Association of HLA Haplotypes with Autoimmune Pathogenesis in Newly Diagnosed Type 1 Romanian Diabetic Children: A Pilot, Single-Center Cross-Sectional Study.

BACKGROUND: The increasing incidence of autoimmune diseases in type 1 diabetes mellitus (T1DM) patients highlights the influence of human leukocyte antigen (HLA) haplotypes on their development. This study aims to determine genetic predisposition to autoimmune diseases in T1DM patients, including thyroid disease and celiac diseases, and explore its correlation with vitamin D deficiency. METHODS: A cross-sectional study involving thirty-six T1DM children was conducted. Typing was performed for the HLA A, B, C, DP, DR, and DQ loci. Regression analysis linked DR-DQ haplotypes to T1DM and the associated conditions. RESULTS: The most frequent predisposing alleles and haplotypes were HLA-DR3 (70.27%), DQ2 (70.27%), DR3-DQ2 (70.27%), DQB1*02:01 (70.27%), A02 (54.05%), whereas the most prevalent protecting allele was DPB1*04:01 (52.63%). Positive correlations were observed between positive anti-thyroid peroxidase antibodies and the absence of protective alleles (DPB1*04:02, p = 0.036; DPB1*04:01, p = 0.002). Associations were found between the absence of DPB1*04:01 and anti-thyroglobulin antibodies (p = 0.03). HLA allele DPB1*03:01 was linked with vitamin D deficiency (p = 0.021). Positive anti-transglutaminase antibodies correlated with C03:03 (p = 0.026) and DRB1*04:01-DQA1*03-DQB1*03:01 (p < 0.0001) and the lack of DQA1*01:03-DQB1*06:03-DRB1*13:01 (p < 0.0001). CONCLUSIONS: The predisposing T1DM haplotypes were associated with the presence of anti-transglutaminase and anti-thyroid antibodies, indicating a genetic predisposition to autoimmune diseases.

Characterization of Complex Concentrated Alloys and Their Potential in Car Brake Manufacturing.

The paper studies new materials for brake disks used in car manufacturing. The materials used in the manufacturing of the brake disc must adapt and correlate with the challenges of current society. There is a tremendous interest in the development of a material that has high strength, good heat transfer, corrosion resistance and low density, in order to withstand high-breaking forces, high heat and various adverse environment. Low-density materials improve fuel efficiency and environmental impact. Complex concentrated alloys (CCA) are metallic element mixtures with multi-principal elements, which can respond promisingly to this challenge with their variety of properties. Several compositions were studied through thermodynamic criteria calculations (entropy of mixing, enthalpy of mixing, lambda coefficient, etc.) and CALPHAD modeling, in order to determine appropriate structures. The selected compositions were obtained in an induction furnace with a protective atmosphere and then subjected to an annealing process. Alloy samples presented uniform phase distribution, a high-melting temperature (over 1000 °C), high hardness (1000-1400 HV), good corrosion resistance in 3.5 wt.% NaCl solution (under 0.2 mm/year) and a low density (under 6 g/cm3).

Non-Aqueous Electrodeposition and Characterization of AlCrCuFeNi High Entropy Alloy Thin Films.

Materials used in the marine industry are exposed to extreme conditions, so it is necessary to meet remarkable characteristics, such as mechanical resistance, low density, and good corrosion resistance. The challenging environment requires continuous performance improvements, so this work is focused on developing new materials with superior properties, using the electrochemical deposition technique, which are convenient for marine engineering. High-entropy alloys have been attracting tremendous interest in many applications, due to their simple crystal structures and advantageous physical-chemical properties, such as high strength, anti-corrosion, erosion, and electro-magnetic capabilities. To identify the most appropriate compositions, MatCalc software was used to predict the structure and characteristics of the required materials, and thermodynamic and kinetic criteria calculations were performed. The modelling processes generated a series of optimal compositions in the AlCrCuFeNi alloy system, that are suitable to be used in anticorrosive and tribological applications. The composition and morphology of the obtained high entropy alloy thin films revealed a uniform structure, with a small grain profile. The corrosion resistance was investigated in artificial seawater to observe the behavior of the newly developed materials in demanding conditions, and the results showed improved results compared to the copper foil substrate.

COVID-19: Main findings after a year and half of unease and the proper scientific progress (Review).

Since the emergence of the disease in late December 2019, numerous studies have been published to date regarding clinical, laboratory and treatment aspects associated with COVID-19. The present study attempts to compare and unify the clinical, para-clinical and therapeutic aspects that have come to light regarding coronavirus disease-19 (COVID 19), mainly in adults. Between April 2020 and September 2021, a comprehensive systematic literature review was performed, which we added to from our own medical experiences. The search was performed on the PubMed, Scopus and Google Scholar databases, comprising studies with analyzable data that were identified alongside studies and documents containing general scientific data. All published studies were written in English, and were from different countries. A 95% confidence interval (CI95) was also calculated for almost each study using the Wilson formula. When compared with preliminary reports between December 2019 and January 2020, the most frequent symptoms were still identified as being fever (68.6%; CI95: 67.5-69.7) and cough (72.7%; CI95: 71.7-73.8). Nevertheless, asymptomatic cases also increased (by 21.4%; CI95: 16.6-27.1). Severe and critical cases accounted for 10.4% (CI95: 9.6-11.1) of all cases. The mean fatality rate was found to be 4% (CI95: 3.6-4.5). The primary co-morbidity found was hypertension (28.9%; CI95: 27-30.8), followed by other underlying cardiovascular diseases (15.4%; CI95: 13.9-16.9) and diabetes (14.5%; CI95: 13.1-16.1). The majority of studies showed lower white blood cell numbers with neutropenia and lymphopenia, and lower platelet levels. The levels of the biomarkers C-reaction protein and erythrocyte sedimentation rate were positive in all studied cases alongside other lab tests, such as examining the D-dimer levels and those of other hepatic, cardiac and renal injury markers. The procalcitonin level was also found to be elevated in many cases, resulting in high usage of antibiotics (83.7%; CI95: 81.2-85.9). Approximately 31.6% (CI95: 29.1-34.1) of the patients required non-invasive ventilation, whereas 9.9% (CI95: 8.1-12.1) of the patients were intubated or placed on extracorporeal membrane oxygenation. The most used antivirals were ribavirin (67.3%; CI95: 63.4-70.9), oseltamivir (52.5%; CI95: 49.4-55.5) and Arbidol™ (34.5%; CI95: 32-37.1). General admittance to the intensive care unit was ~7.2% (CI95: 6.5-7.9) of patients.

Characterisation of a Novel Complex Concentrated Alloy for Marine Applications.

Complex concentrated alloys (CCAs) are a new family of materials with near equimolar compositions that fluctuate depending on the characteristics and destination of the material. CCAs expand the compositional limits of the traditional alloys, displaying new pathways in material design. A novel light density Al5Cu0.5Si0.2Zn1.5Mg0.2 alloy was studied to determine the structural particularities and related properties. The alloy was prepared in an induction furnace and then annealed under a protective atmosphere. The resulted specimens were analysed by chemical, structural, mechanical, and corrosion resistance. The structural analyses revealed a predominant FCC and BCC solid solution structure. The alloy produced a compression strength of 500-600 MPa, comparable with conventional aluminium alloys. The corrosion resistance in 3.5% NaCl solution was 0.3424 mm/year for as-cast and 0.1972 mm/year for heat-treated alloy, superior to steel, making the alloy a good candidate for marine applications.

Modeling and Characterization of Complex Concentrated Alloys with Reduced Content of Critical Raw Materials.

The continuous development of society has increased the demand for critical raw materials (CRMs) by using them in different industrial applications. Since 2010, the European Commission has compiled a list of CRMs and potential consumption scenarios with significant economic and environmental impacts. Various efforts were made to reduce or replace the CRM content used in the obtaining process of high-performance materials. Complex concentrated alloys (CCAs) are an innovative solution due to their multitude of attractive characteristics, which make them suitable to be used in a wide range of industrial applications. In order to demonstrate their efficiency in use, materials should have improved recyclability, good mechanical or biocompatible properties, and/or oxidation resistance, according to their destination. In order to predict the formation of solid solutions in CCAs and provide the optimal compositions, thermodynamic and kinetic simulations were performed. The selected compositions were formed in an induction furnace and then structurally characterized with different techniques. The empirical results indicate that the obtained CCAs are suitable to be used in advanced applications, providing original contributions, both in terms of scientific and technological fields, which can open new perspectives for the selection, design, and development of new materials with reduced CRM contents.

Complex Concentrated Alloys for Substitution of Critical Raw Materials in Applications for Extreme Conditions.

The paper is proposing a mini-review on the capability of the new complex concentrated alloys (CCAs) to substitute or reduce the use of critical raw materials in applications for extreme conditions. Aspects regarding the regulations and expectations formulated by the European Union in the most recent reports on the critical raw materials were presented concisely. A general evaluation was performed on the CCAs concept and the research directions. The advantages of using critical metals for particular applications were presented to acknowledge the difficulty in the substitution of such elements with other materials. In order to establish the level of involvement of CCAs in the reduction of critical metal in extreme environment applications, a presentation was made of the previous achievements in the field and the potential for the reduction of critical metal content through the use of multi-component compositions.

Modeling and Experimental Results of Selected Lightweight Complex Concentrated Alloys, before and after Heat Treatment.

Lightweight complex concentrated alloys (LWCCA), composed of elements with low density, have become a great area of interest due to the high demand in a large number of applications. Previous research on LWCCAs was focused on high entropy multicomponent alloy systems that provide low density and high capability of solid solution formation. Present research introduces two alloy systems (Al-Cu-Si-Zn-Mg and Al-Mn-Zn-Mg-Si) that contain readily available and inexpensive starting materials and have potential for solid solution formation structures. For the selection of appropriate compositions, authors applied semi-empirical criteria and optimization software. Specialized modeling software (MatCalc) was used to determine probable alloy structures by CALPHAD, non-equilibrium solidification and kinetic simulations. The selected alloys were prepared in an induction furnace. Specimens were heat treated to provide stable structures. Physicochemical, microstructural, and mechanical characterization was performed for the selected alloy compositions. Modeling and experimental results indicated solid solution-based structures in the as-cast and heat-treated samples. Several intermetallic phases were present at higher concentrations than in the conventional alloys. Alloys presented a brittle structure with compression strength of 486-618 MPa and hardness of 268-283 HV. The potential for uniform intermetallic phase distribution in the selected alloys makes them good candidates for applications were low weight and high resistance is required.

Oral cancer histopathological subtypes in association with risk factors: a 5-year retrospective study.

BACKGROUND: Oral cancer is a worldwide public health problem, being the sixth most common neoplasm. The high mortality rate of this type of cancer is due to a delayed diagnosis, a fast evolution and metastasis, no primary symptomatology, the multitude of risk factors and the lack of awareness among the population concerning oral malignancy. AIM: The aim of this 5-year retrospective study was to evaluate the incidence of oral cancer patients in the Clinic of Maxillo-Facial Surgery, Emergency County Hospital, Timisoara, Romania and quantify the histopathological (HP) subtypes, localization, age, gender, tumor staging and differentiation, positive loco-regional lymph nodes and risk factors. PATIENTS, MATERIALS AND METHODS: A number of 129 patients diagnosed with oral cancer were included in the study and their medical records were analyzed. A statistical analysis was performed that included the variables gender, age, tumor staging, differentiation grade, HP subtype, lymph nodes, localization, and risk factors. RESULTS: Our results outlined a high prevalence of oral cancer among males (65.9%), squamous cell carcinoma (SCC) being the most common HP subtype. Tumor staging revealed the fact that the majority of were T3 and T4 tumors with dissemination in the loco-regional lymph nodes. In 52% of the cases, tobacco was identified as a risk factor, and the association of tobacco and alcohol was present in 28.3% of the cases. CONCLUSIONS: The early diagnosis is crucial for the improvement of oral cancer survival rate. The oral cavity is permanently exposed to carcinogenic substances that associated with other risk factors have an influence upon the incidence of oral malignancies.