Although Italy is counting deaths and infected patients, what is missing in Italy and in many other countries affected by the pandemic is a robust system of epidemic intelligence that can provide much needed, solid, epidemiological data at the regional level to inform modelling of disease transmission at the population level and ultimately be used to offer effective guidance on public health action.We declare no competing interests.

The crystal structure and ferroelectric properties of ε-GaO deposited by low-temperature MOCVD on (0001)-sapphire were investigated by single-crystal X-ray diffraction and the dynamic hysteresis measurement technique. A thorough investigation of this relatively unknown polymorph of GaO showed that it is composed of layers of both octahedrally and tetrahedrally coordinated Ga sites, which appear to be occupied with a 66% probability. The refinement of the crystal structure in the noncentrosymmetric space group P6mc pointed out the presence of uncompensated electrical dipoles suggesting ferroelectric properties, which were finally demonstrated by independent measurements of the ferroelectric hysteresis. A clear epitaxial relation is observed with respect to the c-oriented sapphire substrate, with the GaO [10-10] direction being parallel to the AlO direction [11-20], yielding a lattice mismatch of about 4.1%.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) is characterized by severe pneumonia and/or acute respiratory distress syndrome in about 20% of infected patients. Computed tomography (CT) is the routine imaging technique for diagnosis and monitoring of COVID-19 pneumonia. Chest CT has high sensitivity for diagnosis of COVID-19, but is not universally available, requires an infected or unstable patient to be moved to the radiology unit with potential exposure of several people, necessitates proper sanification of the CT room after use and is underutilized in children and pregnant women because of concerns over radiation exposure. The increasing frequency of confirmed COVID-19 cases is striking, and new sensitive diagnostic tools are needed to guide clinical practice. Lung ultrasound (LUS) is an emerging non-invasive bedside technique that is used to diagnose interstitial lung syndrome through evaluation and quantitation of the number of B-lines, pleural irregularities and nodules or consolidations. In patients with COVID-19 pneumonia, LUS reveals a typical pattern of diffuse interstitial lung syndrome, characterized by multiple or confluent bilateral B-lines with spared areas, thickening of the pleural line with pleural line irregularity and peripheral consolidations. LUS has been found to be a promising tool for the diagnosis of COVID-19 pneumonia, and LUS findings correlate fairly with those of chest CT scan. Compared with CT, LUS has several other advantages, such as lack of exposure to radiation, bedside repeatability during follow-up, low cost and easier application in low-resource settings. Consequently, LUS may decrease utilization of conventional diagnostic imaging resources (CT scan and chest X-ray). LUS may help in early diagnosis, therapeutic decisions and follow-up monitoring of COVID-19 pneumonia, particularly in the critical care setting and in pregnant women, children and patients in areas with high rates of community transmission.

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We report on the synthesis and characterization of BiFe0.5Mn0.5O3, a potential type-I multiferroic compound displaying temperature induced magnetization reversal. Bulk samples were obtained by means of solid state reaction carried out under the application of hydrostatic pressure at 6 GPa and 1100{\deg}C. The crystal structure is an highly distorted perovskite with no cation order on the B site, where, besides a complex scheme of tilt and rotations of the TM-O6 octahedra, large off-centering of the bismuth ions is detected. Below T1 = 420 K the compound undergoes a first weak ferromagnetic transition related to the ordering of iron rich clusters. At lower temperatures (just below RT) two distinct thermally activated mechanisms are superimposed, inducing at first an enhancement of the magnetization at T2 = 288 K, then a spontaneous reversal process centered at T3 = 250 K, finally giving rise to a negative response. The application of fields higher than 1500 Oe suppresses the process, yielding a ferromagnetic like behaviour. The complementary use of SQuID magnetometry and M\"ossbauer spectroscopy allowed the interpretation of the overall magnetic behaviour in terms of an uncompensated weak competitive coupling between non-equivalent clusters of interactions characterized by different critical temperatures and resultant magnetizations. PACS numbers: 75.85.+t, 75.60.Jk, 76.80.+y, 75.30.Et, 75.30.KzComment: 30 pages, 13 figure

In this paper we describe the new ferri-electric compound Pb2MnWO6 (PMW), a double perovskite that can be considered as a novel structural prototype showing complex nuclear structure and interesting electric properties. According to single-crystal synchrotron data, PMW crystallizes in the noncentrosymmetric polar group Pmc21, in which the two symmetry-independent lead atoms give rise to a ferrielectric arrangement. The accurate crystallographic characterization indicates the presence of a complex distortion of the perovskite lattice driven by the local instability induced by the 6s(2) lone pair of the lead atoms. These peculiar structural features are confirmed by the complete electrical characterization of the system. Dielectric and transport measurements indicate an insulating character of the sample, while pyroelectric measurements point out a ferrielectric state characterized by different contributions. The magnetic transition at 45 K is accompanied by a magnetostrictive effect indicating a probable spin-lattice coupling. The characterizations carried out on PMW, showing the evidence of a coexistence of antiferromagnetism and ferrielectricity at low temperature, could lead to the definition of a new class of multiferroic materials.

Objectives It important to quantify the true burden of coronavirus disease 2019 (COVID-19) in different countries, to enable informed decisions about imposing and relaxing control measures. COVID-19 surveillance data fails in this respect, as it is influenced by different definitions, control policies and capacities. This article aims to quantify excess mortality and estimate the distribution between COVID-19 and non-COVID-19 causes of death. Study design Observational study and mathematical modelling. Methods Publicly available data from multiple institutional sources were used and an in-depth analysis was carried out of deaths from all causes between 2015 and 2020 in Italy at the national, regional and local level. Excess mortality over time and space was first explored, followed by an assessment of how this related to COVID-19 surveillance and, ultimately, assuming a fixed male:female ratio, a model was developed and applied to estimate the proportions of COVID-19 and non-COVID-19 excess mortality in 2020. Results In Italy, the mortality rate doubled in March and April 2020 compared with data from 2015-2019 (+109%), with excess mortality reaching >600% in large municipalities in northern areas. Notified COVID-19 deaths accounted for only 43·5% (regional range: 43–62%) of excess mortality. It is estimated that more than two-thirds of excess deaths that were not captured by surveillance are non-COVID-19 deaths, which could be a result of the excess burden on the health systems, in addition to reduced demand and supply of other non-COVID healthcare services. Conclusions The impact of COVID-19 during the early stages of the pandemic is much larger than official figures have reported. Monitoring excess mortality helps to capture the full effect of the COVID-19 pandemic, which differs between regions in Italy. In addition, the COVID-19 pandemic has also resulted in significant indirect effects on the well-being of the population.

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