Cell-free DNA and outcome in sepsis.

Severe sepsis can be a catastrophic condition that is often associated with poor outcomes. The early diagnosis and management of the condition are vital in order to improve the chances of survival. However, owing to the syndromal nature of its definition and the lack of a biomarker able to accurately confirm the condition, the diagnosis of sepsis is challenging. Even more challenging is the prediction of how these patients will respond to the therapy and whether they will survive the intensive care and the hospital admission

What role does the right side of the heart play in circulation?

Right ventricular failure (RVF) is an underestimated problem in intensive care. This review explores the physiology and pathophysiology of right ventricular function and the pulmonary circulation. When RVF is secondary to an acute increase in afterload, the picture is one of acute cor pulmonale, as occurs in the context of acute respiratory distress syndrome, pulmonary embolism and sepsis. RVF can also be caused by right myocardial dysfunction. Pulmonary arterial catheterization and echocardiography are discussed in terms of their roles in diagnosis and treatment. Treatments include options to reduce right ventricular afterload, specific pulmonary vasodilators and inotropes

Anomalous mobility of a driven active particle in a steady laminar flow

We study, via extensive numerical simulations, the force-velocity curve of an active particle advected by a steady laminar flow, in the nonlinear response regime. Our model for an active particle relies on a colored noise term that mimics its persistent motion over a time scale $\tau_A$. We find that the active particle dynamics shows non-trivial effects, such as negative differential and absolute mobility (NDM and ANM, respectively). We explore the space of the model parameters and compare the observed behaviors with those obtained for a passive particle ($\tau_A=0$) advected by the same laminar flow. Our results show that the phenomena of NDM and ANM are quite robust with respect to the details of the considered noise: in particular for finite $\tau_A$ a more complex force-velocity relation can be observed.Comment: 12 pages, 9 figures, paper submitted for the Special Issue of Journal of Physics: Condensed Matter, "Transport in Narrow Channels", Guest Editors P. Malgaretti, G. Oshanin, J. Talbo

Anomalous force-velocity relation of driven inertial tracers in steady laminar flows

We study the nonlinear response to an external force of an inertial tracer advected by a two-dimensional incompressible laminar flow and subject to thermal noise. In addition to the driving external field $F$, the main parameters in the system are the noise amplitude $D_0$ and the characteristic Stokes time $\tau$ of the tracer. The relation velocity vs force shows interesting effects, such as negative differential mobility (NDM), namely a non-monotonic behavior of the tracer velocity as a function of the applied force, and absolute negative mobility (ANM), i.e. a net motion against the bias. By extensive numerical simulations, we investigate the phase chart in the parameter space of the model, $(\tau,D_0)$, identifying the regions where NDM, ANM and more common monotonic behaviors of the force-velocity curve are observed.Comment: 5 pages, 13 figures. Contribution to the Topical Issue "Fluids and Structures: Multi-scale coupling and modeling", edited by Luca Biferale, Stefano Guido, Andrea Scagliarini, Federico Toschi. The final publication is available at Springer via http://dx.doi.org/10.1140/epje/i2017-11571-

Nonlinear Response of Inertial Tracers in Steady Laminar Flows: Differential and Absolute Negative Mobility

We study the mobility and the diffusion coefficient of an inertial tracer advected by a two-dimensional incompressible laminar flow, in the presence ofthermal noise and under the actionof an external force. We show, with extensive numerical simulations, that the force-velocity rela-tion for the tracer, in the nonlinear regime, displays complex and rich behaviors, including negativedifferential and absolute mobility. These effects rely upon asubtle coupling between inertia andapplied force which induce the tracer to persist in particular regions of phase space with a velocityopposite to the force. The relevance of this coupling is revisited in the framework of non-equilibriumresponse theory, applying a generalized Einstein relationto our system. The possibility of experi-mental observation of these results is also discussed

Understanding the dependence on the pulling speed of the unfolding pathway of proteins

The dependence of the unfolding pathway of proteins on the pulling speed is investigated. This is done by introducing a simple one-dimensional chain comprising $N$ units, with different characteristic bistable free energies. These units represent either each of the modules in a modular protein or each of the intermediate "unfoldons" in a protein domain, which can be either folded or unfolded. The system is pulled by applying a force to the last unit of the chain, and the units unravel following a preferred sequence. We show that the unfolding sequence strongly depends on the pulling velocity $v_{p}$. In the simplest situation, there appears a critical pulling speed $v_{c}$: for pulling speeds $v_{p}v_{c}$ it is the pulled unit that unfolds first. By means of a perturbative expansion, we find quite an accurate expression for this critical velocity.Comment: accepted for publication in JSTA

Mean Field Approach for a Statistical Mechanical Model of Proteins

We study the thermodynamical properties of a topology-based model proposed by Galzitskaya and Finkelstein for the description of protein folding. We devise and test three different mean-field approaches for the model, that simplify the treatment without spoiling the description. The validity of the model and its mean-field approximations is checked by applying them to the $\beta$-hairpin fragment of the immunoglobulin-binding protein (GB1) and making a comparison with available experimental data and simulation results. Our results indicate that this model is a rather simple and reasonably good tool for interpreting folding experimental data, provided the parameters of the model are carefully chosen. The mean-field approaches substantially recover all the relevant exact results and represent reliable alternatives to the Monte Carlo simulations.Comment: RevTeX-4, 11 pages, 6 eps-figures, To Appear on J.Chem.Phy

Topological thermal instability and length of proteins

We present an analysis of the effects of global topology on the structural stability of folded proteins in thermal equilibrium with a heat bath. For a large class of single domain proteins, we computed the harmonic spectrum within the Gaussian Network Model (GNM) and determined the spectral dimension, a parameter describing the low frequency behaviour of the density of modes. We find a surprisingly strong correlation between the spectral dimension and the number of amino acids of the protein. Considering that larger spectral dimension value relate to more topologically compact folded state, our results indicate that for a given temperature and length of the protein, the folded structure corresponds to the less compact folding compatible with thermodynamic stability.Comment: 15 pages, 6 eps figures, 2 table