Multi-phase outflows in Mkn 848 observed with SDSS-MaNGA Integral Field Spectroscopy

The characterisation of galaxy-scale outflows in terms of their multi-phase nature, amount, and effects of flowing material is crucial to place constraints on models of galaxy evolution. This study can proceed only with the detailed investigation of individual targets. We present a spatially resolved spectroscopic optical data analysis of Mkn 848, a complex system consisting of two merging galaxies at z~0.04 that are separated 7.5 kpc (projected distance). Motivated by the presence of a multi-phase outflow in the north-west system revealed by the SDSS integrated spectrum, we analysed the publicly available MaNGA data, which cover almost the entire merging system, to study the physical properties of cool and warm gas in detail. Galaxy-wide outflowing gas in multiple phases is revealed for the first time in the two merging galaxies. We also detect spatially resolved resonant NaID emission associated with the outflows. The derived outflow energetics may be consistent with a scenario in which both winds are accelerated by stellar processes and AGN activity, although we favour an AGN origin given the high outflow velocities and the ionisation conditions observed in the outflow regions. Deeper observations are required, however, to better constrain the nature of these multi-phase outflows. Outflow energetics in the north-west system are strongly different between the ionised and atomic gas components, the latter of which is associated with mass outflow rate and kinetic and momentum powers that are 1-2 dex higher; those associated with the south-east galaxy are instead similar. Strong kp-scale outflows are revealed in an ongoing merger system, suggesting that feedback can potentially impact the host galaxy even in the early merger phases. The characterisation of the neutral and ionised gas phases has proved to be crucial for a comprehensive study of the outflow phenomena.Comment: 19 pages, 14 figures, accepted for publication in A&

Alexithymia and Suicide Risk in Psychiatric Disorders: A Mini-Review.

It is well known that alexithymic individuals may show significantly higher levels of anxiety, depression, and psychological suffering than non-alexithymics. There is an increasing evidence that alexithymia may be considered a risk factor for suicide, even simply increasing the risk of development of depressive symptoms or per se. Therefore, the purpose of this narrative mini-review was to elucidate a possible relationship between alexithymia and suicide risk. The majority of reviewed studies pointed out a relationship between alexithymia and an increased suicide risk. In several studies, this relationship was mediated by depressive symptoms. In conclusion, the importance of alexithymia screening in everyday clinical practice and the evaluation of clinical correlates of alexithymic traits should be integral parts of all disease management programs and, especially, of suicide prevention plans and interventions. However, limitations of studies are discussed and must be considered

Flow Characterization of a Pulsating Heat Pipe through the Wavelet Analysis of Pressure Signals

Pulsating Heat Pipes are two phase passive heat transfer devices characterized by a thermally induced two phase oscillating flow. The correct detection of the dominant frequencies of such oscillations is fundamental to fully characterize the device thermofluidic operation but the studies available in the literature are very heterogenous and results are often discordant. In this work, the concept of dominant frequency in Pulsating Heat Pipes is thoroughly discussed and defined analytically. The wavelet transform is used to characterize the fluid pressure signal in the frequency domain varying the heat power input at the evaporator and in the condenser zone of a full-scale Pulsating Heat Pipe tested in microgravity conditions. During the slug-plug flow regime, the dominant frequencies falls in the range 0.6–0.9 Hz, showing an increasing trend with the heat load input. The Cross-Correlation reveals that the two signals at the evaporator and at the condenser are very similar. Finally, the instantaneous angle of phase is calculated and lies between 310 and 360 deg. This value can be physically interpreted as a repeatable time shift between the two signals that can be used to evaluate the flow local mean velocity (0.09–0.13 m/s) constituting a valuable alternative to the visualization techniques

Cotard’s Syndrome: Clinical Case Presentation and Literature Review

In 1880 French neurologist Jules Cotard described a condition characterized by delusion of negation (nihilistic delusion) in a melancholia context. Recently, there has been a resurgence of interest in Cotard’s syndrome. The most prominent symptoms of Cotard’s Syndrome are depressive mood, nihilistic delusions concerning one’s own body and one’s own existence, delusions of guilt, immortality and hypochondria. The aim of the present paper is to review literature evidences concerning Cotard’s syndrome and to describe a clinical case keeping in the background the recent trends on its psychopathological implications. In the clinical study, the following sequence of stages emerged: the dissociative side, expressed as a loss of body-mind cohesion; the ‘mixed’ mood disorder, with depressive-manic episodes, and a persecutory background, all coexisting in the anguish of the idea of a body falling apart, the anguish of a descent towards the abyss of melancholia and/or an ascent to unlimited euphoria, characteristic of an “uncommon alarm” for loss of Self cohesion

Atypical Antipsychotics in the Treatment of Acute Bipolar Depression with Mixed Features: A Systematic Review and Exploratory Meta-Analysis of Placebo-Controlled Clinical Trials

Evidence supporting the use of second generation antipsychotics (SGAs) in the treatment of acute depression with mixed features (MFs) associated with bipolar disorder (BD) is scarce and equivocal. Therefore, we conducted a systematic review and preliminary meta-analysis investigating SGAs in the treatment of acute BD depression with MFs. Two authors independently searched major electronic databases from 1990 until September 2015 for randomized (placebo-) controlled trials (RCTs) or open-label clinical trials investigating the efficacy of SGAs in the treatment of acute bipolar depression with MFs. A random-effect meta-analysis calculating the standardized mean difference (SMD) between SGA and placebo for the mean baseline to endpoint change in depression as well as manic symptoms score was computed based on 95% confidence intervals (CI). Six RCTs and one open-label placebo-controlled studies (including post-hoc reports) representing 1023 patients were included. Participants received either ziprasidone, olanzapine, lurasidone, quetiapine or asenapine for an average of 6.5 weeks across the included studies. Meta-analysis with Duval and Tweedie adjustment for publication bias demonstrated that SGA resulted in significant improvements of (hypo-)manic symptoms of bipolar mixed depression as assessed by the means of the total scores of the Young Mania Rating Scale (YMRS) (SMD −0.74, 95% CI −1.20 to −0.28, n SGA = 907, control = 652). Meta-analysis demonstrated that participants in receipt of SGA (n = 979) experienced a large improvement in the Montgomery–Åsberg Depression Rating Scale (MADRS) scores (SMD −1.08, 95% CI −1.35 to −0.81, p < 0.001) vs. placebo (n = 678). Publication and measurement biases and relative paucity of studies. Overall, SGAs appear to offer favorable improvements in MADRS and YMRS scores vs. placebo. Nevertheless, given the preliminary nature of the present report, additional original studies are required to allow more reliable and clinically definitive conclusions

Obstructive sleep apnea and heart disease: the biomarkers point of view.

Obstructive sleep apnea syndrome (OSAS) is a highly prevalent disorder. Important risk factors for this disease are represented by obesity, male gender, smoking, some endocrinological disturbances, alcohol intake, use of benzodiazepines, and craniofacial alterations. It is well known that OSAS is a frequent comorbidity as well as a relevant risk factor for cardiovascular diseases (CVD), especially in patients with hypertension, coronary artery disease (CAD), arrhythmias, and heart failure. Furthermore, therapy with continuous positive airway pressure devices (CPAP) has been shown to significantly reduce the incidence of serious cardiovascular consequences. Interactions between OSAS and the cardiovascular system (CVS) can eventually result mainly in coronary atherosclerosis. These two conditions are connected by a complex biomarkers network. An extensive overview of these pathways could be helpful to better understand the causes of cardiovascular impairment in patients with OSAS

Induced sputum as a tool for early detection of airway inflammation in connective diseases-related lung involvement.

Induced sputum (IS) sampling is a safe and validated approach to study bronchial inflammation in chronic obstructive lung diseases. Although promising results have also been reported in various diffuse interstitial lung disorders, the potential use of IS in the assessment of connective tissue diseases (CTD)-related lung involvement has not yet been investigated. Aim of the study: To evaluate the clinical usefulness of IS in the early management of patients suffering from rheumatoid arthritis (RA) and systemic sclerosis (SSc) at the onset of respiratory symptoms. Patients and methods: The study population included 19 patients (RA ¼ 12; SSc ¼ 7) and 14 age- and sex-matched healthy volunteers. Lung function testing, high resolution computed tomography (HRCT) of the thorax and IS collection were performed in all cases. Broncho-alveolar lavage (BAL) was obtained in selected patients. Results: IS samples from patients contained a significantly higher percentage of neutrophils and a lower percentage of macrophages compared to healthy subjects (p ¼ 0.002 and 0.001, respectively), while the total cell number showed no differences. In addition, sputa yielded both higher cell counts and higher neutrophils than BAL samples (p ¼ 0.02 in all instances). No correlations were found between IS findings and lung function parameters, HRCT and BAL findings

The accretion regimes of a highly magnetized NS: the unique case of NuSTAR J095551+6940.8

The ultraluminous accreting pulsar M82-X2 (NuSTAR J095551+6940.8) offers an unprecedented opportunity to study the disc-magnetosphere interaction in a new regime of supercritical accretion. The source X-ray emission has been highly variable during the last 15 yrs. It ranged from a maximum of ∼2 × 1040 erg s-1 through intermediate values ∼ a few × 1039 erg s-1, and down to a minimum below 2 × 1038 erg s-1 that we have determined here, by analysing archival Chandra HRC observations of the source at an epoch at which it was undetected. We interpret the source variability via a magnetically threaded disc model: when at peak luminosity, the neutron star (NS) is close to spin equilibrium, its inner disc edge rm ∼ 108 cm is approximately half the corotation radius rco, and radiation pressure dominates the disc out to rtr ≲ 109 cm. In the radiation-pressure-dominated regime, rm grows very slowly as the mass inflow rate drops: as a result, rm co remains valid until dot{M} ≳dot{M}_E, the Eddington accretion rate, allowing a wide range of accretion luminosities to the NS. Once dot{M} m > rco, and the source luminosity is expected to drop by a large factor. We conclude that a magnetically threaded accretion disc surrounding a highly magnetized NS (B ≲ 1013 G), and transitioning between the radiation-pressure and gas-pressure dominated regimes, offers the best interpretation for all the currently observed properties of NuSTAR J095551+6940.8