Spontaneous osteo-dural fistulae of petrous bone posterior wall

SummaryObjectiveTo raise awareness of the possibility of spontaneous temporal bone cerebrospinal fistula in case of clear retrotympanic effusion.Case reportA 63-year-old man with no particular history presented with unilateral spontaneous right retrotympanic clear effusion. CT found defects in the posterior part of the right temporal bone, in contact with arachnoid granulations, with no other visible abnormalities.Discussion/ConclusionUnilateral clear retrotympanic effusion in an adult subject should, apart from serous otitis media, suggest possible cerebrospinal fistula. In the absence of otologic or traumatic history, arachnoid granulation is one possible etiology, inducing spontaneous cerebrospinal fluid leakage when facing the temporal bone. Diagnosis is suggested by bone defects in the tegmen tympani or posterior wall of the temporal bone on CT, with the adjacent mastoid cavities filled with fluid. Pneumococcal vaccination and early surgical repair of the fistula should be performed to avoid neuromeningeal infection

Laboratory Characterisation of a Commercial RGB CMOS Camera for Measuring Night Sky Brightness

The use of RGB cameras in photometric applications has grown over the last few decades in many fields such as industrial applications, light engineering and the analysis of the quality of the night sky. In this last field, they are often used in conjunction with a Sky Quality Meter (SQM), an instrument used for the measurement of night sky brightness (NSB), mainly when there is a significant amount of artificial light at night (ALAN). The performances of these two instruments are compared here. A simple source composed of nine narrowband LEDs in an integrating sphere was used to excite the two instruments and therefore measure the spectral responsivity of the SQM and of the three channels of the camera. The estimated uncertainties regarding spectral responsivity were less than 10%. A synthetic instrument approximating the SQM's responsivity can be created using a combination of the R, G and B channels. The outputs of the two instruments were compared by measuring the spectral radiance of the night sky. An evaluation of the spectral mismatch between the two instruments completed the analysis of their spectral sensitivity. Finally, the measurements of real SQMs in four sites experiencing different levels of light pollution were compared with the values obtained by processing the recorded RGB images. Overall, the analysis shows that the two instruments have significantly different levels of spectral responsivity, and the alignment of their outputs requires the use of a correction which depends on the spectral distribution of the light coming from the sky. A synthetic SQM will always underestimate real SQM measures; an average correction factor was evaluated considering nine sky spectra under low and medium levels of light pollution; this was determined to be 1.11 and, on average, compensated for the gap. A linear correction was also supposed based on the correlation between the NSB levels measured by the two instruments; the mean squared error after the correction was 0.03 mag arcsec-2

Wrist Ultrasound Analysis Of Patients With Early Rheumatoid Arthritis.

In the present study, we evaluated 42 wrists using the semi-quantitative scales power Doppler ultrasound (PDUS) and gray scale ultrasound (GSUS) with scores ranging from 0 to 3 and correlated the results with clinical, laboratory and radiographic data. Twenty-one patients (17 women and 4 men) with rheumatoid arthritis according to criteria of the American College of Rheumatology were enrolled in the study from September 2008 to July 2009 at Universidade Estadual de Campinas (UNICAMP). The average disease duration was 14 months. The patients were 66.6% Caucasians and 33.3% non-Caucasians, with a mean age of 42 and 41 years, respectively. A dorsal longitudinal scan was performed by ultrasound on the radiocarpal and midcarpal joints using GE LOGIQ XP-linear ultrasound and a high frequency (8-10 MHz) transducer. All patients were X-rayed, and the Larsen score was determined for the joints, with grades ranging from 0 to V. This study showed significant correlations between clinical, sonographic and laboratory data: GSUS and swollen right wrist (r = 0.546), GSUS of right wrist and swelling of left wrist (r = 0.511), PDUS of right wrist and pain in left wrist (r = 0.436), PDUS of right wrist and C-reactive protein (r = 0.466). Ultrasound can be considered a useful tool in the diagnosis of synovitis in early rheumatoid arthritis mainly when the anti-cyclic citrullinated peptide and rheumatoid factor are negative, and can lead to an early change in the therapeutic decision.4411-

The Use of New Technologies for Improving Reading Comprehension

Since the introduction of writing systems, reading comprehension has always been a foundation for achievement in several areas within the educational system, as well as a prerequisite for successful participation in most areas of adult life. The increased availability of technologies and web-based resources can be a really valid support, both in the educational and clinical field, to devise training activities that can also be carried out remotely. There are studies in current literature that has examined the efficacy of internet-based programs for reading comprehension for children with reading comprehension difficulties but almost none considered distance rehabilitation programs. The present paper reports data concerning a distance program Cloze, developed in Italy, for improving language and reading comprehension. Twenty-eight children from 3rd to 6th grade with comprehension difficulties were involved. These children completed the distance program for 15\u201320 min for at least three times a week for about 4 months. The program was presented separately to each child, with a degree of difficulty adapted to his/her characteristics. Text reading comprehension (assessed distinguishing between narrative and informative texts) increased after intervention. These findings have clinical and educational implications as they suggest that it is possible to promote reading comprehension with a distance individualized program, avoiding the need for the child displacements, necessary for reaching a rehabilitation center

Dissociation of CH Species on Ni(111):A HREELS Study

The isothermal dissociation rate of CCH and CH on Ni(111) was measured by following, with HREEL spectroscopy, the intensity of the CH stretching peak as a function of time. By repeating the experiment at several different temperatures we obtained an activation energy of 8±3 kcal/mol for the CCH dissociation reaction and of 12±3 kcal/mol for the CH dissociation reaction. Pre-exponential factors were found to be 10^3±1 s-1 in both cases. Independent thermal desorption spectra show a feature at 470 K and a tail extending up to 600 K which can be assigned to the CCH dissociation and the CH dissociation respectively. The two experiments are quantitatively consistent

Diffusion weighted imaging in cystic fibrosis disease: beyond morphological imaging

To explore the feasibility of diffusion-weighted imaging (DWI) to assess inflammatory lung changes in patients with Cystic Fibrosis (CF) METHODS: CF patients referred for their annual check-up had spirometry, chest-CT and MRI on the same day. MRI was performed in a 1.5 T scanner with BLADE and EPI-DWI sequences (b = 0-600 s/mm(2)). End-inspiratory and end-expiratory scans were acquired in multi-row scanners. DWI was scored with an established semi-quantitative scoring system. DWI score was correlated to CT sub-scores for bronchiectasis (CF-CTBE), mucus (CF-CTmucus), total score (CF-CTtotal-score), FEV1, and BMI. T-test was used to assess differences between patients with and without DWI-hotspots

Myocardial infarction and arterial thrombosis in severe (homozygous) FXII deficiency: no apparent causative relation.

Twenty-one patients (12 female and 9 male) with severe (homozygous) factor XII (FXII) deficiency and 58 (32 female and 26 male) with heterozygous FXII deficiency were observed for an average 16.2 years. No patient with homozygous FXII deficiency experienced myocardial infarction or any other arterial thrombosis. The same was true for heterozygotes. The cases of FXII deficiency and arterial thrombosis reported in the literature were evaluated. In every instance, associated risk factors were present that could justify the arterial thrombosis. Dyslipidemia, hypertension, smoking, and diabetes mellitus were the most frequent findings. The examination of the few papers that dealt with the prevalence of arterial thrombosis in patients with severe FXII deficiency showed that only 1 patient of 61 experienced myocardial infarction. In conclusion, it seems that the role of FXII deficiency in the pathogenesis of arterial thrombosis is minor

Brief Communication: On the rapid and efficient monitoring results dissemination in landslide emergency scenarios: the Mont de La Saxe case study

Abstract. Straightforward communication of monitoring results is of major importance in emergency scenarios relevant to large slope instabilities. Here we describe the communication strategy developed for the Mont de La Saxe rockslide threatening La Palud and Entrèves hamlets in the Courmayeur municipality (Aosta Valley, Italy). Starting from the definition of actions and needs of the landslide management team, including scientists, technicians, civil protection operators, decision makers, and politicians, we show that sharing and disseminating ad hoc information simplifies the understanding of the landslide evolution, as well as the correct communication of the level of criticality

Sky Quality Meter and satellite correlation for night cloud-cover analysis at astronomical sites

The analysis of night cloud cover is very important for astronomical observations in real time, considering a typical observation time of about 15 minutes, and to provide statistics. In this article, we use the Sky Quality Meter (SQM) for high-resolution temporal analysis of the La Silla and Asiago (Ekar Observatory) sky: 3 and 5 minutes respectively. We investigate the annual temporal evolution of the natural contributions of the sky at a site not influenced by artificial light at night (ALAN) and at one highly influenced. We also make a correlation between GOES and Aqua satellite data and ground-based SQM data to confirm the relationship between the SQM data and cloud cover. We develop an algorithm that allows the use of the SQM for night cloud detection and reach correlations with the nighttime cloud cover detected by the GOES and Aqua satellites of 97.2 per cent at La Silla and 94.6 per cent at Asiago. Our algorithm also classifies photometric (PN) and spectroscopic nights (SN). We measure 59.1 per cent PN and 21.7 per cent SN for a total percentage of clear nights of 80.8 per cent at La Silla in 2018. The respective Ekar Observatory values are 31.1 per cent PN, 24.0 per cent SN and 55.1 per cent of total clear night time. Application to the SQM network would involve the development of long-term statistics and large data forecasting models for site testing and real-time astronomical observation