333 research outputs found
On fractional p-Laplacian problems with weight
We investigate the existence of nonnegative solutions for a nonlinear problem
involving the fractional p-Laplacian operator. The problem is set on a
unbounded domain, and compactness issues have to be handled.Comment: 10 page
Asymptotically linear fractional Schrodinger equations
By exploiting a variational technique based upon projecting over the Pohozaev
manifold, we prove existence of positive solutions for a class of nonlinear
fractional Schrodinger equations having a nonhomogenous nonautonomous
asymptotically linear nonlinearity.Comment: 24 page
On fractional Choquard equations
We investigate a class of nonlinear Schrodinger equations with a generalized
Choquard nonlinearity and fractional diffusion. We obtain regularity,
existence, nonexistence, symmetry as well as decays properties.Comment: revised version, 22 page
Diffeomorphism-invariant properties for quasi-linear elliptic operators
For quasi-linear elliptic equations we detect relevant properties which
remain invariant under the action of a suitable class of diffeomorphisms. This
yields a connection between existence theories for equations with degenerate
and non-degenerate coerciveness.Comment: 16 page
Privilegi librari nell’Italia del Rinascimento
L'avvento della stampa a caratteri mobili a met\ue0 del Quattrocento rappresent\uf2 per l'Europa un punto cardine non solo sul piano culturale ma anche economico con la rapida espansione di un settore produttivo completamente nuovo. Il libro a stampa era veicolo comunicativo di contenuti testuali e, per questo, materia delicata anche sul piano politico-religioso. Con il progressivo sviluppo e consolidamento dell'industria tipografica, divenne strategico da parte degli Stati territoriali regolamentare il settore dotandolo di adeguati strumenti giuridici. Uno di questi fu l'istituto del privilegio librario, precursore ideale del moderno copyright letterario e artistico. Nella prospettiva delle autorit\ue0 territoriali, il privilegio di stampa rappresentava un mezzo per strutturare la neonata industria promuovendone lo sviluppo e ponendola allo stesso tempo entro argini normativi di controllo e validazione dei contenuti testuali diffusi. Nell'ottica degli operatori del settore, anzitutto autori e stampatori, il privilegio librario rappresentava invece uno strumento di protezione giuridica impiegato a tutela degli sforzi profusi e dei capitali investiti, assicurando una posizione temporanea di vantaggio commerciale.
Prendendo a campione, in una prospettiva comparata, alcuni dei maggiori centri di produzione libraria dell'Italia nella prima et\ue0 moderna, la presente raccolta di studi esamina il ruolo che il privilegio librario ebbe nello sviluppo dell'editoria italiana e nella crescente attenzione verso il settore da parte delle istituzioni
Cost–utility analysis of pharmacogenetic testing based on CYP2C19 or CYP2D6 in major depressive disorder: assessing the drivers of different cost-effectiveness levels from an Italian societal perspective
Background and Objectives Major depressive disorder (MDD) is a common and severe psychiatric disorder that has enor- mous economical and societal costs. As pharmacogenetics is one of the key tools of precision psychiatry, we analyze the cost–utility of test screening of CYP2C19 and CYP2D6 for patients suffering from major depressive disorder (MDD) and try to understand the main drivers that influence the cost–utility.
Methods We developed two pharmacoeconomic nonhomogeneous Markov models to test the cost–utility, from an Ital- ian societal perspective, of pharmacogenetic testing genetic to characterize the metabolizing profiles of cytochrome P450 (CYP) 2C19 and CYP2D6 in a hypothetical case study of patients suffering from major depressive disorder (MDD). The model considers different scenarios of adjustment of antidepressant treatment according to the patient’s metabolizing profile or treatment over a period of 18 weeks. The uncertainty of model parameters is tested through both a probabilistic sensitivity analysis and a one-way deterministic sensitivity analysis, and these results are used in a post-hoc analysis to understand the main drivers of three alternative cost-effectiveness levels (“poor,” “standard,” and “high”). These drivers are first evaluated from an exploratory multidimensional perspective and next from a predictive perspective as the probability that a patient belongs to a specific cost-effectiveness level is estimated on the basis of a restricted set of parameters used in the original pharmacoeconomic model.
Results The models for CYP2C19 and CYP2D6 indicate that screening has an incremental cost-effectiveness ratio of 60,000€ and 47,000€ per quality-adjusted life year (QALY), respectively. The probabilistic sensitivity analysis shows that the treat- ments are cost-effective for a 75,000€ willingness to pay (WTP) threshold in 58% and 63% of the Monte Carlo replications, respectively. The post-hoc analysis highlights the factors that allow us to clearly discriminates poor cost-effectiveness from high cost-effectiveness scenarios and demonstrates that it is possible to predict with reasonable accuracy the cost-effectiveness of a genetic test and the associated therapeutic pattern.
Conclusions Our findings suggest that screenings for both CYP2C19 and CYP2D6 enzymes for patients with MDD are cost-effective for a WTP threshold of 75,000€ per QALY, and provide relevant suggestions about the most important aspects to be further explored in clinical studies aimed at addressing the cost-effectiveness of genetic testing for patients diagnosed with MDD
RGS2 expression predicts amyloid-β sensitivity, MCI and Alzheimer's disease: genome-wide transcriptomic profiling and bioinformatics data mining
Alzheimer's disease (AD) is the most frequent cause of dementia. Misfolded protein pathological hallmarks of AD are brain deposits of amyloid-β (Aβ) plaques and phosphorylated tau neurofibrillary tangles. However, doubts about the role of Aβ in AD pathology have been raised as Aβ is a common component of extracellular brain deposits found, also by in vivo imaging, in non-demented aged individuals. It has been suggested that some individuals are more prone to Aβ neurotoxicity and hence more likely to develop AD when aging brains start accumulating Aβ plaques. Here, we applied genome-wide transcriptomic profiling of lymphoblastoid cells lines (LCLs) from healthy individuals and AD patients for identifying genes that predict sensitivity to Aβ. Real-time PCR validation identified 3.78-fold lower expression of RGS2 (regulator of G-protein signaling 2; P=0.0085) in LCLs from healthy individuals exhibiting high vs low Aβ sensitivity. Furthermore, RGS2 showed 3.3-fold lower expression (P=0.0008) in AD LCLs compared with controls. Notably, RGS2 expression in AD LCLs correlated with the patients' cognitive function. Lower RGS2 expression levels were also discovered in published expression data sets from postmortem AD brain tissues as well as in mild cognitive impairment and AD blood samples compared with controls. In conclusion, Aβ sensitivity phenotyping followed by transcriptomic profiling and published patient data mining identified reduced peripheral and brain expression levels of RGS2, a key regulator of G-protein-coupled receptor signaling and neuronal plasticity. RGS2 is suggested as a novel AD biomarker (alongside other genes) toward early AD detection and future disease modifying therapeutics
On the stability of standing waves of Klein-Gordon equations in a semiclassical regime
We investigate the orbital stability and instability of standing waves for
two classes of Klein-Gordon equations in the semi-classical regime.Comment: 9 page
Exploring the role of gut microbiota in major depressive disorder and in treatment resistance to antidepressants
Major depressive disorder (MDD) is a common severe psychiatric illness, exhibiting suboptimal response to existing pharmacological treatments. Although its etiopathogenesis is still not completely understood, recent findings suggest that an altered composition of the gut microbiota might play a role. Here we aimed to explore potential differences in the composition of the gut microbiota between patients with MDD and healthy controls (HC) and to identify possible signatures of treatment response by analyzing two groups of MDD patients characterized as treatment-resistant (TR) or responders (R) to antidepressants. Stool samples were collected from 34 MDD patients (8 TR, 19 R and 7 untreated) and 20 HC. Microbiota was characterized using the 16S metagenomic approach. A penalized logistic regression analysis algorithm was applied to identify bacterial populations that best discriminate the diagnostic groups. Statistically significant differences were identified for the families of Paenibacillaceae and Flavobacteriaceaea, for the genus Fenollaria, and the species Flintibacter butyricus, Christensenella timonensis, and Eisenbergiella massiliensis among others. The phyla Proteobacteria, Tenericutes and the family Peptostreptococcaceae were more abundant in TR, whereas the phylum Actinobacteria was enriched in R patients. Moreover, a number of bacteria only characterized the microbiota of TR patients, and many others were only detected in R. Our results confirm that dysbiosis is a hallmark of MDD and suggest that microbiota of TR patients significantly differs from responders to antidepressants. This finding further supports the relevance of an altered composition of the gut microbiota in the etiopathogenesis of MDD, suggesting a role in response to antidepressants
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