Management of Posterior Reversible Syndrome in Preeclamptic Women

Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome associated with a number of conditions including preeclampsia. It is characterized by seizures, alteration of consciousness, visual disturbances, and symmetric white matter abnormalities, typically in the posterior parietooccipital regions of the cerebral hemispheres, at computed tomography (CT) and magnetic resonance (MRI). We report three new cases of PRES in preeclamptic patients and describe the management of these patients. We present a brief review of other cases in the literature, with particular attention to the anesthetic management

Impact of phonons on dephasing of individual excitons in deterministic quantum dot microlenses

Optimized light-matter coupling in semiconductor nanostructures is a key to understand their optical properties and can be enabled by advanced fabrication techniques. Using in-situ electron beam lithography combined with a low-temperature cathodoluminescence imaging, we deterministically fabricate microlenses above selected InAs quantum dots (QDs) achieving their efficient coupling to the external light field. This enables to perform four-wave mixing micro-spectroscopy of single QD excitons, revealing the exciton population and coherence dynamics. We infer the temperature dependence of the dephasing in order to address the impact of phonons on the decoherence of confined excitons. The loss of the coherence over the first picoseconds is associated with the emission of a phonon wave packet, also governing the phonon background in photoluminescence (PL) spectra. Using theory based on the independent boson model, we consistently explain the initial coherence decay, the zero-phonon line fraction, and the lineshape of the phonon-assisted PL using realistic quantum dot geometries

Correlation between OCVD carrier lifetime vs temperature measurements and reverse recovery behavior of the body diode of SiC power MOSFETs

The reverse recovery (RR) behavior of SiC MOSFET body diode is of great importance in power application, where these devices are used in a wide range of operating temperatures. The carrier lifetime in the drift region varies with temperature, and it heavily affects the tailoring of the RR current, opening reliability issues related to the RR voltage amplitude and to possible anomalous voltage oscillations during the recovery. From the users' point of view, it would be useful to have a simple technique able to give predictive information about the body diode RR behavior of commercial devices over the whole range of working temperatures. An experimental-simulation approach is presented in this paper to correlate the carrier lifetime measured by simple OCVD measurements versus temperature with the RR behavior of the body diode, that can be useful at the design stage of power converters. Simulations of the body diode reverse-recovery are performed for a wide range of carrier lifetimes. This allows to estimate the effect of changes of carrier lifetime with temperature on the body diode switching transients. Preliminary results obtained with a 1700 V/5A commercial MOSFET are shown

Trends and risk factors for syphilis infection in Piedmont Region, Italy, 2002-2008

Background: This work aims to analyze trends of syphilis infections in the Piedmont Region (Italy) between 2002 and 2008, and to evaluate risk factors for infection. Methods: Syphilis trends were described according to socio-demographic characteristics, sexual behavior, condom use, number of partners and HIV infection. Independent risk factors for syphilis among men having sex with men (MSM), men having sex with women (MSW), and women were identified through logistic regression comparing cases with 12,773 negative patients. Results: Between 2002 and 2008, 1,046 cases of syphilis were diagnosed, with peaks in 2004 and 2007. The risk of a syphilis diagnosis was independently associated with being older than 24, having a low education level, homosexual behavior, HIV self-reported infection (for MSM and MSW), number of partners (for MSW and women) and non- consistent condom use (for women). Conclusions: Recent outbreaks suggest that the attention to syphilis can’t be lowered. Screening, treatment of cases and notification of partners should be reinforced and integrated with sexual health education and counselling in high-risk environments. Surveillance data must be continuously collected

Bionics-based surgical training using 3D printed photopolymers and smart devices

Additive manufacturing technologies support the realization of surgical training devices using, typically, photopolymers-based materials. Unfortunately, the material jetting family, able to print a large range of soft and hard polymers, requires expensive machines and materials, which are not always available. On the other hand, vat polymerization fails in the resolution/volume ratio and in the mechanical properties reconstruction. Stereolithographic 3D printers, mostly used in dental surgery, make possible to realize cheap and sustainable models for training activity using only one material, reducing the possibility to obtain different mechanical characteristics. Moreover, the printed objects have to be treated (i.e. curing post-processing) in order to obtain the required performances, that could be preserved for long term storing. The aim of the proposed approach is to assure the surgeons' skills improvement through bionic-based surgical 3D printed models and smart devices, able to reproduce the same perception of a real surgical activity. We demonstrated how it is possible develop smart devices capable to take into account the same characteristics of different materials (i.e. bone and spongy bone) even if stored for a long time

Holocene regional gradients of dust provenance and flux between Talos Dome and Dome C, East Antarctica.

Aeolian sequences from Central East Antarctic ice cores provide climate and environmental information of hemispheric significance. Close to the margins of the ice sheet, high-elevation ice-free terrains protruding above the ice sheet surface can provide an additional input of fine dust particles to the atmosphere, making peripheral locations particularly interesting for the study of the regional climate evolution. In the Talos Dome area of East Antarctica, entrainment and transport of local mineral particles is merely influenced by local wind direction and strength, which in turn is tuned by regional climate changes. We investigate the spatial variability of modern and Holocene dust flux, grain size and isotopic (Sr-Nd) composition along a hypothetic transect from Talos Dome all through the interior of the ice sheet (Dome C/Vostok area), and compare the geochemical fingerprint of dust extracted from firn and ice cores to the equivalent size fraction of regolith and glacial deposits from high altitude Victoria Land sources. This study aims to better understand the environmental gradients of dust flux and provenance from the marginal Talos Dome site to the higher Dome C drainage area, with implications for the regional atmospheric circulation, while documenting the isotopic composition of local exposed sediments

A computational approach to implicit entities and events in text and discourse

In this paper we will focus on the notion of “implicit” or lexically unexpressed linguistic elements that are nonetheless necessary for a complete semantic interpretation of a text. We refer to “entities” and “events” because the recovery of the implicit material may affect all the modules of a system for semantic processing, from the grammatically guided components to the inferential and reasoning ones. Reference to the system GETARUNS offers one possible implementation of the algorithms and procedures needed to cope with the problem and enables us to deal with all the spectrum of phenomena. The paper will address at first the following three types of “implicit” entities and events: – the grammatical ones, as suggested by a linguistic theories like LFG or similar generative theories; – the semantic ones suggested in the FrameNet project, i.e. CNI, DNI, INI; – the pragmatic ones: here we will present a theory and an implementation for the recovery of implicit entities and events of (non-) standard implicatures. In particular we will show how the use of commonsense knowledge may fruitfully contribute to find relevant implied meanings. Last Implicit Entity only touched on, though for lack of space, is the Subject of Point of View, which is computed by Semantic Informational Structure and contributes the intended entity from whose point of view a given subjective statement is expressed

Advances in molecular mechanisms and immunotherapy involving the immune cell-promoted epithelial-to-mesenchymal transition in lung cancer

none8noImmunotherapy has offered a new opportunity for the treatment of many malignancies. In patients with lung cancer, immune checkpoint inhibitors have significantly improved survival. However, little is known about predictive factors or primary and acquired resistance mechanisms. Epithelial-to-mesenchymal transition (EMT) is a complex of phenotypic changes involved in carcinogenesis and resistance to cancer treatments. Specifically, immune cells in the tumor microenvironment can promote EMT, and mesenchymal phenotype acquisition negatively regulates the anticancer immune response. EMT is associated with higher expression of PD-L1 and other immune checkpoints. In this review, we focused on the role of EMT in the interplay between tumor cells and the immune system, with particular emphasis on lung cancer. On the basis of our findings, we hypothesize that the effects of EMT on immune cells could be overcome in this disease by a new combination of immune checkpoint inhibitors.openDe Matteis S.; Canale M.; Verlicchi A.; Bronte G.; Delmonte A.; Crino L.; Martinelli G.; Ulivi P.De Matteis, S.; Canale, M.; Verlicchi, A.; Bronte, G.; Delmonte, A.; Crino, L.; Martinelli, G.; Ulivi, P

Strategic review of the management of occupational road risk

The reduction of injuries and deaths sustained from work-related driving is a priority for occupational health. It is widely accepted that for most workers driving is one of the riskiest activities undertaken as part of work. In Great Britain (GB) it is estimated that at least a fifth of road injuries are sustained in a collision in which someone was driving for work at the time. The management of occupational road risk (MORR) is intended as a means of improving work related road safety (WRRS). In GB, from origins in the late 1980s, throughout the 1990s and 2000s, and into the 2010s there has been a plethora of initiatives focused on encouraging the wider uptake of MORR. The ultimate objective of this movement is to see WRRS managed just like any other aspect of safety at work. The Royal Society for the Prevention of Accidents (RoSPA) commissioned TRL and UCL to conduct this strategic review of MORR. The intention is that the review serves as a record of progress in MORR since the 1990s, and also as a basis for making recommendations for action to help sustain this progress