262 research outputs found

    In the Light of the Metabolic Memory Theory, Should Not All Aged People with Dysglycemia Be Treated?

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    Dysglycemia has been coined to define the prediabetic state. It defines high glucose levels below the diabetes ‘‘cut-offs.’’ The negative effects of dysglycemia, leading to cardiovascular complications, are amplified during aging. Despite this knowledge, treatment of dysglycemia in old subjects is usually overlooked by clinical practice. This article deals with a new theory regarding an intensive therapeutic approach targeting aged people. This hypothesis arises from the recent theory of metabolic memory, which defines early imprinting due to hyperglycemia in cells of the vasculature and of target organs, favoring the development of vascular complications. In addition, metabolic memory determines a durable effect of hypoglycemic treatment that is much longer than the period of therapy. This new evidence could allow us to hypothesize that a treatment of dysglycemia in aged people could remodel their glucose ‘‘trajectory’’ during aging toward a more optimal one, leading to successful aging

    Distributed Submodular Minimization Over Networks: A Greedy Column Generation Approach

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    Submodular optimization is a special class of combinatorial optimization arising in several machine learning problems, but also in cooperative control of complex systems. In this paper, we consider agents in an asynchronous, unreliable and time-varying directed network that aim at cooperatively solving submodular minimization problems in a fully dis- tributed way. The challenge is that the (submodular) objective set-function is only partially known by agents, that is, each one is able to evaluate the function only for subsets including itself. We propose a distributed algorithm based on a proper linear programming reformulation of the combinatorial problem. Our algorithm builds on a column generation approach in which each agent maintains a local candidate basis and locally generates columns with a suitable greedy inner routine. A key interesting feature of the proposed algorithm is that the pricing problem, which involves an exponential number of constraints, is solved by the agents through a polynomial time greedy algorithm. We prove that the proposed distributed algorithm converges in finite time to an optimal solution of the submodular minimization problem and we corroborate the theoretical results by performing numerical computations on instances of the s–t minimum graph cut proble

    Tecniche narrative nelle autobiografie italiane del Secondo Settecento

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    This Ph.D thesis analyses seven autobioraphies by italian writers, all born in in the Eighteenth century: Vittorio Alfieri, Carlo Goldoni, Lorenzo Da Ponte, Giacomo Casanova, Filippo Mazzei, Francesco Bal. It is divided in two parts: the first concerns with microtextuality aspects (incipit, explicit, dialogues, descriptions); the second deals with the macrotextuality ones (structures of time, structures of the plot). Besides evalutating in which ways the autobiographies organize their narration, the author compares them with Eighteenth Century italian novels and with other autobiographical works to see how much their structure is different

    Asymptomatic Helicobacter pylori Infection Increases Asymmetric Dimethylarginine Levels in Healthy Subjects

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    Background. Chronic infections have been demonstrated to be early factors of atherosclerosis and cardiovascular diseases, and their relevance increases when they are caused by agents with extremely broad spectrum of disease outcome such as Helicobacter pylori. The consequent endothelial impairment leads to a reduced bioavailability of nitric oxide. Increasing evidences have pointed out that the endogenous inhibitor of nitric oxide synthase, asymmetric dimethylarginine, defined as a risk factor for cardiovascular disease, may increase in infections and plays an important role impairing the vascular functions of the endothelium. Starting from these findings, we aim to investigate whether H. pylori may affect asymmetric dimethylarginine levels. Materials and Methods. The study was carried out on a group of 186 subjects (age 46.2 ± 14.9 years). We evaluated asymmetric dimethylarginine, symmetric dimethylarginine, L-arginine, presence of H. pylori by 13C-urea breath test, and the main parameters of glyco and lipo metabolic balance. Results. Increased levels of asymmetric dimethylarginine were found in H. pylori-positive subjects with respect to H. pylori-negative subjects (0.46 ×/÷ 1.13 versus 0.42 ×/÷ 1.23 μmol/l, p < .001, respectively). No differences were detected in L-arginine levels between the two groups. Multiple regression analysis performed in H. pylori-positive subjects and H. pylori-negative subjects showed profound differences in the variables related to asymmetric dimethylarginine (R2 = 66.9%, p < .01 versus 34.3%, p < .01, respectively) and symmetric dimethylarginine (R2 = 39.2%, p < .01 versus 20.6%, p = .09, respectively) levels. Conclusions. Our data clearly demonstrate that H. pylori infection increases asymmetric dimethylarginine levels. Moreover, this infection causes a profound metabolic modification that alters the role of the known determinants of asymmetric dimethylarginine levels. We conclude that H. pylori infection must be taken into account as a cause of increased asymmetric dimethylarginine levels and that the eradication of H. pylori may therefore lead to a decrease in asymmetric dimethylarginine levels, which is a further reason for the reduction of the risk for cardiovascular disease in this large portion of population
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