Hydro-mechanichal characterisation of bentonite/steel interfaces

The hydromechanical response of a Wyoming-type bentonite (MX-80) and its interface with steel was studied in terms of shear resistance under different hydration levels. A series of shear tests under constant normal stress were performed in total suction controlled conditions. In the case of bentonite samples, higher shear resistance was obtained for higher levels of applied suction. The shear properties of the bentonite/steel interface were overall lower than the internal properties of the bentonite, and they were not affected in a significant way by the hydration level. All samples presented a compactive response during shearing

Value-added effects of using aromatic plants in foods and human therapy

Consumers' demands for low-processed and healthier food products led to a search for alternatives to replace or reduce synthetic food additives with natural ones. Aromatic plant derivatives which have GRAS status, have been examined for being natural food preservatives and antioxidants to prolong the shelf-life of foods. They contribute to food safety, owing to their anti-quorum sensing, and anti-biofilm properties. These potential food safety attributes and increasing demand for natural food additive options have led to an interest in the use of them, especially in traditional meat, dairy, and bakery products, which would provide them an added value, and increase the market competitiveness. Therefore, the overall perspective of the value-added effects of using aromatic plants and their derivatives in food production and of their incorporated use into packaging materials for active packaging are discussed in this review. In addition, it provides information on their antimicrobial and antioxidant actions. The review also aims to give detailed information on benefits of vegetal bioactive compounds in health and disease by giving their nutraceutical and health-promoting properties. The current knowledge on their application in the treatment of health disorders is presented, their ability to prevent diseases is discussed, and the areas for future research are proposed

Current Insights in Microbiome Shifts in Sjogren's Syndrome and Possible Therapeutic Interventions.

Sjogren's syndrome (SS) is an autoimmune disease, among the most common ones, that targets mainly the exocrine glands as well as extra-glandular epithelial tissues. Their lymphocytic infiltration leads to manifestations from other organs (e.g., kidneys, lungs, liver, or thyroid), apart from sicca symptoms (xerostomia and keratoconjunctivitis). SS is more prevalent in women than in men (9:1). Moreover, p.SS patients are in increased risk to develop lymphoma. Certain autoantibodies (e.g., antibodies against ribonucleoprotein autoantigens Ro-SSA and La-SSB) are ultimate hallmarks for the disease. It was not known until recently that culture-independent techniques like next-generation sequencing (NGS) facilitate the study of the microbe communities in humans and scientists achieved to define the outlines of the microbiome contribution in health and disease. Researchers have started to investigate the alterations in diversity of the oral, ocular, or intestinal microbiota in SS. Recent studies indicate that dysbiosis may play a significant role in SS pathogenesis. At the same time, the cause or effect is not clear yet because the dysfunction of salivary glands induces alterations in oral and intestinal microbiome which is linked to worsen of symptoms and disease severity. If the human microbiome proves to play a key role in pathogenesis and manifestation of SS, the next step could be new and promising therapeutic approaches such as probiotics or prebiotics. This mini review focuses on the alterations of microbiome of SS patients, their connection with immune tolerance and new therapeutic strategies involving diet manipulation toward future personalized medicine

A multichannel feature-based approach for longitudinal lung CT registration in the presence of radiation induced lung damage

Quantifying parenchymal tissue changes in the lungs is imperative in furthering the study of radiation-induced lung damage (RILD). Registering lung images from different time-points is a key step of this process. Traditional intensity-based registration approaches fail this task due to the considerable anatomical changes that occur between timepoints. This work proposes a novel method to successfully register longitudinal pre- and post-radiotherapy (RT) lung CT scans that exhibit large changes due to RILD, by extracting consistent anatomical features from CT (lung boundaries, main airways, vessels) and using these features to optimise the registrations. Pre-RT and 12-month post-RT CT pairs from fifteen lung cancer patients were used for this study, all with varying degrees of RILD, ranging from mild parenchymal change to extensive consolidation and collapse. For each CT, signed distance transforms from segmentations of the lungs and main airways were generated, and the Frangi vesselness map was calculated. These were concatenated into multi-channel images and diffeomorphic multichannel registration was performed for each image pair using NiftyReg. Traditional intensity-based registrations were also performed for comparison purposes. For the evaluation, the pre- and post-registration landmark distance was calculated for all patients, using an average of 44 manually identified landmark pairs per patient. The mean (standard deviation) distance for all datasets decreased from 15.95 (8.09) mm pre-registration to 4.56 (5.70) mm post-registration, compared to 7.90 (8.97) mm for the intensity-based registrations. Qualitative improvements in image alignment were observed for all patient datasets. For four representative subjects, registrations were performed for 3 additional follow-up timepoints up to 48-months post-RT and similar accuracy was achieved. We have demonstrated that our novel multichannel registration method can successfully align longitudinal scans from RILD patients in the presence of large anatomical changes such as consolidation and atelectasis, outperforming the traditional registration approach both quantitatively and through thorough visual inspection

Assessing Patients’ Needs in Greek Intensive Care Units. Validation of a Respiratory Patient Satisfaction Scale

Respiratory patients constitute a specific and large category of patients hospitalized in Greek Intensive Care Units (ICUs). These patients have specific needs which differ significantly from other groups of patients treated in general ICUs. Assessing the needs and satisfaction levels of respiratory patients is a crucial issue, related to the quality of care provided in ICU.  Many questionnaires have been developed to measure patient satisfaction or patient needs. However, no previous attempt has been made to develop an instrument focused on respiratory patient needs with the appropriate psychometric properties. The aim of this study was to describe the development and evaluation of the psychometric properties of the Respiratory Patient Satisfaction Scale, and its validity and reliability, by ICU respiratory patients’ satisfaction.Τhe questionnaire was pilot tested with 20 ICU respiratory patients to identify problems of wording or length of the instrument. Based on feedback, the wording was adjusted and certain items were combined. A new convenience sample of 164 ICU respiratory patients then performed a test-retest of the questionnaire. Internal consistency was assessed using Cronbach alpha coefficients and stability of items was evaluated through test and retest comparison and expressed through intraclass correlation coefficient (ICC). The internal consistency reliability coefficients exceed the minimum 0.50 for Cronbach’s coefficient alpha. An exploratory factor analysis revealed seventeen factors, explaining 74.5% of the variability. Respiratory Patient Satisfaction Scale found to be a comprehensive instrument with satisfactory psychometric properties. The results from this study would serve as references for continuous improvement in intensive care practice helping all patients hospitalized in Greek ICUs and not only the respiratory patients. Keywords: Respiratory patients, Intensive Care Unit, Patient Satisfaction Scale, Validation,   Quality care. DOI: 10.7176/JEP/12-17-01 Publication date:June 30th 202

Comparative Susceptibility Study Against Pathogens Using Fermented Cranberry Juice and Antibiotics.

In the present study, unfermented and fermented cranberry juice in combination with the Antibiotics vancomycin and tigecycline were tested for their antimicrobial activity. Cranberry juice was fermented with a recently isolated potentially probiotic Lactobacillus paracasei K5. The tested strains selected for this purpose were Enterococcus faecalis, E. faecium, Enterobacter cloacae and Staphylococcus aureus. The methods followed were the determination of zones inhibition, Minimum Inhibitory Concentration (MIC) and Fractional Inhibitory Concentration Index (FICI). Tigecycline together with fermented juice exhibited larger Zones of Inhibition (ZOI) in strains of E. faecium (65 ± 4.8 mm) compared to the respective ZOI with tigecycline and unfermented juice (no zone). The same outcome was also obtained with E. cloacae. Vancomycin together with fermented juice exhibited larger ZOI in strains of E. faecium (28 ± 2.2 mm) compared to the respective ZOI with vancomycin and unfermented juice (24 ± 2.3 mm). The lowest MIC values were recorded when tigecycline was combined with fermented cranberry juice against S. aureus strains, followed by the same combination of juice and antibiotic against E. cloacae strains. FICI revealed synergistic effects between fermented juice and tigecycline against a strain of E. faecium (A2020) and a strain of E. faecalis (A1940). Such effects were also observed in the case of fermented juice in combination with vancomycin against a strain of S. aureus (S18), as well as between fermented juice and tigecycline against E. cloacae (E1005 and E1007) strains. The results indicate that the antibacterial activity of juice fermented with the potentially probiotic L. paracasei K5 may be due to synergistic effects between some end fermentation products and the antibiotic agents examined

SEM-EDX study of bentonite alteration under the influence of cement alkaline solutions

Bentonite is a key barrier for the isolation of high-level radioactive waste within Deep Geological Repository. However, bentonite may be altered by contact with cementitious materials and their alkaline pore fluids. This study offers an extensive morphological and semi-quantitative characterization of the bentonite surface exposed to three types of alkaline pore fluids released by different cement-based materials. The bentonite surfaces were studied using a thorough scanning electron microscopy exploration and analysed using an energy-dispersive ꭕ-ray detector (SEM-EDX). In addition, statistical, element mappings, ꭕ-ray diffraction and infrared spectroscopy analyses were performed. The aim was to have a picture of the morphological and chemical alterations of bentonite at very early stages in accordance with the integrated approach necessary to address bentonite stability in the long-term. As a consequence of the reactivity, two types of morphologies stood out in the matrix of bentonite: platelets and coatings-like crusts characterized by their high Mg and Ca content. These alterations presented a different scope depending on the type of alkaline pore solution involved and suggested the precipitation of authigenic magnesium silicate hydrates (M-S-H) and/or trioctahedral clay minerals and Ca‑carbonates. The knowledge of the performance of bentonite subjected to these alkaline solutions can help in the evaluation of the most suitable cement-based materials to be used next to bentoniteThe experimental work was supported by funding from the European Union‘s Horizon 2020 Research and Training programme from EURATOM [H2020-NFRP 2014, 2015] under grant agreement n◦662147; CEBAM

Investigations of an increased incidence of non-Aspergillus invasive mould infections in an onco-haematology unit.

Invasive mould infections are life-threatening complications in patients with haematologic cancer and chemotherapy-induced neutropenia. While invasive aspergillosis represents the main cause of invasive mould infections, non-Aspergillus mould infections, such as mucormycosis, are increasingly reported. Consequently, their local epidemiology should be closely monitored. The aim of this study was to investigate the causes of an increased incidence of non-Aspergillus mould infections in the onco-haematology unit of a Swiss tertiary care hospital. All cases of proven and probable invasive mould infections were retrospectively identified via a local registry for the period 2007-2021 and their incidence was calculated per 10,000 patient-days per year. The relative proportion of invasive aspergillosis and non-Aspergillus mould infections was assessed. Factors that may affect invasive mould infections' incidence, such as antifungal drug consumption, environmental contamination and changes in diagnostic approaches, were investigated. A significant increase of the incidence of non-Aspergillus mould infections (mainly mucormycosis) was observed from 2017 onwards (Mann and Kendall test p = 0.0053), peaking in 2020 (8.62 episodes per 10,000 patient-days). The incidence of invasive aspergillosis remained stable across the period of observation. The proportion of non-Aspergillus mould infections increased significantly from 2017 (33% vs 16.8% for the periods 2017-2021 and 2007-2016, respectively, p = 0.02). Building projects on the hospital site were identified as possible contributors of this increase in non-Aspergillus mould infections. However, novel diagnostic procedures may have improved their detection. We report a significant increase in non-Aspergillus mould infections, and mainly in mucormycosis infections, since 2017. There seems to be a multifactorial origin to this increase. Epidemiological trends of invasive mould infections should be carefully monitored in onco-haematology units in order to implement potential corrective measures