Engineered swift equilibration of a Brownian gyrator.

In the context of stochastic thermodynamics, a minimal model for nonequilibrium steady states has been recently proposed: the Brownian gyrator (BG). It describes the stochastic overdamped motion of a particle in a two-dimensional harmonic potential, as in the classic Ornstein-Uhlenbeck process, but considering the simultaneous presence of two independent thermal baths. When the two baths have different temperatures, the steady BG exhibits a rotating current, a clear signature of nonequilibrium dynamics. Here, we consider a time-dependent potential, and we apply a reverse-engineering approach to derive exactly the required protocol to switch from an initial steady state to a final steady state in a finite time τ. The protocol can be built by first choosing an arbitrary quasistatic counterpart, with few constraints, and then adding a finite-time contribution which only depends upon the chosen quasistatic form and which is of order 1/τ. We also get a condition for transformations which, in finite time, conserve internal energy, useful for applications such as the design of microscopic thermal engines. Our study extends finite-time stochastic thermodynamics to transformations connecting nonequilibrium steady states.

Breakdown of Scaling and Friction Weakening in Intermittent Granular Flow.

Many materials are produced, processed and stored as grains, while granularity of matter can be crucial in triggering potentially catastrophic geological events like landslides, avalanches and earthquakes. The response of grain assemblies to shear stress is therefore of utmost relevance to both human and natural environment. At low shear rate a granular system flows intermittently by distinct avalanches. In such state the avalanche velocity in time is expected to follow a symmetrical and universal average behavior, whose dependence on the slip size reduces to a scale factor. Analyzing data from long lasting experiments, we observe a breakdown of this scaling: While in short slips velocity shows indeed a self-similar and symmetric profile, it does not in long slips. The investigation of frictional response in these different regimes evidences that this breakdown can be traced back to the onset of a friction weakening, which is of dynamical origin and can amplify instabilities exactly in this critical state, the most frequent state for natural hazards.

Dynamical Collective Memory in Fluidized Granular Materials.

Recent experiments with rotational diffusion of a probe in a vibrated granular media revealed a rich scenario, ranging from a dilute gas to a dense liquid with cage effects and an unexpected superdiffusive behavior at large times. Here we set up a simulation that reproduces quantitatively the experimental observations and allows us to investigate the properties of the host granular medium, a task not feasible in the experiment. We discover a persistent collective rotational mode which emerges at a high density and a low granular temperature: a macroscopic fraction of the medium slowly rotates, randomly switching direction after very long times. Such a rotational mode of the host medium is the origin of the probe's superdiffusion. Collective motion is accompanied by a kind of dynamical heterogeneity at intermediate times (in the cage stage) followed by a strong reduction of fluctuations at late times, when superdiffusion sets in.

Increasing 'ease of sliding' also increases friction: when is a lubricant effective?

We investigate experimentally the effective Coulomb friction exerted by a granular medium on a shearing plate, varying the medium depth. The plate is driven by a spring connected to a motor turning at a constant speed and, depending on the system configuration, performs continuous sliding or stick and slip in different proportions. We introduce an order parameter which discriminates between the different regimes expressing the fraction of time spent in slipping. At low driving speed, starting from zero layers of interstitial granular material, the average friction coefficient decreases when a few layers are added, while the order parameter stays close to zero. By further increasing the granular depth, the friction undergoes a sudden increase but the order parameter does not change notably. At an intermediate driving speed, however, both the friction and the order parameter undergo a sudden increase, which for the order parameter amounts to several orders of magnitude, indicating that the plate is more braked but nevertheless keeps sliding more easily. For medium-high driving speeds, full sliding is obtained for only one layer of interstitial matter, where friction has a minimum, and is maintained for all increasing depths while friction increases. These observations show that the ease of slipping is not determined by friction alone, rather by the highly complex interplay between driving velocity, friction, and the depth of the medium.

Is the subjective perception of lactose intolerance influenced by the psychological profile?

BACKGROUND: Symptoms of lactose intolerance are often attributed to lactose malabsorption but, as this relationship has not been demonstrated when a small dose of lactose similar to that contained in one cup of milk is ingested by intolerant patients, psychological factors may play a role in altered symptom perception. AIM: To assess the hypothesis that the psychological profile influences the symptoms of lactose intolerance. METHODS: One hundred and two consecutive patients underwent a 15 g lactose hydrogen breath test to assess lactose malabsorption. The patients recorded the presence and severity of symptoms of lactose intolerance during the breath test using visual analogue scales. The psychological profile was assessed using a psychological symptom checklist, and health-related quality of life by means of the short-form health survey. RESULTS: Lactose malabsorption and intolerance were diagnosed in, respectively, 18% and 29% of the patients. The two conditions were not associated, and the severity of intolerance was even less in the patients with malabsorption. Multivariate logistic analysis showed that a high somatisation t-score was significantly associated with lactose intolerance (odds ratio 4.184; 1.704-10.309); the effects of the other psychological variables and of lactose malabsorption were not statistically significant. Health-related quality of life was significantly reduced in the patients with somatisation, but not in those with lactose malabsorption. CONCLUSIONS: The symptoms of lactose intolerance during hydrogen breath testing at a low physiological lactose load, are unrelated to lactose malabsorption, but may reveal a tendency towards somatisation that could impair the quality of life.

Brownian forces in sheared granular matter.

We present results from a series of experiments on a granular medium sheared in a Couette geometry and show that their statistical properties can be computed in a quantitative way from the assumption that the resultant from the set of forces acting in the system performs a Brownian motion. The same assumption has been utilized, with success, to describe other phenomena, such as the Barkhausen effect in ferromagnets, and so the scheme suggests itself as a more general description of a wider class of driven instabilities.

Self-stabilized fractality of seacoasts through damped erosion.

Erosion of rocky coasts spontaneously creates irregular seashores. But the geometrical irregularity, in turn, damps the sea waves, decreasing the average wave amplitude. There may then exist a mutual self-stabilization of the wave amplitude together with the irregular morphology of the coast. A simple model of such stabilization is studied. It leads, through a complex dynamics of the earth-sea interface, to the appearance of a stationary fractal seacoast with a dimension close to 4/3. Fractal geometry here plays the role of a morphological attractor directly related to percolation geometry.

Multicenter trial for the set-up of a MRI quality assurance programme.

Many international protocols related to RMI-QC program are focused on acquisition methods and analysis of several image quality parameters but rarely normality ranges or measurement frequencies are presented. To address this problem we investigated the variability of many magnetic resonance imaging (MRI) systems with the set-up of multicenter trial. The trial was set up to investigate short-and mid-term variability of two fundamental nongeometric image quality parameters: signal-to-noise (SNR) and integral percent uniformity (U%). Ten centers (12 devices) participated to data collection consisting of a three-step-protocol. First, 10 consecutive images of a phantom were collected with a spin echo sequence. As second step the series collection was repeated 24 h later. Finally a single image acquisition was performed twice a week for 5 weeks. The analysis of results allowed us to define a "physiological" variability of +/-3% of the reference level for both parameters and to conclude that a weekly measurement is adequate to detect relevant variations of device performance.

Cooling of a lattice granular fluid as an ordering process.

We present a microscopic model of granular medium to study the role of dynamical correlations and the onset of spatial order induced by the inelasticity of the interactions on the velocity field. In spite of its simplicity and intrinsic limitations, it features several aspects of the rich phenomenology observed in granular materials and allows to make contact with other topics of statistical mechanics such as diffusion processes, domain growth, aging phenomena. Interestingly, while local observables, being controlled by the largest wavelength fluctuations, seem to suggest a purely diffusive behavior, the formation of spatially extended structures and topological defects, such as vortices and shocks, reveals a more complex scenario. Finally, only for quasielastic systems, we observe a neat scale separation, which represents a fundamental hypothesis to develop a granular hydrodynamics.

Fluctuation-dissipation relations in driven granular gases.

We study the dynamics of a two-dimensional driven inelastic gas, by means of direct simulation Monte Carlo techniques, i.e., under the assumption of molecular chaos. Under the effect of a uniform stochastic driving in the form of a white noise plus a friction term, the gas is kept in a nonequilibrium steady state characterized by fractal density correlations and non-Gaussian distributions of velocities; the mean-squared velocity, that is the so-called granular temperature, is lower than the bath temperature. We observe that a modified form of the Kubo relation, which relates the autocorrelation and the linear response for the dynamics of a system at equilibrium, still holds for the off equilibrium, though stationary, dynamics of the systems under investigation. Interestingly, the only needed modification to the equilibrium Kubo relation is the replacement of the equilibrium temperature with an effective temperature, which results equal to the global granular temperature. We present two independent numerical experiments, where two different observables are studied: (a) the staggered density current, whose response to an impulsive shear is proportional to its autocorrelation in the unperturbed system and (b) the response of a tracer to a small constant force, switched on at time t(w), which is proportional to the mean-square displacement in the unperturbed system. Both measures confirm the validity of Kubo's formula, provided that the granular temperature is used as the proportionality factor between response and autocorrelation, at least for not too large inelasticities.

Coarsening and slow dynamics in granular compaction.

We address the problem of the microscopic reorganization of a granular medium under a compaction process in the framework of Tetris-like models. We point out the existence of regions of spatial organization which we call domains, and study their time evolution. It turns out that after an initial transient, most of the activity of the system is concentrated on the boundaries between domains. One can then describe the compaction phenomenon as a coarsening process for the domains, and a progressive reduction of domain boundaries. We discuss the link between the coarsening process and the slow dynamics in the framework of a model of active walkers on active substrates.

Driven granular gases with gravity.

We study fluidized granular gases in a stationary state determined by the balance between external driving and bulk dissipation. The two considered situations are inspired by recent experiments, where gravity plays a major role as a driving mechanism: in the first case, gravity acts only in one direction and the bottom wall is vibrated; in the second case, gravity acts in both directions and no vibrating walls are present. Simulations performed under the molecular chaos assumption show averaged profiles of density, velocity, and granular temperature that are in good agreement with the experiments. Moreover, we measure velocity distributions that show strong non-Gaussian behavior, as experiments pointed out, but also density correlations accounting for clustering, at odds with the experimental results. The hydrodynamics of the first model is discussed and an exact solution is found for the density and granular temperature as functions of the distance from the vibrating wall. The limitations of such a solution, in particular in a broad layer near the wall injecting energy, are discussed.

Helicobacter pylori prevalence in patients with diabetes and its relationship to dyspeptic symptoms.

As available data on Helicobacter pylori infection in patients with diabetes are scattered and discordant, we evaluated the prevalence of H. pylori and its relationship to dyspeptic symptoms in adult patients with diabetes and subjects with dyspepsia. H. pylori infection (evaluated using the 13C urea breath test) and dyspeptic symptoms (nausea, bloating, and epigastric distress) were investigated in 71 consecutive diabetic outpatients; the presence of gross lesions, histologic gastritis, and Helicobacter was verified in the patients with a positive urea test who agreed to undergo upper gastrointestinal tract endoscopy. Seventy-one age- and gender-matched subjects with dyspepsia were used as controls. Helicobacter pylori infection was detected in 49 (69%) patients with diabetes and in 33 (46%) subject with dyspepsia (p = 0.007). Helicobacter pylori was present in 27 (77%) of 35 patients with diabetes with dyspeptic symptoms and in 22 (61%) of 36 patients without dyspeptic symptoms. Endoscopy revealed peptic ulcers in 13 of 23 patients; H. pylori infection was histologically confirmed in the gastric antrum of all patients with diabetes, and in the body of the stomach in 74%. The significantly higher prevalence of H. pylori infection in the patients with diabetes may partially explain their dyspeptic symptoms. The high prevalence of H. pylori infection, esophagitis, and peptic ulcers found in our patients with diabetes (with or without dyspepsia) suggests that this population should be considered "at risk" for H. pylori infection and suitable candidates for treatment.

Surface hardening and self-organized fractality through etching of random solids

When a finite volume of etching solution is in contact with a disordered solid, complex dynamics of the solid-solution interface develop. If the etchant is consumed in the chemical reaction, the dynamics stop spontaneously on a self-similar fractal surface. As only the weakest sites are corroded, the solid surface gets progressively harder and harder. At the same time, it becomes rougher and rougher uncovering the critical spatial correlations typical of percolation. From this, the chemical process reveals the latent percolation criticality hidden in any random system. Recently, a simple minimal model was introduced by Sapoval et al. to describe this phenomenon. Through analytic and numerical study, we obtain a detailed description of the process. The time evolution of the solution corroding power and of the distribution of resistance of surface sites is studied in detail. This study explains the progressive hardening of the solid surface. Finally, this dynamical model appears to belong to the universality class of gradient percolation.

Influence of caloric intake on gastric emptying of solids assessed by 13C-octanoic acid breath test.

BACKGROUND: The 13C-octanoic breath test (13C-OBT), a recently developed technique to evaluate gastric emptying of solids, has been validated in comparison to scintigraphy with low caloric meals (250 kcal). However, there is consensus that for clinical studies total caloric load should be in excess of 300 kcal, but studies comparing 13C-OBT results after low and medium caloric meals are lacking. METHODS: Ten healthy subjects were given a 250-kcal and a 550-kcal meal in randomized order. Gastric emptying was assessed simultaneously by ultrasonography and 13C-OBT. Breath samples were taken according to both classic (21 samples over 5 h) and simplified (11 samples) schedules. RESULTS: Increasing the meal energy content resulted in significantly longer half emptying time (T(1/2)) estimates by both ultrasonography (P < 0.01, Wilcoxon test) and 13C-OBT (P < 0.05). T(1/2) estimates by the two methods significantly correlated for both the 250 (r(s) = 0.733, P = 0.018) and the 550 (r(s) = 0.637, P = 0.035) kcal meal. However, differences between T(1/2) estimates by 13C-OBT and ultrasonography were greater after the 550- than the 250-kcal meal (median 172.5 versus 76.5 min, P < 0.05). Interindividual variability was also 2-fold greater for indexes estimated by 13C-OBT with the 550-kcal meal compared with the 250-kcal meal. For both meals 13C-OBT yielded similar results with the classic and simplified schedules. CONCLUSIONS: In healthy subjects caloric intake is a major determinant of gastric emptying rate. However, after a medium caloric meal 13C-OBT shows some inaccuracy, which raises questions about its routine clinical application. Nevertheless, when using 13C-OBT one must take into account that the simplified schedule is just as effective as the classic one, and is far lower in cost.

Scintigraphic imaging and absorption of a 5-aminosalicylic acid enema in patients with ileorectal anastomosis.

UNLABELLED: Ileorectal anastomosis (IRA) is a possible surgical treatment for hyperacute and drug-unresponsive forms of ulcerative colitis (UC). UC relapses in the rectal remnant usually are prevented by chronic administration of 5-aminosalicylic acid (5-ASA) in topical formulations. The relationships between intestinal absorption and pattern of luminal spread of 5-ASA enemas are still unknown in patients with IRA. We correlated the absorption of a 5-ASA enema with its spread in the distal bowel of patients with IRA as assessed by 99mTc radioenema imaging. METHODS: Eight patients with UC in remission and previous IRA received a therapeutic 50-mL 5-ASA enema labeled with 99mTc-sulfer colloid. Absorbed 5-ASA and its major metabolite, acetyl 5-ASA, were measured in plasma, and dynamic images of radiolabeled enema were obtained for 6 h. The retrograde ileal spread (RIS) was determined and expressed as percentage of total enema radioactivity. Plasma levels of 5-ASA and acetyl 5-ASA were measured in six healthy volunteers after administration of the same enema volume with no radiolabeling. RESULTS: The mean 5-ASA plasma level was 0.70 microg/mL (range 0.37-0.95 microg/mL) in patients and 0.96 microg/mL (range 0.78-1.16 microg/mL) in healthy volunteers (P = not significant), and the mean acetyl 5-ASA plasma levels were 0.89 microg/mL (range 0.44-1.19 microg/mL) and 0.84 microg/mL (range 0.51-1.02 microg/mL), respectively (P = not significant). Radioenema imaging allows RIS assessment of patients with IRA. The mean value was 8.5% (range 2%-19.3%) of administered radioactivity, which correlated significantly with the total absorption of 5-ASA in the IRA group (P = 0.033, linear correlation test). Rectal wall contractions recognized by dynamic radioenema imaging were defined as a common cause of RIS episodes. CONCLUSION: In IRA patients, 5-ASA plasma levels were similar to those in healthy volunteers after administration in enema. Only part of a 50-mL 5-ASA enema reaches the ileum, and radiolabeled imaging shows the degree and number of these RIS episodes. The absorption of 5-ASA can increase in patients compared with healthy volunteers, in the presence of either occasional but significant ileal spread associated with postural factors and abdominal wall contraction or multiple moderate episodes of radioenema backdiffusion related to rectal wall motility.

[Definition criteria for a magnetic resonance quality assurance program: multicenter study]. / Criteri per la definizione di un programma per l'assicurazione della qualità nella diagnostica per immagini con risonanza magnetica: studio multicentrico.

PURPOSE: We report the preliminary results of a multicenter trial aimed at defining methods, reference values and frequency of measurements for an MR quality assurance program. In particular, we stress the definition of two attention levels (investigation and intervention) for image uniformity and signal-to-noise ratio (SNR) by means of short- and long-term measurements. MATERIAL AND METHODS: The short-term protocol consisted of 10 successive spin-echo (SE, 2 echoes) acquisitions and was repeated after 24 hours. Measurements were made with the same test phantom which was circulated among all the participating centers. Image uniformity and SNR were evaluated using the software available on each MR unit. The long-term protocol, consisting of a single SE acquisition with the same parameters used for the short-term one, was performed once a month for 12 months. A mid term protocol was also performed twice a week for 5 weeks, and the analysis of the results is still in progress. RESULTS AND DISCUSSION: The short-term protocol results allowed absolute comparison of system performance. Uniformity and SNR were significantly different among centers (p < 0.05), also in the statistical comparison of two MR units of the same model (Siemens Magnetom SP63-1.5 T). Overall, three 1.5 T systems provided similar SNR values, while the results obtained for the 1 T system were markedly lower (51% of the maximum). This result can be explained by the dependence of the analytical expression of SNR on the magnetic field. The other 1.5 T system performed more poorly than the others operating at the same magnetic field. This difference can be explained by the specific characteristics of the coil and by technological aging. Because of the small sample size (5 units), the maximum variation coefficients (3% for the first echo and 3.5% for the second one) were assumed as a reference value for the both parameters (SNR and uniformity). These values were used for the long-term analysis: at every measurement the evaluated parameter was statistically compared with the result of the previous month. We propose to set an investigation level at p = 0.05: when the newly measured parameter differs from the previous value (p < 0.05), we should investigate if this is due to a normal long-term variation or to a system fault. The intervention level is then defined as the 95% prediction interval of the evaluated parameter regression vs time. Measurements that do not fall within the prediction interval are not used for future statistics. CONCLUSIONS: Some preliminary results concerning SNR and uniformity were obtained in the investigation performed on 5 MR systems to define methods and references for a Quality Assurance program. We introduced an "investigation level" and an "intervention level" related to short-term and long-term variability. The investigation levels could be a useful reference value to predict the short-term variability of an MR system with similar characteristics, thus avoiding a long and onerous series of measurements. Concerning the optimization of measurement frequencies, the preliminary analysis of these results showed that a daily measurement frequency is excessive in stable equipment conditions, while monthly measurements showed that the investigation level was often exceeded. However, frequency optimization will be investigated after the analysis of the mid-term measurements, which is still in progress.

The microvascular system in ischemic cortical lesions.

In the rat, normal blood flow can be restored in the territory of the occluded artery after an arterial occlusion. This event has been attributed to changes in the collateral vessels supplying the territory of the occluded artery. Since only a limited amount of data is available about the plasticity of the microvascular system after a cortical ischemic lesion, in the present study we have evaluated whether the restoration of blood flow to normal levels in the territory of the middle cerebral artery after permanent ischemia is due only to flow through preexisting collateral vessels or also to the development of new microvessels. Middle cerebral artery occlusion was performed in 45 rats. After 24 h of ischemia, magnetic resonance imaging was used to select 16 rats with cortical lesions of similar size and location. After 2 weeks, vascular corrosion casts were obtained from 8 rats by injection of low-viscosity resin and observed by scanning electron microscopy. A correlative light and electron microscopy study was performed using the remaining 8 rats. Two different patterns of vascular modifications were found, one dorsal and one ventral to the lesion. The dorsal portion of the lesion was vascularized by collateral arteries originating from the anterior or posterior cerebral arteries. Collateral trunks showed a meandering course, mainly in the occipital pole. In the ventral portion of the lesion a complex microvascular system was found characterized by an intense vascular proliferation. The arterioles showed a parallel, candelabrum-like pattern with dichotomic branching. Contraction rings were frequently seen. The capillaries showed a sinusoid-like structure, with a large lumen and a continuous endothelium with many micropinocytotic vesicles. A peripheral ring-shaped venous sinus was composed of a network of flat vessels. These results give the first comprehensive description of the microvascular modifications in a focal model of infarct and suggest that the restoration of blood flow to normal levels described in the territory of the middle cerebral artery after permanent ischemia may be due not only to flow through collateral vessels but also to the development of a new vascular system originating mainly from branches of the middle cerebral artery before the occlusion point.