Successful control measures to treat the transmission of Candida auris in Northern Italian Hospital.

Candida auris has emerged globally as a multidrug-resistant health care-associated fungal pathogen. In the literature, nosocomial outbreaks are reported worldwide. In addition, C. auris diffusion occurs in high-dependency settings with infections typically affecting critically ill patients, resulting in life-threatening disease. We describe the first documented case of C. auris in northeastern Italy and the measures applied to contain the transmission that led to zero collateral infections.

The 1918 Influenza Pandemic Versus COVID-19: A Historical Perspective From an Italian Point of View.

The ongoing COVID-19 pandemic has a major precedent almost exactly a century ago: the world-famous H1N1 influenza virus pandemic, sometimes known to the general public as the Spanish flu. From a history of medicine perspective, it is possible to underline many potential common traits between the two. In this article, hygiene and prophylaxis strategies are analyzed in a review of the most popular Italian general medical journals at the time of Spanish flu, Il Policlinico being the most representative of them. The analysis included 40 original journal articles as well as important references to the most influential coeval national manuals and international journals. The main issues in the context of public hygiene are prophylaxis with quinine and quinine derivatives, vaccinations, face masks, disinfection, and social distancing. We draw a comparison between these and the most recent international World Health Organization and Italian national guidelines on the topic. Sadly, little has changed since those times in terms of most of the prevention techniques, even with technical improvements, showing how shortsighted doctors and physicians can be when dealing with medical history. (Am J Public Health. 2021;111(10):1815-1823. https://doi.org/10.2105/AJPH.2021.306412).

Relative variance of the mean-squared pressure in multimode media: rehabilitating former approaches.

The commonly accepted model for the relative variance of transmission functions in room acoustics, derived by Weaver, aims at including the effects of correlation between eigenfrequencies. This model is based on an analytical expression of the relative variance derived by means of an approximated correlation function. The relevance of the approximation used for modeling such correlation is questioned here. Weaver's model was motivated by the fact that earlier models derived by Davy and Lyon assumed independent eigenfrequencies and led to an overestimation with respect to relative variances found in practice. It is shown here that this overestimation is due to an inadequate truncation of the modal expansion, and to an improper choice of the frequency range over which ensemble averages of the eigenfrequencies is defined. An alternative definition is proposed, settling the inconsistency; predicted relative variances are found to be in good agreement with experimental data. These results rehabilitate former approaches that were based on independence assumptions between eigenfrequencies. Some former studies showed that simpler correlation models could be used to predict the statistics of some field-related physical quantity at low modal overlap. The present work confirms that this is also the case when dealing with transmission functions.

The Inheritance of Hearing Loss and Deafness: A Historical Perspective.

If the term "genetics" is a relatively recent proposition, introduced in 1905 by English biologist William Bateson, who rediscovered and spread in the scientific community Mendel's principles of inheritance, since the dawn of human civilization the influence of heredity has been recognized, especially in agricultural crops and animal breeding. And, later, in familial dynasties. In this concise review, we outline the evolution of the idea of hereditary hearing loss, up to the current knowledge of molecular genetics and epigenetics.

Congenital Deafness and Deaf-Mutism: A Historical Perspective.

Hearing loss is the most common sensory deficit and one of the most common congenital abnormalities. The estimated prevalence of moderate and severe hearing loss in a normal newborn is 0.1-0.3%, while the prevalence is 2-4% in newborns admitted to the newborn intensive care unit. Therefore, early detection and prompt treatment are of utmost importance in preventing the unwanted sequel of hearing loss on normal language development. The problem of congenital deafness is today addressed on the one hand with hearing screening at birth, on the other with the early (at around 3 months of age) application of hearing aids or, in case of lack of benefit, by the cochlear implant. Molecular genetics, antibody tests for some viruses, and diagnostic imaging have largely contributed to an effective etiological classification. A correct diagnosis and timely fitting of hearing aids or cochlear implants is useful for deaf children. The association between congenital deafness and "mutism", with all the consequences on/the consideration that deaf mutes have had since ancient times, not only from a social point of view but also from a legislative point of view, continued until the end of the nineteenth century, with the development on one side of new methods for the rehabilitation of language and on the other of sign language. But we need to get to the last decades of the last century to have, on the one hand, the diffusion of "universal newborn hearing screening", the discovery of the genetic causes of over half of congenital deafness, and on the other hand the cochlear implants that have allowed thousands of children born deaf the development of normal speech. Below, we will analyze the evolution of the problem between deafness and deaf-mutism over the centuries, with particular attention to the nineteenth century.

The cunning bookcase of Alexander Knips Macoppe.

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Limitations of the equivalence between spatial and ensemble estimators in the case of a single-tone excitation.

The ensemble-average value of the mean-square pressure is often assessed by using the spatial-average technique, underlying an equivalence principle between spatial and ensemble estimators. Using the ideal-diffuse-field model, the accuracy of the spatial-average method has been studied theoretically forty years ago in the case of a single-tone excitation. This study is revisited in the present work on the basis of a more realistic description of the sound field accounting for a finite number of plane waves. The analysis of the spatial-average estimator is based on the study of its convergence rate. Using experimental data from practical examples, it is shown that the classical expression underestimates the estimator uncertainty even for frequencies greater than Schroeder's frequency, and that the number of plane waves may act as lower bound on the spatial-average estimator accuracy. The comparison of the convergence rate with an ensemble-estimator shows that the two statistics cannot be regarded as equivalent in a general case.

The fascinating discovery of the electrical system in the heart: A story telling.

The existence of an intrinsic electrical platform in the heart, taking over the impulse formation and transmission, is a relatively recent discovery. Leonardo Da Vinci in 1510 wrote that the heart is self-moving. Harvey in 1628 observed that the cardiac movement is seen to begin from the auricles. Purkinje in 1839 discovered at the microscope a network of large, pale muscular cells in the ventricles. His in 1893 showed a muscle bundle connecting the atrial to the ventricular septum. Tawara in 1906 found a node at the atrial origin of His bundle. Finally, Keith and Flack observed a structure of primitive muscular fibres at the sino-atrial junction, where "the dominating rhythm of the heart is believed to normally arise".

Statistics of the performance of time reversal in a lossy reverberating medium.

It has been proposed [J. De Rosny, Ph.D. thesis, Université Paris VI, 2000] that the performance of time reversal at recreating a coherent pulse in a strongly reverberating medium is directly proportional to the number of resonant modes M actively taking part at the transmission of energy. This idea is here tested against experimental results showing that as soon as losses are taken into account, the quality of the focused pulse is a sublinear function of M leading to a saturation phenomenon that was previously unacknowledged. This is here proven to be caused by mutual coupling between lossy resonant modes, thanks to a statistical modal description of the transmission of signals through the medium. Closed-form relationships are proposed for the first two moments of the pulse signal-to-noise ratio linking them to the occupied bandwidth, the number of active modes, and the degree of resonance of the medium. These formulas, supported by experimental and numerical results, prove that the performance of time reversal can be affected by a strong statistical dispersion. The proposed analysis also predicts that time reversal is a self-averaging process when applied to a reverberating medium, thus, allowing the use of models developed in an ensemble-average framework.