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Righi S, Gavazzi G, Benedetti V, Raineri G, Viggiano MP. How the Effect of Virtual Reality on Cognitive Functioning Is Modulated by Gender Differences. Bioengineering (Basel) 2024; 11:408. [PMID: 38671829 DOI: 10.3390/bioengineering11040408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 04/12/2024] [Accepted: 04/19/2024] [Indexed: 04/28/2024] Open
Abstract
Virtual reality (VR) can be a promising tool to simulate reality in various settings but the real impact of this technology on the human mental system is still unclear as to how VR might (if at all) interfere with cognitive functioning. Using a computer, we can concentrate, enter a state of flow, and still maintain control over our surrounding world. Differently, VR is a very immersive experience which could be a challenge for our ability to allocate divided attention to the environment to perform executive functioning tasks. This may also have a different impact on women and men since gender differences in both executive functioning and the immersivity experience have been referred to by the literature. The present study aims to investigate cognitive multitasking performance as a function of (1) virtual reality and computer administration and (2) gender differences. To explore this issue, subjects were asked to perform simultaneous tasks (span forward and backward, logical-arithmetic reasoning, and visuospatial reasoning) in virtual reality via a head-mounted display system (HDMS) and on a personal computer (PC). Our results showed in virtual reality an overall impairment of executive functioning but a better performance of women, compared to men, in visuospatial reasoning. These findings are consistent with previous studies showing a detrimental effect of virtual reality on cognitive functioning.
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Affiliation(s)
- Stefania Righi
- Department of Neurofarba, University of Florence, Via di San Salvi 12, 50135 Florence, Italy
| | - Gioele Gavazzi
- Department of Neurofarba, University of Florence, Via di San Salvi 12, 50135 Florence, Italy
| | - Viola Benedetti
- Department of Neurofarba, University of Florence, Via di San Salvi 12, 50135 Florence, Italy
| | - Giulia Raineri
- Department of Neurofarba, University of Florence, Via di San Salvi 12, 50135 Florence, Italy
| | - Maria Pia Viggiano
- Department of Neurofarba, University of Florence, Via di San Salvi 12, 50135 Florence, Italy
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Benedetti V, Giganti F, Cotugno M, Noferini C, Gavazzi G, Gronchi G, Righi S, Meneguzzo F, Becheri FR, Li Q, Viggiano MP. Interplay among Anxiety, Digital Environmental Exposure, and Cognitive Control: Implications of Natural Settings. Behav Sci (Basel) 2024; 14:323. [PMID: 38667119 PMCID: PMC11047410 DOI: 10.3390/bs14040323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/04/2024] [Accepted: 04/11/2024] [Indexed: 04/29/2024] Open
Abstract
Inhibitory control performance may differ greatly as a function of individual differences such as anxiety. Nonetheless, how cognitive control proficiency might be influenced by exposure to various environments and how anxiety traits might impact these effects remain unexplored. A cohort of thirty healthy volunteers participated in the study. Participants performed a Go/No-Go task before exposure to a 'forest' and 'urban' virtual environment, in a counterbalanced design, before repeating the GNG task. The State-Trait Anxiety Inventory (STAI) was finally filled-in. Our findings unveiled an initial negative correlation between anxiety trait levels and GNG task performance, consistent with the established literature attributing difficulties in inhibitory functionality to anxiety. Additionally, different environmental exposures reported opposite trends. Exposure to the 'forest' environment distinctly improved the GNG performance in relation to anxiety traits, while the 'urban' setting demonstrated adverse effects on task performance. These results underscore the intricate relationship among cognitive control, environmental exposure, and trait anxiety. In particular, our findings highlight the potential of natural settings, such as forests, to mitigate the impact of anxiety on inhibition. This might have implications for interventions aimed at improving cognitive control.
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Affiliation(s)
- Viola Benedetti
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Fiorenza Giganti
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Maria Cotugno
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Chiara Noferini
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Sesto Fiorentino, 50019 Florence, Italy
| | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Giorgio Gronchi
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Stefania Righi
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
| | - Francesco Meneguzzo
- Institute of Bioeconomy, National Research Council, 10 Via Madonna del Piano, Sesto Fiorentino, 50019 Florence, Italy;
- Central Scientific Committee, Italian Alpine Club, 19 Via E. Petrella, 20124 Milano, Italy
| | | | - Qing Li
- Department of Rehabilitation and Physical Medicine, Graduate School of Medicine—Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan;
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (M.C.); (C.N.); (G.G.); (G.G.); (S.R.)
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Gronchi G, Gavazzi G, Viggiano MP, Giovannelli F. Dual-Process Theory of Thought and Inhibitory Control: An ALE Meta-Analysis. Brain Sci 2024; 14:101. [PMID: 38275521 PMCID: PMC10813498 DOI: 10.3390/brainsci14010101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/11/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024] Open
Abstract
The dual-process theory of thought rests on the co-existence of two different thinking modalities: a quick, automatic, and associative process opposed to a slow, thoughtful, and deliberative process. The increasing interest in determining the neural foundation of the dual-process distinction has yielded mixed results, also given the difficulty of applying the fMRI standard approach to tasks usually employed in the cognitive literature. We report an activation likelihood estimation (ALE) meta-analysis to investigate the neural foundation of the dual-process theory of thought. Eligible studies allowed for the identification of cerebral areas associated with dual-process theory-based tasks without differentiating between fast and slow thinking. The ALE algorithm converged on the medial frontal cortex, superior frontal cortex, anterior cingulate cortex, insula, and left inferior frontal gyrus. These structures partially overlap with the cerebral areas recurrently reported in the literature about the neural basis of the dual-process distinction, where the PARCS theory-based interpretation emphasizes the role of the right inferior gyrus. The results confirm the potential (but still almost unexplored) common ground between the dual-process literature and the cognitive control literature.
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Affiliation(s)
| | | | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (G.G.); (G.G.); (F.G.)
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Michelard M, Detante O, Heck O, Marcel S, Vadot W, Gavazzi G, Papassin J. Thrombolysis and thrombectomy for stroke in octogenarians and nonagenarians: A regional observational study. Rev Neurol (Paris) 2023; 179:1068-1073. [PMID: 37596186 DOI: 10.1016/j.neurol.2023.03.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 02/24/2023] [Accepted: 03/01/2023] [Indexed: 08/20/2023]
Abstract
INTRODUCTION Elderly patients are a growing population in stroke units, characterized by higher frailty, but underrepresented in clinical trials about acute care. We investigated efficacy of intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) in elderlies in current practice. METHODS We assessed consecutive patients with acute ischemic stroke (AIS) hospitalized in the four stroke units of the French Northern Alps Emergency Network between 2015 and 2020. We compared baseline characteristics, early neurological evolution and outcome of patients aged 80-89 and≥90years old (yo). RESULTS Among 8367 patients, 2744 (32.8%) were 80-89 yo and 541 (6.5%) were≥90 yo. IVT and/or MT were performed in 787 patients≥80 yo (632 patients aged 80-89, 155 patients aged>90). Early neurological improvement was more frequent in patients≥80 yo treated by IVT and/or MT compared to untreated patients (45.6% versus 38.4%, P=0.002). After adjustment, reperfusion treatments improved likelihood of good outcome at discharge (OR=2.0 [1.6-2.7]) and reduced in-hospital mortality (OR=0.5 [0.4-0.7]). Age and initial NIHSS score were independent factors of poor functional outcome at discharge and in-hospital mortality. The rate of successful recanalization was comparable between octogenarians and nonagenarians (87% versus 85.2%, P=0.8). Octogenarians had better functional outcome at discharge compared to nonagenarians [modified Rankin scale (mRS) 0-2: 36% versus 25.7%, P=0.02], whatever IVT or MT strategy. In-hospital mortality was lower for octogenarians compared to nonagenarians (19.5% versus 27.1%, P=0.04). DISCUSSION IVT and MT improve early neurological recovery and functional outcome at discharge of both octogenarians and nonagenarians in current practice. Despite a poorer outcome for nonagenarians than octogenarians, these reperfusion treatments should not be withheld on the basis of age only.
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Affiliation(s)
- M Michelard
- Medical intensive care unit, Grenoble Alpes University Hospital, Grenoble, France
| | - O Detante
- Stroke unit, Grenoble Alpes University Hospital, Grenoble, France; Université Grenoble Alpes, Inserm, U1216, CHU Grenoble Alpes, Grenoble Institut Neurosciences, 38000 Grenoble, France
| | - O Heck
- Neuroradiology, Grenoble Alpes University Hospital, Grenoble, France
| | - S Marcel
- Stroke unit, Métropole Savoie Hospital, 73000 Chambéry, France
| | - W Vadot
- Stroke unit, Annecy-Genevois Hospital, Annecy, France
| | - G Gavazzi
- Geriatric department, Grenoble Alpes University Hospital, Grenoble, France
| | - J Papassin
- Stroke unit, Métropole Savoie Hospital, 73000 Chambéry, France.
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Malloggi S, Conte F, De Rosa O, Cellini N, Gavazzi G, Di Iorio I, Ficca G, Giganti F. False memories formation after a retention period spent asleep or awake in individuals with insomnia and good sleepers: a polysomnographic study. J Sleep Res 2023; 32:e13896. [PMID: 37016807 DOI: 10.1111/jsr.13896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 03/13/2023] [Accepted: 03/16/2023] [Indexed: 04/06/2023]
Abstract
False memories are a possible by-product of sleep-related memory consolidation processes when delayed testing is performed after a retention interval spent asleep. To date, the effect of a retention period spent asleep or awake on false memories formation has been addressed only in healthy subjects, while neglecting sleep-disordered populations. In the present study, we investigated this effect in 17 insomniacs and 15 good sleepers through the Deese-Roediger-McDermott paradigm. In both groups, the encoding phase was followed by an 8-h retention period spent in polysomnography monitored sleep (S-condition) or wake (WK-condition). We observed that, at free recall, insomniacs produced more false recalls in the WK-condition compared to the S-condition, whereas the good sleepers showed more false recalls in S-condition than in the WK-condition. Moreover, false recalls were higher in good sleepers than in insomniacs in the S-condition. Both groups produced more veridical recalls in the S-condition than in the WK-condition. For recognition, hits (correctly recognised words) were more numerous in the S-condition than in the WK-condition. Our results confirm previous data on sleep-related false memories production in good sleepers. Additionally, they show that, in insomniacs, false memories production is reduced after a sleep relative to remaining awake. These data suggest that false memories formation, reflecting adaptive memory reshaping processes going on during sleep, could occur at awakening as long as the sleep episode is efficient enough. A notable methodological issue was also identified, in that the Deese-Roediger-McDermott paradigm can be useful to investigate sleep-dependent memory processes for false memories only when a more cognitively demanding task is employed (i.e., free-recall instead of recognition tasks).
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Affiliation(s)
- Serena Malloggi
- Department of NEUROFARBA, University of Florence, Florence, Italy
| | - Francesca Conte
- Department of Psychology, University of Campania L. Vanvitelli, Caserta, Italy
| | - Oreste De Rosa
- Department of Psychology, University of Campania L. Vanvitelli, Caserta, Italy
| | - Nicola Cellini
- Department of General Psychology, University of Padova, Padova, Italy
| | - Gioele Gavazzi
- Department of NEUROFARBA, University of Florence, Florence, Italy
| | - Ilaria Di Iorio
- Department of NEUROFARBA, University of Florence, Florence, Italy
| | - Gianluca Ficca
- Department of Psychology, University of Campania L. Vanvitelli, Caserta, Italy
| | - Fiorenza Giganti
- Department of NEUROFARBA, University of Florence, Florence, Italy
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Giovannelli F, Gavazzi G, Noferini C, Palumbo P, Viggiano MP, Cincotta M. Impulsivity Traits in Parkinson's Disease: A Systematic Review and Meta-Analysis. Mov Disord Clin Pract 2023; 10:1448-1458. [PMID: 37868926 PMCID: PMC10585972 DOI: 10.1002/mdc3.13839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 05/30/2023] [Accepted: 06/26/2023] [Indexed: 10/24/2023] Open
Abstract
Background In Parkinson's disease (PD), impulsivity as a personality trait may be linked to the risk of developing impulse control disorders (ICDs) during dopaminergic therapy. However, studies evaluating differences in trait impulsivity between patients with PD and healthy controls or between patients with PD with and without ICDs reported partly inconsistent findings. Objectives We conducted a systematic review and meta-analysis (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) of studies comparing Barratt Impulsiveness Scale (BIS-11) scores between patients with PD and healthy controls and between patients with PD with and without ICDs. Methods Eligible studies were identified through a systematic search in 3 databases. Mean differences with 95% confidence intervals (CIs) for BIS-11 total and subscale scores were separately calculated for studies comparing patients with PD and healthy controls and patients with PD with and without ICDs. Meta-regressions were performed to explore sources of heterogeneity (percentage of men, age, disease duration, and levodopa equivalent daily dose). Results A total of 40 studies were included in the quantitative analyses. BIS-11 total scores were significantly higher in patients with PD compared with healthy controls (mean difference 2.43; 95% CI, 1.03, 3.83), and in patients with PD with active ICDs compared with patients without ICDs (6.62; 95% CI, 5.01, 8.23). No significant moderators emerged by meta-regression analyses. Conclusions The present meta-analysis supports that impulsivity, as a personality trait, may characterize patients with PD, even in the absence of ICDs. Moreover, these data corroborate findings of clinical studies reporting higher levels of trait impulsivity in PD patients with ICDs compared with patients without ICDs.
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Affiliation(s)
- Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of PsychologyUniversity of FlorenceFlorenceItaly
| | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of PsychologyUniversity of FlorenceFlorenceItaly
| | - Chiara Noferini
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of PsychologyUniversity of FlorenceFlorenceItaly
- European Laboratory for Non‐Linear Spectroscopy (LENS)Sesto FiorentinoItaly
| | - Pasquale Palumbo
- Unit of Neurology of Prato, Cerebrovascular and Neurodegenerative Disease Area of the Department of Medical SpecialtiesCentral Tuscany Local Health AuthorityPratoItaly
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of PsychologyUniversity of FlorenceFlorenceItaly
| | - Massimo Cincotta
- Unit of Neurology of Florence, Cerebrovascular and Neurodegenerative Disease Area of the Department of Medical SpecialtiesCentral Tuscany Local Health AuthorityFlorenceItaly
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Pallanti S, Di Ponzio M, Gavazzi G, Gasic G, Besteher B, Heller C, Kikinis R, Makris N, Kikinis Z. From 'mental fog' to post-acute COVID-19 syndrome's executive function alteration: Implications for clinical approach. J Psychiatr Res 2023; 167:10-15. [PMID: 37804756 DOI: 10.1016/j.jpsychires.2023.09.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 09/15/2023] [Indexed: 10/09/2023]
Abstract
A common symptom of the neuropsychiatric Post-Acute COVID-19 syndrome (neuro-PACS) is the so called 'brain fog'. Patients describe the brain fog as problems with attention, memory and mental fatigue. Brain fog is experienced by 9-55% of people for months after having contracted SARS-CoV-2 virus. Several theories have been proposed to explain PACS's brain fog, including a neuroinflammatory hypothesis, but the hypothesis remains to be proven. Here, we examined inflammatory and immunological blood profile in a cohort of patients with PACS to investigate the association between executive functions and blood inflammatory markers. Executive function was assessed by the Trail Making Test (TMT) Part A and Part B, as well as the Barkley Deficits in Executive Functioning Scale (BDEFS), in 71 patients (36 men), average age of 40 years (range: 15-82, SD: 15.7). Impairment in executive functioning (BDEFS scores and TMT B scores) correlated with increased levels of Interleukin-6 (IL-6), fibrinogen and ferritin. Moreover, elevated levels of Il-6, fibrinogen, ferritin, tumor necrosis factor-alpha and C-reactive protein have been observed in PACS. These findings demonstrate that PACS is characterized by the presence of an immuno-inflammatory process, which is associated with diminished executive functioning. Here, we argue in favour of a shift from the non-descriptive definition of 'mental fog' to a characterization of a subtype of PACS, associated with alteration in executive functioning. Implication for clinical settings and prevention are discussed.
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Affiliation(s)
- Stefano Pallanti
- Department of Psychiatry and Behavioural Science, Albert Einstein College of Medicine, Bronx, USA; Istituto di Neuroscienze, Florence, Italy.
| | | | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | | | - Bianca Besteher
- Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Carina Heller
- Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany; Department of Clinical Psychology, Friedrich-Schiller-University Jena, Jena, Germany; Department of Psychiatry, Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Ron Kikinis
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Nikos Makris
- Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Center for Morphometric Analysis, Departments of Psychiatry, Neurology and A. A. Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, MA, USA; Department of Anatomy and Neurobiology, Boston University Medical School, Boston, USA
| | - Zora Kikinis
- Department of Psychiatry, Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
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Gronchi G, Righi S, Gavazzi G, Giganti F, Viggiano MP. Intuitive thinking predicts false memory formation due to a decrease in inhibitory efficiency. Front Psychol 2023; 14:1195668. [PMID: 37809292 PMCID: PMC10556870 DOI: 10.3389/fpsyg.2023.1195668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 09/08/2023] [Indexed: 10/10/2023] Open
Abstract
False memory formation is usually studied using the Deese-Roediger-McDermott paradigm (DRM), in which individuals incorrectly remember words that were not originally presented. In this paper, we systematically investigated how two modes of thinking (analytical vs. intuitive) can influence the tendency to create false memories. The increased propensity of intuitive thinkers to generate more false memories can be explained by one or both of the following hypotheses: a decrease in the inhibition of the lure words that come to mind, or an increased reliance on the familiarity heuristic to determine if the word has been previously studied. In two studies, we conducted tests of both recognition and recall using the DRM paradigm. Our observations indicate that a decrease in inhibitory efficiency plays a larger role in false memory formation compared to the use of the familiarity heuristic.
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Affiliation(s)
| | | | | | | | - Maria Pia Viggiano
- Psychology Section, Department of Neuroscience, Psychology, Drug Research and Child's Health, University of Florence, Florence, Italy
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Gavazzi G, Giovannelli F, Noferini C, Cincotta M, Cavaliere C, Salvatore M, Mascalchi M, Viggiano MP. Subregional prefrontal cortex recruitment as a function of inhibitory demand: an fMRI metanalysis. Neurosci Biobehav Rev 2023; 152:105285. [PMID: 37327836 DOI: 10.1016/j.neubiorev.2023.105285] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 05/26/2023] [Accepted: 06/11/2023] [Indexed: 06/18/2023]
Abstract
Convergent studies corroborated the idea that the right prefrontal cortex is the crucial brain region responsible for inhibiting our actions. However, which sub-regions of the right prefrontal cortex are involved is still a matter of debate. To map the inhibitory function of the sub-regions of the right prefrontal cortex, we performed Activation Likelihood Estimation (ALE) meta-analyses and meta-regressions (ES-SDM) of fMRI studies exploring inhibitory control. Sixty-eight studies (1684 subjects, 912 foci) were identified and divided in three groups depending on the incremental demand. Overall, our results showed that higher was the inhibitory demand based on the individual differences in performances, more the upper portion of the right prefrontal cortex was activated to achieve a successful inhibition. Conversely, a lower demand of the inhibitory function, was associated with the inferior portions of the right prefrontal cortex recruitment. Notably, in the latter case, we also observed activation of areas associated with working memory and responsible for cognitive strategies.
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Affiliation(s)
- Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Chiara Noferini
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Massimo Cincotta
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Firenze, Italy
| | | | | | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Italy; Division of Epidemiology, Institute for Study, Prevention and network in Oncology (ISPRO), Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy.
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Gavazzi G, Noferini C, Benedetti V, Cotugno M, Giovannelli F, Caldara R, Mascalchi M, Viggiano MP. Cultural Differences in Inhibitory Control: An ALE Meta-Analysis. Brain Sci 2023; 13:907. [PMID: 37371385 DOI: 10.3390/brainsci13060907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/31/2023] [Accepted: 06/02/2023] [Indexed: 06/29/2023] Open
Abstract
Culture greatly influences our attitudes, beliefs, and behaviors, affecting how we communicate and make decisions. There is an ongoing debate regarding the belief that people from Eastern cultures possess greater self-control abilities when compared to people from Western cultures. In this study, we conducted a meta-analysis using the Activation Likelihood Estimation (ALE) algorithm to compare 30 studies (719 subjects, 373 foci) that used fMRI to investigate the performance in Go-Nogo and Stop Signal Tasks of participants from Western and/or Eastern countries. Our meta-analysis found differences between the networks activated in Eastern and Western culture participants. The right prefrontal cortex showed distinct patterns, with the Inferior Frontal gyrus more active in the Eastern group and the middle and superior frontal gyri more active in the Western group. Our findings suggest that Eastern culture subjects have a higher tendency to activate brain regions involved in proactive inhibitory control, while Western culture subjects rely more on reactive inhibitory brain regions during cognitive control tasks. This implies that proactive inhibition may play a crucial role in promoting the collective and interdependent behavior typical of Eastern cultures, while reactive inhibition may be more important for efficient cognitive control in subjects of Western cultures that prioritize individualism and independence.
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Affiliation(s)
- Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Chiara Noferini
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Sesto Fiorentino, 50019 Florence, Italy
| | - Viola Benedetti
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Maria Cotugno
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Roberto Caldara
- Eye and Brain Mapping Laboratory (iBMLab), Department of Psychology, University of Fribourg, 1700 Fribourg, Switzerland
| | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, 50135 Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
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Antonelli M, Donelli D, Maggini V, Gallo E, Mascherini V, Firenzuoli F, Gavazzi G, Zabini F, Venturelli E, Margheritini G, Bassi I, Iseppi L, Meneguzzo F. Demographic, Psychosocial, and Lifestyle-Related Characteristics of Forest Therapy Participants in Italy: A Multicenter Cross-Sectional Survey. Healthcare (Basel) 2023; 11:healthcare11111627. [PMID: 37297767 DOI: 10.3390/healthcare11111627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 05/28/2023] [Accepted: 06/01/2023] [Indexed: 06/12/2023] Open
Abstract
This research aims to provide a comprehensive overview of the key demographic, psychosocial, and lifestyle-related characteristics of forest therapy participants in Italy. A survey was conducted among 1070 adults who had engaged in standardized forest therapy experiences between June 2021 and October 2022. The findings indicate that most forest therapy participants in Italy share certain distinctive traits. They are primarily female, aged between 45 and 54 years, employed, and unmarried. Moreover, they possess a high level of education, predominantly reside in urban areas, demonstrate a strong environmental awareness, maintain a nature-oriented attitude, and typically exhibit moderate levels of trait anxiety. Additionally, they tend to be nonsmokers, possess a healthy BMI within the normal range, and consume an adequate quantity of fruits and vegetables on a daily basis. However, it should be noted that their male counterparts tend to be overweight and exhibit poorer dietary habits. Irrespective of gender, approximately 40% of forest therapy participants in Italy live with a chronic disease that requires daily medicinal treatment. Subsequent research should investigate whether these characteristics hold true in different countries. Furthermore, exploring the potential effectiveness of health-promoting interventions integrated with forest therapy sessions could prove beneficial in addressing these specific issues among forest therapy participants. By doing so, such interventions have the potential to contribute significantly to public health promotion and overall community well-being.
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Affiliation(s)
- Michele Antonelli
- Department of Public Health, AUSL-IRCCS di Reggio Emilia, Via Amendola 2, 42122 Reggio Emilia, Italy
| | - Davide Donelli
- Division of Cardiology, Azienda Ospedaliero-Universitaria di Parma, Via Gramsci 14, 43126 Parma, Italy
| | - Valentina Maggini
- CERFIT, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy
| | - Eugenia Gallo
- CERFIT, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy
| | - Vittorio Mascherini
- CERFIT, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy
| | - Fabio Firenzuoli
- CERFIT, Careggi University Hospital, Largo Brambilla 3, 50134 Florence, Italy
| | - Gioele Gavazzi
- Section of Psychology, Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, Via di San Salvi 12, 50135 Firenze, Italy
| | - Federica Zabini
- Institute of Bioeconomy, National Research Council, Via Madonna del Piano 10, 50019 Sesto Fiorentino, Italy
| | - Emanuela Venturelli
- Psychologist Group, Central Medical Commission, Italian Alpine Club, Via E. Petrella 19, 20124 Milano, Italy
| | - Giovanni Margheritini
- Psychologist Group, Central Medical Commission, Italian Alpine Club, Via E. Petrella 19, 20124 Milano, Italy
| | - Ivana Bassi
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Via delle Scienze 206, 33100 Udine, Italy
| | - Luca Iseppi
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Via delle Scienze 206, 33100 Udine, Italy
| | - Francesco Meneguzzo
- Institute of Bioeconomy, National Research Council, Via Madonna del Piano 10, 50019 Sesto Fiorentino, Italy
- Psychologist Group, Central Medical Commission, Italian Alpine Club, Via E. Petrella 19, 20124 Milano, Italy
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12
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Giovannelli F, Borgheresi A, Lucidi G, Squitieri M, Gavazzi G, Suppa A, Berardelli A, Viggiano MP, Cincotta M. Language-related motor facilitation in Italian Sign Language signers. Cereb Cortex 2023:6988100. [PMID: 36646456 DOI: 10.1093/cercor/bhac536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 12/23/2022] [Accepted: 12/24/2022] [Indexed: 01/18/2023] Open
Abstract
Linguistic tasks facilitate corticospinal excitability as revealed by increased motor evoked potential (MEP) induced by transcranial magnetic stimulation (TMS) in the dominant hand. This modulation of the primary motor cortex (M1) excitability may reflect the relationship between speech and gestures. It is conceivable that in healthy individuals who use a sign language this cortical excitability modulation could be rearranged. The aim of this study was to evaluate the effect of spoken language tasks on M1 excitability in a group of hearing signers. Ten hearing Italian Sign Language (LIS) signers and 16 non-signer healthy controls participated. Single-pulse TMS was applied to either M1 hand area at the baseline and during different tasks: (i) reading aloud, (ii) silent reading, (iii) oral movements, (iv) syllabic phonation and (v) looking at meaningless non-letter strings. Overall, M1 excitability during the linguistic and non-linguistic tasks was higher in LIS group compared to the control group. In LIS group, MEPs were significantly larger during reading aloud, silent reading and non-verbal oral movements, regardless the hemisphere. These results suggest that in hearing signers there is a different modulation of the functional connectivity between the speech-related brain network and the motor system.
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Affiliation(s)
- Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of Psychology, University of Florence, Florence 50135, Italy
| | - Alessandra Borgheresi
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Florence 50143, Italy
| | - Giulia Lucidi
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Florence 50143, Italy
| | - Martina Squitieri
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Florence 50143, Italy
| | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of Psychology, University of Florence, Florence 50135, Italy
| | - Antonio Suppa
- Department of Human Neurosciences, Sapienza University of Rome, Rome 00185, Italy.,IRCCS Neuromed, Pozzilli (IS) 86077, Italy
| | - Alfredo Berardelli
- Department of Human Neurosciences, Sapienza University of Rome, Rome 00185, Italy.,IRCCS Neuromed, Pozzilli (IS) 86077, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), Section of Psychology, University of Florence, Florence 50135, Italy
| | - Massimo Cincotta
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Florence 50143, Italy
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13
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Bravi R, Gavazzi G, Benedetti V, Giovannelli F, Grasso S, Panconi G, Viggiano MP, Minciacchi D. Effect of different sport environments on proactive and reactive motor inhibition: A study on open- and closed-skilled athletes via mouse-tracking procedure. Front Psychol 2022; 13:1042705. [PMID: 36578693 PMCID: PMC9791124 DOI: 10.3389/fpsyg.2022.1042705] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 11/14/2022] [Indexed: 12/14/2022] Open
Abstract
This study aimed to investigate the effect of different sport environments (open-and closed-skill sports) on proactive and reactive inhibitory processes as two distinct components of motor inhibition. A mouse-tracking procedure was employed to compare behavioral performance among three groups of participants (tennis players, swimmers and non-athletes) in non-sport-specific cued Go/No-Go (GNG) and Stop Signal Task (SST), which mainly engage proactive and reactive inhibitory control, respectively. Reaction times (RTs), inhibitory failures, and Stop Signal Reaction Times (SSRTs) were measured. To investigate dynamic aspects of inhibitory control, movement trajectories classified as one-shot (absence of trajectory alteration reflected in a steep slope) or non-one-shot (non-linear/multipeaked trajectory, with one or multiple corrections) were analyzed and compared among groups. Results showed no group differences in RTs in Go/No-Go and Stop conditions. SSRTs were significant shorter for the athletes than non-athletes in SST, but no differences emerged for inhibitory failures in cued GNG. During inhibitory failures athletes showed higher proportion of non-one-shot movements than non-athletes. Higher proportion of non-one-shot profiles was observed in cued GNG compared to SST. Finally, no differences between open-and closed-skilled athletes were found in both tasks. Our findings suggest that both proactive and reactive inhibitory controls do benefit from sport practice, but open-and closed-skill sports do not differ in influencing inhibitory processes. Movement profile analysis could be a promising, complementary behavioral analysis to integrate for more fine-grained evaluation and differentiation of inhibitory motor control in athletes, specifically when using GNG tasks.
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Affiliation(s)
- Riccardo Bravi
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, Florence, Italy
- IRCCS SDN, Naples, Italy
| | - Viola Benedetti
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, Florence, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, Florence, Italy
| | - Stefano Grasso
- Department of Physiology and Pharmacology “Vittorio Erspamer”, SAPIENZA University of Rome, Rome, Italy
| | - Giulia Panconi
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, Florence, Italy
| | - Diego Minciacchi
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
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14
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Benedetti V, De Lissa P, Giovannelli F, Gavazzi G, Viggiano MP, Caldara R. Other-Race Faces Are Not Homogeneous: Evidence from Action Inhibition. J Vis 2022. [DOI: 10.1167/jov.22.14.3938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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15
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Henri B, Sirvain S, de Wazieres B, Bernard L, Gavazzi G, Forestier E, Fraisse T. [Survey on antibiotic prescription practices for palliative care terminally ill patients of 75 years old and more]. Rev Med Interne 2022; 43:589-595. [PMID: 36064626 DOI: 10.1016/j.revmed.2022.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 07/25/2022] [Accepted: 08/24/2022] [Indexed: 11/20/2022]
Abstract
Infections commonly occur terminally ill oldest patients in palliative care and questioned about antimicrobial use. The aim of this study was to describe practitioners' habits. METHOD ancillary study on antibiotic modalities according to the setting of care from a national practices survey based on self administered questionnaire sent by e-mail in 2017. RESULTS 220 practitioners/327 used antibiotic, 136 worked in hospital department (52 geriatricians), 20 nursing home and 64 general practitioners (GP). GP declared less palliative care patients (6/year). The antibiotic goal was symptomatic relief for 181 (82.3%) without statistically significant difference between groups. GP (25%) were the group that most collected patient opinion for antibiotic prescription. Nursing home (23%) and GP (18%) reported more urinary tract symptoms than others (11.7%) (P=0.003). Geriatricians (59.6%) declared significantly less urinary analysis than GP (90%) (P=0.0009). 212 doctor (96.4%) faced side effect (SI): more allergic reaction and less administration difficulties than the other groups. The stop decision was collegially took (156, 70,9%) significantly more in hospital (121, 89%) than in community (25, 39.1%) (P<0.001). Patient wishes were noted by 30 (46.96%) only GP. CONCLUSION Even if practice and number of patients follow up differ from each place of care, doctors' intention in antibiotic use respect palliative care goal to relieve discomfort. It is hard to diagnose infection and complementary exam are scarce. A repeated individualized evaluation with patient, his surrounding and his medical referent participation, is mandatory to give a constant adapted level of care in every place of care.
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Affiliation(s)
- B Henri
- Post-urgences gériatriques, CHU Purpan, 31000 Toulouse, France
| | - S Sirvain
- Court séjour gériatrique, CH Alès-Cevennes, 811 avenue du Dr J goubert, 30100 Ales, France
| | - B de Wazieres
- Service de gériatrie, CHU Caremeau, 30000 Nimes, France
| | - L Bernard
- Service de Maladies Infectieuses, CHU Hôpitaux de Tours, 37000 Tours, France
| | - G Gavazzi
- Service Universitaire de Gériatrie Clinique, CHU de Grenoble, 38000 Grenoble, France
| | - E Forestier
- Service de maladies infectieuses, Centre Hospitalier Métropole Savoie, 73000 Chambéry, France
| | - T Fraisse
- Court séjour gériatrique, CH Alès-Cevennes, 811 avenue du Dr J goubert, 30100 Ales, France.
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16
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Gavazzi G, Roubaud-Baudron C, Lanoix J, Baclet N, Arlaud C, fraisse T, Paccalin M, Caraux-Paz P, Putot A, Forestier E. Impact de COVID 19 sur le statut fonctionnel des populations françaises les plus âgées : Étude multicentrique COVID-OLD. MÉDECINE ET MALADIES INFECTIEUSES FORMATION 2022. [PMCID: PMC9152528 DOI: 10.1016/j.mmifmc.2022.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Introduction L'infection à COVID 19 est une maladie infectieuse sévère dans les populations âgées, induisant des taux de mortalité élevés. Cependant peu d'études ont exploré l'impact de COVID 19 chez les survivants. Les maladies aigues provoquent généralement un déclin fonctionnel de 20 à 50% dans ces populations. L'objectif de notre étude était de mesurer le taux de patients présentant un déclin fonctionnel à 3 mois après la COVID et d'en déterminer les facteurs associés. Matériels et méthodes 60 centres français ont participé à cette étude prospective observationnelle incluant des patients âgés de 70 ans et plus, hospitalisés pour une COVID 19 entre le 04/10/2020 et le 10/12/20 dans des services de maladies infectieuses ou de gériatrie. Le déclin fonctionnel était défini par une perte d'au moins 0,5 sur le score d'activité de la vie quotidienne (ADL = capacité à transférer, manger, aller au toilette,se laver, s'habiller seul et être continent coté /6) ou/et une perte d'au moins 1 sur le score d'activité instrumentale de la vie quotidienne (IADL, cotés sur /8). Les données sociodémographiques, la sévérité du COVID 19, la présentation clinique, les traitements spécifiques et non spécifiques ont été recueillis. Des analyses univariées et multivariées (sans score de propension) ont été réalisées. Les différences entre les 2 vagues ont été déterminées. Résultats Sur les 1083 patients inclus 662 ont eu un suivi avec données complétées. L'âge moyen était de 84 ans. 56% présentaient un déclin fonctionnel à 3 mois, 40% sur les ADLs et 38% pour les IADLs. La perte moyenne était de 1,1 point pour les ADLs et de 1,6 point pour les IADLs. Tous les items des ADL étaient également affectés. La perte fonctionnelle était équivalente durant les 2 vagues. En analyse univariée (n= 545), la perte d'ADL aiguë avant l'hospitalisation, la confusion, la durée du séjour, la chute, l'immobilisation sont des marqueurs prédictifs du déclin fonctionnel à 3 mois. En analyse multivariée (n=415), seuls La perte d'ADL avant l'hospitalisation et la présence d'une confusion au diagnostic sont prédicteurs de la perte fonctionnelle indépendamment des autres variables (gravité immédiate de la COVID, durée d'hospitalisation, de l'âge, sexe, syndrome d'immobilisation, chute, réhospitalisation dans les 3 Mois). Conclusion La majorité de la population survivante à une COVID 19 présente un déclin fonctionnel à 3 mois. La gravité de la perte fonctionnelle avant l'hospitalisation et la confusion au moment du diagnostic sont les 2 prédicteurs indépendants de la gravité immédiate de la COVID et de la durée d'hospitalisation . On ne sait pas ce qui est lié à la comorbidité, à l'absence de réadaptation ou à une longue infection Covid. L'impact de la COVID 19 sur la qualité de vie et les conséquences économiques de cet impact devraient être mesurés. Aucun lien d'intérêt
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Affiliation(s)
| | | | | | | | - C. Arlaud
- CHU Grenoble-Alpes, Grenoble, France
| | | | | | - P. Caraux-Paz
- CH Villeneuve Saint Georges, Villeneuve Saint Georges, France
| | - A. Putot
- CHU la Réunion, La Réunion, France
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17
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Gavazzi G, Fisher AD, Orsolini S, Bianchi A, Romani A, Giganti F, Giovannelli F, Ristori J, Mazzoli F, Maggi M, Viggiano MP, Mascalchi M. The fMRI correlates of visuo-spatial abilities: sex differences and gender dysphoria. Brain Imaging Behav 2022; 16:955-964. [PMID: 35384549 PMCID: PMC9010387 DOI: 10.1007/s11682-022-00638-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2022] [Indexed: 11/28/2022]
Abstract
The contribution of brain regions to visuospatial abilities according to sex differences and gender identity is inconsistently described. One potential explaining factor may be the different tasks employed requiring a variable load of working memory and other cognitive resources. Here we asked to 20 cis and 20 transgender participants to undergo functional Magnetic Resonance Imaging during performance of a judgement line of orientation test that was adapted to explore the basic visuospatial processing while minimizing the working memory load. We show that V1 activation may be viewed as a brain area with enhanced activation in males, regardless of participants’ gender identity. On its turn, gender identity exclusively influences the visuospatial processing of extrastriate visual areas (V5) in women with gender dysphoria. They showed enhanced V5 activation and an increased functional connectivity between V5 and V1. Overall our neuroimaging results suggest that the basic visuospatial abilities are associated with different activations pattern of cortical visual areas depending on the sex assigned at birth and gender identity.
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Affiliation(s)
| | - Alessandra Daphne Fisher
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Andrea Bianchi
- Neuroradiology Unit, "Careggi" University Hospital, Florence, Italy
| | - Alessia Romani
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Fiorenza Giganti
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Via San Salvi, 12, 50135, Florence, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Via San Salvi, 12, 50135, Florence, Italy
| | - Jiska Ristori
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Francesca Mazzoli
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Mario Maggi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Via San Salvi, 12, 50135, Florence, Italy.
| | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
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18
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Baclet N, Calafiore M, Fregnac C, Gavazzi G, Forestier E, Roubaud-Baudron C, Fraisse T, Alfandari S, Senneville E, Beuscart JB. Explicit definitions of potentially inappropriate prescriptions of antibiotics in hospitalized older patients. Infect Dis Now 2022; 52:214-222. [PMID: 35158094 DOI: 10.1016/j.idnow.2022.02.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 10/25/2021] [Accepted: 02/08/2022] [Indexed: 11/27/2022]
Abstract
CONTEXT The use of explicit definitions of potentially inappropriate prescriptions of antibiotics (antibiotic PIPs) might constitute an innovative means to fight against antimicrobial resistance. Explicit definitions of PIPs can reduce the rate of inappropriate prescriptions, but explicit definitions of antibiotic PIPs in geriatric medicine are currently lacking. The objective of the study was to develop explicit definitions of antibiotic PIPs for hospitalized older patients. METHOD We performed a qualitative study of focus groups involving geriatricians and infectious disease specialists. The study complied with the Consolidated Criteria for Reporting Qualitative Research. Transcripts of audio recordings were analyzed in a two-step independent reviewing process. The exact wording of the definitions was validated by a steering committee, an independent expert group, and the focus group participants. RESULTS The four focus groups comprised 28 stakeholders. Our analysis identified 65 explicit definitions of antibiotic PIPs: 47 (73%) concerned misuse, 15 (23%) concerned overuse and three (5%) concerned underuse. Most definitions were related to critically important antibiotics: 11 (17%) for fluoroquinolones, eight (12%) for amoxicillin-clavulanic acid, eight (12%) for cephalosporins, seven (11%) for aminoglycosides, and five (8%) for carbapenems. CONCLUSION To address the public health challenge of antimicrobial resistance, our study generated explicit definitions for antibiotic PIPs in older patients. We intend to refine and to validate these definitions through a national Delphi survey; the resulting consensus might provide key messages for prescribers and open up perspectives for reducing the incidence of antibiotic PIPs.
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Affiliation(s)
- N Baclet
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France; Lille Catholic Hospitals, Department of Infectious Diseases, F-59160 Lille, France
| | - M Calafiore
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France
| | - C Fregnac
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France
| | - G Gavazzi
- Clinique Universitaire de Médecine Gériatrique, Centre Hospitalier Universitaire de Grenoble-Alpes, GREPI EA7408 Université Grenoble-Alpes, F-38000 Grenoble, France
| | - E Forestier
- Service de Maladies Infectieuses, Centre Hospitalier Métropole Savoie, F-73000 Chambéry, France
| | - C Roubaud-Baudron
- CHU Bordeaux, Pôle de Gérontologie Clinique, Univ. Bordeaux, INSERM 1053 BaRITOn, F-33000 Bordeaux, France
| | - T Fraisse
- Court Séjour Gériatrique Aigu, Centre Hospitalier Alès-Cévennes, F-30100 Alès, France
| | - S Alfandari
- Gustave Dron Hospital, University Department of Infectious Diseases, F-59200 Tourcoing, France
| | - E Senneville
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France; Gustave Dron Hospital, University Department of Infectious Diseases, F-59200 Tourcoing, France
| | - J-B Beuscart
- Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France.
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19
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Benedetti V, Gavazzi G, Giovannelli F, Bravi R, Grasso S, Giganti F, Minciacchi D, Mascalchi M, Cincotta M, Viggiano MP. Motor inhibition processes in Go/No-Go and Stop Signal Tasks: New insight from mouse tracking. J Vis 2021. [DOI: 10.1167/jov.21.9.2146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
| | - Gioele Gavazzi
- University of Florence, Florence, Italy
- IRCCS SDN, Naples, Italy
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20
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Vacchiano V, Caporali L, La Morgia C, Carbonelli M, Amore G, Bartolomei I, Cascavilla ML, Barboni P, Lamperti C, Catania A, Chan JW, Karanja R, Sadun AA, Liguori R, Bianchi A, Gavazzi G, Mascalchi M, Salvi F, Carelli V. The m.3890G>A/MT-ND1 mtDNA rare pathogenic variant: Expanding clinical and MRI phenotypes. Mitochondrion 2021; 60:142-149. [PMID: 34390870 DOI: 10.1016/j.mito.2021.08.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 07/29/2021] [Accepted: 08/05/2021] [Indexed: 12/31/2022]
Abstract
INTRODUCTION Isolated complex I deficiency causes several clinical syndromes, including Leigh syndrome (LS), Leber hereditary optic neuropathy (LHON) and mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS). Here we reported two new patients carrying the rare m.3890G>A/MT-ND1 (p.Arg195Gln) mitochondrial DNA (mtDNA) pathogenic variant, revisited another two previously reported cases, and reviewed the remaining published cases, to refine the clinical and neuroimaging features. We also quantitatively assessed the mtDNA heteroplasmy in all available tissues. CASES PRESENTATION The first patient was a 25-year-old male presenting with axonal polyneuropathy, optic atrophy consistent with LHON, gaze palsy and parkinsonism. MRI correlates included transient centromedullary T2 hyperintensity in the conus medullaris, transient signal intensity and increased lactate in the midbrain periaqueductal gray matter, and late atrophy of the optic nerves and chiasm, dorsal midbrain and conus medullaris. The second patient was a 65-year-old woman with a classical LHON phenotype and a normal MRI. DISCUSSION Including the previously published cases, the clinical spectrum ranged from LHON to Leigh-like syndrome with peculiar CNS lesions and encephalopatic clinical symptoms. The most severe and complex cases were associated with very high heteroplasmy, or nearly homoplasmic m.3890G>A/MT-ND1 pathogenic variant in skeletal muscle, displaying neurological symptoms/signs consistent with Leigh-like lesions on brain MRI. Lower heteroplasmic mutational loads were instead associated with isolated LHON-like optic neuropathy of variable severity. CONCLUSION The m.3890G>A/MT-ND1 mtDNA pathogenic variant increasingly impairs complex I function dependent on heteroplasmic loads, leading to a spectrum of LHON and Leigh-like encephalopathy with distinguishing MRI features.
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Affiliation(s)
- Veria Vacchiano
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - Leonardo Caporali
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - Chiara La Morgia
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | | | - Giulia Amore
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Ilaria Bartolomei
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | | | - Piero Barboni
- IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Costanza Lamperti
- Unit of genetic and neurogenetic, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy
| | - Alessia Catania
- Unit of genetic and neurogenetic, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy
| | - Jane W Chan
- Department of Ophthalmology, Doheny Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, United States
| | - Rustum Karanja
- Department of Ophthalmology, Doheny Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, United States
| | - Alfredo A Sadun
- Department of Ophthalmology, Doheny Eye Institute, University of California Los Angeles (UCLA), Los Angeles, CA, United States
| | - Rocco Liguori
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - Andrea Bianchi
- Neuroradiology Unit, Careggi University Hospital, Florence, Italy
| | | | - Mario Mascalchi
- Neuroradiology Research Program at Meyer Children Hospital, Florence, Italy; "Mario Serio" Department of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy
| | - Fabrizio Salvi
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - Valerio Carelli
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
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Janosch L, Roubaud-Baudron C, Verdon R, Humbert X, Gavazzi G, Forestier E, Vitrat V. Enquête de pratique sur l’utilisation de la voie sous-cutanée pour administrer des antibiotiques en médecine ambulatoire. Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2021.06.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mueller SC, Guillamon A, Zubiaurre-Elorza L, Junque C, Gomez-Gil E, Uribe C, Khorashad BS, Khazai B, Talaei A, Habel U, Votinov M, Derntl B, Lanzenberger R, Seiger R, Kranz GS, Kreukels BPC, Kettenis PTC, Burke SM, Lambalk NB, Veltman DJ, Kennis M, Sánchez FJ, Vilain E, Fisher AD, Mascalchi M, Gavazzi G, Orsolini S, Ristori J, Dannlowski U, Grotegerd D, Konrad C, Schneider MA, T'Sjoen G, Luders E. The Neuroanatomy of Transgender Identity: Mega-Analytic Findings From the ENIGMA Transgender Persons Working Group. J Sex Med 2021; 18:1122-1129. [PMID: 37057468 DOI: 10.1016/j.jsxm.2021.03.079] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 02/22/2021] [Accepted: 03/24/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND In contrast to cisgender persons, transgender persons identify with a different gender than the one assigned at birth. Although research on the underlying neurobiology of transgender persons has been accumulating over the years, neuroimaging studies in this relatively rare population are often based on very small samples resulting in discrepant findings. AIM To examine the neurobiology of transgender persons in a large sample. METHODS Using a mega-analytic approach, structural MRI data of 803 non-hormonally treated transgender men (TM, n = 214, female assigned at birth with male gender identity), transgender women (TW, n = 172, male assigned at birth with female gender identity), cisgender men (CM, n = 221, male assigned at birth with male gender identity) and cisgender women (CW, n = 196, female assigned at birth with female gender identity) were analyzed. OUTCOMES Structural brain measures, including grey matter volume, cortical surface area, and cortical thickness. RESULTS Transgender persons differed significantly from cisgender persons with respect to (sub)cortical brain volumes and surface area, but not cortical thickness. Contrasting the 4 groups (TM, TW, CM, and CW), we observed a variety of patterns that not only depended on the direction of gender identity (towards male or towards female) but also on the brain measure as well as the brain region examined. CLINICAL TRANSLATION The outcomes of this large-scale study may provide a normative framework that may become useful in clinical studies. STRENGTHS AND LIMITATIONS While this is the largest study of MRI data in transgender persons to date, the analyses conducted were governed (and restricted) by the type of data collected across all participating sites. CONCLUSION Rather than being merely shifted towards either end of the male-female spectrum, transgender persons seem to present with their own unique brain phenotype. Mueller SC, Guillamon A, Zubiaurre-Elorza L, et al. The Neuroanatomy of Transgender Identity: Mega-Analytic Findings From the ENIGMA Transgender Persons Working Group. J Sex Med 2021;18:1122-1129.
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Affiliation(s)
- Sven C Mueller
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
- Department of Personality, Psychological Assessment and Treatment, University of Deusto, Bilbao, Spain
| | - Antonio Guillamon
- Deparment of Psychobiology, National Distance Education University, Madrid, Spain
| | - Leire Zubiaurre-Elorza
- Department of Methods and Experimental Psychology, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Carme Junque
- Faculty of Medicine, University of Barcelona, Barcelona, Spain
| | | | - Carme Uribe
- Faculty of Medicine, University of Barcelona, Barcelona, Spain
| | - Behzad S Khorashad
- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Women's and Children's Health, Karolinska University Hospital, Karolinska Institute, Solna, Stockholm, Sweden
| | - Behnaz Khazai
- Keck School of Medicine, Mark and Mary Stevens Neuroimaging and Informatics Institute, Los Angeles, CA, USA
| | - Ali Talaei
- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ute Habel
- Psychiatry, Psychotherapy, and Psychosomatics, University Clinic RWTH, Aachen, Germany
- Research Centre Jülich, Institute of Neuroscience and Medicine (INM-10), Jülich, Germany
| | - Mikhail Votinov
- Psychiatry, Psychotherapy, and Psychosomatics, University Clinic RWTH, Aachen, Germany
- Research Centre Jülich, Institute of Neuroscience and Medicine (INM-10), Jülich, Germany
| | - Birgit Derntl
- Deptarment of Psychiatry and Psychotherapy, University of Tuebingen, Germany
| | - Rupert Lanzenberger
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - Rene Seiger
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
| | - Georg S Kranz
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hongkong
| | | | | | - Sarah M Burke
- Psychology, Developmental and Educational Psychology, University of Leiden, Leiden, The Netherlands
| | - Nils B Lambalk
- Obstetrics and Gynaecology, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Dick J Veltman
- Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Mathilde Kennis
- Department of Cognitive Neuroscience, Maastricht University, Maastricht, The Netherlands
| | | | - Eric Vilain
- Center for Genetic Medicine Research, Children's National Hospital, Washington, DC, USA
- Department of Genomics and Precision Medicine, George Washington University, Washington, DC, USA
| | - Alessandra Daphne Fisher
- Andrology, Women's Endocrinology, Gender Incongruence Unit, Careggi University Hospital, Florence, Italy
| | - Mario Mascalchi
- Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Jiska Ristori
- Center for Genetic Medicine Research, Children's National Hospital, Washington, DC, USA
| | - Udo Dannlowski
- Institute for Translational Psychiatry, University of Muenster, Muenster, Germany
| | - Dominik Grotegerd
- Institute for Translational Psychiatry, University of Muenster, Muenster, Germany
| | - Carsten Konrad
- Department of Psychiatry and Psychotherapy, Agaplesion Diakonieklinikum, Rotenburg, Germany
| | | | - Guy T'Sjoen
- Department of Endocrinology & Center for Sexology and Gender, Ghent University Hospital, Ghent, Belgium
| | - Eileen Luders
- School of Psychology, University of Auckland, Auckland, New Zealand
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Turano MT, Giganti F, Gavazzi G, Lamberto S, Gronchi G, Giovannelli F, Peru A, Viggiano MP. Spatially Filtered Emotional Faces Dominate during Binocular Rivalry. Brain Sci 2020; 10:brainsci10120998. [PMID: 33348612 PMCID: PMC7767193 DOI: 10.3390/brainsci10120998] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 12/12/2020] [Accepted: 12/15/2020] [Indexed: 11/16/2022] Open
Abstract
The present investigation explores the role of bottom-up and top-down factors in the recognition of emotional facial expressions during binocular rivalry. We manipulated spatial frequencies (SF) and emotive features and asked subjects to indicate whether the emotional or the neutral expression was dominant during binocular rivalry. Controlling the bottom-up saliency with a computational model, physically comparable happy and fearful faces were presented dichoptically with neutral faces. The results showed the dominance of emotional faces over neutral ones. In particular, happy faces were reported more frequently as the first dominant percept even in the presence of coarse information (at a low SF level: 2-6 cycle/degree). Following current theories of emotion processing, the results provide further support for the influence of positive compared to negative meaning on binocular rivalry and, for the first time, showed that individuals perceive the affective quality of happiness even in the absence of details in the visual display. Furthermore, our findings represent an advance in knowledge regarding the association between the high- and low-level mechanisms behind binocular rivalry.
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Affiliation(s)
- Maria Teresa Turano
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
- Fondazione Turano Onlus, 00195 Roma, Italy
| | - Fiorenza Giganti
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
| | - Gioele Gavazzi
- Diagnostic and Nuclear Research Institute, IRCCS SDN, 80121 Napoli, Italy;
| | - Simone Lamberto
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
| | - Giorgio Gronchi
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
| | - Andrea Peru
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research & Child’s Health, University of Florence, 50100 Florence, Italy; (M.T.T.); (F.G.); (S.L.); (G.G.); (F.G.); (A.P.)
- Correspondence: ; Tel.: +39-0552755053
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Orsolini S, Marzi C, Gavazzi G, Bianchi A, Salvadori E, Giannelli M, Donnini I, Rinnoci V, Pescini F, Pantoni L, Mascalchi M, Diciotti S. Altered Regional Brain Homogeneity of BOLD Signal in CADASIL: A Resting State fMRI Study. J Neuroimaging 2020; 31:348-355. [PMID: 33314416 DOI: 10.1111/jon.12821] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 10/30/2020] [Accepted: 11/26/2020] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND AND PURPOSE The cognitive decline in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is assumed to be due to a cortical-subcortical disconnection secondary to damage to the cerebral white matter (WM). Using resting state functional MRI (rsfMRI) and analysis of the regional homogeneity (ReHo), we examined a group of CADASIL patients and a group of healthy subjects in order to: (1) explore possible differences between the two groups; and (2) to assess, in CADASIL patients, whether any ReHo abnormalities correlate with individual burdens of WM T2 -weighted hyperintensity and diffusion tensor imaging (DTI)-derived index of mean diffusivity (MD) of the cerebral WM, an index reflecting microstructural damage in CADASIL. METHODS Twenty-three paucisymptomatic CADASIL patients (13 females; age mean ± standard deviation = 43.6 ± 11.1 years; three symptomatic and 20 with no or few symptoms) and 16 healthy controls (nine females; age 46.6 ± 11.0 years) were examined with T1 -weighted, T2 -weighted fluid attenuated inversion recovery images, DTI, and rsfMRI. RESULTS When compared to controls, CADASIL patients showed four clusters of significantly lower ReHo values in cortical areas belonging to networks involved in inhibition and attention, including the right insula, the left superior frontal gyrus, and the bilateral anterior cingulated cortex. ReHo changes did not correlate with an individual patient's lesion burden or MD. CONCLUSIONS This study reveals decreased ReHo of rsfMRI signals in cortical areas involved in inhibition and attention processes, suggesting a potential role for these functional cortical changes in CADASIL.
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Affiliation(s)
- Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Chiara Marzi
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Gioele Gavazzi
- Department of Integrated Imaging, IRCCS SDN, Naples, Italy
| | - Andrea Bianchi
- Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy
| | | | - Marco Giannelli
- Unit of Medical Physics, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", Pisa, Italy
| | | | | | | | - Leonardo Pantoni
- Stroke and Dementia Laboratory, Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Milan, Italy
| | - Mario Mascalchi
- Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy
| | - Stefano Diciotti
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
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Zabini F, Albanese L, Becheri FR, Gavazzi G, Giganti F, Giovanelli F, Gronchi G, Guazzini A, Laurino M, Li Q, Marzi T, Mastorci F, Meneguzzo F, Righi S, Viggiano MP. Comparative Study of the Restorative Effects of Forest and Urban Videos during COVID-19 Lockdown: Intrinsic and Benchmark Values. Int J Environ Res Public Health 2020; 17:ijerph17218011. [PMID: 33143327 PMCID: PMC7672570 DOI: 10.3390/ijerph17218011] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 10/24/2020] [Accepted: 10/28/2020] [Indexed: 12/18/2022]
Abstract
The prolonged lockdown imposed to contain the COrona VIrus Disease 19 COVID-19 pandemic prevented many people from direct contact with nature and greenspaces, raising alarms for a possible worsening of mental health. This study investigated the effectiveness of a simple and affordable remedy for improving psychological well-being, based on audio-visual stimuli brought by a short computer video showing forest environments, with an urban video as a control. Randomly selected participants were assigned the forest or urban video, to look at and listen to early in the morning, and questionnaires to fill out. In particular, the State-Trait Anxiety Inventory (STAI) Form Y collected in baseline condition and at the end of the study and the Part II of the Sheehan Patient Rated Anxiety Scale (SPRAS) collected every day immediately before and after watching the video. The virtual exposure to forest environments showed effective to reduce perceived anxiety levels in people forced by lockdown in limited spaces and environmental deprivation. Although significant, the effects were observed only in the short term, highlighting the limitation of the virtual experiences. The reported effects might also represent a benchmark to disentangle the determinants of health effects due to real forest experiences, for example, the inhalation of biogenic volatile organic compounds (BVOC).
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Affiliation(s)
- Federica Zabini
- Institute for Bioeconomy, National Research Council, 10 Via Madonna del Piano, I-50019 Sesto Fiorentino (FI), Italy;
- Correspondence: (F.Z.); (F.M.); Tel.: +39-333-379-2947 (F.Z.); +39-392-985-0002 (F.M.)
| | - Lorenzo Albanese
- Institute for Bioeconomy, National Research Council, 10 Via Madonna del Piano, I-50019 Sesto Fiorentino (FI), Italy;
| | | | - Gioele Gavazzi
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Fiorenza Giganti
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Fabio Giovanelli
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Giorgio Gronchi
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Andrea Guazzini
- Department of Education, Languages, Intercultural Studies, Literatures, and Psychology (FORLILPSI), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy;
| | - Marco Laurino
- Institute of Clinical Physiology, National Research Council, 1 Via Giuseppe Moruzzi, I-56124 Pisa, Italy; (M.L.); (F.M.)
| | - Qing Li
- Department of Rehabilitation and Physical Medicine, Graduate School of Medicine—Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan;
| | - Tessa Marzi
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Francesca Mastorci
- Institute of Clinical Physiology, National Research Council, 1 Via Giuseppe Moruzzi, I-56124 Pisa, Italy; (M.L.); (F.M.)
| | - Francesco Meneguzzo
- Institute for Bioeconomy, National Research Council, 10 Via Madonna del Piano, I-50019 Sesto Fiorentino (FI), Italy;
- Central Scientific Committee, Italian Alpine Club, 19 Via E. Petrella, I-20124 Milano, Italy
- Correspondence: (F.Z.); (F.M.); Tel.: +39-333-379-2947 (F.Z.); +39-392-985-0002 (F.M.)
| | - Stefania Righi
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
| | - Maria Pia Viggiano
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 12 Via di San Salvi, I-50135 Firenze, Italy; (G.G.); (F.G); (F.G.); (G.G.); (T.M.); (S.R.); (M.P.V.)
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Durand M, Forestier E, Gras Aygon C, Sirvain S, de Wazières B, Bernard L, Paccalin M, Legout L, Roubaud Baudron C, Gavazzi G, Fraisse T. Determinants of doctors' antibiotic prescriptions for patients over 75 years old in the terminal stage of palliative care. Infect Dis Now 2020; 51:340-345. [PMID: 33075403 DOI: 10.1016/j.medmal.2020.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2020] [Revised: 03/31/2020] [Accepted: 10/12/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Notwithstanding high prevalence of presumably bacterial infections in elderly persons (EP) in palliative care (PC), there exists no recommendation on the role of antibiotic therapy (ABP) in this type of situation. OBJECTIVE To describe the determinants of antibiotic prescription by general practitioners (GP) and by doctors practicing in institutions (DPI) for patients>75 years, in end-of-life situations in PC. METHOD Descriptive investigation by anonymous self-administered questionnaire disseminated in France by e-mail. RESULTS A total of 301 questionnaires analyzed: 113 GP, 188 DPIs. The latter were mainly geriatricians (69, 36.6%) and infectologists/internists (41, 21.8%). Sixty-three (55,75%) GPs and 144 (78.7%) DPIs stated that they had prescribed antibiotics. Practice in "EHPAD" retirement homes or intensive care was often associated with non-prescription of antibiotics. Age, PC training and number of patients monitored bore no influence. Family involvement in decision-making was more frequent for GPs than for DPIs. The main purpose of antibiotic therapy was to relieve different symptoms (fever, respiratory congestion, functional urinary signs). Most of the doctors (81%) had previously encountered complications (allergy, adverse effect), which represented the main causes of treatment discontinuation. CONCLUSION Antibiotic use in end-of-life EPs in PC seems frequent. In accordance with the principle of beneficence, its goal of often symptom-related; that said, in the absence of scientific data, antibiotic prescription in end-of-life situations should be individualized in view of observing the other ethical caregiving principles (beneficence, non-maleficence, justice, patient autonomy) and re-evaluated daily.
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Affiliation(s)
- M Durand
- Court séjour gériatrique, CH Alès Cévennes, Avenue du Docteur Jean Goubert, 30100 Alès, France
| | - E Forestier
- Service de maladies infectieuses, Centre Hospitalier Métropole Savoie, 73000 Chambéry, France
| | - C Gras Aygon
- Département de médecine générale, UFR médecine Montpellier-Nîmes, 34000 Montpellier, France
| | - S Sirvain
- Court séjour gériatrique, CH Alès Cévennes, Avenue du Docteur Jean Goubert, 30100 Alès, France
| | - B de Wazières
- Service de médecine gériatrique, CHU de Nîmes, Place du Pr R Debré, 30000 Nîmes, France
| | - L Bernard
- Service de Maladies Infectieuses, CHU Hôpitaux de Tours, 37000 Tours, France
| | - M Paccalin
- Pôle de Gériatrie, CHU La Milétrie, 86000 Poitiers, France
| | - L Legout
- Service des maladies infectieuses et tropicales, CH Alpes Léman, Contamine sur Arve, France
| | - C Roubaud Baudron
- Pôle de Gérontologie Clinique, Université de Bordeaux, CHU Hôpitaux de Bordeaux, 33000 Bordeaux, France
| | - G Gavazzi
- Service Universitaire de Gériatrie Clinique, CHU de Grenoble, 38000 Grenoble, France
| | - T Fraisse
- Court séjour gériatrique, CH Alès Cévennes, Avenue du Docteur Jean Goubert, 30100 Alès, France.
| | -
- Court séjour gériatrique, CH Alès Cévennes, Avenue du Docteur Jean Goubert, 30100 Alès, France; Service de maladies infectieuses, Centre Hospitalier Métropole Savoie, 73000 Chambéry, France; Service de médecine gériatrique, CHU de Nîmes, Place du Pr R Debré, 30000 Nîmes, France; Service de Maladies Infectieuses, CHU Hôpitaux de Tours, 37000 Tours, France; Pôle de Gériatrie, CHU La Milétrie, 86000 Poitiers, France; Service des maladies infectieuses et tropicales, CH Alpes Léman, Contamine sur Arve, France; Pôle de Gérontologie Clinique, Université de Bordeaux, CHU Hôpitaux de Bordeaux, 33000 Bordeaux, France; Service Universitaire de Gériatrie Clinique, CHU de Grenoble, 38000 Grenoble, France
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Gavazzi G, Bavelele P, Paccalin M, Aquino J, Roubaud C, Bernard L, Fraisse T, Vittoz J, François P, Forestier E. La vaccination antigrippale modifie t-elle le pronostic des patients âgés hospitalisés atteints de grippe ? Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Roseau A, Roubaud-Baudron C, Carret M, Carraux-Paz P, Lanoix J, Putot A, Baclet N, Paccalin M, Gavazzi G, Forestier E. Antibiothérapie probabiliste des bactériémies à entérobactéries chez le patient âgé : peut-on faire mieux ? Étude EntéroBactAge. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Baclet N, Hequette-Ruz R, Calafiore M, Gavazzi G, Forestier E, Roubaud-Baudron C, Fraisse T, Alfandari S, Senneville E, Beuscart JB. Définitions explicites de prescriptions potentiellement inappropriées : nouvelle approche pour le bon usage des antibiotiques. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Fouad F, Lemaitre M, Carrat F, Crépey P, Gaillat J, Launay O, Mosnier A, Gavazzi G, Levant M, Uhart M. Estimation du fardeau hospitalier direct et attribuable à la grippe en France à partir de la base PMSI. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Benedetti V, Gavazzi G, Giovannelli F, Bravi R, Giganti F, Minciacchi D, Mascalchi M, Cincotta M, Viggiano MP. Mouse Tracking to Explore Motor Inhibition Processes in Go/No-Go and Stop Signal Tasks. Brain Sci 2020; 10:brainsci10070464. [PMID: 32698348 PMCID: PMC7408439 DOI: 10.3390/brainsci10070464] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 07/15/2020] [Accepted: 07/16/2020] [Indexed: 02/06/2023] Open
Abstract
Response inhibition relies on both proactive and reactive mechanisms that exert a synergic control on goal-directed actions. It is typically evaluated by the go/no-go (GNG) and the stop signal task (SST) with response recording based on the key-press method. However, the analysis of discrete variables (i.e., present or absent responses) registered by key-press could be insufficient to capture dynamic aspects of inhibitory control. Trying to overcome this limitation, in the present study we used a mouse tracking procedure to characterize movement profiles related to proactive and reactive inhibition. A total of fifty-three participants performed a cued GNG and an SST. The cued GNG mainly involves proactive control whereas the reactive component is mainly engaged in the SST. We evaluated the velocity profile from mouse trajectories both for responses obtained in the Go conditions and for inhibitory failures. Movements were classified as one-shot when no corrections were observed. Multi-peaked velocity profiles were classified as non-one-shot. A higher proportion of one-shot movements was found in the SST compared to the cued GNG when subjects failed to inhibit responses. This result suggests that proactive control may be responsible for unsmooth profiles in inhibition failures, supporting a differentiation between these tasks.
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Affiliation(s)
- Viola Benedetti
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (F.G.)
| | | | - Fabio Giovannelli
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (F.G.)
| | - Riccardo Bravi
- Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy; (R.B.); (D.M.)
| | - Fiorenza Giganti
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (F.G.)
| | - Diego Minciacchi
- Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy; (R.B.); (D.M.)
| | - Mario Mascalchi
- Department of Experimental and Clinical Biomedical Sciences “Mario Serio”, University of Florence, 50134 Florence, Italy;
| | - Massimo Cincotta
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, 50143 Florence, Italy;
| | - Maria Pia Viggiano
- Section of Psychology—Department of Neuroscience, Psychology, Drug Research and Child’s Health (NEUROFARBA), University of Florence, 50135 Florence, Italy; (V.B.); (F.G.); (F.G.)
- Correspondence:
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Giovannelli F, Rossi S, Borgheresi A, Gavazzi G, Zaccara G, Viggiano MP, Cincotta M. Effects of Music Reading on Motor Cortex Excitability in Pianists: A Transcranial Magnetic Stimulation Study. Neuroscience 2020; 437:45-53. [PMID: 32335216 DOI: 10.1016/j.neuroscience.2020.04.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Revised: 04/13/2020] [Accepted: 04/16/2020] [Indexed: 11/29/2022]
Abstract
Neurophysiological studies suggest that music reading facilitates sensorimotor cortex. The aim of this study was to evaluate (1) whether in pianists, reading notes in bass and treble clef selectively enhances right and left primary motor cortex (M1) excitability; and (2) whether reading notes played with the thumb or little finger selectively modulates the excitability of specific muscles. Twenty musicians (11 pianists, 9 non-pianists) participated. Transcranial magnetic stimulation (TMS) was applied while subjects read the bass or the treble clef of sheets music and during the observation of a blank staff (baseline). When pianists read the treble clef, the excitability of the left M1 was higher compared to that recorded in the right M1. Moreover, in the treble clef condition motor evoked potentials (MEPs) induced by TMS of the left M1 were higher when pianists read notes to be played with the 5° finger (little finger) with respect to 1° finger (thumb) notes, whereas in the bass clef condition TMS of the right M1 induced higher MEPs for 1° finger note compared to 5° finger notes. No significant modulation was observed in non-pianists. These data support the view that music reading may induce specific inter- and intra-hemispheric modulation of the motor cortex excitability.
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Affiliation(s)
- Fabio Giovannelli
- Section of Psychology - Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, Firenze, Italy; Unit of Neurology of Florence, Central Tuscany Local Health Authority, Firenze, Italy
| | - Simone Rossi
- Department of Medicine, Surgery and Neuroscience, Unit of Neurology and Clinical Neurophysiology, Siena Brain Investigation and Neuromodulation Lab (Si-BIN Lab), University of Siena, Italy
| | - Alessandra Borgheresi
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Firenze, Italy
| | | | - Gaetano Zaccara
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Firenze, Italy; Regional Health Agency of Tuscany, Firenze, Italy
| | - Maria Pia Viggiano
- Section of Psychology - Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, Firenze, Italy
| | - Massimo Cincotta
- Unit of Neurology of Florence, Central Tuscany Local Health Authority, Firenze, Italy.
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Ristori J, Cocchetti C, Castellini G, Pierdominici M, Cipriani A, Testi D, Gavazzi G, Mazzoli F, Mosconi M, Meriggiola MC, Cassioli E, Vignozzi L, Ricca V, Maggi M, Fisher AD. Hormonal Treatment Effect on Sexual Distress in Transgender Persons: 2-Year Follow-Up Data. J Sex Med 2020; 17:142-151. [DOI: 10.1016/j.jsxm.2019.10.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 09/27/2019] [Accepted: 10/05/2019] [Indexed: 12/21/2022]
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Arlaud C, Strazzulla A, Lekens B, Gavazzi G, Paccalin M, Roubeaud C, Belfeki N, Abbroug S, Bergmann J, Diamantis S. Évaluation du suivi des recommandations de prise en charge des pneumopathies aiguës communautaires selon l’âge en médecine de ville en France. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Giganti F, Gavazzi G, Righi S, Rossi A, Caprilli S, Giovannelli F, Toni S, Rebai M, Viggiano MP. Priming effect in children with Type 1 Diabetes Mellitus. Child Neuropsychol 2019; 26:100-112. [PMID: 31111792 DOI: 10.1080/09297049.2019.1617260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Previous studies have evidenced cognitive difficulties across various domains in Type 1 Diabetes Mellitus (T1DM) children, but the implicit memory system has not yet been systematically explored.Taking into account that the interplay between memory and perception may be modulated by the semantic category of the stimuli and their salience, we explored explicit and implicit memory using both object and food stimuli to verify whether for T1DM children there is a feebleness in performing the function of memory as a function of the stimuli used.Eighteen T1DM children and 47 healthy children performed an explicit recognition task in which they were requested to judge whether the presented image had already been shown ("old") or not ("new") and an identification priming task in which they were asked to name new and old pictures presented at nine ascending levels of spatial filtering.Results did not reveal any differences between controls and T1DM children in the explicit memory recognition task, whereas some differences between the two groups were found in the identification priming task. In T1DM children, the priming effect was observed only for food images.The dissociation between implicit and explicit memory observed in children with diabetes seems to be modulated by the category of the stimuli, and these results underscore the relevance of taking into account this variable when exploring cognitive functions.
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Affiliation(s)
- F Giganti
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - G Gavazzi
- Diagnostic and Nuclear Research Institute, IRCCS SDN, Napoli, Italy
| | - S Righi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - A Rossi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - S Caprilli
- Istituto di Psicoanalisi - ISIPSE, Rome, Italy
| | - F Giovannelli
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - S Toni
- Pediatric Diabetologic Unit, AOU Meyer, Florence, Italy
| | - M Rebai
- CRFDP, Normandie Université, Rouen, France
| | - M P Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
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Forestier E, Roubaud-Baudron C, Fraisse T, Patry C, Gavazzi G, Hoen B, Carauz-Paz P, Moheb-Khosravi B, Delahaye F, Sost G, Paccalin M, Nazeyrollas P, Strady C, Alla F, Selton-Suty C. Comprehensive geriatric assessment in older patients suffering from infective endocarditis. A prospective multicentric cohort study. Clin Microbiol Infect 2019; 25:1246-1252. [PMID: 31055167 DOI: 10.1016/j.cmi.2019.04.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 04/11/2019] [Accepted: 04/18/2019] [Indexed: 12/19/2022]
Abstract
OBJECTIVES The aim was to describe the impact of infective endocarditis (IE) on functional, cognitive and nutritional statuses, and to estimate the influence of these parameters on surgical management and mortality. METHOD This was a prospective study over 13 months in 14 French hospitals, including patients ≥75 years of age with definite or possible IE. A comprehensive geriatric assessment (CGA) was performed during the first week of hospitalization, including a retrospective estimation of functional status 2 months before hospitalization, and 3 months after. RESULTS A total of 120 patients were included (mean age 83.1 ± 5.0 (75-101) years). IE was associated with a dramatic impairment of functional status between 2 months prior hospitalization and the first geriatric evaluation (90.8% able to walk vs. 35.5% (p < 0.0001), ADL (Activities in Daily Living) 5.0 ± 1.7 vs. 3.1 ± 2.1 (p < 0.0001)). The 19 operated patients (15.8%) had less comorbidities (cumulative illness rating scale geriatric 10.8 ± 8.2 vs. 15.3 ± 7.1 (p 0.0176)), better functional (ADL 5.9 ± 0.4 vs. 4.9 ± 1.8 (p 0.0171) and nutritional (mini nutritional assessment 20.4 ± 5.0 vs. 17.3 ± 6.2 (p 0.0501)) statuses than non-operated patients. Among all infectious, cardiac and geriatric parameters, body mass index (HR 0.9, range 0.8-1, p 0.05) and ADL at the time of the first evaluation (HR 0.7, range 0.6-0.9, p 0.002) were the sole independent predictors of the 3-month (32.5%) and 1-year mortality (42.5%). Three months later, the 57 assessed patients only partially recovered their ADL (3.7 ± 1.9 vs. 5.3 ± 1.4 2 months prior hospitalization and 4.6 ± 1.9 at the first CGA; p < 0.0001). CONCLUSION Functional and nutritional abilities are crucial components that can be accurately explored through a CGA when managing IE in oldest patients.
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Affiliation(s)
- E Forestier
- Infectious Diseases Department, Centre Hospitalier Metropole Savoie, Chambéry, France.
| | - C Roubaud-Baudron
- CHU Bordeaux, Department of Geriatric Medicine, Univ. Bordeaux, F-33000, Bordeaux, France
| | - T Fraisse
- Department of Geriatric Medicine, Centre Hospitalier Alès Cévennes, Alès, France
| | - C Patry
- Department of Geriatrics, Hôpital Bichat - APHP, Paris, France
| | - G Gavazzi
- Department of Geriatric Medicine and GREPI EA 7408, University Hospital of Grenoble-Alpes, Grenoble, France
| | - B Hoen
- Infectious Diseases and Internal Medicine Department and INSERM CIC 1424, University Hospital of Pointe-à-Pitre; Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud, EA 4537, Pointe-à-Pitre, France
| | - P Carauz-Paz
- Infectious Diseases Department, Centre Hospitalier Intercommunal Lucie et Raymond Aubrac, Villeneuve Saint Georges, France
| | - B Moheb-Khosravi
- Department of Geriatric Medicine, Centre Hospitalier Annecy Genevois, Annecy, France
| | - F Delahaye
- Cardiology Department, Hospices civils de Lyon, Université Claude Bernard Lyon 1, HESPER, EA 7425, Lyon, France
| | - G Sost
- Department of Geriatric Medicine, University Hospital of Rennes, Rennes, France
| | - M Paccalin
- Department of Geriatric Medicine and CIC 1402, University Hospital of Poitiers, Poitiers, France
| | - P Nazeyrollas
- Cardiology Department, University Hospital of Reims, Reims, France
| | - C Strady
- Infectious Diseases Department, Groupe Courlancy, Reims, France
| | - F Alla
- Clinical Epidemiological Center, University Hospital of Nancy, Nancy, France
| | - C Selton-Suty
- Cardiology Department, University Hospital of Nancy, Nancy, France
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Marras A, Gavazzi G, Grassi G, Rathi Y, Mascalchi M, Makris N, Camprodon JA, Pallanti S. Abstract #59: Modulating Inhibitory Control Networks in Gambling Disorder with Theta Burst Stimulation. Brain Stimul 2019. [DOI: 10.1016/j.brs.2018.12.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Gavazzi G, Rossi A, Orsolini S, Diciotti S, Giovannelli F, Salvadori E, Pantoni L, Mascalchi M, Viggiano MP. Impulsivity trait and proactive cognitive control: An fMRI study. Eur J Neurosci 2019; 49:1171-1179. [PMID: 30549328 DOI: 10.1111/ejn.14301] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 11/17/2018] [Accepted: 11/23/2018] [Indexed: 11/28/2022]
Abstract
The ability to flexibly regulate our behavior is a fundamental feature of human cognition and requires efficient functioning of cognitive control. During movement preparation, proactive inhibitory control plays a crucial role in regulating the excitatory activity carried out by alertness. The balance between alertness and proactive inhibition could be altered in people with motor impulsivity trait, determining the typical failure in the inhibition of prepotent motor responses. To test this hypothesis, 36 young adults were administered the Barratt Impulsiveness Scale to assess motor impulsivity trait and underwent fMRI acquisition during the execution of an event-related Go/Nogo task. To investigate motor preparation processes, we analyzed the "readiness" period, in which subjects were waiting and preparing for the upcoming stimulus (Go or Nogo). We found a positive significant correlation between motor impulsivity scores and the activation of left sensorimotor cortices. This result indicates that motor impulsivity trait might be associated with a disinhibition of the motor system, characterized by a diminished reactivity threshold and a reduced control over covert urges. Furthermore, we observed a positive significant correlation between motor impulsivity scores and the activation in left inferior and superior parietal lobule, which might be related to a more pronounced proactive control, probably reflecting a compensatory mechanism implemented by participants with a higher degree of motor impulsivity trait to reach a correct inhibition. Current findings provide a rationale for further studies aiming to better understand proactive control functioning in healthy impulsive subjects and under clinical conditions.
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Affiliation(s)
| | - Arianna Rossi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Stefano Diciotti
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Emilia Salvadori
- Neuroscience Section, NEUROFARBA Department, University of Florence, Florence, Italy
| | - Leonardo Pantoni
- "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy
| | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
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Gavazzi G, Orsolini S, Salvadori E, Bianchi A, Rossi A, Donnini I, Rinnoci V, Pescini F, Diciotti S, Viggiano MP, Mascalchi M, Pantoni L. Functional Magnetic Resonance Imaging of Inhibitory Control Reveals Decreased Blood Oxygen Level Dependent Effect in Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy. Stroke 2019; 50:69-75. [PMID: 30580728 DOI: 10.1161/strokeaha.118.022923] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Background and Purpose- Small-vessel damage in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is associated with impaired vascular constriction and dilation. We used a functional magnetic resonance imaging task with an event-related design of stimulus to explore the anticipated abnormally decreased blood oxygen level dependent effect in CADASIL. Methods- Twenty-one CADASIL patients and 16 healthy controls performed a Go/No-go task exploring reactive and proactive phases of inhibition control in a 3-T magnet. Results- Error number and reaction times were not different between patients and controls. Analysis of the reactive inhibition (No-go/baseline contrast) did not show clusters of lower or higher blood oxygen level dependent effect in patients or controls. Analysis of the proactive inhibition (alertness contrast) in CADASIL patients revealed a lower blood oxygen level dependent effect in the alerting network (anterior cingulate cortex and insula, thalamus), lower brain stem and left cerebellar hemisphere (crus I) that is involved in executive functions. Conclusions- In CADASIL patients, an event-related Go/No-go task reveals a lower blood oxygen level dependent effect in the alerting network and areas involved in executive functions possibly reflecting the altered hemodynamic response secondary to small-vessel changes. Our observation extends the role of MR in demonstrating one of the fundamental pathophysiological changes of CADASIL.
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Affiliation(s)
| | - Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering 'Guglielmo Marconi', University of Bologna, Cesena, Italy (S.O., S.D.)
| | - Emilia Salvadori
- NEUROFARBA Department, Neuroscience Section (E.S., I.D., V.R.), University of Florence, Italy
| | - Andrea Bianchi
- Neuroradiology Unit (A.B.), Azienda Ospedaliero Universitaria Careggi, Florence, Italy
| | - Arianna Rossi
- Department of Neuroscience, Psychology, Drug Research, Child Health (A.R., M.P.V.), University of Florence, Italy
| | - Ida Donnini
- NEUROFARBA Department, Neuroscience Section (E.S., I.D., V.R.), University of Florence, Italy
| | - Valentina Rinnoci
- NEUROFARBA Department, Neuroscience Section (E.S., I.D., V.R.), University of Florence, Italy
| | - Francesca Pescini
- Stroke Unit (F.P.), Azienda Ospedaliero Universitaria Careggi, Florence, Italy
| | - Stefano Diciotti
- Department of Electrical, Electronic, and Information Engineering 'Guglielmo Marconi', University of Bologna, Cesena, Italy (S.O., S.D.)
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health (A.R., M.P.V.), University of Florence, Italy
| | - Mario Mascalchi
- 'Mario Serio' Department of Experimental and Clinical Biomedical Sciences (M.M.), University of Florence, Italy
| | - Leonardo Pantoni
- 'Luigi Sacco' Department of Biomedical and Clinical Sciences, University of Milan, Italy (L.P.)
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Gavazzi G, Lenge M, Bartolini E, Bianchi A, Agovi H, Mugnai F, Guerrini R, Giordano F, Viggiano MP, Mascalchi M. Left inferior frontal cortex can compensate the inhibitory functions of right inferior frontal cortex and pre-supplementary motor area. J Neuropsychol 2018; 13:503-508. [PMID: 30156753 DOI: 10.1111/jnp.12170] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 07/31/2018] [Indexed: 12/01/2022]
Abstract
Right-IFG and pre-SMA are associated with inhibitory responses. We used functional Magnetic Resonance Imaging to explore whether the contralateral homotopic regions can functionally replace them. An adolescent, with an extensive traumatic lesion of the right cerebral hemisphere having occurred 5 years earlier, performed a motor response inhibition task (Go/Nogo), which was properly accomplished and associated to activations in the left-IFC, precuneus and occipital cortex. Such functional remodelling is in line with the theory of 'near equipotentiality' of the cerebral hemispheres.
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Affiliation(s)
- Gioele Gavazzi
- Department of Integrated Imaging, IRCCS SDN, Naples, Italy
| | - Matteo Lenge
- Neurology Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | | | - Andrea Bianchi
- Neuroimaging Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | - Herdis Agovi
- Department of Neuroscience, Psychology Drug Research & Child's Health, University of Florence, Florence, Italy
| | - Francesca Mugnai
- Neuroimaging Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | - Renzo Guerrini
- Neurology Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | - Flavio Giordano
- Pediatric Neurosurgery Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology Drug Research & Child's Health, University of Florence, Florence, Italy
| | - Mario Mascalchi
- Neuroimaging Unit, "A. Meyer" Children's Hospital, Florence, Italy
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Falcone M, Paul M, Yahav D, Orlando G, Tiseo G, Prendki V, Güerri-Fernández R, Gavazzi G, Mutters NT, Cookson B, Tinelli Marco M. Antimicrobial consumption and impact of antimicrobial stewardship programmes in long-term care facilities. Clin Microbiol Infect 2018; 25:562-569. [PMID: 30076978 DOI: 10.1016/j.cmi.2018.07.028] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Revised: 07/13/2018] [Accepted: 07/19/2018] [Indexed: 11/15/2022]
Abstract
BACKGROUND Antimicrobials are among the most frequently prescribed drugs in long-term care facilities (LTCFs). Implementation of antimicrobial stewardship programmes (ASPs) is often challenging because of scarce data in this setting. OBJECTIVES This narrative review aimed to provide data about antibiotic consumption in LTCFs and the need, implementation, and organization of ASPs in this setting. SOURCE PubMed was searched for studies assessing antimicrobial consumption and implementation of ASPs in LTCFs. The search was restricted to articles published in English in the last 10 years. Experts belonging to the ESCMID Study Group for Infections in the Elderly (ESGIE) reviewed the selected studies and evaluated the studies on ASPs according to the GRADE approach. Moreover, the quality of reporting has been assessed according to TREND and CONSORT checklists for quasi-experimental and cluster randomized clinical trials (cRCT), respectively. CONTENT Data on antibiotic consumption in LTCFs show great variability in LTCFs across and within countries. Reasons for this variability are difficult to analyse because of the differences in the types of LTCFs, their organization, and the population cared-for in the different LTCFs. However, studies show that the use of antibiotics among elderly patients in LTCFs, especially in cases of asymptomatic bacteriuria and influenza-like syndromes, is often inappropriate. High-quality cRCTs and low to moderate quality quasi-experimental studies show that educational interventions direct at nurse and physicians are effective in reducing unnecessary antibiotic prescriptions. IMPLICATIONS There is an urgent need for ASPs tailored for LTCFs. Multifaceted organized educational interventions, involving both clinicians and nursing staff, should be advocated and require institutional intervention by health authorities. Future studies assessing the impact of well-defined ASPs in LTCFs should produce compelling evidence in this setting.
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Affiliation(s)
- M Falcone
- Division of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Pisa, Italy.
| | - M Paul
- Infectious Diseases Institute, Rambam Health Care Campus, The Ruth and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel
| | - D Yahav
- Infectious Diseases Unit, Rabin Medical Centre, Beilinson Hospital, Petah-Tikva, Israel
| | - G Orlando
- Clinic of Infectious Diseases, University Hospital, University of Modena and Reggio Emilia, Modena, Italy
| | - G Tiseo
- Department of Internal Medicine and Medical Specialties, "Sapienza" University of Rome, Rome, Italy
| | - V Prendki
- Internal Medicine and Rehabilitation Unit, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
| | - R Güerri-Fernández
- Infectious Diseases, Hospital Del Mar Medical Research Institute, Departament de Medicina, Universitat Autónoma de Barcelona, Barcelona, Spain
| | - G Gavazzi
- University of Grenoble-Alpes and Clinic of Geriatrics, University Hospital of Grenoble-Alpes, Grenoble, France
| | - N T Mutters
- Institute for Infection Prevention and Hospital Epidemiology, Medical Centre - University of Freiburg, Faculty of Medicine, Freiburg, Germany
| | - B Cookson
- Division of Infection and Immunity, University College London, Gower Street, London, WCl E 68T, UK
| | - M Tinelli Marco
- Long Term Care Facility "Pio Albergo Trivulzio", Milan, Italy
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Drevet S, Gavazzi G, Grange L, Dupuy C, Lardy B. Reactive oxygen species and NADPH oxidase 4 involvement in osteoarthritis. Exp Gerontol 2018; 111:107-117. [PMID: 30012342 DOI: 10.1016/j.exger.2018.07.007] [Citation(s) in RCA: 59] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Revised: 07/06/2018] [Accepted: 07/09/2018] [Indexed: 01/04/2023]
Abstract
Osteoarthritis (OA) is a degenerative chronic disease affecting >300,000 million people around the world as of 2016. Symptomatic measures exist, but there are hardly any curative treatments available. Disruption of the cartilage homeostasis in favor of catabolism leads to cartilage destruction. ROS-macromolecular-induced damage is significantly greater in OA cartilage and OA is described as low-grade chronic systemic inflammation. This review aimed to assess the critical role of cartilage ageing and oxidative stress in the OA process, focusing in particular on NADPH oxidase and especially Nox4 involvement. With age, hypertrophic senescent cells with an altered redox cell profile accumulated. Chondrocytes are more sensitive to oxidant-mediators and the serum level of pro-inflammatory mediators increases. Age-related advanced glycation end products impact on extra cellular matrix (ECM) properties leading to the apoptosis of chondrocytes. A focus on NADPH oxidase-mediated-ROS signaling highlighted the very specific Nox4 isoform, which plays a role on the final common pathway targeting chondrocyte cells. IL-1β-mediated Nox4 stimulation induced an increase in the levels released by the chondrocyte of MMP-1 and MMP-13 proteins, which are involved in ECM degradation. In comparison with the other Nox isoforms, Nox4 remains unusual, since it is constitutively active, does not depend on cytosolic activator proteins and seems to generate H2O2 thanks to the specific conformation of the Nox4 E-loop. Nox4-induced ROS production appears an essential actor in the OA process and it could be relevant to focus on this target in the aim of discovering and developing new therapeutic strategies.
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Affiliation(s)
- S Drevet
- Grenoble Alpes University Hospital, Orthogeriatric Unit, Geriatric Department, Grenoble Alpes University, GREPI UGA-EFS EA7408, Boulevard de la Chantourne, 38043 Grenoble Cedex 1, France.
| | - G Gavazzi
- Grenoble Alpes University Hospital, Acute Geriatric Medicine Unit, Geriatric Department, Grenoble Alpes University, GREPI UGA-EFS EA7408, Boulevard de la Chantourne, 38043 Grenoble Cedex 1, France.
| | - L Grange
- Grenoble Alpes University Hospital, Rheumatology Department, Hopital Sud, GREPI UGA-EFS EA7408, 19 avenue de Kimberley, 38130 Echirolles, France.
| | - C Dupuy
- Institut Gustave Roussy, UMR 8200 CNRS "Stabilité génétique et Oncogenèse", 114 rue Edouard Vaillant, 94805 Villejuif Cedex, France.
| | - B Lardy
- Grenoble Alpes University Hospital, Biology Department, Grenoble Alpes University, GREPI UGA-EFS EA7408, Boulevard de la Chantourne, 38043 Grenoble Cedex 1, France.
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Gavazzi G, Meyrignac L, Drevet S, Mitha N, Zerhouni N, Lopez C, Fourny M, François P. Apports de la procalcitonine et de la CRP dans les bactériémies du sujet âgé : étude monocentrique sur 776 hémocultures. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Durand M, de Wazieres B, Gavazzi G, Legout L, Bernard L, Forestier E, Fraisse T. Déterminants de la prescription d’antibiotiques chez les personnes âgées en phase terminale de soins palliatifs : enquête nationale de pratiques. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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45
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Caupenne A, Ingrand I, Lauda M, Priner M, Ingrand P, Gavazzi G, Paccalin M. Prise en charge de l’infection à Clostridium difficile chez le sujet âgé : résultats de l’enquête nationale CLOdi. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Caron F, Galperine T, Flateau C, Azria R, Bonacorsi S, Bruyère F, Cariou G, Clouqueur E, Cohen R, Doco-Lecompte T, Elefant E, Faure K, Gauzit R, Gavazzi G, Lemaitre L, Raymond J, Senneville E, Sotto A, Subtil D, Trivalle C, Merens A, Etienne M. Practice guidelines for the management of adult community-acquired urinary tract infections. Med Mal Infect 2018; 48:327-358. [PMID: 29759852 DOI: 10.1016/j.medmal.2018.03.005] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 12/24/2017] [Accepted: 03/13/2018] [Indexed: 11/19/2022]
Affiliation(s)
- F Caron
- Maladies infectieuses, groupe de recherche sur l'adaptation microbienne (EA2656), université de Normandie, CHU de Rouen, 76000 Rouen, France
| | - T Galperine
- Infection Control Program, Geneva University Hospitals, Switzerland
| | - C Flateau
- Immunologie clinique et maladies infectieuses, centre hospitalier Henri-Mondor, 94000 Créteil, France
| | - R Azria
- Cabinet de médecine générale, 95510 Vetheuil, France
| | - S Bonacorsi
- Service de microbiologie, hôpital Robert-Debré, université Paris Diderot, AP-HP, 75019 Paris, France
| | - F Bruyère
- Urologie, CHU deTours, 37000 Tours, France
| | - G Cariou
- Urologie, centre hospitaler Diaconesses, 75012 Paris, France
| | - E Clouqueur
- Gynécologie, CHRU de Lille, 59000 Lille, France
| | - R Cohen
- Néonatologie, centre hospitalier intercommunal de Créteil, 94000 Créteil, France
| | - T Doco-Lecompte
- Maladies infectieuses, hôpitaux universitaires de Genève, Genève, Switzerland
| | - E Elefant
- Centre de référence sur les agents tératogènes, hôpital Armand-Trousseau, Groupe hospitalier Est, AP-HP, 75012 Paris, France
| | - K Faure
- Maladies infectieuses, CHRU de Lille, 59000, France
| | - R Gauzit
- Réanimation, CHU de Cochin, AP-HP, 75014 Paris, France
| | - G Gavazzi
- Clinique de médecine gériatrique, CHU de Grenoble-Alpes, 38700 La Tronche, France
| | - L Lemaitre
- Radiologie, CHRU de Lille, 59000 Lille, France
| | - J Raymond
- Microbiologie, université Paris Descartes, CHU de Cochin, 75014 Paris, France
| | - E Senneville
- Maladies infectieuses, CHRU de Lille, 59000 Lille, France
| | - A Sotto
- Maladies infectieuses, hôpital universitaire Carémeau, 30000 Nîmes, France
| | - D Subtil
- Gynécologie-obstétrique, CHRU Lille, 59000 Lille, France
| | - C Trivalle
- Gérontologie, hôpital Paul-Brousse, 94800 Villejuif, France
| | - A Merens
- Microbiologie, hôpital Inter-armées Begin, 94160 Saint-Mandé, France
| | - M Etienne
- Maladies infectieuses, groupe de recherche sur l'adaptation microbienne (EA2656), université de Normandie, CHU de Rouen, 76000 Rouen, France.
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Rossi A, Giovannelli F, Gavazzi G, Righi S, Cincotta M, Viggiano M. Electrophysiological Activity Prior to Self-initiated Movements is Related to Impulsive Personality Traits. Neuroscience 2018; 372:266-272. [DOI: 10.1016/j.neuroscience.2018.01.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 12/11/2017] [Accepted: 01/03/2018] [Indexed: 10/18/2022]
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Guiso N, Gallais JL, Gavazzi G, Pinquier D, Gaillat J. Incidence of pertussis in subjects aged 50years and older in France in 2013-2014. Med Mal Infect 2017; 48:30-36. [PMID: 29037454 DOI: 10.1016/j.medmal.2017.09.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Revised: 02/03/2017] [Accepted: 09/01/2017] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To assess the incidence of pertussis (whooping cough) in subjects aged 50years and older in France. METHODS Participating family physicians (FPs) using the patient record management software AxiSanté® included patients aged 50years and older, who had signed an informed consent form, presenting with persistent cough for 7 to 21days. Bordetella genetic material was detected by polymerase chain reaction (PCR) on nasopharyngeal samples collected at the FP's discretion. RESULTS A total of 42 FPs included 129 patients from June 2013 to August 2014 (large cities: 38; medium-sized cities: 57; rural areas: 34); 106 samples were analyzed. Overall, 30 pertussis cases were diagnosed: 10 cases confirmed by PCR, 18 purely clinical cases, and two direct epidemiological cases. The crude incidence rate per 100,000 patients aged≥50years was 103.6 (95% CI: 69.9-47.9): 77.1 in large cities, 103.1 in medium-sized cities, and 143.9 in rural areas. The extrapolated incidence rate per 100,000 persons aged≥50years was 187.1 (95% CI: 126.2-67.1): 131.1 in large cities, 256.1 in medium-sized cities, and 242.2 in rural areas. CONCLUSION The population aged 50years and older can serve as a reservoir. Its role in Bordetella pertussis circulation should be taken into account for pertussis booster vaccination programs.
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Affiliation(s)
- N Guiso
- Institut Pasteur, unité de prévention et thérapies moléculaires des maladies humaines, 25-28, rue du Docteur-Roux, 75724 Paris cedex 15, France.
| | - J-L Gallais
- Société française de médecine générale (SFMG), 141, avenue de Verdun, 92130 Issy-les-Moulineaux, France
| | - G Gavazzi
- Clinique universitaire de médecine gériatrique, université Grenoble-Alpes, GREPI AGIM, CHU de Grenoble, boulevard de La Chantourne, 38700 La Tronche, France
| | - D Pinquier
- Service de pédiatrie néonatale et réanimation, hôpital Charles-Nicolle, pavillon Mère-et-Enfant, 1, rue de Germont, 76031 Rouen cedex, France
| | - J Gaillat
- Service des maladies infectieuses et médecine interne, centre hospitalier d'Annecy Genevois, 1, avenue de l'Hôpital, Metz-Tessy, BP 90074, 74374 Pringy cedex, France
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Mascalchi M, Lenge M, Bianchi A, Bartolini E, Gavazzi G, Giordano F, Guerrini R. Hemicerebellitis can drive handedness shift. Cerebellum Ataxias 2017; 4:14. [PMID: 28919980 PMCID: PMC5598001 DOI: 10.1186/s40673-017-0074-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 09/11/2017] [Indexed: 01/25/2023]
Abstract
Background Hemicerebellitisis a rare acquired condition, typical of the pediatric age. A residual switched handedness may develop after remission of acute cerebellar symptoms. Case presentation Herein we describe a motor functional MRI studyperformed in a 35-year old girl who had switched to left-handedness after acute right hemicerebellitis in childhood. During left hand tapping, we observed activation in the right primary sensori-motor cortex, right supplementary motor area and left superior cerebellum. During right hand tapping bilateral activations of primary sensori-motorcortex and superior cerebellum including the vermis and activation of the right supplementary motor area were observed. We speculate that during right hand tapping both the ipsilateral and contralateralpre-central gyri and the ipsilateral cerebellum would be engaged in order to recover the tapping internal model of action. From this perspective the ipsilateral pre-central gyrus might serve as are transmission station of information from the healthy cerebellum to the contralateral pre-central gyrus. Conclusion Selective damage of the right half of the cerebellum due to hemicerebellitis in childhood can drive shift of lateralized hand functions in the cerebrum.
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Affiliation(s)
- Mario Mascalchi
- Neuroimaging Unit, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Matteo Lenge
- Neurology Unit and Laboratories, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Andrea Bianchi
- Neuroimaging Unit, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Emanuele Bartolini
- Neurology Unit and Laboratories, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Gioele Gavazzi
- Neuroimaging Unit, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Flavio Giordano
- Pediatric Neurosurgery Unit, A. MeyerChildren's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
| | - Renzo Guerrini
- Neurology Unit and Laboratories, A. Meyer Children's Hospital, University of Florence, Viale Pieraccini 23, 50139 Florence, Italy
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Gavazzi G, Orsolini S, Rossi A, Bianchi A, Bartolini E, Nicolai E, Soricelli A, Aiello M, Diciotti S, Viggiano MP, Mascalchi M. Alexithymic trait is associated with right IFG and pre-SMA activation in non-emotional response inhibition in healthy subjects. Neurosci Lett 2017; 658:150-154. [PMID: 28827128 DOI: 10.1016/j.neulet.2017.08.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 05/18/2017] [Accepted: 08/12/2017] [Indexed: 11/15/2022]
Abstract
Event-related fMRI studies have explored emotion inhibitory processes in alexithymic individuals and have demonstrated abnormal BOLD activations in the processing of emotional stimuli. So far, no study has explored the relationship between the alexithymic trait and the general inhibition process, namely utilizing stimuli devoid of emotional valence. In this study 26 healthy subjects were administered the Toronto Alexithymic Scale (TAS-20) questionnaire to measure the alexithymic trait and performed an event related Go/Nogo task build up with letters during fMRI acquisition. We found no correlation between the TAS-20 z-score and the reaction times during the Go/Nogo task. Conversely, we observed a positive correlation between the degree of alexithymic trait -measured with the TAS-20 and the Nogo-Go activation of the right Inferior Frontal Gyrus and the right pre-Supplementary Motor Area. These data suggest that the general process of response inhibition may be modulated by the individual degree of alexithymic trait. We propose that such a relationship could reflect a compensatory mechanism implemented by participants with higher degree of alexithymic trait to reach a correct inhibition.
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Affiliation(s)
- Gioele Gavazzi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Italy
| | - Stefano Orsolini
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Arianna Rossi
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
| | - Andrea Bianchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Italy; Neuroradiology Unit, "A. Meyer" Children's Hospital, Florence, Italy
| | | | | | | | - Marco Aiello
- Department of Integrated Imaging, IRCCS SDN, Naples, Italy
| | - Stefano Diciotti
- Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy.
| | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Italy; Neuroradiology Unit, "A. Meyer" Children's Hospital, Florence, Italy
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