1,672 research outputs found
Pedotechniques strategies to improve soil resilience against the impact of irrigation by municipal wastewater: using zeolitized tuffs as soil amendments
A research was started aiming at evaluating the possible use of natural zeolites as exchange conditioners to improve and make durable the soil resilience against the adverse effects of the use of anomalous wastewater, for irrigation purposes. To satisfy such aims, two zeolitized tuffs (ZTs),
viz. a Neapolitan yellow tuff (NYT) and a clinoptilolite bearing tuff (ZCL), were tested as pedotechnical materials to improve soil resilience against the impact of treatment by a ‘dirty’ municipal wastewater (DMW)
Multiple fractures of the femur: Case report, literature review, and proposal for a shared algorithm of treatment
Multiple fractures of the femur, defined for the purposes of this study as the association of three or more non-contiguous fractures on the same bone segment, is an exceedingly rare condition with an unknown incidence in the literature. A limited number of studies, mainly consisting of case reports or small case series, have addressed this topic, and no shared consensus or guidelines exist on what the ideal timing and sequence of multiple fracture fixation is. The present paper reports the clinical case of a 36 years old man who sustained a blunt chest injury, a non-concussive head injury, a displaced intracapsular fracture of the left femur (AO 31B2), a left diaphyseal multifragmentary fracture (AO 32B3), a supradiacondylar fracture of the distal end of the left femur (AO 33C1.1), a Hoffa fracture of the lateral left femoral condyle (AO 33B3.2 f), and a multifragmentary fracture of the left patella with bone loss (AO 34C3) due to a vehicular high-energy trauma. The patient was surgically treated by open reduction and internal fixation according to a proposed algorithm of treatment and reported excellent clinical and radiological outcomes at 32 months follow-up. The primary aim of this study is to describe our experience in the treatment of such complex fractures, by presenting our clinical and radiological results, and to propose a treatment algorithm. The secondary aim is to provide a comprehensive review of the literature on this topic
Investigation collision of the particles, moving in the stream of gas with the firm wall
The processes of extracting particulate matter include air, generally, the deposition of particles on dry or wetted surfaces and removing deposits from deposition surfaces. In the dust collector and the separation devices following methods of separating suspended solids from the weighing medium used: sedimentation in the gravitational field, sedimentation under the influence of inertial forces, as well as the deposition in a centrifugal field. Shock interaction of particles with the wall is a subject of research for a long time. Much of the research has been devoted to "dry" particles collision with the wall, that is a collision in a vacuum or an environment with little resistance. An important parameter characterizing the process of collision is elastic recovery ratio, defined as the ratio of the speed after impact to the velocity before impact. The calculation results show that the transfer of particles substantially in the horizontal direction depends on the particle diameter. Indeed, with an increase in particle size increases their inertia and the flow can not carry them over long distances. Furthermore, increase in size leads to an increase of deposition rate on the surface. Thus, smaller particles are transported over long distances than larger. This trend is observed for the particle size of less than 100mikron (seen in the movement of air). Next, mode of interaction with the wall varies greatly. Beat ceases to be completely inelastic. Particles incident on the wall is obtained momentum directed away from the wall and carried into the stream. Then, under the influence of gravitational forces they rise speed is slowed down, and the particles begin to move back towards the wall. The number of collisions increases with particle size. Thus, in the hammer mode of interaction the length to which the particles are transported, with their diameter increases
Clinical impact of routine angiographic follow-up after percutaneous coronary interventions on unprotected left main
Background: Patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stent (DES) on unprotected left main (ULM) represent a complex subset. The role of routine coronary angiography at follow up in this subset remains debated. Methods: At the documented center, all patients undergoing successful PCI on ULM lesions performing angiographic follow-up is suggested, but adherence to such a recommendation is inhomogeneous. Consecutive patients undergoing DES PCI on ULM were enrolled and experienced no adverse events during the first 6 months. Patients were then allocated to two groups: those undergoing routine control angiography (CA) and those undergoing clinical follow-up (CF). Primary endpoint was major adverse cardiac events (MACE) defined as cardiac death, myocardial infarction and urgent repeat target vessel revascularization. Results: A total of 190 patients underwent successful DES implantation on ULM and the study population was without early events. CA was performed at 6 months after the index procedure in 91 (48%) patients. After 35 \ub1 21 months, MACE rates were significantly more common in the CF group as compared with the CA group (16.2% vs. 4.3%, p = 0.009). At multivariable analysis, CA was associated with reduced MACE risk (HR 0.13, 95% CI 0.1\u20130.7, p = 0.028). Of note, this was mainly driven by higher cardiac death rate in those undergoing CF than in those undergoing CA (p = 0.01). Conclusions: CA after complex PCI, such as ULM PCI, is associated with reduced MACE. Such an observation calls for appropriately designed randomized trials
Clinical impact of routine angiographic follow-up after percutaneous coronary interventions on unprotected left main
Background: Patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stent (DES) on unprotected left main (ULM) represent a complex subset. The role of routine coronary angiography at follow up in this subset remains debated.
Methods: At the documented center, all patients undergoing successful PCI on ULM lesions performing angiographic follow-up is suggested, but adherence to such a recommendation is inhomogeneous. Consecutive patients undergoing DES PCI on ULM were enrolled and experienced no adverse events during the first 6 months. Patients were then allocated to two groups: those undergoing routine control angiography (CA) and those undergoing clinical follow-up (CF). Primary endpoint was major adverse cardiac events (MACE) defined as cardiac death, myocardial infarction and urgent repeat target vessel revascularization.
Results: A total of 190 patients underwent successful DES implantation on ULM and the study population was without early events. CA was performed at 6 months after the index procedure in 91 (48%) patients. After 35 ± 21 months, MACE rates were significantly more common in the CF group as compared with the CA group (16.2% vs. 4.3%, p = 0.009). At multivariable analysis, CA was associated with reduced MACE risk (HR 0.13, 95% CI 0.1–0.7, p = 0.028). Of note, this was mainly driven by higher cardiac death rate in those undergoing CF than in those undergoing CA (p = 0.01).
Conclusions: CA after complex PCI, such as ULM PCI, is associated with reduced MACE. Such an observation calls for appropriately designed randomized trials
Residual Strength and Durability of Glass Fiber FRCM and CRM Systems Aged in Alkaline Environments
Fabric Reinforced Cementitious Matrix (FRCM) and Composite Reinforced Mortar (CRM) systems are used as Externally Bonded Reinforcements (EBR) in civil and historical construction. These materials are made by fibrous reinforcement, in forms of dry (FRCM) or cured (CRM) meshes embedded in a cementitious/hydraulic lime matrix. At present, this technology is considered very promising in the field of structural strengthening, retrofitting and repair existing structures. This is true especially in those cases of masonry and historical buildings, due to the specific criteria of conservation and compatibility with the substrate that need to be fulfilled. These materials, in fact, results more compatible with masonry substrate because of the inorganic matrix, instead of polymeric resin used for the well-known FRP systems (Fiber Reinforced Polymers). The recent use of these new materials in civil engineering needs appropriate and complete guidelines, that regard not only the design aspects but also the durability features. This paper presents the results of a large experimental program focused on the durability of FRCM and CRM systems and their single components, in different alkaline environments. For the whole experimental campaign, the samples have been immersed into three different alkaline solutions, for four exposure times (500, 1000, 2000 and 3000 hrs). In addition, in order to study the different accelerating effects due to temperature, three different temperatures were maintained during the ageing periods: 23°C, 40°C and 70°C. The results about the mechanical characterization of residual properties are discussed in order to highlight the influence of alkaline environments on the mechanical properties of single elements and the whole strengthening systems that were tested herein
Synthesis and preliminary in vitro evaluation of DOTA-Tenatumomab conjugates for theranostic applications in tenascin expressing tumors
Tenatumomab is an anti-tenascin murine monoclonal antibody previously used in clinical trials for delivering radionuclides to tumors by both pre-targeting (biotinylated Tenatumomab within PAGRIT) and direct 131Iodine labeling approaches. Here we present the synthesis and in vitro characterization of three Tenatumomab conjugates to bifunctional chelating agents (NHS-DOTA, NCS-DOTA and NCS-DTPA). Results indicate ST8198AA1 (Tenatumomab-DOTAMA, derived by conjugation of NHS-DOTA), as the most promising candidate in terms of conjugation rate and yield, stability, antigen immunoreactivity and affinity. Labeling efficiency of the different chelators was investigated with a panel of cold metals indicating DOTAMA as the best chelator. Labeling of Tenatumomab-DOTAMA was then optimized with several metals and stability performed confirms suitability of this conjugate for further development. ST8198AA1 represents an improvement of the previous antibody forms because the labeling with radionuclides like 177Lu or 64Cu would allow theranostic applications in patients bearing tenascin expressing tumors
- …