Experimental investigation of the productivity of a wet separation process of traditional and bio-plastics

The separation process within a mechanical recycling plant plays a major role in the context of the production of high-quality secondary raw materials and the reduction of extensive waste disposal in landfills. Traditional plants for plastic separation employ dry or wet processes that rely on the different physical properties among the polymers. The hydraulic separator is a device employing a wet technology for particle separation. It allows the separation of two-polymer mixtures into two products, one collected within the instrument and the other one expelled through its outlet ducts. Apparatus performance were analyzed as a function of fluid and solid flow rates, flow patterns developing within the apparatus, in addition to the density, shape, and size of the polymers. For the hydraulic configurations tested, a two-way coupling takes place where the fluid exerts an influence on the plastic particles and the opposite occurs too. The interaction between the solid and liquid phases determines whether a certain polymer settles within the device or is expelled from the apparatus. Tests carried out with samples of increasing volumes of solid particles demonstrate that there are no significant differences in the apparatus effectiveness as far as a two-way interaction takes place. Almost pure concentrates of Polyethylene Terephthalate (PET), Polyvinyl Chloride (PVC), and Polycarbonate (PC) can be obtained from a mixture of traditional polymers. Tests conducted on Polylactic Acid (PLA) and Mater-Bi® samples showed that the hydraulic separator can be effectively employed to separate bio-plastics from conventional plastics with remarkable grade and recovery

Machine-learning vs. logistic regression for preoperative prediction of medical morbidity after fast-track hip and knee arthroplasty-a comparative study

BACKGROUND: Machine-learning models may improve prediction of length of stay (LOS) and morbidity after surgery. However, few studies include fast-track programs, and most rely on administrative coding with limited follow-up and information on perioperative care. This study investigates potential benefits of a machine-learning model for prediction of postoperative morbidity in fast-track total hip (THA) and knee arthroplasty (TKA).METHODS: Cohort study in consecutive unselected primary THA/TKA between 2014-2017 from seven Danish centers with established fast-track protocols. Preoperative comorbidity and prescribed medication were recorded prospectively and information on length of stay and readmissions was obtained through the Danish National Patient Registry and medical records. We used a machine-learning model (Boosted Decision Trees) based on boosted decision trees with 33 preoperative variables for predicting "medical" morbidity leading to LOS &gt; 4 days or 90-days readmissions and compared to a logistical regression model based on the same variables. We also evaluated two parsimonious models, using the ten most important variables in the full machine-learning and logistic regression models. Data collected between 2014-2016 (n:18,013) was used for model training and data from 2017 (n:3913) was used for testing. Model performances were analyzed using precision, area under receiver operating (AUROC) and precision recall curves (AUPRC), as well as the Mathews Correlation Coefficient. Variable importance was analyzed using Shapley Additive Explanations values.RESULTS: Using a threshold of 20% "risk-patients" (n:782), precision, AUROC and AUPRC were 13.6%, 76.3% and 15.5% vs. 12.4%, 74.7% and 15.6% for the machine-learning and logistic regression model, respectively. The parsimonious machine-learning model performed better than the full logistic regression model. Of the top ten variables, eight were shared between the machine-learning and logistic regression models, but with a considerable age-related variation in importance of specific types of medication.CONCLUSION: A machine-learning model using preoperative characteristics and prescriptions slightly improved identification of patients in high-risk of "medical" complications after fast-track THA and TKA compared to a logistic regression model. Such algorithms could help find a manageable population of patients who may benefit most from intensified perioperative care.</p

Phenotype reversion as “natural gene therapy” in Fanconi anemia by a gene conversion event

Somatic mosaicism appears as a recurrent phenomenon among patients suffering from Fanconi anemia (FA), but its direct prognostic significance mostly remains an open question. The clinical picture of FA mosaic subjects could indeed vary from just mild features to severe hematologic failure. Here, we illustrate the case of a proband whose FA familiarity, modest signs (absence of hematological anomalies and fertility issues), and chromosome fragility test transition to negative overtime were suggestive of somatic mosaicism. In line with this hypothesis, genetic testing on patient’s peripheral blood and buccal swab reported the presence of the only FANCA paternal variant (FANCA:c.2638C&gt;T, p. Arg880*) and of both parental alleles (the additional FANCA:c.3164G&gt;A, p. Arg1055Gln), respectively. Moreover, the SNP analysis performed on the same biological specimens allowed us to attribute the proband’s mosaicism status to a possible gene conversion mechanism. Our case clearly depicts the positive association between somatic mosaicism and the proband's favorable clinical course due to the occurrence of the reversion event at the hematopoietic stem cell level. Since this condition concerns only a limited subgroup of FA individuals, the accurate evaluation of the origin and extent of clonality would be key to steer clinicians toward the most appropriate therapeutic decision for their FA mosaic patients

YouTube birth and the primal scene

Motherhood has recently re-emerged as ‘material’ for artistic practice, and as a viable subject of academic research that both recognizes and extends earlier feminist assertions that the maternal is a key site for the anxious psychosocial negotiations of identity, subjectivity, equality, ethics and politics. Additionally, pregnancy and birth have graphically entered the public domain. Hundreds of thousands of short films of live birth, for instance, circulate around the globe on video sharing platforms such as YouTube, some with followings of many million viewers. Yet, how might we understand the desire to perform and spectate birth? ‘YouTube birth’ raises questions about performing and spectating birth in digital culture, and the meaning of watching our own birth with a mass public of millions of viewers. In this paper I explore these questions through revisiting the psychoanalytic notion of the ‘primal scene’. The primal scene is the Freudian articulation of the crucial role of infantile sexual and violent fantasies in structuring psychic life, linked to the loss of, or denial of, the material/maternal body as source or origin. Although within feminist scholarship the primal scene as a theoretical concept is radically out of date, it may be productive to revisit primal fantasies in the digital age, and the ways digital technologies shift our relation to ‘analogue’ notions of place, scene, birth, origin and loss. Exploring the continued place of psychoanalysis in helping to understand issues to do with origin, reproduction and temporality, I ask both what psychoanalysis might have to offer our understanding of performing and watching birth, and how a psychoanalytic configuration of the primal scene may itself need to change in relation to digital primal fantasies and technologies that function through fungibility and loss-less-ness

Gingival Overgrowths Revealing <i>PTEN</i> Hamartoma Tumor Syndrome: Report of Novel <i>PTEN</i> Pathogenic Variants

PTEN hamartoma tumor syndrome (PHTS), is a spectrum of disorders caused by mutations of PTEN, in which non-cancerous growths, called hamartomas, develop in different areas of the body, often including the oral mucosa. PHTS also implies a recognized increased risk of malignancies, as PTEN is a tumor suppressor gene capable of inhibiting progression of several cancers. One of the main and most common clinical manifestation of PHTS are gingival overgrowths presenting as warty lumps. The current study describes patients with gingival or mucosal enlargements leading to the diagnosis of PHTS associated to novel PTEN pathogenic variants. Patients referred to us for gingival lumps suggestive of PHTS associated overgrowths were submitted to genetic analysis in the PTEN gene. Two related and two unrelated patients were investigated. PTEN novel pathogenic variant was found in all of them. Two patients also fulfilled diagnostic criteria of Cowden syndrome (CS). Mucocutaneous lesions, and particularly diffuse gingival overgrowths, are both early and major clinical signs revealing a potential diagnosis of PHTS. Further genetic and clinical assessments are needed in order to confirm and clarify the diagnosis within the PHTS spectrum, including, among others, the CS. A correct interpretation of oral clinical features potentially associated to PHTS is mandatory for diagnosis and a surgical approach can be useful just in case of impairment of periodontal health or for aesthetic needs. The increased risk of malignancies associated to PHTS makes a correct diagnosis pivotal to set up an appropriate lifelong surveillance, aiming at secondary cancer prevention

Spectroscopic properties and upconversion in Pr3+:YF3 nanoparticles

The synthesis and spectroscopic investigation of Pr3+:YF3 nanoparticles with nominal concentration between 0.05% and 5 at% Pr3+ are reported. Pr3+ emission in the visible range of the spectrum is investigated at room temperature and at 10 K as well as time resolved spectroscopy as a function of Pr3+ concentration. The upconverted emission from the orange to the blue region is observed and the time-resolved spectroscopy of the visible emissions is discussed as a function of the doping level. A careful analysis of the decays permits identification of the main energy-transfer mechanisms that determine the population of the excited levels at various times during the decay

The ILE56 mutation on different genetic backgrounds of alanine: Glyoxylate aminotransferase: Clinical features and biochemical characterization

Primary Hyperoxaluria type I (PH1) is a rare disease caused by mutations in the AGXT gene encoding alanine:glyoxylate aminotransferase (AGT), a liver enzyme involved in the detoxification of glyoxylate, the failure of which results in accumulation of oxalate and kidney stones formation. The role of protein misfolding in the AGT deficit caused by most PH1-causing mutations is increasingly being recognized. In addition, the genetic background in which a mutation occurs is emerging as a critical risk factor for disease onset and/or severity. Based on these premises, in this study we have analyzed the clinical, biochemical and cellular effects of the p.Ile56Asn mutation, recently described in a PH1 patient, as a function of the residue at position 11, a hot-spot for both polymorphic (p.Pro11Leu) and pathogenic (p.Pro11Arg) mutations. We have found that the p.Ile56Asn mutation induces a structural defect mostly related to the apo-form of AGT. The effects are more pronounced when the substitution of Ile56 is combined with the p.Pro11Leu and, at higher degree, the p.Pro11Arg mutation. As compared with the non-pathogenic forms, AGT variants display reduced expression and activity in mammalian cells. Vitamin B6, a currently approved treatment for PH1, can overcome the effects of the p.Ile56Asn mutation only when it is associated with Pro at position 11. Our results provide a first proof that the genetic background influences the effects of PH1-causing mutations and the responsiveness to treatment and suggest that molecular and cellular studies can integrate clinical data to identify the best therapeutic strategy for PH1 patients

Notes of a visit to some church lands, where tenants have bought their holdings, and also to other church lands where tenants have not yet bought their holding

It has been suggested to me by Dr. Hancock that it may not be without value to the Statistical Society, that I should put on record the notes of a visit which I have paid during my short stay in Ireland to two of the properties of the Church Temporalities Commission, subject to the clause of the Church Disestablishment Act giving a right of pre-emption to the tenants. My object was that I might personally judge of the motives which the tenants had in view in effecting the purchase, and of the results, so far as they could be ascertained by ocular proof and by conversation with the new owners. By the advice of Mr. Murrough O\u27Brien, I selected for my visit two properties in the neighbourhood of Newry, one of which was sold four years ago to the tenants, and the other which, owing to some technical difficulties, is only now about to be offered to its tenants