110 research outputs found
Plagioclase nucleation and growth kinetics in a hydrous basaltic melt by decompression experiments
Isothermal single-step decompression experiments (at temperature of 1075 °C and pressure between 5 and 50 MPa) were used to study the crystallization kinetics of plagioclase in hydrous high-K basaltic melts as a function of pressure, effective undercooling (ÎT eff) and time. Single-step decompression causes water exsolution and a consequent increase in the plagioclase liquidus, thus imposing an effective undercooling (âT eff), accompanied by increased melt viscosity. Here, we show that the decompression process acts directly on viscosity and thermodynamic energy barriers (such as interfacial-free energy), controlling the nucleation process and favoring the formation of homogeneous nuclei also at high pressure (low effective undercoolings). In fact, this study shows that similar crystal number densities (N a) can be obtained both at low and high pressure (between 5 and 50 MPa), whereas crystal growth processes are favored at low pressures (5â10 MPa). The main evidence of this study is that the crystallization of plagioclase in decompressed high-K basalts is more rapid than that in rhyolitic melts on similar timescales. The onset of the crystallization process during experiments was characterized by an initial nucleation event within the first hour of the experiment, which produced the largest amount of plagioclase. This nucleation event, at short experimental duration, can produce a dramatic change in crystal number density (N a) and crystal fraction (Ï), triggering a significant textural evolution in only 1 h. In natural systems, this may affect the magma rheology and eruptive dynamics on very short time scales
Exploring the Possible Use of AI Chatbots in Public Health Education: Feasibility Study
Background: Artificial intelligence (AI) is a rapidly developing field with the potential to transform various aspects of health care and public health, including medical training. During the âHygiene and Public Healthâ course for fifth-year medical students, a practical training session was conducted on vaccination using AI chatbots as an educational supportive tool. Before receiving specific training on vaccination, the students were given a web-based test extracted from the Italian National Medical Residency Test. After completing the test, a critical correction of each question was performed assisted by AI chatbots. Objective: The main aim of this study was to identify whether AI chatbots can be considered educational support tools for training in public health. The secondary objective was to assess the performance of different AI chatbots on complex multiple-choice medical questions in the Italian language. Methods: A test composed of 15 multiple-choice questions on vaccination was extracted from the Italian National Medical Residency Test using targeted keywords and administered to medical students via Google Forms and to different AI chatbot models (Bing Chat, ChatGPT, Chatsonic, Google Bard, and YouChat). The correction of the test was conducted in the classroom, focusing on the critical evaluation of the explanations provided by the chatbot. A Mann-Whitney U test was conducted to compare the performances of medical students and AI chatbots. Student feedback was collected anonymously at the end of the training experience. Results: In total, 36 medical students and 5 AI chatbot models completed the test. The students achieved an average score of 8.22 (SD 2.65) out of 15, while the AI chatbots scored an average of 12.22 (SD 2.77). The results indicated a statistically significant difference in performance between the 2 groups (U=49.5, P<.001), with a large effect size (r=0.69). When divided by question type (direct, scenario-based, and negative), significant differences were observed in direct (P<.001) and scenario-based (P<.001) questions, but not in negative questions (P=.48). The students reported a high level of satisfaction (7.9/10) with the educational experience, expressing a strong desire to repeat the experience (7.6/10). Conclusions: This study demonstrated the efficacy of AI chatbots in answering complex medical questions related to vaccination and providing valuable educational support. Their performance significantly surpassed that of medical students in direct and scenario-based questions. The responsible and critical use of AI chatbots can enhance medical education, making it an essential aspect to integrate into the educational system
Oxidative stress and inflammation: determinants of anthracycline cardiotoxicity and possible therapeutic targets
Chemotherapy with anthracycline-based regimens remains a cornerstone of treatment of many solid and blood tumors but is associated with a significant risk of cardiotoxicity, which can manifest as asymptomatic left ventricular dysfunction or overt heart failure. These effects are typically dose-dependent and cumulative and may require appropriate screening strategies and cardioprotective therapies in order to minimize changes to anticancer regimens or even their discontinuation. Our current understanding of cardiac damage by anthracyclines includes a central role of oxidative stress and inflammation. The identification of these processes through circulating biomarkers or imaging techniques might then be helpful for early diagnosis and risk stratification. Furthermore, therapeutic strategies relieving oxidative stress and inflammation hold promise to prevent heart failure development or at least to mitigate cardiac damage, although further evidence is needed on their efficacy, either alone or as part of combination therapies with neurohormonal antagonists, which are the current adopted standard
Eruption dynamics of the 22â23 April 2015 calbuco volcano (Southern Chile): Analyses of tephra fall deposits
After 54 years since its last major eruption in 1961, Calbuco Volcano (Ensenada, Southern Chile) reawakened with few hours of warning on 22 April 2015 at 18:05 local time. The main explosive eruption consisted of two eruption pulses (lasting ~1.5 and 6 h each one) on 22 and 23 April, producing stratospheric (>15 km height) eruption columns. The erupted materials correspond to porphyritic basaltic andesite (~55 wt.% of SiO2). The tephra fall affected mainly the area northeast of the volcano and the finest ash was deposited over Southern Chile and Patagonia Argentina. We studied the tephra fall deposits of both pulses in terms of stratigraphy, distribution, volume, emplacement dynamics and eruption source parameters. Here, we show field observations that have been made 5-470 km downwind and distinguish five layers (Layers A, B, B1, C and D) representing different stages of the eruption evolution: eruption onset (Layer A; pulse 1), followed by the first paroxysmal event (Layer B; pulse 1), in some places interbedded by layer B1, tentatively representing the sedimentation of a secondary plume during the end of pulse 1. We recognized a second paroxysm (Layer C; pulse 2) followed by the waning of the eruption (Layer D; pulse 2). The total calculated bulk tephra fall deposit volume is 0.27 ± 0.007 km3 (0.11-0.13 km3 dense rock equivalent), 38% of which was erupted during the first phase and 62% during the second pulse. This eruption was a magnitude 4.45 event (VEI 4 eruption) of subPlinian type.Fil: Romero, J. E.. Universidad de Atacama; ChileFil: Morgavi, D.. UniversitĂ di Perugia; ItaliaFil: Arzilli, F.. University of Manchester; Reino UnidoFil: Daga, Romina Betiana. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas; Argentina. ComisiĂłn Nacional de EnergĂa AtĂłmica. Centro AtĂłmico Bariloche; ArgentinaFil: Caselli, Alberto TomĂĄs. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas; Argentina. Universidad Nacional de RĂo Negro; ArgentinaFil: Reckziegel, Florencia Mabel. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Salta. Instituto de Investigaciones en EnergĂa no Convencional. Universidad Nacional de Salta. Facultad de Ciencias Exactas. Departamento de FĂsica. Instituto de Investigaciones en EnergĂa no Convencional; ArgentinaFil: Viramonte, Jose German. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Salta. Instituto de Investigaciones en EnergĂa no Convencional. Universidad Nacional de Salta. Facultad de Ciencias Exactas. Departamento de FĂsica. Instituto de Investigaciones en EnergĂa no Convencional; ArgentinaFil: DĂaz Alvarado, J.. Universidad de Atacama; ChileFil: Polacci, M.. University of Manchester; Reino UnidoFil: Burton, M.. University of Manchester; Reino UnidoFil: Perugini, D.. UniversitĂ di Perugia; Itali
Basaltic Plinian eruptions at Las Sierras-Masaya volcano driven by cool storage of crystal-rich magmas
Although rare, basaltic Plinian eruptions represent a considerable volcanic hazard. The low viscosity of crystal-poor basaltic magma inhibits magma fragmentation; however, Las Sierras-Masaya volcano, Nicaragua, has produced multiple basaltic Plinian eruptions. Here, we quantify the geochemistry and volatile concentrations of melt inclusions in samples of the Fontana Lapilli and Masaya Triple Layer eruptions to constrain pre-eruptive conditions. Combining thermometry and geochemical modelling, we show that magma cooled to similar to 1000 degrees C prior to eruption, crystallising a mush that was erupted and preserved in scoriae. We use these data in a numerical conduit model, which finds that conditions most conducive to Plinian eruptions are a pre-eruptive temperature <1100 degrees C and a total crystal content >30 vol.%. Cooling, crystal-rich, large-volume basaltic magma bodies may be hazardous due to their potential to erupt with Plinian magnitude. Rapid ascent rates mean there may only be some minutes between eruption triggering and Plinian activity at Masaya
Increased risk of acquisition of New Delhi metallo-beta-lactamase-producing carbapenem-resistant enterobacterales (Ndm-cre) among a cohort of covid-19 patients in a teaching hospital in Tuscany, Italy
We describe the epidemiology of New Delhi Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Enterobacterales (NDM-CRE) colonization/infection in a cohort of COVID-19 patients in an Italian teaching hospital. These patients had an increased risk of NDM-CRE acquisition versus the usual patients (75.9 vs. 25.3 cases/10,000 patient days). The co-infection significantly increased the duration of hospital stay (32.9 vs. 15.8 days)
Pre-eruptive Conditions of the 3 March 2015 Lava Fountain of Villarrica Volcano (Southern Andes)
Villarrica or Rukapillan (35.9°S; 2,847 m a.s.l.) is one of the most active volcanoes in South America and is the highest-risk volcano in Chile. It has an open conduit with a persistent lava lake. On the 3 March 2015, Strombolian activity rapidly progressed into a 1.5-km-high lava fountain, erupting at least ⌠2.4âĂâ106 m3 of tephra. Soon after, the activity returned to mild Strombolian âbackgroundâ explosions, which lasted until early 2017. Understanding the pre-eruptive conditions of such paroxysmal events is fundamental for volcanic hazard assessment. We present major and trace element geochemistry for glass and crystalline phases of basaltic andesite paroxysm pyroclasts (52â56 wt.% SiO2), and for the subsequent Strombolian âbackgroundâ activity through February 2017 (54â56 wt.% SiO2). The lava fountain source magma was initially stored in a deeper and hotter region (9.4â16.3 km; ca. 1140 °C) and was then resident in a shallow (â€â0.8 km) storage zone pre-eruption. During storage, crystallising phases comprised plagioclase (An66â86), olivine (Fo75â78) and augite (En46â47). Equilibrium crystallisation occurred during upper-crustal magmatic ascent. During storage in the shallower region, magma reached H2O saturation, promoting volatile exsolution and over-pressurization, which triggered the eruption. In contrast, subsequent âbackgroundâ explosions involving basaltic-andesite were sourced from a depth ofââ€â5.3 km (ca. 1110 °C). Pre-eruptive conditions for the 2015 lava fountain contrast with historical twentieth-century eruptions at Villarrica, which were likely driven by magma that underwent a longer period of mixing to feed both effusive and explosive activity. The rapid transition to lava-fountaining activity in 2015 represents a challenging condition in terms of volcano monitoring and eruption forecasting. However, our petrological study of the pyroclastic materials that erupted in 2015 offers significant insights into eruptive processes involving this type of eruption. This aids in deciphering the mechanisms behind sudden eruptions at open conduit systems
The initial phase of the 2021 Cumbre Vieja ridge eruption (Canary Islands): Products and dynamics controlling edifice growth and collapse
Tajogaite cone in the Cumbre Vieja ridge (La Palma, Canary Islands) erupted between 19 September and 13 December 2021. The tephra and lava sourced from the newly formed fissure rapidly built a pyroclastic cone. During the early days of eruption and after several small-scale landslides, the west flank of the edifice partially collapsed on 25 September, breaching the cone and emplacing a prominent raft-bearing lava flow. Our research combines direct observations, digital elevation models, thermal and visible imaging, and textural and compositional investigation of the explosive products to describe and characterize the edifice growth and collapse. The cone built over a steep slope (26°) and its failure occurred after an intense phase of lava fountaining (up to 30 m3 sâ1) that produced rapid pyroclastic accumulation. We suggest that an increased magma supply, to an ascent rate of 0.30 m sâ1, led to the rapid growth of the cone (at 2.4 Ă 106 m3 dayâ1). Simultaneously, the SW lava flow reactivated and formed a lava âseepâ that undercut the flank of the cone, triggering a lateral collapse via rotational rockslide that moved at minimum speeds of 34â70 m hâ1. The lateral collapse formed a ~ 200 m wide scar, involving 5.5 Ă 106 m3 of material, and covered 1.17 km2 with decametric edifice portions and raft-bearing lava. The collapse produced a modest change in the vent geometry, but did not affect eruptive activity long term. A short pause in the eruption after the collapse may have been favored by rapid emptying of the shallower magma system, reducing ascent rates and increasing crystallization times. These results reveal the complex chain of events related to the growth and destruction of newly formed volcanic cones and highlight hazards when situated close to inhabited areas
Preparedness and response to the covid-19 emergency: Experience from the teaching hospital of Pisa, Italy
In Italy, the coronavirus disease 2019 (COVID-19) emergency took hold in Lombardy and Veneto at the end of February 2020 and spread unevenly among the other regions in the following weeks. In Tuscany, the progressive increase of hospitalized COVID-19 patients required the set-up of a regional task force to prepare for and effectively respond to the emergency. In this case report, we aim to describe the key elements that have been identified and implemented in our center, a 1082-bed hospital located in the Pisa district, to rapidly respond to the COVID-19 outbreak in order to guarantee safety of patients and healthcare workers
Reliability and validity of PedsQL for Portuguese children aged 5â7 and 8â12 years
BACKGROUND: Pediatric Quality of Life Inventory (PedsQL) is a measure to assess health-related quality of life (HRQoL) in children and adolescents. It is formed by 23 items adapted to children age and includes a parent proxy report version. With four multidimensional subscales and three summary scores, it measures health as defined by WHO. The concepts measured by this instrument are âphysical functioningâ (8 items), âemotional functioningâ (5 items), âsocial functioningâ (5 items) and âschool functioningâ (5 items). It also measures a âtotal scale scoreâ (23 items), a âphysical health summary scoreâ (8 items) and a âpsychosocial health summary scoreâ (15 items). The aim of this paper is to present the main results of the cultural adaptation and validation of the PedsQL into European Portuguese. METHODS: The Portuguese version was the result of a forward-backward translation process, with a cognitive debriefing analysis, guaranteeing face validity and semantic equivalence. Children aged 5â7 and 8â12 were randomly selected and were asked to fill a socio-demographic data survey and the Portuguese versions of PedsQL and KINDL, another HRQoL measure for children and adolescents. They were divided into three groups, healthy children, children with type I diabetes and children with spina bifida. The reliability was tested for reproducibility (ICC) and internal consistency (Cronbachâs alpha). The construct validity (known-groups discriminant validity) was supported by differences between self-reports from healthy children and children with chronic conditions, and from children with chronic diseases and their parents. The criterion validity was tested after the correlations of the scores obtained by both children and adolescents HRQoL assessment instruments. RESULTS: A total of 179 children and 97 parents were recruited. PedsQL demonstrated good levels of reproducibility (r > 0.95 in all versions) and acceptable levels of internal consistency with Cronbachâs alpha at 0.70 on most scales. Concordance values between childrenâs and parentsâ perceptions ranged between 0.36 and 0.78 and the correlations with KINDL questionnaire were excellent, supporting concurrent validity. CONCLUSIONS: The Portuguese version of the PedsQL demonstrated acceptable psychometric properties for future research and clinical practice for children aged 5â12
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