Neoclassical realism and Italy's military behaviour, 1946–2010: a combined dyad/nation analysis

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Atypical antipsychotics and metabolic syndrome : from molecular mechanisms to clinical differences

Atypical antipsychotics (AAPs) are commonly prescribed medications to treat schizophre-nia, bipolar disorders and other psychotic disorders. However, they might cause metabolic syndrome (MetS) in terms of weight gain, dyslipidemia, type 2 diabetes (T2D), and high blood pressure, which are responsible for reduced life expectancy and poor adherence. Importantly, there is clear evidence that early metabolic disturbances can precede weight gain, even if the latter still remains the hallmark of AAPs use. In fact, AAPs interfere profoundly with glucose and lipid homeostasis acting mostly on hypothalamus, liver, pancreatic β-cells, adipose tissue, and skeletal muscle. Their ac-tions on hypothalamic centers via dopamine, serotonin, acetylcholine, and histamine receptors affect neuropeptides and 5′ AMP-activated protein kinase (AMPK) activity, thus producing a supra-physiological sympathetic outflow augmenting levels of glucagon and hepatic glucose production. In addition, altered insulin secretion, dyslipidemia, fat deposition in the liver and adipose tissues, and insulin resistance become aggravating factors for MetS. In clinical practice, among AAPs, olan-zapine and clozapine are associated with the highest risk of MetS, whereas quetiapine, risperidone, asenapine and amisulpride cause moderate alterations. The new AAPs such as ziprasidone, lurasi-done and the partial agonist aripiprazole seem more tolerable on the metabolic profile. However, these aspects must be considered together with the differences among AAPs in terms of their efficacy, where clozapine still remains the most effective. Intriguingly, there seems to be a correlation between AAP’s higher clinical efficacy and increase risk of metabolic alterations. Finally, a multidisciplinary approach combining psychoeducation and therapeutic drug monitoring (TDM) is proposed as a first-line strategy to avoid the MetS. In addition, pharmacological treatments are discussed as well.Publisher PDFPeer reviewe

Monitoring riverbank erosion in mountain catchments using terrestrial laser scanning

Sediment yield is a key factor in river basins management due to the various and adverse consequences that erosion and sediment transport in rivers may have on the environment. Although various contributions can be found in the literature about sediment yield modeling and bank erosion monitoring, the link between weather conditions, river flow rate and bank erosion remains scarcely known. Thus, a basin scale assessment of sediment yield due to riverbank erosion is an objective hard to be reached. In order to enhance the current knowledge in this field, a monitoring method based on high resolution 3D model reconstruction of riverbanks, surveyed by multi-temporal terrestrial laser scanning, was applied to four banks in Val Tartano, Northern Italy. Six data acquisitions over one year were taken, with the aim to better understand the erosion processes and their triggering factors by means of more frequent observations compared to usual annual campaigns. The objective of the research is to address three key questions concerning bank erosion: "how" erosion happens, "when" during the year and "how much" sediment is eroded. The method proved to be effective and able to measure both eroded and deposited volume in the surveyed area. Finally an attempt to extrapolate basin scale volume for bank erosion is presented

Remote Sensing for Landslide Investigations: An Overview of Recent Achievements and Perspectives

Landslides represent major natural hazards, which cause every year significant loss of lives and damages to buildings, properties and lifelines. In the last decades, a significant increase in landslide frequency took place, in concomitance to climate change and the expansion of urbanized areas. Remote sensing techniques represent a powerful tool for landslide investigation: applications are traditionally divided into three main classes, although this subdivision has some limitations and borders are sometimes fuzzy. The first class comprehends techniques for landslide recognition, i.e., the mapping of past or active slope failures. The second regards landslide monitoring, which entails both ground deformation measurement and the analysis of any other changes along time (e.g., land use, vegetation cover). The third class groups methods for landslide hazard analysis and forecasting. The aim of this paper is to give an overview on the applications of remote-sensing techniques for the three categories of landslide investigations, focusing on the achievements of the last decade, being that previous studies have already been exhaustively reviewed in the existing literature. At the end of the paper, a new classification of remote-sensing techniques that may be pertinently adopted for investigating specific typologies of soil and rock slope failures is proposed

The Large ARtery Intracranial Occlusion Stroke Scale: A New Tool With High Accuracy in Predicting Large Vessel Occlusion

Objectives: The combination of systemic thrombolysis and mechanical thrombectomy is indicated in patients with ischemic stroke due to a large vessel occlusion (LVO) and these treatments are time-dependent. Rapid identification of patients with suspected LVO also in a prehospital setting could influence the choice of the destination hospital. Aim of this pilot study was to evaluate the predictive role of a new stroke scale for LVO, comparing it to other scores.Patients and Methods: All consecutive patients admitted to our comprehensive stroke center with suspected ischemic stroke were studied with a CT angiography and 5 different stroke scales were applied. The Large ARtery Occlusion (LARIO) stroke scale consists of 5 items including the assessment of facial palsy, language alteration, grip and arm weakness, and the presence of neglect. A Receiving Operating Characteristic curve was evaluated for each stroke scale to explore the level of accuracy in LVO prediction.Results: A total of 145 patients were included in the analysis. LVO was detected in 37.2% of patients. The Area Under Curve of the LARIO score was 0.951 (95%CI: 0.902–0.980), similar to NIHSS and higher than other scales. The cut-off score for best performance of the LARIO stroke scale was higher than 3 (positive predictive value: 77% and negative predictive value: 100%).Conclusion: The LARIO stroke scale is a simple tool, showing high accuracy in detecting LVO, even if with some limitations due to some false positive cases. Its efficacy has to be confirmed in a pre-hospital setting and other centers

geoelectrical characterization and monitoring of slopes on a rainfall triggered landslide simulator

Abstract In this paper, we present the results of time-lapse electrical resistivity tomography (ERT) monitoring of rainfall-triggered shallow landslides reproduced on a laboratory-scale physical model. The main objective of our experiments was to monitor rainwater infiltration through landslide body in order to improve our understanding of the precursors of failure. Time-domain reflectometry (TDR) data were also acquired to obtain the volumetric water content. Knowing the porosity, water saturation was calculated from the volumetric water content and we could calibrate Archie's equation to calculate water saturation maps from inverted resistivity values. Time-lapse ERT images proved to be effective in monitoring the hydrogeological conditions of the slope as well as in detecting the development of fracture zones before collapse. We performed eight laboratory tests and the results show that the landslide body becomes unstable at zones where the water saturation exceeds 45%. It was also observed that instability could occur at the boundaries between areas with different water saturations. Our study shows that time-lapse ERT technique can be employed to monitor the hydrogeological conditions of landslide bodies and the monitoring strategy could be extended to field-scale applications in areas prone to the development of shallow landslides

Co-Transplantation of endothelial progenitor cells and pancreatic islets to induce long-lasting normoglycemia in streptozotocin-treated diabetic rats

Graft vascularization is a crucial step to obtain stable normoglycemia in pancreatic islet transplantation. Endothelial progenitor cells (EPCs) contribute to neoangiogenesis and to the revascularization process during ischaemic events and play a key role in the response to pancreatic islet injury. In this work we co-transplanted EPCs and islets in the portal vein of chemically-induced diabetic rats to restore islet vascularization and to improve graft survival. Syngenic islets were transplanted, either alone or with EPCs derived from green fluorescent protein (GFP) transgenic rats, into the portal vein of streptozotocin-induced diabetic rats. Blood glucose levels were monitored and intraperitoneal glucose tolerance tests were performed. Real time-PCR was carried out to evaluate the gene expression of angiogenic factors. Diabetic-induced rats showed long-lasting (6 months) normoglycemia upon co-transplantation of syngenic islets and EPCs. After 3–5 days from transplantation, hyperglycaemic levels dropped to normal values and lasted unmodified as long as they were checked. Further, glucose tolerance tests revealed the animals' ability to produce insulin on-demand as indexed by a prompt response in blood glucose clearance. Graft neovascularization was evaluated by immunohistochemistry: for the first time the measure of endothelial thickness revealed a donor-EPC-related neovascularization supporting viable islets up to six months after transplant. Our results highlight the importance of a newly formed viable vascular network together with pancreatic islets to provide de novo adequate supply in order to obtain enduring normoglycemia and prevent diabetes-related long-term health hazards

miR-21: an oncomir on strike in prostate cancer

<p>Abstract</p> <p>Background</p> <p>Aberrant expression of microRNAs, small non-coding RNA molecules that post-transcriptionally repress gene expression, seems to be causatively linked to the pathogenesis of cancer. In this context, miR-21 was found to be overexpressed in different human cancers (e.g. glioblastoma, breast cancer). In addition, it is thought to be endowed with oncogenic properties due to its ability to negatively modulate the expression of tumor-suppressor genes (e.g. <it>PTEN</it>) and to cause the reversion of malignant phenotype when knocked- down in several tumor models. On the basis of these findings, miR-21 has been proposed as a widely exploitable cancer-related target. However, scanty information is available concerning the relevance of miR-21 for prostate cancer. In the present study, we investigated the role of miR-21 and its potential as a therapeutic target in two prostate cancer cell lines, characterized by different miR-21 expression levels and <it>PTEN </it>gene status.</p> <p>Results</p> <p>We provide evidence that miR-21 knockdown in prostate cancer cells is not sufficient <it>per se </it>i) to affect the proliferative and invasive potential or the chemo- and radiosensitivity profiles or ii) to modulate the expression of the tumor-suppressors PTEN and Pdcd4, which in other tumor types were found to be regulated by miR-21. We also show that miR-21 is not differently expressed in carcinomas and matched normal tissues obtained from 36 untreated prostate cancer patients subjected to radical prostatectomy.</p> <p>Conclusions</p> <p>Overall, our data suggest that miR-21 is not a central player in the onset of prostate cancer and that its single hitting is not a valuable therapeutic strategy in the disease. This supports the notion that the oncogenic properties of miR-21 could be cell and tissue dependent and that the potential role of a given miRNA as a therapeutic target should be contextualized with respect to the disease.</p

Hydration, pH, pigmentation, sebum and skin texture: an in vivo non invasive study in centenaries

Skin is the largest organ of the human body and during aging it shows easily modifications caused by the senescence. Hydration, pH, pigmentation, sebum and skin texture may undergo modifications, above all in centenaries. We can find some papers that analyse the modifications induced by aging (Marrakchi et al., 2007); but no one of these studies people in the range 90-110 years old. Thus, our work has the aim to verify how these parameters can change. In our study we recruited 80 volunteers of Sardinian population divided in two groups: young and old people. We analyzed levels of sebum, hydration, pigmentation and pH with instruments of Courage + Khazaka electronic GmbH. Then we prepared the imprint that must be observed at SEM. The microscope used was a FEI INSPECT S, wherewith we took some photos of each imprint. The modifications are: hydration and sebum decrease significantly in centenaries; pigmentation and pH levels were higher in the old volunteers like demonstrated by other authors (Stucker et al., 2002). Studying skin texture, we found a diminution of furrows in old people. We can say that decrease of hydration and sebum is mainly linked to low level of hormones, such as estrogens and androgens, while the augmentation of pigmentation is due to the thinness of skin; the higher values of pH have probably a relation with a minor presence of sebum and water in cutaneous surface. Furthermore, accuracy of the pictures taken with SEM demonstrates that the study of skin texture associated with analysis of pH, sebum, pigmentation and hydration can help the comprehension of skin aging