Optical and Near-IR Imaging of the Dark Globule CB 52

The internal structure of the dark globule CB 52 is investigated by means of broadband imaging in the optical and near-IR spectral range. By exploiting the extinction of the stellar light within this object, we derive observational parameters suitable to infer the internal structure of this cloud. Extinction maps were obtained at different wavelengths by using both stellar counts and two-color diagrams. While in the optical region the extinction is better evaluated at the cloud boundaries, the internal regions are more conveniently probed in the near-IR, so a combined map was derived. The total-to-selective extinction ratio RV was also observed to increase toward the inner regions, and a plot versus the extinction AV suggests that grain growth processes are active in this cloud. The statistical fluctuation of the AV, estimated in the line of sight of the background stars, is investigated by comparing the observed stellar colors with those of the unreddened stars. The dispersion σAV, derived from optical observations, is found to be almost independent of the mean extinction, AV, while by using near-IR data we find a more complex behavior: the σAV versus AV relation increases until AV ~ 6 and then decreases for larger extinctions. This is discussed in the framework of a simple model, suggesting that a clumpy and clustered structure can explain the observations in the inner regions, while outside the cloud the mass distribution remains more homogeneous

Grains in galactic haloes

Researchers considered the effect of extensive forces on dust grains subjected to the light and matter distribution of a spiral galaxy (Greenberg et al. (1987), Ferrini et al. (1987), Barsella et al (1988). Researchers showed that the combined force on a small particle located above the plane of a galactic disk may be either attractive or repulsive depending on a variety of parameters. They found, for example, that graphite grains from 20 nm to 250 nm radius are expelled from a typical galaxy, while silicates and other forms of dielectrics, after initial expulsion, may settle in potential minimum within the halo. They discuss only the statistical behavior of the forces for 17 galaxies whose luminosity and matter distribution in the disk, bulge and halo components are reasonably well known. The preliminary results of the study of the motion of a dust grain for NGC 3198 are given

Insights into Cytotoxic Behavior of Lepadins and Structure Elucidation of the New Alkaloid Lepadin L from the Mediterranean Ascidian Clavelina lepadiformis

The chemical investigation of the Mediterranean ascidian Clavelina lepadiformis has led to the isolation of a new lepadin, named lepadin L, and two known metabolites belonging to the same family, lepadins A and B. The planar structure and relative configuration of the decahydroquinoline ring of lepadin L were established both by means of HR-ESIMS and by a detailed as extensive analysis of 1D and 2D NMR spectra. Moreover, microscale derivatization of the new alkaloid lepadin L was performed to assess the relative configuration of the functionalized alkyl side chain. Lepadins A, B, and L were tested for their cytotoxic activity on a panel of cancer cell lines (human melanoma [A375], human breast [MDA-MB-468], human colon adenocarcinoma [HT29], human colorectal carcinoma [HCT116], and mouse myoblast [C2C12]). Interestingly, a deeper investigation into the mechanism of action of the most cytotoxic metabolite, lepadin A, on the A375 cells has highlighted its ability to induce a strongly inhibition of cell migration, G2/M phase cell cycle arrest and a dose-dependent decrease of cell clonogenity, suggesting that it is able to impair self-renewing capacity of A375 cells

The Structure of the Small Dark Cloud CB 107

This paper presents the near-IR imaging observations of CB 107, a small dark globule projected against a rich stellar background. By means of accurate photometry, the near-IR two-color diagram J - H versus H - K was obtained for the stellar background. This information was used to estimate the color excesses of the detected stars so that, given the reddening curve, it was possible to derive the extinction map of the cloud. The structural properties of the dark globule were investigated by plotting the extinction dispersion σ, obtained in a given spatial box, as a function of the mean extinction AV. This relationship has shown quite a definite linear behavior, with the slope increasing with the box size. The results of the present analysis, compared with those obtained by other authors on larger dark clouds, suggest that for a given spatial scale the slope of the σ versus AV relation is greater in CB 107 than in larger clouds. The so-called Δ-variance method was also used to investigate the structure of the dark globule by evaluating the drift behavior of its extinction map. In this way, we have found that the power spectrum of the extinction map is characterized by a power law with exponent β ~ 2.7. This value is lower than expected, for the same range of spatial scales, on the basis of previous work on large molecular clouds

Optical Properties of Composite Interstellar Grains: A Morphological Analysis

In the framework of the transition matrix approach, we calculate the relevant optical properties of cosmic dust grains of amorphous carbon and astronomical silicates, modeled as aggregates of spherical monomers. Two mechanisms of aggregation were considered, producing clusters with different structure and degree of fluffiness: ballistic particle-cluster aggregation (BPCA) and ballistic cluster-cluster aggregation (BCCA). Our results are very different from those obtained through computational approaches based on effective medium theories and might have major implications both on the modeling procedure and on the dust-mass balance in the interstellar medium

Ultraviolet Radiation inside Interstellar Grain Aggregates. I. The Density of Radiation

We study the distribution of energy density inside dust grain aggregates through an approach based on the multipole expansion of the electromagnetic fields. A significant fraction of the energy of the impinging wave is found throughout the interiors of grains. Implications for extraterrestrial prebiotic chemistry are discussed

Ultraviolet Radiation inside Interstellar Grain Aggregates. II. Field Depolarization

We study the polarization of the UV light within the cavities of interstellar grain aggregates modeled as homo- geneous spheres containing several spherical voids. The incident field is a linearly polarized plane wave. We found that field depolarization occurs in all examined cases so that the field within the cavities has the features of an ellip- tically polarized wave. The depolarization of the field does not depend on the material of the grains but on the geometry of the problem only. The implications of this result for the interstellar photochemistry are briefly discussed

Personalizing Cancer Pain Therapy: Insights from the Rational Use of Analgesics (RUA) Group

Introduction: A previous Delphi survey from the Rational Use of Analgesics (RUA) project involving Italian palliative care specialists revealed some discrepancies between current guidelines and clinical practice with a lack of consensus on items regarding the use of strong opioids in treating cancer pain. Those results represented the basis for a new Delphi study addressing a better approach to pain treatment in patients with cancer. Methods: The study consisted of a two-round multidisciplinary Delphi study. Specialists rated their agreement with a set of 17 statements using a 5-point Likert scale (0 = totally disagree and 4 = totally agree). Consensus on a statement was achieved if the median consensus score (MCS) (expressed as value at which at least 50% of participants agreed) was at least 4 and the interquartile range (IQR) was 3–4. Results: This survey included input from 186 palliative care specialists representing all Italian territory. Consensus was reached on seven statements. More than 70% of participants agreed with the use of low dose of strong opioids in moderate pain treatment and valued transdermal route as an effective option when the oral route is not available. There was strong consensus on the importance of knowing opioid pharmacokinetics for therapy personalization and on identifying immediate-release opioids as key for tailoring therapy to patients’ needs. Limited agreement was reached on items regarding breakthrough pain and the management of opioid-induced bowel dysfunction. Conclusion: These findings may assist clinicians in applying clinical evidence to routine care settings and call for a reappraisal of current pain treatment recommendations with the final aim of optimizing the clinical use of strong opioids in patients with cancer

Antidiabetic Drug Prescription Pattern in Hospitalized Older Patients with Diabetes

Objective: To describe the prescription pattern of antidiabetic and cardiovascular drugs in a cohort of hospitalized older patients with diabetes. Methods: Patients with diabetes aged 65 years or older hospitalized in internal medicine and/or geriatric wards throughout Italy and enrolled in the REPOSI (REgistro POliterapuie SIMI—Società Italiana di Medicina Interna) registry from 2010 to 2019 and discharged alive were included. Results: Among 1703 patients with diabetes, 1433 (84.2%) were on treatment with at least one antidiabetic drug at hospital admission, mainly prescribed as monotherapy with insulin (28.3%) or metformin (19.2%). The proportion of treated patients decreased at discharge (N = 1309, 76.9%), with a significant reduction over time. Among those prescribed, the proportion of those with insulin alone increased over time (p = 0.0066), while the proportion of those prescribed sulfonylureas decreased (p < 0.0001). Among patients receiving antidiabetic therapy at discharge, 1063 (81.2%) were also prescribed cardiovascular drugs, mainly with an antihypertensive drug alone or in combination (N = 777, 73.1%). Conclusion: The management of older patients with diabetes in a hospital setting is often sub-optimal, as shown by the increasing trend in insulin at discharge, even if an overall improvement has been highlighted by the prevalent decrease in sulfonylureas prescription

The “Diabetes Comorbidome”: A Different Way for Health Professionals to Approach the Comorbidity Burden of Diabetes

(1) Background: The disease burden related to diabetes is increasing greatly, particularly in older subjects. A more comprehensive approach towards the assessment and management of diabetes’ comorbidities is necessary. The aim of this study was to implement our previous data identifying and representing the prevalence of the comorbidities, their association with mortality, and the strength of their relationship in hospitalized elderly patients with diabetes, developing, at the same time, a new graphic representation model of the comorbidome called “Diabetes Comorbidome”. (2) Methods: Data were collected from the RePoSi register. Comorbidities, socio-demographic data, severity and comorbidity indexes (Cumulative Illness rating Scale CIRS-SI and CIRS-CI), and functional status (Barthel Index), were recorded. Mortality rates were assessed in hospital and 3 and 12 months after discharge. (3) Results: Of the 4714 hospitalized elderly patients, 1378 had diabetes. The comorbidities distribution showed that arterial hypertension (57.1%), ischemic heart disease (31.4%), chronic renal failure (28.8%), atrial fibrillation (25.6%), and COPD (22.7%), were the more frequent in subjects with diabetes. The graphic comorbidome showed that the strongest predictors of death at in hospital and at the 3-month follow-up were dementia and cancer. At the 1-year follow-up, cancer was the first comorbidity independently associated with mortality. (4) Conclusions: The “Diabetes Comorbidome” represents the perfect instrument for determining the prevalence of comorbidities and the strength of their relationship with risk of death, as well as the need for an effective treatment for improving clinical outcomes