The effects of statins on blood pressure: current knowledge and future perspectives

Statin therapy has gained interest in the field of hypertension due to the potential role of different statin agents in blood pressure (BP) lowering [1-3]. The potential mechanisms involved include the downregulation of the angiotensin II-type 1 receptor, the decrease of vasoconstrictor endothelin-1 levels, and the increase in the endothelial production of nitric oxide (NO), an effect that is correlated with the upregulation of endothelial NO synthase expression [4-6]. Furthermore, we have recently reported the effects of statin treatment on endothelial function, oxidative stress and inflammation in patients with hypertension and normal cholesterol levels [7]. Yet, despite the beneficial effects shown by statins in hypertensive animal models as well as in small clinical studies, the results from meta-analyses and large clinical trials have been controversial. Indeed, the Anglo-Scandinavian Cardiac Outcomes Trial-Lipid Lowering Arm (ASCOT-LLA) [8] demonstrated that the combination of amlodipinebased therapy and atorvastatin was highly effective in preventing cardiovascula

Is subclinical cardiovascular disease linked with periodontal disease in diabetic and non-diabetic subjects?

: Periodontal disease leads to a systemic hyper-inflammatory state that might impair other co-morbidities including cardiovascular disease. Evidence-based findings showed that periodontitis may be linked with subclinical signs of cardiovascular diseases such as arterial stiffness. Nevertheless, some contrasting results have been reported over the years. A cross-sectional study regarding the relationship between periodontal disease and subclinical cardiovascular diseases, in non-diabetic and diabetic individuals, has been recently published. Therefore, the aim of this commentary is to give an in-depth on this topic

GOLD: Gaussians of Local Descriptors for Image Representation

The Bag of Words paradigm has been the baseline from which several successful image classification solutions were developed in the last decade. These represent images by quantizing local descriptors and summarizing their distribution. The quantization step introduces a dependency on the dataset, that even if in some contexts significantly boosts the performance, severely limits its generalization capabilities. Differently, in this paper, we propose to model the local features distribution with a multivariate Gaussian, without any quantization. The full rank covariance matrix, which lies on a Riemannian manifold, is projected on the tangent Euclidean space and concatenated to the mean vector. The resulting representation, a Gaussian of local descriptors (GOLD), allows to use the dot product to closely approximate a distance between distributions without the need for expensive kernel computations. We describe an image by an improved spatial pyramid, which avoids boundary effects with soft assignment: local descriptors contribute to neighboring Gaussians, forming a weighted spatial pyramid of GOLD descriptors. In addition, we extend the model leveraging dataset characteristics in a mixture of Gaussian formulation further improving the classification accuracy. To deal with large scale datasets and high dimensional feature spaces the Stochastic Gradient Descent solver is adopted. Experimental results on several publicly available datasets show that the proposed method obtains state-of-the-art performance

Distributed Bragg reflectors for the colorimetric detection of bacterial contaminants and pollutants for food quality control

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Sequestration of Alkyltin(IV) Compounds in Aqueous Solution: Formation, Stability, and Empirical Relationships for the Binding of Dimethyltin(IV) Cation by N- and O-Donor Ligands

The sequestering ability of polyamines and aminoacids of biological and environmental relevance (namely, ethylenediamine, putrescine, spermine, a polyallylamine, a branched polyethyleneimine, aspartate, glycinate, lysinate) toward dimethyltin(IV) cation was evaluated. The stability of various dimethyltin(IV) / ligand species was determined in NaClaq at t = 25°C and at different ionic strengths (0.1 ≤ I/mol L−1 ≤ 1.0), and the dependence of stability constants on this parameter was modeled by an Extended Debye-Hückel equation and by Specific ion Interaction Theory (SIT) approach. At I = 0.1 mol L−1, for the ML species we have log K = 10.8, 14.2, 12.0, 14.7, 11.9, 7.7, 13.7, and 8.0 for ethylenediamine, putrescine, polyallylamine, spermine, polyethyleneimine, glycinate, lysinate, and aspartate, respectively. The sequestering ability toward dimethyltin(IV) cation was defined by calculating the parameter pL50 (the total ligand concentration, as −log CL, able to bind 50% of metal cation), able to give an objective representation of this ability. Equations were formulated to model the dependence of pL50 on different variables, such as ionic strength and pH, and other empirical predictive relationships were also found

Altilix\uae Supplement Containing Chlorogenic Acid and Luteolin Improved Hepatic and Cardiometabolic Parameters in Subjects with Metabolic Syndrome: A 6 Month Randomized, Double-Blind, Placebo-Controlled Study

The objective was to evaluate the eects of 6 months of supplementation with Altilix\uae, containing chlorogenic acid and its derivatives, and luteolin and its derivatives, on cardiovascular risk and hepatic markers in subjects with metabolic syndrome (MetS). A randomized, double-blind, placebo-controlled study was performed in 100 subjects with MetS with a follow-up period of 6 months; 50 subjects were randomized to Altilix\uae (26 men and 24 women, mean age 63 8 years) and the other 50 to placebo (28 men and 22 women, mean age 63 11 years). Anthropometric, cardiometabolic, and hepatic parameters were assessed at baseline and at the end of follow-up. Carotid intima-media thickness and endothelial function were assessed by doppler ultrasound and by flow-mediated dilation of the brachial artery, respectively. The presence and degree of non-alcoholic fatty liver disease (NAFLD) was assessed by the fatty liver index (FLI), and subjects were divided into three subgroups: (1) without NAFLD; (2) with borderline NAFLD; and (3) with NAFLD. After 6 months of Altilix\uae supplementation, we found a significant improvement vs. placebo in most of the evaluated parameters, including body weight (2.40% (95% CI 3.79, 1.01); p < 0.001), waist circumference (2.76% (95% CI 4.55, 0.96); p = 0.003), HbA1c (0.95% (95% CI 1.22, 0.67); p < 0.001), plasma lipids, FLI (21.83% (95% CI 27.39, 16.27); p < 0.001), hepatic transaminases, flow-mediated dilation (10.56% (95% CI 5.00, 16.12); p < 0.001), and carotid intima-media thickness (39.48% (95% CI 47.98, 30.97); p < 0.001). Further, the improvement in cardiometabolic variables was independent of the degree of hepatic steatosis. Altilix\uae supplementation improved hepatic and cardio-metabolic parameters in MetS subjects. Altilix\uae supplementation was a beneficial approach in the management of hepatic and cardiometabolic alterations in MetS subjects

SIPMO 2019

The biennial Congress of the Italian Society of Oral Pathology and Medicine (SIPMO) is an International meeting dedicated to the growing diagnostic challenges in the oral pathology and medicine field. The III International and XV National edition will be a chance to discuss clinical conditions which are unusual, rare, or difficult to define. Many consolidated national and international research groups will be involved in the debate and discussion through special guest lecturers, academic dissertations, single clinical case presentations, posters, and degree thesis discussions. The SIPMO Congress took place from the 17th to the 19th of October 2019 in Bari (Italy), and the enclosed copy of Proceedings is a non-exhaustive collection of abstracts from the SIPMO 2019 contributions

Aggiornamenti epidemiologici sull’echinococcosi animale in Italia

Cystic Echinococcosis (CE) is one of the most widespread parasitoses in the Mediterranean Region (MR). This is due to various factors, the most important being the close association between man, sheep and dogs in areas where open farming is practised. Although this disease has been known for several years and many studies have been carried out, nowadays in Italy there are no complete epidemiological data on its diffusion and distribution. The available data show that CE is mainly diffused in those districts where the sheep-dog cycle can be perpetuated, such as central and southern Italy, and the islands. Furthermore, no data are available on biomolecular characterisation of the strains of Echinococcus granulosus in Italy, apart form those in Sardinia, where the G1 (sheep-dog) and G7 (pig-dog) strains were recently isolated. One of the reasons why CE is a problem with no easy solution is undoubtedly the difficulty of making a certain diagnosis in the dog, the principal definitive host of E. granulosus

Managing the Systemic Impact of Periodontitis

Periodontitis is a microbially driven host-mediated disease that leads to loss of periodontal attachment and bone. It is associated with elevation of systemic inflammatory markers and with the presence of systemic co-morbidities. Furthermore, periodontal treatment leads to a 24-48 h-long acute local and systemic inflammatory response. This systemic response might increase the burden of patients with compromised medical history and/or uncontrolled systemic diseases. The correlation between periodontitis and systemic diseases, the impact of periodontitis on the quality of life and public health, the effects of periodontal treatment on systemic health and disease, and the available methods to manage systemic inflammation after periodontal therapy are discussed. The main focus then shifts to a description of the existing evidence regarding the impact of periodontitis and periodontal treatment on systemic health and to the identification of approaches aiming to reduce the effect of periodontitis on systemic inflammation