Guideline on management of the acute asthma attack in children by Italian Society of Pediatrics.

BACKGROUND: Acute asthma attack is a frequent condition in children. It is one of the most common reasons for emergency department (ED) visit and hospitalization. Appropriate care is fundamental, considering both the high prevalence of asthma in children, and its life-threatening risks. Italian Society of Pediatrics recently issued a guideline on the management of acute asthma attack in children over age 2, in ambulatory and emergency department settings. METHODS: The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was adopted. A literature search was performed using the Cochrane Library and Medline/PubMed databases, retrieving studies in English or Italian and including children over age 2 year. RESULTS: Inhaled ß2 agonists are the first line drugs for acute asthma attack in children. Ipratropium bromide should be added in moderate/severe attacks. Early use of systemic steroids is associated with reduced risk of ED visits and hospitalization. High doses of inhaled steroids should not replace systemic steroids. Aminophylline use should be avoided in mild/moderate attacks. Weak evidence supports its use in life-threatening attacks. Epinephrine should not be used in the treatment of acute asthma for its lower cost / benefit ratio, compared to β2 agonists. Intravenous magnesium solphate could be used in children with severe attacks and/or forced expiratory volume1 (FEV1) lower than 60% predicted, unresponsive to initial inhaled therapy. Heliox could be administered in life-threatening attacks. Leukotriene receptor antagonists are not recommended. CONCLUSIONS: This Guideline is expected to be a useful resource in managing acute asthma attacks in children over age 2

A DATABASE FOR THE ARCHITECTURAL HERITAGE RECOVERY BETWEEN ITALY AND SWITZERLAND

The purpose of this paper is to show some results coming from the international Interreg-AlpStone project, a research whose main aim is the protection and valorisation of a rural Cultural Heritage, theme of recent growing interest. In particular the background of this contribute is the traditional stone architecture placed in the territory between Italy and Switzerland, while into the foreground is put the method to right document, archive and analyse information about the objects of study. The response comes from BIM technologies (acronym of Building Information Modeling) which objective is the creation of a dynamical and interoperable system allowing the share of information through a unique database. If these methods have been largely employed on new constructions, they still haven't been enough tested on the field of historical architecture. In order to fill this gap, the paper suggest a method leading to the creation of a Cultural Heritage information system, which arise during the survey phase and continue through the detection of different building information, the proposal of recovery solutions, the asset georeferentiation on the territory and finally the moment of sharing information on a web platform. The creation of an architectural database is made possible by a survey based on point clouds. The latter constitute then the input data for the creation of a 3D model made with a parametric software allowing the increase of various kind of information. The future work plans will complete this project by locating the Cultural Heritage models on a webGIS

K-string tensions at finite temperature and integrable models

It has recently been pointed out that simple scaling properties of Polyakov correlation functions of gauge systems in the confining phase suggest that the ratios of k-string tensions in the low temperature region is constant up to terms of order T^3. Here we argue that, at least in a three-dimensional Z_4 gauge model, the above ratios are constant in the whole confining phase. This result is obtained by combining numerical experiments with known exact results on the mass spectrum of an integrable two-dimensional spin model describing the infrared behaviour of the gauge system near the deconfining transition.Comment: 22 pages, 7 figures, 1 tabl

FROM AN INTEGRATED SURVEY WITH MMS TO A SCAN-TO-BIM PROCESS FOR EDUCATIONAL PURPOSES

The mobile mapping systems (MMSs) are increasingly used in the Architecture, Engineering and Construction sector (AEC). Their involvement in the digital transition of our cities and built heritage could be a valuable solution in speeding up the scan-to-BIM processes. In this framework, the course “Knowledge of the built heritage in the era of climate change” of Politecnico di Torino offers an innovative approach for MSc degree students in Building Engineering. In fact, it deals with the whole workflow from the surveying activities (data acquisition and processing), to the BIM modelling up to the final digital twin integrated with e.g. sensors data and management information. This contribution describes the case studies of the multidisciplinary course as an application for this methodology, where not only terrestrial laser scanning or UAVs (Unmanned Aerial Vehicles) have been used, but also MMSs have been tested to understand if they could be a suitable option. This paper aims to show the course experience derived from the collaboration of the geomatics and drawing domains along with students’ results and feedback. Moreover, the research underlines the pros and cons of this procedure

Poliomyelitis surveillance report number 18, May 20, 1955

Dr. Edwin Lennette, Virus Laboratory, California Department of Public Health, reports isolation of type 1 virus from the stool of case PSU No. Cal-21. He also reports isolation of type 1 virus from the stool of a third \uc2\ub0th contact of non-paralytic case PSU No. Cal-14. Isolations from 2 other contacts of this case were previously reported.Dr. Werner Henle, Children\ue2\u20ac\u2122s Hospital, Philadelphia, reports isolation of type 1 poliomyelitis virus from Case PSU No. Pa-2. This is the first isolation from a case receiving Wyeth Vaccine. This case had first paralysis at the same site as inoculation.One new case was accepted today from West Virginia. This seven-year-old female developed bulbar signs 26 days after inoculation with Lilly Vaccine. Vaccinated cases total 79 at 12:00 noon 5-20-55 (Table l)