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Biomedical subjects

M Fabiani

Publications and source records attributed to M Fabiani.

At least 19 recordsLinked to original sources

Levels of cadmium and zinc in hepatopancreas of reared Mytilus galloprovincialis from the Gulf of Trieste (Italy).

Cadmium and zinc concentrations were determined in hepatopancreatic tissues of Mytilus galloprovincialis, reared in three non-contaminated hatcheries of the Gulf of Trieste (Northern Adriatic Sea). Mussels were collected in 13 sampling exits with monthly frequency for verifying possible seasonal variations. Freeze dried hepatopancreatic tissues were dissolved by nitric acid procedure using a microwave system; analysis of Zn and Cd followed by AAS technique. Metal concentrations were below the critical values for mollusc soft tissues, but xenobiotic cadmium had values requiring monitoring attention. Cadmium and zinc showed moderate variations along the months, with a slight winter maximum followed by a summer pre-spawning minimum, matching the seasonal trends of temperature/salinity. The estuarine site appears to have the best quality of the examined area in terms of metal contents. The results can constitute a guideline for the water quality in the Northern Adriatic Sea, and permit comparisons with the quality of other areas of the Mediterranean Sea.

Animals↗

Case Report. Multiple etiology post-surgery endophthalmitis.

The case describes a septic endophthalmitis arisen in a convalescence period following surgery of cataract extraction. The infection was due to Staphylococcus aureus and three fungal components, Candida albicans, Candida glabrata and Acremonium kiliense, which were subsequently isolated. A careful and prompt laboratory investigation allowed the clinicians to adjust the antimycotic therapy and attain an excellent clinical result.

Acremonium↗

HIV, malaria parasites, and acute febrile episodes in Ugandan adults: a case-control study.

BACKGROUND: In sub-Saharan Africa, co-infection with HIV and malaria is probably very common. Although an interaction between the two infections is biologically plausible, it has not been investigated thoroughly. OBJECTIVES: To evaluate the association firstly between co-infection with HIV and malaria parasites and the occurrence of acute fever, and secondly between HIV infection and clinical malaria, defined as the presence of acute fever and malaria parasites. METHODS: A hospital-based case-control study was conducted in Gulu District (northern Uganda), an area endemic for malaria and with a high HIV prevalence. HIV testing and malaria parasite quantification were performed on 167 consecutive adult out-patients with acute fever and no signs or symptoms of localized infection, and on 134 consecutive adult in-patients without fever who were admitted for non-HIV-related trauma or elective surgery. RESULTS: No significant association with acute fever was observed for single infection with either malaria parasites [adjusted odds ratio (AOR), 1.75; 95% confidence interval (CI), 0.73-4.21] or HIV (AOR, 1.01; 95% CI, 0.51-2.03), whereas a significant association was observed for co-infection (AOR, 9.75; 95% CI, 1.19-80.00). An association was found between HIV infection and clinical malaria (AOR, 2.34; 95% CI, 0.89-6.17); the association became statistically significant when the definition of clinical malaria included a cut-off for parasite density (50th percentile; i.e., 586 parasites/microl; AOR, 3.61; 95% CI, 1.04-12.52). CONCLUSIONS: Despite the limited statistical power, the results of our study show an association between HIV infection and clinical malaria; if confirmed, this finding could be important for public health in sub-Saharan Africa.

Acute Disease↗

Visual spatial localization conflict: an fMRI study.

fMRI and ERP studies have shown that tasks comprising conflicting stimulus-response associations activate a variety of cortical regions. It remains unclear whether any of these areas are activated by all conflict tasks, or whether conflict resolution is a common property of a number of distinct anatomical regions. Several regions in frontal and parietal cortex are activated by both exogenous (position) and endogenous (arrow direction) localization cues. The present event-related fMRI study used a version of the Simon task with independent positional and directional cues. The results indicated that spatial localization conflict activated pre-motor and superior parietal regions in the right hemisphere known to be involved in spatial localization, but anterior cingulate activation did not reach threshold. This suggests that conflict within a single functional modality may be processed in the region embodying that modality, and anterior cingulate may be called on only to resolve conflict between modalities.

Adolescent↗

Shedding light on brain function: the event-related optical signal.

One of the basic goals of cognitive psychology is the analysis of the covert processes that occur between stimulus and response. In the past 20-30 years, the tools available to cognitive psychologists have been augmented by a number of imaging techniques for studying the 'brain in action' in a non-invasive manner. These techniques have their strength in either temporal or spatial information, but not both. We review here recent advances of a new approach, the event-related optical signal (EROS). This method allows measurements of the time course of neural activity in specific cortical structures, thus combining good spatial and temporal specificity. As an example, we show how EROS can be used to distinguish between serial and parallel models of information processing.

Journal Article↗

When in doubt, do it both ways: brain evidence of the simultaneous activation of conflicting motor responses in a spatial stroop task.

Response competition is often considered an important contributor to the delayed reaction to stimuli for which physical and semantic information are in conflict ("Stroop" effect). Response competition implies that brain areas associated with correct and incorrect responses (e.g., left and right motor cortices) should be simultaneously activated in conflict conditions. However, there is at present little direct evidence of this phenomenon, in part because of the paucity of brain imaging techniques that can independently monitor the time course of activation of adjacent brain areas, such as the motor areas. In the present study, we show that the event-related optical signal (EROS) can provide these types of data. The results confirm the prediction that conflict trials elicit simultaneous activation of both motor cortices, whereas nonconflict trials elicit brain activity only in the contralateral motor cortex. These data support a parallel view of the human information processing system.

Adult↗

Trend in HIV-1 prevalence in an antenatal clinic in North Uganda and adjusted rates for the general female population.

OBJECTIVES: To estimate HIV-1 prevalence among women attending an antenatal clinic in the Gulu District (North Uganda) and, based on these data, among the district's female population. METHODS: Anonymous HIV-1 screening was performed for 8555 antenatal clinic attendees aged 15-39 years in the period 1993-1997. The results were used to estimate the prevalence among the district's female population, accounting for differences in fertility rates by HIV-1 serostatus. RESULTS: Among antenatal clinic attendees, HIV-1 prevalence showed a significant linear decrease (P < 0.001), from 26.0% in 1993 [95% confidence Interval (CI), 23.2-29.0%] to 16.1% in 1997 (95% CI, 14.8-17.5%). This decrease was mostly due to a marked decrease until 1995 (14.3%; 95% Cl, 12.7-16.0%) and was more pronounced among women aged under 30 years (P < 0.001), from both urban and rural areas (P < 0.001). The risk of being infected was higher among women from urban areas (Gulu Municipality), both over the entire period (adjusted prevalence proportion ratio = 1.54; 95% CI, 1.40-1.68) and by individual year. The estimated prevalence for the 15-39-year-old female population, standardized by age and area of residence, decreased from 25.4% in 1993-1994 to 17.8% in 1996-1997; these rates were 1.22 and 1.28 times higher, respectively, than those among antenatal clinic attendees. CONCLUSIONS: The trend of decrease among young women, for whom changes in HIV-1 prevalence more closely reflect incidence, could be partially due to a reduction in risk behaviour and a consequent decreasing incidence. Differences in fertility rates by HIV-1 serostatus should be addressed when using antenatal clinic data to estimate prevalence among the general female population.

Adolescent↗

Comparison of neuronal and hemodynamic measures of the brain response to visual stimulation: an optical imaging study.

The noninvasive mapping of hemodynamic brain activity has led to significant advances in neuroimaging. This approach is based in part on the assumption that hemodynamic changes are proportional to (and therefore constitute a linear measure of) neuronal activity. We report a study investigating the quantitative relationship between neuronal and hemodynamic measures. This study exploited the fact that optical imaging methods can simultaneously provide noninvasive measures of neuronal and hemodynamic activity from the same region of the brain. We manipulated visual stimulation frequency and measured responses from the medial occipital area of 8 young adults. The results were consistent with a model postulating a linear relationship between the neuronal activity integrated over time and the amplitude of the hemodynamic response. The hemodynamic response colocalized with the neuronal response. These data support the use of quantitative neuroimaging methods to infer the intensity and localization of neuronal activity in occipital areas.

Adult↗

The event-related optical signal: a new tool for studying brain function.

This paper presents an overview of a new method for the non-invasive measurement of brain function, the event-related optical signal (EROS). This technique is based on measures of the optical properties of cortical brain tissue, which change while the tissue is active. These changes are likely to be due to changes in light scattering, and are very rapid and localized, being related to phenomena occurring within or around the neuronal membrane. EROS, therefore yields images of cortical activity that combine spatial specificity (i.e. they can be related to patches of tissue less than a cubic centimeter in size) with temporal resolution (i.e. they depict the time course of the neural activity in the cortical areas under measurement). A limitation of this technique is its reduced penetration into the head (less than 3-5 cm). EROS appears to be a suitable technique for studying the time course of activity in selected cortical areas, and for providing a bridge between hemodynamic and electrophysiological imaging methods.

Brain↗

Correlation of Ki-67 expression in cutaneous primary melanoma with prognosis in a prospective study: different correlation according to thickness.

BACKGROUND: The proliferative activity of melanoma cells, evaluated as MIB-1 immunoreactivity against a Ki-67 epitope, has been considered an indicator of poor prognosis in thick primary melanomas. OBJECTIVE: The aim of the study was to assess the correlation between the growth fraction of primary melanomas, assessed by means of Ki-67 immunoreactivity, and metastatic relapse. METHODS: Ki-67 reactivity in primary melanomas was evaluated as at least 5% of positive neoplastic cells and was assessed on fresh specimens of 55 primary lesions at the time of excision. Such reactivity was correlated with metastatic relapse of patients in a prospective study, by means of multivariate Cox regression models (follow-up, 3-120 months). RESULTS: Ki-67 immunoreactivity was associated with increasing thickness (P =.003). Positive correlation was found between Ki-67 reactivity and metastatic dissemination in primary melanomas less than 1.5 mm thick (n = 23; mean thickness, 0.75 +/- 0.3 mm; P =.002). On the contrary, a negative correlation was found between Ki-67 reactivity and metastatic activity in primary melanomas thicker than 1.5 mm (n = 32; mean thickness, 4.0 +/- 1.6 mm; P =.019). CONCLUSION: Ki-67 proliferative activity appears to be a possible predictor of metastasis in primary melanomas, in particular, an indicator of poor prognosis in lesions less than 1.5 mm thick.

Female↗

A psychophysiological examination of cognitive processing of and affective responses to social expectancy violations.

Several models of person perception predict that expectancy violations have both affective and cognitive consequences for the perceiver. Although extant evidence generally supports these claims, the temporal resolution of traditional self-report measures has limited researchers' ability to convincingly link underlying physiological processes with observed outcomes. In this study, we examined these issues by measuring brain (event-related brain potentials) and peripheral (facial electromyogram) electrophysiological activity while participants read positive and negative expectancy-consistent, expectancy-violating, expectancy-irrelevant, and semantically incongruent behavioral sentences about fictitious characters. The electromyogram results indicated that negative (but not positive) expectancy-violating behaviors elicited enhanced negative affect as early as 100 to 300 ms poststimulus. The event-related potentials showed enhanced positivities with latency exceeding 300 ms in response to expectancy violations and negative behaviors. Semantically incongruent sentence endings influenced a separate negative component (N400), suggesting fundamental differences between semantic- and behavior-consistency processing. This difference also was evident in participants' recall. Implications for theoretical models of expectancy violation are discussed.

Adult↗

Immune activation in africa is environmentally-driven and is associated with upregulation of CCR5. Italian-Ugandan AIDS Project.

BACKGROUND: HIV infection in Africa is associated with immune activation and a cytokine profile that stimulates CCR5 expression. We investigated whether this immune activation is environmentally driven; if a dominant expression of CCR5 could indeed be detected in African individuals; and if R5 HIV strains would be prevalent in this population. METHODS: Freshly drawn peripheral blood mononuclear cells from HIV-uninfected African and Italian individuals living in rural Africa, from HIV-uninfected Africans and Italians living in Italy, and from HIV-infected African and Italian patients were analysed. Determinations of HIV coreceptor-specific mRNAs and immunophenotype analyses were performed in all samples. Virological analyses included virus isolation and characterization of plasma neutralizing activity. FINDINGS: Results showed that: immune activation is detected both in Italian and African HIV-uninfected individuals living in Africa but not in African subjects living in Italy; CCR5-specific mRNA is augmented and the surface expression of CCR5 is increased in African compared with Italian residents (CXCR4-specific mRNA is comparable); R5-HIV strains are isolated prevalently from lymphocytes of African HIV-infected patients; and plasma neutralizing activity in HIV-infected African patients is mostly specific for R5 strains. CONCLUSIONS: Immune activation in African residents is environmentally driven and not genetically predetermined. This immune activation results in a skewing of the CCR5 : CXCR4 ratio which is associated with a prevalent isolation of R5 viruses. These data suggest that the selection of the predominant virus strain within the population could be influenced by an immunologically driven pattern of HIV co receptor expression.

Africa↗

Toward noninvasive 3-D imaging of the time course of cortical activity: investigation of the depth of the event-related optical signal.

The event-related optical signal (EROS) has been recently proposed as a method for studying noninvasively the time course of activity in localized cortical areas (G. Gratton and M. Fabiani, 1998, Psychonomic Bull. Rev. 5: 535-563). Previous data have shown that EROS has very good temporal resolution and can provide detailed surface activity maps. In the present study we investigated whether the depth of the active area can also be estimated. Nine subjects were run in a study in which the eccentricity of the visual stimuli was varied, and EROS was recorded from medial occipital areas using multiple source-detector distances. Seven of the same subjects were also run through a functional magnetic resonance imaging (fMRI) study using the same protocol. The fMRI data indicated that the depth from the head surface to the cortical area activated increased systematically with the eccentricity of the visual stimuli. The EROS recording indicated a response with a latency of 60-80 ms from stimulation. This response varied systematically with eccentricity, so that the greater the eccentricity of the stimuli, the longer the source-detector distance (and thus the depth) at which the EROS effect was observed. The depth of the brain area generating the EROS effect was estimated using a simple algorithm derived from phantom studies on homogeneous media. The average depth estimates for each eccentricity condition obtained with EROS corresponded with those obtained with fMRI, with discrepancies of less than 1 mm. These data demonstrate that multiple source-detector distances can be used to estimate the depth of the cortical areas responsible for the EROS effects.

Adult↗

'Killer' canines: the morbidity and mortality of ebino in northern Uganda.

In northern Uganda, unerupted primary canine teeth are commonly extracted because they are believed to cause diarrhoea, vomiting, and fever. This practice, known as ebino, is performed under very crude conditions often using unclean tools. To evaluate the morbidity and mortality of complications related to ebino, we retrospectively analysed discharge records from the paediatric ward of Lacor Hospital, Gulu. In the period 1992-98, ebino-related complications, mainly sepsis and anaemia, were among the leading causes of admission (n = 740) and hospital death (n = 156, case fatality rate = 21.1%, proportional mortality rate = 3.3%). Discouraging the adoption of deeply rooted traditional practices that are potentially hazardous to health should be a public health priority in northern Uganda. This could be done by educating not only the general public, but also traditional healers and community and religious leaders, who could convey the knowledge to their people.

Anemia↗

True but not false memories produce a sensory signature in human lateralized brain potentials.

False memories (e.g., recognition of events that did not occur) are considered behaviorally and subjectively indistinguishable from true memories. We report that brain activity differs when true and false memories are retrieved. Strongly associated lists of words were presented to one or the other cerebral hemisphere at study. This led to lateralized brain activity for these words during a centrally presented recognition test, reflecting their lateralized encoding. This activity was absent for nonstudied but strongly associated words falsely recognized as studied items. These results indicate that studied words leave sensory signatures of study experiences that are absent for false memories. In addition, hemifield effects emerged, including a slower reaction time (RT) for false recognition of nonstudied words whose associated lists were presented to the left hemifield (i.e., right hemisphere). These false recognition responses were accompanied by frontal slow wave activity, which may reflect a differential ability of the two hemispheres with respect to semantic processing.

Adult↗

Immunohistochemical evidence of cytokine networks during progression of human melanocytic lesions.

Melanoma cells in culture express a variety of growth factors and cytokines and some of their autocrine and paracrine roles have been investigated. However, less information is available on the potential dynamic changes in expression of these molecules on cells during melanoma development and progression in situ. Using immunohistochemistry, we tested 40 nevi and primary and metastatic melanoma lesions for the expression of 10 growth factors and cytokines and the respective receptors representing 10 cell surface molecules. Nevi and thin (< 1 mm) primary melanomas showed little expression of ligands except weak reactivity of tumor necrosis factor-alpha (TNF-alpha), transforming growth factor-beta (TGF-beta), interleukin-8 (IL-8) and reactivity of TGF-betaR and c-kit. Marked up-regulation of growth factors, cytokines and receptor expression was observed in thick (> 1 mm) primary melanomas, which were stained with polyclonal or monoclonal antibodies (MAbs) for IL-1alpha, IL-1beta, IL-6, IL-8, TNF-alpha, TGF-beta, granulocyte-macrophage colony-stimulating factor (GMCSF) and stem cell factor (SCF), but not IL-2. Metastases showed similar expression patterns except that SCF was absent. Co-expression of ligand and receptor was observed for TGF-beta, GM-CSF and IL-6, suggesting an autocrine role for these ligands. TNF-alpha appears to be a marker of benign lesions; IL-6 and IL-8 expression is associated with biologically early malignancy; TGF-beta, GM-CSF and IL-1alpha are highly expressed in biologically late lesions; and TNF-beta is an apparent marker of metastatic dissemination. Our results indicate that melanoma cells utilize cascades of growth factors and cytokines for their progression.

Adult↗