Increased age and male sex are independently associated with higher frequency of blood–cerebrospinal fluid barrier dysfunction using the albumin quotient

Background: The cerebrospinal fluid (CSF)/serum quotient of albumin (QAlb) is the most used biomarker for the evaluation of blood–cerebrospinal fluid barrier (B-CSF-B) permeability. For years QAlb was considered only as an age-related parameter but recently it has also been associated to sex. The aim of the present study was to explore the impact of sex in the determination of B-CSF-B dysfunction. Methods: The analysis was retrospectively conducted on subjects consecutively admitted to the neurological ward. CSF and serum albumin levels were measured by immunonephelometry and pathological QAlb thresholds were considered: 6.5 under 40 years, 8.0 in the age 40–60 and 9.0 over 60 years. Results: 1209 subjects were included in the study. 718 females and 491 males (age: 15–88 years): 24.6% of patients had a diagnosis of multiple sclerosis, 23.2% suffered from other inflammatory neurological diseases, 24.6% were affected by non-inflammatory neurological diseases, and for 27.6% of patients the final neurological diagnosis could not be traced. Dysfunctional B-CSF-B was detected more frequently (44 vs. 20.1%, p < 0.0001) and median QAlb value were higher (7.18 vs. 4.87, p < 0.0001) in males than in females in the overall study population and in all disease sub- groups. QAlb and age were positively correlated both in female (p < 0.0001) and male (p < 0.0001) patients, however the slopes of the two regression lines were not significantly different (p = 0.7149), while the difference between the elevations was extremely significant (p < 0.0001) with a gap of 2.2 units between the two sexes. Finally, in a multivari- able linear regression analysis increased age and male sex were independently associated with higher QAlb in the overall study population (both p < 0.001) and after stratification by age and disease group. Conclusions: Accordingly, identification and validation of sex-targeted QAlb thresholds should be considered as a novel tool in an effort to achieve more precision in the medical approach

Technical effectiveness of cement-based mortar for high-reflective building envelope through building energy simulations: preliminary results

In areas with high levels of solar radiation, decreasing the amount of solar energy absorbed by the building envelope is useful to reduce the need of air conditioning and "heat island" effects. Most high-reflective products, however, suffer from low durability. The COOL-IT project is developing an innovative high-reflective cement based mortar for precast products to be used as outer layer in buildings for both vertical and horizontal surfaces, or for road pavement. The mix design is aimed at increasing the durability of this cement-based component while retaining high reflectance to solar radiation. This paper presents the preliminary results of the project, based on the simulation of the energy demand of a residential building, intended as a support to optimize the proposed mixes. The model is analysed in three different locations in Italy, for one year of operation. This allows evaluating the trade-off of the energy demand between the winter increase and the summer reduction

Patterns of tumor response in canine and feline cancer patients treated with electrochemotherapy: preclinical data for the standardization of this treatment in pets and humans

Electrochemotherapy (ECT) is a novel anticancer therapy that is currently being evaluated in human and pet cancer patients. ECT associates the administration of an anti-tumor agent to the delivery of trains of appropriate waveforms. The increased uptake of chemotherapy leads to apoptotic death of the neoplasm thus resulting in prolonged local control and extended survival. In this paper we describe the histological features of a broad array of spontaneous tumors of companion animals receiving pulse-mediated chemotherapy. Multivariate statistical analysis of the percentage of necrosis and apoptosis in the tumors before and after ECT treatment, shows that only a high percentage of necrosis and apoptosis after the ECT treatment were significantly correlated with longer survivals of the patients (p < 0.0001 and p = 0.004, respectively). Further studies on this topic are warranted in companion animals with spontaneous tumors to identify new molecular targets for electrochemotherapy and to the develop new therapeutical protocols to be translated to humans

Real-time feedback systems for cardiopulmonary resuscitation training: Time for a paradigm shift

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Effect of randomizers on the power spectrum excess of space telemetry signals

none6siThis paper presents a thorough analysis of the spectral characteristics of space telemetry signals when randomizers are used to counter the power excess, that is, the increase of the power spectrum in some measurement bandwidths with respect to the transmission of an ideal random signal. We show that a long randomizer actually improves the spectral characteristics but is not able to solve some critical problems appearing when all-zero frames or almost constant data are transmitted. Suitable solutions are proposed to face these cases, ensuring a small power excess in all possible operation conditions. The impact of high-order modulations and error correcting codes is also investigated.openMassimo Battaglioni, Marco Baldi, Franco Chiaraluce, Roberto Garello, Enrico Vassallo, Gian Paolo CalzolariBattaglioni, Massimo; Baldi, Marco; Chiaraluce, Franco; Garello, Roberto; Vassallo, Enrico; Paolo Calzolari, Gia

Tumor Suppressors and Cell-Cycle Proteins in Lung Cancer

The cell cycle is the cascade of events that allows a growing cell to duplicate all its components and split into two daughter cells. Cell cycle progression is mediated by the activation of a highly conserved family of protein kinases, the cyclin-dependent kinases (CDKs). CDKs are also regulated by related proteins called cdk inhibitors grouped into two families: the INK4 inhibitors (p16, p15, p19, and p18) and the Cip/Kip inhibitors (p21, p27, and p53). Several studies report the importance of cell-cycle proteins in the pathogenesis and the prognosis of lung cancer. This paper will review the most recent data from the literature about the regulation of cell cycle. Finally, based essentially on the data generated in our laboratory, the expression, the diagnostic, and prognostic significance of cell-cycle molecules in lung cancer will be examined

Closure of an iatrogenic tracheo-esophageal fistula with bronchoscopic gluing in a mechanically ventilated adult patient

Management of acquired nonmalignant tracheo-esophageal fistula (TEF) in mechanically ventilated patients is controversial. Surgical correction is often contraindicated because the high operative risk and spontaneous closure is unlikely due to the positive pressure ventilation. We present a case of successful closure of an iatrogenic TEF in a mechanically ventilated patient with bronchoscopic application of fibrin glue. The technique may be proposed in high-risk patients as either an alternative to surgery or as a first-line attempt before surgical correction

Next generation earth‑to‑space telecommand coding and synchronization: ground system design, optimization and software implementation

The Consultative Committee for Space Data Systems, followed by all national and international space agencies, has updated the Telecommand Coding and Synchronization sublayer to introduce new powerful low-density parity-check (LDPC) codes. Their large coding gains significantly improve the system performance and allow new Telecommand services and profiles with higher bit rates and volumes. In this paper, we focus on the Telecommand transmitter implementation in the Ground Station baseband segment. First, we discuss the most important blocks and we focus on the most critical one, i.e., the LDPC encoder. We present and analyze two techniques, one based on a Shift Register Adder Accumulator and the other on Winograd convolution both exploiting the block circulant nature of the LDPC matrix. We show that these techniques provide a significant complexity reduction with respect to the usual encoder mapping, thus allowing to obtain high uplink bit rates. We then discuss the choice of a proper hardware or software platform, and we show that a Central Processing Unit-based software solution is able to achieve the high bit rates requested by the new Telecommand applications. Finally, we present the results of a set of tests on the real-time software implementation of the new system, comparing the performance achievable with the different encoding options

Data analysis of Permanent GPS networks in Italy and surrounding region: application of a distributed processing approach

We describe the procedures used to combine into a uniform velocity solution the observations of more than 80 continuous GPS stations operating in the central Mediterranean in the 1998-2004 time interval. We used a dis- tributed processing approach, which makes efficient use of computer resources, while producing velocity esti- mates for all stations in one common reference frame, allowing for an effective merging of all observations in- to a self-consistent network solution. We describe the CGPS data archiving and processing procedures, and pro- vide the main results in terms of position time-series and velocities for all stations observed for more than three years. We computed horizontal and vertical velocities accounting for the seasonal (annual and semi-annual) sig- nals, and considering the off-sets in the coordinate time-series caused by station equipment changes. Weighted post-fit RMS of the north, east and vertical velocity components are in the range of 1.57-2.08 mm, 1.31-3.28 mm, and 3.60-7.24 mm, respectively, which are reduced by solving for seasonal signals in the velocity estimates. The annual and semi-annual signals in the height components, with amplitudes up to 4.8 mm, are much stronger than those in the horizontal components. The mean amplitudes of annual and semi-annual signals are within 0.18-0.47 mm, 0.23-0.52 mm and 0.55-1.92 mm in the north, east and vertical components, respectively