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1.
Spinal Cord ; 50(6): 452-6, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22231542

RESUMEN

STUDY DESIGN: Prospective, multicenter follow-up (F-U) observational study. OBJECTIVES: To investigate the changes in participation and sports practice of people after spinal cord injury (SCI) and their impact on perceived quality of life (QoL). METHODS: The questionnaire investigated the health status and management of clinical conditions and attendance of social integration, occupation, autonomy, car driving, sentimental relationships and perceived QoL in a SCI population 4 years after the first rehabilitation hospitalization. RESULTS: Respondents were 403, 83.4% male; 39% was tetraplegic. At F-U, 42.1% worked and studied, 42.2% still held their jobs or studies, and 69% drove the car. In all, 77.2% had bowel continence and 40.4% urinary continence. The results showed that for the 68.2% of respondents, the attendance of friends, relatives and colleagues during their free time was the same or increased compared with the time before the injury, whereas 31.8% showed a decrease. The amount of time the 52.1% of respondents left home was the same or increased compared with before the trauma, whereas 50.6% of the respondents said that the time they were engaged in hobbies was either the same or increased. CONCLUSION: SCI people who perceived their QoL as being higher, and whose attendance, autonomy and time was increased in respect to hobbies, were mainly men with an age range between 36 and 40 years, unmarried, paraplegic and with A-B Asia Score. Regarding the amount of time dedicated to practicing sports, the only difference was the most of that respondents, who indicated a decrease, were women.


Asunto(s)
Pasatiempos , Relaciones Interpersonales , Calidad de Vida , Traumatismos de la Médula Espinal , Deportes , Adulto , Femenino , Estudios de Seguimiento , Pasatiempos/psicología , Pasatiempos/estadística & datos numéricos , Humanos , Masculino , Calidad de Vida/psicología , Traumatismos de la Médula Espinal/complicaciones , Traumatismos de la Médula Espinal/psicología , Deportes/psicología , Deportes/estadística & datos numéricos , Encuestas y Cuestionarios
2.
Glia ; 58(7): 813-22, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20091783

RESUMEN

Neural stem cells (NSCs) isolated from the subventricular zone (SVZ) of postnatal mice, and cultured as neurospheres, expressed functional mGlu3 receptors. Following mitogen withdrawal and plating onto poly-ornitine-coated dishes, cells dissociated from the neurospheres differentiated into GFAP(+) astrocytes (about 85%), and a small percentage of beta-III tubulin(+)-neurons and O1(+)-oligodendrocytes. Activation of mGlu3 receptors with LY379268 (100 nM, applied every other day), during the differentiation period, impaired astrocyte differentiation, favoring the maintenance in culture of proliferating progenitors co-expressing GFAP with the immature markers, Sox1 and nestin. Co-treatment with the preferential mGlu2/3 receptor antagonist, LY341495 (100 nM), reversed this effect. We examined whether mGlu3 receptors could modulate the canonical signaling pathway activated by bone morphogenic proteins (BMPs), which are known to promote astrocyte differentiation of SVZ/NSCs. An acute challenge of cells isolated from the neurospheres with BMP4 (100 ng/mL) led to phosphorylation and nuclear translocation of the transcription factors, Smads. This effect was largely attenuated by the mGlu2/3 receptor agonist, LY379268. The interaction of mGlu3 and BMP4 receptors was mediated by the activation of the mitogen-activated protein kinase (MAPK) pathway. Accordingly, LY379268 failed to affect BMP receptor signaling when combined with the MAPK kinase inhibitor, UO-126 (30 muM). These data raise the intriguing possibility that glutamate regulates differentiation of SVZ/NSCs by activating mGlu3 receptors.


Asunto(s)
Astrocitos/metabolismo , Diferenciación Celular/fisiología , Linaje de la Célula/fisiología , Receptores de Glutamato Metabotrópico/metabolismo , Células Madre/metabolismo , Telencéfalo/metabolismo , Animales , Animales Recién Nacidos , Astrocitos/citología , Proteína Morfogenética Ósea 4/metabolismo , Proteína Morfogenética Ósea 4/farmacología , Receptores de Proteínas Morfogenéticas Óseas/agonistas , Receptores de Proteínas Morfogenéticas Óseas/metabolismo , Células Cultivadas , Agonistas de Aminoácidos Excitadores/farmacología , Antagonistas de Aminoácidos Excitadores/farmacología , Proteína Ácida Fibrilar de la Glía/metabolismo , Ácido Glutámico/metabolismo , Proteínas de Filamentos Intermediarios/metabolismo , Sistema de Señalización de MAP Quinasas/efectos de los fármacos , Sistema de Señalización de MAP Quinasas/fisiología , Ratones , Proteínas del Tejido Nervioso/metabolismo , Nestina , Factores de Transcripción SOXB1/metabolismo , Proteínas Smad/metabolismo , Esferoides Celulares , Células Madre/citología , Telencéfalo/citología
3.
J Fish Biol ; 77(8): 1931-47, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21078099

RESUMEN

To examine the role of climatic extremes in structuring reef fish communities in the Arabian region, reef fish communities were visually surveyed at four sites within the southern Persian Gulf (also known as the Arabian Gulf and The Gulf), where sea-surface temperatures are extreme (range: 12-35° C annually), and these were compared with communities at four latitudinally similar sites in the biogeographically connected Gulf of Oman, where conditions are more moderate (range: 22-31° C annually). Although sites were relatively similar in the cover and composition of coral communities, substantial differences in the structure and composition of associated fish assemblages were apparent. Fish assemblages in the southern Persian Gulf held significantly lower estimates of abundance, richness and biomass, with significantly higher abundances of smaller sized individuals than Gulf of Oman assemblages. Functionally, southern Persian Gulf sites held significantly lower abundances of nearly all the common fish trophic guilds found on Gulf of Oman sites, although higher abundances of herbivorous grazers were apparent. These results suggest the potential for substantial changes in the structure of reef-associated fish communities, independent of changes in habitat within an environment of increasing fluctuations in oceanic climate.


Asunto(s)
Biodiversidad , Cambio Climático , Peces/fisiología , Animales , Arrecifes de Coral , Océano Índico , Densidad de Población
4.
Med Lav ; 101(3): 189-98, 2010.
Artículo en Italiano | MEDLINE | ID: mdl-20812660

RESUMEN

BACKGROUND: Various epidemiological studies explored cancer mortality and incidence among petrochemical workers. We followed up cancer incidence in a cohort of 5350 male petrochemical workers in the industrial area of Porto Torres (Sardinia, Italy). MATERIAL AND METHODS: The follow-up covered the period from 01/01/1990, when completeness of the cohort was certain and reference rates by the local Cancer Registry became available, up to 31/12/2006. Cohort members were subjects employed for six months or more in one of the chemical plants of the industrial area, alive as at 01/01/1990. Overall, a total of 81,392 person-years at risk were accumulated. The standardized incidence ratio (sir), as the ratio of observed to expected events, and its 95% confidence interval (CI) were calculated for all cancers and selected cancer sites, in the total cohort and in sub-cohorts of workers in plants where exposure to chemical agents evaluated in the IARC Monographs might have occurred. RESULTS: An increase in risk for all cancers was observed in the total cohort (596 cases; sir = 1.09; 95% CI 1.00-1.18), and it was highest for non-Hodgkin lymphoma (NHL, 26 cases: sir = 1.78; 95% CI 1.22-2.62). Risk for haemolymphatic cancer was highest in the sub-cohort of workers employed for 10 years or more, with a latency period of 20 years or longer, and among those employed in the manufacture and polymerization of vinyl chloride (VCM; all cancers, 51 cases: sir = 1.43; 95% CI 1.08-1.88; NHL, 4 cases: sir=4.06; 95% CI 1.64-10.0). Risk of haemolymphatic cancer was not significantly elevated in the sub-cohort potentially exposed to benzene. An excess risk of bladder cancer (RR = 1.46; 95% CI 1.09-1.96), but not of pleural cancer, was observed in the sub-cohort potentially exposed to asbestos. No significant increase in cancer risk was observed among workers potentially exposed to acrylonitrile, butadiene, or styrene. CONCLUSIONS: Our follow-up study of petrochemical workers showed an increase in risk for all cancers, and particularly NHL, apparently concentrated among workers potentially exposed to VCM


Asunto(s)
Industria Procesadora y de Extracción , Neoplasias/epidemiología , Enfermedades Profesionales/epidemiología , Estudios de Cohortes , Humanos , Incidencia , Italia/epidemiología , Masculino , Persona de Mediana Edad
5.
J Cell Physiol ; 219(1): 69-76, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19067321

RESUMEN

The molecular mechanism by which the lipido-sterolic extract of Serenoa repens (LSESr, Permixon) affects prostate cells remains to be fully elucidated. In androgen-independent PC3 prostate cancer cells, the LSESr-induced effects on proliferation and apoptosis were evaluated by counting cells and using a FACScan cytofluorimeter. PC3 cells were stained with JC-1 dye to detect mitochondrial membrane potential. Cell membrane lipid composition was evaluated by thin layer chromatography and gas chromatographic analysis. Akt phosphorylation was analyzed by Western blotting and cellular ultrastructure through electron microscopy. LSESr (12.5 and 25 microg/ml) administration exerted a biphasic action by both inhibiting proliferation and stimulating apoptosis. After 1 h, it caused a marked reduction in the mitochondrial potential, decreased cholesterol content and modified phospholipid composition. A decrease in phosphatidylinositol-4,5-bisphosphate (PIP2) level was coupled with reduced Akt phosphorylation. After 24 h, all of these effects were restored to pre-treatment conditions; however, the saturated (SFA)/unsaturated fatty acid (UFA) ratio increased, mainly due to a significant decrease in omega 6 content. The reduction in cholesterol content could be responsible for both membrane raft disruption and redistribution of signaling complexes, allowing for a decrease of PIP2 levels, reduction of Akt phosphorylation and apoptosis induction. The decrease in omega 6 content appears to be responsible for the prolonged and more consistent increase in the apoptosis rate and inhibition of proliferation observed after 2-3 days of LSESr treatment. In conclusion, LSESr administration results in complex changes in cell membrane organization and fluidity of prostate cancer cells that have progressed to hormone-independent status.


Asunto(s)
Antagonistas de Andrógenos/farmacología , Línea Celular Tumoral , Membrana Celular/efectos de los fármacos , Preparaciones de Plantas/farmacología , Neoplasias de la Próstata , Serenoa/química , Apoptosis/efectos de los fármacos , Línea Celular Tumoral/citología , Línea Celular Tumoral/efectos de los fármacos , Membrana Celular/química , Proliferación Celular/efectos de los fármacos , Humanos , Masculino , Lípidos de la Membrana/química , Lípidos de la Membrana/metabolismo , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Potencial de la Membrana Mitocondrial/fisiología , Fitoterapia , Preparaciones de Plantas/química , Neoplasias de la Próstata/metabolismo , Neoplasias de la Próstata/patología , Proteínas Proto-Oncogénicas c-akt/metabolismo
6.
Cell Death Differ ; 15(4): 700-7, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18174899

RESUMEN

Mouse embryonic stem (ES) cells were stimulated to differentiate either as adherent monolayer cultures in DMEM/F12 supplemented with N2/B27, or as floating embryoid bodies (EBs) exposed to 1 microM retinoic acid (RA) for 4 days, starting from 4 DIV, and subsequently re-plated in DMEM/F12 medium. Adherent monolayer cultures of ES cells expressed mGlu5 receptors throughout the entire differentiation period. Selective pharmacological blockade of mGlu5 receptors with methyl-6-(phenylethynyl)-pyridine (MPEP) (1 microM, added once a day) accelerated the appearance of the neuronal marker, beta-tubulin. In addition, treatment with MPEP increased the number of cells expressing glutamate decarboxylase-65/67 (GAD(65/67)), a marker of GABAergic neurons. In floating EBs, mGlu5 receptors are progressively replaced by mGlu4 receptors. The orthosteric mGlu4/6/7/8 receptor agonist, L-2-amino-4-phosphonobutanoate (L-AP4), or the selective mGlu4 receptor enhancer, PHCCC,--both combined with RA at concentrations of 30 microM--increased the expression of both beta-tubulin and GAD(65/67), inducing the appearance of fully differentiated neurons that released GABA in response to membrane depolarization. We conclude that mGlu receptor subtypes regulate neuronal differentiation of ES cells in a context-dependent manner, and that subtype-selective ligands of these receptors might be used for the optimization of in vitro protocols aimed at producing GABAergic neurons from ES cells.


Asunto(s)
Diferenciación Celular , Células Madre Embrionarias/metabolismo , Neuronas/metabolismo , Receptores de Glutamato Metabotrópico/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Aminobutiratos/farmacología , Animales , Benzopiranos/farmacología , Adhesión Celular , Diferenciación Celular/efectos de los fármacos , Línea Celular , Células Madre Embrionarias/efectos de los fármacos , Células Madre Embrionarias/enzimología , Antagonistas de Aminoácidos Excitadores/farmacología , Glutamato Descarboxilasa/metabolismo , Potenciales de la Membrana , Ratones , Neuronas/efectos de los fármacos , Neuronas/enzimología , Fenotipo , Piridinas/farmacología , Receptor del Glutamato Metabotropico 5 , Receptores de Glutamato Metabotrópico/efectos de los fármacos , Factores de Tiempo , Tretinoina/farmacología , Tubulina (Proteína)/metabolismo
7.
Int J Immunopathol Pharmacol ; 22(3): 647-58, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19822081

RESUMEN

Dendritic cells (DCs) are able to orchestrate innate and acquired immunity and can activate and sustain a long-lasting anti-tumor immune response in vivo when used as anti-tumor cell therapy. The selection of the antigen and the choice of its formulation are key points in designing anti-cancer DC-based vaccines. Cell released vesicles/exosomes have been shown to transfer antigens, HLAI/peptide complexes and co-stimulatory molecules to recipient cells. In this study we describe the generation of an allogenic microvesicle cell factory in which the expression of a specific tumor antigen was combined to the expression of co-stimulatory and allogeneic molecules. The DG75 lymphoblastoid cell line was selected as microvesicle producer and transfected with ErbB2, as tumor antigen prototype. The shed microvesicles transferred antigenic components to recipient DCs, increasing their immunogenicity. DC pulsing resulted in cross-presentation of ErbB2 both in HLAI and HLAII compartments, and ErbB2-specific CD8+ T cells from cancer patients were activated by DCs pulsed with vesicle-bound ErbB2. The microvesicle cell factory proposed may represent a source of cell free immunogen to be used for DC-based cancer therapy.


Asunto(s)
Antígenos de Neoplasias/inmunología , Neoplasias de la Mama/terapia , Linfocitos T CD8-positivos/inmunología , Células Dendríticas/trasplante , Inmunoterapia Adoptiva , Activación de Linfocitos , Receptor ErbB-2/inmunología , Vesículas Transportadoras/trasplante , Antígenos de Neoplasias/genética , Neoplasias de la Mama/inmunología , Línea Celular , Células Dendríticas/inmunología , Femenino , Antígenos HLA/inmunología , Humanos , Inmunofenotipificación , Interferón gamma/metabolismo , Receptor ErbB-2/genética , Transfección , Vesículas Transportadoras/inmunología
8.
Neuropharmacology ; 55(4): 568-76, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18621067

RESUMEN

Targeted-therapies enhancing differentiation of glioma-initiating cells (GICs) are potential innovative approaches to the treatment of malignant gliomas. These cells support tumour growth and recurrence and are resistant to radiotherapy and chemotherapy. We have found that GICs express mGlu3 metabotropic glutamate receptors. Activation of these receptors sustained the undifferentiated state of GICs in culture by negatively modulating the action of bone morphogenetic proteins, which physiologically signal through the phosphorylation of the transcription factors, Smads. The cross-talk between mGlu3 receptors and BMP receptors was mediated by the activation of the mitogen-activated protein kinase pathway. Remarkably, pharmacological blockade of mGlu3 receptors stimulated the differentiation of cultured GICs into astrocytes, an effect that appeared to be long lasting, independent of the growth conditions, and irreversible. In in vivo experiments, a 3-month treatment with the brain-permeant mGlu receptor antagonist, LY341495 limited the growth of infiltrating brain tumours originating from GICs implanted into the brain parenchyma of nude mice. While clusters of tumour cells were consistently found in the brain of control mice, they were virtually absent in a large proportion of mice treated with LY341495. These findings pave the way to a new non-cytotoxic treatment of malignant gliomas based on the use of mGlu3 receptor antagonists.


Asunto(s)
Receptores de Proteínas Morfogenéticas Óseas/metabolismo , Neoplasias Encefálicas/metabolismo , Glioma/metabolismo , Receptores de Glutamato Metabotrópico/fisiología , Transducción de Señal/fisiología , Aminoácidos/farmacología , Animales , Neoplasias Encefálicas/tratamiento farmacológico , Neoplasias Encefálicas/patología , Neoplasias Encefálicas/fisiopatología , Compuestos Bicíclicos Heterocíclicos con Puentes/farmacología , Diferenciación Celular/efectos de los fármacos , Línea Celular Tumoral , Modelos Animales de Enfermedad , Inhibidores Enzimáticos/farmacología , Agonistas de Aminoácidos Excitadores/farmacología , Antagonistas de Aminoácidos Excitadores/farmacología , Glioma/tratamiento farmacológico , Glioma/patología , Glioma/fisiopatología , Humanos , Imagen por Resonancia Magnética , Ratones , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Proteínas del Tejido Nervioso/metabolismo , Fosforilación/efectos de los fármacos , Receptores de Glutamato Metabotrópico/antagonistas & inhibidores , Transducción de Señal/efectos de los fármacos , Xantenos/farmacología
9.
Int J Immunopathol Pharmacol ; 21(2): 421-8, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18547488

RESUMEN

Chlamydophila pneumoniae has been implicated in atherosclerosis, but the role of this obligate intracellular pathogen in the development of the above pathology is still unclear. In particular, its presence and quantitative distribution within lesional areas has not yet been defined. We studied 18 carotid biopsies obtained from patients undergoing endoartherectomy. By laser microdissection (LCM), two different sites (intra-plaque and plaque-adjacent areas) were taken from each lesion, and the presence and quantity of the pathogen DNA were determined by real-time polymerase chain reaction (Real-time PCR). A total of 8 plaques, exclusively from patients with unstable angina, were positive in real-time PCR. The bacterial DNA was detected in both lesional areas of 3 plaques which contained the highest number of DNA copies (1,900 to 2,200 copy numbers), while C. pneumoniae DNA was detected only in the intra-plaque area of the other 5 positive (500 to 1,600 copy numbers). No C. pneumoniae DNA was found in the other 10 plaques of which 6 were from patients with unstable angina and 4 from stable angina patients. No DNA from Helicobacter pylori or Cytomegalovirus was found in any plaque. This is the first report where both the target lesion and an adjacent reference site were evaluated for the presence of C. pneumoniae DNA by the combination of LCM and Real-time PCR assays. The integration of these two methodologies offer an excellent tool for in situ studies and may help to elucidate the putative role of C. pneumoniae in atherosclerosis.


Asunto(s)
Aterosclerosis/microbiología , Infecciones por Chlamydia/microbiología , Chlamydophila pneumoniae/química , ADN Bacteriano/análisis , Microdisección/métodos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Anciano , Aterosclerosis/patología , Arterias Carótidas/microbiología , Arterias Carótidas/patología , Infecciones por Chlamydia/patología , Chlamydophila pneumoniae/genética , ADN Bacteriano/genética , ADN Bacteriano/aislamiento & purificación , Endarterectomía Carotidea , Femenino , Humanos , Rayos Láser , Masculino , Persona de Mediana Edad
10.
Diabetes ; 49(7): 1249-57, 2000 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10909985

RESUMEN

Nonenzymatic glycation has been implicated in the pathogenesis of the dysregulated tissue remodeling that characterizes diabetic glomerulopathy, via the formation of advanced glycation end products (AGEs) and their binding to cell surface receptors. Several AGE-binding proteins have been identified so far, including p60, p90, and the adhesive and growth-regulating lectin galectin-3 (Gal-3), the components of the so-called AGE-receptor complex. This study aimed to evaluate the mesangial expression of the AGE-receptor complex and its modulation by the diabetic milieu, both in vivo, in non-diabetic versus streptozotocin-induced diabetic rats, and in vitro, in mesangial cells exposed to either normal glucose (NG) levels (5.5 mmol/l), as compared with high glucose (HG) levels (30 mmol/l) and iso-osmolar mannitol (M), or to native bovine serum albumin (BSA), as compared with glycated BSA with AGE formation (BSA-AGE) and glycated BSA in which AGE formation was prevented by aminoguanidine (BSA-AM). In vivo, Gal-3 protein and mRNA were not detectable in glomeruli from nondiabetic rats until 12 months after initiating the study. On the contrary, in diabetic rats, Gal-3 expression was observed at 2 months of disease duration, and it increased thereafter. Both p60 and p90 immunoreactivities were observed at the glomerular level with slightly increased expression of p90, but not p60, in diabetic versus nondiabetic animals. In vitro, Gal-3 was not detectable in mesangial cells cultured in NG (although it became evident after a certain number of passages in culture), whereas Gal-3 was detectable in cells grown on BSA. Prolonged exposure (2-4 weeks) of mesangial cells to HG but not to M, as well as growing cells on BSA-AGE and, to a lesser extent, BSA-AM, induced or significantly increased the expression of Gal-3, both protein (up to 2.65-fold) and mRNA (up to 3.10-fold) and its secretion in the medium (by approximately 50%). Both p60 and p90 were demonstrated in mesangial cells under NG conditions, and the expression of p90, but not p60, was upregulated by approximately 20% by HG or BSA-AGE. These results indicate that 1) under basal conditions, Gal-3, unlike p90 and p60, is not detectable in the mesangium but becomes expressed with aging and 2) the diabetic milieu induces or upregulates Gal-3 production, whereas it increases only slightly the expression of p90, but not p60. Gal-3 expression or overexpression may modulate the AGE-receptor-mediated events by modifying the function of the AGE-receptor complex. Additionally, it may exert direct effects on tissue remodeling by virtue of its adhesive and growth-regulating properties.


Asunto(s)
Antígenos de Diferenciación/genética , Diabetes Mellitus Experimental/fisiopatología , Regulación de la Expresión Génica/fisiología , Mesangio Glomerular/metabolismo , Glucosa/farmacología , Productos Finales de Glicación Avanzada/farmacología , Albúmina Sérica Bovina/farmacología , Envejecimiento/fisiología , Animales , Antígenos de Diferenciación/biosíntesis , Bovinos , Células Cultivadas , Galectina 3 , Regulación de la Expresión Génica/efectos de los fármacos , Mesangio Glomerular/citología , Mesangio Glomerular/patología , Humanos , Masculino , Manitol/farmacología , Glicoproteínas de Membrana/biosíntesis , Glicoproteínas de Membrana/genética , Ratas , Ratas Sprague-Dawley , Valores de Referencia
11.
Eur J Phys Rehabil Med ; 51(6): 745-53, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26138089

RESUMEN

BACKGROUND: At present there is no agreement on a common evaluation protocol to assess improvement in stroke patients after robotic therapy. AIM: The aim of this study was to identify a Minimum Data Set Assessment Protocol, using an agreement-based survey. DESIGN: A Delphi survey. SETTING: This study was conceived by the Italian Robotic Neurorehabilitation Research Group (IRNRG), an Italian group involved in the clinical application of robot-assisted rehabilitation devices POPULATION: Stroke subjects. METHODS: A 3-round Delphi survey was carried out through the electronic submission of questionnaires to a panel of experts identified in fourteen rehabilitation centers. For each generated item, experts were asked to rate questions on a 5 point Likert Scale. RESULTS: After the 1st round the questionnaire was filled out by 43 (84.3%) out of 51 experts invited to participate in the study. In the 2nd and 3rd rounds we explored the specific evaluation tools for each of the ICF domains identified in the 1st round. The experts identified the following assessment tools for the upper limb: the Ashworth Scale, the Fugl-Meyer assessment scale, the Frenchay Arm Test, the Medical Research Council scale, the Motricity Index, Frenchay Activities Index and Modified Barthel Index; and for the lower limb: the Ashworth Scale, the Motricity Index, the 10 meter walking Test, the 6 minutes walking Test, the Functional Ambulatory Classification, the Timed Up and Go Test, the Walking Handicap Scale, the Borg Rating of Perceived Exertion, the Heart Rate, the Medical Research Council Scale, the Tinetti Balance Scale and the Modified Barthel Index. CONCLUSION: The Delphi survey presented in this study allows the identification of a shared assessment protocol to be applied in clinical practice and research for the evaluation of the real improvement related to robot-assisted rehabilitation of the upper and lower limb in patients after stroke. CLINICAL REHABILITATION IMPACT: Clinicians and researchers could use the results of this study to obtain a common language in robotic rehabilitation assessments.


Asunto(s)
Técnica Delphi , Modalidades de Fisioterapia/instrumentación , Robótica/instrumentación , Rehabilitación de Accidente Cerebrovascular , Evaluación de la Discapacidad , Femenino , Humanos , Italia , Masculino , Recuperación de la Función , Encuestas y Cuestionarios , Resultado del Tratamiento
12.
J Laryngol Otol ; 129(9): 840-51, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26242636

RESUMEN

BACKGROUND: The postulated sites of perilymph fistulae involve otic capsule deficiencies, in particular, at the fissula ante fenestram. Histological studies have revealed this to be a channel extending from the middle ear, and becoming continuous with the inner ear medial to the anterior limit of the oval window. The relationship between a patent fissula and symptoms of perilymph fistula is contentious. OBJECTIVE: The understanding of the anatomy of the fissula ante fenestram is incomplete. Histopathology is inherently destructive to the delicate ultrastructure of the middle and inner ear. Conversely, X-ray microtomography allows non-destructive examination of the otic capsule. In this study, we used X-ray microtomography to characterise the fissula ante fenestram. MATERIALS AND METHODS: We imaged cadaveric temporal bones with X-ray microtomography. We used the Avizo Fire (Visualization Science Group, Merignac Cedex, France) software to perform post-processing and image analysis. RESULTS: Three-dimensional modelling of the fissula ante fenestram allowed stratification into four forms: rudimentary pit; partial fissula; complete occluded fissula; and complete patent fissula. CONCLUSION: X-ray microtomography showed that the fissula ante fenestram is present in various forms from rudimentary pit to complete deficiency of the otic capsule. This understanding may have implications for otologic surgery and clinical diagnosis of perilymph fistula.


Asunto(s)
Acueducto Coclear/diagnóstico por imagen , Acueducto Coclear/cirugía , Simulación por Computador , Oído Interno/diagnóstico por imagen , Oído Interno/cirugía , Fenestración del Laberinto , Fístula/diagnóstico por imagen , Fístula/cirugía , Imagenología Tridimensional , Enfermedades del Laberinto/diagnóstico por imagen , Enfermedades del Laberinto/cirugía , Canales Semicirculares/diagnóstico por imagen , Microtomografía por Rayos X , Adulto , Humanos , Interpretación de Imagen Asistida por Computador , Canales Semicirculares/cirugía , Programas Informáticos
13.
Eur J Phys Rehabil Med ; 51(5): 569-74, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26138088

RESUMEN

BACKGROUND: The Lee Silverman Voice Treatment (LSVT®) was specifically created and tested to comply with the needs of individuals with Parkinson's disease (PD) and other neurological problems. This is a high effort intensive treatment that aims at increasing vocal intensity through the increase of subglottal air pressure, i.e. respiratory effort, for a better cordal adduction and vibration, following the motto "think loud". AIM: The main goal of this study is to inspect the efficacy of LSVT® treatment in progressive supranuclear palsy (PSP) patients. DESIGN: Longitudinal study. SETTING: Rehabilitative inpatient unit. POPULATION: Sixteen patients with PSP and 23 patients with idiopathic PD as control were enrolled in the study. METHODS: All patients underwent a training consisting in16 sessions of speech therapy following the LSVT® protocol. Initially the two groups of patients had similar voice problems, i.e. low volume and bad articulation of speech. RESULTS: A statistically significant improvement was found among the data collected before and after treatment in the PSP and Parkinson groups. Increase in maximum phonation duration and volume of voice in reading were similar in the two groups. Improvement in quality of voice and articulation were more significant in the PD group as compared to the PSP group. CONCLUSION: These results, along with previous findings, add further support to the generalized therapeutic impact of intensive voice treatment on respiratory and laryngeal functions in individuals with PSP. CLINICAL REHABILITATION IMPACT: The positive results, the absence of dropout and collateral effect following this clinical treatments with LSVT technique encouraged to use this technique in PSP patients.


Asunto(s)
Disartria/fisiopatología , Disartria/rehabilitación , Logopedia/métodos , Parálisis Supranuclear Progresiva/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Disartria/etiología , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/fisiopatología , Fonación , Medición de la Producción del Habla , Parálisis Supranuclear Progresiva/complicaciones , Resultado del Tratamiento
14.
Hear Res ; 327: 48-57, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25987505

RESUMEN

AIM: To explore morphological or electrophysiological evidence for the presence of endolymphatic hydrops (EH) in guinea pig cochleae in the first 3 months after cochlear implantation. METHODS: Dummy silastic electrodes were implanted atraumatically into the basal turn of scala tympani via a cochleostomy. Round window electrocochleography (ECochG) was undertaken prior to and after implantation. Animals survived for 1, 7, 28 or 72 days prior to a terminal experiment, when ECochG was repeated. The cochleae were imaged using micro-CT after post-fixing with osmium tetroxide to reveal the inner ear soft tissue structure. EH was assessed by visual inspection at a series of frequency specific places along the length of the cochlea, and the extent to which Reissner's membrane departed from its neutral position was quantified. Tissue response volumes were calculated. Using ECochG, the ratio of the summating potential to the action potential (SP/AP ratio) was calculated in response to frequencies between 2 and 32 kHz. RESULTS: There was minimal evidence of electrode trauma from cochlear implantation on micro-CT imaging. Tissue response volumes did not change over time. EH was most prevalent 7 days after surgery in implanted ears, as determined by visual inspection. Scala media areas were increased, as expected in cases of EH, over the first month after cochlear implantation. SP/AP ratios decreased immediately after surgery, but were elevated 1 and 7 days after implantation. CONCLUSIONS: EH is prevalent in the first weeks after implant surgery, even in the absence of significant electrode insertion trauma.


Asunto(s)
Cóclea/cirugía , Implantación Coclear/efectos adversos , Hidropesía Endolinfática/etiología , Estimulación Acústica , Animales , Audiometría de Respuesta Evocada , Umbral Auditivo , Cóclea/diagnóstico por imagen , Cóclea/fisiopatología , Implantación Coclear/instrumentación , Implantes Cocleares , Modelos Animales de Enfermedad , Hidropesía Endolinfática/diagnóstico , Hidropesía Endolinfática/fisiopatología , Potenciales Evocados , Cobayas , Factores de Tiempo , Microtomografía por Rayos X
15.
FEBS Lett ; 506(1): 55-60, 2001 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-11591370

RESUMEN

CXCR4 (fusin) is a chemokine receptor which is involved as a coreceptor in gp120 binding to the cell surface. In this study we provide evidence that binding of gp120 triggers CXCR4 recruitment to glycosphingolipid-enriched microdomains. Scanning confocal microscopy showed a nearly complete localization of CXCR4 within GM3-enriched plasma membrane domains of SupT1 cells and coimmunoprecipitation experiments revealed that CXCR4 was immunoprecipitated by IgG anti-GM3 after gp120 pretreatment. These findings reveal that gp120 binding induces a strict association between CXCR4 and ganglioside GM3, supporting the view that GM3 and CXCR4 are components of a functional multimolecular complex critical for HIV-1 entry.


Asunto(s)
Gangliósido G(M3)/metabolismo , Receptores CXCR4/metabolismo , Línea Celular , Membrana Celular/metabolismo , Cromatografía en Capa Delgada , Proteína gp120 de Envoltorio del VIH/metabolismo , Humanos , Pruebas de Precipitina , Unión Proteica
16.
Eur J Endocrinol ; 141(6): 644-52, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10601969

RESUMEN

OBJECTIVE: To evaluate the existence of beta-cell differentiation and proliferation in the low-dose streptozotocin (ld-STZ) mouse model of autoimmune diabetes. DESIGN: We studied the expression of Reg protein and cytokeratin 20 (CK20), the presence of proliferative phenomena (judged by the incorporation of bromodeoxyuridine (BrdU)), and the co-expression of Reg, CK20 or BrdU with insulin. MATERIALS AND METHODS: Diabetes was induced in male C57Bl6/J mice by administration of ld-STZ. The animals were killed at days 10 and 23 from the beginning of the induction of disease. Five animals were used at each time point and each group was evaluated for blood glucose concentrations, insulitis, expression of Reg and CK20 pancreatic proteins and BrdU incorporation, together with staining for insulin by immunohistochemistry and laser confocal microscopy. RESULTS: All mice treated with ld-STZ were hyperglycemic and histological investigation showed a mild or severe insulitis both at day 10 and at day 23. At day 10, immunochemistry revealed an intense expression of Reg and CK20 in pancreatic ducts in ld-STZ mice, but not in control mice. Reg and CK20 immunoreactive cells were also positive for insulin. In contrast, at day 23, pancreatic sections reacted weakly with anti-Reg and anti-CK20 antibody; co-localization with insulin was observed for both Reg and CK20. The incorporation of BrdU was observed only in insulin-positive cells in pancreatic sections from mice killed at day 10. CONCLUSIONS: These observations show an islet regeneration mechanism in response to an autoimmune attack, and that the ld-STZ mouse is a suitable model in which to evaluate intervention strategies.


Asunto(s)
Proteínas de Unión al Calcio/metabolismo , Diferenciación Celular , División Celular , Diabetes Mellitus Experimental/inmunología , Proteínas de Filamentos Intermediarios/metabolismo , Proteínas del Tejido Nervioso , Conductos Pancreáticos/patología , Animales , Enfermedades Autoinmunes/metabolismo , Enfermedades Autoinmunes/patología , Glucemia/metabolismo , Peso Corporal , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/patología , Técnica del Anticuerpo Fluorescente , Islotes Pancreáticos/inmunología , Islotes Pancreáticos/patología , Queratina-20 , Litostatina , Masculino , Ratones , Ratones Endogámicos C57BL , Páncreas/patología
17.
Anticancer Res ; 20(6B): 4579-83, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11205307

RESUMEN

The progression of transitional-cell carcinomas of the bladder is associated with changes in general and local immune status. To understand the factors involved in the progression of transitional cell carcinoma and in the maintenance of an efficient anti-tumoural response, in this study we investigated by immunohistochemistry expression of HSP-90, IL-6 and IL-10 proteins in 56 surgical specimens obtained from superficial and deeply invasive bladder carcinomas. Of the 56 bladder carcinoma 52 (92.9%) expressed HSP-90, 48 (85.7%) IL-6 and 45 (80.3%) IL-10. High-grade and muscle-invasive tumours contained significantly higher levels of HSP-90 and IL-6 antibodies than low-grade and superficial tumours (p < 0.05). Linear regression showed a significant correlation between HSP-90 and IL-10 (p = 0.022) but not between HSP-90 and IL-6, or IL-6 and IL-10 expression. The variable quantities of HSP-90, IL-6 and IL-10 in the high-grade bladder carcinomas studied suggest that these proteins have independent functional roles and may be the immunogenic targets for an anti-tumoural response.


Asunto(s)
Carcinoma de Células Transicionales/metabolismo , Proteínas HSP90 de Choque Térmico/metabolismo , Interleucina-10/metabolismo , Interleucina-6/metabolismo , Proteínas de Neoplasias/metabolismo , Neoplasias de la Vejiga Urinaria/metabolismo , Anciano , Carcinoma in Situ/metabolismo , Carcinoma in Situ/patología , Carcinoma Papilar/metabolismo , Carcinoma Papilar/patología , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/patología , Carcinoma de Células Transicionales/patología , Humanos , Inmunohistoquímica , Modelos Lineales , Persona de Mediana Edad , Estadificación de Neoplasias , Estudios Retrospectivos , Neoplasias de la Vejiga Urinaria/patología
18.
Oecologia ; 124(2): 166-171, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28308175

RESUMEN

There appears to be widespread acceptance that for a population to persist, some demographic parameter must be density dependent at some place or time. In this paper, we question the veracity and heuristic value of treating this statement as a general principle of ecology. We also point out that some processes that have recently been defined as density dependent are, in fact, not. Taken in its original sense, density dependence implies a change in demographic rates based on biological (generally negative) feedback. Situations exist, however, in which demographic rates change in relation to density without negative biological feedback. For example, per capita recruitment in marine populations will decrease as local population size increases even as absolute numbers of arriving larvae do not change. The failure to separate these density-related processes from true density-dependent processes affects our understanding of population regulation and of the way in which the natural world functions. Furthermore, focusing solely on density-dependent processes and their role in population regulation neglects to address numerous density-independent processes like disturbance and climatic variation that may have important impacts in determining population size.

19.
Oecologia ; 64(2): 191-198, 1984 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28312338

RESUMEN

Visual census was used to sample young of the year of fish species recruited to each of two habitats on seven lagoonal platform reefs of the Capricorn-Bunker Group, Great Barrier Reef. The reefs sampled span an area 70 km in extent. In 1983, 62 species from 13 families were detected as recruits on reef slope sites. The total number of cruits, and the number of each of 6 of 16 species tested, differed significantly among reefs, despite the fact that differences among sites within reefs did not exist, and that sampled slopes were chosen to be hydrographically, and physiographically as similar as possible. Lagoonal patch reefs were sampled in two years. In 1982, 76 species of 11 families occurred as recruits. In 1983, 86 species of 12 families were recorded. All of 22 species common enough to test showed some significant variation in abundance among reefs, years, or both. For 9 species, significant year x reef interactions occurred, demonstrating that relative recruitment success among reefs varied between years. Reasons for the substantial levels of variability are discussed, and implications for the organisation of reef fish communities are considered.

20.
Pharmacol Biochem Behav ; 12(1): 7-21, 1980 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-7367464

RESUMEN

Experiments were conducted in a step-through, one-trail, passive-avoidance situation, in order to study the effect of crude or 10,000 dalton-ultrafiltered brain extracts, from trained donor rats, on the learning of the same behavior in naive or undertrained recipient rats. A positive transfer effect was consistently detectable in the latter, apparently related to consolidated learning, but not to the level of avoidance performance or of general activation in the donors. Temporal and cognitive requirements, for such an effect to occur, have been established with regard to donor-training and recipient-managing procedures. A tentative explanation of the transfer effect in the passive-avoidance behavior cannot disregard the possibility of material transmission of information pertaining to a response elicited by primary or secondary reinforcement. Such a response, although quite distinct from the somatomotor response, would be necessary to its acquisition but not to its expression.


Asunto(s)
Reacción de Prevención , Encéfalo , Extractos de Tejidos/administración & dosificación , Animales , Masculino , Ratas , Cloruro de Sodio
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