25 research outputs found

    Complex chromosome rearrangements related 15q14 microdeletion plays a relevant role in phenotype expression and delineates a novel recurrent syndrome

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    Complex chromosome rearrangements are constitutional structural rearrangements involving three or more chromosomes or having more than two breakpoints. These are rarely seen in the general population but their frequency should be much higher due to balanced states with no phenotypic presentation. These abnormalities preferentially occur de novo during spermatogenesis and are transmitted in families through oogenesis

    Acute Delta Hepatitis in Italy spanning three decades (1991–2019): Evidence for the effectiveness of the hepatitis B vaccination campaign

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    Updated incidence data of acute Delta virus hepatitis (HDV) are lacking worldwide. Our aim was to evaluate incidence of and risk factors for acute HDV in Italy after the introduction of the compulsory vaccination against hepatitis B virus (HBV) in 1991. Data were obtained from the National Surveillance System of acute viral hepatitis (SEIEVA). Independent predictors of HDV were assessed by logistic-regression analysis. The incidence of acute HDV per 1-million population declined from 3.2 cases in 1987 to 0.04 in 2019, parallel to that of acute HBV per 100,000 from 10.0 to 0.39 cases during the same period. The median age of cases increased from 27 years in the decade 1991-1999 to 44 years in the decade 2010-2019 (p < .001). Over the same period, the male/female ratio decreased from 3.8 to 2.1, the proportion of coinfections increased from 55% to 75% (p = .003) and that of HBsAg positive acute hepatitis tested for by IgM anti-HDV linearly decreased from 50.1% to 34.1% (p < .001). People born abroad accounted for 24.6% of cases in 2004-2010 and 32.1% in 2011-2019. In the period 2010-2019, risky sexual behaviour (O.R. 4.2; 95%CI: 1.4-12.8) was the sole independent predictor of acute HDV; conversely intravenous drug use was no longer associated (O.R. 1.25; 95%CI: 0.15-10.22) with this. In conclusion, HBV vaccination was an effective measure to control acute HDV. Intravenous drug use is no longer an efficient mode of HDV spread. Testing for IgM-anti HDV is a grey area requiring alert. Acute HDV in foreigners should be monitored in the years to come

    Experimental Uncertainty Evaluation in Optical Measurements of Micro-Injection Molded Products

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    Optical measurements are increasingly widely used as preferential techniques to evaluate dimensional and surface quantities in micro-products. However, uncertainty estimation is more critical on micro-products than macro, and it needs careful attention for evaluating the obtained quality, the requested tolerance, and the correct setting of experimental process settings. In this study, optical measurements characterized micro-injected products by linear and surface acquisition and considered all the sources contributing to uncertainties. The results show that the measure uncertainty could be underestimated if only the standard deviation on simple measurements is considered; this could cause a significant restriction of the estimated range covering the measured values. Furthermore, the findings confirm that the correct evaluation of the potential uncertainties contributes to accurately assessing the process behavior and improving product quality

    Quality Definition in Micro Injection Molding Process by Means of Surface Characterization Parameters

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    Quality evaluation of micro injection molded products is a complex task, in particular when instruments basing on contact methods are used and issues in measurements could arise due to the contact tool dimension not fitting well with extremely narrow features. Therefore, in these cases, optical methods may be preferred for the evaluation of molded products’ dimensions and surface quality, especially for parts devoted to applications requiring functional purposes. In this context, the present paper proposes the use of surface parameters as a quality index for the evaluation of both the micro injection molding process and the resulting products. To this aim, two experimental procedures were implemented to allow for: (i) the evaluation of the most suitable surface parameters identified in relation to the process parameters; (ii) comparisons of the surface parameters findings with those obtained by classic dimensional quantity via a designed experimental plan (DoE). The results show that the surface parameters, evaluated in critical areas of the components, can ensure reliable estimates for the surface quality of the molded parts and can be preferred in comparison to linear measurements

    Replicating capability investigation of micro features in injection moulding process

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    Abstract Achieving high quality parts is a crucial task for the micro injection moulding process due to the sensitive nature of applications as medical and aerospace. In this work, simulation and an experimental study are performed to analyse the effect of four main parameters (injection speed, melt and mould temperature, and holding pressure) on replicating capability of a micro feature by injection moulding process that is the main focus of the present paper. This work also assesses the performance of a screwless-two plungers micro moulding machine in processing polyoximethilene (POM) and liquid crystal polymers (LCP). Results show that mould temperature and injection speed are the most effective parameters on replicating capability respectively for \POM\ and \LCP\ and high parameters setting improved the dimensions of the feature and thus the quality. For LCP, achieving process reproducibility is more difficult than for \POM\ even if the obtained replication fidelity is considerably higher

    Replication capability of micro injection moulding process for polymeric parts manufacturing

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    Micro injection moulding process represents a key technology for realizing micro components and micro devices used in several fields: IT components, biomedical and medical products, automotive industry, telecommunication area and aerospace. The development of new micro parts is highly dependent on manufacturing systems that can reliably and economically produce micro components in large quantities. In this work, the authors investigate the process parameters on the overall quality of a miniaturised dog-bone-shaped specimen in order to determine the process constraints. The factors affecting parts aspects and mass are studied by experimentation designed using DoE methodology and then discussed. Two polymer materials (polyoxymethylene and liquid crystal polymer), particularly suitable for injection moulding applications due to their flowability and stability, are tested and evaluated in relation to the process replication capability. It has been found that the holding pressure and holding time for POM and holding pressure and injection velocity for LCP have the highest influence on achieving high part mass. Differently, melt temperature has the highest influence on minimising the process variability for both tested polymers. A further investigation has been carried out on the relationship between the holding pressure and the part mass and dimensions demonstrating the existence of a linear correlation between specimens mass and dimensions

    Micro Injection Molding of Thin Cavities Using Stereolithography for Mold Fabrication

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    At the present time, there is a growing interest in additive manufacturing (AM) technologies and their integration into current process chains. In particular, the implementation of AM for tool production in micro injection molding (µ-IM), a well-established process, could introduce many advantages. First of all, AM could avoid the need for the time-consuming and expensive fabrication of molds for small series of customized products. In this work, the feasibility, quality, and reliability of an AM/µ-IM process chain were evaluated by designing and fabricating mold inserts for µ-IM by stereolithography (SLA) technology; the mold inserts were characterized and tested experimentally. The selected geometry is composed of four thin cavities: This particular feature represents an actual challenge for both the SLA and µ-IM perspective due to the large surface-to-volume ratio of the cavity. Two different materials were used for the mold fabrication, showing sharply different performance in terms of endurance limit and cavity degradation. The obtained results confirm that the µ-IM process, exploiting an SLA fabricated mold insert, is feasible but requires great accuracy in material choice, mold design, fabrication, and assembly
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