Excess economic burden of multimorbidity: a population-based study in Italy.

t In Italy the increasing incidence of chronic disease and multimorbidity are major challenges for health systems. When a patient suffers from more than one chronic condition, the conditions can interact causing a significant increase in patients’ care needs. Using healthcare administrative databases of Tuscany region to identify cohorts of chronic prevalent patients and their total direct healthcare expenses, in this paper we aim to study the economic burden of multiple chronic conditions and calculate the excess cost when comorbidities occur in order to assess how combinations of chronic conditions in adults affect total direct health expenditure

Photochromic polyurethanes showing a strong change of transparency and refractive index

Photochromic polymers have been studied as rewritable systems for optical elements with tunable transparency in the visible and refractive index in the NIR. Six diarylethene monomers have been synthesized to give thin films of photochromic polyurethanes. The absorption properties of the monomers in solution and of the corresponding polymeric films have been evaluated showing that a transparency contrast in the visible spectrum of the order of 103can be obtained by a suitable choice of the chemical structure and illumination wavelength. The change in the refractive index in the NIR have been determined by ellipsometry showing changes larger than 10-2. A trend of this variation with the absorption properties has been also highlighted. Fresnel lenses working on the basis of both a change of the transparency and the refractive index (amplitude and phase) have been demonstrated

The relevance of extensional rheology on electrospinning: the polyamide/iron chloride case

The outcomes of the electrospinning of polyamide 6 (PA6) solutions in formic acid containing FeCl3 are correlated with the extensional rheological behaviour of these fluids, which is investigated by the self-controlled capillary breakup of a filament. The rheological analysis enlightens a significant effect of the FeCl3 content on the rheological behaviour, the viscous component becoming predominant over a certain salt content threshold. At this concentration, the electrospun fibres show the formation of severely inhomogeneous structures this indicating that an elastically dominated behaviour is necessary to yield defect-free fibres. Addition of FeCl3 also decreases fibre crystallinity and fibres turn out to be completely amorphous above a critical concentration. Interestingly, this concentration coincides with the one at which the viscous component starts dominating the rheological behaviour

Biohybrid Electrospun Membrane for the Filtration of Ketoprofen Drug from Water

A current challenge in materials science and biotechnology is to express a specific and controlled functionality on the large interfacial area of a nanostructured material to create smart biohybrid systems for targeted applications. Here, we report on a biohybrid system featuring poly(vinyl alcohol) as the supporting synthetic polymer and bovine serum albumin as the biofunctional element. The optimal processing conditions to produce these self-standing composite membranes are determined, and the composition and distribution of the bioactive agent within the polymeric matrices are analyzed. A post-processing cross-linking using glutaraldehyde enables this functional membrane to be used as a chemical filter in aqueous environments. By demonstrating that our mats can remove large amounts of ketoprofen from water, we show that the combination of a BSA-induced biofunctionality with a nanostructured fibrous material allows for the development of an efficient biohybrid filtering device for the large and widely used family of nonsteroidal anti-inflammatory drugs (NSAIDs). The crystal structure of the complex between BSA and ketoprofen is determined for the first time and confirms the interaction between the two species

Modulation of Mechanosensitive Potassium Channels by a Membrane-targeted Nongenetic Photoswitch

Mechanosensitive ion channels are present in the plasma membranes of all cells. They play a fundamental role in converting mechanical stimuli into biochemical signals and are involved in several physiological processes such as touch sensation, hearing, and blood pressure regulation. This protein family includes TWIK-related arachidonic acid-stimulated K+ channel (TRAAK), which is specifically implicated in the maintenance of the resting membrane potential and in the regulation of a variety of important neurobiological functions. Dysregulation of these channels has been linked to various diseases, including blindness, epilepsy, cardiac arrhythmia, and chronic pain. For these reasons, mechanosensitive channels are targets for the treatment of several diseases. Here, we propose a new approach to investigate TRAAK ion channel modulation that is based on nongenetic photostimulation. We employed an amphiphilic azobenzene, named Ziapin2. In the dark, Ziapin2 preferentially dwells in the plasma membrane, causing a thinning of the membrane. Upon light irradiation, an isomerization occurs, breaking the dimers and inducing membrane relaxation. To study the effect of Ziapin2 on the mechanosensitive channels, we expressed human TRAAK (hTRAAK) channels in HEK293T cells. We observed that Ziapin2 insertion in the membrane is able per se to recruit hTRAAK, permitting the exit of K+ ions outside the cells with a consequent hyperpolarization of the cell membrane. During light stimulation, membrane relaxation induces hTRAAK closure, generating a consistent and compensatory depolarization. These results add information to the Ziapin2 mechanism and suggest that membrane deformation can be a tool for the nonselective modulation of mechanosensitive channels

Electrospun Polymer Fibers for Electronic Applications

Nano- and micro- fibers of conjugated polymer semiconductors are particularly interesting both for applications and for fundamental research. They allow an investigation into how electronic properties are influenced by size confinement and chain orientation within microstructures that are not readily accessible within thin films. Moreover, they open the way to many applications in organic electronics, optoelectronics and sensing. Electro-spinning, the technique subject of this review, is a simple method to effectively form and control conjugated polymer fibers. We provide the basics of the technique and its recent advancements for the formation of highly conducting and high mobility polymer fibers towards their adoption in electronic applications

Skeletal muscle cells opto-stimulation by intramembrane molecular transducers

Optical stimulation and control of muscle cell contraction opens up a number of interesting applications in hybrid robotic and medicine. Here we show that recently designed molecular phototransducer can be used to stimulate C2C12 skeletal muscle cells, properly grown to exhibit collective behaviour. C2C12 is a skeletal muscle cell line that does not require animal sacrifice Furthermore, it is an ideal cell model for evaluating the phototransducer pacing ability due to its negligible spontaneous activity. We study the stimulation process and analyse the distribution of responses in multinuclear cells, in particular looking at the consistency between stimulus and contraction. Contractions are detected by using an imaging software for object recognition. We find a deterministic response to light stimuli, yet with a certain distribution of erratic behaviour that is quantified and correlated to light intensity or stimulation frequency. Finally, we compare our optical stimulation with electrical stimulation showing advantages of the optical approach, like the reduced cell stress.A study on the stimulation of cells with light, thanks to a photochromic molecule, called Ziapin2. It shows the difference between the light stimulation and the electrical stimulation in terms of cell viability and performance

Analysis of phase patterns in photochromic polyurethanes by a holographic approach

Photochromic polyurethanes based on diarylethene units show a large reversible modulation of refractive index in the Vis-NIR spectral region. The change of refractive index in the material is easily induced by visible laser illumination, without any optical or chemical post-process. In this paper, patterns at the micron scale range have been written by a suitable direct laser writing machine and characterized at 1550 nm by means of a digital holographic approach. The refractive index profile has been retrieved, its dependence on the film thickness and writing speed was shown. The writing process has also been modelled by means of a kinetic model, showing theoretically the dependence of the pattern width and profile on the writing conditions. It is demonstrated that the photochromic films are suitable for developing a reconfigurable platform for complex phase patterns working in the NIR. © 2015 Optical Society of America

Programmable CGH on photochromic plates coded with DMD generated masks

Computer Generated Holograms (CGHs) are used for wavefront shaping and complex optics testing. Present technology allows for recording binary CGHs. We propose a Digital Micro-mirror Device (DMD) as a reconfigurable mask, to record rewritable binary and grayscale CGHs on a photochromic plate. Opaque at rest, this plate becomes transparent when it is illuminated with visible light of suitable wavelength. We have successfully recorded the very first amplitude grayscale CGH, with a contrast greater than 50, which was reconstructed with a high fidelity in shape, intensity, size and location. These results reveal the high potential of this method for generating programmable/rewritable grayscale CGHs, which combine DMDs and photochromic substrates