2,088 research outputs found
Generalized Bose-Fermi statistics and structural correlations in weighted networks
We derive a class of generalized statistics, unifying the Bose and Fermi
ones, that describe any system where the first-occupation energies or
probabilities are different from subsequent ones, as in presence of thresholds,
saturation, or aging. The statistics completely describe the structural
correlations of weighted networks, which turn out to be stronger than expected
and to determine significant topological biases. Our results show that the null
behavior of weighted networks is different from what previously believed, and
that a systematic redefinition of weighted properties is necessary.Comment: Final version accepted for publication on Physical Review Letter
Sorrentina peninsula: Geographical distribution of the indoor radon concentrations in dwellings—gini index application
The radon isotope (222Rn, half-life 3.8 days) is a radioactive byproduct of the238U decay chain. Because radon is the second biggest cause of lung cancer after smoking, dense maps of indoor radon concentration are required to implement effective locally based risk reduction strategies. In this regard, we present an innovative method for the construction of interpolated maps (kriging) based on the Gini index computation to characterize the distribution of Rn concentration. The Gini coefficient variogram has been shown to be an effective predictor of radon concentration inhomogeneity. It allows for a better constraint of the critical distance below which the radon geological source can be considered uniform, at least for the investigated length scales of variability; it also better distinguishes fluctuations due to environmental predisposing factors from those due to random spatially uncorrelated noise. This method has been shown to be effective in finding larger-scale geographical connections that can subsequently be connected to geological characteristics. It was tested using real dataset derived from indoor radon measurements conducted in the Sorrentina Peninsula in Campania, Italy. The measurement was carried out in different residences using passive detectors (CR-39) for two consecutive semesters, beginning in September– November 2019 and ending in September–November 2020, to estimate the yearly mean radon concentration. The measurements and analysis were conducted in accordance with the quality control plan. Radon concentrations ranged from 25 to 722 Bq/m3 before being normalized to ground level, and from 23 to 933 Bq/m3 after being normalized, with a geometric mean of 120 Bq/m3 and a geometric standard deviation of 1.35 before data normalization, and 139 Bq/m3 and a geometric standard deviation of 1.36 after data normalization. Approximately 13% of the tests conducted exceeded the 300 Bq/m3 reference level set by Italian Legislative Decree 101/2020. The data show that the municipalities under investigation had no influence on indoor radon levels. The geology of the monitored location is interesting, and because soil is the primary source of Rn, risk assessment and mitigation for radon exposure cannot be undertaken without first analyzing the local geology. This research examines the spatial link among radon readings using the mapping based on the Gini method (kriging)
Long-term prediction of adherence to continuous positive air pressure therapy for the treatment of moderate/severe obstructive sleep apnea syndrome
BACKGROUND: Continuous positive airway pressure (CPAP) therapy is a highly effective treatment for obstructive sleep apnea syndrome (OSAS). However, poor adherence is a limiting factor, and a significant proportion of patients are unable to tolerate CPAP. The aim of this study was to determine predictors of long-term non-compliance with CPAP.
METHODS: CPAP treatment was prescribed to all consecutive patients with moderate or severe OSAS (AHI ≥15 events/h) (n = 295) who underwent a full-night CPAP titration study at home between February 1, 2002 and December 1, 2016. Adherence was defined as CPAP use for at least 4 h per night and five days per week. Subjects had periodical follow-up visits including clinical and biochemical evaluation and assessment of adherence to CPAP.
RESULTS: Median follow-up observation was 74.8 (24.2/110.9) months. The percentage of OSAS patients adhering to CPAP was 41.4% (42.3% in males and 37.0% in females), and prevalence was significantly higher in severe OSAS than in moderate (51.8% vs. 22.1%; p < 0.001; respectively). At multivariate analysis, lower severity of OSAS (HR = 0.66; CI 95 0.46-0.94) p < 0.023), cigarette smoking (HR = 1.72; CI 95 1.13-2.61); p = 0.011), and previous cardiovascular events (HR = 1.95; CI 95 1.03-3.70; p = 0.04) were the only independent predictors of long-term non-adherence to CPAP after controlling for age, gender, and metabolic syndrome.
CONCLUSIONS: In our cohort of patients with moderate/severe OSAS who were prescribed CPAP therapy, long-term compliance to treatment was present in less than half of the patients. Adherence was positively associated with OSAS severity and negatively associated with cigarette smoking and previous cardiovascular events at baseline
Underuse of oral anticoagulants in patients with nonvalvular atrial fibrillation in Italy
INTRODUCTION: Oral anticoagulants (OAs) are significantly more effective than Aspirin in the prevention of cerebrovascular accidents among patients with atrial fibrillation (AF). Several studies, however, showed OAs to be widely underused in these patients. OBJECTIVE: To assess the appropriateness of antithrombotic therapy in an Italian population of AF patients. METHODS: Two hundred and fifty-five consecutive patients affected by nonvalvular AF participated in the study. Data were collected on demographic characteristics, risk factors for stroke, current prophylactic therapy, and perceived or actual risk factors for bleeding. INR levels were measured. Patients were stratified by their risk for stroke (214 at high risk, 21 moderate, 20 low), and their prophylactic therapy was analysed in light of international antithrombotic therapy recommendations. After therapy adjustment, 203 of our patients were followed-up for the occurrence of cerebrovascular events for an average of 27 months. RESULTS: Upon admission, 35% (n=75) of patients in the high-risk category were either taking no antithrombotic prophylaxis or were being treated with Aspirin. In addition, 38 of 139 patients receiving OAs had an INR<2. Thus, a total of 113 (52.8%) high-risk subjects were not receiving adequate antithrombotic therapy. Of high-risk patients not treated with OAs, 46.7% reported no perceived or actual risk factors for bleeding. The annual incidence of cerebrovascular accidents was 3.8% among 163 high-risk patients assigned to OA treatment, and 4.5% among 39 patients given Aspirin treatment. Relative to expected annual incidence rates, cerebrovascular risk in anticoagulated patients was reduced by about 70%. CONCLUSIONS: Underuse of OAs is still common in Italy, and much of it cannot be explained by the concern for haemorrhage. Support and training in the complex task of anticoagulation management may help to extend this efficacious prophylactic therapy to all patients who may benefit from it
Laue Lens Development for Hard X-rays (>60 keV)
Results of reflectivity measurements of mosaic crystal samples of Cu (111)
are reported. These tests were performed in the context of a feasibility study
of a hard X-ray focusing telescope for space astronomy with energy passband
from 60 to 600 keV. The technique envisaged is that of using mosaic crystals in
transmission configuration that diffract X-rays for Bragg diffraction (Laue
lens). The Laue lens assumed has a spherical shape with focal length . It is
made of flat mosaic crystal tiles suitably positioned in the lens. The samples
were grown and worked for this project at the Institute Laue-Langevin (ILL) in
Grenoble (France), while the reflectivity tests were performed at the X-ray
facility of the Physics Department of the University of Ferrara.Comment: 6 pages, 12 figures, accepted for publication in IEEE Transactions on
Nuclear Scienc
FIELD INVERSION AND MACHINE LEARNING STRATEGIES FOR IMPROVING RANS MODELLING IN TURBOMACHINERY
Turbulence and transition modelling are critical aspects in the prediction of the flow field in turbomachinery. Recently, several research efforts have been devoted to the use of machine learning techniques for improving Reynolds-averaged Navier-Stokes (RANS) models. In this framework, a promising technique is represented by field inversion which requires to find an optimal correction field that minimises the error between numerical predictions and experimental data. In this work, Artificial Neural Networks and Random Forests are investigated as tools to generalise the correction provided by field inversion. An approach to automatically identify the regions where the correction model should be computed is proposed: this improves the fitting and reduces the calls to the model during the predictions. Furthermore, a correction-based weighting of the database is introduced in order to improve the training performances. The potential and the issues of the methods are investigated on a high-lift gas turbine cascade at low Reynolds number
New results on focusing of gamma-rays with Laue lenses
We report on new results on the development activity of broad band Laue
lenses for hard X-/gamma-ray astronomy (70/100-600 keV). After the development
of a first prototype, whose performance was presented at the SPIE conference on
Astronomical Telescopes held last year in Marseille (Frontera et al. 2008), we
have improved the lens assembling technology. We present the development status
of the new lens prototype that is on the way to be assembled.Comment: 8 pages, 11 figures, to be Published in SPIE Proceedings,
vol.7437-19, 200
Mediation analysis of gestational age, congenital heart defects, and infant birth-weight
Background
In this study we assessed the mediation role of the gestational age on the effect of the infant’s congenital heart defects (CHD) on birth-weight. Methods
We used secondary data from the Baltimore-Washington Infant Study (1981–1989). Mediation analysis was employed to investigate whether gestational age acted as a mediator of the association between CHD and reduced birth-weight. We estimated the mediated effect, the mediation proportion, and their corresponding 95% confidence intervals (CI) using several methods. Results
There were 3362 CHD cases and 3564 controls in the dataset with mean birth-weight of 3071 (SD = 729) and 3353 (SD = 603) grams, respectively; the mean gestational age was 38.9 (SD = 2.7) and 39.6 (SD = 2.2) weeks, respectively. After adjusting for covariates, the estimated mediated effect by gestational age was 113.5 grams (95% CI, 92.4–134.2) and the mediation proportion was 40.7% (95% CI, 34.7%–46.6%), using the bootstrap approach. Conclusions
Gestational age may account for about 41% of the overall effect of heart defects on reduced infant birth-weight. Improved prenatal care and other public health efforts that promote full term delivery, particularly targeting high-risk families and mothers known to be carrying a fetus with CHD, may therefore be expected to improve the birth-weight of these infants and their long term health
Innate immune modulation by GM-CSF and IL-3 in health and disease
Granulocyte-macrophage colony-stimulating factor (GM-CSF) and inteleukin-3 (IL-3) have long been known as mediators of emergency myelopoiesis, but recent evidence has highlighted their critical role in modulating innate immune effector functions in mice and humans. This new wealth of knowledge has uncovered novel aspects of the pathogenesis of a range of disorders, including infectious, neoplastic, autoimmune, allergic and cardiovascular diseases. Consequently, GM-CSF and IL-3 are now being investigated as therapeutic targets for some of these disorders, and some phase I/II clinical trials are already showing promising results. There is also pre-clinical and clinical evidence that GM-CSF can be an effective immunostimulatory agent when being combined with anti-cytotoxic T lymphocyte-associated protein 4 (anti-CTLA-4) in patients with metastatic melanoma as well as in novel cancer immunotherapy approaches. Finally, GM-CSF and to a lesser extent IL-3 play a critical role in experimental models of trained immunity by acting not only on bone marrow precursors but also directly on mature myeloid cells. Altogether, characterizing GM-CSF and IL-3 as central mediators of innate immune activation is poised to open new therapeutic avenues for several immune-mediated disorders and define their potential in the context of immunotherapies
Superantigenic Activation of Human Cardiac Mast Cells.
B cell superantigens, also called immunoglobulin superantigens, bind to the variable regions of either the heavy or light chain of immunoglobulins mirroring the lymphocyte-activating properties of classical T cell superantigens. Protein A of Staphylococcus aureus, protein L of Peptostreptococcus magnus, and gp120 of HIV are typical immunoglobulin superantigens. Mast cells are immune cells expressing the high-affinity receptor for IgE (FcεRI) and are strategically located in the human heart, where they play a role in several cardiometabolic diseases. Here, we investigated whether immunoglobulin superantigens induced the activation of human heart mast cells (HHMCs). Protein A induced the de novo synthesis of cysteinyl leukotriene C4 (LTC4) from HHMCs through the interaction with IgE VH3+ bound to FcεRI. Protein L stimulated the production of prostaglandin D2 (PGD2) from HHMCs through the interaction with κ light chains of IgE. HIV glycoprotein gp120 induced the release of preformed (histamine) and de novo synthesized mediators, such as cysteinyl leukotriene C4 (LTC4), angiogenic (VEGF-A), and lymphangiogenic (VEGF-C) factors by interacting with the VH3 region of IgE. Collectively, our data indicate that bacterial and viral immunoglobulin superantigens can interact with different regions of IgE bound to FcεRI to induce the release of proinflammatory, angiogenic, and lymphangiogenic factors from human cardiac mast cells.This work was supported in part by grants from Regione Campania CISI-Lab Project, CRèME Project, and TIMING Project
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