Integrated Cardio-Respiratory Control : Insight in Diabetes

Autonomic dysfunction is a frequent and relevant complication of diabetes mellitus, as it is associated with increased morbidity and mortality. In addition, it is today considered as predictive of the most severe diabetic complications, like nephropathy and retinopathy. The classical methods of screening are the cardiovascular reflex tests and were originally interpreted as evidence of nerve damage. A more modern approach, based on the integrated control of cardiovascular and respiratory function, reveals that these abnormalities are to a great extent functional, at least in the early stage of the disease, thus suggesting new potential interventions. Therefore, this review aims to go further investigating how the imbalance of the autonomic nervous system is altered and can be influenced in many chronic pathologies through a global view of cardio-respiratory and metabolic interactions and how the same mechanisms are applicable to diabetes.Peer reviewe

The effects of canrenone on inflammatory markers in patients with metabolic syndrome.

To evaluate the effects of canrenone compared to placebo on blood pressure control, some non-conventional biomarkers in cardiovascular stratification, and on metalloproteinases in patients affected by metabolic syndrome.A total of 156 Caucasian patients were treated with placebo or canrenone, 50 mg once a day, for 3 months and then 50 mg twice a day, till the end of the study. We evaluated: systolic (SBP) and diastolic blood pressure (DBP), body weight, body mass index (BMI), fasting plasma glucose (FPG), lipid profile, plasma aldosterone, creatinine, potassium, brain natriuretic peptide (BNP), metalloproteinases 2 and 9 (MMP-2 and -9), lipoprotein (a) (Lp(a)), and serum myeloperoxidase (MPO).We observed a significant decrease of SBP and DBP in the canrenone group compared to baseline. Canrenone gave a significant decrease of MMP-2 and -9, Lp(a), and MPO compared to baseline, not observed with placebo. Plasma aldosterone, but not BNP, decreased with canrenone, both compared to baseline and to placebo.Canrenone seems to be effective in reducing blood pressure in patients with metabolic syndrome. Moreover, canrenone seems also to improve MPO, Lp(a), and metalloproteinases in these patients

Remdesivir treatment in hospitalized patients affected by COVID-19 pneumonia: a case-control study

Background: to date the optimal antiviral treatment against severe coronavirus disease 2019 (COVID-19) has not been proven; remdesivir is a promising drug with in vitro activity against several virus, but in COVID-19 the clinical results are currently not definitive. Methods: in this retrospective observational study we analyzed the clinical outcomes (survival analysis, efficacy and safety) in a group of hospitalized patients with COVID-19 treated with remdesivir in comparison with a control group of patients treated with other antiviral or supportive therapies. Results: we included 163 patients treated with remdesivir and 403 subjects in the control group; the baseline characteristics were similar in the two groups; mortality rate was higher in control group (24.8% vs 2.4%, p<0.001), the risk of intensive-care-unit (ICU) admission was higher in control group (17.8% vs 9.8%, p=0.008); hospitalization time was significantly lower in patients treated with remdesivir (9.5 vs 12.5 days, p<0.001). The safety of remdesivir was good and no significant adverse events were reported. In multivariate analysis the remdesivir treatment was independently associated with a 34% lower mortality rate (OR=0.669; p=0.014). Conclusions: in this analysis the treatment with remdesivir was associated with lower mortality, lower rate of ICU admission, shorter time of hospitalization. No adverse events were observed. This promising antiviral treatment should also be confirmed by other studies. This article is protected by copyright. All rights reserved

AVALIAÇÃO DA OCORRÊNCIA DE ESTRO E DESENVOLVIMENTO FOLICULAR EM FÊMEAS SUÍNAS NA LACTAÇÃO COM MANEJO DE DESMAME DE 28 DIAS

O desmame de fêmeas suínas é realizado na grande maioria aos 21 dias de lactação, contudo, uma grande discussão acerca da mudança de manejo de 21 para 28 dias, sem ocorrência da manifestação do estro durante a lactação e interferência no intervalo desmame cio (IDC) vem sendo discutida. Foram avaliadas 114 fêmeas suínas de duas granjas diferentes, quanto a manifestação de estro pelo reflexo de tolerância ao homem (RTH) e desenvolvimento folicular por ultrassonografia. Os resultados mostraram que não houve ocorrência de estro durante a lactação no período de 28 dias e nenhuma interferência no IDC em 100% das fêmeas avaliadas

On the mixing time of the 2D stochastic Ising model with "plus" boundary conditions at low temperature

We consider the Glauber dynamics for the 2D Ising model in a box of side L, at inverse temperature $\beta$ and random boundary conditions $\tau$ whose distribution P either stochastically dominates the extremal plus phase (hence the quotation marks in the title) or is stochastically dominated by the extremal minus phase. A particular case is when P is concentrated on the homogeneous configuration identically equal to + (equal to -). For $\beta$ large enough we show that for any $\epsilon$ there exists $c=c(\beta,\epsilon)$ such that the corresponding mixing time $T_{mix}$ satisfies $\lim_{L\to\infty}P(T_{mix}> \exp({cL^\epsilon})) =0$. In the non-random case $\tau\equiv +$ (or $\tau\equiv -$), this implies that $T_{mix}< \exp({cL^\epsilon})$. The same bound holds when the boundary conditions are all + on three sides and all - on the remaining one. The result, although still very far from the expected Lifshitz behaviour $T_{mix}=O(L^2)$, considerably improves upon the previous known estimates of the form $T_{mix}\le \exp({c L^{1/2 + \epsilon}})$. The techniques are based on induction over length scales, combined with a judicious use of the so-called "censoring inequality" of Y. Peres and P. Winkler, which in a sense allows us to guide the dynamics to its equilibrium measure.Comment: 39 pages, 8 figures; v2: typos corrected, two references added. To appear on Comm. Math. Phy

Tracing rejuvenation events in nearby S0 galaxies

With the aim of characterizing rejuvenation processes in early-type galaxies, we analyzed five barred S0 galaxies showing prominent outer ring in ultraviolet (UV) imaging. We analyzed GALEX far- (FUV) and near- (NUV) UV and optical data using stellar population models and estimated the age and the stellar mass of the entire galaxies and of the UV-bright ring structures. Outer rings consist of young (<200 Myr old) stellar populations, accounting for up to 70% of the FUV flux but containing only a few % of the total stellar mass. Integrated photometry of the whole galaxies places four of these objects on the green valley, indicating a globally evolving nature. We suggest such galaxy evolution is likely driven by bar induced instabilities, i.e. inner secular evolution, that conveys gas to the nucleus and to the outer rings. At the same time, HI observations of NGC 1533 and NGC 2962 suggest external gas re-fueling can play a role in the rejuvenation processes of such galaxies.Comment: 23 pages, 5 figures and 2 tables, Accepted for publication in The Astrophysical Journa

The Quest for Dual and Binary Supermassive Black Holes: A Multi-Messenger View

The quest for binary and dual supermassive black holes (SMBHs) at the dawn of the multi-messenger era is compelling. Detecting dual active galactic nuclei (AGN) – active SMBHs at projected separations larger than several parsecs – and binary AGN – probing the scale where SMBHs are bound in a Keplerian binary – is an observational challenge. The study of AGN pairs (either dual or binary) also represents an overarching theoretical problem in cosmology and astrophysics. The AGN triggering calls for detailed knowledge of the hydrodynamical conditions of gas in the imminent surroundings of the SMBHs and, at the same time, their duality calls for detailed knowledge on how galaxies assemble through major and minor mergers and grow fed by matter along the filaments of the cosmic web. This review describes the techniques used across the electromagnetic spectrum to detect dual and binary AGN candidates and proposes new avenues for their search. The current observational status is compared with the state-of-the-art numerical simulations and models for formation of dual and binary AGN. Binary SMBHs are among the loudest sources of gravitational waves (GWs) in the Universe. The search for a background of GWs at nHz frequencies from inspiralling SMBHs at low redshifts, and the direct detection of signals from their coalescence by the Laser Interferometer Space Antenna in the next decade, make this a theme of major interest for multi-messenger astrophysics. This review discusses the future facilities and observational strategies that are likely to significantly advance this fascinating field