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Typical rocks at shallow depths of seismogenic faults are fluid-rich gouges. During earthquakes, on-fault frictional heating may trigger thermal pressurization and dynamic fault weakening. We show that frictional melting, rather than thermal pressurization, occurred at shallow depths during the 2008 MW 7.9 Wenchuan earthquake, China. One year after the Wenchuan earthquake, we found an ~2-mm-thick, glass-bearing pseudotachylyte (solidified frictional melt) in the fault gouges retrieved at 732.6 m depth from the first borehole of the Wenchuan Earthquake Fault Scientific Drilling Project. The matrix of pseudotachylyte is enriched in barium and cut by barite-bearing veins, which provide evidence of co- and postseismic fluid percolation. Because pseudotachylyte can be rapidly altered in the presence of percolating fluids, its preservation suggests that gouge melting occurred in a recent large earthquake, possibly the Wenchuan earthquake. Rock friction experiments on fluid-rich fault gouges deformed at conditions expected for seismic slip at borehole depths showed the generation of pseudotachylytes. This result, along with the presence of a second slip zone attributed to the Wenchuan earthquake at 589.2 m depth, implies that during large earthquakes, frictional melting can occur at shallow depths and that seismic slip can be accommodated by multiple faults. This conclusion is consistent with the evidence from surface faulting that multiple ruptures propagated during the Wenchuan earthquake.

Background Osteosarcopenia has been defined as the concomitance of low bone density (osteopenia/osteoporosis) and sarcopenia. Osteoporosis is characterized by alterations in bone microarchitecture and decrease of bone mineral density (BMD), whereas sarcopenia is the progressive decrease of both muscle mass and function that increase the risk of falls. Type 2 diabetes mellitus (T2DM) is associated with poor bone strength and muscle wasting. Objective The aim of this study is to analyze the association between osteosarcopenia and T2DM in post-menopausal women (PMW). Methods We performed an age matched case-control study (1:2 ratio), considering as cases PMW affected by T2DM, and PMW without T2DM as control group. For all patients a DXA evaluation to investigate bone density and body composition measures were performed. Moreover, we carried out muscle strength and performance assessments. Outcome measures were femoral neck and lumbar spine BMD T-scores, appendicular lean mass (ALM), handgrip strength and the Short Physical Performance Battery (SPPB). Data from both groups were analyzed and compared. Results Thirty-six PMW (12 T2DM vs 24 non-T2DM) were recruited. The frequency of osteosarcopenia was significantly higher in the T2DM group compared to controls (50% vs 17%; OR 5.0, 95% CI 1.05 to 23.79, p = 0.043). Handgrip strength was significantly lower in the T2DM group (10.09 ± 4.02 kg vs 18.40 ± 6.83 kg; p = 0.001). Conclusions Post-menopausal women with T2DM have a 5 times higher risk to have osteosarcopenia compared to non-diabetic ones. Further studies on larger cohorts are required to confirm these findings.

Introduction: Proximal humerus fractures are the seventh most frequent fracture in adults, and the third in patients over 65 years old, 5.7% of whole diagnosed fractures. Most of these fractures can be treated conservatively and achieve good results. However, more and more frequently we are confronted with dislo-cated and multifragmentary fractures, and with elderly and high functional demanding patients. In patients with osteoporosis and poor general conditions external fixation can be performed as rapid and mininvasive procedure with good outcome and low complication rates. The authors investigated the use of external fixa-tion in the treatment of proximal humerus fractures. The objective is to demonstrate the effectiveness of this method as a valid alternative to other surgical techniques. Materials and Methods: A multicentre study was conducted at 7 hospitals in Italy from 2014 through 2018. We recruited all proximal humeral fractures (as classified with the Neer system) that are surgically treated with the same external fixator DOS, for a total of 110 patients, evaluated later with Oxford Shoulder Scale (OSS) and disability of the arm, shoulder and hand score (DASH) at 1, 2 and 6 months. Results:The patients have passed from a score of 75,37 in the first month to a score of 29,47in the sixth month at the DASH and from 47,02 to 27,71 at the OSS. The data further confirm the increased incidence of these fractures in women and in a mean age of about 65. Conclusions:Al-though it does not represent the golden standard in the treatment of fractures of the proximal humerus, in our experience the minimal osteosynthesis with external fixator turned out to be a very valid help especially for the simplicity and speed of the method, as well as for the exciting functional results. sometimes superior to other methods. The preliminary results from the different centers have confirmed this hypothesis. We hope this will be a good starting point for further in-depth studies.

RESUMEN El aprovechamiento de desechos vegetales para la obtención de carbón activado se ha empleado en los últimos años para la remoción de contaminantes metálicos pesados en aguas. Por ello, este estudio presenta la obtención de carbón activado a partir de cáscara de naranja (CACN) reciclada, sintetizado por dos procesos de activación y luego tratamiento térmico, para la remoción de iones cadmio, Cd(II), debido a su toxicidad alta. Las caracterizaciones por espectroscopía Raman y FTIR, indicaron la presencia de los grupos funcionales característicos del carbón. La evaluación del área superficial calculada por el método BET (Brunauer- Emmett-Teller), arrojó un área superficial específica de 154,96 m2.g-1 y una distribución de tamaño de poro de 6,70 nm y 12,39 nm calculada por el método de BJH (Barrett-Joyner- Halenda). El proceso de remoción en diferentes electrólitos soportes, se evaluó por el método electroquímico de voltamperometría de onda cuadrada (VOC), obteniéndose como electrólito óptimo para la remoción 0,1 mol.L-1 HCl. Además, el estudio del proceso cinético llevado a cabo en un tiempo de 6 horas, alcanzó una capacidad de remoción (qe) de Cd(II) de 7,52 g.g-1 y un porcentaje de remoción (%R) de 60%. Este estudio establece que el proceso de adsorción del Cd(II) por el CACN, sigue un modelo de pseudo primer orden, representado por Log(qmax - qt) = 0,94 - 0,0024t con r2 = 0,9134. ABSTRACT The use of vegetable waste to obtain activated carbon has been used in recent years for the removal of heavy metal contaminants in water. For this reason, this study presents the obtaining of activated carbon from recycled orange peel (OPAC), synthesized by two activation processes and then thermal treatment, for the removal of cadmium ions, Cd(II), due to its high toxicity. Characterizations by Raman and FT-IR spectroscopy indicated the presence of characteristic functional groups of carbon. The evaluation of the surface area calculated by the BET (Brunauer-Emmett-Teller) method, yielded a specific surface area of 154,96 m2.g-1 and a pore size distribution of 6,70 nm and 12,39 nm calculated by the BJH method (Barrett-Joyner-Halenda). The removal process in different supporting electrolytes was evaluated by the electrochemical method of square wave voltammetry (SWV), obtaining 0,1 mol.L-1 HCl as the optimal electrolyte for removal. In addition, the study of the kinetic process carried out in a time of 6 hours, reached a removal capacity (qe) of Cd(II) of 7,52 g.g-1 and a removal percentage (%R) of 60%. This study establishes that the Cd(II) adsorption process by OPAC follows a pseudo first order model, represented by Log(qmax - qt) = 0,94 - 0,0024t with r2 = 0,9134.

Metal allergy is an uncommon and not completely understood cause of failure in total joint arthroplasty (TJA). However, either immunopathology neither histologic studies clarified the mechanisms through which the metal ions could lead to the complications related to them. The lack of evidence around this topic also reflects the difficulties to diagnose the MRP in TJA. In fact, the diagnosis is generally based on the exclusion of other causes. Currently, skin-patch testing and lymphocyte transformation test (LTT) are being commonly used to investigate about metal hypersensitivity and a delayed type-IV hypersensitivity is the immuno-histologic response to metals involved in TJA loosening. A review of the recent publications about this topic has been made focusing on immunology, histopathology, and clinics to better understand a still debated topic in orthopedic practice.

Characterization of data network monitoring registers allows for reductions in the number of data, which is essential when the information flow is high, and implementation of processes with short response times, such as interchange of control information between devices and anomaly detection is required. The present investigation applied wavelet transforms, so as to characterize the statistic monitoring register of a software-defined network. Its main contribution lies in the obtention of a record that, although reduced, retains detailed, essential information for the correct application of anomaly detectors.

RESUMEN La esclerosis múltiple (EM) es la más frecuente de las enfermedades desmielinizantes del sistema nervioso central. Se trata de una patología compleja, con mecanismos fisiopatológicos aún no elucidados completamente y una presentación clínica variada. Es una entidad crónica, de alto costo para el sistema de salud, y usualmente se asocia a una importante discapacidad en los pacientes afectados. No existe una cura para la EM, sin embargo, se cuenta con más de 13 terapias modificadoras de la enfermedad que actúan en distintas dianas terapéuticas, enlentecen la progresión y mejoran el pronóstico. El objetivo de este escrito es presentar una actualización de EM, a través de 16 preguntas y temas controversiales. Estos 16 puntos responden a dudas puntuales y actuales, son presentados, analizados y, en los casos en los que la evidencia lo permite, se plantean recomendaciones. Las preguntas abordadas incluyen temas como diagnóstico, tratamiento, uso de nuevas tecnologías y manejo de los efectos adversos. Este escrito está destinado a neurólogos, médicos generales, residentes de neurología y cualquier profesional interesado en las enfermedades desmielinizantes. SUMMARY Multiple sclerosis (MS) is the most common demyelinating disorder of the central nervous system. It is a complex disease, with a pathogenesis not fully understood and multiple clinical presentations. MS is a chronic disease, represents a great cost to healthcare systems and is often associated with a high burden of disability in patients. Despite the absence of a cure, there are at least13 disease-modifying therapies that act on different targets of the pathogenic process. The main purpose of this review is to solve 16 controversial and current topics in MS. These 16 topics are analysed, and when there is enough evidence, we issue recommendations. The topics include diagnosis, treatment, use of new technologies in MS, and medication side effects. This paper is meant for neurologists, neurology residents, general physicians and any other healthcare personnel interested in demyelinating diseases.

The genomic characterization of solid tumors and a rapidly growing repertoire of target drugs are revolutionizing cancer treatment. Next-generation sequencing (NGS) panels are progressively used in clinical practice for target therapy in high-income countries. In contrast, limited access to tumor sequencing, among other barriers, precludes precision cancer treatment in low- and middle-income countries. To build towards the implementation of precision oncology in Chile and Latin America, we designed a 25-gene panel that contains predictive biomarkers for currently or near-future available therapies in Latin America. Library preparation was optimized to account for DNA integrity variability in Formalin-Fixed Paraffin-Embedded (FFPE) tissue. The bioinformatic pipeline removes FFPE-induced artifacts and known germline variants; while identifying possible discrepancies in somatic mutations due to Latin Americans’ underrepresentation in the reference genome databases. Analytic sensitivity and accuracy were assessed using commercial standard controls for FFPE DNA and for germline BRCA1 and BRCA2 mutations, which are biomarkers for PARP inhibitors. Our panel detects small insertions and deletions and single nucleotide variants (SNVs) with 100% sensitivity and specificity down to allelic frequencies of 0.05, and with 100% between-run and within-run reproducibility for non-synonymous variants. The workflow was validated in 265 clinical samples, including breast, colorectal, gastric, ovarian, and gallbladder tumors and blood, leading to identifying 131 actionable variants. Therefore, this NGS panel constitutes an accurate and sensitive method for routine tumor biopsies that could replace multiple non-NGS assays and costly large NGS panels in the Latin American clinical context. The proposed streamlined assay and automated analysis are expected to facilitate the implementation of precision medicine in Latin America.

Muchas de las quejas por contaminación que llegan a las autoridades ambientales en las principales ciudades son el resultado de la percepción de malos olores emitidos por empresas quetienen como materia prima residuos que por lo general llegan en estado de descomposición. Tal es el caso de las empresas productoras de sebos, las cuales usan los residuos que dejan las plantas desacrificio y las carnicerías para la extracción de grasas que sirven para la obtención de jabones y harinas para la fabricación de alimento para animales. Este estudio se enfocó en la elaboración de una metodología que sirva para la medición de la intensidad, frecuencia y tono hedónico en los sitios de inmisión de olores ofensivos provenientes de fuentes fijas, difusas aireadas y no aireadas, con el propósito de verificar las molestias que los compuestos olorosos causan sobre los receptores.

The Heart Mountain landslide of northwest Wyoming is the largest known sub-aerial landslide on Earth. During its emplacement more than 2000 km3 of Paleozoic sedimentary and Eocene volcanic rocks slid >45 km on a basal detachment surface dipping 2°, leading to 100 yr of debate regarding the emplacement mechanisms. Recently, emplacement by catastrophic sliding has been favored, but experimental evidence in support of this is lacking. Here we show in friction experiments on carbonate rocks taken from the landslide that at slip velocities of several meters per second CO2 starts to degas due to thermal decomposition induced by flash heating after only a few hundred microns of slip. This is associated with the formation of vesicular degassing rims in dolomite clasts and a crystalline calcite cement that closely resemble microstructures in the basal slip zone of the natural landslide. Our experimental results are consistent with an emplacement mechanism whereby catastrophic slip was aided by carbonate decomposition and release of CO2, allowing the huge upper plate rock mass to slide over a ‘cushion’ of pressurized material.

The aim of this article is to retrospectively evaluate the patient characteristics and the most common infectious diseases in immigrant patients hospitalized in 46 Italian infectious disease clinics during 2002. The main Italian infectious disease clinics were invited to fill in a questionnaire that regarded the number and type of hospital admissions, the country of origin, and demographic features (age, sex, and resident state) of immigrants. A total of 46 clinics including 2255 patients participated in the study. Most patients were men (63%) with an age between 16 and 40 years (63.4%) covered by the National Health Service (71%) and coming from Africa (44.3%). The main infectious diseases observed were: 378 (16.76%) cases of HIV infection, 303 (13.43%) cases of tuberculosis diseases, 282 (12.5%) cases of various forms of viral hepatitis, 177 (7.84%) cases of respiratory diseases, and 196 (8.69%) gastrointestinal diseases. Tropical diseases found were 134 (5.94%) including 95 cases of malaria (70.9%). In conclusion, a broad range of diseases was noted in immigrants which were directly correlated with conditions of poverty. Only a few tropical diseases were diagnosed and therefore the immigrant should not be considered as an infectious disease carrier.

The receptor for advanced glycation end products (RAGE), a multi-ligand member of the immunoglobulin superfamily of cell surface molecules, interacts with distinct molecules implicated in homeostasis, development and inflammation, and certain diseases such as diabetes and Alzheimer's disease. Engagement of RAGE by a ligand triggers activation of key cell signalling pathways, such as p21ras, MAP kinases, NF-kappaB and cdc42/rac, thereby reprogramming cellular properties. RAGE is a central cell surface receptor for amphoterin, a polypeptide linked to outgrowth of cultured cortical neurons derived from developing brain. Indeed, the co-localization of RAGE and amphoterin at the leading edge of advancing neurites indicated their potential contribution to cellular migration, and in pathologies such as tumour invasion. Here we demonstrate that blockade of RAGE-amphoterin decreased growth and metastases of both implanted tumours and tumours developing spontaneously in susceptible mice. Inhibition of the RAGE-amphoterin interaction suppressed activation of p44/p42, p38 and SAP/JNK MAP kinases; molecular effector mechanisms importantly linked to tumour proliferation, invasion and expression of matrix metalloproteinases.

The Gole Larghe Fault is an exhumed paleoseismic fault crosscutting the Adamello tonalites (Italian Southern Alps). Ambient conditions of faulting were 9–11 km in depth and 250–300 °C. In the study area the fault accommodates ~ 1100 m of dextral strike-slip over a fault thickness of 550 m. Displacement is partitioned into three hierarchically different sets of discrete subparallel cataclastic horizons (faults1–2–3). Fault displacement is in the range of few centimeters (faults3) to a maximum of a few tens of meters in major faults1. Faults1–2 nucleated on pre-existing joints, whereas faults3 are newly generated fractures produced during slip along faults1–2. Each fault within the Gole Larghe Fault records the same evolution with development of indurated cataclasites precursory to pseudotachylyte production. Pseudotachylytes are usually generated at the host rock/cataclasite boundary and within cataclasites the mean clast size decreases getting closer to pseudotachylyte fault veins. Pseudotachylytes and cataclasites have a similar chemical composition which is enriched in Loss On Ignition, K, Rb, Ba, U and Fe3+ compared to host rock. We envision two models for the evolution of the Gole Larghe Fault. In both models synkinematic fluid–rock interaction along a fault causes fault hardening by precipitation of abundant K-feldspar+epidote (and minor chlorite) in the cataclasite matrix conducive to final production of pseudotachylyte. In the first model, induration occurs progressively by differential precipitation related to fabric evolution in cataclasites. In the second model, induration occurs abruptly dependent on the development of full connectivity within the fault network and to fluid reservoir. Whatever the model, the Gole Larghe Fault represents a strong fault, where hardening processes resulted in a low displacement/fault thickness ratio and contrast with many mature weak faults where localized repeated seismic slip along the same weak horizons yields high displacement/fault thickness ratios.

AUB (abnormal uterine bleeding) is one of the most common pathologies. It is therefore important to use a method that is easy to carry out in order to ensure a rapid and reliable diagnosis. Hysteroscopy may represent the elective method for the study of the uterine cavity.A total of 222 women suffering from AUB were studied between January 1996 and June 1997 at the Department of Surgery, Gynecology Clinic of L'Aquila University. Their age ranged between 30 and 74 years old. The exclusion criteria for the study were as follows: presence of a genital infection in active or latent phase, pregnancy in progress or abortion. All patients underwent operative hysteroscopy with targeted biopsy accompanied, when necessary, by endometrial ablation. All biopsies underwent histological analysis and the results of hysteroscopic diagnosis and histological diagnosis were then compared.There was a 85% correspondence between results. The main difficulties were encountered in the identification and selection of the characteristics of hyperplasia. Moreover, during the study it was found that hysteroscopy was both diagnostic and also therapeutic since it enabled the removal of polyps and intracavitary fibroma or endometrial ablation if required.Hysteroscopy was therefore found to be a totally reliable method for the study of abnormal uterine bleeding compared to the histological tests carried out.

Parvovirus B19 is a small, heat-stable, single-strained DNA virus (5.5 kb), with 23 nm icosahedral capsid discovered in 1975. Since its discovery, the virus has been shown to be a causative agent of erythema infectiosum (fifth disease). Under specific circumstances it can cause transient aplastic crisis, chronic anemia, arthritis and fetal death. Laboratory diagnosis of recent or past B19 infection usually relies on the demonstration of virus-specific IgM or IgG antibodies in patient's serum. The aim of this study was to evaluate the prevalence of Parvovirus B19 infection among 87 pregnant patients. Our study on anti-B19 antibody prevalence indicates that about 64% of pregnant women in our country lack specific antibodies and are at risk of B19 infection. One intrauterine death was encountered in a patient with specific IgM antibodies. The authors suggest the detection of IgG and IgM anti-B19 antibodies as a routine screening practice during pregnancy.

This paper assesses the effect of estradiol on the in vitro growth of fibroblast taken from human breast skin. It was observed that estrogens stimulate the proliferation of phenotypically adult fibroblasts; that there is a threshold increase of hormonal concentration which can trigger off this process; and that the size of the single dose is more important than the number of doses of hormone received.