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Detection of explosive traces in the vapor phase is of primary importance for safety and security in several environments. Different detection methods with high sensitivity are available in the market, but they are typically expensive and require specialized personnel to be operated. Here, we propose a compact, low-cost sensor for explosive detection based on the photoluminescence (PL) quenching of solid-state PbS quantum dot solids cast from the solution phase on a silicon substrate. We demonstrate the sensor capability to detect nitrobenzene vapor at a concentration as low as 445 ppb in air at room temperature, overcoming the performance of other state-of-the-art quantum dot-based PL sensors for nitroaromatic compounds. Moreover, the proposed system can be realized with off-the-shelf electronics and does not need any additional laboratory equipment to be operated, thus paving the way for its deployment in distributed sensor networks. [ABSTRACT FROM AUTHOR]

The ecological knowledge of large rivers is still scarce or highly fragmented mainly because of complex, laborious and expensive procedures to collect informative samples from the benthic biota. Standard sampling protocols for macroinvertebrates were mainly developed and calibrated for wadeable streams, while a number of heterogeneous non-standard sampling procedures are available for large rivers. We propose the new, easy-to-build and cost-effective leaf-nets (LN) method to quantitatively sample benthic invertebrates in non-wadeable waterways. The LN method uses Phragmites australis leaves as substrate and combines the characteristics of the leaf-bags and the Hester-Dendy (HD) multiplates methods. We compared the effectiveness of the LN and HD methods in a near-pristine and in an impacted stream-reach (downstream an aquaculture plant) of a non-wadeable second-order stream of Central Apennines (Italy). Twenty-five of the 34 cumulatively collected macroinvertebrate taxa were common to both methods, while seven taxa were found only on LN and two only on HD. Taxonomic richness and total macroinvertebrate abundance were higher for LN assemblages. Number of Ephemeroptera, Plecoptera and Trichoptera taxa (EPT) also tended to be higher on LN. Assemblage composition was different on LN and HD. Both methods documented a significant decrease in EPT taxa and a concomitant increase in the total abundance of more pollution-tolerant taxa in the impacted stream-reach, but the LN method was more sensitive to impact-associated changes in macroinvertebrate assemblage structure. In contrast to the hardboard plates of HD, the assembled leaves of the LN may act as a direct or indirect food source and may better mimic the texture and composition of more heterogeneous natural substrates thus favouring the migration-colonization process from both bottom and littoral benthic invertebrates. The sampling efficiency, cost effectiveness and simplicity warrant the routine use of the new LN method in large-river ecological assessment. Copyright © 2015 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Background: In prostate adenocarcinoma, the dissection of the expression behaviour of the eukaryotic elongation factors (eEF1A1/2) has not yet fully elucidated.Methods: The EEF1A1/A2 expressions were investigated by real-time PCR, western blotting (cytoplasmic and cytoskeletal/nuclear-enriched fractions) and immunofluorescence in the androgen-responsive LNCaP and the non-responsive DU-145 and PC-3 cells, displaying a low, moderate and high aggressive phenotype, respectively. Targeted experiments were also conducted in the androgen-responsive 22Rv1, a cell line marking the progression towards androgen-refractory tumour. The non-tumourigenic prostate PZHPV-7 cell line was the control.Results: Compared with PZHPV-7, cancer cells showed no major variations in EEF1A1 mRNA; eEF1A1 protein increased only in cytoskeletal/nuclear fraction. On the contrary, a significant rise of EEF1A2 mRNA and protein were found, with the highest levels detected in LNCaP. Eukaryotic elongation factor 1A2 immunostaining confirmed the western blotting results. Pilot evaluation in archive prostate tissues showed the presence of EEF1A2 mRNA in near all neoplastic and perineoplastic but not in normal samples or in benign adenoma; in contrast, EEF1A1 mRNA was everywhere detectable.Conclusion: Eukaryotic elongation factor 1A2 switch-on, observed in cultured tumour prostate cells and in human prostate tumour samples, may represent a feature of prostate cancer; in contrast, a minor involvement is assigned to EEF1A1. These observations suggest to consider EEF1A2 as a marker for prostate cell transformation and/or possibly as a hallmark of cancer progression. [ABSTRACT FROM AUTHOR]

Water temperature is a vital parameter impacting the growth and survival of aquatic life. Using satellite-derived infrared data, this study analysed the trend of sea surface temperature (SST) from 2008 to 2022 of the Adriatic coastal waters of Italian regions. The "Mediterranean Sea High Resolution and Ultra High Resolution Sea Surface Temperature Analysis" product collected from the Copernicus Marine Service of European Copernicus programme was used, as a good compromise among spatial accuracy, temporal frequency and coverage. SST were derived in 176 locations, placed in the Adriatic Sea from the southern limit of the lagoon of Venice (Veneto) to Santa Maria di Leuca (LE), at a distance from the coast between 500 m and 5000 m (0.3 - 2.7 nautical miles). Time series analysis was applied to average value of daily SST calculated from the selected spatial locations to identify the additive model components: trend, seasonality and random effects. The trend component was isolated and assessed using a linear regression model to determine its significance and magnitude. A 0.010 °C/year increase in SST was observed. Additionally, marine heatwaves and cold spells were consistently registered throughout the entire observation period, with a north-south gradient in intensity.

This study evaluated the levels of 10 polybrominated diphenyl ethers (PBDEs) and 3 hexabromocyclododecanes (HBCDDs) in liver and fat tissue of 45 Caretta caretta stranded along the Adriatic Sea. The analytical methodology was based on gas or liquid chromatography coupled with high-resolution mass spectrometry. The mean values of PBDEs and α-HBCDD were 0.83 ± 0.39 and 0.069 ± 0.10 ng g -1 w.w. in liver, while 2.54 ± 0.80 and 0.56 ± 0.47 ng g -1 w.w. in fat tissue, respectively. The levels were higher in fat tissue than in liver. The PBDE profile was similar to that found in aquatic species while for HBCCDs, only the α-isomer was detected. No correlation between the contamination levels and sex and size was found. This study adds information about contamination levels of some brominated compounds in C. caretta, providing a background level in liver and fat tissue of loggerhead sea turtles from the Adriatic Sea., Competing Interests: Declaration of competing interest There are no conflicts to declare., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Heavy pnictogen chalcohalides are often termed lead-free, perovskite-inspired materials. Despite theoretical predictions, incontrovertible experimental demonstrations of heavy pnictogen chalcohalides adopting a perovskite structure are lacking. Here we report our attempts to prepare CsBiSCl 2 adopting a perovskite structure as colloidal nanocrystals. Synthesis of nanoscale materials can indeed rely on fast, nonequilibrium reactions and on large, eventually thermodynamically favorable surface energies, leading to the possibility of stabilizing kinetically trapped or metastable phases. However, we obtained no CsBiSCl 2 , but a mixture of nanocrystals of secondary phases, namely Cs 3 BiCl 6 submicrometric polyhedra, Bi 2 S 3 nanoscopic rods, and Cs 3 Bi 2 Cl 9 nanoscopic dots, whose low polydispersity enabled an effective separation via size/shape selective precipitation. This work confirms that heavy pnictogen chalcohalides are hardly prone to adopting a perovskite structure. Nevertheless, chemistry at the nanoscale offers multiple possibilities for overcoming phase segregation and pursuing the synthesis of prospective mixed anion compound semiconductors.

Sensitive, accurate, and reliable detection of explosives has become one of the major needs for international security and environmental protection. Colloidal quantum dots, because of their unique chemical, optical, and electrical properties, as well as easy synthesis route and functionalization, have demonstrated high potential to meet the requirements for the development of suitable sensors, boosting the research in the field of explosive detection. Here, we critically review the most relevant research works, highlighting three different mechanisms for explosive detection based on colloidal quantum dots, namely photoluminescence, electrochemical, and chemoresistive sensing. We provide a comprehensive overview and an extensive discussion and comparison in terms of the most relevant sensor parameters. We highlight advantages, limitations, and challenges of quantum dot-based explosive sensors and outline future research directions for the advancement of knowledge in this surging research field.

Primary care management of Covid-19 pneumonia in the Province of Modena in the early phases of the pandemic: data integration from MAGMA study. Retrospective study on patients affected of Covid-19 and followed by General Practitioner from March 2020 to April 2021. 5340 patients were studied, 27% of them developed pneumoniae. Among these, most of them were managed entirely at home with an elevated intensity of care. Daily remote monitoring and home visits, together with a personalized pharmacological treatment, especially for the most severe forms, appeared to be the most effective interventions in reducing hospitalizations.

Background: Most symptomatic SARS-CoV-2 infections produce mild to moderate symptoms. Although most patients are managed in the outpatient setting, little is known about the effect of general practitioners' (GP) management strategies on the outcomes of COVID-19 outpatients in Italy., Objectives: Describe the management of Italian GPs of SARS-CoV-2 infected adult patients and explore whether GP active care and monitoring are associated with reducing hospitalisation and death., Methods: Retrospective observational study of SARS-CoV-2 infected adult outpatients managed by GPs in Modena (Italy) from March 2020 to April 2021. Information on management and monitoring strategies, patients' socio-demographic characteristics, comorbidities, and outcomes (hospitalisation and death due to COVID-19) were retrieved through an electronic medical record review and analysed descriptively and through multiple logistic regression., Results: Out of the 5340 patients from 46 GPs included in the study, 3014 (56%) received remote monitoring, and 840 (16%) had at least one home visit. More than 85% of severe or critical patients were actively monitored (73% daily) and 52% were visited at home. Changes over time in patients' therapeutic management were observed in concordance with the guidelines' release. Active daily remote monitoring and home visits were strongly associated with reduced hospitalisation rate (OR 0.52, 95% CI 0.33-0.80 and OR 0.50, 95% CI 0.33-0.78 respectively)., Conclusion: GPs effectively managed an increasing number of outpatients during the first waves of the pandemic. Active monitoring and home visits were associated with reduced hospitalisation in COVID-19 outpatients.

Synthesis protocols of colloidal semiconductor nanocrystals (NCs) comprise the coordination of the semiconductive inorganic core by a layer of organic ligands, which play a crucial role in stabilizing the NCs in organic solvents. Understanding the distribution, binding and mobility of ligands on the different NC facets is key to prevent the formation of surface defects and to optimize the overall optoelectronic efficiency of these materials. In this paper, we employed classical molecular dynamics (MD) simulations to shed light on the plausible locations, binding modes and mobilities of carboxylate ligands on the different facets of CdSe nanocrystals. Our results suggest that these features are influenced by the temperature of the system and the coordination number of the surface (Cd and Se) atoms. High ligand mobilities and structural rearrangements are linked to a low coordination of the Cd atoms. Undercoordinated Se atoms, which are considered the culprit of hole trap states in the bandgap of the material, are instead found to spontaneously form on the nanosecond timescale, making them likely candidates for an efficient photoluminescence quenching mechanism.

Persistent organic pollutants are widespread in the marine environment. They can bioaccumulate and biomagnify in marine organisms through the food web with a potentially toxic effect on living organisms. The sea turtle Caretta caretta is a carnivorous animal with opportunistic feeding behavior. These turtles tend to bioaccumulate pollutants through food, and hence they can be considered an indicator of chemical pollutants in the marine ecosystem. In this study, 44 loggerhead sea turtles were considered, and liver and fat tissue were sampled from each of them to investigate the levels of dioxins (PCDD/Fs) and polychlorinated biphenyls (PCBs) in sea turtles and their potential correlation with sex and size in terms of curved carapace length (CCL). Results suggested that these contaminants were easily bioaccumulated, and PCBs were predominant compared to dioxins in both liver and fat tissue. The congener patterns were similar to those found in sea fish. Moreover, there were no differences in the contamination levels between females and males, nor was there a correlation with the size. There is a need to harmonize the methodological approaches to better evaluate the results and trends over time and to monitor the species and indirectly the health status of the marine environment.

The main objective of the study is to assess whether there is an increased risk of mortality in the days following the administration of COVID-19 vaccines in Bologna Health Authority in the first year of COVID-19 vaccination campaign. A secondary objective was to describe causes of deaths occurred in the days after vaccination. We conducted a retrospective observational study on all residents of Bologna Health Authority who received at least one COVID-19 vaccination dose from December 27, 2020 to December 31, 2021 and compared mortality in the 3, 7, 14 30 days after vaccination (risk interval) with the mortality in the period of the same length (3, 7, 14 and 30 days) beyond the 30th day after the last dose of vaccination (control interval). The cohort included 717,538 people. The mortality rate was 2.24 per 100 person-years during the 30 days risk interval vs 2.72 in the control interval with an adjusted incidence rate ratio equal to 0.76 (95% CI: 0.70-0.83, p < 0.001). The risk of mortality is significantly lower (p < 0.001) also in the 3, 7, 14 days risk intervals than in the control intervals. This study shows that there is no increase in mortality in the short-term period after COVID-19 vaccines., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

We report on a sensor architecture for detection of hazardous gases. The proposed device is based on the integration of a solid-state quantum dot (QD) photoluminescent probe with a QD photodetector on the same substrate. The effectiveness of the approach is demonstrated by developing a compact optical sensor for trace detection of explosives in air. The proposed architecture is very simple and consists of a silicon substrate with both surfaces coated with QD films. The upper layer acts as photoluminescent probe, pumped by a blue LED. The change of photoluminescence intensity associated to the interaction between the QDs and the target analyte is measured by the QD photodetector fabricated on the opposite side of the substrate. The sensor is mounted into a small chamber provided with the LED and the front-end electronics. The device is characterized by using nitrobenzene as representative nitroaromatic compound. Extremely low concentrations (down to 0.1 ppm) can be detected by the proposed device, with a theoretical detection limit estimated to be as low as 2 ppb. Results are repeatable and no ageing effect is observed over a 70 d period. The proposed architecture may provide a promising solution for explosive detection in air as well as other sensing applications, thanks to its sensitivity, simple fabrication process, practical usability and cost effectiveness., (© 2022 IOP Publishing Ltd.)

Here we present a colloidal approach to synthesize bismuth chalcohalide nanocrystals (BiEX NCs, in which E=S, Se and X=Cl, Br, I). Our method yields orthorhombic elongated BiEX NCs, with BiSCl crystallizing in a previously unknown polymorph. The BiEX NCs display a composition-dependent band gap spanning the visible spectral range and absorption coefficients exceeding 10 5  cm -1 . The BiEX NCs show chemical stability at standard laboratory conditions and form colloidal inks in different solvents. These features enable the solution processing of the NCs into robust solid films yielding stable photoelectrochemical current densities under solar-simulated irradiation. Overall, our versatile synthetic protocol may prove valuable in accessing colloidal metal chalcohalide nanomaterials at large and contributes to establish metal chalcohalides as a promising complement to metal chalcogenides and halides for applied nanotechnology., (© 2022 The Authors. Angewandte Chemie International Edition published by Wiley-VCH GmbH.)

Many causal mechanisms in sepsis susceptibility are largely unknown and the functional genetic polymorphisms (GP) of matrix metalloproteinases (MMPs) and their natural tissue inhibitor of MMPs (TIMP1) could play a role in its development. GPs of MMPs and TIMP (namely MMP-1 rs1799750, MMP-3 rs3025058, MMP-8 rs11225395, MMP-9 rs2234681, and TIMP-1 rs4898) have been compared in 1058 patients with suspected sepsis to assess the association with susceptibility and etiology of sepsis. Prevalence of MMP8 rs11225395 G/G genotype was higher in sepsis patients than in those with non-infective Systemic Inflammatory Reaction Syndrome (35.6 vs. 26%, hazard ratio, HR 1.56, 95% C.I. 1.04-2.42, p = 0.032). G/G patients developed less hyperthermia ( p = 0.041), even after stratification for disease severity ( p = 0.003). Patients carrying the 6A allele in MMP3 rs3025058 had a higher probability of microbiologically-proven sepsis (HR 1.4. 95%C.I. 1.01-1.94, p = 0 .044), particularly when due to virus (H.R. 2.14, 95% C.I. 1.06-4.31, p = 0.046), while MMP-1 G/G genotype patients carried a higher risk for intracellular bacteria (Chlamydia, Mycoplasma, and Legionella, H.R. 6.46, 95% C.I. 1.58-26.41, p = 0.003). Neither severity of sepsis at presentation, nor 30-day mortality were influenced by the investigated variants or their haplotype. MMP8 rs11225395 G/G carriers have lower temperature at presentation and a more than 50% increased susceptibility to sepsis. Among patients with sepsis, carriers of MMP1 rs1799750 G/G have an increased susceptibility for intracellular pathogen infections, while virus serology is more often positive in those with the MMP3 rs3025058 A/A genotype.

At the size scale at which quantum confinement effects arise in inorganic semiconductors, the materials' surface-to-volume ratio is intrinsically high. This consideration sets surface chemistry as a powerful tool to exert further control on the electronic structure of the inorganic semiconductors. Among the materials that experience the quantum confinement regime, those prepared via colloidal synthetic procedures (the colloidal quantum dots - and wires and wells, too -) are prone to undergo surface reactions in the solution phase and thus represent an ideal framework to study the ensemble impact of surface chemistry on the materials' electronic structure. It is here discussed such an impact at the ground state by using the absorption spectrum of the colloidal quantum dots as a descriptor. The experiments show that the chemical species (the ligands) at the colloidal quantum dot surface induce changes to the optical band gap, the absorption coefficient at all wavelengths, and the ionization potential. These evidences point to a description of the colloidal quantum dot (the ligand/core adduct) as an indecomposable species, in which the orbitals localized on the ligands and the core mix in each other's electric field. This description goes beyond conventional models that conceive the ligands on the basis of pure electrostatic arguments (i. e., either as a dielectric shell or as electric dipoles) or as a mere potential energy barrier at the core boundaries., (© 2021 The Authors. Chemistry - A European Journal published by Wiley-VCH GmbH.)

Background and Aim: Randomized controlled trials have shown that mRNA vaccines are highly effective in preventing SARS-CoV2 infection. We conducted a study to assess the real-world effectiveness of mRNA vaccines (Pfizer-BioNTech or Moderna) in preventing all and symptomatic SARS-CoV2 infections and COVID-19 related hospitalizations in the staff of the Bologna Health Trust (HT), Italy Methods: We followed up retrospectively 9839 staff of the Bologna HT from December 27, 2020 to April 3, 2020 and calculated the effectiveness in partially and fully vaccinated subjects by applying a multivariable Cox proportional hazard model., Results: Vaccine effectiveness in preventing SARS-CoV2 infections is 85.5% (95%CI: 75.9-91.3) in the partially vaccinated and 84.8% (95%CI: 73.2-91.4) in the fully vaccinated. In preventing symptomatic infection effectiveness is 81.7% (95%CI: 62.7-91.0) in the partially and 87.1% (95%CI: 69.3-94.6) in the fully vaccinated. There were no COVID-19-related hospitalizations in the partially or fully vaccinated vs 15 hospitalization in the unvaccinated cohort., Conclusions: Our results confirm the effectiveness of mRNA vaccines in a real-world setting in Northern Italy.

Highly populated coastal environments receive large quantities of treated and untreated wastewater from human and industrial sources. Bivalve molluscs accumulate and retain contaminants, and their analysis provides evidence of past contamination. Rivers and precipitation are major routes of bacteriological pollution from surface or sub-surface runoff flowing into coastal areas. However, relationships between runoff, precipitation, and bacterial contamination are site-specific and dependent on the physiographical characteristics of each catchment. In this work, we evaluated the influence of precipitation and river discharge on molluscs' Escherichia coli concentrations at three sites in Central Italy, aiming at quantifying how hydrometeorological conditions affect bacteriological contamination of selected bivalve production areas. Rank-order correlation analysis indicated a stronger association between E. coli concentrations and the modelled Pescara River discharge maxima (r = 0.69) than between E. coli concentration and rainfall maxima (r = 0.35). Discharge peaks from the Pescara River caused an increase in E. coli concentration in bivalves in 87% of cases, provided that the runoff peak occurred 1-6 days prior to the sampling date. Precipitation in coastal area was linked to almost 60% of cases of E. coli high concentrations and may enhance bacterial transportation offshore, when associated with a larger-scale weather system, which causes overflow occurrence.

Excitonic coupling, electronic coupling, and cooperative interactions in self-assembled lead halide perovskite nanocrystals were reported to give rise to a red-shifted collective emission peak with accelerated dynamics. Here we report that similar spectroscopic features could appear as a result of the nanocrystal reactivity within the self-assembled superlattices. This is demonstrated by studying CsPbBr 3 nanocrystal superlattices over time with room-temperature and cryogenic micro-photoluminescence spectroscopy, X-ray diffraction, and electron microscopy. It is shown that a gradual contraction of the superlattices and subsequent coalescence of the nanocrystals occurs over several days of keeping such structures under vacuum. As a result, a narrow, low-energy emission peak is observed at 4 K with a concomitant shortening of the photoluminescence lifetime due to the energy transfer between nanocrystals. When exposed to air, self-assembled CsPbBr 3 nanocrystals develop bulk-like CsPbBr 3 particles on top of the superlattices. At 4 K, these particles produce a distribution of narrow, low-energy emission peaks with short lifetimes and excitation fluence-dependent, oscillatory decays. Overall, the aging of CsPbBr 3 nanocrystal assemblies dramatically alters their emission properties and that should not be overlooked when studying collective optoelectronic phenomena nor confused with superfluorescence effects.

Surfaces-and interfaces-are ubiquitous at the nanoscale. Their relevance to nanoscience and nanotechnology is therefore inherent. Colloidal inorganic nanocrystals (NCs), which can show more than a half of their atoms at the surface, are paradigmatic of the role of surfaces in determining materials' form and functions. Therefore, colloidal NCs may be regarded as soluble surfaces, allowing convenient study of ensemble structure and properties in the solution phase.Colloidal NCs commonly bear chemical species at their surface. Such species (generally referred to as ligands) are introduced already in the synthetic procedures and are added postsynthesis in surface chemistry modification (ligand exchange) reactions. Ligands (i) affect the reactivity and diffusion of the synthetic precursors, (ii) mediate NC interactions with the surroundings, and (iii) contribute to the overall electronic structure. In principle, a vast amount of ligands, as large as our imagination, could be used to coordinate the surface of colloidal NCs. In practice and despite the plethora of studies on NC surface chemistry, a relatively limited number of ligands have been explored. In addition, the importance of designing a set of ligands with tailored features (a ligand library), which may permit comprehensive discussion and explanation of the role of surfaces in the NC structure and properties, is often overlooked. Ligand libraries may also foster heuristic access to novel, unexpected observations.Here, the rational design of ligand libraries is discussed, suggesting that it may be a general method to advance knowledge on colloidal NCs and nanomaterials at large.First, a general ligand framework is introduced. The main subunits are identified: ligands are constituted by a binding group and a pendant moiety, bearing functional substituent groups. On this basis, ligand binding at the NC surface is discussed borrowing concepts from coordination chemistry. Dynamic equilibria at the NC surface are highlighted, revealing the compromise between forming and breaking bonds at interfaces and its intricate interplay with the surroundings. Tailoring of the ligand subunits may impart functions to the whole ligand, eventually transposable to the ligated NC.On these bases, it is shown how ligand design may be exploited to (i) exert control on the size and shape of the NCs, (ii) determine NCs' dispersibility in a solvent and affect their self-assembly, and (iii) tune the NCs' optical and electronic properties. These observations point to a description of colloidal NCs as un-decomposable species: ligands may be conceived as an integral part of the overall chemical and electronic structure of the colloidal NC and should not be considered as mere appendages that weakly perturb the inorganic core features.Finally, a perspective on the ligand library design is given. Function-oriented design of the ligand subunits is foreseen as an effective strategy to explore the chemical diversity space. High-throughput screening processes by using computation may represent a valuable tool for such an exploration. The whole ligand features, which depend on the subunits, can be implemented in the final NCs, providing feedback for refined design, toward a priori materials design. Ligand libraries can be fundamental to enabling colloidal NCs as reliable luminophores and (photo)catalysts.

High performance photodetectors based on colloidal quantum dots have been demonstrated in a wide spectral range spanning from the visible to the mid infrared. Quantum dot photodetectors typically show a low-pass type spectral response with a tunable cutoff wavelength. In this paper, we propose a method for the realization of narrowband photodetectors based on the combination of photoconductors and optical filters, both realized with colloidal PbS quantum dots. We demonstrate that an array of such narrowband photodetectors can be effectively employed for the realization of a compact wavemeter operating in the visible and near-infrared spectral range.

Background: The prognostic value of quick sepsis-related organ failure assessment (qSOFA) outside intensive care units has been criticized. Therefore, we aimed to improve its ability in predicting 30-day all-cause mortality, and in ruling out the cases at high risk of death among patients with suspected or confirmed sepsis at emergency department (ED) admission., Methods: This study is a secondary analysis of a prospective multicenter study. We built three predictive models combining qSOFA with the clinical variables and serum biomarkers that resulted in an independent association with 30-day mortality, in both 848 undifferentiated patients (Group 1) and in 545 patients definitively diagnosed with sepsis (Group 2). The models reaching the highest negative predictive value (NPV) with the minimum expenditure of biomarkers in Group 1 and in Group 2 were validated in two cohorts of patients initially held out due to missing data., Results: In terms of the area under the receiver-operating characteristic curve, all six models significantly exceeded qSOFA in predicting prognosis. An "extended" qSOFA (eqSOFA1) in Group 1 and an eqSOFA2 integrated with C-reactive protein and mid-regional proadrenomedullin (eqSOFA2+CRP+MR-proADM) in Group 2 reached the best NPV (0.94 and 0.93, respectively) and ease of use. eqSOFA1 and eqSOFA2+CRP+MR-proADM performed equally well in both the inception and validation cohorts., Conclusions: We have derived and validated two prognostic models that outweigh qSOFA in predicting mortality and in identifying the low risk of death among patients with suspected or confirmed sepsis at ED admission.

The chemical species (ligands) at the surface of colloidal inorganic semiconductor nanocrystals (QDs) mediate their interactions with the surroundings. The solvation of the QDs reflects a subtle interplay between ligand-solvent and ligand-ligand interactions, which eventually compete with the coordination of the ligands at the QD surface. The QD surface coordination and solvation are indeed fundamental to preserve their optoelectronic properties and to foster the effective application of QD-based inks and nanocomposites. Here we investigate such ligand interactions by exploiting diffusion ordered NMR spectroscopy (DOSY), which is suggested as an essential complement to spectral line width analysis. To this end, we use colloidal metal chalcogenide (CdS, CdSe, and PbS) QDs with (metal-)oleate ligands at their surface in several solvents exhibiting different viscosities and polarities. We demonstrate that the ligand shell is dynamically bound to the metal chalcogenide QDs, and is thus in equilibrium between the QD surface and the surrounding solvent. Such dynamic equilibria depend on ligand-solvent interactions, which are more prominent in aliphatic, rather polar solvents that favor the solvation of the ligands and, as a consequence, their displacement from the QD surface. In addition, the ligand-ligand interactions, which are more relevant for larger QDs, contribute to the stabilization of the ligand bonding at the QD surface., Competing Interests: The authors declare no conflict of interests., (This journal is © The Royal Society of Chemistry.)

Ruling over the surface chemistry of metal halide perovskite nanocrystals (NCs) is crucial to access reliable luminophores. Here, we provide an atomic-level description of the surface of colloidal CsPbBr 3 NCs, achieving an effective passivation strategy that leads to near-unity photoluminescence quantum yield. To this end, we used two different types of CsPbBr 3 NCs, which had been synthesized with an outer shell of either oleylammonium bromide ion pairs or Cs-oleate complexes. We perturbed the dynamic equilibria at the NCs' surface with ligands from a comprehensive library, including amines (and their conjugated acids) with different basicities, chain lengths, and steric encumbrances. We demonstrate that control of both ligand binding affinity and ligand-to-NC molar ratio is essential to attain thermodynamically stable coordination of the NC surface. We thus present a reliable protocol for managing the surface chemistry of colloidal CsPbBr 3 NCs and for selectively addressing their ligand-induced morphological (and structural) transformations.

Chemical species at the surface (ligands) of colloidal inorganic semiconductor nanocrystals (QDs) markedly impact the optoelectronic properties of the resulting systems. Here, post-synthesis surface chemistry modification of colloidal metal chalcogenide QDs is demonstrated to induce both broadband absorption enhancement and band gap reduction. A comprehensive library of chalcogenol(ate) ligands is exploited to infer the role of surface chemistry on the QD optical absorption: the ligand chalcogenol(ate) binding group mainly determines the narrowing of the optical band gap, which is attributed to the np occupied orbital contribution to the valence band edge, and mediates the absorption enhancement, which is related to the π-conjugation of the ligand pendant moiety, with further contribution from electron donor substituents. These findings point to a description of colloidal QDs that may conceive ligands as part of the overall QD electronic structure, beyond models derived from analogies with core/shell heterostructures, which consider ligands as mere perturbation to the core properties. The enhanced light absorption achieved via surface chemistry modification may be exploited for QD-based applications in which an efficient light-harvesting initiates charge carrier separation or redox processes.

In the Adriatic Sea, the European Union supported a cross-border cooperation research program, during which digital spatial data on shellfish production and relaying areas, regulated conditions on fishing activities, protected areas and restocking structures, administrative boundaries and sea bottom characteristics, were collated from digital repositories in various institutions and paper documents. A web-based geographical information system was developed to share data of the sea facing the Abruzzi region and to explore the spatial distribution of marine resources and maritime activities, thus focussing and facilitating fisheries management and providing a potential support to the regional planning of resource exploitation.

The oomycete Aphanomyces astaci is the causative agent of crayfish plague in native European freshwater crayfish. Molecular analyses showed that several distinct genotype groups of this pathogen, apparently associated with different original host taxa, are present in Europe. Tracking their distribution may contribute to understanding the introduction pathways of A. astaci. We used microsatellite markers to genotype the pathogen strains involved in 7 mass mortalities of the endangered indigenous crayfish Austropotamobius pallipes that occurred between 2009 and 2016 in the Abruzzi and Molise regions, central Italy. Three A. astaci genotype groups (A, B, and D, with the latter represented by 2 distinct multilocus genotypes) were identified, suggesting the existence of multiple infection sources even in a relatively small area. Most crayfish plague episodes were due to genotype groups associated with the North American host species Pacifastacus leniusculus and Procambarus clarkii, although these crayfish are not widespread in the study area. A. astaci genotype group A was detected not only in crayfish plague outbreaks but also in apparently healthy Astacus leptodactylus imported for human consumption from Armenia and kept alive in an aquaculture facility. Imports of chronically infected A. leptodactylus from Armenia, Turkey, and possibly Eastern Europe are an underestimated introduction pathway for A. astaci. Although we cannot exclude the presence of latently infected native populations of A. pallipes in the region, A. astaci infections in legally imported crayfish species considered vulnerable to crayfish plague may represent further reservoirs of A. astaci; this should be reflected in the policies regulating the trade of live crayfish.

Objectives: To derive and validate a predictive algorithm integrating a nomogram-based prediction of the pretest probability of infection with a panel of serum biomarkers, which could robustly differentiate sepsis/septic shock from noninfectious systemic inflammatory response syndrome., Design: Multicenter prospective study., Setting: At emergency department admission in five University hospitals., Patients: Nine-hundred forty-seven adults in inception cohort and 185 adults in validation cohort., Interventions: None., Measurements and Main Results: A nomogram, including age, Sequential Organ Failure Assessment score, recent antimicrobial therapy, hyperthermia, leukocytosis, and high C-reactive protein values, was built in order to take data from 716 infected patients and 120 patients with noninfectious systemic inflammatory response syndrome to predict pretest probability of infection. Then, the best combination of procalcitonin, soluble phospholipase A2 group IIA, presepsin, soluble interleukin-2 receptor α, and soluble triggering receptor expressed on myeloid cell-1 was applied in order to categorize patients as "likely" or "unlikely" to be infected. The predictive algorithm required only procalcitonin backed up with soluble phospholipase A2 group IIA determined in 29% of the patients to rule out sepsis/septic shock with a negative predictive value of 93%. In a validation cohort of 158 patients, predictive algorithm reached 100% of negative predictive value requiring biomarker measurements in 18% of the population., Conclusions: We have developed and validated a high-performing, reproducible, and parsimonious algorithm to assist emergency department physicians in distinguishing sepsis/septic shock from noninfectious systemic inflammatory response syndrome.

Surface traps are ubiquitous to nanoscopic semiconductor materials. Understanding their atomistic origin and manipulating them chemically have capital importance to design defect-free colloidal quantum dots and make a leap forward in the development of efficient optoelectronic devices. Recent advances in computing power established computational chemistry as a powerful tool to describe accurately complex chemical species and nowadays it became conceivable to model colloidal quantum dots with realistic sizes and shapes. In this Perspective, we combine the knowledge gathered in recent experimental findings with the computation of quantum dot electronic structures. We analyze three different systems: namely, CdSe, PbS, and CsPbI 3 as benchmark semiconductor nanocrystals showing how different types of trap states can form at their surface. In addition, we suggest experimental healing of such traps according to their chemical origin and nanocrystal composition.

Nowadays it is well-accepted to attribute bulk-like optical absorption properties to colloidal PbS quantum dots (QDs) at wavelengths above 400 nm. This assumption permits to describe PbS QD light absorption by using bulk optical constants and to determine QD concentration in colloidal solutions from simple spectrophotometric measurements. Here we demonstrate that PbS QDs experience the quantum confinement regime across the entire near UV-vis-NIR spectral range, therefore also between 350 and 400 nm already proposed to be sufficiently far above the band gap to suppress quantum confinement. This effect is particularly relevant for small PbS QDs (with diameter of ≤4 nm) leading to absorption coefficients that largely differ from bulk values (up to ∼40% less). As a result of the broadband quantum confinement and of the high surface-to-volume ratio peculiar of nanocrystals, suitable surface chemical modification of PbS QDs is exploited to achieve a marked, size-dependent enhancement of the absorption coefficients compared to bulk values (up to ∼250%). We provide empirical relations to determine the absorption coefficients at 400 nm of as-synthesized and ligand-exchanged PbS QDs, accounting for the broadband quantum confinement and suggesting a heuristic approach to qualitatively predict the ligand effects on the optical absorption properties of PbS QDs. Our findings go beyond formalisms derived from Maxwell Garnett effective medium theory to describe QD optical properties and permit to spectrophotometrically calculate the concentration of PbS QD solutions avoiding underestimation due to deviations from the bulk. In perspective, we envisage the use of extended π-conjugated ligands bearing electronically active substituents to enhance light-harvesting in QD solids and suggest the inadequacy of the representation of ligands at the QD surface as mere electric dipoles.

Objectives: to develop and validate a predictive model of mortality or emergency hospitalization in all subjects aged 65 years and over., Design: cohort study based on 9 different databases linked with each other., Setting and Participants: the model was developed on the population aged 65 years and over resident at 01.01.2011 for at least two years in the city of Bologna (Emilia-Romagna Region, Northern Italy); 96,000 persons were included., Main Outcome Measures: the outcome was defined in case of emergency hospitalization or death during the one-year follow-up and studied with a logistic regression model. The predictive ability of the model was evaluated by using the area under the Roc curve, the Hosmer-Lemeshow test, and the Brier score in the derivation sample (2/3 of the population). These tests were repeated in the validation sample (1/3 of the population) and in the population of Bologna aged 65 years and over on 01.01.2012, after applying the coefficients of the variables obtained in the derivation model. By using the regression coefficients, a frailty index (risk score) was calculated for each subject later categorized in risk classes., Results: the model is composed of 28 variables and has good predictive abilities. The area under the Roc curve of the derivation sample is 0.77, the Hosmer-Lemeshow test is not significant, and the Brier score is 0.11. Similar performances are obtained in the other two samples. With increasing risk class, the mean age, number of hospitalizations, emergency room service consultations, and multiple drug prescriptions increase, while the average income decreases., Conclusion: the model has good predictive ability. The frailty index can be used to support a proactive medicine and stratify the population, plan clinical and preventive activities or identify the potential beneficiaries of specific health promotion projects.

Colloidal quantum dots are composed of nanometer-sized crystallites of inorganic semiconductor materials bearing organic molecules at their surface. The organic/inorganic interface markedly affects forms and functions of the quantum dots, therefore its description and control are important for effective application. Herein we demonstrate that archetypal colloidal PbS quantum dots adapt their interface to the surroundings, thus existing in solution phase as equilibrium mixtures with their (metal-)organic ligand and inorganic core components. The interfacial equilibria are dictated by solvent polarity and concentration, show striking size dependence (leading to more stable ligand/core adducts for larger quantum dots), and selectively involve nanocrystal facets. This notion of ligand/core dynamic equilibrium may open novel synthetic paths and refined nanocrystal surface-chemistry strategies., (© 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Blue‑colour variants have been reported in American and Australian freshwater crayfish species. We report here the observation of 2 Austropotamobius pallipes individuals with a blue‑colour carapace in 2 rivers of the Aterno‑Pescara river basin, located in the Abruzzo region, Central Italy.