The COSMOS2015 Catalog: Exploring the 1 <z <6 Universe with Half a Million Galaxies

We present the COSMOS201524 catalog, which contains precise photometric redshifts and stellar masses for more than half a million objects over the 2deg2 COSMOS field. Including new {{YJHK}}{{s}} images from the UltraVISTA-DR2 survey, Y-band images from Subaru/Hyper-Suprime-Cam, and infrared data from the Spitzer Large Area Survey with the Hyper-Suprime-Cam Spitzer legacy program, this near-infrared-selected catalog is highly optimized for the study of galaxy evolution and environments in the early universe. To maximize catalog completeness for bluer objects and at higher redshifts, objects have been detected on a χ 2 sum of the {{YJHK}}{{s}} and z ++ images. The catalog contains ∼ 6× {10}5 objects in the 1.5 deg2 UltraVISTA-DR2 region and ∼ 1.5× {10}5 objects are detected in the “ultra-deep stripes” (0.62 deg2) at {K}{{s}}≤slant 24.7 (3σ, 3″, AB magnitude). Through a comparison with the zCOSMOS-bright spectroscopic redshifts, we measure a photometric redshift precision of {σ }{{Δ }z/(1+{z}s)} = 0.007 and a catastrophic failure fraction of η = 0.5%. At 3\lt z\lt 6, using the unique database of spectroscopic redshifts in COSMOS, we find {σ }{{Δ }z/(1+{z}s)} = 0.021 and η = 13.2 % . The deepest regions reach a 90% completeness limit of {10}10{M}ȯ to z = 4. Detailed comparisons of the color distributions, number counts, and clustering show excellent agreement with the literature in the same mass ranges. COSMOS2015 represents a unique, publicly available, valuable resource with which to investigate the evolution of galaxies within their environment back to the earliest stages of the history of the universe. The COSMOS2015 catalog is distributed via anonymous ftp and through the usual astronomical archive systems (CDS, ESO Phase 3, IRSA)

Occurrence and Effects on Weaning From Mechanical Ventilation of Intensive Care Unit Acquired and Diaphragm Weakness: A Pilot Study

PurposeLimb intensive care unit (ICU)-acquired weakness (ICUAW) and ICU acquired diaphragm weakness (DW) occur frequently in mechanically ventilated (MV) patients; their coexistence in cooperative and uncooperative patients is unknown. This study was designed to (1) describe the co-occurrence of the two conditions (2) evaluate the impact of ICUAW and DW on the ventilator-free days (VFDs) at 28 days and weaning success, and (3) assess the correlation between maximal inspiratory pressure (MIP) and thickening fraction (TFdi) in patients with DW.MethodsThis prospective pilot study was conducted in a single-center on 73 critically ill MV patients. Muscle weakness was defined as a Medical Research Council score < 48 in cooperative patients or a bilateral mean simplified peroneal nerve test < 5.26 mV in uncooperative patients. Diaphragm dysfunction was defined as MIP < 30 cm H2O or as a TFdi < 29%. Weaning success was defined according to weaning according to a new definition (WIND).ResultsFifty-seven patients (78%) had ICUAW and 59 (81%) had DW. The coexistence of the two conditions occurred in 48 patients (65%), without association (χ2 = 1.06, p = 0.304). In the adjusted analysis, ICUAW was independently related to VFDs at 28-days (estimate difference 6 days, p = 0.016), and WIND (OR of 3.62 for having WIND different than short weaning), whereas DW was not. The linear mixed model showed a significant but weak correlation between MIP and TFdi (p < 0.001).ConclusionThis pilot study is the first to explore the coexistence of ICUAW and DW in both cooperative and uncooperative patients; a lack of association was found between DW and ICUAW when considering both cooperative and uncooperative patients. We found a strong correlation between ICUAW but not DW with the VFDs at 28 days and weaning success. A future larger study is warranted in order to confirm our results, and should also investigate the use of transdiaphragmatic twitch pressure measurement during bilateral anterior magnetic phrenic nerve stimulation for the diagnosis of DW

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

I rinvenimenti numismatici

Durante le campagne di scavo svolte presso il castello di Monte Lucio nel comune di Quattro Castella (RE) sono state rinvenute 67 monete emesse durante un arco cronologico compreso tra il IV ed il XVI secolo, con un picco di attestazioni di coniazioni del XIV secolo. Nel contributo, oltre alla loro catalogazione, viene proposta una analisi dei reperti numismatici in relazione alla stratigrafia e la ricostruzione della circolazione monetaria medievale nel sito

Environmental and management factors drive biological communities and ecosystem services in agroecosystems along an urban-natural gradient

Biodiversity, ecosystem services and farming are inextricably linked. Peri-urban agricultural landscapes host wild species, provide essential services, and benefit citizens of nearby towns. We investigated the environmental and management factors that influence avian communities, pollinating insects and two key ecosystem services (pollination and nature-based recreation) along an urban-natural gradient dominated by agricultural areas (vineyards, apple orchards and grasslands) in northern Italy. Flower visiting-insects were mainly affected by management and environmental-climatic variables. The presence of flowers at the margins and within vineyard and apple orchard inter-rows best predicted the abundance of pollinators and flower-visiting insects in general. Different flower species exerted variable effects on different groups; a mix of flowering species should be recommended for supporting pollinators. Sward height and grassland cover promoted flower-visiting insect abundance, which was negatively affected by vineyards and apple orchards. Bird communities were mainly shaped by land-use/land-cover and management variables. Landscape heterogeneity and linear elements had a major positive effect on birds. Apple orchards negatively influenced species richness and the abundance of most avian species, while vineyards negatively impacted on overall bird abundance; hedgerows positively affected richness. Nature-based recreation was greater in areas with low or intermediate vineyard or urban cover. Apple orchards and intensively managed grasslands had negative, and waterways positive, effects on recreation. Peri-urban agricultural landscapes are important for biodiversity and ecosystem services, but apple orchards and large vineyards appear largely unsuitable. Maintaining heterogeneous landscapes and implementing biodiversityfriendly practices can further promote benefits for biodiversity and visitors and local populations. Synergic strategies that simultaneously promote the conservation of biodiversity and the supply of ecosystem services could be easily developed and implemented

Endoscopic Retrieval of Esophageal and Gastric Foreign Bodies in Cats and Dogs: A Retrospective Study of 92 Cases

Esophageal and gastric foreign bodies (FBs) commonly occur in small animal practices, and their endoscopic removal has been previously reported. However, few studies reported the endoscopic instruments used for the retrieval attempt and the time spent for endoscopic removal. Therefore, the aim of this study is to evaluate the factors that can influence the success rate and timing of the endoscopic retrieval of FBs. The medical records of 92 animals undergoing endoscopic removal of esophageal (n = 12) and gastric (n = 84) FBs have been reviewed. Two dogs had FBs in both the esophagus and stomach. From medical records and video recordings, there were extrapolated data on signalment, clinical signs, endoscopic devices used, success of retrieval, and duration of endoscopy. Endoscopic removal of FBs was successful in 88% cases, and the mean time spent for the extraction was 59.74 min (range, 10–120 min). The success rate and timing for the removal of endoscopic foreign bodies (EFBs) are influenced by several factors in our population: medium-breed dogs, adult animals, and localization of FBs in the body of the stomach increased the probability of failure during the endoscopic retrieval attempt. Conversely, the success and timing of the retrieval of EFBs were higher in puppies and with increasing operator’s experience. Moreover, the use of combination devices such as polypectomy snare and grasping forceps negatively influenced the success of extraction of FBs. Further prospective and comparative studies in a large and multicentric population of patients can be useful to create interventional endoscopic guidelines, as in human medicine

Ricerche archeologiche sulla Pietra di Bismantova. Il Castello medievale. Campagna di scavo 2012

Risultati della prima campagna di scavo del castello medievale ubicato sulla Pietra di Bismatova (RE

Seeking the Light in Intensive Care Unit Sedation: The Optimal Sedation Strategy for Critically Ill Patients

The clinical approach to sedation in critically ill patients has changed dramatically over the last two decades, moving to a regimen of light or non-sedation associated with adequate analgesia to guarantee the patient's comfort, active interaction with the environment and family, and early mobilization and assessment of delirium. Although deep sedation (DS) may still be necessary for certain clinical scenarios, it should be limited to strict indications, such as mechanically ventilated patients with Acute Respiratory Distress Syndrome (ARDS), status epilepticus, intracranial hypertension, or those requiring target temperature management. DS, if not indicated, is associated with prolonged duration of mechanical ventilation and ICU stay, and increased mortality. Therefore, continuous monitoring of the level of sedation, especially when associated with the raw EEG data, is important to avoid unnecessary oversedation and to convert a DS strategy to light sedation as soon as possible. The approach to the management of critically ill patients is multidimensional, so targeted sedation should be considered in the context of the ABCDEF bundle, a holistic patient approach. Sedation may interfere with early mobilization and family engagement and may have an impact on delirium assessment and risk. If adequately applied, the ABCDEF bundle allows for a patient-centered, multidimensional, and multi-professional ICU care model to be achieved, with a positive impact on appropriate sedation and patient comfort, along with other important determinants of long-term patient outcomes

Oligonucleotides: Current Trends and Innovative Applications in the Synthesis, Characterization, and Purification

Oligonucleotides (ONs) are gaining increasing importance as a promising novel class of biopharmaceuticals. Thanks to their fundamental role in gene regulation, they can be used to develop custom-made drugs (also called N-to-1) able to act on the gene expression at pre-translational level. With recent approvals of ON-based therapeutics by the Food and Drug Administration (FDA), a growing demand for high-quality chemically modified ONs is emerging and their market is expected to impressively prosper in the near future. To satisfy this growing market demand, a scalable and economically sustainable ON production is needed. In this paper, the state of the art of the whole ON production process is illustrated with the aim of highlighting the most promising routes toward the auspicated market-size production. In particular, the most recent advancements in both the upstream stage, mainly based on solid-phase synthesis and recombinant technology, and the downstream one, focusing on chromatographic techniques, are reviewed. Since ON production is projected to expand to the large scale, automatized multicolumn countercurrent technologies will reasonably be required soon to replace the current ones based on batch single-column operations. This consideration is supported by a recent cutting-edge application of continuous chromatography for the ON purification