External Quality Assessment (EQA) scheme for serological diagnostic test for SARS-CoV-2 detection in Sicily Region (Italy), in the period 2020-2022.

OBJECTIVES: Since December 2019, worldwide public health has been exposed to a severe acute respiratory syndrome caused by Coronavirus-2. Serological testing is necessary for retrospective assessment of seroprevalence rates, and the determination of vaccine response and duration of immunity. For this reason, it was necessary to introduce a panel of tests able to identify and quantify Covid-19 antibodies. METHODS: As a Regional Reference Centre, the CRQ Laboratory (Regional Laboratory for the Quality Control) developed and conducted an External Quality Assessment (EQA) panel of assays, to evaluate the quality of various methods, that were used by 288 Sicilian laboratories, previously authorized on behalf of the Public Health Service. RESULTS: The performance test was based on pooled samples with different levels of concentration of antibodies. 97 , 98, and 95 % of the participating laboratories tested all samples correctly in 2020, 2021, and 2022 respectively. The best performance was observed in the test of total Ig. The general performance of laboratories improved over the years. CONCLUSIONS: The incorrect diagnosis had and could still have important implications on vaccination cycles. Only through the effort of laboratory professionals, and the extension of the EQA scheme, a better harmonization of methods, protocols, and thus results, to guarantee a better healthcare system, will be possible.

Technical and health governance aspects of the external quality assessment system for classical and new psychoactive substances analysis testing in blood.

New psychoactive substances (NPS) are uncontrolled analogues of existing drugs or newly synthesized chemicals that exhibit psychopharmacological effects. Due to their diverse nature, composition, and increasing prevalence, they present significant challenges to the healthcare system and drug control policies. In response, healthcare system laboratories have developed analytical methods to detect NPS in biological samples. As a Regional Reference Centre, the Sicilian CRQ Laboratory (Regional Laboratory for Quality Control) developed and conducted an External Quality Assessment (EQA) study to assess, in collaboration with the Istituto Superiore di Sanità (ISS), the ability of different Italian laboratories to identify NPS and traditional drugs of abuse (DOA) in biological matrices. Two blood samples were spiked with substances from various drug classes, including synthetic cannabinoids, cathinones, synthetic opiates, and benzodiazepines, at concentrations ranging from 2 to 10 ng/mL. The blood samples were freeze-dried to ensure the stability of DOA and NPS. Twenty-two laboratories from the Italian healthcare system participated in this assessment. The information provided by the laboratories during the registration in an in-house platform included a general description of the laboratory, analytical technique, and the chosen panels of analytes. The same platform was employed to collect and statistically analyze the data and record laboratory feedback and comments. The evaluation of the results revealed that the participating laboratories employed three different techniques for analyzing the samples: GC-MS, LC-MS, and immunoenzymatic methods. Approximately 90 % of the laboratories utilized LC-MS techniques. Around 40 % of false negative results were obtained, with the worst results in the identification of 5-chloro AB PINACA. The results showed that laboratories that used LC-MS methods obtained better specificity and sensitivity compared to the laboratories using other techniques. The results obtained from this first assessment underscore the importance of external quality control schemes in identifying the most effective analytical techniques for detecting trace molecules in biological matrices. Since the judicial authorities have not yet established cut-off values for NPS, this EQA will enable participating laboratories to share their analytical methods and expertise, aiming to establish common criteria for NPS identification.

The Suitability of RNA from Positive SARS-CoV-2 Rapid Antigen Tests for Whole Virus Genome Sequencing and Variant Identification to Maintain Genomic Surveillance.

The COVID-19 pandemic has transformed laboratory management, with a surge in demand for diagnostic tests prompting the adoption of new diagnostic assays and the spread of variant surveillance tools. Rapid antigen tests (RATs) were initially used only for screening and later as suitable infection assessment tools. This study explores the feasibility of sequencing the SARS-CoV-2 genome from the residue of the nasopharyngeal swab extraction buffers of rapid antigen tests (RATs) to identify different COVID-19 lineages and sub-lineages. METHODS: Viral RNA was extracted from the residue of the nasopharyngeal swab extraction buffers of RATs and, after a confirmation of positivity through a reaction of RT-PCR, viral genome sequencing was performed. RESULTS: Overall, the quality of the sequences obtained from the RNA extracted from the residue of the nasopharyngeal swab extraction buffers of RATs was adequate and allowed us to identify the SARS-CoV-2 variants' circulation and distribution in a period when the use of molecular swabs had been drastically reduced. CONCLUSIONS: This study demonstrates the potential for genomic surveillance by sequencing SARS-CoV-2 from the residue of the nasopharyngeal swab extraction buffers of RATs, highlighting alternative possibilities for tracking variants.

One-Year Seismic Survey of the Tectonic CO2-Rich Site of Mefite d'Ansanto (Southern Italy): Preliminary Insights in the Seismic Noise Wavefield.

A passive seismic experiment is carried out at the non-volcanic highly degassing site of Mefite d'Ansanto located at the northern tip of the Irpinia region (southern Italy), where the 1980 MS 6.9 destructive earthquake occurred. Between 2020 and 2021, background seismic noise was recorded by deploying a broadband seismic station and a seismic array composed of seven 1 Hz three-component sensors. Using two different array configurations, we were allowed to explore in detail the 1-20 Hz frequency band of the seismic noise wavefield as well as Rayleigh wave phase velocities in the 400-800 m/s range. Spectral analyses and array techniques were applied to one year of data showing that the frequency content of the signal is very stable in time. High frequency peaks are likely linked to the emission source, whereas at low frequencies seismic noise is clearly correlated to meteorological parameters. The results of this study show that small aperture seismic arrays probe the subsurface of tectonic CO2-rich emission areas and contribute to the understanding of the link between fluid circulation and seismogenesis in seismically active regions.

Intercalation and reactions of CO under single layer graphene/Ni(111): the role of vacancies.

We use synchrotron radiation-induced core level photoemission spectroscopy to investigate the influence of vacancies, produced by ion bombardment, on monolayer graphene/Ni(111) exposed to CO at pressures ranging from ultra-high vacuum (10-10 mbar) up to near ambient (5.6 mbar) conditions. CO intercalates at a rate which is comparable to the one observed in absence of defects and reacts via the Boudouard reaction producing additional carbon atoms and CO2. While the former attach to the graphene layer and extend it over areas previously covered by carbide, the CO2 molecules bind to the graphene vacancies forming epoxy-like bonds across them, thus mending the defects. The so-formed complexes give rise to a peak at 533.4 eV which persists upon evacuating the vacuum chamber at room temperature and which we assign to a covalently bonded species containing C and O.

Adsorption of glutamic acid on clean and hydroxylated rutile TiO2(110): an XPS and NEXAFS investigation.

Due to its biocompatibility, TiO2is a relevant material for the study of bio-interfaces. Its electronic and chemical properties are influenced by defects, which mainly consist of oxygen vacancies or adsorbed OH groups and which affect, consequently, also the interaction with biological molecules. Here we report on an x-ray photoemission spectroscopy and near edge adsorption fine structure study of glutamic acid (Glu) adsorption on the rutile TiO2(110) surface, either clean or partially hydroxylated. We show that Glu anchors to the surface through a carboxylate group and that the final adsorption state is influenced by the presence of hydroxyl groups on the surface prior to Glu deposition. Indeed, molecules adsorb both in the anionic and in the zwitterionic form, the former species being favored on the hydroxylated substrate.

Morphological characterization and electronic properties of pristine and oxygen-exposed graphene nanoribbons on Ag(110).

Graphene nanoribbons (GNRs) are at the frontier of research on graphene materials since the 1D quantum confinement of electrons allows for the opening of an energy gap. GNRs of uniform and well-defined size and shape can be grown using the bottom-up approach, i.e. by surface assisted polymerization of aromatic hydrocarbons. Since the electronic properties of the nanostructures depend on their width and on their edge states, by careful choice of the precursor molecule it is possible to design GNRs with tailored properties. A key issue for their application in nanoelectronics is their stability under operative conditions. Here, we characterize pristine and oxygen-exposed 1.0 nm wide GNRs with a well-defined mixed edge-site sequence (two zig-zag and one armchair) synthesized on Ag(110) from 1,6-dibromo-pyrene precursors. The energy gap and the presence of quantum confined states are investigated by scanning tunneling spectroscopy. The effect of oxygen exposure under ultra-high vacuum conditions is inferred from scanning tunneling microscopy images and photoemission spectra. Our results demonstrate that oxygen exposure deeply affects the overall system by interacting both with the nanoribbons and with the substrate; this factor must be considered for supported GNRs under operative conditions.

Entropic Forces and Newton's Gravitation.

Our subject of interest here is entropic forces, as re-interpreted by Verlinde with reference to gravitation, that is, by appealing to Verlinde's conception of an entropic (statistically emergent) gravity advanced in [Physica A 2018, 511, 139]. In a canonical ensemble framework, we will deal with a non relativistic quantum scenario. In it, we perform a non-relativistic Schrödinger treatment (ST) of gravity as an entropic force and are able to detect new kinds of bounded quantum gravitational states, not previously reported. These new bound states would provide us with a novel energy-source, not taken into account as yet. The present entropic force deviates from the Newton's form only at extremely short distances. We propose, by specializing our results to gravitationally interacting bosons, a model for dark matter generation.

Useful Dual Functional of Entropic Information Measures.

There are entropic functionals galore, but not simple objective measures to distinguish between them. We remedy this situation here by appeal to Born's proposal, of almost a hundred years ago, that the square modulus of any wave function | ψ | 2 be regarded as a probability distribution P. the usefulness of using information measures like Shannon's in this pure-state context has been highlighted in [Phys. Lett. A1993, 181, 446]. Here we will apply the notion with the purpose of generating a dual functional [ F α R : { S Q } ⟶ R + ], which maps entropic functionals onto positive real numbers. In such an endeavor, we use as standard ingredients the coherent states of the harmonic oscillator (CHO), which are unique in the sense of possessing minimum uncertainty. This use is greatly facilitated by the fact that the CHO can be given analytic, compact closed form as shown in [Rev. Mex. Fis. E 2019, 65, 191]. Rewarding insights are to be obtained regarding the comparison between several standard entropic measures.

Prevalence of extramedullary hematopoiesis, renal cysts, splenic and hepatic lesions, and vertebral hemangiomas among thalassemic patients: a retrospective study from the Myocardial Iron Overload in Thalassemia (MIOT) network.

We determined the prevalence of incidental extracardiac findings (IEF) at Magnetic Resonance Imaging (MRI) potentially related to anemia and hypoxia in age- and sex-matched populations (N = 318) with thalassemia major (TM) and thalassemia intermedia (TI) enrolled in the Myocardial Iron Overload in Thalassemia network. Overall, IEFs were detected in 33.3% and 25.8% of patients with TI and TM, respectively (P = 0.114). TI and TM patients had elevated but comparable prevalence of renal, splenic and liver cysts, and vertebral hemangiomas while TI patients had a significant higher frequency of extramedullary hematopoiesis (EMH) (15.1% vs 4.4%; P = 0.002). The prevalence of total IEFs increased with advancing age. TI non-transfusion-dependent patients had a significantly lower frequency of renal cysts than TI transfusion-dependent patients (8.8% vs 26.4%; P = 0.005). The prevalence of renal cysts in the thalassemic population was significantly higher than that in the general population (19.2% vs 1.9%; P < 0.0001). Our data on renal cysts indicate a significant higher prevalence of these IEFs compared to the general population, suggesting the role of the inappropriate activation of the hypoxia-inducible factor system linked to the chronic hypoxia. The significant prevalence of IEF in thalassemia patients undergoing MRI for iron quantification should prompt the discussion of the inclusion of IEF in the MRI report.

A Review of the Classical Canonical Ensemble Treatment of Newton's Gravitation.

It is common lore that the canonical gravitational partition function Z associated with the classical Boltzmann-Gibbs (BG) exponential distribution cannot be built up because of mathematical pitfalls. The integral needed for writing up Z diverges. We review here how to avoid this pitfall and obtain a (classical) statistical mechanics of Newton's gravitation. This is done using (1) the analytical extension treatment obtained of Gradshteyn and Rizhik and (2) the well known dimensional regularization technique.

Metabolic acidosis as Food Protein Induced Enterocolitis Syndrome (FPIES) onset in a newborn.

BACKGROUND: FPIES (Food Protein Induced Eneterolitis Syndrome) is a rare non IgE- mediated food allergy, usually affecting infants and children after first months of life. Clinical presentation is heterogeneous, usually characterised by repetitive vomiting and diarrhoea, lethargy, failure to thrive until to dehydration with hypotension and shock. The diagnosis is based on clinical criteria, after excludind other hypothetical conditions. Early recognition of FPIES is essential to set a correct dietatay management that is resolving for the patient. CASE REPORT: We present the case of a 12 days old child who was admitted to the hospital for poor feeding, failure to thrive and severe metabolic acidosis. CONCLUSIONS: The early onset of this case is peculiar and rember us to consider FPIES in differential diagnosis of newborn metabolica acidosis.

Adatom Extraction from Pristine Metal Terraces by Dissociative Oxygen Adsorption: Combined STM and Density Functional Theory Investigation of O/Ag(110).

The reconstruction and modification of metal surfaces upon O_{2} adsorption plays an important role in oxidation processes and in gauging their catalytic activity. Here, we show by employing scanning tunneling microscopy and the ab initio density functional theory that Ag atoms are extracted from pristine (110) terraces upon O_{2} dissociation, resulting in vacancies and in Ag-O complexes. The substrate roughening generates undercoordinated atoms and opens pathways to the Ag subsurface layer. With increasing O coverage, multiple vacancies give rise to remarkable structures. The mechanism is expected to be very general depending on the delicate interplay of energy and entropy, so that it may be active for other materials at different temperatures.

Benchmarking the DFT methodology for assessing antioxidant-related properties: quercetin and edaravone as case studies.

The overall objective was to identify an accurate computational electronic method to virtually screen phenolic compounds through their antioxidant and free-radical scavenging activity. The impact of a key parameter of the density functional theory (DFT) approach was studied. Performances of the 21 most commonly used exchange-correlation functionals are thus detailed in the evaluation of the main energetic parameters related to the activities of two prototype antioxidants, namely quercetin and edaravone, is reported. These functionals have been chosen among those belonging to three different families of hybrid functionals, namely global, range separated, and double hybrids. Other computational parameters have also been considered, such as basis set and solvent effects. The selected parameters, namely bond dissociation enthalpy (BDE), ionization potential (IP), and proton dissociation enthalpy (PDE) allow a mechanistic evaluation of the antioxidant activities of free radical scavengers. Our results show that all the selected functionals provide a coherent picture of these properties, predicting the same order of BDEs and PDEs. However, with respect to the reference values, the errors found at CBS-Q3 level significantly vary with the functional. Although it is difficult to evidence a global trend from the reported data, it clearly appears that LC-ωPBE, M05-2X, and M06-2X are the most suitable approaches for the considered properties, giving the lowest cumulative mean absolute errors. These methods are therefore suggested for an accurate and fast evaluation of energetic parameters related to an antioxidant activity via free radical scavenging.

Morphology of monolayer MgO films on Ag(100): switching from corrugated islands to extended flat terraces.

The ability to engineer nearly perfect ultrathin oxide layers, up to the limit of monolayer thickness, is a key issue for nanotechnological applications. Here we face the difficult and important case of ultrathin MgO films on Ag(100), for which no extended and well-ordered layers could thus far be produced in the monolayer limit. We demonstrate that their final morphology depends not only on the usual growth parameters (crystal temperature, metal flux, and oxygen partial pressure), but also on aftergrowth treatments controlling so far neglected thermodynamics constraints. We thus succeed in tuning the shape of the oxide films from irregular, nanometer-sized, monolayer-thick islands to slightly larger, perfectly squared, bilayer islands, to extended monolayers limited apparently only by substrate steps.

Proton transfer in oxidized adenosine self-aggregates.

The UV-vis and the IR spectra of derivativized adenosine in dichloromethane have been recorded during potentiostatic oxidation at an optically transparent thin layer electrode. Oxidized adenosine shows a broad Zundel like absorption extending from 2800 up to 3600 cm(-1), indicating that a proton transfer process is occurring. Theoretical computations predict that proton transfer is indeed favored in oxidized 1:1 self-association complexes and allow to assign all the observed transient spectroscopic signals.

Accretion disc origin of the Earth's water.

Earth's water is conventionally believed to be delivered by comets or wet asteroids after the Earth formed. However, their elemental and isotopic properties are inconsistent with those of the Earth. It was thus proposed that water was introduced by adsorption onto grains in the accretion disc prior to planetary growth, with bonding energies so high as to be stable under high-temperature conditions. Here, we show both by laboratory experiments and numerical simulations that water adsorbs dissociatively on the olivine {100} surface at the temperature (approx. 500-1500 K) and water pressure (approx. 10⁻8 bar) expected for the accretion disc, leaving an OH adlayer that is stable at least up to 900 K. This may result in the formation of many Earth oceans, provided that a viable mechanism to produce water from hydroxyl exists. This adsorption process must occur in all disc environments around young stars. The inevitable conclusion is that water should be prevalent on terrestrial planets in the habitable zone around other stars.

The effect of step geometry in copper oxidation by hyperthermal O2 molecular beam: Cu(511) vs Cu(410).

Steps are known to be often the active sites for the dissociation of O(2) molecules and the nucleation sites of oxide films since they provide paths for subsurface migration and oxygen incorporation. In order to unravel the effect of their morphology on the oxidation of Cu surfaces, we present here a detailed investigation of the O(2) interaction with Cu(511) and compare it with previous results for Cu(410), a surface exhibiting terraces of similar size and geometry but different step morphology. As for Cu(410) we find, by x-ray photoemission spectroscopy performed with synchrotron radiation, that Cu(2)O formation gradually starts above half a monolayer oxygen coverage and that the ignition of oxidation can be lowered to room temperature by dosing O(2) via a supersonic molecular beam at hyperthermal energy. The oxidation rate for Cu(511) comes out to be lower than for Cu(410) at normal incidence, about the same when the O(2) molecules impinge towards the ascending step rise, but higher when they hit the surface along trajectories even slightly inclined towards the descending step rise. These findings can be rationalized by a collision induced absorption mechanism.

Ethene stabilization on Cu(111) by surface roughness.

The molecular vibrations of ethene adsorbed on roughened Cu(111) surfaces have been investigated with high resolution electron energy loss spectroscopy and density-functional-theory calculations. The roughness was introduced by sputtering or evaporation of copper, respectively, on the cooled surface. We found stabilization of the ethene layer compared to ethene adsorbed on pristine Cu(111). Furthermore, two new vibrational features observed on the rough surface can be assigned to frustrated translations and rotations of the ethene molecule on surface defects and are indicative of a different binding on the rough surface.

Selective production of reactive and nonreactive oxygen atoms on Pd(001) by rotationally aligned oxygen molecules.

Sticking together: The occupation of different sites by oxygen atoms that are produced by the dissociation of O(2) on Pd(100) is determined by the initial rotational alignment of the parent molecules. The atom locations are characterized by different chemical reactivities in the reaction with CO to form CO(2) (see picture), which are followed by synchrotron radiation (SR) experiments with a supersonic molecular beam (SMB).