An alarming deterioration of neurological status

This clinical case should make us reflect on the potential dangers of lithium, often too readily prescribed by non expert physicians to elderly, and often poorly compliant, patients. There also needs to be very close monitoring of plasma lithium levels, in addition to paying attention to clinical signs, such as a persistent polyuria or hyperosmolarity, because these could be important early warning signs. It is therefore useful to reiterate that, in case of lithium intoxication with altered neurological status despite improvement blood tests, it is necessary to consider pontine or extra-pontine myelinolysis as a rare but possible complicatio

Pro/Anti-Inflammatory Cytokine Imbalance in Postischemic Left Ventricular Remodeling

Objectives. Cytokines play an important role in left ventricular remodeling consequent to myocardial ischemia. The aim of this study was to correlate cytokine production and lymphocyte apoptosis to post-ischemic left ventricular remodeling in patients affected by acute myocardial infarction (AMI) undergoing primary cutaneous angioplasty (PCI). Methods. In 40 patients, affected by AMI and undergoing PCI, we evaluated peripheral blood mononuclear cells (PBMCs), tumor necrosis factor-alpha (TNF-α) and interleukin 10 (IL10) production and apoptosis on day 1, day 3, day 7, 1 month and 6 months after PCI. Patients were divided into two subgroups of remodeling or not remodeling by echocardiographic criteria. Results. In the subgroup of remodeling patients, at each timepoint TNF-α production was increased significantly in comparison with the subgroup of not remodeling patients. IL10 production was statistically lower in remodeling subjects than in not remodeling ones 1 and 6 months after reperfusion. There were no differences between the two groups as regards lymphomonocyte apoptosis. Conclusions. We found an increased production of pro-inflammatory cytokine TNF-α and a corresponding decrease of anti-inflammatory/regulatory cytokine IL10 in remodeling patients and we concluded that this cytokine imbalance resulted in pro-inflammatory effects which might contribute to the progression of left ventricular remodeling

Response of rumen microbial ecosystem to diets integrated with chestnut or quebracho tannins in dairy ewes

The aim of this study was to evaluate the response of rumen microbial ecosystem to diets integrated with chestnut or quebracho tannins in dairy ewes. The experiment was conducted as 3 X 3 Latin square design and the trial was repeated 2 times. Three fistulated ewes fed 3 diets based on chopped grass hay ad libitum administered and on 800 g / head and day of 3 experimental concentrates containing 84.5 g of soybean oil / kg of DM and 52.8 g / kg DM of bentonite (CON) or chestnut tannin extract (CHT) or quebracho tannin extract (QUE). At the end of each experimental period rumen liquor was analysed for fatty acid and microbial profiles. On the basis of the molar stoichiometric relations between rumen volatile fatty acid and CH4 production (CH4=0.45 x acetate-0.275 x propionate + 0.4 x butyrate), the CH4 emission was also predicted for each diet. A canonical correspondence analysis (CCA) was performed in order to find potential connection between microbial community, fatty acid composition of rumen liquor and potential CH4 emission, and how these connections are influenced by the different diets. DGGE bands were used as "species" data, while fatty acids and potential CH4 emission as "environmental" variables. The microbial profile was affected by the presence of tannins. The bacterial community of QUE and CHT samples of rumen liquor was positively correlated to vaccenic acid, conjugated linoleic acid and C18:2 trans-11 cis-15. Moreover, the bacterial communities as affected by CHT resulted mainly positively correlated to butyric acid, acetic acid and with potential CH4 emission. In contrast, the bacterial communities as affected by CON resulted mainly correlated positively to C18:2 cis-9 cis-12 and C18:0 production

Effect of stoned olive pomace on rumen microbial communities and polyunsaturated fatty acids biohydrogenation: an in vitro study.

Background The stoned olive pomace (SOP), which represents approximately 50% of the conversion process of olive in oil, is largely not-utilized and creates costs for its disposal and problems related to environmental impact. In-vitro trial experiments were employed to study the effect of feeds integrated with this bio-waste rich in polyphenols on rumen biohydrogenation, using sheep rumen liquor as inoculum. Results Fatty acid (FA) analysis and polymerase chain reaction denaturing gradient gel electrophoresis (DGGE) approach aimed to microbial community characterization showed that including SOP in feeds at the level of 50 g/kg and 90 g/kg induced changes in FA profile and in microbial populations. The contemporary decrease of Butyrivibrio proteoclasticus and the accumulation of vaccenic acid was observed. A depression of Neisseria weaveri, Ruminobacter amylophilus and other unclassified bacteria related to members of the Lachnospiraceae and Pasteurellaceae families was detected, suggesting that these microbial groups may be involved in rumen biohydrogenation. Conclusions Supplementation of feeds with SOP changes rumen bacterial community, including bacteria responsible for vaccenic acid hydrogenation to stearic acid, thus modifying FA profile of rumen liquor. Hence, an use of SOP aimed to produce meat or dairy products enriched in functional lipids could be hypothesized

Effect of Dietary Chestnut or Quebracho Tannin Supplementation on Microbial Community and Fatty Acid Profile in the Rumen of Dairy Ewes

Ruminants derived products have a prominent role in diets and economy worldwide; therefore, the capability to control the rumen microbial ecosystem, for ameliorating their quality, is of fundamental importance in the livestock sector. e aim of this study was to evaluate the e ect of dietary supplementation with chestnut and quebracho tannins on microbial community and fatty acid pro le, in the rumen uid of dairy ewes. Multivariate analysis of PCR-DGGE pro les of rumen microbial communities showed a correlation among the presence of chestnut or quebracho in the diet, the speci c Butyrivibrio group DGGE pro les, the increase in 18:3 cis9, cis12, and cis15; 18:2 cis9 and cis12; 18:2 cis9 and trans11; 18:2 trans11 and cis15; and 18:1 trans11 content, and the decrease in 18:0 concentration. Phylogenetic analysis of DGGE band sequences revealed the presence of bacteria representatives related to the genera Hungatella, Ruminococcus, and Eubacterium and unclassi ed Lachnospiraceae family members, suggesting that these taxa could be a ected by tannins presence in the diets. e results of this study showed that tannins from chestnut and quebracho can reduce the biohydrogenation of unsaturated fatty acids through changes in rumen microbial communities

Bosentan treatment for Raynauds phenomenon and skin fibrosis in patients with Systemic Sclerosis and pulmonary arterial hypertension: an open-label, observational, retrospective study.

Raynaud's phenomenon (RP) and cutaneous fibrosis are the distinctive manifestations of scleroderma, in which Endothelin-1 plays a fundamental pathogenetic role. Bosentan, an Endothelin-1 receptor antagonist used for the treatment of pulmonary arterial hypertension, retards the beginning of new sclerodermic digital ulcers (DU). This open-label, observational, retrospective study verified the effect of Bosentan on RP and skin fibrosis in sclerodermic outpatients affected by pulmonary arterial hypertension without DU. Fourteen subjects (13 women, 1 man; mean age 60 ± 7.5 years; ten with limited and four with diffuse scleroderma) were observed at baseline (T0) and after four (T1), twelve (T2), twenty-four (T3) and forty-eight (T4) weeks during treatment with Bosentan. They were evaluated for daily quantity and duration of RP attacks and skin thickness (using modified Rodnan total skin score, MRSS). Videocapillaroscopic evaluation was performed at TO and T4. Bosentan decreased significantly the number and duration of RP attacks, beginning at T2 (p<0.05). Videocapillaroscopy showed significant improvement of microcirculatory patterns at T4 (p<0.05). MRSS decreased throughout the study, reaching the statistical significance at T3 and T4 (p<0.01) in the whole cohort. The present data suggest that Bosentan is effective in stabilmng the microcirculation involvement and in improving skin fibrosis irrespective of scleroderma patterns

IL TRATTAMENTO DELLE DISLIPIDEMIE NELLA PREVENZIONE PRIMARIA DELLE MALATTIE CARDIOVASCOLARI: LE INDICAZIONI PER LA PRATICA CLINICA

Le dislipidemie rappresentano uno dei più importanti fattori causali della arteriosclerosi e delle sue complicanze d’organo, come l’infarto del miocardico, l’ictus e la vasculopatia periferica. Il loro appropriato trattamento rappresenta la base degli interventi di prevenzione primaria delle malattie cardiovascolari su base ischemica. In generale, per dislipidemia si intende una condizione clinica nella quale sono presenti alterazioni qualitative e/o quantitative dei lipidi e delle lipoproteine plasmatiche

Microvascular modifications in Rett Syndrome

In 1990 Dieler R. et al., described in conjunctival, muscle and peripheral artery biopsies examined by light and electron microscopy, amorphous and membranous electron-dense deposits in capillaries of Rett syndrome (RTT) patients. Subclinical myocardial dysfunctions in RTT have been recently described in the patients, together with modification of the perfusion index. The presence of cold hands and feet, and blue, is a non-neurological phenotype that characterize RTT up to now not well explained. In order to evaluate the state of the microvascularity in RTT we have performed a complexity analysis of the microvasculature in the patients. By nailfold videocapillaroscopy we observed dilated capillaries and irregular, chaotic microvascular patterns. To quantify these features we have performed a nonlinear analysis of the images. Entropy resulted higher in Rett females than in sex- and age-matched healthy individuals (p<0.001). In RTT patients subtle modifications of the microvascular system are present, aspects that deserve to be deeply investigated

Development and Experimentation of a CubeSat Magnetic Attitude Control System Testbed

For CubeSats requiring high pointing accuracy and slewing agility, ground-based hardware-in-the-loop simulations are strongly demanded to test and validate spacecraft subsystems and guidance, navigation, and control algorithms. In this article, a magnetic attitude control system (MACS) testbed for a CubeSat is developed utilizing a spherical air bearing and a Helmholtz cage. The design, development, and verification procedure of MACS is presented together with different test scenarios. To generate enough torque with the magnetorquer system in the dynamic testbed, the Helmholtz coil system of the testbed has driven to provide an augmented magnetic field. As an example of experimentation, the B-dot control algorithm was implemented to dissipate the angular momentum of the dynamic MACS testbed. The experimental results were compared with those of the numerical simulations