University of Milano-Bicocca

About: University of Milano-Bicocca is a education organization based out in Milan, Italy. It is known for research contribution in the topics: Population & Blood pressure. The organization has 8972 authors who have published 22322 publications receiving 620484 citations. The organization is also known as: Università degli Studi di Milano-Bicocca & Universita degli Studi di Milano-Bicocca.

Driving pressure and mechanical power: new targets for VILI prevention.

Abstract: Several factors have been recognized as possible triggers of ventilator-induced lung injury (VILI). The first is pressure (thus the ‘barotrauma’), then the volume (hence the ‘volutrauma’), finally the cyclic opening-closing of the lung units (‘atelectrauma’). Less attention has been paid to the respiratory rate and the flow, although both theoretical considerations and experimental evidence attribute them a significant role in the generation of VILI. The initial injury to the lung parenchyma is necessarily mechanical and it could manifest as an unphysiological distortion of the extracellular matrix and/or as micro-fractures in the hyaluronan, likely the most fragile polymer embedded in the matrix. The order of magnitude of the energy required to break a molecular bond between the hyaluronan and the associated protein is 1.12×10 -16 Joules (J), 70–90% higher than the average energy delivered by a single breath of 1L assuming a lung elastance of 10 cmH 2 O/L (0.5 J). With a normal statistical distribution of the bond strength some polymers will be exposed each cycle to an energy large enough to rupture. Both the extracellular matrix distortion and the polymer fractures lead to inflammatory increase of capillary permeability with edema if a pulmonary blood flow is sufficient. The mediation analysis of higher vs. lower tidal volume and PEEP studies suggests that the driving pressure, more than tidal volume, is the best predictor of VILI, as inferred by increased mortality. This is not surprising, as both tidal volume and respiratory system elastance (resulting in driving pressure) may independently contribute to the mortality. For the same elastance driving pressure is a predictor similar to plateau pressure or tidal volume. Driving pressure is one of the components of the mechanical power, which also includes respiratory rate, flow and PEEP. Finding the threshold for mechanical power would greatly simplify assessment and prevention of VILI.

Measurement of the inelastic proton-proton cross section at √s=13 TeV

Abstract: A measurement of the inelastic proton-proton cross section with the CMS detector at a center-of-mass energy of $ \sqrt{s}=13 $ TeV is presented. The analysis is based on events with energy deposits in the forward calorimeters, which cover pseudorapidities of −6.6 4.1 GeV and/or M$_{Y}$ > 13 GeV, where M$_{X}$ and M$_{Y}$ are the masses of the diffractive dissociation systems at negative and positive pseudorapidities, respectively. The results are compared with those from other experiments as well as to predictions from high-energy hadron-hadron interaction models.

The release process of microfibers: from surgical face masks into the marine environment

Abstract: Due to the Covid-19 pandemic, the use of disposable face masks has been adopted worldwide as a precautionary measure to slow down the transmission of the virus. This has determined an unprecedented rise in the production of these protective equipments, and unfortunately to a new form of environmental contamination due to the improper disposal. To provide a preliminary estimation of the release of microfibers by a surgical mask dumped in the marine environment, we carried out artificial weathering experiments. Results indicated that a single surgical mask submitted to 180 hours UV-light irradiation and vigorous stirring in artificial seawater may release up to 173,000 fibers/ day. Moreover, SEM and micro-FTIR analysis carried out onto surgical masks collected from Italian beaches highlighted the same morphological and chemical degradation signature observed in the masks subjected to the artificially weathering experiments, confirming the risks of a similar microfiber release into the marine environment.