Search Results (25)

Aerosols play an important role in global meteorology and climate, as well as in air transport and human health, but there are still many unknowns on their effects and importance, in particular for the coarser (giant and ultragiant) aerosol particles. In this study, we aim to exploit the synergy between Raman lidar and Ka-band cloud radar to enlarge the size range in which aerosols can be observed and characterized. To this end, we developed an inversion technique that retrieves the aerosol microphysical properties based on cloud radar reflectivity and linear depolarization ratio. We applied this technique to a 6-year-long dataset, which was created using a recently developed methodology for the identification of giant aerosols in cloud radar measurements, with measurements from Potenza in Italy. Similarly, using collocated and concurrent lidar profiles, a dataset of aerosol microphysical properties using a widely used inversion technique complements the radar-retrieved dataset. Hence, we demonstrate that the combined use of lidar- and radar-derived aerosol properties enables the inclusion of particles with radii up to 12 µm, which is twice the size typically observed using atmospheric lidar alone. Full article

This study describes a quite special and interesting atmospheric event characterized by the simultaneous presence of fresh and aged smoke layers. These peculiar conditions occurred on 16 July 2024 at the CNR-IMAA atmospheric observatory (CIAO) in Potenza (Italy), and represent an ideal case for the evaluation of the impact of aging and transport mechanisms on both the optical and microphysical properties of biomass burning aerosol. The fresh smoke was originated by a local wildfire about 2 km from the measurement site and observed about one hour after its ignition. The other smoke layer was due to a wide wildfire occurring in Canada that, according to backward trajectory analysis, traveled for about 5–6 days before reaching the observatory. Synergetic use of lidar, ceilometer, radar, and microwave radiometer measurements revealed that particles from the local wildfire, located at about 3 km a.s.l., acted as condensation nuclei for cloud formation as a result of high humidity concentrations at this altitude range. Optical characterization of the fresh smoke layer based on Raman lidar measurements provided lidar ratio (LR) values of 46 ± 4 sr and 34 ± 3 sr, at 355 and 532 nm, respectively. The particle linear depolarization ratio (PLDR) at 532 nm was 0.067 ± 0.002, while backscatter-related Ångström exponent (AEβ) values were 1.21 ± 0.03, 1.23 ± 0.03, and 1.22 ± 0.04 in the spectral ranges of 355–532 nm, 355–1064 nm and 532–1064 nm, respectively. Microphysical inversion caused by these intensive optical parameters indicates a low contribution of black carbon (BC) and, despite their small size, particles remained outside the ultrafine range. Moreover, a combined use of CIAO remote sensing and in situ instrumentation shows that the particle properties are affected by humidity variations, thus suggesting a marked particle hygroscopic behavior. In contrast, the smoke plume from the Canadian wildfire traveled at altitudes between 6 and 8 km a.s.l., remaining unaffected by local humidity. Absorption in this case was higher, and, as observed in other aged wildfires, the LR at 532 nm was larger than that at 355 nm. Specifically, the LR at 355 nm was 55 ± 2 sr, while at 532 nm it was 82 ± 3 sr. The AEβ values were 1.77 ± 0.13 and 1.41 ± 0.07 at 355–532 nm and 532–1064 nm, respectively and the PLDR at 532 nm was 0.040 ± 0.003. Microphysical analysis suggests the presence of larger, yet much more absorbent particles. This analysis indicates that both optical and microphysical properties of smoke can vary significantly depending on its origin, persistence, and transport in the atmosphere. These factors that must be carefully incorporated into future climate models, especially considering the frequent occurrences of fire events worldwide. Full article

We present a multi-year study of Saharan dust intrusions on a mountainous site located in the central Mediterranean Basin regarding their aerosol optical and geometrical properties. The observations were carried out at the Consiglio Nazionale delle Ricerche-Istituto di Metodologie per l’Analisi Ambientale (CNR-IMAA) located in Potenza (40,360N, 15,440E), Italy, from March 2010 to October 2022, using ACTRIS (Aerosol Clouds and Trace Gases Research InfraStructure). A total of 101 night-time lidar measurements of dust intrusions were identified. The following properties were calculated for the periods December, January, February (DJF), March, April, May (MAM), June, July, August (JJA) and September, October, November (SON): aerosol layer center of mass altitude, particle lidar ratio at 355 and 532 nm, particle depolarization ratio at 532 nm and backscattering Ångström exponent at 532–1064 nm. Both geometrical and optical aerosol properties vary considerably with the seasons. During SON and DJF, air masses transporting dust travel at lower altitudes, and become contaminated with local continental particles. In MAM and JJA, dust is also likely to travel at higher altitudes and rarely mix with other aerosol types. As a result, aerosols are larger in size and irregular in shape during the warm months. The ratio of the lidar ratios at 355 and 532 nm is 1.11 ± 0.15 in DJF, 1.12 ± 0.07 in SON, 0.94 ± 0.12 in MAM, and 0.92 ± 0.08 in JJA. The seasonal radiative effect estimated using the Fu–Liou–Gu (FLG) radiative transfer model indicates the most significant impact during the JJA period. A negative dust radiative effect is observed both at the surface (SRF) and at the top of the atmosphere (TOA) in all the seasons, and this could be related to a minimal contribution from black carbon. Specifically, the SRF radiative effect estimation is −14.48 ± 1.32 W/m² in DJF, −18.00 ± 0.89 W/m² in MAM, −22.08 ± 1.36 W/m² in JJA, and −13.47 ± 1.12 W/m² in SON. Instead, radiative effect estimation at the TOA is −22.23 ± 2.06 W/m² in DJF, −38.23 ± 2.16 W/m² in MAM, −51.36 ± 3.53 W/m² in JJA, and −22.57 ± 2.11 W/m² in SON. The results highlight how the radiative effects of the particles depend on the complex relationship between the dust load, their altitude in the troposphere, and their optical properties. Accordingly, the knowledge of aerosols optical property profiles is of primary importance to understand the radiative impact of dust. Full article

This study aimed to determine whether a polyphenol-rich cranberry beverage affects skin properties, lipids, and the microbiome in women using a randomized, double-blinded, placebo-controlled, cross-over design. Twenty-two women with Fitzpatrick skin types 2–3 were randomized to drink a cranberry beverage or placebo for six weeks. After a 21-day washout, they consumed the opposite beverage for six weeks. Six weeks of cranberry beverage significantly reduced UVB-induced erythema, improved net elasticity on the face and forearm, smoothness on the face, and gross elasticity on the forearm compared to the placebo. When stratified by age, these effects of the cranberry beverage were primarily observed in women >40 years old. SOD activities were improved after six weeks of cranberry beverage consumption compared to the placebo, while glutathione peroxide and TNF-α were improved compared to baseline. These effects were found to differ by age group. Skin lipid composition was modulated by both the cranberry beverage and the placebo. Cranberry beverages did not change α- or β-diversity but altered the abundance of several skin microbes at the species and strain level. Consumption of a cranberry beverage for six weeks improved specific skin properties and oxidative stress and modulated skin lipids and microbiome compared to placebo. Full article

Between 14 March and 21 April 2022, an extensive investigation of an extraordinary Saharan dust intrusion over Europe was performed based on lidar measurements obtained by the European Aerosol Research Lidar Network (EARLINET). The dust episode was divided into two distinct periods, one in March and one in April, characterized by different dust transport paths. The dust aerosol layers were studied over 18 EARLINET stations, examining aerosol characteristics during March and April in four different regions (M-I, M-II, M-III, and M-IV and A-I, A-II, A-III, and A-IV, respectively), focusing on parameters such as aerosol layer thickness, center of mass (CoM), lidar ratio (LR), particle linear depolarization ratio (PLDR), and Ångström exponents (ÅE). In March, regions exhibited varying dust geometrical and optical properties, with mean CoM values ranging from approximately 3.5 to 4.8 km, and mean LR values typically between 36 and 54 sr. PLDR values indicated the presence of both pure and mixed dust aerosols, with values ranging from 0.20 to 0.32 at 355 nm and 0.24 to 0.31 at 532 nm. ÅE values suggested a range of particle sizes, with some regions showing a predominance of coarse particles. Aerosol Optical Depth (AOD) simulations from the NAAPS model indicated significant dust activity across Europe, with AOD values reaching up to 1.60. In April, dust aerosol layers were observed between 3.2 to 5.2 km. Mean LR values typically ranged from 35 to 51 sr at both 355 nm and 532 nm, while PLDR values confirmed the presence of dust aerosols, with mean values between 0.22 and 0.31 at 355 nm and 0.25 to 0.31 at 532 nm. The ÅE values suggested a mixture of particle sizes. The AOD values in April were generally lower, not exceeding 0.8, indicating a less intense dust presence compared to March. The findings highlight spatial and temporal variations in aerosol characteristics across the regions, during the distinctive periods. From 15 to 16 March 2022, Saharan dust significantly reduced UV-B radiation by approximately 14% over the ATZ station (Athens, GR). Backward air mass trajectories showed that the dust originated from the Western and Central Sahara when, during this specific case, the air mass trajectories passed over GRA (Granada, ES) and PAY (Payerne, CH) before reaching ATZ, maintaining high relative humidity and almost stable aerosol properties throughout its transport. Lidar data revealed elevated aerosol backscatter (b_aer) and PLDR values, combined with low LR and ÅE values, indicative of pure dust aerosols. Full article

Neoadjuvant chemotherapy (NAT) plays a crucial role in breast cancer (BC) treatment, both in advanced BC and in early-stage BC, with different rates of pathological complete response (pCR) among the different BC molecular subtypes. Imaging monitoring is mandatory to evaluate the NAT efficacy. This study evaluates the diagnostic performance of Contrast-Enhanced Mammography (CEM) in BC patients undergoing NAT. This retrospective two-center study included 174 patients. The breast lesions were classified based on the molecular subtypes in hormone receptor (HR+)/HER2−, HER2+, and triple-negative breast cancer (TNBC). The histopathological analysis performed following surgery was used as a reference standard for the pCR. Sensitivity, specificity, PPV, and NPV were measured overall and for the different subtypes. We enrolled 174 patients, 79/174 (46%) HR+/HER2−, 59/174 (33.9%) HER2+, and 35/174 (20.1%) TNBC; the pCR was found in 64/174 (36.8%), of which 57.1% were TNBCs. In the total population, the CEM sensitivity and specificity were 66.2% and 75.2%, with a PPV of 61.4% and an NPV of 78.8%. The highest specificity (80.9%) and NPV (91.7%) were found in HR+/HER2−, while the highest sensitivity (70%) and PPV appeared (73.7%) in TNBC. The results indicate that CEM is a valid tool to assess the pCR, with different performances among the subtypes of BC. Full article

We assessed the impact of DNA damage response and repair (DDR) biomarker expressions in 222 node-positive early breast cancer (BC) patients from a previous Phase III GOIM 9902 trial of adjuvant taxanes. At a median follow-up of 64 months, the original study showed no disease-free survival (DFS) or overall survival (OS) differences with the addition of docetaxel (D) to epirubicine-cyclophosphamide (EC). Immunohistochemistry was employed to assess the expression of DDR phosphoproteins (pATM, pATR, pCHK1, γH2AX, pRPA32, and pWEE1) in tumor tissue, and their association with clinical outcomes was evaluated through the Cox elastic net model. Over an extended follow-up of 234 months, we confirmed no significant differences in DFS or OS between patients treated with EC and those receiving D → EC. A DDR risk score, inversely driven by ATM and ATR expression, emerged as an independent prognostic factor for both DFS (HR = 0.41, p < 0.0001) and OS (HR = 0.61, p = 0.046). Further validation in a public adjuvant BC cohort was possible only for ATM, confirming its protective role. Overall, our findings confirm the potential role of the DDR pathway in BC prognostication and in shaping treatment strategies advocating for an integrated approach, combining molecular markers with clinical–pathological factors. Full article

Left ventricular assist devices (LVADs) have been increasingly used as a valid option to improve the prognosis and reduce the symptoms of end-stage heart failure. However, long-term complications, mostly infections and coagulation disorders, are frequent. We described the epidemiology and risk factors for nosocomial infections (NIs) in a cohort of adult patients who underwent continuous-flow LVAD implant between January 2010 and December 2017 in Turin, Italy. Secondary outcomes were the prevalence of multidrug-resistant (MDR) bacteria and mortality. Results: Overall, 64 LVADs were implanted. A total of 32 (50%) patients experienced at least one episode of NI, with a total of 46 infectious events. VAD-related infections occurred in 22 patients (68.8%). Non VAD-related NIs occurred in 12 patients (37.5%), mainly low respiratory tract infections. Length of intensive care unit admission was a risk factor for NI (OR 1.224, 95%CI; 1.049, 1.429). Gram-negative bacilli were responsible for 58.8% of VAD-related infections and 79.5% of non-VAD related infections. In sixteen patients (50%), at least one episode of infection was related to an MDR strain. INTERMACS class and length of MV were independent risk factors for NIs by MDR strains (respectively, OR 2.12, 95%CI: 1.08, 6.80; p = 0.02 and OR 1.46, 95%CI: 1.07, 5.52, p = 0.047). In-hospital mortality was 6.3%. No differences in mortality were observed between infected and non-infected patients (p = 0.61) even when caused by MDR strains (p = 0.143). Conclusion: the rate of nosocomial infections in LVAD patients is associated with the length of ICU admission, and the etiology of nosocomial infection after LVAD implant is mainly due to GNB, including a high rate of MDR strains, especially KPC-KP and MDR PA. Full article

We aimed to assess the feasibility of using confocal laser scanning microscopy (CLSM) for the real-time ex vivo examination of histological samples of laryngeal lesions and to evaluate the correlation between CLSM and definitive histological results. This preliminary study included eight consecutive patients with “suspected” laryngeal lesions who were candidates for endoscopic laryngeal surgery. The obtained samples were evaluated using CLSM and classified as “inadequate” or “adequate” (high- and low-grade dysplasia, in situ and invasive carcinoma, positive surgical margin, and inflammatory outbreaks). CLSM showed the macro image in all cases and generated a digital version. All the samples were defined as adequate during CLSM and confirmed at histopathology: low-grade dysplasia (n = 5), low- and high-grade dysplasia (n = 2), and high-grade dysplasia (n = 1). Four samples had an involved resection margin, and three samples revealed the presence of inflammatory outbreaks. CLSM can be applied to larynx pathology with excellent agreement with final histological results. Full article

Narrowband Internet of Things (NB-IoT) has quickly become a leading technology in the deployment of IoT systems and services, owing to its appealing features in terms of coverage and energy efficiency, as well as compatibility with existing mobile networks. Increasingly, IoT services and applications require location information to be paired with data collected by devices; NB-IoT still lacks, however, reliable positioning methods. Time-based techniques inherited from long-term evolution (LTE) are not yet widely available in existing networks and are expected to perform poorly on NB-IoT signals due to their narrow bandwidth. This investigation proposes a set of strategies for NB-IoT positioning based on fingerprinting that use coverage and radio information from multiple cells. The proposed strategies were evaluated on two large-scale datasets made available under an open-source license that include experimental data from multiple NB-IoT operators in two large cities: Oslo, Norway, and Rome, Italy. Results showed that the proposed strategies, using a combination of coverage and radio information from multiple cells, outperform current state-of-the-art approaches based on single cell fingerprinting, with a minimum average positioning error of about 20 m when using data for a single operator that was consistent across the two datasets vs. about 70 m for the current state-of-the-art approaches. The combination of data from multiple operators and data smoothing further improved positioning accuracy, leading to a minimum average positioning error below 15 m in both urban environments. Full article

Legionella pneumophila (LP) is one of the main causative agents of community-acquired pneumonia in Europe and its fifth bacterial cause in Italy (4.9%). We conducted a seven year retrospective analysis of LP infection serogroup 1 in Asti, Piedmont, between 2016 and 2022. Patients were included if they tested positive for the Legionella urinary antigen. Clinical, laboratory, and radiologic data were analyzed to describe the risk factors for mortality. Fifty patients with LD were collected, mainly male, with a median age of 69 years. The main comorbidities were cardiovascular diseases (50%), pulmonary diseases (26%), and neurological diseases (12%). The most common clinical presentations were fever, respiratory, gastrointestinal, and neurologic symptoms. Older age (p = 0.004), underlying cardiovascular diseases (p = 0.009), late diagnosis at admission (p = 0.035), and neurological symptoms at diagnosis (p = 0.046) were more common in the non-survivor group. Moreover, a septic-shock presentation or the need for non-invasive ventilation at admission were associated with a higher mortality. No considerable differences in the biochemical data were found between the two groups except for the median neutrophil count, lymphocyte count, neutrophil-to-lymphocyte ratio, and PCT value. We did not find any differences in mortality related to the choice of antibiotic regimen. Differences in outcome were associated with the median duration of treatment (p =< 0.001) but not to the choice of antibiotic regimen (mainly levofloxacin or azithromycin). In conclusion, early individuation of the wide spectrum of clinical characteristics of LP infection such as respiratory, cardiac, and neurological manifestations of the patient’s comorbidities, and significant biochemical data should help clinicians flag high risk patients and potentially improve their outcome. Full article

Background. In K. pneumoniae KPC (KPC-Kp) bloodstream infections (BSI), INCREMENT CPE score >7, Charlson Comorbidity Index (CCI) ≥3 and septic shock are recognized predictors of mortality, with a possible beneficial effect of combination therapy in seriously ill patients. Materials and Methods. We conducted a ten-year retrospective study including all KPC-Kp BSI in patients ≥18 years of age with the aim to evaluate the characteristics and impact of appropriate empirical therapy, either monotherapy or combination therapy, and targeted therapy on mortality. Appropriate therapy was defined as at least one active antimicrobial agent with in vitro activity against KPC-kp demonstrated by susceptibility testing, administered within 48 h from blood culture collection. Results. The median age of the 435 analyzed patients was 66.09 years (IQR 54.87–73.98). The median CCI was 4. KPC-Kp colonization was present in 324 patients (74.48%). The probable origin of the KPC-Kp BSI was not identified in 136 patients (31.26%), whereas in 120 (27.59%) patients, it was CVC-related, and in 118 (27.13%), it was respiratory. Source control was achieved in 87 patients (72.5%) with CVC-related KPC-Kp BSI. The twenty-eight-day survival was 70.45% for empirical monotherapy, 63.88% for empirical combination therapy and 57.05% for targeted therapy (p = 0.0399). A probable source of KPC-Kp BSI other than urinary, CVC or abdominal [aHR 1.64 (IC 1.15–2.34) p = 0.006] and deferred targeted therapy [HR 1.67 (IC 1.12–2.51), p= 0.013] emerged as predictors of mortality, whereas source control [HR 0.62 (IC 0.44–0.86), p = 0.005] and ceftazidime/avibactam administration in empirical therapy [aHR 0.37 (IC 0.20–0.68) p = 0.002] appeared as protective factors. Discussion. These data underline the importance of source control together with timing appropriateness in the early start of empirical therapy over the choice of monotherapy or combination therapy and the use of ceftazidime/avibactam against KPC-Kp BSI. Full article

In this paper, characterization of the optical and microphysical properties of extremely fresh biomass burning aerosol is presented. This work aims to characterize, for the first time to our knowledge, freshly formed smoke particles observed only a few minutes after they were emitted from a nearby forest fire. The smoke particles were detected by combining passive (sun-photometer) and active (Raman lidar) techniques. On 14 August 2021, an EARLINET (European Aerosol Research Lidar Network) multi-wavelength Raman lidar and a co-located AERONET sun-photometer in Potenza, South Italy, observed an extremely fresh smoke plume. The lidar measurements, carried out from 22:27 to 02:16 UTC, revealed a thick biomass burning layer below 2.7 km. The particle depolarization ratio at 532 nm was 0.025, and lidar ratios at 355 and 532 nm were, respectively, 40 and 38 sr. The mean value of the Ångström exponent was 1.5. The derived size distribution was bimodal with a peak at 0.13 µm, an effective radius mean value of 0.15 µm, and a single scattering albedo of 0.96 at all wavelengths. The real part of the refractive index was 1.58 and the imaginary was 0.006. The AERONET measurements at 5:34 UTC confirmed the lidar measurements. Full article

The Hippo pathway and its two key effectors, Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), are consistently altered in breast cancer. Pivotal regulators of cell metabolism such as the AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) are relevant modulators of TAZ/YAP activity. In this prospective study, we measured the tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR by immunohistochemistry in 65 Her2+ breast cancer patients who underwent trastuzumab-based neoadjuvant treatment. The aim of the study was to assess the impact of the immunohistochemical expression of the Hippo pathway transducers and cell metabolism regulators on pathological complete response. Low expression of cytoplasmic TAZ, both alone and in the context of a composite signature identified by machine learning including also low nuclear levels of YAP and HMGCR and high cytoplasmic levels of SCD1, was a predictor of residual disease in the univariate logistic regression. This finding was not confirmed in the multivariate model including estrogen receptor > 70% and body mass index > 20. However, our findings were concordant with overall survival data from the TCGA cohort. Our results, possibly affected by the relatively small sample size of this study population, deserve further investigation in adequately sized, ad hoc prospective studies. Full article

The successful rollout of fifth-generation (5G) networks requires a full understanding of the behavior of the propagation channel, taking into account the signal formats and the frequencies standardized by the Third Generation Partnership Project (3GPP). In the past, channel characterization for 5G has been addressed mainly based on the measurements performed on dedicated links in experimental setups. This paper presents a state-of-the-art contribution to the characterization of the outdoor-to-indoor radio channel in the 3.5 GHz band, based on experimental data for commercial, deployed 5G networks, collected during a large scale measurement campaign carried out in the city of Rome, Italy. The analysis presented in this work focuses on downlink, outdoor-to-indoor propagation for two operators adopting two different beamforming strategies, single wide-beam and multiple synchronization signal blocks (SSB) based beamforming; it is indeed the first contribution studying the impact of beamforming strategy in real 5G networks. The time and power-related channel characteristics, i.e., mean excess delay and Root Mean Square (RMS) delay spread, path loss, and K-factor are studied for the two operators in multiple measurement locations. The analysis of time and power-related parameters is supported and extended by a correlation analysis between each pair of parameters. The results show that beamforming strategy has a marked impact on propagation. A single wide-beam transmission leads, in fact, to lower RMS delay spread and lower mean excess delay compared to a multiple SSB-based transmission strategy. In addition, the single wide-beam transmission system is characterized by a smaller path loss and a higher K-factor, suggesting that the adoption of a multiple SSB-based transmission strategy may have a negative impact on downlink performance. Full article