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Self-contempt and emotional arousal are two key concepts associated with psychological distress but have been little studied in a daily life context. This work explores the use of individualized self-contemptuous stimuli extracted from a self-critical two-chair dialogue into an fMRI scanner. 28 female controls participated in psychological investigations (at three time points) and a self-critical emotion-eliciting two-chair dialogue followed by an fMRI assessment. We observed the neurofunctional activation during this task and compared neural activation during the exposition to self-critical individualized stimuli versus negative non-individualized stimuli. We also investigated emotional arousal change during the psychological session. The fMRI data analysis showed no significant difference in activation between the first and second fMRI assessments. We found no significant activation when comparing the neural activation between the exposition to self-contemptuous individualized stimuli and non-individualized negative stimuli. Controls do show an increased self-reported emotional arousal when expressing self-contempt. Our neurobehavioral design seems promising as proof of concept in combining an analogue psychotherapy session and an fMRI session to investigate expressed self-contempt and emotional arousal in healthy controls. Using this design in clinical populations seems feasible and may be important in clinical populations known for emotional difficulties such as BPD.

BackgroundCoronary vasomotor dysfunction represents an important mechanism responsible for myocardial ischaemia in patients with non-obstructive coronary artery disease (CAD). The use of invasive provocative tests allows identifying patients with epicardial or microvascular spasm. Of note, clinical characteristics associated with the occurrence of epicardial or microvascular spasm have still not completely clarified.Methods and resultsWe prospectively enrolled consecutive patients undergoing coronary angiography for suspected myocardial ischaemia/necrosis with evidence of non-obstructive CAD and undergoing intracoronary provocative test for suspected vasomotor dysfunction. Patients with a positive provocative test were enrolled. Clinical, echocardiographic and angiographic characteristics of patients were evaluated according to the pattern of vasomotor dysfunction (epicardial vs. microvascular spasm). We included 120 patients [68 patients with stable angina and 52 patients with myocardial infarction and non-obstructive coronary arteries (MINOCA)]. In particular, 77 (64.2%) patients had a provocative test positive for epicardial spasm and 43 (35.8%) patients for microvascular spasm. Patients with epicardial spasm were more frequently males, smokers, had higher rates of diffuse coronary atherosclerosis at angiography and more frequently presented with MINOCA. On the other hand, patients with microvascular spasm presented more frequently diastolic dysfunction. At multivariate logistic regression analysis male sex, smoking, and diffuse coronary atherosclerosis were independent predictors for the occurrence of epicardial spasm.ConclusionsOur study showed that specific clinical features are associated with different responses to intracoronary provocative test. Epicardial spasm is more frequent in males and in MINOCA patients, whereas microvascular spasm is more frequent in patients with stable angina and is associated with diastolic dysfunction.

It is known from previous literature that type II Spinal Muscular Atrophy (SMA) patients generally, after the age of 5 years, presents a steep deterioration until puberty followed by a relative stability, as most abilities have been lost. Although it is possible to identify points of slope indicating early improvement, steep decline and relative stabilizations, there is still a lot of variability within each age group and it’s not always possible to predict individual trajectories of progression from age only. The aim of the study was to develop a predictive model based on machine learning using an XGBoost algorithm for regression and report, explore and quantify, in a single centre longitudinal natural history study, the influence of clinical variables on the 6/12-months Hammersmith Motor Functional Scale Expanded score prediction (HFMSE). This study represents the first approach to artificial intelligence and trained models for the prediction of individualized trajectories of HFMSE disease progression using individual characteristics of the patient. The application of this method to larger cohorts may allow to identify different classes of progression, a crucial information at the time of the new commercially available therapies.

Soil contamination with polychlorinated biphenyls (PCBs) is one the most relevant environmental problem in the SIN (Site of National Interest) of Taranto (Apulia Region, Southern Italy) and the surrounding area. Evaluation of PCB contents and their spatial distribution is an essential pre-requisite for soil remediation. Conventional laboratory analyses, although useful and irreplaceable for a precise and detailed evaluation of these contaminants, are costly and time-consuming, thus not very suitable for investigation over large areas. Then, there is a need to develop/validate alternative, rapid and cost-effective techniques, to use as substitutive of integrative to conventional analytical approaches. In this study, the usefulness of soil colour, based on spectrometric measurements, coupled with regression analysis, was assessed. Until now, never an analogous investigation has been realised. Twenty-eight soil samples, previously collected within an area (the ex-MATRA) highly contaminated by the disposal of oil used as dielectric fluid, composed by a mixture of PCB congeners, were used in the investigation. Colour coordinates in different colour systems were calculated from spectroradiometric measurements over the soil samples. Eighteen PCB congeners (i.e. 12 dioxin-like PCBs and six non-dioxin-like “indicator” PCBs), their sum (PCBs18) and the extractable organic halogen content (EOX)—which is an expression of the total content of halogen in organochlorine compounds, including the PCBs—were determined through conventional laboratory analysis. Simple linear regression analysis was carried out to predict the values of PCBs and EOX on the basis of colour variables. Excellent predictive models (R2 > 0.80) for PCBs18 and EOX, as well as for some of the individual PCB congener, resulted from the regression analysis. Thus, spectroscopic determination of soil colour can be considered as a promising tool for a rapid screening of PCBs in contaminated soils.

In this study, we examined the potential of vis-NIR reflectance spectroscopy, coupled with partial least squares regression (PLSR) analysis, for the evaluation and prediction of soil water retention at field capacity (FC) and permanent wilting point (PWP) and related basic soil properties [organic carbon (OC), sand, silt, and clay contents] in an agricultural irrigated land of southern Italy. Soil properties were determined in the laboratory with reference to the Italian Official Methods for Soil Analysis. Vis-NIR reflectance spectra were measured in the laboratory, using a high-resolution spectroradiometer. All soil variables, with the exception of silt, evidently affected some specific spectral features. Multivariate calibrations were performed to predict the soil properties from reflectance spectra. PLSR was used to calibrate the spectral data using two-thirds of samples for calibration and one-third for validation. Spectroscopic data were pre-processed [multiplicative scatter correction (MSC), standard normal variance (SNV), wavelet detrending (WD), first and second derivative transformation, and filtering] prior to multivariate calibration. The results revealed very good models (2.0 < RPD < 2.5) for the prediction of FC, PWP and sand, and excellent (RPD > 2.5) models for the prediction of clay and OC, whereas a poor (RPD < 1.4) prediction model was obtained for silt.

Randomized trials have shown that transradial approach, compared with transfemoral, reduces vascular complications (VCs) of coronary procedures in selected patients. Yet, radial approach is associated to a variety of access-site VC as well as to a higher failure rate compared with femoral access. At our institution, from May 2005 to May 2010, we prospectively assessed the occurrence and outcome of VC in consecutive patients undergoing transradial percutaneous coronary procedures performed by trained radial operators. The need of access crossover to complete the procedure was also prospectively investigated. Vascular complications were classified as “radial related” or “nonradial related” (in the case of access crossover). Vascular complications were also classified “major” if requiring surgery and/or blood transfusions or causing hemoglobin drop >3 g/dL. Ten thousand six hundred seventy-six procedures were performed using a right radial (87.5%), left radial (12.4%), or ulnar (0.1%) artery as primary access. A total of 53 VCs (0.5%) were observed: 44 (83%) radial related and 9 (17%) nonradial related. Major VCs occurred in 16 patients only (0.2%) and were radial related in 10 (62.5%) and nonradial related in 6 (37.5%) patients. Vascular complications rate was stable during the study and independent of operator's experience. Access crossover rate was 4.9%, differed according to the operator radial experience and significantly decreased over time. The present study, conducted in a center with high volume of radial procedures, shows that transradial approach is associated with a very low rate of VC, which is stable over time. On the contrary, access crossover rate decreased over time and differed according to operator (radial) experience.

The association between maternal celiac disease (CD) and both reduced fertility and increased risk of adverse pregnancy-related events has been long documented. However, no evidences are available regarding the pathogenic mechanisms of this link. The aim of this study was to determine whether anti-tissue transglutaminase (anti-tTG) antibodies are involved in the damage of trophoblastic cells in vitro. Human primary trophoblastic cells, isolated from term placenta, were exposed to anti-tTG immunoglobulin G (IgG) antibodies, both commercially available and separated from sera of three untreated celiac women. The ability of anti-tTG antibodies to bind to trophoblastic cells, invasiveness of placental cells through a layer of extracellular matrix, and the activity of cellular matrix metalloprotease (MMP) and cellular apoptosis were evaluated, as indicators of trophoblast damage, by TdT-mediated dUTP digoxigenin nick end labeling (TUNEL) and annexin V expression. Anti-tTG IgG showed a specific dose- and time-dependent binding to human trophoblast. In addition, trophoblastic cells, after being exposed to anti-tTG IgG antibodies, both commercially available and separated from sera of celiac women, showed an impaired invasiveness, a decreased activity of cellular MMP, and a greater percentage of TUNEL positivity and annexin V positivity. We showed that the binding of anti-tTG antibodies to trophoblast might represent a key mechanism by which the embryo implantation and pregnancy outcome are impaired in untreated celiac pregnant women. Because healthy trophoblast development is essential for placental and fetal development, these data provide a novel mechanism for CD-induced infertility, early pregnancy loss, and intrauterine growth retardation.

Despite the plethora of studies investigating listening effort and the amount of research concerning music perception by cochlear implant (CI) users, the investigation of the influence of background noise on music processing has never been performed. Given the typical speech in noise recognition task for the listening effort assessment, the aim of the present study was to investigate the listening effort during an emotional categorization task on musical pieces with different levels of background noise. The listening effort was investigated, in addition to participants’ ratings and performances, using EEG features known to be involved in such phenomenon, that is alpha activity in parietal areas and in the left inferior frontal gyrus (IFG), that includes the Broca’s area. Results showed that CI users performed worse than normal hearing (NH) controls in the recognition of the emotional content of the stimuli. Furthermore, when considering the alpha activity corresponding to the listening to signal to noise ratio (SNR) 5 and SNR10 conditions subtracted of the activity while listening to the Quiet condition—ideally removing the emotional content of the music and isolating the difficulty level due to the SNRs- CI users reported higher levels of activity in the parietal alpha and in the homologous of the left IFG in the right hemisphere (F8 EEG channel), in comparison to NH. Finally, a novel suggestion of a particular sensitivity of F8 for SNR-related listening effort in music was provided.

Diffuse disease has been identified as one of the main reasons leading to low post-PCI fractional flow reserve (FFR) and residual angina after PCI. Coronary pressure pullbacks allow for the evaluation of hemodynamic coronary artery disease (CAD) patterns. The pullback pressure gradient (PPG) is a novel metric that quantifies the distribution and magnitude of pressure losses along the coronary artery in a focal-to-diffuse continuum. The primary objective is to determine the predictive capacity of the PPG for post-PCI FFR. This prospective, large-scale, controlled, investigator-initiated, multicenter study is enrolling patients with at least 1 lesion in a major epicardial vessel with a distal FFR ≤ 0.80 intended to be treated by PCI. The study will include 982 subjects. A standardized physiological assessment will be performed pre-PCI, including the online calculation of PPG from FFR pullbacks performed manually. PPG quantifies the CAD pattern by combining several parameters from the FFR pullback curve. Post-PCI physiology will be recorded using a standardized protocol with FFR pullbacks. We hypothesize that PPG will predict optimal PCI results (post-PCI FFR ≥ 0.88) with an area under the ROC curve (AUC) ≥ 0.80. Secondary objectives include patient-reported and clinical outcomes in patients with focal vs. diffuse CAD defined by the PPG. Clinical follow-up will be collected for up to 36 months, and an independent clinical event committee will adjudicate events. Recruitment is ongoing and is expected to be completed in the second half of 2023. This international, large-scale, prospective study with pre-specified powered hypotheses will determine the ability of the preprocedural PPG index to predict optimal revascularization assessed by post-PCI FFR. In addition, it will evaluate the impact of PPG on treatment decisions and the predictive performance of PPG for angina relief and clinical outcomes. [Display omitted]