Explore the vast range of titles available.

In this paper, we make use of data collected for open cluster members by high-resolution spectroscopic surveys and programmes (i.e., APOGEE, Gaia-ESO, GALAH, OCCASO, and SPA). These data have been homogenised and then analysed as a whole. The resulting catalogue contains [Fe/H] and orbital parameters for 251 Galactic open clusters. The slope of the radial metallicity gradient obtained through 175 open clusters with high-quality metallicity determinations is −0.064 ± 0.007 dex kpc−1. The radial metallicity distribution traced by open clusters flattens beyond RGal = 12.1 ± 1.1 kpc. The slope traced by open clusters in the [Fe/H]-Lz diagram is −0.31 ± 0.02 × 103 dex km−1 kpc−1 s, but it flattens beyond Lz = 2769 ± 177 km kpc s−1. In this paper, we also review some high-priority practical challenges around the study of open clusters that will significantly push our understanding beyond the state-of-the-art. Finally, we compare the shape of the galactic radial metallicity gradient to those of other spiral galaxies.

Open clusters appear as simple objects in many respects, with a high degree of homogeneity in their (initial) chemical composition, and the typical solar-scaled abundance pattern that they exhibit for the majority of the chemical species. The striking singularity is represented by heavy elements produced from the slow process of the neutron-capture reactions. In particular, young open clusters (ages less than a few hundred Myr) give rise to the so-called barium puzzle: that is an extreme enhancement in their [Be/Fe] ratios, up to a factor of four of the solar value, which is not followed by other nearby s-process elements (e.g., lanthanum and cerium). The definite explanation for such a peculiar trend is still wanting, as many different solutions have been envisaged. We review the status of this field and present our new results on young open clusters and the pre-main sequence star RZ Piscium.

The objective of the study was to assess urinary biomarkers of renal injury for their individual or collective ability to predict Worsening renal function (WRF) in patients with acutely decompensated heart failure (ADHF). In a prospective, blinded international study, 87 emergency department (ED) patients with ADHF were evaluated with biomarkers of cardiac stretch (B type natriuretic peptide [BNP] and its amino terminal equivalent [NT-proBNP], ST2), biomarkers of renal function (creatinine, estimated glomerular filtration rate [eGFR]) and biomarkers of renal injury (plasma neutrophil gelatinase associated lipocalin [pNGAL], urine kidney injury molecule-1 [KIM-1], urine N-acetyl-beta-D-glucosaminidase [NAG], urine Cystatin C, urine fibrinogen). The primary endpoint was WRF. 26% developed WRF; baseline characteristics of subjects who developed WRF were generally comparable to those who did not. Biomarkers of renal function and urine biomarkers of renal injury were not correlated, while urine biomarkers of renal injury correlated between each other. Biomarker concentrations were similar between patients with and without WRF except for baseline BNP. Although plasma NGAL was associated with the combined endpoint, none of the biomarker showed predictive accuracy for WRF. In ED patients with ADHF, urine biomarkers of renal injury did not predict WRF. Our data suggest that a weak association exists between renal dysfunction and renal injury in this setting (Clinicaltrials.gov NCT#0150153).

Background The aim of our study was to evaluate the prognostic value of MR-proADM and PCT levels in febrile patients in the ED in comparison with a disease severity index score, the APACHE II score. We also evaluated the ability of MR-proADM and PCT to predict hospitalization. Methods This was an observational, multicentric study. We enrolled 128 patients referred to the ED with high fever and a suspicion of severe infection such as sepsis, lower respiratory tract infections, urinary tract infections, gastrointestinal infections, soft tissue infections, central nervous system infections, or osteomyelitis. The APACHE II score was calculated for each patient. Results MR-proADM median values in controls were 0.5 nmol/l as compared with 0.85 nmol/l in patients ( P  < 0.0001), while PCT values in controls were 0.06 ng/ml versus 0.56 ng/ml in patients (P < 0.0001). In all patients there was a statistically significant stepwise increase in MR-proADM levels in accordance with PCT values ( P < 0.0001 ). MR-proADM and PCT levels were significantly increased in accordance with the Apache II quartiles ( P < 0.0001 and P = 0.0012 respectively). In the respiratory infections, urinary infections, and sepsis-septic shock groups we found a correlation between the Apache II and MR-proADM respectively and MR-proADM and PCT respectively. We evaluated the ability of MR-proADM and PCT to predict hospitalization in patients admitted to our emergency departments complaining of fever. MR-proADM alone had an AUC of 0.694, while PCT alone had an AUC of 0.763. The combined use of PCT and MR-proADM instead showed an AUC of 0.79. Conclusions The present study highlights the way in which MR-proADM and PCT may be helpful to the febrile patient’s care in the ED. Our data support the prognostic role of MR-proADM and PCT in that setting, as demonstrated by the correlation with the APACHE II score. The combined use of the two biomarkers can predict a subsequent hospitalization of febrile patients. The rational use of these two molecules could lead to several advantages, such as faster diagnosis, more accurate risk stratification, and optimization of the treatment, with consequent benefit to the patient and considerably reduced costs.

Spectroscopic observations of stars belonging to open clusters, with well-determined ages and distances, are a unique tool for constraining stellar evolution, nucleosynthesis, mixing processes, and, ultimately, Galactic chemical evolution. Abundances of slow (s) process neutron capture elements in stars that retain their initial surface composition open a window into the processes that generated them. In particular, they give us information on their main site of production, i.e., the low- and intermediate-mass Asymptotic Giant Branch (AGB) stars. In the present work, we review some observational results obtained during the last decade that contributed to a better understanding of the AGB phase: the growth of s-process abundances at recent epochs, i.e., in the youngest stellar populations; the different relations between age and [s/Fe] in distinct regions of the disc; and finally the use of s-process abundances combined with those of α elements, [s/α], to estimate stellar ages. We revise some implications that these observations had both on stellar and Galactic evolution, and on our ability to infer stellar ages.

Overcrowding in the emergency department (ED) has become an increasingly significant worldwide public health problem in the last decade. It is a consequence of simultaneous increasing demand for health care and a deficit in available hospital beds and ED beds, as for example it occurs in mass casualty incidents, but also in other conditions causing a shortage of hospital beds. In Italy in the last 12–15 years, there has been a huge increase in the activity of the ED, and several possible interventions, with specific organizational procedures, have been proposed. In 2004 in the United Kingdom, the rule that 98 % of ED patients should be seen and then admitted or discharged within 4 h of presentation to the ED (‘4 h rule’) was introduced, and it has been shown to be very effective in decreasing ED crowding, and has led to the development of further acute care clinical indicators. This manuscript represents a synopsis of the lectures on overcrowding problems in the ED of the Third Italian GREAT Network Congress, held in Rome, 15–19 October 2012, and hopefully, they may provide valuable contributions in the understanding of ED crowding solutions.

Le grandi surveys spettroscopiche forniscono uno straordinario insieme di dati utile per svelare i meccanismi di formazione ed evoluzione della Via Lattea, in cui la determinazione dell'eta delle stelle gioca un ruolo fondamentale. In questo articolo presentiamo un metodo innovativo per ricavare le eta stellari dalla misura del rapporto Carbonio/Azoto nelle atmosfere stellari. I risultati di questo studio, applicato al disco della Via Lattea, hanno messo in evidenza la differenza di eta tra il disco sottile e il disco spesso della nostra Galassia. Parole chiave. Eta stellari, abbondanze chimiche, Via Lattea, ammassi di stelle. High-resolution spectroscopic surveys provide an extraordinary dataset on the processes of the formation and evolution of our galaxy, in which the determination of the ages of individual stars plays a major role. We present here a method for measuring stellar ages based on the carbon/nitrogen abundance ratio in stellar atmospheres. We apply this relationship to the disc of the Milky Way, finding a clear age difference between the thin and thick discs of our galaxy. Keywords. Stellar ages, chemical abundances, galaxy, star clusters.

High-resolution spectroscopic surveys provide an extraordinary dataset on the processes of the formation and evolution of our galaxy, in which the determination of the ages of individual stars plays a major role. We present here a method for measuring stellar ages based on the carbon/nitrogen abundance ratio in stellar atmospheres. We apply this relationship to the disc of the Milky Way, finding a clear age difference between the thin and thick discs of our galaxy.

Ascariasis is a common infection in many developing countries. The prevalence of ascariasis is related to poverty, poor hygienic and sanitary conditions. The adult form of Ascaris lumbricoides usually resides in the human intestil lumen (more frequently in the jejunum and middle ileum) and does not cause symptoms. However, it can occasiolly cause severe complications such as intestil obstruction or perforation peritonitis. Its migration into the biliary tract is not uncommon but gallbladder involvement is very rare. Abdomil ultrasonography is essential to detect the presence of this parasite. In this article, we describe the radiologic findings, clinical manifestations and successful medical treatment of a patient with gallbladder ascariasis diagnosed in an emergency setting.

Detection of target and non-target substances and their characterization in complex samples is a challenging task. Here we demonstrate that coating the electron ionization (EI) ion source of an LC-MS system with a sol-gel ceramic film can drastically improve the detection of high-molecular weight and high-boiling analytes. A new ion source coated with a ceramic material was developed and tested with a mixture of polycyclic aromatic hydrocarbons (PAH) with an increasing number of rings. Comparison of the results obtained with those for an uncoated stainless steel (SS) ion source shows a dramatic improvement in the MS signals, with a nearly 40-fold increase of the signal-to-noise ratio. We also demonstrate the ability of the new system to produce excellent chromatographic profiles for hard-to-detect hormones. Graphical Abstract ᅟ