19 research outputs found

    Epidemiology, Clinical Features and Prognostic Factors of Pediatric SARS-CoV-2 Infection: Results From an Italian Multicenter Study

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    Background: Many aspects of SARS-CoV-2 infection in children and adolescents remain unclear and optimal treatment is debated. The objective of our study was to investigate epidemiological, clinical and therapeutic characteristics of pediatric SARS-CoV-2 infection, focusing on risk factors for complicated and critical disease. Methods: The present multicenter Italian study was promoted by the Italian Society of Pediatric Infectious Diseases, involving both pediatric hospitals and general pediatricians/family doctors. All subjects under 18 years of age with documented SARS-CoV-2 infection and referred to the coordinating center were enrolled from March 2020. Results: As of 15 September 2020, 759 children were enrolled (median age 7.2 years, IQR 1.4; 12.4). Among the 688 symptomatic children, fever was the most common symptom (81.9%). Barely 47% of children were hospitalized for COVID-19. Age was inversely related to hospital admission (p < 0.01) and linearly to length of stay (p = 0.014). One hundred forty-nine children (19.6%) developed complications. Comorbidities were risk factors for complications (p < 0.001). Viral coinfections, underlying clinical conditions, age 5\u20139 years and lymphopenia were statistically related to ICU admission (p < 0.05). Garazzino et al. SARS-CoV-2 in Children and Adolescents Conclusions: Complications of COVID-19 in children are related to comorbidities and increase with age. Viral co-infections are additional risk factors for disease progression and multisystem inflammatory syndrome temporarily related to COVID-19 (MIS-C) for ICU admission

    Multicentre Italian study of SARS-CoV-2 infection in children and adolescents, preliminary data as at 10 April 2020

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    Data on features of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in children and adolescents are scarce. We report preliminary results of an Italian multicentre study comprising 168 laboratory-confirmed paediatric cases (median: 2.3 years, range: 1 day-17.7 years, 55.9% males), of which 67.9% were hospitalised and 19.6% had comorbidities. Fever was the most common symptom, gastrointestinal manifestations were frequent; two children required intensive care, five had seizures, 49 received experimental treatments and all recovered

    Sewage sludge treatment in a thermophilic membrane reactor (TMR): factors affecting foam formation

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    Foam formation in the excess sludge treatment facilities of biological wastewater treatment plants (WWTPs) may represent a critical issue as it could lead to several operative problems and reduce the overall plant performance. This trouble also affects a novel technology recently proposed for sludge minimization, the thermophilic membrane reactor (TMR), operating with alternate aeration/non-aeration cycles. This technology, which has proven to be extremely resilient and suitable for treating industrial wastewater of different nature, demonstrated a high potential also as a solution for integrating existing WWTPs, aiming at the “zero sludge production.” In this work, an experimental study was conducted with a TMR pilot plant (fed daily with thickened sewage sludge) by adjusting the duration of aeration/non-aeration alternate cycles. Extracellular polymeric substance (EPS) concentration (and its soluble and bound fractions) has been monitored along with foaming power indices. The results highlight that foaming can be correlated to the presence of soluble protein fraction of EPS. Moreover, EPS production seems to be reduced by increasing the duration of the non-aeration cycles: optimal operating conditions resulted 2 h of aeration followed by 6 h of non-aeration. These conditions allow to obtain an EPS concentration of 500 mg L−1 with respect to 2300 mg L−1 measured at the beginning of experimental work

    Minimization of municipal sewage sludge by means of a thermophilic membrane bioreactor with intermittent aeration

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    The increase of sewage sludge production together with the high treatment and disposal costs in the last years has pushed to study different solutions aimed at sludge minimization. In this paper, the thermophilic membrane technology was evaluated as an alternative for municipal sewage sludge reduction. The experimentation (carried out by means of a pilot scale plant, 1 m3 volume) was divided into two steps: the first one was aimed at confirming the results obtained in a previous research focused on industrial sludge treatment; the second step was devoted to define the best process conditions (in particular the optimization of the aeration phases) and to the chemical permeate characterization. The results of the experiments highlight that the hydraulic retention time (HRT) and aeration conditions play a crucial role on the overall process performance. The volatile suspended solids removal efficiency was greater than 80% under the following conditions: HRT even lower than 15 d; 2 h of aeration - 6 h of non aeration cycles; and organic loading rate of 2.0 kgCOD m 3 d 1 . The permeate showed a good biodegradability under mesophilic conditions thus being treatable by means of conventional biological processes. Moreover, ammonia (the permeate presenting high concentrations) could be recovered as a fertilizer (stripping and subsequent washing of the exhausted gas is an established technique). Finally, the ammonia-free permeate can be valorised as a carbon source in denitrification processes

    Treatment of sewage sludge in a thermophilic membrane reactor (TMR) with alternate aeration cycles

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    The management of sewage sludge is becoming a more and more important issue, both at national and international level, in particular due to the uncertain recovery/disposal future options. Therefore, it is clear that the development of new technologies that can mitigate the problem at the source by reducing sludge production is necessary, such as the European Directive 2008/98/EC prescribes. This work shows the results obtained with a thermophilic membrane reactor, for processing a biological sludge derived from a wastewater treatment plant (WWTP) that treats urban and industrial wastewater. Sewage sludge was treated in a thermophilic membrane reactor (TMR), at pilot-scale (1 m(3) volume), with alternate aeration cycles. The experimentation was divided into two phases: a "startup phase" during which, starting with a psychrophilic/mesophilic biomass, thermophilic conditions were progressively reached, while feeding a highly biodegradable substrate; the obtained thermophilic biomass was then used, in the "regime phase", to digest biological sludge which was fed to the plant. Good removal yields were observed: 64% and 57% for volatile solids (VS) and total COD (CODtot), respectively, with an average hydraulic retention time (HRT) equal to 20 d, an organic loading rate (OLR) of about 1.4-1.8 kg COD m(-3) d(-1) and aeration/non aeration cycles alternated every 4 h

    Treatment of waste activated sludge by means of alkaline hydrolysis under “mild” conditions

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    5nonenoneBertanza, G.; Collivignarelli, M.C.; Sordi, M.; AbbĂ , A.; Castagnola, F.Bertanza, Giorgio; Collivignarelli, M. C.; Sordi, M.; AbbĂ , A.; Castagnola, F

    Methodological approach for the optimization of drinking water treatment plants’ operation: a case study

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    Critical barriers to safe and secure drinking water may include sources (e.g. groundwater contamination), treatments (e.g. treatment plants not properly operating) and/or contamination within the distribution system (infrastructure not properly maintained). The performance assessment of these systems, based on monitoring, process parameter control and experimental tests, is a viable tool for the process optimization and water quality control. The aim of this study was to define a procedure for evaluating the performance of full-scale drinking water treatment plants (DWTPs) and for defining optimal solutions for plant upgrading in order to optimize operation. The protocol is composed of four main phases (routine and intensive monitoring programmes – Phases 1 and 2; experimental studies – Phase 3; plant upgrade and optimization – Phase 4). The protocol suggested in this study was tested in a full-scale DWTP placed in the North of Italy (Mortara, Pavia). The results outline some critical aspects of the plant operation and permit the identification of feasible solutions for the DWTP upgrading in order to optimize water treatment operation

    Comparison between water and ethanol wet bonding of resin composite to root canal dentin

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    Purpose: To evaluate the bond strength of resin dentin interfaces created with adhesives applied on root dentin using the water wet or ethanol wet bonding technique. The morphology of resin dentin interfaces was evaluated using confocal microscopy. Methods: Four experimental resin adhesives (R#A to R#D) and one commercial three-step/etch and rinse adhesive were applied to the root canal dentin of endodontically treated single canal incisors using the water (control) or ethanol wet bonding technique. The ethanol wet bonding substrate was achieved by keeping the root canal immersed in absolute ethanol (100%) for 3 minutes. The root dentin bonded specimens were sectioned into beams, stored in distilled water (24 hours) and finally tested for microtensile bond strengths (mu TBS). Additional dentin surfaces were conditioned and bonded as previously described. They were prepared for the microscopy study and finally observed using confocal microscopy. Results: The ethanol wet bonding technique gave higher bond strength values for all the adhesives tested: in Group I (water wet bonding technique) no significant difference was found between the resins tested; the only exception being the most hydrophilic Resin #4 showing the highest bond strength values (P<0.05). In Group 2 (ethanol wet bonding technique) no statistical differences were present between Resin #A and Resin #D. Resin #C showed the highest bond strength values. Confocal microscopy showed better resin diffusion and hybrid layer formation when the ethanol wet bonding was used. (Am J Dent 2011;24:25-30)

    Protein Oxidative Damage in UV-Related Skin Cancer and Dysplastic Lesions Contributes to Neoplastic Promotion and Progression

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    The ultraviolet (UV) component of solar radiation is the major driving force of skin carcinogenesis. Most of studies on UV carcinogenesis actually focus on DNA damage while their proteome-damaging ability and its contribution to skin carcinogenesis have remained largely underexplored. A redox proteomic analysis of oxidized proteins in solar-induced neoplastic skin lesion and perilesional areas has been conducted showing that the protein oxidative burden mostly concerns a selected number of proteins participating to a defined set of functions, namely: chaperoning and stress response; protein folding/refolding and protein quality control; proteasomal function; DNA damage repair; protein- and vesicle-trafficking; cell architecture, adhesion/extra-cellular matrix (ECM) interaction; proliferation/oncosuppression; apoptosis/survival, all of them ultimately concurring either to structural damage repair or to damage detoxication and stress response. In peri-neoplastic areas the oxidative alterations are conducive to the persistence of genetic alterations, dysfunctional apoptosis surveillance, and a disrupted extracellular environment, thus creating the condition for transformant clones to establish, expand and progress. A comparatively lower burden of oxidative damage is observed in neoplastic areas. Such a finding can reflect an adaptive selection of best fitting clones to the sharply pro-oxidant neoplastic environment. In this context the DNA damage response appears severely perturbed, thus sustaining an increased genomic instability and an accelerated rate of neoplastic evolution. In conclusion UV radiation, in addition to being a cancer-initiating agent, can act, through protein oxidation, as a cancer-promoting agent and as an inducer of genomic instability concurring with the neoplastic progression of established lesions
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