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The order Sordariales is taxonomically diverse, and harbours many species with different lifestyles and large economic importance. Despite its importance, a robust genome-scale phylogeny, and associated comparative genomic analysis of the order is lacking. In this study, we examined whole-genome data from 99 Sordariales, including 52 newly sequenced genomes, and seven outgroup taxa. We inferred a comprehensive phylogeny that resolved several contentious relationships amongst families in the order, and cleared-up intrafamily relationships within the Podosporaceae. Extensive comparative genomics showed that genomes from the three largest families in the dataset (Chaetomiaceae, Podosporaceae and Sordariaceae) differ greatly in GC content, genome size, gene number, repeat percentage, evolutionary rate, and genome content affected by repeat-induced point mutations (RIP). All genomic traits showed phylogenetic signal, and ancestral state reconstruction revealed that the variation of the properties stems primarily from within-family evolution. Together, the results provide a thorough framework for understanding genome evolution in this important group of fungi.

Diagnosis of myeloid neoplasm is currently performed according to the presence of a predetermined set of clinical, morphological, and molecular diagnostic criteria agreed upon by a consensus of experts. Even strictly adhering to these criteria, it is possible to encounter patients who present features that are not easily ascribable to a single disease category. This is the case, e.g., of patients with de novo myeloid neoplasms with features intermediate between primary myelofibrosis (PMF) and chronic myelomonocytic leukemia (CMML). In this study, we retrospectively searched the pathological database of IRCCS Humanitas Research Hospital to identify cases of chronic myeloid neoplasm with monocytosis with a driver mutation of classic myeloproliferative neoplasms (MPN) and showing morphological MPN features. For each case, we assessed all epidemiological, clinical, histopathological, and molecular data. Then, we carried out a literature review, searching for cases with features similar to those of our patients. We retrieved a total of 13 cases presenting such criteria (9 from the literature review and 4 from our institution); in all of them, there was a coexistence of clinical, histopathological, and molecular myelodysplastic and myeloproliferative features. To date, according to current classifications (World Health Organization and International Consensus Classification), given the presence/absence of essential features for PMF or CMML, these patients should be formally diagnosed as myelodysplastic/myeloproliferative neoplasm unclassified/not otherwise specified (U/NOS). This review aims to summarize the features of these difficult cases and discuss their differential diagnosis and their classification according to the novel classifications and the existing literature on overlapping myeloid neoplasms.

The present analysis shows that the most crucial parameter for a correct representation of the observed temperature behavior are the heat exchange coefficient and the wind. The different approaches tested all have limitations, but they can reproduce reservoir temperature trends at different depths with a maximum standard deviation ranging from 3 °C to 8 °C. HIGHLIGHTS Tropical reservoir's water temperature is strongly influenced by air–water heat exchanges, but the fast exchanges of temperature in tropical zones made traditional formulations of exchange coefficients to be insufficient.; The parameter that mainly affects the heat transfer and thermal stratification process is the transfer coefficient A and can be used as an approximation for estimating the exchange rate of the reservoir.;

Background: Focused extracorporeal shock wave therapy (ESWT) has been successfully used to treat musculoskeletal conditions, but ESWT stimulates nociceptors, causing pain deep in the tissue during treatment. The occurrence of pain during ESWT is a side effect, but it can help identify painful sites and assess minimum (MiTI) and maximum (MaTI) pain thresholds to ESWT pressure stimuli. This topic has received limited attention in literature. Methods: This observational study describes a specific approach to using ESWT to study pain in 71 patients. The approach proposes moving the ESWT transducer head of the device over the entire joint surface, progressively increasing the energy level until the patient experiences pain. Results: In the study, MiTI and MaTI were 0.218 ± 0.090 and 0.416 ± 0.165 mJ/mm2 in the affected joint and 0.282 ± 0.128 and 0.501 ± 0.174 mJ/mm2 in the contralateral homologous healthy joint, being significantly lower in the affected joint (MiTI: p < 0.001 and MaTI: p = 0.003, respectively). ESWT induced pain in 94.37% of the sites with the highest subjective pain and in a greater number of sites (204) than digital pressure (123) (p < 0.001). All sites with digital pressure pain also had ESWT pain. Conclusions: These results suggest that the ESWT device may be useful in investigating pain in musculoskeletal conditions and tailoring therapy.

Immersive virtual reality (VR) simulations are increasingly being used in diverse educational and training contexts to supplement traditional learning methods. The high versatility of virtual laboratories allows students to take advantage of many benefits, like experiencing dangerous reactions, time-consuming protocols, or expensive equipment without the necessity of a real science laboratory. However, little research is currently available to support the efficacy and efficiency of this new learning tool. In this context, the main objective of this study was to assess the influence of biotechnology training by using immersive VR technologies on the student’s motivational and learning outcomes as compared with learning with conventional methods only. To this aim we tested two diverse strategies, respectively VR simulations were used in place of or in addition to the teacher’s introductory lesson of a hands-on laboratory experience. Aligned questionaries were administered before and after the proposed activities to assess theoretical knowledge, self-efficacy, interest in biotechnology, and engagement of the participants. We found that when the introductory lesson to a biotechnology hands-on laboratory is replaced with an equivalent immersive VR simulation, the student’s learning outcomes are lower with respect to the traditional approach. On the contrary, when VR simulations are integrated as an additional tool to the existing learning methods, higher learning outcomes were observed demonstrating a deeper understanding of the learning contents. Furthermore, our study showed that learning with immersive VR simulations motivates students more than the traditional methods, thus, using this new technology in addition to the existing educational methods in biotechnology could be considered as a win-win strategy to raise the attention of the students while increasing the learning outcomes.

The article analyzes the cooperation between university researchers and local stakeholders in promoting adult continuing education (ACE) through action research. It outlines four projects conducted at the Chair of Pedagogy at the University of Insubria, through which innovative solutions have been developed in various sectors using research and social learning methodologies. The RE-START project involved establishing community tables at the local level, the Adolescent Tables of the Municipality of Varese were structured according to the Change Laboratory logic, the Morselli Project implemented a Service Learning approach in collaboration with local schools, and vertical Communities of Practice were developed for the co-construction of school guidance modules with secondary schools. In all these projects, the University positioned itself as a catalyst and activator of the agency of the adults with whom it collaborated and co-designed. Il ruolo dell’Università come catalizzatore nei processi di Educazione Continua per Adulti (ECA). L’articolo analizza la cooperazione tra ricercatori universitari e operatori territoriali nel promuovere l’educazione continua per adulti (ECA) attraverso la ricerca-azione. Si delineano quattro progetti condotti presso la cattedra di Pedagogia dell’Università degli Studi dell’Insubria, attraverso i quali sono state costruite soluzioni innovative in diversi settori tramite metodologie di ricerca e apprendimento sociale. Il progetto RE-START ha visto l’istituzione di tavoli di comunità a livello locale, i Tavoli Adolescenti del Comune di Varese sono stati articolati secondo la logica del Change Laboratory, il Progetto Morselli ha implementato un approccio di Service Learning in collaborazione con le istituzioni e le scuole locali, sono state sviluppate Comunità di Pratica verticali per la co-costruzione di moduli di orientamento scolastico con le scuole secondarie. In tutti questi progetti l’Università si è posta come lievito ed attivatore dell’agency degli adulti con cui ha collaborato e co-progettato.

Active wearable devices such as protective smart belts have been proposed to reduce hip impact in the event of a fall. This study primarily evaluated the feasibility and acceptance of a specific protective belt among selected patients identified as being at risk of falling who were admitted to an ICS Maugeri Neurorehabilitation Unit from September 2022 to April 2023. According to previous institutional observations, the device was worn between the 6th and 21st days of recovery. Out of 435 admitted patients, 118 were considered eligible, but 101 declined to participate (about 50% refused to wear the belt without first trying it on; the other 50% found it too heavy or difficult to manage). Among the 17 patients who accepted (users), 9 used the belt correctly. The remaining eight patients refused to wear it after 24 h, due to discomfort. Out of 435 patients admitted, we observed at least one fall in 49 patients, of whom 5 were eligible patients; 1 was a user who had quickly refused to use the belt and fell with mild damage. Two non-eligible patients and one eligible non-user patient experienced falls resulting in hip fractures; only in the latter case could the use of the belt have limited the damage to the hip. Difficulties in recruiting patients and low acceptance of the proposed intervention present further challenges.

Abstract Introduction Philadelphia‐negative myeloproliferative neoplasms (MPN) are clonal myeloid proliferative disorders characterized by sustained systemic inflammation. Despite its renowned importance, the knowledge concerning the inflammatory pathophysiology of these conditions is currently limited to studies on serum cytokines, while cellular immunity has rarely been investigated. Methods In the present study, we targeted Arginase‐1 immunosuppressive myeloid cells in the bone marrow of MPN patients and healthy controls and investigated their clinical and prognostic significance. We demonstrated that MPN are characterized by a significant reduction of bone marrow immunosuppressive cells and that the number of these cells significantly correlates with several clinical and histopathological features of diagnostic and prognostic importance. Moreover, we identified an unreported correlation between a reduction of Arginase‐1+ bone marrow cells and the presence of CALR mutations, linking tumor‐promoting immunity and molecular drivers. Finally, we postulate that the reduction of bone marrow Arginase‐1+ immunosuppressive cells may be due to the migration of these cells to the spleen, where they may exert systemic immunomodulatory function. Conclusion Altogether, this study preliminary investigated the contribution of cellular immunity in the pathogenesis of myeloproliferative neoplasms and identified a possible interesting therapeutic target as well as a set of new links that may contribute to unraveling the biological mechanisms behind these interesting hematological neoplasms.

In post-stroke patients, the disabling motor deficit mainly affects the upper limb. The focus of rehabilitation is improving upper limb function and reducing long-term disability. This study aims to evaluate the feasibility of using the Gloreha Aria (R-Lead), a sensor-based upper limb in-hospital rehabilitation, compared with conventional physiotherapist-led training in subacute hemiplegic patients. Twenty-one patients were recruited and randomised 1:1 to a sensor-based group (treatment group TG) or a conventional group (control group, CG). All patients performed 30 sessions of 30 min each of dedicated upper limb rehabilitation. The Fugl–Meyer Assessment for Upper Extremity (FMA-UE) was the primary evaluation., both as a motor score and as individual items. Secondary evaluations were Functional Independence Measure; global disability assessed with the Modified Barthel Index; Motor Evaluation Scale for UE in stroke; power grip; and arm, shoulder, and hand disability. All the enrolled patients, 10 in the TG and 11 in the CG, completed all hand rehabilitation sessions during their hospital stay without experiencing any adverse events. FMA-UE scores in upper limb motor function improved in both groups [delta change CG (11.8 ± 9.2) vs. TG (12.7 ± 8.6)]. The score at T1 for FMA joint pain (21.8 vs. 24 best score) suggests the use of the Gloreha Aria (R-Lead) as feasible in improving arm function abilities in post-stroke patients.

Background The emergency for the COVID-19 pandemic has led to greater use of home telemonitoring devices. The aim of this study was to assess the usability of continuous home-monitoring care with an oxygen saturation device on post-COVID-19 patients. Method The system consists of a digital continuous pulse oximeter and a smartphone with an App, which were provided to patients. A survey composed of a standard Post-Study System Usability Questionnaire, and a satisfaction questionnaire was exploited to conduct a usability and feasibility analysis of the service. Results A total of 29 patients (17.2% female) with a mean age of 65 ± 11.5 years were enrolled: 20 patients were smartphone users (69%) with a mean age of 60.2 ± 9.5 years, and 9 patients (31%) did not own a smartphone (mean age 76.8 ± 5.9). The monitoring period was 1 month: a total of 444 recordings were conducted, 15 recordings per patient averagely. In total, 82% of the recordings performed did not require any intervention, while 18% led to the production of a report and subsequent intervention by a nurse who verified, together with the specialist, the need to intervene (i.e. the patient accessed the clinic for medical control and/or modification of oxygen therapy). A total of 17 patients compiled a usability questionnaire. The service was perceived as useful and well-structured, although it often required caregiver support. Conclusions Using continuous home-monitoring care with an oxygen saturation device seems feasible and useful for patients who could be followed at home avoiding going back to the hospital every time a trend oximetry is needed. Further improvements in connections, data flow processes, and simplifications, based on patients’ feedback, are needed to scale up the service.

BackgroundDuring the COVID-19 pandemic, telemedicine has been recognised as a powerful modality to shorten the length of hospital stay and to free up beds for the sicker patients. Lombardy, and in particular the areas of Bergamo, Brescia, and Milan, was one of the regions in Europe most hit by the COVID-19 pandemic. The primary aim of the MIRATO project was to compare the incidence of severe events (hospital readmissions and mortality) in the first three months after discharge between COVID-19 patients followed by a Home-Based Teleassistance and Teleconsultation (HBTT group) program and those discharged home without Telemedicine support (non-HBTT group).MethodsThe study was designed as a matched case-control study. The non-HBTT patients were matched with the HBTT patients for sex, age, presence of COVID-19 pneumonia and number of comorbidities. After discharge, the HBTT group underwent a telecare nursing and specialist teleconsultation program at home for three months, including monitoring of vital signs and symptoms. Further, in this group we analysed clinical data, patients' satisfaction with the program, and quality of life.ResultsFour hundred twenty-two patients per group were identified for comparison. The median age in both groups was 70 ± 11 years (62% males). One or more comorbidities were present in 86% of the HBTT patients and 89% in the non-HBTT group (p = ns). The total number of severe events was 17 (14 hospitalizations and 3 deaths) in the HBTT group and 40 (26 hospitalizations and 16 deaths) in the non-HBTT group (p = 0.0007). The risk of hospital readmission or death after hospital discharge was significantly lower in HBTT patients (Log-rank Test p = 0.0002). In the HBTT group, during the 3-month follow-up, 5,355 teleassistance contacts (13 ± 4 per patient) were performed. The number of patients with one or more symptoms declined significantly: from 338 (78%) to 183 (45%) (p

The document explores the association between CD1a + histiocytoses and primary myelofibrosis (PMF) in patients, focusing on a case report and systematic review of the literature. It discusses the rarity of histiocytoses, their clinical phenotypes, and their association with hematological neoplasms. The study investigates the pathogenetic mechanisms underlying the association between CD1a + histiocytoses and PMF, proposing a model involving gene mutations, chronic inflammation, and suppression of STAT5 signaling. The document highlights the clinical, pathological, molecular, and prognostic features of patients with PMF and CD1a + histiocytoses, emphasizing the need for further research to understand the underlying mechanisms and optimize patient therapy. [Extracted from the article]

The Naxos dome, in the middle of the Aegean domain, exposes the former root of the Alpine orogenic belt and represents a key natural example to investigate the development of gravitational instabilities during orogenic evolution and their impact on crustal differentiation. The Naxos dome is cored by migmatites with structures depicting second order domes with a diameter of 1–2 km nested in the first order deca-kilometer scale dome that formed at the onset of orogenic collapse. Zircon grains from the migmatites record a succession of crystallization-dissolution cycles with a period of 1–2 Myr. These features have been attributed to the development of convective and diapiric gravitational instabilities, related to thermally induced and compositional buoyancy. In this paper, we test the pertinence of this model with a thermal-mechanical numerical experiment performed with a volume of fluid method (VOF) known to preserve material phase interfaces during large deformation of viscous layers. Partial melting of the crust is modeled by strain-rate and temperature dependent viscosity and temperature dependent density. Moreover, horizontal layers with density, viscosity and heat production variations mimic more felsic or more mafic lithologies in a crust of intermediate composition. With basal heating, gravitational instabilities initiate with local segregation of the buoyant versus heavier layers, followed by diapiric upwelling of buoyant pockets of aggregated less dense material. Convection starts after 5 Myr, approximately when half of the crust has a viscosity lower than 1019 Pa s. The size of the convection cells increases as the temperature rises in the crust and reaches ∼25 km in diameter after ca. 20 Myr, which defines the size of first order domes. Some of the heterogeneous material is entrained in the convection cells with a revolution period of 1 to 3 Myr. However, most of the denser material accumulates in the lower crust, while the buoyant material segregates at the top of the convection cells and forms diapirs that correspond to second order domes, of several kilometers in diameter and nested within the first order domes. This model, which reproduces the first order characteristic dimensions of the Naxos nested domes and the periodicity of their zircon geochronological record, demonstrates the efficiency of gravitational instabilities in the formation of migmatite domes and, more generally, in the multi-scale dynamics of crustal differentiation leading to a felsic upper crust, an intermediate middle crust and a mafic lower crust.

Quinoidal oligothiophenes have received considerable attention as interesting platforms with remarkable amphoteric redox behavior associated with their diradical character increasing with the conjugation lengths. In this work, we considered a family of quinoidal oligothiophenes bearing cyano-ester terminal groups and characterized them by UV-Vis-NIR absorption and Raman spectroscopy measurements at different excitation wavelengths. The experimental investigation is complemented by quantum-chemical studies to assess the quality of computed density functional theory (DFT) ground state structures and their influence on predicted Raman intensities. In addition, resonance conditions with the optically active HOMO→LUMO transition as well as with the more elusive state dominated by the doubly excited HOMO,HOMO→LUMO,LUMO configuration, are determined with DFT-MRCI calculations and their contributions to Raman activity enhancement are discussed in terms of computed vibrational Huang–Rhys (HR) factors.

BackgroundMinimal residual disease (MRD) monitoring is an important tool to optimally address post-transplant management of acute myeloid leukemia (AML) patients.MethodsWe retrospectively analyzed the impact of bone marrow CD34+ molecular chimerism and WT1 on the outcome of a consecutive series of 168 AML patients submitted to allogeneic stem cell transplantation.ResultsThe cumulative incidence of relapse (CIR) was significantly lower in patients with donor chimerism on CD34+ cells ≥ 97.5% and WT1 < 213 copies/ABL x 10^4 both at 1st month (p=0.008 and p 213 showed intermediate prognosis. 12 of these patients fell in this category because of molecular chimerism < 97.5% at a time-point in which WT1 was < 213.ConclusionsOur results confirm that lineage-specific molecular chimerism and WT1 after allo-SCT (1st and 3rd month) are useful MRD markers. When considered together at 3rd month, CD34+ molecular chimerism could represent an earlier predictor of relapse compared to WT1. Further studies are necessary to confirm this preliminary observation.

Summary: Background: Equine anoplocephalid cestodes are tapeworms that occur worldwide in horses and are known to cause pathological manifestations and clinical disease within the digestive system of horses. Objective: While these clinical manifestations and the efficacy of currently available anthelmintics against equine tapeworms have been well documented, a recent study has demonstrated treatment failure of praziquantel and pyrantel pamoate, suggesting resistance; however, this has not been heavily investigated. Study design: This case study examined 24 Thoroughbred yearlings on one Kentucky Thoroughbred horse farm to investigate the elimination of tapeworm eggs after administration of routine anticestodal anthelmintics after confirmation of positive faecal egg counts. Methods: The Mini‐FLOTAC faecal egg counting method was used to count anoplocephalid eggs in yearlings treated with pyrantel pamoate paste (13.2 mg base/kg), moxidectin‐praziquantel (0.4 and 2.5 mg/kg) and ivermectin‐praziquantel (0.2 and 1 mg/kg) over a 6‐month period in 2022. Results: Data demonstrated that tapeworm egg shedding persisted post‐deworming with all three anthelmintic products. Out of the 24 Thoroughbred enrolled, 11/24 (45.8%) had persistent infections in the month of March and 3/24 (12.5%) had persistent infections in April after deworming with ivermectin‐praziquantel. With moxidectin‐praziquantel, 2/24 (8.3%) remained egg count positive. For pyrantel pamoate, 3/24 (12.5%) were detected with tapeworm eggs post‐treatment. During July and August, selected yearlings had faecal sampling done before and 2 weeks post‐deworming with moxidectin‐praziquantel. For July 1/6 (16.7%) horses had tapeworm eggs both before and after deworming, and one additional horse was positive in the post‐treatment sample only. For the August treatment, 4/14 (28.6%) were egg count positive both before and after deworming, with one additional horse being positive in the post‐treatment sample only. Conclusions: This study demonstrated evidence of anthelmintic treatment failure against equine tapeworms by means of regular faecal egg count monitoring. Veterinarians should be aware of this development and implement strategies to monitor anticestodal treatment success. [ABSTRACT FROM AUTHOR]

Background: Focused extracorporeal shock wave therapy (ESWT) has been successfully used to treat musculoskeletal conditions, but ESWT stimulates nociceptors, causing pain deep in the tissue during treatment. The occurrence of pain during ESWT is a side effect, but it can help identify painful sites and assess minimum (MiTI) and maximum (MaTI) pain thresholds to ESWT pressure stimuli. This topic has received limited attention in literature. Methods: This observational study describes a specific approach to using ESWT to study pain in 71 patients. The approach proposes moving the ESWT transducer head of the device over the entire joint surface, progressively increasing the energy level until the patient experiences pain. Results: In the study, MiTI and MaTI were 0.218 ± 0.090 and 0.416 ± 0.165 mJ/mm2 in the affected joint and 0.282 ± 0.128 and 0.501 ± 0.174 mJ/mm2 in the contralateral homologous healthy joint, being significantly lower in the affected joint (MiTI: p < 0.001 and MaTI: p = 0.003, respectively). ESWT induced pain in 94.37% of the sites with the highest subjective pain and in a greater number of sites (204) than digital pressure (123) (p < 0.001). All sites with digital pressure pain also had ESWT pain. Conclusions: These results suggest that the ESWT device may be useful in investigating pain in musculoskeletal conditions and tailoring therapy. [ABSTRACT FROM AUTHOR]

Active wearable devices such as protective smart belts have been proposed to reduce hip impact in the event of a fall. This study primarily evaluated the feasibility and acceptance of a specific protective belt among selected patients identified as being at risk of falling who were admitted to an ICS Maugeri Neurorehabilitation Unit from September 2022 to April 2023. According to previous institutional observations, the device was worn between the 6th and 21st days of recovery. Out of 435 admitted patients, 118 were considered eligible, but 101 declined to participate (about 50% refused to wear the belt without first trying it on; the other 50% found it too heavy or difficult to manage). Among the 17 patients who accepted (users), 9 used the belt correctly. The remaining eight patients refused to wear it after 24 h, due to discomfort. Out of 435 patients admitted, we observed at least one fall in 49 patients, of whom 5 were eligible patients; 1 was a user who had quickly refused to use the belt and fell with mild damage. Two non-eligible patients and one eligible non-user patient experienced falls resulting in hip fractures; only in the latter case could the use of the belt have limited the damage to the hip. Difficulties in recruiting patients and low acceptance of the proposed intervention present further challenges. [ABSTRACT FROM AUTHOR]

Gastrointestinal (GI) involvement of plasma cell neoplasms is extremely rare. Herein, we describe the case of a 74-year-old Caucasian woman who came to our attention with abdominal pain, food vomiting, and weight loss of 10 kg over 1 year. A computed tomography scan of the abdomen revealed circumferential thickening of terminal ileum, for which the patient underwent an urgent 20-cm-long ileal resection. Histopathological and immunophenotypic analysis revealed a plasma cell neoplasm of the ileum. Subsequent investigations found a serum monoclonal immunoglobulin A component, an osteolytic lesion of the left jaw, and a clonal bone marrow plasma cell infiltrate carrying 1q21 amplification. Given the final diagnosis of plasma cell myeloma (PCM), the patient underwent a VMD (bortezomib, melphalan, and dexamethasone) chemotherapy regimen, achieving a complete remission after a 12-month treatment. For disease relapse, two further chemotherapy regimens were later attempted. At the last follow-up 4 years after the diagnosis, the patient is still alive. This case draws attention to the extramedullary presentation of plasma cell neoplasms, even if rare, as a prompt diagnosis seems to result in a better prognosis. In addition, it highlights the relevance of a multidisciplinary approach, involving gastroenterologists, hematologists, and pathologists, to the diagnosis and management of these neoplasms.

The main purpose of this study was to characterize Freisa red wines from Piedmont (northern Italy) according to their volatile organic compounds (VOCs) and elemental composition. Moreover, the authors investigated whether it was possible to distinguish among the five different DOCs produced in Piedmont on the basis of these chemical parameters. The VOCs profile of Freisa wines was very similar, and the most abundant species detected were isoamyl alcohol, phenylethyl alcohol, ethyl octanoate, and diethyl succinate. Conversely, elemental composition allowed us to partially distinguish one Freisa DOC with respect to the others. Multivariate statistical analysis applied to elemental composition revealed differences among Freisa wines and other red wines from different regions of Italy. In particular, Freisa wines featured higher concentrations of Cr and Ni metals, which are strongly correlated with the composition of the soil of Piedmont. These two elements are hence good candidates as chemical markers for Freisa wines from Piedmont.