702 research outputs found
Mothers and fathers with Binge Eating Disorder and their 18-36 months old children: a longitudinal study on parent-infant interactions and offspring\u2019s emotional-behavioral profiles
Maternal Binge Eating Disorder (BED) has been suggested to be associated with poor parent\u2013infant interactions during feeding and with children\u2019s emotional and behavioral problems during infancy (Blissett and Haycraft, 2011). The role of fathers has received increasing consideration in recent years, yet the research has not focused on interactional patterns between fathers with BED and their children. The present study aimed to longitudinally investigate the in\ufb02uence of BED diagnosis, in one or both parents, on parent\u2013infant feeding interactions and on children\u2019s emotional\u2013behavioral functioning. 612 subjects (408 parents; 204 children), recruited in mental health services and pre-schools in Central Italy, were divided into four groups: Group 1 included families with both parents diagnosed with BED, Group 2 and 3 included families with one parent diagnosed with BED, Group 0 was a healthy control. The assessment took place at T1 (18 months of age of children) and T2 (36 months of age of children):
feeding interactions were assessed through the Scale for the Assessment of Feeding Interactions (SVIA) while child emotional\u2013behavioral functioning was evaluated with the Child Behavior Check-List (CBCL). When compared to healthy controls, the groups with one or both parents diagnosed with BED showed higher scores on the SVIA and on the CBCL internalizing and externalizing scales, indicating poorer adult\u2013child feeding interactions and higher emotional\u2013behavioral dif\ufb01culties. A direct in\ufb02uence of parental psychiatric diagnosis on the quality of mother\u2013infant and father\u2013infant interactions was also found, both at T1 and T2. Moreover, dyadic feeding interactions mediated the in\ufb02uence of parental diagnosis on children\u2019s psychological functioning. The presence of BED diagnosis in one or both parents seems to in\ufb02uence the severity of maladaptive
parent\u2013infant exchanges during feeding and offspring\u2019s emotional\u2013behavioral problems over time, consequently affecting different areas of children\u2019s psychological functioning. This is the \ufb01rst study to demonstrate the speci\ufb01c effects of maternal and paternal BED on infant development. These results could inform prevention and intervention programs in families with one or both parents diagnosed with BED
Does alexithymia have a mediating effect between impulsivity and emotional-behavioral functioning in adolescents with binge eating disorder?
Objective: Binge eating Disorder (BeD) has recently been included in the Dsm-5. like many other eating disorder symptoms, BED is often present in adolescence. No studies have specifically investigated the influence of impulsivity and alexithymia on the emotional-behavioural functioning of adolescents diagnosed with BeD. Method: in this study, we recruited n = 162 adolescents (age range: 14-18) and divided them into two groups: 78 adolescents diagnosed with BeD, according to the Dsm-5 criteria (group A), and 84 healthy controls (group B). participants completed the youth self-report (ysr/11-18), the toronto Alexithymia scale (tAs-20) and the Barratt impulsiveness scale (Bis-11). Results: the results showed that group A had higher scores of alexithymia, impulsivity and maladaptive emotionalbehavioural functioning than Group B. Furthermore, alexithymia had a mediating effect on the relationship between impulsivity and emotional-behavioural functioning. Conclusions: These results allow us to hypothesise that alexithymia is a key variable influencing the emotional and behavioural problems of adolescents affected by BED. Our data confirms the previous studies underlining the association of impulsivity and alexithymia with the diagnosis of BeD in adolescents, and our study contributes to the previous literature, emphasising the central role of alexithymia in the mediating effect between impulsivity and emotional and behavioural problems. these results suggest the importance of promoting prevention and treatment polices focused on alexithymia
Quality of Life and psychopathology in adults who underwent Hematopoietic Stem Cell Transplantation (HSCT) in childhood: a qualitative and quantitative analysis.
Background: Patients who undergo pediatric Hematopoietic Stem Cell Transplantation (HSCT) may experience long-term psychological sequelae and poor Quality of Life (QoL) in adulthood. This study aimed to investigate subjective illness experience, QoL, and psychopathology in young adults who have survived pediatric HSCT.
Method: The study involved patients treated with HSCT in the Hematology-Oncology Department between 1984 and 2007. Psychopathology and QoL were investigated using the SCL-90-R and SF-36. Socio-demographic and medical information was also collected. Finally, participants were asked to write a brief composition about their experiences of illness and care. Qualitative analysis of the texts was performed using T-LAB, an instrument for text analysis that allows the user to highlight the occurrences and co-occurrences of lemma. Quantitative analyses were performed using non-parametric tests (Spearman correlations, Kruskal-Wallis and Mann-Whitney tests).
Results: Twenty-one patients (9 males) participated in the study. No significant distress was found on the SCL-90 Global Severity Index, but it was found on specific scales. On the SF-36, lower scores were reported on scales referring to bodily pain, general health, and physical and social functioning. All the measures were significantly (p < 0.05) associated with specific socio-demographic and medical variables (gender, type of pathology, type of HSCT, time elapsed between communication of the need to transplant and effective transplantation, and days of hospitalization). With regard to the narrative analyses, males focused on expressions related to the body and medical therapies, while females focused on people they met during treatment, family members, and donors. Low general health and treatment with autologous HSCT were associated with memories about chemotherapy, radiotherapy, and the body parts involved, while high general health was associated with expressions focused on gratitude (V-Test \ub1 1.96).
Conclusion: Pediatric HSCT survivors are more likely to experience psychological distress and low QoL in adulthood compared with the general population. These aspects, along with survivors' subjective illness experience, show differences according to specific medical and socio-demographic variables. Studies are needed in order to improve the care and long-term follow-up of these families
Fetal-Perinatal Exposure to Bisphenol-A Affects Quality of Spermatozoa in Adulthood Mouse
Bisphenol-A (BPA) is considered an endocrine disruptor with estrogenic activity. It is described as an environment-polluting industrial chemical whose adverse effects on the male reproductive system depend on the period of exposure (i.e., fetal, prepubertal, or adult life). We exposed male mice to BPA during the fetal-perinatal period (from 10 days post coitum to 31 days post partum) and investigated the impact of this early-life exposure on gamete health in adulthood animals at 78 days of age. Both in control and BPA-exposed mice, viability and motility of spermatozoa, as well as sperm motility acquisition and chromatin condensation of spermatozoa, have been evaluated. Results reveal harmful effect of BPA on viability and motility of sperm cells as well as on chromatin condensation status during epididymal maturation of spermatozoa. In particular, BPA exposure interferes with biochemical mechanism useful to stabilize sperm chromatin condensation, as it interferes with oxidation of thiol groups associated to chromatin
The cannabinoid receptor cb1 stabilizes sperm chromatin condensation status during epididymal transit by promoting disulphide bond formation
The cannabinoid receptor CB1 regulates differentiation of spermatids. We recently characterized spermatozoa from caput epididymis of CB1-knock-out mice and identified a considerable number of sperm cells with chromatin abnormality such as elevated histone content and poorly condensed chromatin. In this paper, we extended our findings and studied the role of CB1 in the epididymal phase of chromatin condensation of spermatozoa by analysis of spermatozoa from caput and cauda epididymis of wild-type and CB1-knock-out mouse in both a homozygous or heterozygous condition. Furthermore, we studied the impact of CB1-gene deletion on histone displacement mechanism by taking into account the hyperacetylation of histone H4 and players of displacement such as Chromodomain Y Like protein (CDYL) and Bromodomain testis-specific protein (BRDT). Our results show that CB1, via local and/or endocrine cell-to-cell signaling, modulates chromatin remodeling mechanisms that orchestrate a nuclear condensation extent of mature spermatozoa. We show that CB1-gene deletion affects the epididymal phase of chromatin condensation by interfering with inter-/intra-protamine disulphide bridges formation, and deranges the efficiency of histone removal by reducing the hyper-acetylation of histone H4. This effect is independent by gene expression of Cdyl and Brdt mRNA. Our results reveal a novel and important role for CB1 in sperm chromatin condensation mechanisms
Characterization of estrogenic activity and site‐specific accumulation of bisphenol‐a in epididymal fat pad: Interfering effects on the endocannabinoid system and temporal progression of germ cells
The objective of this work has been to characterize the estrogenic activity of bisphenol‐A (BPA) and the adverse effects on the endocannabinoid system (ECS) in modulating germ cell progression. Male offspring exposed to BPA during the foetal‐perinatal period at doses below the no‐observed‐adverse‐effect‐level were used to investigate the exposure effects in adulthood. Results showed that BPA accumulates specifically in epididymal fat rather than in abdominal fat and targets testicular expression of 3β‐hydroxysteroid dehydrogenase and cytochrome P450 aromatase, thus promoting sustained increase of estrogens and a decrease of testosterone. The exposure to BPA affects the expression levels of some ECS components, namely type‐1 (CB1) and type‐2 cannabinoid (CB2) receptor and monoacylglycerol‐lipase (MAGL). Furthermore, it affects the temporal progression of germ cells reported to be responsive to ECS and promotes epithelial germ cell exfoliation. In particular, it increases the germ cell content (i.e., spermatogonia while reducing spermatocytes and spermatids), accelerates progression of spermatocytes and spermatids, promotes epithelial detachment of round and condensed spermatids and interferes with expression of cell–cell junction genes (i.e., zonula occcludens protein‐1, vimentin and β‐catenin). Altogether, our study provides evidence that early exposure to BPA produces in adulthood sustained and site‐specific BPA accumulation in epididymal fat, becoming a risk factor for the reproductive endocrine pathways associated to ECS
Финансово-экономический механизм функционирования кредитных союзов в Украине
Цель статьи - исследование финансово-экономического механизма функционирования кредитных союзов как альтернативного финансирования населения, что позволяет максимально приблизить финансовые услуги к потребителям, создать надлежащие условия для долгосрочного кредитования с применением современной рыночной инфраструктуры и финансовых инструментов
Geochronology, geochemistry and geodynamics of the Cabo de Gata volcanic zone, Southeastern Spain
© 2014 Societa Geologica Italiana, Roma. New 40Ar/39Ar ages and major and trace element geochemistry of the middle-late Miocene Cabo de Gata volcanic complex, southeast Spain, indicate that the volcanic activity of the Cabo de Gata volcanic zone developed over a short period through several pulses of geochemically and isotopically different parental magmas. The oldest volcanic rocks exposed in the Cabo de Gata volcanic zone are the shoshonite and high-K calc-Alkaline rocks of Bujo group, which cry - stallised from a parental magma transitional from calc-Alkaline to alkaline potassic generated through large degrees of partial melting, and then affected by a minor contribution from metasomatised veins and a larger one from the surrounding mantle wedge, in comparison to ultrapotassic melts. Subsequent partial melting of the mantle source produced typical calc-Alkaline parental magmas belonging to the Rodalquilar and Agua Amarga groups. Sr-Nd-Pb isotope and incompatible trace element distributions of Cabo de Gata rocks are in agreement with a mantle-wedge source affected by a two-fold metasomatism. The data suggested that mild potassic to sub-Alkaline subduction-related parental magmas (i.e., high-K calc-Alkaline and calc-Alkaline) were generated in the Cabo de Gata sector within a mantle wedge metasomatised by a fluid-dominated agent. In contrast, the enrichment in K2O of shoshonitic to ultrapotassic magmas was achieved through recycling of subducted sediments through melts that enriched the mantle wedge in K and related elements. Such a scenario can be easily reconciled with a geodynamic setting at the edge of a destructive plate margin with the subducted slab responsible for the recycling of sediments within the mantle wedge.Geochemical, petrographic and analytical work were supported by the Italian MIUR through Cofin_2004 (grants #2004040502_001 and 2004040502_002), Cofin_2008 (grants #2008HMHYFP_002 and 2008HMHYFP_004) and Cofin_2010-2011 (grants #2010TT22SC_001, 2010TT22SC_005 and 2010TT22SC_006; 2010TT22SC_003) projects, to Sandro Conticelli and Massimo Mattei, respectively. Further financial support for geochronological analyses was provided by Spanish projects CGL2009-06968-E, CGL2005-03511/BTE and
HI2006-0073 to Carles C. Soriano.Peer Reviewe
Effects of Obesity and Thrombophilia on the Risk of Abortion in Women Undergoing In Vitro Fertilization.
Introduction
Obesity is associated with a higher risk of abortion in women undergoing in vitro fertilization (IVF). Whether thrombophilia amplifies this risk is currently unclear. The aim of this study was to evaluate the effects of thrombophilia on the risk of abortion in obese women treated with IVF.
Methods
Patient characteristics, presence of inherited or acquired thrombophilia, and comorbidities were prospectively collected before the procedure in consecutive women undergoing IVF. The primary outcome was the incidence of abortion among women who achieved a clinical pregnancy.
Results
A total of 633 non-obese and 49 obese Caucasian women undergoing IVF were included. 204 (32%) women achieved clinical pregnancy, of whom six had an ectopic pregnancy and 63 experienced an abortion. The incidence of abortion was higher in obese women compared to non-obese women after adjusting for age (64.3% vs. 29.3%, odds ratio [OR] 4.41; 95% CI 1.41 to 13.81). Women with one or more thrombophilia were at increased risk of abortion relative to those without thrombophilia (OR 2.70; 95% CI 1.34 to 5.45), and the risk seemed to be higher with hereditary (OR 5.12; 95% CI 1.77 to 14.8) than acquired thrombophilia (OR 1.92; 95% CI 0.52 to 5.12; p for interaction 0.194). Among obese women, the presence of one or more thrombophilia seemed associated with a substantially increased risk of abortion (unadjusted OR 14.00; 95% CI 0.94 to 207.6).
Conclusions
Obese women undergoing IVF have a high risk of abortion which seems further amplified by the concomitant presence of thrombophilia
Venous thromboembolism in patients with COVID-19: Systematic review and meta-analysis
Background: Venous thromboembolism (VTE) may complicate the course of Coronavirus Disease 2019 (COVID-19). Objectives: To evaluate the incidence of VTE in patients with COVID-19. Methods: MEDLINE, EMBASE, and PubMed were searched up to 24th June 2020 for studies that evaluated the incidence of VTE, including pulmonary embolism (PE) and/or deep vein thrombosis (DVT), in patients with COVID-19. Pooled proportions with corresponding 95% confidence intervals (CI) and prediction intervals (PI) were calculated by random-effect meta-analysis. Results: 3487 patients from 30 studies were included. Based on very low-quality evidence due to heterogeneity and risk of bias, the incidence of VTE was 26% (95% PI, 6%–66%). PE with or without DVT occurred in 12% of patients (95% PI, 2%–46%) and DVT alone in 14% (95% PI, 1%–75%). Studies using standard algorithms for clinically suspected VTE reported PE in 13% of patients (95% PI, 2%–57%) and DVT in 6% (95% PI, 0%–60%), compared to 11% (95% PI, 2%–46%) and 24% (95% PI, 2%–85%) in studies using other diagnostic strategies or patient sampling. In patients admitted to intensive care units, VTE occurred in 24% (95% PI, 5%–66%), PE in 19% (95% PI, 6%–47%), and DVT alone in 7% (95% PI, 0%–69%). Corresponding values in general wards were respectively 9% (95% PI, 0%–94%), 4% (95% PI, 0%–100%), and 7% (95% CI, 1%–49%). Conclusions: VTE represents a frequent complication in hospitalized COVID-19 patients and often occurs as PE. The threshold for clinical suspicion should be low to trigger prompt diagnostic testing
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