Comparative Analysis of Student Learning: Technical, Methodological and Result Assessing of PISA-OECD and INVALSI-Italian Systems .

PISA is the most extensive international survey promoted by the OECD in the field of education, which measures the skills of fifteen-year-old students from more than 80 participating countries every three years. INVALSI are written tests carried out every year by all Italian students in some key moments of the school cycle, to evaluate the levels of some fundamental skills in Italian, Mathematics and English. Our comparison is made up to 2018, the last year of the PISA-OECD survey, even if INVALSI was carried out for the last edition in 2022. Our analysis focuses attention on the common part of the reference populations, which are the 15-year-old students of the 2nd class of secondary schools of II degree, where both sources give a similar picture of the students

Separator fluid volume requirements in multi-infusion settings

INTRODUCTION. Intravenous (IV) therapy is a widely used method for the administration of medication in hospitals worldwide. ICU and surgical patients in particular often require multiple IV catheters due to incompatibility of certain drugs and the high complexity of medical therapy. This increases discomfort by painful invasive procedures, the risk of infections and costs of medication and disposable considerably. When different drugs are administered through the same lumen, it is common ICU practice to flush with a neutral fluid between the administration of two incompatible drugs in order to optimally use infusion lumens. An important constraint for delivering multiple incompatible drugs is the volume of separator fluid that is sufficient to safely separate them. OBJECTIVES. In this pilot study we investigated whether the choice of separator fluid, solvent, or administration rate affects the separator volume required in a typical ICU infusion setting. METHODS. A standard ICU IV line (2m, 2ml, 1mm internal diameter) was filled with methylene blue (40 mg/l) solution and flushed using an infusion pump with separator fluid. Independent variables were solvent for methylene blue (NaCl 0.9% vs. glucose 5%), separator fluid (NaCl 0.9% vs. glucose 5%), and administration rate (50, 100, or 200 ml/h). Samples were collected using a fraction collector until <2% of the original drug concentration remained and were analyzed using spectrophotometry. RESULTS. We did not find a significant effect of administration rate on separator fluid volume. However, NaCl/G5% (solvent/separator fluid) required significantly less separator fluid than NaCl/NaCl (3.6 ± 0.1 ml vs. 3.9 ± 0.1 ml, p <0.05). Also, G5%/G5% required significantly less separator fluid than NaCl/NaCl (3.6 ± 0.1 ml vs. 3.9 ± 0.1 ml, p <0.05). The significant decrease in required flushing volume might be due to differences in the viscosity of the solutions. However, mean differences were small and were most likely caused by human interactions with the fluid collection setup. The average required flushing volume is 3.7 ml. CONCLUSIONS. The choice of separator fluid, solvent or administration rate had no impact on the required flushing volume in the experiment. Future research should take IV line length, diameter, volume and also drug solution volumes into account in order to provide a full account of variables affecting the required separator fluid volume

Procedures and Methodologies for the Control and Improvement of Energy-Environmental Quality in Construction

This Special Issue aims at providing the state-of-the-art on procedures and methodologies developed to improve energy and environmental performance through building renovation. We are greatly thankful to our colleagues building physics experts, building technology researchers, and urban environment scholars who contributed to this Special Issue, for sharing their original works in the field

ESICM LIVES 2017 : 30th ESICM Annual Congress. September 23-27, 2017.

INTRODUCTION. Unplanned readmission to intensive care is highly undesirable in that it contributes to increased variance in care, disruption, difficulty in resource allocation and may increase length of stay and mortality particularly if subject to delays. Unlike the ICU admission from the ward, readmission prediction has received relatively little attention, perhaps in part because at the point of ICU discharge, full physiological information is systematically available to the clinician and so it is expected that readmission should be largely due to unpredictable factors. However it may be that there are multidimensional trends that are difficult for the clinician to perceive that may nevertheless be predictive of readmission. OBJECTIVES. We investigated whether machine learning (ML) techniques could be used to improve on the simple published SWIFT score [1] for the prediction of unplanned readmission to ICU within 48 hours. METHODS. We extracted systolic BP, pulse pressure, heart and respiration rate, temperature, SpO2, bilirubin, creatinine, INR, lactate, white cell count, platelet count, pH, FiO2, and total Glasgow Coma Score from ICU stays of over 2000 adult patients from our hospital electronic patient record system. We trained our own custom multidimensional / time-sensitive algorithmic ML system to predict failed discharges defined as either readmission or unexpected death within 48 hours of discharge. We used 10-fold cross validation to assess performance. We also assessed the effect of augmenting our system by transfer learning (TL) with 44,000 additional cases from the MIMIC III database. RESULTS. The SWIFT score performed relatively poorly with an AUROC of around 0.6 which our ML system trained on local data was also able to match. However when augmented with an additional dataset by TL, the AUROC for the ML system improved statistically and clinically significantly to over 0.7. CONCLUSIONS. Machine learning is able to improve on predictors based on simple multiple logistic regression. Thus there is likely to be information in the trends and in combinations of variables. A disadvantage with this technique is that ML approaches require large amounts of data for training. However, ML approaches can be improved by TL. Basing prediction models on locally derived data augmented by TL is a potentially novel approach to generating tools that customised to the institution yet can exploit the potential power of ML algorithms. REFERENCES [1] Gajic O, Malinchoc M, Comfere TB, et al. The Stability and Workload Index for Transfer score predicts unplanned intensive care unit patient readmission: initial development and validation. Crit Care Med. 2008;36(3):676–82. Grant Acknowledgement This work was internally funded

Nondestructive Testing (NDT)

The aim of this book is to collect the newest contributions by eminent authors in the field of NDT-SHM, both at the material and structure scale. It therefore provides novel insight at experimental and numerical levels on the application of NDT to a wide variety of materials (concrete, steel, masonry, composites, etc.) in the field of Civil Engineering and Architecture

Energy and performance-aware scheduling and shut-down models for efficient cloud-computing data centers.

This Doctoral Dissertation, presented as a set of research contributions, focuses on resource efficiency in data centers. This topic has been faced mainly by the development of several energy-efficiency, resource managing and scheduling policies, as well as the simulation tools required to test them in realistic cloud computing environments. Several models have been implemented in order to minimize energy consumption in Cloud Computing environments. Among them: a) Fifteen probabilistic and deterministic energy-policies which shut-down idle machines; b) Five energy-aware scheduling algorithms, including several genetic algorithm models; c) A Stackelberg game-based strategy which models the concurrency between opposite requirements of Cloud-Computing systems in order to dynamically apply the most optimal scheduling algorithms and energy-efficiency policies depending on the environment; and d) A productive analysis on the resource efficiency of several realistic cloud–computing environments. A novel simulation tool called SCORE, able to simulate several data-center sizes, machine heterogeneity, security levels, workload composition and patterns, scheduling strategies and energy-efficiency strategies, was developed in order to test these strategies in large-scale cloud-computing clusters. As results, more than fifty Key Performance Indicators (KPI) show that more than 20% of energy consumption can be reduced in realistic high-utilization environments when proper policies are employed.Esta Tesis Doctoral, que se presenta como compendio de artículos de investigación, se centra en la eficiencia en la utilización de los recursos en centros de datos de internet. Este problema ha sido abordado esencialmente desarrollando diferentes estrategias de eficiencia energética, gestión y distribución de recursos, así como todas las herramientas de simulación y análisis necesarias para su validación en entornos realistas de Cloud Computing. Numerosas estrategias han sido desarrolladas para minimizar el consumo energético en entornos de Cloud Computing. Entre ellos: 1. Quince políticas de eficiencia energética, tanto probabilísticas como deterministas, que apagan máquinas en estado de espera siempre que sea posible; 2. Cinco algoritmos de distribución de tareas que tienen en cuenta el consumo energético, incluyendo varios modelos de algoritmos genéticos; 3. Una estrategia basada en la teoría de juegos de Stackelberg que modela la competición entre diferentes partes de los centros de datos que tienen objetivos encontrados. Este modelo aplica dinámicamente las estrategias de distribución de tareas y las políticas de eficiencia energética dependiendo de las características del entorno; y 4. Un análisis productivo sobre la eficiencia en la utilización de recursos en numerosos escenarios de Cloud Computing. Una nueva herramienta de simulación llamada SCORE se ha desarrollado para analizar las estrategias antes mencionadas en clústers de Cloud Computing de grandes dimensiones. Los resultados obtenidos muestran que se puede conseguir un ahorro de energía superior al 20% en entornos realistas de alta utilización si se emplean las estrategias de eficiencia energética adecuadas. SCORE es open source y puede simular diferentes centros de datos con, entre otros muchos, los siguientes parámetros: Tamaño del centro de datos; heterogeneidad de los servidores; tipo, composición y patrones de carga de trabajo, estrategias de distribución de tareas y políticas de eficiencia energética, así como tres gestores de recursos centralizados: Monolítico, Two-level y Shared-state. Como resultados, esta herramienta de simulación arroja más de 50 Key Performance Indicators (KPI) de rendimiento general, de distribucin de tareas y de energía.Premio Extraordinario de Doctorado U

Eighth International Symposium “Monitoring of Mediterranean Coastal Areas. Problems and Measurement Techniques”

The 8th International Symposium "Monitoring of Mediterranean Coastal Areas. Problems and Measurements Techniques" was organized by CNR-IBE in collaboration with FCS Foundation, and Natural History Museum of the Mediterranean and under the patronage of University of Florence, Accademia dei Geogofili, Tuscany Region and Livorno Province. It is the occasion in which scholars can illustrate and exchange their activities and innovative proposals, with common aims to promote actions to preserve coastal marine environment. Considering Symposium interdisciplinary nature, the Scientific Committee, underlining this holistic view of Nature, decided to celebrate Alexander von Humboldt; a nature scholar that proposed the organic and inorganic nature’s aspects as a single system. It represents a sign of continuity considering that in-presence Symposium could not be carried out due to the COVID-19 pandemic restrictions. Subjects are related to coastal topics: morphology; flora and fauna; energy production; management and integrated protection; geography and landscape, cultural heritage and environmental assets, legal and economic aspects