Acute Delta Hepatitis in Italy spanning three decades (1991–2019): Evidence for the effectiveness of the hepatitis B vaccination campaign

Updated incidence data of acute Delta virus hepatitis (HDV) are lacking worldwide. Our aim was to evaluate incidence of and risk factors for acute HDV in Italy after the introduction of the compulsory vaccination against hepatitis B virus (HBV) in 1991. Data were obtained from the National Surveillance System of acute viral hepatitis (SEIEVA). Independent predictors of HDV were assessed by logistic-regression analysis. The incidence of acute HDV per 1-million population declined from 3.2 cases in 1987 to 0.04 in 2019, parallel to that of acute HBV per 100,000 from 10.0 to 0.39 cases during the same period. The median age of cases increased from 27 years in the decade 1991-1999 to 44 years in the decade 2010-2019 (p < .001). Over the same period, the male/female ratio decreased from 3.8 to 2.1, the proportion of coinfections increased from 55% to 75% (p = .003) and that of HBsAg positive acute hepatitis tested for by IgM anti-HDV linearly decreased from 50.1% to 34.1% (p < .001). People born abroad accounted for 24.6% of cases in 2004-2010 and 32.1% in 2011-2019. In the period 2010-2019, risky sexual behaviour (O.R. 4.2; 95%CI: 1.4-12.8) was the sole independent predictor of acute HDV; conversely intravenous drug use was no longer associated (O.R. 1.25; 95%CI: 0.15-10.22) with this. In conclusion, HBV vaccination was an effective measure to control acute HDV. Intravenous drug use is no longer an efficient mode of HDV spread. Testing for IgM-anti HDV is a grey area requiring alert. Acute HDV in foreigners should be monitored in the years to come

Nanofibrillated cellulose (NFC) as a potential reinforcement for high performance cement mortar composites

In this work, nanofibrillated cellulose (NFC) has been evaluated as a potential reinforcement for cement mortar composites. Two types of vegetable fibres with different composition and properties (cellulose content and microfibrillar angle), sisal, and cotton linters pulps, were initially characterized in order to assess their reinforcement capability. Sisal pulp was found to be most suitable as reinforcement for their brittle cementitious matrix. Nanofibrillated cellulose was produced by the application of a high intensity refining process of the sisal pulp. It was found that 6 hours of refining time was required to obtain the desired nanofibrillation of the fibers. Cement mortar composites reinforced with both the sisal fibers and the nanofibrillated cellulose were prepared, and the mechanical properties were determined under flexural test. The cement mortar composites reinforced with the nanofibrillated cellulose exhibited enhanced flexural properties, but lower values of fracture energy, than the ones reinforced with the conventional sisal fibres.Peer ReviewedPostprint (published version

Nanofibrillated cellulose as reinforcement for high performance cement mortar composites

In this work, the preparation and characterization of new cement mortars reinforced with nanofibrillated cellulose fibres has been carried out. The effect of the fibre fibrillation degree on the mechanical performance of the obtained composites is presented and analyzed, taking into account the reinforcement final size depending on the intensity of the mechanical treatment applied. On the one hand, conventional pulps have been obtained by subjecting sisal fibres to a soft mechanical treatment and, on the other hand, nanofibrillated cellulose pulps have been prepared by the application of a high intensity refining process. These pulps were incorporated and homogenously dispersed in cement mortars, and subsequently, the resulting pastes were cured for 28 days. The mechanical performance of the different composites was determined by flexure testsPostprint (author’s final draft

Zooming into Gut Dysbiosis in Parkinson’s Disease: New Insights from Functional Mapping

: Gut dysbiosis has been involved in the pathogenesis and progression of Parkinson's disease (PD), but the mechanisms through which gut microbiota (GM) exerts its influences deserve further study. Recently, we proposed a two-hit mouse model of PD in which ceftriaxone (CFX)-induced dysbiosis amplifies the neurodegenerative phenotype generated by striatal 6-hydroxydopamine (6-OHDA) injection in mice. Low GM diversity and the depletion of key gut colonizers and butyrate producers were the main signatures of GM alteration in this model. Here, we used the phylogenetic investigation of communities by reconstruction of unobserved states (PICRUSt2) to unravel candidate pathways of cell-to-cell communication associated with dual-hit mice and potentially involved in PD progression. We focused our analysis on short-chain fatty acids (SCFAs) metabolism and quorum sensing (QS) signaling. Based on linear discriminant analysis, combined with the effect size results, we found increased functions linked to pyruvate utilization and a depletion of acetate and butyrate production in 6-OHDA+CFX mice. The specific arrangement of QS signaling as a possible result of the disrupted GM structure was also observed. With this exploratory study, we suggested a scenario in which SCFAs metabolism and QS signaling might represent the effectors of gut dysbiosis potentially involved in the designation of the functional outcomes that contribute to the exacerbation of the neurodegenerative phenotype in the dual-hit animal model of PD

Nanofibrillated cellulose (NFC) as a potential reinforcement for high performance cement mortar composites

In this work, nanofibrillated cellulose (NFC) has been evaluated as a potential reinforcement for cement mortar composites. Two types of vegetable fibres with different composition and properties (cellulose content and microfibrillar angle), sisal, and cotton linters pulps, were initially characterized in order to assess their reinforcement capability. Sisal pulp was found to be most suitable as reinforcement for their brittle cementitious matrix. Nanofibrillated cellulose was produced by the application of a high intensity refining process of the sisal pulp. It was found that 6 hours of refining time was required to obtain the desired nanofibrillation of the fibers. Cement mortar composites reinforced with both the sisal fibers and the nanofibrillated cellulose were prepared, and the mechanical properties were determined under flexural test. The cement mortar composites reinforced with the nanofibrillated cellulose exhibited enhanced flexural properties, but lower values of fracture energy, than the ones reinforced with the conventional sisal fibres.Peer Reviewe