Search Results (39)

Carob (Ceratonia siliqua L. Fabaceae) is a species of significant economic, ecological, and cultural importance in the Mediterranean region. It is valued for its adaptability to various environments and wide-ranging agricultural and industrial applications. Despite its potential, the genetic characterization of this species in Algerian territories has received little attention to date. The present study aims to decipher carob’s genetic structure and diversity in Algeria. This study presents a comprehensive morphological characterization of 39 Algerian carob accessions based on pod traits and molecular genotyping using eight nuclear and three chloroplast SSR markers across different geographical locations and environmental conditions. The morphological analysis revealed a discrete differentiation among accessions, primarily influenced by their area of origin. The genetic analysis identified 38 unique genotypes. Allelic richness indicated high polymorphism, with an average of 3.81 alleles and 5.36 genotypes for nuclear SSR markers. Chloroplast SSR markers showed lower variability but provided insights into population structure. Genetic analysis revealed distinct genetic clusters aligned with geographical and bioclimatic regions, supported by minimum spanning network analysis that showed the genetic flow patterns among accessions. Discriminant analysis of principal components identified five optimal sub-population groups, highlighting a genetic structure linked with different bioclimatic conditions. These findings evidence the complex genetic diversity of Algerian carob germplasm and offer valuable insights for the sustainable exploitation of carob genetic resources. Full article

This work focuses on the design and optimization of a morphing-compliant system developed within the project HERWINGT (Clean Aviation) and aimed at generating high lift during take-off and landing. The device was conceived to replace a conventional flap of a regional aircraft and work in synergy with a droop nose and a flow control system. The architecture is based on a compliant layout, specifically selected to obtain a final morphed shape of the trailing edge of the wing efficient for high-lift purposes and adequately smooth even in cruise clean configuration. At first, the requirements at aircraft level were critically examined and then elaborated to produce the specifications of the morphing device. A layout was then sketched, considering on its potential in approaching the target morphed shape and on its intrinsic criticalities. Starting from this scheme, a simplified FE model was introduced. The scope was to have an efficient predictive tool suited for optimization processes. After having identified the most relevant design parameters (skin thickness distribution, topology of the structure, and actuator interface parameters), the cost function, and the constraints of the problem (structural integrity and stability), a genetic optimization was implemented. Repeating the genetic process starting from different initial populations, some optimized configurations were identified. A trade-off was thus organized on different criteria, such as the lightness of the structure, the load-bearing capability, the force, and the stroke needed by the actuator. The best compromise was finally taken as baseline for the realization of an advanced FE model used to validate the numerical outcomes obtained during the optimization process and as starting point for the next steps planned in the project. The achieved design is characterized by an enhanced aerodynamic performance with the absence of steps and gaps and external track fairings, reduced weight of both the structure and the actuator, reduced maintenance costs due to a simple layout, and smaller take-off and landing distances owing to the high-lift capability and the intrinsic lightness. Full article

Background/Objectives: The rising use of liver grafts from donation after circulatory death (DCD) has been enabled by advances in normothermic regional perfusion (NRP) and machine perfusion (MP) technologies. We aimed to identify predictive biomarkers in DCD grafts subjected to NRP, followed by randomization to either normothermic machine perfusion (NMP) or dual hypothermic oxygenated perfusion (D-HOPE). Methods: Among 57 DCD donors, 32 liver grafts were transplanted, and recipients were monitored for one week post-transplant. Biomarkers linked with oxidative stress, hepatic injury, mitochondrial dysfunction, inflammation, regeneration, and autophagy were measured during NRP, end-ischemic MP, and one week post-transplant. Results: Arginase-1 (ARG-1) levels were consistently higher in discarded grafts and in recipients who later developed early allograft dysfunction (EAD). Specifically, ARG-1 levels at the end of MP correlated with markers of hepatic injury. Receiver operating characteristic analysis indicated that ARG-1 at the end of MP had a good predictive accuracy for EAD (AUC = 0.713; p = 0.02). Lipid peroxidation (TBARS) elevated at the start of NRP, declined over time, with higher levels in D-HOPE than in NMP, suggesting a more oxidative environment in D-HOPE. Metabolites like flavin mononucleotide (FMN) and NADH exhibited significant disparities between perfusion types, due to differences in perfusate compositions. Inflammatory biomarkers rose during NRP and NMP but normalized post-transplantation. Regenerative markers, including osteopontin and hepatocyte growth factor, increased during NRP and NMP and normalized post-transplant. Conclusions: ARG-1 demonstrates strong potential as an early biomarker for assessing liver graft viability during perfusion, supporting timely and effective decision-making in transplantation. Full article

Transcatheter aortic valve replacement (TAVR) has become the preferred treatment for patients with aortic stenosis (AS) at high surgical risk. However, TAVR is challenging in patients with a pre-existing mitral valve prosthesis, such as a transcatheter mitral valve replacement (TMVR), due to the likelihood of device interference. This study explores the feasibility and safety of performing TAVR in a patient with a pre-existing TMVR procedure using 3D printing, augmented reality (AR) and computational simulations to optimize preprocedural planning. Computational modeling allowed predictions of the spatial relationship between the TAVR and TMVR devices. The simulation output was therefore used as input for augmented visualization of the device interference. The 3D printing of an anatomical replica was used to physically simulate the procedure, ensuring that no significant interference would occur during heart function. The results demonstrated a safe distance of 6.4 mm between the TAVR and TMVR devices, and no functional interference was observed during simulated cardiac cycles. The use of AR in the operating room enhanced the understanding of device positioning, offering a new dimension of precision of the complex cardiovascular intervention. This study concludes that integrating AR, 3D printing, and computational simulations into preprocedural planning for high-risk structural intervention can significantly improve procedural outcomes by enhancing accuracy, safety, and operator confidence. Full article

Despite the economic and ecological importance of the carob tree, few studies are available on the morphological characterization and chemical composition of carob in Algeria. This has resulted in the lack of selection of commercial cultivars of high seed and sugar content. The present study aims to assess the diversity of 11 wild and 1 cultivated carob populations in various regions of Algeria, characterized by diverse geographical and climatic conditions. The final objective is to assess the diversity of neglected carob plants that exhibit superior fruit quality traits and/or are well adapted to different pedoclimatic conditions. The current study focuses on analyzing pod and seed diversity by investigating 12 morphological and 5 physiochemical traits. The analysis of variance revealed significant differences between populations (p < 0.001) for all traits studied, indicating high morphological and chemical variability among these carob populations. Principal component analysis (PCA) was employed to study the relationship between these traits and the geographical origin. High seed yields characterized wild populations, whereas cultivated populations were rich in sugar. Based on morphological traits of pods, seeds and chemical compositions, a hierarchical clustering grouped the carob populations into four groups. The findings of this study represent a significant advancement towards establishing effective cultivar breeding programs in Algeria. They demonstrate that the germplasm examined in this research exhibits an optimal level of morphological and chemical diversity, which is instrumental in the identification of specific traits of both commercial and environmental significance. Full article

In recent times, the misleading belief that the indiscriminate planting of a million trees is the panacea to some of the most serious and urgent environmental problems of our planet (such as soil erosion, climate change, etc.) has gained increasing popularity. However, the idea of “reforesting the planet” does not seem to adequately consider the fact that forests most often represent the last successional stage of terrestrial ecosystems, thus requiring—at least in the first years after planting within urban contexts—some care (hence time and money resources) to become large enough to fulfil the functions (climate mitigation, particulate capture, air purification, etc.) expected by public opinion. Starting from these critical considerations, this paper aims to highlight the need to carry out in-depth multidisciplinary investigations on the most suitable species and communities, underlining the fact that, to improve the environmental quality in urban areas, it is necessary to make appropriate choices, also considering the biogeographical contexts in which such interventions are made. Full article

The treatment landscape for metastatic renal cell carcinoma (mRCC) has undergone significant transformations in recent years. The introduction of novel combination therapies involving tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors has resulted in improved oncological outcomes compared to traditional TKI monotherapy. In this evolving paradigm, the pivotal role of the multidisciplinary tumor board is underscored, particularly in shaping the therapeutic trajectory for patients eligible for locoregional interventions like cytoreductive nephrectomy and metastasectomy. In cases where systemic treatment is deemed appropriate, the absence of direct comparisons among the various combination therapies complicates the selection of a first-line approach. The clinician is faced with the challenge of making decisions based on patient-specific factors such as performance status, risk classification according to the International Metastatic Renal Cell Carcinoma Database Consortium, comorbidities, and disease characteristics, including the number and location of metastases and tumor histology. Considering these concerns, we propose, as a member of a Tuscany Interdisciplinary Uro-Oncologic Group, an algorithm to streamline the decision-making process for mRCC patients, offering guidance to clinicians in their day-to-day clinical practice. Full article

Thoracentesis is one of the most important invasive procedures in the clinical setting. Particularly, thoracentesis can be relevant in the evaluation of a new diagnosed pleural effusion, thus allowing for the collection of pleural fluid so that laboratory tests essential to establish a diagnosis can be performed. Furthermore, thoracentesis is a maneuver that can have therapeutic and palliative purposes. Historically, the procedure was performed based on a physical examination. In recent years, the role of ultrasound has been established as a valuable tool for assistance and guidance in the thoracentesis procedure. The use of ultrasound increases success rates and significantly reduces complications. The aim of this educational review is to provide a detailed and sequential examination of the procedure, focusing on the two main modalities, the ultrasound-assisted and ultrasound-guided form. Full article

Heavy metals (HMs) are natural elements present in the Earth’s crust, characterised by a high atomic mass and a density more than five times higher than water. Despite their origin from natural sources, extensive usage and processing of raw materials and their presence as silent poisons in our daily products and diets have drastically altered their biochemical balance, making them a threat to the environment and human health. Particularly, the food chain polluted with toxic metals represents a crucial route of human exposure. Therefore, the impact of HMs on human health has become a matter of concern because of the severe chronic effects induced by their excessive levels in the human body. Chelation therapy is an approved valid treatment for HM poisoning; however, despite the efficacy demonstrated by chelating agents, various dramatic side effects may occur. Numerous data demonstrate that dietary components and phytoantioxidants play a significant role in preventing or reducing the damage induced by HMs. This review summarises the role of various phytochemicals, plant and herbal extracts or probiotics in promoting human health by mitigating the toxic effects of different HMs. Full article

The aim of this review is to investigate the state of the art among the association between Obstructive sleep apnea (OSA) and laryngomalacia, analyzing the epidemiology, the diagnostic tools, and the possible treatments available to affected patients. Laryngomalacia, characterized by the malacic consistency of the epiglottis with a tendency to collapse during inspiratory acts, producing a characteristic noise known as stridor, is a common condition in infants and particularly in those affected by prematurity, genetic diseases, craniofacial anomalies, and neurological problems. Congenital laryngomalacia, presenting with stridor within the first 15 days of life, is often self-limiting and tends to resolve by 24 months. OSA is not only a consequence of laryngomalacia but also exacerbates and perpetuates the condition. Currently, the treatments reported in the literature are based (i) on medical therapies (including watchful waiting) and (ii) on surgical treatments. Among the surgical techniques, the most described is supraglottoplasty, performed with the use of cold instruments, CO₂ LASER, transoral robotic surgery, or the microdebrider. Full article

Most hydrophobes easily diffuse into yeast cells, where they experience reduced evaporation and protection from oxidation, thus allowing inherently biocompatible encapsulation processes. Despite a long-standing industrial interest, the effect of parameters such as how is yeast pre-treated (extraction with ethanol, plasmolysis with hypertonic NaCl, depletion to cell walls), the polarity of the hydrophobes and the process conditions are still not fully understood. Here, we have developed thorough analytical protocols to assess how the effects of the above on S. cerevisiae’s morphology, permeability, and encapsulation efficiency, using three differently polar hydrophobes (linalool, 1,6-dihydrocarvone, limonene) and three separate processes (hydrophobes as pure ‘oils’, water dispersions, or acetone solutions). The harsher the pre-treatment (depleted > plasmolyzed/extracted > untreated cells), the easier the diffusion into yeast became, and the lower both encapsulation efficiency and protection from evaporation, possibly due to denaturation/removal of lipid-associated (membrane) proteins. More hydrophobic terpenes performed worst in encapsulation as pure ‘oils’ or in water dispersion, but much less of a difference existed in acetone. This indicates the specific advantage of solvents/dispersants for ‘difficult’ compounds, which was confirmed by principal component analysis; furthering this concept, we have used combinations of hydrophobes (e.g., linalool and α-tocopherol), with one acting as solvent/enhancer for the other. Our results thus indicate advantages in using untreated yeast and—if necessary—processes based on solvents/secondary hydrophobes. Full article

Together with lime, lemon is recognized as the third most extensively cultivated citrus species worldwide, trailing only behind orange and mandarin. The enhancement in the economic value of lemons as a valuable resource in Southern Italy depends by the competitiveness of local lemon production in both domestic and international markets. This necessitates conducting a comprehensive study that thoroughly explores the available indigenous germplasm at the local and national levels. This study aims to identify the most promising Sicilian and Campanian cultivars that are well suited for both fresh fruit consumption and the production of processed goods. This re-study assumes even greater importance considering the ongoing climate changes, as environmental stresses significantly impact the ripening process and the timing of fruit development. Our study has highlighted a notable diversity among the 18 investigated lemon cultivars, particularly highlighting specific cultivars that possess desirable attributes for fresh consumption. The cultivars that showed the greatest cumulative production over the 10 years of the study were Erice with 467.89 kg/tree and Femminello Siracusano 2KR with 408.44 kg. Notably, cultivars like Segesta, Erice, and Kamarina have exhibited higher percentages of juice content ranging from 27.30% to 31.08%. These cultivars show great potential for abundant juice content and optimal acidity levels for direct consumption. On the other hand, cultivars characterized by enhanced yield, such as Femminello Siracusano 2KR, Femminello Fior d’Arancio m79, and Erice, may prove to be particularly well suited to produce processed goods. Overall, our findings provide valuable insights into some qualitative parameters of lemon cultivars, important either for fresh consumption or for transformed products. Full article

Though considered a benign condition, idiopathic infantile nystagmus (IIN) may be associated with decreased visual acuity and oculo-motor abnormalities, resulting in developmental delays and poor academic performance. Nevertheless, the specific visual function profile of IIN and its possible impact on neuropsychological development have been poorly investigated. To fill this gap, we retrospectively collected the clinical data of 60 children presenting with IIN over a 10-year period (43 male; mean age of 7 years, range of 2 months-17 years, 9 months). The majority of the subjects in our cohort presented with reduced visual acuity for far distances and normal visual acuity for near distances, associated with oculo-motor abnormalities. The overall scores of cognitive and visual–cognitive tests were in the normal range, but revealed peculiar cognitive and visual–cognitive profiles, defined by specific frailties in processing speed and visual–motor integration. The same neuropsychological profiles characterize many neurodevelopmental disorders and may express a transnosographic vulnerability of the dorsal stream. As the first study to explore the neuropsychologic competencies in children with IIN, our study unveils the presence of subclinical frailties that need to be addressed to sustain academic and social inclusion. Full article

Androgen receptor (AR) expression in estrogen receptor-positive (ER+) breast cancer (BC) correlates with lower tumor grade and a better clinical outcome. Additionally, in normal mammary epithelium or ER+ BC preclinical models, androgens counteract basal/ER-dependent proliferation. Here, we report an additional mechanism, underlining the protective role exerted by AR. Specifically, the activation of intracellular AR upregulates the Bcl-2-family protein BAD, and TCGA database analyses show that in ER+ BC, BAD expression is associated with better disease-free survival. Ligand-activated AR influences its own and BAD cellular compartmentalization by enhancing levels in the nucleus, as well as in mitochondrial fractions. In both compartments, BAD exerts unconventional functions. In the nucleus, BAD and AR physically interact and, upon androgen stimulation, are recruited at the AP-1 and ARE sites within the cyclin D1 promoter region, contributing to explaining the anti-proliferative effect of androgens in BC cells. Androgens cause an enrichment in BAD and AR content in the mitochondria, correlated with a decrease in mitochondrial function. Thus, we have defined a novel mechanism by which androgens modulate BAD expression, its mitochondria localization, and nuclear content to force its ability to act as a cell cycle inhibitor, strengthening the protective role of androgen signaling in estrogen-responsive BCs. Full article

Background: FLOT perioperative chemotherapy represents the standard of care in non-metastatic gastric cancer patients. Signet-ring cell positivity is associated with a worse prognosis in patients with gastric cancer treated with chemotherapy. Comparison between FLOT perioperative chemotherapy vs. surgery followed by adjuvant chemotherapy based on signet-ring cell positivity is lacking. The aim of the analysis was to compare perioperative FLOT with adjuvant chemotherapy in gastric cancer patients stratified by signet-ring cell positivity. Methods: We conducted a retrospective multicenter analysis based on disease-free survival (DFS) and overall survival (OS) in patients with gastric cancer who received perioperative chemotherapy with a FLOT regimen and compared their survival with a historical cohort of patients treated with adjuvant chemotherapy, matched by cT and cN stage and by tumor histological features. Results: Seventy-six patients were enrolled and 24 (32%) were signet-ring cell positive. At a median follow-up time of 39 months, the median DFS was 26.3 months and the median OS was 37.3 months. Signet-ring cell positivity was associated with a shorter OS (median OS: 20.4 vs. 46.9 months, HR: 3.30, 95%CI: 1.56–6.99, p = 0.0018) and DFS (mDFS: 15.2 vs. 38.6 months, HR: 3.18, 95%CI: 1.55–6.54, p = 0.0016). This was confirmed by multivariate analysis for DFS (Exp(B): 2.55) and OS (Exp(B): 2.68). After propensity score matching, statistically significant shorter DFS (HR: 3.30, 95%CI: 1.50–7.35, p = 0.003) and OS (HR: 5.25, 95%CI: 2.18–12–68, p = 0.0002) were observed for patients with signet-ring cell positivity who received perioperative treatment vs. those who received surgery followed by adjuvant chemotherapy. Conclusions: Signet-ring positivity was associated with shorter DFS and OS in patients who received perioperative treatment with FLOT compared with surgery followed by adjuvant therapy. These data suggest that for patients with signet-ring cell histology, FLOT perioperative treatment might not always be the best choice of treatment, and further research should be focused on this group of patients. Full article