Bayesian inference of a negative quantity from positive measurement results

In this paper the Bayesian analysis is applied to assign a probability density to the value of a quantity having a definite sign. This analysis is logically consistent with the results, positive or negative, of repeated measurements. Results are used to estimate the atom density shift in a caesium fountain clock. The comparison with the classical statistical analysis is also reported and the advantages of the Bayesian approach for the realization of the time unit are discussed.Comment: 10 pages, 4 figures, submitted to Metrologi

Polarizabilities of the 87Sr Clock Transition

In this paper, we propose an in-depth review of the vector and tensor polarizabilities of the two energy levels of the 87Sr clock transition whose measurement was reported in [P. G. Westergaard et al., Phys. Rev. Lett. 106, 210801 (2011)]. We conduct a theoretical calculation that reproduces the measured coefficients. In addition, we detail the experimental conditions used for their measurement in two Sr optical lattice clocks, and exhibit the quadratic behaviour of the vector and tensor shifts with the depth of the trapping potential and evaluate their impact on the accuracy of the clock

Left ventricular systolic function evaluated by strain echocardiography and relationship with mortality in patients with severe sepsis or septic shock. a systematic review and meta-analysis

Sepsis-induced myocardial dysfunction is associated with poor outcomes, but traditional measurements of systolic function such as left ventricular ejection fraction (LVEF) do not directly correlate with prognosis. Global longitudinal strain (GLS) utilizing speckle-tracking echocardiography (STE) could be a better marker of intrinsic left ventricular (LV) function, reflecting myocardial deformation rather than displacement and volume changes. We sought to investigate the prognostic value of GLS in patients with sepsis and/or septic shock

Levosimendan for patients with severely reduced left ventricular systolic function and/or low cardiac output syndrome undergoing cardiac surgery. a systematic review and meta-analysis

Background: Previous studies have shown beneficial effects of levosimendan in high-risk patients undergoing cardiac surgery. Two large randomized controlled trials (RCTs), however, showed no advantages of levosimendan. Methods: We performed a systematic review and meta-analysis (MEDLINE and Embase from inception until March 30, 2017), investigating whether levosimendan offers advantages compared with placebo in high-risk cardiac surgery patients, as defined by preoperative left ventricular ejection fraction (LVEF) = 35% and/or low cardiac output syndrome (LCOS). The primary outcomes were mortality at longest follow-up and need for postoperative renal replacement therapy (RRT). Secondary postoperative outcomes investigated included myocardial injury, supraventricular arrhythmias, development of LCOS, acute kidney injury (AKI), duration of mechanical ventilation, intensive care unit and hospital lengths of stay, and incidence of hypotension during drug infusion. Results: Six RCTs were included in the meta-analysis, five of which investigated only patients with LVEF = 35% and one of which included predominantly patients with LCOS. Mortality was similar overall (OR 0.64 [0.37, 1.11], p = 0.11) but lower in the subgroup with LVEF < 35% (OR 0.51 [0.32, 0.82], p = 0.005). Need for RRT was reduced by levosimendan both overall (OR 0.63 [0.42, 0.94], p = 0.02) and in patients with LVEF < 35% (OR 0.55 [0.31, 0.97], p = 0.04). Among secondary outcomes, we found lower postoperative LCOS in patients with LVEF < 35% receiving levosimendan (OR 0.49 [0.27, 0.89], p = 0.02), lower overall AKI (OR 0.62 [0.42, 0.92], p = 0.02), and a trend toward lower mechanical support, both overall (p = 0.07) and in patients with LVEF < 35% (p= 0.05). Conclusions: Levosimendan reduces mortality in patients with preoperative severely reduced LVEF but does not affect overall mortality. Levosimendan reduces the need for RRT after high-risk cardiac surger

Innovative strategy for polyhydroxyalkanoates recovery from mixed microbial cultures. Effects of aqueous phase and solvent extraction on polymer properties

This work aimed to investigate various methods of polyhydroxyalkanoates (PHA) extraction and to optimize the recovery in the view of reducing solvents’ use and waste. The extraction tests were applied on PHA-rich biomass collected at the end of the accumulation step, conducted both at pilot and lab scale. PHA-rich biomass obtained from the lab scale process was produced from synthetic feedstock (mixture of acetic and propionic acids), while fermented organic waste was used for PHA production at pilot scale. In the extraction tests, different solutions of NaOH, also in combination with a surfactant (sodium dodecyl sulfate, SDS), were used to recover the polymer from the non-polymeric cellular material (NPCM). Different times (3, 6 and 24 h) and concentrations (0.05 – 1 M) were tested, evaluating also the effect of adding SDS (0.1 % w/v). As a benchmark, solvent extraction with chloroform and oxidation with NaClO were also conducted. Finally, extracted samples were characterized through several techniques: DSC, TGA, GC-FID, capillary viscosimetry. Alkaline treatment at short times and low concentrations resulted to be more efficient in terms of purity (85 – 99 % w/w PHA) and recovery (higher than 80 % w/w), than higher concentration. On the other hand, the presence of SDS had dramatic effects on the recovery (lower than 50 % w/w) and also on the molecular weight, which was two folds lower than that obtained from alkaline extraction. Overall, extraction with aqueous phase reagents had no effects on thermal properties, which resulted to be in the range of those reported in literature

Modelling Mixed Microbial Culture Polyhydroxyalkanoate Accumulation Bioprocess towards Novel Methods for Polymer Production Using Dilute Volatile Fatty Acid Rich Feedstocks

Volatile fatty acid (VFA) rich streams from fermentation of organic residuals and wastewater are suitable feedstocks for mixed microbial culture (MMC) Polyhydroxyalkanoate (PHA) production. However, many such streams have low total VFA concentration (1–10 gCOD/L). PHA accumulation requires a flow-through bioprocess if the VFAs are not concentrated. A flow through bioprocess must balance goals of productivity (highest possible influent flow rates) with goals of substrate utilization efficiency (lowest possible effluent VFA concentration). Towards these goals, dynamics of upshift and downshift respiration kinetics for laboratory and pilot scale MMCs were evaluated. Monod kinetics described a hysteresis between the upshift and downshift responses. Substrate concentrations necessary to stimulate a given substrate uptake rate were significantly higher than the concentrations necessary to sustain the attained substrate uptake rate. A benefit of this hysteresis was explored in Monte Carlo based PHA accumulation bioprocess numerical simulations. Simulations illustrated for a potential to establish continuous flow-through PHA production bioprocesses even at a low (1 gCOD/L) influent total VFA concentration. Process biomass recirculation into an engineered higher substrate concentration mixing zone, due to the constant influent substrate flow, enabled to drive the process to maximal possible PHA production rates without sacrificing substrate utilization efficiency

Polyhydroxyalkanoates production by mixed microbial cultures in sequencing batch reactors operated under different feeding conditions

The production of polyhydroxyalkanoates (PHA) by mixed microbial cultures (MMC) requires a multistage process, whereby the microbial selection of PHA-storing microorganisms plays a key role on the overall performance. A strategy to favor the microbial selection consists in the alternance of excess (feast phase) and absence (famine phase) of the external carbon source. In this work, three runs of a lab-scale Sequencing Batch Reactor (SBR) operated under different working conditions for the establishment of the feast and famine (F/F) regime were analyzed. A fixed organic loading rate of 4.25 gCOD (Chemical Oxygen Demand)/L d, and a fixed cycle length of 12 h were applied to the SBR. The F/F regime consisted of fully aerobic dynamic (ADF) or aerobic/anoxic (AE/ANOX) conditions. Results showed an intracellular PHA content as high as 40 ± 2 (%, w/w) when ADF conditions were applied with the organic feeding solution made of acetate (85 % on COD basis) and propionic (15%) acids. The hydroxyvalerate content in the stored polymer increased (from 25 ± 1 to 41 ± 3, % w/w) by increasing the propionic fraction (up to 35%) in the feeding solution. The AE/ANOX condition resulted in a lower PHA-storing ability which warrants further investigations

The antecedents and consequences of health literacy in an ecological perspective: Results from an experimental analysis

This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measured using the 47-item HLS-EU questionnaire (HLS-EUQ47) and the Newest Vital Sign (NVS). The two measures stood in significant correlation to the outcomes of the sub-discipline of the Euro Health Consumer Index (r = 0.790 for HLS-EUQ47; r = 0.789 for NVS). The HLS-EUQ47 also stood in correlation to the percentage of population with post-secondary education (r = 0.810), the reading performance for 15-year-old students (r = 0.905), the presence of a national screening program for breast (r = 0.732) or cervical cancer (r = 0.873). The NVS stood in correlation with the unemployment rate (r = &minus;0.778), the Gross Domestic Product (r = 0.719), the Gini coefficient (r = &minus;0.743), the rank of the Euro Patient Empowerment Index (r = &minus;0.826), the expenditure on social protection (r = 0.814), the Consumer Empowerment Index (r = 0.898), the percentage of adults using the internet for seeking health information (r = 0.759), the prevalence of overweight individuals (r = &minus;0.843), the health expenditure (r = 0.766), as well as the percentage of individuals using the internet for interacting with public authorities (r = 0.755). This study provides some preliminary considerations regarding alternative means by which to study HL and proposes new methods for experimentation. The methods and the results could offer a means by which the relationship between society and overall healthcare protection could be strengthened