Grating-Coupling-Based Excitation of Bloch Surface Waves for Lab-on-Fiber Optrodes

In this paper, we investigate the possibility to excite Bloch surface waves (BSWs) on the tip of single-mode optical fibers. Within this framework, after exploring an idealized, proof-of-principle grating-coupling-based scheme for on-tip excitation of BSWs, we focus on an alternative configuration that is more robust with respect to fabrication-related non-idealities. Subsequently, with a view towards label-free chemical and biological sensing, we present a specific design aimed at enhancing the sensitivity (in terms of wavelength shift) of the arising resonance with respect to changes in the refractive properties of the surrounding environment. Numerical results indicate that the attained sensitivities are in line with those exhibited by state-of-the-art plasmonic bioprobes, with the key advantage of exhibiting much narrower spectral resonances. This prototype study paves the way for a new class of miniaturized high-performance surface-wave fiber-optic devices for high-resolution label-free optical biosensing, and represents an important step forward in the "lab-on-fiber" technology roadmap.Comment: 15 pages; 9 figures; 3 tables (minor revisions in the title and text

Trisomy 19 ependymoma, a newly recognized genetico-histological association, including clear cell ependymoma

Ependymal tumors constitute a clinicopathologically heterogeneous group of brain tumors. They vary in regard to their age at first symptom, localization, morphology and prognosis. Genetic data also suggests heterogeneity. We define a newly recognized subset of ependymal tumors, the trisomy 19 ependymoma. Histologically, they are compact lesions characterized by a rich branched capillary network amongst which tumoral cells are regularly distributed. When containing clear cells they are called clear cell ependymoma. Most trisomy 19 ependymomas are supratentorial WHO grade III tumors of the young. Genetically, they are associated with trisomy 19, and frequently with a deletion of 13q21.31-31.2, three copies of 11q13.3-13.4, and/or deletions on chromosome 9. These altered chromosomal regions are indicative of genes and pathways involved in trisomy 19 ependymoma tumorigenesis. Recognition of this genetico-histological entity allows better understanding and dissection of ependymal tumors

Cerebellar ataxia with sensory ganglionopathy; does autoimmunity have a role to play?

Background and purpose: Cerebellar ataxia with sensory ganglionopathy (SG) is a disabling combination of neurological dysfunction usually seen as part of some hereditary ataxias. However, patients may present with this combination without a genetic cause. Methods: We reviewed records of all patients that have been referred to the Sheffield Ataxia Centre who had neurophysiological and imaging data suggestive of SG and cerebellar ataxia respectively. We excluded patients with Friedreich's ataxia, a common cause of this combination. All patients were screened for genetic causes and underwent extensive investigations. Results: We identified 40 patients (45% males, mean age at symptom onset 53.7 ± 14.7 years) with combined cerebellar ataxia and SG. The majority of patients (40%) were initially diagnosed with cerebellar dysfunction and 30% were initially diagnosed with SG. For 30% the two diagnoses were made at the same time. The mean latency between the two diagnoses was 6.5 ± 8.9 years (range 0-44). The commonest initial manifestation was unsteadiness (77.5%) followed by patchy sensory loss (17.5%) and peripheral neuropathic pain (5%).Nineteen patients (47.5%) had gluten sensitivity, of whom 3 patients (7.5%) had biopsy proven coeliac disease. Other abnormal immunological tests were present in another 15 patients. Six patients had malignancy, which was diagnosed within 5 years of the neurological symptoms. Only 3 patients (7.5%) were classified as having a truly idiopathic combination of cerebellar ataxia with SG. Conclusion: Our case series highlights that amongst patients with the unusual combination of cerebellar ataxia and SG, immune pathogenesis plays a significant role

Translational evidence for two distinct patterns of neuroaxonal injury in sepsis: a longitudinal, prospective translational study

Background Brain homeostasis deteriorates in sepsis, giving rise to a mostly reversible sepsis-associated encephalopathy (SAE). Some survivors experience chronic cognitive dysfunction thought to be caused by permanent brain injury. In this study, we investigated neuroaxonal pathology in sepsis. Methods We conducted a longitudinal, prospective translational study involving (1) experimental sepsis in an animal model; (2) postmortem studies of brain from patients with sepsis; and (3) a prospective, longitudinal human sepsis cohort study at university laboratory and intensive care units (ICUs). Thirteen ICU patients with septic shock, five ICU patients who died as a result of sepsis, fourteen fluid-resuscitated Wistar rats with fecal peritonitis, eleven sham-operated rats, and three human and four rat control subjects were included. Immunohistologic and protein biomarker analysis were performed on rat brain tissue at baseline and 24, 48, and 72 h after sepsis induction and in sham-treated rats. Immunohistochemistry was performed on human brain tissue from sepsis nonsurvivors and in control patients without sepsis. The clinical diagnostics of SAE comprised longitudinal clinical data collection and magnetic resonance imaging (MRI) and electroencephalographic assessments. Statistical analyses were performed using SAS software (version 9.4; SAS Institute, Inc., Cary, NC, USA). Because of non-Gaussian distribution, the nonparametric Wilcoxon test general linear models and the Spearman correlation coefficient were used. Results In postmortem rat and human brain samples, neurofilament phosphoform, β-amyloid precursor protein, β-tubulin, and H&E stains distinguished scattered ischemic lesions from diffuse neuroaxonal injury in septic animals, which were absent in controls. These two patterns of neuroaxonal damage were consistently found in septic but not control human postmortem brains. In experimental sepsis, the time from sepsis onset correlated with tissue neurofilament levels (R = 0.53, p = 0.045) but not glial fibrillary acidic protein. Of 13 patients with sepsis who had clinical features of SAE, MRI detected diffuse axonal injury in 9 and ischemia in 3 patients. Conclusions Ischemic and diffuse neuroaxonal injury to the brain in experimental sepsis, human postmortem brains, and in vivo MRI suggest these two distinct lesion types to be relevant. Future studies should be focused on body fluid biomarkers to detect and monitor brain injury in sepsis. The relationship of neurofilament levels with time from sepsis onset may be of prognostic value

Cerebellar ataxia and sensory ganglionopathy associated with light-chain myeloma.

BACKGROUND: Cerebellar ataxia with sensory ganglionopathy is a rare neurological combination that can occur in some hereditary ataxias including mitochondrial diseases and in gluten sensitivity. Individually each condition can be a classic paraneoplastic neurological syndrome. We report a patient with this combination who was diagnosed with light-chain myeloma ten years after initial presentation. CASE PRESENTATION: A 65-year-old Caucasian lady was referred to our Ataxia Clinic because of a 6-year history of progressive unsteadiness and a 2-year history of slurred speech. Past medical history included arterial hypertension. The patient was a non-smoker was not consuming alcohol excessively. There was no family history of ataxia. Neurological examination revealed prominent gaze-evoked nystagmus, heel to shin ataxia, gait ataxia, reduced reflexes and loss of vibration sensation in the legs. Cerebellar ataxia was confirmed using magnetic resonance spectroscopy of the cerebellum and sensory ganglionopathy using neurophysiological assessments including blink reflex study. A muscle biopsy that was arranged to explore the possibility of mitochondrial disease revealed amyloidosis. Urinalysis confirmed the presence of light chains. A bone marrow biopsy confirmed the diagnosis of light chain multiple myeloma. CONCLUSIONS: Whilst it could be argued that this could simply be a coincidence, the rarity of these conditions and the absence of an alternative aetiology for the neurological dysfunction argue in favour of a paraneoplastic phenomenon

Narrazione e dissenso: rappresentazione della soggettività popolare in due racconti di Caterina Percoto

Contestualizzato nell’ampio panorama letterario connesso all’unificazione d’Italia, l’iter narrativo di Caterina Percoto acquisisce un significato storico nuovo. Confutando la lettura tradizionale – che associa la produzione della scrittrice al filantropismo di marca pietista (proprio della narrativa campagnola) – il contributo intende mostrare come in due tra i suoi racconti più noti – Lis Cidulis (1844) e Un episodio dell’anno della fame (1845) – la riproduzione obiettiva delle condizioni dei caratteri Quarto Stato abbia l’effetto di problematizzare l’impianto apologetico della narrazione; e che attraverso la mimesi della vita psichica dei personaggi venga implicitamente veicolato un messaggio di dissenso all’ideologia borghese dominante.Contextualized within the production of "Risorgimento", Caterina Percoto's narrative acquires a new historical significance. By refuting the traditional reading, which associates the writer's production with a pietistic philanthropy, this article aims to demonstrate how in two of her most renowned short stories - Lis Cidulis (1844) and Un episodio dell'anno della fame (1845) - the objective representation of the conditions of Quarto Stato characters serves to problematize the apologetic message of the plot. In particular, mimesis of the characters' inner lives conveys an implicit message of dissent against the ideology of the bourgeoisie

Recensione di Gloria Scarfone, Il pensiero monologico. Personaggio e vita psichica in Volponi, Morante e Pasolini (Mimesis, 2022)

Recensione di Gloria Scarfone, Il pensiero monologico. Personaggio e vita psichica in Volponi, Morante e Pasolini (Mimesis, 2022