Ficolin-2 Plasma Level Assesses Liver Fibrosis in Non-Alcoholic Fatty Liver Disease

Fibrosis is the strongest predictor for disease-specific mortality in non-alcoholic fatty liver diseases (NAFLD), but the need for liver biopsy limits its diagnosis. We assessed the performance of plasma ficolin-2 (FCN-2) as a biomarker of fibrosis identified by an in silico discovery strategy. Two hundred and thirty-five morbidly obese (MO) subjects with biopsy-proven NAFLD stratified by fibrosis stage (F0, n = 44; F1, n = 134; F2, n = 46; F3/F4, n = 11) and 40 cirrhotic patients were enrolled. The cohort was subdivided into discovery (n = 76) and validation groups (n = 159). The plasma level of FCN-2 and other candidate markers was determined. FCN-2 was inversely correlated with the stage of liver fibrosis (ρ = −0.49, p < 0.001) independently of steatosis (p = 0.90), inflammation (p = 0.57), and ballooning (p = 0.59). In the global cohort, FCN-2 level decreased significantly in a stepwise fashion from F0/F1 (median 4753 ng/mL) to F2–F3–F4 (2760 ng/mL) and in cirrhotic subjects (1418 ng/mL). The diagnostic performance of FCN-2 in detecting F ≥ 2 was higher than other indexes (APRI, FIB-4) (AUROC 0.82, 0.68, and 0.6, respectively). The accuracy improved when combined with APRI score and HDL values (FCNscore, AUROC 0.85). Overall, the FCN-2 plasma level can accurately discriminate liver fibrosis status (minimal vs. moderate/advanced) significantly improving the fibrosis diagnostic algorithms.     

Molecular Mechanisms and Physiological Changes behind Benign Tracheal and Subglottic Stenosis in Adults

Laryngotracheal stenosis (LTS) is a complex and heterogeneous disease whose pathogenesis remains unclear. LTS is considered to be the result of aberrant wound-healing process that leads to fibrotic scarring, originating from different aetiology. Although iatrogenic aetiology is the main cause of subglottic or tracheal stenosis, also autoimmune and infectious diseases may be involved in causing LTS. Furthermore, fibrotic obstruction in the anatomic region under the glottis can also be diagnosed without apparent aetiology after a comprehensive workup; in this case, the pathological process is called idiopathic subglottic stenosis (iSGS). So far, the laryngotracheal scar resulting from airway injury due to different diseases was considered as inert tissue requiring surgical removal to restore airway patency. However, this assumption has recently been revised by regarding the tracheal scarring process as a fibroinflammatory event due to immunological alteration, similar to other fibrotic diseases. Recent acquisitions suggest that different factors, such as growth factors, cytokines, altered fibroblast function and genetic susceptibility, can all interact in a complex way leading to aberrant and fibrotic wound healing after an insult that acts as a trigger. However, also physiological derangement due to LTS could play a role in promoting dysregulated response to laryngo-tracheal mucosal injury, through biomechanical stress and mechanotransduction activation. The aim of this narrative review is to present the state-of-the-art knowledge regarding molecular mechanisms, as well as mechanical and physio-pathological features behind LTS.     

Intrinsic second-order nonlinearity in chalcogenide glasses containing HgI2

Frequency conversion using nonlinear optical (NLO) crystals is widely used in advanced photonic technologies to produce coherent light in the spectral regions where the available laser sources are missing. Isotropic glasses usually do not show second order nonlinear processes like second harmonic or difference frequency generation (SHG, DFG) except for temporarily induced anisotropy under external stimuli. Here, we show that a HgI₂–Ga₂S₃–GeS₂ homogeneous glass exhibits a strong intrinsic SHG response comparable with that of the well-known NLO single crystal LiNbO₃. The origin of this extremely rare phenomenon seems to be noncentrosymmetric bent HgI₂ molecules embedded in a sulfide glassy host. Taking into account the unique properties of chalcogenide glasses (wide IR transmission, low phonon density, unlimited ability to be modified changing the appropriate glass properties, fiber drawing and thin layer design), the observed phenomenon opens up the possibility of creating fundamentally new devices for mid-IR photonics.     

The Genetic Basis of Primary Myelofibrosis and Its Clinical Relevance

Among classical BCR-ABL-negative myeloproliferative neoplasms (MPN), primary myelofibrosis (PMF) is the most aggressive subtype from a clinical standpoint, posing a great challenge to clinicians. Whilst the biological consequences of the three MPN driver gene mutations (JAK2, CALR, and MPL) have been well described, recent data has shed light on the complex and dynamic structure of PMF, that involves competing disease subclones, sequentially acquired genomic events, mostly in genes that are recurrently mutated in several myeloid neoplasms and in clonal hematopoiesis, and biological interactions between clonal hematopoietic stem cells and abnormal bone marrow niches. These observations may contribute to explain the wide heterogeneity in patients’ clinical presentation and prognosis, and support the recent effort to include molecular information in prognostic scoring systems used for therapeutic decision-making, leading to promising clinical translation. In this review, we aim to address the topic of PMF molecular genetics, focusing on four questions: (1) what is the role of mutations on disease pathogenesis? (2) what is their impact on patients’ clinical phenotype? (3) how do we integrate gene mutations in the risk stratification process? (4) how do we take advantage of molecular genetics when it comes to treatment decisions?     

Issues in the characterization of power quality instruments

This paper analyzes some issues related to the metrological characterization of instruments for power quality monitoring, in order to move a step toward the definition of a full performance verification protocol. This protocol should include not only the test situations reported in corresponding standards, but also an array of different voltage and current fluctuations – linked to common power quality issues – that may be encountered in actual power systems. This performance analysis is particularly interesting because it can be found that different power quality instruments, fully meeting characteristics prescribed in standard, still may significantly disagree in some actual measurements. This is due for the existence of unresolved technical and theoretical issues related to the metrological characterization through the classical approaches of these instruments. The aim of the discussion carried out in this paper is also the specification of requirements of a test system devoted to calibration and verification of a power quality monitor, such as it is done in type testing. After a preliminary discussion about technical and theoretical issues related to the performance analysis of these instruments, a proposal of test protocol definition, with reference to some power quality phenomena and based on the design of experiment, is presented.     

Droplet breakage and coalescence in liquid–liquid dispersions: Comparison of different kernels with EQMOM and QMOM

Droplet coalescence and breakage in turbulent liquid–liquid dispersions is simulated by using computational fluid dynamics (CFD) and population balance modeling. The multifractal (MF) formalism that takes into account internal intermittency was here used for the first time to describe breakage and coalescence in a surfactant‐free dispersion. The log‐normal Extended Quadrature Method of Moments (EQMOM) was for the first time coupled with a CFD multiphase solver. To assess the accuracy of the model, predictions are compared with experiments and other models (i.e., Coulalogou and Tavlarides kernels and Quadrature Method of Moments [QMOM]). EQMOM and QMOM resulted in similar predictions, but EQMOM provides a continuous reconstruction of the droplet‐size distribution. Transient predictions obtained with the MF kernels result in a better agreement with the experiments. © 2016 American Institute of Chemical Engineers AIChE J, 63: 2293–2311, 2017     

Nanoindentation and scratch behaviour of Ni–P electroless coatings

ABSTRACT

In the present paper, the mechanical properties and the scratch failure mechanisms of Ni–P electroless coatings are described. The material microstructure was studied in as-deposited and annealed conditions through SEM and EDS analyses. Nanoindentation measurements on the coatings showed a remarkable hardening due to the crystallization and precipitation behaviour produced by annealing. The scratch tests, conducted by increasing the load during scratch, revealed the coating failure mechanisms in a broad range of applied stresses up to delamination.     

Comparison between ozonation and the OSA process: analysis of excess sludge reduction and biomass activity in two different pilot plants

The excess biomass produced during biological treatment of municipal wastewater represents a major issue worldwide, as its disposal implies environmental, economic and social impacts. Therefore, there has been a growing interest in developing technologies to reduce sludge production. The main proposed strategies can be categorized according to the place inside the wastewater treatment plant (WWTP) where the reduction takes place. In particular, sludge minimization can be achieved in the wastewater line as well as in the sludge line. This paper presents the results of two pilot scale systems, to evaluate their feasibility for sludge reduction and to understand their effect on biomass activity: (1) a pilot plant with an ozone contactor in the return activated sludge (RAS) stream for the exposition of sludge to a low ozone dosage; and (2) an oxic-settling-anaerobic (OSA) process with high retention time in the anaerobic sludge holding tank have been studied. The results showed that both technologies enabled significant excess sludge reduction but produced a slight decrease of biomass respiratory activity.     

Susceptible Workload Evaluation and Protection using Selective Fault Tolerance

Low power fault tolerance design techniques trade reliability to reduce the area cost and the power overhead of integrated circuits by protecting only a subset of their workload or their most vulnerable parts. However, in the presence of faults not all workloads are equally susceptible to errors. In this paper, we present a low power fault tolerance design technique that selects and protects the most susceptible workload. We propose to rank the workload susceptibility as the likelihood of any error to bypass the logic masking of the circuit and propagate to its outputs. The susceptible workload is protected by a partial Triple Modular Redundancy (TMR) scheme. We evaluate the proposed technique on timing-independent and timing-dependent errors induced by permanent and transient faults. In comparison with unranked selective fault tolerance approach, we demonstrate a) a similar error coverage with a 39.7% average reduction of the area overhead or b) a 86.9% average error coverage improvement for a similar area overhead. For the same area overhead case, we observe an error coverage improvement of 53.1% and 53.5% against permanent stuck-at and transition faults, respectively, and an average error coverage improvement of 151.8% and 89.0% against timing-dependent and timing-independent transient faults, respectively. Compared to TMR, the proposed technique achieves an area and power overhead reduction of 145.8% to 182.0%.     

Novel link adaptation for TETRA cellular systems

One of the main challenges for future wireless systems is to enhance the effective data throughput by exploiting the allocated bandwidth as much as possible. Among several approaches at different layers, one of the most important is constituted by the so‐called link adaptation (LA) techniques. They are characterized by the adaptation of a set of transmission parameters to the channel state in order to improve performance. In this context, this paper is focused on the analysis of a particular class of LA techniques called adaptive modulation and coding, where the modulation and coding rate of transmission can vary according to the channel behavior. In particular, a novel LA algorithm, namely the timed window (TW) method, suitable for time‐division Duplex systems is proposed here. The performance of the TW algorithm is evaluated by taking actual user mobility conditions, communication channel behavior, as well as the physical layer effects into account. Finally, it is important to stress that, even if the wireless bearer considered in this study is TETRA (TErrestrial Trunked RAdio), the approach is quite general and it can be of interest for other wireless networks and can be optimized for different channel models (e.g. TU50, HT200, etc.). Copyright © 2008 John Wiley & Sons, Ltd.