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

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

Selfie acustiche con il progetto selfear: un'applicazione mobile per l'acquisizione a basso costo di pinna-related transfer function

Le esperienze di realta virtuale e aumentata stanno riscontrando una grande diffusione e le tecnologie per la spazializzazione del suono in cuffia saranno fondamentali per la diffusione di scenari applicativi immersivi in supporti mobile. Questo articolo affronta le problematiche legate alla acquisizione di head-related tranfer function (HRTF) con dispositivi a basso costo, accessibili a chiunque, in qualsiasi luogo e che forniscano delle misurazioni fruibili in tempi brevi. In particolare la soluzione proposta denominata "the SelfEar project" si focalizza sull'acquisizione delle trasformazioni spettrali ad opera dell'orecchio esterno contenute nella pinna-related transfer function (PRTF); l'utente viene guidato nella misurazione di HRTF in ambiente non anecoico attraverso una procedura auto-regolabile. Le informazioni acustiche sono infatti acquisite tramite un headset per la realt`a acustica aumentata che include un set di microfoni posizionati in prossimit\ue0 dei canali uditivi dell'ascoltatore. Proponiamo una sessione di misurazione con l'obiettivo di acquisire le caratteristiche spettrali della PRTF di un manichino KEMAR, confrontandoli con i risultati che si otterrebbero con una procedura in ambiente anecoico. In entrambi i casi i risultati dipendono fortemente dalla posizione dei microfoni, senza considerare in questo scenario il problema legato ai movimenti di un eventuale soggetto umano. Considerando la qualit\ue0 generale e la variabilit\ue0 dei risultati, cos\uec come le risorse totali necessarie, il progetto SelfEar propone una promettente soluzione per una procedura a basso costo di acquisizione di PRTF, e pi\uf9 in generale di HRTF

Effect of moderate weight loss on hepatic, pancreatic and visceral lipids in obese subjects

OBJECTIVE: To compare the effects of weight loss on visceral and subcutaneous abdominal fat, liver and pancreas lipid contentand to test the effects of these changes on metabolic improvement observed after weight loss.DESIGN: Weight-loss program designed to achieve a loss of 7--10% of the initial weight.SUBJECTS: 24 obese subjects (13 males and 11 females) with age ranging from 26 to 69 years and body mass index (BMI)30.2 -- 50.5 kgm2. Measurements: weight, BMI, waist circumference, body composition as assessed by dual-energy X-rayabsorptiometry, metabolic variables, leptin, adiponectin, visceral and subcutaneous abdominal fat, liver and pancreas lipidcontent as assessed by magnetic resonance were evaluated before and after weight loss achieved by hypocaloric diet.RESULTS: After a mean body weight decrease of 8.9%, BMI, waist circumference, fat mass, all metabolic variables, homeostasismodel assessment of insulin resistance (HOMA), alanine amino transferase, gamma glutamyl transpeptidase, high-sensitivityC-reactive protein (hs-CRP) and leptin, but not adiponectin and high-density lipoprotein-cholesterol, significantly decreased (allPo0.01). Visceral and subcutaneos abdominal fat, liver and pancreas lipid content significantly decreased (all Po0.01). Percentchanges in liver lipid content were greater (84.1\ub13%) than those in lipid pancreas content (42.3\ub129%) and visceral abdominalfat (31.9\ub115.6%). After weight loss, percentage of subjects with liver steatosis decreased from 75 to 12.5%. Insulin resistanceimprovement was predicted by changes in liver lipid content independently of changes in visceral fat, pancreas lipid content,systemic inflammation, leptin and gender.CONCLUSION: Moderate weight loss determines significant decline in visceral abdominal fat, lipid content in liver andpancreas. Reduction of liver lipid content was greater than that of pancreas lipid content and visceral fat loss. Liver lipidcontent is the strongest predictor of insulin resistance improvement after weight loss

Relation between composition and vacant oxygen sites in the mixed ionicelectronic conductors La5.4W1 yMyO12 delta M Mo, Re; 0 lt; y lt; 0.2 and their mother compound La6 xWO12 delta 0.4 lt; x lt; 0.8

A detailed analysis of specimen composition, water uptake and their interrelationship in the systems La6 xWO12 amp; 948; 0.4 amp; 8804; x amp; 8804;0.8 and La6 xW1 yMyO12 amp; 948; 0 amp; 8804;y amp; 8804;0.2; M Mo, Re is presented. The three specimen series were investigated in dry and wet D2O conditions. A systematic trend in mass loss and onset temperature variation was observed in La6 xWO12 amp; 948; 0.4 amp; 8804;x amp; 8804;0.8 . Even very small amounts lt; 1 wt of secondary phases were found to notably modify the specimen s water uptake and onset temperature of mass loss. The theoretical model for vacancy concentration available was used to calculate the vacant oxygen sites starting from mass loss values determined by thermogravimetry. A discrepancy between the calculated and observed concentration of vacant oxygen sites is observed for all three systems. The effect of substitution of W by Re or Mo on the vacancy amount is explained taking into account diffraction measurements and information on the oxidation state of the substituting elements Mo and R

An update on methods for Sarcopenia Diagnosis: From bench to bedside

Sarcopenia has been recognized as an age-related syndrome characterized by low muscle mass, low muscle strength, and low physical performance that is associated with increased likelihood of adverse outcomes including falls, fractures, hospitalization, frailty and mortality. Therefore, it is necessary to identify the condition early for applying intervention and prevention of the disastrous consequences of sarcopenia if left untreated. Clinical definition and diagnostic criteria for sarcopenia have been developed in the last years and different tools have been proposed for screening subjects with sarcopenia, evaluating the muscle mass, the muscle strength and the physical performance. In this review we analyzed the diagnostic criteria of sarcopenia and examined the current assessment tools used for the diagnosis and screening of sarcopenia