Late snowfall and blizzards in Moldavia. April 2017 summary case of study

While these are normal phenomena for Romania’s geographical position, heavy snows and intense blizzards can have severely negative effects, especially when they occur unseasonably, before or after the typical period. The blizzard recorded on 19-20 April 2017 was particularly violent and one of the latest blizzard events in the history of meteorological observations. In comparison, the last significant late winter event, albeit lower in intensity, was recorded on 15-16 April 1996. However, the blizzard formation mechanism in the month of April in eastern regions is relatively similar. The presence of a high-pressure zone in the central-western European region led, in both cases, to fast large-scale penetrations of arctic air from high latitudes towards areas with high cyclogenetic potential in the Mediterranean Sea basin. Thus, the depressions of Mediterranean origin, which formed in the Genova Gulf area, advanced towards the Black Sea basin via trans-Balkan trajectories, where they regenerated and resulted in strong windintensification and abundant precipitation in the Moldavian region. With regard to the event this study analyses, the high thermobaric contrast and the presence of a sufficiently cold air mass favored, during the night between the 19th and the 20th of April, the occurrence of a strong blizzard event in Moldavia, following abundant wet snowfall during the day. At several meteorological stations across Moldavia and Transylvania, as well as in mountainous areas, the maximum winter snow layer thickness was exceeded on the 20th and 21st of April

Epidemiology and pattern of resistance of gram-negative bacteria isolated from blood samples in hospitalized patients: A single center retrospective analysis from southern italy

Background: Blood culturing remains the mainstream tool to inform an appropriate treatment in hospital-acquired bloodstream infections and to diagnose any bacteremia. Methods: A retrospective investigation on the prevalence of Gram-negative bacteria (GNB) and their resistance in hospitalized patients by age, sex, and units from blood cultures (BCs) was conducted from January 2018 to April 2020 at Sant’Elia hospital, Caltanissetta, southern Italy. We divided the patient age range into four equal intervals. Results: Multivariate demographic and microbiological variables did not show an association between bacteria distributions and gender and age. The distribution by units showed a higher prevalence of Klebsiella pneumoniae and Acinetobacter baumannii in the intensive care unit (ICU) and Escherichia coli in the non-intensive care units (non-ICUs). The analysis of antibiotic resistance showed that E. coli was susceptible to a large class of antibiotics such as carbapenem and trimethoprim-sulfamethoxazole. K. pneumoniae showed a significant susceptibility to colistin, tigecycline, and trimethoprim-sulfamethoxazole. From the survival analysis, patients with E. coli had a higher survival rate. Conclusions: The authors stress the importance of the implementation of large community-level programs to prevent E. coli bacteremia. K. pneumoniae and E. coli susceptibility patterns to antibiotics, including in the prescription patterns of general practitioners, suggest that the local surveillance and implementation of educational programs remain essential measures to slow down the spread of resistance and, consequently, increase the antibiotic lifespan

Structure based inhibitor design targeting glycogen phosphorylase b. Virtual screening, synthesis, biochemical and biological assessment of novel N-acyl-β-d-glucopyranosylamines

Glycogen phosphorylase (GP) is a validated target for the development of new type 2 diabetes treatments. Exploiting the Zinc docking database, we report the in silico screening of 1888 β- D-glucopyranose-NH-CO-R putative GP inhibitors differing only in their R groups. CombiGlide and GOLD docking programs with different scoring functions were employed with the best performing methods combined in a “consensus scoring” approach to ranking of ligand binding affinities for the active site. Six selected candidates from the screening were then synthesized and their inhibitory potency was assessed both in vitro and ex vivo. Their inhibition constants’ values, in vitro, ranged from 5 to 377 µM while two of them were effective at causing inactivation of GP in rat hepatocytes at low µM concentrations. The crystal structures of GP in complex with the inhibitors were defined and provided the structural basis for their inhibitory potency and data for further structure based design of more potent inhibitors

Progressive Structural Defects in Canine Centronuclear Myopathy Indicate a Role for HACD1 in Maintaining Skeletal Muscle Membrane Systems

Mutations in HACD1/PTPLA cause recessive congenital myopathies in humans and dogs. Hydroxyacyl-coA dehydratases are required for elongation of very long chain fatty acids, and HACD1 has a role in early myogenesis, but the functions of this striated muscle-specific enzyme in more differentiated skeletal muscle remain unknown. Canine HACD1 deficiency is histopathologically classified as a centronuclear myopathy (CNM). We investigated the hypothesis that muscle from HACD1-deficient dogs has membrane abnormalities in common with CNMs with different genetic causes. We found progressive changes in tubuloreticular and sarcolemmal membranes and mislocalized triads and mitochondria in skeletal muscle from animals deficient in HACD1. Furthermore, comparable membranous abnormalities in cultured HACD1-deficient myotubes provide additional evidence that these defects are a primary consequence of altered HACD1 expression. Our novel findings, including T-tubule dilatation and disorganization, associated with defects in this additional CNM-associated gene provide a definitive pathophysiologic link with these disorders, confirm that dogs deficient in HACD1 are relevant models, and strengthen the evidence for a unifying pathogenesis in CNMs via defective membrane trafficking and excitation-contraction coupling in muscle. These results build on previous work by determining further functional roles of HACD1 in muscle and provide new insight into the pathology and pathogenetic mechanisms of HACD1 CNM. Consequently, alterations in membrane properties associated with HACD1 mutations should be investigated in humans with related phenotypes

Planning for Sustainability in Small Municipalities: The Influence of Interest Groups, Growth Patterns, and Institutional Characteristics

How and why small municipalities promote sustainability through planning efforts is poorly understood. We analyzed ordinances in 451 Maine municipalities and tested theories of policy adoption using regression analysis.We found that smaller communities do adopt programs that contribute to sustainability relevant to their scale and context. In line with the political market theory, we found that municipalities with strong environmental interests, higher growth, and more formal governments were more likely to adopt these policies. Consideration of context and capacity in planning for sustainability will help planners better identify and benefit from collaboration, training, and outreach opportunities

Ti-Zr-Si-Nb nanocrystalline alloys and metallic glasses: Assessment on the structure, thermal stability, corrosion and mechanical properties

The development of novel Ti-based amorphous or \u3b2-phase nanostructured metallic materials could have significant benefits for implant applications, due to improved corrosion and mechanical characteristics (lower Young's modulus, better wear performance, improved fracture toughness) in comparison to the standardized \u3b1+\u3b2 titanium alloys. Moreover, the devitrification phenomenon, occurring during heating, could contribute to lower input power during additive manufacturing technologies. Ti-based alloy ribbons were obtained by melt-spinning, considering the ultra-fast cooling rates this method can provide. The titanium alloys contain in various proportions Zr, Nb, and Si (Ti60Zr10Si15Nb15, Ti64Zr10Si15Nb11, Ti56Zr10Si15Nb19) in various proportions. These elements were chosen due to their reported biological safety, as in the case of Zr and Nb, and the metallic glass-forming ability and biocompatibility of Si. The morphology and chemical composition were analyzed by scanning electron microscopy and energy-dispersive X-ray spectroscopy, while the structural features (crystallinity, phase attribution after devitrification (after heat treatment)) were assessed by X-ray diffraction. Some of the mechanical properties (hardness, Young's modulus) were assessed by instrumented indentation. The thermal stability and crystallization temperatures were measured by differential thermal analysis. High-intensity exothermal peaks were observed during heating of melt-spun ribbons. The corrosion behavior was assessed by electrocorrosion tests. The results show the potential of these alloys to be used as materials for biomedical applications

Environmental Metal Pollution Considered as Noise: Effects on the Spatial Distribution of Benthic Foraminifera in two Coastal Marine Areas of Sicily (Southern Italy)

We analyze the spatial distributions of two groups of benthic foraminifera (Adelosina spp. + Quinqueloculina spp. and Elphidium spp.), along Sicilian coast, and their correlation with six different heavy metals, responsible for the pollution. Samples were collected inside the Gulf of Palermo, which has a high level of pollution due to heavy metals, and along the coast of Lampedusa island (Sicily Channel, Southern Mediterranean), which is characterized by unpolluted sea waters. Because of the environmental pollution we find: (i) an anticorrelated spatial behaviour between the two groups of benthic foraminifera analyzed; (ii) an anticorrelated (correlated) spatial behaviour between the first (second) group of benthic foraminifera with metal concentrations; (iii) an almost uncorrelated spatial behaviour between low concentrations of metals and the first group of foraminifera in clean sea water sites. We introduce a two-species model based on the generalized Lotka-Volterra equations in the presence of a multiplicative noise, which models the interaction between species and environmental pollution due to the presence in top-soft sediments of heavy metals. The interaction coefficients between the two species are kept constant with values in the coexistence regime. Using proper values for the initial conditions and the model parameters, we find for the two species a theoretical spatial distribution behaviour in a good agreement with the data obtained from the 63 sites analyzed in our study.Comment: 28 pages, 8 figures, 5 table

The importance of maternal insulin resistance throughout pregnancy on neonatal adiposity

Background: Although previous studies evaluated the association of maternal health parameters with neonatal adiposity, little is known regarding the complexity of the relationships among different maternal health parameters throughout pregnancy and its impact on neonatal adiposity. Objectives: To evaluate the direct and indirect associations between maternal insulin resistance during pregnancy, in women with obesity, and neonatal adiposity. In addition, associations between maternal fasting glucose, triglycerides (TG), non-esterified fatty acids (NEFA), and neonatal adiposity were also assessed. Methods: This is a longitudinal, secondary analysis of the DALI study, an international project conducted in nine European countries with pregnant women with obesity. Maternal insulin resistance (HOMA-IR), fasting glucose, TG, and NEFA were measured three times during pregnancy (<20, 24-28, and 35-37 weeks of gestation). Offspring neonatal adiposity was estimated by the sum of four skinfolds. Structural equation modelling was conducted to evaluate the direct and indirect relationships among the variables of interest. Results: Data on 657 mother-infant pairs (50.7% boys) were analysed. Neonatal boys exhibited lower m

Whole brain radiotherapy with radiosensitizer for brain metastases

<p>Abstract</p> <p>Purpose</p> <p>To study the efficacy of whole brain radiotherapy (WBRT) with radiosensitizer in comparison with WBRT alone for patients with brain metastases in terms of overall survival, disease progression, response to treatment and adverse effects of treatment.</p> <p>Methods</p> <p>A meta-analysis of randomized controlled trials (RCT) was performed in order to compare WBRT with radiosensitizer for brain metastases and WBRT alone. The MEDLINE, EMBASE, LILACS, and Cochrane Library databases, in addition to Trial registers, bibliographic databases, and recent issues of relevant journals were researched. Significant reports were reviewed by two reviewers independently.</p> <p>Results</p> <p>A total of 8 RCTs, yielding 2317 patients were analyzed. Pooled results from this 8 RCTs of WBRT with radiosensitizer have not shown a meaningful improvement on overall survival compared to WBRT alone OR = 1.03 (95% CI0.84–1.25, p = 0.77). Also, there was no difference in local brain tumor response OR = 0.8(95% CI 0.5 – 1.03) and brain tumor progression (OR = 1.11, 95% CI 0.9 – 1.3) when the two arms were compared.</p> <p>Conclusion</p> <p>Our data show that WBRT with the following radiosentizers (ionidamine, metronidazole, misonodazole, motexafin gadolinium, BUdr, efaproxiral, thalidomide), have not improved significatively the overall survival, local control and tumor response compared to WBRT alone for brain metastases. However, 2 of them, motexafin- gadolinium and efaproxiral have been shown in recent publications (lung and breast) to have positive action in lung and breast carcinoma brain metastases in association with WBRT.</p

The South Atlantic meridional overturning circulation and mesoscale eddies in the first GO-SHIP section at 34.5°S

This is the final version. Available from Wiley via the DOI in this record. The data from the MSM60 cruise are available at: https://doi.org/10.2312/cr_msm60. ADT data were downloaded from http://marine.copernicus.eu/, SST from https://podaac.jpl.nasa.gov/, eddy tracking from https://vesg.ipsl.upmc.fr/thredds/catalog/IPSLFS/rlaxe/catalog.html?data set=DatasetScanIPSLFS/rlaxe/ Database_ South_Atl.zip. GO-SHIP datasets were downloaded from http://cchdo.ucsd.edu.The variability of the Atlantic meridional overturning circulation (AMOC) has considerable impacts on the global climate system. Past studies have shown that changes in the South Atlantic control the stability of the AMOC and drive an important part of its variability. That is why significant resources have been invested in a South (S)AMOC observing system. In January 2017, the RV Maria S. Merian conducted the first GO-SHIP hydrographic transect along the SAMOC-Basin Wide Array (SAMBA) line at 34.5°S in the South Atlantic. This paper presents estimates of meridional volume, freshwater (MFT), and heat (MHT) transports through the line using the slow varying geostrophic density field and direct velocity observations. An upper and an abyssal overturning cell are identified with a strength of 15.64 ± 1.39 Sv and 2.4 ± 1.6 Sv, respectively. The net northward MHT is 0.27 ± 0.10 PW, increasing by 0.12 PW when we remove the observed mesoscale eddies with a climatology derived from the Argo floats data set. We attribute this change to an anomalous predominance of cold core eddies during the cruise period. The highest velocities are observed in the western boundary, within the Brazil and the Deep Western Boundary currents. These currents appear as a continuous deep jet located 150 km off the slope squeezed between two cyclonic eddies. The zonal changes in water masses properties and velocity denote the imprint of exchange pathways with both the Southern and the Indian oceans.TOEddies CNES-TOSCASouth African NRFANII-Campus FranceCooperative Institute for Marine and Atmospheric Studies (CIMAS)NOAA Atlantic Oceanographic and Meteorological LaboratorySao Paulo State Research FoundationSouth African National Research FoundationGerman Federal Ministry of Education and Research (BMBF)Department of Environment, Forestry and Fisherie