Markers of microglia in post-mortem brain samples from patients with Alzheimer's disease: a systematic review.

Neuroinflammation is proposed as one of the mechanisms by which Alzheimer's disease pathology, including amyloid-ß plaques, leads to neuronal death and dysfunction. Increases in the expression of markers of microglia, the main neuroinmmune cell, are widely reported in brains from patients with Alzheimer's disease, but the literature has not yet been systematically reviewed to determine whether this is a consistent pathological feature. A systematic search was conducted in Medline, Embase and PsychINFO for articles published up to 23 February 2017. Papers were included if they quantitatively compared microglia markers in post-mortem brain samples from patients with Alzheimer's disease and aged controls without neurological disease. A total of 113 relevant articles were identified. Consistent increases in markers related to activation, such as major histocompatibility complex II (36/43 studies) and cluster of differentiation 68 (17/21 studies), were identified relative to nonneurological aged controls, whereas other common markers that stain both resting and activated microglia, such as ionized calcium-binding adaptor molecule 1 (10/20 studies) and cluster of differentiation 11b (2/5 studies), were not consistently elevated. Studies of ionized calcium-binding adaptor molecule 1 that used cell counts almost uniformly identified no difference relative to control, indicating that increases in activation occurred without an expansion of the total number of microglia. White matter and cerebellum appeared to be more resistant to these increases than other brain regions. Nine studies were identified that included high pathology controls, patients who remained free of dementia despite Alzheimer's disease pathology. The majority (5/9) of these studies reported higher levels of microglial markers in Alzheimer's disease relative to controls, suggesting that these increases are not solely a consequence of Alzheimer's disease pathology. These results show that increased markers of microglia are a consistent feature of Alzheimer's disease, though this seems to be driven primarily by increases in activation-associated markers, as opposed to markers of all microglia.

Toxic elements at a disused mine district: Particle size distribution and total concentration in stream sediments and mine tailings.

Heavy metal and metalloid pollution at a disused pyrite mine was investigated. Five solid samples collected in the area (three stream sediments with different soil texture, a background soil sample and a mine tailing) were characterised by mineral and element composition, particle size distribution (by wet and dry sieving and laser diffraction) and total concentration by acid digestion (Mn, Zn, Cu, Pb, Hg, Cd, Sb and As). X-ray and element analyses denoted a common mineralogical and chemical composition of mainly quartz, clinochlore, muscovite, anorthite, and hematite. Particle size distributions of the five samples showed that stream sediments were characterised by larger percentage of sand range classes (2000-60 microm) while background sample and tailing are mainly characterised by gravel particles (>2000 microm). Wet and dry sieving procedures gave different particle size distributions, which can be interpreted by laser diffraction analysis and represented by Rosin-Rammler model. Concentrations of Zn, Cu and Cd were higher in the stream sediments than the tailing and background soil, while Mn, As, Sb and Hg are mainly concentrated in the tailing sample. Metal concentrations in the three stream sediment samples are correlated with both particle size dimensions (D(63.2)) and concentration of geochemical normalizers (iron and aluminium). These correlations are observed also for the pollutants that are mainly concentrated in tailing sample (Mn and As), denoting the importance of surface interactions also for the binding of these elements onto stream sediments.

Idiopathic peripheral pulmonary artery stenosis: an unusual cause of ventilation-perfusion mismatch.

Idiopathic peripheral pulmonary artery stenosis is a rare cause of ventilation-perfusion mismatch in adults. We report a 39-yr-old man with this entity. Pulmonary scintigraphy demonstrated findings indistinguishable from pulmonary embolism, and pulmonary angiography was necessary for accurate diagnosis.

The effects of photic driving on mood states.

The EEG photic driving response is a sensitive neurophysiological measure. It has been used to assess drug effects, forms of epilepsy, neurological status of Alzheimer's patients, and physiological arousal. Photic driving also impacts the psychological status of a person by producing increased visual imagery and decreased physiological and subjective arousal. In this study, ten volunteers underwent nocturnal polysomnography followed by six daytime testing sessions. The six sessions consisted of the alpha attenuation test, two visual analog scales for mood, the Stanford Sleepiness Scale, photic stimulation, and the multiple sleep latency test. These tests were administered 2 hours upon awakening and every 2 hours thereafter. The mean mood across the six daytime testing sessions was computed for all mood variables pre- and post-photic stimulation. Significant differences were found for the subjective moods "sleepy," "alert," and "effort." However, no significant differences were found for pre- and post-photic driving for "angry," "irritable," "hungry," "tense," "overall," "happy," "sexual," and "sad." Additionally, all participants reported increased visual imagery during photic driving, as measured by their responses to an imagery questionnaire.

Median nerve hamartoma: MR imaging using chemical shift techniques.

Magnetic resonance imaging findings of median nerve hamartoma are presented in three patients with palpable wrist masses and median neuropathy. Fat-suppressed T1-weighted images demonstrated adipose tissue separating the neural and fibrous tissue bundles in two of three patients, which results in the distinctive appearance of these tumors on magnetic resonance imaging. Fibrous tissue appeared as enhancing longitudinal bundles within the tumor on gadolinium enhanced fat-suppressed T1-weighted images.

Sequential extraction of heavy metals in river sediments of an abandoned pyrite mining area: pollution detection and affinity series.

In this paper heavy metal pollution at an abandoned Italian pyrite mine has been investigated by comparing total concentrations and speciation of heavy metals (Fe, Cu, Mn, Zn, Pb and As) in a red mud sample and a river sediment. Acid digestions show that all the investigated heavy metals present larger concentrations in the sediment than in the tailing. A modified Tessier's procedure has been used to discriminate heavy metal bound to organic fraction from those originally present in the mineral sulphide matrix and to detect a possible trend of metal mobilisation from red mud to river sediment. Sequential extractions on bulk and size fractionated samples denote that sediment samples present larger percent concentrations of the investigated heavy metals in the first extractive steps (I-IV) especially in lower dimension size fractionated samples suggesting that heavy metals in the sediment are significantly bound by superficial adsorption mechanisms.

[Nuclear medicine in pneumonology in the light of 9 year's experience at the S. Luigi Gonzaga Hospital]. / Medicina nucleare in pneumologia alla luce di 9 anni di sperimentazioni all'Ospedale S. Luigi Gonzaga.

An attempt is made to draw a picture of the results obtained with nuclear medicine in the pneumological field in the light of 9 years experience. An attempt is also made to identify from among recently introduced techniques (T.A.C., echotomography) which ones might be substituted for radioisotopes and when, and on what occasion they can be used as complementary treatment. It is concluded that nuclear medicine is of absolute value for functional examinations of the respiratory apparatus (perfusors and ventilators) and for lung onconscannning with Ga67 citrate and Bleomycin-Co57 under present circumstances and that in other fields certain morphological scans (bone scans) are still useful by virtue of their cost-benefit ratio.

[Indications for radiotherapy of lung cancer in the light of its clinical reality]. / Indicazioni del trattamento radiante del carcinoma del polmone alla luce della sua realtá clinica.

Reference is made to a large series and the literature in an attempt to single out cases where radiation management is indicated in the curative, palliative and anatalogic treatment of lung cancer, an in association with other therapies. It is pointed out that each case much be examined on its merits in the light of the histological type, the extent of the process, and its possible metastasis. The conclusion is drawn that radiotherapy plays a useful part in the albeit slight increase in survival of lung cancer patients under acceptable general conditions.

A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedure.

BACKGROUND: Anal endosonography reliably visualizes and identifies anal sphincter abnormalities. However, dedicated probes are quite expensive. We evaluated a simple and less-costly procedure for anal endosonography involving the insertion of the endoscope through a disposable anoscope filled with standard ultrasound gel in terms of patient satisfaction and the simplicity of the procedure in comparison with the standard technique in a unit that already had echoendoscopes available. METHODS: The two techniques were used in 35 subjects without anal abnormalities and data on the simplicity of the procedures, patient discomfort, the quality of images, and the time needed to perform the procedures were compared. RESULTS: All the variables under investigation scored significantly better with the modified technique compared to the standard one. No differences in thickness of either the internal or the external anal sphincter were found between the two methods. CONCLUSIONS: This simple and less-costly adaptation of anal ultrasonography allows good quality examinations to be performed with better patient comfort in units with echoendoscopes already available, avoiding the need for a more expensive dedicated probe.

Adenocarcinoma of the ovary with fat-fluid level: CT appearance.

A fat-fluid level on CT is reported for biopsy proven undifferentiated adenocarcinoma of the ovary. This uncommon radiographic finding has been described in association with germ cell tumors of the ovary, such as cystic teratomas and immature teratomas, but not in other ovarian histologies. The finding of a fat-fluid level on CT is, therefore, suggestive but not exclusive to cystic teratomas.

The effect of cyclophosphamide on B and T lymphocytes in patients with connective tissue diseases.

Absolute numbers of B (IgG-, IgM-, and IgA-staining) and T lymphocytes (sheep erythrocyte rosette-forming cells) were determined in patients with systemic lupus erythematosus and other connective tissue diseases in cyclophosphamide-treated and noncyclophosphamide-treated patients and in control subjects. In patients receiving cyclophosphamide, all three types of immunoglobulin-staining varieties of circulating B lymphocytes were significantly decreased. At the same time the circulating T lymphocytes were also significantly reduced. In patients with scleroderma treated with therapeutic doses of cyclophosphamide and studied sequentially, the reduction in B lymphocytes occurred first, with eventual depletion of both cell types. In 2 patients, an early rebound increase in T cells occurred followed by a marked reduction. These data indicate that the immunosuppressive effects of cyclophosphamide may be associated with a reduction in both cell types.

Contracted gallbladder: a cause of false-positive hepatobiliary scan in patients with cystic fibrosis.

Gallbladder nonvisualization on hepatobiliary scintigraphy in cystic fibrosis is generally secondary to cystic duct obstruction from inspissated bile, mucus, or gallstones. We report gallbladder nonvisualization on hepatobiliary imaging in two patients with cystic fibrosis who had contracted gallbladders on ultrasonography. Repeat ultrasonography at 6 months revealed persistent gallbladder contraction. A contracted gallbladder therefore is a potential cause of a false-positive hepatobiliary scan which can be treated with conservative management.

The immunofluorescent "band" test in mixed connective tissue disease.

Skin biopsy specimens from normal subjects and patients with mixed connective tissue disease, systemic lupus erythematosus, and rheumatoid arthritis were examined for the presence of a "band" of immunoglobulins and complement at the dermal-epidermal junction, using immunofluorescent techniques. A positive immunofluorescent band test was found in the clinically uninvolved skin in three of six patients with mixed connective tissue disease, five of six patients with systemic lupus erythematosus, and none of the patients with rheumatoid arthritis or normal subjects. Although a positive immunofluorescent band test in uninvolved skin has been considered to be fairly specific for the diagnosis of systemic lupus erythematosus, our results suggest that this test cannot be used to distinguish mixed connective tissue disease from systemic lupus erythematosus.