738 research outputs found
Huygens synchronisation of three clocks equidistant from each other
In this paper we study the synchronisation of three identical oscillators,
i.e., clocks, hanging from the same hard support. We consider the case where
each clock interacts with the other two clocks. The synchronisation is attained
through the exchange of small impacts between each pair of oscillators. The
fundamental result of this article is that the final locked state is at phase
difference of ((2{\pi})/3) from successive clocks (clockwise or
counter-clockwise). Moreover, the locked states attract a set whose closure is
the global set of initial conditions. The methodology of our analysis consists
in the construction a model, which is a non-linear discrete dynamical system,
i.e. a non-linear difference equation. The results are extendable to any set of
three oscillators under mutual symmetric interaction, despite the particular
models of the oscillators
Effects of different degrees of sympathetic antagonism on cytokine network in patients with ischemic dilated cardiomyopathy
BACKGROUND: The proinflammatory cytokines have been implicated in the pathogenesis of heart failure. Recent studies have shown that beta-adrenergic blockade can modulate cytokine production. This study investigates the different impact of different degrees of sympathetic antagonism on circulating levels of cytokines in patients with heart failure resulting from ischemic dilated cardiomyopathy (IDC).
METHODS AND RESULTS: Thirty-five patients with IDC were randomly assigned to receive metoprolol or carvedilol in an open-label study. Echocardiographic measurements and circulating levels of tumor necrosis (TNF)-alpha and interleukin (IL)-1beta and IL-6 were obtained at baseline and after 3 months of treatment. The 2 beta-blockers significantly improved the left ventricular ejection fraction and reduced end-diastolic and end-systolic volume. The magnitude of these changes was greater with carvedilol than with metoprolol (respectively P < .001, P < .05, and P < .05). Both treatments induced a significant decrease in the levels of cytokines (for all P < .01), but the decrease in TNF-alpha and IL-1beta was more consistent in the carvedilol group ( P < .01).
CONCLUSION: Our results support the hypothesis that a more complete block of sympathetic activity by carvedilol induces a greater decrease in the circulating levels of proinflammatory cytokines that could explain, at least in part, the better improvement in the left ventricular remodelling and systolic function in patients with IDC
INTRA-DUODENAL RELEASE OF A BITTER COMPOUND DECREASES CALORIC INTAKE IN HEALTHY VOLUNTEERS
Background and aim: α-gustducin and bitter taste receptors (T2R) are
expressed both in the oral cavity and in the gastrointestinal (GI) tract. Experimental
data showed that bitter tastants induce the release of gut hormones
from enteroendocrine cells in the gut, suggesting a possible role of bitter taste
receptors in the control of food intake and GI functions. We aimed to test the
effects of a bitter taste receptor agonist on food intake and GI feelings.
Material and methods: We enrolled 19 healthy subjects (9 males, age 27±7,
BMI 24±6) in a double-blind placebo controlled study. Each subject randomly
received an acid-resistant capsule containing placebo or 18 mg of quinine
HCl. 60 minutes after capsule administration, the subjects underwent to an ad
libitum test, until the maximum satiation. Meal test was composed by white
bread, cheese and meat cream (89 kcal/portion: 50% carbohydrate, 31% fat,
19% protein). Caloric intake, meal duration and satiation levels, scored on a
Visual Analogue Scale (VAS) were calculated at the end of the meal test. A
questionnaire assessing GI sensations (bloating, fullness, nausea, epigastric
discomfort and hunger) was administered before and at the end of the test.
Data (mean ± SD) were compared by using paired t test.
Results: No oral bitter sensation or side effects was observed both with
quinine HCland placebo. No significant differences in terms of GI sensations
and hunger feelings were observed between the two sessions of the study. The
amount of calories ingested was significantly lower when subjects received
quinine HCl than placebo (564±262 vs 667±278 kcal; p=0.02). Conversely,
quinine HCl did not affect the meal duration (14.4±4.2 vs 16.6±4.6 min;
p=NS) and the satiationintensity (82 vs 82 mm; p=NS).
Conclusions: The intra-duodenal release of a bitter compound significantly decreases
caloric intake in an ad libitum test meal without affecting GI sensations
and hunger feeling. As the bitter compound does not influence meal duration,
we hypothesize that quinine HCl decreases the caloric intake by affecting the
rate of meal portions consumption. Evaluation of gut hormones kinetics and
studies with other bitter taste receptor agonist are needed to establish the role
of gastrointestinal bitter taste receptor in the control of food intak
ACHALASIA TREATMENT IMPROVES SPECIFIC SYMPTOMS AND QUALITY OF LIFE: VALIDATION OF AN ACHALASIA SPECIFIC QUALITY OF LIFE QUESTIONNAIRE
Background and aim:
Therapies for achalasia aim to patients’ symptom
relief, but they affect patient’s quality of life (QoL), too. An ad hoc question-
naire evaluating both achalasia-related symptoms and disease related QoL is
lacking.
Aim: To validate a disease specific QoL questionnaire in perspectively
evaluated Italian achalasia patients.
Material and methods:
22 consecutive achalasia patients (4 men, age range
19–86 years) were included in the study. At baseline a structured question-
naire was used to evaluate both esophageal symptoms and disease specific
QoL. Questionnaire graded achalasia-related symptoms severity (dysphagia for solids and liquids, food regurgitation, chest pain, nocturnal cough) from 0
to 3, based on their impact on daily activities. Also a disease specific QoL was
evaluated by a self administred questionnaire, the AE-18, that investigated
four domains (physical, psychological and social functioning, and sleep dis-
turbance). Scores for each item range from 1
(“always”) to 5 (“never”); higher
scores corresponding to better quality of life. All patients were questioned
before, 1 and 6 months after a specific t
reatment regimen, that according
to patients clinical status consisted in pneumatic dilation, botulinum toxin
injection or surgical myotomy.
Results:
Patients within each specific treatment groups were the following
(3/22 surgical myotomy, 14/22 pneumatic dilation and 5/22 Botox injections,
respectively. In the table are reported the baseline demographics and achalasia-
related symptoms’ severity and QoL (data are expressed as mean
±
SD) within
each treatments group.
Table 1
Surgery group Dilation group Botox group p
Age at diagnosis
42.3
±
6.5 42.3
±
13 81.8
±
4.8
<
0.001
Age at onset of symptoms
39.3
±
7.5 40.3
±
12.4 80.8
±
5.6
<
0.001
Dysphagia for solids
2.7
±
0.6 2.2
±
0.7 2.2
±
0.5 0.5
Dysphagia for liquids
2.0
±
1.0 2.1
±
0.7 2.2
±
0.5 0.9
Regurgitation of undigested food 1.0
±
1.7 0.7
±
0.8 0.6
±
1.3 0.8
Chest pain
0.7
±
1.1 1.1
±
1.1 1.0
±
1.4 0.8
Nocturnal cough
1.3
±
1.5 1.3
±
1.2 1.0
±
1.4 0.9
AE-18 total score
54
±
14 53
±
12 53
±
11 0.9
At both 1 and 6 months of the follow-up, the severity mean scores of dysphagia
achalasia-related symptoms severity were significantly reduced compared to
baseline (p
<
0.05). Similarly, the AE-18 total score was significantly improved
(p
<
0.001).
Conclusions:
We showed that therapy-induced improvement of achalasia-
related symptoms correlate with a significant improvement of patients quality
of life as assessed by a specific questionnaire
CHRONIC CONSTIPATION IS A RISK FACTOR FOR METABOLIC SYNDROME
Background and aim: A recent epidemiologic survey in the U.S. provides
indirect evidence that constipation is a risk factor for cardiovascular disease
in postmenopausal females. To characterize the related factors involved in
and to further analyse if this assumption also applies to an Italian population,
we studied the impact of chronic constipation on ischemic cardiopathy and
predisposing risk factors in a large population of female patients in a primary
care setting.
Material and methods: We retrospectively evaluated 754 female patients
(mean age 46±20 years) on data file of a primary care setting. All subjects
requiring medical referral for constipation were screened and presence
of chronic constipation was confirmed by standardized questionnaires. The
presence of clinical and/or instrumental diagnosis of ischemic cardiopathy,
metabolic syndrome, diabetes and blood hypertension was scored in patients
with and without chronic constipation. In all patients the consumption of
drugs potentially delaying colonic transit (calcium channel blockers and
beta blockers) was recorded. Patients on opioid or analgesic treatment were
excluded.
Results: The overall prevalence of chronic constipation was 9.4% (71/754)
with the age being similar in patients with and without constipation (46±19
vs. 51±22, p=NS). The prevalence of metabolic syndrome was significantly
higher in subjects with chronic constipation (5/66 vs 16/667, OR=3.1, 95%
CI 1.1–8.9, p=0.03). Conversely, prevalence of diabetes, blood hypertension,
ischemic cardiopathy was similar in patients with and without constipation
(59/624 vs 10/61; 204/478 vs 28/43; 46/637 vs 6/65, respectively p= all NS).
No significant difference was also observed as far as calcium channel blockers
(64/619 vs 9/62) and beta blockers (81/602 vs 9/62) consumption in patients
with or without constipation respectively.
Conclusions: We showed that chronic constipation is a risk factor for
metabolic syndrome in female patients. Although we did not find any significant
association between chronic constipation and ischemic cardiopathy, our
findings support the hypothesis that constipation may act as cardiovascular
risk factor. Whether this association is dependent on dietary or hormonal
factors deserves further investigation
CORRELATES TO ABDOMINAL PAIN IN CONSTIPATION PREVALENT IBS PATIENTS
Background and aim: Symptoms of irritable bowel syndrome (IBS) have
been associated to altered motility and sensation. In constipated prevalent-IBS
patients, a clear association between bowel habit and abdominal pain remains
to be established, and it is not known whether factors related to patients daily
life may play a role in symptoms generation.
Our aim was to evaluate the association between abdominal pain, bowel
habit, demographic factors, alimentary/voluptuary habits and colonic transit
in constipated-IBS patients.
Material and methods: 68 patients complaining of chronic constipation were
selected on the basis of the Rome 3 criteria for IBS. Colonic transit time
(CTT) was studied and alimentary attitudes and smoking habit were recorded.
Presence of mild or severe abdominal pain was scored, as well as the prevalent
pain characteristics, defined as diffuse or localized, chronic or acute, with
cramps or gradually distending. Data were analysed by univariate and stepwise
multiple logistic regression analysis was also used to verify the risk association
between pain and all other variables.
Results: 40 patients were classified as constipated and 28 had alternating
evacuation. Constipated patients had a lower scholar degree, consumed more
laxatives, had a longer transit time in the right colon and scored more
chronic pain than alternating ones, but it was not confirmed by multivariate
analysis. When severity of abdominal pain was used as discriminating factor,
a significant number of subjects reporting severe pain were males (16/30 vs
4/38, p<0.01) and smokers (20/30 vs 4/38, p<0.001). Multivariate analysis
confirmed that only smoking was an independent factor associated with severe
abdominal pain (OR 14.3, CI 2–99, p= 0.007).
Conclusions: Abdominal pain is similarly reported by constipated or alternating
IBS patients and it is not associated with colonic transit time
or demographics. Smoking is the only factor constantly and independently
associated to severe abdominal pain. As smoking does not seem likely to
affect colonic transit time we suggest that smoking may act on the visceral
perception in IBS-constipated patients
N-Methyl-D-aspartic Acid (NMDA) in the nervous system of the amphioxus Branchiostoma lanceolatum
<p>Abstract</p> <p>Background</p> <p>NMDA (<it>N</it>-methyl-D-aspartic acid) is a widely known agonist for a class of glutamate receptors, the NMDA type. Synthetic NMDA elicits very strong activity for the induction of hypothalamic factors and hypophyseal hormones in mammals. Moreover, endogenous NMDA has been found in rat, where it has a role in the induction of GnRH (Gonadotropin Releasing Hormone) in the hypothalamus, and of LH (Luteinizing Hormone) and PRL (Prolactin) in the pituitary gland.</p> <p>Results</p> <p>In this study we show evidence for the occurrence of endogenous NMDA in the amphioxus <it>Branchiostoma lanceolatum</it>. A relatively high concentration of NMDA occurs in the nervous system of this species (3.08 ± 0.37 nmol/g tissue in the nerve cord and 10.52 ± 1.41 nmol/g tissue in the cephalic vesicle). As in rat, in amphioxus NMDA is also biosynthesized from D-aspartic acid (D-Asp) by a NMDA synthase (also called D-aspartate methyl transferase).</p> <p>Conclusion</p> <p>Given the simplicity of the amphioxus nervous and endocrine systems compared to mammalian, the discovery of NMDA in this protochordate is important to gain insights into the role of endogenous NMDA in the nervous and endocrine systems of metazoans and particularly in the chordate lineage.</p
Huygens Synchronization of Three Aligned Clocks
This study examines the synchronization of three identical oscillators
arranged in an array and coupled by small impacts, wherein each oscillator
interacts solely with its nearest neighbor. The synchronized state, which is
asymptotically stable, is characterized by phase opposition among alternating
oscillators. We analyze the system using a non-linear discrete dynamical system
based on a difference equation derived from the iteration of a plane
diffeomorphism. We illustrate these results with the application to a system of
three aligned Andronov clocks, showcasing their applicability to a broad range
of oscillator systems.Comment: 19 Page
Opsin evolution in the Ambulacraria
Opsins - G-protein coupled receptors involved in photoreception - have been extensively studied in the animal kingdom. The present work provides new insights into opsin-based photoreception and photoreceptor cell evolution with a first analysis of opsin sequence data for a major deuterostome clade, the Ambulacraria. Systematic data analysis, including for the first time hemichordate opsin sequences and an expanded echinoderm dataset, led to a robust opsin phylogeny for this cornerstone superphylum. Multiple genomic and transcriptomic resources were surveyed to cover each class of Hemichordata and Echinodermata. In total, 119 ambulacrarian opsin sequences were found, 22 new sequences in hemichordates and 97 in echinoderms (including 67 new sequences). We framed the ambulacrarian opsin repertoire within eumetazoan diversity by including selected reference opsins from non-ambulacrarians. Our findings corroborate the presence of all major ancestral bilaterian opsin groups in Ambulacraria. Furthermore, we identified two opsin groups specific to echinoderms. In conclusion, a molecular phylogenetic framework for investigating light-perception and photobiological behaviors in marine deuterostomes has been obtained
The scent of emotions: A systematic review of human intra- and interspecific chemical communication of emotions.
The sense of olfaction has been considered of minor importance in human communication. In recent years, evidence has emerged that humans might be influenced by unconscious messages sent through chemosignals in body odors. Data concerning the ability of humans to recognize fear, maybe related to the evolutionary role of these emotions in the fight-or-flight reactions, are well known.
To further understand the role of emotional chemosignals in mediating communication in humans and its influence on animal behaviors, we conducted a systematic literature review.
Chemosignals derived from axillary odors collected under a variety of emotional stimuli and sad tears in humans affect receivers' social interactions, danger detection and risk-taking behavior, social aspects of eating, and performance under stressing conditions. In addition, beyond the fight-or-flight response, even the body odors of happiness can be perceived by others. Furthermore, human chemosignals can influence behaviors and stressful responses in animals, particularly dogs and horses, which may partially explain their special relationship with humans.
Our review highlights the importance of chemosignaling in human intra- and interspecific interactions and suggests the need for further investigations, both in physiological conditions and in patients with psychiatric or neurodegenerative disorders
- …
