Fluctuating position-related cognitive disturbances and recurrent cerebral ischemic attacks as presenting symptoms in a patient with platypnea-orthodeoxya syndrome

Platypnea-orthodeoxia syndrome is a condition of dyspnea and hypoxia whilst in the upright position, which improves in the recumbent position. We present a case of platypnea-orthodeoxia due to a fenestrated atrial septal aneurysm that induced recurrent strokes and a recent condition of fluctuating confusion and cognitive impairment, modified by position, associated with rapid variations of O2 saturation position related. The suspect of platypnea-orthodeoxia syndrome may be hypothesized in case of patients with recurrent cerebral ischemia and fluctuating cognitive disturbances induced by change of position. In those cases a careful echocardiographic evaluation and O2 saturation determination in up and downright position are required

Fertilizer value and greenhouse gas emissions from solid fraction pig slurry compost pellets

Conversion of pig slurry to pellets is a desirable fertilizer option for farmers who want to mitigate environmental pollution from slurry accumulation. The goals of the current investigation were to determine the fertilizer properties of pig slurry solid fraction (SF) pellets and to assess its potential to enhance soil properties in order to reduce ammonia (NH3) volatilization and greenhouse gas (GHG) emissions. Various parameters influence SF-based pellet fertilizer effectiveness: bulking agent use during composting, pellet diameter sizing and soil application type (superficially or incorporated into the soil). Two composts from the same pig slurry SF obtained from a screw press separator were prepared: pig SF compost without a bulking agent (SSFC) and pig SF compost with wood chips as the bulking agent (wood chip compost (WCC)). For each compost type, pellets of two different diameters (6 and 8 mm) were produced. A mesocosm experiment, conducted with maize plants, was used to test the fertilizer value of the considered pellets. In total, three compost fertilizers – SSFC, WCC and nitrogen: phosphorus: potassium mineral fertilizer 15 : 15 : 15, plus one unfertilized control treatment – were applied at the same N rate (equivalent to 200 kg/ha) using two different methods (surface and soil incorporation). After 65 days, above-ground biomass, roots and soil samples were collected and analysed. Subsequently, a second mesocosm study was undertaken to measure NH3 and GHG emissions released from pellet fertilization. Ammonia volatilization was determined immediately after pellet application, while carbon dioxide (CO2), methane (CH4) and nitrous oxide (N2O) emissions were monitored for 57 days. Study results indicated that both pellet types were effective slow-release fertilizers for maize. Additionally, three actions seemed to make the nutrients contained in pig SF compost pellets more available to plants: addition of a bulking agent before composting, use of small diameter pellets and soil incorporation of the fertilizer.This work was carried out within the framework of the ‘FITRAREF’ project, funded by the Italian Ministry of Agriculture and Forestry (GRANT NUMBER, DM29638/7818/10). The authors thank CEBAS-CSIC for the infrastructure and materials made available for the mesocosm experiments run during the stay of Dr Pampuro at the Department of Soil and Water Conservation and Organic Wastes Management of CEBAS-CSIC (financed by the Spanish Ministry of Economy and Competitiveness and the European Union through FEDER funds; CTM2013-48697-C2-1-R).Peer reviewe

Global Research Alliance N2O chamber methodology guidelines: Design considerations

Terrestrial ecosystems, both natural ecosystems and agroecosystems, generate greenhouse gases (GHGs). The chamber method is the most common method to quantify GHG fluxes from soil–plant systems and to better understand factors affecting their generation and mitigation. The objective of this study was to review and synthesize literature on chamber designs (non‐flow‐through, non‐steady‐state chamber) and associated factors that affect GHG nitrous oxide (N2O) flux measurement when using chamber methods. Chamber design requires consideration of many facets that include materials, insulation, sealing, venting, depth of placement, and the need to maintain plant growth and activity. Final designs should be tailored, and bench tested, in order to meet the nuances of the experimental objectives and the ecosystem under study while reducing potential artifacts. Good insulation, to prevent temperature fluctuations and pressure changes, and a high‐quality seal between base and chamber are essential. Elimination of pressure differentials between headspace and atmosphere through venting should be performed, and designs now exist to eliminate Venturi effects of earlier tube‐type vent designs. The use of fans within the chamber headspace increases measurement precision but may alter the flux. To establish best practice recommendations when using fans, further data are required, particularly in systems containing tall plants, to systematically evaluate the effects that fan speed, position, and mixing rate have on soil gas flux.Peer reviewe

Targeting SMYD3 to sensitize homologous recombination-proficient tumors to PARP-mediated synthetic lethality

SMYD3 is frequently overexpressed in a wide variety of cancers. Indeed, its inactivation reduces tumor growth in preclinical in vivo animal models. However, extensive characterization in vitro failed to clarify SMYD3 function in cancer cells, although confirming its importance in carcinogenesis. Taking advantage of a SMYD3 mutant variant identified in a high-risk breast cancer family, here we show that SMYD3 phosphorylation by ATM enables the formation of a multiprotein complex including ATM, SMYD3, CHK2, and BRCA2, which is required for the final loading of RAD51 at DNA double-strand break sites and completion of homologous recombination (HR). Remarkably, SMYD3 pharmacological inhibition sensitizes HR-proficient cancer cells to PARP inhibitors, thereby extending the potential of the synthetic lethality approach in human tumors

Inclusive Jet Production in Two-Photon Collisions at LEP

Inclusive jet production, e+e- -> e+e- \ee$ jet X, is studied using 560/pb of data collected at LEP with the L3 detector at centre-of-mass energies between 189 and 209 GeV. The inclusive differential cross section is measured using a k_t jet algorithm as a function of the jet transverse momentum, pt, in the range 3<pt<50 GeV for a pseudorapidity, eta, in the range -1<eta<1. This cross section is well represented by a power law. For high pt, the measured cross section is significantly higher than the NLO QCD predictions, as already observed for inclusive charged and neutral pion production

Direct and indirect effects of soil fauna, fungi and plants on greenhouse gas fluxes

Soils harbour diverse soil fauna and a wide range of soil microorganisms. These fauna and microorganisms directly contribute to soil greenhouse gas (GHG) fluxes via their respiratory and metabolic activities and indirectly by changing the physical, chemical and biological properties of soils through bioturbation, fragmentation and redistribution of plant residues, defecation, soil aggregate formation, herbivory, and grazing on microorganisms and fungi. Based on recent results, the methods and results found in relation to fauna as well as from fungi and plants are presented. The approaches are outlined, and the significance of these hitherto ignored fluxes is discussed

The Italian multiple sclerosis register

The past decade has seen extraordinary increase in worldwide availability of and access to several large multiple sclerosis (MS) databases and registries. MS registries represent powerful tools to provide meaningful information on the burden, natural history, and long-term safety and effectiveness of treatments. Moreover, patients, physicians, industry, and policy makers have an active interest in real-world observational studies based on register data, as they have the potential to answer the questions that are most relevant to daily treatment decision-making. In 2014, the Italian MS Foundation, in collaboration with the Italian MS clinical centers, promoted and funded the creation of the Italian MS Register, a project in continuity with the existing Italian MS Database Network set up from 2001. Main objective of the Italian MS Register is to create an organized multicenter structure to collect data of all MS patients for better defining the disease epidemiology, improving quality of care, and promoting research projects in high-priority areas. The aim of this article is to present the current framework and network of the Italian MS register, including the methodology used to improve the quality of data collection and to facilitate the exchange of data and the collaboration among national and international groups

The Italian multiple sclerosis register

The past decade has seen extraordinary increase in worldwide availability of and access to several large multiple sclerosis (MS) databases and registries. MS registries represent powerful tools to provide meaningful information on the burden, natural history, and long-term safety and effectiveness of treatments. Moreover, patients, physicians, industry, and policy makers have an active interest in real-world observational studies based on register data, as they have the potential to answer the questions that are most relevant to daily treatment decision-making. In 2014, the Italian MS Foundation, in collaboration with the Italian MS clinical centers, promoted and funded the creation of the Italian MS Register, a project in continuity with the existing Italian MS Database Network set up from 2001. Main objective of the Italian MS Register is to create an organized multicenter structure to collect data of all MS patients for better defining the disease epidemiology, improving quality of care, and promoting research projects in high-priority areas. The aim of this article is to present the current framework and network of the Italian MS register, including the methodology used to improve the quality of data collection and to facilitate the exchange of data and the collaboration among national and international groups

Data monitoring roadmap. The experience of the Italian Multiple Sclerosis and Related Disorders Register

Introduction Over the years, disease registers have been increasingly considered a source of reliable and valuable population studies. However, the validity and reliability of data from registers may be limited by missing data, selection bias or data quality not adequately evaluated or checked.This study reports the analysis of the consistency and completeness of the data in the Italian Multiple Sclerosis and Related Disorders Register.MethodsThe Register collects, through a standardized Web-based Application, unique patients.Data are exported bimonthly and evaluated to assess the updating and completeness, and to check the quality and consistency. Eight clinical indicators are evaluated.ResultsThe Register counts 77,628 patients registered by 126 centres. The number of centres has increased over time, as their capacity to collect patients.The percentages of updated patients (with at least one visit in the last 24 months) have increased from 33% (enrolment period 2000-2015) to 60% (enrolment period 2016-2022). In the cohort of patients registered after 2016, there were &gt;= 75% updated patients in 30% of the small centres (33), in 9% of the medium centres (11), and in all the large centres (2).Clinical indicators show significant improvement for the active patients, expanded disability status scale every 6 months or once every 12 months, visits every 6 months, first visit within 1 year and MRI every 12 months.ConclusionsData from disease registers provide guidance for evidence-based health policies and research, so methods and strategies ensuring their quality and reliability are crucial and have several potential applications