Search for the lepton flavour violating decay τ+ → μ+μ−μ+ with the LHCb experiment

This thesis presents a search for the lepton flavour violating decay τ+ → μ+μ−μ+ using data collected by the LHCb experiment in proton-proton collisions at a centre-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 5.4 fb−1. As of today, no lepton flavour violation has been observed in decays of charged leptons. When accounting for neutrino oscillations in the Standard Model, such processes are expected at undetectable decay rates, thus the observation of the τ+ → μ+μ−μ+ decay would be a clear sign of new physics. Even if the decay is not observed, improving the upper limit on the branching fraction of τ+ → μ+μ−μ+ would allow us to constrain theories of physics beyond the Standard Model that predict a decay rate within the sensitivity of the current experimental facilities. The main challenge of the analysis is the identification and rejection of the background sources, originating from accidental combinations of tracks wrongly associated with a τ decay and from the misidentification of hadrons (π±, K±) coming from D+ or Ds decays. The analysis is designed by removing the signal region in data in order to avoid biases in the optimisation of the signal selection. The background suppression is achieved by means of multivariate classification models trained to distinguish between signal and background events. The number of τ leptons produced in the LHCb acceptance is normalised to the yield observed in the D+s → ϕ(μ+μ−)π+ channel. An expected upper limit of B(τ+ → μ+μ−μ+) < 1.8(2.1) × 10−8 is found at 90%(95%) confidence level using the CLs method

Cybersickness in People with Multiple Sclerosis Exposed to Immersive Virtual Reality

Together with the wide range of possible benefits for the rehabilitation/training of people with multiple sclerosis (pwMS) and other neurologic conditions, exposure to immersive virtual reality (VR) has often been associated with unpleasant symptoms, such as transient dizziness, headache, nausea, disorientation and impaired postural control (i.e., cybersickness). Since these symptoms can significantly impact the safety and tolerability of the treatment, it appears important to correctly estimate their presence and magnitude. Given the existing data scarcity, this study aims to assess the existence and severity of possible adverse effects associated with exposure to immersive VR in a cohort of pwMS using both objective measurements of postural control effectiveness and subjective evaluations of perceived symptoms. To this aim, postural sway under upright quiet posture (in the presence and absence of visual input) of 56 pwMS with an Expanded Disability Status Scale score (EDSS) in the range of 0–6.5 (mean EDSS 2.3) and 33 unaffected individuals was measured before and after a 10-min immersive VR session and at 10 min follow-up on the basis of center of pressure (COP) trajectories. The severity of cybersickness symptoms associated with VR exposure was also self-rated by the participants using the Italian version of the Simulator Sickness Questionnaire (SSQ). Temporary impairments of postural control in terms of significantly increased sway area were observed after the VR session only in pwMS with mild–moderate disability (i.e., EDSS in the range of 2.5–6.5) in the presence of visual input. No changes were observed in pwMS with low disability (EDSS 0–2) and unaffected individuals. In contrast, when the visual input was removed, there was a decrease in sway area (pwMS with mild–moderate disability) and COP path length relating to the use of VR (pwMS with mild–moderate disability and unaffected individuals), thus suggesting a sort of “balance training effect”. Even in this case, the baseline values were restored at follow-up. All participants, regardless of their status, experienced significant post-VR side effects, especially in terms of blurred vision and nausea. Taken together, the findings of the present study suggest that a short immersive VR session negatively (eyes open) and positively (eyes closed) impacts the postural control of pwMS and causes significant disorientation. However, such effects are of limited duration. While it is reasonable to state that immersive VR is sufficiently safe and tolerable to not be contraindicated in the rehabilitation/training of pwMS, in order to reduce possible negative effects and maximize the efficacy, safety and comfort of the treatment, it appears necessary to develop specific guidelines that consider important factors like individual susceptibility, maximum exposure time according to the specific features of the simulation, posture to adopt and protocols to assess objective and perceived effects on participants

Animal Forest Mortality: Following the Consequences of a Gorgonian Coral Loss on a Mediterranean Coralligenous Assemblage

In this work, the consequences of a local gorgonian coral mortality on the whole coralligenous assemblage were studied. A Before/After-Control/Impact sampling design was used: the structure of the coralligenous assemblage was compared before and after the gorgonian mortality event at the mortality site and two control sites. At the mortality site, a relevant decrease in alpha and beta diversity occurred, with a shift from a stratified assemblage characterized by gorgonians and other invertebrates to an assemblage dominated by algal turfs; conversely, neither significant variations of the structure nor decrease in biodiversity were observed at the control sites. The assemblage shift involved the main taxa in different times: in autumn 2018, a large proportion of the plexaurid coral Paramuricea clavata died, but no significant changes were observed in the structure of the remaining assemblage. Then, in autumn 2019, algal turfs increased significantly and, one year later, the abundance of the gorgonian Eunicella cavolini and bryozoans collapsed. Although the mechanisms of the assemblage shift following gorgonian loss will remain uncertain and a cause-effect relationship cannot be derived, results suggest the need for detecting signs of gorgonian forests stress in monitoring programs, which should be considered early indicators of their condition. in the coralligenous monitoring programs for detecting any sign of gorgonian forests stress which should be considered an early indicator of the assemblage condition

Quality assessment of information about medications in primary care electronic patient record (EPR) systems

Background Many different brands of primary care electronic patient record (EPR) software are available to general practitioners (GPs). Their ability to support GPs in improving prescribing varies greatly. Objective To assess, using a ten-item tool, the quality of drug information provided by EPR software to support the appropriateness of prescriptions and to propose a list of quality standards for this type of application. Methods The eight EPR programmes most used in general practice in Italy were assessed by a multidisciplinary team using the ten-item tool. The tool evaluated information on single drugs and drug safety and information on prescription rules in force. Results Out of eight EPR programmes assessed, none scored more than 55% of the maximum possible score. Two achieved scores higher than 50%, one scored 48%, four ranged from 32% to 39% and one obtained 22%. Information on drug safety, such as the ability to detect interactions, to monitor laboratory parameters or to get updated information on drug safety was particularly limited. None of the eight EPR programmes contained drug information for patients, but two of them contained drug advertising. Conclusions This project highlighted the poor quality of drug information provided by these EPR programmes. The ten-item tool seems suitable for assessing their quality. Based on this analysis, we have proposed a set of ten quality standards for prescribing software

Glutamine Starvation Affects Cell Cycle, Oxidative Homeostasis and Metabolism in Colorectal Cancer Cells

Cancer cells adjust their metabolism to meet energy demands. In particular, glutamine addiction represents a distinctive feature of several types of tumors, including colorectal cancer. In this study, four colorectal cancer cell lines (Caco-2, HCT116, HT29 and SW480) were cultured with or without glutamine. The growth and proliferation rate, colony-forming capacity, apoptosis, cell cycle, redox homeostasis and metabolomic analysis were evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide test (MTT), flow cytometry, high-performance liquid chromatography and gas chromatography/mass spectrometry techniques. The results show that glutamine represents an important metabolite for cell growth and that its deprivation reduces the proliferation of colorectal cancer cells. Glutamine depletion induces cell death and cell cycle arrest in the GO/G1 phase by modulating energy metabolism, the amino acid content and antioxidant defenses. Moreover, the combined glutamine starvation with the glycolysis inhibitor 2-deoxy-D-glucose exerted a stronger cytotoxic effect. This study offers a strong rationale for targeting glutamine metabolism alone or in combination with glucose metabolism to achieve a therapeutic benefit in the treatment of colon cancer

Sulfur rich coal gasification and low impact methanol production

In recent times, the methanol was employed in numerous innovative applications and is a key compound widely used as a building block or intermediate for producing synthetic hydrocarbons, solvents, energy storage medium and fuel. It is a source of clean, sustainable energy that can be produced from traditional and renewable sources: natural gas, coal, biomass, landfill gas and power plant or industrial emissions. An innovative methanol production process from coal gasification is proposed in this work. A suitable comparison between the traditional coal to methanol process and the novel one is provided and deeply discussed. The most important features, with respect to the traditional ones, are the lower carbon dioxide emissions (about 0.3%) and the higher methanol production (about 0.5%) without any addition of primary sources. Moreover, it is demonstrated that a coal feed/fuel with a high sulfur content allows higher reductions of carbon dioxide emissions. The key idea is to convert hydrogen sulfide and carbon dioxide into syngas (a mixture of hydrogen and carbon monoxide) by means of a regenerative thermal reactor. This is the Acid Gas to Syngas technology, a completely new and effective route of processing acid gases. The main concept is to feed an optimal ratio of hydrogen sulphide and carbon monoxide and to preheat the inlet acid gas before the combustion. The reactor is simulated using a detailed kinetic scheme

Quality assessment of information about medications in primary care electronic patient record (EPR) systems

Background Many different brands of primary care electronic patient record (EPR) software are available to general practitioners (GPs). Their ability to support GPs in improving prescribing varies greatly. Objective To assess, using a ten-item tool, the quality of drug information provided by EPR software to support the appropriateness of prescriptions and to propose a list of quality standards for this type of application. Methods The eight EPR programmes most used in general practice in Italy were assessed by a multidisciplinary team using the ten-item tool. The tool evaluated information on single drugs and drug safety and information on prescription rules in force. Results Out of eight EPR programmes assessed, none scored more than 55% of the maximum possible score. Two achieved scores higher than 50%, one scored 48%, four ranged from 32% to 39% and one obtained 22%. Information on drug safety, such as the ability to detect interactions, to monitor laboratory parameters or to get updated information on drug safety was particularly limited. None of the eight EPR programmes contained drug information for patients, but two of them contained drug advertising. Conclusions This project highlighted the poor quality of drug information provided by these EPR programmes. The ten-item tool seems suitable for assessing their quality. Based on this analysis, we have proposed a set of ten quality standards for prescribing software

C-band observations of supernova remnants with SRT: 1 - Imaging performances

We report on observations of Supernova Remnants (SNR) with SRT in the frame of Astronomical Validation (AV) test activities. These tests are aimed to assess single-dish imaging performances of “SRT first light receivers” coupled with Total Power (TP) backend and related hw/sw subsystems/procedures (including innovative ad hoc imaging techniques based on OTF scans)

COVID-19 Severity in Multiple Sclerosis: Putting Data Into Context

Background and objectives: It is unclear how multiple sclerosis (MS) affects the severity of COVID-19. The aim of this study is to compare COVID-19-related outcomes collected in an Italian cohort of patients with MS with the outcomes expected in the age- and sex-matched Italian population. Methods: Hospitalization, intensive care unit (ICU) admission, and death after COVID-19 diagnosis of 1,362 patients with MS were compared with the age- and sex-matched Italian population in a retrospective observational case-cohort study with population-based control. The observed vs the expected events were compared in the whole MS cohort and in different subgroups (higher risk: Expanded Disability Status Scale [EDSS] score &gt; 3 or at least 1 comorbidity, lower risk: EDSS score ≤ 3 and no comorbidities) by the χ2 test, and the risk excess was quantified by risk ratios (RRs). Results: The risk of severe events was about twice the risk in the age- and sex-matched Italian population: RR = 2.12 for hospitalization (p &lt; 0.001), RR = 2.19 for ICU admission (p &lt; 0.001), and RR = 2.43 for death (p &lt; 0.001). The excess of risk was confined to the higher-risk group (n = 553). In lower-risk patients (n = 809), the rate of events was close to that of the Italian age- and sex-matched population (RR = 1.12 for hospitalization, RR = 1.52 for ICU admission, and RR = 1.19 for death). In the lower-risk group, an increased hospitalization risk was detected in patients on anti-CD20 (RR = 3.03, p = 0.005), whereas a decrease was detected in patients on interferon (0 observed vs 4 expected events, p = 0.04). Discussion: Overall, the MS cohort had a risk of severe events that is twice the risk than the age- and sex-matched Italian population. This excess of risk is mainly explained by the EDSS score and comorbidities, whereas a residual increase of hospitalization risk was observed in patients on anti-CD20 therapies and a decrease in people on interferon