Iatrogenic Left Internal Mammary Artery Perforation Treated With a Covered Stent Via Transradial Approach

Abstract Inadvertent perforation of the left internal mammary artery during a blind approach to the subclavian vein for pacemaker or central venous catheter insertion is an emergency that requires immediate treatment. Covered stent deployment is a quick and effective treatment, especially in patients with hemodynamic instability. The procedure may be safely performed by using the radial approach. (Level of Difficulty: Intermediate.

Effects of LED Lights and New Long-Term-Release Fertilizers on Lettuce Growth: A Contribution for Sustainable Horticulture

The horticulture sector has been directed by European guidelines to improve its practices related to environmental sustainability. Moreover, the practice of horticulture in urban areas is increasing since it provides fresh products that are locally produced. At the same time, horticulture needs to implement circular economy approaches and energy-efficient models. Therefore, to address these issues, this study investigated the effects of an integrated fertilizer-box-based cultivation system equipped with LED lights and coated porous inorganic materials (C-PIMs), which was applied as fertilizer, on Lactuca sativa L. growth. Two different types of lightweight aggregates were formulated considering agri-food and post-consumer waste, and they were enriched with potassium and phosphorus. Involving waste in the process was part of their valorization in the circular economy. Using PIMs as fertilizers enabled the controlled release of nutrients over time. The tests were carried out in controlled conditions using two LED lighting systems capable of changing their light spectrum according to the growth phases of the plants. The effects of two different lighting schemes on the growth of lettuce plants, in combination with different amounts of aggregates, were studied. The results showed that increasing the amount of C-PIMs statistically improved the lettuce growth in terms of dry biomass production (+60% and +34% for two different types of PIM application) when the plants were exposed to the first LED scheme (LED-1). Plant height and leaf areas significantly increased when exposed to the second LED scheme (LED-2), in combination with the presence of C-PIMs in the soil. The analysis of the heavy metal contents in the lettuce leaves and the soil at the end of the test revealed that these elements remained significantly below the legislated thresholds. The experimental achievements of this study identified a new approach to improve the environmental sustainability of horticulture, especially in an urban/domestic context

Phenotype and genotype of 87 patients with Mowat-Wilson syndrome and recommendations for care

Mowat-Wilson syndrome (MWS) is a rare intellectual disability/multiple congenital anomalies syndrome caused by heterozygous mutation of the ZEB2 gene. It is generally underestimated because its rarity and phenotypic variability sometimes make it difficult to recognize. Here, we aimed to better delineate the phenotype, natural history, and genotype-phenotype correlations of MWS.MethodsIn a collaborative study, we analyzed clinical data for 87 patients with molecularly confirmed diagnosis. We described the prevalence of all clinical aspects, including attainment of neurodevelopmental milestones, and compared the data with the various types of underlying ZEB2 pathogenic variations.ResultsAll anthropometric, somatic, and behavioral features reported here outline a variable but highly consistent phenotype. By presenting the most comprehensive evaluation of MWS to date, we define its clinical evolution occurring with age and derive suggestions for patient management. Furthermore, we observe that its severity correlates with the kind of ZEB2 variation involved, ranging from ZEB2 locus deletions, associated with severe phenotypes, to rare nonmissense intragenic mutations predicted to preserve some ZEB2 protein functionality, accompanying milder clinical presentations.ConclusionKnowledge of the phenotypic spectrum of MWS and its correlation with the genotype will improve its detection rate and the prediction of its features, thus improving patient care.GENETICS in MEDICINE advance online publication, 4 January 2018; doi:10.1038/gim.2017.221

Phenotype and genotype of 87 patients with Mowat–Wilson syndrome and recommendations for care

Purpose: Mowat–Wilson syndrome (MWS) is a rare intellectual disability/multiple congenital anomalies syndrome caused by heterozygous mutation of the ZEB2 gene. It is generally underestimated because its rarity and phenotypic variability sometimes make it difficult to recognize. Here, we aimed to better delineate the phenotype, natural history, and genotype–phenotype correlations of MWS. Methods: In a collaborative study, we analyzed clinical data for 87 patients with molecularly confirmed diagnosis. We described the prevalence of all clinical aspects, including attainment of neurodevelopmental milestones, and compared the data with the various types of underlying ZEB2 pathogenic variations. Results: All anthropometric, somatic, and behavioral features reported here outline a variable but highly consistent phenotype. By presenting the most comprehensive evaluati

Molecular dynamics simulation of amorphous HfO2 for resistive RAM applications

HfO2 is widely investigated as the favoured material for resistive RAM device implementation. The structural features of HfO2 play a fundamental role in the switching mechanisms governing resistive RAM operations, and a comprehensive understanding of the relation between the atomistic properties and final device behaviour is still missing. In addition, despite the fact that ultra-scaled 10 nm resistive RAM will probably be made of amorphous HfO2, a deeper investigation of the structure is necessary. In this paper, the classical molecular dynamics technique was used to investigate the disordered atomic configuration of amorphous HfO2. The influence of density on both the atomistic structure and the diffusion of O species was carefully analysed. The results achieved showthat the atomistic structure of an amorphous HfO2 system is strongly affected by the density, and the amorphous system is rearranged in an atomic configuration similar to the crystalline configuration at similar densities. The diffusion of oxygen atoms increases with the decrease of the density, consistent with a less-packed atomic structure which allows for easier movement of this species

DENSITY INFLUENCE ON AMORPHOUS HFO2 STRUCTURE: A MOLECULAR DYNAMICS STUDY

In this scenario, the aim of this work is to analyse systematically the influence of the materialdensity on the structure of amorphous HfO2 (a-HfO2). We will focus on investigating theatomic structure in the short, medium and long range in order to understand which is the preferential atomic structure.The molecular dynamics technique has been chosen for this analysis because it permits to investigate accurately the short and medium structural order of this material

Lithium and copper transport properties in phosphate glasses: A Molecular Dynamics study

Recently glasses have been considered as potential candidates for solid-state batteries applications due to the peculiar properties that they show if compared to crystalline ones. In this work, the dynamic properties of copper (Cu1 +) and lithium (Li1 +) ions in phosphate glasses, in which Cu2O was progressively substituted to Li2O, were investigated and correlated with the glass structure analysis by using Molecular Dynamic (MD) simulations. The diffusion of Li+ ions and how it is influenced by Cu2 + and Cu1 + ions were highlighted. In this vitreous system, the Cu1 + ions diffuse interacting with the lithium diffusion. This results in the general increase of the activation energy of Li1 + as a function of the Cu2O content in these glasses. At the same time the substitution of Li2O by Cu2O leads to the decrease of the Ea of the Cu1 +, mainly due to structural changes that promote the disruption of the Li1 + pathway and the creation of more stable Cu1 + sites. This explains the increased migration of this ion in higher copper content system

Lithium vanado-phosphate glasses: Structure and dynamics properties studied by molecular dynamics simulations

Lithium vanado-phosphate glasses have been designated as possible cathode material for the next generation of solid state batteries, due to their high conductivity and mixed electronic–ionic conducting behaviours, which derive from the small polaron hopping between the vanadium ions with different valence state and the lithium ion diffusion. Therefore, the understanding of the behaviour of these glasses at the atomistic level can be an important aspect in designing compositions for these applications. To reach this goal, the structure and lithium ion diffusion behaviour in lithium vanado-phosphate glasses with mixed V4 + and V5 + ions were studied using molecular dynamics simulations. The results show that vanadium oxide generally plays an intermediate role in glass structure while there are subtle details depending on its concentration and oxidation states. The phosphorus network is depolymerized by the content of vanadium oxide, but phosphorus ions always contribute to the glass network, interposing to vanadium polyhedra. The V4 +single bondOsingle bondV5 + linkages, responsible for the polaron hopping mechanism, show a linear dependence to the V2O5/P2O5 ratio, which highlights a strong role of the interaction between the former ions. The lithium ion diffusion was studied by mean square displacement calculations and it was found that the self-diffusion coefficient just depends on the Li content