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1.
Sci Rep ; 12(1): 10309, 2022 06 20.
Article in English | MEDLINE | ID: mdl-35725989

ABSTRACT

The aim of the study was to evaluate adrenal axis hyperactivation measuring hair cortisol levels, and its influence on the relationship among metabolic parameters, inflammation markers and androgens in adult women with PCOS. 44 women (18-34 years) with PCOS diagnosis and a control group of 49 healthy women (19-35 years) were included. In both gropus body mass index (BMI) was calculated and waist circumference (WC) was measured. Hair cortisol, total serum testosterone (TT), serum cortisol, 25 OH vitamin D (25OHD), insulin, high sensitivity C-reactive protein (hsCRP), triglycerides (TG), HDL cholesterol (HDL), glucose and leptin were measured. Bioavailable testosterone (bioT) was calculated. Hair cortisol concentration was higher and significantly different in PCOS patients compared to the control group (130 vs 63 pg/mg of hair, p < 0.001). Subsequently, patients with PCOS were divided into two groups according to hair cortisol levels: group 1 with normal hair cortisol concentration and group 2 with levels above the upper limit of the reference values (128 pg/mg of hair). In group 2, TT significantly correlated with 25OHD, hsCRP, TG/HDL index, BMI, WC, insulin and HOMA (p < 0.05); bioT correlated with hsCRP and leptin (p < 0.05). Finally, 25OHD was inversely correlated with leptin and with TG/HDL index (p < 0.05). High hair cortisol concentration in patients with PCOS confirmed hyperactivation of the HPA axis. The associations observed were only found in patients with PCOS with high hair cortisol levels (> 128 pg/mg of hair), showing a possible effect of HPA axis in these associations.


Subject(s)
Hair , Hydrocortisone , Polycystic Ovary Syndrome , Adolescent , Adult , Body Mass Index , C-Reactive Protein/metabolism , Female , Hair/chemistry , Humans , Hydrocortisone/analysis , Hypothalamo-Hypophyseal System/metabolism , Insulin , Insulin Resistance , Leptin/metabolism , Obesity/complications , Pituitary-Adrenal System/metabolism , Polycystic Ovary Syndrome/metabolism , Testosterone , Young Adult
2.
Rev Sci Instrum ; 91(11): 113104, 2020 Nov 01.
Article in English | MEDLINE | ID: mdl-33261435

ABSTRACT

We report the in-house fabrication of a high-resolution Fourier-transform spectrometer (FTS) for the spectroscopy of molecules in the gas phase at resolutions down to 0.002 cm-1 working in the spectral range from 5880 cm-1 (1.7 µm) to 15 380 cm-1 (650 nm). The FTS employs a supercontinuum as a broadband light source and a He:Ne laser with a homemade frequency-stabilization scheme as the spatial reference for the sampling of the interferogram on a constant optical path difference (OPD) grid. The sampling of the two lasers is performed at constant time intervals, and the resampling process is performed at the software level. The resampling of the interferogram on a constant OPD grid relies on cubic approximations of the He:Ne interference pattern to determine its zero-crossings. The use of an invariant in the sampling process allows us to perform on-the-fly data treatment. Both the hardware aspect and the data processing are described with, in each case, an original approach. We also report the successful coupling of the FTS with a high finesse optical cavity with effective mirror reflectivities of 99.76%, allowing us to reach sensitivities down to 6.5 × 10-8 cm-1 with a root-mean-square accuracy of 0.0017 cm-1 on the position of the Doppler-broadened transitions with a mean transition width of 0.046 cm-1 for spectra recorded at a spectral resolution of 0.015 cm-1. The sensitivity of the instrument per spectral element, once normalized, represents the best sensitivity reported in the literature for Fourier-transform incoherent broadband cavity-enhanced absorption spectroscopy with a supercontinuum light source.

3.
Arch Gynecol Obstet ; 301(2): 405-414, 2020 02.
Article in English | MEDLINE | ID: mdl-31781889

ABSTRACT

PURPOSE: Prenatal stress (PS) during pregnancy affects in utero- and postnatal child brain-development. Key systems affected are the hypothalamic-pituitary-adrenal axis and the autonomic nervous system (ANS). Maternal- and fetal ANS activity can be gauged non-invasively from transabdominal electrocardiogram (taECG). We propose a novel approach to assess couplings between maternal (mHR) and fetal heart rate (fHR) as a new biomarker for PS based on bivariate phase-rectified signal averaging (BPRSA). We hypothesized that PS exerts lasting impact on fHR. METHODS: Prospective case-control study matched for maternal age, parity, and gestational age during the third trimester using the Cohen Perceived Stress Scale (PSS-10) questionnaire with PSS-10 over or equal 19 classified as stress group (SG). Women with PSS-10 < 19 served as control group (CG). Fetal electrocardiograms were recorded by a taECG. Coupling between mHR and fHR was analyzed by BPRSA resulting in fetal stress index (FSI). Maternal hair cortisol, a memory of chronic stress exposure for 2-3 months, was measured at birth. RESULTS: 538/1500 pregnant women returned the questionnaire, 55/538 (10.2%) mother-child pairs formed SG and were matched with 55/449 (12.2%) consecutive patients as CG. Maternal hair cortisol was 86.6 (48.0-169.2) versus 53.0 (34.4-105.9) pg/mg (p = 0.029). At 36 + 5 weeks, FSI was significantly higher in fetuses of stressed mothers when compared to controls [0.43 (0.18-0.85) versus 0.00 (- 0.49-0.18), p < 0.001]. CONCLUSION: Prenatal maternal stress affects the coupling between maternal and fetal heart rate detectable non-invasively a month prior to birth. Lasting effects on neurodevelopment of affected offspring should be studied. TRIAL REGISTRATION: Clinical trial registration: NCT03389178.


Subject(s)
Anxiety/physiopathology , Autonomic Nervous System/physiology , Fetal Movement/physiology , Heart Rate, Fetal/physiology , Mothers/psychology , Pregnancy Complications/psychology , Stress, Psychological/physiopathology , Adult , Case-Control Studies , Electrocardiography , Female , Gestational Age , Humans , Hydrocortisone/analysis , Hypothalamo-Hypophyseal System , Pituitary-Adrenal System , Pregnancy , Pregnancy Trimester, Third , Prospective Studies , Stress, Psychological/complications
4.
Nat Commun ; 10(1): 3522, 2019 Aug 06.
Article in English | MEDLINE | ID: mdl-31387994

ABSTRACT

Apart from being key structures of modern microelectronics, metal-insulator-semiconductor (MIS) junctions are highly promising electrodes for artificial leaves, i.e. photoelectrochemical cells that can convert sunlight into energy-rich fuels. Here, we demonstrate that homogeneous Si/SiOx/Ni MIS junctions, employed as photoanodes, can be functionalized with a redox-active species and simultaneously converted into high-photovoltage inhomogeneous MIS junctions by electrochemical dissolution. We also report on the considerable enhancement of performance towards urea oxidation, induced by this process. Finally, we demonstrate that both phenomena can be employed synergistically to design highly-efficient Si-based photoanodes. These findings open doors for the manufacturing of artificial leaves that can generate H2 under solar illumination using contaminated water.

5.
Sci Rep ; 9(1): 3968, 2019 03 08.
Article in English | MEDLINE | ID: mdl-30850700

ABSTRACT

Vitamin D deficiency has been related with metabolic alterations in polycystic ovary syndrome (PCOS). As well, hyperactivation of adrenal axis can be programmed early in life and could be related later with PCOS development. Our aim was to establish the relationship between vitamin D and adrenal parameters with metabolic alterations and inflammation markers in PCOS. In 73 patients and 33 controls, 25-hydroxyvitamin D (25-OH-D), total and bioavailable testosterone (TT and bioT), androstenedione (A4), SHBG, cortisol, insulin, and C-reactive protein (hs-CRP) were determined; HOMA and lipid accumulation product (LAP) index were calculated. All parameters were higher in patients than in controls, except for SHBG and 25-OH-D which were lower. Binary regression analysis showed that differences in TT, bioT, A4, insulin and HOMA were independent of body mass index and waist circumference but SHBG, hs-CRP, LAP and 25-OH-D were related to body weight and fat distribution. Binary logistic regression analysis showed that cortisol and 25-OH-D could be associated to PCOS development. Correlations found between LAP and insulin, HOMA and hs-CRP confirm it is a good indicator of metabolic complications. Vitamin D and cortisol association to PCOS development justifies future research to understand the role of vitamin D in PCOS and analyze patient's perinatal history and its possible relationship with hyperactivation of adrenal axis in adult life.


Subject(s)
Adrenal Glands/metabolism , Biomarkers/metabolism , Inflammation/metabolism , Polycystic Ovary Syndrome/metabolism , Vitamin D/metabolism , Adolescent , Adrenal Cortex Hormones/metabolism , Adult , Body Mass Index , Case-Control Studies , Female , Humans , Male , Obesity/metabolism , Vitamin D Deficiency/metabolism , Waist Circumference/physiology , Young Adult
6.
J Chem Phys ; 149(13): 134301, 2018 Oct 07.
Article in English | MEDLINE | ID: mdl-30292203

ABSTRACT

Photoionization of randomly oriented chiral molecules with circularly polarized light leads to a strong forward/backward asymmetry in the photoelectron angular distribution. This chiroptical effect, referred to as Photoelectron Circular Dichroism (PECD), was shown to take place in all ionization regimes, from single photon to tunnel ionization. In the Resonance Enhanced Multiphoton Ionisation (REMPI) regime, where most of the table-top PECD experiments have been performed, understanding the role of the intermediate resonances is currently the subject of experimental and theoretical investigations. In an attempt to decouple the role of bound-bound and bound-continuum transitions in REMPI-PECD, we photoionized the (+)-limonene enantiomer using two-color laser fields in [1 + 1'] and [2 + 2'] ionization schemes, where the polarization state of each color can be controlled independently. We demonstrate that the main effect of the bound-bound transition is to break the sample isotropy by orientation-dependent photoexcitation, in agreement with recent theoretical predictions. We show that the angular distribution of PECD strongly depends on the anisotropy of photoexcitation to the intermediate state, which is different for circularly and linearly polarized laser pulses. On the contrary, the helicity of the pulse that drives the bound-bound transition is shown to have a negligible effect on the PECD.

7.
Science ; 358(6368): 1288-1294, 2017 12 08.
Article in English | MEDLINE | ID: mdl-29217568

ABSTRACT

Chiral light-matter interactions have been investigated for two centuries, leading to the discovery of many chiroptical processes used for discrimination of enantiomers. Whereas most chiroptical effects result from a response of bound electrons, photoionization can produce much stronger chiral signals that manifest as asymmetries in the angular distribution of the photoelectrons along the light-propagation axis. We implemented self-referenced attosecond photoelectron interferometry to measure the temporal profile of the forward and backward electron wave packets emitted upon photoionization of camphor by circularly polarized laser pulses. We measured a delay between electrons ejected forward and backward, which depends on the ejection angle and reaches 24 attoseconds. The asymmetric temporal shape of electron wave packets emitted through an autoionizing state further reveals the chiral character of strongly correlated electronic dynamics.

8.
J Acoust Soc Am ; 141(1): 383, 2017 01.
Article in English | MEDLINE | ID: mdl-28147599

ABSTRACT

Through the comparison of notes produced on two recorders by one novice and two experienced players in musical contexts, this study identifies the temporal aspects of the attack transients which are controlled by the player and those which are imposed by the dynamic response of the instrument. The rise times of mouth pressure used by the novice player are longer than the ones produced by the experienced players, which are the shortest ones preserving the control of the jet velocity rise times. For shortest rise times, the jet development is limited by the inertia of the channel. The onset time of the acoustic oscillation is divided in two parts: the time needed to initiate the oscillation and the duration of the growth. The times of growth are similar for the novice and the experienced players, which is linked to the similarity of the gain characterizing the linear behavior of the instrument. The times needed to initiate the oscillation show the most pronounced difference between the two types of players; it is much longer for a novice player. This difference is interpreted in terms of the initial input of energy in the system which is larger for the experienced players.

9.
Nanoscale ; 9(5): 1799-1804, 2017 Feb 02.
Article in English | MEDLINE | ID: mdl-28098295

ABSTRACT

The immersion of oxide-free Si surfaces in MoS42- aqueous solutions induces their spontaneous decoration with isolated MoOx nanoparticles (NPs). The process is versatile and was used on planar Si (100) as well as on antireflective Si (111) micro-pyramid (SimPy) arrays. The NP decoration does not affect the optical properties of the surface in the visible range and improves the performance of the hydrogen evolution reaction (HER) under simulated sunlight. The simplicity and the scalability of the technique make it highly promising for the fabrication of catalytically active photoelectrodes. More specifically, the MoOx-decorated SimPy produced H2 at a rate of 11 µmol cm-2 min-1 with a faradaic efficiency higher than 90% at -0.35 V vs. RHE. Furthermore, this process can be of great interest for other applications in high-performance electronic devices.

10.
Phys Rev Lett ; 116(5): 053002, 2016 Feb 05.
Article in English | MEDLINE | ID: mdl-26894708

ABSTRACT

Probing electronic wave functions of polyatomic molecules is one of the major challenges in high-harmonic spectroscopy. The extremely nonlinear nature of the laser-molecule interaction couples the multiple degrees of freedom of the probed system. We combine two-dimensional control of the electron trajectories and vibrational control of the molecules to disentangle the two main steps in high-harmonic generation-ionization and recombination. We introduce a new measurement scheme, frequency-resolved optomolecular gating, which resolves the temporal amplitude and phase of the harmonic emission from excited molecules. Focusing on the study of vibrational motion in N_{2}O_{4}, we show that such advanced schemes provide a unique insight into the structural and dynamical properties of the underlying mechanism.

11.
J Endocrinol Invest ; 38(9): 951-6, 2015 Sep.
Article in English | MEDLINE | ID: mdl-25740070

ABSTRACT

PURPOSE: Insulin-like growth factor I (IGF-I) represents an essential tool in the diagnostic work-up and in the monitoring of treatment efficacy for somatotrophic axis disorders both in children and adults. A large number of factors including, but not limited to, age, sex and weight as well as analytical variables influence IGF-I serum levels; therefore, reliable normative data are essential for a correct interpretation of results. The aim of the present study was to establish reference range values for serum IGF-I, in a large population of healthy adults from Buenos Aires city. METHODS: The study included serum samples from 1044 healthy subjects aged 21-87 years (423 females and 621 males) divided into groups by sex at 5-year intervals from 21 to >75 years. Serum IGF-I concentrations were determined by a fully automated two-site, solid-phase, enzyme-labeled chemiluminescent immunometric assay (Immulite 2000, Siemens Healthcare Diagnostics). IGF-BP interferences are circumvented by blocking IGF-BP binding sites with excess IGF-II in the on-board predilution step. RESULTS: Results show the age dependence of circulating IGF-I levels, with a smooth and steady decrease in levels with age. No sex differences were found in subjects >26 years; however, in the group aged 21-25 years, IGF-I levels were significantly higher in females. In conclusion, this study provides age- and gender-adjusted normal reference ranges for IGF-I levels obtained with an automated immunometric chemiluminescent assay Immulite 2000 in healthy adult subjects.


Subject(s)
Growth Disorders/diagnosis , Insulin-Like Growth Factor I/analysis , Luminescent Measurements/methods , Adult , Age Factors , Aged , Aged, 80 and over , Argentina , Female , Growth Disorders/blood , Humans , Male , Middle Aged , Reference Values , Sex Factors , Young Adult
12.
Nat Commun ; 6: 5952, 2015 Jan 22.
Article in English | MEDLINE | ID: mdl-25608712

ABSTRACT

High-order harmonic generation in polyatomic molecules generally involves multiple channels of ionization. Their relative contribution can be strongly influenced by the presence of resonances, whose assignment remains a major challenge for high-harmonic spectroscopy. Here we present a multi-modal approach for the investigation of unaligned polyatomic molecules, using SF6 as an example. We combine methods from extreme-ultraviolet spectroscopy, above-threshold ionization and attosecond metrology. Fragment-resolved above-threshold ionization measurements reveal that strong-field ionization opens at least three channels. A shape resonance in one of them is found to dominate the signal in the 20-26 eV range. This resonance induces a phase jump in the harmonic emission, a switch in the polarization state and different dynamical responses to molecular vibrations. This study demonstrates a method for extending high-harmonic spectroscopy to polyatomic molecules, where complex attosecond dynamics are expected.

13.
Neuroscience ; 278: 122-35, 2014 Oct 10.
Article in English | MEDLINE | ID: mdl-25130562

ABSTRACT

We have previously demonstrated that male rats exposed to stress during the last week of gestation present age-specific impairments of brain development. Since the organization of the fetal developing brain is subject to androgen exposure and prenatal stress was reported to disrupt perinatal testosterone surges, the aim of this research was to explore whether abnormal androgen concentrations during late gestation affects the morphology of the prefrontal cortex (PFC), hippocampus (HPC) and ventral tegmental area (VTA), three major areas that were shown to be affected by prenatal stress in our previous studies. We administered 10-mg/kg/day of the androgen receptor antagonist flutamide (4'nitro-3'-trifluoromethylsobutyranilide) or vehicle injections to pregnant rats from days 15-21 of gestation. The antiandrogenic effects of flutamide were confirmed by the analysis of androgen-dependent developmental markers: flutamide-exposed rats showed reduced anogenital distance, delay in the completion of testis descent, hypospadias, cryptorchidism and atrophied seminal vesicles. Brain morphological studies revealed that prenatal flutamide decreased the number of MAP2 (a microtubule-associated protein type 2, present almost exclusively in dendrites) immunoreactive neuronal processes in all evaluated brain areas, both in prepubertal and adult offspring, suggesting that prenatal androgen disruption induces long-term reductions of the dendritic arborization of several brain structures, affecting the normal connectivity between areas. Moreover, the number of tyrosine hydroxylase (TH)-immunopositive neurons in the VTA of prepubertal offspring was reduced in flutamide rats but reach normal values at adulthood. Our results demonstrate that the effects of prenatal flutamide on the offspring brain morphology resemble several prenatal stress effects suggesting that the mechanism of action of prenatal stress might be related to the impairment of the organizational role of androgens on brain development.


Subject(s)
Androgens/physiology , Brain/growth & development , Stress, Physiological , Androgen Antagonists/administration & dosage , Animals , Body Weight/drug effects , Brain/drug effects , Brain/metabolism , Female , Flutamide/administration & dosage , Hippocampus/drug effects , Hippocampus/growth & development , Hippocampus/metabolism , Male , Neurons/drug effects , Neurons/metabolism , Organ Size/drug effects , Prefrontal Cortex/drug effects , Prefrontal Cortex/growth & development , Prefrontal Cortex/metabolism , Pregnancy , Rats , Rats, Wistar , Testosterone/blood , Tyrosine 3-Monooxygenase/metabolism , Ventral Tegmental Area/drug effects , Ventral Tegmental Area/growth & development , Ventral Tegmental Area/metabolism
14.
J Acoust Soc Am ; 135(6): 3221-30, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24907787

ABSTRACT

A simple analytical model for the interaction between a plane jet issued from a flue and a transverse acoustic disturbance is developed in this paper. The model is inspired by direct flow simulation results confronted to experimental data. The interaction is expected to take place in the vicinity of the separation points of the jet. The influence of the detailed geometry of the channel end on the jet receptivity is discussed, and more specifically the chamfer geometries found in flute-like musical instruments. The simplified model explains quite well the difference between the jet response of a flue with square edges compared to a chamfered flue exit. The effect of rounded, lip-like flue exit is not well captured by the model.

15.
J Eur Acad Dermatol Venereol ; 28 Suppl 4: 1-18, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24931580

ABSTRACT

The skin is the largest organ of the body, providing a protective barrier against bacteria, chemicals and physical insults while maintaining homeostasis in the internal environment. Such a barrier function the skin ensures protection against excessive water loss. The skin's immune defence consists of several facets, including immediate, non-specific mechanisms (innate immunity) and delayed, stimulus-specific responses (adaptive immunity), which contribute to fending off a wide range of potentially invasive microorganisms. This article is an overview of all known data about 'fragile skin'. Fragile skin is defined as skin with lower resistance to aggressions. Fragile skin can be classified into four categories up to its origin: physiological fragile skin (age, location), pathological fragile skin (acute and chronic), circumstantial fragile skin (due to environmental extrinsic factors or intrinsic factors such as stress) and iatrogenic fragile skin. This article includes the epidemiologic data, pathologic description of fragile skin with pathophysiological bases (mechanical and immunological role of skin barrier) and clinical description of fragile skin in atopic dermatitis, in acne, in rosacea, in psoriasis, in contact dermatitis and other dermatologic pathologies. This article includes also clinical cases and differential diagnosis of fragile skin (reactive skin) in face in adult population. In conclusion, fragile skin is very frequent worldwide and its prevalence varies between 25% and 52% in Caucasian, African and Asian population.


Subject(s)
Epidermis/pathology , Epidermis/physiology , Skin Diseases/pathology , Skin Diseases/physiopathology , Acne Vulgaris/pathology , Acne Vulgaris/physiopathology , Acne Vulgaris/therapy , Avena , Dermatitis, Atopic/pathology , Dermatitis, Atopic/physiopathology , Dermatitis, Atopic/therapy , Dermatitis, Contact/pathology , Dermatitis, Contact/physiopathology , Dermatitis, Contact/therapy , Eczema/pathology , Eczema/physiopathology , Eczema/therapy , Emollients/pharmacology , Emollients/therapeutic use , Epidermis/drug effects , Epidermis/immunology , Epidermis/physiopathology , Epidermolysis Bullosa/pathology , Epidermolysis Bullosa/physiopathology , Epidermolysis Bullosa/therapy , Humans , Phytotherapy , Plant Extracts/therapeutic use , Psoriasis/pathology , Psoriasis/physiopathology , Psoriasis/therapy , Retinoids/pharmacology , Retinoids/therapeutic use , Skin Diseases/immunology , Skin Diseases/therapy
16.
Phys Rev Lett ; 110(8): 083902, 2013 Feb 22.
Article in English | MEDLINE | ID: mdl-23473148

ABSTRACT

High order harmonic generation from clusters is a controversial topic: conflicting theories exist, with different explanations for similar experimental observations. From an experimental point of view, separating the contributions from monomers and clusters is challenging. By performing a spectrally and spatially resolved study in a controlled mixture of clusters and monomers, we are able to isolate a region of the spectrum where the emission purely originates from clusters. Surprisingly, the emission from clusters is depolarized, which is the signature of statistical inhomogeneous emission from a low-density source. The harmonic response to laser ellipticity shows that this generation is produced by a new recollisional mechanism, which opens the way to future theoretical studies.

17.
J Chem Phys ; 137(22): 224303, 2012 Dec 14.
Article in English | MEDLINE | ID: mdl-23248999

ABSTRACT

We study theoretically and experimentally the electronic relaxation of NO(2) molecules excited by absorption of one ∼400 nm pump photon. Semiclassical simulations based on trajectory surface hopping calculations are performed. They predict fast oscillations of the electronic character around the intersection of the ground and first excited diabatic states. An experiment based on high-order harmonic transient grating spectroscopy reveals dynamics occurring on the same time scale. A systematic study of the detected transient is conducted to investigate the possible influence of the pump intensity, pump wavelength, and rotational temperature of the molecules. The quantitative agreement between measured and predicted dynamics shows that, in NO(2), high harmonic transient grating spectroscopy encodes vibrational dynamics underlying the electronic relaxation.

18.
Phys Rev Lett ; 108(20): 203001, 2012 May 18.
Article in English | MEDLINE | ID: mdl-23003145

ABSTRACT

Recollision processes provide direct insight into the structure and dynamics of electronic wave functions. However, the strength of the process sets its basic limitations--the interaction couples numerous degrees of freedom. In this Letter we decouple the basic steps of the process and resolve the role of the ionic potential which is at the heart of a broad range of strong field phenomena. Specifically, we measure high harmonic generation from argon atoms. By manipulating the polarization of the laser field we resolve the vectorial properties of the interaction. Our study shows that the ionic core plays a significant role in all steps of the interaction. In particular, Coulomb focusing induces an angular deflection of the electrons before recombination. A complete spatiospectral analysis reveals the influence of the potential on the spatiotemporal properties of the emitted light.


Subject(s)
Electrons , Models, Theoretical , Argon/chemistry , Ions/chemistry , Thermodynamics
19.
Neuroimage ; 62(1): 510-9, 2012 Aug 01.
Article in English | MEDLINE | ID: mdl-22584228

ABSTRACT

Enforced limb disuse strongly disrupts the cortical networks that are involved in sensorimotor activities. This disruption causes a cortical reorganization that may be functionally maladaptive. In this study, we used functional magnetic resonance imaging (fMRI) to investigate whether it is possible to prevent this reorganization by compensating for the lack of actual kinesthetic perception with illusory movements induced by "neuromimetic" proprio-tactile feedback that is artificially delivered during immobilization. Sixteen healthy volunteers were equipped for five days with full-hand ortheses that prevented them from performing finger and hand movements but allowed for kinesthetic and tactile sensations. Eight participants received a twice-daily proprio-tactile treatment consisting of the perception of kinesthetic sensations resembling those felt during actual movements generated by miniature vibrators set in the ortheses at the finger and wrist levels. Eight untreated participants received no stimulation. The effects of hand immobilization and treatment were assessed by fMRI during a calibrated voluntary hand movement task and hand tactile stimulation before cast placement and immediately after cast removal. We found that the sensorimotor network was preserved in subjects who underwent this treatment during hand immobilization, while the sensorimotor network of untreated subjects was significantly altered. These findings suggest that sensory feedback and associated movement perception may counteract disuse-induced cortical plastic changes through recruitment of a large part of the cortical network used for actual performed movement. The possibility of guiding cortical plasticity with proprioceptive augmented feedback is potentially relevant for rehabilitation efforts.


Subject(s)
Brain/physiology , Feedback, Sensory/physiology , Illusions/physiology , Imagination/physiology , Immobilization/methods , Movement/physiology , Perceptual Masking/physiology , Adult , Cues , Female , Humans , Male , Nerve Net/physiology , Young Adult
20.
Ann Oncol ; 23(9): 2386-2390, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22422944

ABSTRACT

BACKGROUND: To evaluate the efficacy of extracorporeal photopheresis (ECP) in noncutaneous T-cell lymphoma and large granular lymphocytes leukemia (LGL). PATIENTS AND METHODS: We have treated 12 refractory/relapsed patients. Six peripheral T-cell lymphoma (PTCL), one T-lymphoblastic lymphoma and five LGL with blood involvement received six biweekly leukapheresis as induction phase, followed by one course a week for 4 weeks as consolidation and one course of maintenance per month for responders until progression/relapse or disappearance of the peripheral clone. RESULTS: Six patients responded to phototherapy. Two PTCL and two LGL achieved a complete response (CR) and two other PTCL a partial response. The median duration of CR was 117 months (45-150 months) for these four patients. The peripheral clone followed by flow cytometry decreased in all six responders. Two patients with a complete disappearance of the peripheral clone have not relapsed. CONCLUSIONS: As for cutaneous T-cell lymphoma, ECP therefore to be efficient for PTCL and LGL. Early decrease and disappearance of the peripheral clone were the indicators of clinical response and nonrelapse, respectively.


Subject(s)
Leukemia, Large Granular Lymphocytic/drug therapy , Lymphoma, T-Cell/drug therapy , Photopheresis , Adult , Aged, 80 and over , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Female , Humans , Male , Middle Aged , Treatment Outcome
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