Synflorescence analysis in South American species of Andropogon section Leptopogon (Andropogoneae, Poaceae): a tool to identify different ploidy levels

In southern South America, Andropogon sect. Leptopogon is represented by both diploid and hexaploid species. In order to compare the synflorescence structures and floral arrays in relation to ploidy levels in species of Andropogon, the section Leptopogon was used as model. In this study, the synflorescence structure was typologically characterized. The structural analysis was based on the typology system developed by Troll and Weberling, which has proved useful in describing inflorescences. A comparative analysis of the variations observed in the structure of the synflorescence and a morphometric analysis using principal component analysis were carried out. These results revealed that diploid and hexaploid species present differences mainly in the following parameters: synflorescence length, number of internodes of the enrichment zone main axis, number of internodes and length of paracladia of the trophotagma, number of long paracladia per unit of inflorescence, length of hairs on articulated rachis internodes, pedicellate spikelet length, pedicellate spikelet width, pedicel width, length of hairs on pedicel, sessile spikelet length, awn length and floral system arrangements. This study provides a useful tool to distinguish between diploid and hexaploid species of Andropogon sect. Leptopogon. We propose naming the group of diploid species from Central and South America as the Andropogon selloanus complex.Fil: Nagahama, Nicolas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Instituto Multidisciplinario de Biología Vegetal (p); ArgentinaFil: Vegetti, Abelardo Carlos. Universidad Nacional del Litoral. Facultad de Cs.agrarias. Catedra de Morfologia Vegetal; ArgentinaFil: Anton, Ana Maria Ramona. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Instituto Multidisciplinario de Biología Vegetal (p); ArgentinaFil: Norrmann, Guillermo Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Nordeste. Instituto de Botánica del Nordeste (i); Argentin

Hepatitis B virus DNA integration in tumour tissue of a non-cirrhotic HFE-haemochromatosis patient with hepatocellular carcinoma.

Co-existence of multiple causes of liver injury increases the risk of hepatocellular carcinoma (HCC) development. HCC usually develops in patients with cirrhosis although it may also occur in individuals with no or mild liver disease, in particular in cases with hepatitis B virus (HBV) infection. Here we report the case of a 43year-old man with HFE-haemochromatosis, seronegative for hepatitis B and C infections, who developed HCC in the absence of severe liver damage. Both tumoural and non-tumoural liver DNA extracts were tested by nested-PCR and primers specific for four different HBV genomic regions in order to evaluate the presence of occult HBV infection. Only X gene sequences were detected in tumour (but not in non-tumour) DNA extracts. HBV-Alu PCR showed a HBV integration involving a 5'-deleted X gene with an intact enhancer-II/basal-core promoter region. The viral-host junction sequencing revealed that this integrant was located upstream of the partitioning-defective-6-homolog-gamma gene (PARD6G) and real time-PCR quantification demonstrated that PARD6G was overexpressed in tumour compared to non-tumour liver tissues. In conclusion, the combination of HFE-haemochromatosis and occult HBV infection in this patient might have led to a sequel of cellular events that determined the development of HCC even in the absence of cirrhosis

Multicenter observational study on the reliability of the HEART score

Objective To rapidly and safely identify the risk of developing acute coronary syndrome in patients with chest pain who present to the emergency department, the clinical use of the History, Electrocardiogram, Age, Risk Factors, and Troponin (HEART) scoring has recently been proposed. This study aimed to assess the inter-rater reliability of the HEART score calculated by a large number of Italian emergency physicians. Methods The study was conducted in three academic emergency departments using clinical scenarios obtained from medical records of patients with chest pain. Twenty physicians, who took the HEART score course, independently assigned a score to different clinical scenarios, which were randomly administered to the participants, and data were collected and recorded in a spreadsheet by an independent investigator who was blinded to the study\u2019s aim. Results After applying the exclusion criteria, 53 scenarios were finally included in the analysis. The general inter-rater reliability was good (kappa statistics [\u3ba], 0.63; 95% confidence interval, 0.57 to 0.70), and a good inter-rater agreement for the high- and low-risk classes (HEART score, 7 to 10 and 0 to 3, respectively; \u3ba, 0.60 to 0.73) was observed, whereas a moderate agreement was found for the intermediate-risk class (HEART score, 4 to 6; \u3ba, 0.51). Among the different items of the HEART score, history and electrocardiogram had the worse agreement (\u3ba, 0.37 and 0.42, respectively). Conclusion The HEART score had good inter-rater reliability, particularly among the high- and low-risk classes. The modest agreement for history suggests that major improvements are needed for objectively assessing this component. Keywords HEART score; HEART pathway; Chest pain; Acute coronary syndrome; Emergency service, hospita

Multicenter observational study on the reliability of the HEART score

Objective To rapidly and safely identify the risk of developing acute coronary syndrome in patients with chest pain who present to the emergency department, the clinical use of the History, Electrocardiogram, Age, Risk Factors, and Troponin (HEART) scoring has recently been proposed. This study aimed to assess the inter-rater reliability of the HEART score calculated by a large number of Italian emergency physicians. Methods The study was conducted in three academic emergency departments using clinical scenarios obtained from medical records of patients with chest pain. Twenty physicians, who took the HEART score course, independently assigned a score to different clinical scenarios, which were randomly administered to the participants, and data were collected and recorded in a spreadsheet by an independent investigator who was blinded to the study’s aim. Results After applying the exclusion criteria, 53 scenarios were finally included in the analysis. The general inter-rater reliability was good (kappa statistics [κ], 0.63; 95% confidence interval, 0.57 to 0.70), and a good inter-rater agreement for the high- and low-risk classes (HEART score, 7 to 10 and 0 to 3, respectively; κ, 0.60 to 0.73) was observed, whereas a moderate agreement was found for the intermediate-risk class (HEART score, 4 to 6; κ, 0.51). Among the different items of the HEART score, history and electrocardiogram had the worse agreement (κ, 0.37 and 0.42, respectively). Conclusion The HEART score had good inter-rater reliability, particularly among the high- and low-risk classes. The modest agreement for history suggests that major improvements are needed for objectively assessing this component

Asymptomatic and symptomatic deep venous thrombosis in hospitalized acutely ill medical patients: risk factors and therapeutic implications

Background Acutely ill medical patients experience deep venous thrombosis (DVT) during the hospitalization, however the time course of DVT is still unclear. Objectives To evaluate risk factors in acutely ill hospitalized medical patients for proximal asymptomatic DVT (ADVT) and symptomatic DVT (SDVT) at admission and discharge. Patients/Methods In this prospective observational study, consecutive acutely ill medical patients (hospitalized mainly for acute medical disease as infections, neoplasm, anemia, heart failure) underwent compression ultrasonography (CUS) of proximal lower limb veins within 48 h from admission and at discharge to diagnose ADVT and SDVT. Covid-19 patients, anticoagulant therapy, surgical procedures, acute SDVT, and acute pulmonary embolism, were exclusion criteria. Biographical characteristics at hospitalization, D-Dimer (assessed by ELISA)) and DD-improve score. Results Of 2,100 patients (1002 females, 998 males, age 71 +/- 16 years) 58 (2.7%) had proximal ADVT at admission. Logistic regression analysis showed that age, and active cancer were independently associated with ADVT at admission. The median length of hospitalization was 10 days [interquartile range: 6-15]. During the hospital stay, 6 patients (0.3%) with a negative CUS at admission experienced DVT (2 SDVT and 4 ADVT). In the subgroup of patients (n = 1118), in whom D-dimer was measured at admission, D-Dimer and IMPROVE-DD score were associated with ADVT at admission (n = 37) and with all DVT (n = 42) at discharge. ROC curve defined an IMPROVE-DD score of 2.5 as the optimal cut-off for discriminating patients with and without thrombotic events. Conclusions We provide evidence of early development of ADVT in unselected acutely ill medical patients suggesting the need of investigating patients by CUS immediately after hospital admission (within 48 h). Advanced age, active cancer, known thrombophilia and increased IMPROVE-DD score may identify patients at risk. The benefit of anticoagulation needs to be investigated in patients with these specific risk factors and negative CUS at admission

Role of embedded carbon particles on the morphology, microstructure and transport properties of sintered ultra-high molecular weight polyethylene

Selected ultra-high molecular weight polyethylene (UHMWPE) samples extracted from controlled positions along a representative reel from which ski bases are made were analyzed and compared to each other to test their composition and homogeneity. Scanning electron microscopy shows a UHMWPE matrix in which spherical particles are partly agglomerated and homogeneously distributed. Transmission electron microscopy, besides this, reveals the presence of a minority species, namely plate-like inclusions dispersed throughout the matrix. Raman features are traced back to structurally disordered carbonaceous material, with trigonal bond coordination. Surface electrical resistivity is quite low as compared to typical values for UHMWPE, being critically affected by the amount and spatial distribution of carbon particles. The observed homogeneity of distribution of carbon particles in the matrix is likely to be responsible for its ability to dissipate in an effective way the considerable amount of heat generated during ski gliding on hard, packed snow, thus preventing major structural damage of ski bases

Representation of batch process procedures using Asset Administration Shell

Un Asset es un activo considerado de importancia para una empresa, puede ser tangible como máquinas, productos, sensores planos, o intangibles como un software. Un Asset Administration Shell (AAS) provee una representación digital de un asset por medio de submodelos que pueden o no ser estandarizados. Los submodelos estandarizados permiten la interoperabilidad con otros asset. Un digital Twin puede ser implementado mediante un AAS. Un digital Twin que represente con gran precisión un proceso de producción (tareas de procesamiento, recursos necesarios) puede mejorar la tarea de planeación y programación de la producción. El estándar ISA 88 provee un conjunto de estándares y terminología para el control de procesos batch definiendo el modelo físico, procedimientos y recetas. El objetivo del presente trabajo es el desarrollo de un submodelo que capture la información relativa al proceso de producción batch basado en el estándar ISA 88. Mas específicamente, se presenta un submodelo para la representación del procedimiento de producción basado en el lenguaje Sequential Function Chart.An Asset is an entity considered of importance for a company. It can be tangible such as machines, products, sensors, drawings, or intangible such as software. An Asset Administration Shell (AAS) provides a digital representation of an asset by means of submodels that may or may not be standardized. Standardized submodels allow interoperability with other assets. A digital Twin can be implemented by means of an AAS. A digital Twin specifying with high accuracy degree a production process (processing tasks, resources required) can improve the production planning and scheduling function. The ISA 88 standard provides a set of standards and terminology for batch process control, defining the physical model, procedures and recipes. The aim of the present work is to develop  a submodel that captures the information related to the batch production process based on the ISA 88 standard. Specifically, a submodel representing the production procedure based on the Sequential Function Chart language is presented.Sociedad Argentina de Informática e Investigación Operativ