Ovulaster protodecimae n. sp. (Echinoidea, Spatangoida) and associated epifauna (Cirripedia, Verrucidae) from the Danian of northeastern Italy

A new species of irregular echinoid, Ovulaster protodecimae, is described from the Danian Scaglia Rossa Formation out-cropping in the Venetian Prealps (Southern Alps, northeastern Italy). The new species, belonging to the order Spatangoida, is very distinctive because of its inflated, almost triangular test, the high-positioned peri-proct and the plate arrangement on the oral face. This is the first report of the genus Ovulaster in the Danian of Italy and the first description of an echinoid from the Early Palaeocene of Italy. One test has an epifauna of the sessile verrucid barnacle Verruca sp. cf. V. prisca Bosquet, 1854, attached on all except the oral surface

Tritonia nilsodhneri marcus Ev., 1983 (Gastropoda, heterobranchia, tritoniidae): First records for the adriatic sea and new data on ecology and distribution of mediterranean populations

The nudibranch Tritonia nilsodhneri, usually feeding on a variety of gorgoniacean species, is known from different localities of the eastern Atlantic Ocean and the Mediterranean Sea. Knowledge of the host preferences of the Mediterranean populations is still scarce. Few records of this nudibranch have been reported from the eastern Mediterranean basin. With this report, the occurrence of T. nilsodhneri within the Mediterranean basin is extended to the Adriatic Sea. Furthermore, the list of the host species associated to the Mediterranean populations for feeding habits is increased from two up to five. Mediterranean specimens of T. nilsodhneri were observed for the first time feeding and spawning on Leptogorgia sarmentosa, Eunicella cavolini and E. labiata. Finally, these last two Gorgoniidae species are also reported here as a new host species for T. nilsodhneri

Do Patients with Bronchiectasis Have an Increased Risk of Developing Lung Cancer? A Systematic Review

Background: Initial evidence supports the hypothesis that patients with non-cystic fibrosis bronchiectasis (NCFB) have a higher risk of lung cancer. We systematically reviewed the available literature to define the characteristics of lung malignancies in patients with bronchiectasis and the characteristics of patients who develop bronchiectasis-associated lung cancer. Method: This study was performed based on the PRISMA guidelines. The review protocol was registered in PROSPERO. Results: The frequency rates of lung cancer in patients with NCFB ranged from 0.93% to 8.0%. The incidence rate was 3.96. Cancer more frequently occurred in the elderly and males. Three studies found an overall higher risk of developing lung cancer in the NCFB population compared to the non-bronchiectasis one, and adenocarcinoma was the most frequently reported histological type. The effect of the co-existence of NCFB and COPD was unclear. Conclusions: NCFB is associated with a higher risk of developing lung cancer than individuals without NCFB. This risk is higher for males, the elderly, and smokers, whereas concomitant COPD’s effect is unclear

Clinical manifestations in patients with PI*MMMalton genotypes. A matter still unsolved in alpha-1 antitrypsin deficiency

We report the genetic variants associated with alpha-1 antitrypsin deficiency (AATD) in 117 patients admitted to our outpatient clinic and characterized by a serum concentration of AAT lower than 113 mg/dL. We focused on the M-like heterozygous variant of the SERPINA1 gene called PI*MMMalton, and describe three patients with this variant. While the role of homozygous AATD in liver and pulmonary disease is well established, the association between heterozygous AATD and chronic liver and pulmonary disease is still under investigation. The PI*MMMalton genotype was found in 5.8% of patients with a pathological genotype of AATD and in 14.3% of the subjects when considering only those with intermediate AATD. There were no liver or renal abnormalities in patients with the PI*MMMalton genotype. The PI*MMMalton patients included here showed a normal liver function, and none had renal function abnormalities or abdominal aortic aneurysm. Only a prevalence of lung disease was detected

Endoscopic Technologies for Peripheral Pulmonary Lesions: From Diagnosis to Therapy

Peripheral pulmonary lesions (PPLs) are frequent incidental findings in subjects when performing chest radiographs or chest computed tomography (CT) scans. When a PPL is identified, it is necessary to proceed with a risk stratification based on the patient profile and the characteristics found on chest CT. In order to proceed with a diagnostic procedure, the first-line examination is often a bronchoscopy with tissue sampling. Many guidance technologies have recently been developed to facilitate PPLs sampling. Through bronchoscopy, it is currently possible to ascertain the PPL’s benign or malignant nature, delaying the therapy’s second phase with radical, supportive, or palliative intent. In this review, we describe all the new tools available: from the innovation of bronchoscopic instrumentation (e.g., ultrathin bronchoscopy and robotic bronchoscopy) to the advances in navigation technology (e.g., radial-probe endobronchial ultrasound, virtual navigation, electromagnetic navigation, shape-sensing navigation, cone-beam computed tomography). In addition, we summarize all the PPLs ablation techniques currently under experimentation. Interventional pulmonology may be a discipline aiming at adopting increasingly innovative and disruptive technologies

Ultra-fine dark matter structure in the Solar neighbourhood

The direct detection of dark matter on Earth depends crucially on its density and its velocity distribution on a milliparsec scale. Conventional N-body simulations are unable to access this scale, making the development of other approaches necessary. In this paper, we apply the method developed in Fantin et al. 2008 to a cosmologically-based merger tree, transforming it into a useful instrument to reproduce and analyse the merger history of a Milky Way-like system. The aim of the model is to investigate the implications of any ultra-fine structure for the current and next generation of directional dark matter detectors. We find that the velocity distribution of a Milky Way-like Galaxy is almost smooth, due to the overlap of many streams of particles generated by multiple mergers. Only the merger of a 10^10 Msun analyse can generate significant features in the ultra-local velocity distribution, detectable at the resolution attainable by current experiments.Comment: 9 pages, 6 figures, accepted for publication in MNRA

Weight Loss and Hypertension in Obese Subjects

Arterial hypertension is strongly related to overweight and obesity. In obese subjects, several mechanisms may lead to hypertension such as insulin and leptin resistance, perivascular adipose tissue dysfunction, renal impairment, renin-angiotensin-aldosterone-system activation and sympathetic nervous system activity. Weight loss (WL) seems to have positive effects on blood pressure (BP). The aim of this review was to explain the mechanisms linking obesity and hypertension and to evaluate the main studies assessing the effect of WL on BP. We analysed studies published in the last 10 years (13 studies either interventional or observational) showing the effect of WL on BP. Different WL strategies were taken into account-diet and lifestyle modification, pharmacological intervention and bariatric surgery. Although a positive effect of WL could be identified in each study, the main difference seems to be the magnitude and the durability of BP reduction over time. Nevertheless, further follow-up data are needed: there is still a lack of evidence about long term effects of WL on hypertension. Hence, given the significant results obtained in several recent studies, weight management should always be pursued in obese patients with hypertension

Differences in daptomycin and vancomycin ex vivo behaviour can lead to false interpretation of negative blood cultures

AbstractIn clinical studies on bacteraemia, the negativity of blood cultures is an important endpoint for comparing the efficacy of different therapeutic regimens. In FAN° anaerobic blood culture medium (BacT/ALERT system), daptomycin displayed increased MIC against Staphylococcus aureus and improved abolishment of its carryover effect in charcoal when compared with vancomycin. Differences between these two drugs can lead to a false interpretation of negative blood cultures. To compare different antibiotic regimens for the treatment of bacteraemia, preliminary studies are mandatory to ensure that ex vivo antibiotic behaviour is similar in the blood-culture system used

Vascularisation of the central nervous system

The developing central nervous system (CNS) is vascularised through the angiogenic invasion of blood vessels from a perineural vascular plexus, followed by continued sprouting and remodelling until a hierarchical vascular network is formed. Remarkably, vascularisation occurs without perturbing the intricate architecture of the neurogenic niches or the emerging neural networks. We discuss the mouse hind brain, forebrain and retina as widely used models to study developmental angiogenesis in the mammalian CNS and provide an overview of key cellular and molecular mechanisms regulating the vascularisation of these organs