209 research outputs found
The Role of Renin-Angiotensin-Aldosterone System in the Heart and Lung: Focus on COVID-19
The renin-angiotensin-aldosterone system (RAAS) firstly considered as a cardiovascular circulating hormonal system, it is now accepted as a local tissue system that works synergistically or independently with the circulating one. Evidence states that tissue RAAS locally generates mediators with regulatory homeostatic functions, thus contributing, at some extent, to organ dysfunction or disease. Specifically, RAAS can be divided into the traditional RAAS pathway (or classic RAAS) mediated by angiotensin II (AII), and the non-classic RAAS pathway mediated by angiotensin 1–7. Both pathways operate in the heart and lung. In the heart, the classic RAAS plays a role in both hemodynamics and tissue remodeling associated with cardiomyocyte and endothelial dysfunction, leading to progressive functional impairment. Moreover, the local classic RAAS may predispose the onset of atrial fibrillation through different biological mechanisms involving inflammation, accumulation of epicardial adipose tissue, and electrical cardiac remodeling. In the lung, the classic RAAS regulates cell proliferation, immune-inflammatory response, hypoxia, and angiogenesis, contributing to lung injury and different pulmonary diseases (including COVID-19). Instead, the local non-classic RAAS counteracts the classic RAAS effects exerting a protective action on both heart and lung. Moreover, the non-classic RAAS, through the angiotensin-converting enzyme 2 (ACE2), mediates the entry of the etiological agent of COVID-19 (SARS-CoV-2) into cells. This may cause a reduction in ACE2 and an imbalance between angiotensins in favor of AII that may be responsible for the lung and heart damage. Drugs blocking the classic RAAS (angiotensin-converting enzyme inhibitors and angiotensin receptor blockers) are well known to exert a cardiovascular benefit. They are recently under evaluation for COVID-19 for their ability to block AII-induced lung injury altogether with drugs stimulating the non-classic RAAS. Herein, we discuss the available evidence on the role of RAAS in the heart and lung, summarizing all clinical data related to the use of drugs acting either by blocking the classic RAAS or stimulating the non-classic RAAS
Management of pediatric post-infectious neurological syndromes
BackgroundPost-Infectious Neurological Syndromes (PINS) are heterogeneous neurological disorders with post or para-infectious onset. PINS diagnosis is complex, mainly related to the absence of any recognized guidelines and a univocal definition.Aim of the studyTo elaborate a diagnostic guide for PINS.Materials and methodsWe retrospectively analysed patients younger than 14years old admitted to Bambino GesU Children's Hospital in Rome for PINS from December 2005 to March 2018. Scientific literature using PubMed as research platform was analysed: the key words "Post-Infectious Neurological Syndromes" were used.ResultsA polysymptomatic presentation occurred in a percentage of 88% of the children. Motor signs and visual disturbances the most observed symptoms/signs were the most detached, followed by fever, speech disturbances, sleepiness, headache and bradipsychism. Blood investigations are compatible with inflammation, as a prodromal illnesses was documented in most cases. Normal cerebral spinal fluid (CSF) characteristics has been found in the majority of the study population. Magnetic resonance imaging (MRI) was positive for demyelinating lesions. Antibiotics, acyclovir and steroids have been given as treatment.DiscussionWe suggest diagnostic criteria for diagnosis of PINS, considering the following parameters: neurological symptoms, timing of disease onset, blood and CSF laboratory tests, MRI imaging.ConclusionsWe propose criteria to guide clinician to diagnose PINS as definitive, probable or possible. Further studies are required to validate diagnostic criteria
The key science drivers for the Atacama Large Aperture Submillimeter Telescope (AtLAST)
Sub-mm and mm wavelengths provide a unique view of the Universe, from the gas and dust that fills and surrounds galaxies to the chromosphere of our own Sun. Current single-dish facilities have presented a tantalising view of the brightest (sub-)mm sources, and interferometers have provided the exquisite resolution necessary to analyse the details in small fields, but there are still many open questions that cannot be answered with current facilities: Where are all the baryons? How do structures interact with their environments? What does the time-varying (sub-)mm sky look like? In order to make major advances on these questions and others, what is needed now is a facility capable of rapidly mapping the sky spatially, spectrally, and temporally, which can only be done by a high throughput, single-dish observatory. An extensive design study for this new facility is currently being undertaken. In this paper, we focus on the key science drivers and the requirements they place on the observatory. As a 50m single dish telescope with a 1–2° field of view, the strength of the Atacama Large Aperture Submillimeter Telescope (AtLAST) is in science where a large field of view, highly multiplexed instrumentation and sensitivity to faint large-scale structure is important. AtLAST aims to be a sustainable, upgradeable, multipurpose facility that will deliver orders of magnitude increases in sensitivity and mapping speeds over current and planned telescopes
A new limit on the CP violating decay KS -> 3pi0 with the KLOE experiment
We have carried out a new direct search for the CP violating decay KS -> 3pi0
with 1.7 fb^-1 of e+e- collisions collected by the KLOE detector at the
phi-factory DAFNE. We have searched for this decay in a sample of about 5.9 x
10^8 KS KL events tagging the KS by means of the KL interaction in the
calorimeter and requiring six prompt photons. With respect to our previous
search, the analysis has been improved by increasing of a factor four the
tagged sample and by a more effective background rejection of fake KS tags and
spurious clusters. We find no candidates in data and simulated background
samples, while we expect 0.12 standard model events. Normalizing to the number
of KS -> 2pi0 events in the same sample, we set the upper limit on BR(KS ->
3pi0 < 2.6 x 10^-8 at 90% C.L., five times lower than the previous limit. We
also set the upper limit on the eta_000 parameter, |eta_000 | < 0.0088 at 90%
C.L., improving by a factor two the latest direct measurement.Comment: Accepted for publication in Physics Letters B (15 pages, 13 figures
High-resolution, High-sensitivity, Low-frequency uGMRT View of Coma Cluster of Galaxies
We present high-resolution, high-sensitivity upgraded Giant Metrewave Radio Telescope observations of the Coma cluster (A1656) at 250-500 MHz and 550-850 MHz. At 250-500 MHz, 135 sources have extensions >0.'45 (with peak-to-local-noise ratio >4). Of these, 24 sources are associated with Coma-member galaxies. In addition, we supplement this sample of 24 galaxies with 20 ram pressure stripped (RPS) galaxies from (Chen et al. 2020, eight are included in the original extended radio source sample) and an additional five are detected and extended. We present radio morphologies, radio spectra, spectral index maps, and equipartition properties for these two samples. In general, we find the equipartition properties lie within a narrow range (e.g., Pmin = 1-3 × 10- 13 dynes cm-2). Only NGC 4874, one of the two brightest central Coma cluster galaxies, has a central energy density and pressure about five times higher and a radio source age about 50% lower than that of the other Coma galaxies. We find a diffuse tail of radio emission trailing the dominant galaxy of the merging NGC 4839 group that coincides with the slingshot tail seen in X-rays. The southwestern radio relic, B1253+275, has a large extent ≍32' × 10' (≃1.08 × 0.34 Mpc2). For NGC 4789, whose long radio tails merge into the relic and may be a source of its relativistic seed electrons, we find a transverse radio spectral gradient, a steepening from southwest to northeast across the width of the radio source. Finally, radio morphologies of the extended and RPS samples suggest that these galaxies are on their first infall into Coma on (predominantly) radial orbits
High-resolution, High-sensitivity, Low-frequency uGMRT View of Coma Cluster of Galaxies
We present high-resolution, high-sensitivity upgraded Giant Metrewave Radio
Telescope observations of the Coma cluster (A1656) at 250-500 MHz and 550-850
MHz. At 250-500 MHz, 135 sources have extensions 0.45 arcmin (with
peak-to-local-noise ratio ). Of these, 24 sources are associated with
Coma-member galaxies. In addition, we supplement this sample of 24 galaxies
with 20 ram pressure stripped galaxies from Chen et al. (2020, eight are
included in the original extended radio source sample) and an additional five
are detected and extended. We present radio morphologies, radio spectra,
spectral index maps, and equipartition properties for these two samples. In
general, we find the equipartition properties lie within a narrow range (e.g.,
= 1-3 dynes cm). Only NGC 4874, one of the two brightest
central Coma cluster galaxies, has a central energy density and pressure about
five times higher and a radio source age about 50 % lower than that of the
other Coma galaxies. We find a diffuse tail of radio emission trailing the
dominant galaxy of the merging NGC 4839 group that coincides with the
"slingshot" tail, seen in X-rays. The southwestern radio relic, B1253275,
has a large extent 32 10 ( 1.08
0.34 Mpc). For NGC 4789, whose long radio tails merge into the
relic and may be a source of its relativistic seed electrons, and we find a
transverse radio spectral gradient, a steepening from southwest to northeast
across the width of the radio source. Finally, radio morphologies of the
extended and RPS samples suggest that these galaxies are on their first infall
into Coma on (predominantly) radial orbits.Comment: 35 pages (includes Appendices), 15 figures (includes 2 figures in
Appendix, some Figures are of lower quality), 6 tables (includes 1 table in
Appendix), accepted for publication in the Astrophysical Journa
Search for dark Higgsstrahlung in e+ e- -> mu+ mu- and missing energy events with the KLOE experiment
We searched for evidence of a Higgsstrahlung process in a secluded sector,
leading to a final state with a dark photon U and a dark Higgs boson h', with
the KLOE detector at DAFNE. We investigated the case of h' lighter than U, with
U decaying into a muon pair and h' producing a missing energy signature. We
found no evidence of the process and set upper limits to its parameters in the
range 2m_mu<m_U<1000 MeV, m_h'<m_U.Comment: 16 pages, 7 figures, submitted to Physics Letters
Limit on the production of a new vector boson in , U with the KLOE experiment
The recent interest in a light gauge boson in the framework of an extra U(1)
symmetry motivates searches in the mass range below 1 GeV.
We present a search for such a particle, the dark photon, in , U based on 28 million
events collected at DANE
by the KLOE experiment. The production by initial-state radiation
compensates for a loss of sensitivity of previous KLOE , searches due to the small branching ratios in
the resonance region. We found no evidence for a signal and set a
limit at 90\% CL on the mixing strength between the photon and the dark photon,
, in the U mass range between and ~MeV. Above 700 MeV
this new limit is more stringent than previous ones.Comment: 6 pages, 9 figures, 1 table, submitted to Phys. Lett.
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