The standard posture of the hand

Perceived limb position is known to rely on sensory signals and motor commands. Another potential source of input is a standard representation of body posture, which may bias perceived limb position towards more stereotyped positions. Recent results show that tactile stimuli are processed more efficiently when delivered to a thumb in a relatively low position or an index finger in a relatively high position. This observation suggests that we may have a standard posture of the body that promotes a more efficient interaction with the environment. In this study, we mapped the standard posture of the entire hand by characterizing the spatial associations of all five digits. Moreover, we show that the effect is not an artefact of intermanual integration. Results showed that the thumb is associated with low positions, while the other fingers are associated with upper locations

LFA-1 Controls Th1 and Th17 Motility Behavior in the Inflamed Central Nervous System

Leukocyte trafficking is a key event during autoimmune and inflammatory responses. The subarachnoid space (SAS) and cerebrospinal fluid are major routes for the migration of encephalitogenic T cells into the central nervous system (CNS) during experimental autoimmune encephalomyelitis (EAE), the animal model of multiple sclerosis, and are sites of T cell activation before the invasion of CNS parenchyma. In particular, autoreactive Th1 and Th17 cell trafficking and reactivation in the CNS are required for the pathogenesis of EAE. However, the molecular mechanisms controlling T cell dynamics during EAE are unclear. We used two-photon laser microscopy to show that autoreactive Th1 and Th17 cells display distinct motility behavior within the SAS in the spinal cords of mice immunized with the myelin oligodendrocyte glycoprotein peptide MOG(35-55). Th1 cells showed a strong directional bias at the disease peak, moving in a straight line and covering long distances, whereas Th17 cells exhibited more constrained motility. The dynamics of both Th1 and Th17 cells were strongly affected by blocking the integrin LFA-1, which interfered with the deformability and biomechanics of Th1 but not Th17 cells. The intrathecal injection of a blocking anti-LFA-1 antibody at the onset of disease significantly inhibited EAE progression and also strongly reduced neuro-inflammation in the immunized mice. Our results show that LFA-1 plays a pivotal role in T cell motility during EAE and suggest that interfering with the molecular mechanisms controlling T cell motility can help to reduce the pathogenic potential of autoreactive lymphocytes

Landslides, floods and sinkholes in a karst environment: the 1–6 September 2014 Gargano event, southern Italy

Abstract. In karst environments, heavy rainfall is known to cause multiple geohydrological hazards, including inundations, flash floods, landslides and sinkholes. We studied a period of intense rainfall from 1 to 6 September 2014 in the Gargano Promontory, a karst area in Puglia, southern Italy. In the period, a sequence of torrential rainfall events caused severe damage and claimed two fatalities. The amount and accuracy of the geographical and temporal information varied for the different hazards. The temporal information was most accurate for the inundation caused by a major river, less accurate for flash floods caused by minor torrents and even less accurate for landslides. For sinkholes, only generic information on the period of occurrence of the failures was available. Our analysis revealed that in the promontory, rainfall-driven hazards occurred in response to extreme meteorological conditions and that the karst landscape responded to the torrential rainfall with a threshold behaviour. We exploited the rainfall and the landslide information to design the new ensemble–non-exceedance probability (E-NEP) algorithm for the quantitative evaluation of the possible occurrence of rainfall-induced landslides and of related geohydrological hazards. The ensemble of the metrics produced by the E-NEP algorithm provided better diagnostics than the single metrics often used for landslide forecasting, including rainfall duration, cumulated rainfall and rainfall intensity. We expect that the E-NEP algorithm will be useful for landslide early warning in karst areas and in other similar environments. We acknowledge that further tests are needed to evaluate the algorithm in different meteorological, geological and physiographical settings

Landslides, floods and sinkholes in a karst environment: the 1–6 September 2014 Gargano event, southern Italy

In karst environments, heavy rainfall is known to cause multiple geohydrological hazards, including inundations, flash floods, landslides and sinkholes. We studied a period of intense rainfall from 1 to 6 September 2014 in the Gargano Promontory, a karst area in Puglia, southern Italy. In the period, a sequence of torrential rainfall events caused severe damage and claimed two fatalities. The amount and accuracy of the geographical and temporal information varied for the different hazards. The temporal information was most accurate for the inundation caused by a major river, less accurate for flash floods caused by minor torrents and even less accurate for landslides. For sinkholes, only generic information on the period of occurrence of the failures was available. Our analysis revealed that in the promontory, rainfall-driven hazards occurred in response to extreme meteorological conditions and that the karst landscape responded to the torrential rainfall with a threshold behaviour. We exploited the rainfall and the landslide information to design the new ensemble-non-exceedance probability (E-NEP) algorithm for the quantitative evaluation of the possible occurrence of rainfall-induced landslides and of related geohydrological hazards. The ensemble of the metrics produced by the E-NEP algorithm provided better diagnostics than the single metrics often used for landslide forecasting, including rainfall duration, cumulated rainfall and rainfall intensity. We expect that the E-NEP algorithm will be useful for landslide early warning in karst areas and in other similar environments. We acknowledge that further tests are needed to evaluate the algorithm in different meteorological, geological and physiographical settings

Alimentación, agroecología, movimientos sociales y academia

En esta ponencia reflexionamos sobre formas y posibilidades que asume la producción de saberes, a partir de la experiencia de un proyecto de investigación/intervención desarrollado por docentes e investigadores de distintos campos del conocimiento1 , en el que se busca generar un dispositivo de formación de multiplicadores entre productores de alimentos sobre alimentación, agroecología, salud y cultura basados en el enfoque del Derecho a la Alimentación. Desde enero de 2020, el equipo realiza un trabajo de articulación en el marco del Área de Alimentación de una organización social: la Unión de Trabajadores de la Tierra (UTT). El proyecto tiene como objetivo generar marcos intersectoriales para aportar lineamientos que contribuyan a procesos de construcción y transmisión de conocimientos sobre alimentación y la salud de personas y del ambiente, a los fines de mejorar el conocimiento de los productores y fortalecimiento de la organización social. Apunta a responder de manera conjunta preguntas relacionadas con el sistema agroalimentario, como ¿Cuáles son los orígenes de lo que comemos?, ¿de dónde vienen los alimentos que nutren a nuestros hijos?, ¿quiénes están detrás de la producción?¿Cuáles son las condiciones y las realidades en los procesos productivos?.Se trata de agricultores familiares en su mayoría de origen boliviano, que atraviesan situaciones de inequidad social, respecto al acceso a tierra, viviendas dignas, condiciones de trabajo; sujetos sometidos a la explotación y el dominio. El proyecto, aún en ejecución (el contexto del COVID lentificó el devenir de las actividades programadas), pretende diseñar instancias de producción e información con los productores; definir contenidos y herramientas didácticas para llevar adelante la formación de multiplicadores sobre alimentación saludable y soberanía alimentaria; elaborar un documento de recomendaciones enmarcadas en el derecho a la alimentación segura y adecuada, salud, agroecología, género y cultura, como insumo para políticas públicas.GT 45: Antropología de la alimentación: aportes y debates actuales.Universidad Nacional de La Plat

Stability and efficiency of a CMOS sensor as detector of low energy beta and gamma particles

Radio Guided Surgery (RGS) is a nuclear medicine technique allowing the surgeon to identify tumor residuals in real time with a millimetric resolution, thanks to a radiopharmaceutical as tracer and a probe as detector. The use of beta(-) emitters, instead of gamma or beta(+), has been recently proposed with the aim to increase the technique sensitivity and reducing both the administered activity to the patient and the medical exposure. In this paper, the possibility to use the commercial CMOS Image Sensor MT9V115, originally designed for visible light imaging, as beta(-) radiation detector RGS is discussed. Being crucial characteristics in a surgical environment, in particular its stability against time, operating temperature, integration time and gain has been studied on laboratory measurements. Moreover, a full Monte Carlo simulation of the detector has been developed. Its validation against experimental data allowed us to obtain efficiency curves for both beta and gamma particles, and also to evaluate the effect of the covering heavy resin protective layer that is present in the "off the shelf" detector. This study suggests that a dedicated CMOS Image Sensor (i.e. one produced without the covering protective layer) represents the ideal candidate detector for RGS, able to massively increase the amount of application cases and the efficacy of this technique

The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5-11 December, to 17.5% (25/143 samples) in the week 12-18, to 65.9% (89/135 samples) in the week 19-25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased from one in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons. In conclusion, we designed an RT-qPCR assay capable to detect the Omicron variant, which can be successfully used for the purpose of wastewater-based epidemiology. We also described the history of the introduction and diffusion of the Omicron variant in the Italian population and territory, confirming the effectiveness of sewage monitoring as a powerful surveillance tool

The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5–11 December, to 17.5% (25/143 samples) in the week 12–18, to 65.9% (89/135 samples) in the week 19–25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased fromone in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons

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

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