Hemoadsorption for severe MIS-C in critically ill children, should we consider it as a therapeutic opportunity?

Coronavirus; Multisystem inflammatory syndrome in children; Pediatric critical careCoronavirus; Síndrome inflamatorio multisistémico en niños; Cuidados críticos pediátricosCoronavirus; Síndrome inflamatòria multisistèmica en nens; Cures crítiques pediàtriquesMultisystem inflammatory syndrome (MIS-C) is a new severe clinical condition that has emerged during the COVID-19 pandemic. MIS-C affects children and the young usually after a mild or asymptomatic COVID-19 infection. MIS-C has a high tropism for the cardiovascular system with need for inotropes and vasopressor support in 62% of cases. As of today a mortality from 1.5% to 1.9% related to MIS-C is reported. Hemoadsorption via the inflammatory mediator adsorber CytoSorb (CytoSorbents Europe, Berlin Germany) has been used as adjunctive therapy with the aim to restore the host response in septic shock and other hyper-inflammatory syndromes. We present the clinical experience of an adolescent boy with a refractory shock secondary to left ventricular dysfunction (LVD) in the context of MIS-C, treated with hemoadsorption, and continuous kidney replacement therapy (CKRT) in combination with immunomodulatory therapies. The therapeutic strategy resulted in hemodynamic and clinical stabilization as well as control of the hyperinflammatory response. Treatment appeared to be safe and feasible. Our findings are in line with previously published clinical cases on Cytosorb use in MIS-C showing the beneficial role of the hemoperfusion with Cytosorb in severe MIS-C to manage the cytokine storm. We provide an analysis and comparison of recent evidence on the use of hemoadsorption as an adjuvant therapy in critically ill children with severe forms of MIS-C, suggesting this blood purification strategy could be a therapeutic opportunity in severe LVD due to MIS-C, sparing the need for extracorporeal membrane oxygentation (ECMO) and other mechanical cardiocirculatory supports

Evaluation of potsherds features using hyperspectral maps generated by μ-LIBS scanner

The micro-laser induced breakdown spectroscopy (µ-LIBS) technique allows performing fast elemental analyses, without sample preparation and thus making it specifically useful in the analysis of the composition of ancient potsherd. The µ-LIBS instrument is equipped with a microscope and a scanning system allowing to realize small craters (about Ø = 25 µm) in order to obtain detailed hyperspectral surfaces maps (up to a maximum size of one square centimeter). The data are processed by Self-Organizing Maps (SOMs) method to visualize in 2D representations allowing significant information on the technological features of ceramic samples.The micro-laser induced breakdown spectroscopy (µ-LIBS) technique allows performing fast elemental analyses, without sample preparation and thus making it specifically useful in the analysis of the composition of ancient potsherd. The µ-LIBS instrument is equipped with a microscope and a scanning system allowing to realize small craters (about Ø = 25 µm) in order to obtain detailed hyperspectral surfaces maps (up to a maximum size of one square centimeter). The data are processed by Self-Organizing Maps (SOMs) method to visualize in 2D representations allowing significant information on the technological features of ceramic samples

Micro-chemical evaluation of ancient potsherds by μ-LIBS scanning on thin section negatives

In the study of ancient pottery, thin section analysis represents the basic approach to study mineralogical and petrografic features in order to obtain preliminary information about the production technology and origin of archaeological ceramics. However, even if thin section analysis allows investigating the textural and structural characteristics of potteries, peculiar features related to clay paste and temper composition, as well as provenance issues, can be detailed addressed only by quantitative mineralogical and chemical studies. In the realization of thin sections, a negative face is always produced, similar to the thin section itself; these remains can be used for additional analyses, such as high spatial resolution micro-chemical studies using, for example, a micro-laser induced breakdown spectroscopy (LIBS) scanner. LIBS is a spectroscopic technique that, exploiting the laser radiation, is able to bring into the plasma state micrometric portions of the sample, and to analyse its content through the study of the optical emission of the plasma itself. Unlike other techniques, LIBS can detect and quantify also light elements such as aluminium and magnesium. Images produced by the micro-LIBS instrument show the spatial distribution of the chemical elements within a portion of the sample, which may have dimensions from a few hundred microns up to several centimeters. The combination of these images with algorithms derived from image processing techniques may return interesting information and supporting data to in-depth investigate pottery components detected by optical microscopy observations. In this work, we present the results of an experimental study performed on thin-section negatives with different grain size, surface treatments and aggregates, coming from some Neolithic Italian sites, exploring the potential of the LIBS method in micro-chemical studies of ancient potsherds

Recovery of archaeological wall paintings using novel multispectral imaging approaches

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Multivariate calibration in Laser-Induced Breakdown Spectroscopy quantitative analysis: The dangers of a ‘black box’ approach and how to avoid them

The introduction of multivariate calibration curve approach in Laser-Induced Breakdown Spectroscopy (LIBS) quantitative analysis has led to a general improvement of the LIBS analytical performances, since a multivariate approach allows to exploit the redundancy of elemental information that are typically present in a LIBS spectrum. Software packages implementing multivariate methods are available in the most diffused commercial and open source analytical programs; in most of the cases, the multivariate algorithms are robust against noise and operate in unsupervised mode. The reverse of the coin of the availability and ease of use of such packages is the (perceived) difficulty in assessing the reliability of the results obtained which often leads to the consideration of the multivariate algorithms as ‘black boxes’ whose inner mechanism is supposed to remain hidden to the user. In this paper, we will discuss the dangers of a ‘black box’ approach in LIBS multivariate analysis, and will discuss how to overcome them using the chemical-physical knowledge that is at the base of any LIBS quantitative analysis

Portrait of an artist at work: exploring Max Ernst's surrealist techniques

AbstractMax Ernst was one of the most influential artists associated with both the Dada and Surrealist movements. However, until now, only few scientific studies have been devoted to his works. This paper presents the results of a multi-analytical investigation on six oil paintings, made between 1927 and 1942, belonging to the Peggy Guggenheim Collection in Venice (Solomon R. Guggenheim Foundation, New York). Through a combined art historical and scientific approach, this study aims at understanding Ernst's painting techniques, including frottage, grattage, dripping, and decalcomania, the used materials, and the state of conservation of the artworks. Non-invasive in situ investigations were performed by means of Vis–NIR multi-spectral imaging, X-ray fluorescence, external reflection FTIR and Raman spectroscopy. Imaging analysis revealed important information about Ernst's painting methods while the other techniques provided useful information about the ground layer, the painting materials and the presence of alteration products. Ernst's palette discloses great freedom in his use of materials and evolution during the time. This investigation demonstrates that an integrated, non-invasive, diagnostic approach provides a thorough analysis of materials and execution techniques of Ernst' masterworks allowing an in-depth knowledge of his highly skilled work

Mineralogical, petrographic and physical-mechanical study of Roman construction materials from the Maritime Theatre of Hadrian's Villa (Rome, Italy)

This paper presents the study of various Roman materials used in the construction of the Maritime Theatre, one of the main buildings in the Hadrian’s Villa complex, a designated UNESCO World Heritage Site located in Tivoli (Rome, Italy), dating to the first half of the II century A.D. The plaster layers (arriccio and intonachino) and overlying original Roman paintings that form the concave wall of the portico as well as some bedding mortars of the pyramidal stone elements (i.e. cubilia) of the circular masonry have been studied in particular. In addition, the acid volcanic rocks of the cubilia have been investigated, aiming to understand their state of alteration and geological origin. By mineralogical-petrographic microscopy (OM), diffractometry (XRPD), Raman spectroscopy, Point Load Tests (PLT), helium pycnometry, and particle size analysis, the composition and granulometric distribution of the aggregate, type and characteristics of the binder, and various physical-mechanical properties (density, porosity, water absorption, imbibition and saturation indices, mechanical resistance) of mortars and stones were defined. In addition, through digital image analysis of thin sections, the binder/aggregate ratio and some geometric characteristics of the aggregates (e.g. circularity) were determined. The research aims to improve the knowledge of the constructive technologies of the Maritime Theatre through the analysis of its materials

Polymer-based black phosphorus (bP) hybrid materials by in situ radical polymerization: an effective tool to exfoliate bP and stabilize bP nanoflakes

Black phosphorus (bP) has been recently investigated for next generation nanoelectronic multifunctional devices. However, the intrinsic instability of exfoliated bP (the bP nanoflakes) towards both moisture and air has so far overshadowed its practical implementation. In order to contribute to fill this gap, we report here the preparation of new hybrid polymer-based materials where bP nanoflakes exhibit a significantly improved stability. The new materials have been prepared by different synthetic paths including: i) the mixing of conventionally liquid-phase exfoliated bP (in DMSO) with PMMA solution; ii) the direct exfoliation of bP in a polymeric solution; iii) the in situ radical polymerization after exfoliating bP in the liquid monomer (methyl methacrylate, MMA). This last methodology concerns the preparation of stable suspensions of bPn-MMA by sonication-assisted liquid phase exfoliation (LPE) of bP in the presence of MMA followed by radical polymerization. The hybrids characteristics have been compared in order to evaluate the bP dispersion and the effectiveness of the bPn interfacial interactions with polymer chains aimed at their long-term environmental stabilization. The passivation of bPn results particularly effective when the hybrid material is prepared by in situ polymerization. By using this synthetic methodology, the nanoflakes, even if with a gradient of dispersion (size of aggregates), preserve their chemical structure from oxidation (as proved by both Raman and 31P-Solid State NMR studies) and are particularly stable to air and UV light exposure

A multidisciplinary approach to the investigation of "La Caverna dell'Antimateria" (1958–1959) by Pinot Gallizio

Background: This study concerns the application of non-invasive and micro-invasive analyses for the study of a contemporary artwork entitled La Caverna dell'Antimateria ("The Cave of Antimatter") which was created by Pinot Gallizio in 1958–1959. The work represents one of the most significant examples of industrial painting. It consists of a total of 145 meters of painted canvas, designed in order to cover the entire floor plan of the Rene Drouin gallery in Paris, where it was displayed for the first time. Gallizio wanted to create an environment in which visitors could find themselves immersed in painting, in what he termed as a "work-environment". Non-invasive (Fibre Optic Reflectance Spectroscopy) and micro-invasive analyses (Fourier Transform Infrared and micro-Raman Spectroscopies, Pyrolysis-Gas Chromatography and Gas Chromatography/Mass Spectrometry) were performed on three of the canvases which constitute this work of art in order to obtain information regarding the artistic materials used by Gallizio. Results: Pigments and unconventional materials (such as metal wires, sand) are present in the canvases that form the ceiling. The colours are unevenly distributed on the surface, thus revealing large areas of the white preparation below. In the canvas of the wall, instead, the paint is applied more uniformly and gives a dark colour cast. The analytical results led to the identification of many of the materials used by Gallizio. The pictorial palette consists of both inorganic and organic pigments, while polyvinylacetate, pure or mixed with a siccative oil, was identified as a binder thus confirming what was reported by the artist in his notes. Conclusions: The results of this research provide information concerning the artistic technique used by Pinot Gallizio. The analyses were successfully performed both in situ and on micro-samples in order to characterise the pigments of the coloured area, the ground layer and the organic binders

Multi-technique characterization of madder lakes: A comparison between non- and micro-destructive methods

The chemical characterization of paint material is paramount for the understanding of painting techniques, provenance studies and for assessing conservation strategies. In particular, the chemical characterization of both the organic and inorganic fraction of lakes is fundamental to assess the technologies used in their production. In this short note, we present a pilot study by comparing several micro-destructive and non-destructive methods for the comprehensive characterization of the organic and inorganic fraction of reference madder lakes. In the final procedure, the chromophores-containing molecules were separated using a sample preparation procedure based on acid hydrolysis and solvent extraction, and analysed by high-pressure liquid chromatography with UV-Vis detector (HPLC-UV/Vis). Laser induced breakdown spectroscopy (LIBS) and X-Ray Fluorescence (XRF) were used for the study of the elemental composition. Multispectral Imaging was also applied in order to evaluate its potentialities to distinguish amongst different red lakes. The final multi-technique method allowed for the characterization of both organic and inorganic fraction from the same lake micro sample