2,396 research outputs found

    Ultrashort soliton switching based on coherent energy hiding

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    3openopenRomagnoli, M.; Wabnitz, Stefan; Zoccolotti, L.M., Romagnoli; Wabnitz, Stefan; L., Zoccolott

    On a chemotaxis-hapotaxis model with nonlinear diffusion modelling multiple sclerosis

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    We investigated existence of global weak solutions for a system of chemotaxis-hapotaxis type with nonlinear degenerate diffusion, arising in modelling Multiple Sclerosis disease. The model consists of three equations describing the evolution of macrophages (mm), cytokine (cc) and apoptotic oligodendrocytes (dd). The main novelty in our work is the presence of a nonlinear diffusivity D(m)D(m), which results to be more appropriate from the modelling point of view. Under suitable assumptions and for sufficiently regular initial data, adapting the strategy in [30,44], we show the existence of global bounded solutions for the model analysed

    Latent AKI is... still AKI: The quantification of the burden of renal dysfunction

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    The association between pediatric cardiac surgery, acute kidney injury (AKI), and clinical outcomes has been studied several times in the recent literature. In this issue of Critical Care an interesting and original study analyzed the path from causal AKI entities to clinical AKI consequences through the application of structural equation modeling. The authors described the complex connections linking duration of cardiopulmonary bypass, cross clamp-time, and descriptors of low cardiac output syndrome to AKI modeled as a complex variable composed of post-operative serum creatinine increase of 50 % over baseline, urine output <0.5 ml/kg/h, and urine creatinine-normalized neutrophil gelatinase lipocalin within 12 h of surgery. Similarly, the causal relationships between AKI and hard outcomes in the analyzed population were verified and quantified. The authors, for the first time, produce a repeatable coefficient (0.741) that may become a useful quality benchmark and could be applied to test future interventions aiming to reduce the burden of AKI on children’s clinical course

    Acute Kidney Injury in Coronavirus Disease 2019 Infected Patients: A Meta-Analytic Study

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    Introduction: In clinical reports on coronavirus disease 2019 (COVID-19), the incidence of acute kidney injury (AKI) is extremely variable, although AKI is described as an independent risk factor for mortality. A meta-analysis was performed to clarify the incidence and the impact of COVID-19-related AKI on mortality. Methods: All trials reporting the incidence of AKI in COVID-19 patients were searched using MEDLINE, the Cochrane Library, and EMBASE databases (last update April 26, 2020). Results: Ten trials with a sample of 5,166 patients were included. AKI occurred in 947 out of 5,166 (18.3%) patients. AKI incidence was higher in severe cases: 62/305 severe patients developed AKI (20%) versus 27/1,268 nonsevere patients (2%) (p = 0.00001). AKI occurred in 475 out of 915 (52%) deceased patients versus 183 out of 2,678 (7%) survivors (p = 0.00001). Continuous renal replacement therapy was significantly more frequent in severe cases and in dead patients. Conclusion: A significant increase in mortality rate was observed in COVID patients who developed AKI, and AKI incidence was also higher in severe cases. Any supportive strategies to protect kidney could represent valuable intervention to reduce mortality in severe COVID-19 patients

    Algae-based biorefinery concept. An LCI analysis for a theoretical plant

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    Both micro and macro algae have a potential to be a valuable feedstock for biorefineries. The theoretical impact assessment of this kind of plant can be carried out through an LCA, which is a key tool in order to evaluate the potential environmental impact of a process throughout its entire life cycle. Hence, it is a priority to perform an LCI with the aim of gathering all the data and simulating all the unit process of a theoretical biorefinery. The Inventory ensures to obtain a simple and immediate way to represent several aspects of a biorefinery, e.g. productivity, environmental pressures, required resources in terms of raw materials and energy. One of the main aspects clearly shown in this study is the significant environmental pressures due to the cultivation and harvesting steps, for which it is desirable to consider a biomass collection from the environment, especially from areas where eutrophication phenomena are particularly recurrent. Another conclusion drawn from the study is that the total plant production per year appears very limited, if compared to any conventional refinery. The following approach can also provide a starting data set to perform a first approximate economic analysis of the costs/gains of the outlined project, and it could be used as a first concept design for the project development of a real plant

    High serum osteopontin levels are associated with prevalent fractures and worse lipid profile in post-menopausal women with type 2 diabetes

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    Purpose: Patients with type 2 diabetes (T2DM) have increased fracture risk. Osteopontin (OPN) is a protein involved in bone remodeling and inflammation. The aim of this study was to evaluate the association of OPN with fracture prevalence and with metabolic parameters in post-menopausal women with T2DM. Methods: Sixty-four post-menopausal women with T2DM (age 67.0 ± 7.8 years, diabetes duration 8.9 ± 6.7 years), enrolled in a previous study, were followed up (3.6 ± 0.9 years). Previous fragility fractures were recorded. The FRAX score (without BMD) was calculated and biochemical parameters (plasma glucose, HbA1c, lipid profile and renal function) were assessed. Serum 25OH-vitamin D, calcium, PTH and OPN were evaluated at baseline. The association between OPN and fracture prevalence at baseline was evaluated by a logistic model. Results: OPN levels were higher in patients with previous fractures (n.25) than in patients without previous fractures at baseline (n.39) (p = 0.006). The odds of having fractures at baseline increased by 6.7 (1.9–31.4, 95% CI, p = 0.007) for each increase of 1 ng/ml in OPN levels, after adjustment for vitamin D and HbA1c levels. Fracture incidence was 4.7%. Higher OPN associated with a decrease in HDL-cholesterol (p = 0.048), after adjustment for age, basal HDL-cholesterol, basal and follow-up HbA1c and follow-up duration. 25OH-vitamin D associated with an increase in FRAX-estimated probability of hip fracture at follow-up (p = 0.029), after adjustment for age, 25OH-vitamin D and time. Conclusions: In post-menopausal women with T2DM, OPN might be a useful marker of fracture and worse lipid profile

    Guided-wave photodetectors in germanium on optical chips in silicon-on-insulator

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    We report the integration of near-infrared waveguide photodetectors in polycrystalline Germanium with Silicon on Insulator optical chips for power monitor applications. We discuss design and fabrication of the devices as well as their characterization in terms of dark current, responsivity and signal to noise ratio
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