Inferring the high velocity of landslides in Valles Marineris on Mars from morphological analysis

The flow characteristics and velocities of three landslides in Valles Marineris on Mars are investigated using detailed morphological analyses of high-resolution images and dynamical calculations based on the run-up and curvature of the landslide deposits. The morphologies of the landslides are described, especially concerning those characteristics that can provide information on the dynamics and velocity. The long runout and estimated high velocities, often exceeding 100 m/s, confirm a low basal friction experienced by these landslides. Because subaqueous landslides on Earth exhibit reduced friction, we explore the scenario of sub-lacustrine failures, but find little support to this hypothesis. The environmental conditions that better explain the low friction and the presence of longitudinal furrows suggest an aerial environment with a basal soft and naturally lubricating medium on which friction diminished gradually; in this perspective, ice is the most promising candidate

Cose da donne? La leadership di gender raccontata ai media

Le donne e la politica. Gender e politica: la scomparsa delle donne. La rappresentanza politica femminile nell'Unione europea. La presenza delle donne in politica in Italia. I confini della ricerca. Casi di studio: Michela Vittoria Brambilla. Casi di studio: Mara Carfagna. Casi di studio: Mariastella Gelmini. Casi di studio: Giorgia Meloni. Casi di studio: Stefania Prestigiacomo.Le donne e la politica. Gender e politica: la scomparsa delle donne. La rappresentanza politica femminile nell'Unione europea. La presenza delle donne in politica in Italia. I confini della ricerca. Casi di studio: Michela Vittoria Brambilla. Casi di studio: Mara Carfagna. Casi di studio: Mariastella Gelmini. Casi di studio: Giorgia Meloni. Casi di studio: Stefania Prestigiacomo.Refereed Working Papers / of international relevanc

Nutritional status in patients with Chronic Obstructive Pulmonary Disease: relationship between muscle strength and body composition

Chronic obstructive pulmonary disease (COPD) is a complex syndrome and an important public health challenge. Although defined as a chronic inflammatory respiratory disease, COPD is heterogeneous, being characterized by a number of systemic consequences and co-morbidities, which contribute to disease severity. Specifically, nutritional disorders (i.e. malnutrition) and nutritionrelated conditions (i.e. muscle dysfunction) are highly prevalent extra pulmonary manifestations of COPD, associated with important consequences for risk assessment stratification and management of the disease. General aim of this thesis was to investigate the occurrence of alterations of body composition and its relationship with muscle strength. More specifically, five studies on COPD patients had been carried out in order to systematically review the use of bioelectrical impedance analysis (BIA) for the assessment of body composition; to evaluate the prevalence of malnutrition and sarcopenia and their relationship with functional parameters; to compare BIA variables between COPD patients and controls and to study the association of muscle strength with body composition estimates and BIA variables. As a final point, this thesis aimed to explore the amount of visceral adipose tissue located in the abdominal region using dual-energy x-ray absorptiometry and to determine its relation with respiratory parameters and other indices of body composition. In conclusion, this thesis provides a detailed overview of the assessment of nutritional status and body composition in COPD patients, especially in relation with respiratory function and muscle strength, bringing to light the need for prevention strategies and suggesting possible tools for the implementation of personalized approaches for COPD patients

Preliminary study on the assessment of visceral adipose tissue using dual-energy x-ray absorptiometry in chronic obstructive pulmonary disease

Background: Visceral adipose tissue (VAT) was shown to be increased in patients with chronic obstructive pulmonary disease (COPD) compared to control subjects with comparable body mass index (BMI). Our aim was to determine the relation of VAT by dual-energy x-ray absorptiometry (DEXA) in patients with COPD by disease severity, BMI, other indices of body composition and static lung volumes. Methods: 294 COPD patients admitted for rehabilitation were studied. Lung function, static lung volumes and body composition (i.e. BMI, waist circumference, fat-free mass, fat mass and fat distribution between android and gynoid fat mass) were assessed before entering pulmonary rehabilitation. VAT was estimated within the android region by using DEXA. Patients were stratified for gender, BMI (cut-off of 25 kg/m2) and GOLD stage. To assess the impact of VAT on lung volumes, patients were also stratified for VAT less and above 50th percentile. Results: Both male and female patients with more severe airflow limitation had significantly lower VAT values, but these differences disappeared after stratification for BMI. VAT was significantly and strongly correlated with other body composition parameters (all p < 0.001). Patients with moderate to severe airflow limitation and lower VAT had increased static lung hyperinflation and lower diffusing capacity for carbon monoxide. Nevertheless, multivariate stepwise regression models including for BMI, age, gender and forced expiratory volume in 1 s (FEV1) as confounders did not confirm an independent role for VAT on static lung hyperinflation and diffusion capacity. Conclusion: After stratification for BMI, VAT is comparable in moderate to very severe COPD patients. Furthermore, BMI and demographics, but not VAT, were independent predictors of static lung hyperinflation and diffusing capacity in COPD

Lectin Pathway of Complement Activation Is Associated with Vulnerability of Atherosclerotic Plaques

Inflammatory mechanisms may be involved in atherosclerotic plaque rupture. By using a novel histology-based method to quantify plaque instability here, we assess whether lectin pathway (LP) of complement activation, a major inflammation arm, could represent an index of plaque instability. Plaques from 42 consecutive patients undergoing carotid endarterectomy were stained with hematoxylin-eosin and the lipid core, cholesterol clefts, hemorrhagic content, thickness of tunica media, and intima, including or not infiltration of cellular debris and cholesterol, were determined. The presence of ficolin-1, -2, and -3 and mannose-binding lectin (MBL), LP initiators, was assessed in the plaques by immunofluorescence and in plasma by ELISA. LP activation was assessed in plasma by functional in vitro assays. Patients presenting low stenosis (≤75%) had higher hemorrhagic content than those with high stenosis (>75%), indicating increased erosion. Increased hemorrhagic content and tunica media thickness, as well as decreased lipid core and infiltrated content were associated with vulnerable plaques and therefore used to establish a plaque vulnerability score that allowed to classify patients according to plaque vulnerability. Ficolins and MBL were found both in plaques’ necrotic core and tunica media. Patients with vulnerable plaques showed decreased plasma levels and intraplaque deposition of ficolin-2. Symptomatic patients experiencing a transient ischemic attack had lower plasma levels of ficolin-1. We show that the LP initiators are present within the plaques and their circulating levels change in atherosclerotic patients. In particular, we show that decreased ficolin-2 levels are associated with rupture-prone vulnerable plaques, indicating its potential use as marker for cardiovascular risk assessment in atherosclerotic patients

Asthmatic Patients with Vitamin D Deficiency have Decreased Exacerbations after Vitamin Replacement

Background: Intervention studies with vitamin D in asthma are inconclusive for several reasons, such as inadequate dosing or duration of supplementation or uncontrolled baseline vitamin D status. Our aim was to evaluate the benefit of long term vitamin D add-on in asthmatic patients with actual vitamin D deficiency, that is a serum 25-hydroxy vitamin D (25-OHD ) below 20 ng/mL. Methods: Serum 25-OHD, asthma exacerbations, spirometry and inhaled corticosteroids (CS) dose were evaluated in a cohort of 119 asthmatic patients. Patients with deficiency were evaluated again after one year vitamin supplementation. Results: 25-OHD was low in 111 patients and was negatively related to exacerbations (p &lt; 0.001), inhaled CS dose (p = 0.008) and asthma severity (p = 0.001). Deficiency was found in 90 patients, 55 of whom took the supplement regularly for one year, while 24 discontinued the study and 11 were not adherent. Patients with vitamin D deficiency after 12 months supplementation showed significant decrease of exacerbations (from 2.6 ± 1.2 to 1.6 ± 1.1, p &lt; 0.001), circulating eosinophils (from 395 ± 330 to 272 ± 212 106/L, p &lt; 0.001), and need of oral CS courses (from 35 to 20, p = 0.007) and improvement of airway obstruction. Conclusions: Asthma exacerbations are favored by vitamin D deficiency and decrease after long-term vitamin D replacement. Patients who are vitamin D deficient benefit from vitamin D supplementation

Associations between depressive symptoms and disease progression in older patients with chronic kidney disease: results of the EQUAL study

Background Depressive symptoms are associated with adverse clinical outcomes in patients with end-stage kidney disease; however, few small studies have examined this association in patients with earlier phases of chronic kidney disease (CKD). We studied associations between baseline depressive symptoms and clinical outcomes in older patients with advanced CKD and examined whether these associations differed depending on sex. Methods CKD patients (&gt;= 65 years; estimated glomerular filtration rate &lt;= 20 mL/min/1.73 m(2)) were included from a European multicentre prospective cohort between 2012 and 2019. Depressive symptoms were measured by the five-item Mental Health Inventory (cut-off &lt;= 70; 0-100 scale). Cox proportional hazard analysis was used to study associations between depressive symptoms and time to dialysis initiation, all-cause mortality and these outcomes combined. A joint model was used to study the association between depressive symptoms and kidney function over time. Analyses were adjusted for potential baseline confounders. Results Overall kidney function decline in 1326 patients was -0.12 mL/min/1.73 m(2)/month. A total of 515 patients showed depressive symptoms. No significant association was found between depressive symptoms and kidney function over time (P = 0.08). Unlike women, men with depressive symptoms had an increased mortality rate compared with those without symptoms [adjusted hazard ratio 1.41 (95% confidence interval 1.03-1.93)]. Depressive symptoms were not significantly associated with a higher hazard of dialysis initiation, or with the combined outcome (i.e. dialysis initiation and all-cause mortality). Conclusions There was no significant association between depressive symptoms at baseline and decline in kidney function over time in older patients with advanced CKD. Depressive symptoms at baseline were associated with a higher mortality rate in men

The Ideal Candidate (chapter 19).

Impairments in balance and an increased risk of falling are common in people with COPD. This chapter provides an overview of best practices in balance assessment and fall risk management and implications for pulmonary rehabilitation. It reviews the current available research on balance impairments in individuals with chronic lung disease, including a discussion of the relevant evidence for guiding the choice of balance assessment measure in people with COPD. It also synthesizes the literature on balance training as part of pulmonary rehabilitation and provides examples of effective exercise programs for this purpose