We present a first attempt to study the effect of carbon nanotubes (CNTs) on the clearing transition, from SmA* to isotropic liquid phase, of the antiferroelectric liquid crystal ...4'-Octyloxy-biphenyl-4-carboxylic acid 4-(1-methyl-heptyloxycarbonyl)-phenyl ester (MHPOBC), following two methods to introduce the CNTs. On the one hand, they are dispersed before in the nematic liquid crystal mixture E7 and then mixed with MHPOBC. While it allows decent quality of the CNT dispersion, the effects of E7 itself on the MHPOBC phase sequence is very strong. As a complementary approach to avoid this effect, we therefore also dispersed dry CNT powder directly in MHPOBC.
Cardiac allograft vasculopathy (CAV) is a distinct form of coronary artery disease that represents a major cause of death beyond the first year after heart transplantation. The pathophysiology of CAV ...is still not completely elucidated; it involves progressive circumferential wall thickening of both the epicardial and intramyocardial coronary arteries. Coronary angiography is still considered the gold-standard test for the diagnosis of CAV, and intravascular ultrasound (IVUS) can detect early intimal thickening with improved sensitivity. However, these tests are invasive and are unable to visualize and evaluate coronary microcirculation. Increasing evidence for non-invasive surveillance techniques assessing both epicardial and microvascular components of CAV may help improve early detection. These include computed tomography coronary angiography (CTCA), single-photon emission computed tomography (SPECT), positron emission tomography (PET), and vasodilator stress myocardial contrast echocardiography perfusion imaging. This review summarizes the current state of diagnostic modalities and their utility and prognostic value for CAV and also evaluates emerging tools that may improve the early detection of this complex disease.
The social and economic development of the islands is generally dependent on the interconnection level with the mainland obtained through maritime transport services. When connecting many islands, ...the route planning is essential and typically a variety of constraints must be considered. Various optimization methods have been established to improve cost-efficiency but today environmental concerns, like the reduction of CO2 emissions, have become mandatory. This paper proposes a vessel scheduling optimization model able to simultaneously consider compulsory and optional tasks and vehicle-dependent profits. The algorithm was applied to seven islands of the Tyrrhenian Sea located in front of Sicily, named “Aeolian Islands”. Considering the regional requirements in terms of minimum number of routes and maximum fare prices for each season, this research compared the optimal vessels option obtained maximizing the profit with the one obtained minimizing the emissions. In particular, we have conducted three different analyses, in the first one we have considered only the mandatory routes while the second one was carried out identifying a series of potentially attractive additional activities based on historical demand data provided by the company that currently manages the service. Finally, the third analysis addresses a scenario where older fuel-powered vessels were replaced with hybrid electric ones.
Secondary syphilis with pulmonary involvement Riganti, J.; Martin, M.; Torre, A.C. ...
Journal of the European Academy of Dermatology and Venereology,
12/2016, Volume:
30, Issue:
12
Journal Article
Exposure to high altitude results in hypobaric hypoxia, leading to physiological changes in the cardiovascular system that may result in limiting symptoms, including dyspnea, fatigue, and exercise ...intolerance. However, it is still unclear why some patients are more susceptible to high-altitude symptoms than others. Hypoxic simulation testing (HST) simulates changes in physiology that occur at a specific altitude by asking the patients to breathe a mixture of gases with decreased oxygen content. This study aimed to determine whether the use of transthoracic echocardiography (TTE) during HST can detect the rise in right-sided pressures and the impact of hypoxia on right ventricle (RV) hemodynamics and right to left shunts, thus revealing the underlying causes of high-altitude signs and symptoms. A retrospective study was performed including consecutive patients with unexplained dyspnea at high altitude. HSTs were performed by administrating reduced FiO
to simulate altitude levels specific to patients' history. Echocardiography images were obtained at baseline and during hypoxia. The study included 27 patients, with a mean age of 65 years, 14 patients (51.9%) were female. RV systolic pressure increased at peak hypoxia, while RV systolic function declined as shown by a significant decrease in the tricuspid annular plane systolic excursion (TAPSE), the maximum velocity achieved by the lateral tricuspid annulus during systole (S' wave), and the RV free wall longitudinal strain. Additionally, right-to-left shunt was present in 19 (70.4%) patients as identified by bubble contrast injections. Among these, the severity of the shunt increased at peak hypoxia in eight cases (42.1%), and the shunt was only evident during hypoxia in seven patients (36.8%). In conclusion, the use of TTE during HST provides valuable information by revealing the presence of symptomatic, sustained shunts and confirming the decline in RV hemodynamics, thus potentially explaining dyspnea at high altitude. Further studies are needed to establish the optimal clinical role of this physiologic method.
Influenza infection natural history is often described as a progression through four successive stages: Susceptible–Exposed/Latent–Infectious–Removed (SEIR). The duration of each stage determines the ...average generation time, the time between infection of a case and infection of his/her infector.
Recently, several authors have justified somewhat arbitrary choices in stage durations by how close the resulting generation time distribution was to viral excretion over time after infection. Taking this reasoning one step further, we propose that the viral excretion profile over time can be used directly to estimate the required parameters in an SEIR model. In our approach, the latency and infectious period distributions are estimated by minimizing the Kullback–Leibler divergence between the model-based generation time probability density function and the normalized average viral excretion profile.
Following this approach, we estimated that the latency and infectious period last respectively 1.6 and 1.0 days on average using excretion profiles from experimental infections. Interestingly, we find that only 5% of cases are infectious for more than 2.9 days. We also discuss the consequences of these estimates for the evaluation of the efficacy of control measures such as isolation or treatment. We estimate that, under a best-case scenario where symptoms appear at the end of the latency period, index cases must be isolated or treated at most within 16h after symptoms onset to avoid 50% of secondary cases.
This study provides the first estimates of latency and infectious period for influenza based directly on viral excretion data. It provides additional evidence that isolation or treatment of cases would be effective only if adopted shortly after symptoms onset, and shows that four days of isolation may be enough to avoid most transmissions.
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