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Ferrari S, Cedraschi C, Mapelli N, Baram A, Costa F, Gatti R, Fornari M. Thoughts and concerns of patients at hospital discharge after lumbar spine surgery. A qualitative study. Disabil Rehabil 2023; 45:4048-4057. [PMID: 36866445 DOI: 10.1080/09638288.2022.2148761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 10/30/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE The increased rate of surgical interventions point to the necessity to investigate the patient's experience from a biopsychosocial perspective. The aim of this study was to investigate the thoughts and concerns of patients undergoing spinal surgery for lumbar degenerative disease at the time of their discharge from hospital. METHODS Semi-structured interviews were conducted with 28 patients. The questions investigated possible concerns associated to discharging them home. A content analysis was performed by a multidisciplinary group to identify the main themes that emerged from the interviews. RESULTS The patients were satisfied with the surgeons' preoperative explanations and description of expected prognosis. However, they were disappointed with the lack of information at hospital discharge, in particular regarding practical and behavioral recommendations. The patients expressed clear concerns about being left alone to deal with possible complications or difficulties they may encounter when returning home. CONCLUSION This study underlined the patients' need for a comprehensive psychological guidance and possibly a person of reference during the post-operative process. Discussing discharge with the patient was emphasized as an important issue to improve patients' compliance to the recovery process itself. Putting these elements into practice should help spine surgeons to manage better hospital discharge.IMPLICATIONS FOR REHABILITATIONA comprehensive discussion with the patient at the time of hospital discharge is clearly stressed as an important issue to improve patients' adherence to the recovery process.The patients complained of a lack of information when returning home, in particular regarding practical and behavioral recommendations.The patients expressed clear concerns about possible complications or difficulties they may encounter when returning home and they expressed their need to know whom they can contact for help if needed.A better understanding of the thoughts and concerns of patients undergoing spinal surgery at the time of their discharge from hospital should help spine surgeons to improve the management of hospital discharge and the post-operative recovery.
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Affiliation(s)
- S Ferrari
- Department of Biomedical Sciences, Humanitas University, Milan, Pieve Emanuele, Italy
| | - C Cedraschi
- Service of Clinical Pharmacology and Toxicology, Geneva University Hospitals, Geneva, Switzerland
| | - N Mapelli
- Personal Studio s.s.d a.r.l, Lecco, Vercurago, Italy
| | - A Baram
- Department of Neurosurgery, Humanitas University, Department of Biomedical Sciences and Humanitas Clinical and Research Center - IRCCS, Milan, Italy
| | - F Costa
- Spine Surgery Unit - NCH4 - Department of Neurosurgery - IRCCS, Istituto Nazionale Neurologico "C. Besta", Milan, Italy
| | - R Gatti
- Department of Biomedical Sciences, Humanitas University, Milan, Pieve Emanuele, Italy
- Physiotherapy Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Rozzano, Italy
| | - M Fornari
- Department of Neurosurgery, Humanitas University, Department of Biomedical Sciences and Humanitas Clinical and Research Center - IRCCS, Milan, Italy
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Cassani CM, Coelli S, Calcagno A, Temporiti F, Mandaresu S, Gatti R, Galli M, Bianchi AM. Selecting a pre-processing pipeline for the analysis of EEG event-related rhythms modulation. Annu Int Conf IEEE Eng Med Biol Soc 2022; 2022:4044-4047. [PMID: 36085986 DOI: 10.1109/embc48229.2022.9871394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
When deciding how to pre-process EEG data, researchers need to make a choice at each single step of the procedure among different possibilities, equally valid. Therefore, in this work, we illustrate how these decisions may affect the quality of the final cleaned data in an Action Observation/Motor Imagery protocol, using quantitative indices. In particular, we showed the effect of segmenting or not the data in epochs around the stimulus presentation time on the independent component analysis (ICA) used for artifact removal. For ICA analysis, we tested two algorithms (SOBI and Extended Infomax). Finally, three re-reference approaches (Common averaged reference-CAR, robust-CAR and reference electrode standardization technique - REST) were also applied and their effects compared. Results showed that the segmenting method has a prominent effect on the cleaning procedure and consequently on final EEG data quality. Extended Infomax is confirmed as the method of choice for the identification of the artifactual components and, finally, CAR and the REST re-referencing techniques led to similar good results.
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Calcagno A, Coelli S, Temporiti F, Mandaresu S, Gatti R, Galli M, Bianchi AM. Action Observation Therapy Before Sleep Hours: An EEG Study. Annu Int Conf IEEE Eng Med Biol Soc 2022; 2022:4809-4812. [PMID: 36086203 DOI: 10.1109/embc48229.2022.9871733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Action Observation Therapy (AOT) is a rehabilitation method which aims at stimulating motor memory by means of the repetitive observation of motor tasks presented through video-clips. Since sleep seems to have a positive effect on learning processes, it is reasonable to hypothesize that the delivery of AOT immediately before sleep hours could enhance the effects of motor training. The objective of the present work was to test the effect of AOT delivered before the sleep hours in terms of improvements in manual dexterity and changes in cortical activity through Electroencephalography (EEG) on healthy subjects. Specifically, EEG traces acquired on a treatment and on a control group before and after three weeks of training during the execution of a Nine Hole Peg Test were analyzed. The spectral analysis of brain signals showed an increased activation of the motor cortex on a subgroup of the treatment subjects. Moreover, a significantly higher involvement of frontal areas was observed in the treatment group.
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Malerba L, Caturla M, Gaganidze E, Kaden C, Konstantinović M, Olsson P, Robertson C, Rodney D, Ruiz-Moreno A, Serrano M, Aktaa J, Anento N, Austin S, Bakaev A, Balbuena J, Bergner F, Boioli F, Boleininger M, Bonny G, Castin N, Chapman J, Chekhonin P, Clozel M, Devincre B, Dupuy L, Diego G, Dudarev S, Fu CC, Gatti R, Gélébart L, Gómez-Ferrer B, Gonçalves D, Guerrero C, Gueye P, Hähner P, Hannula S, Hayat Q, Hernández-Mayoral M, Jagielski J, Jennett N, Jiménez F, Kapoor G, Kraych A, Khvan T, Kurpaska L, Kuronen A, Kvashin N, Libera O, Ma PW, Manninen T, Marinica MC, Merino S, Meslin E, Mompiou F, Mota F, Namburi H, Ortiz C, Pareige C, Prester M, Rajakrishnan R, Sauzay M, Serra A, Simonovski I, Soisson F, Spätig P, Tanguy D, Terentyev D, Trebala M, Trochet M, Ulbricht A, M.Vallet, Vogel K, Yalcinkaya T, Zhao J. Multiscale modelling for fusion and fission materials: The M4F project. Nuclear Materials and Energy 2021. [DOI: 10.1016/j.nme.2021.101051] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Giuffrida A, Di Bari A, Falzone E, Iacono F, Kon E, Marcacci M, Gatti R, Di Matteo B. Conservative vs. surgical approach for degenerative meniscal injuries: a systematic review of clinical evidence. Eur Rev Med Pharmacol Sci 2021; 24:2874-2885. [PMID: 32271405 DOI: 10.26355/eurrev_202003_20651] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Analyzing the available evidence by comparing the role of arthroscopic surgery and conservative treatment in the management of degenerative meniscopathy. MATERIALS AND METHODS A literature search was carried out on the PubMed, EMBASE, Scopus, and PEDro databases in May 2019 to identify all the randomized controlled trials (RCTs) comparing arthroscopic surgery to conservative management of painful but stable degenerated menisci. The quality of the RCTs was assessed using the Cochrane Risk of Bias Assessment. RESULTS A total of 10 studies, including 1525 patients and dealing with conservative treatment vs. arthroscopic surgery were included in this review. In eight studies the effectiveness of exercise therapy was compared to surgery; in one study the effectiveness of intra-articular steroid injection was compared to surgery; in one study the effectiveness of placebo surgery was compared to partial meniscectomy. In all studies, no significant inter-group difference in terms of knee pain and knee function were observed at any follow-up evaluation. CONCLUSIONS Degenerative meniscal tears, without symptoms of locking and catching, can be successfully managed by a proper regimen of physical therapy as a first line treatment. Surgical approach might be considered in case of poor response after conservative treatment.
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Affiliation(s)
- A Giuffrida
- Department of Biomedical Sciences, Humanitas University, Humanitas Clinical and Research Institute, Rozzano, Milan, Italy.
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Barbic F, Minonzio M, Cairo B, Shiffer D, Dipasquale A, Cerina L, Vatteroni A, Urechie V, Verzeletti P, Badilini F, Vaglio M, Iatrino R, Porta A, Santambrogio M, Gatti R, Furlan R. Effects of different classroom temperatures on cardiac autonomic control and cognitive performances in undergraduate students. Physiol Meas 2019; 40:054005. [DOI: 10.1088/1361-6579/ab1816] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Aina A, Barbero M, Cagnie B, Castelli E, Cook C, Ferrari S, Foglia A, Bizzarri P, Giraudo D, Littlewood C, Pillastrini P, Piscitelli D, Romano M, Tettamanti A, Vanti C, Vercelli S, Voogt L, Maria A, Emanuele S, Paolo P, Francesco S, Antonio C, Ilaria C, Giuseppe O, Raffaele B, Serena F, Alessandro A, Bonfanti M, Pasquetti M, Arianna B, Paolo P, Carla V, Brioschi D, Vitali M, Pedretti A, Fraschini G, Tettamanti A, Castellini G, Gianola S, Bonovas S, Banfi G, Moja L, Castellini G, Gianola S, Frigerio P, Agostini M, Bolotta R, Corbetta D, Gasparini M, Gozzer P, Guariento E, Li L, Pecoraro V, Sirtori V, Turolla A, Andreano A, Moja L, Castellini G, Gianola S, Bonovas S, Moja L, Chiarotto A, Terwee CB, Boers M, Ostelo RW, Chiarotto A, Maxwell LJ, Terwee CB, Wells GA, Tugwell P, Ostelo RW, Chiarotto A, Clijsen R, Fernandez-de-las-Penas C, Barbero M, Matteo C, Sara R, Stefano V, Cislaghi M, Penone G, Marinelli G, Rezzan G, Melegati G, Gatti R, Claudio C, Francesca T, Moriondo A, Stefano V, Doronzio S, Paci M, Ferrari S, Vanti C, Monticone M, Ferrari S, Vanti C, Monticone M, Fabiola G, Anna Z, Serena B, Giorgia C, Francesco S, Ghirlanda F, Schneebeli A, Cescon C, Barbero M, Gioia G, Faccendini S, Aina A, Tettamanti A, Granzotto G, Coppola L, Gava I, Frassinelli M, Gattinoni F, Guidotti L, Postiglione M, Lombardi B, Paci M, Leoni D, Storer D, Gatti R, Egloff M, Barbero M, Tiziano M, Andrea T, Maremmani D, Cencini S, Plebani G, Moresi F, Barbero M, Isnardi M, Gallace A, Cescon C, Gatti R, Moretti N, Maselli, Testa M, Negrini S, Donzelli S, Saveri F, Negrini A, Parzini S, Romano M, Zaina F, Nesi L, Ferrarello F, Bianchi VAM, Paci M, Paci M, Nannetti L, Lombardi B, Mini G, Marchettini M, Ferrarello F, Paci M, Piccolo F, Agosta F, Sarasso E, Adamo P, Temporiti F, Falini A, Gatti R, Filippi M, Piscitelli D, Meroni R, Pellicciari L, Mondelli MA, Favaron T, Cerri CG, Tallarita EA, Elisa R, Stefano V, Sara R, Matteo C, Stefano V, Sarasso E, Agosta F, Tomić A, Basaia S, Dragašević N, Svetel M, Copetti M, Kostic VS, Filippi M, Saveri F, Romano M, Mastrantonio M, Negrini A, Zaina F, Stefano N, Schneebeli A, Castellini G, Redaelli V, Soldini E, Barbero M, Segat M, Casonato O, Margelli M, Pillon S, Spunton V, Fenini R, Garofalo R, Conti M, Valagussa G, Balatti V, Trentin L, Melli S, Norsi M, Grossi E, Vanossi M, Saveri F, Romano M, Vanti C, Taioli S, Gardenghi I, Bertozzi L, Rosso A, Romeo A, Pillastrini P, Vanti C, Ferrari S, Ruggeri M, Monticone M, Vanti C, Filippo B, Conti C, Faresin F, Ruggeri M, Piccarreta R, Ferrari S, Luca V, Stefano V, Claudia V, Joseph CM, Carmen D, Fabrizio P, Youssef S, Montesano M, Picardi M, De Giampaulis P, Corbo M, Pisani L, Anna Z, Fabiola G, Carolina R, Francesco S. 5th National Congress of the Italian Society of Physiotherapy. Arch Physiother 2016. [DOI: 10.1186/s40945-016-0022-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Houdayer E, Cursi M, Nuara A, Zanini S, Gatti R, Comi G, Leocani L. 101. Functional changes of cortical motor circuits after piano training in adults: TMS and EEG evidence. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Houdayer E, Cursi M, Nuara A, Zanini S, Gatti R, Comi G, Leocani L. ID 261 – Motor cortex plasticity after short-term piano training in adults. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.11.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gough L, Castell LM, Gatti R, Godfrey RJ. Growth Hormone Concentrations in Different Body Fluids Before and After Moderate Exercise. Sports Med Open 2015; 2:30. [PMID: 27547716 PMCID: PMC4980399 DOI: 10.1186/s40798-016-0054-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Accepted: 07/26/2016] [Indexed: 11/10/2022]
Abstract
BACKGROUND Growth hormone (GH) has many direct and indirect actions and roles including substrate regulation and priming of some cells of the immune system, and the expected aspects of growth and repair. Different concentrations in human body fluids reflect the exercise-induced growth hormone response (EIGR) after exercise. In populations such as elite athletes, the invasive nature of venous sampling is poorly accepted. Thus, this study examines possible viable alternatives such as urine and saliva samples and the GH concentration. METHODS A heterogeneous group of 11 males (age 26.0 ± 5.0 years; body mass 76.5 ± 9.3 kg; VO2peak 57.0 ± 6.0 mL kg-1 min-1) ran for 40 min on a treadmill at 5 % below their individually indentified lactate threshold pace. Samples of urine, saliva and blood were collected immediately pre- and post-test and at 30 and 60 min post-test. RESULTS Salivary GH was correlated with serum pre- and post-exercise (p < 0.001); urinary GH was correlated with serum (p < 0.05). However, despite being significantly correlated, it is clear from the large differences in absolute concentration in the three media that the appearance of serum GH due to exercise is different from that of the appearance of salivary and urinary GH. This aspect of compartmental exchanges is very difficult to define and to investigate. Differences in any analyte concentration in different compartments are to be expected between different media, and hence the same medium should be used where the same 'pattern of response' can be tracked. CONCLUSIONS The results suggest that urinary and saliva sampling cannot substitute for venous sampling with respect to exercise-induced changes in GH concentration. The use of the analyses in these three areas may be appropriate for further investigation.
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Affiliation(s)
- Liz Gough
- Centre for Human Performance, Exercise and Rehabilitation, Brunel University, Uxbridge, UK
| | - Lindy M. Castell
- Nuffield Department of Anaesthetics, University of Oxford, Oxford, UK
- Green Templeton College, University of Oxford, Oxford, UK
| | - Rosalba Gatti
- Endocrinology Unit, Azienda Ospedaliera, University of Padua, Padua, Italy
| | - Richard J. Godfrey
- Centre for Human Performance, Exercise and Rehabilitation, Brunel University, Uxbridge, UK
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Gatti R, Agosta F, Sarasso E, Gemma M, Meani A, Volonté M, Cattrysse E, Kerckhofs E, Falini A, Comi G, Filippi M. Brain structural and functional changes after action observation therapy addressed to freezing of gait of subjects with Parkinson's disease. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gatti R, Rocca M, Preziosa P, Fumagalli S, Pagani E, Messina R, Filippi M. Structural brain plasticity modified by action observation training in healthy subjects. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gatti R, Rocca M, Fumagalli S, Cattrysse E, Kerckhofs E, Filippi M. Mirror neuron system recruitment during observation and simultaneous observation and execution of tasks with different characteristics. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Moresi F, Morosini E, Barbero M, Cescon C, Gatti R. Spatial acuity of healthy subjects in locating two identical pressure stimuli using digital body chart. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dinca LE, De Marchi F, MacLeod JM, Lipton-Duffin J, Gatti R, Ma D, Perepichka DF, Rosei F. Pentacene on Ni(111): room-temperature molecular packing and temperature-activated conversion to graphene. Nanoscale 2015; 7:3263-3269. [PMID: 25619890 DOI: 10.1039/c4nr07057g] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
We investigate, using scanning tunnelling microscopy, the adsorption of pentacene on Ni(111) at room temperature and the behaviour of these monolayer films with annealing up to 700 °C. We observe the conversion of pentacene into graphene, which begins from as low as 220 °C with the coalescence of pentacene molecules into large planar aggregates. Then, by annealing at 350 °C for 20 minutes, these aggregates expand into irregular domains of graphene tens of nanometers in size. On surfaces where graphene and nickel carbide coexist, pentacene shows preferential adsorption on the nickel carbide phase. The same pentacene to graphene transformation was also achieved on Cu(111), but at a higher activation temperature, producing large graphene domains that exhibit a range of moiré superlattice periodicities.
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Affiliation(s)
- L E Dinca
- Centre Énergie, Matériaux et Télécommunications, Institut National de la Recherche Scientifique, Université du Québec, 1650 boulevard Lionel-Boulet, Varennes, QC J3X 1S2, Canada.
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Zimetti F, Adorni MP, Ronda N, Gatti R, Bernini F, Favari E. The natural compound berberine positively affects macrophage functions involved in atherogenesis. Nutr Metab Cardiovasc Dis 2015; 25:195-201. [PMID: 25240689 DOI: 10.1016/j.numecd.2014.08.004] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 08/01/2014] [Accepted: 08/12/2014] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND AIMS We investigated the effect of berberine (BBR), an alkaloid showing antiatherogenic properties beyond the cholesterol lowering capacity, on macrophage cholesterol handling upon exposure to human serum and on macrophage responses to excess free cholesterol (FC) loading. METHODS AND RESULTS Mouse and human macrophages were utilized as cellular models. Cholesterol content was measured by a fluorimetric assay; cholesterol efflux, cytotoxicity and membrane FC distribution were evaluated by radioisotopic assays. Monocyte chemotactic protein-1 (MCP-1) secretion was measured by ELISA; membrane ruffling and macropinocytosis were visualized by confocal microscopy. Exposure of cholesterol-enriched MPM to serum in the presence of 1 μM BBR resulted in a reduction of intracellular cholesterol content twice greater than exposure to serum alone (-52%; p < 0.01 and -21%; p < 0.05), an effect not mediated by an increase of cholesterol efflux, but rather by the inhibition of cholesterol uptake from serum. Consistently, BBR inhibited in a dose-dependent manner cholesterol accumulation in human macrophages exposed to hypercholesterolemic serum. Confocal microscope analysis revealed that BBR inhibited macropinocytosis, an independent-receptor process involved in LDL internalization. Macrophage FC-enrichment increased MCP-1 release by 1.5 folds, increased cytotoxicity by 2 fold, and induced membrane ruffling; all these responses were markedly inhibited by BBR. FC-enrichment led to an increase in plasma membrane cholesterol by 4.5 folds, an effect counteracted by BBR. CONCLUSION We showed novel potentially atheroprotective activities of BBR in macrophages, consisting in the inhibition of serum-induced cholesterol accumulation, occurring at least in part through an impairment of macropinocytosis, and of FC-induced deleterious effects.
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Affiliation(s)
- F Zimetti
- Department of Pharmacy, University of Parma, Parma, Italy
| | - M P Adorni
- Department of Pharmacy, University of Parma, Parma, Italy
| | - N Ronda
- Department of Pharmacy, University of Parma, Parma, Italy
| | - R Gatti
- Department of Biomedical, Biotechnology and Translational Sciences, University of Parma, Parma, Italy
| | - F Bernini
- Department of Pharmacy, University of Parma, Parma, Italy.
| | - E Favari
- Department of Pharmacy, University of Parma, Parma, Italy
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Barbero M, Moresi F, Leoni D, Gatti R, Egloff M, Falla D. Test-retest reliability of pain extent and pain location using a novel method for pain drawing analysis. Eur J Pain 2015; 19:1129-38. [DOI: 10.1002/ejp.636] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2014] [Indexed: 11/09/2022]
Affiliation(s)
- M. Barbero
- Department of Business, Health and Social Care; University of Applied Sciences and Arts of Southern Switzerland (SUPSI); Manno Switzerland
| | - F. Moresi
- Rehabilitation Department; San Raffaele Hospital; Milan Italy
| | - D. Leoni
- Department of Business, Health and Social Care; University of Applied Sciences and Arts of Southern Switzerland (SUPSI); Manno Switzerland
| | - R. Gatti
- Rehabilitation Department; San Raffaele Hospital; Milan Italy
| | - M. Egloff
- Department of Business, Health and Social Care; University of Applied Sciences and Arts of Southern Switzerland (SUPSI); Manno Switzerland
| | - D. Falla
- Pain Clinic; Center for Anesthesiology, Emergency and Intensive Care Medicine; University Hospital Göttingen; Germany
- Department of Neurorehabilitation Engineering; Bernstein Focus Neurotechnology (BFNT) Göttingen; Bernstein Center for Computational Neuroscience; University Medical Center Göttingen; Georg-August University; Göttingen Germany
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Ceccato F, Antonelli G, Barbot M, Zilio M, Mazzai L, Gatti R, Zaninotto M, Mantero F, Boscaro M, Plebani M, Scaroni C. The diagnostic performance of urinary free cortisol is better than the cortisol:cortisone ratio in detecting de novo Cushing's syndrome: the use of a LC-MS/MS method in routine clinical practice. Eur J Endocrinol 2014; 171:1-7. [PMID: 24743401 DOI: 10.1530/eje-14-0061] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The Endocrine Society Clinical Guidelines recommend measuring 24-h urinary free cortisol (UFF) levels using a highly accurate method as one of the first-line screening tests for the diagnosis of Cushing's Syndrome (CS). We evaluated the performance of UFF, urinary free cortisone (UFE), and the UFF:UFE ratio, measured using a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. SUBJECTS AND METHODS The LC-MS/MS was used to analyze UFF and UFE levels in 43 surgically confirmed CS patients: 26 with Cushing's disease (CD, 16 de novo and ten recurrences), 11 with adrenal CS and six with ectopic CS; 22 CD patients in remission; 14 eu-cortisolemic CD patients receiving medical therapy; 60 non-CS patients; and 70 healthy controls. Sensitivity and specificity were determined in the combined groups of non-CS patients, healthy controls, and CD in remission. RESULTS UFF>170 nmol/24 h showed 98.7% specificity and 100% sensitivity for de novo CS, while sensitivity was 80% for recurrent CD patients, who were characterized by lower UFF levels. The UFF:UFE and UFF+UFE showed lower sensitivity and specificity than UFF. Ectopic CS patients had the highest UFF and UFF:UFE levels, which were normal in the CD remission patients and in those receiving medical therapy. CONCLUSIONS Our data suggest high diagnostic performance of UFF excretion measured using LC-MS/MS, in detecting de novo CS. UFF:UFE and UFF+UFE assessments are not useful in the first step of CS diagnosis, although high levels were found to be indicative of ectopic CS.
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Affiliation(s)
- Filippo Ceccato
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Giorgia Antonelli
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Mattia Barbot
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Marialuisa Zilio
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Linda Mazzai
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Rosalba Gatti
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Martina Zaninotto
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Franco Mantero
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Marco Boscaro
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Mario Plebani
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, ItalyEndocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
| | - Carla Scaroni
- Endocrinology UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyLaboratory Medicine UnitDepartment of Medicine DIMED, University-Hospital of Padova, via Giustiniani 2, 35128, Padova, ItalyEndocrinology UnitUniversity-Hospital of Padova, via Ospedale Civile 105, 35128 Padova, ItalyDepartment of Laboratory Medicine,University-Hospital of Padovavia Giustiniani 2, 35128 Padova, Italy
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Antonelli G, Artusi C, Marinova M, Brugnolo L, Zaninotto M, Scaroni C, Gatti R, Mantero F, Plebani M. Cortisol and cortisone ratio in urine: LC-MS/MS method validation and preliminary clinical application. Clin Chem Lab Med 2014; 52:213-20. [PMID: 24391193 DOI: 10.1515/cclm-2013-0471] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Accepted: 09/03/2013] [Indexed: 01/28/2023]
Abstract
BACKGROUND The determination of urinary cortisol/cortisone ratio is of clinical utility in cases of Cushing's syndrome, apparent mineralocorticoid excess, and also provides information on 11β-hydroxysteroid dehydrogenase (11β-HSD) type 2 activity. It is therefore of utmost importance to ensure accurate cortisol and cortisone measurement and establish appropriate reference ranges. METHODS After the isotopic dilution of urine, sample cleanups were obtained with on-line solid-phase extraction and cortisol and cortisone, separated using a Zorbax Eclipse XDB-C18 HPLC analytical column, were analyzed by tandem mass spectrometry with an electrospray ionization source in positive ion mode operation. RESULTS The method was linear, with concentrations of up to 625 and 1125 nmol/L and lower limit of quantitation (LLOQ) of 5 and 6 nmol/L, for cortisol and cortisone, respectively. Within-run and between-run coefficients of variation were <5% and 6% for cortisol and 6% and 8% for cortisone, respectively. No ion suppression was observed. The non-parametric reference range for the cortisol/cortisone ratio was 0.14-1.09. CONCLUSIONS A simple and sensitive liquid chromatography tandem mass spectrometry method was developed and validated for the measurement of cortisol and cortisone in urine. Our findings indicate that the proposed analytical method is suitable for routine purposes and useful in many pathological conditions.
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Liberatore G, Clarelli F, Nuara A, Ungaro D, Gatti R, Rovaris M, Martinelli V, Comola M, Comi G, Rossi P, Martinelli-Boneschi F. Predictors of effectiveness of multidisciplinary rehabilitation treatment on motor dysfunction in multiple sclerosis. Mult Scler 2013; 20:862-70. [PMID: 24166355 DOI: 10.1177/1352458513508834] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2013] [Accepted: 09/15/2013] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To identify clinical predictors of effectiveness of a motor rehabilitation treatment in a cohort of multiple sclerosis (MS) patients. MATERIALS AND METHODS We analysed 212 consecutive patients who underwent a short-term (3-7 weeks) intensive (two hours per day, five days per week), individualised, goal-oriented inpatient rehabilitation program. Activity limitation and impairment were measured on admission and discharge of the rehabilitation trial using the motor sub-items of the Functional Independence Measure (mFIM) and the Expanded Disability Status Scale (EDSS) score. Multivariate logistic regression models have been tested to evaluate the role of clinical baseline features on rehabilitation effectiveness. RESULTS According to pre-defined outcome measures, 75.1% of MS patients improved in either activity limitation (≥5 points delta mFIM) or impairment (≥1.0 delta EDSS score if baseline EDSS was ≤5.5, or ≥0.5 if baseline EDSS was >5.5), and 35.4% of MS patients improved in both outcomes. A relapsing-remitting course of disease, a more severe baseline impairment and activity limitation level, a shorter disease duration and a less severe balance dysfunction were predictive of the effectiveness of rehabilitation. DISCUSSION These data confirm that an intensive inpatient rehabilitation program is able to produce a short-term relevant improvement on clinical and functional outcome measures and suggest some clinical features which can be considered as potential predictors of the outcome of rehabilitative intervention.
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Affiliation(s)
- G Liberatore
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy Laboratory of Genetics of Neurological Complex Disorders, San Raffaele Scientific Institute, Italy
| | - F Clarelli
- Laboratory of Genetics of Neurological Complex Disorders, San Raffaele Scientific Institute, Italy
| | - A Nuara
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy
| | - D Ungaro
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy
| | - R Gatti
- Laboratory of Movement Analysis, San Raffaele Scientific Institute, Italy
| | - M Rovaris
- Neurorehabilitation Unit, Don C. Gnocchi Foundation ONLUS, Italy
| | - V Martinelli
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy
| | - M Comola
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy
| | - G Comi
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy
| | - P Rossi
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy Clinica Hildebrand, Centro Riabilitazione Brissago, Switzerland
| | - F Martinelli-Boneschi
- Neurorehabilitation Unit and Department of Neurology, San Raffaele Scientific Institute and Ospedale San Raffaele, Italy Laboratory of Genetics of Neurological Complex Disorders, San Raffaele Scientific Institute, Italy
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Meroni P, Raschi E, Chighizola C, Grossi C, Ronda N, Gatti R, Borghi M. OP0060 Beta2GPI and TLR4 interaction on endothelial cells: A bridge between innate and adaptive immunity in APS. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Cappellin E, Gatti R, Antonelli G, Soldà G, Ragazzi E, Palo EFD, Spinella P. Natriuretic peptide fragments as possible biochemical markers of hypertension in the elderly. J Cardiovasc Med (Hagerstown) 2013; 14:308-13. [DOI: 10.2459/jcm.0b013e3283536517] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Gobbi G, Galli D, Carubbi C, Pelosi A, Lillia M, Gatti R, Queirolo V, Costantino C, Vitale M, Saccavini M, Vaccarezza M, Mirandola P. Assessment of body plantar pressure in elite athletes: an observational study. Sport Sci Health 2013. [DOI: 10.1007/s11332-013-0139-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Velikova S, Gonzales-Rosa J, Castellani C, Rossi M, Tettamanti A, Gatti R, Comi G, Leocani L. EEG connectivity in high-performance fencers. Int J Psychophysiol 2012. [DOI: 10.1016/j.ijpsycho.2012.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
The GH/IGF-I system plays a well-known hormonal role and its effects, mainly anabolic and insulin-sensitizing, are mediated through endocrine as well as paracrine/ autocrine mechanisms. This system includes the binding proteins, namely GH binding proteins and IGF-I binding proteins (IGFBP). As expected, this axis plays a key role in organism modification in consequence of a physical exercise. Physical activity, training, and exercise capacity chiefly involve anabolism process modifications of various tissues, in particular muscular adjustments. Numerous investigators found a correlation among the level of exercise tolerance, muscle strength or walking speed and IGF-I/IGFBP-3 concentrations. However, also inverse and absent correlations between circulating IGF-I concentrations and acute or chronic exercise responses have been reported. IGF-I is generally accepted as an important GH mediator with metabolic effects, through both endocrine and paracrine or autocrine mechanisms. GH is the main regulator of the hepatic synthesis of IGF-I and IGFBP-3, which is the most abundant IGF carrier in human plasma. Recently, it has been shown that the physical exercise stimulatory impact on skeletal muscles is mediated through an increased local IGF-I synthesis with an IGFPB involvement. An absent association of exercise performance and circulating IGF-I may indicate that exercise will exert muscle strength by predominately locally derived paracrine or autocrine mediators rather than endocrine circulating IGF-I. The present review considers the general aspects of the IGF/IGFPB system and the role of the IGF/IGFPB system in relation to physical exercise (type, duration, etc.) taking into account the training aspects.
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Affiliation(s)
- R Gatti
- Clinical Biochemistry, Department of Medical Diagnostic Sciences and Special Therapies, University of Padua, Padua, Italy
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Leocani L, Natali F, Gonzalez Rosa J, Velikova S, Tettamanti A, Comi G, Gatti R. Cortical Activation to Action Observation and Motor Imagery Corresponds to Motor Learning: An EEG Study (P04.022). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Riccitelli GC, Rocca M, Panicari L, Gobbetti E, Di Fabio MC, Gatti R, Valsasina P, Falini A, Comi G, Filippi M. Effect on Functional Brain Plasticity of a Motor Dexterity Training Carried out with and without Musical Cues: An fMRI Study of the Mirror Neuron System in Healthy Individuals (P02.004). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Parisi L, Rocca M, Leocani L, Gatti R, Castellani C, Rossi M, Falini A, Comi G, Filippi M. Neural Plasticity of Brain Motor Networks in Professional Fencers Studied with Functional MRI (IN6-1.001). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.in6-1.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Parisi L, Rocca M, Leocani L, Gatti R, Castellani C, Rossi M, Falini A, Comi G, Filippi M. Neural Plasticity of Brain Motor Networks in Professional Fencers Studied with Functional MRI (P01.170). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p01.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Gatti R, Pezzoli F, Boioli F, Montalenti F, Miglio L. Assessing the composition of hetero-epitaxial islands via morphological analysis: an analytical model matching GeSi/Si(001) data. J Phys Condens Matter 2012; 24:104018. [PMID: 22353725 DOI: 10.1088/0953-8984/24/10/104018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A simple, but still three-dimensional, model describing the morphological stability of realistic SiGe islands on Si(001) is presented. The experimental evolution toward steeper islands with volume can be predicted for any average composition. Despite the use of elastic theory for stress relaxation under the assumption of a uniform SiGe distribution, and of a common mean surface energy of the faceted islands, the model seems to capture the essence of the energetic balance determining the morphological evolution with volume, with no fitting parameters. This is suggested by close comparison with molecular beam epitaxy data at three different temperatures (i.e. compositions). The good agreement also allows for interpreting the minor scattering of experimental data with temperature and provides a reliable tool for extracting the average Ge content from standard atomic force microscopy analysis.
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Affiliation(s)
- R Gatti
- L-NESS and Department of Materials Science, University of Milano-Bicocca, Via R. Cozzi 53, I-20125 Milano, Italy
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Saunders-Pullman R, Raymond D, Stoessl AJ, Hobson D, Nakamura K, Nakamura T, Pullman S, Lefton D, Okun MS, Uitti R, Sachdev R, Stanley K, San Luciano M, Hagenah J, Gatti R, Ozelius LJ, Bressman SB. Variant ataxia-telangiectasia presenting as primary-appearing dystonia in Canadian Mennonites. Neurology 2012; 78:649-57. [PMID: 22345219 DOI: 10.1212/wnl.0b013e3182494d51] [Citation(s) in RCA: 71] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To compare the phenotype of primary-appearing dystonia due to variant ataxia-telangiectasia (A-T) with that of other dystonia ascertained for genetics research. METHODS Movement disorder specialists examined 20 Canadian Mennonite adult probands with primary-appearing dystonia, as well as relatives in 4 families with parent-child transmission of dystonia. We screened for the exon 43 c.6200 C>A (p. A2067D) ATM mutation and mutations in DYT1 and DYT6. Clinical features of the individuals with dystonia who were harboring ATM mutations were compared with those of individuals without mutations. RESULT Genetic analysis revealed a homozygous founder mutation in ATM in 13 members from 3 of the families, and no one harbored DYT6 or DYT1 mutations. Dystonia in ATM families mimicked other forms of early-onset primary torsion dystonia, especially DYT6, with prominent cervical, cranial, and brachial involvement. Mean age at onset was markedly younger in the patients with variant A-T (n = 12) than in patients with other dystonia (n = 23), (12 years vs 40 years, p < 0.05). The patients with A-T were remarkable for the absence of notable cerebellar atrophy on MRI, lack of frank ataxia on examination, and absence of ocular telangiectasias at original presentation, as well as the presence of prominent myoclonus-dystonia in 2 patients. Many also developed malignancies. CONCLUSION Ataxia and telangiectasias may not be prominent features of patients with variant A-T treated for dystonia in adulthood, and variant A-T may mimic primary torsion dystonia and myoclonus-dystonia.
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Prearo M, Antonelli G, Gatti R, Spinella P, De Palo EF. Human saliva total protein levels by AV17 pigment based analysis: validation, stability and short-term variation studies. Clin Lab 2012; 58:835-839. [PMID: 22997987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND A colorimetric method based on acid violet pigment, namely AV17, to analyse salivary total protein content, was assessed. METHODS Human saliva sample or standard (50 microL) was added to 1.5 mL of AV17 working solution (1 mg/mL in 75 mmol/L sodium chloride and 1.7 mol/L phosphoric acid). Total protein concentration was measured at 546 nm. Salivary total protein of healthy subjects was analyzed. RESULTS The standard protein was Human Serum Albumin and the detection range was 38 mg/L - 900 mg/L with a LOD and LOQ of 26 mg/L and 64 mg/L, respectively. Intraday CVs were 3% - 5% and interday CVs were 3%-6%. The dilution test demonstrated a correlation coefficient of 0.999 and the recovery tests ranged from 108% to 111%. Saliva sample stability was also demonstrated. No intra-individual salivary total protein variation was found during the morning. CONCLUSIONS The method suitability for laboratory diagnostic purposes to analyse human saliva protein content and stability was demonstrated.
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Affiliation(s)
- Maddalena Prearo
- Clinical Biochemistry, Dept. of Medical Diagnostic and Spec. Ther. University of Padova, Italy
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Castellano E, Gatti R, Sicre JE, Schumacher HJ. Das Gleichgewicht F
2
S
2
O
6 ⇌ 2 FS0
3, das Absorptionsspektrum des Radikals FS0
3 und die Kinetik der thermischen Reaktion zwischen Bis-Sulfurylfluoridperoxid und Schwefeltetrafluorid. Z PHYS CHEM 2011. [DOI: 10.1524/zpch.1964.42.3_4.174] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gatti R, Sicre JE, Schumacher HJ. Die Kinetik der thermischen Reaktion zwischen Bis-Fluorsulfurylperoxid, F
2
S
2
0
6, und Kohlenmonoxid. Z PHYS CHEM 2011. [DOI: 10.1524/zpch.1965.47.5_6.323] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Natali F, Gonzalez-Rosa J, Velikova S, Tettamanti A, Gatti R, Comi G, Leocani L. S11.4 Action observation and motor imagery in motor learning: evidence from EEG and kinematic analysis. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60093-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Catorci A, Cesaretti S, Gatti R, Ottaviani G. Abiotic and biotic changes due to spread ofBrachypodium genuense(DC.) Roem. & Schult. in sub-Mediterranean meadows. COMMUNITY ECOL 2011. [DOI: 10.1556/comec.12.2011.1.14] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Abstract
Saliva contains cells and compounds, of local and non-local oral origin, namely inorganic, organic non-protein, protein/polypeptide, and lipid molecules. Moreover, some hormones, commonly assayed in plasma, such as steroids, are detectable in oral fluid and peptide/protein, and non-steroid hormones have been investigated. The sports practice environment and athletes' availability, together with hormone molecule characteristics in saliva and physical exercise behavior effects, confirm this body fluid as an alternative to serum. This review focuses on the relation between salivary steroids and psycho-physiological stress and underlines how the measurement of salivary cortisol provides an approach of self-report psychological indicator and anxiety change in relation to exercise performance. The correlation between salivary and plasma steroid hormone (cortisol, testosterone, and dehydroepiandrosterone (DHEA)) levels, observed during exercise, has been considered, underlining how the type, duration, and intensity of the exercise influence the salivary steroid concentrations in the same way as serum-level variations. Training conditions have been considered in relation to the salivary hormonal response. This review focuses on studies related to salivary hormone measurements, mainly steroids, in physical exercise. Saliva use in physical disciplines, as a real alternative to serum, could be a future perspective.
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Affiliation(s)
- R Gatti
- U.O. of Endocrinology, Department of Surgery and Medical Sciences, University of Padova (I), Padova, Italy
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Corbetta D, Sirtori V, Moja L, Gatti R. Constraint-induced movement therapy in stroke patients: systematic review and meta-analysis. Eur J Phys Rehabil Med 2010; 46:537-544. [PMID: 21224785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
AIM Upper extremity paresis is a leading cause of disability after stroke. A Cochrane review found an impact on disability of Constraint-Induced Movement Therapy (CIMT), its modified forms (mCIMT) and Forced Use (FU), with a moderate significant effect and a large significant effect on arm motor function. This article aims to present an update of the Cochrane review and assess the effects of CIMT, mCIMT and FU on disability and arm motor function. METHODS Electronic databases were searched for Randomised Controlled Trials (RCT) and quasi-RCTs comparing CIMT, mCIMT or FU with other rehabilitative techniques, or none, in adult stroke patients. The primary and secondary outcomes were disability and arm motor function. Two reviewers independently screened search results, documented the methodological quality and extracted data. RESULTS Four new studies were added to the previous review, for a total of 18 studies. The updated meta-analyses no longer indicate a benefit of CIMT mCIMT and FU on disability (eight studies, 276 participants, Standardised Mean Difference (SMD) 0.21, 95% CI -0.08 to 0.50), and a moderate benefit on arm motor function (14 studies, 479 participants, SMD 0.44, 95% CI 0.03 to 0.93). CONCLUSION New evidence pushes the overall estimate of benefit toward the null effect. The majority of studies were underpowered and imprecise, exposing these analyses to small-study bias. This may explain why accumulation of evidence makes overall estimates inconsistent. Larger randomised trials to resolve these uncertainties are needed.
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Affiliation(s)
- D Corbetta
- Unit of Functional Recovery, Fondazione Centro San Raffaele del Monte Tabor, Milan, Italy
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Godoy A, Veloni J, Almeidinha Y, Delfino B, Gatti R. P4.15 Improvement of the pulmonary functions after the use of steroids in Duchenne muscular dystrophy patients from different regions of Brazil. Neuromuscul Disord 2010. [DOI: 10.1016/j.nmd.2010.07.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Sanguin F, Albiger N, Betterle C, Mian C, Gatti R, Rossi E, Mantero F, Scaroni C. Diagnostic and therapeutic challenge in the management of a patient with ectopic adrenocorticotropin secretion. J Endocrinol Invest 2010; 33:507-8. [PMID: 20671411 DOI: 10.1007/bf03346634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bianchi MG, Gatti R, Torielli L, Padoani G, Gazzola GC, Bussolati O. The glutamate transporter excitatory amino acid carrier 1 associates with the actin-binding protein alpha-adducin. Neuroscience 2010; 169:584-95. [PMID: 20493242 DOI: 10.1016/j.neuroscience.2010.05.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2010] [Revised: 04/26/2010] [Accepted: 05/14/2010] [Indexed: 11/28/2022]
Abstract
Excitatory amino acid carrier 1 (EAAC1) belongs to the family of the Na(+)-dependent glutamate carriers. Although the association between defective EAAC1 function and neurologic disease has been repeatedly studied, EAAC1 regulation is not yet fully understood. We have reported that in C6 glioma cells both the activity and membrane targeting of EAAC1 require the integrity of actin cytoskeleton. Here we show that, in the same model, EAAC1 partially co-localizes with actin filaments at the level of cell processes. Moreover, perinuclear spots in which EAAC1 co-localizes with the actin binding protein alpha-adducin are observed in some cells and, consistently, faint co-immunoprecipitation bands between EAAC1 and alpha-adducin are detected. Co-localization and partial co-immunoprecipitation of EAAC1 and adducin are still detectable after cell treatment with phorbol esters, a condition that leads to a protein kinase C (PKC)-dependent increase of EAAC1 expression on the membrane and to the phosphorylation of adducin. A co-immunoprecipitation band was also detected in protein extracts of rat hippocampus. The amount of adducin co-immunoprecipitated with EAAC1 increases after the treatment of C6 cells with retinoic acid, a differentiating agent that induces EAAC1 overexpression in this cell model. Moreover, in clones of C6 cells transfected with a hemagglutinin (HA)-tagged adducin, the bands of EAAC1 immunoprecipitated by an anti-HA antiserum were proportional to EAAC1 expression. These results suggest the existence of a pool of EAAC1 transporters associated with the actin binding protein alpha-adducin in a PKC-insensitive manner.
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Affiliation(s)
- M G Bianchi
- Unit of General and Clinical Pathology, Department of Experimental Medicine, University of Parma, Parma, Italy
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Andrè E, Gatti R, Trevisani M, Preti D, Baraldi PG, Patacchini R, Geppetti P. Transient receptor potential ankyrin receptor 1 is a novel target for pro-tussive agents. Br J Pharmacol 2009; 158:1621-8. [PMID: 19845671 DOI: 10.1111/j.1476-5381.2009.00438.x] [Citation(s) in RCA: 108] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND AND PURPOSE The transient receptor potential ankyrin receptor 1 (TRPA1) is a cation channel, co-expressed with the pro-tussive transient receptor potential vanilloid type 1 (TRPV1) channel in primary sensory neurons. TRPA1 is activated by a series of irritant exogenous and endogenous alpha,beta-unsaturated aldehydes which seem to play a role in airway diseases. We investigated whether TRPA1 agonists provoke cough in guinea pigs and whether TRPA1 antagonists inhibit this response. EXPERIMENTAL APPROACH Animals were placed in a Perspex box, and cough sounds were recorded and counted by observers unaware of the treatment used. KEY RESULTS Inhalation of two selective TRPA1 agonists, allyl isothiocyanate and cinnamaldehyde, dose-dependently caused cough in control guinea pigs, but not in those with airway sensory nerves desensitized by capsaicin. Coughs elicited by TRPA1 agonists were reduced by non-selective (camphor and gentamicin) and selective (HC-030031) TRPA1 antagonists, whereas they were unaffected by the TRPV1 antagonist, capsazepine. Acrolein and crotonaldehyde, two alpha,beta-unsaturated aldehydes recently identified as TRPA1 stimulants and contained in cigarette smoke, air pollution or produced endogenously by oxidative stress, caused a remarkable tussive effect, a response that was selectively inhibited by HC-030031. Part of the cough response induced by cigarette smoke inhalation was inhibited by HC-030031, suggesting the involvement of TRPA1. CONCLUSIONS AND IMPLICATIONS A novel pro-tussive pathway involves the TRPA1 channel, expressed by capsaicin-sensitive airway sensory nerves and is activated by a series of exogenous (cigarette smoke) and endogenous irritants. These results suggest TRPA1 may be a novel target for anti-tussive medicines.
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Affiliation(s)
- E Andrè
- Centre of Excellence for the Study of Inflammation, University of Ferrara, Italy
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Silber ΗB, Nitsche Η, Gatti R, Gehmecker H, Feige G, Bucher J, Edelstein N. The Effects of Radiolysis Upon Speciation and Solubility of Neptunium in Brine Solutions. RADIOCHIM ACTA 2009. [DOI: 10.1524/ract.1994.6667.s1.15] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
| | | | | | - H. Gehmecker
- Chemical Sciences Division, Lawrence Berkeley Laboratory, Berkeley, CA 94720, USA
| | - G. Feige
- Chemical Sciences Division, Lawrence Berkeley Laboratory, Berkeley, CA 94720, USA
| | - J. Bucher
- Chemical Sciences Division, Lawrence Berkeley Laboratory, Berkeley, CA 94720, USA
| | - N. Edelstein
- Chemical Sciences Division, Lawrence Berkeley Laboratory, Berkeley, CA 94720, USA
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De Palo EF, Antonelli G, Benetazzo A, Prearo M, Gatti R. Human saliva cortisone and cortisol simultaneous analysis using reverse phase HPLC technique. Clin Chim Acta 2009; 405:60-5. [DOI: 10.1016/j.cca.2009.04.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2009] [Revised: 04/01/2009] [Accepted: 04/05/2009] [Indexed: 12/31/2022]
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Favari E, Adorni MP, Costa S, Granata A, Corsini A, Ronda N, Gatti R, Bernini F. Abstract: P716 ABCA1 MODULATE CELLULAR MIGRATION AND MEMBRANE RUFFLING INDUCED BY FREE CHOLESTEROL IN MACROPHAGES FOAM CELLS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70884-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gatti R, Antonelli G, Prearo M, Spinella P, Cappellin E, De Palo EF. Cortisol assays and diagnostic laboratory procedures in human biological fluids. Clin Biochem 2009; 42:1205-17. [PMID: 19414006 DOI: 10.1016/j.clinbiochem.2009.04.011] [Citation(s) in RCA: 119] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2008] [Revised: 04/23/2009] [Accepted: 04/27/2009] [Indexed: 01/25/2023]
Abstract
The overview of cortisol physiology, action and pathology is achieved in relation to the hypothalamic-pituitary-adrenal axis alteration by laboratory investigation. The measurements of cortisol and related compound levels in blood, urine and saliva used to study the physiological and pathological cortisol involvement, are critically reviewed. The immunoassay and chromatographic methods for cortisol measurement in the various biological fluids are examined in relation to their analytical performances, reference ranges and diagnostic specificity and sensitivity. Moreover, blood, urine and saliva cortisol level measurements are described taking into account the diagnostic implications. The deduction is that each method requires the definition of its own reference range and its related diagnostic cut-off levels. Thus, this review, stressing the analysis procedures, could help to understand and compare the results of the different assays.
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Affiliation(s)
- Rosalba Gatti
- Department of Medical Diagnostic and Spec. Ther., University of Padova (I), Italy
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Uhlík F, Gatti R, Montalenti F. A fast computational method for determining equilibrium concentration profiles in intermixed nanoislands. J Phys Condens Matter 2009; 21:084217. [PMID: 21817369 DOI: 10.1088/0953-8984/21/8/084217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
An efficient computational method for finding the equilibrium concentration profiles which minimize the free energy of intermixed heteroepitaxial islands of assigned shape and average composition is described. A combination of a Monte Carlo method and continuum elasticity theory solved by a finite element method is shown to provide the desired profiles allowing for a significant computational gain with respect to atomistic approaches. The role played by dimensionality (ridges versus islands) and by entropy is discussed.
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Affiliation(s)
- F Uhlík
- L-NESS and Dipartimento di Scienza dei Materiali, Università degli Studi di Milano-Bicocca, Via Cozzi 53, I-20125 Milano, Italy
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Abstract
BACKGROUND/AIMS The offer of human saliva IGF-I (sIGF-I) measurement in athletes investigation is a new proposal. The aim was to investigate the physical exercise effect on sIGF-I and explore plasma free IGF-I relation. MATERIALS AND METHODS Saliva and blood were collected from well-trained athletes, investigated immediately before and at the end of a physical exercise test. RESULTS sIGF-I was significantly increased at the end of the physical exercise. The plasma free IGF-I concentrations did not demonstrate any difference. The saliva total protein level (sTP) was also significantly increased. A positive correlation between sTP and sIGF-I, was observed, both before and after physical exercise, and between salivary and plasma free IGF-I only after physical exercise. The salivary free IGF-I level significantly increased after physical exercise, moreover a correlation with the plasma levels exists in post-exercise condition. CONCLUSION The physical exercise affects sIGF-I as well as the sTP. The correlation between plasma and salivary free IGF-I levels only in post-exercise condition suggests further studies to investigate the effects of different type and duration of physical exercise. The comparison with other salivary biochemical parameter investigation would also further increase comprehension on the role of salivary IGF-I.
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Affiliation(s)
- G Antonelli
- Section of Clinical Biochemistry, Department of Medical Diagnostic Sciences and Sp. Ther, University of Padua, 35121 Padua, Italy
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