Altered processing of conflicting body representations in women with restrictive anorexia nervosa.

Cognitive and affective impairments in processing body image have been observed in patients with Anorexia Nervosa (AN) and may induce the hypercontrolled and regulative behaviors observed in this disorder. Here, we aimed to probe the link between activation of body representations and cognitive control by investigating the ability to resolve body-related representational conflicts in women with restrictive AN and matched healthy controls (HC). Participants performed a modified version of the Flanker task in which underweight and overweight body images were presented as targets and distractors; a classic version of the task, with letters, was also administered as a control. The findings indicated that performance was better among the HC group in the task with bodies compared to the task with letters; however, no such facilitation was observed in AN patients, whose overall performance was poorer than that of the HC group in both tasks. In the task with body stimuli, performance among patients with AN was the worst on trials presenting underweight targets with overweight bodies as flankers. These results may reflect a dysfunctional association between the processing of body-related representations and cognitive control mechanisms that may aid clinicians in the development of optimal individualized treatments.

A broad-spectrum review on multimodal neuroimaging in bulimia nervosa and binge eating disorder.

Bulimia nervosa (BN) and binge eating disorder (BED) are psychiatric conditions marked by emotional disorders managed through the ingestion of great amount of food, with consequent vomiting for avoiding weight gain. Such behavioral habits are dysfunctional and severely impact both psychological and physical health, also compromising neurobiological processes. In the present review, we focus on recent neuroimaging findings (2010-2019) that provide insight into the neural bases of BN and BED. We describe the role of different neuroimaging techniques (magnetic resonance imaging, both structural and functional, positron emission tomography, single-photon emission computerized tomography, electroencephalography and magnetoencephalography) in the delineation of pathophysiological aspects of BN and BED. Results highlight the main involvement of the frontal system and its relationships with temporal areas for reward and self-regulatory processes modulation. The network that regulates food-stimuli control seems to be widespread across the brain, catching the insula, precentral gyrus, frontal cortex and extending until the visual cortex for processing of body image. These results demonstrate diffuse brain vulnerability associated with BN and BED and can confirm that symptomatology maintenance results from several neurostructural and neurofunctional alterations.

The effects of pattern shape, subliminal stimulation, and voluntary control on multistable visual perception.

Spontaneous figure reversal of ambiguous patterns was analyzed in humans. A) With Necker-"cube"-like, or "drum"-like figures, having square or round shaped "front" and "rear" surfaces, and either large or small "depth", the perceptual intervals corresponding to both interpretations of "drum" were longer than those of "cube"; the perceived "depth" of the figures was less relevant for reversal timing (inter-reversal intervals were only slightly longer for the "deeper" figures). Although the shape of "front" and "rear" surfaces is not a crucial geometrical feature for figure reversal, it did influence its timing. More, or longer information-processing steps should probably be needed for perceptual representations of curvilinear patterns in comparison with rectangular ones. The underlying neural mechanisms are probably located at a relatively peripheral level in the visual system. B) With a modified Necker "cube"-like figure, having the two internal vertices coincident, and the long axis of the figure aligned horizontally, the effect of voluntary control on perception-reversal timing overcomes opposite effects due to either fixation-attention to pattern's focal zones, or subliminal stimulation by the pattern's biased versions, suggesting one or the other perception's possibility, while it is enhanced by concordant imagery. Voluntary control should intervene downward at a high-level processing, and should probably affect both a decision-making and a perception-stabilizing mechanism in the process of the pattern's unconscious interpretation. Results A and B are confronted with other results on both perceptual and binocular rivalry of up-to-date literature, in the frame of discussions on low-level bottom-up automatic stimulus-driven processing vs high-level top-down covert attention-driven processing.

Dopamine decreases cell excitability in rat striatal neurons by pre- and postsynaptic mechanisms.

The mechanism by which dopamine (DA) decreases the amplitude of the EPSP-IPSP sequences evoked by cortical stimulation was investigated by means of electrophysiological and biochemical methods. Intracellular recordings indicate that DA decreases the amplitude of the excitatory and inhibitory events by reducing the increase in membrane conductance measured at the peaks of the EPSP-IPSP. The non-synaptic input resistance was not modified. In addition the catecholamine (+50/+200 nA balanced current) was shown to decrease the action of glutamate (-30/-80 nA balanced current) and GABA (+40/+100 nA balanced current) when iontophoretically applied. These observations suggest that DA interferes with the excitatory (glutamatergic) and inhibitory (GABAergic) transmission at the postsynaptic site in striatal neurons. However, the depression of cellular excitability elicited by DA could not be ascribed only to its interaction with synaptic transmission at the postsynaptic level. In fact the catecholamine also inhibited spike frequency driven by depolarizing pulses and decreased the depolarization-induced release of glutamate at the presynaptic site, as shown by biochemical experiments with striatal synaptosomal preparations. A neuromodulatory role of DA in the depression of the excitability of striatal neurons by presynaptic and postsynaptic mechanisms is suggested.

Personality attributes of attention deficit hyperactivity disorder (ADHD) using the Rorschach Inkblot Test.

This study investigated Rorschach Inkblot Test response patterns in a group of children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and compared them to matched samples of clinical control and normal control groups. The findings indicated that the ADHD and clinical control groups both demonstrated markedly limited coping capacities, an avoidance of affect-laden stimuli, difficulties with self- and interpersonal perceptions, problems in perceiving reality accurately, and a vulnerability to depression. The ADHD group demonstrated significantly more intense feelings of isolation and discomfort, less social involvement, avoidance of decision-making, and more dependence, while the clinical control group demonstrated a significantly higher level of psychological disorganization and thinking problems.

Modulation of Hydra attenuata rhythmic activity. IV. The mechanism responsible for rhythmic activity.

It has been hypothesized that the mechanism responsible for the rhythmic contraction-relaxation activity of Hydra attenuata is oscillatory. This nature is confirmed by the possibility of obtaining the suppression of overt behaviour by high frequency photic stimulation, which entrains the behaviour at a phase different from that giving rise to overt activity. Such a triggering mechanism should be structured as two different subsystems, mutually inhibiting. Also each one rebounds after the received inhibition in such a way that the active phase of each of them corresponds to the inhibited phase of the other one. This functional structure is argued from: 1. the existence of two triggering zones responsible for the contraction and relaxation phases; 2. the existence of a difference between the bioelectric potentials which reflect the activity of such triggering zones; 3. the opposite trend of these two bioelectric potentials at all phases in undisturbed conditions, and 4. the opposite direction of the variation of such bioelectric potentials as post-effects of either photic or electric stimulation, which follow the effects in the same direction undergone by the potentials themselves.

[Ventricular remodeling after myocardial revascularization with venous grafts]. / Rimodellamento ventricolare dopo intervento di rivascolarizzazione miocardica con condotti venosi.

Left ventricular remodeling, through long-term left ventricular chamber dilation and increased wall stress can result in alteration of ventricular architecture and impairment of systolic and diastolic performance. Most of the studies regard post acute myocardial infarction remodeling, knowledge is still lacking about preoperative and postoperative factors which predict the long-term prognosis of patients who underwent venous coronary artery bypass graft surgery. We evaluated 243 patients (225 males, 18 females, mean age 65 +/- 7.3 years) submitted to venous coronary artery bypass graft surgery and 10-year follow-up (123 +/- 20 months). Global mortality was 17.6% (n = 43), significantly higher in patients with ejection fraction (EF) < 50% (log-rank test p < 0.001). The survivors (n = 200) were subdivided into two groups according to postoperative EF: patients with EF > or = 50% (n = 160) and patients with EF < 50% (n = 40). Multivariate analysis revealed that cardiovascular risk factors (hypertension, diabetes, hypercholesterolemia, smoking), number of grafts and infarct location were not associated with EF reduction. Only multivessel disease was significantly associated with EF reduction (p = 0.008). Preoperative echocardiographic parameter analysis evidenced that regional ventricular wall motion score was significantly higher in patients with reduced EF (EF < 50% 11 +/- 7.5; EF > or = 50% 6 +/- 4.1, p < 0.001) and left ventricular dilation (p < 0.001). Multivariate analysis revealed that the strongest correlates of EF < 50% were left ventricular wall motion score index > 10 (odds ratio 5.8, 95% confidence interval 2.8-11.7) and multivessel disease (odds ratio 9.0, 95% confidence interval 2.6-31.08). This study revealed that echocardiographic detection of preoperative ventricular wall motion score may be useful to assess patients at high risk of ventricular remodeling after venous coronary artery bypass graft surgery.

Modulation of membrane potential in algal cells by temperature gradients. A thermodynamic approach.

The aim of the present study is to ascertain whether transmembrane temperature gradients couple with transport of electric charge in living cells of Valonia utricularis and eventually measure the thermodynamic coupling coefficient (s). Simple experimental procedures are described that allow generation of temperature gradients of predetermined sense and intensity across the cell membrane. Simultaneous measurement of the potential difference is ensured by standard electrophysiological methods. The mathematical expressions that allow quantitative treatment of experimental results are indicated in the article and are based on standard nonequilibrium thermodynamic and electrophysiological formalism. The value of the coupling coefficient between temperature gradient and flow of electric charge is indicated and concisely discussed in terms of possible mechanisms of ionic membrane transport.

[Use of new forms for the evaluation of the clinical apprenticeship of nursing students]. / L'uso di nuove schede per la valutazione del tirocinio clinico degli studenti infermieri.

The development of forms oriented to the evaluation of the practical training of nursing students is described. The activities of the nursing students were listed and the relevant activities for each practical training period were identified. The level of difficulty of the activity, the skills needed and the performance level to be reached by the end of the practical training period was agreed on and clearly stated for each activity. Criteria for evaluating the socio-affective and relational skills were also identified. The 28 forms developed were used for the evaluation of the practical training of 254 students. Some critical reflections and suggestions for improvement are presented.