11 research outputs found
GALAD outperforms aMAP and ALBI for predicting HCC in patients with compensated advanced chronic liver disease: A 12-year prospective study
Background and aims: Surveillance programs are strongly recommended in patients with liver cirrhosis for early detection of HCC development. Six-monthly ultrasound sonography is the most reliable and commonly used technique, especially when associated with serum determination of α-fetoprotein, but different score systems have been proposed to overcome the unsatisfactory diagnostic accuracy of α-fetoprotein. The aim of this 12-year prospective study is to compare the gender, age, AFP-L3, AFP, des-gamma-carboxy prothrombin (GALAD) versus age, gender, bilirubin, albumin, and platelets and albumin-bilirubin scores in predicting HCC onset. Approach and results: A cohort of 545 consecutive patients with compensated advanced chronic liver disease without suspected focal lesions was followed up every 6 months by liver imaging and α-fetoprotein to detect HCC occurrence. Harrell's C-index for censored data was employed to evaluate the performance of any parameters or scores helping to predict HCC development. ROC curve analysis showed that the GALAD score was more accurate in evaluating HCC development than albumin-bilirubin and age, gender, bilirubin, albumin, and platelets. The AUC ranged from 0.7268 to 0.6851 at 5 and 10 years, both in the total cohort and in the sub-cohorts (viral hepatitis, NASH, and alcohol). The HCC Risk model was constructed using univariate and multivariate Cox proportional hazard regression analysis, showing a strong association of GALAD with HR > 1, p < 0.05, in the total and sub-cohorts, and a better risk prediction in the alcohol cohort, both alone and standardized with other blood parameters. Conclusions: GALAD is the most reliable and accurate score system to detect HCC risk of development in patients with compensated advanced chronic liver disease
Cultivable non-starter lactobacilli from ripened Parmigiano Reggiano cheeses with different salt content and their potential to release anti-hypertensive peptides
The impact of salt and fat intake on human health drives the consumer's attention towards dairy food with reduced salt and fat contents. How changes in salt and fat content modulate dairy LAB population and the associated proteolytic activities have been poorly studied. Here, non-starter LAB populations from 12 Parmigiano Reggiano (PR) cheeses (12-month ripened), clustered in low salt and fat content (LL-PR) and high salt and fat content (HH-PR) groups, were investigated and identified at specie-level with molecular assays. Lactobacillus rhamnosus was dominant in HH-PR samples, whereas Lactobacillus paracasei in LL-PR samples. (GTG)5 rep-PCR analysis discriminated 11 and 12 biotypes for L. rhamnosus and L. paracasei isolates, respectively. Screening for proteolytic activity identified L. rhamnosus strains more proteolytic than L. paracasei, and, within L. rhamnosus species, HH-PR strains were generally more proteolytic than LL-PR strains. Two L. rhamnosus representatives, namely strain 0503 from LL-PR and strain 2006 from HH-PR, were functionally characterized in cow milk fermentation assay. HH-PR strain 2006 overcame LL-PR strain 0503 in acidification performance, leading to a fermented milk with higher angiotensin I-converting enzyme inhibitory and antioxidant activities. L. rhamnosus 2006 was more prone to release VPP, while L. rhamnosus 0503 released higher amount of IPP. This study provides evidences that salt/fat content affects NSLAB cultivable fraction and the associated proteolytic ability resulting in a complex occurrence of bioactive peptides featuring health-promoting properties
Distance sampling as an effective method for monitoring feral pigeon (Columba livia f. domestica) urban populations
SUMMARY Current methods for estimating feral pigeon (Columba livia f. domestica) population size and for monitoring population trends are mainly based on indices, which according to the current literature on wildlife census methods often produce biased results. Distance Sampling techniques have never been used in this context, even though they could theoretically produce absolute abundance estimates at relatively low costs. The aim of this paper was to investigate the performance of Distance Sampling to census feral pigeons, and to compare these results with those obtained by using Quadrate Counts, a widespread method for monitoring these birds. Surveys were performed in Pisa (Italy) in two different periods of the year 2004 (end of Januaryâbeginning of February, and November), which correspond to minimum (JanuaryâFebruary) and maximum (November) numbers for pigeon populations. We considered 40 line transects each about 250 m long for Distance Sampling, and 40 250Ă250 m cells for Quadrate Counts. In both cases, sampling units were randomized in a stratified design. In contrast to Quadrate Counts, Distance Sampling detected the predicted increase of abundance from JanuaryâFebruary to November with an acceptable precision and no increase of costs per survey. Even though the possible biases (due to the not rigorously random distribution of transects and to the spiked nature of collected distance data) should be further investigated, results suggest that Distance Sampling is a viable and efficient alternative to the traditional methods used to estimate feral pigeons population size and to monitor trends
GALAD score outperforms aMAP and ALBI scores in the 5- and 10-year prediction of hepatocellular carcinoma (HCC) development in patients with compensated advanced chronic liver disease (cACLD): a 12-year prospective study
Orientation of the pied flycatcher Ficedula hypoleuca: cue-conflict experiments during spring migration
Publisherâs Note: Observing gravitational-wave transient GW150914 with minimal assumptions [Phys. Rev. D 93, 122004 (2016)]
The gravitational-wave signal GW150914 was first identified on September 14, 2015, by searches forshort-duration gravitational-wave transients. These searches identify time-correlated transients in multipledetectors with minimal assumptions about the signal morphology, allowing them to be sensitive togravitational waves emitted by a wide range of sources including binary black hole mergers. Over theobservational period from September 12 to October 20, 2015, these transient searches were sensitive tobinary black hole mergers similar to GW150914 to an average distance ofâŒ600Mpc. In this paper, wedescribe the analyses that first detected GW150914 as well as the parameter estimation and waveformreconstruction techniques that initially identified GW150914 as the merger of two black holes. We find thatthe reconstructed waveform is consistent with the signal from a binary black hole merger with a chirp massofâŒ30Mâand a total mass before merger ofâŒ70Mâin the detector fram
Search for intermediate mass black hole binaries in the first observing run of Advanced LIGO
International audienceDuring their first observational run, the two Advanced LIGO detectors attained an unprecedented sensitivity, resulting in the first direct detections of gravitational-wave signals produced by stellar-mass binary black hole systems. This paper reports on an all-sky search for gravitational waves (GWs) from merging intermediate mass black hole binaries (IMBHBs). The combined results from two independent search techniques were used in this study: the first employs a matched-filter algorithm that uses a bank of filters covering the GW signal parameter space, while the second is a generic search for GW transients (bursts). No GWs from IMBHBs were detected; therefore, we constrain the rate of several classes of IMBHB mergers. The most stringent limit is obtained for black holes of individual mass 100ââMâ, with spins aligned with the binary orbital angular momentum. For such systems, the merger rate is constrained to be less than 0.93ââGpcâ3âyrâ1 in comoving units at the 90%Â confidence level, an improvement of nearly 2 orders of magnitude over previous upper limits
First low-frequency Einstein@Home all-sky search for continuous gravitational waves in Advanced LIGO data
International audienceWe report results of a deep all-sky search for periodic gravitational waves from isolated neutron stars in data from the first Advanced LIGO observing run. This search investigates the low frequency range of Advanced LIGO data, between 20 and 100Â Hz, much of which was not explored in initial LIGO. The search was made possible by the computing power provided by the volunteers of the Einstein@Home project. We find no significant signal candidate and set the most stringent upper limits to date on the amplitude of gravitational wave signals from the target population, corresponding to a sensitivity depth of 48.7ââ[1/Hz]. At the frequency of best strain sensitivity, near 100Â Hz, we set 90% confidence upper limits of 1.8Ă10-25. At the low end of our frequency range, 20Â Hz, we achieve upper limits of 3.9Ă10-24. At 55Â Hz we can exclude sources with ellipticities greater than 10-5 within 100Â pc of Earth with fiducial value of the principal moment of inertia of 1038ââkgâm2
First narrow-band search for continuous gravitational waves from known pulsars in advanced detector data
International audienceSpinning neutron stars asymmetric with respect to their rotation axis are potential sources of continuous gravitational waves for ground-based interferometric detectors. In the case of known pulsars a fully coherent search, based on matched filtering, which uses the position and rotational parameters obtained from electromagnetic observations, can be carried out. Matched filtering maximizes the signal-to-noise (SNR) ratio, but a large sensitivity loss is expected in case of even a very small mismatch between the assumed and the true signal parameters. For this reason, narrow-band analysis methods have been developed, allowing a fully coherent search for gravitational waves from known pulsars over a fraction of a hertz and several spin-down values. In this paper we describe a narrow-band search of 11Â pulsars using data from Advanced LIGOâs first observing run. Although we have found several initial outliers, further studies show no significant evidence for the presence of a gravitational wave signal. Finally, we have placed upper limits on the signal strain amplitude lower than the spin-down limit for 5 of the 11 targets over the bands searched; in the case of J1813-1749 the spin-down limit has been beaten for the first time. For an additional 3 targets, the median upper limit across the search bands is below the spin-down limit. This is the most sensitive narrow-band search for continuous gravitational waves carried out so far