Exploring Key Group Counseling Processes: Implications for Group Counselor Training

We studied several processes in a standardized counselor training group. Participants were masters-level counselor trainees (n=100) who took part in eight sessions in an experiential group. Our purpose was to examine the patterns of therapeutic processes and the therapeutic factors that predicted cohesiveness and commitment of the group tasks. Results underscore the interlocking nature of the therapeutic process factors of cohesiveness, altruism, and universality. Analyses reveal the central role of cohesiveness as a process factor in a short-term group. Altruism and engagement consistently predicted cohesiveness. Cohesiveness predicted commitment to the group tasks. The processes in these training groups resemble those of actual counseling groups. Suggestions for structuring training groups, implications for counselor education, and future research recommendations are discussed

The airways' mechanical stress in lung disease: Implications for COPD pathophysiology and treatment evaluation

The airway epithelium stretches and relaxes during the normal respiratory cycle, and hyperventilation exaggerates this effect, resulting in changes in lung physiology. In fact, stretching of the airways influences lung function and the secretion of airway mediators, which in turn may cause a potentially injurious inflammatory response. This aim of the present narrative review was to illustrate the current evidence on the importance of mechanical stress in the pathophysiology of lung diseases with a particular focus on chronic obstructive pulmonary disease (COPD) and to discuss how this may influence pharmacological treatment strategies. Overall, treatment selection should be tailored to counterpart the effects of mechanical stress, which influences inflammation both in asthma and COPD. The most suitable treatment approach between a long-acting \u3b22-agonists/long-acting antimuscarinic-agonist (LABA/LAMA) alone or with the addition of inhaled corticosteroids should be determined based on the underlying mechanism of inflammation. Noteworthy, the anti-inflammatory effects of the glycopyrronium/indacaterol combination on hyperinflation and mucociliary clearance may decrease the rate of COPD exacerbations, and it may synergistically improve bronchodilation with a double action on both the cyclic adenosine monophosphate (cAMP) and the acetylcholine pathways

Top-down cascading effects driven by the odontocetes in the Gulf of Taranto (Northern Ionian Sea, Central Mediterranean Sea)

An investigation of the marine food web in the Gulf of Taranto (Northern Ionian Sea, Central Mediterranean Sea) was carried out to explore the top-down cascading effects driven by the Odontocetes. The food web was analysed by a mass-balance model using 51 functional groups and detailing the trophic impacts of the striped and common bottlenose dolphins, the Risso's dolphin and the sperm whale during the period 2010-2014. Odontocetes resulted top-predators with the highest TL estimated for the Risso's dolphin (TL=5.40) and the lowest for the common bottlenose dolphin (TL=4.47). The striped dolphin played the highest top-down control, showing cascading effects up to the 3rd TL. The Risso's dolphin and the sperm whale played similar cascading effects, but weaker than the striped dolphin. Understanding pattern and strengthen of trophic controls played by the Odontocetes within the food web could contribute to identify the basal mechanisms involved in the ecosystem functioning

TRPV1 Receptor Identification in Bovine and Canine Mitral Valvular Interstitial Cells

Myxomatous mitral valve degeneration (MMVD) is the most common acquired cardiac disease in canine species, and valvular interstitial cells (VICs) are considered the main responsible for the development of this pathology. The scientific interest is focused on isolating and characterizing these cells. The aims of the present study were to verify a novel VICs mechanical isolation method and to characterize isolated cells using immunocytochemistry and immunofluorescence, with parallel histological and immunohistochemistry assays on bovine and canine healthy and MMVD mitral valves. Antibodies against vimentin (VIM), smooth muscle actin (SMA), von Willebrand (vW) factor, Transforming Growth Factor (TGF) β1, and Transient Receptor Potential Vanilloid 1 (TRPV1) were used. The isolation method was considered reliable and able to isolate only VICs. The different assays demonstrated a different expression of SMA in healthy and MMVD mitral valves, and TRPV1 was isolated for the first time from bovine and canine VICs and the correspondent mitral valve leaflets. The novelties of the present study are the new isolation method, that may allow correlations between laboratory and clinical conditions, and the identification of TRPV1, which will lead to further investigations to understand its function and possible role in the etiology of MMVD and to the design of new therapeutic strategies

Exploring spatio-temporal changes in the demersal and benthopelagic assemblages of the northwestern Ionian Sea (central Mediterranean Sea)

An exploration of the structure of demersal and benthopelagic assemblages in the north-western Ionian Sea was carried out by means of a set of statistical analyses. Self-organising map (SOM) and clustering methods applied to 183 taxa and their biomass (kg km-2) provided the classification of 1288 experimental hauls exploring the bathymetric range 10-800 m from 1995 to 2012. Six clusters were identified according to their similarities in species abundances (biomass), confirming the depth gradient as the main structuring agent. In order to identify key representative species in each cluster, the taxa were ranked by means of an indicator value index (IndVal) and the contribution of species to beta diversity (BD). Furthermore, the clusters were described by means of environmental and fishing characteristics. Particular habitat type, distance to canyon and fishing effort segregated the assemblages on the coastal shelf and slope. Temporal differences were detected in 2 bathyal groups, which were most likely affected by the 1990s environmental change in the deepwater circulation known as the Eastern Mediterranean Transient. The overall total BD in the study area was calculated as 0.79, with a temporal decrease observed at a rate of 0.7% yr-1. The approaches used are useful to identify and characterize the species aggregations inside complex faunal assemblages, without a priori assumptions about data distribution. These results can be a starting point for defining functional groups for Mediterranean food web modelling approaches, as well as for identifying indicator species to assess the environmental status in the context of the Marine Strategy Framework Directive

Geology of Mar Piccolo, Taranto (southern Italy): the physical basis for remediation of a polluted marine area

Four 1:15,000 maps for the coastal area of Mar Piccolo (Taranto, southern Italy) are presented. The study area is a small, sheltered shallow marine basin of about 20 km2, located north of Taranto town. It contains some submarine, karstic freshwater springs (citri) that have determined the development of intensive aquaculture in the past. Now, the Mar Piccolo is a highly polluted area due to the presence of both military and industrial navy docks and various heavy industries located in proximal areas: (i) the ILVA steel plant in Taranto, the largest in Europe; (ii) the ENI oil refinery and (iii) the CEMENTIR, the largest cement and concrete plant in southern Italy. Many studies show that water and sediments are contaminated (heavy metals, isopropyl alcohol, polychlorinated biphenyl [PCB], etc.), and various remediation projects are now in preparation. In this study, we analyze the physical characteristics of the Mar Piccolo environment by producing several maps: a geological map; a geomorphological map; a bathy-morphological map and a map of the thickness of surficial sediment. All these maps are original products focused on the realization of a reliable geological picture for the Mar Piccolo area. They represent the first steps toward the detailed knowledge of the Mar Piccolo physical environment, which we consider to be a fundamental requirement for developing the most appropriate remediation techniques

The comparison of outcomes from tyrosine kinase inhibitor monotherapy in second- or third-line for advanced non-small-cell lung cancer patients with wild-type or unknown EGFR status

none18noBackground: Second-line treatment for advanced non-small-cell lung cancer (NSCLC) patients includes monotherapy with a third-generation cytotoxic drug (CT) or a tyrosine kinase inhibitor (TKI). These options are the actual standard for EGFR wild-type (WT) status, as patients with EGFR mutations achieve greater benefit by the use of TKI in first-line treatment. Some clinical trials and meta-analyses investigated the comparison between CT and TKI in second-line, but data are conflicting. Methods: We designed a retrospective trial to gather information about TKI sensitivity in comparison with CT. We selected from clinical records patients treated with at least 1 line of CT and at least 1 line of TKI. We collected data about age, sex, performance status, comorbidity, smoking status, histotype, metastatic sites, EGFR status, treatment schedule, better response and time-to-progression (TTP) for each line of treatment and overall survival (OS). Results: 93 patients met selection criteria. Mean age 66,7 (range: 46-84). M/F ratio is 3:1. 39 EGFR-WT and 54 EGFR-UK. All patients received erlotinib or gefitinib as second-line treatment or erlotinib as third-line treatment. No TTP differences were observed for both second-line (HR:0,91; p = 0,6333) and third-line (HR:1.1; p = 0,6951) treatment (TKI vs CT). A trend of a benefit in OS in favor of 3rd-line TKI (HR:0,68; p = 0,11). Conclusions: This study explores the role of TKIs in EGFR non-mutated NSCLC patients. OS analysis highlights a trend to a benefit in patients who received TKI in third-line, even if this result is statistically non-significant. Further analysis are needed to find an explanation for this observation.openBronte G.; Franchina T.; Alu M.; Sortino G.; Celesia C.; Passiglia F.; Savio G.; Laudani A.; Russo A.; Picone A.; Rizzo S.; De Tursi M.; Gambale E.; Bazan V.; Natoli C.; Blasi L.; Adamo V.; Russo A.Bronte, G.; Franchina, T.; Alu, M.; Sortino, G.; Celesia, C.; Passiglia, F.; Savio, G.; Laudani, A.; Russo, A.; Picone, A.; Rizzo, S.; De Tursi, M.; Gambale, E.; Bazan, V.; Natoli, C.; Blasi, L.; Adamo, V.; Russo, A

The comparison of outcomes from tyrosine kinase inhibitor monotherapy in second- or third-line for advanced non-small-cell lung cancer patients with wild-type or unknown EGFR status

Background: Second-line treatment for advanced non-small-cell lung cancer (NSCLC) patients includes monotherapy with a third-generation cytotoxic drug (CT) or a tyrosine kinase inhibitor (TKI). These options are the actual standard for EGFR wild-type (WT) status, as patients with EGFR mutations achieve greater benefit by the use of TKI in first-line treatment. Some clinical trials and meta-analyses investigated the comparison between CT and TKI in second-line, but data are conflicting. Methods: We designed a retrospective trial to gather information about TKI sensitivity in comparison with CT. We selected from clinical records patients treated with at least 1 line of CT and at least 1 line of TKI. We collected data about age, sex, performance status, comorbidity, smoking status, histotype, metastatic sites, EGFR status, treatment schedule, better response and time-to-progression (TTP) for each line of treatment and overall survival (OS). Results: 93 patients met selection criteria. Mean age 66,7 (range: 46-84). M/F ratio is 3:1. 39 EGFR-WT and 54 EGFR-UK. All patients received erlotinib or gefitinib as second-line treatment or erlotinib as third-line treatment. No TTP differences were observed for both second-line (HR:0,91; p = 0,6333) and third-line (HR:1.1; p = 0,6951) treatment (TKI vs CT). A trend of a benefit in OS in favor of 3rd-line TKI (HR:0,68; p = 0,11). Conclusions: This study explores the role of TKIs in EGFR non-mutated NSCLC patients. OS analysis highlights a trend to a benefit in patients who received TKI in third-line, even if this result is statistically non-significant. Further analysis are needed to find an explanation for this observation

Corrigendum to “Circulating Cancer Stem Cell-Derived Extracellular Vesicles as a Novel Biomarker for Clinical Outcome Evaluation”

[This corrects the article DOI: 10.1155/2019/5879616.].Peer Reviewe