Search Results (28)

Biodegradable plastics are increasingly proposed as environmentally friendly alternatives for disposable dishes or glasses in addition to their more conventional uses as foils and in bags. If produced from certified degradable materials, such items are expected to degrade rapidly during state-of-the-art composting. However, conditions prescribed for the testing and certification of materials differ from those typically applied in industrial composting, and operators of the corresponding plants have found that degradation is incomplete. In this study the degradation of commercially available biodegradable bags as well as disposable sparkling wine glasses was studied in a series of pilot-scale composting campaigns closely mimicking state-of-the-art composting conditions. The materials were characterized regarding their chemical composition, structure, and crystallinity, as well as the changes thereof throughout the process. Evidence is given that parameters such as crystallinity change significantly during composting, which may inhibit breakdown during the process and thus have unknown consequences for the subsequent environmental impact. Full article

The paper presents a study of changes in selected physicochemical properties of honeys during their refrigerated storage at 8 ± 1 °C for 24 weeks. On the basis of the study of primary pollen, the botanical identification of the variety of honeys was made—rapeseed, multiflower and buckwheat honey. The samples were stored for 24 weeks in dark, hermetically sealed glass containers in a refrigerated chamber (8 ± 1 °C, 73 ± 2% relative humidity). The comprehensive suite of analyses comprised sugar profiling (ion chromatography), moisture content determination (refractometry), pH and acidity measurement (titration), electrical conductivity, color assessment in the CIELab system (ΔE and BI indices), texture parameters (penetration testing), rheological properties (rheometry), and microscopic evaluation of crystal morphology; all data were subjected to statistical treatment (ANOVA, Tukey’s test, Pearson correlations). The changes in these parameters were examined at 1, 2, 3, 6, 12, and 24 weeks of storage. A slight but significant increase in moisture content was observed (most pronounced in rapeseed honey), while all parameters remained within the prescribed limits and showed no signs of fermentation. The honeys’ color became markedly lighter. Already in the first weeks of storage, an increase in the L* value and elevated ΔE indices were recorded. The crystallization process proceeded in two distinct phases—initial nucleation (occurring fastest in rapeseed honey) followed by the formation of crystal agglomerates—which resulted in rising hardness and cohesion up to weeks 6–12, after which these metrics gradually declined; simultaneously, a rheological shift was noted, with viscosity increasing and the flow behavior changing from Newtonian to pseudoplastic, especially in rapeseed honey. Studies show that refrigerated storage accelerates honey crystallization, as lower temperatures promote the formation of glucose crystals. This accelerated crystallization may have practical applications in the production of creamed honey, where controlled crystal formation is essential for achieving a smooth, spreadable texture. Full article

Nitrofurantoin, a commonly prescribed antibiotic for urinary tract infections, has been associated with rare but potentially serious pulmonary toxicity, which can present in acute, subacute, or chronic forms. Acute toxicity typically manifests in the form of hypersensitivity pneumonitis, which is characterized by fever, dyspnea, and eosinophilia, often resolving rapidly after drug discontinuation. However, chronic toxicity can lead to interstitial lung disease with progressive fibrosis, causing significant and sometimes irreversible pulmonary impairment. The pathophysiology of nitrofurantoin-induced lung injury is thought to involve oxidative stress, immune-mediated mechanisms, and direct cytotoxic effects; however, the exact pathways remain incompletely understood. Clinical diagnosis is challenging due to nonspecific symptoms that often resemble other respiratory conditions, leading to delays in recognition and treatment. Radiographic findings vary, with acute cases showing diffuse ground-glass opacities, while chronic cases may demonstrate reticular interstitial changes and fibrosis. The discontinuation of nitrofurantoin is the primary intervention, but corticosteroids may be beneficial, particularly in chronic cases with persistent inflammation or fibrosis, though their efficacy remains uncertain. Given the risk of long-term respiratory complications, heightened awareness among healthcare providers is essential for early diagnosis and intervention. Future research is needed to better define risk factors, improve diagnostic criteria, and explore alternative treatment strategies that mitigate the potential for pulmonary toxicity while maintaining effective antimicrobial therapy. This review explores the pathophysiology, clinical presentation, diagnostic challenges, and management strategies for nitrofurantoin-induced pulmonary toxicity. Full article

Background: Human metapneumovirus (hMPV) is a respiratory pathogen that has gained increasing recognition due to advancements in molecular diagnostic tools, which have improved its detection and characterization. While severe disease manifestations are traditionally associated with pediatric, elderly, or immunocompromised patients, hMPV-related pneumonia in immunocompetent adults remains underexplored. Methods: This case report describes a 68-year-old male who developed severe community-acquired pneumonia (CAP) caused by hMPV despite being immunocompetent and having no significant comorbidities. The diagnosis was confirmed via multiplex RT-PCR, excluding bacterial and viral coinfections. Laboratory and imaging findings supported a viral etiology, while empirical antibiotics were initially prescribed due to diagnostic uncertainty. Results: The patient presented with respiratory symptoms that progressed to hypoxia, productive cough, and fatigue, requiring hospitalization. Imaging revealed bilateral ground-glass opacities and consolidations typical of viral pneumonia. Molecular diagnostics enabled accurate pathogen identification and guiding appropriate management, and the patient fully recovered with supportive care. Conclusion: This case underscores the importance of rapid molecular diagnostics for hMPV, reducing unnecessary antibiotics and enhancing management. Routine incorporation of hMPV testing into clinical protocols could improve the diagnosis and resource use. The development of vaccines, such as the IVX-A12 in phase II trials, offers hope for targeted prevention, underscoring the need for further research and therapeutic innovations. Full article

Objective: Image-guided diagnosis and treatment of lung lesions is an active area of research. With the growing number of solutions proposed, there is also a growing need to establish a standard for the evaluation of these solutions. Thus, realistic phantom and preclinical environments must be established. Realistic study environments must include implanted lung nodules that are morphologically similar to real lung lesions under X-ray imaging. Methods: Various materials were injected into a phantom swine lung to evaluate the similarity to real lung lesions in size, location, density, and grayscale intensities in X-ray imaging. A combination of $n$-butyl cyanoacrylate (n-BCA) and ethiodized oil displayed radiopacity that was most similar to real lung lesions, and various injection techniques were evaluated to ensure easy implantation and to generate features mimicking malignant lesions. Results: The techniques used generated implanted nodules with properties mimicking solid nodules with features including pleural extensions and spiculations, which are typically present in malignant lesions. Using only n-BCA, implanted nodules mimicking ground glass opacity were also generated. These results are condensed into a set of recommendations that prescribe the materials and techniques that should be used to reproduce these nodules. Conclusions: Generated recommendations on the use of n-BCA and ethiodized oil can help establish a standard for the evaluation of new image-guided solutions and refinement of algorithms in phantom and animal studies with realistic nodules. Full article

Due to the increased prevalence of diabetes, the consumption of anti-diabetic drugs for its treatment has likewise increased. Metformin is an anti-diabetic drug that is commonly prescribed for patients with type 2 diabetes and has been frequently detected in surface water and wastewaters, thus representing an emerging contaminant. Metformin can be prescribed in combination with other classes of anti-diabetic drugs; however, these drugs are not sufficiently investigated in environmental samples. Fabric phase sorptive extraction (FPSE) has emerged as a simple and green method for the extraction of analytes in environmental samples. In this study, FPSE coupled with a high-performance liquid chromatography diode array detector (HPLC-DAD) was employed for the simultaneous analysis of different classes of anti-diabetic drugs (metformin, dapagliflozin, liraglutide, pioglitazone, gliclazide, glimepiride, glargine, repaglinide, sitagliptin, and vildagliptin) in environmental water samples. Four different fabric membranes were synthesized but the microfiber glass filter coated with sol-gel polyethylene glycol (PEG 300) was observed to be the best FPSE membrane. The parameters affecting the FPSE process were optimized using a combination of one-factor-at-a-time processes and the design of experiments. The FPSE was evaluated as a green extraction method, based on green sample preparation criteria. The FPSE-HPLC-DAD method achieved acceptable validation results and was applied for the simultaneous analysis of anti-diabetic drugs in surface and wastewater samples. Glimepiride was detected below the quantification limit in both lake and river water samples. Dapagliflozin, liraglutide, and glimepiride were detected at 69.0 ± 1.0 μg·L⁻¹, 71.9 ± 0.4 μg·L⁻¹, and 93.9 ± 1.3 μg·L⁻¹, respectively, in the city wastewater influent. Dapagliflozin and glimepiride were still detected below the quantification limit in city wastewater effluent. For the hospital wastewater influent, metformin and glimepiride were detected at 1158 ± 21 μg·L⁻¹ and 28 ± 0.8 μg·L⁻¹, respectively, while only metformin (392.6 ± 7.7 μg·L⁻¹) was detected in hospital wastewater effluent. Full article

To prevent neural tube defects and other cardiovascular diseases in newborns, folic acid (FA) is recommended in pregnant women. A daily dose of 600 µg FA consumption is widely prescribed for women during pregnancy and 400 µg for women with childbearing potential. FA is a class IV compound according to the Biopharmaceutics Classification System (BCS) due to its low permeability (1.7 × 10⁻⁶ cm/s) and low solubility (1.6 mg/L); therefore, it must be administered via a formulation that enhances its solubility. Studies reported in the literature have proved that co-amorphization and salt formation of a poorly soluble drug with amino acids (AA) can significantly increase its solubility. Although arginine has been used with FA as a supplement, there is no information on the effect of basic AA (arginine and lysine) on the physical and chemical properties of FA-AA binary formulations. The present study implemented a conductimetric titration methodology to find the effective molar ratio to maximize FA solubility. The results showed that a 1:2.5 FA:AA molar ratio maximized solubility for arginine and lysine. Binary formulations were prepared using different methods, which led to an amorphous system confirmed by the presence of a glass transition, broad FTIR bands, and the absence of an X-ray diffraction pattern. Results of FA:AA (1:2.5) solubility increased in the range of 5500–6000 times compared with pure FA. In addition to solubility enhancement, the binary systems presented morphological properties that depend on the preparation method and whose consideration could be strategic for scaling purposes. Full article

A critical issue in the design of structural glass elements in buildings is represented by the evaluation of thermally induced stresses and strains. For both climatic actions and fire, thermal stresses represent one of the main causes of premature failure, due to the high sensitivity of glass to temperature gradients. Thermal loads pose a severe safety risk for glass, due to their uneven distribution but also the lack of knowledge on the modification of mechanical properties with temperature. In design practice, approximate tools are used to describe temperature fields in glazing, which do not adequately estimate the thermally induced stresses. Additionally, the existing standards prescribe different methods for the calculation of both the temperature field and the consequent stress, usually based on strong simplifying assumptions, and there is a lack of uniformly defined procedures. Here, an accurate review of the state of the art on glass elements exposed to thermal actions, from both the scientific and the regulatory perspectives, is presented. Reference is made first to the evaluation of the thermal actions, and further to the proper assessment of both the temperature distribution and the consequent thermal stress. The paper also emphasizes open problems and future perspectives related to these topics, to evidence areas of research that should be strengthened and possible future enhancements to the current design and assessment methodologies, which should also be introduced in a regulatory framework. Full article

Since the start of the SARS-CoV-2 pandemic, several treatments have been proposed to prevent the progression of the disease. Currently, three antiviral (molnupiravir, nirmaltrevir/r, remdesivir) and two monoclonal antibodies (casirivimab/imdevimab and sotrovimab) are available in Italy. Therefore, we aimed to evaluate the presence of risk factors associated with disease progression. We conducted a retrospective cohort study, including all patients with a confirmed diagnosis of SARS-CoV-2 evaluated between 01/01/2022 ad 10/05/2022 by our Unit of Infectious Diseases in Sassari. We defined disease progression as the necessity of starting O2 therapy. According to AIFA (Italian Medicines Agency) indications, preventive treatment was prescribed in patients with recent symptoms onset (≤five days), no need for oxygen supplementation, and risk factors for disease progression. Subgroup differences in quantitative variables were evaluated using Student’s t-test. Pearson chi-square or Fisher’s exact tests were used to assess differences for qualitative variables. Multivariate logistic regression modelling was performed to determine factors associated with progression. A two-tailed p-value less than 0.05 was considered statistically significant. All statistical analyses were performed with STATA version 17 (StataCorp, College Station, TX, USA). We included 1145 people with SARS-CoV-2 diagnosis, of which 336 (29.3%) developed severe disease with oxygen supplementation. In multivariate logistic regression analysis, age, dementia, haematologic tumors, heart failure, dyspnoea or fever at first evaluation, having ground glass opacities or consolidation at the first CT scan, and bacteria coinfection were associated with an increased risk of disease progression. Vaccination (at least two doses) and early treatment with antiviral or monoclonal antibodies were associated with a lower risk of disease progression. In conclusion, our study showed that vaccination and early treatment with antiviral and/or monoclonal antibodies significantly reduce the risk of disease progression. Full article

Purpose: This paper aims to evaluate the safety and efficacy of the temporary redirection of blood flow of hepatoenteric collaterals using a balloon catheter in the common hepatic artery (CHA) to prevent the nontarget deposition of ⁹⁰Y microspheres. Materials and Methods: In this retrospective single-center study of patients who received ⁹⁰Y radioembolization (RE) from September 2010 to September 2015, diagnostic (67 patients) or treatment (72 patients) angiograms with the attempted use of a balloon catheter in the CHA to temporarily direct blood flow away from the hepatoenteric arteries were analyzed. SPECT/CT nuclear scintigraphy was performed after both diagnosis and treatment. Results: Overall, only 12 hepatoenteric arteries in 11 patients required embolization due to persistent hepatoenteric flow despite the use of the balloon occlusion technique in a total of 86 patients. Physicians performed the ⁹⁰Y RE using balloon occlusion with glass (n = 22) or resin (n = 50) microspheres. Over 80% administration of the prescribed ⁹⁰Y dose was accomplished in 34 (67%) resin and 20 (95%) glass microsphere patients. Post-treatment ⁹⁰Y RE scintigraphy confirmed the absence of extrahepatic activity in all patients. One grade 2 gastrointestinal ulcer was present after 90 days of follow-up. Conclusion: Temporary CHA occlusion with a balloon catheter is a reliable and reproducible alternative to the conventional coil embolization of hepatoenteric arteries during diagnostic Tc-99m macroaggregated albumin and therapeutic ⁹⁰Y RE delivery. Full article

This paper reports the design, fabrication, and performance of a hybrid piezoelectric planar micro-conveyor based on Micro-Electromechanical Systems (MEMS) bridge resonators and featuring 3D-printed vertical legs. The device includes two cooperating silicon plate resonators with an area of 5 × 1 mm², actuated by an integrated aluminum-nitride (AlN) piezoelectric thin film. An optimally designed array of 3D-printed projection legs was attached to the plates, to convert the standing-wave (SW) vertical vibrations into horizontal rotations or translations of the supported slider. An open-loop control strategy based on burst-type driving signals, with different numbers of sinusoidal cycles applied on each of the resonators, allowed the cooperation of the two bridges to set up prescribed trajectories of small flat objects, up to 100 mg, with positional accuracy below 100 nm and speeds up to 20 mm/s, by differential drive actuation. The effect of the leg tip and sliders’ surface finish on the conveyor performance was investigated, suggesting that further optimizations may be possible by modifying the tribological properties. Finally, the application of the micro-conveyor as a reconfigurable electronic system, driven by a preprogrammed sequence of signals, was demonstrated by delivering some surface-mount technology (SMD) parts lying on a 65 mg glass slider. Full article

X-ray computed tomography (XCT) is regularly employed in geomechanics to non-destructively measure the solid and pore fractions of soil and rock from reconstructed 3D images. With the increasing availability of high-resolution XCT imaging systems, researchers now seek to measure microfabric parameters such as the number and area of interparticle contacts, which can then be used to inform soil behaviour modelling techniques. However, recent research has evidenced that conventional image processing methods consistently overestimate the number and area of interparticle contacts, mainly due to acquisition-driven image artefacts. The present study seeks to address this issue by systematically assessing the role of XCT acquisition parameters in the accurate detection of interparticle contacts. To this end, synchrotron XCT has been applied to a hexagonal close-packed arrangement of glass pellets with and without a prescribed separation between lattice layers. Different values for the number of projections, exposure time, and rotation range have been evaluated. Conventional global grey value thresholding and novel U-Net segmentation methods have been assessed, followed by local refinements at the presumptive contacts, as per recently proposed contact detection routines. The effect of the different acquisition set-ups and segmentation techniques on contact detection performance is presented and discussed, and optimised workflows are proposed. Full article

The quality of treatment delivery as prescribed in radiotherapy is exceptionally important. One element that helps provide quality assurance is the ability to carry out time-resolved radiotherapy dose measurements. Reports on doped silica optical fibers scintillators using radioluminescence (RL) based radiotherapy dosimetry have indicated merits, especially regarding robustness, versatility, wide dynamic range, and high spatial resolution. Topping the list is the ability to provide time-resolved measurements, alluding to pulse-by-pulse dosimetry. For effective time-resolved dose measurements, high temporal resolution is enabled by high-speed electronics and scintillator material offering sufficiently fast rise and decay time. In the present work, we examine the influence of Ge doping on the RL response of Ge-doped silica optical fiber scintillators. We particularly look at the size of the Ge-doped core relative to the fiber diameter, and its associated effects as it is adjusted from single-mode fiber geometry to a large core-to-cladding ratio structure. The primary objective is to produce a structure that facilitates short decay times with a sufficiently large yield for time-resolved dosimetry. RL characterization was carried out using a high-energy clinical X-ray beam (6 MV), delivered by an Elekta Synergy linear accelerator located at the Advanced Medical and Dental Institute, Universiti Sains Malaysia (USM). The Ge-doped silica optical fiber scintillator samples, fabricated using chemical vapor deposition methods, comprised of large core and small core optical fiber scintillators with high and low core-to-cladding ratios, respectively. Accordingly, these samples having different Ge-dopant contents offer distinct numbers of defects in the amorphous silica network. Responses were recorded for six dose-rates (between 35 MU/min and 590 MU/min), using a photomultiplier tube setup with the photon-counting circuit capable of gating time as small as 1 μs. The samples showed linear RL response, with differing memory and afterglow effects depending on its geometry. Samples with a large core-to-cladding ratio showed a relatively short decay time (<1 ms). The results suggest a contribution of Ge-doping in affecting the triplet states of the SiO₂ matrix, thereby reducing phosphorescence effects. This is a desirable feature of scintillating glass materials that enables avoiding the pulse pile-up effect, especially in high dose-rate applications. These results demonstrate the potential of Ge-doped optical-fiber scintillators, with a large core-to-cladding ratio for use in time-resolved radiation dosimetry. Full article

Vision has been shown to influence body posture. The purpose of this study is to investigate the correlations between visual acuity and body postural control both in a standing and seated position. This cohort study included 37 patients examined using Adaptica’s (Italy) Kaleidos and VisionFit. Objective refraction was measured with Kaleidos both in a standing and seated position by the same operator and in the same environmental conditions. The parameters obtained with the device were binocular refraction, monocular refraction, pupil distance, pupil size, head tilt, gaze, phorias, and tropias. The results obtained were then subjectively tested using VisionFit: an electronic trial frame with phoropter functionalities. The study’s outcome revealed that the differences in the visual acuity parameters obtained in standing and seated positions were statistically significant; the Student’s t-test showed a p-value < 0.001 in all parameter averages. Automated refraction is widely being performed and postural control can affect the visual acuity parameters; therefore, it is relevant to consider the possibility of measuring in orthostatism. It might be appropriate to take into account the possibility of measuring in orthostatism and wearing trial frames in orthostatic conditions as well as walking freely around the room, looking outside of a window, sitting, and reading. Full article

The prosthetic feet that are most often prescribed to individuals with K3/K4 levels of ambulation are the ESR feet. ESR stands for energy-storing and -releasing. The elastic energy is stored by the elastic elements in composite materials (carbon fiber or glass fiber). ESR feet must be developed and optimized in terms of stiffness, taking into account the loads that a healthy human foot undergoes and its kinematics while walking. So far, state-of-the-art analyses show that the literature approaches for prosthetic foot design are not based on a systematic methodology. With the aim of optimizing the stiffness of ESR feet following a methodological procedure, a methodology based on finite element structural analysis, standard static testing (ISO 10328) and functional verification was optimized and it is presented in this paper. During the path of optimization of the foot prototypes, this methodology was validated experimentally. It includes the following: (i) geometry optimization through two-dimensional finite element analysis; (ii) material properties optimization through three-dimensional finite element analysis; (iii) validation test on physical prototypes; (iv) functionality verification through dynamic finite element analysis. The design and functional verification of MyFlex-$\gamma$, a three-blade ESR foot prosthesis, is presented to describe the methodology and demonstrate its usability. Full article