A Narrative Review on C3 Glomerulopathy: A Rare Renal Disease

In April 2012, a group of nephrologists organized a consensus conference in Cambridge (UK) on type II membranoproliferative glomerulonephritis and decided to use a new terminology, "C3 glomerulopathy" (C3 GP). Further knowledge on the complement system and on kidney biopsy contributed toward distinguishing this disease into three subgroups: dense deposit disease (DDD), C3 glomerulonephritis (C3 GN), and the CFHR5 nephropathy. The persistent presence of microhematuria with or without light or heavy proteinuria after an infection episode suggests the potential onset of C3 GP. These nephritides are characterized by abnormal activation of the complement alternative pathway, abnormal deposition of C3 in the glomeruli, and progression of renal damage to end-stage kidney disease. The diagnosis is based on studying the complement system, relative genetics, and kidney biopsies. The treatment gap derives from the absence of a robust understanding of their natural outcome. Therefore, a specific treatment for the different types of C3 GP has not been established. Recommendations have been obtained from case series and observational studies because no randomized clinical trials have been conducted. Current treatment is based on corticosteroids and antiproliferative drugs (cyclophosphamide, mycophenolate mofetil), monoclonal antibodies (rituximab) or complement inhibitors (eculizumab). In some cases, it is suggested to include sessions of plasma exchange

From perfect to fractal transmission in spin chains

Perfect state transfer is possible in modulated spin chains, imperfections however are likely to corrupt the state transfer. We study the robustness of this quantum communication protocol in the presence of disorder both in the exchange couplings between the spins and in the local magnetic field. The degradation of the fidelity can be suitably expressed, as a function of the level of imperfection and the length of the chain, in a scaling form. In addition the time signal of fidelity becomes fractal. We further characterize the state transfer by analyzing the spectral properties of the Hamiltonian of the spin chain.Comment: 8 pages, 10 figures, published versio

How to foster Sustainable Continuous Improvement: A cause-effect relations map of Lean soft practices

Lean Management (LM) represents a complex socio-technical system where both technical and social practices should be consistently implemented and integrated in order to foster a Continuous Improvement (CI) culture. Despite initial gains in operational performances due to the implementation of the most common and well-established Lean techniques, the great majority of the companies approaching Lean Manufacturing fail in achieving sustainable outcomes in the long term, and most of them eventually come back to their traditional way of doing business. Recognized the pivotal role of soft practices, the purpose of this study is to investigate the role played by the human factor in fostering the establishment of a Sustainable Continuous Improvement (SCI) environment. Starting from surveying the literature, a comprehensive framework including all the relevant soft practices related to LM has been developed. Then, authors proposed, for the first time, Decision-Making Trail and Evaluation Laboratory (DEMATEL) analysis applied to soft practices of SCI, that provides an innovative understanding of the relevant soft practices which foster SCI by showing cause-effect association among them. The proposed methodology reveals precious insights for scholars and practitioners who intend to approach and apply SCI. The impact relations map shows that some soft practices are initiators and some others enablers of the SCI and allows to identify the most relevant Critical Success Factors (CSF) and interrelationships amongst them. Results show that the key for a SCI is represented by a full engagement of the workforce, which must be triggered and supported by Top Management with the use of some leverages such as an effective communication, training and use of Kaizen events

Chikungunya virus (CHIKV) infection: Analytical performance of real-time NASBA assay

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Pre- and Poststimulus Alpha Rhythms Are Related to Conscious Visual Perception: A High-Resolution EEG Study

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Analysis and characterization of mouse monoclonal antibodies reactive to Chikungunya virus (CHIKV)

occurring in 1984). However, plague has made an astonishing comeback in the last decade. Methods: n/a. Results: After a silence of 50 years, an outbreak of bubonic plague suddenly occurred close to Oran in Algeria, in June 2003. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. In July 2008, a new cluster was reported among nomads 300 km south of the first one. Four members of one family were affected and one died. The bacillus was isolated from one patient. No epidemiological association was identified between the two events. On June 2009, 25 years after the last occurrence in the country, Libya reported five confirmed cases of bubonic plague in the Tobruk area. Y. pestis was isolated from three patients. In all these cases, further local ecological investigations confirmed the existence of a natural focus The re-emergence of human plague in the region is not without international consequences. Two of the last concerned natural foci are close to an international port which raises the question of the potential exportation of infected rodents. Cross-border tensions, between ''plague countries'' and ''plague-free countries'' have been observed although the foci's limits are unknown as any systematic ecological investigation and surveillance is lacking. Additionally, the potential weaponization of Y.pestis together with international political tensions feed a recurrent interest in plague in North Africa. False rumors of alleged military laboratory accidents or terrorist acts are routinely mentioned, although events could be first explained by the natural history of the disease. Conclusion: In this context, and although the number of human cases has been very limited so far, the first priorities are to establish appropriate ecological surveillance and agree on a common plague control strategy for the region

Comparative genomic and phylogenetic analysis of the first usutu virus isolate from a human patient presenting with neurological symptoms.

Usutu virus (USUV) is a mosquito-borne flavivirus, belonging to the Japanese encephalitis antigenic complex, that circulates among mosquitoes and birds. We describe and analyze the complete genome sequence of the first USUV strain isolated from an immunocompromised patient with neuroinvasive disease. This USUV isolate showed an overall nucleotide identity of 99% and 96%, respectively, with the genomes of isolates from Europe and Africa. Comparison of the human USUV complete polyprotein sequence with bird-derived strains, showed two unique amino acid substitutions. In particular, one substitution (S595G) was situated in the DIII domain of the viral Envelope protein that is recognized by flavivirus neutralizing antibodies. An additional amino acid substitution (D3425E) was identified in the RNA-dependent RNA polymerase (RdRp) domain of the NS5 protein. This substitution is remarkable since E3425 is highly conserved among the other USUV isolates that were not associated with human infection. However, a similar substitution was observed in Japanese encephalitis and in West Nile viruses isolated from humans. Phylogenetic analysis of the human USUV strain revealed a close relationship with an Italian strain isolated in 2009. Analysis of synonymous nucleotide substitutions (SNSs) among the different USUV genomes showed a specific evolutionary divergence among different countries. In addition, 15 SNSs were identified as unique in the human isolate. We also identified four specific nucleotide substitutions in the 59 and 39 untranslated regions (UTRs) in the human isolate that were not present in the other USUV sequences. Our analyses provide the basis for further experimental studies aimed at defining the effective role of these mutations in the USUV genome, their potential role in the development of viral variants pathogenic for humans and their evolution and dispersal out of Africa

Sero-prevalence of West Nile virus in north-eastern Italy

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Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy

Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy F. Cavrini 1,∗, P. Gaibani2, C. Manisera3, A. Pierro4, G. Rossini 5, M.P. Landini 5, V. Sambri6 1 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 2 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi, Bologna, Italy 5 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 6 University of Bologna, Bologna, Ital

Serological update of the Chikungunya epidemic outbreak in Italy

Serological update of the Chikungunya epidemic outbreak in Italy P. Gaibani1,∗, A. Pierro1, F. CAVRINI2, G. Rossini 3, M.P. Landini 3, C. Manisera4, V. Sambri5 1 S.Orsola-Malpighi, Bologna, Italy 2 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi Hospital, Microbiology, Bologna, Italy 5 University of Bologna, Bologna, Ital