2,129 research outputs found

    Are deferrable the mobility impairments in older aging?

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    A combined numerical approach for the thermal analysis of a piston water pump

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    The paper proposes a numerical model for the investigation of a piston water pump under different operating conditions. In particular, the lubricating system is analysed and modelled. The study accounts for the lubrication and friction phenomena, heat transfer, multiphase fluid approach and motion simulation. A computational thermo fluid dynamics approach has been adopted to develop a numerical tool able to simulate the behaviour of the oil during the machine working phases. The CFD approach simulates the moving metal components by means of moving meshes techniques; the friction phenomenon is estimated on the basis of formulations available in literature. The numerical model evaluates the heat transfer between moving metal parts and oil during the operating phases of the system. Furthermore, the heat transfer between oil and environment is calculated, accounting for conduction through the metal crankcase walls. A multiphase fluid approach is used for the simulation of the oil and air mixing during the crank rotation. The heat transfer coefficient predicted by the CFD approach are employed in a lumped and distributed numerical model; the reliability and accuracy of the proposed numerical approach is addressed and validated against experimental results. Experimental data have been collected by means of a thermographic camera and thermocouples. Finally, the tool's predictive capabilities are addressed by simulating different working conditions

    Edge channel mixing induced by potential steps in an integer quantum Hall system

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    We investigate the coherent mixing of co-propagating edge channels in a quantum Hall bar produced by step potentials. In the case of two edge channels it is found that, although a single step induces only a few percent mixing, a series of steps could yield 50% mixing. In addition, a strong mixing is found when the potential height of a single step allows a different number of edge channels on the two sides of the step. Charge density probability has been also calculated even for the case where the step is smoothened.Comment: final version: 7 pages, 6 figure

    Reversible myocardial injury aggravated by complex arrhythmias in three Toxoplasma gondii-positive dogs

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    Although Toxoplasma gondii represents an oft-cited cause of myocarditis in veterinary medicine, the existing literature on the pre-mortem demonstration of T. gondii-associated myocardial injury (MI) in dogs is scant. In this case series, we provide detailed clinical, laboratory, echocardiographic and electrocardiographic description of three T. gondii-positive dogs diagnosed with MI. In all cases, etiological diagnosis was based on the antibody screening test (all dogs had IgM titres ≥1:64) and MI was demonstrated by a concomitant increase of the serum concentration of cardiac troponin I (0.25-9.6 ng/ml, upper hospital limit <0.15 ng/ml). In all dogs, MI was aggravated by complex arrhythmias (ventricular in two dogs, and either ventricular and supraventricular in the remaining dog). In one case, left ventricular systolic dysfunction was also present. All dogs underwent an extensive diagnostic work-up aimed at excluding additional comorbidities, either cardiac and extra-cardiac, possibly able to contribute to MI, arrhythmias and systolic dysfunction. All dogs received appropriate antiprotozoal (i.e., clindamycin) and antiarrhythmic (i.e., amiodarone, sotalol) therapy. This was systematically followed by a simultaneous decline in T. gondii serology titres, normalisation of troponin level and left ventricular systolic function, and the resolution of clinical and electrocardiographic abnormalities. In light of this result, therapies were interrupted and subsequent controls ruled out any disease relapse. In these cases, the clinical and instrumental findings obtained at admission and rechecks strongly supported the clinical suspicion of toxoplasmic myocarditis

    Adjunctive therapy with vitamin c and thiamine in patients treated with steroids for refractory septic shock: A propensity matched before-after, case-control study

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    Purpose: Triple therapy with steroids, vitamin C and thiamine has been recently proposed as a safe and beneficial in patients with sepsis. In 2017, we added the use of intravenous vitamin C and thiamine in septic shock patients receiving low dose hydrocortisone because poorly responsive to vasopressors. Aim of this study is to verify whether triple therapy rather than steroids alone can improve outcome in patients with refractory shock. Materials and methods: In this before-after retrospective analysis, we compared septic shock patients admitted to our intensive care unit (ICU) who received triple therapy from June 2017 to November 2019 to septic shock patients who received only hydrocortisone from January 2015 to June 2017. Patients of the two study periods were matched 1:1 using a propensity score model. Results: A final cohort of 56 patients treated with triple therapy were matched to 56 patients treated only with steroids. Triple therapy reduced the length of mechanical ventilation (p = 0,01) and showed a trend in lowering the 30-day and hospital mortality compared to therapy with only hydrocortisone. Conclusions: Although with significant limitations, our experience indicated that triple therapy seems to provide an improvement of clinical outcomes in patients with refractory septic shock

    How did COVID-19 affect medical and cardiology journals? A pandemic in literature

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    BACKGROUND AND AIMS: The spreading speed of the COVID-19 pandemic forced the medical community to produce efforts in updating and sharing the evidence about this new disease, trying to preserve the accuracy of the data but at the same time avoiding the potentially harmful delay from discovery to implementation. The aim of our analysis was to assess the impact of the COVID-19 pandemic on medical literature in terms of proportion of COVID-19-related published papers and temporal patterns of publications within a sample of general/internal medicine and cardiology journals. METHODS: We searched through PubMed scientific papers published from 1 January 2020 to 31 January 2021 about COVID-19 in ten major medical journals, of which five were in general/internal medicine and five in the cardiology field. We analyzed the proportion of COVID-19-related papers, and we examined temporal trends in the number of published papers. RESULTS: Overall, the proportion of COVID-19-related papers was 18.5% (1986/10 756). This proportion was higher among the five selected general/internal medicine journals, compared with cardiology journals (23.8% vs 9.5%). The vast majority of papers were not original articles; in particular, in cardiology journals, there were 28% 'original articles', 17% 'review articles' and 55.1% 'miscellaneous', compared with 20.2%, 5.1% and 74.7% in general/internal medicine journals, respectively. CONCLUSIONS: Our analysis highlights the big impact of the COVID-19 pandemic on international scientific literature. General and internal medicine journals were mainly involved, with cardiology journals only at a later time

    Elastic precession of electronic spin states in interacting integer quantum Hall edge channels

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    We consider the effect of Coulomb interactions in the propagation of electrons, prepared in arbitrary spin states, on chiral edge channels in the integer quantum Hall regime. Electrons are injected and detected at the same energy at different locations of the Hall bar, which is modeled as a chiral Tomonaga-Luttinger liquid. The current is computed perturbatively in the tunneling amplitudes, within a non-crossing approximation using exact solutions of the interacting Green's functions. In the case of different channel velocities, the spin precession effect is evaluated, and the role of interaction parameters and wavevectors is discussed.Comment: 5 pages, 3 figure
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