CDKL5 deficiency disorder: progressive brain atrophy may be part of the syndrome

The clinical phenotype of Cyclin-Dependent Kinase-Like 5 (CDKL5) deficiency disorder (CDD) has been delineated but neuroimaging features have not been systematically analyzed. We studied brain magnetic resonance imaging (MRI) scans in a cohort of CDD patients and reviewed age at seizure onset, seizure semiology, head circumference. Thirty-five brain MRI from 22 unrelated patients were included. The median age at study entry was 13.4 years. In 14/22 patients (85.7%), MRI in the first year of life was unremarkable in all but two. In 11/22, we performed MRI after 24 months of age (range 2.5-23 years). In 8 out of 11 (72.7%), MRI showed supratentorial atrophy and in six cerebellar atrophy. Quantitative analysis detected volumetric reduction of the whole brain (-17.7%, P-value = 0.014), including both white matter (-25.7%, P-value = 0.005) and cortical gray matter (-9.1%, P-value = 0.098), with a reduction of surface area (-18.0%, P-value = 0.032), mainly involving the temporal regions, correlated with the head circumference (& rho; = 0.79, P-value = 0.109). Both the qualitative structural assessment and the quantitative analysis detected brain volume reduction involving the gray and white matter. These neuroimaging findings may be related to either progressive changes due to CDD pathogenesis, or to the extreme severity of epilepsy, or both. Larger prospective studies are needed to clarify the bases for the structural changes we observed

Foscolo critico

Il volume, primo della collana open access dei "Quaderni di Gargnano", ospita i contributi presentati al XV Convegno internazionale di Letteratura italiana "Gennaro Barbarisi", tenutosi a Gargnano del Garda dal 24 al 26 settembre 2012. Il "Quaderno", dedicato al Foscolo critico, accoglie contributi di Giovanni Biancardi, Arnaldo Bruni, Andrea Campana, Massimo Castellozzi, Gustavo Costa, Alfredo Cottignoli, Christian Del Vento, Sandro Gentili, Franco Longoni, Ilaria Mangiavacchi, Donatella Martinelli, Giuseppe Natale, Enzo Neppi, Matteo Palumbo, Elena Parrini Cantini, Chiara Piola Caselli. \uc8 aperto da una Prefazione di Claudia Berra, Paolo Borsa e Giulia Ravera.This volume on "Foscolo critico" is the first volume of the "Quaderni di Gargnano", an open access book series which publishes the Proceedings of the "Gennaro Barbarisi" International Conferences on Italian Literature, held in Gargnano del Garda. It contains contributions by Giovanni Biancardi, Arnaldo Bruni, Andrea Campana, Massimo Castellozzi, Gustavo Costa, Alfredo Cottignoli, Christian Del Vento, Sandro Gentili, Franco Longoni, Ilaria Mangiavacchi, Donatella Martinelli, Giuseppe Natale, Enzo Neppi, Matteo Palumbo, Elena Parrini Cantini, Chiara Piola Caselli, preceded by a Preface by the Editor: Claudia Berra, Paolo Borsa, Giulia Ravera

Caratterizzazione sperimentale di sistemi di comunicazione UWB

Questo elaborato presenta la caratterizzazione sperimentale di un sistema di comunicazione e localizzazione della DecaWave. Il sistema analizzato �è il kit EVK1000, che permette di e�ffettuare stime di distanza tra due nodi e una comunicazione robusta ai disturbi e immune alla propagazione multicammino grazie alla tecnologia UWB

Coronella austriaca (Smooth Snake) and Zamenis longissimus (Aesculapian Snake). Defensive Behavior.

This video demonstrates behavior. Most videos in this collection have no audible language and for those that do, the language isn't necessary to understand the behavior. For that reason, transcripts are not provided.Integrative Biolog

Surface EMG Evaluation of Patellofemoral Pain Syndrome in a Professional Ballet Dancer: A Case Report

Because of the repetitive loading of the lower limb, patellar disorders are common in athletes and performing artists. Although this condition might be ascribed to different factors, the main cause is believed to be patellar maltracking. Design: Patellar maltracking is believed to be generated by an asymmetric activation of the vastus lateralis and vastus medialis obliquus muscles. A professional ballet dancer who suffered from anterior knee pain was examined. After clinical and MRI evaluations, he was subjected to surface electromyography (sEMG) of the vastus medialis obliquus and vastus lateralis. Results: We found a difference in the latency of onset of the vastus medialis obliquus and vastus lateralis of the painful right knee as compared to the asymptomatic left knee

Coronella austriaca (Smooth Snake) and Zamenis longissimus (Aesculapian Snake). Defensive Behavior.

This video demonstrates behavior. Most videos in this collection have no audible language and for those that do, the language isn't necessary to understand the behavior. For that reason, transcripts are not provided.Integrative Biolog

Upper Second Molar Distalization with Clear Aligners: A Finite Element Study

Among orthodontists and scientists, in the last years, upper molar distalization has been a debated topic in the orthodontic aligner field. However, despite that few clinical studies have been published, no insights on aligners’ biomechanics regarding this movement are available. The aim of this study was to assess, through finite element analysis, the force system resulting in the upper arch during second maxillary molar distalization with clear aligners and variable attachments settings. The average tooth distalization was found to be 0.029, with buccal flaring of the upper incisors in all attachment configurations. The mesial deformation of the aligner was registered to be 0.2 mm on average. Different pressure areas on the interface between aligners and upper molars were registered, with the mesial attachment surface to be directly involved when present. Periodontal ligament pressure was reported to range between 67 g/cm2 and 132 g/cm2. Configurations with rectangular attachments from second molar-to-canine and from first molar-to-canine present, in an in silico environment, almost equal efficiency in distalizing the upper second molar. However, attachments from the second molar to the canine are suggested to be adopted in clinical environments due to greater feasibility in everyday practice