Primary Aldosteronism and Resistant Hypertension: A Pathophysiological Insight

Primary aldosteronism (PA) is a pathological condition characterized by an excessive aldosterone secretion; once thought to be rare, PA is now recognized as the most common cause of secondary hypertension. Its prevalence increases with the severity of hypertension, reaching up to 29.1% in patients with resistant hypertension (RH). Both PA and RH are “high-risk phenotypes”, associated with increased cardiovascular morbidity and mortality compared to non-PA and non-RH patients. Aldosterone excess, as occurs in PA, can contribute to the development of a RH phenotype through several mechanisms. First, inappropriate aldosterone levels with respect to the hydro-electrolytic status of the individual can cause salt retention and volume expansion by inducing sodium and water reabsorption in the kidney. Moreover, a growing body of evidence has highlighted the detrimental consequences of “non-classical” effects of aldosterone in several target tissues. Aldosterone-induced vascular remodeling, sympathetic overactivity, insulin resistance, and adipose tissue dysfunction can further contribute to the worsening of arterial hypertension and to the development of drug-resistance. In addition, the pro-oxidative, pro-fibrotic, and pro-inflammatory effects of aldosterone may aggravate end-organ damage, thereby perpetuating a vicious cycle that eventually leads to a more severe hypertensive phenotype. Finally, neither the pathophysiological mechanisms mediating aldosterone-driven blood pressure rise, nor those mediating aldosterone-driven end-organ damage, are specifically blocked by standard first-line anti-hypertensive drugs, which might further account for the drug-resistant phenotype that frequently characterizes PA patients.     

A New User‐Oriented Index,Based on a Fuzzy Inference System,for Quality Evaluation of Rural Roads

Users of road facilities generally express a judgment on road quality based on their psychophysical conditions, in relation to the environment they refer to. This judgment is made considering many aspects, for example, the presence of traffic lights, the frequency of interchanges, of lay‐bys and gas stations, route conformation, environmental conditions, quality of road signs, etc. In this article, we propose a new index called Global Satisfaction Index, which uses vehicular traffic quality and quality of road pavement, to summarize these aspects, and to express the users’ global judgment about the ride comfort on rural roads. Since in this kind of judgment a subjective perception process is involved, we have used fuzzy theory to handle uncertainty embedded in the process. The attributes of the aspects considered have been expressed through fuzzy numbers, and the global judgment has been obtained through a fuzzy inference system. In this way the proposed index overcomes the limits of other existing indices, since it incorporates uncertainties and/or imprecision inherent in the drivers’ perception of the ride comfort. Moreover, it can be used for evaluation and comparison of different types of road sections. Finally, a numerical example is presented to assist in understanding the practical aspects of the proposed index.     

Porous,Sintered Glass‐Ceramics from Inorganic Polymers Based on Fayalite Slag

The present paper deals with the synthesis of porous, sintered glass‐ceramics obtained at temperatures below 1150°C, originating from inorganic polymers based on fayalite slag. Firing led to the evaporation of water, dehydroxylation, and oxidation of Fe²⁺ above 345°C. For heating >700°C, the Si–O stretching band shifted from the 1160 and 750 cm^?1 to the 1255 and 830 cm^?1 region, due to a structural reorganization of the amorphous phase, whereas Fe–O bands appeared at 550 cm^?1. The final microstructure consisted predominantly of an amorphous phase, hematite, and franklinite. The open porosity and compressive strength decreased and increased, respectively, as the firing temperature increased. The final values suggest properties comparable to that of structural lightweight concrete, still, the materials synthesized herein, are lighter, and made primarily from secondary resources.     

Effect of Tempering on the Oxidation Behaviour of a Roll-Grade High-Speed Steel During Thermal Cycling

Oxidation of Metals - The oxidation characteristics of a roll-grade high-speed steel with different tempering heat treatments were studied under thermal cycling conditions at 650 °C...     

High toughness transparent glass-ceramics with petalite and β-spodumene solid solution as two major crystal phases

Lithium aluminosilicate glass-ceramics are well known for good transparency, high fracture toughness, low thermal expansion, and good ion exchange ability. In this study, new transparent Li₂O-Al₂O₃-SiO₂ (LAS) glass-ceramics with petalite and β-spodumene solid solution as the major crystalline phases were invented for favorable mechanical properties and potential for application in the hollowware, tableware, container, and plate glass industries. Crystal phases are mainly influenced by the ratio of Al₂O₃ to SiO₂ concentrations. The concentration of SiO₂ required to form specific crystalline phases in the glass-ceramics is higher than that inferred from the ternary phase diagram. Al₂O₃ content is required to be sufficiently high for the formation of crystals, instead of balancing excess amounts of Li₂O in the glass. The average transmittances of 2.0 ± 0.1 mm thickness samples in visible light regions (400–700 nm) can reach more than 80% with crystal sizes of 20–40 nm. Transmittance is significantly decreased for heat treatments around 710°C, due to the high growth rate of β-spodumene solid solution crystals. Vickers hardness, indentation toughness, and crack probabilities of transparent LAS glass-ceramics are significantly improved compared with standard soda lime silicate glass, due to the crack bridging and deflection of crystal grains.     

Multifunctional TiO2 coatings for Cultural Heritage

Environmental pollution arising from industrial implants and urban factors is constantly increasing, causing aesthetical and durability concerns to urban structures exposed to the atmosphere.     

Beer Clarification by Novel Ceramic Hollow‐Fiber Membranes: Effect of Pore Size on Product Quality

In this work, the crossflow microfiltration performance of rough beer samples was assessed using ceramic hollow‐fiber (HF) membrane modules with a nominal pore size ranging from 0.2 to 1.4 μm. Under constant operating conditions (that is, transmembrane pressure difference, TMP = 2.35 bar; feed superficial velocity, v_S = 2.5 m/s; temperature, T = 10 °C), quite small steady‐state permeation fluxes (J^*) of 32 or 37 L/m²/h were achieved using the 0.2‐ or 0.5‐μm symmetric membrane modules. Both permeates exhibited turbidity <1 EBC unit, but a significant reduction in density, viscosity, color, extract, and foam half‐life with respect to their corresponding retentates. The 0.8‐μm asymmetric membrane module might be selected, its corresponding permeate having quite a good turbidity and medium reduction in the aforementioned beer quality parameters. Moreover, it exhibited J^* values of the same order of magnitude of those claimed for the polyethersulfone HF membrane modules currently commercialized. The 1.4‐μm asymmetric membrane module yielded quite a high steady‐state permeation flux (196 ± 38 L/m²/h), and a minimum decline in permeate quality parameters, except for the high levels of turbidity at room temperature and chill haze. In the circumstances, such a membrane module might be regarded as a real valid alternative to conventional powder filters on condition that the resulting permeate were submitted to a final finishing step using 0.45‐ or 0.65‐μm microbially rated membrane cartridges prior to aseptic bottling. A novel combined beer clarification process was thus outlined.     

Composition of bacterial and archaeal communities in freshwater sediments with different contamination levels (Lake Geneva, Switzerland)

The aim of this study was to compare the composition of bacterial and archaeal communities in contaminated sediments (Vidy Bay) with uncontaminated sediments (Ouchy area) of Lake Geneva using 16S rRNA clone libraries. Sediments of both sites were analysed for physicochemical characteristics including porewater composition, organic carbon, and heavy metals. Results show high concentrations of contaminants in sediments from Vidy. Particularly, high contents of fresh organic matter and nutrients led to intense mineralisation, which was dominated by sulphate-reduction and methanogenesis. The bacterial diversity in Vidy sediments was significantly different from the communities in the uncontaminated sediments. Phylogenetic analysis revealed a large proportion of Betaproteobacteria clones in Vidy sediments related to Dechloromonas sp., a group of dechlorinating and contaminant degrading bacteria. Deltaproteobacteria, including clones related to sulphate-reducing bacteria and Fe(III)-reducing bacteria (Geobacter sp.) were also more abundant in the contaminated sediments. The archaeal communities consisted essentially of methanogenic Euryarchaeota, mainly found in the contaminated sediments rich in organic matter. Multiple factor analysis revealed that the microbial community composition and the environmental variables were correlated at the two sites, which suggests that in addition to environmental parameters, pollution may be one of the factors affecting microbial community structure.     

The Expression of Active CD11b Monocytes in Blood and Disease Progression in Amyotrophic Lateral Sclerosis

Monocytes expressing the inflammation suppressing active CD11b, a beta2 integrin, may regulate neuroinflammation and modify clinical outcomes in amyotrophic lateral sclerosis (ALS). In this single site, retrospective study, peripheral blood mononuclear cells from 38 individuals living with ALS and 20 non-neurological controls (NNC) were investigated using flow cytometry to study active CD11b integrin classical (CM), intermediate (IM) and non-classical (NCM) monocytes during ALS progression. Seventeen ALS participants were sampled at the baseline (V1) and at two additional time points (V2 and V3) for longitudinal analysis. Active CD11b+ CM frequencies increased steeply between the baseline and V3 (ANOVA repeated measurement, p < 0.001), and the V2/V1 ratio negatively correlated with the disease progression rate, similar to higher frequencies of active CD11b+ NCM at the baseline (R = −0.6567; p = 0.0031 and R = 0.3862; p = 0.0168, respectively). CD11b NCM, clinical covariates and neurofilament light-chain plasma concentration at the baseline predicted shorter survival in a multivariable and univariate analysis (CD11b NCM—HR: 1.05, CI: 1.01–1.11, p = 0.013. Log rank: above median: 43 months and below median: 21.22 months; p = 0.0022). Blood samples with the highest frequencies of active CD11b+ IM and NCM contained the lowest concentrations of soluble CD11b. Our preliminary data suggest that the levels of active CD11b+ monocytes and NCM in the blood predict different clinical outcomes in ALS.