Visual field loss and vision-related quality of life in the Italian Primary Open Angle Glaucoma Study.

The aim of this study was to examine the relationship between visual field (VF) loss, vision-related quality of life (QoL) and glaucoma-related symptoms in a large cohort of primary open angle glaucoma (POAG) patients. POAG patients with or without VF defects or "glaucoma suspect" patients were considered eligible. QoL was assessed using the validated versions of the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) and glaucoma-related symptoms were assessed using the Glaucoma Symptom Scale (GSS). Patients were classified as having VF damage in one eye (VFD-1), both eyes (VFD-2), or neither eye (VFD-0). 3227 patients were enrolled and 2940 were eligible for the analysis. 13.4% of patients were classified in the VFD-0, 23.7% in the VFD-1, and 62.9% in the VFD-2 group. GSS visual symptoms domain (Func-4) and GSS non-visual symptoms domain (Symp-6) scores were similar for the VFD-0 and VFD-1 groups (p = 0.133 and p = 0.834 for Func-4 and Symp-6, respectively). VFD-0 group had higher scores than VFD-2 both in Func-4 (p < 0.001) and Symp-6 domains (p = 0.035). Regarding the NEI-VFQ-25, our data demonstrated that bilateral VF defects are associated with vision-related QoL deterioration, irrespective of visual acuity

Rapporto tecnico sulle attività di campionamento della “Campagna Oceanografica CISAS_2” Crotone 07-12 dicembre 2017

Le attività di campionamento ed acquisizione dati svolte durante la campagna CISAS_2 si inseriscono in seno al progetto “Centro internazionale di studi avanzati su ambiente ed impatti su ecosistema e salute umana (CISAS)” del CNR. L’obiettivo principale del progetto CISAS è la comprensione dei processi e dei meccanismi di trasferimento di alcuni contaminanti convenzionali (metalli pesanti, POPs, radionuclidi, ecc.) e di alcuni contaminanti emergenti (PDBE, composti farmaceutici di nuova generazione, ecc.) dall’ambiente inteso come l’insieme di atmosfera-suoli-acque sotterranee-matrici marine (acque e sedimento) all’ecosistema e all’uomo. Le aree di indagine del progetto sono i Siti di Interesse Nazionale (SIN) di Priolo, Milazzo-Pace del Mela e Crotone che, per specificità e modalità di impatto antropogenico sull’ambiente, l’ecosistema e la salute umana, coprono un ampio spettro di tipologie di interesse. La campagna oceanografica CISAS_ 2 è stata dedicata alla caratterizzazione ambientale del SIN di Crotone, nonché all’identificazione delle sorgenti dei contaminanti la cui distribuzione si ritiene di interesse (per i valori di concentrazione riscontrati nelle diverse matrici ambientali e per livello di tossicità associata agli effetti degli stessi sulla salute dell’ecosistema e dell’uomo) e i pathways di deposizione nelle aree di interesse

The attitudes of Italian consumers towards jellyfish as novel food

Abstract The globalization of food markets and the recent upgrade of the European regulation on novel foods open up new possibilities for the introduction of edible jellyfish in the diet of Europeans. In spite of no tradition of eating jellyfish in Italy and, more generally, in Western countries, several Mediterranean jellyfish species have biological and nutritional features with a large potential as innovative, sustainable novel food and source of bioactive compounds. To evaluate the Italians' attitude of considering jellyfish as food source, a survey has been carried out on a group of 1445 individuals. A questionnaire was designed to assess the jellyfish consumption attitude (JCA) of respondents and explore the effect of their individual traits (socio-demography, personality, behavior habits, neophobia, disgust sensitivity) on JCA. Gender, age, and travelling habits differently affected JCA. Possible culinary uses and food pairing of jellyfish were also significantly influenced by JCA. Individuals with the highest propensity to accept jellyfish as food are young people, familiar with the sea environment, with high education level or students, and frequent travelers. Food neophobia and sensitivity to disgust are confirmed as personality traits able to strongly impair the acceptability of a novel food. Finally, this work provides insights into the acceptance and rejection variables that should be taken into account when an unfamiliar new food product, such as jellyfish, is planned to be introduced in a new dietary culture and new markets

Peripheral accumulation of newly produced T and B lymphocytes in natalizumab-treated multiple sclerosis patients

The anti-α4 monoclonal antibody natalizumab inhibits lymphocyte extravasation into the central nervous system and increases peripheral T and B lymphocytes in multiple sclerosis patients. To investigate whether the lymphocyte accumulation was due to a higher lymphocyte production, an altered homeostasis, or a differential transmigration of lymphocyte subsets through endothelia, T-cell receptor excision circles and kappa-deleting recombination excision circles were quantified before and after treatment, T-cell receptor repertoire was analyzed by spectratyping, and T- and B-lymphocyte subset migration was studied using transwell coated with vascular and lymphatic endothelial cells. We found that the number of newly produced T and B lymphocytes is increased because of a high release and of a low propensity of naïve subsets to migrate across endothelial cells. In some patients this resulted in an enlargement of T-cell heterogeneity. Because new lymphocyte production ensures the integrity of immune surveillance, its quantification could be used to monitor natalizumab therapy safety

Splenic cyst in a wandering spleen: laparoscopic treatment with preservation of splenic function

Background: Wandering spleen and splenic cyst are rare benign congenital conditions that can both cause severe complications related to torsion or trauma. Case Report: A 14-year-old girl presented a mobile 10-cm-long abdominal mass in the left lower quadrant associated with mild abdominal pain. The diagnosis of an 8-cm-long nonparasitic cyst in a wandering spleen was confirmed by computerized tomography and negative serum indirect hemagglutination titer for hydatid disease. Laparoscopic unroofing of the cyst and splenopexy in a vycril mesh was performed. Results: No problems were encountered during laparoscopic surgery. Postoperative course was uneventful, and at a 1-year follow-up, the spleen is viable and maintains a normal position in the phrenorenal angle. Conclusions: In the child, treatment of wandering spleen associated with a cyst should aim at the prevention of vascular accidents and at conservation of the spleen. We achieved these goals with unroofing and splenopexy through laparoscopic surgery. © 2007 Elsevier Inc. All rights reserved

Viability Criteria during Liver Ex-Situ Normothermic and Hypothermic Perfusion

With the increased use of extended-criteria donors, machine perfusion became a beneficial alternative to cold storage in preservation strategy for donor livers with the intent to expand donor pool. Both normothermic and hypothermic approach achieved good results in terms of mid- and long-term outcome in liver transplantation. Many markers and molecules have been proposed for the assessment of liver, but no definitive criteria for graft viability have been validated in large clinical trials and key parameters during perfusion still require optimization.In this review, we address the current literature of viability criteria during normothermic and hypothermic machine perfusion and discuss about future steps and evolution of these technologies

A methodology to reduce the computational effort in 3D-CFD simulations of plate-fin heat exchangers

The analysis of a plate-fin heat exchanger performance requires the evaluation of key parameters such as heat transfer and pressure drop. In this regard, computational Fluid Dynamics (CFD) can be proficiently adopted, at the design stage, to predict the performance of plate-fin heat exchangers. However, these last are often characterized by a complex geometry, such as in the case of plate exchangers with turbulators, leading to a huge computational effort, which often exceeds the available resources. In this study, a numerical methodology for the simulation of plate heat exchangers is proposed, to bypass the limits imposed by the computational cost. The methodology relies on the simulation of a minimal portion of the exchanger (two plates, one per fluid) characterized by periodic boundary conditions (that mimic the presence of several layers). The total heat exchanged is obtained simply multiplying the calculated heat transfer by the number of plate couples composing the device. Moreover, the two plates allow to calibrate porous media which are adopted to rebuild (in a simplified version) the two fluid circuits of the whole exchanger and obtain the overall pressure drop across the device for both the hot and cold fluids. The proposed approach is validated against experimental data of an oil cooler for automotive application, that is a plate-fin heat exchanger characterized by the presence of turbulators. The numerical outcomes are compared to the experiments in terms of pressure drop and heat transfer for a wide range of volumetric flow rates. Particular attention is devoted to the mesh sensitivity and the adopted computational grid minimizes the number of cells (and, thus, the computational cost), without compromising the accuracy. Moreover, the Reynolds-Stress-Transport turbulence model is accurately selected among the most diffused ones, in order to properly match the test bench data. The proposed methodology allows to reduce of nearly one order of magnitude the total number of cells required for the simulation of the heat exchanger performance. The heat transfer is predicted with high accuracy, i.e. error is always lower than 4%. As for the pressure loss, the deviation compared to the experiments increases up to nearly 15% (for one of the simulated conditions) but it is considered still acceptable