Posterior corneal surface stability after femtosecond laser-assisted keratomileusis

The purpose of this study was to evaluate posterior corneal surface variation after femtosecond laser-assisted keratomileusis in patients with myopia and myopic astigmatism. Patients were evaluated by corneal tomography preoperatively and at 1, 6, and 12 months. We analyzed changes in the posterior corneal curvature, posterior corneal elevation, and anterior chamber depth. Moreover, we explored correlation between corneal ablation depth, residual corneal thickness, percentage of ablated corneal tissue, and preoperative corneal thickness. During follow-up, the posterior corneal surface did not have a significant forward corneal shift: no significant linear relationships emerged between the anterior displacement of the posterior corneal surface and corneal ablation depth, residual corneal thickness, or percentage of ablated corneal tissue

Somatic symptoms and depression in general practice in Italy.

Among primary care attenders, depression is a common and debilitating disturbance. These patients imply higher medical costs compared with those without depression, even after controlling for comorbid physical illness. A study performed in 15 countries worldwide has shown that ICD-10 mental disorders were present in 24% of primary care attenders. Detection and management of depression in primary care have received increasing attention. Most individuals with depression have been shown to consult their GPs for somatic symptoms rather than psychological ones. In the study mentioned above, 69% of the depressed patients reported only somatic symptoms. Another study found that GPs were able to diagnose a mental disorder in 90% of subjects presenting psychopathological symptoms and in 50% of those with somatic symptoms. In the light of the above, the Italian College of General Practitioners (Società Italiana di Medicina Generale-SIMG) in the area of Varese (north of Italy) organised a course on depression. Then a study was carried out in our setting. The aim was to evaluate the frequency of depression in patients who seek care for somatic symptoms, where tests showed that these symptoms were without an organic cause

(INVITED) Energy transfer processes in Sr3Tb(PO4)3 eulytite-type materials singly doped with Nd3+ and Sm3+

In this study the optical spectroscopy, the excited state dynamics and in particular the energy transfer Tb3+→Ln3+ (Ln = Nd or Sm), have been investigated in detail in eulytite double phosphate hosts of the type Sr3Tb(PO4)3 doped with 1 mol% Ln3+. It has been found that for Ln=Nd and Sm, the energy transfer efficiency (ηT) is 0.76 and 0.73, respectively, thanks to the assistance of fast migration in the Tb3+ 5D4 level. The pathway responsible for the transfer of excitation has been unambiguously identified in the case of Sr3Tb0.99Nd0.01(PO4)3, whilst the situation is more complex for Sr3Tb0.99Sm0.01(PO4)3, due to high density of the final Sm3+ states that could be involved. The Tb3+→Nd3+ energy transfer has been tentatively attributed to the exchange interaction on the basis of the short transfer distance and multipolar selection rules

Phase transition, radio- and photoluminescence of K3Lu(PO4)2 doped with Pr3+ ions

Luminescent characteristics of K3Lu(PO4)2:Pr3+ (1 and 5 mol.%) microcrystalline powders, a promising optical material for scintillation applications, were investigated using various experimental techniques. The material shows emission features connected with both high intensity interconfigurational 4f15d→4f2 transitions (broad UV emission bands) and intraconfigurational 4f2→4f2 transitions (weak emission lines in the visible range). The output of X-ray excited 4f15d→4f2 emission of Pr3+ increases with a temperature rise from 90 K to room tem- perature and higher depending on the Pr3+ ions concentration. The high 5% concentration of Pr3+ ions is found to be favourable for the stabilization of a monoclinic phase (P21/m space group) over a trigonal one (P3 space group) while emission properties of the material reveal that a phase transition occurs at higher temperatures. Decay kinetics of Pr3+ 4f15d→4f2 emission are recorded upon excitation with high repetition rate X-ray syn- chrotron excitation and pulse cathode ray excitation. Issues related to a non-exponential decay of luminescence and presence of slow decay components are discussed in terms of energy transfer dynamics. The presence of defects was revealed with thermoluminescence measurements and these are suggested to be the mainly responsible for delayed recombination of charge carriers on the Pr3+ 4f15d states. Some peculiarities of host-to- impurity energy transfer are discusse

UnityFlexML: Training Reinforcement Learning Agents in a Simulated Surgical Environment

Sim-to-real Deep Reinforcement Learning (DRL) has shown promising in subtasks automation for surgical robotic systems, since it allows to safely perform all the trial and error attempts needed to learn the optimal control policy. However, a realistic simulation environment is essential to guarantee direct transfer of the learnt policy from the simulated to the real system. In this work, we introduce UnityFlexML, an open-source framework providing support for soft bodies simulation and state-of-the-art DRL methods. We demonstrate that a DRL agent can be successfully trained within UnityFlexML to manipulate deformable fat tissues for tumor exposure during a nephrectomy procedure. Furthermore, we show that the learned policy can be directly deployed on the da Vinci Research Kit, which is able to execute the trajectories generated by the DRL agent. The proposed framework represents an essential component for the development of autonomous robotic systems, where the interaction with the deformable anatomical environment is involved

The effect of cation substitution on the local coordination of protons in Ba2In1.85M0.15O6H2 (M = In, Ga, Sc and Y)

We report on an investigation of the local structure and vibrational dynamics in the brownmillerite-based proton conductors Ba2In1.85M0.15O6H2 with M = In, Ga, Sc and Y. The aim is to determine the effect of the cation (M) substitution on the local coordination environment of the protons. The techniques used are infrared spectroscopy and inelastic neutron scattering. The materials are characterized by two main types of proton sites, denoted as H (1) and H(2), which are featured by different local structures. We establish that the relative population of these two proton sites varies as a function of M. Specifically, it is found that, with respect to Ba2In2O6H2, the relative population of H(1) protons increases upon the substitution of In with any of the three different cations. The strongest effect is observed for M = Ga and Sc, whereas the effect observed for M = Y is minor. This new insight motivates efforts to unravel the mobility of the two types of protons, since then cation modification would offer a rational route for improving the proton conductivity of these types of materials

Vanadium(v) oxoanions in basic water solution: A simple oxidative system for the one pot selective conversion of l-proline to pyrroline-2-carboxylate

The unprecedented, direct chemical oxidation of l-proline to pyrroline-2-carboxylate was achieved in water (pH 9-10) by means of NH4VO3/NH3or V2O5/MOH (K = Na, K), and the anion was fully characterized as ammonium or alkaline metal salts. Quantitative yield and higher atom economy performance were achieved with the latter system, the alkaline salts being more stable than the ammonium one. Different mixed valence V(iv)/V(v) compounds precipitated from the reaction mixtures depending on the nature of the employed base. A possible reaction mechanism is proposed according to DFT calculations. The analogous reaction of trans-4-hydroxy-l-proline with NH4VO3/NH3afforded pyrrole-2-carboxylic acid in 81% yield, while sarcosine underwent prevalent decomposition under similar experimental conditions. Instead, no reaction was observed with primary (glycine, l-alanine, l-phenylalanine) and tertiary α-amino acids (N,N-dimethyl-l-phenylalanine, N,N-dimethylglycine)

Soft Tissue Simulation Environment to Learn Manipulation Tasks in Autonomous Robotic Surgery

Reinforcement Learning (RL) methods have demonstrated promising results for the automation of subtasks in surgical robotic systems. Since many trial and error attempts are required to learn the optimal control policy, RL agent training can be performed in simulation and the learned behavior can be then deployed in real environments. In this work, we introduce an open-source simulation environment providing support for position based dynamics soft bodies simulation and state-of-the-art RL methods. We demonstrate the capabilities of the proposed framework by training an RL agent based on Proximal Policy Optimization in fat tissue manipulation for tumor exposure during a nephrectomy procedure. Leveraging on a preliminary optimization of the simulation parameters, we show that our agent is able to learn the task on a virtual replica of the anatomical environment. The learned behavior is robust to changes in the initial end-effector position. Furthermore, we show that the learned policy can be directly deployed on the da Vinci Research Kit, which is able to execute the trajectories generated by the RL agent. The proposed simulation environment represents an essential component for the development of next-generation robotic systems, where the interaction with the deformable anatomical environment is involved

Eu(iii) and Tb(iii) complexes of 6-fold coordinating ligands showing high affinity for the hydrogen carbonate ion: A spectroscopic and thermodynamic study

In the present contribution, four classes of Ln(iii) complexes (Ln = Eu and Tb) have been synthesized and characterized in aqueous solution. They differ by charge, Ln(bpcd)+ [bpcd2- = N,N'-bis(2-pyridylmethyl)-trans-1,2-diaminocyclohexane N,N'-diacetate] and Ln(bQcd)+ (bQcd2- = N,N'-bis(2-quinolinmethyl)-trans-1,2-diaminocyclohexane N,N'-diacetate) being positively charged and Ln(PyC3A) (PyC3A3- = N-picolyl-N,N',N'-trans-l,2-cyclohexylenediaminetriacetate) and Ln(QC3A) (QC3A3- = N-quinolyl-N,N',N'-trans-l,2-cyclohexylenediaminetriacetate) being neutral. Combined DFT, spectrophotometric and potentiometric studies reveal the presence, under physiological conditions (pH 7.4), of a couple of equally and highly stable isomers differing by the stereochemistry of the ligands (trans-N,N and trans-O,O for bpcd2- and bQcd2-; trans-O,O and trans-N,O for PyC3A3- and QC3A3-). Their high log\u2009\u3b2 values (9.97 < log\u2009\u3b2 < 15.68), the presence of an efficient antenna effect and the strong increase of the Ln(iii) luminescence intensity as a function of the hydrogen carbonate concentration in physiological solution, render these complexes as very promising optical probes for a selective detection of HCO3-in cellulo or in extracellular fluid. This particularly applies to the cationic Eu(bpcd)+, Tb(bpcd)+ and Eu(bQcd)+ complexes, which are capable of guesting up to two hydrogen carbonate anions in the inner coordination sphere of the metal ion, so that they show an unprecedented affinity towards HCO3- (log\u2009K for the formation of the adduct in the 4.6-5.9 range)

A chiral lactate reporter based on total and circularly polarized Tb(iii) luminescence

The coordination features and signaling of a l-lactate ion by a [Tb(bpcd)]+(bpcd = N,N′-bis(2-pyridylmethyl)-trans-1,2-diaminocyclohexane-N,N′-diacetate) complex have been investigated by means of a combination of techniques, including total luminescence, calorimetry and circularly polarized luminescence. The l-lactate/[Tb(bpcd)]+association constant, determined by both luminescence titration and isothermal titration calorimetry, indicates a weak interaction (log K = 1.3-1.45) between the analyte and both enantiomers of the complex. The theoretical DFT calculations suggest that the most likely coordination of l-lactate to the possible stereoisomers of the [Tb(S,S-bpcd)]+complex (trans-O,O or trans-Npy,Npy) is one involving a hydroxyl group. The results of [Tb(rac-bpcd)]+as a chiroptical luminescent probe of l-lactate underline the peculiar role of the chiral 1,2-diaminocyclohexane (DACH) backbone. Indeed, the target anion is capable of inducing CPL activity in the racemic mixture of Tb complexes containing DACH-based ligands. The same is not observed for the achiral analogue [Tb(bped)]+(bped = N,N′-bis(2-pyridylmethyl)ethylenediamine-N,N′-diacetate) complex, likely because of the flexibility of the ethylenic group which allows an interconversion between different isomers which produces a null net CPL activity. Thanks to the differential quantum yield of the two diastereomeric species (R,R)-l and (S,S)-l, one can use the racemic complex to reveal l-lactate by measuring the induced CPL spectrum. Interestingly, this has been demonstrated in a commercial complex solution for medical use, containing several electrolytes, namely Ringer's lactate