Carbon Monoxide Diffusion Capacity as a Severity Marker in Pulmonary Hypertension.

Carbon monoxide diffusion capacity (DLCO) is negatively associated with patient survival in idiopathic pulmonary hypertension (PH), but is not included in the risk stratification score proposed by the 2015 European guidelines. Since 2015, several new stratification scores based on a 3- or 4-severity scale have been explored. This retrospective cohort single-center study sought to investigate the association between DLCO and PH severity and survival. We included 85 treatment-naive patients with precapillary PH and DLCO measurement at diagnosis. DLCO status, based on lower and upper quartiles ranges, was added to a 3- and a 4-strata modified-risk assessment. DLCO was strongly associated with transplant-free survival (HR 0.939, 95% CI: 0.908-0.971, p < 0.001). In the intermediate and high-risk categories, DLCO was associated with transplant-free survival, irrespective of the risk category (HR 0.934, 95% CI: 0.880-0.980, p = 0.005). The correlation between modified-risk category and transplant-free survival was significant (HR 4.60, 95% CI: 1.294-16.352, p = 0.018). Based on the Akaike information criterion (AIC) levels, the 3- and 4-strata modified-risk stratification fits our results better than the conventional stratification. Low DLCO is associated with patient transplant-free survival, independently of the risk category. Inclusion of DLCO into a PH risk stratification score seems promising and needs further investigation

Application of photogrammetry techniques for the visual assessment of vessels' cargo hold

Visual inspection is an integral part of Condition and Class surveys, with the results comprising of the surveyors’ opinion, documented by a sum of pictures indicating areas of interest. Although this way provides the most essential information, the communication of the results may be difficult, since isolated images cannot provide the context. Photogrammetry exploits pictorial data to provide 3D models, with a high level of accuracy and is not an uncommon method in the maritime environment. Use of such methods to support visual survey activities is examined in this work, providing the methodology for the data collection, which is structured in an algorithmic way, to enable realization by automated means (robots). The 3D model is provided, along with accuracy results

Application of photogrammetry techniques for the visual assessment of vessels’ cargo hold

Visual inspection is an integral part of Condition and Class surveys, with the results comprising of the surveyors’ opinion, documented by a sum of pictures indicating areas of interest. Although this way provides the most essential information, the communication of the results may be difficult, since isolated images cannot provide the context. Photogrammetry exploits pictorial data to provide 3D models, with a high level of accuracy and is not an uncommon method in the maritime environment. Use of such methods to support visual survey activities is examined in this work, providing the methodology for the data collection, which is structured in an algorithmic way, to enable realization by automated means (robots). The 3D model is provided, along with accuracy results

Photon counting schemes and performance of non-deterministic nonlinear gates in linear optics

The performance of nondeterministic nonlinear gates in linear optics relies on the photon counting scheme being employed and the efficiencies of the detectors in such schemes. We assess the performance of the nonlinear sign gate, which is a critical component of linear optical quantum computing, for two standard photon counting methods: the double detector array and the visible light photon counter. Our analysis shows that the double detector array is insufficient to provide the photon counting capability for effective nondeterministic nonlinear transformations, and we determine the gate fidelity for both photon counting methods as a function of detector efficiencies

Demonstration of Einstein-Podolsky-Rosen Steering Using Hybrid Continuous- and Discrete-Variable Entanglement of Light

Einstein-Podolsky-Rosen steering is known to be a key resource for one-sided device-independent quantum information protocols. Here we demonstrate steering using hybrid entanglement between continuous- and discrete-variable optical qubits. To this end, we report on suitable steering inequalities and detail the implementation and requirements for this demonstration. Steering is experimentally certified by observing a violation by more than 5 standard deviations. Our results illustrate the potential of optical hybrid entanglement for applications in heterogeneous quantum networks that would interconnect disparate physical platforms and encodings

Editorial: Chronic autoimmune arthritis, infections and vaccines

The link between autoimmunity and infection continues to represent an intriguing immunologic conundrum for scientist and a frequent clinical challenge for patients and physicians. Patients with chronic autoimmune arthritis indeed have an increased risk of infections, mainly due to the dysregulation of their immune system and the use of immunosuppressive therapy. Infections in these patients are more frequent, have a more severe clinical course, eventually with prolonged viral persistence, compared to the general population and represent a frequent cause of death. Besides, infections can trigger autoimmune diseases via different immunologic mechanisms such as molecular mimicry, epitope spreading, by-stander activation and can also induce disease relapses. SARS-CoV-2 infection represents a dramatic example of this complex connection. It is known, indeed, that different autoimmune manifestations can complicate SARS-CoV-2 infection such as uncontrolled host-immune response leading to life-threatening condition known as cytokine release syndrome, or autoimmune hemolytic anemia, immune thrombocytopenic purpura, Guillain-Barre syndrome, and the detection of different autoantibodies. This Research Topic includes seventeen contributions, fifteen original articles and two review articles, providing several new insights into the efficacy and safety of SARS-CoV-2 vaccine in autoimmune patients, immunologic biomarkers for diagnosis and therapeutic outcome of autoimmune arthritis

Interstitial Lung Disease in Rheumatoid Arthritis in the Era of Biologics

Interstitial lung disease (ILD) represents a severe manifestation in connective tissue diseases (CTD), with an overall incidence of 15%, and it is still a challenge for clinicians evaluation and management. ILD is the most common manifestation of lung involvement in Rheumatoid Arthritis (RA), observed in up to 80% of biopsies, 50% of chest Computed Tomography (CT) and only 5% of chest radiographs. Histopatological patterns of ILD in RA may present with different patterns, such as: usual interstitial pneumonia, non specific interstitial pneumonia, desquamative interstitial pneumonia, organizing pneumonia, and eosinophilic infiltration. The incidence of ILD in RA patients is not only related to the disease itself, many drugs may be in fact associated with the development of pulmonary damage. Some reports suggest a causative role for TNFα inhibitors in RA-ILD development/worsening, anyway, no definitive statement can be drawn thus data are incomplete and affected by several variables. A tight control (pulmonary function tests and/or HRCT) is mandatory in patients with preexisting ILD, but it should be also performed in those presenting risk factors for ILD and mild respiratory symptoms. Biologic therapy should be interrupted, and, after excluding triggering infections, corticosteroids should be administered

Suspended Multifunctional Nanocellulose as Additive for Mortars

Cellulose derivatives have found significant applications in composite materials, mainly because of the increased mechanical performance they ensure. When added to cement-based materials, either in the form of nanocrystals, nanofibrils or micro/nanofibers, cellulose acts on the mixture with fresh and hardened properties, affecting rheology, shrinkage, hydration, and the resulting mechanical properties, microstructure, and durability. Commercial cotton wool was selected as starting material to produce multifunctional nanocelluloses to test as additives for mortars. Cotton wool was oxidized to oxidized nanocellulose (ONC), a charged nanocellulose capable of electrostatic interaction, merging cellulose and nanoparticles properties. Oxidized nanocellulose (ONC) was further functionalized by a radical-based mechanism with glycidyl methacrylate (GMA) and with a mixture of GMA and the crosslinking agent ethylene glycol dimethacrylate (EGDMA) affording ONC-GMA and ONC-GMA-EGDMA, both multifunctional-charged nanocellulose merging cellulose and bound acrylates properties. In this work, only ONC was found to be properly suitable for suspension and addition to a commercial mortar to assess the variation in mechanical properties and water-mortar interactions as a consequence of the modified microstructure obtained. The addition of oxidized nanocellulose caused an alteration of mortar porosity, with a decreased percentage of porosity and pore size distribution shifted towards smaller pores, with a consequent increase in compressive resistance, decrease in water absorption coefficient, and increased percentage of micropores present in the material, indicating a potential improvement in mortar durability