Background and Objectives: The post-mortem diagnosis of hypothermia is challenging in forensics. The aim of our study was to detect the kidney and heart histopathological changes that occurred in a group of hypothermia-related fatalities. Materials and Methods: The cohort included 107 cases identified in the database of our department between 2007 and 2021, which have been associated with extreme cold stress. Demographic and clinicopathological data were collected from the medico-legal reports. Archived tissue samples were evaluated to identify the histopathological features, in routine haematoxylin-eosin (H&E), Periodic acid-Schiff (PAS), and Masson’s trichrome stainings, while cardiac sirtuin1 (SIRT1) and renal ubiquitin (Ub) immunostaining have been performed. Results: The majority of cases exposed to low temperatures were males (76%) from rural regions (68.2%) during the cold season. Paradoxical undressing was documented in 9.3% of cases. The common comorbidities included alcoholism (50.5%), neuropsychiatric diseases (10.3%), diabetes mellitus (3.7%), and lung tuberculosis (4.7%). The microscopic heart exam revealed areas of myocardial degeneration (100%), contraction bands (95.3%), fatty change (13.1%) and focal wavy contractile myocardial cells. Basal vacuolisation of renal tubular epithelial cells (Armanni-Ebstein lesions) (21.5%), focal tubular necrosis (7.5%), tubular renal cysts (7.5%), interstitial haemorrhages (5.6%), diabetic kidney disease (3.7%), background benign nephroangiosclerosis (42.1%), variable thickening of tubules and corpuscles basement membranes, capsular space amorphous material, and intratubular casts were identified in kidney tissue samples. Myocardial cells displayed SIRT1 weak expression, with a loss of immunopositivity correlated with areas with contraction bands, while a variable Ub expression was observed in renal corpuscles capsules, proximal, distal, and collecting renal tubules, Henle’s loops, urothelium, and intratubular casts. Conclusions: In the context of the current concept that death associated with hypothermia is still a diagnosis of exclusion, our findings suggest that the microscopic exam provides relevant data that support the diagnosis of hypothermia-related fatalities in appropriate circumstances of death. A deeper insight into the histopathologic findings in hypothermic patients may lead to new therapeutic approaches in these cases.
Non-destructive tests to assess the dynamic characteristics of the materials are important for both in-situ and laboratory situations. Elastic modulus, rigidity modulus and Poisson ratio can be determined through dynamic testing, by employing resonant frequency measurements. The ASTM C-215 standard contains the necessary information for the experimental set-up and subsequent computation using the longitudinal, transversal and torsional frequencies, for both prismatic and cylindrical specimens. Nevertheless, some experimental particularities are not explained and their influence on the final results might prove important. In this paper, the experimental and computational insights on performing the dynamic Young modulus test for cement mortar prismatic samples, with emphasis on the importance of interpretation of the results are presented. The type of specimen support and the actual data manipulation, when extracting results, are taken into consideration. The results may prove important for the correct employment of dynamic testing.
The paper presents the results of research work to assess the thermal conductivity of mortar incorporating a novel carbon-based nano-material (CBN). The data from the laboratory tests served as the starting point in training an artificial neural network (ANN) based on the Levenberg–Marquardt backpropagation algorithm that was used to predict the values of the thermal conductivity at later ages. The used CBNs were essential precursors of multi-walled carbon nano-tubes but different from their counterparts in the fact that they were capped at the ends. This configuration should result in lower surface tension and should prevent the bundling even without the use of surfactants and sonication. The obtained results show that the mortar mixes with CBN exhibit higher values for the thermal coefficient at early ages compared to the reference mix, even at very low percentages of CBN by weight of cement. The ANN is able to accurately predict the experimental results both at 28 days and at later ages. The obtained results should serve as the starting point for further investigations into the microstructure of cement-based materials enhanced with CBNs.
Climate change increasingly affects every aspect of human life. Recent studies report a close correlation with human health and it is estimated that global death rates will increase by 73 per 100,000 by 2100 due to changes in temperature. In this context, the present work aims to study the correlation between climate change and human health, on a global scale, using artificial intelligence techniques. Starting from previous studies on a smaller scale, that represent climate change and which at the same time can be linked to human health, four factors were chosen. Four causes of mortality, strongly correlated with the environment and climatic variability, were subsequently selected. Various analyses were carried out, using neural networks and machine learning to find a correlation between mortality due to certain diseases and the leading causes of climate change. Our findings suggest that anthropogenic climate change is strongly correlated with human health; some diseases are mainly related to risk factors while others require a more significant number of variables to derive a correlation. In addition, a forecast of victims related to climate change was formulated. The predicted scenario confirms that a prevalently increasing trend in climate change factors corresponds to an increase in victims.
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