Disquiet Depictions

This written document is the accompanying thesis for my Master of Fine Arts exhibition - Disquiet Depictions. Presented within the exhibition was a collection of paintings, ranging from acrylic to mixed media. As someone living with both anxiety and panic disorder the symptoms that I have experienced, as well as the coping mechanisms that I have practiced, all influenced the paintings displayed within this exhibition. Imagery included self-portraiture across a variety of emotional expressions felt during moments of sporadic fear and happiness, vibrant geometric patterns serving therapeutic purposes, and subtle medication symbolism. Collectively, these paintings provide a visual journey into the realm of mental health by creating a chronicle of the internal and external disturbances experienced by an individual, only to be alleviated by the act of artmaking. Through observing these works the audience can begin to consider how academic art and therapeutic art co-function in order to convey a personal message across all environments that harbor creative expression, therefore extinguishing the stigma that may come from the public display of distress; if compassion or rejection is projected at the individual on a basis of normality, and if their coping mechanism valid

Therapeutic Hypothermia for Traumatic Brain Injury

Experimental evidence demonstrates that therapeutic temperature modulation with the use of mild induced hypothermia (MIH, defined as the maintenance of body temperature at 32-35°C) exerts significant neuroprotection and attenuates secondary cerebral insults after traumatic brain injury (TBI). In adult TBI patients, MIH has been used during the acute "early” phase as prophylactic neuroprotectant and in the sub-acute "late” phase to control brain edema. When used to control brain edema, MIH is effective in reducing elevated intracranial pressure (ICP), and is a valid therapy of refractory intracranial hypertension in TBI patients. Based on the available evidence, we recommend: applying standardized algorithms for the management of induced cooling; paying attention to limit potential side effects (shivering, infections, electrolyte disorders, arrhythmias, reduced cardiac output); and using controlled, slow (0.1-0.2°C/h) rewarming, to avoid rebound ICP. The optimal temperature target should be titrated to maintain ICP <20mmHg and to avoid temperatures <35°C. The duration of cooling should be individualized until the resolution of brain edema, and may be longer than 48h. Patients with refractory elevated ICP following focal TBI (e.g. hemorrhagic contusions) may respond better to MIH than those with diffuse injury. Randomized controlled trials are underway to evaluate the impact of MIH on neurological outcome in adult TBI patients with elevated ICP. The use of MIH as prophylactic neuroprotectant in the early phase of adult TBI is not supported by clinical evidence and is not recommende

Long-term physical evolution of an elastomeric ultrasound contrast microbubble

Hypothesis: One of the main assets of crosslinked polymer-shelled microbubbles (MBs) as ultrasound-active theranostic agents is the robustness of the shells, combined with the chemical versatility in modifying the surface with ligands and/or drugs. Despite the long shelf-life, subtle modifications occur in the MB shells involving shifts in acoustic, mechanical and structural properties. Experiments: We carried out a long-term morphological and acoustic evolution analysis on elastomeric polyvinyl-alcohol (PVA)-shelled MBs, a novel platform accomplishing good acoustic and surface performances in one agent. Confocal laser scanning microscopy, acoustic spectroscopy and AFM nanomechanics were integrated to understand the mechanism of PVA MBs ageing. The changes in the MB acoustic properties were framed in terms of shell thickness and viscoelasticity using a linearised oscillation theory, and compared to MB morphology and to nanomechanical analysis. Findings: We enlightened a novel, intriguing ageing time evolution of the PVA MBs with double behaviour with respect to a crossover time of ∼50 days. Before, significant changes occur in MB stiffness and shell thickness, mainly due to a massive release of entangled PVA chains. Then, the MB resonance frequency increases together with shell thickening and softening. Our benchmark study is of general interest for emerging viscoelastomeric bubbles towards personalised medicine

Experimental investigation on tensile and shear bond behaviour of Basalt-FRCM composites for strengthening calcarenite masonry elements

The use of Fabric Reinforced Cementitious Matrix (FRCM) composites for structural retrofit has seen an increased interest among the scientific community, during the last decade. Various studies have revealed their effectiveness as external retrofitting technique of masonry elements, offering numerous advantages respect to the well know Fibre Reinforced Polymer (FRP) in terms of compatibility with masonry support, reversibility of intervention and sustainability. Despite the growing use, the characterization of FRCM mechanical behaviour is still an open issue, due to numerous uncertainties involved in test set-up adopted and fibre-mortar combination. The proposed experimental study aims to investigate the tensile and shear bond behaviour of Basalt-FRCM for strengthening calcarenite masonry elements. Calcarenite is a natural stone with sedimentary origin and it is widely present in existing buildings of the Mediterranean areas. Direct tensile tests are performed on two types of Basalt-FRCM coupons, with cement-based and lime-based mortar, adopting two different test-set-up based on clamping and clevis grip methods. Moreover, double shear bond tests are carried out to evaluate the adhesion properties of the two types of Basalt-FRCM with calcarenite support. Experimental outcomes are compared in terms of stress-strain curves, evaluating the influence of mortar grade and test set-up on the mechanical performances of Basalt-FRCM composites. The comparisons provide information about the mechanical stress transfer phenomena that occur at the fibre-to-matrix and FRCM-to-substrate interface level and the failure modes

Numerical simulation and decomposition of kinetic energy in the Central Mediterranean: insight on mesoscale circulation and energy conversion

The spatial and temporal variability of eddy and mean kinetic energy of the Central Mediterranean region has been investigated, from January 2008 to December 2010, by mean of a numerical simulation mainly to quantify the mesoscale dynamics and their relationships with physical forcing. In order to understand the energy redistribution processes, the baroclinic energy conversion has been analysed, suggesting hypotheses about the drivers of the mesoscale activity in this area. The ocean model used is based on the Princeton Ocean Model implemented at 1/32° horizontal resolution. Surface momentum and buoyancy fluxes are interactively computed by mean of standard bulk formulae using predicted model Sea Surface Temperature and atmospheric variables provided by the European Centre for Medium Range Weather Forecast operational analyses. At its lateral boundaries the model is one-way nested within the Mediterranean Forecasting System operational products. &lt;br&gt;&lt;br&gt; The model domain has been subdivided in four sub-regions: Sardinia channel and southern Tyrrhenian Sea, Sicily channel, eastern Tunisian shelf and Libyan Sea. Temporal evolution of eddy and mean kinetic energy has been analysed, on each of the four sub-regions, showing different behaviours. On annual scales and within the first 5 m depth, the eddy kinetic energy represents approximately the 60 % of the total kinetic energy over the whole domain, confirming the strong mesoscale nature of the surface current flows in this area. The analyses show that the model well reproduces the path and the temporal behaviour of the main known sub-basin circulation features. New mesoscale structures have been also identified, from numerical results and direct observations, for the first time as the Pantelleria Vortex and the Medina Gyre. &lt;br&gt;&lt;br&gt; The classical kinetic energy decomposition (eddy and mean) allowed to depict and to quantify the permanent and fluctuating parts of the circulation in the region, and to differentiate the four sub-regions as function of relative and absolute strength of the mesoscale activity. Furthermore the Baroclinic Energy Conversion term shows that in the Sardinia Channel the mesoscale activity, due to baroclinic instabilities, is significantly larger than in the other sub-regions, while a negative sign of the energy conversion, meaning a transfer of energy from the Eddy Kinetic Energy to the Eddy Available Potential Energy, has been recorded only for the surface layers of the Sicily Channel during summer

Leaf water relation traits in typical Sicilian varieties of Vitis vinifera L.

In Italy, grapevines are extensively cultivated, with Sicily representing one of the most significant wine regions. The high number of autochthonous grapevine varieties represents an important source of genetic diversity, and the many Sicilian varieties have anatomical and physiological traits that allow them to resist to different levels of drought stress. We investigated the water relation parameters of four cultivars of Vitis vinifera L. (Catarratto, Corinto, Nero d'Avola and Zibibbo) and characterized their leaf hydraulics. Measurements were conducted during summer on plants growing in the experimental field of the IBBR-CNR near Palermo. Daily patterns of leaf water potential (Yleaf) and stomatal conductance (gs) were measured in the field. Pressure-volume curves were constructed by the bench dehydration method to obtain leaf water potential at turgor loss point (Ytlp), osmotic potential at full rehydration (p0) and bulk modulus of elasticity (εmax). Leaf samples were collected to determine vein density using ImageJ. Major vein density was measured on digitally scanned leaves, while minor vein density was measured on photomicrographs of cleared and stained leaf portions

Numerical Modelling of the Constitutive Behaviour of FRCM Composites through the Use of Truss Elements

The modeling of the mechanical behavior of Fabric Reinforced Cementitious Matrix (FRCM) composites is a difficult task due to the complex mechanisms established at the fibre-matrix and composite-support interface level. Recently, several modeling approaches have been proposed to simulate the mechanical response of FRCM strengthening systems, however a simple and reliable procedure is still missing. In this paper, two simplified numerical models are proposed to simulate the tensile and shear bond behavior of FRCM composites. Both models take advantage of truss and non-linear spring elements to simulate the material components and the interface. The proposed approach enables us to deduce the global mechanical response in terms of stress-strain or stress-slip relations. The accuracy of the proposed models is validated against the experimental benchmarks available in the literature

Microgel particles with distinct morphologies and common chemical compositions: a unified descrip-tion of the responsivity to temperature and osmotic stress

Poly(N-isopropylacrylamide) (PNIPAM) hydrogel microparticles with different core-shell morphologies have been designed, while maintaining an unvaried chemical composition: a morphology with (i) an un-crosslinked core with a crosslinked shell of PNIPAM chains and (ii) PNIPAM chains crosslinked to form the core with a shell consisting of tethered un-crosslinked PNIPAM chains to the core. Both morphologies with two different degrees of crosslinking have been assessed by confocal microscopy and tested with respect to their temperature responsivity and deformation by applying an osmotic stress. The thermal and mechanical behavior of these architectures have been framed within a Flory-Rehner modified model in order to describe the microgel volume shrinking occurring as response to a temperature increase or an osmotic perturbation. This study provides a background for assessing to what extent the mechanical features of the microgel particle surface affect the interactions occurring at the interface of a microgel particle with a cell, in addition to the already know ligand/receptor interaction. These results have direct implications in triggering a limited phagocytosis of microdevices designed as injectable drug delivery systems

Conservation of context-dependent splicing activity in distant Muscleblind homologs

The Muscleblind (MBL) protein family is a deeply conserved family of RNA binding proteins that regulate alternative splicing, alternative polyadenylation, RNA stability and RNA localization. Their inactivation due to sequestration by expanded CUG repeats causes symptoms in the neuromuscular disease myotonic dystrophy. MBL zinc fingers are the most highly conserved portion of these proteins, and directly interact with RNA. We identified putative MBL homologs in Ciona intestinalis and Trichoplax adhaerens, and investigated their ability, as well as that of MBL homologs from human/mouse, fly and worm, to regulate alternative splicing. We found that all homologs can regulate alternative splicing in mouse cells, with some regulating over 100 events. The cis-elements through which each homolog exerts its splicing activities are likely to be highly similar to mammalian Muscleblind-like proteins (MBNLs), as suggested by motif analyses and the ability of expanded CUG repeats to inactivate homolog-mediated splicing. While regulation of specific target exons by MBL/MBNL has not been broadly conserved across these species, genes enriched for MBL/MBNL binding sites in their introns may play roles in cell adhesion, ion transport and axon guidance, among other biological pathways, suggesting a specific, conserved role for these proteins across a broad range of metazoan species.National Institutes of Health (U.S.) (DP5 OD017865

Cerebral Microdialysis Monitoring to Improve Individualized Neurointensive Care Therapy: An Update of Recent Clinical Data.

Cerebral microdialysis (CMD) allows bedside semicontinuous monitoring of patient brain extracellular fluid. Clinical indications of CMD monitoring are focused on the management of secondary cerebral and systemic insults in acute brain injury (ABI) patients [mainly, traumatic brain injury (TBI), subarachnoid hemorrhage, and intracerebral hemorrhage (ICH)], specifically to tailor several routine interventions-such as optimization of cerebral perfusion pressure, blood transfusion, glycemic control and oxygen therapy-in the individual patient. Using CMD as clinical research tool has greatly contributed to identify and better understand important post-injury mechanisms-such as energy dysfunction, posttraumatic glycolysis, post-aneurysmal early brain injury, cortical spreading depressions, and subclinical seizures. Main CMD metabolites (namely, lactate/pyruvate ratio, and glucose) can be used to monitor the brain response to specific interventions, to assess the extent of injury, and to inform about prognosis. Recent consensus statements have provided guidelines and recommendations for CMD monitoring in neurocritical care. Here, we summarize recent clinical investigation conducted in ABI patients, specifically focusing on the role of CMD to guide individualized intensive care therapy and to improve our understanding of the complex disease mechanisms occurring in the immediate phase following ABI. Promising brain biomarkers will also be described