Highly sensitive and stable probe refractometer based on configurable plasmonic resonance with nano-modified fiber core

A dispersion model is developed to provide a generic tool for configuring plasmonic resonance spectral characteristics.The customized design of the resonance curve aiming at specific detection requirements can be achieved.According to the model,a probe-type nano-modified fiber optic configurable plasmonic resonance(NMF-CPR)sensor with tip hot spot enhancement is demonstrated for the measurement of the refractive index in the range of 1.3332-1.3432 corresponding to the low-concentration biomarker solution.The new-type sensing structure avoids excessive broadening and redshift of the resonance dip,which provides more possibilities for the surface modification of other functional nanomaterials.The tip hot spots in nanogaps between the Au layer and Au nanostars(AuNSs),the tip electric field enhancement of AuNSs,and the high carrier mobility of the WSe_(2)layer synergistically and significantly enhance the sensitivity of the sensor.Ex-perimental results show that the sensitivity and the figure of merit of the tip hot spot enhanced fiber NMF-CPR sensor can achieve up to 2995.70 nm/RIU and 25.04 RIU^(−1),respectively,which are 1.68 times and 1.29 times higher than those of the conventional fiber plasmonic resonance sensor.The results achieve good agreements with numerical simulations,demonstrate a better level compared to similar reported studies,and verify the correctness of the dispersion model.The detection resolution of the sensor reaches up to 2.00×10^(−5)RIU,which is obviously higher than that of the conventional side-polished fiber plasmonic resonance sensor.This indicates a high detection accuracy of the sensor.The dense Au layer effectively prevents the intermediate nanomaterials from shedding and chemical degradation,which enables the sensor with high stability.Furthermore,the terminal reflective sensing structure can be used as a practical probe and can allow a more convenient operation.

Flexible broadband WS_(2)/Si optical position-sensitive detector with high sensitivity and fast speed

Si-based optical position-sensitive detectors(PSDs)have stimulated the interest of researchers due to their wide range of practical applications.However,due to the rigidity and fragility of Si crystals,the applications of flexible PSDs have been limited.Therefore,we presented a flexible broadband PSD based on a WS_(2)/Si heterostructure for the first time.A scalable sputtering method was used to deposit WS_(2)thin films onto the etched ultrathin crystalline Si surface.The fabricated flexible PSD device has a broad spectral response in the wavelength range of 450-1350 nm,with a high position sensitivity of~539.8 mV·mm^(−1)and a fast response of 2.3μs,thanks to the strong light absorption,the built-in electrical field at the WS_(2)/Si interface,and facilitated transport.Furthermore,mechanical-bending tests revealed that after 200 mechanical-bending cycles,the WS_(2)/Si PSDs have excellent mechanical flexibility,stability,and durability,demonstrating the great potential in wearable PSDs with competitive performance.

Effect of desensitization treatment for highly sensitized uremic patients before kidney transplantation

Objective To explore the feasibility and efficacy of desensitization protocol for highly sensitized renal transplant patients ( HSP ) . Methods Thirty - five HSPs ( HLA class - I panel reactive antibody 2〉50 % ) , including 27 patients with a positive T and/or B cell cy-

Relationship of High Sensitivity C-Reactive Protein with Cardiovascular, Diabetic, and Hepatic Biomarkers

Biomarkers are early predictors of various disorders, circulating level of C-reactive protein is a sensitive biomarker of systemic inflammation and may also be associated with the development of diabetic, hepatic, and cardiovascular diseases. In the present study, we aimed to investigate the association between circulating levels of high sensitive C-reactive protein (hs-CRP) and various biomarkers for hepatic, diabetic, and cardiovascular health. The retrospective analysis included 438 individuals who were tested for these panels simultaneously at Vibrant America Clinical Laboratory. The study population included free-living individuals without any preexisting clinical conditions. Among the cardiovascular markers, a positive correlation and significant association was found between high levels of hs-CRP and serum levels of triglycerides (r = 0.0964, p −0.1423, p −0.1216, p < 0.0105) with circulating levels of hs-CRP. Among all the diabetic markers, glucose (r = 0.1547, p < 0.0011) and glycated serum protein (r = 0.1725, p < 0.0003) were positively correlated with circulating hs-CRP. In the hepatic panel, AST, a transaminase that plays a vital role in amino acid metabolism, was found to have a strong positive correlation with hs-CRP (r = 0.2139, p < 0.0001). In conclusion, the results clearly show the association of hs-CRP with diabetic, hepatic, and cardiovascular risk factors indicating its central value as a key marker for several lifestyle-associated disorders.

The Tianma 65 m radio telescope antenna

The Tianma 65 m radio telescope(TMRT)at Shanghai is a fully steerable single-dish radio telescope in China,operating at centimeter to millimeter wavelengths(1.25 GHz to 50 GHz).This paper presents details on the main specifications,design,performance analysis,testing,and construction of the telescope antenna.The measured total efficiency is better than 50%over the whole elevation angle range,first sidelobe levels are less than−20 dB,antenna system noise temperatures are less than 70 K at 30°elevation angle,and pointing accuracy is less than 3″.The measured and calculated results are in good agreement,verifying the effectiveness of the design and analysis.

Rate transient analysis methods for water-producing gas wells in tight reservoirs with mobile water

Tight gas reservoirs with mobile water exhibit multi-phase flow and high stress sensitivity.Accurately analyzing the reservoir and well parameters using conventional single-phase rate transient analysis methods proves challenging.This study introduces novel rate transient analysis methods incorporating evaluation processes based on the conventional flowing material balance method and the Blasingame type-curve method to examine fractured gas wells producing water.By positing a gas-water two-phase equivalent homogenous phase that considers characteristics of mobile water,gas,and high stress sensitivity,the conventional single-phase rate transient analysis methods can be applied by integrating the phase's characteristics and defining the phase's normalized parameters and material balance pseudotime.The rate transient analysis methods based on the equivalent homogenous phase can be used to quantitatively assess the parameters of wells and gas reservoirs,such as original gas-in-place,fracture half-length,reservoir permeability,and well drainage radius.This facilitates the analysis of production dynamics of fractured wells and well-controlled areas,subsequently aiding in locating residual gas and guiding the configuration of well patterns.The specific evaluation processes are detailed.Additionally,a numerical simulation mechanism model was constructed to verify the reliability of the developed methods.The methods introduced have been successfully implemented in field water-producing gas wells within tight gas reservoirs containing mobile water.

Archean Basement and a Paleoproterozoic Collision Orogen in the Huoqiu Area at the Southeastern Margin of North China Craton: Evidence from Sensitive High Resolution Ion Micro-Probe U-Pb Zircon Geochronology

This paper reports sensitive high resolution ion micro-probe U-Pb zircon ages for the ＂Huoqiu Group＂ and granitoids of the Early Precambrian basement in the Huoqiu area, southeastern margin of the North China Craton. The ＂Huoqiu Group＂ is similar in rock association and metamorphism to the khondalite series, apart from it containing considerable amounts of banded iron formation. All detrital zircons from the ＂Huoqiu Group＂ meta-sedimentary rocks are 3.0 Ga and 2.75 Ga, without any 2.5 Ga and younger ones, as is commonly found in Paleoproterozoic khondalite series in other areas of the North China Craton. In the Huoqiu area, 2.75 Ga and 2.56 Ga granitoids have also been identified. This basement assemblage underwent strong metamorphism during the late Paleoproterozoic （-1.84 Ga） tectonothermal event that is widely developed in the North China Craton. Thus the formation time of the ＂Huoqiu Group＂ can be constrained between 2.75 and 1.84 Ga in terms of detrital and metamorphic zircon ages. It is considered, combined with regional data, that there may be a Paleoproterozoic collision orogen extending in a NWW-SEE direction to the southern margin of the North China Craton.

High sensitivity C-reactive protein and cardfiac resynchronization therapy in patients with advanced heart failure

Background The data on the prognostic values of high sensitivity C-reactive protein （hsCRP） levels in patients with advanced symp-tomatic heart failure （HF） receiving cardiac resynchronization therapy （CRT） are scarce. The aim of present study was to investigate the association of serum hsCRP levels with left ventricle reverse remodeling after six months of CRT as well as long-term outcome. Methods A total of 232 CRT patients were included. The assessment of hsCRP values, clinical status and echocardiographic data were performed at baseline and after six months of CRT. Long-term follow-up included all-cause mortality and hospitalizations for HF. Results During the mean follow-up periods of 31.3 ± 31.5 months, elevated hsCRP （〉3 mg/L） prior to CRT was associated with a significant 2.39-fold increase （P=0.006） in the risk of death or HF hospitalizations. At 6-month follow-up, patients who responded to CRT showed significant reductions or maintained low in hsCRP levels （–0.5 ± 4.1 mg/L reduction） compared with non-responders （1.7 ± 6.1 mg/L increase, P=0.018）. Com-pared with patients in whom 6-month hsCRP levels were reduced or remained low, patients in whom 6-month hsCRP levels were increased or maintained high experienced a significantly higher risk of subsequent death or HF hospitalizations （Log-rank P〈0.001）. The echocardio-graphic improvement was also better among patients in whom 6-month hsCRP levels were reduced or remained low compared to those in whom 6-month hsCRP levels were raised or maintained high. Conclusions Our findings demonstrated that measurement of baseline and follow-up hsCRP levels may be useful as prognostic markers for timely potential risk stratification and subsequent appropriate treatment strategies in patients with advanced HF undergoing CRT.

Association between preoperative high sensitive troponin I levels and cardiovascular events after hip fracture surgery in the elderly

Objective Cardiovascular complications contribute to postoperative morbidity and mortality in elderly hip fracture patients. Limited data are available regarding which preoperative risk factors predict cardiovascular course following hip fracture surgery （HFS）. We used high sensitive troponin I （hs-TnI） assays and clinical parameters to identify preoperative risk factors associated with major adverse cardiac events （MACE） in elderly hip frac^u＇e patients. Method From August 2014 to November 2016, 575 patients with hip fracture were enrolled in a retrospective, single-center registry. A total of 262 of these patients underwent HFS and hs-TnI assays. MACE was defined as postoperative all-cause deaths, heart failure （HF）, new-onset atrial fibrillation （AF）, myocardial infarction （MI） and cardiovascular re-hospitalization that occurred within 90 days postoperative. Results Of 262 HFS patients, MACE developed following HFS in 65 （24.8%）. Patients with MACE were older and had higher rates of renal insufficiency, coronary artery disease, prior HF, low left ventricular ejection fraction and use of beta blockers; higher levels of hs-Tnl and N-terminal pro-brain natriuretic peptide （NT-proBNP） and higher revised cardiac risk index. A preoperative hs-TnI≥ 6.5 ng/L was associated with high risk of postoperative HF, new-onset AF and MACE. In multivariable analysis, pre-operative independent predictors for MACE were age 〉 80 years [adjusted hazard ratio （HR）： 1.79, 95% confident interval （CI）： 1.03-3.13, P = 0.04], left ventricular ejection fraction （LVEF） 〈 50% （adjusted HR： 3.17, 95% CI： 1.47-5.82, P 〈 0.01） and hs-TnI 〉 6.5 ng/L （adjusted HR： 3.75, 95% CI： 2.09~5.17, P 〈 0.01）. Conclusion In elderly patients with hip fracture who undergo HFS, a preoperative assessment of hs-TnI may help the risk refinement of cardiovascular complications.

The prognostic role of high-sensitivity C-reactive protein in patients with acute myocardial infarction

1 Introduction Inflammation is one of the main mechanisms in the pathogenesis of atherosclerosis,and the interest to the evaluation of inflammatory biomarkers in coronary artery disease(CAD)has been increasing over the last decade.[1,2]Destabilization of chronic artery plaques,which leads to acute coronary syndromes,has been associated with inflammatory status.[1,3]。

Permian High Ba-Sr Granitoids:Geochemistry,Age and Tectonic Implications of Erlangshan Pluton,Urad Zhongqi,Inner Mongolia

Erlangshan Pluton from Urad Zhongqi, central Inner Mongolia, is located in the middle segment of the northern margin of the North China Plate. The rocks consist mainly of diorites with gneissic structure. Petrochemical characteristics reveal that the diorites belong to metaluminous, high- potassium calc-alkaline series, with chemical signatures of I-type granites. They are characterized by low SiOz contents (56.63%-58.53%) and A/CNK (0.90-0.96), high Al2O3 contents (17.30%-17.96%) and Na20/K20 ratios (1.20-1.70), enrichment in large ion lithophile elements (LILE, e.g., Ba=556-915 ppm, Sr=463-595 ppm), and relative depletion in high field strength elements (HFSE, e.g., Nb, Ta, Ti) in primitive mantle-normalized spidergram, and right-declined rare earth element patterns with slightly negative Eu anomalies (8Eu=0.72-0.90). They have Sr/Y ratios (20-25) evidently less than Kebu Pluton (49-75) to its east. Sensitive high resolution ion micro-probe U-Pb zircon dating of the diorites has yielded an intrusive age of 270±8 Ma. This leads us to conclude that Erlangshan diorites were formed by mixing between the middle or lower crustal-derived magma and minor mantle-derived mafic magma, followed by fractional crystallization, which was trigged by crustal extension and fault activity in post-collisional setting.

High Sensitivity Acquisition Algorithm for DSSS Signal with Data Modulation

In direct sequence spread spectrum communication both for satelliteto-ground and inter-satellite links, the system constrains due to radio frequency spectral occupation, channel data throughput and link performances in terms of data channel coding which might result in a signal structure where the symbol duration is shorter than the pseudo code period. This can generate some difficulties in the DSSS signal acquisition due to the polarity inversion caused by the data modulation. To eliminate the influence due to polarity inversion, this paper proposes a novel acquisition algorithm based on the simultaneous search of the code phase, data phase and Doppler frequency. In the proposed algorithm the data phase is predicted and the correlation period for the coherent integration can be set equal to the symbol duration. Then non-coherent accumulation over different symbol is implemented in order to enhance the acquisition algorithm sensitivity; the interval of non-coherent accumulation is the least common multiple between the symbol duration and the pseudo code period. The algorithm proposed can largely minimize the SNR loss caused by data polarity inversion and enhance acquisition performance without a noticeable increase in hardware complexity. Theoretical analysis, simulation and measured results verify the validity of the algorithm.

Highly sensitive digital optical sensor with large measurement range based on the dual-microring resonator with waveguide-coupled feedback

We propose a novel high-performance digital optical sensor based on the Mach-Zehnder interferential effect and the dual-microring resonators with the waveguide-coupled feedback. The simulation results show that the sensitivity of the sensor can be orders of magnitude higher than that of aconventional sensor, and high quality factor is not critical in it. Moreover, by optimizing the length of the feedback waveguide to be equal to the perimeter of the ring, the measurement range of the proposed sensor is twice as much as that of the conventional sensor in the weak coupling case.

Relationship between high sensitivity C-reactive protein and angiographic severity of coronary artery disease

Background Coronary artery disease(CAD)remains a leading cause of morbidity and mortality.Cytokines play a potential role in atherosclerosis pathogenesis and progression.We investigated the association between high sensitive C-reactive protein(hs CRP)and severity of CAD.Methods CAD patients were stratified according to hs CRP cut-off value into high levels hs CRP group(≥8.4 mg/L)and low levels hs CRP group(<8.4 mg/L).Severity of CAD was assessed according to artery stenosis degree and the number of vessel involved.Statistical analysis was performed using Statistical Package for the Social Sciences(SPSS,version 23.0).Results The mean age was 60.3±11.0 years.The level of hs CRP was increased and ranged from 0.2 to 1020.0 mg/L.Biochemical risk factors and severity of CAD didn’t show significant differences between the two groups.In multivariate linear analysis,cardiac troponin I(c Tn I)and serum amyloid A(SAA)were predictors of hs CRP.As shown in receiver operating characteristic(ROC)curve analysis performed in patients with ST-segment elevation myocardial infarction(STEMI)and compared to myonecrosis biomarkers,hs CRP(area under the curve(AUC):0.905;95%CI:0.844-0.966;P<0.001)could be a powerful predictor marker in evaluating the infarct size after myocardial infarction but not better than c Tn I.Conclusions Hs CRP levels were not associated with the severity of CAD but could be useful in the evaluation of myocardial necrosis in patients with STEMI.

Correlation of Enhancement Degree on Contrast-enhanced Ultrasound with Histopathology of Carotid Plaques and Serum High Sensitive C-Reactive Protein Levels in Patients Undergoing Carotid Endarterectomy

This study was undertaken to investigate the correlation of the enhancement degree on contrast-enhanced ultrasound(CEUS) with the histopathology of carotid plaques and the serum high sensitive C-reactive protein(hs-CRP) levels in patients undergoing carotid endarterectomy(CEA). Carotid CEUS was performed preoperatively in 115 patients who would undergo CEA, and the enhancement degree of the carotid plaques was evaluated by both the visual semiquantitative analysis and the quantitative time-intensity curve analysis. Serum hs-CRP levels were detected using the particle-enhanced immunoturbidimetric assay also before the operation. Additionally, the carotid plaque samples were subjected to histopathological examination postoperatively. The density of neovessels and the number of macrophages in the plaques were assessed by immunohistochemistry. The results showed that among the 115 patients, grade 0 plaque contrast enhancement was noted in 35 patients, grade 1 in 48 patients and grade 2 in 32 patients. The degree of plaque enhancement, the density of neovessels, the number of macrophages, and the hs-CRP levels were highest in the grade 2 patients. Correlation analysis showed that the enhancement degree of the carotid plaques was closely related to the immunohistochemical parameters of the plaques and the serum hs-CRP levels. It was suggested that the carotid plaque enhancement on CEUS can be used to evaluate the vulnerability of carotid plaques.

Highly sensitive and stretchable piezoelectric strain sensor enabled wearable devices for real-time monitoring of respiratory and heartbeat simultaneously

The World Health Organization has declared COVID-19 a pandemic.The demand for devices or systems to diagnose and track COVID-19 infections noninvasively not only in hospitals but also in home settings has led to increased interest in consumer-grade wearables.A common symptom of COVID-19 is dyspnea,which may manifest as an increase in respiratory and heart rates.In this paper,a novel piezoelectric strain sensor is presented for real-time monitoring of respiratory and heartbeat signals.A highly sensitive and stretchable piezoelectric strain sensor is fabricated using a piezoelectric film with a serpentine layout.The thickness of the patterned PVDF flexible piezoelectric strain sensor is only 168μm,and the voltage sensitivity reaches 0.97 mV/με.The effective modulus is 13.5 MPa,which allows the device to fit to the skin and detect the small strain exhibited by the human body.Chest vibrations are captured by the piezoelectric sensor,which produces an electrical output voltage signal conformally mapped with respiratory–cardiac activities.The separate heart activity and respiratory signals are extracted from the mixed respiratory–cardiac signal by an empirical mode decomposition data processing algorithm.By detecting vital signals such as respiratory and heart rates,the proposed device can aid early diagnosis and monitoring of respiratory diseases such as COVID-19.

High-Sensitivity Acquisition of Ultrahigh Dynamic Direct Sequence Spread Spectrum Signals in Space Communications

According to the requirements of the high-sensitivity acquisition of Direct Sequence Spread Spectrum(DSSS) signals under ultrahigh dynamic environments in space communications, a three-dimensional joint search of the phase of Pseudo-Noise-code(PN-code),Doppler frequency and its rate-of-change is presented to achieve high sensitivity in sensing high-frequency dynamics. By eliminating the correlation peak loss caused by ultrahigh Doppler frequency and its rate-of-change offset,the proposed method improves the acquisition sensitivity by increasing the non-coherent accumulation time. The validity of the algorithm is proved by theoretical analysis and simulation results. It is shown that signals with a carrier- to-noise ratio as low as 39 dBHz can be captured with high performance when the Doppler frequency is up to ±1 MHz and its rate-of-change is up to ±200 kHz/s.

EFFECTS OF SIMVASTAIN COMBINED WITH OMEGA-3 FATTY ACIDS ON HIGH SENSITIVE C-REACTIVE PROTEIN, LIPIDEMIA, ANDFIBRINOLYSIS IN PATIENTS WITH MIXED DYSLIPIDEMIA

Objective To evaluate the effects of simvastatin combined with omega-3 fatty acids on high sensitive C-reactive protein(HsCRP), lipidemia, and fibrinolysis in coronary heart disease (CHD) and CHD risk equivalent patients with mixed dyslipi-demia. Methods A randomized, double-blind placebo controlled and parallel group trial was conducted. Patients with CHD and CHD risk equivalents with mixed dyslipidemia were treated with 10 or 20 mg simvastatin for 6-12 weeks. Following with the treatment of patients whose low-density lipoprotein cholesterol (LDL-ch) reaching goal level (< 100 mg/dL) or close to the goal (< 130 mg/dL), while triglyceride (TG) ≥200 mg/dL and < 500 mg/dL, was combined with omega-3 fatty acids (3 g/d) or a placebo for 2 months. The effects of the treatment on HsCRP, total cholesterol (TC), LDL-ch, high-density lipoprotein cholesterol (HDL-ch), TG, lipoprotein (a) [LP (a)], apolipoprotein A1 (apoA1), apolipoprotein B (apoB), plasminogen activator inhibitor-1 (PAI-1), and tissue plasminogen activator (tPA) were investigated. Forty patients finished the study with each group consisting of twenty patients. Results (1) There were significant reductions of HsCRP, TG, TC, and TC/HDL-ch, which decreased by 2.16 ±2.77 mg/L (38.5%), 94.0 ±65.4 mg/dL (31.1%), 13.3 ±22.3 mg/dL (6.3%), 0.78 ±1.60 respectively in the omega-3 fatty acids group (P< 0.01, < 0.001, < 0.05, < 0.05) compared to the baseline. HsCRP and triglyceride reduction were more significant in omega-3 fatty acids group compared to the placebo group (P=0.021 and 0.011 respectively). (2) In the omega-3 fatty acids group, the values and percentage of TG reduction had a significantly positive relation with HsCRP reduction (r=0.51 and 0.45, P=0.021 and 0.047 respectively). Conclusion In CHD and CHD risk equivalent patients with mixed dyslipidemia, dyslipidemia’s therapeutic effect using simvastatin and omega-3 fatty acids may result from not only the combination of lipid adjustment, but also enhancement of their own nonlipid influences.

Single-step transepithelial photorefractive keratectomy in high myopia：qualitative and quantitative visual functions

AIM：To investigate quantitative and qualitative optical outcomes of single-step transepithelial photorefractive keratectomy（Trans PRK）in high myopia.METHODS：In a prospective interventional case-series,30 eyes with high myopia（-6.00 to-8.75 D）with（up to-3.00 D）or without astigmatism were enrolled from Bina Eye Hospital,Tehran,Iran. One-step Trans PRK was performed with aberration-free aspherical optimized profile and SCHWIND AMARIS 500 laser. One-year follow-up results for refraction,visual acuities,vector analysis,ocular wavefront（OWF）and corneal wave-front（CWF）higher order aberrations（HOA）,contrast sensitivity（CS）,and postoperative haze were assessed.RESULTS：After the surgery,both photopic and mesopic CSs significantly improved（both P〈0.001）. We detected significant induction of OWF coma and trefoil（P〈0.001 for both）HOAs; CWF coma（P=0.002）,spherical（P〈0.001）,and tetrafoil（P=0.003）HOAs in 6 mm analysis diameter; and CWF trefoil（P=0.04）HOA in 4 mm analysis diameter. The range of mean induction observed for various HOAs was0.005-0.11 μm. The 86.7% of eyes reached an uncorrected distance visual acuity of 20/20 or better; 96.7% of eyes were within ±0.5 D of targeted spherical refraction. In vector analysis,mean correction index value was 1.03 and mean index of success was 0.22. By 12mo after the operation,no eye lost any number of corrected distancevisual acuity lines. We detected no corneal haze greater than 1~＋ throughout the follow-up.CONCLUSION：Our findings show promising effects of single-step Trans PRK on quality of vision in high myopic eyes. It also improves refraction and visual acuity.

Parametrical analysis of the railways dynamic response at high speed moving loads

The paper introduces some findings about a sensitivity analysis conducted on every geometrical and mechanical parameters which characterize the use of a railway superstructure at the high velocity. This analysis was carried out by implementing a forecast model that is derived from the simplified Gazetas and Dobry one. This model turns out to be particularly appropriate in the explication of problems connected to high velocity, since it evaluates both inertial and viscous effects activated by the moving load speed. The model implementation requires the transfer function determination that represents the action occurred by the bed surfaces on the railway and it therefore contains information concerning the geometrical and the mechanical characteristics of the embankment, of the ballast and of the sub-ballast. The transfer function H has been evaluated with the finite elements method and particularly, by resorting the ANSYS code with a harmonic structural analysis in the frequencies field. The authors, from the critic examination of the system＇s dynamics response in its entirety, glean a series of observations both of a general and a specific character, finally attaining a propose of a design modification of the standard railway superstructure at the high velocity of train operation adopted today especially in Italy.