failure is the most common cause of death in patients with amyotrophic lateral sclerosis (ALS) and occurs with great variability among patients according to different phenotypic features. Early predictors of respiratory failure in ALS are important to start non-invasive ventilation (NIV). Venous serum chloride values correlate with carbonate (HCO3-) blood levels and reflect metabolic compensation of respiratory acidosis. Despite its wide availability and low cost, few data on serum chloride as a prognostic marker exist in ALS literature. In the present study, we evaluated serum chloride values at diagnosis as prognostic biomarkers for overall survival and NIV adaptation in a retrospective center-based cohort of ALS patients. We collected all ALS patients with serum chloride assessment at diagnosis, identified through the Piemonte and Valle d’Aosta Register for ALS, evaluating the correlations among serum chloride, clinical features, and other serum biomarkers. Thereafter, time-to-event analysis was modeled to predict overall survival and NIV start. We found a significant correlation between serum chloride and inflammatory status markers, serum sodium, forced vital capacity (FVC), ALS functional rating scale-revised (ALSFRS-R) item 10 and 11, age at diagnosis, and weight loss. Time-to-event analysis confirmed both in univariate analysis and after multiple confounders’ adjustment that serum chloride value at diagnosis significantly influenced survival and time to NIV start. According to our analysis, based on a large ALS cohort, we found that serum chloride analyzed at diagnosis is a low-cost marker of impending respiratory decompensation. In our opinion, it should be added among the serum prognostic biomarkers that are able to stratify patients into different prognostic categories even when performed in the early phases of the disease
Analysis of biological diversity and miscegenation in the city of Puerto Madryn (Prov.of Chubut, Argentina)
En el marco del estudio de la composición genética de las poblaciones cosmopolitas de Argentina, se analizó una muestra poblacional de la localidad de Puerto Madryn (PM) con la finalidad de evaluar su diversidad biológica mediante la utilización de marcadores biparentales y uniparentales y comparar los resultados con los obtenidos previamente por nuestro equipo de investigación en seis poblaciones cosmopolitas de distintas regiones de la Argentina, aunque poniendo el énfasis a las correspondientes a la Región Patagónica. Las muestras biológicas fueron tomadas con consentimiento informado a 82 dadores de sangre no emparentados que concurrieron al Banco de Sangre y al Hospital Subzonal de dicha localidad, a quienes también se les realizó una encuesta genealógica. A partir de los datos proporcionados por los marcadores autosómicos se registró una contribución europea de 67.2%, amerindia de 29.4% y africana de 3.4%. A un origen amerindio fueron adscriptos el 59.9% y 8.7% de los linajes maternos y paternos, respectivamente, revelando un desigual aporte autóctono por género. El aporte europeo se vio representado principalmente por el Hg H (19.5%) y se detectaron sólo dos linajes subsaharianos. En PM las migraciones desde el centro del país han generado un fuerte impacto, reflejado en la mayor contribución de marcadores europeos respecto de dos muestras estudiadas previamente en Chubut (Comodoro Rivadavia y Esquel). Estas diferencias al interior de una misma provincia nos advierten que no puede abordarse el análisis de la constitución genética de las poblaciones sin dar cuenta de las particularidades regionales.In the frame of the study of the genetic composition of Argentinean cosmopolitan populations, a population sample of the city of Puerto Madryn (PM) was analyzed in order to evaluate its biological diversity using biparental and uniparental markers and compare the results with those previously obtained by our research team in six cosmopolitan populations from different regions of Argentina. The emphasis was laid on the populations of the Patagonia region. Biological samples were taken with informed consent from 82 unrelated blood donors, who attended the Regional Blood Bank and Hospital of the town and also underwent a genealogical survey. From the data obtained by analyzing autosomal markers, a European contribution of 67.2%, an Amerindian one of 29.4%, and an African one of 3.4% were estimated. The 59.9% and 8.7% of the maternal and paternal lineages, respectively, were ascribed to Native American origins, revealing an unequal gender indigenous contribution. The European contribution was mainly represented by H Hg (19.5%), and only two sub-Saharan lineages were detected. In PM, migrations from the center of the country have had a strong impact, as reflected in the greater contribution of European markers, with respect to the two samples previously studied in the province of Chubut (Comodoro Rivadavia and Esquel). These differences warn us of the necessity of accounting for the regional particularities when analyzing the genetic constitution of populations.Fil: Parolin, María Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Nacional Patagónico; ArgentinaFil: Avena, Sergio Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; ArgentinaFil: Fleischer, Silvina. Puerto Madryn. Hospital Subzonal Andrés Isola; ArgentinaFil: Pretell, Mariana. Puerto Madryn. Hospital Subzonal Andrés Isola; ArgentinaFil: Di Fabio Rocca, Francisco. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; Argentina. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Rodriguez, Debora A.. Universidad Maimonides. Area de Invest.biomedicas y Biotecnologicas; Argentina. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Dejean, Cristina B.. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; ArgentinaFil: Postillone, María Bárbara. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; Argentina. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Vaccaro, Maria S.. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; ArgentinaFil: Dahinten, Silvia Lucrecia V.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Nacional Patagónico; ArgentinaFil: Manera, Guillermo. Puerto Madryn. Hospital Subzonal Andrés Isola; ArgentinaFil: Carnese, Francisco Raul. Universidad de Buenos Aires. Facultad de Filosofía y Letras. Instituto de Ciencias Antropologicas; Argentina. Universidad Maimónides. Area de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentin
Psychological treatments and psychotherapies in the neurorehabilitation of pain. Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation
BACKGROUND:
It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams.
OBJECTIVES:
To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases.
METHODS:
A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions.
RESULTS:
The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache.
CONCLUSIONS:
Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the pape
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