The relationship between COVID-19 and out-of-hospital cardiac arrests (OHCAs) has been shown during different phases of the first pandemic wave, but little is known about how to predict where cardiac ...arrests will increase in case of a third peak.
To seek for a correlation between the OHCAs and COVID-19 daily incidence both during the two pandemic waves at a provincial level.
We considered all the OHCAs occurred in the provinces of Pavia, Lodi, Cremona, Mantua and Varese, in Lombardy Region (Italy), from 21/02/2020 to 31/12/2020. We divided the study period into period 1, the first 157 days after the outbreak and including the first pandemic wave and period 2, the second 158 days including the second pandemic wave. We calculated the cumulative and daily incidence of OHCA and COVID-19 for the whole territory and for each province for both periods.
A significant correlation between the daily incidence of COVID-19 and the daily incidence of OHCAs was observed both during the first and the second pandemic period in the whole territory (R = 0.4, p<0.001 for period 1 and 2) and only in those provinces with higher COVID-19 cumulative incidence (period 1: Cremona R = 0.3, p = 0.001; Lodi R = 0.4, p<0.001; Pavia R = 0.3; p = 0.01; period 2: Varese R = 0.4, p<0.001).
Our results suggest that strictly monitoring the pandemic trend may help in predict which territories will be more likely to experience an OHCAs' increase. That may also serve as a guide to re-allocate properly health resources in case of further pandemic waves.
Summary We investigate the behavior of different shape functions for the discretization of hyperbolic problems. In particular, we consider classical Lagrange polynomials and B‐splines. The studies ...focus on the performance of the these functions as a spatial discretization approach combined with an explicit time marching scheme. In this regard, a major concern is the maximum eigenvalue that imposes restrictions on the critical time step size and suitable lumping techniques that yield a diagonal mass matrix. The accuracy of the discretization methods is assessed in an asymptotic manner in terms of the convergence of eigenvalues and eigenvectors. Further, the global accuracy is investigated in terms of the full spectrum. The results show that B‐spline discretization with a consistent mass matrix are more accurate than those based on Lagrange shape functions, which holds true in the boundary‐fitted as well as in the immersed setting. On the other hand, Lagrange shape functions are more robust with respect to standard lumping techniques, which cannot be directly applied for B‐splines without loss of accuracy. In general, we observe that none of the standard lumping schemes yields optimal results for B‐splines, even in the boundary‐fitted setting. For the immersed setting, also Lagrange shape functions show a drop in accuracy which depends on the position of the boundary that cuts the element. Several remedies are considered in order to overcome these issues, including interpolatory B‐spline bases as well as eigenvalue stabilization methods. While accuracy and stability can be improved using these remedies, we conclude from our study that it is still an open question, how to design a discretization method that achieves large critical time step sizes in combination with a diagonal mass matrix and high accuracy in the immersed setting. We note that these considerations primarily relate to linear structural dynamics applications, such as for example, structural acoustics. In nonlinear problems, such as automotive crash dynamics, other considerations predominate. An example of a one‐dimensional elastic‐plastic bar impacting a rigid wall is illustrative.
The increasing incidence of cancer over the years is one of the most challenging problems in healthcare. As cancer progresses, the recruitment of several immune cells is triggered. Infiltration of ...tumor-associated macrophages (TAMs) is correlated with poor patient prognosis. Since TAMs constitute a big portion of the tumor mass, targeting these cells seems to be an attractive approach for cancer immunotherapy. Additionally, TAM assessment using non-invasive imaging techniques, such as positron emission tomography (PET), might provide a better understanding of the role of TAMs in cancer, and a means for tumor profile characterization, patient selection for individualized immunotherapy and treatment monitoring. Imaging of TAMs using PET tracers is still in its infancy. TAMs have several characteristics that could be exploited as potential targets for imaging. Various PET tracers for these TAM biomarkers have been developed, although often in the context of (neuro)inflammatory diseases rather than cancer. Since macrophages in inflammatory diseases express similar biomarkers as TAMs, these PET tracers could potentially also be applied for the assessment of TAMs in the tumor microenvironment. Therefore, the present review provides an overview of the TAM biomarkers, for which potential PET tracers are available and discusses the status of these tracers.
Background
Pediatricians are often the first point of contact for children in Primary Care (PC), but still perceive gaps in their allergy knowledge. We investigated self‐perceived knowledge gaps and ...educational needs in pediatricians across healthcare systems in Europe so that future educational initiatives may better support the delivery of allergy services in PC.
Method
A multinational survey was circulated to pediatricians who care for children and adolescents with allergy problems in PC by the EAACI Allergy Educational Needs in Primary Care Pediatricians Task Force from February to March 2023. A 5‐point Likert scale was used to assess the level of agreement with questionnaire statements. Thirty surveys per country were the cut‐off for inclusion and statistical analysis.
Results
In this study, 1991 respondents were obtained from 56 countries across Europe and 210 responses were from countries with a cut‐off below 30 participants per country. Primary care pediatricians (PCPs) comprised 74.4% of the respondents. The majority (65.3%) were contracted to state or district health services. 61.7% had awareness of guidelines for onward allergy referral in their countries but only 22.3% were aware of the EAACI competencies document for allied health professionals for allergy. Total sample respondents versus PCPs showed 52% and 47% of them have access to allergy investigations in their PC facility (mainly specific IgE and skin prick tests); 67.6% and 58.9% have access to immunotherapy, respectively. The main barrier to referral to a specialist was a consideration that the patient's condition could be diagnosed and treated in this PC facility, (57.8% and 63.6% respectively). The main reasons for referral were the need for hospital assessment, and partial response to first‐line treatment (55.4% and 59.2%, 47% and 50.7%, respectively). Learning and assessment methods preference was fairly equally divided between Traditional methods (45.7% and 50.1% respectively) and e‐learning 45.5% and 44.9%, respectively. Generalist physicians (GPs) have the poorest access to allergy investigations (32.7%, p = .000). The majority of the total sample (91.9%) assess patients with allergic pathology. 868 (43.6%) and 1117 (46.1%), received allergy training as undergraduates and postgraduates respectively these proportions in PCPs were higher (45% and 59%), respectively. PCPs with a special interest in allergology experienced greater exposure to allergy teaching as postgraduates. GPs received the largest amount of allergy teaching as undergraduates. Identifying allergic disease based on clinical presentation, respondents felt most confident in the management of eczema/atopic dermatitis (87.4%) and rhinitis/asthma (86.2%), and least confident in allergen immunotherapy (36.9%) and latex allergy (30.8%).
Conclusion
This study exploring the confidence of PCPs to diagnose, manage, and refer patients with allergies, demonstrated knowledge gaps and educational needs for allergy clinical practice. It detects areas in need of urgent improvement especially in latex and allergen immunotherapy. It is important to ensure the dissemination of allergy guidelines and supporting EAACI documents since the majority of PCPs lack awareness of them. This survey has enabled us to identify what the educational priorities of PCPs are and how they would like to have them met.
Somatosensory information arising from the foot has an important role in posture as well as visual and vestibular cues. Our hypothesis is that the effects of prolonged stimulation are greater than ...those of short stimulation and that varying the plantar location can affect postural control. Forty healthy participants were recruited and randomly assigned to four different plantar location groups: Lateral Insert (LI), Medial Insert (MI), Disharmonious Insert (DI), and Central Insert (CI). An instrumental assessment was performed before the plantar stimulation (T0), immediately after the positioning of the inserts (T1), and after 7 days of daily stimulation (T7). A follow-up was performed 15 days after (T15). The following stabilometric parameters were considered for both open eyes (OE) and closed eyes (CE) conditions: length of the sway (L) of the Center of Pressure (CoP); CoP maximum movements in the medio-lateral (X), and antero-posterior directions (Y). Comparing the effects of different plantar insert locations, the MI and CI groups were significantly different in the follow-up measures at T15, specifically for closed eyes measures. When we compared measures across time within each location group, CI group increased measures of X and Y data at T7 compared to other assessment times (T0, T1, and T15). In both MI and LI groups, L was significantly reduced, and X significantly increased at the T7 assessment compared to the T0, T1, and T15 assessments. The prolonged use of exteroceptive plantar stimulation and the location of plantar inserts may have a role to reshape postural control.
Peptide nucleic acids (PNAs) have been demonstrated to be very useful tools for gene regulation at different levels and with different mechanisms of action. In the last few years the use of PNAs for ...targeting microRNAs (anti-miRNA PNAs) has provided impressive advancements. In particular, targeting of microRNAs involved in the repression of the expression of the cystic fibrosis transmembrane conductance regulator (CFTR) gene, which is defective in cystic fibrosis (CF), is a key step in the development of new types of treatment protocols. In addition to the anti-miRNA therapeutic strategy, inhibition of miRNA functions can be reached by masking the miRNA binding sites present within the 3′UTR region of the target mRNAs. The objective of this study was to design a PNA masking the binding site of the microRNA miR-145-5p present within the 3′UTR of the CFTR mRNA and to determine its activity in inhibiting miR-145-5p function, with particular focus on the expression of both CFTR mRNA and CFTR protein in Calu-3 cells. The results obtained support the concept that the PNA masking the miR-145-5p binding site of the CFTR mRNA is able to interfere with miR-145-5p biological functions, leading to both an increase of CFTR mRNA and CFTR protein content.
Today, it is no longer a secret: electronic and electrical equipment was not conceived for sustainable end-of-life scenarios. A paradigm shift from linear to circular comprising eco-friendly design ...and processing of electronic devices is deemed necessary in the quest of achieving sustainability in the electronic sector. Solution-processable (compatible with printing technologies), potentially biodegradable bio-sourced organic electronic materials are ideal candidates to decrease the environmental footprint of electronics. In this review, we present the recent advancements in printed transistors. We highlight the massive progress in the printing of high-resolution patterns using gravure printing, reverse offset printing and inkjet printing. Afterwards, we outline the recent developments in the printing of dielectric and active layers using bio-sourced organic materials. Special attention is given to the fabrication of active layers by deposition of small molecules semiconductor:polymer additive blends and its tremendous potential for printing technologies.
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•Conductive patterns reaching dimensions of < 2 μm were recently printed.•All-organic all-printed device is a case of study that requires attention.•The use of bio-sourced materials increases the sustainability of printed electronics.•Semiconductor: polymer blends show a tremendous potential for organic printed electronics.•Printed active layers based on bio-sourced pigments were recently demonstrated.
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