Analisi meteorologica e modellistica dei due eventi alluvionali in liguria dell'autunno 2011: cinque terre - 25 ottobre genova - 4 novembre

Nell’autunno del 2011 due eventi meteorologici estremi caratterizzati da intense precipitazioni hanno interessato la Liguria. Nella giornata del 25 ottobre si è verificato sul Levante ligure un evento alluvionale di rilevante entità, determinato dalla formazione di un intenso sistema convettivo che ha coinvolto l’area compresa tra il Tigullio, le Cinque Terre ed il bacino del Magra. Un altro episodio di forte maltempo si è verificato tra il 3 e il 9 novembre 2011, e in particolare il forte sistema convettivo che ha interessato Genova la mattina del 4 novembre, in cui avvenne l’esondazione in alcuni punti del torrente Bisagno e del rio Fereggiano. Tuttavia, nel corso del lungo periodo perturbato si sono registrati vari episodi di esondazione, localizzati principalmente in zone golenali agricole, anche sui versanti padani della regione, oltre a numerosi casi di smottamenti e frane. I casi sopra citati sono stati studiati facendo innanzitutto un’accurata analisi meteorologica a scala sinottica e alla mesoscala, esaminando in particolar modo i meccanismi che hanno portato l’innesco dei due sistemi temporaleschi. In secondo luogo, utilizzando anche dati osservativi disponibili, si è voluto mettere in evidenza la reale e significativa evoluzione nel tempo e nello spazio dei dati pluviometrici delle stazioni al suolo, e dei parametri fisici più importanti, come ad esempio la direzione e l’intensità del vento. Infine, utilizzando simulazioni numeriche dei modelli sviluppati all’ISAC-CNR di Bologna (BOLAM e MOLOCH), ci si è posti l’obiettivo di verificare la loro sensibilità alla risoluzione e ad altri aspetti numerici e fisici, in particolare per quanto riguarda i dati relativi alla precipitazione. I modelli, oltre a riprodurre la dinamica degli eventi in maniera fisicamente coerente anche se non del tutto accurata, sono stati utilizzati, previo confronto con le osservazioni, per verificare alcune ipotesi formulate relative ai processi fisici responsabili dell’intensità della precipitazione, come ad esempio la presenza del flusso (outflow) di aria fredda proveniente dalla cold pool in relazione con le correnti caldo-umide negli strati più bassi (Low Level Jet, LLJ), e la formazione di una zona di convergenza nella quale è più alta la probabilità che si sviluppino sistemi convettivi organizzati.

What are the components that contribute to variability in echocardiographic measurements in aortic stenosis?

INTRODUCTION Echocardiography is the standard clinical approach for quantification of the severity of aortic stenosis (AS). A comprehensive examination of its overall reproducibility and the simultaneous estimation of its variance components by multiple operators, readers, probe applications, and beats have not been undertaken. METHOD AND RESULTS Twenty-seven subjects with AS were scanned over 7 months in the echo-department by a median of 3 different operators. From each patient and each operator multiple runs of beats from multiple probe positions were stored for later analysis by multiple readers. The coefficient of variation was 13.3%, 15.9%, 17.6%, and 20.2% for the aortic peak velocity (Vmax), and velocity time integral (VTI), and left ventricular outflow tract (LVOT) Vmax and VTI respectively. The largest individual contributors to the overall variability were the beat-to-beat variability (9.0%, 9.3%, 9.5%, 9.4% respectively) and that of inability of an individual operator to precisely apply the probe to the same position twice (8.3%, 9.4%, 12.9%, 10.7% respectively). The tracing (inter-reader) and reader (inter-reader), and operator (inter-operator) contribution were less important. CONCLUSIONS Reproducibility of measurements in AS is poorer than often reported in the literature. The source of this variability does not appear, as traditionally believed, to result from a lack of training or operator and reader specific factors. Rather the unavoidable beat-to-beat biological variability, and the inherent impossibility of applying the ultrasound probe in exactly the same position each time are the largest contributors. Consequently, guidelines suggesting greater standardisation of procedures and further training for sonographers are unlikely to result in an improvement in precision. Clinicians themselves should be wary of relying on even three-beat averages as their expected coefficient of variance is 10.3% for the peak velocity at the aortic valve.

Photochemie der Troposphäre in niedrigen und mittleren Breiten: Die Rolle von Konvektion

Ozon (O3) ist in der Atmosphäre ein wichtiges Oxidanz und Treibhausgas. Während die höchsten Konzentrationen in der Stratosphäre beobachtet werden und die vor der gefährlichen UV-Strahlung schützende Ozonschicht bilden, können sich signifikante Änderungen der Ozon-Konzentration in der Region der Tropopause auf das Klima der Erde auswirken. Des Weiteren ist Ozon eine der Hauptquellen für das Hydroxylradikal (OH) und nimmt damit entscheidend Einfluss auf die Oxidationskraft der Atmosphäre. Der konvektive Transport von Ozon und seinen Vorläufergasen aus Regionen nahe der Erdoberfläche in die freie Troposphäre beeinflusst das Budget dieser Spezies in der Tropopausenregion.rnDie Datengrundlage der Studie in der vorliegenden Arbeit basiert auf den flugzeuggetragenen Messkampagnen GABRIEL 2005 (Suriname, Südamerika) sowie HOOVER I 2006 und HOOVER II 2007 (beide in Europa). Mit dem zur Verfügung stehenden Datensatz wird das Ozonbudget in der freien, unbelasteten Hintergrundatmosphäre und in der durch hochreichende Konvektion gestörten, oberen Troposphäre untersucht. Anhand der auf in-situ Messungen von O3, NO, OH, HO2 und dem aktinischen Strahlungsfluss basierten Berechnung der Netto-Ozonproduktionsrate (NOPR) werden für das Messgebiet Ozontendenzen in der unbelasteten Troposphäre abgeleitet und mit Simulationen des globalen Chemie-Transport-Modells MATCH-MPIC verglichen. Mit Hilfe zweier Fallstudien in den Tropen in Südamerika und den mittleren Breiten in Europa werden die Auswirkungen von hochreichender Konvektion auf die obere Troposphäre quantifiziert.rnDie Ergebnisse zeigen für die Grenzschicht in niedrigen und mittleren Breiten eine eindeutige Tendenz zur Produktion von Ozon, was für den tropischen Regenwald in der Messregion nicht der allgemeinen Erwartung entsprach, nach der diese Region durch die Zerstörung von Ozon charakterisiert sein sollte. In der oberen Troposphäre ab etwa 7 km wird für die beiden Regionen eine leichte Tendenz zur Ozonproduktion beobachtet. Signifikante Unterschiede zeigen die Ergebnisse für die mittlere Troposphäre. Während die Tropen in dieser Region durch eine eindeutige Tendenz zur Zerstörung von Ozon charakterisiert sind, lässt sich über den mittleren Breiten zwar eine hohe photochemische Aktivität aber keine derart klare Tendenz feststellen. Die hohen Breiten zeichnen sich durch eine neutrale Troposphäre in Bezug auf die Ozontendenz aus und weisen kaum photochemische Aktivität auf. Der Vergleich dieser Ergebnisse mit dem MATCH-MPIC Modell zeigt in weiten Teilen der Messregionen eine grundlegende Übereinstimmung in der Tendenz zur Produktion oder Zerstörung von Ozon. Die absoluten Werte werden vom Modell aber generell unterschätzt. Signifikante Unterschiede zwischen in-situ Daten und Modellsimulationen werden in der Grenzschicht über dem tropischen Regenwald identifiziert.rnDer Einfluss der Konvektion ist durch eine signifikant erhöhte NOPR gekennzeichnet. In dieser Arbeit wird in den Tropen mit einem Median-Wert von 0.20 ppbv h−1 eine um den Faktor 3.6 erhöhte NOPR im Vergleich zur ungestörten oberen Troposphäre abgeschätzt. In den mittleren Breiten führt die um eine Größenordnung höhere NO-Konzentration zu einem Wert von 1.89 ppbv h−1, was einer Überhöhung um einen Faktor 6.5 im Vergleich zum ungestörten Zustand entspricht. Diese Ergebnisse zeigen für beide Regionen in der oberen Troposphäre eine erhöhte Ozonproduktion als Folge konvektiver Aktivität. rnrnHochreichende Konvektion ist zudem ein sehr effektiver Mechanismus für den Vertikaltransport aus der Grenzschicht in die obere Troposphäre. Die schnelle Hebung in konvektiven Wolken führt bei Spurengasen mit Quellen an der Erdoberfläche zu einer Erhöhung ihrer Konzentration in der oberen Troposphäre. Die hochgradig löslichen Spurenstoffe Formaldehyd (HCHO) und Wasserstoffperoxid (H2O2) sind wichtige Vorläufergase der HOx-Radikale. Es wird angenommen, dass sie aufgrund ihrer Löslichkeit in Gewitterwolken effektiv ausgewaschen werden.rnIn der vorliegenden Arbeit wird eine Fallstudie von hochreichender Konvektion im Rahmen des HOOVER II Projekts im Sommer 2007 analysiert. Am 19.07.2007 entwickelten sich am Nachmittag am Südostrand eines in nordöstlicher Richtung ziehenden mesoskaligen konvektiven Systems drei zunächst isolierte konvektive Zellen. Flugzeuggetragene Messungen in der Aus- und der Einströmregion einer dieser Gewitterzellen stellen einen exzellenten Datensatz bereit, um die Auswirkungen von hochreichender Konvektion auf die Verteilung verschiedener Spurengase in der oberen Troposphäre zu untersuchen. Der Vergleich der Konzentrationen von Kohlenstoffmonoxid (CO) und Methan (CH4) zwischen der oberen Troposphäre und der Grenzschicht deutet auf einen nahezu unverdünnten Transport dieser langlebigen Spezies in der konvektiven Zelle hin. Die Verhältnisse betragen (0.94±0.04) für CO und (0.99±0.01) für CH4. Für die löslichen Spezies HCHO und H2O2 beträgt dieses Verhältnis in der Ausströmregion (0.55±0.09) bzw. (0.61±0.08). Dies ist ein Indiz dafür, dass diese Spezies nicht so effektiv ausgewaschen werden wie angenommen. Zum besseren Verständnis des Einflusses der Konvektion auf die Budgets dieser Spezies in der oberen Troposphäre wurden im Rahmen dieser Arbeit Boxmodell-Studien für den Beitrag der photochemischen Produktion in der Ausströmregion durchgeführt, wobei die gemessenen Spezies und Photolysefrequenzen als Randbedingungen dienten. Aus den Budgetbetrachtungen für HCHO und H2O2 wird eine Auswascheffizienz von (67±24) % für HCHO und (41±18) % für H2O2 abgeschätzt. Das für H2O2 überraschende Ergebnis lässt darauf schließen, dass dieses Molekül in einer Gewitterwolke deutlich effektiver transportiert werden kann, als aufgrund seiner hohen Löslichkeit aus der Henry-Konstanten zu erwarten wäre. Das Ausgasen von gelöstem H2O2 beim Gefrieren eines Wolkentropfens, d.h. ein Retentionskoeffizient kleiner 1, ist ein möglicher Mechanismus, der zum beobachteten Mischungsverhältnis dieser löslichen Spezies in der Ausströmregion beitragen kann.

Airborne in situ measurements of ice particles in the tropical tropopause layer

Ice clouds have a strong effect on the Earth-atmosphere radiative energy balance, on the distribution of condensable gases in the atmosphere, as well as on the chemical composition of the air. The ice particles in these clouds can take on a variety of shapes which makes the description of the cloud microphysical properties more difficult. In the tropical upper troposphere/lower stratosphere (UTLS), a region where ice cloud abundance is relatively high, different types of ice clouds can be observed. However, in situ measurements are rare due to the high altitude of these clouds and the few available research aircraft, only three worldwide, that can fly at such altitudes.rnThis work focuses on in situ measurements of the tropical UTLS clouds performedrnwith a Cloud Imaging Probe (CIP) and a Forward Scattering Spectrometer Probern(FSSP-100), whereof the CIP is the key instrument of this thesis. The CIP is anrnairborne in situ instrument that obtains two-dimensional shadow images of cloud particles. Several cloud microphysical parameters can be derived from these measurements, e.g. number concentrations and size distributions. In order to obtain a high quality data set, a careful image analysis and several corrections need to be applied to the CIP observations. These methods are described in detail.rnMeasurements within the tropical UTLS have been performed during two campaigns:rnSCOUT-O3, 2005 in Northern Australia and SCOUT-AMMA, 2006 inWest Africa. Thernobtained data set includes first observations of subvisible cirrus clouds over a continental area and observations of the anvils of deep convective clouds. The latter can be further divided into clouds in mesoscale convective system outflows of different ages and clouds in overshooting cloud turrets that even penetrated the stratosphere. The microphysical properties of these three cloud types are discussed in detail. Furthermore, the vertical structure of the ice clouds in the UTLS is investigated. The values of the microphysical parameters were found to decrease with increasing altitude in the upper troposphere. Particle numbers and maximum sizes were also decreasing with increasing age of the outflow clouds. Further differences between the deep convective clouds and subvisible cirrus were found in the particle morphology as well as in the ratio of the observed aerosol particles to cloud particles which indicates that the different freezing processes (deposition, contact, immersion freezing) play different roles in the formation of the respective clouds. For the achievementrnof a better microphysical characterisation and description numerical fits have been adjusted onto the cloud particle size distributions of the subvisible cirrus as well as on the size distributions of the clouds at different altitudes in the UTLS.

Räumliche und jahreszeitliche Verteilung von OH- und HO 2-Radikalen in der Troposphäre über Europa

Durch geologische Prozesse freigesetzte sowie biogen und anthropogen emittierte Gase werden hauptsächlich von der untersten Atmosphärenschicht, der Troposphäre, aufgenommen und abgebaut. Durch in die Troposphä¬re einfallende solare Strahlung wird ein Abbau des Großteils der emittierten Spurengase durch reaktive Radikale initiiert. Der wichtigste Vertreter dieser reaktiven Radikale in der Troposphäre ist das Hydroxylradikal (OH-Radikal), welches im schnellen Gleichgewicht mit Hydroperoxyradikalen (HO2-Radikal) vorliegt, sodass die Summe aus OH- und HO2-Radikalen oft als HOx zusammengefasst wird. HOx-Radikale bilden tagsüber den Hauptteil der Oxidationskapazität der Troposphäre und sind somit verantwortlich für den oxidativen Abbau vieler, auch chemisch und photolytisch stabiler, Spurengase. Daher wird die Oxidationskapazität als Selbstreinigungskraft der Troposphäre verstanden. rnIm Rahmen meiner Arbeit wurde die wissenschaftliche Fragestellung auf die Oxidationskapazität der Troposphäre über Europa fokussiert. Die Höhen- und Breitenverteilung der OH- und HO2-Mischungsverhältnisse und ihre jahreszeitliche Variation wurde während der flugzeuggestützten HOOVER-Kampagnen (HOOVER 1 & 2) charakterisiert, wobei ein Fokus auf der oberen Troposphäre lag. Es wird gezeigt, welchen Einfluss die einfallende Strahlung, die Variation von HOx-Vorläufersubstanzen (wie z. B. Ozon) und die Variation von Substanzen, die das HOx-Gleichgewicht beeinflussen (z. B. Stickstoffmonoxid), auf das HOx-Budget haben. rnEs wird beispielhaft für den Höhenbereich zwischen 8 und 9.5 km gezeigt, dass die Oxidationskapazität in der oberen Troposphäre des Sommers im Ver¬gleich zu der des Herbstes aufgrund von einer verstärkten HO2-Zyklierung im Mittel deutlich erhöht ist (500 %). rnDurch konvektiven Transport werden im Sommer im Gegensatz zum Herbst regelmäßig Luftmassen aus der planetaren Grenzschicht in die obere Troposphäre eingemischt. Daher wurden der konvektive Luftmassentransport und der Einfluss der eingemischten Spurengase auf die Oxidationskapazität der oberen Troposphäre anhand eines konvektiven Elements über Südostdeutschland untersucht. Wie in dieser Arbeit berichtet wird, wurden in den Luftmassen der Ausströmregion mit bis zu 3.5 pmol/mol (Maximum 10 s-Mittelwert) sehr hohe OH-Mischungsverhältnisse gefunden, die aus der HO2-Konversion mit NO gebildet wurden. Das modellierte HOx-Budget zeigt, dass die HOx-Chemie - unter den beobachteten Bedingungen in der Ausströmregion - durch HOx-Zyklierungsreaktionen beherrscht wird. rnDie gemessenen OH-Mischungsverhältnisse in der Ausströmregion liegen etwa um einen Faktor fünf höher, als die während dieses Fluges in der konvektiv unbeeinflussten oberen Troposphäre gemessenen OH-Mischungsverhältnisse. Am Beispiel der NO2- und CH4-Lebensdauer wird ein schnellerer Abbau von Spurengasen aufgrund der erhöhten Oxidationskapazität nachgewiesen. Aus der NO2-Lebensdauer wird abgeschätzt, wie lange die Oxidationskapazität aufgrund des konvektiven Transports von NOx in den Luftmassen des Ausströmgebietes erhöht ist.rnDie während den Kampagnen durchgeführten Messungen wurden genutzt, um Modellberechnungen des vertikalen HOx-Budgets (über Südschweden) und des meridionalen HOx-Budgets zwischen Nordeuropa und Korsika durchzuführen. Es wurde gezeigt, dass das Modell die OH- und HO2-Mischungsverhältnisse im Allgemeinen gut reproduziert (Modell/Messung: OH im Sommer 94 %, HO2 im Sommer 93 % im Herbst 95 %), wohingegen die vergleichsweise kleinen OH-Mischungsverhältnisse im Herbst aufgrund von einer überschätzten H2O2 abhängigen OH-Produktion stark überschätzt wurden (Modell/Messung: 147 %). rnZur Charakterisierung der Oxidationskapazität innerhalb der planetaren Grenzschicht wurden die DOMINO-Kampagnen durchgeführt. Dabei wurde die Zusammensetzung unterschiedlicher Luftmassen untersucht, die aus verschiedenen Herkunftsorten zum Messort transportiert wurden und aufgrund ihres Ursprungs kaum prozessierte bis prozessierte anthropogen emittierte Spurengase enthielten. Zusätzlich enthielt ein Teil der Luftmassen biogen emittierte Spurengase. Komplementäre Messungen ermöglichen die Berechnung der totalen OH-Produktion und den Vergleich mit den bekannten OH-Quellen. Der Vergleich zeigt, dass offenbar wichtige OH-Produktionskanäle durch die gemessenen Spurengase oder die durchgeführten Berechnungen nicht abgebildet werden. Es wird gezeigt, dass die Stärke der unbekannten OH-Quellen, vor allem unter niedrigen NO-Bedingungen, groß ist und mit den Isopren-, RO2- und HO2-Mischungsverhältnissen korreliert.rn

Global modeling of pollutant transport and deposition from anthropogenic emission hot spots on global scale

Urban centers significantly contribute to anthropogenic air pollution, although they cover only a minor fraction of the Earth's land surface. Since the worldwide degree of urbanization is steadily increasing, the anthropogenic contribution to air pollution from urban centers is expected to become more substantial in future air quality assessments. The main objective of this thesis was to obtain a more profound insight in the dispersion and the deposition of aerosol particles from 46 individual major population centers (MPCs) as well as the regional and global influence on the atmospheric distribution of several aerosol types. For the first time, this was assessed in one model framework, for which the global model EMAC was applied with different representations of aerosol particles. First, in an approach with passive tracers and a setup in which the results depend only on the source location and the size and the solubility of the tracers, several metrics and a regional climate classification were used to quantify the major outflow pathways, both vertically and horizontally, and to compare the balance between pollution export away from and pollution build-up around the source points. Then in a more comprehensive approach, the anthropogenic emissions of key trace species were changed at the MPC locations to determine the cumulative impact of the MPC emissions on the atmospheric aerosol burdens of black carbon, particulate organic matter, sulfate, and nitrate. Ten different mono-modal passive aerosol tracers were continuously released at the same constant rate at each emission point. The results clearly showed that on average about five times more mass is advected quasi-horizontally at low levels than exported into the upper troposphere. The strength of the low-level export is mainly determined by the location of the source, while the vertical transport is mainly governed by the lifting potential and the solubility of the tracers. Similar to insoluble gas phase tracers, the low-level export of aerosol tracers is strongest at middle and high latitudes, while the regions of strongest vertical export differ between aerosol (temperate winter dry) and gas phase (tropics) tracers. The emitted mass fraction that is kept around MPCs is largest in regions where aerosol tracers have short lifetimes; this mass is also critical for assessing the impact on humans. However, the number of people who live in a strongly polluted region around urban centers depends more on the population density than on the size of the area which is affected by strong air pollution. Another major result was that fine aerosol particles (diameters smaller than 2.5 micrometer) from MPCs undergo substantial long-range transport, with about half of the emitted mass being deposited beyond 1000 km away from the source. In contrast to this diluted remote deposition, there are areas around the MPCs which experience high deposition rates, especially in regions which are frequently affected by heavy precipitation or are situated in poorly ventilated locations. Moreover, most MPC aerosol emissions are removed over land surfaces. In particular, forests experience more deposition from MPC pollutants than other land ecosystems. In addition, it was found that the generic treatment of aerosols has no substantial influence on the major conclusions drawn in this thesis. Moreover, in the more comprehensive approach, it was found that emissions of black carbon, particulate organic matter, sulfur dioxide, and nitrogen oxides from MPCs influence the atmospheric burden of various aerosol types very differently, with impacts generally being larger for secondary species, sulfate and nitrate, than for primary species, black carbon and particulate organic matter. While the changes in the burdens of sulfate, black carbon, and particulate organic matter show an almost linear response for changes in the emission strength, the formation of nitrate was found to be contingent upon many more factors, e.g., the abundance of sulfuric acid, than only upon the strength of the nitrogen oxide emissions. The generic tracer experiments were further extended to conduct the first risk assessment to obtain the cumulative risk of contamination from multiple nuclear reactor accidents on the global scale. For this, many factors had to be taken into account: the probability of major accidents, the cumulative deposition field of the radionuclide cesium-137, and a threshold value that defines contamination. By collecting the necessary data and after accounting for uncertainties, it was found that the risk is highest in western Europe, the eastern US, and in Japan, where on average contamination by major accidents is expected about every 50 years.

Searching for outflows signatures in sdss spectra of x-ray selected, obscured agn in the cosmos field

Partendo dal campione di AGN presente nella survey di XMM-COSMOS, abbiamo cercato la sua controparte ottica nel database DR10 della Sloan Digital Sky Survey (SDSS), ed il match ha portato ad una selezione di 200 oggetti, tra cui stelle, galassie e quasar. A partire da questo campione, abbiamo selezionato tutti gli oggetti con un redshift z<0.86 per limitare l’analisi agli AGN di tipo 2, quindi siamo giunti alla selezione finale di un campione di 30 sorgenti. L’analisi spettrale è stata fatta tramite il task SPECFIT, presente in IRAF. Abbiamo creato due tipi di modelli: nel primo abbiamo considerato un’unica componente per ogni riga di emissione, nel secondo invece è stata introdotta un’ulteriore com- ponente limitando la FWHM della prima ad un valore inferiore a 500 km\s. Le righe di emissione di cui abbiamo creato un modello sono le seguenti: Hβ, [NII]λλ 6548,6581, Hα, [SII]λλ 6716,6731 e [OIII]λλ 4959,5007. Nei modelli costruiti abbiamo tenuto conto della fisica atomica per quel che riguarda i rapporti dei flussi teorici dei doppietti dell’azoto e dell’ossigeno, fissandoli a 1:3 per entrambi; nel caso del modello ad una componente abbiamo fissato le FWHM delle righe di emissione; mentre nel caso a due componenti abbiamo fissato le FWHM delle componenti strette e larghe, separatamente. Tenendo conto del chi-quadro ottenuto da ogni fit e dei residui, è stato possibile scegliere tra i due modelli per ogni sorgente. Considerato che la nostra attenzione è focalizzata sulla cinematica dell’ossigeno, abbiamo preso in considerazione solo le sorgenti i cui spettri mostravano la riga suddetta, cioè 25 oggetti. Su questa riga è stata fatta un’analisi non parametrica in modo da utilizzare il metodo proposto da Harrison et al. (2014) per caratterizzare il profilo di riga. Sono state determinate quantità utili come il 2 e il 98 percentili, corrispondenti alle velocità massime proiettate del flusso di materia, e l’ampiezza di riga contenente l’80% dell’emissione. Per indagare sull’eventuale ruolo che ha l’AGN nel guidare questi flussi di materia verso l’esterno, abbiamo calcolato la massa del gas ionizzato presente nel flusso e il tasso di energia cinetica, tenendo conto solo delle componenti larghe della riga di [OIII] λ5007. Per la caratterizzazione energetica abbiamo considerato l’approccio di Cano-Diaz et al (2012) e di Heckman (1990) in modo da poter ottenere un limite inferiore e superiore della potenza cinetica, adottando una media geometrica tra questi due come valore indicativo dell’energetica coinvolta. Confrontando la potenza del flusso di gas con la luminosità bolometrica dell’AGN, si è trovato che l’energia cinetica del flusso di gas è circa lo 0.3-30% della luminosità dell’AGN, consistente con i modelli che considerano l’AGN come principale responsabile nel guidare questi flussi di gas.

Multimodal (EEG-fMRI) functional connectivity study of levodopa effect in Parkinson’s disease

Aim: To assess if the intake of levodopa in patients with Parkinson’s Disease (PD) changes cerebral connectivity, as revealed by simultaneous recording of hemodynamic (functional MRI, or fMRI) and electric (electroencephalogram, EEG) signals. Particularly, we hypothesize that the strongest changes in FC will involve the motor network, which is the most impaired in PD. Methods: Eight patients with diagnosis of PD “probable”, therapy with levodopa exclusively, normal cognitive and affective status, were included. Exclusion criteria were: moderate-severe rest tremor, levodopa induced dyskinesia, evidence of gray or white matter abnormalities on structural MRI. Scalp EEG (64 channels) were acquired inside the scanner (1.5 Tesla) before and after the intake of levodopa. fMRI functional connectivity was computed from four regions of interest: right and left supplementary motor area (SMA) and right and left precentral gyrus (primary motor cortex). Weighted partial directed coherence (w-PDC) was computed in the inverse space after the removal of EEG gradient and cardioballistic artifacts. Results and discussion: fMRI group analysis shows that the intake of levodopa increases hemodynamic functional connectivity among the SMAs / primary motor cortex and: sensory-motor network itself, attention network and default mode network. w-PDC analysis shows that EEG connectivity among regions of the motor network has the tendency to decrease after the intake the levodopa; furthermore, regions belonging to the DMN have the tendency to increase their outflow toward the rest of the brain. These findings, even if in a small sample of patients, suggest that other resting state physiological functional networks, beyond the motor one, are affected in patients with PD. The behavioral and cognitive tasks corresponding to the affected networks could benefit from the intake of levodopa.

Analisi spettrale in banda X e proprietà multi-frequenza della galassia ULIRG IRAS 13120-5453

L’interruzione dell’attività di formazione stellare nelle galassie attraverso l’azione di venti guidati dalla potenza dell’AGN e/o dall’attività di starburst è una fase prevista da tutti i modelli di coevoluzione tra i buchi neri super massicci e la galassia ospite. La recente scoperta di venti molecolari massivi in alcune ULIRG locali ha fornito una prova forte a favore dell’esistenza del meccanismo di feedback negativo nelle galassie. Ad oggi non è chiaro il ruolo che l'attività di AGN e di starburst hanno nella produzione dei venti: tuttavia, la maggior parte delle ULIRG in cui sono stati osservati i venti molecolari presentano elevati tassi e velocità di outflow, suggerendo che l'AGN giochi un ruolo principale. IRAS 13120-5453 rappresenta un caso particolare: la sua attività e dominata dalla formazione stellare, ma sembra anche ospitare un AGN oscurato al suo interno. Tuttavia, non presenta elevati tassi di outflow e velocità dei venti: non è quindi chiaro quale dei due fenomeni vi sia all'origine. In questo lavoro di tesi si è operata un'analisi multibanda di questa sorgente con lo scopo di studiarne le principali proprietà fisiche. Lo studio in banda X attraverso l'analisi dei dati provenienti dai satelliti XMM-Newton, Chandra e NuSTAR ha permesso di conoscere parametri importanti come il grado di oscuramento della sorgente e la potenza dell'AGN. Con l'analisi in banda IR, è stato possibile conoscere il contributo dell'AGN e della starburst alla luminosità IR e i principali parametri fisici di questa galassia. L’obiettivo di tale lavoro è quello di capire il ruolo svolto da questi due principali fenomeni e quale possa essere la connessione con i venti molecolari.

Considerations for prenatal counselling of patients with cardiac rhabdomyomas based on their cardiac and neurologic outcomes

Cardiac rhabdomyomas are benign cardiac tumours with few cardiac complications, but with a known association to tuberous sclerosis that affects the neurologic outcome of the patients. We have analysed the long-term cardiac and neurological outcomes of patients with cardiac rhabdomyomas in order to allow comprehensive prenatal counselling, basing our findings on the records of all patients seen prenatally and postnatally with an echocardiographic diagnosis of cardiac rhabdomyoma encountered from August, 1982, to September, 2007. We analysed factors such as the number and the location of the tumours to establish their association with a diagnosis of tuberous sclerosis, predicting the cardiac and neurologic outcomes for the patients.Cardiac complications include arrhythmias, obstruction of the ventricular outflow tracts, and secondary cardiogenic shock. Arrhythmias were encountered most often during the neonatal period, with supraventricular tachycardia being the commonest rhythm disturbance identified. No specific dimension or location of the cardiac rhabdomyomas predicted the disturbances of rhythm.The importance of the diagnosis of tuberous sclerosis is exemplified by the neurodevelopmental complications, with four-fifths of the patients showing epilepsy, and two-thirds having delayed development. The presence of multiple cardiac tumours suggested a higher risk of being affected by tuberous sclerosis. The tumours generally regress after birth, and cardiac-related problems are rare after the perinatal period. Tuberous sclerosis and the associated neurodevelopmental complications dominate the clinical picture, and should form an important aspect of the prenatal counselling of parents.

Correlation of Device landing zone calcification and acute procedural success in patients undergoing transcatheter aortic valve implantations with the self-expanding CoreValve prosthesis

The aim of this study was to assess the influence of amount and distribution of calcifications of the aortic valve and the left ventricular outflow tract on the acute procedural outcome of patients undergoing transcatheter aortic valve implantation (TAVI).

Active regulation of cerebral venous tone: simultaneous arterial and venous transcranial Doppler sonography during a Valsalva manoeuvre

The aim of this study was to analyse the cerebral venous outflow in relation to the arterial inflow during a Valsalva manoeuvre (VM). In 19 healthy volunteers (mean age 24.1 +/- 2.6 years), the middle cerebral artery (MCA) and the straight sinus (SRS) were insonated by transcranial Doppler sonography. Simultaneously the arterial blood pressure was recorded using a photoplethysmographic method. Two VM of 10 s length were performed per participant. Tracings of the variables were then transformed to equidistantly re-sampled data. Phases of the VM were analysed regarding the increase of the flow velocities and the latency to the peak. The typical four phases of the VM were also found in the SRS signal. The relative flow velocity (FV) increase was significantly higher in the SRS than in the MCA for all phases, particularly that of phase IV (p < 0.01). Comparison of the time latency of the VM phases of the MCA and SRS only showed a significant difference for phase I (p < 0.01). In particular, there was no significant difference for phase IV (15.8 +/- 0.29 vs. 16.0 +/- 0.28 s). Alterations in venous outflow in phase I are best explained by a cross-sectional change of the lumen of the SRS, while phases II and III are compatible with a Starling resistor. However, the significantly lager venous than the arterial overshoot in phase IV may be explained by the active regulation of the venous tone.

Outcome in adult patients after arterial switch operation for transposition of the great arteries

BACKGROUND: The arterial switch operation (ASO) is currently the treatment of choice in neonates with transposition of the great arteries (TGA). The outcome in childhood is encouraging but only limited data for long-term outcome into adulthood exist. METHODS AND RESULTS: We studied 145 adult patients (age>16, median 25years) with ASO followed at our institution. Three patients died in adulthood (mortality 2.4/1000-patient-years). Most patients were asymptomatic and had normal left ventricular function. Coronary lesions requiring interventions were rare (3 patients) and in most patients related to previous surgery. There were no acute coronary syndromes. Aortic root dilatation was frequent (56% patients) but rarely significant (>45mm in 3 patients, maximal-diameter 49mm) and appeared not to be progressive. There were no acute aortic events and no patient required elective aortic root surgery. Progressive neo-aortic-valve dysfunction was not observed in our cohort and only 1 patient required neo-aortic-valve replacement. Many patients (42.1%), however, had significant residual lesions or required reintervention in adulthood. Right ventricular outflow tract lesions or dysfunction of the neo-pulmonary-valve were frequent and 8 patients (6%) required neo-pulmonary-valve replacement. Cardiac interventions during childhood (OR 3.0, 95% CI 1.7-5.4, P<0.0001) were strong predictors of outcome (cardiac intervention/significant residual lesion/death) in adulthood. CONCLUSIONS: Adult patients with previous ASO remain free of acute coronary or aortic complications and have low mortality. However, a large proportion of patients require re-interventions or present with significant right sided lesions. Life-long cardiac follow-up is, therefore, warranted. Periodic noninvasive surveillance for coronary complications appears to be safe in adult ASO patients.

Nitric oxide mediates the blood pressure response to mental stress in humans

Nitric oxide (NO) regulates arterial pressure by modulating peripheral vascular tone and sympathetic vasoconstrictor outflow. NO synthesis is impaired in several major cardiovascular disease states. Loss of NO-induced vasodilator tone and restraint on sympathetic outflow could result in exaggerated pressor responses to mental stress.

Control of ventricular unloading using an electrocardiogram-synchronized Thoratec paracorporeal ventricular assist device

OBJECTIVE: Current pulsatile ventricular assist devices operate asynchronous with the left ventricle in fixed-rate or fill-to-empty modes because electrocardiogram-triggered modes have been abandoned. We hypothesize that varying the ejection delay in the synchronized mode yields more precise control of hemodynamics and left ventricular loading. This allows for a refined management that may be clinically beneficial. METHODS: Eight sheep received a Thoratec paracorporeal ventricular assist device (Thoratec Corp, Pleasanton, Calif) via ventriculo-aortic cannulation. Left ventricular pressure and volume, aortic pressure, pulmonary flow, pump chamber pressure, and pump inflow and outflow were recorded. The pump was driven by a clinical pneumatic drive unit (Medos Medizintechnik AG, Stolberg, Germany) synchronously with the native R-wave. The start of pump ejection was delayed between 0% and 100% of the cardiac period in 10% increments. For each of these delays, hemodynamic variables were compared with baseline data using paired t tests. RESULTS: The location of the minimum of stroke work was observed at a delay of 10% (soon after aortic valve opening), resulting in a median of 43% reduction in stroke work compared with baseline. Maximum stroke work occurred at a median delay of 70% with a median stroke work increase of 11% above baseline. Left ventricular volume unloading expressed by end-diastolic volume was most pronounced for copulsation (delay 0%). CONCLUSIONS: The timing of pump ejection in synchronized mode yields control over left ventricular energetics and can be a method to achieve gradual reloading of a recoverable left ventricle. The traditionally suggested counterpulsation is not optimal in ventriculo-aortic cannulation when maximum unloading is desired.