Unusual osseous presentation of blastomycosis in an immigrant child: a challenge for European pediatricians.

Blastomycosis, caused by the thermally dimorphic fungus Blastomyces dermatitidis is a systemic pyogranulomatous infection, endemic in United States and Canada, with few reported cases in Africa and Asia. It is uncommon among children and adolescents, ranging from 3% to 10%. Clinical features vary from asymptomatic spontaneously healing pneumonia, through acute or chronic pneumonia, to a malignant appearing lung mass. Blastomycosis can originate a "metastatic disease" in the skin, bones, genitourinary tract and central nervous system. Bone is the third most common site of blastomycotic lesions, after lung and skin. Bones may be involved in 14-60% of cases of blastomycosis. Direct visualization of single broadbased budding yeast with specific stains in sputum or tissue samples at microscopy is the primary method for diagnosis, while culture is timeconsuming and other methods are unreliable. CASE PRESENTATION: We report a case of severe osteoarticular Blastomycosis occurring in a 3-years-old presented to our Emergency Department with pain and swelling of the left knee, successfully treated with surgical curettage and antifungal therapy. To our knowledge this is the first case reported in Europe. CONCLUSIONS: Blastomycosis represents a challenge for European physicians, and it should be included in the differential diagnosis of unexplained infections in patients coming from endemic areas

In vitro differentiation of human amniotic epithelial cells into insulin-producing 3D spheroids

Regenerative medicine and stem cell therapy may represent the solution for the treatment of non-curable human diseases such as type 1 diabetes. In this context of growing demand for functional and safe stem cells, human amniotic epithelial cells (hAECs) from term placenta have attracted increasing interest for their wide availability, stem cell properties, and differentiation plasticity, which make them a promising tool for stem cell-based therapeutic applications. We initially assayed the stemness characteristics of hAECs in serum-free conditions. Subsequently we developed a culture procedure on extracellular matrix for the formation of three-dimensional (3D) spheroids. Finally, we tested the immunomodulation and differentiation potential of hAEC spheroids: the presence of pancreatic endocrine hormones was revealed with transmission electron microscopy and immunofluorescence analyses; the release of C-peptide in hyperglycemic conditions was assayed with ELISA.The serum-free culture conditions we applied proved to maintain the basic stemness characteristics of hAECs. We also demonstrated that 3D spheroids formed by hAECs in extracellular matrix can be induced to differentiate into insulin-producing cells. Finally, we proved that control and induced cells equally inhibit the proliferation of activated mononuclear cells.The results of this study highlight the properties of amnion derived epithelial cells as promising and abundant source for cell-based therapies. In particular we are the first group to show the in vitro pancreatic induction of hAECs cultured on extracellular matrix in a 3D fashion. We accordingly propose the outcomes of this study as a novel contribution to the development of future cell replacement therapies involving placenta-derived cells

APE Results of Hadron Masses in Full QCD Simulations

We present numerical results obtained in full QCD with 2 flavors of Wilson fermions. We discuss the relation between the phase of Polyakov loops and the {\bf sea} quarks boundary conditions. We report preliminary results about the HMC autocorrelation of the hadronic masses, on a $16^3 \times 32$ lattice volume, at $\beta=5.55$ with $k_{sea}=0.1570$.Comment: 3 pages, compressed ps-file (uufiles), Contribution to Lattice 9

GPU-based Real-time Triggering in the NA62 Experiment

Over the last few years the GPGPU (General-Purpose computing on Graphics Processing Units) paradigm represented a remarkable development in the world of computing. Computing for High-Energy Physics is no exception: several works have demonstrated the effectiveness of the integration of GPU-based systems in high level trigger of different experiments. On the other hand the use of GPUs in the low level trigger systems, characterized by stringent real-time constraints, such as tight time budget and high throughput, poses several challenges. In this paper we focus on the low level trigger in the CERN NA62 experiment, investigating the use of real-time computing on GPUs in this synchronous system. Our approach aimed at harvesting the GPU computing power to build in real-time refined physics-related trigger primitives for the RICH detector, as the the knowledge of Cerenkov rings parameters allows to build stringent conditions for data selection at trigger level. Latencies of all components of the trigger chain have been analyzed, pointing out that networking is the most critical one. To keep the latency of data transfer task under control, we devised NaNet, an FPGA-based PCIe Network Interface Card (NIC) with GPUDirect capabilities. For the processing task, we developed specific multiple ring trigger algorithms to leverage the parallel architecture of GPUs and increase the processing throughput to keep up with the high event rate. Results obtained during the first months of 2016 NA62 run are presented and discussed

Definizione e analisi delle mappe di prestazione di un turboalbero aeronautico

Nel presente lavoro di tesi, in seguito ad acquisizioni di dati effettuate nella sala prove del "Laboratorio di Macchine e Propulsione" della Scuola di Ingegneria e Architettura di Forlì sul turboshaft Allison 250 C18, in una prima fase sono state ricavate le mappe prestazionali dei singoli componenti del motore, elaborando i dati sperimentali in ambiente MatLab. Le acquisizioni sono state effettuate mediante l'utilizzo di sensori di pressione, temperatura e velocità installati in precedenza sul motore e opportunamente calibrati. In seguito alla realizzazione delle mappe prestazionali, si è passati all'allestimento completo di un modello dinamico in ambiente Simulink, del motore Allison 250 C18. Tale modello riproduce, in opportuni blocchi, ciascun componente facente parte della motorizzazione. Ogni blocco riceve in ingresso le caratteristiche fisiche di interesse del flusso (temperatura, pressione, calore specifico a pressione costante e gamma) provenienti dal blocco precedente tramite un "filo", le rielabora al suo interno risolvendo le equazioni tipiche di ciascun componente e interpolando le mappe di prestazione ricavate precedentemente in MatLab, e le invia come input al blocco successivo o in retroazione ai blocchi precedenti. In ogni blocco è stato realizzato un sistema di dinamica di pressione che, ad ogni istante, risolve un'equazione differenziale dipendente dalla differenza di portata a monte e a valle di un componente e dal volume di controllo, che restituisce il valore di pressione in uscita proporzionale alla variazione di portata stessa. Nel presente lavoro di tesi si è cercato di stabilizzare questo complesso sistema in una condizione di progetto, fissata a 30000 rpm del gruppo gas generator. Un sistema di controllo del numero di giri tramite variazione di portata di combustibile è stato realizzato al fine di poter, in futuro, far funzionare il modello anche fuori dalla condizione di progetto e riuscire a simulare l'andamento delle prove sperimentali reali

Polyakov loops and finite-size effects of hadron masses in full lattice QCD

Polyakov type loops are responsible for the difference between quenched and unquenched finite size effects on the QCD mass spectrum. With a numerical simulation, using appropriate sea quark spatial boundary conditions, we show that we can align the phases of spatial Polyakov loops in a predelined direction. Starting from these results, we propose a procedure to minimize fluctuations due to these effects in meson propagators

Obesity in patients with acute lymphoblastic leukemia in childhood

Acute lymphoblastic leukemia is the most common malignancy in childhood. Continuous progress in risk-adapted treatment for childhood acute lymphoblastic leukemia has secured 5-year event-free survival rates of approximately 80% and 8-year survival rates approaching 90%. Almost 75% of survivors, however, have a chronic health condition negatively impacting on cardiovascular morbidity and mortality. Obesity can be considered one of the most important health chronic conditions in the general population, with an increasing incidence in patients treated for childhood cancers and especially in acute lymphoblastic leukemia survivors who are, at the same time, more at risk of experiencing precocious cardiovascular and metabolic co-morbidities. The hypothalamic-pituitary axis damage secondary to cancer therapies (cranial irradiation and chemotherapy) or to primary tumor together with lifestyle modifications and genetic factors could affect long-term outcomes. Nevertheless, the etiology of obesity in acute lymphoblastic leukemia is not yet fully understood. The present review has the aim of summarizing the published data and examining the most accepted mechanisms and main predisposing factors related to weight gain in this particular population