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Since the appearance of resistance to antiretroviral treatment is unavoidable, the host cell’s transcription factor NF-kappaB is a novel HIV target. The goal of this study was to characterize the effect of two immunomodulators, curcumin (Cur) and sulfasalazine (Sul), with a protease inhibitor, indinavir (IDV), on HIV-1 persistently infected CD4+ T-cells. Viral p24 antigen production, viral infectivity (tested on MAGI cells) and viral relative infectivity (viral infectivity/p24) were analysed. When used alone, both immunomodulators were able to reduce viral infectivity. When in combination, both 10 μM IDV plus 10 μM Cur and 10 μM IDV plus 250 μM Sul showed a significant reduction in viral infectivity and viral relative infectivity when compared to the reduction produced by IDV alone. Thus, the use of immunomodulators with IDV could help to reduce HIV-1 production in persistently infected cells. [ABSTRACT FROM AUTHOR]

In ice hockey, players produce high velocities by skating and game actions are typically characterized by sudden accelerations and brisk decelerations. Thus, the vestibular system is particularly stressed. The aims of this study were to evaluate sensorial organization and head stabilization control of ice hockey players in order to investigate if this kind of activity induces specific sensorimotor adaptation. We studied 8 elite hockey players, 8 amateur players and 10 healthy controls. Three tests were performed: (1) sensory organization test (SOT) to evaluate sensorial organization in maintaining steady stance in quiet standing; (2) head stabilization stance test (H-STAN) to evaluate head-to-trunk stabilization during quiet steady stance; and (3) stepping test (STEP) to evaluate skills in maintaining the head stable with respect to the trunk during walking in place. In SOT, elite players had a greather visual component and reduced vestibular component. In H-STAN test, elites, when standing on foam, presented head less stable than trunk. In STEP test, with respect to normal subjects and amateurs the head of elites was less stable in the sagittal plane with eyes open and more stable in the frontal plane with eyes closed. [ABSTRACT FROM AUTHOR]

Very few studies to date have investigated the neuropsychological changes detectable in children suffering from frontal lobe epilepsy (FLE). The aim of the present study was to assess the effects of FLE on cognitive and executive functions in childhood. The sample includes 17 children with a frontal epileptogenic focus (10 right and 7 left), with no evidence of anatomical brain damage. These subjects were assessed by means of a battery of tests to investigate executive functioning. The results emphasised the presence of selective impairments of frontal lobe functions without evidence of deficits in global intellectual functioning. No side-specific deficits were detected, while an earlier onset of epilepsy and the duration of the disorder, but not the seizures frequency, were found to correspond with more severe deficits in some specific frontal lobe functions. [ABSTRACT FROM AUTHOR]

This study presents developmental data for verbal and spatial memory tasks: Corsi's block-tapping test and Luria's verbal learning test. Norms have been collected from 275 primary and early secondary school children aged from 5 years, 4 months to 13 years, 6 months. Our results confirm a slow and constant improvement in performances over time, and the advantage of about 1.5 items of the verbal span over the spatial span supports the existence of developmental differences between separate memory systems. No significant sex difference was found even if a slight trend in verbal span favouring female subjects is present. [ABSTRACT FROM AUTHOR]

Increasing survival rates in malignant brain tumors treatment have directed attention to the side effects of long-term disease control. Nevertheless, although the treatment protocols are continuously remodelled, the quality of life of children surviving for a long time is still poor. The most severe sequelae are neurocognitive disorders, which are associated with neurobehavioural alterations. The last are partly derived directly from the lesion localisation and treatments, but are often reinforced by academic and social failure. The deleterious effect of radiotherapy (CRT) is very well documented and confirmed in all the studies. The radiation dose delivered according to the age has reduced, but not fully eliminated, the negative influence on mental functioning. Also the CRT hyperfractionation has reduced, but not cancelled, this cognitive negative impact. Intrathecal methotrexate per se is responsible for a severe cognitive impairment, which can be even more severe in association to CRT. Some surgical approaches have been responsible for postoperative behavioural disturbances. Serial neuropsychological and behavioural evaluations, which should also include the survivors’ own perception of their quality of life, are badly needed. The results of these evaluations should be covariate with several factors (age, type of surgery, lesion site, hydrocephalus, complementary therapies) in an attempt to define interdisciplinary treatment protocols to maximise survival while minimising cognitive/behavioural deficits. [ABSTRACT FROM AUTHOR]

To reduce the sequelae from CNS irradiation (RT), 16 children younger than 3 years with medulloblastoma-PNET (13 cases) and ependymoma (3 cases) were treated between 1987–1993 according to different postsurgical chemotherapy (CT) programs. None of these patients presented with metastases. Eleven patients were rendered disease-free by surgery, while 5 had residual tumor. Adjuvant therapy depended on patients’ age, postsurgical status and parents’ consent to radiotherapy (RT). Nine of the 16 infants remained alive in continuous complete remission from the first neoplasm (median follow-up 7 years). Three of them had been treated with CT alone and 6 with combined CT+RT (posterior fossa 4, whole CNS 2). Seven patients relapsed a median of 13 months after diagnosis, and all 7 of them died of their disease. Despite the omission of RT in 6 of the 16 patients and administration of only focal RT in 8 of the 16, the outcome of this series was satisfactory. Local failure (in 5/7 patients) was the major problem, despite the high dose of RT used in 2 of these 5. In 4 of 6 evaluable children school performance was satisfactory. One child in whom the entire CNS was irradiated developed glioblastoma multiforme 120 months after the first diagnosis of medulloblastoma. [ABSTRACT FROM AUTHOR]

Here we present the data concerning the intellectual, language, and frontal performances of 24 children who have undergone surgery because of cerebellar hemisphere or vermis tumors and one girl with viral cerebellitis. The children with right cerebellar tumors presented auditory sequential memory and language processing disturbances; those with left cerebellar tumors showed deficits in spatial tests and visual sequential memory. The girl with cerebellitis showed a complex neuropsychological picture with impairment in processing language and general sequential functions. Lesions of the vermis lead to two pictures: (1) a postsurgical mutism that could be subdivided into speech disorders (even to the extent of anarthria) and true language disturbances similar to frontal aphasia and (2) behavioral disturbances ranging from irritability to a truly autistic response. These data seem to support the recently attributed role of the cerebellum as a modulator of the superior mental and social functions. [ABSTRACT FROM AUTHOR]

Dihydropyrimidine dehydrogenase (DPD) deficiency is an autosomal recessive disease characterised by thymine-uraciluria in homozygous deficient patients and has been associated with a variable clinical phenotype. In order to understand the genetic and phenotypic basis for DPD deficiency, we have reviewed 17 families presenting 22 patients with complete deficiency of DPD. In this group of patients, 7 different mutations have been identified, including 2 deletions [295–298delTCAT, 1897delC], 1 splice-site mutation [IVS14+1G>A)] and 4 missense mutations (85T>C, 703C>T, 2658G>A, 2983G>T). Analysis of the prevalence of the various mutations among DPD patients has shown that the G→A point mutation in the invariant splice donor site is by far the most common (52%), whereas the other six mutations are less frequently observed. A large phenotypic variability has been observed, with convulsive disorders, motor retardation and mental retardation being the most abundant manifestations. A clear correlation between the genotype and phenotype has not been established. An altered β-alanine, uracil and thymine homeostasis might underlie the various clinical abnormalities encountered in patients with DPD deficiency. [ABSTRACT FROM AUTHOR]

Late outcome in 12 children treated by radical surgery for craniopharyngioma is presented. None of the patients presented underwent fractionated traditional or stereotactic radiotherapy. The results show no neurological (except visual dysfunction in 6 subjects), cognitive or short-term memory deficits. Three children were found to have a minor attention deficit. In 5 cases “frontal lobe” malfunctioning was disclosed, and in 5 there were bursts of unpredictable anger. Three children showed worsening of functioning at school: a combination of various causes is suggested to explain the worsening of academic performances. The size of the sample calls for a careful evaluation of results, with due consideration for the influence of various factors on outcome. Multicentre studies are required to increase the sample size and achieve more general conclusions. [ABSTRACT FROM AUTHOR]

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This double-blind multiclinic crossover study was performed in order to compare the efficacy and tolerance of a 4-week treatment course with flavoxate, given orally at 1200 mg/day, with that of oxybutynin, 15 mg/day orally, in women with idiopathic motor or sensory urgency. Fifty patients were included in the study: 41 (20 affected by sensory urgency and 21 by motor urgency) completed both courses of treatment and were evaluated for efficacy utilizing clinical and urodynamic criteria. Diurnal and nocturnal frequency, diurnal incontinence, urgency, dysuria, and daily utilization of pads were comparably reduced by both treatments. A statistically significant improvement in all urodynamic parameters was present at the end of both treatment courses. The effect on the urodynamic parameters of the two treatments was comparable. According to the patients, flavoxate cured or greatly improved the syndrome in 81.6% of cases, while oxybutynin produced the same effects in 78.9%. The difference in efficacy between the two treatments was not statistically significant. Of the 41 patients who received both treatment courses, 11 (26.8%) experienced adverse reactions with flavoxate, and 37 (90.2%) with oxybutynin treatment. Moreover, 5 patients, not included in the efficacy evaluation, interrupted the treatment because of side effects while taking oxybutynin, whereas no patients stopped while taking flavoxate. The severity of the side effects recorded during oxybutynin treatment was significantly greater than during treatment with flavoxate. Flavoxate showed comparable efficacy to oxybutynin in relieving the urge syndrome, but was associated with fewer and milder side effects. [ABSTRACT FROM AUTHOR]