Whole-body low-dose CT recognizes two distinct patterns of lytic lesions in multiple myeloma patients with different disease metabolism at PET/MRI

We evaluated differences in density and 18F-FDG PET/MRI features of lytic bone lesions (LBLs) identified by whole-body low-dose CT (WB-LDCT) in patients affected by newly diagnosed multiple myeloma (MM). In 18 MM patients, 135 unequivocal LBLs identified by WB-LDCT were characterized for inner density (negative or positive Hounsfield unit (HU)), where negative density (HU\u2009<\u20090) characterizes normal yellow marrow whereas positive HU correlates with tissue-like infiltrative pattern. The same LBLs were analyzed by 18F-FDG PET/DWI-MRI, registering DWI signal with ADC and SUV max values. According to HU, 35 lesions had a negative density (-\u200956.94\u2009\ub1\u200931.87 HU) while 100 lesions presented positive density (44.87\u2009\ub1\u200923.89 HU). In seven patients, only positive HU LBLs were demonstrated whereas in eight patients, both positive and negative HU LBLs were detected. Intriguingly, in three patients (16%), only negative HU LBLs were shown. At 18F-FDG PET/DWI-MRI analysis, negative HU LBLs presented low ADC values (360.69\u2009\ub1\u2009154.38\u2009 7\u200910-6 mm2/s) and low SUV max values (1.69\u2009\ub1\u20090.56), consistent with fatty marrow, whereas positive HU LBLs showed an infiltrative pattern, characterized by higher ADC (mean 868.46\u2009\ub1\u2009207.67\u2009 7\u200910-6 mm2/s) and SUV max (mean 5.04\u2009\ub1\u20091.94) values. Surprisingly, histology of negative HU LBLs documented infiltration by neoplastic plasma cells scattered among adipocytes. In conclusion, two different patterns of LBLs were detected by WB-LDCT in MM patients. Both types of lesions were indicative for active disease, although only positive HU LBL were captured by 18F-FDG PET/DWI-MRI imaging, indicating that WB-LDCT adds specific information

Preparing the E-ELT M4 optical test

The design of the interferometric test of the adaptive M4 Unit of E-ELT, a deformable six petals 2.4 m mirror, will be described. The actual baseline follows a macro-stitching approach, where each segment is separately flattened and co-phased to the other petals. The optical test setup for the single shell consists in a Newtonian system, with a 1.5 m parabolic mirror as main collimator. A 0.6 m reference flat mirror is foreseen to verify the alignment of the interferometric cavity. A Demonstration Prototype of the final M4 Unit, a 222 actuators, two shells deformable mirror, has been produced by Microgate and A.D.S. International. Results of the optical measurement campaign performed in INAF on the prototype mirror are reported

Excellent outcomes of 2G-TKI therapy after imatinib failure in chronic phase CML patients

Second-generation tyrosine kinase inhibitors (2G-TKIs) dasatinib and nilotinib produced historical rates of about 50% complete cytogenetic response (CCyR) and about 40% major molecular response (MMR) in chronic myeloid leukaemia (CML) patients failing imatinib. Direct comparisons between dasatinib and nilotinib are lacking, and few studies addressed the dynamics of deep molecular response (DMR) in a "real-life" setting. We retrospectively analyzed 163 patients receiving dasatinib (n= 95) or nilotinib (n= 68) as second-line therapy after imatinib. The two cohorts were comparable for disease's characteristics, although there was a higher rate of dasatinib use in imatinib-resistant and of nilotinib in intolerant patients. Overall, 75% patients not in CCyR and 60% patients not in MMR at 2G-TKI start attained this response. DMR was achieved by 61 patients (37.4%), with estimated rate of stable DMR at 5 years of 24%. After a median follow-up of 48 months, 60% of patients persisted on their second-line treatment. Rates and kinetics of cytogenetic and molecular responses, progression-free and overall survival were similar for dasatinib and nilotinib. In a "real-life" setting, dasatinib and nilotinib resulted equally effective and safe after imatinib failure, determining high rates of CCyR and MMR, and a significant chance of stable DMR, a prerequisite for treatment discontinuation

Search for 14.4 keV solar axions from M1 transition of Fe-57 with CUORE crystals

We report the results of a search for axions from the 14.4 keV M1 transition from Fe-57 in the core of the sun using the axio-electric effect in TeO2 bolometers. The detectors are 5x5x5 cm3 crystals operated at about 10 mK in a facility used to test bolometers for the CUORE experiment at the Laboratori Nazionali del Gran Sasso in Italy. An analysis of 43.65 kg d of data was made using a newly developed low energy trigger which was optimized to reduce the detectors energy threshold. An upper limit of 0.63 c kg-1 d-1 was established at 95% C.L.. From this value, a lower bound at 95% C.L. was placed on the Peccei-Quinn energy scale of fa >= 0.76 10**6 GeV for a value of S=0.55 for the flavor-singlet axial vector matrix element. Bounds are given for the interval 0.15 < S < 0.55.Comment: 14 pages, 6 figures, submitted to JCA

Role of blood cells dynamism on hemostatic complications in low-risk patients with essential thrombocythemia

Patients with essential thrombocythemia (ET) aged less than 60 years, who have not suffered a previous vascular event (low-risk patients), may develop thrombotic or hemorrhagic events. So far, it has not been possible to identify useful markers capable of predicting which of these patients are more likely to develop an event and therefore who needs to be treated. In the present study, we analysed the relationship between vascular complications and longitudinal blood counts of 136 low-risk ET patients taken over a sustained period of time (blood cells dynamism). After a median follow-up of 60 months, 45 out of 136 patients (33%) suffered 40 major thrombotic and 5 severe hemorrhagic complications. A total number of 5,781 blood counts were collected longitudinally. Thrombotic and hemorrhagic events were studied together (primary endpoint) but also separately (thrombotic alone = secondary endpoint; hemorrhagic alone = tertiary endpoint). The primary endpoint showed no significant association between platelet and WBC count at diagnosis and risk of any event (platelet, p = 0.797; WBC, p = 0.178), while Hb at baseline did show an association (p = 0.024). In the dynamic analysis with Cox regression model, where the blood count values were studied by time of follow-up, we observed that the risk for Hb was 1.49 (95% CI 1.13-1.97) for every increase of 1 g/dL, and that this risk then marginally decreased during follow-up. WBC was associated with an increased risk at baseline for every increase of 1 7 10(9)/L (hazard ratio (HR) 1.07, 95% CI 1.01-1.13, p = 0.034), the risk was stable during follow-up (HR 0.95, p = 0.187 at 60 months). Also, for each increment at baseline of 100 7 10(9) platelets/L, HR was increased by 1.08 (95% CI 0.97-1.22, p = 0.159) and decreases during follow-up. In conclusion, this study is the first to evaluate in ET low-risk patients, the risk of developing a thrombotic/hemorrhagic event considering blood counts over time. Overall our study shows that the risk changes over time. For example, the risk associated with WCC is not linear as previously reported. An interesting new finding is that PLT and even Hb contribute to the risk of developing vascular events. Future treatments should take into consideration these findings and aim to control all parameters over time. We believe this early study may help develop a dynamic analysis model to predict thrombosis in the single patient. Further studies are now warranted to further validate our findings

Validation of techniques to mitigate copper surface contamination in CUORE

In this article we describe the background challenges for the CUORE experiment posed by surface contamination of inert detector materials such as copper, and present three techniques explored to mitigate these backgrounds. Using data from a dedicated test apparatus constructed to validate and compare these techniques we demonstrate that copper surface contamination levels better than 10E-07 - 10E-08 Bq/cm2 are achieved for 238U and 232Th. If these levels are reproduced in the final CUORE apparatus the projected 90% C.L. upper limit on the number of background counts in the region of interest is 0.02-0.03 counts/keV/kg/y depending on the adopted mitigation technique.Comment: 10 pages, 6 figures, 6 table

The ASIASAFE road safety handbook: the best practices in traffic safety between Europe – Indonesia, Malaysia, and Vietnam

This handbook on Road Traffic Safety, titled "The ASIASAFE Road Safety Handbook: The Best Practices in Traffic Safety between Europe – Indonesia, Malaysia, and Vietnam," is a collaborative effort involving nine universities across Asia and Europe. It represents over three years of intensive research, discussions, and consultations with relevant agencies in participating countries. The six Asian universities involved are the Malaysia University of Science and Technology, Universiti Malaya (Malaysia), Universitas Gadjah Mada, Universitas Muhammadiyah (Indonesia), and Nguyen Tat Thanh University, University of Transport and Communications (Vietnam). The three European universities are Linkoping University (Sweden), University of Porto (Portugal), and University of Rome "Tor Vergata" (Italy). While every effort has been made to ensure the accuracy and relevance of the information provided in this handbook, it is essential to acknowledge that each country has its own unique conditions and circumstances concerning road traffic safety. Therefore, the content of this handbook should be adopted and adapted according to the specific situations and needs of individual countries. Readers are advised to exercise caution and discretion in implementing the recommendations and strategies outlined in this handbook, considering the local context and consulting with relevant authorities and experts as needed. The authors and contributing institutions do not accept any responsibility for the consequences of actions taken based on the information provided in this handbook

Pianificazione della produzione secondo l'approccio DDMRP. Un'analisi teorica

Presentazione del sistema di gestione e controllo della produzione Demand Driven MRP. Premesse, concetti base, struttura, funzionamento, casi studio e criticità

Effect of an Al2O3-based binder on the structure of extruded Fe-ZSM-5

The effect of an alumina-based binder on the structure of a commercial Fe-ZSM-5 catalyst has been investigated. Several ex-situ characterization techniques were used to show that the binder in the catalyst formulation allows obtaining a material that possesses improved features in terms of Fe species dispersion, framework Al content and acidity. UV-Vis and X-ray absorption spectroscopy showed that the extent of Fe agglomeration in the extruded catalyst was significantly lower compared to that in the catalyst without binder. Al-27 and Si-29-MAS NMR spectroscopy demonstrated a remarkable difference in terms of framework Al migration. NH3-TPD experiments corroborated the NMR results suggesting a retention of Bronsted acidity in the extruded catalyst. We tentatively propose that by providing extra-framework Al species prior to the treatment at elevated temperature, the binder hinders the framework Al dislodgment and Fe agglomeration during calcination.GC

Aging of industrial Fe-zeolite based catalysts for nitrous oxide abatement in nitric acid production plants

The influence of hydrothermal aging on the structural and catalytic properties of two commercial Fe-exchanged zeolite catalysts (Fe-FER and Fe-ZSM-5) in the extruded form employed for the removal of N2O from the exhaust of nitric acid production plants has been investigated. Catalytic experiments showed that N2O conversion was retained on Fe-FER while it was totally lost on Fe-ZSM-5, which promoted N2O formation under reaction conditions of selective catalytic reduction of NOx with NH3 (SCR). Combining data from several characterization techniques, we were able to identify a unique difference in the aging behaviour of the two catalysts. Irrespective of the catalyst, Al-27 and Si-29-MAS NMR spectroscopy demonstrated significant loss of framework Al. NH3-TPD experiments corroborated the NMR results indicating a remarkable loss of NH3 storage capacity, especially at the expense of the Bronsted acidity. In contrast, UV-vis and X-ray absorption spectroscopy showed that the two catalysts experienced opposite behaviour with respect to the evolution of Fe species upon aging. Fe-ZSM-5 suffered from Fe agglomeration, while Fe species experienced re-dispersion in Fe-FER. These results indicate that the aging treatment of the Fe-exchanged zeolite catalysts does not inevitably lead to the agglomeration of isolated Fe sites. Hence, Fe-ZSM-5 develops into a less selective catalyst, promoting N2O formation through the undesired nonselective NH3 oxidation. Differently, this Fe-FER retains its catalytic activity and becomes less active towards NH3 oxidation. The results of our characterization and catalytic activity study could be of relevance for the selection of Fe-zeolite-based catalysts for this type of application. Furthermore, our investigation provides evidence that the fate of extra-framework Fe species under hydrothermal aging cannot be thoroughly described just by an agglomeration phenomenon.GC