24 research outputs found

    Accurate coil springs axial and transverse stiffness measurements with multicomponent testing machines

    Get PDF
    Accurate characterization of coil springs, typically in terms of axial and transverse stiffness, is crucial in many applications, in particular in automotive engineering, such as suspensions, vibration reduction, seating, exhaust valves, gear engagement controls, transmission hose, fuel panels, car trunks, and engine hoods. These measurements are usually performed in spring testing machines along the vertical axis in quasi-static conditions. However, when springs are stressed along the main vertical axis, side forces, bending and torsion moments are generated, thus have to be evaluated. For this reason, a hexapod-shaped multicomponent force and moment transducer has been recently devised, realized and integrated into standard spring testing machines capable to measure the displacement along the main and transverse axes. In this way, forces, moments and displacement components generated by the springs can be measured and axial and transverse stiffness derived. In this work, two multicomponent spring testing machines with the hexapod-shaped force and moment transducer are described and measurements on different large coil springs are presented

    Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease

    Get PDF
    Background: Experimental and clinical data suggest that reducing inflammation without affecting lipid levels may reduce the risk of cardiovascular disease. Yet, the inflammatory hypothesis of atherothrombosis has remained unproved. Methods: We conducted a randomized, double-blind trial of canakinumab, a therapeutic monoclonal antibody targeting interleukin-1β, involving 10,061 patients with previous myocardial infarction and a high-sensitivity C-reactive protein level of 2 mg or more per liter. The trial compared three doses of canakinumab (50 mg, 150 mg, and 300 mg, administered subcutaneously every 3 months) with placebo. The primary efficacy end point was nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. RESULTS: At 48 months, the median reduction from baseline in the high-sensitivity C-reactive protein level was 26 percentage points greater in the group that received the 50-mg dose of canakinumab, 37 percentage points greater in the 150-mg group, and 41 percentage points greater in the 300-mg group than in the placebo group. Canakinumab did not reduce lipid levels from baseline. At a median follow-up of 3.7 years, the incidence rate for the primary end point was 4.50 events per 100 person-years in the placebo group, 4.11 events per 100 person-years in the 50-mg group, 3.86 events per 100 person-years in the 150-mg group, and 3.90 events per 100 person-years in the 300-mg group. The hazard ratios as compared with placebo were as follows: in the 50-mg group, 0.93 (95% confidence interval [CI], 0.80 to 1.07; P = 0.30); in the 150-mg group, 0.85 (95% CI, 0.74 to 0.98; P = 0.021); and in the 300-mg group, 0.86 (95% CI, 0.75 to 0.99; P = 0.031). The 150-mg dose, but not the other doses, met the prespecified multiplicity-adjusted threshold for statistical significance for the primary end point and the secondary end point that additionally included hospitalization for unstable angina that led to urgent revascularization (hazard ratio vs. placebo, 0.83; 95% CI, 0.73 to 0.95; P = 0.005). Canakinumab was associated with a higher incidence of fatal infection than was placebo. There was no significant difference in all-cause mortality (hazard ratio for all canakinumab doses vs. placebo, 0.94; 95% CI, 0.83 to 1.06; P = 0.31). Conclusions: Antiinflammatory therapy targeting the interleukin-1β innate immunity pathway with canakinumab at a dose of 150 mg every 3 months led to a significantly lower rate of recurrent cardiovascular events than placebo, independent of lipid-level lowering. (Funded by Novartis; CANTOS ClinicalTrials.gov number, NCT01327846.

    Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

    Get PDF
    Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

    Brief Communication: The use of an unmanned aerial vehicle in a rockfall emergency scenario

    No full text
    In recent years, the use of unmanned aerial vehicles (UAVs) in civilian/commercial contexts are becoming increasingly common, as well as for applications concerning anthropic and natural disasters. In this paper, we present the first results of a research project aimed at defining a possible methodology for the use of micro-UAVs in emergency scenarios relevant to rockfall phenomena. To develop and support the method presented herein, the results relevant to a rockfall emergency occurred on 7 March 2014 in the San Germano municipality (north-western Italy) are presented and discussed

    Methicillin-resistant staphylococci isolated from healthy horses and horse personnel in Italy.

    No full text
    Methicillin-resistant staphylococci (MRS) were isolated from nasal swabs of 56 of 159 (35.2%; 95% confidence interval [CI]: 27.9-43.2%) healthy horses. Two nasal swabs were collected from each horse; 43 of 159 (27%; 95% CI: 20.5-34.8%) of the cohort were colonized by MRS strains in 1 nostril, while in the remaining 13 of 159 (8.2%; 95% CI: 4.6-13.9%), different or identical MRS strains were isolated in both nostrils. Of the 29 humans in close contact with the horses tested, 4 (13.8%; 95% CI: 4.5-32.6%) were found to be carriers of MRS. All isolates were coagulase negative with the exception of 2 coagulase-positive MRS strains, Staphylococcus aureus and Staphylococcus pseudintermedius, both isolated from horses. To assay the methicillin resistance, a susceptibility test to oxacillin with standardized disk diffusion method, a PBP-2a latex agglutination test, and a methicillin resistance gene (mecA) polymerase chain reaction assay were performed. Pulsed-field gel electrophoresis patterns of isolates from horses and humans in close contact with the horses revealed similarity. The results suggest evidence of transmission between animals, from animals to humans, and vice versa

    Methicillin-resistant staphylococci isolated from healthy horses and horse personnel in Italy.

    No full text
    Methicillin-resistant staphylococci (MRS) were isolated from nasal wabs of 56 of 159 (35.2%; 95% confidence interval [CI]: 27.9–43.2%) healthy horses. Two nasal swabs were collected from each horse; 43 of 159 (27%; 95%CI: 20.5–34.8%) of the cohort were colonized byMRS strains in 1 nostril, while in the remaining 13 of 159 (8.2%; 95% CI: 4.6–13.9%), different or identical MRS strains were isolated in both nostrils. Of the 29 humans in close contact with the horses tested, 4 (13.8%; 95% CI: 4.5–32.6%) were found to be carriers ofMRS. All isolates were coagulase negative with the exception of 2 coagulase-positive MRS strains, Staphylococcus aureus and Staphylococcus pseudintermedius, both isolated from horses. To assay the methicillin resistance, a susceptibility test to oxacillin with standardized disk diffusion method, a PBP-2a latex agglutination test, and a methicillin resistance gene (mecA) polymerase chain reaction assay were performed. Pulsed-field gel electrophoresis patterns of isolates from horses and humans in close contact with the horses revealed similarity. The results suggest evidence of transmission between animals, from animals to humans, and vice versa

    PROCEEDINGS OF THE 33rd NATIONAL CONGRESS OF THE ITALIAN SOCIETY OF HISTOCHEMISTRY

    Get PDF
    Ulcerative colitis (UC) is an inflammatory bowel disease associated with dysfunctional colonic motility which is responsible for abdominal pain and diarrhoea. These changes may be mediated by prostaglandins which are increased in this condition. Increased expression of the constitutive and inducible isoform of cyclo-oxygenases (COX-1 and COX-2, respectively) has been found in active inflammatory bowel disease although their cellular distribution remains uncertain at the level of the colonic neuromuscular compartment. Aim. To evaluate the cellular distribution of COX-1 and COX-2 in the neuromuscular tissues from patients with UC. Patients and Methods. Using immunohistochemistry, COX-1 and COX-2 expression was evaluated in 8 full-thickness colectomy specimens from patients with UC who had failed medical therapy. Histologically normal colon full-thickness specimens was obtained from 10 patients having resection for colorectal neoplasia and evaluated as above. Results. All specimens expressed both COX isoforms although with different cellular distribution and intensity degrees. In control tissues COX-1 was detected in myenteric neurons and circular layer myocytes; COX-2 was expressed mainly in longitudinal layer with little immunoreactivity in neurons. Although a pronounced cell depletion was observed in myenteric ganglia in all inflamed specimens, neurons maintained appreciable COX-1 labelling; COX-2 was significantly upregulated in UC, being localized in cells infiltrating the myenteric plexus and both muscle layers. Conclusions. These findings provide the first evidence that COX-1 and COX-2 are expressed in myenteric neural cells and muscle layers of colon in UC and may contribute to the colonic dysmotilty associated with this pathological condition

    Investigating attachment, caregiving, and mental health: a model of maternal-fetal relationships

    Get PDF
    Background Maternal-fetal relationships have been associated with psychosocial outcomes for women and children, but there has been a lack of conceptual clarity about the nature of the maternal relationship with the unborn child, and inconsistent findings assessing its predictors. We proposed and tested a model whereby maternal-fetal relationship quality was predicted by factors relating to the quality of the couple relationship and psychological health. We hypothesized that the contribution of individual differences in romantic attachment shown in past research would be mediated by romantic caregiving responsiveness, as maternal-fetal relationships reflect the beginnings of the caregiving system. Methods 258 women in pregnancy (13, 23, and 33-weeks gestation) completed online measures of attachment to partner, caregiving responsiveness to partner, mental health, and thoughts about their unborn baby. Structural equation modeling was used to test a model of maternal-fetal relationships. Results Maternal-fetal relationship quality was higher for women at 23-weeks than 13-weeks gestation. Women in first pregnancies had higher self-reported scores of psychological functioning and quality of maternal-fetal relationships than women in subsequent pregnancies. Structural equation models indicated that the quality of the maternal-fetal relationship was best predicted by romantic caregiving responsiveness to partner and women's own psychological health, and that the association between adult romantic attachment avoidance and maternal-fetal relationships was fully mediated by caregiving responsiveness to partner, even after controlling for other factors. These data support the hypothesis that maternal-fetal relationships better reflect the operation of the caregiving system than the care-seeking (i.e., attachment) system. Conclusions Models of maternal-fetal relationships and interventions with couples should consider the role of caregiving styles of mothers to partners and the relationship between expectant parents alongside other known predictors, particularly psychological health
    corecore