Applying clustering based on rules on WHO-DAS II for knowledge discovery on functional disabilities

The senior citizens represent a fast growing proportion of the population in Europe and other developed areas. This increases the proportion of persons with disability and reducing quality of life. The concept of disability itself is not always precise and quantifiable. To improve agreement on the concept of disability, the World Health Organization (WHO) developed a clinical test WHO Disability Assessment Schedule, (WHO-DASII) that is understood to include physical, mental, and social well-being, as a generic measure of functioning. From the medical point of view, the purpose of this work is to extract knowledge on the performance of the test WHO-DASII on the basis of a sample of neurological patients from an Italian hospital. This Knowledge Discovery problem has been faced by using clustering based on rules, a technique stablished on 1994 by Gibert which combines some Inductive Learning (from AI) methods with Statistics to extract knowledge on ill-structured domains (that is complex domains where consensus is not achieved, like is the case). So, in this paper, the results of applying this technique to the WHO-DASII results is presented.Postprint (published version

CD8+ T Cells: GITR Matters

As many members of the tumor necrosis factor receptor superfamily, glucocorticoid-induced TNFR-related gene (GITR) plays multiple roles mostly in the cells of immune system. CD8+ T cells are key players in the immunity against viruses and tumors, and GITR has been demonstrated to be an essential molecule for these cells to mount an immune response. The aim of this paper is to focus on GITR function in CD8+ cells, paying particular attention to numerous and recent studies that suggest its crucial role in mouse disease models

The Role of Traditional and Online Moral Disengagement on Cyberbullying:Do Externalising Problems Make Any Difference?

This study examines the differential role of traditional and online moral disengagement (MD) in relation to cyberbullying. Traditional MD is operationalised as a process operating across contexts, whereas online MD as a contextualised process related to online settings. We hypothesised that they are separate, although correlated, and have different roles depending on externalising tendencies. The sample comprised 856 high school students (mean age = 14.7, S.D. = 1.7; 45.6% females). Regression analyses highlighted that: a) for low externalising adolescents, only online MD was significantly related to cyberbullying; b) for medium externalising adolescents, both online and traditional MD are significant, with the former more strongly associated with cyberbullying; c) for high externalising adolescents, traditional MD is key. Cluster analyses identified five configurations: 1) the Externalising Traditionally Disengaged; 2) the Externalising Not-Disengaged; 3) the Online Disengaged; 4) the All Good; and 5) the Unsuspected. The Online Disengaged has the highest engagement in cyberbullying. The Unsuspected (showing the same low externalising behaviour but significantly higher level of online MD than the All Good) engage in cyberbullying as much as Externalising Traditionally Disengaged and Not-Disengaged. These findings have implications for intervention programmes, underlining the relevance of considering the moral processeses within the online environment

are we able to harness the immunomodulatory power of cytokines for novel autoimmune disease treatments

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Balance between Regulatory T and Th17 Cells in Systemic Lupus Erythematosus: The Old and the New

Pathogenic mechanisms underlying the development of systemic lupus erythematosus (SLE) are very complex and not yet entirely clarified. However, the pivotal role of T lymphocytes in the induction and perpetuation of aberrant immune response is well established. Among T cells, IL-17 producing T helper (Th17) cells and regulatory T (Treg) cells represent an intriguing issue to be addressed in SLE pathogenesis, since an imbalance between the two subsets has been observed in the course of the disease. Treg cells appear to be impaired and therefore unable to counteract autoreactive T lymphocytes. Conversely, Th17 cells accumulate in target organs contributing to local IL-17 production and eventually tissue damage. In this setting, targeting Treg/Th17 balance for therapeutic purposes may represent an intriguing and useful tool for SLE treatment in the next future. In this paper, the current knowledge about Treg and Th17 cells interplay in SLE will be discussed

Disruption of neurite morphology parallels MS progression

Objectives: To apply advanced diffusion MRI methods to the study of normal appearing brain tissue in MS and examine their correlation with measures of clinical disability. Methods: A multi-compartment model of diffusion MRI called neurite orientation dispersion and density imaging (NODDI) was used to study 20 patients with relapsing-remitting (RR-) and 15 with secondary progressive (SP)-MS, and 20 healthy controls. Maps of NODDI were analyzed voxel-wise to assess the presence of abnormalities within the normal appearing brain tissue, and the association with disease severity. Standard diffusion tensor imaging (DTI) parameters were also computed for comparing the two techniques. Results: MS patients showed reduced neurite density and increased orientation dispersion compared to controls in several brain areas (P<0.05), with SPMS patients having more widespread abnormalities. DTI indices were also sensitive to some changes. In addition, SPMS patients showed reduced orientation dispersion in the thalamus and caudate nucleus. These abnormalities were associated with scores of disease severity (P<0.05). The association with the MS functional composite score was higher in SPMS compared to RRMS patients. Conclusions: NODDI and DTI findings are largely overlapping. Nevertheless, NODDI helps to interpret previous findings of increased anisotropy in the thalamus of MS patients, and are consistent with the degeneration of selective axon populations

Enhanced expression of hepatic lipogenic enzymes in an animal model of sedentariness.

The hindlimb-suspended rat was used as animal model to investigate the effects induced by immobilization of the skeletal muscle in the expression of the genes encoding hepatic lipogenic enzymes. Following a 14-day period of immobilization, rats were injected intraperitoneally with radioactive acetate, and the labeling of hepatic lipids and cholesterol was evaluated 15 min after the isotope injection. The incorporation of labeled acetate in lipids and cholesterol was almost three times higher in the liver of immobilized rats than in control animals as a consequence of the enhanced transcription of the genes encoding acetyl-CoA synthase, acetyl-CoA carboxylase, fatty acid synthase, and 3-hydroxy-3-methylglutaryl-CoA reductase. The high expression of the key enzymes for fatty acid and cholesterol synthesis induced by immobilization was not paralleled by an increase of the hepatic sterol-regulatory element binding protein (SREBP)-1 and SREBP-2 mRNA content. However, the expression of the mature form of SREBP-1 and SREBP-2 was higher in the nuclear fraction of immobilized rat liver than in controls due to a significant increase of the cleavage of the native proteins. Immobilization also affected the expression of proteins involved in lipid degradation. In fact, the hepatic content of peroxisome proliferator-activated receptor-alpha (PPARalpha) mRNA and of PPARalpha target genes encoding carnitine palmitoyl transferase-1 and acyl-CoA oxidase were significantly increased upon immobilization

GITR-GITRL System, A Novel Player in Shock and Inflammation

Glucocorticoid-induced TNFR-Related (GITR) protein is a member of the tumor necrosis factor receptor superfamily that modulates acquired and natural immune response. It is expressed in several cells and tissues, including T cells, natural killer cells, and, at lower levels, in cells of innate immunity. GITR is activated by its ligand, GITRL, mainly expressed on antigen presenting and endothelial cells. Recent evidence suggests that the GITR/GITRL system participates in the development of inflammatory responses, including shock, either due to early response of neutrophils and macrophages, or together with autoimmune/allergic pathogenesis. The proinflammatory role of the GITR/GITRL system is due to: 1) modulation of the extravasation process, 2) activation of innate immunity cells, 3) activation of effector T cells also favored by partial inhibition of suppressor T cells and modulation of dendritic function. This review summarizes the in vivo role of the GITR/GITRL system in inflammation and shock, explaining the mechanisms responsible for their effects, considering the interplay among the different cells of the immune system and transduction pathways activated by GITR and GITRL triggering. The hidden aspects about GITR/GITRL function, crucial for treatment planning of inflammatory diseases and shock by modulation of this system is stressed