Efficiency of plasma elaborated sub-stoichiometric titanium oxide (Ti4O7) ceramic electrode for advanced electrochemical degradation of paracetamol in different electrolyte media

This paper investigates the behavior of conductive Ti4O7 ceramic anode in different electrolytes during the degradation of the anti-inflammatory drug paracetamol (PCM) by advanced electrochemical oxidation processes mainly anodic oxidation with generation of H2O2 (AO-H2O2) and electro-Fenton (EF). Regardless of the medium, better degradation and mineralization efficiency was always observed with EF compared to AO-H2O2. The degradation of PCM was carried out by hydroxyl radical (OH) produced on the anode surface from water oxidation and mediated oxidation in the solution from oxidant species generated at the anode such as sulfate radicals and active chlorine species depending on the supporting electrolytes used, as well as OH generated homogeneously in the solution by electrochemically assisted Fenton’s reaction. Faster degradation was observed in Cl− compared to other media, but the solution was poorly mineralized. Highest total organic (TOC) removal efficiency with excellent degradation rate was attained in SO42− with either process, thus remain the best medium for advanced electrochemical wastewater treatment. Comparative studies with dimensional stable anode (DSA) and boron-doped diamond anode (BDD) showed similar trend of degradation and TOC removal efficiency with DSA anode achieving low mineralization power compared to Ti4O7 anode, whereas BDD showed slightly better efficiency than Ti4O7 in all electrolytes studied. The analysis of concentration of generated active chlorine species, especially ClO−, during AO-H2O2 decreased in the order: DSA > Ti4O7 > BDD. Therefore, the Ti4O7 electrode was found to be a promising anode material for an efficient treatment of PCM in SO42−, NO3− and ClO4− media but less effective in Cl− medium

Electrochemical abatement of analgesic antipyretic 4‐aminophenazone using conductive boron‐doped diamond and sub‐stoichiometric titanium oxide anodes: kinetics, mineralization and toxicity assessment

The oxidation ability of two prominent eco‐friendly electrochemical advanced oxidation processes (EAOPs), namely anodic oxidation with H2O2 generation (AO‐H2O2) and electro‐Fenton (EF) for complete abatement of acidic solution of 4‐aminophenazone (4‐APZ) has been investigated using conductive boron‐doped diamond (BDD) and sub‐stoichiometric titanium oxide (Ti4O7) anodes and carbon‐felt cathode. The higher performance of EF compared to AO‐H2O2 with either anode was demonstrated. In all trials, 4‐APZ was completely destroyed, following pseudo first‐order kinetics with the rate constant values increasing with applied current and higher values attained with BDD compared to Ti4O7 anode at similar conditions. The absolute rate constant for the reaction between 4‐APZ and hydroxyl radicals was found to be 3.9±0.2×109 L mol−1 s−1. Complete mineralization could be attained with BDD anode, whereas Ti4O7 anode only showed excellent mineralization up to 94 % TOC removal. Therefore, Ti4O7 anode can constitutes a promising anode material thanks to its lower manufacturing cost. Inorganic ions like NO3− and HCO3− at concentration up to 25 mM has no effect on mineralization efficiency during AO‐H2O2, but the presence of Cl− even at lower concentration of 10 mM significantly reduced the TOC removal efficiency. The toxicity of the solution sharply increased at initial stage of treatment, corresponding to the formation of cyclic by‐products but their conversion to carboxylic acids due to longer treatment time involved a sharp toxicity decrease, thus ensuring overall detoxification

NERA project - Deliverable D11.4: Array measurements

The aim of this Task is to present the seismological data and some preliminary empirical results related to two deployed specific arrays; (a) the Argostoli seismological array and (b) the Fucino seismological array. Both experiment arrays provided high quality data that along with corresponding geological and geophysical measurements may serve to critical evaluation of site effects and basin effects. In addition, work on modelling of basin effects may be significantly benefited by the observed acquired in both sites. Given that the analyses of the data obtained during the aforementioned experimental arrays will be performed in close link with activity of NERA-JRA3, the following goals are set: To investigate the link between ground motion spatial variability, strains, seismic wavefield and subsurface properties To compare numerical estimates of ground strain with actual measurements To investigate the capability of estimating ground strains from noise correlation studies. In order to organize and accomplish the work according to the initial schedule, several meetings (actual or/and Skype) among the participants took place during the 2nd year of the NERA-JRA1 project. Minutes of these meetings are given in Appendices 1, 2, 3 and 4.Network of European Research Infrastructures for Earthquake Risk Assessment and Mitigation Project, Seventh Framework Programme EC project number: 262330Published4T. Sismologia, geofisica e geologia per l'ingegneria sismic

Front Aging Neurosci

We studied the influence of emotions on autobiographical memory (AbM) in patients with Alzheimer's disease (AD), characteristically triggering atrophy in the hippocampus and the amygdala, two crucial structures sustaining memory and emotional processing. Our first aim was to analyze the influence of emotion on AbM in AD patients, on both the proportion and the specificity of emotional memories. Additionally, we sought to determine the relationship of emotional AbM to amygdalar-hippocampal volumes. Eighteen prodromal to mild AD patients and 18 age-matched healthy controls were included. We obtained 30 autobiographical memories per participant using the modified Crovitz test (MCT). Analyses were performed on global scores, rates and specificity scores of the emotional vs. neutral categories of memories. Amygdalar-hippocampal volumes were extracted from 3D T1-weighted MRI scans and tested for correlations with behavioral data. Overall, AD patients displayed a deficit in emotional AbMs as they elicited less emotional memories than the controls, however, the specificity of those memories was preserved. The deficit likely implied retrieval or storage as it was extended in time and without reminiscence bump effect. Global scores and rates of emotional memories, but not the specificity scores, were correlated to right amygdalar and hippocampal volumes, indicating that atrophy in these structures has a central role in the deficit observed. Conversely, emotional memories were more specific than neutral memories in both groups, reflecting an enhancement effect of emotion that could be supported by other brain regions that are spared during the early stages of the disease

Evaluation of a large scale implementation of disease management programmes in various Dutch regions: a study protocol

Background. Disease management programmes (DMPs) have been developed to improve effectiveness and economic efficiency withi

Differences in patient outcomes and chronic care management of oral anticoagulant therapy: an explorative study

Contains fulltext : 96817.pdf (publisher's version ) (Open Access)BACKGROUND: The oral anticoagulant therapy - provided to prevent thrombosis - is known to be associated with substantial avoidable hospitalization. Improving the quality of the oral anticoagulant therapy could avoid drug related hospitalizations. Therefore, this study compared the patient outcomes between Dutch anticoagulant clinic (AC) regions taking the variation in chronic care management into account in order to explore whether chronic care management elements could improve the quality of oral anticoagulant therapy. METHODS: Two data sources were combined. The first source was a questionnaire that was send to all ACs in the Netherlands in 2008 (response = 100%) to identify the application of chronic care management elements in the AC regions. The Chronic Care Model of Wagner was used to make the concept of chronic care management operational. The second source was the report of the Dutch National Network of ACs which contains patient outcomes of the ACs. RESULTS: Patient outcomes achieved by the ACs were good, yet differences existed; for instance the percentage of patients in the appropriate therapeutic ranges varied from 67 to 87% between AC regions. Moreover, differences existed in the use of chronic care management elements of the chronic care model, for example 12% of the ACs had multidisciplinary meetings and 58% of the ACs had formal agreements with at least one hospital within their region. Patient outcomes were significantly associated with patient orientation and the number of specialized nurses versus doctors (p-values < 0.05). Furthermore, the overall extent to which chronic care management elements were applied was positively associated with patient outcomes (p-values < 0.05). CONCLUSIONS: Substantial differences in the patient outcomes as well as chronic care management of oral anticoagulant therapy existed. Since our results showed a positive association between overall application of chronic care management and patient outcomes, additional research is needed to fully understand the working mechanism of chronic care management

Injection of Pseudomonas aeruginosa Exo Toxins into Host Cells Can Be Modulated by Host Factors at the Level of Translocon Assembly and/or Activity

Pseudomonas aeruginosa type III secretion apparatus exports and translocates four exotoxins into the cytoplasm of the host cell. The translocation requires two hydrophobic bacterial proteins, PopB and PopD, that are found associated with host cell membranes following infection. In this work we examined the influence of host cell elements on exotoxin translocation efficiency. We developed a quantitative flow cytometry based assay of translocation that used protein fusions between either ExoS or ExoY and the ß-lactamase reporter enzyme. In parallel, association of translocon proteins with host plasma membranes was evaluated by immunodetection of PopB/D following sucrose gradient fractionation of membranes. A pro-myelocytic cell line (HL-60) and a pro-monocytic cell line (U937) were found resistant to toxin injection even though PopB/D associated with host cell plasma membranes. Differentiation of these cells to either macrophage- or neutrophil-like cell lines resulted in injection-sensitive phenotype without significantly changing the level of membrane-inserted translocon proteins. As previous in vitro studies have indicated that the lysis of liposomes by PopB and PopD requires both cholesterol and phosphatidyl-serine, we first examined the role of cholesterol in translocation efficiency. Treatment of sensitive HL-60 cells with methyl-ß-cyclodextrine, a cholesterol-depleting agent, resulted in a diminished injection of ExoS-Bla. Moreover, the PopB translocator was found in the membrane fraction, obtained from sucrose-gradient purifications, containing the lipid-raft marker flotillin. Examination of components of signalling pathways influencing the toxin injection was further assayed through a pharmacological approach. A systematic detection of translocon proteins within host membranes showed that, in addition to membrane composition, some general signalling pathways involved in actin polymerization may be critical for the formation of a functional pore. In conclusion, we provide new insights in regulation of translocation process and suggest possible cross-talks between eukaryotic cell and the pathogen at the level of exotoxin translocation

A New Multidisciplinary Home Care Telemedicine System to Monitor Stable Chronic Human Immunodeficiency Virus-Infected Patients: A Randomized Study

BACKGROUND: Antiretroviral therapy has changed the natural history of human immunodeficiency virus (HIV) infection in developed countries, where it has become a chronic disease. This clinical scenario requires a new approach to simplify follow-up appointments and facilitate access to healthcare professionals. METHODOLOGY: We developed a new internet-based home care model covering the entire management of chronic HIV-infected patients. This was called Virtual Hospital. We report the results of a prospective randomised study performed over two years, comparing standard care received by HIV-infected patients with Virtual Hospital care. HIV-infected patients with access to a computer and broadband were randomised to be monitored either through Virtual Hospital (Arm I) or through standard care at the day hospital (Arm II). After one year of follow up, patients switched their care to the other arm. Virtual Hospital offered four main services: Virtual Consultations, Telepharmacy, Virtual Library and Virtual Community. A technical and clinical evaluation of Virtual Hospital was carried out. FINDINGS: Of the 83 randomised patients, 42 were monitored during the first year through Virtual Hospital (Arm I) and 41 through standard care (Arm II). Baseline characteristics of patients were similar in the two arms. The level of technical satisfaction with the virtual system was high: 85% of patients considered that Virtual Hospital improved their access to clinical data and they felt comfortable with the videoconference system. Neither clinical parameters [level of CD4+ T lymphocytes, proportion of patients with an undetectable level of viral load (p = 0.21) and compliance levels >90% (p = 0.58)] nor the evaluation of quality of life or psychological questionnaires changed significantly between the two types of care. CONCLUSIONS: Virtual Hospital is a feasible and safe tool for the multidisciplinary home care of chronic HIV patients. Telemedicine should be considered as an appropriate support service for the management of chronic HIV infection. TRIAL REGISTRATION: Clinical-Trials.gov: NCT01117675