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A common source of concern about digital pathology (DP) is that limited resolution could be a reason for an increased risk of malpractice. A frequent question being raised about this technology is whether it can be used to reliably detectThe method we propose is based on the Warthin-Starry (W-S) silver stain which allows faster detection of HP in virtual slides. A software tool, based on regular expressions, performed a specific search to select 679 biopsies on which a W-S stain was done. From this dataset 185 virtual slides were selected to be assessed by WSI and compared with microscopy slide readings. To determine whether HP infections could be accurately diagnosed with machine learning. AI was used as a service (AIaaS) on a neural network-based web platform trained with 468 images. A test dataset of 210 images was used to assess the classifier performance.In 185 gastric biopsies read with DP we recorded only 4 false positives and 4 false negatives with an overall agreement of 95.6%. Compared with microscopy, defined as the "gold standard" for the diagnosis of HP infections, WSI had a sensitivity and specificity of 0.95 and 0.96, respectively. The ROC curve of our AI classifier generated on a testing dataset of 210 images had an AUC of 0.938.This study demonstrates that DP and AI can be used to reliably identify HP at 20X resolution.

Background Recent reports showed that the protective effect of flexible sigmoidoscopy (FS) screening was maintained up to17 years, although differences were reported by sex. Objective To assess long-term reduction of colorectal cancer (CRC) incidence and mortality after a single FS screening. Design Parallel randomized controlled trial. (ISRCTN registry number: 27814061). Setting 6 centers in Italy. Participants Persons aged 55 to 64 years expressing interest in having FS screening if invited, recruited from 1995 to 1999 and followed until 2012 (incidence) and 2014 to 2016 (mortality). Intervention Eligible persons were randomly assigned (1:1 ratio) to either the once-only FS screening group or control (usual care) group. Measurements Incidence and mortality rate ratios (RRs) and rate differences. Results A total of 34 272 persons (17 136 in each group) were included in the analysis; 9911 participants had screening in the intervention group. Median follow-up was 15.4 years for incidence and 18.8 years for mortality. Incidence of CRC was reduced by 19% (RR, 0.81 [95% CI, 0.71 to 0.93]) in the intention-to-treat (ITT) analysis, comparing the intervention with the control group, and by 33% (RR, 0.67 [CI, 0.56 to 0.81]) in the per protocol (PP) analysis, comparing participants screened in the intervention group with the control persons. Colorectal cancer mortality was reduced by 22% (RR, 0.78 [CI, 0.61 to 0.98]) in the ITT analysis and by 39% (RR, 0.61 [CI, 0.44 to 0.84]) in the PP analysis. Incidence of CRC was statistically significantly reduced among both men and women. Colorectal cancer mortality was statistically significantly reduced among men (ITT RR, 0.73 [CI, 0.54 to 0.97]) but not among women (ITT RR, 0.90 [CI, 0.59 to 1.37]). Limitation Self-selection of volunteers from the general population sample targeted for recruitment may limit generalizability. Conclusion The strong protective effect of a single FS screening for CRC incidence and mortality was maintained up to 15 and 19 years, respectively. Primary funding source Italian Association for Cancer Research, Italian National Research Council, Istituto Oncologico Romagnolo, Fondo "E. Tempia," University of Milan, and Local Health Unit ASL-Torino.

Chitosan is a biopolymer with unequalled properties such as biodegradability, nontoxicity, and antimicrobial activity. It is a carbohydrate polymer derived from the deacetylation of the chitin component of the shells of crustacean; hence, it is a renewable material widely available as a byproduct of the food industry. Owing to its extremely interesting properties, chitosan has been extensively applied to textile fibers to confer various functional properties such as • antimicrobial activity with a green chemistry approach for aesthetic, hygienic, and medical applications; • antifelting properties for wool fabrics; • increasing uptake of ionic dyes in dyeing processes; • removal of dyes and other organic pollutants from wastewaters; • removal of heavy metal ions from contaminated wastewaters. A fundamental problem that arises in order to obtain durable chitosan coatings on textiles is due to the low wash fastness of the biopolymer; hence, thermal treatments or cross-linking agents are needed to obtain strong bonding with the fibers. Wet thermal curing involves energy consumption and possible fiber degradation, whereas the most of cross-linking agents such as dialdehydes are toxic. Therefore, many research works were aimed to investigate safer grafting methods with physical means such as UV irradiation or with green chemicals.

The topic of the present study was the antibacterial finishing of cotton fabrics by ultraviolet grafting of chitosan biopolymer on fiber surface. A first part, carried out at laboratory level, deals with the optimization of process parameters, followed by a deep characterization of treated samples, revealing the effectiveness of the treatment. Therefore, the applied method was carefully monitored, laboratory apparatus were used and just samples of small surface were prepared by UV-grafting of pure chitosan in inert atmosphere, on dried samples, as recommended for radical curing. To test the feasibility of the proposed treatment even at semi-industrial level, in the second step of the study larger fabric samples were impregnated by foulard with a commercial chitosan solution and then were irradiated, both dried and wet, with an high power UV lamp, in air. Moreover, samples add-on was significantly reduced in order to hold down the finishing cost. White and dyed samples were treated and evaluated in terms of conferred antibacterial activity, yellowing or color changes and final hand. Eventually, treatment fastness to domestic laundering was tested. Obtained results confirmed the previous laboratory results: a strong antibacterial activity with good washing fastness was achieved by irradiation of the samples even wet and in air. It was obtained with a chitosan add-on percentage lowered till 0.3 wt% with a negligible affection of color or hand properties of the fabric.

During the process of silk manufacturing higher amounts of by-products are produced. These are mainly constituted by very short fiber wastes not useful for spinning that represent about 10% wt of spun yarn. These materials are highly homogeneous and have higher protein content (fibroin and sericin content about 94% wt), then they are suitable as source of significant amount of purified fibroin in form of powder, gel and film, useful as biopolymer for wound healing, cosmetic preparations, membranes supporting enzymes and so on. Another possible application not yet thoroughly studied can be the use of the recovered fibroin, after solubilization, as functional product for textile finishing. The aim of the present work was just to obtain bicomponent natural fibers by coating wool fibers with thin fibroin film. The finishing should be stable to washing hence much work was devoted to the search of a polyfunctional chemical reagent able to graft fibroin onto wool fibers without damaging the physical and chemical properties. To this purpose four epoxides (three bifunctional and a trifunctioctional ) were investigated. The finishing of wool with fibroin should confer to the final fabric innovative surface effects regarding shine and handfeel. Moreover, since the fibroin film should cover the scales of the wool surface responsible for felting, even an improvement of antifelting properties could be expected. The experiments were carried out on wool top as well as on fabric and the products were characterized by SEM and FTIR-ATR analyses. The better operating conditions to obtain fabrics with homogeneous fibroin coating on the wool fibers were determined.

The substances responsible for the yellowing of wool treated with nitric acid are two amino acid constituents of the fibre: tryptophan and tyrosine. Nitric acid penetrates the fibres and carries out electrophilic aromatic substitution on the two above-mentioned amino acid residues, producing different colour yields. The intensity of yellowing depends in various ways on the treatment conditions (time, temperature, nitric acid concentration, agitation, and liquor ratio). Yellowing evaluation shows abnormal yellowing depending on acid concentration in the range 5.6-5.9 M. Working in this region makes it possible to use the chromatic reaction in order to show the damage done to wool fibres by the oxidising agents utilised in normal antifelting treatments. Wool damage by the oxidants is usually evaluated by dyeing methods based on different affinity of damaged fibres. By contrast, the xanthoproteic reaction yields chromogens as a function of the accessibility of tryptophan and tyrosine residues for the action of nitric acid on damaged fibres, and can be used for assessing the degree of antifelting treatment and its possible unevenness through the development on the treated wool of a yellow coloration more intense than on untreated wool.

A chitosan-coated cotton gauze was prepared by UV-curing and tested as adsorbent to remove copper (II) and chromium (VI) ions from water solutions. The adsorbent characterization was carried out by Scanning Electron Microscopy (SEM), Energy Dispersive X-ray Spectroscopy (EDX) and Fourier Transform Infrared Spectroscopy in Attenuated Total Reflection (FTIR-ATR). Adsorption of copper and chromium ions onto the gauze was tested in batch process at different experimental conditions. The effects of pH, temperature, contact time and metal ion concentration were investigated. The optimum adsorption took place at pH 3 for Cr(VI) and pH 5 for Cu(II) ions respectively, while the temperature did not affect the adsorption process. Pseudo-first and pseudo-second order models were used to investigate the adsorption kinetics which was found very fast and better described by the pseudo-second order model for both metal ions. The adsorption of Cr(VI) ions was satisfactory described by the Langmuir isotherm, while that of Cu(II) ions showed a better agreement with the Freundlich model. © 2014 Elsevier Ltd.

Communicable diseases can be transmitted by contaminated water. Water decontamination process is fundamental to eliminate microorganisms. In this work, cotton gauzes were coated with chitosan using an UV-curing process or cationized by introduction of quaternary ammonium groups and tested, in static and dynamic conditions, as water filter for biological disinfection against both Gram-negative and Gram-positive bacteria. Both materials showed good antibacterial activity, in static assessment, instead in dynamic conditions, chitosan treated gauze showed a high antimicrobial efficiency in few seconds of contact time. This composite could be a good candidate for application as biological filter. © 2013 Elsevier Ltd.

The aim of this work was the study of the surface modification of cotton fibers to confer hydro and oil repellency to the fabrics. A surface treatment not involving the bulk of the fibers was chosen, so fabrics can maintain comfort properties. Moreover the study focused on an economical and environmental friendly process, in order to obtain an effective treatment with good fastness to washing. A modified silica based film was applied on fibers surface by sol–gel, comparing laboratory grade reagents with a commercial product as precursors and optimizing process parameters. From obtained results sol–gel can be indicated as a promising process to confer an effective and durable finishing to cotton fibers with low add-ons. Long impregnation times can significantly improve the treatment fastness, while ironing the washed samples can restore, at least partially, hydro and oil repellency lost after the washing. Obtained results were supported by a deep surface characterization of untreated, treated and washed samples. The best results were obtained using the commercial product as the only precursor. This is interesting for an industrial application, due to the low cost of this product if compared with the laboratory grade reagents investigated. Some applications of finished textiles can be for household use, technical garments, umbrellas or outdoor textiles.

Ultraviolet (UV) radiations can act in different ways on the functionalization of textiles, through pre- or posttreatments, in order to modify their behavior in dyeing and finishing processes. In cotton fiber, unlike the wool, the UV absorption is not due to any of the structural groups of the normal cellulosic chains and can only be attributed to "impurities" or "faults" bearing carbonyl and/or carboxyl groups. In fact, UV irradiation coupled with mild oxidation can improve some properties of the cotton fibers such as pilling resistance, water swelling, and dyeability. Therefore, the process of differential dyeing with direct and reactive dyes assisted by UV irradiation was studied and interesting differential chromatic effects were obtained by a UV post-treatment capable to fade dyeing. On the other hand, the surface modification of cotton fabrics by UV curing and UV grafting with suitable chemicals was pursued to obtain finishing treatments able to confer oil and/or water repellency. Finally, antimicrobial finishing by chitosan UV grafting was proposed as valid environmental friendly method to confer a satisfactory washing-resistant antimicrobial activity to cotton fabrics even with low polymer add-on

The surface of cotton (COT) and polyester (PET) fabrics was modified to create a water-repellent finishing by depositing a modified silica-based film using the sol-gel technique. TEOS (tetraethoxysilane)-based physically modified sols with 2% and 11% on weight fabric (o.w.f.) of hydrophobic additives were tested. N-propyltrimethoxysilane (C3), hexadecyltrimethoxysilane (C16) and 1H,1H,2H,2H-fluorooctyltriethoxysilane (FOS) were investigated as additives. Furthermore, a low-temperature plasma pre-treatment was used to activate the COT and PET fabric surface to improve the sol-gel coating adhesion, resistance to abrasion and fastness to washing stresses. A complete chemical/morphological (Fourier transform infrared, X-ray photoelectron spectroscopy, scanning electron microscopy) and physical characterization (abrasion and air permeability test) of treated samples was carried out. High values of θ (around 140°) on PET and COT samples were obtained with all additives used (C3, C16 and FOS) even at a low concentration (2%). Due to plasma pre-treatment, interesting water-repellent properties were achieved for PET (θ = 148°) treated with TEOS/FOS molar ratio 0.63 and for COT (θ = 140°) with TEOS/C16 molar ratio 0.63. The enhanced coating adhesion, due to plasma surface activation, was confirmed by abrasion and washing tests.

The purpose of this research work was to develop a textile finish based on the radical UV-curing of chitosan on textiles to confer antimicrobial properties. Chitosan is a biopolymer with unique properties such as biodegradability, non-toxicity, antimicrobial activity. In this work cotton or silk fabrics and synthetic filter fabrics were impregnated with an acid solution of chitosan added of the photoinitiator in the proper amount and cured at room temperature by exposure to UV lamp. Process conditions such as percentage add-on, dilution, chitosan-fabric contact time, irradiation time and power, were optimized. The antimicrobial activity of finished fabrics was tested according to ASTM E 2149-01 standard test performed with Escherichia Coli ATCC 8739. Moreover dyeing test with Turquoise Telon dye were carried out to evaluate the treatment homogeneity while the amino group content was determined by ninhydrin assay. Moreover on cotton and silk fabrics the treatment fastness to domestic laundering was tested, according to UNI EN ISO105-C01. Obtained results showed a strong antimicrobial activity conferred by the treatment, homogeneous on fabric surface. It is evident already at low add-on, without affecting the hand properties of natural fabrics and the filtration characteristics of the synthetic filter fabrics. Finally, washing fastness was better for samples prepared with a better penetration of chitosan inside the fibers.

In this study, cotton, polyester and polyamide fabrics were treated by radical or cationic ultraviolet curing of different commercial products conferring water and oil repellency. Moreover, radical ultraviolet curing of chitosan was applied to confer antimicrobial properties. The advantages of this technology are well known making it very interesting for industrial applications: energy savings, low environmental impact, simple, cheap and small equipment, high treatment speed. The polymerization was controlled through weight gain and gel content measurements, while the properties of hydro and oil repellency were determined in terms of contact angle, moisture adsorption and water vapor permeability. The polymer distribution on fabric surfaces was investigated by scanning electron microscopy and atomic force microscopy. However the fabrics treated with chitosan were subjected to the standard test for determining the antimicrobial activity. Finally the finished cotton samples were subjected to washing fastness tests.

Dyeing processes of various yarns (wool, cotton, polyester, nylon 6 and acrylic) were studied with the aim to substitute some auxiliary agents with ethanol at low concentration. The results observed in isothermal dyeing showed a favorable effect of alcohol addition, at about 1–3% v/v, on the dye uptake, with some differences depending on fiber nature and dye class. This effect was correlated with contact angle measurements of water-ethanol solutions on the mentioned yarns, which confirmed a lower surface tension in the same concentration range. Then, laboratory tests with dye triads at programmed temperature were carried out comparing the results of standard dyeing recipes with those obtained by replacing wetting, retardant and leveling agents with ethanol. Good color imitations were generally shown with respect to standard processes. A wetting effect of ethanol was shown for all the tested yarns and dye classes, while in wool dyeing with acid, pre-metallized and reactive dyes, ethanol was suitable to replace also leveling and retarding agents. Light and wash fastnesses were also compared. Finally the environmental benefits arising from chemical substitution of auxiliary agents with ethanol were highlighted and the cost of alcohol introduction was compared with the cost saving of auxiliary substitution. A positive economic balance was obtained.

Conventional wool dyeing methods are based on long times at high temperatures. These are energy intensive and can even damage the fibers, thus changing the desired fiber characteristics. In this work, enzyme pretreatment in combination with lower temperatures was used to reach exhaustion values comparable to those obtained with the standard procedure at 98 degrees C. Kinetic runs carried out on wool yarn at different temperatures confirmed the possibility of obtaining more than 90% of bath exhaustion by dyeing at 85 degrees C due to the pretreatment with a proteolytic enzyme. At the same temperature, without enzymatic pretreatment, just 77% of bath exhaustion can be reached. The enzyme action on the dyeing kinetics was investigated through calculation of dye absorption rate constants according to the diffusion-limited kinetic model proposed by Chrastil. Dynamometric measurements on the yarn dyed at 98 degrees C showed a 25% loss of tensile strength and 50% loss of elongation, while at lower temperature the values were better even after enzyme pretreatment, in agreement with the results of scanning electron microscopy analysis. A temperature of 85 degrees C with enzyme pretreatment was found to be optimal taking into account satisfactory washing, perspiration and light fastness values.

An atmospheric pressure plasma jet (APPJ) for continuous treatment of polymeric films and textile materials was investigated to characterize its thermal, hydrodynamic and chemical features. The operative variables of the plasma jet equipment are: gas flow rate and composition, electrical power to the plasma generator and fabric velocity. A diagnostic evaluation of the equipment was carried out to improve the treatment homogeneity and generate an effective feedback for scale-up. The cross profile of gas temperature and velocity, the fabric temperature and concentration transitory in the gas system generated by a reverse step of oxygen were determined. These measurements showed that the original prototype configuration required a better gas distribution to fully demonstrate its potentiality to functionalize textiles. The surface modifications induced by plasma were detected by processing wool fabrics and by evaluating the treatment benefit on dyeing.

Keratin proteins are the major component of hair, feathers, wool and horns and represent an important source of renewable raw materials for many applications. Regenerated keratin has useful properties such as biocompatibility and biodegradability. Moreover, keratin materials can absorb heavy metal ions, formaldehyde and other VOCs. In this work, regenerated keratin was blended with aqueous solutions of poly(ethylene oxide) (PEO) in different proportion in order to improve its processability. Keratin/PEO nanofibres were produced by electrospinning the blend aqueous solutions. The chemical, physical and rheological characteristics of the blend solutions were correlated with morphology, structural, thermal and mechanical properties of the electrospun mats.

Anti-felting properties of knitted wool fabrics treated with chitosan were investigated, by both a laboratory scale treatment and a semi-industrial application. The influence of oxidative wool pre-treatments was analysed. The distribution of chitosan on treated wool fibres was also assessed using both qualitative and quantitative evaluation methods. The study provided shrinkage data perfectly comparable with those obtained by the currently used shrinkproofing processes, but with two important advantages: the total absence of chlorine in the process and the complete biodegradability of chitosan. The semi-industrial treatment showed the complete reproducibility of the laboratory scale results, giving rise to the possibility of an industrial adaptation of the process.

Background & Aims: We conducted a study to estimate population coverage and detection rate (DR) achievable through different strategies of colorectal cancer (CRC) screening. Methods: A population-based multicenter randomized trial comparing 3 strategies was used: (1) biennial immunologic fecal occult blood test (FIT), (2) "once only" sigmoidoscopy (FS), and (3) "once only" colonoscopy (TC). A random sample of men and women, aged 55 to 64 years, was drawn from general practitioners' (GP) rosters. Eligible subjects, randomized within GP, were mailed a personal invitation. Nonresponders in groups 2 and 3 were invited again at 12 and 24 months. Screenees with "high-risk" distal polyps (villous component >20%, high-grade dysplasia, CRC, size ≥10 mm, >2 adenomas) at FS, or with positive FIT, were referred for TC. Results: The attendance rate was 32.3% (1965/6075) for FIT, 32.3% (1944/6018) for FS, 26.5% (1597/6021) for TC. FIT detected 2 patients with CRC (0.1%) and 21 with an advanced adenoma (1.1%). The corresponding figures were as follows: 12 (0.6%) and 86 (4.5%) patients, respectively, for FS; 13 (0.8%) and 100 (6.3%) patients, respectively, for TC. To detect 1 advanced neoplasm, it would be necessary to invite 264 people with FIT, 60 with FS, 53 with TC. FS would have detected 27.3% of the proximal advanced neoplasms detected at TC. Assuming the same participation rate at TC as at FS, 48 TCs would be necessary to detect 1 additional advanced neoplasm missed by FS. Conclusions: When participants are offered 1 screening test, participation is lower in a TC than in an FS program. However, DR of advanced neoplasia is higher with TC.

Cotton fabrics were water-repellent-finished by radical ultraviolet curing of silicone and urethane acrylates with different formulations. The fabrics were impregnated with undiluted resins and with toluene solutions or water emulsions. Moreover, cationic ultraviolet-curable systems were also investigated, such as an epoxy-functional polysiloxane and mixtures of an epoxy resin with hydroxyl-containing silicone additives. The gel content and polymerization yield were considered for the ultraviolet-curing process evaluation. Water-resistance properties were determined in terms of the contact angle, wettability, moisture adsorption, and water vapor permeability measurements, whereas the morphology and surface composition of treated fabrics were examined with scanning electron microscopy and energy-dispersive X-ray analysis. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci, 2008

Coating the fibre surface by in situ oxidative chemical polymerisation of polypyrrole (using FeCl(3) as oxidant) is a readily industrial applicable way to give electrical properties to wool with good ageing stability [1], although pre-treatments are required to avoid damage of the cuticle surface due to the acidic condition of the process. FT-IR and EDX analysis reveal that organic sulphonates and sulphates, used as dopants, are absorbed by wool, while chlorine ions are preferably embedded on the polypyrrole layer. The resulting electrical conductivity seems mainly due to the presence of chlorine as counter-ion of polypyrrole; nevertheless, the presence of arylsulphonate in the polymerisation bath increases the electrical conductivity of the coating layer.

Air plasma treatment at low pressure was applied to modify the surface of a cellulose film with the aim to improve its wettability, dyeability and adhesion properties. The contact angles of different polar liquids on the treated films show an exponential decay with treatment time at a given power; the power–time reciprocity is followed. The calculated surface tension values exponentially rise to the same maximum value with a decrease of the polar fraction. ATR-FTIR analyses suggest that a cellulose dehydration takes place rather than a surface oxidation. The plasma treatment improves also the cellophane dyeability with typical dyes for cellulose fibers: the results of dye uptake follow the same trend as the surface energy. The bond strength of lap joints of cellophane with LLDPE film shows a strong improvement of the adhesion depending on the duration and the power of treatment. The whole results are consistent with ablation effects like those observed with air corona treatment rather than oxygen plasma.

The chemical polymerization of pyrrole was studied with the aim of defining the best operating conditions for obtaining conductive fabrics of synthetic fibers. Ammonium persulfate was chosen as the oxidant, and various dopants were tested. Among these, naphtalene-2,6-disulfonic acid disodium salt enabled the lowest surface resistivity to be reached. Hence, several kinetic runs were performed to explain the influence of some operating conditions as oxidant concentration and temperature. A pseudo-first-order kinetic equation was derived, and the reaction rates were found to be practically unaffected by the presence of the textile substrate. Pyrrole polymerization was faster than adsorption of the monomer, suggesting the hypothesis of fast polymerization outside the fibers followed by adsorption onto the fiber surface. The surface coating of polypyrrole was evidenced by microscopic observation of the fiber cross sections. ©2006 Wiley Periodicals, Inc. J Appl Polym Sci 102: 4121–4126, 2006

The process of silk weighting with methacrylamide (MAA) initiated by ammonium persulfate was studied to optimize the operating conditions to obtain high yields of grafted monomer. The influence of MAA concentration, liquor ratio, concentration of initiator, contact and heating time, acidification, and swelling agents were considered, and optimum operating conditions were outlined. Moreover, various monomethacrylates and dimethacrylates were grafted onto silk as alternative to methacrylamide. Most of these showed graft yields higher than MAA in the same operating conditions and some were found suitable for silk weighting since the weighted fibers show soft hand and good dyeing behavior. DSC and TGA analyses of grafted silk enabled to evaluate the influence of various monomers on the thermal behavior of the weighted fibers. Moreover, on the basis of DSC data, a correlation between the calculated enthalpy of grafted polyMAA and monomer content was studied. The molecular structure of silk grafted with methacrylic monomers was finally characterized by FTIR analysis. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 103: 4039–4046, 2007

The acrylation of polybutadienes was performed by reaction of acrylic acid with epoxy, epoxy-hydroxyl functionalized and hydroxyl-terminated oligomers. Some epoxy-functionalized oligomers were previously obtained by epoxidation of a liquid 1,4-polybutadiene. The properties of the acrylated products were affected by the oligomer type and the reaction procedure. The UV-curing of these products was studied by FTIR and thermal analyses, which showed the amorphous and rubbery nature of the resulting films. In some cases, the double bonds conversion was increased by a thermal post-curing, but the adhesion properties were strongly reduced. The swelling of the UV-cured films was studied by varying the solvent polarity. The mixtures of some polybutadiene-acrylates with a typical epoxy-acrylic resin gave highly cross-linked films showing a flexibilizing effect due to the polybutadiene oligomers which can act as reactive diluents.

The maleinization of liquid polybutadienes with different microstructures was studied in two solvents: o-xylene and decahydronaphtalene. The concentration of maleic anhydride versus time was determined by gas chromatographic analysis. The results obtained in o-xylene were processed according to a first-order model, hence the kinetic constants and estimated activation energy values showed a solvent effect with respect to the bulk reaction. Moreover, the model was improved by taking into account that at 140 °C, the kinetic curves reached after some time a final constant yield depending on microstructure and maleic anhydride concentration. On the other hand in decahydronaphtalene at 130 °C, the reaction was very fast with very high yields. Nevertheless, in the range from 150 to 180 °C, the amount of linked anhydride in the final products did not exceed 11% (w/w) probably because of a decarboxylation of the maleinized products favoured by decahydronaphtalene.

A polyether, moisture curable, polyurethane resin was used as an adhesive on plastic and aluminium substrates, in order to investigate the influence of the surface properties on adhesion. The curing kinetics of the adhesive, in controlled temperature and humidity conditions, was evaluated and an elastomeric product was obtained after curing. The surface properties of the cured resin and of the different substrates (PPO/PA6 blend, polypropylene and aluminium) were evaluated and compared by using a contact angle technique. Adhesion measurements were performed using single-lap joints; the strength values obtained were correlated to the structure of the adhesive and to the surface treatments performed on the substrates.

The capillary rise method was applied to evaluate the improvement in water uptake of polyester and acrylic fabrics obtained by plasma treatment. Power, exposure time and gas type (nitrogen, air and oxygen) were considered as plasma variables. After plasma treatment, fabric samples were tested through capillary rise of water. The processing of a set of height absorption values vs. time, until equilibrium is reached, allows characterisation of the wettability of samples by three parameters. The influence of plasma variables on these parameters was studied.

Conventional cordectomy by means of a laryngofissure is one of the therapeutic options for treatment of early glottic cancer. To improve the poor voice quality related to this kind of operation, many authors have developed different techniques to repair the mucosal defect. We analyzed voice quality acoustically and compared it after cordectomy alone and after cordectomy with the reconstruction of the vocal cord in a group of 14 patients affected by T1 glottic carcinoma. All the patients underwent postoperative speech therapy. Three patients who underwent cordectomy with reconstruction showed the presence of diplophonia, while two patients without reconstruction showed the presence of bitonality. The differences of the acoustic parameters (jitter, shimmer, harmonic-to-noise ratio) between the two groups of patients were not statistically significant. Reconstruction of the vocal cord does not seem to improve voice quality after cordectomy even in combination with postoperative speech therapy.

Thermal degradation of modern and ancient linen fabrics was investigated by DSC and FTIR analysis in order to find a possible correlation between thermal behaviour and the age of linen. A similar p...

In order to evaluate the results of voice and speech rehabilitation after total laryngectomy some acoustic parameters (fundamental frequency, waveform perturbation) were examined in 18 total laryngectomy patients. Eight of these subjects had previously been surgically rehabilitated with a tracheal-esophageal phonatory valve while 10 had been submitted to esophageal speech rehabilitation. Analysis of results has shown that tracheal-esophageal voices are more likely to provide a stable fundamental frequency; there is also a tendency toward more clearly defined harmonics; jitter and shimmer are more similar to the values of normal subjects compared with those observed in esophageal speech. Such results seem to depend on a more regular vibration pattern in the pharyngeal-esophageal segment, due to the more efficient expiratory flow in tracheal-esophageal speech. Moreover we were able to demonstrate a correlation between the objective parameters evaluated and the subjective score on speech acceptability.

Objective Quantitative information on adverse reactions associated with colorectal cancer (CRC) screening tests is useful to estimate the balance between benefit and risk in different strategies. Setting Six Italian screening centres. Methods Thirty-day active follow-up (interview about side-effects and acceptability of the screening procedure and review of hospital admissions) among average-risk people undergoing flexible sigmoidoscopy (FS), total colonoscopy (TC), fecal immunochemical test (FIT) in a multicentre randomized trial of CRC screening. Multivariable logistic models were used to assess determinants of completion rate and self-reported pain. Results The attendance rate following the first invitation and mail reminder was 28.2% (1696/6018) in the FS and 23.0% (1382/6021) in the TC arm. Response rate to the 30-day follow-up questionnaire was 88.6% (1502/1696) among people undergoing FS, and 86.7% (1198/1382) among those undergoing TC. The proportion of people complaining of serious reactions following bowel preparation (odds ratio [OR], 5.17; 95% confidence interval [CI] 3.70–7.24) or reporting severe pain immediately after the exam (OR, 1.86; 95% CI 1.47–2.34) was higher for TC than for FS. The most common post-procedural complaints were abdominal distension and pain. People mentioning pain or bowel distension following preparation were more likely to report severe pain both after FS (OR, 2.13; 95% CI 1.52–2.97) and TC (OR: 2.03; 95% CI 1.41–2.90). The 30-day hospitalization rate was similar after FS, TC and FIT. Conclusions Screenees reported higher pain levels after TC than FS. The proportion of people complaining of severe side effects after discharge was similar. Bowel preparation was poorly tolerated by people undergoing TC. Subjects’ reactions to the bowel preparation was predictive of post-procedural discomfort. A commitment of at least 48 hours was required of people undergoing TC, compared with 3–4 for FS.

Background A single flexible sigmoidoscopy at around the age of 60 years has been proposed as an effective strategy for colorectal cancer (CRC) screening. Methods We conducted a randomized controlled trial to evaluate the effect of flexible sigmoidoscopy screening on CRC incidence and mortality. A questionnaire to assess the eligibility and interest in screening was mailed to 236,568 men and women, aged 55-64 years, who were randomly selected from six trial centers in Italy. Of the 56,532 respondents, interested and eligible subjects were randomly assigned to the intervention group (invitation for flexible sigmoidoscopy; n = 17,148) or the control group (no further contact; n = 17,144), between June 14, 1995, and May 10, 1999. Flexible sigmoidoscopy was performed on 9911 subjects. Intention-to-treat and per-protocol analyses were performed to compare the CRC incidence and mortality rates in the intervention and control groups. Per-protocol analysis was adjusted for noncompliance. Results A total of 34,272 subjects (17,136 in each group) were included in the follow-up analysis. The median follow-up period was 10.5 years for incidence and 11.4 years for mortality; 251 subjects were diagnosed with CRC in the intervention group and 306 in the control group. Overall incidence rates in the intervention and control groups were 144.11 and 176.43, respectively, per 100,000 person-years. CRC-related death was noted in 65 subjects in the intervention group and 83 subjects in the control group. Mortality rates in the intervention and control groups were 34.66 and 44.45, respectively, per 100,000 person-years. In the intention-to-treat analysis, the rate of CRC incidence was statistically significantly reduced in the intervention group by 18% (rate ratio [RR] = 0.82, 95% confidence interval [CI] = 0.69 to 0.96), and the mortality rate was non-statistically significantly reduced by 22% (RR = 0.78; 95% CI = 0.56 to 1.08) compared with the control group. In the per-protocol analysis, both CRC incidence and mortality rates were statistically significantly reduced among the screened subjects; CRC incidence was reduced by 31% (RR = 0.69; 95% CI = 0.56 to 0.86) and mortality was reduced by 38% (RR = 0.62; 95% CI = 0.40 to 0.96) compared with the control group. Conclusion A single flexible sigmoidoscopy screening between ages 55 and 64 years was associated with a substantial reduction of CRC incidence and mortality.

The possibility of reducing the temperature of conventional wool dyeing with an acid levelling dye using ultrasound was studied in order to reach exhaustion values comparable to those obtained with the standard procedure at 98 °C, obtaining dyed samples of good quality. The aim was to develop a laboratory method that could be transferred at industrial level, reducing both the energy consumption and fiber damage caused by the prolonged exposure to high temperature without the use of polluting auxiliary agents. Dyeings of wool fabrics were carried out in the temperature range between 60 °C and 80 °C using either mechanical or ultrasound agitation of the bath and coupling the two methods to compare the results. For each dyeing, the exhaustion curves of the dye bath were determined and the better results of dyeing kinetics were obtained with ultrasound coupled with mechanical stirring. Hence the corresponding half dyeing times, absorption rate constants according to Cegarra–Puente modified equation and ultrasonic efficiency were calculated in comparison with mechanical stirring alone. In the presence of ultrasound the absorption rate constants increased by at least 50%, at each temperature, confirming the synergic effect of sonication on the dyeing kinetics. Moreover the apparent activation energies were also evaluated and the positive effect of ultrasound was ascribed to the pre-exponential factor of the Arrhenius equation. It was also shown that the effect of ultrasound at 60 °C was just on the dye bath, practically unaffecting the wool fiber surface, as confirmed by the results of SEM analysis. Finally, fastness tests to rubbing and domestic laundering yielded good values for samples dyed in ultrasound assisted process even at the lower temperature. These results suggest the possibility, thanks to the use of ultrasound, to obtain a well equalized dyeing on wool working yet at 60 °C, a temperature process strongly lower than 98 °C, currently used in industry, which damages the mechanical properties of the fibers.

The coating of a plastic substrate (polycarbonate sheets) with different uv-curable system was investigated. Systems based on an epoxy-acrylate resin (bisphenol-A-diglycidyl-ether-diacrylate) or on bisphenol-A-diethoxy-diacrylate were used in the presence of different reactive diluents. Pull-off experiments indicated that the presence of a reactive diluent able to dissolve or swell the polycarbonate matrix increased the adhesion properties; poor adhesion values were obtained by using reactive diluents which did not dissolve the polymer. When vinyl-pyrrolidone (VP) was used asa reactive diluent, Fourier transform infra-red analysis indicated that the VP diffused ino the polycarbonate matrix. Dynamic mechanical thermal analyses performed on thin films of polycarbonate attributable to the two polymeric phases. In the presence of diluent, the tan regions attributable to the two polymeric phases. In the presence of VP diluent, the tan σ peak of the coating phase was broader, thus suggesting the presence of a transition layer between the two phases.

Liquid polybutadienes were epoxidized with hydrogen peroxide-acetic acid confirming the influence of the microstructure on the epoxy content. Thermal cross-linking of the epoxidized products was studied by DSC and a different behaviour due to epoxy content as well as to microstructure was found. A correlation between enthalpy/epoxy ratio and vinyl content was also observed. The addition of a radical initiator as dicumyl peroxide (DCP) yielded exothermal effects of cross-linking in the original polybutadienes, confirming the higher reactivity of the vinyl groups. In the epoxidized products, the introduction of DCP gave a peak split, which was explained by the overlap of two cross-linking mechanisms, due to residual double bonds and epoxy groups. From the DSC data, the isothermal curves of cross-linking conversion were calculated as a function of time, for a better comparison of the performances and properties of the epoxidized polybutadienes.

The kinetics of the reaction of maleic anhydride with liquid polybutadienes of various microstructures was studied by using differential scanning calorimetry (DSC). The kinetic results of thermal maleinization show a dependence from m.w. and polybutadiene microstructure. The introduction of a gel inhibitor as copper naphthenate has proved that crosslinking reactions also occur during the maleinization. On the other hand, the maleinization in the presence of a radical initiator as dicumyl peroxide (DCP) shows thermal effects higher than pure thermal reaction with a partial overlap of the calorimetric peaks due to maleinization and crosslinking.

A speaker independent bimodal phonetic classification experiment regarding the Italian plosive consonants is described. The phonetic classification scheme is based on a feed forward recurrent back-propagation neural network working on audio and visual information. The speech signal is processed by an auditory model producing spectral-like parameters, while the visual signal is processed by a specialized hardware, called ELITE, computing lip and jaw kinematics parameters.

A series of poly(propylene-glycol-diacrylates) (PPGDA) having molecular weights (MW) in the range 300–3,000 and an acrylic functionality near to two were synthesized by acrylation of the corresponding hydroxy-terminated oligomers with acrylic acid in the presence of p-toluensulphonic acid as a catalyst. The M¯n of the acrylated products was found slightly lower than that of the starting oligomers, indicating the occurrence of an acidic degradation reaction which does not influence the acrylic functionality. The acrylated oligomers were ultraviolet (UV) cured until a complete double bond disappearance was obtained: only in the presence of tripropylene-glycol-diacrylate (TPGDA) were small amounts of residual unsaturations revealed. Rubbery materials were usually obtained, with the exception of TPGDA. The properties of the cured PPGDA were investigated by means of differential scanning calorimetry, thermomechanical analysis, and dynamic mechanical thermal analysis. The Tg values were found to decrease by increasing the MW of the used oligomers, that is, by increasing the length of the chain between the two acrylic double bonds. A good agreement with the Nielsen equation was found. Moreover, the equilibrium swelling values in water were measured; the obtained values were interpreted in terms of the solubility parameters of the oligomers and of the crosslinking density of the networks. Finally, some mixtures of PPGDA oligomers with a typical epoxy-acrylate resin were UV cured; their properties confirm the high flexibilizing effect of the PPGDA oligomers. © 1997 John Wiley & Sons, Inc. J Appl Polym Sci 65:491–497, 1997

The kinetic equations relating to the hydroxymethylation stage in base-catalyzed phenol-formaldehyde condensation have been developed as functions of the free phenol concentration. The same kinetic model was applied to the calculation of a continuous process carried out in a cascade of stirred tank reactors. The results obtained in batch and continuous experiments at 70, 80 and 90° were compared with the corresponding calculated values.