Aneurysm of the Ascending Aorta after Cardiac Transplantation

We report the case of a 57-year-old female cardiac transplant patient in whom an aneurysm of the recipient side of the ascending aorta developed 1 year after transplantation. Although a mycotic origin was the likely cause, histologic examination diagnosed an atherosclerotic aneurysm

Small-scale assessment of corrosion-induced damage in hardmetals

In this work, the effect of corrosion-induced damage on the mechanical response of hardmetals was evaluated at small-scale level by means of nanoindentation and nanoscratch. Damage was introduced in a controlled way through immersion in acidic solution. It is found that surface degradation associated with corrosion leads to a strong reduction of hardness and elastic modulus, as compared to non-corroded samples. Similarly, significant differences are observed in nanoscratch response, regarding not only width and depth of tracks but also deformation mechanisms developed as contact load is progressively increased. Damage was already evidenced in corroded surfaces at scratching loads one order of magnitude lower than for virgin specimens. Cracking and fragmentation of individual WC grains, together with chipping of at the track edges were the main deformation and fracture micromechanisms identified. Changes in nanoindentation and nanoscratch response and damage scenario are discussed on the basis of the corrosion-induced changes within the intrinsic microstructural assemblage of hardmetals.Postprint (published version

Corrosion-induced changes on Hertzian contact damage in cemented carbides

In this study, the influence of corrosion on the mechanical response and damage induced under Hertzian indentation is assessed for three cemented carbides with metallic binders of different chemical nature. Corrosion degradation is introduced in a controlled way, before subsequent spherical indentation testing, by immersing specimens in a stirred acidic medium. Results reveal quite strong corrosion effects on indentation stress-strain response and contact damage scenario. Such detrimental influence is found to be dependent on both the ratio between indentation depth and thickness of the corroded layer as well as chemical nature of the binder. In this regard, critical loads for emergence and evolution of specific damage events (i.e. ring and radial cracks, and even specimen failure) are proposed as figures of merit for material selection under the combined action of corrosion and contact loads. Within this context, the hardmetal grade with Co-base binder and addition of Cr is found to be the best option, among the three cemented carbides studied in this investigation. It points out the consideration of the synergic interaction between corrosion resistance and hardness/toughness correlation for microstructural design optimization of hardmetals under service-like conditions. These statements are supported by the relevant corrosion-induced changes also observed, by means of advanced characterization techniques, in terms of deformation/failure micromechanisms at both surface and subsurface levels.Peer ReviewedPostprint (author's final draft

Association of angiitis of central nervous system, cerebral amyloid angiopathy, and Alzheimer’s disease: Report of an autopsy case

The association of angiitis of central nervous system (ACNS) with cerebral amyloid angiopathy (CAA) suggests a physiopathological relationship between these two affections. Few cases are reported in patients with Alzheimer’s disease (AD). We describe here a clinicopathological case associating ACNS, CAA, and AD. We discuss the aetiology of ACNS and its relationship with cerebral deposition of beta A4 amyloid protein (βA4)

Influence of corrosion-induced damage on mechanical integrity and load-bearing capability of cemented carbides

Tungsten carbide based cemented carbides, often simply termed hardmetals, are established forefront materials for tools, structural components, and wear parts with stringent requirements. Several of the technological applications in which they are used include exposure to chemically aggressive media. Under these conditions, failure induced under applied load may be accelerated; and consequently, the service life may be decreased. Within this context, this work addresses the influence of corrosion-induced damage on the mechanical integrity and load-bearing capability of hardmetals at different length scales, i.e., from 100s nanometers to 1000s microns. Experimental data acquired by means of nanoindentation, pyramidal, and spherical indentation, as well as sliding contact (micro- and nanoscratch) techniques, are presented. The attained results allow for identifying guidelines for the microstructural design of these materials under combined consideration of corrosion and mechanical contact as service-like conditions. Discussion of the reported findings includes a critical analysis of corrosion effects on the evolution of microstructure-property-performance interrelations for the materials under consideration.Peer ReviewedPostprint (published version

Sleep and wake disturbances following traumatic brain injury

Traumatic brain injury (TBI) is a major health concern in industrialised countries. Sleep and wake disturbances are among the most persistent and disabling sequelae after TBI. Yet, despite the widespread complaints of post-TBI sleep and wake disturbances, studies on their etiology, pathophysiology, and treatments remain inconclusive. This narrative review aims to summarise the current state of knowledge regarding the nature of sleep and wake disturbances following TBI, both subjective and objective, spanning all levels of severity and phases postinjury. A second goal is to outline the various causes of post-TBI sleep-wake disturbances. Globally, although sleep-wake complaints are reported in all studies and across all levels of severity, consensus regarding the objective nature of these disturbances is not unanimous and varies widely across studies. In order to optimize recovery in TBI survivors, further studies are required to shed light on the complexity and heterogeneity of post-TBI sleep and wake disturbances, and to fully grasp the best timing and approach for intervention

Taxonomic assignment of uncultivated prokaryotic virus genomes is enabled by gene-sharing networks

© 2019, The Author(s), under exclusive licence to Springer Nature America, Inc. Microbiomes from every environment contain a myriad of uncultivated archaeal and bacterial viruses, but studying these viruses is hampered by the lack of a universal, scalable taxonomic framework. We present vConTACT v.2.0, a network-based application utilizing whole genome gene-sharing profiles for virus taxonomy that integrates distance-based hierarchical clustering and confidence scores for all taxonomic predictions. We report near-identical (96%) replication of existing genus-level viral taxonomy assignments from the International Committee on Taxonomy of Viruses for National Center for Biotechnology Information virus RefSeq. Application of vConTACT v.2.0 to 1,364 previously unclassified viruses deposited in virus RefSeq as reference genomes produced automatic, high-confidence genus assignments for 820 of the 1,364. We applied vConTACT v.2.0 to analyze 15,280 Global Ocean Virome genome fragments and were able to provide taxonomic assignments for 31% of these data, which shows that our algorithm is scalable to very large metagenomic datasets. Our taxonomy tool can be automated and applied to metagenomes from any environment for virus classification

VGLL2-NCOA2 leverages developmental programs for pediatric sarcomagenesis

Clinical sequencing efforts are rapidly identifying sarcoma gene fusions that lack functional validation. An example is the fusion of transcriptional coactivators, VGLL2-NCOA2, found in infantile rhabdomyosarcoma. To delineate VGLL2-NCOA2 tumorigenic mechanisms and identify therapeutic vulnerabilities, we implement a cross-species comparative oncology approach with zebrafish, mouse allograft, and patient samples. We find that VGLL2-NCOA2 is sufficient to generate mesenchymal tumors that display features of immature skeletal muscle and recapitulate the human disease. A subset of VGLL2-NCOA2 zebrafish tumors transcriptionally cluster with embryonic somitogenesis and identify VGLL2-NCOA2 developmental programs, including a RAS family GTPase, ARF6. In VGLL2-NCOA2 zebrafish, mouse, and patient tumors, ARF6 is highly expressed. ARF6 knockout suppresses VGLL2-NCOA2 oncogenic activity in cell culture, and, more broadly, ARF6 is overexpressed in adult and pediatric sarcomas. Our data indicate that VGLL2-NCOA2 is an oncogene that leverages developmental programs for tumorigenesis and that reactivation or persistence of ARF6 could represent a therapeutic opportunity