A toolkit for collaborative design: envisioning and sharing the identity of place through traditional and emergent techniques of simulation

This paper presents the outcomes of an ongoing co-design process and aims to demonstrate the efficacy of novel urban simulation techniques beside traditional forms of representation for fostering citizen inclusion in decision-making processes. The activities involve researchers, students, citizens, and local authorities, collaborating to give a new identity to an urban street. Different forms of representation and simulation have been tested among different actors aiming to support the dialogue, from observing the current condition to defining a shared scenario that will guide the design phase and the evaluation of proposals. The contextual use of multiple forms of representation was a crucial element of the applied methodology; in fact, we argue that depicting the environment in several ways and through various modes altogether, can support an effective understanding of the future transformation, and can contribute to overcoming the intrinsic limits of a single representation mode. Traditional plans and sections are still essential, but new techniques can easily enhance design thinking in all its forms. We tested the proposed approach on the case-study area of a street during public events and on social media. The first results indicate that being physically present and direct interaction are crucial for achieving public involvement, while emerging forms of digital simulations are greatly efficient for an effective understanding of the place, and especially of its future transformation. Several techniques, like Augmented Reality, enable people to get closer to the realistic perception occurring in the future environment

Bone conductive implantation in asymmetric hearing loss (AHL)

Background: Bone conductive implants (BCI) represent one possible solution for rehabilitation of single sided deafness (SSD), being able to restore a pseudo-stereophonic hearing when the hearing threshold of the contralateral ear is normal. Objectives: The aim of the present study was to verify the efficacy of bone conduction implantation in subjects with unilateral severe-to-profound hearing loss and contralateral mild-to-moderate hearing loss, i.e. asymmetric hearing loss (AHL), and to compare it with known indications for SSD. Method: Twenty-one subjects, 9 females and 12 males, with a mean age of 55.6 years received BCI for either SSD or AHL. All of the subjects underwent a battery of audiological tests, including free-field pure tone audiometry (PTA) and free-field speech audiometry in quiet and in noise and under unaided and aided conditions. All subjects were administered subjective evaluation tests regarding quality of sound (QoS) and life (QoL), along with 2 questionnaires: the Glasgow Benefit Inventory (GBI) and the General Satisfaction for Bone Anchored Hearing Aids (proposed by the former manufacturer). Data were collected and statistically evaluated within and between the SSD group and the AHL group. Results: A PTA threshold gain was observed in AHL patients. The speech audiometry test in quiet showed an improvement in speech recognition of between 10% and 18% in AHL patients and of less than 10% in SSD patients. The speech audiometry test in noise showed improved values only in AHL patients. The two visual-analogue-scale evaluations (QoL and QoS) and the GBI showed significantly better scores in AHL patients compared to SSD patients

Andean Flora as a Source of New Repellents against Insect Pests: Behavioral, Morphological and Electrophysiological Studies on Sitophilus zeamais (Coleoptera: Curculionidae)

Sitophilus zeamais (Motschulsky) is considered as one of the most destructive foodstu pests. Due to their eciency, low toxicity for mammalians and low environmental impact, plant-derived essential oils (EOs) are promising tools for pest control. In particular, the OEs extracted from Lamiaceae are considered among the most bioactive in terms of repellent and/or insecticidal eect. Here, we investigated the repellence of the EOs extracted from two aromatic plant species typical of the flora of the Ecuadorian Andes, Clinopodium tomentosum and C. nubigeum, against adults of S. zeamais. The behavioral assays carried out at concentrations ranging from 0.7 to 23.9 L L1 air in a two-way static olfactometer showed a significant repellent eect starting from the concentration of 8.4 mL L1 air both for the EO of C. nubigenum and C. tomentosum. We also carried out a complete structural analysis of the antenna of S. zeamais using scanning (SEM) and transmission electron microscopy (TEM), in order to characterize the olfactory sensilla equipment. In this species, there is no sexual dimorphism also as regards to the antennal morphology and the sensilla type and distribution. We identified six type of sensilla, among which at least three types (Sensillum Trichoideum 1, Sensillum Trichoideum 2 and Grooved Peg Sensillum) can be considered as olfactory. Electroantennography (EAG) recordings carried out on S. zeamais revealed a positive dose-response to both EOs, without dierences between the two sexes

Experimental measurements and CFD modelling of hydroxyapatite scaffolds in perfusion bioreactors for bone regeneration

In the field of bone tissue engineering, particular interest is devoted to the development of 3D cultures to study bone cell proliferation under conditions similar to in vivo ones, e.g. by artificially producing mechanical stresses promoting a biological response (mechanotransduction). Of particular relevance in this context are the effects generated by the flow shear stress, which governs the nutrients delivery rate to the growing cells and which can be controlled in perfusion reactors. However, the introduction of 3D scaffolds complicates the direct measurement of the generated shear stress on the adhered cells inside the matrix, thus jeopardizing the potential of using multi-dimensional matrices. In this study, an anisotropic hydroxyapatite-based set of scaffolds is considered as a 3D biomimetic support for bone cells deposition and growth. Measurements of sample-specific flow resistance are carried out using a perfusion system, accompanied by a visual characterization of the material structure. From the obtained results, a subset of three samples is reproduced using 3D-Computational Fluid Dynamics (CFD) techniques and the models are validated by virtually replicating the flow resistance measurement. Once a good agreement is found, the analysis of flow-induced shear stress on the inner B-HA structure is carried out based on simulation results. Finally, a statistical analysis leads to a simplified expression to correlate the flow resistance with the entity and extensions of wall shear stress inside the scaffold. The study applies CFD to overcome the limitations of experiments, allowing for an advancement in multi-dimensional cell cultures by elucidating the flow conditions in 3D reactors

Liquid flow in scaffold derived from natural source: experimental observations and biological outcome

This study investigates the biological effects on a 3D scaffold based on hydroxyapatite cultured with MC3T3 osteoblasts in response to flow-induced shear stress (FSS). The scaffold adopted here (B-HA) derives from the biomorphic transformation of natural wood and its peculiar channel geometry mimics the porous structure of the bone. From the point of view of fluid dynamics, B-HA can be considered a network of micro-channels, intrinsically offering the advantages of a microfluidic system. This work, for the first time, offers a description of the fluid dynamic properties of the B-HA scaffold, which are strongly connected to its morphology. These features are necessary to determine the FSS ranges to be applied during in vitro studies to get physiologically relevant conditions. The selected ranges of FSS promoted the elongation of the attached cells along the flow direction and early osteogenic cell differentiation. These data confirmed the ability of B-HA to promote the differentiation process along osteogenic lineage. Hence, such a bioactive and naturally derived scaffold can be considered as a promising tool for bone regeneration applications

Reversibly Light-Switchable Wettability of Hybrid Organic/Inorganic Surfaces With Dual Micro-/ Nanoscale Roughness

Here, an approach to realize ''smart'' solid substrates that can convert their wetting behavior between extreme states under selective light irradiation conditions is described. Hybrid organic/inorganic surfaces are engineered by exploiting photolithographically tailored SU-8 polymer patterns as templates for accommodating closely packed arrays of colloidal anatase TiO2 nanorods, which are able to respond to UV light by reversibly changing their surface chemistry. The TiO2-covered SU-8 substrates are characterized by a dual micro-/nanoscale roughness, arising from the overlapping of surfactantcapped inorganic nanorods onto micrometer-sized polymer pillars. Such combined architectural and chemical surface design enables the achievement of UV-driven reversible transitions from a highly hydrophobic to a highly hydrophilic condition, with excursions in water contact angle values larger than 1008. The influence of the geometric and compositional parameters of the hybrid surfaces on their wettability behavior is examined and discussed within the frame of the available theoretical models

An objective, markerless videosystem for staging facial palsy

Background: The clinical classification of unilateral peripheral facial palsy (UPFP) is still based on subjective conventional methodology, leaving several missing points for an exact depiction of face deformity. Aim of the study: To propose a new objective, video recording method that relies on mathematical algorithms allowing the software to recognize numerical points on the face surface that would be indicative of facial nerve impairment, without positioning of markers on the face. Material and methods: Patients with UPFP of different House-Brackman (HB) degrees, from II to V, have been evaluated after video recording during two selected facial movements (forehead frowning and smiling) by a software trained to recognize the face points as numbers. Numerical parameters in millimeters have been obtained as indicative values of the shifting of the face points, and the shifting ratio between the healthy (denominator) and the affected side (numerator), i.e. the asymmetry index for the two movements taken into consideration. Results: For each HB grade, specific ranges of asymmetry index have been identified with a positive correlation for shift differences and negative correlation for asymmetry indexes. Conclusions: The use of the present objective system enabled the identification of numerical ranges of asymmetry index between the healthy and the affected side, that were found to be consistent with the outcome from the subjective methods currently in use

Peculiarities of presentation and evolution over time of Hashimoto's thyroiditis in children and adolescents with Down's syndrome

Studies concerning presentation and evolution over time of Hashimoto's thyroiditis (HT) in children with Down's syndrome (DS) are few, are based on limited study populations and do not include control HT groups without DS. The aim of this multicenter study was to shed further light on the relationships between DS and HT in childhood

Efficacy of Albumin Treatment for Patients with Cirrhosis and Infections Unrelated to Spontaneous Bacterial Peritonitis

Background & aims: We performed a randomized trial to determine whether albumin should be administered to patients with infections unrelated to spontaneous bacterial peritonitis (SBP). Methods: We performed a multicenter, open-label trial in which 118 patients with cirrhosis, non-SBP infections, and additional risk factors for poor outcome were randomly assigned to receive antibiotics plus albumin (study group; n = 61) or antibiotics alone (control group; n = 57). The primary outcome was in-hospital mortality; secondary outcomes were effect of albumin on disease course. Results: There were no significant differences at baseline between groups in results from standard laboratory tests, serum markers of inflammation, circulatory dysfunction, or liver severity scores. However, the combined prevalence of acute on chronic liver failure (ACLF) and kidney dysfunction was significantly higher in the study group (44.3% vs 24.6% in the control group; P = .02), indicating greater baseline overall severity. There was no significant difference in the primary outcome between groups (13.1% in the study group vs 10.5% in the control group; P = .66). Circulatory and renal functions improved in only the study group. A significantly higher proportion of patients in the study group had resolution of ACLF (82.3% vs 33.3% in the control group; P = .03). A significantly lower proportion of patients in the study group developed nosocomial infections (6.6% vs 24.6% in the control group; P = .007). Conclusions: In a randomized trial of patients with advanced cirrhosis and non-SBP infections, in-hospital mortality was similar between those who received albumin plus antibiotics vs those who received only antibiotics (controls). However, patients given albumin were sicker at baseline and, during the follow-up period, a higher proportion had ACLF resolution and a lower proportion had nosocomial infections. ClinicalTrials.gov no: NCT02034279

The Putative Liquid-Liquid Transition is a Liquid-Solid Transition in Atomistic Models of Water

We use numerical simulation to examine the possibility of a reversible liquid-liquid transition in supercooled water and related systems. In particular, for two atomistic models of water, we have computed free energies as functions of multiple order parameters, where one is density and another distinguishes crystal from liquid. For a range of temperatures and pressures, separate free energy basins for liquid and crystal are found, conditions of phase coexistence between these phases are demonstrated, and time scales for equilibration are determined. We find that at no range of temperatures and pressures is there more than a single liquid basin, even at conditions where amorphous behavior is unstable with respect to the crystal. We find a similar result for a related model of silicon. This result excludes the possibility of the proposed liquid-liquid critical point for the models we have studied. Further, we argue that behaviors others have attributed to a liquid-liquid transition in water and related systems are in fact reflections of transitions between liquid and crystal