Attitudes towards Vaccinations in a National Italian Cohort of Patients with Inflammatory Bowel Disease

Background: The vaccination status of patients with inflammatory bowel disease (IBD) should be investigated before starting any treatment, and patients should eventually be vaccinated against vaccine-preventable diseases (VPDs). Patients with IBD may have suboptimal vaccination rates. The aim of this study was to evaluate the vaccination coverage, attitude towards vaccinations, and determinants among an Italian cohort of patients with IBD.Methods: AMICI, the Italian IBD patients' association, sent an anonymous web-based questionnaire in February 2021. Previous vaccination status and patients' attitudes towards vaccinations were recorded. We examined the factors influencing their attitudes using crude and adjusted odds ratios (adjORs) with 95% confidence intervals (CIs).Results: Among the 4039 patients invited, 1252 patients (including 729 women, median age 47.7 [37-58]) completed the questionnaire, with a response rate of 25.3%. Respondents declared being vaccinated against tetanus (74.1%), flu (67.7%; last season), MMR (43.3%), HBV (37.1%), pneumococcus (29.1%), meningitis (20%), HAV (16%), VZV (15.3%), and HPV (7.6%). Complete vaccination history was not remembered by 20.7% of the patients. One thousand one hundred and twelve (88.8%) expressed a positive attitude towards vaccination, 91 (7.3%) were indifferent, and 49 (3.9%) reported being opposed to vaccinations. The belief of a possible return of VPDs with a decline in vaccination coverage rates was the factor most strongly related to a positive attitude towards vaccinations (adjOR 5.67, 95% CI 3.45-9.30, p-value < 0.001).Conclusions: A low vaccination rate against some VPDs was found among a national cohort of patients with IBD, despite a generally positive attitude towards vaccinations

Confirmation of the presence of a CRSF in the NICER spectrum of X 1822-371

Aims. X 1822-371 is an eclipsing binary system with a period close to 5.57 h and an orbital period derivative Porb of 1.42(3) × 10-10 s s-1. The extremely high value of its Porb is compatible with a super-Eddington mass transfer rate from the companion star and, consequently, an intrinsic luminosity at the Eddington limit. The source is also an X-ray pulsar, it shows a spin frequency of 1.69 Hz and is in a spin-up phase with a spin frequency derivative of 7.4 × 10-12 Hz s-1. Assuming a luminosity at the Eddington limit, a neutron star magnetic field strength of B=8 × 1010 G is estimated. However, a direct measure of B could be obtained observing a CRSF in the energy spectrum. Analysis of XMM-Newton data suggested the presence of a cyclotron line at 0.73 keV, with an estimated magnetic field strength of B=(8.8 ± 0.3)× 1010 G. Methods. Here we analyze the 0.3-50 keV broadband spectrum of X 1822-371 combining a 0.3-10 keV NICER spectrum and a 4.5-50 keV NuSTAR spectrum to investigate the presence of a cyclotron absorption line and the complex continuum emission spectrum. Results. The NICER spectrum confirms the presence of a cyclotron line at 0.66 keV. The continuum emission is modeled with a Comptonized component, a thermal component associated with the presence of an accretion disk truncated at the magnetospheric radius of 105 km and a reflection component from the disk blurred by relativistic effects. Conclusions. We confirm the presence of a cyclotron line at 0.66 keV inferring a NS magnetic field of B=(7.9 ± 0.5)× 1010 G and suggesting that the Comptonized component originates in the accretion columns

Farmers Markets and the Local Food System: The Case of Gettysburg, Pennsylvania

In order to examine and obtain a better understanding of the local food system within Adams County, Pennsylvania, this study explores the characteristics and perspectives of the customers and vendors at the farmers markets in Gettysburg, Pennsylvania. Survey findings from the Gettysburg Farmers Market and the three Adams County Farmers Markets include customer demographic information, perspectives and shopping behavior as well as vendor product information, farm size and location and preference for market management. Introductory background information on the Farm Bill and the influence of agricultural practices on the environment, human health and nutrition and the relationship between farmers markets and the local economy are offered in order to emphasize the value of a well-managed local food system. Conclusions provide evidence that lower income and lower education levels are not sufficiently represented at all the markets and food stamp programs are being underutilized. This study suggests employing additional marketing to target underrepresented demographic groups, public transportation to potentially inaccessible market locations and increased advertisement and encouragement of food stamp programs at all markets in order to expand the customer base and increase access to healthy, local foods for less advantaged citizens. The results from this study are intended to offer evidence that will promote and facilitate market management, strengthen customer/vendor relationships and encourage better ties between the local community and local food systems at the farmers markets within Gettysburg in Adams County, Pennsylvania

Soft-state optical spectroscopy of the black hole MAXI J1305-704

The X-ray dipper MAXI J1305-704 is a dynamically confirmed black hole (BH) X-ray binary discovered a decade ago. While its only outburst has been studied in detail in X-rays, follow-up at other wavelengths has been scarce. We report here the results from an optical spectroscopy campaign across the outburst of MAXI J1305-704. We analysed two epochs of data obtained by the Magellan Clay Telescope during two consecutive nights, when the source was in a soft X-ray spectral state. We identified typical emission lines from outbursting low-mass X-ray binaries, such as the hydrogen Balmer series, He II 4686 angstrom and the Bowen blend. We focused our analysis on the prominent H alpha line, which exhibits asymmetric emission and variable absorption components. We applied both traditional analytical methods and machine-learning techniques in order to explore the association of the absorption features with outflowing phenomena, and we conclude that they are best explained by broad absorption. This result is consistent with reports from other outbursting BHs, where optical outflows have predominantly been observed in the hard state. Further observations at different X-ray states are key to properly test whether this behaviour is universal and to determine the implications for the disc wind physics

Microstructural and electrical characterization of Mn-Co spinel protective coatings for solid oxide cell interconnects

Electrophoretic deposition, thermal co-evaporation and RF magnetron sputtering methods are used for the preparation of Mn-Co based ceramic coatings for solid oxide fuel cell steel interconnects. Both thin and relatively thick coatings (1–15 μm) are prepared and characterised for their potential protective behaviour. Mn-Co coated Crofer22APU samples are electrically tested for 5000 h at 800 °C under a 500 mA cm−2 current load to determine their Area Specific Resistance increase due to a growing chromia scale. After tests, samples are analysed by scanning and transmission electron microscopy. Analysis is focused on the potential chromium diffusion to or through the coating, the oxide scale thickness and possible reactions at the interfaces. The relationships between the coating type, thickness and effectiveness are reviewed and discussed. Out of the three Mn-Co coatings compared in this study, the one deposited by electrophoretic deposition presents the best protection against Cr diffusion and offers long term stability

Conjugal inflammatory bowel disease : a systematic review and European survey

Background The frequency of inflammatory bowel disease (IBD) is increased after marriage to an individual with the disease. Importantly, the offspring of these couples have a significant risk for developing the disease. Herein, we aimed to better characterize conjugal IBD. Methods A systematic literature search was conducted with predetermined search criteria. Relevant manuscripts reporting on couples with IBD and their offspring were selected. Concomitantly, a cross-sectional survey was conducted of couples where both members were affected with IBD, as well as their offspring, and electronically distributed by patients’ associations. Results We identified 20 reports of IBD in couples, for a total of 68 couples. Of these, 66% were concordant regarding IBD type and 66% were diagnosed after cohabitation. The overall prevalence of IBD in the offspring of these couples was 29%. Our survey identified 58 couples with IBD, with 62% being concordant regarding IBD type; 42.9% were diagnosed prior to cohabitation, in 12.5% one spouse was diagnosed before and the other after cohabitation, and in 44.6% the onset of disease occurred after cohabitation for both. The prevalence of IBD in children born from these couples was 10%. The probability of developing disease in the progeny was 2% at 10 years, 12% at 15 years, and 16% at 20 years of age. Conclusions IBD in couples occurs mostly after marriage to an individual with disease or after many years of cohabitation. In a modern cohort, the risk for the progeny was around 16% by the age of 20, lower than previously reported.peer-reviewe

A METHOD TO CALIBRATE THE HIGH-RESOLUTION CATANIA ASTROPHYSICAL OBSERVATORY SPECTROPOLARIMETER

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Virtual Compton Scattering and Neutral Pion Electroproduction in the Resonance Region up to the Deep Inelastic Region at Backward Angles

We have made the first measurements of the virtual Compton scattering (VCS) process via the H$(e,e'p)\gamma$ exclusive reaction in the nucleon resonance region, at backward angles. Results are presented for the $W$-dependence at fixed $Q^2=1$ GeV$^2$, and for the $Q^2$-dependence at fixed $W$ near 1.5 GeV. The VCS data show resonant structures in the first and second resonance regions. The observed $Q^2$-dependence is smooth. The measured ratio of H$(e,e'p)\gamma$ to H$(e,e'p)\pi^0$ cross sections emphasizes the different sensitivity of these two reactions to the various nucleon resonances. Finally, when compared to Real Compton Scattering (RCS) at high energy and large angles, our VCS data at the highest $W$ (1.8-1.9 GeV) show a striking $Q^2$- independence, which may suggest a transition to a perturbative scattering mechanism at the quark level.Comment: 20 pages, 8 figures. To appear in Phys.Rev.

Virtual Compton Scattering and the Generalized Polarizabilities of the Proton at Q^2=0.92 and 1.76 GeV^2

Virtual Compton Scattering (VCS) on the proton has been studied at Jefferson Lab using the exclusive photon electroproduction reaction (e p --> e p gamma). This paper gives a detailed account of the analysis which has led to the determination of the structure functions P_LL-P_TT/epsilon and P_LT, and the electric and magnetic generalized polarizabilities (GPs) alpha_E(Q^2) and beta_M(Q^2) at values of the four-momentum transfer squared Q^2= 0.92 and 1.76 GeV^2. These data, together with the results of VCS experiments at lower momenta, help building a coherent picture of the electric and magnetic GPs of the proton over the full measured Q^2-range, and point to their non-trivial behavior.Comment: version 2: modified according to PRC Editor's and Referee's recommendations. Archival paper for the E93-050 experiment at JLab Hall A. 28 pages, 23 figures, 5 cross-section tables. To be submitted to Phys.Rev.