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Abstract Background The efficacy of a novel inactivated intradermal Lawsonia intracellularis vaccine, Porcilis® Lawsonia ID, was evaluated in two experimental vaccination-challenge studies and under field conditions on a farm with a history of recurrent acute ileitis. In addition, the efficacy of the vaccine was compared to that of a commercially available live attenuated vaccine. The novel inactivated vaccine consists of a freeze-dried antigen fraction that is dissolved just prior to use in either the adjuvant or in Porcilis® PCV ID; an existing intradermal vaccine against porcine Circovirus type 2. In the two experimental vaccination-challenge studies, groups of 25 piglets were vaccinated once at 3 weeks of age or left unvaccinated as challenge control. Vaccines tested were Porcilis® Lawsonia ID as standalone (study 1) or in associated mixed use with Porcilis® PCV ID (study 2) and an orally administered commercially available live vaccine (study 1). The pigs were challenged with virulent L. intracellularis at 4 weeks (study 1) or 21 weeks (study 2) after vaccination. Post-challenge, the pigs were evaluated for clinical signs, average daily weight gain, shedding and macroscopic as well as microscopic immuno-histological ileum lesion scores. In the field study, the mortality and key performance parameters were evaluated over a period of 8 months. Results The results of the two experimental vaccination-challenge studies showed that Porcilis® Lawsonia ID as single vaccine or in associated mixed use with Porcilis® PCV ID, induced statistically significant protection against experimental L. intracellularis infection, 4 weeks or 21 weeks after vaccination. This was demonstrated by lower clinical scores, improved weight gain, reduction of L. intracellularis shedding and reduction of macroscopic as well as microscopic ileum lesion scores when compared to the controls. The protection induced was superior to that of the commercially available live vaccine. In the field study Porcilis® Lawsonia ID was highly efficacious in reducing L. intracellularis associated mortality and improving key production parameters. Conclusion The results support that this new intradermal vaccine is efficacious against L. intracellularis and may be used in associated mixed use with Porcilis® PCV ID.

The neutron-rich rare isotope 190W is discussed as a candidate for a prolate-oblate transitional nucleus with maximum γ-softness. The collectivity of this isotope is assessed for the first time by the measurement of the reduced E2 transition probability of its first 2+ state to the ground state. The experiment employed the FAst TIming Array (FATIMA), comprised of 36 LaBr3(Ce) scintillators, which was part of the DESPEC setup at GSI, Darmstadt. The 41+ and 21+ states of 190W were populated subsequently to the decay of its 127(12) μs isomeric Jπ=10− state. The mean lifetime of the 21+ state was determined to be τ=274(28) ps, which corresponds to a B(E2;21+→01+) value of 95(10) W.u. The results motivated a revision of previous calculations within an energy-density functional-based interacting boson model-2 approach, yielding E2 transition properties and spectroscopic quadrupole moments for tungsten isotopes. From comparison to theory, the new data suggest that 190W is at the transition from prolate to oblate structure along the W isotopic chain, which had previously been discussed as a nuclear shape-phase transition.

Abstract Introduction Unintentional dural puncture (UDP) occurs in 0.5–1.5% of labour epidural analgesia cases. To date, little is known about evidence of UDP-related complications. This work aimed to assess the incidence of intrapartum and postpartum complications in parturients who experienced UDP. Methods This is a 10-year retrospective observational study on parturients admitted to our centre who presented UDP. Data collection gathered UDP-related complications during labour and postpartum. All women who displayed UDP received medical therapy and bed rest. An epidural blood patch (EBP) was not used in this population. Once asymptomatic, patients were discharged from the hospital. Results Out of 7718 neuraxial analgesia cases, 97 cases of UDP occurred (1.25%). During labour, complications appeared in a small percentage of analgesia procedures performed, including total spinal anaesthesia (1.0%), extended motor block (3%), hypotension (4.1%), abnormal foetal heart rate (2%), inadequate analgesia (14.4%), and general anaesthesia following neuraxial anaesthesia failure (33.3% of emergency caesarean sections). During the postpartum period, 53.6% of parturients exhibited a postdural puncture headache, 13.4% showed neurological symptoms, and 14.4% required neurological consultation and neuroimaging. No patient developed subdural hematoma or cerebral venous sinus thrombosis; one woman presented posterior reversible encephalopathy syndrome associated with eclampsia. Overall, 82.5% of women experienced an extension of hospital stay. Conclusion Major complications occurred in a small percentage of patients during labour. However, since they represent high-risk maternal and neonatal health events, a dedicated anaesthesiologist and a trained obstetric team are essential. No major neurological complications were registered postpartum, and EBP was not performed. Nevertheless, all patients with UDP were carefully monitored and treated until complete recovery before discharge, leading to an extension of their hospitalization.

Volcanoes are known to be important emitters of atmospheric gases and aerosols, which for certain volcanoes can include halogen gases and in particular HBr. HBr emitted in this way can undergo rapid atmospheric oxidation chemistry (known as the bromine explosion) within the volcanic emission plume, leading to the production of bromine oxide (BrO) and ozone depletion. In this work, we present the results of a modelling study of a volcanic eruption from Mt Etna that occurred around Christmas 2018 and lasted 6 d. The aims of this study are to demonstrate and evaluate the ability of the regional 3D chemistry transport model Modèle de Chimie Atmosphérique de Grande Echelle (MOCAGE) to simulate the volcanic halogen chemistry in this case study, to analyse the variability of the chemical processes during the plume transport, and to quantify its impact on the composition of the troposphere at a regional scale over the Mediterranean basin. The comparison of the tropospheric SO2 and BrO columns from 25 to 30 December 2018 from the MOCAGE simulation with the columns derived from the TROPOspheric Monitoring Instrument (TROPOMI) satellite measurements shows a very good agreement for the transport of the plume and a good consistency for the concentrations if considering the uncertainties in the flux estimates and the TROPOMI columns. The analysis of the bromine species' partitioning and of the associated chemical reaction rates provides a detailed picture of the simulated bromine chemistry throughout the diurnal cycle and at different stages of the volcanic plume's evolution. The partitioning of the bromine species is modulated by the time evolution of the emissions during the 6 d of the eruption; by the meteorological conditions; and by the distance of the plume from the vent, which is equivalent to the time since the emission. As the plume travels further from the vent, the halogen source gas HBr becomes depleted, BrO production in the plume becomes less efficient, and ozone depletion (proceeding via the Br+O3 reaction followed by the BrO self-reaction) decreases. The depletion of HBr relative to the other prevalent hydracid HCl leads to a shift in the relative concentrations of the Br− and Cl− ions, which in turn leads to reduced production of Br2 relative to BrCl. The MOCAGE simulations show a regional impact of the volcanic eruption on the oxidants OH and O3 with a reduced burden of both gases that is caused by the chemistry in the volcanic plume. This reduction in atmospheric oxidation capacity results in a reduced CH4 burden. Finally, sensitivity tests on the composition of the emissions carried out in this work show that the production of BrO is higher when the volcanic emissions of sulfate aerosols are increased but occurs very slowly when no sulfate and Br radicals are assumed to be in the emissions. Both sensitivity tests highlight a significant impact on the oxidants in the troposphere at the regional scale of these assumptions. All the results of this modelling study, in particular the rapid formation of BrO, which leads to a significant loss of tropospheric ozone, are consistent with previous studies carried out on the modelling of volcanic halogens.

Background: In general, migrant women have a lower breast cancer (BC) incidence rate and higher BC mortality than autochthonous women. Further, migrant women show lower participation in the national BC screening program. To further investigate those aspects, we aimed to determine differences in incidence and tumor characteristics between autochthonous and migrant BC patients in Rotterdam, the Netherlands. Methods: We selected women diagnosed with BC in Rotterdam during 2012–2015 from the Netherlands Cancer Registry. Incidence rates were calculated by migrant status (i.e., women with or without migration background). Multivariable analyses revealed adjusted odds ratios (OR) and 95% confidence intervals (CI) on the association between migration status and patient and tumor characteristics, additionally stratified by screening attendance (yes/no). Results: In total 1372 autochthonous and 450 migrant BC patients were included for analysis. BC incidence was lower among migrants than among autochthonous women. Overall, migrant women were younger at BC diagnosis (53 vs. 64 years, p

The validity of an eight-band k·p method with the axial approximation for modeling the band structures and optical properties of type-II interband cascade lasers is assessed by comparing its results with those from the standard eight-band k·p method. Explicit expressions for anisotropic k·p interaction terms, which are neglected by the axial approximation, are obtained. Then the band structures and optical properties of practical type-II interband cascade lasers are calculated using both eight-band k·p methods and the numerical results are discussed in detail. It is found that the axial approximation may be problematical for the simulation of type-II interband cascade lasers. [ABSTRACT FROM AUTHOR]

Superconducting (SC) tokamak JT-60SA plays an essential role in fusion research and development by supporting and complementing the ITER project, providing directions to the DEMO design activity and fostering next generation scientists and engineers. Since the short circuit incident at the terminal joints of equilibrium field coil #1 during the integrated commissioning (IC) in March 2021, both EU and JA implementing agencies (IAs) have examined how to ensure safe operation of JT-60SA by mitigating the risk of possible discharge occurrence inside the cryostat. Based on the experience of the global Paschen tests, the IAs have established a strategy of risk mitigation measures, which is a combination of (i) reinforcement of insulation, (ii) avoiding unnecessary voltage application to the coil systems and (iii) immediate de-energization of the coils when deteriorated vacuum conditions are detected. Thanks to the considerable efforts of the Integrated Project Team members, the IC restarted in May 2023. After confirmation of the SC state of the coil systems (TF, EF and CS), the coil energization test and the plasma operation phase 1 (OP-1) started. The first plasma was successfully achieved on 23 October 2023 with a limited value of voltage and current applied to the coils. The plasma configuration control was also confirmed with low plasma current and low auxiliary heating power conditions. Based on the IO–F4E–QST collaboration, activities of JT-60SA have been shared with the IO and provided an important lesson for ITER assembly and commissioning, and will provide an outstanding contribution to fusion research at large. After OP-1, maintenance & enhancement phase 1 (M/E-1) starts from January 2024, in which in-vessel components are installed, and heating and diagnostic systems are extensively upgraded to allow a high power heating experiment planned in OP-2. In order to make the best use of JT-60SA, a newly organized JT-60SA experiment team will refine the research plan for the future high heating power operation phase.

BackgroundNasal provocation testing (NPT) is a reference methodology to identify the culprit allergen in patients with allergic rhinitis. Selecting the right allergen for NPT is particularly difficult in poly-sensitized patients with seasonal allergic rhinitis (SAR). Predictors of NPT outcomes may facilitate the proper use of this test or even substitute it.ObjectiveTo identify predictors of grass pollen NPT outcome from an array of clinical data, e-diary outcomes, and allergy test results in poly-sensitized pediatric patients with SAR.MethodsPoly-sensitized, SAR patients with grass pollen allergy, participating in the @IT.2020 pilot project in Rome and Pordenone (Italy), participated in a baseline (T0) visit with questionnaires, skin prick testing (SPT), and blood sampling to measure total (ImmunoCAP, TFS, Sweden) and specific IgE antibodies to grass pollen extracts and their major allergenic molecules (ESEP, Euroimmun Labordiagnostika, Germany). During the pollen season, patients filled the AllergyMonitor® e-diary app measuring their symptoms, medication intake, and allergy-related well-being via the Visual Analogue Scale (VAS). After the pollen season (T1), patients answered clinical questionnaires and underwent a nasal provocation test (NPT) with grass pollen extract.ResultsWe recruited 72 patients (age 14.3 ± 2.8 years, 46 males) sensitized to grass and/or other pollens, including olive (63; 87.5%) and pellitory (49; 68.1%). Patients positive to grass pollen NPT (61; 84.7%), compared to the negative ones, had worse VAS values in the e-diary, larger SPT wheal reactions, and higher IgE levels, as well as specific activity to timothy and Bermuda grass extracts, rPhl p 5 and nCyn d 1. A positive NPT to grass pollen was predicted by an index combining the specific activity of IgE towards Phl p 5 and Cyn d 1 (AUC: 0.82; p

The Copernicus Atmosphere Monitoring Service (CAMS) provides routine analyses and forecasts of trace gases and aerosols on a global scale. The core is the European Centre for Medium Range Weather Forecasts (ECMWF) Integrated Forecast System (IFS), where modules for atmospheric chemistry and aerosols have been introduced and which allows for data assimilation of satellite retrievals of composition. We have updated both the homogeneous and heterogeneous NOx chemistry applied in the three independent tropospheric–stratospheric chemistry modules maintained within CAMS, referred to as IFS(CB05BASCOE), IFS(MOCAGE) and IFS(MOZART). Here we focus on the evaluation of main trace gas products from these modules that are of interest as markers of air quality, namely lower-tropospheric O3, NO2 and CO, with a regional focus over the contiguous United States. Evaluation against lower-tropospheric composition reveals overall good performance, with chemically induced biases within 10 ppb across species for regions within the US with respect to a range of observations. The versions show overall equal or better performance than the CAMS reanalysis, which includes data assimilation. Evaluation of surface air quality aspects shows that annual cycles are captured well, albeit with variable seasonal biases. During wintertime conditions there is a large model spread between chemistry schemes in lower-tropospheric O3 (∼ 10 %–35 %) and, in turn, oxidative capacity related to NOx lifetime differences. Analysis of differences in the HNO3 and PAN formation, which act as reservoirs for reactive nitrogen, revealed a general underestimate in PAN formation over polluted regions, likely due to too low organic precursors. Particularly during wintertime, the fraction of NO2 sequestered into PAN has a variability of 100 % across chemistry modules, indicating the need for further constraints. Notably, a considerable uncertainty in HNO3 formation associated with wintertime N2O5 conversion on wet particle surfaces remains. In summary, this study has indicated that the chemically induced differences in the quality of CAMS forecast products over the United States depends on season, trace gas, altitude and region. While analysis of the three chemistry modules in CAMS provide a strong handle on uncertainties associated with chemistry modeling, the further improvement of operational products additionally requires coordinated development involving emissions handling, chemistry and aerosol modeling, complemented with data-assimilation efforts.

Abstract Introduction Analyses of miscarriage products indicate that the majority of aneuploidies in early developing embryos derive from errors occurring during maternal meiosis and the paternal contribution is less than 10%. Our aim was to assess the aneuploidy (mainly monosmies) frequencies at the earliest stages of embryo development, 3 days following fertilization during In vitro fertilization (IVF) treatments and to elucidate their parental origin. Later, we compared monosomies rates of day 3 to those of day 5 as demonstrated from Preimplantation Genetic Testing for Structural chromosomal Rearrangement (PGT-SR) results. Methods For a retrospective study, we collected data of 210 Preimplantation Genetic Testing for Monogenic Disorder (PGT-M) cycles performed between years 2008 and 2019.This study includes 2083 embryos, of 113 couples. It also included 432 embryos from 90 PGT-SR cycles of other 45 patients, carriers of balanced translocations. Defining the parental origin of aneuploidy in cleavage stage embryos was based on haplotypes analysis of at least six informative markers flanking the analyzed gene. For comprehensive chromosomal screening (CCS), chromosomal microarray (CMA) and next generation sequencing (NGS) was used. Results We inspected haplotype data of 40 genomic regions, flanking analyzed genes located on 9 different chromosomes.151 (7.2%) embryos presented numerical alterations in the tested chromosomes. We found similar paternal and maternal contribution to monosomy at cleavage stage. We demonstrated paternal origin in 51.5% of the monosomy, and maternal origin in 48.5% of the monosomies cases. Conclusion In our study, we found equal parental contribution to monosomies in cleavage-stage embryos. Comparison to CCS analyses of PGT-SR patients revealed a lower rate of monosomy per chromosome in embryos at day 5 of development. This is in contrast to the maternal dominancy described in studies of early miscarriage. Mitotic errors and paternal involvement in chemical pregnancies and IVF failure should be re-evaluated. Our results show monosomies are relatively common and may play a role in early development of ART embryos.

ABSTRACT: Japanese quails in wild life live in small groups with females being even solitary during the laying period. Although it is a poultry species widely used for egg production, information regarding laying behavior motivations or influencing variables is scarce. Our study focuses on evaluating along 7 d the quail laying behavior in a novel environmental set up. This set up allows the female to choose between remaining separated from a conspecific in one side of the apparatus or to voluntarily enter their space (box-mate side) and interact with it. We evaluated whether the female insemination status prior to enter the environmental set up, and the presence of a female or a male partner in the box-mate side can influence their laying and social behavior. Thus, 4 experimental groups were established. Females spent a higher (P < 0.05) percentage of time in the box-mate side than in their separated sector in all groups. In 3 of the 4 experimental groups (non-inseminated females interacting with a female or a male box-mate, and inseminated females interacting with a male box-mate) females also laid a greater percentage (≥65%, P < 0.05, in all cases) of eggs in the box-mate sector than in their separated sector. However, the group of inseminated females that interacted with a female box-mate shifted their egg distribution and laid equally between both sides of the apparatus. Aggressive social interactions were reduced (P < 0.05) throughout the testing days but this was depending upon the female insemination status and the sex of their box-mate. Findings suggest that females can change their laying side choice when they are inseminated but depending on the sex identity of their box-mate partners. Thus, providing quail female breeders with the option of laying their eggs in separated enclosures from conspecifics could be key to favor their well-being.

Developmental and epileptic encephalopathies (DEE) are conditions in which a mutated gene may cause abnormal functioning of the central nervous system, resulting in both encephalopathy and epileptogenesis. We present a case of a girl with a DEE characterized by a Rett-like phenotype in association with febrile and afebrile clusters of focal seizures. The girl presented typical development until the age of 18 months, followed by regression. The first febrile bilateral tonic-clonic seizure was observed at 30 months of age, and the following month seizures recurred in clusters of several episodes per day every 10 days. These seizures were characterized by behavioural arrest, emotional symptoms, head turning, and followed by bilateral tonic-clonic seizures. The administration of valproic acid and levetiracetam led to prolonged seizure control. However, from the age of 7 years, she had monthly recurrent clusters of focal seizures and non-convulsive status epilepticus which occurred at different ages. Brain and spinal cord MRI showed mild non-progressive hemispheric cerebellar atrophy. A next generation sequencing panel for epilepsy identified the de novo splicing mutation c.2973+1G>A of the SMC1A gene.

Abstract Background Scab is the most important fungal disease of apple and pear. Apple (Malus x domestica Borkh.) and European pear (Pyrus communis L.) are genetically related but they are hosts of two different fungal species: Venturia inaequalis for apple and V. pyrina for European pear. The apple/V. inaequalis pathosystem is quite well known, whereas knowledge about the pear/V. pyrina pathosystem is still limited. The aim of our study was to analyse the mode of action of a major resistance gene of apple (Rvi6) in transgenic apple and pear plants interacting with the two scab species (V. inaequalis and V. pyrina), in order to determine the degree of functional transferability between the two pathosystems. Results Transgenic pear clones constitutively expressing the Rvi6 gene from apple were compared to a scab transgenic apple clone carrying the same construct. After inoculation in greenhouse with V. pyrina, strong defense reactions and very limited sporulation were observed on all transgenic pear clones tested. Microscopic observations revealed frequent aborted conidiophores in the Rvi6 transgenic pear / V. pyrina interaction. The macro- and microscopic observations were very comparable to the Rvi6 apple / V. inaequalis interaction. However, this resistance in pear proved variable according to the strain of V. pyrina, and one of the strains tested overcame the resistance of most of the transgenic pear clones. Comparative transcriptomic analyses of apple and pear resistant interactions with V. inaequalis and V. pyrina, respectively, revealed different cascades of molecular mechanisms downstream of the pathogen recognition by Rvi6 in the two species. Signal transduction was triggered in both species with calcium (and G-proteins in pear) and interconnected hormonal signaling (jasmonic acid in pear, auxins in apple and brassinosteroids in both species), without involvement of salicylic acid. This led to the induction of defense responses such as a remodeling of primary and secondary cell wall, lipids biosynthesis (galactolipids in apple and cutin and cuticular waxes in pear), systemic acquired resistance signal generation (in apple) or perception in distal tissues (in pear), and the biosynthesis of phenylpropanoids (flavonoids in apple but also lignin in pear). Conclusion This study is the first example of a successful intergeneric transfer of a resistance gene among Rosaceae, with a resistance gene functioning towards another species of pathogen.

Household electricity use has an increasing impact on the overall energy system. Numerous proposals have been made to support households to consume electricity in a system-friendlier manner. By breaking these proposals down into functions and how they are performed, this paper identifies four distinctive governance designs: energy communities, variable electricity tariffs, local energy markets and virtual power plants. None covers all the functions required and each addresses different trade-offs that households face. Energy communities focus on investing in energy assets, while the others target the operation of households’ assets, including demand response. Virtual power plants attract profit-oriented consumers, while the others primarily target normative consumers.

How global gridded crop models (GGCMs) differ in their simulation of potential yield and reasons for those differences have never been assessed. The GGCM Intercomparison (GGCMI) offers a good framework for this assessment. Here, we built an emulator (called SMM for simple mechanistic model) of GGCMs based on generic and simplified formalism. The SMM equations describe crop phenology by a sum of growing degree days, canopy radiation absorption by the Beer–Lambert law, and its conversion into aboveground biomass by a radiation use efficiency (RUE). We fitted the parameters of this emulator against gridded aboveground maize biomass at the end of the growing season simulated by eight different GGCMs in a given year (2000). Our assumption is that the simple set of equations of SMM, after calibration, could reproduce the response of most GGCMs so that differences between GGCMs can be attributed to the parameters related to processes captured by the emulator. Despite huge differences between GGCMs, we show that if we fit both a parameter describing the thermal requirement for leaf emergence by adjusting its value to each grid-point in space, as done by GGCM modellers following the GGCMI protocol, and a GGCM-dependent globally uniform RUE, then the simple set of equations of the SMM emulator is sufficient to reproduce the spatial distribution of the original aboveground biomass simulated by most GGCMs. The grain filling is simulated in SMM by considering a fixed-in-time fraction of net primary productivity allocated to the grains (frac) once a threshold in leaves number (nthresh) is reached. Once calibrated, these two parameters allow for the capture of the relationship between potential yield and final aboveground biomass of each GGCM. It is particularly important as the divergence among GGCMs is larger for yield than for aboveground biomass. Thus, we showed that the divergence between GGCMs can be summarized by the differences in a few parameters. Our simple but mechanistic model could also be an interesting tool to test new developments in order to improve the simulation of potential yield at the global scale.

Background: Although integrated care and care coordination are known to be beneficial for older adults’ population, the specific tasks of a Care Coordinator (CC) for integrated care pathways for this population have not been studied in detail. Setting & Subjects: The French national pilot program PAERPA provided an integrated care pathway for older adults. In North France, a CC was recruited to support patients and professionals. Objectives: (i) To analyse the CC’s tasks in an integrated care pathway for older patients, and (ii) to record perceptions on the CC’s tasks among the participating general practitioners (GP) and community pharmacists. Design & Methods: Qualitative, two-phase study: (i) Task analysis of the CC’s tasks, to compare the planned and actual tasks; (ii) semi-structured interviews among GPs and community pharmacists involved in the pathway. Results: (i) The task analysis showed that the CC’s actual tasks differed from planned tasks. The CC was only meant to be involved in the early stages of the process; actually, the CC undertook more or even unforeseen tasks in coordination, communication, and administrative support throughout the care pathways. (ii) The 28 interviewed healthcare professionals considered the CC’s tasks to be essential to the success of pathways. They appreciated the CC’s administrative support. However, CC’s tasks related to interprofessional communication, and patient and family information, were controversially perceived among GPs and pharmacists. Conclusions: The CC’s tasks in an integrated care pathway for older adults showed that the CC’s overall workload was greater than expected and appreciated by healthcare professionals.

Background: Sarcocystosis is one of the most distributed parasitic diseases over the world, caused by Sarcocystis spp. In this study, we assessed the effect of electron beam irradiation on the viability of Sarcocystis spp. in beef. Methods: Experimental beef groups were irradiated by four different electron beam doses of 1, 2, 3, and 4 kGy, at intervals of 0 and 24 h after irradiation, then the samples were transferred inside a sterile microtube containing RNAlater solution and stored at -20 °C till next steps. RNA extractions and cDNA synthesis were done using the related kit in order to detect the presence of the 18S ribosomal RNA region. Relative quantification was carried out using SYBR Green Real time Polymerase Chain Reaction. The statistical analysis was done using SPSS 16.0 by Tukey’s and Kruskal-Wallis tests. Results: Irradiation at zero time was not effective on viability of Sarcocystis, but at 24 h, irradiation doses of 3 (p=0.003) and 4 kGy (p=0.008) caused a significant reduction in Sarcocystis viability. Irradiation doses of 1 and 2 kGy had no significant (p>0.05) effect on Sarcocystis viability reduction. Also, no significant differences (p>0.05) were observed between irradiation doses of 3 and 4 kGy. Conclusion: Electron beam radiation at dose of 3 kGy was effective as the optimal dose for the elimination of Sarcocystis spp. in beef. DOI: 10.18502/jfqhc.7.4.4846

Soil organic matter (OM) represents a key C pool for climate regulation but also an essential component for soil functions and services. Scientific research in the 21st century has considerably improved our knowledge of soil organic matter and its dynamics, particularly under the pressure of the global disruption of the carbon cycle. This paper reviews the processes that control C dynamics in soil, the representation of these processes over time, and their dependence on variations in major biotic and abiotic factors. The most recent advanced knowledge gained on soil organic matter includes the following. (1) Most organic matter is composed of small molecules, derived from living organisms, without transformation via additional abiotic organic polymerization; (2) microbial compounds are predominant in the long term; (3) primary belowground production contributes more to organic matter than aboveground inputs; (4) the contribution of less biodegradable compounds to soil organic matter is low in the long term; (5) two major factors determine the soil organic carbon production “yield” from the initial substrates: the yield of carbon used by microorganisms and the association with minerals, particularly poorly crystalline minerals, which stabilize microbial compounds; (6) interactions between plants and microorganisms also regulate the carbon turnover time and therefore carbon stocks; (7) among abiotic and biotic factors that regulate the carbon turnover time, only a few are considered in current modeling approaches (i.e., temperature, soil water content, pH, particle size, and sometimes C and N interactions); and (8) although most models of soil C dynamics assume that the processes involved are linear, there are now many indications of nonlinear soil C dynamics processes linked to soil OM dynamics (e.g., priming). Farming practices, therefore, affect soil C stocks not only through carbon inputs but also via their effect on microbial and organomineral interactions, yet it has still not been possible to properly identify the main mechanisms involved in C loss (or gain). Greater insight into these mechanisms and their interdependencies, hierarchy and sensitivity to agricultural practices could provide future levers of action for C sequestration in soil.

Abstract In this prospective study, we evaluated the steroid levels in 111 follicular fluids (FF) collected from 13 women stimulated with FSH monotherapy and 205 FF collected from 28 women stimulated with FSH + LH because of a previous history of hypo-responsiveness to FSH. Steroid levels were measured by HPLC/MS–MS and related to ovarian stimulation protocol, oocyte maturity, fertilization and quality of blastocysts, after individually tracking the fate of all retrieved oocytes. 17-Hydroxy-Progesterone, Androstenedione, Estradiol and Estrone were significantly higher in the FSH + LH protocol. Progesterone, 17-Hydroxy-Progesterone and Estradiol were more expressed in FF yielding a mature oocyte (p

Abstract Background Bhutan is committed to eliminating hepatitis B and hepatitis C, though recent baseline estimates of disease burden in the general population are unknown. In 2017, we carried out a biomarker survey in the general population to estimate the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) biomarkers to evaluate the impact of immunization and guide further efforts. Methods In 2017, a cross-sectional, population-based, three-stage cluster survey was undertaken of the general population (1–17 and 20+ years of age). We visited households, collected blood specimens and administered a standard questionnaire. Specimens were collected for hepatitis B surface antigen (HBsAg) and hepatitis C virus antibody (anti-HCV) testing. We calculated prevalence of infection and selected characteristics, along with confidence intervals (CIs). Results Of 1372 individuals approached, 1358 (99%) participated. Of those, 1321 (97%) had a specimen tested for HBsAg, and among 1173 enrolled individuals 5 years of age or older, 1150 (98%) individuals were tested for anti-HCV. The prevalence of HBsAg was 2.0% in 775 persons 20 years of age or older (95% CI: 1.0–4.0) and 0.5% in 546 persons 1–17 years of age (95% CI: 0.1–1.8). The prevalence of anti-HCV was 0.3% (95% CI: 0.1–0.8) among persons ≥5 years. Conclusions Universal hepatitis B immunization of infants has resulted in a low prevalence of chronic HBV infection in persons 1–17 years of age and the prevalence of anti-HCV is low among persons aged ≥5 years. Efforts should continue to reach high coverage of the timely birth dose along with completion of the hepatitis B vaccine series. To reduce the chronic liver disease burden among adults, HBV and HCV testing and treatment as indicated might be restricted to pregnant women, blood donors, individuals with chronic liver diseases, and other groups with history of high-risk exposures.

Purpose: This study aimed to investigate the circulation of Influenza D Virus – IDV (a new genus of the Orthomyxoviridae family) in cattle and swine in Piedmont (Cuneo province) by active and passive surveillance and by a retrospective study on swine archived samples collected in the same area in 2014-2015. Methods & Materials: According to risk-based criteria, 103 cattle and 44 pig farms (both fattening and reproduction) were selected for the sampling of nasal swabs, lungs and oral fluids. In each farm, 15 to 30 nasal swabs were collected from both healthy and symptomatic subjects. RNA extraction was performed with an automatic Maxwell® RCS 48 Promega extractor according to the manufacturer specifications. Oral fluid collection from swine was carried out using cotton ropes and RNA was then isolated by phenol-chloroform extraction from supernatant. As for lungs, a portion of approximately 25 mg of tissue was extracted in phenol-chloroform. Finally, the retrospective study was carried out on RNA extracts from pig nasal swabs and lungs collected in 2014-2015, as part of another research project. RNAs were amplified by One Step RT-PCR for Influenza D using the protocol designed on the region of the gene encoding the Pb1 protein. Results: Between 2018 and 2020 more than 600 samples were collected from 48 cattle farms and 35 pig farms. A total of 482 bovine nasal swabs, 44 bovine lungs, 105 swine oral fluids and 75 pig nasal swabs were processed for the identification of IDV RNA. In the retrospective study, 857 swine nasal swabs and 22 lungs from 43 farms were tested for IDV. Preliminary results showed 7 cattle farms (4 fattening, 3 reproduction/dairy ones) and 1 pig breeding farm positive for IDV, from the active surveillance and the retrospective study, respectively. Furthermore, viral isolation from positive samples on MDCK cells is ongoing. Conclusion: Our study confirms the presence of IDV in Piedmont region, in Cuneo province. Positivity found mainly in cattle and mostly during winter supports the hypothesis that cattle are the main reservoir of the virus and that winter is the season with the highest risk of infection.

A variety of studies have been performed on WGM microresonators made of different materials and exploiting very high quality factors. This feature has allowed their use in a broad variety of applications including micro-lasers, optical filtering and switching, frequency conversion through non-linear effects, RF photonics and sensing. The easiest way to shape a glass spheroid with high quality factor is to use the surface tension during the thermal reflow of a highly transparent amorphous dielectric. Depending on the application, alternatives shapes like micro-bubbles or micro-bottles can be implemented in order to obtain specific performances. This manuscript reports the results we obtained on micro-laser sources in erbium doped microspheres, parametric frequency conversion in silica microspheres, stimulated Brillouin scattering in silica microbubbles, and non-linear effects in polymer coated or fluorophore filled glass microcavities.

We report on an evaluation of tropospheric ozone and its precursor gases in three atmospheric chemistry versions as implemented in the European Centre for Medium-Range Weather Forecasts (ECMWF) Integrated Forecasting System (IFS), referred to as IFS(CB05BASCOE), IFS(MOZART) and IFS(MOCAGE). While the model versions were forced with the same overall meteorology, emissions, transport and deposition schemes, they vary largely in their parameterisations describing atmospheric chemistry, including the organics degradation, heterogeneous chemistry and photolysis, as well as chemical solver. The model results from the three chemistry versions are compared against a range of aircraft field campaigns, surface observations, ozone-sondes and satellite observations, which provides quantification of the overall model uncertainty driven by the chemistry parameterisations. We find that they produce similar patterns and magnitudes for carbon monoxide (CO) and ozone (O3), as well as a range of non-methane hydrocarbons (NMHCs), with averaged differences for O3 (CO) within 10 % (20 %) throughout the troposphere. Most of the divergence in the magnitude of CO and NMHCs can be explained by differences in OH concentrations, which can reach up to 50 %, particularly at high latitudes. There are also comparatively large discrepancies between model versions for NO2, SO2 and HNO3, which are strongly influenced by secondary chemical production and loss. Other common biases in CO and NMHCs are mainly attributed to uncertainties in their emissions. This configuration of having various chemistry versions within IFS provides a quantification of uncertainties induced by chemistry modelling in the main CAMS global trace gas products beyond those that are constrained by data assimilation.

The achievement of the United Nations Sustainable Development Goals (SDGs) is heavily influenced by access to data: Data is necessary to assess the current status quo as well as to measure progress and to find opportune contextualized solutions for development challenges. Specifically, the lack of energy access (as defined in SDG7) is an immense bottleneck for development in Tanzania and considering spatial planning plays a crucial role in locating the most appropriate electrification solution for each site; taking into account not only its inherent characteristics, such as local demand for electricity and economic activities, but also external factors such as the distance to existing energy transmission and distribution infrastructure. Data in Tanzania is scarce, and this paper is an attempt to analyze the potential of open data sources to increase data availability to eventually provide improved foundation for decision making and investment flows for electrification planning. Results show that data quality of the given sources is sufficient for providing a novel level of disaggregated spatial information which can serve as an additional information stream for all involved stakeholders.From both perspectives, with national planning on the one hand and bottom-up initiatives on the other hand, it is important to understand the spatial aspects of any planning scheme to guarantee that a successful implementation phase will follow the planning stage.

Start-up lost time is an important parameter in performance of signalized intersections which may in turn depict the effect of behaviour of different drivers for different countries. In this study the parameters affecting the startup lost time in Turkey will be defined and a model will be established to present the relationship between start-up lost time, saturation flow as well as start response time with the behaviour of Turkish drivers. For this purpose, observations were carried out at eight intersections in Turkey. Analyses have shown that saturation headways decrease with the increase in time in start response since the drivers in the 2nd and higher rows of a queue have a longer time to get prepared to discharge. Results also indicated that start-up lost time increases rapidly as cycle time increases, and lower start-up lost time values can be observed in left or right turning lanes.

Humans perceive snakes as threatening stimuli, resulting in fast emotional and behavioral responses. However, snake species differ in their true level of danger and are highly variable in appearance despite the uniform legless form. Different snakes may evoke fear or disgust in humans, or even both emotions simultaneously. We designed three-step-selection experiments to identify prototypical snake species evoking exclusively fear or disgust. First, two independent groups of respondents evaluated 45 images covering most of the natural variability of snakes and rated responses to either perceived fear (n = 175) or disgust (n = 167). Snakes rated as the most fear-evoking were from the family Viperidae (Crotalinae, Viperinae, and Azemiopinae), while the ones rated as the most disgusting were from the group of blind snakes called Typhlopoidea (Xenotyphlopinae, Typhlopinae, and Anomalepidinae). We then identified the specific traits contributing to the perception of fear (large body size, expressive scales with contrasting patterns, and bright coloration) and disgust (thin body, smooth texture, small eyes, and dull coloration). Second, to create stimuli evoking a discrete emotional response, we developed a picture set consisting of 40 snakes with exclusively fear-eliciting and 40 snakes with disgust-eliciting features. Another set of respondents (n = 172) sorted the set, once according to perceived fear and the second time according to perceived disgust. The results showed that the fear-evoking and disgust-evoking snakes fit mainly into their respective groups. Third, we randomly selected 20 species (10 fear-evoking and 10 disgust-evoking) out of the previous set and had them professionally illustrated. A new set of subjects (n = 104) sorted these snakes and confirmed that the illustrated snakes evoked the same discrete emotions as their photographic counterparts. These illustrations are included in the study and may be freely used as a standardized assessment tool when investigating the role of fear and disgust in human emotional response to snakes.

Medial end clavicular fractures are a rare occurrence. While most of these fractures can be appropriately managed with a nonoperative treatment, some cases of symptomatic nonunion might be surgically addressed to preserve sternoclavicular joint stability and ensure favorable outcomes. The open reduction and osteosynthesis procedure is a commonly performed procedure to treat clavicular fracture nonunion. However, few revision procedures have been described to address the occasional cases of hardware failure or recurrent nonunion of the medial end. In this report, the authors present a case of symptomatic nonunion of the medial clavicle initially treated with osteosynthesis. Implant failure with hardware migration was then treated by medial clavicle resection and stabilization to the sternum using a palmaris longus autograft and the figure-of-eight lacing technique. Excellent functional outcomes at three years of follow-up were obtained. To the authors’ knowledge, this is the first case reporting on a sternoclavicular stabilization with a tendon autograft for such an important bone deficit.

Le asimmetrie maxillo-mandibolari riconoscono numerose eziologie: congenita, traumatica, iatrogena e post resezione oncologica. I pazienti affetti da malformazioni congenite vengono generalmente sottoposti a chirurgia ortognatica con o senza procedure aggiuntive (genioplastica, impianti alloplastici) con risultati soddisfacenti. Tuttavia, nonostante il raggiungimento della simmetria scheletrica può esitare una asimmetria residua più o meno evidente. Lo studio presentato è stato effettuato su 45 pazienti (29 femmine e 16 maschi), trattati chirurgicamente tra Dicembre 2012 e Giugno 2014. Tutti i pazienti erano affetti da asimmetria maxillo-mandibolare e sono stati sottoposti a chirurgia ortognatica per la correzione ossea della deformità. Le alterazioni residue sono state trattate con lipofilling. In tutti i casi si è osservato un buon attecchimento del grasso a livello del sito ricevente. Lanalisi retrospettiva della documentazione fotografica ha dimostrato un progressivo decremento dei volumi raggiunti in seguito al trattamento con lipofilling fino a sei mesi dalla procedura, dopodiché i volumi sono rimasti invariati. Non sono state riportate complicanze significative sia a livello del sito donatore sia del ricevente. Un lieve edema ecchimotico è stato osservato frequentemente nella prima settimana post-operatoria, non sono stati riportati casi di ematoma, infezioni, danni nervosi o vascolari. 24 pazienti hanno avuto necessità di ulteriori applicazioni, una seconda applicazione si è resa necessaria in 22 pazienti ed una terza in 2 pazienti. (totale di 69 procedure). Sulla base dei risultati di questo studio la metodica del lipofilling si è dimostrata semplice, efficace e facilmente riproducibile, mostrando un alto indice di soddisfazione da parte dei pazienti e una scarsa incidenza di svantaggi e complicanze. Abbiamo inoltre dimostrato come il successo del riempimento con grasso autologo sia dipendente dalla subunità del viso che viene trattata. Le regioni malare e della guancia hanno mostrato i migliori risultati mentre le subunità corrispondenti al labbro inferiore e superiore hanno mostrato uno scarso attecchimento del grasso innestato, con una conseguente maggiore perdita di volume. In conclusione si può dire che le procedure composite, che prevedono lutilizzo congiunto della correzione chirurgica delle basi scheletriche e un successivo ritocco per mezzo di innesto di grasso autologo, costituiscono una opzione addizionale e personalizzabile per i pazienti affetti da malformazioni maxillo-mandibolari.

Negli anni è aumentata l’attenzione verso i molteplici aspetti associati alla “sfera” dolore, anche nei pazienti oncologici sottoposti a chirurgia testa-collo. Il dolore, definito infatti da diverse caratteristiche, quali l’esperienza personale, gli aspetti qualitativi della percezione, l’intensità, l’impatto emotivo, riconosce un’eziologia “multifattoriale”. Scopo del presente lavoro è stato: (i) valutare l’efficacia della terapia analgesica in pazienti affetti da tumore testa-collo e sottoposti a trattamento chirurgico; (ii) studiare le possibili variabili ed i fattori predittivi che possano influenzare l’insorgenza di dolore. Sono stati studiati 164 pazienti, affetti da neoplasia maligna del distretto testa-collo, trattati chirurgicamente tra il dicembre 2009 ed il dicembre 2013. I dati raccolti comprendono l’età, il sesso, la valutazione del rischio anestesiologico, la sede del tumore, la stadiazione TNM, il tipo di intervento effettuato, la complessità e la durata dell’intervento, le eventuali complicanze post-operatorie, i giorni di degenza post-intervento, la valutazione del dolore nei giorni 0, 1, 3 e 5 post-chirurgia. L’adeguatezza della terapia analgesica è stata espressa in termini di incidenza e prevalenza del dolore post-operatorio, le variabili legate al paziente, alla malattia, al trattamento chirurgico e farmacologico, sono state poi associate all’insorgenza del dolore così da poter descrivere eventuali fattori predittivi. Dai dati ottenuti emerge che la popolazione studiata ha ricevuto un’adeguata terapia antalgica, sia nell’immediato post-operatorio che nei giorni successivi. Non sono risultate associazioni statisticamente significative tra sesso, età ed incidenza del dolore post-chirurgico, mentre lo stadio del tumore, la complessità dell’intervento chirurgico e la sede della neoplasia hanno presentano correlazione significativa con il rischio di insorgenza di dolore post-operatorio. L’elevata prevalenza del dolore in ambito oncologico testa-collo, fa sì che un’appropriata ed attenta gestione del dolore risulti fondamentale. Nel futuro pertanto si auspica una sempre migliore comprensione dei fattori biologici, sociali e psicologici che caratterizzano la percezione del dolore ai fini di migliorarne il controllo.

Il gold standard nella ricostruzione dei mascellari nelle atrofie severe, siano esse di natura idiopatica o iatrogena, come nei casi di chirurgia resettiva oncologica, deve essere incentrato verso tecniche di ricostruzione immediata che consentano un veloce recupero funzionale ed estetico. I pazienti considerati in questo studio sono stati trattati durante un periodo di 5 anni (2010-2014) con ricostruzione immediata del deficit dei mascellari, eseguito per mezzo di lembo libero di fibula osteo-periosteo. Sono stati pertanto selezionati 14 pazienti sottoposti a ricostruzione con tale tecnica, senza riportare complicanze a medio e lungo termine. Il principale vantaggio di questo tipo di ricostruzione va ricercato nella formazione di gengiva cheratinizzata sovrastante il lembo libero che consente la migliori condizione possibile per una ricostruzione implantoprotesica. L’unico svantaggio di questa tecnica è da imputare alla necessità di lasciare che la ferita chirurgica intraorale guarisca per seconda intenzione in modo da promuovere la formazione di gengiva cheratinizzata dai bordi della ferita stessa, per tale ragione però il pazente necessita di un rigido follow up per il primo mese dopo l’intervento. Lo scopo di questo lavoro è valutare l’efficacia di tale tecnica nelle ricostruzioni ossee dei mascellari.

Scopo di questo studio è dimostrare che il dispositivo medico GOCCLES® permette di condurre l’esame dell’autofluorescenza del cavo orale nel setting odontoiatrico. Si tratta di uno studio multicentrico non randomizzato su pazienti consecutivi a rischio di cancro orale. I pazienti sono stati sottoposti ad ispezione del cavo orale ad occhio nudo seguita dall’esame dell’autofluorescenza condotto indossando gli occhiali GOCCLES® mentre una lampada fotopolimerizzante illuminava la mucosa orale. Le lesioni sono state definite come qualunque lesione precancerosa del cavo orale visibile ad occhio nudo o area di perdita di fluorescenza visibile con GOCCLES®. Tutte le lesioni persistenti sono state sottoposte a biopsia escissionale o incisionale. Sono stati reclutati 61 pazienti e analizzati i dati da 64 lesioni. Delle 62 lesioni identificate dal dispositivo, 31 erano veramente positive. Il dispositivo ha identificato 31 delle 32 lesioni veramente positive. Una lesione (un carcinoma invasivo) non era visibile ad occhio nudo. Tutte le lesioni classificate come displasia tra moderata e severa e ogni carcinoma sono stati correttamente identificati dal dispositivo. Nel Il 56,7% delle lesioni identificate dal dispositivo mostrava margini più ampi rispetto a quelli visibili ad occhio nudo. Il dispositivo medico GOCCLES® permette di osservare il fenomeno della perdita di fluorescenza in pazienti affetti da displasia o cancro del cavo orale. Ha permesso di effettuare l’esame dell’autofluorescenza con ciascuna lampada fotopolimerizzante testata. I risultati suggeriscono di impiegare GOCCLES® come esame complementare rispetto all’ispezione ad occhio nudo del cavo orale su pazienti a rischio per cancro orale. Il dispositivo permette di identificare lesioni altrimenti visibili o i cui margini sono sottostimati dall’ispezione ad occhio nudo.

The Tarim River basin, located in Xinjiang, NW China, is the largest endorheic river basin in China and one of the largest in all of Central Asia. Due to the extremely arid climate, with an annual precipitation of less than 100 mm, the water supply along the Aksu and Tarim rivers solely depends on river water. This is linked to anthropogenic activities (e.g., agriculture) and natural and semi-natural ecosystems as both compete for water. The ongoing increase in water consumption by agriculture and other human activities in this region has been enhancing the competition for water between human needs and nature. Against this background, 11 German and 6 Chinese universities and research institutes have formed the consortium SuMaRiO (Sustainable Management of River Oases along the Tarim River; http://www.sumario.de), which aims to create a holistic picture of the availability of water resources in the Tarim River basin and the impacts on anthropogenic activities and natural ecosystems caused by the water distribution within the Tarim River basin. On the basis of the results from field studies and modeling approaches as well as from suggestions by the relevant regional stakeholders, a decision support tool (DST) will be implemented that will then assist stakeholders in balancing the competition for water, acknowledging the major external effects of water allocation to agriculture and to natural ecosystems. This consortium was formed in 2011 and is funded by the German Federal Ministry of Education and Research. As the data collection phase was finished this year, the paper presented here brings together the results from the fields from the disciplines of climate modeling, cryology, hydrology, agricultural sciences, ecology, geoinformatics, and social sciences in order to present a comprehensive picture of the effects of different water availability schemes on anthropogenic activities and natural ecosystems along the Tarim River. The second objective is to present the project structure of the whole consortium, the current status of work (i.e., major new results and findings), explain the foundation of the decision support tool as a key product of this project, and conclude with application recommendations for the region. The discharge of the Aksu River, which is the major tributary of the Tarim, has been increasing over the past 6 decades. From 1989 to 2011, agricultural area more than doubled: cotton became the major crop and there was a shift from small-scale to large-scale intensive farming. The ongoing increase in irrigated agricultural land leads to the increased threat of salinization and soil degradation caused by increased evapotranspiration. Aside from agricultural land, the major natural and semi-natural ecosystems are riparian (Tugai) forests, shrub vegetation, reed beds, and other grassland, as well as urban and peri-urban vegetation. Within the SuMaRiO cluster, focus has been set on the Tugai forests, with Populus euphratica as the dominant tree species, because these forests belong to the most productive and species-rich natural ecosystems of the Tarim River basin. At sites close to the groundwater, the annual stem diameter increments of Populus euphratica correlated with the river runoffs of the previous year. However, the natural river dynamics cease along the downstream course and thus hamper the recruitment of Populus euphratica. A study on the willingness to pay for the conservation of the natural ecosystems was conducted to estimate the concern of the people in the region and in China's capital. These household surveys revealed that there is a considerable willingness to pay for conservation of the natural ecosystems, with mitigation of dust and sandstorms considered the most important ecosystem service. Stakeholder dialogues contributed to creating a scientific basis for a sustainable management in the future.

This study represents the improved mathematical and imitational allocated in space multi-zone model of VVER-1000 which differs from the known one. It allows to take into account the energy release of 235U nuclei fission as well as 239Pu . Moreover, this model includes sub-models of simultaneous control impact of the boric acid concentration in the coolant of the first circuit and the position of 9th group control rods which allows to consider it as the model with allocated parameters and also allows to monitor changes in the mentioned technological parameters by reactor core symmetry sectors, by layers of reactor core height and by fuel assembly group each symmetry sector. Moreover, this model allows to calculate important process-dependent parameters of the reactor (including axial offset) as quantitative measure of its safety. As the mathematical and imitational models were improved, it allows to take into account intrinsic properties of the reactor core (including transient processes of xenon) and thus reduce the error of modelling static and dynamic properties of the reactor.The automated control method of power change of the NPP unit with VVER-1000 was proposed for the first time. It uses three control loops. One of which maintains the regulatory change of reactor power by regulating the concentration of boric acid in the coolant, the second circuit keeps the required value of axial offset by changing the position of control rods, and the third one holds constant the coolant temperature mode by regulating the position of the main turbo generator valves.On the basis of the above obtained method, two control programs were improved. The first one is the improved control program that implements the constant temperature of the coolant in the first circuit and the second one is the improved control program that implements the constant steam pressure in the second circuit.

This paper deals with the friction coefficient behaviour during dry reciprocating sliding of UHMWPE in contact with alumina (Al2O3), within a range of velocities typical for hip implants. Five values of normal force (100 - 1000 mN) and three values of sliding speed (4 - 12 mm/s) have been observed. Real time diagrams of the friction coefficient as a function of the sliding cycles were recorded for each test. Dynamic friction coefficient curves exhibited rather uniform behavior for all test conditions. Somewhat larger values of friction coefficient could be observed during the running-in period in case of low loads (100 - 250 mN) and the lowest velocity (4 mm/s). In case of high loads and speeds, friction coefficient reached steady state values shortly after the beginning of the test.

Fibromyalgia is a chronic pain syndrome characterized by widespread pain, fatigue, and memory and mood disturbances. Despite advances in our understanding of the underlying pathophysiology, treatment is often challenging. New research indicates that changes in functional connectivity between brain regions, as can be measured by magnetic resonance imaging (fcMRI) of the resting state, may underlie the pathogenesis of this and other chronic pain states. As such, this parameter may be able to be used to monitor changes in brain function associated with pharmacological treatment, and might also be able to predict treatment response. We performed a resting state fcMRI trial using a randomized, placebo-controlled, cross-over design to investigate mechanisms of action of milnacipran (MLN), a selective serotonin and norepinephrine reuptake inhibitor (SNRI), in fibromyalgia patients. Our aim was to identify functional connectivity patterns at baseline that would differentially predict treatment response to MLN as compared to placebo. Since preclinical studies of MLN suggest that this medication works by augmenting antinociceptive processes, we specifically investigated brain regions known to be involved in pain inhibition. 15 fibromyalgia patients completed the study, consisting of 6 weeks of drug and placebo intake (order counterbalanced) with an interspersed 2 week wash out period. As a main finding we report that reductions in clinical pain scores during MLN were associated with decreased functional connectivity between pro-nociceptive regions and antinociceptive pain regions at baseline, specifically between the rostral part of the anterior cingulate cortex (ACC) and the insular cortex (IC), as well as between the periaqueductal gray (PAG) and the IC: patients with lower preexisting functional connectivity had the greatest reduction in clinical pain. This pattern was not observed for the placebo period. However a more robust placebo response was associated with lower baseline functional connectivity between the ACC and the dorsolateral prefrontal cortex. This study indicates that ACC–IC connectivity might play a role in the mechanism of action of MLN, and perhaps more importantly fcMRI might be a useful tool to predict pharmacological treatment response.

We report on the fabrication and characterization of planar waveguides in an Er-doped tungsten-tellurite glass by implantation of 3.5 MeV N+ ions. Implantations were carried out in a wide fluence range of 1·1016 ÷8 ·1016 ions/cm2. Waveguides were characterized by m-line spectroscopy and spectroscopic ellipsometry. Irradiation-induced refractive index modulation saturated around a fluence of 8 ·1016 ions/cm2. Waveguides operating at 1550 nm were obtained in that material using 3.5 MeV N+ ion implantation.

Objective: Predictors of response to biologics in rheumatoid arthritis (RA) is an important issue in the current era. Rituximab (RTX) has been demonstrated effective and safe in active RA, resistant to traditional or biologic DMARDs. Methods: Fifty-seven patients with active longstanding RA were treated with RTX after traditional DMARD or anti- TNF alpha therapy failure. Results: Number of anti-TNF treatment previously failed (p=0.005), HAQ (p=0.013), rheumatoid factor (RF) (p=0.0002) and anti-CCP (p=0.006) were associated with an ACR response ≥50 at the end of 6th month by univariate analysis. Multivariate analysis confirmed that the number of anti-TNF previously failed, baseline HAQ and RF, but not anti-CCP were associated with an ACR response ≥50. EULAR moderate/good response was associated with ESR value (p=0.036), HAQ (p=0.032), and RF (p=0.01) by univariate analysis, while only RF positivity was associated with EULAR moderate/good response by multivariate analysis. Conclusions: RF positivity rather than anti-CCP positivity is a predictor of response to RTX, suggesting that RF-positive patients with low disability may obtain a clinical response when treated to RTX after the first anti-TNF agent failure or after traditional DMARD therapies. Larger studies are required to confirm these results.