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Abstract Background Dietary guidelines recommend a shift to plant-based diets. Fortified soymilk, a prototypical plant protein food used in the transition to plant-based diets, usually contains added sugars to match the sweetness of cow’s milk and is classified as an ultra-processed food. Whether soymilk can replace minimally processed cow’s milk without the adverse cardiometabolic effects attributed to added sugars and ultra-processed foods remains unclear. We conducted a systematic review and meta-analysis of randomized controlled trials, to assess the effect of substituting soymilk for cow’s milk and its modification by added sugars (sweetened versus unsweetened) on intermediate cardiometabolic outcomes. Methods MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials were searched (through June 2024) for randomized controlled trials of ≥ 3 weeks in adults. Outcomes included established markers of blood lipids, glycemic control, blood pressure, inflammation, adiposity, renal disease, uric acid, and non-alcoholic fatty liver disease. Two independent reviewers extracted data and assessed risk of bias. The certainty of evidence was assessed using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation). A sub-study of lactose versus sucrose outside of a dairy-like matrix was conducted to explore the role of sweetened soymilk which followed the same methodology. Results Eligibility criteria were met by 17 trials (n = 504 adults with a range of health statuses), assessing the effect of a median daily dose of 500 mL of soymilk (22 g soy protein and 17.2 g or 6.9 g/250 mL added sugars) in substitution for 500 mL of cow’s milk (24 g milk protein and 24 g or 12 g/250 mL total sugars as lactose) on 19 intermediate outcomes. The substitution of soymilk for cow’s milk resulted in moderate reductions in non-HDL-C (mean difference, − 0.26 mmol/L [95% confidence interval, − 0.43 to − 0.10]), systolic blood pressure (− 8.00 mmHg [− 14.89 to − 1.11]), and diastolic blood pressure (− 4.74 mmHg [− 9.17 to − 0.31]); small important reductions in LDL-C (− 0.19 mmol/L [− 0.29 to − 0.09]) and c-reactive protein (CRP) (− 0.82 mg/L [− 1.26 to − 0.37]); and trivial increases in HDL-C (0.05 mmol/L [0.00 to 0.09]). No other outcomes showed differences. There was no meaningful effect modification by added sugars across outcomes. The certainty of evidence was high for LDL-C and non-HDL-C; moderate for systolic blood pressure, diastolic blood pressure, CRP, and HDL-C; and generally moderate-to-low for all other outcomes. We could not conduct the sub-study of the effect of lactose versus added sugars, as no eligible trials could be identified. Conclusions Current evidence provides a good indication that replacing cow’s milk with soymilk (including sweetened soymilk) does not adversely affect established cardiometabolic risk factors and may result in advantages for blood lipids, blood pressure, and inflammation in adults with a mix of health statuses. The classification of plant-based dairy alternatives such as soymilk as ultra-processed may be misleading as it relates to their cardiometabolic effects and may need to be reconsidered in the transition to plant-based diets. Trial registration ClinicalTrials.gov identifier, NCT05637866.

Abstract The multi-staged XENON program at INFN Laboratori Nazionali del Gran Sasso aims to detect dark matter with two-phase liquid xenon time projection chambers of increasing size and sensitivity. The XENONnT experiment is the latest detector in the program, planned to be an upgrade of its predecessor XENON1T. It features an active target of 5.9 tonnes of cryogenic liquid xenon (8.5 tonnes total mass in cryostat). The experiment is expected to extend the sensitivity to WIMP dark matter by more than an order of magnitude compared to XENON1T, thanks to the larger active mass and the significantly reduced background, improved by novel systems such as a radon removal plant and a neutron veto. This article describes the XENONnT experiment and its sub-systems in detail and reports on the detector performance during the first science run.

The dietary inclusion of ingredients containing chitin has been claimed to be beneficial to fish health. However, controversial results on growth performance and nutrient digestibility have been reported in literature. The present study aimed at assessing the response of rainbow trout (Oncorhynchus mykiss) fed with increasing levels of chitin (0, 1.5, 3.0, and 4.5 %) in a semi-purified basal diet. Protein and lipid digestibility was assessed and after 10 weeks of feeding, 6 h after the last meal, fish were euthanized for the evaluation of growth performance, blood biochemistry, brush border membrane and chitinolytic enzyme activity, gene expression of enzymes and nutrient transporters as well as the major pro-inflammatory intestinal cytokines, and mid intestine microbiota. Dietary chitin inclusion of up to 3 % did not hamper growth performances, nutrient apparent digestibility, and levels of most blood enzymes and metabolites. Diet including 4.5 % chitin negatively affected growth performances and nutrient digestibility. The application of a multidisciplinary approach highlighted that the biomarkers related to gut digestion functionality and inflammation response were altered also in fish fed the diets including 1.5 and 3 % of chitin, while gut microbiota did not differ between dietary treatments, even if some taxa suggested to be important in fish physiology were not recovered. Overall, the results demonstrate a good tolerance of rainbow trout to diets including chitin up to 3 %.

Abstract A low-energy electronic recoil calibration of XENON1T, a dual-phase xenon time projection chamber, with an internal $${}^{37}$$ 37 Ar source was performed. This calibration source features a 35-day half-life and provides two mono-energetic lines at 2.82 keV and 0.27 keV. The photon yield and electron yield at 2.82 keV are measured to be ( $$32.3\,\pm \,0.3$$ 32.3 ± 0.3 ) photons/keV and ( $$40.6\,\pm \,0.5$$ 40.6 ± 0.5 ) electrons/keV, respectively, in agreement with other measurements and with NEST predictions. The electron yield at 0.27 keV is also measured and it is ( $$68.0^{+6.3}_{-3.7}$$ 68 . 0 - 3.7 + 6.3 ) electrons/keV. The $${}^{37}$$ 37 Ar calibration confirms that the detector is well-understood in the energy region close to the detection threshold, with the 2.82 keV line reconstructed at ( $$2.83\,\pm \,0.02$$ 2.83 ± 0.02 ) keV, which further validates the model used to interpret the low-energy electronic recoil excess previously reported by XENON1T. The ability to efficiently remove argon with cryogenic distillation after the calibration proves that $${}^{37}$$ 37 Ar can be considered as a regular calibration source for multi-tonne xenon detectors.

Background: Congenital prepubic sinus (CPS) is a rare congenital variant of urethral duplication, with less than 50 cases documented in the scientific literature since it was first reported by Campbell et al., in 1987. Case presentation: An 8-year-old male patient complained of an inflammatory secretion from a sinus opening on the dorsal base of his penis. Physical examination revealed an accessory orifice in the midline of the dorsal proximal penis without any penile curvature. An ultrasound (US) examination found an 8-mm collection of cutaneous and subcutaneous tissue at the dorsal base of the penis. The renal US, however, showed no abnormalities. Additionally, micturating cystourethrogram (MCUG), was negative for vesicoureteral reflux (VUR). Retrograde sinusography (RS) and urethrogram showed no communication between the urinary tract, and the sinus was found to end blindly at the level of the pubic symphysis. A surgical excision was decided, to avoid potential future complications. A 3-cm-long intact sinus was dissected and excised entirely. Histological examination confirmed the diagnosis of a urethral duplication. The postoperative course was uneventful. To date, at six-month of follow-up, the patient remains asymptomatic. Conclusions: The histological findings in this case support the theory that CPS is a variant of dorsal urethra. Urethral duplication should always be suspected in the case of accessory dorsal openings. Surgical excision is recommended at an early age, even in the absence of symptoms, to improve aesthetics, prevent recurrent infections and avoid the development of future malignant tumors.

Abstract The XENON collaboration has published stringent limits on specific dark matter – nucleon recoil spectra from dark matter recoiling on the liquid xenon detector target. In this paper, we present an approximate likelihood for the XENON1T 1 t-year nuclear recoil search applicable to any nuclear recoil spectrum. Alongside this paper, we publish data and code to compute upper limits using the method we present. The approximate likelihood is constructed in bins of reconstructed energy, profiled along the signal expectation in each bin. This approach can be used to compute an approximate likelihood and therefore most statistical results for any nuclear recoil spectrum. Computing approximate results with this method is approximately three orders of magnitude faster than the likelihood used in the original publications of XENON1T, where limits were set for specific families of recoil spectra. Using this same method, we include toy Monte Carlo simulation-derived binwise likelihoods for the upcoming XENONnT experiment that can similarly be used to assess the sensitivity to arbitrary nuclear recoil signatures in its eventual 20 t-year exposure.

Abstract The selection of low-radioactive construction materials is of the utmost importance for rare-event searches and thus critical to the XENONnT experiment. Results of an extensive radioassay program are reported, in which material samples have been screened with gamma-ray spectroscopy, mass spectrometry, and $$^{222}$$ 222 Rn emanation measurements. Furthermore, the cleanliness procedures applied to remove or mitigate surface contamination of detector materials are described. Screening results, used as inputs for a XENONnT Monte Carlo simulation, predict a reduction of materials background ( $$\sim $$ ∼ 17%) with respect to its predecessor XENON1T. Through radon emanation measurements, the expected $$^{222}$$ 222 Rn activity concentration in XENONnT is determined to be 4.2 ( $$^{+0.5}_{-0.7}$$ - 0.7 + 0.5 ) $$\upmu $$ μ Bq/kg, a factor three lower with respect to XENON1T. This radon concentration will be further suppressed by means of the novel radon distillation system.

Introduction SARS-Co-V2 neuroinvasive ability might be the basis for the onset of delirium and neuropsychiatric outcomes. Objectives We hypothesized that some infected patients with preexisting cognitive dysfunction may present delirium as unique manifestation of COVID-19 infection or as a prodrome of a new episode consistent with the psychiatric history. Methods We conducted a PubMed literature search to verify whether cognitive impairment might predispose to COVID-19. We included three patients with mild cognitive impairment and delirium at admission for SARS-Co-V2 suspected infection. Delirium was diagnosed according to DSM-5 criteria‚ Cognitive Assessment Method and Coma Glasgow Scale. Results Literature analysis evidenced patients presenting delirium or delirium-like symptoms as clinical manifestation of COVID-19, plus a cognitive impairment‚ from mild to severe‚ which preexisted or was evidenced during the acute phase or after the infection. Most studies described delirium in patients with a past neurological/psychiatric history. Contrasting data emerged on the potential link between COVID-19 and delirium in patients with cognitive impairment and without a past neuropsychiatric history. Our patients had no history of other medical complications. Our first patient had no psychiatric history‚ the second reported only a depressive episode‚ and the third had story of bipolar disorder. Delirium resolved completely after 2 days in the first patient. The other patients required 4 and 14 days to resolve: delirium appeared as the prodrome of a new psychiatric episode in line with their past history. Conclusions Clinicians should acknowledge the possibility that COVID-19 infection may appear as delirium and acute psychiatric sequelae as unique manifestation. Disclosure No significant relationships.

Abstract The selection of low-radioactive construction materials is of utmost importance for the success of low-energy rare event search experiments. Besides radioactive contaminants in the bulk, the emanation of radioactive radon atoms from material surfaces attains increasing relevance in the effort to further reduce the background of such experiments. In this work, we present the $$^{222}$$ 222 Rn emanation measurements performed for the XENON1T dark matter experiment. Together with the bulk impurity screening campaign, the results enabled us to select the radio-purest construction materials, targeting a $$^{222}$$ 222 Rn activity concentration of $$10\,\mathrm{\,}\upmu \mathrm{Bq}/\mathrm{kg}$$ 10 μ Bq / kg in $$3.2\,\mathrm{t}$$ 3.2 t of xenon. The knowledge of the distribution of the $$^{222}$$ 222 Rn sources allowed us to selectively eliminate problematic components in the course of the experiment. The predictions from the emanation measurements were compared to data of the $$^{222}$$ 222 Rn activity concentration in XENON1T. The final $$^{222}$$ 222 Rn activity concentration of $$(4.5\pm 0.1)\,\mathrm{\,}\upmu \mathrm{Bq}/\mathrm{kg}$$ ( 4.5 ± 0.1 ) μ Bq / kg in the target of XENON1T is the lowest ever achieved in a xenon dark matter experiment.

INTRODUCTION: In this paper we discuss concepts and practices that point to a new field of ubiquitous music (ubimus)research centered on domestic settings.OBJECTIVES: The objective of this paper is to document and share a preliminary study of the use of taste as a trigger forcreative decisions and a comparative study of creative music making done at home and in transitional settings.METHODS: Groundwork in this area encompasses the design, implementation and deployment of ubimus systems. Keyaspects include sonic resources and metaphors for creative action based on multimodality.RESULTS: The results indicate that unpredictable sonic environments foster originality but may compromise the subjects’creative performance — reducing their level of engagement and fun and the possibilities for collaboration, while increasingthe cognitive demands of the activity. Home seems to furnish a positive context as long as the objective is not to increasethe originality of the outcomes.CONCLUSION: The effectiveness of taste as a scaffold for creative decisions was partially confirmed, demanding furtherstudies. These results have implications for both the artistic aspects of sound making and the everyday usage of sound fordistant socializing in domestic settings, posing renewed challenges to the ongoing STEAM initiatives.

Abstract Xenon dual-phase time projection chambers designed to search for weakly interacting massive particles have so far shown a relative energy resolution which degrades with energy above $$\sim $$ ∼ 200 keV due to the saturation effects. This has limited their sensitivity in the search for rare events like the neutrinoless double-beta decay of $$^{136} \hbox {Xe}$$ 136Xe at its Q value, $$Q_{\beta \beta }\simeq 2.46\,\hbox {MeV}$$ Qββ≃2.46MeV . For the XENON1T dual-phase time projection chamber, we demonstrate that the relative energy resolution at $$1\,\sigma /\mu $$ 1σ/μ is as low as ($$0.80 \pm 0.02$$ 0.80±0.02 ) % in its one-ton fiducial mass, and for single-site interactions at $$Q_{\beta \beta }$$ Qββ . We also present a new signal correction method to rectify the saturation effects of the signal readout system, resulting in more accurate position reconstruction and indirectly improving the energy resolution. The very good result achieved in XENON1T opens up new windows for the xenon dual-phase dark matter detectors to simultaneously search for other rare events.

Introduction: Juvenile myasthenia gravis (JMG) is a rare debilitating and potentially fatal autoimmune disease, with unclearify pathogenesis. Surgical immunomodulation with thymectomy has been repeatedly demonstrated to be a safe and effective treatment for JMG in both adult and pediatric patients. In the last few years, minimally invasive approach and above all robotic assisted thoracoscopy, replaced sternotomy which is widely used in adult patients. We report our experience in a case of robot-assisted thoracoscopic thymectomy approach in a 12 years old boy for juvenile myasthenia gravis (JMG). Case report: Procedure was performed with the Da Vinci surgical robot (Xi) using left-sided approach. Left lung was kept out from mechanic ventilation. A 8 mm port for the 3-D camera was introduced on the V intercostal space on the anterior axillary line. Others two 8mm thoracic ports were placed under vision after the induction of a low-pressure pneumothorax, respectively on the midaxillary line on the III intercostal space and on the parasternal space on the V intercostal space. Bulk resection of gland was made using Maryland grasper and Harmonic scalpel, starting at level of the left pericardiophrenic angle and continuing cranially. Thymus was unstick from the posterior face of the sternum until the right pleura releasing lower thymic horns. After that, controlateral right-side thymectomy was continued into the neck to include the upper horns and finally it was removed with an endocatch bag. Histopathological examination showed a benign thymic hyperplasia. There were no perioperative and postoperative complications. The discharge was on IV post-operative day. After thymectomy, patient reported an improvement in symptoms and stopped medical therapy with pyridostigmine. Conclusions: VATS and Robotic thoracoscopic thymectomy have increasingly taken hold in recent years. The surgical treatment offered to patient an improvement in clinical status. Surgery by robotic assistance has demonstrable advantages, including three-dimensional visualization and articulating instruments. Left lateral approach provided excellent visualization of the thymic veins, anonymous vases and phrenic nerves. Three-dimensional visualization as well as articulating arms greatly facilitated the dissection compared with standard thoracoscopic technique. In Literature very few series of robotic approach for surgical treatment of JMG in children are reported, for these reasons further studies are needed.

Abstract In this paper, we describe the XENON100 data analyses used to assess the target-intrinsic background sources radon ( ), thoron ( ) and krypton ( ). We detail the event selections of high-energy alpha particles and decay-specific delayed coincidences. We derive distributions of the individual radionuclides inside the detector and quantify their abundances during the main three science runs of the experiment over a period of $$\sim 4\,\hbox {years}$$ ∼4years , from January 2010 to January 2014. We compare our results to external measurements of radon emanation and krypton concentrations where we find good agreement. We report an observed reduction in concentrations of radon daughters that we attribute to the plating-out of charged ions on the negatively biased cathode.

Abstract The XENON1T dark matter experiment aims to detect weakly interacting massive particles (WIMPs) through low-energy interactions with xenon atoms. To detect such a rare event necessitates the use of radiopure materials to minimize the number of background events within the expected WIMP signal region. In this paper we report the results of an extensive material radioassay campaign for the XENON1T experiment. Using gamma-ray spectroscopy and mass spectrometry techniques, systematic measurements of trace radioactive impurities in over one hundred samples within a wide range of materials were performed. The measured activities allowed for stringent selection and placement of materials during the detector construction phase and provided the input for XENON1T detection sensitivity estimates through Monte Carlo simulations.

Abstract The XENON1T experiment at the Laboratori Nazionali del Gran Sasso (LNGS) is the first WIMP dark matter detector operating with a liquid xenon target mass above the ton-scale. Out of its 3.2 t liquid xenon inventory, 2.0 t constitute the active target of the dual-phase time projection chamber. The scintillation and ionization signals from particle interactions are detected with low-background photomultipliers. This article describes the XENON1T instrument and its subsystems as well as strategies to achieve an unprecedented low background level. First results on the detector response and the performance of the subsystems are also presented.

Abstract We describe the purification of xenon from traces of the radioactive noble gas radon using a cryogenic distillation column. The distillation column was integrated into the gas purification loop of the XENON100 detector for online radon removal. This enabled us to significantly reduce the constant $$^{222}$$ 222 Rn background originating from radon emanation. After inserting an auxiliary $$^{222}$$ 222 Rn emanation source in the gas loop, we determined a radon reduction factor of $$R\,>\,27$$ R > 27 (95% C.L.) for the distillation column by monitoring the $$^{222}$$ 222 Rn activity concentration inside the XENON100 detector.

Abstract The XENON1T experiment aims for the direct detection of dark matter in a detector filled with 3.3 tons of liquid xenon. In order to achieve the desired sensitivity, the background induced by radioactive decays inside the detector has to be sufficiently low. One major contributor is the $$\beta $$ β -emitter $$^{85}$$ 85 Kr which is present in the xenon. For XENON1T a concentration of natural krypton in xenon $$\mathrm {^{nat}\mathrm{Kr/Xe}\,

Duplications of the alimentary tract are rare malformations, and ileum is the most involved intestinal tract. During fetal life, they are usually occasional findings and may be asymptomatic until adulthood. We present the clinical case of volvulus on ileal cystic duplication diagnosed by ultrasound during prenatal follow-up. Case report: Diagnosis of cystic ileal duplication was made by ultrasound at our center at 23 weeks of gestational age, which was confirmed with fetal MRI. During follow-up, at 36 + 4 weeks, the presence of dilated loops with reduction of peristalsis was shown by ultrasound, so that, despite stable fetal parameters, an emergency caesarean delivery was programmed for suspected volvulus. After being stabilized, the patient underwent to laparotomy that revealed ileal volvulus at 2 cm from the ileo-cecal valve on a cystic duplication. Cyst and necrotic loop (10 cm) was resected and was performed an anastomosis. Patient started feeding on VII post-operative day, and was discharged on the X day. Patient is on follow up and present good conditions. Discussion: Diagnosis of intestinal cystic mass in prenatal period requires a close follow-up because the risk of a volvulus. According to the literature, even in the presence of stable fetal parameters, the presence of dilated loops and the absence of peristalsis are signs that must suspect the presence of a mechanical occlusion for which timely treatment is necessary to reduce mortality and morbidity. Keywords: Prenatal ultrasound, Volvulus, Ileal duplication

The hydraulic storage plants play a strategic role in the management of large electrical networks. Besides the widely known capability to store and provide great amount of energy, in a green and efficient way, these plants are of utmost importance to guarantee the perfect balance of the Italian electricity grid. For this reason the reversible turbomachineries, used in these plants, are subjected to a particularly intensive use which strongly affects their reliability. The present work deals with a real issue of the ENEL Green Power ''Anapo'' storage hydro plant, located in Sicily (Italy). In this plant strong and increasing vibrations were detected in the Fink's guide vane, particularly during the pumping operating conditions. In order to find the sources of these vibrations and for a quantitative evaluation of the structural loads on the Fink's guide vane blades, an unsteady CFD 3D model of the reversible turbine was implemented and validated using data provided by ENEL. The model accurately reproduced the hydrodynamic behavior of the water flow within the entire machinery, between the Kaplan's diffuser and the spiral case. This allowed for the calculation of the time dependent trend of the structural loads over the Fink's vane blades. The frequencies and the amplitudes of the loads were analyzed through the use of a Fast Fourier Transformation. Moreover, the CFD model allowed for a sensitivity study of the guide vane opening angle effects. This study provides an interesting insight into the hydrodynamic behavior of the machine.

The present paper deals with the study of water effect on the combustion of fuels with low Octane Number in Internal Combustion Engines. In particular, this study was carried out using a variable volumetric compression ratio CFR fuel engine.ASTM Standards for Motor and Research methods were followed to determine fuels and fuel-water mixture Octane Number.CFR fuel engine intake manifold was modified to install water injection. Different water/fuel mass ratios were used and Research and Motor Methods Octane Number and pollutant emissions were measured. In particular, water to fuel mass flow ratio was imposed from 0 to 1.5.Increasing the water/fuel mass ratio an increment in octane number was registered and this behaviour is evident for each base octane number studied. At the same time a reduction in the NOx emissions was registered due to both in-cylinder temperature reduction and water chemical interaction with NOx. Analysing in-cylinder pressure traces highlighted that water presence reduces pressure oscillation within the cylinder engine.On the basis of the results it is possible to state that water is able to control detonation in the fuel combustion and an increment of the octane number is registered.

The management of choledochal cysts has evolved during the last 3 decades. Laparoscopic surgery has revolutionized the treatment of choledochal cyst (CC). We report our case, 2-year old female, in which total excision of cyst and Roux-en-Y hepaticoenterostomy is done by laparoscopic approach. In the hands of experts, laparoscopic excision of the CC is safe and effective approach. This is our first experience and our outcome has been good to a follow-up of 6 months. In our opinion, laparoscopic surgery is a safe treatment of choledochal cyst with less postoperative morbidity, a shorter length of stay and a lower blood loss when compared with open approach. Laparoscopic surgery may become the first choice procedure for choledochal cyst.

A 63-year-old woman experienced progressive respiratory distress and psoriatic plaques. The radiographic images showed diffuse interstitial infiltrates. The surgical open lung biopsy revealed an obliteration of the alveolar spaces by plugs of connective tissue distributed within the terminal bronchioles, alveolar ducts and spaces. No relevant cause was determined, and she was diagnosed with idiopathic organising pneumonia. The patient was discharged with oral glucocorticosteroid and supplemental oxygen therapy. One month later, the patient’s pulmonary status had progressively worsened, and she was re-admitted. She required higher oxygen concentrations and mechanical ventilation. Pharmacological therapy included high-dose steroids and cyclophosphamide. Serological assays revealed high antibodies titers (both IgM and IgG) to cytomegalovirus. Therefore, ganciclovir was added to the regimen. Despite the therapy, she died as a result of the disease. The review of the current literature on the topic is also presented.

Anxiety in children undergoing surgery is characterized by feelings of tension, apprehension, nervousness and fear which may manifest differently. Postoperative behavioural changes such as nocturnal enuresis, feeding disorders, apathy, and sleep disturbances may stem from postoperative anxiety. Some Authors pointed out that over 60% of children undergoing surgery are prone to developing behavioural alterations 2 weeks after surgery. Variables such as age, temperament and anxiety both in children and parents are considered predictors of such changes.1 Studies were published describing how psycho-behavioural interventions based on play, learning and entertainment in preparing children for surgery, may reduce preoperative anxiety. Clown-therapy is applied in the most important paediatric facilities and has proved to diminish children’s emotional distress and sufferance, as well as consumption of both analgesics and sedatives and to facilitate the achievement of therapeutic goals. The aim of our study was to evaluate the efficacy of clown-therapy during the child’s hospital stay, with a view to optimizing treatment and care, preventing behavioural alterations and enhancing the child’s overall life quality.

Objective. Over the past decade, multiple factors have changed the pattern of neonatal surgical emergencies. An increase in prenatal screenings and the development of neonatal tertiary care centres have changed the clinical approach to these kids. Materials and methods. Between 1995 to 2011 were retrospectively reviewed 34 patients with diagnosis of uncommon rare neonatal surgical emergencies at our institute. We analyzed: sex, gestational age, weight at birth, primary pathology, prenatal diagnosis, associated anomalies, age and weight at surgery, clinical presentation, start of oral feeding and hospitalization. The follow-up was performed at 6,12, 24 and 36 months. Results. There were 21 male and 13 female. The gestational age ranged between 28 and 36 weeks. The weight at birth ranged between 700 and 1400 grams. Oral feeding was started between 4th and 10th postoperative day. The average hospitalization was about 70.47 days. To date, all patients have finished the followup. They are healthy. Conclusion. The outcome of the patients with uncommon surgical emergencies is different based on the etiology. Overall survival is generally good but is influenced by the associated anomalies.

This paper defines a new procedure for optimising wind farm turbine placement by means of Monte Carlo simulation method. To verify the algorithm’s accuracy, an experimental wind farm was tested in a wind tunnel. On the basis of experimental measurements, the error on wind farm power output was less than 4%. The optimization maximises the energy production criterion; wind turbines’ ground positions were used as independent variables. Moreover, the mathematical model takes into account annual wind intensities and directions and wind turbine interaction. The optimization of a wind farm on a real site was carried out using measured wind data, dominant wind direction, and intensity data as inputs to run the Monte Carlo simulations. There were 30 turbines in the wind park, each rated at 20 kW. This choice was based on wind farm economics. The site was proportionally divided into 100 square cells, taking into account a minimum windward and crosswind distance between the turbines. The results highlight that the dominant wind intensity factor tends to overestimate the annual energy production by about 8%. Thus, the proposed method leads to a more precise annual energy evaluation and to a more optimal placement of the wind turbines.

The liver activity of lipogenic enzymes, the lipid content in various tissues, and plasma lipid levels of major, were measured in sea bass (D. labrax) fed over 96 days either a, fish meal-based control diet or preparations where 70% of fish meal protein was replaced by wheat gluten singly or in combination with pea or soybean meals. Relative to the controls, sea bass fed the wheat gluten-based diet resulted in stimulated lipogenesis in liver and increased lipid deposition in muscle. The opposite occurred when a substantial amount of soybean meal was included in the diet. Mesenteric fat depots were apparently insensitive to major changes in dietary protein source in fish showing similar intakes of digestible protein, energy and lipid. These results confirm that varying plant protein source in the diet differently affects lipid metabolism and deposition in sea bass.

A 11-week trial was carried out to compare the growth performance of sea bass (D. labrax) fed six isonitrogenous isocaloric diets where protein from two fish meals of different nutritive value was replaced with graded levels (0, 50 or 75%) of a mixture made up by a pea protein concentrate and wheat gluten. Fish meal quality did not affect (P>0.05) weight gain or feed efficiency in fish fed graded levels of plant protein in the diet. Feed intake decreased (P

Pea seeds, even if lower in protein than oilseed meals, have been shown to successfully replace moderate amounts of fish meal protein in diets for carnivorous fish species (Kaushik et al., 1993, Gouveia and Davies, 2000). A further processing of such pulses provides concentrated protein products which look very promising as fish meal substitutes in aquafeeds (Thiessen et al., 2003). The aim of the present study was to evaluate nutrient digestibility, growth response, nutrient and energy retention efficiencies and whole body composition of sea bass (Dicentrarchus labrax, L.) fed complete diets in which a pea protein concentrate (PPC) was used to replace graded levels of fish meal protein.