Clinical considerations, management and treatment of fever of unknown origin caused by urachal cyst: a case report

INTRODUCTION: Urachal cysts are rare congenital anomalies that often prompt referral to the paediatric general surgeon because of their associated complications such as infection, abdominal pain and the young age at presentation. In this report we describe a rare case of fever of unknown origin caused by an urachal cyst which was successfully treated with incision and drainage only. Since the first description of urachal anomalies by Cabriolus in 1550, few cases have been reported and, until now, only one case of infected urachal cyst presenting as fever of unknown origin has been described in the literature. Moreover, the spontaneous resolution of an urachal cyst without excision is extremely rare. CASE PRESENTATION: We report our experience in the management and treatment of an infected urachal cyst that occurred in a 12-year-old Caucasian girl who presented to our Department of Paediatric Surgery with a 30-day history of evening fever. The urachal cyst was treated only with incision and drainage through a minimally invasive laparoscopic approach. CONCLUSIONS: The incision and drainage of an infected urachal cyst is a simple and safe procedure. It assures a complete recovery and avoids potential surgical complications related to the total excision of the urachal cyst. This report may provide important clues regarding the management of this rare anomaly and we emphasise the importance for paediatricians, who should consider the possibility that a fever of unknown origin can be caused by an urachal cyst, and for surgeons and urologists, because it suggests that conservative treatment of this rare anomaly should be considered when possible

Spontaneous galvanic displacement of Pt nanostructures on nickel foam: Synthesis, characterization and use for hydrogen evolution reaction

Abstract In this paper we propose the use of spontaneous galvanic displacement as a promising solution to produce nickel foam electrodes functionalized with interconnected platinum nanoparticles. Scanning Electron Microscopy analyses, coupled with X-ray Energy Dispersive Spectroscopy show that, under proper conditions, we can overcome the limits of other deposition techniques, achieving a uniform Pt coverage throughout the 3D structure of the Ni foam. We show that such a condition, not deeply investigated in previous literature, turns out to be crucial for the long term stability of the electrodes under constant current stress. The amount of Pt on the Ni foam has been experimentally evaluated, obtaining optimal results with 0.015 mg cm−2 of noble metal in a 0.16 cm thick electrode. Such a low amount corresponds to a Ni foam cost increase of less than 0.1%

A phase II, randomized, single-blinded, placebo-controlled clinical trial on the efficacy of Curcumina and Calendula suppositories for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome type III

Objective: The management of chronic prostatitis/ chronic pelvic pain syndrome type III (CP/CPPS) has been always considered complex due to several biopsychological factors underling the disease. In this clinical study, we aimed to evaluate the efficacy of the treatment with Curcumin and Calendula extract in patients with CP/CPPS III. Material and methods: From June 2015 to January 2016 we enrolled 60 consecutive patients affected by CP/CPPS III in our institution. Patients between 20 and 50 year of age with symptoms of pelvic pain for 3 months or more before study, a total National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score ≥ 15 point and diagnosed with NIH category III. Patients were then allocated to receive placebo (Group A) or treatment (Group B). Treatment consisted of rectal suppositories of Curcumin extract 350 mg (95%) and Calendula extract 80 mg (1 suppository/die for 1 month). Patients of Group B received 1 suppository/die for 1 month of placebo. The primary endpoint of the study was the reduction of NIH-CPSI. The secondary outcomes were the change of peak flow, IIEF-5, VAS score and of premature ejaculation diagnostic tool (PEDT). Results: A total of 48 patients concluded the study protocol. The median age of the all cohort was 32.0 years, the median NIH-CPSI was 20.5, the median IIEF-5 was 18.5, the median PEDT was 11.0, the median VAS score was 7.5 and the median peak flow was 14.0. After 3 months of therapy in group A we observed a significant improvement of NIH-CPSI (-5.5; p < 0.01), IIEF-5 (+ 3.5; p < 0.01), PEDT (-6.5; p < 0.01), peak flow (+2.8; p < 0.01) and VAS (-6.5; p < 0.01) with significant differences over placebo group (all p-value significant). Conclusions: In this phase II clinical trial we showed the clinical efficacy of the treatment with Curcumin and Calendula in patients with CP/CPPS III. The benefits of this treatment could be related to the reduction of inflammatory cytokines and of inflammatory cells. These results should be confirmed in further studies with greater sample size

Retail in Sicily: an Overall View

In Sicily, the retail sector shows changes both from a structural point of view, with an increase in large-scale distribution at the expense of small businesses, and spatially, through the transfer of many commercial activities to the suburbs of cities or to extra-urban areas. This is a phenomenon that can also be observed in the rest of the country. The analysis of the most recent statistics in the sector, however, seems to highlight a significant flexibility of a part of the fabric of Sicilian commercial enterprises due to the widespread presence of small commercial businesses on the regional territory

SINPHOS - SINgle PHOton spectrometer for biomedical application

In the last decades several experiments have clearly demonstrated that, once illuminated, all biological systems emit for some time a very weak flux of photons, called Delayed Luminescence (DL). Some recent results have shown the possibility of using the DL as a diagnostic tool in the field of optical biopsy or of multi-dimensional diagnostics. Following such indications we decided to start developing SINPHOS, a monolithic micro-device, capable of measuring simultaneously the time distribution and the spectrum of photons coming from a weak source. Two important innovative aspects will characterize this spectrometer: the optical part, realized by means of the Deep Lithography with Particles (DLP), and SPAD (Single Photon Avalanche Diode) detectors under development along with ST-Microelectronics

Ultralow loading electroless deposition of IrOx on nickel foam for efficient and stable water oxidation catalysis

Abstract Photocatalysis and electrolysis are crucial processes for the development of a sustainable, clean energy system, since they enable solar fuel production, such as hydrogen by water splitting, as well as CO2 reduction. In these processes efficient and robust catalysts for water oxidation are required and the reduction of employed amount of noble metals is crucial to reduce costs and increase the sustainability of the technology. To obtain extremely low iridium loading on nickel foam electrodes we have employed electroless deposition by spontaneous galvanic displacement as a simple, low cost, highly scalable technique. After deposition the Ir oxidation has been achieved by annealing in air at 250 °C. By varying the deposition parameters, an optimal condition has been achieved, with an overpotential for water oxidation of 360 mV at 10 mA cm−2 in 1.0 M KOH solution. The Ni foam coverage with Ir oxide has also a positive impact on the electrode stability, strongly decreasing the degradation rate, compared to the case of bare Ni foam. The average amount of noble metal in the best performing electrode is only 35 μg cm−2 for a 1.6 mm thick Ni foam electrode. The proposed approach is highly promising for gas diffusion electrodes, and can be implemented in electrolytic cells, as well as in fuel cells

Etna International Training School of Geochemistry. Science meets Practice

Also this year, the “Etna International Training School of Geochemistry. Science meets practice” took place at Mt. Etna, now in its fourth edition. The school was hosted in the historical Volcanological Observatory “Pizzi Deneri”, one of the most important sites of the INGV - Osservatorio Etneo for geochemical and geophysical monitoring. Mount Etna, located in eastern Sicily, is the largest active volcano in Europe and one of the most intensely degassing volcanoes of the world [Allard et al., 1991; Gerlach, 1991]. Mt Etna emits about 1.6 % of global H2O fluxes from arc volcanism [Aiuppa et al., 2008] and 10 % of global average volcanic emission of CO2 and SO2 [D’Alessandro et al., 1997; Caltabiano et al., 2004; Aiuppa et al., 2008; Carn et al., 2017]. Furthermore, Gauthier and Le Cloarec, [1998] underscored that Mt. Etna is an important source of volcanic particles, having a mass flux of particle passively released from the volcano during non-eruptive period estimated between 7 to 23 tons/day [Martin et al., 2008; Calabrese et al., 2011]. In general, Etna is considered to be still under evolution and rather ‘friendly’, which, along with the above, makes it a favorable natural laboratory to study volcanic geochemistry. The Observatory Pizzi Deneri was sponsored by Haroun Tazieff, and it was built in 1978 by the CNR - International Institute of Volcanology under the direction of Prof. Letterio Villari. It is located at the base of the North-East crater (2,850 m a.s.l.), near the Valle del Leone and it was built on the rim of the Ellittico caldera. A picturesque building, consisting of two characteristics domes in front of the breath-taking panorama of the summit craters. Even though it is quite spartan as an accommodation facility, the dormitories, kitchen, seminar room and laboratory are well equipped. In other words, the Pizzi Deneri observatory is a unique place close to the top of the most active volcano of Europe. The observatory lies in a strategic location making it one of the most important sites for monitoring, research and dissemination of the scientific culture. After six field multidisciplinary campaigns (2010-2015) organized by a group of researchers of several institutions (INGV of Palermo, Catania, Naples, Bologna; Universities of Palermo, Florence, Mainz, Heidelberg), the idea of sharing and passing on the experience to the new generation of students has materialized, and the “Etna International Training School of Geochemistry. Science meets practice” was born in 2016. The four editions of the school were partially funded by INGV of Palermo and Catania, European Geoscience Union (EGU), Società Geochimica Italiana (SoGeI) and Associazione Naturalistica Geode. The conceptual idea of the school is to share scientific knowledge and experiences in the geochemical community, using local resources with a low-cost organization in order to allow as many students as possible access to the school. The “Etna International Training School of Geochemistry. Science meets practice” is addressed to senior graduate students, postdoctoral researchers, fellows, and newly appointed assistant professors, aiming to bring together the next generation of researchers active in studies concerning the geochemistry and the budget of volcanic gases. Introduce the participants with innovative direct sampling and remote sensing techniques. Furthermore, it gives young scientists an opportunity to experiment and evaluate new protocols and techniques to be used on volcanic fluid emissions covering a broad variety of methods. The teaching approach includes theoretical sessions (lectures), practical demonstrations and field applications, conducted by international recognized geochemists. We thank all the teachers who helped to make the school possible, among these: Tobias Fischer (University of New Mexico Albuquerque), Jens Fiebig (Institut für Geowissenschaften Goethe-Universität Frankfurt am Main), Andri Stefansson (University of Iceland, Institute of Earth Sciences), Mike Burton (University of Manchester), Nicole Bobrowski (Universität Heidelberg Institute of Environmental Physics and Max Planck Institute for Chemistry), Alessandro Aiuppa (Università di Palermo), Franco Tassi (Università di Firenze), Walter D’Alessandro (INGV of Palermo), Fatima Viveiros (University of the Azores). Direct sampling of high-to-low temperature fumaroles, plume measurement techniques (using CO2/SO2 sensors such as Multi-GAS instruments, MAX-DOAS instruments and UV SO2 cameras, alkaline traps and particle filters), measurement of diffuse soil gas fluxes of endogenous gases (CO2, Hg0, CH4 and light hydrocarbons), sampling of mud volcanoes, groundwaters and bubbling gases. Sampling sites include the active summit craters, eruptive fractures and peripheral areas. The students have shown an active participation both to the lessons and the fieldworks. Most of them describe the school as formative and useful experience for their future researches. Their enthusiasm is the real engine of this school

Etna International Training School of Geochemistry. Science meets Practice

Also this year, the \u201cEtna International Training School of Geochemistry. Science meets practice\u201d took place at Mt. Etna, now in its fourth edition. The school was hosted in the historical Volcanological Observatory \u201cPizzi Deneri\u201d, one of the most important sites of the INGV - Osservatorio Etneo for geochemical and geophysical monitoring. Mount Etna, located in eastern Sicily, is the largest active volcano in Europe and one of the most intensely degassing volcanoes of the world [Allard et al., 1991; Gerlach, 1991]. Mt Etna emits about 1.6 % of global H2O fluxes from arc volcanism [Aiuppa et al., 2008] and 10 % of global average volcanic emission of CO2 and SO2 [D\u2019Alessandro et al., 1997; Caltabiano et al., 2004; Aiuppa et al., 2008; Carn et al., 2017]. Furthermore, Gauthier and Le Cloarec, [1998] underscored that Mt. Etna is an important source of volcanic particles, having a mass flux of particle passively released from the volcano during non-eruptive period estimated between 7 to 23 tons/day [Martin et al., 2008; Calabrese et al., 2011]. In general, Etna is considered to be still under evolution and rather \u2018friendly\u2019, which, along with the above, makes it a favorable natural laboratory to study volcanic geochemistry. The Observatory Pizzi Deneri was sponsored by Haroun Tazieff, and it was built in 1978 by the CNR - International Institute of Volcanology under the direction of Prof. Letterio Villari. It is located at the base of the North-East crater (2,850 m a.s.l.), near the Valle del Leone and it was built on the rim of the Ellittico caldera. A picturesque building, consisting of two characteristics domes in front of the breath-taking panorama of the summit craters. Even though it is quite spartan as an accommodation facility, the dormitories, kitchen, seminar room and laboratory are well equipped. In other words, the Pizzi Deneri observatory is a unique place close to the top of the most active volcano of Europe. The observatory lies in a strategic location making it one of the most important sites for monitoring, research and dissemination of the scientific culture. After six field multidisciplinary campaigns (2010-2015) organized by a group of researchers of several institutions (INGV of Palermo, Catania, Naples, Bologna; Universities of Palermo, Florence, Mainz, Heidelberg), the idea of sharing and passing on the experience to the new generation of students has materialized, and the \u201cEtna International Training School of Geochemistry. Science meets practice\u201d was born in 2016. The four editions of the school were partially funded by INGV of Palermo and Catania, European Geoscience Union (EGU), Societ\ue0 Geochimica Italiana (SoGeI) and Associazione Naturalistica Geode. The conceptual idea of the school is to share scientific knowledge and experiences in the geochemical community, using local resources with a low-cost organization in order to allow as many students as possible access to the school. The \u201cEtna International Training School of Geochemistry. Science meets practice\u201d is addressed to senior graduate students, postdoctoral researchers, fellows, and newly appointed assistant professors, aiming to bring together the next generation of researchers active in studies concerning the geochemistry and the budget of volcanic gases. Introduce the participants with innovative direct sampling and remote sensing techniques. Furthermore, it gives young scientists an opportunity to experiment and evaluate new protocols and techniques to be used on volcanic fluid emissions covering a broad variety of methods. The teaching approach includes theoretical sessions (lectures), practical demonstrations and field applications, conducted by international recognized geochemists. We thank all the teachers who helped to make the school possible, among these: Tobias Fischer (University of New Mexico Albuquerque), Jens Fiebig (Institut f\ufcr Geowissenschaften Goethe-Universit\ue4t Frankfurt am Main), Andri Stefansson (University of Iceland, Institute of Earth Sciences), Mike Burton (University of Manchester), Nicole Bobrowski (Universit\ue4t Heidelberg Institute of Environmental Physics and Max Planck Institute for Chemistry), Alessandro Aiuppa (Universit\ue0 di Palermo), Franco Tassi (Universit\ue0 di Firenze), Walter D\u2019Alessandro (INGV of Palermo), Fatima Viveiros (University of the Azores). Direct sampling of high-to-low temperature fumaroles, plume measurement techniques (using CO2/SO2 sensors such as Multi-GAS instruments, MAX-DOAS instruments and UV SO2 cameras, alkaline traps and particle filters), measurement of diffuse soil gas fluxes of endogenous gases (CO2, Hg0, CH4 and light hydrocarbons), sampling of mud volcanoes, groundwaters and bubbling gases. Sampling sites include the active summit craters, eruptive fractures and peripheral areas. The students have shown an active participation both to the lessons and the fieldworks. Most of them describe the school as formative and useful experience for their future researches. Their enthusiasm is the real engine of this school

Anomalous venoatrial connections – CT and MRI assessment

Abnormal venous atrial (VA) connections present a congenital heart disease (CHD) challenge for pediatric cardiologists. Fully anatomical evaluation is very difficult in prenatal and perinatal follow-up, but it has a profound impact on surgical correction and outcome. The echocardiogram is first-line imaging and represents the gold standard tool for simple abnormal VA connection. CT and MRI are mandatory for more complex heart disease and “nightmare cases”. 3D post-processing of volumetric CT and MRI acquisition helps to clarify anatomical relationships and allows for the creation of 3D printing models that can become crucial in customizing surgical strategy. Our article describes a ten-year (2013–2022) tertiary referral CHD center of abnormal AV connections investigated with CT and MRI, illustrating most of these complex diseases with the help of volume rendering (VR) or multiplanar reconstructions (MPR). The nightmarish cases will also be addressed due to the complex cardiovascular arrangement that requires a challenging surgical solution for correction along with the post-surgical complications.</p

Growth, electronic and electrical characterization of Ge-Rich Ge-Sb-Te alloy

In this study, we deposit a Ge-rich Ge-Sb-Te alloy by physical vapor deposition (PVD) in the amorphous phase on silicon substrates. We study in-situ, by X-ray and ultraviolet photoemission spectroscopies (XPS and UPS), the electronic properties and carefully ascertain the alloy composition to be GST 29 20 28. Subsequently, Raman spectroscopy is employed to corroborate the results from the photoemission study. X-ray diffraction is used upon annealing to study the crystallization of such an alloy and identify the effects of phase separation and segregation of crystalline Ge with the formation of grains along the [111] direction, as expected for such Ge-rich Ge-Sb-Te alloys. In addition, we report on the electrical characterization of single memory cells containing the Ge-rich Ge-Sb-Te alloy, including I-V characteristic curves, programming curves, and SET and RESET operation performance, as well as upon annealing temperature. A fair alignment of the electrical parameters with the current state-of-the-art of conventional (GeTe)n-(Sb2Te3)m alloys, deposited by PVD, is found, but with enhanced thermal stability, which allows for data retention up to 230 °C