Transcranial Magnetic Resonance Imaging-Guided Focused Ultrasound Treatment at 1.5 T: A Retrospective Study on Treatment- and Patient-Related Parameters Obtained From 52 Procedures

Objective: To present a retrospective analysis of patient- and sonication-related parameters of a group of patients treated with a transcranial magnetic resonance imaging (MRI)-guided focused ultrasound (tcMRgFUS) system integrated with a 1.5-T MRI unit. Methods: The data obtained from 59 patients, who underwent the tcMRgFUS procedure from January 2015 to April 2019, were retrospectively reviewed for this study. The following data, among others, were mainly collected: skull density ratio (SDR), skull area (SA), number of available transducer elements (Tx), and estimated focal power at target (FP). For each of the four different treatment stages, we calculated the number of sonication processes (S-n), user-defined sonication power (S-p), effective measured power (S-mp), sonication duration (S-d), user-defined energy (E), effective measured energy (E-m), maximum temperature (T-max), and MR thermometry plane orientation. Furthermore, the time delay between each sonication (S-t) and the total treatment time (T-t) were recorded. Results: Fifty-two patients (40 males and 12 females; age 64.51 +/- SD 11.90 years; range 26-86 years), who underwent unilateral Vim thalamotomy (left = 50, 96.15%; right = 2, 3.85%) for medication-refractory essential tremor (n = 39; 78%) or Parkinson tremor (n = 13; 22%) were considered. A total of 1,068 (95.10%) sonication processes were included in our final analysis (average S-n per treatment: 20.65 +/- 6.18; range 13-41). The energy released onto the planned target was found to decrease with the SDR for all temperature ranges. A positive correlation was observed between the slope of T-max vs. E-m plot and the SDR (R-2 = 0.765; p < 0.001). In addition, the T-max was positively correlated with SDR (R-2 = 0.398; p < 0.005). On the contrary, no significant correlation was found between SDR and SA or Tx. An analysis of the MR thermometry scanning plane indicated that, at our site, the axial and the coronal planes were used (on average) 10.4 (SD +/- 3.8) and 7.7 (SD +/- 3.0) times, respectively, whereas the sagittal plane was used only 2.5 (SD +/- 3.0) times per treatment. Conclusion: Our results confirm the factors that significantly influence the course of a tcMRgFUS procedure even when a 1.5-T MRI scanner is used for procedure guidance. The experience we gained in this study indicates that the SDR remains one of the most significant technical parameters to be considered in a tcMRgFUS procedure. The possibility of prospectively setting the sonication energy according to the presented curves of energy delivery as a function of SDR for each treatment stage could provide a further understanding and a greater awareness of this emerging technology

Seismic assessment and rehabilitation of a historical theatre based on a macro-element strategy

The structural and seismic assessment of the 19th-century Petruzzelli theater in Bari (Italy) is presented. The macro-elements strategy was adopted to dismantle the whole structure in parts. The steel dome was verified through dynamic multi-modal analysis based on finite element model. Each masonry macro-element was firstly verified through a kinematic analysis aiming at excluding local collapse mechanisms. Afterwards, a nonlinear static analysis was carried out in order to evaluate its overall seismic capacity. The effectiveness of linear or nonlinear analyses and of the macro-element strategy compared with other modeling techniques is also discussed. After highlighting the structural deficiencies of the theater, upgrading solutions are proposed with consideration of the safety needs and the architectural preservation requirements based on the historical importance of the buildin

Post-vaccine measles in a child with concomitant influenza, Sicily, Italy, March 2015

We describe the occurrence of measles in an 18 monthold patient in Sicily, Italy, in March 2015, who received the first dose of a measles-containing vaccine seven days before onset of prodromal symptoms. Measles virus infection was confirmed by PCR and detection of specific immunoglobulin; viral genotyping permitted the confirmation of a vaccine-associated illness. The patient had a concurrent influenza virus infection, during a seasonal epidemic outbreak of influenza

Immunolocalization of Nesfatin-1 in the Gastrointestinal Tract of the Common Bottlenose Dolphin Tursiops truncatus

SIMPLE SUMMARY: Nesfatin-1 (Nesf-1) is a neuropeptide that plays important roles in regulating food intake, mainly related to its anorexigenic effect, and it is mainly distributed in the digestive systems of all vertebrates. With this study, we expand knowledge on the localization of Nesf-1 in the digestive tract of an aquatic mammalian species, the common bottlenose dolphin (Tursiops truncatus), allowing comparative study on terrestrial mammals. Dolphin tissue samples (three gastric chambers and intestine) were provided by the Mediterranean Marine Mammal Tissue Bank of the Department of Comparative Biomedicine and Food Science of the University of Padova (Italy). ABSTRACT: First identified as an anorexigenic peptide, in the last decades, several studies have suggested that Nesfatin-1 (Nesf-1) is a pleiotropic hormone implicated in numerous regulatory processes in peripheral organs and tissues. In vertebrates, Nesf-1 is indeed expressed in the central nervous system and peripheral organs. In this study, we characterized the pattern of Nesf-1 distribution within the digestive tract of the common bottlenose dolphin (Tursiops truncatus), composed of three gastric chambers and an intestine without a clear subdivision in the small and large intestine, also lacking a caecum. Our results indicated that Nesf-1 is widely distributed in cells of the mucosal epithelium of the gastric chambers. Most of the immunoreactivity was observed in the second chamber, compared to the first and third chambers. Immunopositivity was also found in nerve fibers and neurons, scattered or/and clustered in ganglion structures along all the examined gastrointestinal tracts. These observations add new data on the highly conserved role of Nesf-1 in the mammalian digestive system

High-Resolution Spectroscopy of FUors

High-resolution spectroscopy was obtained of the FUors FU Ori and V1057 Cyg between 1995 and 2002 with SOFIN at NOT and with HIRES at Keck I. During those years FU Ori remained about 1 mag. (in B) below its 1938-39 maximum brightness, but V1057 Cyg (B ~ 10.5 at peak in 1970-71) faded from about 13.5 to 14.9 and then recovered slightly. Their photospheric spectra resemble a rotating G0 Ib supergiant, with v_eq sin i = 70 km/s for FU Ori and 55 km/s for V1057 Cyg. As V1057 Cyg faded, P Cyg structure in Halpha and the IR CaII lines strengthened and a complex shortward-displaced shell spectrum increased in strength, disappeared in 1999, and reappeared in 2001. Night-to-night changes in the wind structure of FU Ori show evidence of sporadic infall. The strength of P Cyg absorption varied cyclically with a period of 14.8 days, with phase stability maintained over 3 seasons, and is believed to be the rotation period. The structure of the photospheric lines also varies cyclically, but with a period of 3.54 days. A similar variation may be present in V1057 Cyg. As V1057 Cyg has faded, the emission lines of a pre-existing low-excitation chromosphere have emerged, so we believe the `line doubling' in V1057 Cyg is produced by these central emission cores in the absorption lines, not by orbital motion in an inclined Keplerian disk. No dependence of v_eq sin i on wavelength or excitation potential was detected in either star, again contrary to expectation for a self-luminous accretion disk. Nor are critical lines in the near infrared accounted for by synthetic disk spectra. A rapidly rotating star near the edge of stability (Larson 1980), can better explain these observations. FUor eruptions may not be a property of ordinary TTS, but may be confined to a special subspecies of rapid rotators having powerful quasi-permanent winds.Comment: 41 pages (including 32 figures and 9 tables); ApJ, in press; author affiliation, figs. 3 and 9 correcte

Organic film thickness influence on the bias stress instability in Sexithiophene Field Effect Transistors

In this paper, the dynamics of bias stress phenomenon in Sexithiophene (T6) Field Effect Transistors (FETs) has been investigated. T6 FETs have been fabricated by vacuum depositing films with thickness from 10 nm to 130 nm on Si/SiO2 substrates. After the T6 film structural analysis by X-Ray diffraction and the FET electrical investigation focused on carrier mobility evaluation, bias stress instability parameters have been estimated and discussed in the context of existing models. By increasing the film thickness, a clear correlation between the stress parameters and the structural properties of the organic layer has been highlighted. Conversely, the mobility values result almost thickness independent

Measurements of polarized photo-pion production on longitudinally polarized HD and Implications for Convergence of the GDH Integral

We report new measurements of inclusive pion production from frozen-spin HD for polarized photon beams covering the Delta(1232) resonance. These provide data simultaneously on both H and D with nearly complete angular distributions of the spin-difference cross sections entering the Gerasimov-Drell-Hearn (GDH) sum rule. Recent results from Mainz and Bonn exceed the GDH prediction for the proton by 22 microbarns, suggesting as yet unmeasured high-energy components. Our pi0 data reveal a different angular dependence than assumed in Mainz analyses and integrate to a value that is 18 microbarns lower, suggesting a more rapid convergence. Our results for deuterium are somewhat lower than published data, considerably more precise and generally lower than available calculations.Comment: 4 pages, 4 figures. Submitted for publication in Physical Review Letter

Enhancing image contrast using coherent states and photon number resolving detectors

We experimentally map the transverse profile of diffraction-limited beams using photon-number-resolving detectors. We observe strong compression of diffracted beam profiles for high detected photon number. This effect leads to higher contrast than a conventional irradiance profile between two Airy disk-beams separated by the Rayleigh criterion.Comment: 7 pages, 3 figures, accepted for publication in Optics Expres

Analysis of cerebrospinal fluid from cattle with central nervous system disorders after storage for 24 hours with autologous serum

BACKGROUND: We compared the changes in cell morphology, total and differential cell counts between cerebrospinal fluid (CSF) samples analyzed within an hour of collection (fresh sample) and after the addition of autologous serum and storage for 24 h (stored sample) in 27 cattle with central nervous system disorders. RESULTS: There was a positive linear correlation between total and differential cell counts in the fresh and the stored samples. Cell morphology was preserved in all stored samples, except for increased vacuolization of mononuclear cells and cleaved nuclei of some small mononuclear cells. In the stored CSF samples, the total nucleated cell count and monocyte percentage were decreased (P = 0.01; P = 0.03), while the lymphocyte percentage was increased (P = 0.04). Mononuclear pleocytosis diagnosed in 20 fresh samples was cytologically confirmed in 12 of the 20 stored samples. In the remaining eight stored samples, the number of total nucleated cells was within the normal range. Neutrophilic pleocytosis was confirmed in all seven stored samples. The overall agreement rate between cytologic interpretation of the fresh and the stored CSF samples was 70 % (100 % for neutrophilic pleocytosis and 60 % for mononuclear pleocytosis). CONCLUSIONS: Adding 11 % of autologous serum to CSF samples might allow delayed analysis with a good agreement rate for CSF cytological interpretation. Caution is nonetheless warranted, as animal age, anamnesis, and neurological presentation need to be considered when interpreting stored CSF without pleocytosis. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12917-015-0502-x) contains supplementary material, which is available to authorized users

Integración entre servicios de salud y comunidad. Evaluación cualitativa de servicios de primer nivel de atención de la ciudad de Corrientes

La integración entre el equipo de salud y su comunidad de referencia es una de las condiciones operativas, y conceptuales, de la Atención Primaria de la Salud. Con el fin de evaluarla, se realizó una investigación en las Salas de Atención Primaria de la Salud de la Ciudad de Corrientes. Se utilizó un método exploratorio orientado desde una perspectiva interpretativa-cualitativa. 30 alumnos de la Carrera de Medicina de la Universidad Nacional del Nordeste fueron capacitados a tal efecto. Se realizaron observaciones in situ y entrevistas semi-estructuradas al personal de salud y a usuarios de las salas. Se realizó un análisis de contenido, esquematizado en un sistema de categorías preestablecidas y enriquecido con subcategorias inducidas a partir del análisis de la información. Como facilitadores para la integración, se encontró por parte del personal del equipo: conocimiento de los problemas de la zona, residencia en el barrio, buena accesibilidad a la atención y respuesta adecuada a la demanda; y por parte de la población: predisposición a participar. Como barreras para la integración: diferencias de conceptos respecto al rol del primer nivel de atención entre equipo de salud y comunidad y escasa integración de algunos profesionales. Se concluyó con que existen factores favorecedores importantes que habría que aprovechar y potenciar; en tanto, habría que trabajar sobre las barreras, comenzando por el rol fundamental que para esto tiene el equipo de salud. La mejor identificación de categorías que ha permitido este trabajo propicia la realización de estudios de mayor profundidad