High prevalence of patent foramen ovale in migraine with aura

In this study we evaluated the presence of patent foramen ovale (PFO) in a cohort of 25 consecutive patients suffering from migraine with aura (MA) during an attack presenting to the emergency ward of an Italian hospital. Patients underwent brain magnetic resonance imaging (MRI) with contrast medium, routine coagulation tests, contrast transcranial echocolour–coded sonography (c–TCCS) and transoesophageal echocardiography (TEE). Of the enrolled patients, 88.7% showed a PFO according to the c–TCCS test, whereas only in 72% TEE confirmed the presence of PFO. This discordance could be due to the fact that c–TCCS is more sensitive even with shunts with minimal capacity also located in the pulmonary vasculature. After surgical treatment of the PFO, MA disappeared within two months. Also, the treatment with warfarin as well as with acetylsalicylic acid and flunarizine was able to dramatically reduce the frequency of migraine attacks. These data indicate a higher prevalence of PFO in MA vs. normal population (OR=2.92) and could suggest that the presence of arteriovenous (AV) shunts could represent a trigger for MA attacks as well as for stroke, but more studies are needed to confirm this preliminary hypothesis

Registro de Ocorrência de Jacaré-paguá (Paleosuchus palpebrosus), na RPPN Engenheiro Eliezer Batista, Pantanal, Brasil

O objetivo central do estudo foi identificar riachos, registrar a ocorrência do jacaré-paguá, Paleosuchus palpebrosus, dentro da área da Reserva e no seu entorno, e propor ações de pesquisas com a espécie em longo prazo.bitstream/item/161350/1/COT60.pdfComunicado Técnico Formato Eletrônico

Strichartz Estimates for the Vibrating Plate Equation

We study the dispersive properties of the linear vibrating plate (LVP) equation. Splitting it into two Schr\"odinger-type equations we show its close relation with the Schr\"odinger equation. Then, the homogeneous Sobolev spaces appear to be the natural setting to show Strichartz-type estimates for the LVP equation. By showing a Kato-Ponce inequality for homogeneous Sobolev spaces we prove the well-posedness of the Cauchy problem for the LVP equation with time-dependent potentials. Finally, we exhibit the sharpness of our results. This is achieved by finding a suitable solution for the stationary homogeneous vibrating plate equation.Comment: 18 pages, 4 figures, some misprints correcte

Optical frequency fiber dissemination at 10^−19 uncertainty level in Italy

We describe the realization of a coherent optical fiber link for the metrological frequency dissemination on the national scale. This infrastructure will improve the frequency references used in radio-astronomy and in atomic physics and will benefit several laboratories in Italy involved in high resolution spectroscopy, matter physics and radioastronomy. The present infrastructure will be part of a forthcoming European network of optical links. This paper describes the haul implementation, the characterization and the future applications of this backbone. © 2014 AEIT

Pain in cancer. An outcome research project to evaluate the epidemiology, the quality and the effects of pain treatment in cancer patients

BACKGROUND: Management of pain related to advanced or metastatic cancer, although the availability of several pharmacological and non-pharmacological interventions and the existence of well-known guidelines and protocols, is often difficult and inadequate. Evidence of the relative effectiveness of current options for treating cancer pain from comparative randomized studies is scanty. METHODS: In the context of a wider project, a multicenter, open label, prospective Outcome Research study will be launched in Italy in 2006 to investigate the epidemiology of cancer pain and of its treatments, the quality of analgesic-drug therapy and the effectiveness of alternative analgesic strategies in a large, prospective, unselected cohort of cancer patients using the state-of-the art of patient-reported-outcomes. About 100 Italian centers will recruit 2500 patients with advanced/progressive/metastatic cancer with pain (related to the cancer disease) requiring analgesic treatments. Each center is expected to recruit 25 consecutive and eligible patients during the study inception period. Approximately two months will be allowed for subject recruitment and enrollment. Subject evaluation and follow-up will be for 3 months. The effect on outcomes of various therapeutic analgesic options administered by physicians, given the observational approach where patients are not assigned at random to different treatments, will be compared using the propensity score approach, allowing the adjustment for treatment selection bias. Later, after the launch of the observational study and on the basis of results, in specific subsamples of patients and in select centers of the network, a Randomized Controlled Trial will be carried out to formally compare the efficacy of alternative analgesic strategies, with particular emphasis on oral morphine (as comparator) and buprenorphine patch (as experimental arm). Results from the outcome (cohort) and experimental (Randomized Controlled Trial) studies will ensure both the external and internal validity