Effectiveness and Safety of Topical Phototherapy in the Treatment of Dermatological Diseases

Phototherapy consists in the use of ultraviolet (UV) radiation from artificial sources for therapeutic purposes. Despite the introduction of new and powerful drugs (including biological and target therapies), phototherapy remains an established, lower cost, and effective option for the treatment of many common skin diseases

A critical appraisal of the quality of analgosedation guidelines in critically ill patients

The management of analgesia and sedation in critically ill patients is still a challenge due to the shortage of evidence-based treatments. The main objectives of the present study were to critically evaluate the quality of current clinical practice guidelines (CPGL) published on this matter and to identify the contrasting positions and unsolved questions

Dexmedetomidine: current role in burn ICU

Dexmedetomidine (DEX) is a relatively recent a2-adrenergic agonist which provides sedation, anxiolysis and analgesia with much less respiratory depression than other sedatives. These characteristics have implemented the use of the drug in the ICUs in order to achieve the target of a “arousable sedation”, thanks to its significant manageability. Its sedative-analgesic properties are also particularly suitable for use in burn ICUs, both adult and pediatric, which is why the current Guidelines have recognized a central role in the management of these categories of patients. Finally, DEX has showed significant anti-inflammatory effect both in animal models and in preliminary clinical trials, reducing vasopressor requirements and main mediators levels of the systemic inflammatory response involved in sepsis and similar processes, suggestingits use for improved outcome in ICU septic patients

A multimodal cell census and atlas of the mammalian primary motor cortex

ABSTRACT We report the generation of a multimodal cell census and atlas of the mammalian primary motor cortex (MOp or M1) as the initial product of the BRAIN Initiative Cell Census Network (BICCN). This was achieved by coordinated large-scale analyses of single-cell transcriptomes, chromatin accessibility, DNA methylomes, spatially resolved single-cell transcriptomes, morphological and electrophysiological properties, and cellular resolution input-output mapping, integrated through cross-modal computational analysis. Together, our results advance the collective knowledge and understanding of brain cell type organization: First, our study reveals a unified molecular genetic landscape of cortical cell types that congruently integrates their transcriptome, open chromatin and DNA methylation maps. Second, cross-species analysis achieves a unified taxonomy of transcriptomic types and their hierarchical organization that are conserved from mouse to marmoset and human. Third, cross-modal analysis provides compelling evidence for the epigenomic, transcriptomic, and gene regulatory basis of neuronal phenotypes such as their physiological and anatomical properties, demonstrating the biological validity and genomic underpinning of neuron types and subtypes. Fourth, in situ single-cell transcriptomics provides a spatially-resolved cell type atlas of the motor cortex. Fifth, integrated transcriptomic, epigenomic and anatomical analyses reveal the correspondence between neural circuits and transcriptomic cell types. We further present an extensive genetic toolset for targeting and fate mapping glutamatergic projection neuron types toward linking their developmental trajectory to their circuit function. Together, our results establish a unified and mechanistic framework of neuronal cell type organization that integrates multi-layered molecular genetic and spatial information with multi-faceted phenotypic properties

A critical appraisal of the quality of analgosedation guidelines in critically ill patients

The management of analgesia and sedation in critically ill patients is still a challenge due to the shortage of evidence-based treatments. The main objectives of the present study were to critically evaluate the quality of current clinical practice guidelines (CPGL) published on this matter and to identify the contrasting positions and unsolved questions

Modelling and Experimental Analysis of a Polymer Electrolyte Membrane Water Electrolysis Cell at Different Operating Temperatures

In this paper, a simplified model of a Polymer Electrolyte Membrane (PEM) water electrolysis cell is presented and compared with experimental data at 60 °C and 80 °C. The model utilizes the same modelling approach used in previous work where the electrolyzer cell is divided in four subsections: cathode, anode, membrane and voltage. The model of the electrodes includes key electrochemical reactions and gas transport mechanism (i.e., H2, O2 and H2O) whereas the model of the membrane includes physical mechanisms such as water diffusion, electro osmotic drag and hydraulic pressure. Voltage was modelled including main overpotentials (i.e., activation, ohmic, concentration). First and second law efficiencies were defined. Key empirical parameters depending on temperature were identified in the activation and ohmic overpotentials. The electrodes reference exchange current densities and change transfer coefficients were related to activation overpotentials whereas hydrogen ion diffusion to Ohmic overvoltages. These model parameters were empirically fitted so that polarization curve obtained by the model predicted well the voltage at different current found by the experimental results. Finally, from the efficiency calculation, it was shown that at low current densities the electrolyzer cell absorbs heat from the surroundings. The model is not able to describe the transients involved during the cell electrochemical reactions, however these processes are assumed relatively fast. For this reason, the model can be implemented in system dynamic modelling for hydrogen production and storage where components dynamic is generally slower compared to the cell electrochemical reactions dynamics

A critical appraisal of the quality of analgosedation guidelines in critically ill patients

The management of analgesia and sedation in critically ill patients is still a challenge due the paucity of evidence-based treatments. The main objectives of the present study were to critically evaluate the quality of current clinical practice guidelines (CPGL) published on this issue and to identify the contrasting positions and unsolved questions