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Patients with COVID-19 often exhibit coagulopathy, which can significantly impact prognosis. Therefore, investigating coagulation in this context is clinically relevant. The thrombin generation assay (TGA) provides comprehensive data on individual clotting patterns. In our study, we utilized a calibrated automated thrombogram to globally assess coagulation in COVID-19 patients. The study included 67 COVID-19 patients (40 hospitalized in the medical ward and 27 in intensive care units) and 45 blood donors for comparison. Our analysis revealed significant differences in TGA parameters (lag time, time-to-peak, thrombin peak, and endogenous thrombin potential) between patients and blood donors, suggesting a hypocoagulable state in the former. Specifically, COVID-19 patients exhibited prolonged lag time and time-to-peak values, as well as lower thrombin peak and endogenous thrombin potential compared to blood donors (Mann-Whitney test: p

Quality inspection is an industrial field with a growing interest in anomaly detection research. An anomaly in an image can either be structural or logical. While structural anomalies lie on the image objects, challenging logical anomalies are hidden in the global relations between the image components. The proposed approach, Vision Graph based Logical Anomaly Detection (ViGLAD), uses the graph representation of an image for logical anomaly detection. Defining an image as a structure of nodes and edges leverages new possibilities for detecting hidden logical anomalies by introducing vision graph autoencoders. Our experiments on public datasets show that using vision graphs enhances the performance of state-of-the-art teacher-student-autoencoder neural networks in logical anomaly detection while achieving robust results in structural anomaly detection.

MDR bacteria are an emerging global threat to public health, and the role of dogs in the rise of antimicrobial resistance is under investigation. This study investigated the fecal shedding of extended-spectrum β-lactamase (ESBL)-, AmpC- and carbapenemase (CP)-producing Escherichia coli and associated risk factors in dogs admitted to the Veterinary Teaching Hospital of Lodi, University of Milan, or other veterinary clinics and kennels in Northen Italy. Feces collected in 2020–2022 were microbiologically and molecularly analyzed. ESBL-/AmpC-/CP-producing E. coli was detected in 14/100 (14%) dogs. Eleven (11%), five (5%) and one (1%) dogs carried ESBL-, AmpC- and CP-producing E. coli phenotypes, respectively, supported by the PCR detection of blaCTX-M and/or blaTEM in ESBL-producing E. coli; blaCMY-2 and the presence of putative low-level AmpC production in AmpC-producing E. coli; and blaOXA-48 in CP-producing E. coli. Different combinations of resistance genes and genetic features were observed. Multidrug resistance was observed in 13/14 (92.9%) E. coli isolates. Binary logistic regression analysis showed that ESBL-/AmpC-/CP-producing E. coli fecal shedding tended to be associated with antibiotic treatment (p = 0.058; OR = 3.87). The detection of ESBL-/AmpC-producing E. coli, along with the presence of a carbapenemase-resistant E. coli isolate from domestic dogs, although still limited, emphasizes the need for antimicrobial stewardship and specific surveillance programs, particularly for CP-producing bacteria in companion animals.

Sporotrichosis, the most prevalent implantation mycosis worldwide, is caused by fungi of genus Sporothrix (1-4). In some regions of Brazil, sporotrichosis has been referred to as cat disease because of [...]

Background: The assessment of coronary microvascular dysfunction (CMD) using invasive methods is a field of growing interest, however the preferred method remains debated. Bolus and continuous thermodilution are commonly used methods, but weak agreement has been observed in patients with angina with non-obstructive coronary arteries (ANOCA). This study examined their agreement in revascularized acute coronary syndromes (ACS) and chronic coronary syndromes (CCS) patients. Objective: To compare bolus thermodilution and continuous thermodilution indices of CMD in revascularized ACS and CCS patients and assess their diagnostic agreement at pre-defined cut-off points. Methods: Patients from two centers underwent paired bolus and continuous thermodilution assessments after revascularization. CMD indices were compared between the two methods and their agreements at binary cut-off points were assessed. Results: Ninety-six patients and 116 vessels were included. The mean age was 64 ± 11 years, and 20 (21 %) were female. Overall, weak correlations were observed between the Index of Microcirculatory Resistance (IMR) and continuous thermodilution microvascular resistance (Rµ) (rho = 0.30p = 0.001). The median coronary flow reserve (CFR) from continuous thermodilution (CFRcont) and bolus thermodilution (CFRbolus) were 2.19 (1.76–2.67) and 2.55 (1.50–3.58), respectively (p

Fluorine is one of the most interesting elements in nuclear astrophysics. Its abundance can provide important hints to constrain the stellar models since fluorine production and destruction are strictly connected to the physical conditions inside the stars. The F19(p,α)16O reaction is one of the fluorine burning processes and the correction evaluation of its reaction rate is of pivotal importance to evaluate the fluorine abundance. Moreover, the F19(p,α)16O reaction rate can have an impact for the production of calcium in the first-generation of Population III stars. Here, we present the AsFiN collaboration efforts to the study of the F19(p,α)16O reaction by means of direct and indirect measurements. On the direct measurements side, an experimental campaign aimed to the measurement of the F19(p,α0,π)16O reaction is ongoing, taking advantage of the new versatile arrays of silicon strip detectors, LHASA and ELISSA. Moreover, the Trojan Horse Method (THM) was used to determine the F19(p,α0)16O reaction S(E)-factor in the energy range of astrophysical interest (Ecm≈ 0–1 MeV), showing, for the first time, the presence of resonant structures within the astrophysical energy range. THM has been also applied for the study of the F19(p,απ)16O reaction; data analysis is ongoing.

PurposeTo estimate utility values associated with visual loss using EuroQol (EQ-5D) questionnaire, the impact of low-vision (LV) device use on utilities and the contribution of Instrumental Activities of Daily Living (IADL) score in patients attending vision rehabilitation (VR) services enrolled in the Italian Device & Aids Register (D.A.Re).MethodsThis is a multicenter, prospective, cross-sectional study. D.A.Re. collects general and clinical information, vision-specific variables, use of electronic devices and quality of life questionnaires.ResultsA total of 442 patients (75.0±16.6 years, 275 female) were included, 88 (19.9%) used specialised electronic LV devices, and 116 (26.2%) used smartphones and tablets. Users of smartphones and tablets were younger than non-users (67.5 vs. 77.6 years, pConclusionsVisual loss is associated with loss of utilities in Italian patients attending VR services, whereas special-purpose electronic aids, and smartphone and tablet use are associated with better utility values. We found that IADL may be more sensitive to visual loss than EQ-5D and could be a valid health-related quality of life outcome in trials on VR.

Hepatoblastoma is an exceptionally rare malignancy in adults with just over 70 non-pediatric cases reported in literature. Recounted is a case of a 49-year-old female who presented with acute right upper quadrant abdominal pain, elevated serum alpha fetoprotein and a large liver mass on imaging. Hepatectomy was performed under clinical suspicion of hepatocellular carcinoma. Immunomorphologic characteristics of the tumor proved consistent with hepatoblastoma of mixed epithelial and mesenchymal type. Hepatocellular carcinoma remains to be the primary differential diagnosis for adult hepatoblastoma, however, distinguishing between these two neoplasms requires close histomorphologic assessment and immunohistochemical profiling as clinical, radiologic and gross pathologic findings typically overlap. Making this distinction is highly crucial in the timely initiation of surgical and chemotherapeutic interventions for this inherently aggressive and rapidly fatal disease.

La gestión cultural se posiciona como una herramienta invaluable dentro del sistema de instituciones culturales cubanas, ya que favorece la implementación de políticas culturales públicas y el desarrollo de los procesos de democratización cultural. El presente artículo se enmarca dentro de esta herramienta, y los resultados presentados forman parte del proyecto de investigación "Caracterización y perfeccionamiento de la gestión de las instituciones culturales en el marco de la realización del programa de desarrollo cultural (PDC) del MINCULT", llevado a cabo en el Centro de Estudios Sociales Cubanos y Caribeños Dr. José A. Portuondo de la Universidad de Oriente, Cuba. Se utilizó una metodología mixta y los testimonios recopilados avalan el impacto de Las Voluminosas, como exponentes de la cultura popular. Su quehacer y la proyección de sus prácticas constituyen núcleos de interés para los estudios de los procesos socioculturales.

Metastatic dissemination is still one of the major causes of death of melanoma’s patients. KiSS1 is a metastasis suppressor originally identified in melanoma cells, known to play an important physiological role in mammals’ development and puberty. It has been previously shown that expression of KiSS1 could be increased in lung cancer cells using epigenetic agents, and that KiSS1 could have a pro-apoptotic action in combination with cisplatin. Thus, the aim of the present study was to examine in human melanoma vemurafenib sensitive- and -resistant BRAF mutant cells characterized by different mutational profiles and KiSS1, KiSS1 receptor and KiSS1 drug-induced release, if peptides derived from KiSS1 cleavage, i.e., kisspeptin 54, could increase the sensitivity to vemurafenib of human melanoma, using cellular, molecular and biochemical approaches. We found that kisspeptin 54 increases vemurafenib pro-apoptotic activity in a statistically significant manner, also in drug resistant cellular models. The efficacy of the combination appears to reflect the intrinsic susceptibility of each cell line to PLX4032-induced apoptosis, together with the different mutational profile as well as perturbation of proteins regulating the apoptotic pathway, The results presented here highlight the possibility to exploit KiSS1 to modulate the apoptotic response to therapeutically relevant agents, suggesting a multitasking function of this metastasis suppressor.