Elderly Individuals with Diabetes: Adding Cognitive Training to Psychoeducational Intervention

The present research examined the effects of a cognitive training program combined with psychoeducational intervention for diabetic elderly patients. Specifically, it aimed at assessing the effects of an eight-session cognitive training and educational program in diabetic elderly individuals and investigating changes in their awareness about specific aspects of diabetes. The final sample consisted of 34 individuals-19 in the experimental group (EG) and 15 in the control group (CG), all residing in the eastern region of the city of Sao Paulo. The protocol included clinical and sociodemographic questions; the Diabetes Attitudes Questionnaire (ATT-19); Diabetes Knowledge Scale (DKN-A); Mini Mental State Examination (MMSE); Verbal Fluency-animal category (VF); Geriatric Depression Scale (GDS); Short Cognitive Performance Test (SKT); and the Rivermead Behavioral Memory Test (RBMT). Results pointed to a significant difference between the two groups for the ATT-19, DKN, and SKT-memory and SKT-total, and a marginally significant difference for the RBMT history in the posttest. As for the remaining cognitive variables, no changes were observed. Retest effects were not observed in the CG. We concluded that cognitive training combined with psychoeducational intervention in diabetic elderly individuals may be effective in producing cognitive gains as well as attitude and knowledge improvement concerning diabetes mellitus (DM).

Central nervous system of Rhipicephalus sanguineus ticks (Acari: Ixodidae): an ultrastructural study

This study performed the ultrastructural description of the synganglion of Rhipicephalus sanguineus males and females, aiming to contribute to the understanding of the cellular organization of this organ. The results show that the central nervous system of these individuals consists of a mass of fused nerves, named synganglion, from where nerves emerge towards several parts of the body. It is surrounded by the neural lamella, a uniform and acellular layer, constituted by repeated layers of homogeneous and finely granular material. The perineurium is just below, composed of glial cells, which extensions invaginate throughout the nervous tissue. The synganglion is internally divided into an outer cortex, which contains the cellular bodies of the neural cells and an inner neuropile. The neural cells can be classified into two types according to cell size, cytoplasm-nucleus relation, and neurosecretory activity. Type I cells are oval or spherical and present a large nucleus occupying most part of the cytoplasm, which contains few organelles. Type 2 cells are polygonal, present a great cytoplasm volume, and their nuclei are located in the cell periphery. The cytoplasm of these cells contains a well-developed rough endoplasmic reticulum, Golgi regions, mitochondria, and several neurosecretory granules. The subperineurium and the tracheal ramifications are found between the cortex and the neuropile. The latter is formed mainly by neural fibers, tracheal elements, and glial cells. The results obtained show that R. sanguineus males' and females' nervous tissue present an ultrastructural organization similar to the one described in the literature for other tick species.

Activation pattern of neutrophils from blood of elderly individuals with -related denture stomatitis

We have identified impaired neutrophils in elderly individuals which could be involved with -related denture stomatitis (DS), an oral infection predominantly caused by , affecting especially elderly individuals using dental prosthesis. However, specific mechanisms performed by neutrophil contributing to the susceptibility of the elderly to DS are not fully understood. This study evaluated activation features of blood neutrophils from elderly and young individuals with DS. Blood neutrophils cultured with . from elderly subjects secreted decreased levels of CXCL8. However, . challenged-neutrophils from DS patients produced high IL-4 and IL-10, and low GM-CSF levels, regardless of age. Additional elastase activity of neutrophils from both elderly groups was detected after incubation with . , but only neutrophils from elderly DS demonstrated high myeloperoxidase activity. Therefore, DS patients have affected neutrophils, and the advance of age intensifies these damages. In sumamry, individuals with -related denture stomatitis presented variation in the neutrophil phenotype and activation. Such alterations were more intense in neutrophils from infected elderly individuals.

Evaluation of epoxy resin sealer after three root canal filling techniques by confocal laser scanning microscopy

The aim of this study was to evaluate the penetration of endodontic sealer into the dentin tubules, the integrity of the sealer layer perimeter, and the sealer area at the apical third after different filling techniques by confocal laser scanning microscopy (CLSM). Forty-five mandibular premolars were mechanically prepared with ProTaper files, until F5 file. Thereafter, they were filled with an epoxy-resin sealer (AH Plus) mixed with Rhodamine B dye (0.1% proportion) and allocated in three groups: Group 1, single master cone; Group 2, cold lateral compaction; and Group 3, Thermafil. For confocal laser scanning microscopy analysis, the specimens were transversely sectioned at 4 mm from the apex. The images at x10 and x40 were analyzed by Imagetool 3.0 software. Significant differences were not found among the three experimental groups according the dentin-impregnate area by the sealer (P = 0.68) and between the sealer and root canal perimeter (P = 0.18). However, root canal filling techniques were significantly different when apical sealer areas were compared (P = 0.001). Thermafil group showed smaller sealer areas (8.09%) while cold lateral compaction and gutta-percha master cone showed similar areas (17.37 and 21.18%, respectively). The dentin-impregnated area was not dependent on the root canal filling technique. Single master cone, cold lateral condensation and Thermafil techniques presented integrity of the sealer perimeter close to 100% and Thermafil resulted in a significantly thinner sealer layer. Microsc. Res. Tech. 75:12771280, 2012. (C) 2012 Wiley Periodicals, Inc.

Causal amplitudes in the Schwinger model at finite temperature

We show, in the imaginary time formalism, that the temperature dependent parts of all the retarded (advanced) amplitudes vanish in the Schwinger model. We trace this behavior to the CPT invariance of the theory and give a physical interpretation of this result in terms of forward scattering amplitudes of on-shell thermal particles.

Atorvastatin Prevents the Downregulation of Aquaporin-2 Receptor After Bilateral Ureteral Obstruction and Protects Renal Function in a Rat Model

OBJECTIVE To assess the effects of atorvastatin (ATORV) on renal function after bilateral ureteral obstruction (BUO), measuring inulin clearance and its effect on renal hemodynamic, filtration, and inflammatory response, as well as the expression of Aquaporin-2 (AQP2) in response to BUO and after the release of BUO. METHODS Adult Munich-Wistar male rats were subjected to BUO for 24 hours and monitored during the following 48 hours. Rats were divided into 5 groups: sham operated (n = 6); sham + ATORV (n = 6); BUO (n = 6); BUO + ATORV (10 mg/kg in drinking water started 2 days before BUO [n = 5]; and BUO + ATORV (10 mg/kg in drinking water started on the day of the release of BUO [n = 5]). We measured blood pressure (BP, mm Hg); inulin clearance (glomerular filtration rate [GFR]; mL/min/100 g); and renal blood flow (RBF, mL/min, by transient-time flowmeter). Inflammatory response was evaluated by histologic analysis of the interstitial area. AQP2 expression was evaluated by electrophoresis and immunoblotting. RESULTS Renal function was preserved by ATORV treatment, even if initiated on the day of obstruction release, as expressed by GFR, measured by inulin clearance. Relative interstitial area was decreased in both BUO + ATORV groups. Urine osmolality was improved in the ATORV-treated groups. AQP2 protein expression decreased in BUO animals and was reverted by ATORV treatment. CONCLUSION ATORV administration significantly prevented and restored impairment in GFR and renal vascular resistance. Furthermore, ATORV also improved urinary concentration by reversing the BUO-induced downregulation of AQP2. These findings have significant clinical implication in treating obstructive nephropathy. UROLOGY 80: 485.e15-485.e20, 2012. (c) 2012 Elsevier Inc.

Validation of models for predicting milk urea nitrogen concentrations, estimating dry matter intake by the NRC (2001)

The objective of this study was to validate three different models for predicting milk urea nitrogen using field conditions, attempting to evaluate the nutritional adequacy diets for dairy cows and prediction of nitrogen excreted to the environment. Observations (4,749) from 855 cows were used. Milk yield, body weight (BW), days in milk and parity were recorded on the milk sampling days. Milk was sampled monthly, for analysis of milk urea nitrogen (MUN), fat, protein, lactose and total solids concentration and somatic cells count. Individual dry matter intake was estimated using the NRC (2001). The three models studied were derived from a first one to predict urinary nitrogen (UN). Model 1 was MUN = UN/12.54, model 2 was MUN = UN/17.6 and model 3 was MUN = UN/(0.0259 × BW), adjusted by body weight effect. To evaluate models, they were tested for accuracy, precision and robustness. Despite being more accurate (mean bias = 0.94 mg/dL), model 2 was less precise (residual error = 4.50 mg/dL) than model 3 (mean bias = 1.41 and residual error = 4.11 mg/dL), while model 1 was the least accurate (mean bias = 6.94 mg/dL) and the least precise (residual error = 5.40 mg/dL). They were not robust, because they were influenced by almost all the variables studied. The three models for predicting milk urea nitrogen were different with respect to accuracy, precision and robustness.

"Quietis et deliciarum locus" restauro e rifunzionalizzazione della dimora padronale di "Villa Cappello-Mora"

VILLA “CAPELLO - MORA”: PROGETTO DI RESTAURO E RIFUNZIONALIZZAZIONE Il restauro è da intendere come un intervento diretto sull’opera, e anche come sua eventuale modifica, condotta sempre sotto un rigoroso controllo tecnico-scientifico e storico-critico, se parliamo di conservazione, intendiamo l’operare in un intento di salvaguardia e di prevenzione, da attuare proprio per evitare che si debba poi intervenire con il restauro, che comprende un evento traumatico per il manufatto. Un seconda parola chiave in questo discorso è la “materia” il restauro interviene sulla materia di un monumento e questa costituisce il tramite dei valori culturali antichi, la sua conservazione e il suo restauro garantisce la trasmissione anche dei significati estetici, storici simbolici del costruito. Ma certamente influisce il tempo sulle cose per cui il progetto di restauro non può astenersi dall’intervenire, in una logica di minimo intervento, di reversibilità, di facile lettura. Il concetto di nuovo in un opera antica, concetto che a parere personale, pare centrare in pieno il problema. Il nuovo infatti “deve avere carattere di autonomia e di chiara leggibilità: come l’<> di Boito deve essere inequivocabilmente opera nuova, come prodotto figurativo e materiale autonomo, chiara ed inequivocabile espressione <>”. Ne deriva riassumendo che oggi l’obbiettivo deve essere quello di conservare da un lato senza non sotrarre altra materia alla fabbrica e di valorizzare, ossia aggiungere, nuove “presenze” di cultura contemporanea. Per questo si parlerà di progetto di restauro e rifunzionalizzazione. La fabbrica ha subito nel corso dell’ultimo decennio una serie di “rovinose” manomissioni, che a differenza di quelle operate in tempi più antichi (coincidenti con esigenze funzionali corrispondenti alla logica dell’adattare) appaiano ben più gravi, e contribuiscono a peggiorare la lettura del fabbricato. Il Veneto e soprattutto la zona intorno a Bassano del Grappa presenta una infinità di dimore padronali casini di caccia, resti di antiche residenze (colombare, oratori, ecc.) risalenti al periodo di maggior fioritura della residenza di “Villa” della Serenissima. Nel caso specifico di studio , quindi della rifunzionalizzazione dell’edificio, la domanda sorge spontanea; Come ristabilire un senso a questi spazi? E nell’ipotesi di poter realmente intervenire che cosa farne di questi oggetti?. E ultimo ma non ultimo in che modo poter ristabilire un “dialogo” con l’edificio in una lettura corretta del suo significato non solo per quel che riguarda la materia ma anche per ciò che ci trasmette nel “viverlo”, nell’usufruirne nel fatto stesso di poterlo vedere, passandoci davanti. tà. Lidea si forma prima ancora da un esigenza del territorio, il comune di Cassola dove ha sede la Villa,pur avendo un discreto numero di abitanti e collocandosi in posizione nevralgica in quanto molto vicino al centro diBasssano (ne è quasi la promulgazione), non possiede uno spazio espositivo /rappresentativo, un edificio a carattere pubblico, sede di “eventi” culturali locali e non. Villa Capello –Mora, potrebbe rispondere bene a questo tipo di utilizzo. Si è deciso di pensare ad un luogo a carattere espositivo che possa funzionare durante tutto l’anno e nei periodi etsivi includa anche il giardino esterno. Il progetto muove da due principi il principio di “reversibilità” e quello del “minimo intervento” sottolinenando volutamente che siano gli ogetti esposti e lo spazio dei locali a fare da protagonisti, Punti chiave nell’interpretazione degli spazi sono stati i percorsi, la “narrazione” degli oggetti esposti avviene per momenti e viene rimarcata nell’allestimento tramite i materiali i colori e le superfici espositive, perché nel momento in cui visito una mostra o un museo, è come se stessi vivendo la narrazione di un qualcosa, oggetto semplice od opera complessa che sia inteso nell’ambito museale-espositivo esso assume una capacità di trasmissione maggiore rispetto a qundo lo stesso ogetto si trova in un contesto differente, la luce e la sua disposizione nello spazio, fanno sì che il racconto sia narrato, bene o male, ancora più importante è lo sfondo su cui si staglia l’opera, che può essere chiuso, come una serie di scatole dentro la scatola (edificio) oppure aperto, con singole e indipendenti pannellature dove l’edificio riveste il carattere proprio di sfondo. Scelta la seconda delle due ipotesi, si è voluto rimarcare nella composizione degli interni i momenti della narrazione, così ad esempio accedendo dall’ingresso secondario (lato nord-ovest) al quale si è dato l’ingresso alla mostra, -superata la prima Hall- si viene, catapultati in uno spazio porticato in origine aperto e che prevediamo chiuso da una vetrata continua, portata a debita distanza dal colonnato. Questo spazio diventa la prima pagina del testo, una prima pagina bianca, uno spazio libero, di esposizione e non di relax e di presentazione dell’evento, uno spazio distributivo non votato solo a questo scopo, ma passibile di trasformazione. A rimarcare il percorso una pavimentazione in cemento lisciato, che invita l’accesso alle due sale espositive a sinista e a destra dell’edificio. Nell’ala a sinistra (rispetto al nord) si apre la stanza con camino seicentesco forse un tempo ad uso cucina? Sala che ospita dei pannelli a sospesi a muro e delle teche espositive appese a soffitto. L’ala di destra, diametralmente opposta, l’unica che al piano terra mantiene la pavimentazione originale, stabiliva il vero atrio d’entrata, nel XVII sec. riconoscibile da quattro colonne tuscaniche centrali a reggere un solaio ligneo, in questa stanza il percorso segnato a terra torna nella disposizione dei pannelli espositivi che si dispongono in un a formare un vero corridoio, tra uno e l’atro di questi pannelli degli spazi sufficienti a intravedere le colonne centrali, i due lati dello stretto percorso non sono paralleli e aprono in senso opposto a due restanti spazi dell’intero salone, La sala suddivisa così in queste tre parti - una di percorrenza due di esposizione - , risulta modificata nella lettura che ne annulla l’originale funzione. Questa nuova “forma”, non vuole essere permanente infatti i pannelli non sono fissi. la narrazione avviene così per momenti, per parti, , che non devono necessariamente far comprendere il “tutto”, ma suggerirlo. Così come per il percorso che non è obbligato ma suggerito. A terminare il piano altre due sale di minore dimensione e di modesto carattere, nelle quali sono presenti pannellature a parete come nella prima sala. L’allestimento prosegue al piano primo a cui si accede tramite due rampe, trattate nel progetto difformemente, in base al loro stato e al loro significato, la rampa più recente (XIX sec) rompe lo spazio al piano nobile stravolgendo l’ingresso a questo salone, che originariamente avveniva salendo dalla scala principale e oltrepassando un disimpegno. La scala ottocentesca introduce direttamente all’ambiente che ora risulta liberato dalle superfetazioni dello scorso secolo, mostrandosi come era stato previsto in origine. Questa rottura dello spazio viene marcata nel progetto da un volume che “imprigiona” la rampa e segna l’inizio della sala espositiva, la sala delle architetture. Al centro della sala in un gioco di pieni e vuoti i pannelli, espositivi, distaccati di poco gli uni dagli altri questa volta non a incorniciare delle colonne ma a richiamo delle pitture murali che raffiguranti una loggia alludono ad una lettura per “parti” e scandiscono lo spazio in una “processione” di eventi. A seguito del “gioco” sono presenti in senso ortogonale ai pannelli sopradescritti ulteriori pannellature appese ad una struttura metallica indipendente dalle capriate lignee. Tale struttura assume ad una duplice funzione, funge sia da irrigidimento della struttura (edificio) che da supporto alla pannellatura, ad essa infatti è collegata una fune, che entrerà in tensione, quando il pannello verrà ad appendersi. Infine questa fune passante da due puleggie permetterà al pannello di traslare da un lato all’altro dell’edificio, bloccandosi nella posizione desiderata tramite freno interno, azionato manualmente.

Characterization of L-type Calcium Channel Binding-Site of a new class of Calcium modulators by a Multidisciplinary approach

Many potential diltiazem related L-VDCC blockers were developed using a multidisciplinary approach. This current study was to investigate and compare diltiazem with to the newly developed compounds by mouse Langendorff-perfused heart, Ca2+-transient and on recombinant L-VDCC. Twenty particular compounds were selected by the ligand-based virtual screening procedure (LBVS). From these compounds, five of them (5b, M2, M7, M8 and P1) showed a potent and selective inotropic activity on guinea-pig left atria driven 1 Hz. Further assays displayed an interesting negative inotropic effect of M2, M8, P1 and M7 on guinea pig isolated left papillary muscle driven at 1 Hz, a relevant vasorelaxant activity of 5b, M2, M7, M8 and P1 on K+-depolarized guinea-pig ileum longitudinal smooth muscle and a significant inhibition of contraction of 5b, M2, M8 and P1 on carbachol stimulated ileum longitudinal smooth muscle. Wild-type human heart and rabbit lung α1 subunits were expressed (combined with the regulatory α2δ and β3 subunits) in Xenopus Leavis oocytes using a two-electrode voltage clamp technique. Diltiazem is a benzothiazepine Ca2+ channel blocker used clinically for its antihypertensive and antiarrhythmic effects. Previous radioligand binding assays revealed a complex interaction with the benzothiazepine binding site for M2, M7 and M8. (Carosati E. et al. J. Med Chem. 2006, 49; 5206). In agreement with this findings, the relative order of increased rates of contraction and relaxation at lower concentrations s(≤10-6M) in unpaced hearts was M7>M2>M8>P1. Similar increases in Ca2+ transient were observed in cardiomyocytes. Diltiazem showed negative inotropic effects whereas 5b had no significant effect. Diltiazem blocks Ca2+current in a use-dependent manner and facilitates the channel by accelerating the inactivation and decelerating the recovery from inactivation. In contrast to diltiazem, the new analogs had no pronounced use-dependence. Application of 100 μM M8, M2 showed ~ 10% tonic block; in addition, M8, M2 and P1 shifted the steady state inactivation in hyperpolarized direction and the current inactivation time was significantly decreased compared with control (219.6 ± 11.5 ms, 226 ± 14.5 vs. 269 ± 12.9 vs. 199.28 ± 8.19 ms). Contrary to diltiazem, the recovery from the block by M8 and M2 was comparable to control. Only P1 showed a significantly decrease of the time for the recovery from inactivation. All of the compounds displayed the same sensitivity on the Ca2+ channel rabbit lung α1 except P1. Taken together, these findings suggest that M8, M2 and P1 might directly decrease the binding affinity or allow rapid dissociation from the benzothiazepine binding site.

Methodologies for visual correspondence

Visual correspondence is a key computer vision task that aims at identifying projections of the same 3D point into images taken either from different viewpoints or at different time instances. This task has been the subject of intense research activities in the last years in scenarios such as object recognition, motion detection, stereo vision, pattern matching, image registration. The approaches proposed in literature typically aim at improving the state of the art by increasing the reliability, the accuracy or the computational efficiency of visual correspondence algorithms. The research work carried out during the Ph.D. course and presented in this dissertation deals with three specific visual correspondence problems: fast pattern matching, stereo correspondence and robust image matching. The dissertation presents original contributions to the theory of visual correspondence, as well as applications dealing with 3D reconstruction and multi-view video surveillance.

Effects of social support on the clinical course of Crohn's disease

Social support has been found to be protective from adverse health effects of psychological stress. We hypothesized that higher social support would predict a more favorable course of Crohn's disease (CD) directly (main effect hypothesis) and via moderating other prognostic factors (buffer hypothesis).