Headache disorders as risk factors for sleep disturbances in school aged children.

Several epidemiological studies have shown the presence of comorbidity between various types of sleep disorders and different headache subtypes. Migraine without aura is a sensitive risk factor for disorders of initiating and maintaining sleep (odds ratio (OR) 8.2500), and chronic tension-type headache for sleep breathing disorders (OR 15.231), but headache disorder is a cumulative risk factor for disorders of excessive somnolence (OR 15.061). This result has not been reported in the clinical literature. © Springer-Verlag Italia 2005

il volto della morte: le maschere funerarie della sepoltura dei preti morti di Gangi

riassunto — Le mummie moderne e il signifcato recondito della doppia sepoltura nelle culture mediterranee moderne sono da tempo ampiamente dibattuti. In questo lavoro si discute di una particolare “collezione” di corpi di ecclesiastici, mummifcati ed esposti in un comune montano madonita della Sicilia, Gangi. I corpi, principalmente risalenti al XIX secolo, mummifcati per colatura come nella tradizione del tempo e vestiti degli abiti talari, sono esposti nel piano sottostante della Chiesa Madre, in quella che nella tradizione è detta la “fossa dei parrini” (fossa dei preti). Le mummie, a differenza di altri siti siciliani e mediterranei, sono altresì corredate di sonetto commemorativo e di maschera mortuaria realizzata in cera fne. L’interesse precipuo del nostro studio si è rivolto proprio a questa particolare manifestazione complessa della doppia sepoltura, che risiede nella rappresentazione del volto. Il lavoro esprime una disamina del concetto di maschera mortuaria nell’antichità e porta alla conclusione che il luogo, per le sue valenze scenografche e per la sofsticatezza della ritualizzazione dovesse essere stato ideato per l’ostentazione e il consolidamento dell’immagine della Chiesa e del suo potere all’interno della piccola società rurale

Flowering patterns in sub-Mediterranean grasslands: a functional approach

Background and aims – Temporal phenological segregation among species within a plant community can be viewed as a niche differentiation that promotes species co-existence. Following this hypothesis the functional assessment of the flowering pattern was analysed in sub-Mediterranean mountain grassland. Methods – The study was carried out in two sites at different elevations. Four fenced plots of 50 m2 each were established in both sites. Phenological relevés were carried out in each plot every fifteen days and soil samples were collected in each plot. The functional traits sets of the flowering species were analysed at each considered time interval. Key results – Each phenological phase tends to be linked to a group of functional traits (e.g. bulbs or tuber/rhizome, low height and spring green leaves for the early spring period; rhizome or tuber, hemicryptophyte caespitose, mid height, presence of stolons and persistent green leaves for the late spring period). Dominant species reach their maximum phenological forwardness in the middle of the vegetative season, while nondominant species ‘exploit’ the beginning and end of the vegetative season. Two main sets of strategies allowing non-dominant species to co-exist with the dominant ones were highlighted. The first characterizes the tall graminoids-dominated patches, where a pattern of traits allows subordinate species to differentiate the flowering temporal niche compared to the dominant ones. The second set of strategies is related to some small-sized species, which can co-exist with dominant species by exploiting gaps due to livestock disturbance, or by forming patches given their clonal ability. This strategy allows them to share the optimal temporal niche with dominant species. Conclusions – Flowering pattern promotes species co-existence and is driven by functional differentiation of species that in turn is filtered by environmental stress/disturbance type and intensity

Fatal cranial injury in an individual from Messina (Sicily) during the times of the Roman Empire

Forensic and archaeological examinations of human skeletons can provide us with evidence of violence. In this paper, we present the patterns of two cranial lesions found on an adult male (T173) buried in a grave in the necropolis ‘Isolato 96’, Messina, Sicily, dating back to the Roman Empire (1st century BC - 1st century AD). The skull reveals two perimortem traumatic lesions, one produced by a sharp object on the right parietal bone and the other one on the left parietal bone, presumably the result of a fall. The interpretation of fracture patterns found in this cranium are an illustration of how forensic approaches can be applied with great benefit to archaeological specimens. 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved

Growth and remodeling in highly stressed solid tumors

Growing biological media develop residual stresses to make compatible elastic and inelastic growth-induced deformations, which in turn remodel the tissue properties modifying the actual elastic moduli and transforming an initially isotropic and homogeneous material into a spatially inhomogeneous and anisotropic one. This process is crucial in solid tumor growth mechanobiology, the residual stresses directly influencing tumor aggressiveness, nutrients walkway, necrosis and angiogenesis. With this in mind, we here analyze the problem of a hyperelastic sphere undergoing finite heterogeneous growth, in cases of different boundary conditions and spherical symmetry. By following an analytical approach, we obtain the explicit expression of the tangent elasticity tensor at any point of the material body as a function of the prescribed growth, by involving a small-on-large procedure and exploiting exact solutions for layered media. The results allowed to gain several new insights into how growth-guided mechanical stresses and remodeling processes can influence the solid tumor development. In particular, we highlight that— under hypotheses consistent with mechanical and physiological conditions—auxetic (negative Poisson ratio) transformations of the elastic response of selected growing mass districts could occur and contribute to explain some not yet completely understood phenomena associated to solid tumors. The general approach proposed in the present work could be also helpfully employed to conceive composite materials where ad hoc pre-stress distributions can be designed to obtain auxetic or other selected mechanical properties

Thermal and mechanical properties of polycaprolactone-based composites with diatomaceous earth and halloysite nanotubes

1. Introduction The biodegradable polymers have been attracted interest for the design of green composites in recent decades to face the urgent environmental issues. Polycaprolactone (PCL) is one of the most promising environmentally friendly polymers. Recent studies have reported that blending PCL with different types of fillers may affect its physic-chemical properties and crystallization rate. Halloysite nanotubes (HNT) and diatomaceous earth (DE) have been recently investigated for the preparation of PCL-based composites with appealing performances1,2. Both are naturally occurring materials with nanoscale dimensions and a structure that lend them also absorbent properties. Potentialities of such materials in polymer composites need to be further developed for environmental remediation applications3. For the study, binary blends of PCL with HNT and DE were prepared by melt mixing, starting from 5 w/t% of filler to the maximum miscible concentration to the polymer. The thermal and mechanical properties of the obtained composites were investigated. Thermogravimetric analysis, differential scanning calorimetry and dynamic mechanical analysis were employed for the research purposes. 2. Results and Discussion Thermogravimetric analysis (TGA): The measurements were carried out by using the Q5000 IR instrument (TA Instruments) under nitrogen flow of 25 cm3/min by heating the samples from 20° to 800 °C. with a rate of 1°C/min. The degradation temperature of the pristine materials and their composites were taken at the maximum of the first order derivative curves of mass percentage vs. temperature. It was observed that concentration of HNTs up to 15 w/t% did not affect the thermal stability of PCL. The recorded Tmax values show no significant variations compared to pristine PCL. Higher content of HNT, beyond these levels, leads to a significative decrease in the thermal stability of the PCL matrix, resulted in a lower onset decomposition temperature. The addition of DE did not significatively affect the thermal stability of the composites, with a similar onset temperature for all of composites as the DE content increased. Graphs of the residue vs filler concentration showed a good dispersion degree of the filler particles throughout the polymeric matrix. Differential scanning calorimetry (DSC): The melting and crystallization behaviour testing of the composites and of pristine materials were carried out by using the differential scanning calorimeter TA Instrument DSC (2920 CE). Samples of approximately 5 mg were heated from 25°C to 80°C at a rate of 1 °C/min, under nitrogen atmosphere. The melting temperatures at the onset (Tmi), at the peak (Tmp) and the enthalpy of melting (ΔHm) per gram of PCL in the composites were calculated. The heating thermograms showed melting temperatures values constant for both PCL-based composites as compared to the neat PCL. The crystallinity degree (ꭓc) of PCL did not change for blends with DE while significant variations were observed in PCL/HNT nanocomposites. The results showed that, up to the filler concentration of 15 wt%, ꭓc increase, indicating that the well-dispersed HNT acted as nucleating agents in the PCL matrix. At higher concentrations, the crystallinity degree decreased, affected by the achievement of the percolation threshold of HNT and by the consequent decrease in molecular mobility of the PCL chains in the nanocomposites. Dynamic mechanical analysis (DMA): Dynamic mechanical measurements were performed by using the DMA Q800 (TA Instruments). The temperature range was 30° to 80°C with a scan rate of 2°C/min, at an applied oscillation frequency of 1 Hz and strain of 0.5%. The shear gear method with samples of a surface of 100 mm2 were employed to measure the elastic (storage modulus) and the viscous (loss modulus) components and tan delta parameters. For the study, the peak maximum of the loss modulus curves was considered. It was observed that these values reduced in the filled system as compared to the pristine counter parts, which is due to the reduction of viscous component of the polymer matrix by the presence of HNT and DE. 3. Conclusions Well-dispersed binary blends of PCL with HNT and DE were prepared by melt mixing. Composites with the maximum miscible concentration to the polymer were obtained since there is a lack of information in the literature on the evolution of crystallization rate in PCL composites containing high percentages of fillers. TGA and DSC analysis evidenced that the thermal properties of the polymer are mostly affected by the HNT addition and that the HNT concentration of 15 w/t% represents a sort of critical threshold after which a change in the behaviour of the composites occurs. Viscoelastic measurements showed that both fillers increase the capacity of PCL to store energy during mechanical stress as their content percentage increases. The reported data are the result of a preliminary characterization of sustainable composites whose potential for environmental remediation applications is currently being studied. References 1. Kassa, A.,et al. Effects of montmorillonite, sepiolite, and halloysite clays on the morphology and properties of polycaprolactone bionanocomposites. Polym.Compos. 28(2020) 2. Oun, A. A.,et al. Comparative study of oregano essential oil encapsulated in halloysite nanotubes and diatomaceous earth as antimicrobial and antioxidant composites. Appl. Clay Sci. 224(2022) 3. Cavallaro, G.,et al. Organic-nanoclay composite materials as removal agents for environmental decontamination. RSC Adv. 9(2019

Lamotrigine versus valproic acid as first-line monotherapy in newly diagnosed typical absence seizures: an open-label,randomized, parallel-group study

Purpose: To compare the efficacy of lamotrigine (LTG) and valproic acid (VPA) in newly diagnosed children and adolescents with typical absence seizures. Methods: A randomized, open-label parallel-group design was used. After undergoing an awake video-EEG recording, which included one to two trials of 3 min of hyperventilation and intermittent photic stimulation, eligible patients were randomized to receive LTG or VPA. LTG was initiated at a daily dose of 0.5 mg/kg for 2 weeks in two divided doses, followed by 1.0 mg/kg/day for an additional 2 weeks. Thereafter, doses were increased in 1-mg/kg/day increments every 5 days until seizures were controlled, intolerable adverse effects occurred, or a maximum dose of 12 mg/kg/day had been reached. VPA was equally uptitrated according to clinical response, starting at 10 mg/kg and increasing by 5 mg/kg/24 h every 3 days, if required, to a maximum of 30 mg/kg/day in three divided doses. Patients were seen in the clinic every month for ≤12 months.The primary efficacy end point at each visit was seizure freedom, defined as lack of clinically observed seizures since the previous visit and lack of electroclinical seizures during ambulatory 24-h EEG testing and a video-EEG session with hyperventilation. Results: Thirty-eight children (17 boys, 21 girls), aged from 3 to 13 years (mean, 7.5 years), all newly diagnosed with childhood or juvenile typical absence seizures, were enrolled. After 1 month of treatment, 10 (52.6%) of 19 children taking VPA and one (5.3%) of 19 taking LTG were seizure free (p = 0.004). By the 3-month follow-up, 12 (63.1%) children taking VPA and seven (36.8%) taking LTG were controlled (p = 0.19). After 12 months, 13 children taking VPA (dose range, 20–30 mg/kg/day; mean serum level, 76.8 mg/L; range, 51.4–91 mg/L) and 10 taking LTG (dose range, 2–11 mg/kg/day; mean serum level, 8.1 mg/L; range, 1.1–18 mg/L) were seizure free (p=0.51). Side effects were mostly mild and transient and were recorded in two (10.6%) children treated with VPA and in six (31.8%) treated with LTG. Conclusions: Both VPA and LTG can be efficacious against absence seizures, although VPA shows a much faster onset of action, at least in part because of its shorter titration schedule. KeyWords: Lamotrigine—Valproic acid—Typical absences— Monotherapy. Valproic acid (VPA) and ethosuximide (ESM) have been shown to be equally effective as monotherapy for typical absence seizures (1,2), and, at present, they are generally considered first-choice drugs for this seizure type. VPA controls absences in∼75% of patients, in addition to being effective against generalized tonic–clonic seizures (70%) and myoclonic seizures (75%). However, its use may involve safety risks for postmenarchal women (3). ESM produces complete control of absences in 70% of treated patients (4,5), but it is unsuitable as monotherapy Accepted Ma

Behavioural Differences in Sensorimotor Profiles: A Comparison of Preschool-Aged Children with Sensory Processing Disorder and Autism Spectrum Disorders

Sensory Processing Disorders (SPDs) define dysfunctions in modulating, organising, and using information from several sensory channels for regulating motor, behavioural, emotional and attention responses. Although SPD can be identified also as an isolated condition in young children, its presence in Autism Spectrum Disorder (ASD) population is really frequent. The study purpose is to explore the SPD clinical expression and the putative correlation with several behavioural aspects both in children with ASD and in those with isolated SPD. Therefore, 43 preschool-aged children (25 ASD vs. 18 SPD) were recruited, and their parents completed three questionnaires (Developmental Profile-3, Sensory Processing Measure–Preschool, Repetitive Behaviour Scale-Revised) to evaluate behavioural alterations and developmental levels. The main result is that both ASD and SPD groups had significantly sensory-related behavioural symptoms, although ASD children seem to be more impaired in all areas. Several significant correlations were found between sensory processing difficulties and repetitive behaviours, but in the SPD group a specific relationship between Body Awareness and Ritualistic/Sameness Behaviour was found. Conversely, in the ASD group, more diffuse interlinks between sensory processing difficulties and motor behaviours were significant. In conclusion, the present study confirms the key role of sensory–motor skills in early diagnosis and intervention among children at risk for neurodevelopmental disorders