Serum steroid profiling by isotopic dilution-liquid chromatography-mass spectrometry: comparison with current immunoassays and reference intervals in healthy adults.

BACKGROUND: The simultaneous, rapid and reliable measurement of a wide steroid panel is a powerful tool to unravel physiological and pathological hormone status. Clinical laboratories are currently dominated by high-throughput immunoassays, but these methods lack specificity due to cross-reactivity and matrix interferences. We developed and validated an isotopic dilution-liquid chromatography-tandem mass spectrometry (ID-LC-MS/MS) method for the simultaneous measurement of cortisol, corticosterone, 11deoxycortisol, androstenedione, deoxycorticosterone (DOC), testosterone, 17OHprogesterone, dehydroepiandrosterone (DHEA) and progesterone in serum, and compared it to routine immunoassays employed in our laboratory. We also established adult reference intervals in 416 healthy subjects. METHODS: 0.9 ml of serum were spiked with labelled internal standards (IS) and extracted on C18 cartridges. Eluate was injected into a two-dimensional LC-system, purified in a perfusion column and separated on a C8 column during a 21 min gradient run. Analytes were revealed by atmospheric pressure chemical ionization (APCI) followed by multiple reaction monitoring (MRM) analysis. RESULTS: Of the four immunoassays compared with the ID-LC-MS/MS method, only the results of ElecsysE170 for cortisol, testosterone in males and progesterone>1 ng/ml were in agreement with ID-LC-MS/MS. ElecsysE170 for testosterone in females and progesterone<1 ng/ml, Immulite2000 for androstenedione, DSL-9000 for DHEA and 17OHP Bridge for 17OHprogesterone, respectively, showed poor agreement. Reference intervals and steroid age and fertility related fluctuations were established. CONCLUSION: Our ID-LC-MS/MS method proved to be reliable and sensitive in revealing steroid circulating concentrations in adults and in highlighting the limits of routine immunoassays at low concentrations

Silver doping of silica-hafnia waveguides containing Tb3+/Yb3+ rare earths for downconversion in PV solar cells

The aim of this paper is to study the possibility to obtain an efficient downconverting waveguide which combines the quantum cutting properties of Tb3+/Yb3+ codoped materials with the optical sensitizing effects provided by silver doping. The preparation of 70SiO(2)-30HfO(2) glass and glass-ceramic waveguides by sol-gel route, followed by Ag doping by immersion in molten salt bath is reported. The films were subsequently annealed in air to induce the migration and/or aggregation of the metal ions. Results of compositional and optical characterization are given, providing evidence for the successful introduction of Ag in the films, while the photoluminescence emission is strongly dependent on the annealing conditions. These films could find potential applications as downshifting layers to increase the efficiency of PV solar cells. (C) 2016 Elsevier B.V. All rights reserved

Tb3+/Yb3+ codoped silica-hafnia glass and glass-ceramic waveguides to improve the efficiency of photovoltaic solar cells

In this paper we present the investigation of the energy transfer efficiency between Tb3+ and Yb3+ ions in silica-hafnia waveguides. Cooperative energy transfer between these two ions allows to cut one 488 nm photon in two 980 nm photons and could have important applications in improving the performance of photovoltaic solar cells. Previous works revealed that for a given concentration of donors (Tb3+, increasing the number of acceptors (Yb3+) located near to the Tb3+ ion can increase the Tb-Yb transfer probability. However, when increasing the density of active ions, some detrimental effects due to cross-relaxation mechanisms become relevant. On the basis of this observation the sample doping was chosen keeping constant the molar ratio [Yb]/[Tb] = 4 and the total rare earths contents were [Tb + Yb]/[Si + Hf] = 5%, 7%, 9%. The choice of the matrix is another crucial point to obtain an efficient down conversion processes with rare earth ions. To this respect a 70SiO(2)-30HfO(2) waveguide composition was chosen. The comparison between the glass and the glass-ceramic structures demonstrated that the latter is more efficient since it combines the good optical properties of glasses with the optimal spectroscopic properties of crystals activated by luminescent species. A maximum transfer efficiency of 55% was found for the highest rare earth doping concentration

The INFN-grid testbed

The Italian INFN-Grid Project is committed to set-up, run and manage an unprecedented nation-wide Grid infrastructure. The implementation and use of this INFN-Grid Testbed is presented and discussed. Particular care and attention are devoted to those activities, relevant for the management of the Testbed, carried out by the INFN within international Grid Projects

The Muon Portal Double Tracker for the Inspection of Travelling Containers

The Muon Portal Project has as its goal the design and construction of a real-size working detector prototype in scale 1:1, to inspect the content of travelling containers by means of the secondary cosmic-ray muon radiation and to recognize high-Z hidden materials (i.e. U, Pu). The tomographic image is obtained by reconstructing the input and output trajectories of each muon when it crosses the container and, consequently, the scattering angle, making use of two trackers placed above and below the container. The scan is performed without adding any external radiation, in a reasonable time (few minutes) and with a good spatial and angular resolution. The detector consists of 8 planes each segmented in 6 identical modules. Each module is made of scintillating strips with two WaveLength Shifting fibers (WLS) inside, coupled to Silicon photomultipliers. The customized read-out electronics employs programmable boards. Thanks to a smart read-out system, the number of output channels is reduced by a factor 10. The signals from the front-end modules are sent to the read-out boards, in order to convert analog signals to digital ones, by comparison with a threshold. The data are pre-analyzed and stored into a data acquisition PC. After an intense measurement and simulation campaign to carefully characterize the detector components, the first detection modules ( 1 ×3 m2) have been already built. In this paper the detector architecture, particularly focusing on the used electronics and the main preliminary results will be presented. <P /

Fluid challenges in intensive care: the FENICE study A global inception cohort study

Fluid challenges (FCs) are one of the most commonly used therapies in critically ill patients and represent the cornerstone of hemodynamic management in intensive care units. There are clear benefits and harms from fluid therapy. Limited data on the indication, type, amount and rate of an FC in critically ill patients exist in the literature. The primary aim was to evaluate how physicians conduct FCs in terms of type, volume, and rate of given fluid; the secondary aim was to evaluate variables used to trigger an FC and to compare the proportion of patients receiving further fluid administration based on the response to the FC.This was an observational study conducted in ICUs around the world. Each participating unit entered a maximum of 20 patients with one FC.2213 patients were enrolled and analyzed in the study. The median [interquartile range] amount of fluid given during an FC was 500 ml (500-1000). The median time was 24 min (40-60 min), and the median rate of FC was 1000 [500-1333] ml/h. The main indication for FC was hypotension in 1211 (59 %, CI 57-61 %). In 43 % (CI 41-45 %) of the cases no hemodynamic variable was used. Static markers of preload were used in 785 of 2213 cases (36 %, CI 34-37 %). Dynamic indices of preload responsiveness were used in 483 of 2213 cases (22 %, CI 20-24 %). No safety variable for the FC was used in 72 % (CI 70-74 %) of the cases. There was no statistically significant difference in the proportion of patients who received further fluids after the FC between those with a positive, with an uncertain or with a negatively judged response.The current practice and evaluation of FC in critically ill patients are highly variable. Prediction of fluid responsiveness is not used routinely, safety limits are rarely used, and information from previous failed FCs is not always taken into account