Maternal Oxygen Administration during Labor: A Controversial Practice.

Oxygen administration to the mother is commonly performed during labor, especially in the case of a non-reassuring fetal heart rate, aiming to increase oxygen diffusion through the placenta to fetal tissues. The benefits and potential risks are controversial, especially when the mother is not hypoxemic. Its impact on placental gas exchange and the fetal acid-base equilibrium is not fully understood and it probably affects the sensible placental oxygen equilibrium causing a time-dependent vasoconstriction of umbilical and placental vessels.

Enhanced recovery after gynecological surgery: comparison between intrathecal and intravenous morphine multimodal analgesia.

Background: The purpose of the present study was to compare the effectiveness of intrathecal injection of morphine, inserted in the protocols of multimodal analgesia, versus intravenous morphine in the control of postoperative pain and course in women undergoing gynecological surgery.

Methods: An observational, single-center, retrospective and case-controlled study was performed. Data were collected in a group of women (N.

Clinical implementation of pre-eclampsia screening in the first trimester of pregnancy.

Objectives: Early identification of preeclampia in the first trimester of pregnancy represents one of the major challenges of modern fetal medicine. The primary aim of our study was to evaluate the effectiveness of implementation of preeclampsia screening in Tuscany, Italy. The secondary aim was to evaluate pregnancy/neonatal outcome in the positive screening group compared with the negative screening group.

Pool testing on random and natural clusters of individuals: Optimisation of SARS-CoV-2 surveillance in the presence of low viral load samples.

Facing the SARS-CoV-2 epidemic requires intensive testing on the population to early identify and isolate infected subjects. During the first emergency phase of the epidemic, RT-qPCR on nasopharyngeal (NP) swabs, which is the most reliable technique to detect ongoing infections, exhibited limitations due to availability of reagents and budget constraints. This stressed the need to develop screening procedures that require fewer resources and are suitable to be extended to larger portions of the population.

Evaluating a SARS-CoV-2 screening strategy based on serological tests.

Background: facing the SARS-CoV-2 epidemic requires intensive testing on the population to early identify and isolate infected subjects. Although RT-PCR is the most reliable technique to detect ongoing infections, serological tests are frequently proposed as tools in heterogeneous screening strategies.

Objectives: to analyse the performance of a screening strategy proposed by the local government of Tuscany (Central Italy), which first uses qualitative rapid tests for antibody detection, and then RT-PCR tests on the positive subjects.

A note on the interpretation of tree-based regression models.

Tree-based models are a popular tool for predicting a response given a set of explanatory variables when the regression function is characterized by a certain degree of complexity. Sometimes, they are also used to identify important variables and for variable selection. We show that if the generating model contains chains of direct and indirect effects, then the typical variable importance measures suggest selecting as important mainly the background variables, which have a strong indirect effect, disregarding the variables that directly influence the response.

Stochastic modeling of spontaneous bursting activity to simulate neural responses of in-vitro networks on multielectrode arrays.

The study of neuronal bursting activity, observed in cell-culture, is physiologically important because is correlated with synaptic transmission, plasticity, and information processing. However, besides strong ethical issues related to the use of animal models, there are many limitations due to experimental setup and neural signaling acquisition. In this study, we propose a stochastic modeling approach to simulate neural dynamics observed in networks of neocortical neurons from an ex vivo normal mouse.

Sodium thiosulfate for the treatment of calcinosis secondary to juvenile dermatomyositis.

We report the successful use of sodium thiosulfate in a patient with juvenile dermatomyositis complicated by ulcerative skin disease and progressive calcinosis. This therapy may have a role in improving calcinosis, even if more studies are necessary to determine the safety and efficacy of this treatment in juvenile dermatomyositis-related calcinosis.

Psoriatic juvenile idiopathic arthritis associated with uveitis: a case report.

According to the definition proposed by the International League of Associations for Rheumatology (ILAR), juvenile idiopathic arthritis (JIA) is defined as an arthritis of unknown etiology, starting under 16 years of age and lasting for at least 6 weeks, once other known conditions have been excluded. JIA represents the most common chronic rheumatic disease of childhood and is considered an important cause of short- and long-term acquired disability in children. It is currently estimated that psoriatic JIA represents up to 10% of all JIA subtypes, and chronic uveitis may occur in 10 to 15% of children with psoriatic JIA.

Identification of autoantibodies against inner ear antigens in a cohort of children with idiopathic sensorineural hearing loss.

Immune-mediated pathogenesis has been suggested for idiopathic sensorineural hearing loss. Recent studies have investigated the relationship between idiopathic sensorineural hearing loss and autoantibodies against inner ear antigens. We conducted a prospective, observational study in a series of pediatric patients affected by idiopathic sensorineural hearing loss.

Glucocorticoids in the management of systemic juvenile idiopathic arthritis.

Glucocorticoids have been the mainstay of treatment for many years in systemic-onset juvenile idiopathic arthritis (sJIA), causing important side effects and some difficulties in the management of this disease. Until the introduction of biologic agents, oral glucocorticoids were used to control fever and other systemic features for several months or even years if systemic manifestations persisted. Nowadays, clinicians have valid alternatives that have revolutionized the natural history of sJIA.

The treatment of horizontal canal positional vertigo: our experience in 66 cases.

Objectives/hypothesis: The horizontal semicircular canal variant of paroxysmal positional vertigo (HSC-PPV) shows three subtype nystagmic patterns: 1) bilateral geotropic nystagmus, 2) bilateral apogeotropic nystagmus that may switch into bilateral geotropic, and 3) bilateral apogeotropic nystagmus that never switches into bilateral geotropic. In recent years, many methods of physical treatment have been proposed for HSC-PPV, yet no standard protocol has been defined. We studied the effects of different methods according to each different form of HSC-PPV after a precise definition of the nystagmic and clinical features.

Alternobaric and hyperbaric oxygen therapy in the immediate and long-term treatment of Menière's disease.

Forty-five patients suffering from Menière's disease were submitted to pressure chamber therapy: 20 with constant pressure (2.2 ATA, hyperbaric treatment) and 25 with continuous variations in pressure levels (from 1.7 to 2.

Acupuncture treatment for balance disorders following whiplash injury.

In this study, by means of computerized static posturography, we evaluated the postural changes after acupuncture treatment in a group of 15 patients with balance disorders caused by cervical torsion due to Whiplash Injury (WI). The acupuncture treatment consisted of 3 sessions (one weekly session for 3 weeks) during which the acupuncture points Bladder 10 (Bl.10) and Gall Bladder 20 (G.

[Delayed endolymphatic hydrops: an analysis of 12 cases].

Delayed Endolymphatic Hydrops (DEH) is a clinical entity which is characterized by an early phase with a profound sensorineural hearing loss in one ear. After a prolonged period of time (from 1 to 68 years) a late phase of the disease appears with different otologic symptoms. The ipsilateral type of endolymphatic hydrops appears in the deaf ear with consequent episodic vertigo.

Multiplication noise in the human visual system at threshold: 1. Quantum fluctuations and minimum detectable energy.

We have carried out a series of frequency-of-seeing experiments similar to those performed by Hecht, Shlaer, and Pirenne [J. Gen. Physiol.

Multiplication noise in the human visual system at threshold. 3. The role of non-Poisson quantum fluctuations.

Several kinds of light used in vision experiments produce photon statistics that are distinctly non-Poisson. Representative examples are light from a cathode-ray tube and an image-intensifier device. For the class of vision experiments in which the photon statistics play an important role, excess fluctuations produced by such light sources can alter the observed results and obscure the visual mechanisms being studied.

Computer simulation of superposed coherent and chaotic radiation.

A computer simulation technique useful for generating superposed coherent and chaotic radiation of arbitrary spectral shape is described. Its advantages over other techniques include flexibility and ease of implementation, as well as the capability of incorporating spectral characteristics that cannot be generated by other methods. We discuss the implementation of the technique and present results to demonstrate its validity.