Faking and Conspiring about COVID-19: A Discursive Approach

In the more general climate of post-truth - a social trend reflecting a disregard for reliable ways of knowing what is true, mostly acted through massive use of misinformation and rhetoric calling for emotions - an alarming “infodemic” accompanied the COVID-19 pandemic, affecting healthy attitudes and behaviors and further lessening trust in science, institutions, and traditional media. Its two main representative items, fake and conspiracy news, have been widely analyzed in psycho-social research, even if scholars mostly acknowledged the cognitive and social dimensions of those items and devoted less attention to their discursive construction. In addition, these works did not directly compare and differentiate fake and conspiracy pathways. In order to address this gap and promote a wider understanding of these matters, a qualitative investigation of an Italian sample of 112 fake and conspiracy news articles, mostly spread during the first two COVID-19 “waves” (from March 2020 to January 2021) was realized. Our sample gathered news specifically coming from social media posts, representing easy and fast channels for viral content diffusion. We analyzed the selected texts by means of Diatextual Analysis and Discursive Action Model models, aimed to (a) offer “in depth” fine-grained analysis of the psycholinguistic and argumentative features of fake and conspiracy news, and (b) differentiate them in line with the classical Aristotle’s rhetoric stances of logos, ethos, and pathos, thus bridging traditional and current lines of thinking. Even though they may share common roots set in the post-truth climate, fake and conspiracy news engage in different rhetoric patterns since they present different enjeu and construct specific epistemic pathways. Implications for health- and digital-literacy are debated

Ultrasound lung comets in systemic sclerosis: a chest sonography hallmark of pulmonary interstitial fibrosis

Objective. To assess the correlation between ultrasound lung comets (ULCs, a recently described echographic sign of interstitial lung fibrosis) and the current undisputed gold-standard high-resolution CT (HRCT) to detect pulmonary fibrosis in patients with SSc. Methods. We enrolled 33 consecutive SSc patients (mean age 5413 years, 30 females) in the Rheumatology Clinic of the University of Pisa. We assessed ULCs and chest HRCT within 1 week independently in all the patients. ULC score was obtained by summing the number of lung comets on the anterior and posterior chest. Pulmonary fibrosis was quantified by HRCT with a previously described 30-point Warrick score. Results. Presence of ULCs (defined as a total number more than 10) was observed in 17 (51%) SSc patients. Mean ULC score was 3750, higher in the diffuse than in the limited form (7366 vs 2135; P<0.05). A significant positive linear correlation was found between ULCs and Warrick scores (r?0.72; P<0.001). Conclusions. ULCs are often found in SSc, are more frequent in the diffuse than the limited form and are reasonably well correlated with HRCT-derived assessment of lung fibrosis. They represent a simple, bedside, radiation-free hallmark of pulmonary fibrosis of potential diagnostic and prognostic value