Widening use of dexamethasone implant for the treatment of macular edema

Sustained-release intravitreal 0.7 mg dexamethasone (DEX) implant is approved in Europe for the treatment of macular edema related to diabetic retinopathy, branch retinal vein occlusion, central retinal vein occlusion, and non-infectious uveitis. The implant is formulated in a biodegradable copolymer to release the active ingredient within the vitreous chamber for up to 6 months after an intravitreal injection, allowing a prolonged interval of efficacy between injections with a good safety profile. Various other ocular pathologies with inflammatory etio­pathogeneses associated with macular edema have been treated by DEX implant, including neovascular age-related macular degeneration, Irvine–Gass syndrome, vasoproliferative retinal tumors, retinal telangiectasia, Coats’ disease, radiation maculopathy, retinitis pigmentosa, and macular edema secondary to scleral buckling and pars plana vitrectomy. We undertook a review to provide a comprehensive collection of all of the diseases that benefit from the use of the sustained-release DEX implant, alone or in combination with concomitant therapies. A MEDLINE search revealed lack of randomized controlled trials related to these indications. Therefore we included and analyzed all available studies (retrospective and prospective, com­parative and non-comparative, randomized and nonrandomized, single center and multicenter, and case report). There are reports in the literature of the use of DEX implant across a range of macular edema-related pathologies, with their clinical experience supporting the use of DEX implant on a case-by-case basis with the aim of improving patient outcomes in many macular pathologies. As many of the reported macular pathologies are difficult to treat, a new treat­ment option that has a beneficial influence on the clinical course of the disease may be useful in clinical practice

Environmental sustainability approaches and positive energy districts: A literature review

During the last decade, increasing attention has been paid to the emerging concept of Positive Energy Districts (PED) with the aim of pushing the transition to clean energy, but further research efforts are needed to identify design approaches optimized from the point of view of sustainable development. In this context, this literature review is placed, with a specific focus on environmental sustainability within innovative and eco-sustainable districts. The findings show that some sustainability aspects such as sustainable food, urban heat islands mitigation and co-impacts, e.g., green gentrification, are not adequately assessed, while fragmented thinking limits the potential of circularity. In this regard, targeted strategies should be developed. On the other hand, the Key Performance Indicators framework needs some integrations. In this direction, indicators were suggested, among those defined in the Sustainable Development Agenda, the main European standards and initiatives and the relevant literature experiences. Future outlooks should be directed to-wards: the harmonization of the Life Cycle Assessment in PEDs with reference to modeling assump-tions and analysis of multiple impacts; the development of dynamic environmental analyses taking into account the long-term uncertainty due to climate change, data availability and energy decar-bonization; the combination of Life Cycle Assessment and Key Performance Indicators based tech-niques, from a holistic thinking perspective, for a comprehensive design environment and the analysis of the contribution of energy flexibility approaches on the environmental impact of a project

Aspectos computacionais da implementaçao da formulaçao diferencial aplicada à análise reológica de barragens de concreto

Neste artigo sáo apresentadas as formulaçóes integral e diferencial para a modelizacão matemática do problema reológico do concreto, assim como a correspondencia entre as duas formulaçoes. Sáo então apresentados exemplos numéricos visando uma comparacáo da eficiencia computacional de algoritmos baseados nos dois tipos de modelizaçao.Peer Reviewe

Longitudinal Variability in Hydrochemistry and Zooplankton Community of a Large River: A Lagrangian‐Based Approach

The variability in water quality and zooplankton community structure during downstream transport was investigated in the Po river (Italy) using for the first time a Lagrangian sampling approach. Two surveys were conducted, one in spring under relatively high discharge levels, and one at low flows in summer. Twelve stations along a 332‐km stretch of the river’s lowland reach and four major tributaries were sampled. A hydrodynamic modelling system was used to determine water transport time along the river, with a satisfying fit between simulated and observed discharge values. No clear downstream trend in phosphorus and nitrogen concentrations was found. Conversely, a marked longitudinal decrease in dissolved silica supports the hypothesis of increasing downstream silica limitation during the phytoplankton growing season.In spring, at low residence time, no apparent plankton growth was observed during downstream transport. In summer, higher temperatures and lower turbulence and turbidity associated with longer residence time stimulated algal growth and in‐stream reproduction of fast‐growing rotifer taxa, with the gradual downstream development of a truly potamal assemblage and the increase of the ratio of euplanktonic to littoral/epibenthic rotifer taxa. Crustacean zooplankton density was generally low. The importance of biotic interactions within the zooplankton in driving community abundance and composition appeared to increase in the downstream direction, paralleled by a decrease in the influence of physical forcing. Tributary influence was especially evident where severe anthropogenic alterations of river hydrology and trophic status resulted in enhanced plankton growth, ultimately affecting zooplankton structure in the main river. Copyright © 2016 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134064/1/rra3028.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134064/2/rra3028_am.pd

Scattering of massless particles in one-dimensional chiral channel

We present a general formalism describing a propagation of an arbitrary multiparticle wave packet in a one-dimensional multimode chiral channel coupled to an ensemble of emitters which are distributed at arbitrary positions. The formalism is based on a direct and exact resummation of diagrammatic series for the multiparticle scattering matrix. It is complimentary to the Bethe Ansatz and to approaches based on equations of motion, and it reveals a simple and transparent structure of scattering states. In particular, we demonstrate how this formalism works on various examples, including scattering of one- and two-photon states off two- and three-level emitters, off an array of emitters as well as scattering of coherent light. We argue that this formalism can be constructively used for study of scattering of an arbitrary initial photonic state off emitters with arbitrary degree of complexity.Comment: 25 pages, 5 figure

Disorder Induced Ferromagnetism in CaRuO3

The magnetic ground state of perovskite structure CaRuO3 has been enigmatic for decades. Here we show that paramagnetic CaRuO3 can be made ferromagnetic by very small amounts of partial substitution of Ru by Ti. Magnetic hysteresis loops are observed at 5 K for as little as 2% Ti substitution. Ti is non-magnetic and isovalent with Ru, indicating that the primary effect of the substitution is the disruption of the magnetic ground state of CaRuO3 through disorder. The data suggest that CaRuO3 is poised at a critical point between ferromagnetic and paramagnetic ground states

Clinical manifestations in patients with PI*MMMalton genotypes. A matter still unsolved in alpha-1 antitrypsin deficiency

We report the genetic variants associated with alpha-1 antitrypsin deficiency (AATD) in 117 patients admitted to our outpatient clinic and characterized by a serum concentration of AAT lower than 113 mg/dL. We focused on the M-like heterozygous variant of the SERPINA1 gene called PI*MMMalton, and describe three patients with this variant. While the role of homozygous AATD in liver and pulmonary disease is well established, the association between heterozygous AATD and chronic liver and pulmonary disease is still under investigation. The PI*MMMalton genotype was found in 5.8% of patients with a pathological genotype of AATD and in 14.3% of the subjects when considering only those with intermediate AATD. There were no liver or renal abnormalities in patients with the PI*MMMalton genotype. The PI*MMMalton patients included here showed a normal liver function, and none had renal function abnormalities or abdominal aortic aneurysm. Only a prevalence of lung disease was detected

A real-time compact monitor for environmental radiation: Cosmic rays and radioactivity

We report here about the possibility of using a compact scintillation NaI(Tl) detector, long-term stable and reliable, to monitor separately the components of the environmental radiation, i.e. in the energy range 0.28–2.8 MeV, due to very low energy secondary (Ultrasoft) cosmic radiation and radioactivity, airborne and from environment matter. We suggest some procedures to accomplish time variation analysis, by using a sample of data collected in Bologna