A new evolutionary polynomial regression technique to assess the fundamental periods of irregular buildings

The main seismic design codes propose simplified formulations to evaluate the fundamental period of regular structures based on the total height. Indeed, the fundamental period depends on several parameters directly connected to the mass and stiffness of the structure and on its geometrical characteristics, including also irregularities. This paper proposes a set of mathematical formulations to evaluate the longitudinal and transversal fundamental period of vibration of 3D Reinforced Concrete (RC) frames, which have various vertical and plan irregularities and for different mechanical and geometrical design parameters. Several types of Reinforced Concrete Bare Moment Resisting Frame (RC-BMRF) buildings have been designed according to the different versions of the Italian codes starting from 1916 to nowadays and then used as case studies. Modal analysis is performed on the entire building dataset to assess the fundamental periods in both longitudinal and transversal directions. Then, cluster analysis is carried out to classify the buildings based on similar design characteristics and construction details. Finally, a robust Evolutionary Polynomial Regression (EPR) technique is used to find the optimal polynomial forms of the natural period. Numerical results show a better performance of the proposed formulation compared with the existing methodologies available in the literature

The volumetric star formation law in the Milky Way

Several open questions on galaxy formation and evolution have their roots in the lack of a universal star formation law that could univocally link the gas properties, such as its density, to the star formation rate (SFR) density. In a recent paper we used a sample of nearby disc galaxies to infer the volumetric star formation (VSF) law, a tight correlation between the gas and the SFR volume densities derived under the assumption of hydrostatic equilibrium for the gas disc. However, due to the dearth of information about the vertical distribution of the SFR in these galaxies, we could not find a unique slope for the VSF law, but two alternative values. In this paper, we use the scale height of the SFR density distribution in our Galaxy adopting classical Cepheids (age less than or similar to 200 Myr) as tracers of star formation. We show that this latter is fully compatible with the flaring scale height expected from gas in hydrostatic equilibrium. These scale heights allowed us to convert the observed surface densities of gas and SFR into the corresponding volume densities. Our results indicate that the VSF law rho(SFR) proportional to rho(alpha)(gas)rho SFR proportional to rho gas alphaSFR is valid in the Milky Way as well as in nearby disc galaxies

Gastric melanoma of unknown primary

We describe a case of a patient with anemia referring to our Digestive Endoscopy Unit. Upper GI endoscopy revealed a polypoid lesion with an ulcerated central depression. Histopathological examination of the biopsy specimen taken during endoscopy revealed a gastric metastatic melanoma. The dermatologic inspection failed in finding the primary melanoma. The importance of endoscopic examination in the diagnostic process of metastatic patients with unknown primaries is highlited by this case

Resilience Assessment of City-Scale Transportation Networks Using Monte Carlo Simulation

To improve the resilience of critical infrastructure systems, their intrinsic properties need to be understood and their resilience state needs be identified. In the literature, several methods to evaluate networks’ reliability and resilience can be found. However, the applicability of these methods is usually restricted to small-size net-works. In this paper, the transportation network of a large-scale virtual city is considered as a case study. A random removal of the roads is applied simulating the network’s failure. The network reliability is then calculated using the Destruction Spectrum (D-spectrum) method and a Monte Carlo approach has been developed to generate failure permutations that are necessary for the evaluation of the D-spectrum se. In addition, the Birnbaum Importance Measure (BIM) has been adopted in this study to determine the importance of the net-work’s components. The methodology adopted in this study can be also extended to all network-based systems. The paper also introduces resilience indicators as a soft tool to predict the performance and serviceability of transportation networks

Hepatosplenic T-Cell Lymphoma Mimicking Acute Onset of Cholestatic Hepatitis in a Young Immunocompetent Man: A Case Report

We herein report a case of hepatosplenic T-cell lymphoma (HSTCL) incidentally found in a 30-year-old man who came to the emergency department after an ankle trauma. At admission, laboratory tests revealed abnormal liver enzymes and pancytopenia, and imaging showed mild hepatosplenomegaly. During hospitalization, the patient's clinical condition worsened rapidly, with a concomitant increase in cholestatic enzymes, severe jaundice, and the worsening of pancytopenia. Causes of liver injury, including many infectious diseases, were explored until the diagnosis of HSTCL was made by liver and bone marrow biopsies. Subsequently, the patient underwent six cycles of chemotherapy with a CHOP (cyclophosphamide, hydroxydaunorubicin, oncovin and prednisone or prednisolone) regimen and one with Hyper-CVAD (fractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone) but, despite this aggressive treatment, died due to disease progression 2 months after diagnosis. This rare disease should be considered in the diagnostic workup of acute cholestatic hepatitis presenting with concomitant hepatosplenomegaly and cytopenia

A first order evaluation of the capacity of a healthcare network under emergency

Immediately after an earthquake a healthcare system within a city, comprising several hospitals, endures an extraordinary demand. This paper proposes a new methodology to estimate whether the hospital network has enough capacity to withstand the emergency caused by an earthquake. The ability of healthcare facilities and to provide a broad spectrum of emergency services immediately after a seismic event is assessed through a metamodel that assumes waiting time as main response parameter to assess the hospital network performance. The First Aid network of San Francisco subjected to a 7.2 Mw magnitude earthquake has been used as case study. The total number of injuries and their distributions among the six major San Francisco’s Emergency Departments have been assessed and compared with their capacity that has been determined using a survey conducted by the medical staff of the hospitals. The numerical results have shown that three of the six considered San Francisco’s hospitals cannot provide emergency services to the estimated injured. Two alternatives have been proposed to improve the performance of the network. The first one redistributes existing resources while the second one considers additional resources by designing a new Emergency Department

A numerical solution for addressing the overturning phenomena of heritage assets

Historical heritage represent a crucial aspect for societies and therefore it should be preserved from natural disasters such as earthquake. Base isolation systems are widely used to mitigate the horizontal effects of strong ground motions on important buildings and bridges, but there are also interesting applications on statues. However, such systems are characterized by properties that are quite different from the ones that belong to traditional civil structures. For this reason, national and international regulations are not exhaustive and actual dynamics of the system should be studied through numerical and experimental methods. Starting from analytical formulations, the paper investigates the sliding and rocking motion in details, being the typical one of statues under seismic loads. The presented numerical model describes the problem and is an alternative to the analytical formulation to perform several analyses automatically. In addition, it allows running parametric analyses to assess the influence of various parameters, such as eccentricity, stiffness, mass, geometric ratios, etc. Future work is geared to validate the numerical model trough performing experimental tests on shaking table

Are the Expanded Baveno VI Criteria really safe to screen compensated cirrhotic patients for high-risk varices?

The Expanded Baveno VI criteria [1] have been recently proposed as a new screening strategy for high-risk varices (HRV), able to increase the rate of spared upper endoscopies (EGDs) and improve upon the original Baveno VI Criteria [2]. To date, few studies have investigated the performance and safety of these criteria [3,4]. The recent work by Bae et al. [4] is the first one to report a high rate (>5%) of missed HRV by the expanded criteria, questioning their efficiency in safely ruling out HRV (sensitivity 81%, NPV 93%, LR- 0.30

Neutralization of IFN-γ reverts clinical and laboratory features in a mouse model of macrophage activation syndrome.

BACKGROUND: The pathogenesis of macrophage activation syndrome (MAS) is not clearly understood: a large body of evidence supports the involvement of mechanisms similar to those implicated in the setting of primary hemophagocytic lymphohistiocytosis. OBJECTIVE: We sought to investigate the pathogenic role of IFN-γ and the therapeutic efficacy of IFN-γ neutralization in an animal model of MAS. METHODS: We used an MAS model established in mice transgenic for human IL-6 (IL-6TG mice) challenged with LPS (MAS mice). Levels of IFN-γ and IFN-γ-inducible chemokines were evaluated by using real-time PCR in the liver and spleen and by means of ELISA in plasma. IFN-γ neutralization was achieved by using the anti-IFN-γ antibody XMG1.2 in vivo. RESULTS: Mice with MAS showed a significant upregulation of the IFN-γ pathway, as demonstrated by increased mRNA levels of Ifng and higher levels of phospho-signal transducer and activator of transcription 1 in the liver and spleen and increased expression of the IFN-γ-inducible chemokines Cxcl9 and Cxcl10 in the liver and spleen, as well as in plasma. A marked increase in Il12a and Il12b expression was also found in livers and spleens of mice with MAS. In addition, mice with MAS had a significant increase in numbers of liver CD68+ macrophages. Mice with MAS treated with an anti-IFN-γ antibody showed a significant improvement in survival and body weight recovery associated with a significant amelioration of ferritin, fibrinogen, and alanine aminotransferase levels. In mice with MAS, treatment with the anti-IFN-γ antibody significantly decreased circulating levels of CXCL9, CXCL10, and downstream proinflammatory cytokines. The decrease in CXCL9 and CXCL10 levels paralleled the decrease in serum levels of proinflammatory cytokines and ferritin. CONCLUSION: These results provide evidence for a pathogenic role of IFN-γ in the setting of MAS

Non-celiac gluten sensitivity in the context of functional gastrointestinal disorders

Gluten-free diets are increasingly chosen in the Western world, even in the absence of a diagnosis of celiac disease. Around 10% of people worldwide self-report gluten-related complaints, including intestinal and extra-intestinal symptoms. In most cases, these subjects would be labeled as patients suffering from irritable bowel syndrome (IBS) who place themselves on a gluten-free diet even in the absence of celiac disease. In some instances, patients report a clear benefit by avoiding gluten from their diet and/or symptom worsening upon gluten reintroduction. This clinical entity has been termed non-celiac gluten sensitivity (NCGS). The symptoms referred by these patients are both intestinal and extra-intestinal, suggesting that similarly to functional gastrointestinal disorders, NCGS is a disorder of gut–brain interaction. It remains unclear if gluten is the only wheat component involved in NCGS. The mechanisms underlying symptom generation in NCGS remain to be fully clarified, although in the past few years, the research has significantly moved forward with new data linking NCGS to changes in gut motility, permeability and innate immunity. The diagnosis is largely based on the self-reported reaction to gluten by the patient, as there are no available biomarkers, and confirmatory double-blind challenge protocols are unfeasible in daily clinical practice. Some studies suggest that a small proportion of patients with IBS have an intolerance to gluten. However, the benefits of gluten-free or low-gluten diets in non-celiac disease-related conditions are limited, and the long-term consequences of this practice may include nutritional and gut microbiota unbalance. Here, we summarize the role of gluten in the clinical features, pathophysiology, and management of NCGS and disorders of gut–brain interaction