"Design of a Suspension Lever Mechanism in Biomedical Robotic System".

The article discusses the design of a suspended lever mechanism with elastic elements, which is used as a safety device in a robotic system for the rehabilitation of the lower limbs. The article analyzes the existing mechanical structures of devices for rehabilitation, identifies the problems of operation, design, and safety systems and suggests a new design of the device. The process of reverse development of a lever mechanism scheme to ensure safety during rehabilitation of the lower limbs is presented. The design of the lever mechanism consists of movable levers connected by elastic elements. The device allows you to dampen the force during active rehabilitation. The power calculation of the lever mechanism in the rehabilitation system was carried out. The article addresses the issues present in the current mechanical designs with a brief discussion on the system architecture.

Psychotropic medications sales during COVID-19 outbreak in Italy changed according to the pandemic phases and related lockdowns.

OBJECTIVES: We have investigated the psychotropic medications sales (i.e. benzodiazepines, mood stabilisers and selective serotonin reuptake inhibitors) during the COVID-19 pandemic in the period from March 2020 to February 2021 compared with the same period in the preceding year. STUDY DESIGN: This was a retrospective and observational study. METHODS: Data were obtained from five pharmacies located in a working-class zone populated by approximately 150,000 people in the urban area of Rome (Italy). RESULTS: A general slight increase in psychotropic medications sales was observed during the whole pandemic period compared with the previous year. CONCLUSION: Our data showed that (1) the percentage of sales seems to vary according to the pandemic phases and related lockdowns and (2) the sales differ between the classes of medications considered.

Dynamically induced friction reduction in micro-structured interfaces.

We investigate the dynamic behavior of a regular array of in-plane elastic supports interposed between a sliding rigid body and a rigid substrate. Each support is modelled as a mass connected to a fixed pivot by means of radial and tangential elastic elements. Frictional interactions are considered at the interface between the supports and the sliding body. Depending on the specific elastic properties of the supports, different dynamic regimes can be achieved, which, in turn, affect the system frictional behavior. Specifically, due to transverse microscopic vibration of the supports, a lower friction force opposing the macroscopic motion of the rigid body can be achieved compared to the case where no supports are present and rubbing occurs with the substrate. Furthermore, we found that the supports static orientation plays a key role in determining the frictional interactions, thus offering the chance to specifically design the array aiming at controlling the resulting interfacial friction force.

Androgen-deprivation therapies for prostate cancer and risk of infection by SARS-CoV-2: a population-based study (N = 4532).

BACKGROUND: Cell entry of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) depends on binding of the viral spike (S) proteins to angiotensin-converting enzyme 2 and on S protein priming by TMPRSS2. Inhibition of TMPRSS2 may work to block or decrease the severity of SARS-CoV-2 infections. Intriguingly, TMPRSS2 is an androgen-regulated gene that is up-regulated in prostate cancer where it supports tumor progression and is involved in a frequent genetic translocation with the ERG gene. First- or second-generation androgen-deprivation therapies (ADTs) decrease the levels of TMPRSS2. Here we put forward the hypothesis that ADTs may protect patients affected by prostate cancer from SARS-CoV-2 infections. MATERIALS AND METHODS: We extracted data regarding 9280 patients (4532 males) with laboratory-confirmed SARS-CoV-2 infection from 68 hospitals in Veneto, one of the Italian regions that was most affected by the coronavirus disease 2019 (COVID-19) pandemic. The parameters used for each COVID-19-positive patient were sex, hospitalization, admission to intensive care unit, death, tumor diagnosis, prostate cancer diagnosis, and ADT. RESULTS: There were evaluable 9280 SARS-CoV-2-positive patients in Veneto on 1 April 2020. Overall, males developed more severe complications, were more frequently hospitalized, and had a worse clinical outcome than females. Considering only the Veneto male population (2.4 million men), 0.2% and 0.3% of non-cancer and cancer patients, respectively, tested positive for SARS-CoV-2. Comparing the total number of SARS-CoV-2-positive cases, prostate cancer patients receiving ADT had a significantly lower risk of SARS-CoV-2 infection compared with patients who did not receive ADT (OR 4.05; 95% CI 1.55-10.59). A greater difference was found comparing prostate cancer patients receiving ADT with patients with any other type of cancer (OR 4.86; 95% CI 1.88-12.56). CONCLUSION: Our data suggest that cancer patients have an increased risk of SARS-CoV-2 infections compared with non-cancer patients. However, prostate cancer patients receiving ADT appear to be partially protected from SARS-CoV-2 infections.

Water entry and fall of hydrophobic and superhydrophobic Teflon spheres.

Hydrophobic and superhydrophobic solid Teflon spheres have been observed while settling in water under the action of gravity, starting from different initial conditions, and have been followed until the steady-state is reached. The superhydrophobic sphere features a nano/microtextured surface and advancing and receding water contact angles equal to, respectively, [Formula: see text] and [Formula: see text]. When impacting water from air, both spheres can entrap a conspicuous amount of air deriving from the sealing of a macro-sized air cavity formed upon impact (air cavity trapping) and standing at the rear part of the settling sphere. It is shown that this air amount, like a spindle, reduces the force coefficient exerted on the sphere, basically acting on the pressure drag. However, the air cavity trapping occurs above a critical impact velocity which for the superhydrophobic spheres is significantly lower than that pertaining to the hydrophobic one; thus a certain range of impact velocities exists at which the superhydrophobic sphere experiences a lower pressure drag and a higher mean velocity. As soon as the air cavity vanishes, the dynamics of the superhydrophobic sphere becomes indistinguishable from that of the hydrophobic one, in spite of the persistence of air within the surface micro-texture.

Solid pancreatic pseudopapillary tumor managed laparoscopically: A case report and review of the literature.

BACKGROUND: Solid pancreatic pseudopapillary tumors are a rare neoplasms, about 1-3% of all pancreatic neoplasms. This cancer mainly affects women between the third and fourth decade of life. They are not well known; the molecular origins represent a low degree of malignancy, in which the complete resection is curative. We report our experience with a case report of SPT in a young man. PRESENTATION OF CASE: Thirty-six years old male patient with a mass about 10 cm in the pancreatic tail and splenic ilum. After following CT and MR, the patient was subjected to surgery. Histophatological result was solid tumor pseudopapillary of pancreas with no pathological lymph nodes. DISCUSSION AND CONCLUSION: Solid pseudopapillary neoplasm shows histological characteristic solid and pseudopapillary proliferation. Immunohistochemistry detects, among the causes of tumor development, a correlation between the Beta-catenin mutations, alteration of the E-cadherin. In the most cases, therapy is surgical treatment with laparoscopic.

Effect of drop volume and surface statistics on the superhydrophobicity of randomly rough substrates.

In this paper, a simple theoretical approach is developed with the aim of evaluating shape, interfacial pressure, apparent contact angle and contact area of liquid drops gently deposed on randomly rough surfaces. This method can be useful to characterize the superhydrophobic properties of rough substrates, and to investigate the contact behavior of impacting drops. We assume that (i) the size of the apparent liquid-solid contact area is much larger than the micromorphology of the substrate, and (ii) a composite interface is always formed at the microscale. Results show apparent contact angle and liquid-solid area fraction are slightly influenced by the drop volume only at relatively high values of the root mean square roughness h rms, whereas the effect of volume is practically negligible at small h rms. The main statistical quantity affecting the superhydrophobic properties is found to be the Wenzel roughness parameter r W, which depends on the average slope of the surface heights. Moreover, transition from the Cassie-Baxter state to the Wenzel one is observed when r W reduces below a certain critical value, and theoretical predictions are found to be in good agreement with experimental data. Finally, the present method can be conveniently exploited to evaluate the occurrence of pinning phenomena in the case of impacting drops, as the Wenzel critical pressure for liquid penetration gives an estimation of the maximum impact pressure tolerated by the surface without pinning occurring.

Statistical theory of wetting of liquid drops on superhydrophobic randomly rough surfaces.

It is well known that hydrophobic surfaces may become superhydrophobic when their surface is properly roughened. However, the role of roughness is not yet very clear, notwithstanding several theoretical and experimental investigations. In the present paper, we propose a relatively simple theory aiming at calculating the apparent contact angle (ACA) and the contact area occurring in the case of drops gently deposited on two-dimensional randomly rough surfaces. Our theory applies both to isotropic and anisotropic rough surfaces, although in the latter case the predicted ACA has to be interpreted as the average contact angle at the triple line. We assume large separation of scales, i.e., that the spectral content of the surface lies in a range of wavelengths much smaller than the size of the apparent liquid-solid contact area. Results show that anisotropy negligibly affects the ACA, and a very reasonable agreement is obtained between theoretical ACA values and experimental data.

Fluid contact angle on solid surfaces: Role of multiscale surface roughness.

We present a simple analytical model and an exact numerical study which explain the role of roughness on different length scales for the fluid contact angle on rough solid surfaces. We show that there is no simple relation between the distribution of surface slopes and the fluid contact angle. In particular, surfaces with the same distribution of slopes may exhibit very different contact angles depending on the range of length-scales over which the surfaces have roughness.

An effective medium approach to predict the apparent contact angle of drops on super-hydrophobic randomly rough surfaces.

The apparent contact angle of large 2D drops with randomly rough self-affine profiles is numerically investigated. The numerical approach is based upon the assumption of large separation of length scales, i.e. it is assumed that the roughness length scales are much smaller than the drop size, thus making it possible to treat the problem through a mean-field like approach relying on the large-separation of scales. The apparent contact angle at equilibrium is calculated in all wetting regimes from full wetting (Wenzel state) to partial wetting (Cassie state). It was found that for very large values of the roughness Wenzel parameter (r(W) > -1/ cos θ(Y), where θ(Y) is the Young's contact angle), the interface approaches the perfect non-wetting condition and the apparent contact angle is almost equal to 180°. The results are compared with the case of roughness on one single scale (sinusoidal surface) and it is found that, given the same value of the Wenzel roughness parameter rW, the apparent contact angle is much larger for the case of a randomly rough surface, proving that the multi-scale character of randomly rough surfaces is a key factor to enhance superhydrophobicity. Moreover, it is shown that for millimetre-sized drops, the actual drop pressure at static equilibrium weakly affects the wetting regime, which instead seems to be dominated by the roughness parameter. For this reason a methodology to estimate the apparent contact angle is proposed, which relies only upon the micro-scale properties of the rough surface.

Rough viscoelastic sliding contact: theory and experiments.

In this paper, we show how the numerical theory introduced by the authors [Carbone and Putignano, J. Mech. Phys. Solids 61, 1822 (2013)] can be effectively employed to study the contact between viscoelastic rough solids. The huge numerical complexity is successfully faced up by employing the adaptive nonuniform mesh developed by the authors in Putignano et al. [J. Mech. Phys. Solids 60, 973 (2012)]. Results mark the importance of accounting for viscoelastic effects to correctly simulate the sliding rough contact. In detail, attention is, first, paid to evaluate the viscoelastic dissipation, i.e., the viscoelastic friction. Fixed the sliding speed and the normal load, friction is completely determined. Furthermore, since the methodology employed in the work allows to study contact between real materials, a comparison between experimental outcomes and numerical prediction in terms of viscoelastic friction is shown. The good agreement seems to validate-at least partially-the presented methodology. Finally, it is shown that viscoelasticity entails not only the dissipative effects previously outlined, but is also strictly related to the anisotropy of the contact solution. Indeed, a marked anisotropy is present in the contact region, which results stretched in the direction perpendicular to the sliding speed. In the paper, the anisotropy of the deformed surface and of the contact area is investigated and quantified.

Time-dependent relaxation of strained silicon-on-insulator lines using a partially coherent x-ray nanobeam.

We report on the quantitative determination of the strain map in a strained silicon-on-insulator line with a 200×70 nm2 cross section. In order to study a single line as a function of time, we used an x-ray nanobeam with relaxed coherence properties as a compromise between beam size, coherence, and intensity. We demonstrate how it is possible to refine the line deformation map at the nanoscale, and follow its evolution as the line relaxes under the influence of the x-ray nanobeam. We find that the strained line flattens itself under irradiation but maintains the same linear strain (ε(zz) unchanged).

Association of obstructive sleep apnoea with the presence and severity of non-alcoholic fatty liver disease. A systematic review and meta-analysis.

Obstructive sleep apnoea syndrome (OSAS) and non-alcoholic fatty liver disease (NAFLD) are common in clinical practice. NAFLD encompasses simple steatosis and non-alcoholic steatohepatitis (NASH): both confer an increased risk of cardiovascular disease and diabetes; NASH increases also liver-related risk. Growing experimental evidence connects chronic intermittent hypoxia of OSAS to NAFLD. We reviewed English and non-English articles and international meeting abstracts through December 2012. Observational studies were included if they assessed OSAS by polysomnography and NAFLD by histological, radiological or biochemical criteria. Two reviewers evaluated retrieved articles by appropriate quality scores. Main outcomes were pooled using random- or fixed-effects models. The effect of age, sex and body mass index (BMI) on effect estimates was assessed by meta-regression. Eighteen cross-sectional studies (2,183 participants) were included. Pooled odds ratios (ORs) of OSAS for the presence of NAFLD, as defined by histology, radiology, and AST or ALT elevation, were 2.01(95% CI: 1.36-2.97), 2.99(1.79-4.99), 2.36(1.46-3.82) and 2.60(1.88-3.61), respectively. Pooled ORs of OSAS for NASH, fibrosis-any stage, or advanced fibrosis in biopsy-proven NAFLD patients were 2.37(1.59-3.51), 2.16(1.45-3.20) and 2.30(1.21-4.38). The magnitude and direction of effects were unaffected by age, sex and BMI. In conclusion, OSAS is associated with an increased risk of NAFLD, NASH and fibrosis. OSAS patients should be screened for the presence and severity of NAFLD.

Aberrant expression of the neuronal-specific protein DCDC2 promotes malignant phenotypes and is associated with prostate cancer progression.

By integrating gene profiling and immunohistochemical data with functional experiments in cell lines in this study we show for the first time that doublecortin (DCX) domain containing 2 (DCDC2), a protein belonging to the DCX family and involved in neuronal cell migration, is aberrantly expressed in prostate tumors whereas absent in normal prostate. Furthermore, in patients treated with radical prostatectomy, high levels of DCDC2 RNA were significantly associated with increased biochemical relapse (LogRank Mantel-Cox=0.012). Mechanistically, we found that the ETS transcription factor ESE3/EHF, which is expressed in normal prostate and frequently lost in prostate tumors, maintained DCDC2 repressed by binding to a novel identified ETS binding site in the gene promoter. Consistently, in prostate tumors and in cellular models of gain and loss of ESE3/EHF, the expression of DCDC2 and ESE3/EHF were inversely correlated. In prostate cancer cells, DCDC2 colocalized with microtubules and promoted cell migration and resistance to the microtubule-targeting drug taxol. Collectively, this study establishes DCDC2 as a novel ESE3/EHF oncogenic target in prostate cancer. These findings may be relevant for the clinical management of prostate cancer as DCDC2 may signal tumors more prone to relapse and resistant to taxol treatment.

Role of statistical properties of randomly rough surfaces in controlling superhydrophobicity.

We investigate the effect of statistical properties of the surface roughness on its superhydrophobicity. In particular, we focus on the liquid-solid interfacial structure and its dependence on the coupled effect of surface statistical properties and drop pressure. We find that, for self-affine fractal surfaces with Hurst exponent H > 0.5, the transition to the Wenzel state first involves the short wavelengths of the roughness and, then, gradually moves to larger and larger scales. However, as the drop pressure is increased, at a certain point of the loading history, an abrupt transition to the Wenzel state occurs. This sudden transition identifies the critical drop pressure p(W), which destabilizes the composite interface. We find that p(W) can be strongly enhanced by increasing the mean square slope of the surface, or equivalently the Wenzel roughness parameter r(W). Our investigation shows that, even in the case of randomly rough surface, r(W) is still the most crucial parameter in determining the superhydrophobicity of the surface. An analytical approach is, then, proposed to show that, for any given value of Young's contact angle θ(Y), a threshold value (r(W))(th) = 1/(-cos θ(Y)) exists, above which the composite interface is strongly stabilized and the surface presents robust superhydrophobic properties. Interestingly, this threshold value is identical to the one that would be obtained in pure Wenzel regime to guarantee perfect superhydrophobicity.

The SRA protein UHRF1 promotes epigenetic crosstalks and is involved in prostate cancer progression.

Epigenetic silencing of tumour suppressor genes is an important mechanism involved in cell transformation and tumour progression. The Set and RING-finger-associated domain-containing protein UHRF1 might be an important link between different epigenetic pathways. Here, we report that UHRF1 is frequently overexpressed in human prostate tumours and has an important role in prostate cancer pathogenesis and progression. Analysis of human prostate cancer samples by microarrays and immunohistochemistry showed increased expression of UHRF1 in about half of the cases. Moreover, UHRF1 expression was associated with reduced overall survival after prostatectomy in patients with organ-confined prostate tumours (P < 0.0001). UHRF1 expression was negatively correlated with several tumour suppressor genes and positively with the histone methyltransferase (HMT) EZH2 both in prostate tumours and cell lines. UHRF1 knockdown reduced proliferation, clonogenic capability and anchorage-independent growth of prostate cancer cells. Depletion of UHRF1 resulted in reactivation of several tumour suppressor genes. Gene reactivation upon UHRF1 depletion was associated with changes in histone H3K9 methylation, acetylation and DNA methylation, and impaired binding of the H3K9 HMT Suv39H1 to the promoter of silenced genes. Co-immunoprecipitation experiments showed direct interaction between UHRF1 and Suv39H1. Our data support the notion that UHRF1, along with Suv39H1 and DNA methyltransferases, contributes to epigenetic gene silencing in prostate tumours. This could represent a parallel and convergent pathway to the H3K27 methylation catalyzed by EZH2 to synergistically promote inactivation of tumour suppressor genes. Deregulated expression of UHRF1 is involved in the prostate cancer pathogenesis and might represent a useful marker to distinguish indolent cancer from those at high risk of lethal progression.

Three-dimensional high-resolution quantitative microscopy of extended crystals.

Hard X-ray lens-less microscopy raises hopes for a non-invasive quantitative imaging, capable of achieving the extreme resolving power demands of nanoscience. However, a limit imposed by the partial coherence of third generation synchrotron sources restricts the sample size to the micrometer range. Recently, X-ray ptychography has been demonstrated as a solution for arbitrarily extending the field of view without degrading the resolution. Here we show that ptychography, applied in the Bragg geometry, opens new perspectives for crystalline imaging. The spatial dependence of the three-dimensional Bragg peak intensity is mapped and the entire data subsequently inverted with a Bragg-adapted phase retrieval ptychographical algorithm. We report on the image obtained from an extended crystalline sample, nanostructured from a silicon-on-insulator substrate. The possibility to retrieve, without transverse size restriction, the highly resolved three-dimensional density and displacement field will allow for the unprecedented investigation of a wide variety of crystalline materials, ranging from life science to microelectronics.

Three-dimensional x-ray Fourier transform holography: the Bragg case.

A novel approach to determine the structure of nanoscale crystals in three dimensions is proposed by the use of coherent x-ray Fourier transform holography in Bragg geometry. The full internal description is directly obtained by a single Fourier transform of the 3D intensity hologram. Together with the morphology, Bragg geometry gives access to the 3D displacement field within the crystal. This result opens great possibilities for the investigation of strain fields inside nanocrystals in a simple way.

Workspace analysis and design improvement of a carotid flow measurement system.

Heart and cerebrovascular diseases such as arteriosclerosis and myocardial ischemia dysfunction are currently among the main causes of death in developed countries. Recently, wave intensity (WI), which is an index used to obtain the force of cardiac contraction, has been investigated as a method for early-stage diagnosis of the above-mentioned diseases. Nevertheless, experimental tests have proven that the manual measurements of WI by means of commercial ultrasonic diagnostic systems require too much time and can be affected by the operator's skills. For this purpose, the introduction of robotic-assisted technology has advantages in terms of repetitiveness and accuracy of the measurement procedure. Therefore, at Waseda University, the development of a carotid blood flow measurement system has been proposed to support doctors while using ultrasound diagnostic equipment to measure the WI. This robotic system is composed of a serial robot with a wrist having a six-degree-of-freedom (6-DOF) parallel mechanism. The main focus is to obtain a suitable workspace performance of the 6-DOF parallel mechanism wrist. In this paper, a workspace analysis is carried out on a wrist prototype built for the Waseda-Tokyo Women's Medical Aloka Blood Flow Measurement System No.1 Refined (WTA-1R). Then, mechanical design enhancements are proposed and validated to provide a suitable workspace performance both as reachable workspace and dexterity, and a refined prototype WTA-1RII has been built.

Microstructured superhydrorepellent surfaces: effect of drop pressure on fakir-state stability and apparent contact angles.

In this paper we present a generalized Cassie-Baxter equation to take into account the effect of drop pressure on the apparent contact angle θ(app). Also we determine the limiting pressure p(W) which causes the impalement transition to the Wenzel state and the pull-off pressure p(out) at which the drop detaches from the substrate. The calculations have been carried out for axial-symmetric pillars of three different shapes: conical, hemispherical-topped and flat-topped cylindrical pillars. Calculations show that, assuming the same pillar spacing, conical pillars may be more inclined to undergo an impalement transition to the Wenzel state, but, on the other hand, they are characterized by a vanishing pull-off pressure which causes the drop not to adhere to the substrate and therefore to detach very easily. We infer that this property should strongly reduce the contact angle hysteresis as experimentally observed in Martines et al (2005 Nano Lett. 5 2097-103). It is possible to combine large resistance to impalement transition (i.e. large value of p(W)) and small (or even vanishing) detaching pressure p(out) by employing cylindrical pillars with conical tips. We also show that, depending on the particular pillar geometry, the effect of drop pressure on the apparent contact angle θ(app) may be more or less significant. In particular we show that in the case of conical pillars increasing the drop pressure causes a significant decrease of θ(app) in agreement with some experimental investigations (Lafuma and Quéré 2003 Nat. Mater. 2 457), whereas θ(app) slightly increases for hemispherical or flat-topped cylindrical pillars.