L'automonitoraggio della glicemia : il Glucometro come caso di studio

Il monitoraggio della glicemia risulta fondamentale per pazienti diabetici, poiché rappresenta il punto di partenza per la cura della malattia. In particolare risulta quindi estremamente utile un automonitoraggio della glicemia, in quanto, essendo il diabete una malattia cronica, deve essere costantemente tenuta sotto controllo. Questo ha portato allo sviluppo di strumenti di analisi che fossero principalmente semplici da usare, per permettere a chiunque, anche senza alcuna conoscenza in materia, di poter effettuare test glicemici, e quindi che fossero pratici, non ingombranti e di rapido utilizzo.

Innovazioni nel campo dell'ElettroEncefalografia

Il funzionamento del cervello umano, organo responsabile di ogni nostra azione e pensiero, è sempre stato di grande interesse per la ricerca scientifica. Dopo aver compreso lo sviluppo dei potenziali elettrici da parte di nuclei neuronali in risposta a stimoli, si è riusciti a graficare il loro andamento con l'avvento dell'ElettroEncefaloGrafia (EEG). Tale tecnologia è entrata a far parte degli esami di routine per la ricerca di neuropsicologia e di interesse clinico, poiché permette di diagnosticare e discriminare i vari tipi di epilessia, la presenza di traumi cranici e altre patologie del sistema nervoso centrale. Purtroppo presenta svariati difetti: il segnale è affetto da disturbi e richiede un'adeguata elaborazione tramite filtraggio e amplificazione, rimanendo comunque sensibile a disomogeneità dei tessuti biologici e rendendo difficoltoso il riconoscimento delle sorgenti del segnale che si sono attivate durante l'esame (il cosiddetto problema inverso). Negli ultimi decenni la ricerca ha portato allo sviluppo di nuove tecniche d'indagine, di particolare interesse sono la ElettroEncefaloGrafia ad Alta Risoluzione (HREEG) e la MagnetoEncefaloGrafia (MEG). L'HREEG impiega un maggior numero di elettrodi (fino a 256) e l'appoggio di accurati modelli matematici per approssimare la distribuzione di potenziale elettrico sulla cute del soggetto, garantendo una migliore risoluzione spaziale e maggior sicurezza nel riscontro delle sorgenti neuronali. Il progresso nel campo dei superconduttori ha reso possibile lo sviluppo della MEG, che è in grado di registrare i deboli campi magnetici prodotti dai segnali elettrici corticali, dando informazioni immuni dalle disomogeneità dei tessuti e andando ad affiancare l'EEG nella ricerca scientifica. Queste nuove tecnologie hanno aperto nuovi campi di sviluppo, più importante la possibilità di comandare protesi e dispositivi tramite sforzo mentale (Brain Computer Interface). Il futuro lascia ben sperare per ulteriori innovazioni.

Approccio strumentale per l'acquisizione del segnale epilettico

L’epilessia è una patologia neurologica cronica caratterizzata dalla tendenza, in un dato soggetto, a generare crisi convulsive spontanee, accompagnate generalmente da perdita di coscienza. Rappresenta uno fra i più frequenti disturbi neurologici cronici: l’1% della popolazione mondiale (circa 50 milioni) ne è affetta. Il presente elaborato di tesi ha analizzato le tecniche di imaging biomediche non invasive per lo studio dell’epilessia. Le tecniche PET, MEG e fMRI contribuiscono non solo a fornire una migliore comprensione dell’anatomia, della fisiologia e della connettività funzionale di specifiche aree cerebrali, ma consentono anche di localizzare determinate aree legate all’insorgenza e alla propagazione della crisi epilettica. Sono stati riportati studi clinici recenti che hanno investigato sull’uso di queste tecniche al fine di localizzare la zona epilettogena nei pazienti. Inoltre, gli studi si sono incentrati anche sullo sviluppo e sulla propagazione della crisi epilettica, fornendo delle indicazioni sulle possibili prospettive future relative alla tecnologia e all’elaborazione dei dati. L’analisi verrà condotta approfondendo le principali apparecchiature responsabili degli attuali sviluppi nelle ricerche sull’epilessia. Nello specifico, si effettuerà l’analisi della strumentazione partendo dai principi fisici alla base del suo funzionamento, per poi descriverne la struttura, le modalità di impiego per la specifica indagine e i futuri sviluppi.

Sistemi Brain Computer Interface: dalla macchina al paziente

C’è un crescente interesse nella comunità scientifica per l’applicazione delle tecniche della bioingegneria nel campo delle interfacce fra cervello e computer. Questo interesse nasce dal fatto che in Europa ci sono almeno 300.000 persone con paralisi agli arti inferiori, con una età media piuttosto bassa (31 anni), registrandosi circa 5.000 nuovi casi ogni anno, in maggioranza dovuti ad incidenti automobilistici. Tali lesioni traumatiche spinali inducono delle disfunzioni sensoriali a causa dell’interruzione tra gli arti e i centri sopraspinali. Per far fronte a questi problemi gli scienziati si sono sempre più proiettati verso un nuovo settore: il Brain Computer Interaction, ossia un ambito della ricerca volto alla costruzione di interfacce in grado di collegare direttamente il cervello umano ad un dispositivo elettrico come un computer.

Guidelines for the use and interpretation of assays for monitoring autophagy in higher eukaryotes

Research in autophagy continues to accelerate,(1) and as a result many new scientists are entering the field. Accordingly, it is important to establish a standard set of criteria for monitoring macroautophagy in different organisms. Recent reviews have described the range of assays that have been used for this purpose.(2,3) There are many useful and convenient methods that can be used to monitor macroautophagy in yeast, but relatively few in other model systems, and there is much confusion regarding acceptable methods to measure macroautophagy in higher eukaryotes. A key point that needs to be emphasized is that there is a difference between measurements that monitor the numbers of autophagosomes versus those that measure flux through the autophagy pathway; thus, a block in macroautophagy that results in autophagosome accumulation needs to be differentiated from fully functional autophagy that includes delivery to, and degradation within, lysosomes (in most higher eukaryotes) or the vacuole (in plants and fungi). Here, we present a set of guidelines for the selection and interpretation of the methods that can be used by investigators who are attempting to examine macroautophagy and related processes, as well as by reviewers who need to provide realistic and reasonable critiques of papers that investigate these processes. This set of guidelines is not meant to be a formulaic set of rules, because the appropriate assays depend in part on the question being asked and the system being used. In addition, we emphasize that no individual assay is guaranteed to be the most appropriate one in every situation, and we strongly recommend the use of multiple assays to verify an autophagic response.

High aldosterone-to-renin variants of CYP11B2 and pregnancy outcome

BACKGROUND: Increased aldosterone concentrations and volume expansion of normal pregnancies are hallmarks of normal pregnancies and blunted in pre-eclampsia. Accordingly, we hypothesized an active mineralocorticoid system to protect from pre-eclampsia. METHODS: In pregnant women (normotensive n = 44; pre-eclamptic n = 48), blood pressure, urinary tetrahydro-aldosterone excretion and activating polymorphisms (SF-1 site and intron 2) of the aldosterone synthase gene (CYP11B2) were determined; 185 non-pregnant normotensive individuals served as control. Amino acid-changing polymorphisms of the DNA- and agonist-binding regions of the mineralocorticoid receptor were evaluated by RT-PCR, SSCP and sequencing. RESULTS: Urinary tetrahydro-aldosterone excretion was reduced in pre-eclampsia as compared to normal pregnancy (P < 0.05). It inversely correlated with blood pressure (r = 0.99, P < 0.04). Homozygosity for activating CYP11B2 polymorphisms was preferably present in normotensive as compared to pre-eclamptic pregnancies, identified (intron 2, P = 0.005; SF-1 site, P = 0.016). Two mutant haplotypes decreased the risk of developing pre-eclampsia (RR 0.16; CI 0.05-0.54; P < 0.001). In contrast, intron 2 wild type predisposed to pre-eclampsia (P < 0.0015). No functional mineralocorticoid receptor mutant has been observed. CONCLUSIONS: High aldosterone availability is associated with lower maternal blood pressure. In line with this observation, gain-of-function variants of the CYP11B2 reduce the risk of developing pre-eclampsia. Mutants of the mineralocorticoid receptor cannot explain the frequent syndrome of pre-eclampsia.

The construal of constructions: causal and temporal interpretations in change constructions

In this paper I first discuss some non-causal change constructions which have largely gone unnoticed in the literature, such as The butler bowed the guests in (which is said to code mild causation) and The supporters booed Newcastle off at the interval (which only codes temporal coextension between its two constitutive subevents). Since the same structure (i.e. the transitive object-oriented change construction) can be used to code a wide spectrum of causal and temporal relations, the question arises of what cognitive mechanisms may be involved in such meaning shifts. I argue that variation can be motivated on the basis of the figure/ground segregation which the conceptualiser can impose upon the integrated scene coded by the change construction. The integrated scene depicts a force-dynamic scenario but also evokes a unique temporal setting (i.e. temporal overlap or coextension between the constitutive subevents). Such a “bias” towards temporal overlap can be used by the conceptualiser to background causation and highlight temporal overlap interpretations. It is also shown that figure/ground segregation can be appealed to to account for the causal interpretation of intransitive change constructions, e.g. The kettle boiled dry. If the conceptual distance between the verbal event and the non-verbal event is (relatively) great, causality can be highlighted even in intransitive patterns.

Primary prevention of peri-implantitis: managing peri-implant mucositis

AIMS Over the past decades, the placement of dental implants has become a routine procedure in the oral rehabilitation of fully and partially edentulous patients. However, the number of patients/implants affected by peri-implant diseases is increasing. As there are--in contrast to periodontitis--at present no established and predictable concepts for the treatment of peri-implantitis, primary prevention is of key importance. The management of peri-implant mucositis is considered as a preventive measure for the onset of peri-implantitis. Therefore, the remit of this working group was to assess the prevalence of peri-implant diseases, as well as risks for peri-implant mucositis and to evaluate measures for the management of peri-implant mucositis. METHODS Discussions were informed by four systematic reviews on the current epidemiology of peri-implant diseases, on potential risks contributing to the development of peri-implant mucositis, and on the effect of patient and of professionally administered measures to manage peri-implant mucositis. This consensus report is based on the outcomes of these systematic reviews and on the expert opinion of the participants. RESULTS Key findings included: (i) meta-analysis estimated a weighted mean prevalence for peri-implant mucositis of 43% (CI: 32-54%) and for peri-implantitis of 22% (CI: 14-30%); (ii) bleeding on probing is considered as key clinical measure to distinguish between peri-implant health and disease; (iii) lack of regular supportive therapy in patients with peri-implant mucositis was associated with increased risk for onset of peri-implantitis; (iv) whereas plaque accumulation has been established as aetiological factor, smoking was identified as modifiable patient-related and excess cement as local risk indicator for the development of peri-implant mucositis; (v) patient-administered mechanical plaque control (with manual or powered toothbrushes) has been shown to be an effective preventive measure; (vi) professional intervention comprising oral hygiene instructions and mechanical debridement revealed a reduction in clinical signs of inflammation; (vii) adjunctive measures (antiseptics, local and systemic antibiotics, air-abrasive devices) were not found to improve the efficacy of professionally administered plaque removal in reducing clinical signs of inflammation. CONCLUSIONS Consensus was reached on recommendations for patients with dental implants and oral health care professionals with regard to the efficacy of measures to manage peri-implant mucositis. It was particularly emphasized that implant placement and prosthetic reconstructions need to allow proper personal cleaning, diagnosis by probing and professional plaque removal.

Trends in Human-Centric Multimedia Networking Scenarios

The evolution of wireless access technologies and mobile devices, together with the constant demand for video services, has created new Human-Centric Multimedia Networking (HCMN) scenarios. However, HCMN poses several challenges for content creators and network providers to deliver multimedia data with an acceptable quality level based on the user experience. Moreover, human experience and context, as well as network information play an important role in adapting and optimizing video dissemination. In this paper, we discuss trends to provide video dissemination with Quality of Experience (QoE) support by integrating HCMN with cloud computing approaches. We identified five trends coming from such integration, namely Participatory Sensor Networks, Mobile Cloud Computing formation, QoE assessment, QoE management, and video or network adaptation.

Mus Hs 953 - Una stella in mare : [romanza]

[Angelo Mariani]

Analyses of shocked quartz from the K-P boundary

The precise cause and timing of the Cretaceous-Paleocene (K-P) mass extinction 65 Ma ago remains a matter of debate. Many advocate that the extinction was caused by a meteorite impact at Chicxulub, Mexico, and a number of potential kill-mechanisms have been proposed for this. Although we now have good constraints on the size of this impact and chemistry of the target rocks, estimates of its environmental consequences are hindered by a lack of knowledge about the obliquity of this impact. An oblique impact is likely to have been far more catastrophic than a sub-vertical one, because greater volumes of volatiles would have been released into the atmosphere. The principal purpose of this study was to characterize shocked quartz within distal K-P ejecta, to investigate whether the quartz distribution carried a signature of the direction and angle of impact. Our analyses show that the total number, maximum and average size of shocked quartz grains all decrease gradually with paleodistance from Chicxulub. We do not find particularly high abundances in Pacific sites relative to Atlantic and European sites, as has been previously reported, and the size-distribution around Chicxulub is relatively symmetric. Ejecta samples at any one site display features that are indicative of a wide range of shock pressures, but the mean degree of shock increases with paleodistance. These shock- and size-distributions are both consistent with the K-P layer having been formed by a single impact at Chicxulub. One site in the South Atlantic contains quartz indicating an anomalously high average shock degree, that may be indicative of an oblique impact with an uprange direction to the southeast +/- 45°. The apparent continuous coverage of proximal ejecta in this quadrant of the crater, however, suggests a relatively high impact angle of >45°. We conclude that some of the more extreme predictions of the environmental consequences of a low-angle impact at Chicxulub are probably not applicable.