Case report. emergency CABG following failure of PTCA in a COVID-19 patient

The coronavirus disease 2019 (COVID-19) pandemic outbreak, caused by severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2) is affecting people worldwide representing a public health emergency. The effect of concomitant COVID-19 on patients who underwent cardiac surgery using cardiopulmonary bypass (CPB) is still undefined. Both SARS-Cov-2 infection and CPB can develop a cytokines storm and haemostatic disarrangements leading to acute respiratory distress syndrome (ARDS) and post-perfusion lung syndrome, respectively. SARS-Cov-2 infection may trigger and exacerbate post-inflammatory state after CPB resulting in higher risk of post-surgical adverse outcomes. International guidelines lack to provide standard management protocols for pre-operative COVID-19 patients requiring non-deferrable cardiac surgery intervention. We present a report of a successful coronary artery bypass grafting (CABG) emergency operation in a COVID-19 patient, who presented unstable angina and coronary artery dissection during cardiac catheterization and percutaneous transluminal coronary angioplasty (PTCA)

Uncovering hidden structures: previously undescribed pseudopodia and ectoplasmic structures in planktonic foraminifera

The trophic strategies of cold-water planktonic foraminifera are not well understood due to the challenge of culturing them in polar conditions. Here, we identify previously unknown ectoplasmic and cytoplasmic projections in three species of planktonic foraminifera thriving in polar and subpolar marine environments: Globigerina bulloides, Neogloboquadrina incompta and Neogloboquadrina pachyderma. These structures were observed during routine monitoring of cultured specimens sampled from the Norwegian coast, Greenland Sea and Baffin Bay. Two types of projections were discovered, including permanent and non-permanent structures such as ectoplasmic roots, twigs and twig-like projections, similar to those observed in benthic taxa Cibicides and Cibicidoides. Additionally, a previously undescribed filopodia-like projection was observed in N. pachyderma. We discuss the function, the ecological significance and the potential impact on pelagic processes of the presence of these structures in foraminifera species that occupy diverse niches in the water column. Our findings suggest that these structures may play an important role in the trophic strategies of cold-water planktonic foraminifera, and further research and observations are necessary to fully comprehend their significance in the carbon cycl

Prediction is very hard, especially about conversion. Predicting user purchases from clickstream data in fashion e-commerce

Knowing if a user is a buyer vs window shopper solely based on clickstream data is of crucial importance for ecommerce platforms seeking to implement real-time accurate NBA (next best action) policies. However, due to the low frequency of conversion events and the noisiness of browsing data, classifying user sessions is very challenging. In this paper, we address the clickstream classification problem in the fashion industry and present three major contributions to the burgeoning field of AI in fashion: first, we collected, normalized and prepared a novel dataset of live shopping sessions from a major European e-commerce fashion website; second, we use the dataset to test in a controlled environment strong baselines and SOTA models from the literature; finally, we propose a new discriminative neural model that outperforms neural architectures recently proposed at Rakuten labs

Bridging the extant and fossil record of planktonic foraminifera: implications for the Globigerina lineage

We conducted a morphometric study and wall texture analysis on extant and fossil specimens of the planktonic foraminifera Globigerina falconensis plexus. Our global data reveal morphological inconsistencies between fossil and extant populations. Our results are significant as G. falconensis is widely used in palaeoceanographic studies in conjunction with its sister taxon G. bulloides. Morphologically these two species are similar, with the main difference being the distinctive apertural lip present in G. falconensis. We selected cores covering the entire stratigraphic range of G. falconensis, from the early Miocene to current day, spanning sites from high latitudes in the North Atlantic Ocean and the southern Indian Ocean to sites in equatorial regions. The morphology found in the modern ocean is not consistent with the Miocene holotype of Globigerina falconensis Blow described from lower Miocene sediments in Venezuela. A more lobate morphology evolved in the late Miocene, thus, a new name is required for this morphotype, coexisting in the modern oceans with G. falconensis s.s. We thus describe the new morphospecies, G. neofalconensis for the more lobate forms which evolved in the late Miocene and inhabit the modern oceans. Additionally, we report a pseudocancellate wall texture present in the G. falconensis plexus. We use the molecular sequences from the PR2 database to explore the generic attribution of the G. falconensis lineage, confirming its close relationship with G. bulloides and its retention in the genus Globigerina

Identification of the factors affecting co-localization precision for quantitative multicolor localization microscopy

This work explores the potential of multi-color Photoactivated Localization Microscopy (PALM) imaging to probe sub-diffraction limit interactions between proteins with spectrally separated labels. Using a PALM setup built around a commercial microscope axially stabilized to nm-level, we determined the ultimate registration accuracy that could be achieved (10 nm) and compared the performance of three different pairs of fluorescent proteins that can be used in dual color PALM. Fusion constructs were cloned and imaged either in vitro or at the cell plasma membrane, allowing to identify a current limit to co-localization precision of approximately 30-40 nm. We identified the better performing pair and present a concluding perspective application to a co-clustering study. © 2012 Annibale et al

PIANO DELLE ATTIVITÀ DI PREVISIONE, PREVENZIONE E LOTTA ATTIVA CONTRO GLI INCENDI BOSCHIVI

La pianificazione antincendio costituisce un aspetto prioritario nella gestione delle risorse naturali nelle aree protette, in particolare in ambito mediterraneo. L'Ente Parco Nazionale dell'Alta Murgia (Puglia), così come previsto dalla Legge 353/2000 sugli incendi boschivi, ha promosso la redazione del presente volume in cui sono riportati una serie di riferimenti e di approfondimenti relativi agli aspetti normativi, nazionali e regionali, riguardanti la tematica degli incendi boschivi. Il territorio del Parco viene dettagliatamente descritto, con particolare riferimento alla vegetazione d'interesse forestale e all'analisi delle principali criticità connesse all'innesco e alla diffusione degli incendi. Nel volume vengono inoltre illustrati i risultati delle attività di ricerca, prevalentemente condotte in ambiente GIS, riguardanti gli incendi pregressi, la distinzione del territorio dell'area protetta in aree con differenti livelli di pericolosità e diverso grado di rischio di incendio. La parte conclusiva è dedicata alla definizione degli interventi prioritari e alla programmazione tecnico-economica delle attività da svolgere nel quinquennio di riferimento

An EPID Dosimetry Verification During Treatment

Purpose: This work reports the extension of a semiempirical method based on the correlation ratios to convert electronic portal imaging devices transit signals into in vivo doses for the step-and-shoot intensity-modulated radiotherapy Siemens beams. The dose reconstructed at the isocenter point Diso, compared to the planned dose, Diso,TPS, and a γ-analysis between 2-dimensional electronic portal imaging device images obtained day to day, seems to supply a practical method to verify the beam delivery reproducibility. Method: The electronic portal imaging device images were obtained by the superposition of many segment fields, and the algorithm for the Diso reconstruction for intensity-modulated radiotherapy step and shoot was formulated using a set of simulated intensity-modulated radiotherapy beams. Moreover, the in vivo dose-dedicated software was integrated with the record and verify system of the centers. Results: Three radiotherapy centers applied the in vivo dose procedure at 30 clinical intensity-modulated radiotherapy treatments, each one obtained with 5 or 7 beams, and planned for patients undergoing radiotherapy for prostatic tumors. Each treatment beam was checked 5 times, obtaining 900 tests of the ratios R = Diso/Diso,TPS. The average R value was equal to 1.002 ± 0.056 (2 standard deviation), while the mean R value for each patient was well within 5%, once the causes of errors were removed. The γ-analysis of the electronic portal imaging device images, with 3% 3 mm acceptance criteria, showed 90% of the tests with Pγ < 1 ≥ 95% and γmean ≤ 0.5. The off-tolerance tests were found due to incorrect setup or presence of morphological changes. This preliminary experience shows the great utility of obtaining the in vivo dose results in quasi real time and close to the linac, where the radiotherapy staff may immediately spot possible causes of errors. The in vivo dose procedure presented here is one of the objectives of a project, for the development of practical in vivo dose procedures, financially supported by the Istituto Nazionale di Fisica Nucleare

Sedimentary ancient DNA: a new paleogenomic tool for reconstructing the history of marine ecosystems

Sedimentary ancient DNA (sedaDNA) offers a novel retrospective approach to reconstructing the history of marine ecosystems over geological timescales. Until now, the biological proxies used to reconstruct paleoceanographic and paleoecological conditions were limited to organisms whose remains are preserved in the fossil record. The development of ancient DNA analysis techniques substantially expands the range of studied taxa, providing a holistic overview of past biodiversity. Future development of marine sedaDNA research is expected to dramatically improve our understanding of how the marine biota responded to changing environmental conditions. However, as an emerging approach, marine sedaDNA holds many challenges, and its ability to recover reliable past biodiversity information needs to be carefully assessed. This review aims to highlight current advances in marine sedaDNA research and to discuss potential methodological pitfalls and limitations