52 research outputs found
Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes
Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening
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Community Detection in General Stochastic Block models: Fundamental Limits and Efficient Algorithms for Recovery
New phase transition phenomena have recently been discovered for the stochastic block model, for the special case of two non-overlapping symmetric communities. This gives raise in particular to new algorithmic challenges driven by the thresholds. This paper investigates whether a general phenomenon takes place for multiple communities, without imposing symmetry. In the general stochastic block model SBM (n, p, W), n vertices are split into k communities of relative siz{pi} iâ[k], and vertices in community i and j connect independently with probability {Wij}i,j â[k]. This paper investigates the partial and exact recovery of communities in the general SBM (in the constant and logarithmic degree regimes), and uses the generality of the results to tackle overlapping communities. The contributions of the paper are: (i) an explicit characterization of the recovery threshold in the general SBM in terms of a new f-divergence function D+, which generalizes the Hellinger and Chern off divergences, and which provides an operational meaning to a divergence function analog to the KL-divergence in the channel coding theorem, (ii) the development of an algorithm that recovers the communities all the way down to the optimal threshold and runs in quasi-linear time, showing that exact recovery has no information-theoretic to computational gap for multiple communities, (iii) the development of an efficient algorithm that detects communities in the constant degree regime with an explicit accuracy bound that can be made arbitrarily close to 1 when a prescribed signal-to-noise ratio (defined in term of the spectrum of diag(p)W tends to infinity
Implementation of Magnetic Nanostructured Adsorbents for Heavy Metals Separation from Textile Wastewater
In the framework of sustainability, water shortages and water pollution are two important aspects to be considered. Proposing efficient and low-impact technologies is of paramount importance to promote circular economies associated with the use of water in the industrial context, especially in the textile industry. In this work, the application of a set of magnetic nanostructured adsorbents (MNAs) to cleanse metal ions from textile wastewaters was studied and analyzed. MNAs were generated with a low-cost process, involving iron (II/III) salts (e.g., chlorides), sodium or ammonium hydroxide solutions, and graphene oxide, obtained from graphite by a modified Hummers' method at room temperature. The shape and the size were studied with transmission electron microscopy. Adsorbents were tested with different metal ions (e.g., copper, chromium (III), and nickel). Metal ion concentrations were analyzed by means of inductively coupled plasma optical emission spectroscopy (ICP-OES), and adsorption isotherms were characterized. From the results, the MNAs exhibited the capability of removing metal ions up to a yield of 99% for Cr3+, 94.7% for Cu2+, and 91.4% for Ni2+, along with adsorption loads up to 4.56 mg/g of MNAs
Stimulation of P2 receptors causes release of IL-1beta-loaded microvescicles from human dendritic cells
Dendritic cells (DCs) are professional antigen-presenting cells that initiate the immune response by activating T lymphocytes. DCs express plasma membrane receptors for extracellular nucleotides named P2 receptors (P2Rs). Stimulation of P2Rs in these cells is known to cause chemotaxis, cytokine release, and cell death and to modulate LPS-dependent differentiation. Here we show that stimulation of the P2X(7) receptor subtype (P2X(7)R) causes fast microvesicle shedding from DC plasma membrane. Vesicle release occurs from both immature and mature DCs; however, only vesicles from mature DCs, due to their previous exposure to LPS, contain IL-1beta. Microvesicles, whether from immature or mature DCs, also contain caspase-1 and -3 and cathepsin D. They also express the P2X(7)R in addition to other P2Rs and known markers of immune cells such as major histocompatibility complex II (MHC II) and CD39. Activation of the P2X(7)R by extracellular ATP causes IL-1beta release from the vesicle lumen. Previous studies demonstrated that high extracellular K(+) inhibits IL-1beta processing and release; here we show that high ionic strength reduces microvesicle shedding when compared with a low ionic strength medium but strongly increases microvesicle IL-1beta loadin
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