Indications for flexible fiberoptic bronchoscopy and its safety in the very elderly

Aim. To evaluate the indications and the safety of fiberoptic bronchoscopy (FOB) with bronchoalveolar lavage (BAL), protected specimen brushing (PSB), endobronchial biopsy (EBB), and transbronchial biopsy (TBB) in a population of very elderly patients. Methods. We performed a retrospective study of all adult patients, aged 50 years or older, who underwent FOB in the Bronchology Unit of the University of Parma Hospital between 1 January, 2003 and 31 April, 2005. Bronchoscopy records of 436 consecutive patients, including 191 patients, 75 yrs of age and older ("very elderly"; =>75 yrs), were reviewed. Results. Patients aged 75 years were no different with regard to gender, BMI, baseline FEV1/FVC ratio, baseline SaO2, and blood pressure. The primary indication in patients aged <75 years, was to assist in the diagnosis of a pulmonary mass of unknown aetiology (33%) and to remove secretions in the very elderly patients (31%). Indications for FOB and sampling procedures in the two groups were similar. Approximately 30% of patients in each group required supplemental oxygen during the procedure and fever occurred in 9.2% and 10.3% of patients, respectively.Hypertension and bleeding were relatively rare and did not occur more often in the very elderly. Conclusions. Indication for FOB did not vary with age and adverse events in both groups were uncommon and generally not severe

The ALICE Level 0 Pixel Trigger Driver Layer

The ALICE Silicon Pixel Detector (SPD) comprises the two innermost layers of the ALICE inner tracker system. The SPD contains 120 detector modules each including 10 readout chips. Each of these pixel chips generates a digital Fast-OR output signal indicating the presence of at least one pixel hit in its pixel matrix. The Pixel Trigger (PIT) System has been implemented to process the 1200 Fast-Or signals from the SPD and provides an input signal to the ALICE Central Trigger Processor (CTP) for the fastest (Level 0) trigger decision within a latency of 800 ns. The PIT processor interfaces with several ALICE systems: it receives input data from the SPD, it accepts configuration commands from the CTP and sends status information to the Alice Experimental Control System (ECS). The PIT control system required an accurate design of hardware and software solutions to implement coordinated operation of the PIT and the ALICE systems to which it interfaces to. We present here the design, the implementation and the first operational experience of the PIT Control and Calibration system. The hardware configuration and control are implemented via the ALICE Detector Data Link, on top of which a custom control system has been implemented. A driver layer has been realized under stringent requirements of robustness and reusability. It qualifies as a general purpose hardware driver for electronic systems equipped with the ALICE DDL front end board (SIU). Various testing and calibration procedures need to be performed on the SPD and the PIT systems in order to provide an optimized trigger signal to the CTP. These include methods to compensate all signals propagation delays and automatic SPD DAC scans to tune the detector response. The PIT control system has been tailored to implement automatically most of the former procedures, requiring coordinated and extensive information exchange between the interfacing systems.CER

Doxorubicin treatment modulates chemoresistance and affects the cell cycle in two canine mammary tumour cell lines

Background: Doxorubicin (DOX) is widely used in both human and veterinary oncology although the onset of multidrug resistance (MDR) in neoplastic cells often leads to chemotherapy failure. Better understanding of the cellular mechanisms that circumvent chemotherapy efficacy is paramount. The aim of this study was to investigate the response of two canine mammary tumour cell lines, CIPp from a primary tumour and CIPm, from its lymph node metastasis, to exposure to EC50(20h) DOX at 12, 24 and 48 h of treatment. We assessed the uptake and subcellular distribution of DOX, the expression and function of P-glycoprotein (P-gp) and Breast Cancer Resistance Protein (BCRP), two important MDR mediators. To better understand this phenomenon the effects of DOX on the cell cycle and Ki67 cell proliferation index and the expression of p53 and telomerase reverse transcriptase (TERT) were also evaluated by immunocytochemistry (ICC). Results: Both cell lines were able to uptake DOX within the nucleus at 3 h treatment while at 48 h DOX was absent from the intracellular compartment (assessed by fluorescence microscope) in all the surviving cells. CIPm, originated from the metastatic tumour, were more efficient in extruding P-gp substrates. By ICC and qRT-PCR an overall increase in both P-gp and BCRP were observed at 48 h of EC50(20h) DOX treatment in both cell lines and were associated with a striking increase in the percentage of p53 and TERT expressing cells by ICC. The cell proliferation fraction was decreased at 48 h in both cell lines and cell cycle analysis showed a DOX-induced arrest in the S phase for CIPp, while CIPm had an increase in cellular death without arrest. Both cells lines were therefore composed by a fraction of cells sensible to DOX that underwent apoptosis/necrosis. Conclusions: DOX administration results in interlinked modifications in the cellular population including a substantial effect on the cell cycle, in particular arrest in the S phase for CIPp and the selection of a subpopulation of neoplastic cells bearing MDR phenotype characterized by P-gp and BCRP expression, TERT activation, p53 accumulation and decrease in the proliferating fraction. Important information is given for understanding the dynamic and mechanisms of the onset of drug resistance in a neoplastic cell population

The ALICE Silicon Pixel Detector: readiness for the first proton beam

The Silicon Pixel Detector (SPD) is the innermost element of the ALICE Inner Tracking System (ITS). The SPD consists of two barrel layers of hybrid silicon pixels surrounding the beam pipe with a total of 48 10^7 pixel cells. The SPD features a very low material budget, a 99.9% efficient bidimensional digital response, a 12 micron spatial precision in the bending plane (rf ) and a prompt signal as input to the L0 trigger. The SPD commissioning in the ALICE experimental area is well advanced and it includes calibration runs with internal pulse and cosmic ray runs. In this contribution the commissioning of the SPD is reviewed and the first results from runs with cosmic rays and circulating proton beams are presented

Introduction to the special issue on the statistical mechanics of climate

We introduce the special issue on the Statistical Mechanics of Climate by presenting an informal discussion of some theoretical aspects of climate dynamics that make it a topic of great interest for mathematicians and theoretical physicists. In particular, we briefly discuss its nonequilibrium and multiscale properties, the relationship between natural climate variability and climate change, the different regimes of climate response to perturbations, and critical transitions

MIGRANTES. Human rights, protezione e lavoro: il diritto come cura?

Seminario multidisciplinare (giurisprudenza, psicologia, sociologia, geopolitica, storia) sul tema dei diritti dei migranti