89 research outputs found
ΠΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π»ΠΎΠ½Π΄ΠΎΠ½ΡΠΊΠΎΠ³ΠΎ ΡΠ΅ΠΊΡΡΠ° Π² ΠΏΠΎΠ²Π΅ΡΡΠΈ Π. Π. ΠΠ°ΠΌΡΡΠΈΠ½Π° "ΠΡΡΡΠΎΠ²ΠΈΡΡΠ½Π΅"
Π‘ΡΠ°ΡΡΡ ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π° Π°Π½Π°Π»ΠΈΠ·Ρ Π»ΠΎΠ½Π΄ΠΎΠ½ΡΠΊΠΎΠ³ΠΎ ΡΠ΅ΠΊΡΡΠ° ΡΡΡΡΠΊΠΎΠΉ ΠΊΡΠ»ΡΡΡΡΡ ΠΏΠ΅ΡΠ²ΠΎΠΉ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Ρ Π₯Π₯ Π². Π½Π° ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π΅ ΠΏΠΎΠ²Π΅ΡΡΠΈ Π. Π. ΠΠ°ΠΌΡΡΠΈΠ½Π° "ΠΡΡΡΠΎΠ²ΠΈΡΡΠ½Π΅". ΠΠΏΠ΅ΡΠ²ΡΠ΅ ΠΎΠ±ΡΠ°Π· Π³ΠΎΡΠΎΠ΄Π° ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°Π΅ΡΡΡ ΡΠΊΠ²ΠΎΠ·Ρ ΠΏΡΠΈΠ·ΠΌΡ ΠΌΠΎΠ΄Π΅ΡΠ½ΠΈΡΡΡΠΊΠΎΠΉ ΠΏΠΎΡΡΠΈΠΊΠΈ. ΠΠΎΠ½Π΄ΠΎΠ½ ΠΊΠ°ΠΊ ΡΠ΅Π½ΡΡ Π½Π°ΡΡΠ½ΠΎΠ³ΠΎ, ΡΠ°ΡΠΈΠΎΠ½Π°Π»ΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΏΠΎΠ·Π½Π°Π½ΠΈΡ ΡΡΠ°Π½ΠΎΠ²ΠΈΡΡΡ Π²ΠΎΠΏΠ»ΠΎΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΈΠ΄Π΅ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΌΠΎΠ΄Π΅ΡΠ½ΠΈΠ·ΠΌΠ°. ΠΡΠΎ Π΄Π°Π΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π³ΠΎΠ²ΠΎΡΠΈΡΡ ΠΎ ΠΌΠ½ΠΎΠ³ΠΎΡΡΠΎΠ²Π½Π΅Π²ΠΎΠΉ ΡΡΡΡΠΊΡΡΡΠ΅ Π²ΠΎΡΠΏΡΠΈΡΡΠΈΡ Π³ΠΎΡΠΎΠ΄Π° Π² ΡΠ°ΠΌΠΊΠ°Ρ
ΡΡΡΡΠΊΠΎΠΉ ΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΠΎΠΊΠ°Π·ΡΠ²Π°Π΅ΡΡΡ, ΠΊΠ°ΠΊ ΠΎΠ±ΡΠ°Π· ΡΡΠΎΠ»ΠΈΡΡ Π·Π°ΠΏΠ°Π΄Π½ΠΎΠΉ ΡΠΈΠ²ΠΈΠ»ΠΈΠ·Π°ΡΠΈΠΈ ΡΡΠ²Π°ΠΈΠ²Π°Π΅ΡΡΡ ΡΡΡΡΠΊΠΈΠΌ ΡΠΎΠ·Π½Π°Π½ΠΈΠ΅ΠΌ ΠΈ Π²ΠΊΠ»ΡΡΠ°Π΅ΡΡΡ Π² ΠΎΠ±ΡΠ΅ΡΡΡΡΠΊΠΈΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΠΉ ΠΈ ΠΊΡΠ»ΡΡΡΡΠ½ΡΠΉ ΠΊΠΎΠ½ΡΠ΅ΠΊΡΡ
ΠΡΡΡΠ΅ΡΡΠ²Π»Π΅Π½ΠΈΠ΅ Π½Π°Π»ΠΎΠ³ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π½Π° ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ ΡΡΠ°ΠΏΠ°Ρ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ ΠΏΡΠ΅Π΄ΠΏΡΠΈΡΡΠΈΡ
ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΡΡΠ»ΠΎΠ²ΠΈΡ ΡΠ΅Π°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π½Π°Π»ΠΎΠ³ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π½Π° ΡΠ°Π·Π½ΡΡ
ΡΡΠ°Π΄ΠΈΡΡ
ΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎΠ³ΠΎ ΡΠΈΠΊΠ»Π° Ρ
ΠΎΠ·ΡΠΉΡΡΠ²ΡΡΡΠ΅Π³ΠΎ ΡΡΠ±ΡΠ΅ΠΊΡΠ°. ΠΠΎΠΊΠ°Π·Π°Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π²Π»ΠΈΡΠ½ΠΈΡ Π½Π°Π»ΠΎΠ³ΠΎΠ² Π½Π° ΠΏΡΠΈΠ½ΡΡΠΈΠ΅ ΠΏΡΠ΅Π΄ΠΏΡΠΈΠ½ΠΈΠΌΠ°ΡΠ΅Π»ΡΡΠΊΠΈΡ
ΠΈ ΡΠΏΡΠ°Π²Π»Π΅Π½ΡΠ΅ΡΠΊΠΈΡ
ΡΠ΅ΡΠ΅Π½ΠΈΠΉ Π²Π½ΡΡΡΠΈ ΠΏΡΠ΅Π΄ΠΏΡΠΈΡΡΠΈΡ
A POWHEG generator for deep inelastic scattering
We present a new event generator for the simulation of both neutral- and
charged-current deep inelastic scattering (DIS) at next-to-leading order in QCD
matched to parton showers using the POWHEG method. Our implementation builds on
the existing POWHEG BOX framework originally designed for hadron-hadron
collisions, supplemented by considerable extensions to account for the
genuinely different kinematics inherent to lepton-hadron collisions. In
particular, we present new momentum mappings that conserve the special
kinematics found in DIS, which we use to modify the POWHEG BOX implementation
of the Frixione-Kunszt-Signer subtraction mechanism. We compare our predictions
to fixed-order and resummed predictions, as well as to data from the HERA ep
collider. Finally we study a few representative distributions for the upcoming
Electron Ion Collider.Comment: 54 pages, 25 figures, code obtainable from
svn://powhegbox.mib.infn.it/trunk/User-Processes-RES/DI
Economic implications in inflammatory bowel disease: results from a retrospective analysis in an Italian Centre
BACKGROUND: Inflammatory bowel disease (IBD) represents a group of chronic conditions characterized by elevated costs. Over the last years, also a considerable healthcare burden associated with IBD has emerged, due to an increasing use of biological drugs and hospitalization costs. Despite the creation of local or regional databases, data regarding healthcare expenditure are lacking in Italy.AIM: To evaluate the treatment cost (biological drugs and hospitalizations) for patients with ulcerative colitis (UC) or Crohnβs disease (CD) treated with biological drugs.METHODS: Disease severity was evaluated by clinical scores (partial Mayo score and Harvey Bradshaw Index). We analyzed retrospectively patients treated with biologics referred to our IBD Unit between May 2015-April 2016 who underwent at least six months of follow-up (last visit October 2016). We calculated a mean cost per month of treatment for each patient. We also investigated the presence of any correlation between the monthly cost of treatment and demographic or clinical variables.RESULTS: We enrolled 142 patients (52 UC, mean age 44.3 years, male 40.4%; 90 CD, mean age 38.8 years, male 56.7%). About half of CD patients (48.9%) underwent previous intestinal surgery. The disease severity was higher in UC group vs CD group. In UC group infliximab was the most prescribed biologic (51.9%), followed by golimumab (26.9%) and adalimumab (21.2%). While CD patients were treated with adalimumab in 54.4% and infliximab in 45.6%. The mean monthly cost of treatment was β¬ 1,235.41 Β± 358.38 for UC and β¬ 1,148.92 Β± 337.36 for CD (p = 0.16). In both groups expenditure due to biologics amounts for more than 80%. We found a correlation between costs and disease activity (UC: p < 0.01; CD: p < 0.01).CONCLUSION: The main cost is due to biological drugs, but patients enrolled were the most severe in comparison to the whole IBD population under conventional therapy. As no cost differences were found between biologic drugs and the way of administration (intravenous or subcutaneous), the therapeutic choice should be driven by clinical reasons and not only economic ones
Cost per NNT for upadacitinib in the treatment of patients with moderate-severe atopic dermatitis in Italy
Background:Β Targeted systemic therapies, including abrocitinib, baricitinib, dupilumab, tralokinumab and upadacitinib, are new treatments for moderate to severe atopic dermatitis (AD). We evaluated the efficacy and the costs of these targeted systemic therapies in the treatment of adult patients with moderate to severe AD.
Methods:Β The clinical efficacy was assessed considering the results of a previous network meta-analysis (NMA). The analysis involved five therapies approved in Italy for the treatment of moderate to severe AD: abrocitinib (ABR), baricitinib (BAR), dupilumab (DUP), tralokinumab (TRA) and upadacitinib (UPA). According to the NMA, the cost of the treatment was based on the number of administrations dispensed at 16 weeks and the clinical efficacy was measured by the number needed to treat (NNT) compared to placebo using the improvement β₯ 75% (EASI-75) or β₯ 90 (EASI-90) from baseline of the eczema area and severity index (EASI). Only the ex-factory price of the targeted systemic therapies was considered. The cost per NNT was adopted as a cost-effectiveness indicator.
Results:Β At 16 weeks, the cost per NNT based on EASI-75 was lower for UPA 15 mg (β¬ 6,384.00) compared to BAR 4 mg (β¬ 11,619.73) and 2 mg (β¬ 14,524.66), ABR 100 mg (β¬ 16,265.22), DUP 300 mg (β¬ 16,115.04) and TRA 300 mg (β¬ 31,710.24). UPA 15 (β¬ 8,512.00) also showed the lower cost per NNT based on EASI-90 at 16 weeks compared to BAR 4 mg (β¬ 14,788.75) and 2 mg (β¬ 20,862.70), ABR 100 mg (β¬ 25,922.69), DUP 300 mg (β¬ 25,992.00) and TRA 300 mg (β¬ 41,067.36).
Conclusions:Β The findings show that upadacitinib is the most cost-effective option (cost per NNT) for the treatment of moderate to severe atopic dermatitis
Cell Swelling Stimulates Cytosol to Membrane Transposition of ICln
ICln is a multifunctional protein that is essential for cell volume regulation. It can be found in the cytosol and is associated with the cell membrane. Besides its role in the splicing process, ICln is critically involved in the generation of ion currents activated during regulatory volume decrease after cell swelling (RVDC). If reconstituted in artificial bilayers, ICln can form ion channels with biophysical properties related to RVDC. We investigated (i) the cytosol versus cell membrane distribution of ICln in rat kidney tubules, NIH 3T3 fibroblasts, Madin-Darby canine kidney (MDCK) cells, and LLC-PK1 epithelial cells, (ii) fluorescence resonance energy transfer (FRET) in living fibroblasts between fluorescently tagged ICln and fluorochromes in the cell membrane, and (iii) possible functional consequences of an enhanced ICln presence at the cell membrane. We demonstrate that ICln distribution in rat kidneys depends on the parenchymal localization and functional state of the tubules and that cell swelling causes ICln redistribution from the cytosol to the cell membrane in NIH 3T3 fibroblasts and LLC-PK1 cells. The addition of purified ICln protein to the extracellular solution or overexpression of farnesylated ICln leads to an increased anion permeability in NIH 3T3 fibroblasts. The swelling-induced redistribution of ICln correlates to altered kinetics of RVDC in NIH 3T3 fibroblasts, LLC-PK1 cells, and MDCK cells. In these cells, RVDC develops more rapidly, and in MDCK cells the rate of swelling-induced depolarization is accelerated if cells are swollen for a second time. This coincides with an enhanced ICln association with the cell membrane
A bright megaelectronvolt emission line in -ray burst GRB 221009A
The highly variable and energetic pulsed emission of a long gamma-ray burst
(GRB) is thought to originate from local, rapid dissipation of kinetic or
magnetic energy within an ultra-relativistic jet launched by a newborn compact
object, formed during the collapse of a massive star. The spectra of GRB pulses
are best modelled by power-law segments, indicating the dominance of
non-thermal radiation processes. Spectral lines in the X-ray and soft
-ray regime for the afterglow have been searched for intensively, but
never confirmed. No line features ever been identified in the high energy
prompt emission. Here we report the discovery of a highly significant () narrow emission feature at around MeV in the brightest ever GRB
221009A. By modelling its profile with a Gaussian, we find a roughly constant
width MeV and temporal evolution both in energy ( MeV
to MeV) and luminosity ( erg/s to erg/s) over 80 seconds. We interpret this feature as a blue-shifted
annihilation line of relatively cold ()
electron-positron pairs, which could have formed within the jet region where
the brightest pulses of the GRB were produced. A detailed understanding of the
conditions that can give rise to such a feature could shed light on the so far
poorly understood GRB jet properties and energy dissipation mechanism.Comment: Submitte
Alternative molecular mechanisms for force transmission at adherens junctions via Ξ²-catenin-vinculin interaction
Force transmission through adherens junctions (AJs) is crucial for multicellular organization, wound healing and tissue regeneration. Recent studies shed light on the molecular mechanisms of mechanotransduction at the AJs. However, the canonical model fails to explain force transmission when essential proteins of the mechanotransduction module are mutated or missing. Here, we demonstrate that, in absence of Ξ±-catenin, Ξ²-catenin can directly and functionally interact with vinculin in its open conformation, bearing physiological forces. Furthermore, we found that Ξ²-catenin can prevent vinculin autoinhibition in the presence of Ξ±-catenin by occupying vinculinΒ΄s head-tail interaction site, thus preserving force transmission capability. Taken together, our findings suggest a multi-step force transmission process at AJs, where Ξ±-catenin and Ξ²-catenin can alternatively and cooperatively interact with vinculin. This can explain the graded responses needed to maintain tissue mechanical homeostasis and, importantly, unveils a force-bearing mechanism involving Ξ²-catenin and extended vinculin that can potentially explain the underlying process enabling collective invasion of metastatic cells lacking Ξ±-catenin
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