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Pressurized metered dose inhalers (pMDI) are one of the most common devices to deliver therapeutic treatment to patients with asthma or COPD. The atomization mechanism responsible for droplet production is poorly understood because of the short length and timescales involved, making experimental investigations to characterize fluid flow structures and spray formation processes difficult. This article reports the findings of new high-speed and high-resolution imaging and temperature measurements seeking to improve the fundamental understanding of the atomization mechanism of the pMDI. An annular flow regime of gaseous core in liquid annulus was observed in the orifice. Shock diamonds within the flow, viewed via Schlieren imaging, confirmed experimentally for the first time the choked nature of the orifice exit flow. Propellant formulation flow in the orifice was found to be superheated to a degree that significant flashing and evaporation at the orifice exit is likely to take place. This information points to a hybrid mechanism of predominantly aerodynamic atomization with significant liquid flashing upon exit from the orifice producing a near instantaneous formation of respirable droplets. Large irrespirable droplets are produced by two mechanisms; breakup of liquid slugs ejected from the orifice, due to unsteady transient fluid structures in the actuator sump and stripping of ligaments from a liquid pool around the orifice exit, which subsequently break up into large droplets in the periphery of the plume. This new understanding will aid development of next generation, high efficiency pMDIs, particularly those employing low global warming potential propellants such as HFA152a or HFO1234ze(E). Copyright © 2022 American Association for Aerosol Research [ABSTRACT FROM AUTHOR]

The design and performance of an innovative high-precision extensometer system, fabricated inexpensively using 3D printing technology, are discussed in this paper. In the development of the extensometer, an embedded Fiber Bragg Grating (FBG) strain sensor was 3D printed using a thermoplastic polyurethane (TPU) filament, which was used as the primary sensing element of the extensometer system, taking advantage of its excellent flexibility and high sensitivity to variations in localized strain. In the performance assessment carried out, the results obtained during the experimental test and validation have demonstrated that it could be used very effectively to measure strain variations, with an average wavelength responsivity of 0.0158 nm/cm (for displacement) and very high linearity (up to 99%). Furthermore, the protection integrated into the sensor systems design makes it well-suited for in-the-field applications, such as monitoring ground displacements which can lead to dangerous slippages of sloped earthworks. In addition, a field testing of the extensometer under simulated conditions has shown that a Fiber Bragg Grating (FBG)-based approach could be applied effectively to the measurement of strain, offering a wavelength responsivity of 0.0012 nm/ $\mu \varepsilon $ (for strain-sensitive FBGs) under both dry and wet soil conditions. Moreover, taking advantage of the high (~99%) linearity, the extensometer is a reliable instrument for use in different underground conditions, creating an easy-to-use ground movement monitoring system which then enables an excellent representation of the displacement profile of the earth to be made. [ABSTRACT FROM AUTHOR]

A Fiber Bragg Grating (FBG)-based inclinometer has been developed for field use, designed to incorporate biaxial 3-dimensional (3D) printed tilt sensors (in which four FBGs were used). The inclinometer was characterized by examining its response to a wide range of tilts, over the range from 0° to 90°, towards the inclination axes. An excellent linear correlation between the wavelength shifts and the inclination angle (up to the 90° used) was obtained, showing an average sensitivity of 0.01 nm per degree of inclination angle, for each of the FBGs used. In addition to the four FBGs that form the basis of the inclination measurement, a further FBG was included in the design to allow compensation for any temperature changes experienced during the measurements. The device was calibrated over the range from −25°C to 80°C (corresponding to the extremes of cold and hot weather conditions likely to be experienced in-the-field), and a sensitivity to temperature change of 0.011nm/°C was achieved, allowing an effective temperature correction to be applied. The data obtained from a full characterization of the performance of the sensor system, carried out in a stable, controlled environment, indicate that this inclinometer yields good sensitivity, making it highly applicable for use in monitoring rapid ground movements and deformations with its compact design allowing its wide use. [ABSTRACT FROM AUTHOR]

A 3D-printed tilt fiber sensor using a two-mode fiber interferometer (TMFI) as the sensing mechanism has been demonstrated. The TMFI was constructed by splicing single-mode fibers (SMF-28s) at both ends of a two-mode fiber (TMF) to generate a comb-like interference spectrum that is sensitive to bending. A 3D-printed cantilever with a weight attached to one end was used to induce bending as the structure was tilted and by embedding the TMFI onto the 3D printed cantilever, different tilt angles can be measured, as a result of the bending of the fiber. The TMFI exhibited a linear response towards the tilt angles, $\theta $ , with a responsivity of $1\times 10^{-2}$ nm/deg at negative $\theta$ (0 to −90°) and $5 \times 10^{-3}$ nm/deg at positive $\theta$ (0 to 90°), respectively. The sensor was able to detect small angle changes in increments as small as 1° and it performs better than embedded FBG sensors. The tilt sensor proposed has a small formfactor and simple design, as well as being cost-effective and light-weight, thus showing significant potential for a variety of civil engineering applications. [ABSTRACT FROM AUTHOR]

This article reports the extension to binary propellant/excipient mixtures of the multiphase model of transient internal flow and atomization in pressurized metered dose inhalers (pMDIs) of Gavtash and colleagues for propellant-only flows. The work considers different accounts of the effect of less volatile ethanol on the saturated vapor pressure (SVP), viscosity and surface tension of HFA-based pMDI formulations. Representation of the SVP of HFA/ethanol mixtures by Raoult's law is compared with the empirical model developed by Gavtash and colleagues as well as different theoretical mixing rules for surface tension and viscosity. For initial ethanol contents ranging from 0 to 20% by mass, the temperature, pressure and spray velocity were predicted to be almost independent of ethanol concentration when using the empirical SVP model of Gavtash and colleagues. The predicted aerosol droplet size increases with increasing concentration of ethanol. These model predictions compare favorably with phase Doppler anemometry (PDA) measurements of pMDI sprays. Exploration of model predictions with different mixing rules suggest that variations of the dynamic viscosity could result in 0.7 µm droplet size change, and different surface tension models yield around 1.5 µm droplet size change. The findings of this work challenge the view that the increase of droplet size is caused by the low volatility of excipients such as ethanol. Instead, attention is focused on composition-dependent viscosity and surface tension as potential controlling parameters with significant effect on the droplet size of HFA/ethanol sprays. Copyright © 2018 American Association for Aerosol Research [ABSTRACT FROM AUTHOR]

Pressurized metered dose inhalers (pMDI) produce large numbers of droplets with smaller sizes than 5 μm to treat asthma and other pulmonary diseases. The mechanism responsible for droplet generation from bulk propellant liquid is poorly understood, mainly because the small length scales and short time scales make it difficult to characterize transient spray formation events. This article describes the development and findings of a numerical atomization model to predict droplet size of pharmaceutical propellants from first principles. In this model, the velocity difference between propellant vapor and liquid phase inside spray orifice leads to formation of wave-like instabilities on the liquid surface. Two variants of the aerodynamic atomization model are presented based on assumed liquid precursor geometry: (1) cylindrical jet-shaped liquid ligaments surrounded by vapor annulus; (2) annular liquid film with vapor flow in the core. The growth of instabilities on the liquid precursor surfaces and the size of the subsequently formed droplets are predicted by numerical solutions of dispersion equations. The droplet size predictions were compared with phase doppler anemometry (PDA) data and the predictions were in good agreement with the number mean diameterD10, which is representative of the respirable droplets. The temporal behavior of droplet size production was captured consistently well during the period of the first 95% of the propellant mass emission. The outcome of our modeling activities also suggests that, in addition to saturated vapor pressure of the propellant, its viscosity and surface tension are also key properties that govern pMDI droplet size. © 2017 American Association for Aerosol Research [ABSTRACT FROM PUBLISHER]

Despite the popularity of the pMDI as an asthma remedy, the mechanism leading to spray generation is elusive, mainly due to small length scales and short time scale, causing experimental difficulties to obtain flow information. This mechanism involves transient development of two-phase flashing propellant flow inside pMDI actuator as well as transfer of heat, mass, and momentum between the liquid and vapor phase. Variations in the rate of such interphase phenomena dictate the two-phase mass flow rate emission, which itself determines spray velocity and droplet size. In this work, we compare the performance of existing two-phase flow models to predict the flow conditions and the rate of propellant flow through a pMDI actuator: the homogenous equilibrium model (HEM), the slip equilibrium model (SEM), and the homogenous frozen model (HFM). The velocity prediction of the HFM was found to be in good agreement with phase Doppler anemometry (PDA) data indicating the metastable nature of the emitted propellant spray. This work also considers Clark's correlation for the aerosol droplet size based on the results of the flow model. The results of the correlation were compared with PDA droplet size measurements. Clark's correlation was found to be effective in predictions of the temporal droplet size variations. However, the value of an empirical constant had to be tuned to fix the droplet size for a given combination of formulation, device, and to a lesser extent also the distance from the spray orifice where predictions are compared with PDA data. This highlights the need to develop first principle atomization models without the need for case-by-case adjustment. © 2017 American Association for Aerosol Research [ABSTRACT FROM PUBLISHER]

Optical fiber lasers operating in the near infrared and visible spectral regions have relied on the spectroscopic properties of rare earth ions such as Yb3+, Er3+, Tm3+, Nd3+, and Sm3+. Here, we investigate Gd3+ doping in phosphosilicate and pure silica fibers using solution doping and sol-gel techniques, respectively, for potential applications in the ultraviolet. Photoluminescence spectra for optical fiber bundles and fiber preforms were recorded and compared. Emissions at 312 nm (phosphosilicate) and 314 nm (pure silica) were observed when pumping to the Gd3+ 6DJ, 6IJ, and 6PJ=5/2, 3/2 energy levels. Oxygen deficient center was observed in solution doping sample with a wide absorption band centered at around 248 nm not affecting pumping to 6IJ states. [ABSTRACT FROM AUTHOR]

Aims To investigate the presence of genomic traits associated with a set of enteric viruses as well as pathogenic Escherichia coli in top soil improvers ( TSI) from Italy. Methods and Results Twenty-four TSI samples originating from municipal sewage sludges, pig manure, green and household wastes were analysed by real time PCR for the presence of hepatitis E virus (HEV), porcine and human adenovirus (HuAdV), norovirus, rotavirus and diarrhoeagenic E. coli. None of the samples was found positive for HEV or rotavirus. Four samples were positive for the presence of nucleic acids from human norovirus, two of them being also positive for HuAdV. Real time PCR screening gave positive results for many of the virulence genes characteristic of diarrhoeagenic E. coli in 21 samples. These included the verocytotoxin-coding genes, in some cases associated with intimin-coding gene, and markers of enteroaggregative, enterotoxigenic and enteroinvasive E. coli. Conclusions These results provide evidence that enteric viruses and pathogenic E. coli may be released into the environment through the use of sludge-derived TSI. Significance and Impact of the Study The results highlight that the TSI-related environmental risk for the food chain should be more deeply assessed. [ABSTRACT FROM AUTHOR]

In-line single-mode tapered-fiber Mach–Zehnder interferometer (MZI-SMTF) with average waist diameters ( d\textrm {avg} ) of 4.05 and 2.89 \mu \textm have been fabricated, and both the temperature and the humidity sensitivity of the surrounding media have been measured and compared. The humidity and the temperature were measured over the ranges from 0% to 90% and 28 °C to 40 °C, respectively. The stability of the system at 50%RH and 90%RH was investigated, while the temperature of the chamber was maintained at about 28 °C. The humidity and temperature sensitivity resolution values were 0.02 nm/%RH and 0.05 nm/0.1 °C for the MZI-SMTF-1 with an average waist diameter of 4.05 \mu \textm , while they were 0.01 nm/%RH and 0.025 nm/0.1 °C for the MZI-SMTF-2 with an average waist diameter of 2.89 \mu \textm . [ABSTRACT FROM PUBLISHER]

Road traffic in urban areas is recognized to be associated with urban mobility and public health, and it is often the main source of noise pollution. Lately, noise maps have been considered a powerful tool to estimate the population exposure to environmental noise, but they need to be validated by measured noise data. The project Dynamic Acoustic Mapping (DYNAMAP), co-funded in the framework of the LIFE 2013 program, is aimed to develop a statistically based method to optimize the choice and the number of monitoring sites and to automate the noise mapping update using the data retrieved from a low-cost monitoring network. Indeed, the first objective should improve the spatial sampling based on the legislative road classification, as this classification is mainly based on the geometrical characteristics of the road, rather than its noise emission. The present paper describes the statistical approach of the methodology under development and the results of its preliminary application to a limited sample of roads in the city of Milan. The resulting categorization of roads, based on clustering the 24-h hourly LAeqh, looks promising to optimize the spatial sampling of noise monitoring toward a description of the noise pollution due to complex urban road networks more efficient than that based on the legislative road classification. [ABSTRACT FROM AUTHOR]

Concentrations of 36 polychlorinated biphenyl (PCB) congeners were measured in serum of 372 Italian residents of general population living in Novafeltria, Pavia, and Milan. Total PCB level differed significantly between these sites (p < 0.0001) with median concentrations of 836.50, 1354.57, and 2062.08 pmol/g lipid, respectively. However, there is no evidence for the difference in distribution of total PCB levels by genders. Total dioxin-like PCBs differed significantly (p < 0.0001) between the sites (median 109.78, 50.88, and 166.99 pmol/g lipid, respectively) and genders of Novafeltria and Pavia (p = 0.011 and 0.009, respectively). PCB 138, 153, 170, and 180 differed significantly between the places of residence (p < 0.0001) with higher values in Milan population. In the overall population, total PCB and PCB 138, 153, 156, 170, and 180 correlated positively with age (correlations range between 0.320 and 0.569, p < 0.0001). In Novafeltria, the correlations ranged between 0.545 and 0.670, and in Pavia, the correlations ranged between 0.516 and 0.666. In Milan, correlations with age range between 0.327 and 0.417 for total PCB and congeners 138, 153, and 180. With an exception of PCB 170, there was no evidence of significant difference in the distribution of most abundant PCB congeners and total PCB across the body mass index categories. [ABSTRACT FROM AUTHOR]

Despite extensive use of organochlorinated pesticides (OCPs) such as dichlorodiphenyltrichloroethane (DDT) in Italy in the 1940s to 1970s, especially for public health control of malaria mosquitoes, information on their exposure levels among the general population is limited. These OCPs can be a source of health risk to human. A total of 137 blood samples were collected from residents of the general population of three Italian towns, Novafeltria, Pavia and Milan, to determine the levels of eight OCPs in blood serum. The concentrations of beta-hexachlorocyclohexane, hexachlorobenzene (HCB), 1,1-dichloro-2-(o-chlorophenyl)-2-(p-chlorophenyl)ethylene, 1,1-dichloro-2,2-bis(p-chlorophenyl)-ethylene (p,p'-DDE), 1,1-dichloro-2-(o-chlorophenyl)-2-(p-chlorophenyl)ethane, 1,1-dichloro-2,2-bis (4-chlorophenyl)ethane, 1,1,1-trichloro-2-(o-chlorophenyl)-2-(p-chlorophenyl)-ethane and 1,1,1-trichloro-2,2-bis(p-chlorophenyl) ethane were measured by gas chromatography–mass spectrometry. Variations in serum concentrations of OCPs with respect to place of residence, gender, age and body mass index (BMI) were evaluated by non-parametric tests. p,p'-DDE and HCB were the most abundant and major contributors of total OCP concentration. Their levels differed significantly between the three towns with a trend Milan > Novafeltria > Pavia ( p < 0.0001). Females had significantly higher concentrations of HCB and p,p'-DDE than males in the overall population sample. HCB concentrations were significantly higher in females than in males of Milan (p = 0.029). We observed positive correlations of p,p'-DDE and HCB with age in Novafeltria subjects (r = 0.468, p = 0.004). Total OCP concentrations differed significantly across BMI categories (p = 0.018) in overall population. We have demonstrated a clear pattern of the main OCPs in a fairly large population. Generally, our study provides information on OCPs exposure among the Italian general population and provides indications for further investigations. [ABSTRACT FROM AUTHOR]

A plasmonic slot rectangular nano-resonator embedded in a metal-coated optical microfiber tip is theoretically and experimentally demonstrated. In this device, light is transversely coupled from the optical microfiber tip into the plasmonic slot nano-resonator, showing strong localization in three dimensions and strong enhancement factor (7.24 × 103). This device can find wide range of applications such as surface enhanced Raman scattering, optical filtering, spectroscopy, and bio-sensing. [ABSTRACT FROM AUTHOR]

Objective Sympathovagal imbalance has been shown in acromegaly by indirect measurements of adrenergic tone. Data regarding direct measurement of sympathetic activity are lacking as yet. Aim of this study was to assess the adrenergic tone through direct recording of muscle sympathetic nerve activity ( MSNA) in acromegalic patients. Design Fifteen patients (age 26-66 years, eight women) with newly diagnosed active acromegaly without hyperprolactinaemia, pituitary hormone deficiencies, obstructive sleep apnoea and cardiac hypertrophy, and 15 healthy subjects matched for age, sex and body mass index were recruited. After evaluating anthropometric and echocardiographic parameters, anterior pituitary function, glucose and lipid metabolism, and measuring plasma leptin, direct recording of sympathetic outflow via the microneurographic technique was performed. Results For similar anthropometric and metabolic parameters in patients and controls, HOMA index was significantly increased in the former (4·2 ± 2·39 vs 1·6 ± 0·19, P < 0·001). Surprisingly, this finding of insulin resistance was accompanied by a marked sympathetic inhibition ( MSNA 18·3 ± 8·10 vs 37·3 ± 6·48 bursts/min, P < 0·0001, respectively in patients and controls). A reduction in plasma leptin (1·6 ± 1·04 vs 6·5 ± 2·01 μg/l, P < 0·0001) was also recorded in the patients. MSNA was positively correlated with leptin ( P < 0·0001). Conclusions Newly diagnosed acromegalic patients without cardiac hypertrophy display a decreased sympathetic outflow in spite of insulin resistance. This finding might be related to hypoleptinaemia. [ABSTRACT FROM AUTHOR]

The study examined the proximate composition, cholesterol content and fatty acid profile of fillet from the most important species captured in Italian seas and commonly consumed in the European Union, such as anchovy ( Engraulis encrasicholus L.), red mullet ( Mullus barbatus L.), European hake ( Merluccius merluccius L.) and Atlantic bonito ( Sarda sarda L.). The fish were caught in three different geographic areas of the Italian seas: south Tyrrhenian (ST), south Adriatic (SA) and Ionian (IO). Anchovy from the ST sea had the highest lipid content (2.27%) compared to fish captured in the SA (1.81%) and IO seas (1.91%) (P < 0.01). Red mullet captured in the SA exhibited the highest amount of lipid content (7.54%) compared to fish from the ST (1.82%) and IO seas (3.23%) (P < 0.01). The total cholesterol content of fish did not show significant differences from one geographic area to the other, particularly for European hake (from 98 to 66 mg per 100 g). The fatty acid profile of anchovy species was not affected by the geographical capture area. European hake caught in the ST sea showed the highest proportion of DHA (29.13%) in comparison to those captured in the SA (19.98%) and IO seas (19.84%). Atlantic bonito from the ST had the highest proportions of DHA (24.94%), compared to those from the SA (12.08%) and IO seas (13.83%). The SA bonitos contained a significantly lower proportion of EPA (3.31%) in comparison to fish from both the ST and IO seas (5.66 and 5.17%, respectively). Red mullet captured in the ST exhibited the highest proportions of DHA, n-3 PUFA, and total PUFA, and significantly lower proportions of oleic acid and MUFA. The fish from the ST sea showed better nutritional traits than those from other geographical areas although they all had excellent nutritional traits due to the low fat content and very high n-3 PUFA proportion. [ABSTRACT FROM AUTHOR]

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Laryngeal saccule eversion has been widely reported as an important component of brachycephalic airway obstructive syndrome (BAOS). The authors hypothesised that saccules affected by acute histological changes in patients showing marked improvement following palate and nares surgery might spontaneously return to normal; moreover, spontaneous resolution of the eversion in patients with fibrotic saccules and/or without clinical improvement following BAOS surgery might be impossible and, on the contrary, the persistence of turbulent airflow and associated ongoing inflammation might lead to aberrant tissue proliferation after resection. In order to demonstrate our hypotheses, the authors decided to perform a unilateral sacculectomy and to postpone and assess the need for the execution of the contralateral saccule resection according to the findings of a secondlook laryngoscopy. Ten dogs were enrolled. None of the saccules left in situ underwent spontaneous resolution of the eversion. In one dog, after sacculectomy, proliferation of a soft tissue lesion endoscopically similar to a newly formed saccule occurred. The results of the present study suggest that spontaneous resolution of saccule eversion is uncommon, even after the correction of the primary abnormalities (palate, nares). Resection of the saccules can relieve ventral rima glottidis obstruction; however, secondary intention healing might occasionally result in the recurrence of the obstruction [ABSTRACT FROM AUTHOR]

An edge filter-based ratiometric wavelength measurement system is modeled and analyzed in this paper. The results confirm that the noise of input signal and photodetectors limits the resolution of the wavelength measurement system. The achievable resolution is calculated for a given noise level of the input signal and photodetectors' resolution. An improved ratiometric wavelength measurement system consisting of two fiber comb filters is presented both theoretically and experimentally, which performs coarse and fine wavelength measurements simultaneously. The resolution of the system is significantly improved to better than 5 pm while maintaining the potential for high measurement speed and wide measurable wavelength range. [ABSTRACT FROM PUBLISHER]

scant information is available on the alterations in cardiac structure and function characterizing very elderly people as well as on their relationships to clinic and ambulatory blood pressure (BP) values. In 106 subjects aged 95.3 ± 3.7 years (mean ± standard deviation, 89 nonagenarians and 17 centenarians) in good clinical conditions and living in the municipal house in Milan, we measured, along with standard clinical and laboratory variables, clinic BP, 24-h ambulatory BP and echocardiographic parameters. Forty-five of the recruited subjects were normotensive individuals, whereas 61 were treated hypertensive patients. Subjects with an age greater than 90 years showed clinic systolic (SBP) and diastolic BP (DBP) both within the normal range, with values that for clinic SBP were slightly lower than the corresponding 24-h SBP (120.8 ± 15.9 vs 128.0 ± 16.3 mmHg) and for DBP slightly higher (69.7 ± 8.8 vs 64.9 ± 8.0 mmHg). Daytime average mean BP was slightly lower than night-time average mean BP, indicating the attenuation of the BP reduction during night-time. Left ventricular mass index (LVMI) was increased and significantly related to both 24-h and clinic BP values ( r = 0.24, p < 0.04 and r = 0.20, p < 0.05). Thus in nonagenarians and centenarians, abnormalities in left ventricular pattern are of frequent detection and may be related both to the ageing process and to BP load. [ABSTRACT FROM AUTHOR]

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Giornale Italiano di Medicina del Lavoro ed Ergonomia is the property of Giornale Italiano di Medicina del Lavoro ed Ergonomia Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Crosslinked and bundled actin filaments form networks that are essential for the mechanical properties of living cells. Reconstituted actin networks have been extensively studied not only as a model system for the cytoskeleton, but also to understand the interplay between microscopic structure and macroscopic viscoelastic properties of network-forming soft materials. These constitute a broad class of materials with countless applications in science and industry. So far, it has been widely assumed that reconstituted actin networks represent equilibrium structures. Here, we show that fully polymerized actin/fascin bundle networks exhibit surprising age-dependent changes in their viscoelastic properties and spontaneous dynamics, a feature strongly reminiscent of out-of-equilibrium, or glassy, soft materials. Using a combination of rheology, confocal microscopy and space-resolved dynamic light scattering, we demonstrate that actin networks build up stress during their formation and then slowly relax towards equilibrium owing to the unbinding dynamics of the crosslinking molecules. [ABSTRACT FROM AUTHOR]

Background Idiopathic recurrent acute pericarditis (IRAP) is a rare disease of suspected, yet unproved, immune-mediated origin. The finding of serum heart-specific autoantibodies in IRAP would strengthen the autoimmune hypothesis and provide aetiology-specific non-invasive biomarkers. Objective To assess frequency of serum anti-heart (AHA), anti-intercalated-disk (AIDA) and non-cardiac-specific autoantibodies and their clinical and instrumental correlates in patients with IRAP. Patients 40 consecutive patients with IRAP, 25 male, aged 37±16 years, representing a large single-centre cohort collected at a referral centre over a long time period (median 5 years, range 1-22 years). Control groups included patients with non-inflammatory cardiac disease (NICD) (n=160), ischaemic heart failure (n=141) and normal subjects (n=270). Methods AHA (organ-specific, cross-reactive 1 and 2 types) and AIDA were detected in serum samples from patients, at last follow-up, and control subjects by indirect immunofluorescence (IIF) on human myocardium and skeletal muscle. Non-cardiac-specific autoantibodies were detected by IIF, and anti-Ro/SSA, anti-La/SSB by ELISA. Results The frequencies of cross-reactive 1 AHA and of AIDA were higher (50%; 25%) in IRAP than in NICD (4%; 4%), ischaemic (1%; 2%) or normal subjects (3%; 0%) (p=0.0001). AHA and/or AIDA were found in 67.5% patients with IRAP. Of the non-cardiac-specific antibodies, only antinuclear autoantibodies at titre ≥1/160 were more common in IRAP (5%) versus normal (0.5%, p<0.04). AIDA in IRAP were associated with a higher number of recurrences (p=0.01) and hospitalisations (p=0.0001), high titre (1/80 or higher) AHA with a higher number of recurrences (p=0.02). Conclusions The detection of AHA and of AIDA supports the involvement of autoimmunity in the majority of patients with IRAP. [ABSTRACT FROM AUTHOR]

Objective: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB).Methods: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7 +/- 13.4 years [mean +/- standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3 +/- 9.3 years; median 68 years).Results: No significant difference between groups was found regarding age (p = 0.064) and sex (p = 0.175) distribution, number of procedures (3.1 +/- 1.62; 2 vs 1.7 +/- 1.1; 1, p = 0.151), and days of disease before recovery, death or modification of treatment (51.6 +/- 66.8; 23 vs 18.6 +/- 15.1; 14, p = 0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100%) was significantly higher than that of patients treated with PTBD alone (4/9, 44%, p = 0.034).Conclusion: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results. [ABSTRACT FROM AUTHOR]

The modified “flame brushing” technique has been used to manufacture microwires and nanowires from both silica and compound glasses. In this paper, the properties of the wires manufactured by this technique are presented. Applications fabricated from microwires are also discussed. [ABSTRACT FROM AUTHOR]

Rationale: Screening for lung cancer with modern imaging technology may decrease lung cancer mortality, but encouraging results have only been obtained in uncontrolled studies. Objectives: To explore the effect of screening with low-dose spiral computed tomography (LDCT) on lung cancer mortality. Secondary endpoints are incidence, stage at diagnosis, and resectability. Methods: Male subjects, aged 60 to 75 years, smokers of 20 or more pack-years, were randomized to screening with LDCT or control groups. All participants underwent a baseline, once-only chest X-ray and sputum cytology examination. Screening-arm subjects had LDCT upon accrual to be repeated every year for 4 years, whereas controls had a yearly medical examination only. Measurements and Main Results: A total of 2,811 subjects were randomized and 2,472 were enrolled (LDCT, 1,276; control, 1,196). After a median follow-up of 33 months, lung cancer was detected in 60 (4.7%) patients receiving LDCT and 34 (2.8%) control subjects (P = 0.016). Resectability rates were similar in both groups. More patients with stage I disease were detected by LDCT (54 vs. 34%; P = 0.06) and fewer cases were detected in the screening arm due to intercurrent symptoms. However, the number of advanced lung cancer cases was the same as in the control arm. Twenty patients in the LDCT group (1.6%) and 20 controls (1.7%) died of lung cancer, whereas 26 and 25 died of other causes, respectively. Conclusions: The mortality benefit from lung cancer screening by LDCT might be far smaller than anticipated. [ABSTRACT FROM AUTHOR]

Obesity-related hypertension represents a common clinical condition characterised by complex pathophysiological and therapeutic features. From a pathophysiological view point, results of experimental and animal studies have led to the hypothesis that neurogenic mechanisms participate in the development and progression of the disease. The hypothesis is based on the evidence that metabolic (i.e. insulin-resistance) and neural (sympathetic activation) alterations frequently co-exist in the obese hypertensive patient and that they reciprocally potentiate each other. From a therapeutic view point, the 2007 European Society of Hypertension/European Society of Cardiology emphasised the importance in this clinical condition of treatment not only through antihypertensive drugs but also via lifestyle changes and drug-induced interventions that reduce body weight. The four Rimonabant In Obesity (RIO) studies have shown that rimonabant can decrease body weight. A recent meta-analysis, based on the RIO results, showed that rimonabant, particularly in obese hypertensive patients, can also decrease − although modestly (2.8 mmHg for systolic and 2.2 mmHg for diastolic) − blood pressure. These effects, which appear to be triggered by the weight reduction induced by the drug, are clinically relevant because they contribute favourably to lower the elevated cardiovascular risk profile of the obese hypertensive patient. [ABSTRACT FROM AUTHOR]