Secretory phospholipase A2 pathway in various types of lung injury in neonates and infants: a multicentre translational study

Background Secretory phospholipase A2 (sPLA2) is a group of enzymes involved in lung tissue inflammation and surfactant catabolism. sPLA2 plays a role in adults affected by acute lung injury and seems a promising therapeutic target. Preliminary data allow foreseeing the importance of such enzyme in some critical respiratory diseases in neonates and infants, as well. Our study aim is to clarify the role of sPLA2 and its modulators in the pathogenesis and clinical severity of hyaline membrane disease, infection related respiratory failure, meconium aspiration syndrome and acute respiratory distress syndrome. sPLA2 genes will also be sequenced and possible genetic involvement will be analysed. Methods/Design Multicentre, international, translational study, including several paediatric and neonatal intensive care units and one coordinating laboratory. Babies affected by the above mentioned conditions will be enrolled: broncho-alveolar lavage fluid, serum and whole blood will be obtained at definite time-points during the disease course. Several clinical, respiratory and outcome data will be recorded. Laboratory researchers who perform the bench part of the study will be blinded to the clinical data. Discussion This study, thanks to its multicenter design, will clarify the role(s) of sPLA2 and its pathway in these diseases: sPLA2 might be the crossroad between inflammation and surfactant dysfunction. This may represent a crucial target for new anti-inflammatory therapies but also a novel approach to protect surfactant or spare it, improving alveolar stability, lung mechanics and gas exchange

A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain

Low back pain (LBP) is a common and disabling disorder in western society. The management of LBP comprises a range of different intervention strategies including surgery, drug therapy, and non-medical interventions. The objective of the present study is to determine the effectiveness of physical and rehabilitation interventions (i.e. exercise therapy, back school, transcutaneous electrical nerve stimulation (TENS), low level laser therapy, education, massage, behavioural treatment, traction, multidisciplinary treatment, lumbar supports, and heat/cold therapy) for chronic LBP. The primary search was conducted in MEDLINE, EMBASE, CINAHL, CENTRAL, and PEDro up to 22 December 2008. Existing Cochrane reviews for the individual interventions were screened for studies fulfilling the inclusion criteria. The search strategy outlined by the Cochrane Back Review Groups (CBRG) was followed. The following were included for selection criteria: (1) randomized controlled trials, (2) adult (≥18 years) population with chronic (≥12 weeks) non-specific LBP, and (3) evaluation of at least one of the main clinically relevant outcome measures (pain, functional status, perceived recovery, or return to work). Two reviewers independently selected studies and extracted data on study characteristics, risk of bias, and outcomes at short, intermediate, and long-term follow-up. The GRADE approach was used to determine the quality of evidence. In total 83 randomized controlled trials met the inclusion criteria: exercise therapy (n = 37), back school (n = 5), TENS (n = 6), low level laser therapy (n = 3), behavioural treatment (n = 21), patient education (n = 1), traction (n = 1), and multidisciplinary treatment (n = 6). Compared to usual care, exercise therapy improved post-treatment pain intensity and disability, and long-term function. Behavioural treatment was found to be effective in reducing pain intensity at short-term follow-up compared to no treatment/waiting list controls. Finally, multidisciplinary treatment was found to reduce pain intensity and disability at short-term follow-up compared to no treatment/waiting list controls. Overall, the level of evidence was low. Evidence from randomized controlled trials demonstrates that there is low quality evidence for the effectiveness of exercise therapy compared to usual care, there is low evidence for the effectiveness of behavioural therapy compared to no treatment and there is moderate evidence for the effectiveness of a multidisciplinary treatment compared to no treatment and other active treatments at reducing pain at short-term in the treatment of chronic low back pain. Based on the heterogeneity of the populations, interventions, and comparison groups, we conclude that there are insufficient data to draw firm conclusion on the clinical effect of back schools, low-level laser therapy, patient education, massage, traction, superficial heat/cold, and lumbar supports for chronic LBP

The 2021 Open-Data release by the Pierre Auger Collaboration

The Pierre Auger Observatory is used to study the extensive air-showers produced by cosmic rays above 1017 eV. The Observatory is operated by a Collaboration of about 400 scientists, engineers, technicians and students from more than 90 institutions in 18 countries. The Collaboration is committed to the public release of their data for the purpose of re-use by a wide community including professional scientists, in educational and outreach initiatives, and by citizen scientists. The Open Access Data for 2021 comprises 10% of the samples used for results reported at the Madison ICRC 2019, amounting to over 20000 showers measured with the surface-detector array and over 3000 showers recorded simultaneously by the surface and fluorescence detectors. Data are available in pseudo-raw (JSON) format with summary CSV file containing the reconstructed parameters. A dedicated website is used to host the datasets that are available for download. Their detailed description, along with auxiliary information needed for data analysis, is given. An online event display is also available. Simplified codes derived from those used for published analyses are provided by means of Python notebooks prepared to guide the reader to an understanding of the physics results. Here we describe the Open Access data, discuss the notebooks available and show material accessible to the user at https://opendata.auger.org/

The depth of the shower maximum of air showers measured with AERA

The Auger Engineering Radio Array (AERA) is currently the largest array of radio antennas for the detection of cosmic rays, spanning an area of 17 km2 with 153 radio antennas, measuring in the energy range from 1017.0 to 1019.0 eV. It detects the radio emission of extensive air showers produced by cosmic rays in the 30 − 80 MHz band. The cosmic-ray mass composition is a crucial piece of information in determining the sources of cosmic rays and their acceleration mechanisms. The depth of the shower maximum, Xmax, a probe for mass composition can be determined with a likelihood analysis that compares the measured radio-emission footprint on the ground to an ensemble of footprints from CORSIKA/CoREAS Monte-Carlo air shower simulations. These simulations are also used to determine the resolution of the method and to validate the reconstruction by identifying and correcting for systematic uncertainties. We will present the method for the reconstruction of the depth of the shower maximum, achieving a resolution of up to 15 g/cm2, show compatibility with the independent fluorescence detector reconstruction measured on an event-by-event basis, and show that the data taken over the past seven years with AERA shows a light cosmic-ray mass composition reconstruction in the energy range from 1017.5 to 1018.8 eV

A Search for Photons with Energies above 2 × 1017eV Using Hybrid Data from the Low-Energy Extensions of the Pierre Auger Observatory

Ultra-high-energy photons with energies exceeding 1017 eV offer a wealth of connections to different aspects of cosmic-ray astrophysics as well as to gamma-ray and neutrino astronomy. The recent observations of photons with energies in the 1015 eV range further motivate searches for even higher-energy photons. In this paper, we present a search for photons with energies exceeding 2 × 1017 eV using about 5.5 yr of hybrid data from the low-energy extensions of the Pierre Auger Observatory. The upper limits on the integral photon flux derived here are the most stringent ones to date in the energy region between 1017 and 1018 eV

Deep-learning based reconstruction of the shower maximum Xmax using the water-Cherenkov detectors of the Pierre Auger Observatory

The atmospheric depth of the air shower maximum Xmax is an observable commonly used for the determination of the nuclear mass composition of ultra-high energy cosmic rays. Direct measurements of Xmax are performed using observations of the longitudinal shower development with fluorescence telescopes. At the same time, several methods have been proposed for an indirect estimation of Xmax from the characteristics of the shower particles registered with surface detector arrays. In this paper, we present a deep neural network (DNN) for the estimation of Xmax. The reconstruction relies on the signals induced by shower particles in the ground based water-Cherenkov detectors of the Pierre Auger Observatory. The network architecture features recurrent long short-term memory layers to process the temporal structure of signals and hexagonal convolutions to exploit the symmetry of the surface detector array. We evaluate the performance of the network using air showers simulated with three different hadronic interaction models. Thereafter, we account for long-term detector effects and calibrate the reconstructed Xmax using fluorescence measurements. Finally, we show that the event-by-event resolution in the reconstruction of the shower maximum improves with increasing shower energy and reaches less than 25 g/cm2 at energies above 2×1019 eV

A Catalog of the Highest-energy Cosmic Rays Recorded during Phase I of Operation of the Pierre Auger Observatory

A catalog containing details of the highest-energy cosmic rays recorded through the detection of extensive air showers at the Pierre Auger Observatory is presented with the aim of opening the data to detailed examination. Descriptions of the 100 showers created by the highest-energy particles recorded between 2004 January 1 and 2020 December 31 are given for cosmic rays that have energies in the range 78–166 EeV. Details are also given on a further nine very energetic events that have been used in the calibration procedure adopted to determine the energy of each primary. A sky plot of the arrival directions of the most energetic particles is shown. No interpretations of the data are offered

Combined Search for UHE Neutrinos from Binary Black Hole Mergers with the Pierre Auger Observatory

We present searches for ultra-high energy (UHE) neutrinos (> 0.1 EeV) with the Pierre Auger Observatory, following up binary black hole (BBH) mergers detected by the LIGO and Virgo detectors via gravitational waves (GWs). In this work, the so-far published BBH mergers are combined as standard candles with a hypothetical isotropic UHE neutrino luminosity L(t − t0) as a function of the time after the respective merger, t − t0. The UHE neutrino emission spectrum is assumed to follow a power law distribution ∝ Ev−2. Using these assumptions, L(t − t0) is probed, taking into account the instantaneous effective area of the Pierre Auger Observatory to UHE neutrinos and the 3D sky localizations of the sources. No UHE neutrino candidates have been found and upper limits on L(t − t0) are obtained for the hypothetical cases of emissions lasting 24 hours and 60 days after the merger, respectively. The corresponding upper limit on the total energy per source emitted in UHE neutrinos does not depend on the emission duration and demonstrates the competitiveness of the Pierre Auger Observatory with dedicated neutrino telescopes

Follow-up Search for UHE Photons from Gravitational Wave Sources with the Pierre Auger Observatory

Multimessenger astronomy has become increasingly important during the past decade. Some astronomical objects have already been successfully observed in the light of multiple messenger signals, allowing for a much deeper understanding of their physical properties. The Pierre Auger Observatory has taken part in multimessenger astronomy with an exhaustive exploration of the ultra-high-energy sky. In this contribution, for the first time, a search for UHE photons from the sources of gravitational waves is presented. Interactions with the cosmic background radiation fields are expected to attenuate any possible flux of ultra-high-energy photons from distant sources and a non-negligible background of air shower events with hadronic origin makes an unambiguous identification of primary photons a challenging task. In the analysis presented here, a selection strategy is applied to both GW sources and air shower events aiming to provide maximum sensitivity to a possible photon signal. At the same time, a window is kept open for hypothetical new-physics processes, which might allow for much larger interaction lengths of photons in the extragalactic medium. Preliminary results on the UHE photon fluence from a selection of GW sources, including the binary neutron star merger GW170817 are presented

A search for ultra-high-energy photons at the Pierre Auger Observatory exploiting air-shower Universality

The Pierre Auger Observatory is the most sensitive detector to primary photons with energies above ∼ 0.2 EeV. It measures extensive air showers using a hybrid technique that combines a fluorescence detector (FD) with a ground array of particle detectors (SD). The signatures of a photon-induced air shower are a larger atmospheric depth at the shower maximum (Xmax) and a steeper lateral distribution function, along with a lower number of muons with respect to the bulk of hadron-induced background. Using observables measured by the FD and SD, three photon searches in different energy bands are performed. In particular, between threshold energies of 1–10 EeV, a new analysis technique has been developed by combining the FD-based measurement of Xmax with the SD signal through a parameter related to its muon content, derived from the universality of the air showers. This technique has led to a better photon/hadron separation and, consequently, to a higher search sensitivity, resulting in a tighter upper limit than before. The outcome of this new analysis is presented here, along with previous results in the energy ranges below 1 EeV and above 10 EeV. From the data collected by the Pierre Auger Observatory in about 15 years of operation, the most stringent constraints on the fraction of photons in the cosmic flux are set over almost three decades in energy