Non-Intensive Care Unit Acquired Pneumonia: A New Clinical Entity?

Hospital-acquired pneumonia (HAP) is a frequent cause of nosocomial infections, responsible for great morbidity and mortality worldwide. The majority of studies on HAP have been conducted in patients hospitalized in the intensive care unit (ICU), as mechanical ventilation represents a major risk factor for nosocomial pneumonia and specifically for ventilator-associated pneumonia. However, epidemiological data seem to be different between patients acquiring HAP in the ICU vs. general wards, suggesting the importance of identifying non ICU-acquired pneumonia (NIAP) as a clinical distinct entity in terms of both etiology and management. Early detection of NIAP, along with an individualized management, is needed to reduce antibiotic use and side effects, bacterial resistance and mortality. The present article reviews the pathophysiology, diagnosis, treatment and prevention of NIAP.     

A comprehensive meta-analysis on evidence of Mediterranean diet and cardiovascular disease: Are individual components equal?

Many studies have reported that higher adherence to Mediterranean diet may decrease cardiovascular disease (CVD) incidence and mortality. We performed a meta-analysis to explore the association in prospective studies and randomized control trials (RCTs) between Mediterranean diet adherence and CVD incidence and mortality. The PubMed database was searched up to June 2014. A total of 17 studies were extracted and 11 qualified for the quantitative analysis. Individuals in the highest quantile of adherence to the diet had lower incidence [relative risk (RR): 0.76, 95% confidence intervals (CI): 0.68, 0.83] and mortality (RR: 0.76, 95% CI: 0.68, 0.83) from CVD compared to those least adherent. A significant reduction of risk was found also for coronary heart disease (CHD) (RR: 0.72, 95% CI: 0.60, 0.86), myocardial infarction (MI) (RR: 0.67; 95% CI: 0.54, 0.83), and stroke (RR: 0.76; 95% CI: 0.60, 0.96) incidence. Pooled analyses of individual components of the diet revealed that the protective effects of the diet appear to be most attributable to olive oil, fruits, vegetables, and legumes. An average reduced risk of 40% for the aforementioned outcomes has been retrieved when pooling results of RCTs. A Mediterranean dietary pattern is associated with lower risks of CVD incidence and mortality, including CHD and MI. The relative effects of specific food groups should be further investigated.     

Evaluation of log‐of‐power extremum seeking control for wind turbines using large eddy simulations

The extremum seeking control (ESC) algorithm has been proposed to determine operating parameters that maximize power production below rated wind speeds (region II). This is usually done by measuring the turbine's power signal to determine optimal values for parameters of the control law or actuator settings. This paper shows that the standard ESC with power feedback is quite sensitive to variations in mean wind speed, with long convergence time at low wind speeds and aggressive transient response, possibly unstable, at high wind speeds. The paper also evaluates the performance, as measured by the dynamic and steady state response, of the ESC with feedback of the logarithm of the power signal (LP‐ESC). Large eddy simulations (LES) demonstrate that the LP‐ESC, calibrated at a given wind speed, exhibits consistent robust performance at all wind speeds in a typical region II. The LP‐ESC is able to achieve the optimal set‐point within a prescribed settling time, despite variations in the mean wind speed, turbulence, and shear. The LES have been conducted using realistic wind input profiles with shear and turbulence. The ESC and LP‐ESC are implemented in the LES without assuming the availability of analytical gradients.     

A Double Resonance Method for Studying Collision Rates in an Intense Laser Field

Abstract

We propose a method for studying the modification of atomic collision rates in the presence of an intense laser field. This method employs a three-level lambda-system driven by two laser pulses: one strong and the other weak. The weak laser is used to populate a particular dressed state produced by the intense laser at some time during the pulse history. We show that this point can be selected by tuning the frequency of the weak laser. The spectrum of the emission produced by the dressed state is then recorded. Measuring this spectrum, both in the presence and in the absence of collisions, enables one to deduce the dependence of the collision rates on laser intensity. The method has other advantages discussed in the text.     

Anelastic reorganisation of fibre-reinforced biological tissues

In this work, we contribute to the study of the structural reorganisation of biological tissues in response to mechanical stimuli. We specialise our investigation to a class of hydrated soft tissues, whose internal structure features reinforcing fibres. These are oriented statistically within the tissue, and their pattern of orientation is such that, at each material point, the tissue is anisotropic. From its natural, stress-free state, the tissue can be distorted anelastically into a global reference configuration, and then deformed under the action of external mechanical loads. The anelastic distortions are responsible for changing irreversibly the internal structure of the tissue, which, in the present context, occurs through both the rearrangement of the bonds among the tissue cells and the deformation-driven reorientation of the fibres. The anelastic strains, in addition, are assumed to model the onset and evolution of microcracks in the tissue, which may be triggered by the mechanical loads applied to the tissue in the case of traumatic events, or diseases. For our purposes, we formulate an anisotropic model of remodelling and we consider a fully isotropic model of structural reorganisation for comparison, with the aim to study if, how, and to what extent the evolution of anelastic distortions is influenced by the tissue’s anisotropy.

     

Double Mutant Cycles as a Tool to Address Folding,Binding, and Allostery

Quantitative measurement of intramolecular and intermolecular interactions in protein structure is an elusive task, not easy to address experimentally. The phenomenon denoted ‘energetic coupling’ describes short- and long-range interactions between two residues in a protein system. A powerful method to identify and quantitatively characterize long-range interactions and allosteric networks in proteins or protein–ligand complexes is called double-mutant cycles analysis. In this review we describe the thermodynamic principles and basic equations that underlie the double mutant cycle methodology, its fields of application and latest employments, and caveats and pitfalls that the experimentalists must consider. In particular, we show how double mutant cycles can be a powerful tool to investigate allosteric mechanisms in protein binding reactions as well as elusive states in protein folding pathways.     

Potential to retrofit existing small-scale gasifiers through steam gasification of biomass residues for hydrogen and biofuels production

This work investigates the opportunity of retrofitting existing small-scale gasifiers shifting from combined heat and power (CHP) to hydrogen and biofuels production, using steam and biomass residues (woodchips, vineyard pruning and bark). The experiments were carried out in a batch reactor at 700 °C and 800 °C and at different steam flow (SF) rates (0.04 g/min and 0.20 g/min). The composition of the producer gas is in the range of 46–70 % H₂, 9–29 % CO, 12–27 % CO₂, and 2–6 % CH₄. A producer gas specific production factor of approx. 10 NL_pg/g_char can be achieved when the lower SFs are used, which allows to provide 80 % of the hydrogen concentration required for biomethanation and MeOH synthesis. As for FT synthesis, an optimal H₂/CO ratio of approx. 2 can be achieved. The results of this work provide further evidence towards the feasibility of hydrogen and biofuels generation from residual biomass through steam gasification.