obesity weight loss and heart failure

Background The current scientific data controversially indicate obesity both as a risk factor for developing congestive heart failure (CHF) and a positive prognostic factor. Aims The present study evaluated the impact of weight loss on clinical and instrumental parameters in a selected group of obese patients with CHF. Methods An overall population of 560 HF patients was sub-grouped on the basis of the Body Mass Index (BMI): 8.2% were underweight (BMI 31). Of the 46 overweight and obese patients, 28 (55.2% men, age 51–80 years) accepted a tailored low-caloric dietary program for at least 4 months. The 28 patients belonged to both obese and overweight groups (BMI>27.8) and were in NYHA classes II–III. Mean follow-up was 5 months. Results The mean loss of body weight was 4 kg in 81.4% of patients, versus 3 kg mean increase in whole (560 patients) population (72.5–75.5 kg). In the 28 patients we recorded a significant ( p <0.05) improvement of NYHA class, better control of arterial blood pressure and statistically significant ( p <0.05) lowering of total cholesterol and triglyceride levels. Conclusions Tailored dietetic program may improve clinical and instrumental parameters in patients with CHF

Dormant Mycobacterium tuberculosis fails to block phagosome maturation and shows unexpected capacity to stimulate specific human T lymphocytes

Dormancy is defined as a stable but reversible nonreplicating state of Mycobacterium tuberculosis. It is currently thought that dormant M. tuberculosis (D-Mtb) is responsible for latent tuberculosis (TB) infection. Recently, D-Mtb was also shown in sputa of patients with active TB, but the capacity of D-Mtb to stimulate specific immune responses was not investigated. We observed that purified protein derivative-specific human CD4(+) T lymphocytes recognize mycobacterial Ags more efficiently when macrophages are infected with D-Mtb instead of replicating M. tuberculosis (R-Mtb). The different Ag recognition occurs even when the two forms of mycobacteria equally infect and stimulate macrophages, which secrete the same cytokine pattern and express MHC class I and II molecules at the same levels. However, D-Mtb but not R-Mtb colocalizes with mature phagolysosome marker LAMP-1 and with vacuolar proton ATPase in macrophages. D-Mtb, unlike R-Mtb, is unable to interfere with phagosome pH and does not inhibit the proteolytic efficiency of macrophages. We show that D-Mtb downmodulates the gene Rv3875 encoding for ESAT-6, which is required by R-Mtb to block phagosome maturation together with Rv3310 gene product SapM, previously shown to be downregulated in D-Mtb. Thus, our results indicate that D-Mtb cannot escape MHC class II Ag-processing pathway because it lacks the expression of genes required to block the phagosome maturation. Data suggest that switching to dormancy not only represents a mechanism of survival in latent TB infection, but also a M. tuberculosis strategy to modulate the immune response in different stages of TB

Discovery of very high energy gamma-rays from the flat spectrum radio quasar 3C 279 with the MAGIC telescope

3C 279 is one of the best studied flat spectrum radio quasars located at a comparatively large redshift of z = 0.536. Observations in the very high energy band of such distant sources were impossible until recently due to the expected steep energy spectrum and the strong gamma-ray attenuation by the extragalactic background light photon field, which conspire to make the source visible only with a low energy threshold. Here the detection of a significant gamma-ray signal from 3C 279 at very high energies (E > 75 GeV) during a flare in early 2006 is reported. Implications of its energy spectrum on the current understanding of the extragalactic background light and very high energy gamma-ray emission mechanism models are discussed.Comment: 4 pages, 6 figures, submitted to proceedings of "4th Heidelberg International Symposium on High Energy Gamma-Ray Astronomy 2008

Middle term results of tantalum acetabular cups in total hip arthroplasty following pelvic irradiation

Objectives: The aim of this study was to evaluate the middle term cup survival, assess the functional implementation and the radiographic evolution of tantalum acetabular cups implanted on patients with a history of pelvic radiotherapy. Methods: From 2005 to 2013, we performed 12 THA replacements (4 males 8 females; mean age: 46.6 years (range 25\u201375)) on irradiated bone with Trabecular metal acetabular cups, 8 primary implants and 4 revision implants. The mean radiation dose delivered was 5500 cGy (range 3000 cGy\u201313,600 cGy). The mean follow-up was 68 months, ranging from 38 to 136. Postoperative follow-up time was assessed at 1, 3, 6 and 12 months, then annually. Double projection radiographs were requested at each control. Radiographic signs of loosening were investigated by X-rays looking for radiolucent lines. We used the Harris hip score for the clinical and functional evaluation. Results: To now none of the 12 patients in the series needed any revision surgery for aseptic loosening. In the revision group one patient have been revised for septic loosening, two patients have been treated by conservative procedure for hip dislocation. Post-operative Harris hip score improved from an average of 46 points to 85.3 points. At last follow-up we found only in one case radiographic signs of progressive lucent line, without clinical sign of failure. Conclusion: In a clinical setting, tantalum cup seems to provide a good stability due to the integration of the trabecular metal to the underline cancellous bone. The reported results, in agreement with literature data, propose the use of tantalum cups in irradiated bone. Level of evidence: Level IV, therapeutic study

Stroboscopic Laser Diagnostics for Detection of Ordering in One-Dimensional Ion beam

A novel diagnostic method for detecting ordering in one-dimensional ion beams is presented. The ions are excited by a pulsed laser at two different positions along the beam and fluorescence is observed by a group of four photomultipliers. Correlation in fluorescence signals is firm indication that the ion beam has an ordered structure.Comment: 7 pages, REVTEX, fig3 uuencoded, figs 1-2 available upon request from [email protected], to appear in Phys. Rev.

Optimizing detection of RET and PPARg rearrangements in thyroid neoplastic cells using a home-brew tetracolor probe

BACKGROUND Fluorescence in situ hybridization (FISH) to identify specific DNA target sequences in the nuclei of nondividing cells of numerous solid neoplasms has contributed to the introduction of molecular cytogenetics as a useful adjunct to cytology, leading recently to the "marriage" of the 2 disciplines. Numerous cancer molecular markers can now be investigated using different technical approaches, at both the gene and expression levels, in biopsies of various suspected cancers, including differentiated thyroid carcinoma. The limited amount of bioptic material is often insufficient to carry out multiple tests, and optimizing handling of the biopsy is desirable. METHODS We have developed a home-brew tetracolor break-apart probe able to simultaneously identify the 2 most common genetic alterations in differentiated thyroid carcinoma: RET/PTC variants in papillary thyroid carcinoma and PAX8/PPARg fusion and variants in follicular thyroid carcinoma. RESULTS The probe had 100% specificity, 99.5% sensitivity, and >= 3% cutoff. The probe was tested on RET/PTC and PAX8/PPARg RT-PCR positive controls, and feasibility was assessed in 368 thyroid nodule fine-needle aspirations (FNA). In the latter analysis, 24 FNAs had split RET signal, and 9 had split PPARg signal. FISH analysis of available surgically removed nodules confirmed the sensitivity of FISH in detecting abnormal clones and oligoclones. CONCLUSIONS The home-brew tetracolor probe showed high feasibility, optimizing the use of the biological material in relation to the available molecular tests and maximizing the FISH experimental and slide-scoring times. This probe may be considered an alternative to RT-PCR when recovery and quality of RNA amplification from FNA are insufficient

Same Sign WW Scattering Process as a Probe of Higgs Boson in pp Collision at s\sqrt{s} = 10 TeV

WW scattering is an important process to study electroweak symmetry breaking in the Standard Model at the LHC, in which the Higgs mechanism or other new physics processes must intervene to preserve the unitarity of the process below 1 TeV. This channel is expected to be one of the most sensitive to determine whether the Higgs boson exists. In this paper, the final state with two same sign Ws is studied, with a simulated sample corresponding to the integrated luminosity of 60 fb$^{-1}$ in pp collision at $\sqrt{s}=$10 TeV. Two observables, the invariant mass of $\mu\mu$ from W decays and the azimuthal angle difference between the two $\mu$s, are utilized to distinguish the Higgs boson existence scenario from the Higgs boson absence scenario. A good signal significance for the two cases can be achieved. If we define the separation power of the analysis as the distance, in the log-likelihood plane, of pseudo-experiments outcomes in the two cases, with the total statistics expected from the ATLAS and CMS experiments at the nominal centre-of-mass energy of 14 TeV, the separation power will be at the level of 4 $\sigma$.Comment: 5 pages, 4 figures, 3 table