Diagnostic accuracy of a velcro sound detector (VECTOR) for interstitial lung disease in rheumatoid arthritis patients: the InSPIRAtE validation study (INterStitial pneumonia in rheumatoid ArThritis with an electronic device).

BACKGROUND: Interstitial lung disease (ILD) is a severe systemic manifestation of rheumatoid arthritis (RA). High-resolution computed tomography (HRCT) represents the gold standard for the diagnosis of ILD, but its routine use for screening programs is not advisable because of both high cost and X-ray exposure. Velcro crackles at lung auscultation occur very early in the course of interstitial pneumonia, and their detection is an indication for HRCT. Recently, we developed an algorithm (VECTOR) to detect the presence of Velcro crackles in pulmonary sounds and showed good results in a small sample of RA patients. The aim of the present investigation was to validate the diagnostic accuracy of VECTOR in a larger population of RA patients, compared with that of the reference standard of HRCT, from a multicentre study. METHODS: To avoid X-ray exposure, we enrolled 137 consecutive RA patients who had recently undergone HRCT. Lung sounds of all patients were recorded in 4 pulmonary fields bilaterally with a commercial electronic stethoscope (ES); subsequently, all HRCT images were blindly evaluated by a radiologist, and audio data were analysed by means of VECTOR. RESULTS: Fifty-nine of 137 patients showed ILD (43.1%). VECTOR correctly classified 115/137 patients, showing a diagnostic accuracy of 83.9% and a sensitivity and specificity of 93.2 and 76.9%, respectively. CONCLUSIONS: VECTOR may represent the first validated tool for the screening of RA patients who are suspected for ILD and who should be directed to HRCT for the diagnosis. Moreover, early identification of RA-ILD could contribute to the design of prospective studies aimed at elucidating unclear aspects of the disease.

Características eletrocardiográficas de éguas da raça Crioula em diferentes fases do período gestacional / Electrocardiographic features of Crioulo mares in different pregnancy stages

Pregnancy can cause several physiologic changes in mares, including modifications in cardiac output and heart positioning. Therefore, these changes could influence electrocardiographic parameters in various stages of pregnancy. This study aimed to evaluate the electrocardiogram of Crioulo mares in different pregnancy stages. Nine non pregnant mares (G0), 11 mares at three months (G3), 11 mares at six months (G6) and 11 mares at 10 months of pregnancy (G10) were submitted to electrocardiographic evaluation. There was higher (P= 0,002) heart rate of G10 (60.45±12.16bpm) when compared to other groups (G0=45.67±10.75bpm; G3=44.91±7.91bpm; G6=46.91±9.12bpm), probably because of an increase in cardiac output to uterine perfusion at the end of pregnancy. Normal sinus rhythm was predominant in most of mares of groups G0, G3 and G6, and sinus tachycardia in most of G10 mares. In conclusion, changes in hemodynamics and in cardiac position can influence on the electrocardiogram of pregnant Crioulo mares, but do not cause relevant rhythm or conduction disturbs.(AU)

Automated computer-based CT stratification as a predictor of outcome in hypersensitivity pneumonitis.

BACKGROUND: Hypersensitivity pneumonitis (HP) has a variable clinical course. Modelling of quantitative CALIPER-derived CT data can identify distinct disease phenotypes. Mortality prediction using CALIPER analysis was compared to the interstitial lung disease gender, age, physiology (ILD-GAP) outcome model. METHODS: CALIPER CT analysis of parenchymal patterns in 98 consecutive HP patients was compared to visual CT scoring by two radiologists. Functional indices including forced vital capacity (FVC) and diffusion capacity for carbon monoxide (DLco) in univariate and multivariate Cox mortality models. Automated stratification of CALIPER scores was evaluated against outcome models. RESULTS: Univariate predictors of mortality included visual and CALIPER CT fibrotic patterns, and all functional indices. Multivariate analyses identified only two independent predictors of mortality: CALIPER reticular pattern (p = 0.001) and DLco (p < 0.0001). Automated stratification distinguished three distinct HP groups (log-rank test p < 0.0001). Substitution of automated stratified groups for FVC and DLco in the ILD-GAP model demonstrated no loss of model strength (C-Index = 0.73 for both models). Model strength improved when automated stratified groups were combined with the ILD-GAP model (C-Index = 0.77). CONCLUSIONS: CALIPER-derived variables are the strongest CT predictors of mortality in HP. Automated CT stratification is equivalent to functional indices in the ILD-GAP model for predicting outcome in HP. KEY POINTS: • Computer CT analysis better predicts mortality than visual CT analysis in HP. • Quantitative CT analysis is equivalent to functional indices for prognostication in HP. • Prognostication using the ILD-GAP model improves when combined with quantitative CT analysis.

Environmental impact of heavy pig production in a sample of Italian farms. A cradle to farm-gate analysis.

Four breeding piggeries and eight growing-fattening piggeries were analyzed to estimate potential environmental impacts of heavy pig production (>160kg of live height at slaughtering). Life Cycle Assessment methodology was adopted in the study, considering a system from breeding phase to growing fattening phase. Environmental impacts of breeding phase and growing-fattening phase were accounted separately and then combined to obtain the impacts of heavy pig production. The functional unit was 1kg of live weight gain. Impact categories investigated were global warming (GW), acidification (AC), eutrophication (EU), abiotic depletion (AD), and photochemical ozone formation (PO). The total environmental impact of 1kg of live weight gain was 3.3kg CO2eq, 4.9E-2kg SO2eq, 3.1E-2kg PO4(3-)eq, 3.7E-3kg Sbeq, 1.7E-3kg C2H4eq for GW, AC, EU, AD, and PO respectively. Feed production was the main hotspot in all impact categories. Greenhouse gases responsible for GW were mainly CH4, N2O, and CO2. Ammonia was the most important source of AC, sharing about 90%. Nitrate and NH3 were the main emissions responsible for EU, whereas P and NOx showed minor contributions. Crude oil and natural gas consumption was the main source of AD. A large spectrum of pollutants had a significant impact on PO: they comprised CH4 from manure fermentation, CO2 caused by fossil fuel combustion in agricultural operations and industrial processes, ethane and propene emitted during oil extraction and refining, and hexane used in soybean oil extraction. The farm characteristics that best explained the results were fundamentally connected with performance indicators Farms showed a wide variability of results, meaning that there was wide margin for improving the environmental performance of either breeding or growing-fattening farms. The effectiveness of some mitigation measures was evaluated and the results that could be obtained by their introduction have been presented.

Bovine papillomatosis: First detection of bovine papillomavirus types 6, 7, 8, 10 and 12 in Italian cattle herds.

Limited information about the distribution of different bovine papillomavirus (BPV) types in Italy is available; therefore, this study aimed to investigate the presence of BPVs in bovine lesions in the Emilia Romagna region. Sixty-four proliferative lesions were collected between december 2011 and december 2014, and subsequently analysed by qualitative PCR with genus- and type-specific primer pairs, as well as rolling circle amplification (RCA). The results demonstrated, for the first time in Italy, the presence of BPV 6, 7, 8, 10 and 12 and also types previously described elsewhere. In addition, the high prevalence of viral co-infections in this sample set provides new information about viral tropism.

Characterization of protected designation of origin Italian meat products obtained from heavy pigs fed barley-based diets.

A study was conducted to evaluate the quality and sensory properties of protected designation of origin (PDO) Parma ham and Piacentina neck obtained from heavy pigs (Italian Duroc × Italian Large White) fed barley-based diets. Four diets were tested: 1) a corn-based diet (control), 2) the control diet with 80% of a normal-amylose hulled barley variety (Cometa), 3) the control diet with 80% of a normal-amylose hulless barley variety (Astartis), and 4) the control diet with 80% of a low-amylose hulless barley variety (Alamo). All the meat products were analyzed for physicochemical and color parameters. The dry-cured hams and necks were also evaluated for sensory properties. The data of physicochemical, color, and sensory parameters were separately analyzed by multivariate factor analysis, and interpretation of each extracted factor was based on specific original variables loading on each one. The meat products obtained from pigs fed the barley-based diets differed from those obtained from the control pigs on the PUFA factors characterized by C18:2-6 and omega-3:omega-6 ratio. In particular, the meat products obtained from pigs fed the barley-based diets had a lower content of C18:2-6 and a higher omega-3:omega-6 ratio ( < 0.05) than the control. In fresh hams, iodine number and SFA (C16:0 and C18:0) in addition to PUFA and omega-3:omega-6 ratio loaded on the PUFA/SFA factor. The fresh hams produced from pigs fed the barley-based diets had subcutaneous fat (SC) with a lower iodine number and a higher SFA level compared with those produced from the control pigs ( < 0.05). A sex effect was measured for PUFA/SFA and oleic acid factors. In particular, the barrow SC had a lower SFA content, higher PUFA and C18:1-9 levels, and a higher iodine number ( < 0.05) than the gilt SC. There were no appreciable differences in the color and sensory properties of meat products obtained from pigs fed the different diets. The hams from barrows differed from those obtained from gilts on the lean properties factor describing properties related to aspect and odor of dry-cured hams. Indeed, the hams from barrows were depreciated compared with the hams from gilts for minor intensity, brightness, and uniformity of the lean, pinkish intermuscular fat and cured odor. In conclusion, barley could be used as a replacement for corn in heavy pig diets for the production of PDO Italian products without negative effects on the physicochemical, color, or sensory characteristics of meat products.

Selective mobilization of fatty acids in adipose tissue of heavy pigs.

The mobilization of fatty acids during food deprivation is a selective process studied in different species (humans, rodents, birds, viverrids). The aim of this work was to study the effect of fasting on selective mobilization in commercial pigs. A total of 16 barrows (Large White×Landrace (167 kg±12.5 kg live weight) were subdivided into two homogeneous groups, one subjected to 12 h and the other to 60 h of fasting (fasting time) before slaughtering. For each pig inner and outer backfat layer were sampled at slaughter and at ham trimming 24 h later (sampling time). Increasing the fasting time and the sampling time after slaughter caused an increase in the amount of free fatty acids in both layers. Therefore it can be argued that during fasting lipolysis is stimulated and remains active also after slaughtering. The factors that stimulate lipolysis determine a greater mobilization of unsaturated fatty acids than saturated ones. Thus fasting time may influence the suitability of pork for processing and conservation, since free fatty acids are more suitable for oxidation than the esterified ones.

Effect of replacing corn with hulled and hulless or low-amylose hulless barley varieties on growth performance and carcass quality of Italian growing-finishing pig.

A study was conducted to evaluate the effect of diets based on hulled or hulless (normal- and low-amylose) barley varieties on growth performance and carcass characteristics in heavy growing-finishing pigs for the production of protected designation of origin (PDO) Italian products. The study was performed with 40 gilts and 40 barrows (Italian Duroc × Italian Large White). Four diets were formulated: 1) corn-based diet (control), 2) control diet with 80% of a normal-amylose hulled barley variety named Cometa (Cometa), 3) control diet with 80% of a normal-amylose hulless barley variety named Astartis (Astartis), and 4) control diet with 80% of a low-amylose hulless barley variety named Alamo (Alamo). The diets were formulated according to 3 growth phases (P1, 40 to 80 kg BW; P2, 80 to 120 kg BW; and P3, 120 to 170 kg BW), with the same Lys:DE ratio (2.60, 2.20, and 1.80, respectively in P1, P2, and P3) according to the NRC requirements for P1 and P2 and according to requirements for high-performing pigs for P3. The diets were analyzed for their in vitro starch digestion potentials (predicted glycemic index, pGI) and for their resistant starch (RS) contents. In P1, P2, and P3, the Alamo diet had the numerically lowest RS contents and greatest pGI values, whereas the control diet had the numerically greatest RS contents and the lowest pGI values. Throughout the study, the pigs fed Cometa and Alamo diets grew faster (P < 0.01) than those fed the control diet, whereas pigs receiving Astartis diet grew in a similar manner to those receiving all the other diets. Pigs fed Cometa and Alamo achieved greater final BW (P < 0.01) compared with those fed the control diet. The pigs receiving the Astartis diet had a mean final BW similar to that of the pigs fed other diets. Throughout the study, the control group had a lower grams per megacalorie DE (P < 0.01) compared with the pigs fed diets with barley, whereas the gain per megacalorie of DE (G/Mcal DE) was greater (P < 0.01) for the pigs fed hulled barley compared with the pig fed hulless barleys. No difference in carcass characteristics was found among treatments (P > 0.05). This study showed that diets based both on hulled and hulless barley might be suitable for the heavy pig breeding intended to the production of Italian PDO products. In addition, hulled or low-amylose hulless barley could be valuable to support maximum pig growth performance without affecting carcass composition.

Addition of nonstarch polysaccharides degrading enzymes to two hulless barley varieties fed in diets for weaned pigs.

A study was conducted to evaluate the effect of 2 hulless barley varieties, with or without the addition of a nonstarch polysaccharide (NSP) enzyme complex (ß-glucanase and xylanase), on growth performance of weaned piglets in a 42-d feeding study. The study was conducted with 140 piglets (PIC × Duroc). Pigs were allocated to pens (4 castrated males or 4 females per pen) based on BW and sex, and pens were assigned to 5 experimental diets with 4 pens of castrated males and 3 pens of females per treatment. Five isonitrogenous and isoenergetic diets were compared: 1) control corn-based diet (CTR), 2) diet with corn and wheat bran replaced by the Astartis hulless barley variety (AS), 3) diet with corn and wheat bran replaced by the AS supplemented with the NSP enzyme complex (ASE), 4) diet with corn and wheat bran replaced by the Alamo hulless barley variety (AL), and 5) diet with corn and wheat bran replaced by the AL supplemented with the NSP enzyme complex (ALE). The diets were formulated to meet or exceed nutrient requirements and offered in 2 phases: d 0 to 14 and d 14 to 42. At the end of the study, pigs fed AS and AL had equal weights as pigs fed CTR. Pigs fed the hulless barley diets had greater (P < 0.05) ADG during the second phase (P2) and overall phase, BW at d 42, and G:F during the P2 than those fed the CTR. Pigs fed the ASE and ALE had greater (P < 0.05) ADFI during the P2 and overall ADG than those fed the AS and AL. The increases in ADG during the P2 and final BW obtained with NSP enzyme supplementation were greater in pigs fed the AS than those fed the AL (barley × enzyme, P < 0.05). On the other hand, the NSP enzyme complex increased G:F in pigs fed the AS during the P2 and overall phase, but it had no effect on those fed the AL (barley × enzyme, P < 0.05). In conclusion, hulless barley with or without the NSP enzyme complex can be a replacement ingredient for corn and wheat bran in weaned pig diets. Addition of the NSP enzyme complex to AS variety, but not AL variety, improved growth performance of weanling pigs.

Determination of the Boltzmann constant by means of precision measurements of H2(18)O line shapes at 1.39 µm.

We report on a new implementation of Doppler broadening thermometry based on precision absorption spectroscopy by means of a pair of offset-frequency locked extended-cavity diode lasers at 1.39 µm. The method consists in the highly accurate observation of the shape of the 4(4,1)→4(4,0) line of the H2(18)O ν1+ν3 band, in a water vapor sample at thermodynamic equilibrium. A sophisticated and extremely refined spectral analysis procedure is adopted for the retrieval of the Doppler width as a function of the gas pressure, taking into account the Dicke narrowing effect, the speed dependence of relaxation rates, and the physical correlation between velocity-changing and dephasing collisions. A spectroscopic determination of the Boltzmann constant with a combined (type A and type B) uncertainty of 24 parts over 10(6) is reported. This is the best result obtained so far by means of an optical method. Our determination is in agreement with the recommended CODATA value.

Performance and fat quality of heavy pigs fed maize differing in linoleic acid content.

Maize shows wide differences in linoleic acid due both to total lipid content and to fatty acid profile. Therefore, diets containing the same high maize percentage (up to 55%) can differ in linoleic acid content and lead to subcutaneous fats of differing suitability for raw ham curing. Two trials were performed on heavy pigs; in the first, 60 pigs (body weight 48.7+/-5.1 kg) were fed three diets made using three maize batches differing in linoleic acid due to different total lipid content, in the second trial, 40 pigs (live weight 70.4+/-3.4 kg) were fed two diets made using two maize batches differing in linoleic acid due to their fatty acid profile. Pigs were slaughtered at 170 kg of live weight. In both trials, the growth and slaughtering performance did not differ. In the first trial the three diets lead to a different content of linoleic acid both in subcutaneous (low linoleic vs medium linoleic vs high linoleic P0.01) and intramuscular fat (low linoleic vs high linoleic P0.05). In the second trial different linoleic acid content was observed for subcutaneous fat (P0.01) but not for intramuscular fat. To formulate diets for heavy pigs, it is crucial to know the linoleic acid content of the maize used, because differences of only 0.3% can lead to significant differences in fatty acids composition of depot fats.

Use of pure glycerol in fattening heavy pigs.

Eighty Italian Duroc×Italian Large White pigs (BW 42.6±3.37kg) were used to determine the effects of pure glycerol on growth performance and meat quality of heavy pigs. Pigs were divided into five groups receiving 0% (control), 5% or 10% during the growing and finishing phases (42.6-160kg BW) (G+F5,G+F10) or 5% or 10% during the finishing period (100-160kg BW) (FIN5,FIN10) of pure glycerol in substitution for maize meal (on a dry matter basis). The pigs were slaughtered at approximately 160kg BW. The growth performance of pigs fed 5% glycerol did not differ from controls regardless of feeding duration, whereas those fed 10% glycerol showed reduced growth and poorer feed:gain ratio. Fat quality and meat suitability for raw ham curing were not affected by dietary treatment. Differences were not consistent enough to draw any conclusion about the effects of feeding glycerol on sensory characteristics.

Primary gas thermometry by means of laser-absorption spectroscopy: determination of the Boltzmann constant.

We report on a new optical implementation of primary gas thermometry based on laser-absorption spectrometry in the near infrared. The method consists in retrieving the Doppler broadening from highly accurate observations of the line shape of the R(12) nu1+2nu2(0)+nu3 transition in CO2 gas at thermodynamic equilibrium. Doppler width measurements as a function of gas temperature, ranging between the triple point of water and the gallium melting point, allowed for a spectroscopic determination of the Boltzmann constant with a relative accuracy of approximately 1.6 x 10(-4).

Physical-mechanical and environmental properties of sintered municipal incinerator fly ash.

A step-wise treatment of Municipal Solid Waste (MSW) incinerator fly ash including washing, milling and sintering was investigated in order to manufacture ceramic materials with improved physical, mechanical and environmental properties and, possibly, to reduce the power input of the sintering process. An interpretation of the test results based on the microstructure of sintered products and sintering kinetic modeling was also attempted to identify the densification mechanisms. It was found that milling of washed fly ash represents a basic step for manufacturing high-density ceramic materials with very high compressive strengths (up to 500 N/mm2). A significant reduction in the power input of the sintering process (reduction of firing temperature from 1210 degrees C for washed fly ash to 1140 degrees C for milled-washed fly ash) is also achieved. A dense, well-sintered microstructure is formed through an intermediate-stage, liquid-phase sintering mechanism controlled by liquid-phase diffusion and grain shape accommodation. Such a microstructure is able to strongly immobilise heavy metals, thus giving good environmental properties to sintered product.

Effect of feeding partially hydrogenated lard on trans-fatty acid content of muscle and backfat of heavy pigs.

The incorporation of fat in diets for heavy pigs may be necessary in order to increase their energy intake in the finishing period. Lard may be a good lipid source but it contains 10-13% of linoleic acid, which makes the subcutaneous fat less suitable for long term curing of raw ham. Partial hydrogenation of lard decreases linoleic acid content, but increases trans-fatty acid content. This trial involved two groups of pigs of 114kg live weight, fed for the last two months before slaughter with diets containing 3% lard (L) or 3% partially hydrogenated lard (PHL). The PHL contained about 10% trans-fatty acids and 2.5% linoleic acid. Rearing performance and carcass characteristics were unaffected by treatment. The group fed PHL showed a lower percentage of linoleic acid in the backfat (PHL 12.28% vs. L 13.04%) and a higher percentage of C18:1 trans-fatty acids both in backfat (0.5% vs. 0.06%) and in intramuscular fat (0.2% vs. 0.04%).

First field determination of the 13C/12C isotope ratio in volcanic CO2 by diode-laser.

Carbon isotope ratio analysis using a laser-based technique has been performed in the field, on the gaseous emissions from an active volcano. We here describe that 13CO2/12CO2 determinations can be carried out in a quasi-continuous regime using a compact, selective and sensitive diode laser spectrometer at a wavelength of 2 mum. Within the Solfatara crater (near Naples, Italy), in a very harsh environment, we were able to determine relative 13CO2/12CO2 values, on the highest flux fumarole, with an accuracy of 0.5 per thousand. Regular and frequent observations of the carbon isotopes in volcanic gases, which become possible with our methodology, are of the utmost importance for geochemical surveillance of volcanoes.

Performance on the visual search analog of latent inhibition is modulated by an interaction between schizotypy and gender.

Two experiments examined the visual search analog of latent inhibition (LI) and the novel popout (NPO) effect in healthy humans. In Experiments 1 (n=48) and 2 (n=180), subjects judged the positions (left or right side of a computer screen) of a unique target amongst a field of homogeneous distractors. In both experiments, there was a strong LI effect, as indicated by longer response times (RT) to those displays in which the target was previously a distractor and the distractors were previously the target, as compared with displays in which the target was novel and the distractors were previously the target. NPO, faster RT to a display in which the target was novel on a background of familiar distractors than to a display in which both target and distractors were novel, was not obtained. In Experiment 1, LI magnitude was not affected by gender. In Experiment 2, LI magnitude was larger for low schizotypal females than for high schizotypal females, a result not obtained for males. This pattern is similar to one reported for medicated schizophrenic out-patients (Lubow, R.E., Kaplan, O., Abramovich, P., Rudnick, R., Laor, N., 2000. Visual search in schizophrenics: latent inhibition and novel popout effects. Schizophr. Res., in press). Together, these data suggest that the LI deficits found in high schizotypal healthy subjects and in schizophrenic patients represent a dysfunction that is characterized by an inability to reduce attention allocated to irrelevant stimuli, and that this may serve as a trait marker for some subtypes of schizophrenia, particularly those associated with female gender.

Isolated jejunal Crohn's disease in a young adult presenting as fever of unknown origin.

A 27-yr-old man was referred for fever, weight loss, fatigue, and occasional mild epimesogastric pain without diarrhea or vomiting. Laboratory tests were suggestive of an active inflammatory disease but serological, bacteriological, viral searches, markers of autoimmunity, and neoplasia were all negative. The following were also negative: ultrasonography; conventional x-rays; CT scans; esophagogastroduodenoscopy, pancolonoscopy with ileoscopy; cytohistology including duodenum and ileocolon. Empiric antibiotic regimens failed to control the temperature. Small bowel enema disclosed multiple proximal jejunal strictures. Jejunoscopy revealed erythema, friability, linear ulcerations, stenosis, and dilation in the proximal jejunum. Multiple directed biopsies showed inflammatory changes devoid of any specific features. The patient received steroid treatment and his temperature normalized. Six months later, he was readmitted on account of intestinal subocclusion that was managed conservatively. A few days later urgent laparotomy was performed with peritoneal lavage, repair of double perforated proximal jejunal ulcers, and stricturoplasty. Surgical jejunal biopsy confirmed the results of enteroscopic biopsies. The patient is presently without fever, in the absence of steroid treatment. There have been no reports of cryptogenic fever due to isolated jejunal Crohn's disease in the recent literature. Our patient's clinical picture resembled disease as seen in older children and adolescents, in whom it is a difficult diagnosis owing to the absence of diarrhea. In adults with Crohn's disease isolated jejunal involvement represents approximately 1% of cases. A thorough small bowel investigation is warranted in young adults with cryptogenic fever and low serum protein levels, even in the absence of major gastrointestinal complaints.