Retrieval and intercomparison of volcanic SO2 injection height and eruption time from satellite maps and ground-based observations

Syneruptive gas flux time series can, in principle, be retrieved from satellite maps of SO2 collected during and immediately after volcanic eruptions, and used to gain insights into the volcanic processes which drive the volcanic activity. Determination of the age and height of volcanic plumes are key prerequisites for such calculations. However, these parameters are challenging to constrain using satellite-based techniques. Here, we use imagery from OMI and GOME-2 satellite sensors and a novel numerical procedure based on back-trajectory analysis to calculate plume height as a function of position at the satellite measurement time together with plume injection height and time at a volcanic vent location. We applied this new procedure to three Etna eruptions (12 August 2011, 18 March 2012 and 12 April 2013) and compared our results with independent satellite and ground-based estimations. We also compare our injection height time-series with measurements of volcanic tremor, which reflects the eruption intensity, showing a good match between these two datasets. Our results are a milestone in progressing towards reliable determination of gas flux data from satellite-derived SO2 maps during volcanic eruptions, which would be of great value for operational management of explosive eruptions.1) European Research Council under the European Union's Seventh Framework Programme (FP/2.007-2013)/ERC Grant Agreement no. 279802, project 283 CO2Volc. 2) MEDiterranean SUpersite Volcanoes 280 (MED-SUV) WP 3.3.3Published79-915V. Dinamica dei processi eruttivi e post-eruttiviJCR Journa

The impact of chest CT body composition parameters on clinical outcomes in COVID-19 patients

We assessed the impact of chest CT body composition parameters on outcomes and disease severity at hospital presentation of COVID-19 patients, focusing also on the possible mediation of body composition in the relationship between age and death in these patients. Chest CT scans performed at hospital presentation by consecutive COVID-19 patients (02/27/2020-03/13/2020) were retrospectively reviewed to obtain pectoralis muscle density and total, visceral, and intermuscular adipose tissue areas (TAT, VAT, IMAT) at the level of T7-T8 vertebrae. Primary outcomes were: hospitalization, mechanical ventilation (MV) and/or death, death alone. Secondary outcomes were: C-reactive protein (CRP), oxygen saturation (SO2), CT disease extension at hospital presentation. The mediation of body composition in the effect of age on death was explored. Of the 318 patients included in the study (median age 65.7 years, females 37.7%), 205 (64.5%) were hospitalized, 68 (21.4%) needed MV, and 58 (18.2%) died. Increased muscle density was a protective factor while increased TAT, VAT, and IMAT were risk factors for hospitalization and MV/death. All these parameters except TAT had borderline effects on death alone. All parameters were associated with SO2 and extension of lung parenchymal involvement at CT; VAT was associated with CRP. Approximately 3% of the effect of age on death was mediated by decreased muscle density. In conclusion, low muscle quality and ectopic fat accumulation were associated with COVID-19 outcomes, VAT was associated with baseline inflammation. Low muscle quality partly mediated the effect of age on mortality.We assessed the impact of chest CT body composition parameters on outcomes and disease severity at hospital presentation of COVID-19 patients, focusing also on the possible mediation of body composition in the relationship between age and death in these patients. Chest CT scans performed at hospital presentation by consecutive COVID-19 patients (02/ 27/2020-03/13/2020) were retrospectively reviewed to obtain pectoralis muscle density and total, visceral, and intermuscular adipose tissue areas (TAT, VAT, IMAT) at the level of T7-T8 vertebrae. Primary outcomes were: hospitalization, mechanical ventilation (MV) and/or death, death alone. Secondary outcomes were: C-reactive protein (CRP), oxygen saturation (SO2), CT disease extension at hospital presentation. The mediation of body composition in the effect of age on death was explored. Of the 318 patients included in the study (median age 65.7 years, females 37.7%), 205 (64.5%) were hospitalized, 68 (21.4%) needed MV, and 58 (18.2%) died. Increased muscle density was a protective factor while increased TAT, VAT, and IMAT were risk factors for hospitalization and MV/death. All these parameters except TAT had borderline effects on death alone. All parameters were associated with SO2 and extension of lung parenchymal involvement at CT; VAT was associated with CRP. Approximately 3% of the effect of age on death was mediated by decreased muscle density. In conclusion, low muscle quality and ectopic fat accumulation were associated with COVID-19 outcomes, VAT was associated with baseline inflammation. Low muscle quality partly mediated the effect of age on mortality

Comparison of MDRD and CKD-EPI Equations: An Alternative Method Based on Bland-Altman Plot and Fractional Polynomial Regression

Background: Evidence from the literature suggests that the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation more accurately estimates glomerular filtration rate (GFR) than the Modification of Diet in Renal Disease (MDRD) Study equation using the same variables, especially at higher GFR. The Bland-Altman graphical method has been used to compare the two equations, but it is biased because the assumption that the mean and the standard deviation of the difference between the two equations are constant across all GFR values does not hold. This study is aimed to suggest an alternative method, based on polynomial fractional regression, to compute the confidence interval of the difference between the two equations. Methods: The data used are drawn from the Italian PIRP (Prevention of Progressive Renal Insufficiency) registry, that collects prospectively demographic and clinical information on 10,687 outpatients with CKD in the Emilia-Romagna region since 2004. Results: Evaluation of the agreement between these formulas showed that there was a good correlation between CKD- EPI and MDRD for values of eGFR between 40 and 10 mL/min/1.73m\ub2. In this range the two formulas may be interchangeable. Conclusions: In the patients with CKD in its early stages (CKD2, CKD3a), we suggest to monitor the time course of renal function with the same estimation formula, because the deviation between the values obtained is quite large. Clinical implications of this method in terms of accurate prediction of risk of renal failure will be discussed

“Troponinosis”, the Cardiologist’s Curse—When Clinic–Laboratory Interaction Unveils the Mystery: A Case Report

Cardiac troponins are key diagnostic and prognostic biomarkers in acute myocardial infarction and, more generally, for the detection of myocardial injury. Since the introduction of the first immunochemistry methods, there has been a remarkable evolution in analytical performance, especially concerning a progressive improvement in sensitivity. However, the measurement of circulating troponins remains rarely susceptible to analytical interferences. We report a case of persistently elevated troponin I concentrations in a patient with known ischemic heart disease, which almost led to unnecessary diagnostic–therapeutic interventions. A prompt laboratory consultation by the cardiologist ultimately led to the identification of an analytical interference due to troponin macrocomplexes (macrotroponin) causing elevated troponin values in the absence of a clinical presentation compatible with myocardial damage

OXYGEN TENSION MONITORING IN UREMIC PATIENTS DURING HEMODIALYSIS TREATMENT.

The aim of this study was to evaluate the influence on cerebral and cutaneous vascular regions of PaO2 reduction during acetate dialysis, by monitoring conjunctival oxygen tension (PcjO2) and transcutaneous oxygen tension (PtcO2) during hemodialysis (HD) treatment. The study was performed on 23 patients with end-stage renal disease in chronic HD. All patients underwent dialytic treatment with cuprophan membranes and acetate containing dialysate. PcjO2 and PtcO2 were recorded and PaO2 and arterial carbon dioxide tension (PaCO2) were also measured. Results of the study show that hypoxemia during acetate dialysis with cuprophan membranes is not accompanied by changes of PcjO2 and therefore by changes in cerebral oxygenation. Moreover, PtcO2 remains constant during dialysis treatment. Furthermore, maintenance of normal oxygen tension at the conjunctival level is not obtained at the expense of the peripheral region of the skin

Ensemble-Based Data Assimilation of Volcanic Ash Clouds from Satellite Observations: Application to the 24 December 2018 Mt. Etna Explosive Eruption

Accurate tracking and forecasting of ash dispersal in the atmosphere and quantification of its uncertainty are of fundamental importance for volcanic risk mitigation. Numerical models and satellite sensors offer two complementary ways to monitor ash clouds in real time, but limits and uncertainties affect both techniques. Numerical forecasts of volcanic clouds can be improved by assimilating satellite observations of atmospheric ash mass load. In this paper, we present a data assimilation procedure aimed at improving the monitoring and forecasting of volcanic ash clouds produced by explosive eruptions. In particular, we applied the Local Ensemble Transform Kalman Filter (LETKF) to the results of the Volcanic Ash Transport and Dispersion model HYSPLIT. To properly simulate the release and atmospheric transport of volcanic ash particles, HYSPLIT has been initialized with the results of the eruptive column model PLUME-MoM. The assimilation procedure has been tested against SEVIRI measurements of the volcanic cloud produced during the explosive eruption occurred at Mt. Etna on 24 December 2018. The results show how the assimilation procedure significantly improves the representation of the current ash dispersal and its forecast. In addition, the numerical tests show that the use of the sequential Ensemble Kalman Filter does not require a precise initialization of the numerical model, being able to improve the forecasts as the assimilation cycles are performed

64Cu and fluorescein labeled anti-miRNA peptide nucleic acids for the detection of miRNA expression in living cells

Abstract MiRNAs are single stranded RNAs of 18–22 nucleotides. They are promising diagnostic and prognostic markers for several pathologies including tumors, neurodegenerative, cardiovascular and autoimmune diseases. In the present work the development and characterization of anti-miRNA radiolabeled probes based on peptide nucleic acids (PNAs) for potential non-invasive molecular imaging in vivo of giant cell arteritis are described. MiR-146a and miR-146b-5p were selected as targets because they have been found up-regulated in this disease. Anti-miR and scramble PNAs were synthesized and linked to carboxyfluorescein or DOTA. DOTA-anti-miR PNAs were then labelled with copper-64 (64Cu) to function as non-invasive molecular imaging tools. The affinity of the probes for the targets was assessed in vitro by circular dichroism and melting temperature. Differential uptake of fluorescein and 64Cu labeled anti-miRNA probes was tested on BCPAP and A549 cell lines, expressing different levels of miR-146a and -146b-5p. The experiments showed that the anti-miR-146a PNAs were more effective than the anti-miR-146b-5p PNAs. Anti-miR-146a PNAs could bind both miR-146a and miR-146b-5p. The uptake of fluorescein and 64Cu labeled anti-miR-146a PNAs was higher than that of the negative control scramble PNAs in miRNA expressing cells in vitro. 64Cu-anti-miR-146a PNAs might be further investigated for non-invasive PET imaging of miR-146 overexpressing diseases