Effects of complex vessel geometries on neutrophil margination and adhesion in post-capillary venules

The inflammatory process is a regular occurrence within a healthy body. As part of the inflammatory process, leukocytes flow through blood vessels and are recruited to the region of the injury. Neutrophils play a significant role in this process; however the margination of neutrophils to particular locations in micro vessels is not fully understood. Post capillary venules, in particular, have complex geometries which may contribute to non-uniform adhesion of neutrophils. Margination is a phenomenon that occurs during the relatively early phases of inflammation; as a result of dilation of capillaries and slowing of the bloodstream, leukocytes tend to occupy the periphery of the cross-sectional lumen. Other investigations have looked at the adhesion of neutrophils in vivo or flow patterns in converging tubes, but the correlation between flow patterns in complex geometries and neutrophil margination is not well understood. This study seeks to investigate correlations between margination and bulk flow patterns as well as parameters that affect bulk flow properties. The primary aim of this investigation is to create specific computational and in vitro models based on in vivo data that isolate the hydrodynamic mechanisms associated with complex geometries. Main geometric factors that were investigated were surface roughness, branch geometries, number of convergences and squared vs. rounded t-junctions. To determine the effect of surface roughness a large scale parallel plate flow chamber model as well as a microfabrication technique to simulate roughness at the blood vessel scale were created that simulate surface roughness due to endothelial cell nuclei. CFD modeling was also used to determine effects of other geometric factors including branch geometries, number of convergences and squared vs. rounded t-junctions. Overall, results from this study suggest that complex geometries can have a significant role on neutrophil margination and adhesion in blood vessels. A preliminary relationship between wall shear stress and margination was established

Study of some methods used for proving the hygienic behaviour of Portuguese local bee ecotypes

O comportamento higiénico em colónias da espécie Apis mellifera L., de origem Portuguesa foi examinado no sentido de avaliar se estas demonstram um forte instinto de limpeza. Para tal foram aplicadas duas técnicas de campo em 20 colmeias existentes num apiário experimental pertencente à Escola Superior Agrária de Bragança e situada no Nordeste de Portugal. Em ambos os ensaios, interessou a rapidez com que as abelhas detectaram, desopercularam e removeram a criação dos alvéolos. Em ambos os testes controlou-se e registou-se a proporção de criação que foi desoperculada e extraida de ambos os lados de cada quadro, em cada colmeia, às 24 horas, às 48 horas e às 120 horas. O tempo total necessário para a extracção completa de todos os alvéolos com criação morta por congelação foi menor, uma vez que, todas as colónias apresentavam uma remoção completa às 48 horas. Enquanto que o tempo total necessário para a remoção da totalidade da criação morta por puncção variou entre 24 horas, com remoção completa, e mais de 72 horas, com extracção incompleta. No entanto, demonstrou-se a eficácia da técnica de morte por puncção para a avaliação do comportamento higiénico às 24 horas, dado que, na maioria das colónias estudadas obtivemos um χ2 significativo (p<0,001)

3D-printed concrete footbridges: An approach to assess the sustainability performance

Digital fabrication with concrete (DFC) is fast becoming an attractive alternative for components (i.e., façades, urban furniture) and structural typologies (i.e., short-span footbridges, columns, floor systems) for which complex geometries derived from particular aesthetical criteria and/or construction time constrictions are governing parameters. Additionally, some authors claim that this process allows improving the sustainability of structures, as less material is necessary compared to traditional concrete solutions, thus reducing greenhouse gas emissions linked to material consumption. Nonetheless, the environmental implications of DFC are still under scrutiny and remain objectively unquantified. In this study, a sustainability assessment model to allow decision-makers to evaluate and compare concrete footbridge alternatives—from the sustainability perspective—including those constructed by means of 3D printed concrete (3DPC) techniques, is presented. The proposed approach is based on the MIVES method. For this purpose, the most representative criteria and indicators of sustainability identified are measured and weighted-aggregated in a decision-making tree. The sustainability index (SI) of each alternative is the outcome derived from the application of the model, and the SI was used as reference for evaluating the alternatives. The sustainability of 3D-printed footbridges is quantified and compared to other concrete-based solutions: traditional reinforced cast-in-place and precast concrete, as traditional solutions, and ultra-high performance precast concrete and textile-reinforced concrete, as innovative alternatives. The results of the analysis lead to conclude that 3D-printed footbridges have positive impacts on environmental and social indicators, but economic indicators still need to be improved to attain a competitive solution. The approach proposed herein to assess the sustainability of footbridges can be extended to other cases and stakeholders' preferences by adapting the components of the method to sensitivities and particular boundary conditions of other scenarios

Attribute Based Pseudonyms : Anonymous and Linkable Scoped Credentials

Attribute-based credentials (ABCs) provide an efficient way to transfer custody of personal and private data to the final user, while minimizing the risk of sensitive data revelation and thus granting anonymity. Nevertheless, this method cannot detect whether one attribute has been used more than once without compromising anonymity when the emitter and consumer collude with one another. The protocol proposed in this article deals with this issue by using a modification of ZSS pairing-based short signatures over elliptic curves and Verheul's self-blinded credentials scheme. Each user can generate an identifier (pseudonym) that is unique and verifiable by everyone in a given scope, without compromising anonymity. However, the identifier cannot be reused in the same scope, since such reuse would be detected

Potential Key Factors, Policies, and Barriers for Rooftop Agriculture in EU Cities: Barcelona, Berlin, Bologna, and Paris

The main objective of this study is to contribute a framework and to provide an overview of potential key factors, policies, and barriers associated with the integration of rooftop urban agriculture (RUA), building on stakeholders' perspectives in four European cities (Barcelona, Berlin, Bologna, and Paris). The research was developed in two phases, namely, a workshop and a survey of stakeholders involved in RUA from the four cities. Education, environmental, research, technological innovation, food production, and social factors play an important role in implementing RUA. Productive spaces, cultural values, social cohesion, social rural-urban links, and the high cost of urban land are highlighted as factors that “promote” RUA. In contrast, the cost of water and pollution are major contextual factors that constrain RUA. Policies related to food trade and urban planning are those that most limit RUA development. Major architectural and technical barriers related to the limits on building heights, historical buildings, a lack of specific building codes, building design and roof accessibility were identified. The high cost of infrastructure and policies that prohibit RUA product sales emerged as economic constraints. Major differences among the cities studied included the perceived effect of urban policies on RUA diffusion as well as the perceived relevance of economic and pollution factors. This study revealed that extensive dissemination and the development of appropriate information about RUA are needed. The creation of new regulations, as well as modifications to urban and building codes to support RUA, is also envisaged. This approach will consider a more flexible land-use policy that allows agriculture to take place in cities as well as marketing frameworks for RUA products. For future studies, it would be useful to apply the framework developed in this study to a larger sample. A study is also needed to confirm hypothetical differences between cities

Environmental and economic impacts of combining backfill materials for novel circular narrow trenches

Over the last few years, several policies and new technological solutions have targeted the construction sector with the aim of reducing the sector's impacts on the environment. Among the different technological advances proposed, the reuse of materials in construction has been reported as a promising solution for an increase in sustainability and circularity. In particular, a type of cities' undergrounds assets for which materials' reuse is being explored are trenches for protecting services (i.e., water and gas transport pipelines, and optic fibre and other telecommunications services). Nonetheless, the economic and environmental benefits and impact of this type of system is still insufficiently quantified. In this research study, the economic and environmental impacts of four scenarios of trenches were assessed by using Life Cycle Costing (LCC) and Life Cycle Assessment (LCA). The four alternatives analysed consisted of: (1) the classical solution; (2) the classical solution with the reuse of soil; (3) the control low-strength material, and (4) the eco-trench. The results allowed concluding that in the eco-trench system, for which all material is reused, the environmental and economic impacts could be reduced by more than 80% and 50%, respectively. A parametric study for which the dimensions of the trenches were varied, permitted to reinforce these results and to quantify the impact's change along with the width and depth of the trench. Overall, this study provides a comprehensive view of the high-impact potential of reusing material for the construction of trenches in cities. The outcomes allow also remarking that the eco-trench system could be an attractive and advantageous solution for urban infrastructure stakeholders, both from an economic and environmental perspective

Rainfall-induced differential settlements of foundations on heterogeneous unsaturated soils

This study stochastically investigates the rainfall-induced differential settlement of a centrally loaded, rigid strip foundation on an unsaturated soil with spatially varying values of either preconsolidation stress or porosity. The differential settlement (between the two foundation ends) is calculated at various times during rainfall by way of a coupled, hydro-mechanical, finite-element analysis. The Barcelona basic model describes the mechanical behaviour of the soil, and the van Genuchten relationships describe water retention and permeability. The variability of soil properties is modelled by means of random fields with spatial correlation in the framework of a Monte Carlo simulation. The study demonstrates that the occurrence of rainfall-induced differential settlements can be consistently analysed using concepts of unsaturated soil mechanics and random field theory. Results show that differential settlements can be vastly underpredicted (or even completely missed) if random heterogeneity and partial saturation are not simultaneously considered. The variation of differential settlements and their statistics during the rainfall depend on the magnitude of the applied load and the statistics of soil variability. Moreover, the transient phase of infiltration and a spatial correlation length equal to the width of the foundation pose the highest risk of differential settlement

Prevalencia de hipotensión ortostática en ancianos hipertensos tratados en atención primaria

ObjetivoConocer la prevalencia de hipotensión ortostática (HO) y los factores asociados en ancianos hipertensos tratados en atención primaria (AP).DiseñoEstudio descriptivo, transversal.EmplazamientoCentro de Salud La Marina (centro urbano en Santander).PacientesUna muestra aleatoria de 295 pacientes de 65 o más años atendidos regularmente por presentar hipertensión arterial (HTA).Mediciones y resultados principalesSe han obtenido cifras de presión arterial (PA) en sedestación y en bipedestación. La definición de HO utilizada ha sido: disminución de 20 mmHg o más en la PA sistólica (PAS) o de 10 mmHg o más en la PA diastólica (PAD), tras 1 o 5 minutos de bipedestación. También se han recogido datos sobre enfermedades asociadas, síntomas en bipedestación, medicación utilizada, hábitos de los pacientes y resultados de otras exploraciones clínicas. La prevalencia global encontrada de HO fue del 14,6%. La prevalencia de HO sistólica tras un minuto (HO-S1) y tras 5 minutos (HO-S5) de bipedestación ha sido del 5,8% en ambas, y la de HO diastólica del 5,1% tras un minuto (HO-D1) y del 4,1% tras 5 minutos (HO-D5) de bipedestación. En el análisis de regresión logística se encontró una asociación entre la existencia de HO global y la mayor elevación de la PA sistólica inicial, la presencia de síntomas de intolerancia ortostática (aunque sólo un 25,6% de los pacientes con HO presentaba síntomas) y el hábito tabáquico. Asimismo, se encontró una asociación con el uso de bloqueadores beta y antagonistas del calcio (diferentes de las dihidropiridinas) y la existencia de HO al minuto de bipedestación, y entre el consumo de tabaco y la HO a los 5 minutos de bipedestación.ConclusionesLa prevalencia detectada es alta y justifica la búsqueda sistemática de HO en los pacientes ancianos que son tratados de HTA en AP. La existencia de síntomas con el ortostatismo se relaciona con una mayor prevalencia de HO, pero sólo los presentó uno de cada 4 pacientes con HO. El consumo de tabaco podría estar relacionado con la presencia de HO, así como el uso de bloqueadores beta y antagonistas del calcio (diferentes de las dihidropiridinas).ObjectiveTo find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting.DesignDescriptive cross-sectional study.SettingLa Marina Health Centre (an urban centre in Santander).PatientsA random sample of 295 patients aged 65 years or older regularly assisted from hypertension.Measurements and main resultsMeasurements of sitting and standing blood pressure were obtained. Orthostatic hypotension was defined as 20 mmHg or greater decrease in systolic or 10 mmHg or greater decrease in diastolic blood pressure after 1-minute or 5-minute standing. Associated diseases, symptoms upon standing, medication use, habits and other clinical assessments were also recorded. The prevalence of OH was 14.6%. The prevalence of systolic OH after 1-minute (OH-S1) and after 5-minute (OH-S5) standing was 5.8% in both, and the diastolic OH was 5.1% after 1-minute (OH-D1) and 4.1% after 5-minute (OH-D5) standing. By logistic regression analysis, association between higher level of systolic blood pressure and global OH was found, also with the presence of orthostatic intolerance symptoms (although only 25.6% of the patients with OH showed symptoms) and smoking. Beta-blockers and calcium channel blockers (different from dihydropyridines) use was associated with OH after 1-minute standing and smoking with OH after 5-minute standing.ConclusionsThe detected prevalence is high and justifies the case finding of OH in elderly hypertensive patients in primary care. The symptoms of orthostatic intolerance are correlated with OH, but only 1 out of 4 patients showed symptoms. Smoking could be related with OH, so beta-blockers and calcium channel blockers (different from dihydropyridines) use

Robust estimation of fractal measures for characterizing the structural complexity of the human brain: optimization and reproducibility

High-resolution isotropic three-dimensional reconstructions of human brain gray and white matter structures can be characterized to quantify aspects of their shape, volume and topological complexity. In particular, methods based on fractal analysis have been applied in neuroimaging studies to quantify the structural complexity of the brain in both healthy and impaired conditions. The usefulness of such measures for characterizing individual differences in brain structure critically depends on their within-subject reproducibility in order to allow the robust detection of between-subject differences. This study analyzes key analytic parameters of three fractal-based methods that rely on the box-counting algorithm with the aim to maximize within-subject reproducibility of the fractal characterizations of different brain objects, including the pial surface, the cortical ribbon volume, the white matter volume and the grey matter/white matter boundary. Two separate datasets originating from different imaging centers were analyzed, comprising, 50 subjects with three and 24 subjects with four successive scanning sessions per subject, respectively. The reproducibility of fractal measures was statistically assessed by computing their intra-class correlations. Results reveal differences between different fractal estimators and allow the identification of several parameters that are critical for high reproducibility. Highest reproducibility with intra-class correlations in the range of 0.9–0.95 is achieved with the correlation dimension. Further analyses of the fractal dimensions of parcellated cortical and subcortical gray matter regions suggest robustly estimated and region-specific patterns of individual variability. These results are valuable for defining appropriate parameter configurations when studying changes in fractal descriptors of human brain structure, for instance in studies of neurological diseases that do not allow repeated measurements or for disease-course longitudinal studies

New insights into Clostridium Difficile (CD) infection in Latin America : Novel description of toxigenic profiles of diarrhea-associated to CD in Bogotá, Colombia

Clostridium difficile (CD) produces antibiotic associated diarrhea and leads to a broad range of diseases. The source of CD infection (CDI) acquisition and toxigenic profile are factors determining the impact of CD. This study aimed at detecting healthcare facility onset- (HCFO) and community-onset (CO) CDI and describing their toxigenic profiles in Bogotá, Colombia. A total of 217 fecal samples from patients suffering diarrhea were simultaneously submitted to two CDI detection strategies: (i) in vitro culture using selective chromogenic medium (SCM; chromID, bioMérieux), followed verification by colony screening (VCS), and (ii) molecular detection targeting constitutive genes, using two conventional PCR tests (conv. PCR) (conv.16S y conv.gdh) and a quantitative test (qPCR.16s). The CD toxigenic profile identified by any molecular test was described using 6 tests independently for describing PaLoc and CdtLoc organization. High overall CDI frequencies were found by both SCM (52.1%) and conv. PCR (45.6% for conv.16S and 42.4% for conv.gdh), compared to reductions of up to half the frequency by VCS (27.2%) or qPCR.16S (22.6%). Infection frequencies were higher for SCM and conv.16S regarding HCFO but greater for CO concerning conv.gdh, such differences being statistically significant. Heterogeneous toxigenic profiles were found, including amplification with lok1/3 primers simultaneously with other PaLoc markers (tcdA, tcdB or tcdC). These findings correspond the first report regarding the differential detection of CDI using in vitro culture and molecular detection tests in Colombia, the circulation of CD having heterogeneous toxigenic profiles and molecular arrays which could affect the impact of CDI epidemiology. © 2018 Muñoz, Ríos-Chaparro, Herrera, Soto-De Leon, Birchenall, Pinilla, Pardo-Oviedo, Josa, Patarroyo and Ramírez