The lesson learnt after Emilia-Romagna earthquakes on precast RC structures: a case-study

During Emilia-Romagna earthquakes (Northern Italy) on May 2012 a huge number of existing precast RC one-story buildings was severely damaged. Most of these structures were reinforced concrete one-story buildings, hosting industrial and commercial activities. The presented paper aims at simulating the structural behavior of an existing precast RC building, damaged during the Emilia-Romagna earthquakes. The direct inspection showed that the most serious damage was related to the connection systems: relative displacements between the beams and the columns; significant dislocations between the roof elements and the beams and some cases of loss of support of the roof elements. Moreover, large rotations were also recorded at the base of the columns. The presented study defines a reliable modeling approach and the dynamic analyses demonstrate the capability of the proposed model in simulating the real response of the structure. The results confirm that the most of the damage was caused by the second seismic event and the numerical evidences agree with the real recorded damage. The numerical outcomes demonstrate the significant influence of the vertical action on the connections behavior/failure

On the seismic design of one-story precast structures for P-Δ effects

P-Δ effects can reduce the seismic safety of structures under seismic actions and they can be vital for one-story precast buildings because of the large flexibility of columns. According to European building code, P-Δ effects can be taken into account by following some design requirements. Such requirements can significantly influence the design of the structures since they may provide the amplification of the seismic demand by means of the stability factor as well as the oversizing of the elements. This study investigates the influence of P-Δ effects on the seismic performance of precast one-story structures. An extensive parametric study is performed on one-story precast structures by varying some geometric features of the structure and the seismicity level of the site. Nonlinear dynamic analyses are performed by using Newmark’s method on all the case studies and the results of the first order and second order analysis are compared and discussed. Moreover, different design approaches are adopted in order to assess the Eurocode provisions for P-Δ effects. The results of the nonlinear dynamic analyses demonstrate that the overstrength, due to seismic detailing of columns and the materials overstrength, induces very low ductility demand for the structures. Indeed, even if P-Δ effects are totally neglected in the design phase, the overstrength due to other code prescriptions (e.g. minimum longitudinal reinforcement ratio) can still induce low ductility demand. Moreover it is demonstrated that the code prescriptions on P-Δ effects do not generally increase the structural safety and an alternative design approach is proposed, which gives both safer and cheaper structures than the ones currently designed according to Eurocodes

Failure of a precast RC building due to Emilia-Romagna earthquakes

Two 5.9 Mw and 5.8 Mw earthquakes hit Emilia-Romagna region on May 2012. Most of the precast RC one-story structures exhibited significant damage, causing huge economic losses as well as deaths. These events produced in-situ observations and data to develop a deeper knowledge on the seismic behavior and collapse of this structural typology. This paper deals with the seismic assessment of a real precast RC industrial building with friction connections. The structure is located in Emilia-Romagna region and it was severely damaged during the second seismic event on May 29th. Structural columns exhibited cracking and yielding at the base as well as significant rotations along one direction. Moreover, relative displacements were recorded in both beam-to-column connections and roof-to-beam connections and several loss of support phenomena occurred for the roof elements. A detailed nonlinear structural model is defined in OpenSees code and nonlinear dynamic analyses are performed with the recorded accelerations time-histories of the two seismic events. By comparing the numerical results with the actual response of the structure, the adopted model is validated and the main damage typologies are also justified

Updated and new perspectives on diagnosis, prognosis, and therapy of malignant pheochromocytoma/paraganglioma.

Malignant pheochromocytomas/paragangliomas are rare tumors with a poor prognosis. Malignancy is diagnosed by the development of metastases as evidenced by recurrences in sites normally devoid of chromaffin tissue. Histopathological, biochemical, molecular and genetic markers offer only information on potential risk of metastatic spread. Large size, extraadrenal location, dopamine secretion, SDHB mutations, a PASS score higher than 6, a high Ki-67 index are indexes for potential malignancy. Metastases can be present at first diagnosis or occur years after primary surgery. Measurement of plasma and/or urinary metanephrine, normetanephrine and metoxytyramine are recommended for biochemical diagnosis. Anatomical and functional imaging using different radionuclides are necessary for localization of tumor and metastases. Metastatic pheochromocytomas/paragangliomas is incurable. When possible, surgical debulking of primary tumor is recommended as well as surgical or radiosurgical removal of metastases. I-131-MIBG radiotherapy is the treatment of choice although results are limited. Chemotherapy is reserved to more advanced disease stages. Recent genetic studies have highlighted the main pathways involved in pheochromocytomas/paragangliomas pathogenesis thus suggesting the use of targeted therapy which, nevertheless, has still to be validated. Large cooperative studies on tissue specimens and clinical trials in large cohorts of patients are necessary to achieve better therapeutic tools and improve patient prognosis

Prognostic and monitoring value of circulating tumour cells in adrenocortical carcinoma: a preliminary monocentric study.

Adrenocortical carcinoma (ACC), a rare and aggressive neoplasia, presents poor prognosis when metastatic at diagnosis and limited therapies are available. Specific and sensitive markers for early diagnosis and a monitoring system of therapy and tumor evolution are urgently needed. The liquid biopsy represents a source of tumor material within a minimally invasive blood draw that allows the recovery of circulating tumor cells (CTCs). CTCs have been recently shown to be detectable in ACC. In the present paper, we evaluated the prognostic value of CTCs obtained by size-filtration in a small pilot cohort of 19 ACC patients. We found CTCs in 68% of pre-surgery and in 38% of post-surgery blood samples. In addition, CTC clusters (CTMs) and cancer associated macrophages (CAMLs) were detectable in some ACC patients. The median number of CTCs significantly decreased after the mass removal. Finally, stratifying patients in high and low pre-surgery CTC number groups, assuming the 75th percentile CTC value as cut-off, CTCs significantly predicted patients’ overall survival (log rank = 0.005), also in a multivariate analysis adjusted for age and tumor stage. In conclusion, though preliminary and performed in a small cohort of patients, our study suggests that CTC number may represent a promising marker for prognosis and disease monitoring in ACC

Experimental Insights into the Coupling of Methane Combustion and Steam Reforming in a Catalytic Plate Reactor in Transient Mode

The microstructured reactor concept is very promising technology to develop a compact reformer for distributed hydrogen generation. In this work, a catalytic plate reactor (CPR) is developed and investigated for the coupling of methane combustion (MC) and methane steam reforming (MSR) over Pt/Al2O3-coated microchannels in cocurrent and counter-current modes in transient experiments during start-up. A three-dimensional (3D) computational fluid dynamics (CFD) simulation shows uniform velocity and pressure distribution profiles in microchannels. For a channel velocity from 5.1 to 57.3 m/s in the combustor, the oxidation of methane is complete and self-sustainable without explosion, blow-off, or extinction; nevertheless, flashbacks are observed in counter-current mode. In the reformer, the maximum methane conversion is 84.9% in cocurrent mode, slightly higher than that of 80.2% in counter-current mode at a residence time of 33 ms, but at the cost of three times higher energy input in the combustor operating at ∼1000 °C. Nitric oxide (NO) is not identified in combustion products, but nitrous oxide (N2O) is a function of coupling mode and forms significantly in cocurrent mode. This research would be helpful to establish the start-up strategy and environmental impact of compact reformers on a small scale

A Cluster of Three Single Nucleotide Polymorphisms in the 3′-Untranslated Region of Human Glycoprotein PC-1 Gene Stabilizes PC-1 mRNA and Is Associated With Increased PC-1 Protein Content and Insulin Resistance–Related Abnormalities

Glycoprotein PC-1 inhibits insulin signaling and, when overexpressed, plays a role in human insulin resistance. Mechanisms of PC-1 overexpression are unknown. We have identified a haplotype in the 3′-untranslated region of the PC-1 gene that may modulate PC-1 expression and confer an increased risk for insulin resistance. Individuals from Sicily, Italy, carrying the "P" haplotype (i.e., a cluster of three single nucleotide polymorphisms: G2897A, G2906C, and C2948T) were at higher risk (P < 0.01) for insulin resistance and had higher (P < 0.05) levels of plasma glucose and insulin during an oral glucose tolerance test and higher levels of cholesterol, HDL cholesterol, and systolic blood pressure. They also had higher (P < 0.05–0.01) PC-1 protein content in both skeletal muscle and cultured skin fibroblasts. In CHO cells transfected with either P or wild-type cDNA, specific PC-1 mRNA half-life was increased for those transfected with P (t/2 = 3.73 ± 1.0 vs. 1.57 ± 0.2 h; P < 0.01). In a population of different ethnicity (Gargano, East Coast Italy), patients with type 2 diabetes (the most likely clinical outcome of insulin resistance) had a higher P haplotype frequency than healthy control subjects (7.8 vs. 1.5%, P < 0.01), thus replicating the association between the P allele and the insulin resistance–related abnormalities observed among Sicilians. In conclusion, we have identified a possible molecular mechanism for PC-1 overexpression that confers an increased risk for insulin resistance–related abnormalities

Cyclic shear tests on RC precast beam-to-column connections retrofitted with a three-hinged steel device

Recent European earthquakes demonstrated that the seismic response of RC precast structures can be significantly influenced by the connection systems. Moreover, during past seismic events, many failures of the beam-to-column connections occurred due to their inadequate strength under seismic loads. The seismic safety of these connections has a crucial role in the overall seismic capacity of existing precast structures. A new connection system is employed as a retrofitting solution for a damaged beam-to-column connection and its cyclic shear performance is investigated by means of two cyclic shear tests on two different configurations. In both the experimental tests, the results demonstrate an efficient behavior of the retrofitted connections under horizontal cyclic loads. The comparison between the performance of the investigated connection and the response of a typical beam-to-column dowel connection allows to discuss the main critical features of the dowel connection system

Circulating Cancer Stem Cell-Derived Extracellular Vesicles as a Novel Biomarker for Clinical Outcome Evaluation.

The recent introduction of the "precision medicine" concept in oncology pushed cancer research to focus on dynamic measurable biomarkers able to predict responses to novel anticancer therapies in order to improve clinical outcomes. Recently, the involvement of extracellular vesicles (EVs) in cancer pathophysiology has been described, and given their release from all cell types under specific stimuli, EVs have also been proposed as potential biomarkers in cancer. Among the techniques used to study EVs, flow cytometry has a high clinical potential. Here, we have applied a recently developed and simplified flow cytometry method for circulating EV enumeration, subtyping, and isolation from a large cohort of metastatic and locally advanced nonhaematological cancer patients (N = 106); samples from gender- and age-matched healthy volunteers were also analysed. A large spectrum of cancer-related markers was used to analyse differences in terms of peripheral blood circulating EV phenotypes between patients and healthy volunteers, as well as their correlation to clinical outcomes. Finally, EVs from patients and controls were isolated by fluorescence-activated cell sorting, and their protein cargoes were analysed by proteomics. Results demonstrated that EV counts were significantly higher in cancer patients than in healthy volunteers, as previously reported. More interestingly, results also demonstrated that cancer patients presented higher concentrations of circulating CD31+ endothelial-derived and tumour cancer stem cell-derived CD133 + CD326- EVs, when compared to healthy volunteers. Furthermore, higher levels of CD133 + CD326- EVs showed a significant correlation with a poor overall survival. Additionally, proteomics analysis of EV cargoes demonstrated disparities in terms of protein content and function between circulating EVs in cancer patients and healthy controls. Overall, our data strongly suggest that blood circulating cancer stem cell-derived EVs may have a role as a diagnostic and prognostic biomarker in cancer