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Alloying has been a powerful and practical strategy to widen the palette of physical properties available to semiconductor materials. Thanks to recent advances in the synthesis of van der Waals semiconductors, this strategy can be extended to monolayers (MLs) of transition metal dichalcogenides (TMDs). Due to their extraordinary flexibility and robustness, strain is another powerful means to engineer the electronic properties of two-dimensional (2D) TMDs. In this article, we combine these two approaches in an exemplary metal dichalcogenide chalcogen-alloy, WSSe. Highly strained WSSe MLs are obtained through the formation of micro-domes filled with high-pressure hydrogen. Such structures are achieved by hydrogen-ion irradiation of the bulk material, a technique successfully employed in TMDs and h-BN. Atomic force microscopy studies of the WSSe ML domes show that the dome morphology can be reproduced in terms of the average of the elastic parameters and adhesion energy of the end compounds WSe 2 and WS 2. Micro-photoluminescence measurements of the WSSe domes demonstrate that the exceedingly high strains (ε ∼ 4 %) achieved in the domes trigger a direct-to-indirect exciton transition, similarly to WSe 2 and WS 2. Our findings heighten the prospects of 2D alloys as strain- and composition-engineerable materials for flexible optoelectronics. [ABSTRACT FROM AUTHOR]

L-cysteine, a precursor of essential components for plant growth, is synthesized by the cysteine synthase complex, which includes O-acetylserine(thiol) lyase (OAS-TL) and serine acetyltransferase. In this work, we investigated how S-benzyl-L-cysteine (SBC), an OAS-TL inhibitor, affects the growth, photosynthesis, and oxidative stress of Ipomoea grandifolia plants. SBC impaired gas exchange and chlorophyll a fluorescence, indicating damage that compromised photosynthesis and reduced plant growth. Critical parameters such as the electron transport rate (J), triose phosphate utilization (TPU), light-saturation point (LSP), maximum carboxylation rate of Rubisco (Vcmax), and light-saturated net photosynthetic rate (PNmax) decreased by 19%, 20%, 22%, 23%, and 24%, respectively. The photochemical quenching coefficient (qP), quantum yield of photosystem II photochemistry (ϕPSII), electron transport rate through PSII (ETR), and stomatal conductance (gs) decreased by 12%, 19%, 19%, and 34%, respectively. Additionally, SBC decreased the maximum fluorescence yield (Fm), variable fluorescence (Fv), and chlorophyll (SPAD index) by 14%, 15%, and 15%, respectively, indicating possible damage to the photosynthetic apparatus. SBC triggered root oxidative stress by increasing malondialdehyde, reactive oxygen species, and conjugated dienes by 30%, 55%, and 61%, respectively. We hypothesize that dysfunctions in sulfur-containing components of the photosynthetic electron transport chain, such as the cytochrome b6f complex, ferredoxin, and the iron–sulfur (Fe-S) centers are the cause of these effects, which ultimately reduce the efficiency of electron transport and hinder photosynthesis in I. grandifolia plants. In short, our findings suggest that targeting OAS-TL with inhibitors like SBC could be a promising strategy for the development of novel herbicides. [ABSTRACT FROM AUTHOR]

The Vehicle Routing Problem (VRP) is a well-known discrete optimization problem that has an impact on theoretical and practical applications. In this paper, a freight distribution model that includes a charging system located at the depot, making it feasible for real world-implementation, is proposed. Two different solution methods are proposed and compared: a genetic algorithm (GA) and a population-based simulated annealing (PBSA) with the number of moves increasing during the iterations. Among the variety of algorithm used to solve the VRP, population-based search methods are the most useful, due to the ability to update the memory at each iteration. To demonstrate the practical aspects of the proposed solution a case study is solved using travel time on a real network to evaluate the potentiality for a real-world application. [ABSTRACT FROM AUTHOR]

We deal, for the classical N -body problem, with the existence of action minimizing half entire expansive solutions with prescribed asymptotic direction and initial configuration of the bodies. We tackle the cases of hyperbolic, hyperbolic-parabolic and parabolic arcs in a unified manner. Our approach is based on the minimization of a renormalized Lagrangian action on a suitable functional space. With this new strategy, we are able to confirm the already-known results of the existence of both hyperbolic and parabolic solutions, and we prove for the first time the existence of hyperbolic-parabolic solutions for any prescribed asymptotic expansion in a suitable class. Associated with each element of this class we find a viscosity solution of the Hamilton-Jacobi equation as a linear correction of the value function. Besides, we also manage to give a precise description of the growth of parabolic and hyperbolic-parabolic solutions. [ABSTRACT FROM AUTHOR]

To achieve ambitious United Kingdom decarbonization targets, consumers will need to engage with energy services more so than they have done to date. This engagement could be active or delegated, where in the latter consumers pass responsibility for engagement to a third party in return for ceding some control over decisions. To date, insight into the barriers to consumer adoption of future business models has been limited. To address this gap this study explored benefits, risks and enabling conditions using two extreme consumer-centric business models, third Party Control and Shared Economy. The approach yielded information from stakeholders on what would have to be true for one of the business models to dominate the market. The results show substantial agreement across the expert groups on five key issues that will need to be addressed in the near-term to enable energy business model innovation in the United Kingdom market. These are: 1) Create space to enable business model innovation; 2) Ensure smart devices and data are interoperable and secure; 3) Improve the service standards of energy businesses; 4) Ensure business models work for consumers in all situations; and 5) Implement targeted carbon regulation. [ABSTRACT FROM AUTHOR]

Simple Summary: In recent years, liquid biopsy has been introduced as a new method for the detection and management of cancer, but the studies on oral squamous cell carcinoma (OSCC) are lacking conclusive evidence. The aim of this study was to evaluate the expression of six circulating salivary and plasmatic miRNAs (-21, -31, -138, -145, -184, and -424) as diagnostic biomarkers in patients affected by OSCC and by oral potentially malignant disorders (OPMDs). Our results showed that liquid biopsy from saliva may be a useful tool for the identification of these biomarkers; in particular, miR-138 and miR-424 showed decreased expression levels in saliva samples in OSCC and OPMD patients compared to healthy controls. The introduction of liquid biopsy in daily clinical practice could revolutionize the approach to oral lesions by allowing the mass screening, stratification and monitoring of patients at risk, the monitoring of the response to treatment and the early identification of any recurrences. This study aims to evaluate the expression of salivary and plasmatic miRNAs as diagnostic biomarkers in patients with oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMDs). A total of 25 patients were divided into three groups, according to their diagnosis: OSCC patients (n = 14); OPMDs patients (n = 6); and healthy controls (n = 5). At the time at diagnosis/enrolment, patients underwent salivary and plasmatic collection. The expression of miRNA -21, -31, -138, -145, -184, and -424 were evaluated by real-time PCR. An F-test and ANOVA test were performed to evaluate the miRNA levels (significance at p < 0.05). By comparing miRNA expression levels from saliva, a statistically significant difference emerged in the expression of miR-138 and miR-424 between the three groups (p < 0.05). In particular, these two miRNAs showed decreased expression levels in saliva samples from OSCC and OPMD patients compared to those from healthy controls. On the other hand, miRNA expression levels in plasma were low in all the groups, and no statistically significant differences were found. Overall, our results showed that liquid biopsy from saliva may be a useful tool for the identification of diagnostic molecular biomarkers in OSCC and OPMDs. [ABSTRACT FROM AUTHOR]

Objective: In this study, dentine surface was analysed through Environmental‐scanning‐electron‐microscopy (ESEM) with energy‐dispersive‐X‐ray‐spectrometry (EDX) and Fourier‐transform‐infrared‐spectroscopy (FTIR) with attenuated total‐reflectance (ATR) to assess the morpho‐chemical changes and variations in mineralization degree after demineralizing treatment, after five toothpastes application (HA & Citrate toothpaste, Zinc‐HA toothpaste, Calcium Sodium Phosphosilicate toothpaste, Arginine & Calcium carbonate toothpaste, Colgate‐Triple‐Action, and Control toothpaste), after soaking in artificial saliva and after citric acid attack. Methods: Ca/P, Ca/N and P/N ratios were calculated from EDX atomic data to evaluate the mineralization degree of dentine surface. The IR calcium phosphate (CaP)/collagen and carbonate/collagen ratios has been evaluated to assess the remineralization changes in dentine; the carbonate/collagen IR ratio was calculated to identify the nucleation of B‐type‐carbonated apatite and calcium carbonate. Results: ESEM–EDX and ATR–FTIR showed residuals of toothpastes after the treatments in all cases, with a general increase in the mineralization degree after soaking in artificial saliva and a decrease after acid attack. Treatment with Arginine & Calcium carbonate toothpaste showed the highest Ca/P value after treatment (Ca/P 1.62) and acid attack (Ca/P 1.5) in confirmation, IR showed the highest amount of carbonate after treatment and soaking in artificial saliva. Arginine and calcium carbonate toothpaste and HA and citrate toothpaste remained to a higher extent on the dentine surface and revealed a higher remineralization activity. These formulations showed higher resistance to demineralization attack, as demonstrated by a higher ICaP/IAmide II intensity ratio than those obtained after EDTA treatment. Conclusions: Toothpastes that remained to a higher extent on dentine surface (arginine and calcium carbonate toothpaste in particular) were more able to promote remineralization. The formed calcium phosphate (CaPs) phase was intimately bound to dentine rather than a simple deposit. [ABSTRACT FROM AUTHOR]

For children living in the urban slums of Nairobi (Kenya), primary health conditions are not guaranteed, and oral diseases add further concern at social and institutional levels beyond the general poverty conditions. This study aims at determining the factors that influence the oral health status of children living in Nairobi slums. A cross-sectional study on school-aged subjects was conducted in June 2022 in three urban slum areas of Nairobi through a pediatric dental screening. The PI (Plaque Index), CPITN (Community Periodontal Index of Treatment Needs), and dmft (decayed, missing, and filled teeth index—deciduous) were considered as primary outcomes of dental health. Multivariate statistical analysis, based on ordinal and zero-inflated negative binomial regression models, was conducted to identify determinants of the oral outcomes in a wide set of potential predictors. A sample of 359 children aged 2–17 was examined. The PI was significantly associated with age, the type of bite, and the use of a toothbrush. The CPITN is influenced by different types of malocclusions, abnormal frenulum, dental trauma, and fluorosis. Dietary habits were found to significantly impact the susceptibility to dental caries. Fluorosis and a dental visit in the last year were highlighted as risk and protective factors, respectively, against higher rates of caries. The oral health features of children living in Nairobi slums are differently affected by socio-demographic conditions, dietary habits, dental characteristics, and oral care practices. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to investigate the association between peri‐implant diseases and systemic inflammation assessed by serum C‐reactive protein (CRP) levels in a sample of patients with hypertension. Methods: A total of 151 participants with hypertension were included in a cross‐sectional study. The population was divided into six groups according to their peri‐implant and periodontal status (healthy controls, mucositis, peri‐implantitis, periodontitis, periodontitis and mucositis, periodontitis, and peri‐implantitis). Linear, logistic regression, and correlation analyses were performed. Results: CRP levels were statistically significantly higher in participants with periodontitis alone (median 3.2 mg/L, interquartile range [IQR] 1.8, p = 0.012), combined with mucositis (3.10 mg/L, IQR 2.35, p < 0.001) or peri‐implantitis (2.7 mg/L, IQR 2.53, p = 0.002) when compared to the healthy controls (1 mg/L, IQR 1.2). This association was independent of age, sex, smoking status, and adiposity differences. Participants with periodontitis with and without peri‐implant diseases had the greatest odds of exhibiting CRP > 3 mg/L (odds ratio = 7.3, 95% confidence interval 1.6–33.9). Conclusions: Peri‐implant diseases are associated with systemic inflammation, but the nature of the association should be further investigated. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to compare achieved movements with predicted movements after 28‐week use of Invisalign Lite aligners. Settings and Sample Population: The digital impressions of 21 subjects treated with Invisalign Lite at a private practice and in the dental clinic (Milan, Italy) were taken and analysed. Subjects were Caucasian with a mean age of 20.1 years. Methods: Patients were analysed at two time points: at T0, before starting therapy, and at T1, after 28 weeks of treatment with Invisalign clear aligners, with a 2‐week change interval. The changes that occurred between T0 and T1 were compared to the predicted changes between T0 and Ts (setup/ClinCheck). Tooth movement performance was estimated through variables calculated as the difference between obtained and planned movements. Results: In both maxillary and mandibular arches, the teeth that exhibited the least accurate expression of torque were the central incisors. Tip was not accurate on maxillary central incisors and canines, mandibular central incisors, lateral incisors, first premolars, second premolars and first molars. Rotations were under‐expressed on maxillary lateral incisors, canines and second premolars and on mandibular central incisors, canines, first premolars, second premolars and first molars. The overall angular changes showed a tendency to underperformance. Transverse linear changes were accurate with a significant overperformance on maxillary and mandibular first molars. Conclusions: Torque correction of maxillary central incisors, as well as rotational correction of most of the teeth, showed significant differences between what was planned and what was obtained. [ABSTRACT FROM AUTHOR]

The discovery of new herbicides is one of the most significant challenges of modern agriculture. Estimates indicate that for every 200,000 molecules assessed, only one will have promising characteristics. We evaluated the effects of 0, 125, 250, 500, 1000, 1500, 2000, and 2500 µM 3-cyanobenzoic acid, a synthetic compound derived from benzoic acid, on the growth and antioxidant and energy metabolism of maize seedlings grown in a hydroponic medium for 96 h. The root length and fresh and dry weights of roots and leaves were significantly reduced by 3-cyanobenzoic acid, probably due to increased reactive oxygen species (ROS) generation. In contrast, the activities of peroxidase, catalase, and superoxide dismutase were stimulated in roots. Increases in potassium cyanide (KCN)-sensitive and salicylhydroxamic acid (SHAM) respiration were evident in the root apexes. Interestingly, the ATP contents were up to 2-fold greater in the treated roots than in the control roots. However, 3-cyanobenzoic acid did not influence oxygen consumption by isolated mitochondria when succinate and/or L-malate were used as substrates. Altogether, our data suggest that 3-cyanobenzoic acid reduces the growth of maize seedlings through the induction of oxidative stress. The stimulation of respiration sensitive to SHAM was due to the electron drain of the cytochrome oxidase (COX) pathway to the alternative oxidase pathway (AOX), with a consequent increase in ROS production. In addition, 3-cyanobenzoic acid should stimulate respiration sensitive to KCN (via cytochrome oxidase, COX) and AOX indirectly by a mechanism not yet known. [ABSTRACT FROM AUTHOR]

This paper proposes the assessment of the impacts of using electric vehicles for urban service trips. In particular, the focus is on trips performed for delivering and installing products, as well as for reverse logistics. Such components of commercial traffic in urban areas have not received the level of attention it deserves. In fact, recent research on commercial traffic mainly deals with shop restocking, service visits to establishments and e-commerce deliveries, and limited attention has been paid to the service sector (e.g., installation, maintenance, repairs) which can have a high impact on city sustainability in terms of pollution emissions, congestion as well as land use for parking. Furthermore, pushed by the current trend towards the promotion of electric vehicles, an assessment is developed comparing potential service patterns using real data from the inner area of Rome (Italy) when the electric fleet replaces the traditional one. Results show the opportunity to decouple the delivery operation from the installation one, and to integrate service with reverse logistics. These significant results could address the adoption of suitable integrated urban policies to make the most of the opportunities arising from the use of electric vehicles. [ABSTRACT FROM AUTHOR]

United States (US) Special Operations Forces (SOF) are frequently exposed to explosive blasts in training and combat, but the effects of repeated blast exposure (RBE) on SOF brain health are incompletely understood. Furthermore, there is no diagnostic test to detect brain injury from RBE. As a result, SOF personnel may experience cognitive, physical, and psychological symptoms for which the cause is never identified, and they may return to training or combat during a period of brain vulnerability. In 30 active-duty US SOF, we assessed the relationship between cumulative blast exposure and cognitive performance, psychological health, physical symptoms, blood proteomics, and neuroimaging measures (Connectome structural and diffusion MRI, 7 Tesla functional MRI, [11C]PBR28 translocator protein [TSPO] positron emission tomography [PET]-MRI, and [18F]MK6240 tau PET-MRI), adjusting for age, combat exposure, and blunt head trauma. Higher blast exposure was associated with increased cortical thickness in the left rostral anterior cingulate cortex (rACC), a finding that remained significant after multiple comparison correction. In uncorrected analyses, higher blast exposure was associated with worse health-related quality of life, decreased functional connectivity in the executive control network, decreased TSPO signal in the right rACC, and increased cortical thickness in the right rACC, right insula, and right medial orbitofrontal cortex--nodes of the executive control, salience, and default mode networks. These observations suggest that the rACC may be susceptible to blast overpressure and that a multimodal, network-based diagnostic approach has the potential to detect brain injury associated with RBE in active-duty SOF. [ABSTRACT FROM AUTHOR]

The shikimate pathway is crucial for the biosynthesis of aromatic amino acids in plants and represents a promising target for developing new herbicides. This work aimed to identify inhibitors of shikimate dehydrogenase (SDH), a key enzyme of the shikimate pathway that catalyzes the conversion of 3-dehydroshikimate to shikimate. Virtual screening and molecular dynamic simulations were performed on the SDH active site of Arabidopsis thaliana (AtSDH), and 6-nitroquinazoline-2,4-diol (NQD) was identified as a potential inhibitor. In vitro assays showed that NQD decreased the activity of AtSDH by reducing Vmax while keeping KM unchanged, indicating non-competitive inhibition. In vivo, hydroponic experiments revealed that NQD reduced the root length of soybean and maize. Additionally, NQD increased the total protein content and certain amino acids. Soybean roots uptake NQD more efficiently than maize roots. Furthermore, NQD reduced shikimate accumulation in glyphosate-treated soybean roots, suggesting its potential to restrict the flow of metabolites along the shikimate pathway in soybean. The simultaneous treatment of maize seedlings with glyphosate and NQD accumulated gallic acid in the roots, indicating that NQD inhibits SDH in vivo. Overall, the data indicate that NQD inhibits SDH both in vitro and in vivo, providing valuable insights into the potential development of herbicides targeting SDH. [ABSTRACT FROM AUTHOR]

Promoting the shift from private cars to micromobility (e.g., bike, e-bike, scooter) can represent a valuable action to improve city sustainability and liveability. Micromobility can help to replace trips by individual private cars (e.g., daily short round trips) as well as to improve coverage and accessibility of transit services, and, subsequently, to reduce the traffic impacts (e.g., pollutant emissions). It can be seen as a potential solution to move people more efficiently in urban areas, as well as to push people towards a more active mobility behaviour, contributing to the well-being goals. In this context, the paper, rather than inferring the users' propensity to change their travel mode, proposes a methodology to identify car trips that can be considered the most compatible with micromobility. Estimation of the potential demand (e.g., the upper level of car trips that could be replaced by micromobility) is carried out by exploiting the opportunity offered by floating car data (FCD) for characterising car trips. Its goodness is therefore evaluated through an application to a real case study (i.e., the city of Trani, Apulia Region, Southern Italy), divided into seventy traffic zones, and where a FCD dataset of about 5,200 trips was available. The FCD allowed the car trips to be characterised (e.g., origin and destination, path features) instead of using the traditional surveys. The results indicate that a significant share of daily car trips can be substituted (i.e., the most compatible) by micromobility (31% of car round trips in the case study), with considerable potential environmental gains (traffic emission reduction; less than 21% of total emissions from private cars). Results can be of interest to local authorities in integrating micromobility in urban mobility planning and promoting new sustainable transport alternatives, as well as to transport companies for designing new appeal services. The developed methodology is parametric and uses easy-to-obtain data available worldwide; thus, it can be easily transferred to other city contexts. [ABSTRACT FROM AUTHOR]

Background: The KEYNOTE-048 trial showed that pembrolizumab-based first-line treatment for R/M HNSCC led to improved OS in the PD-L1 CPS ≥ 1 population when compared to the EXTREME regimen. However, the R/M HNSCC real-world population is generally frailer, often presenting with multiple comorbidities, worse performance status and older age than the population included in phase III clinical trials. Methods: This is a retrospective, single-centre analysis of patients with R/M HNSCC treated with pembrolizumab-based first-line treatment. Results: From February 2021 to March 2023, 92 patients were treated with pembrolizumab-based first-line treatment. Patients treated with pembrolizumab-based chemoimmunotherapy had better ECOG PS and younger age than those treated with pembrolizumab monotherapy. Median PFS and OS were 4 months and 8 months, respectively. PFS was similar among patients treated with pembrolizumab-based chemoimmunotherapy and pembrolizumab monotherapy, while patients treated with pembrolizumab monotherapy had worse OS (log-rank p =.001, HR 2.7). PFS and OS were improved in patients with PD-L1 CPS > = 20 (PFS: log-rank p =.005, HR 0.50; OS: log-rank p =.04, HR 0.57). Patients with higher ECOG PS scores had worse PFS and OS (PFS, log-rank p =.004; OS, log-rank p = 6e-04). In multivariable analysis, ECOG PS2 was associated with worse PFS and OS. Conclusions: PFS in our real-world cohort was similar to the KEYNOTE-048 reference while OS was numerically inferior. A deeper understanding of clinical variables that might affect survival outcomes of patients with R/M HNSCC beyond ECOG PS and PD-L1 CPS is urgently needed. [ABSTRACT FROM AUTHOR]

Absent in animals and with only seven enzymatic reactions toward the synthesis of chorismate and aromatic amino acids, the shikimate pathway is a crucial target for developing antimicrobial agents and herbicides. Although this pathway has been extensively studied in microorganisms related to human health, it reveals complexities in plants, as it takes part in primary and secondary metabolism. Obtaining enzyme inhibitors is essential to circumvent the occurrence of weeds resistant to commercially available herbicides and to help control human diseases, which has challenged researchers to search for new molecules and investigate their modes of action. By applying bioinformatics tools, thousands of enzyme inhibitors of this metabolic pathway can be prospected at a low cost and in a short time. Here, we revisit how the enzymes of the shikimate pathway have been characterized and update the status of their inhibitors in microorganisms and plants. This overview can be constructive in searching for enzyme inhibitors in the academic, human health, and agro-industrial fields. [ABSTRACT FROM AUTHOR]

Background: During the SARS-CoV-2 testing program offered through the RT-PCR test by Sapienza University of Rome, we conducted a test-negative case-control study to identify risk factors for acquiring SARS-CoV-2 infection among university students. Methods: Each SARS-CoV-2-positive case detected was matched to two controls randomly selected from students who tested negative on the same day. 122 positive students and 244 negative students were enrolled in the study. Multivariable conditional logistic regression models were built. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated. A second model was limited to students who had attended campus. Results: Out of 8223 tests for SARS-CoV-2, 173 students tested positive (2.1%), of whom 122 (71.5%) were included in the case-control study. In the first analysis, being a non-Italian student (aOR: 8.93, 95% CI: 2.71–29.41), having received only the primary vaccination course (aOR: 2.94, 95% CI: 1.24–6.96) compared to the booster dose, known exposure to a COVID-19 case or someone with signs/symptoms suggestive of COVID-19 (aOR: 6.51, 95% CI: 3.48–12.18), and visiting discos (aOR: 4.07, 95% CI: 1.52–10.90) in the two weeks before testing increased the likelihood of SARS-CoV-2 infection. Conversely, students attending in-person lectures on campus seemed less likely to become infected (aOR: 0.34, 95% CI: 0.15–0.77). No association was found with other variables. The results of the second model were comparable to the first analysis. Conclusions: This study indicates that if universities adopt strict prevention measures, it is safe for students to attend, even in the case of an infectious disease epidemic. [ABSTRACT FROM AUTHOR]

Radiomics represents the convergence of artificial intelligence and radiological data analysis, primarily applied in the diagnosis and treatment of cancer. In the head and neck region, squamous cell carcinoma is the most prevalent type of tumor. Recent radiomics research has revealed that specific bio-imaging characteristics correlate with various molecular features of Head and Neck Squamous Cell Carcinoma (HNSCC), particularly Human Papillomavirus (HPV). These tumors typically present a unique phenotype, often affecting younger patients, and show a favorable response to radiation therapy. This study provides a systematic review of the literature, summarizing the application of radiomics in the head and neck region. It offers a comprehensive analysis of radiomics-based studies on HNSCC, evaluating its potential for tumor evaluation, risk stratification, and outcome prediction in head and neck cancer treatment. [ABSTRACT FROM AUTHOR]

Developing efficient and robust computational models is essential to improve our understanding of protein solution behavior. This becomes particularly important to tackle the high-concentration regime. In this context, the main challenge is to put forward coarse-grained descriptions able to reduce the level of detail, while retaining key features and relevant information. In this work, we develop an efficient strategy that can be used to investigate and gain insight into monoclonal antibody solutions under different conditions. We use a multi-scale numerical approach, which connects information obtained at all-atom and amino-acid levels to bead models. The latter has the advantage of reproducing the properties of interest while being computationally much faster. Indeed, these models allow us to perform many-protein simulations with a large number of molecules. We can, thus, explore conditions not easily accessible with more detailed descriptions, perform effective comparisons with experimental data up to very high protein concentrations, and efficiently investigate protein–protein interactions and their role in phase behavior and protein self-assembly. Here, a particular emphasis is given to the effects of charges at different ionic strengths. [ABSTRACT FROM AUTHOR]

Highly aligned multi-wall carbon nanotubes were investigated with scanning electron microscopy (SEM), Raman spectroscopy and X-ray photoelectron spectroscopy (XPS) before and after bombardment performed using noble gas ions of different masses (argon, neon and helium), in an ultra-high-vacuum (UHV) environment. Ion irradiation leads to change in morphology, deformation of the carbon (C) honeycomb lattice and different structural defects in multi-wall carbon nanotubes. One of the major effects is the production of bond distortions, as determined by micro-Raman and micro-X-ray photoelectron spectroscopy. We observe an increase in sp 3 distorted bonds at higher binding energy with respect to the expected sp 2 associated signal of the carbon 1s core level, and increase in dangling bonds. Furthermore, the surface damage as determined by the X-ray photoelectron spectroscopy carbon 1s core level is equivalent upon bombarding with ions of different masses, while the impact and density of defects in the lattice of the MWCNTs as determined by micro-Raman are dependent on the bombarding ion mass; heavier for helium ions, lighter for argon ions. These results on the controlled increase in sp 3 distorted bonds, as created on the multi-wall carbon nanotubes, open new functionalization prospects to improve and increase atomic hydrogen uptake on ion-bombarded multi-wall carbon nanotubes. [ABSTRACT FROM AUTHOR]

Cellulosic ethanol production will decrease our dependence on fossil fuels, positively impacting global warming, energy security, and urban pollution. In the last few years, our group has screened a few enzyme inhibitors of the phenylpropanoid pathway. We have shown that when some enzyme inhibitors are sprayed in young plants, they increase the lignocellulose saccharification in the long term at the workbench scale. Here, we screened five aromatic compounds for their ability to improve the saccharification of maize plants. Benzohydrazide increased saccharification in a broad range of concentrations in growth-room experiments, and it was selected for field-scale assays. At 20 g ha−1 (500 μM, 300 L ha−1), benzohydrazide increased by 33 and 46%, respectively, the saccharification of lignocellulose from maize leaves and stems. When the lignocellulose biomass of maize plants, sprayed with benzohydrazide or not, was submitted to hydrogen peroxide–acetic acid delignification pretreatment, benzohydrazide increased the saccharification by up to 76%. Benzohydrazide did not significantly affect any other biometric (length or fresh and dry weights) or biochemical (lignin, monolignols, structural hydroxycinnamates) parameters assessed. In brief, benzohydrazide could be used to improve saccharification in agroenergy crops. [ABSTRACT FROM AUTHOR]

The osmotic pressure of dilute electrolyte solutions containing charged macro-ions as well as counterions can be computed directly from the particle distribution via the well-known cell model. Originally derived within the Poisson–Boltzmann mean-field approximation, the cell model considers a single macro-ion centered into a cell, together with counterions needed to neutralize the total cell charge, while it neglects the phenomena due to macro-ion correlations. While extensively applied in coarse-grained Monte Carlo (MC) simulations of continuum solvent systems, the cell model, in its original formulation, neglects the macro-ion shape anisotropy and details of the surface charge distribution. In this paper, by comparing one-body and two-body coarse-grained MC simulations, we first establish an upper limit for the assumption of neglecting correlations between macro-ions, and second, we validate the approximation of using a non-spherical macro-ion. Next, we extend the cell model to all-atom molecular dynamics simulations and show that protein concentration-dependent osmotic pressures can be obtained by confining counterions in a virtual, spherical subspace defining the protein number density. Finally, we show the possibility of using specific interaction parameters for the protein–ion and ion–ion interactions, enabling studies of protein concentration-dependent ion-specific effects using merely a single protein molecule. [ABSTRACT FROM AUTHOR]

The "Urbino Charter" is a document aimed at promoting the wellbeing of the working person that the Olympus Observatory of the University of Urbino Carlo Bo and the Rubes Triva National Foundation, a joint body in the field of environmental hygiene, presented in Bilbao at a public conference in March 2023. The Charter has the objective of stimulating reflection on the issues related to prevention while drawing attention to the essential values for the effective protection of workers' health, safety and well-being. This commentary has the aim of presenting the 10 statements of the Chart, from a perspective of Occupational health and safety. [ABSTRACT FROM AUTHOR]

This work describes a resonance Raman study performed in the domes of monolayer MoS2 using 23 different laser excitation energies covering the visible and near-infrared (NIR) ranges. The multiple excitation results allowed us to investigate the exciton–phonon interactions of different phonons (A ′ 1, E ′ , and LA) with different excitonic optical transitions in biaxially strained monolayer MoS 2 . The analysis of the intensities of the two first-order peaks, A ′ 1 and E ′ , and the double-resonance 2LA Raman band as a function of the laser excitation furnished the values of the energies of the indirect exciton and the direct excitonic transitions in the strained MoS 2 domes. It was noticed that the out-of-plane A ′ 1 phonon mode is significantly enhanced only by the indirect exciton I and the C exciton, whereas the in-plane E ′ mode is only enhanced by the C exciton of the MoS2 dome, thus revealing the weak interaction of these phonons with the A and B excitons in the strained MoS 2 domes. On the other hand, the 2LA Raman band is significantly enhanced at the indirect exciton I and by the A (or B) exciton but not enhanced by the C exciton, thus showing that the LA edge phonons that participate in the double-resonance process in MoS 2 have a weak interaction with the C exciton. [ABSTRACT FROM AUTHOR]

Background Robotic-assisted percutaneous coronary intervention (R-PCI) is increasingly gaining acceptance owing to several advantages. Case summary Here, we report the first-in-human R-PCI performed with RObotic System for Endovascular Surgery (ROSES), an innovative robotic system designed to perform transcatheter angioplasty. We have reported a case of severe proximal posterolateral (PL) branch disease of the right coronary artery managed with R-PCI. Discussion In this early clinical experience, the use of the ROSES robotic system seems to be safe and effective. However, this report still represents an early feasibility study, and the use of this technology in more challenging anatomies including the presence of severe tortuosity, severe calcification, or interventions requiring multiple wires and balloons needs to be further studied. A larger, prospective, multicentre pivotal clinical trial designed to test the ROSES robotic angioplasty system in a larger number of patients is currently ongoing. [ABSTRACT FROM AUTHOR]

Purpose: Evaluate the effectiveness of the head-of-bed elevation position (HOBE) with a 30° elevation of the head and trunk, in improving obstruction of the upper airways in obstructive sleep apnea (OSA) patients. A prospective trial simultaneously performing drug-induced sleep endoscopy (DISE) and polysomnography (PSG) tests was performed. Methods: Forty-five patients were included in the prospective study protocol. All patients enrolled in the study and underwent the following evaluations: (1) a drug-induced sleep endoscopy, with an evaluation of obstructions and collapse of the upper airways at 0° and in a HOBE position, with head and trunk elevation of 30°; (2) an overnight PSG assessment in the hospital with head and trunk elevation from 0° to 30° during the night; (3) a questionnaire to evaluate the feedback of patients to sleeping with head-of-bed elevation. Results: Velum (V) and oropharynx lateral wall (O) collapses were reduced in the 30° up position. There were no statistical differences that emerged in the obstruction of the tongue base and epiglottis between the 0° position and the 30° up position (p > 0.05). The average AHI score changed from 23.8 ± 13.3 (0° supine position) to 17.7 ± 12.4 (HOBE position), with a statistical difference (p = 0.03); the same statistical difference emerged in the percentage of apneas that decreased from 55 ± 28.1 to 44 ± 25.8 (p = 0.05). Conclusions: By adopting the HOBE position with 30° elevation of the head and trunk, it is possible to obtain a reduction of upper airways collapses and an improvement of apnea/hypopnea events and nightly respiratory outcomes. [ABSTRACT FROM AUTHOR]

Background: Most children with ASD require orthodontic treatment to correct a malocclusion, to restore masticatory function, and for cosmetic reasons. The use of orthodontic devices, however, could lead to a distortion of the child's routine, causing mood alterations, on the one hand, and a worsening of their oral hygiene status, on the other. The aim of this study is to evaluate the impact of orthodontic therapy on the daily management and level of collaboration of children with ASD determined using the Frankl scale. Materials and methods: An anonymous questionnaire was administered to 20 pairs of parents of children in which they were asked to evaluate any behavioral changes and/or difficulties encountered at the beginning of orthodontic treatment as well as their degree of satisfaction with the level of information received from medical personnel. Results: In about half of the sample, there were behavioral changes and difficulties in managing the treatment. Most of the responses received indicated parental satisfaction both with regard to the emotional impact on the children with respect to the introduction of the treatment and with regard to the attention received from the medical staff. Furthermore, there was a statistically significant increase (p = 0.001) in the Frankl scale score after treatment. Conclusions: Home management, which has always been the most difficult obstacle to overcome, with the support of a competent team can not only improve the quality of life of patients affected by ASD but also improve their collaboration and state of oral health without altering their emotionality. [ABSTRACT FROM AUTHOR]

Objectives: The aim of the study was to evaluate the effectiveness of extra virgin olive (EVO) oil and fruity oil for the treatment of gingivitis. Materials and Methods: A sample of 75 patients over 18 years of age with gingivitis induced by plaque bacteria was divided into three groups: study group A, with extra virgin olive oil; study group B, with fruity oil; and control group C. In the two study groups, EVO oil was administered as a mouthwash to patients with gingival inflammation. The protocol included a daily application of the product for 30 days, with three recalls 15 days apart. Clinical parameters of plaque formation and gingivitis, including plaque index (PI) and bleeding index (BI), were assessed at each recall and scored on a specific periodontal chart. The control group received no mouthwash treatment in addition to normal daily oral hygiene procedures, and the same clinical parameters as the study group were evaluated. Data were evaluated using SPSS 27.0 software for Windows (SPSS Inc., Chicago, IL, USA). Then, the pre- and post-treatment values of the groups were compared using Student's t-test, setting p < 0.05 as the significance level. Results: Comparison of the three groups showed that extra-virgin olive oil was an adjuvant in the treatment of gingival inflammation, improving PI and BI. In group A, the mean plaque index showed a 48% reduction, and the bleeding index showed a 64% reduction after 30 days. In group B, the mean plaque index showed a 35% reduction and a bleeding index reduction of 43% after 30 days. Conclusions: The collected data showed significant improvements in the formation of bacterial plaque and gingivitis. The exact mechanism of such treatment is still to be elucidated. As a result of this, further studies with a different sample of patients than those used and a comparison with other products need to be addressed to verify and demonstrate the antibacterial and anti-inflammatory effects of the components of this natural product. [ABSTRACT FROM AUTHOR]

New technologies and materials could help in this fight against healthcare-associated infections. As the majority of these infections are caused by antibiotic-resistant bacteria, the development of materials with intrinsic antibacterial properties is a promising field of research. We combined chitosan (CS), with antibacterial properties, with polyhedral oligomeric silsesquioxanes (POSS), a biocompatible polymer with physico-chemical, mechanical, and rheological properties, creating a hydrogel using cross-linking agent genipin. The antibacterial properties of CS and CS-POSS hydrogels were investigated against nosocomial Gram-positive and Gram-negative bacteria both in terms of membrane damage and surface charge variations, and finally, the anti-biofilm property was studied through confocal microscopy. Both materials showed a good antibacterial capacity against all analyzed strains, both in suspension, with % decreases between 36.36 and 73.58 for CS and 29.86 and 66.04 for CS-POSS, and in plates with % decreases between 55.29 and 78.32 and 17.00 and 53.99 for CS and CS-POSS, respectively. The treated strains compared to the baseline condition showed an important membrane damage, which also determined a variation of surface charges, and finally, for both hydrogels, a remarkable anti-biofilm property was highlighted. Our findings showed a possible future use of these biocompatible materials in the manufacture of medical and surgical devices with intrinsic antibacterial and anti-biofilm properties. [ABSTRACT FROM AUTHOR]

l-3,4-Dihydroxyphenylalanine (l-DOPA) is a non-protein amino acid with many biological roles, and it accumulates in species of the Fabaceae family. Our earlier work showed that l-DOPA reduces photosynthesis in soybean plants by inducing stomatal closure and limiting carbon metabolism. Because the photosynthetic assimilation of carbon is closely associated with nitrogen metabolism, we evaluated the effects of l-DOPA on nitrate and ammonium uptake and their assimilation into amino acids in soybean plants. l-DOPA inhibited nitrate and ammonium uptake by the roots and the conversion of nitrate to ammonium in the roots and leaves by nitrate and nitrite reductases. Ammonium incorporation into glutamate and glutamine by the action of the glutamine synthetase/glutamate synthase cycle was also reduced in both organs. In contrast, there was an evident accumulation of free amino acids in the roots and leaves, probably caused by the increased degradation of proteins. Taken together, our data revealed that l-DOPA affects the ability of soybean plants to uptake and assimilate inorganic nitrogen into amino acids. [ABSTRACT FROM AUTHOR]

This article seeks to provide the most relevant aspects of the etiology, prevention, and management of bleeding in routine implant surgery. A comprehensive and systematic electronic search was conducted in MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews databases until June 2021. Further references of interest were retrieved from bibliographic lists of the selected articles and the "Related Articles" feature of PubMed. Eligibility criteria were papers about bleeding, hemorrhage, or hematoma associated with routine implant surgery on human subjects. Twenty reviews and 41 case reports fulfilled eligibility criteria and were included in the scoping review. Involved implants were mandibular in 37 and maxillary in 4 cases. The major number of bleeding complications was in the mandibular canine region. The most injured vessels were sublingual and submental arteries, due mainly to perforation of the lingual cortical plate. Time to bleeding occurred intraoperatively, at suturing, or postoperatively. The most reported clinical manifestations were swelling and elevation of the mouth floor and the tongue with partial or complete airway obstructions. First aid to manage airway obstruction was intubation and tracheostomy. For active bleeding control, gauze tamponade, manual or digital compression, hemostatic agents, and cauterization were applied. When conservative procedures failed, hemorrhage was controlled by intra- or extraoral surgical approaches to ligate injured vessels or by angiographic embolization. The present scoping review provides knowledge and evidence on the most relevant aspects of the etiology, prevention, and management of implant surgery bleeding complications. [ABSTRACT FROM AUTHOR]

Monolayers (MLs) of transition‐metal dichalcogenides host efficient single‐photon emitters (SPEs) usually associated to the presence of nanoscale mechanical deformations or strain. Large‐scale spatial control of strain would enhance the scalability of such SPEs and allow for their incorporation into photonic structures. Here, the formation of regular arrays of strained hydrogen‐filled one‐layer‐thick micro‐domes obtained by H‐ion irradiation and lithography‐based approaches is reported. Typically, the H2 liquefaction for temperatures T<32 K causes the disappearance of the domes preventing their use as potential SPEs. Here, it is shown that the dome deflation can be overcome by hBN heterostructuring, that is by depositing thin hBN flakes on the domes. This leads to the preservation of the dome structure at all temperatures, as found by micro‐Raman and micro‐photoluminescence (µ‐PL) studies. Eventually, spatially controlled hBN‐capped WS2 domes show the appearance, at 5 K, of intense emission lines originating from localized excitons, which are shown to behave as quantum emitters here. The electronic properties of the emitters are addressed by time‐resolved µ‐PL yielding time decays of 1–10 ns, and by magneto‐µ‐PL measurements. The latter provide an exciton magnetic moment a factor of two larger than the value observed in planar strain‐free MLs. [ABSTRACT FROM AUTHOR]

Purpose: To achieve high‐resolution multishot echo‐planar imaging (EPI) for functional MRI (fMRI) with reduced sensitivity to in‐plane motion and between‐shot phase variations. Methods: Two‐dimensional radiofrequency pulses were incorporated in a multishot EPI sequence at 7T which selectively excited a set of in‐plane bands (shutters) in the phase encoding direction, which moved between shots to cover the entire slice. A phase‐ and motion‐corrected reconstruction was implemented for the acquisition. Brain imaging experiments were performed with instructed motion to evaluate image quality for conventional multishot and shuttered EPI. Temporal stability was assessed in three subjects by quantifying temporal SNR (tSNR) and artifact levels, and fMRI activation experiments using visual stimulation were performed to assess the strength and distribution of activation, using both conventional multishot and shuttered EPI. Results: In the instructed motion experiment, ghosting was lower in shuttered EPI images without or with corrections and image quality metrics were improved with motion correction. tSNR was improved by phase correction in both conventional multishot and shuttered EPI and the acquisitions had similar tSNR without and with phase correction. However, while phase correction was necessary to maximize tSNR in conventional multishot EPI, it also increased intermittent ghosting, but did not increase intermittent ghosting in shuttered EPI. Phase correction increased activation strength in both conventional multishot and shuttered EPI, but caused increased spurious activation outside the brain and in frontal brain regions in conventional multishot EPI. Conclusion: Shuttered EPI supports multishot segmented EPI acquisitions with lower sensitivity to artifacts from motion for high‐resolution fMRI. [ABSTRACT FROM AUTHOR]

Simple Summary: The malignant transformation risk of oral lichen planus (OLP) is still a dilemma in the literature. The first report of oral squamous cell carcinoma with the origin of OLP was in 1910. Initially, the reported risk in the literature was high after this date; then, with the application of restricted criteria for the diagnosis of OLP, the reported risk become too low. Currently, there is a recommendation to conduct further studies in which other variables are considered, such as smoking and drinking habits and the type and localization of the lesion. This is in order to evaluate the exact risk of OLP and, correspondingly, to avoid the clinical underestimation by medical staff of the risk of malignant transformation of OLP. This study aims to retrospectively assess the potential risk of malignant transformation in patients with diagnosed oral lichen planus (OLP) between 2015 and 2022, and to evaluate the influence of different risk factors. The department's database and medical records from 2015 to 2022 were searched for patients with a confirmed diagnosis of OLP based on both clinical and histological parameters. A total of 100 patients (59 females and 41 males) were found with a mean age of 64.03 years. In the considered period, the percentage of diagnosed OLP patients was 1.6%, while the percentage of diagnosed OLP patients with transformation to oral squamous cell carcinoma (OSCC) was 0.18%. A statistically significant difference was found with age (p = 0.038), tobacco status (p = 0.022), and radiotherapy (p = 0.041). The analysis revealed the presence of significant risk in ex-smokers (>20 pack-years), with an odds ratio (OR) of 10.0000 (95% confidence interval (95% CI) 1.5793–63.3186); in alcohol-drinker patients, with an OR of 4.0519 (95% CI 1.0182–16.1253); in ex-smoker and alcohol-drinker patients, with OR of 17.6250 (95% CI 2.2464–138.2808); and in patients who had undergone radiotherapy, with OR of 6.3000 (95% CI 1.2661–31.3484). The malignant transformation of oral lichen planus was slightly higher than thought, and the results revealed a possible association with age, tobacco and alcohol status, and history of radiotherapy. An elevated risk of malignant transformation was observed in heavy ex-smoker patients, alcohol-drinker patients, and alcohol-drinker patients with a history of smoking (ex-smokers). Persuading the patient to quit tobacco and alcohol consumption and periodic follow-ups are recommended in general, but particularly in the presence of these risk factors. [ABSTRACT FROM AUTHOR]

Background: The use of effective, low-cost, and easy-to-use products for early caries management will avoid loss of dental vitality and impairment in oral function. The ability of fluoride to re-mineralize dental surfaces has been widely reported as well as vitamin D demonstrated to have significant potential in improving the remineralization of early lesions on enamel surfaces. The aim of the present ex vivo study was to evaluate the effect of a fluoride and vitamin D solution in terms of formation of mineral crystals on the enamel of primary teeth, and their permanence over time on dental surfaces. Methods: Sixteen extracted deciduous teeth were cut to obtain 64 specimens that were divided into two groups. The first consisted of immersion of specimens for 4 days in a fluoride solution (T1); in the second group, the specimens were immersed for 4 days (T1) in fluoride and Vitamin D solution, and for a further 2 (T2) and 4 days (T3) in saline solution. Then, samples were morphologically analyzed by using Variable Pressure Scanning Electron Microscope (VPSEM) and underwent 3D surface reconstruction. Results: After a 4-day immersion in both solutions, octahedral-shaped crystals were formed on the enamel surface of primary teeth, demonstrating any statistically significant differences in terms of number, size, and shape. Moreover, the binding of the same crystals seemed to be strong enough to be maintained until 4 days in saline solution. However, a partial dissolution was observed in a time-dependent manner. Conclusions: A topical application of fluoride and Vitamin D promoted the formation of persistent mineral crystals on enamel surfaces of deciduous teeth and should be further studied to be potentially used as an alternative strategy in preventive dentistry. [ABSTRACT FROM AUTHOR]

The most prominent form of nonlinear optical (NLO) frequency conversion is second harmonic generation (SHG), where incident light interacts with a nonlinear medium producing photons at double the input frequency, which has vast applications in material and biomedical science. Emerging two-dimensional nonlinear optical materials led by transition metal dichalcogenides (TMDs) have fascinating optical and mechanical properties and are highly anticipated to overcome the technical limitations imposed by traditional bulky NLO materials. However, the atomic scale interaction length and low conversion efficiency in TMD materials prevent their further implementation in NLO applications. While some uniaxial strain-engineering studies intensively investigated the anisotropic SHG response in TMDs, they did not realize giant SHG enhancement by exploiting the opto-mechanical characteristics. Herein, we employ proton (H+) irradiation to successfully fabricate large pressurized monolayer TMD domes (d ≥ 10 μm) and conduct a comprehensive investigation and characterization of their SHG performance enhancement. We show that the intensity of SHG is effectively enhanced by around two orders of magnitude at room temperature. Such giant enhancement arises from the distinct separation distance induced by capped pressurized gas and the hemi-spherical morphology, enabling constructive optical interference. Moreover, the unique divergent strain field in TMD domes promotes the first experimental study on the anisotropic nonlinear optical behavior based on biaxial strain conditions in terms of varying strain orientation and relative weights. Our work demonstrates a promising system with enhanced NLO performance and well-preserved biocompatibility, paving a way toward the future nano-scaled quantum optics design and biomedical applications. [ABSTRACT FROM AUTHOR]

In logistics and freight distribution, scheduling and cost efficiency are two crucial issues for transportation companies that look with favour at the innovation introduced by Intelligent Transportation Systems (ITS). Moreover, an infrastructure level of service, safety and environmental defence are important for planners and public administrations. In this sense, terminal capacity and landside operations at the maritime infrastructure represent an interesting task for the community. Thus, this paper contributes to the research by: (i) proposing a generic framework for the integration of autonomous and connected vehicles with physical infrastructures; (ii) evaluating the opportunity to manage traffic arrivals according to vehicles' priority and testing the effects of the introduction of a buffer zone outside the maritime port; (iii) improving efficiency and security within the terminal area by reducing waiting time and avoiding interference between flows. Moreover, the proposal for a discrete-event simulation model to assess terminal capacity in a ro-ro terminal is presented. Therefore, the paper contributes to some critical aspects towards sustainable development. First, regarding policy measures and actions, it proposes a valuable tool to assess what-if scenarios. Secondly, it represents a step forward in the process of smart corridor design for freight vehicles; in fact, it proposes a tool for managing landside operations at maritime ports and focuses on intervention in solving specific barriers and bottlenecks for freight who cross a ro-ro terminal daily. Furthermore, it offers a viable solution for managing connected vehicles in a context where full automation still needs to be achieved. The results evidenced the framework's capability to deal with the traffic demand, thus improving the efficiency of the terminal landside operations. [ABSTRACT FROM AUTHOR]

Freight transportation in urban areas represents an essential activity from the standpoint of economic development; in recent years, the spread of e-commerce (also accelerated by COVID-19) has contributed to increasing the demand for freight distribution over short distances. In most cities, the approaches and measures are often based on new technologies. Nevertheless, today there are contexts wherein delivery operations represent critical tasks to be solved. Furthermore, low accessibility areas, such as small islands, present further problems due to their exclusive dependence on maritime links (and often low-reliability services). This paper tackles this topic, formulating and solving a distribution problem by linking shipping services with last-mile distribution operated by means of an automatic delivery service (parcel lockers). A test application is proposed by considering the small island of Lipari in the archipelago of the Aeolian islands (Sicily, Southern Italy). The results show that such a type of service could reduce the user's waiting time when compared to traditional home deliveries. [ABSTRACT FROM AUTHOR]

T1 relaxation times of the 14 T1 phantom spheres that make up the standard International Society for Magnetic Resonance in Medicine (ISMRM)/National Institute of Standards and Technology (NIST) system phantom are reported at 7 T. T1 values of six of the 14 T1 spheres at 7 T (with T1 > 270 ms) have been reported previously, but, to the best of our knowledge, not all of the T1s of the 14 T1 spheres at 7 T have been reported before. Given the increasing number of 7‐T MRI systems in clinical settings and the increasing need for T1 phantoms that cover a wide range of T1 relaxation times to evaluate rapid T1 mapping techniques at 7 T, it is of high interest to obtain accurate T1 values for all the ISMRM/NIST T1 spheres at 7 T. In this work, T1 relaxation time was measured on a 7‐T MRI scanner using an inversion‐recovery spin‐echo pulse sequence and derived by curve fitting to a signal equation that exhibits insensitivity to B1+ inhomogeneity. Day‐to‐day reproducibility was within 0.4% and differences between two different RF coils within 1.5%. T1s of a subset of the 14 spheres were also measured by NMR at 7 T for comparison, and the T1 results were consistent between the MRI and NMR measurements. T1 measurements performed at 3 T on the same 14 spheres using the same sequence and fitting method yielded good agreement (mean percentage difference of −0.4%) with the reference T1 values available from the NIST, reflecting the accuracy of the reported technique despite being without the standard phantom housing. We found that the T1 values of all 14 NiCl2 spheres are consistently lower at 7 T than at 3 T. Although our results were well reproduced, this study represents initial work to quantify the 7‐T T1 values of all 14 NIST T1 spheres outside of the standard housing and does not warrant reproducibility of the ISMRM/NIST system phantom as a whole. A future study to assess the T1 values of a version of the ISMRM/NIST system phantom that fits inside typical commercial coils at 7 T will be very helpful. Nonetheless, the details on our acquisition and curve‐fitting methods reported here allow the T1 measurements to be reproduced elsewhere. The T1 values of all 14 spheres reported here will be valuable for the development of quantitative MR fingerprinting and rapid T1 mapping for a large variety of research projects, not only in neuroimaging but also in body MRI, musculoskeletal MRI, and gadolinium contrast‐enhanced MRI, each of which is concerned with much shortened T1. [ABSTRACT FROM AUTHOR]

Background: Cerebral Amyloid Angiopathy (CAA) is a cerebral small vessel disease that can lead to microstructural disruption of white matter (WM), which can be measured by the Peak Width of Skeletonized Mean Diffusivity (PSMD). We hypothesized that PSMD measures would be increased in patients with CAA compared to healthy controls (HC), and increased PSMD is associated with lower cognitive scores in patients with CAA. Methods: Eighty-one probable CAA patients without cognitive impairment who were diagnosed with Boston criteria and 23 HCs were included. All subjects underwent an advanced brain MRI with high-resolution diffusion-weighted imaging (DWI). PSMD scores were quantified from a probabilistic skeleton of the WM tracts in the mean diffusivity (MD) image using a combination of fractional anisotropy (FA) and the FSL Tract-Based Spatial Statistics (TBSS) algorithm (www.psmd-marker.com). Within CAA cohort, standardized z-scores of processing speed, executive functioning and memory were obtained. Results: The mean of age and sex were similar between CAA patients (69.6 ± 7.3, 59.3% male) and HCs (70.6 ± 8.5, 56.5% male) (p = 0.581 and p = 0.814). PSMD was higher in the CAA group [(4.13 ± 0.94) x 10-4 mm2/s] compared to HCs [(3.28 ± 0.51) x 10-4 mm2/s] (p < 0.001). In a linear regression model corrected for relevant variables, diagnosis of CAA was independently associated with increased PSMD compared to HCs (ß = 0.45, 95% CI 0.13-0.76, p = 0.006). Within CAA cohort, higher PSMD was associated with lower scores in processing speed (p < 0.001), executive functioning (p = 0.004), and memory (0.047). Finally, PSMD outperformed all other MRI markers of CAA by explaining most of the variance in models predicting lower scores in each cognitive domain. Discussion: Peak Width of Skeletonized Mean Diffusivity is increased in CAA, and it is associated with worse cognitive scores supporting the view that disruption of white matter has a significant role in cognitive impairment in CAA. As a robust marker, PSMD can be used in clinical trials or practice. [ABSTRACT FROM AUTHOR]

Background: The aim of this cross-sectional study was to investigate the association between carotid intima-media thickness (c-IMT) values and periodontal and peri-implant diseases in a sample of patients with hypertension.Methods: A total of 151 participants with presence of at least one dental implant in function for >5 years were recruited. Anthropometric measurements, 24-h ambulatory blood pressure monitoring, ultrasound assessment of carotid arteries (c-IMT and presence of plaque) were recorded and venous blood samples obtained. An oral examination was performed by calibrated examiners to ascertain prevalence and severity of periodontal and peri-implant diseases. Binomial logistic regression was performed to investigate the potential association between various measures of exposure of dental diseases and predictors of cardiovascular risk (c-IMT > 0.9 mm and presence of plaque or their combination).Results: Diagnosis of periodontitis (OR 6.71, 95% CI: 2.68-16.76, P < 0.001), cumulative mucosal/gingival inflammation (Periodontal Screening and Recording score) (OR 1.25, 95% CI:1.12-1.41, P < 0.001), and mucositis (OR 3.34, 95% CI:1.13-9.85, P < 0.05) were associated with c-IMT > 0.9 mm and/or plaque presence independent of age, sex, smoking, 24 h systolic blood pressure and body mass index differences. No statistically significant results were noted for peri-implantitis. Linear regression models confirmed a positive association of cumulative mucosal/gingival inflammation (β = 0.011, SE 0.002, P < 0.001), diagnosis of periodontitis (β = 0.114, SE 0.020, P < 0.001), and peri-implant diseases (β = 0.011, SE 0.002, P < 0.001) with increased c-IMT values.Conclusions: This study confirms a positive association between mucosal/gingival inflammation and subclinical atherosclerosis assessed by c-IMT values and the presence of carotid plaque in patients with hypertension, independent of traditional cardiovascular risk factors. Future studies are needed to further characterize this relationship. [ABSTRACT FROM AUTHOR]

Italy is a natural corridor for entry into Europe, receiving thousands of refugees and migrants needing socio-economic and health assistance yearly. Impaired vision due to eye disease is estimated to affect at least 2.2 billion people worldwide, especially in this underprivileged population. To overcome this deep disparity, new intervention strategies, such as the PROTECT project, were planned with the aim of assessing, in the context of the head–neck area, the eye health in vulnerable applicants and holders of international protection. A total of 3023 migrants were involved in the project. Demographic factors and eye history were collected using a questionnaire. Using portable diagnostic instruments, an eye screening including monocular visual acuity, intraocular pressure, anterior segment, and ocular fundus was performed. The mean age was 31.6 ± 13.1 years and more than 50% underwent the first eye evaluation. Vision impairment was claimed by 16.6% of subjects and the most frequent diseases diagnosed were: refractive errors (11%), strabismus (6%), red eye (6%), cataract (5.3%), and ocular hypertension (1%). Retinal alterations were observed in 5% of migrants. The PROTECT project allows us to increase the accessibility of head–neck disease prevention care. Moreover, our results confirm the utility of an eye screening assessment for early identification of the most relevant and preventable ocular diseases, especially in disadvantaged populations. [ABSTRACT FROM AUTHOR]