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Biomedical subjects

A Guareschi Cazzullo

Publications and source records attributed to A Guareschi Cazzullo.

6 recordsLinked to original sources

Effects of carbamazepine and valproate on immunological assessment in young epileptic patients.

Serum immunoglobulin levels and peripheral blood lymphocyte subsets were determined in 25 epileptic children treated with anticonvulsant drugs [carbamazepine (CBZ) or sodium valproate (VPA)], 17 untreated patients and 18 healthy subjects. The treated and untreated patients did not differ significantly from the controls with respect to the mean IgA, IgG, IgM values or lymphocyte subsets. The patients on carbamazepine had lower serum concentrations of IgG (though not significantly lower) than the untreated patients and children on valproate. OKT8 subset, in absolute terms and as a percentage of total lymphocytes, was significantly higher in generalized than in partial epilepsy, but this was probably due to the antiepileptic treatment. We found a sex difference in serum immunoglobulins (Ig M, IgG) in the epileptic group. Our data do not seem to argue for major changes in immune status related to clinical type of epilepsy or to VPA or CBZ treatment.

Adolescent↗

Developmental course of brain-stem auditory evoked potentials in the first days of full term infants.

Modifications of brain-stem acoustic evoked potentials (BAEPs) in the first 5 days of life of normal full-term infants are reported. BAEPs were recorded using rarefaction clicks at 70, 60, 40, 20 dB HL. Multiple linear regression analysis was performed to evaluate chronological and gestational age differences for all positive and negative peaks, interpeak latencies, amplitudes and amplitude ratios. The percentage of newborn infants with auditory threshold of 20 dB HL increased with the number of days. At all intensities the latency of PIII and PV decreased significantly between the 2nd and 3rd day, while the latency of PI decreased significantly between the 3rd and the 4th day; PIII and PV latencies decreased also between the 4th and the 5th day. The longer the period of gestation the longer was the PI latency recorded between the 2nd and 5th day after birth. The anatomical and physiological changes developing shortly after birth are probably responsible for the above findings. These changes most probably appear firstly in the cochlear and trapezoid nuclei and later on in the organ of Corti.

Age Factors↗

The acute and chronic administrations of piracetam affect the movement-related brain macropotentials.

Neurophysiological and neurochemical studies have demonstrated that piracetam improves learning and memory both in animals and humans. In recent years it has been shown that when a subject is engaged in a motor perceptual task, some psychomotor functions are correlated with a consistent pattern of brain electrical activity. Given the relationship between the movement-related brain macropotentials (MRBMs) and the cognitive processes associated with them, we considered the MRBMs particularly suitable for the neurophysiological assessment of the efficacy of piracetam in man. The aim of this study was to test the acute and chronic effect of piracetam administration on the MRBMs in normal children during the performance of a motor perceptual task. The design was a triple-blind study, during which the subjects took either placebo or piracetam in random sequence, with a washout period of 3 weeks. The dose was 170 mg/kg for the acute treatment and 140 mg/kg/day for chronic treatment. No side-effects were reported by the children during or after acute or chronic treatment with piracetam. There was no statistically significant difference between placebo or piracetam treatment with regard to 'performance', which was already optimal at baseline, and to electromyographic activity. On the contrary, the MRBMs were significantly modified by treatment. In particular the Bereitschaftspotential was present as a positive shift during acute treatment with piracetam and increased after chronic treatment. Skilled performance positivity (SPP) amplitudes were significantly increased and SPP latency reduced by chronic treatment with piracetam. piracetam appears to act on the catecholaminergic and cholinergic systems via an increase of the inhibitory hyperpolarizing processes.

Adolescent↗

EEG and clinical findings during pemoline treatment in children and adults with attention deficit disorder. An 8-week open trial.

A clinical study has been conducted on a selected group of 9 children and 12 adults with attention deficit disorder, evaluating the response to the therapy with magnesium pemoline by means of EEG power spectra. Pemoline was given orally in increasing doses ranging from 20 to 80 mg/day. EEG was recorded during baseline and at three fixed intervals during the treatment. Clinical response was assessed by objective and subjective ratings. In the adult sample, the drug produced two opposite patterns of EEG response which allowed us to discriminate by the 1st day of treatment responders who reported a paradoxical calming and non-responders who reported a worsening in anxiety. Inconsistent EEG power changes produced by the drug in children did not allow the discrimination of responders and non-responders. Children did not show paradoxical signs of sedation. EEG and clinical data suggest that adults and children show different drug response and that the paradoxical sedation is present only in adults.

Adolescent↗

Immunogenetics of the Lennox-Gastaut syndrome: frequency of HL-A antigens and haplotypes in patients and first-degree relatives.

Twenty-two patients with the Lennox-Gastaut syndrome and their families were examined for HL-A antigens by the microlymphocytotoxicity test. The antigen HL-A7 belonging to the HL-A locus showed a significantly increased frequency (p less than 0.0005) both in parents and in patients. The same antigen showed a significantly altered segregation in patients but a normal one in healthy siblings. Another antigen of the second HL-A locus, HL-A12, did not display a normal segregation in our patients, in whom it was nearly not represented.

Epilepsy↗

Cognitive processes and cognitive progresses as didactic tools in psychiatry.

The authors expose the characteristics of two methods about the teaching and the learning of Psychiatry. Hermeneutic method is based on the model: "this want to say that". It gives rise to rapid and diffused learning which are rarely personalized and it attributes activity to the teacher and passivity to the pupil. "Conjectural" method is based on the model: "this is one of the aspects of a polymer of significances that we may point out as probable conjecture and not as truth". It produces learning less rapid, less diffused but more personal. It attributes activity and passivity as to the teacher as to the pupil. The first method tends to provoke pathological dependence as proselitism and/or contest so the pupil difficulty may assume the heritage of the teacher by having idealized or killed him. The second method tends to form self-governing pupils able to break away from the teacher after having learned from him new knowledges which they use in a personal way.

Humans↗