Chemical and Microstructural Properties of Designed Cohesive M-S-H Pastes

Concretes can be exposed to a magnesium attack in several environments leading to the formation of magnesium silicate hydrates (M-S-H) and brucite (MH). The formation of M-S-H is likely to alter the properties of the cement matrix because it is linked to the decalcification of C-S-H. However, relatively few data on M-S-H exist in the literature. In order to characterize, physically and mechanically, the M-S-H phase, pure M-S-H cohesive pastes are needed. This work studies the formation of cohesive M-S-H pastes made with MgO-to-SiO2 atomic ratios of 0.78, 1 and 1.3, from two types of silica (silica fume or colloidal silica) and under 20 °C and 50 °C thermal curing. X-ray diffraction and thermogravimetric analyses confirmed that the consumption of brucite and the formation of M-S-H were quicker with a 50 °C curing. Energy-dispersive X-ray spectroscopy and microtomography showed that colloidal silica enabled a better distribution of the particles than silica fume. Microstructural characterizations were conducted under the protocol with colloidal silica and 50 °C thermal curing. Porosity investigations allowed to describe the M-S-H pastes as highly porous materials with a low content of micropores in comparison with mesopores. The type of mixing influenced the mesopore size distribution.

Eligibility criteria for pediatric patients who may benefit from anti SARS-CoV-2 monoclonal antibody therapy administration: an Italian inter-society consensus statement

The fast diffusion of the SARS-CoV-2 pandemic have called for an equally rapid evolution of the therapeutic options.The Human recombinant monoclonal antibodies (mAbs) have recently been approved by the Food and Drug Administration (FDA) and by the Italian Medicines Agency (AIFA) in subjects aged ≥12 with SARS-CoV-2 infection and specific risk factors.Currently the indications are specific for the use of two different mAbs combination: Bamlanivimab+Etesevimab (produced by Eli Lilly) and Casirivimab+Imdevimab (produced by Regeneron).These drugs have shown favorable effects in adult patients in the initial phase of infection, whereas to date few data are available on their use in children.AIFA criteria derived from the existing literature which reports an increased risk of severe COVID-19 in children with comorbidities. However, the studies analyzing the determinants for progression to severe disease are mainly monocentric, with limited numbers and reporting mostly generic risk categories.Thus, the Italian Society of Pediatrics invited its affiliated Scientific Societies to produce a Consensus document based on the revision of the criteria proposed by AIFA in light of the most recent literature and experts’ agreement.This Consensus tries to detail which patients actually have the risk to develop severe disease, analyzing the most common comorbidities in children, in order to detail the indications for mAbs administration and to guide the clinicians in identifying eligible patients.

Utility of vitamin D serum evaluation and supplementation in dogs and cats’ medical routine: a review

Vitamin D is traditionally known for its role in regulating calcium homeostasis and consequently maintaining bone integrity and health. However, more recently, it has been observed that it has a series of previously unknown non-canonical functions, such as maintenance of immunity and intestinal mucosa integrity. Furthermore, it has been shown to be associated with the progression or perpetuation of several diseases since its serum concentration is reduced during the course of the conditions. Therefore, we sought to investigate, through a literature review, the usefulness of serum vitamin D measurement in dogs and cats as a prognostic factor for different diseases, as well as the possible therapeutic effect of supplementing this vitamin in the correction of those illnesses. Vitamin D is in fact deficient in gastroenteric diseases, such as protein-losing enteropathy, infectious diseases, such as canine leishmaniasis, heart and kidney disease, among others. However, it is necessary to understand more properly about the physiological role of vitamin D in health, so that we can also understand it in disease. There are also too few data reports supporting supplementing this vitamin as main or adjuvant therapy in the treatment of any disease, but evidence points to the usefulness of vitamin D serum measurement as a prognostic predictor for dogs and cats.

Tin and Antimony as Soil Pollutants along Railway Lines—A Case Study from North-Western Croatia

The aim of this study was to determine the extent and patterns of antimony and tin contamination in soils along railway lines, as there are very few data in the literature on this subject. The study was conducted in north-western Croatia. Total and bioavailable concentrations of Sn and Sb were detected using high resolution inductively coupled plasma mass spectrometry (HR-ICP-MS). The following results were obtained: total concentrations of Sb ranged from 0.98 to 52.0 mg/kg and of Sn from 3.04 mg/kg to 97.6 mg/kg. The soil samples showed pronounced Sb and Sn enrichment, up to 87 and 33 times the median value for European soils, respectively. In contrast to the total concentrations, the bioavailable concentrations showed relatively low values. For Sn, the percentage of total content ranged from 0.001 to 0.021%, while for Sb it ranged from 0.001 to 0.136%. Statistical data analysis suggests that the distribution of Sb and Sn in soils near railway lines is influenced by the functional use of the site, distance from the tracks, topography, age of the railway line, and also by soil properties such as soil texture, humus content, and soil pH. This study demonstrates that rail transport is a source of soil pollution with Sn and Sb. The origin of Sb and Sn enrichment is abrasion by brakes, rails, wheels, freight losses, exhaust gasses, etc. Both elements in soils along railway lines pose an environmental risk to humans, agricultural production, and wildlife, and therefore further detailed studies are required.

Molecular Network Analysis Reveals Transmission of HIV-1 Drug-Resistant Strains Among Newly Diagnosed HIV-1 Infections in a Moderately HIV Endemic City in China

Since the implementation of the “treat all” policy in China in 2016, there have been few data on the prevalence of transmitted drug resistance (TDR) in China. In this study, we describe TDR in patients newly diagnosed with human immunodeficiency virus (HIV) infection between 2016 and 2019 in Shenyang city, China. Demographic information and plasma samples from all newly reported HIV-infected individuals in Shenyang from 2016 to 2019 were collected. The HIV pol gene was amplified and sequenced for subtyping and TDR. The spread of TDR was analyzed by inferring an HIV molecular network based on pairwise genetic distance. In total, 2,882 sequences including CRF01_AE (2019/2,882, 70.0%), CRF07_BC (526/2,882, 18.3%), subtype B (132/2,882, 4.6%), and other subtypes (205/2,882, 7.1%) were obtained. The overall prevalence of TDR was 9.1% [95% confidence interval (CI): 8.1–10.2%]; the prevalence of TDR in each subtype in descending order was CRF07_BC [14.6% (95% CI: 11.7–18.0%)], subtype B [9.1% (95% CI: 4.8–15.3%)], CRF01_AE [7.9% (95% CI: 6.7–9.1%)], and other sequences [7.3% (95% CI: 4.2–11.8%)]. TDR mutations detected in more than 10 cases were Q58E (n = 51), M46ILV (n = 46), K103N (n = 26), E138AGKQ (n = 25), K103R/V179D (n = 20), and A98G (n = 12). Molecular network analysis revealed three CRF07_BC clusters with TDR [two with Q58E (29/29) and one with K103N (10/19)]; and five CRF01_AE clusters with TDR [two with M46L (6/6), one with A98G (4/4), one with E138A (3/3), and one with K103R/V179D (3/3)]. In the TDR clusters, 96.4% (53/55) of individuals were men who have sex with men (MSM). These results indicate that TDR is moderately prevalent in Shenyang (5–15%) and that TDR strains are mainly transmitted among MSM, providing precise targets for interventions in China.

Birdshot retinochoroiditis in Brazil: a multicenter review of 40 patients

Background Birdshot retinochoroiditis (BRC) is a rare and chronic bilateral uveitis mostly found in Caucasians. As few data are available about the clinical course of BRC in Hispanic patients, we aimed to report the clinical findings and the evolution of BRC in Brazilian patients. Methods This retrospective cohort multicenter nationwide study was performed by analyzing the records of patients with BRC diagnoses from Brazilian ophthalmological centers from April 1995 to May 2020. Results Forty patients (80 eyes) with a diagnosis of BRC were evaluated. The mean age was 53 years, and there was no sex predominance. All tested patients (34/40) were positive for HLA-A29. The diagnosis of BRC was made following the Levinson et al. criteria, and all ancillary tests were performed to exclude differential diagnoses. Clinical signs and symptoms, such as complications and treatment, were described. Conclusions BRC evolution in Brazilian patients seems to have some peculiarities that diverge from the published literature available about Caucasians, as AS inflammation is higher in this population.

Systemic lupus erythematosus reactivation after chemoimmunotherapy in preexisting autoimmune disease

The use of immune checkpoint inhibitors (ICIs) offers new possibilities in modern treatment of many types of cancers. Few data regarding safety and efficacy of ICIs are available, and are mainly from retrospective studies and case reports rather than from clinical trials, in the context of preexisting autoimmune disease, mainly due to the risk of severe toxicity. We present an unexpected life-threatening reactivation of systemic lupus erythematosus after one dose of chemo-immunotherapy with pembrolizumab for oligometastatic non-small-cell lung cancer. We analyze data coming from the published literature in this setting and discuss the risk–benefit balance of immunotherapy in patients with preexisting severe autoimmune disease.

Quality-of-life assessment in patients treated with radiofrequency ablation with or without great saphenous vein recanalization

Quality of life (QoL) in patients with chronic venous disorders has a central role to decide the correct treatment approach. In particular, in case of mini-invasive therapy, such as endovenous radiofrequency ablation (RFA), the postoperative QoL improvement remains one of the most important outcome to be reached. Despite this, very few data are published on the long-term QoL modifications after RFA. The aim of this brief report is to describe and analyze the role of QoL scales in a population of patients treated with RFA of the great saphenous vein and phlebectomies, highlighting results in short- and long-term follow-up period, and differences between recanalized and non-recanalized patients.

Syrinx regression after correction of iatrogenic kyphotic deformity: illustrative case

BACKGROUND Syringomyelia has a long-established association with pediatric scoliosis, but few data exist on the relationship of syringomyelia to pediatric kyphotic deformities. OBSERVATIONS This report reviewed a unique case of rapid and sustained regression of syringomyelia in a 13-year-old girl after surgical correction of iatrogenic kyphotic deformity. LESSONS In cases of syringomyelia associated with acquired spinal deformity, treatment of deformity to resolve an associated subarachnoid block should be considered because it may obviate the need for direct treatment of syrinx.

Removal of Large Urinary Stone Using Percutaneous Nephrolithotomy in a Patient with Crohn's Disease

Extraintestinal manifestation (EIM) of inflammatory bowel disease (IBD) is approximately 36%. Of genitourinary complications as an EIM of Crohn’s disease (CD), nephrolithiasis is the most common urinary complication in patients with CD. CD patients have been shown to have decreased urinary volume, pH, magnesium, and excretion of citrate, all of which are significant risk factors for nephrolithiasis. Genitourinary complications often occur in case of a severe longstanding disease and are associated with, the activity of bowel disease, especially in those who have undergone bowel surgery. As uncontrolled nephrolithiasis could impair renal function as well as adversely affect quality of life, proper monitoring, early detection, and prevention of the occurrence of urologic complications in CD is crucial. Few data are available about urolithiasis in patients with CD. Herein we report a case of a successful removal of a 2.7 cm calcium oxalate stone using percutaneous nephrolithotomy from a patient with long-standing CD with a previous surgery for small intestinal and colonic stricture.