Chest ultrasound in italian geriatric wards: Use, applications and clinicians’ attitudes

Background and aims. Bedside chest ultrasound has emerged as a versatile and accurate diagnostic tool for the management of respiratory conditions in several clinical settings, integrating traditional imaging. The current utilization of this technique in geriatric hospital wards is still unknown. Our aim was to assess availability, uses and applications of chest ultrasonography in a convenience sample of 25 Italian geriatric wards. Methods. A questionnaire, based on the current literature state-of-the-art, was e-mailed to head doctors of geriatric wards of Italian hospitals. The questionnaire explored ultrasound equipment availability, practice of chest ultrasound, expertise of ward physicians, clinical indications, and perceived impact on patient care. Results. Ultrasound equipment was available in 92% of wards, and chest ultrasound was performed in 82% of cases. Among the wards where chest ultrasound was performed, it was considered as routine assessment in only 52% of cases, mainly for diagnosis of pleural effusions (95%) and acute heart failure (89%), assessment of volemic state (79%), and assistance to invasive procedures (79%). It was used in emergency/ urgency assessment of acute dyspnea in only 53% of cases. In most wards, only three or less physicians were able to perform chest ultrasound. In 53% of cases, head doctors declared that they perceived benefits of chest ultrasound in patient care in only selected cases. Conclusions. Chest ultrasound utilization in Italian geriatric wards is inhomogeneous, and the number of trained physicians is still limited. Geriatricians’ attitude towards chest ultrasound is generally cautious. Research and training programs are needed to spread the correct use of this technique in geriatric practice

Rickettsia typhi and Haemophagocytic Syndrome

Appropriate therapy (dexamethasone, cyclosporin, and etoposide) could save the patient in those cases in which the pathogen-direct therapy has not been sufficient by itself to control the disease

ACALCULOUS CHOLECYSTITIS IN A PATIENT WITH PLASMODIUM FALCIPARUM MALARIA AND CYTOMEGALOVIRUS INFECTION

Acalculous cholecystitis is a syndrome of gallbladder inflammation without gallstones, recognized within the setting of critically ill patients. Acalculous cholecystitis associated with infectious agents is reported in the literature to be rare. Herein we describe a case of acalculous cholecystitis in a patient with malaria caused by Plasmodium falciparum and apparent cytomegalovirus infection, and discuss the possible role of CMV in the pathogenesis of acalculous cholecystitis in patients with malaria

Integral Field Spectroscopy of 23 Spiral Bulges

We have obtained Integral Field Spectroscopy for 23 spiral bulges using INTEGRAL on the William Herschel Telescope and SPIRAL on the Anglo-Australian Telescope. This is the first 2D survey directed solely at the bulges of spiral galaxies. Eleven galaxies of the sample do not have previous measurements of the stellar velocity dispersion (sigma*). These data are designed to complement our Space Telescope Imaging Spectrograph program for estimating black hole masses in the range 10^6-10^8M_sun using gas kinematics from nucleated disks. These observations will serve to derive the stellar dynamical bulge properties using the traditional Mgb and CaII triplets. We use both Cross Correlation and Maximum Penalized Likelihood to determine projected sigma* in these systems and present radial velocity fields, major axis rotation curves, curves of growth and sigma* fields. Using the Cross Correlation to extract the low order 2D stellar dynamics we generally see coherent radial rotation and irregular velocity dispersion fields suggesting that sigma* is a non-trivial parameter to estimate.Comment: 11 pages, 30 figures, accepted for publication in ApJ

REVISITING ANTHROPOZOONOSES IN THE MEDITERRANEAN BASIN. A SINGLE-CENTRE PERSPECTIVE. A SOUTHERN ITALIAN EXPERIENCE

Zoonoses, often better defined with the term anthropozoonoses, are diseases that can be transmitted to humans either by direct contact with animals or through arthropod vector intervention. Microbial interaction between humans and animals constitutes an important public health challenge, particularly in the Mediterranean basin. The main reasons this challenge is still relevant today include the phenomenon of migration, of both humans and animals, and climate change, which tend to alter the geographical distribution of zoonosis or the zoonotic agent, as well as the distribution range of potential vectors. The Mediterranean area seems to be affected by plentiful and widely distributed zoonoses, the main diseases being rickettsiosis, leishmaniasis, brucellosis, hydatid disease and viral zoonoses. The aim of this study is to revisit the prevalence and main clinical features of anthropozoonoses observed at the Department of Sciences for Health Promotion and Mother & Child Care, University of Palermo, Sicily, Southern Italy

Ultra-deep Large Binocular Camera U-band Imaging of the GOODS-North Field: Depth vs. Resolution

We present a study of the trade-off between depth and resolution using a large number of U-band imaging observations in the GOODS-North field (Giavalisco et al. 2004) from the Large Binocular Camera (LBC) on the Large Binocular Telescope (LBT). Having acquired over 30 hours of data (315 images with 5-6 mins exposures), we generated multiple image mosaics, starting with the best atmospheric seeing images (FWHM $\lesssim$0.8"), which constitute $\sim$10% of the total data set. For subsequent mosaics, we added in data with larger seeing values until the final, deepest mosaic included all images with FWHM $\lesssim$1.8" ($\sim$94% of the total data set). From the mosaics, we made object catalogs to compare the optimal-resolution, yet shallower image to the lower-resolution but deeper image. We show that the number counts for both images are $\sim$90% complete to $U_{AB}$ $\lesssim26$. Fainter than $U_{AB}$$\sim$ 27, the object counts from the optimal-resolution image start to drop-off dramatically (90% between $U_{AB}$ = 27 and 28 mag), while the deepest image with better surface-brightness sensitivity ($\mu^{AB}_{U}$$\lesssim$ 32 mag arcsec$^{-2}$) show a more gradual drop (10% between $U_{AB}$ $\simeq$ 27 and 28 mag). For the brightest galaxies within the GOODS-N field, structure and clumpy features within the galaxies are more prominent in the optimal-resolution image compared to the deeper mosaics. Finally, we find - for 220 brighter galaxies with $U_{AB}$$\lesssim$ 24 mag - only marginal differences in total flux between the optimal-resolution and lower-resolution light-profiles to $\mu^{AB}_{U}$$\lesssim$ 32 mag arcsec$^{-2}$. In only 10% of the cases are the total-flux differences larger than 0.5 mag. This helps constrain how much flux can be missed from galaxy outskirts, which is important for studies of the Extragalactic Background Light.Comment: 24 pages, 14 figures, submitted to PASP, comments welcom

Physical and morphological properties of z~3 LBGs: dependence on Lyalpha line emission

We investigate the physical and morphological properties of LBGs at z ~2.5 to ~3.5, to determine if and how they depend on the nature and strength of the Lyalpha emission. We selected U-dropout galaxies from the z-detected GOODS MUSIC catalog, by adapting the classical Lyman Break criteria on the GOODS filter set. We kept only those galaxies with spectroscopic confirmation, mainly from VIMOS and FORS public observations. Using the full multi-wavelength 14-bands photometry, we determined the physical properties of the galaxies, through a standard spectral energy distribution fitting with the updated Charlot & Bruzual (2009) templates. We also added other relevant observations, i.e. the 24mu m observations from Spitzer/MIPS and the 2 MSec Chandra X-ray observations. Finally, using non parametric diagnostics (Gini, Concentration, Asymmetry, M_20 and ellipticity), we characterized the rest-frame UV morphology of the galaxies. We then analyzed how these physical and morphological properties correlate with the presence of the Lyalpha line in the optical spectra. We find that, unlike at higher redshift, the dependence of physical properties on the Lyalpha line is milder: galaxies without Lyalpha in emission tend to be more massive and dustier than the rest of the sample, but all other parameters, ages, SFRs, X-ray emission as well as UV morphology do not depend strongly on the presence of the line emission. A simple scenario where all LBGs have intrinsically high Lyalpha emission, but where dust and neutral hydrogen content (which shape the final appearance of the Lyalpha) depend on the mass of the galaxies, is able to reproduce the majority of the observed properties at z~3. Some modification might be needed to account for the observed evolution of these properties with cosmic epoch, which is also discussed.Comment: Accepted for publication on A&

The role of quenching time in the evolution of the mass-size relation of passive galaxies from the WISP survey

We analyze how passive galaxies at z $\sim$ 1.5 populate the mass-size plane as a function of their stellar age, to understand if the observed size growth with time can be explained with the appearance of larger quenched galaxies at lower redshift. We use a sample of 32 passive galaxies extracted from the Wide Field Camera 3 Infrared Spectroscopic Parallel (WISP) survey with spectroscopic redshift 1.3 $\lesssim$ z $\lesssim$ 2.05, specific star-formation rates lower than 0.01 Gyr$^{-1}$, and stellar masses above 4.5 $\times$ 10$^{10}$ M$_\odot$. All galaxies have spectrally determined stellar ages from fitting of their rest-frame optical spectra and photometry with stellar population models. When dividing our sample into young (age $\leq$ 2.1 Gyr) and old (age $>$ 2.1 Gyr) galaxies we do not find a significant trend in the distributions of the difference between the observed radius and the one predicted by the mass-size relation. This result indicates that the relation between the galaxy age and its distance from the mass-size relation, if it exists, is rather shallow, with a slope alpha $\gtrsim$ -0.6. At face value, this finding suggests that multiple dry and/or wet minor mergers, rather than the appearance of newly quenched galaxies, are mainly responsible for the observed time evolution of the mass-size relation in passive galaxies.Comment: Accepted for publication in ApJ Letters; 6 pages, 3 figures, 1 tabl