Incidental diagnosis of lung adenocarcinoma following coronavirus OC 43 severe pneumonia

Viral infections are frequent among patients with thoracic malignancies prompted by dysregulation of innate and adaptative immune response. Clinical symptoms and radiological findings of both viral pneumonia and lung adenocarcinoma may overlap resulting in diagnostic and clinical challenges.We present the case of a women admitted to our department presenting with an acute manifestation of coronavirus OC43 pneumonia with underlying undiagnosed lung adenocarcinoma

Nonpsychotropic plant cannabinoids, cannabidivarin (CBDV) and cannabidiol (CBD), activate and desensitize transient receptor potential vanilloid 1 (TRPV1) channels in vitro: potential for the treatment of neuronal hyperexcitability

Epilepsy is the most common neurological disorder, with over 50 million people worldwide affected. Recent evidence suggests that the transient receptor potential cation channel subfamily V member 1 (TRPV1) may contribute to the onset and progression of some forms of epilepsy. Since the two nonpsychotropic cannabinoids cannabidivarin (CBDV) and cannabidiol (CBD) exert anticonvulsant activity in vivo and produce TRPV1-mediated intracellular calcium elevation in vitro, we evaluated the effects of these two compounds on TRPV1 channel activation and desensitization and in an in vitro model of epileptiform activity. Patch clamp analysis in transfected HEK293 cells demonstrated that CBD and CBDV dose-dependently activate and rapidly desensitize TRPV1, as well as TRP channels of subfamily V type 2 (TRPV2) and subfamily A type 1 (TRPA1). TRPV1 and TRPV2 transcripts were shown to be expressed in rat hippocampal tissue. When tested on epileptiform neuronal spike activity in hippocampal brain slices exposed to a Mg2+-free solution using multielectrode arrays (MEAs), CBDV reduced both epileptiform burst amplitude and duration. The prototypical TRPV1 agonist, capsaicin, produced similar, although not identical effects. Capsaicin, but not CBDV, effects on burst amplitude were reversed by IRTX, a selective TRPV1 antagonist. These data suggest that CBDV antiepileptiform effects in the Mg2+-free model are not uniquely mediated via activation of TRPV1. However, TRPV1 was strongly phosphorylated (and hence likely sensitized) in Mg2+-free solution-treated hippocampal tissue, and both capsaicin and CBDV caused TRPV1 dephosphorylation, consistent with TRPV1 desensitization. We propose that CBDV effects on TRP channels should be studied further in different in vitro and in vivo models of epilepsy

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Delocalization effects, entanglement entropy and spectral collapse of boson mixtures in a double well

We investigate the ground-state properties of a two-species condensate of interacting bosons in a double-well potential. Each atomic species is described by a two-space-mode Bose–Hubbard model. The coupling of the two species is controlled by the interspecies interaction W. To analyze the ground state when W is varied in both the repulsive ( W > 0 ) and the attractive ( W < 0 ) regime, we apply two different approaches. First we solve the problem numerically (i) to obtain an exact description of the ground-state structure and (ii) to characterize its correlation properties by studying (the appropriate extensions to the present case of) the quantum Fisher information, the coherence visibility and the entanglement entropy as functions of W. Then we approach analytically the description of the low-energy scenario by means of the Bogoliubov scheme. In this framework the ground-state transition from delocalized to localized species (with space separation for W > 0 , and mixing for W < 0 ) is well reproduced. These predictions are qualitatively corroborated by our numerical results. We show that such a transition features a spectral collapse reflecting the dramatic change of the dynamical algebra of the four-mode model Hamiltonian

Estimated Time of Arrival using Historical Vessel Tracking Data

The growing availability of data coming from ship reporting systems, such as Automatic Identification System (AIS) and Long Range Identification and Tracking (LRIT), is originating an unprecedented set of opportunities to enforce maritime surveillance, ensure the security of the traffic at sea, and manage maritime operations. In this paper, a data-driven methodology is proposed to estimate the vessel times of arrival in port areas. The developed approach exploits both AIS and LRIT historical maritime traffic data collected over a desired area of interest and is based on an optimised data-driven path-finding algorithm. The methodology is applied and validated to real scenarios with real data sets, showing how a list of times of arrival can be automatically computed for predefined ports and progressively refined. Such information is expected to increase port operational efficiency and safety.JRC.E.6-Demography, Migration and Governanc

Spatial Data Mining for Maritime Situational Awareness

Maritime Situational Awareness (MSA) is the capability of understanding events, circumstances and activities within and impacting the maritime environment. Nowadays, the vessel positioning sensors provide a vast amount of data that could enhance the maritime knowledge if analysed and modelled. Vessel positioning data is dynamic and continuous on time and space, requiring spatio-temporal data mining techniques to derive knowledge. In this paper, several spatio-temporal data mining techniques are proposed to enhance the MSA, tackling existing challenges such as automatic maritime route extraction and synthetic representation, mapping vessels activities, anomaly detection or position and track prediction. The aim is to provide a more complete and interactive Maritime Situational Picture (MSP) and, hence, to provide more capabilities to operational authorities and policy-makers to support the decision-making process. The proposed approaches are evaluated on diverse areas of interest from the Dover Strait to the Icelandic coast.JRC.G.3-Maritime affair