Hemophagocytic Lymphohistiocytosis and Miliary Tuberculosis in an Apparently Immunocompetent Patient: A Case Report.

Hemophagocytic lymphohistiocytosis (HLH) is a serious haematologic condition that can be related to various diseases, including tuberculosis (TB). The patient is a previously healthy 26-year-old man, originally from western Africa, admitted to hospital for fever and weight loss. Given the results of a computed tomography (CT) scan, ocular examination and microbiologic tests, miliary TB with pulmonary, lymph nodal and ocular involvement was diagnosed.

Computational Analysis of Mapping Catheter Geometry and Contact Quality Effects on Rotor Detection in Atrial Fibrillation.

Atrial fibrillation (AF) is the most common cardiac arrhythmia and catheter mapping has been proved to be an effective approach for detecting AF drivers to be targeted by ablation. Among drivers, the so-called rotors have gained the most attention: their identification and spatial location could help to understand which patient-specific mechanisms are acting, and thus to guide the ablation execution. Since rotor detection by multi-electrode catheters may be influenced by several structural parameters including inter-electrode spacing, catheter coverage, and endocardium-catheter distance, in this study we proposed a tool for testing the ability of different catheter shapes to detect rotors in different conditions.

Effect of High-Titer Convalescent Plasma on Progression to Severe Respiratory Failure or Death in Hospitalized Patients With COVID-19 Pneumonia: A Randomized Clinical Trial.

Importance: Convalescent plasma (CP) has been generally unsuccessful in preventing worsening of respiratory failure or death in hospitalized patients with COVID-19 pneumonia.

Objective: To evaluate the efficacy of CP plus standard therapy (ST) vs ST alone in preventing worsening respiratory failure or death in patients with COVID-19 pneumonia.

Design, Setting, And Participants: This prospective, open-label, randomized clinical trial enrolled (1:1 ratio) hospitalized patients with COVID-19 pneumonia to receive CP plus ST or ST alone between July 15 and December 8, 2020, at 27 clinical sites in Italy.

A fully automated left atrium segmentation approach from late gadolinium enhanced magnetic resonance imaging based on a convolutional neural network.

Background: Several studies suggest that the evaluation of left atrial (LA) fibrosis is a relevant information for the assessment of the appropriate strategy in catheter ablation in atrial fibrillation (AF). Late gadolinium enhanced (LGE) cardiac magnetic resonance imaging (MRI) is a non-invasive technique, which might be employed for the non-invasive quantification of LA myocardial fibrotic tissue in patients with AF. Nowadays, the analysis of LGE MRI relies on manual tracing of LA boundaries and this procedure is time-consuming and prone to high inter-observer variability given the different degrees of observers' experience, LA wall thickness and data resolution.

Dynamics of Clostridium genus and hard-cheese spoiling Clostridium species in anaerobic digesters treating agricultural biomass.

Biogas plants are a widespread renewable energy technology. However, the use of digestate for agronomic purposes has often been a matter of concern. It is controversial whether biogas plants might harbor some pathogenic clostridial species, which represent a biological risk.

Methodological approach for trace elements supplementation in anaerobic digestion: Experience from full-scale agricultural biogas plants.

Trace metals play a very important role on the performance and stability of agricultural biogas digesters. The purpose of this study was to develop a methodological approach to quickly detect limiting conditions due to Trace Elements (TE) concentration in full-scale biogas plants. The work was based on long-term process monitoring in two full-scale agricultural biogas plants and on the correlation between their performance and TE concentration in the digesters.

Monitoring of full-scale hydrodynamic cavitation pretreatment in agricultural biogas plant.

The implementation of hydrodynamic cavitation (HC) pretreatment for enhancing the methane potential from agricultural biomasses was evaluated in a full scale agricultural biogas plant, with molasses and corn meal as a supplementary energy source. HC batch tests were run to investigate the influence on methane production, particle size and viscosity of specific energy input. 470kJ/kgTS was chosen for the full-scale implementation.

Anaerobic Digestion of Cattle Manure Influenced by Swirling Jet Induced Hydrodynamic Cavitation.

In this work, a modified swirling jet-induced cavitation has been employed for increasing anaerobic digestion efficiency of cattle manure. The hydrodynamic cavitation (HC) treatment improved the organic matter solubilization and the anaerobic biodegradability of cattle manure. The degree of disintegration increased by 5.

3D patient-specific models for left atrium characterization to support ablation in atrial fibrillation patients.

Background: Radiofrequency ablation (RFA) is an important and promising therapy for atrial fibrillation (AF) patients. Optimization of patient selection and the availability of an accurate anatomical guide could improve RFA success rate. In this study we propose a unified, fully automated approach to build a 3D patient-specific left atrium (LA) model including pulmonary veins (PVs) in order to provide an accurate anatomical guide during RFA and without PVs in order to characterize LA volumetry and support patient selection for AF ablation.