G. Di Bella

MALNUTRITION IN ELDERLY: SOCIAL AND ECONOMIC DETERMINANTS

Malnutrition occurs frequently in the frailest groups of the population, especially in people who are on a low income and elderly subjects, overall if they are institutionalized. The aim of this study was to assess the prevalence of malnutrition in a sample of elderly people living in different settings and to identify the determinants of malnutrition.MethodsA total of 718 subjects, 472 females (F) and 246 males (M), were recruited from nursing homes or were free living in three different regions in Italy. Nutritional status, depression, social, functional and cognitive status, were evaluated.ResultsAccording to the Mini Nutritional Assessment (MNA), a high prevalence of malnutrition was found out in both genders: 26% of F and 16.3% of M were classified as being malnourished (MNA<17); 40.9% of F and 35% of M were at risk of malnutrition (MNA 17–23,5). The prevalence of malnutrition was significantly higher in NH subjects in both sexes. Moreover, a relationship was shown between malnutrition and inability to shop, prepare and cook meals because of a low income, distance from markets or supermarkets as well as impossibility to drive the car or to use public transportation. This study confirms the necessity to routinely perform nutritional status evaluation in elderly subjects, to carry out training courses for health workers (doctors, nurses, psychologists, dietitians), to implement nutritional education of the geriatric population, to develop tools and guidelines for health workers and caregivers, to identify and reduce clinical, functional, social or economic risk factors for malnutrition.

Pilot scale experiment with MBR operated in intermittent aeration condition: Analysis of biological performance

The effect of intermittent aeration (IA) on a MBR system was investigated. The study was aimed at analyzing different working conditions and the influence of different IA cycles on the biological performance of the MBR pilot plant, in terms of organic carbon and ammonium removal as well as extracellular polymeric substances (EPSs) production. The membrane modules were placed in a separate compartment, continuously aerated. This configuration allowed to disconnect from the filtration stage the biological phenomena occurring into the IA bioreactor. The observed results highlighted good efficiencies, in terms of organic carbon and ammonium removal. It was noticed a significant soluble microbial products (SMPs) release, likely related to the higher metabolic stress that anoxic conditions exerted on the biomass. However, the proposed configuration, with the membranes in a separate compartment, allowed to reduce the EPSs in the membrane tank even during the non-aerated phase, thus lowering fouling development.

Interleukin‐15, as Interferon‐gamma, Induces the Killing of Leishmania infantum in Phorbol‐Myristate‐Acetate‐Activated Macrophages Increasing Interleukin‐12

The potential leishmanicidal activity of interleukin‐15 (IL‐15) was examined while priming with the cytokine phorbol‐myristate‐acetate (PMA)‐activated macrophages and infecting them with Leishmania infantum parasites. The activation of macrophage cultures with IL‐15 determined a significant anti‐leishmanial activity, comparable with that induced by interferon‐gamma (IFN‐γ). The killing of Leishmania in macrophages primed with IL‐15, as well as with IFN‐γ, was followed by an increase in the IL‐12 synthesis. The neutralization of IL‐15 or IFN‐γ, by specific monoclonal antibodies (MoAb) caused a significant reduction in leishmanicidal activity. Furthermore, in PMA‐activated macrophages, the neutralization of IL‐12 production by a specific anti‐IL‐12 MoAb reduced leishmanicidal activity induced by IL‐15 and IFN‐γ. Data indicate that IL‐15 could have a role as an activator of leishmanicidal activity, directly or indirectly, by inducing IL‐12 production.

IL-15 in human visceral leishmaniasis caused by Leishmania infantum

Interleukin (IL)‐15 is a recently discovered cytokine with the ability to stimulate the proliferation activity of Th1 and/or Th2 lymphocytes. Here, we investigated the involvement of IL‐15 in the immune response to Leishmania infantum infection by studying patients with visceral leishmaniasis (VL). We found that IL‐15 is produced by leishmanial antigen (LAg)‐stimulated peripheral blood mononuclear cells (PBMC) from active VL patients at a significantly higher level than those produced by cells from healed VL subjects or healthy controls. A significant increase in IL‐15 serum blood levels was also observed in acute VL patients compared with healed ones. Furthermore, recombinant IL‐15 had an appreciable effect in vitro in reducing IL‐4 and increasing the production of IL‐12 in response to LAg, but it was ineffective in altering the production of interferon‐γ (IFN‐γ). The production of endogenous IL‐15 in acute VL patients appeared to be insufficient to activate both IFN‐γ and IL‐12, as attested by the absence of modification of these two cytokines by neutralization experiments in the presence of anti‐IL‐15 monoclonal antibodies (MoAB). On the contrary, the neutralization of IL‐15 increased IL‐4 production. Together, these results indicate that endogenous IL‐15 plays a role in the suppression of Th2‐type cytokines, even though it does not enhance the production of Th1 cytokines in acute VL patients. Since IL‐15, in the presence of anti‐IL‐4 MoAb, caused a further increase in IL‐12 production and led to a significant production of IFN‐γ, one of its indirect effects on Th1 cell activation could be due to the latter’s effect on Th2 cytokines such as IL‐4. Therefore, our observations indicate that there is a potential for IL‐15 to augment the T‐cell response to human intracellular pathogens.

Modulation of Nitric Oxide Production by Tetracyclines and Chemically Modified Tetracyclines

Chemically modified tetracyclines (CMTs) dose-dependently decreased inducible nitric oxide synthase (iNOS) and, consequently, nitric oxide (NO) formation by the lipopolysaccharide (LPS)-stimulated J774 line. The inhibitory effect was due to a specific reduction in the iNOS protein content in the cells, as attested by Western blot analysis and by the inhibition of iNOS mRNA accumulation. Furthermore, CMTs cause a dose-dependent increase in cell death in the J774 line mediated by the NO-independent apoptotic mechanism.

Study of aerobic granular sludge stability in a continuous-flow membrane bioreactor.

A granular continuous-flow membrane bioreactor with a novel hydrodynamic configuration was developed to evaluate the stability of aerobic granular sludge (AGS). Under continuous-flow operation (Period I), AGS rapidly lost their structural integrity resulting in loose and fluffy microbial aggregates in which filamentous bacteria were dominant. The intermittent feeding (Period II) allowed obtaining the succession of feast and famine conditions that favored the increase in AGS stability. Although no further breakage occurred, the formation of new granules was very limited, owing to the absence of the hydraulic selection pressure. These results noted the necessity to ensure, on the one hand the succession of feast/famine conditions, and on the other, the hydraulic selection pressure that allows flocculent sludge washout. This preliminary study shows that the proposed configuration could meet the first aspect; in contrast, biomass selection needs to be improved.

Effect of UD Carbon on the Specific Mechanical Properties of Glass Mat Composites for Marine Applications

In this work the influence of a uniaxial carbon fabric layer on the mechanical performances of a glass mat/epoxy composite used for marine applications has been studied. All the structures have been made, at room temperature, by vacuum bagging technique. Tension and flexural tests have been carried out in order to evaluate the specific mechanical properties of the composite and to compare these with those of the marine aluminium alloy 6016-T4. The glass composites have higher specific strength but lower specific modulus than aluminium alloy. To increase the specific modulus of the composites, each layer of glass mat has been replaced with a layer of uniaxial carbon fabric. In addition, a simplified numerical model has been proposed to understand better the relevant dependence of the specific mechanical properties from the position and the orientation of the fibers. The comparison of the predicted numerical results with experiments has shown the accuracy of this model.

Start-up of two moving bed membrane bioreactors treating saline wastewater contaminated by hydrocarbons

This work aims to assess the acclimation of microorganisms to a gradual increase of salinity and hydrocarbons, during the start-up of two moving bed membrane bioreactors (MB-MBRs) fed with saline oily wastewater. In both systems an ultrafiltration membrane was used and two types of carriers were employed: polyurethane sponge cubes (MB-MBRI) and polyethylene cylindrical carriers (MB-MBRII). A decreasing dilution factor of slops has been adopted in order to allow biomass acclimation. The simultaneous effect of salinity and hydrocarbons played an inhibitory role in biomass growth and this resulted in a decrease of the biological removal efficiencies. A reduction of bound extracellular polymeric substances and a simultaneous release of soluble microbial products (SMPs) were observed, particularly in the MB-MBRII system, probably due to the occurrence of a greater suspended biomass stress as response to the recalcitrance of substrate. On the one hand, a clear attachment of biomass occurred only in MB-MBRI and this affected the fouling deposition on the membrane surface. The processes of detachment and entrapment of biomass, from and into the carriers, significantly influenced the superficial cake deposition and its reversibility. On the other hand, in MB-MBRII, the higher production of SMPs implied a predominance of the pore blocking.

Study of new joining technique: flat clinching

In this paper a development of clinching, called flat clinching, is presented. After a press clinching process, the joined sheets have been deformed by a punch with a lower diameter against a flat die. In this way a new configuration is created with a geometry that has no discontinuity on the external surface (bottom). A new procedure has also been tested: the second step is perfomed by pressing the joint between two flat dies. This second case has revealed itself to be very effective.Tensile tests have been done to compare the joints strength among the various joining techniques. Moreover some joints have been cut to analyse the changing of the contact line shape and how its characteristics parameters can influence the bonding performances. To optimise the process a finite element analysis has been performed.

Respirometry for the Characterization of Heterotrophic Biomass Activity: Application to a MBR Pilot Plant Operated with Two Different Start-Up Strategies

AbstractA membrane bioreactor (MBR) pilot plant was operated in two subsequent experimental periods (namely, Periods I and II) with different start-up and sludge withdrawal strategies to study its peculiar biokinetic behavior by using respirometric techniques. Two extreme operational conditions were chosen to investigate the different biomass activity under dynamic or pseudostationary conditions during and after the start-up phases. Particularly, the MBR pilot plant was operated with the same volumetric loading rate (VLR) and permeate flux but differently managed during the start-up phase. In Period I, the MBR pilot plant was started up without sludge inoculum and operated without sludge withdrawals; on the contrary, in Period II the MBR pilot plant was started up with sludge inoculum and operated with regular sludge withdrawals. The obtained results highlighted that the different start-up strategies significantly affected the value of the yield coefficient, the storage phenomena, the decay coefficient, a...