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Biomedical subjects

A Palmeri

Publications and source records attributed to A Palmeri.

At least 19 recordsLinked to original sources
PubMed2006

Oral manifestations of langerhans cell histiocytosis in a pediatric population: a clinical and histological study of 8 patients.

Langerhans Cell Histiocytosis is a rare and protean disease of unknown etiology, clinically characterized by single or multiple osteolytic and/or soft tissue lesions. Oral involvement may predate systemic manifestations or mimic infectious/inflammatory disorders. In the present series, oral involvement characterized eight cases of pediatric Langerhans Cell Histiocytosis and oral symptoms represented a very early sign of this disease in four patients. A careful clinical investigation and a proper histologic analysis were required for achieving a definite diagnosis and for confirming clinical suspicion of disease relapse. Immunohistochemistry, that nowadays represents a reliable and accessible ancillary histological technique, allowed the definite diagnosis in all cases of our series.

Child, Preschool↗
PubMed2006

The use of silicon elastomer in maxillofacial rehabilitation as a substitute for or in conjunction with resins.

Maxillofacial prosthetic rehabilitation aims to restore anatomic function when serious tissue defects are present, as a result of congenital factors, trauma, or surgery. The aims are both aesthetic and functional, and results are obtained using devices that contain, reconstruct, and fill. This study introduces a technique using methods and materials that are acceptable to the patient in that they satisfy chewing, phonetic, and aesthetic functions, while respecting bone structure and restoring function to the soft tissues without causing trauma to them. Our techniques do not use innovative materials, but ones that are structurally different and that, until now, have not been connected with attachment systems. Acrylic resin, acetylic resin, and silicon are used, each in such a way as to take maximum advantage of each material's characteristics and thus give the best results.

Acrylic Resins↗
PubMed2002

Improvement of diabetic autonomic gustatory sweating by botulinum toxin type A.

Fourteen diabetic subjects with gustatory sweating were treated by intracutaneous injections of botulinum toxin type A into the affected facial skin areas. In all subjects, sweating (measured by Minor starch iodine test) ceased within 4 days, with the maximal follow-up time lasting 24 weeks. This therapeutic approach, which could be used to reduce the severity of diabetic gustatory sweating, appears to be long lasting, adverse effect free, and minimally invasive.

Aged↗
PubMed2000

Involvement of the noradrenergic system in modulating the blink reflex in humans.

Several researches have shown that the spinal reflex transmission in animals, as well as humans, was inhibited by alpha(2)-agonists, due to a disfacilitation of tonic noradrenergic control on motoneuronal output. To understand better the mechanisms regulating certain aspects of motor activity, here we reinvestigated the possible role of noradrenergic systems in modulating reflex activity of the brainstem in humans. To this aim, blink reflex responses (R1 and R2) evoked by electrical stimulation of the supraorbital nerve were electromyographically recorded in healthy volunteers. Both R1 and R2 areas were measured at 10-min intervals before and after i.v. injection of alpha(2)-agonist clonidine (0.5 microg/kg). The substance induced consistent depression of R1, which reached its maximum 40 min after drug administration (-43% of the control values). Ipsilateral R2 area resulted little affected by clonidine (-15% at 50 min), whereas no effects were observed in contralateral R2. Blood pressure values were never altered by drug injections. These results, taken together with previous observations, support the hypothesis that alpha(2)-agonist substances may cause a transient inactivation of noradrenergic neurons, thus releasing neurons involved in the circuitry of the blink reflex from a facilitatory drive. Since clonidine differentially modulated blink reflex responses, it is likely to assume that such a disfacilitation concerns mostly pontine units mediating the R1. However, the complexity of clonidine's effects at multiple pre- and postsynaptic sites does not allow us to exclude that other systems are involved in the alpha(2)-mediated control of facial motoneurons.

Adult↗
PubMed2000

Drugs in nails: physiology, pharmacokinetics and forensic toxicology.

In recent years, drug analysis in keratinised matrices, such as hair and nails, has received considerable attention because of several advantages over drug testing methodologies employing body fluids, such as urine or serum. For example, keratinic matrices, such as finger- and toenails, can accumulate drugs during long term exposure. Drugs are incorporated into nails by a double mechanism: (i) deposition into the root of the growing nail via the blood flow in the nail matrix; and (ii) incorporation via the nail bed during growth from the lunula to the beginning of the free margin. Together, these account for a wide retrospective window of drug detection. Nails can provide a good forensic matrix for the detection of drugs of abuse. Indeed, the international literature has reported the use of nail analysis in postmortem detection of drugs of abuse, drug testing in the workplace and drug screening to detect prenatal exposure, even though further studies are needed for correct interpretation of the data obtained. Another application of drug analysis in nails consists of the possibility of detecting the presence of an antimycotic at the site of action during antifungal therapy for patients with onychomycosis. When available, this evidence has permitted drug treatment of a shorter duration and reduced toxicity. However, so far the potential of drug monitoring in nails still lacks harmonisation and validation of analytical methodologies and a better comprehension of the possible correlation between drug concentrations in the matrix and period of exposure.

Forensic Medicine↗
PubMed1999

Determination of lorazepam in plasma and urine as trimethylsilyl derivative using gas chromatography-tandem mass spectrometry.

A procedure based on gas chromatography-tandem mass spectrometry for identification and quantitation of lorazepam in plasma and urine is presented. The analyte was extracted from biological fluids under alkaline conditions using solid-phase extraction with an Extrelut-1 column in the presence of oxazepam-d5 as the internal standard. Both compounds were then converted to their trimethylsilyl derivatives and the reaction products were identified and quantitated by gas chromatography-tandem mass spectrometry using the product ions of the two compounds (m/z 341, 306 and 267 for lorazepam derivative and m/z 346, 309 and 271 for oxazepam-d5 derivative) formed from the parent ions by collision-induced dissociation in the ion trap spectrometer. Limit of quantitation was 0.1 ng/ml. This method was validated for urine and plasma samples of individuals in treatment with the drug.

Anti-Anxiety Agents↗
PubMed1999

Modulatory action of noradrenergic system on spinal motoneurons in humans.

Previous findings in animals demonstrated that the noradrenergic coeruleospinal system exerts a tonic facilitation on spinal reflexes and that activation of alpha2-autoinhibitory receptors can be responsible for a disfacilitation of the spinal activity. To investigate this issue further, we examined whether this system is also involved in descending facilitatory control of spinal motoneurons in healthy humans. The H-reflex technique was utilized to assay the motoneuronal excitability. The ratio between the maximal reflex response (H) and maximal direct response (M) was determined in each subject and was calculated at 10 min intervals before and after i.v. administration of the alpha2-agonist clonidine (0.5 microg/kg). In all subjects a marked decrease of the H/M ratio, due to depression of the H response, occurred 10 min following the clonidine injection and reached its maximum within 30 min. No significant changes of blood pressure values were provoked by drug injections. These results suggest that an autoinhibitory action may be induced by alpha2-receptor activation of locus coeruleus neurons in humans, and that this device may serve as a mechanism for a myotonolytic action on spinal motoneurons.

Adrenergic alpha-2 Receptor Agonists↗
PubMed1999

Motor cortex modulation of exteroceptive information at bulbar and thalamic lemniscal relays in the cat.

We have studied the control of the primary motor cortex on the activity of lemniscal neurons in semi-chronic implanted cats. In each experiment, two to three foci in the primary motor cortex were identified by intracortical microstimulation at low threshold (up to 20 microA) for their capacity to evoke movements of contralateral single limb joints. Neurons belonging to the dorsal column nuclei (main cuneate nucleus and gracile nucleus), or to the ventral posterolateral nucleus, were sampled for their response to stimulation of the peripheral cutaneous fields, as well as the antidromic response to stimulation of the contralateral medial lemniscus and ipsilateral somatosensory cortex, respectively. These neurons were then tested for stimulation of the cortical foci using a current intensity equal to the threshold needed to evoke motor effects, although we reduced the duration of the stimulating trains; thus, we avoided evoking movements which could elicit afferent volleys along the somatosensory paths. It was found that the primary motor cortex was able to modulate the transmission of exteroceptive signals at the level of both dorsal column nuclei and ventral posterolateral nucleus with analogous modalities. In particular: (i) a high percentage of responses, with a prevalence of excitatory effects, was observed when the receptive field of the neurons topographically corresponded to, or was very close to, the joint controlled by a given cortical focus; (ii) in these cases, higher percentages of excitations were observed in tests which concerned the distal segments of limbs than the proximal segments; (iii) the percentage of responses became lower as the neuronal receptive field was located further from the cortical motor target, the pattern being more frequently inhibitory in nature. From a functional point of view, the motor cortex control appears to be organized in a very precise manner. Its excitatory nature might subserve integrative mechanisms by which exteroceptive information arising in a given limb segment would be enhanced by a motor command inducing movements of the same body part. Moreover, a better definition of the afferent input could be obtained by a simultaneous depression of neurons, which send towards the cortex signals from adjacent or more distant cutaneous regions. It can be hypothesized that such an organization of the cortical control could improve the discriminative somatosensory aspects during the execution of explorative movements, besides supplying a sharper cutaneous feedback to the motor cortex.

Animals↗
PubMed1998

Excitatory amino acids as neurotransmitters of corticostriatal projections: immunocytochemical evidence in the rat.

The retrograde transport of a tracer has been combined with peroxidase immunocytochemistry to verify whether corticostriatal (CS) neurons contain in their cell bodies high levels of glutamate (Glu) and aspartate (Asp). Injections of WGAapoHRP-Au in the caudate/putamen of adult rats produced retrograde labeling of a large number of layer V neurons of wide regions of the ipsilateral cerebral cortex; fewer labeled neurons were also found on the contralateral side. In all experiments, most CS neurons were seen in the agranular frontal cortex, in both the medial and the lateral subdivisions. Moreover, numerous retrogradely labeled neurons were observed in the cingulate cortex and in the granular parietal cortex, depending on the location of the injection site in the various experiments. The majority of CS neurons examined were immunostained using antibodies against glutaraldehyde-conjugates of Glu or Asp. Glu immunopositive neurons resulted 52-61% of CS neurons. Asp immunopositive neurons ranged between 53% and 62%. In the cortical tissue where Glu and Asp antisera were visualized simultaneously, up to 96% of the CS neurons were immunostained. The latter finding indicates that the populations of Glu and Asp immunopositive neurons are largely segregated and that virtually all cortical neurons projecting to the striatum contain high concentrations of Glu and/or Asp, thus corroborating the hypothesis that CS projections use excitatory amino acids as neurotransmitters.

Amino Acids↗
PubMed1997

Studies on the structure of sperm heads of Eledone cirrhosa by means of CLSM linked to bioimage-oriented devices.

We have used a confocal laser scanning optical microscope imaging device and a bioimage-oriented workstation equipped for augmented reality to study the helical sperm head of the octopus Eledone cirrhosa. This approach allows us to study different complex organisational motifs due to the spatial arrangement of linear helical structures. We consider this helical specimen an enlarged copy of one of the most important biostructures governing cell functioning such as chromatin-DNA. Moreover, this very same sample is made of highly compacted chromatin that can be studied at higher resolution, i.e., by means of scanning force microscopy. Fluorescence optical sectioning has been used to enter the spatial organisation. Three-dimensional images of single, twisted, and folded fibers are shown.

Animals↗
PubMed1994

Temporal structure of a bimanual goal-directed movement sequence in monkeys.

The aim of the present investigation was to assess a bimanual goal-oriented movement sequence with particular emphasis on its temporal structure. The three monkeys (Macaca fascicularis) used in this study chose the left arm as the leading and more postural arm to reach out and pull back a spring-loaded drawer containing a food morsel. The right arm followed the left and picked up the food with a precision grip. Video recordings, trajectory recordings of the two index fingers, drawer displacement and the measurements of discrete events of the left and right hand revealed a considerable trial-by-trial variability in the temporal and spatial domain. The variability of latencies progressively increased from the initiation of the bimanual sequence to the left-hand and right-hand events defining goal achievement. The main result was that, in spite of this variability in each of the two limbs, there was an invariant left-right goal-related synchronization. The timing of the goal-related event pairs covaried and showed high correlation coefficients. Covariation of the two hands resulting in an invariant synchronization was particularly striking when monkeys performed the task without vision, and timing of right and left movement components was delayed with further increase in variability. The results indicate that, in the present bimanual skill, kinaesthetic signals may be sufficient to coordinate the two limbs in a goal-oriented unitary action in accord with a memorized plan.

Acoustic Stimulation↗
PubMed1994

The problem of bimanual coupling: a reaction time study of simple unimanual and bimanual finger responses.

The properties of the sensorimotor system controlling finger movements were investigated in the simple uni- and bimanual reaction time (RT) paradigm, with emphasis on the problem of interhemispheric transfer of sensory and motor information. Unimanual and bimanual responses of the index fingers were elicited by stimulation of either left or right hand and resulting reaction times were compared to assess the degree of right-left differences and thus also of crossed-uncrossed differences (CUD). The response consisted of a force pulse (first dorsal interosseus muscle) which was elicited by a non-painful electrical stimulus applied to the base of the middle finger. In unimanual experiments, the population analysis showed that RTs obtained with contralateral stimuli were significantly longer (6 msec) than RTs elicited with ipsilateral stimuli. However, inter-subject differences were large and sometimes pointed in the non-expected direction (crossed < uncrossed). Statistically significant right-left differences in RT were detected in the bimanual response paradigm, but these differences occurred in both directions with the crossed RT either longer or shorter than uncrossed RT. The analysis of the correlation structure of bimanual RT suggested the presence of stimulus-related asymmetries of the hands. These observations provide some support for the notion of an additional processing time related to interhemispheric transmission of sensory and/or motor signals. In addition, it turned out that factors other than callosal transmission can also produce asymmetries in RTs of the two hands. Thus some subjects had consistent right-left differences which were unrelated to callosal transmission. Asymmetries were also introduced by changing the stimulation side. In the light of this multi-factorial influence, we argue that the underlying mechanisms leading to intermanual asymmetries in RT cannot be attributed exclusively to callosal transmission.

Adult↗
PubMed1994

Temporal coordination in bimanual actions.

The issue of bimanual temporal coordination in human subjects is discussed for three selected movement paradigms: (i) simple, symmetric, bimanual finger movements, (ii) bimanual unloading, and (iii) a complex bimanual pull and grasp task. Temporal synchronization was found for all three experiments and was least variable for the first experiment. In the second experiment, synchronization concerned unloading with the index finger of one hand (electromyographic activation of the first dorsal interosseus muscle) and the postural adjustment of the load-bearing index finger of the other hand (electromyographic deactivation of the first dorsal interosseus muscle). In the third experiment, a goal-related temporal invariance was observed, even in the absence of visual guidance. Possible neural mechanisms for the observed temporal coordination of the three types of bimanual movements are discussed, as well as the concepts of goal invariance and motor equivalence.

Fingers↗