The Interference of Negative Symptoms of Schizophrenia on Cognitive Domains: a Long-Term Observational Study on the Role of Clozapine.

The negative symptoms of schizophrenia are responsible for patients' worse quality of life. The association with cognitive deficits impairs clinical and psychopathological conditions. Our small 5-year observational study evaluated the efficacy of clozapine in negative and cognitive symptoms in schizophrenia inpatients. The overall results showed a significant improvement in the mean total scores of the BNSS and PANSS (at baseline (T0) vs five years (T3)). The improvement was also in some negative subscales (PANSS Negative Factor subscale) but not in others and the Epitrack tool. The overall results showed that clozapine is a useful therapeutic tool that does not affect the cognitive decline of these patients.

Hope in Psychiatric Patients: An Observational Study in a Psychiatric Rehabilitation Centre.

INTRODUCTION: The COVID-19 pandemic has led to the re-evaluation of some fundamental aspects for the management of emotions and psychological dynamics. Hope and its lack are important factors that have been especially evaluated in caregivers and HCWs. Instead, our study aimed to explore hopelessness among psychiatric rehabilitation center residents with Primary Psychosis. METHODS: We recruited 116 inpatients affected by Primary Psychosis (schizophrenia, bipolar disorder, major depression disorder and personality disorder). Hopelessness was sought through the BHS, during the covid-19 pandemic period. They were compared with data from previous studies on HCWs (HealthCare Workers), in the same period, and in the same centre. RESULTS: The results obtained in this group of patients showed high total scores on the BHS scale (mean total score: 7.28±SD 3.73). These data are significantly higher than those found in HWs in the same pandemic period (mean total score: 3.74±SD 3.62). Among the different disorders the borderline personality disorder patients have presented the highest score (mean total score: 8.00±SD 3.50). CONCLUSION: Understanding resident - and HCWs- level variations in hopelessness may be important for targeting interventions to improve the outcome of residential psychiatric patients.

Greater accuracy of radiomics compared to deep learning to discriminate normal subjects from patients with dementia: a whole brain 18FDG PET analysis.

METHODS: 18F-FDG brain PET and clinical score were collected in 85 patients with dementia and 125 healthy controls (HC). Patients were assigned to various form of dementia on the basis of clinical evaluation, follow-up and voxels comparison with HC using a two-sample Student's t -test, to determine the regions of brain involved. Radiomic analysis was performed on the whole brain after normalization to an optimized template. After feature selection using the minimum redundancy maximum relevance method and Pearson's correlation coefficients, a Neural Network model was tested to find the accuracy to classify HC and demented patients. Twenty subjects not included in the training were used to test the models. The results were compared with those obtained by conventional CNN model. RESULTS: Four radiomic features were selected. The validation and test accuracies were 100% for both models, but the probability scores were higher with radiomics, in particular for HC group ( P  = 0.0004). CONCLUSION: Radiomic features extracted from standardized PET whole brain images seem to be more accurate than CNN to distinguish patients with and without dementia.

Toughness Evolution of Flax-Fiber-Reinforced Composites under Repeated Salt Fog-Dry Aging Cycles.

This research examined the response of flax-fiber-reinforced composites (FFRCs) to simulated outdoor conditions involving repeated exposure to salt fog and drying. The study investigated the effect of cycles on the toughness of the FFRCs. To achieve this, the composites were exposed to humidity (salt fog) for 10 days, followed by 18 days of drying in cycles. A total of up to 3 cycles, each lasting 4 weeks, were conducted over a 12-week period. Throughout this process, changes in the material's weight, water absorption, and mechanical properties were monitored by water uptake and three-point bending tests. The findings revealed the significant impact of these humid-dry cycles on the mechanical response of the FFRCs. When exposed to humid environments without drying, the composite's toughness increased significantly, due to a weakening effect more pronounced for stiffness, with strength reductions of about 20%. However, subsequent drying partially restored the material's performance. After 18 days of drying, the composite regained most of its initial performance.

Flax-Glass Fiber Reinforced Hybrid Composites Exposed to a Salt-Fog/Dry Cycle: A Simplified Approach to Predict Their Performance Recovery.

Despite natural fibers gaining significant attention in recent decades, their limited performance and poor durability under humid environments cannot allow them to fully replace their synthetic counterparts as reinforcement for structural composites. In such a context, this paper aims to investigate how exposure to a humid/dry cycle affects the mechanical response of epoxy laminates reinforced with flax and glass fibers. In particular, the main goal is to assess the performance evolution of a glass-flax hybridized stacking sequence in comparison with the full glass and flax fiber reinforced composites. To this end, the investigated composites were first exposed to salt-fog for 15 or 30 days and then to dry conditions (i.e., 50% R.H. and 23 °C) for up to 21 days. The presence of glass fibers in the stacking sequence significantly stabilizes the mechanical performance of composites during the humid/dry cycle. Indeed, hybridization of inner flax laminae with outer glass ones, acting as a protective shield, hinders the composite degradation due to the humid phase also promoting performance recovery during the dry phase. Hence, this work showed that a tailored hybridization of natural fibers with glass fibers represents a suitable approach to extend the service-life of natural fiber reinforced composites exposed to discontinuous humid conditions, thus allowing their employment in practical indoor and outdoor applications. Finally, a simplified theoretical pseudo-second-order model that aimed to forecast the performance recovery shown by composites was proposed and experimentally validated, highlighting good agreement with the experimental data.

Sorption Capacity of Polydimethylsiloxane Foams Filled with Thermal-Treated Bentonite-Polydimethylsiloxane Composite Foams for Oil Spill Remediation.

The spillage of oil causes severe and long-lasting impacts on both the environment and human life. It is crucial to carefully reconsider the methods and techniques currently employed to recover spilled oil in order to prevent any possible secondary pollution and save time. Therefore, the techniques used to recover spilled oil should be readily available, highly responsive, cost-effective, environmentally safe, and, last but not least, they should have a high sorption capacity. The use of sorbents obtained from natural materials is considered a suitable approach for dealing with oil spills because of their exceptional physical characteristics that support sustainable environmental protection strategies. This article presents a novel sorbent material, which is a composite siloxane foam filled with bentonite clay, aimed at enhancing the hydrophobic and oleophilic behavior of the material. The thermal treatment of bentonite optimizes its sorption capacity by eliminating water, and increasing the surface area, and, consequently, its interaction with oils. In particular, the maximum sorption capacity is observed in kerosene and naphtha for the bentonite clay thermally treated at 600 °C, showing an uptake at saturation of 496.8% and 520.1%, respectively. Additionally, the reusability of the composite foam is evaluated by squeezing it after reaching its saturation point to determine its sorption capacity and reusability.

Sulfonated-Recycled-PEEK as Matrix of Water Vapor Adsorbent SAPO-34 Based Composite Coatings for Adsorption Heat Pumps: Mechanical and Thermochemical Characterization.

In this work, a composite adsorbent coating constituted by high SAPO 34 content and a sulfonated recycled poly (ether ether ketone) was investigated for adsorption heat pump technology. Specifically, the effect of polymer recycling on mechanical and thermal properties, as well as on water vapor adsorption and desorption performance, has been investigated. The degree of sulfonation obtained after 48 h of reaction remained approximately unaltered. The degradation of the polymer due to recycling anticipates the degradation of the C-C bonds of the polymer by about 20 °C without affecting the temperature at which the sulfonic groups degrade. From the mechanical point of view, the coating containing 90% zeolite, due to the use of recycled PEEK, evidenced a worsening of only 11.8% in scratch resistance compared to the virgin one, whereas the adhesive strength exhibited an increase of about 23.2% due to better miscibility of the sulfonated recycled polymer. Adsorption/desorption isobars show an almost similar adsorption capacity of the coating produced with recycled polymer compared to the virgin one, confirming that the water vapor diffusion is not hindered by the polymer matrix during the adsorption/desorption process.

Anticorrosion Superhydrophobic Surfaces on AA6082 Aluminum Alloy by HF/HCl Texturing and Self-Assembling of Silane Monolayer.

In this paper, the tailoring of superhydrophobic surfaces on AA6082 aluminum alloy by chemical etching in an HF/HCl solution, followed by silane self-assembling, was applied for enhanced corrosion protection in the marine field. In particular, different etching times were considered in order to optimize the treatment effect. The results indicate that all the prepared surfaces, after silanization, were characterized by superhydrophobic behavior with a contact angle higher than 150°. The contact and sliding angles strongly depend on the surface morphology at varying etching times. The optimum was observed with an etching time of 20 s, where a microscale coral-like structure coupled with a homogeneous and ordered pixel-like nanostructure was obtained on the aluminum surface showing a Cassie-Baxter superhydrophobic behavior with a water contact angle of 180° and a sliding angle equal to 0°. All superhydrophobic surfaces achieved an enhanced corrosion protection efficiency and impedance modulus up to two orders of magnitude higher than the as-received AA6082 in simulated seawater.

Flame-Retardant Performance Evaluation of Functional Coatings Filled with Mg(OH)2 and Al(OH)3.

In the shipbuilding sector (cruises, ferries, etc.), the design and control constraints applied to improve the fire safety conditions of naval vessels are acquiring important relevance. Research activities have aimed at enhancing the fire resistance of structures and surface coatings to make ships' working environments safer, trying to combine performance, durability and low costs. In this context, the aim of this paper is to develop and optimize flame-retardant coatings for naval applications. In particular, in an acrylic carrier, Mg(OH)2 and Al(OH)3 fillers were added to exalt the fire resistance capabilities of the coatings. Furthermore, the effect of the particle size of the hydroxides on the coatings' fire resistance was investigated. The coatings were studied by structural (XRD), thermo-physical (TG) and morphological (SEM) characterization to evaluate their thermal stability and the damage level due to fire exposition. Specifically, fire reaction tests were applied at different fire exposure times (15 s, 30 s) to estimate the fire resistance of the proposed coatings compared to the commercial reference. The results show that the coatings based on aluminum and magnesium hydroxides exhibit favorable fire resistance. Particularly, effective performances were observed for short times of exposure to direct flames. Furthermore, the temperature monitoring of the steel alloy support during the test allowed us to evaluate the degree of insulation of the coating, highlighting a better result for the specimen filled with Mg(OH)2, making this product promising for its optimization in this context.

Effect of Glass Fiber Hybridization on the Durability in Salt-Fog Environment of Pinned Flax Composites.

The aim of the present paper is to evaluate the effect of the hybridization with external layers of glass fibers on the durability of flax fiber reinforced composites in severe aging conditions. To this scope, full glass, full flax and hybrid glass-flax pinned laminates were exposed to a salt-fog environment for up to 60 days. Double-lap pinned joint tests were performed to assess the pin-hole joints performances at varying the laminate stacking sequence. In order to better discriminate the relationship between the mechanical behavior and the fracture mechanisms of joints at increasing the aging time, different geometries (i.e., by varying both the hole diameter D and the free edge distance from the center of the hole E) were investigated after 0 (i.e., unaged samples), 30 and 60 days of salt-fog exposition. It was shown that the hybridization positively affects the mechanical performance as well as the stability of pinned composites: i.e., improvements in both strength and durability against the salt-fog environment were evidenced. Indeed, the hybrid laminate exhibited a reduction in the bearing strength of about 20% after 60 days of aging, despite to full flax laminate, for which a total reduction in the bearing strength of 29% was observed. Finally, a simplified joint failure map was assessed, which clusters the main failure mechanisms observed for pinned composites at varying aging conditions, thus assisting the joining design of flax-glass hybrid laminates.

Effect of Chemical Surface Texturing on the Superhydrophobic Behavior of Micro-Nano-Roughened AA6082 Surfaces.

Superhydrophobic surfaces on 6082 aluminum alloy substrates are tailored by low-cost chemical surface treatments coupled to a fluorine-free alkyl-silane coating deposition. In particular, three different surface treatments are investigated: boiling water, HF/HCl, and HNO3/HCl etching. The results show that the micro-nano structure and the wetting behavior are greatly influenced by the applied surface texturing treatment. After silanization, all the textured surfaces exhibit a superhydrophobic behavior. The highest water contact angle (WCA, ≈180°) is obtained by HF/HCl etching. Interestingly, the water sliding angle (WSA) is affected by the anisotropic surface characteristics. Indeed, for the HF/HCl and the HNO3/HCl samples, the WSA in the longitudinal direction is lower than the transversal one, which slightly affects the self-cleaning capacity. The results point out that the superhydrophobic behavior of the aluminum alloys surface can be easily tailored by performing a two-step procedure: (i) roughening treatment and (ii) surface chemical silanization. Considering these promising results, the aim of further studies will be to improve the knowledge and optimize the process parameters in order to tailor a superhydrophobic surface with an effective performance in terms of stability and durability.

Dynamic Mechanical Behavior Analysis of Flax/Jute Fiber-Reinforced Composites under Salt-Fog Spray Environment.

Over the last decades, natural fiber-reinforced polymer composites (NFRPs) gained great attention in several engineering fields thanks to the reduction of the environmental impact and the end-of-life cost disposal. Unfortunately, the use of NFRPs is limited, mainly due to their weak resistance against humid environments. Since limited literature is available about the evolution of the dynamic mechanical response of NFRPs under aggressive environments, this paper aims to investigate the damping properties of flax, jute and flax/jute epoxy composites exposed to salt-fog up to 60 days. Furthermore, sodium bicarbonate fiber treatment was performed to improve the composites' durability. The effectiveness of treatment was evidenced for full flax-reinforced composites, whereas no beneficial effect was found for jute composites. Moreover, treated hybrid laminates having outer laminae reinforced with flax showed better damping behavior than their hybrid counterparts during the whole aging campaign.

Thermo-Physical Characterization of Carbon Nanotube Composite Foam for Oil Recovery Applications.

To meet the increasing demands for effective cleanup technologies to deal with the oil spill accidents that significantly affect the ecological and environmental systems, promising composite materials based on carbon nanotubes containing silicone foams were investigated. Pump oil, kerosene, and virgin naphtha had been used to assess, during sorption tests, foams behavior. Test results highlighted the advantage of the hydrophobic and oleophilic behavior of carbon nanotubes, and their high mechanical strength for oil spill recovery application was studied. In order to better relate the property-structure relationship for this class of materials, the role and influence of functionalized nanotubes on thermo-physical and morphological characteristics of the foams had been evaluated. The results showed how the pristine nanotubes fillers, despite functionalized ones, led to optimal composite foam performances with high hydrophobic (62 mg g-1) and oleophilic (6830 mg g-1 in kerosene oil) characteristics. The evidenced high oil selectivity was a relevant key point in order to consider the suitable material for oil spill recovery applications. Eventually, the proposed configuration exhibited the best thermo-physical performances and high reusability, leading to the optimal cost-benefits option.

Effect of the Compositions on the Biocompatibility of New Alumina-Zirconia-Titania Dental Ceramic Composites.

Dental implant biomaterials are expected to be in contact with living tissues, therefore their toxicity and osseointegration ability must be carefully assessed. In the current study, the wettability, cytotoxicity, and genotoxicity of different alumina-zirconia-titania composites were evaluated. The surface wettability determines the biological event cascade in the bioceramic/human living tissues interface. The measured water contact angle indicated that the wettability strongly depends on the ceramic composition. Notwithstanding the contact angle variability, the ceramic surfaces are hydrophilic. The cytotoxicity of human gingival fibroblast cells with materials, evaluated by an (3-(4,5 methylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) test, revealed an absence of any cytotoxic effect. A relationship was found between the cell viability and the wettability. It was subsequently deduced that the cell viability increases when the wettability increases. This effect is more pronounced when the titania content is higher. Finally, a comet test was applied as complementary biocompatibility test to detect any changes in fibroblast cell DNA. The results showed that the DNA damage is intimately related to the TiO2 content. Genotoxicity was mainly attributed to ceramic composites containing 10 wt.% TiO2. Our research revealed that the newly developed high performance alumina-zirconia-titania ceramic composites contain less than 10 wt.% TiO2, and display promising surface properties, making them suitable for dental implantology applications.

Effect of Stacking Sequence and Sodium Bicarbonate Treatment on Quasi-Static and Dynamic Mechanical Properties of Flax/Jute Epoxy-Based Composites.

The present paper deals with the investigation of quasi-static and dynamic mechanical response of epoxy-based composites reinforced with flax and/or jute plain weave fabrics. In order to evaluate the influence of the stacking sequence, two monolithic laminates reinforced with flax or jute fibers and two hybrid flax/jute laminates were manufactured through the vacuum infusion technique. Furthermore, an eco-friendly and cost-effective surface treatment based on fiber soaking in a sodium bicarbonate solution was employed to improve the fiber-matrix adhesion. The mechanical characterization (by means of quasi-static flexural, dynamic mechanical thermal analysis and Charpy impact tests) allowed to evidence that the sodium bicarbonate treatment leads to noticeable improvement of the mechanical performances of flax reinforced composites, whereas jute composites experience a slight decrease of their mechanical properties. Overall, the hybridization allows to achieve intermediate mechanical properties among those of monolithic composites. Furthermore, the coupled action of hybridization and surface treatment does not lead to a beneficial and reliable effect on the mechanical response of the resulting composites.

Pinned Hybrid Glass-Flax Composite Laminates Aged in Salt-Fog Environment: Mechanical Durability.

The aim of the present paper is to study the mechanical performance evolution of pinned hybrid glass-flax composite laminates under environment aging conditions. Hybrid glass-flax fibers/epoxy pinned laminates were exposed to salt-spray fog environmental conditions up to 60 days. With the purpose of assessing the relationship between mechanical performances and failure mechanisms at increasing aging time, single lap joints at varying joint geometry (i.e., hole diameter D and hole distance E from free edge) were characterized after 0 days (i.e., unaged samples), 30 days, and 60 days of salt-fog exposition. Based on this approach, the property-structure relationship of the composite laminates was assessed on these critical environmental conditions. In particular, a reduction of failure strength for long-aging-time-aged samples was observed in the range 20-30% compared to unaged one. Due to the natural fiber degradation in a salt-fog environment, premature catastrophic fractures mode due to shear-out and net-tension were found, related to reduced joint fracture strength. This behavior identifies that this type of joint requires a careful design in order to guarantee an effective mechanical stability of the composite hybrid joint under long-term operating conditions in an aggressive environment.

Silica-Supported Ionic Liquids for Heat-Powered Sorption Desalination.

This work investigates the application of novel sorption materials to heat-powered desalination systems. Two ionic liquids 1-ethyl-3-methylimidazolium acetate (Emim-Ac) and 1-ethyl-3-methylimidazolium methanesulfonate (Emim-Oms) were impregnated in two silica supports, namely, Syloid AL-1FP and Syloid 72FP. Emim-Ac and Emim-Oms composite sorbents have been compared on morphology, water vapor sorption equilibrium, and heat of sorption. Fourier-transform infrared spectroscopy shows that the ionic liquid partly self-organizes on the silica surface. When used in a sorption desalination process powered by low grade heat at 60 °C, these composites have exceptionally high theoretical working capacities ranging from 1 to 1.7 gwater gsorbent-1. Experimental tests on a lab scale desalinator show that Emim-Ac/Syloid 72FP in real operating conditions can produce 25 kgwater kgsorbent-1 day-1. To date, this yield is 2.5 times higher than the best achieved with silica gel.

Anticorrosion Behavior of Zeolite Coatings Obtained by In Situ Crystallization: A Critical Review.

Zeolites are crystalline nanoporous aluminosilicates. Thanks to their intrinsically nanoporous structure they are widely used as molecular sieves, for exchanging ions, or, also thanks to the high surface area of these structures, for catalytic applications. Furthermore, thanks to their thermal and chemical stability, in recent years zeolite coatings have been evaluated for application as anti-corrosion coatings. The non-toxicity of this class of coatings makes it possible that they will be an environmentally friendly alternative to conventional chromate-based coatings. This article provides a brief review of the anti-corrosion performance of zeolite coatings, applied by direct synthesis technique to several metals and alloys, as discussed in the literature. After a short description of the microstructure and properties of zeolites, the discussion addresses the research activities related to this topic, as reported in the literature. Comparative analysis of literature results supported the dry-gel conversion method as a promising approach that combines a simplified synthesis procedure with anti-corrosion coating performance. Based on these considerations, an evaluation of future trends is discussed along with the final remarks.

Evaluation of the Clinical Impact of ISO 4049 in Comparison with Miniflexural Test on Mechanical Performances of Resin Based Composite.

The aim of this study was to evaluate the effect of different specimens dimensions on the mechanical properties of a commercial microfilled resin composite by using a modified ISO 4049 standard protocol, that generally provides specimen dimensions of 25 mm length × 2 mm width × 2 mm height; these standard dimensions are not clinically realistic considering the teeth diameter and length average. Furthermore, the overlapping irradiations required lead to specimens that are not homogeneous with the presence of some flaws due to packaging steps. For this reason, a miniflexural test was employed in this work both to simulate clinically realistic dimensions and to concentrate fewer defects. The flexural tests were performed at varying span length, in the range between 18.5 mm as stated by the ISO 4049 flexural test (IFT) and 10.5 mm according to the miniflexural test (MFT), at the increasing of layers with a 1 mm buildup multilayering technique. The results evidenced the impact of specimen dimensions on mechanical performances and consequently stability of resin-based composite with the formation of an asymmetrical structure which possesses higher stiffness and strength at increasing layering steps.